Session 22 – ‘Medically Unexplained Symptoms’ with Roger Kerry

Oct 04, 2015
CH Admin

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Session 22 – ‘Medically Unexplained Symptoms’ with Roger Kerry

Despite calls for his retirement following Rob Tyer’s brilliant debut, session 22 brings Jack back to the microphone to interview Roger Kerry on a topic that has long been called for as philosophical debates continue to occasionally delight, often confuse and regularly awe-inspire the users of social media. Medically unexplained symptoms have long been considered mysterious and thorn in the side of traditional evidence based practice. Jack and Roger discuss research methods, the understanding of causation and how therapists might move towards true holism.
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Twitter: @TPMPodcast @RogerKerry1 @Chews_Health

Podcast Timeline:

0:00-1:35 Intro

1:35-3:25  Intro to Roger and Medically Unexplained Symptoms

3:25-5:10  What are MUS?

– Established term

– Demonstrable lack of explanatory pathology

5:10-12:45         What challenges does this present

– EBM issues

– RCTs have limitations

12:45-15:45       Roger being misinterpreted?

– Not anti-EBM, Pro-science!

– Pendulums

15:45-22:00       Causation

– Philosophical underpinning of RCT vs clinical practice

– Multifactorial, context specific, changeable

22:00-27:45       Biopsychosocial model

– Game shifting move forwards

– Lets not relax

– Not holistic, reduces patients down to 3 components

27:45-33:50       How do we get to holistic care?

– Difficult to say right now

– We need to change how we think about evidence

– We need to involve the patient

33:50-41:00       Categorising/stratifying care

– Subgroup n=1

– Person centred care

41:00-45:20       Is Physio well placed to draw all this together?

45:20-47:30       Reluctance to scrutinize own practice

47:30-53:00       Are MUS explained by processing faults?

– Trying to improve function

– Not reinforcing unhelpful beliefs

53:00-1:01:00 Jack’s Case study

– Not why but what and how

1:01:00-1:02:30 Patient centred doesn’t mean pandering to patients

1:02:30-1:05:05 Roger you would make a very good clinician!

1:05:05-1:08:00 Roger’s plugs

1:08:00-1:10:00 Outro

 

 

 

Previous episodes:

Session 1 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 1

Session 2 – Patellofemoral Pain Syndrome with Dr Lee Herrington – Part 2

Session 3 – The Rugby Shoulder with Dr Ian Horsley

Session 4 – Know Pain: Metaphoric Expression with Mike Stewart – Part 1

Session 5 – Know Pain: Metaphoric Expression with Mike Stewart – Part 2

Session 6 – Achilles Tendons with Seth O’Neill

Session 7 – Critical Thinking, Twitter & Manual Therapy Myths with Adam Meakins

Session 8 – Haemodynamics with Alan Taylor

Session 9 – Psychological Interventions in Physiotherapy with Dr Richard Bennett

Session 10 – Exercise Promotion with Ann Gates

Session 11 – Treating Tendons with Seth O’Neill

Session 12 – The big Kinesiology Tape Debate – ‘To KT, or not to KT’ with Paul Coker and Paul Westwood

Session 13 – A Year in Podcasts with The Physio Matters Podcast Team

Session 14 – The Unstable Concept of Core Stability with Ben Smith

Session 15 – Does Work Matter with Heather Watson

Session 16 – Biomechanics and Pain: The Ongoing Dilemma with Greg Lehman

Session 17 – Building & maintaining an award winning MSK service with Paula Deacon

Session 18 – The myth of ‘over-pronation’ with Ian Griffiths

Session 19 – Managing Runners with Matt Phillips and Tom Goom

Session 20 – Shoulder Instability with Jo Gibson

Session 21 – Fathoming Fibromyalgia with Bronnie Thompson