Case 1: peadiatric ward. Saudi Arabia, 1993

I worked at several departments. One was ward of pediatrics. I treat a hemiplegic child. Next was a bed with a very young child a girl. She had a tube in her mouth and did not move at all. she was somehow forgotten. just her food and cleaning. There was no referral for her and she was not having any treatment.

I saw that it would be good for her if physiotherapy would move her legs passively and het arms too.

So I ask her doctor for a referral. This was the first time this doctor had been asked for referral normalyy she give referral. 

I had permission for treatment and so I went daily to see her. I moved her arms legs and though how nice it would be if she could be out of the hoispìtal with her mother but this tube keeps her dependant. 

I spoke with Yasmin our peadiatric specialist in the physio department. She advised to massage the mouth, The mouth and tonque were very hard because she never moved this. Then I trough if a drop of milk on her tonque would meaby get her reflex for drinking going. so I found the milk bottles pinned a small hole in it and let som milk on her tonque and yes, she started to drink. I told her doctor to let the nurses take out the tube and start feeding her manually and she did. week later I found her mother with the child in her arms feeding her and week later she was out of the hospital, home with her mother and family.

 

Case 2: Outpatient department (OPD). Saudi Arabia, 1993

I also workde on the rehab for sprots and VIP 

I got a referral for a prince. He came to the first meeting stating he wanted ultra sound therapy. I told hium lets look first what is your siuturation and by the way I dohnt use machines. 

I checked his knee and said: the endfeeling is hard it feels like there is steel in it. He looked and said yes there is a screw in it. I said then ultrasound is totally contra indicated the high temperature will be in the screw and can damage your knee. Then he was happy to follow the treatment with exercises for flexibility, balance, strenght, coordination, and endurance.

 

Case 3 OPD, UK 1997

Patient post cervical fracture.

Did not be able to move l or r total stiffnes of the spine

Told him to start walking outside and slowly start looking around him. home exercise: movements of the neck like a snake forwards and side ways. The patient came 3 days later back and had done the movements all faithfully and range of mothien had improved by 50 % 

Two weeks later discharged. Patient can continue at hm¡ome and was doing better every day.