Wednesday, December 11, 2019

The Disengaged Decade is over

Its the end of the Disengaged Decade

Do you remember the beginning of the decade, the start of Instagram?  

A time when the technology gurus added another tool to disengage, listen less, and talk more with our thumbs

Or in 2012 when you got the first glimpse of Venmo, an easier way to forget the physical exchange of money, and in turn, maybe lose some handshakes.

In 2014, you were maybe greeted by a Kiosk at your local deli or some restaurants, where they made a decision to trade off engagement for speed of a sale.  

Disengagement happened in healthcare in 2015, a time when doctors and medical providers were mandated and penalized for not submitting bills electronically.  We saw most adopting an act first, think later approach for the sake of speed.

What we learned is not so much in the software, the revenue cycle improvements, or the seamless communication possibilities, but rather the loss of human interaction and the cost of doing this type of business.

Emergency room nurses confirmed your address as you were bleeding, Doctors asked questions through the computer screens, Physical Therapist did a first time meet evaluation with head down typing subjective responses to keep up with demands. 

If a Physical Therapist is tasked with setting up individualized programs, teaching condition related lessons, while collaborating with the key stakeholders (Physicians, family, work, etc), then maybe we are just perfectly positioned to end this disengaged decade with best practice, forget computer habits.

In 2020, let's end disengagement.  Take a moment to look up and greet, get to know the person before the patient.  

Only then we should start to type.
  


Friday, November 15, 2019

Are Physical Therapist and Assistants Artists?



This week we had a University friend visit, who commented how the value of art and science is observable and "felt" from her first visit to a PTW clinic.




Walking in to any of our clinics, you see a welcome sign to the customers, celebrating their first visit.

Glance left, you see a copper ship's bell, customers pull to celebrate achievements.

Looking up, you see a painted highway of hundreds of pictures (the PTW Road to Recovery) showing any past customer crazy enough to let us take their picture, celebrating their completion of care.

Around here, we debate if the value we deliver is in the art or the science.

If the value is in the Art, then through definition, the value may not be the road or bell, but rather the emotional happiness felt by our customers.

If the value is demonstrated in the science, then through definition of science success may be in the more measurable things, like the enthusiastic hop in a first step without a cane.

Either way, for a successful PT visit, episode, or outcome, one cannot exists without the other.

Our customers don't care how much we know, but they feel how much we care.


Robert Babb, PT, MBA

An IvyRehab company, PTW is staffed with Physical Therapists who have earned the Direct Access Privileges (no prescription needed).  The Physical Therapy and Wellness Institute has 12 locations open early and staying late;   Lansdale, Quakertown, Montgomeryville, West Norriton, Glenside, Harleysville, Souderton, Hatfield, Horsham, Collegeville, Royersford, Newtown Square, PA.  

Since 2002, PTW has helped over 45,000 people achieve higher levels of function. 

Sunday, November 10, 2019

Hearing Loss


Admitted weakness number 34 of myself and high on the lost of so many others who reflect;  many of us don't hear well.
Image result for free images of an ear"

Shake my hand, tell me your name, chances are I  forget your name by the time we exchange pleasantries.

Many years ago, I tried to put your name into a bucket, A, B, or C.  I visualized something you said, made it rhyme, put your name into a relevant bucket, and visualized you in that bucket through rhyme.  Somewhat worked, mostly not.

Met a couple last night who had common connections with my wife and I, meaningful stories that make me want to learn more.

Yup, this morning, my name buckets are empty.

I remember their stories, remember why I want to connect with them, what I want to learn from them later, and of course giving me a reason to share dinner someday with my wife and some new friends.

Screams loud for me; slow down.

My DISC assessment already tells me what I need to know, I am impulsive.  Too quick to judge, too quick to the next topic, so much to learn.

In a Physical Therapists world, listening is a top 5% requirement.  First visit, second, third and so on, we are challenged to find ways to listen better, it's a full time pursuit.

In order to really fix my hearing loss, today I have two missions:
Get my buckets filled; and explore best strategies to listen...... to understand

After all, dinners with new friends are better than dinners alone!

Robert Babb, PT, MBA
An IvyRehab company, PTW is staffed with Physical Therapists who have earned the Direct Access Privileges (no prescription needed).  Helping folks achieve, The Physical Therapy and Wellness Institute has 12 locations open early and staying late;   Lansdale, Quakertown, Montgomeryville, West Norriton, Glenside, Harleysville, Souderton, Hatfield, Horsham, Collegeville, Royersford, Newtown Square, PA.  

Since 2002, PTW has helped folks achieve higher levels of function or performance providing evidence-based care with industry best experiences.

Refer yourself today at 215 855 9871 to see any of our PT providers for preventative the proven safe help with your aches and pains, no prescription is needed.


Friday, November 1, 2019

Hand outs; Money and Time


What's the difference between a handout of money or a handout of time?

Walk down any major city street for a few hours, there is a chance you get asked to give money to a homeless guy or gal a dozen or more times.

Sometimes you pull out a few bucks, have a quick chat, hear a story, offer encouragement, then go about your day.  If it happens too many times, soon your wallet has emptied and you have nothing left.

Walk into work, there is a chance two people will ask you for a minute of your time, you gladly oblige.

Sometimes you arrange your day, meet at their request, have a quick chat, hear a story, problem solve, offer solutions, then go about your day.  If it happens too many times, soon your time is gone, you have nothing left, but maybe an unproductive day.

Minimizing non-essential conversations is a skill, and done with intentionality, it will help a PT manage their patients better, their administrative time better, and enjoy their work with abundance.


Practice it.

https://ptwinstitute.com/


Robert Babb, PT, MBA
An IvyRehab company, PTW is staffed with Physical Therapists who have earned the Direct Access Privileges (no prescription needed).  Helping folks achieve, The Physical Therapy and Wellness Institute has 12 locations open early and staying late;   Lansdale, Quakertown, Montgomeryville, West Norriton, Glenside, Harleysville, Souderton, Hatfield, Horsham, Collegeville, Royersford, Newtown Square, PA.  

Since 2002, PTW has helped folks achieve higher levels of function or performance providing evidence-based care with industry best experiences.

Refer yourself today at 215 855 9871 to see any of our PT providers for preventative the proven safe help with your aches and pains, no prescription is needed.


Tuesday, October 29, 2019

The Longevity of Vince

 


Vince Carter has played 22 years in the NBA.
 https://www.nba.com/article/2019/10/24/vince-carter-checks-record-22nd-season

  • Over 1470 games
  • over 3971 miles run (not including practice)
  • Averaging about 180 miles per 7 month season
  • Equivalent to 152 Marathons over his career
His years logged (22) is longer than any other player in NBA history. 

In January, he will become the first NBA player to play for 4 decades.  Doing what he loves, in his sweet spot of life, getting out of bed excited to live and play, for a long time.
Getting out of bed in the morning gives us information about our longevity. 

If were tired, you didn't sleep well.  If your knees ache, you likely have some arthritis.  If your back is still, your 10-year-old bed is warped.

If we are worried about our aging bodies, we should consider what a professional does to get prepared for a long season.   Eat to live, sleep to perform, and form relationships that matter.

Harvard Edu tells us some simple ideas.

https://www.health.harvard.edu/healthbeat/tips-for-a-longer-life

What do you do to improve your longevity?



Robert Babb, PT, MBA
An IvyRehab company, PTW is staffed with Physical Therapists who have earned the Direct Access Privileges (no prescription needed).  Helping folks improve their longevity, The Physical Therapy and Wellness Institute has 12 locations open early and staying late;   Lansdale, Quakertown, Montgomeryville, West Norriton, Glenside, Harleysville, Souderton, Hatfield, Horsham, Collegeville, Royersford, Newtown Square, PA.  

Since 2002, PTW has helped folks achieve higher levels of function or performance providing evidence-based care with industry best experiences.

Refer yourself today at 215 855 9871 to see any of our PT providers for preventative the proven safe help with your aches and pains, no prescription is needed.

Friday, October 11, 2019

The Opioid Objection

The Opioid Objection;  How the PT industry can help


An notable article published (and shared Timely by a great colleague) tells us how Physical Therapy is underutilized with arthritis, while unbelievably, in 2019, trends in Opioid prescriptions continue to trend up.

The scare consumers and health care providers should all share is the false advertising associated with these opioids. 

As example, in 2009, PainKnowledge.com, who at the time was sponsored by Endo Pharmaceuticals, claimed that “People who take opioids as prescribed usually do not become addicted".   So what happened?  In 2017, more than 60,000 people died of overdose, and over 2/3'rds of them related to Opioids.  Fast forward to last month, where Endo Pharmaceuticals paid out $10 Million Dollars to Ohio for over 2000 lawsuits filed.

More states are to come.

You don't have to look farther than a simple internet search to see more on big pharm payouts, misleading advertising, deals with websites, and lawsuits related to opioids.

In fact, you only have to look out your window into your hometown, it has affected all our our cities and communities.

As Physical Therapist, we have a large hill to climb in our fight against opioid addiction.  We can all start by providing education to our customers, doctors, healthcare providers, with the safe solutions that sit at our fingertips.

We have the tools....as example; Electrical Stimulation may not get a sore back better, but gives relief for short term, much like opioids.  Ultrasound wont get a stiff shoulder better, but can heat up a capsule to make the stretch more manageable, resulting in decreased pain medication use.

We can't be shy about using the tools, providing our knowledge, and being part of a solution for a nationwide problem.  We are a proven safer alternative for pain and recovery, we'd be crazy not to use the tools we have been given.

Reference:  https://www.medpagetoday.com/rheumatology/arthritis/82635


Robert Babb, PT, MBA
An IvyRehab company, PTW is staffed with Physical Therapists who have earned the Direct Access Privileges (no prescription needed) at The Physical Therapy and Wellness Institute with locations in Lansdale, Quakertown, Montgomeryville, West Norriton, Glenside, Harleysville, Souderton, Hatfield, Horsham, Collegeville, and Royersford, PA.  Since 2002, PTW has helped folks achieve higher levels of function or performance providing evidence based care with industry best experiences.
   

Image result for ivy rehab networks
Refer yourself today at 215 855 9871 to see any of our PT providers for preventative the proven safe help with your aches and pains, no prescription is needed.  

Monday, September 16, 2019

DeSean Jackson injury


The traffic in the Eagles rehab complex will be crowded this morning after 6 players went down with injuries during Sunday nights game.

Most notably, DeSean Jackson, in his second game on his second stint back with the Eagles, suffered a groin injury that likely will limit his performance during practice this week, and potentially affect his availability for future games.

The adductor group of the thigh is made up of 5 muscles, in general that help you bring you leg back towards your other thigh (think squeeze), and as a decelerator (slowing you down) in running, cutting, and jumping.  Rehabilitation starts with ice, stretch, soft tissue mobilizations and massage, with a variety of modalities such as aquatic therapy, electrical stimulation, taping, and ultrasound.  Depending on the extent of the injury (grade 1, 2, or most severe 3), on field time lost will vary. 

 More on the adductor muscles can be found with a google search such as:
https://pressbooks.bccampus.ca/advancedanatomy1sted/chapter/muscles-5/



medial thigh muscles

Simple strengthening exercises are a great way to prevent groin injuries from limiting your performance.  Starting a routine several months before the season starts should be a great start to a successful season, competition, or run that 5k you have always wanted to run!

PTW has over 25 Doctors of Physical Therapy who can see you (no referral needed) for advice on preventing injury!


Robert Babb, PT, MBA
PTW is staffed with Physical Therapists who have earned the Direct Access Privileges (no prescription needed) at The Physical Therapy and Wellness Institute with locations in Lansdale, Quakertown, Montgomeryville, West Norriton, Glenside, Harleysville, Souderton, Hatfield, Horsham, Collegeville, and Royersford, PA.  Since 2002, PTW has helped folks achieve higher levels of function or performance providing evidence based care with industry best experiences.   

Refer yourself today at 215 855 9871 to see any of our PT providers for preventative help or help with your aches and pains, no prescription is needed.