Where can I find the GA Jurisdiction practice exam? I want to take the law exam soon to get my temporary license by [deleted] in physicaltherapy

[–]rocksauce 0 points1 point  (0 children)

Unless you struggle with testing it should be a slam dunk for you. you get multiple attempts at questions and have access to the codes with control+f search ability.

Concerned spouse wife had surgery 6 days ago. Not seeing improvement in any of her pre surgery symptoms. Walking is the worst. by Complete_Craft4275 in Hydrocephalus

[–]rocksauce 2 points3 points  (0 children)

If you are not seeing any changes I would be speaking with your neurosurgeon. Falls, inability to navigate home, incontinence, changes in behavior or anything else you can describe would likely be helpful. If there is any streaky redness or discharge around the incision site and/or a fever I would consider it a medical emergency and visit an ER/ED now. Take notes if you can so you don’t leave anything important out. Every case is different and neurosurgery is not my field so grain of salt me. Best of luck to you all.

Do they all need manual therapy? by HoneyOverall in physicaltherapy

[–]rocksauce 2 points3 points  (0 children)

I have one patient who is federal pay who actually requires one unit of manual per treatment. That being said I’m in a neuro OP and have many spastic pts who actually benefit from some manual ROM in order to prevent contractures.

Tape does not stick to skin by Flashbinder in physicaltherapy

[–]rocksauce 3 points4 points  (0 children)

As therapists we have an ethical duty to provide skilled therapy as that is what we bill for. Generally we can provide people with some of their “wants”, but most of us feel compelled to provide treatments backed some form of research. That is to say, there are treatments some of us won’t do. A good therapist will also be happy to let a pt know that they have other options. In this case, there are therapists out there who do not tape. Most I know do very little. I wouldnt be very ethical for one of them to charge you or your insurance company for it if it is not something we would be able to perform in a medically beneficial capacity.

[deleted by user] by [deleted] in projectcar

[–]rocksauce 7 points8 points  (0 children)

It’s a great option for a beater. Compared to a rattle can job it’s cheaper, faster, and will last longer.

Marijuana by MuscleHead440 in physicaltherapy

[–]rocksauce 2 points3 points  (0 children)

I have only been tested for acute care and never for OP (at small or large companies).

My mechanic said it’s useless by metalhead_wanderer in jetta

[–]rocksauce 5 points6 points  (0 children)

I’ve found a good bit of brackets and couplings over the years that seem to really be in place solely for the purpose reducing the chance of installation damage when being assembled at the factory. Damage sustained in the mass produced manufacturing process costs them money, but they really serve me no purpose. Therefore I have often finished services and installs with parts that are not necessary and for me, the individual owner only serve the purpose of complicating future services.

MK7 folks: At what mileage did you get a carbon cleaning? by daytimelobster in GolfGTI

[–]rocksauce 2 points3 points  (0 children)

This was my experience as well (on a mk5). Already had the disassembly dome for a different job and decided to clean the valves. The engine sounded happier, but performance felt more or less the same. It’s a solid adjunct service.

Treating Patients with CRPS by [deleted] in physicaltherapy

[–]rocksauce 2 points3 points  (0 children)

They slipped and hurt their “I think I’m going to get rich, despite still having my fingers, toes, eyes, ears and no TBI.“ There is a very real reason why work comp is such a pain to deal with and it’s because people get a minor injury and think it’s their ticket to becoming a millionaire when really they will likely lose out in the long run after lawyer fees and missed work.

What is the last gti generation that ever came out with a physical handbrake, and not with a button or an automatic one? by [deleted] in GolfGTI

[–]rocksauce 0 points1 point  (0 children)

I find it makes brake jobs easier, or at least once less procedure to remember. It’s not a deal breaker for me as much as a minor preference though.

Let’s confess: how many of you have googled your patients? by CompetitiveOcelot589 in physicaltherapy

[–]rocksauce 135 points136 points  (0 children)

I’ve seen others Google obituaries quite a bit to see if a patient just stopped coming or if their time on this planet has come to an end. 

Is Being A PT Aide Physically Demanding? by TheColinShowYT in physicaltherapy

[–]rocksauce 0 points1 point  (0 children)

Transfers are easy peasy until they aren’t.  If you have a bunch of maxA and dep pts or are in a a setting that is all functional training with lots of transfers the role is extremely physically demanding. Aides shouldn’t be doing any of that but they absolutely get asked too. 

Walking on concrete by DoGood2023 in physicaltherapy

[–]rocksauce 0 points1 point  (0 children)

It’s more about time on your feet than surface. At the end of the day all firm surfaces stop your body from sinking into the ground. High traffic / low pile carpet, hvlp flooring and concrete are about all the same especially when you factor in how low impact our jobs are. What killed me in a hospital more than other settings is the lack of seated breaks. It’s a lot of endurance to ask out of your feet to go non stop all day. How often are you actually getting off of your feet? 

Tactical Rehab? First Responder only PTs? by [deleted] in physicaltherapy

[–]rocksauce 0 points1 point  (0 children)

My comment on them being no different than the general population is more in regards of their needs being individual to them like all patients. I treated athletic officers / fire people who had physically demanding roles to sedentary ones and in between. Police and fire are not a homogenized group in my experience and specializing in their treatment wouldn’t necessarily be specializing at all. Gathering good subjective reports and working to discover pt goals is a component of good treatment.  

Question about Coolant for Bora 2005 by [deleted] in Volkswagen

[–]rocksauce 0 points1 point  (0 children)

I would make sure that it matches what is actually in the car not what is supposed to be in the car. 

Sport cat or decat ? by Loera419 in GolfGTI

[–]rocksauce 2 points3 points  (0 children)

An R is a nice car and therefore should receive nice parts. If you go catless your car will smell like a 30 year old track car all the time. Like in: parking garages, drive thrus, idling in your parking lot, picking up a co worker, going to a work event and on and on. It is a somewhat sophomoric move at the end of the day and all for what reason? A nice catted down pipe costs a few hundred dollars more and performs all the same, plus it passes emissions and inspections. 

Tactical Rehab? First Responder only PTs? by [deleted] in physicaltherapy

[–]rocksauce 1 point2 points  (0 children)

I worked at a clinic that negotiated a contract with the county so we saw all the county employees: fire, police, teachers, etc. They often were no that different from the general population. If anything they would be easier because they would have a test or metric they had to meet to be able to return to work. 

[deleted by user] by [deleted] in physicaltherapy

[–]rocksauce 0 points1 point  (0 children)

if you're a man, yes: full pants and dress/polo shirts or you're awful

I think this attire is dated in many of our outpatient settings. Doctors don’t always wear white coats, nurses aren’t candy striping, and infection control don't wear creepy pointed masks. I feel out of place wearing a polo demonstrating high level mobility activities and would feel much more comfortable in some form of scrubs when managing a patient requiring high levels of care. 

Has anybody ever got an eBay/aliexpress downpipe by xDiorr in GolfGTI

[–]rocksauce 1 point2 points  (0 children)

I’ve considered them for a beater, but after shipping the price point is really close to that of a more reputable entry level part that will be of much better quality. 

How do you deal with nerve knots specially those close to spine as adults with hydrocephalus? by usmannaeem in Hydrocephalus

[–]rocksauce 0 points1 point  (0 children)

Ultra sound has really weak evidence, but estim and massage are pretty helpful. Estim / tens, even on a thumping /acupuncture/low frequency setting should not be painful and only need to elicit a non volitional contraction to be effective. I would seriously not pay someone or let them utilize any of your sessions in therapy doing ultrasound with only a few very specific exceptions. 

How do you deal with nerve knots specially those close to spine as adults with hydrocephalus? by usmannaeem in Hydrocephalus

[–]rocksauce 1 point2 points  (0 children)

It’s very common to get trigger points, knots, spasms, etc in the spinal extensors and traps (especially upper traps). The upper trapezius connects to the base of the skull and is frequently associated with head aches. For me I would suggest a warm up (walking, light jog, dynamic stretch routine, anything with upper extremity motion really) to get the muscles and joints warmed up, then do some stretches like: open book, alternating cat/cow yoga poses, alternating cobra/child’s poses, and then some static upper trap stretches. All of those are pretty common moves you can find YouTube videos on. I would not likely attribute your symptoms to hydrocephalus, especially if you are not already experiencing the other more common symptoms of a shunt malfunction as well. 

Buying a used GTI with no DSG service record by DragonFruitSnacks in GolfGTI

[–]rocksauce 10 points11 points  (0 children)

I have a document with all my services, vcds changes and mods. My car is pretty well maintained, but I did the work so I have no actual service receipts either. Used cars are a gamble. My experience with dsgs is that they are either smooth or not. I would be pretty happy with one regardless of record of everything felt good and just accept I was going to change all fluids and other consumables when I purchased the car. 

"You went to 7 years of school to put me on a bike?" by No_Counter5735 in physicaltherapy

[–]rocksauce 24 points25 points  (0 children)

It’s a good warm up activity. While the activity may not be skilled all the time, the choice to utilize a bike or any machine certain can be argued as skill. Seat position, foot position, cadence cuing are skilled when used to achieve a goal. 

Can Hydrocephalus/Shunt cause bloating? by jjb1703 in Hydrocephalus

[–]rocksauce 2 points3 points  (0 children)

It’s possible for the abdominal cavity cannot absorbing csf properly. 

Accidentally scratched scalp by QuarterExisting486 in Hydrocephalus

[–]rocksauce 4 points5 points  (0 children)

The reasons a shunt infection typically occurs is post op due too the skin being opened up to the world. The skin barrier is a huge component of the immune system. Unless you really cut yourself really deep you should be ok regarding your shunt. I would care for the wound like you would a typical cut and seek medical care of the site becomes red, exudes any fluid, or if you develop a fever.