For one, I hope people repeat what they hear on this list. I hope people
say,  you  know  there's a place you can go where other therapists share
their  experiences,  both negative and positive.

The  OTnow  list  has  ALWAYS been about posting opinion and experiences
relating to occupation and occupational therapy and that is not going to
change.  Much  of  what *I* experience as an OT is negative. In fact, it
was these negative experiences and the resultant frustration that led to
the  development  of OTnow. I will continue posting my experiences, both
positive  and  negative and encourage readers to do the same. If members
on  this  this  list  want  to read more positive experiences, then they
should post them.

And,  the  reason  for  posting  experiences  is  MUCH greater than just
sharing  information  or  complaining  about  stuff. I believe there's a
terrible  rift in our profession and that sharing and talking about this
rift is the ONLY way it will ever get better.

I  don't  see  how AOTA is us. AOTA is far bigger than any ONE of us and
that's  their  purpose. AOTA represents about 35,000 OTs/COTAs, not just
one  single  therapist.  This  no  to  say  that  AOTA is better or more
effective  than  any one of US, they are just different. I am sure there
are things that AOTA can do better than any ONE of us and I'm sure there
are things that any ONE of us might do better than AOTA.

One thing that never ceases to amaze me is just how vastly different are
people's  experiences  and  perceptions. Since becoming an OT in 1997, I
bet I can count on four hands the number of people who have heard of OT.
Of  these  experiences,  by  far  the majority have related to something
like: "Yeah, I had OT and they worked on my arm or fingers". Now, in and
of itself, such experiences are necessarily negative. But when looked at
within  the  context  of  AOTA's position statements on OT's role, these
statements are very far off from what we say we do. At least what we say
we do on paper.

Ron

----- Original Message -----
From: Dr. Estelle Breines <[EMAIL PROTECTED]>
Sent: Tuesday, December 06, 2005
To:   [email protected] <[email protected]>
Subj: [OTlist] my own long winded non sensical rant

DEB> Bravo Carmen!  Being one of the elder readers of this list, I feel the
DEB> need to share the following.  As it happens, when I became an OT in
DEB> 1957, no one had ever heard of OT.  Now, it is rare that I meet someone
DEB> that hasn't been exposed to OT one way or another.  Now if they had a
DEB> grandmother having OT, they may have one perspective, or if it is a
DEB> child, they have another.  Perhaps you need the advantage of time to see
DEB> how much our profession has growth.  Also, Carmen is exactly right.
DEB> AOTA is not someone else, it is us.  Take an active role in your state
DEB> and national associations and you can make positive change.  Also,
DEB> everytime you share a negative experience, you contribute to the myth
DEB> that OT is negative.  Try sharing positive experiences.  People repeat
DEB> what they hear.  


DEB> Dr. Estelle Breines
DEB> President, NJOTA

DEB> -----Original Message-----
DEB> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] On
DEB> Behalf Of Carmen Aguirre
DEB> Sent: Tuesday, December 06, 2005 12:10 AM
DEB> To: [email protected]
DEB> Subject: Re: [OTlist] my own long winded non sensical rant

DEB> What can you do to help solve the problem?
DEB> It is really easy for all of us to sit and complaint about the endless
DEB> disappointments we have encountered in our practice. I am sure there are
DEB> more coming...
DEB> The question is: What can we do to help solve the problem? Cont Ed in
DEB> Occupational Based intervention?, Study groups with our peers re:
DEB> Occupational Based assessments/interventions?, Contact a local shelter
DEB> and have patients collect/make/ help with need?. Collect and box coats
DEB> for the local homeless shelters ?
DEB> volunteer with our state associations? Mentor a student? Mentor a peer?,
DEB> continue to do a dis-service to our clients and pretend/wish  we were
DEB> P.T's? ...
DEB> How can we, the very practitioners affected by this lack of identity,
DEB> produce the change in our daily practice? Each one of us has the answer,
DEB> not "...those AOTA people..."
DEB> Carmen






DEB> ----- Original Message ----- 
DEB>   From: Joe Wells<mailto:[EMAIL PROTECTED]> 
DEB>   To: [email protected]<mailto:[email protected]> 
DEB>   Sent: Monday, December 05, 2005 4:21 PM
DEB>   Subject: Re: [OTlist] my own long winded non sensical rant


DEB>   Chris:

DEB>   A moratorium on Part B caps is expected hopefully before Jan 1.

DEB>   This is what was posted on the AOTA website today:
DEB>   Cap Moratorium in Jeopardy; Action Needed Now
DEB>   Congress may not pass a bill on Medicare by January 1, so grassroots
DEB> action 
DEB>   is needed NOW to pressure members to address the cap in December.

DEB>   Joe Wells, OT

DEB>   ----- Original Message ----- 
DEB>   From: "Chris Smith"
DEB> <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>>
DEB>   To: <[email protected]<mailto:[email protected]>>
DEB>   Sent: Sunday, December 04, 2005 2:18 PM
DEB>   Subject: Re: [OTlist] my own long winded non sensical rant


DEB>   > Well it's really easy to tell someone to snap out of it. Sounds like

DEB>   > common OT depression to me and you are far from alone. I have beeen
DEB> in the 
DEB>   > profession for 8 years--five in school based. I left because I
DEB> couldn't 
DEB>   > please the teachers who wanted one thing and I couldn't please the
DEB>   > parents. They were either in denial (the lower incomes ones) since I
DEB> was 
DEB>   > working with preschoolers and I was the first one to tell them their
DEB> kids 
DEB>   > weren't perfect. The middle class parents always wanted endless
DEB> therapy 
DEB>   > and nothing satisfied them. I had a great time with the kids who
DEB> always 
DEB>   > enjoyedworking with me. Now I  have been in long term care at a
DEB> number of 
DEB>   > facilites and done a great deal of PRN as well and once again I
DEB> found 
DEB>   > myself discouraged. I too have seen 99% exercise based therapy. I
DEB> have 
DEB>   > done some activities when I was in a small facility and the only OT.
DEB> But 
DEB>   > when I work with other OTs they don't want to do anything but
DEB> exercise and 
DEB>   > minimum adls. I want to go to a facility that uses
DEB>   > occupation to see what they do, I am sick and tired of AOTA people
DEB> and 
DEB>   > educators saying basically just do occupation without telling us
DEB> what to 
DEB>   > do specifically. I just started doing homehealth and find once
DEB> again. 
DEB>   > Everyone wants a HH aide to bath them or they are very happy with
DEB> sponge 
DEB>   > bathing. Most are elderly and unmotivated. Most days I wish I had
DEB> the 
DEB>   > money to go back to school to become a PT. OT looks great on paper
DEB> just 
DEB>   > like you said. Funny I just came to the same realization a few weeks
DEB> ago 
DEB>   > and was talking about the same thing to a friend who works at a SNF
DEB> with 
DEB>   > lots of modalities. She said if it wasn;tfor using all these
DEB> treatments 
DEB>   > she would feel like a fraud, too.Gee,  I guess I didn't provide much

DEB>   > encouragement either. I think therapists need to get together and
DEB> brain 
DEB>   > storm. What's going on with the part B caps?Chris OTR/'L
DEB>   >
DEB>   > _______________________________________________
DEB>   > Join Excite! - http://www.excite.com<http://www.excite.com/>
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