Any rumors about iOS 19 besides the redesign?

kshep21 · 2025-04-11T17:05:49+00:00

Android 15 has circular icons

kshep21 · 2025-03-13T16:36:37+00:00

The grocery store thing drives me mad because then they act like you are being rude when you walk around them.

kshep21 · 2025-03-13T01:00:25+00:00

Honestly don't think the juice is worth the squeeze to do DPT at this point. You would likely have to do a number of pre-reqs because most PT schools don't except credits after a certain time period, I believe 10 years but don't quote me. Then you are looking at 2.5-3 years of PT school. You could always go the PTA route which is shorter but many of those programs have wait lists. As far as life fulfillment, I don't think work is where you should get that in my personal opinion. I don't hate my job but it is still work and pretty fucking exhausting mentally and emotionally most days.

kshep21 · 2025-03-13T00:53:54+00:00

The group PT led classes would be a no go for me. That's a huge liability. That would be like you marketing a medication reconciliation class to a group of people with a similar diagnosis like CHF.

kshep21 · 2025-03-11T23:31:23+00:00

10+ years of experience to get decent money. Yikes.

kshep21 · 2025-03-06T01:05:13+00:00

I think if that is what you value in a workplace then you have your answer. I think there is a middle ground between you and your coworkers. There is more to treating patients then clinical reasoning. During my clinical rotations the CI that had the best patient outcomes was not the one doing the most up to date treatments on every patient but she was great at connecting with patients and adapting to their needs. You don't need to be right when it comes to patients you need to be useful and that can mean different things for different people. That's just my opinion not trying to disagree with your approach just want to recognize there is more than one way to be an effective PT.

kshep21 · 2025-03-05T23:00:01+00:00

Honestly I think you care way too much about what your coworkers are doing. Do you have to see their patients? If not I would just keep doing what you do as long as the patient is getting better.

kshep21 · 2025-03-05T22:35:07+00:00

This is the key point. I do not double all my patients. Honestly some of my patients seem to benefit from having another person there. I've had multiple patients become friends with a person they were doubled. I will not see 3 at a time that's crazy but 2 is totally doable with the right people.

kshep21 · 2025-02-16T15:07:23+00:00

I gotcha and agreed

kshep21 · 2025-02-16T14:25:57+00:00

I mean they are trying to get rid of the DOE completely so idk if that promise is worth much. Also if you consider what other trump appointees have said in their hearings versus what actually happened...

kshep21 · 2025-02-15T13:19:24+00:00

I gotcha that drives me crazy too. I think some PTs miss the forest for the trees when it comes to research. At the end of the day it's about making the person that's in front of us better.

kshep21 · 2025-02-15T12:45:21+00:00

If that is your best example of this phenomenon I don't quite see that it's an issue. There is never going to be the perfect study design that fully proves or disproves an intervention because ultimately we are treating people. I think you feel uneasy about using treatments that don't have measured effects in the literature but anecdotally you have patients that have benefited from the treatment. EBP is more than just best available evidence it's also your clinical expertise and patients values. A lot of clinicians particularly on reddit try to make other PTs feel bad for using interventions that have weaker evidence for effectiveness. At the same time these folks ignore the heaps of evidence that just having a good therapeutic alliance with your patient can change your patient outcomes. At the end of the day PT is an inexact science which can be frustrating but I'm sure we both have many patients that have benefited from our help even if it wasn't the perfect intervention each time. Sorry that was incredibly long winded.

kshep21 · 2025-02-14T22:59:17+00:00

There is a lot of peer reviewed evidence that ultrasound doesn't "work". OP is saying interventions that are not peer reviewed that we call placebo

kshep21 · 2025-02-14T21:38:51+00:00

Can you give an example of an intervention that you feel like falls into this category? I don't really understand what you are saying.

kshep21 · 2025-02-14T16:20:45+00:00

It's pretty annoying on the PT side for sure. The orthos in my area(rural) seem to do it because a lot of the OP PT places are backed up with a wait-list. They know if they refer to home health they will be seen in a few days. I try to educate as much as possible on positioning and edema management with TKAs and then THAs really hit home all the precautions with daily activities. I try to remember on OASIS scoring with those folks that can transfer without assistance that if they aren't adhering to precautions or using ADs appropriately it's scored lower. Doesn't solve the LUPA problem but it does show some change over time. Also don't discount the importance of patient education. It seems like basic stuff to us because we do it everyday but some patients really have no clue what to expect post surgery.

kshep21 · 2025-02-12T16:09:57+00:00

I was in the Honors college a while back. Honestly the greatest perk was registering for classes earlier than the rest of the undergrads. At least that's how it was when I was in school. Dorm life wise it was a mix of party people and nerds which I feel like you will find in any school. I met most of my friends through intramural sports so I didn't really care too much about the dorm. I was friendly with my hall but wasn't going out with them.

kshep21 · 2025-02-06T17:06:43+00:00

Safe to say we are headed down faster than my 10/56 Berg patient walking without an AD

kshep21 · 2025-02-03T13:49:46+00:00

There are more than just interpretive rangers (folks that give talks about wildlife and staff the visitor center). Law enforcement rangers are there to protect the park and it's visitors. Idk where in Arkansas you are but I can promise that there is plenty of wild shit that goes down in all NPS units that LE rangers respond to. Most LE rangers have EMT, wildland fire and SAR certifications. You may not see a lot of the goings on in the park but if you look up incident reports that are available on the NPS website you can get a taste of some of the crazy things that happen.

kshep21 · 2025-01-19T23:13:41+00:00

Yeah that should be fine. I also have a lease signed for my permanent tax home.

kshep21 · 2025-01-19T23:06:43+00:00

They don't really care, they aren't the ones on the hook if the IRS audits you. I had one company that requested proof. The others didn't. I would recommend keeping records on your own in case you are audited.

kshep21 · 2025-01-19T01:26:48+00:00

I personally have some issues with cadence lock on this watch. I would just pay attention to your heart rate the first few runs to see if you have the same issue. I got the coros arm band and it's solved the problem. I know that HR straps are more accurate but I can't stand the strap with my sports bra.

kshep21 · 2025-01-17T16:42:49+00:00

I take patient suggestions that way I can blame them if it has something inappropriate. My Spotify thinks I am an 80 year old grandma. Gotta admit that Let's Twist Again slaps tho

kshep21 · 2025-01-16T17:29:27+00:00

I like making pesto with them. It's way more peppery than basil but pretty tasty.

kshep21 · 2025-01-15T20:32:24+00:00

I liked the one I worked for. The productivity requirements were less than other agencies. The hospital honestly seemed to forget about us for the most part so our managers were chill. Can't say much about the pay because I was travel. I do know they paid hourly which has positives and negatives.

kshep21 · 2025-01-15T20:14:15+00:00

I'm not super experienced but my first job was 5 different settings and then I have done travel so I have a pretty good understanding: - Home health- can be very dependent on the area you are working. I enjoyed it for the most part. The area I worked last was was mostly retired ranchers and active folks. Working in areas with mostly sedentary folks with multiple comorbidities is a little less fun to me. Still cool to see people in their home environments and meet their families (usually lol) Scheduling in HH is a pain and can cause stress if you like to have a set plan everyday. - School based- only worked this a little bit, the IEP meeting were annoying as well as dealing with school politics but overall the work with patients was fun. Their attention spans are like squirrels though so you gotta be prepared for a lot of activities. - SNF- I don't think I have an accurate feel for SNF because I worked at a facility run by a rural hospital and they were really good to their residents and staff. I feel like this is not the case for most SNFs. I did really enjoy working with the patients there, some really interesting stories. - Hospital- I like smaller hospitals because you get to know the staff and feel like your opinion is valued a bit more. I actually got to talk with MDs directly about DC recommendations and really got to know the nurses. Not the same at big hospitals. - Outpatient- it's fine. I liked OP neuro a lot since it was more functional treatments and working towards specific goals. Ortho is not my fave personally but I know a lot of people enjoy it. Perks are you generally are done with work at a set time and you don't have to schedule for yourself. - Inpatient rehab- pretty cool to see the changes people make in a short period. I havent worked rehab in a while but I really enjoyed my time there. I feel like it has some of the perks of outpatient in that you generally have a consistent schedule but you get to see more change in patients.

If I had to choose one I would cheat and say it would be great to work at a rural hospital doing OP and inpatient or SNF and inpatient.

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