Bernadette J Johnson

@rng8899 No - He really didn't say anything- just a couple of sentences. Read my post but don't read stuff that I didn't post

@beejjay Because he doesn’t agree with your gutter politics ?

#bbclaurak what is the point of this actor today - he has nothing to say !

@hjluks Address the disconnect between this message and the patients understanding. Go after the grifters and their quackery. Call it out- get rid and we will have healthier people. Sadly, there is this nonsense amongst medical profession that they somehow can't!

I’ve been an orthopedic surgeon for nearly 30 years, and a few patterns have become impossible to ignore. One is that many musculoskeletal problems in adults aren’t sudden injuries. They’re the moment when declining capacity and awful metabolic health finally reveals itself. Over the decades your strength fades, muscle mass declines, as your aerobic capacity tanks. Tendons and connective tissues lose substance, stiffness, and resilience. For years the body compensated... quietly. Then one day a knee hurts during a run to get the train, or shoulder aches reaching overhead, or a back tightens lifting something simple. At that point the story usually becomes more about structural damage. An MRI gets ordered. Welcome to high-tech, low-medicine. And the MRI almost always finds something. A meniscus tear. A rotator cuff tear. A disc bulge. Why? Because by midlife these findings are extremely common — even in people with no pain at all. If you have a tear in one shoulder, image the other shoulder... you probably have the same tear there. But I digress. Once the scan appears, the narrative changes. The image becomes the diagnosis. Now the patient believes something is broken, and the focus often shifts to fixing what the MRI shows. What often gets lost in this is the reason the symptoms appeared in the first place. Many so-called “atraumatic” orthopedic complaints are not purely mechanical failures. They are the moment when reduced strength, declining tissue capacity, and sometimes broader metabolic health issues finally reach a tipping point. Our tissues change over the decades... get over it. In other words, the MRI didn’t create the problem. Well... it sort of did in this scenario. But all the MRI showed was something that was already there.... because of your age, lifestyle, health and so on. The real driver of symptoms is often loss of physiologic reserve. Less muscle. Less tendon or aerobic resilience. Less tolerance for load, etc. Once the MRI enters the picture, the risk becomes overtreatment. This is probably the number one reason people have surgery. When in many cases the most powerful intervention was never the scan or the procedure. It was rebuilding capacity. Strong muscles stabilize joints. Aerobic fitness improves metabolic health and tissue perfusion. Gradual loading restores tolerance. But people often don't take PT seriously prior to surgery. They often take PT very seriously afterwards. Therefore, PT is probably the reason you feel better, despite the surgery. The irony is that the treatment many people ultimately need is the same thing that might have prevented the problem in the first place. Staying strong. Staying active. Maintaining the reserve that protects our joints/tendons/muscles/abilities as we age.

@SussexMSK I keep getting phoned by you with no pre arrangement. No one leaves a message or follows up with an email It is not always possible for pts to take random calls during business hours. Surely you should use email or SMS. This is for an appt which you then give away

@Helpcenterroyal You are asking me to.put my details on x . There is no DM option?

@Helpcenterroyal How do I DM you ?

@RoyalMail your phone number for complaints is saying 60 mins to be answered no matter what time I ring. There is no contact form available on website for complaints that faq don't answer ? Advice please

@RoyalMail Why have you not got a ringback service if the wait time on phone for customer services is 60 mins ????

@RoyalMail Someone contacted me bynphone but the line dropped - please send me a customer services number

@WSCCNews Stonepound Crossroads road was repaired late 2025 after burst water main. Repair has broken and now large pot hole. Who is responsible ?

@SouthernRailUK It's not 'busier than usual ' - it's demand on a Saturday. I spent whole journey with someone's bottom in my face !!.

@SouthernRailUK I know it is scheduled to be 8 but it should be 12 to accommodate the demand. That is my point !

@SouthernRailUK Why only 8 carriages on 11.02 Hhassocks to Victoria - pax standing in every aisle. Deeply unpleasant and total disrespect to your passengers

@JeremyClarkson @writethewrongs2 Come on JC you are better than that !

@writethewrongs2 There are therefore 259 that cannot be used in such a way. I’d let them have one if it makes them happy.

WTAF! Someone stop these nutters! "It's bizarre when you see it - it's so shocking most people just cannot believe what's going on," says Adam Faulkner. He has filmed countless vehicles driving up and down a river that is one of the world's rarest habitats, but is legally classed as an unclassified road. There are only about 260 chalk streams on the planet, but in one section of the River Meon in Hampshire you can expect to see motor vehicles driving along it. BBC article.

Here's the thing. Its the morning rush hour, most of us can't simply "not travel". We have to go to work. And for lots of us, that means using the ONLY RAIL NETWORK THAT RUNS THROUGH OUR STATION.

@LinnyLou1952 @cm_bagot @marksandspencer And the twitter presence is just a big pretence at customer feedback and liaison. They take no notice in the long run !

@cm_bagot @marksandspencer M&S have given up on BBC anyone older than 45

M&S have decided we must all wear very wide trousers. I want some straight legged trousers & have walked round a store full of wide trousers and jeans. also, ladies toilets a disgrace. only cafe was a decent experience. come on @marksandspencer up your game and cater for everyone

@piersmorgan Private medicine is as good if not better than NHS. You are mistaken though. You and your parents have to go to A & E first. The only way you can avoid is if it is not an accident or emergency and you self pay.

Thanks for your thought. I would obviously, and have obviously, done this when required/possible. But when elderly people have emergencies like they did, the NHS remains the best option. But again, many thanks for your thought.

@piersmorgan But private medicine is irrelevant for A&E. There is no private A&E process. Only once you have a diagnosis can private medicine play a part !

No, but both my parents had long agonising nights on trolleys in A&E corridors recently and it’s shameful anyone has to. I pay for private medical insurance because I can afford to and don’t want to pile even more pressure on the NHS. All who can afford it should do the same.

@henrymoeranBBC Yet Root defends the shot !!

The only possible audio accompaniment to a wicket that tops the pantheon of daftness... #WhyDidHeDoThat?