Mark Schwall @mschwall

Get up and move!

Louisa Nicola @louisanicola_

4 months ago

You think the cognitive fatigue hits because the meetings are difficult. It often starts because you stopped moving. A recent crossover trial showed that just three hours of uninterrupted sitting reduced executive function, slowed processing speed, increased mental fatigue, and

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Robert Mueller died last night. He was 81 years old. He had a wife who loved him for sixty years. He had two daughters, one of whom he met for the first time in Hawaii, in 1969, on a few hours of military leave, before he got back on the plane and returned to Vietnam. He had grandchildren. He had a faith he practiced quietly, without performance. He had, in the way of men who have seen real things and survived them, a quality that is increasingly rare and increasingly mocked in the country he spent his life serving. He had integrity. And tonight the President of the United States said good! I have been sitting with that word for hours now. Good. One syllable. The thing you say when the coffee is hot or the traffic is moving. The thing a man who has never had to bury anyone, never had to sit in the specific silence of a room where someone is newly absent, reaches for when he wants the world to know he is satisfied. Good. The daughters are crying and the wife is alone in the house and good. I want to speak directly to the Americans reading this. Not the political Americans. Just the human ones. The ones who have lost a father. The ones who know what it is to be in that first hour, when you keep forgetting and then remembering again, when ordinary objects become unbearable, when the world outside the window seems obscene in its indifference. I want to ask you, simply, to hold that feeling for a moment, and then to understand that the man you elected looked at it and typed a single word. Good. This is not a country having a bad day. I need you to understand that. Countries have bad days. Elections go wrong. Leaders disappoint. Institutions bend. But there is a different thing, a rarer and more terrible thing, that happens when the moral center of a place simply gives way. Not dramatically. Not with a single catastrophic event. But quietly, in increments, until one evening a president celebrates the death of an old man whose family is still warm with grief, and enough people find it acceptable that it becomes the weather. Just the weather. That is what is happening. That is what has happened. The world knows. From Tokyo to Oslo, from London to Buenos Aires, people are not angry at America tonight. Anger would mean there was still something to fight for, some remaining faith to be betrayed. What I see, in the reactions from everywhere that is not here, is something older and sadder than anger. It is the look people get when they have waited a long time for someone they love to find their way back, and have finally understood that they are not coming. America is being grieved. Past tense, almost. The idea of it. The thing it represented to people who had nothing else to believe in, who came here with everything they owned in a single bag because they had heard, somehow, across an ocean, that this was the place where decency was written into the walls. That idea is not resting. It is not suspended. It is being buried, in real time, with 7,450 likes before dinner. And the church said nothing. Seventy million people have decided that this man, this specific man who has cheated everyone he has ever made a promise to, who has mocked the disabled and the dead and the grieving, who celebrated tonight while a family wept, is an instrument of God. The pastors who made that bargain did not just trade away their credibility. They traded away the thing that made them worth listening to in the first place. The cross they carry now is a costume. The faith they preach is a loyalty oath with scripture attached. When the history of American Christianity is written, this will be the chapter they skip at seminary. Now I want to talk about the men who stand next to him. Because this is the part that actually breaks my heart. JD Vance is not a bad man. I have to say that, because it is true, and because the truth matters even now, especially now. Marco Rubio is not a bad man. Lindsey Graham is not a bad man. They are idiots, but not bad, as in BAD! These are men with mothers who raised them and children who love them and friends who remember who they were before all of this. They are not monsters. Monsters are simple. Monsters do not cost you anything emotionally because there is nothing in them to mourn. These men are something more painful than monsters. They are men who knew better, and know better still, and will get up tomorrow and do it again. Every small compromise they made had a reason. Every moment they looked the other way had a justification that sounded, at the time, almost reasonable. And now they have arrived here, at a place where a president celebrates the death of an old man and they will find a way, on television, to say nothing that means anything, and they will go home to houses where children who carry their name are waiting, and they will say goodnight, and they will say nothing. Their oldest friends are watching. The ones who knew Rubio when he still believed in something. Who knew Graham when he said, out loud, on the record, that this exact man would destroy the Republican Party and deserve it. Who sat next to Vance and thought here is someone worth knowing. Those friends are not angry tonight. They moved through anger a long time ago. What they feel now is the quiet, irrecoverable sadness of watching someone disappear while still being present. Of watching a person they loved choose, again and again, to become less. That is what cowardice costs. Not the coward. The people who loved him. And in the comments tonight, the followers celebrate. People who ten years ago brought casseroles to grieving neighbours. Who stood in the rain at gravesides and meant the words they said. Who told their children that we do not speak ill of the dead because the dead were someone's beloved. Those people are tonight typing gleeful things about a man whose daughters are not yet done crying. And they feel clean doing it. Righteous. Because somewhere along the way the thing they were given in exchange for their decency was the feeling of belonging to something, and that feeling is very hard to give up even when you can no longer remember what you gave for it. When Trump is gone, they will still be here. Standing in the silence where the noise used to be. Without the permission the crowd gave them. Without the pastor who told them their cruelty was holy. They will be alone with what they said and what they cheered and what they chose to become, and there will be no one left to tell them it was righteous. That morning is coming. Robert Mueller flew across the Pacific on military leave to hold his newborn daughter for a few hours before returning to the war. He came home. He buried his dead with honour. He served presidents of both parties because he understood that the institution was larger than any one man. He told his grandchildren that a lie is the worst thing a person can do, that a reputation once lost cannot be recovered, and he lived that, every day, in the quiet and unglamorous way of people who actually believe what they say. He was the kind of American the world used to point to when it needed to believe the story was true. He died last night. His wife is alone in their house in Georgetown. His daughters are learning what the world is without him in it. And somewhere in the particular hush that falls over a family in the first hours of loss, the most powerful man and the biggest loser on earth sent a message to say he was glad. The world that loved what America was supposed to be is grieving tonight. Not for Robert Mueller only. For the country that produced him and then became this. For the distance between what was promised and what was delivered. For the suspicion, growing quieter and more certain with each passing month, that the America people believed in was always partly a story, and the story is over now, and there is nothing yet to replace it. That is all it needed to be. A man died. His family is broken open with grief. That is all it needed to be. Instead the President said good. And the country that once stood for something looked away 🇺🇸 Gandalv / @Microinteracti1

This!

Important lengthy read re: follow up on @EPotterMD’s video about @UHC interrupting her during her pt’s surgery 👇

Bill Ackman @BillAckman

2 years ago

I promised to come back to @X after I investigated the facts concerning @EPotterMD's video post about @UHC and its health insurance subsidiary, UnitedHealthcare. To review, I made an @X post in response to Dr. Potter's videos and X posts about an overzealous representative of

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Now in the Archives Finding predictive factors of #exercise adherence in randomized controlled trials on #lowbackpain: an individual data re-analysis using #machinelearning techniques #OpenAccess at archives-pmr.org/article/S0003-… #pain #physiatry

@NicoleStoutPT @AmericanCancer Congratulations.

Physical activity ftw

@UberPT Pepperoncini is the secret sauce to my Mississippi pot roast.

@txsportsdoc @hjluks Ditto

Outstanding thread.

James Noake @DrJN_SportsMed

5 years ago

I use MRI in lower back pain 🤭 I also get asked frequently how I manage the scan follow up consults & handle patient Qs So here is a mini-thread which gives a little comms synopsis - some may nod sagely, others may roll their eyes - that’s cool - no right or wrong.

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@orthogal21 Kegels will help but you'll do better with a physical therapist who specializes in pelvic floor rehab. Some research shows kegels are often not done correctly. Also the issues can be more complex than simply needing to do kegel exercises.

@UberPT Boom!

@Rizzo_Reb @Jerry_DurhamPT As the Spanish language commentator would say "PERPHECTO!"

@OnTapPhysio Sorry this happened. Hang in there.

@DaveKittleNow @Jerry_DurhamPT I'm pretty sure that he exceeded his quota of whiskey following that fabulous Phillies walkoff victory . 🤣

@NickHoopes_ @Jerry_DurhamPT 🤣🤣🤣

@Jerry_DurhamPT Rent.

@criticalipt HCWs are like the plumber's house.

@agordon55 DOMS is proof of their skepticism. "See this is never gonna work. I'm so sore. I quit!"😀

Let’s talk about something that I think will be critical going into the 2024 election. My eighty year old Dad has logged tens of thousands of miles as a runner over the last 50 years. While he’s slowed down a bit, he still hits the gym at least 3-4 mornings a week. Freezing cold, shin deep snow, 100 plus degree heat, stiff winds….or a down pour of frog choking rain? Didn’t matter. He went. He wasn’t all hyped up wanting to lose twenty pounds, or just wanting to look better for the coming summer. Those folks weren’t runners, to him. They were just people who were using running as a means to a temporary end. He was a runner. It was part of his identity. He didn’t need to get “psyched up” to go run when it was cold enough to frost your eye lashes as your exhaled breath rose upward. If you were a runner, running is just what you did. It was really as simple as that. What’s my Dad’s identity as a runner have to do with the 2024 election? We have a potential crisis that we must avoid. The more I look around, the more I see people clinging to the hope of the indictments, prosecutions and convictions of Donald Trump and his inner circle for their motivation. More specifically, they feel it must happen before 2024, to hobble his chances at being re-elected. As a psychology guy, I am concerned about that. Fortunately, with this tweet….I offer a solution to what I am concerned about. Like the person who wants to just look better for the coming summer, who runs their ass off in April & May…but then regresses to kicking back in their recliner as the summer heat, and then winter cold arrives, so, too, can the person praying that Trump is convicted before 2024 to “save the country” find themselves drifting into a mind numbing fog of “Fuck it. There’s no sense in even voting, now” if Trump isn’t convicted before 2024. That’s how goals fail us. We make one thing contingent on the other. If we achieve the goal, we’re pumped up. If we fail to reach the goal…like seeing Trump convicted of serious crimes before 2024…we are instantly deflated, and the motivation that kept us moving forward…is now gone. This is why our identity is so crucial. See, if I AM a voter, and I see that as just being part of who I AM….then, just like my Dad BEING a runner, voting is simply a byproduct of who I AM. No matter what. Thunderstorm? Don’t feel good? Snowing like hell? Leg in a cast? Dog just died? It. Doesn’t. Matter. I AM a voter. Thus, I will get up off of my ass….and go vote. For every excuse someone else can think of as a reason for why they wouldn’t go vote, as a VOTER….something I AM…I have long ago planned for taking care of it….or have a backup plan…where applicable. For the things I can’t control…like weather…I just forge on through it. I have to. I AM a voter. The mental and emotional anguish I would feel if I didn’t behave in a way that is consistent with who I AM, is simply not something I’m willing to endure…for any reason. Who are you? No. I mean WHO are you? Can you answer that question in the context of the 2024 election (or any other election)? Shift from seeing voting as something you usually do, to making it part of your identity; something you ARE. It feels empowering to BE a voter. It also ensures that even when something you hoped for, doesn’t happen, and you fall into the dumper, emotionally, you STILL cast your ballot. It’s just automatic, and requires no pep talk. It you ARE a voter, you will vote. It’s as simple as that. See how many VOTERS you can create this week, and the next, and the next…. Let’s win this thing. Start helping to create new identities.