Hello Di,

Kevin is playing with his invisible ink again try highlighting it with your
cursor (left click and hold down - on the mouse) then sweep across and hey
presto!


Cheers,

Anna.





Anna Lee
Principal,
Work Ready -  Industrial Athlete Centre
Physiotherapist and Occupational Health Consultant

Write to me at [log in to unmask]
Visit me at www.workready.com.au

Snail mail:
Suite 3, 82 Enmore Road,
Newtown  NSW 2042
Australia

Tel: (02) 9519 7436
Mob: 0412 33 43 98
Fax: (02) 9519 7439
----- Original Message -----
From: "acthydro1" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Monday, 6 March 2000 9:43
Subject: Re: Scott


> Kevin,
>
> Seeing as you obviously had a "lot" to say to me (but I couldn't read
it!!!),
> and as Scott supported my discussion points word for word, I don't think
that I
> am out of place inresponding to you once again...(maybe try a different
colour
> next time...black isn't one of my favourites..:-) )
>
>
> >
> > >>The biopsychosocial model is challenging old paradyms and I applaud
that. I
> > do expect however it to live up to the same scrutiny as it lays at the
doors
> > of the old systems. This debate must not be polarised into one is good
and
> > the other is bad. Rather how convincing is the evidence in all cases.
>
> I do not think for a minute that Scott was saying that one is good and one
is
> bad. The point is that in dealing with the small percentage of patients
that do
> not respond to the modalities that we have at our disposal, that we should
as
> health care providers have an obligation, not to just go looking for that
"cure'
> to a "structural" problem ,all the while reinforcing structural
beliefs...refer
> Max Zusmann : Australian Physiotherapy Journal : Vol 44.No1.1998 :
> Structure-oriented beliefs and disability due to back pain).
>
> The biopsychosocial model is evolutionary and has strong research based
evidence
> to support it in response to the fact that there is an increasing number
of
> patients that do NOT respond to our physical modalities. Surely this is
not
> because the mechanism of imjuries are any different than they were 30-40
years
> ago. If you do a medline search you will find numerous articles supporting
this
> model for "Chronic Pain". Society and the way that we respond to it have
changed
> considerably in 30 years. People have higher expectations of the medical
> profession and find it difficult to accept the answer is not always that
easy! (
> I wish it was!!)
>
> I do not think that it is unreasonable to question models and "purists" of
any
> form do not do justice to their patients. We need to be able to think
laterally
> in our obligation to these people as they walk in the door hoping to find
that
> "elusive" answer.
>
> Di Howell
> Physio
> Canberra
>
> >
> >
>




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