August 9, 2026 • 33 mins
Hosted by Laurie Alverio, The Still Blooming Radio Show is a warm, honest and empowering space for conversations about aging, caregiving, wellness, relationships and community
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Speaker 1 (00:01):
The content of this show is that of the Still
Blooming Radio Show and does not reflect the views or
policies of this station or iHeartMedia. News Radio Wham 1180
welcomes you to this still-blooming radio show presented by Hand
in Hand in your home. Join in with your comments
or questions. Call 222-1180. Now, live from the News Radio
(00:24):
Wham 1180 studios in downtown Rochester, here's your host, Lori Alverio.
Speaker 2 (00:31):
Good morning, and welcome to the Still-Blooming Radio Show. I'm
your host, Lori Alverio. This show is dedicated to changing
the way we think about aging each week. We share information, resources,
and real conversations to help older adults, caregivers, and families
continue growing, living fully, and remaining connected to their communities.
(00:52):
A special still-blooming shout-out to Jennifer from the Darien Lake
Security Team near Section 305. Accessible seating is not equitable
if a wheelchair user cannot see the performance. Jennifer helped
an older listener fully enjoy the concert, showing that aging
is about more than access. It's about living, participating, and thriving. Today,
(01:15):
we have two wonderful guests, Dr. Laura Petrescu from Athena
Primary Direct Care, owner and CEO of and the founder
of the first direct primary care here in the area.
She's also the president of New York State Direct Care
Physicians Alliance. Welcome. We also have Dr. John Salvas. He
(01:39):
will be discussing physical therapy, mobility, neuropathy, and neurological care.
Thank you to last week's guest, Jessica from Grape, and
to our sponsor, Hand in Hand in Your Home, Hannah Z.
Social Adult Day Program, Athena Direct Primary Care, and Robin
Barkley of Safe at Home Physical Therapy. Let's welcome back Dr.
(02:00):
Laura Petrescu.
Speaker 3 (02:02):
Hi, Lori. Happy to be here with you.
Speaker 2 (02:05):
Well, thank you for joining us. Let's jump right in.
So can you tell us a little bit about direct
primary care or DPC? DPC.
Speaker 3 (02:15):
So, yes, direct primary care is a movement that has
been around the country for over 20 years. But I
was the first one in Rochester area to open a
direct primary care practice some more than five years ago now.
So the direct primary care is an alternative to the
(02:36):
traditional insurance-based primary care. And I want to stop there
for a minute. To really understand direct primary care, we
have to go back to the current state of primary
care in the U.S. I've been practicing clinical medicine for
over 25 years now, and I remember the good old
(02:56):
days when the family physician, it was a direct relationship
between the family physician and the patient. There was no middleman.
It was a private office. All offices were private. and
how this changed in the last 30, 50 years to
today's current state of primary care. So what do we
(03:20):
experience today? Primary care has become a funnel for referrals,
for specialist referrals. Why? And it is by designing the
system because primary care physicians are allowed 15 minutes on
the clock to see a patient's A patient, and out
(03:41):
of that, patients can check out your left face-to-face with
a patient for seven minutes. And what exactly can you
address as a physician in seven minutes? You will refer
to the next physician. If you have a toe pain,
you're going to see the podiatrist. If you have a headache,
you're going to see the neurologist. When, in fact, primary
care physicians, internal medicine physicians, family physicians are fully trained
(04:07):
to take care of 80 to 90 percent of all
your health care needs. You do not need to see
all the specialists. I'm not saying, please, not to be
the message. There is a role for every physician. team
member in the healthcare system and specialists, of course. But
it is fragmented care that we experience because primary care
(04:27):
is no longer the backbone of care. It has become
in the system a funnel of referrals. So what happens
to the patient? What is the patient's experience in such
a system? Patients get They are sent from this doctor
to the next doctor, and typically they don't communicate between themselves,
(04:47):
and nobody knows what's happening. And people are lost in
this system that's become more complicated. And why is it complicated?
Because of all the middlemen. It's corporate health systems, it's
insurance companies that all come between the patient and the physician.
And what do we have? We have a high burnout
(05:11):
rate of primary care physicians because of the system that
wants volumes, wants us to see 30 patients every day
so we can generate more referrals and more income for
the healthcare system. And we have frustrated patients that experience
a higher burden of chronic disease that is not properly
managed by one person, one physician that knows their whole care.
(05:35):
So it's bad outcomes for physicians, it's bad outcomes for
patients who benefit from this design of the system that
has been evolved to this day in the last many
decades now. It's all controlled by insurance companies and corporate
health systems. So direct primary care... it takes us back
(05:57):
to the good old-fashioned medicine, the way it was meant
to be. I went to medical school and I chose
to do direct primary care to begin with because I
love that relationship with the patient. I love the continuity
of care and to know them over time and guide
them throughout all stages of life. But that's gone in
(06:19):
the system. And direct primary care is that direct relationship
with the patient. A patient would pay a small monthly
membership fee that gives them unlimited access to their physician.
They can call, they can text, they can come in
for acute visits, they have routine physicals, they have routine
chronic disease management, and the whole person approach to their care.
(06:44):
We look at their physical health, mental health, spiritual health.
Everything comes together to achieve health. Our goal is to
have healthy people.
Speaker 2 (06:56):
It sounds like it's very holistic, right? It's a step
back in time almost.
Speaker 3 (07:01):
Yeah, precisely. Precisely. That's what I envisioned when I went
to medical school. That's what I envisioned when I chose
primary care. I envision that I'll have time to sit
with the patients and offer this whole person care. We
cannot separate parts of the... We cannot just take care
(07:21):
of your eyes and not your kidneys and your blood
pressure and not your... Everything is connected. And mental health also.
There is so much... stress we live in today. There
is so much anxiety despite of the abundance of wealth
that's available, but there is not equitable distribution of the wealth.
(07:45):
There is not equal access to care. We have to
make healthcare more accessible and affordable for all people so
they can achieve optimal health.
Speaker 2 (07:58):
Absolutely. So real quickly, can you tell us what the
difference between direct primary care is versus the concierge medicine?
What's the difference there? Just really quickly.
Speaker 3 (08:10):
Yeah, I know a lot of people get confused about
the two, and there's lots of similarities. Concierge medicine pretty
much offers the same level of direct access and more
personalized approach to care. The biggest difference is the price tag,
because concierge medicine is designed for the top 1% earners.
It's a contract. You are stuck into a contract. It's
(08:37):
typically a concierge. It's a franchise concierge service like MDVIP.
It's a franchise nationwide, and they have their role. So
it's not the doctor independently making changes in their practice
based on the patient's needs. It's most of following the
franchise roles. And it's a higher experience. Expensive, number one, contract,
(09:01):
you're stuck in the contract. And then on the top
of that retention fee, the annual membership fee you pay,
you also pay insurance deductibles and co-pays for every single
time you see the doctor. So it becomes very expensive
and inaccessible to most people. As compared to direct primary care,
(09:22):
which is physician-owned, physician-operated, there is no additional middleman. We
do a monthly membership fee, no contract. You can cancel
at any time. And it's more accessible, more affordable, because
we don't have to pay these corporate fees to the franchise,
so it is more accessible. Plus, for people who have
(09:45):
high-deductible plans... they do not typically access care because they
have to pay every time they see the doctor. When
in fact, if you pair a high deductible plan with
direct primary care, now... you pay less on insurance premium
and you have unlimited care through a direct primary care practice.
(10:07):
And this is the perfect way to do it. I
think there are many different other ways, of course, but
you have care. You know, you have insurance, but you
can't really access that insurance into a concierge practice because
every time you see the doctor, you have to pay co-pays.
You still have to meet your deductible. You still have
(10:28):
to pay high co-pays. And then on top of that,
you pay the membership fee. So it's a different model.
There is a role for all models in the market.
The truth is, yes, it's an out-of-pocket expense on top
of insurance, but there are choices.
Speaker 2 (10:50):
Yeah, thank you. When we return, we'll discuss how DPC
works with health insurance and who may benefit. You're listening
to the So Blooming Radio Show on WAM 1180 AM.
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Speaker 2 (12:16):
News Radio, WAM 1180. Welcome back. We're speaking with Dr.
Laura Petrescu from Athena Primary Direct... I'm so sorry. Goodness,
(12:37):
I'm tongue-tied. We are speaking with Dr. Laura Petrescu from
Athena Direct Primary Care.
Speaker 1 (12:43):
Dr.
Speaker 2 (12:44):
Petrescu, let's just jump right back into it. Is DPC
an insurance plan and do members still need insurance? I
think when we left off, it's kind of what we were...
getting into maybe.
Speaker 3 (12:56):
Yes. I think it's, it's very important for our listeners
to understand direct primary care. It's not insurance and concierge
medicine is not insurance either. Um, What it offers is
unlimited primary care service for direct primary care. But people
still need an insurance plan for catastrophic care or for
(13:17):
major hospital stays, for major surgeries, for accidents. I advise
and Direct Primary Care Alliance advises people to get an
insurance plan. But here's the difference. To save money, you
choose wisely what kind of insurance you're going to pay for.
(13:39):
So the current state of options is the copay and
high deductible plans. Most people choose the high deductible plan
because it's cheaper, monthly premium for insurance. But with that,
people still pay every month for their insurance premium, but
they get almost no care because they now avoid to
(14:02):
see the doctor, any doctor, unless it's something acute or
there is no routine proactive preventative care because people avoid
going to the doctor because they have to pay the copayments.
If you pay, though, a catastrophic insurance plan, which is
averaging around $ 500 a month, not $ 2, 000 for top premium insurance,
(14:28):
or a high deductible plan, and you pair that with
a direct primary care service, now you have coverage for
catastrophic events and you have coverage really good access to
a personal physician that knows you the best and 80
to 90 percent of your health care needs can be
addressed right there with your doctor. So yes, we advise
(14:51):
to have some insurance coverage. Again, direct primary care is
not insurance plan, but it's access to direct care services
to your personal physician. And that, I think, would solve
a lot of current health issues with people not being
proactive about their health because they don't have coverage. So
(15:13):
people typically, what happens in today's environment, people wait until
they're sick. And I hear this every single day from patients.
I never go to the doctor because, you know, nothing
bothers me, right? So here we have 20 years old,
30 years old, 40 years old. In the middle of
their life, being busy with kids, with careers, and they
(15:37):
don't have time and they don't have access to a
good physician to guide them. through lifestyle changes, through nutrition,
through exercise, through stress management, that is the foundation of
chronic disease, right? So people are no longer engaged into
preventative care because they don't have access. Now, if you
(15:59):
have a direct primary care paired with such a plan,
high deductible plan, you can then have access to this
preventative care. And to segue back into concierge medicine, again, Yes,
you have direct access to your physician in a MDVIP
type practice. However, you still have to pay every time
(16:21):
you see the doctor and you pay your insurance, co-pays deductibles.
So it ends up being more expensive way to get
direct care or primary care to begin with because now
it's really not accessible for the regular earning working person.
So direct primary care, our aim is to have more
(16:46):
people being able to access good quality primary care that
is affordable.
Speaker 2 (16:53):
Yeah, yeah. It makes complete sense what you're saying. So
I guess you kind of spoke a little bit about it,
why you would pay the monthly fee if you already
have insurance. And I'm assuming that you would pay this
monthly fee because you have unlimited access to your provider, correct?
Speaker 3 (17:12):
Correct, right. So that's where we need to understand the, yes,
there is a monthly membership fee for direct primary care
that you pay on top of your insurance premium. So
why would someone even consider such service? It's the proactive care.
Your insurance premium is should be like your car insurance.
(17:34):
You don't use your insurance every time you have an
oil change. You use your car insurance when you have
a total car, right? In a similar way, you have
a back plan, a plan B for insurance coverage with
a catastrophic plan, but then you get all the routine care.
(17:58):
So what happens... through direct primary care, so people, because
they don't have this access, now they turn to Google,
they turn to AI. And I'm not, there is a
role in that, absolutely. And I love people that come
to my practice educated about their health. They already read
about it. They already understand, try to puzzle and put
(18:19):
the pieces of the puzzle together, but they need physician's guidance.
AI and Google search will not replace my 25 years
of clinical experience and critical thinking and clinical judgment. So
they need an actual professional to guide them through all
the information that they gather. But this is what it
has turned into. People don't want to pay their co-payments
(18:42):
and they have high deductibles and they don't want to
go to the doctor. So then in the meantime, they're
left trying to figure things out by themselves. And most
of the time they get their medical care through, you know,
influencers or on social media. And I'm not saying, you know,
it's important to be out there, but to be very
(19:03):
critical about where your information is coming from and what
are the credentials of these people giving you information? Um,
because it's your health and it's your life and you've
got one.
Speaker 2 (19:15):
Absolutely.
Speaker 5 (19:16):
Absolutely.
Speaker 2 (19:17):
Um, So real quickly before we end, who should consider
DPC services? Are they for someone who is relatively healthy?
Are you seeing patients that have multiple comorbidities? Who is
the ideal patient for your service?
Speaker 3 (19:34):
We love to help old people in all stages of life.
If you're on your younger side, be proactive about your
health and stay healthy and don't ignore symptoms until it's
too late. If you're on the older side, you need
help to coordinate your care. So we hope to help
all people.
Speaker 2 (19:56):
Thank you, Dr. Petruski, for helping us understand direct primary care.
And we will be back on WAM 1180 in just
a few minutes.
Speaker 6 (20:06):
There was a chain of events that occurred.
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In any event.
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The Fifth Amendment.
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There will be repercussions.
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Check in.
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The federal funds rate.
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Unchanged. The events of the day.
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Republicans' effort has to say that.
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In Iran.
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We got to smack them a little bit.
Speaker 2 (20:19):
Use radio.
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Speaker 6 (20:21):
There was a chain of events that occurred.
Speaker 1 (20:23):
In any event. The Fifth Amendment.
Speaker 6 (20:25):
There will be repercussions.
Speaker 1 (20:26):
Check in. The federal funds rate.
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Unchanged.
Speaker 1 (20:29):
The events of the day.
Speaker 3 (20:30):
Republicans' effort has to say that.
Speaker 5 (20:32):
In Iran.
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We got to smack them a little bit.
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Use radio. Wham!
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Car accident?
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Don't.
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Welcome back. Joining us now is Dr. John Salvas, PT,
DPT from Restore Neurodynamics. Welcome to the show, Dr. Salvas.
Thank you. I'm going to start with you kind of
just telling us about yourself and Restore Neurodynamics. I know
all the great work that you're doing from personal experience. So,
(21:10):
we share with our audience? Yeah.
Speaker 6 (21:12):
So, yeah, again, my name is John Salves. I'm a
physical therapist. I am 12 years out of school at
this point. Getting into my business was actually quite a
long journey. I graduated from school and I went out
like any other PT into the big medical world. And
I started at the University of Rochester as a spine therapist.
(21:35):
And you know, it was a great learning experience. But
like anybody else in the medical system, I think after
a few years, it was an evolution of thought, if
you will, where I felt like I could give people
more and I was kind of constrained with time with patients.
So what was the next thing I did? It wasn't
jump into business. It was to start traveling and to
(21:57):
learn a little bit about every different practice setting and
maybe what did I miss when I was on my
clinicals in college and what information gathering could I do.
So I was a traveling therapist for seven and a
half years. I had placements all over the country. I
was at Harvard Teaching Hospital in Boston. I was out
at Kaiser Permanente in California doing home care after total
(22:17):
joints and doing wound care that PTs in New York
don't traditionally do. And my wife and I traveled together.
She's a nurse. And we ended up expecting our first
child and coming back to Rochester. And I went back
to what I knew, which was the orthopedic world. and
the neurology world, which is where my travels basically took me.
(22:40):
But the biggest thing for me evolution-wise was I had
taken all those pearls from traveling, and I came home
with what I thought standards of care could, would, or
should be, and I couldn't find it here. So I
went into research thinking, oh, well, maybe I can get
a little more time with people and more quality care.
in that avenue. And it opened my eyes to the
(23:02):
duration of sessions that it took to truly intervene in
people's lives. So as a person, it started with being
an athlete, then going to school, having my own injuries.
And then as a professional, it was, okay, this is
what I think I'm supposed to do. This is what
I want to learn about before I make future decisions.
And these are the, like I said, pearls that I've
(23:23):
taken from them that I want to carry forward in
my career.
Speaker 3 (23:25):
So I've.
Speaker 6 (23:28):
Hit kind of a rock and a hard place about
a year and a half ago where I was like,
I'm not giving the quality care that I want to
working for big healthcare systems. And I want to give
people more. So that's kind of where we're stirring up
neurodynamics came from. It's a hybrid of orthopedic care and
neurology care. Because I believe truly they're one in the same.
(23:48):
If you're not treating the whole person, the nervous system
that controls the muscles that control your bones and orthopedics,
then you're not getting the whole picture. So My life
and my career have been a giant evolution of learning
what I want to do and then getting outcomes with
people that make me feel good about what I'm doing.
(24:08):
And that's where Stern Neurodynamics came from. It was really
putting all those pieces together, tweaking it over the last year.
And now I'm at a point where I give private
physical therapy services, one-on-one, one- to two-hour sessions with people.
There are no other people breathing down your neck.
Speaker 3 (24:25):
Yeah.
Speaker 6 (24:26):
And that's what I want to provide, you know, moving forward.
Speaker 3 (24:28):
I love that.
Speaker 2 (24:31):
Can you talk about, you know, manual therapy briefly and
how it can help? Sure, sure.
Speaker 6 (24:38):
So manual therapy is basically you going into a physical
therapist and them doing for you what you cannot do
to yourself. So, you know, I could use the case
of somebody with a disc herniation, for instance, right? There
are movements that your vertebrae are supposed to be able
(24:58):
to do, that obviously anybody with a back injury knows,
picking stuff up and extending their back and those type
of things.
Speaker 3 (25:05):
They're painful.
Speaker 6 (25:06):
They're not things that a patient is going to say, oh,
give me three sets of 10 over there and no pain,
no gain. Those are the type of things where you
have to come into a professional and they have to
enable you to be able to do those movements before
they're going to be more fluid and less painful. So
manual therapy is a hands-on approach. It is, like I said,
giving the patient what they can't give themselves. So in
(25:29):
the instance of a back injury, it might be mobilizing
somebody's vertebrae when they're laying on their stomach, pushing from
back to front and promoting a movement called extension or
the ability to lean back. It's getting that disc alignment,
getting that joint space and production of synovial fluid, which
is basically the oil of your joints. for that patient
(25:49):
so that what they're doing is more effective after. So
manual therapy is a lot more focused on what I
can do for you in a session and what you
can do for yourself at home than it is let
me watch you do three sets of 10 of this
and count on somebody. So it's me to you instead
of you showing me what you can do.
Speaker 3 (26:07):
Sure, sure.
Speaker 2 (26:08):
How can physical therapy help people remain independently at home?
Speaker 6 (26:12):
So that's a great question. In a lot of cases,
when I see people, they have kind of struck out
in the traditional physical therapy setting. And their question is,
can I stay at home? I have people on the
rider of like, can I, can I stay at my
house or am I going to go to an independent
living facility or an assisted living facility and something like that.
(26:32):
And I can't tell you the number of cases I've
had at this point where people are on the fence
about that and then promoting mobility for them gives them
an eye open into how much better they could move
and how much more independent, better balance they could have
because they're moving better. So to wrap that, it basically
keeps people at home because they have motion they didn't
(26:53):
know that they had.
Speaker 3 (26:55):
Love it.
Speaker 2 (26:55):
Thank you. When we return, we'll discuss neuropathy balance and
neurological care. You're listening to Still Blooming on WAM 1180.
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Everyone is trying to push buttons.
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Anthony Fauci needs to be helped.
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Every American needs to stand up.
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Hear about it.
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Talk about it.
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Have their voices heard.
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888-8000.
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NewsRadio.
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Wham!
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Depend on it. Welcome back. We're continuing our conversation with Dr.
John Salvas. So, Dr. Salvas, what is neuropathy and what
symptoms should we watch for?
Speaker 6 (27:44):
So neuropathy can be one of two things. Neuropathy is
either a congenitally acquired condition, which actually falls under the
muscular dystrophy category, where people lose sensation and motor function.
But the neuropathy that most of the listeners are probably
more commonly associated with is like diabetic neuropathy, which is
where sensation is predominantly lost in the lower extremities. And
(28:07):
patients are stubbing their toes or cutting their feet, and
it's leading to wounds on their feet or something along
those lines. But neuropathy as a whole impacts mainly balance
and the ability to motor process because you're not getting
that feedback through your feet. I could go way further
into upper extremity neuropathies and different existences in the muscular
(28:28):
dystrophy category, but to answer directly, that's pretty much it,
motor and sensory function.
Speaker 2 (28:33):
Great, thank you. And how can physical therapy help our
listeners with balance and fall prevention? I think that's something that,
you know, we see so often. So when we're talking
about someone remaining at home for the duration of their
life cycle, I think we see a fall and essentially
it leads to hospitalization and, you know.
Speaker 3 (28:56):
The.
Speaker 6 (28:58):
So physical therapy really breaks down what balance is. And
balance is not just the ability to perceive your ability
to be upright, but it's a combination of three systems.
You have your motor systems, your ability to move your muscles.
You have your sensory system, which kind of ties in
the neuropathy piece where the feedback from your feet, the
feedback from the position of your joints in space. And
(29:18):
then you have your vestibular system in your inner ear
that tells you where your head is in relation to
your body. And those three systems articulate to form balance.
And when it comes to having physical therapy and preventing
falls and whatnot in home, it's imperative to understand the
interaction of those three systems. So when you bring a
professional or physical therapist into your home, it is their
job to educate you on that. that and then give
(29:40):
you ways to address all three of those systems so
that the marriage of those interactions in your brain can
make you more efficient and effective at balancing within the
environment that we're talking about. So in the home, I
may teach somebody how to, you know, stand on one
foot at their counter, but you're balancing at your physical counter.
counter in the kitchen or walk up their stairs with
(30:02):
and without a banister or something like that or while
doing head turns. It's to stimulate those systems in your home,
not at my clinic where everything's set up and it's
perfect and padded and everything like that. It's to do
it in the home to keep you in the home
and to make you safer in the home. So my
piece is really teaching you how to, again, combine those
systems rather than say, okay, do this one exercise and
(30:25):
then your balance will get better. It's the concept. not
as much the exercise that I just prescribed.
Speaker 2 (30:31):
Right, right. So what can listeners do to protect their
strength and mobility as they are starting to age?
Speaker 6 (30:41):
So the biggest thing is to really never stop moving.
I find that people maybe later in careers and whatnot,
depending on what their role is, become more sedentary and
they fall into the, I'm atrophying, I'm aging, I'm falling apart,
if you will. And although that's a pretty easy mindset
(31:01):
to get in, it's important to know that you really
can thrive and restore yourself at any age. I'm not
going to say you're going to take a 90 year
old and go make them run a marathon. But I
will say that, you know, if you're sitting in a
chair and you're feeling like, woe is me in a chair,
let's get out of that chair. You know, if the
stairs are something that's an obstacle, whether it's with me
(31:24):
or with a family member or something like that, Let's
do those stairs. Let's not write them off. It may
take a safer environment or guarding with somebody, but to
move around and to use what you have at your disposal,
even if it's just your body, not weight sets or
a gym, you need to keep using your body or
you will lose it. So move it or lose it
is a true analogy, and it's really just saying keep moving,
(31:47):
keep doing things. Go out of your way to do
functional things instead of lifting weights. Do the movements that
you're being challenged by.
Speaker 3 (31:54):
Sure, sure.
Speaker 2 (31:56):
So I think I hear you saying, still bloomers, keep living,
keep thriving, keep aging, but do it moving.
Speaker 3 (32:05):
Yes.
Speaker 6 (32:07):
Motion is lotion, we would say.
Speaker 2 (32:08):
I love that.
Speaker 3 (32:10):
So, Dr.
Speaker 2 (32:11):
Salvas, I look forward to having you back on our
show to talk about strokes, concussions, and surgery. Your knowledge
is tremendous. Power for our listeners. So thank you. But
before we close out, I'd like to do the lightning
round with you. So this is real quick. What comes
to your mind first? And one word. Strength or flexibility?
Speaker 3 (32:36):
Flexibility.
Speaker 2 (32:38):
One warning sign people should not ignore. Loss of balance.
What keeps you still blooming?
Speaker 3 (32:45):
Balance.
Speaker 2 (32:47):
Oh, I love it. Thank you. Listeners can contact Restore
Neurodynamics at RestoreNeurodynamics.com. Thank you, Dr. Petruscu and Dr. Salvas
for joining us. And thank you to our sponsors for
supporting the show. For help coordinating care or developing a
(33:07):
plan to remain safe at home, contact Hand in Hand
in your home. Follow the Still Blooming Radio Show on
Facebook and join us next Saturday from 10 a.m. until
11 a.m. on NewsRadio WAM 1180.
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Wham 1180. I'm not great with words after a fight.
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And I'm sorry, wasn't cutting it this time.
The content of this show is that of the Still
Blooming Radio Show and does not reflect the views or
policies of this station or iHeartMedia. News Radio Wham 1180
welcomes you to this still-blooming radio show presented by Hand
in Hand in your home. Join in with your comments
or questions. Call 222-1180. Now, live from the News Radio
(00:24):
Wham 1180 studios in downtown Rochester, here's your host, Lori Alverio.
Speaker 2 (00:31):
Good morning, and welcome to the Still-Blooming Radio Show. I'm
your host, Lori Alverio. This show is dedicated to changing
the way we think about aging each week. We share information, resources,
and real conversations to help older adults, caregivers, and families
continue growing, living fully, and remaining connected to their communities.
(00:52):
A special still-blooming shout-out to Jennifer from the Darien Lake
Security Team near Section 305. Accessible seating is not equitable
if a wheelchair user cannot see the performance. Jennifer helped
an older listener fully enjoy the concert, showing that aging
is about more than access. It's about living, participating, and thriving. Today,
(01:15):
we have two wonderful guests, Dr. Laura Petrescu from Athena
Primary Direct Care, owner and CEO of and the founder
of the first direct primary care here in the area.
She's also the president of New York State Direct Care
Physicians Alliance. Welcome. We also have Dr. John Salvas. He
(01:39):
will be discussing physical therapy, mobility, neuropathy, and neurological care.
Thank you to last week's guest, Jessica from Grape, and
to our sponsor, Hand in Hand in Your Home, Hannah Z.
Social Adult Day Program, Athena Direct Primary Care, and Robin
Barkley of Safe at Home Physical Therapy. Let's welcome back Dr.
(02:00):
Laura Petrescu.
Speaker 3 (02:02):
Hi, Lori. Happy to be here with you.
Speaker 2 (02:05):
Well, thank you for joining us. Let's jump right in.
So can you tell us a little bit about direct
primary care or DPC? DPC.
Speaker 3 (02:15):
So, yes, direct primary care is a movement that has
been around the country for over 20 years. But I
was the first one in Rochester area to open a
direct primary care practice some more than five years ago now.
So the direct primary care is an alternative to the
(02:36):
traditional insurance-based primary care. And I want to stop there
for a minute. To really understand direct primary care, we
have to go back to the current state of primary
care in the U.S. I've been practicing clinical medicine for
over 25 years now, and I remember the good old
(02:56):
days when the family physician, it was a direct relationship
between the family physician and the patient. There was no middleman.
It was a private office. All offices were private. and
how this changed in the last 30, 50 years to
today's current state of primary care. So what do we
(03:20):
experience today? Primary care has become a funnel for referrals,
for specialist referrals. Why? And it is by designing the
system because primary care physicians are allowed 15 minutes on
the clock to see a patient's A patient, and out
(03:41):
of that, patients can check out your left face-to-face with
a patient for seven minutes. And what exactly can you
address as a physician in seven minutes? You will refer
to the next physician. If you have a toe pain,
you're going to see the podiatrist. If you have a headache,
you're going to see the neurologist. When, in fact, primary
care physicians, internal medicine physicians, family physicians are fully trained
(04:07):
to take care of 80 to 90 percent of all
your health care needs. You do not need to see
all the specialists. I'm not saying, please, not to be
the message. There is a role for every physician. team
member in the healthcare system and specialists, of course. But
it is fragmented care that we experience because primary care
(04:27):
is no longer the backbone of care. It has become
in the system a funnel of referrals. So what happens
to the patient? What is the patient's experience in such
a system? Patients get They are sent from this doctor
to the next doctor, and typically they don't communicate between themselves,
(04:47):
and nobody knows what's happening. And people are lost in
this system that's become more complicated. And why is it complicated?
Because of all the middlemen. It's corporate health systems, it's
insurance companies that all come between the patient and the physician.
And what do we have? We have a high burnout
(05:11):
rate of primary care physicians because of the system that
wants volumes, wants us to see 30 patients every day
so we can generate more referrals and more income for
the healthcare system. And we have frustrated patients that experience
a higher burden of chronic disease that is not properly
managed by one person, one physician that knows their whole care.
(05:35):
So it's bad outcomes for physicians, it's bad outcomes for
patients who benefit from this design of the system that
has been evolved to this day in the last many
decades now. It's all controlled by insurance companies and corporate
health systems. So direct primary care... it takes us back
(05:57):
to the good old-fashioned medicine, the way it was meant
to be. I went to medical school and I chose
to do direct primary care to begin with because I
love that relationship with the patient. I love the continuity
of care and to know them over time and guide
them throughout all stages of life. But that's gone in
(06:19):
the system. And direct primary care is that direct relationship
with the patient. A patient would pay a small monthly
membership fee that gives them unlimited access to their physician.
They can call, they can text, they can come in
for acute visits, they have routine physicals, they have routine
chronic disease management, and the whole person approach to their care.
(06:44):
We look at their physical health, mental health, spiritual health.
Everything comes together to achieve health. Our goal is to
have healthy people.
Speaker 2 (06:56):
It sounds like it's very holistic, right? It's a step
back in time almost.
Speaker 3 (07:01):
Yeah, precisely. Precisely. That's what I envisioned when I went
to medical school. That's what I envisioned when I chose
primary care. I envision that I'll have time to sit
with the patients and offer this whole person care. We
cannot separate parts of the... We cannot just take care
(07:21):
of your eyes and not your kidneys and your blood
pressure and not your... Everything is connected. And mental health also.
There is so much... stress we live in today. There
is so much anxiety despite of the abundance of wealth
that's available, but there is not equitable distribution of the wealth.
(07:45):
There is not equal access to care. We have to
make healthcare more accessible and affordable for all people so
they can achieve optimal health.
Speaker 2 (07:58):
Absolutely. So real quickly, can you tell us what the
difference between direct primary care is versus the concierge medicine?
What's the difference there? Just really quickly.
Speaker 3 (08:10):
Yeah, I know a lot of people get confused about
the two, and there's lots of similarities. Concierge medicine pretty
much offers the same level of direct access and more
personalized approach to care. The biggest difference is the price tag,
because concierge medicine is designed for the top 1% earners.
It's a contract. You are stuck into a contract. It's
(08:37):
typically a concierge. It's a franchise concierge service like MDVIP.
It's a franchise nationwide, and they have their role. So
it's not the doctor independently making changes in their practice
based on the patient's needs. It's most of following the
franchise roles. And it's a higher experience. Expensive, number one, contract,
(09:01):
you're stuck in the contract. And then on the top
of that retention fee, the annual membership fee you pay,
you also pay insurance deductibles and co-pays for every single
time you see the doctor. So it becomes very expensive
and inaccessible to most people. As compared to direct primary care,
(09:22):
which is physician-owned, physician-operated, there is no additional middleman. We
do a monthly membership fee, no contract. You can cancel
at any time. And it's more accessible, more affordable, because
we don't have to pay these corporate fees to the franchise,
so it is more accessible. Plus, for people who have
(09:45):
high-deductible plans... they do not typically access care because they
have to pay every time they see the doctor. When
in fact, if you pair a high deductible plan with
direct primary care, now... you pay less on insurance premium
and you have unlimited care through a direct primary care practice.
(10:07):
And this is the perfect way to do it. I
think there are many different other ways, of course, but
you have care. You know, you have insurance, but you
can't really access that insurance into a concierge practice because
every time you see the doctor, you have to pay co-pays.
You still have to meet your deductible. You still have
(10:28):
to pay high co-pays. And then on top of that,
you pay the membership fee. So it's a different model.
There is a role for all models in the market.
The truth is, yes, it's an out-of-pocket expense on top
of insurance, but there are choices.
Speaker 2 (10:50):
Yeah, thank you. When we return, we'll discuss how DPC
works with health insurance and who may benefit. You're listening
to the So Blooming Radio Show on WAM 1180 AM.
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Speaker 5 (11:38):
At Safe at Home Physical Therapy, home to Rocksteady Boxing,
Victor and Geneva, we're fighting back against Parkinson's together. Our
classes build balance, strength and agility while boosting confidence and connection.
We help you move through Parkinson's with serious training and
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(12:01):
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News Radio, WAM 1180. Welcome back. We're speaking with Dr.
Laura Petrescu from Athena Primary Direct... I'm so sorry. Goodness,
(12:37):
I'm tongue-tied. We are speaking with Dr. Laura Petrescu from
Athena Direct Primary Care.
Speaker 1 (12:43):
Dr.
Speaker 2 (12:44):
Petrescu, let's just jump right back into it. Is DPC
an insurance plan and do members still need insurance? I
think when we left off, it's kind of what we were...
getting into maybe.
Speaker 3 (12:56):
Yes. I think it's, it's very important for our listeners
to understand direct primary care. It's not insurance and concierge
medicine is not insurance either. Um, What it offers is
unlimited primary care service for direct primary care. But people
still need an insurance plan for catastrophic care or for
(13:17):
major hospital stays, for major surgeries, for accidents. I advise
and Direct Primary Care Alliance advises people to get an
insurance plan. But here's the difference. To save money, you
choose wisely what kind of insurance you're going to pay for.
(13:39):
So the current state of options is the copay and
high deductible plans. Most people choose the high deductible plan
because it's cheaper, monthly premium for insurance. But with that,
people still pay every month for their insurance premium, but
they get almost no care because they now avoid to
(14:02):
see the doctor, any doctor, unless it's something acute or
there is no routine proactive preventative care because people avoid
going to the doctor because they have to pay the copayments.
If you pay, though, a catastrophic insurance plan, which is
averaging around $ 500 a month, not $ 2, 000 for top premium insurance,
(14:28):
or a high deductible plan, and you pair that with
a direct primary care service, now you have coverage for
catastrophic events and you have coverage really good access to
a personal physician that knows you the best and 80
to 90 percent of your health care needs can be
addressed right there with your doctor. So yes, we advise
(14:51):
to have some insurance coverage. Again, direct primary care is
not insurance plan, but it's access to direct care services
to your personal physician. And that, I think, would solve
a lot of current health issues with people not being
proactive about their health because they don't have coverage. So
(15:13):
people typically, what happens in today's environment, people wait until
they're sick. And I hear this every single day from patients.
I never go to the doctor because, you know, nothing
bothers me, right? So here we have 20 years old,
30 years old, 40 years old. In the middle of
their life, being busy with kids, with careers, and they
(15:37):
don't have time and they don't have access to a
good physician to guide them. through lifestyle changes, through nutrition,
through exercise, through stress management, that is the foundation of
chronic disease, right? So people are no longer engaged into
preventative care because they don't have access. Now, if you
(15:59):
have a direct primary care paired with such a plan,
high deductible plan, you can then have access to this
preventative care. And to segue back into concierge medicine, again, Yes,
you have direct access to your physician in a MDVIP
type practice. However, you still have to pay every time
(16:21):
you see the doctor and you pay your insurance, co-pays deductibles.
So it ends up being more expensive way to get
direct care or primary care to begin with because now
it's really not accessible for the regular earning working person.
So direct primary care, our aim is to have more
(16:46):
people being able to access good quality primary care that
is affordable.
Speaker 2 (16:53):
Yeah, yeah. It makes complete sense what you're saying. So
I guess you kind of spoke a little bit about it,
why you would pay the monthly fee if you already
have insurance. And I'm assuming that you would pay this
monthly fee because you have unlimited access to your provider, correct?
Speaker 3 (17:12):
Correct, right. So that's where we need to understand the, yes,
there is a monthly membership fee for direct primary care
that you pay on top of your insurance premium. So
why would someone even consider such service? It's the proactive care.
Your insurance premium is should be like your car insurance.
(17:34):
You don't use your insurance every time you have an
oil change. You use your car insurance when you have
a total car, right? In a similar way, you have
a back plan, a plan B for insurance coverage with
a catastrophic plan, but then you get all the routine care.
(17:58):
So what happens... through direct primary care, so people, because
they don't have this access, now they turn to Google,
they turn to AI. And I'm not, there is a
role in that, absolutely. And I love people that come
to my practice educated about their health. They already read
about it. They already understand, try to puzzle and put
(18:19):
the pieces of the puzzle together, but they need physician's guidance.
AI and Google search will not replace my 25 years
of clinical experience and critical thinking and clinical judgment. So
they need an actual professional to guide them through all
the information that they gather. But this is what it
has turned into. People don't want to pay their co-payments
(18:42):
and they have high deductibles and they don't want to
go to the doctor. So then in the meantime, they're
left trying to figure things out by themselves. And most
of the time they get their medical care through, you know,
influencers or on social media. And I'm not saying, you know,
it's important to be out there, but to be very
(19:03):
critical about where your information is coming from and what
are the credentials of these people giving you information? Um,
because it's your health and it's your life and you've
got one.
Speaker 2 (19:15):
Absolutely.
Speaker 5 (19:16):
Absolutely.
Speaker 2 (19:17):
Um, So real quickly before we end, who should consider
DPC services? Are they for someone who is relatively healthy?
Are you seeing patients that have multiple comorbidities? Who is
the ideal patient for your service?
Speaker 3 (19:34):
We love to help old people in all stages of life.
If you're on your younger side, be proactive about your
health and stay healthy and don't ignore symptoms until it's
too late. If you're on the older side, you need
help to coordinate your care. So we hope to help
all people.
Speaker 2 (19:56):
Thank you, Dr. Petruski, for helping us understand direct primary care.
And we will be back on WAM 1180 in just
a few minutes.
Speaker 6 (20:06):
There was a chain of events that occurred.
Speaker 2 (20:08):
In any event.
Speaker 1 (20:09):
The Fifth Amendment.
Speaker 6 (20:10):
There will be repercussions.
Speaker 2 (20:11):
Check in.
Speaker 1 (20:12):
The federal funds rate.
Speaker 2 (20:13):
Unchanged. The events of the day.
Speaker 3 (20:14):
Republicans' effort has to say that.
Speaker 5 (20:17):
In Iran.
Speaker 6 (20:17):
We got to smack them a little bit.
Speaker 2 (20:19):
Use radio.
Speaker 3 (20:19):
Wham!
Speaker 1 (20:20):
1180.
Speaker 6 (20:21):
There was a chain of events that occurred.
Speaker 1 (20:23):
In any event. The Fifth Amendment.
Speaker 6 (20:25):
There will be repercussions.
Speaker 1 (20:26):
Check in. The federal funds rate.
Speaker 2 (20:28):
Unchanged.
Speaker 1 (20:29):
The events of the day.
Speaker 3 (20:30):
Republicans' effort has to say that.
Speaker 5 (20:32):
In Iran.
Speaker 6 (20:33):
We got to smack them a little bit.
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Use radio. Wham!
Speaker 3 (20:36):
1180.
Speaker 5 (20:36):
Car accident?
Speaker 3 (20:37):
Don't.
Speaker 2 (20:45):
Welcome back. Joining us now is Dr. John Salvas, PT,
DPT from Restore Neurodynamics. Welcome to the show, Dr. Salvas.
Thank you. I'm going to start with you kind of
just telling us about yourself and Restore Neurodynamics. I know
all the great work that you're doing from personal experience. So,
(21:10):
we share with our audience? Yeah.
Speaker 6 (21:12):
So, yeah, again, my name is John Salves. I'm a
physical therapist. I am 12 years out of school at
this point. Getting into my business was actually quite a
long journey. I graduated from school and I went out
like any other PT into the big medical world. And
I started at the University of Rochester as a spine therapist.
(21:35):
And you know, it was a great learning experience. But
like anybody else in the medical system, I think after
a few years, it was an evolution of thought, if
you will, where I felt like I could give people
more and I was kind of constrained with time with patients.
So what was the next thing I did? It wasn't
jump into business. It was to start traveling and to
(21:57):
learn a little bit about every different practice setting and
maybe what did I miss when I was on my
clinicals in college and what information gathering could I do.
So I was a traveling therapist for seven and a
half years. I had placements all over the country. I
was at Harvard Teaching Hospital in Boston. I was out
at Kaiser Permanente in California doing home care after total
(22:17):
joints and doing wound care that PTs in New York
don't traditionally do. And my wife and I traveled together.
She's a nurse. And we ended up expecting our first
child and coming back to Rochester. And I went back
to what I knew, which was the orthopedic world. and
the neurology world, which is where my travels basically took me.
(22:40):
But the biggest thing for me evolution-wise was I had
taken all those pearls from traveling, and I came home
with what I thought standards of care could, would, or
should be, and I couldn't find it here. So I
went into research thinking, oh, well, maybe I can get
a little more time with people and more quality care.
in that avenue. And it opened my eyes to the
(23:02):
duration of sessions that it took to truly intervene in
people's lives. So as a person, it started with being
an athlete, then going to school, having my own injuries.
And then as a professional, it was, okay, this is
what I think I'm supposed to do. This is what
I want to learn about before I make future decisions.
And these are the, like I said, pearls that I've
(23:23):
taken from them that I want to carry forward in
my career.
Speaker 3 (23:25):
So I've.
Speaker 6 (23:28):
Hit kind of a rock and a hard place about
a year and a half ago where I was like,
I'm not giving the quality care that I want to
working for big healthcare systems. And I want to give
people more. So that's kind of where we're stirring up
neurodynamics came from. It's a hybrid of orthopedic care and
neurology care. Because I believe truly they're one in the same.
(23:48):
If you're not treating the whole person, the nervous system
that controls the muscles that control your bones and orthopedics,
then you're not getting the whole picture. So My life
and my career have been a giant evolution of learning
what I want to do and then getting outcomes with
people that make me feel good about what I'm doing.
(24:08):
And that's where Stern Neurodynamics came from. It was really
putting all those pieces together, tweaking it over the last year.
And now I'm at a point where I give private
physical therapy services, one-on-one, one- to two-hour sessions with people.
There are no other people breathing down your neck.
Speaker 3 (24:25):
Yeah.
Speaker 6 (24:26):
And that's what I want to provide, you know, moving forward.
Speaker 3 (24:28):
I love that.
Speaker 2 (24:31):
Can you talk about, you know, manual therapy briefly and
how it can help? Sure, sure.
Speaker 6 (24:38):
So manual therapy is basically you going into a physical
therapist and them doing for you what you cannot do
to yourself. So, you know, I could use the case
of somebody with a disc herniation, for instance, right? There
are movements that your vertebrae are supposed to be able
(24:58):
to do, that obviously anybody with a back injury knows,
picking stuff up and extending their back and those type
of things.
Speaker 3 (25:05):
They're painful.
Speaker 6 (25:06):
They're not things that a patient is going to say, oh,
give me three sets of 10 over there and no pain,
no gain. Those are the type of things where you
have to come into a professional and they have to
enable you to be able to do those movements before
they're going to be more fluid and less painful. So
manual therapy is a hands-on approach. It is, like I said,
giving the patient what they can't give themselves. So in
(25:29):
the instance of a back injury, it might be mobilizing
somebody's vertebrae when they're laying on their stomach, pushing from
back to front and promoting a movement called extension or
the ability to lean back. It's getting that disc alignment,
getting that joint space and production of synovial fluid, which
is basically the oil of your joints. for that patient
(25:49):
so that what they're doing is more effective after. So
manual therapy is a lot more focused on what I
can do for you in a session and what you
can do for yourself at home than it is let
me watch you do three sets of 10 of this
and count on somebody. So it's me to you instead
of you showing me what you can do.
Speaker 3 (26:07):
Sure, sure.
Speaker 2 (26:08):
How can physical therapy help people remain independently at home?
Speaker 6 (26:12):
So that's a great question. In a lot of cases,
when I see people, they have kind of struck out
in the traditional physical therapy setting. And their question is,
can I stay at home? I have people on the
rider of like, can I, can I stay at my
house or am I going to go to an independent
living facility or an assisted living facility and something like that.
(26:32):
And I can't tell you the number of cases I've
had at this point where people are on the fence
about that and then promoting mobility for them gives them
an eye open into how much better they could move
and how much more independent, better balance they could have
because they're moving better. So to wrap that, it basically
keeps people at home because they have motion they didn't
(26:53):
know that they had.
Speaker 3 (26:55):
Love it.
Speaker 2 (26:55):
Thank you. When we return, we'll discuss neuropathy balance and
neurological care. You're listening to Still Blooming on WAM 1180.
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Speaker 1 (27:27):
Rochester's news, weather, and traffic station.
Speaker 2 (27:30):
NewsRadio.
Speaker 1 (27:31):
Wham!
Speaker 3 (27:32):
1180.
Speaker 2 (27:32):
Depend on it. Welcome back. We're continuing our conversation with Dr.
John Salvas. So, Dr. Salvas, what is neuropathy and what
symptoms should we watch for?
Speaker 6 (27:44):
So neuropathy can be one of two things. Neuropathy is
either a congenitally acquired condition, which actually falls under the
muscular dystrophy category, where people lose sensation and motor function.
But the neuropathy that most of the listeners are probably
more commonly associated with is like diabetic neuropathy, which is
where sensation is predominantly lost in the lower extremities. And
(28:07):
patients are stubbing their toes or cutting their feet, and
it's leading to wounds on their feet or something along
those lines. But neuropathy as a whole impacts mainly balance
and the ability to motor process because you're not getting
that feedback through your feet. I could go way further
into upper extremity neuropathies and different existences in the muscular
(28:28):
dystrophy category, but to answer directly, that's pretty much it,
motor and sensory function.
Speaker 2 (28:33):
Great, thank you. And how can physical therapy help our
listeners with balance and fall prevention? I think that's something that,
you know, we see so often. So when we're talking
about someone remaining at home for the duration of their
life cycle, I think we see a fall and essentially
it leads to hospitalization and, you know.
Speaker 3 (28:56):
The.
Speaker 6 (28:58):
So physical therapy really breaks down what balance is. And
balance is not just the ability to perceive your ability
to be upright, but it's a combination of three systems.
You have your motor systems, your ability to move your muscles.
You have your sensory system, which kind of ties in
the neuropathy piece where the feedback from your feet, the
feedback from the position of your joints in space. And
(29:18):
then you have your vestibular system in your inner ear
that tells you where your head is in relation to
your body. And those three systems articulate to form balance.
And when it comes to having physical therapy and preventing
falls and whatnot in home, it's imperative to understand the
interaction of those three systems. So when you bring a
professional or physical therapist into your home, it is their
job to educate you on that. that and then give
(29:40):
you ways to address all three of those systems so
that the marriage of those interactions in your brain can
make you more efficient and effective at balancing within the
environment that we're talking about. So in the home, I
may teach somebody how to, you know, stand on one
foot at their counter, but you're balancing at your physical counter.
counter in the kitchen or walk up their stairs with
(30:02):
and without a banister or something like that or while
doing head turns. It's to stimulate those systems in your home,
not at my clinic where everything's set up and it's
perfect and padded and everything like that. It's to do
it in the home to keep you in the home
and to make you safer in the home. So my
piece is really teaching you how to, again, combine those
systems rather than say, okay, do this one exercise and
(30:25):
then your balance will get better. It's the concept. not
as much the exercise that I just prescribed.
Speaker 2 (30:31):
Right, right. So what can listeners do to protect their
strength and mobility as they are starting to age?
Speaker 6 (30:41):
So the biggest thing is to really never stop moving.
I find that people maybe later in careers and whatnot,
depending on what their role is, become more sedentary and
they fall into the, I'm atrophying, I'm aging, I'm falling apart,
if you will. And although that's a pretty easy mindset
(31:01):
to get in, it's important to know that you really
can thrive and restore yourself at any age. I'm not
going to say you're going to take a 90 year
old and go make them run a marathon. But I
will say that, you know, if you're sitting in a
chair and you're feeling like, woe is me in a chair,
let's get out of that chair. You know, if the
stairs are something that's an obstacle, whether it's with me
(31:24):
or with a family member or something like that, Let's
do those stairs. Let's not write them off. It may
take a safer environment or guarding with somebody, but to
move around and to use what you have at your disposal,
even if it's just your body, not weight sets or
a gym, you need to keep using your body or
you will lose it. So move it or lose it
is a true analogy, and it's really just saying keep moving,
(31:47):
keep doing things. Go out of your way to do
functional things instead of lifting weights. Do the movements that
you're being challenged by.
Speaker 3 (31:54):
Sure, sure.
Speaker 2 (31:56):
So I think I hear you saying, still bloomers, keep living,
keep thriving, keep aging, but do it moving.
Speaker 3 (32:05):
Yes.
Speaker 6 (32:07):
Motion is lotion, we would say.
Speaker 2 (32:08):
I love that.
Speaker 3 (32:10):
So, Dr.
Speaker 2 (32:11):
Salvas, I look forward to having you back on our
show to talk about strokes, concussions, and surgery. Your knowledge
is tremendous. Power for our listeners. So thank you. But
before we close out, I'd like to do the lightning
round with you. So this is real quick. What comes
to your mind first? And one word. Strength or flexibility?
Speaker 3 (32:36):
Flexibility.
Speaker 2 (32:38):
One warning sign people should not ignore. Loss of balance.
What keeps you still blooming?
Speaker 3 (32:45):
Balance.
Speaker 2 (32:47):
Oh, I love it. Thank you. Listeners can contact Restore
Neurodynamics at RestoreNeurodynamics.com. Thank you, Dr. Petruscu and Dr. Salvas
for joining us. And thank you to our sponsors for
supporting the show. For help coordinating care or developing a
(33:07):
plan to remain safe at home, contact Hand in Hand
in your home. Follow the Still Blooming Radio Show on
Facebook and join us next Saturday from 10 a.m. until
11 a.m. on NewsRadio WAM 1180.
Speaker 1 (33:36):
When at work, staying informed is also part of work.
The news impacts every business.
Speaker 3 (33:41):
You need to get all the information that's out there.
Speaker 1 (33:44):
At work, at home, all the time. Follow those stories
and more on NewsRadio.
Speaker 2 (33:49):
Wham 1180. I'm not great with words after a fight.
Speaker 1 (33:53):
And I'm sorry, wasn't cutting it this time.
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