LTAP™ Success In A Clinical Setting
In this week’s episode of the Unreal Results podcast, you’ll hear about how the LTAP™ can be successful in any healthcare/movement setting. In this episode, you’ll mainly hear an interview that I did with an LTAP™ alumnus, Julie Embree, who happens to be a seasoned physical therapist who works in an insurance-based outpatient clinic with 45-minute sessions. You’ll hear how Julie has utilized the LTAP™ framework in her clinical practice to improve outcomes and why she thinks it’s a great framework when time and resources are limited. So if you’re a healthcare or movement provider who wasn’t sure the LTAP™ could work in your current setting, you’ll definitely want to listen to this episode.
Resources Mentioned In This Episode
Episode 83: Redefining Outcomes: Success Stories From LTAP™ Alumni pt.1
Episode 84: Redefining Outcomes: Success Stories From LTAP™ Alumni pt.2
Considering the viscera as a source of musculoskeletal pain and dysfunction is a great way to ensure a more true whole body approach to care, however it can be a bit overwhelming on where to start, which is exactly why I created the Visceral Referral Cheat Sheet. This FREE download will help you to learn the most common visceral referral patterns affecting the musculoskeletal system. Download it at www.unrealresultspod.com
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Anna Hartman: Hey there, and welcome. I'm Anna Hartman, and this is Unreal Results, a podcast where I help you get better outcomes and gain the confidence that you can help anyone, even the most complex cases. Join me as I teach about the influence of the visceral organs and the nervous system on movement, pain, and injuries, all while shifting the paradigm of what whole body assessment and treatment really looks like.
I'm glad you're here. Let's dive in.
Hello, hello, and welcome to another episode of the Unreal Results podcast. I am recovering from the launch of the online fall, the fall 2024 online cohort of the LTAP Level 1, as well as this weekend I taught an in person LTAP Level 1 in Boston. Um, specifically Hanover, which is, um, in the burbs, the South of Boston.
And I also visited my friends at Michael Boyle strength and conditioning. Um, I've known Michael Boyle for my entire career. And, um, whenever I'm in Boston, I love to. Go and catch up and talk to him and talk to his staff and just, he's always so wonderful of, um, being open to let me share whatever. I'm sort of learning or working through or like whatever my ideas are.
And so it's, it's fun cause I always get to, um, push the envelope a little bit and in what I share, especially given that, you know, they're all in the strength and conditioning space. And so, um, this is definitely, my approach is definitely. Very new to that type of setting. So, um, we were trying to reminisce on like when we met, like how old was he?
How old was I? And, um, also since I've been, you know, how many times I, I've come to Boston to, to speak there. And, um, so first of all, we met back in the day. At athletes performance. I was, um, a fresh new athletic trainer, completely new to the world of performance training, strength, and conditioning. I think I was a part time employee at the time at athletes performance.
He came out to Phoenix for a one day perform better seminar. Um, And all of the guys that, all of the presenters that knew Mark Versagen and, um, like just knew of Athlete's Performance, we all went out to dinner afterwards and, um, it was great. It was like, I mean, I was, I think I was 23 at the time. And, um, Maybe, yeah, probably 23.
And so it was all the staff athletes performance, which is phenomenal in itself. And then it was Mike Boyle and, um, I think Darcy Norman, my, my Uh, who's a physical therapist and was one of the OG's with me at athletes performance. Sue Falsone was there, uh, Grey Cook was there, like, like some legit like OG's.
And um, I remember, Oh my gosh, I don't even know if Mike would remember this. So Mike, if you're listening to this episode, you'll have to let me know. But anyways, we were, we ended up going to the bar after the course. We went to a bar in Tempe, Arizona, uh, which is like on the campus of Arizona State University and we went to this sports bar and man, I wish I could remember the name of it, but it was like a classic campus sports bar on the west side of campus, which is kind of a big one.
They had like multiple rooms, tons of TVs and Mike really wanted to watch the BU hockey game because of course, you know, he used to work there and work with the hockey team and. Um, and maybe even at that time he was, um, I don't, I don't remember his timeline, but anyways, um, he's like, Oh, it's kind of weird to ask for that.
And he didn't, he, you know, he didn't want to like worry about it. And so I went up and talked to the bartender and I got the BU hockey game on TV for him and he was like, what? He was so, he was so stoked. Um, but I was just like, you know, if I were him, like, If, if the Oregon Ducks are playing right now, I would want to watch them.
So even if I was like, you know, immersed in conversation and like, socializing with this group of people, I'd still like want my eyes on the game. So totally understood where it was coming from. And I was like, Mike, I got this. So I will go and talk to the people. I know they've got a million TVs. We should be able to put the BU hockey game on somewhere.
So anyways, that was my first time meeting him. Um, also my first time meeting Gray Cook and, uh, uh, just a fun memory. But, uh, and then for a little while, um, Mike Boyle worked for athletes performance in our LA facility. So I got to know him a little bit through work. And then obviously you just kept in touch over the years.
Um, over the years athletes performance and, MBSC would do a lot together. I mean, I think they still do. Uh, so always been really grateful for that relationship. And actually in 2014 when I left Exos and I started Movement Rev, um, after a few months of being, Might have even been after a year or so being out of that environment.
I really miss the interaction with strength coaches. I really miss the interaction and just being in the, um, weight room and, and focusing on performance training and performance and just being around a group of like minded professionals. And so I, um, signed up for his strengthcoach. com forum. And that was like, I don't know, probably around like 2016, 2015.
And I signed up for the forum to just to have some interaction with other people in the industry. And, um, he reached, he saw that I signed up and he reached out and he was like, yeah, why? Like, what are you doing? And also was like, wait, I didn't know you left exos. And, and really when I left exos, I didn't really tell a ton of people.
So he was not alone and not knowing that I was on my own, doing my own thing. And so he was like, Oh, you know, I'd love to have you just like part of the community. And so, um, yeah, I started being an active participant on the strength, strength coach pod, not podcast, the strength coach forum. Um, He ran and then, uh, that sort of like rekindled our relationship.
And at the time I was traveling to the east coast quite a bit for some of my athletes. And so he invited me, um, to come whenever I was in town. And that was when I first started, um, speaking over there. And I first shared the, um, Phillip Beach work with him. I felt, I shared about the rock mats. And then he was like, yeah.
Loved it. Like, loved it. Like, really took the Rock mat stuff and the Phillip Beach work and ran with it. And then, really helped sort of like, I don't want to say launch Movement Rev, but it was a really big endorsement from him, like talking about me a lot in his presentations, talking about that experience and his presentations at perform betters and things like that.
So I'm so grateful. And then after that, they invited me back to the winter seminar and I did a formal presentation on it for their winter seminar, I think in 20, I can't remember if it was 2017 or 2018 and then I came back again and, um, presented on breathing in the nervous system. It was like, well, we're going to talk about breathing, which is a hot, was a hot topic at the time.
I was like, but I want to give you a different perspective of it. And I was like, I want to actually talk about the role on breathing on the nervous system, not just the role of breathing on the body, like from a stability and mobility standpoint. And it was in that, um, that, um, time I went there, he was like, you know, I just love having you here.
He's like, because you're always sort of like on the edge, like doing like something different, something new. And he's like, after you come and you speak on something, like, you know, in the next two years after that, he's like, everybody's talking, like everybody's already there. Everybody is there talking about that topic.
He's like, so you're always sort of like at the beginning of things. He's like, so I love learning from you. Um, you know, love getting his wheels turning and, and make him think. And that is like the, one of the hugest compliments that I've ever received. Um, and it means so much to me cause like that is truly what I want people to do.
Like I just want people to not like take whatever I say or take what anybody ever says, uh, for truth and for fact. What I want is for everything I share, um. for all of my perspectives, for sharing the way I do things, for sharing the, you know, what works for me. I just hope to encourage people to get their wheels turning and think, think about, think about how it fits into their knowledge base.
Think about how it fits into their practical application of things. And so, um, I really loved hearing that. And of course, so this was the fourth time. That I, uh, have spoken to, um, him and his staff, and I was like, okay, like, I'm gonna share with you all about this approach, like that, this whole organism approach that includes the.
Transcribed nervous system in the viscera. And I'm going to teach you how to see it in the body and let the body guide you in the direction. And I basically did a quick hour in service on the first test of the LTAP, the SI joint mobility locator test, much like a one hour version of the missing link course that I just did a couple.
Weeks ago or like the results cheat code course that I've done in the past and it was so cool and it What what I really loved about it, too and and this is why I'm like giving you the whole history of like all the things I've spoken on there is because Not planned. Um Um, they have been able to see this transition of me really understanding a whole organism approach, like really understanding what it means to be the whole organism and really understanding what it means to incorporate ideas that, you know, from Phillip Beach that we are like, such a, our, the human organism is like such a highly intelligent, like, being that, that the way we move, the way we develop, the way we do everything is like deeply embedded into ourselves.
And this other like understanding of how the autonomic nervous system works and how it influences our body and our brain and our being and our health and our ability to heal ourselves and our, you know, ease or disease. And then like The real, like the whole, the whole journey I've been on, on tying that all together and put it in a system that can allow us to look at the body, assess it, and let the body tell us what's going on.
Um, in terms of like how it's doing as a whole organism, if it feels safe or not, if it's good to just proceed with the plan for treatment or strength training, or does it need a little support somewhere in the body and the areas of the body that mean a lot to the nervous system or mean a lot to the like, the body.
Safety and survival of the organism. And when we start there, we see this huge change in dynamic alignment, which then makes our job as coaches or our jobs as physical therapists or athletic trainers or massage therapists, you know, all the thing, our job is the professional easier, so much easier, which means when our job is easier, the experience our client goes through is typically Better, typically more fun because we are seeing people be able to be successful quicker.
without so much dissonance in getting to that end goal. So it's been, it was really cool actually. Um, I mean, I, I was looking forward to the talk regardless cause I, you know, I always enjoy visiting there even though it's always quick and I don't ever get enough time to actually like truly visit with the people.
Um, but it, it is always fun for me to share and it's been cool kind of looking back on it cause I was like, Oh wow. I was a little worried going into it yesterday. Like, should I share about the viscera? Like, should I share the LTAP even though I'm speaking to a group of strength coaches? Like, are they going to care about assessment or that kind of thing?
And I was like, You know, I, I don't even know why I was doubting that I would, but I was also, it was also like nice for me to reflect and realize like, actually, no, this is exactly what I should be talking about because it's the perfect evolution of what they've seen with me speaking is like, You know, a lot of them heard me speak in performance training for, for performance therapy things when I worked for Exos.
And then I transitioned to this more like, Osteopathic side of things and the first thing that really resonated and helped me bridge the gap between the two was Phillip Beach's work. So I shared that and then I shared the nervous system, the autonomic nervous pieces, nervous system pieces that I was like starting to filter out.
And then I learned more on that and the whole time in the background I was also learning visceral manipulation and so it was like natural that it all built together into this final thing. And, you know, it's not. Um, I've talked about the journey before I've talked about how I've developed the LTAP on the podcast before, like I've alluded to a lot of this already, but I just wanted to share that.
It was really cool to like, in that specific thing, like really, it was cool to see it, how it's come full circle and appreciate like all the steps along the way that were like key points. And it was just, just so happens because. Mike allows for such a wonderful environment to share what you're doing. And he doesn't request, like, I want you to talk about X, Y, Z.
Like I always ask him, is there something you want me to talk about? And his response is like, whatever. Whatever's on your mind, whatever you feel like sharing, whatever you're super excited about, we want to hear that. And I'm like, just how wonderful is that? And this also too is like when people ask me to like speak at their conferences that are like a year away or you know, however many months away, and they're like, could you turn in your topic and your little blurb about what you'll be speaking about?
So the participants know what to expect, which I appreciate, but I'm also like, ah, it's so hard because I always want to share what I'm currently doing and currently excited about and not what I was excited about six months ago. Um, so yes. So with that said. Your girl's a little tired. It was a whirlwind of a trip to the East Coast.
One of the participants in the Boston course was like, Are you staying a few days to like enjoy the scenery? Or like, you know, like it's fall, fall, fall is falling in the Northeast. In the New England area, and it was beautiful, and um, I was like, actually, I did, it, it literally didn't even cross my mind to be there, like, to extend my trip and enjoy myself, and like, explore a little bit, which I would have loved to do, like, I've always enjoyed going to Boston, and like, I'm just so used to being so busy with travel, especially during this time of year.
I'm just used to like not having time for that kind of thing and just fly in and fly out. And so it really, it truly didn't cross my mind until she said. And I wish I would have had the forethought to do that because it would have been fun to do and I would have gotten more time to like go to lunch with these guys and say hello or Just go golfing with Sally Moores and, um, Laura Hutto.
Like, come on. Shoot. I missed the opportunity. But yeah, it was a whirlwind. I flew in Thursday night. And I just, I did a day early just in case of travel issues. I don't want to be, like, cancelled flight and miss my own course. Like, that's a bad look. So I came in early. Daniela Spear. She was a teaching assistant for me.
She came in early as well. Um, and then Friday I worked a little bit in the morning since I was still launching the online course. Then we went to Scituate, which it's taken me a long time to be able to say that city name, Scituate, which is on the ocean, on the coast. Um, in that area, which was a, uh, The cutest little small town and I got to put my feet in the Atlantic Ocean at that area, which, you know, is a big thing that I love.
And then, um, then we went to dinner Friday night with one of the physical therapists that came for the program that has also been through the mentorships, kind of like one of the OG movement rev, um, alums shout out Carrie. Um, and then Saturday, Sunday, there was a course Saturday night. My best friend, one of my best friends that lives in Connecticut, um, Stephanie, she came, she drove up two hours to go to dinner with me and then got in the car and drove back two hours to go home for her family and her puppy.
And I was like, you just drove four hours round trip just to go to dinner. And that like made my heart just so happy. Yeah. So under the course Sunday night, I met up with my friend, Tina Hoppert. Um, she's carrots and cake on Instagram. You've probably heard me talk about her before. She is who turned me on to the HGMA mineral test, uh, to find out that I was so depleted in potassium, which has literally been a life changing thing for me, but she's in my business mastermind with me.
And, uh, she lives there. She lives in the suburbs of Boston that we happen to have the course in. So small world. So we went to dinner with her and then, yeah, Monday we, I did the in service at Michael Boyles. And then right after that I met my friend, um, one of my internet friends for lunch in Winchester, uh, Massachusetts.
Um, Amy Young. I, I've been. I've been following Amy on Instagram from probably since like 2018 or 2019 and I worked with her back then and I'm still in her like online community now. She's like, um, she's had many iterations but like at the most fundamental, deepest thing. She's like a life coach but she does like somatic stuff and energy stuff and like masculine, feminine type things and like, All the things.
When I first worked for, with her, she was the life coach. I suppose specialize on like relationships. Anyway, she's a phenomenal woman. And I finally got to meet her in person, which gosh, the internet is undefeated and bringing me people that are my people and like connecting me with like just the most wonderful humans.
So that was really special. And then, yeah, I went to the airport and flew out and then Six hour flight back to San Diego and, um, the fog was rolling in right as we were landing. So we circled for a while, wasn't able to land, got diverted to Las Vegas, couldn't get off the plane because I was like, well, maybe this is a sign.
Maybe I'm going to make some money tonight. I'm not a big gambler, but sometimes like I do believe in like serendipity, so I'm like, maybe the universe is like, and I go put some money in the slot machine in the airport. But that didn't happen. We just sat on the ground waiting for the fog to lift refueled the airplane and then Flew back to san diego finally was able to land after nine hours So it was a long day.
Shoot. Like I said, your girl is tired. I'm in recovery mode Um, but I wanted to make sure I had a podcast episode for you So it's a little bit of an update episode, but I also am going to have Um, last Friday I did a Facebook Live in the Missing Link group with another one of the alumni from the LTAP Level 1 in the mentorship.
Um, my friend and colleague Julie Embree, she's a physical therapist up in Eugene, Oregon. Uh, she works at the um, local outpatient orthopedic, um, group run by the medical group there in town called Slocum Orthopedics. And, um, she also is a consultant at the University of Oregon for their athletic medicine staff.
And that's how we met is through the University of Oregon connection. Um, and she I, and this is why I actually want to share the interview with you all two on the podcast is because one of the questions I get about the LTAP is how it works in traditional settings. And, you know, like traditional settings, like, outpatient orthoclinics that still see a high volume of people, perhaps, or what, no matter the volume, is still insurance based.
Um, and you might not have a ton of time with your patients. And, um, and, and so I wanted to bring Julie on because she speaks to that and actually It was just such a great interview. That's why I wanted to share it with you because after talking to her, I was like, man, I, I knew it would work in those settings because people like her have told me they do.
And then, but fundamentally, like I know it will work so well in those settings because it saves you so much time and it gets you such quick results. And the, and the biggest complaints people have about the traditional orthopedic and traditional athletic training room setting is not enough time with patients and not enough ability to have multiple sessions with patients.
And this is a tool that is like solves those two biggest problems. So that's why I knew it always be helpful, but I can't speak to those settings cause I don't work in those settings. So it was really cool to have Julie on the, um, interview to hear. how it works in that setting, what it's done for her, what is done for her patients, what the doctors think.
Um, and she also sees like a lot of the patients, so she's outpatient ortho, but a lot of the patients too are patients who have failed other physical therapy experiences or other medical experiences where even the doctors are sending her people who don't seem to get better and she's got great results with them.
And so Yeah, I wanted to share that interview with you, so I hope you enjoy it and uh, I'll talk to you again soon. Have a great day.
So that's all the housekeeping and I had other than welcome julie. Thank you for being here.
Julie Embree: Thank you for having me.
Anna Hartman: Yeah. So, um, if you want to tell the people who are watching this, either live or on the recording, um, where, what kind of setting you work in, what kind of professional you are, what kind of setting you work in.
And then we can talk a little bit about, like, when you first started learning from me years ago, like what was the problem you were helping to get help with and, um, get solved. Um, and. as you learn the LTAP, like how has that helped you in your clinical practice and how do you utilize it? That kind of thing, really whatever you want to share.
But those are the high points.
Julie Embree: As I miss them, you'll help me. Yeah. So thank you number one for having me. I'm Julie Embree. I'm a physical therapist. I've been a physical therapist for 39 years. Um, mainly in the orthopedic world. Um, started. In a hospital setting, got out of that, moved to orthopedics and have never looked back.
I have been blessed. I feel like with the fact that my husband is an athletic trainer and, uh, had a job at Oregon and as a PT at the time, because I'm an older therapist, a lot of the trainers didn't have a lot of back knowledge. And so I'd go over and help and do all that kind of stuff. And now I've been for years, a consultant for U of O athletics, as well as I am a director of the therapy.
Physical therapy, occupational therapy, and slocum orthopedics, which is a physician owned orthopedic practice of about 25 orthopedic surgeons and about the same amount 24 therapists, and um, that's kind of where I'm at. How I got into LTAP is, um, always looking like, you know, I shouldn't say always looking, but always trying to do the best for our patients and kind of like that learner that always like, what else can we do better?
And, um, really trying to figure out like, how do we, like when I would especially go over to the training room, those guys are so great, but there was like, I always got the problem patients and it's like, okay. And I've taken like a bunch of classes. Like I've taken cranial sacral, I've taken the connect therapy.
I've done a bunch of, you know, all the joint mob stuff. And then it happened that Anna kind of hooked up with the trainers and the trainers kind of always pull me along when they're taking a class and I pull them along and it was like a like big huge light bulb because the thing that I think that I love about Anna's class is that she never says throw the stuff that you had before away.
So, and it's like this guidepost of where do we start and where do we go next, which I love because you can have, and kind of that, I always was already into the osteopathic stuff, but it's like, you can have all these tools in your toolbox. But which one am I taking out? Yes, and that's what the LTAP really has done for me And has helped me really go.
Okay. This is what it is and even though That football player or my patient even with the total knee is saying it's their knee It may not be their knee. And so really giving me a structure of where I should go, a way to explain it to my patients, and a way to explain it to myself, and a way to explain it to my staff and to the other trainers.
Because not all the trainers over there have taken the LTAP. And so, just like on Monday, one of them hadn't, and we're going through this groin stuff, and I'm like, and it gives me a direction. Yes. Yeah. Cause they want to know like, Oh, why did you start there? Yeah. Yeah. So it gives me like, where should we start?
Which I love. And I think the other thing, cause I've been thinking about this since you asked me on it, like the whole thing. And I think the other thing that I'll sometimes say to patients and even to my staff is people that do things will make it look easy. Yeah. Like somebody that plays basketball and does a lay in and you're just like, Oh, that's easy to go out there and it makes things easy.
But the other thing that she does, it's not like she, like a good cook that would keep like two of the ingredients out of the recipe so that you could never do it. That's not what Anna does. Anna puts it all out there. Yeah. She makes it so that. The other thing is it's like, so I'm a PT, but I've been in classes with massage therapists, athletic trainers, a bunch of practitioners.
And I don't care where you're coming from. You make it so that everybody understands. Yeah. It's not like you're dumbing it down. It's like, you're not trying to overcomplicate it. It's right. This is what it is. Yes. This is how you do it. And if you do these steps, that's how it goes. Sorry. I'm all. Yeah, no, you're good.
Yeah. So those are my big highlights. I think of what I kind of really wanted to share when I kind of reflected and thought what has changed in my practice. Since having taken your classes and followed I don't want to say your prescription because it's not that but kind of your system system. Yeah.
Anna Hartman: Thank you. Yeah. Um, the, um, it's funny because you know, like I was like hesitant to call it a system for a while because I used to think of like systems as like, kind of like a logarithm like this and that, which I guess technically it is. Um, yeah. Because I was not, right. I was like, cause I would think back to like the SFMA was like that and not to like talk.
I'm not talking bad about it. It's just like, that's not how my brain worked. Like the sfma was like, very like do all these things. And if it was this, then you do this next. And, and in that type of logarithm or lack type of system, it tells you exactly what to do for treatment as well as like, this is how you do an assessment.
This is how you do the treatment. And then like. Move on this way, right? And, and it's still, well, ultimately we know the real problem is it's still in a biomechanical paradigm that I think is outdated. Um, but what I didn't like about it is that you, and what I think what made me uncomfortable in any system like that, or any logarithm like that, is someone telling me how I should treat.
I didn't like that. I'm like, yeah,
Julie Embree: that's what I'm saying about you. You're saying, okay, we need to look at the central nervous system. Do whatever you want. This is visceral. Do whatever you want, which I love that because I've taken different classes than you have and other, like the trainers have taken different classes, but we can all come like Stephanie, who does a lot more breathing, which is another one of the trainers over at U of O.
She'll do a lot more breathing. Then some of the other stuff to get to the visceral system. Yeah. Which is fine. Which is great.
It's that is like, um, the thing too, cause I'm like, well, that's kind of like what you said at the beginning is like, You didn't have to like learn a whole new set of tools. You didn't have to throw out what you were doing and already worked.
Anna Hartman: So someone like you, who's been a physical therapist for 39 years, like you have a lot of tools and like, you have a lot of things that, you know, work really well. And so like, why would you throw that out? I would never want to throw that out, um, for people. And so this is like the biggest. Thing is like, yeah, you get, you get to still have the art of being uniquely you and uniquely whatever tools you want to use, but within a framework.
So maybe that's a better word to say than system, like a framework that guides you in like. Through the maze of like everything you could do or everything that you, you know, all these objective dysfunctions that like our Biomechanical brain wants to fix like it's like this huge like corn maze And basically the LTAP helps helps you to like know when to turn right when to turn left when to go straight to get out of the maze the fastest and so Um,
Julie Embree: but the other thing that I like is not only is it me as a therapist or whatever can choose which path, but for different patients, I can choose a different path.
So it's not stuck in this formula of, I have to do something specifically and the patient has to do something specifically. We can work as to, this is what the organism in front of me, not to take away from the person needs to do.
Anna Hartman: Yeah, exactly. Well, and then, like, again, it's just, I always tell people, like, to me, it opens up so many opportunities because when you just, when you know that it, there's just, like, one key spot that you have to focus on, you have an opportunity to do it, the clinician do it on the patient, or you can lead the patient through doing it for themselves.
And you're, and you, and you're can be sure that the results going to be the same regardless, really. So it kind of takes the pressure off in my mind of being the clinician and like always feeling like you have to fix people and always feeling like your manual therapy or your exercise choice for them is like the thing that needs to be magical.
And it's like, no, you just, your assessment needs to lead you in the spot where the body gets to supercharge your technique and like, Get the result from it. So
I love that.
Julie Embree: I think the other thing for me too, is I live in insurance. So I, we do take insurance and insurance anymore is not allowing like, again, I've pulled and have seen a lot, you know, insurance has changed.
You don't get the 24, 12 visits anymore. You better be good because you've got six visits, so you better use them very wisely. And with this system, it lets me do that. I love that. Yeah. Yeah. I mean, so I think that's the other thing in terms of other people that are out there later on the fence, like, should I do this or should I not insurance is not getting any nicer to us.
Anna Hartman: And you haven't really had any pushback from an insurance standpoint of like, like them being like, oh, you're treating in an area that's not like part of their.
Julie Embree: No, but I'm good with my dicta. I mean,
I try to be good.
Anna Hartman: You're good. You're creative and how
you write it up. Yeah. I'm like, as long as you show it, like, I'm like, yeah, that's when you know anatomy, you can prove that it's connected.
Julie Embree: Yeah. I always feel like if
I ever got stuck at like in a call like that I could go well. Yeah, exactly. Yeah. Yeah. We started as one cell.
Anna Hartman: Yes, exactly. Like, okay, insurance.
I do listen to you.
My Daniela who's here for TA and she's probably heard me say this as my response to be on my old grab your cup of coffee and let's talk about how everything is connected.
Yeah,
Julie Embree: exactly. Exactly.
Anna Hartman: Um, that's so funny. I was going to ask, and this is probably actually exactly what you just answered with the being able to help people in their six allotted visits, is, um, you know, if you can look back to like when you started learning the LTAP and like then brought it back to your patients, like, what do you feel like was their response?
Did they really notice the difference of you using it or they didn't really question it? Or. I mean, did you notice like results got faster? So it was like more efficient for you Possibly or did your patients notice it or kind of like what was the feedback?
Julie Embree: So for me like in the clinic, I see a lot of patients who didn't do well somewhere else
Anna Hartman: Yeah,
Julie Embree: so I have physicians who know, you know, kind of what I do Um, it used to take me longer to do what I do now.
It doesn't so part of it is I tell patients I'm going to, I may do things that are different than what another therapist did.
If you don't
like it, there's another therapist you can go to. But when you're starting to make changes and you make this thing go away, and maybe you're not touching the knee, But you're still making that pain go away.
The buy in is pretty dang quick and they go back to the doctor and the doc, the doctor will say, what did she do? And they go, I don't know. And I don't care. I mean, I try to explain it to some people. You can explain it to, you know, there's different people, different patients. But I think that's the big thing is that just explaining it.
And I often see people that have. Like they have a pain that's probably not just a muscloskeletal. So it didn't, you know what I mean? So I, we do need to look somewhere else. So I think that's a huge change for me. If I look, think about it, Anna.
Anna Hartman: Yeah. I love that. Have the doctors asked you, like, have you had to explain to the doctors at all?
Julie Embree: So this is a good story. So, um, I'm lucky enough that one of. Well now there's four of them. We go to the Dominican Republic every year and they do orthopedic surgery and one of them brings their son with him. And he was in high school here and now he's, you know, he's like grown up and done all that stuff.
And he had some foot pain. He was running and so, you know, I did the LTAP and I, system and I did some visceral stuff, didn't even touch his foot and, and, um, he went back to where Iowa, where he was, you know, at, and he was like, you know, it's all better. So his dad came just yesterday to me and he goes, so my son's coming back to town and he was just wondering if you could work that magic again.
And he goes, I don't know what you do, and I don't care, Julie, what you do. Yeah, I don't even think what you do works, but my son believes in you. And could you see him for me? I love that. So some of the doctors are like, I think more of some of them are open and some of them really just don't care. They just want their patients.
Anna Hartman: Yeah, they just want the patient, but that's, yeah, that's the experience with the doc, like my doctor, my supervising physician. He's like, I mean, and I've actually worked on him too. Like I've, cause he had back surgery. And so he came to me for therapy because where he was going was not helping. And, um, he's like, I, all the bullshit, he's like, I don't know what the fucking bullshit you do, but like, I feel better and get people better.
And I don't really care, like do whatever you want, like. You're not hurting anybody like go like go crazy. I trust you everybody Including me gets good results. So like whatever
Julie Embree: I think the other thing I'm sorry I cut you off But the other thing is one of the hip guy doctors likes it that he won't do a lot of extra testing Until i've ruled out some stuff.
Yeah, that's great. He wants to go like Is it an infection or is there something just not right that he's not seeing? If I go, something's not right, like I've already cleared all this stuff, then he's feeling better. So there's that connection that we've made as well.
Anna Hartman: That's great. Yeah. That's huge. I mean, that's like as close as you can get to a doctor being like, this is really helpful information.
Could you help me out? So you're in, but they don't really care how I do it. Exactly. Like that's pretty cool. I love that. Yeah. Oh, I love that. That's really cool. Um, this is awesome. I just, so this is, I mean, obviously I really wanted you to come on because and talk to people because I get a lot of people.
Well, maybe you can talk about, like, kind of the timeline of, like, like, the time allotment you have with a patient in the clinic. Um, I obviously have a handful of physical therapists that go through the program, but a lot of them are, um, cash pay or they work for themselves, and that's just a whole different animal because you're not often stressed for time.
And so I know a lot of people, you know, there's 2 questions I get when I'm like, you know, teaching the masses and the missing link. It's sort of like. From the athletic trainers, it's like, does this work in the outside of training room environment and like with a lot of people and then kind of similar is the physical therapist being like, yeah, but does this work in the clinic like an orthopedic based or like, not even orthopedic, like inpatient outpatient, like more of a clinical.
setting where I'm seeing more patients, I don't get to have a lot of time with them and that kind of thing. So how, how do you, um,
Julie Embree: So I feel like one, one we're blessed here that we get 45 minutes with a patient. So that's nice. I would argue if I had less time, the thing that the LTAP tells me, it tells me where to go right away.
So like, That's the blessing. And I will say when I'm at the training room, I don't have 45 minutes. I get 15 minutes. So because usually they're stacking them up, you know, like, you know, so it's like da da da da da. So in terms of that, I, in the clinic, I am blessed so I can do some other things. But I would say because of LTAP I am better, it's better use of my time and of the patient's time because I'm going, okay, okay.
Kind of listen to your story. I'm not necessarily listening to where your pain is moving on to what I see treating Reassessing, you know treating reassessing treating reassessing And things move faster. So even if I had 30 minutes, I, I feel like that could work. And I think the other thing is that there's no reason that if you had assistance, that they shouldn't go through LTAP too, and could finish off some of the stuff that you started.
Or, or see it as well. I mean, I know like in state of Oregon, they can't do it, the assessment stuff, but there's no reason that you couldn't show them how to do. Yeah.
Anna Hartman: Absolutely. I, um, the, I was going to say, well, and in the outside of training room, and this is kind of how they're bringing you in, obviously as a consult with the 15 minutes is like, I'm like, yeah.
In my head, like if I were in a high school after the training room, like when you've got massive amount people who need you. In limited time, it'd be like, yeah, like 10 minute triages of like organizing people and what they need in terms of like, Okay, you need visceral, you need central nervous system, you need um, lower extremity, and then it's like I could then easily have a And, you know, like, even like old school style, like a poster in three corners of the room of like, try these interventions for central nervous system, try these for visceral, try these for low extremity and like just triaging the kids or the patients so that they're starting to work.
On what the body is directing us to and then that frees up time for if there is one person that Doesn't get a result from those interventions like come back and let me actually do a whole evaluation on you and I So to me i'm like man, I feel like it would help manage a busy situation way way easier than like feeling overwhelmed with
Julie Embree: Well, you're not wasting time.
It's something that's not the driver or whatever exactly. Yeah, you know what I mean?
Anna Hartman: Yeah, that's really cool I love that you see that. I have a I always think like there are every once in a while I get like, um, Pt assistants like PTA's that come through the program um and bless them because you know They they come because they want to learn more and they i've ended the day like most people just want to help their patients It's kind of like the doctors like I don't care.
I just want the patient to feel better And you know what happens unfortunately is Those PTAs, like they go back to their setting and they start really getting really good results and then the PTs they work under, they don't get it and they feel threatened and then like, they're like, you can't do that.
And I'm like, so sit, like, it's such a,
Julie Embree: we need to stop these wars.
Anna Hartman: I'm like, yeah, I don't know.
Julie Embree: It'll happen in my lifetime, but I sure would love for it too.
Anna Hartman: I know. But I'm like, man, I wish I could pair up the PTAs that have been my program. Yes. Like, and I'm like, go work for each other because this, it would be great.
So, but, um, yeah, that's, that, that would be really cool. So was there anything else that you want to like,
Julie Embree: No, just a big thank you to you because it's really changed how I do treat and it just makes me keep moving forward. And, and then, you know, trying as the new trainers come in and even my new staff, you know, just kind of getting them.
Yeah. Yeah, exactly.
Anna Hartman: Yeah. I love it. I shout out, um, Slocum too, because I was at, uh, Devin and I went to the, um, Oregon UCLA game in LA and you guys your tent that goes over the um, the medical area All over the country, it's awesome.
Julie Embree: Yeah, we got a new marketing thing so we can just like, you know,
Anna Hartman: it's great.
Julie Embree: Yeah It's all good.
Anna Hartman: Yeah, that makes me feel very at home seeing their name on the sideline Oregon, this is awesome
Julie Embree: Good good.
Anna Hartman: Um, well, it's been a pleasure. Hopefully I see you soon either in Oregon or uh, Maybe the mastermind if you can go.
Julie Embree: Yeah,
Anna Hartman: i've been teasing it, but i'm thinking of like, um, The mastermind this year is going to be like the beta version of level two So
Julie Embree: that would be that i'd be in for yeah
Anna Hartman: Yeah.
Okay. So not so mastermindy. It's going to be just an education from Anna weekend, but.
Julie Embree: Never bad. Either way. It's never bad.
Anna Hartman: All right. Well, I appreciate your time and um, happy Friday to you.
Julie Embree: Yes. And if people are on the, on the, on the edge of going or not, this is a great class. It's well worth the money.
Anna Hartman: Thank you.
Julie Embree: Yeah,
Anna Hartman: I didn't even pay her to say that
No, it is it is it's okay.
I love it. I appreciate that All right. Have a great day. You too. Bye