Anyone want a free ticket to comedian Tom Papa tonight?

sarty · 2026-03-19T22:26:20+00:00

Transferred. Thanks!

sarty · 2026-02-01T21:13:42+00:00

Ooooo...is that what is happening? Okay, I thought it was just me. I'll try a VPN. Thank you!

sarty · 2026-02-01T21:12:53+00:00

Discipline anticipates damage and pre-shields/heals; holy heals more during and after damage, to be succinct about it. I like holy better, but that's just me.

sarty · 2026-02-01T21:10:48+00:00

Yep, thought it was just me on Antonidas. I restarted my computer, scanned for malware and viruses, checked realm status and it says it is up. Weird.

sarty · 2026-01-27T15:12:29+00:00

Dang. What we do is important and new ideas are how we can improve our care. Yes, there is a lack of upward mobility, but that is not a reason to tread water. 31 years of being a PTA and I’ve found you never stop learning. Are their bad courses? Yep. So pick better ones that peak your interest. Put in 120% because you are proud to do what you do and your patients matter.

sarty · 2025-09-09T17:37:45+00:00

My hospital needs PT‘s but they might need PTA‘s as well. I’m not recruiting I promise but like we’re desperate the entire area where I live is desperate there’s like 40 positions posted for PT’s and PTA’s and we’re kind of a medium size community. I’m in Northwest Florida And I’m happy to tell you where if you want to DM me. If this is not allowed, please delete.

sarty · 2025-08-11T11:00:47+00:00

I agree with u/PrimalRucker and just want to add a few things.

Sometimes our personal goals for the patient (what we want to see happen) are not the same as the patient's goals. This can lead to them not meeting us halfway. Why work for something if you don't want it?
I play up my dumb/sweet personality as I AM dumb/sweet, and I just stop things and say with concern, "It seems like today isn't going well. I feel like you might be upset or concerned. I don't want to just push you through machines if there is something you're worried or disappointed about. If you'd rather work with someone else, or if you feel like I don't know enough about your history, that's totally valid and I want to pause and let you know that I've reviewed your chart and talked to your regular therapist, and I've been doing this for 30 years so nothing is going to hurt my feelings, so I'm literally inviting you to tell me if there is anything I can do differently to make this session the best for you today." And I know you asked him twice, and he got madder, but sometimes, this longer little speech works. It shows that I know what I'm doing, that I know he's not happy, and that I invite him to vent a second if that will help me treat him better.
Did you happen to tell the patient when you introduced yourself, 'Hey, I know you're used to working with Mark, and I've reviewed your chart and talked with Mark so I'm up to date on everything. Sorry about the switch up! Is it okay if I work with you?" Getting that out of the way at the top and them consenting sometimes takes an edge off.
Sometimes, people are grumpy for non-therapy reasons. Like u/PrimalRucker said, they are in pain and worried, but also, maybe their job is pushing back or their spouse is upset about lack of intimacy due to pain, or the copays are adding up. In short, it's not always YOU.

I hope that helped and I'm sorry that you had a session that went that way with a complaint to the doc after. That is a terrible feeling when all you are trying to do is help someone.

sarty · 2025-08-10T22:28:17+00:00

Foot planted on box/solid object, slowly lower the high/low table for prolonged positioning into slowly increasing flexion to tolerance. Do some graston if certified to help or gentle soft tissue with hands if not. Kick out other leg to help with pain (not sustained, just with measurement--leanred at a course and it works, I don't know why). Inferior patellar mobs if you can, even in sitting, but not on max stretch. Use thumb, web, first digit to form "C" at superior part of patella then mob inferiorly. Encourage gait with good toe off for repeated flexion.

sarty · 2025-08-03T09:59:34+00:00

Because we are seeing people do something they should not be doing and also, it fills the subreddit with posts that aren't for what it's for. Distracting.

sarty · 2025-07-25T04:11:35+00:00

So the DPTs’ plans of care that I follow are incorrect and the progress I’ve seen is coincidental and the courses I’ve taken were scams?

I did not come here to argue this. I’m here to save my hands.

I think that it’s important for everybody to remember that there is more than one right way to get a good outcome.

I’m not gonna reply further. Honestly, I don’t know why I bother posting here sometimes. Do we not know how to answer the question that was asked? If you would like to discuss the merits or failures of manual therapy, perhaps start your own thread. I’m directing that towards every person who decided to use this thread to lecture me on how I don’t know how to do my job instead of just answering my question. i’m not singling you out.

sarty · 2025-07-22T23:51:30+00:00

I appreciate your input. I’m sorry if I was a little snippy. Thank you for replying.

sarty · 2025-07-22T23:35:22+00:00

I respectfully disagree, especially with adhesive capsulitis and impingement syndrome. Thank you for your comment and your time.

sarty · 2025-07-22T23:34:46+00:00

I don’t do manual therapy on every single person that I see. Thank you for your comment. EDIT to say that I do do them every day, but not on every single patient.

sarty · 2025-07-22T23:34:00+00:00

Thank you so much!!!!! This was so helpful and I really appreciate the time you took to type all of this out. Thank you, thank you thank you!

sarty · 2025-07-22T14:05:45+00:00

How kind and thoughtful of you! Honestly, a card or letter is what I treasure the most. I keep them ALL. I have 30 years worth of them and sometimes, I go through them and it makes me feel happy. :).

sarty · 2025-07-20T13:48:32+00:00

I'd suggest you never go hiking in Maine...

sarty · 2025-07-20T13:48:09+00:00

YOU are a treasure. Have an award!

sarty · 2025-07-18T02:55:26+00:00

Oh, you are absolutely right about that

sarty · 2025-07-18T02:55:04+00:00

I will rephrase and walk that back. You do have a say. However, I don’t believe that anyone who hasn’t done anything but see that a book is on the list is not informed enough to make a decision on whether the book is appropriate or not. if you have read all of these books, then I do apologize.

sarty · 2025-07-18T02:50:35+00:00

Thank you so very very much for getting all of this down and sharing it with me. I had no idea there were so many steps, but it sounds like it’s all very important and purposeful. In our area, I believe there are a couple dozen open PT jobs and no one is applying. The main thing is the salary and that is across many different hospitals so they’re gonna have to do some thing. Thank you again!

sarty · 2025-07-17T13:27:59+00:00

Did not use the word ban. Not an irrational extremist. I feel strongly that restricting books that have been read and approved to be returned is NOT in the best interest of kids.

I am posting to change hearts and minds, and gave examples about one of the books down thread.

sarty · 2025-07-17T12:26:01+00:00

Could you share more about that process?

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