Episode Transcript
WEBVTT
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Hi Everyone, welcome to this episode
of catch up with Cairo touch. Thank
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you for tuning in. I'm your
host, Camera Ferguson, and today my
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guest is Dr David Cruz, founder
of web exercises. Dr Cruz, welcome,
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thank you so much for inviting me. I'm really looking forward to the
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discussion. The topic on today's podcast
is exercise prescriptions and impact on improve patient
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outcomes. I'm very excited on the
subject because I have some skin in the
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game because that Kira touch, I
work with the services team, including our
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smart fit solution. So smart fit, it's an exercise prescription tool that integrates
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into the Chire toes software. It's
power by none other than our web exercises.
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I'm very familiar with the inner workings
of the Exercise Prescription Solution, but
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now I'm really eager to learn how
you know why doctors should consider incorporating this
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exercise into the care plans, and
I'll be learning. Just write, along
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with our listeners some of these interesting
questions I actually want to ask. Okay,
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so I've built you as a founder
of web exercises and I wan't your
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background and it's so much more.
It's pretty interesting. I thought key.
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Tell us about yourself. What inspired
you to become a chiropractor? Yeah,
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so I went to Chiropractic College at
life pract college west graduated it in one
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thousand nine hundred and ninety six and
started my kind of career probably a little
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little green eyed in the sense of
wanting to change the world sort of thing,
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and just dove right in open up
my practice with a partner, with
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not one patient in the book.
So you got to learn hustle. So
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there was a lot of hustling on
early on, just trying to get you
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patients when you start a practice from
scratch. That I did for about five
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years and then I kind of pivoted
after that a little bit. My undergraduate
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degrees in athletic training, which is
essentially sports medicine, and so I've always
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really kind of been drawn to that
Rehab side and so I really started focusing
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more on that and think it was
about two thousand and four. So I
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just was really interested in how can
I get people to participate more in doing
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some some rehab exercise is, you
know, really a foundation of, I
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think, wellness. It's actually a
foundation of Chiropractic and, if you don't
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mind me sharing a story on that. Of course, Chiropractic is probably founded
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with exercise and being healthy through exercise. Going back to the beginning of the
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profession, there was a gentleman in
the eighteen hundreds named Bernard McFadden and he
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really pioneered this in he published a
magazine, he had a sanitarium for health
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and wellness us and really professed that
exercises a key to wellness. Eat well,
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sleep, don't take the medication.
Wellness can be done through exercise and
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really taking care of yourself. The
chiropractice of the early nineteen hundreds actually adopted
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that tep, that that thinking and
they called it physical culture. And so
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even be j Palmer, if you
look at some of the historical photos at
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the Palmer Clinic, they literally have
a gym. Bj Palmer adopted a lot
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of these early teachings of health and
wellness. And so when I look back
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to how chiropractic and exercise fit together, it really goes back to our foundation.
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It is really one to me,
one of the core principles that Chiropractic
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is built upon through health and wellness. And so fast forward to early two
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thousand. As you know, I
think that all of us clinicians. We
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do the best job we can.
We help people, but there's also,
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I believe, a component which patients
need to also participate. And how can
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we get patients to participate more often, more frequently be more engaged? And
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that really was kind of the idea
behind web exercises. So you're saying we
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are accountable to our own actions as
well, right to not only do you
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get the care from the chiropractors,
but now it's time for you to take
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care of yourself. Absolutely, and
I think that's you pretty much the model
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it the way I see it with
regards to Chiropractic care, in the sense
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of we can provide that inoffice treatment, the guidance, but we also need
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that patient to participate in their health
as well, and right and we can
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do, you know, variety of
things. I think everybody's every practicing clinician
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out there kind of determines what they
want to do, whether they want to
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focus, you know, more unjust
getting people healthy and then kind of maintenance,
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to they want to talk to about
nutrition or other parts of the health
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and so forth, and that's,
you know, I think one of the
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advantages of the chiropract professions. You
have the latitude to really do what you
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would like as it relates to trying
to help that patient improve in their health.
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So how you stay in active and
balancing your life then as a DC?
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That's that's the hard part. Well, I got out of practice about
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five years ago. I started web
exercises in two thousand and five and really
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pretty much started it from the ground
up. The history of it real quickly,
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as I had a patient as a
programmer, we simply started putting some
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photos of exercise on my own office
website and I print those out and after
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I'd probably accumulated probably about fifty exercises, I asked them could I potentially,
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you know, make this available to
other chiropractors, and that was really where
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the idea was seated and from there
we basically want into an agreement with the
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software company to build it, and
it's really been a serendipitous path. You
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know, it's one of those things
where you have this idea, how this
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vision, and sometimes we think success, or or what one would call success,
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is this linear but it's this squiggly
line up and down sideways and you
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just try and keep the what that
vision is that you want to see and
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focus and you kind of work through
the different challenges. So I got out
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of practice in about two thousand and
fifteen, partly because honestly become very challenging
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clinicians treating utilization reviews and all sorts
of things, because I've been I did
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a consider abound a med legal work, even for the State of California,
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and I really like treating patients and
it would became harder and harder with more
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red tape. And at that point
web exercises at the point where it needed
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full attention and I thought, well, I think I can help a lot
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more clinicians, providers, healthcare people
through this kind of visional web exercises,
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and so I've been pretty much full
time with web exercises a hundred percent since
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two thousand and fifteen. And Yeah, we have a small team kind of
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all over the countries since virtual so
let's hear about the web exercises and could
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just elaborate how this will make the
practice better and the patient outcomes. Yeah,
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so, I mean one thing I
try to keep keep in mind when
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this, when we started building with
exercises, is I'm a clinician at Heller
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and I know the pain points of
running the clinic. I know the challenges
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and what's important what's not important,
and so anything we do with web exercises
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I really try and keep the clinician
in mind. I like to say it's,
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you know, by clinicians for clinicians, because I've been there, I
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know what it is, the different
challenges are, and so with that in
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mind, that's where web exercises was
built and that's kind of where we continue
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to try and strive. So we
know that exercise is essential, whether it
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is for Rehab, somebody's in a
car accident, it's essential that they get
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some strengthening exercises, whatever that might
be. A low back, neck,
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your treat sports injuries, a shoulder, knee, hip exercise essential because pain
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changes the way we move. When
you have an injury, what happens from
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a neurological standpoint is your body actually
starts to rewire the way you move,
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which is kind of normal when you're
in pain. The problem is is that
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when the pain resolves, so when
we do a good job as a chiropractor
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and get people feeling better, what
happens is that your neurology actually has been
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rewired and people still move differently and
so what exercise done or proper exercise prescription
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helps people strength and stabilizing the right
way and get back to where they wore
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for the injury. Otherwise there's going
to be a continual weak link. And
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the number one cause of injury literally
from the literal perspective, is at previous
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injury, and that's a lot of
times because it wasn't rehab properly. On
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the health and wellness side, I
think if we look at from overall wellness,
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exercises essential. I mean now in
the days of Covid if you look
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at one of the one of the
factors from a mortality standpoint is low cardiovascular
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health and fitness. So people that
are don't have a strong cardiovascular system,
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we're really affected more. And so
whether you are working from a rehab perspective
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or trying to keep people healthy,
there's unlimited number of reasons why people should
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move and learn to move better and
and more often. And Web exercises and
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smart fit allows that clinician to quickly
create exercise programs and get those to the
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patients. With smart fit it takes
the notes of the exercise program and automatically
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sink some into the soap notes so
it's time saving on the documentation side and
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it's timesaving just from the prescription side. And we are thousands of exercises.
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There's protocols. So of a doctor
isn't super familiar with exercise, well,
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they can just choose a protocol for
low back pain or an ankle sprain if
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your season clinician is forts Kira,
or you can choose anywhere from two,
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three Tho exercises and create your own
program my fiance actually fell down the stairs
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one time, like three stairs,
sprained ankle and guess what? I went
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to smart fit, I brought out
the sprained ankle protocol and I had our
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do a couple of those workouts.
So that's that's a great feature. Even
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has a little bit of videos.
So I actually want to ask you what
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is your favorite feature of the web
exercises and what what's your baby of that
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part? Well, I think I
think a couple things. One is the
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content we create. We try and
create it for specific reasons. It started
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with just a small library. Now
we try and recognize the different types of
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patients that come in the office.
So we have, for instance, a
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geriatrics library that's available. We have
a pregnancy library that's available. We have,
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for instance, a Yoga Library that's
available. So we try and create
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some content which also represents different types
of demographics that might come in the office.
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Of course you can use any of
the Rehab exercises for anybody, but
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sometimes from a behavior standpoint in adoption, if a patient can relate a little
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bit more to that image, to
that video, sometimes the adoption is going
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to be a little, a little
bit better. Habits are hard to change
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and sometimes getting people to exercise that
don't exercise regular really can be challenging.
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So whatever we can do to help
people, yeah, overcome those those challenges,
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then I think the other real,
real benefit is what I mentioned before,
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is that how do you save time? Well, the protocols we talked
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about, but then documentation, documentation, documentation right, but not documented.
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It didn't happen. Well, it
automatically pushes the exercises that were prescribed into
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CET, so you don't need it
into the chirotypes. You don't need to
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worry about going back writing the notes
out and board. It's automatically done for
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you. When I show this to
the practices that have been doing exercises,
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they love it right, because there
like Oh, it's already done for me.
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So what your suggestion for practice that
wants to kind of get started with
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the exercise planning? Start Simple.
A lot of times we think it needs
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to be complicated. Start simple in
the sense of what is their main complaint
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and give two stretches or two three
exercises. Let them gain confidence with that
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and then you can always update.
Add to that. The specificity of of
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CT smartphine of exercises is it's designed
to have the clinician in mind. There's
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millions of exercises a patient can go
to online, whether it's youtube or anywhere.
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But the uniqueness of CT and with
exercises is that if you have the
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right extra size for the right condition, again get the right results and you
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need to be a clinician DC see
a somebody in the office that needs to
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do the right assessment to then identify
those right exercises, and that's where the
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real kind of success is going to
come. So if you are a Kira
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touch customer, you can check out
CET smart fit and if you are not
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a customer yet, well, we'll
be happy to welcome to our family.
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So, Dr Crews, you have
any final thoughts? Parting words CET SMART
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FIT. We're working on an update, so sometime this year everybody will be
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seen an updated platform with more features
and benefits. So with technology you need
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to keep evolving, otherwise you're devolving. So we want to make sure we're
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always evolving the Cairo touch and poured
over the latest and greatest in the sense
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of what makes sense for practice,
making it simple, make an effective for
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the clinic and the patient. I
cannot wait to see that. I'm going
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to start playing with all those little
tools see what happens. Right you'll hear
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from me again, I bet so. Thank you to crews for sharing your
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knowledge on this topic and thank you
to our listeners for tune in to catch
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up with Kira touch. Find more
episodes of catch up with Carra touch on
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spotify, itunes and Kira touchcom backslash
podcast. Again, I'm your host,
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Camlow Ferguson, and wish everyone listening
and will adjusted day.
