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residue69 2 points ago +2 / -0

Here's a tip from someone who's had both: You want a PT that hurts you and the reasons given below illustrate why. If your PT lets you lay around watching TV with a TENS unit, they're doing it wrong.

Had they lived in the United States, their recovery would have progressed entirely differently than it eventually did in Canada. In the United States, they would have been seen within days by their primary care physician. The husband would have been followed up by his surgeon. Additional scans and studies, including MRIs, CT scans, and X-rays would have been performed to determine if his fractures were healing, if the bones were forming new growth where they had been joined with plates and screws. The extent of any nerve damage would have been determined by EMG studies. As soon as he was ready, he would have been started on a course of physical therapy directed to rehabilitating his many injuries, and returning him as closely as possible to his prior level of function, or that level that a maximum medical recovery would have allowed. Such therapy would likely have been administered at least twice, and more likely three times or more, per week. The progress would have been recorded and the surgeon and primary care doctor, or other orthopedic specialist, would have been copied on the reports. A team approach to this man’s healing would have brought about the greatest degree of recovery and resumption of function that it was possible to achieve.

In Canada, none of that happened. Upon their return home, their actual care virtually ceased. They had a primary care doctor in Canada and saw him within a month of returning. Initially, he prescribed physical therapy once a week for the husband. Eventually this was reduced to once every two weeks, and then once a month. Finally, therapy was stopped. Given the nature and extent of this man’s injuries, that frequency of therapy is therapeutically meaningless. The benefits of therapy are cumulative, so the fewer of them there are, and the more spaced apart they are, the less effect they will have. In addition, especially at the beginning stages of recovery when care is most important, movement is painful and most patients will not have the will to induce that pain, or the knowledge of what to do, how to do it and when to do it to achieve the most gain. Without immediate rehabilitation of the injuries by trained professionals, they become chronically painful. The pain inhibits further movement, which leads to reductions in ranges of motion, limitations in function, and diminishment in daily activities. The complications cascade thereafter. Weight gain, sleep disturbance, medication reliance, etc.

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GadsdenFlag 2 points ago +2 / -0

TLDR; Socialism doesn't work.