29 October 2014
That’s how it seems with NICE guidelines. If your hospital appointment or treatment is outside of the recommended waiting time and you dare to complain the official line is “well they are only guidelines”.
On the other hand if you request a procedure or test that is out of the ordinary you are liable to be told that what you want doesn’t have NICE approval.
So when I read that NICE approve osteopathy for low back pain, forgive me for yawning and thinking “so what” before turning the page.
Note: [NICE stands for The National Institute for Health and Care Excellence. It is an independent organisation and was set up by the Government in 1999. NICE decides which drugs and treatments are available on the NHS]
Link to old NICE post http://www.billferguson.co.uk/nhs_osteopathy_and_acupuncture.html
22 October 2014
“This is the Institute of Osteopathy”, said the voice on the phone. Expecting the worst I was instantly cautious.
“Do you remember the survey you filled in a few weeks ago?” Um, yes I vaguely remembered; trying desperately to remember what I had written (and wasn’t it supposed to be anonymous).
“Do you remember the box you ticked at the end, to enter the draw?” Yes, I always tick the box.
“Congratulations, you have won an iPad mini!”
I was astonished. That last time I won a prize draw I was four years old; (it was a compendium of games from Will, Wag and the Ducklings, do they still appear in People’s Friend magazine?).
Fast forward two weeks and today I was delighted to have a visit from Maurice Cheng and Nik Watson bearing gifts. As well as the iPad there was a bottle of champagne, both gratefully received. After coffee, a brief chat and a few photos they were off to their next destination while, excitement over, I went back to work.
Cheers, and I am looking forward to the next survey.
Bill Ferguson, Osteopath, with Maurice Cheng, Chief Executive, The Institute of Osteopathy
29 August 2014
Knee problems keep surgeons busy. Around 80,000 knee operations are carried out by the NHS in the UK every year and a lot of them are triggered by overuse and repetitive movements. If you hurt your knee playing sport you can probably afford time off for recovery but if your livelihood depends on being able to kneel you are in trouble. Electricians, plumbers, decorators and carpet fitters probably spent more time kneeling than standing some days. The obvious risk is kneeling on something hard and sharp, a fragment of concrete or metal or an uneven surface with raised edges. The less obvious risk is prolonged pressure which can interfere with blood circulation and can cause bursitis; a painful inflammation that accounts for 20% of the compensation claims in knee overuse injuries.
Here is photo of a knee with a prepatellar bursitis caused by kneeling on a rough surface. This condition used to be called “housemaids knee”
As an osteopath I see quite a few "dodgy knees". Once the damage is done I can help reduce the pain but I can’t restore your knee once arthritis has permanently changed its shape. My advice is to protect your knees by using good quality knee pads while you are working.
Be wary of foam based products which can deform fairly quickly; I prefer something like "Redbacks" whose knee pads are designed to spring back into shape every time they are deformed and will give better protection
4 July 2013
I was squirming a bit during the interview. “What do you do?”
Me “I’m an osteopath”
“What do you treat?”
Me “all sorts of things”
“Can you be more specific?”
Then we moved on to easier subjects. Some history and context, and my views on continual training. And then there was a photo of me working. It had to look right, nothing scary or taken from a strange angle and it mustn’t look posed.
Give me a bad back or a neck and shoulder problem any day of the week, this interviewing stuff is hard work and well outside my comfort zone, but we got there in the end. Here is the final article that appeared in the business section of the Kentish Express today. What do think of it?
Osteopath in Tenterden
Tel: 01580 762754
Kentish Express: Business News July 2013
28 January 2013
It seems to me that every day is a national awareness day for one thing or another. It was only when I discovered this website www.national-awareness-days.com that I realised the scale of the problem. Here is the list for February, and there may be more:
- Acupuncture Awareness Week
- Bramley Apple Week
- British Yorkshire Pudding Day
- CC Awareness Month
- Children Of Alcoholics Week
- Day For Change
- Eating Disorders Awareness Week
- Fairtrade Fortnight
- Go Green Week
- Gold Heart Day
- International Mother Language Day
- Marriage Week
- National Chip Week
- National Doodle Day
- National Heart Month
- National Nest Box Week
- National Wear Red Day
- Rare Disease Day
- Raynauds Awareness Month
- Safer Internet Day
- Student Volunteering Week
- Think About Sex Day
- Tinnitus Awareness Week
- University Mental Health and Wellbeing Day
- Work Your Proper Hours Day
- World Cancer Day
- World Thinking Day
- World Wetlands Day
Surely by having so many awareness campaigns the effect is diluted to be almost negligible. Does anyone take these things seriously any more? Even when I used to see national osteopathy week mentioned I had to stifle the urge to yawn, although a few years ago something happened that made me take a bit more notice: a colleague wrote a rather personal and explicit letter to the lady in his life that ended with the line “I want you NOW”. Then he accidentally hit “reply to all” and emailed it to everyone on the mailbase. Shortly afterwards he sent an apology to everyone expressing his regret and embarrassment at what had happened. Only one person replied, to say that he assumed NOW was an acronym for National Osteopathy Week.
So please excuse me if you see a little smile whenever National Osteopathy Week is mentioned.
14 January 2013
I was chatting to a patient this morning and we gradually realised how similar our work patterns are. He is a plumber and his clients tend to fall into three discrete groups: emergencies, upgrades and maintenance. His maintenance clients tend to be those with boilers that need a clean and a once over every year. Mine are the individuals who like to keep their bodies flexible and feeling comfortable and they come along for a "loosen up" every three to eight weeks (it varies a lot). His upgrades are the clients who decide to have a new kitchen or bathroom because the old one is tired, or dysfunctional or no longer to their taste. My "upgrades" tend to be the patients who have come to realise that they creak and ache and are seizing up. Typically they get a shock when an old easy activity suddenly hurts, like turning to look right at a junction when driving. Or discovering that you don’t turn your head any more, you turn your whole body. And then we both have the emergencies. Sometimes they are due to lack of maintenance but other times things just happen. Sport, gardening and falling, twisting, lifting injuries are responsible for most of my emergencies. Most plumbing emergencies are when things stop working; like central heating systems. The only difference I suppose is that you can replace your entire plumbing system if necessary. Unfortunately you only get one body.
13 October 2012
This is not just for osteopaths. I am posting it here because it could be useful to many people, especially the ones who ask me about Twitter. Once you get past the “why bother with it?” question (it’s like networking). And “what is it?” (It’s whatever you want it to be). The next question tends to be “how do I get started?” That is what this post is about.
First you will need an account. Go to www.twitter.com and set one up. Your twitter name will have an @ sign in front of it and will be unique to you. Unless you have an unusual name you will probably have to be inventive until you find a name you like. Then write your profile. This is what the world will see and should give some idea of your interests: don’t worry about getting it right first time you can always go back and edit it any time.
Next step is to find some people to “follow”. I recommend you start by following a few key personalities in your profession; every business has its gurus and opinion leaders. Use a google search on a few names to find their twitter addresses, and then follow the ones that appeal. Once you get comfortable with using Twitter you might like to see who these gurus follow. Some of them will interest you and you can follow them too (or instead). Often your gurus will re-tweet things that other people have shared, this can be good or bad depending how prolific and relevant the re-tweets are to you. If you need it there is an option to turn off re-tweets from individuals while still getting their original tweets.
Are you ready for your first tweet? Imagine you are in a room full of strangers, you are unlikely to shout “hello everybody” unless you are mildly psychotic. More likely you will listen in to some snippets of conversation until you find something of interest then maybe smile or comment and ease in gently. You can listen (it’s called “lurking”) for as long as you want. There is no pressure to tweet straight away; you will know when the time is right.
There are several ways to use Twitter. Some people use it to advertise their product or business; this can become boring if you are not careful. Imagine if you kept bumping into somebody socially and their sole topic of conversation was their business. Treat Twitter like a networking event. Use your profile description to describe what you do and let your tweets be interesting and engaging, just as if you were having a conversation in a crowded room. Some people like to share their day to day trivia on Twitter. I find this a huge turn-off. I don’t care what you had for breakfast or what time you went to bed or how you are feeling today. Unless you are witty and entertaining, then I might make an exception. Many tweets that are boring and trivial to me might be fascinating to someone else; use your discretion; follow and unfollow until you get the right mix.
I use Twitter mostly to get information so I follow people who post links to things and talk about subjects that might interest me. You can see from my profile what I am interested in and I assume that anyone who follows me shares at least one interest so my tweets tend to be for those followers.
Another way to get information, especially for breaking news or current events is to follow hashtags. A hashtag gathers all the tweets that mention a keyword in one place. For example #Tenterden will show you every tweet that mentions the word Tenterden (providing the sender puts the hashtag in front of the word. For example the tweet “its sunny in #Tenterden today” would be picked up if you searched for #Tenterden. But the tweet “its sunny in Tenterden today” would not be shown. If you want your tweet to be found easily by topic, use a hashtag. But be careful: too many hashtags make you appear desperate for attention.
I hope this brief introduction helps. You can follow me if you want to @billferguson www.twitter.com/billferguson
20 September 2012
Contrary to previous findings, new research finds no link between chronic fatigue syndrome and the viruses XMRV (xenotropic murine leukemia virus-related virus) and pMLV (polytropic murine leukemia virus). “Earlier research that reported patients with chronic fatigue syndrome carried these two viruses was wrong”, said Ian Lipkin of Columbia University. “There is still no evidence for an infectious cause behind chronic fatigue syndrome. These results refute any correlation between these agents and disease.”
So it’s back to the drawing board. Read the article here “Viruses not to blame for chronic fatigue syndrome after all” http://esciencenews.com/articles/2012/09/18/viruses.not.blame.chronic.fatigue.syndrome.after.all
13 July 2012
After 11 years working together I hate to say this but it is – “Bye Bye BUPA”. Here is a link to a fuller explanation of the changes that BUPA are imposing in their new contract www.save-osteopathy-on-bupa.org and here is my open letter:
To: ALL BUPA INSURED PATIENTS
BUPA are currently in the process of changing the way they provide for patients consulting many types of healthcare professionals, including OSTEOPATHS.
In the future you, the patient (and policy holder), will no longer be able to see the Osteopath of your choice unless that Osteopath has signed up to the new BUPA OSTEOPATHS NETWORK CONTRACT which includes restrictive terms and conditions, onerous administration/paperwork and capped fees. BUPA are looking to pay osteopaths the same fee country wide, and patients will not be allowed the option of paying to top up any shortfall in session fees.
I find the terms and conditions and fee structure of the proposed new contract untenable and regretfully find myself forced to resign as a BUPA provider UNLESS the proposed contract and fee structure is radically changed. This is only likely to happen if patients and policyholders complain strongly to BUPA.
If you are concerned, as I am, by these plans please complain to BUPA by one or ALL of the following means:
1. Write to:
Dr Natalie-Jane MacDonald
BUPA Health & Wellbeing UK
2. Email: email@example.com
3. Phone: 0845 609 0111
If you have a corporate BUPA policy please highlight these issues and complain to your HR manager (other Private Medical Insurance Companies operate a much fairer and better quality system).
9 June 2012
I made it into print last week "Osteopath Bill Ferguson carries out some acupuncture treatment for the Wealden Business Group"
Kentish Express article: Osteopath eases the pains of business