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Roadblocks To Care

Monday, 12 March 2007 19:00

There seems to be a growing aversion to the medical system in recent times. Why are people so hesitant and apprehensive about accessing medical care for anything other than chronic or life-threatening conditions? I certainly see it regularly when interacting with active people. Why is this so?

I am not sure I have that answer completely - but let me propose a few potential reasons.

Just like any other enterprise, there needs to be a value added benefit to going to a clinician for care. The "customer experience" starts from the moment they contact the office. You're on hold waiting for the next customer service representative. A frustrating start, for sure. Let's say you get lucky - and don't have to wait to schedule an appointment. Is the provider of your choice on your insurance plan? Or will this be an (oftentimes exhorbitant and inflated) out-of-pocket expense? Now I have to balance the potential cost-to-benefit ratio of the experience.


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Newton's First Law

Thursday, 08 March 2007 17:55

Isaac Newton - physicist, mathematician, and arguably the greatest scientist the world has known. If you've taken high school science, you've been exposed to the ways of Newton. And if you look back to yesteryear, and revisit those golden memories of pendulums, bunsen burners, and trajectories, you're sure to unearth a thought or two on Newton's Laws of Motion.

Math and science got me through high school. Though I love the process of writing now, in those days writing was something to be done only because it had to be done. It was about writing book reports, or comparing and contrasting protagonists in Shakespeare's plays. No wonder I didn't enjoy putting pen to paper! Math and science - my bread and butter. My meal ticket - or so I thought. At one time, I was going to become a mechanical engineer ... which evolved into an automotive designer ... which then turned into physical therapist (and yes, there are some common threads throughout - best left to another digression here!). But suffice it to say, I was comfortable with Newton's ideas - back in the day.

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The Tarnished Ivory Tower

Monday, 05 March 2007 19:00

The Ivory Tower of Academia. If you've been involved with the educational system in any way, shape, or form, you've at least seen it off in the distance. Perhaps you've occupied it's courtyard, or maybe even resided inside it's walls. 

The Ivory Tower - is tarnished.

Last time I looked, academia and education were about teaching and learning. There is plenty of good research literature to indicate that adults learn primarily by interaction, by doing, by being actively involved in their own learning process. In effect, it is much the same way that children learn most effectively. As Bob Pike would say, adults are just babies with big bodies.


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It's Time ...

Friday, 02 March 2007 19:00

... to take a look around us. Be honest. What do you see?

Do you see a "peaches and cream" existence?

Or do you see the current "state of the union" in all it's glory?

Two phrases harken out to me these days ...

"If it ain't broke, don't fix it" ... and "If you do what you've done, you'll get what you've gotten". Oh yes, and let's add the Santayana favorite - "Those who cannot learn from history are doomed to repeat it".

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McKenzie And Systemic Mechanical Diagnosis

Tuesday, 27 February 2007 19:00

This week marks the 13th anniversary of my first McKenzie course. I would bet that your first thought would be "why remember something so seemingly trivial - it was just a course"! But in our lives, we remember moments in time that shaped us and our perspective on the world. That four days in February 1994 was one such weekend.

What made it so? In the span of four days I was presented with a large volume of research - that contradicted much of what I'd been taught in school. This was, at first, unsettling - but the "scientist" in me decided that you can't simply discount the literature and that if it was all about "being a better PT" then I better sit down and do some homework to understand how all these issues fit together. It pushed my "comfort zone" ... and started me down a path that changed not only my career but my personal life perspective as well. 

 

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Sunshine On My Mind

Sunday, 25 February 2007 15:55

Sunshine. It never ceases to amaze me.

There is an inherent beauty and power to the sun and it's shining prominence in our galaxy. Sure, there is the perspective of the awesome energy produced by the center of our universe. Yes, it fuels the growth of the flora and fauna of the earth. But there is something so much more elemental about it.

Sunshine. A glimmer of it in the wintertime - and we smile with it's radiant warmth upon us. Having spent many years living in Canada before moving to Texas, I truly understand why "Seasonal Affective Disorder" exists. A long hard winter without the sun can leave you without energy and depressed. It takes but a moment in the sun, a brief fleeting moment of sunshine, to get us to relax, to let the stresses of our days ease away ... to smile. A hard day will always be better with the sun shining down upon us. The world suddenly becomes a better place ...

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Payment For Performance

Tuesday, 20 February 2007 19:00
Within the past few weeks, I've found myself reflecting upon the health "care" system as we know it now. Having been within the physical therapy profession for almost two decades, I've seen trends come and go, and I have watched some things remain (curiously) stagnant. Buzzwords are here and gone, and the cost of health care is skyrocketing nonetheless.

So here's an idea I was pondering recently. It has to do with the payment of services in the medical and healthcare realm. My idea may at first seem unorthodox - and I am certain it will make a lot of people angry - very angry.

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Allan Besselink, PT, DPT, Dip.MDTAllan Besselink, PT, DPT, Dip.MDT has a unique voice in the world of sport, education, and health care, one that has been defined by his experiences as physiotherapist, mentor, McKenzie practitioner, innovator, author, educator, coach, patient, and athlete. Read more about Allan, contact him, get updates via email, or connect with him on Twitter, Facebook, and LinkedIn.

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