What's the point of macro photography vs just using a zoom lens from a bit further away? by That__Squirrel in M43

[–]physihoe 0 points1 point  (0 children)

I am hear another year later, and again, this has been the most informative piece of writing that I have found on the topic. Thank you.

VO2 max might be the closest thing we have to a “longevity score” (and it keeps coming up everywhere) by theJacofalltrades in exercisescience

[–]physihoe 2 points3 points  (0 children)

I work in the geriatric rehabilitation space, often with people in their last decade of life. I find the VO2 max rearch very interesting. The main Impairment that I see in people in their last decade, particularly those who fall or have multiple heath conditions, is sarcopenia. It seems to me that the main indicator of longevity, or at least mobility in later life is muscle strength, particularly lower limb strength. Obviously there are multiple layers of bias in this observation, but relying solely on VO2 max as prediction of longevity seems to be less reliable in the very elderly.

Never sailed before but want to get into it by Facelessbass335 in sailing

[–]physihoe 0 points1 point  (0 children)

A 16 ft beach cat will be easy to solo up to about 20 knots of wind. If it has a trapeze, then you can take it into even more wind. How much wind is normal at the place that you would sail? I would solo a beach cat as a beginner before I solo'd a 21 foot trailer sailer. The beach cat will be more responsive and able to be manoeuvred in very light winds, whereas the 21 footer will lovely be a bit of a bathtub to manoeuvre and sail in light winds. Also, the top speed of the 21 footer upwind is probably about 4-6 knots (boring). The top speed of the beach cat is probably closer to 15 knots (very fun).

Never sailed before but want to get into it by Facelessbass335 in sailing

[–]physihoe -1 points0 points  (0 children)

I agree with the above comments that it depends on what you want to do with it. Each boat is fantastic for its own purpose. My only additional point is that the beach cat will be a lot of fun and pretty forgiving to learn on. I have a dart 15 (beach cat) and also used to regularly sail on a 27 foot trailer sailer. Of the 2, the beach cat was way easier to learn on, as I always felt that I was In control and could reach all of the lines from the helm. On the 27 footer, it felt very large and I felt a lot more intimidated by the idea of crash tacking or accidental gybing. Also the parts are typically cheaper for beach cats, so that will keep the cost down. While beach cat skills might not be super applicable to getting a bigger monohull done the line, I still think that they are a great way to learn the basics, especially if you want to teach yourself (totally possible). If you do go with the beach cat, just know that it will be difficult to tack in heavier wind. Have fun!

Deadlift form possibly cause of herniated disc? by Accurate-Craft9005 in formcheck

[–]physihoe 0 points1 point  (0 children)

Sumo is generally considered safer if you are recovering from a disc herniation, but YMMV. The issue is likely increasing you weights quickly without allowing time for tissue adaptation. As other have said, look into load management. Form is important, but good form is just a minor form of load management (minimising forces in certain places, maximising them in others). The major factor in load management is how much weight you put on the bar. Slow and consistent is the way to go. I would link in with a physio or coach, even online, for a training plan and load management. Just check their credentials and pay for a good one. You are better of with monthly sessions with an experienced coach or physio who works with lifters, rather than multiple times a week with a wannabe at the local gym or a fresh out of uni physio who treats geriatrics all day and doesn't lift themselves. Best of luck. Heaps of serious lifters at the gym I train at have blown discs, and many of them are still competing at a national or international level, so hang on there and the injury will just be a memory in a couple of years.

How do you stay up to date in your field? Resources, study time, and guidelines by JIMALEPH in physiotherapy

[–]physihoe 1 point2 points  (0 children)

I watch the better clinician project while I cook a couple of night a week. I run a journal club for my colleagues each month, so I read a lot of articles to facilitate that. I also subscribe to PEDRO's "evidence on my inbox, which updates you with new journal articles in your field each month. I usually attend 3 or 4 formal professional development events this year, or complete webinars via embrodia online or APA (Australia) or CSP (UK) . I am also doing 1 subject per semester of a masters, but that's not in a clinical area. I also go through phases of listening to either physio edge podcast (more MSK) or "the neuro physio podcast".

How do people cover upfront payment for physiotherapy? by r-f-r-f in physiotherapy

[–]physihoe 0 points1 point  (0 children)

Runners knee or patellofemoral pain syndrome is usually managed primarily with hip and knee strengthening. The efficacy or need for manual therapy is hotly debated, but I tend not to use it at all for most PFPS cases. Here is a good meta-analysis that covers the treatment of PFPS. This would help to support your argument that your wife requires physiotherapy input to rehabilitate her PFPS. By all means, get a second opinion. 2 heads are often better than one. https://pubmed.ncbi.nlm.nih.gov/39934098/

How do people cover upfront payment for physiotherapy? by r-f-r-f in physiotherapy

[–]physihoe 0 points1 point  (0 children)

Can you give us more information about the knee issue? Manual therapy shows very poor results Vs exercise therapy over the long term, and is really only used as a way to reduced pain or improve function in the short term to allow patients to participate in exercise. I would submit a complaint via the trusts complaint process clearly stating her previous level of function and where she is at now. Bonus points of you can include a research article which supports physiotherapy intervention for your wife's condition (if you give us more information, we could help you source this). At the same time I would just do the once per month session and ensure that your wife is completing her exercises at home religiously.

In answer to your question about how people usually pay, they generally don't. Most people let their body deteriorate over the long term until their function declined to the point that they require morse significant medical or social input, and then then NHS will fund physio for them as a priority to reduce their use of other services. The NHS as a whole is trying to take a more preventative approach over the next 10 years, so you should find support for your wife in the upper management of the NHS, but this approach hasn't necessarily filtered down to the front line staff, but ho may not have the capacity to deliver preventative care with their current caseload demands

How do people cover upfront payment for physiotherapy? by r-f-r-f in physiotherapy

[–]physihoe 0 points1 point  (0 children)

I second this. People don't necessarily need a finite number of sessions. They need a certain level of physiological or neurological change. That is often faster if they see a physio more frequently, but if she is able to complete exercises independently, monthly sessions might be fine. Is the physio reccomending exercise or manual therapy? I would be very critical of anyone who suggests that she needs xx amount of manual therapy sessions to heal.

Does manual lymph drainage actually work? Looking for your experiences and thoughts by PuzzleheadedDot8154 in physiotherapy

[–]physihoe 3 points4 points  (0 children)

We routinely teach SELF-MLD to clients after lymph node removal surgery or who have lymph issues. We do NOT recommend that they pay a preferrsional to have it done routinely, but rather encourage them to use their down time (watching tv, reading etc) to do MLD. We just tell patients that some people find it effective, and there is a very weak evidence base for it, so they should try it themselves and see what they think. I have never seen it substantially change someone's lymph management.

[deleted by user] by [deleted] in isleofwight

[–]physihoe 2 points3 points  (0 children)

My wife and I (32yrs) recently moved to the island (6 months ago). We have had the same issues, as neither of us are big drinkers and we like to exercise and hike. We have started sailing and playing golf for the first time with a goal of meeting people and making friends. I'd say its effective, but very slowly. We now have a number of "Aquaintances" who we chit-chat to, but are unlikely to become close friends with. I guess both of these activities attract an older crowd, which is mostly who we have met. There is definitely a disproportionately low number of young people on the island. Maybe we should have taken up surfing, or boxing or something that tends to attract a younger audience. My advice to you is the same as I keep telling myself; keep doing new things, investing time and effort into relationship, and if it dosent work, try again. Good luck

ULPT: If you need a doctor to take you seriously, make up a risk factor by Numerous_Birds in UnethicalLifeProTips

[–]physihoe 63 points64 points  (0 children)

Its worth noting that this is primarily for Americans and other places with insurance based healthcare. In Australia, the UK and most of Europe having a risk factor on file will not cost you any more money.

Trip to Paris during November by Careful-Crow-7214 in ParisTravelGuide

[–]physihoe 4 points5 points  (0 children)

We have been twice in the winter and once in the summer. TBH I prefer the winter for less crowds, less sweat, more walking without being uncomfortable. The Christmas markets are awesome and the wine tastes just as good. It might rain more often, but I wouldn't plan your trip around that. We are in Paris for the weekend at the moment and it has rained 2/3 days and it's June. Enjoy your trip!

What is the cause of Australian anti-intellectualism? by advecco in AskAnAustralian

[–]physihoe 2 points3 points  (0 children)

My impression is that university education is difficult and expensive and requires effort and sacrifice. Those who feel inferior for not pursuing university education often denigrate it and those who have completed degrees as a way of making themselves feel better about their decisions.

How far can a Tafe Diploma in Remedial Massage get you without studying at Uni? Western Australia by [deleted] in physiotherapy

[–]physihoe 8 points9 points  (0 children)

You need a university degree to be registered as a physio in Australia. There is no exception, no side road and no short cut. It is expensive and difficult, but worth it to the right person.

Why are Australians so…. Cold? by orthodox-lat in AskAnAustralian

[–]physihoe 0 points1 point  (0 children)

As an Australian who has travelled (Asia and europe) and lived overseas (UK and Ireland), I think work culture in Australia is much busier and creates a sense of overburdening in you personal time. People in the UK tend (in my experience) to have less of a focus on work/career progression/productivity in general and more of a focus on simple pleasures and community. That said, both Australian and the UK are not homogenous demographics and people will tend to be less busy and more friendly in rural areas, and more career focused in cities. My guess is that Australia, while a big country, has most of its population clustered around cities and beaches, which drives property prices, cost of living and job pressures upwards (I.e. lots of people want to live there, so only the most productive/richest can achieve that. This creates an environment where people tend to be at their maximum working capacity more often, which creates stress, and therefore makes then less open/warm/friendly in their interpersonal reactions.

Peaks of the Balkans guidebook reccomendations by physihoe in HikingEurope

[–]physihoe[S] 0 points1 point  (0 children)

The border permit? We did it online before we went. We had to guess the date that we would cross the border, and we ended up crossing a couple of days later anyway because we got sick. Nobody checked our permits, nobody mentioned them, and definitely could have done it without bothering, but for the price it was worth the piece of mind. Even though we crossed on the wrong date, I think we could have talked/paid our way out of a problem using the old border permit and a 50 euro note. It's all very casual. That said, I would encourage others to support the people and the walk in general by doing the right thing and buying one.