HOSPITAL DUKE msseAtm DUHHAM, N. C. OCTOBER, 1959 What’s in a Handicap? —Ask P.T. An inevitable result of the rapid expansion of facilities here at Duke Hospital in the past few years has been the loss of a feelin>: of closeness amongf all its employees. In clays gone by most employees had a fair notion of what their fellow workers in other departments did, but now w'e are so bi" a family that this is no longer possible. The Physical Therapy De])artment is, according to Miss Helen Kaiser, Director and Associate Professor of Physical Therapy, thought by many to be the place where tlie patients go to have a pleasant luilf hour when they feel tired! How far from the truth is tliis description of a depart ment so active in the care and re habilitation of patients and in the training of gradiiate students. Duke’s staif of 11 physical thera pists, 22 graduate students, a secre tary, two maids and an orderly carry out the physicians’ prescriptions for care of from 70 to 90 i)atients per day. Just what does the ])hysical therapist do for the patient at Duke? The therapist’s jobs range from con ducting the pre-natal and post-natal exercise classes to the important train ing given to amputees in the Amputee Clinic. This work with amputees is among the physical therapist’s most impor tant and rewarding because it calls into play the dual nature of the ther apist’s job of training and teacliing the amputee to learn new skills and of encouraging him to have confidence and be at ease with his artificial limb, or prosthesis. The pliysical therapist is, therefore, both a friend and teacher to the hun dreds of patients who come from all over the state to be followed weekly in our Am])utee (.’linic. Here they receive special j)i'e-prosthetic train ing to helj) make tlie ])hysical and emotional transition to their artificial arm or leg easier. Once the i)atient is fitted with his prosthesis, the Clinic then teaches him the use of it before discharge. These weekly training visits last from three to four weeks with simph; problems to a period of years in patients like little four-year old Vonnie. Obviously one of the pets of the phj^sical thera])ists, Vonnie has been under the supervision of ^Irs. Grace Horton (sliown above with an other of hei' favorite patients) for over two years. This saucy little red head Avas born without arms. Her training started before she was two wlien she learned to use her feet with as nnicti dexterity as a 2-year old usually commands fi'om his hands. Then came a jieriod when she wore shoulder j)ads to accustom herself to the feeling of wearing some type of harness. Then at about age 2 Vonnie acquired “Bessie,” lier new right arm, and from that tiirie on the em- pliasis shifted to training her to use the arm and hand. This spunky little redhead is quite a youiig lady to ob serve. She is unsi)oiled, unselfcon scious of “Bessie” and quite capable —thanks to the many hours spent with llrs. Horton in training her to ward self-sufficiency. ]\Iuch of the pliysical therapists’ (Continued on page 6)