Doctor B got tested for COVID-19!

No, I’m not sick or symptomatic or high risk or any of those things. As some of you know, after six years working home health, I recently transitioned to a long term care and skilled nursing setting. Governmental changes made testing mandatory for all providers, staff, and volunteers in these settings. I’m not going toContinue reading “Doctor B got tested for COVID-19!”

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)”

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”

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”

CO2 Retainers

So I’ve been talking about a lot of different techniques for increasing inflation, ventilation, and (ultimately) perfusion that therapists can utilize with patients. However, I’ve been mentioning here and there that some of these need to be utilized with caution in patients who have obstructive lung conditions. Please heed my warning. Here’s one of theContinue reading “CO2 Retainers”

V/Q Matching

With new evidence emerging hourly in some cases, the more we learn about treating COVID-19, the more we need to know from a clinical intervention perspective for those in the rehabilitation fields. There is a lot of information out there for doctors and nurses and respiratory therapists. Unfortunately, many Rehab Therapists are being told toContinue reading “V/Q Matching”