Pot-Pourri

[Johnny_Nada]

This posting really hits home for me given the population I work with. Many clinician's I talk to seem to think I'm jaded, a skeptic, argumentative, etc when discussing 'treatments' or methods.

The word angry may be more accurate in many cases. Angry at clinicians that should know better. Angry that clinicians should think more. Angry that patients like this one might go to someone pedaling non-sense to them.

I've said before, I know the evidence well, but I see the exclusion criteria. How's your technique and method work for them? Write a blog about these, because everyone talks about their success. If I was a patient, and I'm sure I will be someday, I'm not impressed by it. The evidence sucks if you're a patient in pain. So stop saying 'we have evidence.' If we do then help me with a few individuals:

The one that gets a phone call from the hospital telling her her daughter just overdosed.
The one living in his car collecting copper off junk to pay his phone bill
The one with back pain after being thrown down stairs by her boyfriend
The one laying in bed all day, with a husband with PTSD and a 10 year old child caring for the home
The one living in a shelter because there is nowhere else to go
The one on disability from depression since the 1980's

My list goes on and on. Talk about your techniques and research and how great your self justified clinical reasoning is. Just do me a favor, what about the exclusion criteria? Until you have something to say for this population, I'll remain a little angry...

[Barrett Dorko]

Johnny,

I also wonder at why people aren't helped more. I look at myself and KNOW I don't help like I could.

I'm human. It happens.

[Jo Bowyer]

I have just taken a call from a patient whose tests and investigations are pointing towards progressive muscular atrophy. The first thing he asked me, was for my recommendations regarding alternative cures. I have no doubt that he will find someone prepared to lighten his bank account. Over the years anger concerning this type of thing has turned into weariness, then shoulders back, and get on with attempting to steer the patient down a less exploitative path. We all have to make a living, but listening to those who think in terms of "biz" and the industry make me waspish.

[Johnny_Nada]

Enjoy!!!

[Johnny_Nada]

Not sure if these have shown up here. More asymptomatic imaging articles

http://ojs.sagepub.com/content/4/1/2...15623212.short

http://journals.lww.com/jcat/Abstrac...ing_of.18.aspx

[Johnny_Nada]

http://www.strengthandconditioningre...ining-elderly/

Get stronger....live better

[Jo Bowyer]

Get stronger....live better

This is a subject close to my heart. Ideally they need to plan for later years in middle age. I have patients in their 70s and 80s who continue to work in politics, the arts, media, academia, in sport and as practitioners. Decades ago I looked after one or two physicians who were practicing in their '70s and one GP who retired in his '90s, this would be more difficult nowadays with the CPD requirements.

[Johnny_Nada]

Just caught Kyle's write up. My question is how many people in how many meetings did it take to come up with this stuff???

http://ptthinktank.com/2016/02/28/wh...-system-solve/

[Johnny_Nada]

For all the non statistical critiquing, "30 second post pressure pain threshold outcomes" to justify my pushing and poking practice as evidence based...

Can you help me with the single mother with chronic low back pain, that lacks social support and reliable transportation, works multiple low paying unsatisfying jobs to pay rent and support their child.

How about you start working on that instead of your parking lot tricks, or annoying ass "top tips for this body part" or "look at my n of 1 person that got better with my financially supporting technique choice."

Thanks! and please share!

[Milehigh]

Spot on critique of the profession

For all the non statistical critiquing, "30 second post pressure pain threshold outcomes" to justify my pushing and poking practice as evidence based...

Can you help me with the single mother with chronic low back pain, that lacks social support and reliable transportation, works multiple low paying unsatisfying jobs to pay rent and support their child.

How about you start working on that instead of your parking lot tricks, or annoying ass "top tips for this body part" or "look at my n of 1 person that got better with my financially supporting technique choice."

Thanks! and please share!

[Johnny_Nada]

"Statistics are stupid. Not that they're stupid, it's the way people apply them. You already have your mind made up. You go to 'I'mright.com." You start memorizing a bunch of sh*t and just throw it up at people."

-Bill Burr

[Johnny_Nada]

Dr. Skeptic revealed!

http://doctorskeptic.blogspot.com/20...-ultimate.html

[Johnny_Nada]

A lot of people are into bashing "sets of 10." I'll admit it, I use the number 10....a lot...for patients and myself. So before people bash the number 10 remember for some of us, the understanding is far more than just my poor ability to count.

http://thesciencept.com/simple-is-hard/

[smith]

Some say that strength coaches do not use high volume training (10 reps) enough. For learning a new movement, high vol. (10 reps), superior to low vol. At least from my understanding.

[Johnny_Nada]

This is why I'm so skeptical of anyone promoting any treatment or standing on a stage behind a method or microphone. Hang out with me for a day. Until your methods have been tested in this climate, I'll remain skeptical and simple.

https://ptbraintrust.wordpress.com/2...nomic-climate/