Carmen, it seems like a dentist is the same as an OT! ----- Original Message ----- From: Carmen Aguirre <[EMAIL PROTECTED]> Sent: Thursday, April 27, 2006 To: [email protected] <[email protected]> Subj: [OTlist] Occupation
CA> Isn't the occupational relevance implied in the visit to the CA> dentist?. I obviously can not eat because when I do, It CA> hurts...therefore, I go to the dentist to get rid of the pain...I CA> already know how to eat ...If all my teeth have to come out...the CA> dentists comes up with compensatory appliances to help me perform CA> the function of eating... CA> I see the OT to help me use my hand in a coordinated manner so CA> I can write...I know how to do it if I could make my fingers CA> work...The limitation is the contracted hand or hyper/hypo-tonicity, CA> etc; yet the implication of why I want it corrected is there... CA> keep it coming! CA> Carmen CA> ----- Original Message ----- CA> From: Ron Carson<mailto:[EMAIL PROTECTED]> CA> To: Carmen Aguirre<mailto:[email protected]> CA> Sent: Wednesday, April 26, 2006 6:00 PM CA> Subject: Re: [OTlist] Occupation CA> Yes, we see a dentist because of the toothache, not so we can eat corn CA> on the cob! We call the electrician because we have an electrical short, CA> not so we can watch TV. We take our care to a mechanic because it's CA> broken, not so we can drive to a movie. CA> We call an OT because because we can't wash our feet.... CA> Now, who thinks of OT like that?? NO ONE, well almost no one! CA> About the only time that I hear mention of OT (keep in mind that I work CA> in an outpatient private practice setting) is for fine motor, UE, and CA> cognition. Once, I had a referral from a chiropractor to do a home CA> safety assessment for his Dad, also a chiropractor. But by far, OT is CA> normally referred to for anything OTHER than occupation. And that's a CA> problem! CA> In my opinion, we MUST: CA> 1. Change our message CA> 2. Change our delivery CA> 3. Or a combination of the two CA> ----- Original Message ----- CA> From: Carmen Aguirre CA> <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> CA> Sent: Wednesday, April 26, 2006 CA> To: [email protected]<mailto:[email protected]> CA> <[email protected]<mailto:[email protected]>> CA> Subj: [OTlist] Occupation CA> CA> Ron... CA> CA> When we get sick, have a tooth ache, bleeding, etc we seek a CA> CA> doctor to stop/cure/remediate the cause in order to restore "normal" CA> CA> life (occupation). Why would it be different for patients who need CA> CA> our services...I truly don't see the dis-articulation. Help? CA> CA> Carmen CA> CA> ----- Original Message ----- CA> CA> From: Ron CA> Carson<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> CA> CA> To: CA> [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> CA> CA> Sent: Wednesday, April 26, 2006 11:17 AM CA> CA> Subject: Re: [OTlist] Occupation CA> CA> Yes, I agree 100% with your statement. BUT most patients that I see are CA> CA> not at the point of compensation. And besides, I don't think that CA> CA> compensation is really a big part of medicine. I just can't see me going CA> CA> to a doctor and saying; CA> CA> " If you have any patients who can't use their arms, hands, legs, CA> CA> etc. then send them to me so I can teach them how to compensate" CA> CA> Maybe this SHOULD be the role of OT but it is one role that in my CA> CA> opinion is not highly promoted, practiced or warranted for many of our CA> CA> patients. CA> CA> Ron CA> CA> ----- Original Message ----- CA> CA> From: CA> [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> CA> CA> CA> <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>>> CA> CA> Sent: Wednesday, April 26, 2006 CA> CA> To: CA> [email protected]<mailto:[email protected]<mailto:[email protected]<mailto:[email protected]>> CA> CA> CA> <[email protected]<mailto:[email protected]<mailto:[email protected]<mailto:[email protected]>>> CA> CA> Subj: [OTlist] Occupation CA> CA> Enrc> Ok - I understand what you're saying, but let's just say that it was CA> CA> Enrc> not possible that this person receive a lens replacement and everything CA> CA> Enrc> did not get better and the problem could not be fixed. In this case, CA> CA> Enrc> occupation and compensation WOULD come to the forefront, no? CA> CA> Enrc> ----- Original Message ----- CA> CA> Enrc> From: Ron Carson CA> CA> CA> <[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>>> CA> CA> Enrc> Date: Wednesday, April 26, 2006 7:34 am CA> CA> Enrc> Subject: [OTlist] Occupation CA> CA> Enrc> To: CA> [email protected]<mailto:[email protected]<mailto:[email protected]<mailto:[email protected]>> CA> CA> >> Hello All: CA> CA> >> CA> CA> >> Recently Biraj pointed out that I: CA> CA> >> CA> CA> >> > always championed and advocated, very strongly I might CA> CA> >> add,> occupation-based practice but now it seems [I am] CA> CA> >> extremely> disappointed of anything the term has to do with in the CA> CA> >> OT profession. CA> CA> >> CA> CA> >> Biraj is correct about my past vocalizations but today I don't CA> CA> >> feel that CA> CA> >> I am disappointed about occupation. I still feel the same CA> CA> >> aboutoccupation but I think that I am becoming a bit jaded CA> CA> >> at trying to CA> CA> >> integrate occupation into my private practice. You see, CA> CA> >> occupation is CA> CA> >> important, it's important to ALL of us, but what I am CA> CA> >> discovering is CA> CA> >> that treating occupational deficits does not fit well with my CA> CA> >> clientsbecause clients don't consider occupational deficits to be CA> CA> >> the problem. CA> CA> >> Here's a non-OT story to make my point. CA> CA> >> CA> CA> >> Recently, someone I know was diagnosed with cataracts. The CA> CA> >> cataractsaffected his vision to the point that modifications were CA> CA> >> needed to read, CA> CA> >> work and play. Now, what do you think this person saw as the CA> CA> >> problem;cataracts or occupations. Obviously, the impact on his CA> CA> >> occupation is CA> CA> >> what brought the cataracts to the forefront and motivated him to CA> CA> >> seek a CA> CA> >> lens replacement, but cataracts are the problem, not the CA> CA> >> loss of CA> CA> >> occupation. So, the person received a lens replacement and CA> CA> >> everything is CA> CA> >> getting better. Well, how does this 'story' apply to OT. CA> CA> >> CA> CA> >> Simple, our clients are seeking answers to problems. They want CA> CA> >> theseproblems fixed. But the problems are not occupation, the CA> CA> >> problems are CA> CA> >> things like weakness, loss of balance, developmental delay, CA> CA> >> depression,etc. Clients see these 'components' as the problem and CA> CA> >> this is what they CA> CA> >> expect their therapist to address. This is the way the entire CA> CA> >> world of CA> CA> >> medicine works and for OT to be any different just doesn't work. CA> CA> >> CA> CA> >> What I think needs to be done is for our patients to recognize CA> CA> >> loss of CA> CA> >> occupation as the primary problem. Then, they recognize the need CA> CA> >> for an CA> CA> >> occupational therapist. And as far as I can tell, the ONLY way CA> CA> >> that this CA> CA> >> is going to happen on a large scale is for AOTA to put CA> CA> >> together a CA> CA> >> NATIONAL ad campaign directed at educating people about CA> CA> >> occupation and CA> CA> >> thus occupational therapy. CA> CA> >> CA> CA> >> Finally, there are settings were occupation is the concern but CA> CA> >> about the CA> CA> >> only one that I know of is long-term mental health. And CA> CA> >> given that CA> CA> >> therapeutic occupation is rooted in mental health, this makes CA> CA> >> perfectsense. But for the majority of OT's working in the US, CA> CA> >> I think that CA> CA> >> trying to integrate occupation as our main form and outcome is CA> CA> >> a lost CA> CA> >> battle, unless patients are EDUCATED, INTEGRATE and CA> CA> >> EXPERIENCEoccupation-based therapy. CA> CA> >> CA> CA> >> Ron CA> CA> >> CA> CA> >> CA> CA> >> CA> CA> >> CA> CA> >> -- CA> CA> >> Unsubscribe? CA> CA> >> CA> CA> CA> [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> CA> CA> >> CA> CA> >> Change options? CA> CA> >> CA> CA> CA> www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com>> CA> CA> >> CA> CA> >> Archive? CA> CA> >> CA> CA> CA> www.mail-archive.com/[email protected]<http://www.mail-archive.com/[email protected]<http://www.mail-archive.com/[email protected]<http://www.mail-archive.com/[email protected]>> CA> CA> >> CA> CA> >> Help? CA> CA> >> CA> [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> CA> CA> >> CA> CA> -- CA> CA> Unsubscribe? CA> CA> CA> CA> CA> [EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]<mailto:[EMAIL PROTECTED]>> CA> CA> Change options? CA> CA> CA> CA> CA> www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com<http://www.otnow.com/mailman/options/otlist_otnow.com>> CA> CA> Archive? CA> CA> CA> CA> CA> www.mail-archive.com/[email protected]<http://www.mail-archive.com/[email protected]<http://www.mail-archive.com/[email protected]<http://www.mail-archive.com/[email protected]>> CA> CA> Help? 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