06/07/2026
There are weekends that leave you physically tired.
Then there are weekends that stay with you long after you’ve unpacked your bag.
Last weekend I had the privilege of speaking at BCA Chiro Climb 2026, delivering a workshop on shoulder assessment and movement, followed by a keynote called The Weight You Carry.
The workshop was about clinical reasoning.
The keynote was about something much more personal.
It came from conversations I’ve had over the years with clinicians who quietly question themselves after a difficult case. The email that sits in your mind. The patient you can’t stop thinking about. The responsibility that somehow follows you home.
For a long time, I thought those feelings were something you were supposed to keep to yourself.
Standing in that room, I realised they weren’t mine alone.
Afterwards, so many people came over to share their own stories. Different careers. Different experiences. The same emotions.
That reminded me that behind every title, every qualification and every clinic door is simply another human being doing their best to help someone else.
If this talk achieved one thing, I hope it made a few people feel a little less alone.
Thank you to everyone who came to the workshop, listened, asked questions and shared your own experiences.
And to everyone who climbed Snowdon alongside us…
Sometimes the conversations on the way down are every bit as valuable as reaching the summit.
— James
❤️
