Just walking around my hospital and found that just to the right of the main entrance there is clear evidence of ashtray devices being removed from the wall. These devices were there to stop smokers littering and at first I thought that this was some NHS next step in the war on smokers, perhaps like stations they had banned smoking outside as well?
A large sign answered my internal debate “please do not smoke here as it is affecting the critically ill patients” Yes that’s right they have placed intensive care along the wall by the entrance, the open windows and extractor fans are drawing the smoke into the ward! See, perhaps smoking isn’t really bad for you? Or perhaps this is a hidden drive to reduce NHS costs by killing off the patients?
Physioterrorist Ben was on form today, always a pleasure to entertain the team. We looked at the results of the splint on righty and it has actually increased supination to 40 degrees, passive pronation remains good so I need to work on active movement which means shorter duration with splint on. I explained the ‘spanner’ technique for lefty and got a shocked and disturbed look, it took me a while to assure Ben that it was Debs idea and not mine though. Manual work on lefty was interesting and used liberal doses of my patented ‘no it doesn’t hurt’ technique. I managed to persuade a grown man to deploy his full power into twisting the wrist, to the point he was straining his shoulder, did it hurt? What do you think?
Its always entertaining when your physio asks if ‘it always makes that crunch/crack when you twist like that?’ What can you say? ‘oh yes’ which translates to ‘no that’s new, cool’. Remember every new noise is a new skill developed by increasing movement therefore good. Some PC measuring put lefty down to -90 and +70 against a normal -90/+90, cue pats on back and incredulous looks. I was warned repeatedly to rest lefty for the rest of the day and to return on Monday if its still hurting, hands up if you think that’s likely, exactly… Like most things in the world medical it is important that you listen to only the pieces of advice that suit you, this is not being ignorant its simply tuning the generic advice to suit you.
Ben must be getting wise to me because as I was booking an appointment he snuck up on me and reminded me to rest lefty before proffering his hand to shake, he quickly changed to left hand because ‘ sorry forgot the splint’, nice try but you’ll need to get up earlier to catch me buddy!