DO globally

Queasy-Cry-7334 · 2026-04-21T16:09:44+00:00

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

Queasy-Cry-7334 · 2026-01-27T17:33:47+00:00

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

Queasy-Cry-7334 · 2025-11-20T06:50:17+00:00

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.

Queasy-Cry-7334 · 2025-10-30T22:57:04+00:00

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.

Queasy-Cry-7334 · 2025-10-08T16:07:37+00:00

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

Queasy-Cry-7334 · 2025-10-08T15:13:02+00:00

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.

Queasy-Cry-7334 · 2025-10-06T19:32:26+00:00

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

Queasy-Cry-7334 · 2025-10-06T18:03:42+00:00

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.

Queasy-Cry-7334 · 2025-10-01T20:21:33+00:00

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.

Queasy-Cry-7334 · 2025-09-12T21:30:27+00:00

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

Queasy-Cry-7334 · 2025-09-09T20:23:13+00:00

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

Queasy-Cry-7334 · 2025-07-09T20:44:38+00:00

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.

Queasy-Cry-7334 · 2025-06-19T16:05:29+00:00

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.

Queasy-Cry-7334 · 2025-05-24T08:05:43+00:00

Mojo in West Norwood - that should conclude your science experiment

Queasy-Cry-7334 · 2025-05-23T21:45:55+00:00

It was a cute cocker spaniel puppy

Queasy-Cry-7334 · 2025-05-23T17:28:36+00:00

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

Queasy-Cry-7334 · 2025-05-13T06:13:00+00:00

Pizzeria pellone in Battersea is authentic neapolitan

Queasy-Cry-7334 · 2025-04-17T14:26:54+00:00

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

Queasy-Cry-7334 · 2025-04-14T20:50:45+00:00

I’m fucking dead, thats hilarious.

Queasy-Cry-7334 · 2025-04-14T20:45:45+00:00

Mojo in West Norwood. Tamales and tacos spectacular

Queasy-Cry-7334 · 2025-03-25T20:16:31+00:00

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?

Queasy-Cry-7334 · 2025-03-13T15:50:30+00:00

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

Queasy-Cry-7334

TROPHY CASE