L Teasley

[L Teasley @TeasleyPT]

TENS application: crossing T8-L1 segments to modulate SNS ganglia, promoting nervous system quieting during pelvic floor relaxation and downtraining. first application with good results, will continue to trial!

[L Teasley @TeasleyPT]

nerve traction/pressure injuries can result from prolonged pushing in lithotomy position: sciatic, common peroneal, femoral, lat fem cut, and obturator n sxs may present after delivery in post-partum neuropathic pain cases!

[L Teasley @TeasleyPT]

My CI and I immediately called to check on her. She was home alone and starting to be able to move a little bit more. We asked if she needed an ambulance, she said her sister was on the way over. We advised her to ice the hip and have sister take to ER if pain doesn’t resolve.

[L Teasley @TeasleyPT]

last patient on Friday called to cancel at last minute; told receptionist she was in so much pain from her sciatica she couldn’t get up off the couch after trying 20 minutes. pt is pregnant. what do you do?

[L Teasley @TeasleyPT]

pelvic floor dysfxn can look like leaking w/sneezing or jumping, but also: pain preventing sexual penetration, anal spasms, constant straining to BM with retention of feces, peeing more than 8 times in a day (urinary frequency), prolapse, pain with ejaculation, amongst others...

[L Teasley @TeasleyPT]

frustrating day. pt on visit 5 still ruminating on upcoming surgery and wanting to spend session talking about it instead of exercising. again. am reminded of ethical question from tuesday lecture. pt claims to see benefit in PT and plans to participate more fully in future... 🤞

[L Teasley @TeasleyPT]

Attended mini-summit on Pelvic Floor and Sexual Medicine (PFSM) last wknd. learned that companies developing modality tech are less incensitivized to seek CPT code reimbrsmnt when they can make more $ selling/leasing machines to medspas who charge cash 4 services. #food4thought

[L Teasley @TeasleyPT]

Treated my first trans pelvic floor pt yesterday. had the opportunity to put new principles into practice, including pt-centered terminology, offering her the choice what language she wanted to use for referring to her body. awesome pt, awesome experience!

[L Teasley @TeasleyPT]

tales from pelvic clinic, week 1. top bladder irritants: coffee ☕️(caffeine🍵🥤) and tomatoes 🍅🥫🍝. having urgency? an acidic diet could be partially to blame. other common culprits: alcohol 🍸, spicy food 🌶, citrus🍊🍋.

[L Teasley @TeasleyPT]

HA ddx:
-migraines: 4-72hrs, unilateral, "pulsating", 🙈&🙉, mod2severe, exercise worsens
-tension-type: bil, "band-like", mild2mod, exercise does not agg
-cluster: 1-4 qd during flare, unil, "boring/stabbing", 11/10 pain, circadian nature

#pt546week10 #betterlatethannever

[L Teasley @TeasleyPT]

@LibbyKrauseDPT I had brought these for your party. they are inspired by tulips, which I associate with mother's day since you are going to be an actual mother irl soon!!! I will miss you so much!!
❤️🌷❤️

[L Teasley @TeasleyPT]

2/3rd of dementia cases caused by Alzheimer's: cognitive decline over 7-10 years (e.g. language, memory and executive function). MOCA testing used to track progression. CT/MRI to r/o other pathology, including NPH.

Other causes: vascular, alcoholism, PD, drugs

#pt546week12

[L Teasley @TeasleyPT]

neoplasms: "5 years". no, not the @DavidBowieReal song. for brain CA, 5 years after successful intervention with no recurrence means the patient can be screened less often and is associated with a positive prognosis. #pt546week12

[L Teasley @TeasleyPT]

Head injury types from mild to severe:
-concussion (ALOC <6 hrs)
-cerebral contusion
-diffuse axonal injury (ALOC 6-24hrs)
-acute SDH 🚨🚒
-chronic SDH (not just an old -acute SDH! common in elderly)
-epidural hematoma 🚨🚒

#pt546week11 @manjiridahdul

[L Teasley @TeasleyPT]

PS- this coronal MRI T1 sloth showed up for pajama day today too!
#PT546Week9 @juliehershberg

[L Teasley @TeasleyPT]

brainstem stroke? look for:
-ipsilateral face
-contralateral motor and ALS

1) based on symptoms, determine what motor/ANS nuclei are involved
2) locate sensory/motor tracts also implicated at this level
3) determine which artery supplies that level&region

#PT546Week9

[L Teasley @TeasleyPT]

#womenandfemmes #makinglearningfun #allyouneedislobe
@juliehershberg @LibbyKrauseDPT @NoraDarakDPT @manjiridahdul

[L Teasley @TeasleyPT]

on international women's day, we got to have a blast wearing pajamas to school! the teaching staff of these classes are made up of like 95% women. this semester has been some of the most fun and engaging time I've spent in PT school. coincidence??

[L Teasley @TeasleyPT]

toe walking:
-with no other deficits, totes normal <2 y/o.
-over 2y/o with ⬆️reflexes/tone: refer to neurologist for eval to rule out CP
-over 2y/o and avoids eye contact, hyperfixates on objects: refer to autism clinic to r/o ASD

#pt546week8

[L Teasley @TeasleyPT]

MS, as are many immune-mediated diseases, is a great imitator. Key signs:

-multifocal CNS plaques on MRI (spread in space)
-pt report includes more than one episode of symptoms (spread in time)
-CSF fluid + for oligoclonal bands

*no frank LMN/PNS symptoms!*

#PT546Week7