#PhysioTalk Transcript
Healthcare social media transcript of the #PhysioTalk hashtag.
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| Profile | Tweet |
|---|---|
 | physiotalk @physiotalk Welcome to tonight’s #physiotalk. We’re talking Long COVID assessment. Join in or listen in, the choice is yours. |
| physiotalk @physiotalk A reminder that we’re learning about a new multi- system disease that cuts across practice and is presenting in massive numbers. Long COVID affects all of our work. Please be respectful and professional towards people at all stages of learning. #physiotalk |
 | Janet Thomas @JanetThomas47 RT @physiotalk: A reminder that we’re learning about a new multi- system disease that cuts across practice and is presenting in massive num… |
 | Omar Khoja @OmarKhoja RT @physiotalk: Long COVID and Physiotherapy Assessment: Safety First #Physiotalk 07/06/21 8pm BST https://t.co/LHzZ16NHqu |
| physiotalk @physiotalk So, before we get started, let’s check in…… How are you this evening? Please introduce yourself, where you are from etc…. And don’t forget the hashtag! #physiotalk |
| Janet Thomas @JanetThomas47 Good evening. Looking forwards to tonights tweetchat. I'll be on the @physiotalk account watching out for your hashtags tonight :) #physiotalk |
 | Helen Harte @Hartey_PT @physiotalk And tonight I'm driving the #physiotalk bus. Looking forward to a vibrant conversation |
 | Community Physio @PhysioCommunity @physiotalk community physio,derbyshire, still learning... #physiotalk |
| physiotalk @physiotalk Welcome! Just a reminder to use the #physiotalk hashtag in your replies |
 | Chris Parton @cjparton1 @physiotalk Looking forward to this evening, student physio (Keele), living in sunny Buxton... #physiotalk |
 | nicola perry-gower @perrynic RT @physiotalk: Long COVID and Physiotherapy Assessment: Safety First #Physiotalk 07/06/21 8pm BST https://t.co/LHzZ16NHqu |
 | María Fernández @minaharker20_12 @physiotalk I'm Maria, from Spain, 32yro, hello! #physiotalk https://t.co/OfThHXVXCi |
| physiotalk @physiotalk A reminder that Tweetchatting is as easy as 1... 2... 3... #physiotalk https://t.co/F5fJHvNLNY |
| María Fernández @minaharker20_12 RT @physiotalk: A reminder that Tweetchatting is as easy as 1... 2... 3... #physiotalk https://t.co/F5fJHvNLNY |
| physiotalk @physiotalk Great to have you all here tonight. Let’s get started with our first question of the evening #physiotalk |
| physiotalk @physiotalk @darrenabrown @LongCOVIDPhysio Welcome and thank you for taking part tonight #physiotalk |
| physiotalk @physiotalk @minaharker20_12 Welcome! #physiotalk |
| physiotalk @physiotalk Qu: Tell us how you do Long COVID assessments in your setting? Are you doing In person or virtual assessment? #physiotalk |
 | Rachel Senior @RachelSenior13 @physiotalk Respiratory physio in Dorset. Interested in long covid and how I as a physio can help not harm #physiotalk |
 | Dr Michelle Bull 💙 @MichelleBull4 @physiotalk Hi all I'm Michelle from sunny Surrey 😎 #physiotalk |
 | Karen West 💙 @KWestPhysio @physiotalk Hi. Karen, community physio and long covid AHP lead for SE Hampshire #physiotalk |
| physiotalk @physiotalk @MichelleBull4 Think tonight it might be sunny most places?! Its even sunny in Edinburgh :) #physiotalk |
| physiotalk @physiotalk RT @RachelSenior13: @physiotalk Respiratory physio in Dorset. Interested in long covid and how I as a physio can help not harm #physiotalk |
 | Ajin J Thomas @ajinjt @physiotalk Physio from Abu Dhabi UAE. Long time since I attended my last #physiotalk |
 | Hannah Malyon @HannahMalyon @physiotalk Hi! Hannah from Berkshire. We are doing both virtual and face to face appointments #physiotalk |
 | Francis @F_MagUidhir @physiotalk In person, 6mwt, steer ramp tests and a lengthy discussion re: hx , meds and goals. 1 hour assessment #physiotalk |
| Community Physio @PhysioCommunity @physiotalk long covid mdt is virtual (not patient facing). long covid patients picked up by routine services (community) are seen f2F #physiotalk |
| Francis @F_MagUidhir @HannahMalyon @physiotalk Are patients mostly happy with the virtual appointments? #physiotalk |
| physiotalk @physiotalk I can see a few tweets slipping through without the hashtag! Just a reminder to put #physiotalk in ALL your tweets - yes even your replies! |
 | Darren Brown @darrenabrown @physiotalk I was assessed in person at @KingsCollegeNHS #PhysioTalk |
| physiotalk @physiotalk @F_MagUidhir @HannahMalyon Great Qu- the future seems to be blended. #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Doing virtual assessments, but have done a couple of visits to people who didn't have tablets / Web cams #physiotalk |
 | Jessica DeMars @BreathewellPT @physiotalk Jessica in 🇨🇦. Mainly virtual (60 min)but do some in-home (90 min) when there are Respiratory or cardiac concerns that may need further objective measures. Virtual is better for those with profound fatigue. #Physiotalk |
| María Fernández @minaharker20_12 RT @physiotalk: I can see a few tweets slipping through without the hashtag! Just a reminder to put #physiotalk in ALL your tweets - yes… |
| María Fernández @minaharker20_12 RT @physiotalk: A reminder that we’re learning about a new multi- system disease that cuts across practice and is presenting in massive num… |
| physiotalk @physiotalk @darrenabrown @KingsCollegeNHS And was that important to you or would you have been equally happy with a virtual or blended assessment? #physiotalk |
| physiotalk @physiotalk @F_MagUidhir @HannahMalyon How would services decide who to offer a virtual vs in person assessment #physiotalk |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk RT @BreathewellPT: @physiotalk Jessica in 🇨🇦. Mainly virtual (60 min)but do some in-home (90 min) when there are Respiratory or cardiac co… |
| physiotalk @physiotalk #physiotalk |
| Darren Brown @darrenabrown @physiotalk @KingsCollegeNHS #PhysioTalk it was important to me. I’ve had to fight so hard to access healthcare. I want humans, not phones/screens. But … my appointment resulted in a crash/relapse/episode for a week after |
| physiotalk @physiotalk RT @darrenabrown: @physiotalk @KingsCollegeNHS #PhysioTalk it was important to me. I’ve had to fight so hard to access healthcare. I want h… |
| physiotalk @physiotalk @darrenabrown @KingsCollegeNHS And thats something really important to consider- assessment burden, escalation of symptoms.... #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Francis @F_MagUidhir @physiotalk @HannahMalyon Good Q. Here in Switzerland we can't bill for virtual appointments which is frustrating during a pandemic! Would love to see it change. #physiotalk |
| physiotalk @physiotalk Just a another gentle reminder to please use the #physiotalk hashtag so everyone can track the conversation |
| Janet Thomas @JanetThomas47 RT @physiotalk: I can see a few tweets slipping through without the hashtag! Just a reminder to put #physiotalk in ALL your tweets - yes… |
| Darren Brown @darrenabrown @physiotalk @KingsCollegeNHS #PhysioTalk in person it felt like there was more opportunity to consider onward referrals. Hold the situation to account. It felt validating to have a service in person. |
 | Cathy Thomson @cathythomsonPT @physiotalk @F_MagUidhir @HannahMalyon would be good if patients were offered the option #physiotalk |
| physiotalk @physiotalk Next Qu: For those active in seeing people with Long COVID both in p0erson or virtually, Do you screen subjectively for Long COVID organ damage? And if so what do you ask? #physiotalk |
| physiotalk @physiotalk @F_MagUidhir @HannahMalyon That is frustrating! Makes you realise how much of healthcare might be driven by the system you work in rather than patient need? #physiotalk |
| nicola perry-gower @perrynic @physiotalk MDT face to face assessments in pulmonary rehabilitation service #physiotalk |
| Darren Brown @darrenabrown @cathythomsonPT @physiotalk @F_MagUidhir @HannahMalyon Yes! This 👆 #PhysioTalk https://t.co/rk2BhgIKrX |
| Hannah Malyon @HannahMalyon @physiotalk @F_MagUidhir We mostly let the patient decide. We offer both. Unless it might be obvious from the referral which one is needed #physiotalk |
| Darren Brown @darrenabrown RT @physiotalk: Next Qu: For those active in seeing people with Long COVID both in p0erson or virtually, Do you screen subjectively for Lon… |
| physiotalk @physiotalk RT @HannahMalyon: @physiotalk @F_MagUidhir We mostly let the patient decide. We offer both. Unless it might be obvious from the referral wh… |
| Helen Harte @Hartey_PT @darrenabrown @cathythomsonPT @physiotalk @F_MagUidhir @HannahMalyon Amen to that #physiotalk |
 | Aimee Robson 💙 @AimeeRobson4 RT @HannahMalyon: @physiotalk @F_MagUidhir We mostly let the patient decide. We offer both. Unless it might be obvious from the referral wh… |
| physiotalk @physiotalk Please excuse the typo in that Qu! #physiotalk |
| physiotalk @physiotalk RT @physiotalk: Next Qu: For those active in seeing people with Long COVID both in p0erson or virtually, Do you screen subjectively for Lon… |
| physiotalk @physiotalk The silence on this is interesting- is there anxiety here about what to screen for, how to ask, whether its necessary? #physiotalk |
 | Tyler @TylerTracy10 @physiotalk #vitalsarevital #physiotalk |
| physiotalk @physiotalk Will tweet out as a poll to see responses from that! #physiotalk |
| Francis @F_MagUidhir @physiotalk #physiotalk concerned with all systems. Many referrals to Neurologists which I found interesting. |
| Darren Brown @darrenabrown @physiotalk Are there effective ways to screen for organ damage subjectively? #PhysioTalk |
| Chris Parton @cjparton1 RT @physiotalk: Long COVID and Physiotherapy Assessment: Safety First #Physiotalk 07/06/21 8pm BST https://t.co/LHzZ16NHqu |
| physiotalk @physiotalk POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk |
| Aimee Robson 💙 @AimeeRobson4 @physiotalk Howdy all 👋 I’m semi lurking bc of little ones’ bedtime 🤞🙏 #hellomynameis Aimee. Physio by background, Deputy director personalised care #physiotalk |
| Community Physio @PhysioCommunity @cathythomsonPT @physiotalk @F_MagUidhir @HannahMalyon yes #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Somewhat reliant on GP to do bloods, ECG, CXR before referring #physiotalk |
| Aimee Robson 💙 @AimeeRobson4 RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk |
| physiotalk @physiotalk @AimeeRobson4 Lurking fully or partially always welcome! #physiotalk |
| Darren Brown @darrenabrown RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk |
| Aimee Robson 💙 @AimeeRobson4 @darrenabrown @physiotalk @KingsCollegeNHS @Pers_Care Darn. hashtag 🙄 #physiotalk |
| physiotalk @physiotalk @KWestPhysio But what about people seeing physio as a first port of call? in private practice perhaps? Not always a referral into a service but person seeking their own care? #physiotalk |
| physiotalk @physiotalk @AimeeRobson4 @darrenabrown @KingsCollegeNHS @Pers_Care You got the #wmty21 hashtag in though :) #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @darrenabrown: @physiotalk Are there effective ways to screen for organ damage subjectively? #PhysioTalk |
| physiotalk @physiotalk Qu: Do you routinely assess for Post Exertional Symptom Exacerbation (PESE) / Post Exertional Malaise (PEM) within the initial assessment? #physiotalk |
| Darren Brown @darrenabrown #PhysioTalk |
| Community Physio @PhysioCommunity @physiotalk @KWestPhysio #physiotalk we do accept self referral too |
| Aimee Robson 💙 @AimeeRobson4 @physiotalk @darrenabrown @KingsCollegeNHS @Pers_Care True 😂 #physiotalk #WMTY21 https://t.co/XIwGpqS4kN |
| Rachel Senior @RachelSenior13 @physiotalk We screen as part of the MDT/referral process . Standard tests though, CXR, ECG, Bloods including ferritin, BNP, DDimer if indicated. I then use really careful questioning to see if I need to try and advocate for my patients to have further investigations. #physiotalk |
| Darren Brown @darrenabrown RT @physiotalk: Qu: Do you routinely assess for Post Exertional Symptom Exacerbation (PESE) / Post Exertional Malaise (PEM) within the init… |
| Dr Michelle Bull 💙 @MichelleBull4 @darrenabrown @physiotalk Really interesting indeed #physiotalk |
| Jessica DeMars @BreathewellPT @darrenabrown @physiotalk Agree Darren! Most people I have seen have had CXR +\- CT scan, PFT and echo/ECG; if not I help them get at least those done if SOB or tachycardia. I ask about HR (if they track it and notice changes). In person I check HR, SpO2 and BP. #physiotalk |
| Cathy Thomson @cathythomsonPT @physiotalk Not possible to screen subjectively......... sounds like it's possible to rule out pathology from the subjective. Need a thorough medical assessment and appropriate investigations to screen. #physiotalk |
| Francis @F_MagUidhir @physiotalk #physiotalk it is present in approx 90% of my patients. We don't use an objective measure. Do others use a standardised tool for this? |
 | Claire Jones @Claire145 @physiotalk #physiotalk this is interesting... not active in seeing these patients but as a physio ACP I would want to screen myself by checking for any red flag symptoms for cardiac, resp or neuro issues. Refer on/back where indicated before proceeding with treatment |
| Dr Michelle Bull 💙 @MichelleBull4 Really hoping the answer is yes on this one!! #physiotalk |
| physiotalk @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity @KWestPhysio so can I ask what sorts of questions you are asking? #physiotalk |
| physiotalk @physiotalk RT @MichelleBull4: Really hoping the answer is yes on this one!! #physiotalk https://t.co/0tbsCU5BWr |
| Community Physio @PhysioCommunity #physiotalk nly if subjective indicates this or if referred in with long covid. might be suffering and not aware when come to us. |
| Helen Harte @Hartey_PT Fingers Crossed #physiotalk |
| Cathy Thomson @cathythomsonPT @physiotalk I'm glad that the term PESE is being used - much more relevant and encompasses all symptoms not just malaise/fatigue #physiotalk |
| physiotalk @physiotalk RT @cathythomsonPT: @physiotalk I'm glad that the term PESE is being used - much more relevant and encompasses all symptoms not just malais… |
| Darren Brown @darrenabrown @F_MagUidhir @physiotalk That’s a high proportion. Interesting finding. How do you identify those with PESE/PEM in your clinical setting? I’d love to hear what others are using as screening tools. #PhysioTalk |
| Darren Brown @darrenabrown RT @cathythomsonPT: @physiotalk I'm glad that the term PESE is being used - much more relevant and encompasses all symptoms not just malais… |
| physiotalk @physiotalk #physiotalk |
| Darren Brown @darrenabrown @cathythomsonPT @physiotalk #PhysioTalk https://t.co/QinuY9TWYN |
| physiotalk @physiotalk RT @physiotalk: POLL: Do you screen subjectively for Long COVID organ damage? #physiotalk |
| physiotalk @physiotalk Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived experience talk about gaslighting. #physiotalk |
| Rachel Senior @RachelSenior13 @physiotalk I certainly try to! From my limited experience, sometimes it seems so obvious and sometimes very nuanced. #physiotalk |
| Community Physio @PhysioCommunity @physiotalk @BreathewellPT @darrenabrown @KWestPhysio #physiotalk apart from conversation i have seen diary type assessments used |
| Darren Brown @darrenabrown @F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c |
| physiotalk @physiotalk #physiotalk https://t.co/oOYW3NARnv |
| physiotalk @physiotalk Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures within the standard dataset? #physiotalk |
| physiotalk @physiotalk RT @darrenabrown: @F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c |
| Darren Brown @darrenabrown RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp… |
 | Emma @EmmaGentle16 RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp… |
| Aimee Robson 💙 @AimeeRobson4 RT @physiotalk: Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures… |
| Darren Brown @darrenabrown RT @physiotalk: Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures… |
| Aimee Robson 💙 @AimeeRobson4 RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp… |
| Dr Michelle Bull 💙 @MichelleBull4 RT @darrenabrown: @F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c |
| Community Physio @PhysioCommunity @physiotalk #physiotalk EKOS (east kent outcomes scale) very goal oreitated and patient centred, the rest is up to us |
| physiotalk @physiotalk Over halfway through but still quite a few tweets getting sent without hashtags We are trying to find them all - but please do try to add the #physiotalk hashtag to ALL your tweets and replies Thank you! |
| Darren Brown @darrenabrown @physiotalk Interestingly the measurement tools used where I work and where I was assessed are not the same. #physiotalk |
| Cathy Thomson @cathythomsonPT @physiotalk thank you for acknowledging this. So important to listen to understand not judge. As a physio with longcovid we bring our clinical expertise as well as lived experience so have valuable insight #physiotalk |
| Emma @EmmaGentle16 @physiotalk We use EQ 5D 5L and TOMs as standard for all but will do specific outcome measures for specific issues e.g. for mental health, breathlessness #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @physiotalk: Really great conversation tonight- very insightful. Qu: What does your organisation require you to use as Outcome Measures… |
| Francis @F_MagUidhir @darrenabrown @physiotalk #physiotalk I use four questions to determine mental or physical stress or fatigue after an effort that was previously easy. After first training session I ask pts to let me know how the next three days go. 90% report feeling fatigue. Not sure that constitutes PESE tho. |
| Hannah Malyon @HannahMalyon @physiotalk Currently have gad 7 and phq 9. But will use relevant outcome measures based on symptoms when required. E.g. if patient is being mostly seen for BPD then we use appropriate to that. Open to suggestions. #physiotalk |
| Cathy Thomson @cathythomsonPT @F_MagUidhir @darrenabrown @physiotalk What 4 Q? #physiotalk |
| physiotalk @physiotalk @cathythomsonPT @F_MagUidhir @darrenabrown Just about to ask the same question! #physiotalk |
| Community Physio @PhysioCommunity @F_MagUidhir @darrenabrown @physiotalk #physiotalk what are the questions? |
| Rachel Senior @RachelSenior13 @darrenabrown @physiotalk Which ones do they use #physiotalk 🤦♀️ |
 | KarenPhysioCoUk @karenphysiocouk RT @physiotalk: Qu: Do you routinely assess for Post Exertional Symptom Exacerbation (PESE) / Post Exertional Malaise (PEM) within the init… |
| physiotalk @physiotalk @HannahMalyon BPD? #physiotalk |
| Helen Harte @Hartey_PT @HannahMalyon @physiotalk So is this standard for all? I wonder why the emphasis on anxiety & depression? #physiotalk |
| Helen Harte @Hartey_PT @physiotalk @HannahMalyon Breathing pattern disorder #physiotalk |
| Darren Brown @darrenabrown @cathythomsonPT @F_MagUidhir @physiotalk These questions could prove useful #PhysioTalk https://t.co/d1HIhyoAGX |
| Community Physio @PhysioCommunity @physiotalk @HannahMalyon #physiotalk sorry, what is bpd? |
| Karen West 💙 @KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity Using a few PROMS - asking about mood, SOB, brain fog, anxiety and fatigue. Will complete 1 min sit to stand to look for POTS and desaturation if needed #physiotalk |
| physiotalk @physiotalk RT @darrenabrown: @cathythomsonPT @F_MagUidhir @physiotalk These questions could prove useful #PhysioTalk https://t.co/d1HIhyoAGX |
| physiotalk @physiotalk something of a follow up Qu: Do you feel empowered to use your clinical reasoning to decide which measures to use? #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @darrenabrown: @cathythomsonPT @F_MagUidhir @physiotalk These questions could prove useful #PhysioTalk https://t.co/d1HIhyoAGX |
| physiotalk @physiotalk RT @Hartey_PT: @physiotalk @HannahMalyon Breathing pattern disorder #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Janet Thomas @JanetThomas47 @Hartey_PT @physiotalk @HannahMalyon Thank you! I could only think of Borderline Personality Disorder and I was pretty sure that wasn't what was meant! #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity I generally start off inviting patient to tell their story, from the beginning if they want. Then I ask questions to clarify and add narrative to PROMS. #physiotalk |
| Hannah Malyon @HannahMalyon @Hartey_PT @physiotalk I'm very interested to see what everyone else is using, still growing, learning and developing our service #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Emma @EmmaGentle16 @physiotalk Yes and I think this is important - everyone's story and presentation is unique and therefore different outcome measures will be needed for different individuals. I see value in having additional standardised outcome measures which encompass various domains of health #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk Go by patient history #physiotalk , they tend to tell you almost everything you need to know #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @KWestPhysio: @physiotalk Go by patient history #physiotalk , they tend to tell you almost everything you need to know #physiotalk |
| Cathy Thomson @cathythomsonPT @KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity That's great practice. Being heard, listened to and having the experience validated is so important and therapeutic in itself #physiotalk |
| physiotalk @physiotalk RT @EmmaGentle16: @physiotalk Yes and I think this is important - everyone's story and presentation is unique and therefore different outco… |
| Cathy Thomson @cathythomsonPT @EmmaGentle16 @physiotalk such as? #physiotalk |
 | Joan McParland #LongME22years @JoanMcParland RT @darrenabrown: @F_MagUidhir @physiotalk Just incase … here’s some info #Physiotalk https://t.co/3NeWSVU23c |
| Karen West 💙 @KWestPhysio @cathythomsonPT @physiotalk Exertion certainly makes brain fog worse, not just physical activity - mental and emotional effort makes people feel worse #physiotalk |
| Helen Harte @Hartey_PT @HannahMalyon @physiotalk Thanks Hannah- context is key :) Still hearing horrorstories out there that *some* clinicians think LC is psychosomatic..... #physiotalk |
| physiotalk @physiotalk RT @HannahMalyon: @Hartey_PT @physiotalk I'm very interested to see what everyone else is using, still growing, learning and developing our… |
| physiotalk @physiotalk RT @KWestPhysio: @cathythomsonPT @physiotalk Exertion certainly makes brain fog worse, not just physical activity - mental and emotional e… |
| Francis @F_MagUidhir @darrenabrown @cathythomsonPT @physiotalk I'm going to translate this to french and I'll see how it goes. Your site is great BTW. #physiotalk |
| Cathy Thomson @cathythomsonPT @KWestPhysio @physiotalk I crashed in August 2020 after too much cognitive effort and have yet to return to my pre-crash level :-/ #physiotalk |
| physiotalk @physiotalk Heading onto the home straight for tonight’s chat, our last question coming up, but of course you can keep chatting…… #physiotalk |
| physiotalk @physiotalk Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk |
| Janet Thomas @JanetThomas47 RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk |
| Darren Brown @darrenabrown RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk |
| Claire Jones @Claire145 @ricardoNOmesqui @darrenabrown @physiotalk #physiotalk I would suggest screening questions for red flag symptoms, followed by routine tests (e.g. ECG if cardiac sx) if necessary, looking to delve deeper as required... e.g. rapid access chest pain clinics/echocardiogram etc |
| Claire Jones @Claire145 @ricardoNOmesqui @darrenabrown @physiotalk #physiotalk also safety netting is so important... organ damage symptoms could potentially show signs later down the line or progress |
| Hannah Malyon @HannahMalyon @Hartey_PT @physiotalk Goodness me no! At the Royal Berkshire the long covid service was born from the pain department, so maybe that is where thoughts of gad and phq came from. I have only been in post for 4 weeks. So learning as much as I can and growing as a team. #physiotalk |
| Francis @F_MagUidhir @physiotalk @cathythomsonPT @darrenabrown Will reply tomorrow! Brain dead but the gist is ADLs that they now find difficult and how they currently cope with effort and consequences of exertion. #physiotalk |
| Karen West 💙 @KWestPhysio @HannahMalyon @physiotalk Are you using the Nijmegen questionnaire? #physiotalk |
| Hannah Malyon @HannahMalyon @KWestPhysio @physiotalk Yes we do. #physiotalk |
| Darren Brown @darrenabrown @Claire145 @ricardoNOmesqui @physiotalk This is happening lots. Many either developing issues later, or waiting a long time for investigations. I’ve only just been diagnosed with pulmonary impairment 14 months after infection #PhysioTalk |
| Karen West 💙 @KWestPhysio @physiotalk Getting there - at the beginning I just wanted anything to point me in the right direction to know where to start #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Cathy Thomson @cathythomsonPT @Claire145 @ricardoNOmesqui @darrenabrown @physiotalk And examples of new pathology developing along the timeline. Important to stay vigilant #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk We were sending out PROMS and questionnaire prior to appointment and doing initial based on their answers. Will soon move to using the Living With Covid app instead #physiotalk |
| physiotalk @physiotalk For those who may not have seen it - https://t.co/j0zrHX0yrr #physiotalk |
| Karen West 💙 @KWestPhysio @cathythomsonPT @EmmaGentle16 @physiotalk WSAS #physiotalk |
| Helen Harte @Hartey_PT Tweet of the night for me... stay viglilant. LC so messy, unpredictable. #physiotalk |
| Darren Brown @darrenabrown RT @Hartey_PT: Tweet of the night for me... stay viglilant. LC so messy, unpredictable. #physiotalk |
| Francis @F_MagUidhir @physiotalk Amazing #physiotalk |
| physiotalk @physiotalk Can you believe that’s the hour almost up? I hope you’ve enjoyed our tweetchat this evening. Thank you for your contribution- it is always highly valued by us. Stay happy & healthy. #physiotalk |
| physiotalk @physiotalk RT @physiotalk: Qu: How do you decide when to advocate for physical activity and when to #StopRestPace? #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk WSAS https://t.co/Edv5tT4x1w #physiotalk |
| physiotalk @physiotalk @KWestPhysio @cathythomsonPT @EmmaGentle16 Work and social adjustment scale?? Checking acronyms again! #physiotalk |
| physiotalk @physiotalk One I think we might need to return to on another #physiotalk Tweetchat. Would people be up for that? |
 | ACPSEMdance @ACPSEMdance RT @KWestPhysio: @physiotalk WSAS https://t.co/Edv5tT4x1w #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @physiotalk #physiotalk has this question got missed by people? I'm intrigued..... |
| ACPSEMdance @ACPSEMdance RT @physiotalk: For those who may not have seen it - https://t.co/j0zrHX0yrr #physiotalk |
| physiotalk @physiotalk #StopRestPace I mean #physiotalk |
| physiotalk @physiotalk @MichelleBull4 Not sure! Just retweeted it in case it was... Plenty of time to respond as well, as we won't pull the transcript for a while #physiotalk |
| Francis @F_MagUidhir @physiotalk We need to discuss treatment ! #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk @cathythomsonPT @EmmaGentle16 Sorry, did post a reference but it is somewhere else in the chat! #physiotalk https://t.co/Edv5tT4x1w |
| Community Physio @PhysioCommunity @MichelleBull4 @physiotalk #physiotalk |
| physiotalk @physiotalk @F_MagUidhir Yes we do! #physiotalk |
| physiotalk @physiotalk RT @KWestPhysio: @physiotalk @cathythomsonPT @EmmaGentle16 Sorry, did post a reference but it is somewhere else in the chat! #physiotalk… |
| Hannah Malyon @HannahMalyon @physiotalk I think it should be based on the individual. #physiotalk |
| physiotalk @physiotalk @KWestPhysio @cathythomsonPT @EmmaGentle16 Thanks! #physiotalk |
| physiotalk @physiotalk Hope to see you again in a fortnight for our next #physiotalk we’ll be announcing the topic soon. |
| Claire Jones @Claire145 @physiotalk #physiotalk I'm talking as a bit of an outside here as I work in Cardiac Rehab and not seeing long covid patients... or am I?? I see patients who have had MI and COVID who have LVSD - very similar symptoms of breathlessness and/or fatigue/PEM... |
| Dr Michelle Bull 💙 @MichelleBull4 RT @physiotalk: @MichelleBull4 Not sure! Just retweeted it in case it was... Plenty of time to respond as well, as we won't pull the trans… |
| physiotalk @physiotalk We’ll pull the transcript in a while (so please do keep talking) and it will be available soon via Twitter and the website. #physiotalk |
| physiotalk @physiotalk #physiotalk |
| María Fernández @minaharker20_12 RT @physiotalk: Sensitive and respectful communication is so important when we’re talking about Long COVID. Too many people with lived exp… |
| Karen West 💙 @KWestPhysio @ricardoNOmesqui @darrenabrown @physiotalk I am fortunate in having a consultant in MDT to talk through patients with #physiotalk |
| Rachel Senior @RachelSenior13 @physiotalk Very individual. #Physiotalk |
| physiotalk @physiotalk And continue to use the hashtag otherwise it won't be in the transcript! #physiotalk |
| Claire Jones @Claire145 @physiotalk #physiotalk I advise these patients to #stoprestpace on particularly bad days. Gentle exercise tailored to the individual on other days... May be seated, may be gentle strength work may be a short walk. But never over exert on the good days despite feeling well |
| Jessica DeMars @BreathewellPT @KWestPhysio @physiotalk @darrenabrown @PhysioCommunity Absolutely this! I want them to tell me what is going on - in their own words. #physiotalk |
| physiotalk @physiotalk #physiotalk |
| Hannah Malyon @HannahMalyon @KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity Agreed #physiotalk |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk #physiotalk |
| María Fernández @minaharker20_12 @physiotalk 1st home health visit with a person with #longcovid, tomorrow morning #physiotalk |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk #physiotalk |
| physiotalk @physiotalk @F_MagUidhir @darrenabrown @cathythomsonPT @LongCOVIDPhysio The joys of twitter! #GlobalPT #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity Initial assessments have often been very emotional experiences, often the first time people have told their story to an HCP. #physiotalk |
| Karen West 💙 @KWestPhysio @physiotalk @BreathewellPT @darrenabrown @PhysioCommunity We screen for PTSD, just as common in those who were hospitalised as those who weren't #physiotalk |
| Karen West 💙 @KWestPhysio @BreathewellPT @physiotalk @darrenabrown @PhysioCommunity We need another @physiotalk next week to discuss management of long covid, an hour wasn't really long enough to discuss assessment! #physiotalk |
| Dr Michelle Bull 💙 @MichelleBull4 @KWestPhysio @BreathewellPT @physiotalk @darrenabrown @PhysioCommunity Agreed #physiotalk still so much more to discuss |
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