My high horse post

As September 8 is fast approaching let’s take an oath to stop some rubbish which has crept into our practice:

We need to stop giving rubbish advice and health educations like:

1.       Don’t sit on the ground if you have OA knee or walk –really, does it look like sound advice? As Prakash V used to say – if you have OA Hip should we give an advice not to sit on a chair? Not to walk because you have OA? Really!

2.       Don’t bend if you LBP- really? Compounded by half baked advice from ortho- this is the new trend. Then what is the joint for and how are they going to function? read

3.       Don’t terrorize you patient into taking treatment- this one is also for the poorly educated health care professionals of all size and shape. If you don’t do the surgery you will be a cripple and die or the joint will be going to dust if you don’t attend my clinic- stop these type of advice

4.       Remember educating the patient is a vital tool as any other- don’t be afraid of honest education and advice of the patient

In neuro-rehabilitation we need to stop:

5.       If your major part of CP or stroke patients management is passive movement and stretching and rolling the child on a ball or a swing- well read become a physiotherapist

6.       Stop using props like Swiss ball, bolsters  and use real world useful things- they have come to rehabilitated themselves and function in the real world not join the circus

7.       In neuro-rehabilitation remember the patient did not come to you to change his trunk or pelvic alignment- stop thinking like a car mechanic and set goals which are valuable for the patient and work towards achieving it. Don’t believe idiots who teach you those are vital

8.       Well my favorite- don’t say you are a  certified NDT therapist it does make you look like a fool when it has been said time and time again it is not a great treatment. The world is moving on –so read and become an educated Physiotherapist

If you are a teacher

9.       If you are a teacher- just throw the notes away- read and prepare for your class.

10.   Stop gossiping – if the boy is not going around the girl then it may be out of the ordinary, so just shut up

11.   Stop telling them how to dress and talk- rather teach them to think and behave ethically with the patients- who cares if I wear I jean, but it hurts when they ask “ where can I get this-professional ethics you are talking about”

12.   Allow them to express- if you don’t know what it mean please learn

If you are in pain management:

13.   If major part of your management strategy of pain is passive techniques including manual therapy, suluku edupathu or electrotherapy- well read

14.   If you think MET, manual therapy is the latest- well read

15.   If you think you should not teach exercise when the patient has pain –just stop practicing PT you are a embarrassment to the great science- Physiotherapy

I know lots of people are going to think I am being an ass and supercilious- well ….

Love

Hariohm