AV Physical Therapy and Wellness

04/22/2026

Grit is a factor in determining success over time.

How do you measure it?

It’s that chip on the shoulder that never leaves.

A wrong that can never be righted no matter how hard one works.

It’s that “why” a person keeps pushing forward when everyone around would’ve quit a long time ago.

It’s reading research at 11 PM after work, spending time with kids, working out, digging trenches.

How do you personify grit?

What’s your reason for pushing forward.

Those in the right circle know my why. Know why I have a chip.

It’s a blessing and a burden that I will have until I no longer breathe.

Talent x Effort = Skill Skill x Effort = Achievement There’s an old saying, “hard work beats talent when talent doesn’t work hard”. I preach this to my daughter now that she is old enough to unders…

04/18/2026

When seeing patients in Joliet, I have to stop in and get the best Apple Fritters ever.

04/16/2026

Love you brother.

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04/16/2026

When walking through the backyard to see native flowers.

04/13/2026

Chickens have an uncanny way of stabilizing their vision. They move their body and the head stays still in space.

https://youtube.com/shorts/O0hxDxIk0rM?si=gMPvhGA80GQevKcL

Check out the article below to see how this technology is helping those with movement disorders to be able to feed themselves with less mess.

It’s essentially a Gimbal for the fork and spoon.

https://verily.com/perspectives/verily-life-sciences-launches-liftware-level-device-to-help-people-with-limited-hand-and-arm-mobility-eat-with-confidence

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04/12/2026

This is from th PPS Impact magazine in 2017!

The landscape for insurance reimbursement continues to worsen and challenges the public’s access to high quality PT.

What do I mean by high quality?

Physical therapy that is catered to the patient.

Physical therapy that adjusts the treatment within the session.

Physical therapist that ask the patient questions about their journey towards improvement instead of just “jump on the bike for 20 minutes”

What the public doesn’t understand is that our profession has seen reimbursement reduce by about 30% when adjusted for inflation.

I don’t know about you, but I want to be paid more year over year.

In this environment, we are seeing pay stagnate because the company is being paid less and less per year when adjusted to inflation.

Unfortunately, the government is just as bad as a local street gang in this sense.

We can’t opt out of Medicare.

This means that a patient’s treatment must be billed to Medicare.

Don’t get me wrong, Medicare is a very reliable payer, but reliably getting paid less over the years is still not a good business model.

The business model will have to change in the coming years if this trend continues.

Either:
1. The doctors that spent 7 years and hundreds of thousands of dollars to get the degree will have to accept lower salaries.
2. Patients will have to accept shorter sessions (believe it or not, but the longer your session is, the less the company makes per hour)
3. You will see more group sessions (meaning you will be treated at the same time as others)
A. By the way, Medicare pays for its people to be treated one-one except for specific billing codes. If you are being treated at the same time as others and not seeing “group therapy”, “traction”, “ultrasound” or “electrical stimulation” charged, then this is an issue.
a. If you are seeing “ultrasound”, “electrical stimulation” and “traction” charged, that’s a whole another can of worms
4. More clinics will turn away Medicare as a payer for the higher reimbursing or out of network payment.

This problem in 2017 is an even bigger problem today.

04/11/2026

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Talent x Effort = Skill Skill x Effort = Achievement There’s an old saying, “hard work beats talent when talent doesn’t work hard”. I preach this to my daughter now that she is old enough to unders…

04/11/2026

https://www.facebook.com/share/p/1HHPchAcq6/?mibextid=wwXIfr

04/10/2026

For those that think the life of a therapist is easy…think again..

Don’t get me wrong…We are blessed. There are so many struggling throughout our community.

Being able to treat patients and still having the energy to dig a trench is a blessing.

There are so many that exhaust themselves just trying to make it through their requirements of the day.

I’ll continue to post the progress as I dig out the trench in my after hours of the first and second jobs.

For those following the story, we had an underground pipe installed, but then it was driven over multiple times by a large forklift, crushing segments and cracking others. I will be installing a french drain with a dry well in my “free time” in order to dry out our yard and keep our basement from flooding.

04/08/2026

This is an excellent example of what is missing in therapy clinics…functional fitness.

I like how he said very nonchalantly…it’s ok if it’s easy, you’re going to do a lot of them.

This is also something that I find missing in PT…setting up expectations.

He did a great job of correcting, encouraging and making the exercise harder all in the same video.

02/16/2022

Looking to climb the corporate ladder in PT is not always as easy as it should be.

Becoming a clinic manager by default is not climbing the ladder. Choosing to become a clinic director and then seeking out methods to understand what the job entails, working to improve yourself, and seeking out the job as a clinic director is a different story.

In many corporate PT mills, one becomes the director because they are the head PT and sometimes the only PT, surrounded by assistants, techs and front desk staff. Becoming a director by default is not ideal. Some people are born leaders, some people need training.

Enjoy the blog post. The link to the podcast version is in the article.

If you prefer the audio version, it can be found at here I recently became a member of the private practice section of the APTA. I have illusions of grandeur, which include working up t…

01/15/2022

As clinicians, we have to take ownership.

As employees we have to take ownership.

Being an employee is not without responsibility. We have the responsibility of ensuring that we are doing our best to ensure that the business continues to be profitable and a rewarding experience for the customer.

    What are you doing to make your company better? If you are employed, then it is your company. Take stock in your employer. If you can make your company more efficient, then you deserv…