Alex Kelso

USC DPT c/o 2015. PT advocate (and usually a patient, too!).

[Alex Kelso @AlexKelsoDPT15]

Used a tuning fork today to diagnose a metatarsal fracture! Crazy technique, was hard to hide excitement!

[Alex Kelso @AlexKelsoDPT15]

82yo male pt VERY inappropriate to female aides. Made 1 cry today. How to handle s losing pt as a client? #moreptproblems #psychologist

[Alex Kelso @AlexKelsoDPT15]

Is neuropathy from c/s HNP, CIDP, DM, other? Eval of pt with multiple comorbidities and dx of c/s radic is quite difficult! #criticalthinker

[Alex Kelso @AlexKelsoDPT15]

Overmedicated for HTN= fainting in the clinic, should have taken BP b4 tx. Learned why we were always hammered about vitals in school. #oops

[Alex Kelso @AlexKelsoDPT15]

Eval of powered w/c bound 21yo c CP says "goal is to transfer fully independent and walk". Hard to give answer pt wants to hear. #ptproblems

[Alex Kelso @AlexKelsoDPT15]

250+lb weightlifter c shoulder P after heavy OH lifts. "5+/5" delt MMT. RC/serratus MMTs all 3+/5. Wonder why there is impingement? #classic

[Alex Kelso @AlexKelsoDPT15]

pt eval subjective: "I HAD problems, but I'm fine now." Sooo how am I supposed to help you? Treat other impairments? Prevention? #PTproblems

[Alex Kelso @AlexKelsoDPT15]

Pt exercises Indep. s PT skilled intervention. Time to d/c but pt is adamant that still needs PT. How to approach pt? #PTproblems

[Alex Kelso @AlexKelsoDPT15]

Pt 3 wks s/p THR has NO quad activity, L3 reflex. Can't get quad twitch, not even c NMES. Scared that L3 is damaged. Advice: get a lawyer.

[Alex Kelso @AlexKelsoDPT15]

RCT vs humeral fx pt. now has radial neuropathy. How to tx neural mobility and sx's without irritating an acute fx? How does tx change? #DD

[Alex Kelso @AlexKelsoDPT15]

Pt. c dx of RC strain c/o 8/10 pain c any AROM. I feared RC complete tear . X-ray neg. 4 wks of tx later, MRI shows humeral fx. #goodnews?

[Alex Kelso @AlexKelsoDPT15]

1st time feeling clonus (STRONG 4-beat). Forgot to hide my excitement, felt terrible all day. PT poker face needs work. #AmIABadPerson?

[Alex Kelso @AlexKelsoDPT15]

Pt w BPPV drives to PT from 8 mi away. Legal concerns? Pt is elderly and widowed, and driving is key to independence. #toughtopics #caution

[Alex Kelso @AlexKelsoDPT15]

Pt refuse to vaccinate kids due to personal beliefs. Challenge to ed. w/o disrespect or condescending. #PTpublichealth #willnotcauseautism

[Alex Kelso @AlexKelsoDPT15]

Pt has LBP c radic. and 6/10 VAS every visit, but pain levels OBVIOUSLY different. Better ways to rate pain? #VASpitfalls #neednewscale

[Alex Kelso @AlexKelsoDPT15]

Pt c 3/10 LBP, has been 7-9/10 last 12 tx's. 8wks s/p L3-L5 fusion. VERY medicated. Should PT utilize and progress or hold pt back? #PT632

[Alex Kelso @AlexKelsoDPT15]

Pt. 3 wks s/p TKA asks, "I have been running all week, why don't I have full extension ROM yet?" #youskipped10steps #ptedfail #PT632

[Alex Kelso @AlexKelsoDPT15]

@didimatthewsDPT @Teddy_Gehrig @aimBrightPT Seeing CP peds c spastic quad, recovery-compensation curve changes some when all limbs involved.

[Didi Matthews @didimatthewsDPT]

@Teddy_Gehrig @aimBrightPT So true. Much easier to address compensations on the unaffected side first. Often times improves affected side.

[Alex Kelso @AlexKelsoDPT15]

@SteveMeinert Bring it back to the basics... preposition and wrap! If you bring #PT521 to #PT581 then many things are simpler than they seem