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  • New Here... aren't most people who post in this section? :)

    Hi all,

    I was referred to this forum by Walt, and I am looking forward to reading more on your site. I have been in practice since 1992 as a DC, 1998-ish as an MT and most recently in 2012 as a CR (certified reflexologist).

    I am quite eclectic in my private practice and do not have a pressing need to only work in one manner or style. If a particular modality is what helps a patient or client, and I have that skill, I am happy to apply it.

    I am also an avid lover of music, and if you'd like to poke around a little, I'd be happy to share my Pandora Stations with you. I believe it is a great way to get a feel for how I roll. http://www.pandora.com/#!/profile/stations/tx.pueppi

    Be kind. I hope to be an accent and not a detractor.
    C.O. ( gender: ) - LMT, BS(Anatomy), DC
    Music Fog... pick a song to listen to... you can't go wrong.
    Need relaxation samples for your office? I have made a Deep Relaxation Massage Music Pandora Station and have others that may also be useful - about 8 massage music stations and about 49 other nifty options.

  • #2
    Welcome, CO. Do you at least have a first name?

    It looks like you've moved towards less coercive interventions, which is encouraging. However, I'm not seeing a strong science-base to support your clinical evolution.

    Are you curious about science and what it can tell us about our patients?
    John Ware, PT
    Fellow of the American Academy of Orthopedic Manual Physical Therapists
    "Nothing can bring a man peace but the triumph of principles." -R.W. Emerson
    “If names be not correct, language is not in accordance with the truth of things. If language be not in accordance with the truth of things, affairs cannot
    be carried on to success.” -The Analects of Confucius, Book 13, Verse 3

    Comment


    • #3
      Be kind. I hope to be an accent and not a detractor.
      An "accent" is the sharp end, and sharp is always good.

      Sorry, it's punday...

      Comment


      • #4
        Hello curious,
        Did you read all the way through the "MFR the Great Conversation" ?
        Diane
        www.dermoneuromodulation.com
        SensibleSolutionsPhysiotherapy
        HumanAntiGravitySuit blog
        Neurotonics PT Teamblog
        Canadian Physiotherapy Pain Science Division (Archived newsletters, paincasts)
        Canadian Physiotherapy Association Pain Science Division Facebook page
        @PainPhysiosCan
        WCPT PhysiotherapyPainNetwork on Facebook
        @WCPTPTPN
        Neuroscience and Pain Science for Manual PTs Facebook page

        @dfjpt
        SomaSimple on Facebook
        @somasimple

        "Rene Descartes was very very smart, but as it turned out, he was wrong." ~Lorimer Moseley

        “Comment is free, but the facts are sacred.” ~Charles Prestwich Scott, nephew of founder and editor (1872-1929) of The Guardian , in a 1921 Centenary editorial

        “If you make people think they're thinking, they'll love you, but if you really make them think, they'll hate you." ~Don Marquis

        "In times of change, learners inherit the earth, while the learned find themselves beautifully equipped to deal with a world that no longer exists" ~Roland Barth

        "Doubt is not a pleasant mental state, but certainty is a ridiculous one."~Voltaire

        Comment


        • #5
          Originally posted by John W View Post
          Welcome, CO. Do you at least have a first name?

          It looks like you've moved towards less coercive interventions, which is encouraging. However, I'm not seeing a strong science-base to support your clinical evolution.

          Are you curious about science and what it can tell us about our patients?
          I do "at least" have a first name. However, I do not use it for online forums. Feel free to call me CO, Curious One or just plain Curious. I'll answer to all of those and probably then some.

          I did not need a strong science-base to support my clinical evolution, I choose to attain further licensure allowing me work in a manner that is enjoyable for myself and my practice. As I said, I am eclectic. Yes, of course I have "higher" education - it sounds like it matters to you, so... Yes, I completed my post-doctoral chiropractic Orthopedics coursework in 1995. And, the knowledge has served me well.

          But, I unlike some others in my profession, I like to have a triple-faceted practice. I enjoy providing different types of care for different types of people. Not everyone wants or needs chiropractic and some people truly need more soft tissue work; others need to relax or get some other clinical support. I am able to work in the ways I see fit.

          My choices work very well for "me". I get up in the morning happy to go to my office. I leave looking forward to the next day. I can even barter massage for a loaf of bread if hard times fall on the USA. I am all about being multi-functional.

          I also refer out as needed (mainly to a few Ortho's and Neuro's in town, but there is also a PT, an FAFS, a Feldenkrais practitioner, a Rolfer, a special Pilates instructor and a few others on my handy-dandy list). And, those from the same list refer to me.

          I have not yet read "MFR the Great Conversation", but I will be sure to get there as soon as I can. Thanks for the link. Although MFR is not the base of my practice, I do like to read up on interesting tidbits. I'll probably refrain from responding too much anytime soon though, as I am not comfortable being the spanked newbie.

          And, thanks for the warm welcome on "punday".

          I look forward to meandering about and finding my way.
          C.O. ( gender: ) - LMT, BS(Anatomy), DC
          Music Fog... pick a song to listen to... you can't go wrong.
          Need relaxation samples for your office? I have made a Deep Relaxation Massage Music Pandora Station and have others that may also be useful - about 8 massage music stations and about 49 other nifty options.

          Comment


          • #6
            Good luck meandering.

            To some, "eclectic" means "all over the place." I don't see it that way.
            Barrett L. Dorko

            Comment


            • #7
              Good luck meandering.

              To some, "eclectic" means "all over the place." I don't see it that way.
              With this in mind, don't look at Barrett's awesome avatar and think--

              "eclectic chair"....

              OK, last pun of the day. I'm on my way to a cross country meet!

              Comment


              • #8
                Welcome to the forum C,

                Please don't take anything personal. We are here to discuss and reform ideas. Not our personal lives (I do love the Steelers, my wife Kristen and my dog Ellie and noone can take that away). So when we criticize things, it will never be about you personally. It may feel like it but its not.

                So lets begin here:

                Can you give some insight on how reflexology works physiologically?
                Joseph Brence, DPT, FAAOMPT, COMT, DAC
                "Great spirits have always encountered violent opposition from mediocre minds" - Albert Einstein
                Blog: www.forwardthinkingpt.com

                Comment


                • #9
                  Welcome Curious. Enjoy the reading of past, current and future threads. I find it interesting that you state:
                  I did not need a strong science-base to support my clinical evolution,
                  Do you not think a science-base is needed to support treatments and outcomes of patients or is just getting outcomes enough?
                  Kory Zimney, PT, DPT

                  http://koryzimney.blogspot.com

                  "Study principles not methods, a mind that can grasp principles will create its own methods." - Gill

                  "All truths are easy to understand once they are discovered; the point is to discover them." - Galileo Galilei

                  Comment


                  • #10
                    Originally posted by joebrence9 View Post
                    Welcome to the forum C,

                    Please don't take anything personal. We are here to discuss and reform ideas. Not our personal lives (I do love the Steelers, my wife Kristen and my dog Ellie and noone can take that away). So when we criticize things, it will never be about you personally. It may feel like it but its not.

                    So lets begin here:

                    Can you give some insight on how reflexology works physiologically?
                    I guess if you need some kind of research, you can read pubmed for more info... but, on the quick, I located this for you. http://www.sciencedirect.com/science...65229997800039

                    To be honest, I am feeling a little like someone is looking to find something I am at fault at with the hope to jump in and give me a big kick or criticize, just for your own personal fun.

                    You may not be trying to come across like that, but it is the definite message that is being sent out by questions about "not seeing a strong science-base to support your clinical evolution" and "So, lets begin here...".

                    It could just be that you all have been around each other so long, you expect that everyone takes you with the same grain of salt, but as a newbie, it is a tad overstimulating.

                    But then, maybe you don't like new blood and this is your way of encouraging people to leave... I'm not sure if this is the group for me or not, but I'll stick around a little longer to find out.



                    Originally posted by zimney3pt View Post
                    Welcome Curious. Enjoy the reading of past, current and future threads. I find it interesting that you state:


                    Do you not think a science-base is needed to support treatments and outcomes of patients or is just getting outcomes enough?
                    I think there is a time and a place for everything. Evidence based practice is a nice concept but many times clinical decision making skills determine what direction one will proceed. Yes, for me, there are times when getting an outcome *is* enough.

                    But, that was not the question I was asked originally. For my particular clinical evolution, it was not the necessary factor in all of the licensing I chose to take.

                    But, it seems like many of you on this forum is really sharp and could pick apart any sentence, if for no other reason than the picking.

                    I am not comfortable with being in the hot seat, just because you have nowhere else to assert your energy. :/
                    Last edited by Curious One; 27-08-2012, 10:56 PM.
                    C.O. ( gender: ) - LMT, BS(Anatomy), DC
                    Music Fog... pick a song to listen to... you can't go wrong.
                    Need relaxation samples for your office? I have made a Deep Relaxation Massage Music Pandora Station and have others that may also be useful - about 8 massage music stations and about 49 other nifty options.

                    Comment


                    • #11
                      You've been questioned, not criticized.
                      Barrett L. Dorko

                      Comment


                      • #12
                        But, it seems like many of you on this forum is really sharp and could pick apart any sentence, if for no other reason than the picking.

                        I am not comfortable with being in the hot seat, just because you have nowhere else to assert your energy. :/
                        Not picking on you C. Again, this is about ideas---not you. I am going to lay this out there...and it has nothing to do with you as a person. Only the methods in which you practice.

                        Chiropractic was developed by a magnetic healer. It is a pseudoscience built around the idea of a subluxation, which your own profession can barely define. It preys on many individuals who are taught misinformation about postural theories which are supported by no evidence. It takes 2 dimensional x-rays to extract 3-dimension info. It constantly criticizes the medical community, which has loads of scientific evidence to support their practice.

                        Reflexology is another pseudoscience. The study that you sent me had a n 20 (10 per interventional group). The significantly greater reductions in BRS were a mear difference in 4 participants. This study was published in 1997 and was severly poorly designed.

                        I am a Physical Therapist. My profession has many faults as well. And I criticize this. You can read more on my blog: www.forwardthinkingpt.com . I performed garbage interventions. I no longer do. Because I thought, asked questions and learned.

                        Joining this forum is the first step to becoming a better clinician. We discuss ideas, methods and look at things from a scientifically-plausable model of explanation. We often defer thinking to Occam's razor. I don't always agree with individuals on this site who are prominant users of the site. But I question their ideas. I don't criticize.

                        Again, welcome to this forum. I suspect if you stay, much of what you do will be questioned. But I also suspect you will become a much, much better-thinking clinician.
                        Last edited by joebrence9; 28-08-2012, 01:08 AM.
                        Joseph Brence, DPT, FAAOMPT, COMT, DAC
                        "Great spirits have always encountered violent opposition from mediocre minds" - Albert Einstein
                        Blog: www.forwardthinkingpt.com

                        Comment


                        • #13
                          Welcome to the forum Curious.

                          I have been reading through this thread and it seems to gently tie in with Barrett's The Dog Stars thread.
                          From Amazon and the book description: Risking everything, he flies past his point of no return—not enough fuel to get him home—following the trail of the static-broken voice on the radio. But what he encounters and what he must face—in the people he meets, and in himself—is both better and worse than anything he could have hoped for.
                          This is a place where ideas beyond our comfort zone or horizon are examined. I hope you stay and take a look through some of the threads Jason Silvernail collected HERE to get oriented. In particular the Chestnut Challenge will give you the quickest insight into the reasons some of us are here.

                          Karen Lines RMT
                          Last edited by Karen L; 28-08-2012, 01:18 AM. Reason: grammar

                          Comment


                          • #14
                            When I stated that your clinical evolution appeared promising in its movement towards gentler techniques I was sincere. I also meant it when I stated that it lacked a strong science-base, which Joe Brence has now come right out and made clear.

                            I was trying to be charitable. :angel:
                            John Ware, PT
                            Fellow of the American Academy of Orthopedic Manual Physical Therapists
                            "Nothing can bring a man peace but the triumph of principles." -R.W. Emerson
                            “If names be not correct, language is not in accordance with the truth of things. If language be not in accordance with the truth of things, affairs cannot
                            be carried on to success.” -The Analects of Confucius, Book 13, Verse 3

                            Comment


                            • #15
                              [QUOTE=Curious One;137318]I guess if you need some kind of research, you can read pubmed for more info... but, on the quick, I located this for you. http://www.sciencedirect.com/science...65229997800039

                              To be honest, I am feeling a little like someone is looking to find something I am at fault at with the hope to jump in and give me a big kick or criticize, just for your own personal fun.

                              Yes, that is exactly what is going on. That doesn't mean that the questions asked of you are personal or not relevant though. There is a lot to learn here, you just have to get past the unwelcoming atmosphere to get to it. The way you practice is regularly criticized here, this is what is driving the reception. I don't think it is fair to you, who is brand new and isn't familiar with the criticisms leveled, but that is the way it is. I suggest you let it be like water off a duck's back, hang around and look around and respond to what you want to and ignore the rest. I think you can enjoy your stay. I hope you do.

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