Ron, Give it up!  Can't you take pride in the fact that OTs are the best at developing 
tricks that help
people function.  There is no shame in being creative.  If I were to answer the MD, 
I'd tell him that a lot
of tricks I devised (or got from other OTs) are very important.  But I don't think I'd 
be embarrassed by
having my skill called a "trick."  Turn lemons into lemonade.  Estelle Breines

Ron Carson wrote:

> Hello Ann:
>
> I agree with your comments.
>
> I think my quote was too long.  The point which struck me as negative was
> the comments by the researcher that one-handed dressing is a trick.  For
> some reason, this comment really sends me over the edge.  It's as though he
> is undermining the value and importance of being able to dress without the
> use of both upper extremities.  Referring to this as a trick really sends a
> negative message about adaptation and about OT.
>
> Maybe I am just hypersensitive to the situation!
>
> Ron
>
> ----------
> On 3/22/2001, [EMAIL PROTECTED] Said:
> Dac> Ron
> Dac> I don't have a problem with the quote you posted.  The traditional
> Dac> rehabilitation model is one of compensation, not remediation, which is what
> Dac> this doc is pointing out.  There are many sites that do focus more on the use
> Dac> of the unaffected arm/hemibody and not on the remediation of the affected
> Dac> arm/hemibody with CVA patients.  Personally, if I had a stroke, I would first
> Dac> want to make every effort to regain as much use of the affected hemibody as I
> Dac> could, and would choose to use adapted techniques only after attempting as
> Dac> much remediation as possible.  Regaining the strength and coordination of the
> Dac> affected limbs offers me much more flexibility in approaching any
> Dac> occupational role in which I choose to engage.  Since full recovery is
> Dac> frequently not possible, certainly adaptations also need to be explored, but
> Dac> not necessarily as the preferred or first treatment of choice.
> Dac> Ann
>
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