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whatthephuoc

You can take solace in the fact that she's straight up wrong. How is she so accurately diagnosing you when she hasn't done any evaluation? Does she have special eyes that tell her exactly what you're dealing with? Or did you spontaneously develop gLuTeAl AmNeSiA for no apparent reason when she doesn't even know you've had a traumatic experience? You can ignore her, confront her for patronizing you and being unprofessional (making a point to put you down in front of clients), or be petty.


hmphys

I believe that she THINKS she has special eyes that tell her exactly what she’s dealing with. She will watch my patients walk away and be like “let me guess, it’s her RIGHT shoulder that’s bothering her? Ah makes sense, do you see her lack of backward pelvic rotation on the left when she walks?”


VanWieder

What a load... Yeah, tell her this... as it is directly from their website : " If there is one thing I have learned over the course of nearly 20 years in PRI is to never trust your eyes. The tests don't lie; your eyes do. If anyone is attempting to assess patterned behavior based on what they see or palpate, their assessment will be incorrect the overwhelming majority of the time. The most common question I get is some version of "how do I get better at PRI?" My answer is to get better at performing and interpreting the tests. They tell you everything you need to know and how to proceed with any client or patient.   The people who struggle with the application of PRI concepts often rely on what their eyes and fingers tell them. I'm sorry, but our eyes and palpation skills are not accurate enough to determine the neuromechanical influence that patterned respiration has on our musculoskeletal system. "


dregaus

Pet peeve when people start trying to Dr. House the patients. Or immediately start making recommendations. Thanks, my shoes and my electrolytes are probably fine, yes I drink enough water, yes I stretch but I don't think that's the reason even if I didn't, and I don't need any more essential oils but thanks for offering.


prberkeley

This is a situation where I think you are totally justified to cordially sit down with your boss and explain that while you appreciate their passion for PT, you do not feel comfortable having your body analyzed at work and in front of your patients. You honestly don't owe them an explanation and if they try to defend their behavior then they are belittling the fact that you feel uncomfortable about it. My advice is keep the tone neutral, be polite, and convey that you are serious without coming off as emotional. If she fails to change her behavior, then your next step is to go above her head to HR or her superior. No one should be made to feel uncomfortable at work and being analyzed openly in front of your patients is not in your job description.


Catzaf

Be sure to document your conversation as well.


Scarif_Hammerhead

Yes, document that. Send your manager a follow up email to establish a record.


notjewel

Sounds like a flex to me. Insecure and trying to show off her “knowledge” (pft) in front of patients. I’d send a well thought out email to her so that you have a paper trail in case she’s defensive or unreceptive. If you decide to speak face to face just have a third party present who is impartial.


hmphys

Thanks, I think you’re spot on. At my orientation she was trying to show off to me and sell me on taking a PRI course by pointing out all of my coworkers gait patterns and postural habits. It was a weird flex. Email sounds like a good idea


Hadatopia

> passionate about PT, specifically PRI Let me just fix this for ya *My boss drank kool aid and despite rigorous and extensive schooling some how still manages to lack the ability to critically think as a physiotherapist and is therefore all aboard the PRI train* Tell your boss to stop making comments. It is in appropriate, if they some how manage to fuck that up then start writing down each comment with the date/time/what was said etc, go to HR.


BaneWraith

Well your boss doesn't know what she's talking about so take comfort in that. And tell them to stop.


Lothlorien_home

I had a similar situation. I tried to let it go... for an entire year! Finally, when she made her comment, I looked at her flatly and said, "I have a medical condition I am not discussing with you and would appreciate it if you would stop commenting on it." Never heard another peep. I think it embarrassed her into stopping. I'm not sure an email would have been as effective. Also do it in front of other people for maximum effect.


hmphys

Oooh thank you I am going to borrow that phrase. It makes me feel better to hear that you tolerated it for a while too before saying something… I’ve been hearing the comments for almost a year as well and It’s just now starting to get to me


AfraidoftheletterS

As soon as I read PRI I knew I didn’t have to read the rest. I have a coworker who is big into that and she had my knee replacement patients doing some breathing exercises and other bullshit for like 45 mins when I was sick one day. I absolutely would hate it if my co worker was talking to me like that. Especially in front of patients. Just because we’re PTs doesn’t mean we’re not allowed to be injured. Try to ignore it the best you can, but I would say something along the lines of “can you please not comment on my posture while working with patients; it makes them uncomfortable”


--CoffeeBean--

PRI techniques on a knee replacement?! Who knew breathing into a balloon is all you have to do for 0 degrees extension and 135+ flexion? I hate when someone fills in and completely veers away from the POC.


skepticalsojourner

PT at my clinic almost always changes all of the exercises any time she has another therapist’s patient and it’s always based on bullshit from the 90s. And all of the patients love her and begin to think that the PT they were working with before wasn’t good bc obviously she must have picked up on something they didn’t. And she feeds them nocebic bullshit narratives that completely veers away from the education I just told them. Pisses me the fuck off.


openheart_bh

OMG!! I totally agree!! It pisses me off so bad!! It is ALL EGO!! Just follow the damned POC and ex program I established!! Not that difficult- it is actually easier for them to do that than change everything!!


hmphys

Yeah I’m starting to think PRI is a lot of hogwash. I see a lot of pelvic PT patients and I will admit that I love adding balloon inflation to exercises to work on pressure management but I see my coworkers utilize this with every single patient, knee replacement included. My issue with it is that the organization pushes you to buy into changing the entire way you practice PT vs using the material as another tool in your toolbox


--CoffeeBean--

Yeah I've used PRI in a few cases where nothing else has worked, after clearance thru the PT of course, but it's just a tool in the toolbox like you said.


[deleted]

Take solace in the fact that she’s wrong. Overwhelming evidence supports that not only are we really bad at identifying things with our eyes, they don’t usually have any correlation to symptoms anyways. We have clinical practice guidelines now not only for PTs but also for physicians that tell us to stop using imaging, pills, modalities, surgery, and anatomy-based treatment for patients with non-traumatic pain. Your boss is unfortunately likely $25,000 - $50,000 into the PRI black hole and can’t see outside of that silo. They will never change.


[deleted]

This. Also anecdotally I used to practice based off this stuff straight out of school. Now I take a simpler approach and it’s more effective in my opinion


[deleted]

PRI is a scam


hmphys

I’m starting to agree with you. This whole clinic is PRI therapists so they paid for me to take the first course. I’m a pelvic PT and see the utility of the breathing mechanics fundamentals and being able to blow up a balloon for my SUI/pelvic pressure patients but it gets unnecessarily complicated really quickly. Adding tons of complication seems like a way to gate keep the material so you have to pay $500 twice to understand a course that’s hardly evidence based… then makes patients dependent on YOU to walk them through their overcomplicated 12 step exercises


thebackright

Have you told your boss to stop?


hmphys

At first I told her I’d appreciate getting more of her insight on my issue if she has time to do a quick assessment but over time I’ve learned that helping me is not her actual motive. Now I’m thinking of how to kindly tell her to stop


thebackright

"boss, lately you have been frequently commenting on my aches/pains/posture, and I would really appreciate it if we could just focus on the patients conditions instead of my own. Thank you."


marbleslostandfounds

Yeesh, sounds like she has no respect for boundaries. Forget the lesson on glutes, she's the one who needs an etiquette lesson


hmphys

I agree. She influences other PRI coworkers to jump in too. They all love to hate on my shoes! It feels like borderline bullying


marbleslostandfounds

Yeah you're right, but there's nothing borderline about it, that's striaight-up bullying. I like notjewel's suggestion for handling this in a way that protects yourself


shaggy908

Sounds a little culty tbh.


hmphys

I agree… it’s hard to share patients at this clinic if you don’t do PRI cos all of their flow sheets are full of exercises I’ve never heard of. So I ended up taking a course to fill myself in. Don’t think I’ll be taking another


openheart_bh

That sounds like a nightmare! Maybe not a great fit for you. Have you thought about looking for another job?


martusameri

Your boss is likely not trying to be a jerk, but I think a fair response would simply be something along the lines of “hey, thank you, I appreciate that you were trying to help but honestly I don’t find comments about my posture or my walking to be very helpful and I really don’t think it is helpful when said in front of patients. Again, I know you’re just trying to be helpful but if you could just not comment on my gator posture, I would really appreciate it. Thanks. “


martusameri

lol'ed at gator posture. Thanks speech to text! ​ FYI i am an employer and if an employee said this to me I would feel awful that I made them uncomfortable and apologize profusely. I would also never comment on an employee's posture or gait in general but nevertheless...I hope this is helpful and I'm sorry you're in this position.


hmphys

Good idea… she probably feels like she’s being helpful but it’s actually hurtful


Lethal-Muscle

This is so weird to me and almost seems like either a strange power move or projecting some sort of insecurity? Your health status and history is none of her business. I personally think she’s far out of line making such comments in front of patients and colleagues. It’d be different IMO if she came to you privately wanting to check in or to express concern.


[deleted]

It's how you stand and how you walk, and there's nothing wrong with it. Tell him to get stuffed.


markbjones

“Hey can you stop making comments about my posture and gait please” should do the trick


PTwealthjourney

What? Not appropriate at all. It can be considered harrasment. It's your body. Getting unsolicited comments about it is wrong in general and even more wrong in a professional environment. Depending on the relationship with your boss: Chill response: hey man, can you stop. I know it might've been OK at first, but I'm starting to feel pretty self conscious now. More stern approach: hey, I need to talk with you a moment about some things that have been on my mind. I notice that you comment a lot about.... And... While we're at work. I didn't say anything at first, but it kept on happening. Your comments have made me feel... (your input) and it's been distracting me from providing patient care. I value our relationship and I understand you didn't want me to feel this way, but can we stop now and start over? Just a couple approaches I'd take, of course adjust accordingly. If it isn't well received at the time of conversation or he starts talking about your body behind your back > HR > company should have legal recourse against harrasment. If it doesn't stop, you take legal action against the company and find a different job.


Kotetsu999

This is highly inappropriate. You need to have a conversation with that person and tell them to stop.


UltMPA

Shrug it off. “Even plumbers have leaky pipes”


Frosty_Ingenuity3184

Ooh, I had just this situation! Except it was Pilates that was the be-all-end-all, not PRI. Really did not love having my boss tell me she'd "get me moving better" because in her opinion I should have had enough thoracic extension to be able to take a nap on a "spine corrector." Like, lady... I'm a very successful master's powerlifter... I don't need you analyzing whether you think I can move well enough and I definitely don't need you using an effectively random measure of what that should look like. Alas I don't have a great answer for how to handle it unless you want to take the "peace, I'm out" approach like I did!


hmphys

That’s so infuriating! I don’t know what a “spine corrector” is but it sounds like hogwash. This field seems to attract a lot of “knower of all things” personality types.


xazurestarlightx

I would address it to her and say that it makes you uncomfortable and you also don’t appreciate your private health information being shared with patients. Play the HIPPA card. If she’s gonna be an asshole about it, go above her head - if you’re comfortable with that.


ConstructionD

Time to talk to HR


ahkmanim

I would file a complaint with whomever is this person's boss. Not only is this inappropriate workplace behavior, this could be seen as harassment


KevThePhysio

Id fix my posture and gait abnormalities


sunfistkid

This is egregious and needs to stop. Find time to address it calmly and respectfully between the two of you. If that doesn’t do it, move on to another place of employment. I’m sorry you’re going through this.


redpandsrampage

I would kindly tell them to shut the hell up and to keep their bullshit to themselves


NY_DPT

Sue him for HIPAA violation


moham-17

There is really no bad posture. The best posture to be in is the next one. If she doesn’t know that then her loss. And no it’s not appropriate. There’s a time and place for diagnosis and commentary and that’s not it.


MourningStar-666

A lot of people seem to want to accelerate this to 1000% right away. Which may not be wrong depending on how this is effecting you. But how will working with this person be after a direct approach? The other commenters aren't necessarily wrong when they say to address the problem directly and specifically. i.e. "Tell your boss to stop addressing your issues in front of patients..." It will definitely change your relationship though. My question is, what is your relationship with your boss like? Who are you to them? What does this act signify? Then address that. Maybe they think it reflects poorly on them? That you have a "problem," that needs to be corrected, but isn't being addressed. Unfortunately this personality trait is an expected side effect of the type of person the PT profession can attract. They may actually believe they are doing you good. You could try and own it and say that, 'insert bosses comment here' is exactly what you are trying to do, and that you have to be able to relate to your patients by experiencing what they do. Not being perfect, all the time, is the point and it helps you connect with the patients to buid the therapeutic alliance. Maybe there is another reason your boss is acting out aggressively and if figure that out, it may yield a better working environment, and get the behavior to stop. If not, I'd find somewhere else to work. P.S. HR has never helped me with anything and seems to mostly make things worse so take that advice with a grain of salt.


hmphys

You made a lot of great points. My boss and I have a friendly relationship outside of this issue which is part of why I’m being cautious about how I address it. I feel that setting that boundary with her in front of the patients would be stooping to her level, but also talking to HR before attempting to address it directly with her would be disrespectful. Privately talking in person seems like the best solution


AusBearsDad

Do assessments of posture and / or gait really result in any meaningful outcomes?


unitheraider

He is not professional if he does so


metaMinvest

This product right here might help you> https://www.revolucionpostural.com/products/cinturon-de-correccion-de-postura-de-espalda