WEBVTT 00:00:00.429 --> 00:00:02.109 You're listening to the PT Pinecast, 00:00:02.229 --> 00:00:04.251 where smart people in healthcare come to 00:00:04.270 --> 00:00:05.072 make noise. 00:00:05.492 --> 00:00:06.312 Here's your host, Jimmy McKay. 00:00:06.331 --> 00:00:11.654 All right, let's kick this thing off. 00:00:11.675 --> 00:00:12.714 Do you want to say thanks to Sarah 00:00:12.734 --> 00:00:13.015 Health, 00:00:13.115 --> 00:00:14.476 helping clinics increase revenue and 00:00:14.896 --> 00:00:16.496 improve patient follow-through without 00:00:16.556 --> 00:00:18.217 adding more work to your staff? 00:00:18.698 --> 00:00:19.978 I'll pause there for dramatic effect. 00:00:20.827 --> 00:00:21.408 Good. 00:00:21.428 --> 00:00:23.190 Their platform automates daily patient 00:00:23.210 --> 00:00:24.891 check-ins through simple text messaging, 00:00:24.931 --> 00:00:26.934 which means no app, 00:00:27.074 --> 00:00:29.196 which means no logins or passwords to 00:00:29.236 --> 00:00:30.737 remember or forget, 00:00:31.038 --> 00:00:32.460 just better engagement and outcomes. 00:00:32.520 --> 00:00:33.261 Again, by text. 00:00:33.860 --> 00:00:36.404 Clinics use Sarah Health to support remote 00:00:36.444 --> 00:00:37.365 therapeutic monitoring, 00:00:37.725 --> 00:00:39.066 track progress between visits, 00:00:39.146 --> 00:00:40.167 and get paid 00:00:40.847 --> 00:00:42.390 it says reimbursed here on the copy but 00:00:42.409 --> 00:00:44.210 the answer is paid for the care they're 00:00:44.252 --> 00:00:45.792 already delivering learn more at 00:00:45.853 --> 00:00:48.816 sarahhealth.com that's s-a-r-a i know a 00:00:48.856 --> 00:00:51.478 lot of sarah's are very touchy about is 00:00:51.518 --> 00:00:52.840 it sarah with an a sarah with an 00:00:53.000 --> 00:00:56.182 h s-a-r-a health.com our guests today run 00:00:56.222 --> 00:00:57.804 a non-profit bringing high-level 00:00:57.844 --> 00:01:00.588 healthcare education to communities around 00:01:00.747 --> 00:01:01.228 the world 00:01:01.808 --> 00:01:03.831 that just plain old don't have access to 00:01:03.871 --> 00:01:05.951 it, which raises an interesting question. 00:01:06.191 --> 00:01:08.293 What happens when you combine clinical 00:01:08.313 --> 00:01:09.915 curiosity, global service, 00:01:10.334 --> 00:01:12.816 and a belief that healthcare works best 00:01:13.156 --> 00:01:15.659 when people actually work together? 00:01:16.400 --> 00:01:17.301 I have a feeling we're going to answer 00:01:17.340 --> 00:01:17.561 that. 00:01:17.781 --> 00:01:19.542 Let's bring in Nate and Clint. 00:01:19.621 --> 00:01:20.483 Gentlemen, welcome to the show. 00:01:21.414 --> 00:01:22.313 Hey, thanks for having us. 00:01:24.155 --> 00:01:25.155 I like when we sort of have a 00:01:25.215 --> 00:01:27.454 tease or an intro which sounds a little 00:01:27.736 --> 00:01:28.475 left of center. 00:01:29.296 --> 00:01:31.075 I'll have guests say like, hey, 00:01:31.135 --> 00:01:32.956 just reel me back in if I sort 00:01:32.996 --> 00:01:33.736 of get into the weeds. 00:01:33.757 --> 00:01:35.096 And I'm like, I don't know, man. 00:01:35.216 --> 00:01:36.778 The weeds is sort of where the interesting 00:01:36.817 --> 00:01:37.337 things are. 00:01:37.957 --> 00:01:38.638 Down the middle, 00:01:38.837 --> 00:01:40.179 someone else already solved that. 00:01:40.459 --> 00:01:41.778 So it feels like... 00:01:43.099 --> 00:01:44.581 You guys sort of live in this sort 00:01:44.600 --> 00:01:45.400 of gray area. 00:01:45.661 --> 00:01:46.481 You've said before, 00:01:46.542 --> 00:01:48.662 PTs are chasing credentials instead of 00:01:48.802 --> 00:01:49.463 expertise. 00:01:49.483 --> 00:01:50.123 Let's start there. 00:01:50.543 --> 00:01:52.984 What's the difference between being a 00:01:53.046 --> 00:01:55.527 technician and a clinician? 00:01:55.587 --> 00:01:57.087 And it must be a good question because 00:01:57.108 --> 00:01:57.408 it rhymes. 00:01:58.739 --> 00:01:59.221 It must be. 00:01:59.340 --> 00:02:00.981 That's how I filter out all my good 00:02:01.022 --> 00:02:03.245 questions is I'll answer them as long as 00:02:03.405 --> 00:02:03.765 they rhyme. 00:02:03.825 --> 00:02:04.646 You know, 00:02:04.706 --> 00:02:06.328 it's a challenge in the culture of like 00:02:06.528 --> 00:02:07.909 health care, physical therapy, 00:02:08.409 --> 00:02:09.670 strength coaches, chiropractors. 00:02:09.711 --> 00:02:10.953 We all want to get trained in the 00:02:10.973 --> 00:02:11.473 next thing. 00:02:11.492 --> 00:02:13.155 And I think sometimes we lose sight of 00:02:13.215 --> 00:02:14.716 what the skill really is and how it 00:02:14.735 --> 00:02:15.637 applies clinically. 00:02:16.057 --> 00:02:17.860 And we really focus on how many letters 00:02:17.879 --> 00:02:18.680 we can put behind. 00:02:19.381 --> 00:02:21.084 our name you know and i think uh 00:02:21.104 --> 00:02:22.385 the difference between technician and 00:02:22.425 --> 00:02:24.969 clinician is when do you use the right 00:02:25.030 --> 00:02:27.272 intervention for the right client or 00:02:27.313 --> 00:02:28.495 patient at the right time 00:02:31.925 --> 00:02:34.668 And I'll add there, Jimmy, as someone, 00:02:34.788 --> 00:02:35.609 I'll raise my hand, 00:02:35.788 --> 00:02:37.490 guilty of chasing the letters, 00:02:37.569 --> 00:02:38.911 I have probably one of the longest 00:02:38.971 --> 00:02:41.212 alphabet soups that I've seen, honestly, 00:02:41.233 --> 00:02:42.032 and that's not bragging, 00:02:42.052 --> 00:02:44.215 that's just the time that I spent in 00:02:44.235 --> 00:02:45.675 the military and the money that they spent 00:02:45.695 --> 00:02:46.477 on me training me. 00:02:48.418 --> 00:02:51.479 There comes a point where those just don't 00:02:51.520 --> 00:02:53.040 seem to matter as much, you know, 00:02:53.382 --> 00:02:56.082 and what's the real world application? 00:02:56.943 --> 00:02:59.126 And Clint and I have seen this firsthand 00:02:59.186 --> 00:03:00.667 in training some 00:03:01.542 --> 00:03:05.123 I would say some indigent populations in 00:03:05.204 --> 00:03:06.104 Cameroon, Africa, 00:03:06.425 --> 00:03:08.466 and in rural North Carolina, 00:03:09.286 --> 00:03:12.467 and with opportunities in multiple other 00:03:12.487 --> 00:03:13.108 locations. 00:03:15.150 --> 00:03:18.531 The people there are looking for what is 00:03:18.591 --> 00:03:21.573 going to best serve their patient 00:03:21.612 --> 00:03:22.252 population. 00:03:23.074 --> 00:03:27.776 And letters and tests and all that, 00:03:27.937 --> 00:03:29.777 it's a medium to get there, 00:03:30.418 --> 00:03:33.500 It doesn't solve the problem. 00:03:33.520 --> 00:03:33.699 Yeah. 00:03:33.759 --> 00:03:36.282 Somewhere along the way to collecting all 00:03:36.301 --> 00:03:37.622 those things, you were like, huh, 00:03:38.342 --> 00:03:39.824 this isn't doing the thing I thought it 00:03:39.864 --> 00:03:40.044 would. 00:03:40.764 --> 00:03:41.264 Here's the thing. 00:03:41.365 --> 00:03:42.245 We can say this. 00:03:42.264 --> 00:03:42.885 People can hear it. 00:03:42.925 --> 00:03:43.765 They can nod along. 00:03:44.306 --> 00:03:45.287 And myself included, 00:03:45.687 --> 00:03:47.048 you still get guilty of that, right? 00:03:47.068 --> 00:03:48.870 Because we're big, dumb animals. 00:03:48.909 --> 00:03:50.129 And I say that lovingly because I am 00:03:50.150 --> 00:03:50.830 a big, dumb animal, 00:03:51.070 --> 00:03:53.573 is we buy this thing called a story. 00:03:53.872 --> 00:03:55.334 And if someone tells a story well, 00:03:55.813 --> 00:03:57.155 repeatedly and loud enough, 00:03:57.235 --> 00:03:58.556 we can sometimes buy it and 00:03:59.325 --> 00:04:00.667 But we should be reminded that like, 00:04:00.806 --> 00:04:01.967 how many times have you bought a store 00:04:02.007 --> 00:04:05.169 before and been sort of left buyer's 00:04:05.209 --> 00:04:06.269 remorse, right? 00:04:06.729 --> 00:04:08.449 So I guess step one is figure out 00:04:08.469 --> 00:04:10.991 what type of change you want to make 00:04:11.070 --> 00:04:12.912 and then work backwards from there. 00:04:14.072 --> 00:04:15.492 You said you've noticed a lack of 00:04:15.532 --> 00:04:16.973 reflection and mentorship in the 00:04:17.014 --> 00:04:17.434 profession. 00:04:18.149 --> 00:04:20.411 What is good mentorship actually look 00:04:20.451 --> 00:04:20.612 like? 00:04:20.632 --> 00:04:22.134 Because if you go on indeed right now 00:04:22.153 --> 00:04:23.636 and you search physical therapy and 00:04:23.696 --> 00:04:23.975 mentors, 00:04:23.995 --> 00:04:25.437 you're going to see that where both words 00:04:25.838 --> 00:04:26.939 phrases pop up a lot. 00:04:27.540 --> 00:04:29.562 But what is good mentorship in both of 00:04:29.583 --> 00:04:32.386 your opinions look like and why are we 00:04:32.425 --> 00:04:34.028 seeing less of it? 00:04:34.048 --> 00:04:36.050 You know, 00:04:36.110 --> 00:04:37.552 I think going back to my statement, 00:04:37.572 --> 00:04:38.132 you know, 00:04:39.177 --> 00:04:40.617 applying the right intervention for the 00:04:40.658 --> 00:04:42.538 right patient or client at the right time. 00:04:42.838 --> 00:04:43.298 That's, I think, 00:04:43.358 --> 00:04:45.798 what mentorship in my career and in my 00:04:45.819 --> 00:04:49.100 history has really helped me kind of dial 00:04:49.160 --> 00:04:51.521 in is why are you doing what you're 00:04:51.560 --> 00:04:51.800 doing? 00:04:51.901 --> 00:04:53.620 And I think that the limitation with 00:04:53.641 --> 00:04:55.442 mentorship is it becomes transactional. 00:04:55.482 --> 00:04:56.182 Just like you said, 00:04:56.201 --> 00:04:57.802 it's that buyer's remorse sometimes of 00:04:57.843 --> 00:04:58.142 like, well, 00:04:58.163 --> 00:04:58.642 I paid for 00:04:59.451 --> 00:05:01.333 this mentorship through my residency or a 00:05:01.372 --> 00:05:01.812 fellowship, 00:05:01.833 --> 00:05:03.134 or I bought something on social media, 00:05:03.533 --> 00:05:05.235 but like maybe there were click through 00:05:05.276 --> 00:05:06.276 modules and it's a, 00:05:06.357 --> 00:05:07.456 it's a framework to think through, 00:05:07.476 --> 00:05:09.379 but there's nobody next to you really 00:05:09.459 --> 00:05:10.660 asking you the hard questions of like, 00:05:10.680 --> 00:05:11.581 well, why, 00:05:11.740 --> 00:05:13.401 what did you see that made you pick 00:05:13.442 --> 00:05:13.701 that? 00:05:13.822 --> 00:05:14.182 And if you, 00:05:14.322 --> 00:05:16.444 if you saw that thing again and you 00:05:16.485 --> 00:05:17.285 couldn't pick that, 00:05:17.384 --> 00:05:18.846 like if someone doesn't want to use 00:05:19.427 --> 00:05:20.708 shockwave because it hurts or someone 00:05:20.728 --> 00:05:22.189 doesn't want to use needles or 00:05:22.228 --> 00:05:23.189 manipulation because they don't, 00:05:23.209 --> 00:05:23.971 they're not comfortable with it, 00:05:24.071 --> 00:05:24.831 but what else, 00:05:25.232 --> 00:05:26.411 what other tools do you have? 00:05:26.432 --> 00:05:26.673 Because 00:05:27.233 --> 00:05:29.053 you only ever have hammers you only ever 00:05:29.113 --> 00:05:32.576 find nails and that that's the one-on-one 00:05:32.735 --> 00:05:34.716 or or small group kind of mentorship where 00:05:34.737 --> 00:05:36.858 there is some reflection and lateral 00:05:36.877 --> 00:05:38.697 thinking involved instead of just kind of 00:05:38.718 --> 00:05:40.459 coursework to go through or the 00:05:40.499 --> 00:05:42.199 transaction of well you have to be here 00:05:42.220 --> 00:05:43.380 for x number of hours for me to 00:05:43.420 --> 00:05:47.101 graduate yeah nate what do you think i 00:05:47.122 --> 00:05:50.564 mean i i don't want to guess but 00:05:50.584 --> 00:05:52.464 whenever i've heard from people who've 00:05:52.524 --> 00:05:54.146 practiced in the military they're like 00:05:54.165 --> 00:05:54.745 things are done 00:05:55.401 --> 00:05:56.360 pretty well there, you know, 00:05:56.401 --> 00:05:58.661 like in terms of structure. 00:05:58.682 --> 00:05:58.802 I mean, 00:05:58.822 --> 00:05:59.802 I guess if you're going to find one 00:05:59.843 --> 00:06:01.043 thing in the military and you know you're 00:06:01.062 --> 00:06:02.062 going to find it, it's structure. 00:06:02.483 --> 00:06:03.963 Is that mentorship there as well? 00:06:04.004 --> 00:06:06.285 Is that part of the structure? 00:06:06.425 --> 00:06:08.745 Oh, I would hope so. 00:06:08.786 --> 00:06:08.985 I mean, 00:06:09.045 --> 00:06:10.966 my own experience in the military when I 00:06:11.026 --> 00:06:13.687 first started off was I was dying for 00:06:13.927 --> 00:06:14.528 mentorship. 00:06:14.927 --> 00:06:16.569 I went to my very first boss and 00:06:16.588 --> 00:06:16.829 said, hey, 00:06:16.848 --> 00:06:17.348 I want to spend 00:06:18.297 --> 00:06:21.961 an hour a week with you doing some 00:06:22.180 --> 00:06:23.002 mentorship time. 00:06:23.862 --> 00:06:25.423 And he was pretty clear about it. 00:06:25.504 --> 00:06:27.225 He said, Nate, I got to tell you, 00:06:27.526 --> 00:06:28.987 I'm not an awesome clinician. 00:06:29.007 --> 00:06:30.408 I'm a very good manager, 00:06:30.610 --> 00:06:31.850 but we're going to have to find somebody 00:06:31.911 --> 00:06:32.891 else to mentor you. 00:06:32.911 --> 00:06:35.153 That's good self awareness, though. 00:06:35.654 --> 00:06:37.076 That's what I was going to say. 00:06:37.175 --> 00:06:38.117 I really appreciated that. 00:06:38.216 --> 00:06:39.639 And he was a fantastic leader. 00:06:39.678 --> 00:06:40.178 He really was. 00:06:41.822 --> 00:06:44.225 But as I sought that mentorship, honestly, 00:06:44.266 --> 00:06:46.589 it took me about two years to find 00:06:47.411 --> 00:06:49.033 individuals that were willing to take the 00:06:49.072 --> 00:06:49.994 time with me. 00:06:51.055 --> 00:06:53.997 and uh that's that's not a knock on 00:06:54.057 --> 00:06:55.557 the military as much as it just was 00:06:55.577 --> 00:06:57.759 the situation that i was in but even 00:06:57.978 --> 00:06:59.639 looking in the civil i was looking in 00:06:59.678 --> 00:07:02.281 the civilian world also and asking folks 00:07:02.300 --> 00:07:03.980 there for some help and uh and they 00:07:04.000 --> 00:07:07.302 you know their their first question was 00:07:07.343 --> 00:07:08.362 well when are you gonna get out of 00:07:08.382 --> 00:07:10.303 the military so that if i'm spending this 00:07:10.343 --> 00:07:12.845 time on you um it's going to uh 00:07:13.865 --> 00:07:15.485 pay off you know essentially pay off for 00:07:15.526 --> 00:07:15.826 me yeah 00:07:16.973 --> 00:07:17.915 I'm like, well, I don't have that. 00:07:18.095 --> 00:07:22.579 I owe the military four more years. 00:07:23.060 --> 00:07:24.161 It was frustrating. 00:07:24.581 --> 00:07:27.024 I super appreciated the mentorship that I 00:07:27.064 --> 00:07:29.406 got after about that two-year period. 00:07:29.807 --> 00:07:30.987 Those first two years, 00:07:31.007 --> 00:07:34.812 that was a frustrating time. 00:07:34.872 --> 00:07:35.773 I think what I'm hearing for you is 00:07:35.853 --> 00:07:37.394 it takes time to invest in a human. 00:07:38.156 --> 00:07:39.358 That's simple, not easy. 00:07:39.858 --> 00:07:41.278 Well, there's that. 00:07:41.338 --> 00:07:42.660 And then you mentioned structure. 00:07:42.839 --> 00:07:45.940 And I do appreciate structure for sure. 00:07:46.482 --> 00:07:49.002 The problem is when that structure 00:07:49.043 --> 00:07:51.184 becomes, you kind of get pigeonholed. 00:07:51.785 --> 00:07:54.906 And I'm going to pick on my McKenzie 00:07:54.925 --> 00:07:55.927 friends just a little bit. 00:07:57.067 --> 00:08:00.408 I love the methodology and the structure 00:08:00.528 --> 00:08:00.850 of it. 00:08:01.430 --> 00:08:03.031 But if I take somebody that I'm mentoring 00:08:03.050 --> 00:08:03.790 and I say, okay, 00:08:04.632 --> 00:08:06.372 I'm going to tie your McKenzie arm behind 00:08:06.392 --> 00:08:06.872 your back. 00:08:07.437 --> 00:08:08.158 And as Clint said, 00:08:08.459 --> 00:08:10.379 let's treat somebody without a certain 00:08:10.399 --> 00:08:11.940 modality or without a certain approach. 00:08:12.382 --> 00:08:13.663 Can you still do it? 00:08:15.903 --> 00:08:18.386 And you'll find that a lot of clinicians 00:08:18.425 --> 00:08:18.786 can't. 00:08:19.146 --> 00:08:21.627 So that's one of the things that we're 00:08:21.648 --> 00:08:22.629 trying to target with this. 00:08:25.199 --> 00:08:28.083 know the the origin story a little bit 00:08:28.343 --> 00:08:31.108 and uh clint is really the mastermind 00:08:31.148 --> 00:08:33.270 behind what we're doing with global physio 00:08:33.311 --> 00:08:35.654 training i came on board because he 00:08:35.774 --> 00:08:39.200 painted a clear vision for it but we 00:08:39.240 --> 00:08:39.541 have 00:08:41.106 --> 00:08:41.547 like I said, 00:08:41.606 --> 00:08:43.508 these populations that maybe don't have 00:08:43.587 --> 00:08:47.668 access to the type of healthcare or 00:08:47.788 --> 00:08:49.089 training that they need. 00:08:49.929 --> 00:08:53.671 And when we think about changing third 00:08:53.691 --> 00:08:55.650 world countries or indigent population 00:08:55.691 --> 00:08:59.351 situations, the solution to throw money, 00:08:59.491 --> 00:09:03.812 let's say build a clinic or let's deliver 00:09:03.852 --> 00:09:05.894 some MRI machines and x-ray machines for 00:09:05.913 --> 00:09:06.274 these folks. 00:09:06.293 --> 00:09:08.715 We're talking high ticket items 00:09:09.998 --> 00:09:12.159 that they'll have an effect, they will. 00:09:13.080 --> 00:09:15.522 But man, if I can get a dozen, 00:09:16.202 --> 00:09:17.503 or in the case of Cameron, 00:09:17.624 --> 00:09:19.705 five dozen physical therapists together, 00:09:20.466 --> 00:09:22.226 and I can train them to use their 00:09:22.287 --> 00:09:23.707 hands and their minds 00:09:26.322 --> 00:09:29.345 The impact of that versus the cost of 00:09:29.384 --> 00:09:31.527 that, the ratio is just amazing. 00:09:31.807 --> 00:09:32.988 Juice versus squeeze ratio. 00:09:33.288 --> 00:09:33.828 Exactly. 00:09:34.308 --> 00:09:37.530 And it's already come to fruition just 00:09:37.551 --> 00:09:39.852 within a year of starting up. 00:09:41.543 --> 00:09:42.644 And I don't mean to take most of 00:09:42.663 --> 00:09:43.684 the time, but like I said, 00:09:43.725 --> 00:09:45.105 Clint's the mastermind behind this. 00:09:45.245 --> 00:09:46.768 I'd really rather hear from him, 00:09:46.807 --> 00:09:49.889 but that's the reason that I came on 00:09:49.951 --> 00:09:54.335 board because I could see the cost benefit 00:09:54.375 --> 00:09:54.554 there. 00:09:54.928 --> 00:09:55.009 Well, 00:09:55.028 --> 00:09:56.210 that's why I started with questions about 00:09:56.409 --> 00:09:57.870 mentorship and not just, Hey, 00:09:57.890 --> 00:09:59.211 so what is this thing you're doing? 00:09:59.672 --> 00:09:59.932 Right. 00:09:59.991 --> 00:10:01.172 Cause I wanted to like touch on a 00:10:01.251 --> 00:10:03.013 few of the reasons why you're doing it, 00:10:03.354 --> 00:10:04.214 but now we'll get to it. 00:10:04.594 --> 00:10:06.634 So Clint, how do you describe in the, 00:10:06.956 --> 00:10:08.596 in how I was taught research was what, 00:10:08.677 --> 00:10:11.317 so what now, what go to the, what, 00:10:11.557 --> 00:10:13.318 like, what are you doing? 00:10:14.080 --> 00:10:15.759 And then we'll get a little bit deeper 00:10:15.779 --> 00:10:16.660 into the why and the how, 00:10:16.701 --> 00:10:17.480 but what is it? 00:10:17.520 --> 00:10:19.481 How do you paint the picture from someone 00:10:19.501 --> 00:10:20.842 who doesn't understand what you're 00:10:20.883 --> 00:10:21.964 actually doing with this program? 00:10:22.900 --> 00:10:23.140 Yeah, 00:10:23.181 --> 00:10:26.743 so we have six kind of initiatives built 00:10:26.842 --> 00:10:28.403 out in our nonprofit, 00:10:28.423 --> 00:10:29.484 in our strategic plan. 00:10:29.783 --> 00:10:31.644 The main ones we've been focusing on now 00:10:31.764 --> 00:10:33.085 are developing, 00:10:33.125 --> 00:10:35.145 delivering workshops and seminars. 00:10:35.785 --> 00:10:37.886 I went out to Cameroon last year. 00:10:38.826 --> 00:10:40.427 I taught for ten out of eleven days. 00:10:40.548 --> 00:10:42.269 That middle day that I didn't teach was 00:10:42.308 --> 00:10:44.509 a six hour or seven hour travel day 00:10:44.549 --> 00:10:45.110 to a different city. 00:10:45.710 --> 00:10:49.653 um and uh we we deliver these courses 00:10:50.253 --> 00:10:54.056 now in person um uniquely that the first 00:10:54.135 --> 00:10:56.596 format for these courses was to have like 00:10:56.677 --> 00:10:58.558 a train the trainers day on like a 00:10:58.658 --> 00:11:00.419 friday the first day of the course that 00:11:00.460 --> 00:11:02.701 way i can have a force multiplier and 00:11:02.822 --> 00:11:04.743 have kind of some assistance when we go 00:11:04.802 --> 00:11:07.225 to the bigger groups um the challenge was 00:11:07.664 --> 00:11:09.066 everyone signed up for the train to 00:11:09.105 --> 00:11:10.927 trainer day so then we had three days 00:11:11.067 --> 00:11:12.427 instead of a one day and a two 00:11:12.447 --> 00:11:14.610 day course um but it was really cool 00:11:14.629 --> 00:11:14.909 because 00:11:15.570 --> 00:11:17.491 They needed the reps. 00:11:17.731 --> 00:11:18.172 We all do. 00:11:18.331 --> 00:11:18.913 We need the reps. 00:11:18.932 --> 00:11:19.633 We need the practice. 00:11:19.653 --> 00:11:20.934 We need the hands-on, the feel, 00:11:21.274 --> 00:11:22.816 the anatomy review, all of this. 00:11:24.096 --> 00:11:25.398 The other couple of programs that we're 00:11:25.538 --> 00:11:27.379 working towards now are some resource 00:11:27.399 --> 00:11:27.820 donations. 00:11:27.840 --> 00:11:30.162 We actually work closely with Superior 00:11:30.182 --> 00:11:30.863 Medical Equipment 00:11:31.442 --> 00:11:35.105 they donate resources to us to take into 00:11:35.125 --> 00:11:36.947 these lower economic resource populations. 00:11:36.988 --> 00:11:38.970 And so that resource allocation, 00:11:39.110 --> 00:11:42.913 even Nate has a contact with MyoHealth.fit 00:11:43.453 --> 00:11:47.177 and the MyoHealth group has donated both 00:11:47.298 --> 00:11:49.299 e-stim tools and instrument assisted tools 00:11:49.899 --> 00:11:52.743 to give to these other lower economic 00:11:52.802 --> 00:11:54.303 resource populations in Cameroon 00:11:54.323 --> 00:11:54.845 specifically. 00:11:55.825 --> 00:11:57.706 And then the last thing we've launched so 00:11:57.725 --> 00:11:59.628 far has been the mentorship piece. 00:12:00.248 --> 00:12:03.070 Val is our colleague internationally. 00:12:03.230 --> 00:12:06.250 He has been hosting weekly or biweekly 00:12:06.692 --> 00:12:07.672 physio coffees. 00:12:08.332 --> 00:12:10.533 And he has anywhere between twenty to 00:12:10.634 --> 00:12:12.034 sixty people showing up 00:12:12.475 --> 00:12:15.157 either in person synchronously or 00:12:15.236 --> 00:12:18.178 virtually from five or six different 00:12:18.239 --> 00:12:19.460 cities in Cameroon. 00:12:19.519 --> 00:12:21.620 So those are the three kind of main 00:12:21.660 --> 00:12:23.743 pillars we've started with as far as the 00:12:23.842 --> 00:12:26.325 what and what we're delivering to these 00:12:26.365 --> 00:12:27.245 Cameroonian PTs. 00:12:27.846 --> 00:12:28.466 Why Cameroon? 00:12:28.686 --> 00:12:29.846 What was it about that? 00:12:29.886 --> 00:12:31.107 Was it a personal connection? 00:12:32.408 --> 00:12:34.750 Did you spin a globe and just stop? 00:12:34.870 --> 00:12:35.291 Why there? 00:12:36.051 --> 00:12:37.152 What is the need there? 00:12:38.020 --> 00:12:41.322 Yeah, I met Val two years ago. 00:12:41.482 --> 00:12:42.423 He was here in the States. 00:12:42.442 --> 00:12:43.583 His brother had a stroke. 00:12:43.744 --> 00:12:45.865 Val is a neuro rehab specialist, 00:12:45.924 --> 00:12:46.585 among other things, 00:12:46.625 --> 00:12:48.846 but he has a love for no rehabilitation. 00:12:49.466 --> 00:12:50.746 And I met him on a course and 00:12:50.787 --> 00:12:52.207 he had told me the story about like 00:12:52.248 --> 00:12:55.288 his brother had this this brain injury and 00:12:55.328 --> 00:12:56.350 stroke and they told him Yep, 00:12:56.370 --> 00:12:57.370 you'll need a wheelchair for the rest of 00:12:57.389 --> 00:12:57.750 your life. 00:12:57.811 --> 00:13:00.392 And he flew from Cameroon to New York. 00:13:00.792 --> 00:13:03.153 and spent I think a month or three 00:13:03.192 --> 00:13:05.013 months working with his brother. 00:13:05.033 --> 00:13:06.573 And his brother is now running like five 00:13:06.614 --> 00:13:08.474 Ks and he's back to like training and 00:13:08.614 --> 00:13:09.653 he's working full time. 00:13:09.933 --> 00:13:12.134 He's not just relegated to a wheelchair. 00:13:12.735 --> 00:13:13.754 So I met Val, 00:13:14.255 --> 00:13:16.255 heard the story and Val's question was how 00:13:16.275 --> 00:13:20.297 do we take education like this back to 00:13:20.336 --> 00:13:20.856 my country? 00:13:20.917 --> 00:13:22.998 Like there are PTs who never take 00:13:23.860 --> 00:13:25.520 more training there's no requirement for 00:13:25.541 --> 00:13:27.542 their licenses where they have to renew 00:13:27.601 --> 00:13:29.543 ceus every one or two years or whatever 00:13:30.163 --> 00:13:32.725 um so we we brainstormed and it was 00:13:32.764 --> 00:13:34.787 like well we could create a a business 00:13:34.826 --> 00:13:36.947 but how do you build a business where 00:13:36.988 --> 00:13:39.349 you know they can afford seventy to a 00:13:39.369 --> 00:13:41.311 hundred euros for a class and i gotta 00:13:41.350 --> 00:13:42.792 figure out how we get over there for 00:13:43.511 --> 00:13:46.313 you know three thousand dollars and and so 00:13:46.333 --> 00:13:47.875 that the non-profit route really 00:13:48.715 --> 00:13:49.296 emerged. 00:13:49.375 --> 00:13:51.538 And then as we kind of talked through 00:13:51.558 --> 00:13:53.681 the structure, Val said, oh, by the way, 00:13:53.980 --> 00:13:56.644 I used to work on Fiverr setting up 00:13:56.725 --> 00:13:58.025 nonprofits for U.S. 00:13:58.105 --> 00:13:58.826 organizations. 00:13:58.907 --> 00:14:00.068 And I was like, what the heck? 00:14:00.129 --> 00:14:01.070 Like, 00:14:01.649 --> 00:14:03.231 this is kind of like he let me 00:14:03.272 --> 00:14:04.553 kind of get there, you know, 00:14:04.673 --> 00:14:05.335 and then he's like, hey, 00:14:05.355 --> 00:14:06.135 I also do this. 00:14:06.196 --> 00:14:07.557 So Val's great because he's 00:14:08.583 --> 00:14:09.745 a fantastic PT. 00:14:10.065 --> 00:14:11.105 He's a great human being, 00:14:11.164 --> 00:14:13.086 but he's also way more specialized in the 00:14:13.225 --> 00:14:16.288 IRS nonprofit code than I am, 00:14:16.307 --> 00:14:18.629 which is a huge asset for us. 00:14:20.073 --> 00:14:20.695 I'll tell you, Jimmy, 00:14:20.794 --> 00:14:22.475 like Cameroon is just kind of the 00:14:22.515 --> 00:14:22.916 beginning. 00:14:22.956 --> 00:14:25.457 We do have aspirations for other countries 00:14:25.498 --> 00:14:26.318 throughout Africa. 00:14:26.759 --> 00:14:28.660 I have some connections with South 00:14:28.681 --> 00:14:29.041 America. 00:14:29.120 --> 00:14:30.361 I lived in Brazil for a couple of 00:14:30.381 --> 00:14:30.662 years. 00:14:30.842 --> 00:14:33.764 Same situation where we call it a blue 00:14:33.845 --> 00:14:34.144 ocean, 00:14:34.184 --> 00:14:37.467 just folks that are dying to get trained. 00:14:37.628 --> 00:14:37.888 You know, 00:14:37.908 --> 00:14:39.669 they're just they're super interested in 00:14:39.730 --> 00:14:39.789 it. 00:14:41.029 --> 00:14:43.052 We've got some connections to the 00:14:43.072 --> 00:14:44.273 Dominican Republic as well. 00:14:44.913 --> 00:14:46.153 And then we don't want to skip our 00:14:46.214 --> 00:14:48.414 own country with the United States because 00:14:48.455 --> 00:14:50.255 there are areas of need. 00:14:50.355 --> 00:14:51.076 Sure. 00:14:51.136 --> 00:14:52.437 And we've already started to address 00:14:52.477 --> 00:14:52.798 those. 00:14:53.298 --> 00:14:53.717 Of course. 00:14:53.778 --> 00:14:54.099 Yeah, yeah. 00:14:54.119 --> 00:14:55.740 There's some great organizations in the 00:14:55.820 --> 00:14:56.120 U.S. 00:14:56.159 --> 00:14:58.160 like Remote Area Medical that provide like 00:14:58.221 --> 00:14:59.081 dental vision. 00:14:59.261 --> 00:15:01.062 Now PT is on site as well. 00:15:02.464 --> 00:15:03.884 We will not lack on need. 00:15:04.585 --> 00:15:05.145 at any time, 00:15:05.287 --> 00:15:06.668 as soon as you think you have. 00:15:06.688 --> 00:15:08.673 But maybe that's the issue is myself 00:15:08.712 --> 00:15:09.214 included, 00:15:09.754 --> 00:15:11.277 is if you don't see it outside your 00:15:11.357 --> 00:15:13.701 door or when between your house and lunch, 00:15:14.533 --> 00:15:16.054 then you sort of like, well, 00:15:16.095 --> 00:15:16.674 is it that bad? 00:15:16.695 --> 00:15:17.296 I haven't seen it. 00:15:17.556 --> 00:15:18.355 I haven't seen it lately. 00:15:18.416 --> 00:15:18.976 So it doesn't really, 00:15:19.317 --> 00:15:20.518 it doesn't touch an emotion. 00:15:20.778 --> 00:15:23.099 It doesn't touch you doing anything about 00:15:23.178 --> 00:15:23.278 it. 00:15:23.799 --> 00:15:25.760 So let's go to the other side of 00:15:25.780 --> 00:15:26.020 this. 00:15:26.642 --> 00:15:28.482 What do people that you train, 00:15:28.763 --> 00:15:30.303 PTs or people who, 00:15:30.403 --> 00:15:31.725 as you just said in your own words, 00:15:31.945 --> 00:15:34.326 are dying for some of this education to 00:15:34.346 --> 00:15:34.667 do something? 00:15:35.047 --> 00:15:37.707 What do they understand about learning and 00:15:37.727 --> 00:15:38.089 growth? 00:15:38.749 --> 00:15:40.631 that maybe many american clinicians 00:15:41.153 --> 00:15:44.697 clinicians even like myself still have to 00:15:44.717 --> 00:15:48.342 learn well i would say first of all 00:15:48.383 --> 00:15:48.583 their 00:15:50.496 --> 00:15:52.158 They come out of school kind of like 00:15:52.178 --> 00:15:53.139 a BSPT. 00:15:53.259 --> 00:15:56.182 So like they're already out practicing as 00:15:56.283 --> 00:15:58.184 a twenty something year old. 00:15:59.426 --> 00:16:00.366 They understand. 00:16:01.687 --> 00:16:01.768 Hey, 00:16:01.827 --> 00:16:04.230 like the basic stuff that I learned in 00:16:04.291 --> 00:16:05.511 school is not enough, 00:16:05.572 --> 00:16:06.732 but I also don't have a lot of 00:16:06.773 --> 00:16:08.654 resources other than online modules that I 00:16:08.674 --> 00:16:08.934 have to. 00:16:09.676 --> 00:16:12.738 pay euros for or dollars for or Australian 00:16:12.758 --> 00:16:15.600 dollars for to get which is pretty salty 00:16:15.620 --> 00:16:15.899 for them. 00:16:16.600 --> 00:16:18.321 They're limited economically. 00:16:18.380 --> 00:16:20.302 And so even though they may see that 00:16:20.702 --> 00:16:21.883 the gap in their knowledge, 00:16:21.903 --> 00:16:26.025 there's not a lot of access to finance, 00:16:26.186 --> 00:16:28.687 it's financially restrictive to have them 00:16:28.726 --> 00:16:29.388 get the access. 00:16:29.408 --> 00:16:31.688 So they see in us an opportunity to 00:16:32.509 --> 00:16:34.431 learn from these like, in their minds, 00:16:34.451 --> 00:16:36.192 we are prestigious Americans who are 00:16:36.231 --> 00:16:37.932 coming over to Cameroon and Nate and I 00:16:37.952 --> 00:16:38.273 are like, 00:16:39.573 --> 00:16:41.154 Yeah, Nate already told you, 00:16:41.195 --> 00:16:43.394 his business card looks like a letter, 00:16:43.774 --> 00:16:44.875 an envelope you'd get in the mail. 00:16:45.196 --> 00:16:47.336 But we also give a crap and we 00:16:47.356 --> 00:16:50.937 wanna invest in people who actually wants 00:16:50.957 --> 00:16:51.418 to learn, 00:16:51.957 --> 00:16:53.778 not just want more letters or whatever 00:16:53.798 --> 00:16:54.379 behind their name. 00:16:54.399 --> 00:16:55.519 Nate, what do you think? 00:16:57.259 --> 00:17:02.261 I mean, the awareness is one thing. 00:17:02.302 --> 00:17:05.022 The folks in Africa, 00:17:06.103 --> 00:17:07.923 they're gaining more awareness just of 00:17:07.983 --> 00:17:08.884 what they don't know. 00:17:10.019 --> 00:17:11.921 And then the awareness in the States, 00:17:12.362 --> 00:17:14.782 it's funny because we go to, again, 00:17:14.962 --> 00:17:17.644 maybe a lower economic area in North 00:17:17.664 --> 00:17:19.906 Carolina, and we say, hey, 00:17:19.926 --> 00:17:21.327 we're offering this course. 00:17:22.347 --> 00:17:23.890 And there is a cost to the course. 00:17:25.431 --> 00:17:26.971 In the case of students, 00:17:27.031 --> 00:17:29.854 we have a reduced cost as well. 00:17:30.634 --> 00:17:32.855 But what we'll do is spend most of 00:17:32.915 --> 00:17:35.017 the time at the beginning of the course 00:17:35.037 --> 00:17:36.738 just describing the mission of global 00:17:36.758 --> 00:17:37.419 physio training. 00:17:38.476 --> 00:17:40.938 And what folks come to understand is that 00:17:40.998 --> 00:17:45.041 their tuition for taking the course, 00:17:45.521 --> 00:17:47.003 a portion of that greater than ten 00:17:47.044 --> 00:17:48.644 percent, more like twenty percent, 00:17:49.385 --> 00:17:52.669 is used to fund the tuition for those 00:17:52.729 --> 00:17:54.770 in other countries or in other areas. 00:17:55.500 --> 00:17:58.423 so not only is it a learning experience 00:17:58.502 --> 00:18:01.104 but it's a kind of an outreach uh 00:18:02.244 --> 00:18:03.746 and we've we've already had you know a 00:18:03.786 --> 00:18:06.326 student that came in uh paid a student 00:18:06.386 --> 00:18:09.269 rate for their course saw the mission and 00:18:09.509 --> 00:18:11.849 donated double what right what they paid 00:18:11.890 --> 00:18:14.171 for their course to help fund some of 00:18:14.192 --> 00:18:16.432 the training for some some of our african 00:18:16.452 --> 00:18:19.994 friends so uh the awareness is a big 00:18:20.055 --> 00:18:20.414 part of it 00:18:20.894 --> 00:18:21.715 So it's almost like a little bit of 00:18:21.736 --> 00:18:23.617 the Tom's shoes model where, Hey, 00:18:23.657 --> 00:18:25.380 what you're doing here is going to fund 00:18:25.460 --> 00:18:26.160 something elsewhere. 00:18:26.180 --> 00:18:29.242 And that it's different, right? 00:18:29.262 --> 00:18:31.545 Just knowing that sort of hits different. 00:18:31.884 --> 00:18:33.987 It's not a, it's not a mistake why, 00:18:34.367 --> 00:18:34.587 you know, 00:18:34.647 --> 00:18:36.529 Sarah McLachlan and arms of an angel was 00:18:36.569 --> 00:18:38.290 playing and they're showing you the dogs. 00:18:38.672 --> 00:18:39.992 They're showing you before, before, 00:18:40.032 --> 00:18:41.634 before, before, before, after, 00:18:41.673 --> 00:18:42.194 and you're going, 00:18:43.038 --> 00:18:45.259 oh, I get it, I'm the in-between, 00:18:45.959 --> 00:18:48.361 and that's sort of storytelling, 00:18:48.401 --> 00:18:51.082 but you're also showing and not telling 00:18:51.102 --> 00:18:51.342 there. 00:18:51.362 --> 00:18:54.644 Yeah, Clint, let me break that down, 00:18:54.663 --> 00:18:55.763 the Tom's model, that's it. 00:18:55.824 --> 00:18:57.365 Yeah, exactly. 00:18:58.184 --> 00:18:58.545 You know, 00:18:58.625 --> 00:19:01.467 one thing that was a huge asset in 00:19:01.507 --> 00:19:04.968 hindsight was Val actually started his own 00:19:05.088 --> 00:19:06.048 education company, 00:19:06.189 --> 00:19:10.830 and he was the one driving the awareness 00:19:10.951 --> 00:19:11.632 of like, hey, 00:19:12.546 --> 00:19:13.967 He worked in Germany for a while. 00:19:14.027 --> 00:19:15.488 He's traveled to the States and done other 00:19:15.508 --> 00:19:15.969 courses. 00:19:16.009 --> 00:19:17.108 He's done all sorts of stuff. 00:19:18.490 --> 00:19:21.051 And so he was pretty influential to open 00:19:21.071 --> 00:19:24.654 the eyes of the other Cameroonian PTs and 00:19:24.714 --> 00:19:26.536 show like, hey, there's more out there. 00:19:27.896 --> 00:19:29.979 And I think contrast to that, 00:19:30.558 --> 00:19:31.279 in the US, 00:19:31.460 --> 00:19:33.560 the DPT model is we come out as 00:19:33.662 --> 00:19:35.222 doctors of physical therapy. 00:19:36.067 --> 00:19:38.807 And there's a lot of prestige and prowess 00:19:38.827 --> 00:19:39.468 that comes with that. 00:19:39.528 --> 00:19:40.448 But also, don't forget, 00:19:40.807 --> 00:19:42.249 the APTA says that you're a novice 00:19:42.269 --> 00:19:43.368 clinician for two years. 00:19:44.388 --> 00:19:48.069 You have a breadth of general knowledge, 00:19:48.089 --> 00:19:49.569 but you don't have any depth in any 00:19:51.310 --> 00:19:52.611 subspecialty or category. 00:19:52.651 --> 00:19:53.671 And again, 00:19:53.711 --> 00:19:55.672 just the reflection and the awareness is 00:19:55.711 --> 00:19:57.392 really what's just maybe different. 00:19:57.432 --> 00:19:58.652 And I'm speaking in generalities. 00:19:58.672 --> 00:19:59.012 Of course, 00:19:59.032 --> 00:20:00.373 there are PT students that come out 00:20:01.053 --> 00:20:02.875 as DPTs that are exceptional. 00:20:02.894 --> 00:20:04.797 But I think that's more so the exception 00:20:04.817 --> 00:20:06.357 and not the rule. 00:20:07.358 --> 00:20:10.082 So it's been critical for Val to drive 00:20:10.122 --> 00:20:14.266 that awareness in his community that, hey, 00:20:14.286 --> 00:20:15.606 there's more out there that we don't know. 00:20:15.646 --> 00:20:18.970 How do we get more of that information? 00:20:20.590 --> 00:20:21.612 The model that you work at, 00:20:22.332 --> 00:20:23.932 it sounds like it's got a mix of 00:20:24.012 --> 00:20:25.854 orthopedics, neuro, primary care, 00:20:25.994 --> 00:20:26.974 holistic providers. 00:20:27.715 --> 00:20:29.277 So I'll ask you both of this. 00:20:29.497 --> 00:20:32.137 What does real interdisciplinary care look 00:20:32.178 --> 00:20:34.200 like when it's done right in your eyes? 00:20:34.400 --> 00:20:35.440 What does it look like? 00:20:35.460 --> 00:20:35.980 Yeah. 00:20:36.340 --> 00:20:37.662 You know, 00:20:37.682 --> 00:20:39.001 Nate and I both have had the experience. 00:20:39.103 --> 00:20:40.063 Nate, far more than me. 00:20:40.323 --> 00:20:41.804 I worked in the military for two years. 00:20:41.923 --> 00:20:43.924 Nate for, I forget, twenty or twenty one. 00:20:44.846 --> 00:20:46.106 The military does have it. 00:20:47.414 --> 00:20:48.055 figured out, 00:20:48.414 --> 00:20:49.736 at least for the special operations 00:20:49.756 --> 00:20:51.935 community, what an interdisciplinary, 00:20:52.455 --> 00:20:54.037 multidisciplinary team looks like. 00:20:54.057 --> 00:20:55.957 We're talking PTs, athletic trainers, 00:20:56.057 --> 00:20:57.238 strength coach, dietician, 00:20:57.298 --> 00:20:58.218 nurse case managers, 00:20:58.998 --> 00:21:00.439 spiritual health with the chaplains, 00:21:00.578 --> 00:21:02.159 social worker, you name it. 00:21:02.259 --> 00:21:03.138 It's all integrated, 00:21:03.180 --> 00:21:06.279 and there's generally a framework and some 00:21:06.319 --> 00:21:08.260 seamless transition between those domains. 00:21:08.800 --> 00:21:10.602 And that's what, in the civilian side, 00:21:10.642 --> 00:21:12.501 everything is still super siloized, right? 00:21:12.521 --> 00:21:13.662 You see your primary care, 00:21:13.982 --> 00:21:15.103 they refer you to an image, 00:21:15.628 --> 00:21:17.430 Your PA comes and reads it, 00:21:17.509 --> 00:21:19.951 and then they get referred to internal med 00:21:19.991 --> 00:21:21.972 or oncology or whatever else. 00:21:22.413 --> 00:21:24.354 And there's not a lot of crosstalk. 00:21:24.413 --> 00:21:27.296 And so it's a big piece of the 00:21:27.336 --> 00:21:29.356 puzzle within our physical therapy 00:21:29.396 --> 00:21:31.999 practice to have generalized resources 00:21:32.019 --> 00:21:34.480 that are manual therapy, neuro, 00:21:34.619 --> 00:21:35.621 some sport performance, 00:21:35.661 --> 00:21:37.501 and some strength loading principles, 00:21:38.301 --> 00:21:39.163 the direct primary care. 00:21:39.262 --> 00:21:39.663 And actually, 00:21:39.962 --> 00:21:42.565 Cameronian PTs are way better at direct 00:21:42.605 --> 00:21:43.944 primary care than we are. 00:21:43.964 --> 00:21:44.425 They already... 00:21:45.083 --> 00:21:47.163 do vaccinations and blood draws and things 00:21:47.183 --> 00:21:49.505 like that because of the nature of them 00:21:50.005 --> 00:21:51.066 in a health care system. 00:21:51.226 --> 00:21:53.366 They're they're trying to manage some. 00:21:54.467 --> 00:21:55.448 What's the term for like? 00:21:56.508 --> 00:21:57.689 Systemic disease, not systemic, 00:21:57.709 --> 00:21:59.349 but like in the community, 00:21:59.390 --> 00:21:59.970 in that country, 00:21:59.990 --> 00:22:01.671 there's a lot of chronic disease and 00:22:03.231 --> 00:22:04.751 yellow fever and things like this malaria 00:22:04.791 --> 00:22:06.893 that that they need more assets than they 00:22:06.992 --> 00:22:08.834 use as those assets. 00:22:09.234 --> 00:22:10.775 But that's what yes, 00:22:10.835 --> 00:22:12.016 that's the mother of invention, right? 00:22:12.256 --> 00:22:13.537 I mean, if we have hands, 00:22:14.537 --> 00:22:14.696 You know, 00:22:14.717 --> 00:22:16.157 things are impossible until there's a 00:22:16.218 --> 00:22:18.680 pandemic and then they're not impossible. 00:22:18.740 --> 00:22:20.340 They're not even probable. 00:22:20.401 --> 00:22:20.961 They happen. 00:22:21.080 --> 00:22:22.281 Funny, funny how that happens. 00:22:22.301 --> 00:22:23.061 Funny how that works. 00:22:23.082 --> 00:22:24.482 What do you think of interdisciplinary? 00:22:24.903 --> 00:22:26.084 I mean, you know, 00:22:26.144 --> 00:22:28.205 we've lamented for years as a physical 00:22:28.226 --> 00:22:29.246 therapy community of, you know, 00:22:29.546 --> 00:22:31.587 and we finally do have some states coming 00:22:31.607 --> 00:22:34.308 on board with imaging and limited 00:22:34.769 --> 00:22:36.310 prescription rights and those types of 00:22:36.330 --> 00:22:36.570 things. 00:22:37.230 --> 00:22:38.771 And we say, well, in the military, 00:22:38.813 --> 00:22:39.673 we do those things. 00:22:40.294 --> 00:22:40.753 I did. 00:22:40.894 --> 00:22:43.236 You know, you're up close to West Point. 00:22:43.336 --> 00:22:44.737 I spent some time at West Point and 00:22:45.377 --> 00:22:47.819 I interacted at least weekly, 00:22:48.160 --> 00:22:49.800 sometimes more with the orthopedic 00:22:49.842 --> 00:22:50.301 surgeons there. 00:22:50.321 --> 00:22:52.523 We were able to discuss our patients. 00:22:53.505 --> 00:22:57.468 I could call radiology as soon as I 00:22:57.508 --> 00:22:58.347 got an image back. 00:22:58.548 --> 00:23:00.009 I could look at the image myself and 00:23:00.029 --> 00:23:02.751 read it and then get clarification from 00:23:02.971 --> 00:23:04.472 directly from the radiologist if I needed 00:23:04.513 --> 00:23:04.673 to. 00:23:04.814 --> 00:23:05.054 I could. 00:23:05.705 --> 00:23:08.207 ordered blood panels or medications or 00:23:08.227 --> 00:23:08.586 whatever. 00:23:08.946 --> 00:23:09.867 But the thing is, Jim, 00:23:09.968 --> 00:23:11.669 we can do those things now. 00:23:12.028 --> 00:23:13.528 I left the military in twenty twenty 00:23:13.548 --> 00:23:13.809 three. 00:23:14.789 --> 00:23:16.750 I'm operating in a clinic here in Colorado 00:23:16.770 --> 00:23:17.111 Springs. 00:23:17.131 --> 00:23:18.311 We call it Physio Room. 00:23:18.332 --> 00:23:20.231 We have an office in Denver as well. 00:23:20.853 --> 00:23:24.034 And and I am tied in with a 00:23:24.273 --> 00:23:25.454 an imaging clinic. 00:23:25.755 --> 00:23:26.815 They have a cash menu. 00:23:27.095 --> 00:23:28.256 I send my clients there. 00:23:28.894 --> 00:23:30.395 and they can get their imaging done within 00:23:30.415 --> 00:23:30.816 a day. 00:23:32.097 --> 00:23:35.000 We have the results to help guide our 00:23:35.020 --> 00:23:36.082 care that same day, 00:23:36.962 --> 00:23:38.345 tied in with the orthopedic community. 00:23:38.365 --> 00:23:40.267 I've got orthopedic surgeons on a Rolodex 00:23:40.287 --> 00:23:41.107 that I can contact. 00:23:41.627 --> 00:23:44.050 And the- Rolodex. 00:23:45.553 --> 00:23:47.434 Kids, the Rolodex is your contact app. 00:23:49.076 --> 00:23:50.616 It's aging me a little bit. 00:23:50.917 --> 00:23:51.897 I mean, I'm tongue in cheek. 00:23:52.239 --> 00:23:55.181 But the bottom line is these things do 00:23:55.260 --> 00:23:56.000 exist now. 00:23:56.121 --> 00:23:57.682 One of the courses that we're offering at 00:23:57.701 --> 00:23:59.123 Global Physio Training was developed by 00:23:59.323 --> 00:24:00.503 one of our colleagues, Katie, 00:24:00.924 --> 00:24:02.065 and the primary care 00:24:04.638 --> 00:24:06.660 uh, abilities of a physical therapist. 00:24:06.720 --> 00:24:06.960 I mean, 00:24:07.601 --> 00:24:09.441 that the time is here and now we 00:24:09.480 --> 00:24:10.961 can do these things now let's start 00:24:11.001 --> 00:24:11.961 training these things up now. 00:24:11.981 --> 00:24:12.162 So, uh, 00:24:13.522 --> 00:24:16.743 we have those offerings as part of global 00:24:16.763 --> 00:24:21.665 physio training and, uh, the, the, uh, 00:24:21.746 --> 00:24:25.488 ability to do those things in Cameroon in. 00:24:26.128 --> 00:24:29.691 of the Dominican Republic in rural United 00:24:29.730 --> 00:24:30.111 States. 00:24:30.770 --> 00:24:31.250 It's coming. 00:24:31.570 --> 00:24:33.912 And if not, if already being here. 00:24:34.112 --> 00:24:36.753 So that's, you know, 00:24:36.874 --> 00:24:38.173 as far as interdisciplinary, 00:24:38.733 --> 00:24:41.315 it's really upon us to take advantage of 00:24:41.336 --> 00:24:44.977 the opportunities that are already here. 00:24:44.997 --> 00:24:46.238 Nate, let's get philosophical here. 00:24:46.278 --> 00:24:49.078 You've said movement is an algebra. 00:24:49.838 --> 00:24:52.099 It's movement quality is calculus. 00:24:53.221 --> 00:24:53.921 I'm just going to say, 00:24:54.980 --> 00:24:56.901 Wait, what do you mean by that? 00:24:56.941 --> 00:24:57.181 Well, 00:24:57.520 --> 00:24:59.843 I'm going to attribute that one to Clint. 00:25:01.222 --> 00:25:02.983 I'm the guy that dumbs things down and 00:25:03.023 --> 00:25:05.105 then he's the guy that gets real spacey. 00:25:05.125 --> 00:25:05.365 All right. 00:25:05.404 --> 00:25:06.665 So Clint, that's, that's from you then. 00:25:06.685 --> 00:25:07.205 Yep. 00:25:07.286 --> 00:25:10.928 Yeah. 00:25:10.948 --> 00:25:12.628 So like one of the things that I, 00:25:12.669 --> 00:25:13.730 I like to talk through are like the 00:25:13.789 --> 00:25:15.990 fractal sequences and the Mandelbrot 00:25:16.030 --> 00:25:17.112 sequence and all this stuff, 00:25:17.132 --> 00:25:18.952 the golden ratio. 00:25:18.972 --> 00:25:21.134 But help me understand the good go on 00:25:21.153 --> 00:25:23.174 that one, bring it down to the ground. 00:25:24.130 --> 00:25:25.289 So a lot of times I think in 00:25:25.509 --> 00:25:26.790 the outpatient PT world, 00:25:26.810 --> 00:25:28.971 when it's high volume and it's like, 00:25:29.271 --> 00:25:29.451 you know, 00:25:29.471 --> 00:25:30.971 you got a thousand referrals coming in and 00:25:31.051 --> 00:25:32.512 you're just trying to get people off your 00:25:32.532 --> 00:25:33.432 caseload, you know, 00:25:33.452 --> 00:25:34.333 at twelve visits or whatever, 00:25:35.213 --> 00:25:36.653 you make the decisions that are like, hey, 00:25:36.773 --> 00:25:38.335 all these needs respond to X, 00:25:38.494 --> 00:25:39.015 Y and Z. 00:25:39.115 --> 00:25:40.536 All of this back pain generally responds 00:25:40.556 --> 00:25:41.256 to X, Y or Z. 00:25:41.276 --> 00:25:42.276 They're going to go get an injection 00:25:42.336 --> 00:25:44.116 anyway, whatever, you know, 00:25:44.136 --> 00:25:46.698 that the esoteric and the calculus of it 00:25:46.798 --> 00:25:47.198 is like, 00:25:47.950 --> 00:25:48.951 you know, 00:25:48.971 --> 00:25:51.173 what else is contributing to this knee 00:25:51.212 --> 00:25:53.134 pain or this back pain or these headaches 00:25:53.174 --> 00:25:53.775 or shoulder pain? 00:25:53.815 --> 00:25:55.997 And it, it oftentimes could be, you know, 00:25:56.116 --> 00:25:57.818 because of the hip limitations, 00:25:58.118 --> 00:25:59.840 that's overloading the knee because of the 00:26:00.040 --> 00:26:01.001 shoulder limitations, 00:26:01.021 --> 00:26:02.423 you're getting chronic headaches because 00:26:02.442 --> 00:26:04.724 your upper trap and levator are so jammed 00:26:04.785 --> 00:26:05.965 up and your upper cervical is jammed up, 00:26:06.007 --> 00:26:06.767 whatever the things are. 00:26:06.826 --> 00:26:08.229 So I try to like, 00:26:08.929 --> 00:26:10.630 look at the problem and make sure that 00:26:10.650 --> 00:26:12.450 the problem is actually where the fire is 00:26:12.609 --> 00:26:14.431 and not just smoke because the fire may 00:26:14.451 --> 00:26:15.191 be somewhere else. 00:26:15.211 --> 00:26:17.192 And that's kind of the the calculus is 00:26:17.652 --> 00:26:19.833 you got to level up to to think 00:26:19.853 --> 00:26:22.114 through problems in maybe a bit more 00:26:22.233 --> 00:26:22.733 abstract, 00:26:22.834 --> 00:26:26.654 interrelated perspective instead of, oh, 00:26:26.734 --> 00:26:26.815 well, 00:26:26.835 --> 00:26:28.336 all my knee pain is just knee pain. 00:26:28.655 --> 00:26:30.115 All my back pain is just regular 00:26:30.135 --> 00:26:31.797 facetogenic, discogenic back pain. 00:26:32.579 --> 00:26:33.520 So and you know, 00:26:33.661 --> 00:26:35.603 you hear Clint discuss that and it sounds 00:26:36.163 --> 00:26:37.223 super big picture, 00:26:37.284 --> 00:26:40.307 thirty thousand foot view and and and 00:26:40.346 --> 00:26:42.367 maybe over overly complicated. 00:26:42.548 --> 00:26:44.690 But it's not because what we do in 00:26:44.730 --> 00:26:46.951 mentorship is we bring people with. 00:26:46.971 --> 00:26:47.192 Yes, 00:26:47.211 --> 00:26:49.054 we want that view and we want to 00:26:49.554 --> 00:26:52.876 contemplate all of the contributors to a 00:26:52.916 --> 00:26:53.718 pain or dysfunction. 00:26:54.218 --> 00:26:56.700 But what we spend time in mentorship doing 00:26:56.820 --> 00:26:59.021 is getting people down to basics. 00:27:01.117 --> 00:27:02.978 That this I've been on the continuing 00:27:02.998 --> 00:27:04.659 education circuit for almost a decade. 00:27:05.159 --> 00:27:06.298 And, uh, 00:27:06.419 --> 00:27:08.599 and the number of people that have emailed 00:27:08.680 --> 00:27:12.381 me and said, Hey, I've got this problem, 00:27:12.401 --> 00:27:13.040 this client, 00:27:13.121 --> 00:27:15.342 and it turns into a page long email. 00:27:16.261 --> 00:27:20.383 Um, my response is what is the diagnosis? 00:27:21.561 --> 00:27:23.644 and the almost invariably then well i've 00:27:23.703 --> 00:27:25.085 tried some manual therapy like this and 00:27:25.105 --> 00:27:27.286 i've tried driving no no no no no 00:27:27.346 --> 00:27:30.308 what is the diagnosis because if we're 00:27:30.429 --> 00:27:32.289 start if we and we're guilty of this 00:27:32.529 --> 00:27:34.612 as a community we just start treating 00:27:34.991 --> 00:27:37.634 without a diagnosis and then six visits in 00:27:38.295 --> 00:27:40.236 patient reports that they're no better or 00:27:40.256 --> 00:27:42.096 that they're worse or whatever and now 00:27:42.116 --> 00:27:43.458 we're starting to chase our tail when 00:27:43.538 --> 00:27:45.160 really if i just started in the beginning 00:27:46.839 --> 00:27:48.300 And I'm constantly preaching this to my 00:27:48.361 --> 00:27:49.381 team at PhysioRoom, 00:27:49.401 --> 00:27:50.582 constantly preaching this on the 00:27:50.682 --> 00:27:51.741 continuing education circuit. 00:27:51.761 --> 00:27:53.242 And whenever somebody asks me a question, 00:27:54.403 --> 00:27:55.942 what's the primary diagnosis? 00:27:56.183 --> 00:27:57.183 And once you have a primary, 00:27:57.223 --> 00:27:58.743 you should have at least three 00:27:58.763 --> 00:28:00.164 interventions that you can use on that 00:28:00.204 --> 00:28:01.005 primary diagnosis. 00:28:01.204 --> 00:28:02.806 What's your secondary diagnosis? 00:28:02.965 --> 00:28:03.806 And then more importantly, 00:28:03.846 --> 00:28:05.126 what's your tertiary diagnosis? 00:28:05.487 --> 00:28:06.906 So that when you start with the first 00:28:07.126 --> 00:28:07.247 one, 00:28:08.048 --> 00:28:11.509 you've methodically provided the care that 00:28:11.588 --> 00:28:15.049 should help resolve that issue. 00:28:15.652 --> 00:28:16.432 And if it doesn't, 00:28:16.792 --> 00:28:18.253 you don't have to do a complete new 00:28:18.294 --> 00:28:19.816 reevaluation to find out what's, 00:28:19.935 --> 00:28:21.297 it's like, huh, let me try it. 00:28:21.356 --> 00:28:22.478 Let me consider this second one. 00:28:22.498 --> 00:28:24.459 Remember when I first evaluated them and I 00:28:24.479 --> 00:28:25.740 had the secondary diagnosis, 00:28:25.780 --> 00:28:26.780 let's try that. 00:28:27.402 --> 00:28:28.863 And then maybe we're looking at that 00:28:28.962 --> 00:28:29.344 zebra, 00:28:29.364 --> 00:28:31.726 that third or that tertiary diagnosis that 00:28:32.066 --> 00:28:34.047 we need to get into that. 00:28:34.567 --> 00:28:37.730 And we consider all three of those at 00:28:37.770 --> 00:28:39.251 the granular level, 00:28:39.412 --> 00:28:40.252 like I'm talking about, 00:28:40.492 --> 00:28:41.814 and at that high level, 00:28:42.054 --> 00:28:42.974 like Clint is talking about. 00:28:44.113 --> 00:28:44.733 Yeah. 00:28:44.794 --> 00:28:47.415 One of the things that I try to 00:28:47.435 --> 00:28:48.396 think us through, 00:28:48.517 --> 00:28:49.417 and this gets a little bit deep for 00:28:49.438 --> 00:28:49.878 just a minute, 00:28:49.898 --> 00:28:53.182 but the pathoanatomic diagnosis is what 00:28:53.241 --> 00:28:54.983 every patient or every provider will ever 00:28:55.023 --> 00:28:55.403 tell you. 00:28:55.503 --> 00:28:56.144 It's knee pain. 00:28:56.184 --> 00:28:57.246 It's osteoarthritis. 00:28:57.306 --> 00:28:59.387 It's disc pain or it's discogenic low back 00:28:59.407 --> 00:28:59.887 pain or whatever. 00:29:00.189 --> 00:29:01.329 Those are pathoanatomic. 00:29:01.349 --> 00:29:02.911 They tell us where the pain is, 00:29:02.990 --> 00:29:04.512 which structures and where it is. 00:29:05.548 --> 00:29:08.510 the movement-based diagnosis is like back 00:29:08.530 --> 00:29:08.790 pain, 00:29:09.270 --> 00:29:12.573 secondary to facet hypertrophy or 00:29:12.613 --> 00:29:15.535 secondary to hip hypomobility or hip 00:29:15.595 --> 00:29:16.195 insufficiency. 00:29:16.236 --> 00:29:16.476 And like, 00:29:16.516 --> 00:29:17.836 that's where my brain wants to go is 00:29:17.876 --> 00:29:19.698 like, when it comes to those diagnoses, 00:29:19.837 --> 00:29:20.798 if you only ever say, 00:29:21.558 --> 00:29:21.739 well, 00:29:21.778 --> 00:29:23.880 your hip pain is directly related to the 00:29:24.220 --> 00:29:24.720 labrum, 00:29:25.160 --> 00:29:26.279 then you don't ever get a chance to 00:29:26.299 --> 00:29:27.480 go back and say, oh, well, 00:29:27.500 --> 00:29:28.820 maybe it is coming from like L five 00:29:28.921 --> 00:29:29.260 S one. 00:29:29.401 --> 00:29:31.102 And that's what's pissing off the labrum 00:29:31.321 --> 00:29:32.122 in the first place. 00:29:32.622 --> 00:29:34.402 Maybe it's related to the limitation of 00:29:34.442 --> 00:29:34.781 the hip. 00:29:34.821 --> 00:29:36.863 And so like that's that kind of a 00:29:36.883 --> 00:29:39.804 thought process is where we get into less 00:29:39.844 --> 00:29:41.183 of the diagnostic category of 00:29:41.243 --> 00:29:43.444 pathoanatomic diagnosis and way more into 00:29:43.484 --> 00:29:44.224 a movement based 00:29:44.945 --> 00:29:45.486 dysfunction. 00:29:45.547 --> 00:29:46.646 And a lot of that is something that 00:29:47.087 --> 00:29:50.490 PTs in the US don't really use. 00:29:51.070 --> 00:29:53.133 And that's the granular nature of like, 00:29:53.173 --> 00:29:53.313 sure, 00:29:53.333 --> 00:29:55.034 we'll just treat the first thing that's on 00:29:55.074 --> 00:29:55.914 the script. 00:29:56.075 --> 00:29:56.835 Yeah. 00:29:57.576 --> 00:29:59.817 Let's make you guys look into the future. 00:29:59.837 --> 00:30:01.538 That's what we're always trying to do, 00:30:01.578 --> 00:30:01.798 right? 00:30:01.818 --> 00:30:04.000 Predict the next thing and move towards 00:30:04.060 --> 00:30:04.161 it. 00:30:04.642 --> 00:30:06.643 With policy changes and new care models 00:30:06.682 --> 00:30:07.003 emerging, 00:30:07.084 --> 00:30:09.404 do you think something like that 00:30:09.885 --> 00:30:12.228 interdisciplinary model or teams 00:30:13.044 --> 00:30:15.645 will become the norm in the next decade 00:30:16.106 --> 00:30:17.508 and if so like what do we need 00:30:17.528 --> 00:30:19.048 to do to get there or speed it 00:30:19.128 --> 00:30:22.932 up from an outcomes perspective i 00:30:23.011 --> 00:30:25.795 certainly hope so i mean like to have 00:30:25.875 --> 00:30:27.957 a surgery or an injection or a procedure 00:30:28.257 --> 00:30:30.618 and then immediately go to pt and 00:30:30.638 --> 00:30:32.380 immediate or chiro or whatever and then 00:30:32.400 --> 00:30:34.781 immediately have a program so you get free 00:30:34.801 --> 00:30:36.943 to get back and more durable in a 00:30:36.983 --> 00:30:38.625 strength training cardiovascular training 00:30:38.645 --> 00:30:39.645 kind of model i think is 00:30:40.583 --> 00:30:43.465 the best formula for the durability and 00:30:43.486 --> 00:30:44.047 longevity. 00:30:45.147 --> 00:30:46.548 Cynically, I do believe that 00:30:47.409 --> 00:30:48.769 even though we have these bundled care 00:30:48.789 --> 00:30:49.651 models now, 00:30:50.171 --> 00:30:53.233 PT gets relegated the least amount of that 00:30:53.394 --> 00:30:54.234 money. 00:30:54.555 --> 00:30:56.457 The surgeons, the anesthesiologists, 00:30:56.477 --> 00:30:59.339 the hospital systems keep a huge chunk of 00:30:59.380 --> 00:31:04.384 that money and then only allocate X number 00:31:04.403 --> 00:31:07.467 of visits for a total knee or for 00:31:07.586 --> 00:31:09.087 a lumbar fusion or whatever else. 00:31:09.107 --> 00:31:12.651 And so I'm not sure how much will 00:31:12.711 --> 00:31:14.573 change without the insurance companies 00:31:17.102 --> 00:31:20.403 having less oversight and input on how 00:31:20.442 --> 00:31:21.782 those dollars get used. 00:31:22.702 --> 00:31:24.022 But that's maybe just a negative. 00:31:24.103 --> 00:31:25.182 I'm not very negative generally, 00:31:25.242 --> 00:31:27.963 but maybe it's more realistic, I guess. 00:31:28.023 --> 00:31:29.864 No, it's pessimistic, there's optimistic, 00:31:29.884 --> 00:31:31.584 and there's the glass is twice as big 00:31:31.604 --> 00:31:32.285 as it needs to be, 00:31:32.305 --> 00:31:32.924 and that is realistic. 00:31:33.744 --> 00:31:34.105 That's right. 00:31:34.184 --> 00:31:35.984 I think that's where I kind of sit. 00:31:36.025 --> 00:31:39.645 Generally, I'm not a cloudy guy, 00:31:39.965 --> 00:31:40.726 New York kind of guy, 00:31:40.746 --> 00:31:41.645 but on this topic, 00:31:42.026 --> 00:31:44.507 it seems limited by those who have the 00:31:44.547 --> 00:31:46.366 money and decide how it's allocated. 00:31:47.493 --> 00:31:49.375 Yeah. 00:31:49.415 --> 00:31:50.916 Nate, what do you think? 00:31:50.936 --> 00:31:51.076 I mean, 00:31:51.096 --> 00:31:53.199 I'm going to go back to we need 00:31:53.219 --> 00:31:54.961 to take advantage of the opportunities 00:31:55.000 --> 00:31:56.102 that we have now. 00:31:56.442 --> 00:31:59.744 Like I said, we have thought for years, 00:31:59.884 --> 00:31:59.984 oh, 00:32:00.025 --> 00:32:01.145 I wish we could do this or I 00:32:01.185 --> 00:32:03.287 wish we could do that in physical therapy. 00:32:03.867 --> 00:32:06.029 And we can. 00:32:06.049 --> 00:32:08.050 We need to get instead of thinking why 00:32:08.090 --> 00:32:09.011 we can't do something, 00:32:09.051 --> 00:32:10.373 we need to start thinking about how we 00:32:10.413 --> 00:32:10.693 can. 00:32:11.594 --> 00:32:16.238 And there are ways that we can work 00:32:16.258 --> 00:32:16.758 around this. 00:32:16.817 --> 00:32:19.921 Now, finances is always a limitation. 00:32:20.621 --> 00:32:22.903 We run a hybrid clinic at PhysioRoom. 00:32:23.483 --> 00:32:26.165 About twenty percent of our clientele are 00:32:26.365 --> 00:32:27.105 insurance based. 00:32:28.768 --> 00:32:31.329 And it's just it's getting harder and 00:32:31.410 --> 00:32:33.471 harder to be able to continue to provide 00:32:33.510 --> 00:32:36.073 those services because the reimbursement 00:32:36.113 --> 00:32:36.814 is less and less. 00:32:36.834 --> 00:32:39.016 And we have to push more towards our 00:32:39.615 --> 00:32:40.517 cash paying clients. 00:32:41.484 --> 00:32:45.766 Um, but those, uh, the, 00:32:45.786 --> 00:32:48.806 the reach or the access for those paying 00:32:48.826 --> 00:32:52.027 cash is it's becoming about the same as, 00:32:52.386 --> 00:32:53.926 as, as, uh, insurance. 00:32:54.267 --> 00:32:54.507 I mean, 00:32:55.268 --> 00:32:56.688 I watched a TikTok just a couple of 00:32:56.708 --> 00:32:58.248 days ago of a woman that's like, Hey, 00:32:58.288 --> 00:33:00.028 my insurance premiums are a thousand 00:33:00.048 --> 00:33:01.388 dollars a month for a family of five. 00:33:01.409 --> 00:33:02.489 Right. 00:33:03.048 --> 00:33:05.469 And then she goes to see the primary 00:33:05.489 --> 00:33:06.970 care doc and, uh, 00:33:07.009 --> 00:33:08.069 has some co-pays and 00:33:08.749 --> 00:33:09.730 I went to the emergency room. 00:33:09.750 --> 00:33:11.795 Emergency room was eight hundred dollars. 00:33:12.455 --> 00:33:13.597 And on her way out the door, 00:33:13.637 --> 00:33:15.059 she said, hey, 00:33:15.119 --> 00:33:16.583 if I just came in and paid cash, 00:33:16.623 --> 00:33:17.084 what would it be? 00:33:17.144 --> 00:33:18.526 And I said, I'd be five hundred dollars. 00:33:18.625 --> 00:33:21.211 She's like, I'm paying eight versus five. 00:33:22.215 --> 00:33:23.978 on top of the premium on top of 00:33:23.998 --> 00:33:26.259 the premium and uh and then she had 00:33:26.298 --> 00:33:28.260 imaging same situation mri was nine 00:33:28.280 --> 00:33:29.422 hundred dollars if she paid cash it would 00:33:29.442 --> 00:33:31.824 have been six hundred like it's just uh 00:33:31.844 --> 00:33:37.067 it's the the education for the clients is 00:33:37.127 --> 00:33:39.029 probably a huge part of this again we 00:33:39.049 --> 00:33:40.191 need to take advantage of 00:33:41.991 --> 00:33:43.834 the opportunities that are present now. 00:33:45.535 --> 00:33:47.317 And I see us being able to shape, 00:33:47.596 --> 00:33:48.438 you asked about the future, 00:33:48.458 --> 00:33:49.218 what does that look like? 00:33:50.159 --> 00:33:51.740 I think it depends on us taking advantage 00:33:51.760 --> 00:33:52.560 of those opportunities. 00:33:54.045 --> 00:33:55.185 I had a client last week. 00:33:55.205 --> 00:33:58.769 I did a free discovery visit with her. 00:33:58.869 --> 00:34:00.311 And at the end of the visit, 00:34:00.352 --> 00:34:00.731 she was like, 00:34:01.012 --> 00:34:02.835 this is what I've been looking for. 00:34:03.836 --> 00:34:05.758 Instead of going five places around 00:34:05.817 --> 00:34:07.579 Charlotte or around town for my 00:34:07.700 --> 00:34:09.983 chiropractor and my massage and my PT and 00:34:10.023 --> 00:34:12.204 my whatever, she was like, this is cool. 00:34:12.304 --> 00:34:14.007 I can centralize it in one place. 00:34:14.067 --> 00:34:14.807 And that was... 00:34:15.708 --> 00:34:17.731 That was the best feedback for me in 00:34:17.771 --> 00:34:18.751 our clinic was like, 00:34:19.072 --> 00:34:21.474 this is this is the right avatar for 00:34:21.514 --> 00:34:22.556 what we're trying to do. 00:34:22.996 --> 00:34:24.036 Centralize your care. 00:34:24.217 --> 00:34:25.657 I can I'm not a chiropractor. 00:34:25.717 --> 00:34:27.079 I can crack your neck and back if 00:34:27.099 --> 00:34:27.679 it's appropriate. 00:34:28.081 --> 00:34:29.822 I'm not a physician. 00:34:29.882 --> 00:34:31.784 We can work on ordering some labs and 00:34:32.244 --> 00:34:33.585 whatever if it's peptides or 00:34:34.123 --> 00:34:34.963 hormones or stuff like that. 00:34:34.983 --> 00:34:36.405 We have resources that are medically 00:34:36.485 --> 00:34:37.625 overseen and supervised. 00:34:38.405 --> 00:34:41.025 That's the centralized care that we are 00:34:41.065 --> 00:34:41.465 building. 00:34:41.565 --> 00:34:43.045 And I think, like Nate said, 00:34:43.065 --> 00:34:44.987 the awareness of our communities that 00:34:45.007 --> 00:34:46.067 there is another opportunity, 00:34:46.106 --> 00:34:46.806 another option, 00:34:46.927 --> 00:34:49.768 instead of just piecemealing and cobbling 00:34:49.807 --> 00:34:51.869 together their health care journey. 00:34:51.949 --> 00:34:53.548 I think that's another hurdle to overcome. 00:34:54.898 --> 00:34:58.641 um what's your if if we have a 00:34:58.702 --> 00:35:00.983 few seconds what's sort of your pitch for 00:35:01.043 --> 00:35:03.686 people helping out or finding out more 00:35:03.726 --> 00:35:05.005 about what you're doing in cameroon and 00:35:05.027 --> 00:35:06.047 where would you send them i want to 00:35:06.067 --> 00:35:08.108 make sure we close the loop on that 00:35:08.148 --> 00:35:09.829 so people just aren't nodding along i want 00:35:09.849 --> 00:35:11.130 them to be able to find out more 00:35:12.251 --> 00:35:14.152 yeah right now there are two main places 00:35:14.353 --> 00:35:17.094 we have a an online giving campaign kind 00:35:17.114 --> 00:35:18.936 of like a gofundme or whatever um it's 00:35:18.956 --> 00:35:20.458 called zephy we have a whole ride up 00:35:20.498 --> 00:35:20.858 there of 00:35:21.411 --> 00:35:23.052 how we're trying to be a force multiplier 00:35:23.112 --> 00:35:24.931 and train ten thousand clinicians over the 00:35:24.952 --> 00:35:25.692 next five years. 00:35:26.072 --> 00:35:27.873 And that would mean that hundreds of 00:35:27.932 --> 00:35:30.773 thousands of patients can be seen by these 00:35:30.813 --> 00:35:32.675 clinicians over the clinician's lifetime 00:35:32.695 --> 00:35:33.094 and career. 00:35:34.356 --> 00:35:35.016 It's called Zephy. 00:35:35.056 --> 00:35:35.996 I can put the link in your show 00:35:36.036 --> 00:35:36.635 notes and stuff. 00:35:36.675 --> 00:35:38.097 But the cool part about Zephy is 00:35:38.797 --> 00:35:40.998 They don't charge fees for the nonprofits, 00:35:41.018 --> 00:35:43.579 which is different than a GoFundMe or 00:35:43.599 --> 00:35:44.539 Kickstarter or whatever else. 00:35:45.039 --> 00:35:46.760 So that campaign is super easy to access, 00:35:46.780 --> 00:35:48.521 and it gives you a really good snapshot 00:35:48.561 --> 00:35:49.842 of what we're doing internationally. 00:35:50.302 --> 00:35:52.123 And then our website is pretty thorough. 00:35:52.143 --> 00:35:53.943 It outlines all six of the programs that 00:35:53.963 --> 00:35:55.744 we have on our strategic map. 00:35:57.204 --> 00:35:59.746 It outlines Val and Nate and me as 00:36:01.007 --> 00:36:02.967 what our bios are and how we give 00:36:03.007 --> 00:36:04.588 a crap to do something like this. 00:36:05.329 --> 00:36:07.570 That's globalphysiotraining.com. 00:36:09.775 --> 00:36:10.494 Nate, what would you say? 00:36:10.835 --> 00:36:13.775 Why should someone join in and help? 00:36:16.436 --> 00:36:16.677 Well, 00:36:17.297 --> 00:36:19.757 it is an appeal to the altruistic side 00:36:19.797 --> 00:36:20.759 of humanity. 00:36:21.059 --> 00:36:22.719 And, you know, 00:36:23.179 --> 00:36:25.380 Clint went to Cameroon last year. 00:36:26.161 --> 00:36:28.400 We put him on a flight in economy. 00:36:30.847 --> 00:36:32.630 the back of the bus which is fine 00:36:33.269 --> 00:36:35.251 and yeah i mean he's a trooper for 00:36:35.311 --> 00:36:37.012 doing it he's he's a little bit younger 00:36:37.032 --> 00:36:38.434 than i am i just don't think i 00:36:38.454 --> 00:36:39.655 would have been able to do it you 00:36:39.675 --> 00:36:41.556 know make that flight and then peach the 00:36:41.577 --> 00:36:44.900 next day um so this year when we 00:36:44.940 --> 00:36:46.340 send him over we're gonna put him in 00:36:46.561 --> 00:36:50.844 economy plus man and uh we've raised 00:36:50.885 --> 00:36:53.086 enough funds to do that and at least 00:36:53.126 --> 00:36:54.967 he'll arrive a little bit refreshed and 00:36:55.068 --> 00:36:56.909 you know be able to do the things 00:36:57.070 --> 00:36:57.710 so uh i 00:37:00.652 --> 00:37:02.032 We're in a time period right now, 00:37:02.072 --> 00:37:05.014 and I say this as somebody that's probably 00:37:05.074 --> 00:37:05.896 conservative, 00:37:06.115 --> 00:37:07.536 maybe slightly right of center 00:37:07.577 --> 00:37:10.398 politically. 00:37:11.699 --> 00:37:13.581 I've been to Brazil. 00:37:14.061 --> 00:37:20.586 I've been to some other areas where people 00:37:20.606 --> 00:37:21.628 are downright poor. 00:37:21.927 --> 00:37:22.849 That's the bottom line. 00:37:25.590 --> 00:37:27.932 We're in a political situation now where 00:37:27.952 --> 00:37:30.655 we're caring a lot about ourselves in the 00:37:31.076 --> 00:37:31.695 United States. 00:37:31.976 --> 00:37:32.677 I'm a patriot. 00:37:33.257 --> 00:37:34.559 I care about the United States too. 00:37:35.579 --> 00:37:36.880 I also care about the rest of the 00:37:36.920 --> 00:37:37.201 world. 00:37:37.521 --> 00:37:40.163 And this is an opportunity to help those 00:37:40.204 --> 00:37:40.943 folks out. 00:37:41.043 --> 00:37:42.826 All right. 00:37:43.485 --> 00:37:44.226 Love it. 00:37:44.246 --> 00:37:45.208 I appreciate you doing all that work. 00:37:45.748 --> 00:37:46.228 It's simple. 00:37:46.528 --> 00:37:47.208 It's just not easy. 00:37:47.969 --> 00:37:48.931 Last thing we do on the show, 00:37:48.971 --> 00:37:50.311 we call it the parting shot. 00:37:52.353 --> 00:37:53.474 This is the parting shot. 00:37:54.014 --> 00:37:56.034 One last mic drop moment. 00:37:56.094 --> 00:37:56.894 No pressure. 00:37:57.335 --> 00:37:59.496 Just your legacy on the line. 00:38:00.936 --> 00:38:01.956 Want to say thanks to our friends at 00:38:01.976 --> 00:38:04.197 Empower EMR for supporting the show. 00:38:04.217 --> 00:38:05.697 If your clinic's EMR slows down 00:38:05.777 --> 00:38:06.657 documentation, 00:38:06.898 --> 00:38:08.677 this is what Empower was designed to fix. 00:38:08.697 --> 00:38:10.097 Faster nodes, clean workflows, 00:38:10.137 --> 00:38:11.518 and features that, well, 00:38:11.559 --> 00:38:12.798 PTs actually asked for. 00:38:13.179 --> 00:38:15.099 An EMR built for clinics that want their 00:38:15.159 --> 00:38:16.900 systems to help them move faster, 00:38:17.380 --> 00:38:18.519 not hold them back. 00:38:18.599 --> 00:38:20.920 Find them online at EmpowerEMR.com. 00:38:21.442 --> 00:38:23.284 That's empoweremr.com. 00:38:23.463 --> 00:38:24.846 And U.S. 00:38:24.885 --> 00:38:25.487 Physical Therapy, 00:38:25.507 --> 00:38:27.889 a national chain and network of locally 00:38:27.909 --> 00:38:29.771 branded clinics focused on developing 00:38:29.811 --> 00:38:31.514 clinicians and supporting long-term 00:38:31.534 --> 00:38:32.516 careers in PT. 00:38:32.876 --> 00:38:35.159 Leadership tracks, mentorship, 00:38:35.298 --> 00:38:37.521 and resources designed to help clinicians 00:38:37.581 --> 00:38:37.902 grow. 00:38:38.786 --> 00:38:39.547 without burning out. 00:38:39.666 --> 00:38:41.327 Learn more at usph.com. 00:38:41.347 --> 00:38:43.929 That is usph.com. 00:38:43.949 --> 00:38:44.570 Your parting shot, 00:38:44.610 --> 00:38:45.990 just your last chance for a mic drop 00:38:46.030 --> 00:38:46.351 moment. 00:38:46.431 --> 00:38:47.773 You can reiterate something you've already 00:38:47.813 --> 00:38:49.094 said or break out something new. 00:38:49.114 --> 00:38:49.954 What do you got for us? 00:38:50.153 --> 00:38:50.974 We'll have Clint go first. 00:38:51.891 --> 00:38:52.452 Yeah, I mean, 00:38:52.472 --> 00:38:53.612 I was gonna make Nate go first, 00:38:53.632 --> 00:38:56.175 but what I'll say is if you're the 00:38:56.195 --> 00:38:57.876 clinician who's looking for joy in what 00:38:57.896 --> 00:38:59.556 you do and fulfillment in what you do, 00:38:59.617 --> 00:39:01.157 that's oftentimes tied to the outcomes of 00:39:01.177 --> 00:39:01.697 our patients. 00:39:01.818 --> 00:39:04.320 And what we are trying to build out 00:39:04.400 --> 00:39:07.461 is another way to increase the level of 00:39:07.481 --> 00:39:10.003 your joy, gratitude, outcomes, 00:39:10.744 --> 00:39:12.646 not just locally with your current patient 00:39:12.666 --> 00:39:13.186 population, 00:39:13.226 --> 00:39:15.688 but also with an international footprint. 00:39:16.168 --> 00:39:16.728 That's for me, 00:39:16.748 --> 00:39:18.429 what is the most fulfilling, 00:39:19.050 --> 00:39:20.510 joyful element of what we're doing. 00:39:22.041 --> 00:39:24.123 All right, Nate, pardon the shot. 00:39:24.143 --> 00:39:24.663 Hey, you know, 00:39:25.682 --> 00:39:27.643 why did we get into physical therapy? 00:39:27.722 --> 00:39:30.284 Why did anybody get into physical therapy? 00:39:30.684 --> 00:39:32.664 And is it a chance to provide for 00:39:32.684 --> 00:39:33.724 ourselves and our families? 00:39:33.905 --> 00:39:34.304 Sure. 00:39:34.425 --> 00:39:35.885 Did we get in it for the money? 00:39:36.005 --> 00:39:37.186 Probably not. 00:39:37.585 --> 00:39:38.905 Although I'd like to see that change and 00:39:38.945 --> 00:39:41.186 see a physical therapist remunerated a lot 00:39:41.226 --> 00:39:41.507 better. 00:39:42.467 --> 00:39:44.867 I think we're getting there, guys. 00:39:45.007 --> 00:39:45.847 It is coming around. 00:39:46.550 --> 00:39:48.851 But why we got into physical therapy in 00:39:48.871 --> 00:39:49.471 the first place, 00:39:50.331 --> 00:39:51.891 it really is for the love of people 00:39:52.210 --> 00:39:56.733 and the love of our fellow man. 00:39:57.552 --> 00:40:00.434 And that's, again, you know, 00:40:00.554 --> 00:40:01.474 Clint painted the vision. 00:40:01.554 --> 00:40:04.735 That's why I'm here is to spread that 00:40:04.775 --> 00:40:05.335 love, so. 00:40:06.717 --> 00:40:08.099 Gentlemen, thanks for doing this. 00:40:08.139 --> 00:40:09.280 And we know there's other people involved. 00:40:09.322 --> 00:40:10.242 Thanks to them as well. 00:40:10.282 --> 00:40:11.824 And appreciate you sharing about it. 00:40:11.864 --> 00:40:13.907 And hopefully this reaches somebody who is 00:40:13.987 --> 00:40:15.429 moved by it and joins the movement. 00:40:15.469 --> 00:40:16.331 So thanks for doing this, guys. 00:40:16.351 --> 00:40:17.552 Awesome. 00:40:17.771 --> 00:40:18.512 Thanks for having us, Jimmy. 00:40:18.532 --> 00:40:19.715 Appreciate it. 00:40:21.072 --> 00:40:22.152 That's it for this one, 00:40:22.411 --> 00:40:24.072 but we're just getting warmed up. 00:40:24.552 --> 00:40:26.472 Smash follow, send it to a friend, 00:40:26.693 --> 00:40:28.333 or crank up the next episode. 00:40:28.873 --> 00:40:29.853 Want to go deeper? 00:40:30.233 --> 00:40:34.255 Hit us at pgpinecast.com or find us on 00:40:34.315 --> 00:40:36.855 YouTube and socials at pgpinecast. 00:40:37.275 --> 00:40:39.576 And legally, none of this was advice. 00:40:39.635 --> 00:40:41.356 It's for entertainment purposes only. 00:40:41.996 --> 00:40:43.016 Bulls**t! 00:40:43.036 --> 00:40:43.615 See, Keith? 00:40:43.836 --> 00:40:44.896 We read the script. 00:40:45.197 --> 00:40:45.836 Happy now?