Saturday, 23 September 2017

Wake up

The sad thing about physiotherapy in India is the lack of evolution in its scientific basis. When I went to college most of the teaching was –do what is say, learn by seeing probably by observing. Only few teachers and PT looked beyond “how to apply in my patient” giving less importance to the science behind it. The problem with this attitude is: it becomes difficult to understand whether the treatment is effective, am I harming my patients, and what happens when it is does not work and how I do it a different group of patients etc.  Beyond the obvious one, the problems are lack of original scientific thinking or stifling it and believing every “expert” or authoritative figure –either a PT or a surgeon who we perceive is more learned.    
This, I believe led us to our current conundrum. Every day I see someone teaching alternative magic to physiotherapist and poor idiots gobbling them. The current fade is Diploma in “O” or “C” or acupuncture.
So what is the problem?
Let’s take the obvious- if they can teach you in weekends or through online and in six months and you get a diploma in that “medical philosophy” – you should be either a highly gullible person or your UG education should have been very poor.
The next issue is – aren’t we the people who fought against diploma in PT taught in street corners and we don’t seem to have a problem with this? Diploma in “O” taught by some charlatans and a snake oil selling idiots from "abroad" and India? The hypocrisy is beyond words.
The third issue is- these courses are fraught with nonsensical science and from moving joints (which usually begs the question- so what or can you move it) to vital organs. Well if you education was so poor in UG you can’t discern the difference between a vital organ function and what the hell is manipulating it will lead to – you should not be allowed to practice the great science of PT. you should be locked up in Kilpauk.
I understand PT science is also many a times poorly understood and sometimes downright wrong but the comparing to alternate magic is just sad. shouldn't we be all trying to evolve our PT science rather than consuming the crap of the world? 
This begs the last question: why are these idiots allowed to corrupt and ruin PT science in India without any resistance.  Don’t some of the states have a associations, councils or something- why is everyone silent? Because we think well this is evolution? Or because well why do I care or well I don’t attend so I don’t care?
whatever your reason it is time to wake up and smell the shit in our neighborhood. 
  
Love
Hariohm

 


2 comments:

  1. Dear sir
    Why someone has to worry about others all the time rather do the right things which will eventually destroy the wrong one. i mean be happy that you have not done that "shit part".until we get a gold standard methods for the diagnosis and treatment of each and every condition emerges so that we can effectively apply EBP(like the one we got it against NDT ) and make it mandatory as a practice guidelines this will continue. I am not here to say the snake oil may work but we have to disprove it to say that it doesn't work if we are unbiased. that's what all about EBP isn't it?. Does that make sense ?!

    ReplyDelete
  2. you can never disprove anything in medicine. that is not how our experiments work. I also dont mind my patient goes and get homeopathy- i dont have a say in his/her opinion or choice.
    so what is my opposition is- if you are a osteopath and want to practice -do it in out own country were it is approved- dont come here and cheat idiots who have little education in the name of PT in under-graduation. I am against some idiots in india who encourage these pirates to come here and teach useless things and rob us. the most important of all- this is going to go boom when some over enthusiastic PT harms a patient through these "treatment"

    ReplyDelete