More is, well, you know

**Barrett Dorko** · 03-03-2012, 05:09 PM

Among other things, simplifying is about eliminating the extraneous and amplifying the essential.

A week ago I looked around the room I was to practice in for the foreseeable future and noticed about a dozen strands of Theraband wrapped around several of the vertical surfaces. Disorderly, hanging limply and passive; they didn’t convey anything about my approach – so I got a pair of scissors.

A treadmill blocked access to the exercise mat so I pushed it to another room and several large, brightly colored Swiss balls followed. Now I was feeling better.

At the last place a PTA told me with hr usual righteous indignation that she was going to “documentate” some action by the nurses, and I said nothing. In the window of the new place was a sign that read “No Solicitating.” I took it down.

I have the sense that those trying to appear more knowledgeable than they actually are make the mistake of just adding stuff. For them, more is more.

For me, more is less.

**John W** · 03-03-2012, 05:20 PM

It's actually a little spooky that you just started this thread, Barrett, because I was thinking of starting one with the title above along the very same lines. I keep thinking about Fred's very perspicacious observation about those who just seem to want to add on the current neuroscience as a new "tool" in their "toolbox" to treat patients as he recently made this comment:

Quote:

...neuroscience is just a bit of salt on top of mesodermal steak!

What is it about the term "paradigm shift" that our colleagues don't get?

**Barrett Dorko** · 03-03-2012, 06:16 PM

I think that this is why it's so imortant to recognize the origins of cognitive dissonance and the manifestations of any individual's behavior once it is sensed. Much has ben written about that here, and it's clear that the opposition to new information has its origins in the Pleistocene brain.

We all have one.

I might find that my use of the scissors was harsh enough to constitute a mistake, but I'm there alone and the person who tied all of these up probably hasn't a grip on modern neuroscience and pain.

**Barrett Dorko** · 04-03-2012, 01:30 AM

Soon I'll face my new colleagues.

I really hope they want to talk about treatment.

I'm hoping to employ the principles of simplicity, but it's hard to do that without asking others to empty their "toolboxes" to some extent.

03-03-2012, 05:09 PM	#1
Barrett Dorko Writer and Clinician Join Date: Nov 2005 Location: Cuyahoga Falls, Ohio Age: 61 Posts: 12,636 Thanks: 605 Thanked 1,448 Times in 852 Posts	More is, well, you know Among other things, simplifying is about eliminating the extraneous and amplifying the essential. A week ago I looked around the room I was to practice in for the foreseeable future and noticed about a dozen strands of Theraband wrapped around several of the vertical surfaces. Disorderly, hanging limply and passive; they didn’t convey anything about my approach – so I got a pair of scissors. A treadmill blocked access to the exercise mat so I pushed it to another room and several large, brightly colored Swiss balls followed. Now I was feeling better. At the last place a PTA told me with hr usual righteous indignation that she was going to “documentate” some action by the nurses, and I said nothing. In the window of the new place was a sign that read “No Solicitating.” I took it down. I have the sense that those trying to appear more knowledgeable than they actually are make the mistake of just adding stuff. For them, more is more. For me, more is less. __________________ Barrett L. Dorko P.T. www.barrettdorko.com

03-03-2012, 06:16 PM	#3
Barrett Dorko Writer and Clinician Join Date: Nov 2005 Location: Cuyahoga Falls, Ohio Age: 61 Posts: 12,636 Thanks: 605 Thanked 1,448 Times in 852 Posts	I think that this is why it's so imortant to recognize the origins of cognitive dissonance and the manifestations of any individual's behavior once it is sensed. Much has ben written about that here, and it's clear that the opposition to new information has its origins in the Pleistocene brain. We all have one. I might find that my use of the scissors was harsh enough to constitute a mistake, but I'm there alone and the person who tied all of these up probably hasn't a grip on modern neuroscience and pain. __________________ Barrett L. Dorko P.T. www.barrettdorko.com

04-03-2012, 01:30 AM	#4
Barrett Dorko Writer and Clinician Join Date: Nov 2005 Location: Cuyahoga Falls, Ohio Age: 61 Posts: 12,636 Thanks: 605 Thanked 1,448 Times in 852 Posts	Soon I'll face my new colleagues. I really hope they want to talk about treatment. I'm hoping to employ the principles of simplicity, but it's hard to do that without asking others to empty their "toolboxes" to some extent. __________________ Barrett L. Dorko P.T. www.barrettdorko.com

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