I am fond of happy endings. To the extent that I have any control, I do my best to ensure that I have experiences that provide me with positive emotions. This requirement does place limits on the books that I read, the movies that I attend, the television that I watch, and the activities in which I take part. I am very fortunate to have friends who will inform me of how a movie ends so that I can choose which to watch. Lately I am finding that I have fewer entertainment options. Newspapers and news programs bombard me with headlines of bad news about families that lose everything in fires, floods, tornados, and earthquakes, and details from reporters who continue to ask about how the individuals are feeling about their loss. Their questions prove that there are, indeed, stupid questions. To ensure that I understand the totality of sadness, I am shown pictures of teddy bears that are found in the rubble or flood. The writers of many television series also seem devoted to not allowing any characters to have happiness in their lives. I refuse to watch Grey's Anatomy due to the unhappiness that surrounds each character. I mean .... How much more can Meredith take? She finally had so many reasons to smile and be content. She had healthy children and a loving husband and success in her job. Then they killed McDreamy. Not a happy ending. Now, I do realize that most television shows are not based upon true stories, but, it does seem to me that writers of the shows are better at writing sad stories than they are at writing stories about individuals who have happiness as the prominent emotion in their lives, and it is rare that I am told a happy story on the TV news. I find myself yearning for the good old days of the series Dr. Quinn Medicine Woman, Little House on the Prairie, The Waltons, Touched by an Angel, and Friends. I was comforted by shows like these because in the end, the characters made amends to those they had wronged, were present emotionally for their friends, learned from their mistakes, and did what they could to make each other feel better. The fictional happy endings supported my need for feeling positive about humanity. It seems that my current options are shows or news that are focused on conniving politicians, people indicted for crimes, adulterers, and people who feel good when they make others feel bad. Sometimes those characteristics are displayed by each individual-a 4 in 1 deal of sorts. These days it is often difficult to determine fiction from nonfiction.
I am so fortunate to have a job that is uplifting. Each day I have the ability to make a positive change in the lives of the individuals whom I see as a result of my occupation as a physical therapist. I can provide a plan of care that will decrease pain, increase strength, increase range of motion, and/or increase balance, etc, of the individuals who place their trust in me. I think that there is nothing more life-affirming than to be able to return home each night knowing that I helped people feel better. In my current position as a Home Care physical therapist, when I discharge patients I know that I have helped them to be able to remain in their home with decreased pain and an increased ability to perform their daily activities with increased safety and that they can leave their home to continue with activities in their community if they wish. I have had jobs in my past in outpatient and inpatient settings. Due to the fact that I live in a small rural community, I often meet individuals in the grocery store or in local restaurants whom I was able to help due to my knowledge and training. Whenever I see one gentleman whom I treated for his rotator cuff tear, he raises his arm straight up and says, "This is because of you." He has told me that he is so happy that he can continue to work without pain. While I can't always remember their names, I can remember which knee or hip or shoulder was the problem and it brings a smile to my face as I see them walk without an assistive device and without a limp and that they can wave at me without grimacing in pain.
As I have stated many times as Editor-in-Chief of this journal, the decisions we make as physical therapists regarding the interventions we choose for the individuals who entrust us to care for their physical problems require us to be lifelong learners of information that is produced from well-designed research. Toward that end, I realize that if I am truly committed to providing the best and most efficient care, I must attend continuing education courses to learn techniques that have been proven with research to have the greatest chance at being effective. I must read research from journals that require expert review of research before it is deemed to be worthy of being published. I must be careful to not fall for fads or proposed interventions that do not follow principles of science or physiology.
I believe that most people reading this editorial know that I have resigned from the position of Editor-in-Chief of the Journal of Women's Health Physical Therapy (JWHPT). Dr Diane Borello-France has also resigned from her position as Senior Editor. As this has become known, we have received many comments from readers of the journal regarding the increase in the quality of information provided by the manuscripts that are published in JWHPT. This is due to the outstanding and committed work from Dr Borello-France, as well the support and work from the Associate Editors, Dr Karen Abraham, Dr Elaine Wilder, and Darija Scepanovic. The volunteer hours from reviewers are also a much appreciated and valued part of the process. The final issue of JWHPT for which I will be responsible will be the next issue that will be published as the first issue of 2017.
When I accepted this position, it was my goal to increase the quality of the research/information that was published and to work toward submission of the journal to the Technical Review Committee that recommends to the Director of the National Library of Medicine which journals deserve acceptance into the PubMed database. The committee meets 3 times each year and reviews approximately 140 applications each meeting. Only approximately 15% of applications are successful. Diane and I have shared this goal and spent many many hours reviewing manuscripts or reviewing the reviews of manuscripts and in conversations with each other as we worked toward that goal. During our years as leaders for JWHPT, we have discovered that we have a similar sense of humor, which is a bit scary, and that we really enjoyed working together to provide Section members with research that would increase their clinical abilities and result in happy endings for their patients.
Dr Borello-France and I believe that JWHPT is just about ready to be submitted for the evaluation process for inclusion in PubMed. When JWHPT is accepted for inclusion in the PubMed database, that will be an uplifting day, and we will be smiling and we will be even more proud of the work that we completed toward that goal. Since we are not fictional characters whose existence is determined by writers who appear to be capable only of writing depressing drama, we are not being killed off or diagnosed with 2 full-thickness rotator cuff tears, 2 patellar dislocations, and debilitating vertigo so that we are retired to a room where reruns of Judge Judy are on 24 hours a day. I have already been asked to write a module on balance and falls for a certificate program, and Diane's next contribution is the completion of a clinical practice guideline on the topic of constipation.
I am happy to be able to place 3 deserved manuscripts in this issue of JWHPT. Dr Amanda Stallings Roscow and Dr Diane Borello-France provide their research for the treatment of male urinary incontinence following a prostatectomy. Dr Jean McCrory and colleagues completed a longitudinal study that examined the relationship between lower extremity alignment and low back, hip, and foot pain during pregnancy. Dr Anne Whitney Ensor's case report outlines her treatment for a patient with sacroiliac pain and dyspareunia.
It is my hope that the knowledge gained from reading this research will result in happy endings for the patients who are served by each of you.
Nancy Donovan, PT, PhD
Editor-in-Chief