Ron, etc.,

I admit I am a lurker, and generally a more subtle advocate for our
profession, but even I get irked into irritation at times with the blatent
disregard for our profession by our Association, the medical community, and
other OTs.


Case in point.  I was called in to work at a rural outpatient clinic today
at a hospital system that I work at PRN.  On the wall there is a newspaper
article for the local paper with the title "New Physical Therapist" and a
picture next to it of someone I know to be an OT.  The article was welcoming
her to her new post (it was a few years dated) and in honor of OT month.
YET TITLED AS A NEW PT!!!!!!!   Now maybe the paper made a mistake, but the
clinic chose to prominantly display this article for all the patients to
see.  And many of her pts called me a PT or asked, "what is OT again?
What's the difference?"

I was shocked!    How as a profession can we expect to move forward and gain
identity when our own colleagues don't distinguish us from other
disciplines?

Humbly,

Kelly the OT!


On Fri, Oct 17, 2008 at 6:21 PM, Ron Carson <[EMAIL PROTECTED]> wrote:

> Thanks EVERYONE.
>
> I  just  don't  get  it.  I  just  don't  understand  how OT is so far
> behind...
>
> I don't know if I shared this or not, but one of the other therapists,
> a  PT,  documented  over 45 visits in one week. Now, tell me how can a
> therapist make 45 visits in one week, especially when they are driving
> 100+  miles each day? The answer of course, is that each visit is 20 -
> 30 minutes. How is that quality therapy? Is that even therapy?
>
> I  thought  about  going back to the manager and explaining that OT is
> vastly  different  and that OT takes more time than other professions.
> And  that  I  can't  do  quality  OT in 20 - 30 minutes, it's just not
> possible.  But,  like  my  lovely  wife  pointed  out,  the  HH agency
> obviously  cares  more  about money than quality therapy. I understand
> that  as a corporation, there are revenue goals to be met but come on.
> You  know,  it  would  be difficult meeting 30 visits/week. For one, I
> routinely  drive over 100 miles/day and sometimes 150. That's a LOT of
> drive time. So, when is paperwork, phone calls, family calls, etc?
>
> It really is a shame. I give 100% to patient's outcomes, I often leave
> patient's  homes wringing wet with sweat, and yet my agency is "upset"
> because  I'm  not  meeting  productivity.  Sadly, I could go sit on my
> butt,   counting   exercise  reps  for  30  minutes  and  easily  make
> productivity. But, how much benefit is that?
>
> I  am so stinkin' frustrated with OT and AOTA. You know we've got that
> "great" centennial vision of OT being:
>
>        "a    powerful,   widely   recognized,   science-driven,   and
>        evidence-based   profession  with  a  globally  connected  and
>        diverse workforce meeting society's occupational needs"
>
> At  times  like  this I think some people at AOTA are TOTALLY clueless
> just  how  bad  it  is.  How can we meet society's needs when the VAST
> majority  of  society has no earthly idea what we do. Or when OT's are
> practicing  so different from our framework that we are seen by almost
> EVERYONE  working in phys dys as UE therapists. Almost every patient I
> meet  in  home health is either clueless about OT or they know that we
> do  pegs,  cones, etc. Or, I really love it when a patient who does NO
> cooking  says  she  "baked  brownies"  in OT!!! My gosh, people, GET A
> STINKIN' CLUE ALREADY!
>
> The situation STINKS !!! and I'm tired of it!!!!!!!!!
>
> OK, time to move on, right?
>
> Ron
>
> -- Ron Carson
> MHS, OT
>
> ----- Original Message -----
> From: Brent Cheyne <[EMAIL PROTECTED]>
> Sent: Friday, October 17, 2008
> To:   otlist@otnow.com <otlist@otnow.com>
> Subj: [OTlist] Lost my OT job today
>
> BC> Ron,
> BC>      Sorry to hear of the struggle and I think a lot of us have
> BC> been there before...getting the "OT slap in the face." We are the
> BC> Rodney Dangerfields of  the Rehab worll...we get "no respect...no
> BC> respect at all". You have my admiration for your conviction to
> BC> your ethics and principles which is all you have in the end. I
> BC> often have days of wondering whether I chose the right
> BC> profession...just due to the fact that I have to explain myself
> BC> and earn respect and justify my serivices...it is hard work  Just
> BC> stay strong and move on...some good may come from it all.
> BC> Brent Cheyne OTR/L
>
> BC> --- On Fri, 10/17/08, [EMAIL PROTECTED]
> BC> <[EMAIL PROTECTED]> wrote:
>
> BC> From: [EMAIL PROTECTED] <[EMAIL PROTECTED]>
> BC> Subject: OTlist Digest, Vol 43, Issue 14
> BC> To: otlist@otnow.com
> BC> Date: Friday, October 17, 2008, 6:33 AM
>
> BC> Send OTlist mailing list submissions to
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> BC> Today's Topics:
>
> BC>    1. Lost My Home Health Job Today... (Ron Carson)
> BC>    2. Re: Lost My Home Health Job Today... (pat)
> BC>    3. Re: Lost My Home Health Job Today... (Ron Carson)
> BC>    4. Re: Lost My Home Health Job Today... (pat)
> BC>    5. Re: Lost My Home Health Job Today... (Marie Henderson)
> BC>    6. Re: Lost My Home Health Job Today... (Guy Montague-Smith)
>
>
> BC> ----------------------------------------------------------------------
>
> BC> Message: 1
> BC> Date: Thu, 16 Oct 2008 16:18:40 -0400
> BC> From: Ron Carson <[EMAIL PROTECTED]>
> BC> Subject: [OTlist] Lost My Home Health Job Today...
> BC> To: OTlist@OTnow.com
> BC> Message-ID: <[EMAIL PROTECTED]>
> BC> Content-Type: text/plain; charset=windows-1252
>
> BC> Well sort of.
>
> BC> I  was  asked  to revert back to PRN status because my productivity is
> BC> not high enough. The goal is 30 visits/week and I've only been as high
> BC> as 24.
>
> BC> I guess I'm to blame because I give patients ONLY what they need. If a
> BC> patient  needs  5 day/week, that what they get. If they don't need any
> BC> OT,  then  that's what they get. I guess I could just see all patients
> BC> 3x/week and that would take care of the productivity, but I don't feel
> BC> that's appropriate.
>
> BC> I  told  my  supervisor that I can not see patients if I don't get the
> BC> referrals.  I told my supervisor that I've always thought OT should be
> BC> the  premier  discipline  but  I don't think she agreed. I also had to
> BC> counter  the  OT  =  upper  extremity "thing" at least three times.
> BC> It
> BC> seems  that  no  matter  how  many times I explained that my OT is not
> BC> about  UE,  she  just didn't get it. She did ask me to do an inservice
> BC> for the nurses, but I'm not too optimistic...
>
> BC> I must say that my poor little OT feelings are deeply hurt. The agency
> BC> just  hired  2  new  PTA's.  I  must  say, I do get a wee bit tired of
> BC> fighting this battle.
>
> BC> Thanks for listening to me "cry".
>
> BC> Ron
>
>
>
> --
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>
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