I Am, too

A response to “I Am” by Benjamin Giroux and for all my kids that have been touched by Autism….

I'm an OT, and I am odd.
Not only do I hear a voice, but see a vision, too.
Coming from my God, who wants the best for you.
To keep you safe, from a world that makes you blue.

I'm an OT, and I am odd.
For everyday, I see you try your best.
To touch the Earth from your outer space.
Please do not worry about others.
For you are not lesser, just different.

I'm an OT, and I am odd.
Every time I challenge you, I hope you understand.
To make you functional, in a society so indifferent.
Not just to fit in, but to stand out.
Just how my Savior envisioned it.
I'm an OT, and I am odd.

Advertisements

Your Child with Autism and Spring: Are You Prepared?

This week has been a culmination of somewhat a perfect storm for our kids with Autism, at least her in the Memphis area. For the past few weeks, their Autism brains, especially their Sensory Processing Systems, have taken a beating. From being cooped in their homes due to the winter storms, to the disruptive timing of Daylight Savings Time, as well as the loss of structure during Spring Break…No wonder they have started to show more of their defensiveness and maladaptive behaviors to this world: increased self-stimulation behaviors, decreased frustration tolerance, lots of crying, lots of anger, lots of aggression,  lack of focus, even a decrease in eye contact and definitely, lots of stress.

Before I continue, I would like to say to the world out there that the parents or guardians of these lovely kids are not crazy, they are not out of their minds. This is reality for them. They are facing their kid’s defensiveness every day and they deserve any help we can give them and understanding, at the very least, educate ourselves.

They and the kids need the help for they are facing another onslaught, and this time from Mother Nature: SPRING!!! Now that this season is officially starting in about 3 days, as of this writing, there is a need to prepare our kids with Autism to the onslaught of Seasonal Allergies.  Most of us, even individuals without Autism are susceptible to this onslaught. The itchiness in our eyes and throat, the sneezing, the sore throat, some irritability and even headaches are just some of the symptoms that we feel….and them as well. They probably will even feel it first before we do.

It is even worse for children with Autism due to existing medical conditions that are simultaneously affecting them, such as sleep disorders, gastro-intestinal conditions, and presence of certain yeast and bacteria in their bodies. In most instances, the lack of ability to communicate what they feel, wreaks lots of havoc in how they are able to balance themselves socially and emotionally. Also, allergies usually causes histamine release in the body and this means inflammation. This inflammation may cause neurological changes that bring about all the negative and regressive behaviors that we see during this time. It may also aggravate conditions such as yeast, usually Candida, and bacteria such as clostridia.

If you are starting to see patterns of the above behaviors mentioned, especially during the early parts of spring, then it is time to prepare your child. Here are my recommendations:

  1. Try to structure your day. Use of a picture schedule really helps during these times.
  2. Make sure to keep and go to your scheduled therapy sessions. Let your therapist know the behaviors that are  starting to show, so that they can update their treatment approaches.
  3.  Consistently do your therapy home programs such as brushing-joint compression program or home exercises.
  4. Regular baths / showers and clothing changes may help in getting rid of pollen and other airborne allergens especially after being outside.
  5. Use of over-the-counter medicines for allergies such as Claritin may help. As with any drugs, please seek the advice of your pediatrician especially if your child is taking other medications, to prevent unwanted drug interactions.
  6. Read more: http://www.medscape.com/viewarticle/721702

Hopefully, with this information, you can improve your child’s health. Good Luck and God Bless.

allergies

 

OT’s, We Can Help You Solve Them (Problems): A rap video about OT

April is OT Awareness Month as well.

Want to learn more about OT, watch the video on the link above. If you have questions about OT and what we can do, please feel free to contact us at Therapy Hut: (901)309-5219 or message as at the comment section or e-mail me at marwyn@therapyhut.com

A great rap video on You Tube, thanks to the author Reynaldo Ballesteros and his crew and thanks to my OT colleague, Mistie Hanks, MOT, OTR/L for finding it and bringing it to my attention.

The Lyrics are as follows:

if you had a cva, that could be a problem
major depression, that could be a problem
total hip replacement, that could be a problem
ADHD in school, that could be a problem
if you got carpal tunnel, that could be a problem
cant do adls,that could be a problem
so if you or anyone have these problems,
us OTs, we can help you solve them

push up, don’t let me push you down
manual muscle test, we have a baseline now
initial assessment, now we got your profile
ooh within functional limits, i see your strengths now
OT’s, haven’t heard of me?
never met a position as versatile as me
from mental health to phys dis to peds
help you get dressed, from your head to your feet
cause i’m your OT, your OT OT,your one and only
only joking, i’m one of many, and we’re all hoping
that you’re showing, progress and growing, or that you’re knowing
what OT is, and your safe and independent
they say occupations are only jobs
they couldn’t be more wrong
its every single thing that you do every day
every little activity, from work to play, okay?

if you had a cva, that could be a problem
major depression, that could be a problem
total hip replacement, that could be a problem
ADHD in school, that could be a problem
if you got carpal tunnel, that could be a problem
cant do adls,that could be a problem
so if you or anyone have these problems,
us OTs, we can help you solve them

oooh, if you need help puttin those sneakers on
if you hemiplegic or you have no use of either arm
if you have some tremors, and your cant get your eating on,
if you’re hearing voices and can’t get your sleeping on, oh word?
wrist problems, get your splinting on,
low vision, bigger letters get your reading on
if you wanna live alone, get your independence on,
then jusssst (ok i got it)
then just, come to therapy and go along
with your treatment plan, discharge aint that far along
cause all the stuff your talking bout’s up for discussion
we’re here for what you want, and to aid for your progression
if you’re hearin weird voices telling you to do something
all you gotta do is say no and don’t trust them
Yes sir, we do say this often
to be strong and functional is what we talkin, OT!

we’ll go work with your family
reach your goals, with the help of therapy
let me know what you want and what’ll make you happy
never boring cause as OTs we are crafty
got your goals on my mind, roles on my mind
adaptive equipment, use it you’ll feel fine
eyeing’ me like a reacher don’t exist
well, it’ll help you reach those chips
well, i’ll be your OT
basically, i’ll help you do things you need
and so you’ll do it independently
all occupations you can think of, they’ll be
attainable, no matter what others say
we’ll do our best to find a way
built up handles, extended reacher
good job this session, i’ll see ya, next week

Therapists, What Are You Doing???

Light it up blue

Recently saw a young boy in our clinic with Autism. Almost turning 7 years of age. Has had therapies for years…and yet here is what I saw on our first encounter:

No eye contact. Did not respond much to his name being called. Non-verbal. Lots of attention span problems. Lots of self-stimulation including putting fingers in mouth, shaking his head, some arm flapping.

Increased stiffness in proximal / core muscles. Tip toe walking. Center of balance shifted forward with some high guarding of arms. Assistance to step up 5 to 6 inches high.

Unable to put basic shapes into shape sorter or put objects into container without help. A child lost in his surroundings.

I provided the following:

1. Assisted him into a swing and provided forward-back; side-side; rotation movements for 5 minutes. He initially resisted the different motions but was able to tolerate for 2 minutes on each movement. Immediately, smiles came out and more eye contact with the therapist was seen.

2. Assisted him off the swing with less assistance already and was able to get up to a treadmill with less help. Tolerated a 5 minute walk but with trunk bent forward by almost 60 degrees while holding onto rails.

3. Provided Functional Movement Training consisting of: (a) Rolling with max assist; (b) Crawling on hands and knees with max assist; (c) Walking on knees with max assist; (d) Bear walking even with max assist was hard so had to settle for wheelbarrow with more than 5 stops to go 15 feet forward; (e) Jump with moderate assistance and had to demo the jump.

4. Provided scooter board work: Pulling himself forward with max assist initially but was able to learn the motion and did it with minimal assist on the latter 2/3 of the course.

5. Provided gentle rocking exercises ( vertical and rolling motions ) as well as joint compression.

6. Provided barrel rolling.

7. Provided manipulatives while doing FMT. Needed max assist to grip since he liked to throw them.

Results:

Good eye contact with less stimming as evidenced by shirt collar being dry, (it was wet at start of session as he kept putting it in his mouth). Began to show more emotions in his face. More engaged with the environment. Increased willingness to explore. Muscle tone normalized. Not stiff anymore. Minimal to no tip toe. Increased weight-bearing on heels. Center of balance shifted backwards. Better trunk posture. Less head shaking and arm flapping. Increased learning in later parts of session.

By second session:

Provided almost same therapy activities to help set up a routine. This was when he blew me away:

1. Muscle tone continued to be near normal. No stiffness. Better posture and movements.

2. Almost climbed up the swing by himself. Approximated signing more for spinning. Laughed with spinning motions.

3. Very little assist to climb up the treadmill. Held on to treadmill by himself and walked with almost a straight trunk posture. Used bigger steps. Finished 5 minutes.

4. Rolled with mod assist; Crawled 2x by 15 feet on his own; Walked on knees with minimal assist; Bear walked on his own 1x 15 feet; Jumped with just verbal cues and holding hands.

5. Able to put circle in shape sorter with no help. Threw a shape out of 10 tries.

6. Able to follow cues and directions better. Pushed a barrel with a 10 pound medicine ball inside for 15 feet x 3 times without being distracted.

1 to 2 sessions was all it took to create a big change in this kid’s life. His mother pointed out a lot of things that he did for the “first” time or saw things that she thought her kid won’t be able to do. As ego building those words may sound. I am again reminded of my therapy pet peeves.

My therapy pet peeves again….

1. Why is this mother seeing this changes for the first time in her 7-year-old child with Autism, who supposed to have “lots” of therapies before???

2. Children with autism usually have great potentials if you just work on what they need, especially their sensory needs, Why would you not work on them???

3. Why would you not give them a benefit of the doubt on what they understand? Being unable to speak does not necessarily mean “dumb”.

4. Why would you not give them time to process??? Kids with autism have to fight their own brains to react to their environment in an appropriate manner.

5. Why would you even think that they are being “bad” and defiant??? They are only acting on what their bodies are trying to inappropriately tell them.

The list goes on..nothing irritates me more than other colleagues that are not willing to understand this condition called Autism and not willing to arm themselves with the tools to help these kids that are only asking for your help.

So, please, start today. Educate yourself and let us create opportunities to unleash these kids’ potentials.

It’s Time to Glorify Another Healthcare Hero: NURSES

557969_516761065033561_1934522775_n

The above photo shows a Philippine politician named Cynthia Villar and her thoughts about nurses and the nursing profession. For those who do not understand the Filipino language, here’s a loose translation of her statement: “Actually, nurses do not need to complete a BSN ( Bachelor of Science In Nursing ) degree. These nurses just want to become room nurses. In other countries like America they are just caretakers. They do not need to be that skilled.” This was part of her defense when she was asked about why she did not closed down nursing schools that were not performing within standards during her tenure on a government commission overseeing these schools.

Mind blowing isn’t it. If you are a nurse or know one, it is easy to be emotional and attack. I do have an entire clan of nurses and therapists, but sometimes, we have to take a step back to be effective. I am a therapist and believe me, we therapists have gone through this as well. We hear statements such as “therapists are only glorified masseuse”; or “Do you go to school to learn to do this?” If we are going to be effective in changing our reputations in front of the world then we should tackle the most important aspects of the problem: MISINFORMATION, LACK OF PUBLIC EDUCATION and LAZY, UNPROFESSIONAL, INCOMPETENT COLLEAGUES.

First and foremost, nurses are professionals. And at this point, we (me talking as one of the healthcare professionals with the same problems) are only to blame..you say why? well because we have let other colleagues of ours destroy our profession. We let them slide. We let them get away with it. We let them take shortcuts. We actually enable them. We need to start calling them out. We need to start making them accountable. We need to start making them take responsibility. We need them to be the professional that they wanted to be in the first place. Nurses are professionals..they have PROFESSIONALISM. As I have written on my other blog: ” So, what do these RIGHT people have? It’s called PROFESSIONALISM!!! They understand that in order to succeed and move forward, you need to demonstrate this. They know that they need to conduct themselves with the sense of responsibility, have high ethical standards, fanatical levels of integrity, are very accountable for their actions and be the best they can be at any given situation. They communicate effectively and appropriately, ( I can’t listen to someone who says one thing in front of me and one thing behind me.). They have to be team oriented, have good interpersonal skills (That’s how you deal with the right and wrong people at the same time.). They have good problem solving skills which usually translates to the ability to be productive at all times. Professionalism is a skill and behavior set. It is not defined by just one skills or behavior, it is a combination of the above qualities.” They are NOT JUST NURSES (Nurses LANG).

Nurses have to be skilled. Do you really want a person that needs to give you medication, poke you with needles and whatever other tools they have to poke to be less skilled? If you do, then you are just creating incompetent nurses. Something that we do not need in this day and age. We have nurses that have climbed up the corporate ladder because of their skills and professionalism. I even know a Filipino nurse that became a vice-president of a hospital. Apparently, they do not just stay in patient rooms. Nurses have to take courses to keep their licenses. Heck, they have to keep licenses, if they want to keep working. Nurses have a dynamic profession. They can not stay stagnant. The medical world keeps on evolving and they have to keep abreast or else fail to deliver their services.

Nurses have other real problems: Understaffed, overworked, underpaid, unemployed, underemployed, hostile work environments, unfair labor practices, under equipped for the job at hand, harassment, and low morale. There are probably lots more but they are real problems that, especially in the Philippines, the politicians can help create change.

They are not NURSES LANG. They are part of the world’s greatest workforce. A great asset for the country. And for that sick person that they just left in the room, a HERO.

Autism Spectrum Disorders…Strengthening, Exercises and Coordination

For almost 20 years, children with autism have constantly re-written the books that have taught me when I was in therapy school. Every child I see never fails to amaze as to what they can do and what new teaching moment they have stored for me. I may be the therapist but their bodies and their brains are my teachers. They basically have taught me things that even the books don’t show. They have made me an out of the box thinker. Here are some thoughts….

Autism, Asperger’s, ADHD, ADD, SI, SPD….A spectrum…do they really have physical issues???…they run, they jump, they dive, they spin, they bang, they crash..regardless, YES, they do have motor issues..in most cases, look closely..are they really doing the movements right? Are they compensating? Are they timing them right? Are they on rhythm? Are they showing asymmetries? Test their movements against these parameters and prepared to be blown away.

Common Problems:

  1. Low muscle tone – If the brain does not get complete information from its proprioceptors, then how does it know how much tone to provide?
  2. Core stability and core strength – Almost all of them have major issues on this area.
  3. Left vs. Right Asymmetry – Almost 90% of children I see have a left side strength or motor planning issue. Difficulty jumping with both feet together, hopping and skipping.
  4. Rhythm and Timing – In most instances they can follow rhythm with both hands or both legs but make them do all 4’s and they fall apart…watch the jumping jacks, you’ll see.
  5. Gravity insecurity – Let their feet leave the floor and they overload…difficulty riding a trike, going up curbs, climbing up and down stairs especially with alternating steps.
  6. Depth perception as it relates to movements – They see a line on the floor and think its a step..they see the step and they think it’s just lines on a floor.
  7. Coordination and Motor Planning – clumsy indeed!!!
  8. Tiptoeing – the floor does not feel good..it is all sensory…improve sensory processing and that heel goes down.
  9. Focus and Attention – keep it simple, make it fun, and target some sensory processing in the process.
  10. Behaviors – decreased frustration tolerance, overloads, over-stimulation, and tantrums…and you are surprised by this???

Principles I Learned:

  1. Provide a natural sequence of sensory inputs in your exercises / activities to keep the sensory processors juiced up for your session.
  2. A schedule of activities for your session will help diminish adverse reactions to change of exercises/activities…use a picture schedule if possible.
  3. Routine, routine, routine..set a routine…and watch them become your best friend.
  4. Use the power of vision..they are visual learners.
  5. Timers take away the nagging effect of humans.
  6. For difficult activities, use a reward system..BUT..make sure to wean them as they get better.
  7.  Start with a play area that has few distractions BUT..make sure to wean them in to more distracting areas..hey, the world they will live in has lots of distractions.
  8. Use weights to slow them down.
  9. Combine favorite activities with not so favorite ones to help finish the not so favorite one…Relay with writing, Obstacle course and their homework.
  10. In most cases, timeout means more work…no sitting around..that’s too easy…if you get into trouble, wouldn’t you love to just sit…thought so.
  11. The metronome is a great tool.
  12. Engage the entire body at all times..may it be bilateral or contralateral.
  13. Developing core stability and strength is a must.
  14. For the toe walkers, let them walk on a diver’s flippers…and watch the brain let the heel down.

Therapy Hut Pediatric Movement Screen:

We have learned to screen for movement problems using developmental movements. We usually incorporate this in a relay or obstacle course measuring 15 feet.

  1. Roll – They have to roll straight…if they turn..then we need to correct something.
  2. Crawl – Watch the patterns..are they correct? Watch the trunk… Is it aligned?
  3. Walk on Knees – Watch the trunk…upright? Watch that pelvis..is it level? Watch that gait…is it proper?
  4. Walk on Hands and Feet – Watch trunk alignment, pelvic stability and leg strength.
  5. Wheelbarrow Walk – Make sure child has the proper upper body strength and stability before fully engaging them on this movement.
  6. Run – Watch those reciprocal motions.
  7. Jump Both Feet Together – Are the feet leaving the ground at the same time? How about the landing? the distance? the height?
  8. Hop on One Leg – Are they able to do the same thing on both legs or have one leg balance issues?
  9. Skip – The rhythm is going to get you.
  10. If child is highly capable then do the backwards motion of 2 through 9.
  11. If child is even more capable, then we have modifications called X-rolls, Arm and Leg Lifts, Lunges, Get ups, and going over objects, such as jumping.
  12. Remember to use toys and other activities when doing these such as shape sorters…place shapes on one end and the container on the other.

There are lots more to share..and probably a lot more explanations..but if you have any questions, please feel free to comment. Good luck.

Wearing many “hats”…It’s called PROFESSIONALISM.

I have recently joined a discussion that my niece, Kaye San Gabriel, an occupational therapist in Florida, started with regards to working in a corporate atmosphere that “at the moment” seems to deflate their passion for their work. I put the quotations on at the moment because I think any company can become good or even great if they just do the necessary changes. The company, that’s another blog all together. I am writing this piece to concentrate first on the most important factor: PEOPLE.

Having been in private practice for almost 14 years, 6 years on our own (that’s with my wife), it is mind-blowing that a lot of therapist think that people are a company’s biggest asset. True in some sense, but the truth is, as what Jim Collins stated in his book, “Good to Great” : “Having the RIGHT people in the RIGHT positions are a company’s biggest asset.” Yes, it is the right people who can make my niece’s company even better. I have seen it myself in my own practice, the WRONG people will weigh you down, they will make your company run like you are dragging a big buffalo, they will destroy the atmosphere, they will destroy camaraderie, they will destroy the FUN at work, they won’t do the necessary work, they will bring the company down and run to the next one. They are all about GETTING. The RIGHT people are all about BUILDING.

So, what do these RIGHT people have? It’s called PROFESSIONALISM!!! They understand that in order to succeed and move forward, you need to demonstrate this. They know that they need to conduct themselves with the sense of responsibility, have high ethical standards, fanatical levels of integrity, are very accountable for their actions and be the best they can be at any given situation. They communicate effectively and appropriately, ( I can’t listen to someone who says one thing in front of me and one thing behind me.). They have to be team oriented, have good interpersonal skills (That’s how you deal with the right and wrong people at the same time.). They have good problem solving skills which usually translates to the ability to be productive at all times. Professionalism is a skill and behavior set. It is not defined by just one skills or behavior, it is a combination of the above qualities.

It is easy to see these right people, because they tend to stand out in the crowd. They manage time wisely. They come in dressed appropriately. They talk to their clients and colleagues clearly and politely. They work with them harmoniously. They resolve problems quickly. They do not gossip. They take responsibility for their mistakes and the corrective solution to them. They know when to take breaks. They know when to take vacations. (They are important, too..a stressed team member is an ineffective team member.) They do not usually ask for credit. (I usually try to give it before they can even ask, and if not, I show them why it has to be given later). Most of them have great lives outside the company. They are well-balanced. They are God-fearing. They work and create teams that efficiently does the job. (The reason why they don’t have to spend too much time in the company.) They basically help build the company to become greater.

Professionalism is the edge that will make a new, raw, young therapist succeed in any organization that they go to. Develop this and the path to greatness starts to get well-defined. If you want to develop this with your staff or colleagues then start with this:

1. Learn more about them. What do they want to do with their lives? (Helps you align it with company objectives.)

2 Learn the work values that are important to them.

3. Learn their passions. Learn what energizes them at work.

4. Learn their skills, abilities, and talents. (Helps you get them into the right positions.)

5. Learn what do they want to learn regardless of money, time, or other responsibilities.

6. Learn what is stopping them from achieving their goals in your company, include their own limitations.

7. Learn what things are they willing to do and commit to make things go forward at work.

There are probably more ways to develop it, but this is a start. Now go and BUILD. Transition from GOOD TO GREAT. It starts with YOU!!!

Bringing the KIDS back to our children

Image

Check out the picture above. What do you see? Better yet, what do you think you see? This picture was taken a few years ago by a news agency in the Philippines. It is one of a series of pictures about the great flood in the capital of Manila then. The picture shows the plight of people who have left their homes and evacuated in a school gym that was on higher grounds. Now that you know, what are you feeling? Are you sad about their plight? Do you feel helpless? Angry, even? How about anguish? Depressed, maybe… What Do I see? I see a ray of sunshine in this world gone underwater. A glint of hope in a world of turmoil. Peace and even happiness in a world of chaos. I see KIDS BEING KIDS!!!

Now, back to where I am. The good ole’ US of A…. For almost 20 years I have worked with children, this year has been the most challenging for me. Not because of the so called illnesses, conditions, syndromes, or disorders that afflict them. Those are easier. I could study those in a heartbeat. It’s about behaviors. And NOT the children’s behaviors. Those are easier to manage. I love working on those. So, who am I talking about? It’s the ADULTS! Mind blowing isn’t it. It’s the adults that surrounds our children. Parents, educators and by golly, even other therapists and healthcare providers. It is their behaviors, especially how they react to children when it comes to negative behaviors and failure. They forget that, like the picture above, that at times, children should be allowed to be just kids. That they are not cruel, insensitive little human beings. That they are not defenseless and fragile as they look. As the picture shows and a midst all the day’s events, they are actually having FUN!

Parents..hmmm.. I get the idea that they need to protect their children but why is it that we see them in therapy? Its called overparenting. This happens when parents protect the children too much that they do not experience the natural consequences of their actions. I’m not talking about things that could actually physically hurt them badly. I am talking about instances such as bribing them with food to get things done even though their work can be done by kids smaller and younger than them. Not putting any kind of demand on them. Lowering expectations rather than challenging them. Being their friend instead of a parent. Not letting them experience any kind of failure at any level. Well, how do you think will they act when they first fail at the age of 18 or 20 years old? All these types of behaviors just maim the children’s ability to cope with this world and learn for themselves.

How about educators? That includes teachers,, principals and school staff. Their problem? They’d rather do SCHOOLING VS. EDUCATING. Academics, academics, academics…that’s what they deal with. Negative behaviors in school..well that’s dealt with suspension, suspension, suspension…let the parents deal with it..aaaarrggghhh!!! The teachable moment has been missed!!! An example, pushing and shoving..I do believe a developmentally appropriate negative behavior among kids, if there is such a term. Hey, just try to remember when you were one, especially if you are boy. Well, it looks like that nowadays, pushing and shoving is assault…a criminal act…I guess, that’s why they suspend. But have they ever thought that these may be just children being kids? kids having problems communicating that they push and shove instead? Give them a consequence right there, on the spot. Sending them home is not an option..you have missed the teaching moment by then. And if it is their communication, then show them the proper way right there as well. They are kids not little bitty criminals.

And finally, other health care providers including therapists and physicians. They have given way to the insurers. The kids are not seen as a whole but in parts. Hey, everything is connected to everything. Its a whole person. They don’t interact with their environment with just their head, they have to bring all else into it. The one thing that still amazes me is this, each of us health care providers need to start knowing what each other do if we are going to be effective as a network…and if we want KIDS TO BE KIDS.

HOPE: What your patients need!!!

Reviewing events that just unfolded the year 2012, it brought me back to one of my conversations with one of the parents of a child with cerebral palsy. In this conversation, I was just reminded by her about that moment when they give you the news, so dark, so hopeless …”Your child has special needs.”..”.Your child won’t make it.”, “Your child won’t be able to talk, eat, walk or move.”…and then compounded by doctors, therapists, and teachers that limit their abilities without even at times touching them..and telling their parents..”There’s nothing more we can do.”  I understand about being cautious, but it does not have to be so black and hopeless.

For that same parent to tell me what a difference our therapy did to their child…the face-contorting stretching exercises, the power struggle with her muscle tone, the back breaking positions of half kneeling, the magic of serial casting, and many more therapy treatments to be discovered and made….finally, seeing a hint of the light at the end of the tunnel, now full of hope…This child powered forward, she is not special need, she is now SPECIAL. She is making it, she is able to do things that the doctors and other therapists said she won’t, and this all started by just telling her parent: “It’s a mountain but let us try and take the first step up.”..and by setting and doing that first goal, turning her head where she wants it to go…..she has turned that step into steps. Steps that would overcome a bump, a curb, a rise, a hill…and now the mountain. She has shown that she can be the BEST in her own league by showing her mobility skills in front of other kids in a national stage. A model child for a mobility program called MOVE. She made us proud and she has shown that something great can come out of Memphis!!!


It’s this type of stories that GETS ME FIRED UP!!!! Our kids may be down at times but I am sure they are NOT OUT!!!! GIVE THEM THE OPPORTUNITY AND THEY WILL UNLEASH THEIR POTENTIALS!!! GIVE THEM HOPE!!!Image

Connecting with Patients

As I was doing my e-mail reading this morning, I came to this Facebook post from a page called Medical Minds In Motion, a therapy education company so passionate about the rehab professions and its importance. It is headed by a great PT, Rick Daigle, DPT, who I had the chance to learn from in one of his Therapeutic Taping and Movement Strategies classes.

Here was what he had to say…….

QUESTION: From Medical Minds In Motion Page,
Pet Peeve Of The Day: When someone (usually a patient or sometimes an MD) says, “Did you have to go to school to do what you do?”… My response usually is, “Dude, I have a Doctorate so yes, I went to school for a long time”. Unfortunately this happens way too often and is shows what the perception of Physical Therapy is… This NEEDS to change…

MY ANSWER: Love it that everyone here is very passionate about their rehab professions…and yet we have all these “other” colleagues who are smart, seems to have good clinical skills and yet fail to connect to their patients how much important they are in the grand scheme of things…the one way I point this out in our clinic is the cancellation rates of patients…If you have a very low rate of cancellation then you have really educated your patient on why you, a PT, OT or any other therapists are important, and have shown them your great clinical know how and judgement as well as educated them well on why things happen the way it happens with healthcare..this includes why things don’t get paid, how their insurances work, why we can only see limited patients at a time, and how their presence affects our business. CONNECT YOUR PASSION WITH YOUR CLIENTS.

To all therapists out there… if you can not do this then re-think why you are in our profession.

%d bloggers like this: