Dr.Wagner
Posts: 1242
Joined: January 24, 2003
From: Indianapolis
Status: offline
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mcap, perhaps you work in an ideal environment, I don't know. But I can think of many many occasions in which the prescription for PT was continued until all 12 (3x 4 weeks) were up...regardless of patient condition (this was done at all three of the companies I worked for...I even worked for the big "sponsor" of this bulletin board!) Today, I prescribe 3 visits and have the PT call me to tell me "whats up" with the patient...that way we are FORCED to communicate. Alot of the way I think was started by Dr. Shelbourne in indianapolis and the way they rehabed ACL's...guidance by PT but not weekly visits...most was done at home or in the gym. Hey, it ain't cut in stone, and I am a flexible guy. As far as PTstuds question...well, I described my stance on radiography in previous posts above. The drug question was also answered. As for my love of PT, I think my love for the art also includes the recognition of its limitations. I also believe to aspire to further practice rights via litigation or political action is wrong...there are already avenues to develop such skills (med school etc) and if one realizes their limitations prior to the program (whether it is OT, PT, RN, Pharmacy) then you should have been well informed. I mean, if you are a psychologist and you decide that to further your practice, the use of massage is necessary...one should not litigate to further your practice rights but rather use the options that are open to you (ie massage school or PT or whatever). It wasn't a mystery that an OT doesn't perform post op exercise prescripton for total knee replacements, so why should AOTA lobby to have billing rights for such procedures (this is a fictitious example I think). It seems like a dishonest short cut. Like a plumber litigating to charge for electrical work. Hey, I realize my beliefs don't make me popular on this board, but I got guts enough to say "hey I used to think this, and now, I think I was wrong".
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