https://padlet.com/rosamundheath/ukcqhz5j9qqf Made with wonder en-us 2018-05-28 08:56:16 UTC 2026-05-14 22:06:08 UTC hello@padlet.com rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/323938439 What happened? How does it impact on a patient's life?  The answer, of course, is that has  a detrimental effect on the patient's life.
My patient today presented with a complaint (Adhesive Capsulitis) which was being maintained by her PMR condition (B2, B3, B4).  Unfortunately, my patient only came for two appointments, as I think she used the clinic as a stop-gap until she could get the prescription for the prednisalone increased.  Sadly, although she was booked in for more treatments, I was unable to get her on-board to try a few treatments and see if they improved her condition long term although she did admit after the second treatment that her pain was reduced; I also wonder whether she couldn't afford long-term treatment to resolve her issues so the medication was the best solution for her (C3, C5). However, the more I understand about auto-immune conditions, the more I understand how important it is for us to support the patient's underlying health to allow their bodies to heal (C3, B2, B3, B4, C7). This experience has shown me how important it is to explain to patients what we can do to help their condition and their health and to involve them in shared decision making (A2, A3, A5, A6).
PMR presentation (see attached):  I wrote this presentation for a group clinic presentation;  I learned a lot about PMR and the signs and symptoms it presents with (B2, B3, B4), it helped me understand more about the condition and how I can help patients in future. One of the most important things was looking up the red flags for this condition, making me aware of when patients should be referred back to the GP for management of the condition, if the condition is not under control (C7, C9, D1D4)]]> 2019-01-24 14:54:39 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/323938439 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/323938509 My patient today also, apart from suffering from PMR, had vitiligo and had an underactive thyroid (B2, B3, B4). This condition is thought to be another auto-immune condition, in this particular patient I think her body was stressed when she had a breast reduction done.  Although she told me the operation had very definitely been a success, I suspect the shock of the operation to her body, such as anaesthetic use and the change of posture dynamics (B2, B3, B4) had a big impact on her body as she told me the vitiligo had started around the time of the surgery.
What have I learned? That so many auto-immune diseases happen when the body is stressed and can no longer cope with its environment (B2, B3, B4, C3, C7) that although homeostasis continues, the body adapts by shutting off the part of the body that is under threat. In a world where people are increasingly stressed, auto-immune diseases are going to become increasingly common. Going forward, I think it is important to be aware/on the look out for these conditions to help our patients' bodies cope with the ongoing load on their bodies as these conditions are likely to continue manifest themselves in an increasingly stressful world (B2/B3/B4)


]]> 2019-01-24 14:54:46 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/323938509 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324654997 I investigated how PMR affects the hip and lumbar spine (B2/B3/B4) as I was not sure of the process and found that interspinous bursitis is common in PMR, although interestingly, it is not associated with spinal pain. What did I do next? I investigated the ddx which are associated with PMR for the hip to help my understanding of this condition and for when I have another patient with PMR. This patient very much helped me understand auto-immune conditions and how they play out in the body's postural compensation patterns (B2/B3/B4/C3/C7)]]> 2019-01-27 10:26:20 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324654997 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324655043 2019-01-27 10:26:57 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324655043 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324655348 PMR is diagnosed with a blood test and prescription of prednisalone, if the symptoms reduce when the medication is taken, it is a 'positive' for PMR (B2, B3, B4, A5, A6)]]> 2019-01-27 10:31:15 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324655348 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324655432 Where is it? Separates external surface of hip joint capsule from the tendon of the iliopsoas muscle.  Most proximal of part of the iliopectineal bursa lies on the iliopubic eminence of the superior pubic ramus.
What is it associated with? hip diseases
eg osteoarthritis, rheumatoid arthritis (B2, B3, B4)
Largest bursa in the body.
Excessive friction/ post traumatic injury
- pain made worse by hip extension; palpate femoral triangle]]> 2019-01-27 10:32:29 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324655432 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656118 2019-01-27 10:40:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656118 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656219 2019-01-27 10:42:12 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656219 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656462 2019-01-27 10:45:09 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656462 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656834 2019-01-27 10:49:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324656834 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324657067 2019-01-27 10:51:29 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/324657067 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344286034 2019-03-22 16:08:18 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344286034 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344295308 2019-03-22 16:28:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344295308 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344303953 Anatomy Workshop Day - B2, B3, B4]]> 2019-03-22 16:48:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344303953 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344304212 2019-03-22 16:48:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344304212 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344579527 A few years ago my step-uncle's wife was diagnosed with Alzheimer's disease, followed soon after with him being diagnosed with terminal prostate cancer. As he entered the last year of his life, I saw how her illness started taking over her health (A1, A2, A5, B2, B3, B4, C3, C4, C5, C6, C7, C8, C9, D1, D2, d4, D5, D6, D7, D8, D14, D17).  It is a very destructive illness, for which there is no cure and which opens up a huge chasm of consent issues (A4).  The ability of being able to communicate goes (A4), and so does the ability to remember what you might have been thinking just one minute earlier.  I have seen first-hand how my relative stops in mid-sentence, as she realises she can't remember what she was going to say, and how repetitive she gets about certain issues, such as wanting a new puppy as a companion for the walks she took every day even though it was completely impossible; she couldn't remember to give it meals or even whether she had fed the puppy.   It is such a sad illness, as you watch how someone's brain and memory is destroyed, little by little.   It means that these patients are unable to reach out for treatment unless they have a carer with power of attorney who can give permission for them to have treatment; however I think even this is questionable; how can they give consent for treatment for someone else - when that person can't remember why they have been taken for treatment when they weren't able to remember what was hurting? A2, A3, A4, A5, A6, C3, C4, C5, C6, C7, C8, D1, D6, D14, D17).
Although we were advised not to do a presentation on a condition that we had first hand experience of, I felt that it would enhance my experience and understanding of this condition as my step-aunt's illness worsens.
For me, it was very pertinent to do this presentation; as I have seen how this lady has deteriorated over the last year; I know first hand the dilemma that may be faced by me when I am presented with a patient with Alzheimer's (A1, A2, A3, B2, B3, B4, C3, C5, C7)
I know it may not be possible to treat a potential patient; but I think also it will depend on how advanced the Alzheimer's is and whether the patient is able to remember why they came for treatment, (A2, A3, A4, A5) whether they are able to give valid consent for treatment.
This has enhanced my knowledge and understanding of this condition (B2, B3, B4); and means that I know I will have a difficult decision to make with regard to informed consent and shared decision making A4,A5), but having learned so much about this condition, although it will not be an easy one to make, I know I will be able to make the correct decision regarding treatment of these patients (B2, A3)]]> 2019-03-24 16:59:16 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/344579527 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346456159 What did I find hard in year 1?
I struggled in all the practical courses.  I felt very unconfident and intimidated by being surrounded by people who seemed more confident than myself, although in retrospect, probably only a handful were very confident with their previous knowledge.  I struggled with these classes due to my poor anatomy knowledge (B3), and the inability to keep up with the anatomy we were learning at a very fast pace, in a 2D style, mostly, although the anatomy models were brought out at the beginning of a new section of the body. Although we had the privilege of going to prosection at Sussex university, in retrospect it was really too soon to have any real benefit, although it was useful, more frequent would be have been beneficial but probably impractical given the heavy timetable.
The practical exam results reflected my struggles in the practical courses (B1) and were a true reflection of not enough practice, as well as not understanding how the practical exams would be (B2); how much theory I would need to be able to remember in a stressful and very hot environment.
At the beginning of the third term I managed to get some mentoring to help with the technique course.  I managed to scrape a pass in this course and when it came to resitting the practical exams, again I received extra help to help me pass these exams second time around (B2).  This time my knowledge and understanding had vastly improved. My reflective write up that I had to do as part of the year 1 studies reflected these struggles completely (B3).
What did I do well in? Academically I managed quite well (B2, B3), especially the anatomy and the reflective essays; despite the initial struggle to learn all the anatomy week by week; when it came to the exams I managed to apply myself to the task of memorising enough anatomy that I passed this exam; as well as the physiology exam which was not as hard, due to the amount of similar information I had learned the previous year on the Access course I had done (B2, B3, B4).]]> 2019-03-29 09:02:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346456159 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346473058 2019-03-29 10:00:01 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346473058 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346483069 What happened? I was already worried and stressed about how I was going to manage to succeed on the course.  These emails were written to the manager of the access course I had done the previous academic year, as for me she epitomised positive achievements.  On the Access course there were people with a variety of academic achievements in their previous histories; however this did not stop her from admitting those with no previous academic achievements onto the course: for her determination and grit were equally important to achieve on the access course. By writing these emails I had an outlet (A1) someone who would understand and help support me mentally.  helped me understand my concerns (A2). She listened to me and  She certainly did that and more (A3); on these (access) courses it is survival of the most mentally, tough and fit as the others drop by the wayside; and our first year at the ESO reflected that too as more than one third of the original students dropped out of the course for various different reasons; those that dropped out at the end of the year had failed too many of the academic exams to be able to catch up the deficit in learning; this reflected the fast pace of the course (A5).  So although I struggled I stayed strong (A6) and managed to pass year one after resitting a few practical exams; luckily for me in year one the theory exams had more weight and these mattered more in terms of how many could be retaken.  I found it very helpful having someone  who understood what I was experiencing; ie the difficulty stepping up to the next level and she completely understood and allowed me an outlet for my anxiety.  I have frequently reflected in my head as to whether I should in fact have repeated year 1; as I found it really hard and maybe it would have been of benefit however I have managed by working hard to 'keep up'.  Being in Kent for one extra year would have been very hard financially and on my family, so it was fortunate that I was able to pass year one and move onto year two.  Alison helped support me mentally (A2); she helped me keep going when the going was tough and allowed me to believe in myself (A5); the course is so tough that this is a very important aspect (A6).  I am sure I would have managed without her input however (A1) the emails I received from her would frequently bring a smile to my face late in the evening when I was struggling to believe how I would manage to pass this incredibly tough course.  In fact she helped me believe I could succeed (A5).
In fact I look back at these emails (A1) and realise how far I have come since Year 1, when I would frequently wake up in the night and feel very tearful. I felt I couldn't possibly give up; a. because my mother had bought a house in Maidstone so I could live in it to enable me to study; and b. I wanted to be an osteopath; and c. I needed to earn money. I had all these conflicts going on in my head but the thing that possibly drove me hardest was the investment my mother had made for me, by buying the house.]]> 2019-03-29 10:40:34 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346483069 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346492257 Year 2 was a very hard year; the amount of study required was phenomenal; however I had been warned and I steeled myself for a lot of early mornings for practice and study every evening (B1, B2, B3, B4) so that I kept up with the studies.  There were a couple of 'flashes of brilliance' where I managed to do well in practical assessments during the year; however I still found practical classes hard and only a small amount on input would put my body out; I got used to my body being 'out' the whole time; I felt sleep deprived but I was very happy I had made it to year 2; I even managed to get some more mentoring for the first term of the second year so that helped boost my confidence as well (B1, B2, B3, B4).  I studied very hard and I was very determined to get through the year; however towards the end of the year I think the exhaustion I was feeling played its part in failing some of the coursework.  Frustratingly, I failed one practical exam by 1%;  however I resat this exam and passed it the subsequent time (B2, B3, B4).]]> 2019-03-29 11:19:31 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346492257 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346497676 It had been a hard year and I had worked so hard during the year, practising every day and studying virtually every evening. I had been so determined to pass all the practical exams at first sit. However, I failed the technique station by 1%! I couldn't believe it. However, I resat the exam and waited, quite anxiously for the results.
I felt so relieved. when I received the email telling me I had passed and I had progress to year 3. It had been an anxious couple of weeks, waiting for the results (B2, B3, B4) despite trying not to think about the resits, it was hard not to go over in my mind how it had gone, would it be good enough, would I have to redo the technique exam, again, possibly.  Luckily that was not necessary (B1, B2, B3, B4).  A few days away in North Norfolk to recuperate was a good end to the holidays; ready to start year 3.  It was quite nerve wracking thinking in only a few weeks' time, I would be having patients!  Despite the fact that this was the whole reason for doing the course, I was dreading having my first patient and what I would have to do with that patient; I felt completely unprepared for this day that was approaching all too quickly.]]> 2019-03-29 11:40:47 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346497676 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346500607 What happened? Year 3 brought new challenges and yet more determination.  This course demands so much resilience; strength in depth.  The introduction to clinic had been interesting and very tiring. The patients were being lined up for us and I felt terrified. Added to this, there were difficulties at the house where I was living. Halfway through our second year there had been a change of students in the house and although initially the two other students got on well, this ended in disaster when one of them went to stay with the other in the summer holidays and this ended badly.  After this, there was a strained atmostphere in the house where I was living due to a conflict between the two other students that were sharing the house with me.  One of them had to go.  Luckily she was amenable to going; I think she knew that it wasn't working out.  There was even some bullying of the other student from the one who was being ousted; not nice.  Luckily my mum who owns the house agreed that the student should go and we made the arrangement formal and decided when she should leave.  This made a huge difference to the atmosphere in the house, however I lived with this atmosphere for a whole academic year; I would escape to my bedroom and enjoy peace and solitude; and feel irritated when this student did not go to Boxley for her lectures; part of the difficulty of doing a course away from home and having to put up with other people's habits; at least I could go home at the weekends and have a little breather from the strained atmosphere. 
What did I learn from this? To be cautious in who you live with! However, at the time there wasn't much choice and we needed a new tenant.
What will I take from this? I am sure these lessons are learned for a reason and they will be put in the memory bank for future experience, when I have to deal with tricky patients who need delicate handling. These experiences are never wasted and although it was a tricky time, I managed to steer a course through the tricky atmosphere.
What would I do differently next time? It was slightly unfortunate that neither of these two people confided in me about their difficulties although I worked out fairly early on that there had been a disagreement of sorts, however it took some time before I understood the full nature of the disagreement and this is something that is difficult to know how to handle except to be very grounded in one's approach and make sure that I am always approachable and if I were to have anyone working with me in the future, to have regular team meetings to make sure that there is no feelings of animosity or anxiety about members of the team.]]> 2019-03-29 11:50:58 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346500607 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346506520 Although initially we had a gradual start to year 3 (they were kind to us initially), the pace began to increase again as the pressure was increased, dissertation presentations were looming and there seemed to be no time to learn all the information being thrown at us as well as do the required coursework (B2, B3).
Something needed to happen quickly, to relieve the pressure. The Beast from the East arrived, and lectures and clinic was cancelled.  I was very thankful to have this little breather, to enable me to catch up and start writing my presentation for my dissertation proposal (B2, B3). 
What would I have done differently, without the Beast from the East?
I think to begin with, there was a little bit of 'putting off' of the presentation: I knew I would find it hard and it was one of those things that until you start doing it, you are not sure how hard it will be, but nearly always, you are pleasantly surprised and it is not as hard as you think it will be: normally it is harder in your head than it is in reality (B2, B3, B4).
There would have been more work at the weekends although there was a fair amount of that already.  What the Beast from the East did though, was concentrate my mind: I was 'trapped' indoors with a golden opportunity to get to grips with somethings I knew I would find difficult.
It was hard, but it was manageable and achieved in reasonable time too.  The Beast also made me decide to stay in Kent more than I would have done usually; with the roads being icy it was a good decision to stay in Kent and make the most of extra study time made available to me by fewer distractions being thrown to me.]]> 2019-03-29 12:06:23 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346506520 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346511258 The pace was hotting up as we reached the end of year 3; there was a need for some heavy, concentrated cramming to pass the theory exams (B2, B3, B4).  I was determined to pass all the exams this year.  The holidays were reduced as we would be in clinic for 5 weeks so I did not want to spend extra time revising year 3 coursework.  Finally, after three years, I had a good result: no resits, either academic or practical.  I was very happy with this result; the practical results were not particularly high but I had passed and I had put a lot of effort into all of the exams. In fact I got a 2:1 at the end of Year 3, this felt a very good achievement.]]> 2019-03-29 12:19:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346511258 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346539764 What went well in the exam?
I gave the patient a good explanation about the consent process, explaining how she would have to undress to her underwear for the examination.  I explained that although this was necessary, if she was uncomfortable with this, we would do our best to work around it (A3, A4, A5).  Similarly, I explained that she should say at any time if she did not like anything I was doing and I would change or moderate what I was doing.
After the exam, I thought it had gone quite well, despite my slowness.  After all, I had managed to give a diagnosis, and find the source of pain.  However, as I realised afterwards, there was no justification and my 'treatment' explanation of what I would do was too generic.  I think this was partly exam nerves, possibly also tiredness, as I am inclined to brevity when I get tired and I no longer think around the whole picture.
What went wrong?
I had no structure, and I am beginning to realise that when I have no structure, things tend to go a little awry.  I was very slow, the case did not warrant this amount of slowness.
I was poor at justifying, and had not explored one item in any detail to be able to use it as a dd, well now I know more about how the process works and how to tick the boxes a bit better (B2, B3, B4)
One of the things that I had forgotten in the exam process was how to test for hypermobility.  The annoying thing was I did actually know how to test for hypermobility, because we had done it in headache clinic.  I have revised how to test for hypermobility, and how this is scored so that if this were to happen again, I would know how to test for this (B2, B3, B4).  As part of this, I am also revising lumbar conditions, in particular lumbar instability and how this affects the spine.
How can I do better?
I have been offered and have accepted as much help as I can have.  It is important to use the resources on offer and make the most of them, after all it is less than 10 weeks until CCA2 and I desperately want to pass the first time for so many reasons, some of them being able to earn money sooner, be back at home with my family, allow my mother to sell the house in Maidstone and relax a little bit before starting work.
The good news is there is plenty of room for improvement and I know with lots of hard work and help from the tutors, that I can achieve what I need to achieve to enable me to graduate and become an osteopath.]]> 2019-03-29 13:28:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346539764 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346766432 What went well?I found the process of writing the dissertation very hard (B2, B3, B4).  However I enjoyed all the reading I did in preparation for it and requesting further articles from the library; the process of detective work was good and I felt as though I was hunting down articles (B2, B3, B4); although this process was definitely frustrating when I couldn't access articles through Greenwich at the weekends. If I could just have done the reading for it and left it at that I would have been quite happy (B2, B3, B4). 
What was difficult?
I found it ate into so much time; I would have preferred to spend this time on clinical matters.  I found I was quite resentful of the time that I had to spend on it.  Initially my dissertation was going to be a qualitative study about the opinions of parents about taking their babies and children to an osteopath; I had wanted to interview parents that took their children to the OCC however I was unable to get access to the OCC so this ended up being a non-starter, then I tried to talk to parents at the teaching clinic and although they were interested it became clear they were just too busy to participate in my study (B2, B3, B4).  
What went well?
I decided before it was too late to change tack completely and do a literature review instead.   This was a very good decision and I probably should have changed tack even sooner but I was reluctant to do a literature review (B2, B3, B4).  Immediately I felt as though a weight had been lifted off my shoulders and I was back in control, no longer needing parents to contact me or try to schedule a time for an interview where my time and their time coincided (B2, B3, B4).  
What could I have done better and how would I do it again?
I should have abandoned the original dissertation proposal earlier when I realised that I would not get access to the OCC (a rich vein of parents) (B2, B3, B4).
As I delayed the change of topic it was a rush to the end, not helped by being quite ill; I felt so rough just one week before the deadline for the hand-in, which meant I had to struggle on with the finishing off the dissertation when I had very little energy.  It was a very hard process mastering writing of the dissertation and I think it is unlikely I would ever write another one; I found it very painful; but it made me very focussed on the topic in hand and I learned a great deal and it may come in useful in future should I see pregnant women carrying potential macrosomic foetuses.]]> 2019-03-30 11:50:58 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346766432 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346769506 What happened?
I realised that I am still unsure about the difference between these two descriptions of muscles and started looking it up their meanings on the internet (B2, B3, B4)
What should I have done?
I should have done this a long time ago; it would have helped me be more accurate in my note-taking.
What went well and what will I do next?
I found a very interesting article about iliopsoas contracture in association with the quads and adductor muscles; which are innervated by the femoral nerve and I may be able to apply this new knowledge to one of my patients who I see on a regular basis (B2, B3, B4)]]> 2019-03-30 12:36:39 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346769506 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346784247 2019-03-30 14:56:17 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346784247 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866150 Be positive in how I react to feedback.   It can be good. (B2, B3, B4)]]> 2019-03-31 09:05:03 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866150 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866239 2019-03-31 09:06:35 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866239 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866439 2019-03-31 09:09:24 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866439 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866494 2019-03-31 09:10:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866494 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866554 Feedback from a fellow student for a new patient I had during the Summer Clinic (B2, B3, B4).]]> 2019-03-31 09:11:09 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346866554 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346868351 2019-03-31 09:35:26 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346868351 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346868478 2019-03-31 09:37:12 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346868478 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346869173 2019-03-31 09:47:38 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346869173 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346872396 What went well? 
I really struggle with writing these and eliciting how to use them (B2, B3), as I find in practice I prefer to focus on what didn't go too well during clinic time (or even, what did go well and how I could have done it better).
What didn't go well.
Making myself do these learning action plans; and working out how to use them to improve my learning (B2, B3).
What has improved since I started using Learning Action Plans?
I am beginning to see the point of them, although I still struggle to use them (B2, B3, B4)]]> 2019-03-31 10:34:51 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346872396 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346872687 I have realised that I do not like having feedback (B2, B3), as the comments below from my team show.  I am sure this stems from a time when I was at school when I always seemed to have negative feedback both at school and from my father who clearly thought I was stupid and unintelligent.  Still to this day he recently said 'not everyone has to go to University' pointedly meaning me, despite me pointing out I am at university.  
However, I am beginning to be less reluctant to accept feedback (B1, B2, B3, B4) and to listen to the comments in a constructive way so that I can improve my learning.  
What I am doing better?
I am trying to use this feedback with patients, to try different approaches on patients, and be less 'stuck' in my ways (B1, B2, B3, B4) I am also trying to 'stay back' when I have my hands on babies and not let my nervousness hinder what I am feeling and therefore 'receive' the information I am feeling in my hands so I can help the baby's condition rather than my brain tell me I can't feel anything, which I know is not true, as I can feel a great deal, when I am relaxed (and when the baby isn't wriggling).]]> 2019-03-31 10:39:06 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346872687 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346874297 This didn't go very well, I was pulled up for not seeing the red flag, (B2, B3/B4, D1, C7, C3) where the patient possibly had a kidney infection, rather than low back pain.  We had only two days previously had a lecture on kidney infections/disease so I was especially upset that I hadn't been able to apply that knowledge.
What did I do about it?
I re-revised the kidney and I feel that next time this happens, I would be able to put this as a differential diagnosis and 'see' the potential red flag (B2, B3, B4)
What would I do better next time?
Ask all the safety questions regarding kidney infection.
This has been a key thing for me: I am all too keen to see the health not the disease in the person; however through diligence I am beginning to get much better at asking the safety questions for the relevant condition, so I know I am improving in this aspect of case history taking.]]> 2019-03-31 11:00:39 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/346874297 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/347819006 A huge achievement and relief for me B1, (B2, B3, B4).  The first time I had passed all the exams at first sit, between year 3 to year 4.  I must be improving.]]> 2019-04-02 19:58:32 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/347819006 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/349224125 In fact this is a story in itself.  Originally, about seven years ago, I was going to study osteopathy; however when I went to have an interview for the access course I was planning to do, they suggested midwifery and in fact, I had thought many years ago when I had my first child that midwifery seemed a good career choice.  I was easily convinced: the education was paid for and it seemed that I would easily get a job on graduating.  The decision to do the access course was delayed and in fact it was two more years before I started with the intention of studying midwifery.  I wasn't sure if I could get the grades (B2, B3) needed but I didn't think it would be a problem getting a place.  In fact it turned out to be the other way round.  
I happened to see my acupuncturist two days after I received my second rejection; she suggested various things and I went home and did some research.  I came full circle back to the idea of osteopathy.  By this time the course at Oxford Brookes had closed, and so it had to be the ESO for my studies.  I knew I wanted to specialise in the cranial osteopathy and all the osteopaths I had known had studied there.
I don't know if I would have survived the course at Oxford Brookes; it would have been a long commute daily, which would have been very exhausting.  It has been very challenging to say the least studying away from home however A1, A2, A3, A5) at least I haven't had the daily commute to and from lectures, clinic etc even if I have become very accustomed to an almost weekly commute at the weekends.  In fact I am not quite sure how I have managed to survive the course in Maidstone, frequently I have felt exhausted.  Then I think some of the reasons I have lasted are the underlying determination to succeed with other people in my family investing in me as well as believing I can do it.  I can scarcely believe that almost four years have gone by (A1, A2, C1, C2). My skills have improved beyond recognition and I am looking forward to being qualified and working as an osteopath and supporting my patients in caring for themselves, as well as working in partnership with them. (B1, A6)]]> 2019-04-07 08:18:03 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/349224125 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/349225337 I was lucky: Toby Gwyn-Williams saw that I needed help with technique and offered, with Erica Bell's approval, to mentor me and a few colleagues (B1, B2, B3, B4).  I honestly don't know whether I would have managed without Toby's help (B1, B2, B3, B4).  I believe he saw my passion and decided to help me when I was struggling.  
What would I have done without Toby?  I am not sure.  I didn't realise that mentoring was available for anyone struggling (B1, B2, B3, B4).  This was a time when I was not sleeping at all well and I felt exhausted, coupled with the fact that my uncle, Lord Rodney Leach, had had a catastrophic stroke and I had to encourage my father to visit his brother in hospital, which meant me encouraging him to visit my extremely ill uncle at the hospital in South London (attached to loads of wires, etc); adding to the stress I was feeling at the time.  My father's relationship with his brother had always been a tenuous one but it was clearly important that he said goodbye to his brother while there was still a possibility that there was recognition capability.  Toby clearly empathised with my situation.  The death of my uncle ensued in early June, followed by a family funeral service and then a memorial service in September 2016, it was a hard few months, however with perseverence and help from Toby I managed to pass all the resit exams.  Toby became someone to talk to, who understood what I was experiencing (A1, A2).   I learned later from someone else (another osteopath who had been one of Toby's peers) that in fact Toby had struggled in his first few years and I suspect my struggles resonated with him (A5).
The mentoring came to an end and I realised I had no choice but to stand on my own two feet, no-one else could do it for me.  
The determination persisted along with two friends who helped me when we practised together (B1, B2, B3, B4). ]]> 2019-04-07 08:39:06 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/349225337 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350318424 I have really enjoyed working in the children's clinic (A1, A2, A3).  It has been very challenging but so rewarding too, in a different way to the adults clinic. In fact, I found I had courage I didn't know I had; putting myself forward for the new baby patient on the first morning of the children's clinic in the summer holidays.]]> 2019-04-10 12:35:34 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350318424 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350319252 The first week!  I was so happy finally to be in the children's clinic (B2, B3, B4).  I put myself forward for the new patient, not something I am normally renowned for.  It has been quite a roller coaster since then, but it has been a very good experience, with truly excellent tutors (A1, A2, B1, A5, C5, C7) in the Children's Clinic who have been so supportive of our learning in the Clinic.]]> 2019-04-10 12:37:21 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350319252 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350323391 2019-04-10 12:46:58 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350323391 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350323587  ]]> 2019-04-10 12:47:25 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350323587 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350325444 2019-04-10 12:51:42 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350325444 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350325999 I was aware of wanting to run before I could walk; so although I had booked Miranda's course I cancelled so that I learned things in the right order.
I have learned to pace myself and to wait a little more patiently for the right time to do courses and to learn techniques as they are taught to us; although clearly we should have been taught a few techniques for pregnant women before the summer clinic started!]]> 2019-04-10 12:52:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350325999 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350329983 2019-04-10 13:02:13 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350329983 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350330123 My first baby patient had returned to the clinic; I was really excited to see how things had progressed with this baby.  She was responding to treatment!  It turned out that this baby was lactose intolerant; and the mother reluctantly had to change from breast feeding to a special milk that her baby could digest.  This made a big difference and once this had been diagnosed there was a big improvement.  When we finished in the summer clinic this patient stayed in the clinic on a tuesday morning and I had to say goodbye as I would now only be in clinic on a wednesday afternoon.  She was transferred to a different student, however in January she returned to me when I started the tuesday morning clinic and I was pleased to see she had made huge progress.  In fact, we struggled that day to find anything 'wrong' and so I had my first experience of discharging a baby patient, with the proviso to come back if anything changed.
What would I do differently, with 3 months' more experience?
I think in my own clinic I would suggest she come back in 3 months' time for a check up. Its difficult for parents always to know if there is anything wrong with their baby, after all they see them all the time.]]> 2019-04-10 13:02:32 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350330123 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350335749 2019-04-10 13:14:01 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350335749 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350336111 However, I was clearly beginning to feel more in the children's clinic;  great also doing double handers in the clinic as well.  I don't think I had a patient that morning so I would have been helping another student with treatment.
I really wanted to get stuck in so I am sure there was a little bit of frustration, not always having a patient however, it is good to watch others take the case history.]]> 2019-04-10 13:14:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350336111 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350338629 2019-04-10 13:19:26 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350338629 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350339503 This was my second baby patient. This patient presented with a problem turning her head to the left as well as a possible feeding problem, as she was very slow feeding.  However, it turned out that this child had had quite a few epileptic fits in the first few weeks after delivery and had been prescribed medication to prevent any more fits.
What went well? My treatment to improve the head turning was successful, with some improvement after the first treatment (A1, B2, B3, C1, C2, C3, C7)
What could have been improved?  The baby probably should have been referred for a possible tongue tie as she was very slow to feed; however the parents did take her for a possible tongue tie and in the end it wasn't performed because of the epilepsy condition and it was felt she would have to learn how to feed again; it was only two months until she would be weaned so it was felt that this might be unnecessary aggravation of a baby that was quite content and making good progress developmentally even if she was small for her age.
What went well? This baby made good progress with my treatment to improve the neck movement.  I also had a discussion with the parents about the possible need for long term treatment (D7, D14, D17) due to the medication the baby was on suppressing her nervous system's development.  The parents were happy to continue treatment if this was of benefit to their baby.]]> 2019-04-10 13:21:08 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350339503 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350348423 2019-04-10 13:38:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350348423 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350348603 I have been getting a lot of enjoyment from the children's clinic.  However, I found it very 'scary' despite the supportive environment.  It isn't as easy feeling the IVM on babies as I had imagined.  However, I was told I had excellent palpation and that I had a real talent.  I felt very complimented.  It gave me more confidence hearing that from the tutor too.  
What did I struggle with?
However, I still hate fill in the learning action plans.  I think I find it easier being led by the clinical experience; or probably I should fill in the learning action plan as I go so that I don't forget what I need to concentrate on; in fact I tend to know what I struggle with when I make myself think about these things: differential diagnoses; red flags; neuro screens.  
What has improved? I have been trying to make these more conscious so that they are more in the forefront of my head and so I have something to grab onto when I am making differential diagnoses.
I think I will always struggle to fill in these forms however I think I am becoming more honest with myself in my shortcomings and recognising what I need to improve upon.]]> 2019-04-10 13:38:55 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350348603 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350353494 2019-04-10 13:48:05 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350353494 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350353823 I managed to have a new patient in the women's health clinic.  She was in a great deal of pain from the scar tissue from caesarean section she had and clearly had a fear of touching the scar.   I was pleased with the case history I had taken however there was room for improvement with the examination.
I don't always remember to start from the beginning when doing the presentation of the patient to the tutor, my brain skips and forgets the tutor wants to hear it from the beginning.  
However, it is something to be worked on, and I know I am improving so that is progress.
What has become clear is how many women are scared to touch their scars. It is as though they don't like the way their body has been 'abused' and scarred by the surgery and they struggle to come to terms with how their baby was delivered, especially those who really wanted a vaginal delivery and it all went 'wrong' for them. I think part of our role in the women's health clinic is to support these women through this traumatic time in their lives and allow them acceptance time for their scars. Once they realise that we can help them, they are much more accepting of their scars.]]> 2019-04-10 13:48:39 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350353823 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350360443 2019-04-10 14:01:20 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350360443 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350360613 What happened?
I had to gain consent for a patient that Mr Pye was going to do an internal technique on. We had to gain written consent too, however, of course I had to explain to the patient what was planned and the process involved. He was pleased with the manner in which I did it and he said it made his job much easier when he could come into the room knowing the patient felt comfortable with the technique he was going to perform on her (C6, C7, D7.]]> 2019-04-10 14:01:40 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350360613 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350363547 2019-04-10 14:07:43 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350363547 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350363808 2019-04-10 14:08:14 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350363808 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350364291 I had a patient who had been very disappointed that she would be unable to deliver vaginally due to placenta praevia.  She was very keen to do her best for her baby so was very keen to book him for treatment post delivery.
As it turned out, she had a rough time in surgery, she lost a great deal of blood and she had spent a week in hospital recovering.  She responds very well to cranial treatment and I did some very successful work with fluid drives to the scar from the sacrum.  We could both feel the movement of fluids as I worked between the sacrum and the scar, it was intensely rewarding as I felt the improvement under my hands.
Her baby was generally well however he appeared to have a restriction of the umbilicus, possibly due to the immediate clamping of the cord post surgery.  He responded well to the treatment and I felt that the mother felt he was in good hands, when I was treating him.
My treatment of both mother and baby has been quite regular although we have managed to spread the treatments out as she has improved post surgery and her baby has too, I have managed to help with his hiccups and I have worked on her in a variety of ways, not just cranially, employing my 3D knowledge of the pelvis from the womens health clinic to good effect, using visceral techniques when necessary as well as fascial unwinding techniques when she had mastitis.]]> 2019-04-10 14:09:02 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350364291 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350387693 What happened? I took a new patient's case history and this time, I felt out of my depth and I didn't really  know what was going on with this patient.  However, more importantly I didn't spot the potential red flag, of a possible kidney infection.
I felt mortified, especially as we had done kidney pathology only two days previously.  Clearly not much had gone in.
What did I do to rectify this?
I revised the kidney signs and symptoms so that I would better be able to spot these in future.]]> 2019-04-10 14:53:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350387693 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350388565 2019-04-10 14:55:26 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350388565 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350469106 Some feedback from fellow students; I have taken these comments on board and I try much harder to make the conversation patient-centred (A5, A6)and if they ask about my 'history' I will tell something about me but then switch it back to them, keeping the focus on them, not me.  My ]]> 2019-04-10 17:24:47 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350469106 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350469503 2019-04-10 17:25:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350469503 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350469852 2019-04-10 17:26:08 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350469852 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470275 I have rarely had a better day than this one; in fact I was so quick the tutor missed most of the case history! (B1, B2, B3, B4). It was quite a simple case and I nailed it.  Maybe the tutor telling me he had to leave early helped too; I am not quite sure. However everyone was happy including the patient (A1, A2, A3, A4, A5, A6, C1, C2, C3, C5, C7)]]> 2019-04-10 17:26:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470275 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470492 It has taken me a long time to be able to visualise the anatomy of the pelvis; what made the difference was participating in the women's health clinic where the anatomy was brought to life and suddenly it all fitted together; combined with the obstetrics classes we had in year 4 I am much confident with structures in the pelvis and how it all fits together.]]> 2019-04-10 17:27:17 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470492 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470734 2019-04-10 17:27:47 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470734 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470994 This feedback is very pertinent. I failed to justify properly in my CCA1 why my patient had or didn't have something. Timekeeping is definitely an issue at the moment and I hope as my questioning improves that the timekeeping and the justifcation will also improve.]]> 2019-04-10 17:28:13 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350470994 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350471557 2019-04-10 17:29:11 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350471557 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350471801 2019-04-10 17:29:38 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350471801 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350472177 I spent 7 weeks in headache clinic, headaches and migraines are now much clearer for me. I try very hard to work out by good questioning of the patient, to find out which type of headache they have.]]> 2019-04-10 17:30:24 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350472177 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350472744 2019-04-10 17:31:30 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350472744 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350472975 2019-04-10 17:31:55 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350472975 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350474357 I have become better at both believing in myself and asking for help when needed. However, I think my confidence in the children's clinic has helped me in other clinics too as I have become more confident in both cranial and structural techniques.]]> 2019-04-10 17:34:16 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350474357 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350475218 I finally managed to revise multiple sclerosis and how it affects patients. I found this very interesting the more I read about MS. However, I find I have to do this in bite-sized chunks as I don't remember all of it if I learn too much at one time.]]> 2019-04-10 17:36:00 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350475218 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350475438 I learned from this; my treatments have become more global in their approach and I think more effective on the patient as well.]]> 2019-04-10 17:36:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350475438 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350475711 Even if I don't do it instantly, I have found that I have done all these things that I told myself to do ... maybe there is a common theme, however I am getting better too at the 'red flag' questions such as prostate questions and have been busy revising these for the forthcoming exams.]]> 2019-04-10 17:37:02 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350475711 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350940299 What happened? Since doing so badly in the CCA1 exam I have decided I need to ask for as much help as I can to ensure I pass the CCA2 exam (B1, B2, B3, B4).
Today I had a new patient under Mr Kaifi's watchful eye.
It should have been in the evening session, however events conspired in my favour so that it was in the morning instead, much better from my point of view.  I am always fresher in the mornings and able to think better.
What went well?
I have a good manner with patients (A1, A2, A3).  I am always calm and reasonably collected, on the outside at least (A1, A2, A3). I made sure the patient was aware that he would very likely have to undress to his underwear (C6, A4, A3, A1). I also managed to answer all the questions I was asked about bowel and prostate cancer without any problems. (B2, B3, B4, C2, C3, C7)
What was not so good?
I didn't have a logical sequence to my questioning.  This is a key problem in my case history taking, however, I am trying to work on the logical aspect of this to improve the time keeping for the exam.
The examination was reasonable although I should have included the pelvis in my examination, as well as the lumbar spine.  It doesn't take long and it would make the whole process easier as well.
What went well? However, I managed to come up with a reasonable diagnosis(C1, C2, C3) and I tried much harder today to justify the reasons for the diagnosis.  I also tried not just to do 'cranial' techniques but to use structural techniques instead (C5).
I feel as though I am going in the right direction. I was told I would have passed the exam with today's patient (B1, B2, B3, B4).]]> 2019-04-11 19:09:22 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350940299 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350945890 Feedback from the student watching me: this felt very helpful for progression towards CCA2.  Finally, I am almost enjoying having feedback.
I can make progress and act on her suggestions (A3, A5, A6)]]> 2019-04-11 19:25:50 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/350945890 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351073996 2019-04-12 08:23:02 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351073996 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074204 2019-04-12 08:24:15 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074204 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074324 2019-04-12 08:24:47 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074324 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074561 2019-04-12 08:25:56 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074561 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074703 2019-04-12 08:26:38 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351074703 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351075352 2019-04-12 08:29:41 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351075352 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351290514 This felt very hard!  I was very nervous too. (A1, A2, A3, A4, A5, A6, B2, B3, B4, C3, C7). I suddenly felt fully in the spot light and I definitely did not feel ready for it. However, I feel I have improved since then and have been working hard to improve all aspects of patient care, from case history through to treatment.]]> 2019-04-12 19:09:48 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351290514 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351290899 notes for this patient.]]> 2019-04-12 19:11:02 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351290899 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291096 2019-04-12 19:11:44 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291096 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291266 2019-04-12 19:12:18 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291266 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291694 2019-04-12 19:13:51 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291694 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291986 2019-04-12 19:14:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351291986 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376015 Reflection on these emails that I wrote in Year 1.  I was struggling to get to grips with this course and wondering how on earth I would manage to pass the first year, let alone get to year 4 and graduate.  Now, as I look back on these emails, she supported me and helped me understand that I could succeed (A1, A2).  I 'just' had to work harder and practice more in order to succeed as well as being efficient with my learning. My determination to succeed has helped to carry me through (B1, B2, B3, B4). I look back on these emails and realise how much she helped bolster my morale at a time which felt very difficult when I was struggling and didn't really know how to cope with the pressures of the course (A5). There were so many people who dropped out of the course for varying reasons; I felt it was almost a matter of survival of the fittest, even if I took longer to learn how to do the techniques at least I was still enrolled on the course (B2, B3)]]> 2019-04-13 13:53:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376015 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376059 2019-04-13 13:54:04 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376059 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376090 2019-04-13 13:54:32 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376090 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376115 2019-04-13 13:54:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376115 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376179 2019-04-13 13:55:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376179 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376255 2019-04-13 13:56:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376255 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376363 2019-04-13 13:58:30 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376363 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376382 2019-04-13 13:58:46 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376382 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376408 2019-04-13 13:59:13 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376408 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376468 2019-04-13 14:00:00 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351376468 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351382851 2019-04-13 15:15:55 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351382851 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351382903 2019-04-13 15:16:31 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351382903 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351383135 2019-04-13 15:17:01 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351383135 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351383173 2019-04-13 15:17:23 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351383173 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351383194 2019-04-13 15:17:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351383194 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351397478 This is a reflection on a patient I have currently in the children's clinic. I have felt very privileged to treat this baby and hope that I can continue to make a difference to both this baby and her family.]]> 2019-04-13 18:19:18 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351397478 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351397789 2019-04-13 18:23:48 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351397789 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351397867 2019-04-13 18:25:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351397867 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351400598 This was an extremely helpful 1:1 session to allow me to start building on how to pass the CCA2 exam.]]> 2019-04-13 19:10:56 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351400598 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351400939 2019-04-13 19:13:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351400939 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401069 2019-04-13 19:15:37 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401069 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401535 notes for this patient.]]> 2019-04-13 19:24:10 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401535 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401675 2019-04-13 19:25:30 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401675 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401725 2019-04-13 19:26:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351401725 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351606736 I have enjoyed and found I achieve a great deal when using the IVM.  I have realised that in order to progress further with cranial work it is necessary (at the very least) to do the Osteopathy in the Cranial Field (M2) and probably M3, Osteopathic Medicine (B1, B2, B3, B4) as this will enable me to progress further and do other courses, as M2 is the 'gateway' to further IVM study.  I found making this application very hard and enlisted the help of a friend of mine who has been an important part of my journey as she has listened to my struggles and at the same time applauded me for my studies (A1).  She has the ability to remember what I have told her as well as helping the application read better; she helped me document and fine tune my acknowledgement of my achievements to date in the application process.  She has no doubt about my ability to succeed as an osteopath in our local area and having an SCCO qualification will help me to have the 'unique selling point' that will help me to stand out as I start out on this next adventure in my life.]]> 2019-04-15 10:51:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351606736 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351638422 Howard Beardmore's talk to us was enlightening and inspiring (B1, B2, B3, B4), It gave me a sense of possibility to make differences to people who have long-standing conditions that 'normal' osteopathy hasn't fixed (C5, C7).  I loved the links he made from osteopathic centres and found him spell-binding in how he engaged his audience.  In fact yesterday I talked to my mother about her eczema (C3) and said he might be able to help her; in talking to her I realised what might be happening with one of my patients who has terrible skin lesions on her legs (C3, C5, C7) and that I should look at this lady's pelvis and lumbar spine in more detail (I had been looking at her knees previously). I find the more I reflect, not only does the reflection get easier, but the process of reflection is easier and the pieces of the puzzle become easier to put together (A1, A2, A3, A5, A6).
I found Howard's talk so inspiring that I am considering doing his British Institute of Osteopathy (BIO) course next year. His methods and understanding of osteopathy sound so logical; recently, I have had quite a few 'complicated' patients and as one tutor said to me, 'you attract the complicated ones'; I feel this would be a good course for me to do, if this will aid me in helping the patients that other people struggle to make better.]]> 2019-04-15 13:17:00 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351638422 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351717363 This was a difficult case. My tutor told me, however I am calm and collected which is very difficult if not impossible to teach. (A1, A2). I am trying to remember to think around the problem the patient presents with and not to feel like a frightened rabbit.]]> 2019-04-15 16:24:17 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351717363 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351717472 2019-04-15 16:24:31 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351717472 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351717585 2019-04-15 16:24:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351717585 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351719622 2019-04-15 16:29:47 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351719622 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351720257 I have been working on improving my knowledge/memory of differential diagnoses and red flags, so I will find it easier to spot these in the future (B2, B3, B4).]]> 2019-04-15 16:31:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351720257 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351772625 What did I find hard in year 1?
I struggled in all the practical courses.  I felt very unconfident and intimidated by being surrounded by people who seemed more confident than myself, although in retrospect, probably only a handful were very confident with their previous knowledge.  I struggled with these classes due to my poor anatomy knowledge (B3), and the inability to keep up with the anatomy we were learning at a very fast pace, in a 2D style, mostly, although the anatomy models were brought out at the beginning of a new section of the body. Although we had the privilege of going to prosection at Sussex university, in retrospect it was really too soon to have any real benefit, although it was useful, more frequent would be have been beneficial but probably impractical given the heavy timetable.
The practical exam results reflected my struggles in the practical courses (B1) and were a true reflection of not enough practise, as well as not understanding how the practical exams would be (B2); how much theory I would need to be able to remember in a stressful, very hot environment.
At the beginning of the third term I managed to get some mentoring (A3) to help with the technique course.  I managed to scrape a pass in this course and when it came to resitting the practical exams, again I received extra help to help me pass these exams second time around (B2).  This time my knowledge and understanding had vastly improved. My reflective write up that I had to do as part of the year 1 studies reflected these struggles completely (B3).
What did I do well in? Academically I managed quite well (B2, B3, B4); especially the anatomy and the reflective write up essays; despite the initial struggle to learn all the anatomy week by week; when it came to the exams I managed to apply myself to the task of memorising enough anatomy that I passed this exam; as well as the physiology exam which was not as hard, due to the amount of similar information I had learned the previous year on the Access course I had done (B2, B3, B4).]]> 2019-04-15 18:40:38 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351772625 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351780360


]]> 2019-04-15 19:01:34 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351780360 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351905552 I have recognised the need for empathy at the highest level here. There is an issue of sensitivity here that needs to be met at both clinical and ethical levels. I can help, through talking to the patient's mother (and treatment too, if she is open to that) and I can help remove the restrictions in the baby that are causing the problems; however with this patient the problem lies deeper within the mother and what happened before this baby was conceived, and how her body responded to the stressful event and the new, exciting but still stressful event afterwards. These issues need to be reconciled with the mother in order to help her baby; however I think we can do a lot to reduce the problems that the mother is dealing with and allow her to come to terms with her grief and possible guilt at becoming pregnant so quickly. (A1, A2, A3, A4, A5, A6, B1, B2, B3, B4, C1, C2, C3, C4, C5, C6, C7, C8, D1, D2, D3, D6, D8, D14, D17)]]> 2019-04-16 08:54:31 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351905552 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351905936 notes for this baby patient.]]> 2019-04-16 08:57:57 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351905936 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351906136 2019-04-16 08:59:16 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351906136 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351906229 2019-04-16 08:59:55 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351906229 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351906315 2019-04-16 09:00:36 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351906315 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351908310 I am very interested in doing some training with SANDS since this experience with this mother. It will expand my knowledge of how to help mothers who have lost babies and help me to point them in the direction of further support.]]> 2019-04-16 09:15:23 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351908310 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351909467 If a mother gives birth to her child before 24 weeks gestation and it is dead, then the 'birth' cannot be registered; however if it born alive (before 24 weeks) its birth must be registered.  Deciding on a funeral is the last thing prospective parents were expecting to have to do, so understanding how difficult this process is, is part of the process of empathising with the parents (A1, A2, A3, A5, A6, B2, B3, B4, C3, C4, C5, C7, C8, C9, D1, D2, D3, D7, D14)]]> 2019-04-16 09:22:46 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351909467 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351913588 2019-04-16 09:50:42 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351913588 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351915266 2019-04-16 10:03:15 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351915266 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351916068 What happened? I thought I was being very professional (D1) when this LEPB was done, however, I was told I had wasted the patient's time in clinic and I would be marked down for poor timekeeping.  I have a good rapport with this patient and she would have told me if I was 'wasting her time'.  She has the utmost respect for me and what I have achieved with her (A1, A2, A3, A4, A5, A6, C3, C4, C5, C7, C8, D1)
What didn't I do?
I didn't ask the patient or tutor whether they minded if I took a little more of their time, (A1, A2, A3, A4, A5, A6, C3, C4, C5, C7, C8, D1))  to ensure my notes were completely thorough in preparation for me exam.
What should I have done?
I should have checked whether the patient minded me checking her history in preparation for my exam  (A1, A2, A3, A4, A5, A6, C3, C4, C5, C7, C8, D1) and also checked with the tutor to see whether she was ok with me running over as well; I didn't have a patient in the next slot, however I didn't think about the tutor's other duties for other students.
This is an important lesson for me in time keeping skills to ensure that I don't over run in future, or if I do, that the patient is happy with this situation, as it may be that they have a deadline to be somewhere else after their appointment.

]]> 2019-04-16 10:08:55 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/351916068 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352019511 I did actually manage to read this at the time! (A1, A2, A3, B2, B3, B4)]]> 2019-04-16 15:47:35 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352019511 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352096386 Although this could have gone better I have had very good communication with this patient (A1, A2, A3, A4, A5, A6); I have helped her with digestive issues and by suggesting she could try giving up gluten in her diet she might help the bloating she was experiencing.  Reflecting on my progress with this patient, I have not always quickly found the lesion, however initially I have been able to reduce if not cure the pain the patient was experiencing. During the exam, I found that I was able to make a diagnosis from the condition she had, and once I had put the pieces of the jigsaw into place, from this the treatment followed very succinctly and it was as though I had put the final piece of the jigsaw into place (C1, C2, C3, C4, C5, C6, C7, C8, D4, D6, D14, D17).  I have supported both her physical and emotional health during her recent breakup of her relationship; giving her suggestions as how to use her time when she is not at work, to plan holidays or weekends away and thereby distract herself away from the stress of the breakup.  We have struck up a good patient/practitioner partnership (B1, B2, B3, B4) and I know she will be sad when it comes to saying goodbye to me.]]> 2019-04-16 19:04:23 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352096386 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352111722 Initially I had chosen this patient as my returning patient for the exam, however I decided that as I couldn't get her previous history including all the medication she was onto a page of A4, I might be better off choosing someone else.  However I had written this summary ready for the exam.  This was the patient that I had the LEPB1 on, when I had clarified some of the case history, as the notes weren't as detailed as they should have been.
I have been treating her since mid-August 2018.  Initially I found her a tricky patient.  I had never had such a large patient beforehand and being on crutches as well I was aware she was likely to be quite unstable.
To begin with, I kept my treatment quite conservative as I wasn't sure what she would respond to best given her condition, although I had looked at the notes to see how she had been treated before.
I tried out a few things, such as inhibition and soft tissue work to try to get better fluid exchange happening through her legs.  However she found this was extremely painful after treatment (for 2 weeks) so I decided that the next week I should try something else a little more gentle.
As the weeks have gone by, I have experimented a little; I have done mixing and matching of structural and cranial techniques to give the best possible experience to this patient and try to improve her overall health despite her chronic condition.  She feels she has improved since I have been treating her.  As the weeks have passed I have become a little more experimental and adapted techniques to help her, using the crutches she frequently has sore shoulders as well as a sore knee from OA that has developed on her right knee post meniscus surgery a few years ago.  ]]> 2019-04-16 19:31:22 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352111722 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352216266 Writing the diary felt a challenge due to the exhaustion I felt every day after clinic; which would frequently be followed by a lecture at Boxley (B2, B3).  Looking back at it, I can see that it is quite descriptive rather than reflective; quite 'diary like'.  I am not sure how much it gives me looking back at it however, I can see my progression over the course of the (almost) 2 years that we have been in the Clinic, so from that point of view it is successful (B2, B3, B4)]]> 2019-04-17 07:06:05 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352216266 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352216425 The narrative continues and I can see the progression. However what I think has been better, has been the individual pieces I have written about some of my patients, where I have been truly reflective (B1, B2, B3, B4) about what I did well and badly, or what I might have done better. My most enjoyable days have been in the Children's clinic, where I have been well supported in my learning in both positive and 'how to improve' ways. This has meant I have looked forward to this clinic each week, knowing I will gain a positive learning experience from it (B1, B2, B3, B4).]]> 2019-04-17 07:06:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352216425 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220034 I felt the feedback was very fair for my exam. I didn't argue with what was said as I could see exactly where I went wrong. I am being given extra support (B2, B3, B4) to help me to make sure I pass the CCA2.]]> 2019-04-17 07:29:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220034 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220748 notes for CCA1 patient.]]> 2019-04-17 07:35:49 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220748 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220850 2019-04-17 07:36:20 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220850 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220958 2019-04-17 07:37:17 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352220958 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352221157 Treatment no. 2.]]> 2019-04-17 07:39:01 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352221157 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352315610 What happened?
One of my patients asked me to explain to him how METs work (B2, B3, B4) and I knew that this needed some revision.  I told him I would explain to him on my return from holiday, as preparation for my exams which are coming up shortly.
Recently, I have found I am improving with using MET's and I am finding them a useful addition to the 'tool box' (B2, B3, B4) now that I am using them more.  As I understand the anatomy better, I am getting less confused by them; they are quick and helpful techniques for patients (A1, A2, A3, A5, A6) .

]]> 2019-04-17 15:02:20 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352315610 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352323982 What happened?
I was very excited to be going on the BioBasics introductory course last October 2018.  It was everything (and more) that I imagined it to be, so I was very excited when they announced they were opening a new Phase I course, starting in November 2019 (B3, B4).  I was already on the waiting list, so my place on the list was confirmed.  I have just paid my deposit for the course and am looking forward to November already.]]> 2019-04-17 15:21:50 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352323982 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352326524 2019-04-17 15:28:24 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352326524 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352344667 What happened? 
My tutor told me she despaired of me.  I couldn't believe I was being spoken to like this, in a teaching clinic environment.  In the end I managed to get some positives from this experience, although it was hard initially to be anything other than despondent.
I have done more learning to make sure I am better equipped to defend myself in future.]]> 2019-04-17 16:18:59 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352344667 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498355 2019-04-18 06:57:41 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498355 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498441 Snapshot comments about some of the days in summer clinic.  I found the summer clinic very exhausting and I look back and wonder how did I manage?  I was always glad when I got to wednesdays (only one clinic session) and it also meant I was near the end of the week .... 
However I think it was also good preparation for going out into the real world, having clinic every day, although in reality I probably wouldn't be doing the mad hours I was doing in summer clinic; notably two 12 hour days consecutively (C1, C2, C3, C7).  I also managed to fit in a half day course about the Polyvagal theory (B1, B2, B3, B4); quite remarkable when I remember how exhausted I felt at the time. I think would like to learn more about the Polyvagal theory, when I am slightly less exhausted.  I have seen that this course is being repeated and I am considering doing it again (B2, B3, B4).]]> 2019-04-18 06:58:34 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498441 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498560 2019-04-18 06:59:39 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498560 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498673 2019-04-18 07:00:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352498673 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352499682 2019-04-18 07:09:13 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352499682 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352499861 2019-04-18 07:10:59 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352499861 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352499960 2019-04-18 07:11:44 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352499960 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352500153 2019-04-18 07:13:36 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352500153 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352500914 This was very interesting, learning more about the Vagus nerve; the dorsal and ventral branches of the vagus and how they perform different functions within the body, the ventral part being responsible for shutdown; the dorsal part being responsible for control of the parasympathetic system.]]> 2019-04-18 07:18:50 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352500914 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352501061 2019-04-18 07:19:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352501061 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352507152 This was an interesting encounter, looking back. At the time I felt quite on edge as I wondered if I would come up to scratch; this was a patient that had come to the clinic for many years and was quite demanding in her persona. I felt I had to tip-toe around her; however I seemed to have a reasonable rapport with her (A1, A2) and I respected her need for privacy (D6, D14, D17). I was polite and considerate with her (C4, C5, C6, C7) and I seemed to pass muster with her.]]> 2019-04-18 08:10:06 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352507152 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352510306 feedback for mock CCA.]]> 2019-04-18 08:40:43 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352510306 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352510425 feedback for CCA mock exam, this felt very fair; I knew where I had gone wrong (at the end).]]> 2019-04-18 08:42:13 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352510425 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352511821 This experience felt very useful and I have taken a lot from this.  I am planning to follow Mr Fadil in clinic next term for extra tips and advice; I have started following Mr Fadil in clinic; since I wrote this piece I have followed up and am doing extra observation as I find him extremely helpful; I observed a new patient and I was pleased to see that I was able to work out what was wrong with the patient (B1, B2, B3, B4)]]> 2019-04-18 08:56:05 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352511821 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352589965 2019-04-18 15:36:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352589965 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590184 2019-04-18 15:37:06 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590184 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590388 2019-04-18 15:37:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590388 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590577 2019-04-18 15:38:36 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590577 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590745 2019-04-18 15:39:11 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/352590745 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354489685 I am so excited and looking forward to starting this course in November 2019 (B1, B2, B3, B4). This feels like a natural progression from the biobasics weekend course I did last year. I hope it matches up to my expectations.]]> 2019-04-26 15:17:42 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354489685 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354766006 What happened? The patient aged 87 presented with neck pain and stiffness.
Although I managed to reduce his neck pain and stiffness, this case centred as much on managing the patient's systemic health (D1)
I encouraged him to go to his GP and get his blood pressure medication reviewed, as well as the statins he was on, reviewed (A1, A2, A5, A6)
I managed his health, and by the end of three months, his medications had been reviewed and he was making regular visits  to his GP to make changes to his medication, because of my intervention and advice.
What did I do well? Insisting in an encouraging, not patronisng, way that his GP take an active role in re-assessing the medications he was on (B2, B3, A5, A6, D1)
What could I have done better? I didn't get to the bottom of the stiffness in his knees and ankles.  He decided to stop coming just before Christmas 2018, I don't know whether he felt he had reached a point where no further improvement was possible.
What should I have done? I should have spent a little more time investigating his stiff knees and ankles, however his neck was always the pressing issue so it was quite difficult to prioritise the time allocated and keep the patient satisfied.
However, he was very pleased with the change of medications and the improvement in his systemic health (A5, A6, B2, B3, D1)]]> 2019-04-28 13:12:13 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354766006 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354766881 patient notes for this case.]]> 2019-04-28 13:21:39 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354766881 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354766960 2019-04-28 13:22:15 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354766960 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767064 2019-04-28 13:23:09 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767064 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767151 2019-04-28 13:23:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767151 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767268 2019-04-28 13:24:57 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767268 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767315 2019-04-28 13:25:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767315 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767359 2019-04-28 13:26:02 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767359 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767407 2019-04-28 13:26:29 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767407 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767529 2019-04-28 13:27:23 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767529 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767667 2019-04-28 13:28:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767667 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767700 2019-04-28 13:29:02 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767700 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767734 2019-04-28 13:29:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767734 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767772 2019-04-28 13:29:58 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354767772 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354770126 What happened?
We had to write a business plan detailing how we would go about starting our own osteopathic business (D2, D3).  
I initially found this difficult as I really struggled to see how I was going to write 2000 words for this!  However, it opened up my eyes to the planning involved in this activity and also made everything (ie qualifying in one year+) much more realistic. I took the project very seriously and investigated renting a local property, going to view it and finding out how much it would cost to rent, what would be expected in terms of rent payment as a new commercial customer, essentially my upfront liabilities.  It made it much more real by doing this and I gained greatly from doing this 'on the ground' work.  Of course I did not rent the property that was available although it was quite suitable for a business it had drawbacks, such as very limited parking. I also investigated the local population that might come to my business.  I found by doing the business plan (B2, B3) in fits and starts that I was able to add ideas as they came to me and then fill in more words, to increase the word count up to the limit available.
I found it hard work (B2, B3) but it began to feel easier the more I delved into this project.  I thought about marketing and ways to expand the business, to make it both more business like and more holistic with other practitioners being involved in the theoretical model.
What did I do next?
One evening during these Easter holidays I idly started searching for a better property on a local commercial estate agent's website and found two properties to investigate, amidst doing the final essay writing for the reflective portfolio essay project.  I was able to organise a viewing just before Good Friday.  It was a good break from the essay writing, going out in the sunshine to look at potential properties for my business-to-be.  One of them is very suitable and I am investigating this property further, although it will involve a 'change of use' application, I believe this property will be a good home for my new osteopathic business. I have also bought a 'domain' name for my website, 'RoseOsteopathy', making this new venture feel even more real.  
I wondered afterwards if this was a good use of time, I should have been doing more work on my essay, (B2, B3) , but I made up for this later, working late into the evening.
What next? 
I have to apply for change of use via the local council as if I can't get change of use then I won't be able to rent this property (D14, D15, D16, D17).
It feels exciting and makes everything seem very real.
A friend has also asked me to perform massage for a 10k run she is organising for October 2019, so that I can promote my new business. (B2, B3, B4, A1, A6)]]> 2019-04-28 13:55:03 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354770126 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354772066 Feedback for the business plan.]]> 2019-04-28 14:10:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354772066 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354772975 I found this quite hard to do initially, before I started doing it.  However, once I had started doing it and thinking around the brief, it became easier.  I really got to grips with it and I was really pleased with the results afterwards.  I was pleased that I had chosen this topic despite the fact that one of my relatives has this illness.  It helped me understand how her illness would change and progress, in fact I my relative's illness has progressed faster than I would have expected, due to the stress she endured from my step-uncle's terminal prostate cancer and myeloma. 
Doing this presentation allowed me to understand my relative's illness however I did not appreciate how much she would decline in one year; it shows that no-one can be 'text book' and we have to look at each case on an individual basis.In fact, I think my relative started her decline when she realised that my step-uncle's death was virtually imminent and the decline of her health in four months from near-death to death of my uncle was incredibly sad but I suspect I was more prepared for this and had better understanding due to the project I had done. ]]> 2019-04-28 14:18:56 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/354772975 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355324045 What happened? This course was advertised and was being run 'locally', only one hour from home.  I am very interested in the Vagus nerve, it has a big influence on our bodies from very early on in our development (B2, B3, B4).  It was a useful course to do, and the more anatomy I study and remember, the better I understand the implications of the Vagus nerve not functioning as well as it should do (C3, C7).  However, it was difficult fitting it into an already short weekend and juggling the needs of my family versus me!  The course won however it did mean I was more tired the following week in Clinic, however it was very useful and I would definitely consider doing the course again as I get more from doing courses more than once, as each subsequent time my knowledge and understanding of the anatomy (and neural anatomy) has grown. (B2, B3, B4)
In fact, as I reread the notes that I made last September, these notes have given me 'new' material and it has made me think about two of my baby patients.]]> 2019-04-30 07:29:57 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355324045 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355324484 2019-04-30 07:32:06 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355324484 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355331930 The fascia is a fascinating subject and it is one that interests me.  This was a fascinating course and I found it very useful (B1, B2, B3, B4), not least because it helped me with revision of the basic examination of the body as well as understanding that tattoos on the body can have an impact on the body as much as anything else.  However, it was a 3 day course, and I hadn't realised the first day would conflict with the last day of summer clinic, and that it would be so difficult to have a day out of clinic (B2, B3, B4).  The Clinic Management were an almost unmoveable feast.  I couldn't believe how difficult it was to get permission to do this course.  In the end it boiled down to the fact that I had a good (in fact, excellent) attendance in clinic. (A1, A2, A3, A5).  I was trying to improve my knowledge and education (B2, B3, B4) however the clinic didn't seem to want to acknowledge this.  Although I had tried to ask permission to do this course 3 months ahead, the clinic told me I would have to swap with someone else; however this proved impossible and I was left having to ask permission to do the course just two weeks ahead of the start date.  In the end, permission was given but it had been stressful, waiting to know whether I would be allowed out of clinic to do this course (D1, D7).  I was almost resigned to foregoing the first day of the course.]]> 2019-04-30 08:09:11 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355331930 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355344295 Finally I had made it to Year 4 (B1, B2, B3, B4). It had been a hard year, making the progression into clinic. However, the determination which has helped me from the beginning of year 1 has not faded and keeps me going (B1, B2, B3, B4).]]> 2019-04-30 09:02:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355344295 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355352889 Notes for this patient post CCA1.]]> 2019-04-30 09:41:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355352889 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355353100 2019-04-30 09:42:22 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355353100 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355353190 2019-04-30 09:42:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355353190 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355353306 2019-04-30 09:43:38 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355353306 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355390223 At the beginning of the summer term Toby Gwyn-Williams offered to mentor me. I felt as though I was drowning in a sea of information and I didn't know how to cope (B1, B2, B3, B4). He saw me struggling and I know now that he too had struggled when he first tried to study osteopathy, and I believe he saw a fellow 'sufferer' and he didn't want me to suffer the same fate that had befallen him. He supported me psychologically and helped support me, knowing that I would find my feet once I had passed year 1. He didn't want me to have to repeat year 1 which might well have happened if he had not helped me (B1, B2, B3, B4). I will be forever grateful to Toby for stepping in when he did.]]> 2019-04-30 12:28:08 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355390223 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355598038 2019-04-30 19:17:10 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355598038 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355599432 There was too much to revise here and I couldn't remember all the tests (B2, B3). One of my colleagues came up with the exact scenario that was my exam, only 5 minutes earlier, and it really floored me. I didn't do as well as I could have done, however, I did at least know I had passed overall, due to the high score for the second exam.]]> 2019-04-30 19:20:35 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355599432 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600025 These exams were a little more relaxed, as we were allowed to wear normal clothes and we were examined in class, so it was a little more relaxed and less nerve wracking for me. I was quite happy with these results (B2, B3), considering how much there was to learn and revise in year 2.]]> 2019-04-30 19:22:14 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600025 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600384 These were quite relaxed and they were a good experience.  We were examined in class in our normal clothes which made the atmosphere better and less nerve wracking.  Although the results were not very high, I was pleased with these results (B2, B3) and they gradually improved as I progressed through the year.]]> 2019-04-30 19:23:13 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600384 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600606 2019-04-30 19:23:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600606 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600827 2019-04-30 19:24:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355600827 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355601144 2019-04-30 19:25:10 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355601144 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355601666 I just managed 70% (B2, B3). I was reasonably happy with this, again, we had so much to revise that any mark above 50% would have satisfied me.]]> 2019-04-30 19:26:26 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355601666 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355601940 2019-04-30 19:27:11 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355601940 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355602267 2019-04-30 19:28:09 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355602267 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355603874 2019-04-30 19:32:46 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355603874 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355605302 I struggled with this essay. I realised I didn't understand the models very well, hence my struggle. I felt the result was quite fair and I improved with the rewrite, which helped me understand the models better (B2, B3)..]]> 2019-04-30 19:37:04 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355605302 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355606351 2019-04-30 19:40:20 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355606351 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355608704 I struggled with this coursework and didn't really understand what was required. I was also completely exhausted by this stage of the year so I was not very surprised that I failed this. When I rewrote this, I understood better what I was doing and was happy with the result.]]> 2019-04-30 19:47:58 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355608704 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355608820 2019-04-30 19:48:21 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355608820 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355610317 2019-04-30 19:52:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355610317 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355611961 The first exam was a little disappointing but I was not the only one to be unaware of what to expect (B2, B3). I didn't do too well, but I put a great deal of effort into the next exam and was very pleased with the result (B2, B3, B4).]]> 2019-04-30 19:57:09 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355611961 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355612244 2019-04-30 19:58:04 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355612244 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355616142 I revised so hard for this exam (B2, B3). I was determined to score well for this exam. My nerves were trying to get the better of me but I had a great examiner and that really helped. Finally, a good result (78%).]]> 2019-04-30 20:12:17 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355616142 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355618235 2019-04-30 20:20:12 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355618235 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355632205 Rereading the notes I made at this course, has made me wonder about one or two of my patients in the children's clinic (B2, B3). I have found an article that interested me and uploaded it here.]]> 2019-04-30 21:12:34 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355632205 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634113 This was very informative (B2, B3) and I shall try to do this course again as I think I will get even more from it second time around. As I re-read these notes I started applying them to at least one of my baby patients in clinic.

]]> 2019-04-30 21:20:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634113 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634264 2019-04-30 21:21:05 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634264 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634421 2019-04-30 21:21:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634421 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634508 2019-04-30 21:22:14 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634508 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634692 2019-04-30 21:23:08 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634692 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634831 2019-04-30 21:23:48 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634831 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634939 2019-04-30 21:24:21 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355634939 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635026 2019-04-30 21:24:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635026 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635170 2019-04-30 21:25:22 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635170 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635567 2019-04-30 21:27:17 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635567 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635668 2019-04-30 21:27:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635668 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635762 2019-04-30 21:28:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635762 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635866 2019-04-30 21:28:34 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635866 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635943 2019-04-30 21:28:57 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355635943 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636135 2019-04-30 21:29:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636135 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636233 2019-04-30 21:30:26 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636233 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636334 2019-04-30 21:30:58 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636334 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636405 2019-04-30 21:31:19 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636405 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636501 2019-04-30 21:31:48 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636501 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636643 2019-04-30 21:32:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636643 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636729 2019-04-30 21:32:49 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636729 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636871 2019-04-30 21:33:29 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355636871 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355973012 2019-05-01 20:33:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355973012 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355973418 2019-05-01 20:35:10 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355973418 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355977733 2019-05-01 20:53:30 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355977733 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355978658 2019-05-01 20:57:25 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355978658 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355982218 I had to change exam patient due to the first one being too complicated a case. I realised that there was no need for a difficult case in an exam (B1, B2, B3, B4).]]> 2019-05-01 21:14:12 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/355982218 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356071852 notes for this takeover patient.]]> 2019-05-02 05:34:17 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356071852 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356071977 2019-05-02 05:35:03 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356071977 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072024 2019-05-02 05:35:27 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072024 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072166 2019-05-02 05:36:18 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072166 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072300 2019-05-02 05:37:23 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072300 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072583 2019-05-02 05:39:41 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072583 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072655 2019-05-02 05:40:25 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072655 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072797 2019-05-02 05:41:49 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072797 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072852 2019-05-02 05:42:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072852 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072998 2019-05-02 05:43:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356072998 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073041 2019-05-02 05:44:23 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073041 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073109 2019-05-02 05:45:10 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073109 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073180 2019-05-02 05:45:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073180 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073267 2019-05-02 05:46:47 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356073267 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076332 I have written a detailed reflection below; however, here is a small introduction. I was quite worried as to how I would manage this case. This patient is extremely large and very immobile. I wasn't very confident in my ability last August, however this patient has helped me believe I can treat in a variety of ways and help improve patients' wellbeing even if I can't treat the condition they have, I can treat around it and improve their quality of life (B2, B3, C3, C5, C7, A5, A6),]]> 2019-05-02 06:14:15 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076332 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076431 2019-05-02 06:14:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076431 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076517 2019-05-02 06:15:26 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076517 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076656 2019-05-02 06:16:22 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076656 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076775 2019-05-02 06:17:08 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076775 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076886 2019-05-02 06:17:54 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356076886 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077070 2019-05-02 06:19:00 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077070 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077155 2019-05-02 06:19:24 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077155 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077278 2019-05-02 06:20:07 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077278 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077369 2019-05-02 06:20:30 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077369 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077538 2019-05-02 06:21:18 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077538 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077620 2019-05-02 06:21:41 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077620 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077760 2019-05-02 06:22:30 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077760 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077821 2019-05-02 06:22:51 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356077821 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078000 2019-05-02 06:23:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078000 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078076 2019-05-02 06:24:15 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078076 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078255 2019-05-02 06:25:14 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078255 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078311 2019-05-02 06:25:36 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078311 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078406 2019-05-02 06:26:12 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078406 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078541 2019-05-02 06:26:56 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078541 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078677 2019-05-02 06:27:41 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356078677 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079034 2019-05-02 06:29:46 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079034 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079130 2019-05-02 06:30:14 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079130 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079280 2019-05-02 06:31:05 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079280 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079438 2019-05-02 06:32:02 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079438 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079609 2019-05-02 06:33:03 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079609 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079779 2019-05-02 06:33:42 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356079779 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356080023 2019-05-02 06:34:46 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356080023 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086110 2019-05-02 07:05:11 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086110 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086162 2019-05-02 07:05:33 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086162 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086300 2019-05-02 07:06:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086300 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086551 2019-05-02 07:07:46 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086551 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086647 2019-05-02 07:08:28 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086647 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086895 2019-05-02 07:09:52 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356086895 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087077 2019-05-02 07:10:56 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087077 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087138 2019-05-02 07:11:18 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087138 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087425 2019-05-02 07:12:43 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087425 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087750 2019-05-02 07:14:16 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087750 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087858 2019-05-02 07:14:45 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356087858 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356088038 2019-05-02 07:15:32 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356088038 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356168686 2019-05-02 12:46:31 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356168686 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356169437

]]> 2019-05-02 12:48:19 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356169437 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356169972 2019-05-02 12:49:25 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356169972 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356170635 2019-05-02 12:50:53 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356170635 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356170848 What she said after treatment (C3, C7, A5) "I didn't realise I couldn't breathe properly beforehand" (she had quite bad reflux issues for a couple of days). With this patient, between us, we worked out what she had done and when, by me digging and delving a little further.(A5, C1, C2, C3, C5, C7). I am becoming a detective!]]> 2019-05-02 12:51:22 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356170848 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356395349 Follow up treatment for this patient, 02/05/2019. Although the patient reported pain after treatment, she told me that after 2/3 days it was much improved (A5, C3).]]> 2019-05-02 20:30:20 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356395349 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356513876 2019-05-03 08:17:12 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356513876 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356516667 This was going to be my continuing exam patient, however I was advised to choose someone else due to the complex nature of her medical history.  However, I had written these notes in preparation for the exam and I have added a reflection about this patient to the notes.]]> 2019-05-03 08:30:41 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356516667 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356525742 Business Plan ]]> 2019-05-03 09:15:00 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356525742 rosamundheath https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356526320 spreadsheet for business plan]]> 2019-05-03 09:17:55 UTC https://padlet.com/rosamundheath/ukcqhz5j9qqf/wish/356526320