Airport Hero

[00:00:00] Untold Physio Stories is part of the All-New PT Podcast Network. Find a new favorite podcast by

[00:00:05] an amazing PT content creator at PTpodcastnetwork.com

[00:00:14] The future of medical documentation is here and it's revolutionizing the way we record patient visits

[00:00:19] and producing Comprehend PT, the groundbreaking hippocompline AI-Spride Designed specifically

[00:00:24] or Physical Therapists. Imagine a world with a dialogue between PT's and patients is interpreted

[00:00:30] by AI into precise real-time medical notes without lifting a pen or tapping a keyboard.

[00:00:35] Carpahen PT does just that, allowing healthcare professionals to stay engaged with patients

[00:00:41] rather than buried in documentation. Boost your efficiency, reduce claimed

[00:00:44] aniles and liberate yourself from the burdens of manual note taking with Carpahen PT,

[00:00:49] join the revolution now at CarpahenPT.com.

[00:00:52] Untold Physio Stories, listeners get 50% off their first month with code MMT50

[00:00:59] and there's a free trial available. Sign up now, I use it every day in a clinic

[00:01:04] for virtual and my visits. I just speak to the patient and at the end hit CarpahenPT and

[00:01:09] a soap note generated. I love it and you will too!

[00:01:19] Welcome to Untold Physio Stories Podcast. Your perfect commute resource with

[00:01:26] Physio failures, successes, interesting cases, and more from the physio

[00:01:33] and rehab world. With your host, doctors Andrew Rothschild and

[00:01:37] person, Relicioso. Welcome back to Untold Physio Stories and one of your hosts, Dr. E with

[00:01:45] Modern Manual Therapy, Edge Mobility System and our four-month online mentoring program,

[00:01:49] Modern Rehab Mastery. We're going to do another A-Synchronous episode today and this one's a

[00:01:55] quick one. Recently I was stuck in an airport. This was around a couple weeks ago when the Buffalo

[00:02:04] Bill's game was rescheduled or delayed because of the Blizzard Buffalo was having. So I was teaching

[00:02:11] in Idaho and stuck in a Spokane Airport. My flight kept on getting delayed. First, I was supposed

[00:02:21] to fly out on Sunday morning, 9 a.m., then I said, oh, it's delayed to 1 p.m., and then 1 p.m. comes

[00:02:26] around and they said, it's delayed to 11 p.m., so instead of actually waiting around 11 p.m. knowing

[00:02:33] that the game was actually delayed and I'm not going to be able to fly in. I just started walking

[00:02:37] around the airport talking to my wife and eventually making my way to adult encounter.

[00:02:43] In the midst of walking around the airport, I see this guy lying down on an airport bench

[00:02:52] actually a longer wooden one. He's pretty tall guy, maybe a little over six feet and his

[00:02:59] girlfriend or wife kept on like tugging in his leg. It looked like she was tugging pretty hard.

[00:03:05] She was definitely trying her best but I could tell that every time he got up he was just kind of

[00:03:11] unhappy at the result. He was kind of wencing, moving his hip around and I knew that whatever it

[00:03:19] is that he was telling her to do that she wasn't quite getting it. I walk over and I say, hey,

[00:03:26] you know what? Can I help you? Can I be a venue assistant? And he said, oh, are you a

[00:03:31] car tractor? And I said, even better, a physical therapist. So, if any of you guys are car

[00:03:35] fractures out there and you're actually listening to my podcast, you're already part of the

[00:03:38] good guy chiroes. That's more of a joke against all the straight chiroes who just think they're

[00:03:45] realigning joints and everything. And the treat people forever and for anything we think of

[00:03:50] manipulation or adjustment can treat even like medical disease. So anyway, he said, yeah, you know,

[00:03:57] my hip is out of place and I need it to, I need to pop back in. I know exactly what I need. I said,

[00:04:05] let's just try doing this exercise first. And thinking I'm going to quickly prescribe

[00:04:10] him side glides and hit a home brand because he's going to say his hip and his back, we all

[00:04:13] quite a bit better. But he didn't really want that. He's like, no, I definitely need the pop.

[00:04:18] I know what I know what I need. And I said, okay, well, most hit problems I feel like are coming from

[00:04:24] the low back and I need to screen your low back. He fits a lung bar clinical practice pattern to

[00:04:29] touch was fine, extension and standing. He debated waist lightly sidebedding and into your tilt.

[00:04:36] He had less motion to go to the right which was his not really painful but he said,

[00:04:42] it's just decided he feels like was out of place and he needed it to kind of pop back in.

[00:04:47] So you know, I put him on, I put him inside lying, I knowing he wanted to pop. I do bilateral

[00:04:55] Lumbar rotation manipulation, kind of cavitation exercise. Like, whoa, I heard that. That was great.

[00:05:02] But I thought he'd be happy with that. He gets up and he's like, yeah, even though, you know,

[00:05:05] I heard that felt that. That's not what my hip needs. It's like my low back feels looser with my hip.

[00:05:11] Still feels out of place. And I was like, man, this guy's going to make me work for it. You

[00:05:14] know, because I thought that his hip would just feel better. I just like the sound and the feeling

[00:05:20] of you Lumbar cavitation. It's been no, he definitely wanted his hip to actually cavitate.

[00:05:25] Because a lot of people, you know, they feel like they need to crack the hero crack their better.

[00:05:31] So then I start off with just simple Lumbar hip long act as distraction. It's like,

[00:05:38] you know, that's not enough. It needs to really be a tug. So I finally end up with him holding

[00:05:44] the top of the bench with both hands to get leverage. And it me really like bracing myself,

[00:05:51] pulling back on his leg as hard as hard as I can. And as fast as I can. And this is again after

[00:05:58] doing some inferior glides and a couple of hip posterior glides, which I was hoping would get some sort

[00:06:04] of cavitation. But the long acts as hip distraction to get a cavitation or that it's pretty

[00:06:10] difficult. So I'm working hard at this. Meanwhile, you know, people are watching or actually

[00:06:14] like good nature of watching or laughing. That'd be like putting all this work into it. Finally,

[00:06:21] after a couple of quick tugs, maybe two or three big thrust manipulations, I felt as if his hip

[00:06:29] like kind of like almost like a suction, like a true cavitation. I felt like a like a kind of

[00:06:35] popped out. And then maybe popped back in. He's like, whoa, that's definitely what I needed.

[00:06:39] He was really happy. Got up walked around. He's like, oh yeah, I'm a hip feel so much better.

[00:06:43] After some open and close chain hip flexions and extensions, you see, able to walk around

[00:06:49] whatever he discomfort he was feeling or that out of place feeling that he perceived was definitely

[00:06:53] gone. And that only then was he willing to do the sidelines. I was like, hey, you know what,

[00:06:59] this exercise that I know about the show you should, should limit or prevent the need of your

[00:07:07] hip going in and out of place. So I showed him to sidelines. And I just showed him some simple

[00:07:11] like super clams and unilateral bridges to kind of strengthen his glutes and stabilize his pelvis.

[00:07:18] So, you know, the moral of the story is it sometimes as much as we try to promote active activities

[00:07:26] and exercises and not at patients rely on passive care. Sometimes they will not be willing to

[00:07:32] do the active strategies at all until you kind of give them what they want. So curious to

[00:07:37] which you think about this injury or how you would have handled the situation. Let me know.

[00:07:44] Hey, Erson. Great story is always, and I can tell you exactly how I would have handled that situation

[00:07:52] very easily because I would not have handled that situation. You are clearly a much nicer person than

[00:07:59] I am. I would have probably in the real world walked right by that person, that couple,

[00:08:07] the poor woman trying to help her significant other with his back or hip pain. And I would have

[00:08:13] probably minded my own business and just kept right on going and not even bothered to stop.

[00:08:18] Unless, of course, it was a significant life-threatening situation. See if you are a type of thing.

[00:08:25] Especially in an airport and public place, I am very anti-social in those kinds of places.

[00:08:30] I try to avoid talking to people when I can. So, I would have avoided the situation altogether.

[00:08:36] Fed is how I most likely would have handled it. That being said, had I actually gone over

[00:08:42] and talked to the people like you did. I probably would have handled it in a very similar way

[00:08:48] in the sense of having that conversation of, you know, joints don't really hit at a place.

[00:08:55] There's no need to go back into place. That kind of thing, but like you experienced,

[00:08:59] probably would not have gotten very far in that situation. People do have very strong

[00:09:06] and trench beliefs with certain things, especially if they've had recurrent episodes of certain types

[00:09:14] conditions or symptoms and they've been treated in a certain way. And especially if they've

[00:09:19] been treated successfully, then they kind of want that same type of thing again.

[00:09:27] So, certainly, you know, kind of giving the patient what they want in that situation, what they think

[00:09:32] they need, kind of meeting them where they're at, only if it is actually safe and appropriate

[00:09:38] and not contraindicated, then certainly you can certainly do something, you know, manipulation,

[00:09:43] spine manipulation, hit manipulation. Get them to buy in because you make them feel good,

[00:09:49] then they can maybe buy it and they can kind of meet you, especially if they're able to do

[00:09:54] something that helps, you know, further reduce their symptoms or even keep them at bay,

[00:09:59] that's going to also help them buy in more. Now, usually we talk about, you know, we give

[00:10:04] people information, we tell them stuff from our experience and, you know, education in words

[00:10:10] are good but they really only go so far. It's much more powerful from an experience so the

[00:10:14] person actually does something, some movements, some self mobilization, some exercise and they get

[00:10:19] relief. That's going to be just as powerful as somebody doing manipulation on them as well.

[00:10:26] So, yeah, you kind of meet them, get there by and first and then kind of, you know, give them a

[00:10:30] little bit of what they want but more of what they need. And I remember someone seeing someone say

[00:10:35] that once that they consult with media and I really like that because sometimes people are really

[00:10:39] going to meet you there unless they, unless you give them a little bit of something first. So, not only

[00:10:45] in that situation, but in the clinic situation, if it's appropriate to do and not contraindicated,

[00:10:52] that's certainly a decision that you have to make as a clinician and a professional.

[00:10:57] Certainly, some of those patients ask for things and it's really not appropriate to do

[00:11:01] in that so you can sometimes draw the line just because the patient wants something,

[00:11:04] does it mean that that is what you should get? It is sort of a little bit of a two-way street when

[00:11:08] it comes to the therapeutic alliance but also what it comes to a professional and clinic decision

[00:11:14] making. But like I said, in the real world, I probably would not have found myself in that situation

[00:11:20] because I would have ignored them but otherwise, I think, you did that you did a nice, very nice,

[00:11:26] overly nice thing and probably handled it the best way you could have given their sort of position in

[00:11:32] terms of what they wanted. So, that's a great story and I look forward to talking to you in person

[00:11:37] again soon. Hey, Andrew, thanks for your thoughts. Well, I had a lot that yours just because, yeah,

[00:11:46] I'm actually quite the introvert as well and many people don't know that, especially because

[00:11:51] I have the social media presence and I love teaching and it seems like I love interacting with people

[00:11:57] but yeah, I would absolutely prefer to be a fly on the wall. I don't know, it just seemed like

[00:12:03] this girl really needed some help and I could see the disappointment in her husband's face and

[00:12:09] what else did I have to do? You know, because I've already been stranded for like two days at this

[00:12:14] point in and out of airports and out of hotel is trying to get back to Buffalo. Thanks to this

[00:12:19] five feet of snow we were getting at the time. So, if you guys have any thoughts or if you've

[00:12:25] experienced any kind of similar situations where you had to be someone's hero in the public,

[00:12:31] let us know. Please subscribe to Antoine Fiseo's stories, give us five star rating wherever you

[00:12:37] listen to podcasts especially on Spotify, Apple and Google and as always you guys have a great day.