Thank you also Ed.  I guess I went a little overboard about Ron, but you maybe 
have not been in the place our family has been for this last year.  The OT's 
that came to Susan in the hospital and in rehab sat her in a chair and brought 
rubber bands to move her arms only.   Honestly, that's all they did.  When she 
was not totally with it, they left!  Why didn't they stay and work her arms 
even if they had to do it themselves.  I did it when they were not there.  I am 
sure, because they came into the room, that they were paid for that visit.  Am 
I right about that?  The same goes for the PT's.  They came and if she could 
not stand or walk, they did nothing.  Shouldn't they have practiced sitting her 
on the side of the bed or something, I did when they were not there. 
We decided to take her home, and when we did, at that time, she could not sit 
up by herself without leaning to the right.  So, needless to say I can now see 
what OT and PT is really about.  Our therapists for Susan that we have in home 
health now are great!!  I only wish all of the therapists would do ALL that 
they could for the patient even if that patient is not totally with it all the 
time.  
 
All of that being said, I do see and understand the pressure that you are under 
to see everyone.  As with most of the medical professionals, there is always a 
shortage of personnel.  The trouble with that, as in any profession, is that 
the "bosses" want to see alot of patients (numbers) be processed.  
Unfortunately, when that happens, the well qualified people are replaced with 
the ones that can just get the job done.  I am not saying that is always the 
case, but I am sure that it happens more than we would like.
 
Thank you for reading the patients and families side of the story.  Maybe it 
will verify for you just how important the job OTs and PTs are.
 
 
 
 
-- On Thu, 7/9/09, Ed Kaine <[email protected]> wrote:
 
\


From: Ed Kaine <[email protected]>
Subject: Re: [OTlist] From a Families View
To: [email protected]
Date: Thursday, July 9, 2009, 9:20 PM


Thank you Shirley. I'm glad to hear Ron has been such a great help to you.
He is definitely an asset to the profession of OT and apparently to patients
who are lucky enough to get to see him.
About the difficult situation in the facility your daughter was in, I am
sorry that happened to you. I think it is a real serious and pervasive
problem in health care that there is a shortage of therapists to do this
vital work. I think the situation may have been less that they did not want
to see your daughter than they were pulled in many directions and were
unable to make that choice.

In my Hospital (on any given day) we have about 140 patients on the PT
census and 100 on the OT census. This is a rapidly cycling population which
is passing through and needs to be seen a first time along with anyone
who remains in the facility and needs to be treated. Now, to see those
patients I have about 6 PTs on a weekday and 3 OTs.  That means that there
will be many people every day who cannot get on the list. Most therapists
feel terrible about it. My job as a manager is to be the one who worries
about it and to do as much to have the therapists not think about it too
much.

I offer this as a possible explanation of the difficult situation you were
in. I know that solutions are better than excuses.

Also, as far as I know, all the therapists I have ever met dedicated their
lives to helping others and I would think any of the apologies they gave
to you and your daughter were likely heartfelt.

I'm glad you got to get home and the Ron is helping now. That's some
consolation.

Yours,

Ed Kaine, OTR, RFT
President of the League of Functional Therapists


On Wed, Jul 8, 2009 at 5:38 PM, Shirley <[email protected]> wrote:

> Hi Ron,
>
> You  have asked me to share my experiences with therapists over the last
> year pertaining to my daughter Susan.
>
> First  I  would  like to say that I have been wonderfully impressed with
> the  posts  from  other  therapists like Joan and Ed on this site.  They
> seem  caring  and  truly  want  to  make  a difference in their patients
> lives.  Patients need more like you all.
>
> Susan  was  in  the hospital for 8 mos, then in rehab for 3mos.  Most of
> the  time  she  was  very  lethargic.   The  therapy she received in the
> hospital  was almost nil.  She was scheduled to receive it 5 days a week
> in the hospital.  In Rehab therapy, after I went to director, she was to
> receive  therapy  5  to  6  days a week.  She got 1 hr maybe every other
> week,  30 min. maybe every week and 15 min every now and then.  Again to
> the  therapists  defense, she was very lethargic.  There is "one" doctor
> to  take  care  of  all  the  residents,  as  you probably know, but our
> attempts to get him to adjust her meds went unheeded.
>
> My  question  is:   Doesn't  the  therapist  have  the moral and ethical
> responsibility  to at least work the patients arms and legs, moving  the
> limbs  while  in  bed  if  necessary  and  other things to stimulate the
> patient?   Maybe  even talking to the Drs. and Nurses about the families
> concerns about the meds?.....that may be asking too much.
>
> There  seems  to  be  very  few  dedicated  professional  therapists out
> there........I  must  tell  you that I did not have much confidence that
> Susan  would  get very good therapy when  we brought her home, BUT, much
> to  my  surprise  and  thankfulness,  you were sent to her, restoring my
> faith that someone COULD help her.  What you have done for Susan by just
> caring  and  directing her to what she needs to do and how to get there,
> is  something  that  ALL  therapists need to do.  How do you teach these
> people  to  "do  it  right"?   You  have interacted with us, the family,
> showing  us  what  to  do, you have instilled confidence in Susan, where
> there  was  none.   She  has come farther in 3 mo. than in the nearly yr
> prior.
>
> To  me a therapist needs to first know what the patient needs, determine
> how  far  you think they can go, develop a relationship with the patient
> which  spurs  them on.  I know Susan wants to do good for you, she wants
> to  show you when she does something that she knows you have been trying
> to  get  her to do.  It makes her want to do more when she sees that you
> are pleased.
>
> Unfortunately,  I saw none of this prior to you and Marcie coming to see
> Susan.
>
> I  would like to say all out there, that you will never know how much we
> are thankful and grateful for all you do for our loved ones.  You affect
> not only the patient, but the family as well.  And, you will not soon be
> forgotten when your job is done.
>
>
>
> Shirley, Susan's thankful mom.
>
>
>
>
>
> Shirley
>
>
>
>
>
> --
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>
> Archive?
> www.mail-archive.com/[email protected]
>
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