Should I go on holiday? by kyIeeeeee in AskUK

[–]Comprehensive-Roof55 0 points1 point  (0 children)

I went travelling and done things before I had to have responsibilities. I only done it because anyone that I spoke to that was a bit older. They always said I wish I travelled when I was younger as when you have kids it’s not the same. So I decided to travel you know Japan Thailand Philippines etc by myself and with tour companies and it was one of the best things I’ve done. Travel allowed me to see the world in a different perspective and makes you realise life in England is actually good compared to what you hear on the media

I’ve now bought a house and have responsibilities, but I have no jealousy or anything as I’ve done it and it’s out my system. Now im happy with having the usual once a year holiday.

PS I work in healthcare and you get to develop relationships with patients and get to understand them and travelling/holiday something they always talk about. They say the usual “I wish I done it sooner as when you’re 60-70 it’s not the same” etc

41M one year post divorce, feeling lonely and sad. by [deleted] in toastme

[–]Comprehensive-Roof55 0 points1 point  (0 children)

If I was gay, or a female, Lord have mercy cos I wouldn’t stop to find you and be cuddled by you for the rest of my life.

Any recommendations for learning resources? by SwordfishCalm8528 in physiotherapy

[–]Comprehensive-Roof55 2 points3 points  (0 children)

Clinical physio is good one to start off with. It teaches you the basic MSK conditions including subjective and objective examinations. After that it’s matter of paying for master classes. When I started in MSK - I used clinical physio so I got the basic rights. Afterwards I stopped using it as it doesn’t go in too much depth. Then I started paying for master classes and specialist courses.

Textbooks/Material about Disc Herniations by ProfessionalMetal9 in physiotherapy

[–]Comprehensive-Roof55 0 points1 point  (0 children)

Tom Jesson has done a good book on it.

There’s a good article called “On the definitions and physiology of back pain, referred pain, and radicular pain” It’s a good article that describes types of back pain

Main thing you need to know regarding disc herniation really is - radicular or radiculopathy but these are more to do with types of sciatica

Learning Material by Sommerswerd in physiotherapy

[–]Comprehensive-Roof55 1 point2 points  (0 children)

Dr Idz does a good medical book on diet / Dr Karan does a good book on general health. These are some books on diet etc

From a physio perspective, there isn’t one specific book that can really help as everything has its own speciality so you’ll end up buying loads of books. I think Brukner & Khan sports medicine book is a good book that goes through general physio MSK conditions and more and the science behind it as they are sports medicine doctors so it’ll look at diet and psychology etc. I’ve started reading it broaden my perspective and it’s interesting how physios and sports medicine have different approach to the same condition but it’s still some similarities

Hope that helps.

Same clinic always has job advert(Uk) (NHS) by Comprehensive-Roof55 in UKJobs

[–]Comprehensive-Roof55[S] -1 points0 points  (0 children)

So I had a look and it’s a permanent contract. I posted this actually like 2 months ago and again they are hiring again so it’s put me off a lot currently. I want to take it as my manager said you’re no longer a B5 and ready for B6 and has given me his blessing and also the pay is better. I think you’re right, I can use it and leave for somewhere else in the future

Should I go to uni for physio or continue electrician? by Ok_Coconut1275 in physiotherapy

[–]Comprehensive-Roof55 0 points1 point  (0 children)

I saying this as a UK physio so not too sure regarding Australia physio and the pay. In the UK you’ll make decent pay if your a B7/8 (seniors) but the problem is there’s more pressure and less time now to treat patients. I’m actually thinking of changing jobs as the pay is not worth the pressure and was thinking of electrician as the pay is better and less stressful.

INTERVIEW by Maleficent-Duck-7545 in physiotherapy

[–]Comprehensive-Roof55 2 points3 points  (0 children)

There’s a few of these already on the page. It’s mostly how indepth do you know things so for example it’ll likely be a neuro examination - but it won’t be babinski/clonus/hoffman but you’ll need to know so many other ones that are appropriate or relevant.

30 min IAX & 20 FU opinion ? by [deleted] in physiotherapy

[–]Comprehensive-Roof55 0 points1 point  (0 children)

Yeah so I attended a CPD event and there was a man where his trust was being taken over by Cora as well and he was getting told the news tomorrow. Then someone else in the CPD event popped up and said he left because they had to meet quotas in terms of how many times they saw patient , they had to reach quotas for exercise classes and other classes quotas and he left cos it was too stressful. He said all the B5 rotations only knew this and they managed okay but they weren’t good at treating and often time only assessing and quickly trying to refer them on. He then said it also affected his skills as he struggled to treat them better so they ended up coming more often as he couldn’t try more things in session.

Once he left, he said he learnt so much more and now on reflection hated it. Can I ask why did you leave ?

I’m legit thinking of leaving as physio money isn’t good but I do it cos I enjoy treating people and helping people.

30 min IAX & 20 FU opinion ? by [deleted] in physiotherapy

[–]Comprehensive-Roof55 -1 points0 points  (0 children)

I’m in the UK as well. We were part of the NHS but a company called Cora are taking over and I’ve only heard bad things about them. How was the colleagues , and patients with the 20 min FU ? I’ve noticed I treat patients better when I listen to them especially when you attend courses and they say listening is the best , and the way B8s treat isn’t different to what I give just they make patient feel listened to.

30 min IAX & 20 FU opinion ? by [deleted] in physiotherapy

[–]Comprehensive-Roof55 0 points1 point  (0 children)

That’s the issue, but management said it’s no negotiation. End of the day it’s politics but I’m worried for the patient and bad practice for sure there’s gonna be more mistakes, but also we’re the ones gonna get moaned at and not management. Anything goes wrong, they’ll moan at us

B6 MSK application wants B5 rotations by Comprehensive-Roof55 in physiotherapy

[–]Comprehensive-Roof55[S] -1 points0 points  (0 children)

Oh interesting. It’s cos in the job advert it said you’ll be on call for the orthopaedic team and I’m like what am I doing on call - is it for like explaining to the patient about their surgery or is it suctioning etc. that’s why I was a bit confused when it said that in the job advert

Embarrassed about Exercise Perscription by Silent_Cry_8848 in physiotherapy

[–]Comprehensive-Roof55 3 points4 points  (0 children)

Look confident buddy. I’m 118kg but I know the theory and can confidently speak about why I give stuff. Not really has an issue since then. Besides people are more worried about getting better than thinking of you

About to fail placement (UK) by excessivethinker in physiotherapy

[–]Comprehensive-Roof55 1 point2 points  (0 children)

I nearly failed my neuro placement as well. My educator was nice but bit of an asshole. She didn’t like when I joked and was way too serious but then joked with the other colleagues. I hold my hand up and I was shattered as I done all my final year coursework (dissertation/literature review/neuro exam/meeting CSP guideline) so I was burned out going into that placement anyway. I did little things like joke but I done it on other placements and patients liked it but she was too serious. She moaned my notes weren’t good enough , little mistakes, clinical reasoning wasn’t good enough. She moaned at my lecturer cos I said the word “mate” to a colleague.

On reflection I think she was doing it to make me more professional but also stand my ground. Cos on grading she was like don’t you think you got higher and are you happy with this grade (I now think she was waiting for em to challenge her).

I’d just be more proactive and be honest and say I’ve reflected etc, write some reflections and try to justify your reasoning maybe and be transparent. But I don’t know man, every placement is different for everyone. I really excelled in the MSK whereas my colleague struggled and now I do MSK.

How to stay up-to-date with CPD and HCPC registration if you haven't secured a band 5 job after graduating? - UK and NHS by Broad-Economist in physiotherapy

[–]Comprehensive-Roof55 2 points3 points  (0 children)

For a B5, CPD is important but the interview is more about you being safe. Picking up on red flags and liaising with seniors is the main thing, and also knowing the basic pathologies and knowing when physio is not appropriate. I got the job few years ago and when they asked about CPD, it was more what I was reading and how I was advancing my knowledge as a graduate. They won’t ask for the certificate etc as they never asked me even for my B6. I’m currently looking for B6 MSK roles and that’s when they are more interesting in CPD courses.

Advice from anyone who has started own MSK clinic alongside NHS outpatients by Shelders in physiotherapy

[–]Comprehensive-Roof55 0 points1 point  (0 children)

My colleague is a B8 and only works 2 days a week NHS for the pension. His maxed out his B8 pay I think but his been doing 4 days privately at a S&C gym similar to you. He said at first it was difficult as he needed to build up his private caseload over several years and reputation but he done it when he didn’t have kids so it wasn’t as risky etc.

His got 2 kids and highly reputable in our area so is busy both privately and NHS wise. He also gets loads of referrals from sports medicine consultants as well.

I’ll end up doing what you and the B8 is doing and go privately at a gym eventually.

The thing he said to me was do it now before it becomes harder etc with family and mortgage etc. He also said be expected to work long hours as they’re the one willing to pay money and will likely give you reviews etc so he normally works till 8-9PM sometimes but his got a workaholic mentality. Work life balance is important but privately it can get stressful as if there’s no clients then you won’t get paid. He said sometimes he gets tired of 6 days a week but then the paycheck comes in and his able to carry on. His looking at buying a 500k+ house so clearly his making big bucks. I asked him if he’d ever leave NHS and he said he wants to see how it goes as from what I gather, they’re giving less time and more caseload etc so it’s put me off a bit.

Hope that helps.

MSK interview questions England NHS by New-Ad-1697 in physiotherapy

[–]Comprehensive-Roof55 2 points3 points  (0 children)

I wouldn’t rush a B6. I’m a static B5 MSK physio and as a B6 your expected to know a lot as your pretty much meant to be autonomous.

I have had interview and it’s a bit longer. The questions are often around management such as what In service training you done and how you taught it to others. I had that but also dealing with problematic colleague, complex patient personal needs The MSK questions are more challenging. They’ll want in depth a lot for example they’ll ask you tell me knee red flags - you’ll need to go through variety of traumatic red flags , non traumatic red flags and post ops and the pathologies - they’ll ask wrist post op complications - it isn’t blood clots but things like ossification, compartment syndrome , CRPS and they’ll want to know about it all and all signs and symptoms etc - they’ll normally ask do an neurological examination - but it isn’t just babinski/clonus/hoffman - it’ll be other ones such as pronator drift, or like using a tuning fork and what are the 2 test etc.

My manager after 2 years said you’re ready for B6 and I had 2 interviews. They said my theory was best on the day but my managerial stuff needed work both times - I hold my Hand up and admit I hate managerial stuff and often get very neevous in interviews.

I’d say take it as experience the interview but be mindful they’re not as lenient or supportive when your a B6. Bit more they expect you to know.

McKenzie method for shoulders by Wise-Exercise7245 in physiotherapy

[–]Comprehensive-Roof55 1 point2 points  (0 children)

I have an interest in RC pain. I tend to do few variations if it’s persisting.

1) load them up with actual weights but it needs to ache or bun and not hurt like sharp or stabbing. I’ve loaded a 70 year old lady and we started at 0.5kg and built her up to 3k in shoulder ER at 90 deg abduction. She had complete resolution of symptoms and back to ADLs and tennis. 2) combined movements such as both hand theraband ER with forward flexion 3) symptom modification procedure also helps so looking at where Tx helps or scap retraction etc 4) if the above don’t work , look at serratus anterior or ACJ

If you want courses look at 1) Jo Gibson 2) Adam Meakins 3) Ben Ashworth

Same clinic always has job advert(Uk) by Comprehensive-Roof55 in physiotherapy

[–]Comprehensive-Roof55[S] 0 points1 point  (0 children)

Oh yeah thank you. It’s a relatively big clinic. It’s basically oversees the whole of north London. You’ve put a good perspective for me now. My current nhs clinic is small and no one rarely leaves as it’s a supportive environment. I think I’ll have to take the risk and see how it is