Stephen Batchelor

[Stephen Batchelor @ColPhysio]

@ShoulderGeek1 Thank you so much Jo.

Hope you have a great Christmas 🎄

[Stephen Batchelor @ColPhysio]

@ShoulderGeek1

Hi Jo,

I’m hoping I can pick your brain.

In my last clinic before Christmas (always the way) and I’ve had an unusual shoulder case that I have some concerns about:

🔸35 year male, woke up with R shoulder pain 6 weeks ago with no apparent cause (1 of 4)

[Stephen Batchelor @ColPhysio]

@ShoulderGeek1 Ah of course, thank you!

That fits pretty much spot on.

I’m in an area with spiralling COVID rates. Given that he is immune suppressed is there any value to further investigation at this time?

My inclination is to remotely manage for the moment.

[Stephen Batchelor @ColPhysio]

🔸He is immuno-compromised due to having had his spleen removed following a motorcycle accident 2017, he take antibiotics daily.
🔸(Grandfather has rheumatoid arthritis)

Thinking supra-scapula nerve, but it is the WHY that concerns me.

Any thoughts? (4 of 4)

[Stephen Batchelor @ColPhysio]

externally rotate (in different positions)

🔸He’s well within himself, no night pain, no recent illnesses
🔸Clear medical history except....

(3 of 4)

[Stephen Batchelor @ColPhysio]

@TaylorAlanJ @consultantPT Sometimes I think the concept of high value care gets skewed.

If you’d been an NHS patient and a simple bit of tape helped you sleep you would have been delighted with the service.

If you’d paid to see a practitioner privately you would have thought it well worth the money.

[Stephen Batchelor @ColPhysio]

@TaylorAlanJ @Ross_grant @NathanHutting @RogerKerry1 @TrustmePhysio I had to do a cranial nerve examination via telehealth right at the start of lockdown.

This is what I went for, a compromise in many areas but I was pretty happy with it overall.

[Stephen Batchelor @ColPhysio]

@HannahMorleynhs @AdamMeakins I’ve lost count of the number of times I have requested an x-ray for suspected frozen shoulder.

I do however know exactly the number of times I have had a request accepted......0!

[Stephen Batchelor @ColPhysio]

@Brad_Neal_07 @TaylorAlanJ We are always quite tough on clinicians when we see headlines such as this, but do we really know that these beliefs were caused by clinicians?

[Stephen Batchelor @ColPhysio]

@tomgoom Wait....what? How am I only just finding out about this now?

We’ve only been on lockdown a week and I’ve already lost the fundamentals of seasonal time keeping. 🤦‍♂️

[Stephen Batchelor @ColPhysio]

@GregLehman And that’s why no matter what we say or do, how much we publicise, how much we educate, passively modalities/treatments will always be the thing that that the majority of people seek.

[Stephen Batchelor @ColPhysio]

@tomgoom @theEndurancePT @AdamMeakins @karenlitzyNYC @RogerKerry1 @sweatscience @PhysioNetwork @hjluks @CorKinetic @ThePhysioRooms Emailed my entire patient database asking if anyone needed anything, almost 1000 people. Was nervous that I might get overwhelmed, but figured I would work something out.

What I got was a huge response of patients offering to help. I now have a network of community helpers!

[Stephen Batchelor @ColPhysio]

@DrJN_SportsMed I use Essential Anatomy by 3d4 Medical, you can get it on desktop and as an app for phone/iPad.

My patients love it

[Stephen Batchelor @ColPhysio]

@AdamMeakins I’ve been through a range of emotions and concerns of late. Ultimately, it was a relief to close the clinic doors.

Virus or no virus, I genuinely think online consultations are the future.

I’m actually excited about reinventing my practice.

[Toby Gilbert @DrTobyGilbert]

I am a doctor.
My wife is a doctor.
We have two children.

When calling on authorities to #CloseTheSchools, please consider that, if all schools and childcare shut due to #COVID19, one of us will not be able to work.

[Stephen Batchelor @ColPhysio]

@function2fitnes Benoy it's like we we talking about on your Venn course in January, there are so many issues with injections being performed without a clinical reasoning process.

I’m always concerned about consent here, is the patient making an informed choice? (Often I think not)

[Stephen Batchelor @ColPhysio]

@adamdobson123 @FlippinPain @RogerHilfiker Yes bruising, but is it surprising?

We know from our clinics that if you directly challenge someone’s beliefs often the barriers will come up.

To be successful we have to get the public to buy in to our way of thinking, same as we do in clinic.

[Stephen Batchelor @ColPhysio]

@PracticeWProfit @Chairmanphysio1 @adewagstaff @gerardgreenephy @ActiveNowPhysio @PhysioFirstC @FSB_Voice @simpson_pam @PhysioMACP @MSKReform @thecsp Have to say I agree here, I stumbled across a practice showing some of their QAC statistics that they were promoting on their website.

I couldn’t understand what I was looking at, so I can’t see how members of the public will understand it, or what it will mean to them.

[Stephen Batchelor @ColPhysio]

@PeteOSullivanPT LBP pt recently, multiple sessions, multiple therapists, told SIJ was out.

Anxiety, depression, too scared to 🏃🏻‍♀️

Convinced her to do a 10 minute 🏃🏻‍♀️, she felt good.

Your messages get through to some of us and we pass it on to our patients. Keep up the good work!