Daniel's Senior Blog

Thursday, January 30, 2014

Blog 13: Lesson 2 Reflection

Content:

1. Positive Statement

What are you most proud of in your Lesson 2 Presentation and why?
I am most proud of being able to make the minimum time because when I was timing my talking at home I was getting around 7 minutes, so I tried to talk slower and a bit calmly and I was able to reach 10-11 minutes.

2. Questions to Consider
       a.     What assessment would you give yourself on your Lesson 2 Presentation (self-assessment)?

       AE       P          AP       CR       NC
I would give myself a P/P-

b.     Explain why you deserve that grade using evidence from the Lesson 2 component contract.
I believe that my power point followed the rule of 3 and didn't have any complete sentences. I was able to get a time above twenty minutes, and I brought all of the things on time and followed the lesson template.

3. What worked for you in your Lesson 2?
What worked for me in my lesson 2 was the information that I provided to support my answer.

4. (What didn't work) If you had a time machine, what would you have done differently to improve your Lesson 2?
If I could have done something differently to improve my lesson 2 I would want to try and make my hook and my activity more interactive with the audience

5. Finding Value
What do you think your answer #2 is going to be?
I think that my answer 2 will be something based on the exercises that are done in Physical Therapy

Thursday, January 16, 2014

Blog 12: Third Interview Questions

These are the questions that I will ask my Interviewee

1. What are the goals a physical therapist have for an ACL patient
2. At what time is the patient ready for physical movement (running, jumping, etc)
3.What types of exercises are done to help the patient
4. In what ways do you challenge your patient
5. How big of a risk is there to get injured during the healing process
6. If so how do patients injure themselves.
7. Does age affect the rate of healing
8. Will there be future complications after a full recovery
9. Are there exercises that ACL patients are not allowed to do
10.When do patients usually get back to their previous condition

Thursday, January 9, 2014

Blog 11: Mentorship 10 Hours

1.   Where are you doing your mentorship?
I am currently doing my mentorship at Kaiser Permanente Baldwin Park

2.   Who is your contact?
To verify that I am actually doing my mentorship my contact is Kathleen Boulware who is in charge of the volunteers of Kaiser Permanente.

3.   How many total hours have you done (total hours should be reflected in your mentorship log located on the right hand side of your blog like your WB)?
In total I have done 60 hours of volunteer

4.   Summarize the 10 hours of service you did.
For the 10 hours of service I did I was first introduced around the department. I was shown the different areas in the department and the duties that I would have. The P.T department is shared with the O.T so I was told that I would help out both. After I helped around the department, meaning I cleaned up dirty sheets, wiped the tables, made copies, basically anything that the therapists needed help with I was there.

5.   Email your house teacher the name of your contact and their phone number confirming who they should call to verify it.
Kaiser Permanente Baldwin Park Medical Center
Volunteer Services
1011 Baldwin Park Blvd., Baldwin Park, CA 91706

(626) 851-6444 or (626) 851-6745

Monday, January 6, 2014

Blog 10: Senior Project: The Holiday

1. It is important to consistently work on your senior project, whether it is break or we are in school. What did you over the break with your senior project?
Over the break I had surgery, but during that time I learned a lot about my injury. I learned different exercises to help me gain some mobility in my knee and in the second week of my recovery I was able to go to therapy to see where I am with my knee.

2. What was the most important thing you learned from what you did and why? What was the source of what you learned?

The most important thing that I learned came from my therapist. She said that because of my quads that I was in a good place for my recovery process, but that I should still take it slow with my leg because it is still prone to injury. The important part of recovery is building muscles around the hip, hamstring and quads. Building muscle around the quads is important because it is the main muscle, however the hip and hamstrings are both support muscles so building those muscles will help to take some of the burden on the area around the knee.

3. If you were going to do a 10 question interview on questions related to answers of your EQ, who would you talk to and why?

If I was going to do a 10 question interview I would ask my current therapist, because she has a vast amount of experience with injuries related to the knee. She currently has several patients that have an ACL tear so I know that she knows a lot about how to treat ACL tears.

Tuesday, December 31, 2013

Independent Blog Post: December

Post-Surgery: 1st Month
On December 19th I had my ACL(anterior cruciate ligament) reconstruction surgery. It took about 3 hours and since it was an outpatient surgery I could leave a couple hours after. The procedure that I decided to undergo was Right Knee ACL Reconstruction Auto-graft, meaning that a tendon would be taken from my leg to secure the new ligament. Before the surgery the doctors gave me general anesthesia by mask, and after they gave me a nerve blocking shot that would block the nerves in my leg so that I wouldn't feel the pain from the surgery.

The doctor told me that I would be in a cast for 1 month give or take depending on the swelling of the knee and the progress of getting my flexibility back. For the 1st week post-surgery I could not move at all. There were several exercises that were given to me by the doctor, they would help me get me some flexibility in my knee. It was very painful for the first week, mainly due to the swelling of the leg. After the first week we went to the doctor and he checked how my knee was and clarified some of the pains that I was having particularly the one in my shin. My knee was fine and he told that the shin pains were totally normal because while they were taking the tendon from my leg, they had shave part of the bone off to get it. In total my leg will take approximately two months so that i can walk around. I am still in the recovery process so wish me good luck.

Thursday, November 21, 2013

Blog 9: EQ

Research

1.I reviewed the rule of three for writing an EQ

2. a.What is the most important factor in healthy weight loss?
No it doesn't meet the 3 rules of criteria because it is very vague and the answers can widely vary.

b. What is most important to securing a conviction in a criminal investigation?
It meets the 3 rules of criteria because you can clearly take a certain stance, it clearly states its intention and it will require a depth of research of different topics.

c.What is most important in creating a hairstyle that best satisfies a customer?
It doesn't meet the 3 rules of criteria because it is very vague. It doesn't specify the type of customer or the gender, because male and female customers will want different things from a haircut.

d.How can an Anesthesiologist best treat chronic pain?
It meets the 3 rules of criteria because it is specific and allows a person to do lots of research on the topic.

3. Based on your review of the rule of 3 and your experience with assessing four EQs, please write another draft EQ for your senior project.

What is the most effective way for a physical therapist to treat an ACL tear.

Sunday, November 3, 2013

Independent Blog Post (October)

Prehabilitation
For the past couple of weeks I have been going to Physical Therapy to prepare my knee for the surgery that is coming up, December 19. The first thing that they did was to measure the flexion and extension of my injured knee, and compared it to my normal knee. The reason that they do this is to see how bad the injury is and how many degrees I need to get my injured knee to normal. We started with about 10 minutes of bicycling to warm up the knee, it was then followed up by wall squats and lunges and step ups. For some reason the exercises made my leg really tired. There has been a lot of improvement overall of my injured knee, and is almost the same as my regular knee. I have one more prehab session and I am going to meet with my doctor before the surgery date.

Mentorship Log

Date	Hours	What i did	Total Hours
7/19/2013	8	On the first day of mentorship i was given an orientation of the physical therapy area. They allowed me to watch the work they did and handed them whatever that they needed.	8
7/26/2013	4	On the second day of therapy I did all sorts of work. With the help of one of the P.Ts i cleaned the ice machines. After i watched some of the procedures and helped with whatever I could.	12
8/2/2013	4	Third of mentorship I helped the P.Ts with some of the patients. I helped a patient to her car and handed ice pack and set / cleaned beds.	16
8/9/2013	4	Fourth day of mentorship I have new fellow interns. We split the work into thirds, but there is more than enough work so we are all kept busy. Today we all helped with the P.Ts work and also made some copies of folders for a presentation.	20
8/16/2013	3	On the fifth day of presentation we helped the P.Ts with their patients and this time we saw a presentation given to patients with back problems. It explained the importance of the back and certain exercises that can be done throughout the day that can be done to help your back.	23
9/3/2013	2	I made copies of different exercises on little cards given to patients, I watched as the therapists conducted their therapies	25
9/5/2013	2	I refilled the hot water machines which are for heat packs and took out the ice pack machine and let it melt out. Doing this once in a while is necessary so that the ice doesn't build over itself and make it hard to put and take out icepacks.	27
9/6/2013	4	I stocked up booklets that the P.T's give when they have seminars or need to pass on basic info. I cleaned the gym area and also put the leg weights in order	31
9/9/2013	3	The P.T shares the department with the O.T occasionaly when O.T needs help	34
9/12/2013	1.5	There are personal areas for the P.Ts to do one on one therapies, and there is a gym where many patients come at once. I asked and the the personal therapies are more specialized injuries, but the gym patients are there for rehabilitation from different surgeries, treatments, or just working on strengthening.	35.5
9/23/2013	2	I spent most of the time in the gym and watching the Physical Therapists do their work. I have noticed that after a bit of time P.Ts do little evaluations on their patients to check their progress. If they are not at the level they should be the P.T tends to work them harder during the therapy session.	37.5
9/24/2013	2	I spent my time creating folders for seminars. This time there were several different types. There were a total of three types of folders I had to make which were the neck, knee, and back. Each of the folders contain basic information about these body parts and exercises done to prevet such injuries.	39.5
9/26/2013	1.5	I cut up therabands into equal sized pieces. Therabands are used by P.Ts for many exercises, but I mainly see the therabands used for leg exercises. They are used for resistance training which is basically like strengthening.	41
9/27/2013	2	I have noticed that all the therapists have different ways of therapy. The way they approach a patient is different, some are very friendly which eases the patient and others are rather straight to the point which reassures the patient.	43
11/19/2013	2.5	I spent time in the gym cleaning up after the patients. I see that while patients are doing their exercises, the P.T's are careflly watching the movements in which they do their exercises. If something is wrong they tell their patient what they are doing wrong and help them fix it. I asked why it form is so important, and they said that without proper form a patiet could be working out muscles that are not intended or patients could put unecessary strain on their muscles/joints.	45.5
11/21/2013	1	I cut up the therabands and took out the ice machines. After letting the ice melt you have to let the water drain out and wipe the leftover water from the machine.	46
12/5/2013	1	I made photcopies of exercies for a P.T. The photocopier continuosly broke down so I had to check and fix the jams in the copier.	47
12/11/2013	1	Watching patients in the gym, I have noticed that each patient progresses differently. Some patients that start earlier actually progress quicker than those that started earlier.	48
3/7/2014	2	I cleaned out the personal offices of the P.Ts . The P.T's offices tend to look more like examination rooms. Unlike doctors who conduct procedures in other rooms, P.T's do it all in one. Each of the offices have many supplies and shows that the P.Ts are always ready.	50
3/13/2014	1.5	I helped around the P.T gym, cleaning after patients. Typically this work involves changing pillowcases of used pillows, putting back icepacks into the ice machine, providing ice packs or whatever patients need or restocking on different supplies.	51.5
4/18/2014	2.5	I cleaned the machines around the gym	54
4/25/2014	1	I helped around the P.T gym, the P.Ts asked me to photocopy a book about therapy	55
5/5/2014	2	I helped around the department. I cleaned up things leftover by the patients, and organized some of the equipment that were tossed around the gym area. I also cleaned up some toys that were in the O.T department.	57
5/7/2014	2	Today there were observers from a school who took a tour with the P.T's. They helped out with the workload and did thing that the P.T told them to. They helped me with photocoying a thick book. I also refilled the hot water in the hot packet machine and I also cleaned and disinfected the P.T's personal rooms.	59
5/9/2014	1	I organized the different equipments around the gym. So if something is not in the place it should be I put it back, things like leg weights, bosu balls, cones, etc. I also cleaned the gym equipment	60

Independent Component 2

Date	Hours	What I Did	Total Hours
2/7/2014	2	I went to P.T and learned some exerices that people do before even deciding to go through surgery	2
2/12/2014	2	I went to P.T and got some new exercises	4
2/14/2014	2	I went to P.T today and did exercises I also saw procedures that the P.T did	6
2/19/2014	2	I went to P.T and did my exercises	8
2/21/2014	2	I went to the doctor and he did a test my knee	10
2/26/2014	2	I went to the doctor and he did a test my knee	12
2/28/2014	2	I went to P.T and did my exercises	14
3/5/2014	2	I have started running during P.T along a few extra exercises for my P.T	16
3/7/2014	2	I did received new exercises	18
3/12/2014	2	I went to P.T and did my exercises	20
3/14/2014	2	I went to P.T and did my exercises	22
3/19/2014	2	I went to P.T and did exercises	24
3/21/2014	2	Iwent to an appointment and talked to Dr. Meletus and he told me that some people opt not get the surgery, but if their knee is not strong enough it can lead to future complications	26
3/26/2014	2	I went to P.T and did exercises	28
3/28/2014	2	I saw new patients come in today with different procedures done and saw that the P.T did different things with them.	30
4/2/2014	2	Today I talked with another P.T and she said that some people choose not to get surgery if their legs feel fine after a couple weeks of physical therapy.	32
4/4/2014	2	I did new exercises today with squatting with a ball.	34
4/7/2014	1	I volunteered today and saw P.T's working with ACL patients and how they checked the strength of the leg	35
4/9/2011	1	I volunteered today and helped the P.Ts with different things	36

3 Column Chart

	2	Name:Daniel Song		House: North		Topic: Physical Therapist

Three Column Logic Chart


	Statements		Reasons		Verification (Source #, Author/Title)
Topic		Physical Therapy		Given		Given
Foundation	a)	Physical Therapy:the treatment of disease, injury, or deformity by physical methods such as massage, heat treatment, and exercise rather than by drugs or surgery.	a)		a)	Source #1 Physical Therapy
	b)	ACL:The anterior cruciate ligament is one of the 4 major ligaments in the knee and holds together the tibia and the femur	b)	The ACL is the main focus of the project	b)	Source #11 ACL Injuries: Treatment and Rehabilitation
	c)	Rehabilitation: The act of restoring something to its original state	c)	A major part of healing is due to rehab	c)	Source #22 The Five Physical Therpay Goals after ACL Reconstruction
	d)	Surgery:the treatment of injuries or disorders of the body by incision or manipulation, esp. with instruments.	d)	The first step to an effective healing process	d)	Source # 17 ACL Graft Choices
EQ		EQ: What is the most effective treatment process for a torn ACL		Given		Given
Answer 1	a)	Autograft surgery:is the bone of a patient for use in grafting procedures in their own body. Bone is taken from one part of the body and grafted onto another part of the body to replace damaged tissues.	a)	Using the autograft procedure allows for a more effective healing process because the doctor is using the tissue from your own body so the acceptance rate is 100% and is much more stable than using a cadaver.	a)	Source #19 Health Guide ACL Reconstruction
	b)	Dr. James Andrews is a famous Orthopaedic Doctor who has operated on many famous athletes.	b)	Dr. James Andrews is one of the top Orthopaedic Doctors operating on many famous atheltes and chooses to go with the autograft surgery	b)	Online Website
	c)	Higher succes rate when using autograft vs. allograft.	c)	The autograft is what most doctors use for ACL reconstruction surgery. It has a higher success rate due to using the persons own body tissue. The Allograft uses a cadaver which is less stable and has side effects.	c)	Source #18 Graft Choices in ACL Surgery
	d)	Answer 1: The first step to an effective treatment process is to have an autograft surgery.	d)	(Explain why this answers the EQ) The first step to an effective treatment starts with reconstructing the ACL which is the foundation. Without a good foundation, the knee will have future complications.	d)
Answer 2	a)	blood platelets	a)	Greatly increases the speed of healing in the knee	a)	Source#49 ACL Alternatives and Options
	b)	non-surgical	b)	There is less strain on the patient and the knee	b)	Source# 49 ACL Alternatives and Options
	c)	no rehab	c)	There are less future complications because there is no excessive strain on the knee.	c)	Source#50 ACL Procedure Outcome
	d)	Answer 2: The best non-surgical treatment for a torn ACL is to have a stem-cell treatment	d)	(Explain why this answers the EQ) The treatment process completely heals the ACL without opening up the knee. There is no need for rehab which may be more convenient for the patients.	d)
Answer 3	a)	no surgery	a)	No risk of future complications	a)	Source# 51 Torn ACL may heal without surgery
	b)	Rehabilitation	b)	Assesses the patients need for ACL Surgery	b)	Source#16 ACL Injury:Does it need Surgery
	c)	stability	c)	If there is enough stablility in the knee after rehab patient can opt to not have surgery.	c)	Source#16 ACL Injury:Does it need Surgery
	d)	Answer 3: An effective treatment may be one with knee rehab	d)	(Explain why this answers the EQ) A treatment which shows people whether or not they need ACL surgery. If a person does not need the surgery then it frees them from any future complications with the knee.	d)
Best Answer	If: If my 3 answers are autograft surgery, stem cell treatment, and knee rehab
	Then: Then my best answer would be ACL surgery
	Because: According to the US National Library of Medicine The allograft group had a failure rate 15 times greater than that in the autograft group, with all failures occurring within the first year after reconstruction, with the Autograft group having little to no complications.