Host of The SMB, Author at The Sports Medicine Broadcast

December 15, 2022December 6, 2022

Kevin Joyce – Changing Settings

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Kevin Joyce had to make some changes because he felt like a zombie.

Kevin, where did you start as an AT? How long were you there?

US merchant marine academy as an intern

Elmyra college as GA for 2 years

SUNY Plattsburgh – 5 years

SUNY New Polts – Head AT

Post University in Conn – as head AT and head SC for 6 years ***huge burnout alert***

I had two young kids at home and woke up daily asking myself why I was doing this.

Got the opportunity to do DME. It was an improvement but still a struggle

Worked clinical for 3 years in the PT clinic with a friend.

SUNY Oswego – works with a former student-athlete as the head coach.

I realized how I missed the college sports setting.

When you took that Head AT position, why was that too much too soon?

At that point, they had been without a head AT for about 8 months.

My previous spot was kinda a one horse town where everyone wanted to work with you.

At that location, it was more in a metroplex, that people were not begging to work with your team.

I did not realize what works in one place does not work in every place.

In some of our COVID meetings, I would not speak for the first 2 or 3 meetings.

Where are you now?

USNY Oswego

A lot of the older PTs gave me the autonomy to work with the patients as I saw fit.

The newer PTs were high and mighty.

I loved working with a diverse population, but I felt most comfortable with the college-age athlete.

I enjoy the unpredictability and chaos.

I enjoy having to problem-solve with evaluations and think and adjust on the fly.

Is this where you plan to stay?

I plan to be here.

What pushed you to change settings?

The change was what I needed at the time to reset and refocus.

I needed a challenge so I knew the DME and clinical jobs were not for me.

The need to create and improve was a driving force for me to come back to the college setting.

What held you back from moving on?

Fear

Am I setting myself up for failure

Will this provide for my family

We had to move back in with my 85-year-old mother to make the change.

My wife brought up the fact that I needed a change

Favorite resource for someone looking to change settings?

Spoke with people in those positions

Changing Settings Series

Contact Us

Jeremy Jackson

John Ciecko

Kevin Joyce

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December 13, 2022December 9, 2022

Daniel Ruedeman – Changing Settings

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Daniel Ruedeman discussed his journey to Orthopedic Trauma with Sandy Harris of the ATCorner Podcast

Daniel, where did you start as an AT? How long were you there?

Started in the clinical outreach setting

I was an intern in the traditional high school setting

Moved to Tennessee for a traditional setting for 3 years

Was awarded a Stedman Hawkins fellowship and started working an outreach job.

Long hours were wearing me out so I became an outreach manager at a small private practice

I am currently working in OrthoTrauma – 4 x 10s

No outreach responsibility

Is this where you plan to stay?

I have had opportunities to move up in the admin side but pulled back because I look forward to going to work each day.

What pushed you to change settings?

The team physician back in Tennessee invited me to come to work in the clinic setting.

I did not see the connection with the patient like they had at the clinic

Tate Ericson came in and started running the outreach program and we started growing the program like crazy.

The history you are taking with the family and patient in the clinic is different from the one on the sidelines.

Becoming an Office Admin –

Being a stay-at-home dad I knew I needed to find something.

I applied for the office manager spot but they offered the back office manager spot.

I learned a lot about the roles and responsibilities but i missed the clinical experience.

How did you articulate your capabilities?

I take pride in having the staff’s back and supporting them.

I always felt like this was missing in my AT jobs

Finding more ways to talk to people and building bonds.

How can I provide for them?

What held you back from moving on?

What is the pay

Am I going to be happy

I have connections from each stop along the way and losing that connection caused me to hesitate.

Trauma was a new challenge for me.

Favorite resource for someone looking to change settings?

Do your research on the demands of the job

Talk to people

Know your motivation and what you need for your fulfillment.

Making the changes taught me about myself at each step of the way.

Trust your gut

Changing Settings Series

Contact Us

Jeremy Jackson

John Ciecko

Daniel Ruedeman

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

McDonald; Dermoneuromodulation; Medbridge; CEUs Online CEUs; affiliate link

December 9, 2022December 8, 2022

Tanya Watson – Changing Settings

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Where did you start as an AT? How long were you there?

Started out as a College AT at Division 1 Mid Major Universities, Interned at my Alma Mater New Mexico State University for a semester, then Grad School at the University of Wyoming, My First Job was at the University of Alabama Birmingham for 2 years, then at the University of Southern Mississippi for 3 years.

Then life got Lifey, my parents were getting older and having health problems so I needed to move back home. I was able to find a job in a Physician's Practice and worked there for 5 years.

When I felt that I had hit the “ceiling” and was not growing professionally I was looking to leave, and my Alma Mater was in need of an emergency hire to teach in the Athletic Training Program. I taught Full time for 2 years, then adjunct for 2 years.

A local High School position opened up so I applied and accepted that position for a year. That high school was not a good fit, but have now been at my current High school for 4 years.

Where are you now?

Texas 6A High School

Is this where you plan to stay?

No intention of moving on anytime soon.

Tanya, what pushed you to change settings?

Life 🙂

A favorite resource for someone looking to change settings?

NATA has a lot of great resources on job descriptions, committees, etc.

For those interested in the Physician practice the Athletic Trainers in Physician Practice Society has a lot of great info and job postings https://atpps.org/

Regrets or missed opportunities

The physician practice setting – I wish I could have grown it.

When it was time to make the change it wasn't hard to make that decision.

It took a while to recognize I needed a change.

Mental and physical exhaustion

The clinical setting did not provide me with the mental challenge I craved.

Find what takes priority in your life and make a career decision based on that.

Athletic Training is NOT my Identity

Contact Us

Jeremy Jackson

Tanya Watson – @tewatc on Twitter and Instagram

Changing Settings Series

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December 7, 2022December 7, 2022

Tyler Triggs – Changing Settings

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Where did you start as an AT?

Started at an orthopedic clinic working at a high school right out of college. New school so the first AT they had. I was also the first and only full-time outreach ATC Rockhill had.
Loved my school. Very High turnover in management at the clinic

How long were you there?

Nearly four years

What was next (tell more of your story)?

So this is kind of two parts. Before COVID I started a cash-based rehab services business. Partnered with local gyms. This was my plan to leave and do full-time. Was about to make the jump then COVID hit and the gyms shut down.

This kind of killed my momentum and made me pivot. I tried to go into the online space and still do that some but needed it to be a side gig for now at least.

Things came about with the clinic I was at. Did not feel appreciated or supported anymore and had the opportunity to try Sales.
Gave me more “regular” hours. Higher pay potential and higher pay to start.
Dynasplint for 6 months. I ended up working more hours. Being bored with the work and just did not like my situation.

Where are you now?

This led me back to “traditional” – I am with a children's hospital here in Kansas City as the ATC of a Class 5 high school. It is the district I live in, and my wife teaches at the school. Just started at this school after being at another one before internally transferring when this came open.

Is this where you plan to stay?

The answer is maybe. I don’t want to leave for another school or hospital system. CMH treats me well and the school situation is about as ideal as they come.
But we just had a baby 6 weeks ago. And I can see my priorities already shifting and wanting to be home more. I know I won’t be willing to miss his sporting events and other activities.
Other options I am keeping an eye on: Industrial, Military, Healthcare Admin/Leadership, Self-Employed

What pushed you to change settings?

Feeling underappreciated
Lack of work-life balance
Pay
Advancement opportunities

Tyler, what held you back from moving on?

Fear of failure
Lack of opportunity at first
Not want to leave my athletes
Really enjoyed the school I worked with

A favorite resource for someone looking to change settings?

Fellow ATCs!!
Speak to others in the setting you are thinking about or who are with the company you want to apply for.
Former employees at those places can also be very helpful

Call to action:

Do your homework before jumping into just any opportunity
Now is a great time to advocate for your worth in many ways
If you want to stay in traditional settings, don't feel bad about it. Maybe your current position is just not that great of a fit but another could be. And if you want to try something else don’t let fear hold you back.

Changing Settings Series

Contact Us

Jeremy Jackson

John Ciecko

Tyler Triggs – tyler.triggs@gmail.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

December 5, 2022December 6, 2022

Changing Settings – Joel Luedke

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Joel, where did you start as an AT, how long were you there?

D1 Track and field – the pay was not great

Took the head AT spot at a D3 school that gave more money and last hours

Currently working at a local clinic

What was next on your AT journey?

My job was the first job that was paid for directly through athletics.

With the change to MAT programs we knew we needed to take advantage of the unavailability of GA positions.

Is this where you plan to stay?

This is a loaded question.

I currently have a 1-hour each-way commute

I will hopefully look for something close to home

The clinic setting is probably where I will be for the remainder of my career.

What pushed you to change settings?

We were losing staffing but there was no reduction in expectations.

I also had changes in my personal life – we had a kid.

I was not going to be able to fulfill those commitments and could not ask the team to pick up my slack.

Which skills transferred?

It was fast-paced in the clinic.

What held you back from moving on?

I loved my job at the university

If we could have gotten the staffing then I likely would have stayed.

We had done so much to change and build things.

Talks with a close colleague with more years of experience were really important for me.

Do you have any regrets?

I miss daily interactions

I miss daily treatments and the rehab side of it.

I have been working to create those opportunities.

I miss the moving and shaking and trying to figure things out.

No regrets, just miss some stuff

I would not trade the time with family for the loss of those things.

A favorite resource for someone looking to change settings?

Talking to people

Listen to podcasts that discuss their setting

Take some tours

Talk about some of your accomplishments:

I never complain about being bored, but i do not feel like i am operating at 100%.

The team has been open to options

We recently got a service agreement with tactical operation teams.

Opening up dry needling same-day appointments.

How has the network been important?

The team physician was really willing to get people in to take care of the athlete.

My current supervisor used to work for me at the university.

We are all looking out for each other and trying to make thighs happen.

Contact Us

Jeremy Jackson

John Ciecko

Joel Luedke

Changing Settings Series

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

November 23, 2022October 31, 2022

Elevate Athletic Training

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“We have to elevate Athletic Trainers.” This has been a driving force for me since I became a director of athletic accounts at Henry Schein. – Eric Kearns

Rising Star Award –

Shortlink – sportsmedicinebroadcast.com/RisingStarAward

How can we give back and elevate?
What are some of the conflicts ATs are dealing with?
It is peer-nominated and voted on
Less than 5 years of experience
Previous winners become judges as well
Happens during NATM – so each March

What is your first memory of an AT?

Jim M. at the University of Kentucky
Had to fill the role of a previous AT with a great relationship
We did not have an AT as hockey players growing up in New York
Here is your one shot to make our relationship work

First “normal year” post-pandemic what are ATs needing

Stuff delivered on time…that is the biggest struggle.
The rising cost of goods is also an issue for everyone.

Favorite use of space tip you give to ATs?

Eric Kearns was a contractor for years before coming to sales so this is great for me.
Start with the big objects and work from there
- Tables can only go in certain areas.
A turf workout area is a really awesome concept that provides greater rehab opportunities.

Call to action:

For more information about Henry Schein Medical’s Athletics and Schools business, click here.

Connect with us on our social channels:

LinkedIn: Henry Schein Medical, https://www.linkedin.com/showcase/henry-schein-medical

Twitter: @HScheinMedical, https://twitter.com/hscheinmedical

Instagram: @henryschein, www.instagram.com/henryschein

YouTube: https://www.youtube.com/channel/UCb6fjfUWDOKmgZKSnSFVcXw

Facebook: @HenryScheinAthletics, https://www.facebook.com/HenryScheinAthletics/

Contact:

Eric:

Phone: Cell – 631-793-5020

Email: Eric.Kearns@henryschein.com Henry Schein Medical Customer Service: AthleticsandSchools@henryschein.com

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

November 9, 2022September 27, 2022

Ice Machine Tips and Tricks

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The Ice Machine is not working..we all know the story, cross country meet followed by a football game and the Ice Machine stops making ice the day before.

Paul Calloway and Jake Stiefel share some tips and tricks for avoiding that nightmare morning.

Ice Machine Maintenance

Try to have two machines running and schedule maintenance one at a time.

Cube Ice drops in batches and needs time to cycle

Nugget ice (Sonic Ice) machines continue to run and don’t need to shut down and cool off.

Water cooled is typically better than air cooled

Water filters?

6 months is a must for filters.

Proper size filter is really important, typically follow manufacturers' instructions.

Try to use the multi-phase filter approach to help prevent the machine from shutting down.

Clean the ice machine every six months or when you change your filter.

Change the filter anytime you have the water shut off.

Scale reduction is important in maintaining the life of the machine.

Bad taste, lower performance.

Air Filter?

Cleaning them when you change your filter is a good recommendation

Emptying and cleaning the Ice Machine?

Use a scale cleaner or remover according to the manufacturer's recommendations

Best if you let someone trained to run the cleaning cycle.

Ice machine sanitizer from amazon is usually ok but check for food-safe branding.

Sanitize and rinse the machine because scale remover is caustic.

Be sure it is food grade!!!

Troubleshooting

Make sure the machine is level or it can decrease the production rate.

The filter is the number one cause for not making ice – no water pressure means your filter is clogged

Most machines will have an error code you can google or look up on the chart.

Making a loud noise – turn it off and leave it until it can be serviced.

This is a great time to clean it out anyway.

Won’t dump – usually a sensor that stops working.

Check that the sensor door doesn't have an ice cube blocking it from closing

From the fans:

Tip#1

Stop using ice.

Michelle Crosby

Annual maintenance is a MUST, depending on your water, here in El Paso the water is so hard with minerals that 7 years is the life expectancy of ice machines. Change your filters, at least every 6 months more if waterlines are broken or whenever you have mandatory boil drinking water. We bought Scotsman nugget ice machines and ironically exactly 7 years they both died, with gearboxes getting water and burning out covid hits, and parts are slim to not available, we switched to Manitowoc insides are stainless steel made in the middle of covid in ITALY bought with fundraiser money right at $9,000 worth. Wow, that was a lot of Gatorades.

Joe Messinger, MA, LATC

Athletic Trainer/Sports Med. Instructor

Bel Air High School/Medical Magnet

Hey Jeremy, my school gets my ice machines serviced annually and has a service contract. My one horror story is that this company came recently without my advanced knowledge to service both on the same day and so drained them both and left me without ice for the day. Luckily I didn’t need it so badly that day

David Silverstein

Michelle Crosby –

My coaches take care of water for games, etc. and we utilize water systems we’ve made that hook up to spigots for practices.

During times I need a cold tub set up for heat illness, we do have an ice machine but I also Freeze 1g pails of water to lessen the amount we take from the ice machine (and wear and tear).

For injuries, I’ll use an ice cup every now and then or a reusable ice pack if necessary (rarely).

Honestly, I function without an ice machine for 90% of the year.

Keep up the good work!

Contact:

Jake Steifel – stiefelrep.com

Paul Calloway – MioGaurd.com

Jeremy – @MrJeremyJackson on Twitter

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

October 26, 2022October 31, 2022

Robotic Surgery

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Robotic Surgery is the movement of medicine. Dr. Jeff Davis of Andrews Sports Medicine believes the repeatability makes robotic surgery a better long-term option for the health of the patient.

– iStock Photos

Paint me a picture, what does robotic orthopedic surgery look like?

Robot-assisted procedures

Primarily used for the spine but as we progress more surgeries become an option.

Total hip and knees are currently being done.

There is imaging to “zero” the joint.

Why Robotic Surgery?

It is an imageless surgery so it reduces the radiation.

The program runs based on preoperative planning.

There is a learning curve and it does take a slight bit longer

There is more opportunity for error if you do it manually

The reproducibility of the surgery is improved

How can Athletic Trainers be a part of the change?

My MA is an AT with a lot of field experience

There is not anything specific about the robot that an AT would benefit.

Knowing about it and its advantages as a resource to the community.

Do some people choose not to have Robotic surgery?

There is some fear of who is controlling the robot, but the surgeon is in control of the robot.

One patient would not get into the CT scanner so we could not do the surgery.

Share some fun / cool stories

Patients that have been in pain for a while have really benefited from the robotic surgery.

The more difficult the surgery the better the outcome from the robot.

With the robot, you can have a much better idea if previous surgeries will impact the current one. Since we use imaging and a computer plan we can prepare a little better than non-robotic procedures.

Robotic Surgery questions from Twitter:

Have you noticed a reduction in recovery times or improvements in outcomes? – ATScoop

Decreased dislocation rate

It is still the same surgery

Who gets credit for mistakes? – 2thebrownbear

Ultimately it comes down to the surgeon

Contact Us

Dr. Jeffrey Davis – 205-939-3699

Jeremy Jackson

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

October 12, 2022September 9, 2022

Muscle Atrophy and Quad Inhibition

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Quad Inhibition and Muscle Atrophy can really slow down the recovery process. However, Jackie Kleihege and Jena-Claire Auten know it is essential for healing. Finding the balance between helpful and hurtful is kind of an art form.

Looking at the timeline is essential so we can see the progress of where we have come.

What is the research showing us?

We do not have all the data yet from the quad tendon ACL

We have 10 years of data on it

What are some reasons we have inhibition?

In the acute phase, it looks about the same.

If we can interrupt the inhibition early then we have better outcomes

It is really hard to study the brain when we are studying the knee

How can we find this loophole or workaround to muscle atrophy?

Decrease swelling

Decrease local inflammatory response

ICE???

Is there a time frame where are going too fast in turning off the inflammation?

We still want the natural healing process to continue through that phase.

And then for that to quietly fade out.

NMES

JK: I have probably underutilized it most of my career.

I needed to give something more and then added NMES and made a difference.

What are your ideal volume and exercises to prevent muscle atrophy?

PRE-OP therapy is critical

There is not a magic wand protocol

Pre-Op nutrition is super important as well.

When we try to activate the quad and then the patient is absent for a week what is the problem?

Latency is key – I want those first 7 days like they are falling downhill, then I dial it back.

Often day 1 postop patients do not look bad, but then days 2-3 are worse.

JA: Genetics plays a role in the inflammation process.

Consistency is key, similar to Instagram and Facebook, they keep putting the ads in front of you and then you end up buying it…

Continue to use the same methods so the patients know what is coming and can buy in

Looking at the 12-16 week patient

OPEN KINETIC CHAIN – the type of graft makes a difference as well

I need to be able to read the signs and customize the options for them.

The goal is quad communication

Determining when to progress:

Biofeedback can help give visual and auditory feedback.

BFR:

It is really as good as they say.

The uses keep growing.

Femur fractures were one of the biggest changes on paper.

Watch the Muscle Atrophy presentation on the Sports Medicine Broadcast Facebook.

Contact Us:

Jena Claire Auten – JenaClaire.Auten@memorialhermann.org

Jackie Kleihege – jacquelyn.kleihege@memorialhermann.org

Contact Us:

Jeremy Jackson

Shawn Ready – shawnreadyatc@gmail.com

Dr. Mark Knoblauch – maknobla@Central.UH.EDU

Dr. Layci Harrison – lharris5@Central.UH.EDU

Bob Marley – Bob.Marley@uth.tmc.edu

ATCornerPodcast – ATCornerds@gmail.com

Joseph Eberhardt – eberhardtj@pearlandisd.org

Christina Fry – fryc@pearlandisd.org

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

These people LOVE Athletic Trainers and help support the podcast:

Frio Hydration – Superior Hydration products.

Athletic Dry Needling – Save up to $100 when registering through our link.

September 28, 2022September 9, 2022

TFCC Injuries are like Low Back Pain

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Dr. Candice Teunis discusses TFCC injuries with Dr. Layci Harrison live from the Memorial Hermann Sports Medicine Update.

You compared wrist injuries to low back pain

Low back pain has so many different causes and ulnar wrist pain is so similar

You do not always have to have all of the answers on your first interaction.

Using a differential diagnosis is super helpful.

I think it is either this or this…here are some options for both of these.

What are the red flags for ATs to be referring?

Ulnar wrist pain is fairly forgiving

If you think the DREJ is unstable then you really need to get fixed quickly

On the ulnar side are the differences in age?

Yes, all of our joints wear down over time and those needs to be considered.

We see traumatic injuries as well as chronic issues.

Recovery in age differences

In older patients we are astarting to see some wear in the joint and lengthens the recovery time. The wrist has to be unloaded in some of the older patients the you would not with younger patients.