Daniel's Senior Blog

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.

Wednesday, October 16, 2013

Blog 8:Research and Working EQ

1.My working EQ is "What is the most effective way to treat an ACL tear.

2. EQ: What is the most effective way to treat an ACL tear?

-follow physical therapists who have patients that are currently recovering from an ACL tear.
-Research the process that patients go through before going through ACL reconstruction and post surgery rehabilitation.

3. For now the most important source has been all the research I have done about ACL reconstruction, rehab, and preparation. However I will start working soon with a physical therapist and learn first hand the process that one must go through to treat such an injury.

4. I am currently volunteering in the physical therapy department of Kaiser Permanente. I have multiple people that I follow, but I am going to be able to work one on one with a physical therapy about ACL tears. It directly correlates with my working EQ because I will experience the process of the treatment first hand.

Wednesday, October 2, 2013

Blog 7 Independent Component 1 (approval)

Independent Component

1. For my 30 hours of independent component 1 I plan to learn about the pre-surgery rehabilitation of an acl tear.
2. Since I have a torn ACL I get to experience first hand the routine of those who prepare their bodies before going into surgery. Also the hospital where I volunteer is also the place where I am currently going to get healed.
3. I will be doing my own personal research, and I will ask my physical therapist more info about it.

Monday, September 30, 2013

Independent Blog (September)

The Tear in my Knee

On September 25, 2013 I got injured while doing taekwondo. As I was doing a flying kick I landed incorrectly on my right leg and the the bone popped in and out. I couldn't put any weight on my right leg so I knew this was a pretty serious injury. There is actually a long process for identifying an injury. First I had to go to Urgent Care where they checked my injury. They then sent me to get an X-Ray of both of my knees to compare the good knee with the bad one. After I went back to Urgent Care where they brought an Sports Doctor. He did a quick test called the Lachman Test to see what sort of injury I had. He told me that I had a tear on one of the ligaments in my knees. The next day I went to Orthopedics so that I could find out where I had the tear and how severe it was. The doctor told me that it was a 90% chance that I had a tear in my ACL that was 5-7mm deep. It came as quite a shock to me, he told me that I wouldn't be able to do any sports for the next 8 months at the very least. I am currently doing my best to strengthen my knee as much as possible before the surgery that is scheduled in December, however I hope that I will be able to do it sooner.

Wednesday, September 18, 2013

Blog 6: Second Interview Questions

1. Who is your mentor and where do they work?
My main mentor is Joel who works at Kaiser Permanente, but there are also many other physical therapists that I help out at the mentor ship place. There are also many other volunteers at Kaiser and the Physical Therapy Department.

2. What five questions will you ask them about their background

1. How long did it take for you to get to the position that you are in?
2. What are some challenges that you face as a Physical Therapist?
3. What other fields can Physical Therapists go into?
4. What are the negatives of this job, if there are any?
5. What is the burnout rate of this job?

Thursday, September 5, 2013

Blog 5 Project Reflection and Working EQ

The Pentagon:
1. A positive thing that has happened is that I have become more familiar with the work that Physical Therapists do. I have become more familiar with the work atmosphere and the work ethic that you need.
I have a concrete plan of what I need to do when I get into college, so that will save me a lot of time.

EQ content
2. Through my interview I have learned the kind of attitude that you need to come with when you are helping others. I learned my interviewee's personal experiences and the education that is necessary to become a physical therapist. The most important qualities that a Physical Therapist can have is patience and the desire to learn more, because every year new types of treatments come up.

3. So far what has worked out for me in the Senior Project is that I do my mentor ship in a hospital, so I get to see many physical therapists actually working. I also have a large amount of Physical Therapists to whom I can ask questions or get help from.

4. So far everything has been smooth except for managing the times that I go to my mentor ship. It is mainly because of SAT and basketball, so I think that I will have more time after the month of October.

Finding Value
5. A potential question that I might like to study this year is
What is the quickest and most efficient way of helping a patient?
For my mentor ship I am currently at Kaiser Permanente, but I am looking for another possible mentor more preferably in a sports team of some sort.

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.