{"version":"1.0.0","segments":[{"speaker":"Bernard","startTime":10.223,"endTime":12.893,"body":"Opinions shared by the"},{"speaker":"Bernard","startTime":10.223,"endTime":12.893,"body":"guests of the show are their own"},{"speaker":"Bernard","startTime":12.923,"endTime":16.703,"body":"and do not necessarily represent"},{"speaker":"Bernard","startTime":12.923,"endTime":16.703,"body":"the views of the hosts buying"},{"speaker":"Bernard","startTime":16.703,"endTime":18.803,"body":"waves or the Brain injury network."},{"speaker":"Bernard","startTime":19.283,"endTime":23.213,"body":"This podcast is for informational"},{"speaker":"Bernard","startTime":19.283,"endTime":23.213,"body":"purposes only, and it's not a"},{"speaker":"Bernard","startTime":23.213,"endTime":27.623,"body":"substitute for professional medical"},{"speaker":"Bernard","startTime":23.213,"endTime":27.623,"body":"advice, diagnosis, or treatment."},{"speaker":"Bernard","startTime":27.983,"endTime":32.393,"body":"Always seek the advice of a healthcare"},{"speaker":"Bernard","startTime":27.983,"endTime":32.393,"body":"provider with any questions you may"},{"speaker":"Bernard","startTime":32.393,"endTime":34.493,"body":"have regarding a medical condition."},{"speaker":"Bernard","startTime":34.883,"endTime":35.333,"body":"Thank you."},{"speaker":"Carrie","startTime":37.343,"endTime":40.463,"body":"Hi, I'm Carrie, a stroke"},{"speaker":"Carrie","startTime":37.343,"endTime":40.463,"body":"survivor and a member of BIND."},{"speaker":"Brittany","startTime":41.123,"endTime":41.843,"body":"And I'm Brittany."},{"speaker":"Brittany","startTime":41.843,"endTime":44.783,"body":"I'm a brain injury survivor,"},{"speaker":"Brittany","startTime":41.843,"endTime":44.783,"body":"a member of BIND Fort Worth."},{"speaker":"Brittany","startTime":45.173,"endTime":50.423,"body":"And today we have Julie Graham,"},{"speaker":"Brittany","startTime":45.173,"endTime":50.423,"body":"who is a therapist, a therapy"},{"speaker":"Brittany","startTime":50.423,"endTime":55.733,"body":"development specialist at Micro"},{"speaker":"Brittany","startTime":50.423,"endTime":55.733,"body":"Transponder working with Viva stem."},{"speaker":"Brittany","startTime":56.573,"endTime":60.473,"body":"Um, she has 20 years experience"},{"speaker":"Brittany","startTime":56.573,"endTime":60.473,"body":"of professional experience"},{"speaker":"Brittany","startTime":60.473,"endTime":62.123,"body":"delivering in home services."},{"speaker":"Brittany","startTime":63.338,"endTime":67.268,"body":"So how did you get interested"},{"speaker":"Brittany","startTime":63.338,"endTime":67.268,"body":"in the brain injury world?"},{"speaker":"brian","startTime":68.678,"endTime":71.918,"body":"Welcome to bindwaves,"},{"speaker":"brian","startTime":68.678,"endTime":71.918,"body":"the official podcast of the"},{"speaker":"brian","startTime":71.918,"endTime":73.688,"body":"Brain Injury Network of Dallas."},{"speaker":"brian","startTime":73.898,"endTime":76.778,"body":"I'm Brian White, BINDs executive director."},{"speaker":"brian","startTime":76.928,"endTime":81.338,"body":"On each episode, we'll be providing"},{"speaker":"brian","startTime":76.928,"endTime":81.338,"body":"insight into the brain injury community."},{"speaker":"brian","startTime":81.668,"endTime":85.508,"body":"We'll be talking to members and"},{"speaker":"brian","startTime":81.668,"endTime":85.508,"body":"professionals regarding their stories and"},{"speaker":"brian","startTime":85.508,"endTime":87.698,"body":"the important role of BINDs Clubhouse."},{"speaker":"brian","startTime":88.208,"endTime":93.068,"body":"We work as a team to inspire hope"},{"speaker":"brian","startTime":88.208,"endTime":93.068,"body":"community and a sense of purpose to"},{"speaker":"brian","startTime":93.068,"endTime":95.678,"body":"survivors, caregivers, and the public."},{"speaker":"brian","startTime":96.098,"endTime":98.008,"body":"Thank you for tuning into bindwaves."},{"speaker":"brian","startTime":98.363,"endTime":99.653,"body":"Let's get on with the show."},{"speaker":"Julie","startTime":100.063,"endTime":104.563,"body":"So I have been, as you"},{"speaker":"Julie","startTime":100.063,"endTime":104.563,"body":"said in the intro, an occupational"},{"speaker":"Julie","startTime":104.563,"endTime":106.633,"body":"therapist for over 20 years."},{"speaker":"Julie","startTime":106.633,"endTime":109.263,"body":"So I guess you could say I got started."},{"speaker":"Julie","startTime":109.603,"endTime":110.503,"body":"way back in school."},{"speaker":"Julie","startTime":110.788,"endTime":110.878,"body":"Mm-hmm."},{"speaker":"Julie","startTime":111.118,"endTime":115.858,"body":"So it's always been a part of everything"},{"speaker":"Julie","startTime":111.118,"endTime":115.858,"body":"I've done, no matter, um, whether the"},{"speaker":"Julie","startTime":115.858,"endTime":120.598,"body":"setting was acute care, inpatient rehab,"},{"speaker":"Julie","startTime":115.858,"endTime":120.598,"body":"outpatient rehab, all of those things."},{"speaker":"Julie","startTime":120.898,"endTime":124.618,"body":"It's always been a part of what"},{"speaker":"Julie","startTime":120.898,"endTime":124.618,"body":"I've done, no matter the setting."},{"speaker":"Carrie","startTime":124.828,"endTime":125.098,"body":"Okay."},{"speaker":"Carrie","startTime":125.098,"endTime":127.378,"body":"So you started as occupational therapist?"},{"speaker":"Carrie","startTime":127.378,"endTime":127.828,"body":"Yes."},{"speaker":"Carrie","startTime":127.828,"endTime":129.163,"body":"And if it's kind of"},{"speaker":"Carrie","startTime":127.828,"endTime":129.163,"body":"moved around from there?"},{"speaker":"Carrie","startTime":129.543,"endTime":129.763,"body":"Yes."},{"speaker":"Carrie","startTime":129.833,"endTime":130.123,"body":"Okay."},{"speaker":"Brittany","startTime":130.123,"endTime":130.363,"body":"Mm-hmm."},{"speaker":"Brittany","startTime":130.443,"endTime":130.683,"body":"Yeah."},{"speaker":"Brittany","startTime":133.528,"endTime":134.338,"body":"Um,"},{"speaker":"Brittany","startTime":134.458,"endTime":138.418,"body":"were you, um, explain what"},{"speaker":"Brittany","startTime":134.458,"endTime":138.418,"body":"Viva stem is and how it works."},{"speaker":"Julie","startTime":138.973,"endTime":139.333,"body":"Sure."},{"speaker":"Julie","startTime":139.333,"endTime":147.103,"body":"So Vivas stem is, um, paired vagus nerve"},{"speaker":"Julie","startTime":139.333,"endTime":147.103,"body":"stimulation for chronic stroke survivors."},{"speaker":"Julie","startTime":147.493,"endTime":152.563,"body":"So it is, um, paired being that we"},{"speaker":"Julie","startTime":147.493,"endTime":152.563,"body":"pair the vagus nerve stimulation"},{"speaker":"Julie","startTime":152.593,"endTime":161.173,"body":"with PT and ot, um, on the backend to"},{"speaker":"Julie","startTime":152.593,"endTime":161.173,"body":"help boost patient's neuroplasticity"},{"speaker":"Julie","startTime":161.173,"endTime":163.423,"body":"and regain motor functions."},{"speaker":"Julie","startTime":164.008,"endTime":165.898,"body":"Um, in their affected upper extremity."},{"speaker":"Carrie","startTime":166.198,"endTime":166.318,"body":"Okay."},{"speaker":"Carrie","startTime":166.318,"endTime":169.048,"body":"And I think the biggest question"},{"speaker":"Carrie","startTime":166.318,"endTime":169.048,"body":"that's just gonna back up a"},{"speaker":"Carrie","startTime":169.048,"endTime":170.518,"body":"little bit that I had Sure."},{"speaker":"Carrie","startTime":170.608,"endTime":175.168,"body":"Um, is when I watched the little"},{"speaker":"Carrie","startTime":170.608,"endTime":175.168,"body":"tutorial on your website mm-hmm."},{"speaker":"Carrie","startTime":175.408,"endTime":177.298,"body":"What in the heck is the"},{"speaker":"Carrie","startTime":175.408,"endTime":177.298,"body":"vagus nerve or vagus?"},{"speaker":"Julie","startTime":177.358,"endTime":178.498,"body":"What is the vagus nerve?"},{"speaker":"Julie","startTime":178.678,"endTime":179.308,"body":"Right."},{"speaker":"Julie","startTime":179.338,"endTime":181.108,"body":"So, we'll, we'll, we'll, we, what does it"},{"speaker":"Carrie","startTime":181.108,"endTime":182.488,"body":"do and why do we care?"},{"speaker":"Julie","startTime":183.178,"endTime":184.378,"body":"A lot of different things."},{"speaker":"Julie","startTime":184.378,"endTime":186.538,"body":"So the vagus nerve is a cranial nerve."},{"speaker":"Julie","startTime":186.688,"endTime":188.158,"body":"It's your 10th cranial nerve."},{"speaker":"Julie","startTime":188.758,"endTime":194.098,"body":"The vagus nerve is responsible for a lot"},{"speaker":"Julie","startTime":188.758,"endTime":194.098,"body":"of sensory components in the body, as"},{"speaker":"Julie","startTime":194.098,"endTime":196.588,"body":"well as a lot of autonomic functions."},{"speaker":"Julie","startTime":196.978,"endTime":200.758,"body":"It's really unique in that it sends"},{"speaker":"Julie","startTime":196.978,"endTime":200.758,"body":"signals from the body to the brain"},{"speaker":"Julie","startTime":200.758,"endTime":202.288,"body":"and the brain back to the body."},{"speaker":"Julie","startTime":202.768,"endTime":208.138,"body":"Um, why we care about it in relation to"},{"speaker":"Julie","startTime":202.768,"endTime":208.138,"body":"Viva stem is anytime that we stimulate"},{"speaker":"Julie","startTime":208.138,"endTime":212.128,"body":"the vagus nerve, it releases these"},{"speaker":"Julie","startTime":208.138,"endTime":212.128,"body":"fancy things called neuromodulators."},{"speaker":"Julie","startTime":212.368,"endTime":216.298,"body":"Specifically serotonin,"},{"speaker":"Julie","startTime":212.368,"endTime":216.298,"body":"norepinephrine, acetylcholine."},{"speaker":"Julie","startTime":216.868,"endTime":219.898,"body":"What that does is when those"},{"speaker":"Julie","startTime":216.868,"endTime":219.898,"body":"neuromodulators are released in"},{"speaker":"Julie","startTime":219.898,"endTime":225.508,"body":"the brain is it puts the brain"},{"speaker":"Julie","startTime":219.898,"endTime":225.508,"body":"in a very awake learning state."},{"speaker":"Julie","startTime":225.778,"endTime":227.248,"body":"It's, it's ready to go."},{"speaker":"Julie","startTime":227.878,"endTime":232.918,"body":"The reason that's important is that"},{"speaker":"Julie","startTime":227.878,"endTime":232.918,"body":"that opens up receptors and allows"},{"speaker":"Julie","startTime":232.978,"endTime":235.618,"body":"those connections between the brain."},{"speaker":"Julie","startTime":235.978,"endTime":240.028,"body":"And the signal going down to the rest"},{"speaker":"Julie","startTime":235.978,"endTime":240.028,"body":"of your body to be reestablished."},{"speaker":"Julie","startTime":240.178,"endTime":243.688,"body":"So we're able to boost the"},{"speaker":"Julie","startTime":240.178,"endTime":243.688,"body":"brain's neuroplasticity."},{"speaker":"Julie","startTime":243.718,"endTime":248.728,"body":"and rewire things go around areas of"},{"speaker":"Julie","startTime":243.718,"endTime":248.728,"body":"the brain that were damaged by a stroke"},{"speaker":"Julie","startTime":248.758,"endTime":252.208,"body":"and help people regain those motor"},{"speaker":"Julie","startTime":248.758,"endTime":252.208,"body":"functions that they've been wanting to."},{"speaker":"Carrie","startTime":252.243,"endTime":252.533,"body":"Okay."},{"speaker":"Carrie","startTime":252.533,"endTime":252.534,"body":"Yeah."},{"speaker":"Carrie","startTime":253.708,"endTime":256.238,"body":"We all know neuroplasticity,"},{"speaker":"Carrie","startTime":253.708,"endTime":256.238,"body":"of course, all ttoo well."},{"speaker":"Carrie","startTime":256.258,"endTime":256.858,"body":"Yes."},{"speaker":"Carrie","startTime":256.863,"endTime":256.973,"body":"Mm-hmm."},{"speaker":"Brittany","startTime":258.358,"endTime":258.598,"body":"Yeah."},{"speaker":"Brittany","startTime":258.598,"endTime":263.338,"body":"And so on your website while watching"},{"speaker":"Brittany","startTime":258.598,"endTime":263.338,"body":"the video, it says to get the,"},{"speaker":"Brittany","startTime":263.343,"endTime":265.708,"body":"the stem inside, it's a surgery."},{"speaker":"Brittany","startTime":265.708,"endTime":267.988,"body":"So how invasive is the surgery?"},{"speaker":"Julie","startTime":269.008,"endTime":273.178,"body":"So it is a surgery"},{"speaker":"Julie","startTime":269.008,"endTime":273.178,"body":"with general anesthesia."},{"speaker":"Julie","startTime":273.208,"endTime":277.288,"body":"It's a 45 to 90 minute"},{"speaker":"Julie","startTime":273.208,"endTime":277.288,"body":"outpatient day procedure."},{"speaker":"Julie","startTime":277.498,"endTime":279.028,"body":"Um, so."},{"speaker":"Julie","startTime":279.658,"endTime":284.218,"body":"I guess in terms of how invasive it"},{"speaker":"Julie","startTime":279.658,"endTime":284.218,"body":"is, is really gonna depend on every"},{"speaker":"Julie","startTime":284.218,"endTime":286.738,"body":"single person and their medical history."},{"speaker":"Julie","startTime":287.158,"endTime":290.968,"body":"Um, that's something that our"},{"speaker":"Julie","startTime":287.158,"endTime":290.968,"body":"surgeons work with, with each"},{"speaker":"Julie","startTime":290.968,"endTime":295.348,"body":"individual patient to determine,"},{"speaker":"Julie","startTime":290.968,"endTime":295.348,"body":"you know, safety, things like that."},{"speaker":"Julie","startTime":295.438,"endTime":302.968,"body":"Um, so it's, I would say not, not"},{"speaker":"Julie","startTime":295.438,"endTime":302.968,"body":"incredibly invasive because it is"},{"speaker":"Julie","startTime":302.968,"endTime":305.098,"body":"just a short outpatient day procedure."},{"speaker":"Julie","startTime":305.683,"endTime":307.273,"body":"Very, uh, commonly done."},{"speaker":"Julie","startTime":307.273,"endTime":313.003,"body":"The surgery itself, um, has, the procedure"},{"speaker":"Julie","startTime":307.273,"endTime":313.003,"body":"has been around for 25 to 30 years."},{"speaker":"Julie","startTime":313.003,"endTime":316.663,"body":"So the surgical procedure used"},{"speaker":"Julie","startTime":313.003,"endTime":316.663,"body":"for vivas stem is not new."},{"speaker":"Carrie","startTime":316.778,"endTime":317.068,"body":"Okay."},{"speaker":"Carrie","startTime":317.208,"endTime":320.068,"body":"So it just like goes"},{"speaker":"Carrie","startTime":317.208,"endTime":320.068,"body":"somewhere in your chest."},{"speaker":"Carrie","startTime":320.088,"endTime":320.508,"body":"Mm-hmm."},{"speaker":"Carrie","startTime":320.893,"endTime":321.493,"body":"And then."},{"speaker":"Carrie","startTime":322.243,"endTime":323.563,"body":"Somehow it gets to your brain."},{"speaker":"Julie","startTime":323.893,"endTime":326.353,"body":"So the way that it, that,"},{"speaker":"Julie","startTime":323.893,"endTime":326.353,"body":"no, that's a good question."},{"speaker":"Julie","startTime":326.353,"endTime":331.993,"body":"The way that it works is the, um, what we"},{"speaker":"Julie","startTime":326.353,"endTime":331.993,"body":"call the generator, which, um, is small,"},{"speaker":"Julie","startTime":331.993,"endTime":334.933,"body":"is implanted just inside the chest wall."},{"speaker":"Julie","startTime":334.963,"endTime":337.873,"body":"It's usually implanted on the"},{"speaker":"Julie","startTime":334.963,"endTime":337.873,"body":"left side underneath a collarbone."},{"speaker":"Julie","startTime":338.263,"endTime":340.123,"body":"Um, for some patients who may have"},{"speaker":"Julie","startTime":340.248,"endTime":345.048,"body":"another implantable device, like a"},{"speaker":"Julie","startTime":340.248,"endTime":345.048,"body":"loop recorder or a pacemaker, surgeons"},{"speaker":"Julie","startTime":345.048,"endTime":346.458,"body":"can place it on the right side."},{"speaker":"Julie","startTime":346.908,"endTime":351.528,"body":"Um, then what happens is that"},{"speaker":"Julie","startTime":346.908,"endTime":351.528,"body":"there is a lead with coils on the"},{"speaker":"Julie","startTime":351.528,"endTime":354.318,"body":"end, and that lead with the coils."},{"speaker":"Julie","startTime":354.378,"endTime":356.628,"body":"The coils are attached"},{"speaker":"Julie","startTime":354.378,"endTime":356.628,"body":"to the left vagus nerve."},{"speaker":"Julie","startTime":356.898,"endTime":360.708,"body":"So the little generator that goes in"},{"speaker":"Julie","startTime":356.898,"endTime":360.708,"body":"underneath your collarbone is actually"},{"speaker":"Julie","startTime":360.708,"endTime":367.428,"body":"what sends the, excuse me, that sends"},{"speaker":"Julie","startTime":360.708,"endTime":367.428,"body":"the impulse and then that is transmitted."},{"speaker":"Julie","startTime":367.858,"endTime":370.948,"body":"Through the coils to your"},{"speaker":"Julie","startTime":367.858,"endTime":370.948,"body":"vagus nerve, then that's what."},{"speaker":"Carrie","startTime":370.953,"endTime":371.143,"body":"Okay"},{"speaker":"Carrie","startTime":371.143,"endTime":372.343,"body":"and so helps to realize you're pointing."},{"speaker":"Carrie","startTime":372.343,"endTime":374.008,"body":"So the vagus nerve is"},{"speaker":"Carrie","startTime":372.343,"endTime":374.008,"body":"somewhere in your neck?"},{"speaker":"Julie","startTime":374.218,"endTime":374.998,"body":"It is, yeah."},{"speaker":"Julie","startTime":374.998,"endTime":381.028,"body":"So the portion that we're attaching,"},{"speaker":"Julie","startTime":374.998,"endTime":381.028,"body":"um, the coils to is in your neck."},{"speaker":"Julie","startTime":381.058,"endTime":381.448,"body":"It's, uh."},{"speaker":"Julie","startTime":382.378,"endTime":384.838,"body":"Just near the, um, vocal cords."},{"speaker":"Julie","startTime":384.838,"endTime":384.868,"body":"Okay."},{"speaker":"Julie","startTime":385.678,"endTime":387.358,"body":"Just underneath that tissue there."},{"speaker":"Julie","startTime":387.628,"endTime":389.098,"body":"That's where we attach that coil."},{"speaker":"Carrie","startTime":389.158,"endTime":389.698,"body":"Interesting."},{"speaker":"Carrie","startTime":389.728,"endTime":393.418,"body":"It's always so weird to me that"},{"speaker":"Carrie","startTime":389.728,"endTime":393.418,"body":"where you're actually the thing"},{"speaker":"Carrie","startTime":393.418,"endTime":395.878,"body":"you're getting, you don't have"},{"speaker":"Carrie","startTime":393.418,"endTime":395.878,"body":"to, you don't go right into it."},{"speaker":"Carrie","startTime":395.878,"endTime":400.828,"body":"Like, when I get Botox for my arm and"},{"speaker":"Carrie","startTime":395.878,"endTime":400.828,"body":"my leg, you know, he's poking somewhere"},{"speaker":"Carrie","startTime":400.828,"endTime":403.588,"body":"and they're like, that's not anywhere"},{"speaker":"Carrie","startTime":400.828,"endTime":403.588,"body":"near my fingers, and you're telling"},{"speaker":"Carrie","startTime":403.588,"endTime":405.658,"body":"me that's gonna work on my fingers."},{"speaker":"Carrie","startTime":406.048,"endTime":406.438,"body":"So yeah."},{"speaker":"Carrie","startTime":406.438,"endTime":407.038,"body":"That's why I'm asking."},{"speaker":"Julie","startTime":407.038,"endTime":408.508,"body":"Anatomy and science is fun."},{"speaker":"Julie","startTime":409.288,"endTime":409.558,"body":"Yeah."},{"speaker":"Julie","startTime":409.828,"endTime":410.938,"body":"Yeah, absolutely.'"},{"speaker":"Carrie","startTime":411.328,"endTime":412.108,"body":"It's quite"},{"speaker":"Carrie","startTime":412.258,"endTime":412.888,"body":"Kinda okay."},{"speaker":"Carrie","startTime":412.888,"endTime":418.108,"body":"And I know we might get into this a little"},{"speaker":"Carrie","startTime":412.888,"endTime":418.108,"body":"bit more, but, so in my brain mm-hmm."},{"speaker":"Carrie","startTime":418.109,"endTime":420.418,"body":"Again, I only know what"},{"speaker":"Carrie","startTime":418.109,"endTime":420.418,"body":"I know until I learn."},{"speaker":"Carrie","startTime":420.418,"endTime":427.468,"body":"So, um, I had, um, an e-stem in the"},{"speaker":"Carrie","startTime":420.418,"endTime":427.468,"body":"beginning with my, um, Day  Neuro in my"},{"speaker":"Carrie","startTime":427.468,"endTime":431.738,"body":"therapy, you know, and so I, in my brain,"},{"speaker":"Carrie","startTime":427.468,"endTime":431.738,"body":"I think it's kind of like an e-stem"},{"speaker":"Carrie","startTime":432.288,"endTime":433.548,"body":"Is, is it similar to that?"},{"speaker":"Carrie","startTime":433.588,"endTime":434.028,"body":"I mean, and then"},{"speaker":"Julie","startTime":434.083,"endTime":436.873,"body":"So in terms of you're"},{"speaker":"Julie","startTime":434.083,"endTime":436.873,"body":"using stimulation, it's, it's a"},{"speaker":"Julie","startTime":436.873,"endTime":438.643,"body":"different kind of stimulation."},{"speaker":"Julie","startTime":438.763,"endTime":444.223,"body":"What makes Viva stem so powerful"},{"speaker":"Julie","startTime":438.763,"endTime":444.223,"body":"is that we are rewiring the brain."},{"speaker":"Julie","startTime":444.433,"endTime":448.573,"body":"So with e-stem you're, you're"},{"speaker":"Julie","startTime":444.433,"endTime":448.573,"body":"targeting the muscles groups."},{"speaker":"Julie","startTime":448.573,"endTime":448.603,"body":"Okay."},{"speaker":"Julie","startTime":448.633,"endTime":452.563,"body":"And so you're targeting muscles"},{"speaker":"Julie","startTime":448.633,"endTime":452.563,"body":"which are not your brain, right?"},{"speaker":"Julie","startTime":452.563,"endTime":453.073,"body":"Instead of"},{"speaker":"Carrie","startTime":453.073,"endTime":453.428,"body":"the nerve."},{"speaker":"Julie","startTime":453.658,"endTime":454.148,"body":"Correct."},{"speaker":"Julie","startTime":454.393,"endTime":458.503,"body":"And so with the vagus nerve and releasing"},{"speaker":"Julie","startTime":454.393,"endTime":458.503,"body":"the neuromodulators in the brain."},{"speaker":"Julie","startTime":458.878,"endTime":462.808,"body":"And that neuroplasticity, that"},{"speaker":"Julie","startTime":458.878,"endTime":462.808,"body":"neuroplasticity, once that pathway"},{"speaker":"Julie","startTime":462.838,"endTime":464.818,"body":"is rewired, stays with you."},{"speaker":"Julie","startTime":465.478,"endTime":469.318,"body":"Whereas oftentimes with e-stem,"},{"speaker":"Julie","startTime":465.478,"endTime":469.318,"body":"yes, it's effective and it allows"},{"speaker":"Julie","startTime":469.318,"endTime":472.018,"body":"you to make progress in therapy"},{"speaker":"Julie","startTime":469.318,"endTime":472.018,"body":"in some of your movements."},{"speaker":"Julie","startTime":472.018,"endTime":474.598,"body":"However, it's hard to keep it."},{"speaker":"Julie","startTime":474.598,"endTime":475.948,"body":"To keep it lasting."},{"speaker":"Carrie","startTime":476.038,"endTime":476.368,"body":"Sure."},{"speaker":"Carrie","startTime":476.373,"endTime":476.563,"body":"Okay."},{"speaker":"Carrie","startTime":477.028,"endTime":480.058,"body":"So with that being said, um,"},{"speaker":"Carrie","startTime":477.028,"endTime":480.058,"body":"again, I told you we'll give you"},{"speaker":"Carrie","startTime":480.058,"endTime":481.198,"body":"questions, but we're gonna have lots."},{"speaker":"Carrie","startTime":484.798,"endTime":488.788,"body":"Do you, once you have the Viva stem"},{"speaker":"Carrie","startTime":484.798,"endTime":488.788,"body":"implanted, is that forever now?"},{"speaker":"Julie","startTime":489.748,"endTime":494.968,"body":"So the idea being Yes, and"},{"speaker":"Julie","startTime":489.748,"endTime":494.968,"body":"that's one of the things that I love"},{"speaker":"Julie","startTime":494.968,"endTime":500.038,"body":"about Vivas stem is it's a very,"},{"speaker":"Julie","startTime":494.968,"endTime":500.038,"body":"um, it's a portable modality, if"},{"speaker":"Julie","startTime":500.038,"endTime":501.508,"body":"you will, for lack of a better term."},{"speaker":"Julie","startTime":501.538,"endTime":501.568,"body":"Okay."},{"speaker":"Julie","startTime":501.568,"endTime":503.908,"body":"It is a super modality, so it is with you."},{"speaker":"Julie","startTime":504.538,"endTime":505.528,"body":"All of the time."},{"speaker":"Julie","startTime":505.858,"endTime":508.888,"body":"So in terms of being able to"},{"speaker":"Julie","startTime":505.858,"endTime":508.888,"body":"use it, you're not lugging"},{"speaker":"Julie","startTime":508.888,"endTime":510.568,"body":"around a piece of equipment."},{"speaker":"Julie","startTime":510.778,"endTime":511.828,"body":"Sure you are not."},{"speaker":"Julie","startTime":511.888,"endTime":514.678,"body":"You don't necessarily have,"},{"speaker":"Julie","startTime":511.888,"endTime":514.678,"body":"you're not in the clinic, in the"},{"speaker":"Julie","startTime":514.678,"endTime":516.478,"body":"therapy clinic in order to use it."},{"speaker":"Julie","startTime":516.628,"endTime":520.018,"body":"You have it with you all the"},{"speaker":"Julie","startTime":516.628,"endTime":520.018,"body":"time, which is fantastic."},{"speaker":"Julie","startTime":520.288,"endTime":523.648,"body":"So in terms of being"},{"speaker":"Julie","startTime":520.288,"endTime":523.648,"body":"able to use it forever."},{"speaker":"Julie","startTime":523.648,"endTime":529.888,"body":"The battery life of the implant is five"},{"speaker":"Julie","startTime":523.648,"endTime":529.888,"body":"to seven years, so patients are able"},{"speaker":"Julie","startTime":529.888,"endTime":534.958,"body":"to use it for the life of the battery"},{"speaker":"Julie","startTime":529.888,"endTime":534.958,"body":"when that battery starts to dwindle."},{"speaker":"Julie","startTime":534.958,"endTime":539.668,"body":"If they choose to, they can have a"},{"speaker":"Julie","startTime":534.958,"endTime":539.668,"body":"new generator put in, fresh battery."},{"speaker":"Julie","startTime":540.088,"endTime":545.278,"body":"Um, it can just, the battery can, uh, quit"},{"speaker":"Julie","startTime":540.088,"endTime":545.278,"body":"working and patient, you can leave it in."},{"speaker":"Julie","startTime":545.278,"endTime":549.823,"body":"It's no harm to your body or you can"},{"speaker":"Julie","startTime":545.278,"endTime":549.823,"body":"choose to have it taken out at that time,"},{"speaker":"Julie","startTime":549.823,"endTime":551.563,"body":"if you've really met all of your goals."},{"speaker":"Julie","startTime":551.983,"endTime":553.813,"body":"Lots of different options and ways to go."},{"speaker":"Brittany","startTime":554.683,"endTime":555.163,"body":"Oh, right."},{"speaker":"Brittany","startTime":555.253,"endTime":555.523,"body":"Wow."},{"speaker":"Brittany","startTime":555.523,"endTime":562.633,"body":"Yeah, so it's, we just talked about e-stem"},{"speaker":"Brittany","startTime":555.523,"endTime":562.633,"body":"and electrical like pulses, so mm-hmm."},{"speaker":"Brittany","startTime":562.883,"endTime":566.908,"body":"What's the different voltages that"},{"speaker":"Brittany","startTime":562.883,"endTime":566.908,"body":"levels that go throughout the therapy?"},{"speaker":"Julie","startTime":567.268,"endTime":572.188,"body":"So the amplitude, the intensity"},{"speaker":"Julie","startTime":567.268,"endTime":572.188,"body":"of the stimulation is gonna be a"},{"speaker":"Julie","startTime":572.188,"endTime":574.108,"body":"little bit different for every patient."},{"speaker":"Julie","startTime":574.198,"endTime":576.463,"body":"This is a customizable Sure."},{"speaker":"Julie","startTime":576.468,"endTime":576.478,"body":"Mm-hmm."},{"speaker":"Julie","startTime":576.958,"endTime":577.858,"body":"Technology, if you will."},{"speaker":"Julie","startTime":577.858,"endTime":580.208,"body":"Very similar to what you guys"},{"speaker":"Julie","startTime":577.858,"endTime":580.208,"body":"are familiar with e-stem."},{"speaker":"Julie","startTime":580.233,"endTime":580.463,"body":"Right?"},{"speaker":"Julie","startTime":580.468,"endTime":580.768,"body":"Right."},{"speaker":"Julie","startTime":580.798,"endTime":580.888,"body":"Mm-hmm."},{"speaker":"Julie","startTime":581.188,"endTime":582.148,"body":"That's customizable."},{"speaker":"Julie","startTime":582.148,"endTime":586.948,"body":"So we, um, will adjust it based"},{"speaker":"Julie","startTime":582.148,"endTime":586.948,"body":"on patient's comfort level."},{"speaker":"Julie","startTime":586.948,"endTime":590.403,"body":"The stimulation is not painful at all."},{"speaker":"Julie","startTime":590.463,"endTime":594.183,"body":"Um, oftentimes when patients initially"},{"speaker":"Julie","startTime":590.463,"endTime":594.183,"body":"feel it, it feels like a little"},{"speaker":"Julie","startTime":594.183,"endTime":596.373,"body":"bit of a tickle near their throat."},{"speaker":"Julie","startTime":596.853,"endTime":600.363,"body":"Um, a little bit of a, you know,"},{"speaker":"Julie","startTime":596.853,"endTime":600.363,"body":"butterflies if you will, for"},{"speaker":"Julie","startTime":600.363,"endTime":601.653,"body":"lack of a better description."},{"speaker":"Julie","startTime":601.953,"endTime":609.213,"body":"Um, so generally speaking, patients"},{"speaker":"Julie","startTime":601.953,"endTime":609.213,"body":"land in about at 0.8 in terms of the"},{"speaker":"Julie","startTime":609.213,"endTime":613.023,"body":"amplitude, but we're able to adjust"},{"speaker":"Julie","startTime":609.213,"endTime":613.023,"body":"it based on their comfort level."},{"speaker":"Carrie","startTime":613.413,"endTime":613.473,"body":"Okay."},{"speaker":"Carrie","startTime":613.473,"endTime":615.273,"body":"I mean, we kind of get that"},{"speaker":"Carrie","startTime":613.473,"endTime":615.273,"body":"because every brain injury is"},{"speaker":"Carrie","startTime":615.273,"endTime":616.833,"body":"different, so we know nothing is."},{"speaker":"Carrie","startTime":617.338,"endTime":619.648,"body":"Set in stone for a brain injury patient."},{"speaker":"Carrie","startTime":619.648,"endTime":623.728,"body":"So it makes perfect sense that, you"},{"speaker":"Carrie","startTime":619.648,"endTime":623.728,"body":"know, it's adjustable per patient."},{"speaker":"Carrie","startTime":623.728,"endTime":629.068,"body":"So that makes, um, so kind of explain to"},{"speaker":"Carrie","startTime":623.728,"endTime":629.068,"body":"us when you first get it, obviously that's"},{"speaker":"Carrie","startTime":629.068,"endTime":631.558,"body":"gonna be in traditional therapy setting."},{"speaker":"Carrie","startTime":631.588,"endTime":631.678,"body":"Mm-hmm."},{"speaker":"Carrie","startTime":631.918,"endTime":632.698,"body":"How does it work?"},{"speaker":"Carrie","startTime":632.698,"endTime":635.788,"body":"How does that work versus"},{"speaker":"Carrie","startTime":632.698,"endTime":635.788,"body":"when I'm done with therapy"},{"speaker":"Carrie","startTime":635.788,"endTime":636.988,"body":"and now I'm on my own with it."},{"speaker":"Carrie","startTime":636.988,"endTime":638.098,"body":"Can you kind of explain that concept?"},{"speaker":"Julie","startTime":638.608,"endTime":639.298,"body":"Absolutely."},{"speaker":"Julie","startTime":639.298,"endTime":644.248,"body":"So initially after patients, they"},{"speaker":"Julie","startTime":639.298,"endTime":644.248,"body":"start, we have a protocol after"},{"speaker":"Julie","startTime":644.248,"endTime":649.108,"body":"patients have the surgery that's"},{"speaker":"Julie","startTime":644.248,"endTime":649.108,"body":"three times a week for six weeks."},{"speaker":"Julie","startTime":649.108,"endTime":651.148,"body":"Their therapy sessions are 90 minutes."},{"speaker":"Julie","startTime":651.658,"endTime":652.258,"body":"Um."},{"speaker":"Julie","startTime":653.323,"endTime":655.423,"body":"So they are, uh, committed to that."},{"speaker":"Julie","startTime":655.423,"endTime":656.863,"body":"The therapists are committed to that."},{"speaker":"Julie","startTime":657.193,"endTime":662.593,"body":"What is kind of, kind of unique is"},{"speaker":"Julie","startTime":657.193,"endTime":662.593,"body":"that the protocol is not necessarily"},{"speaker":"Julie","startTime":662.593,"endTime":665.023,"body":"specific exercises and activities."},{"speaker":"Julie","startTime":665.473,"endTime":668.683,"body":"The protocol is based on high"},{"speaker":"Julie","startTime":665.473,"endTime":668.683,"body":"repetitions of activities."},{"speaker":"Julie","startTime":668.683,"endTime":668.773,"body":"Mm-hmm."},{"speaker":"Julie","startTime":669.013,"endTime":673.633,"body":"What's great is that those"},{"speaker":"Julie","startTime":669.013,"endTime":673.633,"body":"activities and exercises are"},{"speaker":"Julie","startTime":673.633,"endTime":677.713,"body":"individualized, so patients',"},{"speaker":"Julie","startTime":673.633,"endTime":677.713,"body":"therapists are gonna take their goals."},{"speaker":"Julie","startTime":678.358,"endTime":681.058,"body":"That they've already established"},{"speaker":"Julie","startTime":678.358,"endTime":681.058,"body":"and they're gonna break down"},{"speaker":"Julie","startTime":681.058,"endTime":684.058,"body":"those goals into different"},{"speaker":"Julie","startTime":681.058,"endTime":684.058,"body":"movement patterns and activities."},{"speaker":"Julie","startTime":684.568,"endTime":689.518,"body":"Um, and then be able to incorporate, uh,"},{"speaker":"Julie","startTime":684.568,"endTime":689.518,"body":"the hyper repetitions in those tasks."},{"speaker":"Julie","startTime":689.698,"endTime":693.388,"body":"So patients go all the way through,"},{"speaker":"Julie","startTime":689.698,"endTime":693.388,"body":"get done with the six weeks."},{"speaker":"Julie","startTime":693.958,"endTime":697.318,"body":"At that point in time, it's a conversation"},{"speaker":"Julie","startTime":693.958,"endTime":697.318,"body":"to have patient, family therapist."},{"speaker":"Julie","startTime":697.798,"endTime":699.178,"body":"What makes the most sense?"},{"speaker":"Julie","startTime":699.418,"endTime":703.558,"body":"Patients are able to continue in"},{"speaker":"Julie","startTime":699.418,"endTime":703.558,"body":"therapy if their schedule allows."},{"speaker":"Julie","startTime":703.558,"endTime":705.238,"body":"The clinic schedule allows."},{"speaker":"Julie","startTime":705.703,"endTime":709.393,"body":"Insurance benefits allow all"},{"speaker":"Julie","startTime":705.703,"endTime":709.393,"body":"those types of things, they can"},{"speaker":"Julie","startTime":709.393,"endTime":714.163,"body":"absolutely continue in therapy and"},{"speaker":"Julie","startTime":709.393,"endTime":714.163,"body":"continue to use, uh, the viva-stem."},{"speaker":"Julie","startTime":714.823,"endTime":719.263,"body":"In the clinic with the therapist,"},{"speaker":"Julie","startTime":714.823,"endTime":719.263,"body":"this is probably my favorite part"},{"speaker":"Julie","startTime":719.263,"endTime":722.983,"body":"about Vivas stem, is that patients"},{"speaker":"Julie","startTime":719.263,"endTime":722.983,"body":"have the ability to activate the"},{"speaker":"Julie","startTime":722.983,"endTime":725.083,"body":"vagus nerve stimulation on their own."},{"speaker":"Julie","startTime":725.413,"endTime":730.393,"body":"So the implant is programmed,"},{"speaker":"Julie","startTime":725.413,"endTime":730.393,"body":"pre-programmed, patients"},{"speaker":"Julie","startTime":730.393,"endTime":731.863,"body":"cannot program the implant."},{"speaker":"Julie","startTime":731.863,"endTime":736.903,"body":"So there's no, there's no potential"},{"speaker":"Julie","startTime":731.863,"endTime":736.903,"body":"for mishaps, but it's programmed"},{"speaker":"Julie","startTime":736.933,"endTime":740.353,"body":"in the clinic and then patients"},{"speaker":"Julie","startTime":736.933,"endTime":740.353,"body":"can activate their implant."},{"speaker":"Julie","startTime":741.238,"endTime":745.318,"body":"At home doing their own things, their"},{"speaker":"Julie","startTime":741.238,"endTime":745.318,"body":"home exercise program given by their"},{"speaker":"Julie","startTime":745.318,"endTime":747.088,"body":"therapist up to eight times a day."},{"speaker":"Julie","startTime":747.688,"endTime":747.718,"body":"Okay."},{"speaker":"Julie","startTime":747.778,"endTime":751.498,"body":"The um, activation is set for"},{"speaker":"Julie","startTime":747.778,"endTime":751.498,"body":"a time period of 30 minutes."},{"speaker":"Julie","startTime":751.918,"endTime":757.228,"body":"Um, that's really important because"},{"speaker":"Julie","startTime":751.918,"endTime":757.228,"body":"it forces people to rest instead of"},{"speaker":"Julie","startTime":757.228,"endTime":760.138,"body":"going full throttle all of the time."},{"speaker":"Julie","startTime":760.438,"endTime":764.548,"body":"It's a forced rest break so patients"},{"speaker":"Julie","startTime":760.438,"endTime":764.548,"body":"can get started on their home exercise"},{"speaker":"Julie","startTime":764.548,"endTime":769.318,"body":"program, daily activities, you know,"},{"speaker":"Julie","startTime":764.548,"endTime":769.318,"body":"just getting dressed, um, showering,"},{"speaker":"Julie","startTime":769.588,"endTime":770.878,"body":"doing things around the house."},{"speaker":"Julie","startTime":771.133,"endTime":771.763,"body":"Working."},{"speaker":"Julie","startTime":772.213,"endTime":777.673,"body":"Um, and that turns on for 30 minutes and"},{"speaker":"Julie","startTime":772.213,"endTime":777.673,"body":"they get a stimulation that's equal to"},{"speaker":"Julie","startTime":777.733,"endTime":782.503,"body":"the same amplitude as what they get in"},{"speaker":"Julie","startTime":777.733,"endTime":782.503,"body":"the clinic every, uh, 10 seconds or so."},{"speaker":"Julie","startTime":782.743,"endTime":786.193,"body":"And so they're able to continue to"},{"speaker":"Julie","startTime":782.743,"endTime":786.193,"body":"build on that benefit of the vagus"},{"speaker":"Julie","startTime":786.193,"endTime":788.203,"body":"nerve stimulation all of the time."},{"speaker":"Julie","startTime":788.233,"endTime":788.593,"body":"Okay."},{"speaker":"Julie","startTime":788.833,"endTime":789.163,"body":"Yeah."},{"speaker":"Brittany","startTime":790.033,"endTime":790.783,"body":"That's nice."},{"speaker":"Brittany","startTime":790.873,"endTime":791.053,"body":"Yeah."},{"speaker":"Brittany","startTime":791.113,"endTime":793.303,"body":"So what are the side effects of it?"},{"speaker":"Brittany","startTime":793.633,"endTime":794.653,"body":"Of the stimulation."},{"speaker":"Julie","startTime":795.223,"endTime":800.383,"body":"Uh, so there are no, um,"},{"speaker":"Julie","startTime":795.223,"endTime":800.383,"body":"noted side effects of the stimulation"},{"speaker":"Julie","startTime":800.383,"endTime":804.493,"body":"itself, uh, sometimes right after"},{"speaker":"Julie","startTime":800.383,"endTime":804.493,"body":"surgery because the vagus nerve"},{"speaker":"Julie","startTime":804.523,"endTime":808.273,"body":"is close, uh, to, uh, the throat."},{"speaker":"Julie","startTime":809.038,"endTime":812.638,"body":"Patients may have a little bit of a"},{"speaker":"Julie","startTime":809.038,"endTime":812.638,"body":"hoarse voice right after surgery, but"},{"speaker":"Julie","startTime":812.638,"endTime":814.858,"body":"that resolves on its own in a few weeks."},{"speaker":"Julie","startTime":815.278,"endTime":818.158,"body":"Um, but sometimes patients are"},{"speaker":"Julie","startTime":815.278,"endTime":818.158,"body":"tired from the therapy sessions."},{"speaker":"Julie","startTime":818.313,"endTime":818.473,"body":"Oh"},{"speaker":"Carrie","startTime":819.303,"endTime":819.593,"body":"yeah."},{"speaker":"Carrie","startTime":819.723,"endTime":821.313,"body":"We're always tired from the therapist."},{"speaker":"Carrie","startTime":821.318,"endTime":821.518,"body":"Yeah."},{"speaker":"Carrie","startTime":822.028,"endTime":822.958,"body":"Then your therapists"},{"speaker":"Julie","startTime":822.958,"endTime":823.468,"body":"are good."},{"speaker":"Julie","startTime":824.398,"endTime":825.688,"body":"You don't leave exhausted."},{"speaker":"Carrie","startTime":827.038,"endTime":828.028,"body":"Well, and I'm"},{"speaker":"Carrie","startTime":827.038,"endTime":828.028,"body":"gonna back up a little bit."},{"speaker":"Carrie","startTime":828.028,"endTime":830.968,"body":"So, I mean, I know I asked"},{"speaker":"Carrie","startTime":828.028,"endTime":830.968,"body":"specifically what's the difference"},{"speaker":"Carrie","startTime":830.968,"endTime":835.528,"body":"between therapy and home, but like"},{"speaker":"Carrie","startTime":830.968,"endTime":835.528,"body":"we were talking earlier, y'all."},{"speaker":"Carrie","startTime":836.353,"endTime":839.383,"body":"Or y'all have traveled, but you"},{"speaker":"Carrie","startTime":836.353,"endTime":839.383,"body":"do have a clinic, so it's not."},{"speaker":"Carrie","startTime":839.788,"endTime":842.488,"body":"The therapy's not home therapy,"},{"speaker":"Carrie","startTime":839.788,"endTime":842.488,"body":"it's in a clinic setting."},{"speaker":"Julie","startTime":842.698,"endTime":843.208,"body":"Correct."},{"speaker":"Julie","startTime":843.208,"endTime":847.378,"body":"So the way that it works, and I, I"},{"speaker":"Julie","startTime":843.208,"endTime":847.378,"body":"need to back up as well, is when you're"},{"speaker":"Julie","startTime":847.378,"endTime":851.188,"body":"in that protocol, the three times a"},{"speaker":"Julie","startTime":847.378,"endTime":851.188,"body":"week for six weeks, our therapists"},{"speaker":"Julie","startTime":851.248,"endTime":857.188,"body":"in the outpatient clinics have a"},{"speaker":"Julie","startTime":851.248,"endTime":857.188,"body":"laptop with the Viva stem software."},{"speaker":"Julie","startTime":857.608,"endTime":860.758,"body":"That, uh, laptop also has"},{"speaker":"Julie","startTime":857.608,"endTime":860.758,"body":"a wireless transmitter."},{"speaker":"Julie","startTime":860.758,"endTime":864.718,"body":"The wireless transmitter communicates"},{"speaker":"Julie","startTime":860.758,"endTime":864.718,"body":"with the patient's implant."},{"speaker":"Julie","startTime":865.198,"endTime":869.668,"body":"Um, so when the patient is working"},{"speaker":"Julie","startTime":865.198,"endTime":869.668,"body":"with the therapist, they are giving"},{"speaker":"Julie","startTime":869.668,"endTime":875.698,"body":"extremely targeted stimulation of that"},{"speaker":"Julie","startTime":869.668,"endTime":875.698,"body":"vagus nerve during different points of"},{"speaker":"Julie","startTime":875.698,"endTime":877.918,"body":"those movement patterns and activities."},{"speaker":"Julie","startTime":878.248,"endTime":882.238,"body":"There's the big difference between"},{"speaker":"Julie","startTime":878.248,"endTime":882.238,"body":"the in-clinic and the at home, because"},{"speaker":"Julie","startTime":882.238,"endTime":886.723,"body":"the at home it's set to give you a"},{"speaker":"Julie","startTime":882.238,"endTime":886.723,"body":"stimulation every, every 10 seconds or so."},{"speaker":"Julie","startTime":886.723,"endTime":887.043,"body":"Mm-hmm."},{"speaker":"Julie","startTime":887.123,"endTime":887.403,"body":"Mm-hmm."},{"speaker":"Julie","startTime":887.483,"endTime":891.748,"body":"Whereas in the clinic, you're getting"},{"speaker":"Julie","startTime":887.483,"endTime":891.748,"body":"actually more stimulations because"},{"speaker":"Julie","startTime":891.748,"endTime":896.008,"body":"the therapist is able to judge"},{"speaker":"Julie","startTime":891.748,"endTime":896.008,"body":"where that stimulation   belongs"},{"speaker":"Julie","startTime":896.008,"endTime":897.448,"body":"in those movement patterns."},{"speaker":"Carrie","startTime":899.278,"endTime":899.518,"body":"Okay."},{"speaker":"Carrie","startTime":899.518,"endTime":900.208,"body":"That, that makes sense."},{"speaker":"Carrie","startTime":900.208,"endTime":900.448,"body":"That's why."},{"speaker":"Carrie","startTime":900.598,"endTime":900.718,"body":"Mm-hmm."},{"speaker":"Carrie","startTime":901.078,"endTime":902.968,"body":"When you were talking, we were"},{"speaker":"Carrie","startTime":901.078,"endTime":902.968,"body":"like you said, you know, you"},{"speaker":"Carrie","startTime":902.968,"endTime":903.898,"body":"all kind of work from home."},{"speaker":"Carrie","startTime":903.898,"endTime":908.488,"body":"I was like, well, so because"},{"speaker":"Carrie","startTime":903.898,"endTime":908.488,"body":"we, there are a lot of programs"},{"speaker":"Carrie","startTime":908.488,"endTime":910.288,"body":"now that go to your home there."},{"speaker":"Carrie","startTime":910.288,"endTime":910.634,"body":"There certainly are."},{"speaker":"Carrie","startTime":910.948,"endTime":912.088,"body":"Y'all do y'all, is this."},{"speaker":"Carrie","startTime":912.403,"endTime":916.153,"body":"Your own clinic or do y'all"},{"speaker":"Carrie","startTime":912.403,"endTime":916.153,"body":"work with other therapists?"},{"speaker":"Carrie","startTime":916.153,"endTime":916.453,"body":"That's"},{"speaker":"Julie","startTime":916.453,"endTime":917.473,"body":"the beauty of it."},{"speaker":"Julie","startTime":917.533,"endTime":918.823,"body":"That is the beauty of it."},{"speaker":"Carrie","startTime":918.823,"endTime":922.394,"body":"And Frisco Rehab and or"},{"speaker":"Carrie","startTime":918.823,"endTime":922.394,"body":"rehab with walls or whoever mm-hmm."},{"speaker":"Carrie","startTime":923.593,"endTime":925.843,"body":"Decide they want viva stem,"},{"speaker":"Carrie","startTime":923.593,"endTime":925.843,"body":"whatever program they're in."},{"speaker":"Julie","startTime":925.903,"endTime":926.833,"body":"Absolutely."},{"speaker":"Julie","startTime":926.893,"endTime":931.873,"body":"The, the great thing is, is that"},{"speaker":"Julie","startTime":926.893,"endTime":931.873,"body":"this is, um, uh, a technology"},{"speaker":"Julie","startTime":931.873,"endTime":934.333,"body":"that is available to any."},{"speaker":"Julie","startTime":934.738,"endTime":938.428,"body":"Outpatient therapy clinic that wants to"},{"speaker":"Julie","startTime":934.738,"endTime":938.428,"body":"learn about viva stem and wants to be"},{"speaker":"Julie","startTime":938.428,"endTime":940.588,"body":"able to administer it to their patients."},{"speaker":"Julie","startTime":941.098,"endTime":946.588,"body":"Um, when we talk about the laptop,"},{"speaker":"Julie","startTime":941.098,"endTime":946.588,"body":"that is, um, simply a loaner agreement"},{"speaker":"Julie","startTime":946.588,"endTime":948.238,"body":"between the clinic and our company."},{"speaker":"Julie","startTime":948.238,"endTime":954.238,"body":"So it doesn't cost the, the, the"},{"speaker":"Julie","startTime":948.238,"endTime":954.238,"body":"therapy sites anything to be able to"},{"speaker":"Julie","startTime":954.268,"endTime":958.378,"body":"be a part of this technology, which"},{"speaker":"Julie","startTime":954.268,"endTime":958.378,"body":"is absolutely fantastic for clinics."},{"speaker":"Julie","startTime":958.888,"endTime":959.398,"body":"Um."},{"speaker":"Julie","startTime":959.828,"endTime":964.388,"body":"So we work with a lot of different"},{"speaker":"Julie","startTime":959.828,"endTime":964.388,"body":"clinics in the area, and we are"},{"speaker":"Julie","startTime":964.388,"endTime":968.648,"body":"always, um, willing to educate,"},{"speaker":"Julie","startTime":964.388,"endTime":968.648,"body":"build that awareness as far as"},{"speaker":"Julie","startTime":968.648,"endTime":970.508,"body":"that this technology is out there."},{"speaker":"Julie","startTime":971.018,"endTime":974.258,"body":"Um, we've had a lot of patients"},{"speaker":"Julie","startTime":971.018,"endTime":974.258,"body":"who have come to us and said,"},{"speaker":"Julie","startTime":974.678,"endTime":976.148,"body":"I really like my therapist."},{"speaker":"Julie","startTime":976.148,"endTime":978.098,"body":"I, this is where I go to therapy."},{"speaker":"Julie","startTime":978.488,"endTime":980.648,"body":"Um, all of those things."},{"speaker":"Julie","startTime":980.648,"endTime":984.788,"body":"And so oftentimes we'll reach out"},{"speaker":"Julie","startTime":980.648,"endTime":984.788,"body":"and educate those therapists and."},{"speaker":"Julie","startTime":985.498,"endTime":988.318,"body":"Everybody meets together and is on"},{"speaker":"Julie","startTime":985.498,"endTime":988.318,"body":"the same page, and we're able to"},{"speaker":"Julie","startTime":988.558,"endTime":989.998,"body":"really spread the awareness and offer"},{"speaker":"Julie","startTime":989.998,"endTime":990.478,"body":"this."},{"speaker":"Julie","startTime":990.748,"endTime":993.778,"body":"M as close to patients as we possibly can."},{"speaker":"Carrie","startTime":994.018,"endTime":994.498,"body":"That's cool."},{"speaker":"Carrie","startTime":994.498,"endTime":998.908,"body":"Yeah, I know for, I don't know if it's"},{"speaker":"Carrie","startTime":994.498,"endTime":998.908,"body":"because it's not the same computer,"},{"speaker":"Carrie","startTime":998.908,"endTime":1002.718,"body":"so I don't know, but somehow, bit of a"},{"speaker":"Carrie","startTime":998.908,"endTime":1002.718,"body":"stem has been shown up in my Facebook"},{"speaker":"Carrie","startTime":1002.718,"endTime":1005.633,"body":"field a lot lately, but I don't,"},{"speaker":"Julie","startTime":1005.953,"endTime":1006.433,"body":"I don't know."},{"speaker":"Julie","startTime":1006.633,"endTime":1008.778,"body":"I, you know, I don't"},{"speaker":"Julie","startTime":1006.633,"endTime":1008.778,"body":"know how that works, but"},{"speaker":"Carrie","startTime":1008.778,"endTime":1012.198,"body":"I'm sure that the computer"},{"speaker":"Carrie","startTime":1008.778,"endTime":1012.198,"body":"here and buying does not talk to my"},{"speaker":"Carrie","startTime":1012.198,"endTime":1016.038,"body":"computer at home, and I don't get"},{"speaker":"Carrie","startTime":1012.198,"endTime":1016.038,"body":"on Facebook here, so I don't know."},{"speaker":"Carrie","startTime":1016.503,"endTime":1017.283,"body":"Someone's listening."},{"speaker":"Carrie","startTime":1017.283,"endTime":1018.783,"body":"Someone's listening somewhere."},{"speaker":"Carrie","startTime":1018.783,"endTime":1019.383,"body":"I'm just kidding."},{"speaker":"Carrie","startTime":1019.874,"endTime":1023.763,"body":"I'm gonna take a quick little break and"},{"speaker":"Carrie","startTime":1019.874,"endTime":1023.763,"body":"just remind our listeners to, um, go"},{"speaker":"Carrie","startTime":1023.763,"endTime":1028.053,"body":"ahead and click that like button, that"},{"speaker":"Carrie","startTime":1023.763,"endTime":1028.053,"body":"share button and that subscribe button and"},{"speaker":"Carrie","startTime":1028.053,"endTime":1029.493,"body":"the notify button if you're on YouTube."},{"speaker":"Carrie","startTime":1029.493,"endTime":1030.843,"body":"Just remember, click all the good"},{"speaker":"Carrie","startTime":1030.843,"endTime":1031.443,"body":"buttons."},{"speaker":"Carrie","startTime":1031.563,"endTime":1032.463,"body":"Keep on listening."},{"speaker":"Carrie","startTime":1032.883,"endTime":1033.783,"body":"So, okay."},{"speaker":"Carrie","startTime":1034.173,"endTime":1037.833,"body":"Um, now one thing that we are curious"},{"speaker":"Carrie","startTime":1034.173,"endTime":1037.833,"body":"about that I want to go back and"},{"speaker":"Carrie","startTime":1037.833,"endTime":1039.603,"body":"that, so like I am a stroke survivor."},{"speaker":"Carrie","startTime":1040.798,"endTime":1043.503,"body":"I'm a brain injury survivor is just"},{"speaker":"Carrie","startTime":1040.798,"endTime":1043.503,"body":"a traumatic brain injury survivor."},{"speaker":"Carrie","startTime":1043.503,"endTime":1044.283,"body":"She was in the car wreck."},{"speaker":"Carrie","startTime":1044.373,"endTime":1044.523,"body":"Mm-hmm."},{"speaker":"Carrie","startTime":1044.763,"endTime":1047.403,"body":"Is Vivas stem only for stroke survivors"},{"speaker":"Julie","startTime":1047.913,"endTime":1048.603,"body":"Currently?"},{"speaker":"Julie","startTime":1048.633,"endTime":1049.143,"body":"Yes."},{"speaker":"Julie","startTime":1049.203,"endTime":1050.733,"body":"Short answer is currently yes."},{"speaker":"Julie","startTime":1050.733,"endTime":1056.283,"body":"So our FDA approval is for, uh,"},{"speaker":"Julie","startTime":1050.733,"endTime":1056.283,"body":"chronic ischemic stroke survivors."},{"speaker":"Julie","startTime":1056.793,"endTime":1058.143,"body":"Um, as."},{"speaker":"Carrie","startTime":1059.148,"endTime":1060.528,"body":"They're not even hemorrhagic there"},{"speaker":"Julie","startTime":1060.588,"endTime":1061.068,"body":"currently."},{"speaker":"Julie","startTime":1061.068,"endTime":1061.458,"body":"No."},{"speaker":"Julie","startTime":1061.698,"endTime":1061.908,"body":"Mm-hmm."},{"speaker":"Julie","startTime":1062.148,"endTime":1063.648,"body":"So, exactly."},{"speaker":"Julie","startTime":1063.648,"endTime":1063.738,"body":"Yes."},{"speaker":"Julie","startTime":1063.798,"endTime":1069.168,"body":"So, however, yet, so as Liz, my"},{"speaker":"Julie","startTime":1063.798,"endTime":1069.168,"body":"counterpart likes to say, we have a"},{"speaker":"Julie","startTime":1069.168,"endTime":1071.628,"body":"long way to go in a really good way."},{"speaker":"Julie","startTime":1071.868,"endTime":1077.089,"body":"Research takes time to compile"},{"speaker":"Julie","startTime":1071.868,"endTime":1077.089,"body":"data and studies take time Sure."},{"speaker":"Julie","startTime":1077.688,"endTime":1078.318,"body":"To complete."},{"speaker":"Julie","startTime":1078.378,"endTime":1083.418,"body":"And so there are a lot of things"},{"speaker":"Julie","startTime":1078.378,"endTime":1083.418,"body":"in the works, um, with our"},{"speaker":"Julie","startTime":1083.418,"endTime":1086.118,"body":"research department as far as, um."},{"speaker":"Julie","startTime":1086.463,"endTime":1090.573,"body":"Based off of what we've seen with our"},{"speaker":"Julie","startTime":1086.463,"endTime":1090.573,"body":"patients who have gotten this implant"},{"speaker":"Julie","startTime":1090.573,"endTime":1095.253,"body":"and the um, off-label benefits that"},{"speaker":"Julie","startTime":1090.573,"endTime":1095.253,"body":"they have seen, there are a lot of"},{"speaker":"Julie","startTime":1095.253,"endTime":1096.843,"body":"studies coming down the pipeline."},{"speaker":"Julie","startTime":1097.413,"endTime":1098.163,"body":"Um Okay."},{"speaker":"Julie","startTime":1098.223,"endTime":1100.113,"body":"So we're really excited about it."},{"speaker":"Julie","startTime":1100.113,"endTime":1103.773,"body":"So currently in terms of FDA"},{"speaker":"Julie","startTime":1100.113,"endTime":1103.773,"body":"approval, yeah, it's for chronic"},{"speaker":"Julie","startTime":1103.773,"endTime":1105.603,"body":"is ischemic stroke survivors."},{"speaker":"Julie","startTime":1105.963,"endTime":1110.343,"body":"Um, who knows what we'll learn over"},{"speaker":"Julie","startTime":1105.963,"endTime":1110.343,"body":"the next few years as far as it"},{"speaker":"Julie","startTime":1110.343,"endTime":1112.383,"body":"being applicable to other things."},{"speaker":"Julie","startTime":1112.713,"endTime":1114.033,"body":"Definitely a lot more to come."},{"speaker":"Julie","startTime":1114.033,"endTime":1114.123,"body":"Good."},{"speaker":"Julie","startTime":1114.633,"endTime":1114.963,"body":"Yeah."},{"speaker":"Brittany","startTime":1116.493,"endTime":1116.643,"body":"Hm."},{"speaker":"Brittany","startTime":1117.603,"endTime":1123.573,"body":"So I guess it's for, um, those"},{"speaker":"Brittany","startTime":1117.603,"endTime":1123.573,"body":"type of categories of people."},{"speaker":"Brittany","startTime":1123.573,"endTime":1127.053,"body":"So how do you know if it will work,"},{"speaker":"Brittany","startTime":1123.573,"endTime":1127.053,"body":"or how do you know if it's working?"},{"speaker":"Julie","startTime":1127.923,"endTime":1131.193,"body":"Uh, in terms of for"},{"speaker":"Julie","startTime":1127.923,"endTime":1131.193,"body":"our stroke survivor patients?"},{"speaker":"Julie","startTime":1131.253,"endTime":1131.433,"body":"Yes."},{"speaker":"Carrie","startTime":1131.433,"endTime":1131.613,"body":"Yeah."},{"speaker":"Carrie","startTime":1131.643,"endTime":1134.763,"body":"Or like how do you decide"},{"speaker":"Carrie","startTime":1131.643,"endTime":1134.763,"body":"this stroke survivor?"},{"speaker":"Carrie","startTime":1135.153,"endTime":1137.098,"body":"Is a, it's a viable option for them."},{"speaker":"Carrie","startTime":1137.098,"endTime":1137.338,"body":"Mm-hmm."},{"speaker":"Carrie","startTime":1137.518,"endTime":1139.938,"body":"Or maybe it's not a viable option."},{"speaker":"Carrie","startTime":1140.163,"endTime":1140.553,"body":"Right."},{"speaker":"Carrie","startTime":1140.613,"endTime":1140.763,"body":"Yeah."},{"speaker":"Carrie","startTime":1140.763,"endTime":1142.023,"body":"How do you determine that?"},{"speaker":"Julie","startTime":1142.053,"endTime":1142.803,"body":"So currently"},{"speaker":"Julie","startTime":1142.803,"endTime":1146.553,"body":"with our FDA labeling, we're looking"},{"speaker":"Julie","startTime":1142.803,"endTime":1146.553,"body":"at ischemic stroke survivors."},{"speaker":"Julie","startTime":1146.853,"endTime":1153.063,"body":"Um, and we're looking at those patients"},{"speaker":"Julie","startTime":1146.853,"endTime":1153.063,"body":"who have really have done all the initial"},{"speaker":"Julie","startTime":1153.123,"endTime":1158.463,"body":"therapy because we like for the body to"},{"speaker":"Julie","startTime":1153.123,"endTime":1158.463,"body":"recover as much as possible on its own."},{"speaker":"Julie","startTime":1158.523,"endTime":1160.893,"body":"And hopefully people don't need us."},{"speaker":"Carrie","startTime":1161.478,"endTime":1161.868,"body":"As they"},{"speaker":"Julie","startTime":1161.868,"endTime":1165.348,"body":"recover because their body"},{"speaker":"Julie","startTime":1161.868,"endTime":1165.348,"body":"has done such a great job therapy and"},{"speaker":"Julie","startTime":1165.348,"endTime":1167.178,"body":"physicians have done such a great job."},{"speaker":"Julie","startTime":1167.538,"endTime":1172.638,"body":"Um, but for those patients who have"},{"speaker":"Julie","startTime":1167.538,"endTime":1172.638,"body":"started to plateau with the traditional,"},{"speaker":"Julie","startTime":1172.938,"endTime":1176.958,"body":"you know, therapy and physician"},{"speaker":"Julie","startTime":1172.938,"endTime":1176.958,"body":"routes, that's where we come in."},{"speaker":"Julie","startTime":1177.408,"endTime":1182.148,"body":"Um, so anytime we have patients who"},{"speaker":"Julie","startTime":1177.408,"endTime":1182.148,"body":"are interested in us, who either"},{"speaker":"Julie","startTime":1182.148,"endTime":1185.358,"body":"reach out directly to us, their"},{"speaker":"Julie","startTime":1182.148,"endTime":1185.358,"body":"physicians, their therapists have"},{"speaker":"Julie","startTime":1185.358,"endTime":1187.128,"body":"referred them, we always provide."},{"speaker":"Julie","startTime":1187.503,"endTime":1192.033,"body":"Education we have, not only myself, but"},{"speaker":"Julie","startTime":1187.503,"endTime":1192.033,"body":"we also have a team of nurse navigators."},{"speaker":"Julie","startTime":1192.273,"endTime":1192.303,"body":"Okay."},{"speaker":"Julie","startTime":1192.303,"endTime":1194.463,"body":"Who provide background education."},{"speaker":"Julie","startTime":1194.733,"endTime":1195.933,"body":"That is huge."},{"speaker":"Julie","startTime":1195.933,"endTime":1202.113,"body":"We want everybody to understand what Vivas"},{"speaker":"Julie","startTime":1195.933,"endTime":1202.113,"body":"stem is, how it works, what the protocol"},{"speaker":"Julie","startTime":1202.113,"endTime":1206.583,"body":"is on the back end, because this is, this"},{"speaker":"Julie","startTime":1202.113,"endTime":1206.583,"body":"is a commitment like you were talking"},{"speaker":"Julie","startTime":1206.583,"endTime":1208.923,"body":"about earlier, lifelong potentially."},{"speaker":"Julie","startTime":1208.953,"endTime":1212.493,"body":"And so that understanding"},{"speaker":"Julie","startTime":1208.953,"endTime":1212.493,"body":"is a huge, huge component."},{"speaker":"Julie","startTime":1212.493,"endTime":1212.583,"body":"Sure."},{"speaker":"Julie","startTime":1212.883,"endTime":1213.393,"body":"Um."},{"speaker":"Julie","startTime":1214.023,"endTime":1217.713,"body":"To really success for the"},{"speaker":"Julie","startTime":1214.023,"endTime":1217.713,"body":"patients and clinicians."},{"speaker":"Julie","startTime":1217.713,"endTime":1222.273,"body":"So education is, is,"},{"speaker":"Julie","startTime":1217.713,"endTime":1222.273,"body":"uh, the first component."},{"speaker":"Julie","startTime":1222.273,"endTime":1227.793,"body":"And then patients go for a therapy"},{"speaker":"Julie","startTime":1222.273,"endTime":1227.793,"body":"evaluation, um, either with a PT and ot."},{"speaker":"Julie","startTime":1228.363,"endTime":1231.903,"body":"Um, and the reason for that is we get"},{"speaker":"Julie","startTime":1228.363,"endTime":1231.903,"body":"that baseline motor function score."},{"speaker":"Julie","startTime":1231.963,"endTime":1234.903,"body":"We use a, a motor function"},{"speaker":"Julie","startTime":1231.963,"endTime":1234.903,"body":"assessment called the ugal."},{"speaker":"Julie","startTime":1234.903,"endTime":1238.713,"body":"My assessment, it's been around"},{"speaker":"Julie","startTime":1234.903,"endTime":1238.713,"body":"a really long time and it was"},{"speaker":"Julie","startTime":1238.713,"endTime":1241.083,"body":"used in our study, uh, that."},{"speaker":"Julie","startTime":1241.458,"endTime":1242.868,"body":"Led to our FDA approval."},{"speaker":"Julie","startTime":1242.868,"endTime":1246.978,"body":"So it's a great baseline measure for"},{"speaker":"Julie","startTime":1242.868,"endTime":1246.978,"body":"us to be able to track data long-term"},{"speaker":"Julie","startTime":1246.978,"endTime":1248.718,"body":"for everybody across the country."},{"speaker":"Julie","startTime":1249.318,"endTime":1252.828,"body":"Um, after that happens, you"},{"speaker":"Julie","startTime":1249.318,"endTime":1252.828,"body":"know, everything looks good."},{"speaker":"Julie","startTime":1252.918,"endTime":1254.958,"body":"Everybody's on board on the same page."},{"speaker":"Julie","startTime":1254.958,"endTime":1257.838,"body":"Patients go for a surgical"},{"speaker":"Julie","startTime":1254.958,"endTime":1257.838,"body":"consultation because it is a"},{"speaker":"Julie","startTime":1257.838,"endTime":1259.218,"body":"surgery like we talked about."},{"speaker":"Julie","startTime":1259.668,"endTime":1263.748,"body":"And so our patients go meet with the"},{"speaker":"Julie","startTime":1259.668,"endTime":1263.748,"body":"surgeon, discuss medical history."},{"speaker":"Julie","startTime":1264.058,"endTime":1267.268,"body":"The ins and outs of the procedure,"},{"speaker":"Julie","startTime":1264.058,"endTime":1267.268,"body":"medications, things like that."},{"speaker":"Julie","startTime":1267.508,"endTime":1269.818,"body":"Make sure that everything"},{"speaker":"Julie","startTime":1267.508,"endTime":1269.818,"body":"looks good on that end."},{"speaker":"Julie","startTime":1270.178,"endTime":1274.138,"body":"Um, and then they go for the surgery"},{"speaker":"Julie","startTime":1270.178,"endTime":1274.138,"body":"and continue on with the protocol."},{"speaker":"Julie","startTime":1274.408,"endTime":1279.028,"body":"So we get to know all of our patients"},{"speaker":"Julie","startTime":1274.408,"endTime":1279.028,"body":"really, really well because it"},{"speaker":"Julie","startTime":1279.028,"endTime":1281.038,"body":"is, it is all about communication."},{"speaker":"Julie","startTime":1281.638,"endTime":1282.328,"body":"Absolutely."},{"speaker":"Carrie","startTime":1282.628,"endTime":1282.808,"body":"Sure."},{"speaker":"Carrie","startTime":1282.808,"endTime":1283.443,"body":"That makes sense."},{"speaker":"Carrie","startTime":1283.503,"endTime":1288.298,"body":"And yeah, so one of the things that, um,"},{"speaker":"Carrie","startTime":1283.503,"endTime":1288.298,"body":"Brittany and I kind of talked about as"},{"speaker":"Carrie","startTime":1288.298,"endTime":1291.388,"body":"we were doing it is, I mean, I'm gonna."},{"speaker":"Carrie","startTime":1291.648,"endTime":1296.508,"body":"I guess, you know, it doesn't directly"},{"speaker":"Carrie","startTime":1291.648,"endTime":1296.508,"body":"help your mental state of mind, but"},{"speaker":"Carrie","startTime":1296.508,"endTime":1301.338,"body":"I've got to guess that this gives"},{"speaker":"Carrie","startTime":1296.508,"endTime":1301.338,"body":"some sort of huge boost mentally for"},{"speaker":"Carrie","startTime":1301.338,"endTime":1304.338,"body":"those patients that see it working."},{"speaker":"Julie","startTime":1304.428,"endTime":1305.148,"body":"Absolutely."},{"speaker":"Julie","startTime":1305.148,"endTime":1310.398,"body":"To see, to see patients and how"},{"speaker":"Julie","startTime":1305.148,"endTime":1310.398,"body":"they, um, just, you know, like"},{"speaker":"Julie","startTime":1310.398,"endTime":1313.998,"body":"you just said mentally, everything"},{"speaker":"Julie","startTime":1310.398,"endTime":1313.998,"body":"overall when they, when they start"},{"speaker":"Julie","startTime":1313.998,"endTime":1318.978,"body":"to see that, that progress, you"},{"speaker":"Julie","startTime":1313.998,"endTime":1318.978,"body":"know, after, after years of kind of."},{"speaker":"Julie","startTime":1319.923,"endTime":1321.693,"body":"Being up and down with therapy."},{"speaker":"Julie","startTime":1321.693,"endTime":1321.783,"body":"Mm-hmm."},{"speaker":"Julie","startTime":1322.023,"endTime":1326.523,"body":"And yes, I make progress and then kind"},{"speaker":"Julie","startTime":1322.023,"endTime":1326.523,"body":"of declines a little bit to be able"},{"speaker":"Julie","startTime":1326.583,"endTime":1328.443,"body":"when they, when they see that, yeah."},{"speaker":"Julie","startTime":1328.443,"endTime":1329.733,"body":"It just, it changes everything."},{"speaker":"Julie","startTime":1329.733,"endTime":1333.723,"body":"It spills over into a lot of o"},{"speaker":"Julie","startTime":1329.733,"endTime":1333.723,"body":"other things in a really great way."},{"speaker":"Julie","startTime":1333.903,"endTime":1334.653,"body":"Absolutely."},{"speaker":"Brittany","startTime":1335.913,"endTime":1336.993,"body":"Can you share any"},{"speaker":"Julie","startTime":1336.993,"endTime":1339.333,"body":"success stories"},{"speaker":"Julie","startTime":1336.993,"endTime":1339.333,"body":"that you have or, sure."},{"speaker":"Julie","startTime":1339.333,"endTime":1339.693,"body":"Sure."},{"speaker":"Julie","startTime":1339.693,"endTime":1340.383,"body":"Absolutely."},{"speaker":"Julie","startTime":1340.383,"endTime":1343.113,"body":"So we've seen a lot of super cool things."},{"speaker":"Julie","startTime":1343.203,"endTime":1343.773,"body":"Um."},{"speaker":"Julie","startTime":1344.358,"endTime":1349.218,"body":"Over the past few years, specifically here"},{"speaker":"Julie","startTime":1344.358,"endTime":1349.218,"body":"locally in the Dallas-Fort Worth area, um,"},{"speaker":"Julie","startTime":1349.668,"endTime":1353.388,"body":"we had one gentleman last summer, uh, who."},{"speaker":"Julie","startTime":1354.018,"endTime":1355.668,"body":"Was absolutely fantastic."},{"speaker":"Julie","startTime":1355.698,"endTime":1360.078,"body":"And as a retired air conditioning"},{"speaker":"Julie","startTime":1355.698,"endTime":1360.078,"body":"repairman loved to still"},{"speaker":"Julie","startTime":1360.078,"endTime":1361.608,"body":"do stuff around the house."},{"speaker":"Julie","startTime":1361.608,"endTime":1361.609,"body":"Mm-hmm."},{"speaker":"Julie","startTime":1361.818,"endTime":1361.908,"body":"Mm-hmm."},{"speaker":"Julie","startTime":1362.478,"endTime":1366.348,"body":"Um, and fix things and do things,"},{"speaker":"Julie","startTime":1362.478,"endTime":1366.348,"body":"which made his wife a little nervous."},{"speaker":"Julie","startTime":1366.468,"endTime":1366.558,"body":"Mm-hmm."},{"speaker":"Julie","startTime":1366.918,"endTime":1371.148,"body":"Um, but that, so those were really"},{"speaker":"Julie","startTime":1366.918,"endTime":1371.148,"body":"big goals with him and his therapists."},{"speaker":"Julie","startTime":1371.208,"endTime":1376.458,"body":"And he worked really, really hard and"},{"speaker":"Julie","startTime":1371.208,"endTime":1376.458,"body":"was able to finally, for the first time"},{"speaker":"Julie","startTime":1376.518,"endTime":1382.578,"body":"since his stroke, I think it had been"},{"speaker":"Julie","startTime":1376.518,"endTime":1382.578,"body":"almost seven years, able to, uh, repair."},{"speaker":"Julie","startTime":1383.348,"endTime":1385.238,"body":"His air conditioner using both hands."},{"speaker":"Julie","startTime":1385.868,"endTime":1385.988,"body":"Oh, nice."},{"speaker":"Julie","startTime":1386.018,"endTime":1387.668,"body":"Yes, which was huge."},{"speaker":"Julie","startTime":1387.758,"endTime":1388.688,"body":"Which was huge."},{"speaker":"Julie","startTime":1388.748,"endTime":1394.988,"body":"Um, we have had patients who, um,"},{"speaker":"Julie","startTime":1388.748,"endTime":1394.988,"body":"it's been something as simple as I was"},{"speaker":"Julie","startTime":1394.988,"endTime":1401.618,"body":"able to hug my wife with both arms,"},{"speaker":"Julie","startTime":1394.988,"endTime":1401.618,"body":"which is, which is absolutely amazing."},{"speaker":"Julie","startTime":1402.278,"endTime":1407.018,"body":"Um, big thing, patients going"},{"speaker":"Julie","startTime":1402.278,"endTime":1407.018,"body":"out to eat, able to cut."},{"speaker":"Julie","startTime":1407.018,"endTime":1409.778,"body":"We had, uh, some patients last year who."},{"speaker":"Julie","startTime":1410.388,"endTime":1413.028,"body":"Wanted to go out for a steak dinner"},{"speaker":"Julie","startTime":1410.388,"endTime":1413.028,"body":"because they were able to cut their"},{"speaker":"Julie","startTime":1413.028,"endTime":1415.613,"body":"own steak so there was no more, uh."},{"speaker":"Julie","startTime":1416.178,"endTime":1418.758,"body":"Eating a bowl of soup"},{"speaker":"Julie","startTime":1416.178,"endTime":1418.758,"body":"or a salad or something."},{"speaker":"Julie","startTime":1418.938,"endTime":1421.098,"body":"They were able to use both"},{"speaker":"Julie","startTime":1418.938,"endTime":1421.098,"body":"hands to cut their own steak."},{"speaker":"Carrie","startTime":1421.188,"endTime":1422.238,"body":"Yeah, that's called my dad."},{"speaker":"Carrie","startTime":1424.638,"endTime":1425.568,"body":"I totally get that."},{"speaker":"Carrie","startTime":1425.658,"endTime":1426.169,"body":"Yeah know."},{"speaker":"Carrie","startTime":1426.174,"endTime":1426.373,"body":"Yeah."},{"speaker":"Carrie","startTime":1426.498,"endTime":1428.928,"body":"When I go for a steak, it's like"},{"speaker":"Carrie","startTime":1426.498,"endTime":1428.928,"body":"my birthday going for a steak."},{"speaker":"Carrie","startTime":1428.928,"endTime":1430.573,"body":"I'm like, okay, here you go, dad."},{"speaker":"Julie","startTime":1431.988,"endTime":1433.338,"body":"Yeah, absolutely."},{"speaker":"Julie","startTime":1433.428,"endTime":1433.968,"body":"Absolutely."},{"speaker":"Julie","startTime":1433.968,"endTime":1437.208,"body":"Some of those, some of those things"},{"speaker":"Julie","startTime":1433.968,"endTime":1437.208,"body":"that, um, you know, as they like"},{"speaker":"Julie","startTime":1437.208,"endTime":1438.468,"body":"to say, you take for granted."},{"speaker":"Julie","startTime":1438.603,"endTime":1439.023,"body":"Mm-hmm."},{"speaker":"Brittany","startTime":1439.123,"endTime":1439.543,"body":"Mm-hmm."},{"speaker":"Brittany","startTime":1439.728,"endTime":1439.908,"body":"Yeah."},{"speaker":"Brittany","startTime":1440.058,"endTime":1440.298,"body":"Yep."},{"speaker":"Brittany","startTime":1440.688,"endTime":1442.188,"body":"Well, that's awesome about the stories."},{"speaker":"Brittany","startTime":1442.398,"endTime":1444.168,"body":"Um, thank you for joining us, Julie."},{"speaker":"Brittany","startTime":1444.588,"endTime":1445.008,"body":"Appreciate it."},{"speaker":"Brittany","startTime":1445.008,"endTime":1446.898,"body":"And thank you for all"},{"speaker":"Brittany","startTime":1445.008,"endTime":1446.898,"body":"those who are listening."},{"speaker":"Carrie","startTime":1447.588,"endTime":1450.468,"body":"And again, if you would like"},{"speaker":"Carrie","startTime":1447.588,"endTime":1450.468,"body":"to contact us, you can email us at"},{"speaker":"Carrie","startTime":1450.468,"endTime":1455.238,"body":"BIND waves at the BIND dot org or"},{"speaker":"Carrie","startTime":1450.468,"endTime":1455.238,"body":"find us are on our website at it's"},{"speaker":"Carrie","startTime":1455.298,"endTime":1458.058,"body":"the BIND dot org slash BIND waves."},{"speaker":"Carrie","startTime":1458.238,"endTime":1460.188,"body":"And again, you can always"},{"speaker":"Carrie","startTime":1458.238,"endTime":1460.188,"body":"follow us on Instagram."},{"speaker":"Carrie","startTime":1460.968,"endTime":1463.518,"body":"At, you know, at BIND waves."},{"speaker":"Carrie","startTime":1464.538,"endTime":1465.618,"body":"Um, so yeah."},{"speaker":"Brittany","startTime":1465.948,"endTime":1466.248,"body":"Yeah."},{"speaker":"Brittany","startTime":1466.368,"endTime":1470.478,"body":"And don't forget to, like, share and"},{"speaker":"Brittany","startTime":1466.368,"endTime":1470.478,"body":"subscribe on your favorite platform,"},{"speaker":"Brittany","startTime":1470.508,"endTime":1475.338,"body":"and also hit Notify on your YouTube"},{"speaker":"Brittany","startTime":1470.508,"endTime":1475.338,"body":"while listening to BIND Waves."},{"speaker":"Carrie","startTime":1475.638,"endTime":1478.278,"body":"And remember, you can find"},{"speaker":"Carrie","startTime":1475.638,"endTime":1478.278,"body":"us on all your favorite platforms."},{"speaker":"Carrie","startTime":1478.398,"endTime":1479.688,"body":"So, until next time."},{"speaker":"Brittany","startTime":1479.688,"endTime":1480.618,"body":"Until next time."},{"speaker":"Brittany","startTime":1480.909,"endTime":1483.759,"body":"We hope you've enjoyed listening to"},{"speaker":"Brittany","startTime":1480.909,"endTime":1483.759,"body":"BIND Waves and continue to support"},{"speaker":"Brittany","startTime":1483.759,"endTime":1485.199,"body":"BIND in our nonprofit mission."},{"speaker":"Brittany","startTime":1485.979,"endTime":1490.389,"body":"We support brain injury survivors as they"},{"speaker":"Brittany","startTime":1485.979,"endTime":1490.389,"body":"reconnect into the life, the community,"},{"speaker":"Brittany","startTime":1490.509,"endTime":1493.899,"body":"and their workplace, and we couldn't do"},{"speaker":"Brittany","startTime":1490.509,"endTime":1493.899,"body":"that without great listeners like you."},{"speaker":"Brittany","startTime":1493.899,"endTime":1495.549,"body":"We appreciate each and every one of you."},{"speaker":"Brittany","startTime":1495.789,"endTime":1496.689,"body":"Continue watching."},{"speaker":"Brittany","startTime":1496.689,"endTime":1497.589,"body":"Until next time."},{"speaker":"Brittany","startTime":1497.649,"endTime":1498.459,"body":"Until next time."}]}