I have been an OT for five years now, in two states.  I always understood 
that slings are not effective for prevention or treatment of subluxed 
shoulder and only contribute to non use and abnormal gait patterns.  I 
recently moved jobs to a different area, and am seeing slings used quite 
often, perscribed by OT's, including transfers from area hospitals, and by 
the other OT I work with.  Did I miss the most recent data on this, or are 
they behind the times?  Please help!!  Any articles or research to back up 
the use of slings appreciated!

Suzanne


>From: Vickie Patterson <[EMAIL PROTECTED]>
>Reply-To: [EMAIL PROTECTED]
>To: [EMAIL PROTECTED]
>Subject: Re: FIM - OT/ PT and who gets there first
>Date: Mon, 29 Jul 2002 07:08:19 -0500
>
>Incandescent wrote:
> >
> > Well said Greg.  I look forward to such future discussions.
> >
> > Best,
> >
> > Biraj
> >
> > McNeely wrote:
> >
> > > Thank you Biraj.  I get very dizzy with tail chasing so I will not 
>further
> > > this particular discussion.
> > >
> > > I look forward to future issues that you and I will address together 
>to
> > > improve over-all healthcare.
> > >
> > > Greg
> > >
> > > ----- Original Message -----
> > > From: "Incandescent" <[EMAIL PROTECTED]>
> > > To: <[EMAIL PROTECTED]>
> > > Sent: Sunday, July 28, 2002 9:37 PM
> > > Subject: Re: FIM - OT/ PT and who gets there first
> > >
> > > > Greg and others who responded to my post:
> > > >
> > > > My post was NOT asking Greg to apologize.  It simply expressed an 
>opinion
> > > of the
> > > > tone of his post, most specifically where it said, "By the way,  my
> > > questions
> > > > are not rhetorical.  They are meant to challenge your reasoning and 
>I do
> > > expect
> > > > answers aout of common decency and for the integrity of this 
>discussion.
> > > I have
> > > > repeated questions I asked you that you left unanswered so you have 
>the
> > > > opportunity to tackle them head-on.".  The reason I thought it was 
>rude is
> > > > because it presents the writer as patronizing and supercilious and 
>the
> > > person
> > > > being addressed as someone who is being spoken down to.  If I were 
>to take
> > > the
> > > > tone that Vickie Patterson recommends in her post when she states, 
>"I'm so
> > > tired
> > > > of being PC or being careful what I say, lest someone's feelings be 
>hurt.
> > > Be
> > > > adult, take what is said, learn from it, get over yourself and go 
>ahead
> > > on."  In
> > > > that case perhaps I would simply be writing something to the effect 
>"Cut
> > > the
> > > > crap man" and get it over with.  If this is how we see ourselves as
> > > interacting
> > > > on a listserv then I would ask Vickie to lead by example.  Doesn't 
>seem
> > > like
> > > > such a good idea now, does it.  Incidentally, I bristle at the whole 
>idea
> > > of
> > > > being PC because I think it is pretentious, and puts the onus on
> > > correcting
> > > > problems superficially, rather than addressing underlying and 
>complex
> > > issues.
> > > >
> > > > My apology to David was NOT made on behalf of Greg, but simply to 
>call
> > > attention
> > > > to the fact that as a listserv member I was not party to the tone 
>the post
> > > > took.  At the same time, if I didn't say this before I enjoyed the 
>content
> > > of
> > > > Greg's post, and the discussion thread in question.
> > > >
> > > > I am with Ann on discussing things in an "open, honest way".  But I 
>also
> > > believe
> > > > that the same rules apply here on the internet that apply in 
>everyday
> > > life.  If
> > > > in everyday interaction anyone were to tell another person that 
>(s)he was
> > > being
> > > > given the opportunity to tackle issues, or that their questions were 
>to
> > > > challenge someone's reasoning.  It would be reasonable to conclude 
>that
> > > the
> > > > person being addressed was somehow lacking in opportunities to 
>tackle
> > > issues, or
> > > > that their reasoning was deficient such that it needed challenging 
>by the
> > > > speaker.  These implications made the tone of Greg's post personal 
>in its
> > > > impact, and seemed to be talking down to David and thus - rude.  
>This was
> > > the
> > > > underlying and basic point of my post to Greg.
> > > >
> > > > As for Greg's characterization of my post being rude, well if I am
> > > considered
> > > > rude for calling attention to an issue of common courtesy - then so 
>be it.
> > > > However, I don't consider myself to be a self-effacing Canadian who 
>is all
> > > > "nicey nice" or anything along those lines.  In any case 
>generalizations
> > > about
> > > > behaviour along national lines are an over generalization by any 
>standard.
> > > As
> > > > for vigourous debate, I am all for it.  However, I tend to shy away 
>from
> > > it here
> > > > on the listserv because I have done so over the years, and find some 
>of
> > > the
> > > > issues that emerge are often the same ones that were discussed 
>before in
> > > some
> > > > form (even as far back as three years ago) on which I wrote quite
> > > vociferously,
> > > > but now find I don't have the time to do so to the same extent as 
>before.
> > > >
> > > > Hope that clarifies my position.
> > > >
> > > > Best,
> > > >
> > > > Biraj
> > > >
> > > >
> > > >
> > > > McNeely wrote:
> > > >
> > > > > Biraj, I appreciate your feedback, however I do not apologize for 
>my
> > > post.
> > > > > As Canadians, I think we do not deal well with vigourous debate.  
>We
> > > must be
> > > > > able to disagree and to express that disagreement without wasting
> > > copious
> > > > > amounts time gingerly and indirectly avoiding a point we are 
>trying to
> > > make.
> > > > >
> > > > > Rude? I think you are demonstrating to our American friends one of 
>our
> > > main
> > > > > collective strengths and flaws.  As I said above, vigourous debate 
>is
> > > not
> > > > > rude.  It is healthy and necessary.  We must communicate directly 
>and
> > > not
> > > > > expect people to interpret our implications correctly.
> > > > >
> > > > > Yes, I do believ it is expected that we will answer each others
> > > questions or
> > > > > directly explain why we are not.  Yes, I couched my demand for 
>answers
> > > to
> > > > > unanswered questions with a provocative term to elicit a response. 
>  They
> > > > > were serious and fundamental questions that were essential to the
> > > > > discussion.  If they were not answered out of a simple debate 
>strategy
> > > of
> > > > > letting them fall aside and be forgotten, the I challenged that 
>head on.
> > > > > David is obviously a very intelligent person and he rose to the
> > > occasion,
> > > > > which I expressed my respect for and appreciation of.
> > > > >
> > > > > I take no offense to your post, but I will say that it was at 
>least as
> > > > > "rude" as mine.  Thank you for that.  Decorum and short term 
>courtesy,
> > > to
> > > > > me, is a close second to truth and resolution of problems.
> > > > >
> > > > > I once had a classmate who had to come late to a class when I was
> > > studying
> > > > > Carpentry (not OT).  He sat down beside me and asked what the 
>teacher
> > > was
> > > > > talking about.  I said I wasn't sure.  He replied "and your 
>sitting here
> > > > > like a dummy and not asking".  That was pretty rude of him to say, 
>but
> > > he
> > > > > was exactly right. I was wasting my valuable time by not asking a
> > > necessary
> > > > > question.  That situation has helped me to obtain clarity when
> > > necessary.
> > > > > As human we make mistakes and employ unpolished dialogue 
>sometimes.  To
> > > > > remove a tumour, often an incision must be made.  The incision in
> > > isolation
> > > > > is extremely threatening/damaging, but in context it far outweighs 
>the
> > > > > damage caused by the tumour.  (David, I am not saying your post 
>was
> > > > > cancerous by the way.)
> > > > >
> > > > > If I am wrong, rude or otherwise, I will apologize, I have no
> > > misconceptions
> > > > > about being perfect.  But if my writing style offends you,  I 
>guess you
> > > > > probably shouldn't read them.
> > > > >
> > > > > With regard to your apology.   David seems to be a pretty capable 
>and
> > > > > understanding of a vigourous exchange of ideas.  I won't presume 
>to try
> > > to
> > > > > dictate what you should do about your apology.  Feel free to 
>apologize
> > > on my
> > > > > behalf anytime.  Sometimes I mess up badly enough that I feel I do 
>need
> > > more
> > > > > than me to apologize for my foolishness.  Perhaps the next time I 
>say
> > > > > something stupid that offends my wife I could call you to 
>apologize on
> > > my
> > > > > behalf as well?  As a matter of fact, would you mind sendin me 
>something
> > > > > typewritten that expresses your sincere apology on my behalf with 
>your
> > > > > signature on it, but leave the reason blank so I can photocopy it 
>and
> > > use it
> > > > > on various occasions that I may make mistakes.
> > > > >
> > > > > Take care,
> > > > > Greg
> > > > >
> > > > > ----- Original Message -----
> > > > > From: "Incandescent" <[EMAIL PROTECTED]>
> > > > > To: <[EMAIL PROTECTED]>
> > > > > Sent: Thursday, July 25, 2002 10:02 PM
> > > > > Subject: Re: FIM - OT/ PT and who gets there first
> > > > >
> > > > > > Hello All:
> > > > > >
> > > > > > This has been an extremely interesting discussion thread and I 
>am
> > > really
> > > > > glad
> > > > > > that David (Dr. Lehman) has been contributing to it from a PT
> > > perspective.
> > > > > > However, and I say this with due respect to Greg -  in my 
>opinion the
> > > tone
> > > > > of
> > > > > > his long post was extremely sharp, and if I may say so quite 
>rude.
> > > > > Perhaps it
> > > > > > is just me, but as someone who has been on this and other 
>listservs
> > > for
> > > > > some
> > > > > > time now I don't think anyone is obligated to respond to each 
>and
> > > every
> > > > > aspect
> > > > > > of someone's posting.  And even if a response is required I 
>don't
> > > think
> > > > > the
> > > > > > person seeking answers or responses need couch it in terms of an
> > > > > expectation of
> > > > > > common decency.  I think we are all entitled to disagree with 
>others
> > > > > points of
> > > > > > view, regardless whether they are OTs, PTs or whoever it may be. 
>  But
> > > I
> > > > > don't
> > > > > > think we need to attack anyone and chastise them for not 
>responding to
> > > our
> > > > > post
> > > > > > in every detail.
> > > > > >
> > > > > > I think David has been extremely gracious in his reply to Greg's 
>post.
> > > > > > Certainly, I am no authority on netiquette, but I did feel 
>offended
> > > > > reading
> > > > > > Greg's post and for this reason I would like to apologize to 
>David,
> > > and
> > > > > want him
> > > > > > to know that his opinions are valued and respected, whether I 
>agree
> > > with
> > > > > them or
> > > > > > not is altogether a different matter.
> > > > > >
> > > > > > At the same time I would like to say that I do not mean any 
>offense to
> > > > > Greg
> > > > > > either, however I am calling it as I see it.  Hope you won't 
>mind this
> > > > > feedback
> > > > > > Greg.
> > > > > >
> > > > > > Thanks and regards,
> > > > > >
> > > > > >
> > > > > > Biraj Khosla
> > > > > > OT - Reg. - (Ont.)
> > > > > > Canada
> > > > >
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>
>"Communicating directly", as ObeWan Kanobi suggested,
>email communication is best done SHORT and SWEET.  That is the whole
>point of electronic communication; quickly.
>
>Writing dissertations on a listserve that no one reads is pointless.
>
>No wonder one gets 'dizzy' with the communication format of ,
>
>You said....
>Then I said....
>And, I was like, "Whatever!".....
>
>Cut the crap, man and go to the bar to discuss lengthy matters over a
>beer.
>
>Otherwise, keep it simple......
>
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