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Allan Besselink

Cellular Physiology: The Real Evidence-Based Practice

Tuesday, 01 July 2008 19:00 Written by Allan Besselink

Evidence-based practice. EBP. It's become one of the catch phrases of our era. In a land of randomized clinical trials, case reports, and clinical observation, clinicians are constantly seeking out the evidence to support their diagnostic and treatment interventions.

 

It's a phrase that is in vogue in the health care world. The concept certainly makes sense. Good research ... good data ... good conclusions ... an overall improvement in our practice patterns ... and overall good for the patient. How can you beat the logic of that?

 

If it was only that simple. Well, hold on a minute - maybe it is.

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Repurpose?

Thursday, 19 June 2008 04:32 Written by Allan Besselink

Repurpose.

It started off as just a word in a headline in the Austin American Statesman this morning that caught my attention. Of course, I went to find out if it even exists - and once again, found that no, in the Oxford English dicitionary, it doesn't. But wait - it does appear in the American Heritage dictionary, so I guess all is not lost. As the British might say, "those colonials have killed the language again"!

After the initial amusement, I went on to read the article - a discussion on the "repurposing" (let's make a verb like "Googling"!) of Johnston High School in Austin.

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Recovery: The Forgotten Training Tool

Thursday, 26 June 2008 06:57 Written by Allan Besselink

It seems that everyone is searching for the "magic workout", the key(s) to training success. If you look at any number of magazines on the market these days, the predominant themes are along these lines:

 

"Seven tips for your fastest 5K ever."

"Twenty workouts to your best Ironman."

 

And so on and so on - and it doesn't change from sport to sport.

 

While the search goes on for that one special workout that is going to make the critical difference in training results (or that one special exercise that will lead you to a miraculous recovery from injury), we've forgotten something elemental about the human body. It needs time to recover. All the "right workouts" in the world aren't going to make any difference if you've not done what you need to do in order to foster your recovery.

 

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Friday, 26 March 2010 09:32 Written by Allan Besselink

Malthouse has Epic ArmageddonThinking and legislating. You would have to start to wonder if these were just two divergent ends of the same political spectrum. No, really, you can think and be a legislator at the same time - unless someone is in your pocket. Some fat cat special interest. Then it’s really tough to maintain your focus on reason with someone groveling around in your trousers. But I digress. More on that later.

The United States has recently joined the rest of the world’s industrialized nations in addressing the issue of health care reform. A little slow to the party perhaps, but still there nonetheless. There are now signs that efforts are actually being made to resolve a problem that is spiraling out of control.

It hasn’t been without it’s share of spewing of vitriol, hate and fear. In the lead-up to voting, you heard plenty of misinformation. It went well beyond the bill itself. You had conservative pundits and talking heads making statements about the demise of democracy. You might have even heard mention of the impending onset of Communism and, yes, even Armageddon. Hysteria. Fear. Chicken Little was actually making a 21st century appearance of sorts.

But it gets even more humorous.

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Bacchus 1991-2008

Wednesday, 28 May 2008 14:24 Written by Allan Besselink

Today was a very sad day.

Today I lost a friend.

The friend in question is Bacchus, a 17 year-old black cat. He was Teresa's cat ... and she'd had him since birth, or not long thereafter. Over time, he'd come to accept me as part of his world. Let's face it - cats choose to accept you or not, and not the other way around! Teresa was always going to be his favorite, of that I have no doubt, but it's amazing what happens when they realize that you provide food too. Suddenly, you have a new best friend!

Sleepy boyHe was a very laid-back kitty. Oh, he would definitely tell you when it was time to eat, or if he needed more water. But he was always the "purr-kitty" nonetheless. If you were taking a nap, he'd want to snuggle in with you. If you were watching TV, he'd end up sitting next to you. If you were eating breakfast, well, he'd probably hop up onto the table to join you.

Time was getting the better of my friend Bacchus. His kidneys were slowly failing him. He was getting older. He didn't have the "ups" in his legs as he used to, though he would always surprise me with the occassional jump from floor to table to remind you that he "still had it". Even after having some surgery recently for an abscess, he made the heroic comeback. He was one tough little camper with a true fighting spirit.

This past Monday, we could tell something wasn't right. It seemed like he'd lost his "zip", something that he'd had even when recovering from his surgery. He seemed to lose his drive to thrive. He became lethargic. We knew something was wrong.

He made a trip to the vet yesterday for some blood work and some fluids, and I thought he'd make a comeback like he always had. But something was different. It was a long night, sleeping with him on the floor, hoping that he'd awaken me with the sound of his drinking or eating - sounds that would indicate that he'd regained some energy.

We went back to the vet first thing this morning to find out that his bloodwork showed he was in renal failure. There really weren't any options for a 17 year-old cat.

Bacchus left us peacefully at 9:21 this morning.

It's been a very sad day.

I can't write this now without feeling the despair of his loss. A lot of tears have been cried, and a lot of wonderful memories have been recounted. I know that my world has been made more loving, more vivid, more enjoyable by his presence.

The glimmer in the eyesAt 8:25, just before we headed out, I wrapped him up in my arms and went outside with him. The sun was just barely finding it's way through the trees. The birds were singing, and the squirrels were chattering. It was a strangely beautiful morning. He looked serene, happy, almost like he was ready for another comeback. There was that slight glimmer in his eyes, that look that could incite optimism as it had times before.

I am glad he got to experience the beauty of the world around him for one last time this morning.

It's been a few years since I've had a cat ("Biscuit") and decades since I've had a dog ("Tiny"). But over the past few days, I have been acutely reminded of how pets become a part of us, an integral and loving part of our world. And in their passing, we are reminded of how fragile life really is, and the inherent beauty of all of our relationships.

I'd give anything to hear him purr for me right now.

I'll miss you B ...

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Allan Besselink

Allan Besselink, PT, DPT, Dip.MDTAllan Besselink, PT, DPT, Ph.D., Dip.MDT has a unique voice in the world of sports, education, and health care. Read more about Allan here.

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