Laughter, Care, and Sometimes Bears: Mary Salmon’s Home Health Journey in Frederick County

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For decades, Mary Salmon has dedicated her heart and hands to helping others in Frederick County, Maryland. When asked what’s kept her with Tx:Team, for almost 19 years, she doesn’t hesitate: “I work with some of the most awesome therapists,” Mary says. “We all pride ourselves on doing the best we can for our patients. Some of the therapists I work with are people I started my career with. I love our team.”

Her commitment to patient care has been unwavering since 1997, when she first stepped into home care. Home health care has provided her with countless memorable experiences, from rural adventures to heartwarming victories. She shares a fond story of a patient once confined to bed who, with her help, regained the ability to transfer and walk in his home, despite being in hospice. “There are so many stories from home care, especially since we work in rural areas,” she reflects.

And rural areas bring their own challenges—sometimes including wildlife! Mary had a patient up on the mountain who warned her to be careful coming up the driveway as there was a bear sitting on a rock at the front of the property. Then there’s the infamous rooster story: “Once, on a patient’s chart, there was a note that said, ‘Be careful of the rooster.’  I arrived at the house and looked around, not seeing the rooster, I ran into the home.  Jumped in and said, ‘I made it!’ The lady replied, ‘Oh, you don’t have to worry about the rooster—the fox got him yesterday.’”

When asked if any achievement stands out from her career, Mary humbly replies, “Not really. I’ve just tried to be the best PT I could be and help my peers when they have questions or difficulties.” Her approach to patient care is deeply personal, shaped by her own life experiences. “It’s like I have known them forever. If I can make someone smile or laugh when they’re not feeling well, they’re already on the road to recovery,” she shares. “It’s so rewarding.”

Along the way, Mary has gained as much from her patients as she’s given. “There is so much history in Frederick, and I enjoy my patients and their stories of life. It is truly amazing what we can learn when we listen to our patients. This has been one of the most enjoyable parts of my job.” The bond with her colleagues, many of whom have been with her since the beginning, is something she knows she will deeply miss. “We grow and learn from each other,” Mary explains. “This has been a truly amazing job.”

Her plans for retirement? More adventure. Mary has lived all over the world, loves to travel, and is excited to begin this new chapter while continuing to be a dedicated mom to her son and daughter and grandma to her four grandchildren. But her work with people hasn’t ended—she’s spent years volunteering as a ski instructor for individuals with disabilities and plans to continue that work. “Those experiences helped me to grow beyond words,” she shares. “In the disabled community, people can be so resilient. The motto is, ‘If I can do this, I can do anything.’ It’s a great reminder for all of us to keep putting one foot forward.”

Though the road ahead is new, Mary is ready for it. “Life is an adventure,” she says. “I will now begin a new chapter that is altogether exciting and scary, but invigorating just the same.”

We thank Mary Salmon for her nearly two decades of unwavering dedication, resilience, and compassion with Tx:Team. Her legacy of care has left a lasting impact on our patients, colleagues, and community. We wish her nothing but joy and adventure in this well-deserved new chapter.

Ask an Expert: Why Does My Doctor Want Me to Do Therapy for Arthritis?

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Q: My pain is caused by arthritis and therapy can’t get rid of my arthritis. Why does my Dr. want me to do therapy?

A: Pain and stiffness arising from arthritis often causes you to be less active and even avoid certain movements. A tailored physical therapy program is targeted to help you move better and move more. The goal is to overcome weakness arising from being less active and to fight stiffness and pain with exercises and stretches to keep you limber.

 

Jaydeep Samant, PT, MHS, is a physical therapist and the leader of our therapy team at Putnam County Hospital in Greencastle, Indiana. Originally from Mumbai, Jaydeep received his Bachelor’s degree in PT in 2016 in India. In 2018, he graduated with a Master’s in Health Sciences degree from the University of Indianapolis and has been a practicing PT since graduation. Jaydeep specializes in treating orthopedic, neuromuscular conditions, sports injuries, joint replacements and any acute musculoskeletal conditions.

Occupational Therapy for Arthritis Management: Gail’s Story

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If arthritis is making everyday tasks like gripping your toothbrush or getting in and out of your car a struggle, occupational therapy could be the key to regaining your independence. Occupational therapists are experts in helping you overcome these challenges through education, exercises, assistive devices, and orthotics.

Occupational therapy teaches you joint protection techniques, like using your entire arm instead of just your wrist to turn a doorknob, while also guiding you in pacing activities to prevent fatigue. You’ll learn how to adapt tasks and environments to fit your needs, such as swapping a doorknob for a lever that’s easier to open. They often perform home evaluations to identify safety risks and recommend modifications that make daily living easier. Custom orthotics, like wrist splints, help reduce pain and protect your joints from further damage. And, with exercises tailored to your daily struggles—such as bicep curls for lifting groceries or stretches for reaching overhead—you’ll regain strength and mobility, as highlighted by the Arthritis Foundation.

A heartwarming example of occupational therapy’s transformative power comes from Somerby Peachtree City in Peachtree City, Georgia. Christon Cardell, a Tx:Team occupational therapist, worked with Gail, a patient whose arthritis had made it impossible to wash or blow dry her own hair due to limited arm mobility. Gail relied on beauty salons just to manage these basic tasks—until Christon changed her life. After therapy, Gail joyfully shared, “I was able to raise my arms over my head, shampoo my own hair, and blow it dry. Now I get to go to the salon for enjoyment, but it’s not out of necessity.”

Gail’s journey didn’t stop there. “Therapy has been more than helpful, and I’ve continued the exercises… to keep doing things on my own with ease and not go backwards,” she added. “I am so appreciative of the therapist and her helpfulness; I can do things on my own with increased ease and less pain and don’t have to rely on others. Arthritis is still a problem, but the therapy has been essential to keep me moving!”

Gail’s story is a touching reminder of the life-changing impact occupational therapy can have for those living with arthritis—not just in restoring mobility, but in reclaiming independence, dignity, and a renewed sense of freedom. Occupational therapists work in outpatient clinics, hospitals, and even in your own home. With most health insurance plans covering occupational therapy, it’s an accessible option to help you stay active and independent, no matter your age or stage of arthritis.

Creating a Culture of Care to Restore Resilience and Combat Burnout

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In the demanding world of healthcare, where compassion and dedication are paramount, burnout has become a pervasive challenge and a priority of the U.S. Surgeon General. Burnout is an occupational syndrome that stems from prolonged workplace stress. More than just feeling tired after a long shift, burnout manifests as emotional exhaustion, increasing cynicism, and a diminishing sense of personal achievement. It is crucial to understand the complexities of burnout and explore ways to overcome it. The consequences of burnout extend far beyond individual experiences, casting a shadow over the entire healthcare system. Recognizing these struggles paves the way for meaningful change—not just for individuals, but for the entire system.

Addressing burnout requires a collaborative effort, combining organizational change with individual action. Employers have a vital role to play in fostering a supportive workplace culture. By valuing employee well-being and integrating health and wellness initiatives into policies, healthcare organizations can create an environment that encourages open discussions about mental health. Increasing access to confidential mental health services is essential to breaking down the stigma surrounding support, allowing workers to seek help without fear.

At Tx:Team, we are committed to uplifting our healthcare heroes through our Employee Assistance Program (EAP) in partnership with Guardian. This program offers a range of mental health services designed to empower our staff, including face-to-face counseling, unlimited 24/7 telephonic consultations with qualified counselors, and bereavement support. Additionally, we provide online modules focused on mental fitness. Our EAP also features work/life assistance, offering access to specialists in family care and wellness, along with referrals for child and elder care, discounts on various products and services, and tools for medical bill negotiation. Furthermore, we include legal and financial assistance.

While organizational changes are crucial, individual healthcare workers can also take proactive steps to safeguard their mental and physical health. Establishing clear boundaries between work and personal life is essential. Simple strategies, such as taking notes during patient sessions to limit after-hours tasks, can help reduce stress. Staying connected with loved ones and reaching out for support during challenging times fosters emotional well-being. Prioritizing self-care, through healthy eating, regular exercise, and sufficient sleep, enhances resilience against stressors.

Burnout is not just an individual or workplace issue—it’s a societal concern that calls for collective action. Each of us has a role to play in supporting healthcare workers. The Dr. Lorna Breen Health Care Provider Protection Act, passed in 2022, aims to address the mental health crisis among healthcare workers by providing critical support to reduce burnout, prevent suicide, and promote overall well-being. With an initial funding of $103 million allocated to healthcare organizations for these initiatives, the potential for positive change is immense. However, we must recognize that less than 1% of U.S. hospitals have benefited from these funds so far. The urgent call for reauthorization will expand access to these vital resources, reduce administrative burdens, and ensure continued support for the mental health of caregivers.

Whether you’re a colleague, a leader, or a member of the community, your voice matters. Advocate for policies that promote mental health, express gratitude to those who care for us, and foster an environment where wellness is prioritized. Together, we can cultivate a culture of appreciation, resilience, and hope, ensuring that our healthcare workers not only survive but thrive in their vital roles.

Ask an Expert: What’s the Difference Between a PT and a PTA?

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Question: I was told that I would have appointments with both a PT and a PTA. What is the difference?
Answer: The PT and PTA have a collaborative relationship. At your first visit, you will meet with a PT who will perform the evaluation, determine the diagnosis, and develop a plan of care. The PT will also see you at set intervals to evaluate your progress towards your goals and determine when you are ready for discharge.
Most of treatments between progress visits and discharge will likely occur with a PTA. The PTA will provide care under the supervision of the PT. The PTA will be able to progress existing and add new exercises, perform manual techniques, educate you on questions related to your illness, and develop/update your home exercise plan.
The PTA will be in constant communication with the PT regarding your progress towards set goals or regarding any concerns along the way. The PT and PTA work as a team to provide you with the best care possible.
-Alison Mokashi, PTA at Frederick Health Crestwood Outpatient

Fall Awareness Sparks Stories of Courage and Recovery this Physical Therapy Month

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Happy Physical Therapy Month! This year’s theme, Fall Awareness, chosen by the American Physical Therapy Association (APTA), reminds us of the importance of maintaining strength, balance, and mobility to prevent falls. It’s also a chance to celebrate the incredible work physical therapists do to help patients regain their independence and confidence.

Here are a few inspiring stories from patients who have worked with Tx:Team therapists:

After a severe car accident left her with three broken bones in her pelvis, Betsy at Somerby Sandy Springs began her physical therapy journey using a walker. Over the course of a few months, she transitioned to a cane and eventually regained the ability to walk unassisted. Betsy described her Tx:Team physical therapist, Rachel Hett, PT, DPT as encouraging and motivating. Rachel worked closely with Betsy, practicing outdoor laps and pool exercises to rebuild her confidence when Betsy was feeling scared and weak. The balance work they did together, both in the gym and in the pool, proved crucial in her recovery.

Betsy states, “The quality and quickness of the process pleasantly surprised me. My therapist and I worked very hard and I was happy for the encouragement. Regaining my balance was pretty challenging, but physical therapy helped a lot.”

Betsy’s determination, combined with Rachel’s unwavering support, helped her overcome the physical and emotional challenges of recovery. Today, she’s walking confidently again, a testament to the power of skilled therapy and perseverance.

 

After a lengthy hospital stay, one patient at Somerby Mount Pleasant struggled with a significant loss of strength and endurance. Determined to return to his former activity levels, he set goals in therapy to regain mobility and stamina. With the support of his Tx:Team therapists, he is now able to walk longer distances, including trips to see his wife in memory care, and has made great strides in improving his overall endurance.

Reflecting on his therapy experience, the patient stated, “Their empathy and professionalism have helped me to achieve my successes. I believe that without the physical and occupational therapy I am receiving, I would have ended up in assisted living. The mobility I have is because of my therapy and the dedication of Tx:Team, specifically Megan Gidley, Tori Berry, and Kelly van Vliet.”

His progress is a powerful reminder of how personalized therapy can transform lives and restore independence.

 

Following surgery for a complicated leg fracture, Nikki, a patient at Frederick Health Physical Therapy and Sports Rehab Aspen Ridge, was wheelchair-bound and filled with anxiety about starting physical therapy. Her physical therapist, Priya Morgan, PT, DPT, provided the reassurance and support she needed. With exercises tailored to her comfort level, Nikki progressed from using a wheelchair to walking independently.

“The team at Aspen Ridge was always helpful, providing me with the necessary tools and encouragement to enhance my recovery. I am grateful for their dedication to my well-being. Priya told me in the very beginning she would always be my biggest cheerleader, and she proved this to be 100% true,” Nikki shared.

With Priya’s guidance and the support of the Aspen Ridge team, Nikki was able to overcome her fears and regain her independence. Her journey from a wheelchair to walking unaided highlights the power of compassionate care and personalized therapy.

These stories demonstrate the incredible impact physical therapy has on improving balance, mobility, and overall quality of life. This Physical Therapy Month, we celebrate the perseverance of these patients and the unwavering support of their therapists in helping them achieve their goals!

Ask an Expert: What is Vertigo?

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Q: What is vertigo, and how can a physical therapist help?
A: Vertigo is a condition when someone feels dizzy, off-balance, or unsteady. There are various types of vertigo with different causes. One common type of vertigo is benign paroxysmal positional vertigo (BPPV) which occurs due to tiny crystals, called otoconia, in the inner ear becoming loose or dislodged. This imbalance in the inner ear often causes patients to feel a room-spinning sensation with certain head movements or body positions.
Physical therapists can help differentiate what may be causing your vertigo and implement treatments to address your specific type of vertigo, whether that is related to BPPV or other factors.
By Sara Sermersheim, PT, DPT at Finish Line Health and Wellness Center

Fall Awareness: Protecting Independence and Preventing Injuries

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As we age, maintaining balance and preventing falls becomes increasingly important for staying healthy, active, and independent. According to the CDC, one in four adults aged 65 and older will fall each year. These falls often lead to serious injuries, including fractures, head trauma, and hospitalizations. In fact, falls are the number one cause of injury-related deaths in older adults. With increased fall awareness and prevention strategies, many of these incidents can be avoided.

Falls become more likely as we age, but with the right steps, they can be prevented. Below are some common risk factors for falls, along with simple solutions to reduce these risks:

  • Muscle Weakness and Poor Balance: As strength and balance decline with age, it becomes harder to stay steady.
    • Solution: Exercise regularly to strengthen muscles and improve balance. Programs like the Otago Exercise Program are specifically designed to reduce fall risks by targeting these areas.
  • Medications: Some medications can cause dizziness or affect balance, increasing the likelihood of falling.
    • Solution: Review your medications with your doctor to identify any that may be contributing to dizziness or balance issues and explore alternatives if necessary.
  • Vision Problems: Poor or uncorrected vision can lead to missteps and falls.
    • Solution: Get regular vision checkups and ensure you’re using the correct prescription glasses. Address any changes in your vision promptly.
  • Environmental Hazards: Cluttered spaces, poor lighting, and slippery floors are common fall hazards.
    • Solution: Make your home safer by removing tripping hazards, improving lighting, and installing grab bars in key areas like bathrooms and stairways.

Both physical and occupational therapy are vital for fall prevention. Physical therapists help improve strength, coordination, and stability, and can address vertigo through vestibular therapy. Occupational therapists focus on adapting environments and daily routines to reduce fall risks, such as making home safety modifications and teaching safe ways to perform everyday tasks. By offering personalized care plans and practical solutions, physical and occupational therapists empower older adults to maintain independence and reduce the risk of falls.

By understanding the risks and taking proactive steps, you can significantly reduce your chance of falling. If you or a loved one is concerned about falls, talk to a healthcare provider about fall prevention strategies. Awareness is the first step to staying safe and strong!

Welcome Bradley Austin, PT, DPT, COMT, CDNS

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We are excited to announce Bradley ‘Brad’ Austin, PT, DPT, COMT, CONS as Director of Rehabilitation for Riverview Health in Noblesville, Indiana.

Brad brings a wealth of experience and a passion for patient-centered care to Riverview Health rehabilitation. He earned his Doctor of Physical Therapy (DPT) and Bachelor’s in Movement Science from the University of Evansville. Education and continual growth are cornerstones of his professional philosophy. His dedication to advanced training is evident through his certifications as a Certified Orthopedic Manual Therapist (COMT), Titleist Performance Institute (TPI) Certified, and Certified in Dry Needling (CDN).

With 14 years of experience in rehabilitation services, Brad has established himself as a leader and innovator in the field. He has been a highly sought-after clinician in Hamilton County for the past decade as an expert in spine and hip therapy. His expertise in manual therapy and functional movement is complemented by a deep compassion for his patients and a commitment to their well-being.

Brad is a seasoned professional with a proven track record of leadership, innovation, and mentorship in the field of physical therapy. As a Clinic Director at multiple locations, he has successfully managed teams, mentored new therapists, and introduced groundbreaking programs. He has also served as a clinical instructor for multiple students and has assisted in university educational days in the field of orthopedics, demonstrating his commitment to fostering the next generation of physical therapists.

Outside of work, Brad, a Hamilton County resident, is deeply involved in the Carmel Dad’s Club, coaching youth sports for his two boys. His family enjoys being outdoors, golfing, and boating, reflecting his commitment to an active and healthy lifestyle.

In his new role at Riverview Health, Brad will leverage his extensive experience to lead the rehabilitation team, fostering an environment of innovation, collaboration, and exceptional patient care. His proven ability to build strong relationships with orthopedic surgeons and other healthcare professionals ensures a multidisciplinary approach that benefits every patient.

Please join us in welcoming Brad to Riverview Health and Tx:Team.

Preventing Falls with the Otago Exercise Program

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As we age, maintaining balance and preventing falls is essential for staying healthy and independent. The Otago Exercise Program (OEP)—an evidence-based approach proven to reduce fall risks by up to 40%.

What is the Otago Exercise Program?
Developed through research in New Zealand, OEP helps older adults (65+) improve balance, strength, and mobility. The program includes 17 strength and balance exercises and a walking routine, performed three times a week. A physical therapist (PT) initially assesses and prescribes exercises, with four follow-up visits over eight weeks. Participants then transition to a self-managed phase for 4-10 months, with periodic check-ins. OEP is covered by Medicare, Medicare Advantage, and most supplemental insurance plans, making it accessible to those who need it.

Why it matters:
According to the CDC, over 14 million adults aged 65 and older—about one in four—report falling each year. Falls are the leading cause of fatal and nonfatal injuries in this age group. By participating in OEP, patients can reduce the risk of serious outcomes like hip fractures, ER visits, and nursing home stays.

If you or a loved one struggles with balance or has experienced a fall, talk to your healthcare provider about a referral for the Otago Exercise Program.