Redefining Success in PT: Clinic, Concierge, and Career Freedom

WEBVTT

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It makes for some really good audio.

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Hang on.

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There we go.

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Cody, cheers.

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Cheers to you and cheers to me.

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There we go.

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I'm drinking a Pabst Blue Ribbon.

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This was the beer that me

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and my friends made fun of

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when we were kids because

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it was like the old man

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beer and I never had it, you know,

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in my twenties.

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And I think I had it like in

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my thirties and I was like,

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this beer isn't awful.

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I was like,

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this is actually pretty good beer.

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Like, it's funny how like we just,

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we make an assumption about

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something and then that's,

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that's the world.

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And then all of a sudden that sticks.

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yeah and that assumption

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gets challenged twenty

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years later you're like

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what else was I like

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guacamole looked gross to

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me when I was a kid never

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ate it and now I'm like oh

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my god how many years did I

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not have guacamole because

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it looked gross and now

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it's missed out yeah cody

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what's your superhero

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backstory for people who

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don't know superhero

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backstory so um background

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physical therapy um

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my interesting I'd say my my

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twist is that I entered the

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clinic a month after or

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before covet happened so I

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finished pt school in

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twenty nineteen moved to

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nashville took my first

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clinic job I was going

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through clinical mentorship

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um just kind of get my get

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my feet wet and uh covet

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happened so that kind of

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spun everything out of

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control a little bit um as

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we all remember um but what

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kind of happened there is

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like I got put in a little bit of like a

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like say leadership position,

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but I became the tenured PT in my clinic.

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Right.

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So you've been here for nine weeks.

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You're in charge.

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I'll be good.

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Maybe three weeks.

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Right.

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And so my clinic director,

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he went to another, uh,

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he's overseen two clinics.

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And so I ended up with a lot

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of time on my hands and, um,

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I like filling my time.

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And so, you know, being, I guess,

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maybe a problem solver at heart,

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I really just kind of

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looked at the PT space.

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I was like,

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my clinic days are not very full,

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began exploring just, you know,

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what was out there and

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trying to stay interested

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in things and had met some

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people here in Nashville

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that they'd had some

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success on the tech side.

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And it kind of simulated

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some interest in me,

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started inventing medical

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device really early on.

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Um, learned a lot through that,

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met some really great people, um,

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spent about two years

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full-time in the clinic and

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just determined that

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full-time clinic care is

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not really what I wanted to

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invest like my whole life

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trajectory into.

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Love clinic, love treating,

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love the patient care sides of things,

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but just didn't quite see,

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it didn't resonate with

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where I wanted to go, right?

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So moved to more like PRN type positions,

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worked in a hospital system,

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covered everything from

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you know,

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your cardiac step downs to joint

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outpatient.

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Like it was a really cool

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experience just covering everything,

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working at a high pace,

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fast paced sports orthopedic practice,

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doing a lot of post-op and

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then launched a concierge

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business of my own.

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And then ultimately,

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maybe about two and a half

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years into that,

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connected with the company

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that I'm with now.

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They were looking for a

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project-based PT to use their technology,

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ran a six-week day program for them,

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got to the end of six weeks,

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patient's like, that was awesome.

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We'd love to keep doing it.

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So I turned and looked at the team.

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I was like, hey,

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are we going to keep doing this?

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So did another six weeks,

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then a third six weeks,

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and a fourth and fifth.

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A year later,

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had a fully operational day

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program going for them.

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We're seeing patients one day a week.

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They opened up a spot on

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their biz development team

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and joined that.

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So that was about a year ago doing that.

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And yeah, here I am.

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So let's go deeper into the tech, right?

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Like, help us understand what it is.

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What does it do?

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How does it work?

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Like, you know, you're a biz dev guy now.

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Yeah, I'll embrace that.

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So the device is called the Ryzen Walk.

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It's the first full spectrum,

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we call it rehab station,

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but it's a gate training technology.

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So it's a three in one,

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meaning it can be used seated, standing.

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And then the body weight support system,

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it's a tower that rotates.

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So you essentially have two

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body weight support zones on either side.

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So it's a very unique piece

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of equipment that is really

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addressing some big needs

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when it comes to like

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inpatient rehab space,

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working with patients that have

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considerable mobility

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deficits that require maybe

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a team of people to get the

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the high intensity high

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repetition gate training

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that research is really

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coming out to say that it's

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it's needed it's that's

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what's driving the

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neuroplastic changes that

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are uh required for

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somebody after a stroke

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just to get back on their

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feet and be able to you

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know engage in the community

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What's, um,

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what's something that shocked

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you like taking on this, on this role?

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Like you got to bring a

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clinical mindset to a group

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of people who probably have

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really good technology

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background and sales and

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sales isn't a bad word.

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People just want to make

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sure people understand that

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it's not a bad thing.

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Um,

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what was the biggest thing that

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surprised you?

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Like walking in with your clinical mind?

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Cause you're going to look

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at the exact same thing

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everybody else is.

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You're just going to look at

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it differently.

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Right.

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You know, what I've found is that, uh,

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specifically I'd say with this, like,

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tech uh you know wave that

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we're riding kind of all

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across healthcare is that

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we don't have an innovation

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problem um we really have

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an adoption problem and so

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it's it's what's

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interesting has been the

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real challenge for me is is

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marrying the the clinical

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need with the business

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value um and it's a fun

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challenge because you know

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the two really operate

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almost in silos um you know

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you can go to a rehab team

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and you can get clinical buy-in

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And you can say, hey,

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I have a whole clinic full

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of patients that would

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benefit from this technology.

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We're doing it the old fashioned way.

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You can kind of show

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maybe where things can be

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optimized you know and then

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it's it's bridging that to

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you know the business

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operations and I think

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that's where you're seeing

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some of these large

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hospital systems that you

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know when we look at our

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healthcare system maybe

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just specifically on the

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rehab side comparing it to

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some of the other countries

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that are maybe a little bit

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more advanced than we are

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I'm not in those countries.

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I don't know how those

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systems necessarily work,

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but what I see on our end a

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lot is that there tends to

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be some dragging of feet.

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People are not really

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willing to invest maybe

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what they can into

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supporting the rehab process.

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When you look at a healthcare system,

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everything is diagnostic driven.

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How can we get a patient

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that has a problem?

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How can we identify it and

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get them into a treatment path?

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But then

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know when we're looking at

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the whole patient how do we

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then actually tangibly get

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them better and get them

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back on their feet and I

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think that's where I mean

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that's the value of rehab

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and pt that you know

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unfortunately it's just

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hard to get you know some

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people to invest that way

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yeah what do you think

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other clinicians that you

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talk to or maybe still in

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clinic right and again I

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love how you said that which is like

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Not that I didn't love it.

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It's I wanted to try something else,

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which is kind of kind of

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what we're on this rock for

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is try a bunch of stuff.

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If you find something you love, do it.

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But you sort of you sort of

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adopted neuro rat neuro

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rehab and technology.

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What's the biggest

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misunderstanding other clinicians,

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people that you knew before

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or people that you meet after?

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What's the biggest

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misunderstanding they have

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about technology in rehab?

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Yeah,

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I think there's two big things there.

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One,

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I think just the technology in general,

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you know,

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PT is a very interaction driven

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space where we get to work

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with those patients.

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And I think in some way

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people look at technology,

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specifically some things

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here as something that if they introduce,

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it's going to kind of

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remove them from that.

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So I think there in some

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ways people think that, you know,

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this technology is going to

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take their job or something like that,

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which

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Again, that's a, you know,

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we can unpack that further, you know,

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if you want.

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We can do a whole hour on that.

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whole hour on that right um

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you know but I think the

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other side of it is that

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you know we're very much

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like a research based uh

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healthcare you know we want

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to see things that are

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proven we want to see data

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that backs up why something

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works the way it does and I

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think sometimes that's too

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thick of a filter to take

00:08:17.132 --> 00:08:18.293
something that you can look

00:08:18.372 --> 00:08:19.653
at just based on principle

00:08:19.673 --> 00:08:21.355
and see what it does um

00:08:22.161 --> 00:08:22.362
You know,

00:08:22.401 --> 00:08:24.322
one thing I talk about when I get

00:08:24.343 --> 00:08:25.504
people that kind of lean in

00:08:25.543 --> 00:08:26.744
on the research side of things.

00:08:26.764 --> 00:08:29.805
So backing up, end-effector technology,

00:08:29.826 --> 00:08:30.386
which is kind of the

00:08:30.406 --> 00:08:31.906
category that our device falls into,

00:08:31.927 --> 00:08:33.227
it's been around for like, twenty years,

00:08:33.307 --> 00:08:33.408
right?

00:08:33.587 --> 00:08:34.969
So we didn't come out and invent something

00:08:36.325 --> 00:08:37.565
game-changingly new.

00:08:38.505 --> 00:08:39.285
What type of technology?

00:08:39.306 --> 00:08:39.785
What was the word?

00:08:40.446 --> 00:08:41.527
It's called end effector.

00:08:41.787 --> 00:08:43.307
I don't know that.

00:08:43.447 --> 00:08:45.207
Oh, effects the end user.

00:08:45.248 --> 00:08:45.648
Exactly.

00:08:46.307 --> 00:08:47.587
Or the ends, your extremities.

00:08:48.469 --> 00:08:50.788
If you look at an exoskeleton,

00:08:51.068 --> 00:08:52.509
that's very much bolt-on

00:08:52.870 --> 00:08:56.270
where you are articulating

00:08:56.331 --> 00:08:57.431
across a joint and you're

00:08:57.510 --> 00:08:58.591
influencing movement there.

00:09:00.273 --> 00:09:01.614
And so you can see, yeah,

00:09:01.693 --> 00:09:02.595
I love that you were able

00:09:02.615 --> 00:09:03.195
to pull that up.

00:09:03.215 --> 00:09:03.796
I don't know if that's,

00:09:03.816 --> 00:09:05.216
I'm assuming that's showing

00:09:05.277 --> 00:09:05.996
up for everybody.

00:09:06.697 --> 00:09:06.977
But yeah,

00:09:06.998 --> 00:09:08.999
you can see articulating with the

00:09:09.019 --> 00:09:09.860
hands and feet, right?

00:09:09.879 --> 00:09:12.782
So it's a very open based system where,

00:09:12.861 --> 00:09:14.143
let me see,

00:09:14.182 --> 00:09:15.323
let me do this back up again

00:09:15.504 --> 00:09:16.384
or zoom out again.

00:09:16.904 --> 00:09:18.385
If you go hover over rise and walk,

00:09:18.405 --> 00:09:19.047
I'm going to see if we can

00:09:19.067 --> 00:09:19.726
pull up the video.

00:09:19.886 --> 00:09:20.707
Oh, wait, right there.

00:09:20.927 --> 00:09:21.528
Watch the video.

00:09:22.009 --> 00:09:23.269
It's right there.

00:09:23.370 --> 00:09:24.691
It's cool to see it in motion, right?

00:09:24.711 --> 00:09:27.393
So let me get back to it.

00:09:28.220 --> 00:09:29.860
kind of where I was and affect it, right?

00:09:29.880 --> 00:09:30.902
It's meaning articulates

00:09:30.922 --> 00:09:32.283
with the ends of our hands and feet.

00:09:32.302 --> 00:09:34.825
So very unique piece of

00:09:34.846 --> 00:09:36.486
technology that ultimately does

00:09:37.414 --> 00:09:38.475
heavy lifting that's the way

00:09:38.514 --> 00:09:40.235
I look at it and so you

00:09:40.255 --> 00:09:40.916
know when I'm talking to

00:09:40.956 --> 00:09:42.616
clients they're like okay

00:09:42.636 --> 00:09:43.476
what's the research say

00:09:43.496 --> 00:09:44.897
what does it show which we

00:09:44.937 --> 00:09:45.956
have research that shows it

00:09:45.976 --> 00:09:47.138
but it's also a category of

00:09:47.177 --> 00:09:47.837
equipment that's been

00:09:47.857 --> 00:09:48.937
around for a bit so we

00:09:48.977 --> 00:09:50.139
haven't had to do all this

00:09:50.158 --> 00:09:52.519
like leading edge proof of

00:09:52.599 --> 00:09:54.320
concept type of research

00:09:54.379 --> 00:09:55.360
out there that some people

00:09:55.419 --> 00:09:56.900
really want to see right

00:09:57.000 --> 00:09:57.600
and so there's that

00:09:57.640 --> 00:09:59.061
resistance they go oh well

00:09:59.841 --> 00:10:00.961
you know you don't you

00:10:00.981 --> 00:10:02.562
don't have that so you know

00:10:02.581 --> 00:10:03.162
I'm not going to look at

00:10:03.201 --> 00:10:05.243
this and I go okay well if

00:10:06.855 --> 00:10:07.674
you know in your clinic you

00:10:07.695 --> 00:10:09.216
have weight right so did

00:10:09.235 --> 00:10:11.677
you go through and study

00:10:11.716 --> 00:10:12.996
the efficacy of a twenty

00:10:13.037 --> 00:10:14.898
five pound weight to then

00:10:14.957 --> 00:10:17.119
put it in your space no

00:10:17.818 --> 00:10:19.039
most people say no right

00:10:19.120 --> 00:10:20.620
but I can take a twenty

00:10:20.639 --> 00:10:21.740
five pound weight and I can

00:10:21.780 --> 00:10:23.801
do ten thousand different

00:10:23.860 --> 00:10:26.381
exercises with it and you

00:10:26.402 --> 00:10:27.543
know and have some

00:10:28.649 --> 00:10:29.548
you know, good outcomes there.

00:10:29.909 --> 00:10:31.450
And so technology like ours,

00:10:31.571 --> 00:10:33.130
we're really driving the high, high rep,

00:10:33.150 --> 00:10:34.672
high intensity type of activity.

00:10:35.192 --> 00:10:35.351
Um,

00:10:35.371 --> 00:10:36.913
we've got this particular design in

00:10:36.972 --> 00:10:37.813
ours that allows us to

00:10:37.913 --> 00:10:40.095
actually accurately dose it,

00:10:40.115 --> 00:10:41.456
which if you go into the

00:10:41.515 --> 00:10:42.735
weeds of the research

00:10:42.755 --> 00:10:44.777
behind this technology, you know,

00:10:44.797 --> 00:10:46.357
a lot of what they said about research,

00:10:46.378 --> 00:10:47.798
which is, or about, um,

00:10:48.519 --> 00:10:49.740
gate training technology is

00:10:49.759 --> 00:10:51.541
that you can't dose it

00:10:51.620 --> 00:10:53.322
accurately enough to challenge somebody.

00:10:53.402 --> 00:10:54.442
There's not that active

00:10:54.461 --> 00:10:56.322
participation in a granular

00:10:56.363 --> 00:10:57.644
level where you can, um,

00:10:58.339 --> 00:10:58.538
you know,

00:10:58.578 --> 00:11:00.880
really challenge someone at the

00:11:00.921 --> 00:11:01.740
level that they're at.

00:11:02.260 --> 00:11:04.222
And so we really set out to

00:11:04.283 --> 00:11:06.303
solve a lot of those problems, you know,

00:11:06.323 --> 00:11:07.684
some application problems,

00:11:07.745 --> 00:11:09.004
some personnel problems,

00:11:09.065 --> 00:11:10.966
and some support problems that, you know,

00:11:11.047 --> 00:11:12.126
ultimately allowed our

00:11:12.167 --> 00:11:14.109
device to actually mesh with the U.S.

00:11:14.129 --> 00:11:14.729
healthcare system.

00:11:16.345 --> 00:11:17.405
Yeah, you're talking about a system,

00:11:17.846 --> 00:11:18.005
right?

00:11:18.025 --> 00:11:19.687
That's like the screwy part.

00:11:19.706 --> 00:11:20.787
It's like you're talking about clinician,

00:11:21.027 --> 00:11:22.307
patient, technology.

00:11:22.628 --> 00:11:23.889
That's a really great triangle.

00:11:24.708 --> 00:11:25.769
And then you bring in the system.

00:11:27.169 --> 00:11:28.110
And I bet you a lot of things,

00:11:28.150 --> 00:11:29.010
and we don't... I mean, again,

00:11:29.030 --> 00:11:30.471
we could do another hour just on this,

00:11:30.951 --> 00:11:32.712
which is you've said healthcare...

00:11:33.633 --> 00:11:35.212
is hurting rehab departments

00:11:35.673 --> 00:11:36.913
that we are bleeding out.

00:11:37.754 --> 00:11:38.693
And then how can we fix it?

00:11:38.714 --> 00:11:39.134
Cause that's,

00:11:39.153 --> 00:11:40.953
that's where we plug into this system.

00:11:41.614 --> 00:11:43.735
So like, what is it?

00:11:43.774 --> 00:11:44.875
Who's going to pay for it?

00:11:45.514 --> 00:11:46.034
Is it,

00:11:46.375 --> 00:11:47.815
how are we going to get reimbursed

00:11:47.875 --> 00:11:48.195
for it?

00:11:48.235 --> 00:11:48.375
Like,

00:11:48.436 --> 00:11:49.755
I imagine like those are the first

00:11:49.796 --> 00:11:50.495
two questions, right?

00:11:50.515 --> 00:11:51.255
How, how,

00:11:51.275 --> 00:11:51.895
how are we going to get

00:11:51.916 --> 00:11:52.696
reimbursed for it?

00:11:52.716 --> 00:11:54.937
And then how much is it, which is how long,

00:11:55.096 --> 00:11:56.197
how often do I have to use

00:11:56.657 --> 00:11:57.777
it so I can at least pay

00:11:57.797 --> 00:11:58.996
for itself and then be getting,

00:11:59.017 --> 00:11:59.557
making money,

00:11:59.836 --> 00:12:01.258
which sounds like a dirty question,

00:12:01.597 --> 00:12:02.398
but it's just like,

00:12:03.279 --> 00:12:04.321
we got to be able to make

00:12:04.341 --> 00:12:05.522
enough money to pay for it.

00:12:05.601 --> 00:12:06.883
And then also we have to pay

00:12:06.923 --> 00:12:08.024
for people's salaries and

00:12:08.043 --> 00:12:09.445
health insurance and lights and,

00:12:10.125 --> 00:12:10.966
and the parking lot and all

00:12:10.985 --> 00:12:12.047
those things that people forget about.

00:12:12.067 --> 00:12:12.706
Yeah.

00:12:12.726 --> 00:12:13.727
The ugly truth is that

00:12:14.048 --> 00:12:15.288
healthcare is a business, right?

00:12:15.328 --> 00:12:16.890
And so you can preach outcomes and,

00:12:17.051 --> 00:12:19.131
you know, to preach to people in the face,

00:12:19.172 --> 00:12:20.273
but in the day it's a

00:12:20.312 --> 00:12:21.214
business and you have to

00:12:21.274 --> 00:12:22.815
cater to the business side of it.

00:12:22.934 --> 00:12:23.875
And so I think when you look

00:12:23.975 --> 00:12:25.977
at technology in this space, it wasn't,

00:12:26.038 --> 00:12:27.019
a lot of it wasn't designed

00:12:27.038 --> 00:12:27.979
in the U S you know,

00:12:28.019 --> 00:12:30.120
you got big players in Israel and,

00:12:30.360 --> 00:12:31.201
you know, Italy and,

00:12:31.662 --> 00:12:32.581
you know a lot of these kind

00:12:32.621 --> 00:12:33.663
of europe and asian

00:12:33.702 --> 00:12:35.583
countries um that they're

00:12:35.604 --> 00:12:36.903
designing this technology

00:12:36.984 --> 00:12:39.144
to you know meet a patient

00:12:39.184 --> 00:12:40.365
profile or meet something

00:12:40.384 --> 00:12:41.485
that they're seeing within

00:12:41.505 --> 00:12:42.826
their industry but then

00:12:42.865 --> 00:12:44.746
it's being you know pushed

00:12:44.826 --> 00:12:46.148
over into the us you know

00:12:46.187 --> 00:12:47.607
for the market that we have

00:12:47.648 --> 00:12:48.389
here and it's just not

00:12:48.428 --> 00:12:49.948
designed to meet the needs

00:12:49.969 --> 00:12:50.909
that we have and so that

00:12:50.950 --> 00:12:51.389
was one of the

00:12:51.409 --> 00:12:52.509
considerations that we had

00:12:52.529 --> 00:12:53.990
is we were like we knew to

00:12:54.051 --> 00:12:55.331
succeed that we would have

00:12:55.350 --> 00:12:56.792
to make something that

00:12:56.831 --> 00:12:58.371
really worked with with our

00:12:58.451 --> 00:12:59.673
patient population but

00:13:00.455 --> 00:13:02.576
know to your point how do

00:13:02.596 --> 00:13:03.456
you get paid like

00:13:03.837 --> 00:13:05.479
reimbursement is is what it

00:13:05.519 --> 00:13:06.820
drives so you know

00:13:06.860 --> 00:13:07.760
unfortunately and I think

00:13:07.780 --> 00:13:08.801
this is something that you

00:13:08.821 --> 00:13:10.523
know we'll hopefully see in

00:13:10.562 --> 00:13:11.482
the next couple years is

00:13:11.503 --> 00:13:13.085
some type of cpt kind of

00:13:13.125 --> 00:13:15.265
reform or evolution there

00:13:15.326 --> 00:13:17.707
that you know we've we've

00:13:17.768 --> 00:13:19.669
learned how to abuse that system

00:13:20.450 --> 00:13:21.910
and you know unfortunately

00:13:22.171 --> 00:13:23.471
on the rehab side of things

00:13:23.530 --> 00:13:25.432
cpt codes and what we're

00:13:25.451 --> 00:13:26.793
currently being reimbursed

00:13:26.812 --> 00:13:28.413
for our services you know

00:13:28.452 --> 00:13:29.374
they leave a lot of these

00:13:29.433 --> 00:13:30.333
rehab departments

00:13:30.594 --> 00:13:32.355
unfortunately in the red

00:13:32.995 --> 00:13:33.894
and when you look at a

00:13:33.914 --> 00:13:34.916
large healthcare system

00:13:34.936 --> 00:13:36.076
it's hard for them to

00:13:36.115 --> 00:13:39.177
justify investing in a I

00:13:39.216 --> 00:13:40.337
mean a great piece of

00:13:40.398 --> 00:13:41.538
technology that will

00:13:41.677 --> 00:13:42.558
undoubtedly help their

00:13:42.599 --> 00:13:43.719
patients and help their

00:13:43.739 --> 00:13:45.200
clinicians you know but

00:13:45.220 --> 00:13:45.980
it's like hey we're not

00:13:46.259 --> 00:13:46.919
making money in this

00:13:46.940 --> 00:13:48.041
department so why are we going to

00:13:49.005 --> 00:13:50.067
invest in something like

00:13:50.106 --> 00:13:51.687
that and so it's an

00:13:51.748 --> 00:13:52.989
unfortunate reality again

00:13:53.009 --> 00:13:54.350
it's a business and you got

00:13:54.370 --> 00:13:55.750
to play the game and so I

00:13:55.791 --> 00:13:56.652
think at some point

00:13:56.672 --> 00:13:58.312
something will will change

00:13:58.373 --> 00:13:59.453
because if you look at

00:13:59.874 --> 00:14:00.855
somebody that has a spinal

00:14:00.894 --> 00:14:02.135
cord injury or a stroke

00:14:02.196 --> 00:14:03.756
it's not the same episode

00:14:03.777 --> 00:14:04.817
of care like somebody has a

00:14:04.837 --> 00:14:06.038
knee replacement right knee

00:14:06.058 --> 00:14:07.700
replacement you might get

00:14:07.740 --> 00:14:08.900
two to three months of pt

00:14:08.921 --> 00:14:10.302
and then they're off

00:14:10.322 --> 00:14:11.682
managing their their care

00:14:11.702 --> 00:14:14.144
on their own but you know somebody has a

00:14:15.123 --> 00:14:16.964
some kind of incomplete spinal cord injury,

00:14:17.043 --> 00:14:17.543
or, I mean,

00:14:17.583 --> 00:14:18.985
any type of neurological injury,

00:14:19.024 --> 00:14:19.644
like it's going to affect

00:14:19.664 --> 00:14:20.985
them for probably the

00:14:21.025 --> 00:14:22.186
majority of the rest of their life,

00:14:22.245 --> 00:14:23.407
if not the whole thing.

00:14:23.547 --> 00:14:24.466
And, you know,

00:14:24.547 --> 00:14:26.048
our one thing that I really

00:14:26.087 --> 00:14:28.249
love about our technology is that it,

00:14:28.349 --> 00:14:29.710
it provides an environment

00:14:29.990 --> 00:14:31.169
for somebody to get the

00:14:31.210 --> 00:14:34.451
same general activity that I can go.

00:14:34.611 --> 00:14:35.152
And I got a garage,

00:14:35.211 --> 00:14:36.192
I got a gym in my garage,

00:14:36.232 --> 00:14:36.993
very blessed there.

00:14:37.052 --> 00:14:38.173
So it's really convenient

00:14:38.193 --> 00:14:39.673
for me to go exercise and train,

00:14:40.014 --> 00:14:43.235
but somebody that has a mobility deficit.

00:14:44.056 --> 00:14:44.235
you know,

00:14:44.255 --> 00:14:45.437
they can't just go walk around

00:14:45.456 --> 00:14:46.217
the neighborhood to go for

00:14:46.238 --> 00:14:47.139
a run or lift weights.

00:14:47.178 --> 00:14:48.700
And so it's really hard to

00:14:49.801 --> 00:14:50.441
give somebody the

00:14:50.480 --> 00:14:55.306
opportunity to exercise and expect,

00:14:55.645 --> 00:14:55.885
you know,

00:14:55.926 --> 00:14:57.447
get the cardiovascular benefits

00:14:57.466 --> 00:14:58.727
that we can get by walking.

00:14:58.768 --> 00:15:00.230
And I think, you know,

00:15:00.269 --> 00:15:01.750
that's something that, again,

00:15:02.371 --> 00:15:04.273
it's unique that we're able to do that.

00:15:04.352 --> 00:15:06.475
And I'm proud of our

00:15:06.514 --> 00:15:07.956
technology and what we're able to do.

00:15:08.035 --> 00:15:08.616
So, yeah.

00:15:09.955 --> 00:15:11.436
You've also taken your skills abroad.

00:15:11.475 --> 00:15:11.975
Is that true?

00:15:12.035 --> 00:15:13.417
What's something you did to

00:15:13.456 --> 00:15:14.256
medical mission work?

00:15:14.278 --> 00:15:15.177
What's what's something from

00:15:15.217 --> 00:15:15.977
your from your work that

00:15:16.018 --> 00:15:17.479
stays with you every day

00:15:17.519 --> 00:15:18.519
here now that you're back in the US?

00:15:19.240 --> 00:15:21.442
Yeah, so when I was in PT school,

00:15:23.101 --> 00:15:24.822
I had an instructor.

00:15:25.202 --> 00:15:27.903
And shout out Todd Bourgeois.

00:15:28.844 --> 00:15:29.583
I'll send him this.

00:15:29.604 --> 00:15:30.403
He's the man.

00:15:30.443 --> 00:15:32.205
He's a mentor of mine.

00:15:32.965 --> 00:15:35.405
But he and I, I was in St.

00:15:35.446 --> 00:15:35.885
Augustine.

00:15:35.905 --> 00:15:37.405
We surfed all the time.

00:15:37.706 --> 00:15:39.767
And, you know, it came summertime.

00:15:39.866 --> 00:15:40.486
He's like, hey, man,

00:15:40.567 --> 00:15:43.368
we got a team of PTs and, you know,

00:15:43.668 --> 00:15:45.888
kind of hodgepodge rehab professionals,

00:15:46.008 --> 00:15:46.788
medical professionals.

00:15:46.828 --> 00:15:47.889
We go to El Salvador every year.

00:15:48.538 --> 00:15:50.681
um go there for you know a

00:15:50.721 --> 00:15:51.522
week week and a half

00:15:51.542 --> 00:15:53.364
whatever it may be um you

00:15:53.384 --> 00:15:55.284
know we get to surf we get

00:15:55.304 --> 00:15:56.326
to treat we get to work

00:15:56.346 --> 00:15:57.467
with their you know their

00:15:58.008 --> 00:15:59.068
underserved populations

00:15:59.089 --> 00:16:00.429
along the coast there and

00:16:00.470 --> 00:16:01.551
you know it's it's kind of

00:16:01.571 --> 00:16:02.652
just like a good vibes trip

00:16:02.672 --> 00:16:04.014
we bring people we we do as

00:16:04.053 --> 00:16:05.054
much good work as we can

00:16:05.375 --> 00:16:06.475
and then we enjoy it and

00:16:06.836 --> 00:16:08.297
you know we come back and so

00:16:08.537 --> 00:16:09.917
I was blessed to get

00:16:09.937 --> 00:16:11.378
invited as a student um

00:16:11.437 --> 00:16:13.238
went two times there um I

00:16:13.258 --> 00:16:14.339
think I've been back now

00:16:14.678 --> 00:16:15.759
six times so we've been

00:16:15.778 --> 00:16:16.860
doing these trips they've

00:16:16.879 --> 00:16:17.960
been doing them for I want

00:16:17.980 --> 00:16:18.700
to say like ten or twelve

00:16:18.740 --> 00:16:20.301
years but you know it's

00:16:20.321 --> 00:16:23.101
been great to um go to

00:16:23.221 --> 00:16:24.962
central america see what's

00:16:24.982 --> 00:16:26.984
happening there from like a

00:16:27.043 --> 00:16:29.144
development standpoint um

00:16:29.183 --> 00:16:31.125
get to serve populations of

00:16:31.184 --> 00:16:33.546
people that just in some ways maybe

00:16:34.773 --> 00:16:35.452
feel forgotten.

00:16:36.474 --> 00:16:38.533
They have socialized medicine,

00:16:38.594 --> 00:16:40.695
so care is accessed much differently.

00:16:42.294 --> 00:16:42.615
So yeah,

00:16:42.634 --> 00:16:43.696
those have been some awesome

00:16:44.035 --> 00:16:45.096
experiences for me,

00:16:45.596 --> 00:16:47.336
especially starting as a student,

00:16:47.397 --> 00:16:49.096
getting into clinic care,

00:16:49.136 --> 00:16:50.898
and then continuing to go

00:16:50.937 --> 00:16:51.658
down there and see these

00:16:51.677 --> 00:16:52.798
communities that we've been

00:16:52.837 --> 00:16:54.678
serving for years now.

00:16:55.561 --> 00:16:57.381
did one in my third year a

00:16:57.461 --> 00:16:58.403
service learning trip I did

00:16:58.482 --> 00:16:59.764
one my third year pt school

00:17:00.644 --> 00:17:02.806
and I love cliches right I

00:17:02.826 --> 00:17:04.106
like to make fun of cliches

00:17:04.527 --> 00:17:05.446
and the cliche with like a

00:17:05.467 --> 00:17:06.887
trip like that is you get

00:17:07.048 --> 00:17:08.088
out much more than you put

00:17:08.189 --> 00:17:11.411
in and it's true like I

00:17:11.510 --> 00:17:12.832
learned I I thought I

00:17:12.872 --> 00:17:13.692
definitely thought I

00:17:13.712 --> 00:17:14.393
couldn't wait because

00:17:14.413 --> 00:17:16.674
there's a team of third

00:17:16.714 --> 00:17:18.175
year pt students that were

00:17:18.195 --> 00:17:19.256
going to go down there and

00:17:19.316 --> 00:17:21.877
show how smart we were and

00:17:22.178 --> 00:17:23.118
I learned the whole time

00:17:24.772 --> 00:17:25.272
It's amazing.

00:17:25.333 --> 00:17:26.493
Like you, I was just, I mean,

00:17:26.914 --> 00:17:28.056
once that was the thing,

00:17:28.135 --> 00:17:28.895
once I was able to sort of

00:17:28.915 --> 00:17:31.117
like drop it and stop trying to show,

00:17:31.298 --> 00:17:32.259
and I was just able to like

00:17:32.939 --> 00:17:34.421
absorb and take in,

00:17:34.461 --> 00:17:36.221
that's when I was like, Oh, I don't,

00:17:36.402 --> 00:17:37.863
there's a whole lot more I could learn.

00:17:37.883 --> 00:17:39.003
Yeah.

00:17:39.044 --> 00:17:41.465
We, we've coined these terms,

00:17:41.885 --> 00:17:43.748
these trips as a stoke trips.

00:17:43.847 --> 00:17:44.087
Right.

00:17:44.648 --> 00:17:46.069
And so the idea that like,

00:17:46.089 --> 00:17:48.852
we all have this kind of inner fire,

00:17:49.071 --> 00:17:49.633
if you will,

00:17:49.712 --> 00:17:51.753
that is kind of like passion driven.

00:17:52.074 --> 00:17:52.535
Right.

00:17:52.654 --> 00:17:53.875
And so just like,

00:17:54.256 --> 00:17:55.376
you know if you build a fire

00:17:55.416 --> 00:17:56.376
you have to tend it you

00:17:56.396 --> 00:17:57.656
have to stoke it and so

00:17:57.998 --> 00:17:58.998
these trips for us it's

00:17:59.038 --> 00:18:00.898
kind of a a play on words

00:18:00.939 --> 00:18:01.699
if you will because we get

00:18:01.719 --> 00:18:02.638
to surf right so there's a

00:18:02.679 --> 00:18:04.180
lot of like sure you know

00:18:04.200 --> 00:18:05.299
stoke on that side of it

00:18:05.359 --> 00:18:06.820
right but you know for the

00:18:06.861 --> 00:18:08.122
deeper sense of like we get

00:18:08.142 --> 00:18:09.001
to go there and we get to

00:18:09.041 --> 00:18:11.823
treat people who don't

00:18:11.903 --> 00:18:13.604
expect a group of americans

00:18:13.644 --> 00:18:15.625
to show up and give freely

00:18:15.724 --> 00:18:17.204
and just help them right

00:18:17.224 --> 00:18:19.105
they're in these communities that

00:18:20.489 --> 00:18:21.849
know I mean they don't have

00:18:21.890 --> 00:18:22.849
medical care they have to

00:18:22.910 --> 00:18:24.090
hop on a bus it takes them

00:18:24.131 --> 00:18:25.251
three hours just to get

00:18:25.372 --> 00:18:26.913
into the city just to sit

00:18:26.952 --> 00:18:28.374
in line to potentially seen

00:18:28.394 --> 00:18:29.574
by a doctor that day they

00:18:29.594 --> 00:18:31.035
have to you know labor and

00:18:31.075 --> 00:18:32.375
walk to get water just to

00:18:32.415 --> 00:18:33.836
bring it back to you know

00:18:33.896 --> 00:18:34.936
the little place that they

00:18:34.977 --> 00:18:36.577
might live in and so to

00:18:36.597 --> 00:18:38.179
show up and and just sit

00:18:38.219 --> 00:18:38.779
there and just to

00:18:39.587 --> 00:18:40.969
do whatever we can for them,

00:18:41.009 --> 00:18:42.690
whether it's medical, whether, you know,

00:18:42.730 --> 00:18:43.750
it's just saying, you know,

00:18:43.770 --> 00:18:44.550
I'm gonna pray for you or

00:18:44.590 --> 00:18:45.332
something like that.

00:18:45.372 --> 00:18:45.592
You know,

00:18:45.632 --> 00:18:47.894
it's like just the way that it's

00:18:47.933 --> 00:18:50.474
received and the joy that

00:18:50.996 --> 00:18:54.979
these people live with is, I mean,

00:18:54.999 --> 00:18:55.638
it sticks with you.

00:18:55.679 --> 00:18:57.559
Like you said, you bring it back with you.

00:18:58.000 --> 00:18:59.060
I get as much out of it,

00:18:59.141 --> 00:19:01.143
if not more than what I leave behind.

00:19:01.583 --> 00:19:03.744
Yeah, it's a big deal.

00:19:03.805 --> 00:19:05.506
So more emotions, more stoke.

00:19:05.586 --> 00:19:08.228
A lot of PTs might say,

00:19:09.365 --> 00:19:09.645
you know,

00:19:09.746 --> 00:19:11.647
it's either clinical or non-clinical,

00:19:11.708 --> 00:19:11.867
right?

00:19:11.887 --> 00:19:13.868
There's burnout or you're bailing out.

00:19:13.970 --> 00:19:15.290
You're doing a little bit of both.

00:19:15.310 --> 00:19:17.571
I, I've given a talk, um,

00:19:18.759 --> 00:19:20.080
at nazareth college uh

00:19:21.561 --> 00:19:22.942
thanks to professor mike

00:19:22.982 --> 00:19:24.544
houston up there he brings

00:19:24.624 --> 00:19:26.125
me in and a couple other

00:19:26.365 --> 00:19:28.006
clinicians who have either

00:19:28.046 --> 00:19:28.566
traditional or

00:19:28.625 --> 00:19:29.866
non-traditional practices

00:19:30.186 --> 00:19:31.488
he brings in what like russ

00:19:31.847 --> 00:19:32.828
russ is a pt he's got a

00:19:32.868 --> 00:19:33.769
brick and mortar clinic and

00:19:33.808 --> 00:19:34.569
he brings in this other

00:19:34.589 --> 00:19:35.390
woman who's like I treat

00:19:35.410 --> 00:19:36.171
out of my house I got a

00:19:36.191 --> 00:19:37.371
little room in my house he

00:19:37.411 --> 00:19:38.291
brings me in because I'm a

00:19:38.372 --> 00:19:39.211
weirdo like I do

00:19:39.393 --> 00:19:40.732
communications whatever I do

00:19:41.874 --> 00:19:42.454
I'm all over the place.

00:19:42.835 --> 00:19:46.136
And I like to put it in their words.

00:19:46.178 --> 00:19:47.337
I love to use patient's

00:19:47.378 --> 00:19:48.479
words or audience words.

00:19:49.339 --> 00:19:50.780
I say it's hips and shoulders.

00:19:51.501 --> 00:19:52.323
A hip and a shoulder,

00:19:52.383 --> 00:19:53.903
they're both ball and socket joints,

00:19:54.344 --> 00:19:54.523
right?

00:19:55.085 --> 00:19:57.105
Hip is going to be super deep, right?

00:19:57.125 --> 00:19:58.667
A lot of stability.

00:19:58.968 --> 00:20:00.388
Some mobility, right?

00:20:00.489 --> 00:20:01.829
But a lot of stability.

00:20:02.191 --> 00:20:04.551
That to me is like a nine to five job.

00:20:05.426 --> 00:20:05.646
Right?

00:20:06.047 --> 00:20:07.008
So there's nothing wrong with that.

00:20:07.067 --> 00:20:07.367
If you're like,

00:20:07.387 --> 00:20:08.489
I'm going to have a nine to five job,

00:20:08.509 --> 00:20:09.028
and I'm going to have this

00:20:09.048 --> 00:20:09.648
thing on the side,

00:20:09.669 --> 00:20:10.589
now you've got a shoulder,

00:20:11.130 --> 00:20:12.109
which is every other

00:20:12.150 --> 00:20:14.991
weekend I do aquatics on my

00:20:15.051 --> 00:20:15.652
own or something.

00:20:16.731 --> 00:20:19.213
A lot of flexibility, a lot of mobility,

00:20:19.753 --> 00:20:21.414
some stability, right?

00:20:21.954 --> 00:20:23.316
And you can have all shoulder.

00:20:23.435 --> 00:20:24.615
Some people are just like,

00:20:24.756 --> 00:20:26.317
I do whatever I want, however I want.

00:20:26.817 --> 00:20:28.018
And one of the students was like,

00:20:28.057 --> 00:20:28.798
which one's better?

00:20:28.998 --> 00:20:29.459
And I said...

00:20:30.298 --> 00:20:31.720
which one is better for you?

00:20:31.900 --> 00:20:33.141
Like you're looking for the

00:20:33.260 --> 00:20:34.082
answer and you knew that

00:20:34.201 --> 00:20:35.323
they're smart kids, right?

00:20:35.343 --> 00:20:35.942
I call them kids.

00:20:35.982 --> 00:20:37.084
Cause they feel so much younger than me,

00:20:37.604 --> 00:20:38.265
but I'm like, you know,

00:20:38.305 --> 00:20:39.645
the answer is it depends.

00:20:39.925 --> 00:20:40.326
It's going to,

00:20:40.486 --> 00:20:41.946
and also it doesn't have to be,

00:20:41.967 --> 00:20:43.689
this is what I do forever.

00:20:43.808 --> 00:20:44.328
I could do this.

00:20:44.669 --> 00:20:45.490
You were doing your stuff

00:20:45.509 --> 00:20:46.611
for six weeks at a time.

00:20:47.131 --> 00:20:48.731
Had you said, I don't like this anymore.

00:20:49.011 --> 00:20:50.073
You would have been like, all right, well,

00:20:50.113 --> 00:20:51.493
thanks so much for the last six weeks.

00:20:51.634 --> 00:20:52.174
Like, you know,

00:20:52.194 --> 00:20:53.375
and we're going to part ways.

00:20:54.036 --> 00:20:56.718
So I feel like what have you

00:20:56.778 --> 00:20:57.498
learned that could help

00:20:57.597 --> 00:20:59.680
others by being able to say, hey,

00:20:59.779 --> 00:21:01.141
I don't want to be in a

00:21:01.181 --> 00:21:02.882
clinic eight hours a day,

00:21:02.942 --> 00:21:03.782
five days a week.

00:21:04.583 --> 00:21:07.525
And that's not necessarily quitting.

00:21:08.164 --> 00:21:08.746
It's not quitting.

00:21:08.826 --> 00:21:10.507
You just took your skills to

00:21:10.547 --> 00:21:11.948
a non-familiar place, to quote a friend.

00:21:13.167 --> 00:21:13.268
Yeah.

00:21:13.288 --> 00:21:13.367
Yeah.

00:21:13.428 --> 00:21:14.828
No, I think, I mean,

00:21:14.868 --> 00:21:16.930
if you just look at our education system,

00:21:17.470 --> 00:21:17.651
you know,

00:21:17.671 --> 00:21:18.611
we're kind of forced to make a

00:21:18.651 --> 00:21:19.872
decision super early on

00:21:19.912 --> 00:21:21.451
when we're still figuring things out.

00:21:21.531 --> 00:21:22.813
And so, you know, for me,

00:21:22.853 --> 00:21:24.374
like I went through undergrad,

00:21:24.614 --> 00:21:25.815
jumped right into PT school

00:21:25.855 --> 00:21:26.855
and then jumped right into

00:21:26.875 --> 00:21:27.996
my professional career.

00:21:28.996 --> 00:21:30.156
You know, the unique thing,

00:21:30.616 --> 00:21:31.498
what I identified pretty

00:21:31.518 --> 00:21:32.897
early on is that from a

00:21:32.958 --> 00:21:34.019
physical therapist standpoint,

00:21:34.038 --> 00:21:36.819
we get such a diverse background.

00:21:37.441 --> 00:21:39.040
We know so much about the human body.

00:21:39.461 --> 00:21:41.061
We get such a unique

00:21:41.142 --> 00:21:42.143
experience in our

00:21:42.163 --> 00:21:43.163
healthcare system from

00:21:43.223 --> 00:21:44.203
working in hospitals to

00:21:44.263 --> 00:21:46.204
outpatient clinics to private practice.

00:21:46.944 --> 00:21:49.666
I mean, specialties, you name it.

00:21:49.707 --> 00:21:50.487
There's so many different

00:21:50.527 --> 00:21:51.208
things you can do.

00:21:52.208 --> 00:21:53.388
And I think people almost

00:21:53.429 --> 00:21:55.009
get maybe it's like

00:21:55.089 --> 00:21:56.711
analysis paralysis where they go,

00:21:56.750 --> 00:21:58.092
I don't know what else I can do.

00:21:58.192 --> 00:22:00.733
So I'm just going to stay in clinic care.

00:22:01.294 --> 00:22:02.775
You know, for me,

00:22:03.036 --> 00:22:04.296
what's been great is

00:22:04.336 --> 00:22:05.777
talking and networking and

00:22:05.797 --> 00:22:07.578
connecting with people in

00:22:07.659 --> 00:22:09.799
order to just see what's out there.

00:22:09.960 --> 00:22:10.220
Right.

00:22:10.300 --> 00:22:10.601
And so.

00:22:12.314 --> 00:22:13.574
I've had a very unique

00:22:13.775 --> 00:22:16.835
experience in my five and a half years,

00:22:16.914 --> 00:22:17.855
five years that I've been

00:22:17.895 --> 00:22:19.215
out of the clinic, you know,

00:22:19.236 --> 00:22:19.796
and I've done,

00:22:19.955 --> 00:22:20.756
I've touched so many

00:22:20.797 --> 00:22:21.656
different things and been

00:22:21.676 --> 00:22:23.636
in so many different settings, you know,

00:22:23.676 --> 00:22:24.637
and I, for me, I,

00:22:25.597 --> 00:22:26.278
it's hard not to get

00:22:26.317 --> 00:22:27.077
bothered when you hear

00:22:27.137 --> 00:22:29.098
people that are so divisive

00:22:29.138 --> 00:22:31.058
between clinical and non-clinical.

00:22:31.159 --> 00:22:33.039
It's like, I do both, you know,

00:22:33.960 --> 00:22:35.780
I'm in a business development role.

00:22:36.560 --> 00:22:37.780
I work for a startup company,

00:22:38.541 --> 00:22:40.102
but I also have a concierge practice.

00:22:40.261 --> 00:22:42.064
You know, like I treat on the side,

00:22:42.824 --> 00:22:43.805
keeps my skills sharp.

00:22:43.825 --> 00:22:44.506
It allows me to be a

00:22:44.546 --> 00:22:45.646
resource in the communities

00:22:46.267 --> 00:22:47.827
around me to my friends, my family.

00:22:49.450 --> 00:22:50.490
And that's something that I

00:22:50.530 --> 00:22:53.913
think is very unique to the PTs.

00:22:53.953 --> 00:22:54.953
It's like we can walk in a

00:22:54.993 --> 00:22:57.375
room and we can have nothing but, I mean,

00:22:57.415 --> 00:22:58.396
our hands and, you know,

00:22:58.416 --> 00:22:59.478
a human in front of us and

00:22:59.738 --> 00:23:00.318
we can help them.

00:23:00.338 --> 00:23:01.599
We can talk them through things.

00:23:01.640 --> 00:23:02.580
We can explain things.

00:23:03.161 --> 00:23:04.001
And, you know,

00:23:04.021 --> 00:23:06.023
I think when we're trying to figure out,

00:23:06.804 --> 00:23:07.944
you know, what we want to do,

00:23:08.025 --> 00:23:08.486
how we want to,

00:23:09.335 --> 00:23:09.555
you know,

00:23:09.595 --> 00:23:11.035
engage with our healthcare system.

00:23:11.095 --> 00:23:11.796
It's like, we're,

00:23:11.836 --> 00:23:13.836
we're kind of dealt a tough hand of cards,

00:23:14.096 --> 00:23:14.976
but you know,

00:23:14.996 --> 00:23:15.997
we still have a very

00:23:16.037 --> 00:23:17.356
tangible way to help people.

00:23:17.416 --> 00:23:19.057
And I'm never going to abandon that.

00:23:19.076 --> 00:23:21.998
I don't, I just encourage PTs that,

00:23:22.317 --> 00:23:22.478
you know,

00:23:22.498 --> 00:23:24.718
or maybe burned out by something

00:23:24.758 --> 00:23:25.959
that's in their day to day.

00:23:25.999 --> 00:23:26.578
It's like, don't,

00:23:26.719 --> 00:23:28.219
don't feel like you're stuck there.

00:23:28.259 --> 00:23:28.558
You know,

00:23:28.638 --> 00:23:30.400
we were put in a box where we're

00:23:30.460 --> 00:23:31.579
stuck in a little bit of a

00:23:31.619 --> 00:23:32.579
rigid structure with the

00:23:32.619 --> 00:23:33.359
healthcare system,

00:23:33.380 --> 00:23:34.580
but that doesn't mean you

00:23:34.601 --> 00:23:35.560
have to play by those rules.

00:23:36.541 --> 00:23:37.583
I joke around with the guys

00:23:37.603 --> 00:23:38.724
that I do live streams with.

00:23:38.744 --> 00:23:39.105
I'm like,

00:23:39.686 --> 00:23:40.988
you could go to a Facebook group

00:23:41.008 --> 00:23:41.689
and bitch about it.

00:23:42.671 --> 00:23:43.451
That's probably helpful.

00:23:44.616 --> 00:23:46.237
And listen, I've bitched about stuff too,

00:23:46.876 --> 00:23:47.416
but then you got to do

00:23:47.436 --> 00:23:48.117
something about it.

00:23:48.617 --> 00:23:49.397
And if you think you're

00:23:49.417 --> 00:23:50.738
going to change the system, great,

00:23:50.758 --> 00:23:51.218
get to work.

00:23:51.518 --> 00:23:51.718
Like,

00:23:51.857 --> 00:23:52.917
I don't know how to change the system.

00:23:53.258 --> 00:23:53.739
I've tried.

00:23:54.278 --> 00:23:55.999
Maybe I've had a little, little,

00:23:56.078 --> 00:23:57.778
little help in changing a big thing.

00:23:57.818 --> 00:23:58.058
Great.

00:23:59.078 --> 00:23:59.960
The biggest thing you can

00:23:59.980 --> 00:24:01.420
change right away is like how,

00:24:01.460 --> 00:24:02.460
like your situation,

00:24:02.559 --> 00:24:03.400
you are a hundred percent

00:24:03.440 --> 00:24:04.099
in control of that.

00:24:04.180 --> 00:24:04.460
Right.

00:24:04.539 --> 00:24:06.461
So, you know, if you don't like it,

00:24:06.601 --> 00:24:07.040
you know, you could,

00:24:07.181 --> 00:24:08.480
you could scream at clouds

00:24:09.361 --> 00:24:12.102
or like you could just start and listen,

00:24:12.261 --> 00:24:14.142
and you are somewhere right now.

00:24:15.663 --> 00:24:17.864
where you are now living what you probably,

00:24:18.324 --> 00:24:19.064
however long ago,

00:24:19.084 --> 00:24:19.864
when you started thinking

00:24:19.884 --> 00:24:21.184
about this would have been like,

00:24:21.505 --> 00:24:22.765
that's the dream or that's,

00:24:23.465 --> 00:24:25.486
and I want to make sure I

00:24:25.506 --> 00:24:26.047
frame this right,

00:24:26.067 --> 00:24:27.606
which is you don't just hit

00:24:27.646 --> 00:24:28.307
the dream and then

00:24:28.326 --> 00:24:30.688
everything's coast mode, right?

00:24:30.708 --> 00:24:31.508
You're still working.

00:24:31.627 --> 00:24:32.588
Like, that's the thing is like,

00:24:32.608 --> 00:24:33.409
you're still your constant,

00:24:33.429 --> 00:24:34.909
but wherever you were two years ago,

00:24:35.309 --> 00:24:36.609
you'd be thrilled to know

00:24:36.630 --> 00:24:37.589
where you are now.

00:24:37.849 --> 00:24:38.971
And if that's not the case,

00:24:40.410 --> 00:24:42.731
It's one day or day one.

00:24:42.852 --> 00:24:45.432
What are we going to do?

00:24:45.752 --> 00:24:46.973
I want to caution people too.

00:24:47.354 --> 00:24:48.775
You don't need to know what it looks like.

00:24:50.015 --> 00:24:50.996
What you should say is what

00:24:51.016 --> 00:24:51.996
do I want it to feel like?

00:24:52.395 --> 00:24:52.957
I like that.

00:24:53.636 --> 00:24:55.538
What do I want my perfect day to be?

00:24:55.978 --> 00:24:57.618
I'm like, I don't know, man,

00:24:57.898 --> 00:24:58.680
but I want to feel...

00:24:59.971 --> 00:25:02.593
heard and and helpful and uh

00:25:02.613 --> 00:25:03.473
you know I want to be doing

00:25:03.493 --> 00:25:04.394
a lot of different things

00:25:04.433 --> 00:25:05.615
or whatever start with the

00:25:05.654 --> 00:25:08.056
emotion because how it'll

00:25:08.096 --> 00:25:09.497
look is different than like

00:25:09.557 --> 00:25:11.738
how it'll feel and trust me

00:25:11.917 --> 00:25:12.939
the feeling is the thing

00:25:12.959 --> 00:25:13.578
that makes people want to

00:25:13.618 --> 00:25:16.539
run or that's that's that's

00:25:16.559 --> 00:25:17.401
what I think a lot of

00:25:17.441 --> 00:25:18.401
clinicians will say about

00:25:18.441 --> 00:25:19.862
burnout is they feel stuck

00:25:20.041 --> 00:25:21.383
that's what they'll say I feel stuck

00:25:22.123 --> 00:25:23.585
and I'll say I get it you

00:25:23.625 --> 00:25:24.665
know I remember when I was

00:25:24.685 --> 00:25:26.087
a student I I ran into a

00:25:26.127 --> 00:25:27.450
girl who was on who had

00:25:27.490 --> 00:25:28.270
graduated a year or two

00:25:28.310 --> 00:25:29.231
before me and she's like I

00:25:29.251 --> 00:25:30.232
work at this outpatient

00:25:30.353 --> 00:25:31.434
ortho clinic two days a

00:25:31.474 --> 00:25:32.756
week and I work at

00:25:32.875 --> 00:25:33.897
inpatient neuro three days

00:25:33.917 --> 00:25:34.939
a week and I was like you

00:25:34.959 --> 00:25:36.059
can't do that and she goes

00:25:36.079 --> 00:25:37.602
you can I remember just thinking like

00:25:38.242 --> 00:25:38.863
She's like, I just,

00:25:39.183 --> 00:25:40.404
I just told this clinic,

00:25:40.684 --> 00:25:41.664
I'm only going to work two days a week.

00:25:41.845 --> 00:25:42.266
And they were like,

00:25:42.605 --> 00:25:44.027
so you can have two days or none.

00:25:44.487 --> 00:25:45.627
Me, you can have me here two days or none.

00:25:45.647 --> 00:25:46.669
And they were like, okay.

00:25:47.288 --> 00:25:48.670
And then the inpatient neuro

00:25:48.690 --> 00:25:49.770
clinic was like, we need you.

00:25:50.090 --> 00:25:50.771
So she's like, great.

00:25:50.852 --> 00:25:51.652
I'm only working three.

00:25:51.672 --> 00:25:52.333
And they're like, okay,

00:25:52.732 --> 00:25:54.794
now it's easier said than done,

00:25:54.933 --> 00:25:57.395
but keep looking like ask

00:25:57.415 --> 00:25:59.457
and you get told no, like, okay, keep,

00:25:59.616 --> 00:26:00.137
keep going.

00:26:00.258 --> 00:26:02.640
Like you have to pitch a lot

00:26:02.920 --> 00:26:04.520
to get the thing to work sometimes.

00:26:05.000 --> 00:26:05.579
Yeah, no,

00:26:05.819 --> 00:26:06.701
you touched on a lot of good

00:26:06.721 --> 00:26:07.101
things there.

00:26:07.121 --> 00:26:08.260
And one of my favorite sayings,

00:26:09.241 --> 00:26:11.762
it's like two best times to plant a tree,

00:26:11.883 --> 00:26:12.563
right?

00:26:12.623 --> 00:26:14.324
Right now and twenty years ago, right?

00:26:14.784 --> 00:26:15.084
You know,

00:26:15.144 --> 00:26:16.505
and so I think a lot of people

00:26:16.545 --> 00:26:19.066
have this paralysis when it

00:26:19.105 --> 00:26:20.486
comes to starting something

00:26:20.726 --> 00:26:22.386
that ultimately leads to inaction.

00:26:22.586 --> 00:26:26.548
And I was fortunate to receive some good

00:26:28.961 --> 00:26:30.782
mentorship if you will um

00:26:30.823 --> 00:26:31.823
you know kind of early on

00:26:31.843 --> 00:26:32.702
that was pretty much like

00:26:32.843 --> 00:26:34.124
you just have to start that

00:26:34.243 --> 00:26:35.163
that means something

00:26:35.663 --> 00:26:36.944
different to everybody but

00:26:37.724 --> 00:26:38.684
you know the smaller you

00:26:38.846 --> 00:26:39.885
you make that first step

00:26:39.925 --> 00:26:40.846
the more realistic it's

00:26:40.865 --> 00:26:43.366
going to be that uh that

00:26:43.386 --> 00:26:44.728
you'll actually do it and

00:26:44.847 --> 00:26:46.907
you know I I went up full

00:26:46.948 --> 00:26:48.449
time and I was like okay well

00:26:49.008 --> 00:26:49.768
Like I said,

00:26:49.948 --> 00:26:51.249
this isn't really where I want to be.

00:26:51.288 --> 00:26:53.230
This isn't what the emotion wants.

00:26:53.250 --> 00:26:54.750
This isn't what the day to day wants.

00:26:55.190 --> 00:26:56.230
You know, so I was like, okay, well,

00:26:56.250 --> 00:26:58.372
how do I get to that five year point?

00:26:59.632 --> 00:27:00.491
How do I close the gap?

00:27:00.531 --> 00:27:00.752
Right.

00:27:00.792 --> 00:27:01.952
And for me, it was kind of like, okay,

00:27:01.972 --> 00:27:02.913
let's supplement things

00:27:02.952 --> 00:27:04.294
with some pure end type things.

00:27:04.334 --> 00:27:06.494
And, you know, I was exactly that.

00:27:06.555 --> 00:27:08.255
I was in a hospital, you know,

00:27:08.715 --> 00:27:10.135
one to four days during the week.

00:27:10.155 --> 00:27:12.136
I was in an outpatient clinic, um,

00:27:13.228 --> 00:27:14.689
two to three times a week I

00:27:14.709 --> 00:27:15.849
take a whole week off you

00:27:15.869 --> 00:27:17.651
know and then I I just

00:27:17.671 --> 00:27:19.811
being the um side business

00:27:19.852 --> 00:27:21.252
side hustle person that you

00:27:21.272 --> 00:27:22.413
know I tend to kind of come

00:27:22.452 --> 00:27:24.153
up with I had a staging

00:27:24.213 --> 00:27:25.194
installation business I

00:27:25.214 --> 00:27:25.976
worked with interior

00:27:25.996 --> 00:27:27.476
designers just like doing

00:27:27.496 --> 00:27:28.717
manual labor like I love

00:27:28.777 --> 00:27:30.077
just you know staying

00:27:30.137 --> 00:27:31.598
active and busy and you

00:27:31.618 --> 00:27:33.440
know if you if you

00:27:34.238 --> 00:27:36.240
aren't happy where you're at.

00:27:36.280 --> 00:27:37.422
You just got to do something.

00:27:37.461 --> 00:27:38.022
You know what I mean?

00:27:38.083 --> 00:27:39.364
And it's just like, you'll get there.

00:27:40.164 --> 00:27:41.666
But I think people are too

00:27:41.707 --> 00:27:42.888
afraid to take that step.

00:27:42.929 --> 00:27:44.471
And I think it's very much

00:27:44.490 --> 00:27:45.571
too often that you just

00:27:45.592 --> 00:27:46.732
make that step too big.

00:27:46.752 --> 00:27:48.434
You try to take a jump and it's just like,

00:27:48.454 --> 00:27:49.115
let's just like,

00:27:49.436 --> 00:27:50.837
let's walk before you run.

00:27:50.938 --> 00:27:51.318
Love that.

00:27:51.578 --> 00:27:52.460
the other quote I like with

00:27:52.500 --> 00:27:53.601
that the the quote that you

00:27:53.641 --> 00:27:55.241
mentioned which is the two

00:27:55.281 --> 00:27:56.423
best times to plant a tree

00:27:56.482 --> 00:27:57.804
twenty years ago and today

00:27:58.265 --> 00:27:59.265
I like to pair it with the

00:27:59.365 --> 00:28:00.526
other one too which is

00:28:01.106 --> 00:28:03.088
society grows great when

00:28:03.288 --> 00:28:05.089
old men plant trees whose

00:28:05.130 --> 00:28:06.310
shade they know they'll

00:28:06.351 --> 00:28:07.771
never sit in which is like

00:28:07.893 --> 00:28:09.074
you're gonna do something

00:28:09.453 --> 00:28:11.035
that you know you will

00:28:11.095 --> 00:28:12.876
never benefit from some of

00:28:12.896 --> 00:28:14.178
that work that you're doing

00:28:15.118 --> 00:28:16.278
you're not going to see the return

00:28:17.236 --> 00:28:18.758
But a lot of the things that

00:28:18.778 --> 00:28:20.338
you enjoy now were done by

00:28:20.398 --> 00:28:21.460
people who did it,

00:28:21.519 --> 00:28:22.780
who never saw the return.

00:28:22.820 --> 00:28:23.281
And that's just,

00:28:23.642 --> 00:28:24.942
that's a fancy way of saying like,

00:28:24.982 --> 00:28:26.183
sort of like pay it forward.

00:28:26.223 --> 00:28:27.865
But that's where your stoke

00:28:27.905 --> 00:28:28.767
trip to is like,

00:28:28.826 --> 00:28:30.688
maybe you never get paid for that trip,

00:28:30.748 --> 00:28:32.150
but you got paid for that trip.

00:28:32.210 --> 00:28:32.650
You know what I mean?

00:28:32.690 --> 00:28:33.490
Like you got it in.

00:28:33.510 --> 00:28:33.711
Oh yeah.

00:28:33.730 --> 00:28:34.912
Yeah, absolutely.

00:28:36.232 --> 00:28:36.452
Cody,

00:28:36.472 --> 00:28:37.374
last thing we do on the show is

00:28:37.394 --> 00:28:38.634
called the parting shot.

00:28:39.253 --> 00:28:40.035
What's something you want to

00:28:40.055 --> 00:28:40.714
leave with the audience?

00:28:40.734 --> 00:28:42.036
What's your mic drop moment?

00:28:42.056 --> 00:28:42.895
You can use a quote.

00:28:42.935 --> 00:28:44.576
You can reuse stuff that's allowed,

00:28:44.616 --> 00:28:45.237
whatever you'd want to.

00:28:45.676 --> 00:28:46.377
What's the last thing you

00:28:46.397 --> 00:28:47.518
want to leave on people's minds?

00:28:48.298 --> 00:28:51.859
Yeah, you know, I think that's tough.

00:28:52.579 --> 00:28:55.622
I even knew this was coming, and I didn't,

00:28:55.682 --> 00:28:55.981
you know,

00:28:56.021 --> 00:28:56.922
like I thought I was going to

00:28:56.942 --> 00:28:57.762
have something good.

00:28:57.823 --> 00:28:58.883
I thought I was, you know.

00:29:00.584 --> 00:29:01.124
My thing is,

00:29:01.183 --> 00:29:04.244
it's like I got into PT

00:29:04.285 --> 00:29:05.365
because I wanted to help people.

00:29:06.076 --> 00:29:08.837
And, uh, for me right now,

00:29:08.897 --> 00:29:09.778
that looks a lot different

00:29:09.818 --> 00:29:11.319
than when I was full-time clinic care.

00:29:11.880 --> 00:29:13.801
And I think, um,

00:29:13.862 --> 00:29:19.226
not being afraid to be afraid of change,

00:29:19.425 --> 00:29:19.645
right?

00:29:19.705 --> 00:29:20.686
I think that's, you know,

00:29:20.727 --> 00:29:21.807
things are fluid and things

00:29:21.826 --> 00:29:22.827
are changing and our

00:29:22.847 --> 00:29:24.449
healthcare system is all over the place.

00:29:24.509 --> 00:29:25.289
And, you know,

00:29:25.309 --> 00:29:26.651
it kind of changes one day at a time,

00:29:26.891 --> 00:29:27.912
change it one room at a time,

00:29:27.971 --> 00:29:29.173
one conversation at a time.

00:29:29.212 --> 00:29:32.255
And so, you know, being willing to ask, um,

00:29:32.275 --> 00:29:33.715
talk to people, um,

00:29:34.135 --> 00:29:35.656
That's one thing that I always appreciate.

00:29:35.676 --> 00:29:36.557
I get people to reach out to

00:29:36.576 --> 00:29:37.356
me on LinkedIn like, hey,

00:29:37.396 --> 00:29:37.896
how'd you get there?

00:29:38.237 --> 00:29:39.258
I love having those

00:29:39.298 --> 00:29:40.337
conversations because it

00:29:40.357 --> 00:29:42.338
just gets people to think differently.

00:29:42.378 --> 00:29:44.739
And we're institutionalized

00:29:44.798 --> 00:29:46.119
in a way where we're kind

00:29:46.200 --> 00:29:49.560
of developed to think in certain ways.

00:29:49.621 --> 00:29:50.881
And it's the people that

00:29:51.141 --> 00:29:52.182
kind of step outside of

00:29:52.201 --> 00:29:54.281
that and look around that

00:29:54.362 --> 00:29:55.942
ultimately get where they want to be.

00:29:55.962 --> 00:29:56.782
They're the happy ones

00:29:56.823 --> 00:29:57.624
because they didn't let

00:29:57.663 --> 00:29:58.544
somebody else dictate

00:29:59.453 --> 00:30:00.855
what they spent their time doing.

00:30:00.934 --> 00:30:02.316
So, yeah, I think, you know,

00:30:02.336 --> 00:30:03.336
I don't know if that's

00:30:03.496 --> 00:30:05.778
quite the mic drop moment I

00:30:05.798 --> 00:30:07.618
was hoping for, but you know, if I can,

00:30:08.019 --> 00:30:09.039
if I can encourage one

00:30:09.079 --> 00:30:09.700
person to have a

00:30:09.740 --> 00:30:10.840
conversation and to reach

00:30:10.961 --> 00:30:11.721
out and just think

00:30:11.760 --> 00:30:13.182
differently about their current position,

00:30:13.201 --> 00:30:15.644
then, you know, I've won the day.

00:30:16.124 --> 00:30:16.624
Yeah.

00:30:16.663 --> 00:30:16.804
Yeah.

00:30:16.824 --> 00:30:17.964
It makes me think of another great quote.

00:30:18.025 --> 00:30:19.105
We're dropping quote bombs here.

00:30:19.125 --> 00:30:20.707
I love it.

00:30:20.787 --> 00:30:22.807
If the, it's a great quote for PT as well,

00:30:22.907 --> 00:30:23.948
or rehab or anything,

00:30:23.969 --> 00:30:25.950
which is if the plan doesn't work,

00:30:26.609 --> 00:30:28.471
change the plan, not the goal,

00:30:28.731 --> 00:30:29.893
like change the plan.

00:30:29.972 --> 00:30:32.714
So like your goal was to help people.

00:30:33.154 --> 00:30:34.155
And that in the beginning

00:30:34.195 --> 00:30:35.457
looked like walking into a

00:30:35.497 --> 00:30:36.877
clinic and helping people there.

00:30:37.558 --> 00:30:39.140
And then that didn't fulfill you,

00:30:39.220 --> 00:30:40.260
or maybe you just wanted to change.

00:30:40.280 --> 00:30:42.242
You change the plan, but not the goal.

00:30:42.262 --> 00:30:43.963
The goal is still very much

00:30:44.003 --> 00:30:44.865
in your sights.

00:30:45.684 --> 00:30:46.766
Cody, appreciate the time, man.

00:30:46.786 --> 00:30:48.928
Thanks for doing this and sharing.

00:30:48.968 --> 00:30:50.548
And maybe one person out there is going,

00:30:50.648 --> 00:30:50.930
okay,

00:30:51.589 --> 00:30:51.931
all right,

00:30:52.191 --> 00:30:53.913
I saw one other person doing this.

00:30:54.536 --> 00:30:55.678
I was on the end of a diving board.

00:30:55.718 --> 00:30:56.459
I might do that too.

00:30:56.499 --> 00:30:57.401
So appreciate your time, man.

00:30:57.421 --> 00:30:58.261
Yeah, thank you.