Mirella Deisher’s Post

Good visual Illustration of factors associated with ROM for the MP and IP joints 👍

Virtual Hand to Shoulder Fellowship, LLC was privileged to have Dr. Adam Strohl present, Soft Tissue Reconstruction for the Upper Extremity this weekend. As clinicians specializing in upper limb and hand therapy, we need to also have an understanding of medical and surgical management so we can support and protect the healing process while safely restoring mobility and function. You cannot provide optimal care in upper limb and hand therapy without an advanced-level of knowledge in this highly specialized area of practice. You also can’t rely solely on protocols. Protocols are guidelines that can never capture the big picture. They should be adjusted in collaboration with the surgeon based on specific patient nuances and their evolving clinical presentation. This is what we focus on developing in the virtual hand therapy fellowship through our curriculum, amazing guest presenters like Dr. Strohl, and most importantly, mentorship. As our fellows learn the fundamentals and then begin to develop and understand the power of critical thinking, it completely changes their perspective in what they do. It opens up a whole different world of realizing the impact they can have on their patient’s recovery. This is what drives VHSF. #handtherapy #handtherapists #chtexam #occupationaltherapists #physicaltherapists #certifiedhandtherapists #handsurgeons #physiotherapists #clinicalexcellence #virtualhandfellowship

So privileged to be part of this team leading the way in innovative education and training 🤩 #NevroAUS #Training #education #SurgicalSkills #SpineModels #ProfessionalEducation #InnovationInLearning #SCSTraining

A perfect summary of the entrapment zones for guyons canal

Compression of the ulnar nerve in Guyon canal can often be confused with compression of the ulnar nerve at the cubital tunnel. A major distinguishing factor is the sensation over the dorsal ulnar aspect of the hand. The dorsal ulnar cutaneous nerve provides sensation to this region and branches off 8 cm. proximal to Guyon canal so it would be preserved if the ulnar nerve was being compressed at Guyon canal or at zone 1. The zones of Guyon canal can help localize the level of a low ulnar nerve injury. 👉Foundational knowledge is critical to developing effective critical thinking skills which is why it’s threaded throughout the Virtual Hand to Shoulder Fellowship, LLC curriculum. As we advance to discuss increasingly complex pathologies, we are always circling back to foundational knowledge, reinforcing knowledge and connecting dots. This is important in cultivating effective critical thinking skills and also in enabling clinicians to become autonomous in continuing their own professional development. Our next virtual hand therapy fellowship cohort begins this September. #handtherapy #handtherapists #certifiedhandtherapist #chtexam #guyoncanal #ulnarnerve #ulnarnervetransposition #virtualhandfellowship

A couple of years ago, just for the kicks we published a video on difficult IV access on NYSORA’s YouTube channel. I remember it like it was today: We actually hesitated to release the video because our channel was at the time watched mostly by anesthesiologists. Therefore - why "How TO IV" access on NYSORA's channelYT , when we anesthesiologists are uniquely trained to be the best at IVs? Besides, in an era of ultrasound, who needs traditional techniques to an IV, right? Wrong! With our surprise, we watched the Difficult IV videos hit nearly 2 million views. We then released another one, then and another one... Watching the views of IV techniques videos soar, we looked up what was available for education on the topic of IV, and we realized that nearly all books on IV access are mostly theoretical. And therefore, in response to our viewer’s quest for better learning tool on difficult IV access, NYSORA Press just published a hands-on manual packed with real-world advice that textbooks just don't offer. The manual features over 400 real-life clinical pictures and step-by-step instructions. Plus, we added videos of IV techniques in difficult patients accessible with a quick QR code scan that comes with the Manual. The videos feature a range of little known tricks I learned during the AIDS pandemic in patients in whom IV access was nearly impossible, such as reverse Esmarch, double tourniquet, triple tourniquet, bending IV catheters, and more.   While ultrasound guidance has been immensely helpful in securing an IV in patients with difficult IVs, nothing beats quick traditional IV access with a pair of experienced hands equipped with tips and tricks featured by pros. I believe that everyone should see what we created and have one at their clinic for generations to come. https://lnkd.in/efcYY9Qy Greetings!

Ultimately a training course is only as good as its faculty. This clip from Shounuck Patel, DO, one of the faculty at the Regenerative Medicine and MSK Ultrasound Course, perfectly captures our expert multidisciplinary faculty (surgeons,physiatrists,therapists, family practice sports, interventional pain) hard at work teaching....and then brainstorming in the evenings on how to teach better!

We love seeing our Neuro Reconditioning community members ' eyes light up with light bulbs exploding! In this picture, there are two S+C Coaches, a Medical Doctor/Osteopath, two Physiotherapists, Three Athletic Therapists, plus Jaime and me. What an eclectic crew! Talk about integrating human performance! The R3 CoLab is the pinnacle course in the R-Pro Series of Neuro Reconditioning. It's where everything you've learned gets completely integrated through the power of the brain! The Proprioceptive, Visual, and Vestibular systems provide input to the brain, and influencing these areas can create substantial change, but when you start working with the brain (Cortex, Midbrain, Brainstem, and Cerebellum) your outcomes explode. Understanding why the pain is happening, why the movement aberration is occurring, or why your client is struggling to create change is such an empowering aspect of the Neuro Reconditioning process. Want to take your practice to another level? What to help your clients get rid of their pain for good? Want to help people achieve things they never thought they could? Take the Neuro Reconditioning process to its completion, R1 to R3 will change the way you work for the good. We've put together a video course that you can download for FREE right now at: www.FreePainGuide.com Want to attend one of our courses? R1 One-day Virtual Lab July 13th on Zoom! R1 Foundations in Calgary - August 17-18 R1 Foundations in Ottawa - September 13-14 R1 Foundations in Toronto - September 28-29 R1 Foundations in Victoria - October 26-27 Virtual R1 and R2 Labs start September 5th for 8 weeks (1 hr/wk) Register here: https://lnkd.in/dNsGspx7 Seems like too much commitment to get started. We just launched our "Essentials of Neuro Reconditioning" course and it's completely online and less than four hours of time commitment! https://lnkd.in/gNdd4sSN We want to make getting started a no-brainer! #ReconditioningRevolution #NeuroReconditioning #MpwrU #rehabilitation #rehab #training #rehabilitation

NEW PROFILE ALERT! Brian Coe, CEO of Belay Diagnostics, is a businessperson with an academic background in medicine, combines his STEM background and business sense to connect patients with kidney stones to the treatment they need. Read more about him here: https://lnkd.in/eYMMANRQ As Thanksgiving and Giving Tuesday approaches, consider contributing to Math4Science's work so that we can create more profiles like these. While profiles might seem like simple blog posts, they form the backbone of M4S's approach by demonstrating to kids what can be done with a #STEM degree.

You can get knowledge from a book, school, seminars, and also from colleagues. But wisdom is more elusive. How is wisdom won? Because I don't know that you can simply "get" it like you can "get fries with that". I suppose it can be painfully won... And gratitude can grant us wisdom... But what's the critical element? Is it engagement? Is it that you must be consistently present, immersed in whatever is happening, in order to truly draw invaluable lessons? I'm not an idiot, but I was a terrible student in my first graduate program... because it was a terrible program that was shuttered days after my class finished. And it was during my residency that I realized the magic of patient care. In my second program (we would do orthotics and prosthetics separately during the horse and buggy days), I thrived. I couldn't get enough and due to great faculty, my foundation was excellent from day 1. Lucky to open a private practice, I swore to re-do any project I wasn't happy with... expecting to do about 5% over again. Oddly, and surprisingly, it was much lower. Somehow, when fully committed to the person before me, things clicked most all of the time. Mind you, I made mistakes, and some of them make me chuckle to this day. But I never tried to convince the patient that it was "all in their head" or that "it would be fine" when I was hoping they'd tolerate a "less than" design choice. As it turns out, I wanted the clarity about the failure more than I wanted the reputation of "infallible clinician". And we're the lucky ones in prosthetics. Unlike the surgeons, every project we do gets a mulligan; a chance to tweak something and strive to do better. I often wondered how desperately surgeons would want easy do-overs if it were possible. And how would they feel about me if they knew that I could take another shot at making a leg, but didn't? And so, by expecting the gaffes, I wonder if they happened less often as a result. Who's to say? So many people with knowledge... but what brings wisdom? Perhaps I'll get closer to an answer in the next year. Or maybe overthinking is just my default mode. May you all have a wonderful 2024.