Laura Rathbone🌈 she/her
@laurarathbone
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🌈Rainbow Warrior🏳️⚧️ Advanced Practice Physio Interests: pain, philosophy, social justice, psychedelics, knitting, cats @PhilsClinsChat @paingeeks
Amsterdam, Nederland
Joined April 2009
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I can't wait to start this journey & I hope we can raise £1000 for the wonderful team over at
@burningnightscrps
I'll be walking 🥾110km from Sarria to Santiago 🇪🇸 in June, with 5 stages of walking ranging from 20km to 38km per day!
Donate here:
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Physios. Don't get distracted.
There are real and complex issues in our profession
Arguing over an exercise or a piece of equipment is the distraction
How about we work towards flexible pt-centred appt scheduling, actual breaks & inclusive representation at management level.
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Note to Physios: your assessment is unlikely to tell you the cause of someone’s pain.
The main purpose is to screen and then support the shared decision-making for the person’s rehabilitation plan.
Keep the end-goal insight, it will prevent u from getting lost in the tissues.
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Flight attendant: Is there a doctor onboard?
Dad: *nudging me* should've been you
Me: Not now Dad
Dad: Not asking for a physiotherapist to help, are they?
Me: There's a medical emergency happening right now
Dad: Go and palpate their psoas. See if that helps.
@Retlouping
4u!
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There is literally no shame in our profession on social media.
Patient shaming, fragile egos, cruel memes and bro-culture.
Why do we celebrate this attitude?
Sucking up to bullies to protect our own little pocket of power instead of wanting better of our colleagues.
Grow up.
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@sianushka
Female pain is consistently systematically dismissed as part of the patriarchal perspective through which healthcare is delivered.
Pain reduction is a human right, but this only came in to play in 2019.
We still have a long way to go in raising awareness &changing practice.
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Does anyone else find the biggest barrier to exercising, is that you have to get changed??
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Look, I'm just going to say this.
Reading Explain Pain does not qualify you as a pain specialist.
Nor is it or should it be the basis of your pain teaching at undergraduate or (especially perhaps!!) post graduate level.
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Most of us want to quit this profession at some point.
Some of us are hanging in by a thread 🙋🏻♀️
It's a flawed approach that's full of patriarchal manipulation & archaic teachings.
It's OK to leave.
U can be an excellent clinician & help lots of people without being a physio.
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Physiotherapy is not a group of boys in sports socks seeing who pisses highest up the wall next to a squat rack
It's (meant 2b) a scientifically based health profession that is philosophically aware& about rehab across diverse health conditions.
Who we let speak for us matters
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If Ur struggling in clinic, U don't need another manual therapy or exercise course
U need a framework 4 supporting behaviour change, nurturing allyship & communication skill development
Support w/ boundary setting & being aware of Ur own biases & privilege
Invest in urself.
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Are you a British physio?
Does your current wage cover the basics to live?
(Rent / food / bills / commute etc)
Im curious, how many clinicians are have to work extra shifts/Bank/or have a second job or 'side hustle' to afford basic living costs?
Rt if you can.
@thecsp
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Last year's twitter pile ons affected me more than I've really talked about.
I've definitely stepped back from this platform and openly discussing issues with the physio profession because of the way, mostly male, physios have engaged in those conversations.
Trialling a return.
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This explains how many of us are feeling right now in physiotherapy....
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If a person comes in with knee pain. And pain is what they want to reduce - you as a clinican they’ve just met, re-wording that as a values-based goal could feel like gaslighting, & frequently does.
Pain reducition is still allowed to be the goal.
We can hold that space.
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Today. I fell in love with our profession again. Everytime I'm around students I remember how awesome physio is as a job & am filled with a kind of optimism. Our job as qualified therapists is to not fuck it up. Not squeeze the enthusiasm and compassion out of them
#lovejuniors
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"Pain is not equal to damage" is not the same as "Pain is nothing to do with tissues or tissue damage"
Reframing and facilitating curiosity around beliefs is not the same as dismantling beliefs. The latter, is probably not achievable, nor helpful.
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Today I went out for a run with a patient through a small patch of forest, which has been our goal since her first session.
We have been building up to this. The skills required were present-moment awareness, forgiveness, diffusion, acceptance, re-commitment.
She nailed it.
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When we are working with people that are living with persisitent pain.
Can we remember we aren't trying to "solve their life"
We'r supporting ppl to find meaningful ways of living their life as they want, often alongside pain.
That means exploring suffering
And that's hard
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Louis' book is just so lovely and human. Im so glad to be reading this again & for it to be the first book in the
#paingeeks
book club!
Pain Geeks is a reading group for people wanting read widely around pain - from philosophy to physiology and the humanities!
More info to come
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One of the manipulative techniques I've experienced from the physio culture is gaslighting.
My physio isnt good enough, physio enough, manual therapy enough, S&C enough.
I'm here to tell u: step out of line.
Be the chink.
Reclaim your autonomy of thought and practice.
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I've been bisexual all my life, but I have hated that part of me for a long time. I was taught that bisexuality wasn't a legitimate option. That I was either a lesbian or I was straight.
Neither fully fitted.
image credit:
@stonewalluk
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High functioning anxiety is a weird experience.
I'm having to learn that people/others don't expect me to be doing more than I am and that my expectations on myself of reasonable work output R too high at a cost of personal life and family time that is too much.
It's a process
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"Not all physios" is starting to sound like "not all men".
Middle-class fragility within the physios profession is going to be one of the barriers to progress.
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Virtual conferences are brilliant. I (almost) dont want to go back to f2f ones. Sat in my pjs. With a coffee. Potty training the little one. Listening and learning about this thing we call fibromygia and how care is evolving.
#happyplace
#physiouk
#physio2020
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It's quite incredible.Teaching us non-specific models for back pain then honing in serratus anterior for shoulder pain
Teachers pick & choose their models, appeal to proximity to well known BPS researchers for one region of the body, then resorting back to BM models for another
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If you havent read this paper by
@Peter_Stilwell
@Anne_Hudon
@keith_meldrum
@MGabriellePage
and
@TH_Wideman
go and read it now. It's wonderfully writted and will support you to question an area of pain care rarely discussed because of taboo: Suffering.
A short review:
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37 years around the sun and I'm learning...to say no when I don't want to do something. To say yes to things that I want but scare me. To hold boundaries that privilege my health. The power of collaboration not competition. To rely on others...i'm still a work in progress.
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Happy Monday, and twitter landed with a bang after the wkend. another physio in a position of leadership thinking they can say anything
"Locker room talk" has become the norm for a certain group on PT twitter & it is not ok
Misogynistic banter has no place anywhere in society
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Philosophy applied to clinical practice is not an optional extra.
We are all already doing it but without realising it. Its the lack of insight and reflexivity that needs drawing attention to.
Do u agree with the philosophy that underpins ur practice?
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Just a friendly reminder that adult females are women.
Not girls.
That's the tweet.
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Videos of physios and manual therapists laughing at the pain they inflict either in a fellow student or a patient are an appalling show of just how far our profession is from ethical practice.
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Are physios in the U.S.A coming out with 200k+ worth of debt???
Is this true anywhere else in the world?
This is crazy!
I left physio uni w about £1000 of debt qnd no student loans in the UK 11 yrs ago
How is it now?
Update my knowledge pls
@WorldPhysio1951
#PhysicalTherapy
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I'm excited to share that I have joined the
@csplgbtqia
Leadership Team as joint-Communications Officer
Physio is Queer & so are our patients
As part of my own personal dedication to LGBTQIA representation, I'm motivated to support systemic and cultural change in our profession
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I'm not exploring my bisexuality, I'm finally expressing it.
And i'm fucking proud of that.
#pride
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Hey physios interested in meaningful discussion that is sensitive to intersectionality and aware that the human experience is seen through more lenses then "angry white cishet man in a position of power spouting opinions"...join one of my clinical coaching pods.
You are welcome❤
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Pain care IS social justice work.
If you haven't figured that out yet, you arent doing it right.
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Day 2 is on!
T-shirt reads: please tell me more about my own goddam experiences
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Physios working out in private practice…
Where are you in preparing for Long COVID rehabilitation?
Are you already seeing a lot of people experiencing this?
Do you have a Long COVID plan?
What would be your top tips for supporting people w/ Long COVID?
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A while ago I ran a few posts over on Instagram (
@laurarathbonept
) about burnout and clinical practice. I was overwhelmed by messages from clinicians feeling heard/seen by these posts. So I'd like to share a few thoughts here:
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Physiotherapy as a profession and collective needs to step up and be counted within the Allied Healthcare Professions & call for immediate & permanent ceasefire in Gaza. This a humanitarian and a healthcare crisis & has gone beyond "political"
@thecsp
must show leadership on this
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Clinicians, how many of you out there are working with pain or health conditions?
I'll go first.
Psoriaisis, silent migraine (just aurors,rarely pain) & high functioning anxiety
Why do we always talk about patients as others?
We R patients.
How would U like to be cared for?
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Did I ever tell you how proud I am to be Bi? Yes? Oh well please let me tell u again!
Physios R queer
Pain-specialists R queer
Researchers R queer
Teachers R queer
My curent flex...being as queer as I am in all the spaces - because I told me to tone it down for too many years..
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My morning dose of empathy, compassion and validation 😍
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@TrustmePhysio
@SherenGaulbert
@jilly_bond
@MelroseStewart1
@lissanthea
@karenlitzyNYC
@DocJayPT
@ranilillanjum
@AnjuJaggi
@JasDhirPT
@Claire_Minshull
@SarahHaagPT
@SandyHiltonPT
@rtholopainen
@AliceKongsted
@ewa_roos
@adiemusfree
@ShoulderGeek1
@drniamhmoloney
@exerciseworks
@tendonpain
@ProfJillCook
@McCreesh_Karen
So this list grew!
So many women traching great stuff.
Stop asking the same 11 men!
I think i have to make a better document! Im so happy to have been introduced to so many new kickass women!
If u teach a course, identify female or non-binary, give me Ur deets!
@BJSM_BMJ
@JOSPT
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@tmopain
's presentation at San Diego Pain Summit will be free to everyone to watch. Head on over to the website and find it under patient resources!
Everyone. I mean - everyone ... that is working therapeutically with people and especially with pain needs to watch this
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@marklaslett_NZ
@JHaleATX
@BJSM_BMJ
@shereebekker
@LSEInequalities
With respect, as a white educated and privileged male, your opinion has been "policy" for many years and led to the kind if inequality of equity affecting many people within our society. Whilst there is nothing 'wrong' with your opinion, it represents the 'look the other way'
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The social-bit in BPS takes personal & emotional work. It means looking at your experience and the experience of others in society and seeing how the system works to privilege some and discriminate against others.
It's intersectional.
It's complex.
It's hard.
It's your job.
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As we finish a month of assessments for the spinal MSK physio module over on the physiotherapy bachelors in Nijmegen, i got to thinking...what are my top tips for early career physios?
1. Read widely
2. Find a supervisor
3. Take a stance
What are Ur top tips?
Comment below⬇️
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The therapeutic rehabitation relationship isn't owned by physiotherapy.
However, physio is also a wide and varied role with bags of space for change, innovation and social justice.
U can radically rethink what your physio looks like and create something that works for you.
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Absolutely packed room for the talk on Diagnostic Uncertainty across life span with
@MelanieNoel
@meuldersann
and
@LCHeathcote
and their colleagues. An absolute powerhouse of women leading the way for change in how we understand pain.
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Anyone else getting sick of the pissing-contest that is physio at the moment?
How about
#challenge
Post-one-description-of-how-you-coached-someone-to-do-something-that-was-important-but-they-thought-theyd-never-do-it---a-day-challenge
#dontbeaPTdickchallenge
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If your list of clinical inspiration is mostly white straight men..
You have a problem.
You have a problem of bias and if you are promoting that on twitter, then your bias is unchecked.
Checking your biases is about self observation and recognising the unhelpful patterns.
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Thank you 4 ur acknowledgement.
Privilege is intersectional, like discrimination.
I can only speak to the discrimination i feel as a woman, whilst knowing that as a white woman im often afforded more privilege than women of colour & LGBTQ women. Feminism must be intersectional.
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Just so you know....I passed my final level of dutch!!!
@BIGregister
&
@KNGF_Fysio
...I'm coming! I have jumped through your hoops. I have spent 3 years and thousands of euros learning Dutch. I cant wait to join my colleagues and peers here and be part of my professional network
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Want to come and talk ACT with me? Already using ACT and looking for some peer support?
I’m hosting a FREE peer support session for using ACT in your physical health practice.
Dec 22nd (Tuesday)
at
15.00 CET (14.00 London)
Register:
See you there!
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Every year around this time, I put on Frank Sinatra and let the grief in. I never know which day it will be, but suddenly I find myself putting on Fly Me To The Moon and there it is.
Losing a parent is not just losing one person. You lose the way your family loved together.
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It's not burnout.
It's Work Related Stress.
Place the responsibility where it belongs.
Employers need to nurture healthy and flexible working environments with trusted and open chains of communication with employees to make necessary and reasonable adjustments.
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What a great idea! Never heard of the 'reverse advent Calendar' before!
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Whats hard about this? The explicit comments are not the hardest bit, they are hard and felt. But the worst? The likes on the comments, mostly by men at this point. But these R the silent microaggressions towards women, and across intersections. They make you feel more exposed.
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In May 2020 Prof mick Thacker will be in beautiful Weesp, near Amsterdam for a TWO DAY exploration of the science and philosophy of pain. This is a rare opportunity to spend quality time with Mick and an small group of curious international clinicians!
👇
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Parents of 4 year olds...are any of you exercising regularly?
If yes, how are you doing it???
I get to the end of the night I'm f*cked, watching crap telly and eating biscuits.
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Pain care IS social justice work...for those that need reminding.
If you haven't looked up:
- Colonialism
- Post-colonial capitalism
- Systemic and intersectional discrimination
- First nations and indigenous health models
- socialist care models
Then you aren't doing it right
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The devisiveness of the manual therapy discussion is not fun, or drama. It's actually harming people with pain by promoting a binary and aggressive culture amongst therapists.
If you're in there "for the comments" you are making a commitment to being on the wrong side of this.
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Hearing clinicians reflect on being more comfortable with the uncertainty of clinical work, more able to let the patient take the lead, more confident in their autonomy, more able to hold boundaries and explore new ways to navigate flexibly within a rigid system
I just love it.
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A heard of baby dinosaurs....i can't see anything else now! thought you'd like this
@dibbygibby
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What if, as clinicians, we were trained/guided to be inspired by people living with pain?
How would this change our transition into profession-hood?
How would this change our clinical behaviour, judgements and emotion?
#thoughtexperiment
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Join now and enjoy the comfort of being well-supported in your practice.
#physiotherapy
#physicaltherapy
#rehab
#physiotherapist
#pt
#occupationaltherapist
#chiro
#athletictraining
#psychology
#psychologist
#therapy
#psychotherapy
#healthcare
#doctor
#medicine
#nurse
#medical
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Do we train people to deliver physiotherapy or do we educate people to become physiotherapists?
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Today has been a hide-in-the-toilet-from-the-kids-and-cry kind of day.
Sometimes, parenting is like that.
Tomorrow will be better.
Love to parents and care-givers out there who are having a similar day!
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I did not know I could choose to only see tweets from people I follow!
This is a revelation!
No more misogynist, conservative physio crap.
If you're seeing this tweet and you don't follow me, you're on your FYP not your following feed. Switch tabs and have a nicer day.
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Excited to share with you that you can now explore The Problem of Pain with Prof Mick Thacker.
Register:
We have moved to an online platform & it will be a hybrid of recorded lectures, reading & extended discussions with
@dibbygibby
Runs thru Sept/Oct
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Covid testing a 3yr old and 5yr old at home is fucking horrendous.
This is how our Friday started.
Now to get on with writing courses, prepping podcasts, seeing patients and building a bunkbed.
The cracks are definitely starting to show.
Be kind to each other.
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On Aug 14th i sent an email to
@thecsp
requesting support following the
@BJSM_BMJ
discussion on the gender gap in research and the way i was treated by some colleagues.
I am still waiting for that support on 31st august.
@KMiddletonCSP
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Why I came out as bisexual in 2021.
On national coming out day in 2021 I publically announced that I am bisexual and that I love myself.
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This was a wonderful thing to be a part of and its exciting to see it released out into the world!
Something very special, a guest post from Julian Kiverstein,
@laurarathbone
and
@dibbygibby
"Why therapists need a philosophy of pain". A real privilege to have the opportunity to publish this one.
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Hi all, this week I am joined by Rachel Hayden and
@JghPhysio
to discuss the barriers to care faced by trans people in our societies. Rachel is in transition learning about her gender, and Jack is an LGBTQ-rights activist and Physio.
Please join us for this open FB live 🏳️🌈💜
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I urge all clinicians to please follow the work and feeds of:
@ProfTriciaRose
@sandylocks
@LisaVanHoosePT
@youseelogic
@gitaramdharry
@JenSetchell
@DrDana_physio
@niko_physio
@IntegraTherapy
@filipmaricpt
@Manni_O
@OngwenMartin
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Fell off my skateboard.
Who needs abduction and external rotation anyway?
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Info gathering:
Women...teaching courses for AHPs/physios related to the experience of pain preferred, but not essential! Trying to compile a list.
@BJSM_BMJ
@JOSPT
@ekstokes
@clare_ardern
@adiemusfree
@SandyHiltonPT
@SanDiegoSummit
@youseelogic
@cspbame
@KMiddletonCSP
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It's
#Worldotday2020
🎉
A huge massive shout out to OT friends and colleagues for all the work you do.
OTs, let me know who you are and who to follow so I can add more names to my list of "OTs to follow"!
I want to break out of my physio twitter bubble!
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6 years
About 350,000 in losses
A whole heap of discriminative experiences
Institutional and beurocratic error over and over
But
Today
I got on the health register in the Netherlands.
This has been absolutely awful and an insight into the fight to practice as an immigrant
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@Retlouping
It's not about age, it's about attitude and mindset.
I've met some very young dinosaurs ....
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New work book to accompany my ACT course is currently being written! Metaphors broken down. Relational Frame Theory introduced and references...sooo many references!
Are u interested in learning the processes of ACT & what it really means to ur practice?
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Rehab and therapy is one of the most wonderful and creative places to work in healthcare.
This isn't about what is or isn't physio.
This about dancing.
And joy.
And health.
And supporting.
And thriving.
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For your twitter-pleasure... a snapshot of my cycle into beautiful Amsterdam this morning
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Happy to say we are out of isolation. 9 whole days and we are feeling much better.
Still home and resting, limiting contact. But we are out!
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The way high income countries across Europe and the 🌍 have responded to the need of Ukrainians shows just how much we could be doing for people in places like Aghanistan, Palestine, Yeman, Syria, Ethiopia...
This moment shows both the best of us & the worst of us.
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Hey guys,could you retweet please? All the money raised will go to the Alzheimer's Society
@alzheimerssoc
in memory of my dad.
@PhysioPainAssoc
@noigroup
@noigroupuk
@jilly_bond
@head_like_egg
@ranilillanjum
@RogerKerry1
@SanDiegoSummit
@lance_mccracken
@SandyHiltonPT
@jowi12
Lunchtime Pain Toolkit Webinar with Physiotherapist Laura Rathbone.
Acceptance Commitment Therapy (ACT) & and how does it fit in with pain management?
@laurarathbone
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I think words & semantics matter
Twitter is where clinicians patients & researchers all collide over big topics w just 280 characters
We're not going to solve the problems of healthcare here, but we could create massive divides in an industry that so desperately needs unity
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Brutal. This applies to all allied health professionals in non-essential roles. Fear is not a business plan. Stay classy...maybe dont link your treatments to preventing or treating COVID19.
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Apologise when it's appropriate.
Not just because the status quo feels rattled.
Today.
I make no apology.
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ACT isnt what we add to our MSK practice, its a process-based therapy or approach within which our practice sits.
Our MSK practice fits inside the ACT framework, not thenother way round.
Learn ACT with me:
1
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34
Super excited to be returning to
@UniofNottingham
for their physio programme to teach part of the pain module in November!
Thanks to
@RogerKerry1
for inviting me again, 3rd year in a row and finally in-person! A whole day of learning together, I can't wait!
3
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Over 7000 views on our facebook live chat last night!!
Amazing!
Psychologically informed therapy is a huge area and we're really excited to have Bronnie join us at Le Pub Home Brew.
"Stop focusing on pain!"
What does that look like in the clinic?
5
9
35
Shouted at a stranger in dutch in a bakery today for not wearing a mask.
The pandemic is getting to me.
On the other hand, my Dutch is getting better!
4
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Pre-recored lectures….just me looking at my powerpoint slide and laughing at my own crap jokes.
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