For those of you unfamiliar with tweetchats, people answer questions posed by the moderator and comment on other tweets using the hashtag specified – in this case #socialortho.
If you enjoy fast-paced discussions about important sports medicine, healthcare, and social media topics, join us for future #socialortho tweetchats. We usually hold these chats on the first Wednesday of each month. The next #socialortho tweetchat will take place on Wednesday, November 6 at 9 PM ET.
Ann Wendel @PranaPT
Welcome to #socialortho We’ll give everyone a minute to check in. I sent @DrDavidGeier to watch the JT/Jimmy Fallon hashtag skit. #hilarious
Ann Wendel @PranaPT
@kmessina15 Glad you could make it to #socialortho I keep annoying my kids saying “hashtag” everything!
Dr. David Geier @DrDavidGeier
@PranaPT That is #awesome #sofunny #yourwereright #socialortho
Mike Hopper @mnhopper1s
@PranaPT @kmessina15 you mean you’re not supposed to say that? #socialortho maybe that’s why my kids all laugh at me 🙂
Ann Wendel @PranaPT
@mnhopper1s Wow – we got Mike and @kmessina15 in the same night during football season! #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart @PranaPT No worries Sarah. Ann might be a little snarky herself #socialortho
Ann Wendel @PranaPT
Tonight we’re talking about how to handle situations where your rec’s as a healthcare provider are at odds w pt’s goals #socialortho
Ann Wendel @PranaPT
@DrDavidGeier @BubblyHeart Watch it, buddy! #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT I have to believe every healthcare provider has dealt with this issue. Can’t wait to hear your opinions #socialortho
Ann Wendel @PranaPT
Q1: Have you had patients who seem to want very different outcomes than you do as their PT, athletic trainer or MD? #socialortho
Dr. David Geier @DrDavidGeier
It seems like I have several patients a day who want quick pain relief and not an actual long-term treatment for their injury. #socialortho
Ann Wendel @PranaPT
@DrDavidGeier Me too. Many times patients get frustrated by the process of physical therapy.It does take time. #socialortho
Jeff Zerfas @Zerfas_ATC
I’d agree with Doc most people want the pain gone but not the cause of the pain. Must want instant gratification #socialortho
Mike Hopper @mnhopper1s
@PranaPT Definitely #socialortho my kids all want the fix that gets them back on field ASAP. Not always doable. Must consider long-term
Sarah @BubblyHeart
@DrDavidGeier That was totally me! Thought Doc was one to fix me. Didn’t get that I had to do the work to get well. #socialortho
Ann Wendel @PranaPT
@kmessina15 What do they want you to do to give them the quick fix? Tape? Brace? #socialortho
Steven Kleinman @StevenRKleinman
@DrDavidGeier everyone wants quick pain relief just not everyone understands they haven’t necessarily fixed the problem #socialortho
Mike Hopper @mnhopper1s
@PranaPT @kmessina15 I decided 9 holes of golf was enough of a workout for me today. Was going to lift weights #socialortho
Ann Wendel @PranaPT
@Zerfas_ATC Yes, what are some ways we can discuss this with them? #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT I hear you. I feel like I have to talk them into PT. I’m not big on cortisone shots, but so many patients want them #socialortho
Sarah @BubblyHeart
@PranaPT @DrDavidGeier Takes time! But itty bitty bits add up quick. Key is to be participating in own rehab at HOME. #socialortho
Ann Wendel @PranaPT
@BubblyHeart @DrDavidGeier Sarah, do you feel that there was enough patient education to let you know what was expected of you?
Mike Hopper @mnhopper1s
@PranaPT @kmessina15 #socialortho That pretty pink @Rocktape sure seems to make things a lot better! 😉
Sarah @BubblyHeart
@DrDavidGeier @PranaPT Watched twin sis go through that this year. 2 rounds of cortisone and a scope… Some PT. Still no good. #socialortho
Dr. David Geier @DrDavidGeier
@KeatingSports Very true. I’m all for quick pain relief, & I try to emphasize treatments that prevent problem from coming back #socialortho
Ann Wendel @PranaPT
RT @mjcDPT: yes definitely. 1 of our PTs had issue w ped parent who wants son to walk when indications make it very difficult #socialortho
Ann Wendel @PranaPT
@kmessina15 Exactly. How do you educate them on the need to fix the root problem? #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart That’s not to say we can’t fix structural problems surgically or overuse problems w other tx. But pt has to buy in #socialortho
Ann Wendel @PranaPT
@BubblyHeart Is that something that took you a while to realize? The need to do HEP? #socialortho
Zack Duhamel @zduhammy
@PranaPT @kmessina15 thats a big question…trying to tackle a common human problem..we want to things…and we want them now #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT @kmessina15 Don’t even know where to start… #socialortho
Sarah @BubblyHeart
@PranaPT @DrDavidGeier No. Had 2 learn thru 20yrs experience as pt. Good thing I knew what I was getting into last go ’round. #socialortho
Ann Wendel @PranaPT
So maybe it comes down to managing patient expectations by educating them about their role in the process. Thoughts? #socialortho
Zack Duhamel @zduhammy
@PranaPT @kmessina15 my inexperienced opinion would say, sell the benefits of LONGTERM health if you fix the root #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman I’m sure you see it too, with modalities, other tx for pain relief but no patient interest in exercise program #socialortho
Ann Wendel @PranaPT
@kmessina15 I think especially hard with teens who have trouble thinking longer term than this weekend’s game! #socialortho
Steven Kleinman @StevenRKleinman
@DrDavidGeier I am not a big modalities guy, stim and taping that’s it and not nearly as much stim as I used to #socialortho
Ann Wendel @PranaPT
RT @EricaMeloe at the IE,I ask what they #value the most,what has meaning for them.That way we follow the same path together. #socialortho
Mike Hopper @mnhopper1s
@DrDavidGeier @PranaPT @kmessina15 haha! #socialortho I take it you’re not sold 😉
Sarah @BubblyHeart
@PranaPT Yeah, the fitness is still new to me. I’m a patient with a sports type injury who had never been an athlete. #socialortho
Steven Kleinman @StevenRKleinman
@DrDavidGeier #socialortho I explain to patients why I don’t do more and they seem to get it
Dr. David Geier @DrDavidGeier
@zduhammy @PranaPT @kmessina15 True. Same in youth sports. Fix underlying issue – mechanics, overuse – for long-term benefit #socialortho
Ann Wendel @PranaPT
@BubblyHeart That’s an interesting perspective – patients who are not used to exercise may not see the value at first. #socialortho
Sarah @BubblyHeart
@DrDavidGeier Agreed. If patient doesn’t buy in is waste of everyones time and resources. There is pride in getting well. #socialortho
Dr. Monique J Caruth @mjcDPT
@kmessina15 @PranaPT #socialortho do u guys ever wonder if our culture created this dependency on passive modalities/treatment?
Ann Wendel @PranaPT
@BubblyHeart @DrDavidGeier sarah,as a patient,what helps get your “buy in”? #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT @kmessina15 Honestly I don’t know that particular one. The pink comment tells me what I need to know!
#socialortho
Ann Wendel @PranaPT
@DrDavidGeier @mnhopper1s @kmessina15 Don’t hate on pink! #myfavoritecolor #socialortho
Ann Wendel @PranaPT
@mjcDPT Well, that is what people used to think of when they heard PT – ice, stim, US #socialortho
Mike Hopper @mnhopper1s
@PranaPT @DrDavidGeier @kmessina15 It’s #ThinkPink October! Gotta have the pink! #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT @kmessina15 #socialortho we should adopt a “scared straight” strategy. If root issue isn’t taken care of now longterm issues costly
Ann Wendel @PranaPT
@EricaMeloe had a good point about asking the patient at the first visit about what THEY value to get them on board. #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman Most PTs I know use modalities sparingly, if at all. Think same issue with convincing pts to do home exercises #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT @mjcDPT some still think that thanks to Dr Oz #socialortho
Sarah @BubblyHeart
@PranaPT @DrDavidGeieras Personality! The right Doc who takes interest in making me well. Same with PT. #socialortho
Ann Wendel @PranaPT
RT @BubblyHeart: @PranaPT @DrDavidGeier Personality! The right Doc who takes interest in making me well. Same with PT. #socialortho
Mike Hopper @mnhopper1s
@PranaPT @EricaMeloe our PT eval has spot for “goals” and “patient’s goals.” #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT roommate of college rugby player had ACL reconstruction, surgeon rec PT, he refused so works out at gym to heal self #socialortho
Ann Wendel @PranaPT
@StevenRKleinman @mjcDPT #truth #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart I see it w athletes, people who like to exercise too. Yes, there is pride in healing, avoid recurrence of problem #socialortho
Ann Wendel @PranaPT
So taking the time to ask about patient’s goals and taking an interest in them helps get them on board. #socialortho
Mike Hopper @mnhopper1s
@kmessina15 @PranaPT @DrDavidGeier You can send it to me, but you better hurry. Our #DigForPink volleyball game is next week! #socialortho
Sarah @BubblyHeart
@PranaPT @DrDavidGeier My 3rd ACL should have never happened. That Doc was NOT interested in my outcome, only his as academic. #socialortho
Steven Kleinman @StevenRKleinman
@mjcDPT @PranaPT can’t fix stupid #socialortho
Sarah @BubblyHeart
@DrDavidGeier I would think that’s a delicate balance. Twitter drives me nutso sometimes. Opposite end, ppl push too much! #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho education is definitely huge. We have to find ways to communicate with clients better. Get to know them, reach them.
Dr. David Geier @DrDavidGeier
@mjcDPT @PranaPT I hear that from patients all the time. They don’t need PT because they workout at the gym. #notthesamething #socialortho
Ann Wendel @PranaPT
@DrDavidGeier @mjcDPT For things like a knee scope I often suggest that MD offer patient a “3 visit program.” See PT 3x. #socialortho
Steven Kleinman @StevenRKleinman
#socialortho had Pt recently say why do I need PT if I can go exercise at gym….oh I don’t know….cause ur not feeling better
Erica Meloe @EricaMeloe
@Zerfas_ATC @PranaPT Not all athletes, especially the ones who are out of the playoff races. #socialortho But I agree, most athletes get it
Ann Wendel @PranaPT
@mjcDPT And we need to show the correlation b/w the exercises/treatment and pt’s goals #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart Push too much, as in trying to recover too fast or working too hard? #socialortho
Dr. Monique J Caruth @mjcDPT
@DrDavidGeier @PranaPT #socialortho so crazy but again goes back to the culture we’ve created. Some MDs make PT/AT seem non essential to pts
Dr. David Geier @DrDavidGeier
@PranaPT @mjcDPT 1 of my early mentors sent athletes to PT for one visit before surgery. If they didn’t go, he wouldn’t operate #socialortho
Ann Wendel @PranaPT
RT @kmessina15 I find that explaining how the body works & everything must do its job like a “team” that ath respond well! #socialortho
Erica Meloe @EricaMeloe
@PranaPT Education, cognition, and emotion all a part of the healing process. And of course, matching their goals with yours #socialortho
Sarah @BubblyHeart
@DrDavidGeier Both. Have to have respect for the work of the Doc ya know? Stitches, grafts, all take time to heal. #socialortho
Steven Kleinman @StevenRKleinman
#socialortho I like my patients who I tell them they can be D/C’d and beg to stay longer cause they saw benefit of my supervision
Ann Wendel @PranaPT
@DrDavidGeier @mjcDPT Yes,ideally 1st visit is pre-op then 2 post-op.Pre op visit allows education when pt not in pain/on meds. #socialortho
Mike Hopper @mnhopper1s
@mjcDPT @DrDavidGeier @PranaPT unfortunately I agree #socialortho Drives me nuts!
Dr. David Geier @DrDavidGeier
@mjcDPT @PranaPT I just don’t get that. If we all work together as a team, we can achieve patient short-term & long-term health #socialortho
Ann Wendel @PranaPT
@StevenRKleinman Do you have a cash based Wellness option for them? #socialortho
Dr. Monique J Caruth @mjcDPT
@DrDavidGeier @PranaPT at POPTS suggested to surgeons that surgical candidates should receive min 3-4 PT treatments prior #socialortho
Steven Kleinman @StevenRKleinman
@PranaPT yes I so offer that #socialortho
Dr. Monique J Caruth @mjcDPT
@DrDavidGeier @PranaPT #socialortho improved outcomes drastically & follow through with PT after surgery also improved.
Erica Meloe @EricaMeloe
@mnhopper1s @PranaPT So does mine but you have to ENGAGE the patient with what has MEANING for them. & this of course changes! #socialortho
Howard Luks MD @hjluks
@DrDavidGeier @PranaPT @mjcDPT I test people all the time 🙂 patients need to hold up their end #teamwork #socialortho
Dr. David Geier @DrDavidGeier
@StevenRKleinman You should shoot video testimonials of patients talking about the value of their PT for patients just starting #socialortho
Ann Wendel @PranaPT
The benefit of my practice is many patients have tried everything else by time they get to me.So they listen #socialortho
Quality Physio @QualityPhysio
@CNN Most states have Direct Access to Physical Therapy, Insurances are blocking it! No need for HealthCare Systemcrash #bizPT #socialortho
Dr. David Geier @DrDavidGeier
@mjcDPT @PranaPT Agree. His point was that he wouldn’t operate on anyone who wouldn’t at least try nonop tx/PT #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT @StevenRKleinman Actually that makes sense. Those patients that are so happy with their outcomes in PT would buy in #socialortho
Ann Wendel @PranaPT
@hjluks @DrDavidGeier @mjcDPT How do you test them, Howard? #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart Yeah I usually can figure out pretty quickly which patients/athletes I will be fighting to hold back. #socialortho
Ann Wendel @PranaPT
@DrDavidGeier @StevenRKleinman Yes,especially those not yet ready for unsupervised exercise,or don’t know where to start. #socialortho
Howard Luks MD @hjluks
@PranaPT @DrDavidGeier @mjcDPT reading @CentranaHealth info, attend PT or if TKR also try cane etc #socialortho
Erica Meloe @EricaMeloe
@DrDavidGeier Yes,but the buy in is prevention and getting back into the game LONG TERM. I mean look at Peyton Manning!! #socialortho
Sarah @BubblyHeart
@PranaPT @StevenRKleinman I’d buy into that. Got kicked out of PT by insurance- can go back now 6 mos out but time in btwn…
Ann Wendel @PranaPT
Has anyone ever had a patient leave their practice b/c they wanted to find someone who would give them what they wanted? #socialortho
Dr. Monique J Caruth @mjcDPT
@kmessina15 @PranaPT some just have to learn the hard way. I use to be one of those. #socialortho
Ann Wendel @PranaPT
@BubblyHeart @StevenRKleinman Didn’t they offer you a cash based option to continue? Or a Wellness program? #socialortho
Howard Luks MD @hjluks
@PranaPT of course .. But I sleep well at night #socialortho
Ann Wendel @PranaPT
@hjluks Me too! #socialortho I tell them what they need to hear,not what they want to hear. #socialortho
Mike Hopper @mnhopper1s
@PranaPT definitely. We have some who decide that chiro works better than PT #socialortho Or some who go to both…
Erica Meloe @EricaMeloe
@DrDavidGeier This takes 2 posts sorry! Look at how Peyton has benefitted from PT and hard work and a long term game plan! #socialortho
Dr. David Geier @DrDavidGeier
@EricaMeloe Yes we have to think ahead. And nice job with the Peyton mention! Maybe Derrick Rose vs RGIII similar comparison? #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT #socialortho if we can’t explain 2 client why doing a particular exercise helps we’re already disengaging. Fascinate with knowledge
Steven Kleinman @StevenRKleinman
@kmessina15 @PranaPT @DrDavidGeier I don’t trust most unsupervised if not given direction and supervision irat #socialortho
Ann Wendel @PranaPT
@mjcDPT Yes, back to staying engaged,educating on the WHY behind what we do in treatment. #socialortho
Dr. David Geier @DrDavidGeier
@EricaMeloe It was worth two tweets! Yes, especially when that injury could have ended his career #socialortho
Christopher Stewart @cbs301
@PranaPT Difference in patient seeking therapy and MD sending them to therapy #socialortho
Dr. Monique J Caruth @mjcDPT
@StevenRKleinman #socialortho do you have a wellness program after discharge?
Sarah @BubblyHeart
@PranaPT @StevenRKleinman Felt like lots of my time as PT was spent on re-evals and PT paperwork. #socialortho That’s not time well spent…
Ann Wendel @PranaPT
@cbs301 True,but even those who are “sent” may be able to share their goals and we can show how we can help them reach it #socialortho
Sarah @BubblyHeart
#socialortho Occurring to me that PT can be both patient and physical therapist, am I missing a piece of lingo?
Ann Wendel @PranaPT
RT @srharris22: this was HEP given to pt by ortho sx, no review, and told to be NWB 4 hip/ankle injury #socialortho pic.twitter.com/f5NhwuyEZp
Erica Meloe @EricaMeloe
@DrDavidGeier Absolutely!Love Basketball! A little fear avoidance with Derrick? “I’m not ready yet” WHAT? RGIII-total opposite #socialortho
Ann Wendel @PranaPT
@BubblyHeart Sorry! Usually PT = phys therapist and pt=patient #socialortho
Christopher Stewart @cbs301
@PranaPT Definitely. Personal focus and education on potential. We have to fire them up! #socialortho
Ann Wendel @PranaPT
@cbs301 Help them see the WHY not just the HOW or WHAT. #socialortho
Dr. David Geier @DrDavidGeier
@BubblyHeart Hmm. Good point. I use PT for physical therapist and pt for patient. Not to suggest one is more important, though #socialortho
Christopher Stewart @cbs301
@PranaPT Just like we’re in sales. #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT yes but I’ve had to grow on dealing better with that & not take it personal. For the clinician it is best #socialortho
Erica Meloe @EricaMeloe
@DrDavidGeier I know!!! What an inspiration!! Since I am #Giants fan, this is going to be a long year for us here in NY! #socialortho
Ann Wendel @PranaPT
@mjcDPT Yes, not every patient is “my” patient. Back to UVP and target population. #socialortho
Ann Wendel @PranaPT
RT @cbs301: @PranaPT Just like we’re in sales. < We are! Selling physical therapy as the solution to their problem 🙂 #socialortho
Dr. David Geier @DrDavidGeier
@EricaMeloe Better watch it. I can talk famous athlete injuries all day. #socialortho
Ann Wendel @PranaPT
RT @DrDavidGeier: @EricaMeloe Better watch it. I can talk famous athlete injuries all day. < Stay focused, Grasshopper #socialortho
Ann Wendel @PranaPT
@kmessina15 @mjcDPT I know that’s right! #socialortho #teenagers
Dr. David Geier @DrDavidGeier
@PranaPT @EricaMeloe That was #rude #socialortho
Ann Wendel @PranaPT
RT @DrDavidGeier: @PranaPT @EricaMeloe That was #rude
Erica Meloe @EricaMeloe
@DrDavidGeier Me too!! a couple of basketball players having knee surgeries over the summer. Hum…..I wonder!?? 🙂 🙂 #socialortho
Dr. Monique J Caruth @mjcDPT
@PranaPT @hjluks #socialortho I love @SandyHiltonPT slogan of the uncomfortable truths…target population
Ann Wendel @PranaPT
#socialortho So in a nutshell: set goals WITH patients,tell them WHY,educate on HOW,encourage them to DO! #socialortho
Erica Meloe @EricaMeloe
@PranaPT @DrDavidGeier Sports get the best of me Ann!! 🙂 🙂 #socialortho
Heather Milligan @HMilliPT
@PranaPT @srharris22 definitely not ideal way to manage a pt,sadly have seen some PTs operate in similar way, we can do MORE #socialortho
Ann Wendel @PranaPT
@EricaMeloe @DrDavidGeier I just try to keep him on track! #lolololol #shinythings #overhere #socialortho
Christopher Stewart @cbs301
@PranaPT I think too many PTs do not think of it like this. #socialortho
Dr. David Geier @DrDavidGeier
@PranaPT I think we got to 1 of the 6 questions we had on short-term vs long-term goals of patients, athletes. What a group! #socialortho
Ann Wendel @PranaPT
@cbs301 Sadly, I agree. #socialortho Marketing is not a dirty word.
Ann Wendel @PranaPT
@DrDavidGeier No, I got at least 3 in there,I just forgot to number them! #socialortho
Mike Hopper @mnhopper1s
RT @kmessina15: @mjcDPT @PranaPT I’m fascinate with knowledge – I keep myself engaged lol #nerd #foreverstudent #socialortho
Dr. Monique J Caruth @mjcDPT
RT @kmessina15: @mjcDPT @PranaPT I’m fascinate with knowledge – I keep myself engaged lol #nerd #foreverstudent #socialortho
Mike Hopper @mnhopper1s
@PranaPT @DrDavidGeier He’s a doctor; he’s got nurses to count for him! 😉 j/k #socialortho
Ann Wendel @PranaPT
Great group tonight! Thanks everyone for participating! See you on Nov.6 at 9pm ET for next #socialortho
Dr. David Geier @DrDavidGeier
@mnhopper1s @PranaPT Wow. Tough to recover from that… Maybe I need cheerleaders instead? #socialortho
Erica Meloe @EricaMeloe
@PranaPT @DrDavidGeier Excellent! Thank you both for being here !! What fun!! #socialortho
Dr. David Geier @DrDavidGeier
@EricaMeloe @PranaPT It was fun. We should do it again next month! Thanks! #socialortho
Mike Hopper @mnhopper1s
@kmessina15 @PranaPT @DrDavidGeier We’re all hilarious. Sarcasm is just one thing we’re good at! #AT4ALL #laughterbestmedicine #socialortho
Dan E Timm PTA CI @danetimm
“@PranaPT: #socialortho So in a nutshell: set goals WITH patients,tell them WHY,educate on HOW,encourage them to DO! Beautiful #socialortho”
Jeff Galloway @SprtSolutionsBG
@mjcDPT thanks for the follow-back, I was stalking #socialortho. Always good to connect to other Christian PTs
Ann Wendel @PranaPT
@ptguy2001 That’s a winning combination. We need to partner with patients for success. They need to feel heard and understood. #socialortho
Remember to join the #socialortho tweetchat every month. We hold them the first Wednesday of each month at 9 PM ET unless we announce a change. Follow me on Twitter, and follow co-moderator Ann Wendel, for more information!