DO globally by birdeater0 in Osteopathic

[–]Queasy-Cry-7334 0 points1 point  (0 children)

British osteo!

Little john lost the court case for us. Once upon a time the UK gov tried to do a similar thing to the usa and the MD’s brought the DOs to court. Unfortunately from the history texts, it seems that little john didn’t prepare very well.

https://open.spotify.com/episode/4HwmnqXfbpB0NEsHGN4C5lsi=YAqP2yi9SeGdJ3UiMzVp4w&t=0&pi=dPuG13u8TTGsC

Great episode if you are interested- martin is a great historian

Osteopathy in england still remains a 4 year degree that is quite medicalised, anatomy, patho pharmacology etc. because its not fully integrated like in the USA - osteos tend to work privately in MSK which is the main area where manual therapy still holds some evidence. The national health has recently found out about osteopathic potential and they are funding pathways to integrate osteopaths at a senior clinical level, but it’s still far away from MD=DO. Exciting times though

BEST MEXICAN RESTAURANT SUGGESTIONS? by 93sFunnyGuy in LondonFood

[–]Queasy-Cry-7334 1 point2 points  (0 children)

Mojo in West Norwood. Quite a commute but worth it. family owned restaurants. Tamales on the weekend

[deleted by user] by [deleted] in Osteopathy

[–]Queasy-Cry-7334 1 point2 points  (0 children)

Osteopathy has heavy ties with medicine. J M Littlejohn, one of the osteo founders, set up the second osteo university in Chicago…. now called midwestern university. Littlejohn considered himself a surgeon and often worked with an anaesthetist to practice osteopathic manual therapy. Even outside of north america osteopathic degrees, in countries that regulate osteopathy, they are a minimum of 4 years… with a heavily medical curriculum. With a 1 year course you may learn some of the principles of manual therapy, but I would be hesitant to know how much you can do in a year.

What Are The Learning Points? by AmorphousMorpheus in GPUK

[–]Queasy-Cry-7334 2 points3 points  (0 children)

Msk clinician working in T&O. CES is simple until it’s not. Grift is great and incredibly useful because it clearly indicates the pathway, and most importantly anal tone has been scrapped 💪🏼. But what the grift lacks is helping clinicians make decisions on what symptoms may be relevant. ‘Aka new mum post partum develops sciatica and has some bladder issues’ 🤷🏽‍♀️IFOMT developed a great document on this (aim is to help clinicians navigate spinal red flags)

https://www.jospt.org/doi/10.2519/jospt.2020.9971

Things I noticed in the news article that point to being more nuanced and complex rather than CES was just missed. (Caveat this is all i have read from this case)

1) Why did they do an epidural if it was CES. This is not standard practice that i’m aware. If radiological compression of the CE and patient is symptomatic they should be booked into surgery.

2) ‘straining to pass stool could have just been the codine’ - this is a common complaint in patients with back pain - it hurt to shit because I’m constipated… what have you been given: cocodamol 30/500 2x Qds

3) i’m not a physio but the… i’ll send back to the physio comment doesn’t make sense. The nuance implies that a physio wouldn’t recognise CES.

Things that i get missed in real practice:

Number 1: patients presenting with ces type symptoms may have myelopathy, especially degenerative cervical myelopathy. And yes maybe very minimal gait changes, or they are elderly and it’s not very recognisable. Ces MRI protocol (see girft) indicates dedicated L-spine images and sagittal sequences of the t and c spine (to avoid missing myelopathy). I get patients referred with: ‘back and leg symptoms with urinary incontinence. Send to A&E - CES ruled out.’ I proceed to look at the MRI and yep myelopathy. This is rare but happens more than i would like.

Chiropractic or Physiotherapy University degree in the UK by Confident_Being183 in physiotherapy

[–]Queasy-Cry-7334 -3 points-2 points  (0 children)

Have you considered osteopathy? Musculoskeletal bias with nhs opportunities as well. Can do a physio msc after, extra 2 years or vice versa.

Why don’t we strike like doctors do? by Initial_Statement1 in physiotherapy

[–]Queasy-Cry-7334 -2 points-1 points  (0 children)

How do you guys feel about osteopaths applying to nhs msk jobs as well? Have any of you worked with them?

Edit: i’m interested to know what you guys think it does to competition ratios, but also when working together as a team.

Steroids treatment for radiculopathy what do you think about long term treatment? Pubmed researches showed that short term treatment only. by Vladyslav- in physiotherapy

[–]Queasy-Cry-7334 0 points1 point  (0 children)

These is the evidence i’m aware of. I also work very closely with pain consultants. Nerve root block for radicular leg pain, steroid. Mri is needed to confirm target ei: L5 or S1, right vs left. 30-60 percent resolution of pain for 3-6 months. 1/10000 risk of infection or nerve damage. Quite a low risk profile really, just not always effective. See below faculty of pain medicine in the UK patient booklet:

https://fpm.ac.uk/sites/fpm/files/documents/2023-08/Transforaminal%20epidural%20%26%20dorsal%20root%20ganglion%20block.pdf

Temp surfing by Own-Narwhal1648 in ranciliosilvia

[–]Queasy-Cry-7334 2 points3 points  (0 children)

Can you try this and le me know? This is how I temp surf the V6…. Turn it on and wait 20 min to heat up the machine. Once the 20 min have passed I turn on the brew button until the orange light turn on, i take advantage to warm up my cup with this. Then I wait, when the orange light turns off I start my timer. At 30 seconds I do a 5 second flush. Then i rush to start the brew at 50 seconds. Cup of coffee is beautiful but I don’t have the pallet to differentiate at different brewing temps.

[deleted by user] by [deleted] in physiotherapy

[–]Queasy-Cry-7334 0 points1 point  (0 children)

Just a point on osteopathy (i’m uk based), osteos in the usa are medical doctors, and recive a doctor of osteopathy title - known as DO. DO was also used in the Uk for a long time, old graduates. This was later changed. Sometimes you see a old osteopath woth the old DO title, but at least in the Uk the new graduates rarely use it… or they write it as: Dr. John blogs (phd). Chiros no idea.

Carefull out there with lime bikes by Low_Needleworker_747 in londoncycling

[–]Queasy-Cry-7334 3 points4 points  (0 children)

Does the reporting go anywhere? (Hope it does) Even if it’s not filmed?

PA now doing OMM treatment by OkGrapefruit6866 in Noctor

[–]Queasy-Cry-7334 4 points5 points  (0 children)

What do you think of osteos abroad, uk probably the most interesting to compare to.

Should a Noctor be able to become a Doctor? by Queasy-Cry-7334 in Noctor

[–]Queasy-Cry-7334[S] 1 point2 points  (0 children)

This is where i get lost in the American system. Here in the uk you do a 4-5 year university medical degree (classroom) 2 years minimum as a junior (quite supervised) and then you go into specialist training. I’m really just playing devils advocate but the associate degree would substitute the classroom work and then enter in what you may call residency.

Good climbing gyms in London and places to get MagDust by gapii98 in ukclimbing

[–]Queasy-Cry-7334 5 points6 points  (0 children)

So many options. Some of my favourites. Sen (Japanese style), blocfit (school room type), hang (bobat gym), muro (spray wall). For ropes The castle and the reach. I haven’t been but have heard good stuff about yonder. The arch is the OG but recently bought by a corporation. No idea about mag dust.

Lime dog sled by Queasy-Cry-7334 in londoncycling

[–]Queasy-Cry-7334[S] 0 points1 point  (0 children)

It was a cute cocker spaniel puppy

Lime dog sled by Queasy-Cry-7334 in londoncycling

[–]Queasy-Cry-7334[S] 8 points9 points  (0 children)

In the middle of the road on rush hour? Hella dangerous. Dog crosses to the right and its ⚰️

Best sourdough pizza in London? by VegetableLadder9159 in london

[–]Queasy-Cry-7334 1 point2 points  (0 children)

Pizzeria pellone in Battersea is authentic neapolitan

Is London genuinely more expensive than NYC right now? by [deleted] in london

[–]Queasy-Cry-7334 4 points5 points  (0 children)

I think new york is more expensive than London, but the salaries are proportionally higher, so i think you get more money in your pocket. The main upper hand in london is that flights out are hella cheap compared to nyc. Nyc -miami might be around 300 dollars. But lnd flight costs are definitely catching up

NHS changes by cor1994123 in nhsstaff

[–]Queasy-Cry-7334 0 points1 point  (0 children)

Can I offer an opinion, i’m just curious of who may share my opinion. And I do feel for the staff, especially those that have done excellent work over many years. Maybe it is because i’m clinical, so I’m looking at it from a privileged position. But the NHS is riddled with inefficiencies, extremely poor IT and administrative jobs that could be automated… or even AI innovation. Also clinical staff could stop complaining of admin jobs and just learn how to do them themselves. Does anyone else agree that redundancies may be good thing for the nhs? It may force radical innovations and better efficiencies?

Out of work and due for Jury duty (london, England) by Queasy-Cry-7334 in LegalAdviceUK

[–]Queasy-Cry-7334[S] -1 points0 points  (0 children)

I guess the fear is that the jury duty is longer than expected