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Re: Paris to offer t-DPT to DC's?
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Re: Paris to offer t-DPT to DC's? - February 2, 2006 10:57:00 AM
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ouch
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From: wv
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I have been actively reading this post. I am a DC PT DPT Does anybody have any questons???
Buddy, where in PA?
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Re: Paris to offer t-DPT to DC's? - February 2, 2006 11:12:00 AM
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JLS_PT_OCS
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This issue has been covered well and concerns addressed over on Evidence in Motion:
http://blog.evidenceinmotion.com/evidence/2006/01/whats_all_the_f.html
J
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: Paris to offer t-DPT to DC's? - February 2, 2006 3:33:00 PM
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drbuddy
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From: Pennsylvania
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Near Pottsville. Are you around here?
Did you have to drop one of your lisences, or do you practice as both?
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 4:15:00 AM
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chiroortho
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Wow, I haven't posted here in some time and as I take a look at this thread I see that things are status quo.
I think the DC/PT chasm exists mostly in the political realm, ie the politically active DCs and their counterparts in the Physical Therapy profession expend the most time and energy working to restrict the efforts of the other. Scope of practice, use of titles, educational systems, research.
In contrast, those of us in the trenches watch, with amusement, the internecine warfare.
As for me, I'll continue to request that my friends in the PT profession see my patients that are in need of rehab for various conditions. And I'll plod along feeling somewhat content that I'm pretty good at other aspects of patient care.
My best,
Greg
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Greg Priest, DC, DABCO
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 5:13:00 AM
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GLASGOW
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Dr Priest
You read like you are bending over backwards to sweet talk the posters here.If it were that simple
it would have been resolved years ago.No sir,you do not read right.
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 5:30:00 AM
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chiroortho
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Dr. Glasgow,
I can only speak for myself. I do not speak for the chiropractic profession. I am sorry if I have offended you sir, and I assure you that it was not intentional.
I love being a DC, and I am grateful for the opportunity to help my patients as a DC. Yet I must admit that my interactions with Physical Therapists have been mostly enjoyable, and when it comes down to it, I did not have adequate training in the nuts and bolts of rehabilitative techniques during the course of my chiropractic training. I readily acknowledge that you and others in my peer group may have received better training in rehab than I. If so, I would not hesitate to refer my patients to you for this service.
Thank you for your comments,
Greg
_____________________________
Greg Priest, DC, DABCO
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 6:00:00 AM
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GLASGOW
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No sir, I am not offended.
Thank you for your explanation.
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 6:45:00 AM
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paulpt
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Greg and Glasgow: Interesting dialogue... I just wonder what Greg meant when writing 'other aspects of patient care'. This is the type of terminology that unintentionally causes emotional responses.
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 7:14:00 AM
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chiroortho
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Paulpt,
I don't plan my posts to evoke emotional responses. If I can assume, and realizing that making assumptions with folks that I don't know is admittedly walking on thin ice, I'm guessing that you mean that I am asserting that PTs are only good for rehab. I am not. I am only saying that PTs are on average better than I at some things while I'm better than they at others. I purposely avoided delineating the details because first, I didn't think it would be productive for the topic at hand, and second, I didn't want to start a battle with Drew.
Thanks,
Greg
_____________________________
Greg Priest, DC, DABCO
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 7:16:00 AM
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ouch
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From: wv
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Buddy, I'm about 2hrs. south of Pittsburgh.
No, I didn't have to drop my license. Most insurance companies gave me two differrent provider numbers,one for chiropractic and one for physical therapy.
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 9:50:00 AM
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Diane
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[QUOTE]No, I didn't have to drop my license. Most insurance companies gave me two differrent provider numbers,one for chiropractic and one for physical therapy.[/QUOTE]How does that work? Could you potentially bill through both numbers for each patient? If you had a massage lisence, could you bill for that too? Please note, I'm not accusing you of doing this, I'm wondering about the mechanics of ethically juggling more than one designation.
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 10:38:00 AM
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drbuddy
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As a DC in PA, he can bill for whatever he performs anyway, other than medicare and the PT eval codes (which would reimburse less than physician level E/M codes that he could use).
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 2:48:00 PM
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ouch
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From: wv
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Diane, I try to keep everything seperate. I have never combined seeing a patient as both a chiropractor and a physical therapist on the same visit. As I'm sure you probably know, some patients come into the office claiming their insurance covers everything at 100%. After verifying their coverage you find out that their insurance doesn't have chiropractic benefits,but they will cover physical therapy. I contact the patient's physician and usually get his authorization for treatment.
Diane,how would you do things if you were in my situation?
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Re: Paris to offer t-DPT to DC's? - February 3, 2006 3:08:00 PM
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Diane
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Ouch, [QUOTE]Diane,how would you do things if you were in my situation?[/QUOTE]I don't have the foggiest. I wear only one hat, and keep that one tied firmly around my chin.
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Re: Paris to offer t-DPT to DC's? - February 4, 2006 8:30:00 AM
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drbuddy
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Almost all of us here wear the same hat (you, me, ouch, etc). The only difference is our titles...
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Re: Paris to offer t-DPT to DC's? - February 4, 2006 9:23:00 AM
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jma
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This is interesting and confusing at the same time. How is it possible to be practicing PT with one patient and be a practicing chiropractor on separate visits? Is this allowed under the practice act where you are at?
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Re: Paris to offer t-DPT to DC's? - February 4, 2006 9:35:00 AM
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GLASGOW
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That is entirely not the case.Chiropractors do not do the same things a physiotherapists.Chiropractic is a niche profession.Locked in its own world and governed by its own rule system.It just happens to be a niche system that makes its practitioners very wealthy.PT is a system of clinical managemnt long established and very clear in its perspectives.
Chiropractors claim PT as their domain also by virtue of some kind of in-house training.That must be considered at least some form of tangible threat to the profession.Why the profession can not take over completely the manipulation side of treatment evades me.It would put the chiropractors out of business overnight,virtually.
This may sound hard hearted but it is a fact of commercial life.
I think chiropractors are aware of this and maybe that is why we see such strong reactions against PT.Arkansas may be a primary example.
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Re: Paris to offer t-DPT to DC's? - February 4, 2006 8:23:00 PM
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Randy Dixon
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I'm not sure I understand you Glasgow. In most places PT's are legally able to perform spinal manipulations. This does not seem to have hurt the chiropractic business. Why either should want to restrict the practices of another is beyond me, what people should be concerned about is that both practice as safely and effectively as possible, and the best way to do that is to watch your own house, not your neighbors.
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Re: Paris to offer t-DPT to DC's? - February 5, 2006 3:56:00 AM
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ouch
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From: wv
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jma,I don't switch back and forth with the same patient. I have chiropractic patients and I have seperate physical therapy patients.
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Re: Paris to offer t-DPT to DC's? - February 5, 2006 6:50:00 AM
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Diane
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[QUOTE]jma,I don't switch back and forth with the same patient. I have chiropractic patients and I have seperate physical therapy patients.[/QUOTE]So... what do you do? Toss a coin or something to determine which kind of patient each will be? :) Do they remain a "PT" patient or a "chiro" patient for the duration, or do you change their designation depending what day they come? Like, Mondays/Wednesdays/Fridays all patients are "chiro", and you bill as a chiro, and Tuesdays and Thursdays are for the PT patients.. Just curious..
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