Ron, I have been a member for only a few months and I really hope it keeps going and thrives. No venue in the OT profession has made me think and reflect more about my practice than the postings in the OTList! Though I'll admit that I don't agree with everything you or some of the other contributers write, it's nice to have someone to ask the hard questions and bring up the issues that are often not addressed directly in other OT professional forums . It's also nice to know that other OT's are struggling with similar problems. At this point I feel guilty about not contributing more to the conversation..I'll admit I'm more of a listener and observer and open to incorporationg a lot of different ideas...and try to see things from all angles. But I am reluctant to submit a posting at times because I'm not rigidly attached to certain concepts and assumptions about OT. Sometimes I feel there's not enough dissenting opinions or discourse in the profession as a whole and we are all expected to think the same way from the same perspective. At times I grow cynical and skeptical about my profession and since I work in the SNF industry where productivity and medicare issues complicate practice, I try to make the best of it by focusing as much as possible on being positive and being relevant as a therapist. Sometimes at the end of a hard day it's hard to go home and read about all the problems and issues( ie negativity and frustration) I just left at the office. Perhaps others are in the same frame of mind. There needs to be a balance of postivitve energy, new solutions, and an equal focus on success and good things that are going on out there...otherwise the OTList can be a lilttle anxiety provoking and discouraging. But the bottom line is that we need the OTList as community to talk candidly and openly about the struggle of practice. It is a healthy thing for the profession to hash out some of these topics...these are the things that progressive and science based professions do. I sincerely thank you for you efforts and contributions, I admire you work and conviction, Brent Cheyne OTR/L
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