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Re: chiropractors working with PT's
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Re: chiropractors working with PT's - May 31, 2007 1:37:00 PM
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3.5fig
Posts: 97
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Thank you, I appreciate that...
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Re: chiropractors working with PT's - May 31, 2007 2:57:00 PM
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Marc Bronson
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From: Toronto
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Sometimes I feel like busting the good ol' Rodney King quote
"Can't we all just get along?"
Yikes!
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BSc (Hon), DC, Dipl. Med. Ac. CSCS
Integrative Manual Medicine
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Re: chiropractors working with PT's - May 31, 2007 5:11:00 PM
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savela
Posts: 63
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From: toronto
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I work with a registered dietician. She studied for many years diet and nutrition.
Any other professional PT,DC,MD, personal trainer etc. should not be giving diet/nutrition advice. How can one compare a few courses with many years of study.
The dietician I work with took a few courses on exercise, but she refers to myself or my peer a chiro about rehab.
Taking a few courses does not make one an expert.
My education in Canada, stressed that we as PT's should stay in our scope of practice and refer off to the qualified professional. This is what is best for the patient.
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Re: chiropractors working with PT's - May 31, 2007 5:28:00 PM
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SJBird55
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From: Michigan
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WARNING... I wish the darn private message thingy worked! Tim, you said "hootch" and I'm thinking sex. LOL A little bit of sex but not too much is good for your health! Don't mix sex with alcohol though. That's pretty good sound advice too - a bit of common sense mixed in. Okay... back to the serious discussion... just HAD to commment.
WHEN is the darn private message thing going to work again??
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Re: chiropractors working with PT's - May 31, 2007 8:20:00 PM
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3.5fig
Posts: 97
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I think hooch meant something else, but I am not sure...however, being from California...Hooch has a certain meaning....haha...
Savela,
I agree that taking a few courses does not make one an expert. However, there is a difference from giving advice and say working with a person with serious health issues that need in depth nutritional help. As Buddy stated earlier, nutrition is within our scope of practice and the majority of people need simple guidance and education, not a dietician. What I am doing is not rocket science. I personally don't know why it isn't within the scope of practice of a PT, especially those with a DPT. Being able to address the nutritional status of your patients is so important to their overall health. Maybe that is the difference here. When I approach a patient, I am not just thinking of them from a musculoskeletal point of view. I was trained to look at the patient as a whole, not parts of a body. Correct me if I am wrong, but as a PT most of the time you are seeing someone referred to you for a certain problem...say post surgical knee or shoulder. Whereas most of the people I see are not referred to me. They obviously come in with a certain complaint, but my assessment of the patient does not just take into account their main complaint. I was trained to approach them as a whole and I try to address their health status and that includes their diet. The majority of the time it is not that difficult to identify where and what they are lacking in their diet and to lead them down the right path. Trust me, you guys/gals are smart enough to do it...managing the typical person's diet plan is much easier than many musculoskeletal problems. Typically it is stopping fast food, eating some vegetables...just look at Tim's post, he basically listed what you have to have people do.
All you PTs just try this for fun...have your patients keep a food diary for two weeks...everything they eat and drink and then analyze it. You will be surprised how easy it is to spot the problems and the fixes that you would suggest. I would gather that PTs could actually do a better job than MDs, because PT seems to be a more holistic profession...what do you think?
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Re: chiropractors working with PT's - June 1, 2007 2:22:00 AM
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JCOY
Posts: 34
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Fig-
One of the populations I have been trying to concentrate on, nutritionally, is the adolescent female. Talking to them about osteporosis, and how, what they do now, has huge implications on their future health. They are not getting this important information elsewhere.
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Re: chiropractors working with PT's - June 8, 2007 8:11:00 PM
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ONstudentPT555
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3.5 Fig:
"Correct me if I am wrong, but as a PT most of the time you are seeing someone referred to you for a certain problem...say post surgical knee or shoulder."
I would have to say you are wrong. PTs here have direct access and pateints do not need to be referred by anyone and many times walk into the clinic themselves. The PT then has to do a detailed assessment and come up with a working diagnosis to be able to offer the appropriate treatment. PTs are also trained to look at the individual as a whole.
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Re: chiropractors working with PT's - June 11, 2007 2:16:00 AM
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Sebastian Asselbergs
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From: Barrie, Canada
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and as we can see in the new Journal of Manual and Manipulative Therapy (http://jmmtonline.com/current/) physiotherapy was originally a direct access profession first in its original start place (the Netherlands - late 1800's). Even In Ontario, we were direct access, until we gave that up for insurance and health plan purposes in the 60's. In 1993 that was reversed....Direct access. The only way to go.
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Re: chiropractors working with PT's - June 11, 2007 6:36:00 AM
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3.5fig
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What percentage of your patients are direct access and what percentage comes from referrals?
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Re: chiropractors working with PT's - June 11, 2007 10:15:00 AM
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Sebastian Asselbergs
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Direct access: 84% (word-of-mouth, yellow pages, previous patient). Rest is referred by MD or DC.
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Re: chiropractors working with PT's - June 11, 2007 10:31:00 AM
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physioo
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From: Canada
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That is strong Seb
well done
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Re: chiropractors working with PT's - June 11, 2007 2:23:00 PM
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3.5fig
Posts: 97
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that is strong, congratulations to you. What do you think the average is? I know it varies by region and country.
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Re: chiropractors working with PT's - June 12, 2007 1:39:00 AM
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Sebastian Asselbergs
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Thanks, it is the result of many years in the same community and hard work...
I can not tell the general average - I have tried to get the info a while back, but was unable to. Haven't checked on that with the authorities for a while now.
Anecdotally, I know of 3 clinics at least that are still over 70% referral. And two others that are in the same range or better than my direct-access numbers. It seems that clinics in medical buildings DO have a higher referral-base as a rule.
On the other hand, my percentage of walk-ins will go down, now that the local "Pain clinc" doctors are referring many of their patients to me....And am I fine with that? You bet.
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Re: chiropractors working with PT's - June 21, 2007 6:19:00 PM
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infidel
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unless a person can walk off the street and his insurance company doesnt require an MD script within a number of days then it is not direct access...its a tease...the only true dierect access is a self-payer right now
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Re: chiropractors working with PT's - June 22, 2007 2:26:00 AM
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Sebastian Asselbergs
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Drew - most DON'T need a referral for insurance purposes.
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Re: chiropractors working with PT's - June 22, 2007 1:05:00 PM
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Tom Reeves DPT ATC
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Sebastian,
That really depends upon where you work. in the US, Drew is right. 99% of patients require doctor referrals for insurance to pay. Not the case in Canada.
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Re: chiropractors working with PT's - June 22, 2007 1:11:00 PM
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SJBird55
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From: Michigan
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Tom, that's the confusing aspect... Drew IS in Canada.
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Re: chiropractors working with PT's - June 22, 2007 5:21:00 PM
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Tom Reeves DPT ATC
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Ah, an enigma wrapped in a riddle or something like that.
I wish we had that here in the US. Its coming I hope although we will need to modify the admissions criteria for PT students in my view. Not enough problem solvers and thinkers, too many memorizers.
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Re: chiropractors working with PT's - June 23, 2007 2:59:00 AM
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SJBird55
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From: Michigan
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Direct access has more to do with legislature and the politics involved around those opposing direct access and how much money they have.
I may have mispoken... Drew is Canadian, but I really have no idea where he resides - Toronto, Ontario or somewhere in the States.
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