The (Very) Basics of Heart Auscultation

I was seeing a younger man in the home setting after a CABG x3 procedure. When I evaluated him, I was a bit frustrated because he had impaired cognition and had significant comorbidities for a younger man, none of which was in his referral information. Instead, I had the pleasure of just picking up onContinue reading “The (Very) Basics of Heart Auscultation”

That Beautiful Teaching Moment: ABI

If you’ve ever had a student with you for a clinical rotation, you know the feeling of just hoping for that beautiful teaching moment, the one that just opens up naturally. You look for the moment when you can dig a little deeper in to your student’s reasoning skills and let them flex their therapyContinue reading “That Beautiful Teaching Moment: ABI”

PPE is the WORST! (aka Levels of Infection Control)

Did you know that PPE is actually the very last level of infection control??? To be honest, I have to admit that I had NO IDEA. Until COVID-19 became the impetus for my increase in research and writing, I had no idea that people other than healthcare professionals and their governing bodies were making anContinue reading “PPE is the WORST! (aka Levels of Infection Control)”

Out with the Old, In with the New (Dynamic Hyperinflation)

I can’t even begin to tell you guys how much I love teaching people about lung function in the presence of disease (read: HUGE NERD). Teaching patients how to correct for dynamic hyperinflation is one of those things that I really love teaching. If you remember from a few weeks ago, we talked about howContinue reading “Out with the Old, In with the New (Dynamic Hyperinflation)”

HFNO

HFNO stands for High Flow Nasal Oxygen. This is something that was used frequently in patients who were desaturating quickly with symptoms of COVID-19. It has the ability, through the use of several different devices or setups, to deliver very high concentrations of supplemental oxygen to patients with advanced pulmonary diseases or conditions. In theContinue reading “HFNO”

Time to Pump It Up! (aka Ejection Fractions)

I’m starting to push more in to the cardiac side of things. As well as this being the original intent of this blog years ago, it is also because your focus should also be shifting. If you are treating COVID-19 patients, you need to start focusing on their heart. The patients who did a stentContinue reading “Time to Pump It Up! (aka Ejection Fractions)”

Expanding Your Role, Fulfilling Your Scope

So now that you know how I feel about primary care PT, you need to know that this ties very closely with my practice. I have extensive experience in the treatment and management of patients with chronic disease. And when I say the treatment and management, I don’t mean that I went to their houseContinue reading “Expanding Your Role, Fulfilling Your Scope”

Rule of 2’s

So today, we are going to focus on the role PTs and PTAs need to be filling in the treatment and management of congestive heart failure. The first thing you need to address is the rule of twos. Don’t assume someone else had ever educated your patient about this. I cannot tell you how manyContinue reading “Rule of 2’s”

Primary Care PT

During her address to the House of Delegates this year, President Dunn quoted Mary McMillan‘s statements as she travelled back through the history of our profession… “A physical therapist should keep up with the latest in her profession so that when new things come along she is aware of them, so that she may beContinue reading “Primary Care PT”