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102 | Picking the Right Professional For Your ACL Team · The ACL Athlete Podcast

• 0:19
  SPEAKER_00: Welcome everyone to the ACL Athlete Podcast.
• 0:23
  SPEAKER_00: This is the podcast where we talk about everything related to the ACL, whether that's the injury itself, the rehab process, return to sport, and more.
• 0:33
  SPEAKER_00: I'm your host, Dr.
• 0:34
  SPEAKER_00: Ravi Patel, performance physical therapist and coach.
• 0:38
  SPEAKER_00: Between myself and fellow guests and experts, you'll learn through the lens of the patient, the healthcare professional, and the coach.
• 0:46
  SPEAKER_00: The goal of this podcast is to equip you, the athlete, with the education to make the best informed decision about your care and your ACL journey.
• 0:57
  SPEAKER_00: Thanks for joining.
• 0:58
  SPEAKER_00: Now let's dive into today's episode.
• 1:03
  SPEAKER_00: What is up, guys, and welcome back to another episode on the ACL Athlete Podcast.
• 1:10
  SPEAKER_00: I'm just gonna say I am on one today, so I hope you guys are ready.
• 1:14
  SPEAKER_00: If you've been following along on Instagram and following some of the posts that I've made and some of the stories, today is basically going to highlight and dive into that.
• 1:24
  SPEAKER_00: And it's all focused around picking the right professional for your ACL team or for your healthcare for any matter.
• 1:32
  SPEAKER_00: And I want to share one conversation in particular with an ACLer I've had recently.
• 1:38
  SPEAKER_00: She's a higher level athlete who was told by a surgeon she would never compete in her sport again to give it up and find something else.
• 1:49
  SPEAKER_00: Her first ACL tear, she's very active, very fit, and was told to give it up to find something else.
• 1:57
  SPEAKER_00: What?
• 1:59
  SPEAKER_00: This absolutely pissed me off.
• 2:01
  SPEAKER_00: And I've heard the most absurd things in healthcare, being a healthcare professional, but this one in particular really struck a nerve for me.
• 2:09
  SPEAKER_00: I don't know what it was.
• 2:10
  SPEAKER_00: I think it's because she also had been misled in her own process.
• 2:15
  SPEAKER_00: There had been some advice that had been given and some things that had been done where I was like, man, this could have been prevented if there was proper guidance.
• 2:23
  SPEAKER_00: And this all comes back to the healthcare professional that she was using in this process.
• 2:29
  SPEAKER_00: And one thing that I wish, I wish, I wish, I wish, is that healthcare professionals had to be audited on what they were saying to patients.
• 2:39
  SPEAKER_00: And then it maybe was repeated back to them, or there was a role reversal, and they were put into the patient's shoes to see how they would respond to their communication or advice that's given.
• 2:51
  SPEAKER_00: I keep saying one of these days we'll turn a corner on some of this, what we call nocebic.
• 2:57
  SPEAKER_00: So if we talk about placebo is telling them, usually from a place of authority, giving them something that would potentially benefit, or telling them it would, and having a positive effect.
• 3:08
  SPEAKER_00: Nocebic is basically the opposite: saying something negative and it having a negative effect, basically.
• 3:14
  SPEAKER_00: A lot of times this will be paired with fear-mongering.
• 3:17
  SPEAKER_00: So it's easy to tell someone that there's something wrong with their hips or something is tight or something is wrong with their knee, out of alignment.
• 3:27
  SPEAKER_00: A lot of these kind of like myths that we'll hear in healthcare and in our profession to be able to basically just say, hey, something's wrong, you need me.
• 3:36
  SPEAKER_00: And it is basically a tactic to make people come back, spend money, which is very sad to say, but at the end of the day, money does drive a lot of people's actions.
• 3:46
  SPEAKER_00: It drives healthcare, it drives a lot of things that people use, and they will even convince themselves, like, oh, there's something wrong with that person.
• 3:54
  SPEAKER_00: Let me tell them the negative thing, so then that way they need me.
• 3:58
  SPEAKER_00: And it's one of those things where I keep saying, one day, maybe we will turn a corner, and we still have a ways to go.
• 4:05
  SPEAKER_00: And that's just with my experiences, with conversations with ACLers, with other people who are going through this process, dealing with other stuff too.
• 4:15
  SPEAKER_00: And it's just something that we have to continue to work against this uphill battle.
• 4:21
  SPEAKER_00: Maybe one day.
• 4:22
  SPEAKER_00: And one day you guys will hopefully be able to listen to this and be like, hey, we're in a better place.
• 4:28
  SPEAKER_00: And I do not mean to be negative, and that's one of the things that I always want to make sure with this podcast, with this platform, is that there's not just a bunch of negativity and complaining, but it is important to talk about the problem.
• 4:42
  SPEAKER_00: It's important to talk about what people are dealing with, what are the day in and day out type situations that they are walking into, and it happens more often than it doesn't.
• 4:54
  SPEAKER_00: And so that's the thing that's important to highlight.
• 4:57
  SPEAKER_00: And our goal is to be the solution.
• 4:59
  SPEAKER_00: And this is just fuel to the fire to me to be able to continue to grow this, to continue to help you guys out, to continue to build our team and to provide as much information so you guys are able to make good decisions.
• 5:13
  SPEAKER_00: That's the goal.
• 5:13
  SPEAKER_00: Because let's face it, this process is really hard.
• 5:16
  SPEAKER_00: There's so much info out there, it's hard to know who to trust, what to believe.
• 5:21
  SPEAKER_00: And I always use the analogy of it's like drinking out of a fire hose.
• 5:25
  SPEAKER_00: It really is.
• 5:26
  SPEAKER_00: You have the ACL injury, all of a sudden your world is new to what this injury is.
• 5:32
  SPEAKER_00: What is the ACL?
• 5:34
  SPEAKER_00: What do people do about it?
• 5:36
  SPEAKER_00: You hear about it in sports, but then we're like, what we just go to the surgeon and then they have surgery, and then we have rehab, and then we're good to go, right?
• 5:45
  SPEAKER_00: No, no, no.
• 5:46
  SPEAKER_00: There's so many factors, as I'm sure any of you who are listening are probably going through where you're like, wow, hamstring graft, quad tendon, patellar tendon, autograft, allograft, meniscus, what PT, uh, what do I look like whenever I'm trying to get back to sport?
• 6:04
  SPEAKER_00: Criteria.
• 6:05
  SPEAKER_00: There are so many things in this world to process with ACL rehab.
• 6:09
  SPEAKER_00: That's why this podcast exists.
• 6:11
  SPEAKER_00: That's why we're trying to give you evidence-based, science-based information to make good decisions.
• 6:17
  SPEAKER_00: That also includes being able to pick the right people to be in your corner in this process.
• 6:22
  SPEAKER_00: So, my goal is always to be tactical and not just complain.
• 6:26
  SPEAKER_00: So, we're gonna have some action-oriented steps for you who are listening, you who are interested in picking the right people, professionals to be on your ACL team, to have in your corner along in this journey.
• 6:39
  SPEAKER_00: And that is where I want to focus my energy today.
• 6:42
  SPEAKER_00: I want to elaborate on a post I made related to this topic.
• 6:47
  SPEAKER_00: A good rule of thumb for picking your health care provider.
• 6:51
  SPEAKER_00: If you leave the visit or conversation with that health care provider or insert coach, you leave that conversation or visit feeling worse about yourself, find someone else.
• 7:03
  SPEAKER_00: And I want you to look at this through the lens for anyone you work with: surgeon, PT, athletic trainer, coach, whoever.
• 7:13
  SPEAKER_00: I feel very, very strongly about this.
• 7:16
  SPEAKER_00: No matter what needs to be discussed or communicated, any type of results, news, you name it, it can be delivered in a way that is framed to be positive and empowering.
• 7:28
  SPEAKER_00: That doesn't mean it needs to be fluffed up or sugarcoated, but it does need to be gracefully communicated.
• 7:35
  SPEAKER_00: I've had to tell a basketball athlete who tore his ACL that he needed to forego his senior year so he could have a longer playing career and play college basketball.
• 7:46
  SPEAKER_00: We didn't skip over how that sucks.
• 7:49
  SPEAKER_00: Senior year of high school sports is everything, really everything.
• 7:52
  SPEAKER_00: It's one of the best years of my life.
• 7:55
  SPEAKER_00: It sucks to miss that and the sport that you love with your best friends.
• 7:59
  SPEAKER_00: Everyone knows that feel.
• 8:00
  SPEAKER_00: If you're good at sports or if you love this sport, your teammates are so important to you, and you're in your last year where you're feeling like you're really making a difference, you're a starter, it sucks.
• 8:11
  SPEAKER_00: I've had to tell that athlete to forego his senior year so then we could play the long game.
• 8:17
  SPEAKER_00: We focus, though, on how it's an opportunity.
• 8:20
  SPEAKER_00: We didn't just focus on how it sucks.
• 8:23
  SPEAKER_00: We spent some time there, but then we quickly focused on trying to get out of it.
• 8:27
  SPEAKER_00: We focused on how it's an opportunity to come back stronger, faster, and better than he was before, to work on his game, his skill set, and to crush it and get a scholarship.
• 8:38
  SPEAKER_00: And guess what?
• 8:39
  SPEAKER_00: He got a scholarship and is absolutely crushing it.
• 8:43
  SPEAKER_00: I've had to tell clients that the reason they're not progressing is because they're not doing the work.
• 8:49
  SPEAKER_00: You know, it's it's something where I notice like we check in or we evaluate, we're kind of trying to see where their progress is.
• 8:57
  SPEAKER_00: And sometimes it's on them.
• 8:59
  SPEAKER_00: But I don't tell them they're being lazy or it's not a priority or they're going to get reinjured again.
• 9:05
  SPEAKER_00: I'm not just going to use a fear tactic on them or just call them out sometimes, but you still got to do it gracefully.
• 9:12
  SPEAKER_00: It's my job to explain why it should be a priority and to dig into why they're not doing the work.
• 9:18
  SPEAKER_00: Let's make it a priority, let's connect why that should be important to them.
• 9:24
  SPEAKER_00: They still have to do their part, but it's my job to figure out how to lead them there and understand why.
• 9:30
  SPEAKER_00: There have been plenty of situations where I've had to deliver not the best news to my athletes.
• 9:36
  SPEAKER_00: And it's something that has to be done very gracefully and communicated in a way that is framed, that is positive and empowering versus breaking them down.
• 9:45
  SPEAKER_00: So, what's the goal of healthcare?
• 9:47
  SPEAKER_00: What are the goals of these roles that we're trying to kind of evaluate and audit?
• 9:53
  SPEAKER_00: Well, the goal is independence.
• 9:55
  SPEAKER_00: That's what healthcare should be.
• 9:56
  SPEAKER_00: It should not be dependence, it should be empowering, not deflating.
• 10:02
  SPEAKER_00: What can we do versus what we can't do?
• 10:05
  SPEAKER_00: You see how it's like a glass half empty versus glass half full, and I know that's thrown around a lot, but that's an important mindset thing, and it's important from a communication standpoint.
• 10:16
  SPEAKER_00: So tactically, what can you do as the ACL or looking at this, or maybe you're a clinician or a coach listening to this episode?
• 10:24
  SPEAKER_00: What can you do?
• 10:25
  SPEAKER_00: So let's talk about it.
• 10:26
  SPEAKER_00: You're gonna do an audit of any professional healthcare coach, whoever it is that is helping you on your journey.
• 10:34
  SPEAKER_00: You're gonna do an audit.
• 10:36
  SPEAKER_00: And what I mean by that is you're gonna audit, you're gonna evaluate, assess who that person is, and ask these questions to yourself.
• 10:45
  SPEAKER_00: So maybe you're sitting here wondering, did I pick the right professional?
• 10:48
  SPEAKER_00: Well, let's roll through some questions and see, okay, is this the right professional or should we pivot?
• 10:55
  SPEAKER_00: Now let's assume you're walking away from a visit or a session or a conversation, whether it is with one of these people like your surgeon or PT, did they have a good demeanor?
• 11:05
  SPEAKER_00: Did they treat you well in that session?
• 11:08
  SPEAKER_00: Uh, that communication?
• 11:10
  SPEAKER_00: Did they have good bedside manner?
• 11:12
  SPEAKER_00: How was their demeanor?
• 11:13
  SPEAKER_00: Did they have a good demeanor?
• 11:15
  SPEAKER_00: Did you feel heard?
• 11:17
  SPEAKER_00: Was it easy to communicate with them?
• 11:20
  SPEAKER_00: Did they ask you about your goals specific to you?
• 11:24
  SPEAKER_00: What drives you, what is important to you?
• 11:27
  SPEAKER_00: Did they discuss options with you?
• 11:29
  SPEAKER_00: What are your options for what's ahead?
• 11:32
  SPEAKER_00: Did they help in making a good plan?
• 11:35
  SPEAKER_00: Did they tell you about what the roadmap looks like, how you're gonna get there, here's the next steps.
• 11:41
  SPEAKER_00: Is there a plan?
• 11:43
  SPEAKER_00: And the most important one that I mentioned earlier, are you walking out of the visit or conversation feeling better or worse than when you came in?
• 11:52
  SPEAKER_00: What's your gut tell you?
• 11:54
  SPEAKER_00: And this is the thing that I'm gonna tell you is the gut test.
• 11:57
  SPEAKER_00: Something randomly just kind of came to mind the gut test.
• 12:00
  SPEAKER_00: So when you walk out of that session with that person, do you feel like your gut is telling you this is the person I want in my corner, or is it not?
• 12:08
  SPEAKER_00: And if you feel you answered most of these answers with a no or with a negative type answer, then it is time to find someone new.
• 12:18
  SPEAKER_00: And I told you guys 2023 is the year of action.
• 12:21
  SPEAKER_00: I'm giving you guys call to actions.
• 12:24
  SPEAKER_00: So this is my call to action to you.
• 12:26
  SPEAKER_00: Find someone else if you feel like you couldn't answer those questions well with who you're working with.
• 12:31
  SPEAKER_00: And a good way to think about this is think about your favorite person, your most favorite person in the entire world.
• 12:39
  SPEAKER_00: And they are telling you about this visit or conversation, but of course, this is you.
• 12:45
  SPEAKER_00: But imagine this is that favorite person telling you about it.
• 12:49
  SPEAKER_00: What would your advice to them be?
• 12:51
  SPEAKER_00: What would you tell them to do?
• 12:53
  SPEAKER_00: Would you tell them to just kind of like work through it, keep going, or is there a certain point where you're like, man, this doesn't sound good.
• 13:00
  SPEAKER_00: Maybe you should find someone else.
• 13:02
  SPEAKER_00: And obviously, with people we care about and that we love, we want them to have the best support.
• 13:08
  SPEAKER_00: So think about them in this situation and then take that action and put it towards your own action.
• 13:14
  SPEAKER_00: There is nothing wrong with firing your medical professional or whoever you're working with and getting a second opinion or just finding someone else.
• 13:22
  SPEAKER_00: And for some reason in this world and ACL rehab, um, I've talked about this before, but we're hoping that we can just kind of stay with them, maybe because it's easier, it's closer geographically, or maybe you just don't want to change.
• 13:36
  SPEAKER_00: It's simple.
• 13:37
  SPEAKER_00: Okay, cool.
• 13:38
  SPEAKER_00: But can you audit them honestly and answer those questions with a yes?
• 13:42
  SPEAKER_00: Then cool.
• 13:43
  SPEAKER_00: Keep working with that professional.
• 13:44
  SPEAKER_00: It sounds like they are making moves and helping guide you in this process.
• 13:49
  SPEAKER_00: But if not, then it's time to reevaluate.
• 13:52
  SPEAKER_00: And I mentioned before, my wife had a pretty negative experience with a healthcare provider at the tail end of last year.
• 14:00
  SPEAKER_00: Guess what?
• 14:00
  SPEAKER_00: We fired them and found someone else who's going to get the job done.
• 14:04
  SPEAKER_00: They had a good demeanor, she felt heard, it was easy to communicate with them.
• 14:09
  SPEAKER_00: They asked about goals, they asked about options or what's important to my wife.
• 14:14
  SPEAKER_00: They helped develop a plan and we walked away with a much better feeling and they passed the gut test.
• 14:20
  SPEAKER_00: There wasn't a hesitation afterward.
• 14:23
  SPEAKER_00: We felt very confident in who we were working with, and that's how you should feel.
• 14:27
  SPEAKER_00: And any good healthcare professional will check these boxes.
• 14:31
  SPEAKER_00: They pass the gut test.
• 14:33
  SPEAKER_00: So if you are someone who is trapped or feeling stuck in this, give this a shot.
• 14:38
  SPEAKER_00: Give yourself an honest audit of the surgeon you're working with, the PT you're working with, the coach you are working with.
• 14:46
  SPEAKER_00: And if you are not sure, that's why we're here.
• 14:49
  SPEAKER_00: Just to ask questions.
• 14:51
  SPEAKER_00: We will ping you back with answers.
• 14:53
  SPEAKER_00: If you need support in this process, we're here for that.
• 14:56
  SPEAKER_00: If you just need someone to chat with, we got you.
• 14:59
  SPEAKER_00: But seriously, make some moves.
• 15:02
  SPEAKER_00: Time is precious.
• 15:03
  SPEAKER_00: You don't have time to waste in ACL rehab.
• 15:06
  SPEAKER_00: Make sure that you have someone in your corner and a solid ACL team.
• 15:11
  SPEAKER_00: And being able to think about this from the lens of if this was my most favorite person, would I be okay with them doing this?
• 15:18
  SPEAKER_00: And if you can answer yes, then roll with it.
• 15:21
  SPEAKER_00: If not, then it's time to reevaluate.
• 15:23
  SPEAKER_00: And while we might be focused on your ACL team, think about this as your healthcare team or anyone involved in helping you become a better person.
• 15:32
  SPEAKER_00: Whether it's mentally, physically, spiritually, emotionally, whatever you are trying to improve, this can be a similar audit for anyone in that process because it's just going to be important to make sure you have the right team so you can be the best human you could be.
• 15:48
  SPEAKER_00: That's what we're trying to do.
• 15:49
  SPEAKER_00: That's what we're trying to improve.
• 15:51
  SPEAKER_00: In ACL rehab, obviously, there's more physical and mental components, but you get what I'm saying.
• 15:56
  SPEAKER_00: And I just want you guys to be as equipped as possible.
• 16:00
  SPEAKER_00: And before we sign off here, I want to make one special announcement about our new released website.
• 16:09
  SPEAKER_00: This website is dope.
• 16:11
  SPEAKER_00: If you guys have not checked it out, it is theaclathlete.com.
• 16:15
  SPEAKER_00: You can find it in the show notes.
• 16:17
  SPEAKER_00: If you just Google the ACL athlete, it will come up.
• 16:20
  SPEAKER_00: But man, this website is awesome.
• 16:23
  SPEAKER_00: And as I had mentioned on the previous week, we have so much queued up with the website.
• 16:28
  SPEAKER_00: More and more value that we have been focused on for you, ACLers.
• 16:33
  SPEAKER_00: Free resources that you can grab and download for free.
• 16:37
  SPEAKER_00: Newsletter that is coming.
• 16:39
  SPEAKER_00: We have some other blogs and some other resources that we are pumped to announce here soon.
• 16:45
  SPEAKER_00: So stay tuned, check it out.
• 16:48
  SPEAKER_00: If you guys have any questions whatsoever or need any support, we're here for you.
• 16:54
  SPEAKER_00: And last but not least, if you're listening to this, do us a favor, hit five stars on Spotify or on Apple Podcasts or whatever you're listening on.
• 17:03
  SPEAKER_00: This allows us to reach more and more ACLers just like you who are listening, who are needing some help in the process, and we want to just spread the word.
• 17:11
  SPEAKER_00: So help us out there.
• 17:13
  SPEAKER_00: We appreciate it so, so much.
• 17:15
  SPEAKER_00: Love you guys.
• 17:16
  SPEAKER_00: Until next time.