Wide and deep knowledge PLUS excellent observation (data-gathering) skills are the hallmarks of the very best experts. Add a healthy dose of compassion, and you get Dr. Kyle Shepard! Big admiration! 👏
What a great story, illustrating the importance of a thorough case study and not mistaking compensatory strategies for the root problem. In early childhood education, we used to say, if you observe the child carefully enough, they will show you what you need to know. What has always astounded me, is how quickly educators treat compensatory strategies as a social-emotional problem before considering if it is rooted in the body. How great that you had that training and experience!
I know someone who could unpack it further in a much more eloquent way as he sits next to his fire at night while he knees are burning from getting 25 miles in that day!
The BPPV case does what the best clinical writing does — it earns its philosophy through the specificity of the story before asking anything of the reader.
What stays with me is the timing detail: holding the head still after a positive diagnosis, because movement at that moment wastes the opportunity. That's a precise metaphor for what happens psychologically too. We often destabilize the very moment that needs stillness.
The reframe from "easier now, harder later" applied to avoidance is simple, but the decade of compensatory atrophy makes it visceral rather than abstract.
Appreciate you Julia! Completely agree about the details in this story and their application to so many other aspects of life. True of most stories for those willing to pay attention and be curious about greater lessons outside of the specific use case.
I work on this all the time with my degenerating disks in my lower back, I'm constantly alert for compensation and secondary effects, and am constantly chasing the repercussions up and down my spine. It's no joke and takes a lot of effort to manage. This is a great example of that!
Wide and deep knowledge PLUS excellent observation (data-gathering) skills are the hallmarks of the very best experts. Add a healthy dose of compassion, and you get Dr. Kyle Shepard! Big admiration! 👏
Thank you Baird. You’re too kind but what you describe is absolutely what I aspire to be in everything I’m passionate about. Appreciate you
What a great story, illustrating the importance of a thorough case study and not mistaking compensatory strategies for the root problem. In early childhood education, we used to say, if you observe the child carefully enough, they will show you what you need to know. What has always astounded me, is how quickly educators treat compensatory strategies as a social-emotional problem before considering if it is rooted in the body. How great that you had that training and experience!
Appreciate you Judith! I’ve been blessed by outstanding mentors in many realms (I’ve also been blessed by negative role models in those realms too!)
That’s a powerful example, and I really like the wider recognition of compensation we may undertake in other aspects of life! Lots to consider there.
I know someone who could unpack it further in a much more eloquent way as he sits next to his fire at night while he knees are burning from getting 25 miles in that day!
Haha! Quite a lot of compensation going on there! 😆
😂👊🏻
This was awesome, Kyle.
Appreciate you brother
The BPPV case does what the best clinical writing does — it earns its philosophy through the specificity of the story before asking anything of the reader.
What stays with me is the timing detail: holding the head still after a positive diagnosis, because movement at that moment wastes the opportunity. That's a precise metaphor for what happens psychologically too. We often destabilize the very moment that needs stillness.
The reframe from "easier now, harder later" applied to avoidance is simple, but the decade of compensatory atrophy makes it visceral rather than abstract.
Appreciate you Julia! Completely agree about the details in this story and their application to so many other aspects of life. True of most stories for those willing to pay attention and be curious about greater lessons outside of the specific use case.
I work on this all the time with my degenerating disks in my lower back, I'm constantly alert for compensation and secondary effects, and am constantly chasing the repercussions up and down my spine. It's no joke and takes a lot of effort to manage. This is a great example of that!
Can't beat a good mentor. Great story and framing as always my friend. Enjoyed it!
Thank you buddy