No, Ron I do not see them as exclusive from one another, but simply a well oiled team concentrating on what they are best at. If there was not a PT addressing strengthening of the arm, I would have to address it myself and I would not feel as if this was my primary objective. I am fortunate enough however not to have to concentrate on that aspect of the rehabilitation process and use my skills to work towards what I know best-the techniques and modalities I can use to allow my client to return to their role(s).
Lisa Castilla, MS, OTR Director of Occupational Therapy West Virginia Rehabilitation Center P. O. Box 1004, Institute, WV 25112 (304)-766-4863/1-800-642-8207 FAX 766-4849 > -----Original Message----- > From: Ron Carson [SMTP:[EMAIL PROTECTED]] > Sent: Thursday, July 11, 2002 3:11 PM > To: Lisa Castilla > Subject: Re[8]: A message from Advance for PT > > Lisa, do you see the two as exclusive of each other? How is strengthening > someone's arm different than retraining their arm (which I don't > understand > how you can retrain an arm)for 'functional' use. If the problem is a > strength issue what's the differences. > > Thanks, > > Ron > > P.S. Again, I am not trying to be inflammatory, just trying to sincerely > understand. > > ~~~~~ > On 7/11/2002, Lisa <[EMAIL PROTECTED]> said: > > LC> Not at all. I would hope that PT would also work on strengthening the > UE so > LC> I could spend my time retraining the affected UE for functional use. > > LC> Lisa Castilla, MS, OTR > LC> Director of Occupational Therapy > LC> West Virginia Rehabilitation Center > LC> P. O. Box 1004, Institute, WV 25112 > LC> (304)-766-4863/1-800-642-8207 > LC> FAX 766-4849 > > > > >> -----Original Message----- > >> From: Ron Carson [SMTP:[EMAIL PROTECTED]] > >> Sent: Thursday, July 11, 2002 1:21 PM > >> To: Lisa Castilla > >> Subject: Re[6]: A message from Advance for PT > >> > >> Hello Linda: > >> > >> If I am reading correctly, it's an Upper Extremity = OT and Lower > >> Extremity > >> = PT type of issue. In other words, PT addresses the lower extremity > >> impairment so it would be double treatment for OT to address the > >> impairment. > >> But if it were an UE impairment, PT would not address it. Is this > >> correct? > >> > >> If so, why? > >> > >> Thanks, > >> > >> Ron > >> > >> ~~~~~ > >> On 7/11/2002, Lisa <[EMAIL PROTECTED]> said: > >> > >> LC> Hi Ron. > >> > >> LC> In this setting, most likely not. Typically, students here > >> receive > >> LC> at least 2 hours of PT a day. The PT most likely has addressed the > >> LC> weakness, it is not appropriate for me to do the same. The > weakness > >> would > >> LC> be inadvertently be addressed through treatment activity and > >> placement, but > >> LC> would not be my primary focus. > >> > >> LC> Lisa Castilla, MS, OTR > >> LC> Director of Occupational Therapy > >> LC> West Virginia Rehabilitation Center > >> LC> P. O. Box 1004, Institute, WV 25112 > >> LC> (304)-766-4863/1-800-642-8207 > >> LC> FAX 766-4849 > >> > >> > >> > >> >> -----Original Message----- > >> >> From: Ron Carson [SMTP:[EMAIL PROTECTED]] > >> >> Sent: Thursday, July 11, 2002 12:02 PM > >> >> To: Lisa Castilla > >> >> Subject: Re[4]: A message from Advance for PT > >> >> > >> >> Hello Lisa: > >> >> > >> >> Can I ask you why? Why wouldn't you address the weakness which is > >> >> contributing to the occupational deficit? What if a client had > upper > >> >> extremity weakness keeping them from cooking? Would you address the > UE > >> >> weakness? > >> >> > >> >> Thanks, > >> >> > >> >> Ron > >> >> > >> >> P.S. I am not trying to be difficult or inflammatory. I am just > trying > >> to > >> >> understand why most OT's only treat upper extremity physiological > >> issues > >> >> and > >> >> not lower extremity issues. > >> >> > >> >> Thanks! > >> >> > >> >> ~~~~~ > >> >> On 7/11/2002, Lisa <[EMAIL PROTECTED]> said: > >> >> > >> >> LC> As a member of a collaborative team, I would be more apt to > >> >> concentrate on > >> >> LC> the transfer, compensatory techniques and training than actual > >> lower > >> >> LC> extremity strengthening. > >> >> > >> >> LC> Lisa Castilla, MS, OTR > >> >> LC> Director of Occupational Therapy > >> >> LC> West Virginia Rehabilitation Center > >> >> LC> P. O. Box 1004, Institute, WV 25112 > >> >> LC> (304)-766-4863/1-800-642-8207 > >> >> LC> FAX 766-4849 > >> >> > >> >> > >> >> > >> >> >> -----Original Message----- > >> >> >> From: David Lehman [SMTP:[EMAIL PROTECTED]] > >> >> >> Sent: Thursday, July 11, 2002 8:57 AM > >> >> >> To: '[EMAIL PROTECTED]' > >> >> >> Subject: RE: Re[2]: A message from Advance for PT > >> >> >> > >> >> >> Beautifully said Ron....and I agree with you....see, I am NOT one > of > >> >> those > >> >> >> PTs....hmmmm, > >> >> >> > >> >> >> > David A. Lehman, Ph.D., P.T. ~ ~_/) ~ > >> >> >> > Assistant Professor > >> >> >> > University of St. Augustine > >> >> >> > 1 University Blvd. > >> >> >> > St. Augustine, FL 32086-5783 > >> >> >> > (904) 826-0084 ext. 227 > >> >> >> > [EMAIL PROTECTED] > >> >> >> > > >> >> >> > > >> >> >> > >> >> >> > >> >> >> -----Original Message----- > >> >> >> From: Ron Carson [mailto:[EMAIL PROTECTED]] > >> >> >> Sent: Thursday, July 11, 2002 8:46 AM > >> >> >> To: [EMAIL PROTECTED] > >> >> >> Subject: Re[2]: A message from Advance for PT > >> >> >> > >> >> >> > >> >> >> Hey Jody: > >> >> >> > >> >> >> No flame!!! > >> >> >> > >> >> >> Do you treat lower extremity issues? > >> >> >> > >> >> >> I asked this because in my class discussion that I previously > >> >> mentioned, I > >> >> >> used the scenario that a client can't do toilet transfers because > of > >> >> lower > >> >> >> extremity weakness. In this situation, what's the difference > >> between > >> >> OT > >> >> >> and > >> >> >> PT roles. In this case, wouldn't OT want to work on lower > extremity > >> >> >> weakness and have the client doing quad strengthening exercises > or > >> >> >> whatever > >> >> >> muscles were weak. Students seem almost shaken by the fact that > OT > >> >> would > >> >> >> have clients doing lower extremity strengthening. > >> >> >> > >> >> >> > >> >> >> I agree 100% about the turf issue being a natural part of > >> professional > >> >> >> life. > >> >> >> In fact, I constantly preach to students that OT and PT having > >> issues > >> >> is > >> >> >> no > >> >> >> different than PT and Chiropractic having issues. > >> >> >> > >> >> >> Unfortunately, to some extent, it's a dog eat dog world and only > the > >> >> >> strong > >> >> >> thrive. I am coming to learn more and more than when then > 'rubber > >> hits > >> >> >> the > >> >> >> road' the profession of PT (not necessarily individual > therapists) > >> is > >> >> not > >> >> >> an > >> >> >> ally. As a profession, PT will stand by our profession only when > it > >> >> >> doesn't > >> >> >> threaten their profession. > >> >> >> > >> >> >> Again, it's a competitive market and healthcare is part of that > >> market. > >> >> >> If > >> >> >> one accepts this belief, then an important question to ask is > what > >> can > >> >> be > >> >> >> done about the situation? In other words, what can be done to > >> ensure > >> >> that > >> >> >> occupational therapy rises to the top rather than sinks to the > >> bottom. > >> >> I > >> >> >> think that even staying the same (i.e. status quo) in the market > >> place > >> >> is > >> >> >> not good. As a professional organization we need to figure out > how > >> to > >> >> >> move > >> >> >> ourselves forward and to establish and maintain dominance in some > >> area > >> >> of > >> >> >> healthcare. > >> >> >> > >> >> >> It will come as no surprise to anyone on this list that I firmly > >> >> believe > >> >> >> that occupation is our ticket to both the present and the future. > >> Many > >> >> >> other > >> >> >> professions including PT are buying into the concept that > occupation > >> >> (or > >> >> >> what they call function (which is not the same as occupation)) is > >> the > >> >> way > >> >> >> to > >> >> >> go. It never ceases to amaze me that as a profession we are > poised > >> on > >> >> the > >> >> >> brink of a profitable and unique niche in healthcare but seem so > >> >> reluctant > >> >> >> to embrace it. > >> >> >> > >> >> >> Well, that's more information than most people want so let me > end. > >> >> >> > >> >> >> Ron > >> >> >> > >> >> >> > >> >> >> > >> >> >> ~~~~~ > >> >> >> On 7/11/2002, SadieMoon <[EMAIL PROTECTED]> said: > >> >> >> > >> >> >> Sac> Ron - pretty interesting seeing that point of view. I know > you > >> >> find > >> >> >> a > >> >> >> lot to > >> >> >> Sac> agree with in the first PT's post, but I think turf > battles > >> are > >> >> a > >> >> >> natural > >> >> >> Sac> part of life, and if it wasn't this turf battle, there would > be > >> >> >> others > >> >> >> in > >> >> >> Sac> their facility. Now, go ahead and flame me, but I do treat > UEs > >> as > >> >> >> well > >> >> >> as > >> >> >> Sac> enabling occupation. -- Jody > >> >> >> > >> >> >> *********��*********** > >> >> >> > >> >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] > >> >> >> > >> >> >> In the message's *body*, put the following text: unsubscribe > OTlist > >> >> >> > >> >> >> ** List messages are archived at: > >> >> >> > >> >> >> http://www.mail-archive.com/[email protected] > >> >> >> > >> >> >> *********��*********** > >> >> >> > >> >> >> *********��*********** > >> >> >> > >> >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] > >> >> >> > >> >> >> In the message's *body*, put the following text: unsubscribe > OTlist > >> >> >> > >> >> >> ** List messages are archived at: > >> >> >> > >> >> >> http://www.mail-archive.com/[email protected] > >> >> >> > >> >> >> *********��*********** > >> >> > >> >> LC> *********��*********** > >> >> > >> >> LC> Unsubscribe? Send a message to [EMAIL PROTECTED] > >> >> > >> >> LC> In the message's *body*, put the following text: unsubscribe > OTlist > >> >> > >> >> LC> ** List messages are archived at: > >> >> > >> >> LC> http://www.mail-archive.com/[email protected] > >> >> > >> >> LC> *********��*********** > >> >> > >> >> *********��*********** > >> >> > >> >> Unsubscribe? Send a message to [EMAIL PROTECTED] > >> >> > >> >> In the message's *body*, put the following text: unsubscribe OTlist > >> >> > >> >> ** List messages are archived at: > >> >> > >> >> http://www.mail-archive.com/[email protected] > >> >> > >> >> *********��*********** > >> > >> LC> *********��*********** > >> > >> LC> Unsubscribe? Send a message to [EMAIL PROTECTED] > >> > >> LC> In the message's *body*, put the following text: unsubscribe OTlist > >> > >> LC> ** List messages are archived at: > >> > >> LC> http://www.mail-archive.com/[email protected] > >> > >> LC> *********��*********** > >> > >> *********��*********** > >> > >> Unsubscribe? Send a message to [EMAIL PROTECTED] > >> > >> In the message's *body*, put the following text: unsubscribe OTlist > >> > >> ** List messages are archived at: > >> > >> http://www.mail-archive.com/[email protected] > >> > >> *********��*********** > > LC> *********��*********** > > LC> Unsubscribe? Send a message to [EMAIL PROTECTED] > > LC> In the message's *body*, put the following text: unsubscribe OTlist > > LC> ** List messages are archived at: > > LC> http://www.mail-archive.com/[email protected] > > LC> *********��*********** > > *********��*********** > > Unsubscribe? 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