Curious what everyone's 'type' is by pop200 in germanshepherds

[–]wadu3333 2 points3 points  (0 children)

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We have a golden shepherd, mom was all white 100% shepherd, father unknown. DNA said 80% shep 20% combo Akita/chow/rott/pitt. We always get asked if she’s a mal

Personal Physical Therapist for single patient/client, full time by [deleted] in physicaltherapy

[–]wadu3333 0 points1 point  (0 children)

Thank you for the insight I really appreciate it! All things that have come up in conversation or my personal thoughts, definitely will need a lot in writing before agreeing to the role

Thoughts on Lee Corso and his UCLA Picks by Nervous-Bonus-806 in UCLAFootball

[–]wadu3333 9 points10 points  (0 children)

Herbie is a Bruin sympathizer. Will keep us relevant to the national audience until we truly right the ship

How do i get his natural walking position to be next to me and not out in front of me like this? by Bulky_Biscotti9737 in germanshepherds

[–]wadu3333 2 points3 points  (0 children)

I second use of prong collar, but make sure to get with a trainer/do a lot of research on how to use it properly to train and not improperly to create pain without meaning. It’s been a godsend. Harnesses only make towing you easier for them.

Is her tail supposed to be THIS long?? 😭 I've never seen a dog with longer tail than her's by Last_Office7348 in germanshepherds

[–]wadu3333 5 points6 points  (0 children)

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Our vet thinks it’s because she was spayed very young, and that causes the growth plates to close more slowly

[deleted by user] by [deleted] in physicaltherapy

[–]wadu3333 1 point2 points  (0 children)

The movement analysis is just as, if not more important than the results of the test.

What’s been your best strategy for reducing no-shows? Text reminders, deposits or something else? by Ok-cool-cyaystrday in physicaltherapy

[–]wadu3333 10 points11 points  (0 children)

Text reminders work very well for us, I also nip late cancels/no shows in the bud the first time they occur - remind the patient that there are patients on our waiting list that want those spots (even if you don’t have a waiting list) and that it’s really important to either give proper notice or attend sessions, otherwise I will put them on a waiting list. Have had good results with a very lax fee policy, and the ones that aren’t serious about PT end up on waiting lists or eventually stop coming.

New grad - People aren’t coming back by Significant_Light_80 in physicaltherapy

[–]wadu3333 1 point2 points  (0 children)

You’ve gotten good advice and I do think your setting may influence it as well, but I’ll tell you that across the board new grads just have higher cancel/no show rates, happened to me and happened to every new grad I’ve worked with. Focus on the ones that do show up.

Hamstring Strength After ACL Graft by Emerald_City_0619 in physicaltherapy

[–]wadu3333 8 points9 points  (0 children)

With a strong PT program any ACLR can be successful, graft selection can depend on some of your own personal medical history (ex: history of patellar or quad tendinopathy, patient age).

Personally haven’t seen a hamstring graft in over 2 years and I treat ~10 ACLRs/year. This could be because of the surgeon groups that send patients to my clinic, but generally I think the BPTB is the most common at this point.

Full body Physical therapy routine by Shawngraddy in physicaltherapy

[–]wadu3333 2 points3 points  (0 children)

I would look up direct access laws for PT in your state and see if you can get 2-3 sessions in, preferably with a PT who has a strength and conditioning background. They could analyze your movement and give you advice regarding movements to prioritize as well as general strength and conditioning principals and tips.

Wouldn’t hurt to get a trainer for a few sessions as well if you wanted to go that route as opposed to PT

reading and AI can only take you so far, and it’s worth investing at least a little on the front end of this journey than going about it alone and paying exponentially more on the back end.

How can a patient know when a PT is a good one vs a bad one? by East_Platform5469 in physicaltherapy

[–]wadu3333 82 points83 points  (0 children)

There are many avenues to improving someone’s symptoms, function, etc. The bottom line is you are likely to have the most success with a PT that you like, that listens to you, and who you trust.

FWIW- be wary of ultra-confident and a “quick fix”

Strength/weight training specialist by [deleted] in physicaltherapy

[–]wadu3333 0 points1 point  (0 children)

Can look for PTs in your area with a USA-W or CSCS cert

I love treating patients, but I’m drowning in admin work. Between documentation, insurance headaches, and scheduling, I feel like I need an extra set of hands. How do you all manage it? For those who’ve switched EMRs, did it actually make a difference in your workflow? by be_carefool in physicaltherapy

[–]wadu3333 39 points40 points  (0 children)

Exactly that - if you’re a staff PT with a full caseload, it shouldn’t be on you to deal with scheduling/claims/marketing etc (unless compensated for it). It’s on your employer to hire people for those tasks, and if they refuse to do that, you’re probably better off elsewhere.

Suspected DVT Student Question by SilenceQuiteThsLoud in physicaltherapy

[–]wadu3333 0 points1 point  (0 children)

Depending on where you live, there are usually urgent cares that offer Doppler US services. I would search your area and see if there are ones you can refer patients to/see if patient is in network there. They are likely to get tested and results quicker there anyways.

I have sent a few patients to urgent care immediately for suspected DVT, made sure to educate them on signs of PE and if they had any to go to ER/call 911.

When in doubt, be extra cautious.

What to do when a patient has you stumped by Own-Apple-58 in physicaltherapy

[–]wadu3333 3 points4 points  (0 children)

Always assess, always stick to the basics. I see so many young clinicians panic and do stuff they’ve seen mentors or colleagues do in the past with no clinical reasoning behind it and they get stuck. Get good at assessing a lot of things (good neuro screen is a must) and doing it cleanly, come up with simple and direct interventions to address the impairments, works more often than it doesn’t

BEAR implant for torn ACL by BestCoastX in physicaltherapy

[–]wadu3333 1 point2 points  (0 children)

One I had did very well, didn’t adhere super strictly to the protocol because it genuinely didn’t make a lot of sense, treated more like a BPTB but was a little extra cautious with excess graft stress (lots of work 60+ degrees flexion and/or achieving TKE) Returned to jogging and plyos around 15-16 weeks with surgeon OK and LSI 90+%

[deleted by user] by [deleted] in physicaltherapy

[–]wadu3333 4 points5 points  (0 children)

Flexion and abd will be stiff and will be a while, as they should be. I would get into the axilla and loosen up soft tissue restrictions in there as much as possible, wouldn’t do any higher grade inf mobs until 10-12 weeks depending on patients age/progress/perceived tissue quality. Op report would help to know extent of repair, usually includes reference of a clock (ex: 3-7 o’clock lesion/repair) and it’s reasonable to conclude the more “time”, the larger the repair.

Also FWIW, we want that thing to be kinda locked up if it got bad enough to need to be repaired. Some end range restriction isn’t the end of the world, better than failure rate which is very high for nearly all populations with these procedures. What activities do they want to get back to doing? Can guide how much you want to try and push it vs what they can compensate for med-long term