Dr. Vince Gutierrez

02/16/2026

All PTs need to listen to the first 3 minutes of this podcast.

Have you ever said something and thought to yourself…I wish I could get that back?

If you haven’t, I have to ask, do you do any self reflection on your day, your own patient care?

I know I’ve made this mistake at least twice in my career and I fought myself in real time.

In my head it followed with self talk like “you’re an idiot, what were you thinking, I can believe you just said that”.

In the first instance, I lost the patient. The patient self discharged and I know it was because of the words I used.

I created a checklist in my head that essentially says that if I say something that sounds judgmental of the person, then I have to apologize.

It’s alright to have a conversation to judge actions of a person, but it can’t be a judgement of the person.

For instance, (not the patient that I lost), but a real case:

Me: I want you to test the knee and do something that may provoke it, but don’t go beyond turning the pain back on

Patient next visit: I turned the pain and it is much worse than it was last visit

Me: what did you do?

Patient: I did about 50 jumps off the high dive at the beach.

Me: (🤯🤬) did you stop when it was provoked?

Trust me, I wanted to go off on the patient internally, but realizing that I have to accept part of the blame, we had a discussion about what to do next time and then proceeded to treat the inflammatory effect from going up and down the ladder 50 times and then the patient go better over the next couple of weeks.

Long story short, are we going back to assess how we treat and how we speak to patients?

Do we have the humility to understand that we don’t have all of the answers and sometimes we need a Mulligan (the golf version and not the PT version).

Podcast Episode · The Dr. John Delony Show · 09/21/2020 · 42m

12/11/2025

Doing clam exercises with a patient recently.

We did them initially and the patient got away from the exercise so I had to go back and check technique.

Was doing very wrong.

Side story: I’ve been wearing a mask because in the winter months I get nose 🩸unexpectedly without any physical touch to my nose. It will just start dripping.

I had a mask on and it muffled my speech during the session.

I told the patient (regarding clams): “It’s been a while huh?”

Patient heard “Ben wa ball”

If you don’t know what a clam is, look it up.

If you don’t know what Ben Wa Balls are…look it up.

It could’ve fit into the conversation…at least in her head…

😂😂😂

12/03/2025

Recently treated a patient for back pain that had a knee replacement years ago.

We discussed doing exercises on the floor and she said that she hasn’t knelt on her knee since the surgery.

Threw a pad on the floor and started working on different kneeling activities.

Tall kneeling ✅

Tall kneeling eyes closed ✅

Tall kneeling head turns ✅

Half kneeling ✅

Half kneeling eyes closed ✅

patient then proceeded to tell me that I could expect a thank you card from her husband 🫣

If you know someone needing PT catered to their knee(ds), send them my way.

I started seeing patients for Luna, which is like the old school doctor visits, meaning I do house calls.

10/02/2025

There’s no place like home 👠

11/02/2024

Business fair starts at 10 AM.

One out and see all of the local businesses providing services in the area.

07/29/2024

To all my friends, i am on my last week with Ingalls Memorial Hospital.

Starting on 8/12/24, I’ll be a Lead PT at Franciscan Health

I have a question for you (PT’s FOLLOW ALONG, BUT DONT COMMENT U LESS YOU’RE SPEAKING FROM THE EXPERIENCE AS A PATIENT)

What are your expectations when going to physical therapy?

AND

What do you wish you experienced in PT that may have been different from what you actually received?

I bring this forth because I’ve had recent conversations with a friend that attended the “top notch” clinic, but after hearing the stories I question the ethics and the patient questions the effectiveness, knowledge base and abilities of the PT.

Without my input, the patient may not know the difference between good/mediocre/poor PT experiences, but after a conversation I know that I’ll have some patients looking for me when I start at my new location.

What are you expecting at Physical Therapy and what do you wish your therapist did differently?

07/07/2024

If you’re not friends with Anthony Maritato, I highly recommend following him.

His current post is 🔥

Perspective is extremely important.

We talk about external locus of control when working with patients, but do we ever stop and reflect about our own locus of control?

I currently have a job with a 3 minute commute.

I hear from co-workers/patients, “You’re so lucky.”

Nope. This was a conscious choice in order to be closer to home. This choice came after a discussion with a physician who spoke to me about regret. Some regrets I don’t want to have.

We will be moving soon, not far away, but far enough away that I had to reflect on my priorities again.

I recently took a position with Fransiscan Health and will be treating patients at the Frankfort location.

If you’re looking for physical therapy (or know someone who is), I’m your person.

Back to the point: we can choose to feel taken advantage of by our company/dependent on the job that we are in OR we can take back control and work for the salary, setting, commute that makes a meaningful difference in our lives.

Godspeed all.

This is actually the first post that I am making discussing my thought process regarding leaving my current location.

06/19/2024

Back in the day when I was managing the PT clinics, a potential patient walked into the clinic and said:

“This can’t be a PT gym…there’s no big balls to exercise with.”

I had a rack installed and a couple of balls placed on the rack.

The person came back and became a patient.

Never did we use the Swiss balls, but the person was satisfied that they were there.

After a couple of years I thought I could use one of them for a hamstring exercise.

When I went to grab it, the ball tore the paint off the wall because it hadn’t been moved in so long!

Makes for a funny story nowadays, but it was all about meeting patient expectations before the person became a patient.

04/18/2021

Quite possibly the best store bought pizza on the market!

The fact that it has cauliflower crust makes me feel less guilty eating it.

⭐️⭐️⭐️⭐️⭐️