You're listening to the PT Pinecast,
where smart people in healthcare come to
make noise.
Here's your host, Jimmy McKay.
All right, let's kick this thing off.
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it, which raises an interesting question.
What happens when you combine clinical
curiosity, global service,
and a belief that healthcare works best
when people actually work together?
I have a feeling we're going to answer
that.
Let's bring in Nate and Clint.
Gentlemen, welcome to the show.
Hey, thanks for having us.
I like when we sort of have a
tease or an intro which sounds a little
left of center.
I'll have guests say like, hey,
just reel me back in if I sort
of get into the weeds.
And I'm like, I don't know, man.
The weeds is sort of where the interesting
things are.
Down the middle,
someone else already solved that.
So it feels like...
You guys sort of live in this sort
of gray area.
You've said before,
PTs are chasing credentials instead of
expertise.
Let's start there.
What's the difference between being a
technician and a clinician?
And it must be a good question because
it rhymes.
It must be.
That's how I filter out all my good
questions is I'll answer them as long as
they rhyme.
You know,
it's a challenge in the culture of like
health care, physical therapy,
strength coaches, chiropractors.
We all want to get trained in the
next thing.
And I think sometimes we lose sight of
what the skill really is and how it
applies clinically.
And we really focus on how many letters
we can put behind.
our name you know and i think uh
the difference between technician and
clinician is when do you use the right
intervention for the right client or
patient at the right time
And I'll add there, Jimmy, as someone,
I'll raise my hand,
guilty of chasing the letters,
I have probably one of the longest
alphabet soups that I've seen, honestly,
and that's not bragging,
that's just the time that I spent in
the military and the money that they spent
on me training me.
There comes a point where those just don't
seem to matter as much, you know,
and what's the real world application?
And Clint and I have seen this firsthand
in training some
I would say some indigent populations in
Cameroon, Africa,
and in rural North Carolina,
and with opportunities in multiple other
locations.
The people there are looking for what is
going to best serve their patient
population.
And letters and tests and all that,
it's a medium to get there,
It doesn't solve the problem.
Yeah.
Somewhere along the way to collecting all
those things, you were like, huh,
this isn't doing the thing I thought it
would.
Here's the thing.
We can say this.
People can hear it.
They can nod along.
And myself included,
you still get guilty of that, right?
Because we're big, dumb animals.
And I say that lovingly because I am
a big, dumb animal,
is we buy this thing called a story.
And if someone tells a story well,
repeatedly and loud enough,
we can sometimes buy it and
But we should be reminded that like,
how many times have you bought a store
before and been sort of left buyer's
remorse, right?
So I guess step one is figure out
what type of change you want to make
and then work backwards from there.
You said you've noticed a lack of
reflection and mentorship in the
profession.
What is good mentorship actually look
like?
Because if you go on indeed right now
and you search physical therapy and
mentors,
you're going to see that where both words
phrases pop up a lot.
But what is good mentorship in both of
your opinions look like and why are we
seeing less of it?
You know,
I think going back to my statement,
you know,
applying the right intervention for the
right patient or client at the right time.
That's, I think,
what mentorship in my career and in my
history has really helped me kind of dial
in is why are you doing what you're
doing?
And I think that the limitation with
mentorship is it becomes transactional.
Just like you said,
it's that buyer's remorse sometimes of
like, well,
I paid for
this mentorship through my residency or a
fellowship,
or I bought something on social media,
but like maybe there were click through
modules and it's a,
it's a framework to think through,
but there's nobody next to you really
asking you the hard questions of like,
well, why,
what did you see that made you pick
that?
And if you,
if you saw that thing again and you
couldn't pick that,
like if someone doesn't want to use
shockwave because it hurts or someone
doesn't want to use needles or
manipulation because they don't,
they're not comfortable with it,
but what else,
what other tools do you have?
Because
you only ever have hammers you only ever
find nails and that that's the one-on-one
or or small group kind of mentorship where
there is some reflection and lateral
thinking involved instead of just kind of
coursework to go through or the
transaction of well you have to be here
for x number of hours for me to
graduate yeah nate what do you think i
mean i i don't want to guess but
whenever i've heard from people who've
practiced in the military they're like
things are done
pretty well there, you know,
like in terms of structure.
I mean,
I guess if you're going to find one
thing in the military and you know you're
going to find it, it's structure.
Is that mentorship there as well?
Is that part of the structure?
Oh, I would hope so.
I mean,
my own experience in the military when I
first started off was I was dying for
mentorship.
I went to my very first boss and
said, hey,
I want to spend
an hour a week with you doing some
mentorship time.
And he was pretty clear about it.
He said, Nate, I got to tell you,
I'm not an awesome clinician.
I'm a very good manager,
but we're going to have to find somebody
else to mentor you.
That's good self awareness, though.
That's what I was going to say.
I really appreciated that.
And he was a fantastic leader.
He really was.
But as I sought that mentorship, honestly,
it took me about two years to find
individuals that were willing to take the
time with me.
and uh that's that's not a knock on
the military as much as it just was
the situation that i was in but even
looking in the civil i was looking in
the civilian world also and asking folks
there for some help and uh and they
you know their their first question was
well when are you gonna get out of
the military so that if i'm spending this
time on you um it's going to uh
pay off you know essentially pay off for
me yeah
I'm like, well, I don't have that.
I owe the military four more years.
It was frustrating.
I super appreciated the mentorship that I
got after about that two-year period.
Those first two years,
that was a frustrating time.
I think what I'm hearing for you is
it takes time to invest in a human.
That's simple, not easy.
Well, there's that.
And then you mentioned structure.
And I do appreciate structure for sure.
The problem is when that structure
becomes, you kind of get pigeonholed.
And I'm going to pick on my McKenzie
friends just a little bit.
I love the methodology and the structure
of it.
But if I take somebody that I'm mentoring
and I say, okay,
I'm going to tie your McKenzie arm behind
your back.
And as Clint said,
let's treat somebody without a certain
modality or without a certain approach.
Can you still do it?
And you'll find that a lot of clinicians
can't.
So that's one of the things that we're
trying to target with this.
know the the origin story a little bit
and uh clint is really the mastermind
behind what we're doing with global physio
training i came on board because he
painted a clear vision for it but we
have
like I said,
these populations that maybe don't have
access to the type of healthcare or
training that they need.
And when we think about changing third
world countries or indigent population
situations, the solution to throw money,
let's say build a clinic or let's deliver
some MRI machines and x-ray machines for
these folks.
We're talking high ticket items
that they'll have an effect, they will.
But man, if I can get a dozen,
or in the case of Cameron,
five dozen physical therapists together,
and I can train them to use their
hands and their minds
The impact of that versus the cost of
that, the ratio is just amazing.
Juice versus squeeze ratio.
Exactly.
And it's already come to fruition just
within a year of starting up.
And I don't mean to take most of
the time, but like I said,
Clint's the mastermind behind this.
I'd really rather hear from him,
but that's the reason that I came on
board because I could see the cost benefit
there.
Well,
that's why I started with questions about
mentorship and not just, Hey,
so what is this thing you're doing?
Right.
Cause I wanted to like touch on a
few of the reasons why you're doing it,
but now we'll get to it.
So Clint, how do you describe in the,
in how I was taught research was what,
so what now, what go to the, what,
like, what are you doing?
And then we'll get a little bit deeper
into the why and the how,
but what is it?
How do you paint the picture from someone
who doesn't understand what you're
actually doing with this program?
Yeah,
so we have six kind of initiatives built
out in our nonprofit,
in our strategic plan.
The main ones we've been focusing on now
are developing,
delivering workshops and seminars.
I went out to Cameroon last year.
I taught for ten out of eleven days.
That middle day that I didn't teach was
a six hour or seven hour travel day
to a different city.
um and uh we we deliver these courses
now in person um uniquely that the first
format for these courses was to have like
a train the trainers day on like a
friday the first day of the course that
way i can have a force multiplier and
have kind of some assistance when we go
to the bigger groups um the challenge was
everyone signed up for the train to
trainer day so then we had three days
instead of a one day and a two
day course um but it was really cool
because
They needed the reps.
We all do.
We need the reps.
We need the practice.
We need the hands-on, the feel,
the anatomy review, all of this.
The other couple of programs that we're
working towards now are some resource
donations.
We actually work closely with Superior
Medical Equipment
they donate resources to us to take into
these lower economic resource populations.
And so that resource allocation,
even Nate has a contact with MyoHealth.fit
and the MyoHealth group has donated both
e-stim tools and instrument assisted tools
to give to these other lower economic
resource populations in Cameroon
specifically.
And then the last thing we've launched so
far has been the mentorship piece.
Val is our colleague internationally.
He has been hosting weekly or biweekly
physio coffees.
And he has anywhere between twenty to
sixty people showing up
either in person synchronously or
virtually from five or six different
cities in Cameroon.
So those are the three kind of main
pillars we've started with as far as the
what and what we're delivering to these
Cameroonian PTs.
Why Cameroon?
What was it about that?
Was it a personal connection?
Did you spin a globe and just stop?
Why there?
What is the need there?
Yeah, I met Val two years ago.
He was here in the States.
His brother had a stroke.
Val is a neuro rehab specialist,
among other things,
but he has a love for no rehabilitation.
And I met him on a course and
he had told me the story about like
his brother had this this brain injury and
stroke and they told him Yep,
you'll need a wheelchair for the rest of
your life.
And he flew from Cameroon to New York.
and spent I think a month or three
months working with his brother.
And his brother is now running like five
Ks and he's back to like training and
he's working full time.
He's not just relegated to a wheelchair.
So I met Val,
heard the story and Val's question was how
do we take education like this back to
my country?
Like there are PTs who never take
more training there's no requirement for
their licenses where they have to renew
ceus every one or two years or whatever
um so we we brainstormed and it was
like well we could create a a business
but how do you build a business where
you know they can afford seventy to a
hundred euros for a class and i gotta
figure out how we get over there for
you know three thousand dollars and and so
that the non-profit route really
emerged.
And then as we kind of talked through
the structure, Val said, oh, by the way,
I used to work on Fiverr setting up
nonprofits for U.S.
organizations.
And I was like, what the heck?
Like,
this is kind of like he let me
kind of get there, you know,
and then he's like, hey,
I also do this.
So Val's great because he's
a fantastic PT.
He's a great human being,
but he's also way more specialized in the
IRS nonprofit code than I am,
which is a huge asset for us.
I'll tell you, Jimmy,
like Cameroon is just kind of the
beginning.
We do have aspirations for other countries
throughout Africa.
I have some connections with South
America.
I lived in Brazil for a couple of
years.
Same situation where we call it a blue
ocean,
just folks that are dying to get trained.
You know,
they're just they're super interested in
it.
We've got some connections to the
Dominican Republic as well.
And then we don't want to skip our
own country with the United States because
there are areas of need.
Sure.
And we've already started to address
those.
Of course.
Yeah, yeah.
There's some great organizations in the
U.S.
like Remote Area Medical that provide like
dental vision.
Now PT is on site as well.
We will not lack on need.
at any time,
as soon as you think you have.
But maybe that's the issue is myself
included,
is if you don't see it outside your
door or when between your house and lunch,
then you sort of like, well,
is it that bad?
I haven't seen it.
I haven't seen it lately.
So it doesn't really,
it doesn't touch an emotion.
It doesn't touch you doing anything about
it.
So let's go to the other side of
this.
What do people that you train,
PTs or people who,
as you just said in your own words,
are dying for some of this education to
do something?
What do they understand about learning and
growth?
that maybe many american clinicians
clinicians even like myself still have to
learn well i would say first of all
their
They come out of school kind of like
a BSPT.
So like they're already out practicing as
a twenty something year old.
They understand.
Hey,
like the basic stuff that I learned in
school is not enough,
but I also don't have a lot of
resources other than online modules that I
have to.
pay euros for or dollars for or Australian
dollars for to get which is pretty salty
for them.
They're limited economically.
And so even though they may see that
the gap in their knowledge,
there's not a lot of access to finance,
it's financially restrictive to have them
get the access.
So they see in us an opportunity to
learn from these like, in their minds,
we are prestigious Americans who are
coming over to Cameroon and Nate and I
are like,
Yeah, Nate already told you,
his business card looks like a letter,
an envelope you'd get in the mail.
But we also give a crap and we
wanna invest in people who actually wants
to learn,
not just want more letters or whatever
behind their name.
Nate, what do you think?
I mean, the awareness is one thing.
The folks in Africa,
they're gaining more awareness just of
what they don't know.
And then the awareness in the States,
it's funny because we go to, again,
maybe a lower economic area in North
Carolina, and we say, hey,
we're offering this course.
And there is a cost to the course.
In the case of students,
we have a reduced cost as well.
But what we'll do is spend most of
the time at the beginning of the course
just describing the mission of global
physio training.
And what folks come to understand is that
their tuition for taking the course,
a portion of that greater than ten
percent, more like twenty percent,
is used to fund the tuition for those
in other countries or in other areas.
so not only is it a learning experience
but it's a kind of an outreach uh
and we've we've already had you know a
student that came in uh paid a student
rate for their course saw the mission and
donated double what right what they paid
for their course to help fund some of
the training for some some of our african
friends so uh the awareness is a big
part of it
So it's almost like a little bit of
the Tom's shoes model where, Hey,
what you're doing here is going to fund
something elsewhere.
And that it's different, right?
Just knowing that sort of hits different.
It's not a, it's not a mistake why,
you know,
Sarah McLachlan and arms of an angel was
playing and they're showing you the dogs.
They're showing you before, before,
before, before, before, after,
and you're going,
oh, I get it, I'm the in-between,
and that's sort of storytelling,
but you're also showing and not telling
there.
Yeah, Clint, let me break that down,
the Tom's model, that's it.
Yeah, exactly.
You know,
one thing that was a huge asset in
hindsight was Val actually started his own
education company,
and he was the one driving the awareness
of like, hey,
He worked in Germany for a while.
He's traveled to the States and done other
courses.
He's done all sorts of stuff.
And so he was pretty influential to open
the eyes of the other Cameroonian PTs and
show like, hey, there's more out there.
And I think contrast to that,
in the US,
the DPT model is we come out as
doctors of physical therapy.
And there's a lot of prestige and prowess
that comes with that.
But also, don't forget,
the APTA says that you're a novice
clinician for two years.
You have a breadth of general knowledge,
but you don't have any depth in any
subspecialty or category.
And again,
just the reflection and the awareness is
really what's just maybe different.
And I'm speaking in generalities.
Of course,
there are PT students that come out
as DPTs that are exceptional.
But I think that's more so the exception
and not the rule.
So it's been critical for Val to drive
that awareness in his community that, hey,
there's more out there that we don't know.
How do we get more of that information?
The model that you work at,
it sounds like it's got a mix of
orthopedics, neuro, primary care,
holistic providers.
So I'll ask you both of this.
What does real interdisciplinary care look
like when it's done right in your eyes?
What does it look like?
Yeah.
You know,
Nate and I both have had the experience.
Nate, far more than me.
I worked in the military for two years.
Nate for, I forget, twenty or twenty one.
The military does have it.
figured out,
at least for the special operations
community, what an interdisciplinary,
multidisciplinary team looks like.
We're talking PTs, athletic trainers,
strength coach, dietician,
nurse case managers,
spiritual health with the chaplains,
social worker, you name it.
It's all integrated,
and there's generally a framework and some
seamless transition between those domains.
And that's what, in the civilian side,
everything is still super siloized, right?
You see your primary care,
they refer you to an image,
Your PA comes and reads it,
and then they get referred to internal med
or oncology or whatever else.
And there's not a lot of crosstalk.
And so it's a big piece of the
puzzle within our physical therapy
practice to have generalized resources
that are manual therapy, neuro,
some sport performance,
and some strength loading principles,
the direct primary care.
And actually,
Cameronian PTs are way better at direct
primary care than we are.
They already...
do vaccinations and blood draws and things
like that because of the nature of them
in a health care system.
They're they're trying to manage some.
What's the term for like?
Systemic disease, not systemic,
but like in the community,
in that country,
there's a lot of chronic disease and
yellow fever and things like this malaria
that that they need more assets than they
use as those assets.
But that's what yes,
that's the mother of invention, right?
I mean, if we have hands,
You know,
things are impossible until there's a
pandemic and then they're not impossible.
They're not even probable.
They happen.
Funny, funny how that happens.
Funny how that works.
What do you think of interdisciplinary?
I mean, you know,
we've lamented for years as a physical
therapy community of, you know,
and we finally do have some states coming
on board with imaging and limited
prescription rights and those types of
things.
And we say, well, in the military,
we do those things.
I did.
You know, you're up close to West Point.
I spent some time at West Point and
I interacted at least weekly,
sometimes more with the orthopedic
surgeons there.
We were able to discuss our patients.
I could call radiology as soon as I
got an image back.
I could look at the image myself and
read it and then get clarification from
directly from the radiologist if I needed
to.
I could.
ordered blood panels or medications or
whatever.
But the thing is, Jim,
we can do those things now.
I left the military in twenty twenty
three.
I'm operating in a clinic here in Colorado
Springs.
We call it Physio Room.
We have an office in Denver as well.
And and I am tied in with a
an imaging clinic.
They have a cash menu.
I send my clients there.
and they can get their imaging done within
a day.
We have the results to help guide our
care that same day,
tied in with the orthopedic community.
I've got orthopedic surgeons on a Rolodex
that I can contact.
And the- Rolodex.
Kids, the Rolodex is your contact app.
It's aging me a little bit.
I mean, I'm tongue in cheek.
But the bottom line is these things do
exist now.
One of the courses that we're offering at
Global Physio Training was developed by
one of our colleagues, Katie,
and the primary care
uh, abilities of a physical therapist.
I mean,
that the time is here and now we
can do these things now let's start
training these things up now.
So, uh,
we have those offerings as part of global
physio training and, uh, the, the, uh,
ability to do those things in Cameroon in.
of the Dominican Republic in rural United
States.
It's coming.
And if not, if already being here.
So that's, you know,
as far as interdisciplinary,
it's really upon us to take advantage of
the opportunities that are already here.
Nate, let's get philosophical here.
You've said movement is an algebra.
It's movement quality is calculus.
I'm just going to say,
Wait, what do you mean by that?
Well,
I'm going to attribute that one to Clint.
I'm the guy that dumbs things down and
then he's the guy that gets real spacey.
All right.
So Clint, that's, that's from you then.
Yep.
Yeah.
So like one of the things that I,
I like to talk through are like the
fractal sequences and the Mandelbrot
sequence and all this stuff,
the golden ratio.
But help me understand the good go on
that one, bring it down to the ground.
So a lot of times I think in
the outpatient PT world,
when it's high volume and it's like,
you know,
you got a thousand referrals coming in and
you're just trying to get people off your
caseload, you know,
at twelve visits or whatever,
you make the decisions that are like, hey,
all these needs respond to X,
Y and Z.
All of this back pain generally responds
to X, Y or Z.
They're going to go get an injection
anyway, whatever, you know,
that the esoteric and the calculus of it
is like,
you know,
what else is contributing to this knee
pain or this back pain or these headaches
or shoulder pain?
And it, it oftentimes could be, you know,
because of the hip limitations,
that's overloading the knee because of the
shoulder limitations,
you're getting chronic headaches because
your upper trap and levator are so jammed
up and your upper cervical is jammed up,
whatever the things are.
So I try to like,
look at the problem and make sure that
the problem is actually where the fire is
and not just smoke because the fire may
be somewhere else.
And that's kind of the the calculus is
you got to level up to to think
through problems in maybe a bit more
abstract,
interrelated perspective instead of, oh,
well,
all my knee pain is just knee pain.
All my back pain is just regular
facetogenic, discogenic back pain.
So and you know,
you hear Clint discuss that and it sounds
super big picture,
thirty thousand foot view and and and
maybe over overly complicated.
But it's not because what we do in
mentorship is we bring people with.
Yes,
we want that view and we want to
contemplate all of the contributors to a
pain or dysfunction.
But what we spend time in mentorship doing
is getting people down to basics.
That this I've been on the continuing
education circuit for almost a decade.
And, uh,
and the number of people that have emailed
me and said, Hey, I've got this problem,
this client,
and it turns into a page long email.
Um, my response is what is the diagnosis?
and the almost invariably then well i've
tried some manual therapy like this and
i've tried driving no no no no no
what is the diagnosis because if we're
start if we and we're guilty of this
as a community we just start treating
without a diagnosis and then six visits in
patient reports that they're no better or
that they're worse or whatever and now
we're starting to chase our tail when
really if i just started in the beginning
And I'm constantly preaching this to my
team at PhysioRoom,
constantly preaching this on the
continuing education circuit.
And whenever somebody asks me a question,
what's the primary diagnosis?
And once you have a primary,
you should have at least three
interventions that you can use on that
primary diagnosis.
What's your secondary diagnosis?
And then more importantly,
what's your tertiary diagnosis?
So that when you start with the first
one,
you've methodically provided the care that
should help resolve that issue.
And if it doesn't,
you don't have to do a complete new
reevaluation to find out what's,
it's like, huh, let me try it.
Let me consider this second one.
Remember when I first evaluated them and I
had the secondary diagnosis,
let's try that.
And then maybe we're looking at that
zebra,
that third or that tertiary diagnosis that
we need to get into that.
And we consider all three of those at
the granular level,
like I'm talking about,
and at that high level,
like Clint is talking about.
Yeah.
One of the things that I try to
think us through,
and this gets a little bit deep for
just a minute,
but the pathoanatomic diagnosis is what
every patient or every provider will ever
tell you.
It's knee pain.
It's osteoarthritis.
It's disc pain or it's discogenic low back
pain or whatever.
Those are pathoanatomic.
They tell us where the pain is,
which structures and where it is.
the movement-based diagnosis is like back
pain,
secondary to facet hypertrophy or
secondary to hip hypomobility or hip
insufficiency.
And like,
that's where my brain wants to go is
like, when it comes to those diagnoses,
if you only ever say,
well,
your hip pain is directly related to the
labrum,
then you don't ever get a chance to
go back and say, oh, well,
maybe it is coming from like L five
S one.
And that's what's pissing off the labrum
in the first place.
Maybe it's related to the limitation of
the hip.
And so like that's that kind of a
thought process is where we get into less
of the diagnostic category of
pathoanatomic diagnosis and way more into
a movement based
dysfunction.
And a lot of that is something that
PTs in the US don't really use.
And that's the granular nature of like,
sure,
we'll just treat the first thing that's on
the script.
Yeah.
Let's make you guys look into the future.
That's what we're always trying to do,
right?
Predict the next thing and move towards
it.
With policy changes and new care models
emerging,
do you think something like that
interdisciplinary model or teams
will become the norm in the next decade
and if so like what do we need
to do to get there or speed it
up from an outcomes perspective i
certainly hope so i mean like to have
a surgery or an injection or a procedure
and then immediately go to pt and
immediate or chiro or whatever and then
immediately have a program so you get free
to get back and more durable in a
strength training cardiovascular training
kind of model i think is
the best formula for the durability and
longevity.
Cynically, I do believe that
even though we have these bundled care
models now,
PT gets relegated the least amount of that
money.
The surgeons, the anesthesiologists,
the hospital systems keep a huge chunk of
that money and then only allocate X number
of visits for a total knee or for
a lumbar fusion or whatever else.
And so I'm not sure how much will
change without the insurance companies
having less oversight and input on how
those dollars get used.
But that's maybe just a negative.
I'm not very negative generally,
but maybe it's more realistic, I guess.
No, it's pessimistic, there's optimistic,
and there's the glass is twice as big
as it needs to be,
and that is realistic.
That's right.
I think that's where I kind of sit.
Generally, I'm not a cloudy guy,
New York kind of guy,
but on this topic,
it seems limited by those who have the
money and decide how it's allocated.
Yeah.
Nate, what do you think?
I mean,
I'm going to go back to we need
to take advantage of the opportunities
that we have now.
Like I said, we have thought for years,
oh,
I wish we could do this or I
wish we could do that in physical therapy.
And we can.
We need to get instead of thinking why
we can't do something,
we need to start thinking about how we
can.
And there are ways that we can work
around this.
Now, finances is always a limitation.
We run a hybrid clinic at PhysioRoom.
About twenty percent of our clientele are
insurance based.
And it's just it's getting harder and
harder to be able to continue to provide
those services because the reimbursement
is less and less.
And we have to push more towards our
cash paying clients.
Um, but those, uh, the,
the reach or the access for those paying
cash is it's becoming about the same as,
as, as, uh, insurance.
I mean,
I watched a TikTok just a couple of
days ago of a woman that's like, Hey,
my insurance premiums are a thousand
dollars a month for a family of five.
Right.
And then she goes to see the primary
care doc and, uh,
has some co-pays and
I went to the emergency room.
Emergency room was eight hundred dollars.
And on her way out the door,
she said, hey,
if I just came in and paid cash,
what would it be?
And I said, I'd be five hundred dollars.
She's like, I'm paying eight versus five.
on top of the premium on top of
the premium and uh and then she had
imaging same situation mri was nine
hundred dollars if she paid cash it would
have been six hundred like it's just uh
it's the the education for the clients is
probably a huge part of this again we
need to take advantage of
the opportunities that are present now.
And I see us being able to shape,
you asked about the future,
what does that look like?
I think it depends on us taking advantage
of those opportunities.
I had a client last week.
I did a free discovery visit with her.
And at the end of the visit,
she was like,
this is what I've been looking for.
Instead of going five places around
Charlotte or around town for my
chiropractor and my massage and my PT and
my whatever, she was like, this is cool.
I can centralize it in one place.
And that was...
That was the best feedback for me in
our clinic was like,
this is this is the right avatar for
what we're trying to do.
Centralize your care.
I can I'm not a chiropractor.
I can crack your neck and back if
it's appropriate.
I'm not a physician.
We can work on ordering some labs and
whatever if it's peptides or
hormones or stuff like that.
We have resources that are medically
overseen and supervised.
That's the centralized care that we are
building.
And I think, like Nate said,
the awareness of our communities that
there is another opportunity,
another option,
instead of just piecemealing and cobbling
together their health care journey.
I think that's another hurdle to overcome.
um what's your if if we have a
few seconds what's sort of your pitch for
people helping out or finding out more
about what you're doing in cameroon and
where would you send them i want to
make sure we close the loop on that
so people just aren't nodding along i want
them to be able to find out more
yeah right now there are two main places
we have a an online giving campaign kind
of like a gofundme or whatever um it's
called zephy we have a whole ride up
there of
how we're trying to be a force multiplier
and train ten thousand clinicians over the
next five years.
And that would mean that hundreds of
thousands of patients can be seen by these
clinicians over the clinician's lifetime
and career.
It's called Zephy.
I can put the link in your show
notes and stuff.
But the cool part about Zephy is
They don't charge fees for the nonprofits,
which is different than a GoFundMe or
Kickstarter or whatever else.
So that campaign is super easy to access,
and it gives you a really good snapshot
of what we're doing internationally.
And then our website is pretty thorough.
It outlines all six of the programs that
we have on our strategic map.
It outlines Val and Nate and me as
what our bios are and how we give
a crap to do something like this.
That's globalphysiotraining.com.
Nate, what would you say?
Why should someone join in and help?
Well,
it is an appeal to the altruistic side
of humanity.
And, you know,
Clint went to Cameroon last year.
We put him on a flight in economy.
the back of the bus which is fine
and yeah i mean he's a trooper for
doing it he's he's a little bit younger
than i am i just don't think i
would have been able to do it you
know make that flight and then peach the
next day um so this year when we
send him over we're gonna put him in
economy plus man and uh we've raised
enough funds to do that and at least
he'll arrive a little bit refreshed and
you know be able to do the things
so uh i
We're in a time period right now,
and I say this as somebody that's probably
conservative,
maybe slightly right of center
politically.
I've been to Brazil.
I've been to some other areas where people
are downright poor.
That's the bottom line.
We're in a political situation now where
we're caring a lot about ourselves in the
United States.
I'm a patriot.
I care about the United States too.
I also care about the rest of the
world.
And this is an opportunity to help those
folks out.
All right.
Love it.
I appreciate you doing all that work.
It's simple.
It's just not easy.
Last thing we do on the show,
we call it the parting shot.
This is the parting shot.
One last mic drop moment.
No pressure.
Just your legacy on the line.
Want to say thanks to our friends at
Empower EMR for supporting the show.
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documentation,
this is what Empower was designed to fix.
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That's empoweremr.com.
And U.S.
Physical Therapy,
a national chain and network of locally
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clinicians and supporting long-term
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and resources designed to help clinicians
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without burning out.
Learn more at usph.com.
That is usph.com.
Your parting shot,
just your last chance for a mic drop
moment.
You can reiterate something you've already
said or break out something new.
What do you got for us?
We'll have Clint go first.
Yeah, I mean,
I was gonna make Nate go first,
but what I'll say is if you're the
clinician who's looking for joy in what
you do and fulfillment in what you do,
that's oftentimes tied to the outcomes of
our patients.
And what we are trying to build out
is another way to increase the level of
your joy, gratitude, outcomes,
not just locally with your current patient
population,
but also with an international footprint.
That's for me,
what is the most fulfilling,
joyful element of what we're doing.
All right, Nate, pardon the shot.
Hey, you know,
why did we get into physical therapy?
Why did anybody get into physical therapy?
And is it a chance to provide for
ourselves and our families?
Sure.
Did we get in it for the money?
Probably not.
Although I'd like to see that change and
see a physical therapist remunerated a lot
better.
I think we're getting there, guys.
It is coming around.
But why we got into physical therapy in
the first place,
it really is for the love of people
and the love of our fellow man.
And that's, again, you know,
Clint painted the vision.
That's why I'm here is to spread that
love, so.
Gentlemen, thanks for doing this.
And we know there's other people involved.
Thanks to them as well.
And appreciate you sharing about it.
And hopefully this reaches somebody who is
moved by it and joins the movement.
So thanks for doing this, guys.
Awesome.
Thanks for having us, Jimmy.
Appreciate it.
That's it for this one,
but we're just getting warmed up.
Smash follow, send it to a friend,
or crank up the next episode.
Want to go deeper?
Hit us at pgpinecast.com or find us on
YouTube and socials at pgpinecast.
And legally, none of this was advice.
It's for entertainment purposes only.
Bulls**t!
See, Keith?
We read the script.
Happy now?