1/5 Brian F. 9 months ago on Google
I
was
a
patient/client
in
2016
and
2017
when
this
location
was
part
of
ATI
for
two
rounds
of
shoulder
rehab
due
to
two
sports
injuries.
I
had
good
experiences
with
Nodair,
Ron,
and
one
other
physical
therapist.
In
2023,
I
returned
after
suffering
a
concussion
and
being
diagnosed
with
post-concussion
syndrome
(PCS).
I
experienced
a
vestibular
system-related
symptom
so
I
sought
care.
The
recommended
places
from
the
neurology
department
of
my
PCP's
health
care
system
were
all
booked
out
a
month
or
more.
I
called
Cal
Rehab
to
see
if
they
provided
vestibular
care.
They
said
yes,
and
I
was
able
to
get
in
the
next
week
to
work
with
Lori
Fong.
Initially,
the
care
was
good.
After
about
a
month,
issues
with
care
started
to
emerge:
1.
I
could
not
get
Lori
to
commit
to
creating
a
plan
of
care,
which
the
APTA,
a
professional
association
for
physical
therapy,
discusses
in
its
standards
of
care
document,
that
is
well
communicated.
When
I
realized
there
was
a
gap
in
communication
of
my
plan
of
care,
I
made
out
a
list
of
exercises
and
asked
Lori
if
she
could
review
them.
She
said
she
would
and
stated
that
the
mobile
app
system
Cal
Rehab
uses
for
communicating
plans
of
care
doesn't
have
all
of
the
exercises
she
has
given
me.
That
fine.
Just
mark
up
the
printed
list
I
gave
you.
She
would
then
tell
me
she
would
do
when
I
was
a
future
appointments.
Eventually,
I
asked
her
again
if
she
could
review
the
list.
She
told
me
with
irritation
in
her
voice
that
she
did
not
have
time
for
that,
but
softened
and
said
that
she
couldn't
do
it
right
now.
At
another
appointment,
she
freely
told
me
that
she
didn't
review
the
plan
of
care
because
she
was
on
vacation
over
the
weekend.
I
totally
understand
that
people
need
time
away
from
work.
Though,
your
work
should
allow
you
to
do
the
basic
things
that
provide
good
care
and
are
considered
a
standard
of
care.
Lori
seemed
to
want
to
compensate
for
not
reviewing
the
list
by
telling
me,
"Just
focus
on
the
most
recent
exercises"
and
"It's
a
progression."
Asking
more
questions
later
uncovered,
not
surprisingly,
that
my
plan
of
care
in
her
head
had
multiple
series
of
exercise
progressions
and
foundational
exercises
that
should
be
done
throughout.
A
patient
or
client
figuring
out
what
should
be
in
their
care
plan
is
not
a
hallmark
of
good
care.
This
has
gone
one
for
four
weeks.
I
have
escalated
this
to
her
manager
Kurt
to
see
if
he
can
resolve
this
basic
part
of
physical
therapy
care.
This
is
by
far
the
most
significant
issue
with
care
at
Cal
Rehab.
2.
Part
of
my
care
is
to
work
through
exercise
intolerance
due
to
the
PCS.
This
was
done
using
a
stationary
bicycle.
I
found
it
hard
to
get
Lori
to
engage
and,
after
she
did
start
to
engage,
to
do
this
regularly
on
assessing
how
I
am
doing.
I
essentially
did
this
on
my
own.
3.
She
pushed
NSAIDs
for
my
PCS
headaches.
She
said
she
wasn't
prescribing
me
to
do
this.
Later
she
suggested
that
I
take
200
mg
of
ibuprofen
daily
as
a
possibly
preventative
to
headaches.
NSAIDs
are
well
documented
as
contributing
to
rebound
headaches
if
used
more
than
50%
of
a
week.
UCSF
Neurology
has
cautioned
me
about
NSAID
overuse.
Online
information
from
the
Cleveland
Clinic
and
the
Mayo
Clinic
also
caution
NSAID
overuse
to
the
rebound
headache
possibility.
PTs
are
not
licensed
in
California
to
prescribe
medications.
4.
During
one
appointment
Lori
shared
medical
information
about
a
patient
that
she
was
working
with
at
the
same
time
as
my
appointment
and
at
the
table
next
to
the
table
I
was
laying
on.
She
shared
that
this
patient
had
a
closed
head
injury
and
now
an
open
head
injury.
This
seem
at
least
inappropriate
and
may
be
a
privacy
violation
-
possibly
violating
HIPPA.
5.
I
also
had
billing
issues.
Mine
was
resolved
quickly.
Lori
told
me
in
passing
that
she
forgot
to
close
out
her
notes
for
two
appointments.
Overall,
I
don't
think
I
received
good
care
and
the
stress
of
the
above
is
hard
on
someone
with
PCS.
I
don't
plan
to
return
to
this
Cal
Rehab
location
and
don't
recommend
it
anymore.
1 person found this review helpful 👍