Evidence Based Medicine: Yes, No, Maybe?

Evidence Based Medicine: Yes, No, Maybe?

As a therapist, I try hard to practice evidence based medicine. I spend time reading articles, going to conferences, and discussing best practices with colleagues in the field. But what should I do or recommend when there is no consensus? Read more

Brennan's Story: How a Standing Program Has Improved This Toddler's Development

Brennan’s Story: How a Standing Program Has Improved This Toddler’s Development

Brennan was a typically developing little boy the first 6 months of life. At 6 months, mom discovered him unresponsive in his crib; he was diagnosed with uncontrolled seizures in the occipital lobe of his brain. Brennan was placed in a coma for 70 days until they could get his seizures under control. During his 70 days in an induced coma, Brennan also was on a ventilator for 3 different episodes, up to 2 weeks one of those times. Brennan eventually went home on multiple medications to control his seizures, but he continued to have many breakthrough seizures and multiple hospitalizations over the next several months to regain control of his seizures. Shortly after returning home, Brennan became involved in early intervention services due to developmental delays from the prolonged seizures; his primary provider was an occupational therapist. At the beginning of services, Brennan was demonstrating motor skills at the 0-2 month age level, and global delays at the same age level. Read more

Your Time Is Worth It

Your Time Is Worth It

As a young whippersnapper pursuing a healthcare profession, I don’t spend a great deal of time initiating conversations revolving around dollars and cents. I tend to focus more on people, intervention outcomes, and qualitative progress opposed to quantitative monetary benefit. But, as I continue to grow and matriculate into what is oft referred to as the “real world”, I learn more and more about the precedent put on the monetary value of time, the monetary value of an investment, the monetary value of…well, really anything. I’ve grown to appreciate its role in the pursuit of one’s goals. Read more

Power Assist Diaries, Saga 2: Getting Creative When Your Insurance Says No

Power Assist Diaries, Saga 2: Getting Creative When Your Insurance Says No

Nineteen years ago things were a lot different the way my health insurance regarded the kinds of wheelchairs one needs. Back in 1998, I was able to get a supplemental wheelchair, a manual one, in addition to having a power wheelchair. All I needed was a physical therapist’s letter of recommendation, and it was a done deal. Read more

Power-Assist Virgin Diaries Saga 1: Tailwind Power Assist

Power-Assist Virgin Diaries Saga 1: Tailwind Power Assist

For any quadriplegics out there wondering what it’s like to finally try a power assist tech on a manual wheelchair after years of using a power wheelchair, this blog post is for you. I have been using a power chair for over 20 years and am looking into getting a power assist manual wheelchair. The time is nigh to finally add better mobility to my life. Read more

Remembering the Why of Standing

Remembering the Why of Standing

I was talking with a mom last week during the IFSP (Individualized Family Service Plan) meeting, about getting her child into a stander now that he is approaching 9 months old. This little boy has increased tone in his extremities with decreased head and trunk control, very limited use of his arms and hands yet. Mom knew about standers from her private therapist; in fact they were also planning to try one in private therapy that same week we discussed standing. Mom was all ready to try one, but wondered what the stander was going to help him do. Read more

Empathy: A Short Q & A With the Voices in My Head

So, let’s start this off with a nice light discussion of psychosocial issues.

I’m a big fan of Stephen King. Not because I’m a horror junkie, or because of any psychotic tendencies or mental illness that I’ve experienced following the trauma of spinal cord injury (side note: I acknowledge the unfortunate reality of this for some). Rather, I’m a proponent of, and relate with, the terror-evoking author’s acknowledgment of life’s yin and yang. Read more

My Story of my Daughter’s MS Diagnosis

My Story of My Daughter’s MS Diagnosis

I got the call at the end of my daughter’s second week of her freshman year in college. She told me that her feet and legs had been going numb. Knowing my daughter doesn’t complain when she’s hurt or sick, and that she is very independent, I knew something was not right. Read more

Pet Ownership for Those with Disabilities

Pet Ownership for Those with Disabilities

Owning a pet can bring great joy into your life as well as a good bit of responsibility considering that all living creatures require care and have needs to be met. Nonetheless there is a pet out there fit for everyone if you’re interested in an animal companion. Owning a pet also provides hidden health benefits such as lowering your blood pressure. They provide constant companionship and unconditional love. The question becomes what pet is right for you, your home, and your lifestyle. Cats and dogs are the most interactive of the popular pet choices so that is what I will be covering today. Read more

Standing After Hip Surgery

Standing After Hip Surgery

Children with cerebral palsy or increased muscle tone can be at higher risk of developing hip issues; their hips may begin to sublux, or progress to dislocation often requiring hip surgery. The whole process of surgery is scary and full of possible complications. But once that is done, returning to previous activities can add another fear; will my child hurt their hip from doing this? When they have pain, how much do parents need to worry or run back to the orthopedic surgeon to make sure that hip is still ok? Read more