Why Physical Therapists Are Burnt Out (And What Actually Fixes It)

WEBVTT

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You're listening to the PT Pinecast,

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where smart people in healthcare come to

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make noise.

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Here's your host, Jimmy McKay.

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All right.

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I do want to say thanks to Sarah

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Health,

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helping physical therapy clinics automate

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patient communication and reduce front

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desk workload so clinicians can focus on

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care.

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Patients get care between visits and

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clinics get revenue for that so they can

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provide, wait for it, more care.

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So make sure you reach out to Sarah

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Health to find out exactly how you can

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get paid for the care that you provide

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between visits.

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That's SarahHealth.com.

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That's SarahHealth, S-A-R-A-Health.com.

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Let's talk about today's guest.

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There's a lot of conversations happening

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in our profession right now about burnout.

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Words come up a lot.

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productivity expectations?

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How about reimbursement pressure?

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How about whether the profession is even

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worth staying in right now?

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But if you zoom out for enough,

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the conversation then changes.

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Because in many parts of the world,

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physical therapy isn't a stressed

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profession.

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It's a missing one.

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There are communities where access to

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rehab care is almost non-existent,

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where a stroke survivor might never see a

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therapist,

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where a child with CP might never receive

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basic mobility training.

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Today's guest believes that the solution

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to frustration in our profession isn't

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always found in policy debates or

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reimbursement reform.

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Sometimes it's found in perspective.

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He left a strong career in the U.S.,

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packed up his family, and moved to St.

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Elizabeth,

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Jamaica to direct a PT clinic serving a

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community with limited access to rehab

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services.

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Fresh off a Category Five hurricane,

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he's back helping rebuild both roofs

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and access to care.

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Today, we're talking about purpose,

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perspective,

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and why physical therapists may be sitting

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on one of the most globally valuable skill

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sets in all of healthcare.

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Today, let's welcome in Derek Landis.

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Derek, welcome to the show, man.

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Hey, thanks for having me, Jimmy.

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Excited to chat a little bit and talk

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about therapy around the world.

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Love it.

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All right.

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So let's start here.

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After that intro,

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you had a stable career here in the

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U S as a physical therapist,

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and then made that choice to move yourself

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and your family to Jamaica.

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What was the moment where you just,

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where that decision really became tangible

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and real for you?

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What was that like?

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Yeah, it was exciting and really scary.

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I think at the same time, you know,

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when, when, uh,

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They reached out to clinic down in Jamaica

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we're familiar with.

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My wife and I are both grads of

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Arcadia,

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and they have a strong relationship.

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The executive director of the nonprofit

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down here in Jamaica is an Arcadia grad.

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She's been running the clinic for over

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twenty years.

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And so Arcadia students get a chance to

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come down and help a couple of times

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a year.

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They try and have camps at the clinic

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where they bring in

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Patients that have had stroke mostly and

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do like a week or a week and

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a half long intensive camp therapy all

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day, every day, which is awesome.

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You see amazing gains in some of these

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folks.

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But that's how we got to know it.

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We came as students in twenty ten and

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we came back again as clinicians in twenty

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thirteen.

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So so we knew them.

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But in the summer of twenty four,

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they reached out.

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and said, Hey, you know,

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we need some help down here.

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Would you come?

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Uh,

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and so we thought a lot about it,

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prayed a lot about that.

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Um, I came down and visited again,

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you know, since, you know,

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we had in the meantime,

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we had had two, two girls, um,

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eight years old and three years old.

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So we wanted to come and visit and

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see what it's like.

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Um, but yeah, then we decided, yeah,

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let's do it.

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We feel like this is where God is

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leading us.

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We want to come down and help and

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use our skills.

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Um,

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and it was just immense excitement and,

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and some terror, I think in there too,

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because, you know, we were leaving,

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you know, our stable,

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good jobs in the U S and traveling

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to, you know,

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where we're not going to be making a

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lot of money,

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not having a lot of resources.

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So there was fundraising and some other

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things that went along with that,

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that were pretty daunting, but,

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but I would say, yeah,

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mostly excitement as we,

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as we packed up and came and,

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you know, look to,

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to be able to serve in a place

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that yeah,

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has

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very limited,

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very limited access to rehab.

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Now for people listening for PTs who've

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only practiced in the US,

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what's simple to you might not be simple

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to them.

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So help us understand the difference in

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access to care in the US versus where

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you are in Jamaica.

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So yeah, the biggest problem in Jamaica,

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there's a huge need,

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but there's just not a lot of places

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that offer therapy.

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You know, across the whole island,

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my wife had done some research, Stephanie,

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she's a therapist as well.

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Um,

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and then working with me in the clinic,

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you know, she had done some,

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some crazy statistics about how they're,

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you know, in our parish of St.

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Elizabeth parishes is kind of like a

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state, uh, back home, you know,

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there's a hundred and fifty thousand ish,

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you know,

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people there's like three licensed

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therapists.

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Um, and then, you know, the,

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the clinics that there are mostly little,

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outpatient ortho think type deals.

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Not a lot of places that have any

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resource to handle, you know,

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someone who's post CBA that can't stand or

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can't walk.

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You know,

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so the clinic really tries to work with

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people.

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You know,

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we try to go and pick people up

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and just gain access because it's so tough

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here for the folks.

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There's not a lot of clinics and

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transportation and getting around isn't

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easy.

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either.

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A lot of folks don't have cars.

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You know,

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the taxi man's not exactly going to throw

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you in the back if you're a dependent

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transfer.

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So families are trying to get people to

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therapy.

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We're trying to get access,

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but it's just really hard.

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You know, back home, it's funny.

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You drive down the road.

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You know,

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if you're on a busy main road,

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you're probably going to pass a few PT

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clinics, you know,

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every couple of miles or so because back

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home,

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no one's willing to go more than

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a couple of miles from their home.

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So we've got tons,

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but here there's just not many at all.

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And there's still a lot of people that

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need it.

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So yeah, it's just a lot different.

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The amount of access they have,

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the ability to access services is just so

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much more limited here than back home.

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So you mentioned a few of the conditions

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that show up most often.

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Help me understand what changes when PT

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does become available.

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If you've got people who have limited

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resources,

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if they are able to actually get to

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those,

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what changes for some of those people in

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your parish in their daily lives because

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you're there?

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So the coolest ones are, I mean,

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the stroke patients are kind of nearest

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and dearest to my heart.

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You know,

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that's neurogeriatrics was my specialty

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back home.

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And so that's the stuff that I love

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the most.

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You know,

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I'm brushing up on my ortho because,

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you know, it's a farming community.

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It's a rural farming community where we

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live.

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So we deal with a lot of tough

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people that are dealing with.

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you know, shoulder pain, back pain,

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just from labor intensive type work.

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Um, so I enjoy those patients, you know,

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seeing someone get back to work is,

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is fun, but man,

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seeing someone get back to, you know,

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standing up and transferring,

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that's just been in bed for,

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for the last year because no one even

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really thought, you know, Oh,

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you had a stroke and you left the

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hospital and that's it.

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We're going to put you in bed and

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feed you and clean you.

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And,

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And it's just not an understanding.

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There's so much education just for folks

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right off the bat.

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Like, no, listen, we can try.

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We're going to get you up in a

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harness.

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We're going to do all this work.

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Because if we do,

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you might be able to start standing and

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moving around again.

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And sometimes it's just the education of,

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yes, it could be possible.

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It's not a definite.

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We can't work miracles.

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know the the education to people that you

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might be able to get up and do

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it again you might not walk or maybe

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you can but maybe we can get you

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transferring and just opening up

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possibilities to people that just were

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sort of written off as

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you know, now we just have to,

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to leave you there.

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So that's the funnest, biggest difference.

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Um,

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but I also have a bunch of people

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that I'm working on basically on return to

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work.

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Um, it's not as, you know,

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official or regulated as it is back home,

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uh, with work comp and all that nonsense.

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But down here it's, it's, you're,

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you're hurt.

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You can't work.

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Um,

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So we're going to work on these things.

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Yeah.

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If we can get you back to work.

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So that's fun too,

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but I think it's the neuro folks,

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the stroke folks that,

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that are the most fun.

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Yeah.

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A lot of therapists here in the U

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S are questioning whether the profession

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is worth it.

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I'm using air quotes there for worth it.

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You've seen our profession of physical

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therapy through a very different lens.

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What perspective do you wish more

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therapists had?

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So, yeah,

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I know there's a lot of talk about

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the things you mentioned, you know,

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salaries and reimbursements declining for

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the last twenty years.

00:09:51.159 --> 00:09:54.962
Crazy statistic that is awful for our

00:09:54.982 --> 00:09:55.562
profession.

00:09:56.783 --> 00:09:58.304
you know all those things and those are

00:09:58.346 --> 00:10:01.107
valid conversations valid points i'm sure

00:10:01.128 --> 00:10:02.548
we'll be back into it you know when

00:10:02.589 --> 00:10:06.113
we're back in the states um but here

00:10:06.413 --> 00:10:08.554
you just remember here how valuable our

00:10:08.595 --> 00:10:10.395
skill is and how much it helps people

00:10:11.157 --> 00:10:14.600
um so back home i i hope people

00:10:14.659 --> 00:10:17.322
anyone listening will just remember like

00:10:17.342 --> 00:10:20.885
you have a an awesome skill that people

00:10:20.985 --> 00:10:22.706
really need um

00:10:23.779 --> 00:10:26.441
And is really helpful to people.

00:10:26.941 --> 00:10:28.302
So if, yeah,

00:10:28.322 --> 00:10:29.582
if you're in a place where you don't

00:10:29.623 --> 00:10:30.102
feel that,

00:10:30.182 --> 00:10:31.482
I would challenge you to look around

00:10:31.523 --> 00:10:33.024
because there's places still, even,

00:10:33.104 --> 00:10:33.323
you know,

00:10:33.344 --> 00:10:36.306
back home in a lot of clinics where

00:10:36.326 --> 00:10:37.586
you can still really help people.

00:10:37.706 --> 00:10:37.966
And yeah,

00:10:38.005 --> 00:10:40.606
that might be helping them with their golf

00:10:40.626 --> 00:10:40.947
swing.

00:10:40.967 --> 00:10:43.489
And it's not maybe as dramatic and

00:10:43.509 --> 00:10:45.269
life-changing, but that's still important.

00:10:45.889 --> 00:10:47.029
And it's still an important thing to

00:10:47.070 --> 00:10:48.750
remember and focus on that.

00:10:49.326 --> 00:10:50.826
that we're hoping people live better,

00:10:51.027 --> 00:10:51.908
live stronger.

00:10:53.048 --> 00:10:54.909
My fox might be coming through a little

00:10:54.950 --> 00:10:56.652
bit, but it's true.

00:10:56.711 --> 00:10:59.153
And I think we want people to remember

00:10:59.173 --> 00:11:03.076
that, that we are really helping people.

00:11:03.476 --> 00:11:04.597
And I know it's frustrating that

00:11:04.618 --> 00:11:06.379
reimbursement's gone down and you're only

00:11:06.418 --> 00:11:07.941
making whatever, eighty,

00:11:08.441 --> 00:11:09.761
eighty-five thousand dollars a year.

00:11:09.782 --> 00:11:11.202
And we want to be making more because

00:11:11.222 --> 00:11:12.344
we have all the debt and all the

00:11:12.364 --> 00:11:12.703
work.

00:11:12.764 --> 00:11:14.885
And those are good things to think about

00:11:15.086 --> 00:11:15.687
and lobby for.

00:11:16.606 --> 00:11:18.328
But I would challenge people to remember

00:11:19.269 --> 00:11:20.789
Yeah, what this is all about,

00:11:20.850 --> 00:11:21.990
how much this really helps people.

00:11:22.030 --> 00:11:23.871
Sure.

00:11:23.912 --> 00:11:25.753
So the clinic that you work at has

00:11:25.773 --> 00:11:26.894
been serving the community,

00:11:26.974 --> 00:11:27.774
and you mentioned before,

00:11:27.794 --> 00:11:29.235
for over two decades.

00:11:29.615 --> 00:11:31.317
That's not a short amount of time.

00:11:31.917 --> 00:11:35.440
What does long-term impact actually look

00:11:35.480 --> 00:11:35.679
like?

00:11:35.720 --> 00:11:37.140
This isn't you coming to town,

00:11:37.221 --> 00:11:38.642
doing some things for a week or a

00:11:38.682 --> 00:11:39.461
month or even a year.

00:11:39.682 --> 00:11:40.602
This is two decades.

00:11:41.062 --> 00:11:43.784
So what does long-term impact look like in

00:11:43.804 --> 00:11:45.546
a community like that with a clinic who's

00:11:45.586 --> 00:11:46.527
been there for that long?

00:11:47.571 --> 00:11:48.871
So the,

00:11:48.892 --> 00:11:51.893
the impact becomes more missional than

00:11:51.952 --> 00:11:54.533
like we're known and respected in the

00:11:54.573 --> 00:11:55.294
community.

00:11:55.934 --> 00:11:56.796
Um, you know,

00:11:56.816 --> 00:11:58.655
the property that the clinic is on is

00:11:58.756 --> 00:12:00.116
actually, uh,

00:12:00.136 --> 00:12:01.798
it was previously a residential deaf

00:12:01.837 --> 00:12:02.238
school.

00:12:02.918 --> 00:12:05.240
Um, so there's a lot of facilities here.

00:12:05.259 --> 00:12:05.940
There's a lot, you know,

00:12:05.980 --> 00:12:07.461
we were able to come down and live

00:12:07.500 --> 00:12:09.621
like right across from the clinic, um,

00:12:09.802 --> 00:12:11.263
where the kids used to live.

00:12:11.822 --> 00:12:12.884
Um, that went to the deaf school,

00:12:12.903 --> 00:12:14.183
the deaf school closed down and.

00:12:14.803 --> 00:12:15.684
Twenty eighteen.

00:12:16.335 --> 00:12:17.775
And they were able to move their clinic

00:12:17.855 --> 00:12:19.355
up from where it was previously.

00:12:20.755 --> 00:12:22.496
But what that means is that they're known

00:12:22.537 --> 00:12:23.517
in the community.

00:12:23.557 --> 00:12:25.717
They have resources and space now to house

00:12:25.738 --> 00:12:26.118
people.

00:12:27.197 --> 00:12:28.438
So they're able to do a lot more

00:12:28.479 --> 00:12:30.298
for the community than just therapy.

00:12:30.318 --> 00:12:31.480
They're able to reach out.

00:12:32.539 --> 00:12:33.740
You know, we host work groups.

00:12:33.820 --> 00:12:36.941
After the hurricane, you know,

00:12:36.980 --> 00:12:38.822
the clinic was banged up a little bit.

00:12:38.841 --> 00:12:40.001
We had to shut that down.

00:12:41.023 --> 00:12:42.222
But we got that repaired.

00:12:43.214 --> 00:12:44.294
And we said, you know what,

00:12:44.335 --> 00:12:46.115
we really want to reach out,

00:12:46.635 --> 00:12:49.476
take some time to help others rebuild with

00:12:49.496 --> 00:12:50.476
the resources we have.

00:12:50.496 --> 00:12:53.798
So we partnered with some disaster relief

00:12:53.857 --> 00:12:54.879
organizations.

00:12:55.698 --> 00:12:57.480
God's Pit Crew was one of them and

00:12:57.519 --> 00:13:00.221
Hope Force International was another one.

00:13:00.280 --> 00:13:01.861
And we were kind of like a home

00:13:01.902 --> 00:13:02.782
base, you know,

00:13:02.802 --> 00:13:03.922
a place for them to stay.

00:13:03.981 --> 00:13:06.283
We went out with them to do some

00:13:06.302 --> 00:13:06.964
of the work,

00:13:07.004 --> 00:13:10.245
a lot of debris cleanup and roof repairs.

00:13:11.160 --> 00:13:13.741
I was reminded that physical therapy is

00:13:13.782 --> 00:13:14.962
definitely my skill set,

00:13:15.003 --> 00:13:17.585
trying to tarp and repair roofs.

00:13:17.664 --> 00:13:19.546
I was a little bit of a fish

00:13:19.846 --> 00:13:20.525
out of water,

00:13:20.765 --> 00:13:22.547
but it was a special thing to be

00:13:22.606 --> 00:13:24.508
able to, in that time, you know,

00:13:24.528 --> 00:13:26.408
in that devastation, be able to go out,

00:13:27.070 --> 00:13:28.350
um, you know,

00:13:28.370 --> 00:13:29.610
with people who didn't know what they were

00:13:29.630 --> 00:13:32.513
doing, uh, to help, help rebuild.

00:13:32.592 --> 00:13:33.913
And that is what you can really do.

00:13:33.974 --> 00:13:35.573
I think when you've been in the community

00:13:35.634 --> 00:13:37.576
a long time, you know,

00:13:37.596 --> 00:13:38.216
the needs

00:13:38.700 --> 00:13:39.341
you know,

00:13:39.500 --> 00:13:41.302
these outside groups that are coming in,

00:13:41.702 --> 00:13:43.125
that's what they need.

00:13:43.144 --> 00:13:44.746
They need a local partner who knows the

00:13:44.886 --> 00:13:46.568
area and who knows where the needs really

00:13:46.688 --> 00:13:48.890
are that can point them and their

00:13:48.951 --> 00:13:50.552
resources in the right direction.

00:13:51.094 --> 00:13:51.433
So yeah,

00:13:51.453 --> 00:13:56.539
the long-term impact is great for therapy

00:13:56.679 --> 00:13:58.101
and helping people move better and

00:13:58.591 --> 00:13:58.912
you know,

00:13:58.951 --> 00:14:00.673
being a resource for the doctors in the

00:14:00.793 --> 00:14:02.312
area that they can send patients.

00:14:03.592 --> 00:14:06.274
But I think it just becomes more of

00:14:06.313 --> 00:14:06.813
a greater,

00:14:06.974 --> 00:14:08.793
bigger picture impact where you can really

00:14:08.813 --> 00:14:11.274
help and support a community and bring in

00:14:11.315 --> 00:14:12.754
resources and point them in the right

00:14:12.794 --> 00:14:13.316
direction.

00:14:14.956 --> 00:14:17.235
You've said therapists should zoom out,

00:14:17.777 --> 00:14:20.017
think bigger about how they use their

00:14:20.096 --> 00:14:20.557
skills.

00:14:21.677 --> 00:14:22.557
Help me understand,

00:14:22.817 --> 00:14:24.597
what does that look like practically?

00:14:24.658 --> 00:14:25.558
What do you wish,

00:14:25.778 --> 00:14:27.058
what do you hope to see in the

00:14:27.099 --> 00:14:27.438
future?

00:14:28.443 --> 00:14:28.864
Yeah, I mean,

00:14:28.923 --> 00:14:30.426
I know everyone's not going to pick up

00:14:30.546 --> 00:14:33.087
and move to another country, right?

00:14:33.107 --> 00:14:34.869
That's a tough thing,

00:14:34.908 --> 00:14:36.330
and not everyone's in the position to do

00:14:36.350 --> 00:14:36.470
that.

00:14:36.509 --> 00:14:37.951
We were fortunate, you know,

00:14:37.971 --> 00:14:39.932
that we had that connection from school

00:14:39.993 --> 00:14:42.754
and some volunteer work, you know,

00:14:42.774 --> 00:14:43.655
a decade ago,

00:14:44.397 --> 00:14:45.717
and we were invited to come down,

00:14:45.778 --> 00:14:46.618
and yeah,

00:14:46.638 --> 00:14:47.859
not everyone's going to have that.

00:14:47.918 --> 00:14:49.419
So, you know,

00:14:49.520 --> 00:14:51.201
even just in your own communities,

00:14:51.241 --> 00:14:53.123
you know, I had to really, you know,

00:14:53.182 --> 00:14:54.965
even being down here, I challenged myself.

00:14:54.985 --> 00:14:56.326
I'm like, man, I'm doing this, but,

00:14:56.765 --> 00:14:57.647
you know, for the past,

00:14:58.341 --> 00:15:00.982
ten years before we came down here i

00:15:01.023 --> 00:15:03.445
wasn't doing anything either um even

00:15:03.485 --> 00:15:05.065
though in pittsburgh you know my wife and

00:15:05.125 --> 00:15:07.226
i live you know in the suburbs north

00:15:07.267 --> 00:15:10.107
of pittsburgh like there are pro bono

00:15:10.128 --> 00:15:12.408
clinics that you could look up you know

00:15:12.428 --> 00:15:14.090
in downtown pittsburgh there's a catholic

00:15:14.490 --> 00:15:17.851
the catholic charities have a clinic um

00:15:17.871 --> 00:15:20.413
downtown i was emailing back and forth

00:15:20.432 --> 00:15:21.594
with them a little bit just because i

00:15:21.614 --> 00:15:23.774
was curious you know they have they have

00:15:23.815 --> 00:15:25.635
hours all during the week um

00:15:26.333 --> 00:15:28.275
And they're just open when therapists

00:15:28.416 --> 00:15:29.636
actually come and volunteer.

00:15:30.778 --> 00:15:32.320
So I think for most folks, right,

00:15:32.700 --> 00:15:34.101
the key is look around.

00:15:34.601 --> 00:15:36.985
There are pro bono clinics.

00:15:37.345 --> 00:15:39.586
There are places you can go and serve,

00:15:40.028 --> 00:15:40.227
you know,

00:15:40.248 --> 00:15:42.190
for people who are underinsured or who

00:15:42.210 --> 00:15:43.191
don't have insurance.

00:15:44.111 --> 00:15:44.913
People who, you know,

00:15:44.932 --> 00:15:46.014
there's definitely places

00:15:46.687 --> 00:15:48.567
where there isn't a clinic every couple of

00:15:48.607 --> 00:15:48.868
miles.

00:15:49.447 --> 00:15:50.208
Um,

00:15:50.308 --> 00:15:53.090
and people have a terrible time accessing

00:15:53.129 --> 00:15:53.549
care.

00:15:53.971 --> 00:15:55.270
And I think there is where you can

00:15:55.311 --> 00:15:57.172
really find people who really want it,

00:15:57.292 --> 00:15:59.972
who really benefit from it and who,

00:16:00.514 --> 00:16:01.953
whose lives are really going to be

00:16:02.014 --> 00:16:03.534
impacted, you know,

00:16:03.634 --> 00:16:06.657
even just from an evaluation and even just

00:16:06.697 --> 00:16:08.238
from education,

00:16:08.278 --> 00:16:09.658
pointing them in the right direction,

00:16:09.697 --> 00:16:12.840
you know, try, try these exercises or yes,

00:16:12.879 --> 00:16:15.260
there are walkers that, you know,

00:16:16.147 --> 00:16:17.967
have extensions and can hold you upright

00:16:18.008 --> 00:16:18.788
and this and that, and,

00:16:19.208 --> 00:16:21.811
and just showing people what is possible

00:16:21.850 --> 00:16:22.692
and what's out there.

00:16:23.272 --> 00:16:24.552
Um, so yeah,

00:16:24.613 --> 00:16:26.975
I hope practically that that's one

00:16:27.634 --> 00:16:28.355
listening can,

00:16:28.816 --> 00:16:30.716
can start to be curious what's already

00:16:30.736 --> 00:16:32.979
around me, where can I are, you know,

00:16:33.019 --> 00:16:35.400
where can I lend a hand and, and,

00:16:35.441 --> 00:16:35.660
you know,

00:16:35.701 --> 00:16:38.143
clinic practice directors and owners,

00:16:38.523 --> 00:16:38.722
you know,

00:16:38.783 --> 00:16:41.284
how can our organization support some of

00:16:41.304 --> 00:16:41.825
these things?

00:16:41.865 --> 00:16:42.885
You know, how can we gather

00:16:43.874 --> 00:16:47.134
our staff and support efforts that are

00:16:47.195 --> 00:16:51.897
already going on or who can we support

00:16:52.616 --> 00:16:52.996
that's gone.

00:16:53.017 --> 00:16:54.937
There's lots of other organizations around

00:16:55.998 --> 00:16:57.719
traveling to different countries with

00:16:57.778 --> 00:16:58.798
rehab focuses.

00:16:59.744 --> 00:17:00.004
Yeah.

00:17:00.224 --> 00:17:00.384
Yeah.

00:17:00.443 --> 00:17:02.706
Remote area medical is one of them that

00:17:03.086 --> 00:17:04.446
my former professor, Sky Donovan,

00:17:04.487 --> 00:17:05.366
volunteers for a lot.

00:17:05.406 --> 00:17:07.607
And they go to rural America and they

00:17:07.627 --> 00:17:09.229
say the need is great.

00:17:09.709 --> 00:17:12.211
A few hours or maybe even not a

00:17:12.250 --> 00:17:12.750
few hours,

00:17:12.830 --> 00:17:14.392
just outside a lot of major U.S.

00:17:14.432 --> 00:17:15.932
cities that you maybe wouldn't know.

00:17:15.952 --> 00:17:17.653
Yeah.

00:17:17.673 --> 00:17:19.714
Let's play a quick rapid fire.

00:17:19.734 --> 00:17:21.155
I'll give you three scenarios.

00:17:21.496 --> 00:17:25.877
And then I just want your first reaction.

00:17:26.278 --> 00:17:27.858
This is really all around perspective

00:17:27.919 --> 00:17:28.779
check.

00:17:28.839 --> 00:17:29.039
So

00:17:30.696 --> 00:17:30.958
Derek,

00:17:30.978 --> 00:17:33.704
you can give one physical therapy student

00:17:34.205 --> 00:17:36.653
a plane ticket to anywhere in the world

00:17:36.813 --> 00:17:38.457
for a clinical experience.

00:17:38.959 --> 00:17:39.661
Where would you send them?

00:17:41.194 --> 00:17:42.695
Well, I gotta be a little selfish here.

00:17:42.715 --> 00:17:43.996
We need help in Jamaica.

00:17:44.056 --> 00:17:46.017
So I'm going to give them a plane

00:17:46.037 --> 00:17:47.557
ticket to Jamaica.

00:17:47.917 --> 00:17:50.219
I want to show them our clinic and

00:17:50.239 --> 00:17:51.199
what you can do here.

00:17:51.538 --> 00:17:52.078
We could,

00:17:52.179 --> 00:17:53.319
we could have a full case of it

00:17:53.359 --> 00:17:55.661
for you, uh, at no time.

00:17:56.221 --> 00:17:56.780
Um,

00:17:56.881 --> 00:17:58.001
and you would learn a ton here too.

00:17:58.021 --> 00:17:59.942
We have a very diverse, like I said,

00:17:59.962 --> 00:18:03.324
we got shoulder pain, back pain, you know,

00:18:03.988 --> 00:18:06.209
A lot of the young guys riding bikes

00:18:06.249 --> 00:18:08.650
around here, motorbikes, accidents,

00:18:08.690 --> 00:18:09.450
surgeries,

00:18:10.530 --> 00:18:12.612
stroke prevalence is pretty high.

00:18:14.311 --> 00:18:16.532
You know, our director sees pediatrics,

00:18:17.374 --> 00:18:18.374
developmental disorders.

00:18:18.453 --> 00:18:20.694
So, yeah, I'm going to be.

00:18:21.174 --> 00:18:23.757
I know of some others, you know,

00:18:23.797 --> 00:18:25.076
back from our Arcadia days,

00:18:25.116 --> 00:18:27.137
Hearts in Motion was going down to

00:18:27.157 --> 00:18:28.578
Guatemala and things like that.

00:18:28.598 --> 00:18:30.459
But I got to be a little selfish

00:18:30.479 --> 00:18:31.660
and take them down here to me.

00:18:32.963 --> 00:18:36.065
How about one physical therapy skill that

00:18:36.085 --> 00:18:39.326
becomes unbelievably valuable in a

00:18:39.426 --> 00:18:40.928
resource limited environment?

00:18:40.968 --> 00:18:42.347
What's something that we're sleeping on

00:18:42.367 --> 00:18:45.230
that we don't realize how powerful it is.

00:18:45.349 --> 00:18:47.270
Oh man, it's gotta be transfer training.

00:18:47.351 --> 00:18:50.612
Like it's such a basic PT one-on-one

00:18:50.652 --> 00:18:51.192
thing, right?

00:18:51.232 --> 00:18:53.013
Like sit pivot,

00:18:53.034 --> 00:18:55.835
stand pivot transfers is something you

00:18:55.894 --> 00:18:59.196
almost forget about because of how simple

00:18:59.257 --> 00:19:01.258
it is in our education and our profession.

00:19:01.897 --> 00:19:02.018
Um,

00:19:02.950 --> 00:19:03.471
But man,

00:19:03.651 --> 00:19:05.914
you get down here and you see,

00:19:06.434 --> 00:19:09.239
you know, sons and daughters, you know,

00:19:09.839 --> 00:19:11.983
picking mom up out of the car

00:19:12.801 --> 00:19:15.083
And like trying to carry her over to

00:19:15.103 --> 00:19:15.742
the wheelchair,

00:19:15.762 --> 00:19:17.983
ten feet away and put her down in

00:19:18.064 --> 00:19:19.904
it so they can wheel her in to

00:19:19.924 --> 00:19:22.726
the clinic is heartbreaking, right?

00:19:22.746 --> 00:19:24.646
But that's one of the most important

00:19:24.666 --> 00:19:26.567
skills is just showing people, no,

00:19:26.586 --> 00:19:28.528
there's a much better way where you're not

00:19:28.548 --> 00:19:30.989
going to hurt her or you or anybody

00:19:31.148 --> 00:19:31.449
else.

00:19:32.829 --> 00:19:33.630
So it's,

00:19:33.650 --> 00:19:36.171
I think it's those really simple things,

00:19:36.211 --> 00:19:37.570
especially for the neuro folks.

00:19:37.590 --> 00:19:39.711
That's one of those skills that don't

00:19:39.731 --> 00:19:40.251
forget about.

00:19:40.291 --> 00:19:41.553
Don't forget about educating.

00:19:41.909 --> 00:19:44.310
Don't take for granted that caregivers

00:19:44.330 --> 00:19:46.311
know how to do it because it's not

00:19:46.392 --> 00:19:47.012
all that intuitive.

00:19:47.032 --> 00:19:49.114
I think we forget about that.

00:19:49.153 --> 00:19:51.174
Yeah, we overlook what is common to us.

00:19:51.214 --> 00:19:53.997
We often undervalue and what is uncommon

00:19:54.037 --> 00:19:55.617
to us, we overvalue.

00:19:55.678 --> 00:19:58.420
So maybe don't undervalue what we actually

00:19:58.460 --> 00:19:58.579
know.

00:19:58.619 --> 00:20:00.342
It's pretty valuable.

00:20:00.362 --> 00:20:01.122
Third scenario.

00:20:02.222 --> 00:20:04.384
If every physical therapist had to

00:20:04.423 --> 00:20:07.026
volunteer one week a year somewhere

00:20:07.145 --> 00:20:08.047
underserved,

00:20:08.507 --> 00:20:10.509
what would happen to the profession in

00:20:10.548 --> 00:20:11.009
your opinion?

00:20:12.825 --> 00:20:14.866
I think we're always talking about morale,

00:20:15.007 --> 00:20:16.930
at least in previous employers.

00:20:18.010 --> 00:20:19.833
That's the key to morale, I think.

00:20:20.012 --> 00:20:22.615
I mean, yes, more money would be good.

00:20:22.655 --> 00:20:25.699
And yes, more time off and flexibility,

00:20:25.838 --> 00:20:26.460
all those things.

00:20:26.519 --> 00:20:27.480
Good, good, good.

00:20:27.840 --> 00:20:29.143
We see a lot of therapists go in

00:20:29.163 --> 00:20:33.928
different directions to try and find those

00:20:33.948 --> 00:20:34.188
things.

00:20:34.228 --> 00:20:34.729
But I think

00:20:35.321 --> 00:20:38.003
more fulfillment in the profession,

00:20:38.064 --> 00:20:40.665
more satisfaction with your job is,

00:20:40.925 --> 00:20:44.028
is going to come from more satisfaction

00:20:44.608 --> 00:20:46.690
with your choice of profession as a whole.

00:20:46.730 --> 00:20:49.332
And I think you can do that by

00:20:49.392 --> 00:20:52.233
finding people that, that really need it.

00:20:52.294 --> 00:20:54.174
Cause that's a different patient

00:20:54.214 --> 00:20:54.816
population.

00:20:54.836 --> 00:20:57.217
That's a different experience, you know,

00:20:57.257 --> 00:20:58.919
both for you and as well as the

00:20:58.959 --> 00:20:59.419
patient.

00:21:00.050 --> 00:21:01.471
But I think doing that,

00:21:01.491 --> 00:21:02.993
finding the clinic that's around,

00:21:03.013 --> 00:21:04.315
they're everywhere.

00:21:04.335 --> 00:21:06.896
You know, if they're not,

00:21:06.936 --> 00:21:08.198
certainly think about starting one.

00:21:08.218 --> 00:21:09.358
But look around.

00:21:09.439 --> 00:21:12.320
There's going to be a clinic nearby that

00:21:12.340 --> 00:21:14.103
you can get involved in,

00:21:14.143 --> 00:21:15.163
really help people,

00:21:15.723 --> 00:21:18.205
really gain that satisfaction with your

00:21:18.246 --> 00:21:18.866
profession.

00:21:19.467 --> 00:21:21.969
And I think that overflows into your

00:21:22.190 --> 00:21:24.592
regular full-time job and the amount of

00:21:24.672 --> 00:21:27.973
satisfaction you have just in general with

00:21:27.994 --> 00:21:28.515
what you're doing.

00:21:29.332 --> 00:21:30.173
Love it.

00:21:30.233 --> 00:21:31.657
If people wanted to find out more about

00:21:31.698 --> 00:21:32.881
the clinic, is there a website?

00:21:32.921 --> 00:21:33.623
Can they learn more?

00:21:33.663 --> 00:21:34.585
Is there a place that you'd send them

00:21:34.605 --> 00:21:34.905
online?

00:21:35.702 --> 00:21:38.865
yeah the website for the nonprofit is

00:21:38.964 --> 00:21:43.666
friendsoftheredeemer.org that's the name

00:21:43.686 --> 00:21:45.407
of the nonprofit that's sort of the

00:21:45.508 --> 00:21:47.949
umbrella over the clinic and some of the

00:21:48.009 --> 00:21:49.849
other ministries that are happening here

00:21:51.010 --> 00:21:52.271
so yeah that would be the best place

00:21:52.311 --> 00:21:55.553
to look online see what's going on my

00:21:55.593 --> 00:21:58.275
wife is managing the social media you know

00:21:58.315 --> 00:22:01.876
facebook friends of the redeemer united on

00:22:01.957 --> 00:22:03.557
facebook you can follow along

00:22:05.118 --> 00:22:07.502
And my wife and I have an Epistle

00:22:07.542 --> 00:22:11.089
website that we put updates on more

00:22:11.150 --> 00:22:13.153
personally about our experience and our

00:22:13.213 --> 00:22:13.615
journey.

00:22:14.757 --> 00:22:16.721
I can certainly send that as well.

00:22:16.800 --> 00:22:16.961
Yeah.

00:22:17.866 --> 00:22:18.467
Yeah, love it.

00:22:18.567 --> 00:22:18.748
All right.

00:22:18.867 --> 00:22:21.368
Every episode we do wraps up with the

00:22:21.409 --> 00:22:22.230
parting shot.

00:22:22.589 --> 00:22:24.250
I'll toss you a question for this parting

00:22:24.270 --> 00:22:24.612
shot.

00:22:25.112 --> 00:22:26.972
If a physical therapist listening today

00:22:27.574 --> 00:22:29.494
feels burnt out or discouraged,

00:22:29.974 --> 00:22:31.977
what would you want them to remember about

00:22:32.076 --> 00:22:34.137
why this profession matters?

00:22:34.198 --> 00:22:36.140
What's something you can give to them to

00:22:36.180 --> 00:22:37.980
hang on to?

00:22:38.020 --> 00:22:40.663
I think stop worrying about your salary.

00:22:40.803 --> 00:22:41.784
I know that's important,

00:22:42.243 --> 00:22:44.645
but try and find somewhere where you can

00:22:44.705 --> 00:22:46.507
really go and help people.

00:22:47.248 --> 00:22:47.627
Um,

00:22:47.709 --> 00:22:49.069
I think you're going to be surprised to

00:22:49.130 --> 00:22:50.711
find what that does,

00:22:51.371 --> 00:22:53.673
not just for your job satisfaction or your

00:22:53.752 --> 00:22:55.094
profession satisfaction,

00:22:55.814 --> 00:22:57.375
but I think what it does for you

00:22:57.415 --> 00:23:00.617
as a person in your life, um,

00:23:00.637 --> 00:23:01.459
try and find, yeah,

00:23:01.479 --> 00:23:02.439
somewhere you might not get,

00:23:02.499 --> 00:23:03.660
you're not going to get paid for it.

00:23:03.680 --> 00:23:05.260
You're not going to booze.

00:23:05.320 --> 00:23:06.622
It's not a side hustle.

00:23:07.343 --> 00:23:09.364
Um, all of those things that we're,

00:23:09.403 --> 00:23:11.806
we're constantly looking for ways to be

00:23:11.846 --> 00:23:14.387
more satisfied, to be more fulfilled.

00:23:15.180 --> 00:23:16.421
I think a lot of us are looking

00:23:16.441 --> 00:23:17.863
in the wrong places for that.

00:23:18.282 --> 00:23:19.743
I think if you can go and serve

00:23:19.763 --> 00:23:23.728
and help people, you'll really find it.

00:23:23.748 --> 00:23:25.410
Derek Landis, along with his wife,

00:23:25.630 --> 00:23:26.911
doing some great things down in Jamaica.

00:23:26.951 --> 00:23:28.373
I appreciate you sharing this and thanks

00:23:28.393 --> 00:23:30.054
for doing what you do and letting know

00:23:30.134 --> 00:23:31.756
so others can learn from it and hopefully

00:23:32.296 --> 00:23:33.057
following your footsteps.

00:23:34.057 --> 00:23:35.519
Yeah, thank you very much, Jimmy,

00:23:35.538 --> 00:23:36.140
for having me on.

00:23:38.751 --> 00:23:39.813
That's it for this one,

00:23:40.093 --> 00:23:41.795
but we're just getting warmed up.

00:23:42.255 --> 00:23:44.156
Smash follow, send it to a friend,

00:23:44.376 --> 00:23:46.057
or crank up the next episode.

00:23:46.558 --> 00:23:47.538
Want to go deeper?

00:23:47.719 --> 00:23:51.962
Hit us at pgpiecast.com or find us on

00:23:52.002 --> 00:23:54.545
YouTube and socials at pgpiecast.

00:23:54.965 --> 00:23:57.267
And legally, none of this was advice.

00:23:57.327 --> 00:23:59.068
It's for entertainment purposes only.

00:23:59.288 --> 00:23:59.970
See you.

00:24:00.089 --> 00:24:00.710
Bullshit.

00:24:00.730 --> 00:24:01.310
See, Keith?

00:24:01.530 --> 00:24:02.612
We read the script.

00:24:02.892 --> 00:24:03.532
Happy now?