Day in the Life of a Doctor: Shadowing an Occupational and Physical Therapist (Ft. Stroke Rehab)
ฝัง
- เผยแพร่เมื่อ 1 ต.ค. 2024
- Join me as I shadow an occupational therapist and physical therapist in the stroke rehabilitation centre. You'll meet Kosh, a man who had a hemorrhagic stroke at a young age. For months he has been diligently going through rehab with a remarkable recovery story. I can't wait for you to see how well he's doing now! His next big goal is being able to drive again.. and today he's trying to driving simulator for the first time!
THANK YOU to Kaush, Nicole and Nathan for allowing us a glimpse into the world of stroke rehabilitation. Kosh is truly an inspiration and we're wishing him all the best on his recovery!!
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Instagram: Violin.MD
Facebook: @realviolinmd
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Mail: PO Box 1, 119 Spadina Ave, Toronto ON, Canada, M5T2T2
See you in the next video!
~ Siobhan (Violin MD) ~
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📸 Image Credits:
- 109913929 © creativecommonsstockphotos | Dreamstime.com
- Brain human sagittal section.svg by Patrick J. Lynch; commons.wikimedia.org/w/index.php?curid=3046626
- radiopaedia.org/cases/pontine-haemorrhage-4?lang=us
OT of 23 years here! Thanks for highlighting OT- we are so often just lumped under “physical therapy” and no one really knows what we do. This video portrays a high level patient in a super nice facility w tons of equipment /resources to work with. This gentleman has done a LOT of rehab to get to this point (and his motivation is amazing)! I work in a skilled nursing setting which is quite different, but I love geriatrics. OTs are vital in sooo many settings! Hope you will highlight a speech-language pathologist as well-another overlooked but crucial part of a rehab team!
I had no idea and now I know. Just wonderful work OT people do. Thank you
Thanks for all you do!
I worked with an OT after carpal tunnel surgery, one of the nicest and best care experts I've ever had. Thank you for all you do.
My mom had a Hemorrhagic Stroke on June 30th. Miraculously she pulled through, but we've got a long road ahead. I'm her full time Caregiver now. ❤️
as an MCA Hemorrhagic Stroke survivor myself, the thing they tell stroke survivors is it takes time but what they dont tell them is you may see a bit of progress for the first few years then none for a few then start seeing progress again i saw a bunch for the first 4 years then it kind of leveled out for a few then picked right back up. once i got walking i kept getting told walking is my best physical therapy so i stopped going to physical therapy and started walking around the mall after being told id be wheelchair bound for life i now can walk unassisted but tend to rely only on an ankle foot orthotic or AFO when im tired or in a rush ill use a cane if im going to the mail box and know i have a packag ill sit in the wheelchair to get there put the package on the seat and use the chair as a walker to push it back with the package the things ive picked up doing things with one hand makes life easier for others whom are abled bodied like working on a car with my step dad hes picked up things and still does stuff that way himself
i wish your mom a speedy and happy recovery
May the force be with you and your mum. 💖
I would recommend working as hard with her as she tolerates, because as she said in the video, the first three months are critical! But that doesn't mean you can't improve after that! Wish you both the best of luck!
@@T_P_W_ThachoZenjuan Yes....
You are so wonderful to care for your mother....I am a carer myself , full time and I get it. All the best
As an OT student, I love this video! So many people don't realize just what it is that we do, so you showing that to the world is wonderful!
I had no idea and this was wonderful to see
I’m an OT and was also thinking the same thing 😊
i never knew what a OT was before! i spent a few months in a coma healing emergency skin grafts and when i awoke i had lost so much muscle i couldn't walk anymore. it took a year with great physio,recreational and occupational therapists to get my walking back. i feel like they dont get enough praise, they gave me back my life. so grateful for them.
I am a student physical therapist and I love the exposure to our beautiful field of rehab!!! Much love 💖
Well done Kosh, you're crushing it!
I have cerebral palsy because I was born prematurely (for the uninitiated it's very similar to hemorrhagic stroke- but from infancy). Seeing a doctor with a public platform acknowledge the psychological strength and determination it takes to build these brain pathways, just to be able to do things other people take for granted means, a lot to me...too often I have felt reduced to a list of deficits, and not valued or respected by medical professionals.
Of course it's really not surprising coming from you Siobhan.Your empathy is always very obvious. I just wanted to say that this video gives me hope for a very different reason. Hope that the medical community can grow to respect the disability community more, and be better allies.
You sound so strong and brave! ❤❤❤
Wishing him a speedy recovery and hoping he’s able to get back to work.
Thank you so much for the OT exposure! Your description of what occupational therapy is and how we approach care was beautiful! #OT #OTA
Remember for your loved ones how to identify a stroke: BE FAST
B- Balance (are they dizzy/ off balance/ have a headache)
E-Eyes vision changes
F-Face ( droop/ asymmetrical)
A-arm weakness
S-Speech slurred
T-Time: get to the hospital asap!
Thanks to this process I wound up in the Er but turned out to be a really bad migraine but for a sec even the er nurse thought it may have been stroke till the cats can shown it was normal
thank you SO MUCH for showing light to OT! we are too often forgotten or overshadowed. as a doctor, thank you for taking time to understand what we do :)
My mom had a traumatic brain bleed in January 2021. It was the most horrific day of our lives. She had to be airlifted to the hospital, and they told us to prepare for the worst. It was unlikely she'd even survive the trip there, let alone the surgical procedures.
22 months later, she's almost fully recovered and nearly back to living her pre-stroke life. Such a relief. Modern medicine, combined with the human spirit, can do miraculous things.
My great aunt had an Hemorragic stroke and sadly at the time of her stroke there wasn’t as much study in it as there is now she passed 2002 but the doctors sadly thought they successfully killed the clot and released the clot and it burst in her brain and that was that
AAAHH!!! THIS HAS BEEN MY DREAM!! I’m an Occupational Therapist and I’ve always watched your videos and I love it. I’ve always wanted you to cover OT and PT 🥺♥️ Thank you for this!!
As a first year OT student, this is so awesome to see! I’m really able to connect what we’ve been learning to this video, I’m so excited to get into the field!! :)
How lovely to hear this
God bless you
I've been an OT for over 20 years and I can say that I still learn something new every day! Thank you for this video.
thank you so much! You guys are really underappreciated you work soooooooooooo hard with people for months even years helping them recover from injuries
God bless you
*OMG finally I've been waiting for the day you shadow an occupational therapist, we need more recognition*
Finishing my masters in occupational therapy in 2 weeks and I love seeing this video with OT represented!!🥰
Hey! I work in stroke rehab and it is such a fantastic place to work 😁 Thanks for showing off the wonderful work these therapists do ❤ The OT’s are the backbone of what we do, its so amazing to see their work highlighted like this ❤
I am a speech pathologist ( love that you already shadowed one of us !) and love any reference/ recognition of the allied health and rehab professionals !! Keep them coming !!
These guys are just amazing. You can clearly see the effort they put into their job, we're lucky to have people like them. Best of luck to kosh in his recovery! 😊
OT student here!! Thank you for this video and highlighting what we do as healthcare professionals!! Much love❤️
Congrats to Kosh and his team! That must have taken a lot of hard work to get him to pass the driving test!
Awesome Awesome Awesome video! What's up Siobhan! Thank you another great and informative video! I think occupational therapists and rehab staff in general are super important to everyday life! They are so important to people that have had major trauma, like a stroke, get their life back to as normal as possible. You do such a wonderful job of showing us all the aspects and roles healthcare workers play in our lives and I want to say thank you once again! Be well, be safe and Cheers!!!
As an OT in training, I enjoyed this video a lot
Thank you for shining a light on this profession and showing others what we do to help people 😀
I’m currently in OT school and find it so amazing to see posts about the profession on social media! Not many people know much about OT but it is refreshing to have it shown and explained, so hopefully people can fully understand how powerful it can be! Thank you for sharing❤
When she worked in a clinic a few years ago there was one too. I think that video is named THE CLINIC.
Why did no one help Kosh eat when he couldn't do it, himself? Even in these lighthearted vlogs, I see hints of the dark and sinister side of Canadian healthcare that everyone likes to pretend doesn't exist. I bet in that same hospital where he is getting rehab, there are patients lying in their own urine for days, like I was after a major surgery. Canadian healthcare is sickening, and made even worse with the way they pretend it's all nice and happy and patient focused.
Unfortunately nurses have no time not an excuse but they are overworked
I am in Australia and it is the same here. That nurse would have felt terrible. Met calls happen so much.
PT/OT rocks! Healthcare really is a team effort, and we all have our places and roles. Some people may think, "oh it's just therapy; it's not that big of a deal." These people could not be more wrong, If PT/OT was not there, the quality of life change, and the effects of a stroke could be permanent! PT/OT ROCKS!!!!!
I agree with you too, too often as healthcare providers, we don't get to see what happens when our care is concluded. Following a patient's journey from the onset to the conclusion shows how monumental this field is, especially for patients!
It just goes to show you how much motivation determines your outcome post stroke.
This video is awesome! I work in the OR as a surg tech in neuro. I only know about these brain surgeries but I never know how patients do to help their recovery. Love this kind of video. Thank you so much.
I was in an accident 2 months ago which caused multiple injuries including fractures in my spine. I really have no idea where I'd be without my PT and OT that I had while I was at an inpatient facility. I still have a long road to go but they gave me the right tools and were there when I needed them the most.
I didn’t have a stroke, but I had a really nasty round of HFlu meningitis. I was in a coma, had a trach, feeding tube, sepsis, the works. God was good and brought me through. I was in the regular hospital almost 3 weeks. I was so weak I couldn’t turn over. I was in rehab for about 2 1/2 months. When I left there I was able to walk with a walker. Those pt and ot folks were amazing and awesome cheerleaders! I can now get around with just a cane.
I am 3 months recovered from a Brain tumor that was bleeding , successful surgery and tumor removal
luckily I'm back to work and doing allot better, other than a few side affects from surgery that can last upwards of a yr. 👍🙏
My little brother suffered two strokes on June 26, 2021, one week before his 21st birthday. This video is fascinating, it’s so amazing to see what can happen when you put your mind to it! I’m very happy to report that since that day, he’s run/competed in 4 triathlons and is back in school full time
This is awesome. I'm crying happy tears.
Best of!
Are all PT's hot? Cause that Nathan and the three PT's I have seen in the past... (fanning myself)
I had an occipital lobe stroke in 2019 but didn't really have any complications. My mom had a stroke 2 weeks later (at 94) and had above the shoulder deficits and spent 3 weeks at a Rehab facility. She did fairly well for the next 14 months before she passed away.
I had a hemorrhagic stroke when I gave birth to my son at age 34. It was part and parcel to my Amniotic Fluid Embolism. It involved my frontal lobe. I had to learn how to walk again and use my other hand to write. It was such a difficult journey,but so worth it in the end!
Wow and a newborn! You are one strong woman!
My dad's non identical twin also had to learn doing things with the other hand after two strokes in a short amount iof time.
Hi! I am a functionally oriented music therapist and I work in a rehab team along the sides of OT's and PT's in geriatric care. Such a great video! :D
I love how you spend time with other professionals you might work with here and there, but actualy spending a whole day with them to se how they work! Not many doctors would do this!
You should watch radiation oncology! Or radiation therapists!
I had a co worker that died of an aneurysm, age 40. He had a bad headache for over a week. Went to the dentist, had a root canal. Still had pain. He was popping Ibuprofen like Candy. Then a few days later,he dropped over at home. Neighbor heard him hit the floor upstairs.
Next day dentist called to see how Dan was. My boss had to inform them, he passed away.
My dad is currently in the hospital with a brain bleed (please send prayers) and how they found out he had it was because he was being acting very delirious and was saying a bunch of stuff that did not make sense, however that also happens to be one of the symptoms for low blood sugar (he’s a type one diabetic) and so his roommate fed him and gave him insulin and got his blood sugar up and he was still very confused so they took him to the ER and did a CT scan on his head and they found the brain bleed. They soon did an MRI to find out why this happened and they didn’t find anything wrong so they think it was caused by high blood pressure.
Maybe they should do an MRI. That’s how they found my brain bleed.
@@allisonmintz4369 they did
Diabetes is a well-established risk factor for stroke, beside high blood pressure.
Siobhan, I have loved following your journey, and throughly enjoy watching you highlight all the different aspects of healthcare! I work as a Medical Laboratory Scientist in Hematology, and was hoping that you might do a shadowing video in the Clinical Pathology Laboratory. We don't get direct patient care much, but we have such an important role in deciding patient care. The clinical pathology lab is huge, with many different departments (blood bank, phlebotomy, micro, chemistry, hematology), so it could be multiple parts. It would be wonderful if you could come see what we do, as most doctors and nurses don't know this career exists.
My stepdad had a stroke lost ablity to talk, walk, or write. It was a year and a half in rehab facility he can now do all on his own,. So thankful for this
Wow! What an uplifting video to watch just before bed. Congrats to all involved! Love your videos by the way. Just one question thought was all of Kosh's therapy covered by OHIP?
What I like about violin MD is she is never done learning...
I am in school to be a physical therapy assistant and I have been waiting for this video! So cool you were able to shadow them.
Had a brain bleed and two TIA's back in 2013. The result was constant seizures, lack of feeling in my hands, a lack of control (poor gait) of my legs, loss of my driving licence and a future of several medications. In 2017 I had multiple violent seizures to the extent that I was discovered unconscious, barely breathing and an extremely low heart rate. After being transported to hospital, the seizures increased to the point that I was intubated, placed in an induced coma and airlifted to the Calgary trauma centre. I was "out" for several days before coming around. I was unaware any of this happened until the doctor told me. I was in the hospital for a month. Long story short, I now have very limited hand control, can barely feed myself (simple sandwiches only and no possibility of eating in public and trying to even have a glass of water requires two hands and a sip cup, even using the computer mouse requires two hands to operate), virtually no feeling or control of my legs (appears like I'm extremely drunk) and have to consciously instruct my legs in order to walk in a straight leg motion, with canes), have no balance while standing which leads to constant sideways falls, inability to pick up small items and no ability too print, write or even sign my name. Even this took 20 minutes to type. I lost a lot of brain cells over this, all because of the initial brain bleed. Life consists, now, of very little enjoyment. Even my wife left because she couldn't handle the situation. Sucks but it's still better than the alternative.
you should have reached out to hello fresh to sponsor haha
I loved the look in Nicole’s eyes when she was talking about her patient who had been a chef. That’s love and dedication.
ok but hi Nathan 🥵
looks aside 👀 he’s a great person and physio!!
@@crocnurse as someone in medical, absolutely!!! you can tell simply based on his demeanour!!!
@@alicor3291 yesss! i’ve worked with him and truly, such a nice guy!
@@crocnurse I shouldn’t be “thirsty” but …. 😩
Thank you for giving us good insight into other allied health professions, even as you are on your journey in Europe, Siobhan!
It’s so hard to watch this as a medical massage therapist. There is so many things that just stand out with this client that can be done to make his movements more fluid and predictable for him.
Because of having had a brain injury before I was born, I was given a referral to the Center for Transitional Neurorehabilitation which is under Barrow Neurological Institute at St. Joseph’s Hospital in my hometown of Phoenix, Arizona. I spent 2 years there and many of the technologies that you are showing in this video are used there as well. I ended up getting my very first job thanks to the rehabilitation program that I went to.
So cool!! Kosh's commitment to his recovery is admirable. Thanks for highlighting OT and PT. I'm in the process of getting my sh** together to apply to PT programs. Looking forward to helping people like Kosh.
@Violin MD Just wow...I had no idea the work that OT people do. Thank you for this. Also, shout to PT people for helping get back on track as well. The gentleman in this video is truly inspiring with his optimism, patience and hope. I really loved this positive educational video
This has been amazing to watch! Thank you for the exposure, Siobhan 🥺 Would it be possible for you to shadow a genetic counselor too?
This was amazing! Way to go kosh for your determination
Request for a blood transfusion video! Often overlooked and everyone just expects the blood to be ready but no one considers the complexities when patients have antibodies and having to source different blood products to meet their needs
Hell yea, Kosh!!! You’ve got this, my guy!!! :) I hope he’s doing even better now!
I've been a rehab nurse for 12 years, working in stroke, brain injury, spinal cord injury and msk and amp and it's fantastic getting to see these people recover what they lost or learn to live with a new normal! Rehab is often overlooked in the medical field but is so vital and important!
Question out of curiosity: my coordination isn't very good (probably autism and ABI, but ABI is not officially diagnosed as MRI couldn't confirm and I don't really need a diagnosis, just have less headaches) so I wanna try improve it. I've been playing with small toy balls of different sizes and textures and especially cutlery is a challenge so sometimes I just grab cutlery for the sake of holding it correctly (which 50% of the time fails after 5 seconds, probably because habits, and about 20% of the time fails because I drop them). So I'm curious if you know/can ask someone for more practice ideas
So nice
You have shown more clear concept about OT
Love from OT student of 🇧angladesh
Wow, wish I had this kind of rehabilitation in the states. I lost feeling in my right (dominant) arm and leg in Aug 2022 from a brain lesion. I had some PT and one occupational therapy appointment while I was in the hospital. I was only told to never stop using my right side and continued the exercises I'd done in hospital PT at home. No one ordered more PT after I left the hospital. Never offered anything about driving help. I'm still worried about driving. I walk with a cane now, and continue to improve. Swimming has been a great help but I wish more rehabilitation services had been offered.
My question is did he get the shot to help with his stroke?
tPA (tissue plasminogen activator)It can stop a stroke by breaking up the blood clot. It must be given as soon as possible and within 4½ hours after stroke symptoms start. * Receiving tPA can reduce the severity of a stroke and reverse some of the effects, helping you recover more quickly.
Could that be why he was able to recover as much as you did?
Fifty plus beauty Channel
She was on The carnivore diet and had a stroke, but the shot saved her.
Yay, I just got my MOT degree and this makes me so happy ❤
I'm hydrocephalus and upon my birth I don't know if hydrocephalus leads to brain bleeding
I thought there was some type of drug if given would keep a stroke patient from having any damage. I'm asking because I have hereditary hpb and I don't really keep an eye on it...just once a year when I have my physical. I've always thought if you are under 30 you'll come back with no damage plus with the drug you have no worries. Now I'm wondering am I correct or am I wrong?
Any chance that you can cover fibromyalgia? I'm having problems finding current information.
Don't forget that the Exercise Physiologists finish off by strengthening you to maximum strength before you graduate from your treatment plan. At least, that's my understanding and when I finish with my physio I will graduate to an EP and I will get to see what they do
I had A Tibial Plateau fracture and I got 2 x 1 hour physio exercises + visiting the physio twice a week and 1 hydrotherapy session each week and that wasn't too hard to do but when I went back to work i found the physiotherapy workload demanding
As a stroke survivor I love that this is all available ❤️❤️
in march of 2021 i pulled my hamstring, and i went to PT for it. I got released before i was healed because i had epidydimal cysts form, and for about 4-5 months afterwards, i could only walk on my tippy toes on that foot, and i still limp a bit today. though its no longer painful, and i can run and walk and bike just fine, so im glad.
Came across this and it makes my OT heart happy 😊 would love to see a video on acute rehab (OT/PT/ST) in the hospital!
We are so lucky to get real, in depth insight into medical cases- thank you so much fo this Siobhan! I myself actually have an OT appointment on Tuesday for a checkup- burn like heavy scars on my lower leg so have been wearing compression wraps for 6 months now.
I've watched and rewatch all your videos multiple times. I am a high school student but I go to a specialty career school. which I got my first choice at the city of medicine academy basically anatomy and very few diseases is the only thing I am learning. I know a lot more then my peers the only part I do get questions wrong but it is ethier it is to wordy or I am having one of them wonderfully frustrating reading days because I have dyslexia. I be super ahead in math like I did Matrices what my math teacher's math 3 ( algebra 2) where doing and I am only in foundations of math 2 (geometry), so in math I be checking my other classes, my teacher gives me something on my level/find something, I talk to her, watch you or depending on my mood and the type of reading day I put my nose in a book.
And they have to be creative with modifying exercises if like a regular plank or lunge is to hard. I finished rehab for my muscular dystrophy a few weeks ago.
I wished my mom made it to therapy. Thank you for showing us what ot and pt do to help each of their patients.
This is a question to any occupational therapist. How do you explain your role to a patient with aphasia? Especially when they have receptive problems.
I love your videos so much… can I list them as shadowing hours on my med school applications 😂
For real though, I have learned so much over the years from your videos, both in hospital and shadowing allied health professionals
Thank you so much for this video! As a previous Neuro ICU nurse, it’s nice to see a stroke patient with a happy ending
You need to spend the day with an athletic trainer. During practices and game days! I would love to see that video 😭🤍
thank you for exposing the dynamics of what happens in health care. I was sad to see that Kosh's nurse had to rush off another patient when He had trouble opening the food packages. Unfortunately that does happen. In Australia nurses have four patients so if that patient needs help urgently then do not be surprise if a code blue is not far away. I know that to non health professionals it can look bad but I can reassure them that I am sure that the nurse would have been upset as well. As a nurse I did not have much knowledge about Occupational therapists which is not great. But I would really recommend for anyone studying occupational therapy to please shadow a nurse for a shift or two to see what happens and why nurses might not have time to follow up the OT's request or advice straight away. It is not that we do not value your role but we generally do not have time for even a small break. If you do shadow a nurse and there is a code it will give you great insight and understanding. Team work is the dream work we are there for the patient's benefit. Siobhan keep up the great videos. You will make a great doctor.
OT and PT is so incredibly important for all areas of health and unfortunately very ignored
This is fascinating, thank you for showing us these professions!
I spent most of April in inpatient rehab after having a tumor removed from inside my spinal cord. The therapists we’re all wonderful and even though I was tired of being at the hospital, I would have loved spending so much more time recovering there! It’s amazing how many tools can be used to help with disabilities! I am still working hard on trying to walk independently, as well as strengthening my very weak left arm. My right arm is severely impaired sensation wise. I can feel pain and temperature only right now. Definitely a looooong and slow recovery process! It’s so wonderful to have the support and help of these amazing therapists!
I love the intro! Specialist! Not resident! Congratulations!!!
I would love if you would shadow a respiratory therapist im currently an RT student and I would love to shadow one but I can’t this would be the next best thing
As student who is considering a career in OT or PT this was so helpful!!
OMG THANK YOU FOR THIS. I am also an OT named Nicole hahah
I love this so much. I'm in my final year of undergrad and hope to help stroke survivors rehabilitate, and also hope to study how best to help them. Thank you so much for this video!
Your channel is so inspiring to so many people who don’t really know that much about healthcare, but as a 14 year old, when you did your video about the NICU, it made me feel really happy because I got to learn about the NICU and what I went through as a baby, and now that you’re making a video about brain bleeds, that i also very near and dear to my heart because i had a brain bleed when i was just 3 years old, and i had 2 external drians coming out of my head, and I had it again this past march. I remember doing a lot of PT and OT in the hospital in march, and it was kind pa scary because I felt so dizzy, but by the end of the 3 week hospital stay, I was just fine.
Isn't the blood supposed to be inside the body anyways? Lol I'm joking
Hello , Such a smart lady hope your doing great these days ..!!!! ~> 😷
I loved seeing this. I am a special education teacher who works closely with OT's each day to assist my students. I loved seeing an OT in another setting and seeing the various ways they can help people.
This is a great video as a nurse I knew heaps about speech pathologists but not much about occupational therapists.
How inspiring! Love watching how teams work in health care!
I have MS and see an OT and a PT regularly. You're right, they are a very connected team. They're also great
love watching you journey. have you ever done any work with FND patients? would love to hear your thoughts.
Hi , Sioban, I am Bowen, could you explain it how hard it be to be a doctor or nurse in Canada for a international student?
I had a laminectomy recession of my C2-C6 due to Cavernous Malformation of the CCM2 variant. I too did PT and OT also speech therapy for swallowing. It works. Mine was neuro based. Helped me to walk again. Keep up the good work doc. Dr. Gary Steinberg at Stanford saved me.
As an occupational therapist thank you so much for sharing our amazing field on your channel ❤😊