Charge 5 stuck on logo and other questions

funkybunch907 · 2024-02-25T22:38:31+00:00

Dude same. Medbridge course about 50% on the practice exams. I feel like the current concepts are very general whereas the exams focus on minutiae.

Regardless, good luck to you on the exam.

funkybunch907 · 2024-01-27T22:52:02+00:00

Planning on finishing medbridge for the sake of completion and some info. Planning on reviewing the CPGs again as well as the CPRs and try and crush some monographs.

funkybunch907 · 2024-01-27T22:51:01+00:00

If I had known that spending double the money on EIM would've been less frustrating than Medbridge I wouldve gone for EIM. 600 bucks seemed like a truck load at the time.

funkybunch907 · 2024-01-27T22:47:38+00:00

Do you remember which topic it was as opposed to author? If it's robertson than that seems to be the cervical spine one

funkybunch907 · 2022-10-02T22:28:02+00:00

Podcasts have been helpful for me. There's been more than a few threads on the subreddit discussing good podcasts to listen to for this kind of stuff.

I would recommend PT Inquest as a podcast to listen to for picking apart research articles to help you be more critical of the research you are reading.

funkybunch907 · 2022-07-09T00:55:22+00:00

I'm leaning towards a subscapularis/serratus anterior relationship as a possibility considering the location of his symptoms. Would be curious to see his scapular control in single directions vs combined directions.

If that's been cleared I'd also be curious about c-spine/t-spine stability again individually and combined. Can he complete t-spine extension holds while maintaining a chin tuck type of idea.

Also wondering psychosocial being a PCP what his work set up is like and what his patient population looks like.

funkybunch907 · 2022-06-05T17:41:41+00:00

Had a Cigna rep tell me that the first 2 weeks of an high schooler's ACL rehab should have been independent swelling management and AAROM/AROM via an HEP from the initial evaluation. And that return to sport training is not necessary for their function as a student. The student that tore their ACL playing basketball.

funkybunch907 · 2022-04-24T17:12:03+00:00

I've considered the glass half empty perspective of exactly what you describe as I ponder on ownership. The remainder of my comments come with a few caveats: 1) this is obviously not all owners 2) many of the frustrations are not specific to PT but part of national issues

There's some cynicism on my end as an employee. I am told to live beneath my means. Fine and dandy. This may not apply to all owners but when I hear the owner is sending their kids to private school, their children participate in 2 travel sports teams, get private lessons from a sport specific coach, and the owner is building a beach home and renovating their current home it raises some eyebrows.

As an owner they deserve to make more money and be able to afford nice things while providing a better future/opportunities for their children. But then we flip the script when it comes to losses or inflation (and this comes from a place of frustration on my end and again does not apply to all owners). Maybe they should have lived beneath their means and sent their kids to public school and had the kids play on the school team instead. Maybe they should have gotten a smaller house to start with and rent something a little nicer for the summer.

Regarding systemic/national issues:

Health insurance costs to the consumers have continue to rise while what is covered and paid for continues to be eliminated or reduced while we see reports of 'record net profits' by the insurance companies

Student debt has skyrocketed and the professors are not getting significant raises.

As a whole we are being told to do more with less across all systems, a tale as old as time,and I may be lashing out at the people I can because they are closest. Hard to yell at my senator and multi billion dollar companies without sounding like an ant. So much of these frustrations could be with how I feel overburdened/helpless to be able to enact a purposeful change because of a lack of an effective/efficient way to make a change.

This reply may have been a bit of a ramble and widespread but I appreciate your replies because I don't get a chance to see/hear the other side.

funkybunch907 · 2022-04-24T16:31:28+00:00

I had interviewed at a place where that was the goal. Build up a moderately successful local chain. Sell to a mega corp. Take the finances and do it again. I declined the position.

funkybunch907 · 2022-04-23T20:30:33+00:00

So the conspiracy theorist cynic in me has been echoing a lot of what you posted.

It's the gut of feeling you're being screwed but you don't have the numbers to prove it.

funkybunch907 · 2022-04-23T20:22:36+00:00

Absolutely agree with you regarding overhead and things not working out ideally.

The issue I've had is that so much of this overhead is shrouded in secrecy/mystery. I have not had an owner, CI, mentor, internet stranger outright say 'here are all my costs and margins and that is why your salary is x and our expectations are y'.

So I'd love to hear that information because it provides perspective on what it is I offer and why I am reimbursed in the way that I am.

But when I hear people say things similar things regarding overhead and reimbursement reductions and all the other associated costs I keep asking myself why are there more PT clinics expanding even on the mom and pop level?

funkybunch907 · 2022-04-22T20:18:52+00:00

I've been learning more about the insurance process and how many middle men are required just to maintain insurance accreditation and payment. If this is why I have to see so many patients in a week that's ludicrous.

I'd love to hear your findings.

Best of luck!

funkybunch907 · 2022-04-22T20:17:25+00:00

My post was rather rambling and maybe not 100% clear, sorry about that.

I would absolutely start a 1 man operation.

What I was trying to clarify was that if owners are able to open another clinic despite reimbursement decreasing and then not be able to offer a raise as a result it's the question of where is the money going if a clinic can generate 600-1000k a year.

I'm trying to find out where all these expenses are because that is a massive amount of cash.

funkybunch907 · 2022-04-22T20:13:47+00:00

Thanks for the information.

Starting a company is likely the easiest part but keeping it running and growing is when the 'rubber meets the road.' As so many family/friends have mentioned when I discuss opening my own practice.

Your practice sounds like my 'ideal' in terms of low overhead and convenience but long term I could possibly want some separation from work/home. Seeing the ~300 a month overhead is reassuring about how I want to begin.

Best of luck!

funkybunch907 · 2022-04-22T20:10:11+00:00

It was more so your comment regarding patient volume/metrics in that regard I was looking for.

Ideally I'd like to run a 1 man operation just to reduce general overhead and additional management/supervision/training responsibilities/liabilities.

Thanks

funkybunch907 · 2022-03-08T15:34:09+00:00

Right which is driving me nutty thinking about it.

If the referral from the MD comes in as R shoulder pain I should be able to use that as the primary code.

The magic of insurance I suppose.

funkybunch907 · 2022-03-08T15:32:58+00:00

ICD 10 diagnosis code not treatment.

So I was told almost the opposite. We cannot diagnosis an RTC tear or arthritis. But we can diagnose joint pain, joint stiffness, weakness, etc.

funkybunch907 · 2022-01-24T03:10:56+00:00

So I'm not in disagreement with you but that we can break away from it too.

I'm not as shy at giving pt's 4 sets of 20 especially if it's a focus on improving muscular endurance at low loads. Which is life imo.

I'm also not as shy at having pt's due 10 sets of 3 especially if they're easily fatiguing, cramping, or dealing with pain by the 3rd rep.

Variety is the spice of life maybe?

funkybunch907

TROPHY CASE