4min chapter

The Physio Matters Podcast cover image

Session 101 - Pain: A Nocicary Evil? With Lorimer Moseley

The Physio Matters Podcast

CHAPTER

How Important Is Being as Deeply Informed as You Can Be Um

Cut each other some slack jeez like just with god i give each other room to communicate and to learn. How important is it for clinicians to understand the latest and greatest in neuroscience when applying this with patients? I don't think we know how how informed we have to be on that, he says. There are certainly occasions when someone in trouble seeks care from someone who's very uninformed or subscribes to empirically disproved understanding of problem.

00:00
Speaker 1
Shall we talk what's going to happen to us? Not us particularly, but British. British, Britain us. Britain us. There's a real, it turns out that I can't pour a drink and talk at the same time. There's a real issue with the European thing that's started to sketch me out today. Because instinctively you think this all adds up to a return to Europe. You've got tariffs that he says he's going to bring in on pretty much everyone at 10%. Much higher on China, 10% for everyone else. You may have noticed that we made a decision a while back to leave the European Customs Union, which we may be regretting now. So we don't have any of the fallback firepower. We can't be covered by that European umbrella in terms of the retaliatory traffic terrorists that they're going to put forward. We're pretty fucking exposed. So then he seems actually weirdly quite friendly towards Britain. He seems like he basically sort of generally likes it as much as he likes anything that isn't, you know, himself. There's a chance that he offers us differential tariffs or a much more generous appraisal than the one that's offered to Europe. And that does change the dimensions, that changes how things would look. So you would suddenly get a position where actually you're being leveraged out. You've got to remember that he does have Musk, I mean, you know, people don't get on with him for very long and they get chucked out. Musk really hates Starmer. And he clearly has the ear of this guy for the time being. So this is a complicated dynamic, a complicated relationship. But there is a possibility that it's used to leverage us away, especially if it comes with a free trade agreement, which would be very hard for a Labour government to turn down. Why does Muskate's done? I can't remember now. Oh, fuck this. He's an unspeakable, god-awful, dripping bellend.
Speaker 2
That did not deserve. This is what you don't get on Ezra Klein, isn't it?
Speaker 1
Not deserve, of course. Then there's the Ukraine issue and how that complicates that. Because I think Labour, to be honest, you put everything else apart and I think Labour takes that offer. You know, I think it goes, it drifts, even though instinctively, obviously, the international human rights lawyer who believes in international law and even, you know, yesterday when he was putting forward ministerial standards, which no one seems to pay any, you know, attention to, admittedly because his PR operation is so spectacularly sensible that he decides to put it out during an American election. He said, you've got to abide by international law if you're a minister, which seems like you wouldn't need to write it down, but apparently you fucking do. So that's in place. So you seem like he would be different to Trump, but I think he would struggle with the temptation of that offer. However, you then think about Ukraine. Trump just dumping Ukraine. The European response to that, particularly from places like Poland, from our European allies. And you'd feel this real tear. It's possible. I'm not saying this is about to happen, but these are all like highly believable scenarios, like perfectly convincing likely scenarios. And they present you with this almost kind of biblical split, which for Britain of all this, you know, the choice between the US and Europe, like goes to the heart of, of, of our sort of innate confusion in our soul about who we are and where we are in the world. That could get very, very, very acute. And we would have to do some real fighting, like real passionate fighting, to make sure that it goes towards Europe, rather than towards a Trump-run US.
Speaker 2
I mean, surely we just understood that, you know, we can't trust America. Like, I don't want to be too critical of America at this time. Because there are a lot of good people, you know, it's always close, you got Half the country going this way and half the other. But, I mean, it's not reliable. Whatever gave you that impression? We've misunderstood. In a sense, we just didn't really realize how, lots of people didn't really realize, including many Americans, right, this kind of what, the sort of this volatility, these other undercurrents. There was still a sense of, like, you must be able to see, you know, you know the Madison Square Garden rally. And it was like, you must be able to see, you know, what this man and his cronies are. So there is a sense that because we didn't really under, if this is a country that you don't really quite understand why it's making the decisions it's making, you probably should shut the fuck up about the special relationship. And stop sort of banking on it in that way, even though it has been hugely advantageous to us with occasional blips such as invading Iraq. But, you know, like, broadly speaking, we have benefited from that. I
Speaker 1
can't, I, you know, I know this is going to sound quite Little Englander. I find that it pricks my pride the way that we conduct our coverage of our relationship with the US. Like, I was reading the Politico email, it's good, I like the Politico email. Today, it's like, it's got like this time zone of how long everyone spoke to Trump for their, you know, each prime minister or president or whatever. And it's sort of like, oh, Sarkozy managed a whole 25 minutes, but, you know, Keir Starmer came in at a humiliating 18. You're like, what? Like, did they not kiss the emperor's ring, you know, erotically enough to satisfy your idea of global power? Like, this kind of entrenched sense that we, that all, it's in the copy, this sort of submissive view towards Britain's relationship with America, I think is actually quite problematic and
Speaker 2
quite belittling. Talking to a job for 18 minutes is a fucking challenge. What even is there to say? What even do you do? I suppose you just do a lot of listening. Yeah. And you go, uh-huh. What's your favourite food? Sharks. No, I wouldn't like to be eaten by a shark. I wouldn't like to be electrocuted either. Like, presumably you just listen. he'll play YMCA. Like I don't imagine that there's a kind of like, it's a real fucking intellectual ping pong, is it? So it's probably quite easy. You just sit there and sort of drivel on, maybe put him on mute. But I mean, I wouldn't, I can't hear his voice. I haven't been able to hear his voice. I literally leapt at the radio like I was fucking, like a bodyguard leaping in front of somebody in the way of an assassin's bullet when his voice came on. I can't, I haven't been able to listen to it all week.
Speaker 1
I've got to be straight up. When Boris Johnson became prime minister, I had two weeks where I was just basically sort of off politics completely I just couldn't focus really and I didn't really accept that he was prime minister in some kind of weird psychological mortification process for like two months or so the rest of the time it was almost like I just wanted to hide it from the world like like if friends came around and your uncle shat himself you know and you just be like oh don't worry there's nothing there's no smell coming out of that room everything's fine in that room just don't go in there just whatever you do don't go in that room I sort of thought almost like we could I could somehow hide it from the world by hiding it in my head that he was PM because it was just so embarrassing to me and so I think you you have to enter into that period kind of quite slowly and by the way that's how I feel emotionally about a lot of the, you know, when people come out and they're like, right, it's time to pull up our sleeves and get back to, you know, campaigning business. And you're like, I don't know, man, how about we just take two weeks and sit in bed and cry and eat, you know, chocolate cake and
Speaker 2
then maybe. Yeah, because there's other stuff. I mean, I've had a long list of stuff here. No, but there's sort of other things to talk about you know like there's some people just going right we need our own joe rogan and we need there we go this is us we need our you know our own kind of like we've got to fight the right with media and and all of this stuff this stuff that's been said since fox news has been around you know and instantly everybody's like this is what we're gonna do this where i gotta plan guys and the stuff that i found most kind of moving was to sort of you know always be a little gentle with yourself particularly america i mean the point is we do not live in that country that's the thing it affects us all for the reasons you've you know outlined it's very different for like americans in the audience um you know my friends in america you know it really does affect them there are people in real you know sort of fear and dread. And so I think like being kind to yourself, think empathy for those that kind of need it, the people that are really in fear at the moment. But, you know, there's just no need to fucking, you know, be waving your little theory about, you know, how to kind of like change the media ecosystem or your recipe for kind of left wing populism or whatever, you know, which minorities you're prepared to kind of flush down the toilet. that is just, you don't need to. And I'm perhaps part of the whole information ecosystem we live in is that feeling that you've just got to do something. Now, admittedly, we are doing a live show this week, but that wasn't because we had loads of solutions. It's not like we're coming in here with our solutions, like, listen up guys. It's more just to kind of reflect on all the kind of different, um, I don't know, like what the fuck happened, as I said. And I think you've just got to wait. You've got to wait for information to come in. You've got to wait for solutions to, you know, possible ways forward to arise. Because no good decision is going to be made right now. It is a kind of grief. It's a shock. It's a grief. It is. You know, it's like asking somebody to make a kind of decision on their job, you know, just after a bereavement. You know, you wouldn't
Speaker 1
do that. Well, we spoke to an American yesterday, the two of us, and as we sort of clocked their American, one of us sort of said, oh, are you okay? And I could tell as soon as that question was asked that they were clearly going to burst into tears. And it was just like, it's okay, man, we're in the same place. You know what I mean? Like we're feeling the same way but obviously not to the same like extent that you are so you're you're having to be careful people's emotions this stuff is real and i think when it our comparison is not really 2019 our comparison is really 2016 it's the brexit vote it's the stuff that goes to the heart of your sense of who you are as a country. And I think for a lot of, especially for a lot of Americans, you know enough, I've spent enough time in America. Neither of us are anti-American. You especially are frankly quite dangerously pro-American. You have this sense of like, there are just really lots of decent-minded people there. The idea that you have a candidate who would just, you know, replicate someone who is physically disabled and mock them and like someone did a tweet of him doing that from 2015 and we're like how was this not the end of the whole question and that's it and then the idea that that person could come back like after you know everything that you need to know about them there's nothing to be like this is why it's different 2016 it's just like there's nothing to learn now like we fucking know you know we're not let's not try and make it some economic sort of case it's like no you know who this guy is you know he's cruel and vicious and mean-spirited and narcissistic and nihilistic and just an outright maggoty and yet you've still decided to
Speaker 2
make him put him in power he's everything like a small child would know not to be well
Speaker 1
exactly you
Speaker 2
know what i mean he's just like this you know he's sort of sneering and cruel and bullying and bigoted and and and so it's the moral offense of the man yes whereas you know jd vance who's also an absolute fucking shit is more kind of like he's what you expect these people to be to have the mask on to be like oh i am a respectable fellow i've written my my you know the book and hillbilly elegy and all that lot and he's saying noxious stuff on podcasts but he's sort of putting a veneer over it and i suppose the shock persistent shock of trump even after almost a decade is that there is no mask and there is no veneer and it is literally just like here are all the worst aspects of human nature what do you think and
Speaker 1
apparently it's like yeah
Speaker 2
yeah great and so it's sort of like it does question your sense of of not just you know politics and america but human nature so
Speaker 1
this is it i think if you're american it's for your sense of what your country is, the country's soul. If you're not, you do start thinking some really dark things about humans and the person that crosses you in the street. And I don't want to, I actually really don't want to say this, and this is going to fucking hurt. Like at the end of your book, the one that you wrote, Not With Me, the one about the end of the world the bit where that you basically stole from richard curtis and love actually which is really about what happens you know what actually happens at the end of the world what actually happens when people think that they're about to die you know what do they do on airplanes what do they do in in these in these moments was one of them in hawaii or something on an earthquake when they thought it was going to be a nuclear attack. Right. Yeah, that's right. You know, and what do they do is they call up someone and say that I love you. And that is that you kind of have to keep that in mind. That is the only solution in terms of humanity to what you see going on in the US. Just to keep that fact in mind that when it comes down to it, the thing that remains of us is love. To
Speaker 2
persist, I guess, because if you, there is many ways that you can just sort of succumb to the doom. But the people who are going to be making the difference in America, and the people are going to have to respond in Europe and Ukraine, whatever, well, they're not going to succumb to the doom. I find there's something a bit morally bankrupt about, you know, the people who wallow in doom and, like, everything is shit. Sometimes things are shit, but it's sort of your moral duty to not be a collaborator with that. Yeah, yeah. To be, you know, that sort of pessimism is complicity with the bad thing. And yet we're not saying, rise up. The fight back starts here. It does not start here.

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