Latest / The STA Clinician Podcast / Ep233 ‘Navigating Injury: Physical & Psychological Support’ with Dan Metcalfe, Nicola Hunt, Dr Katherine Dawson
Transcript
- 0:00You're listening to the Sports Therapy Association podcast, putting evidence
- 0:04back into soft tissue therapy.
- 0:07Music.
- 0:16And we are live. Welcome everyone to episode 233 of the Sports Therapy Association podcast.
- 0:22My name is Matt Phillips, creator of runchatlive.com. And as always,
- 0:25this episode is being recorded at eight o'clock on the Sports Therapy Association
- 0:29YouTube channel although tonight is as advertised on a Wednesday rather than
- 0:33the normal Tuesday but next week and for the foreseen future we'll be back on Tuesdays.
- 0:38This episode is part three of this month's focus on working
- 0:40with athletes with disabilities and it's entitled dealing with injury physical
- 0:45and mental support and very shortly I shall be bringing up my special guest
- 0:49Dan Willsdown Metcalfe who was left paralyzed from the waist down after motorcycle
- 0:53accident in 2014 and has since achieved three scuba diving world records and
- 0:57is currently preparing for the next ones.
- 0:59With Dan will be Nicola Hunt, Specialist in Neurological Vestibular and Respiratory
- 1:03Physiotherapy and Owner of PhysioCare Rehab, and also Dr.
- 1:07Catherine Dawson, Consultant Clinical Neuropsychologist and Director of Sphere Rehab.
- 1:13But first, a huge thank you to my guests last week in episode 232 of the podcast
- 1:20entitled Invictus Games, Resilience and Cameradery.
- 1:23I was joined by Sam May and Gemma Barnes, both Team UK athletes recently returned
- 1:29from Invictus Games 2025.
- 1:31And with them, the wonderful sports therapist, Carla Spickerstaff and massage
- 1:35therapist, Jenny Lane, both of whom have experience of working in the Invictus Games.
- 1:39As always, if you missed that episode, it's available on YouTube if you watch
- 1:43the video and all popular podcast apps.
- 1:47And if you'd like to join us for the recording of part four it's
- 1:50going to be next tuesday march 25th at
- 1:53eight o'clock and i will be joined once again by carla
- 1:56and jenny as they will be accompanying rich potter and
- 1:59rich davis both armed forces veterans and single below leg amputees who set
- 2:04world records at the end of last year on their limitless expedition conquering
- 2:08the himalayas as the first ever amputees to achieve the half and full length
- 2:12of the snowman trek in bhutan So if you are free next Tuesday,
- 2:17then I really encourage you to come along and ask questions live to our guests.
- 2:22Right, that's everything there for you. We're going to crack on with tonight's
- 2:25episode now. As always, if you have joined us live, do please feel free to ask questions.
- 2:29My guests have got permission to stop me in my tracks and just direct me to
- 2:33any important questions you've got there.
- 2:34So do take advantage if you have joined us live on YouTube or Facebook to jump
- 2:37in with questions and write them in the comments and I'll bring up on the screen.
- 2:40So we will now start episode 233 dealing with injury physical and mental support
- 2:47with special guests Dan Willsdown-Metcalf Nicola Hunt and Dr Catherine Dawson.
- 2:53Music.
- 3:04Evening everybody. I will introduce you in person.
- 3:09I'll say hi in person just so the people listening to the podcast get used to your own tones.
- 3:14So first of all, no particular order, Dr. Catherine Dawson, thank you very much
- 3:18for joining us. Hello, thank you for having me.
- 3:22Nicholas Hunt, Nicholas, where'd that come from? Nicholas Hunt,
- 3:25thank you very much for joining us.
- 3:26Hi Matt, great to be here. Welcome back as well, thank you for joining us again,
- 3:30your second or third appearance even on the podcast. I appreciate that.
- 3:34And Dan Wilsdown-Metcalf, thanks so much for joining us.
- 3:37Hi, Mark. Thanks for having me on. Dan will be altogether far easier for you
- 3:41to identify for obvious reasons in the podcast. But there we go.
- 3:43Right. So I really appreciate you all giving us your time. Thank you so much.
- 3:47Part three of this series.
- 3:51I guess really to get straight into it, we should allow
- 3:54our listeners to have a little introduction to
- 3:57you Dan about your experiences and how
- 4:00you're here talking about the topic tonight I know it's tricky
- 4:03it's not exactly an elevator pitch for 60 seconds but yeah talk us through where
- 4:07you've come from where you are today I'm just here because you asked me and
- 4:10Nicola asked me really but yeah so obviously Wheels Dan is the is the name being
- 4:15in a wheelchair it's kind of like
- 4:16what I am I'm paralyzed T8 paraplegic complete I do a lot of sports I have
- 4:23on a lot of sports and i've now finally found my
- 4:25track towards the end which is scuba diving i'm
- 4:29a disabled scuba dive instructor with two different
- 4:32organizations and also three-time guinness world record holder in scuba diving
- 4:36that's me as quickly as possible that was actually pretty impressive um i've
- 4:40seen your cv and list so you're very humble there yeah so and you were here
- 4:45with the part one where you were with our other guests and you've come back
- 4:49which was a good sign as well,
- 4:51but you're joined this time by Dr Catherine Dawson and Nicola Hunt who have
- 4:53both worked with you in the past so maybe same question to you maybe if we start
- 4:57with you Dr Catherine Dawson what
- 4:58what is it you do what's your field of expertise and how did you meet Dan?
- 5:02Yes so I'm a neuropsychologist so I work with people who've
- 5:06had quite brain injuries or spinal cord injuries in the community settings mainly
- 5:12although some hospital settings as well and Dan and I met in February 2019 and
- 5:19we completed some therapy until about November 2020.
- 5:25And our work was, Dan was a very interesting client,
- 5:32in terms of his initial challenges about accepting help, I think,
- 5:39if that's probably fair, Dan.
- 5:41Real independent work.
- 5:44And I think that it's a double-edged sword because it gets you really far in
- 5:48life because you're so resilient and have such a lot of grit.
- 5:51But I think sometimes it's difficult to kind of know what you need and express
- 5:55that and sort of reach out and accept help.
- 5:57So, yeah, it was a really, really positive therapeutic experience once we'd
- 6:04kind of got over those initials. She's trying to say hard work.
- 6:08We also have a treat, right, at times, to be fair. But in a good way, in a good way.
- 6:14I'm making a list of these adjectives, Dan. We'll go through the little bit. It's great.
- 6:18But I think I should point out just on the timeline, because Dan,
- 6:21you kind of glossed over a little bit.
- 6:23Take us through, because it was 2019 you first met.
- 6:26So that was after the 600-mile charity bike ride with the injury.
- 6:31So you met him with those injuries not far after.
- 6:33So just remind us then, Dan, what that was about. Because I can understand why
- 6:37you were interesting when you first met Dr. Catherine Dawson.
- 6:41I mean, that's a nice word for her. you were probably just yeah i can think
- 6:44of other words yeah yeah a little bit unhappy so the
- 6:47the main crash put me in the wheelchair was 2014 so
- 6:51that was the most white crash paralyzed just on
- 6:54the road that was i had no real other injuries
- 6:57apart from being completely paralyzed and the rips
- 7:00smashed the pieces in that one so yeah that was
- 7:03that kind of just a physical problem and i could get over that one then
- 7:06i went in sports started racing hand cycles and
- 7:10did lots for the sports along the way got relatively good
- 7:12in hand cycling was picked up by team gb being
- 7:16tested for the olympics as well along with
- 7:19a few others came to fifth in the uk in hand
- 7:22cycling and obviously a 600 mile charity bike
- 7:25ride the type of blesmer 14 miles
- 7:29before the finish car decided to crash into the back of me
- 7:32going up a hill extremely slowly and he
- 7:34was going a little bit too fast and so crashing into the back of me
- 7:37gave me compression of c4 in the neck and obviously giving a good old whack
- 7:41on the head as well which was quite a bit of a mess for the ambulance crew and
- 7:47police to work out this this push fire called mangled up underneath the front
- 7:51end of a car and they thought i was actually a cyclist at the time until i told
- 7:54them i was already paralyzed.
- 7:58So they started that out in the end and then i went downhill with basically ptsd of the two,
- 8:06crashes being very similar to each other both being high speed noises big
- 8:10crashes from behind and i just turned into an absolute ass
- 8:13basically towards myself and maybe i'm
- 8:15happy with other people as well and obviously did a lot of work with both kathryn
- 8:20and nikola kathryn the biggest thing that came out of it was actually enabling
- 8:24me to speak about things and admit i did try to take my own life and admit that
- 8:30things got back yeah it got really dark you know but i couldn't tell people that before.
- 8:34It was a case of put it in a box, drop, kick it underneath the bed,
- 8:38not like I'm kicking it, but push it underneath the bed.
- 8:40And when it comes out, it's a nasty weekend, but you know.
- 8:44I'm now able to talk about things a bit better so prior
- 8:48to the 600 mile charity bike ride
- 8:51being hit in that things were kind of obviously you
- 8:54were coping with the paralysis but things were going pretty good in the sense
- 8:58of you're up for the olympics you're training you'd found hand cycling you'd
- 9:02already had massive success at i think across a range of different sports in
- 9:06fact you had to give up was it shooting or something which you're yeah so the
- 9:10team gb took me on me and another lad called Vinod,
- 9:14they took us on for shooting at Stoke Mandeville.
- 9:17We did tryouts there and I got through everything on that.
- 9:20But the problem was I couldn't do hand cycling and do shooting.
- 9:24It was one or the other because they're two both demanding on time and they
- 9:29two really contradict each other with the sport.
- 9:33So obviously hand cycling is fast, aggressive.
- 9:36You are fast twitch muscles. You've got to be really quick at what you're doing.
- 9:39Whereas shooting needs to be a lot more relaxed, a lot more calm and chilled out.
- 9:42And they just didn't mix together so i just had to
- 9:45decide one of them and i picked the wrong ones take me to
- 9:47the olympics so that was a bit of a bummer but you know
- 9:50if i went with a shooting i'd have gone because i wouldn't got crashed into so
- 9:54yes the the 600 mile charity bike
- 9:57ride crash that was a big one because i was i was going somewhere you know that
- 10:01knockdown of the first crash and all that problems getting used to it get finding
- 10:05a place to be having a purpose in life and then you see that happens so yeah
- 10:11it does knock you back a bit it is what it is you know.
- 10:17Happens get on with it pick something else well that's
- 10:20exactly we'll get to that later on you did and and i think i've
- 10:22read i've read you diving literally saved your life you
- 10:25found diving and that was like which we'll which we'll get into but i'm
- 10:28interested in in maybe stopping at this point here
- 10:31with the crash where nicola hunt when did you meet dams
- 10:34around this time or so yes i met Dan around
- 10:37the same time so around February 2019 after the
- 10:41second accident and again I was brought in
- 10:44as a result of this the head impact Dan had
- 10:46some issues with dizziness and further issues
- 10:50with his balance on top of the sort of
- 10:53the initial sort of injury issues and
- 10:57also because of the C4 compression I
- 11:00think before I got involved you were with another physio first
- 11:03but you transferred over didn't you and we had a few conversations about how
- 11:09it was presenting how it was limiting you and you know you were you'd had a
- 11:14lot to deal with you know you were doing so so well with your hand cycling and
- 11:19you were very much dig deep.
- 11:22Put up with the pain and I'm going to carry on and I'm going to still be a hang
- 11:26cyclist, which led to some interesting conversations.
- 11:31That's really good. Interesting again. But, but I think, you know.
- 11:34And I think that that's the, you know, that was my role is to sort of explain
- 11:39to you what the risks were and then support you to try and do what you wanted.
- 11:46And I think probably the turning point was, was it the Tour de Vail ride that you did?
- 11:52Um so you know you were very focused
- 11:55on wanting to return to hand cycling which was
- 11:59really really challenging because there was a lot of muscle
- 12:01wasting on that side where you've got
- 12:04the c4 compression there was a big difference in
- 12:07muscle balance from left to right which meant
- 12:10that you weren't going straight on it you went you didn't
- 12:13have the same power through each side and it was incredibly
- 12:16painful and hard work for you but you
- 12:19weren't going to give in so we you
- 12:22know we supported that journey we got
- 12:25you a cycling coach to get you back on
- 12:28the road because again that was from a trauma point
- 12:31of view quite a big thing to do is to actually
- 12:34get back out on the road on a hand cycle that
- 12:36you had had an accident on well not
- 12:39the same one because that wasn't fit to get out on the road but
- 12:42but you know to to sort of to get back so we got you you know we we had to think
- 12:50outside the box got a cycling coach to accompany you build your confidence up
- 12:54on the road and then he was your sort of support team on the race on the event.
- 13:02So it was brilliant it was great and I think having done it I think that was
- 13:09probably when And you realised that...
- 13:11It was like the meaning of life is, and you went all quiet, Nicola.
- 13:16I was like so caught up then, it went quiet. And that's when you discovered what?
- 13:21Sorry, that's when you cut off. That's when you discovered that there's sort
- 13:23of other sports to explore, because you were already diving at that point.
- 13:28But again, that was another thing that we had to sort of pass the challenge
- 13:32of getting medical clearance to dive again after the head injury.
- 13:37Okay. So I wanted to check.
- 13:41I want to go back to the PTSD because it's something which has been mentioned
- 13:44in the other parts we've done there by the other athletes.
- 13:49I wanted to go into that a little bit. But before then, I wondered whether this
- 13:52decision to have a cycle coach support you, was that difficult for you at first,
- 13:58Dan? was that actually a compromise was that something you ejected initially.
- 14:05Yeah look at nickel and nod it's like
- 14:08yeah it might well have been yeah it was a no that i'm
- 14:11not having anybody with me uh i can do it on my own but actually
- 14:15very quickly realized i was having problems just
- 14:18being in public i couldn't go to wazdas i
- 14:21couldn't go shopping i couldn't do all that sort of stuff because i wanted to
- 14:24set into a rave imaginary match
- 14:27which is all to do with the ptsd side of stuff i
- 14:30couldn't be in restaurants with people walking behind me so i had to be in a
- 14:33restaurant if we ever went out anywhere i had to park myself against a wall
- 14:36that's something behind me so i couldn't get hit from behind and that it doesn't
- 14:41really raise its head much now but it still has them and it's not something
- 14:46i think you'll ever get rid of completely,
- 14:48I don't think you get over PTSD it just stays with you for life you just let's see,
- 14:54but yeah the cycling coach Stuart I'm sure his name is Stuart Andy,
- 15:00Stuart was the other guy so yeah he was really good and he just looked right
- 15:07up next to me as if he was drafting me not what we would do with hand cycles and he's one.
- 15:15We did loads of training and we did the 65 mile
- 15:18I tore the veil which is the biggest one that tore
- 15:21the veil does so we did that and it
- 15:24it was good but the pain was insane and
- 15:27every time I went on the bike it just got worse and worse and worse and then
- 15:31obviously fast forward like five years down the line I realized I know why it's
- 15:36getting worse because I've got hardly any rear delt and I also had torn my shoulders
- 15:41pieces so yeah it was kind of I mean to be fair Nicola did say right at the very beginning,
- 15:46you've damaged your shoulder significantly you need to get it sorted out but
- 15:50none of the medical professionals wanted to do that so it was like,
- 15:54you know I could go from privately and cost me a fortune or wait for the NHS
- 15:58to try and fix it which took five years for them to fix it.
- 16:03How, Nicola, how did you manage to reach that compromise? Dan's kind of alluded
- 16:07to the fact it wasn't an easy, yeah, I'll do that. That's fine. Let's do it.
- 16:10What were some of the, I'm interested in clinicians hearing about these difficult
- 16:13situations, which you're going to have, I mean, anytime you try and,
- 16:16I mean, I work with runners, so tell a runner they should be cutting back or
- 16:19not going for PB every park run.
- 16:21It's kind of a similar situation in the sense that you can say it and they're
- 16:25going to walk out and do it kind of thing.
- 16:27What were some of the techniques or the strategies you use to try
- 16:30and persuade somebody who's so against the idea to actually
- 16:32come around and do it i think it's just a case of
- 16:35working in partnerships you know it's it's not
- 16:38my body it's not my rehab i was a part of your rehab but
- 16:42it was very much dan's rehab you know he's he'd
- 16:45already gained a huge amount of knowledge around sort of you know how his body
- 16:50works it must you know training after your first accident particularly you know
- 16:56so i want you know it's it's making sure you're not coming in as the you know
- 17:00what i'm going to tell you what to do It's very much,
- 17:03let's discuss things, let's talk about the risks.
- 17:07If you're very set on it and you understand the risks, then let's look at how
- 17:13we safety net it so you can go on and do it.
- 17:17I think you are fiercely independent.
- 17:20Me coming in and telling you what you should or shouldn't be doing,
- 17:24it was always a conversation about, well, these are the risks.
- 17:28Do you really think that they're worth doing and
- 17:31sometimes you'd say yes and then we needed to
- 17:34look at how I helped do that as
- 17:37safely as you can and sometimes you did agree with me and you'd say no one of
- 17:42them that springs to mind was the altitude training yeah please do expand so
- 17:50because Dan was struggling to get back to the fitness level that he was before,
- 17:57because of the C4 injury, that you thought it to be a good idea to do altitude training.
- 18:04So use a device that would reduce the amount of oxygen that he was breathing
- 18:07that was then going to increase red blood cell.
- 18:11So you get an advantage fitness-wise, only increasing red blood cells makes the blood stickier.
- 18:17And when you have an inability to move lower part of your body,
- 18:22you then combine that with thicker, stickier blood. It's not looking as a good combination.
- 18:28But again, it was having those conversations like that with you,
- 18:30wasn't it, Dan, as to, you know, well, this is why it's not a good idea.
- 18:34Yeah, and I didn't try it and didn't pass out a couple of times.
- 18:38Oh, good. It's good to know that.
- 18:40Before that conversation, that was the trigger to that conversation. It was, yeah.
- 18:46Well, I mean, I think, again, I just want to set the scene for people listening
- 18:49to the podcast because we've chatted a few times and I've read your story loads.
- 18:52And am I right in thinking that, was it the day after the 600 mile charity bike
- 18:58ride you'd been hit with a car, you decided you still needed to go back and finish it the day after?
- 19:04Yeah, I've kind of got a thing in my head. If I say I'm going to do something,
- 19:07I'll do it, whether it kills me or not.
- 19:09And I said I was going to complete a 600 mile charity bike ride.
- 19:13And in my head, I hadn't completed it unless I completed the full 600 miles.
- 19:18And the sponsorship money that i raised was you
- 19:21know sort of like fake if i hadn't completed the challenge properly
- 19:24so yeah stupidly enough i decided
- 19:27to put in my smash-up hand cycle that
- 19:30was had no rear wheels and half of a frame at the back on
- 19:34a set of rollers in my front room living room and putting
- 19:37sufferfest videos on i thought that was a good idea and
- 19:40to finish the last 14 miles but luckily my
- 19:43daughter sky was in the house and she woke me up three times whilst
- 19:47doing that training and i just popped it off i fell asleep and
- 19:51obviously it's quite clear i passed out the need
- 19:54the time i also refused
- 19:57to go to hospital after the crash because i'm fine there's nothing wrong with
- 20:02me all that bravado which is a little rubbish three days later i actually had
- 20:07to go to hospital because i couldn't take headaches anymore and they absolutely
- 20:11gave me a good telling off to say it politely of what the hell are you doing three days later.
- 20:18Yeah, it came around the wash sort of thing. I was all right.
- 20:22And then I got to meet these two ladies that fixed me.
- 20:25Like I said, this is the case history that a few months later you presented
- 20:28to Catherine and Nicola.
- 20:30Oh, yeah. Just one other thing I
- 20:31should mention passing out in front of my daughter. Yeah, yeah. Just that.
- 20:34And then it all went quiet in the room. And it was like, shut up and take a breath.
- 20:38Can't just be my other appointments for today. Thank you.
- 20:41Yeah. No, no. Amazing. I think I just, I think things like that set the scene.
- 20:44Because one of the things about this is we are obviously exaggerating something
- 20:49that does exist and that is we are dealing with individuals with needs,
- 20:53desires, identities, take their sport away or something and with any individual.
- 20:58Obviously the scale of that identity will change but it's something which as
- 21:01therapists we need to think about when we're thinking we're telling them what
- 21:05to do and then blaming the patient because I mean non-appliance,
- 21:08people not doing their exercises for example is something that I think healthcare
- 21:12practitioners do all the time saying off. They don't do the exercises.
- 21:15How do they think they're going to get better?
- 21:16And it was quite early on in my career. And I realized that if a client or patient
- 21:20of yours goes away and they don't do the exercises you've given them, for example,
- 21:25you have to kind of put the blame on yourself because either that individual
- 21:28didn't quite understand the importance of them, or you gave them something which
- 21:32physically they couldn't actually do because it was too much as a long list
- 21:36or they don't want to join a gym.
- 21:37So the onus is actually on the practitioner to make sure that,
- 21:42As you were saying, Nicola, it's pure coaching, isn't it? It's reaching a decision together.
- 21:47This is something that Joe Turner said, the amazing Joe Turner of Mihab. Joe said.
- 21:53The beauty of her and joanne elphinstone they both said that they're all about
- 21:57looking after therapists okay and and one of the things they said is if you're
- 22:01doing coaching properly,
- 22:02you don't have that pressure of did they do their exercises or
- 22:06not did they do what i told them because you don't tell them to do anything
- 22:08which is so beautiful when they said it because you reach an agreement and then
- 22:12it's all kind of which is how it's supposed to be so that's what resonated with
- 22:16me nick and when you were saying that you reached that decision it was something
- 22:18which you paint together it's really interesting because you know in my clinic-based patients,
- 22:24you know i will go through the exercises in great detail and
- 22:27then they'll say you know well how many times do you want me to do them and it's
- 22:30like well it's not me wanting you to do them how many times do you want to do
- 22:33them they're your exercises so good and not it doesn't come naturally because
- 22:37i don't think i don't know i still get the impression on courses and we're still
- 22:41taught kind of like yeah give them three sets of 10 do this and sit this and
- 22:44that and it's not like that you're not you're not thinking about the individual in front of you.
- 22:49PTSD I wonder if we could spend a bit of time going into that and Dr Catherine
- 22:54Dawson you seem to be the person to ask that question too.
- 22:58Yeah so when we met I think it was it was probably the challenge of disentangling
- 23:02the concussion and those sort of mild head injury symptoms with what you see
- 23:08in PTSD because there's such an overlap between the two.
- 23:12And I think certainly then there was a lot of challenge kind of getting your
- 23:16head around the hidden difficulties associated with what you couldn't see related
- 23:20to kind of changes in your memory and your attention, your emotions anyway,
- 23:24and trying to work out what's related to the head and what's related to the PTSD.
- 23:30And I think ultimately it was probably about us at the time formulating what
- 23:34you wanted to work on first.
- 23:36And I think a lot of actually what came to the surface was around this quite
- 23:40strong self-critic you described.
- 23:42Sort of, you know, that sort of man up, drop, kick it under the bed.
- 23:47Don't want to think about it.
- 23:49And it was almost actually if we can't look at that together and what might
- 23:53be underlying that self-critic,
- 23:55which was the kind of anger and the loss and being
- 23:58able to kind of name it and talk about it with someone then
- 24:02we don't really move forward on on moving the
- 24:04PT at the sort of trauma related symptoms they were being fueled
- 24:07by this very strong self-critic which in
- 24:10some ways is quite protective because I think in some ways it helps
- 24:14you hold on to your identity of you and
- 24:17that is I think you said you know that sense of we have
- 24:20to be really and we have to understand someone's identity connect
- 24:24with their personality to understand how to work with someone because
- 24:27otherwise you can't kind of just prescribe or
- 24:31you know say what to do because that that person's
- 24:34going to be left feeling but they're not really being heard or
- 24:37listened to and I think sometimes it's a case of
- 24:40having sort of planned failure in therapy supported failure
- 24:44if you like because that raises awareness and then
- 24:47I think you only then know what you might do differently next time or how you
- 24:51might tackle something differently next time so I think a huge amount of our
- 24:55work was done on those sort of bigger barriers before we started looking a bit
- 25:00further down the line at the sort of trauma symptoms and your safety behaviours that you had in place.
- 25:07Yeah so in terms of how we
- 25:10managed it I think we went more for kind of
- 25:13what was driving some of these difficulties and fuelling
- 25:16them rather than a sort of classic treatment of
- 25:19PTSD which would have been an exposure therapy would been
- 25:22some processing work that kind of happens much later
- 25:25on so it was yeah I
- 25:28think I think it was done in a way that
- 25:31you almost needed to stabilize understand what
- 25:34was going on for you kind of stabilize your symptoms and then
- 25:38process which was which happened much later and as you say I totally agree I
- 25:43think treatment for trauma takes the heat out of the experience but I think
- 25:48it's integrated into who you are kind of going forwards and you you know that
- 25:53it becomes your part of your identity.
- 25:56How does that resonate with you dad dan obviously it's been
- 25:58a while since you had those conversations but as you say you're still
- 26:01kind of you never get rid of it it's still there but what
- 26:04yeah all the things
- 26:07along the way shape the person that you are you know
- 26:10whether they're success or failures they all shape
- 26:13that person and and i i
- 26:16massively i had this big thing i couldn't talk to
- 26:19therapists i couldn't call katherine my therapist she was
- 26:22my brain pt because i can take the physical thing so
- 26:25i can take the fact that if i broke my body i
- 26:28know how to physically repair it now i'm a level
- 26:31three pt for disability anyway so physically wise i know how to repair myself
- 26:36ish and do things i'm supposed to do it but with katherine it was like well
- 26:41this is with the brain this is in my head i don't understand that and i can't
- 26:44deal with that in a like sort of mental way because i'm a man and i can't go
- 26:49into my emotions and always rubbish.
- 26:52But i had to call my brain pt she said to
- 26:54me that think about your brain as a muscle as a body as your
- 26:57body is we need to train it just like you
- 27:00need to you know build your body back up you need to bring build your brain
- 27:04back up and decode what you've done you know damage wise and all this sort of
- 27:08stuff and it works it did work to be fair i probably didn't do as well as a
- 27:14lot of people did with my reluctance to what I do, the training sort of thing.
- 27:19But what did come out of it is the fact I can talk about stuff.
- 27:22And I think that was the biggest thing that could come out of something like
- 27:25that is instead of just holding it all within myself and getting really in a
- 27:30bit of a mess, I was able to speak about things eventually.
- 27:34It still takes a long time to get stuff out. But admitting that I've done stuff,
- 27:39admitting that I've been in those nasty places is probably one of the biggest things I could do.
- 27:44So, yeah, it's a big thank you for that.
- 27:47Yeah, I think you're right. I think it's not necessarily sort of the outcome, is it?
- 27:51It's the process that you go through in terms of, and I think for us it was
- 27:55just about how do we think together
- 27:57so that you're not on your own trying to work it all out in your head and sort
- 28:00of I'm an audience to that, but how do we think together about what's going
- 28:03on for you and kind of how do you get your needs met sort of in a different way?
- 28:07And I think you did really engage in that process.
- 28:10And there's sort of, it's like anything, you don't, Not many people kind of
- 28:14enter therapy with open arms.
- 28:17There is always a degree of kind of fluctuating engagement and ambivalence because
- 28:23you were arriving at this.
- 28:25It's come from trauma, hasn't it? It's not come from anything, you know, positive.
- 28:29So that is part of therapy, sort of naming that process and working with it.
- 28:34So in that respect, yeah, it fitted with what you needed. Yeah.
- 28:39And I think a lot of what you were doing was safety behaviours.
- 28:42So you kept yourself safe, which made absolute sense. There was a threat.
- 28:46You kept yourself safe. But I think what we started to look at was the unintended
- 28:50consequences of keeping yourself safe.
- 28:53Meant that actually you stayed stuck.
- 28:56And then you got into vicious cycles. And it was more about how do we kind of exit from those.
- 29:00And I think that was a sort of brain training. How do we think differently about it?
- 29:05What behavioural routines can we put in place? And you really engaged with that aspect.
- 29:09Yeah, I can go shopping in Asda's for that, trying to run everybody over that.
- 29:15It's good. It's a tangible goal. It's a smart goal. You can measure that.
- 29:19Nicola, what's your experience or anything you've heard about PTSD?
- 29:23And what would you like to share with that?
- 29:26Yeah, I mean, you know, because I work in the brain injury sphere,
- 29:29I very often work alongside neuropsychologists quite a lot of the time with Catherine.
- 29:33And, you know, it is around being a team all together.
- 29:38And you know with you in the center of it really Dan or the client in the center you know it's about,
- 29:44us adjusting how we work to meet
- 29:47the needs of the person that we're working with you know and everybody has very
- 29:52different responses to that so it was round about sort of you know doing the
- 29:57rehab where you were comfortable so we did a lot of rehab in the home and then
- 30:01you know when you did first get out on the hand cycle we used a track so a car-free environment,
- 30:08which I know you were like oh tracks are easy but it gave you that safety net
- 30:12of you can get back out outside on your hand bike rather than just on the turbo
- 30:16trainer and nothing was going to come behind you because we were the only people
- 30:21there and I wasn't fast enough to catch you up.
- 30:27The it makes me think as well like we entitled this
- 30:30or rather I entitled it dealing with injury physical
- 30:33mental support and then Dr Catherine Dawson sent me
- 30:35an email going could we possibly have that but i was i was stuck to
- 30:38100 characters so i could have but it made perfect sense i mean it
- 30:41was far in fact i might i might try changing after this navigating injury which
- 30:45is brilliant i love the word navigating instead of dealing with it's got so
- 30:48many connotations and it's brilliant and then the importance of physical and
- 30:51psychological support which i get the distinction there but what i wanted to
- 30:55ask about when i'm hearing you talk about ptsd for example,
- 30:59there's quite a healthy popular trait i think in the last five years in health
- 31:03care of should we be separating physical health and mental health.
- 31:07And obviously, as we embrace the biopsychosocial model and things like that,
- 31:10we realize that you can't really divide a person into their mental health and
- 31:13physical health. It's obviously overlaps on many levels.
- 31:16But is this a good example? Is PTSD a good example of where the two do overlap
- 31:20and you need to consider both together in one person?
- 31:24Or should they be separated into different clients and specialities and things?
- 31:29I think you need the expertise coming from different angles.
- 31:33But I think it's really important that everybody works closely together.
- 31:36But I also think that whilst it's important to work closely together,
- 31:41it's important that Dan knew that what he shared with Catherine was safe.
- 31:46That was a safe space. and whereas if there
- 31:49was any sort of headline things I needed to be aware of
- 31:52I would be made aware of them but the
- 31:55sort of the the nitty-gritty of the conversations was
- 31:59a safe space for you to share and I think that's important because there has
- 32:03to be some overlap and there has to be some things that you know not necessarily
- 32:08particularly in your case but with some of other clients the neuropsychologist
- 32:12is sort of fed in that you know well they're concerned about this particular physical task,
- 32:18you know, going to this particular physical environment, and then I can work in it.
- 32:22But I don't, I'm not in on the details of the conversation because that wouldn't
- 32:26be appropriate. It's got to be a safe space. Interesting.
- 32:30Yeah, and I think what I think is really useful is when we're both working with
- 32:36the same person and so potentially there's lots of dizziness that's being reported.
- 32:41I think that aspect that when Nicola works on that has a massive impact psychologically
- 32:47on how someone creates with sort of just navigating in the community.
- 32:52I remember us once working with someone and she just described constantly feeling
- 32:55drunk and obviously then feeling judged by other people. And you think,
- 32:59actually, that comes from a physical difficulty.
- 33:03And if that's treated, that has a massive impact psychologically on how they're coping.
- 33:08So I think that being able to kind of interlink like that and understand,
- 33:12you know, the sort of dual approach and how that sort of feeds off each other is so important. him.
- 33:19And I think also, you know, you're taking your personality into account,
- 33:23you know, because there were things that, you know, we were offering you that
- 33:29another person would have thought was absolutely amazing.
- 33:32One, one being cleaner gate.
- 33:38Cleaner, the cleaner, otherwise known as cleaner gate. Because again,
- 33:42you know, from a physical point of view, when you've got injury and pain,
- 33:45we want to conserve of energy for activities that
- 33:48are meaningful and for you that was
- 33:51very much around sport but you didn't want to let go of
- 33:54any activities so it was sort of
- 33:57we suggested that maybe you had a cleaner to do the deep cleaning of the house
- 34:00so that you had more energy to do the other activities you wanted to do but
- 34:06and you know and as I say there's a lot of people would have gone yes cleaner
- 34:09brilliant but you were like no you know I want to do it all so I think we ended
- 34:16up with a robot What, cleaner?
- 34:17Yeah, Robo Rock. Little hoover that it went round the house.
- 34:21Yeah, because then it was still you doing the cleaning.
- 34:26Yeah, it wasn't somebody cleaning up for me, cleaning up after me.
- 34:32That's so interesting. Yeah, it's really important to sort of individualize
- 34:36it because, as I say, you know, people would have gone, yes,
- 34:38cleaner, can I have more hours?
- 34:40But you were adamant that, you know, you didn't want that sort of input.
- 34:43So it's just about thinking, how do we do it in line with your values and what's important?
- 34:51That's really cool. that's a really nice example of therapeutic alliance and
- 34:54and coaching and reaching something that works for everybody you
- 34:57know you're achieving it but through something that works for the the client
- 35:01or patient very cool that was a massive thing for
- 35:04me with with physical training as well as mental support because if i wasn't
- 35:09training physically training i believe going in the gym or going on the bike
- 35:14or get you know doing whatever physical training i need to do is mental training
- 35:17as well because it puts puts me in a better place but i know lots of people,
- 35:23when you build physical training puts you in a better mind then deal with,
- 35:28met the the mental training if you want to call it the brain pt side of stuff
- 35:33if i was physically tired and physically worked myself i wasn't ready to to
- 35:39engage with catherine ish.
- 35:45Yeah it's interesting hearing you say that i know it makes me think
- 35:48but yeah what what yeah what are your reflections on
- 35:51that when somebody says that i need to go to the gym and knock myself out
- 35:54and do all of this because then i can deal with the mental stuff what what would
- 35:57your comeback to that be either of you i mean
- 36:00i think it regulates people that sort of particularly if
- 36:04you think pre-injury that was how you dealt with
- 36:06stress and i think for a lot of people that's actually a brilliant way of dealing
- 36:09with stress kind of physically regulating so I think that does help and I think
- 36:14that was again made you feel a bit more connected to you made you feel like
- 36:18you had that bit of drive because I think when we talked about talked a lot about compassion.
- 36:25And in terms of countering the
- 36:28self-critic and sort of being kind to yourself and
- 36:31not in a kind of fluffy bunny way because I know when we first spoke
- 36:34about it you were you were not having that yeah and
- 36:38we spoke a lot about like what compassion is and what it
- 36:41isn't and I think I think in
- 36:45terms of you we were trying to look at actually you've
- 36:48got a really strong drive really strong kind of achievement values but how do
- 36:52we soothe your brain and both from a trauma point of view from PTSD point of
- 36:57view because basically your brain's on alert to threat so how do we soothe that
- 37:01brain And I think we talked about different relaxation strategies and you just weren't,
- 37:07you didn't connect to who you
- 37:08were to spend a lot of time. I think you're brought in the breath work.
- 37:12You did buy into breath work to some extent, but I think for you,
- 37:16it was more about physically exercising, regulating.
- 37:19The wood turning was a massive thing for you. It was like your mindfulness, I think, wasn't it?
- 37:24That was so difficult for you to switch off thoughts and feelings,
- 37:28but actually just absorbing yourself in something, which I felt was like active relaxation.
- 37:34So I think that's what we moved more towards, not the sort of classic psychological
- 37:39sort of anxiety management work because you just didn't really buy it but using those sort of active,
- 37:46active strategies to help you switch off and i think that did that was a bit
- 37:50of a turning point i think when you started doing woodturning what was that
- 37:53so what does that involve.
- 37:59What's this woodturning oh so it's oh here we go plug myself so it's on the youtube channel,
- 38:05it's woodturning so what you imagine like your
- 38:07granddad probably used to do it's it's a lathe where you
- 38:10turn wood and we turn bowls or vases or sometimes
- 38:14urns i've turned it in for a few people yeah it's
- 38:17making stuff on a lathe basically wood turning using the gouge
- 38:20to cut wood and it does yes
- 38:23it it's something very similar to actually what diving has
- 38:26now done for me is it takes the brain a
- 38:29hundred percent well i say a hundred percent that we can't
- 38:32accept that can you but it makes you think
- 38:35of all all that you can think at the time and you've
- 38:38got to be switched on you don't know what you're doing if you don't you get
- 38:41smacked in the face by a gouge so it kind of like wakes
- 38:44you up if you don't do what you're supposed to be doing but it does yes
- 38:47you're right it takes all of the concentration all of
- 38:50the time whilst you're doing it and it also takes a very long time to do so
- 38:54yeah i think that that did help a lot very cool and i guess it's not i mean
- 38:59i guess also you you're thinking about energy reserves and things aren't you
- 39:03and energy availability like you said getting the robot in the house the robo clean whatever you.
- 39:08Yeah. I mean, what I thought was if somebody needs to go to the gym the whole
- 39:12time to feel good about it, I get that, but they're also depleting their energy
- 39:15reserves, aren't they? So sometimes it's not the best strategy.
- 39:18You might feel good after it and you've got the endorphin runs,
- 39:21but then you've got like any kind of drug, you've got to come down,
- 39:25haven't you? When the endorphins leave the body.
- 39:26And I don't know whether it works that way, but you can overdo it, can't you?
- 39:30I find for me, like when I do training or when I go diving, it's a physical exertion.
- 39:35When i do that i can actually kind of kind
- 39:38of shut the brain off a bit because i've been so
- 39:41mentally focused at the same time because i'm focused
- 39:44on what i'm doing i'm so mentally focused
- 39:47i'm not just physically drained i'm mentally drained or
- 39:50you know i've tired myself out of it so i can shut off afterwards
- 39:54i do find that then i can sleep so yeah it
- 39:58does help a lot the physical train very interesting
- 40:01let's just let nikki off the hook nikki
- 40:03mansfield said hello hello sorry so late so late to join the
- 40:06other sta webinar a few technical issues and over around settling with
- 40:09you guys right now settle in away nikki that's fine
- 40:12we accept your apology and you can always catch up on the first half on youtube
- 40:16or any popular podcast apps there you go good to see nikki yeah so yeah amazing
- 40:21interesting stuff let's so we mentioned diving we've reached the point now where
- 40:26I don't know if I need to let you off the hook for anything else you mentioned,
- 40:29because, yeah, you decided...
- 40:31Oh, yeah, you mentioned later on you realised what continuing with the bike
- 40:34ride did you had actually...
- 40:38Done some quite severe stuff to your shoulder what we mentioned was it bicep tears it was,
- 40:43what was the extent of the injuries you discovered about five years later wasn't
- 40:46it you had shoulders reconstruction injury wasn't it in 24 yes last year you
- 40:50had that yeah was that a wake-up call for you as well i think you kind of alluded
- 40:54to that already but that was kind of like yeah oh,
- 40:57yeah that was a bit of a yeah kick in the proverbial yeah
- 41:01so being stubborn and carrying on
- 41:04on the bike was probably a very bad idea it was
- 41:07the right idea at the time because that's where i needed to be and that's what
- 41:10i needed to do but the the side
- 41:14effects of it which i was told about gonna told
- 41:17me like this time you you will damage yourself if
- 41:20you carry on doing this and i also i think it's whilst we
- 41:22were working together nicola i said to you i want
- 41:25to go do a london marathon yeah in my day chair not a
- 41:29race chair so doing it in a day chair is very very
- 41:32demanded on your shoulder especially if you're paralyzed
- 41:35at the level i am t8 so i've got no core so i
- 41:37can't use my core to roll forward and push back up again
- 41:40so if i try and lean forward i just
- 41:43fall over and in that pushing it's a lot of hammering on the shoulder a hell
- 41:49of a lot of hammering so of course i decided i was going to do it so i did like
- 41:53four half marathons in my day chair just training up to it carried on training
- 41:57on the bike as well which just was getting worse every time i went on it.
- 42:02It's now not. It's now sat, well, it's actually away in the garage.
- 42:05It's not going to be written again. I had to come to the realisation that there
- 42:08goes the, you know, the Olympic dreams. That's not going to happen.
- 42:12No way was I going to even try and stay with the guys anymore.
- 42:16And so I had to give that up. It was a tough time. It was a really tough mental
- 42:20time to say, oh, I have to give it up.
- 42:24So I did, stopped it. But then I got the calls about the London Marathon.
- 42:29They said, do you want to do it? Do you want to do it? Yeah,
- 42:31I'd love to do it. So I deferred it for four years.
- 42:34And then they said to me, well, actually, you need to do it.
- 42:38If you're going to do it, you can't defer it again.
- 42:40You'll have to give your place up this time. I was like, right, I've got three months.
- 42:44Let's just do it. whatever happens what comes out of it comes out of
- 42:47it i know it's gonna i know it's gonna break me or you
- 42:50know damage my shoulder significantly doing this training and
- 42:53doing the actual marathon but i did it i
- 42:56did it in i think it was four hours 26 i thought
- 42:59it was gonna take like five and a half hours but it just didn't so we
- 43:02did well did really good on it but did significant
- 43:06well just just added to all the problems in the shoulder so
- 43:09i've got a 25 mil tear in my stupid his finatus tore my
- 43:12bicep tendon i've got a bursar on my
- 43:15anterior deltoid underneath it which was
- 43:18nasty the great thing was watching it all on telly was whilst they were doing
- 43:21the work it was brilliant i just sat there watching it he's like lasering all
- 43:25this crap out of my shoulder brilliant and then i've got a photo which actually
- 43:30should have probably sent you if you could put it up on on the screen but i've
- 43:33got a photo of the consultant holding my bicep tendon.
- 43:41Yeah, so I had it all pinned in in the shoulder, but it's a long run for that recovery.
- 43:48I've been working on that for a year now.
- 43:52But then, yeah, I had the operation done, got it all sorted,
- 43:58and then 16 days later, I got sepsis and nearly died.
- 44:02So that's my third time. Yeah.
- 44:06And you say it with such joviality. I love it when you send me these things.
- 44:09It's like, I nearly died again.
- 44:10So there we go, paralyzed fellow with only one arm working. What a fun,
- 44:13exclamation mark. It's like, yeah.
- 44:15Is that an important part of it? Is tumor an important part of it?
- 44:20Is it? Yeah, of course it is. Yeah. Yeah, it's just, I think really it's just
- 44:24a mechanism to just not admit how bad it really is.
- 44:28Just make you either laugh about it or you're going to cry about it.
- 44:31And I've always had that saying that you can go and sit in the corner of a room and you can cry about it.
- 44:36But you've got to come out of that corner at some point and you've got to deal
- 44:38with it no matter what so what's the point in going in that corner in the first
- 44:42place everybody has a bad day.
- 44:44Everybody has bad times you know that's just natural that's all
- 44:47and the more things you've been through like you
- 44:50know myself and the other the other guys and
- 44:53girls that have been on here with you you know we've been we've all been through
- 44:56our own journey and it is all relative to each other you know your worst day
- 45:00for for one person another person would look at it and go what really that's
- 45:05your worst day yeah i've been through all this but actually it's that's their
- 45:09worst day and i could put them in the corner room and make them have a bit of a moment but,
- 45:14you've got to come out of that corner and you've got to deal with what you're faced
- 45:17with if you just can do that sooner rather than
- 45:20later which is i kind of like what everybody
- 45:23said i'm so pig-headed or strong-headed whatever you want to call it it
- 45:26that's what helps me is that i can just go when is what
- 45:29it is i'll just deal with what i've got because you
- 45:32know i got physically broke paralyzed well it's just
- 45:35a case of deal with it then i got smacked in
- 45:38the head and damaged c4 well actually just got
- 45:41to deal with it no one's going to do it no one's going to fix it for you you've
- 45:44got to do it yourself so just get on with it and fix it and then you go and
- 45:49get an operation that's it's just like oh man every time i get somewhere and
- 45:55it just goes downhill again but And we've done some amazing things along the way.
- 46:00So we'll just keep going. Yeah.
- 46:03And I think that's one of the questions that have come in to sort of hear a
- 46:06bit more about your diving.
- 46:07Yeah, Nikki wants to hear about the diving. We've saved the diving.
- 46:10We've been through, yeah, the first... I hope you do do a book one day,
- 46:14Dan. I'll definitely buy it.
- 46:15But yeah, we've been through the first half section of chapters. But yeah, the diving.
- 46:19So we mentioned a little bit the diving, something obviously you moved into.
- 46:22Tell us a bit about the setting the records then. That must have been taking
- 46:26you back towards a place where you think, I'm excelling, I'm the best at what
- 46:29I'm doing now, I must have been a good place. Yeah, that was fun.
- 46:33It came from a really, really simple, as usual with me, it came from a really
- 46:37simple discussion with one of the divers at Stony Cove.
- 46:41Yeah she said well have you ever done a lap of stony coke
- 46:44before and i said it's really difficult to do not many people
- 46:47have done it because it's demanded on
- 46:50gas you might not have enough gas to get all the way around so you have to take
- 46:53more cylinders and all this sort of stuff so it is difficult but
- 46:56between six and eight meters you know it takes you about an hour hour and a
- 46:59half to get all the way around all right great yeah cool so it's really difficult
- 47:04like you might not manage it because i'd be harm swimming because i swim in
- 47:08my house why do people say this to you why do people say you need a teacher
- 47:12saying do not tell me i can't do this.
- 47:16Challenging yeah exactly hold my point yeah yeah
- 47:19well how can i make this difficult
- 47:22and i originally went with right well i'm going
- 47:25to do 10k then i'll do 10 laps of stony cove and then
- 47:28i got told don't be so stupid that's not going to happen so
- 47:32i worked it out and we said well okay we'll go
- 47:35for five laps of stony cove i wanted to do a 5k
- 47:38kinnick school record said we don't accept 5k we
- 47:41start 10 or you can go for a specific thing so actually here's three why don't
- 47:46you do the fastest mile one as able-bodied and one as disabled category and
- 47:52also why don't you do a long resistance so right okay great i can now do three
- 47:58world records in one day that's brilliant,
- 48:01so we started training for it and and like you say
- 48:04it is yeah when you start doing that kind the training it was a year solid snorkeling
- 48:09in a pool just going up and down up and down up and down non-stop doing it's
- 48:13a hybrid breaststroke that i do i can't do the full breaststroke because when
- 48:16you get to the bottom and do that push when you push down i just breach like
- 48:19a whale and if you do that that fails the attempt because you break the surface.
- 48:24So, yeah, I did a full year of just swimming like an idiot up and down the pool.
- 48:29And then we went into Stony Cove training, like two hours, three hours of dive training.
- 48:36And people just were getting blown out of the water left, right and center.
- 48:40They were my buddies at the time. It was only really four people that,
- 48:45towards the end, that could keep up with me in the water.
- 48:49But then we had a bit of it to do with getting school records.
- 48:52And they said, oh, did we not say you need to be GPS tracked?
- 48:57I thought, you can't use a GPS underwater. That doesn't work.
- 49:00So the answer to that is you put an SMB, so a surface marker buoy,
- 49:04strapped to your backside.
- 49:05It's just on a line attached to the back of my wing that I was diving with. And then you tow it.
- 49:12So not only was I swimming with just my hands and webs that we designed.
- 49:17I was towing a surface marker buoy behind me with a Garmin watch, my watch.
- 49:22On top of it you know monitoring me gps wise that's
- 49:25slightly down so all of a sudden everybody
- 49:28could now keep board with me but for the first mile we absolutely smashed
- 49:31it we did i did a mile in one hour 28
- 49:34and this isn't you know open water
- 49:37swimming people are going to look at this and think an hour and 28 to
- 49:40do a mile well that's not hard and if that isn't hard i
- 49:43was absolutely smashing that in the in the pool because
- 49:46i didn't have full dive equipment on i didn't have
- 49:48a dry suit on a wing two cylinders an snd behind me you know but when you start
- 49:53adding all that up it's like telling the bus at the same time so yeah but we
- 49:58did that one so we did that with a swimming band on so able-bodied people can
- 50:01take me on so that's the fastest mile then we did it with the disability category
- 50:05as well so it's two for the price of one basically just cheated,
- 50:09um and then we did the longest distance which was five and a half kilometers um,
- 50:145.2 kilometers a day for five and a half hours in the water swimming around Stony Cove.
- 50:20They're just going around in circles like an idiot. It's great.
- 50:23And I think you'd probably, for people who don't know Stony Cove,
- 50:27just sort of say how wonderful the dive conditions are in there.
- 50:32So Stony can be amazing. Everybody's like, Stony's are on them, don't go Stony.
- 50:37So through three months of the year, through winter, Stony Cove is absolutely beautiful.
- 50:43It's got between 15 and 18 meters visibility
- 50:46lovely crystal clear but it's between
- 50:49four and six degrees so it's very cold for the
- 50:52rest of the year it's horrible it's like it's a
- 50:55bit brown towards the beginning then it goes green because
- 50:58all the algae bloom comes up and it's like diving in pea soup and
- 51:02then it goes a bit brown again towards the end when all the rains come but
- 51:06it's a local training site that we use a lot it's a
- 51:09good sheltered water i can do any training with
- 51:11most students apart from obviously tidal or anything to
- 51:14do with drift diving so it's fantastic for a.
- 51:17Training center and training site but it was incredibly difficult
- 51:21to do one the recording because it
- 51:23has to be filmed the entire time but yeah
- 51:26it was incredibly difficult to do just the dive itself because
- 51:29i had to learn to navigate stony cove and also
- 51:32not go over the six meter shelf because that's
- 51:35a training area they said do not come over that because we
- 51:38can't shut the entire code just for you for a whole day
- 51:41so yeah that was fun what's that
- 51:44say there yeah it's a pitch black hole yes
- 51:47yes you're right you do yeah i can't believe damn netcalf
- 51:51is censoring nikki mansfield well they
- 51:55told me i had to behave myself there is a question above that
- 51:58yeah how long did the longest nikki says how long
- 52:00did the longest time record take long enough for you to need a
- 52:03nitrous mix all on air uh yes so
- 52:07i was diving on multi-mixers so i had nitrox
- 52:10mix 32 for a majority of the dive so that's 32 oxygen for the people that don't
- 52:16know and then i had to do an air break because it was five and a half hours
- 52:20in the water so we did a 21 half half lap which just got rid of all of the cns
- 52:26loading which is several nervous system loading.
- 52:29Then on the last half lap, they
- 52:32gave me a huge, you know, congratulations by giving me a 52% mix of O2.
- 52:39So that's 52% of O2 whilst I'm swimming.
- 52:42It was absolutely brilliant after the first 10 minutes.
- 52:46Because the first 10 minutes, my body just cramped up like hell.
- 52:50Which I didn't think it was going to, none of us thought that would happen.
- 52:52But when you swim with your arms and all of a sudden you can't
- 52:55move your arm because you just cranked up was was actually.
- 52:58Really really difficult to deal with and so stretching whilst
- 53:01trying to stay hovering and through stoney was quite
- 53:04difficult but then all of a sudden all the pain that the
- 53:07four four hours 50 before that would
- 53:10go because i was on 52% ot so
- 53:13i thought yeah let's go and then i went straight past the
- 53:16finish line and they all had to grab hold of me and call me back yeah
- 53:21amazing good times very good it makes
- 53:25me think and i think it's relevant because so far it's one of the biggest
- 53:27things that's come out for me personally of these
- 53:30talks with you guys i'm sure people listening to
- 53:33this are thinking and we mentioned this off time they're thinking wow this is
- 53:36inspirational stuff this is inspirational and i
- 53:39think i think it's a relevant thing for therapists and anybody listening this
- 53:42to take on board yeah because we
- 53:45mentioned with rich potter's on next week and then but yeah i
- 53:48mean somebody's listening to this thinking wow this guy's really inspiring me
- 53:51what is it about that you don't like that word
- 53:54and not just you but it's common amongst i
- 53:57think yeah it is very common amongst all disabled athletes
- 54:01maybe and maybe it's athletes in general to be honest it just gives you the
- 54:04like it and the one of it yeah it just makes me feel really i don't know weird
- 54:10in in time feeling like no because i'm not i'm I'm an athlete that I want to
- 54:17beat, you know, everybody.
- 54:20I had a big stipulation that a part of that world, those world records had to
- 54:24be able-bodied world records because I didn't want to be just put in that disabled category.
- 54:29I wanted to say, well, actually, if you want to come and take me on,
- 54:33tie your legs together and use your hands.
- 54:35Fair enough you'd take me on and now i'll beat you again afterwards because that's
- 54:39what we are and and i think the inspirational bit which is yeah there's that
- 54:45word it's like it means i'm well done you know you're you're you're you're good
- 54:50you're good for other people to look at or you're oh look that poor lad that
- 54:54poor disabled lad he's giving other disabled people you know.
- 54:57Inspiration to go and do something now i'm not i'm just
- 55:00me doing what i want to do i'm doing challenges that i
- 55:03want to take on and i want to i want to attack and which
- 55:06gives me drive and focus for life basically if
- 55:10somebody get inspired because
- 55:14of that that's then that's not because
- 55:16that's not maybe being inspirational that's them taking it
- 55:19and something that they think oh you know what i could do
- 55:22that or i could have a go at that or maybe you
- 55:25know i'd just like to come and just train with him or do that it's
- 55:28not that i'm inspiring them it's like i
- 55:31think matt said it's empowering or just giving
- 55:34someone another idea i i i said
- 55:37to you earlier that once you've heard the word you're
- 55:40inspirational like so many times i just
- 55:43give a fight in that fight because if that
- 55:46vocabulary all the people want to use they're right
- 55:50to tell them they can't so it's kind of like okay do
- 55:53you know what if that that's what you think of it
- 55:55i don't like that words i don't like it in a
- 55:58setting i don't mind saying somebody's saying to me
- 56:01oh you inspired me to do this that doesn't bother me but when somebody says
- 56:04you're inspirational but it gives you that yeah it gives you that weird feeling
- 56:10you're like no i don't like that that's cool i get that it's good i think it's
- 56:14a really good message taken board as well as just like understanding the importance
- 56:17of words which is something you know we've talked about a lot on the podcast yeah.
- 56:22And if you're talking to your patient or client enough, you need to get to know
- 56:26these things exactly where you need to go, rather than just doing orthopedic
- 56:28tests and looking at the book and thinking, this is how I fix you.
- 56:30These are the conversations that you need to have. So yeah, it's good.
- 56:33Thanks for sharing that. Look, we're cracking on. We've already gone past nine.
- 56:36This could have so easily been another hour, but I don't want to keep you all
- 56:41from getting on with your evenings.
- 56:43And just to make sure, you are in the process of setting some more,
- 56:47aren't you? You've got something else lined up?
- 56:49Yes. I've got two more Guinness World Records I want to set.
- 56:53The fastest 10K, which I've just kind of alluded to that, going around Stony Co. 10 times.
- 56:58I won't be doing it in Stony Co. It needs to be built in the sea.
- 57:02So it already exists. Disabled diver owns it.
- 57:06He already owns it. He beat an able-bodied diver by an hour,
- 57:09which was quite impressive.
- 57:12So I'm going to go beat him or do my best to and bring it to the UK,
- 57:16which is not held in the UK.
- 57:17So i want to bring it to the uk and hold it here that's
- 57:21going to be difficult very difficult obviously i
- 57:24needed i've already got a team started for that but i
- 57:27still need people's help the biggest thing
- 57:30we need is financial funding so you know it's one of those things and going
- 57:35in the future and then the second one i want to do is the deepest paralyzed
- 57:41diver this doesn't exist it's not a record that exists at the moment i know
- 57:45of disabled divers that have been down to 80 metres.
- 57:49I want to really splash it sort of thing, as usual.
- 57:53So what I want to do, I set it out originally at 100 metres and then some of
- 57:59the bigger guys in the world said, well, you can get qualified to 100 metres,
- 58:03but why would you do something you can get qualified for? Okay,
- 58:07right, fine. Well, I'll go 120 then.
- 58:09So that's the guide again and they said, well, if you're going to take a risk
- 58:12to go to 120 and you're going to do the maths and the science behind going to
- 58:15120 metres, you might as well go to 150 because it.
- 58:20Physiologically doesn't change that much between 120 and
- 58:23150 meters it's just time on the
- 58:26amount of time it takes to get back up again so it takes me
- 58:29around about 12 minutes something like that to get down there and then
- 58:32take me four and a half hours to get back so yeah
- 58:36but that's what we're going to do we're going to we're
- 58:38going to head there that one is a financial nightmare with
- 58:42and any diver that is listening to this will know
- 58:45a financial nightmare of doing this all on open circuit
- 58:48is trimix so that's not it's oxygen
- 58:51helium nitrogen it's absolutely
- 58:54nightmare a very expensive yes do it on we're not
- 58:57allowed to do it on rebreathers if anybody's thinking about that because guinness
- 59:01world refills don't accept rebreathers at the moment so yes but the big thing
- 59:05is all of my charity all my events have all been built for charity so and they
- 59:10will be done for charity as well the 10k we've already decided will be done
- 59:14for prostate cancer um for lose in.
- 59:19So that's it's tricky isn't it the financing we could do a whole episode on
- 59:24that sadly and I think we've mentioned it before no one's really interested you until you've done it
- 59:27which is like guys it's about the journey please support me during otherwise
- 59:32I can't do it but it's only they only come out of the woodwork when you've done
- 59:34it and you're going to get some views which is a problem isn't it,
- 59:39it really is it i think i said this to you before the bbc wasn't interested
- 59:44until they said i don't know we won't do anything free but we'll do a piece
- 59:48on you if you manage to complete it and that's not the point i don't need the
- 59:52support after the event i needed it before.
- 59:55But we'll say like we're gonna get that netflix special i'm already talking
- 59:59to people oh yeah we'll sort that out he said ironically as if he had any,
- 1:00:04wait at all but anyway brilliant okay look
- 1:00:07running out of time i really don't want to keep you all too long people who
- 1:00:10want to learn more about and indeed support dan if you've
- 1:00:12got any contact or you want to get involved in this then best way
- 1:00:15to contact you dan if people want to get in touch
- 1:00:18with you they'd be facebook instagram that's
- 1:00:23any of that well i think you've got all my links okay
- 1:00:26we'll make sure it goes yeah it's the
- 1:00:29big one that will get me so we've got instagram we'll make sure it
- 1:00:32goes at least but wheels down underscore 1988 and also the youtube channel
- 1:00:35which is just worth going along to regardless of
- 1:00:38having a look at some of the material on there we forgot to mention the fact that
- 1:00:41you were the you know first person will just do tough mudder which is like
- 1:00:44and there's a video of it as well so i mean it's well worth going on to youtube and
- 1:00:47checking that out just to see what we're talking about tonight and there's so
- 1:00:50much more to what we've mentioned i love it wills down versus tough mudder i
- 1:00:53mean it's like that's just cracking so go and check that out and in terms of
- 1:00:58other great empowering stuff that's going on your wife now It must be difficult
- 1:01:02in your household not to get involved in these crazy stunts as well.
- 1:01:05But your wife, Eve, is also involved in the challenge as well.
- 1:01:08Let's put this on the main screen so people can see.
- 1:01:12Eve's fundraiser for spinal research. So how did that come about, Dan?
- 1:01:15How did she decide to... How?
- 1:01:21Yeah, how? It was just a crazy desire, really.
- 1:01:25Yeah, pretty much. She's an incredibly busy lady doing lots of stuff.
- 1:01:32She used to go out walking quite a lot with her dad. And obviously when he passed,
- 1:01:36she can't do that anymore.
- 1:01:37So she wanted to do something for her staff and go walking and do a challenge
- 1:01:42whilst going walking, but also raise money for something really important,
- 1:01:46obviously, sort of the husband that sat next to her, and thought with final research.
- 1:01:50So she's doing an Alpine Trek challenge, which is over three days.
- 1:01:55I think it's through the French Alps. Yeah, absolutely.
- 1:01:59Nuts really thinking about what she's doing is and the
- 1:02:02training obviously i'm training her doing the gym with snc
- 1:02:05training and she's going out doing weekend walks
- 1:02:09she did scarf out pike last weekend with a 10k weighted vest and the 10k rucksack
- 1:02:15on wow so yeah then they did the hardest trek on scarf out pike so they were
- 1:02:20there was something like 12 hours for a kid yeah amazing,
- 1:02:26she's obviously empowered by you definitely um i think it's just to get away from me to be honest.
- 1:02:32Yeah yeah yeah she's picked a great thing to
- 1:02:35make sure you can't mind you having said that i can imagine you
- 1:02:38somehow working your way up there already at the
- 1:02:41top when she gets there how how did you do this anyway yeah
- 1:02:44so people interested in that that'd be great uh check out eve metcalf you
- 1:02:47can on facebook there's a nice page there and you can
- 1:02:50see we'll put the link to the just giving in there but raising money
- 1:02:52doing the alpine experience during 25 to raise money for spinal research we'll
- 1:02:56make sure the link goes into that and maybe who knows maybe he wants to come
- 1:03:01on the show and talk to us about that what it's like that would be a great episode
- 1:03:04living with dan metcalf we'd have to make that a two-hour special but yeah yeah
- 1:03:09yeah definitely that'd be great.
- 1:03:13Make sure we yeah pass on our best wishes to eve that's fantastic really cool,
- 1:03:19right that's it i've kept you all for way too long i'm sorry about that um if
- 1:03:23people want to follow Nicola Hunt, who we haven't heard nearly enough of on
- 1:03:28the show tonight, but that seems all about Dan basically, wasn't it? Let's face it.
- 1:03:31But yeah, Physio Care Rehab Limited on Facebook, look at UpLTD.
- 1:03:35And we've also got yourbrainhealth.io, which is where your courses are run from,
- 1:03:40isn't it, Nicola? You've got a course coming up soon, have you?
- 1:03:43Yes. So there is a concussion course running on Saturday that we still have
- 1:03:46a couple of spaces left on.
- 1:03:48We're happy to offer a 10% discount to any of the Sports Therapy Association
- 1:03:51members. That's in London, the Institute of Exercise, Sport and Health.
- 1:03:57Fantastic. We'll make sure you're still one of our go-to people for concussion.
- 1:04:00I mentioned the other day on the advisory panel for Therapy Expo,
- 1:04:03and now they're going to have to call you because the title of concussion came
- 1:04:06up as a really important area which you need to cover.
- 1:04:08And anybody recommend us a hand up on Zoom? Yep, Nicola Hunt.
- 1:04:12Thank you. Yeah, no, definitely.
- 1:04:14The episodes we've got on here where you're talking about that still get really good comments.
- 1:04:17It's so full of misconceptions and it needs clarity and, yeah,
- 1:04:22people looking after it. Absolutely.
- 1:04:23And I mean, we have, of course, this Saturday, but keep an eye on the website
- 1:04:25because we'll have more of up and coming.
- 1:04:28Amazing. Thank you for that. And Dr. Kathleen Dawson, thank you so much for
- 1:04:31giving up your time as well.
- 1:04:31I'm sorry, maybe in another episode, we could have you again,
- 1:04:34if you'd be gracious enough to come back and have more of your experience.
- 1:04:37But thank you for what you shared tonight.
- 1:04:38And if people want to follow you, then sphere-rehab.co.uk.
- 1:04:44And then you've also got the Sphere Memory and Rehabilitation on YouTube.
- 1:04:48Actually, I did find the YouTube channel. There's some good stuff on there. Check that out.
- 1:04:51Looking forward to an update, but it's good. Some interesting stuff about sleep
- 1:04:54on there, which was a few years ago but still very relevant that was really
- 1:04:56interesting and then you've got the brain recovery zone as well the brainrecoveryzone.com
- 1:05:00what's that what will people find by going there,
- 1:05:03So it's virtual reality-based software to support people who are recovering
- 1:05:08from brain injury and trauma.
- 1:05:10Very interesting. I know somebody, Anna Maria Matsieri, went on a course herself to do with that.
- 1:05:16I can't remember who it was with, but yeah, really up-and-coming technology
- 1:05:19and using virtual reality. Very interesting. That would be a great show.
- 1:05:22I'll talk to you afterwards.
- 1:05:25That'd be amazing. But no, really, thank you so much. And of course,
- 1:05:27man of the moment, a man of the episode, Dan Wills, Dan Metcalf.
- 1:05:31Thank you so much for giving up the time and being so honest and sharing stuff really appreciate it,
- 1:05:35no no no it's no honestly really i feel
- 1:05:38it in here just hearing the openness of you for
- 1:05:41talking with each other you three talking with each other is just
- 1:05:44beautiful i think it's a wonderful opportunity for therapists and anybody indeed
- 1:05:48just to listen and be privy to the conversations and the hurdles and the roller
- 1:05:51coaster rides successes and the eyes and nose and all that so i really appreciate
- 1:05:55your giving up your time and sharing that gary benson here has come in saying
- 1:05:59thank you for your time this evening. Thanks, Gary. Gary founded the STA.
- 1:06:02Thanks for joining us, Gary. Thanks for your questions, Nicky as well,
- 1:06:04and everyone else who's joined us live.
- 1:06:07We will be back next Tuesday if you want to join us for part four.
- 1:06:11It's going to be Tuesday, March 25th, if you're listening before then,
- 1:06:13eight o'clock on YouTube.
- 1:06:15I'll be joined by Rich Potter and Rich Davis, who were here in the opening part
- 1:06:19one and have been on the show before.
- 1:06:21Both Armed Forces veterans and single-billed leg amputees.
- 1:06:23We set world records at the end of last year on their limitless expedition,
- 1:06:27conquering the Himalayas as the first ever amputees to achieve the half and
- 1:06:31full length of the snowman track in Bhutan.
- 1:06:33So with them will be Carla McStaff and Jenny Lane. That'll be concluding our
- 1:06:36four-part series on working with athletes with disabilities.
- 1:06:39So if you'd like to join us live, then that'd be amazing. But as far as tonight
- 1:06:42goes, thank you once again to Dr.
- 1:06:44Catherine Dawson, to Nicola Hunt and to Dan Metcalf-Wheels. Dan,
- 1:06:48thank you so much for your time.
- 1:06:50Thanks very much. Thank you very much. Really appreciate it.
- 1:06:53Right, people, hopefully see some of you next week for the live video recording.
- 1:06:56Until then, as always, take care.
- 1:06:58Music.