5/10/12 To Whom It May Concern, My name is Kelly Macy MHS, PT and I have been a practicing physical therapist since

1989. I have enjoyed a wonderful career and would like to take this opportunity to share that journey with you. In 1989, as a new graduate, I began work at Barnes-Jewish Hospital, Washington University in St. Louis, MO. I was initially hired as an acute care therapist. However, with my 6 week senior clinical experience in cardiopulmonary rehabilitation, I was soon placed on the cardiopulmonary unit.

I was enthusiastic about the reassignment and eventually assumed the roles of lead therapist, manager and adjunct faculty. I learned many special skills while treating complex patients in the cardiopulmonary unit including bronchopulmonary hygiene, chronic ventilator care, ventilator weaning and became ACLS certified. I spoke at various PT and thoracic surgery medical conferences on the topic of pulmonary thoracic rehabilitation. I authored and coauthored case studies and other manuscripts related to cardiopulmonary care. During these 10 years, I also

maintained my general PT skills by rotating through general acute care, inpatient orthopedics, trauma and neurology/neurosurgery. I also worked with Dr. Shirley Sahrmann diagnosing and treating various musculoskeletal conditions and I obtained my Masters in Health Science-Physical Therapy. The first 10 years of practicing physical therapy at Washington University were a highlight of my career. In 1999, opportunity knocked and Washington University offered me the task of starting the inpatient and outpatient lymph edema program at

Barnes-Jewish Hospital. Serving mostly oncology patients, I created and managed a novel lymph edema program. An extremely limited budget forced me to be highly creative and unorthodox to ensure treatment of our uninsured patients, from fundraising by holding bake sales, to gathering financial support from referring physician offices and recycling DME (which was not illegal at the time). It was a challenging but highly rewarding year. The first year of the lymph edema program turned out to be hugely successful.

From 2000-2004 I, moved back home to Cleveland to raise my young family. Throughout this period, I maintained my PT license, participated in continuing education classes and volunteered for the American Heart Association. In 2004, I relocated with my family to California where I began work at the University of California Davis Medical Center with the Home Care Services Department. Working in home care has exposed me to a wide range of patients and has required me to utilize my entire broad skill sets including bronchopulmonary hygiene, advanced

lymphedema therapy techniques, diagnosing and treating movement disorders and leading a monthly journal club for the home care physical therapists. I remain current with continuing education classes and I apply that knowledge to patient care. In home care, I treat a variety of patients with diagnoses varying from joint replacements, necrotizing fasciitis to hospice. I serve mostly poor socioeconomic neighborhoods. In the two phases of my career, I have had the privilege of being a specialist as well as a generalist. Within both roles I

have always looked to employ both the art and the science of physical therapy. My goal is to merge the art and science and the specialist and generalist to provide each patient the best care possible. I am fascinated at how often that best care crosses disciplines within Physical Therapy. In my current practice, I use many techniques from lymphedema therapy to treat patients with traumatic edema, radiation burns and vascular insufficiency. While a student of the DPT program at Northeastern University, I would be particularly interested in pursuing a study showing the

effectiveness of lymphedema therapy outside of oncology diagnoses. Being a clinician is what I love. I want to obtain my doctorate not because APTA tells me to do so, not to make more money but because I want to be a master clinician. I want to challenge my mind, work beyond the constraints of my current career and more importantly, engage in mentoring and training of physical therapists. I want to creatively expand upon the broad experience of my career to date. I want my mind to be able to consult with young professionals that are in need of the best possible guidance

for providing physical therapy care. I want to give the gift of healing to those that I have the good fortune of calling my patients and share that gift with others new to the field.