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    Pivot PT - Lewes, an Athletico company

    5.0 (2 reviews)
    Open 7:00 am - 6:00 pm
    Updated a few days ago

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    Excellent, knowledgeable and professional care! The staff is friendly and get the job done!

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    Premier Physical Therapy & Sports Performance - Our Staff!

    Premier Physical Therapy & Sports Performance

    2.0(2 reviews)
    0.9 mi

    I am writing to share my experience as a patient who underwent total knee replacement surgery and…read moresubsequently spent more than five months in postoperative physical therapy. From the very beginning of my recovery, I consistently reported instability, pain, persistent swelling, a clunking sensation, and an overall feeling that something mechanically was not right with my knee. While I understood that recovery from knee replacement can be challenging, my symptoms never felt consistent with what I was being told to expect. I repeatedly expressed these concerns throughout my course of therapy. In addition, I was often told that my progress was well behind what is typically expected following a total knee replacement. Despite my repeated reports of instability, pain, persistent swelling, clunking, and the feeling that something mechanically was not right, no additional hands-on assessment or targeted testing of my knee was performed to determine whether there might be an underlying mechanical issue. Instead, treatment largely consisted of visual observation, massage therapy to address swelling and discomfort, and continuation of many of the same exercises month after month. As my symptoms persisted and my progress remained limited, I became increasingly concerned that the underlying cause of my difficulties was not being adequately investigated. As the months passed, I became increasingly concerned that my recovery was not following a normal course. I ultimately decided to seek a second opinion from another local physical therapist. Within minutes of reviewing my history and performing a brief assessment, he recognized excessive laxity and spacing in my knee and determined that my symptoms warranted referral to a revision specialist. That referral led me to Dr. Nazarian at Rothman Orthopaedics. Following his evaluation, it was determined that revision surgery was necessary. One question people may ask is, "Why didn't you just go back to your surgeon sooner?" The reality is that after surgery, patients are encouraged to place tremendous trust in their physical therapist. Once the operation is complete, much of the day-to-day management of recovery is effectively handed off to physical therapy. Physical therapists are the healthcare professionals who see patients multiple times per week, monitor progress, evaluate setbacks, and help determine whether recovery is progressing as expected. As a patient, you are expected to trust that your physical therapist is appropriately evaluating your recovery and advising you when something falls outside the norm. Because of that, I trusted the process. I trusted that the instability, pain, swelling, clunking, and persistent feeling that something was mechanically wrong with my knee were being properly evaluated. Looking back now, I wish I had sought another opinion much sooner. What frustrates me most is that I spent over five months attending therapy, using the majority of the visits covered by my insurance, while continuing to report the same symptoms from the very beginning. I cannot help but wonder whether a more thorough evaluation or earlier recognition that my recovery was not normal could have led to answers much sooner and potentially saved months of frustration, uncertainty, discomfort, and the need to spend so much time addressing a problem that ultimately required consultation with a revision specialist. The purpose of this feedback is not simply to share my experience but to encourage patients to advocate for themselves. Do your research. Ask questions. Listen to your instincts. If something does not feel right, do not be afraid to seek another opinion. Not all physical therapists bring the same level of experience, critical thinking, or ability to recognize when a patient is not following a typical recovery path. At the end of the day, no one has a greater stake in your recovery than you do. Based on my experience, I highly recommend Steve Pete at JOYNT in Lewes. He listened carefully to my concerns, performed a thoughtful assessment, recognized almost immediately that my symptoms were not consistent with a routine recovery, and helped direct me toward the specialist who ultimately identified the need for revision surgery. Choosing the right physical therapist can make an enormous difference. A highly skilled clinician may help patients obtain answers sooner and potentially save significant time, money, heartache, and unnecessary pain.

    The therapist I had wasn't truthful about my condition he read my MRI report and did not say what…read morewas really going on.

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    Premier Physical Therapy & Sports Performance - Premier PT Partners with Clinic Director Rick

    Premier PT Partners with Clinic Director Rick

    Premier Physical Therapy & Sports Performance
    Premier Physical Therapy & Sports Performance - Our new location in Lewes, right across from Cape Henlopen High School

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    Our new location in Lewes, right across from Cape Henlopen High School

    Beebe Healthcare - This is an actual patient rokm at this hospital on April 20, 2023. WTH is with the vent hose from the ceiling thing and how is that hygenic?

    Beebe Healthcare

    2.5(104 reviews)
    0.1 mi

    This is my go to place when things go wrong they get you in and they get you out. They listen to…read morewhat you say. I would recommend it to everyone.

    Emergency Department and remained hospitalized for two days. This was his second admission within…read morethe past year, and my 87-year-old mother has also been hospitalized at Beebe during that time. All three experiences raised serious concerns about the care of elderly patients. My father's most recent hospitalization, however, was catastrophic. My concerns involve both the ED and his subsequent hospitalization. My father was seriously ill and medically complex, yet his care lacked the careful assessment, coordination, communication, and planning his condition required. My father has an extreme hearing deficit, and his overall condition further impaired his ability to communicate effectively, provide a reliable history, understand complex medical information, and meaningfully participate in decisions about his care. I am his Medical Power of Attorney and an experienced Nurse Practitioner. More importantly, my father explicitly told his providers to speak with me about his treatment. Despite this, I was rarely consulted about his condition, history, treatment decisions, or overall plan of care. The problems began in the ED. The physician appeared dismissive and made little effort to clarify my father's actual complaint or listen to my concerns. My father described difficulty catching his breath associated with "burping," which the physician characterized as shortness of breath and "indigestion." He had stable vital signs, an oxygen saturation of 98%, and no labored breathing. Given his cirrhosis, severe ascites, and history, I was concerned that his symptoms could reflect esophageal or upper gastrointestinal bleeding. I attempted to communicate these concerns, but they did not receive appropriate consideration. There was a lack of coordination throughout his hospitalization. It was unclear who, if anyone, was directing his care, whether providers were communicating with one another, or what the treatment plan was. For a seriously ill, medically complex 89-year-old patient, there was remarkably little coordinated, team-based planning or management. Equally troubling was the near absence of communication with family. There was no effective process to ensure that my father's designated spokesperson and MPOA was involved in his care--even after he explicitly instructed his providers to communicate with me. Severe hearing impairment is not an incidental issue in a hospitalized elderly patient. It directly affects the patient's ability to provide an accurate history, understand information, and participate meaningfully in treatment decisions. His communication limitations should have resulted in greater attention to family involvement and coordinated decision-making. After three hospitalizations involving my elderly parents, I am deeply concerned about the care Beebe provides to vulnerable elderly patients. In our experience, communication among providers has been poor, communication with family has been minimal, responsibility for the overall plan has often been unclear, and important information from family has not been adequately incorporated into care. My father deserved a careful, coordinated evaluation that accounted for his serious medical conditions, age, communication limitations, and the information available from the person he specifically designated to speak with his providers. That did not happen. These were not minor communication or customer-service problems. They were serious deficiencies in the assessment, coordination, communication, and management of a vulnerable, seriously ill elderly patient. In my father's case, the outcome was catastrophic.

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    Beebe Healthcare
    Beebe Healthcare - This is an actual patient rokm at this hospital on April 20, 2023. WTH is with the vent hose from the ceiling thing and how is that hygenic?

    This is an actual patient rokm at this hospital on April 20, 2023. WTH is with the vent hose from the ceiling thing and how is that hygenic?

    Beebe Healthcare - This is an actual patient rokm at this hospital on April 20, 2023. WTH is with the vent hose from the ceiling thing and how is that hygenic?

    See all

    This is an actual patient rokm at this hospital on April 20, 2023. WTH is with the vent hose from the ceiling thing and how is that hygenic?

    Pivot PT - Lewes, an Athletico company - physicaltherapy - Updated September 2026

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