#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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| Profile | Tweet |
|---|---|
 | physiotalk @physiotalk Hello and welcome to tonights #physiotalk. A very different Easter Monday for many of you – so thank you in advance for taking part tonight, especially if you have been at work today. |
 | Paula Manning Physio @Manning2Paula RT @physiotalk: Hello and welcome to tonights #physiotalk. A very different Easter Monday for many of you – so thank you in advance for tak… |
| physiotalk @physiotalk A reminder that tonights #rehab and #COVID19 chat is also aimed at understanding the current issues for our guest hosts @VickiG_physio and @Alison_Cowley research #physiotalk |
 | James Armstrong @PhysioArmstrong Here we go 👍🏼 |
| Paula Manning Physio @Manning2Paula RT @physiotalk: A reminder that tonights #rehab and #COVID19 chat is also aimed at understanding the current issues for our guest hosts @Vi… |
| physiotalk @physiotalk Our guest hosts say ‘We are doing a systematic review of rehab. To help with the process we want to engage with the rehab community to help us understand current COVID issues. This will help us develop guidelines for providing rehab across the care continuum’ #physiotalk |
 | OfficialCAHPR @OfficialCAHPR The latest #physiotalk is underway. Get involved! |
 | Dr Melrose Stewart MBE @MelroseStewart1 RT @AlexMacKenzie11: @JackAChew @RobYeldham @CovidRehab Worth tuning into #physiotalk tonight! |
| physiotalk @physiotalk RT @physiotalk: Hello and welcome to tonights #physiotalk. A very different Easter Monday for many of you – so thank you in advance for tak… |
| physiotalk @physiotalk It is really important that we get lots of you tweeting tonight to hear the breadth of issues you are finding – so please tweet rather than lurk! #physiotalk |
 | Janice Martin @janicevmartin Lead AHP Leeds Teaching Hospitals #physiotalk |
 | #hellomynameis Adele @ABNeurophysio @physiotalk Hello from South East Wales, #physiotalk |
 | Dr Alison Cowley @Alison_Cowley @physiotalk But lurking and learning is still allowed #physiotalk |
 | Anna Spiteri @spiteri_anna RT @physiotalk: It is really important that we get lots of you tweeting tonight to hear the breadth of issues you are finding – so please t… |
 | @STHpulmonaryrehab @sthpulmonary #physiotalk Hi from Sheffield! |
| physiotalk @physiotalk We always ask you to say hello - but our first question asks a little more of you tonight #physiotalk |
 | Claire Cutting @clairecuttingOT @physiotalk Hello, lurking OT here #physiotalk |
| physiotalk @physiotalk To get us started – an important opening question so that we can see who is taking part and in what setting – so here goes with question one #physiotalk |
 | Dale Whelehan @Daleyfurter @physiotalk Hello from Dublin! Looking forward to seeing some of the great work happening across the world. #physiotalk |
| Anna Spiteri @spiteri_anna RT @physiotalk: Our guest hosts say ‘We are doing a systematic review of rehab. To help with the process we want to engage with the rehab c… |
 | Kate Harris @welshkate RT @physiotalk: Our guest hosts say ‘We are doing a systematic review of rehab. To help with the process we want to engage with the rehab c… |
 | Prof Vicki Goodwin MBE @VickiG_physio Hello from Kingskerswell #physiotalk |
| physiotalk @physiotalk Q1: What is your professional background and what setting are you currently working in (and is this where you normally work)? #physiotalk |
 | Karen West 💙 @KWestPhysio @physiotalk Hello from SE Hampshire #physiotalk |
 | Gill Agar 💙 @gill_agar Hi another from Sheffield. #physiotalk |
 | Fiona Skelton @skelton_fiona @physiotalk Hello from North Yorkshire .... lurking.....#physiotalk |
 | Susan Cotton @susancotton18 @physiotalk Hi from Fife, Scotland. It's going to be an interesting one tonight I'm sure #physiotalk |
| James Armstrong @PhysioArmstrong Hi #physiotalk, James Armstrong, 3rd yr Physiotherapy Student at the University of Plymouth. @PlymUni @PlymUniPhysio |
 | eljulian @ejulianphysio Hi south west bristol based #physiotalk |
 | Helen Gooch @HelenGooch5 Hi from Preston #physiotalk |
| Dr Alison Cowley @Alison_Cowley Hello from Nottingham #physiotalk. Feels like the results section from the Eurovision Song contest |
 | Mary Grant @marymg40 Hi, I'm an MSK physio and mainly work in persistent pain #physiotalk |
 | WSHT Emergency Floor Therapies @WSHFT_EFtherapy @physiotalk Good evening! Therapy team (PT and OT) working at the front door at Worthing Hospital #physiotalk |
 | Chris Hurst @chrishurst99 My first experience of #physiotalk tonight.. I’m a sport and exercise scientist and post doc at Newcastle University interested in exercise / physical activity / ageing / frailty / sarcopenia.. Looking forward to listening and learning.. |
| Prof Vicki Goodwin MBE @VickiG_physio academic Physiotherapist. background as community/older person specialist #physiotalk |
 | Janet Thomas @JanetThomas47 In the background of @physiotalk tonight but physio in Fife working in older peoples rehab (when working clinically!) #physiotalk |
 | caitlanedula @caitlanedula hi from Exeter..#physiotalk |
 | Abi Hall @abijhall Hi from sunny devon. Community based physio lead #physiotalk |
 | Arnie Puntis @arnie_puntis London community therapy team #physiotalk |
 | Alex Mackenzie 💙 @AlexMacKenzie11 Hello from Aberdeen #physiotalk |
 | Ali Mowbray 💙 @ali_mowbray Hi. OT here too from Harlow lurking #physiotalk |
 | Jane Manson @janeylew2 @physiotalk Hello! Bed based intermediate care physio in Sheffield. Usually here (in between researchy bits!) #physiotalk |
 | kate bennett @kategahr_kate @physiotalk Former @AGILECSP chair and community physio . Still community based but remit changing daily #physiotalk |
| @STHpulmonaryrehab @sthpulmonary #physiotalk Im community Pul rehab team leader but redeployed to acute resp med for my NIV skill! |
 | Edel McDaid @edelphysio Q1 #physiotalk Senior PT in post acute rehab in Dublin - older persons is my jam |
| Dale Whelehan @Daleyfurter @physiotalk I am a staff grade PT in a tertiary hospital. Work part time/ Research for my other time. Currently based in surgical wards (post-op gastro, urological and vascular procedures) - no changes to my workload thus far (apart from drastic changes to research plans)! #physiotalk |
 | Lore Smyth @lore33x Q1 - Physio in Acute Psychiatry, Dublin Ireland. Current place of work. #physiotalk |
 | Caryl Hunter @CarylAPhysio @physiotalk Hi Caryl - Band 5 Rotational acute physio #Physiotalk |
 | Judith Bolton @JudeVBolton Hello from Fife. I am a Physio working in a community hospital. This is where I normally work #physiotalk |
 | Laura Graham 💙 (She/Her) @goldens2482 Work in a community Respiratory Team, background cardiopulmonary rehab working in London, currently maintaining our admission avoidance service #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 #physiotalk Hello, it's Mel from Birmingham - lecturer UoB |
| Gill Agar 💙 @gill_agar Physio in community- not been working the last 3 weeks so more learning for me #physiotalk |
 | 💙🐝 Caroline Poole @CarolineNhs @physiotalk hi, Caroline here in Stockport, SLT and national AHP lead hoping to listen in and learn from you all, thank you for letting me in! #physiotalk |
| Janice Martin @janicevmartin @physiotalk Physio acute hospital but in management role now #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Community team leader, still working there #physiotalk |
| Paula Manning Physio @Manning2Paula #physiotalk hello form the East Mids. Home worker due to high risk but dong lots to support my colleagues in secure mental health services @StAndrewsCare prepping for rehab |
| #hellomynameis Adele @ABNeurophysio @physiotalk Neurophysio, working in Community Neuro Rehab Service, this is my normal place of work, have some staff redeploying out and some redeploying in according to strengths and experience #physiotalk |
 | Dr Lindsay Bearne @lindsaybearne @physiotalk Hello from London #physiotalk |
 | Rachel Botell @RachelBotell Rehabilitation medicine consultant in a Neurorehabilitation unit wanting to join up all rehab services #physiotalk |
 | Suzie @floozicle suzie. Icu. Now and what seems like forever #physiotalk |
| Joanna Considine @JoannaConsidine Hi from Bucks. Not much COVID19 experience so am lurking #physiotalk |
| Helen Gooch @HelenGooch5 I work on acute neurology - currently mainly covid and medicine. Little experience to date of covid specific rehab and i am keen to listen and learn #physiotalk |
 | Alistair Beverley @theLDphysio @physiotalk Fell at the first, #physiotalk |
 | Susan Bannister @su_bannister Susan, Neuro rehab, Manchester #physiotalk |
 | Kate Kontou @SK_Physio @physiotalk Respiratory specialist physio usually leading outpatient pulmonary rehab currently covering intermediate care #physiotalk |
 | Anita 😷 @ReillyPhysio @physiotalk Hi from Longford in Ireland. Currently between the acute covid and standard medical wards depending on shift rota. #physiotalk |
 | Millie Hansen22 @MillieRayner @physiotalk Hello from Exeter, community Physio #physiotalk |
 | Hannah Jones (nee Woodhead) @HannahJonesPT @physiotalk Neuro-Rehab Physiotherapist - inpatients predominantly but also tweeting for community Neuro-Rehab colleagues still treating NR patients #physiotalk |
 | Sue H-G @suehaywardgiles @physiotalk Hi #physiotalk Sue Hayward-Giles, physio, working from the CSP - looking to support members across the whole rehab pathway, and understand transformation needed to respond to the impact of COVID, short term as well as building positive legacy |
| Susan Cotton @susancotton18 @physiotalk I'm in community inpatient rehabilitation, that's my substantive post and and one I'm still doing at the moment anyway #physiotalk |
 | Luke Stevens @LukeStevens_93 @physiotalk Hi, I'm a Neuro physio in the North East, working in Neuro outpatient, community and inpatient rehab. I also have a background and clinical interest in global health and clinical humanitarian work. #physiotalk #COVID19 |
 | Lorna Paul @LornaPaul Academic physio in glasgow research technology supported rehab #physiotalk |
 | Shraddha @Shraddha2123us @physiotalk I work as a community physiotherapist but now working as an assessor for Discharge to assess (D2A) pathway #physiotalk |
 | Vicki Barrett 🐝 @barrettphysio #physiotalk Working in community resp/pulmonary rehab in Bedfordshire, but background is palliative care. First physio talk tweet chat 😃 |
 | Jane Mitchell @Janeomit @physiotalk Hi from Cornwall- sunny for a change!! #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 @physiotalk Physio in Aberdeen, Acute hospital, but keen to see views from across the whole patient pathway #physiotalk |
| Anna Spiteri @spiteri_anna @physiotalk Working in Paediatrics but on redeployment alert #Physiotalk |
 | Cath Edwards @cathedwards_1 @physiotalk Hi everyone 🤗 Cath from Wigan here. I work in acute respiratory care in a trainee advanced practice role but have returned to my home profession of physiotherapy to support colleagues #physiotalk |
| physiotalk @physiotalk @CarolineNhs Always welcome! #physiotalk |
 | Dr Angie Logan @logan_angie @physiotalk Physiotherapist. Moved from full-time NHS to academic at University of Plymouth in January 2020. Still have bank contract with NHS #PhysioTalk |
 | Bríd Spillane @SpillaneBrid #physiotalk Hello from Oxford! Neurorehab Physio in a level 1 inpatient unit. |
 | Claire O' Connell @ClaireOCPhysio @physiotalk Older persons rehab team in an inpatient setting. Community background but working in the acute for the past year #physiotalk |
 | Jo Kitchen @J0Physio @physiotalk Hello 👋🏻 Physio working in Neuro-outpatients and a little ESD (early supported discharge) stoke now just doing ESD & phoning outpatients. Had some great support from ward colleagues due to staff shortages in our team #physiotalk |
 | Cat Treharne @cattreharne RT @physiotalk: Our guest hosts say ‘We are doing a systematic review of rehab. To help with the process we want to engage with the rehab c… |
 | Kate Brown @KateBrown_phys Hello, was a physio on ICU for 15 years in Wigan. Recent move to pulmonary rehab. Redeployed back to ICU and acute in patients in Lancaster #physiotalk |
| Karen West 💙 @KWestPhysio @CarolineNhs @physiotalk All welcome :-) #physiotalk |
 | suzanna harless @suzannaelh Hello from Cambridge #physiotalk |
 | Lorraine McAndie @lorrainesmithb1 @physiotalk Physio in palliative care and oncology. Working from home doing lymphoedema at the moment #physiotalk |
| physiotalk @physiotalk RT @physiotalk: Q1: What is your professional background and what setting are you currently working in (and is this where you normally wo… |
 | Rehab Professionals @rehabprof RT @physiotalk: Q1: What is your professional background and what setting are you currently working in (and is this where you normally wo… |
 | Pam Watkins💙 @PWtherapist #physiotalk therapy manager acute services PT and OT |
| James Armstrong @PhysioArmstrong Wow! So many tuned in to #physiotalk tonight! |
 | Tomas Ince @TomasInce #physiotalk Physio by background. Clinical manager in Intermediate Care |
| Prof Vicki Goodwin MBE @VickiG_physio am so pleased that so many people are new to #physiotalk and have decided to join us tonight |
 | Ashleigh Moore @AshleeMoorey87 @physiotalk Hi all, NM specialist physio, currently also covering case manager role for complex neuro rehab in SW peninsula. In neuro icu & acute neuro rehab until Dec 19. #physiotalk |
 | Amy Souster @AmyLouSous @physiotalk 🙋🏼♀️ physio here. Working PT in community rehab and PT in acute admission avoidance in Devon. So get to see both parts of the pt journey. #physiotalk |
 | Catherine Bowdler @clbowdler @physiotalk Community physio/trainee ACP recently moved into hospital discharge service. #physiotalk |
 | Nicola Stirling @nicola_stirling @physiotalk Hi, OT working @RUHBath #physiotalk. Usually work in the older peoples team |
 | Sibyl Edward, D.P.T. 🇱🇨 👩🏿⚕️ @pasl_pt @physiotalk Hi from sunny St. Lucia in the Caribbean. I am the Sen. PT at the main Gen. Hospital. Acute Care with a Rehab Component. Eager to learn as usual #physiotalk |
 | Carol Keen @CarolKeenPhysio @physiotalk Physio in acute trust in Sheffield - COVID and COVUD step down wards #physiotalk |
 | Clare Pheasant 💙 @clare_pheasant @physiotalk Hi #physiotalk physio working as AHP lead in Acute trust. |
 | Chloe Dooley @chloedooley99 RT @physiotalk: Hello and welcome to tonights #physiotalk. A very different Easter Monday for many of you – so thank you in advance for tak… |
| Fiona Skelton @skelton_fiona @physiotalk Community response team and therapy team on Pathway 1 #physiotalk |
| Clare Pheasant 💙 @clare_pheasant RT @physiotalk: Hello and welcome to tonights #physiotalk. A very different Easter Monday for many of you – so thank you in advance for tak… |
 | Nat Jones @natlouj @physiotalk #physiotalk some familiar faces |
 | Dr Michelle Bull 💙 @MichelleBull4 @physiotalk Hello. Physio here working in system wide transformation manager role supporting integrated care & frailty across acute and community settings. Also here with my @PhysiosForME hat on #physiotalk |
 | Rebecca Emmott @remmottphysio @CarolineNhs @physiotalk Hello 👋🏻 Becky Physio working for @ELHT_NHS based in community setting which is my usual role #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 Amazing to be able to meet so many of our physio community during #lockdown #physiotalk #COVID19 |
 | Hilary Hall @HilaryHallAHP Hi I am a physio working as AHP lead for Dorset integrated care system #physiotalk |
| physiotalk @physiotalk Great to see so many taking part - from across the country, #globalPT and different backgrounds. Welcome to you all! #physiotalk |
 | shuvwilliams @wil_shuv #physiotalk Mental health services for older people , inpatients and community at present. May be redeployed if necessary. |
 | Sara Hazzard @SHazzard RT @MelroseStewart1: Amazing to be able to meet so many of our physio community during #lockdown #physiotalk #COVID19 |
 | You @SamuelOgunkoya RT @physiotalk: Q1: What is your professional background and what setting are you currently working in (and is this where you normally wo… |
 | Deanne Rennie @rennie1d @physiotalk Hi Deanne AHP lead in Leicestershire #physiotalk |
 | Victoria Cilliers @cilliers_vic MSK and military rehab #physiotalk |
| Millie Hansen22 @MillieRayner @physiotalk Currently in Urgent Community Response, usually community rehab in Exet #physiotalk |
| Cat Treharne @cattreharne @physiotalk #physiotalk |
| Alistair Beverley @theLDphysio @physiotalk Yet another Nottingham based physio wishing you a good evening #physiotalk |
 | Eva Bollard @evabollard @physiotalk Hi #physiotalk, I’m a physiotherapist specialising in neuro / stroke in an acute hospital |
 | Laura Wilson @Laura_Wils87 @physiotalk AHP Team Lead and Physiotherapist. Working in Older Peoples wards - acute and rehab - in Glasgow #physiotalk |
 | Elaine Chesworth @ElaineChesworth @physiotalk Hi, It's Elaine, currently in a non clinical managerial role in Transformation, Manchester #physiotalk |
 | Ruth ten Hove @RtHphysio Hi Ruth ten Hove from CSP #physiotalk interested in all aspects of COVID rehab, including what the remote consultation can offer |
 | Seán Hanley @Seanhanley94Me @physiotalk Hey everyone, I'm Seán a new B6PT working as part of Bart's health. Currently splitting my time between OPS and critical care, normally meant to be just OPS. #physiotalk |
| Anna Spiteri @spiteri_anna @natlouj @physiotalk Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | Gabrielle Rankin @GabriellePhysio Work at CSP as research adviser but may returned NHS if needed - lots to learn! #physiotalk |
 | Eleanor Douglas @eleanormdoug physio from Nottingham, working in critical care #physiotalk |
 | Jo Lockyear 🩺🦵🏼🧠 @JolockyearPT @physiotalk Physio - rotated early from UCR to acute respiratory #physiotalk |
| Sara Hazzard @SHazzard RT @RtHphysio: Hi Ruth ten Hove from CSP #physiotalk interested in all aspects of COVID rehab, including what the remote consultation can o… |
| Chloe Dooley @chloedooley99 @physiotalk Final year student physio, hoping to join the temporary register in the next few weeks #physiotalk |
| Dr Alison Cowley @Alison_Cowley Clinical Academic Lead AHP and Physiotherapist, acute frailty and rehabilitation. Great to see so many interested in our #physiotalk @VickiG_physio #COVIDrehab |
| physiotalk @physiotalk @suzannaelh Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | Josh @beejay2k5 @physiotalk #physiotalk |
| physiotalk @physiotalk @BreathePhysio Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Susie Wolstenholme @SusieWolstenho1 @physiotalk #physiotalk |
| Vicki Barrett 🐝 @barrettphysio #physiotalk Further toCurrently redeployed to acute medical inpatients though... |
 | Warren @WLCPhysio #Physiotalk Hey Twitter, Junior physio supporting ICU and surgical wards, usually rotational PT, awaiting new rotational MSK post. Do love a bit of Resp Physio though :D #HappyToHelp #ICURehab |
 | Emilia Bartram @EmOnTheBrain @physiotalk Physio, Neuro rehab in Oxford - Level 1 Centre. Normal place of work, but talks of redeployment. #physiotalk |
 | Sabrina Eggmann @SabrinaEggmann @physiotalk Hi, I'm an ICU physiotherapist from Switzerland #physiotalk |
 | Ruth wood @Ruthrespphysio @cork_y |
| physiotalk @physiotalk So - we know who is taking part and your backgrounds - thank you! (but keep tweeting this if you haven't as yet!) Now onto our next question posted by @VickiG_physio and @Alison_Cowley #physiotalk |
 | Heather Probert @Hev303 @physiotalk Hi, Physio in cardiac rehab in a tertiary centre #physiotalk |
 | Louise Connell @researchphysio @VickiG_physio @ELHT_AHPs @UCLanHealth Oops #physiotalk |
 | Jill Morgan @jillfromrhyl @physiotalk Lecturer in Cardiff. Hoping to find out how students can potentially remain supported in a rehab setting #physiotalk |
| physiotalk @physiotalk Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your setting? #physiotalk |
| physiotalk @physiotalk @AvrilDrummond1 Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 RT @physiotalk: @suzannaelh Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to ha… |
| James Armstrong @PhysioArmstrong RT @physiotalk: @suzannaelh Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to ha… |
| Kate Harris @welshkate RT @physiotalk: Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your settin… |
| Dr Michelle Bull 💙 @MichelleBull4 RT @physiotalk: Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your settin… |
| physiotalk @physiotalk @kerryHu83346946 Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| James Armstrong @PhysioArmstrong RT @jillfromrhyl: @physiotalk Lecturer in Cardiff. Hoping to find out how students can potentially remain supported in a rehab setting #phy… |
| Paula Manning Physio @Manning2Paula RT @physiotalk: Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your settin… |
 | Ａｄｅ Ｐｒｉｃｅ @Ade_Medz @physiotalk Physio Service Lead acute/community Team now expanded with redeployment of MSK, paeds etc physios as well as recruitment of old colleagues back from private practice Personal professional background MSK/ortho/rehab/FCP #physiotalk |
 | ACPIN West Midlands @ACPIN_WM RT @physiotalk: Great to see so many taking part - from across the country, #globalPT and different backgrounds. Welcome to you all! #p… |
| Eleanor Douglas @eleanormdoug Having the space to undertake early rehab in critical care has been a problem with 2 patients per bedspace and increased patient to staff ratios #physiotalk |
| physiotalk @physiotalk @Laurawalk1986 Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | Kelly Oakes @Kellyoak7 @physiotalk Hi, I’m Kelly and I’m a Physio in inpatient Neuro rehab - a community based ward within a London Trust #physiotalk |
| Paula Manning Physio @Manning2Paula RT @physiotalk: @AvrilDrummond1 Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great t… |
| physiotalk @physiotalk @AnnieMcDougall3 Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Also now managing four OTs and supporting and overseeing clinical work of six MSK physios who have joined us. #physiotalk |
| physiotalk @physiotalk @brenda1mon Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Mary Grant @marymg40 Q2 access to rehab services is likely to be difficult post Covid 19 #physiotalk |
| physiotalk @physiotalk @HockeymadSandy Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | Angie McGrath @mcgrath_angela @physiotalk Hi, physio based in community care in Dublin. redeployed to non physio role in acute covid hub. covid rehab role down the line #physiotalk |
 | Suzy Battle @SuBattle @physiotalk Acute medical physio, Morriston, Swansea. #physiotalk |
| Judith Bolton @JudeVBolton @physiotalk They may not have the same support network as they did before lockdown #physiotalk |
| physiotalk @physiotalk @ali_mowbray Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | Charlotte Hamer @Charlotte_NHS RT @physiotalk: Our guest hosts say ‘We are doing a systematic review of rehab. To help with the process we want to engage with the rehab c… |
 | Wilco Achterberg @wilcoachterberg Hi you all, I am wondering, what do you think of the value of regular test like TUG or 10MW test in post-covid geriatric rehab? |
| physiotalk @physiotalk @avington_suzann Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Janet Thomas @JanetThomas47 @physiotalk Fatigue +++ is what we are finding #physiotalk |
| Cath Edwards @cathedwards_1 @physiotalk I’m interested to understand more about the treatable traits of #COVID19 patients in the early & subacute phases of recovery #physiotalk |
| physiotalk @physiotalk @PhysioCommunity Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Arnie Puntis @arnie_puntis #physiotalk Care providers or services declining COVID positive patients in the community |
 | Emily Rich @Emily_Rich_1 @physiotalk Hello, another one from Plymouth #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 RT @physiotalk: @HockeymadSandy Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great t… |
| physiotalk @physiotalk RT @physiotalk: Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your settin… |
| Claire O' Connell @ClaireOCPhysio @physiotalk Loneliness, isolation, fatigue #physiotalk |
 | PhysioEm @stayactivephys @physiotalk Hi all. Private MSK Physio, currently virtual consultations with kids at home. Husband key worker #physiotalk |
| Dr Alison Cowley @Alison_Cowley @eleanormdoug has this been considered in planning additional ICU facilities I wonder? @VickiG_physio #physiotalk #COVIDrehab |
| Susan Cotton @susancotton18 @physiotalk main one so far - fatigue. Massive fatigue. But also that persistent cough which makes us quite jumpy about PPE #physiotalk. |
| Prof Vicki Goodwin MBE @VickiG_physio @JudeVBolton @physiotalk do you mean health and social care support or family support #physiotalk |
 | Katie Robinson @Katie_Rob136 @physiotalk AHP Clinical Academic Lead and Physio in Nottingham. Falls and care homes. Currently on maternity leave #physiotalk |
| James Armstrong @PhysioArmstrong RT @cathedwards_1: @physiotalk I’m interested to understand more about the treatable traits of #COVID19 patients in the early & subacute ph… |
| Rehab Professionals @rehabprof RT @physiotalk: Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your settin… |
 | Laura B @Lauraphysio3 @physiotalk Physio working with stroke ESD team #physiotalk |
 | Helen Harper @HelenHa50801014 @physiotalk Hello all at #physiotalk. MSK physio redeployed to the medical wards. Keen to learn from colleagues around the country. |
 | Louise Brennan @Louise_Brennan_ @physiotalk Hi everyone, physio working in research at the mo, keen to hear your clinical/rehab experiences during this time #physiotalk |
| eljulian @ejulianphysio Problems encountered so far: Desaturation on exertion, postural drop #physiotalk #COVIDrehab |
| Prof Vicki Goodwin MBE @VickiG_physio @susancotton18 @physiotalk is the fatigue worse that you would see normally #physiotalk |
| @STHpulmonaryrehab @sthpulmonary #physiotalk our concerns are about the increased number of patients who have pre-existing conditions who may required early supported discharge - is there enough staff to support them. Sheffield is yet to peak by the way - the acute wards are manageable at the mo. |
| Judith Bolton @JudeVBolton @physiotalk There have been a lot of resources made available online for people to keep active. Not all my patients would be tec savy to use these #physiotalk |
 | Adrienne Waite @adriennemwaite @physiotalk Physio in Derbyshire community ward, beds with care and community #physiotalk |
| Cath Edwards @cathedwards_1 @marymg40 What do you perceive as the main barriers?! Any immediate workable solutions?? #physiotalk |
 | Rebekah Knight @RebekahLee23 @physiotalk Private MSK physio usually but starting in the NHS in the next couple if weeks on the temporary bank, yet to be confirmed where I'll be #physiotalk |
| Abi Hall @abijhall Q2 - Our community teams haven’t seen the influx of patients yet, so it’s too early to tell what challenges we will face... #physiotalk |
| Cath Edwards @cathedwards_1 RT @JanetThomas47: @physiotalk Fatigue +++ is what we are finding #physiotalk |
| Rebecca Emmott @remmottphysio @physiotalk Lack of support from the usual resources such as #RWT due to staff sickness and therefore the potential for them not to recieve the usual gold standard rehab post discharge #physiotalk |
| Anita 😷 @ReillyPhysio @physiotalk Sudden drop in o2 saturations.. social isolation in rooms or cohort wards and difficulty understanding staff in full PPE #physiotalk |
| Arnie Puntis @arnie_puntis #physiotalk normal family/social support not available |
| Janet Thomas @JanetThomas47 @VickiG_physio @susancotton18 @physiotalk Yes, yes and double yes! #physiotalk |
| Vicki Barrett 🐝 @barrettphysio #physiotalk In the short term...redesign of services away from rehab, to fast discharge and through put. Longer term- community resources to cope with increased rehab demand. And in such an unknown situation. |
 | Robyn Heath @robynjheath2 @physiotalk @physiotalk Acute medical wards -Older People's Unit #physiotalk |
 | Jane Young @youngjane77 @physiotalk #physiotalk physio usually in trauma. Been doing what’s left of trauma work plus suspected COVID pts last couple of weeks. |
 | vicki howard @tillyp42 #physiotalk Access to services currently as can't attend usual sites. We are just finishing winter where patients may have been less active, to now a period of feeling unwell, weak, etc and not being able to go out |
 | Claire George @clairegeorge03 @physiotalk Hello, I’m a rotational physiotherapist who has just been moved onto a rehab ward. Very eager to learn and develop in this area, which will be key for all our patients over the next few months #physiotalk #COVIDrehab |
 | Odharnait Lambe @OdharnaitLambe @physiotalk Hi #physiotalk physio working in stroke in acute setting and ESD |
| Laura Wilson @Laura_Wils87 @physiotalk So far, extreme++ fatigue has been main physical issue, along with loss of strength and function, general deconditioning. Socially - lack of support network and isolation. #physiotalk |
 | Avril Drummond💙 @AvrilDrummond1 @physiotalk #physiotalk Therapists reporting major problems of fatigue, muscle strength and lost of self confidence ++ |
| Seán Hanley @Seanhanley94Me @physiotalk On my OPS ward main issue that I'm finding is the secondary dip. A lot of patients come in and get a COVID diagnosis. Get worked up to be D/C @ 5-7 but there tends to be a second wave of illness at the 10-14 day bracket which leads to decline/readmission/death. #physiotalk. |
| physiotalk @physiotalk @J0Physio @BassettLinzie Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Warren @WLCPhysio #Physiotalk #Q2 Biggest challenge will be getting rehab, especially if people have been pulled to help the acute hospitals during these unfortunate times. |
| Julie Dickens @JulieD_AHP #physiotalk Hello colleagues, great to join you, I'm a therapy manager in a large acute Trust. Hoping to learn what to expect as patients move from critical care to wards. |
| Cat Treharne @cattreharne @physiotalk Usual barriers..... Access to equipment, availability of care, lack of family support, reformed community services in response to priority's of current COVID 19.....Still waiting for the increase in demand on our services though at present, many are acute or unwell #physiotalk |
| Rebecca Emmott @remmottphysio @ClaireOCPhysio @physiotalk This is a huge concern for me that the loneliness and isolation means that they will become low in mood and unengaged in rehab #physiotalk |
| Eleanor Douglas @eleanormdoug Oxygen desaturation is rapid during rehab and lasts for a long time, patients need pre oxygenating and it needs to be monitored carefully #physiotalk |
 | ORCHA @OrchaHealth RT @physiotalk: Great to see so many taking part - from across the country, #globalPT and different backgrounds. Welcome to you all! #p… |
| physiotalk @physiotalk It is a fast paced #physiotalk tonight - so a reminder that the best way to keep up is with something like Tweetdeck |
| James Armstrong @PhysioArmstrong RT @AnitaReilly12: @physiotalk Sudden drop in o2 saturations.. social isolation in rooms or cohort wards and difficulty understanding staff… |
| physiotalk @physiotalk @KnightSpicer Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @Laura_Wils87: @physiotalk So far, extreme++ fatigue has been main physical issue, along with loss of strength and function, general dec… |
| Judith Bolton @JudeVBolton @VickiG_physio @physiotalk a bit of both. Some people who may usually have four times a day POC now have three to allow more discharges #physiotalk |
| Jo Lockyear 🩺🦵🏼🧠 @JolockyearPT @physiotalk Fatigue and shortness of breathe. Also higher risk of tissue breakdown due to immobility #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @barrettphysio: #physiotalk In the short term...redesign of services away from rehab, to fast discharge and through put. Longer term- co… |
| physiotalk @physiotalk @skelton_fiona Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| WSHT Emergency Floor Therapies @WSHFT_EFtherapy @physiotalk #physiotalk |
| Nicola Stirling @nicola_stirling @physiotalk Have people seen much delirium? #physiotalk |
| Dale Whelehan @Daleyfurter @physiotalk Biggest challenges: Isolation and Inaccessibility. The former enabling frailty and the latter accelerating it. In @wearetuhf we are trialling e-classes for our age-related patients. Similarly, tech such as portable oximetry helping facilitate early discharge #physiotalk |
| Mary Grant @marymg40 @JanetThomas47 @physiotalk Rehab is likely to be v slow #physiotalk |
| Janet Thomas @JanetThomas47 @Seanhanley94Me @physiotalk Agree with this #physiotalk |
| Cath Edwards @cathedwards_1 @sthpulmonary The impact of co-morbidities on #COVID19 survivors is surely to affect recovery?! #physiotalk |
| Tomas Ince @TomasInce @physiotalk Q2: Personal Experience: breathlessness even in recovery stage, delirium (hypo more often), fatigue, reduced appetite and most people just want to see family and friends! Including them (virtually) in rehab somehow? #physiotalk |
| Jane Manson @janeylew2 @sthpulmonary Ursula, we’re finding that social services are already massively backed up. Have had some patients waiting 25+ days for a care package. Am really worried that there won’t be any movement for anyone soon #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 @JanetThomas47 @physiotalk I think I may have had #COVID19 and strangely enough, fatigue was one of the early symptoms I noticed. We shouldn't underestimate this. I am up and running again though! #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @Laura_Wils87 @physiotalk We wrote the same thing! But you said it better! #physiotalk |
| physiotalk @physiotalk @kategahr_kate @skelton_fiona Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Ashleigh Moore @AshleeMoorey87 RT @barrettphysio: #physiotalk In the short term...redesign of services away from rehab, to fast discharge and through put. Longer term- co… |
 | Georgie Garrick @FizzyGiGi @physiotalk Team lead for Trauma & Surgery in NHS Ayrshire & Arran #physiotalk |
| Prof Vicki Goodwin MBE @VickiG_physio what about delirium? #physiotalk |
| WSHT Emergency Floor Therapies @WSHFT_EFtherapy @physiotalk Delirium #physiotalk |
| physiotalk @physiotalk @Alison_Cowley @marymg40 You need to put in the hashtag! #physiotalk |
 | Anne Belton @belton_anne @physiotalk Physio in Dublin, acute hospital working in Neurology #physiotalk |
 | Esther Clift @EstherClift @physiotalk #physiotalk very slow to regain function due to fatigue , loss of confidence, fewer social connections as motivators but a real sense of victory in conquering it!! |
| Hannah Jones (nee Woodhead) @HannahJonesPT @physiotalk Concerned about the potential number of critical illness myopathy/polyneuropathy patients who may present following Covid-19 and how/where we rehab them given the current (necessary) restrictions on our rehab bed/community teams #physiotalk |
| Susie Wolstenholme @SusieWolstenho1 @physiotalk #physiotalk Physiotherapist usually work in major trauma and neurosurgery. Now team lead for a new 7 day covid rehab team covering icu to discharge |
| #hellomynameis Adele @ABNeurophysio @JudeVBolton @physiotalk yes, we are finding basic things eg access to food, normal routines that held them / their lives together pre hospital has disappeared so people who would have coped living independently with light family support/routines are needing a lot more external support. #physiotalk |
| Emilia Bartram @EmOnTheBrain @physiotalk Not treating COVID patients on our neuro ward atm but discharging people earlier than usual to have capacity. Complex rehab needs ? met in the community and unsure of future possibilities for readmission. COVID pts seen in trauma taking longer to rehab, complicated! #physiotalk |
| physiotalk @physiotalk RT @VickiG_physio: what about delirium? #physiotalk |
| Rebecca Emmott @remmottphysio @JudeVBolton @physiotalk Agree with this 100% sooo many fabulous resources, however we need to ensure all patients can access. We are currently working on packs with information around energy conservation etc to hand out within community #physiotalk |
| Abi Hall @abijhall My concern is the number of non Covid patients we currently aren’t seeing and how much they will have deteriorated by the time we can see them. I think this will put an enormous pressure on teams.... let alone treating Covid+ patients #physiotalk |
| physiotalk @physiotalk RT @VickiG_physio: @susancotton18 @physiotalk is the fatigue worse that you would see normally #physiotalk |
| physiotalk @physiotalk RT @VickiG_physio: @JudeVBolton @physiotalk do you mean health and social care support or family support #physiotalk |
| Sabrina Eggmann @SabrinaEggmann @physiotalk Agree with fatigue and loneliness #physiotalk |
| Seán Hanley @Seanhanley94Me @physiotalk The other main issues is fatigue, this virus seems to carry a bigger burden than a traditional flu/pneumonia. Impacts on the ability to carry out inpatient rehab which increases risk of further illness and reduces the chance of a return to pre illness baseline #physiotalk |
 | Sarah Mullen @SarahJMphysio @physiotalk Level 1 inpatient neuro rehab, clinical team lead physio- usual place of work, for now!! #physiotalk |
| Susan Bannister @su_bannister @JudeVBolton @physiotalk I think this is a big challenge, as the elderly may not have access to the same social support during lockdown, they are also maybe staying in hospital longer? #physiotalk |
| physiotalk @physiotalk @AvrilDrummond1 Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @JudeVBolton @physiotalk I agree with this and am concerned about what's happening in our older population who are stringently self isolating and deconditioning at the same time due to decreased levels of activity #physiotalk |
 | Hayley Grice @HayleySGrice RT @Laura_Wils87: @physiotalk So far, extreme++ fatigue has been main physical issue, along with loss of strength and function, general dec… |
| Jo Kitchen @J0Physio @JudeVBolton @VickiG_physio @physiotalk We’re finding pts are having good social care packages but are missing family/ neighbour support and private cleaners #physiotalk |
| James Armstrong @PhysioArmstrong RT @physiotalk: It is a fast paced #physiotalk tonight - so a reminder that the best way to keep up is with something like Tweetdeck https:… |
| Jane Mitchell @Janeomit Will need good nutrition and dietetic input to support rehab as patients seem to be very catabolic #physiotalk |
| physiotalk @physiotalk @PWtherapist Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | kerry Hunt @kerryHu83346946 @physiotalk Exertional hypoxia, fatigue +++, low mood and due to push to discharge Once medically fit concerns over timescale for community rehab input? What form this will take #physiotalk |
 | suzanne avington @avington_suzann @cathedwards_1 @physiotalk Similarly... Ours have been very poorly but coupled with significant medical problems and not 'well' to rehabilitate (community beds) #physiotalk |
| Deanne Rennie @rennie1d For interest @SuraiyaHassan1 @skashton @MRowlandPhysio @stephanier_o @Lynncoo30259233 @AHPs_LLR |
| Cath Edwards @cathedwards_1 @abijhall Are there any plans in progress to consider increased rehab demand?! Know it’s likely patients will be discharged quickly from acute care #physiotalk |
| physiotalk @physiotalk @kategahr_kate @PWtherapist Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Judith Bolton @JudeVBolton @abijhall I think that will be a big factor in the months to come #physiotalk |
| Esther Clift @EstherClift @MelroseStewart1 @JanetThomas47 @physiotalk Great you are on the mend! #physiotalk |
| Claire O' Connell @ClaireOCPhysio @nicola_stirling @physiotalk Yes from limited experience so far #physiotalk |
| Carol Keen @CarolKeenPhysio @AnitaReilly12 @physiotalk Do drop in says recover after exertion? How quickly? #physiotalk |
| Millie Hansen22 @MillieRayner @remmottphysio @ClaireOCPhysio @physiotalk And I imagine our being PPE clad will also make it harder to build the rehab relationship initially? #physiotalk |
 | Scott Gormley @scott89gormley @physiotalk 1. Fatigue 2. SOB, drop sats rapidly on minor effort 3. Isolation 4. Low mood 5. Globally weakness 6. Anxiety around being an inpatient due to covid. 7. Lack of relative support (if not tech savy) #physiotalk |
| Susan Cotton @susancotton18 @VickiG_physio @physiotalk Yes, for us anyway. I am in a community hospital, so generally our patients are a week or 2 (or significantly more) down their recovery pathway. We have pt's 10-14 days post diagnosis who are exhausted to step round from bed-chair, or even struggle to sit out of bed #physiotalk |
 | ᎧᎶ @chidi_obii @physiotalk Hi everyone, I’m Chidi Obi, Physio (Intern). Currently in Med Unit at National Hospital Abuja.#physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk I'm curious about the psychological impact on the illness, is it too early to tell how badly people have been affected? #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @physiotalk Sorry- will get there in the end !😀#physiotalk |
| Alistair Beverley @theLDphysio @physiotalk Getting back into any form of care facility in the first place is a challenge for some I hear. #physiotalk |
| physiotalk @physiotalk RT @nicola_stirling: @physiotalk Have people seen much delirium? #physiotalk |
 | Paula Hopes 💙 @PaulaHopes1 RT @physiotalk: Hello and welcome to tonights #physiotalk. A very different Easter Monday for many of you – so thank you in advance for tak… |
| Gabrielle Rankin @GabriellePhysio #physiotalk that’s really interesting idea Tomas, have you tried it? |
 | Jennings @charliemei88 @physiotalk In my home area (Carmarthenshire)- geography. Isolation already an issue for many, often reliant on community support due to rural distribution, lack of family etc. #physiotalk |
 | Amanda White @ajciliaOT RT @Laura_Wils87: @physiotalk So far, extreme++ fatigue has been main physical issue, along with loss of strength and function, general dec… |
| Paula Manning Physio @Manning2Paula RT @nicola_stirling: @physiotalk Have people seen much delirium? #physiotalk |
| Nicola Stirling @nicola_stirling @susancotton18 @VickiG_physio @physiotalk Wow #physiotalk |
| Sabrina Eggmann @SabrinaEggmann @nicola_stirling @physiotalk yes, delirium is a problem #physiotalk |
 | Rachael @BreathePhysio Im concerned about those not attending that i used to see frequently. Frightened, isolated.#physiotalk |
| Dr Angie Logan @logan_angie @abijhall But vital to plan to ensure rehab is collaborative & MDT incorporating patients with COVID19 and LTCs who’s rehab (specialist or generalist) has stopped or not even started due to therapists being redeployed #PhysioTalk |
| Laura Wilson @Laura_Wils87 @AvrilDrummond1 @physiotalk Hard to summarise sometimes in small space isn’t it! So interesting to see the experiences of therapists, especially for us in Glasgow where we appear to be slightly behind England/London in timeline. #physiotalk |
| physiotalk @physiotalk RT @VickiG_physio: am so pleased that so many people are new to #physiotalk and have decided to join us tonight |
 | Laura Walker @Laurawalk1986 @physiotalk Fatigue and anxiety main challenges seen at present. Cognition is hard to determine as family not present to determine if patients norm, and using digital methods can add to confusion, as patient unfamiliar with communication method! #physiotalk |
| suzanne avington @avington_suzann @VickiG_physio @JudeVBolton @physiotalk We are finding both for all discharges. With fear and anxiety that this creates too #physiotalk |
| Laura Graham 💙 (She/Her) @goldens2482 Fatigue, breathlessness, barriers are access to appropriate & long term rehab, many will have new respiratory limitations & potential new underlying disease, requiring specialist Resp rehab & not recovering 6-8 weeks, need to ensure patients picked up #physiotalk |
| Sue H-G @suehaywardgiles @JanetThomas47 @VickiG_physio @susancotton18 @physiotalk to what extent does it impact on pace and intensity of rehab - do you have any idea/guidance on that yet #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @KWestPhysio: @physiotalk I'm curious about the psychological impact on the illness, is it too early to tell how badly people have been… |
| kate bennett @kategahr_kate @abijhall This is a huge concern with us...we have suspended many on our caseload and waiting list but they aren't going to get better on their own necessarily... #physiotalk |
 | Jessica Sheardown @teignphysio @physiotalk #physiotalk |
 | olivia frimpong 💙 @livfrim @physiotalk #physiotalk |
| Claire O' Connell @ClaireOCPhysio @remmottphysio @physiotalk Limited exposure so far but no issue with motivation. Maybe as they have so few people coming into their room every day they are more interested? #physiotalk |
 | Áine @Aine_T @physiotalk On all tel consults in MSK but I'd guess at fatigue, available social/family support, ability to make to appts/travel, reduced+ confidence, decent nutrition (lots of people across lots of spectrums depending even more on food banks than before)... #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @susancotton18: @VickiG_physio @physiotalk Yes, for us anyway. I am in a community hospital, so generally our patients are a week or 2 (… |
| shuvwilliams @wil_shuv @physiotalk #physiotalk I haven’t seen any patients that have been d/c home yet . It does concern me that non Covid 19 frail patients at home have had services stopped as classed as non urgent. |
| James Armstrong @PhysioArmstrong RT @SusieWolstenho1: @physiotalk #physiotalk Physiotherapist usually work in major trauma and neurosurgery. Now team lead for a new 7 day c… |
 | Rebecca Hankin @CATradrebecca RT @HelenGooch5: I work on acute neurology - currently mainly covid and medicine. Little experience to date of covid specific rehab and i a… |
| Bríd Spillane @SpillaneBrid #physiotalk Q2 timely access to rehabilitation services is going to be a problem with limited access to outpatient/community services at present. Anticipating a large backlog from current rehab patients who are being discharged once basic goals for safety have been met. |
| Dr Melrose Stewart MBE @MelroseStewart1 @EstherClift @JanetThomas47 @physiotalk Thanks. Did 6K run today so think I am overcoming the fatigue :) #physiotalk #COVID19 |
| Helen Gooch @HelenGooch5 @eleanormdoug Are there indicators for people who would benefit from preoxygenation prior to therapy or is it trial and assess? #physiotalk |
| Kate Brown @KateBrown_phys @physiotalk #physiotalk In the community, how to identify patient need if they haven't been in hospital or under other services. Worried there'll be a cohort of patients who'll get missed. |
| physiotalk @physiotalk @VickiG_physio Great to have your input tonight #physiotalk |
 | Helen Michel @hfdub #physiotalk I’m in community rehab team, just seeing first referrals post hosp d/c covid +ve, our main concern is balancing needs of these patients with our frail regular caseload |
| Laura Wilson @Laura_Wils87 @eleanormdoug Are you finding this is delaying d/c, or are you seeing increase in need for home o2 for d/c? #physiotalk |
| Ashleigh Moore @AshleeMoorey87 RT @HannahJonesPT: @physiotalk Concerned about the potential number of critical illness myopathy/polyneuropathy patients who may present fo… |
| Susan Cotton @susancotton18 @VickiG_physio @physiotalk I should add, that's not ICU discharged pt's, this is people who have been managed on a normal ward #physiotalk |
| Claire George @clairegeorge03 @physiotalk Fatigue, low mood, anxiety, isolation #physiotalk |
| Claire O' Connell @ClaireOCPhysio @MillieRayner @remmottphysio @physiotalk Can be difficult. Had the challenge of communicating with a lady who lip reads.. Writing everything down takes a long time! #physiotalk |
| Suzie @floozicle #physiotalk Delirium. Fatigue. O2 requirements. Been discharged to the Ward too early to free up a bed. If they get admitted there at all. |
| Avril Drummond💙 @AvrilDrummond1 RT @KateBrown_phys: @physiotalk #physiotalk In the community, how to identify patient need if they haven't been in hospital or under other… |
| WSHT Emergency Floor Therapies @WSHFT_EFtherapy @VickiG_physio @physiotalk Increased delirium with all patients including those that have been weaned from vents.Patients who have dementia are likely to be affected worse which will affect our rehab as no visitors allowed. This could lead to longer admissions & complex family meetings re: dc #physiotalk |
| Wilco Achterberg @wilcoachterberg What about outcome measures, what do you think should definitely be there? |
| Alex Mackenzie 💙 @AlexMacKenzie11 Think this will be one of the really difficult parts to quantify, but will have a huge impact on our services #physiotalk |
| Seán Hanley @Seanhanley94Me I think one of the other things that is causing us issues on OPS is illness in nursing staff. NS are already stretched meaning that they are struggling to mobilise and ax as they normally. Resultingphysio case load is increased in terms of ax and reducing rehab time #physiotalk |
| Rachael @BreathePhysio Fatigue massive issue & SOB. Seen it in my hubby 43y. Bleep test prior to COVID level 7, he cant even get to level 1 2 weeks post symptoms starting #physiotalk |
| Kate Brown @KateBrown_phys RT @eleanormdoug: Oxygen desaturation is rapid during rehab and lasts for a long time, patients need pre oxygenating and it needs to be mon… |
| physiotalk @physiotalk @laura33 @KWestPhysio Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Warren @WLCPhysio From an #ICURehab perspective I would love to hear what weaning plans people are using. i.e CPAP, trache mask and so on #Physiotalk |
| Shraddha @Shraddha2123us @physiotalk 1. Difficulty managing at home without appropriate care even though previously independent 2. Unable to get back to pre COVID 19 level of independence as unable to access rehabilitation services #physiotalk |
| Janice Martin @janicevmartin In acute phase hypoxia with movement is what my staff are reporting. Much more significant than what we eiukd normally see posg critical care #physiotalk |
| #hellomynameis Adele @ABNeurophysio RT @remmottphysio: @JudeVBolton @physiotalk Agree with this 100% sooo many fabulous resources, however we need to ensure all patients can a… |
| Esther Clift @EstherClift @nicola_stirling @physiotalk #physiotalk - significant delirium and diarrhoea - not seen in younger patients which is very debilitating. Very rapid decline to death too, which is hard for us all. |
 | Wendy Johnson @PhysioSolution @physiotalk MSK physio and pathways programme lead in Lothian. Extending service to remote consultation... keen to understand how my doctorate research interests in communication may contribute to remote consultations both in MSK physio and in post-covid rehab #physiotalk |
| Cath Edwards @cathedwards_1 @abijhall Sounds fab & that you will be well prepared if needed 👍 #physiotalk |
| Ashleigh Moore @AshleeMoorey87 RT @logan_angie: @abijhall But vital to plan to ensure rehab is collaborative & MDT incorporating patients with COVID19 and LTCs who’s reha… |
| Avril Drummond💙 @AvrilDrummond1 @Laura_Wils87 @physiotalk #physiotalk And certainly so in Northern Ireland as well I think |
| physiotalk @physiotalk @EmOnTheBrain @JaneMcKOT7 @HannahwOT @OUH_OCE @OCEConsultant Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Prof Vicki Goodwin MBE @VickiG_physio @physiotalk trying to keep up #physiotalk |
 | colin waldock💙🇪🇺 @colinwaldock @physiotalk #physiotalk mixed roles. FCP currently handling phone calls to surgery. NMP Lecturer. PhD student. |
| Helen Michel @hfdub @skelton_fiona @physiotalk #physiotalk same here in our community rehab team |
| Rebecca Emmott @remmottphysio @ClaireOCPhysio @physiotalk Yes could definitely become a positive- I think looking at having daily check in calls from the support staff within the team may also help to hear from a friendly voice and to prompt with rehab exercises/ advise #physiotalk thoughts @abi_b2 |
| Tomas Ince @TomasInce @GabriellePhysio #physiotalk trying via phone. Want to get @TeleHab_byVALD involved but awaiting a more senior managers approval... using this via video conference could give family a chance to interact in rehab! QI project opportunity? |
| Amy Souster @AmyLouSous We haven’t seen a lot of covid +ve pts yet but are not seeing our usual rehab caseload so there will surely be some deterioration. Also how many are at home not presenting at hospital in fear. #PhysioTalk |
| Wilco Achterberg @wilcoachterberg How about PTSS? |
| Dale Whelehan @Daleyfurter @ILauragroom @physiotalk @wearetuhf For sure a great advance in telemedicine #physiotalk |
| physiotalk @physiotalk Our usual reminder to include the hashtag - some great replies and responses slipping through without the #physiotalk added https://t.co/xdtjDQFxvm |
| Fiona Skelton @skelton_fiona @PWtherapist @physiotalk I agree Pam , where are you based #physiotalk |
 | Sandra Houston @HockeymadSandy @physiotalk #physiotalk Current patients concerned about returning/starting #RightToRehab due to existing disease or illnesses especially MS patients having had/undergoing immunosuppressant therapy |
| physiotalk @physiotalk @VickiG_physio Bet you can't wait for the transcript! #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @AmyLouSous: We haven’t seen a lot of covid +ve pts yet but are not seeing our usual rehab caseload so there will surely be some deterio… |
| Avril Drummond💙 @AvrilDrummond1 @TomasInce @GabriellePhysio @TeleHab_byVALD Sounds excellent idea #physiotalk |
 | Claire Stain @ClaireStain92 @VickiG_physio @physiotalk We are certainly seeing increasing numbers of delirium post extubation and continuing - not necessarily those who would be classed as 'frail' #physiotalk |
 | Rachael Brandreth, RD @RachBrandreth Just saw the topic of your chat tonight so I hope you don’t mind a dietitian joining?! I’m prof lead in Cornwall. Interested in how we work together to make #rehab more effective & improve outcomes #physiotalk |
| Prof Vicki Goodwin MBE @VickiG_physio @physiotalk it'll be a qualitative study on it's own #physiotalk |
| Susan Cotton @susancotton18 @suehaywardgiles @JanetThomas47 @VickiG_physio @physiotalk I think we are still feeling our way with that for now. Being led by the patient presentation. #physiotalk |
| Susan Bannister @su_bannister @physiotalk One challenge we have encountered is maintaining mood and motivation in inpatients to be able engage with therapy on a COVID to prevent deconditioning and weakness #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @remmottphysio: @ClaireOCPhysio @physiotalk Yes could definitely become a positive- I think looking at having daily check in calls from… |
| Cath Edwards @cathedwards_1 @Laura_Wils87 @eleanormdoug We haven’t need an increase in referrals for HOOF atm but planning pathways for this as likely to be dc’d with ongoing O2 needs once medically stable #physiotalk |
| Arnie Puntis @arnie_puntis @AlexMacKenzie11 #physiotalk we have a list of patients from our services who we know and have identified as potentially vulnerable. aiming to liaise with GPs and CCG to keep in contact and see as needed |
| kate bennett @kategahr_kate @AlexMacKenzie11 We are still getting referrals for the normal things as well...people are still falling/ fracturing hips/ deteriorating from long-term conditions and needing input alongside the covid pts #physiotalk |
 | Tish @Tish50680150 @nicola_stirling @physiotalk Yes we have reports of this. Concern about its diagnosis and whether it’s masking something else? #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @remmottphysio @ClaireOCPhysio @physiotalk @abi_b2 Great if could keep audit log- could be interesting data in the future #physiotalk |
| physiotalk @physiotalk @Shraddha2123us Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Cath Edwards @cathedwards_1 RT @WSHFT_EFtherapy: @VickiG_physio @physiotalk Increased delirium with all patients including those that have been weaned from vents.Patie… |
| Avril Drummond💙 @AvrilDrummond1 RT @AmyLouSous: We haven’t seen a lot of covid +ve pts yet but are not seeing our usual rehab caseload so there will surely be some deterio… |
| Judith Bolton @JudeVBolton @physiotalk @VickiG_physio I can't wait because I am not keeping up! #physiotalk |
| physiotalk @physiotalk @ILauragroom Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Luke Stevens @LukeStevens_93 @AmyLouSous Having same issue, reduced caseload in our outpatient and community. Very little contact and have been deployed to inpatients rehab wards. #physiotalk |
| James Armstrong @PhysioArmstrong RT @WLCPhysio: From an #ICURehab perspective I would love to hear what weaning plans people are using. i.e CPAP, trache mask and so on #Phy… |
| Helen Michel @hfdub @JudeVBolton @physiotalk #physiotalk I recently asked @CSP enquiries team about purchasing a pack of ‘get up and go’ leaflets for using with our patients that don’t use internet, unfortunately they weren’t accessible as all working from home. Hopefully it’s been taken to management to try and access |
| Wendy Johnson @PhysioSolution @ILauragroom @Daleyfurter @physiotalk @wearetuhf Can pulse ox be used as one biofeedback for pacing... might it be usedful in short term rehab, but also in those needing longer rehab timeframe?#physiotalk |
 | Jude Fewings @jude8771 Absolutely what we experiencing . |
| Kelly Oakes @Kellyoak7 @remmottphysio @ClaireOCPhysio @physiotalk @abi_b2 We have found they are more motivated to get out of hospital to see friends/family and due to anxiety of being in hospital. Helping them call family has been something we have been focusing on facilitating #physiotalk |
| physiotalk @physiotalk @Niki_South Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Rebecca Emmott @remmottphysio @AmyLouSous @AlexMacKenzie11 We have been the same— I worry for the patients who would usually have a lot of input for rehab that are now unfortunately only receiving telephone input - hopefully time will show it to somehow be positive #physiotalk |
| Nicola Stirling @nicola_stirling @WSHFT_EFtherapy @VickiG_physio @physiotalk Yes, not being able to have family/carer visits will be difficult for those with delirium and dementia, plus the PPE! #physiotalk |
| Dr Angie Logan @logan_angie @AlexMacKenzie11 The ones not in the system will be difficult to quantify, but not those on waiting lists who have been referred. Many specialist services have contacted patients who’s assessment & rehab are on hold until further notice #physiotalk |
 | Amy Greaves @AmyGreaves9 @nicola_stirling @physiotalk Hi Nicola! 👋 Have seen delirium in some of the ITU patients when sedation is held and post extubation #physiotalk |
| physiotalk @physiotalk @ILauragroom Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Jane Manson @janeylew2 @physiotalk #physiotalk |
| physiotalk @physiotalk @cathedwards_1 @Laura_Wils87 @eleanormdoug HOOF?? Something to do with Home oxygen I presume? #physiotalk |
| Tomas Ince @TomasInce @WSHFT_EFtherapy @physiotalk #physiotalk why not community based? |
| Mary Grant @marymg40 RT @AlexMacKenzie11: Think this will be one of the really difficult parts to quantify, but will have a huge impact on our services #physiot… |
| Arnie Puntis @arnie_puntis @ILauragroom @Daleyfurter @physiotalk @wearetuhf #physiotalk maybe something for community teams to purchase to take out on visits with us |
| Paula Manning Physio @Manning2Paula RT @AlexMacKenzie11: Think this will be one of the really difficult parts to quantify, but will have a huge impact on our services #physiot… |
 | Ian @arthurdiscrase @physiotalk Physio- operational responsibilities for Community Inpatient units #physiotalk |
| Ashleigh Moore @AshleeMoorey87 @RachBrandreth It’s definitely going to be an mdt approach from start to finish. Working together is the only way to ensure we provide best possible care for patients #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @Kellyoak7: @remmottphysio @ClaireOCPhysio @physiotalk @abi_b2 We have found they are more motivated to get out of hospital to see frien… |
| Sue H-G @suehaywardgiles @RachBrandreth That's great you joined in - have you got experience yet in step=down services. Wondering how your input could help recovery from exhaustion? #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Cath Edwards @cathedwards_1 @BreathePhysio Scary the effect #COVID19 is having on ‘normal’ healthy individuals Hope your hubby continues to recover well #physiotalk |
| physiotalk @physiotalk @janeylew2 Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | sgreensill @62Sgreensill @physiotalk Trust Lead Physiotherapy, mental health background and professional lead for Community Physio service supporting pts from hospital post covid. #physiotalk |
| physiotalk @physiotalk #physiotalk |
 | Christina Doyle - 🌈 #wearamask @ChrissieQI RT @edelphysio: 5 minutes until #physiotalk on rehab post COVID. Tonight could be the night I go from Lurker to Participant. Watch this spa… |
| Wilco Achterberg @wilcoachterberg #physiotalk we are really hoping to get some experience on outcome measures- TUG, 10MW, NEADL- or more COPD related measures? |
 | Charlotte Oakman @OakmanCharlotte @physiotalk I personally don’t feel like patients are getting the opportunities to specialised IP or community rehab. I have been self isolating but prior to this the aim was to clear acute hospital beds ASAP #physiotalk |
| Paula Manning Physio @Manning2Paula RT @Seanhanley94Me: I think one of the other things that is causing us issues on OPS is illness in nursing staff. NS are already stretched… |
| kate bennett @kategahr_kate @arnie_puntis @ILauragroom @Daleyfurter @physiotalk @wearetuhf We have them as standard pieces of kit in our team #physiotalk |
| physiotalk @physiotalk #physiotalk |
 | Physiophilip @physiophilip @mjp62 Great point. Along with the other comments about rehab of the Covid pts, it is clear that there is some serious planning needed! #physiotalk |
| Rachael @BreathePhysio @physiotalk @cathedwards_1 @Laura_Wils87 @eleanormdoug Yes Home Oxygen Order Form #physiotalk |
| Claire O' Connell @ClaireOCPhysio @Kellyoak7 @remmottphysio @physiotalk @abi_b2 Yes I think the nursing team are spending most of their day co-ordinating/timetabling zoom calls! Working very well so far though #physiotalk |
| Karen West 💙 @KWestPhysio @arnie_puntis @ILauragroom @Daleyfurter @physiotalk @wearetuhf We carry full obs kit now so we can do NEWS2 and escalate concerns more easily #physiotalk |
| Rebecca Emmott @remmottphysio @AvrilDrummond1 @ClaireOCPhysio @physiotalk @abi_b2 Good plan 👌🏻 will start collating when back in work #physiotalk |
| Esther Clift @EstherClift @kerryHu83346946 @physiotalk #physiotalk our community rehab is decimated- need to work this in to models- |
| Kate Kontou @SK_Physio @KateBrown_phys @physiotalk Good point Kate, I'm concerned we may end up with a cohort with unmet rehab needs #physiotalk |
| Lore Smyth @lore33x #physiotalk I would like to hear from other physios working in Ireland and what, if any, plans are in place for post D/C rehab care |
| Cath Edwards @cathedwards_1 @Shraddha2123us @physiotalk Agree with point points - well summarized! #physiotalk think it’s difficult to quantify the proportion of patients who will have informal cate support |
| physiotalk @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 Fantastic. Do you have support from your IT / digital teams? #physiotalk |
| Dr Melrose Stewart MBE @MelroseStewart1 @wil_shuv @physiotalk Interesting. When resources are limited, is this not what happens - urgent cases take priority? #physiotalk |
| Jane Manson @janeylew2 @OakmanCharlotte @physiotalk I agree. Lots of pressure to keep “flow” #physiotalk |
| Dr Alison Cowley @Alison_Cowley @RachBrandreth Its multi-professional (as all good care and rehabilitation should be) #physiotalk |
| Cath Edwards @cathedwards_1 #physiotalk |
| Laura Walker @Laurawalk1986 @physiotalk Discharge planning appears more difficult also, as community resources not available at present so patient not getting same level of rehab as would previously #physiotalk |
| Esther Clift @EstherClift @physiotalk We need a Joe Wicks for older people #physiotalk !! |
| Vicki Barrett 🐝 @barrettphysio #physiotalk I think this feeds into the logistical issues, now and in future, with co-ordinating rehab, staff deployment, do rehab service criteria need to change, be delivered in alternative locations, how do we prioritise...and all having to be planned ‘live’ as we go... |
| Jo Kitchen @J0Physio @HannahJonesPT @physiotalk We are expecting an increase in these sorts of referrals in our community Neuro team. Currently community rehab, community respiratory and community Neuro all separate teams but wonder if we’ll need to work more closely together to manage these pts #physiotalk |
| Laura Wilson @Laura_Wils87 @cathedwards_1 @eleanormdoug Need for potential temporary home o2 not something we’ve considered as yet but might be worth thinking about as does sound like could become increasing issue #physiotalk |
| Rachael Brandreth, RD @RachBrandreth RT @Janeomit: Will need good nutrition and dietetic input to support rehab as patients seem to be very catabolic #physiotalk |
| WSHT Emergency Floor Therapies @WSHFT_EFtherapy @TomasInce @physiotalk Community rehab beds for those patients that require it. Community services with POC, OT, PT for those who will manage. That will come from the therapists assessments and D.C. planning skills for the right route for that patient out of the acute setting #physiotalk |
| Eva Bollard @evabollard @physiotalk #physiotalk Q2: fatigue, sob and loneliness. |
| Amy Greaves @AmyGreaves9 @physiotalk Amy from Bath. Usually work in MSK Outpatients but have remained on the respiratory on-call rota and returned to support the intensive care team providing chest PT and rehab to covid-19 patients #physiotalk |
| kate bennett @kategahr_kate @OakmanCharlotte @physiotalk Our non covid patients that need input prior to d/c but are medically fit are based in hotels. We will be seeing them there and getting them home asap from there #physiotalk |
 | Sam Haworth-Booth @SamHBooth RT @Seanhanley94Me: @physiotalk On my OPS ward main issue that I'm finding is the secondary dip. A lot of patients come in and get a COVID… |
| Claire O' Connell @ClaireOCPhysio @physiotalk @Kellyoak7 @remmottphysio @abi_b2 The ward have been given kindles with all the apps on it, I believe. Worked very well so far. This is on a covid rehab ward so patient usually able to engage in the video call #physiotalk |
| physiotalk @physiotalk Some great comments coming through - thank you all for your input. Time to head towards question three now #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @physiotalk #physiotalk TUG good in theory but need really explicit instructions- when to start and when to finish. Several studies suggest this data can be more flaky than we like to think! |
| Rachael @BreathePhysio @wilcoachterberg Interesting, 30Sec sit to stand quick & easy in singke side room. #physiotalk |
| Rebecca Emmott @remmottphysio @physiotalk @Kellyoak7 @ClaireOCPhysio @abi_b2 @ELHT_NHS have been offering fabulous IT support throughout and are responding in a brilliant timely manner! We are all bein trained for using @accuRx this week aswell 👌🏻 #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @J0Physio: @HannahJonesPT @physiotalk We are expecting an increase in these sorts of referrals in our community Neuro team. Currently co… |
| Ali Mowbray 💙 @ali_mowbray @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 Asked 3 weeks ago for help; still waiting for help #physiotalk. Now sorted ourselves. |
| Ruth wood @Ruthrespphysio @physiotalk Not just older people! Weaning off ps/ 02/critical illness neuropathy/ lung damage and scaring/ necrotic limbs from high inotropes. Very high rehab need patients. #physiotalk |
| Claire Cutting @clairecuttingOT RT @Kellyoak7: @remmottphysio @ClaireOCPhysio @physiotalk @abi_b2 We have found they are more motivated to get out of hospital to see frien… |
| Karen West 💙 @KWestPhysio @EstherClift @physiotalk There is - "Make Movement Your Mission" - on three times a day on Facebook #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @physiotalk: #physiotalk https://t.co/IRxnAfnqbc |
| physiotalk @physiotalk @evabollard I do wonder how much the loneliness with factor into things #physiotalk |
| Amy Souster @AmyLouSous One question is whether post icu pts with high needs will be d/c with urgent care and set up in a safe environment or with rehab into a more rehab focussed environment #PhysioTalk |
 | Amy Jepson @AmyDolling @physiotalk A bit late to the party tonight! #physiotalk Physio; normally in Community Paeds, currently redeployed in Acute Adult discharge planning/ward work |
| Cath Edwards @cathedwards_1 @ILauragroom @Daleyfurter @physiotalk @wearetuhf Deffo useful! Don’t think we know the rehab trajectory yet of #COVID19 Do you think it might be similar to post exac COPD? Could we classify as mild, mod & severe too? #physiotalk |
| Gill Agar 💙 @gill_agar @EstherClift @physiotalk We have @BexTownley ! #physiotalk @physiotalk |
| suzanne avington @avington_suzann @kategahr_kate @abijhall Agree this worries us too. Keeping in touch by phone calls and links with volunteers for some. But still fear who we ll miss. Thank goodness for self referral #physiotalk |
| sgreensill @62Sgreensill @abijhall I think this will be a real concern. #physiotalk |
| Susan Bannister @su_bannister @KateBrown_phys @physiotalk @KateBrown_phys, i agree. There will be a cohort of patients who are discharged directly home from wards with no follow up due to the current restrictions on comm rehab. We need to ensure these patients are picked up and reviewed at some point #physiotalk |
| Prof Vicki Goodwin MBE @VickiG_physio @BreathePhysio @wilcoachterberg i agree with a 5 repeat chair stand #physiotalk |
| Heather Probert @Hev303 @physiotalk Few seen so far but expecting numbers to increase over time. Fatigue, decreased strength globally, decreased function. Some isolated with limited support. Lost confidence. #physiotalk |
| physiotalk @physiotalk Q3: Are you seeing any unexpected consequences due to COVID? #physiotalk |
| Edel McDaid @edelphysio @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 Something @RoyalDonnybrook have started is an email address that families/friends can message with images that are then printed and given to patients/residents who don't have smart phone/tec abilities! Been a great success! #physiotalk |
| Claire Stain @ClaireStain92 @physiotalk We are trying to gain some consensus from services in the community in regard to what these patients can access and which teams will input to as ? when they become 'negative' or when viral load / shedding is reduced to a 'safe' level #physiotalk |
| @STHpulmonaryrehab @sthpulmonary #physiotalk when are post covid patients deem not infectious? this will influence when we can see patients at home |
| Millie Hansen22 @MillieRayner @physiotalk I’m concerned that due to the necessary reallocation of community teams to Urgent and acute services that the rehab of patients discharged post COVID won’t be as we would want it until things settle again and perhaps some patients will be lost in the system #physiotalk |
| Rachael @BreathePhysio @OakmanCharlotte @physiotalk #physiotalk we are trying to ref all copd asthma BE pts for community PT review, they will triage into F2F or Tel. |
| Tomas Ince @TomasInce @physiotalk @evabollard The my exposure so far, I think this is a big factor #physiotalk |
 | Anthony Gilbert @awgilbert11 RT @scott89gormley: @physiotalk 1. Fatigue 2. SOB, drop sats rapidly on minor effort 3. Isolation 4. Low mood 5. Globally weakness 6. Anxie… |
| Prof Vicki Goodwin MBE @VickiG_physio @EstherClift @physiotalk no Joe Wicks please! #physiotalk |
 | Carol Percy @DrCarolPercy RT @physiotalk: Our guest hosts say ‘We are doing a systematic review of rehab. To help with the process we want to engage with the rehab c… |
| Cat Treharne @cattreharne The usual community referrals are currently nil! Where have the non- COVID patients gone??#physiotalk |
| Claire O' Connell @ClaireOCPhysio @Kellyoak7 @physiotalk @remmottphysio @abi_b2 I think the hospital charity are offering support to access kindles etc might be worth trying that #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @wilcoachterberg I'd always got for the NEADL -although clealry problematic initially- but can show real change as improve. #physiotalk |
| James Armstrong @PhysioArmstrong Is anyone else's eyes hurting from trying to keep up with tonight's #physiotalk ? 🤪 |
| Cath Edwards @cathedwards_1 @Laurawalk1986 @physiotalk Does anyone have experience or knowledge of CCGs planning for this? #physiotalk |
| Karen West 💙 @KWestPhysio @Alison_Cowley @nicola_stirling @physiotalk Mostly hypoactive? #physiotalk |
| Physiophilip @physiophilip @Seanhanley94Me Really interesting point, I hadn't considered this. The knock on effects are endless. #physiotalk |
| kate bennett @kategahr_kate @mjp62 How did the process not work? #physiotalk |
| Janet Thomas @JanetThomas47 @BreathePhysio @wilcoachterberg Patients might even be too fatigued for this. I'm finding sometimes even getting a TUSS a challenge! #physiotalk |
| Mary Grant @marymg40 @edelphysio @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 @RoyalDonnybrook Lovely idea Edel #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @cathedwards_1 @Laura_Wils87 @eleanormdoug We're planning pathways for this too - including follow in primary care & community. Have identified need for additional training for community teams #physiotalk |
| Helen Michel @hfdub @EstherClift @physiotalk Errr, we have one. Check out @BexTownley and @LaterLifeTrain work! #physiotalk |
| Lorna Paul @LornaPaul Our social enterprise are offering our online physio platform free. Might help community rehab post #covid or to keep rehab going for others. DM if interested https://t.co/wNizPPHLHl #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @edelphysio: @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 Something @RoyalDonnybrook have started is an email address t… |
| Laura Wilson @Laura_Wils87 @BreathePhysio @wilcoachterberg Good idea - also easily understandable and repeatable in any setting #physiotalk |
| physiotalk @physiotalk @BreathePhysio We wish your husband a complete recovery #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @remmottphysio @ClaireOCPhysio @physiotalk @abi_b2 Happy to help if useful! #physiotalk |
| Jane Mitchell @Janeomit @EstherClift @physiotalk My friend has developed an App called Totter that is for balance and stability that will be launched soon and they also have a website with a lot of rehab exercises on it called iCareiMove - might be worth having a look at #physiotalk |
| Dale Whelehan @Daleyfurter @physiotalk @physiotalk a lot of ICU patients will have large personnel needs (doubles, triples) - management and workload models should plan in anticipation & increase step-down rehab facilitites - training up redeployed staff in rehab principles, watching for staff burnout etc. #physiotalk |
| Anita 😷 @ReillyPhysio RT @edelphysio: @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 Something @RoyalDonnybrook have started is an email address t… |
| Arnie Puntis @arnie_puntis @sthpulmonary #physiotalk we're seeing them whilst infectious and been DC home. We've got all the PPE etc. |
| physiotalk @physiotalk RT @AmyLouSous: One question is whether post icu pts with high needs will be d/c with urgent care and set up in a safe environment or with… |
| Laura B @Lauraphysio3 RT @physiotalk: Our #physiotalk chat on Monday 13th April is with @VickiG_physio and @Alison_Cowley looking at #COVID19 and rehabilitation. |
| Hayley Grice @HayleySGrice RT @su_bannister: @KateBrown_phys @physiotalk @KateBrown_phys, i agree. There will be a cohort of patients who are discharged directly home… |
| Hayley Grice @HayleySGrice RT @SK_Physio: @KateBrown_phys @physiotalk Good point Kate, I'm concerned we may end up with a cohort with unmet rehab needs #physiotalk |
| Amy Souster @AmyLouSous @MillieRayner @physiotalk Yes. Or maybe miss their best window for rehab #physiotalk |
| Susie Wolstenholme @SusieWolstenho1 @kategahr_kate @abijhall And many will deteriorate #physiotalk |
| Hayley Grice @HayleySGrice RT @KateBrown_phys: @physiotalk #physiotalk In the community, how to identify patient need if they haven't been in hospital or under other… |
 | smacauley @smaca1 @laura33 #physiotalk im in NI in Belfast , a hotel has been converted as step down for the >65 to rehab, not sure of plans for <65 and current community and Ypd reduced/redeployed |
| Dr Melrose Stewart MBE @MelroseStewart1 We have to wonder the extent to which the #COVID19 pandemic will alter the 'hands-on' approach of physiotherapy #physiotalk |
| Helen Gooch @HelenGooch5 @edelphysio @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 @RoyalDonnybrook Like this - many of our older patients do not have tablets or phones to bring with them #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @Daleyfurter: @physiotalk @physiotalk a lot of ICU patients will have large personnel needs (doubles, triples) - management and workload… |
| Prof Vicki Goodwin MBE @VickiG_physio @EstherClift @physiotalk we have @BexTownley and @LaterLifeTrain 3 times a day #physiotalk |
| Susan Cotton @susancotton18 @KWestPhysio @physiotalk I think this is a really interesting area too - certainly staff anxiety ++not so sure about the patients as yet. Probable PTSD risk with the whole picture taken into account, esp. those post ICU? #physiotalk |
| Cath Edwards @cathedwards_1 @barrettphysio Certainly an evolving situation & think all your thoughts are spot on! How we can we address these now/early to meet demand? #physiotalk |
| Janet Thomas @JanetThomas47 Thanks to @LaterLifeTrain ! #physiotalk |
| Carol Keen @CarolKeenPhysio @ClaireStain92 @physiotalk We’ve had guidance from infectious disease team that “negative” can be considered from 14days after onset of symptoms. Has been important in helping with discharge planning for care, families etc #physiotalk |
| Pam Watkins💙 @PWtherapist @abijhall #physiotalk we have same concerns |
| Avril Drummond💙 @AvrilDrummond1 RT @physiotalk: @BreathePhysio We wish your husband a complete recovery #physiotalk |
| Rehab Professionals @rehabprof RT @physiotalk: Q3: Are you seeing any unexpected consequences due to COVID? #physiotalk |
| Rachael Brandreth, RD @RachBrandreth The catabolic state means decreased muscle mass combined with poor appetite means that joint approach to #rehab is essential. We are creating public facing info to try to help meet demand #physiotalk |
| physiotalk @physiotalk RT @physiotalk: Q3: Are you seeing any unexpected consequences due to COVID? #physiotalk |
| Prof Vicki Goodwin MBE @VickiG_physio @PhysioArmstrong yes #physiotalk |
| Arnie Puntis @arnie_puntis @cattreharne #physiotalk rumours being spread that community therapy has stopped? We have similar story with some of our community teams |
| Anita 😷 @ReillyPhysio RT @Daleyfurter: @physiotalk @physiotalk a lot of ICU patients will have large personnel needs (doubles, triples) - management and workload… |
| Avril Drummond💙 @AvrilDrummond1 RT @JanetThomas47: @BreathePhysio @wilcoachterberg Patients might even be too fatigued for this. I'm finding sometimes even getting a TUSS… |
| Emilia Bartram @EmOnTheBrain @physiotalk Impact of no visitor policy, decreased social interaction, support etc really affecting our inpatients (mood, motivation). But great support from MDT with facilitating videochats to family. #physiotalk |
| Dr Angie Logan @logan_angie @PhysioArmstrong As always, very fast moving. Even with Tweet deck it’s a challenge keeping up. But the transcript will be available later which you can review at a slower pace! #physiotalk |
| Seán Hanley @Seanhanley94Me @physiotalk Main unexpected consequence isn't actually patient based but more around discharge. All referrals have been rolled into one super form, POC being organised in hours and patients not being held for days. Hopefully a change that will last after COVID. #physiotalk |
| @STHpulmonaryrehab @sthpulmonary @cattreharne #physiotalk were still accepting new PR referrals and are phoning triage and sending out letter explaining why the service is not running as normal. Also sensing out basic muscle strengthening ex out with the letter. |
| Rachael @BreathePhysio @physiotalk Amazing joint working with community provider. Ive spent 10 yes trying to establish a community resp team in my area. Im so proud of what we have achieved overnight. Lots of pre-covid planning stood us in good state for when we needed it. #physiotalk |
| Rebecca Emmott @remmottphysio @physiotalk not a directly patinet related answer but I think within community we have seen some fab outcomes with regard to MDT working- daily zoom meetings with the DN’s can only be a positive for patients and we can try to involve them in the rehab #physiotalk |
| Dale Whelehan @Daleyfurter @physiotalk And no better time than for an effective MDT to function. Establishing shared practice early on with our medical, nursing and AHP colleagues as to how we can ALL facilitate rehab of post-ICU patients at ward level #physiotalk |
 | Caoimhe Gilmore 🇮🇪 CGB Physio @caoimhegilmore @physiotalk Caoimhe Msk Physiotherapist in Nenagh, Tipperary continuing to manage emergency OPDs #physiotalk |
| Louise Brennan @Louise_Brennan_ @wil_shuv @physiotalk It's so hard to see frail patients lose their rehab opportunities. Were the home services preemptively cancelled in anticipation of demand, or had community teams reached capacity already? #physiotalk |
| Gill Agar 💙 @gill_agar @sthpulmonary #physiotalk @physiotalk This is a crucial question for therapy staff, carers and patients alike |
| Arnie Puntis @arnie_puntis @cathedwards_1 @Laurawalk1986 @physiotalk our CCG is on board with community rehab and step down beds #physiotalk |
| suzanna harless @suzannaelh @physiotalk They are definitely a lot more motivated to get up and going to get out of hospital. However I’m concerned about how quickly we sometimes get these people out. There is currently no follow up, are people coping at home after covid? #physiotalk |
 | Ingrid @DietitianIngrid @GMNandH !! |
| Julie Dickens @JulieD_AHP #physiotalk Definite reduction in attendances at our ED with falls and stroke. Got to presume there is unmet need there. |
| Kate Kontou @SK_Physio @physiotalk @evabollard Setting up a coexistent support group early could be vital #physiotalk |
| Cath Edwards @cathedwards_1 @abijhall It’s so inspiring how AHPs & colleagues are doing what’s needed! So many examples of this nationally every day! 👏👏 #physiotalk |
| Ali Mowbray 💙 @ali_mowbray @cattreharne They are not presenting to A&E either #physiotalk |
 | Dearbhla Burke @BurkeDearbhla RT @edelphysio: @physiotalk @Kellyoak7 @remmottphysio @ClaireOCPhysio @abi_b2 Something @RoyalDonnybrook have started is an email address t… |
| Karen West 💙 @KWestPhysio @disimpso @arnie_puntis @ILauragroom @Daleyfurter @physiotalk @wearetuhf Manual sphyg, stethoscope, pulse oximeter, watch with second hand, in-ear thermometer to do NEWS2 https://t.co/yjVwmMb3tD #physiotalk |
| Jane Manson @janeylew2 @physiotalk Massive anxiety of staff members. People who I know as amazing therapists scared to go into a patients’ room #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @Seanhanley94Me: @physiotalk Main unexpected consequence isn't actually patient based but more around discharge. All referrals have bee… |
| Tish @Tish50680150 @physiotalk #physiotalk the fast pace of discharge from acute care worries me there may be unmet rehab need which gets missed. How are people tracking their patients? What timescales are people using for CCU f/up? |
| Arnie Puntis @arnie_puntis @MichelleBull4 @cathedwards_1 @Laura_Wils87 @eleanormdoug us too #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Nicola Stirling @nicola_stirling @EmOnTheBrain @physiotalk Yes, no visitor policy will be challenging. Use of phones/iPads etc though #physiotalk |
 | cathryn bendall @catben29 @physiotalk More delerium than anticipated including those who have not even been ventilated. Have been scanning to check for infarcts on occasion it’s so problematic #physiotalk |
| Wilco Achterberg @wilcoachterberg But isnt NEADL more an outcome for long term, with the household task etc? |
| Rebecca Emmott @remmottphysio @BreathePhysio @physiotalk As a community therapist I feel that the joint working with acute has been fantastic and brought us all back together as one big team #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @cattreharne Hiding with all the people from A&E? Apparently they are all vanishing. #physiotalk ph |
| Helen Gooch @HelenGooch5 @AmyLouSous @MillieRayner @physiotalk I guess we still dont know when the best rehab window is or how long after people will continue to recover #physiotalk |
 | Calderdale Framework @CF7stages @remmottphysio @physiotalk #physiotalk Use Calderdale Framework https://t.co/lwb4CPrd5O to identify who could do what in terms of rehab |
| sgreensill @62Sgreensill @abijhall We have moved staff into the urgent response and rehab pathway and gone to 7 day working. #physiotalk |
| Cath Edwards @cathedwards_1 @BreathePhysio @Laura_Wils87 @eleanormdoug Same here 🙋🏼♀️ with virtual clinics in the mix too #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @remmottphysio: @BreathePhysio @physiotalk As a community therapist I feel that the joint working with acute has been fantastic and brou… |
| Ruth wood @Ruthrespphysio @AmyLouSous @physiotalk We’re expecting high number or longer term trache patients as very difficult to wean off ps/ critical illness neuropathy from paralyzing agents/ proning. #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @Seanhanley94Me @physiotalk This streamlining of discharge processes surely has to be a keeper #physiotalk |
| kate bennett @kategahr_kate @arnie_puntis @cattreharne Our service has been suspended from our "routine" work to support urgent discharges #physiotalk |
| Emilia Bartram @EmOnTheBrain @physiotalk On a positive note - centralised funding making discharge bureaucracy a dream. Wish it was always about patient needs in the community and not funding! #physiotalk |
 | Anna Lloyd @AnnaKLloyd @physiotalk I work in inpt rehab and wonder how we will effectively meet the needs of those who need frequent short bursts of input to achieve the dosage they require, whilst being prudent with PPE usage... thinking about how we cluster care and make better use of technology... #physiotalk |
| Abi Hall @abijhall @cathedwards_1 It would be great to have a seperate discussion about the positives that we can gain from this situation (once it’s all over of course). #physiotalk |
| Warren @WLCPhysio @wilcoachterberg No not yet as for us we're no where near the stage of being able to use the SSPB tool yet, we are however using the CPAx score to assess function... useful tool #physiotalk |
| @STHpulmonaryrehab @sthpulmonary @CarolKeenPhysio @ClaireStain92 @physiotalk #physiotalk what is they still have symptoms after 14 days? |
| Dr Michelle Bull 💙 @MichelleBull4 RT @remmottphysio: @BreathePhysio @physiotalk As a community therapist I feel that the joint working with acute has been fantastic and brou… |
| shuvwilliams @wil_shuv Oops #physiotalk |
| physiotalk @physiotalk RT @HelenGooch5: @AmyLouSous @MillieRayner @physiotalk I guess we still dont know when the best rehab window is or how long after people wi… |
| Cath Edwards @cathedwards_1 @MichelleBull4 @Laura_Wils87 @eleanormdoug Sounds excellent! Reassuring to hear 👍 #physiotalk |
| Dr Angie Logan @logan_angie @PhysioArmstrong Probably as there are more participants. Wondering what the numbers online are like compared to other Tweet chats @JanetThomas47 #physiotalk |
| WSHT Emergency Floor Therapies @WSHFT_EFtherapy @EmOnTheBrain @physiotalk Definitely. We now have a communications form in the patients notes now, where we write everything down on there when communicating with that patients NOK so it can be communicated more clearly to patients. Seems to be working (only started it a few days ago) #physiotalk |
| Cat Treharne @cattreharne @ali_mowbray Yes this is true too....#physiotalk |
| Prof Vicki Goodwin MBE @VickiG_physio @Alison_Cowley #physiotalk |
 | Catrin 🦄 🏴 @catrinphysio RT @HelenGooch5: @AmyLouSous @MillieRayner @physiotalk I guess we still dont know when the best rehab window is or how long after people wi… |
| Mary Grant @marymg40 @AmyLouSous @MillieRayner @physiotalk Do we know when this is and what happens if we miss it? #physiotalk |
| Gill Agar 💙 @gill_agar @CarolKeenPhysio @ClaireStain92 @physiotalk Does this still apply if pt still have symptoms e.g. cough, temp ? #physiotalk @physiotalk and is in line with what WHO advise? |
| Fiona Skelton @skelton_fiona @physiotalk Having deferred much of our community therapy caseload we are amazed at the lack of usual referrals we would get, the chronic problems, fallers our step up referrals and all the other conditions that would routinely get admitted to hospital,will a peak occur later #physiotalk |
| Edel McDaid @edelphysio @physiotalk #physiotalk Q3 From a rehab perspective lots of patients opting to dc earlier than planned/lots of MDTs taking making better use of community services to support more timely dc. Some learning I hope we (staff/pts/families) take back to "Ordinary Time" to be less risk adverse. |
| suzanne avington @avington_suzann @RachBrandreth That will be great... When might this be? #physiotalk |
| Sabrina Eggmann @SabrinaEggmann @physiotalk I am mostly amazed at the exceptional teamwork between nurses, doctors and physios or other AHPs I hope this will make us stronger even after #COVID19 #physiotalk |
| olivia frimpong 💙 @livfrim @Seanhanley94Me @physiotalk #physiotalk |
| Wendy Johnson @PhysioSolution @physiotalk Is there potential value in gathering daily markers from many, many frail post-covid pts to rapidly ascertain trajectory for post-covid? eg daily self report via phone app, then rapid remote or f:f support if post-covid rehab or mental health input required? #physiotalk |
| Claire Stain @ClaireStain92 @CarolKeenPhysio @physiotalk We have had similar advice in regard to when patients can be de-escalated, as long as no further symptoms (different advice for immunocompromised) however we have had patients admitted after 2-3 weeks of symptoms which has thrown us off a little! #physiotalk |
| physiotalk @physiotalk @RachBrandreth Your input is greatly appreciated and welcomed #physiotalk |
 | Gemma Ford @GemmaFordELHT @physiotalk Currently training to be a Surgical ACP but masters on hold so I’ve gone to help support on the physio team on the wards - refreshing change! #physiotalk |
| Laura Graham 💙 (She/Her) @goldens2482 Extrapolating strategies from ARDS studies, prolonged ITU stay, impact on lung function, recovery likely to take months, intensity low <Borg 3, lots of unknowns at the moment, recommend @PR_Assembly recent podcast on Post COVID rehab #physiotalk |
| Suzie @floozicle #physiotalk |
| Tomas Ince @TomasInce Q3: from my short experience people unexpectedly rehab quite well and have every chance of making a full recovery #physiotalk |
| physiotalk @physiotalk RT @Alison_Cowley: @RachBrandreth Its multi-professional (as all good care and rehabilitation should be) #physiotalk |
| Cath Edwards @cathedwards_1 @abijhall Deffo ☺️ #physiotalk There have been positive opportunities in this crisis we need to maintain! |
| Carol Keen @CarolKeenPhysio @sthpulmonary Guidance in Sheffield out this weekend says 14days post onset symptoms (can be later if immune compromised). Some going home before then if can be managed at home but others having to stay in post 14days if e.g. vulnerable person at home #physiotalk |
| physiotalk @physiotalk RT @AshleeMoorey87: @RachBrandreth It’s definitely going to be an mdt approach from start to finish. Working together is the only way to en… |
| Hannah Jones (nee Woodhead) @HannahJonesPT @J0Physio @physiotalk Diff things happening across Greater Manchester but a number of Trusts have combined their community services for this reason-hopefully this will provide a more coordinated approach though many teams running on skeleton staff and only able to see urgent pts at the mo #physiotalk |
| kate bennett @kategahr_kate @Louise_Brennan_ @wil_shuv @physiotalk We were stopped pre-emptively. Our waiting list was under control. #physiotalk |
| Janet Thomas @JanetThomas47 @logan_angie @PhysioArmstrong I have a log of numbers from every #physiotalk (of course!) I think this one might win! |
 | Anna Stone @anna2601 @physiotalk Acute neurology in Salford.. Currently developing rehab pathways from ICU to community. #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @skelton_fiona: @physiotalk Having deferred much of our community therapy caseload we are amazed at the lack of usual referrals we would… |
| Susie Wolstenholme @SusieWolstenho1 RT @RachBrandreth: The catabolic state means decreased muscle mass combined with poor appetite means that joint approach to #rehab is essen… |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @SabrinaEggmann: @physiotalk I am mostly amazed at the exceptional teamwork between nurses, doctors and physios or other AHPs I hope t… |
| Paula Hopes 💙 @PaulaHopes1 RT @MichelleBull4: @Seanhanley94Me @physiotalk This streamlining of discharge processes surely has to be a keeper #physiotalk |
| Laura Graham 💙 (She/Her) @goldens2482 @sthpulmonary Data suggests could be 14-21 days post first symptom/swab #physiotalk |
 | Jennifer Kaye 💙 @jenckaye @Seanhanley94Me @physiotalk Agree re keeping streamlined processes - we’ve achieved discharge process changes overnight we’ve been working on for months if not years. #physiotalk |
| Paula Manning Physio @Manning2Paula @physiotalk @evabollard #physiotalk MH services will have a big role to play here, and the MH AHPs will be really needed. |
| Emilia Bartram @EmOnTheBrain @WSHFT_EFtherapy @physiotalk That's a lovely idea! #physiotalk |
| Community Physio @PhysioCommunity @62Sgreensill @abijhall same here #physiotalk |
| kate bennett @kategahr_kate @cattreharne We are still getting some. #physiotalk |
| Paula Hopes 💙 @PaulaHopes1 RT @remmottphysio: @physiotalk not a directly patinet related answer but I think within community we have seen some fab outcomes with regar… |
| physiotalk @physiotalk @CarylAPhysio @PhysioArmstrong Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
 | Fiona Keogan @fionak132 RT @Daleyfurter: @physiotalk @physiotalk a lot of ICU patients will have large personnel needs (doubles, triples) - management and workload… |
| Fiona Keogan @fionak132 RT @Daleyfurter: @physiotalk And no better time than for an effective MDT to function. Establishing shared practice early on with our medic… |
| Prof Vicki Goodwin MBE @VickiG_physio @JanetThomas47 @logan_angie @PhysioArmstrong oooh do we get a gold star #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @wilcoachterberg Good question. But better to start early if looking at population data than too late- but yes items totally redundant if much too early- does show progress to patients which can be great encouragement. #physiotalk |
 | Robyn Stiger @RobynStiger @physiotalk @BreathePhysio Sending much love Rach. At least he has the best wife! #physiotalk |
| Sandra Houston @HockeymadSandy @physiotalk #physiotalk Q2 hasn’t really hit Cornwall yet so very interested to hear others experience. I read that using BorgRPE is a good clinical guidance tool. Anyone used it? |
 | Helen Harte @Hartey_PT @remmottphysio @BreathePhysio @physiotalk These are the kind of changes that make my heart sing! One of the things to keep hold of in the post covid period. #physiotalk |
| physiotalk @physiotalk @PhysioArmstrong @logan_angie Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| Kate Kontou @SK_Physio @Alison_Cowley @AvrilDrummond1 @physiotalk Ideally needs to be meaningful and patient centered -establishing goals important ? PSFS #physiotalk |
| kate bennett @kategahr_kate @abijhall @cathedwards_1 Definitely #physiotalk |
| physiotalk @physiotalk RT @WSHFT_EFtherapy: @EmOnTheBrain @physiotalk Definitely. We now have a communications form in the patients notes now, where we write ever… |
| Janice Martin @janicevmartin RT @Daleyfurter: @physiotalk @physiotalk a lot of ICU patients will have large personnel needs (doubles, triples) - management and workload… |
| Ruth ten Hove @RtHphysio What role do you think remote consultations could play, e.g. Phone/ Skype etc in supporting people with a whole range of rehab needs #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @skelton_fiona @physiotalk This is my question/ concern too #physiotalk |
 | sue Harris 💙 @sueHarr61039605 RT @RachBrandreth: Just saw the topic of your chat tonight so I hope you don’t mind a dietitian joining?! I’m prof lead in Cornwall. Intere… |
| Tomas Ince @TomasInce @Tish50680150 @physiotalk #physiotalk we are following D2A ‘home first’ pathway so not real assessments done in the acute |
 | Jack Chew @JackAChew @suehaywardgiles @AlexMacKenzie11 @RobYeldham @CovidRehab @thecsp @jackchew Frantically trying to catch up with #physiotalk after a similarly frantic bath and bedtime with these two bank holiday louts... Some great points so far, especially regarding frailty and the need to join up Covid and non-covid Rehab 👏 https://t.co/S72TiUbc3Q |
| Karen West 💙 @KWestPhysio @cattreharne We will discover a lot of unmet need, increased suffering and potentially avoidable admissions in the coming weeks. #physiotalk |
| physiotalk @physiotalk RT @HockeymadSandy: @physiotalk #physiotalk Q2 hasn’t really hit Cornwall yet so very interested to hear others experience. I read that usi… |
| Susan Cotton @susancotton18 @JanetThomas47 @logan_angie @PhysioArmstrong I knew you'd be on top of it @JanetThomas47 #dataqueen #physiotalk |
| Pam Watkins💙 @PWtherapist #physiotalk discharges happening quickly . However problems arising in hospital site with access to stairs etc as some patients need this assessment etc prior to leaving . |
| Carol Keen @CarolKeenPhysio @catben29 @physiotalk Does scanning show negative for infarct? #physiotalk |
| Calderdale Framework @CF7stages @skelton_fiona @physiotalk #physiotalk Balance Active is a new, low tech, low cost piece of equipment designed by physios which could really help both Covid 19 survivors and usual community rehab caseload. https://t.co/ig7zUnnSgx |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @JackAChew: @suehaywardgiles @AlexMacKenzie11 @RobYeldham @CovidRehab @thecsp @jackchew Frantically trying to catch up with #physiotalk… |
| James Armstrong @PhysioArmstrong @VickiG_physio @JanetThomas47 @logan_angie It's not over yet 😉 #physiotalk |
| Heather Probert @Hev303 @abijhall Totally agree Abi! Fewer patients presenting with MI (trend being seen internationally). Those presenting can be late presentation ? due to fear of COVID-19 which can mean more muscle damage and more people living with heart failure going forwards #physiotalk |
| Karen West 💙 @KWestPhysio @kategahr_kate @arnie_puntis @cattreharne We are still going, very few discharges at the moment #physiotalk |
| Helen Gooch @HelenGooch5 @Ruthrespphysio @AmyLouSous @physiotalk It will be interesting to see the neurological impact already some information emerging #physiotalk |
| PhysioEm @stayactivephys @physiotalk I’m in the private sector ¤tly offering free https://t.co/k9UcMLCPH0 far had 2 pts-neither tested for Covid nor admitted to hospital.Both v.fatigued &SOB.Isolation is a key factor here & can be used to our advantage-pts appreciate a call or email from a HCP #physiotalk |
| Anna Stone @anna2601 @physiotalk Rapid discharge of elderly patients with ongoing delerium. Worry regarding potential ptsd and people not getting the specialist follow up they require due to need for acute beds. #physiotalk |
| physiotalk @physiotalk @PhysioArmstrong My eyes are hurting from trying to keep up with all the missed hashtags #physiotalk |
| Paula Manning Physio @Manning2Paula Vital we all work together on this. #physiotalk #AHPs |
| Mary Grant @marymg40 @ClaireStain92 @CarolKeenPhysio @physiotalk Thats worrying. What were reasons for readmission #physiotalk |
| Abi Hall @abijhall @RtHphysio I think phone consultations have been massively underused by our profession for a long time. There’s a lot that can’t be done by phone/Skype.... but I think there’s a massive amount we can do... telchnology willing #physiotalk |
| Seán Hanley @Seanhanley94Me Obviously my other unexpected consequence is the one I'm worried about, lack of non COVID diagnosis. Very little coming in so is everyone being blanket diagnosed, are people too afraid to attend Hospital or are the typical issues dying in community before hospital #physiotalk |
| Jennifer Kaye 💙 @jenckaye @Seanhanley94Me @physiotalk But also agree about meeting rehab needs and goals... Will we have the resource in the community to meet these needs? More integration between acute and community? Secondments of staff? #physiotalk |
| Bríd Spillane @SpillaneBrid @physiotalk Q3 Positive consequences include willingness to look at new ways of working, progress with IT skills and consideration of telehealth opportunities, joint working with wheelchair and specialist equipment services, breaking down barriers in CHC funding applications. #physiotalk |
| James Armstrong @PhysioArmstrong @physiotalk 😂 #physiotalk |
| Odharnait Lambe @OdharnaitLambe @physiotalk Fatigue, low mood, environment ie ward based rehab on air mattress rather than gym based rehab with plinth (stroke patients), skill mix #physiotalk |
| Anita 😷 @ReillyPhysio @physiotalk Delayed discharges disappearing from hospital wards and home care packages appearing, close MDT working and good morale on wards between staff, attitudes to help each other out rather than traditional job roles.. community and OPD staff getting involved on wards #physiotalk |
| Kate Brown @KateBrown_phys RT @goldens2482: Extrapolating strategies from ARDS studies, prolonged ITU stay, impact on lung function, recovery likely to take months, i… |
| Ingrid @DietitianIngrid @LgillespieRD |
 | Seonaid Mackie @ot_seonaid RT @physiotalk: Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your settin… |
| physiotalk @physiotalk @PWtherapist Any suggestions about how to manage a stair assessment? Infection control issues / access etc #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @AnitaReilly12: @physiotalk Delayed discharges disappearing from hospital wards and home care packages appearing, close MDT working and… |
| Laura Graham 💙 (She/Her) @goldens2482 https://t.co/aronk7EfwW #physiotalk |
 | Dr Amal Hassan 💙 @sportex_dr_amal RT @physiotalk: Q2: What are the challenges facing older people/those living with frailty who are recovering from COVID-19 in your settin… |
| Susie Wolstenholme @SusieWolstenho1 @sthpulmonary This is a huge issue for rehab and discharge planning s there is no national guidance it seems #physiotalk |
| Sibyl Edward, D.P.T. 🇱🇨 👩🏿⚕️ @pasl_pt @PWtherapist Q3. Has anyone heard of GB or other Neuro association with COVID-19? #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 RT @abijhall: @RtHphysio I think phone consultations have been massively underused by our profession for a long time. There’s a lot that ca… |
| sgreensill @62Sgreensill @abijhall @cathedwards_1 Definitely #physiotalk |
| Robyn Heath @robynjheath2 RT @VickiG_physio: @EstherClift @physiotalk we have @BexTownley and @LaterLifeTrain 3 times a day #physiotalk |
| Seán Hanley @Seanhanley94Me @livfrim @physiotalk Very valid point, especially when rehab hospitals/ wards appear to be closed, I won't what the long term effects will be on the patient cohort that would benefit from those. #physiotalk |
| Anita 😷 @ReillyPhysio RT @goldens2482: Extrapolating strategies from ARDS studies, prolonged ITU stay, impact on lung function, recovery likely to take months, i… |
| Helen Michel @hfdub @Alison_Cowley @physiotalk #physiotalk we actually managed to get a borough wide parking Free permit from The council for duration of pandemic! |
 | John Healy @jhealy213 RT @goldens2482: Extrapolating strategies from ARDS studies, prolonged ITU stay, impact on lung function, recovery likely to take months, i… |
| Kate Brown @KateBrown_phys RT @Hev303: @abijhall Totally agree Abi! Fewer patients presenting with MI (trend being seen internationally). Those presenting can be late… |
| shuvwilliams @wil_shuv @cattreharne @Louise_Brennan_ @physiotalk #physiotalk and to reduce the risk of transmission to those patients attending day unit. |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @SusieWolstenho1: @sthpulmonary This is a huge issue for rehab and discharge planning s there is no national guidance it seems #physiot… |
| Luke Stevens @LukeStevens_93 @abijhall Agree, our waiting list is still increase and were not seeing any patients outside of inpatient. #physiotalk |
| Laura Walker @Laurawalk1986 @physiotalk Community resources been reduced but due to staff capacity. patients been discharged without follow up for rehabilitation, only followed up at present if to avoid admission #physiotalk |
| physiotalk @physiotalk Agreed - we need to think of the positives as well of course! #physiotalk |
| Kate Brown @KateBrown_phys RT @anna2601: @physiotalk Rapid discharge of elderly patients with ongoing delerium. Worry regarding potential ptsd and people not getting… |
| physiotalk @physiotalk RT @pasl_pt: @PWtherapist Q3. Has anyone heard of GB or other Neuro association with COVID-19? #physiotalk |
| Millie Hansen22 @MillieRayner @physiotalk I’ve heard/read that a lot of patients have an on going psychological impact from the virus and the associated trauma, improved access to psychology support in the community would be great. As would community dietetics.... #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @AnitaReilly12: @physiotalk Delayed discharges disappearing from hospital wards and home care packages appearing, close MDT working and… |
| Claire Cutting @clairecuttingOT 👍 |
| Avril Drummond💙 @AvrilDrummond1 @Hev303 @abijhall ......and stroke is particular concern. Where have all those with stroke gone nationally? #physiotalk |
| physiotalk @physiotalk @Kellyoak7 @edelphysio @remmottphysio @ClaireOCPhysio @abi_b2 @RoyalDonnybrook Remember to add #physiotalk even if you are replying to a comment with the hashtag in the question. Great to have you join in #Physiotalk |
| vicki howard @tillyp42 @PhysioArmstrong Glad it's not just me....first twitter chat too!! #physiotalk |
| Paula Hopes 💙 @PaulaHopes1 @Vas_Sampath @ramswansea @physiotalk @WeAHPs interesting points on joined up working, positive approaches & person focused processes positives of a pandemic! @MHLD_SBUHB |
| physiotalk @physiotalk #physiotalk |
| suzanne avington @avington_suzann @Troomp @HelenGooch5 @AmyLouSous @MillieRayner @physiotalk I think community services will need a massive campaign and boost...i know it started but there will be lots to do... Rehab windows so important and not the shortest length of stay on a community caseload... #physiotalk |
| Paula Manning Physio @Manning2Paula @remmottphysio @physiotalk #physiotalk great teams make great patient outcomes, communication and leadership is vital. Sounds like you have got it. |
| Alistair Beverley @theLDphysio @Troomp @HelenGooch5 @AmyLouSous @MillieRayner @physiotalk To be honest, this was true before but is now more than ever in this spotlight. We need to be the ones stipulating (from evidence from therapy teams in other countries) what our time frames are. #physiotalk |
| Cat Treharne @cattreharne RT @physiotalk: Your half hour warning ahead of tonights #physiotalk Taking part for the first time? Tweetchatting is easy - here are t… |
| Cath Edwards @cathedwards_1 RT @RachBrandreth: The catabolic state means decreased muscle mass combined with poor appetite means that joint approach to #rehab is essen… |
| Community Physio @PhysioCommunity @physiotalk Amazing team spirit amongst our ward staff and really helping to support each other. Also big up to @DCHSStaffHealth #physiotalk |
| Sandra Houston @HockeymadSandy @goldens2482 @sthpulmonary #physiotalk but I feel we won’t really know unless retests are completed. I read that post SARS strains of virus were found 48 days post infection. Could have huge implications for lots of reasons |
| Rachael Brandreth, RD @RachBrandreth Yes absolutely 😀 we have a @BDA_Dietitians working group pulling together nutritional guidance for #rehab #physiotalk |
| Paula Manning Physio @Manning2Paula RT @Daleyfurter: @physiotalk And no better time than for an effective MDT to function. Establishing shared practice early on with our medic… |
| Millie Hansen22 @MillieRayner @RachBrandreth I literally just tweeted how we will need community dietician involvement, it’s going to take a big mix of us to offer the best :) #physiotalk |
| Helen Michel @hfdub @skelton_fiona @physiotalk We are concerned in community that usual walking aid requests, ref’s for fallers have vanished. Consequence may not be seen for a while but could be increase hip #’s down the line #physiotalk |
| Dr Angie Logan @logan_angie @abijhall @RtHphysio Complete agree! I hope that after this is over we continue to embrace the opportunity remote consultations & we can then incorporate skills required for effective virtual consultations into undergraduate training #physiotalk |
| Arnie Puntis @arnie_puntis @physiotalk @PWtherapist #physiotalk our ED team are referring to our rapid response community team to assess at once DC home |
| Anita 😷 @ReillyPhysio @physiotalk Advances in teleheath overnight #physiotalk |
| Tomas Ince @TomasInce @AnitaReilly12 @physiotalk #physiotalk Has there been any discussions where you are about D2A? I think long term, managing the discharge once the patient is already at home is a positive step |
| Dr Melrose Stewart MBE @MelroseStewart1 And there seems to be so much we are already learning, for example the value of care workers delivering personal care and other healthcare practitioners at the coal face! #physiotalk #COVID19 |
| James Armstrong @PhysioArmstrong RT @logan_angie: @abijhall @RtHphysio Complete agree! I hope that after this is over we continue to embrace the opportunity remote consulta… |
| Avril Drummond💙 @AvrilDrummond1 RT @hfdub: @skelton_fiona @physiotalk We are concerned in community that usual walking aid requests, ref’s for fallers have vanished. Conse… |
| physiotalk @physiotalk Wow - great tweeting from you all (but please please please remember the hashtag!) Onto the next question #physiotalk Yes, that's #physiotalk in ALL your tweets |
| fiozy @fiozy1 @physiotalk Resp Physio Isle of Wight, running PR and working with all chronic lung disease problems in Resp Dept. Ready to work in acute when needed #physiotalk |
| Karen West 💙 @KWestPhysio @SpillaneBrid @physiotalk New approaches to risk management, reduced barriers with other teams and organisations - we are all in it together #physiotalk |
| Dr Alison Cowley @Alison_Cowley @SusieWolstenho1 @sthpulmonary Agree. Focus (quite rightly) has been on acute management but we need to develop better post-infection rehabilitation guidance (hence this chat) #physiotalk |
| Susan Bannister @su_bannister @Troomp @HelenGooch5 @AmyLouSous @MillieRayner @physiotalk Inpatient and community based rehab is already becoming very limited for non COVID patients, due to redeployment of staff and resources. We just need to ensure that the same focus is put back into rehab for all patients when the time is right! #physiotalk |
| Claire Stain @ClaireStain92 @physiotalk Has anyone had much experience of neurological presentations of this patient group also? #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @Hartey_PT: @remmottphysio @BreathePhysio @physiotalk These are the kind of changes that make my heart sing! One of the things to keep h… |
| Emilia Bartram @EmOnTheBrain @physiotalk @PWtherapist Ideas I've heard: Clinell wipe everything before and after (have a designated door opened + wiper of handles who has not touched pt,) last patient of the day, make sure corridor +stairs is empty, put PPE on them too if tolerated. #physiotalk |
 | LYN ANKCORN @LAnkcorn @physiotalk My concern as an older person and carer for 2 who will do the caring? #physiotalk |
| Jo Kitchen @J0Physio @MichelleBull4 @skelton_fiona @physiotalk A lot of our referrals come from consultant clinics which have all been cancelled so much less referrals. patients also aren’t self referring even for advice or equipment as then usually do #physiotalk |
| Jo Lockyear 🩺🦵🏼🧠 @JolockyearPT @Alison_Cowley @physiotalk @PWtherapist Same, really having to reason if patients need a stairs assessment. Trying to reduce them where necessary #physiotalk |
| Tomas Ince @TomasInce @physiotalk @PWtherapist #physiotalk do the stairs assessment once they are home with D2A? |
| Anna Lloyd @AnnaKLloyd @AmyLouSous I worry about the fall out for patients currently being d/c quickly to be safe with massively reduced community services.... will ESD be helpful for this group? Anywhere doing this already? #physiotalk |
| Alistair Beverley @theLDphysio @pasl_pt @physiotalk @PWtherapist Not heard of GB, lots of ME symptoms reported though #physiotalk |
| Kate Kontou @SK_Physio @Alison_Cowley @AvrilDrummond1 @physiotalk Patient specific functional scale #physiotalk |
| Helen Gooch @HelenGooch5 @Alison_Cowley @physiotalk @PWtherapist Much more clinical reasoning and assessment prior to accessing the stairs - not just doing as routine #physiotalk |
| Kate Brown @KateBrown_phys RT @AvrilDrummond1: @Hev303 @abijhall ......and stroke is particular concern. Where have all those with stroke gone nationally? #physiotalk |
| Sue H-G @suehaywardgiles @abijhall @cathedwards_1 absolutely need to build a legacy out of all of this - rehab pathways needed transformation - whilst COVID19 is not the platform for change anyone wanted we have to build positively on it for the future - the only thing to make now bearable #physiotalk |
| physiotalk @physiotalk @PhysioArmstrong @JanetThomas47 @logan_angie Don’t forget the hashtag #Physiotalk otherwise your comments will not be included in transcript. 🙏 |
| Anna Stone @anna2601 @physiotalk Limited access to MRI scans for covid patients meaning lack of info regarding CNS consequences and true cause of encephalopathy. Are we missing possible neurology?? #physiotalk |
| physiotalk @physiotalk Q4: What challenges are you facing when working to provide rehabilitation for these patients? #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @TomasInce: @AnitaReilly12 @physiotalk #physiotalk Has there been any discussions where you are about D2A? I think long term, managing t… |
| Robyn Stiger @RobynStiger @remmottphysio @BreathePhysio @physiotalk Sorry #physiotalk |
| Elaine Chesworth @ElaineChesworth @physiotalk Better more efficient ways of working across the hospitals Virtual meetings, increased clinical triage, implementation of advice and guidance #physiotalk |
| Jennifer Kaye 💙 @jenckaye @janeylew2 @physiotalk Agreed. We have good wellbeing support in place for staff... but this will need to be there for some time after... #physiotalk |
| James Armstrong @PhysioArmstrong RT @physiotalk: Q4: What challenges are you facing when working to provide rehabilitation for these patients? #physiotalk |
| Anita 😷 @ReillyPhysio RT @su_bannister: @Troomp @HelenGooch5 @AmyLouSous @MillieRayner @physiotalk Inpatient and community based rehab is already becoming very l… |
| Ali Mowbray 💙 @ali_mowbray @Alison_Cowley @physiotalk @PWtherapist Infection control team happy for us to wipe surfaces with client wipes #physiotalk. Problems on some wards finding accessible stairs |
| Mary Grant @marymg40 @MelroseStewart1 Yes! Care workers are doing such a good job and other support staff eg cleaning and portering etc #physiotalk |
| Alex Mackenzie 💙 @AlexMacKenzie11 RT @ClaireStain92: @physiotalk Has anyone had much experience of neurological presentations of this patient group also? #physiotalk |
| eljulian @ejulianphysio @physiotalk @PWtherapist We have been taking a aerobic step into isolation rooms & doing step ups #physiotalk #COVIDrehab |
| Eva Bollard @evabollard @physiotalk #physiotalk Q3. New ways of working on the wards and within the department. Also new focus on telehealth |
| Gill Agar 💙 @gill_agar I'm hearing through the grapevine people being 'clear' then getting tested positive again. #physiotalk @physiotalk |
| Georgie Garrick @FizzyGiGi @CarolKeenPhysio @ClaireStain92 @physiotalk #physiotalk @ashleyjweir @TraceyMurray80 |
| Sibyl Edward, D.P.T. 🇱🇨 👩🏿⚕️ @pasl_pt @ClaireStain92 @physiotalk Just asked this question as well. #physiotalk |
| Ruth ten Hove @RtHphysio Planning to capture learning systematically from remote consultations during this extraordinary time. #physiotalk |
| Avril Drummond💙 @AvrilDrummond1 @MillieRayner @physiotalk main problem is lack of clinical psychologists nationally- which means therapists and nurses will need to step up where they can. #physiotalk |
| Rachael Brandreth, RD @RachBrandreth @HelenGooch5 Yes indeed. I’m hopeful for an improvement in MDT #rehab provision as a sliver lining to #COVID19 #physiotalk |
| Sandra Houston @HockeymadSandy @skelton_fiona @physiotalk #physiotalk agree this is very concerning. |
| Laura Graham 💙 (She/Her) @goldens2482 @HockeymadSandy @sthpulmonary Agreed, so difficult for all those working in the community with PPE issues #physiotalk |
| Susie Wolstenholme @SusieWolstenho1 @physiotalk Opportunities to truly trial 7 day day working as no-one has weekend plans! #physiotalk |
| Prof Vicki Goodwin MBE @VickiG_physio do you have access to the right equipment? training etc #physiotalk |
| #hellomynameis Adele @ABNeurophysio @jenckaye @janeylew2 @physiotalk There are some great resources coming out, i recommend FACE COVID by Russ Harris #physiotalk |
| Robyn Stiger @RobynStiger @BreathePhysio @remmottphysio @physiotalk Hi lovely. Bern thinking of you and following your duck tweets! #physiotalk |
| Amy Souster @AmyLouSous @TomasInce @physiotalk @PWtherapist Where possible that’s what I’ve been doing in admission avoidance discharges #physiotalk |
| physiotalk @physiotalk RT @SpillaneBrid: @physiotalk Q3 Positive consequences include willingness to look at new ways of working, progress with IT skills and con… |
| Suzie @floozicle @physiotalk #physiotalk . Sorry oops |
| physiotalk @physiotalk RT @VickiG_physio: do you have access to the right equipment? training etc #physiotalk https://t.co/v5vbpxiRCV |
| Wendy Johnson @PhysioSolution @physiotalk Rapid rollout of remote consultations and phenomenal engagement with this. Adaptability 👍🏻 #TelephonePhysio #VCphysio #DigitalAHPs #physiotalk Using telephone and also starting to use NHS Near Me |
| Hayley Grice @HayleySGrice RT @PWtherapist: #physiotalk discharges happening quickly . However problems arising in hospital site with access to stairs etc as some pa… |
| Kate Brown @KateBrown_phys RT @suehaywardgiles: @abijhall @cathedwards_1 absolutely need to build a legacy out of all of this - rehab pathways needed transformation -… |
| Helen Gooch @HelenGooch5 @ClaireStain92 @physiotalk I am interested in this as well - would be great to hear #physiotalk |
| Sibyl Edward, D.P.T. 🇱🇨 👩🏿⚕️ @pasl_pt @theLDphysio @physiotalk @PWtherapist Just noticed some research and following up on a case here #physiotalk |
| Karen West 💙 @KWestPhysio @Seanhanley94Me |