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Dr. Nate Crider joins us to discuss his approach to prosthetic care through telemedicine, where he bridges the gap between prosthetists, patients, and insurance requirements. As a PM&R specialist, he has expanded to 14 states in just three years, improving outcomes by bringing medical expertise directly to prosthetic clinics.

• Telemedicine solves mobility challenges for amputees while improving communication between medical and prosthetic providers
• Insurance documentation requires specific medical necessity language that many primary care providers don't understand
• Collaborative appointments with patients and prosthetists ensure accurate assessment of functional needs and appropriate technology selection
• Technology advancements including osseointegration, pattern recognition for upper extremities, and K2 microprocessor knees are changing patient options
• Proper socket fit, liner replacement, and supply management significantly impact patient comfort and functional outcomes
• Interdisciplinary approaches with surgeons, PM&R specialists, and prosthetists lead to better amputee care from surgery through rehabilitation
• Small and large prosthetic practices benefit from specialized medical documentation support that reduces denial risks

For more information about Dr. Crider’s telemedicine services, connect with him on LinkedIn or contact Madrina company, which operates in 46 states.

A special thanks to Advanced 3D for sponsoring this episode.

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Bill Wright shares his global healthcare and engineering journey spanning 36 countries over 50 years. His uniques experiences reveal how important it is to create lasting impact through sustainable solutions with good engineering.

•On one of his jourey's Bill was introduced to prosthetics in Bangladesh where he encountered the Jaipur foot made from sandals and rubber tire parts
• The design uniquely suited patients who walked barefoot and needed to squat for daily activities
• Working across 36 countries required addressing universal needs: water, wastewater management, electricity, and material supply chains
• Haiti stands among the most challenging locations due to extreme poverty and lack of infrastructure
• Solar power has revolutionized healthcare delivery, from small charging panels to systems powering entire hospitals
• 3D printing offers potential for on-site manufacturing but requires finding and retaining technically skilled personnel
• Success can be measured in individual lives changed – like Jose Manuel who now drives and studies law despite missing all four limbs
• Sustainable development requires training locals rather than relying on expatriate presence
• The most effective organizations focus on teaching

Special thanks to Advanced 3D for making this episode possible.

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Bryan Costello shares his incredible journey from nuclear power plant worker to prosthetic innovator after losing his leg in a workplace accident. Drawing on his mechanical expertise, he developed heating and cooling systems for prosthetic sockets that address temperature regulation problems that have plagued amputees for decades.

• Developing heating elements that integrate between carbon fiber laminations in prosthetic sockets
• Creating cooling systems with circulating water that prevent overheating and excessive sweating
• Designing moisture-wicking distal end pads that absorb sweat and protect sensitive residual limb tissue
• Working with Special Forces members who successfully climbed Mount Everest using his heated sockets
• Expanding his technology to orthotics and medical emergency cooling boards for trauma patients
• Pursuing L-codes to make his innovations more accessible through insurance coverage
• Finding success through direct marketing on LinkedIn and social media

Special thanks to Advanced 3D for sponsoring this episode.

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