Are we frightening?

[bernard]

Hello Somasimplers,

Since I use simple exercises to care patients, I meet some refractory persons that stop treatment saying that what we are doing are not possible. Some of these human beings say, even, we are charlatans and we loose them.

I think the technique is so simple that is incredible for the traditional way of thinking. There is a sort of rejection.

Do you encounter in your daily practice a same problem?

[emad]

yes ,of course Bernard

they have complex way of thinking , that it is extremely impossible to address the problem via those simple way , we are attaking their beliefs ,meanings and disease meaning for them , it is difficult for them to find the issue so simple , they pay for it more complex money , which they gain through complex life and work ,they want to pay it in a complex manner/way.

Bernard
i believe they are right , it is difficult to change them so quickly .

cheers
emad :o

[rolf]

Hi bernard!
Some you loose and some you win!But why do you loose them?
I always ask my patients at the first vist what are their expextations to their visit?It much easier to set appropriate commen goals when i know their expectations!I tell them what i intend to do and what they have to partispate whitinn to reach our goal.If their expectations to the treatmentsession is another then i have desided i try to tell them why ihave desidedto use the specific" tool. "I never do anything my patient dont want to do in the first place,but i try to covince them about the proffit "my treatmenet" can have on their problem compared to other treatment modalities(they have tried before)The answear to ceeping your patients in an acsepteble treatmentperiode is dependent on good communication skills,in my point of view.(I am not d'saying that you dont have it) Here in Norway we dont have any limit in treatmentsessions!!!!
RIN :lol: :lol: :lol:

[Green Hornet]

I don't want to be biased, but I commonly see that males have a harder time to buy something subtle and profound than females.
They like "no pain, no gain."
They think that they need to work hard to get something they want ===> I see them work too hard aimlessly.
Do we have to work hard? Yes. But we may need to use more brain power = awareness, vs. mindless hard-work.

[nari]

To a lesser extent, I have a similar problem, but with patients who have been used in the past to have a routine recipe, involving EPA, exercises sheets, and generally a different focus to work on. Many just want to live with their pain and get short term relief after six or seven sessions.
I usually do not agree with their expectations. Some are easy to change, others are not.
And -yes; males are easier to educate than females!

I do not have any large problem with doctors, but I am not in private practice. In this country, in private practices, if the physio works in the same practice, he/she is independent in all ways and the doctors understand that autonomy. Generally it is a two way communication process.

Our image, to the public, is not very good. Some people think of us as hairdressers, they want to request their preferences. One woman yesterday asked: "How long does it take for a massage?" When she found out it was not on the menu, she listened to the alternatives and disappeared. That's OK. If she wishes to pay $AUD70 for a back rub, that is her right.

Nari

[Green Hornet]

Nari, do you find that males are easier to educate than females? In my experience, females are more receptive to alternative and complimentary medicine.

But, whether males and females, many people are looking for an easy fix. They don't know who needs to take the responsibility for health. Nothing is more powerful than active process. Hope they will realize someday.

I had a very impressive lady in my office. She had fibromyalgia and I knew that she was in a lot of pain. She never stopped smiling and lost positive attitude. She did not let me put my hands on --- not because I had bad hands, but because she wanted education and took care of herself. I loved the sessions with her.

[nari]

Re males/females: I think, on the whole, males are less rigid-thinking than females when it comes to management of their pain. Take goal-setting - many females I come across do nothing more than housework, coffee meetings (which are important) and perhaps reading, or watching TV. Their concepts of activity are mostly centered around house things.
Males often say they would love to play a few rounds of golf, or tennis, or go fishing in the river, or play bowls. I find males also tend to not take as absolute gospel what their doctor/s say.

I think most of our problems/challenges come from what the doctors have told them; if it is SS tendonitis, then they stick like glue to that diagnosis. If it is arthritis in the spine - then they are told it will only get worse as they age. We have to turn that around (especially if the pain they have has very little to do with arthritis) so their concept of pain is not what is read off an XR.

There is the argument that if we had "Dr" in front of our names, it would also be different. But that is another story.....



Nari :roll:

[emad]

Hi All:

I think Nari you are absolutely right , that most of our problems with patients come from what doctors told them , i think this is logic , what is the doctor doing in the examination , then telling you need physio , thn begin to chat ,speak ,discuss what is physio ,what is the problem , then untill now all doctors views regarding diseases are stable since 50 years , degenration,disc,spondylosis .....
thus creating a meaning/understnding problem until some consumers feel the have something serious like cancer ......

cheers
emad :lol:

[rolf]

Hi all!
Are men much more goal orintated than women?Perhaps thats one of the reasons they are easier to treat!
Another reason might be their" lack of "anxiety and worriing genes!
Our" lack of" compassion can also be a an" advantage "
:? :? :wink:
rin

[Green Hornet]

By the way, my boss was frightened at my knowledge. I got blamed by him about having TOO MUCH??? knowledge. I got to get out here. He is afraid of change in what he is protecting. No more growth in him, I guess. :roll:

Based on this, some people in our profession could see us frightening.

I am not in Japan, now --- not talking about Japanese at least.

[nari]

Rin -

I agree with you; men tend to worry less, manage life obstacles more philosophically, and voice their dissatisfaction much less often.

takao

Yes, some of us do threaten our colleagues. Quite a few physios over the past 20 years had become a threat to senior staff, because they had new ideas, new approaches, and less subservience to 'seniors'. I well remember a Danish PT who came with different (and very good) ideas and was honest enough to speak his mind and his thoughts - he was branded like a calf as a troublemaker. It happened much more often with males, and those who wanted to stay, learned to shut up.

It is sad; but it happens in all careers.


Nari

[bernard]

Hello Somasimplers,

One must learn tolerance and keep an open mind.
A good teacher has to enjoy that the student is more acute and intelligent than him. The lessons he gave were understood and the youth enlightens the knowledge of the wise elder.

There is nothing to loose with dialogues bringing arguments, only knowledge to learn?

[Diane]

Alas, no matter how much we evolve we remain heirarchical creatures, like the rest of the primates we are related to. (I love having no boss but me, no employee but me. )
Diane