How Counting Blessings Increase Mental Health

Miracles are all around us.  Some are big and some are small.  Some seem like your heart just grew a million sizes in one moment, just like the “Grinch”.  Some are just tiny wonders, like the melting of your heart when you see the joy of your family all together at the Holidays.

Miracles are defined by “a surprising and welcoming event that is not explainable by natural or scientific laws and is therefore considered to be of a divine nature.”  Words, such as, wonder, marvel, sensational, spectacular and mystery come to mind. These extraordinary events are beyond my comprehension.  I consider them miracles that you and I will never explain.

In my profession of physical therapy, I see these miracles all the time.  My patients’ bodies heal from injuries that often are so debilitating that I am shocked at their resilience.  Clearly the body was broken and now it is well. Clearly death knocked on the door and they were healed.  I can’t even understand it, but the human spirit is so powerful and strong I am overwhelmed.

This time of year I have seen so many miracles that I often wonder why right during the Holidays?  I can never begin to explain these incredible phenomena at all but I know that they are all around us.  I was just reminded of an incredible story this past week of a dear family to my whole office.  The beautiful Mom went into labor on Christmas day and she had some complications and ended up in Spokane with her new baby.  The baby was at high risk.  They were told that she would not make it.  They were told she would have developmental issues if she did make it.  The doctor told the family and the grandparents to prepare to bury their baby.  The family said no to this idea and they said they couldn’t accept that verdict.  They called out to everyone they knew at church and in our community and all over the country to pray, to reach out, to tell everyone they could think of that they needed a Christmas miracle!!   She was a Christmas baby and she needed divine intervention.

Everyone prayed, waited, believed and the family rallied at the hospital meanwhile loving all the other families with sick children on Christmas on their hospital floor. People donated gas cards, vouchers for everything from electricity, food and toys for other families and kids on the floor.  She was released from the hospital 3 weeks later.  This year she will be 2 years old on Christmas with no visible signs of any health deficits. She walks, talks and gets into everything.  As you can well imagine, we are all still in awe. It was a Christmas miracle right here, right in front of us, right before our eyes.

As you start this crazy, wild Holiday Season I would challenge you to look for the miracles all around you everyday.  I know sometimes it doesn’t seem possible or probable but I am here to tell you they happen.  We see them in our clinic all the time.  Like the man whose lower leg was shattered and they said he would never use it again and now he climbs ladders with no brace and works like a wild man. Like the lady whose family thought she would never wake up after having a terrible stroke and now she snowshoes and hikes with her family.  Like the teenager who blew out his knee and they said you will never pitch again and he does.  Never doubt the human spirit, never stop believing in the physical healing available for your health issues, and never ever give up on the amazing gift of your life.    Watch for the miracles this Holiday in the hustle and the bustle, little and big, you will be amazed.

 

Sheree DiBiase, PT and her staff believe in the amazing potential in the body to heal itself and often it just needs a little help and direction in physical therapy, so let us be part of your healing team this Holiday Season and throughout the year. If you have a miracle to share please email us at.  We can be reached in our CDA office at (208) 667-1988 and in our Spokane valley office at (509) 891-2623.

 

 

Digital Presence Marketing And Lean Business Will Propel Healthcare

Digital Presence Marketing And Lean Business Will Propel Healthcare lake city pt sheree dibiase

The first annual “WED Women’s Entrepreneur Day” evening at the Innovative Collective was a great success! Thank you to all our sponsors and delegates for making it happen and putting CDA/Spokane on the map for women in business.

As part of our healthcare panel, I got thinking about what we need to do to stay in front of our consumers, as medical marketing is usually 2-4 years behind Industry standards.

As we all know, healthcare is changing rapidly and we must adapt. We need to stay focused on our goals and flexible in our businesses so we can change with the times. That being said, one of our biggest challenges is learning how to reach this next generation of patients, before they need us.

That’s what I said, “before, they need us”.

 

How To Digital Market Healthcare

Healthcare, unfortunately has always tracked behind in the traditional marketing arena. Medical groups and organizations have always been slow to adopt new marketing strategies, due to regulatory issues from governing bodies, such as our licensing boards, federal and state insurance standards, FDA restrictions and HIPPA compliance requirements.

But really, healthcare needs an active presence online and in social media because health information is the third most popular topic searched for on the internet. According to a Pew research study, this year alone 72% of all people who are on the internet will search for health related information at some point.

That’s a huge audience right at our fingertips.

 

How Healthcare Is Becoming Mobile

So social media is where we need to go to provide helpful educational information about our medical practices, our specialities and topics that are important to our communities health and well-being. Facebook is currently one of the most powerful tools in social media for the medical profession. In one study it stated that 90% of all 18-24 year olds would trust online healthcare related information if it came from someone in their social circle recommending it.

Patient interaction and trust comes from being in relationship with people before they need us. How this happens is via mobile phones. Healthcare currently has over 97,000 apps and over 93% of all MD’s believe these healthcare apps can improve their patients lives. By the end of the year it will account for over 26 billion dollars in revenue.

So medical practices need to develop a digital presence with a landing page on the internet and blogs about current health care topics that come up when searching for particular topics. They need to have a social media presence on Facebook with educational topics and their specialities. They need to develop digital marketing ideas and run with them via the internet and social media so they can educate the public about their practices.

How we accomplish these things will determine our success in the future. We can stay lean in hard times if we go directly to the consumer and have a conversations that educate them on why they need us. After that, a relationship develops and we have access to a whole network of people.

The question is, “will we be willing to develop new strategies, propose new solutions and come up with new ideas to foster these relationships”? I think we can. We will have to be willing to change and grow, but we can do it, I know we can.

Sheree DiBiase, PT owner of Lake City Physical Therapy, PA and WED Women’s Entrepreneur Day delegate on the healthcare panel November 28, 2017. Reach us at our CDA office (208)667-1988, Hayden (208)762-2100 and Spokane Valley office (509)891-2623.

What Is The Difference Between Concentric And Eccentric Contractions

Core Align is a new upright Pilate’s machine from Balanced Body.    A physical therapist from Israel designed this revolutionary new piece of Pilate’s equipment that has changed the way we train the core in the weight bearing position.  We now have the ability with this new piece of equipment to train groups of muscles in the concentric and eccentric patterns, all the while incorporating the trunk as the stabilizing site of control.

Our core trunk muscles must be powerful and this site of power is where our center of gravity is located.  Our center of gravity is located just anterior to the last vertebra of our spine, which is called the sacrum.  If you have the normal muscle control in this region you will have the core strength necessary to accomplish anything you want to do everyday without the risk of injury.

The types of muscle contractions that happen in our body make a huge difference when we are training.   The concentric contractions occur when the muscle actually shortens when it contracts and eccentric contractions happen when the muscle contracting is actually elongating as it is contracting.  The eccentric muscle contraction is the most difficult type of contraction for the body.  This type of contraction is also when most of the injury occurs because we do not train eccentrically as we should.   A prime example of this is when you go hiking.     The big Quadriceps muscles in the front of your thigh does a shortening contraction as you go up the hill and as you come down the hill your thigh muscles do an elongating contraction.  The same thing happens when you ascend and descend the stairs.   That is why often you feel unsafe as you come down the stairs because your Quadriceps muscle is not strong enough as it is elongating.

The great thing about the new Core Align is that it helps accomplish this very thing.  We can now train for multiple different activities that we do everyday utilizing these techniques for concentric and eccentric activity in an upright functional pattern.  It takes balance, coordination and proper muscle sequencing to accomplish this workout and it is fun.    For a quick look you can go on U-tube.  Type in Core Align for training for snowboarding or skiing, etc. and you will see how important your core is for your functional ability.  Remember, your body likes to be balanced and your core is your key.

 

Sheree DiBiase, PT, loves to train on the Core Align and her staff would be happy to show you how fun it is to train on it.  Please call us at Lake City Physical Therapy (208) 667-1988 and ask to set-up a time to come visit us and we will show you this fun new way to train.  Personal training sessions on the Core Align are also available with our experienced staff so call for a ½ hour or hour session.

Do Supplements Really Do Anything

Sometimes you feel desperate about your health.  You have been training hard for months now and everything seemed to be going well, but suddenly for the past few days you just feel worn out.   So you rush to the health food store and buy some supplements that you read about in your current health magazine and then you hope what you are taking is working for you.  But how do you know if they are working, all these supplements you are taking?  Or for that matter what you are eating and drinking everyday?

There is a way for you to know if the supplements and the food you are eating are working for you.   It’s easy and quick, it only takes 90 seconds.  It is a Biophotonic scanner that was developed out of the University of Utah Department of Physics by Dr. Werner Gellerman. He developed an amazing instrumentation that is a non-invasive way to measure the carotenoids in the skin, eye and other human tissue in his laboratory using Raman spectroscopy.  There is no other technology like it.  It is used to evaluate the biochemistry and the biophysics of nutritional interventions against inherited and acquired disorders.  In the Berstein Laboratory, which was funded by the National Eye Institute, studied the proteins involved in the uptake and stabilization of the proteins lutein and zeaxanthin in the human macula of the eye.  This measured the dietary xanthophyll carotenoids that play an important role in protecting the macula of the eye from daily light-induced oxidative stress damage. It was seen that when high levels of this carotenoid was present less risk of age-related macular degeneration was correlated.   This technology was further developed and a machine was designed to be use on other human tissue and the skin was one of them.  In the skin they are able to measures your antioxidant levels through these carotenoids and there is a direct correlation in scientific based research that the higher your antioxidant levels the less likelihood of you developing major diseases such as cancer, heart disease, diabetes and other autoimmune-related disease.

So now there is a tool to see if what you are eating, drinking and taking is actually working to keep you healthy and prevent disease whish is related to oxidative stress.  Remember oxidative stress is happening everyday but what you eat, drink and take protects you from the harmful side effects of it.  So what are you eating and drinking and could that be why you don’t feel so well?  Seven to nine servings of fruits and vegetables is what you need a day to protect you.  Are you getting that a day?

So you may wonder why a physical therapist would care so much out what you eat, drink and take a day, well I will tell you why.  In my profession I take care of your musculoskeletal system and what you eat, drink and take directly correlates to how well you do in physical therapy and how well you are able to heal form injury. Years ago I took a continuing education course from an internal medicine specialist in Seattle, and he challenged me to think differently about my patients and their nutritional health and how is correlates to wellness.  I then began to think of the macronutrients and the micronutrients that we need daily in order to be able to have our patients heal from injury.   There was no measurement tool when I trained with him years ago, but now thanks to the Biophotonic scanner technology we have a way to know if what you are eating, drinking and taking is working for you and if it’s not we know what to do about it so you can prevent injury and heal from disease.  Don’t wait till you are ill to wonder how well your score is, come in and get tested, it only takes 90 seconds and live well.

 

Sheree DiBiase, PT is the owner of Lake City Physical Therapy and she and her staff will be happy to scan you so you have a biomarker of your nutritional health.

Call us for an appt- $20 for your scan.  CDA office (208) 667-1988.

What Are The Best Foods For Micronutrients

I always thought the old saying “a picture is worth a thousand words” was true and now I really think that is the case.  Two weeks ago at the Race for the Cure we had the opportunity to test the antioxidant levels of a lot of our community that stopped by our booth.  As you look at our sampling, you can see that the majority of those that we screened were in the 20,000 to 30,000 ranges, which is the orange color.  Then came the yellow and the red color. These three colors are associated with low antioxidants levels.  The blue and green colors, which are 40,000 and above are associated with good antioxidants levels that will protect you from disease, such as heart disease, diabetes, depression, cancer prevention and re-occurrence, and auto-immune diseases.  Dr. Oz scored 75, 000 when he was tested on his show.

Antioxidants are available to us in the foods we eat and drink and the supplements we take.  Your body absorbs these micronutrients, which are called carotenoids, from the fruits and vegetables and then uses them to protect you from the free radicals that we are associated with everyday.  We are exposed to free radicals in the form of air pollution, smoking, X-rays, industrial chemicals, certain drugs and the ozone.  These free radicals break down our line of defense and make us more susceptible to diseases.  These diseases then take hold in our body and make us sick.

One simple solution to protect your self from the daily effects of free radicals is 7-9 serving sizes of fruits and vegetables a day.  A serving size is about the size of your fist.  One medium sized apple would be considered one serving size.  You would like to utilize an array of these fruits and veggies and change them throughout the week.   The more colorful the fruit and veggie the higher the antioxidant level.   Carotenoids are phytonutrients and more than 600 of them have been identified and in the US diet we presently have 40 of them that we have daily access too.

A recent research article released in the Journal of the National Cancer Institute analyzed 8 prospective studies regarding circulating carotenoids, the micronutrients in fruits and veggies, and the risk of breast cancer.  The study suggests that women with higher levels of circulating carotenoids may be at a reduced risk of breast cancer. Specifically, the carotenoids a-carotene, B-carotene, lutein, zeaxanthin and lycopene were the ones that stood out in the study to be the best for reducing the risk of tumors and preventing the re-occurrence of them as well.

Good sources of a-carotene is carrots, B-carotene is sweet potatoes and green leafy vegetables, tomatoes for lycopene, citrus for B-cryptoxanthin, leafy greens for lutein+zeaxanthin. It is important to have these in your diet daily and as you can see by the tests we did at the Race for the Cure our community did not score at the level we would have liked it too.  We are far too low and that means we are at great risk for disease processes.  Our goal is to have a score above 50, 000 and above.

 

Join us tonight, October 8 from 6-7:30 pm for a wellness seminar in the CDA office on antioxidants. Come and get tested on how to protect yourself from disease and see if what you are doing is working for you and if you are covered.  Call our CDA for reservations.

 

Sheree DiBiase, PT is the owner of Lake City Physical Therapy and she and her staff can be reached in the CDA office at (208)667-1988 and in their Spokane Valley office at (509) 891-2623.  Wellness is our goal and we want to help you be well come see us and have your antioxidant levels tested!

How Vegetables Protect Your Immune System

I always thought the old saying “a picture is worth a thousand words” was true and now I really think that is the case.  Two weeks ago at the Race for the Cure we had the opportunity to test the antioxidant levels of a lot of our community that stopped by our booth.  As you look at our sampling, you can see that the majority of those that we screened were in the 20,000 to 30,000 ranges, which is the orange color.  Then came the yellow and the red color. These three colors are associated with low antioxidants levels.  The blue and green colors, which are 40,000 and above are associated with good antioxidants levels that will protect you from disease, such as heart disease, diabetes, depression, cancer prevention and re-occurrence, and auto-immune diseases.  Dr. Oz scored 75, 000 when he was tested on his show.

Antioxidants are available to us in the foods we eat and drink and the supplements we take.  Your body absorbs these micronutrients, which are called carotenoids, from the fruits and vegetables and then uses them to protect you from the free radicals that we are associated with everyday.  We are exposed to free radicals in the form of air pollution, smoking, X-rays, industrial chemicals, certain drugs and the ozone.  These free radicals break down our line of defense and make us more susceptible to diseases.  These diseases then take hold in our body and make us sick.

One simple solution to protect your self from the daily effects of free radicals is 7-9 serving sizes of fruits and vegetables a day.  A serving size is about the size of your fist.  One medium sized apple would be considered one serving size.  You would like to utilize an array of these fruits and veggies and change them throughout the week.   The more colorful the fruit and veggie the higher the antioxidant level.   Carotenoids are phytonutrients and more than 600 of them have been identified and in the US diet we presently have 40 of them that we have daily access too.

A recent research article released in the Journal of the National Cancer Institute analyzed 8 prospective studies regarding circulating carotenoids, the micronutrients in fruits and veggies, and the risk of breast cancer.  The study suggests that women with higher levels of circulating carotenoids may be at a reduced risk of breast cancer. Specifically, the carotenoids a-carotene, B-carotene, lutein, zeaxanthin and lycopene were the ones that stood out in the study to be the best for reducing the risk of tumors and preventing the re-occurrence of them as well.

Good sources of a-carotene is carrots, B-carotene is sweet potatoes and green leafy vegetables, tomatoes for lycopene, citrus for B-cryptoxanthin, leafy greens for lutein+zeaxanthin. It is important to have these in your diet daily and as you can see by the tests we did at the Race for the Cure our community did not score at the level we would have liked it too.  We are far too low and that means we are at great risk for disease processes.  Our goal is to have a score above 50, 000 and above.

 

Sheree DiBiase, PT is the owner of Lake City Physical Therapy and she and her staff can be reached in the CDA office at (208)667-1988 and in their Spokane Valley office at (509) 891-2623.  Wellness is our goal and we want to help you be well come see us and have your antioxidant levels tested!

How To Keep Joints Strong

How To Keep Joints Strong lake city pt

Everyday we do a combination of so many motions.  We climb stairs, run kids to bus stop. We load and unload the dishwasher and the washing machine.  Then we vacuum the house, clean the tub, push a loaded down grocery cart and then carry all these items in and out of the car and put away bags of groceries.  We hang clothes, lug football bags, and mop floors and a myriad of a million other things. No wonder we are sore, tired and worn out.  We just did a whole set of dynamic motions.

Every joint in your body has a normal amount of motion to be well.  The joint should move through this motion at lease 10 times everyday to keep its flexibility.  Did you know that your shoulder joint is a ball and socket joint and it is able to move 180 degrees overhead?  Did you know that same ball and socket joint in your hip could never move that far?

At the most your hip joint can move about 140 degrees when you pull your knee to your chest.   Joints like to move and they were made to move.  They get stiff and achy when we don’t move them.  Our joints have a synovial lining in them and this lining makes synovial fluid and when we move the joints it makes more synovial fluid.  The synovial fluid is a slippery, slick fluid and the joints glide and slide, like a skater on ice, when they are well lubricated.  That is why some of us feel stiff in the morning as we try to get out of bed when we get older.  The joints have been stagnant all night and the synovial fluid is static. So the best thing you can do it stretch and do range of motion exercises to a stiff joint.  It may seem painful at first but it really it will make you feel better to get the joint moving.

Often after surgery on a joint, the best thing to do is get the joint moving.  Our rotator cuff patients aren’t allowed to move their own joints after surgery so we seen them in physical therapy to move their joints for them.

A physical therapist is a specialist in moving joints.  They know the exact biomechanics of how each joint works.  They know if the joint should roll, glide, slide, spin or combination of all of the above.  They know how much range of motion a particular joint should have and how all the muscles that surround that joint should work.  They are specifically trained to see if some muscles are working too hard and other muscles are not working at all.  They can tell if one set of muscles is too tight and another is too loose.  They test the joints to see if the capsule is too tight that surrounds the joint because it could be why the motion of the joint is restricted.  A physical therapist uses their hands to test the joint because they can feel whether the motion is occurring the way it should be.

The motions of our joints happen in three planes of movement. The three planes are the sagittal plane, the frontal plane and the transverse plane.  When you train whether it is with your stretching exercises or your aerobic or strength training, you need to train in all the planes of motion.  No longer can you stretch your hamstring in just the sagittal plane. It does not work only in the sagittal plane.  It plays a key role in the frontal and the transverse planes as well, so you will need to stretch it in this way also to prevent injury to it.  How do you do this?  Well one way is as you have your leg up on the chair, you can roll your foot to the inside and the outside.  You can twist your hips slowly to the right and the left, and then you can gently swing your hips up and down while the hamstring is still on stretch.  Now you will have gotten all the planes of motion and these motions are what you will need for that muscle and its corresponding joints.

So remember to stretch and strengthen in all three planes. The more sophisticated the motion the more planes it usually occurs in.  Can you always start training in with all these motions?  Often you can’t till you have mastered the single plane of motion first.  Then you would add on to the next plane of motion.  The next easiest plane is the frontal plane.  Lastly, you add in the transverse plane of motion.  It is the most complex of motions and requires a symphony of muscles firing to be efficient.

 

Examples of these planes and an exercise are listed below.

Sagittal plane- forward lunges happen in this plane of motion.

Frontal plane- the side lunge happens in this plane of motion.

Transverse plane-all the twisting motions happen in this plane of motion.  You would lunge forward and then twist with a weighted ball to the right and the left. Then you could lunge to the side and twist your trunk again to the right and the left with a weighted ball.

 

Sheree DiBiase, PT is the owner or Lake City Physical Therapy and she and her staff can be reached in CDA at (208) 667-1988, and in our Spokane Valley office at (509) 891-2623.  We can teach you how to stretch and strengthen in all planes of motion so you can be injury free.

How To Strengthen Your Hips

How To Strengthen Your Hips lake city pt sheree dibiase

Achilles Hip?

Fabulous legs, that is what all of my lady athletes have this summer!! They have “Buns of steel” and great looking calf muscles. They all wonder why they have such developed booty’s and I tell them because that is where all there power comes from and if you don’t have the strength there your ankle and foot are at risk. And nothing is worse than a calf strain or tendonitis because then there is no more walking or running. Sometimes it is so bad that you can’t even push up onto your toes without pain in your calf.

Muscles in this area of the body are turned on by eccentric activity. Eccentric activity is an elongating contraction of a muscle. Muscles react to gravity and ground reaction forces and then motion happens and the proprioceptors are then turned on. Proprioceptors tell the muscles and joints where they are in space and what needs to be done next.

There are twelve muscles of the lower leg that are multi-joint muscles that keep the calf working efficiently. Four of them specifically are significant. These muscles of the calf are the Gastrocnemius and the Soleus which form the Achilles tendon on the backside of the calf region and the Posterior Tibialis and the Peroneus Longus, which insert into the foot region with complex sites of insertion. These four muscles then respond to the ground reaction forces on the foot and then the information goes all the way up the chain to the hip and the spine.

This is where the hip becomes so important. The hip musculature is very powerful and has to work in three planes of motion. These muscles have to function in the sagittal, frontal and the transverse plane. It is due to this level of need that the hip has to integrate so strategically with the ankle and the foot. Without the strength in the hip region, the ankle and the foot are at risk. Often when there are shin splints, whether posterior or anterior shin splints or Achilles tendonitis you must look up the chain to assess what is going on in the hip. Usually there is a weakness in the hip musculature that must be addressed. Often it is in the gluti where the weakness is present. The lateral gluti are particularly needed when you are in single limb activities. The amazing thing is that when you start training the gluti they absolutely power up the lower extremity and the likelihood of injury decreases significantly. A “sleepy butt” puts you at risk and you have to address this functional deficit and facilitate the firing pattern of the hip.

Physical therapists are specialist in assessing the hip and lower leg function. They know how to test for “Achilles hip” deficits and their job is to help you be able to train for full return to walking, jogging, running, jumping etc. Don’t wait till you have shin splints, tendonitis or a tear of the Achilles tendon, come in and get your hip and lower leg function assessed and let them set-up a training program for you. You too should have fabulous legs this summer.

Sheree DiBiase, PT is the owner of Lake City Physical Therapy and she and her staff can be reached for an evaluative consultation at (208) 667-1988 and in the Spokane Valley at (509) 891-2623.

 

The “She” Economy

the she economy women in business women entrepreneur day sheree dibiase lake city pt

Women in the workforce and in their homes are moving our economy forward. The power women wield due to their networks is amazing. You see it everyday, one girlfriend telling another girlfriend where she buys her car insurance, how she likes her hair done by a particular salon and what Pediatrician she takes her children too, because they listen to her so well.

According to the consulting firm, A. T. Kearney women make 80% of all consumer purchases, buy 60% of all the cars and purchase 40% of all stocks, for their family.

Anne Fisher from Fortune magazine reported that in 2013, 60% of all 4 year bachelor degrees were obtained by women. Women were more likely to go into debt to obtain their degree, less likely to drop out and understood that if they did drop out of school they would potentially lose over $6500 a year due to gender wage gaps. They also understood that if they did hope to seek employment without a degree, they would most often be in line for service type jobs, whereas a man, with no higher education, could find employment easier in manufacturing, transportation and construction.

Women, according to CNBC specialist, Elaine Pofeldt, are in the Golden Age of entrepreneurism. They are starting businesses at an outstanding rate of 40% per year and that is double the rate of their male counterparts. She believes these enterprising females are equipped with the “inspiration, know how and the funding” they need to be successful in this new age.

So what drives someone to become and entrepreneur? Well according to Tyro, an online educational company start-up out of Boise, Idaho, they believe it’s because entrepreneurs know how to ask questions and come up with answers to daily issues you and I need to answer, to have a better quality of life. This new generation of young people wants a more balanced life and they are willing to sacrifice for their future, but they still want to enjoy the ride.

I was raised in a family where both my parents were entrepreneurs. They were both self-employed and have been all my life. I’ve never known anything different. I was fortunate to be able to watch my parents ask lots of questions, propose varying solutions and then implement strategies to accomplish all kinds of goals.

My Father was a dentist who owned his private practice for 33 years and my Mom was a registered nurse who decided to start her own travel agency in 1969 when women were not really in the workforce in record numbers and few held ownership positions. She sold her business after 35 years when she retired. During those years I got to see their unique skill sets and I realized quickly from them, that everyone has been given gifts and talents to make our world a better place.

In my world of healthcare women make 70-80% of all the healthcare decisions and yet no women are CFO’s or CEO’s of any Fortune 500 healthcare companies. Why are women not in positions of influence when they are advocating for their families in this arena? What should we be doing to support and encourage women to work together? How do we learn from other women who have gone before us? Where do we find these mentors?

I have wondered about these things for years as a women who owns her own private outpatient physical therapy business for over 31 years. I bought my first practice from a man, who I had to convince to sell to me over the course of 9 months. There were no women physical therapist to mentor me at that point. In our profession mostly men owned outpatient private clinics and all the training at our business meetings were run by men, for men. After I had my first baby it got even more complex for a working mother, and I have been on my own ever since.

So now we are here in the Golden Age for Women Entrepreneurs and I am thankful and excited. In our community we are stepping out and forward by hosting the first inaugural WED, Women’s Entrepreneur Day on November 28, 2017, 6-9 pm at the a Innovative Collective in Coeur d’Alene, Idaho. We are so appreciative to Latisha Taylor, WED ambassador, from San Francisco, by way of Post Falls, Idaho, that she chose to make CDA/Spokane, her next stop for WED, Women’s Entrepreneur Day. Latisha owns her own healthcare company, Health Measured.net and is a strong supporter of women in business. Please come celebrate, empower and support women in all avenues of business and life.

 

Sheree DiBiase, PT is the owner of Lake City, PA and she and her incredible staff believe health is a gift and you must choose it everyday. Come see us in our offices in CDA, Hayden and the Spokane Valley, and start today to make your health a priority!
Hayden (208)762-2100,
CDA (208)667-1988,
Spokane Valley (509)891-2623.

How The Affordable Care Act Affects Physical Therapy Clinics

How The Affordable Care Act Affects Physical Therapy Clinics lake city pt sheree dibiase

A friend of mine is a RN in an emergency room in a busy hospital in a warm, sunny state south of here.  He came to visit us this summer and told us of the confusion of so many people upon coming in to their ER.  When asked upon check-in what their insurance coverage was for their visit, there quick reply was “Well of course, Obama care”.  ACA  is the acronym for the Affordable Care Act and as you can see many of us are unsure of what it really means, individually or collectively as a community.  The Affordable Care Act is filling the healthcare world with a multitude of challenges.  Regardless of whether you agree or disagree with Obama Care, this act impacts all of us.  These changes have been felt in our physical therapy rehabilitation world already this year.  We have seen a reduction in visits allowed for our consumers, a reduction in the re-imbursement by up to 20-40% per visit and consolidation of insurance carriers who are controlling the rate of this re-imbursement like never before.  Our patients are being required to get pre-authorization from their insurance carrier for something they already pay for with their policy and that their doctor wants them to have?  Furthermore, the ACA bronze level program may not even allow you to have that many physical therapy visits and you may have to pay a high price for it.  Is ACA providing access for healthcare coverage for all if it doesn’t allow you to have cost conscious rehabilitative care?  Is it ok to have healthcare coverage we don’t understand and are required to have, but that doesn’t even cover the ancillary care that is needed for people to return to work, home and play?

 

We are left to wonder how will our patients get what they need after ACL knee surgery, rotator cuff surgery or breast cancer surgery?  How will we serve the patients who need therapy when they have a fall on the ice this winter and break their wrist and are unable to write or hold a coffee mug if we are not even allowed to see them due to their limited 6 visits for rehabilitation for the year?

 

At our annual American Physical Therapy Association Private Practice Section meeting in New Orleans this weekend over 1,000 private practice owners wondered these same things.  As physical therapists, we are movement specialists and as usual I was impressed at how passionate all these therapists were about wanting to take care of people and help people be physically well.  I mean if you can’t walk, run, or jump, we are the people you need to see.  If you can’t lift your kids, carry your groceries or reach into the back seat of your car to get your briefcase, we are the ones that can get you back on track. If you have a nagging Achilles tendonitis, wake with a “crook” in you neck or your back hurts when you sneeze or cough or roll over; we are the people you need to call.   But can you call us?  How will we do that if we are unable to even see you because your insurance plan doesn’t cover physical therapy?  Then where will you go?  And will you pay cash to someone who isn’t a movement specialist and hope you get what you need?

 

In life there is a multitude of health care challenges that you and your family will face, and we as physical therapists are integral part of that fight to be well.  Please stay informed, read your work, private and Medicare policies.  Our nation was founded because generations of our families fought for our freedoms and rights. Don’t give up on your freedoms and your rights and when it is time to re-new your group or personal health care coverage make sure you get physical therapy coverage as part of your policy so you can continue to get what you need for you and your family.

 

Sheree DiBiase, PT  her staff can be reached at Lake City Physical Therapy,PA CDA office (208) 667-1988 or Spokane valley office (509) 891-2623 for an hour initial evaluation and treatment.  We accept most major insurance, Medicare, Medicaid and we do have discounted cash pay prices also.  We want you well!