Latest / The STA Clinician Podcast / Ep.216: 'The Patient No-One Told You How To Treat' with special guest Alistair Beverley

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Ep.216: 'The Patient No-One Told You How To Treat' with special guest Alistair Beverley · The STA Clinician Podcast

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Music.
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And we're live. Welcome, people, to the Sports Therapy Association podcast, episode 216.
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My name is Matt Phillips, creator of runchatlive.com. And as always,
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this episode has been recorded live on the Sports Therapy Association YouTube
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channel and Facebook page.
0:27
In this episode, entitled The Patient No One Told You How to Treat,
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my special guest is going to be Alistair Beverley, director of ldphysio.com,
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promoting and improving healthcare services for those with learning and lifelong
0:40
physical disabilities.
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Alistair is going to be presenting in the STA Theatre at Therapy Expo this year
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at 2.25pm on day one, which is November the 27th, discussing the skills we as
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soft therapists can take from learning how best to support patients with a learning disability,
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something most of us are certainly not taught in our training,
1:00
despite there being around 1.5 million people in the UK with a learning disability.
1:05
If you have joined just for the live recording then as always feel
1:08
free to place questions and shared experiences in the
1:11
comments we've had a few technical issues the
1:14
last couple of weeks so if the sound goes or anything just put something in
1:16
the comments so that i know but hopefully it will be smooth sailing now with
1:20
my new sponsored by vodafone 500 megabytes broadband connection if you are listening
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to podcasts and if you have any questions you're welcome to find the recording
1:28
on sports therapy association youtube channel and enter your question in the
1:31
comments there we do keep an eye on it we try and keep the conversations going.
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But for now, without further ado, I shall clear the fog out of my throat and
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I shall bring up Alistair Beverley, director of ldphysio.com.
1:47
Hey Alistair, how you doing? Good evening Matt, very well, thanks. Yourself?
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I'm okay, well you're still here. It's better than the last few weeks,
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cameras haven't gone yet, so far it's just heaven.
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We've got people joining us live, for example Cecily Hislop is through the door.
2:00
If you do decide to join us live, podcast listeners then what I can do is bring
2:04
your messages up on the screen so you can share your beautiful face or your
2:07
logo so there's a little bit of networking as well Cecily Hislop says evening
2:10
all good to have you back Matt thank you Cecily I love you very much too and
2:14
Sir Glenn Murphy which as you all know I love just saying that's the caliber of
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listener we have here Sir Glenn Murphy MBE is here as well evening Sir Glenn
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and thanks very much for joining us again,
2:24
And as always, people, if you are new and you're watching from afar,
2:27
you are welcome to ask questions.
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Martina. I love calling him Martina because that's what it looks like when it first comes up.
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But actually, it's not Martina at all. It's Alistair Beverley.
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I believe there's a story that Alistair is going to talk later,
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which involves no clothes in a banister. But we'll talk about that later.
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So Martin is here. I'm so excited to heckle Alistair that I even showered before this.
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So fantastic. The mood had me set. Alistair, anything you want to say to Martin?
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For those of you who don't know contextually martin is like my little brother
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so that that's kind of the relationship thing that we have going on where i'm
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the mature and experienced one and martin is just annoying oh really is that
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the relationship it is when he comes to you with problems he has pretty much
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pretty much yeah just to contextualize our interaction for everybody,
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there we go fantastic right so thank you for joining us everybody who's live
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and like i say if you do want to join us live then and listen to the podcast
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and just head along to the sports Therapy Association YouTube channel or Facebook
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at eight o'clock normally on Tuesday.
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Right Alistair good to see you how are you? I'm very well thank you I'm very
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well I'm not so much enjoying the darker nights all of a sudden but it's you know it is what it is.
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This is true I could get a whole conversation about that I've tried going to
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gym and do running on a treadmill in the evenings but it's just too hot and
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too many people so I'm gonna have to go and take up running outside in the dark
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again which I'm not a big fan of but the reflective gear and the head torch back out.
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Exactly have you seen that yes it's fun it
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looks great but it's just you can't really switch off and relax but anyway we
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digress what is weird is a whole year
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or practically a few days short has passed since we did this which seems ridiculous
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where has that where have those 300 days gone you were a guest with us back
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in november last year it was the day after halloween if i remember rightly episode
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172 which was entitled keeping your hair on what you weren't taught about communication,
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which was the presentation you gave at Therapy Expo last year in the STA Theatre as well.
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You're back again at Therapy Expo this year for people with their pens and papers ready.
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It's going to be 2.25pm on day one, November 27th.
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So there you go, have your lunch and then go to the STA Theatre,
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bring your lunch with you if you want to get there early and listen to the presentation by Alistair,
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which is going to be The Patient No One Told You How to Treat,
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which we're going to delve into and i'm really keen to hear
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about but i guess the most important thing is hopefully
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there's some people listening who don't know about you so i wondered whether
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i know it's so difficult especially for a man of your age as you've mentioned
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compared to martin easy for martin but a man who's got experience and wit and
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and that sort of thing and and wisdom yeah give us a summary of how you and
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why you became the ld physiologist
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so yeah thanks for reminding me what time i'm on i've just written those things
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down actually as well there you go so yeah so
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i'm a specialist a specialist physiotherapist i operate in the private sector
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ex-NHS physiotherapist i've also worked for charities and volunteered at three
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world games for special olympics great britain essentially i ended up falling
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into learning disabilities primarily because at the time when i graduated in 2010 there were no jobs,
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there are around 100 applicants for every physio post and a third of my cohort
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actually didn't even go into the profession they left the profession entirely
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so I happened to find the only job that was available I think I was the only
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person in our cohort of 120 to get a job before we graduated.
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It was it was crazy times back then and I ended up
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just getting the only job that was available which happens to be community learning disabilities now
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what I see with hindsight is that I had
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an older brother who had learning disabilities and so
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almost my entire upbringing the previous
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22 23 years had been leading
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up to that point of me getting a job as a specialist learning disability physio and
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then I was working in NHS for probably about three
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years across my career now I went private to give
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myself more freedom to give myself more flexibility and to
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give myself more voice that i'm
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able to say the things that need to be said i think
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not everything is rosy when it comes to healthcare for
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people with learning and intellectual disabilities in fact things are quite dire
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and we all as
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healthcare professionals need to take a role in being
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better at supporting these kind of patients and that's
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why i am here but speaking to you at the sports therapist association
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because sports therapists soft tissue therapists massage therapists all
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have a role to play and at the very least
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being aware of these issues and able to advocate for people
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with these needs because as you mentioned there
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are 1.5 million of them in the UK and apparently there's
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a study done that looked at people who have a personal connection
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to somebody with a learning disability and find that there are 13 million people
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in the UK who have a personal connection to somebody with a learning disability
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so there's a lot of power there and we just need to know how to harness it in
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order to affect change and this is my little way to go one step better than.
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One clinician at a time to try and make some change that's such a valuable point.
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Because you talk about the people who are living with a disability of some form.
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But yeah, obviously, it's the families and the people who are living with them
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whose lives are affected as well.
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Particularly if there's, like you say, there's treatment which lacks in many departments.
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It was actually 2022 when I met you at Therapy Expo for the first time with
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a presentation entitled Diagnostic Overshadowing, When the Correct Diagnosis Can Kill.
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Maybe can you define diagnostic overshadowing because
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it's something which i hadn't come across the word in i come
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across the phenomenon but not those words and i think it's quite an important
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word to know about it makes you start thinking and realizing what
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the situation is yeah i think so probably diagnostic overshadowing
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is one of the most important parts that i teach about but not many people
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have come across it diagnostic overshadowing is when
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you put down the clinical presentation of somebody to the fact that they have
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a particular characteristic now in the case of my personal and professional
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interest that is a learning disability so somebody turns up in your clinic and
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they are displaying i don't know hand buy-in or new behaviors or certain things.
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Or certain clinical criteria that you
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would normally attribute to something and investigate but because
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they have a learning disability that overrides your thought processes and
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you sort of go well of course they're going to do that they've got a learning disability that's
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what these kind of people do and therefore you don't investigate
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the the pathology in the same way that you
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would do and this isn't just a phenomenon that linked to
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learning disabilities it's something that i believe exists hugely in
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the care of elderly people i think it's hugely prevalent
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in mental health services and i think probably the biggest sector
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of our population is women and we look at women's health and
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the health of females in the population and all the
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times women are almost gas lit into you know it's all in
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your head in your pain there was another study done the other day that
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came out and i can't remember the name of it and they were looking at
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studying women in pain and and how over the
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years women have been told well you know it's a menstrual cycle
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thing or it's menopausal or just you what
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you know you just cast these things off to the diagnostic
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criteria that over overarching a cloud everything
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else that you would see but if you took that aspect away and
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just looked at the clinical presentation you would treat things differently and
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diagnostics are shown is when you don't do that and you miss serious pathology
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or you miss pathology that's treatable and that leads in our case for people
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with learning and intellectual disabilities to nearly half to about 44% in the
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latest figures but last year was half of deaths of people with learning disabilities
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were found to be from preventable healthcare conditions.
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That's so shocking. Such a shocking statistic. And this is again,
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I mean, there's gonna be plenty of times when I say this during the program,
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but people you really should follow.
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If that's blown your mind, which hopefully it has, if you understood it,
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then follow Alistair on social media.
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And there'll be in the notes, obviously links to it. But I would recommend that
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you follow either on Instagram, or even on TikTok, if whatever you tend to look
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at most, without going into why you're on TikTok.
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But if that's your feed and that comes up, then follow Alistair Beverley on that.
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It's always underscore the LD physio underscore. That's where you can find him.
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Because, I mean, you drop, I mean, it's an emotive topic anyway,
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but you drop some serious truth bombs that should make people feel a bit guilty for not knowing.
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But then that's not the answer, is it? There's reasons.
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Why? Where do you place the guilt? Why isn't this more common information?
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Why does everyone know what a Kardashian twin is doing, and yet they don't know
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the sort of things which you're putting out there?
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Yeah, I mean, it's a tricky thing, and it's something I've tried to delve into.
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And I think we have a societal issue in how we look at and – I'm just seeing that comment.
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You've been trolled successfully there. Well, good, Martin.
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I misread it, actually. So never mind. And I think we've got a societal issue
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with where we place value in society.
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And unfortunately, there's been a big thing in the past sort of,
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I don't know, 10, 15 years of looking at you are valuable if you can contribute to society.
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If you are somebody who is financially contributing to the economy and therefore you're,
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People with disabilities are seen as freeload, as scrounged, as in that narrative,
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you know, from, you know, without going too much into politics of,
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you know, trying to reduce social care costs and people are freeloading on the
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economy and they're scrounging off you and I and getting benefits and all this
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malarkey that's led to actually people being not valued.
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Because they don't contribute in those ways.
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And the challenge there is that because we don't see them as valuable,
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we don't even take the time to educate people about these things.
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It's seen as niche and being seen as niche creates a self-fulfilling
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prophecy where three percent of the
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population right now are being almost ignored within healthcare training so
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when we look at it my posts aren't to make any individual feel bad they are
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to highlight the scale of tasks now the things that i'm saying aren't new they're
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publicly available information and if somebody won't put on a conference feedback
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this is all stuff i could just google and i was like yes.
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Yes yes you could but you don't yeah and
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that's why i need to say it i'm happy to be the mouthpiece i'm happy to be the
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person who takes the stick i'm happy to be the person who maybe riles people
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up because that's what's needed we need to be emotive with the thing that we're
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saying because the old way of going oh people learning disabilities are great
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and people are differently abled isn't working we need to tell you that half
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of people are dying they could still be alive,
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i need to tell you the story about how my brother died let's tell you the
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story about how this blind girl went in for cataract surgery and
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then starved to death and inpatient and the hustle and tell
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you about that as a routine elective cataract surgery these things need
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to come out because if they don't the old
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ways of saying how things need to change aren't aren't
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working so we need something new and i might be getting it wrong i might not
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be that catalyst for change but i'm going to try no i think you do a great job
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but this is why i implore people should need to start following you so they
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start making this a common day conversation because it will Some of the things which Alistair shares,
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you will comment on it with somebody else because you feel the need to share
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it with somebody else because you'll be so blown away with some of the stats and things.
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You'll feel you're obliged to share. And that's how quality information gets out there. So, yes.
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I'll say at this point, yeah, it's well worth having a look at Alistair's website.
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I'm going to put a little screenshot up here for people who like the visuals,
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because a lot of people you join us like us, you like those visuals,
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don't you? So go to theldphysio.com.
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You'll see a whole host of information there. But in particular,
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as I've pointed out in the last couple of episodes where Alistair has joined
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us, you will see a blog which is all about Alistair growing up with his older brother, John.
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And it's an incredible mixture of humor and honesty and tragedy and anger.
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But it's something which you should all, I mean,
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I rarely say that everybody should do anything, but I really do believe that everybody should
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read this just take it away with them whoever you are whatever
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you may be suffering or not suffering from it's just eye-opening and
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written so wonderfully so go along to theldphysio.com and
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have a look at that if you haven't already because i don't
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want to sound like over the top but it will change your life some things you read just go
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wow that's made me into a different person and and you'll go to
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sleep and your brain will process it and you'll wake up a better person for it so go
14:45
and have a look at that um if you can please right
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i'm not entirely sure why matt but the most liked blog
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post on it the most read one is the time that
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john set me on fire i'm not entirely sure whether to
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take that as a positive thing or maybe people
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looking for instructions but this is just this this
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you write in such a human way and like you mentioned there's there's saving
15:08
you from bullies there's i mean john suffered from down syndrome wasn't it i
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mean something else i want to point out as well is just to clarify because a
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lot of people understandably won't understand the difficulty between a learning difficulty,
15:22
a mental health issue, or a learning disability. And I think it's quite important too.
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So how would you separate them? How would you define them?
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So it's not helped by the international nature of social media,
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but I shall define it as we do in the UK, which is where I practice primarily.
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And so much as a learning difficulty is something which makes learning harder,
15:48
but is not deficient to warrant the term disability.
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So it isn't, its effects aren't as wide reaching.
15:56
As to affect it to the level that you're classed as disabled.
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So things like dyslexia, dyspraxia, dyscalculia, all are disabling in of themselves,
16:08
but having dyslexia doesn't mean that you don't need support.
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Sorry, having dyslexia doesn't mean that you need help with having a wash and
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brushing your teeth before you go to bed.
16:17
Having dyscalculia doesn't mean that you're unable to drive a car.
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And again, that's not to say that all people with learning disabilities are
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unable to do those things.
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In fact and also people with learning disabilities may also have
16:28
dyslexia dyscalculia but if you just have an adhd dyslexia
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dyscalculia those will be classed as learning difficulties within
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the uk definition a learning disability is something where there
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is a developmental issue that affects how the
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brain functions on a physiological level
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so people with down syndrome an extra copy of either
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chromosome number 21 or you can have a copy of trisomy 17 as well which is called
16:52
mosaics down syndrome which is much rarer form but manifests slightly different
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and also i've trying to vocation but that's i'm getting a bit specific here
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there is something physical that's happened whether that's cerebral palsy whether
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there's some genetically inherited or genetic.
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Mutation like the word mutation disorder and again
17:07
disorder difficult language is difficult it's hard to use when talking about
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disability but so why people suffer from things and people actually live with
17:14
things rather than suffer from i just said that i'm glad you brought that up
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because as i said it i just swallowed a little bit of babysit because i said
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he suffered from down syndrome that's exactly the sort of thing but at least
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i'm thinking it no no that's fair that's fair.
17:26
You know and this isn't a woke conversation is it
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yeah but it's good isn't it to question the words you
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use i think it's really important because the words we use do i know
17:34
one thing for example which you can't stand to
17:38
the extent that it does make me smile is where this
17:41
impression we've got of some people with learning disabilities because
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they're quieter and by themselves we think and maybe they're smiling
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and we stereotype thinking oh they're such angels they're such nice people
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oh angels and i think you said on the website it boils
17:53
my blood but yeah that's that tell me this
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because that's something which i think people will will relate to
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and actually think yeah i do think that i pass somebody down syndrome i look
18:01
and think oh at least they're happy they're so affectionate you know and that
18:05
annoys you doesn't it because what's the issue with that it does because i think
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you know i don't know if we see these things to make ourselves feel better you
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know is it about seeing someone with a disability and then thinking oh well at least
18:17
happening therefore that makes up for all the injustice that they're experiencing
18:20
and that somehow makes us feel better like people with down syndrome get pissed
18:23
off people with down syndrome get annoyed people with down syndrome are dicks
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my older brother was a dick sometimes,
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and i've not used this hashtag a lot but i think the hashtag right to be a dick
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is one that i tried to so i nearly tried to to start off about disabled people
18:38
and there are people with learning disabilities who are our souls there are
18:42
people with physical disabilities who are our souls.
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I could be an arsehole. Martin Christensen frequently is an arsehole.
18:48
We've got, you know, sorry, I'll park on back for the swear words here.
18:51
But it's a very emotive thing because people with learning disabilities are
18:54
just people and they will have
18:56
moments of being dicks and they will have moments of being nice people.
19:00
And then they'll have moments when they're happy. They'll have moments when they're sad.
19:03
Nobody exists in a permanent state of being. And that's just the same.
19:06
And that's what I want to see. What I'm trying to get to with all this,
19:09
with all the blog posts about John, with all the real, is about normalizing disability.
19:13
And about seeing somebody with a disability and just going, okay,
19:18
let's engage and have that confidence to talk to the person rather than going,
19:22
oh, there's a thing, or oh, let's stare, or oh, isn't that a cute thing? It just becomes normal.
19:29
And when we can normalize things, we start to treat people as normal.
19:32
And when we look at that equality and equity of service, then we're able to
19:37
give people the services that they require. We give staff the training.
19:40
And actually then when we normalize it, we start to recognize
19:43
there's benefits to other patients too and that's another reason i'd suggest
19:46
to go on my website or you know if we do any future courses to
19:49
come on them is is because right now
19:52
half of my caseload doesn't even have a learning disability but half
19:56
of my caseload have come to me because they value the skills that i have
19:59
as a specialist working in this area that i can
20:02
apply to the patients that i work with and i've had patients who've
20:04
had horrific experiences with mainstream or various healthcare
20:08
services and they come to me because they value this approach that I have and
20:11
that approach has come from working with people with learning disabilities what
20:14
I'm trying to look at and what my thought last year was about was about trying
20:18
to take skills that I've learned or that exist within my area of practice and
20:23
look at how we can translate those into mainstream services.
20:26
So that's another reason for people to come and listen, because,
20:28
you know, there is stuff that you can get from there that will make you a better
20:32
clinician with non-run, disabled and disabled patients. Definitely.
20:39
Great. Yeah, great advice. And again, we'll move on to the actual talk in a
20:42
second, but I think the way I see it and the way you make me think is whilst
20:48
we are having these stereotypes of people with a learning disability,
20:52
then we're not realizing that they're people as well.
20:55
And that's one of the problems that could cause diagnostic overshadowing because
20:58
we're not thinking oh yeah this person could actually feel lonely or
21:01
pissed off as well or they could be suffering from mental health problems aside
21:04
in fact i think these it shows doesn't it them studies that people who have
21:09
got learning disabilities are more likely to have mental health problems because
21:12
of the way they're treated in that so the last thing they'd be coming through
21:16
a circus door is us to think it's not accepted they're a person and they've
21:20
got the right to be pissed off or be
21:21
dick or whatever and be angry so yeah yeah no
21:24
it is the case yeah you mentioned you know people with learning disabilities
21:27
three times more likely to have experienced mental health issues
21:30
and another another thing not to get too macabre right
21:34
a lot of the work that i do is helping support autistic people as
21:37
well who also have learning disabilities and for the
21:39
first time last year they studied 2022
21:43
data on so there's a thing called the leader project which exists
21:46
to try and study the deaths of people with learning disabilities and how we
21:50
that's how we know that you know 44% of deaths last year were preventable sorry
21:54
44% of deaths in 2022 because that they they do a it's a year like were from
22:00
preventable healthcare conditions that's how we knew through COVID people with
22:03
Down syndrome were eight times more likely to die from Down syndrome.
22:06
They also did it they also included for the first time people with and without
22:09
sorry autistic people with and without learning disabilities I'm thinking of
22:14
mental health issues the number one killer of autistic people in the UK was suicide. Mm-hmm.
22:21
Now, that says a lot about the state of support of mental health services for
22:25
autistic people when that is the number one killer. Pretty horrific.
22:32
Would autism be, I've seen autism described as an example of a learning disability
22:36
rather than because it does affect, but then there's different levels of autism.
22:41
Yeah, the understanding of autism is an involving area of practice.
22:45
And the best people to hear from are autistic people themselves.
22:48
There's some great people.
22:50
Joanna Grace, she runs a company called The Sensory Project that looks at supporting
22:53
people with profound and multiple disabilities.
22:55
But she herself is autistic and she speaks really, really well and has written
23:00
a book about being autistic.
23:02
There's another author, and it was a former academic called Pete Warmbie,
23:06
who's fantastic. He's on Instagram as well.
23:08
You can find him. And he gives a great perspective of what it is like to live
23:12
as an autistic person. And so my work and my view on autism is essentially synthesized
23:18
from what they've said, but also with the patient people I work with, plus academic reading.
23:23
So it's interesting. And autism is not in of itself a learning disability.
23:28
Autism exists on a spectrum. And it's quite funny because you often hear the
23:32
phrase, well, we're all on the spectrum, aren't we?
23:34
And with the increase in exposure of the phrase neurodivergence and social media
23:38
making everybody think that they are neurodivergent or ADHD or something,
23:42
And, you know, there's so many posts like, oh, do you ever blink?
23:45
That's such an autistic thing to do. They're just rubbish posts that are just clickbait.
23:50
What I would say, and I think the reason that people fall foul of this notion
23:53
of we're all on the spectrum is because a lot of the things that autistic people
23:56
experience are things that are relatable to most of us.
24:00
So autism is a different way of perceiving the world and social interactions
24:03
is the best way to describe it.
24:06
But it's characterised quite commonly, but not exclusively, in a desire for
24:10
justice, so just general justice, whether that's the rules or law or just unwritten rules.
24:18
Sometimes a difficulty in experiencing social situations, or a difference in
24:24
experiencing social situations is probably the best phrase.
24:26
An ability to hyper-focus on particular tasks.
24:30
And some people describe that as their autistic superpower, is that I can just
24:34
hyper-focus and shud everything else off.
24:36
Autistic people also experience more higher rates of
24:39
the difficulty with processing sensory information from the world around
24:42
them however the majority of autistic
24:45
people go through their lives and you probably wouldn't know that
24:47
they're autistic primarily because a lot of them
24:50
masks due to social anxiety and risk of being ostracized
24:54
from peer groups but a lot of people have
24:57
relationships houses families jobs and don't
25:00
have any sort of you know learning impairment whatsoever they
25:03
just have that difference in social communication and understanding those
25:06
rules I was going on to the point of why I
25:09
think we're all people think we're all on the spectrum and those differences that people
25:12
autistic people experience we can all relate to I can relate to a want for justice
25:18
in the world or on social media I can sometimes find social situations difficult
25:23
or tiring the difference is that it's about the response that we have to these
25:29
situations is if I see injustice.
25:31
I find it hard and it does, you know, sometimes upsets me.
25:36
But if I have something else that I need to do, I can move on from that.
25:39
And I can almost park those emotions for the period of time that I need to move
25:43
on from and get on with my day.
25:45
A lot of autistic people may see those things and again, not exclusively,
25:48
but a lot of people will really find those things almost incredibly deflating,
25:53
incredibly tiring, super fatiguing. Some people will struggle to leave the house.
25:57
I can go to the doctors and the dentist and i might not like to go
26:00
to the dentist but i can do it as part of my day and i might whinge about it
26:03
but i don't need them to go to bed for the next two
26:06
days because it's taking so much out of me
26:08
to engage with that so i think that's the notion that
26:11
we can also roll on the spectrum and actually there is a
26:14
there is a distinction between an autistic person and an
26:16
autistic person there's a long a long-winded answer
26:20
covering lots of different things there around autism and
26:23
it's microcosm and i may have done some and
26:26
if there's any autistic or neurodive people listening they may be screaming
26:28
at their monitors or headphones right now i appreciate i'm not an autistic person
26:32
so as i said before the best people to listen to are the people i mentioned
26:36
before amazing no great stuff and i'll make sure the links to those people you've
26:41
mentioned go in the show notes so that people can look them up so thank you for that.
26:46
So there's such a i mean all of this is a reason in itself to come and see you
26:52
talk about whatever you like at therapy expo but this year you've chosen a title
26:56
i love the the titles you choose i don't know how long you think about them
26:59
where they just come to you but this year just repeat people have joined us
27:03
a little bit late not kind of picking on anyone imi tester for being late,
27:07
still better here than not here. Good to see you, Amy. Thanks for joining us.
27:10
Then, yeah, we're talking about Therapy Expo this year.
27:13
Alistair Beverley is going to be with us at 2.25 p.m. on day one,
27:17
which is November the 27th, a Wednesday in the STA theatre with a presentation
27:22
called The Patient No One Told You How to Treat.
27:26
We've kind of talked about the message behind that title and it holds a very
27:32
stark truth and very sad truth.
27:34
But what are you hoping that
27:38
people gain from coming to it essentially because it's 25 minutes which is always
27:41
a challenge i appreciate very difficult to write something to last 25 minutes
27:45
and get your message out there but what are you hoping people walk away with
27:47
that's not a slander on the fact that i ran short last year with my talk was
27:51
it if you want a quick talk alistair will be good in five.
28:00
It's it's you know so the talk is is
28:03
essentially because it's a reflection of the fact that we as healthcare
28:06
practitioners and you know my star therapists and
28:09
people that exist in the health and wellness industry we don't get exposure
28:12
to people with learning disabilities i know
28:15
because universities are recruiting me to deliver content on
28:18
learning disabilities and i'm like if that's the bottom of the barrel you know
28:21
then no there's clearly nobody else talking about
28:24
it because if you're coming to me you know got by so
28:28
when we don't get exposure and actually there have
28:30
been studies done on healthcare professionals and how
28:33
much training or support they get around supporting people with
28:36
learning and intellectual disabilities and it is minuscule it may be an hour
28:40
at best in a whole three to five year curriculum and so what I'd like is people
28:45
to come away number one with the confidence that if you see somebody in the
28:50
clinic or in life or in a healthcare situation that you are better able to,
28:57
be confident, do the things that need to be done in order to make that person
29:02
have a positive experience.
29:04
What I'd like you to also take is, as we mentioned before, is some skills from
29:09
that or some tips and tidbits from that that you can then use to apply that
29:14
will be the benefit of all patients that you support.
29:17
And so essentially, you know, we want to improve confidence,
29:20
we want to improve understanding.
29:22
And we also want to start a conversation because, you know, that's why
29:25
I'm here talking today is because you know we need to
29:27
talk about these things because if we don't talk about them
29:30
some people and some of our training doesn't even acknowledge that
29:33
they exist and it creates that self-fulfilling prophecy
29:36
that this is a niche area when actually people with
29:39
disabilities should have the same or do have the same rights to
29:42
access mainstream services as anybody else does and people with disabilities
29:46
that lend disabilities partake in sport they get sports injuries and they require
29:52
rehab from those and they will be coming to sta members for that rehabilitation or physiotherapists.
30:00
And therefore we need you guys to
30:03
be prepared to be able to
30:06
support them and genuinely that starts right
30:08
from the scratch of how do i introduce myself to a person with a learning disability because
30:12
i've had situations i take students on clinical placement as
30:15
part of my training as i mentioned before i also teach badly and
30:19
i've had students where the situation will talk about a session or
30:22
talk about a patient that's upcoming we will make all the plans
30:25
of the subjective of the objective we'll get in front of the
30:28
patient and the student will have a sat beside him the student will go what
30:32
do i say now and i'm like say hello introduce yourself you know try try try
30:37
and create some sort of connection but because we've never come across people
30:41
with disabilities we just don't know how to interact we don't know if it's a
30:44
special way there's so much you know tiptoeing around should i say this shouldn't
30:47
i say this and i'm like more better if you said something.
30:51
Than if you just sit there and do nothing so so confidence i think will be the
30:55
key thing it's a great word and it's and it's so cool to hear because especially
31:00
with our audience who are a lot of hands-on therapists and i think,
31:05
alongside hands-on there is a desire to
31:08
help there's a certain altruism maybe an empathy because you're willing
31:11
to I always kind of say you're willing sometimes to rub a
31:13
very hairy back with oil between your fingers and that's not something everyone
31:16
wants to do especially not getting paid that much but there is
31:19
I think with a lot of manual therapists a natural
31:23
kind of empathy I mean it doesn't mean you can't learn better techniques
31:27
and learn motivation interviewing and stuff but but that
31:30
doesn't mean you're still human and you're kind of limited to a certain
31:33
extent by your life experiences so yeah if someone comes in who you've
31:35
not exposed to before then yeah you are just going
31:38
to go white as a sheet or start stumbling or thinking what do i
31:41
do now treat them as a person just because they can't
31:44
communicate with in the same way doesn't mean they're not going to hear you in the same way
31:46
or so yeah amazing and you're
31:49
definitely the person to do it i'm just going to remind
31:52
people in the who are listening live if you have had any
31:55
experience working with somebody with a learning disability obviously it's going
32:00
to be different they're all individuals there's no kind of one classic tale
32:03
but it'd be interesting to hear if any of you had any experiences what was it
32:06
like the first time did you were you prepared is anything that helped you or
32:10
you wish you'd done afterwards just to keep the conversation going in there.
32:14
Obviously we've got some comments here martin i can't bring up all
32:16
your heckling but we'll have a little pause here to bring something up martin says
32:19
martin christensen says everything ali does
32:22
ends up lasting shorter than he wants some will say it's still
32:25
worth it again we'll have the story about Alistair
32:28
carrying somebody up nude upstairs to put that
32:31
yeah we'll talk about that later on at the end of the show thanks Martin
32:34
for reminding us about that incident speaking of short yes Martin
32:37
I think I think
32:43
back to the point around the the session and I think you know in terms of how
32:48
to communicate with people that's something that I focus quite heavily on and
32:50
one I've got two physio students right now third year physio students from the
32:54
University of Nottingham but it's really interesting reading their reflection
32:57
because there's a lot of stuff that we do every day that we don't necessarily consider,
33:01
and there was a great reflection that talked about how.
33:05
How the student had learned to reduce the power imbalance that exists between therapist and patient,
33:11
and how making themselves more human and being
33:14
receptive to the person's communication style and adapting themselves had
33:18
improved the engagement of that person so much so
33:21
that this person who hadn't been out of their house for a therapy session in six
33:24
months is now planning to come to clinic for next week's
33:26
therapy session so you know you know
33:30
we can talk about we will talk about some of these skills and
33:33
actually having students right now is really informing the talk that
33:36
i'm writing because it's making me consciously aware of
33:38
things that we just do because we just do
33:41
them and to make them more salient points for for you
33:44
guys when we come to therapy expo fantastic yeah i've been following the journey
33:48
of these two people what was their history where did they come from and how
33:51
did they end up with you but it certainly wasn't a bakery i can tell you that
33:54
you have to watch the wheels on bread and tug of war and stuff like that but No, no, no.
34:02
The theory there is that students is a positive correlation between students
34:05
who produce baked goods, home-baked goods, and students who get high marks.
34:10
Now, it can't be for legal reasons, proven causative, but they're just a strong positive correlation.
34:15
So we're out there to help students try and get the best marks they can.
34:18
So, you know, we just suggest that people bring baked goods.
34:20
Today, our university students, University of Nottingham, third year,
34:24
one, Anna, is the England under 20, is lacrosse captain.
34:29
European champions Clang we'll drop that in there and then there's Joe who is,
34:35
his third year and he is an avid,
34:39
Brazilian Jiu Jitsu fighter and recent volleyball volleyball enthusiast as of
34:44
last weekend but considerably weaker than Anna though it seems yeah.
34:49
It's strange isn't it Jiu Jitsu is fine when you're on the floor wearing your
34:53
gi but standing up seems to be a little bit of a letdown well it's quite funny
34:57
I use a boxing or hook and jab pad work a lot with the people I work with because
35:02
everyone has a seemingly desire to punch me in the face.
35:05
So pads are usually quite a good defense mechanism. And they were doing,
35:09
they got the pads on the first time.
35:10
And Anna actually in her first year at uni did a charity boxing match.
35:14
So she did like the training sessions and she started striking the pads and
35:19
we were all just a bit like, oh, what have we got here?
35:22
We just all took a step back. So they're two students who hadn't got any experience
35:26
with learning disability. I'd actually been in to their unit to do lectures last year.
35:31
I was in for two days teaching. And actually when I taught, I took three people
35:36
I work with, or the university paid three people I work with to come in and
35:39
give their own story as part of the day.
35:41
We did half a day with those guys telling their experience with healthcare services.
35:45
And with the idea then that the students also get exposure in interacting with
35:49
a person with a learning disability because we said it's not something that people do.
35:53
And that was kind of the only experience that they got of disability and learning disabilities.
35:57
They are currently halfway through week three of a five-week placement.
36:02
And certainly they're doing all right baked goods wise it's it's 50
36:06
50 you know learning how things go and so
36:09
the idea is hopefully that i mean it's great that the the
36:13
university of nottingham is sending people to you because i guess that means
36:15
they've got an interest they want these students to come back and then feed it
36:18
to the rest of the year and then maybe they'll get changed the syllabus which
36:21
is always a very slow process isn't it but yeah this is a very
36:24
important step to doing that yeah like
36:27
i say uh people if you do want to follow some of these stories and
36:29
they're very much well worth following than instagram reels
36:33
or tiktok let's bring up i should
36:35
also mention i've got like hair standing up on the back of my back
36:38
which is normally when anna maria is cursing me even though she's not in here so
36:41
i should mention as well that you're going to be in the
36:44
hands on hub as well on the second day
36:47
so if people are only coming along to the thursday
36:51
as opposed to wednesday then you can still catch alice
36:54
doing the hands on hub by the st school who will
36:57
be there at 12 10 p.m with a presentation
37:00
silent struggles the impact of sensory processing on
37:03
clinical practice now obviously there's going to be a crossover
37:06
what we talked about but what's that presentation and what are some of the aims
37:10
of that and what people will walk away with i think for people looking first
37:14
this is i should say that i'm not bald i've been victim to some sort of dropping
37:18
on here i do have a full head of hair i think yeah martin was in charge of yeah.
37:26
Twice my picture has been shown on this podcast and twice it's been absolutely
37:31
horrific so thank you for that so yeah sensory processing is our brain's ability
37:37
to interpret sensory data from the world around us.
37:40
And there are many ways in which that can influence somebody's experience of everyday living.
37:47
We all have situations when we are better or worse at dealing with sensory data.
37:52
If you are, for example, the classic thing of being in a car or on public transport,
37:58
and you're trying to find a new address, sometimes it's dark, you might be tired.
38:02
And the classic thing is you turn the radio off to see better and find the address.
38:06
That is us unconsciously filtering out
38:09
superfluous sensory information or if
38:13
you have that situation where the music's just too loud all
38:16
of a sudden you know if it's music you're not in control
38:19
of that music's too loud and and it's really and that
38:22
aggravates us to quite a level where that becomes
38:24
all you can hear about it's like somebody says don't think about
38:27
your own breathing and now everyone's thinking about their own
38:30
breathing breathe in breathe out please continue that
38:33
so we we have
38:36
the ability the majority of us who don't
38:39
struggle with sensitive processing issues to filter out superfluous information
38:42
but there are people for whom for various reasons their brain struggles to filter
38:48
out what is important and what is sent superfluous like for right now people
38:54
listening maybe in a car maybe at home their dog might be asleep there someone
38:58
might be snoring i might hear my computer whirring like it's going to take off.
39:03
But I can filter all that information out because my brain knows that that's
39:06
low level information that doesn't need to be presented to me right now and
39:09
it says I need to focus on Matt's voice and so I can do that.
39:14
But for people with sensory processing difficulties, their brain cannot do that.
39:18
So I talk, well, let's explore about what happens or what can happen when the
39:22
brain struggles with those issues and how it can impact what we can do in clinical
39:25
practice. But more importantly, what we can do to help people who may struggle with those things.
39:31
Fantastic. So, again, it will be very empowering and giving people confidence
39:34
in the tools to make a difference.
39:36
So great. So something a little bit of Alistair on both days on the Wednesday and the Thursday.
39:42
Day right it's 8 42 which means it must be violet time for people who for people who are following,
39:52
you on reels or on tiktok let's
39:55
just bring these up to give people a little visual as well so
39:59
yeah on instagram instagram posts but also the reels it's
40:01
just the way you film it's just amazing it's such it's so
40:04
effective i'm not joking it's true and
40:08
also on instagram so on TikTok as well which is a wonderful platform
40:11
for you and people will be pleased to know not a dancing site
40:14
but it's just such great it's just if
40:17
you have to describe how should TikTok be used to put quality
40:20
information education out there then you are it so what we're
40:24
going to talk about now is a star in fact the star is on one two three four
40:28
five the sixth post in there called Violet who you came across now before we
40:31
bring up a video of Violet um can you in your own words give us a little back
40:37
story to how you and violet got to know each other i was hoodwinked,
40:42
i really was it i still claim that do you yeah yeah.
40:48
I happened to be working working late one day it was a tuesday actually in end
40:53
of may and i came home late my wife and daughter were at home and i came through
40:58
the door and my wife was like good evening darling dinner's on the table now
41:01
you know and and it was the way you know normally She would have said,
41:04
you know, I've cooked dinner.
41:06
You know, it's on there if you want it. And my daughter was like, hello, father. Oh, God.
41:11
And I was like, what's going on?
41:14
And then my wife, Liz, I just call her my name, Liz, had shown me a video of
41:19
this puppy that had been found locally and was being looked after by some volunteers
41:24
who support a veterinary centre where she'd been taken into.
41:28
Of a puppy, a disabled puppy, whose front paw didn't work in the way that they
41:32
should, asking if they can rehome it.
41:35
Now there was lots of excitement and it's not uncommon for me
41:38
to get a video of a dog thrust upon me and
41:41
need to be homing upon any part point
41:44
of the day thanks to social media usually thankfully they're in
41:47
like adelaide or las vegas or something and it's like okay
41:50
obviously this one turned out to be at the vet's it
41:53
was a mile and a half from my house they got like a thousand likes
41:56
on instagram so i was like quite quite confident
41:59
in going okay do you know what if you want to you know
42:02
put an inquiry in and she
42:05
said great i already have and i
42:09
was like oh and all of a sudden we've got this this started to get serious
42:12
and she said oh well do you know what we could really support it and we but
42:15
we've got two labradors right now so we were two dog household they're
42:18
labradors so they're not the smallest dogs in the world and then
42:23
she said then the
42:26
message came back saying yeah i know nobody nobody's nobody's
42:29
inquired nobody's inquired about taking her in can you
42:33
help so then i was like oh oh wait
42:36
this is quite quickly becoming real and then i started to
42:39
think okay you know there's a discussion you know can we help the dog
42:42
i don't know what breed she is you know we
42:44
don't know anything about her breeding or upbringing vet bills all
42:47
these sorts of things it was a real sort of running through
42:50
my head we don't know what you know her parents were
42:53
like what was the temperament usually it's nice to meet the parents of the dog so
42:56
that you can understand a bit more about the dog and where it's come from and
42:59
this dog just been dumped in a box under a hedge beside a flower bed for two.
43:02
Nights and when they found it it had not a lot of fur and no bark left or yap.
43:08
I think it had been dumped quite quite young and so I said look okay in the
43:12
end what we'll do is we can take it in.
43:16
I'm a human physio but i
43:20
think you know doing a bit of reading around we can we
43:22
can maybe help it and see if we can you know keep it for a
43:25
while see if we can offer it some rehab support work alongside
43:28
the vets and you know see how we go so then then they were like let's go and
43:32
see it let's go and see it and i said no no we're not going to take you because
43:35
if i take you two to the vets we'll adopt that dog and every other animal that's
43:39
at the vets i said let me go down because i need to genuinely see whether or
43:43
not we think we can help this dog from a rehab perspective.
43:46
So a quick hasty google on dog
43:49
anatomy helped me to identify like
43:52
you've got no soleus we all know that yeah we're talking about
43:55
the wrists it looks like she's it's her elbows a problem with that it's
43:58
the dog wrists with the problem i was like okay i went down
44:01
to the vet and and then in the car park of the vets did a little video just
44:04
sort of freaking out just going so to me like oh god what what am i doing telling
44:09
the story and then of course i met her and she she poddles up and what somebody
44:14
described on social media as the cutest commando call ever i can't unsee that now,
44:20
and that was it yeah she was she was clearly clearly coming
44:23
home right should we stick the
44:26
video i think that's a good introduction i think now we've we've
44:29
said some words and now i've looked now people who have joined us live um get
44:32
your get your tears and your laughter ready as we join a little montage of the
44:38
journey of violet yeah let's do that now i'll put it in here i'm hoping everyone
44:45
can hear sound if you can't hear sound then let me know in the comments.
44:49
Music.
45:55
Not a dry eye in the house it's such
45:58
magnificent if you listen to the podcast and all you got was quite
46:01
a powerful kind of like anthem song but you need to
46:04
really pause your podcast and go and see that on youtube because
46:07
you don't see the messages coming on the screen so obviously we're
46:10
seeing i think i mean it'd be wonderful if we could meet violet in person but
46:13
obviously that's too late for that to happen now but um
46:16
hang on a minute because i'm she never
46:19
lets me go alone actually she is she's
46:22
here she is in person she is big ears
46:26
and all and you actually know again this
46:29
is just like a fan from creels i'm the biggest fan i
46:33
just you know what breed she is now as well don't you we do so we
46:36
now know that violet is the majority of her is staffy
46:39
but she also has
46:42
a mixture of french bulldog and greyhound hello sorry to wake you up the internet
46:48
is here the power you're an influencer yeah you've got to do your looks so this
46:54
was the dog that had been dumped for at least a couple of days couldn't even
46:58
bark yeah and as we saw in the videos both,
47:02
particularly her left is it was unable to support herself on the on the foot
47:06
on the toes and it was kind of as you say a commando walk which there's so many
47:12
things to take away from this video.
47:15
I mean so many things the the robustness
47:19
in a sense of an animal who can still continue
47:22
i think there's a celebration of the robustness of human body she might
47:25
have been in massive pain but the fact she was still managing to walk like
47:28
that but then yeah you managed to rehab her
47:31
and the messages that are on the screen now i think one of the most important messages
47:34
because we could talk about violet for ages was for people
47:36
who couldn't quite see the words your message was you don't
47:39
have to be an angel to make a difference yeah tell
47:43
us a bit more about that message i mean what you hope to people to pick
47:46
up the message from that video i think i'm a
47:49
believer and this is kind of you know what what my whole work
47:52
is around ld physio is that you know we all you know
47:55
the world is on connections and each
47:59
one of us has the power to do one small good
48:02
thing quite often we are all looking for some
48:06
savior of the world some savior of a certain
48:09
situation we're waiting for that thing and actually
48:12
you can be that thing for yourselves or
48:15
you can be that thing for somebody else we need to almost to an extent stop
48:18
waiting i probably spent the first five years of my career if i'm honest maybe
48:23
first seven years of my career not wanting or not having the confidence to get
48:27
on this ld physio train even though i knew that was the correct train to get
48:31
on and where i needed to go to be able to try and affect change.
48:36
And I've seen and I've had having feedback from individual clinicians who just
48:41
said, you know, I had one patient in today and what I've taken from this reel
48:46
or this post or this tweet has really, really changed my perspective.
48:50
And I did this differently.
48:51
And I think, you know, to that person, you might have made a small change in
48:56
the whole universe, but to that person, you've changed the world.
49:01
So that those small things do have a large effect and whether that's you know
49:06
adopting a little puppy you know has made a small change for a lot of people
49:11
you know she's gained thousands of followers on social media it's transformed
49:15
our lives but more to the point that we've.
49:18
Saved her life for want of a better phrase and that's not to sound like
49:21
oh aren't we great and blow smoke her own bottom but you
49:25
know she's she was we hosted a
49:28
party for the veterinary staff who helped save her and took her in and she
49:31
was a week away from being euthanized when when
49:34
we took her in one week away from it and actually
49:37
to see the value that she's you know given and
49:40
how we saw her and saw the inherent value in her just enabled
49:43
us to make a small change to our daily living habits because each day now it
49:47
is sort of a small change and it's trying to form a life for her and that's
49:51
what i sort of take into my teachings you know people would learn this of that
49:54
is if you can make one small change or two small changes they're going to be
49:58
small things that are small things to you but to other people they mean the
50:01
absolute world so never undervalue.
50:04
And underestimate the the power of
50:07
small changes because even little pebbles thrown
50:09
into big lakes create ripples very cool
50:12
yeah love it and there's again
50:15
we talked a bit off air there's there's so much in that
50:18
journey which people reflect with and i like
50:21
the fact that obviously i mean i've heard you talk before about
50:24
we think our communication skills are great but
50:27
put someone in front of us who doesn't communicate the way we're used to
50:30
and we realize we're i don't know what to do now so when
50:33
you've got like an animal which is just got again is is is someone who's got
50:37
different communications especially if they're scared and then these emotions
50:41
and i guess with violet it was a whole journey as well to to get her trust her
50:45
confidence to give her confidence to do things and try things out and walk differently
50:49
so what was there parallels there or am I just being kind of romantic and trying to?
50:53
No, I think there are. I think there are. In terms of adapting,
50:57
you could see that Violet is just a dog, but Violet is a person who has her
51:00
own thoughts, wants, needs.
51:02
I have two Labradors that I swear are part otter in their breeding because they'd
51:07
rather be subaquatic mammals, maybe like water hippos, I'm not sure, than dogs.
51:13
And Violet absolutely detests all things related to hydrology,
51:19
moisture, apart from drinking it she hates rain hates wet ground hates being
51:26
in water and so she has her own little quotes my other two dogs like to come
51:32
for a snuggle every now and again.
51:34
One of them doesn't really stay on the sofa for very long. She's more happy
51:37
on the floor. But you can see behind me, this is Violet's favorite space.
51:41
She's a head behind you or a head in something, and she is just happy. So she's an individual.
51:47
And in the same way, people, not just people with disabilities,
51:50
but all people are individuals, and therefore people have their own preferences.
51:54
And when it comes to people with learning disability specifically,
51:58
you mentioned we all think we're good at communication, but
52:01
then put it in put you in excuse me
52:05
in a clinical setting with a person who is unable to
52:08
understand what a question is then then
52:11
how are you going to undertake an objective how are you going to do that and
52:15
that's that's kind of those are the challenges that we face every day and there
52:18
isn't a this is how you do answer there's a there's a this is how you approach
52:22
it but knowing and thinking on your feet and adapting yourself to each person
52:26
is part of the skill set that we to develop a specialist learning disability clinicians.
52:30
And hopefully it's part of a skill set that will enhance everybody's clinical
52:34
practice with every patient they work with.
52:37
If they can be more receptive to communication methods that the person uses,
52:40
and whether that is, it's cart back a few weeks, you know, dropping the occasional
52:44
swear word, it might be that. It might not be that.
52:48
It might be that for some people I work with, I have to use symbols and pictures to communicate.
52:54
It might be for some people I work with, with a brain injury, their perception
52:57
of spoken language is worse than their ability to read information
53:00
so for some people i'll back up what i'm saying with written
53:03
down things it might be that i support people who we
53:06
use sign language to back up what we're saying at the same time so we'll
53:09
communicate in ways using things like makaton everybody has
53:13
that individualistic approach and it's our job as
53:16
clinicians to find that and when you can find that everybody has a hook everybody
53:20
has something that helps them to engage and our job is
53:23
to find it excellent yeah so
53:27
there's definitely a crossover and and people could
53:29
learn so much from being put into that challenge of of working
53:33
outside of their norm of experience because people not
53:36
everyone is going to be the same who comes to see you so the
53:39
more you can learn how to deal with the unexpected the better and it
53:41
could well be the clue to getting them sufficient successfully rehab
53:45
rehabbing the whole person and their ecosystem and
53:48
taking into consideration everything around them rather than the old fashion
53:51
way of just thinking i'm going to make this knee move better in a certain way
53:54
because that's symmetrical now and everything's gonna be fine and you're forgetting
53:56
about the person on the end of the knee so amazing right three minutes very
54:03
excited to see you again in about four weeks now so that's gonna be exciting.
54:07
Apart from Therapy Expo, which obviously is coming up, have you got anything
54:10
else exciting coming up or people should know about?
54:12
I mean, nothing that rivals the grandeur that is Therapy Expo. Obviously. Obviously.
54:18
There is some Norwegian boy that after Therapy Expo, he's going to have decided
54:22
to shelter from other British people for a short period of time coming over,
54:27
hoping he keeps his clothes on this time.
54:29
Yes, he has paid homage to you. Actually, he said it seems like a big buffoon
54:33
of an ogre can also do good.
54:35
So I think you've touched him. I think he shed a little tear as he sits there
54:38
in his pants and drinks his beer. That was always rhymes then.
54:42
Gosh, I'm a poet and I know it. I'm going to write that down when I forget this.
54:46
Right. Excellent. Yeah, no, it's been great to have you. And because Martin,
54:49
obviously, Martin was a guest on the podcast two or three weeks ago.
54:53
And again, that was all about very much flexibility and us being able to not
54:59
stick to a stereotype way of health care.
55:01
And why is it a health care? I believe we should all work with a certain way professionally.
55:05
Affectionately and it was a really interesting chat and
55:08
made a lot of people think and contact us and
55:11
we appreciate always contact us if you've got any questions
55:14
or feedback and I think this feeds into it nicely as well you have
55:17
to be a little bit of a chameleon in healthcare because
55:20
you're working with different people in front of you and you've got to know how to
55:22
read and react differently and that's the way to help
55:25
people's health not just by it's not a car it's the
55:28
classic thing isn't it you're not repairing a ford cortina there's
55:31
no kind of manual it's much trickier than
55:34
that and that's what i hope is what makes it fun that's part of the sometimes
55:38
it'll be amazing reward sometimes it'll be really difficult it doesn't get a
55:40
plan but we work with people and sometimes people surprise us like martin for
55:45
example is not sitting there in his pants because he has just shared the fact
55:48
that he says no pants so great thanks and this is the gentleman i'm welcoming into my home.
55:54
Good luck with that yeah yeah fortunately
55:57
we'd like to remind remind people that martin is
56:00
not a representation of every norwegian out there there's very
56:03
much a spectrum sort of spectrums in norway and
56:07
martin is the one end of it and yeah there's plenty
56:10
of yeah but we accept him nevertheless because yes
56:13
we value him value and it was equal opportunities
56:17
blah blah blah blah right people thank you so much
56:20
for joining us if you're listening to the podcast and you'd like to follow i'm
56:23
alistair beverly like i said probably i find the
56:26
best places are instagram or tiktok it's all
56:29
the same username so it's at underscore
56:32
the ld physio underscore you'll
56:36
find there also the website and the website
56:39
i think's got an email on it as well isn't it at the top i think yes there's
56:42
a contact me page yeah there's a contact me page yeah but there's an email
56:45
address on there as well yeah the ld physio at gmail.com and
56:48
why what sort of emails do you encourage people to
56:51
send you ones that involve money yeah oh they give you some money thank you
56:55
there's a lot there's a lot of people who purport to give me money they don't
56:58
actually that's quite disappointing but yeah if anybody's got any questions
57:01
i have a lot of people who get in touch just asking about information resources
57:04
or directing them you know to ways to find more information about these things
57:08
i'm more than happy to try and support people with those.
57:11
And you've talked about courses and things maybe that's something for the future
57:14
or yeah yeah yeah so i've run online courses as well and i have done some in-person
57:18
courses unfortunately my clinical work has skyrocketed late for the better but
57:23
it's left me less time to put on courses but it is something that forms part
57:27
of my repertoire so maybe in the new year i'll get my my butt in get something that's organized.
57:31
That'd be amazing. Right. Well, thank you so much for giving us up your time, Alistair.
57:36
I'm happy to say that it looks like we have been recording and no one's disappeared
57:39
at all, which is amazing.
57:41
Thank you as well, people who joined us live. Thank you for your comments and
57:44
your questions. Cecily, sorry, I didn't read yours out. Let's have Cecily.
57:46
You were in a sandwich of Martin nonsense.
57:48
So I'll read yours out now. When I was managing a charity shop,
57:51
the majority of my volunteers had learning difficulties and disabilities.
57:54
Respect, understanding and encouragement was to me all that was needed to work together.
57:59
Exactly. can we throw these words around like everyone can do it and we're not
58:02
judging people who lack in those departments but it's not you're not necessarily
58:05
born with it you might have come from circumstances where that was just not
58:10
involved in your upbringing so that's where cpd,
58:13
needs to be doesn't it a lot of it is learning how to get these things which
58:16
we think is just a human quality and often it's not not through a fault not
58:20
for because of us so yeah if you got it you got it but yeah respect understanding
58:25
encouragement it's just the end of war isn't it solve the middle east if all
58:29
those three words are actually easy with no problem at all.
58:32
Anyway that's getting a bit deeper political so thank
58:36
you people if you listen to the podcast as always sorry to sound like
58:39
a broken record but do please leave a review and five stars would be nice four
58:43
if you're not quite sure but five would be even better because it just helps
58:46
the good word of our guests get out there no one gets paid for this it's just
58:50
trying to be a conduit for quality information and every single topic we cover
58:54
is obviously quality but this in particular is something which we need to get
58:57
out there for people to talk about.
58:58
So do please leave a review and it will appear high up in Google when people search.
59:03
Next week, if you want to know who's on next week, we will be here.
59:05
But to find out, you'll have to follow UK underscore STA and we will give details of that shortly.
59:11
But as always, it'll be recorded live if you want to join us at eight o'clock
59:13
on Tuesday. In this case, it'll be 29th of November.
59:16
So if you can join us then, then join us, ask questions to the guests and share some experiences.
59:21
Until then, once again, thank you very much Alistair Beverley of theldphysio.com
59:25
thank you thank you Matt and thanks everyone take.
59:29
Music.