Latest / Elevate Podcast: Powered by Braden / Elevate Ep 54: Dr. Michael Kraus, Chief Medical Director of Indiana Donor Network
Transcript
- 0:02Welcome to the Elevate podcast, where
- 0:04every leader has a story. We bring you
- 0:06conversations with influential leaders
- 0:08who are shaping our local communities.
- 0:11Hear about their path to leadership and
- 0:14experiences that define them and how
- 0:16they're driving meaningful impact today.
- 0:19Hey everybody, Jason here with another
- 0:20episode of the Elevate Powered by Braden
- 0:23podcast. And this one's fun. I I've
- 0:25enjoyed all these conversations so far.
- 0:28Love all the for-profit guys, the
- 0:30nonprofit folks, and and some of them
- 0:31though just have some really, really
- 0:33great story. Every story's been good.
- 0:35This one, though, is is pretty awesome.
- 0:37And I gotta say, we've had some good
- 0:39dressed people, well-dressed people in
- 0:41the studio, but you're the first bow tie
- 0:44guy. And so, welcome to the studio,
- 0:45Michael. Good to have you in here.
- 0:47>> Yeah, the bow tie is an interesting
- 0:48story. Kind of went with the the
- 0:50mustache, you know. Okay.
- 0:51>> The mustache comes first. A beard much
- 0:53like yours.
- 0:54>> All right. Right.
- 0:54>> I was going to shave it off after my
- 0:56youngest got married
- 0:57>> and just for a change. And my wife said,
- 0:59"No, I've never seen you without facial
- 1:01hair. You've got to have a must. You got
- 1:02to have something at least." Right.
- 1:03Exactly. And I said, "If you're going to
- 1:05have a mustache,
- 1:06>> I'm going to have a mustache."
- 1:07>> Okay.
- 1:07>> So, I went ahead and drew that and the
- 1:09bow tie followed a little bit shortly
- 1:11after that.
- 1:12>> Yeah. One New Year's Eve, I just had to
- 1:14figure it out to put it on. And no
- 1:16kidding, since then, I haven't changed.
- 1:18You know, you're at you're at Indiana
- 1:19Donor Network today and I know we'll
- 1:21talk about that as part of your story
- 1:23and we'll get there, but you when you
- 1:24and I first met, obviously the mustache
- 1:26is memorable. The bow tie is memorable
- 1:28colors. I love the colors of the bow
- 1:30tie, by the way. But I was generally
- 1:32surprised that it was kind of like a
- 1:33later in life thing.
- 1:35>> Yeah, exactly.
- 1:35>> You know, a lot of times you see bow tie
- 1:37guys, they start early and the handlebar
- 1:39mustache start early. You embraced it
- 1:41late.
- 1:41>> I did. Never could not tie a bow tie
- 1:43before.
- 1:44>> That's the science guy. If you want to
- 1:46learn how to do boat a tie bow tie,
- 1:48watch his YouTube video.
- 1:49>> Oh, no kidding.
- 1:50>> Absolutely. As you're already dropping
- 1:52knowledge for us. I love it. So, all
- 1:53right. So, your role before we go back
- 1:56to your beginning, your role today at
- 1:57Indiana Donor Network is I'm the chief
- 2:00medical director at Indiana Donor
- 2:01Network.
- 2:02>> That's awesome, man.
- 2:02>> All right. Okay. Let's go back to the
- 2:04beginning. Where you from originally?
- 2:05>> I was born and raised in Griffith,
- 2:07Indiana.
- 2:08>> Griffith, Indiana. I actually don't know
- 2:10a lot about Griffith. So, is that up in
- 2:12the Northwest?
- 2:13>> It's up in the region.
- 2:14>> Okay.
- 2:15>> All right. Right by Hammond Gary area
- 2:17was Chicago. Okay. So the region area
- 2:20Okay. So high school up there. High
- 2:22school up there and then I went to Wbash
- 2:24College. Okay. So I actually was just in
- 2:25W Bash talking to the mayor the other
- 2:27day of Wbash which wall I was in
- 2:30Crawfordville.
- 2:31>> Yes. I was in Crawford'sville.
- 2:33>> Exactly.
- 2:33>> And uh talking to the mayor there. Great
- 2:35guy by the way. So all right let's go
- 2:37back to high school. So before you
- 2:38decide to go to W Bash, what's high
- 2:40school look like? And before you get out
- 2:43of high school, what are you thinking
- 2:44you're going to do? Is college obviously
- 2:46W bash, but where do you think your
- 2:48career is going to go?
- 2:48>> I was one of those weird people that
- 2:50grew up wanting to be a doctor.
- 2:52>> Really was there weren't a whole lot of
- 2:55alternative pathways that ever passed
- 2:57through. I was fortunately good at math
- 2:59and science.
- 3:00>> Okay. So, you were naturally good at
- 3:01those things, but where was the genesis?
- 3:03Why, you know, was it was there a family
- 3:06member or something you had seen? what
- 3:07was there? There probably was, but even
- 3:09before then, but at a young age, my
- 3:11mother was very sick with a disease
- 3:13called lupus,
- 3:14>> all sorts of illnesses from it, and it
- 3:17was early in long enough because I'm
- 3:19old. So, it was long enough ago that we
- 3:21didn't have good treatments for it.
- 3:22>> Okay. So, it was supposed to be a fatal
- 3:24disease.
- 3:25>> Yeah.
- 3:25>> Fortunately, she went to up to Mayo and
- 3:28and to uh Rush Crusher or St. in Chicago
- 3:31and I got connected with some very good
- 3:33neurologists and rheumatologists and was
- 3:35started on a novel therapy at the time
- 3:37cytoxin
- 3:39>> which I've used multiple times since
- 3:41then. Sure. It was brand new and and not
- 3:43well studied. She was fortunate because
- 3:45it saved her life.
- 3:46>> No kidding. So, so some of that in there
- 3:49clearly continued to push the direction.
- 3:52>> Yeah. So, at a young age, emotional,
- 3:54right? mom's sick and and but is able to
- 3:57go and in your eyes you're seeing people
- 3:59help her right and so you're think okay
- 4:02this is where I want to go so good in
- 4:04all the things you need to be good in
- 4:06naturally math science those types of
- 4:08things you finish up high school why
- 4:10decide go why why wall bash why go there
- 4:13>> wash I I hadn't heard of first of all
- 4:15Griffith you don't hear much about wash
- 4:17>> okay
- 4:17>> dad saw that that year interesting three
- 4:20of us went um which was pretty good size
- 4:24for that class uh but you know you went
- 4:26to the different colleges look around
- 4:29and W bash was one where you felt like
- 4:31you were getting knowledge you were well
- 4:33well cared for if you did well at Wab
- 4:36Bash you would do well at what you do
- 4:37next
- 4:38>> okay yeah I think it the mayor maybe
- 4:40said they don't they don't teach you how
- 4:44to something they don't teach you how to
- 4:45they don't teach you things they teach
- 4:47you how to learn there was some kind of
- 4:48thing he said about it
- 4:49>> you definitely learned to be a leader
- 4:52there
- 4:52>> yeah maybe that's want to know and and
- 4:55the it was much different than you know
- 4:57it's a small obviously small liberal
- 4:59arts college you have a male which
- 5:01>> we could discuss it a little different
- 5:03>> but uh you you you were you were
- 5:06directed and you were were helped it's
- 5:08where I first learned I couldn't talk
- 5:10region anymore couldn't speak region
- 5:12anymore
- 5:12>> okay wait a second so so you couldn't
- 5:14speak region so you had to lose like
- 5:15your region accent
- 5:16>> I gave my first speech at my in my
- 5:18speech class there
- 5:21looked said that was fine you did a very
- 5:23Good job. You say dem's or dos anymore
- 5:27and you're going to get an F.
- 5:29>> Dem D's or so. So So you had you had a
- 5:33region accent. I had a region accent. It
- 5:35had to go quick.
- 5:37>> No kidding. Oh my gosh, that's
- 5:39hilarious. By the way, okay, so four
- 5:41years there, Waw Bash. And as you're as
- 5:44you're finishing up, always kind of
- 5:46wanted to go into medicine, but as
- 5:49you're finishing up Waw Bash, where do
- 5:51you where do you think you want to go?
- 5:52what what area of medicine and and where
- 5:54do you want to go and what happens for
- 5:55you next?
- 5:56>> Yeah, it was interesting because I
- 5:57didn't know. Right. Again, you're
- 5:59learning and moving in a process. I
- 6:01didn't come from a family of physicians.
- 6:03>> Yeah. Right.
- 6:04>> Uh and uh I always thought, well, gee,
- 6:06I'd be a family practitioner, some small
- 6:08town taking.
- 6:10>> Okay.
- 6:10>> Okay. Turns out nobody wants to marry a
- 6:12man that just takes chickens for pay.
- 6:14So, so, so going going to but but you
- 6:16were kind of thinking going to a small
- 6:18city,
- 6:18>> small small place. Yeah. Care of
- 6:20patients, taking care of people.
- 6:22>> Okay. All right. So, that's what you're
- 6:24kind of thinking, but what do you
- 6:25actually do when you get out of school?
- 6:27>> Then I I I went to medical school.
- 6:29>> Okay.
- 6:30>> Also a great place to for the next part
- 6:32of my career. And uh you just pay
- 6:35attention, right? And you're learning
- 6:37what you want to do because I was open
- 6:39to almost anything, right?
- 6:40>> So, at that point, you're an open book.
- 6:42I am. You're willing to listen and take
- 6:46in some knowledge obviously, but you're
- 6:48not exactly sure where you want to go,
- 6:50>> right?
- 6:50>> Is there a point when you're at IU
- 6:52medical school where anything clicks or
- 6:54or what happens there?
- 6:55>> Yeah, I I was always leaning towards an
- 6:57internal medicine subsp specialty oral
- 7:00medicine as a career even as a primary
- 7:02care doctor. Uh and I went that way. I
- 7:06love surgery. I had a great time in
- 7:07surgery, but it cleared that was not
- 7:09going to be a long-term career for me,
- 7:11right? Um
- 7:13so then I went into internal medicine
- 7:15that internal medicine you get a chance
- 7:17to look at the subscology
- 7:21or kidneys
- 7:22>> okay
- 7:23>> struck me for a lot of reasons one is
- 7:26there's math to it there's logic to it
- 7:28if you understand how the body works do
- 7:31kidney really so so it was it felt that
- 7:35way and people tended to respect you but
- 7:38more importantly to me I was able to see
- 7:40that you could take care of people for
- 7:41longer periods of time. I didn't just
- 7:43want to sculpt you or fix your heart and
- 7:46then never see you again.
- 7:47>> Oh, incest or kidney patients. I I would
- 7:50follow them literally for decades when I
- 7:52was practicing. No, no kid. I still get
- 7:55occasional texts from patients I had
- 7:57that had children because I helped take
- 7:59care of them because that kidney disease
- 8:00was difficult to be pregnant and carry a
- 8:03pregnancy. And every every holiday I get
- 8:06texts. So, thank you so much. and she
- 8:08sends me pictures of her kids and it's
- 8:10the kind of experience you want, right?
- 8:12It's just getting people better, taking
- 8:14care of them through it,
- 8:16>> both while they're ill and getting
- 8:17better, but also at the end of life,
- 8:18which is an important part of medicine
- 8:20in my opinion.
- 8:21>> You know, it's it's fascinating by the
- 8:23way. So, I've had a lot of folks that
- 8:24have assist sat in this chair and had a
- 8:26conversation with us and first doctor,
- 8:29right? first doctor that I've had come
- 8:31through and when you talked about like
- 8:33the the kidneys and how that's something
- 8:36if you understand how the body works and
- 8:37those things I didn't really think of it
- 8:39as being like mechanics right right
- 8:41understanding that you know this
- 8:43function because of this and this is
- 8:44this and this is this and so but to you
- 8:47it was the long-term patient care
- 8:50>> right
- 8:50>> that you're really interested in so that
- 8:52that's okay that's interesting so you
- 8:55finish up your school IU Bloomington is
- 8:56where you went that was actually
- 8:58Indianapolis
- 8:58>> Indianapolis Okay. So, I use I believe
- 9:00let's go.
- 9:01>> All right. So, at this point, you've
- 9:03moved from the region, you went down to
- 9:05Crawford'sville. Now, you end up in
- 9:07Indianapolis. All right. Finishing up IU
- 9:10Indie. Where do you go? What's What's
- 9:12your first job look like?
- 9:13>> Well, after you finish medical school,
- 9:15you do your training.
- 9:17>> Yep.
- 9:17>> So, if you're in internal medicine, you
- 9:19do three years of residency, internship
- 9:21in residency that I also did at the
- 9:23school of medicine.
- 9:24>> So, when you do that, I've heard, are
- 9:25there opportunities where you have to
- 9:27travel for that? Were you lucky to do it
- 9:29at IU School of Medicine? Were you able
- 9:30to take it anywhere you wanted to?
- 9:32>> You put in what for a match, right? And
- 9:35list where you want to go. Yeah. You
- 9:37list who who they want. Y
- 9:39>> the computer figures out where you're
- 9:40going to go.
- 9:40>> So where were the places you were
- 9:42looking at? You remember?
- 9:43>> I was mostly Midwest.
- 9:44>> Midwest. Okay. So I wasn't around here.
- 9:46There there are lots of great medical
- 9:47schools and residencies in the Midwest.
- 9:49You know, most the academic type places
- 9:52because I wanted to stay in academics.
- 9:54>> Okay. Gotcha. Not the small hospital but
- 9:57more the yeah the university programs.
- 9:59>> Gotcha. So you do your three years IU ND
- 10:02you finish up there. So now so now you
- 10:04are ready to go and and go out into the
- 10:08world and you're right doctor and I
- 10:11could be an internist at that point at
- 10:12that point.
- 10:13>> But if you want to then subsp
- 10:14specialcialize goiology gastronurology
- 10:17endocrinology yeah or kidneys any of
- 10:20those subsp specialties you then take a
- 10:22fellowship. So, so let let me follow the
- 10:26So, four years a while back.
- 10:27>> Hey, it's a long time,
- 10:28>> right?
- 10:29>> Three years at IU.
- 10:31>> Four years.
- 10:32>> Four years IU,
- 10:33>> right?
- 10:34>> Three years of uh res
- 10:36>> residency. So, now we're 11 years and
- 10:38you've got to go now how many more years
- 10:39>> fellowship. I did a three-year
- 10:40fellowship.
- 10:41>> Okay. The fellowship was out here in
- 10:42India also.
- 10:43>> Oh, that I went to University of Iowa.
- 10:45>> Okay. University of Iowa. And you have
- 10:47to do that in person. So, you
- 10:48>> Yeah, that was Yeah, that was travel and
- 10:50move. and I was relatively newly wed and
- 10:53my wife wasn't overly excited about
- 10:54moving to Iowa City, Iowa, but we
- 10:56learned to love it.
- 10:57>> All right. So, so all right, let's talk
- 10:58a little bit about that. Right. So, it's
- 11:00a little bit of family and that kind of
- 11:01stuff. So, you get married here in
- 11:04Indie,
- 11:05>> right? And uh you decide, okay, now I've
- 11:08got to go out and do this next thing.
- 11:09So, you've got to pick up your young
- 11:10wife,
- 11:11>> right,
- 11:11>> at that point and move her to Iowa. And
- 11:13I'm assuming she's not from Iowa.
- 11:14>> No, she is from Northwest Indiana as
- 11:16well.
- 11:17>> Okay. All right. So, so yeah, we were we
- 11:20we got married midway through medical
- 11:22school. So, so two years into medical
- 11:24school, third, second, third year. So,
- 11:25we were married two years and had one
- 11:27two children at that time.
- 11:29>> Oh, no kidding. So, not only not only
- 11:31having to pick up your young wife, you
- 11:32got to pick up two kids and move to
- 11:33Iowa,
- 11:34>> right?
- 11:34>> Okay. So, now you're in Iowa.
- 11:36>> We've been married five years. I got to
- 11:37get it right. Pick up my years right,
- 11:39but yes.
- 11:39>> Okay. So, this is right about five
- 11:40years, but young young family,
- 11:43>> young family and we moved to Iowa.
- 11:44>> All right. We're going to Iowa. And so,
- 11:46all right. So, so now out in Iowa, how
- 11:48many years were you there?
- 11:49>> Three. Actually, I was there three for
- 11:51fellowship and then a year and a half as
- 11:53a faculty member.
- 11:54>> Okay. So, half alltogether.
- 11:56>> Okay. All right. So, after was 15 years
- 11:59total, give or take.
- 12:00>> Yep.
- 12:01>> Okay. After 15 years, you now are
- 12:04prepared to be able to do to work with
- 12:07folks and help them with their kidneys.
- 12:08Is that right?
- 12:09>> Right.
- 12:09>> Okay. All right. So, out of out of Iowa,
- 12:12you finish up, you got a year and a half
- 12:14there. where's the story go next? How do
- 12:16you end up back out here in India?
- 12:17>> So, I always enjoyed academics.
- 12:19>> Okay.
- 12:20>> Stand a little bit of the cutting edge,
- 12:22a little bit of research, do the things
- 12:23and still, you know, even though all
- 12:25that years of experience, there's still
- 12:27a lot to learn, right? And so, I wanted
- 12:29to stay in research for a while. So,
- 12:31that's why I stayed at Iowa a year and a
- 12:33half. And okay, there I was working on
- 12:35animals and cells and things like that,
- 12:37figure out how things work. And I
- 12:39realized that
- 12:40>> I'd prefer taking care of people. So,
- 12:42okay. I wanted to go still to an
- 12:45academic institution but move more from
- 12:48the basic science research to
- 12:50administrative and patient care.
- 12:52>> Okay.
- 12:53>> And so opportunity opened up at Indiana
- 12:55University. So I came back in ' 92 in
- 12:58November of '92 to Indiana University
- 13:00where I stayed for an awfully long time.
- 13:02>> And that's really where I mean at the
- 13:03beginning at your genesis, right? So
- 13:05your your mom has lupus, you see the
- 13:08doctors help her, you realize you want
- 13:11to be able to help people, right? And so
- 13:13you want to go into medicine. Now you're
- 13:15back at at um Indiana school. You're at
- 13:17the Indiana um IU medicine, right?
- 13:20Right. So you're at the hospital and
- 13:23what's that role look like and what's
- 13:24the journey because you were there for
- 13:25how many years? For just over 25.
- 13:27>> Okay, gotcha. So what was that? What
- 13:29would that look like for?
- 13:30>> Yeah, it is an interesting journey,
- 13:32right? And the beauty of going to a
- 13:34place that a is growing and is on the
- 13:38edge is you can position your job to fit
- 13:42what makes you happy.
- 13:44>> So wow. So you know I'm able to find
- 13:47roles, start new programs and I'm
- 13:49willing to start work aggressively with
- 13:51transplantation at the early time
- 13:53because the
- 13:54>> the medicine part of transplant we
- 13:56weren't quite there yet at Indiana
- 13:57University. So I helped bring that up
- 13:59and grow it and gave it to people
- 14:00smarter than me. Okay. Uh and a lot of
- 14:04leadership and administrative roles came
- 14:06my way. So I was able to become the
- 14:08clinical chief of neurology over time.
- 14:10Oh and I ran the dialysis units and
- 14:12diialysis organization. Worked very
- 14:14closely with IU Health as it was
- 14:16growing. You went through went from IU
- 14:19to Clarion Health and I I was there
- 14:22through that transition.
- 14:23>> No kidding. So you you got a chance and
- 14:25I like how you said that and whether
- 14:27you're in medicine or or in business,
- 14:29you had a chance because of a
- 14:31forwardthinking organization to be able
- 14:34to go do something that really energized
- 14:37you, right? That you wanted to do in
- 14:38your career. So you got 25 years of and
- 14:41I was fortunate our our as chiefs
- 14:44changed because they come and go in
- 14:45medicine. We we got we be we were fairly
- 14:47stable and I worked under Dr. Molarus
- 14:50>> who was our chie chief of nefrology. I
- 14:53became the clinical chief under him. Uh
- 14:55and he was an excellent leader that kind
- 14:57of would give you the ability to
- 14:58succeed.
- 14:59>> Yeah.
- 14:59>> Micromanage and
- 15:01>> allowed me to grow as a leader and learn
- 15:04as well as grow the program and we made
- 15:06huge strides. Went from a relatively
- 15:08small clinical organization to a very
- 15:10large clinical organization.
- 15:12>> Wow.
- 15:12>> And built a very large dialysis unit
- 15:15outside of the the big change which I'll
- 15:18go to next. Yeah. Yeah. We were among
- 15:22people that weren't in big chains. We
- 15:23were among the top 10 or 15.
- 15:25>> No kidding.
- 15:26>> Yeah. And that was just the Indiana
- 15:28area. We grew that from virtually
- 15:30nothing.
- 15:30>> Yeah. It it's it's great to hear and to
- 15:32translate again from from medicine back
- 15:34into like into the business world for
- 15:36folks that are listening. You had a a
- 15:39leader, right,
- 15:40>> who was a didn't micromanage, allowed
- 15:42you to go be successful. Again, that
- 15:45that's that translates across any type
- 15:46of business out there, right? leadership
- 15:48and you see what people that work for
- 15:50you have.
- 15:51>> You allow it to to excel and exceed,
- 15:54right? Yeah. He could have said no to
- 15:56most things I asked them to do. It would
- 15:58have then dwarfed me and probably
- 16:00changed my career. But he understood
- 16:02>> we both had similar passions and goals.
- 16:04We wanted to see the growth. He was a
- 16:07very strong basic scientist,
- 16:10>> academic physician. I was strong
- 16:12clinically. So I was able to take the
- 16:14lead at the clinical arm. He drove the
- 16:16academic armor. worked together very
- 16:18closely.
- 16:18>> Ah, it's terrific. And again, not to
- 16:21beat a dead horse with this point
- 16:22though, but like you understood your
- 16:25real, you know, things you could do well
- 16:27and he understood his strengths and the
- 16:29ability to put those things together.
- 16:31One, it takes the right kind of people
- 16:32to do it. And two, it takes the right
- 16:34kind of leader to surround themselves
- 16:36with the people that can do the things
- 16:38they can't do, right? That that's
- 16:39terrific to hear. So 25 years give or
- 16:43take over over there and then kind of a
- 16:45big change. So what happened that
- 16:47>> big change? Yeah. I went from academics
- 16:48to industry.
- 16:50>> Okay.
- 16:51>> I used to call the dart site.
- 16:52>> So So you make a big change. I mean that
- 16:54that's a big change.
- 16:55>> Your wound change. Yeah.
- 16:56>> So So what's that change? What's it look
- 16:58like for you?
- 16:59>> Well, I I went there for a particular
- 17:02reason. I I I ended up specializing or
- 17:06really closely specializing in home
- 17:07heodiialysis to and home para dialysis,
- 17:11but being able to do dialysis at home.
- 17:13>> I'm a patient. I want freedom. I want
- 17:16ability to take care of my medicine. I
- 17:18want to feel better and do abnormal
- 17:20things, work full-time. Sure,
- 17:22>> it's very hard to do in a diialysis
- 17:24chair three times a week.
- 17:25>> Oh, because you've got to be there for
- 17:27some long period. That's only there four
- 17:29hours, three times a week. It usually
- 17:30you feel terrible for the next 24 hours
- 17:33or six to 24 hours.
- 17:35>> Okay.
- 17:35>> But imagine trying to work a full-time
- 17:37work schedule and three days a week
- 17:39you're shot. Um when you do home
- 17:41diialysis, you can do it when you want,
- 17:43right? It's on your schedule and I
- 17:45learned quickly and taught my patients
- 17:47quickly that it was about physiology. It
- 17:49was about mimicking closer to what we do
- 17:52every day. So frequency of dialysis
- 17:54matters rather just three days a week. I
- 17:56convince my patients five and six days a
- 17:58week we're better dialysis.
- 18:00>> Oh, so you actually change. So instead
- 18:02of being for example four hours on a
- 18:04machine three times a week, they're on,
- 18:06you know, five times a week, but it's
- 18:07two hours.
- 18:08>> Two and a half to three hours usually
- 18:10because you got to take time to get the
- 18:11fluid off. Okay. But doing slower and
- 18:13longer or more frequent
- 18:16>> is better for the heart, better for the
- 18:17system. You don't have postialysis
- 18:19fatigue. You can't feel great. You work
- 18:21full-time. You travel. You do the things
- 18:24you want to do. And you have as close to
- 18:25a normal life as you can have, but
- 18:27something is hard to do as dialysis.
- 18:29Well, it's inter like like it's
- 18:30interesting you mentioned you went to
- 18:31the dark side, but you can hear in that
- 18:35story why you would have wanted to go
- 18:38over there because it's about the
- 18:39patient care and the long-term health of
- 18:42that patient. That's what energizes and
- 18:43what you like.
- 18:44>> Right. Exactly. And at that time,
- 18:47CMS, which is the government payment
- 18:49system, most people, not all, but most
- 18:51people on diialysis are on Medicare. So
- 18:53CMS controls dialysis and how it's paid
- 18:56for. They were looking at the home
- 18:57diialysis world because I was growing it
- 18:59fast enough with industry uh at Indiana
- 19:03that it was hitting somebody's radar
- 19:05screen.
- 19:06>> Uh and frequency was hitting their radar
- 19:08screen because they'd pay every time you
- 19:09do dialysis.
- 19:10>> Okay.
- 19:10>> So, they wanted to propose legislation
- 19:13that would limit that. So, they wouldn't
- 19:16pay for the frequency of dialysis in a
- 19:18way that made sense to me. M
- 19:20>> and so I went I actually filled my car
- 19:22with uh two patients and one wife care
- 19:25partner and we drove from Indianapolis
- 19:27to uh Madison to talk to the MAC which
- 19:31is the small part of CMS that pays the
- 19:34insurance.
- 19:34>> Okay.
- 19:35>> And we they gave us 10 minutes to talk
- 19:38about we believe and so I spoke for 10
- 19:41minutes. My patient spoke for 10
- 19:43minutes. We're driving back there asleep
- 19:44right late. So,
- 19:46>> sure.
- 19:46>> And and I'm thinking I got to do
- 19:48something that impacts more than just
- 19:51the patients I care for, the patients my
- 19:54fellows care for, training that I do,
- 19:57>> which was very rewarding, but I felt I
- 19:59needed to do something bigger.
- 20:00>> Yeah.
- 20:01>> And I couldn't do that and still be tied
- 20:03at the academic. So I moved to industry
- 20:05through the company that did the
- 20:07dialysis next stage medical and I worked
- 20:10for them until they were bought by
- 20:12first.
- 20:13>> Okay.
- 20:13>> Medical care and I work for first.
- 20:15>> Gotcha. Okay. All right. So So you're
- 20:16you're on the dark side.
- 20:18>> Yeah.
- 20:18>> But but actually for you it it's exactly
- 20:20where you want to be at that point in
- 20:22time. I do helping patients.
- 20:24>> You work a little bit for the
- 20:25organization that acquired you guys. And
- 20:28so it is the next step. What what's the
- 20:30next step for you after that? So at next
- 20:33stage we I worked both on the dialysis
- 20:36side as well as device side and we
- 20:38helped and we talked about how we're
- 20:39linking the device how we approve it and
- 20:41the shared things and worked I would you
- 20:42know it's was small enough company I
- 20:44worked marketing sales and really had a
- 20:46very nice time learned a lot right yeah
- 20:48again that's part of the world that I
- 20:50hadn't done and forcious is a much
- 20:52bigger organization it's the world's
- 20:54largest diialysis organization
- 20:55>> okay
- 20:56>> um so it was a yet still different and
- 20:58there I moved a little bit away from
- 21:00device I still talk to them and worked
- 21:02with them, but it wasn't I was more in
- 21:04charge of growing home dialysis
- 21:07in the United States.
- 21:09>> Oh, I see. So, so actually you're kind
- 21:12of rounding out a lot of your career at
- 21:13this point, right? Because now you're
- 21:15seeing lots of different areas of
- 21:17medicine in different ways to be able to
- 21:19help. Okay. And so you're in this role
- 21:22and eventually we know you end up at
- 21:24Indiana Donor, right?
- 21:25>> Yeah. So I I was there for seven and a
- 21:27half eight years and then there was a
- 21:28reduction in force and just like many
- 21:30people the medical office goes through
- 21:32that as well. Sure. I was asked to look
- 21:34for another job. So I said thank you
- 21:36very much. I will I was asked to asked
- 21:38to go seek employment somewhere else. We
- 21:40a lot of folks have been there.
- 21:42>> So So I was looking around and trying to
- 21:43find what I wanted to because I'm I'm at
- 21:45an age where most people would retire or
- 21:47some people would retire. I'm not there
- 21:49yet.
- 21:50>> Yeah.
- 21:50>> Um and so I was looking around and what
- 21:53what would be exciting to me? and talked
- 21:55to a couple other dial diialysis
- 21:57organizations. I started a little
- 21:59consulting firm.
- 22:00>> Okay.
- 22:01>> Which I did a little bit of work on
- 22:02which was actually nice. It's and but I
- 22:04had to think is that the kind of thing I
- 22:06want to do where just going from job to
- 22:08job
- 22:09>> maybe not a consistent source of income
- 22:12and didn't really fit my lifestyle. I
- 22:14don't think so.
- 22:15>> Yeah. Well, I was I was able to do some
- 22:18things that were successful there. I
- 22:19wasn't I I need something that's
- 22:21grounded. Right. Well, also if you think
- 22:24about it, everything I've heard so far,
- 22:26you're you're a helper, right? You you
- 22:29enjoy
- 22:30a long-term journey with folks and
- 22:32helping them live, you know, more
- 22:35sustainable lives or or healthier lives
- 22:37or whatever the case is, right? Or a
- 22:39more uh being able to work a full-time
- 22:41job, right? So, for you, it's wanting to
- 22:44be able to help and just, you know,
- 22:47sitting on the sidelines retired. That's
- 22:48going to be tough,
- 22:49>> right? And I want a job that has
- 22:51purpose. Yeah,
- 22:52>> sure. A friend of mine was actually the
- 22:54interim chief medical director there.
- 22:56>> Okay.
- 22:56>> He was covering but didn't want to
- 22:58forever. He before he was the network
- 23:00for a long time, but for for a year and
- 23:03a half or so, I he was the interrupt.
- 23:06>> And another friend of mine had called me
- 23:07and said, "This job's open. You need to
- 23:09look at it. It's okay. It's made for
- 23:11you." So
- 23:12>> So a couple of folks that have known you
- 23:14for years said, "Hey, mine's like this
- 23:16is this is really right up your alley."
- 23:19>> Right. So now Okay. It's an IUNDF at
- 23:21Indiana Donor Network and I think I mean
- 23:24obviously we see the building when we
- 23:25drive down the road, right? And maybe we
- 23:27think we know a little bit about it, but
- 23:29I mean tell us more about Indiana Donor
- 23:31Network. What is it you guys do?
- 23:32>> Yeah, I'm I'm going to back you up there
- 23:33for a little.
- 23:34>> Bring it on. Show us that and you
- 23:36remember because you you visited me
- 23:38there. You walk in into the atrium.
- 23:41>> Yeah.
- 23:41>> Right. Then you you feel the mission of
- 23:44of Indiana Donor Network. We have the
- 23:46the uh donor memorial tree.
- 23:48>> The tree. Yeah. which is four stories
- 23:49high with 82 lanterns on it. Uh and we
- 23:53put each donor in there so families can
- 23:55Yeah. And
- 23:57>> remember and memorize and memor
- 24:00fond memories of their donor heroes,
- 24:02>> right?
- 24:02>> Uh and we've got all the donor heroes
- 24:04listed.
- 24:05>> Yeah. And in the computer system and
- 24:07it's just it says this is what we do,
- 24:10right?
- 24:10>> Yeah. I take care of people at their
- 24:13while they're not Yeah. families at
- 24:15their worst moments and then we care for
- 24:18them long term.
- 24:19>> Yeah. Uh and we provide the lanterns
- 24:21each represent the gifts that we give to
- 24:23people that get transplant that either
- 24:25donor uh organ donors or tissue donors.
- 24:28Uh and it just hits all those things and
- 24:31you see that and
- 24:32>> the first thing you do when you walk in
- 24:33and you know that's the right place,
- 24:35right?
- 24:35>> Yeah. You know, I I I remember the first
- 24:37time I mentioned we walked in there and
- 24:40we we walked in and I thought, "This is
- 24:41this is a beautiful
- 24:44art, you know, decoration type thing."
- 24:46That's what I'm thinking originally.
- 24:47Sure. Right. As we begin to walk around,
- 24:50you tell me the story and what it means.
- 24:51I remember standing there and hearing
- 24:54the sounds, right, all the different
- 24:56things and kind of just looking and
- 24:57especially when I looked up and you
- 24:59could see the rest of the tree. There
- 25:01was there was an emotional piece.
- 25:03>> Absolutely. for for a period of time
- 25:05there that was just I know I was struck,
- 25:09right? And so I think anybody who would
- 25:11walk into that building would be struck
- 25:12as well. Then we went over and looked at
- 25:13a screen and you could see the donor
- 25:15heroes there. And then I got an
- 25:18opportunity to sit down and talk to you
- 25:19to learn more about just how you guys
- 25:21operate and what you do, right? And and
- 25:23how you're able to help people like you
- 25:25said, you're in some of the worst times,
- 25:28right? How you're able to come in and
- 25:30what you guys do. So, you know, I think
- 25:33it it's it it would be great to
- 25:35understand, you know, a little bit more
- 25:38about the services you guys preserve,
- 25:40right? Those types of things. And then
- 25:41also maybe some ways that people don't
- 25:44know how they could maybe get involved
- 25:45might be interesting, right?
- 25:46>> Absolutely. So, so everybody thinks they
- 25:49understand transplant, right? Yeah. An
- 25:50organ you replace an organ that's not
- 25:52working and and it's good, but they
- 25:55don't understand the process of recovery
- 25:58of the organs and how important that is.
- 26:00And even when they think about it at
- 26:02that time and thinking about 30 seconds
- 26:06of operation over six six hours
- 26:09operation gets and putting it in a
- 26:11cooler and sending on its way. It's
- 26:13nothing like that. Right. Right. So the
- 26:15process of doing this is is important.
- 26:18So it's you know it's 365 days a year
- 26:20247. Yuck. Always our services are
- 26:23always on to cover the entire state of
- 26:25Indiana.
- 26:26>> So So our people are going somewhere
- 26:28every day. Right.
- 26:29>> Yeah. Right. Um, and so you've got to
- 26:33have people that are able to talk to
- 26:35families at this time, you know,
- 26:38understanding when the right time is to
- 26:39talk to the family, understanding how to
- 26:42talk to the family. So those are tend to
- 26:44be more of our social workers. We have a
- 26:46much of them that goes around the state
- 26:47as well. Uh, then you obviously have to
- 26:50have people that care for the patient
- 26:51after the family has authorized and said
- 26:53yes, please go ahead with donation. Uh
- 26:56so we have that group of people another
- 26:58set of people that do that help in the
- 27:00operating room.
- 27:01>> Yeah.
- 27:02>> And then we take care of the donor
- 27:04families afterwards like I said. So we
- 27:06have after care which will
- 27:08>> we'll contact you a couple three weeks
- 27:10after the the surgery and we'll ask you
- 27:13how you're doing, what you need and ask
- 27:15if you want any more interventions or
- 27:18how you want to and we try to follow
- 27:19people for at least two years if not
- 27:21longer. Mhm.
- 27:22>> And it gives them that option, the the
- 27:24ability to adjust to the death, right?
- 27:27Uh and understand what their gifts
- 27:30belong and what they've done and how
- 27:32wonderful of a gift that was to be able
- 27:34to donate.
- 27:36>> Um and and over time, people you you can
- 27:40see that they change. They do that. So
- 27:42many of our donor families volunteer to
- 27:46work with us. I know kid volunteered to
- 27:48talk to other donor families,
- 27:49volunteered to help us education,
- 27:51volunteer in making the the teddy bears
- 27:53we have up there,
- 27:54>> which by the way that that's cool.
- 27:56Awesome. It's may maybe share a little
- 27:58bit. I know not this one here in our
- 27:59studio. We're just a little bit behind
- 28:00that.
- 28:01>> So So part of the afterare and the care
- 28:03of the donor families is we we do things
- 28:05for them around the time of the donation
- 28:08as well as again afterwards. You know,
- 28:10when we meet visit you in the hospital,
- 28:11we have blankets. We have things that we
- 28:13give you, but we also give what we call
- 28:16the the heart heartbeat bears.
- 28:19>> And what we'll do with that bear is
- 28:20we'll take the heart we'll record the
- 28:22heartbeat of your loved one and then
- 28:24we'll put it in the bear so you always
- 28:25have that we'll give you as many as you
- 28:27need, right? Yeah. And when you need to,
- 28:29you can hear that heartbeat, right?
- 28:31Yeah.
- 28:31>> And bring back your loved ones.
- 28:33>> Yeah. If it's so it's so interesting
- 28:36that some of the donor families, right,
- 28:38come back and end up wanting to be part
- 28:40and help the organization because, you
- 28:43know, they they've been through that
- 28:45that whole process and there's nothing
- 28:48better than talking to folks that have
- 28:50been through it and now been on the
- 28:51other side because you you can see that,
- 28:54you know, all seasons change, right?
- 28:55>> Right. And so it's great that those
- 28:57folks come back and get involved,
- 28:59>> right? And there's so many ways to help,
- 29:01right? Sure. So, so we do that and we
- 29:03work with families forever. We have a
- 29:05huge volunteer organization that does
- 29:06this desk does they collect donor pairs.
- 29:09It's awesome. The shs and the other
- 29:10things are cool too. And so it is
- 29:14impressive to watch. And another one
- 29:16great program we do which has got
- 29:18nothing to do with donation directly but
- 29:21again caring for the families. We have a
- 29:23donor camp
- 29:25donor hero camp. Okay. Donor kid donor
- 29:27family camp. I'll get there. It's for
- 29:28the kids. Also, every summer we have a
- 29:31camp where the kids can go with other
- 29:33kids that are of donor families and they
- 29:36could talk about things maybe they were
- 29:38uncomfortable at home. They could talk
- 29:39about their old ones and it's part of
- 29:42that grieving process and they come back
- 29:43year after year.
- 29:44>> Yeah.
- 29:45>> And this year I think we're extending
- 29:46the duration to almost a week. So it's
- 29:48going to be all your old K.
- 29:50>> Oh wow. Oh, I mean, what what a great
- 29:51opportunity for those kids to come and
- 29:54have, you know, a place to share with
- 29:56others and and those things and just
- 29:59realize they're not alone.
- 30:00>> Yeah.
- 30:00>> And that they're normal.
- 30:02>> Yeah.
- 30:02>> And maybe say things and share things
- 30:04that they were comfortable sharing
- 30:06before because they're they're get, like
- 30:07you said, I'm somebody who's been
- 30:09through this. It's not
- 30:10>> Yeah.
- 30:10>> just you anymore.
- 30:11>> What What a what a what a great
- 30:12opportunity. and and for you like like
- 30:14you said the couple of folks that you
- 30:16you knew said this job would be you know
- 30:18perfect for you and and your role what
- 30:21what's what's your role look like? What
- 30:23what's what's your day-to-day and and
- 30:26how are you kind of operating amongst
- 30:28the team over there at Indiana Network?
- 30:30>> I I have a a specific job I I'm kind of
- 30:33in charge of everything, right? Because
- 30:35I'm the chief medical director, but the
- 30:37most important part of what I do is make
- 30:39sure what we do is safe. Yeah.
- 30:41>> Right. both for the donors.
- 30:43>> Yeah.
- 30:44>> For their families and then obviously
- 30:45for the recipient to the organs, right?
- 30:47>> Yep.
- 30:47>> So I evaluate the patients with my care
- 30:50my team of of care team personnel that
- 30:54uh you know they go to the hospitals
- 30:56they call me. So every day I'm going
- 30:57through the list looking at people who
- 31:00are potential donors perhaps to share
- 31:02people that are authorized for donation
- 31:04and we go through the medical care and
- 31:06help with the medical care. Okay. uh if
- 31:09they're brain dead and we can get back
- 31:10to that. We moved it if we can to our
- 31:13center. We have a six bed ICU here in
- 31:15downtown Indianapolis. If you're not at
- 31:17a transplant hospital, we we prefer to
- 31:19move you there and I'll take care of
- 31:21them there. I'll be their doctor if you
- 31:22will.
- 31:23>> Okay. Gotcha.
- 31:24>> Uh so ensuring the quality of
- 31:26transplantation, ensuring the safety of
- 31:29the transplant is my most important job.
- 31:32>> Yeah.
- 31:32>> And then we look at how we're going to
- 31:34grow, what's important. already exchit
- 31:41all those things. Yeah. We're doing
- 31:43things correctly.
- 31:44>> But but you could tell when you and I
- 31:45first met, you could tell that this job
- 31:47is just something that's just it's it's
- 31:49you love this. This is this is you're
- 31:52able to do everything that you've been
- 31:53skilled at over the years. in general
- 31:55nefology to eventually ICU care. I did a
- 31:58lot early on and then I learned about
- 32:01home dialysis and grew that nationally
- 32:03as well as locally.
- 32:04>> Yeah.
- 32:05>> Uh and moving back to transplantation
- 32:07just makes perfect sense.
- 32:09>> Yeah.
- 32:09>> It is by far the best way to take care
- 32:11of patients with endorgan disease and
- 32:13chronic illness and we just don't have
- 32:15enough organs. So making sure that we at
- 32:17Indiana Donor Network do everything we
- 32:20can get the most or organs for patients
- 32:23that need it. give the most care for
- 32:25patients needed is what we do.
- 32:27>> Yeah.
- 32:27>> And you you know obviously patients when
- 32:29they're in that state, they're pretty
- 32:31ill.
- 32:32>> We have to work to make them healthy
- 32:34again. We have to make the lungs better
- 32:35than they were maybe when we first met
- 32:37them. We have to make sure the heart is
- 32:39good and do what we can to make the
- 32:40heart better.
- 32:41>> We got to keep the kidneys profusing,
- 32:42the liver going. So it is really
- 32:44intensive intensive care which is good
- 32:47>> and and uh it was nice to get back to
- 32:50taking care of patients and then knowing
- 32:52that that that patient was then going to
- 32:54help anywhere from you know one to eight
- 32:57individuals with organs and up to
- 32:59another 75 with tissues.
- 33:01>> Yeah. See that that's also something I
- 33:02didn't realize that you know they could
- 33:04help up to you know 70 or 80 particular
- 33:07people and that that's amazing that one
- 33:10you know donor hero right has the
- 33:12ability to touch the lives of so many
- 33:14individuals right
- 33:15>> and there you when we organs we all
- 33:17think about because it's sexy right
- 33:19transplantation organs we know heart
- 33:21lungs liver pancreas kidneys and
- 33:23sometimes intestine but we don't think
- 33:25of tissue yeah it's also exceedingly
- 33:27important um but you know things like if
- 33:30you have an ACL and you need uh can have
- 33:33our ACL maybe from a dead person.
- 33:36>> That's where it comes from.
- 33:37>> Yeah. Right.
- 33:38>> People allow us to get skin, bone,
- 33:42>> ligaments, vessels.
- 33:44>> Yeah. And so it goes to other people and
- 33:46helps so many people.
- 33:48>> Yeah. It it's the the thing that touched
- 33:50me. I I just remember walking in and and
- 33:52seeing the tree and all the different
- 33:53things and then and then thinking about,
- 33:57you know, you guys call them donor
- 33:58heroes. That's truly what they are.
- 34:01Absolutely. Because at the end of the
- 34:02day, they're they're the hero for 7 8 9
- 34:0610 12 15 people, right? That are now
- 34:09going to have um you know a different a
- 34:12different uh life going forward, have a
- 34:14different opportunity. Some of these
- 34:15folks are very ill and this is going to
- 34:17give them an opportunity to be recovered
- 34:18and those things. And they truly are
- 34:20heroes. And im and immediately I
- 34:22remembered that emotion that kind of
- 34:24came to me was you know you think of in
- 34:27one way it's extremely sad for one
- 34:29family for another family it it's it's a
- 34:32blessing
- 34:33>> right
- 34:33>> right and so you can see good in all of
- 34:36those things and it's terrific I
- 34:37remember when you and I chatted I'm like
- 34:39and this is a job you should do that
- 34:41this is something you could tell that
- 34:42this was is something you truly enjoyed
- 34:45and believed in and and really really
- 34:47really loved doing and so it was so neat
- 34:50to hear that the first time And I think
- 34:51our our uh viewers and listeners will
- 34:54like that as well. One of the things
- 34:56that we talk about, you know, on this
- 34:58show is we talk a little bit about
- 34:59technology.
- 35:01>> And from a technology perspective, it
- 35:04it's it's interesting to hear
- 35:06nonprofits, for-profits, large or small
- 35:08companies talk about tech. But how's
- 35:11tech evolving in your space that's maybe
- 35:14helping you guys move things forward or
- 35:16grow or change or help people even more?
- 35:18technology has expanded rapidly in a
- 35:21very short period of time.
- 35:22>> Okay,
- 35:24>> probably in the last five years. It's a
- 35:25complete and I had this conversation
- 35:27this morning. It's completely different
- 35:28world than it was 5 years ago.
- 35:30>> Uh it allows us to do things better and
- 35:34again make the most of each gift we get.
- 35:36Right? If your donor hero is going to
- 35:40donate, we want to make sure we we can
- 35:43make the most benefit from that. And
- 35:45technology is how we get there. So
- 35:48simple things you know we think about
- 35:49television everybody's got a place
- 35:51school cooler with a heart in it. It's
- 35:52not the world anymore, right? All techn
- 35:55all technology the we don't put things
- 35:58on ice as much. It still happens. We do
- 36:00have ice in boxes, but most organs now
- 36:03work perfusing and we're putting them in
- 36:05a technology that keeps the organ a
- 36:07specific temperature
- 36:09>> because think about ice. You put a heart
- 36:10on ice, you can get ice free in the
- 36:13freezer, you know, insistent
- 36:15temperature. We can fix that. We know
- 36:17exactly the temperature. We can peruse
- 36:19organs.
- 36:20>> Okay. uh while they're being going
- 36:22profusely keeps the organ better because
- 36:24it's not just setting.
- 36:25>> Sure. Uh so we have devices that peruse
- 36:28kidneys, peruse hearts, peruse livers,
- 36:30protrudes even lungs and even expand it.
- 36:33>> So so now it's it's a it's a healthier
- 36:36it's
- 36:36>> and and and does it does it can now can
- 36:39these be used all over the United States
- 36:41now?
- 36:42>> Couple things for us. One, it makes the
- 36:44organ a better organ because again we
- 36:47talked about safety to the recipient.
- 36:48Yeah, sure. makes it so the organ is
- 36:50more likely to do well for longer.
- 36:52>> Okay.
- 36:53>> Uh and to as you said, it allows us to
- 36:56transport farther.
- 36:57>> Yeah. So we're not limited by miles as
- 37:00much as we were in the past. We talk
- 37:02about 250 nautical miles. Why we do
- 37:04nautical miles? I don't know. Go. We
- 37:05talk about 250 nautical miles. Uh as our
- 37:08general capo, okay, we sent a a kidney
- 37:12to a a a child that needed it uh and
- 37:15couldn't be matched elsewhere to
- 37:17California. No kidding. It's just an
- 37:19amazing story, right?
- 37:20>> So, a hero here in Indiana was able to
- 37:22donate a kidney to a kiddo in California
- 37:25because of the way the technology does.
- 37:27And also importantly, the technology is
- 37:30improved. So, we can monitor that. We
- 37:31don't have to be watching it, right?
- 37:33Yeah. We can monitor it from
- 37:34Indianapolis as it flies all the way to
- 37:35Los Angeles, gets to where it needs to
- 37:37go and make sure the organ does have
- 37:40changes in temperatures or profusion,
- 37:42fix things if there are changes, right?
- 37:44Yeah. Change the way the fluid flows.
- 37:47Um, so it it allows that to happen that
- 37:50didn't before.
- 37:52>> So, so it should as we continue to grow
- 37:54allow us to help more people with more
- 37:57equity. Yeah. Right. Uh, and by
- 38:00profusing both in the O and separate,
- 38:03we're able to do more organs and people
- 38:05that we wouldn't have done before. So,
- 38:07we
- 38:08>> we will look at donor heroes of all
- 38:10ages. We don't have an age restriction.
- 38:12>> Okay. We uh recently did a donor. It was
- 38:15an 83 year old person that donated it
- 38:17their liver.
- 38:18>> No kidding.
- 38:19>> It's amaz.
- 38:22>> Wow. So now the availability is going up
- 38:26because like you said, we don't we don't
- 38:27have enough,
- 38:28>> right?
- 38:29>> And so we need more, but the technology
- 38:31is allowing this to be able to to bridge
- 38:33that gap.
- 38:34>> The number of BC donors went down last
- 38:36year. Lots of reasons, but one is that
- 38:38we uh are better at treating drug
- 38:40overdoses. Yeah, it's a good thing,
- 38:42right? That's right. Yeah. So, deceased
- 38:44donors have gone down, but organs have
- 38:46not because we're able to get more
- 38:49organs.
- 38:49>> Oh, no. Can
- 38:50>> Okay.
- 38:51>> Open the doors for more potential.
- 38:53>> So, the technology is really evolving a
- 38:55way that that
- 38:56>> Okay. It makes it so it works. Yeah.
- 38:59>> We now have a system and we're the only
- 39:01or human organization has one now where
- 39:03we peruse lungs so we can keep them
- 39:06longer. We then look at them and if
- 39:08they're not quite ready for transplant,
- 39:10they would be not transplantable before,
- 39:13we can take them to the Indiana Donor
- 39:15Network. We put them on a machine for
- 39:16three, four, five hours and then we can
- 39:18get them accepted and transplanted
- 39:20someplace else.
- 39:21>> No kidding.
- 39:21>> Yeah. So that's an amazing technology to
- 39:23watch.
- 39:24>> Wow. I that's just I mean just to think
- 39:26about when you when you started your
- 39:28career and the some of the things you're
- 39:30doing now just the evolution
- 39:32>> is amazing. It absolutely is. Yes.
- 39:34>> And so Wow. That's so cool to think
- 39:36about how tech is moving and what it's
- 39:38doing to allow you guys to support more
- 39:40families. So, next thing we talk about
- 39:42is a little bit about community.
- 39:44[clears throat] Obviously, we know you
- 39:45ser you're serving the community, you're
- 39:46serving the families,
- 39:48>> you know, your organization, the culture
- 39:49at Indiana Donor Network, but I seem to
- 39:51remember there was
- 39:53>> uh bicycle right
- 39:55>> for that I have to do. Yeah. So, so
- 39:57there there's some a nonprofit maybe or
- 39:59something you like to support. Is there
- 40:00there's there's a couple thing you know
- 40:02when COVID hit I was stuck in my
- 40:04basement. when I was working precinius
- 40:06at the time. So I need to get some
- 40:08exercise. That was clear. And uh so I
- 40:11got a stationary bicycle. Yeah, that's
- 40:13one of one of the big programs. I rode
- 40:15that and I'm pretty good at it for about
- 40:16three months and was enjoying it. I
- 40:18said, "Well, if I can ride a bicycle,
- 40:19one wheel, I should be able to ride one
- 40:21with two that rides again." And it's
- 40:23been mind you 40, 50 years since I rode
- 40:25a bicycle with any real resentment.
- 40:28And uh so I bought a bicycle and I
- 40:31enjoyed it. I just kept riding and
- 40:32riding and uh eventually bought another
- 40:35bicycle because you can't have two of
- 40:36course. So, right. Uh but I find what I
- 40:39want to do is besides just the daily get
- 40:42out and ride type stuff is is to support
- 40:44organizations that need it. So, I'll
- 40:46look for for charities that have bike
- 40:50rides and I'll write with them. So, in
- 40:53town IU Momentum does something and they
- 40:56have a little bit of a charity that I
- 40:57tend to write in July. Uh in June I tend
- 41:01to ride with uh the Grand Rapids,
- 41:03Michigan where my youngest is in her
- 41:05island and I'll I'll ride a 80 mile bike
- 41:08ride with them for the Mary Bird Free
- 41:10Hospital which does uh
- 41:13and uh and develops the for the amput so
- 41:18they can do sports, they can do walking,
- 41:20you know, surely how to do it. So it's
- 41:22economical. So that's a great charity.
- 41:25So I'll donate to that as well. And then
- 41:26I I had been doing um Pen Mass Challenge
- 41:30which is in Massachusetts. I used to go
- 41:33from Sturbridge all the way up Province
- 41:35Town. So over two days about 185 miles.
- 41:38>> Oh my god.
- 41:39>> They have hills in Massachusett. It's
- 41:41not like here. No, they do. Yeah.
- 41:44>> So So it's the most they go up and down.
- 41:46Uh and I did that for about four years
- 41:48and no car is close to $20,000 for them.
- 41:51Um but they're the world's largest
- 41:53organization for charitable sports
- 41:55events. So it it's actually very good.
- 41:57Met goes to uh uh Dana Farberware cat
- 42:01center out Massachusetts. So it goes to
- 42:04good cancer research. This year I'm
- 42:06going to change it a little bit because
- 42:07my daughter my daughter was just
- 42:08diagnosed multiple scerosis about a year
- 42:11ago. That's nine months ago and they do
- 42:15what's called Jack and back in in uh
- 42:17Kentucky in September.
- 42:19>> Okay.
- 42:19>> So it's 75 miles to the Jack Daniels
- 42:21facility and then 75 miles back the next
- 42:24day. Oh. Okay. We'll see how that goes.
- 42:26>> Okay. All right. I'm told Vanville, too.
- 42:28>> Well, I'm told that, you know, that's a
- 42:30lot of mileage, but it it's a lot of fun
- 42:32to be able to support th those
- 42:34communities as well.
- 42:35>> And it ties in giving with something
- 42:38good for you and actually enjoyable.
- 42:40>> Yeah. Something you enjoy in the giving.
- 42:42And you can hear that all through your
- 42:43career. It it's it's always interesting
- 42:46when I get a chance to talk to people
- 42:47there. There are some who knew pretty
- 42:51early, you know, what they really wanted
- 42:53to do. others had no idea. Right. Right.
- 42:56And and it's just your story going back
- 42:58to the beginning and wanting to be a
- 43:00doctor and kind of seeing how people
- 43:02helped, you know, your mother with lupus
- 43:04and and those types of things. And to
- 43:06see your career progression, it's just
- 43:08it's it's excellent. And it's always
- 43:10amazing how things happen to where you
- 43:13know the right thing comes at the right
- 43:15time and the right person and all of
- 43:17those happen. and an Indiana donor
- 43:19network happens to be that place for you
- 43:20and it's terrific the work that you guys
- 43:22are doing that those folks mission is
- 43:25good the vision is good the people there
- 43:27are wonderful to work with uh and we
- 43:29understand what we're doing and the
- 43:30importance of it
- 43:31>> absolutely and it's just you you go to
- 43:34work every day and you enjoy it
- 43:36>> yeah so before we close out let's talk
- 43:38about what's fun right we talked a
- 43:40little bit about family so we know we
- 43:41know you're uh you're married um how
- 43:44many kiddos I have four children that's
- 43:46right and and remind me are are they
- 43:48here where they there none of them
- 43:49they're all good I was either a really
- 43:52good father that gave them the ability
- 43:54to take care of themselves and
- 43:55self-esteem to move on or I was a
- 43:58terrible father to get the hell out real
- 43:59quick
- 44:01the first so my my oldest is in the
- 44:04Vegas area
- 44:06the next one's in the Atlanta area and
- 44:08coming
- 44:08>> okay
- 44:09>> and the third one is in Scottsdale
- 44:12>> okay
- 44:12>> fourth one is the closest that she's in
- 44:14Grand Rapids
- 44:15>> oh my gosh so four of them all around
- 44:17And uh any grandkids yet?
- 44:19>> I have five.
- 44:20>> Five grandkids. That's awesome. So good
- 44:22for you. So So what's fun if you're not
- 44:24working? I was the Indiana Donor
- 44:25Network. If you're not working, what are
- 44:26you guys doing for fun?
- 44:28>> Well, we're kind of pulling people. I
- 44:29love riding my bike. So I I'll that's
- 44:32obviously fun. My wife is in community
- 44:34theater.
- 44:35>> Okay.
- 44:35>> So watching her act is is she's
- 44:38unbelievably fun. Uh so uh we we support
- 44:41community theater as she does props and
- 44:43things that I don't care about props but
- 44:45when she's acting full to watch I love
- 44:48going to the so and we go to that as
- 44:51well.
- 44:52>> Yeah. Um
- 44:53>> and visiting the grandkids is just the
- 44:56best. Yeah that's the best. Right. All
- 44:57right. Well Michael thank you. I I it's
- 45:00been fun to learn their journey to to
- 45:02listen to how you've progressed through
- 45:04your career and for me personally it was
- 45:06great to learn more about in the outdoor
- 45:08network and all those things you guys
- 45:10are doing and one one thing I you know
- 45:12as as your listeners and watch your
- 45:15viewers think about this think about
- 45:17transplantation a donation because
- 45:19that's so important. Yeah.
- 45:20>> If you have questions call us you can
- 45:22sign up the BMV you can sign up but it
- 45:26>> that's where I was going to go right. So
- 45:28the if you think about how people can
- 45:31get involved, right? I'm a donor. My
- 45:33wife's a nurse, right? I believe it was
- 45:35when I went to get my license and those
- 45:37types of things.
- 45:38>> But my assumption is much like me, most
- 45:41people don't know what how those types
- 45:44get involved.
- 45:45>> So maybe if you could go through that
- 45:46again, just where people what could
- 45:48where could they find you? What would
- 45:50they do if they have questions? And
- 45:52maybe what are some of those options
- 45:53they could do to get involved with Well,
- 45:55they they can always call us at the end
- 45:56of their owner network and we'll back to
- 45:58them and that's a good way to do it. Uh
- 46:00you can search for things online, but
- 46:02you know it it's difficult sometimes to
- 46:04get through it all, but we have a very
- 46:06nice website. So, okay. And Indiana
- 46:08network website's very good actually and
- 46:10reads well
- 46:11>> and it'll tell you what we did last year
- 46:13and where we're going and talk about
- 46:14technology and our ambulances and our
- 46:16airplanes and all the fun things that we
- 46:18have. Yeah.
- 46:19>> Um,
- 46:20>> so you've got that baseline and but
- 46:23understanding why you want to give,
- 46:25>> right?
- 46:26>> And that you want to give is important.
- 46:28Yeah. But the next step is very
- 46:30important is what you tell your family.
- 46:32>> Oh yeah.
- 46:33>> Spouse, your kids, your parents,
- 46:35whatever. Yeah.
- 46:36>> Because they're the ones when
- 46:38>> you can't say what you really want.
- 46:40Yeah. They have to deal with it. So yes,
- 46:42>> but if you haven't told them
- 46:44>> that you would like to be a donor, they
- 46:46will sometimes we have to come to grips
- 46:48with that, right? And try to figure out
- 46:50what it's much better to know that than
- 46:52advance. Only about.3% of the people
- 46:54that die can be donors. It's not
- 46:56everybody that can be a donor. You you
- 46:58have to die
- 46:59>> on a ventilator and you have to have
- 47:02unfortunately put it's usually a
- 47:03catastrophic illness that gets you
- 47:05there. So it it is very hard on the
- 47:08family. These these aren't people that
- 47:10are
- 47:10>> have slow chronic illnesses in general.
- 47:13Something just horrible happened.
- 47:14>> Yep.
- 47:15>> Uh and so there's a lot of emotions, a
- 47:18lot of thoughts to go through. So you
- 47:20owe it to your family y to say, "Look,
- 47:23I've signed up. I've signed up every
- 47:25every time I got my license since I was
- 47:2618." Right.
- 47:27>> Yum. I think that's what it started. But
- 47:30uh so it's important that your family
- 47:33knows that so they can support you in
- 47:34that decision
- 47:36because yeah I mean it's just it's very
- 47:38important.
- 47:39>> It is and I communication is key right
- 47:41making sure your family knows and if
- 47:43you've got questions obviously reach out
- 47:44to you guys at Indiana Donor Network and
- 47:47I appreciate you sharing your story with
- 47:49us. Appreciate the bear it'll say it'll
- 47:52set up on there and it'll be in the
- 47:53podcast as we go forward and so folks if
- 47:55they ask about that I'll be able to
- 47:56share the story. Appreciate you. Thank
- 47:58you.
- 47:58>> Thank you. Appreciate it.
- 48:00>> Thank you for listening to the Elevate
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