ACL injury & repeat injury in youth athletes with Eric & Elliot Greenburg | 2 hrs ago
0:00 – 05:14
Hi, I’m Alexa. You can now hear PT podcast. Using me just say, hey Alexa, launched PT, pint cast, or you could be nice and try saying, please for lunch, what is being polite? Dead these days to your episodes, just say, hey Alexa, launch PT pint cast, maybe throw in a please. At the end my monitor the -tudents are they need to be the change in practice. They need to be that Cadillac in the clinic. Don’t go into finicky the things that the clinic is doing if they’re things that you don’t necessarily jive with e that change. Bring the new culture two out there who, who may not know what is new in the research realm. So I really in power them to be that catalyst that change of the freshen taking your from the academic side of things into clinical practice. Get a chance to talk to the greenberg’s. Eric in Elliot Greenberg. No relation. They had a couple of publications about ACL rehab and best practices. We. Best practices, but are those best practices being put into practice? So did there. So they took a look at it from an orthopedic surgeon perspective, physical therapist, perspective, and really, ultimately wanted to see why or why not those best practices were being actually utilized. So we took a talk with those two guys at the same time in this episode take a listen. I think it’s got insights beyond just ACL rehab, right? Re really insights into where’s the fall off in best practice to actual practice. So we’re going to get into that with these guys episode brought to you by Owens recovery, science, a single source for PT’s looking for certification in personalized blood flow, restriction rehabilitation training and the equipment, you need to apply in your clinical practice Zach Ephron on social media, just see. And he’s going through ACL rehab, and using har-. So that’s, that’s kind of cool to see in the mainstream, and he did a little shout to his great physical therapist athletic trainers going through rehab. 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Welcome two hours your next episode of PT podcast starch right now bring it into to grow. Converge do not get confused. They are not related Elliott and Eric Greenberg. Welcome to the show guys. I’d give negative. Thanks. I have an excellent art. So we’ll start with Elliott Elliott. What’s, what’s your background, which are the audience know about you about what, what you do in your daily life daily life? I’ve kind of limit role. I work at children’s Philadelphia about three-quarters clinician, and about one quarter researcher here special interest in knee, and shoulder injuries particular ACL’s, because what I see a lot of glad heavy Elliott and Eric. What’s your superhero back story here, backdoor, the right now? I’m on Long Island and I may. In Europe, at the New York technology where I even the curriculum, it’d be program, but also treat the NYC athlete. And my current interest include working with obviously the population with lower injuries and running related injury. Excellent. So how’d you guys meet anyway? I mean I know you know Elliott, you’re, you’re at shop Philly. Eric, you’re in New York. But have you guys cross paths was was it the same conference and picked up the others name tag because you both have the same last name or what? Yeah, it’s kind of a long story, but. I we unknowingly you know, kinda sorta cross paths, a long time in our in our in our lives together. But we, we did end up. We worked together at shop for a little while. And that’s really how he really got. No each other and work together, and kinda, formerly Egypt. So both of you guys have special interests in lower shrimp, the injuries Elliott working with pediatric and adolescent, sportsmed. Eric doing the same with some college athletes, and being a practicing as well. How did you guys decide to get together and do some research, and then we’ll get into what it was and where the audience can find it. Burqa started on the research paths together while we were together at shop. We did come out with a more retrospective analysis looking at the pediatric strengthen front-row, turn in the pediatric athlete, and then it kind of bird into a little more while, and I remember very closely when Elliott our standing next to each other at CSM, how long it was it remember that in California, I think, when whenever the Anaheim yeah, yeah.
05:15 – 10:04
Book that we has had this idea like, you know, we’re coming out with all these recognitions, but we really don’t know what it is that peaky are actually doing out there in terms of whites, specifically, a C L rehab returned to play return to sport return to life. Yeah. So when we were working together at shop, we do a lot of these functional and strength testing on patients that we weren’t really seeing. And when we were talking to them while they while they were coming in. You were getting again, gambit whole gambit as far as what they were doing regarding every in along with what kind of critique. Syrian that they’re, they’re practicing teachers were using this got us to thinking about, you know, yes, there are recommendations and guidelines out there, but is there that much variability out there in nickel practice? Gotcha. So you’re seeing what all the research was, and that’s what you’re doing at CSM, but you’re saying what’s actually being done, what where’s, where’s the translation? What’s the hand off from research and best practices to what’s actually being done with athletes? Yeah, I think yeah. And I think it also kind of reverse too, because we had that kinda unique experience at shop. Where are surging kind of require their patients to come the are there teams are to make sure they are functional testing program, where they the L part of that is, it’s great because we get interacted patient that we’re not treating on a day-to-day basis, we’re seeing at three months post op or six months and saying, all right. Tell me what you’re doing. And we hear from the patient’s perspective, are they are they following of, like, what we would consider to be best practice guidelines what have they done? Maybe prior to come. In and the patient, assessing aunts. And then, and then we give to CSM we hear what all this really great research is saying, man, we should be doing. We should be doing more. We shouldn’t do, and it’s like, but, you know, the, the patients that we have coming in from outside, our walls, or maybe not even doing happened that too. So it’s like, you know, it really spurred that idea what, what happened was the general practitioner that seeing, you know, maybe mostly maybe low back pain, or older patients when they get kind of SEAL that walkner door, you know, that they may not be a specialist in these the what is what does that person doing to make decisions about returns person, the play I like how it was formulated, organically, guys standing there together at, at CSM and saying, hey, what about this? Why don’t we take a look at the cool part was you guys went and follow through, and you wind up doing it. So, so talk about what happened next after that moment, when you actually follow through, we kind of formulated the idea, and we brought together, what we’ve dealt with a really good team, people with orthopedic surgeons that we work with here at job, and in PT’s, and we kinda got the, the survey. Of what we wanted to the question that we wanted to ask formulated together. And then we thought, hey, great idea, not only look at what therapists are doing. But on the other side, we look at the PD surgeon, they’re doing as well. So he came up with this idea of maybe the three sixty degrees, scope of people that are involved in, in these rehab decision, seeing what if kind of the Philip how to be in the orthopedic surgeons are kind of the overall directors, they’re the ones that are delivering the protocols for their patients. And, you know, saying this is what should be done. You know, we should see what they think about package patterns TT’s, or the one we’re in the trenches were the ones that actually were applying testing. But we feel should be best. You know what is what the P T say we wanted to kind of see what are both sides would say. And then maybe the compare contrast and draw conclusions from that. Unlike the more like a time line and being able to see again, what’s, what’s best practice. That’s great. But what’s actually being done on both ends in terms of the orthopedic surgeons and then the follow through with the, the physical therapists after? The surgery. So, so how’d you guys approach it and, and what you guys fine. Let’s get into the nitty gritty yet for one of the biggest things that we found was that there was a large variability, not physical therapist, but also with the orthopedic surgeon, and I think it really probably under floors, or underestimates, the ability out there, because the sample that we took from was the sports section with exception in private practice section, or what formerly known as those sections, I should say with their new name changes. But it’s a pretty, if you think about it a homogeneous sample of people, you would think that would be in the know of the current landscape of the literature, who would probably under floors, or under made the, the true, very villi out there similarly that we, we found even more variety in the orthopedic population, certain population, and that was the sample of pediatric orthopedic surgeon from the research and sports medicine group prison. Group, once again, a very homogeneous sample that tends to be a little bit more up to date with their with their current recommendation. So we, we were, we were quite quick deprived prize, the degree of Billy that we found, so, so I just want to stop you there to make sure I understand what you’re saying, and make sure the audience gets it too.
10:04 – 15:09
So you’re saying this groups free homogeneous you figured it, would they be more well informed because these are the people who go out of their way to not only be members but to be section or academy members and seek out the research, so they should have been sticking to or at least be closer to the best practice guidelines that have been put forth so far. But you saw variability, which you’re saying really really, really highlights how much variability was out there that you couldn’t even reach at xactly yet. Okay. I just didn’t wanna make sure I, I want to make sure I understood that. So it’s okay that is that is pretty telling what were some of the results you want to get into some of the some of the highlights. And some of the things that you guys found that maybe surprise you or didn’t surprise you. If you think about the decision. Making profits or what you’re the tools. You’re using from, from time based parameters to some type of strength criteria to some type of stumps performance measure to maybe some type of patient outcome measure or psychological attachment or contract dry. I mean, the variation existed across all of those, but even some of the more kind of would you consider maybe more concrete things like time we’re not even agreeing on time when the progress patience right now and you think that there’s probably the better most amount of research looking to support like those simple those, those type of concrete things. But we can’t even agree. And then when you start drilling down into the details about well, are reassessing strength and a lot of everybody agreed like. Yeah. Strength is important. But then we asked, how are you assessing strength that then variability just started from there? Right. And some people there was a large proportion of the sample PT’s that, you know, just relied on manual muscle testing to progress their patients and kind of what the literature showing is that, you know, we’re not going to be able to. Identify these higher levels of gases. Pete that may exist for these patients, when they’re strong but they’re just not strong enough using now montage, tonight’s lesion. But then when people are using either more objective measures, like handle their no mama tree. Or there’s availability rice the testing the standard that which they’re holding them to the variability just continues to progress where some people required seventy five percent. Maybe limbs imaging index and some people were maybe above one hundred percent. It’s there’s just, you know, the organizer surprised they as we drill down. You know, the win the details of what we’re doing and everyday practice, we can agree on broad strokes. We can agree that strengthening important, the man when you start like measuring strength like how you’re actually applying and doing that. That’s really different from everybody. Do you see in the framework is there? But how you actually apply and actually measure things like time or strength, which everyone pretty much agrees on being important factors to take into consideration when you start. Looking even smaller there. That’s where you see even more the very variability come into play. Yeah. Yeah. Eric, what do you want more like the devil? That was in the house a little bit like he talked to finishing tonight and nobody’s gonna argue that strength that meet strength. This is not going to be important. But I think once you start to, to hammer down on to power, they testing or something the strength of, of, of their patients. Are you really comparing apples to apples when when you start to go across different clinics, clinician and patients? And I think it really does create a little bit confusion, not just in the PT population in the clinic population. But Auckland patients to talk with one another, when they’re like, oh, yeah. I think cleared how they took your or yeah, they, they hooked me up to this machine four times. And, and I have to get at least ninety cent and the other person’s like oh, I’ve never done that before. And they’re back on the field plan already. I think it really does create a little bit of confusion within the society as well as are we really treating the same patients across different clinicians in clinic. And practitioners in the same profession. You know, right. That’s and that’s a great example of when you get to patients together, and they say, oh, we have the same injury, we must have done the same type of rehab, or at least hit these big big benchmarks. And when they’re different that’s confusing. And again, I get it, you know, patients are different from patient to patient. But if this is what best practices are, how come there’s so much variability? What were you able to hone in and either measure and ask, or at least if not speculate? Why is it? Why, why do we take it upon ourselves to, to have so much variability within the PT arm of the survey that we thought he’d be able to get one of those details? We, we tried to look at commision doctor that maybe influenced some of their him their decision that the us. So we had we kind of broke people down into, like either, high volume or low volume practitioners, where we said, anybody that treated more than ten miles per year. We accounted for them at high volume. Actitities and those less than that were low volume. We looked at certified specialists versus not certified specialists. And we don’t think years of clinical experience, and you know, if we if we use, we don’t know what that program is or, you know, like like you said, a few times we have our current, you know, Beth standard that we have our practice standard.
15:09 – 20:08
But we know if those are ideal hopefully change as we continue to learn more. But if we lived up to characteristics of the clinicians relative to the decision, they were making it seem like certified specialists were more likely to follow either which beat, of course, board certified specialists more likely to follow those kind of current practice guideline, and also those clinicians that were that were into our high volume clinicians seem to kind of follow more those best practice standards. So jor Beth is kind of what we’ve only result is that meeting. Those conditions are maybe more tied into the current literature or maybe by into the current literature more maybe see the investment in their practice going out. Of the way there, that’s a self selected group, which we started talking about the top of the show. These are people who say when your SAS, or when you’re seeing high volume, I’m I better, I better be doing the best because I’m practices wise because I’m seeing so many of these types of patients, these specific type of patients each and every year variability in terms of testing, I could imagine sometimes would have to do with ability of Quebec. Right. Each practice setting is going to be different. Yeah, definitely. And I think Becky him about a up in some of our speculation that people that had can be high volume a, you know, probably see the investment in an economic Donna, Mamata, or even like a handheld on a monitor roof with someone who may maybe in a facility where they’re not being as many of those types of patients may not be willing to invest in something because there’s no cost benefit for them or return on their investment in the long term. And obviously, there are other financial issues that you come across. Basis issues potentially. So I think there’s a lot of confounding issues that could arrive that can reason why someone is not using this type of instrumentation where can work in the audience, find this and, and download and kind of consumer themselves want to make sure they get access to it. Yes. The PTA survey published in jail at BT in October issue. Twenty eighteen and me surge in order big surgeon arm of the study was just published last month on in the orthopedic journalist sports medicine, Zingo them, and you can download that, that’s a full tech there, you can download full text there. No problem. What, what was the what was some of the attitudes of people who participated in this after the, the results will reveal work were they shocked were they surprised to were they, you know, pledging to, to change their practice because they saw such variability or anything come out of that, you know, I don’t think it was that surprising. I think I think disturbing survey kinda showed what everybody coming, Verdy thought. Victor knew existed that there’s variation out there and everyone’s like, wow, I, I knew it was variable. But I didn’t think it was very -able. You know what I think that was kind of, like just reinforced them the some of the thoughts, we did get a couple of emails from people like saying, hey, this is this is really nice really enjoyed remiss kinda good study, but I don’t know air and different Binyamin that no you know what it was interesting. I think you’ve gotta lar- a lot of publicity on social media platforms almost like the like a shock value of you need to do better. You know, by no means do I think you are. Is it is it bulletproof is it the best thing out there? Is it catching all people who may be at risk? But, but at least it’s the best we have at this point. But it seems if people aren’t even doing that at this point. So how could we really say that it’s not doing what it claims to be doing? If people aren’t there aren’t really doing it. So I think it, it really gained some headway on, on the media platform of saying, hey guys, let’s do a little bit better out there. I like that good. Take a quick break want to thank our sponsors are east medical staffing for keeping the show on the air. They find jobs, whether you’re gonna do so Adelphia or Long Island or anywhere you want to do a beach a lake. He wanna go mountains. He want to ski you can do that. That’s the cool part of variability in our in our profession is people need PT all over. So go do what you want where you want to do it. And Arias get you set up a U, R, E US, medical dot com. Not only just having the positions. But as well as being with a walkie through all the pain points. What do I do if I’m licensed in New York? But I want to go work in California for a couple of months they’ve got people on board to help you walk you through that. So you’re not on your own housing. How do you find where to live and is the person that use hiring you? They pay for that. They’ve got someone to walk you through that as well. The thing that could knit freaked me out the most was taxes. If you live in New York, but you’re temporarily working in Colorado. What do you do again? Arias has someone for that as well. So check them out, if you want to do a short term placement or look into relocate long-term, a U, R, E US medical dot com. Where, where would you guys go if you could go anywhere in the fifty states, if you do exactly what you wanna do what state, haven’t you been to that? You would give shot for thirteen weeks.
20:09 – 25:05
What bait haven’t I been to? Well, I was thinking more of that. I have been to Florida gator, we go down to Pensacola Beach, Florida every odd year for a week, and that is one of my favorite places in the United States. But opera played the haven’t been to having not ally. They had not been there, I would probably pick some somewhere in the mountain bikers aggo could Pacific northwest. Well at school party where the fifty states check him out. You are US medical dot com. Extent stay tuned. The we’ll be right back to the P T on cast. If you look at for education passed your physical therapy degree, look no further than Brooks. H L, Brooks rehabilitation institute of higher learning you could find out more Brooks, I h l dot org continuing education along with residencies and fellowships residencies in Orthopaedics, geriatrics, women’s health, neurologic PT, pediatrics, sports, and fellowship opportunity as well. So look into it if you’re looking to expand your knowledge base Brooks, IHL dot org to the typecast with Jimmy MacKay question. How was the how are the views or how was the reaction you guys mentioned, some kind of shock value on on social media saying, hey, come almost a rallying cry. But we, we need to do better. Let’s do better. Was there any reaction from the orthopedic surgeons since they’re the kind of the first touch point in the patient, and then they pass them off to us betcha they expect us to be doing best practices? What was their reaction to the results? I haven’t seen much reaction to the there’s a lot more talk about it and probably considerable Eric. And I of fly in within the realm when we did present it that at conference. We got a lot of really good feedback. We actually won best paper award at the prison conference the year, we did present this at that conference. I think there was there was a lot of kind of good Baillieu in, in the in the paper and the topics. And you know, we’re hoping that maybe it’s going to help drive Johnston change where beating side and change things around to so, so, so alternately. I guess the question to ask, is how do we do better? You know, we have these academies, now we specialize, we have best practices is there anything that you would that you, if you could make may wave. Magic wand that you put into play. How can we do better? I did a residency at the. I did a residency at the at the university of Delaware did for threatens there under the guidance of insider macadear who’s been acute advocate for the tests. You know, you need to test the folk and there’s been research out there that said, don’t, don’t need an kind of garner monitor to assess quad strikes you all you need is in the extension, machine that every clinic was throwing out a few years back and now the starting to get them out of the trash. So I think it comes down to, you know what take the time out. It’s worth your while for the information that you get just to do repetition, maximum testing if that’s all you have is you have a handheld item ometer, you use both types of testing, but I think it’s taking the time out and maybe sacrificing other parts of your of your treatment to really get the data that you need to make educated decisions. And that’s a valuable thing, right? Giving up some time. But if if, if what you’re presenting his is correct, which we, we would assume that would be since its best practices that time is well, spent, we’ll we’re going to say sorry to cut you off yet. I agree. I think engage in this conversation is actually helpful in getting some of the some of that social media. No on your your, your show. You’ve talked about kind of lag time between evidence to trickle down everyday practice. And I think that the social media conversations really helpful with and they can push us that people probably wouldn’t have picked up the paper or read it beforehand. And there’s there’s so much stuff about about ACL coming out. I mean I mean hundreds of papers every year to try and I get that. But I think trying to just these maybe maybe helped reinforce some of this, you know, the current standard that we think are the best to try to help, you know, get that out to general practitioners that don’t specialize an easy else, but probably Seeven majority of easy L patients because they make up the majority of the general practices that are out there, and maybe helping to adopt you know, the doctor and the guidelines that are that are being put forward. We’ll look at Alex, look the positive at least there are best practices, right? And we’re pushing we’re pushing up professor. Towards finding out what is best that’s great. That’s a great problem to have is. How do we know? How are we going to disseminate that and make sure it gets put into play? At least we got that first part least, we’re really, really paying attention to the first part. Now, if we as you just mentioned, continue to have those conversations, maybe hopefully it’ll help that second part with this emanation last thing. I wanted to ask Eric, you’ve got a unique situation in terms of, of working with students any strategies to encourage students and new clinicians to adopting best practices, and making the change in current practice patterns, to hopefully as they progress in their careers continue that and then teach other students to change the profession.
25:05 – 30:18
Yeah. You know, I had as a an instructor in professor at this point, I tend to utilize a lot of media and podcasts, some of your own actually and other types of logs and things like that after screen through them with my Hyun because I feel like it’s very powerful to hear it from the door at both. So more. Digestible for them than reading the text books. Hearing me talk about it up there. So I utilize that empowers them to get engaged in conversation with the people who are actually putting out literature, and the people who do have experience aside from hearing it from myself as a sage on the stage. I also my mantra to the students are you know they need to be the change in practice. They need to be that, that, that catalyst in the clinic, don’t go into finicky the things that the clinic is doing if they’re things that you don’t necessarily jive with he that change. Bring the new culture two who’ve been out there who, who may not know what, what is new in the research realm. So I, I really encountered them to be that catalyst that change of the profession, taking it from out of the academic side of things into clinical practice love it. Be the change. Right. It’s not gonna change unless you take what you exactly what it is take what you learn in school, and your clinical rotations and actually, start to do it love that last. Part of the show is the parting shot. It is the parting shot. The Portland shot is brought to you by rock tape more than just the tape company. Rock tape is a movement company, tools and education for medical professionals, if you look at it help, your patients, go stronger longer. Checkout rock tape dot com. You guys have an opportunity to leave one one sentiment with the audience before you go who wants to go first with their partying shop Erica, you kick it off that. All right. So, I guess my parting dot would probably be addictive. Festive, we could do with younger. Patients is its neck with them understand that they’re not an eight the pair, their person who had an affair, and in dealing with kids and dealing with adults. You know you need to manage each person’s differently by using the evidence as your guide, but understanding that you need to tell about intimate independence to the person. And if you could just connect with that person, you’re, you’re, you’re gonna make that person better, regardless of, of. What you do as long as you’re you’re, you’re letting Evan guide you love at Elliot. You’re up and parting shot when he got I think just making sure you continue to grow as a clinician, you know, I think seeing a lot of as the ovation in unfortunately thing, a lot of them hail or have re injury or or secondary injury has has driven me to want to get better. You know. And I think just kind of continuing to grow as condition, and, and, and use those, those events or in that let learning to, to better yourself for the next person around is, is an important thing love that before we go. I’m just you. You’re prescribing podcast episodes, as homework or is outside learning to students love to hear that. I am. I and actually I get made fun of by my other faculty members because of it. But obviously, I listen to a lot of them my forehand. I don’t just give it to them, but I feel like it’s a lot more digestible for them. They can do it while they’re driving into school. They could do it while they’re working out. So. They can work it into their, their everyday life. And it also brings them. They stumble upon other things within that podcast. And it’s more student directed learning after that because they’re like, oh, I listen to this on certain podcast. And then I saw another episode that I was in it really interests me. So it starts to get them on that self directed learning which which is so important for when they do graduate is, how do they, you know, now the information coming to them, they have to go out and seek it? So it teaches them that new skill. You know, selfishly a love to hear that because I host a couple of different podcasts. But I like it because as the as the guy with a degree in communications you’re talking or you’re trying to facilitate a conversation, the way your audience listens. And you’re listening the way your audience talks, and that’s a way to facilitate great conversation instead of what you mentioned earlier being the sage on the stage. That’s a presentation. Right. Some people do learn really well from presentation myself, I’m a conversation guy, obviously. So, you know, selfishly hey, love love to hear that. You’re prescribing assigning podcast episodes, maybe one or two for my show to students, but just love the fact that you’re open to and Anna do want to highlight you mentioned it twice that you do screen through that. Anybody with a microphone create a podcast super easy. But I love the fact that you’re screening it and highlighting. Hey, pay attention to this, and they do after that, if they trip across an episode that hasn’t been screened they need to take that upon themselves because there’s a lot of information in less than great information out there to. Absolutely. I think that’s the most important thing. Is that you’re, you’re, you’re really screening through it to make sure because there’s a lot of stuff out there, that, that maybe you doesn’t really job with the intentions of, of what you want them to get to learn and last point, I’ll make love that too, because once they graduate, they don’t have a professor down the hall or they aren’t running into someone each and every week.
30:19 – 32:32
We’re having that information brought to them, they need to start to seek it out. And think, you know, handing over day of a blog to read or. Podcast, listen to or video channel follow. That’s a great digestible way as we mentioned before, of getting information. Once you start working forty hours a week when you graduate gentlemen, want to say thanks very much for your time. Don’t think it will be the last one. We have you guys on the show, but etc. Service episode with everybody. On the P T cast is a product of p t pint cast LLC it is hosted and produced by p t podcasts. EEO Jim McKay, and CBO sky, Donovan from Marymount university, we talk PT, drink, beer, and record it this has been another poor from the PT pint cast the PD podcasts in ten for educational purposes. Only no clinical decision making should be based solely on one source while Perez, taken to ensure accuracy, factual errors can be present. More on the show at PT podcasts dot com. We’re home on the internet t-, pine cast dot com created by build PT. Build PT provides marketing services, specifically for private practice, PT’s website, development and hosted inviting content marketing solutions PT clinics across the country. See with good PT can do for you. Today dot com. The PT pint cast proudly supports the Travis mills foundation on April tenth twenty twelve United States army staff sergeant Travis mills of the eighty second airborne was critically injured on his third tour of duty in Afghanistan by while on patrol losing portions of both legs, and both arms. He is one of only five quadruple amputees from the wars in Iraq, and Afghanistan to survive his injuries, thanks to his amazing strength, courage, and incredible will to live the heroic actions of the men in his unit. The prayers of thousands and all the healthcare providers at the Walter Reed Army medical center. Travis remains on the road to recovery. He founded the Travis mills foundation, a nonprofit organization formed to benefit and assist. Combat injured. Teran’s. Travis lives by his motto never give up. Never quit to support the Travis mills foundation. Or to find out more visit Travis mills dot org.
We talk to Lauren Kealy who’s a Non-Clinical PT. She is a health care strategist… we get to figure out what THAT means and take a further look into the world of PTs working in non-clinical roles.
Check out her full article here: https://thenonclinicalpt.com/healthcare-strategist-lauren-kealy/ from www.TheNonclinicalPT.com
We talk to Rob Vining who is a Telehealth PT leader. Rob has a podcast dedicated to the topic (https://podcasts.apple.com/us/podcast/telehealth-20-podcast/id1387212131) as well as a facebook group (https://www.facebook.com/groups/TelehealthPTs/?ref=share) that shares ideas and concepts on the topic within the profession.
We talk to Steve Dischiavi about a recent viewpoint he helped write in JOSPT on dynamic knee valgus and the relation to injury.
We talk Limb Loss Awareness Month with PT Sam Kelokates a PT with Fox Rehabilitation. What you can do as a PT to prevent Limb Loss in your patients, what the effects of Limb Loss and Limb Difference can do to individuals and some personal insights and stats of Limb Loss.
Follow Sam on twitter @5PhantomFingers
David Putrino digs into two guys who were trying to communicate nutrition science on the Joe Rogan show. But they fell prey to many of the pitfalls that people wind up falling into when trying to talk about science in public. David breaks down what went wrong, and what could have gone right.
Wanna thank Brooks rehabilitation there institute of higher learning for sponsoring the show. Residency and fellowship opportunities is what they offer check them out at Brooks, IHL dot org. Also hosting their fourth annual scholarly symposium that's going on June twenty second in Jacksonville, Florida information about the symposium can be found at Brooks. I h l dot org. Keynote presentation this year by the editor of p t j Allan jetty. I'll be on hand doing some talks and some live podcasting looking for C E U's into expand your knowledge base. Look, no further than Brooks, IHL dot org. Was lucky enough to be invited to the North Carolina physical Therapy Association annual conference students put this programming on himself. Last year was Duke got a chance to be there and this year at Elon university. So actually break this up into two parts it was a little longer. Listen to a couple of interviews. Listen to our first two interviews in part one. And we'll follow it up with two hundred years in part to just a lot of excitement. Seeing a lot of students do this and putting on their own conferences that their own program doing it all themselves so excited to see the next generation of physical, therapists, taking the pawn themselves to decide what they're learning and how they're learning it and super set of that they're actually choosing to learn together. So a bunch of North Carolina PT programs are represented a lot of good fun. And take a listen, get some great advice for some people in our profession. First round is brought to you by Owens recovery. Science a single source for looking for certification personalized blood flow restriction. Nation training and the equipment you need to apply. Find them online at Owens recovery. Science dot com. Ladies and gentlemen. Our next guest is a at the Greg odd center for physical therapy, sports, performance leader, and multinational and state committees. And task forces husband, his father beautiful daughter here for well-stoked. What's your what's your three sentence? Bio a passionate physical therapists with drive to not only progress himself, but colleagues and peers to do whatever that is that they want to do typically in situations where they've been told they can't have a lot of experiences with being being told. No. So by who you know. And this is a great place to get this conversation because. Because it's the only place they're going to give us a have a conversation being being roomful students as a student. You get you get told a lot. If you go to conferences, where there's physical therapist there is sometimes if you want to insert yourself into a situation, they say you can't do that. You're just a student or you can't participate. You're just a student or even even as you become a clinician that you're you're pretty green behind the waited for a couple of years. It's not the things you want to hear when you're being told in conferences, and classes, you know, follow your dreams, which you want to do it so easy, then you get out in the in the field, and they're like, Nope. Can't do that a lot of red tape. So that that drives me that's the fire beneath everything that I want to do that. I try to do is you don't tell me. No. You know? Come from a pretty humble family. And my dad was in the police my mom's a teacher, and they were able to send me to school without loans people here for the parents on that one. Who's your role model? My sister, my baby sister when I say baby sister, she's twenty two. But to meet us, my baby sister talking about someone who was told. No couldn't do something. My sister's the only living soul survivor of the most deadliest fungal infection in the world pause what? Yeah. Right. Big mouthful Schwartz story. She and her best friend Roan the way to the beach right after high school graduation went out towards Fort Bragg, down towards the coast, big big military base and were t-boned by humvee at that point. My sister broke probably twenty four bones, and she lost about three quarters of a blood three quarters like they met evacuated to the local hospital where they immediately were like, this is way too much for us more. They moved her to Baptist hospital. In Winston, Salem where she. Spent seventy seven days in the ICU Knicks week, she has her pre-offer her sixty six reconstruction surgery. She went from all that she probably had about twelve muscles completely respected because the fungus mucor Microsystems what she had so talk about that. Because I had to Google it because I'd never heard of it. But when you say your sisters, the only survivor of something that's the most deadly fungal infection. I'm like, I'm gonna need to Google that. It's very common fungus. 00:05:01 - 00:10:05 If you if anybody plays pick up soccer on like a weekend where the grass is pretty Dewey and anybody goes to like slide him for a goal, and you kind of opened up your you get a little scrape nothing. Big deal that active that fungus that grows on like nice mill dewy grass is there, but that's only in small amounts. She had her whole right federal artery severed, and then her body was thrown into a ditch full of receiving water from a rainstorm the week before. And then then just like with any any infectious disease? It takes a couple of days to get a biopsy, right? So most people unfortunately pass away in that few days, they were going to go in the leg. Grace was like take it take, you know, leave, you know, say what you can take what you don't need. Right. Thankfully, the surgeons at Baptist hospital where able to save the entire leg. They did have to respect a lot of the muscles. And they told her you'll never walk again. You'll never be able to put weight on that leg. They'll you'll never be able to. She was a golfer. You'll never be able to play golf again. This is high school eighteen year old high school girl and being told candidates. You can't do that. You can't do this. You can't do that. You know, they came. There's a pretty much get used to being amputating, you know, and I was in PT school this time this was only three years ago. So I've been out about three four years. So I was in school trying to keep myself sane on my bay beautiful. Baby sister was laying in ICU bed for seventy seven days. That was a lot to handle but us as a family were used. To the overcoming these obstacles. So, but she she made miraculously recovery. She went from that situation to kick boxing in less than ninety days. So first off. Thank you for telling that story. Absolutely awesome. I mean, I see co people getting there. I was that's gotta be. I can't imagine. What that'd be like what what did you learn from that situation? You will be pleasantly surprised humbling surprised by the drive that Pete that you have if you truly truly want to do something all my sister wanted to do initially was go play golf go to college. Go play golf in college. You know, go out to the beach. I want to be the my friends I want to be on Instagram. I want to do these things where you will be surprised by the drive that you have when you're put in a situation like that you have these high goals, and then all of a sudden, oh that gets a medial taken away from you. And then it comes to I like to use the bathroom on toilet. We we work in different setting for. And that's what I mean. I get. Choked up. I mean listening to Dr Flaherty earlier, I was back there in back just bawling because my sister was broken she felt broken. But it was her therapist that got her up to the bathroom. Got her walking got a running got her playing golf daughter kickboxing? Now, she's fixing graduate college three and a half years. That's the that's a great story. I'm glad you included that and I'm loving the ending as well. Well, ending yet. Right know where where's she going next? She had pretty much her entire glued group all all of three quarters of required all down through a calf plates and screws all the way down on the right? So her makir gate mechanics or a little off could see why she's you know, but you know, in and she's like, hey, listen. But here's the thing at the end of the day her well, her plastic surgeon is the one who helped invent the wound vac she because she was the only one and everybody else who had passed within that three day or four day window biopsies. She was a delicate delicate patient so they were able to really pull everything that could do together to keep her her infectious disease, doc sits on the board for the FDA. So any medication whatever you needed whatever we're big NASCAR fans and Richard Childress on anybody knows Robbins race AMAN racing on the night. He heard about it. Story. And with one thing with, you know, with a fungus, you need silver to cure it or to prevent it. He paid to have about may fifty sixty pounds of pure silver flown in Fort Knox. So that Baptists could help put that into her body to kill all the fungus. Wow. So we're he's Richard Childress fans, you'd be surprised at like when people hear that, you know, this last wave of the surgeries she she's thankful for her leg. She's angle for everything and everybody has been part of her story. She initially had a hard time looking down waking up in open up. This covers and seeing all the scars and all the previous suitors wear her have her muscles used to be right now. She says, you know, and this is me, this is her, you know, this. This is me this is who I am. I have to own now. But what she's trying to politely ask is? I want to be able to look into the mirror and not really see this devastating history on my body. 00:10:05 - 00:15:03 I'm going to honor it because that's about a wound from what happened. So her team. Move surgeons are going to do everything they can. So that from the front if she when she looks at herself in the mirror. She doesn't have all these devastating memories of her body. Tear for grace. Brought to you by Arias medical staffing, single source for PT's wanna do what you wanna do which is be a physical therapist where you want to do it. They've got positions anywhere in the US. All fifty states. Yeah. We get asked this a lot Alaska Hawaii, Colorado. You want to do some mountains you like rivers lakes ocean. They got you covered a U R E, U S, medical dot com. It's very simple to explain what they do. It's why I love working with them. They find jobs doing what they wanna do where they want to do it. You put yourself through school. Lots of blood, sweat, and tears now, you decide where you work Arias has you covered a U R E, U S, medical dot com. So no obligation. Just check them out and see what they have to offer. They've been doing this for a couple of decades, a U R E, U S, medical dot com. And we're back. Let's get back to the show. Are you ready to play play a game as well? Absolutely reclaimed. Better than just I know. I think it'd be that's possible you worse. All right. We're gonna play either. Or would you rather be stung by twenty Bs in random locations or have a soccer player kick each shin ten times? And I don't even get to pick where the they'll get stung negative. Gosh, anywhere. Let's go kicked in the shin for two hundred kicking shin. No come sixty percent of online people said kicking the shave. All right. Second question. Would you rather drink old milk or eat moldy cheese? I like blue cheese. Yeah. I'll take the cheese. Fifty seven percent of online respondents said they'd rather drink old milk. And I thought it was because you could just kind of just quickly really you it gets between your teeth. I don't know the tastes keeps going. All right last one last one, which rather be barefoot the rest of your life or have to wear crocs every day for the rest of your life. I was into the crocs until they made the squeaky noise walked, it's like, the, you know with the wind suit pants, so where you going I'm going to go barefoot audience. Yeah. Fifty fifty five percent of online respondents said barefoot the rest of your life. Just move to the beach man DASS. Yeah. We'll you ready for reporting shop. Absolutely this is the parting shots. The parting shot is brought to you by rock tape there more than just a tape company. They're a movement company. Rock tape helps athletes of every level go stronger longer with the best kinesiology tapes, cutting education and fitness support products rock tape wants people to move more and move better. Find them online at rock tape dot com slash medical fast. Message you want to leave with the audience? Don't let anybody tell you can't do something you're gonna be those situations where you're going to go to that next step, and it's going to hit that wall. I was talking Clinton earlier about his graph where it shows about your professional development said that is exactly how it is. You make an advance you you you get involved with something you make good job move. And then there's a wall. They're gonna say you you weren't good enough. You don't know enough? You didn't invite you didn't get involved enough. It's always this obstacle. Use. That is fire to get back at it. Go back harder. Do it again, do whatever you have to do to keep that passion burning as hot and as long as absolutely possible. Because you never know where it's going to take you love it. Let's hear for Wellstone. Thala was online Facebook, Twitter and Instagram at PT podcast. Yes, is in fact, a double devil attended Arizona State University the sun devils and to university that blue devils for her physical therapy degree she and her husband loved to travel mountains take their two dogs on adventures. And let's kill the black. Welcome back to the show. You were on the show before. Yes. Thank you to me. We were drinking at the time. We were I believe you were drinking wine, we drink it. We drink of one was Bridget. No. I was drinking a flight a flight. Sorry. I apologize. Profusely? You drinking one beer to time your drink several bridge. It was the red wine with the pinky in the air. Got it got again, just so we're clear Kayla. What do you do? So I am one of the faculty development residence at Duke. It's a two year non clinical residency where a lot of clinicians will go into go into this two year. Residency to learn how to how to teach how to fulfill the needs of faculty role. 00:15:04 - 00:20:01 Yes. Oh, a my second year with my mic co-star Bridget. If your dream will to become a professor, that's not the only rally this is pre revolutionary that. Like, I didn't know this because I'm not going to be a professor I should never be a professor which is clear there last year when we talked it was kind of just getting going. It's been going really great. And it's and it's the more I've interacted with others, especially on faculty in different programs. I found how special this program is in. So when you look for jobs in when you look for faculty jobs, a lot of them say you have to have a terminal doctorate a PHD in ED. I paid a lot of money to go to school. And I wasn't really sure I said, I'm pretty sure I wanna teach I was very passionate about being involved with students and moving our profession forward. And so I thought I have nothing to lose with this two years, and I would make the decision again in a heartbeat. It's been an incredible experience to to learn from some of the people that educated me, some new faculty that have come on the mentorship from the faculty and then being able to develop relationships with all the students. We have has been a really incredible experience. Cool. So part of this do I'm imagining your have to teach. A little bit in this. Right. That's how it works. How many how many students in the room have been in your class? Oh, good. This is going to be great ready for this. What if the students taught you? I on on on making the professor uncomfortable. Right. You welcome. I think the one thing is that they've taught me that I need to be more comfortable with being uncomfortable. Because there have been a lot of challenges that have come up that I've not expected, and I think I just I've grown a lot in being able to be uncomfortable and have difficult situations. And I think a lot of them have been very forgiving of me and how I've handled the situation. So I think that that that's one thing I've gained a little more comfort from them and been able to engage in conversations that I probably would have struggled with earlier how how long was the time between when you graduated from PT school when you started this program. I think about four years. Okay. So that's a decent amount of time to be out. But you're still kind of like, you know, what it's like to be a student, but things change, and you know, and I'm sure you're like, hey, when professors do that do you do any of those things though, I try to put myself in the shoes. And there are a lot of things that have changed. Yes. And so I try to put myself in that seat. If I were. What would I want? So one of the things that I actually did a couple of weeks ago for the midterm in my classes, we sat down for the review. And I said how many questions goes one on your exam? They tried to say zero. But I said can't be zero can be any other number than that. You know, a lot of a lot of times when your faculty role you're making all these decisions. But I think that it's also important to bring the students into guiding and directing originally. That's hardest thing to get used to. Because now you're up there with the podium, and you're like, I concurred you. Concur. Like, you're trying to be a professor like, what's what's the hardest thing then. And I think the hardest thing is kind of meeting all of the so when you have a big class in meeting the needs of all the students in the class. So I'm someone I like to talk a lot. And so I assume that other people wanna wanna talk a lot and share. And so I might shove a microphone in someone's face. And I think just recognizing like not everybody likes to be the center of attention. Not everybody even though they have the answer. Not everybody wants to speak up. So I think the hardest thing for me has just kind of been respecting how people want to experience like if they want to if they want to speak up or if they just wanna keep the answer inside. Now. Let's see if you actually did that did she do that? She's going to get there you go. What did Trump in? Well, then Chauhan's how many students in the room right now thinking about maybe potentially one day being an instructor at a p t program or PTA program school. What would you tell them to do it or don't do it? I mean, if if you if you love, your profession, and you love spending time with other people working with other people, helping others grow one hundred percent, do it. Okay. So when now let's look a future wins the program. And then what do you do then start looking for teaching jobs? I don't know how it works. Yeah. So the the program ends in December. And I have accepted a faculty position. We breaking news just said that we are just so that we are. Yes. Yeah. Bringing great where are we going to do? So I'll be going to AT still university. Right. Yeah. Cool. Do you know where you're gonna be living? Do you have a spare room? Can I come? Absolutely good. Perfect. Excellent. Are you a are you ready to play super simple trivia time? Yes. You guys ready? We go. There we go. All right here. We go. Gore. Lynn sign is the medical ability to touch the tip of the news with what other body part time. That's correct. Can you do it? Yeah. There it is. Gordon signed throw that throw that in a note and see if you're see I know what the hell are you talking about patient, exhibit, garland, positive garland, son, but his bat Cao's second question. 00:20:01 - 00:22:02 This is the result of the absence or complete absorption of visible light black Caleb. Black got that one right? You see where we're going here. Right. All right here, we go. Last question lays, diablo's blue. We're known during World War One French shoulders who were known by their distinctive flowing Cape and their jaunty beret in what color black now. Now. Did you hear it's the blue devils votes? Where you go to school. Three. Let's here for Kayla. Kayla. You ready for your parting shot, this is the parting shot? What do you want to leave with the the students and the yet? So I think one of the things that I've talked to a handful of students about recently is everyone's coming to me and saying, well, what do I need to do to get this job or get this residency? And do I need to be in this club. Join you to be in that club. Do what you feel passionate about don't sign up for something just to do it do something that you're passionate about because the only thing people are going to care about is that you have a degree in that. You're good human being. And it doesn't help to work in your interview skills to. So just do what you're passionate about. Don't do. It just do it for Caleb. Lou. All right. Our home on the internet t- podcast dot com. Created by build PT, build PD provides marketing services specifically for private practice. PT's website development and hosted inviting content marketing solutions PT clinics across the country. See goods PT can do for you today dot com. The PT pine cast is a product of PT pint cast LLC it is hosted and produced by p t podcasts EEO Jim McKay and CBO sky Donovan from Marymount university. We talk PT, drink beer and recorded. This has been another poor from the PT pint cast, the PD find Custos ten for educational purposes. Only no clinical decision making should be based solely on one source while care is taken to ensure accuracy factual errors can be present. More on the show at PT podcasts dot com.
Wanna thank Brooks rehabilitation there institute of higher learning for sponsoring the show. Residency and fellowship opportunities is what they offer check them out at Brooks, IHL dot org. Also hosting their fourth annual scholarly symposium that's going on June twenty second in Jacksonville, Florida information about the symposium can be found at Brooks H, L dot org. Keynote presentation this year by the editor of p t j Allan jetty. I'll be on hand doing some talks and some live podcasting looking for C E us into expand your knowledge base. Look, no further than Brooks, IHL dot org. Was lucky enough to be invited to the North Carolina physical Therapy Association. They're like annual conference students put this programming on himself. Last year was at Duke got a chance to be there and this year at Elon university. So we'll actually break this up into a two parter since it was a little longer. Listen to a couple of interviews. Listen to our first two interviews in part one. And we'll follow it up with two hundred years in part to just a lot of excitement. Seeing a lot of students do this and putting on their own conferences that their own program doing it all themselves so excited to see the next generation of physical, therapists, taking the pawn themselves to decide what they're learning and how they're learning it and super excited to see that they're actually choosing to learn together. So a bunch of North Carolina PT programs are represented a lot of good fun. And take a listen got some great advice for some people in our profession. First round is brought to you by Owens recovery. Science a single source for looking for certification and personalized blood flow restriction rehabilitate. Training and the equipment you need to apply. Find them online at Owens recovery. Science dot com. Let's rock and roll. Here. We go. The best conversations happen at happy hour. Welcome two hours. This is the P T typecast. Here's your host, physical therapist, Jimmy MacKay. Gentlemen. We are live at Elon university in Ilan, North Carolina. Their motto here Newman, Lumine it rhymes. It means vine light their colors, maroon and gold and their mascot is the Phoenix forever. Reborn. Wanna thank North Carolina physical Therapy Association as well their students special interest group for putting on the second. Stay conclave, Jen Beatty for being the grand poobah this shindig. Thanks, jen. Yeah. So we're graduate live show, and we've got to get our guests. So let's bring our guests out right now. Our guest lives at works at Charlotte. North Carolina got his DVD. From Winston Salem university is currently working with on college patient, endurance athletes. Ladies jets, doctor clicks Fano. Well, played on the music. Clint welcome back to the stage. Man. Oh, it's great to be here. Likes your energy for the audience. Not in the room. The kind of keynote thing here. I did I energy bringing it. That's right. Yeah. I was asked to be the keynote speaker for this wonderful event and had an awesome time delivering earlier today. All right. So for people not in the room. What were the big points? Like what what's what are you? What were you passionate enough about when asked when given a stage in front of a bunch of students and physical therapist assistant students where PTA students. And just so you guys know for in the room and not in the room. The PTA doesn't stand for physical, therapists. That's the profession and you're in it. So I'm not ignoring you. Okay. But you let me down there. First second. I'm not ignoring you in. You're almost ignoring me. Roundabout long questions when you're asked. Hey, come talk to, you know, the future of the profession would you land on a why the big thing was the professional development? How do we take students from their third year of school after their affiliations? They pass the licensing exam. How do we get them? Or how do they get into the clinicals or the into the jobs? They want to get into and close the gap between the clinical knowledge, and or the academic knowledge and the clinical practice so boil down to just a couple of brief things my goal number one was to inspire them to to to take the the control and to take the onus and the and the proactive approach to actually seek out some mentors to go through and find some niches that that are interesting to them and gather some data and then drill down on those points as their challenging as their career begins to take shape. The other big thing is I'm a big fan of lifelong learning. And so there's going to be these ups and downs. And that's cool. The goal is to gather data and. And then continued to refine that process as you move. So I was in the back of the room. And that's what I usually do before interview someone as I on purposes, try I try not to interact with them. I want this to be as the first time we've really talked as it can be the two things that struck me one. Is you brought like the perils of easily being distracted for that thing that pops up and we're doing the thing with the swiping, and the what's this was this talk about that just real briefly? So I think social media can be a really useful tool for the physical type of profession as it is for many, many businesses across the United States in the world, really the difficulty that I have a social media is it seems like when I mentor students or other fellows or the PT's. 00:05:12 - 00:10:02 It seems like we always pit it. We find that new thing on Instagram or Twitter, or whatever, and we get the voodoo bands. We get the rock blaze whatever else, and then we bring that in the next day to clinic. And that's the only thing we use for like a season. I think it's really difficult to to curate and refine your skills, if every swipe you're adding something that you're adding something new. It can be a tunnel that you just did lose yourself in. So what I liked about? That was you're not you're you're not saying don't don't look into these things. Like, there's nothing wrong with the blades of the bands or the kettlebells or anything like that. Spend some like take a breath relax on that. Or or look into it. But don't jump because it's got four hundred likes. That's right 'cause you can buy those you can drink do you? I don't in fact, if someone could help and get more likes. I would love that pine cast see how just let that in there at BT pumpkins on Twitter. But whatever, but like you said like bio means like look into these things be a lifelong learner be curious. But if you keep you're gonna you're gonna get dizzy, if you keep pivoting like you mentioned. Yeah. I think you wants to give your patients you want to be the best clinician that you can be you want to give your patients a valuable product. And there are lots of valuable pieces to the social media game. Really great information out there. And we we are lucky to have that kind of resource in this generation. I think that if you continue to add in pivot and add and shift and add and change, you're gonna make yourself dizzy as you say, and that's not a solid product into a lot of stuff real poorly. Yeah, you'll be going. Even worse. Journalists probably than you work out of school. I I do like the reason though, like I liked the reason I see a lot of people doing this because you want to help right? Like at the at the core of it. I think anyways, like the reason people like I'm gonna try this. It's a new thing number one is intriguing who doesn't wanna look like a new thing. That's about the suit. Check it out. I think I think the underlying reasoning is they they want get it. You wanna get better? But you're saying stop think resist ask and question, I had a mentor one time tell me stop adding more stuff to what you're doing and refine what you have. And I think that the social media and the evidence that gets the liberty your door as the PTA of the jam or whatever else all the stuff keeps coming in. And if we let it inundate each and every level of our practice. It becomes overwhelming. There's no possible way we could keep up with it. But if we take in absorb synthesize and then apply with Rovan to our practice. That's the piece it's got to be a, synthesis. Gotta be a homegrown kind of organic approach where you're able to borrow from different pieces instead of just being a carbon copy of every sink swipe thing if you found on which I will back students up, and I was right there. Right. I'm second career student. So I was I was actually older than every I had still, but I was like, you know, more than me. So I'm I'm the student. But so it's very hard not to do that right in that situation. And the reason I said, I was second Christians. I was a little older. In fact, I was the my CI it was still in my first empa- impulse. You. I want to impress his person. I want them to give me a good CPI. Which is also like the worst our of your of your life. Does it only take an hour or whatever, I don't know. Dear God I blocked for about for about twenty minutes. But, but my my my reason for bringing that up is keep that in mind while you're doing it like why are you doing it is it to impress the person in front of you, which is natural, by the way and normal. And maybe you've got to do it because maybe that's person's livelihood in. That's their business, but file it away because you're going to be on your license treating your patients. Would you do it that way if someone's telling you to do it that way in their clinic, you do it that way? But later on do your way, I often say I like, my licensed too much to lose it. You know, like I try to make the decisions that I can defend if they are called into question in court, litigation or or whatever. So I don't wanna do something foolish with certain intervention or whatever. Just because somebody says I like, my license too much to lose it. Yeah. I need like a button or bumper. Stick something slashing thinking, maybe. That's right. All right. So the second thing I really wanted to get into because we're we're going to by the way, build the stage. We're gonna bring up three more guests, and at the end, we're gonna flip it back to you guys. Let you guys ask questions so on college, and in athletes love the fact that you're treating both of those talk about where you see those similarities and differences. So what's pretty dope about our new clinic? Set is dope. You're going to edit that outright totally. So what's really cool about our our with the startup clinic in Charlotte called fightback, performance and recovery. So my my boss, and one of the founders is a endurance athlete specialists running specialist. She's also one of these smartest physios I've ever met. She's wildly smart. She's great at her job. She has a huge following. So she started her own clinic. So we're we're we're serving the outpatient orthopedic population. We're serving the sports performance. We have a PT on on staff, that's an SEC. 00:10:02 - 00:15:01 So he takes care of a lot of that sports performance in sports certification specialty stuff, which is pretty cool. I'm like the resident chronic pain spine guy. But then the on college piece is super clutch because what to the unconscious do they they their job is to control the cancer to get rid of it or to cut it out at a treat it with chemo radiation. But then after the the cancer is done or gone. They kind of wipe their hands of the patient. And then it's like cool now, you know back to life and that pay. Oftentimes, totally fatigued, reduce quality of life increased depression, because of what cancer and chemotherapy and radiation has taken from. And maybe they're gonna point to where they're they're all those things. And if they haven't been told that they can should need jams be more active. Yeah. They're probably just the grateful to be alive became for cancer free. We need to be right there as soon as they walk out there and move them forward. That's right. So that's our job with fightback is to close that gap for it's like the theme of the day, I suppose for me, but to to bridge the gap between like them beating cancer, and then assimilating back into whatever their prior level of function was so one of the pilot programs. We're working on right now is with euro genital oncologists with a prostate cancer group. So those guys they're on prolonged, basically, they've been prolonged androgen deprivation therapy. Meaning that they don't have any SaaS or any more. It's like chemical medical castration, these guys exhibit proximal chain, muscle weakness. And that if you have a fall or an. Injury. And you fracture, your hip or whatever then you end up in a sniff, and then really the mortality rates skyrocket. So our job is to take these guys who've who've had this massive change over sometimes twenty twenty five years, get them to a point where they're at least maximally safe. That's a love to hear that. If someone wanted to before I forget for the audience in the room in a home. If someone reach out more about U clinic what's easy way to find you reach out. So the best way I'm on Instagram and Twitter as Dr Serafino DR Serafino S E R, A, F E, mail wise. It could be Clint at fightback PR dot com or it could be Dr Clint physio at the g mail cool. Are you ready to play a game? I the PT pine cows support the show by telling a friend or by leaving review on nineteen or Google play. All right. It's time for supers- simple trivia time. All right clint's. Are you ready? I am absolutely. First question. Clint Serafina what famous actor played dirty, Harry and said, go ahead. Make my day. Clint eastwood. You want an award for Albert Schweitzer fellowship famous Albert said energy equals mass multiplied by the speed of light squared which famous Albert was that who is I'm Stein. And you final question this famous children's book. Character is a spider who befriends a pig Wilbur and saves him from being made into bacon that'll be Charlotte Charlotte from Charlotte. All right. So last thing we do with each guest is called your parting shot. Are you ready for your parting shot shorts like your mic drop moment? The last thing you want the audience to hear before they either delete my podcasts forever or they leave the room. I think it's super critical to achieve the things that you want to achieve and I think that requires you understanding what your purpose, and what's your? Why is if you don't have a goal to shoot for if that's not a clear vision that you have spent some time cultivating that vision, and I think that will shape where you go in the future much like your story, right? Once the rock jocks stuff petered out we had to re- refocus the efforts into the PT world that maybe a lot of us in this room a lot of pint gas where we're we're driving towards this one thing that may fizzle out. But does our vision still permit us to have happiness in a different focus, and I'll say, our profession so wide you could you could you could pivot and change and find something instill be physical therapist, physical therapist assistant. And do it's here for. Thank you. Good time to grab a freshman. The T podcast. We'll be right back. Joe's brought to you by Arias medical staffing, single source for PT's. Wanna do what you wanna do which is a physical therapist where you want to do it? They've got positions anywhere in the US. All fifty states. Yeah. We get asked this allot Alaska, Hawaii, Colorado. You wanna do some mountains you like rivers lakes ocean? They got you covered a U R E US medical dot com. It's very simple to explain what they do. It's why I love working with them. They find jobs doing what they wanna do where they want to do it. You put yourself through school. Lots of blood, sweat, and tears now, you decide where you work are ES has you covered a U R E US, medical dot com. So no obligation. Just check them out and see what they have to offer. 00:15:01 - 00:20:00 They've been doing this for a couple of decades, a U R, E US, medical dot com. Support the shell by telling a friend horror by leaving our? View on. He voice, boss sports. Physical therapy. Resident at Columbus, Ohio, the Ohio State University western medical center, but. This favorite team is. It's year for Justice gal. Justin. It's a lot of people dancing with you. And a lot of dirty looks from the rest of the room. You know, it happens on the New York can be perfect. I'm a New Yorker. So I don't one hundred percent gannet. But I'm getting I'm guessing this is like a Yankees Red Sox thing. So that was a that's a Duke song. Guess we play the casket. Yes. That is have you ever been to a game? I haven't been to a game Cal Covington if you're listening. I would love some tickets. He's not in the room, but we can turn this up real loud. You can hear us down the hallway out there. I will trade whatever I've gotten the show for some tickets in the future. But so that's the salt was interesting or that is right before the national anthem before the national in every game. And you have the particular outfit that you wear. Yes. When you're a games, please describe that for the podcast audience. So the shirt will always rotate it's always a Duke bay shirt where jersey, but but I will always have my Duke blue wig on and shades. You then I yes that is me. I am that guy. Well, how do you get tickets camping gear? Yes. All right. I'll do it. I'm dead serious. I would I would do that thirty six hours in a parking lot. Whatever I'll do it over a weekend. It's a lot of fun actually are there. There's never alcohol, right? Never never never ever imagined that so so again audience is students the generation treat them. Well. And let them lead the way you wanna talk about going outside of your comfort zone to to grow personally, professionally and kind of the theme of what Clinton's you're talking about many. When I say that. So for me, I'm not from North Carolina, originally, I'm from sunny, southern California. I decided and saw in myself as I was finishing up undergrad. I'm like man, I feel like I'm stuck in a rut, and I'm not really getting anything out of the experiences, and the the work life that I had and going into school. I said, hey, you know, what I really want to be challenged a little bit more. So I decided to completely leave and move across the US challenge myself. Luckily, Duke was maybe smart enough. I don't know to accept me and came to North Carolina and. I think it was the absolute best thing I could have ever done for myself. I love hearing the themes right like we did not didn't coordinate this. They pick their topics ahead of time a couple of bullets but separately and a love how these things and you'll start to see this longer in your career. And the more interviews that I do there. There are themes that come back on. And this is one of them making an impact as a PT in a bunch of different ways top talk about that. Because I know these students want they want to leave here with some some things they can put into play like, you guys are impatient. But you want to do it. Right. And I'd love I love the energy with students. So even as I was getting ready to graduate from school now and matriculate into the clinical world as as a forty hour week clinician. I looked at myself. And I said, hey, is this how I feel I can make the best impacts knowing what my interests are what my skills and what I can bring to the table. And as some of the previous panel was talking about with the people that are more geared Ford research or different things. I kind. Fought with that. And I said, well, no, no, no, no, no. I just went to PT school to become a clinician. That's how you help people as a P T. Is you treat patients in? That's all you do. Well, I was actually listening to PT pint cast in Columbus, Ohio. You came h I was sitting I was sitting in the audience that day, and you were talking to Susan appaling who's on the board of directors for AP TA, and that exact issue came up where she said very eloquently in her accent. You can make an impact as a PT in a variety of ways. Whether you're a clinician, a researcher, a professor, and advocate, whatever the case may be and that just blew my mind, and it gave me validation because I want to try to translate translate into a PHD program after I'm finished with residency and all these different things. And so that gave me the validation that I needed to be comfortable with making that impact. And it goes back to what Clinton was saying. With your know your why why are you doing this? Why are you in school? Why do you want to work with patients? Well that can evolve over time, and it will one hundred percent will just this past Wednesday at Ohio State as part of our residency. They do a leadership. Manar and one of the former directors of the manual therapy fellowship came and said, not two years prior. He was struggling with figuring out. 00:20:00 - 00:23:41 What his why was I'm like, wait. What you just assume? People in pig that like have all their stuff together. And they just know, but that's not the case. And so if you're sitting in this seat, and your thing, I have an idea. I think I like this. I don't know. But I don't know. What my why is great? That is awesome. You will figure it out that is completely. Okay. And use whatever your next experiences. Whether it's clinical or your first job or you want to travel abroad, and and go on some type of self discovery and just experiences. That's awesome. Do it. If you think that's what's going to help you find your Y. Absolutely go for it. Play a game. Let's do it. Ladies and gentlemen. Just an are you ready for this or that? Let's do it. Okay. So here's your question this or that, which you rather give up your pet or give up your computer, computer, hands down, late gentleman, the audience, computer. Seventy four percent of users online said give up your pact. They're wrong. I was dumbfounded by that answer somebody game. That's us. Obsession question. Second question. Would you rather lead a boring life from here on out or be reborn with all of your memories as a baby of the opposite gender? Yeah. You thought the hard questions where earlier what was it boring? Be believable worrying life year now or in life. You agree. No. That's incorrect. Seventy eight percent of user says they would be reborn as some of the opposite gender over to. We'll see if we could redeem ourselves the last question, would you rather eat twenty-five toenails or snort one tablespoon of cinnamon? Cinnamon would make for a better you to city cinnamon is making. That is correct. Seventy one percents for Justice. This is the parting shots reporting shot is brought to you by rock Tate. They're more than just a tape company. There are movement company. Rock tape helps athletes of every level go stronger longer with the best kinesiology tape, cutting education and fitness support products. Rock tape wants people to move more and move better. Find them online at rock tape dot com slash medical. All right, all the guests. Parting shot last words, what are you gonna leave with everybody? I would say never stop seeking out challenges. Never stop trying to grow. Always always go for whatever you want to try to get out of wherever you are. Whatever your experiences just go for what's here for Justin lettuce, gentlemen. It's the P T podcast. Our home on the internet cast dot com. Created by build PT, build PD provides marketing services specifically for private practice. PT's website development and hosted involved in content marketing solutions PT clinics across the country. See what goods PT can do for you today? Build PT dot com. The PT pike cast is a product of p t pint cast LLC it is hosted and produced by p t podcasts EEO Jim McKay and CBO sky Donovan from Marymount university. We talked PT drink beer and recorded. This has been another poor from the PT pint cast, the PD casts in ten for educational purposes. Only no clinical decision making should be based solely on one source while care is taken to ensure accuracy factual errors can be present. More on the show at PT podcasts dot com.
In this episode we swap podcast feeds in order to confuse the crap out of you and see if anyone reads the show notes. Hint: Take a look at the release date. For real, listen to the episode though. More info at https://www.ptpintcast.com
I want to thank the state of North Carolina for inviting us to their student conclave the nice gathering of students at Elon university this past weekend full day of conference program actually organized by the students themselves. We got to town before had ourselves a PT pub night decided to bring the microphone to the bar. And we asked students from schools all across North Carolina. The same three questions to get some insight into what students are thinking before they go on a clinical Felicien three questions were what’s one thing. They’re going to do to prepare for clinical affiliation. What’s one thing that they’re really really looking forward to and one thing that they’re really scared about goal is to get some students inside about each other. And maybe some CI’s out there to learn what’s going on inside the head of those students before they get to clinic. The first round is brought to you by Owens recovery. Science a single source for PT looking for certification in personalized blood flow, restriction, rehabilitation training and the equipment. You need. Need to apply. Find them online at Owens recovery. Science dot com and find Johnny and his team around the world teaching this. Broadcasting physical therapists around the world is this is the PT pine cast. May I introduce you? Here’s your host, physical therapist, Jimmy MacKay. Night at the North Carolina student conclave, we are in Elon North Carolina just damage free for Milan university at the PTO PubMed the night before the conclave start students rolling in right now as you can tell in the background lot of lot of pints and a lot of conversations about PT and the stuff they love and hate about PT school and one of those things that comes up doing your clinical billion. So we’re gonna ask the same three questions to all the students tonight. What are you most looking forward to what are you most afraid of and how will you prepare for your clinical Viliame the goal being students will learn from each other. Maybe some CI’s will learn about some insight in terms of what students are thinking before they come to them and clinic so four hundred affiliation. What’s the most important thing that you’ll do to prepare yourself on whatever you’re about to go into like Ortho? I try to rush up on my skills. No your limits. I don’t know what I don’t know. I don’t know what I don’t know. Look it up if it’s. Easy figure it out. It is not easy. Ask for your CI practice. How I wanna talk to. I think the most important thing is connecting with the patient like one on one and knowing them more than their prognosis in her diagnosis. I wouldn’t know who they are. And I wanna remember that forever. Well of that people I in communication, which is close to my heart that not only shadow a person that you respect their mindset about how to treat patients, and then try to form how you’re going to interact and actually set up a plan before you go is the most important thing, I do is review topics and interact with my patients so kind of being able to get permanent full tank instead of an empty tank. But we’ll take it practice with some classmates and just get more comfortable comparable with being hands on you have to be a PT. If you’re not in the wrong profession, I think it would be to get used to whatever patient population. That affiliation. Sees you. Gotta know the population before you get there. You’re also just not knowing what you’re doing and getting in there and thinking, you’re CIA is gonna want you to do something that you can’t do and you’re gonna feel bad about it. They won’t do that. I promise. No. They won’t. No, not at all like looking over old notes and stuff like that, maybe reaching out to professors and things things like that. Just kind of getting a feel for how environments going look practice. My manual therapy on my classmates, so after class on the weekends. We go in hang out in the classroom, and we practice on each other different techniques different their prescriptions that getting out of the book into actually touching people. Yeah. Somewhere like reliable just make little scenarios and say, I my knee hurts I can’t do this this. And this helped me out I’m gonna practice with my classmates smart real world. Just practice. What you preach. You know, you have to be able to do what you’re going to tell other people to do this nothing else to relax. And I know you want honest answers. I want understanding, relax. I mean because the biggest thing is going in full time forty hours a week all into every single patient that walks through that door. So yeah, definitely realized get this reset, you know, de-stress I usually go over kind of how to do an assessment and what to look for in different patient populations. Based on what area I’m going into. So I’m prepared for that seven very important thing that I wanna do is try to make sure I kind of know my stuff, you know. I don’t wanna walk it in look like an idiot. So that’s hopeful to try to review a little bit. Yeah. Yeah. Reviews talking with professors getting eighty of what to expect in clinic. And then I’m going into spinal cord injury for my first one so reviewing some information on that thanks to prepare do abroad looking over my NPT’s study like flip through like crazy all the pages kinda see like what of this.
05:01 – 10:12
Do. I not remember. And then sit and go through it honestly to set some goals. Like what I wanna learn while. I’m there. It’s honestly one of the biggest thing European student. If you don’t have goals, how do you know, if you that’s a brilliant answer? No one is said that yet. That’s smart as entering for Tovar. Ryan get my sleep schedule where he anted. Well, that way I can make it to work throughout the day. Smart. Gotta be awake. The ones the patients. Well, they don’t like what you take naps familiarized myself with a clinical population that I’m gonna be treating and find out if there’s any specific tools or quick -ment clinical uses. This is the P T podcast love the answer. So far, right. Yeah. Getting inside the minds of some students and getting some insight. I do want to thank our friends from FOX rehabilitation. They they sponsored the the apps at the pump night. You wanna get students to stop and talk to your for sixty seconds. Get some food in front of him. Fox rehabilitation a leader in geriatric, physical therapy. Looking for clinicians right now in seventeen different states. If you like working with older adults of physical therapy. Passed checkout, FOX rehab dot org. And find out if you are fit for FOX, let’s get back to the questions. What do you most freight? What’s like, the one thought in your mind that comes up? You’re like, oh, this is driving me. Like, I’m so nervous about this. What is that? I won’t like this setting that I’m in never know you’ll like not be as well prepared as I should be just because I don’t really know exactly what level of nickel experience I’m going to need once I get there. But lead doing something like mess up or like Ashton said her to patient something stupid driving. Now, Trump the people driving a patient. That’s. The people people because you know, that that’s that’s a red flag AC on the CPI. So it’s hard to come back from. Oops, don’t cover. Exact. So what’s one thing that you’re actually scared about I don’t want people to fall? That’s always scary. Don’t drop the people the whole new environment meeting new CI and trying to get into fear. New CI can be pretty intimidating and the our Mars little scary trying to adjust to that. Yeah. Just not nine what the expectations are clinical. It a call. I think the thing that scares me. The most is when I get a patient, and it’s something that, you know, in like textbook, and you got to think a little bit more. And then if you don’t know it immediately, I can get to it. But sometimes we don’t know immediately. You’re like oh, gosh show what to hurting. Someone don’t hurt people. I don’t want to hurt. Anyone? I do the patients not gonna trust me. Like they come in with apprehensions. They’re gonna get better. They’re not gonna like what I’m doing. They’re not gonna they’re gonna think I’m making them worse in his I want them to trust me. And that’s my biggest fear is that they’re going to be like, you don’t know what you’re talking about not doing a good job or not. Like finding connections with patients, I think that’s really important to have an effective practice. What’s the thing? That scares you the most able help anybody if I’m not able to help them not able to figure it out that’d be bad day. He afraid to just not knowing what you’re doing and getting in there and thinking, you’re CIA is gonna watch something that you can’t do and you’re going to feel bad about it. They won’t do that. I you. No, they won’t know afraid, but just kind of wanting to know what kind of setting I’ll be in in the people, I’m working with like, I want to be in a culture, that’s receptive to ideas that I might have that they might not already be doing too big one. Right. Knowing who you’re working with. I mean, it’s it’s hard to know who you’re gonna work with. But I feel like I can add up pretty quickly to situations that I’m in. So I’m just looking forward to meeting new people and starting to work in close to be competent, you know, being able to get the best outcome for a patient. There’s nothing more than getting other people to progress. That’s why started I just want people to progress. I wanna watch them progress. Then that tells me I need to be better myself. I’m most afraid of going to clinic that. Doesn’t have the same idea about exercise prescription. Every like we’re not on the same page for our treatment loss of these. And I don’t really wanna get shut down. I wanna learn from them. But I definitely don’t want to be shut down with mice. Yeah. Well, not having the answers, obviously, really bad at saying. I don’t know. It’s a hard thing to say, I guess maybe just being totally unprepared or something like that. Like, not really knowing what’s going to happen. The unknown. Honestly, scary take not having enough confidence in myself. You gotta be confident. You gotta go out there and have confidence in your skills because you know, you know, what? Oh, you got all lot. You know, a lot there you need to be able to show that you can’t you have faith in yourself. I looked at the confidence. This is this is the P T tasked. Good answer. So far, right. Yeah. We got one of the questions left at all the responses from the students in North Carolina. Do wanna say thank you to my friends at Arias medical staffing was talking to some students about this weekend. If you’re looking and thinking about travel PT when you graduate. It’s pretty cool. Do what you wanna do where you want to do it in a lot of times students get told well, you shouldn’t do it right out of school because of the lack of mentor ship in connection will RS has a program just for that set up a mentor program for you.
10:12 – 14:37
So you’re not lost what they did their loss travel PT. Yeah. They thought about it. So check them out online positions in all fifty states in all settings and that mentor ship aspect AU are US medical dot com. That’s eight you are E U S medical dot com. Leaders in travel PT. Further. Let’s get back to the last answer this this happy one. What are you most looking forward to what pumps you up about? Like, hey now, I get to do this. What do you extend about? It’s all about the patient. That’s all it is man. It’s not about me. I just wanna I wanna make people get better. I just want to help people move better. I want people to know that what PT’s can do. I wanna move this profession. Just being in clinic and getting out of the classroom because I really wanna start interacting with patients and apply. The things that I’ve been learning over the past two you wanna do things. Now, I want to do all the things to all the PT things when you make a difference in someone’s life, and they get better, and you see that their quality of life changes. I think that’s probably the most rewarding thing the opportunity to build a relationship. We’ll condition the area and kind of have somebody to bounce ideas off and take what I’ve been learning in the classroom really put it to use different populations time athletic trainer athlete. So I’m excited to experience new things just getting created. But patients, I think that’s the best part about clinical is like your see is there is back up, but you can just get creative and put your mind to the test getting back into the clinic. And like actually being able to put hands on a patient set of standing there watching the whole time. I’m most pumped to meet a diverse amount of people. I just wanna meet everyone. I wanna learn from people I want to I want to go out there. I just want to learn I just wanna learn. Everything that the PC world has to offer me. I love meeting people in help seeing them get better until they can do things that they weren’t able to before. And then make really cool relations people. It’s also you picked a pretty good profession them AMAN, kids know, my c-, just the patient population. Young. That’s the biggest thing experience gone so far as all curricular base. It’s like all theoretical this point. And again, there you you’re getting down dirty in the people the people that’s hopeful. If I get to meet real patients and be able to learn further from like every patient, I have so that I can understand clinical populations in like neuro and Ortho that’s different than in the room really building relationships with patients finally getting out of the textbooks and getting to put my knowledge to good use just going out there learning not having study all the time the study while I’m like while I’m working the best part is learning on the job. And having to study every night. I love meeting people and help seeing them get better. So they can do things that they weren’t able to before. And then make it really cool relations with people. It’s also so just finding out what do patients have what I can do to help them getting to actually work with people again and not being almost working forward to working with some adapted athletes. I’m going to start rehab in Michigan in July. And that’s going to be a lot of fun that that’s fantastic. That’s it. We’re done. PT typecast is a product of p t podcast LLC. It is hosted and produced by PT podcast C E CEO, Jim McKay and CBO sky Donovan from Marymount university. We talked PT drink beer and recorded. This has been another poor from the PT pine cast PD intended for educational purposes only no clinical decision making should be based solely on one source care is taken to ensure accuracy factual errors can be present. More on the show at PT podcasts dot com. Brooks rehabilitation there institute of higher learning for sponsoring the show. Residency and fellowship opportunities is what they offer check him out a Brooks H L dot org, also hosting their fourth annual scholarly symposia. Jim that’s going on June twenty second in Jacksonville, Florida information about the symposium can be found at Brooks H, L dot org. Keynote presentation this year by the editor of p t j Alan jetty. I’ll be on hand doing some talks and some live podcasting looking for C E U’s into expand your knowledge base. Look, no further than Brooks H, L dot org. Our home on the internet cast dot com. Created by build PT, build PT provides marketing services specifically for private practice. PT’s website development and host evolving content marketing solutions PT clinics across the country. See what good PT can do for you today. Build PT dot com.
Hey, what’s going on? We’ll get some things cooking over here. Checkout pint cast dot com. A brand new store that features. Pint glasses beer coasters. And of course, laptop decals, we’ve got stuff like the, I heart PT stickers. Anatomically. Correct. Heart course, neuro PT, sports, PT decals. Check those out and thrown laptop and show off what you do. And how you do it at PT pint cast dot com. Look for the store this episode something different taking a look at a p t who’s doing something a little bit out of the ordinary on the side drew Seminole he’s a professional athlete currently playing in the professional cross leak. We get into that. What is life is like a balancing? Both of those episode is brought to you by owns recovery. Science a single source for PT’s looking for certification in personalized blood flow restriction rehabilitation training and the equipment to apply it owns recovery. Science own this. Leading the field in research on BF ours. Check them out online at Owens recovery. Science dot com. Broadcasting physical therapists around the world is this is the PT pine cast. May I introduce to introduce you. Here’s your host, physical therapist, Jimmy McKay. Podcast Beth conversation happened at happy hour. Welcome to our. I wanna welcome through to show. Juca? Welcome to the program. Hey, jamie. Thanks for having me. I really we were almost classmate applied to Nazareth college. We were talking just before we hit the record button. I went to undergrad in western New York, and you went to Nazareth, which anybody knows in Rochester. And I got accepted to Nazereth, and it was all set to go there. And I was psyched there’s nothing against neither death loved it. I just wanted to be a little bit closer to family and friends. So I took a different route. But we were almost classmates you graduated Nazar in what seventeen can be useful in seventeen. So we were this close from Ardy known each other, drew. Mall world small missing good opportunity. But and I know Fiji. Well, yeah. All right. So let’s go into your store. We had a couple of our listeners reach out and say, hey, check, this guy out they wanted to find out some more about us. So they they kind of gave me a little bit of your back story did your bachelor of science Nazereth and Rochester, along with your DP, but outside of being a physical therapist, drew. You do something a little bit uncommon, and your professional athlete talk about that a little bit. Let the audience know. Yeah. So I’m playing across and it was in fifth grade played played other sports wrestled played hockey and the whole life, and I was in high school getting ready to be recruited and doing that whole Email coaches, try to go into college and end up going to address which, you know, found out at a p t program, and that’s kinda how I got involved through that room, and as I was going through school. I just kept play in my artists. And then eventually, you know, one of my teammates at the time goes once you sign up for a draft. And I never. Thought that some d three small school d three guy would you know, make it and the L and then eventually I got picked up in like a waiver wire sort of situation and a couple games into my first season. I ended up getting a start and and their amps I’ve been playing ever since being a little modest mean you’re in the all star game as well. Yeah. Yeah. That was two years ago. That’s not too shabby from going from waiver wire pickup to to get the start to, you know, make it an all star game is pretty cool. So talking about I mean familiar with the cross, but not so much major league across how does it work in terms of like, you said you went from a smaller program like Nazar? How does someone make it there is it just a tryout is scouting a little bit of both? Yeah. Livable’s every team. You know? I mean, they a, you know in the realm of professional sports, major league lacrosse, and even the cross in general is a little bit of smaller niche. There’s not like NBA NFL where they got scout going all the games and everything. He’s if you’re in the area that coach is he might come watch you play to to get some basically, pre measurements on how well you think you can stack up, but, you know, pretty much oils down to you know, if you’re a division one one guy a little bit more exposure just because the level of competition. There’s some teams will have an open tryout where they can sign up and and go to a location and try out not every team does though. And then the other option is you just throw your name in two player pool. And you hope they get picked up for the most part. So that’s gotta be pretty fun play being a professional athlete. Yes. You mentioned that majorly cross is in the NFL or the NBA still a professional schedule, you’re still competing against really really talented athletes in a regular basis. How how long is the major leagues east sixteen games? If you make it all the way to the championship usually about fourteen into regular season, schedule sounds like a grind are currently with Dallas Rattlers. Is that right? Yes. And no I was as of this year.
05:01 – 10:04
There’s actually the big thing in professional. Cross. Now is that a few of the veteran players have kind of branched off. And they’ve gotten a bunch of venture capitalists. And they’ve actually starting a new professional league. It’s called premier lacrosse Lee. A little bit different. It’s not they so cities in you know, there’s a team from Boston or New York or Chicago there’s gonna be team red white and blue, obviously, those aren’t the names, but and then each team will play in the same location each week, the location will change though. So it’s a tour based model. So so yeah, that is that is kind of cool. That’s a little bit different. Yeah. So one thing they’re trying to do is spread lacrosse get it a little bit more exposure. So the peel L is what it’s being called is actually going to be on the major NBC sports channels on cable television, which is huge which hasn’t really been done too much in the realm of across. So it’ll be it’ll be good year for lacrosse as a as a whole. I know that a sport that’s even smaller and not really consider majorly trying to triathlon is trying something pretty similar in terms of having teams and doing more of a tour model kind of. Cutting putting the sport on display instead of putting the city to a team sounds smart to me. Yeah. Especially I mean, if that’s the ultimate goal of trying to get exposure. I mean, the more the more is you can get on on your sporting them on the players, the better, you’re going to be especially, you know, if you’re trying to get more viewership. That’s one of the things even as lacrosse, the whole is, you know, the people that watch lacrosse are the only ones that watch professional across matter of getting more is to the to the game. And and growing at that way. So they have the best way to do it like your experience so far doing kind of dual role because you’re still practicing physical therapist. Yeah. Yes, hasn’t been the easiest thing to adjust to. But but it’s been it’s been it’s been a challenge. But it’s been interesting at the same time, you know, still being able to play in still having my full caseload, forty hours a week to a notes all that has been a challenge trying to adjust and get everything done, but you know, of make it happen working at sports PT in camillus when you’re when you’re in the grind of the sixteen. Game season when you’re out there, and you’re laying it such a high level. You’re also doing camps and clinics and stuff like that for for other athletes, balancing, those two has to be hard. What are some things that you bring to the field in terms of your is a physical therapist with teammates, your other people that you’re playing with the occasional stretching in the lacquer over, you know, some guys will occasionally asked me for advice. But not too often, you know, we have athletic great athletic training staff in every city I’ve been in. So, you know, luckily, I’ve been able to just go have them attempt to you, you know, especially if I’m not in New York, and I can’t really give you know listed by so pretty much just palm for the most part. But yeah. Other than just doing in the cage it’ll stretch of someone’s like, my hips really bother naked, especially outdoor thing. You know, keep it keep it, low key work at work and across lacrosse, that’s smart. You don’t want to give it away too many trade secrets either. That’s right. What’s on the horizon for you? Where’s this? Where’s this road? Good take. You know, if you didn’t really know you’d get here. Now here you are where do you think it’s going to go? Oh, that’s a good question. You know, I’m just hoping to make across last as long as I can obviously PT is first and foremost, just because it’s my day job and across doesn’t pay all the bills pay some of them, but not not too much. So, you know, I’m just hoping to play lacrosse as long as I can. And then once that’s over, you know, try to grow clinically as best as I can. I’m still trying to do that as best as I can outside of the season. But once the season rolls around it’s really hard to throw in. A course here there anything that’s not anything online continuing Ed like members that’ll be one of those things where kinda cross that bridge. I get there. Hopefully, I can become CFCS certified at some point in your future. Maybe no CS soon if I can so, but as far as PHD anything like that, hopefully, but that’ll be posted across, you know, over which hopefully another few more years left to me. But you never know do that do that to the best of your -bility. It’s exciting. There’s a PT involved such a level. What sort of things do you do off the field talk about that you? Yeah. So I kinda. Due clinics here in Syracuse where I’m based right now every so often working with another guy in professional across you set up a clinic Kinley do some clinics here with him. And then I’ve actually made my own business, and I travel I got a good amount of kids that I can then I can work with and I have been working with. I’m not sure if I plan on growing that anymore. We’ll see my sessions last anywhere from one to two hours. I’m faceoff Midi. Mcroy anybody who’s listening doesn’t know what that is in lacrosse after every goal or beginning of each quarter. They take the bombing put it directly in the middle of the field and two guys on each team. We take our sticks and we put him on the ground, and we most of the time Neil, and we tr- basic tighter wrestle for the ball to get possession. Because possessions, really important, I’m across more possessions. You have the more opportunities to score that’s pretty much what I do. And that’s what I teach for the most part. I’ll teach occasional on the run shooting stuff. The clinks will go through good warm up. And then I put him through various grills regarding the position, and I will occasionally do some.
10:04 – 15:03
Film review and kids have kids that are away at college. It’ll sometime semi some some videos like, hey, what can I improve on this driller? You know, you seeing anything and and so I’ll work with them. You’re able to bring any clinical knowledge terms, you trading sessions, either face to face or virtually. Yeah. That’d be it’s it’s our as optimal positioning a little bit. You know, what’s better? What worked you know? It’s really specialized, you know, it’s kind of more of a of leverage perspective at that point. You know, using your whether you want kids to use their quad more when they’re driving off or, you know, raise their up in the air, so they can use their gluts a little bit more. So on the situation like what you hear and leave a review on Google play. Brooks rehabilitation there institute of higher learning for sponsoring the show. Residency and fellowship opportunities is what they offer check him out a Brooks, IHL dot org, also hosting their fourth annual scholarly symposium. That’s going on June twenty second in Jacksonville, Florida in for may. Nation about the symposium can be found at Brooks H, L dot org. Keynote presentation this year by the editor of Jay Alan, jetty, Albion hand, doing some talks and some live podcasting looking for C E U’s into expand your knowledge base. Look, no further than Brooks H L dot org on the hind feet with three questions on the podcast. Are you ready to play three questions, drew? Goforth requests brought to you by our sponsors, Arias, medical staffing. They let PT’s do what they wanna do. Which is be anywhere. They wanna do it. Short term assignment long-term Simon’s. They find jobs all over the country. All fifty states. Yes, alaska. Yes. Hawaii Colorado people always ask it in the winter you under scape. The other call Florida’s. Well, they’ve got positions all over check them out online. AU R E are US medical dot com. You’ve you’ve been all over with your career playing in college playing professionally. I question drew where in the country. Would you wanna go if you had carte blanche? You can go anywhere. You want be peachy for thirteen weeks? Funny that actually did that for one rotation. Did you probably don’t find that? I’m I did I did it was end of twenty seventeen. I did it for one rotation down in Montgomery, Alabama. No offense to Montgomery, Alabama. But wouldn’t be the most ideal place. Love the people. I love the facility I was working at if I had a most ideal area to go to. Probably go to North Carolina or Maryland. I love love love both places. So wouldn’t when my spending a couple of weeks there? And that’s the cool part about this profession something that’s ideal to you might not be ideal to me and for someone else, but PT’s everywhere, so you can go to that that place that is ideal to you and find a position and help people. It’s awesome. Exactly. Yeah. Funny. How you can you can lose pick up and go somewhere and find a job. It’s pretty crazy. He can do that in the profession. So cool. Pretty cool. Second question. What’s something that you read that really inspired you? Oh, man. Kind of a nerd I have like a stack of six or seven like right next to my right next to the bed. But I am planning on reading. I haven’t gotten to yet the occasional like, it’s racial, quote, UC, you know, on social media, I scroll through a bunch and that kind of put things in perspective as far as time, and, you know, taking a moment to take the time in to assess yourself one other things who’s Tony Robbins a couple podcast with. Him as a as a guest lecturer, one of them was a suiting up with Paul rebel. Who’s actually a professional across player? He actually was one of the guys that started that league, and he interviewed Tony Robbins that a wonderful job and couple of things that Tony Robbins said that really spoke out, you know, taking a few minutes each day to reflect his is important things. I’ve I’ve listened to. I guess I could apply to a little bit more. So hundred percent love that. And even smaller world, I went to PT school Paul rebels. Cousin get here really cousin Stephen sent in front of me athletic questions. So yes, so small world love that. Love inspirational quotes, I definitely draw from those. I like those ’cause they’re short sweet. And to the point, and they they can also leave a lasting memory third. Question is who is someone the audience should know more about I will say this without a doubt is one person who I heard speak. I went to this was in November. I went to a the nickel institute of sports medicine athletic trauma conference in New York City and one person who I heard, and it was kind of really wild. By was Lynn. Neider Mettler she’s out of university of Delaware. And she’s done like a lot of research, if you even just Google her name, and you can I think it’s on the university of Delaware website, and it has all of her accomplishments, which she’s Ben into and she’s had like one hundred fifty different publications that her name is on. And it’s just kind of down all the things she’s done over the past couple of decades. And you know, she’s super knowledgeable and doing a lot not only with knees. She’s big into a C L rehab, but I’ve seen her do a lot of E N G studies and knee replacement. Studies even shoulder it’s kinda crazy kind of how many fingers extended out there.
15:03 – 18:38
And and she’s done a lot of great work. So if you have the opportunity to read anything from from her with her name on it, it probably one very good quality, but two is probably very informative as well. And her name is come up numerous times where we’ll get around the show those are three questions again from Arias are longtime sponsor love those guys a U R US, medical dot com. If you’re moving around, and you need to do about licensure housing continue education credits. They’ve got. You covered. They know how to do that between states, and they got positions. Like, I said all fifty states eight you are e US medical dot com. When does the next season star, what’s on the horizon for you pretty much in preseason training mode? I go to the gym fish times a week, depending on what I have going on. So pre-season training right now cope still coach kids. And then our first games don’t start until the first week in June. That’s awesome. And where can we catch any locations their schedule that we can, you know, somebody out there is listening wants to catch you taking a look at something that they’re still figuring out one hundred percent. They have a good idea. I will say you can follow premier lacrosse league. Their social media is at premier lacrosse on Instagram and Twitter. They do a good job of kind of blasting everything out there. So once pretty much once they know what’s going on throw it out there. So if you’re interested I’d say, follow them for sure. Well, hey, what we’ll do a beer in person when you’re in my neck of the woods will Macron’s and pass a really appreciate you taking some time out to talk lasting do on the. Show is the parting shots. This is the parting shots. The parting shot is brought to you by rock Tate. They’re more than just a tape company there movement company rock tape helps athletes every level go stronger longer with the best kinesiology tape, cutting education and fitness support products rock tape once people move, more and move better. Find them online at rock tape dot com slash medical. What one? Sentiment you’d wanna leave with the audience something that you’ve learned being a professional athlete and a PT at the same time, man. I don’t know if it’s necessarily a mic drop can be. Can be super corny is. If there’s something that you want to do you might as well, do it shows you get one shot at life and put it out there. You never know. What’s going to happen? Drew seminal. You can find him on Twitter’s. Well, very active there, and that is at Seminole d eleven s I am an EA you g eleven definitely definitely wanna follow your rear, man. I think it’s really cool. He’s got a physical therapist in there. Just the fact that you’re still you’re in there. And you’re you’re representing the profession wealth the professional level with the sport excited for that. And as soon as I found out about I was like, we gotta get this guy on the show. Glad we got to talk now. Yeah. I appreciate you. Taking time. Sounds great hope to have a beer and persons rubes cruciate have fluid. Thank you so much. At our home on the internet. Dot com. Created by build PT, build PT provides marketing services specifically for private practice. PT’s development and host inviting content marketing solutions PT clinics across the country. See what goods PT can do for you today dot com. The PT pine cast is a product of PT pint cast LLC it is hosted and produced by p t podcasts CEO Jim McKay and CBO sky Donovan from Marymount university. We talked PT drink beer and recorded. This has been another poor from the PT pine cast PD casts in ten for educational purposes. Only no clinical decision making should be based solely on wind source. Lump care is taken to ensure accuracy factual errors can be present. More on the show at PT. Pine casts dot com.
Before we get started. If you’re in the state of North Carolina, we’re headed to North Carolina State student conclave all these dudes getting together Elon university. If you’re out there, make sure to say, hi, always great to have this guy on the show. Danny comes on the program. Dude wrote a book we get into what it’s called. It’s an explicit title. Very naughty. We may get to play with the belief out button. A few times in this episode. And just so you know, we mentioned at during the episode how to win it or give it away copies of his book plus a chance to get a one on one phone call. If you’re thinking about jumping into biz PT opened a cash practice much like Danny and the people he works with. So stay tuned info to win that book in the consultation. Call all in the episode first round is brought to you by Owens recovery. Science a single source for PT’s looking for certification in personalized blood flow restriction rehabilitation training, Johnny and his team. They’re on the forefront. Doing the research testing releasing the papers about this stuff there. The goldstein. Wondered check them out online at Owens recovery. Science dot com. Broadcasting physical therapists around the world is this is the PT past. May I introduce to introduce you. Here’s your host physical therapist Jimmy MacKay back on the show, host of the podcast and founder of athletes potential in Atlanta and Decatur Georgia. Adel comeback show, ma’am. Yes. Jimmy. Thank you so much for having me on again it easily my favorite podcast to be on good job of like interviewing people and just so like team listen to south you, and it’s also cool. I don’t know if I have a record in anything else. But when I told my I’m gonna tell my wife about this. And I she’s gonna find me more tractive. Honestly, that’s what I bring table. You bring that. Mabel up here. More attractive, but we gotta add something else to your resume. I mean, we should also let people know you do business coaching specifically within the world of physical therapy. But now, author I’ll be honest, Pat myself on the back when I read a book, and you went out, and you wrote a book. Yeah. For somebody that also I have probably about fifty books that I’m halfway through have way through media. And I told my wife I was like, but if you add up the fifty percent of all of them, I’m through twenty five. Good. That’s pretty good. Yeah. It’s pretty solid. I just quick to kind of move on to something else. So the fact that actually sat down and for eight months put together my thought process on what I’ve learned in business. So for in particular in the cash practice realm is an interesting to me that actually you know, was able to finish it. But also, it’s it’s something that I think that will be there and my kids can pick it up and not granted the titles of extreme. But they’re no they’re no strangers to f word in the house, by the way, they they can use it in context, and they’re five and seven I mean, they can read and they can see like, oh, man. Mom and dad like, wow, they did this thing. And you know, they started this business. And I kinda talk about how I got started. I have kind of like an interesting story about how we left the military and went into business that we knew nothing about and some of the mistakes we made along the way which is a lot and hopefully people can learn from that. And then we really dive into stages of a cash practice, which I think are important in. No because I look at like martial arts. You know, you don’t just go one day and say, okay, I’m just going to get a black belt. You may think that, but you know, you go and you. For a while. And then you get a blue belt, and you get a purple belt. And then you have these stages along the way this show that you’re improving your learning new things, and you should celebrate those. So for me, I thought it was important to define the stage of cash practice, then to go through the two main kind of linchpins that I see within the business, which is sales and marketing, which you have a conversation about that in terms of plenty of other things besides just entrepreneurship, but if you’re gonna nose to skills, you’ll get better outcomes clinically you’re gonna have more business than you can handle. And you’re worth a lot more to clinic. Even if you decide to stay there. I think it’s something that will be helpful to a profession. Hopefully, so the name of the book is insurance, and I do like how you UP Gede it for the cover for the kids. It is used the asterisk in there. Let’s start you said took eight nine months to write it. What what got stuck in your mind? What were you like, you know, what people need to know this? I’m gonna put it all down one paper where was that driving force? I’m fortunate enough to like be able to talk to a lot of universities. I have friends that are professor at different ones. And they’re they’re interested. Enough. What I’m doing to be able to have me tell a console with their with their students and talk about business, and I tend to get a lot of same questions over and over again. And I also hear a lot of the same frustrations from new graduates and what I hear and this even this weekend. I was in this drilling coarser Atlanta, one of the guys there six months, I was practicing kinda describes the exact norm that tend to hear from people that are in particular fit, the mold that I like to treat in which is more performance based like I have a background training conditioning where you manual therapists as well. So use our hands to create a symptom change, and then we use our edition principles to create long-term positive improvements in their health and wellness that make sure is really effective, but you take something like that. And you throw him into clinic where they’re seeing, you know, twenty plus people a day, and they’re primarily work com Medicare population, and it’s only a matter of time before they start to get really frustrated with their career path.
Do you wanna know the truth or do you want to have been right? And the best way to do. That is to continuously ask yourself what other explanations, you could find for anything that you believe how else could you see the world or see a particular thing that that you’re witnessing. You know, whether it’s in the clinic, and you’re watching the the results of an intervention. How are all the ways you can explain those results and be as crazy as you want? I mean, the whole idea there is, you know, it’s okay to be thinking and just to be throwing ideas out because a lot of times, you’ll some across something that all of a sudden that actually is more likely, and that would change the way I would use this intervention. Keep things thinking. No stranger to show as guest today is Eric Mera. Eric was one of our very first guest. When we started this crazy show back in two thousand fifteen. He’s also got his own show called PT inquest. We talk about that what goes into us programming than the pitfalls of that. And some different ways to to look at things that you probably look at a lot. That’s I think what Eric’s best at is highlighting those things and letting you see things differently. He he’s great at that show’s brought to you by Owens recovery. Science can’t say enough about Johnny Owens and his team. They’re just a great organization if you’re looking to get certified and personalized blood flow restriction rehabilitation training. Plus, they they have the equipment you need to apply that plus what they also have for free is the research. They’re the guys doing the research on this. They’re leading the field all around the world. So check out what they have going on at Owens recovery. Science dot com. Broadcasting to physical therapists around the world is this is the PT pine cast. May I introduce me to introduce you to here’s your host, physical therapist, Jimmy MacKay. Best conversations happen at happy hour. Welcome two hours. No stranger to the program. Back on the show is Eric Mera. Eric thanks for coming back, man. Hey, thanks for having me back. I always enjoy chatting with you Jimmy and just for the audience’s knowledge because we’re we did this yesterday and failed computer messed up and didn’t record the conversation full. So I was like man we had such a great conversation. That was a great driver on. Let’s do it again. So for the audience take two, it’s okay. I don’t I don’t remember many conversations. I have anyway. So yeah, we wanted to want to bring you on. If anybody doesn’t know Eric in his work. He’s got his own podcast called P T inquest. You can find that wherever podcasts are sold. And by Seoul. We mean giving away for free, which is itchy and you’re on Spotify. We found out. That’s right. Yeah. When we try to record this the first time, you’re asking me about and I was like, I don’t think I’m on Spotify. But yeah, I’ve actually been on Spotify. For awhile apparent when people find that you have podcast for me to like. Okay. Cool. Your dork. What’s your show about that was kind of like ask? When people ask you about PT inquest. What are you? What do you tell? Oh, ours is a very specific show. I do it with j w Matheson, it’s a I like to describe it as a online journal club. So we get an article we the the two of us up over Skype, and we just talk about the article what it says what it doesn’t say. You know, Jay w I h have over twenty years of experience as cynical therapists. And we’ve always been pretty tight with the with research in general and studying research, and so just having that that background of seeing a lot of papers for a couple of decades. Now, we can really give a lot of insight into into what emerging research is trying to accomplish. And how it how it kind of is interpreted in the context of previous research while you’re like the guy from the matrix in the beginning when Neil I wakes up. He sees the screen, and it’s all ones and zeroes. The that is like I see blonde brunette redhead. You just you look through the code. You can see. That’s right. I can can read the code behind it, all that’s awesome. Well, you’ve been doing this for a while. Have you ever never asked you this have you ever received somebody that you reviewed their paper reaching out either positively negatively or is that ever happened? Yeah. Actually both. We we had one of our favorite episodes was one on looking at orthopedic surgeons and how they handle uncertainty and whether or not somebody who has a hard time handling uncertainty how that affects their practice. And so the researchers actually listened to it and and emailed us, and they’re being surgeon that did that did the research study in particular, and they were they were giddy over it of how how much of an impact that had on us and the comments that we have made. So that was pretty cool. But then yeah, we definitely get the occasional. Hey, how a little more respect for her. He’s like, well, how about you have a little more respect for the research by doing a quality study instead of the crap that you put out and to me that’s more offensive, right? It’s a good point. Someone I feel like maybe an is coming from me someone who’s never got anything published. Besides the podcast episode that some people like why got published? It means everything I did was valid and valuable, and and but like that’s the thing about science that learned that from you one of our first episodes was it’s fluid.
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