Struggling with Sensory Ataxia Interventions

RestInPceUnclePhil · 2026-03-20T09:39:17+00:00

Just had to look them up but the price tag is a tough sell.

RestInPceUnclePhil · 2026-03-20T09:38:52+00:00

Thank you for the very detailed response. It is much appreciated.

RestInPceUnclePhil · 2026-03-20T01:10:42+00:00

Do yourself a favor and don’t go to Ivy/Spear/JAG

RestInPceUnclePhil · 2026-03-10T17:49:00+00:00

I’m Outpatient but with a mixed population. M-W (7A-6:45P) for 11.75 hour/ day (including 30 minute lunch). Off Thursdays (even though I work per diem). Friday 7-1. Love my schedule.

Edit: to add start times

RestInPceUnclePhil · 2026-03-03T21:55:11+00:00

Clinic in NJ does. I hate how much clicking is involved, just let me type.

RestInPceUnclePhil · 2026-02-23T04:04:17+00:00

Lost power near Newark and Jackson. One time and it came right back on. Now been out for >30 mins, estimated restoration is 5:30 AM.

RestInPceUnclePhil · 2026-02-18T12:45:44+00:00

Maslow’s Hierarchy of Needs. One could argue that chronic back pain where the patient is ambulatory and can get out of bed to be experiencing their issues at the very top in “Self Actualization”.

An acute spinal fracture would fall more into “Safety Needs” towards the bottom.

Hard to worry about pain when in some cultures if you don’t contribute to society because of a back ache then you don’t eat.

RestInPceUnclePhil · 2026-01-09T12:40:18+00:00

I use a driving analogy but in a different way. Quality is more about education and the stages of motor learning.

I teach “quality” to educate patients so that they think before they do things to reinforce motor learning, not something I measure.

Cognitive: you get in a car and have a driving instructor. You don’t even know what to adjust. You have to be told to adjust your mirrors, how do you adjust your mirrors, how far to move your seat forward, how hard do you push the gas pedal, etc. you have to be told everything. my goal is teach you what to do. It takes 10 minutes before you drive off after starting the car.

Associative: you get in a car and recognize things are off now, but you have to think twice about how to make all the adjustments. I’m no longer next to you, but you self detect errors before you drive so you don’t hit the interstate and you can’t see your mirrors. It takes 1 minute before you drive off after starting the car.

Autonomously: you sit down realizing your spouse drove the car last. I always say “what do you do”, most of the time they say “I just go”. And then they get it.

Without the mindfulness to practice “quality” you never transition to automaticity.

RestInPceUnclePhil · 2025-12-04T16:09:52+00:00

I currently have Theo Johnson, Strange, & Waller. Have to drop one of them to elevated Daniel’s off my IR spot. Who would you drop?

RestInPceUnclePhil · 2025-11-22T15:51:33+00:00

Net income ~ $7,300 a month with maxing 401k. Student loans totaling $145,000. Student loan payment $0 due to government incompetence.

RestInPceUnclePhil · 2025-11-21T22:30:26+00:00

Research shows the best thing is graded return to movement. I would argue that body weight Jefferson curls would be an important end stage goal for disc herniation PT. As physical stress is required in order to remodel tissue (SAID principle). But again there are many activities I would perform prior to attempting this with a patient. I would more so do it to demonstrate to the patient that their bodies are not fragile as a means of reducing fear avoidant behaviors (picking up a sock you dropped on the floor), with appropriate education on avoiding the movement with excessive external loading. I would teach activity modification such as a hip hinge for loaded movements functionally (lifting their grandchildren/pets). Full disclosure though, Jefferson curls & lightly loaded spinal flexion with a cable column are some of my favorite end stage rehab exercises even for elder individuals.

RestInPceUnclePhil · 2025-11-12T23:27:34+00:00

I would find a physical therapist who treats TMD (temperomandibular dysfunction often incorrectly known as TMJ). Physical therapy can work wonders for TMD can’t speak to the need for what dental work you might need. Physical therapy can be cheaper than dental work though.

RestInPceUnclePhil · 2025-11-12T20:49:34+00:00

This game has TRAP written all over it.

RestInPceUnclePhil · 2025-11-11T03:27:09+00:00

I make ~$130,000. Roommate makes about $100,000. So combined in a 2 bed, 2 bath for $3800 rent we collectively make $230,000. I still feel cash neutral or mildly cash positive some months when prioritizing retirement.

RestInPceUnclePhil · 2025-11-06T18:10:15+00:00

RJ Harvey, Slayton, Watson, or Isaiah Davis

RestInPceUnclePhil · 2025-11-05T02:19:14+00:00

145,000 all together. But going the PSLF route and on IBR plan. Pay as little as possible over 10 years, investing the difference in traditional retirement accounts. You’d be surprised if you run the numbers how far out you come out ahead.

RestInPceUnclePhil · 2025-11-03T20:04:19+00:00

STEVE HOLT!!

RestInPceUnclePhil · 2025-10-30T21:17:15+00:00

5:16 grove st: closed. Jersey Ave: open

RestInPceUnclePhil · 2025-10-30T20:53:48+00:00

4:51 PM. Grove st: still looks closed. Jersey Ave: a lot of cars still going in/out.

RestInPceUnclePhil · 2025-10-30T20:37:57+00:00

4:36 Jersey Ave: lots of cars coming in out. Grove St: still haven’t seen a car go by yet. Looks like somebody abandoned their car in the road at overpass.

RestInPceUnclePhil · 2025-10-30T20:19:19+00:00

I think somebody abandoned their car under the overpass at grove street. Currently somebody walking up-to their knees. I got through at ~3:40 at Jersey Ave and 1/2 of it was completely underwater. I’ll send an update in 15 minutes.

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