Tuesday, 9 May 2023

Death of music

  

Richard and I were sitting in Jenny residence around 10.00 Pm. He has just finished his first workshop in GCP on EBM based Low back pain. Richard had 3 loves in his life- Beer, music and Food. He was on his 3 rd beer. He was regaling me with stories about his training in oxford, his travels to Egypt and Paris. When the talk turned towards music- we had found out we both liked some similar music from Jazz to run of the mill hip hop.  

He opened his slick Mac book and played me Bara Bara by Rachid Taha. That was the first time I have heard French Algerian rock song and the next song was Down by the river. Throughout the next 20 years we shared songs from Lead Belly to the last song I sent him “ I hated the day I was born”. Sometimes he will say that’s not my cup of tea hari (the last song he sent me that was “ wrist band” . He sent me a CD disc of american folk songs- i dont know what he thought when i said i dont like them. The one genre i hate is americal folk songs from the lyrics to the accent- i do hate them


I also shared my favorite Tamil songs with Richard, from "Sithadai Kattikittu" to "Ninaithu Ninaithu" (primarily for the beautiful voice of Shreya). We shared everything from Welsh folk songs to Mongolian rock music, and it was a joy to explore our shared love for music. 

However, it saddens me to say that Richard passed away last Saturday. This is my tribute to a dear friend who was a Liberal at heart, leaning towards the left to center on the political spectrum, and a proud father who loved to drink beer. I can relate to his values and beliefs, though not so much his love for beer. Despite his passing, I cherish the memories we shared, especially our discussions about music, and will always remember Richard with fondness. 

I dont know who i am going to share my music with?


Friday, 5 May 2023

Off with the uppers

After so much of reluctance, I have stopped my drugs to stop the black dog from visiting. I have known for some time the drugs don’t stop the visits of the dog. But I was taking it for reasons I can't understand myself fully. Maybe I thought I would alight at the next station- sadly the next station never came. Hope the most useless of emotions never disappoint me. Perhaps I believed that I could find relief soon, but unfortunately, that relief never arrived. I have always been skeptical of hope and its usefulness, as it has often left me disappointed. However, despite my reservations, it seems that hope has been embedded in me over millions of years of evolution.   

So, when the dog came home 2 weeks before- frustration got to me. Without medical advice I stopped taking them. Luckily, I had already been tapering off one of the drugs that could cause withdrawal symptoms, so I did not experience any negative consequences from abruptly discontinuing it. Well, “hopefully”- just does not go away isn't it.    
Anyway, I have learnt to live with the black dog, the constant barking on some nights is just tiring, the vivid dreams, sometimes it takes you to Shangri-La or to PT lectures (you know hell) and you just must go with it. I know this blog is getting more and more incoherent, and then I don’t know why I am writing- so that’s bound to happen.   

If you are having issues with your brain and mood- I offer my hopeful message- It is not going to kill you (probably) but it is going to fuck with your mind and then it is going to show you the recesses of your mind which never knew. It is going to make you appreciate death, suffering and happiness. It is going to make you understand why you don’t have free will. And that gives you an illusion of you have understood. Then you step off the hamster wheel- then you will see you are in another wheel- just a drag- the endless loops - . then the questions stops- There is no why? there is no what if, there is no crutch, just the endless love which is there- then you love to live 

If you are depressed- think about this. People who made PS1 thought they made a good movie and made part 2. We are much better than those idiots. We did not waste money and time doing a worthless piece of shit  

 
 

This is just endless rambling 


so sorry but with love Hariohm



Saturday, 29 April 2023

where is science in Physiotherapy curriculum

 
It's ironic that while physics and chemistry are evidence-based sciences, we have to promote evidence-based medicine as a separate movement. This highlights the fact that medicine has traditionally been taught through eminence-based approaches. You know, at my age, I can spout any nonsense and people might still believe me because I have gained some level of authority over time. This is due to the lack of education and training in scientific methods, leading to the phrase "science does not know everything," as if science were an all-knowing deity. In my college days, reading a non-prescribed book was frowned upon, and now we rely heavily on PowerPoint presentations, making us even more anti-science. 

 
It's concerning that we had to create a movement to remind ourselves to embrace science as students. However, this movement produced only buzzwords rather than genuine methods that should be taught in our educational curriculum. We now have entrance exams like NEET that assess memory rather than critical thinking, which is supported by political sycophants or people who have an unusual fascination with merit. Merit via a single test which can be trained by joining a course for 1 lakh per year starting from 9 th std or write the useless exam thrice to get first mark. They are going to be “brilliant doctors” the idiocy in our country is a shining star.  The real issue is the lack of science education. We produce medical professionals who don't even understand the criteria for an effective treatment or the methods to determine it. Sadly, many poorly educated professionals from biological carpenters to physical therapists believe that SWD, IFT, traction passive movements are effective treatments. Furthermore, there are millions of unnecessary CT scans, antibiotics prescribed for everything from COVID to chikungunya, and numerous unnecessary surgeries. So why can't we move away from this? Because we lack science education, people who understand science, and individuals with courage. 

It is essential to have physiotherapy science education to understand the concepts of posture, correction, and whether it is possible to correct them. We don't need individuals with fancy degrees or certifications that are useless in practice. For example, the NDT or visceral manipulation certification is a waste of time and resources. We should ask ourselves how they determined whether a muscle can be stretched, or posture can be changed and why it is necessary. For instance, does changing posture align the knee? Really. You think it is important?  
 

we need EBM- where I know what the terminology means. I need science education where I understand what an experiment is. I need education where I know we are all the same as we all have the same body and brain, still variations are there within the sameness. I need education where, I know 6 out 10 people will get better with “x” treatment. I am not afraid to say it does not work at all. I need an education where uncertainty is nothing to be feared . We need an education where we are not afraid to say- this needs no treatment, or we don’t have a treatment - from radiculopathy to adhesive capsulitis. We need an education where we don’t need to say explicitly this is “evidence-based”. What a joke isnt it? What else are we teaching in a science course? Well medicine based on dreams  



dont forget to share your love
Hariohm


Monday, 10 April 2023

#Me Too- not me

The #MeToo movement had a significant impact in many countries, including India. In my city, there is currently a controversy involving a prestigious dance school, and while I don't know the details of the incident or who is at fault, I believe it's essential that there is a fair and impartial investigation when allegations of misconduct arise. 

No, no, this is not about mansplaining me too movement. 

One of the accused- a Mr. Hari, and he had given an explanation from his side. His contention was Bharatanatyam cannot be taught like physics or chemistry and that it becomes inevitable to make physical contact while teaching the art. (Hence, they have either misinterpreted it or they are quoting that as a mistake.) Well, this is where I think he is either an idiot or a useless teacher – that is you need to physically touch to give feedback (what we call as knowledge of performance KP) or even make them focus the attention on the body parts is just poor teaching.  

So this is a chance for me ranting about learning and creeps 

Our brains perceive things as a whole, rather than as a collection of parts. For example, when we see a table, we don't consciously think about its color, its shape, or the number of legs it has; we simply recognize it as a table. Our brains are not designed to work like Sherlock Holmes in movies, where we pick up on small details to solve a mystery. Instead, our brains automatically focus our attention on what it deems important. 

Unfortunately, we don't have complete control over where our brains focus our attention. To change this, we need to train our brains to focus on specific things in specific contexts. For example, when a professional cricket player is batting, their brain automatically focuses on where the fielders are and how to hit the ball away from them, while ignoring other distractions. This ability doesn't come from simply sitting in one place and trying to focus on a ball. Similarly, if a cricket player were to switch to playing football, they would understand how difficult it is to focus on the ball and their teammates at the same time. 

So, when Mr. Hari says small movements must be corrected and I need to touch them- no boss that’s not Learning a new movement or skill involves training the brain to perceive the whole action, not just isolated parts. Practicing hand gestures without the accompanying movements of the rest of the body may not be effective for learning, as the brain needs to learn how to coordinate all the parts together to perform the full action. Therefore, it's important to practice the entire movement as a whole to effectively train the brain and develop muscle memory. By doing so, the brain can better recognize the movement as a single unit and perform it more efficiently. 

This also holds true for the many uneducated followers, who merely parrot what they were taught, rather than thinking critically about the approach. For example, some proponents of the Bobath or NDT techniques may simply put a child on a circus ball without fully understanding the rationale or considering the child's specific needs. Similarly, sports therapists may focus on training specific body parts without taking into account the athlete's overall physical development, and cardio therapists may view breathing as an isolated exercise rather than an integral part of everyday life. To effectively learn and develop new skills, it's important to focus on the whole movement or action, rather than just isolated parts, and to approach training with a holistic understanding of the individual's needs and abilities. 

The second issue concerns Mr. Hari's teaching approach, which involves physically pointing out and correcting his students' mistakes. However, he lacks a fundamental understanding of the neurobiology of learning and teaching, despite being a dance teacher. It's unfortunate that the curriculum doesn't emphasize this crucial knowledge, but it's not just limited to dance teachers. Even neurologists and neurotherapists, such as speech or physical therapists, often lack a comprehensive understanding of how the brain learns. 

Moreover, this teaching approach is flawed because the brain learns through movements, not individual movements. By focusing on specific parts of the movement, the overall quality of the movement can suffer. Additionally, this approach hinders the student's ability to learn on their own, as it places too much emphasis on the teacher's feedback. When a teacher asks a student to focus solely on themselves, it can result in poor feedback that impedes the learning process. 

In summary, Mr. Hari's teaching approach is either that of a poor teacher or, in some cases, could be perceived as inappropriate (that’s being polite). It's essential to understand the neurobiology of learning and teaching to ensure effective learning outcomes, regardless of the subject matter. With access to a wealth of knowledge in the 21st century, it's important to utilize it to enhance teaching practices. 

 

The third point is about the power dynamics that exist between a teacher and their students. As a teacher, you hold a position of authority and power over your students, which means you have a responsibility to be protective of them. It's crucial to avoid being defensive when confronted with feedback from your students and instead listen to their concerns. 

Furthermore, it's important to respect your students' physical boundaries by asking for permission before approaching them closely or touching them. Even if a student consents, the power dynamics between the teacher and student can still create an uncomfortable or unsafe environment, so it's essential to be mindful of this dynamic. 

In summary, teachers must recognize the power dynamics that exist between them and their students and act accordingly. They should prioritize protecting their students and be receptive to feedback without becoming defensive. Additionally, teachers must respect their students' physical boundaries by asking for permission before approaching them closely or touching them. By being mindful of these factors, teachers can create a safe and comfortable learning environment for their students. 

You may be wondering why all these mansplaining:  

The whole thing seems like what PT teachers may also have to be warry of. I do hear lots of stories of teachers being inappropriate with female students. Sadly, I am not inside the system to know for sure or act. Well, that may be my defense for being a coward. But I do think we need robust systems PT colleges to monitor and receive complaints. Even though there are systems in place- the creepy teachers seem to able to either silence the students or the systems are very weak. As I have little understanding of these, I am not getting into solutions for these. But it's high time we change,. 
 

Well, sorry for ruining your “mood”. 

PS- as i have no idea about any of the issue about Hari but it is my rebuttal for what he said in the interview