Are you lonely?

Open your eyes and look around, how many people do you see? If your answer is no one, and your answer excudes your family, and it bothers you, I would like to ask you why? 

Considering the fact we are humans, yes.. we feel the need to socialize, but is it really a need? Or just something we want, because we are used to living with people around… The question is why we are so dependent on others, for everything we need? and everything we want? 

We forget the fact, that we were all alone when we were born, and we still made it into the world… If we could do that all alone, why do we need people for everything else.. We could definately handle everything on our own… The absence of no one in our life other than your family should really matter to you… 

People think they are alone even when they have their family with them.. Guess what the problem actually is? The problem is that we try to find people other than our family to surround us, to accompany us, to give us support.. My question is why? Do you really think those people matter? Do you really think they care as much as your family does? 

The answer is no… 

This is something my profession made me realise.. As a physical therapist the only people i saw around my patients, were their family members.. You no why? Cause no one else really cared, as much as the family did, very few people remain by your side in turns of hardship, 90% of the times its only your family.. It takes alot of courage to give up your daily job and spend your time, taking care of someone who really matters to you.. And trust me no one other than your family posseses this courage.. I have seen patients, who said people left them because of their physical conditions, this is when they realised who really cared..

People who care, would always be by your side and they are whom, whose presence or absence should really matter…

So the question is, Now do you really               think, you’re alone?

Principles of treatment.. 

In physical therapy, patient’s with a neurological problem are often treated with respect to 4 principles

  • Mobility
  • Stability
  • Controlled mobility
  • Skill

The patients are supposed to be trained through each stage in this exact order..

According to me, we could treat every patient with these principles, but the only difference being that we change the meaning of all the 4 principles just abit.. 
Also this time, these stages would refer to the therapist rather than the patient..

Now according to the books, mobility is the first step and it works on the range of motion.. I believe, mobility is the way you treat the patient.. By the word treat, im not referring to the actual treatment but the way you treat (behave with) the patient.. 

  • Its about how you talk to the patient, to make him comfortable, when you see him/her for the first time.. 
  • Its about how easy you make it for the patient, to open up and tell you about his complaints..
  • It’s how you can actually win the trust and confidence of the patient in just few minutes of the first time you meet him..

Next is stability, in books this refers to the muscle strength, which is important to carry out function..

According to me, stability is the strength in the relationship, the therapist – patient relationship.. Now what do I mean by strength in the relationship? Basically, strength is achieved by

  • The bond you create between the patient and yourself, which is based on trust.. 
  • The trust that the patient has in you as a therapist.. How much does he trust you? Would he do everything you tell him to? This is why trust is important.. Its the basis of this relationship.. This would actually determine patient’s compliance..
  • The trust the patients relatives have in you.. This would determine how well they listen, to what you have to say and do as you say..

For stability to develop you need mobility.. Just the way you use mobility to build strength(stability) in muscles of the patient, the therapist needs to use mobility to build stability as explained above..

Stability is followed by, controlled mobility.. In the books this refers to the control of the movement… How well the patient can control the movement.. 
I believe controlled mobility refers, to the knowledge of the therapist of knowing when to do what.. By this what I mean is, the therapist should know exactly, when to control and what to control, i.e, when to push the patient upto his physical limit and when to make use of the patient’s emotions to push his own self.. It is the knowledge to be able to control the fine balance between the physical ability and the emotions of the patient to achieve his set goals..

Controlled mobility would help you build, your next step as a therapist..  

Next is skill, which refers to the ability of the patient to perform a certain complex task efficiently ..

I believe, it refers to the ability of the therapist, to achieve the goals set for the patient.. 

  • It depends upon therapist’s ability to know, how to persuade a patient who is reluctant to exercise
  • It depends on how well the therapist puts his knowledge into action to treat the patient
  • It depends on therapists ability to make use of patients emotional needs to achieve his own goals
  • It depends on therapist’s ability to be able to push the patient to his functional limits everytime, to achieve what he wants..
  • It depends on the therapist’s ability to understand where the actual problem lies, whether its in the mind or the body and then treat it..

Now the question is how do we actually make use of these principles in our practice?

Mobility can be achieved, by just conversing with the patient, making him comfortable in just a few minutes of you meeting him.. This would help you make the patient open up to tell you his exact complaints.. It is not what you do, but how you do that really matters… Just the simple way of talking to the patient, makes the difference.. Just the caring tone of your voice, when you talk to the patient, helps the patient become more comfortable and that’s exactly what you want.. 

Stability, can be achieved by just getting to know the patient well, talk to the patient, ask them questions, doesn’t have to always be about their condition, it could be about their life, their family, their work, their likes and their dislikes, it could be about how their condition makes them feel, how it has affected their lives.. This is what, helps you know them better and create that bond, and trust, which you want them to have in you.. 

Controlled mobility can be achieved by knowing when your patient, needs your help and when, you need to actually push him, by motivating him to achieve his goals.. Its about knowing how you can help your patient, without letting him be dependent on you.. The therapist should now when to support the patient, and when not to… This is something you build up on, as a therapist, with experience.. 

Lastly, skill.. Just the ability of the therapist to poke the patients emotional needs, to make him work harder determines the therapist’s skill.. Skill can be achieved with knowledge based on practice and experience.. Its not something that can be taught, its something that you as a therapist, would learn all by yourself.. Every patient is a different one, and each of them would teach you something new.. This is how you build up your skill.. It is this quality, that the patient admires you for, and the reason he would choose you, over others as a therapist and would always come to you, for treatment.. 

As a therapist, we need to start using these principles for ourselves, to be able to treat our patients better.. 

    Don’t forget to treat the human relations..

    One of the most important things we often forget as therapists is the fact that we are dealing with humans… Humans have relations… Patients we treat are usually accompanied by their relatives, because the health of the patient affects his/her relatives as well.. 

             Most of these, are the closet relatives of the patients, so anything that happens to the patient leaves a great impact on them.. The only difference is that it affects them mentally.. We as therapists, fail to realise that sitting beside the patient who is unconscious or maybe conscious but severly affected by his impairments, isn’t an easy job.. It takes alot of mental strength on the part of the relatives to control their emotions and not give up hope, by the patient’s physical condition..

             Every time I visit the hospital I wonder how hard it is for the relatives to spend days with the hope to see a change in the patients health… 

            Having realised it, i made it a point to consider it my duty to councell the relatives, along with the patients.. They are the ones who could take the best care of my Patients provided they themselves are mentally strong… I cannot be 24hrs with my Patient but they can and they do… 

             It’s takes a strong person to teach you how to be strong, isn’t it? 

             Quiet often I see relatives look up at me as an answerer to all their questions, because they are never encouraged to get their questions asked by other treating medical professionals.. Often I ask them.. What did the doctor say? And the answer is “nothing”.. For me, I like to give them the opportunity to ask, and I realised, this is when they open up… The day you ask them about any queries they might be having, they feel they can trust on you… Thats the trust I want from them.. They ask me questions because they know I have the time to answer them… And I feel good about it.. After all its their right to ask and my duty to answer every question I can… 

             It’s important to build a rapport with the relatives, get them out of that circle of mental stress they are in.. This would help you create a positive environment for your patient… 

            Making the patients and their relatives feel better, telling them how the therapy has already started showing signs of improvement in the patients is important.. This installs their confidence and trust in you… As a therapist what else do you want?

             The key is to understand that, its alot harder to wait and just keep waiting without a reason… Give your patient’s relatives the reason, and see the difference it makes.. It makes your job and their responsibility an easier task…

           You see its important to not only, treat the humans but also the human relations.. 

              

    It’s all about loving what you do.. 

               No I’m not exaggerating my feelings, but honestly, its taking me time to fall asleep these days.. When I get into bed all tired, and think about my day, all I remember, is how i made my Patients feel for the day.. Were they happy, did my presence make a difference in their lives for good? If not, what more can I do? This question, actually keeps me awake for most of the time.. 

             For all the times I’m not satisfied with the results.. I try to find answers to the why.. Why did my patient not improve? Most of the times, i come with the answers myself, but sometimes I get these answers from my seniors or my teachers.. 

            I realised, there is so much to learn and the majority of it comes from your patients

            You see, every patient is unique in his/her own way and hence the way of treating each patient is different from the other and teaches you something new..

            Your patients, teach you ways you could improve yourselves.. Trust me this is the best part.. When I started treating patients, I realised they taught me how to treat them.. They made me realise that the best way to treat them is to first imagine yourselves in their place and then ask yourselves, how would you like to be treated? The answer you would come up with, is exactly how you as a therapist should be treating your patients.. 

             My Patients, have helped me grow myself into being a better version of me… I don’t know, if this is all natural, but honestly my love for my profession, has taken me to a next level… I have started enjoying the time I’m with my Patients, so much that I don’t feel like leaving the hospital… 

            From making them stand for the first time, to the times when they open their eyes and regain their consciousness after days of physical therapy, has given me what makes me love what I do… 

            There are days, I end up getting emotional seeing my Patients or their relatives cry, but guess what, I realised this isn’t a bad thing, its not that I’m emotionally weak, infact this is why I can treat them better.. The day you feel what your patients are going through, that day you know exactly what to treat and how to treat… 

            A change in my postings, makes me sad, the only reason being is I hate to leave my Patients.. After spending quite some time with them, you end up bonding with them, and then leaving them in the midst is just the worst thing… But, you know what’s the best thing? It’s when the patient doesn’t want you to leave.. This is a real patient – therapist relationship, it is this kind of a bond which you should aim to build.. 

            It’s weird how you start feeling for your patients, working to make them get better, some how gets you closer to them on an emotional level… 

          As I always say, consider the fact that patients are humans… All that your patients need is your time, love and care.. Give them what they need and see them rise.. After all this is what we live for… 

           We live, to make our patients life,                                   worth living.. 

    This is why I am a physical therapist and I am in love with what I do..

    Why Im proud being a physical therapist?

    Who is a physical therapist?

    Who is a physical therapist? 

           Regardless of what the definition says, I believe my profession has a lot more that I do.. I am proud of the fact that my profession, is what taught me that patients need to be cared for.. This is what, a physical therapist does.. 

          We care, and this is what we do best.. 

           Everyday the time i spend in the hospital, makes me realise that patients are treated as patients and hardly as humans.. Patients are treated but never talked to.. Why so? Why is there always a communication gap..? Most of the times, what the patient needs to hear from you, is just the fact that he or she would be alright.. Does being a medical professional, deprive you completely of the time you could spend in answering your patients queries? Being in a field, where your main priority is your patient, neglecting those talks which could be spent well in counselling your patient, is a “big thing”.. Isn’t it? 

            As a therapist, I realised I could bridge this gap.. My profession gave me that power.. Today when I treat my Patients I make it a point to bond with them and then treat them.. Its not about what I do, its about how I do? That’s all that makes the difference… Talking to the patients and their relatives, listening to what they have to say and then making them understand what I want them to, is how I like it to be.. The best thing about this, is now they know that someone cares and they open up very well.. This is exactly what I want from them… You see its not just about treating the physical impairments of your patient, but also that mental state that the patient is in.. And this mental state could be easily treated by talking to the patient and counselling him or her.. Its about asking the patient, how he/she feels before, as well as after the treatment… 

             At the end of your treatment, that one point where you pat the patient saying, take careeverything would be ok, is what your patient waits for eagerly… This is what makes your treatment Complete.. 

              The white coat I wear, has got me alot of respect from people whom I never even treated.. But you know, what is even better? When people whom you treat, give you more respect being a therapist, than the actual treating medical professional.. This is why you need to treat the patient as a human and not just a “Patient“.. This is what makes you eligible for the respect that you get from your patient.. 

            That one word called Thankyou and that one smile that your patient leaves you with, at the end of your treatment, is worth a million dollars, and this is what I strive for everyday… It makes my day.. It leaves me satisfied.. 

            People always said to me, that i’m a caring and loving person, they said I’m a good listener and now I guess my qualities make me suit my profession the best.. 

         Years before, I never thought I would be so proud of who I would be in my future .. 

    Today, I am proud of who I am, and who I intend to be… 

    I, am a physical therapist, and I care.. And this, is what, I do the “BEST”.. 

    Why GOD??

    Learn to be responsible for your actions
    Why hold God responsible for everything on earth… Everything bad that happens to you isn’t because of god its because of you

             Growing up I realised, that you really need to have someone, you could always trust, no matter what. For me that someone happens to be GOD.. 

            Life happens to be so secure, to know you have GOD to look after you, to keep you away from any harm… The best part about trusting GOD completely, is that you know, you would always be on the right path, even if you happen to stroll over the wrong one, you will be pulled back on track..

               As I was growing up I always saw people pray religiously everyday, but fail to keep up the faith.. People, prayed for what they wanted, and when they didn’t recieve it, they gave up their belief, that he exists.. They remembered him, only in times of their needs.. Blamed him, for everything bad that happened with them.. And I always wondered why so..? 

               I don’t know why, people fail to realise that we are humans not animals.. We have been given a brain, to “think”  and “find solutions” to solve the problems of our “own” lives, that we “ourselves” create for our own. So now, the question is how can we blame God for every problem of ours that we ourselves created for our own? 

              Funny are people, who cry over things that didn’t happen according to, how they wanted them to be, failing to realise, that things didn’t happen their way because “their way”, wasn’t the “right way”.. Why would God want something bad for you? Can you even think of any answer, to this question? 

            A relationship that didn’t last long, a job that you were rejected for, the car you wanted to buy, but you couldn’t, the ill health of someone in your family… Is GOD the one supposed to be blamed for everything? 

             I mean if your relationship didn’t last long its either your or your partners fault not God’s.. God didn’t tell you to choose that particular person as your partner, it was your decision.. If your partner did not realise your importance, in his/her life its their loss and their mistake, not God’s.. So how is even God responsible for it? 

            The job for which you were rejected is the result of you lacking something, that the job demands.. For what, is God being blamed for.. Is he going to work hard for you, to become and have what you want? The answer is no.. 

              The one thing that you always dreamt of buying but you couldn’t, isn’t the reason to blame god for… If “you” want something for “yourself”, you yourself need to stop dreaming and start working.. God doesn’t drop things down from heaven you see..

               When people fall ill, its not because God wanted them to, its because they themselves never valued their health.. No one takes into consideration, the way, they have been living their lives, maybe smoking and drinking all day long, not exercising regularly, knowing that what they’re doing is injurious to their health.. But still, people themselves, choose their way of life, isnt it? Then for what is God being blamed for?   

              The question is, if you decide everything for yourself, you take all the decisions for yourself, then why is God responsible for everything..??

              It’s very funny you know how people give themselves the credit for their achievements, their success, their six pack abs and their wealth they possess, they never say I could get my six pack abs because God helped me, they never say God helped me become wealthy.. WHY SO..?

             I mean if God is the reason for all the misery in your life, why isn’t he a reason for all the good that happens to you… If he is the one you remember to blame for all your unhappiness, then why isn’t he the one you remember to praise for all the happiness? 

             Again the question is.. Why so? 

             All the good and bad that happens, in your life is because of you yourself..  Learn to take responsibility of your actions, and stop blaming God for everything… 

            If you can’t thank him for all Good, don’t even dare to hold him responsible for your bad.. 

    Are you mentally strong?

    What does being mentally strong really mean?

             Have you ever thought about it? 

                 Society expects you to be strong, according to it, being strong means to never cry infront of people, it means to never show what you fear, and lastly it means to take the lead and force others to follow you.. 

                 In today’s life people tend to show, what they pretend to be… The question is .. Is this what really makes you strong? Of course not.. Pretending to be something on the outside which doesn’t resonate with what you feel on the inside, is not called, to be strong.. It simply means you aren’t.. If you are something, you would not try so hard to be it, right? 

                  I think, being strong means to have the courage, the courage to do what you feel like to be right and be responsible for it, the ability to not let other things and other people affect your thought, the courage to take your own decisions and face the world all by yourself, and lastly the courage to be able to express your feelings infront of everyone and anyone.. Crying infront of anyone doesn’t make you weak, it shows you have the courage to express your emotions and not be ashamed of it.. Its not about being stone hearted, where you don’t get affected by inhumane circumstances, its about gracefully accepting all that happens, as a part of life.. 

               Being strong has nothing to do with. the volume of your speech but your volume of thought… Meaning its not about how much you can speak, its about how much you can think of and act on it.. Its about taking your own decisions and to have the courage to exhibit it no matter what, others might think.. Its about having, what it takes to be responsible, for all what you have done and you intend to..

           So do you really think you’re mentally strong?

    As far as I am concerned, i would say, i am working towards not making myself act strong, but to have the courage to accept my weaknesses, in order to grow into being more stronger than I was yesterday… 

               In order to make yourself stronger, you need to know your weaknesses and work on to make them your strength.. 

    Just remember, 

    Neglecting the truth and pretending the fake.. Doesn’t make you mentally strong….