WEBVTT 00:00:00.229 --> 00:00:02.250 You're listening to the PT Pinecast, 00:00:02.290 --> 00:00:04.291 where smart people in healthcare come to 00:00:04.331 --> 00:00:05.070 make noise. 00:00:05.110 --> 00:00:06.671 Here's your host, Jimmy McKay. 00:00:06.871 --> 00:00:10.212 All right. 00:00:10.272 --> 00:00:11.772 I do want to say thanks to Sarah 00:00:11.813 --> 00:00:12.112 Health, 00:00:12.132 --> 00:00:13.913 helping physical therapy clinics automate 00:00:13.954 --> 00:00:16.535 patient communication and reduce front 00:00:16.714 --> 00:00:18.775 desk workload so clinicians can focus on 00:00:18.815 --> 00:00:19.135 care. 00:00:19.716 --> 00:00:22.417 Patients get care between visits and 00:00:22.477 --> 00:00:23.978 clinics get revenue for that so they can 00:00:24.018 --> 00:00:25.518 provide, wait for it, more care. 00:00:27.250 --> 00:00:29.111 So make sure you reach out to Sarah 00:00:29.131 --> 00:00:32.031 Health to find out exactly how you can 00:00:32.051 --> 00:00:34.033 get paid for the care that you provide 00:00:34.093 --> 00:00:34.792 between visits. 00:00:34.813 --> 00:00:36.713 That's SarahHealth.com. 00:00:36.734 --> 00:00:40.414 That's SarahHealth, S-A-R-A-Health.com. 00:00:40.935 --> 00:00:42.235 Let's talk about today's guest. 00:00:42.515 --> 00:00:44.116 There's a lot of conversations happening 00:00:44.237 --> 00:00:46.396 in our profession right now about burnout. 00:00:46.917 --> 00:00:47.798 Words come up a lot. 00:00:48.536 --> 00:00:50.118 productivity expectations? 00:00:50.298 --> 00:00:52.500 How about reimbursement pressure? 00:00:52.520 --> 00:00:54.201 How about whether the profession is even 00:00:54.262 --> 00:00:56.484 worth staying in right now? 00:00:57.164 --> 00:00:58.826 But if you zoom out for enough, 00:00:59.587 --> 00:01:01.189 the conversation then changes. 00:01:01.488 --> 00:01:03.070 Because in many parts of the world, 00:01:03.430 --> 00:01:05.433 physical therapy isn't a stressed 00:01:05.513 --> 00:01:06.054 profession. 00:01:07.194 --> 00:01:07.915 It's a missing one. 00:01:08.697 --> 00:01:10.358 There are communities where access to 00:01:10.457 --> 00:01:13.159 rehab care is almost non-existent, 00:01:13.599 --> 00:01:16.920 where a stroke survivor might never see a 00:01:16.959 --> 00:01:17.560 therapist, 00:01:17.820 --> 00:01:20.441 where a child with CP might never receive 00:01:20.581 --> 00:01:21.882 basic mobility training. 00:01:22.341 --> 00:01:24.242 Today's guest believes that the solution 00:01:24.543 --> 00:01:27.203 to frustration in our profession isn't 00:01:27.343 --> 00:01:29.444 always found in policy debates or 00:01:29.584 --> 00:01:30.965 reimbursement reform. 00:01:31.506 --> 00:01:33.846 Sometimes it's found in perspective. 00:01:34.912 --> 00:01:37.212 He left a strong career in the U.S., 00:01:37.373 --> 00:01:39.813 packed up his family, and moved to St. 00:01:39.834 --> 00:01:40.293 Elizabeth, 00:01:40.313 --> 00:01:43.094 Jamaica to direct a PT clinic serving a 00:01:43.135 --> 00:01:45.956 community with limited access to rehab 00:01:45.975 --> 00:01:47.296 services. 00:01:47.316 --> 00:01:49.917 Fresh off a Category Five hurricane, 00:01:50.257 --> 00:01:52.438 he's back helping rebuild both roofs 00:01:53.409 --> 00:01:54.450 and access to care. 00:01:54.829 --> 00:01:56.570 Today, we're talking about purpose, 00:01:56.790 --> 00:01:57.510 perspective, 00:01:57.870 --> 00:02:00.432 and why physical therapists may be sitting 00:02:00.792 --> 00:02:03.513 on one of the most globally valuable skill 00:02:03.552 --> 00:02:05.093 sets in all of healthcare. 00:02:05.774 --> 00:02:08.794 Today, let's welcome in Derek Landis. 00:02:09.235 --> 00:02:10.314 Derek, welcome to the show, man. 00:02:10.955 --> 00:02:12.455 Hey, thanks for having me, Jimmy. 00:02:12.496 --> 00:02:14.795 Excited to chat a little bit and talk 00:02:16.257 --> 00:02:17.497 about therapy around the world. 00:02:18.395 --> 00:02:18.716 Love it. 00:02:19.056 --> 00:02:19.336 All right. 00:02:19.355 --> 00:02:20.256 So let's start here. 00:02:20.415 --> 00:02:21.396 After that intro, 00:02:21.776 --> 00:02:24.236 you had a stable career here in the 00:02:24.336 --> 00:02:25.736 U S as a physical therapist, 00:02:26.116 --> 00:02:28.277 and then made that choice to move yourself 00:02:28.418 --> 00:02:30.777 and your family to Jamaica. 00:02:31.138 --> 00:02:33.359 What was the moment where you just, 00:02:33.378 --> 00:02:36.139 where that decision really became tangible 00:02:36.199 --> 00:02:37.218 and real for you? 00:02:37.278 --> 00:02:39.560 What was that like? 00:02:39.639 --> 00:02:43.240 Yeah, it was exciting and really scary. 00:02:43.280 --> 00:02:44.661 I think at the same time, you know, 00:02:44.681 --> 00:02:45.721 when, when, uh, 00:02:47.296 --> 00:02:50.139 They reached out to clinic down in Jamaica 00:02:50.179 --> 00:02:51.159 we're familiar with. 00:02:51.919 --> 00:02:53.461 My wife and I are both grads of 00:02:53.520 --> 00:02:54.262 Arcadia, 00:02:55.883 --> 00:02:57.424 and they have a strong relationship. 00:02:57.764 --> 00:03:00.526 The executive director of the nonprofit 00:03:00.545 --> 00:03:02.486 down here in Jamaica is an Arcadia grad. 00:03:02.987 --> 00:03:05.088 She's been running the clinic for over 00:03:05.149 --> 00:03:05.930 twenty years. 00:03:06.650 --> 00:03:08.491 And so Arcadia students get a chance to 00:03:08.531 --> 00:03:10.793 come down and help a couple of times 00:03:10.812 --> 00:03:11.073 a year. 00:03:11.112 --> 00:03:14.675 They try and have camps at the clinic 00:03:14.694 --> 00:03:15.556 where they bring in 00:03:16.730 --> 00:03:19.532 Patients that have had stroke mostly and 00:03:19.551 --> 00:03:20.793 do like a week or a week and 00:03:20.812 --> 00:03:24.753 a half long intensive camp therapy all 00:03:24.794 --> 00:03:28.055 day, every day, which is awesome. 00:03:28.275 --> 00:03:30.936 You see amazing gains in some of these 00:03:30.975 --> 00:03:31.515 folks. 00:03:32.217 --> 00:03:33.757 But that's how we got to know it. 00:03:33.776 --> 00:03:35.737 We came as students in twenty ten and 00:03:36.217 --> 00:03:38.038 we came back again as clinicians in twenty 00:03:38.079 --> 00:03:38.639 thirteen. 00:03:38.658 --> 00:03:40.118 So so we knew them. 00:03:40.158 --> 00:03:43.139 But in the summer of twenty four, 00:03:43.860 --> 00:03:44.520 they reached out. 00:03:44.974 --> 00:03:45.735 and said, Hey, you know, 00:03:45.754 --> 00:03:47.056 we need some help down here. 00:03:47.575 --> 00:03:48.336 Would you come? 00:03:49.096 --> 00:03:49.135 Uh, 00:03:49.156 --> 00:03:50.956 and so we thought a lot about it, 00:03:50.997 --> 00:03:53.137 prayed a lot about that. 00:03:53.497 --> 00:03:56.038 Um, I came down and visited again, 00:03:56.078 --> 00:03:57.359 you know, since, you know, 00:03:57.378 --> 00:03:58.399 we had in the meantime, 00:03:58.419 --> 00:04:01.000 we had had two, two girls, um, 00:04:01.099 --> 00:04:02.300 eight years old and three years old. 00:04:02.800 --> 00:04:04.140 So we wanted to come and visit and 00:04:04.181 --> 00:04:04.901 see what it's like. 00:04:05.520 --> 00:04:07.861 Um, but yeah, then we decided, yeah, 00:04:07.901 --> 00:04:08.442 let's do it. 00:04:08.461 --> 00:04:09.782 We feel like this is where God is 00:04:09.822 --> 00:04:10.322 leading us. 00:04:10.342 --> 00:04:11.543 We want to come down and help and 00:04:11.663 --> 00:04:12.383 use our skills. 00:04:13.138 --> 00:04:13.418 Um, 00:04:13.639 --> 00:04:15.699 and it was just immense excitement and, 00:04:16.160 --> 00:04:18.002 and some terror, I think in there too, 00:04:18.021 --> 00:04:19.762 because, you know, we were leaving, 00:04:20.002 --> 00:04:21.564 you know, our stable, 00:04:21.744 --> 00:04:24.505 good jobs in the U S and traveling 00:04:24.526 --> 00:04:25.086 to, you know, 00:04:25.107 --> 00:04:26.908 where we're not going to be making a 00:04:26.947 --> 00:04:27.387 lot of money, 00:04:27.427 --> 00:04:28.689 not having a lot of resources. 00:04:28.728 --> 00:04:30.630 So there was fundraising and some other 00:04:30.670 --> 00:04:32.271 things that went along with that, 00:04:32.312 --> 00:04:33.653 that were pretty daunting, but, 00:04:34.233 --> 00:04:34.973 but I would say, yeah, 00:04:35.014 --> 00:04:36.875 mostly excitement as we, 00:04:36.975 --> 00:04:38.757 as we packed up and came and, 00:04:39.036 --> 00:04:39.877 you know, look to, 00:04:39.937 --> 00:04:41.358 to be able to serve in a place 00:04:41.379 --> 00:04:41.759 that yeah, 00:04:41.819 --> 00:04:41.899 has 00:04:42.528 --> 00:04:43.408 very limited, 00:04:43.689 --> 00:04:45.129 very limited access to rehab. 00:04:45.329 --> 00:04:48.331 Now for people listening for PTs who've 00:04:48.372 --> 00:04:49.771 only practiced in the US, 00:04:50.653 --> 00:04:53.574 what's simple to you might not be simple 00:04:53.593 --> 00:04:53.994 to them. 00:04:54.233 --> 00:04:56.935 So help us understand the difference in 00:04:57.156 --> 00:05:00.137 access to care in the US versus where 00:05:00.156 --> 00:05:02.677 you are in Jamaica. 00:05:02.718 --> 00:05:04.738 So yeah, the biggest problem in Jamaica, 00:05:04.759 --> 00:05:05.798 there's a huge need, 00:05:05.819 --> 00:05:07.600 but there's just not a lot of places 00:05:07.879 --> 00:05:08.641 that offer therapy. 00:05:09.300 --> 00:05:11.262 You know, across the whole island, 00:05:11.879 --> 00:05:13.761 my wife had done some research, Stephanie, 00:05:13.781 --> 00:05:15.021 she's a therapist as well. 00:05:15.622 --> 00:05:15.862 Um, 00:05:16.002 --> 00:05:17.723 and then working with me in the clinic, 00:05:18.382 --> 00:05:19.384 you know, she had done some, 00:05:19.744 --> 00:05:21.644 some crazy statistics about how they're, 00:05:21.805 --> 00:05:23.225 you know, in our parish of St. 00:05:23.245 --> 00:05:25.625 Elizabeth parishes is kind of like a 00:05:25.646 --> 00:05:27.627 state, uh, back home, you know, 00:05:27.646 --> 00:05:30.428 there's a hundred and fifty thousand ish, 00:05:30.968 --> 00:05:31.189 you know, 00:05:31.228 --> 00:05:34.069 people there's like three licensed 00:05:34.310 --> 00:05:34.810 therapists. 00:05:35.331 --> 00:05:36.951 Um, and then, you know, the, 00:05:37.151 --> 00:05:39.392 the clinics that there are mostly little, 00:05:40.069 --> 00:05:42.509 outpatient ortho think type deals. 00:05:43.350 --> 00:05:45.089 Not a lot of places that have any 00:05:45.149 --> 00:05:49.031 resource to handle, you know, 00:05:49.050 --> 00:05:51.951 someone who's post CBA that can't stand or 00:05:52.011 --> 00:05:52.612 can't walk. 00:05:54.112 --> 00:05:54.391 You know, 00:05:54.411 --> 00:05:56.632 so the clinic really tries to work with 00:05:56.672 --> 00:05:57.112 people. 00:05:57.132 --> 00:05:57.932 You know, 00:05:57.952 --> 00:06:00.533 we try to go and pick people up 00:06:00.612 --> 00:06:03.173 and just gain access because it's so tough 00:06:03.213 --> 00:06:03.853 here for the folks. 00:06:03.874 --> 00:06:06.233 There's not a lot of clinics and 00:06:06.274 --> 00:06:08.795 transportation and getting around isn't 00:06:08.834 --> 00:06:09.095 easy. 00:06:09.807 --> 00:06:10.067 either. 00:06:10.107 --> 00:06:11.627 A lot of folks don't have cars. 00:06:12.728 --> 00:06:12.887 You know, 00:06:12.908 --> 00:06:15.449 the taxi man's not exactly going to throw 00:06:15.548 --> 00:06:17.608 you in the back if you're a dependent 00:06:17.649 --> 00:06:18.288 transfer. 00:06:19.290 --> 00:06:20.949 So families are trying to get people to 00:06:20.990 --> 00:06:21.670 therapy. 00:06:22.170 --> 00:06:23.850 We're trying to get access, 00:06:23.891 --> 00:06:24.990 but it's just really hard. 00:06:25.011 --> 00:06:26.091 You know, back home, it's funny. 00:06:26.112 --> 00:06:27.072 You drive down the road. 00:06:27.891 --> 00:06:28.112 You know, 00:06:28.351 --> 00:06:29.552 if you're on a busy main road, 00:06:29.572 --> 00:06:31.333 you're probably going to pass a few PT 00:06:31.353 --> 00:06:32.713 clinics, you know, 00:06:32.793 --> 00:06:35.374 every couple of miles or so because back 00:06:35.413 --> 00:06:35.714 home, 00:06:36.074 --> 00:06:37.334 no one's willing to go more than 00:06:38.021 --> 00:06:39.663 a couple of miles from their home. 00:06:39.682 --> 00:06:40.283 So we've got tons, 00:06:40.324 --> 00:06:42.887 but here there's just not many at all. 00:06:42.966 --> 00:06:45.288 And there's still a lot of people that 00:06:45.369 --> 00:06:45.790 need it. 00:06:46.110 --> 00:06:48.773 So yeah, it's just a lot different. 00:06:49.254 --> 00:06:51.737 The amount of access they have, 00:06:51.757 --> 00:06:54.379 the ability to access services is just so 00:06:54.420 --> 00:06:57.202 much more limited here than back home. 00:06:58.242 --> 00:06:59.704 So you mentioned a few of the conditions 00:06:59.725 --> 00:07:00.906 that show up most often. 00:07:01.526 --> 00:07:04.829 Help me understand what changes when PT 00:07:04.889 --> 00:07:06.851 does become available. 00:07:06.891 --> 00:07:08.452 If you've got people who have limited 00:07:08.492 --> 00:07:09.033 resources, 00:07:09.314 --> 00:07:11.076 if they are able to actually get to 00:07:11.115 --> 00:07:11.355 those, 00:07:11.857 --> 00:07:13.778 what changes for some of those people in 00:07:13.798 --> 00:07:16.521 your parish in their daily lives because 00:07:16.541 --> 00:07:16.901 you're there? 00:07:18.103 --> 00:07:19.723 So the coolest ones are, I mean, 00:07:19.742 --> 00:07:21.963 the stroke patients are kind of nearest 00:07:22.024 --> 00:07:23.084 and dearest to my heart. 00:07:23.124 --> 00:07:23.324 You know, 00:07:23.343 --> 00:07:27.245 that's neurogeriatrics was my specialty 00:07:27.286 --> 00:07:27.925 back home. 00:07:27.985 --> 00:07:30.005 And so that's the stuff that I love 00:07:30.026 --> 00:07:30.425 the most. 00:07:30.446 --> 00:07:30.605 You know, 00:07:30.625 --> 00:07:33.346 I'm brushing up on my ortho because, 00:07:33.367 --> 00:07:34.788 you know, it's a farming community. 00:07:34.807 --> 00:07:37.387 It's a rural farming community where we 00:07:37.427 --> 00:07:37.687 live. 00:07:37.708 --> 00:07:38.809 So we deal with a lot of tough 00:07:38.829 --> 00:07:39.949 people that are dealing with. 00:07:40.458 --> 00:07:42.019 you know, shoulder pain, back pain, 00:07:42.059 --> 00:07:44.160 just from labor intensive type work. 00:07:44.781 --> 00:07:46.841 Um, so I enjoy those patients, you know, 00:07:46.862 --> 00:07:48.963 seeing someone get back to work is, 00:07:49.583 --> 00:07:50.463 is fun, but man, 00:07:50.504 --> 00:07:52.725 seeing someone get back to, you know, 00:07:52.745 --> 00:07:54.146 standing up and transferring, 00:07:54.165 --> 00:07:55.367 that's just been in bed for, 00:07:55.786 --> 00:07:58.269 for the last year because no one even 00:07:58.329 --> 00:08:00.129 really thought, you know, Oh, 00:08:00.149 --> 00:08:01.850 you had a stroke and you left the 00:08:01.891 --> 00:08:03.732 hospital and that's it. 00:08:03.771 --> 00:08:05.252 We're going to put you in bed and 00:08:06.072 --> 00:08:07.213 feed you and clean you. 00:08:07.254 --> 00:08:07.334 And, 00:08:08.072 --> 00:08:09.793 And it's just not an understanding. 00:08:09.952 --> 00:08:13.495 There's so much education just for folks 00:08:13.535 --> 00:08:14.255 right off the bat. 00:08:14.516 --> 00:08:15.896 Like, no, listen, we can try. 00:08:15.916 --> 00:08:17.278 We're going to get you up in a 00:08:17.338 --> 00:08:17.838 harness. 00:08:18.218 --> 00:08:20.600 We're going to do all this work. 00:08:21.040 --> 00:08:22.040 Because if we do, 00:08:22.521 --> 00:08:24.122 you might be able to start standing and 00:08:24.161 --> 00:08:25.062 moving around again. 00:08:25.103 --> 00:08:28.125 And sometimes it's just the education of, 00:08:28.185 --> 00:08:29.985 yes, it could be possible. 00:08:30.086 --> 00:08:31.627 It's not a definite. 00:08:31.666 --> 00:08:33.467 We can't work miracles. 00:08:35.157 --> 00:08:37.840 know the the education to people that you 00:08:37.879 --> 00:08:38.880 might be able to get up and do 00:08:38.921 --> 00:08:40.763 it again you might not walk or maybe 00:08:40.802 --> 00:08:42.625 you can but maybe we can get you 00:08:42.664 --> 00:08:44.628 transferring and just opening up 00:08:44.668 --> 00:08:46.990 possibilities to people that just were 00:08:47.029 --> 00:08:48.172 sort of written off as 00:08:48.749 --> 00:08:49.870 you know, now we just have to, 00:08:50.029 --> 00:08:50.691 to leave you there. 00:08:50.711 --> 00:08:53.773 So that's the funnest, biggest difference. 00:08:54.173 --> 00:08:54.634 Um, 00:08:54.653 --> 00:08:55.955 but I also have a bunch of people 00:08:55.975 --> 00:08:58.537 that I'm working on basically on return to 00:08:58.576 --> 00:08:58.876 work. 00:08:59.197 --> 00:09:01.499 Um, it's not as, you know, 00:09:01.558 --> 00:09:04.621 official or regulated as it is back home, 00:09:04.642 --> 00:09:07.464 uh, with work comp and all that nonsense. 00:09:07.504 --> 00:09:10.025 But down here it's, it's, you're, 00:09:10.046 --> 00:09:10.346 you're hurt. 00:09:10.407 --> 00:09:11.147 You can't work. 00:09:11.807 --> 00:09:11.908 Um, 00:09:12.714 --> 00:09:13.833 So we're going to work on these things. 00:09:13.854 --> 00:09:14.054 Yeah. 00:09:14.075 --> 00:09:15.034 If we can get you back to work. 00:09:15.054 --> 00:09:15.835 So that's fun too, 00:09:15.875 --> 00:09:17.216 but I think it's the neuro folks, 00:09:17.235 --> 00:09:18.216 the stroke folks that, 00:09:18.235 --> 00:09:21.256 that are the most fun. 00:09:21.297 --> 00:09:22.477 Yeah. 00:09:22.557 --> 00:09:23.957 A lot of therapists here in the U 00:09:24.197 --> 00:09:26.418 S are questioning whether the profession 00:09:26.479 --> 00:09:27.659 is worth it. 00:09:27.679 --> 00:09:29.320 I'm using air quotes there for worth it. 00:09:29.720 --> 00:09:31.721 You've seen our profession of physical 00:09:31.760 --> 00:09:34.221 therapy through a very different lens. 00:09:34.302 --> 00:09:37.783 What perspective do you wish more 00:09:37.842 --> 00:09:39.104 therapists had? 00:09:40.413 --> 00:09:40.753 So, yeah, 00:09:40.773 --> 00:09:42.715 I know there's a lot of talk about 00:09:42.735 --> 00:09:44.034 the things you mentioned, you know, 00:09:44.436 --> 00:09:48.578 salaries and reimbursements declining for 00:09:48.619 --> 00:09:50.840 the last twenty years. 00:09:51.159 --> 00:09:54.962 Crazy statistic that is awful for our 00:09:54.982 --> 00:09:55.562 profession. 00:09:56.783 --> 00:09:58.304 you know all those things and those are 00:09:58.346 --> 00:10:01.107 valid conversations valid points i'm sure 00:10:01.128 --> 00:10:02.548 we'll be back into it you know when 00:10:02.589 --> 00:10:06.113 we're back in the states um but here 00:10:06.413 --> 00:10:08.554 you just remember here how valuable our 00:10:08.595 --> 00:10:10.395 skill is and how much it helps people 00:10:11.157 --> 00:10:14.600 um so back home i i hope people 00:10:14.659 --> 00:10:17.322 anyone listening will just remember like 00:10:17.342 --> 00:10:20.885 you have a an awesome skill that people 00:10:20.985 --> 00:10:22.706 really need um 00:10:23.779 --> 00:10:26.441 And is really helpful to people. 00:10:26.941 --> 00:10:28.302 So if, yeah, 00:10:28.322 --> 00:10:29.582 if you're in a place where you don't 00:10:29.623 --> 00:10:30.102 feel that, 00:10:30.182 --> 00:10:31.482 I would challenge you to look around 00:10:31.523 --> 00:10:33.024 because there's places still, even, 00:10:33.104 --> 00:10:33.323 you know, 00:10:33.344 --> 00:10:36.306 back home in a lot of clinics where 00:10:36.326 --> 00:10:37.586 you can still really help people. 00:10:37.706 --> 00:10:37.966 And yeah, 00:10:38.005 --> 00:10:40.606 that might be helping them with their golf 00:10:40.626 --> 00:10:40.947 swing. 00:10:40.967 --> 00:10:43.489 And it's not maybe as dramatic and 00:10:43.509 --> 00:10:45.269 life-changing, but that's still important. 00:10:45.889 --> 00:10:47.029 And it's still an important thing to 00:10:47.070 --> 00:10:48.750 remember and focus on that. 00:10:49.326 --> 00:10:50.826 that we're hoping people live better, 00:10:51.027 --> 00:10:51.908 live stronger. 00:10:53.048 --> 00:10:54.909 My fox might be coming through a little 00:10:54.950 --> 00:10:56.652 bit, but it's true. 00:10:56.711 --> 00:10:59.153 And I think we want people to remember 00:10:59.173 --> 00:11:03.076 that, that we are really helping people. 00:11:03.476 --> 00:11:04.597 And I know it's frustrating that 00:11:04.618 --> 00:11:06.379 reimbursement's gone down and you're only 00:11:06.418 --> 00:11:07.941 making whatever, eighty, 00:11:08.441 --> 00:11:09.761 eighty-five thousand dollars a year. 00:11:09.782 --> 00:11:11.202 And we want to be making more because 00:11:11.222 --> 00:11:12.344 we have all the debt and all the 00:11:12.364 --> 00:11:12.703 work. 00:11:12.764 --> 00:11:14.885 And those are good things to think about 00:11:15.086 --> 00:11:15.687 and lobby for. 00:11:16.606 --> 00:11:18.328 But I would challenge people to remember 00:11:19.269 --> 00:11:20.789 Yeah, what this is all about, 00:11:20.850 --> 00:11:21.990 how much this really helps people. 00:11:22.030 --> 00:11:23.871 Sure. 00:11:23.912 --> 00:11:25.753 So the clinic that you work at has 00:11:25.773 --> 00:11:26.894 been serving the community, 00:11:26.974 --> 00:11:27.774 and you mentioned before, 00:11:27.794 --> 00:11:29.235 for over two decades. 00:11:29.615 --> 00:11:31.317 That's not a short amount of time. 00:11:31.917 --> 00:11:35.440 What does long-term impact actually look 00:11:35.480 --> 00:11:35.679 like? 00:11:35.720 --> 00:11:37.140 This isn't you coming to town, 00:11:37.221 --> 00:11:38.642 doing some things for a week or a 00:11:38.682 --> 00:11:39.461 month or even a year. 00:11:39.682 --> 00:11:40.602 This is two decades. 00:11:41.062 --> 00:11:43.784 So what does long-term impact look like in 00:11:43.804 --> 00:11:45.546 a community like that with a clinic who's 00:11:45.586 --> 00:11:46.527 been there for that long? 00:11:47.571 --> 00:11:48.871 So the, 00:11:48.892 --> 00:11:51.893 the impact becomes more missional than 00:11:51.952 --> 00:11:54.533 like we're known and respected in the 00:11:54.573 --> 00:11:55.294 community. 00:11:55.934 --> 00:11:56.796 Um, you know, 00:11:56.816 --> 00:11:58.655 the property that the clinic is on is 00:11:58.756 --> 00:12:00.116 actually, uh, 00:12:00.136 --> 00:12:01.798 it was previously a residential deaf 00:12:01.837 --> 00:12:02.238 school. 00:12:02.918 --> 00:12:05.240 Um, so there's a lot of facilities here. 00:12:05.259 --> 00:12:05.940 There's a lot, you know, 00:12:05.980 --> 00:12:07.461 we were able to come down and live 00:12:07.500 --> 00:12:09.621 like right across from the clinic, um, 00:12:09.802 --> 00:12:11.263 where the kids used to live. 00:12:11.822 --> 00:12:12.884 Um, that went to the deaf school, 00:12:12.903 --> 00:12:14.183 the deaf school closed down and. 00:12:14.803 --> 00:12:15.684 Twenty eighteen. 00:12:16.335 --> 00:12:17.775 And they were able to move their clinic 00:12:17.855 --> 00:12:19.355 up from where it was previously. 00:12:20.755 --> 00:12:22.496 But what that means is that they're known 00:12:22.537 --> 00:12:23.517 in the community. 00:12:23.557 --> 00:12:25.717 They have resources and space now to house 00:12:25.738 --> 00:12:26.118 people. 00:12:27.197 --> 00:12:28.438 So they're able to do a lot more 00:12:28.479 --> 00:12:30.298 for the community than just therapy. 00:12:30.318 --> 00:12:31.480 They're able to reach out. 00:12:32.539 --> 00:12:33.740 You know, we host work groups. 00:12:33.820 --> 00:12:36.941 After the hurricane, you know, 00:12:36.980 --> 00:12:38.822 the clinic was banged up a little bit. 00:12:38.841 --> 00:12:40.001 We had to shut that down. 00:12:41.023 --> 00:12:42.222 But we got that repaired. 00:12:43.214 --> 00:12:44.294 And we said, you know what, 00:12:44.335 --> 00:12:46.115 we really want to reach out, 00:12:46.635 --> 00:12:49.476 take some time to help others rebuild with 00:12:49.496 --> 00:12:50.476 the resources we have. 00:12:50.496 --> 00:12:53.798 So we partnered with some disaster relief 00:12:53.857 --> 00:12:54.879 organizations. 00:12:55.698 --> 00:12:57.480 God's Pit Crew was one of them and 00:12:57.519 --> 00:13:00.221 Hope Force International was another one. 00:13:00.280 --> 00:13:01.861 And we were kind of like a home 00:13:01.902 --> 00:13:02.782 base, you know, 00:13:02.802 --> 00:13:03.922 a place for them to stay. 00:13:03.981 --> 00:13:06.283 We went out with them to do some 00:13:06.302 --> 00:13:06.964 of the work, 00:13:07.004 --> 00:13:10.245 a lot of debris cleanup and roof repairs. 00:13:11.160 --> 00:13:13.741 I was reminded that physical therapy is 00:13:13.782 --> 00:13:14.962 definitely my skill set, 00:13:15.003 --> 00:13:17.585 trying to tarp and repair roofs. 00:13:17.664 --> 00:13:19.546 I was a little bit of a fish 00:13:19.846 --> 00:13:20.525 out of water, 00:13:20.765 --> 00:13:22.547 but it was a special thing to be 00:13:22.606 --> 00:13:24.508 able to, in that time, you know, 00:13:24.528 --> 00:13:26.408 in that devastation, be able to go out, 00:13:27.070 --> 00:13:28.350 um, you know, 00:13:28.370 --> 00:13:29.610 with people who didn't know what they were 00:13:29.630 --> 00:13:32.513 doing, uh, to help, help rebuild. 00:13:32.592 --> 00:13:33.913 And that is what you can really do. 00:13:33.974 --> 00:13:35.573 I think when you've been in the community 00:13:35.634 --> 00:13:37.576 a long time, you know, 00:13:37.596 --> 00:13:38.216 the needs 00:13:38.700 --> 00:13:39.341 you know, 00:13:39.500 --> 00:13:41.302 these outside groups that are coming in, 00:13:41.702 --> 00:13:43.125 that's what they need. 00:13:43.144 --> 00:13:44.746 They need a local partner who knows the 00:13:44.886 --> 00:13:46.568 area and who knows where the needs really 00:13:46.688 --> 00:13:48.890 are that can point them and their 00:13:48.951 --> 00:13:50.552 resources in the right direction. 00:13:51.094 --> 00:13:51.433 So yeah, 00:13:51.453 --> 00:13:56.539 the long-term impact is great for therapy 00:13:56.679 --> 00:13:58.101 and helping people move better and 00:13:58.591 --> 00:13:58.912 you know, 00:13:58.951 --> 00:14:00.673 being a resource for the doctors in the 00:14:00.793 --> 00:14:02.312 area that they can send patients. 00:14:03.592 --> 00:14:06.274 But I think it just becomes more of 00:14:06.313 --> 00:14:06.813 a greater, 00:14:06.974 --> 00:14:08.793 bigger picture impact where you can really 00:14:08.813 --> 00:14:11.274 help and support a community and bring in 00:14:11.315 --> 00:14:12.754 resources and point them in the right 00:14:12.794 --> 00:14:13.316 direction. 00:14:14.956 --> 00:14:17.235 You've said therapists should zoom out, 00:14:17.777 --> 00:14:20.017 think bigger about how they use their 00:14:20.096 --> 00:14:20.557 skills. 00:14:21.677 --> 00:14:22.557 Help me understand, 00:14:22.817 --> 00:14:24.597 what does that look like practically? 00:14:24.658 --> 00:14:25.558 What do you wish, 00:14:25.778 --> 00:14:27.058 what do you hope to see in the 00:14:27.099 --> 00:14:27.438 future? 00:14:28.443 --> 00:14:28.864 Yeah, I mean, 00:14:28.923 --> 00:14:30.426 I know everyone's not going to pick up 00:14:30.546 --> 00:14:33.087 and move to another country, right? 00:14:33.107 --> 00:14:34.869 That's a tough thing, 00:14:34.908 --> 00:14:36.330 and not everyone's in the position to do 00:14:36.350 --> 00:14:36.470 that. 00:14:36.509 --> 00:14:37.951 We were fortunate, you know, 00:14:37.971 --> 00:14:39.932 that we had that connection from school 00:14:39.993 --> 00:14:42.754 and some volunteer work, you know, 00:14:42.774 --> 00:14:43.655 a decade ago, 00:14:44.397 --> 00:14:45.717 and we were invited to come down, 00:14:45.778 --> 00:14:46.618 and yeah, 00:14:46.638 --> 00:14:47.859 not everyone's going to have that. 00:14:47.918 --> 00:14:49.419 So, you know, 00:14:49.520 --> 00:14:51.201 even just in your own communities, 00:14:51.241 --> 00:14:53.123 you know, I had to really, you know, 00:14:53.182 --> 00:14:54.965 even being down here, I challenged myself. 00:14:54.985 --> 00:14:56.326 I'm like, man, I'm doing this, but, 00:14:56.765 --> 00:14:57.647 you know, for the past, 00:14:58.341 --> 00:15:00.982 ten years before we came down here i 00:15:01.023 --> 00:15:03.445 wasn't doing anything either um even 00:15:03.485 --> 00:15:05.065 though in pittsburgh you know my wife and 00:15:05.125 --> 00:15:07.226 i live you know in the suburbs north 00:15:07.267 --> 00:15:10.107 of pittsburgh like there are pro bono 00:15:10.128 --> 00:15:12.408 clinics that you could look up you know 00:15:12.428 --> 00:15:14.090 in downtown pittsburgh there's a catholic 00:15:14.490 --> 00:15:17.851 the catholic charities have a clinic um 00:15:17.871 --> 00:15:20.413 downtown i was emailing back and forth 00:15:20.432 --> 00:15:21.594 with them a little bit just because i 00:15:21.614 --> 00:15:23.774 was curious you know they have they have 00:15:23.815 --> 00:15:25.635 hours all during the week um 00:15:26.333 --> 00:15:28.275 And they're just open when therapists 00:15:28.416 --> 00:15:29.636 actually come and volunteer. 00:15:30.778 --> 00:15:32.320 So I think for most folks, right, 00:15:32.700 --> 00:15:34.101 the key is look around. 00:15:34.601 --> 00:15:36.985 There are pro bono clinics. 00:15:37.345 --> 00:15:39.586 There are places you can go and serve, 00:15:40.028 --> 00:15:40.227 you know, 00:15:40.248 --> 00:15:42.190 for people who are underinsured or who 00:15:42.210 --> 00:15:43.191 don't have insurance. 00:15:44.111 --> 00:15:44.913 People who, you know, 00:15:44.932 --> 00:15:46.014 there's definitely places 00:15:46.687 --> 00:15:48.567 where there isn't a clinic every couple of 00:15:48.607 --> 00:15:48.868 miles. 00:15:49.447 --> 00:15:50.208 Um, 00:15:50.308 --> 00:15:53.090 and people have a terrible time accessing 00:15:53.129 --> 00:15:53.549 care. 00:15:53.971 --> 00:15:55.270 And I think there is where you can 00:15:55.311 --> 00:15:57.172 really find people who really want it, 00:15:57.292 --> 00:15:59.972 who really benefit from it and who, 00:16:00.514 --> 00:16:01.953 whose lives are really going to be 00:16:02.014 --> 00:16:03.534 impacted, you know, 00:16:03.634 --> 00:16:06.657 even just from an evaluation and even just 00:16:06.697 --> 00:16:08.238 from education, 00:16:08.278 --> 00:16:09.658 pointing them in the right direction, 00:16:09.697 --> 00:16:12.840 you know, try, try these exercises or yes, 00:16:12.879 --> 00:16:15.260 there are walkers that, you know, 00:16:16.147 --> 00:16:17.967 have extensions and can hold you upright 00:16:18.008 --> 00:16:18.788 and this and that, and, 00:16:19.208 --> 00:16:21.811 and just showing people what is possible 00:16:21.850 --> 00:16:22.692 and what's out there. 00:16:23.272 --> 00:16:24.552 Um, so yeah, 00:16:24.613 --> 00:16:26.975 I hope practically that that's one 00:16:27.634 --> 00:16:28.355 listening can, 00:16:28.816 --> 00:16:30.716 can start to be curious what's already 00:16:30.736 --> 00:16:32.979 around me, where can I are, you know, 00:16:33.019 --> 00:16:35.400 where can I lend a hand and, and, 00:16:35.441 --> 00:16:35.660 you know, 00:16:35.701 --> 00:16:38.143 clinic practice directors and owners, 00:16:38.523 --> 00:16:38.722 you know, 00:16:38.783 --> 00:16:41.284 how can our organization support some of 00:16:41.304 --> 00:16:41.825 these things? 00:16:41.865 --> 00:16:42.885 You know, how can we gather 00:16:43.874 --> 00:16:47.134 our staff and support efforts that are 00:16:47.195 --> 00:16:51.897 already going on or who can we support 00:16:52.616 --> 00:16:52.996 that's gone. 00:16:53.017 --> 00:16:54.937 There's lots of other organizations around 00:16:55.998 --> 00:16:57.719 traveling to different countries with 00:16:57.778 --> 00:16:58.798 rehab focuses. 00:16:59.744 --> 00:17:00.004 Yeah. 00:17:00.224 --> 00:17:00.384 Yeah. 00:17:00.443 --> 00:17:02.706 Remote area medical is one of them that 00:17:03.086 --> 00:17:04.446 my former professor, Sky Donovan, 00:17:04.487 --> 00:17:05.366 volunteers for a lot. 00:17:05.406 --> 00:17:07.607 And they go to rural America and they 00:17:07.627 --> 00:17:09.229 say the need is great. 00:17:09.709 --> 00:17:12.211 A few hours or maybe even not a 00:17:12.250 --> 00:17:12.750 few hours, 00:17:12.830 --> 00:17:14.392 just outside a lot of major U.S. 00:17:14.432 --> 00:17:15.932 cities that you maybe wouldn't know. 00:17:15.952 --> 00:17:17.653 Yeah. 00:17:17.673 --> 00:17:19.714 Let's play a quick rapid fire. 00:17:19.734 --> 00:17:21.155 I'll give you three scenarios. 00:17:21.496 --> 00:17:25.877 And then I just want your first reaction. 00:17:26.278 --> 00:17:27.858 This is really all around perspective 00:17:27.919 --> 00:17:28.779 check. 00:17:28.839 --> 00:17:29.039 So 00:17:30.696 --> 00:17:30.958 Derek, 00:17:30.978 --> 00:17:33.704 you can give one physical therapy student 00:17:34.205 --> 00:17:36.653 a plane ticket to anywhere in the world 00:17:36.813 --> 00:17:38.457 for a clinical experience. 00:17:38.959 --> 00:17:39.661 Where would you send them? 00:17:41.194 --> 00:17:42.695 Well, I gotta be a little selfish here. 00:17:42.715 --> 00:17:43.996 We need help in Jamaica. 00:17:44.056 --> 00:17:46.017 So I'm going to give them a plane 00:17:46.037 --> 00:17:47.557 ticket to Jamaica. 00:17:47.917 --> 00:17:50.219 I want to show them our clinic and 00:17:50.239 --> 00:17:51.199 what you can do here. 00:17:51.538 --> 00:17:52.078 We could, 00:17:52.179 --> 00:17:53.319 we could have a full case of it 00:17:53.359 --> 00:17:55.661 for you, uh, at no time. 00:17:56.221 --> 00:17:56.780 Um, 00:17:56.881 --> 00:17:58.001 and you would learn a ton here too. 00:17:58.021 --> 00:17:59.942 We have a very diverse, like I said, 00:17:59.962 --> 00:18:03.324 we got shoulder pain, back pain, you know, 00:18:03.988 --> 00:18:06.209 A lot of the young guys riding bikes 00:18:06.249 --> 00:18:08.650 around here, motorbikes, accidents, 00:18:08.690 --> 00:18:09.450 surgeries, 00:18:10.530 --> 00:18:12.612 stroke prevalence is pretty high. 00:18:14.311 --> 00:18:16.532 You know, our director sees pediatrics, 00:18:17.374 --> 00:18:18.374 developmental disorders. 00:18:18.453 --> 00:18:20.694 So, yeah, I'm going to be. 00:18:21.174 --> 00:18:23.757 I know of some others, you know, 00:18:23.797 --> 00:18:25.076 back from our Arcadia days, 00:18:25.116 --> 00:18:27.137 Hearts in Motion was going down to 00:18:27.157 --> 00:18:28.578 Guatemala and things like that. 00:18:28.598 --> 00:18:30.459 But I got to be a little selfish 00:18:30.479 --> 00:18:31.660 and take them down here to me. 00:18:32.963 --> 00:18:36.065 How about one physical therapy skill that 00:18:36.085 --> 00:18:39.326 becomes unbelievably valuable in a 00:18:39.426 --> 00:18:40.928 resource limited environment? 00:18:40.968 --> 00:18:42.347 What's something that we're sleeping on 00:18:42.367 --> 00:18:45.230 that we don't realize how powerful it is. 00:18:45.349 --> 00:18:47.270 Oh man, it's gotta be transfer training. 00:18:47.351 --> 00:18:50.612 Like it's such a basic PT one-on-one 00:18:50.652 --> 00:18:51.192 thing, right? 00:18:51.232 --> 00:18:53.013 Like sit pivot, 00:18:53.034 --> 00:18:55.835 stand pivot transfers is something you 00:18:55.894 --> 00:18:59.196 almost forget about because of how simple 00:18:59.257 --> 00:19:01.258 it is in our education and our profession. 00:19:01.897 --> 00:19:02.018 Um, 00:19:02.950 --> 00:19:03.471 But man, 00:19:03.651 --> 00:19:05.914 you get down here and you see, 00:19:06.434 --> 00:19:09.239 you know, sons and daughters, you know, 00:19:09.839 --> 00:19:11.983 picking mom up out of the car 00:19:12.801 --> 00:19:15.083 And like trying to carry her over to 00:19:15.103 --> 00:19:15.742 the wheelchair, 00:19:15.762 --> 00:19:17.983 ten feet away and put her down in 00:19:18.064 --> 00:19:19.904 it so they can wheel her in to 00:19:19.924 --> 00:19:22.726 the clinic is heartbreaking, right? 00:19:22.746 --> 00:19:24.646 But that's one of the most important 00:19:24.666 --> 00:19:26.567 skills is just showing people, no, 00:19:26.586 --> 00:19:28.528 there's a much better way where you're not 00:19:28.548 --> 00:19:30.989 going to hurt her or you or anybody 00:19:31.148 --> 00:19:31.449 else. 00:19:32.829 --> 00:19:33.630 So it's, 00:19:33.650 --> 00:19:36.171 I think it's those really simple things, 00:19:36.211 --> 00:19:37.570 especially for the neuro folks. 00:19:37.590 --> 00:19:39.711 That's one of those skills that don't 00:19:39.731 --> 00:19:40.251 forget about. 00:19:40.291 --> 00:19:41.553 Don't forget about educating. 00:19:41.909 --> 00:19:44.310 Don't take for granted that caregivers 00:19:44.330 --> 00:19:46.311 know how to do it because it's not 00:19:46.392 --> 00:19:47.012 all that intuitive. 00:19:47.032 --> 00:19:49.114 I think we forget about that. 00:19:49.153 --> 00:19:51.174 Yeah, we overlook what is common to us. 00:19:51.214 --> 00:19:53.997 We often undervalue and what is uncommon 00:19:54.037 --> 00:19:55.617 to us, we overvalue. 00:19:55.678 --> 00:19:58.420 So maybe don't undervalue what we actually 00:19:58.460 --> 00:19:58.579 know. 00:19:58.619 --> 00:20:00.342 It's pretty valuable. 00:20:00.362 --> 00:20:01.122 Third scenario. 00:20:02.222 --> 00:20:04.384 If every physical therapist had to 00:20:04.423 --> 00:20:07.026 volunteer one week a year somewhere 00:20:07.145 --> 00:20:08.047 underserved, 00:20:08.507 --> 00:20:10.509 what would happen to the profession in 00:20:10.548 --> 00:20:11.009 your opinion? 00:20:12.825 --> 00:20:14.866 I think we're always talking about morale, 00:20:15.007 --> 00:20:16.930 at least in previous employers. 00:20:18.010 --> 00:20:19.833 That's the key to morale, I think. 00:20:20.012 --> 00:20:22.615 I mean, yes, more money would be good. 00:20:22.655 --> 00:20:25.699 And yes, more time off and flexibility, 00:20:25.838 --> 00:20:26.460 all those things. 00:20:26.519 --> 00:20:27.480 Good, good, good. 00:20:27.840 --> 00:20:29.143 We see a lot of therapists go in 00:20:29.163 --> 00:20:33.928 different directions to try and find those 00:20:33.948 --> 00:20:34.188 things. 00:20:34.228 --> 00:20:34.729 But I think 00:20:35.321 --> 00:20:38.003 more fulfillment in the profession, 00:20:38.064 --> 00:20:40.665 more satisfaction with your job is, 00:20:40.925 --> 00:20:44.028 is going to come from more satisfaction 00:20:44.608 --> 00:20:46.690 with your choice of profession as a whole. 00:20:46.730 --> 00:20:49.332 And I think you can do that by 00:20:49.392 --> 00:20:52.233 finding people that, that really need it. 00:20:52.294 --> 00:20:54.174 Cause that's a different patient 00:20:54.214 --> 00:20:54.816 population. 00:20:54.836 --> 00:20:57.217 That's a different experience, you know, 00:20:57.257 --> 00:20:58.919 both for you and as well as the 00:20:58.959 --> 00:20:59.419 patient. 00:21:00.050 --> 00:21:01.471 But I think doing that, 00:21:01.491 --> 00:21:02.993 finding the clinic that's around, 00:21:03.013 --> 00:21:04.315 they're everywhere. 00:21:04.335 --> 00:21:06.896 You know, if they're not, 00:21:06.936 --> 00:21:08.198 certainly think about starting one. 00:21:08.218 --> 00:21:09.358 But look around. 00:21:09.439 --> 00:21:12.320 There's going to be a clinic nearby that 00:21:12.340 --> 00:21:14.103 you can get involved in, 00:21:14.143 --> 00:21:15.163 really help people, 00:21:15.723 --> 00:21:18.205 really gain that satisfaction with your 00:21:18.246 --> 00:21:18.866 profession. 00:21:19.467 --> 00:21:21.969 And I think that overflows into your 00:21:22.190 --> 00:21:24.592 regular full-time job and the amount of 00:21:24.672 --> 00:21:27.973 satisfaction you have just in general with 00:21:27.994 --> 00:21:28.515 what you're doing. 00:21:29.332 --> 00:21:30.173 Love it. 00:21:30.233 --> 00:21:31.657 If people wanted to find out more about 00:21:31.698 --> 00:21:32.881 the clinic, is there a website? 00:21:32.921 --> 00:21:33.623 Can they learn more? 00:21:33.663 --> 00:21:34.585 Is there a place that you'd send them 00:21:34.605 --> 00:21:34.905 online? 00:21:35.702 --> 00:21:38.865 yeah the website for the nonprofit is 00:21:38.964 --> 00:21:43.666 friendsoftheredeemer.org that's the name 00:21:43.686 --> 00:21:45.407 of the nonprofit that's sort of the 00:21:45.508 --> 00:21:47.949 umbrella over the clinic and some of the 00:21:48.009 --> 00:21:49.849 other ministries that are happening here 00:21:51.010 --> 00:21:52.271 so yeah that would be the best place 00:21:52.311 --> 00:21:55.553 to look online see what's going on my 00:21:55.593 --> 00:21:58.275 wife is managing the social media you know 00:21:58.315 --> 00:22:01.876 facebook friends of the redeemer united on 00:22:01.957 --> 00:22:03.557 facebook you can follow along 00:22:05.118 --> 00:22:07.502 And my wife and I have an Epistle 00:22:07.542 --> 00:22:11.089 website that we put updates on more 00:22:11.150 --> 00:22:13.153 personally about our experience and our 00:22:13.213 --> 00:22:13.615 journey. 00:22:14.757 --> 00:22:16.721 I can certainly send that as well. 00:22:16.800 --> 00:22:16.961 Yeah. 00:22:17.866 --> 00:22:18.467 Yeah, love it. 00:22:18.567 --> 00:22:18.748 All right. 00:22:18.867 --> 00:22:21.368 Every episode we do wraps up with the 00:22:21.409 --> 00:22:22.230 parting shot. 00:22:22.589 --> 00:22:24.250 I'll toss you a question for this parting 00:22:24.270 --> 00:22:24.612 shot. 00:22:25.112 --> 00:22:26.972 If a physical therapist listening today 00:22:27.574 --> 00:22:29.494 feels burnt out or discouraged, 00:22:29.974 --> 00:22:31.977 what would you want them to remember about 00:22:32.076 --> 00:22:34.137 why this profession matters? 00:22:34.198 --> 00:22:36.140 What's something you can give to them to 00:22:36.180 --> 00:22:37.980 hang on to? 00:22:38.020 --> 00:22:40.663 I think stop worrying about your salary. 00:22:40.803 --> 00:22:41.784 I know that's important, 00:22:42.243 --> 00:22:44.645 but try and find somewhere where you can 00:22:44.705 --> 00:22:46.507 really go and help people. 00:22:47.248 --> 00:22:47.627 Um, 00:22:47.709 --> 00:22:49.069 I think you're going to be surprised to 00:22:49.130 --> 00:22:50.711 find what that does, 00:22:51.371 --> 00:22:53.673 not just for your job satisfaction or your 00:22:53.752 --> 00:22:55.094 profession satisfaction, 00:22:55.814 --> 00:22:57.375 but I think what it does for you 00:22:57.415 --> 00:23:00.617 as a person in your life, um, 00:23:00.637 --> 00:23:01.459 try and find, yeah, 00:23:01.479 --> 00:23:02.439 somewhere you might not get, 00:23:02.499 --> 00:23:03.660 you're not going to get paid for it. 00:23:03.680 --> 00:23:05.260 You're not going to booze. 00:23:05.320 --> 00:23:06.622 It's not a side hustle. 00:23:07.343 --> 00:23:09.364 Um, all of those things that we're, 00:23:09.403 --> 00:23:11.806 we're constantly looking for ways to be 00:23:11.846 --> 00:23:14.387 more satisfied, to be more fulfilled. 00:23:15.180 --> 00:23:16.421 I think a lot of us are looking 00:23:16.441 --> 00:23:17.863 in the wrong places for that. 00:23:18.282 --> 00:23:19.743 I think if you can go and serve 00:23:19.763 --> 00:23:23.728 and help people, you'll really find it. 00:23:23.748 --> 00:23:25.410 Derek Landis, along with his wife, 00:23:25.630 --> 00:23:26.911 doing some great things down in Jamaica. 00:23:26.951 --> 00:23:28.373 I appreciate you sharing this and thanks 00:23:28.393 --> 00:23:30.054 for doing what you do and letting know 00:23:30.134 --> 00:23:31.756 so others can learn from it and hopefully 00:23:32.296 --> 00:23:33.057 following your footsteps. 00:23:34.057 --> 00:23:35.519 Yeah, thank you very much, Jimmy, 00:23:35.538 --> 00:23:36.140 for having me on. 00:23:38.751 --> 00:23:39.813 That's it for this one, 00:23:40.093 --> 00:23:41.795 but we're just getting warmed up. 00:23:42.255 --> 00:23:44.156 Smash follow, send it to a friend, 00:23:44.376 --> 00:23:46.057 or crank up the next episode. 00:23:46.558 --> 00:23:47.538 Want to go deeper? 00:23:47.719 --> 00:23:51.962 Hit us at pgpiecast.com or find us on 00:23:52.002 --> 00:23:54.545 YouTube and socials at pgpiecast. 00:23:54.965 --> 00:23:57.267 And legally, none of this was advice. 00:23:57.327 --> 00:23:59.068 It's for entertainment purposes only. 00:23:59.288 --> 00:23:59.970 See you. 00:24:00.089 --> 00:24:00.710 Bullshit. 00:24:00.730 --> 00:24:01.310 See, Keith? 00:24:01.530 --> 00:24:02.612 We read the script. 00:24:02.892 --> 00:24:03.532 Happy now?