In this amazing two-part episode of Solving Healthcare, we re-visit a powerful discussion with we had with guests Jethro Constant and Tim Rice. Jethro, a physiotherapist, discusses the risks of sedentary lifestyles and offers tips for injury prevention, advocating for personalized care. Tim, CEO of The Rounds, introduces their collaborative network for physicians, emphasizing its role in overcoming geographical barriers and supporting physician well-being. The episode explores how these approaches are reshaping healthcare delivery and professional collaboration.
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Speaker 1 (00:00):
The views expressed in the following program are those of
the participants and do not necessarily reflect the views of
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Speaker 2 (00:11):
Surn my music ha ha ha, sure I do.
Speaker 3 (00:20):
I'm from the street sware to hey folks. Today we
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to twenty eight day reboot dot Co. That's twenty eight
day reboot dot coquld guessation. Welcome back. We have my
man Jethro Consta in the house Physio djul head of
(02:40):
Constant Care Leave Phisio at Human two point zero and
we are talking to all things physio and including how
to avoid injury. But most importantly, Jethro, I wanted to
get into what you're seeing on the day to day
(03:00):
because my opinion and correct me if I'm wrong, brother,
but there's a lot of like our lifestyles right now,
I feel like they're getting worse. People are moving less,
We're more attached to our computers and our screens more
zoom time, you know what I'm saying. So what's your
day to day like at this stage?
Speaker 2 (03:22):
Well, first and foremost, thank you for having me. But
to be honest, and I've been saying this to a
few people, this whole paradigm shift of working at home,
you know, post pandemic, so on and so forth, it's
made me busy, like really really really really busy because
(03:45):
one of the things I tell people is that the
body is you know, inherently lazy. Right if you don't
move the body, the body won't move. So now that
people are home and you know, they're spending more time
on their computer, they're spending more times on their phones,
more time sitting, which you know many of people have
heard now you know, sitting is a new smoking, right.
(04:06):
Since that has happened, I've seen, you know, chronic injuries,
chronic soreness has gone up, you know, like one hundredfold,
right like I see you know, shoulder, shoulder pain, low
back pain is a huge one. Knee pain, you know,
headache stemming from neck pain from just sitting too much.
(04:28):
That's definitely the thing I see the most clinically. But
what I've seen a really significant uptick in over the
last six to eight months is a lot of acute
I don't want to say catastrophic injuries, but things like
achilles ruptures, rotator cuff injuries, acl injuries. And I'm convinced
(04:53):
that one of the reasons for that is the fact
that people have been sitting for so long, right, and
now they're telling their bodies, hey, I want to go
play in an ultimate Frisbee record, I want to go
play flag football, and their bodies have been sedentary for
the last two three four years, and then you're asking
(05:13):
it to just do something that it hasn't done in forever.
So the tissues aren't ready, the body is not ready,
and then it results in people having a you know,
see an orthetic surgeon and then having to come and
see it.
Speaker 3 (05:25):
Oh my goodness, yeah, Jethro, Like, I could not agree more. Like,
if you look at how we are setting people up,
you got to be one of the busiest cats on
the planet just from that sedentary lifestyle perspective. And I'm curious, like,
if you had a megaphone, you had an ability to
(05:47):
reach out to folks these days, And because I do
feel people feel that overwhelmed, that ability to try and
get over that lack of that lack of act activity,
there seems to be a lot of resistance to overcoming that.
So what are you telling your clients, your patients to
(06:09):
try and mitigate some of that.
Speaker 2 (06:12):
Well, you know, if I had a megaphone, I would
probably just yell out, move move like. I don't care
how it is. I don't care if it's walking, I
don't care if it's dancing, I don't care what it is.
Just move right, I tell people, you have to think
of yourself as a shark. Right. The minute of shark
(06:33):
stops moving, it dies. Just think of yourself that same way.
But the other thing that I would, you know, usually
tell people is think of what your motivation is and
who you're doing it for. Right. Ideally you should do
it for yourself to start, But if you feel like
you lack motivation, who are you doing it for? Are
(06:56):
you doing it for your grandkids? Are you doing it
for your spouse, Are you doing it for a sibling?
Are you doing it for someone right who values that
you're around? Right, because one of the biggest things, like,
you know, you're a dad, I'm a dad. You know,
one of the reasons I move well, other than the
(07:16):
threat of losing my alpha status in the house, is
is essentially to be able to just keep up with
the kids, right, So you know, that's that's you know,
my motivation, you know, to a certain extent. Of course,
you know, I'm a competitive person, so I would probably
move anyway, but that's the added motivation. And I tell
(07:41):
people like, Okay, you're going to retire in you know
two months, you want to travel? Do you want to
be able to walk when you're traveling so that you
can enjoy that retirement. You know, you got to put
it into perspective that you know it hits home essentially.
Speaker 3 (07:59):
Yeah, find that internal motivation. I like that, especially that
keeping the alpha status in the house. Yeah, boys, I
know you're listening to this. Remember still Daddy's house. Boys,
it's still Daddy's Oh yes.
Speaker 2 (08:14):
They know, they know. I look at that. That's crazy
Caribby in DNA. So they're they're they're chilling a little bit.
Speaker 3 (08:22):
Oh, we were talking about four folks that Jeth throw.
It's got four boys, correct.
Speaker 2 (08:29):
Four boys, four boys.
Speaker 3 (08:30):
Yes, so it's we I can empathize what that house
is going to be like. And uh yes, yeah, you
are a busy, busy man. So so obviously getting back
to people moving, getting finding that internal motivation I think
is important. But say they are starting to wanting to
(08:53):
be more active, as you mentioned, you're seeing some more
of those explosive injuries. I do think it's worth talking about,
like how to people avoid injuries because I do think,
as we were talking about beforehand, there are a lot
of there's a lot of emphasis on how to rehabilitate
post injury, But if you could avoid being injured in
(09:14):
the first place that your miles ahead. Right, So what
are some of the approaches that you tell your clients
to try and avoid these injuries?
Speaker 2 (09:26):
Well, other than you know, the obvious that we mentioned
in terms of moving, you know, one of the biggest
things is is progression. Right. Progression to me is very,
very important no matter what you're doing. So you know,
perhaps you know you want you're thinking about, Okay, I
want to play in this soccer league, you know, in
two months, right, that's one of my goals. Okay, Well
(09:49):
before then, maybe you start to you know, kick the
ball around a little bit, go to the gym a
little bit, walk a little bit, do do some things
to kind of you know, not I'm not going to
say peak because we're talking like rec league. It's not
necessarily competitive, but just get your body accustomed to moving
so that when you actually do start to move, your
body is not you know, in complete shock. And one
(10:13):
of the other things is, you know, get comfortable with
being uncomfortable. Right, you know, A long time ago, when
you know, I was always a physicotherapist who focused on
active recovery, right, But then I remember years ago I
met a strength and conditioning coach who had more of
(10:34):
an emphasis on mobility, and I'll kind of break that
down a little bit. But his name is Tyler Touchett.
He still works out of Cornwall, and he opened he
opened my eyes a little bit more to the idea
of mobility and putting yourself in some positions that are
uncomfortable because I played football for years and you know,
(10:55):
I did one of his sessions and I was shaking.
I couldn't do anything. I felt weak, and I was like, man,
I'm I am, I am horrible at this stuff, right,
And you know, it was broken down to me that
you know, mobility and flexibility and strength, like they're not
all one and the same. Right. Mobility is how much
(11:19):
of you know, your entire range of motion is actually usable,
right versus you know, if I'm if I can do
the splits, Okay, I can do the splits, but can
I get out of it? You know? So you know,
I advise everyone to get more into like mobility type training.
I know that's one of our one of our connections,
you and I. But mobility training is super super important
(11:44):
because you're you're educating your tissues, right. You have to
get that signal to go from your tissues to your
brain to say, hey, we need to make some changes
so that we don't get hurt. Right, And you don't
have your body in a position that it's never been before. Right,
it's like, oh, okay, I've been here before. Like I
(12:06):
just like I just told you, you know, before we
started this session, I was at jiu jitsu class, right,
and jiu jitsu talk about being made into a human pretzel. Right.
But there's certain positions where you know, some people would expect, okay, well,
you know, you're a big guy, You're just you're going
to tap because it's an uncomfortable position. But I'm just
(12:27):
there and they're like, why aren't you tapping? And I say,
because it doesn't hurt, right, But that but that's also
because you know, I've been training with you know, coach Ema,
I've been training with Coach DJ, and they put me
in all these uncomfortable and compromising positions. But they also
gave me a steady progression to get to those to
(12:48):
those movements. So again, long winded answer, I would say,
progression is key to not getting hurt. Don't don't just decide,
hey it's January first, I haven't year's resolution. I'm gonna
go play hockey four times a week, and I haven't
played hockey for the last two years. It's just not
(13:08):
a good recipe.
Speaker 3 (13:09):
We'll be right back on Solven Healthcare Radio with Doctor K.
Speaker 1 (13:27):
Stream us live at SAGA nine sixty am dot c A.
Speaker 3 (13:48):
We're listening to solve in Healthcare Radio with Doctor K.
Brought up a good point too, that I mean, I
would love to hear more of your insights on too,
about the active recovery component I years ago, I mean,
I still have ongoing lower back issues, but for the
most part, very functional, and back in the day ten
(14:11):
years ago said if you've done your back, you're lying
on the couch or just rolling around maybe just thinking that, oh,
I'll just rest this up and get ready to go.
And I just encourage people to think about if they've
already if they pulled their back, think about the time
where you get up off the couch and how you
(14:33):
feel in that moment. You're not doing yourself any favors.
So yeah, just more of your insights in terms of
that active recovery approach when recovering from injury.
Speaker 2 (14:46):
Active recovery is key, man, It's so key. As I
said at the top of the discussion. Our bodies are
inherently lazy. That's what they do. Your body does not
want to move unless you tell it to move. Right.
And you know, at the risk of sounding like a
bit of a of a nerd, right, you know, you
(15:10):
look at Newton's laws of physics. Right, objects want to
keep doing what they're doing unless acted upon by an
external force. That's just the way it is. So you know,
for example, if you know, let's say I have like
an acl rehab situation, right, if I'm not I don't
(15:31):
want to say the US word aggressive, but if you're
not very pro not proactive, but if you're not very
motivated to move, what will end up happening is the
pain will eventually go away right after you know, give
it like a month, two months or that's whatever. But
the range of motion that you get, that's all you got, Okay.
(15:57):
And then you know there's there's perced such as you know,
as you know, like amoah, right, a manipulation under anesthesia
where because the joint hasn't moved the way it's supposed to,
they'll put you to sleep, they'll put it in the
position that it's supposed to and then they'll wake you
up and they'll say, okay, now'll go back at it
(16:17):
and start from square one. Right, So if you're active
right off the bat, and trust me, it's going to suck. Right,
Surgery acute injuries like that's that's the starting point. Like
I don't want to say that that's the easy thing
because I don't want to minimize the work that the
surgeon does. But that's the easy part because let's say
(16:40):
you know, you have an ACL surgery. The surgery itself
will take a couple of hours, right, but the recovery
will take months. So if you don't go at it,
you know, in a motivated and aggressive manner, whether it's
low back, whether it's me, you know, and again within
protocols obviously, right, because because the surgeon will say, hey,
(17:01):
you know, we did this, so don't do this for
X number of weeks X number of days. But you
can do this right, versus just not doing anything at all. Okay,
because you mentioned, for example, like low back pain. I've
had low back surgery, right, I had to diskett. Yeah yeah, yeah.
In two thousand and four, I had a diskectomy and
(17:24):
a laminectomy in my lower back. So for those who
don't know what that means. It's just I had a
herniaa disc and it was rubbing against my spinal cords,
so they have to clean that up. I'd advise anyone
who plays football don't run into anyone ahead first. It's
a bad idea. So, you know, but I think of
the rehab I did back then, and again, this is
(17:45):
not you know, you know, jumping on the physioe that
was working on me before or for my own knowledge.
I just rested, right, I just rested. I just kind
of chilled out, you know, got a little bit of
muscle stim here, got a little bit of my sage here.
And the thing about active physiotherapy is that our profession
(18:08):
is actually supposed to be active because the thing that
people don't realize is that the profession of physiotherapy, the
genesis of it comes from the World Wars. It was
to get the soldiers rehabs after they had these catastrophic
injuries on the battlefield. There was no ultrasound back then,
(18:29):
there was no IFC back then, there was no oh,
your leg got blown off, Okay, just put some ice
on it. You know. That wasn't a thing they told them. Okay,
we need you to get up and move so somewhere
along the lines that may have gotten lost a little bit.
But and some might say, oh, well, that's archaic. Okay,
some may say it's archaic. Say that to the people
(18:51):
who do have to go in for a manipulation under anesthesia,
Say that to the people who aren't recovering at the
pace that they would love to recover. And then on
the flip side, you look at the other patients who
do buy into that active recovery. And that's why one
of the first things I tell patients when they're rehabing
(19:12):
is I tell them I'm like, listen, I want to
take a step back here to let you know this
is going to suck. You are going to hate me,
you will cuss me out any chance you get. But
I promise you that when you are going to see
the surgeon or the doctor or whatever the case may be,
(19:35):
and you start to look around at the different cases
that have the surgery around the same time as you
and you're moving better, you'll understand that there was method
to the madness. Absolutely.
Speaker 3 (19:49):
I mean, I think in my profession in the q
care setting, you guys are one of the most important
You have one of the most important roles the physios
period getting our patients functional again, getting them to where
they need to be, because when you know, in my world,
(20:12):
function that's everything. You're You're you're sitting on a ventilator,
not using any muscle, You're you're like, you're you're being
so deconditioned is so important. But yeah, here that I
think as a great motivational tool for the for the
many out there that are going to be going through
some form of surgery hip needs whennot that keeping overcoming
(20:37):
that discomfort will make all the difference in the world.
And and also making sure that you go to those appointments.
It's is one of our good one of our teammates
or my son's teammates. And mom just went through so
shoulder surgery and the first thing I said is like,
when's that physio book you got that physio woman booked up? Yeah, Like,
(21:02):
just you got to be on top of that, just
as you mentioned, keeping that range of motion, keeping that
keeping that function. So, so where do you see some
of the challenges amongst the physios. So when I think
of a que care sometimes, unfortunately it's one of the
(21:23):
positions that gets cut when healthcare costs or when the
healthcare budgets get more constrained. Where do you see some
of the challenges for whether that's access or getting to
more people in your line as an when as you
see outpatient folks.
Speaker 2 (21:44):
I think I think the biggest challenge is a lack
of awareness for what we do right. Some people think,
you know, and again, you know, I'm not hating on anyone.
It's just that we're different fields, you know. Some if
sometimes someone comes in and they say, oh, so, I'm
here to get massage, and I'm like, well, no, I
(22:06):
could refer you to massage therapist, but I'm not a
massage therapist, Like a massage therapist is a massage therapist,
you know what I mean. So, and I'd also say
past experiences with rehab, right, because I don't know how
many times I've heard patients after the first session or
(22:29):
second session say well, hold on, this is hard, this
is physio, and I say, yes, this is what rehab is.
They're like, aren't you gonna just put like, you know,
ultrasound on me or a machine on me or something?
And I'm like, why would I do that? You know,
Like one of the things that I like I never
(22:51):
do in clinics. Never is put ice on something. First
of all, there's a whole school without on ice, So
I don't really touch ice as it is. But even
heat as well, I'm like, why would you come see
me to do something that you could do at home?
You can put a magic bag in the microwave and
(23:13):
put heat on something, oh, you know, to prepare the tissues.
Oh no, No, that's a waste of time. Like, let's
prepare the tissues with you moving, because that's going to
increase blood flow as opposed to putting heat. Now again,
don't get me wrong. Some places they'll put heat if
let's say you're you know, you're gonna be manipulating a
shoulder or whatever, so they want to heat up the
tissues a little bit. But let's be honest, Like I
(23:34):
can look outside if it's minus twenty outside and you're
all bundled up, and then you come inside and I
put heat on your shoulder for three minutes, it's not
going to make a huge difference realistically speaking, right, So,
like I said, lack of awareness and thinking that coming
to physio is you know, just putting a machine on
chilling out for forty five minutes listen. Depending on the case.
(23:58):
Some people I see them for twenty twenty five minutes
in and out because I tell them, by the time
I'm done with you, you don't want to see your
friendly longer than that. And I'd say nine times out
of ten those patients would agree with me. Right, They're like,
you put me through the ringer. I don't want I
don't want that smoke. I don't want it anymore. Okay.
One of the other challenges, i'd say is a bit
(24:20):
more recent, and like you said, it's access and especially
costs when it comes to related to let's say insurance
for example. Okay. So, for example, I know a lot
of government workers. I'm not sure about other establishments, but
they've they actually changed plans midway through last year, okay,
(24:43):
So many of them changed from sun Life or Manual
Life to Canada Life right, And the coverage that they
had before was for the most part, it was like, okay,
we'll cover you at five hundred dollars, well eighty percent
for the first five hundred dollars. Then the second five
hundred dollars is out of your own pocket. Then we
(25:04):
cover you for you know, unlimited calendar year at eighty percent. Right. So,
like we just said, if you have an ACL injury
or you have a rotative cut injury, we're talking injuries
that are going to take you six to ten or
twelve months to recover from. Right, So you're going to
blow through, you know, any type of covers that you have.
(25:28):
But now fast forward to last year when they made
the switch and now they're at Canada Life and they
capped it at fifteen hundred, right, So fifteen hundred is
not going to get you very far if you have
a long term injury, if you have a sprained ankle
or you have something like that, sure that that'll work.
But if you're recovering from you know, a total knee replacement,
(25:50):
a total hip replacement, you know, a significant shoulder or
a knee injury, it's it's not going to benefit you
in the long term. Right. So I've always said like that,
like that change happening was one of the worst things,
not just like for us in terms of the profession,
(26:14):
but you know, it's more for the patience, Like I
feel back to the patience because at the end of
the day, they're the ones who are recovering, you know,
like half the time people ask me like, oh, you know,
how much do you make? I'm like, I don't even know.
I just care about taking care of people and then
you know, whatever the rest comes, I pay my bills
with right, So the fact that they're getting short changed
(26:36):
is such a negative in my eyes. And the thing is,
once again, it's that lack of awareness, because some people
will see fifteen hundred and they're like, oh man, that's
so much. And I'm like, if you have a really
bad injury, you're going to notice that you go through
that really really fast. Right. And then again, access to
(26:59):
the like you know, there's there's a limited amount of
like o hit clinics, and some people can't even get
to the old hit clinics. So sore, there's quite there's
still quite a few challenges, for sure.
Speaker 3 (27:12):
For sure, we'll be right back on solving healthcare radio
with Doctor k Out of the night into the water.
Speaker 1 (27:20):
We pushed the boat from sure.
Speaker 3 (27:25):
Breaking air and the stillness of the bay.
Speaker 1 (27:32):
No Radio, No Problem stream is live on SAGA ninety
sixty AM.
Speaker 3 (27:37):
Dot c A.
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One AM Jewels Fast one and one dam Jewels Fast
one and one.
Speaker 4 (27:45):
The slow mo.
Speaker 3 (27:48):
You're listening to solve in Healthcare Radio with doctor K.
I would love to see them be promoted, for people
to be proactive with us not only have the coverage,
but from say give give, give rebates for those that
are getting their ten thousands steps in that tag into
(28:09):
the gym for for a period of time, Like, these
aren't the people that are costing the system millions, it's
it's it's those that aren't getting to the gym, those
that aren't moving their feet. So this is why I
think if our king for a day, I'd love to
see I'd love to see as goat as a society
(28:33):
in that general direction.
Speaker 2 (28:36):
I think I think I heard you say on one
of your your past podcasts. I think it's something like
what was it, twenty eighth man, it's.
Speaker 3 (28:53):
Like the metabolic Yeah, but people are metabolically unhealthy. Yeah,
but I'm sure we're not far off.
Speaker 2 (29:02):
Yes, exactly exactly. And that's that's insane when you think
about it, and you know, and again like where would
we be if we actually not not only prevented that,
but if we educated people. Shoot, I say, educate kids
just start you know, like I you know, I joke
(29:23):
around with my kids, like you know, during the week
they don't even know. They don't even know what cereal is. Yeah,
they don't even know. They don't even know what it is.
Like again, like by all means, if you want to
use zero, I just I know that I was a
fat kid, so I learned along the way. And you
know it starts with that, right if if they mimic
(29:45):
what you're doing, or if you educate them from the start,
then you're giving them the foundational blocks to succeed later.
But we're also in a society where that's not promoted enough,
as you mentioned.
Speaker 3 (29:56):
So yeah, I mean, I bet I'd love to see
how your like how active your kids are, because they
follow if your parents are active, they eat well, it's
a biosmosis. They'll they'll pick up those habits either now
or when they're when they're of age where it matters.
But yeah, I think it's such a good point to
(30:20):
be an example for the littles and and and promote
that healthy Like my boys, they'll tell you about how
much protein they had with their meal. They'll tell you that,
they'll tell you about how they pushing weight and and
then I mean, I mean push ups that were able
to do on x y on on their sessions like
this is what we want to make it sexy, you stay.
Speaker 2 (30:45):
I remember there was there was this one day because
my my eldest he's built more like me. He's kind
of like a like a like a brickhouse. And in
my second he's very lean, muscular, very lean. And I
remember one day I just I was just listening to
them have a conversation and my lean son was just like,
(31:05):
it's like I can't I can't get bigger, I can't
put any muscle on. I don't know what's going on.
And then I just hear my eldest say, you're not
eating enough, you know. I like, you know, I almost
I almost had it too. I was like, okay, they're
they're paying attention. But it was funny, man, it was funny,
(31:29):
so you know. But yeah, it's all it's it's unfortunate.
It's just it's about education. It's about just letting people
know there's such a lack of knowledge out there. And
again it's not people's faults, it's just it's not out there.
Speaker 3 (31:44):
Yeah, and it's confusing too, Like you'll go on either
of our I G feeds. I'll tell you, you know,
too much rotein is bad too much. Rotein is good,
meat is bad meat, His meat is good. Like it's
it's hard to find these reliable sources. But yeah, I
think that's part of the issue, lack of consensus. But
(32:08):
I was encouraged people to find someone that you you
feel makes sense to you and and go from there.
Speaker 2 (32:14):
But yeah, and everyone's different too, right, Everyone's different, So
you know, what works for one person might not work together.
But it's still a matter of trying to find what
works for you.
Speaker 3 (32:25):
So that's a good that's a good point too about
the personalization is as you see that on a regular basis,
for sure, you know the one size fits all. Anyone
that's preaching on one size fits all, you got to
really think about what what they're saying because that that
is just not we don't see it in medicine, we
don't see it in anything. So it's you really got
(32:48):
to think about who that source is. And you know
what I'm saying, agree, But jet throw constan. This has
been it has been a slice and it's in a
long time coming. We appreciate you throwing down the knowledge
that you have. Where can people get ahold of you? Uh?
Speaker 2 (33:08):
You know what they could? Man, I'm not hard to
find people, you know what, I talk people all the time. Man,
I'm like, man, if I was in the mob, I'd
already be dead because everybody knows where I am all
the time. But you could, you could. You could check
me out on my website www dot constancare physio dot com.
And you can find me on I G same thing
(33:31):
at constant Care or uh J con so j C
O N t h A physio p H Y s
I O so on Instagram. That's that's where people can
find me, message me, d M me all that good stuff.
Speaker 3 (33:47):
Yeah, I must say my boys are pretty active on
that on that platform. But once again, thank you so
much for joining us. This has been a slice.
Speaker 2 (33:56):
Yeah, thank you sir, Thank you. Cool.
Speaker 3 (34:00):
We have the illustrious Tim Rice on the show, CEO
of the Rounds and Tim, first of all, welcome to
the podcast.
Speaker 4 (34:13):
Thanks a lot, doc K happy to be here.
Speaker 3 (34:15):
Oh man, this is a long time coming. So I
wanted to get Tim on because The Rounds has been
this amazing avenue for physicitions to connect and really to
try and create some magic. So first of all, Tim, like,
how did you what's the Rounds about? Get your perspective
and how did you land in their lab?
Speaker 2 (34:36):
Yeah?
Speaker 4 (34:36):
No, really good question.
Speaker 5 (34:38):
So I think the core thing to think about with
the rounds is the focus is to really empower today's
physicians through a secure collaborative network. So we want them
to have a safe place where they can be in
with their peers without the distractions of what you might
see in other social channels with the public, the media, patients.
Speaker 4 (35:00):
Even farmer companies.
Speaker 5 (35:01):
We want to kind of protect the physician so they
have a safe environment to collaborate so they can really
provide their patients with optimal care. So the whole essence
of what we do is to try to remove barriers
of geography and allow them to come into one place
to share experiences or access information on demand so they
(35:21):
can do right by their patients.
Speaker 3 (35:24):
Which, honestly, Tim is amazing. As a clinician myself, it's
been awesome to see where you have a clinical situation
or you're looking for a certain level of expertise and
you could either look it up or bring it to
a group to see if they can help you guide
(35:45):
you through some of these questions. So what does a
landscape look like? You're hearing it from you not me,
but whether you're a family doctor, whether you're a specialists,
like who gets who can benefit from the routes.
Speaker 5 (35:58):
Yeah, so right now we do a lot in family
practice or primary care. That's about half of our overall
Canadian membership. And then we have around nine other specialties
that we've started to get some decent penetration in. So
those areas include dermatology, ophthalmology, rheumatology, gas ventrology, oncology, hematology,
(36:21):
infection disease, and a couple of others. So we usually
grow one or two new specialty areas every year just
based on the capacity of our team, the interest of
the membership that we're looking at working with, or medical associations.
Speaker 4 (36:35):
That fall within those spaces.
Speaker 5 (36:37):
So that's really been our way that we've grown is
kind of methodically through like a kind of a focused effort, because.
Speaker 4 (36:43):
We know that when physicians come onto.
Speaker 5 (36:45):
Our platform, if there's nothing for them under the area
of focus they have, they're not going to stick around.
So we try to get deep enough penetration within that
therapeutic area so we can provide value for them when
they come in.
Speaker 3 (36:58):
Absolutely, and to give the listeners a sense of the
the opportunities like is it strictly Q and A. Are
we doing other forms to communicate with clinicians, like how
do what are the what can they expect?
Speaker 5 (37:16):
That's a really good question, and we're trying to evolve,
you know, with the landscape of what members want. So
I think the one key thing that I want to
point out though, is that we're not just another consumption site.
There are a ton of areas for physicians to go
to to get you know, I would say standard education
or consume information, whether it's products like up to date
(37:40):
or other like even a lot of medical associations have
areas where you can like watch a program to get
your credits for certification. The difference of ours is that
you're actually in there with the community, so you can
see the other physicians within that space. But we do
nurture that by working with medical associations, with some of
our industry partners, to be able to bring in experts,
(38:04):
to be able to lead educational sessions, whether those are
webinar format, short form videos, discussion forms, so that they
can kind of like come in and know that there's
someone there to respond to questions that they might have
or to be able to learn from the person that's
leading that session.
Speaker 4 (38:22):
The other neat thing.
Speaker 5 (38:23):
That we started to work on was all this information
that comes out to physicians.
Speaker 4 (38:29):
A lot of it leads down the path that there's.
Speaker 5 (38:30):
New medications coming out, and a lot of times physicians
don't even know the company that's actually producing that medication.
We're trying to create a hub where physicians can effectively
find information directly from the manufacturer that might support the
education that they are receiving. We do it in a
compliant fashion, so we follow all of the rules that
(38:50):
Health Canada has, but we do give that little bit
of the opportunity that positions if they have questions, they
can reach out to that manufacturer or download information directly
from our site.
Speaker 3 (39:01):
Oh, I can imagine that being handy to like the
landscape of these meds that are coming through often that
record pace because sicking at times even during the pandemic,
where this would have been super a valuable resource. So yeah,
I commend you guys for approaching it that way. So
(39:21):
when it comes to say, for example, some of these
educational sessions bringing in experts and so forth, because of
the high volume of family medicine and general practitioners, is
that often that the level it's being tailored to, or
(39:42):
are you also getting some you know, as you mentioned
derm oncology experts that are highly specialized that can also
benefit from some of these educational sessions.
Speaker 5 (39:51):
I would say for the family physicians, a lot of
the time it is you know, a specialist in that
field that will be educating family physicians on you know,
what can you do in your practice on your own
before referring into you know, the specialists if they are
looking at like I have got a challenging case here,
or how to utilize some of the new medications coming
on on the market, or some things to identify the
(40:15):
disease earlier so the patient actually receives treatment in the
timely fashion. And then on the specialist side, I find
it's more peer to peer discussions. So a lot of
the times all of them are experts and you know,
so that they actually want to have a little bit
more of an interactive environment for them to be able
to pick up on maybe someone who's maybe tried something
first or has done something as part of a recent publication.
(40:39):
But yeah, it's a little bit more of a collaborative
approach and peer group versus an expert leading the primary
care group.
Speaker 3 (40:47):
We'll be right back on Solve and Healthcare Radio with
Doctor King. Look met if you your job and rolling up?
Its how we rolled up?
Speaker 2 (40:54):
Bit and I think that's old the thing hoping it
is so new.
Speaker 3 (40:57):
Let's take the simply day yet want to be Let's take.
Speaker 1 (41:02):
Really the stream us live at SAGA nine sixty am
dot C.
Speaker 2 (41:11):
The Boss yo is relies, Wrap up, fabious job body.
Speaker 3 (41:18):
You're listening to someone Healthcare Radio with Doctor King this night.
Be a tough question, but what are some of the
the success stories when you think about this journey you've
been on helping lead the round? Like, what are some
of the success stories that come to mind where you
go home thinking like, you know what, we've done some
(41:39):
good work today?
Speaker 2 (41:41):
Yeah?
Speaker 5 (41:41):
In online judging what what's good engagement?
Speaker 2 (41:46):
Right?
Speaker 5 (41:46):
Everyone wants to understand what is good engagement online? Because
we've all gone to these medical conferences where you know,
someone's up presenting for ten or fifteen minutes and then
one person goes to the mic to ask a question,
you know, and you're just hoping that there'd be more
engagment from that. It's the same online, you know, it's
the silent majority the vocal minority, and you'd love to
(42:07):
see more people contribute, but we are seeing these signs
of like, you know, if a lot of physicians do
you know, thank the expert for sharing their insights, or
someone identifies that they actually will change the behavior and
their practice based on the program. So we kind of
like to do these pre and post assessments to find
out where people's knowledge levels are before and after. So
(42:29):
those are good tell tales of whether or not that
program brought value. And every once in a while you
will have a success story that you know, a physician
ended up doing something different for their patients because of
what they found out on the rounds or even sometimes
you know, we did a lot of stuff around mental
health for physicians a few years back when the pandemic
really struck, and to see physicians actually share their experiences
(42:52):
online with their peers so people didn't feel alone in
that scenario.
Speaker 4 (42:57):
Those are nice.
Speaker 5 (42:58):
Little wins that we see that we're building that sense
of community and trust within the folks that are using
the rounds, but also just the ability that hopefully it
actually is changing something or improving the lives of the
people that are using it.
Speaker 3 (43:12):
Yeah, I must say Tim too. I was really proud
of some of the work you guys were doing in
the wellness space, like during that tough time. It feels
like a long time ago, but maybe not that long ago,
and I really want to commend you guys and in
terms of taking on such tough issues and being leaders
(43:34):
when it came to helping our leaders get better.
Speaker 5 (43:39):
Yeah, and you know that led us to chatting during
that time, you know, like we knew what you were
doing within this space, and that's led us to other
opportunities with other physicians of starting that discussion of like
how can we elevate the leadership within physicians the mental health,
physical health, all those well being aspects that it's not
(44:00):
just patients that matter. We're all patients as well. And
I know I'm not a physician, but I've been so
tied into the network that i feel like I'm part
of the rounds or the folks that are on the rounds.
But seeing the care and the well being of all
the physicians that are using our platform is important to
us as well.
Speaker 3 (44:15):
Yeah. Absolutely, Now you've got me thinking too, like there's
not to spit some ideas at you, but just like
a lot of us physicians some of the softer skills too, right,
like whether it's running a business, whether it's leading like
it took off personally, I took a leadership role on
(44:36):
a few years ago. And yeah, man, is there a
learning curve there? And so yeah, that'd be and also
an interesting one to tackle for sure.
Speaker 5 (44:47):
Yeah, and we are talking to potential providers. There's you
know a lot of banks that are involved with financial
support for physician groups. There's two in particular that are
pretty heavy within that space. There's quite a few companies
or even individual physicians that are very focused on some
of the softer aspects of running your own business. Emotional intelligence,
(45:11):
bedside manner, all of those things.
Speaker 4 (45:13):
You know are part of your practice.
Speaker 5 (45:16):
You know, to run a successful practice isn't just about
seeing patients anymore.
Speaker 4 (45:20):
It's it is partially a business too.
Speaker 3 (45:23):
Absolutely, absolutely, Tim. So, actually, before before winding up, maybe
a bit of a personal question, what got you to
be involved in this? Like what was your story to
end up in such a such an impactful organization.
Speaker 4 (45:42):
Yeah, it's it actually started.
Speaker 5 (45:44):
It wasn't expected, So I wasn't looking for an opportunity
like this. I didn't even actually know the rounds existed
before someone reached out to me. I had spent sixteen
years at Novartis Pharmaceuticals, growing within that organization, really lovely
organized to work with. They kind of groomed me and
nurtured me for sixteen years, allowing me to live in
(46:05):
five different provinces over that span, all the way from
carrying the bag and interacting with a lot of physicians
in the sales role to working with some of the
medical experts that we now work with now in a
medical education role. I did that role for a couple
of years and I must have worked with probably around
thirty to thirty five different medical experts, traveling with them.
(46:28):
Some of them I'd be traveling with them for five days,
doing three presentations a day at different medical clinics, and
really got to know some of these medical experts or
these specialists to find out really like, you know, what
makes them tick and what makes them excited about you know,
you know, guiding other physicians on their journey.
Speaker 4 (46:47):
Doing all of.
Speaker 5 (46:47):
That, though, I met a lot of people along the way,
including another CEO that was running another tech startup out
of Halifax. He was running STI Technologies at the time,
and he called me up and I was actually driving
back from a biking tour that I did with no
artists for raising money for breast cancer. We biked from
Toronto to Montreal. I was driving back from Montreal and
(47:11):
he just said, I'm taking my dog out for a poop,
and I thought about you, and I thought I was
interested obviously and kind of curious. And I wasn't sure
if I should be insulted or not, but I.
Speaker 4 (47:24):
Just took it. But he said he has this little
venture that.
Speaker 5 (47:28):
He was involved with based into Halifax, and he wanted
me just to come in to talk to the CEO
and see if there was, you know, an opportunity to
you know, grow a business. Is there a need and
whether it be a desire. So I took the meeting
and sat down with them and they were talking about
this community of physicians that they were starting to get
together on this platform called the Rounds, and I, you know,
(47:52):
I asked a lot of questions and all of a sudden,
three or four coffees in and two hours later. I
was pretty excited about this opportunity because at that time
I was managing a sales team of about fourteen fourteen
representatives and access to positions was really tough in the
pharma sales world at the end, where you'd be driving
(48:13):
around with your representative for seven or eight hours in
a day and you would see two doctors in their clinic.
You felt like you were disrupting their day. So it
didn't even feel nice going into the clinics anymore because
you felt for the patients that all of a sudden
you were, you know, making them wait to see the doctor.
And then they would give you thirty seconds because you
(48:33):
could tell that they felt bad for the patients that
there are in the waiting room too, that they're.
Speaker 4 (48:37):
Like, okay, we have this.
Speaker 5 (48:39):
You know, two people in a suit walking in talk
to this doctor and then you know, interrupting the flow
of practice. And when they when they sat down, I
was like, it's so tough to do what we're trying
to do in the in the industry of giving them
information to hopefully help their practice, that there has to
be a better way. So I got very excited when
(49:01):
I sat down with the company that I left no
Artists and joined the company to help build out a
business model, primarily looking at what can we do to
make sure that we have compliant brand awareness if we're
going to share that with the physicians. But also I
saw the bigger opportunity of peer to peer knowledge transfer.
(49:22):
You know, how do we do those webinars or on
demand videos or where it's the physicians helping physicians, because
that's an ultimate component. I mean, you know, you're you're
a doctor. You know that you learned by you know,
going to rounds or going to events where it's another
colleague that's presenting where you can then really pick their
(49:42):
brains and kind of figure out how you could apply
that to your to what you do every day.
Speaker 3 (49:47):
And we are certainly glad you did, Tim, even though
I don't think of you when my dog takes a poop.
Speaker 2 (49:57):
Live.
Speaker 3 (49:58):
But last question, anything that you would want the listeners
to know about the rounds that maybe we didn't we
didn't mention.
Speaker 5 (50:09):
Just that we're you know, one, I think it's really
great that we're a Canadian based company. The other thing
I think is great because I'm a I am an
East Coaster that we are based out of Halifax and
I was go to which is great to see tech
growing in the province of Nova Scotia.
Speaker 4 (50:24):
But we have a national reach.
Speaker 5 (50:27):
We're very representative of the full country within the specialties
that we're working in. The one thing that we really
want everyone to know is that we take the physicians
privacy and information very seriously. That nothing is shared about
the physicians with anyone else.
Speaker 4 (50:44):
Obviously we do have.
Speaker 5 (50:47):
We do work with both medical associations and with industry,
but we really we just informed them that people did
participate in their programs, but we don't share who participated,
and that we are flexible. We've built this this whole
platform ourselves. It's not outsourced. So if people are looking
for innovation ideas way that their experience on our platform
(51:10):
can get better. We take a lot of interviews with
physicians to find out how they're experiencing what they are
experiencing on our site. That we take that feedback very
seriously so that we can ensure that we have longevity
within this space, that we advance in this space, and
that we're providing them a service.
Speaker 3 (51:28):
Amazing, amazing, Tim guy, thank you so much for joining
us on the show. Where can people find the Rounds.
Speaker 4 (51:37):
It's really easy. The Rounds dot com.
Speaker 3 (51:40):
I can't believe that you guys nailed that domain, by
the way, picked up somewhere.
Speaker 4 (51:47):
Yeah, no, we have it. We own it.
Speaker 5 (51:50):
There is I know you probably have some listeners on
the pharmacy side as well. We do have a pharmacy
platform as well called QID dot io. We didn't get
the dot com for that one, so it's dot io.
But for any pharmacy listeners, we have a very large
platform for pharmacists as well.
Speaker 2 (52:11):
Amazing.
Speaker 3 (52:11):
Well, congratulations for all the great work you do, Tim,
and once again thanks for joining us.
Speaker 4 (52:16):
Thanks so much.
Speaker 3 (52:17):
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When I seen it, I was like, damn girl, so
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Man, buddy, No radio, no problem. Stream is live on
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Surn my music ha ha ha, sure I do.
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We give you a guy on a daily activity to
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to twenty eight day reboot dot Co. That's twenty eight
day reboot dot coquld guessation. Welcome back. We have my
man Jethro Consta in the house Physio djul head of
(02:40):
Constant Care Leave Phisio at Human two point zero and
we are talking to all things physio and including how
to avoid injury. But most importantly, Jethro, I wanted to
get into what you're seeing on the day to day
(03:00):
because my opinion and correct me if I'm wrong, brother,
but there's a lot of like our lifestyles right now,
I feel like they're getting worse. People are moving less,
We're more attached to our computers and our screens more
zoom time, you know what I'm saying. So what's your
day to day like at this stage?
Speaker 2 (03:22):
Well, first and foremost, thank you for having me. But
to be honest, and I've been saying this to a
few people, this whole paradigm shift of working at home,
you know, post pandemic, so on and so forth, it's
made me busy, like really really really really busy because
(03:45):
one of the things I tell people is that the
body is you know, inherently lazy. Right if you don't
move the body, the body won't move. So now that
people are home and you know, they're spending more time
on their computer, they're spending more times on their phones,
more time sitting, which you know many of people have
heard now you know, sitting is a new smoking, right.
(04:06):
Since that has happened, I've seen, you know, chronic injuries,
chronic soreness has gone up, you know, like one hundredfold,
right like I see you know, shoulder, shoulder pain, low
back pain is a huge one. Knee pain, you know,
headache stemming from neck pain from just sitting too much.
(04:28):
That's definitely the thing I see the most clinically. But
what I've seen a really significant uptick in over the
last six to eight months is a lot of acute
I don't want to say catastrophic injuries, but things like
achilles ruptures, rotator cuff injuries, acl injuries. And I'm convinced
(04:53):
that one of the reasons for that is the fact
that people have been sitting for so long, right, and
now they're telling their bodies, hey, I want to go
play in an ultimate Frisbee record, I want to go
play flag football, and their bodies have been sedentary for
the last two three four years, and then you're asking
(05:13):
it to just do something that it hasn't done in forever.
So the tissues aren't ready, the body is not ready,
and then it results in people having a you know,
see an orthetic surgeon and then having to come and
see it.
Speaker 3 (05:25):
Oh my goodness, yeah, Jethro, Like, I could not agree more. Like,
if you look at how we are setting people up,
you got to be one of the busiest cats on
the planet just from that sedentary lifestyle perspective. And I'm curious, like,
if you had a megaphone, you had an ability to
(05:47):
reach out to folks these days, And because I do
feel people feel that overwhelmed, that ability to try and
get over that lack of that lack of act activity,
there seems to be a lot of resistance to overcoming that.
So what are you telling your clients, your patients to
(06:09):
try and mitigate some of that.
Speaker 2 (06:12):
Well, you know, if I had a megaphone, I would
probably just yell out, move move like. I don't care
how it is. I don't care if it's walking, I
don't care if it's dancing, I don't care what it is.
Just move right, I tell people, you have to think
of yourself as a shark. Right. The minute of shark
(06:33):
stops moving, it dies. Just think of yourself that same way.
But the other thing that I would, you know, usually
tell people is think of what your motivation is and
who you're doing it for. Right. Ideally you should do
it for yourself to start, But if you feel like
you lack motivation, who are you doing it for? Are
(06:56):
you doing it for your grandkids? Are you doing it
for your spouse, Are you doing it for a sibling?
Are you doing it for someone right who values that
you're around? Right, because one of the biggest things, like,
you know, you're a dad, I'm a dad. You know,
one of the reasons I move well, other than the
(07:16):
threat of losing my alpha status in the house, is
is essentially to be able to just keep up with
the kids, right, So you know, that's that's you know,
my motivation, you know, to a certain extent. Of course,
you know, I'm a competitive person, so I would probably
move anyway, but that's the added motivation. And I tell
(07:41):
people like, Okay, you're going to retire in you know
two months, you want to travel? Do you want to
be able to walk when you're traveling so that you
can enjoy that retirement. You know, you got to put
it into perspective that you know it hits home essentially.
Speaker 3 (07:59):
Yeah, find that internal motivation. I like that, especially that
keeping the alpha status in the house. Yeah, boys, I
know you're listening to this. Remember still Daddy's house. Boys,
it's still Daddy's Oh yes.
Speaker 2 (08:14):
They know, they know. I look at that. That's crazy
Caribby in DNA. So they're they're they're chilling a little bit.
Speaker 3 (08:22):
Oh, we were talking about four folks that Jeth throw.
It's got four boys, correct.
Speaker 2 (08:29):
Four boys, four boys.
Speaker 3 (08:30):
Yes, so it's we I can empathize what that house
is going to be like. And uh yes, yeah, you
are a busy, busy man. So so obviously getting back
to people moving, getting finding that internal motivation I think
is important. But say they are starting to wanting to
(08:53):
be more active, as you mentioned, you're seeing some more
of those explosive injuries. I do think it's worth talking about,
like how to people avoid injuries because I do think,
as we were talking about beforehand, there are a lot
of there's a lot of emphasis on how to rehabilitate
post injury, But if you could avoid being injured in
(09:14):
the first place that your miles ahead. Right, So what
are some of the approaches that you tell your clients
to try and avoid these injuries?
Speaker 2 (09:26):
Well, other than you know, the obvious that we mentioned
in terms of moving, you know, one of the biggest
things is is progression. Right. Progression to me is very,
very important no matter what you're doing. So you know,
perhaps you know you want you're thinking about, Okay, I
want to play in this soccer league, you know, in
two months, right, that's one of my goals. Okay, Well
(09:49):
before then, maybe you start to you know, kick the
ball around a little bit, go to the gym a
little bit, walk a little bit, do do some things
to kind of you know, not I'm not going to
say peak because we're talking like rec league. It's not
necessarily competitive, but just get your body accustomed to moving
so that when you actually do start to move, your
body is not you know, in complete shock. And one
(10:13):
of the other things is, you know, get comfortable with
being uncomfortable. Right, you know, A long time ago, when
you know, I was always a physicotherapist who focused on
active recovery, right, But then I remember years ago I
met a strength and conditioning coach who had more of
(10:34):
an emphasis on mobility, and I'll kind of break that
down a little bit. But his name is Tyler Touchett.
He still works out of Cornwall, and he opened he
opened my eyes a little bit more to the idea
of mobility and putting yourself in some positions that are
uncomfortable because I played football for years and you know,
(10:55):
I did one of his sessions and I was shaking.
I couldn't do anything. I felt weak, and I was like, man,
I'm I am, I am horrible at this stuff, right,
And you know, it was broken down to me that
you know, mobility and flexibility and strength, like they're not
all one and the same. Right. Mobility is how much
(11:19):
of you know, your entire range of motion is actually usable,
right versus you know, if I'm if I can do
the splits, Okay, I can do the splits, but can
I get out of it? You know? So you know,
I advise everyone to get more into like mobility type training.
I know that's one of our one of our connections,
you and I. But mobility training is super super important
(11:44):
because you're you're educating your tissues, right. You have to
get that signal to go from your tissues to your
brain to say, hey, we need to make some changes
so that we don't get hurt. Right, And you don't
have your body in a position that it's never been before. Right,
it's like, oh, okay, I've been here before. Like I
(12:06):
just like I just told you, you know, before we
started this session, I was at jiu jitsu class, right,
and jiu jitsu talk about being made into a human pretzel. Right.
But there's certain positions where you know, some people would expect, okay, well,
you know, you're a big guy, You're just you're going
to tap because it's an uncomfortable position. But I'm just
(12:27):
there and they're like, why aren't you tapping? And I say,
because it doesn't hurt, right, But that but that's also
because you know, I've been training with you know, coach Ema,
I've been training with Coach DJ, and they put me
in all these uncomfortable and compromising positions. But they also
gave me a steady progression to get to those to
(12:48):
those movements. So again, long winded answer, I would say,
progression is key to not getting hurt. Don't don't just decide,
hey it's January first, I haven't year's resolution. I'm gonna
go play hockey four times a week, and I haven't
played hockey for the last two years. It's just not
(13:08):
a good recipe.
Speaker 3 (13:09):
We'll be right back on Solven Healthcare Radio with Doctor K.
Speaker 1 (13:27):
Stream us live at SAGA nine sixty am dot c A.
Speaker 3 (13:48):
We're listening to solve in Healthcare Radio with Doctor K.
Brought up a good point too, that I mean, I
would love to hear more of your insights on too,
about the active recovery component I years ago, I mean,
I still have ongoing lower back issues, but for the
most part, very functional, and back in the day ten
(14:11):
years ago said if you've done your back, you're lying
on the couch or just rolling around maybe just thinking that, oh,
I'll just rest this up and get ready to go.
And I just encourage people to think about if they've
already if they pulled their back, think about the time
where you get up off the couch and how you
(14:33):
feel in that moment. You're not doing yourself any favors.
So yeah, just more of your insights in terms of
that active recovery approach when recovering from injury.
Speaker 2 (14:46):
Active recovery is key, man, It's so key. As I
said at the top of the discussion. Our bodies are
inherently lazy. That's what they do. Your body does not
want to move unless you tell it to move. Right.
And you know, at the risk of sounding like a
bit of a of a nerd, right, you know, you
(15:10):
look at Newton's laws of physics. Right, objects want to
keep doing what they're doing unless acted upon by an
external force. That's just the way it is. So you know,
for example, if you know, let's say I have like
an acl rehab situation, right, if I'm not I don't
(15:31):
want to say the US word aggressive, but if you're
not very pro not proactive, but if you're not very
motivated to move, what will end up happening is the
pain will eventually go away right after you know, give
it like a month, two months or that's whatever. But
the range of motion that you get, that's all you got, Okay.
(15:57):
And then you know there's there's perced such as you know,
as you know, like amoah, right, a manipulation under anesthesia
where because the joint hasn't moved the way it's supposed to,
they'll put you to sleep, they'll put it in the
position that it's supposed to and then they'll wake you
up and they'll say, okay, now'll go back at it
(16:17):
and start from square one. Right, So if you're active
right off the bat, and trust me, it's going to suck. Right,
Surgery acute injuries like that's that's the starting point. Like
I don't want to say that that's the easy thing
because I don't want to minimize the work that the
surgeon does. But that's the easy part because let's say
(16:40):
you know, you have an ACL surgery. The surgery itself
will take a couple of hours, right, but the recovery
will take months. So if you don't go at it,
you know, in a motivated and aggressive manner, whether it's
low back, whether it's me, you know, and again within
protocols obviously, right, because because the surgeon will say, hey,
(17:01):
you know, we did this, so don't do this for
X number of weeks X number of days. But you
can do this right, versus just not doing anything at all. Okay,
because you mentioned, for example, like low back pain. I've
had low back surgery, right, I had to diskett. Yeah yeah, yeah.
In two thousand and four, I had a diskectomy and
(17:24):
a laminectomy in my lower back. So for those who
don't know what that means. It's just I had a
herniaa disc and it was rubbing against my spinal cords,
so they have to clean that up. I'd advise anyone
who plays football don't run into anyone ahead first. It's
a bad idea. So, you know, but I think of
the rehab I did back then, and again, this is
(17:45):
not you know, you know, jumping on the physioe that
was working on me before or for my own knowledge.
I just rested, right, I just rested. I just kind
of chilled out, you know, got a little bit of
muscle stim here, got a little bit of my sage here.
And the thing about active physiotherapy is that our profession
(18:08):
is actually supposed to be active because the thing that
people don't realize is that the profession of physiotherapy, the
genesis of it comes from the World Wars. It was
to get the soldiers rehabs after they had these catastrophic
injuries on the battlefield. There was no ultrasound back then,
(18:29):
there was no IFC back then, there was no oh,
your leg got blown off, Okay, just put some ice
on it. You know. That wasn't a thing they told them. Okay,
we need you to get up and move so somewhere
along the lines that may have gotten lost a little bit.
But and some might say, oh, well, that's archaic. Okay,
some may say it's archaic. Say that to the people
(18:51):
who do have to go in for a manipulation under anesthesia,
Say that to the people who aren't recovering at the
pace that they would love to recover. And then on
the flip side, you look at the other patients who
do buy into that active recovery. And that's why one
of the first things I tell patients when they're rehabing
(19:12):
is I tell them I'm like, listen, I want to
take a step back here to let you know this
is going to suck. You are going to hate me,
you will cuss me out any chance you get. But
I promise you that when you are going to see
the surgeon or the doctor or whatever the case may be,
(19:35):
and you start to look around at the different cases
that have the surgery around the same time as you
and you're moving better, you'll understand that there was method
to the madness. Absolutely.
Speaker 3 (19:49):
I mean, I think in my profession in the q
care setting, you guys are one of the most important
You have one of the most important roles the physios
period getting our patients functional again, getting them to where
they need to be, because when you know, in my world,
(20:12):
function that's everything. You're You're you're sitting on a ventilator,
not using any muscle, You're you're like, you're you're being
so deconditioned is so important. But yeah, here that I
think as a great motivational tool for the for the
many out there that are going to be going through
some form of surgery hip needs whennot that keeping overcoming
(20:37):
that discomfort will make all the difference in the world.
And and also making sure that you go to those appointments.
It's is one of our good one of our teammates
or my son's teammates. And mom just went through so
shoulder surgery and the first thing I said is like,
when's that physio book you got that physio woman booked up? Yeah, Like,
(21:02):
just you got to be on top of that, just
as you mentioned, keeping that range of motion, keeping that
keeping that function. So, so where do you see some
of the challenges amongst the physios. So when I think
of a que care sometimes, unfortunately it's one of the
(21:23):
positions that gets cut when healthcare costs or when the
healthcare budgets get more constrained. Where do you see some
of the challenges for whether that's access or getting to
more people in your line as an when as you
see outpatient folks.
Speaker 2 (21:44):
I think I think the biggest challenge is a lack
of awareness for what we do right. Some people think,
you know, and again, you know, I'm not hating on anyone.
It's just that we're different fields, you know. Some if
sometimes someone comes in and they say, oh, so, I'm
here to get massage, and I'm like, well, no, I
(22:06):
could refer you to massage therapist, but I'm not a
massage therapist, Like a massage therapist is a massage therapist,
you know what I mean. So, and I'd also say
past experiences with rehab, right, because I don't know how
many times I've heard patients after the first session or
(22:29):
second session say well, hold on, this is hard, this
is physio, and I say, yes, this is what rehab is.
They're like, aren't you gonna just put like, you know,
ultrasound on me or a machine on me or something?
And I'm like, why would I do that? You know,
Like one of the things that I like I never
(22:51):
do in clinics. Never is put ice on something. First
of all, there's a whole school without on ice, So
I don't really touch ice as it is. But even
heat as well, I'm like, why would you come see
me to do something that you could do at home?
You can put a magic bag in the microwave and
(23:13):
put heat on something, oh, you know, to prepare the tissues.
Oh no, No, that's a waste of time. Like, let's
prepare the tissues with you moving, because that's going to
increase blood flow as opposed to putting heat. Now again,
don't get me wrong. Some places they'll put heat if
let's say you're you know, you're gonna be manipulating a
shoulder or whatever, so they want to heat up the
tissues a little bit. But let's be honest, Like I
(23:34):
can look outside if it's minus twenty outside and you're
all bundled up, and then you come inside and I
put heat on your shoulder for three minutes, it's not
going to make a huge difference realistically speaking, right, So,
like I said, lack of awareness and thinking that coming
to physio is you know, just putting a machine on
chilling out for forty five minutes listen. Depending on the case.
(23:58):
Some people I see them for twenty twenty five minutes
in and out because I tell them, by the time
I'm done with you, you don't want to see your
friendly longer than that. And I'd say nine times out
of ten those patients would agree with me. Right, They're like,
you put me through the ringer. I don't want I
don't want that smoke. I don't want it anymore. Okay.
One of the other challenges, i'd say is a bit
(24:20):
more recent, and like you said, it's access and especially
costs when it comes to related to let's say insurance
for example. Okay. So, for example, I know a lot
of government workers. I'm not sure about other establishments, but
they've they actually changed plans midway through last year, okay,
(24:43):
So many of them changed from sun Life or Manual
Life to Canada Life right, And the coverage that they
had before was for the most part, it was like, okay,
we'll cover you at five hundred dollars, well eighty percent
for the first five hundred dollars. Then the second five
hundred dollars is out of your own pocket. Then we
(25:04):
cover you for you know, unlimited calendar year at eighty percent. Right. So,
like we just said, if you have an ACL injury
or you have a rotative cut injury, we're talking injuries
that are going to take you six to ten or
twelve months to recover from. Right, So you're going to
blow through, you know, any type of covers that you have.
(25:28):
But now fast forward to last year when they made
the switch and now they're at Canada Life and they
capped it at fifteen hundred, right, So fifteen hundred is
not going to get you very far if you have
a long term injury, if you have a sprained ankle
or you have something like that, sure that that'll work.
But if you're recovering from you know, a total knee replacement,
(25:50):
a total hip replacement, you know, a significant shoulder or
a knee injury, it's it's not going to benefit you
in the long term. Right. So I've always said like that,
like that change happening was one of the worst things,
not just like for us in terms of the profession,
(26:14):
but you know, it's more for the patience, Like I
feel back to the patience because at the end of
the day, they're the ones who are recovering, you know,
like half the time people ask me like, oh, you know,
how much do you make? I'm like, I don't even know.
I just care about taking care of people and then
you know, whatever the rest comes, I pay my bills
with right, So the fact that they're getting short changed
(26:36):
is such a negative in my eyes. And the thing is,
once again, it's that lack of awareness, because some people
will see fifteen hundred and they're like, oh man, that's
so much. And I'm like, if you have a really
bad injury, you're going to notice that you go through
that really really fast. Right. And then again, access to
(26:59):
the like you know, there's there's a limited amount of
like o hit clinics, and some people can't even get
to the old hit clinics. So sore, there's quite there's
still quite a few challenges, for sure.
Speaker 3 (27:12):
For sure, we'll be right back on solving healthcare radio
with Doctor k Out of the night into the water.
Speaker 1 (27:20):
We pushed the boat from sure.
Speaker 3 (27:25):
Breaking air and the stillness of the bay.
Speaker 1 (27:32):
No Radio, No Problem stream is live on SAGA ninety
sixty AM.
Speaker 3 (27:37):
Dot c A.
Speaker 2 (27:40):
One AM Jewels Fast one and one dam Jewels Fast
one and one.
Speaker 4 (27:45):
The slow mo.
Speaker 3 (27:48):
You're listening to solve in Healthcare Radio with doctor K.
I would love to see them be promoted, for people
to be proactive with us not only have the coverage,
but from say give give, give rebates for those that
are getting their ten thousands steps in that tag into
(28:09):
the gym for for a period of time, Like, these
aren't the people that are costing the system millions, it's
it's it's those that aren't getting to the gym, those
that aren't moving their feet. So this is why I
think if our king for a day, I'd love to
see I'd love to see as goat as a society
(28:33):
in that general direction.
Speaker 2 (28:36):
I think I think I heard you say on one
of your your past podcasts. I think it's something like
what was it, twenty eighth man, it's.
Speaker 3 (28:53):
Like the metabolic Yeah, but people are metabolically unhealthy. Yeah,
but I'm sure we're not far off.
Speaker 2 (29:02):
Yes, exactly exactly. And that's that's insane when you think
about it, and you know, and again like where would
we be if we actually not not only prevented that,
but if we educated people. Shoot, I say, educate kids
just start you know, like I you know, I joke
(29:23):
around with my kids, like you know, during the week
they don't even know. They don't even know what cereal is. Yeah,
they don't even know. They don't even know what it is.
Like again, like by all means, if you want to
use zero, I just I know that I was a
fat kid, so I learned along the way. And you
know it starts with that, right if if they mimic
(29:45):
what you're doing, or if you educate them from the start,
then you're giving them the foundational blocks to succeed later.
But we're also in a society where that's not promoted enough,
as you mentioned.
Speaker 3 (29:56):
So yeah, I mean, I bet I'd love to see
how your like how active your kids are, because they
follow if your parents are active, they eat well, it's
a biosmosis. They'll they'll pick up those habits either now
or when they're when they're of age where it matters.
But yeah, I think it's such a good point to
(30:20):
be an example for the littles and and and promote
that healthy Like my boys, they'll tell you about how
much protein they had with their meal. They'll tell you that,
they'll tell you about how they pushing weight and and
then I mean, I mean push ups that were able
to do on x y on on their sessions like
this is what we want to make it sexy, you stay.
Speaker 2 (30:45):
I remember there was there was this one day because
my my eldest he's built more like me. He's kind
of like a like a like a brickhouse. And in
my second he's very lean, muscular, very lean. And I
remember one day I just I was just listening to
them have a conversation and my lean son was just like,
(31:05):
it's like I can't I can't get bigger, I can't
put any muscle on. I don't know what's going on.
And then I just hear my eldest say, you're not
eating enough, you know. I like, you know, I almost
I almost had it too. I was like, okay, they're
they're paying attention. But it was funny, man, it was funny,
(31:29):
so you know. But yeah, it's all it's it's unfortunate.
It's just it's about education. It's about just letting people
know there's such a lack of knowledge out there. And
again it's not people's faults, it's just it's not out there.
Speaker 3 (31:44):
Yeah, and it's confusing too, Like you'll go on either
of our I G feeds. I'll tell you, you know,
too much rotein is bad too much. Rotein is good,
meat is bad meat, His meat is good. Like it's
it's hard to find these reliable sources. But yeah, I
think that's part of the issue, lack of consensus. But
(32:08):
I was encouraged people to find someone that you you
feel makes sense to you and and go from there.
Speaker 2 (32:14):
But yeah, and everyone's different too, right, Everyone's different, So
you know, what works for one person might not work together.
But it's still a matter of trying to find what
works for you.
Speaker 3 (32:25):
So that's a good that's a good point too about
the personalization is as you see that on a regular basis,
for sure, you know the one size fits all. Anyone
that's preaching on one size fits all, you got to
really think about what what they're saying because that that
is just not we don't see it in medicine, we
don't see it in anything. So it's you really got
(32:48):
to think about who that source is. And you know
what I'm saying, agree, But jet throw constan. This has
been it has been a slice and it's in a
long time coming. We appreciate you throwing down the knowledge
that you have. Where can people get ahold of you? Uh?
Speaker 2 (33:08):
You know what they could? Man, I'm not hard to
find people, you know what, I talk people all the time. Man,
I'm like, man, if I was in the mob, I'd
already be dead because everybody knows where I am all
the time. But you could, you could. You could check
me out on my website www dot constancare physio dot com.
And you can find me on I G same thing
(33:31):
at constant Care or uh J con so j C
O N t h A physio p H Y s
I O so on Instagram. That's that's where people can
find me, message me, d M me all that good stuff.
Speaker 3 (33:47):
Yeah, I must say my boys are pretty active on
that on that platform. But once again, thank you so
much for joining us. This has been a slice.
Speaker 2 (33:56):
Yeah, thank you sir, Thank you. Cool.
Speaker 3 (34:00):
We have the illustrious Tim Rice on the show, CEO
of the Rounds and Tim, first of all, welcome to
the podcast.
Speaker 4 (34:13):
Thanks a lot, doc K happy to be here.
Speaker 3 (34:15):
Oh man, this is a long time coming. So I
wanted to get Tim on because The Rounds has been
this amazing avenue for physicitions to connect and really to
try and create some magic. So first of all, Tim, like,
how did you what's the Rounds about? Get your perspective
and how did you land in their lab?
Speaker 2 (34:36):
Yeah?
Speaker 4 (34:36):
No, really good question.
Speaker 5 (34:38):
So I think the core thing to think about with
the rounds is the focus is to really empower today's
physicians through a secure collaborative network. So we want them
to have a safe place where they can be in
with their peers without the distractions of what you might
see in other social channels with the public, the media, patients.
Speaker 4 (35:00):
Even farmer companies.
Speaker 5 (35:01):
We want to kind of protect the physician so they
have a safe environment to collaborate so they can really
provide their patients with optimal care. So the whole essence
of what we do is to try to remove barriers
of geography and allow them to come into one place
to share experiences or access information on demand so they
(35:21):
can do right by their patients.
Speaker 3 (35:24):
Which, honestly, Tim is amazing. As a clinician myself, it's
been awesome to see where you have a clinical situation
or you're looking for a certain level of expertise and
you could either look it up or bring it to
a group to see if they can help you guide
(35:45):
you through some of these questions. So what does a
landscape look like? You're hearing it from you not me,
but whether you're a family doctor, whether you're a specialists,
like who gets who can benefit from the routes.
Speaker 5 (35:58):
Yeah, so right now we do a lot in family
practice or primary care. That's about half of our overall
Canadian membership. And then we have around nine other specialties
that we've started to get some decent penetration in. So
those areas include dermatology, ophthalmology, rheumatology, gas ventrology, oncology, hematology,
(36:21):
infection disease, and a couple of others. So we usually
grow one or two new specialty areas every year just
based on the capacity of our team, the interest of
the membership that we're looking at working with, or medical associations.
Speaker 4 (36:35):
That fall within those spaces.
Speaker 5 (36:37):
So that's really been our way that we've grown is
kind of methodically through like a kind of a focused effort, because.
Speaker 4 (36:43):
We know that when physicians come onto.
Speaker 5 (36:45):
Our platform, if there's nothing for them under the area
of focus they have, they're not going to stick around.
So we try to get deep enough penetration within that
therapeutic area so we can provide value for them when
they come in.
Speaker 3 (36:58):
Absolutely, and to give the listeners a sense of the
the opportunities like is it strictly Q and A. Are
we doing other forms to communicate with clinicians, like how
do what are the what can they expect?
Speaker 5 (37:16):
That's a really good question, and we're trying to evolve,
you know, with the landscape of what members want. So
I think the one key thing that I want to
point out though, is that we're not just another consumption site.
There are a ton of areas for physicians to go
to to get you know, I would say standard education
or consume information, whether it's products like up to date
(37:40):
or other like even a lot of medical associations have
areas where you can like watch a program to get
your credits for certification. The difference of ours is that
you're actually in there with the community, so you can
see the other physicians within that space. But we do
nurture that by working with medical associations, with some of
our industry partners, to be able to bring in experts,
(38:04):
to be able to lead educational sessions, whether those are
webinar format, short form videos, discussion forms, so that they
can kind of like come in and know that there's
someone there to respond to questions that they might have
or to be able to learn from the person that's
leading that session.
Speaker 4 (38:22):
The other neat thing.
Speaker 5 (38:23):
That we started to work on was all this information
that comes out to physicians.
Speaker 4 (38:29):
A lot of it leads down the path that there's.
Speaker 5 (38:30):
New medications coming out, and a lot of times physicians
don't even know the company that's actually producing that medication.
We're trying to create a hub where physicians can effectively
find information directly from the manufacturer that might support the
education that they are receiving. We do it in a
compliant fashion, so we follow all of the rules that
(38:50):
Health Canada has, but we do give that little bit
of the opportunity that positions if they have questions, they
can reach out to that manufacturer or download information directly
from our site.
Speaker 3 (39:01):
Oh, I can imagine that being handy to like the
landscape of these meds that are coming through often that
record pace because sicking at times even during the pandemic,
where this would have been super a valuable resource. So yeah,
I commend you guys for approaching it that way. So
(39:21):
when it comes to say, for example, some of these
educational sessions bringing in experts and so forth, because of
the high volume of family medicine and general practitioners, is
that often that the level it's being tailored to, or
(39:42):
are you also getting some you know, as you mentioned
derm oncology experts that are highly specialized that can also
benefit from some of these educational sessions.
Speaker 5 (39:51):
I would say for the family physicians, a lot of
the time it is you know, a specialist in that
field that will be educating family physicians on you know,
what can you do in your practice on your own
before referring into you know, the specialists if they are
looking at like I have got a challenging case here,
or how to utilize some of the new medications coming
on on the market, or some things to identify the
(40:15):
disease earlier so the patient actually receives treatment in the
timely fashion. And then on the specialist side, I find
it's more peer to peer discussions. So a lot of
the times all of them are experts and you know,
so that they actually want to have a little bit
more of an interactive environment for them to be able
to pick up on maybe someone who's maybe tried something
first or has done something as part of a recent publication.
(40:39):
But yeah, it's a little bit more of a collaborative
approach and peer group versus an expert leading the primary
care group.
Speaker 3 (40:47):
We'll be right back on Solve and Healthcare Radio with
Doctor King. Look met if you your job and rolling up?
Its how we rolled up?
Speaker 2 (40:54):
Bit and I think that's old the thing hoping it
is so new.
Speaker 3 (40:57):
Let's take the simply day yet want to be Let's take.
Speaker 1 (41:02):
Really the stream us live at SAGA nine sixty am
dot C.
Speaker 2 (41:11):
The Boss yo is relies, Wrap up, fabious job body.
Speaker 3 (41:18):
You're listening to someone Healthcare Radio with Doctor King this night.
Be a tough question, but what are some of the
the success stories when you think about this journey you've
been on helping lead the round? Like, what are some
of the success stories that come to mind where you
go home thinking like, you know what, we've done some
(41:39):
good work today?
Speaker 2 (41:41):
Yeah?
Speaker 5 (41:41):
In online judging what what's good engagement?
Speaker 2 (41:46):
Right?
Speaker 5 (41:46):
Everyone wants to understand what is good engagement online? Because
we've all gone to these medical conferences where you know,
someone's up presenting for ten or fifteen minutes and then
one person goes to the mic to ask a question,
you know, and you're just hoping that there'd be more
engagment from that. It's the same online, you know, it's
the silent majority the vocal minority, and you'd love to
(42:07):
see more people contribute, but we are seeing these signs
of like, you know, if a lot of physicians do
you know, thank the expert for sharing their insights, or
someone identifies that they actually will change the behavior and
their practice based on the program. So we kind of
like to do these pre and post assessments to find
out where people's knowledge levels are before and after. So
(42:29):
those are good tell tales of whether or not that
program brought value. And every once in a while you
will have a success story that you know, a physician
ended up doing something different for their patients because of
what they found out on the rounds or even sometimes
you know, we did a lot of stuff around mental
health for physicians a few years back when the pandemic
really struck, and to see physicians actually share their experiences
(42:52):
online with their peers so people didn't feel alone in
that scenario.
Speaker 4 (42:57):
Those are nice.
Speaker 5 (42:58):
Little wins that we see that we're building that sense
of community and trust within the folks that are using
the rounds, but also just the ability that hopefully it
actually is changing something or improving the lives of the
people that are using it.
Speaker 3 (43:12):
Yeah, I must say Tim too. I was really proud
of some of the work you guys were doing in
the wellness space, like during that tough time. It feels
like a long time ago, but maybe not that long ago,
and I really want to commend you guys and in
terms of taking on such tough issues and being leaders
(43:34):
when it came to helping our leaders get better.
Speaker 5 (43:39):
Yeah, and you know that led us to chatting during
that time, you know, like we knew what you were
doing within this space, and that's led us to other
opportunities with other physicians of starting that discussion of like
how can we elevate the leadership within physicians the mental health,
physical health, all those well being aspects that it's not
(44:00):
just patients that matter. We're all patients as well. And
I know I'm not a physician, but I've been so
tied into the network that i feel like I'm part
of the rounds or the folks that are on the rounds.
But seeing the care and the well being of all
the physicians that are using our platform is important to
us as well.
Speaker 3 (44:15):
Yeah. Absolutely, Now you've got me thinking too, like there's
not to spit some ideas at you, but just like
a lot of us physicians some of the softer skills too, right,
like whether it's running a business, whether it's leading like
it took off personally, I took a leadership role on
(44:36):
a few years ago. And yeah, man, is there a
learning curve there? And so yeah, that'd be and also
an interesting one to tackle for sure.
Speaker 5 (44:47):
Yeah, and we are talking to potential providers. There's you
know a lot of banks that are involved with financial
support for physician groups. There's two in particular that are
pretty heavy within that space. There's quite a few companies
or even individual physicians that are very focused on some
of the softer aspects of running your own business. Emotional intelligence,
(45:11):
bedside manner, all of those things.
Speaker 4 (45:13):
You know are part of your practice.
Speaker 5 (45:16):
You know, to run a successful practice isn't just about
seeing patients anymore.
Speaker 4 (45:20):
It's it is partially a business too.
Speaker 3 (45:23):
Absolutely, absolutely, Tim. So, actually, before before winding up, maybe
a bit of a personal question, what got you to
be involved in this? Like what was your story to
end up in such a such an impactful organization.
Speaker 4 (45:42):
Yeah, it's it actually started.
Speaker 5 (45:44):
It wasn't expected, So I wasn't looking for an opportunity
like this. I didn't even actually know the rounds existed
before someone reached out to me. I had spent sixteen
years at Novartis Pharmaceuticals, growing within that organization, really lovely
organized to work with. They kind of groomed me and
nurtured me for sixteen years, allowing me to live in
(46:05):
five different provinces over that span, all the way from
carrying the bag and interacting with a lot of physicians
in the sales role to working with some of the
medical experts that we now work with now in a
medical education role. I did that role for a couple
of years and I must have worked with probably around
thirty to thirty five different medical experts, traveling with them.
(46:28):
Some of them I'd be traveling with them for five days,
doing three presentations a day at different medical clinics, and
really got to know some of these medical experts or
these specialists to find out really like, you know, what
makes them tick and what makes them excited about you know,
you know, guiding other physicians on their journey.
Speaker 4 (46:47):
Doing all of.
Speaker 5 (46:47):
That, though, I met a lot of people along the way,
including another CEO that was running another tech startup out
of Halifax. He was running STI Technologies at the time,
and he called me up and I was actually driving
back from a biking tour that I did with no
artists for raising money for breast cancer. We biked from
Toronto to Montreal. I was driving back from Montreal and
(47:11):
he just said, I'm taking my dog out for a poop,
and I thought about you, and I thought I was
interested obviously and kind of curious. And I wasn't sure
if I should be insulted or not, but I.
Speaker 4 (47:24):
Just took it. But he said he has this little
venture that.
Speaker 5 (47:28):
He was involved with based into Halifax, and he wanted
me just to come in to talk to the CEO
and see if there was, you know, an opportunity to
you know, grow a business. Is there a need and
whether it be a desire. So I took the meeting
and sat down with them and they were talking about
this community of physicians that they were starting to get
together on this platform called the Rounds, and I, you know,
(47:52):
I asked a lot of questions and all of a sudden,
three or four coffees in and two hours later. I
was pretty excited about this opportunity because at that time
I was managing a sales team of about fourteen fourteen
representatives and access to positions was really tough in the
pharma sales world at the end, where you'd be driving
(48:13):
around with your representative for seven or eight hours in
a day and you would see two doctors in their clinic.
You felt like you were disrupting their day. So it
didn't even feel nice going into the clinics anymore because
you felt for the patients that all of a sudden
you were, you know, making them wait to see the doctor.
And then they would give you thirty seconds because you
(48:33):
could tell that they felt bad for the patients that
there are in the waiting room too, that they're.
Speaker 4 (48:37):
Like, okay, we have this.
Speaker 5 (48:39):
You know, two people in a suit walking in talk
to this doctor and then you know, interrupting the flow
of practice. And when they when they sat down, I
was like, it's so tough to do what we're trying
to do in the in the industry of giving them
information to hopefully help their practice, that there has to
be a better way. So I got very excited when
(49:01):
I sat down with the company that I left no
Artists and joined the company to help build out a
business model, primarily looking at what can we do to
make sure that we have compliant brand awareness if we're
going to share that with the physicians. But also I
saw the bigger opportunity of peer to peer knowledge transfer.
(49:22):
You know, how do we do those webinars or on
demand videos or where it's the physicians helping physicians, because
that's an ultimate component. I mean, you know, you're you're
a doctor. You know that you learned by you know,
going to rounds or going to events where it's another
colleague that's presenting where you can then really pick their
(49:42):
brains and kind of figure out how you could apply
that to your to what you do every day.
Speaker 3 (49:47):
And we are certainly glad you did, Tim, even though
I don't think of you when my dog takes a poop.
Speaker 2 (49:57):
Live.
Speaker 3 (49:58):
But last question, anything that you would want the listeners
to know about the rounds that maybe we didn't we
didn't mention.
Speaker 5 (50:09):
Just that we're you know, one, I think it's really
great that we're a Canadian based company. The other thing
I think is great because I'm a I am an
East Coaster that we are based out of Halifax and
I was go to which is great to see tech
growing in the province of Nova Scotia.
Speaker 4 (50:24):
But we have a national reach.
Speaker 5 (50:27):
We're very representative of the full country within the specialties
that we're working in. The one thing that we really
want everyone to know is that we take the physicians
privacy and information very seriously. That nothing is shared about
the physicians with anyone else.
Speaker 4 (50:44):
Obviously we do have.
Speaker 5 (50:47):
We do work with both medical associations and with industry,
but we really we just informed them that people did
participate in their programs, but we don't share who participated,
and that we are flexible. We've built this this whole
platform ourselves. It's not outsourced. So if people are looking
for innovation ideas way that their experience on our platform
(51:10):
can get better. We take a lot of interviews with
physicians to find out how they're experiencing what they are
experiencing on our site. That we take that feedback very
seriously so that we can ensure that we have longevity
within this space, that we advance in this space, and
that we're providing them a service.
Speaker 3 (51:28):
Amazing, amazing, Tim guy, thank you so much for joining
us on the show. Where can people find the Rounds.
Speaker 4 (51:37):
It's really easy. The Rounds dot com.
Speaker 3 (51:40):
I can't believe that you guys nailed that domain, by
the way, picked up somewhere.
Speaker 4 (51:47):
Yeah, no, we have it. We own it.
Speaker 5 (51:50):
There is I know you probably have some listeners on
the pharmacy side as well. We do have a pharmacy
platform as well called QID dot io. We didn't get
the dot com for that one, so it's dot io.
But for any pharmacy listeners, we have a very large
platform for pharmacists as well.
Speaker 2 (52:11):
Amazing.
Speaker 3 (52:11):
Well, congratulations for all the great work you do, Tim,
and once again thanks for joining us.
Speaker 4 (52:16):
Thanks so much.
Speaker 3 (52:17):
I want to thank our sponsors Betterhelp dot Com, largest
online canceling platform. Got to check out better Help dot
Com backslash Solving Healthcare. You get ten percent off check
out Element. This is what I use anytime I got
to use some exercise post exercise, when I'm fasting, sugar
free electrolyte, drink ball It. Go to drink Element dot
(52:38):
com Backslash Quadcast and get your free sample pack. That's
drink Element dot Com Backslash Podcast. Also make sure to
check out our twenty eight day reboot course those that
are trying to get into the health kick. We keep
it simple, highly effective ways such as increasing your protein intake,
getting your ten thousand steps in, turning off your screens
an hour before bed to enhance your all these steps
(53:01):
that we do together to try and improve our health
and wellness, check out twenty eight Day Reboot dot co
dot co. That's twenty eight Day Reboot dot co. You
want to learn more about what we throw down, go
to doctor Quadro dot ca. And lastly, if you want
to sign up for our newsletter, that's Quadcast dot substack
dot com. Quadcast dot substack dot com. Connect with us
(53:22):
on Twitter, Instagram, YouTube, Facebook, TikTok threads at quadcasts. You
can leave any comments at Quadcast nine nine at gmail
dot com. We'd love to hear from you. We constantly
want to improve on the show's content. Don't be shy.
I remember seeing you when spaghetti strap it snapsack heils
up by your own fact.
Speaker 4 (53:41):
When I seen it, I was like, damn girl, so
you have a.
Speaker 1 (53:44):
Man, buddy, No radio, no problem. Stream is live on
Saga ninety sixty am dot ca.
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