Author Archives: DoctorBthePT

Venous Thromboembolism (VTE) Part 1: DVTs

UPDATED!!! This is the first half of a two-part installment on VTEs. Keep an eye out for part 2 on pulmonary embolisms (PEs) and how these are associated with COVID-19, coming soon! If you work in outpatient therapy, this has probably been on your radar with just about every post-operative patient that comes through yourContinue reading “Venous Thromboembolism (VTE) Part 1: DVTs”

So Now COVID-19 Results in Strokes (and other neat things about ACE2 receptors)

We can basically thank our old friend sepsis for the presentation of strokes in patients with COVID-19. This virus has changed so much and so frequently since it landed stateside, but there was evidence from its China days that neurological involvement was implicated. Initially, though, it all started in the lungs. We talked about thisContinue reading “So Now COVID-19 Results in Strokes (and other neat things about ACE2 receptors)”

Michigan Physical Therapy Association – Western District Webinar: Combating COVID-19

Doctor B was featured in a live webinar hosted by the Michigan Physical Therapy Association to provide clinicians ideas of how physical therapists should be combating the COVID-19 pandemic. Options for interventions Roles we can play Health care system and supply concerns Precautions Physiology of COVID-19 View the Webinar Here! Trouble loading? Here is theContinue reading “Michigan Physical Therapy Association – Western District Webinar: Combating COVID-19”

The Counting Talk Test

Time to give you guys another tool. This one is especially important for patients with COVID-19, and it’s not terribly often that we get an objective measure for exertion. I’ve found the counting talk test to be critical in quantifying exertion in my patients with respiratory diagnoses. This measure is phenomenal for taking breathlessness inContinue reading “The Counting Talk Test”

What if this is what you did all day every day?

You walk in to work, you scrub in, gown, mask, shield, gloves, more gloves. You have to be let in to rooms so you aren’t contaminating your gloves. You have to be let out of rooms so you aren’t contaminating your gloves. You work in a negative pressure environment all day, every day. You wearContinue reading “What if this is what you did all day every day?”

Orthostasis

“Whoops! Down I go! I thought I was going up, but apparently not!” I have heard this many times. Sometimes I hear it from the people around me just generally throughout the day. They black out or see stars or feel “whoozy” or report being lightheaded when they stand up from the couch or getContinue reading “Orthostasis”

Call in a Consult

If you know me or if you’ve ever worked with me, you will know that I am a huge fan of multi-disciplinary care. I am always trying to look for underlying issues that can be addressed by my colleagues and teammates that can improve outcomes for my patient beyond what I can provide them. COVID-19Continue reading “Call in a Consult”

The Beta Blockade

Ugh, medications… I know, I know. I will try to make this as painless as possible. This one matters. It REALLY matters. For patients who have COVID-19 and for patients who don’t. Please take a quick read. Let’s start off by asking some questions. What does a β-blocker do? Blocks norepinephrine and epinephrine from bindingContinue reading “The Beta Blockade”

Proning

We have been hearing all kinds of things about proning. What’s the big deal? Aren’t we just flipping people over? Well… yes! That’s exactly what we are doing. But here’s why its a bit more complicated than that. We’ve already talked about the role of PTs in supporting and improving V/Q matching. Proning helps withContinue reading “Proning”

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