Who

Dr. Nicole Miranda operates as a physical therapy primary care private detective. Despite her 28-year career in neurological and vestibular care, she chooses not to specialize but to remain engaged in broad-based thinking and gathering skills in a la carte fashion as passions direct her interest. She digs into personal and family history to look for connections to explain physiology in conjunction with environmental factors that drive human performance. Nicole receives communication routinely from providers and patients across the US and beyond seeking support in complex case management.

Why

Empower PTs to make the ED experience better. People need support when they are in crisis and are often dismissed as having a mental health issue with a psych consult in the ED due to poor coping skills. It has been reported by many patient advocacy organizations that people with complex and chronic health conditions such as the ones discussed see > 5-7 MDs before acquiring a diagnosis. Specialty provider appointments often have month-long waiting lists and PTs can be instrumental in partnering with patients to identify symptom triggers and to address specific impairments to help turn down the volume of ANS and immune reactivity until medical help can be acquired. PTs are primary care providers and need innovative tools like DizzyDx™ to help with clinical reasoning.

Episode Takeaways

How can a clinical decision support tool help a physical therapist in the ED?
What are Dysautonomia and POTS and what causes these disorders?
What is Mast Cell Activation Syndrome (MCAS) and why do people experience it?

“I analyze movement everywhere I go, I cannot unsee it. I love teaching people about their bodies and partnering with them to learn self-regulation and promote self-efficacy.”

Connect with Dr. Miranda

EnhancedClinicalInsight.com

DizzyDx™

What is DizzyDx™?

DizzyDx.com