| 
																																																												 Letter
																																																												of
																																																												expectations
																																																												for
																																																												qualifying
																																																												Physical
																																																												Therapist! 
																																																												Is
																																																												this
																																																												something
																																																												you
																																																												qualify
																																																												for
																																																												and
																																																												are
																																																												willing
																																																												to
																																																												do?: 
																																																												 
																																																												
 																																																												My
																																																												daughter
																																																												is
																																																												two
																																																												years
																																																												old
																																																												with
																																																												Spinal
																																																												Muscular
																																																												Atrophy.
																																																												I
																																																												am
																																																												currently
																																																												in
																																																												the
																																																												process
																																																												of
																																																												finding
																																																												a
																																																												therapist
																																																												that
																																																												will
																																																												be
																																																												most
																																																												beneficial
																																																												to
																																																												my
																																																												daughter.
																																																												She
																																																												has
																																																												been
																																																												involved
																																																												in
																																																												therapy
																																																												for
																																																												almost
																																																												10
																																																												months
																																																												now.
																																																												And
																																																												we
																																																												have
																																																												found
																																																												it
																																																												to
																																																												be
																																																												so
																																																												important
																																																												to
																																																												her.
																																																												However,
																																																												as
																																																												we
																																																												all
																																																												are
																																																												people
																																																												of
																																																												different
																																																												opinions,
																																																												beliefs,
																																																												ideas,
																																																												and
																																																												simply
																																																												different
																																																												ways
																																																												of
																																																												doing
																																																												things,
																																																												there
																																																												has
																																																												developed
																																																												an
																																																												extreme
																																																												conflict
																																																												between
																																																												her
																																																												current
																																																												PT
																																																												and
																																																												myself.
																																																												We
																																																												just
																																																												disagree
																																																												in
																																																												the
																																																												way
																																																												her
																																																												case
																																																												should
																																																												be
																																																												handled
																																																												and
																																																												through
																																																												ignorance
																																																												she
																																																												has
																																																												gone
																																																												over
																																																												my
																																																												head
																																																												in
																																																												making
																																																												decisions
																																																												for
																																																												my
																																																												child.
																																																												Why
																																																												this
																																																												is
																																																												I
																																																												don't
																																																												know
																																																												or
																																																												understand
																																																												all
																																																												the
																																																												whys
																																																												and
																																																												whats
																																																												but
																																																												never
																																																												the
																																																												less,
																																																												I
																																																												cannot
																																																												allow
																																																												it
																																																												to
																																																												continue.
																																																												I
																																																												also
																																																												want
																																																												to
																																																												make
																																																												sure
																																																												that
																																																												from
																																																												what
																																																												I
																																																												have
																																																												seen
																																																												and
																																																												learned
																																																												from
																																																												all
																																																												past
																																																												experiences,
																																																												that
																																																												I
																																																												pick
																																																												a
																																																												therapist
																																																												how
																																																												that
																																																												will
																																																												fit
																																																												more
																																																												into
																																																												the
																																																												category
																																																												of
																																																												what
																																																												I
																																																												am
																																																												looking
																																																												for
																																																												to
																																																												care
																																																												for
																																																												my
																																																												daughter. 
																																																												 
																																																												
 																																																												Some
																																																												of
																																																												the
																																																												things
																																																												I
																																																												am
																																																												picky
																																																												about: 
																																																												
																																																																																- I
																																																																																																				expect
																																																																																																				her
																																																																																																				therapist
																																																																																																				to
																																																																																																				listen
																																																																																																				and
																																																																																																				understand
																																																																																																				my
																																																																																																				analysis
																																																																																																				of
																																																																																																				my
																																																																																																				daughter.
																																																																																																				I
																																																																																																				am
																																																																																																				with
																																																																																																				her
																																																																																																				24/7.
																																																																																																				I
																																																																																																				don't
																																																																																																				work.
																																																																																																				I
																																																																																																				only
																																																																																																				go
																																																																																																				to
																																																																																																				school
																																																																																																				part-time.
																																																																																																				I
																																																																																																				have
																																																																																																				dedicated
																																																																																																				my
																																																																																																				life
																																																																																																				to
																																																																																																				her
																																																																																																				care
																																																																																																				and
																																																																																																				research
																																																																																																				to
																																																																																																				her
																																																																																																				care.
 
																																																																																- I
																																																																																																				fully
																																																																																																				believe
																																																																																																				that
																																																																																																				whatever
																																																																																																				she
																																																																																																				can
																																																																																																				do
																																																																																																				now,
																																																																																																				she
																																																																																																				needs
																																																																																																				to
																																																																																																				do.
																																																																																																				If
																																																																																																				she
																																																																																																				needs
																																																																																																				medical
																																																																																																				equipment
																																																																																																				for
																																																																																																				assistance
																																																																																																				then
																																																																																																				I
																																																																																																				expect
																																																																																																				the
																																																																																																				therapist
																																																																																																				to
																																																																																																				be
																																																																																																				right
																																																																																																				on
																																																																																																				the
																																																																																																				paperwork
																																																																																																				to
																																																																																																				get
																																																																																																				it
																																																																																																				accomplished.
 
																																																																																- I
																																																																																																				believe
																																																																																																				that
																																																																																																				the
																																																																																																				doctors
																																																																																																				and
																																																																																																				therapists
																																																																																																				do
																																																																																																				not
																																																																																																				have
																																																																																																				a
																																																																																																				full
																																																																																																				understanding
																																																																																																				of
																																																																																																				my
																																																																																																				daughters
																																																																																																				disability
																																																																																																				and
																																																																																																				that
																																																																																																				there
																																																																																																				is
																																																																																																				a
																																																																																																				lot
																																																																																																				of
																																																																																																				info
																																																																																																				out
																																																																																																				there
																																																																																																				to
																																																																																																				be
																																																																																																				able
																																																																																																				to
																																																																																																				understand
																																																																																																				it
																																																																																																				more
																																																																																																				than
																																																																																																				what
																																																																																																				they
																																																																																																				know
																																																																																																				locally
																																																																																																				anyway.
																																																																																																				It
																																																																																																				is
																																																																																																				my
																																																																																																				desire
																																																																																																				to
																																																																																																				find
																																																																																																				a
																																																																																																				therapist
																																																																																																				who
																																																																																																				is
																																																																																																				willing
																																																																																																				to
																																																																																																				go
																																																																																																				that
																																																																																																				extra
																																																																																																				mile
																																																																																																				to
																																																																																																				research
																																																																																																				or
																																																																																																				except
																																																																																																				my
																																																																																																				research
																																																																																																				findings,
																																																																																																				to
																																																																																																				understand
																																																																																																				SMA
																																																																																																				as
																																																																																																				much
																																																																																																				as
																																																																																																				is
																																																																																																				possible
																																																																																																				to
																																																																																																				be
																																																																																																				able
																																																																																																				to
																																																																																																				give
																																																																																																				my
																																																																																																				daughter
																																																																																																				the
																																																																																																				absolute
																																																																																																				best
																																																																																																				care
																																																																																																				possible
																																																																																																				giving
																																																																																																				her
																																																																																																				awful
																																																																																																				and
																																																																																																				dreadful
																																																																																																				disability.
 
																																																																																- I
																																																																																																				am
																																																																																																				very
																																																																																																				practical.
																																																																																																				I
																																																																																																				want
																																																																																																				her
																																																																																																				to
																																																																																																				be
																																																																																																				safe,
																																																																																																				but
																																																																																																				I
																																																																																																				want
																																																																																																				her
																																																																																																				to
																																																																																																				do
																																																																																																				as
																																																																																																				much
																																																																																																				as
																																																																																																				she
																																																																																																				can
																																																																																																				on
																																																																																																				her
																																																																																																				own.
																																																																																																				I
																																																																																																				believe
																																																																																																				in
																																																																																																				equipment
																																																																																																				that
																																																																																																				will
																																																																																																				be
																																																																																																				there
																																																																																																				for
																																																																																																				her
																																																																																																				if
																																																																																																				she
																																																																																																				needs
																																																																																																				help
																																																																																																				or
																																																																																																				protection
																																																																																																				but
																																																																																																				will
																																																																																																				not
																																																																																																				further
																																																																																																				handicap
																																																																																																				her.
																																																																																																				(She
																																																																																																				has
																																																																																																				a
																																																																																																				degenerative
																																																																																																				neuromuscular
																																																																																																				disorder.)
																																																																																																				I
																																																																																																				have
																																																																																																				seen
																																																																																																				with
																																																																																																				my
																																																																																																				own
																																																																																																				eyes
																																																																																																				the
																																																																																																				weakening
																																																																																																				that
																																																																																																				occurs
																																																																																																				when
																																																																																																				an
																																																																																																				area
																																																																																																				is
																																																																																																				not
																																																																																																				exercised
																																																																																																				(meaning
																																																																																																				kept
																																																																																																				active).
 
																																																																																- I
																																																																																																				want
																																																																																																				someone
																																																																																																				who
																																																																																																				can
																																																																																																				relate
																																																																																																				and
																																																																																																				adapt
																																																																																																				to
																																																																																																				my
																																																																																																				daughters
																																																																																																				personality.
																																																																																																				If
																																																																																																				she
																																																																																																				don't
																																																																																																				feel
																																																																																																				like
																																																																																																				you
																																																																																																				are
																																																																																																				her
																																																																																																				buddy
																																																																																																				and
																																																																																																				that
																																																																																																				you
																																																																																																				don't
																																																																																																				want
																																																																																																				to
																																																																																																				hang
																																																																																																				out
																																																																																																				and
																																																																																																				play
																																																																																																				with
																																																																																																				her
																																																																																																				then
																																																																																																				she
																																																																																																				will
																																																																																																				rebel
																																																																																																				against
																																																																																																				you.
 
																																																																																- I
																																																																																																				want
																																																																																																				someone
																																																																																																				who
																																																																																																				is
																																																																																																				aggressive
																																																																																																				and
																																																																																																				good
																																																																																																				at
																																																																																																				communicating.
																																																																																																				Someone
																																																																																																				who
																																																																																																				will
																																																																																																				reach
																																																																																																				deep
																																																																																																				into
																																																																																																				their
																																																																																																				knowledge
																																																																																																				to
																																																																																																				share
																																																																																																				with
																																																																																																				me
																																																																																																				options
																																																																																																				that
																																																																																																				would
																																																																																																				be
																																																																																																				of
																																																																																																				interest
																																																																																																				to
																																																																																																				me
																																																																																																				for
																																																																																																				use
																																																																																																				with
																																																																																																				my
																																																																																																				daughter.
																																																																																																				Someone
																																																																																																				who
																																																																																																				believes
																																																																																																				in
																																																																																																				trying
																																																																																																				instead
																																																																																																				of
																																																																																																				saying
																																																																																																				I
																																																																																																				don't
																																																																																																				know
																																																																																																				if
																																																																																																				she
																																																																																																				can
																																																																																																				do
																																																																																																				that
																																																																																																				or
																																																																																																				not
																																																																																																				and
																																																																																																				then
																																																																																																				not
																																																																																																				end
																																																																																																				up
																																																																																																				doing
																																																																																																				any
																																																																																																				thing
																																																																																																				at
																																																																																																				all.
 
																																																																																- Someone
																																																																																																				who
																																																																																																				is
																																																																																																				willing
																																																																																																				to
																																																																																																				except
																																																																																																				my
																																																																																																				right
																																																																																																				to
																																																																																																				choose
																																																																																																				my
																																																																																																				own
																																																																																																				values
																																																																																																				for
																																																																																																				my
																																																																																																				family
																																																																																																				including
																																																																																																				my
																																																																																																				daughter.
																																																																																																				Someone
																																																																																																				who
																																																																																																				will
																																																																																																				guide
																																																																																																				and
																																																																																																				advise
																																																																																																				but
																																																																																																				step
																																																																																																				back
																																																																																																				when
																																																																																																				I
																																																																																																				make
																																																																																																				a
																																																																																																				decision
																																																																																																				that
																																																																																																				may
																																																																																																				be
																																																																																																				different
																																																																																																				from
																																																																																																				what
																																																																																																				they
																																																																																																				would
																																																																																																				choose.
 
																																																																																- Someone
																																																																																																				who
																																																																																																				will
																																																																																																				take
																																																																																																				the
																																																																																																				time
																																																																																																				out
																																																																																																				to
																																																																																																				watch
																																																																																																				and
																																																																																																				observe
																																																																																																				me,
																																																																																																				get
																																																																																																				to
																																																																																																				know
																																																																																																				me
																																																																																																				and
																																																																																																				be
																																																																																																				able
																																																																																																				to
																																																																																																				trust
																																																																																																				that
																																																																																																				I
																																																																																																				will
																																																																																																				go
																																																																																																				to
																																																																																																				what
																																																																																																				ever
																																																																																																				extremes
																																																																																																				necessary
																																																																																																				to
																																																																																																				give
																																																																																																				my
																																																																																																				daughter
																																																																																																				the
																																																																																																				most
																																																																																																				benefit
																																																																																																				out
																																																																																																				of
																																																																																																				her
																																																																																																				life.
 
																																																																																- Someone
																																																																																																				who
																																																																																																				will
																																																																																																				follow
																																																																																																				through
																																																																																																				with
																																																																																																				their
																																																																																																				promises
																																																																																																				and
																																																																																																				be
																																																																																																				efficient
																																																																																																				with
																																																																																																				our
																																																																																																				plans
																																																																																																				and
																																																																																																				goals
																																																																																																				for
																																																																																																				my
																																																																																																				daughter.
 
																																																																																- Someone
																																																																																																				who
																																																																																																				has
																																																																																																				the
																																																																																																				time
																																																																																																				to
																																																																																																				serve
																																																																																																				her
																																																																																																				needs.
																																																																																																				Or
																																																																																																				someone
																																																																																																				who
																																																																																																				is
																																																																																																				willing
																																																																																																				to
																																																																																																				invest
																																																																																																				a
																																																																																																				little
																																																																																																				of
																																																																																																				their
																																																																																																				own
																																																																																																				time
																																																																																																				to
																																																																																																				make
																																																																																																				sure
																																																																																																				that
																																																																																																				nothing
																																																																																																				is
																																																																																																				left
																																																																																																				out
																																																																																																				to
																																																																																																				shuffle
																																																																																																				around
																																																																																																				and
																																																																																																				get
																																																																																																				delayed
																																																																																																				or
																																																																																																				worse
																																																																																																				lost.
 
																																																												 
																																																												Her
																																																												therapy
																																																												schedule: 
																																																												Tuesday-8am
																																																												to
																																																												9am
																																																												developmental
																																																												therapy 
																																																												Wednesday-8am
																																																												to
																																																												845am
																																																												PT 
																																																												           
																																																												       
																																																												9am
																																																												to
																																																												945am
																																																												Speech
																																																												therapy 
																																																												Thursday-8:15-9:00am
																																																												OT 
																																																												Friday-8:00-9:00am
																																																												Aquatic
																																																												therapy 
																																																												 
																																																												
 																																																												I
																																																												imagine
																																																												that
																																																												I
																																																												may
																																																												have
																																																												left
																																																												a
																																																												thing
																																																												or
																																																												two
																																																												out.
																																																												But
																																																												you
																																																												get
																																																												the
																																																												general
																																																												idea.
																																																												If
																																																												this
																																																												sounds
																																																												like
																																																												a
																																																												case
																																																												that
																																																												you
																																																												will
																																																												be
																																																												interested
																																																												in
																																																												participating
																																																												in.
																																																												please
																																																												email
																																																												with
																																																												any
																																																												further
																																																												questions
																																																												or
																																																												concerns
																																																												you
																																																												may
																																																												have.
																																																												You
																																																												can
																																																												call
																																																												me
																																																												between
																																																												1
																																																												and
																																																												3
																																																												during
																																																												the
																																																												day
																																																												or
																																																												9
																																																												and
																																																												11
																																																												at
																																																												night.
																																																												I
																																																												live
																																																												in
																																																												a
																																																												transitional
																																																												housing
																																																												unit
																																																												so
																																																												it
																																																												is
																																																												a
																																																												pain
																																																												to
																																																												call
																																																												me,
																																																												but
																																																												if
																																																												you
																																																												follow
																																																												these
																																																												directions
																																																												you'll
																																																												be
																																																												fine: 
																																																												Thank
																																																												you
																																																												so
																																																												much
																																																												for
																																																												your
																																																												time.
																																																												I
																																																												look
																																																												forward
																																																												to
																																																												hearing
																																																												from
																																																												you
																																																												so
																																																												that
																																																												we
																																																												may
																																																												be
																																																												able
																																																												to
																																																												meet
																																																												and
																																																												discuss
																																																												my
																																																												daughter's
																																																												treatment
																																																												with
																																																												you. 
																																																												 
																																																												
																																																												 
																																																												Sincerely, 
																																																												Brenda
																																																												Brames 
																																																												Back
																																																												Home
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