Cosi Talks with Special Guest Jimmy Capra, CEO of Click and Kyle Stepp, Elite Athlete and Amputee Advocate – Introducing the New Click Reel

seeing orange ribbons everywhere on your social media accounts we even got a social little orange ribbon on the Cozy

talks logo today uh so as you guys can see I have some friends with me I have Kyle Stepp and I have Jimmy Capra and it

is Click medical night on cozy talks so guys for those of you who are watching the replay y’all have been awesome about

keeping tabs on me through the replay if you have any questions as you’re watching the show go ahead and put it in

the comment section I always go back and I look at the previous shows to see if there’s any questions from folks watching the replay or if you just want

to give me a shout out that’d be great too but we’re going to give you guys a couple of minutes to jump on board we’ve

got a great show on tonight guys we’ve got a really amazing show so Kyle this is your first time on the Cozy talk show

and Jimmy too right first time yeah this is your first time newbies I love news

all right guys so as you jump on board you know the routine don’t be shy let me know who you are where you’re from and

what is in your click medical mug and guys if you don’t some of you might already have a click medical mug because you may have won on the show last year

but if you don’t oh you got the Black version that one’s cool I like that one

uh you’ll have a chance to win a couple of these babies tonight uh so let’s see we’ve got click Medical on four we’ve

got Andrea she is my occupational therapist from Gainesville Florida celebrating your anniversary today right

Andrea if I saw your Facebook correctly I think you said 25 years way to go we’ve got Linda and we’ve got oh Emily

you joined in from Central PA Emily’s been one of my newer viewers so I’m so excited that you’re here again tonight guys I see we’ve got Kimberly coming in

from Utah drinking water water really okay that’s all right we’ll let that pass all right and she’s watching in

from my YouTube channel guys uh as you know I broadcast Facebook and YouTube

some of you find it easier to find me on YouTube if you’re making the recommendation of the show to someone you know YouTube can sometimes be a

little bit easier and friendlier we’ve got Mike coming in from New York we’ve got a nice crew jumping on we’re going

to give you guys another minute or two uh see Andrea says I used I click medical cup for the Frozen marks at

Epcot nice big fan of that you Sandra love that

yeah see my husband likes this because this means that my coffee doesn’t go flying all over the car in the morning when I’m

driving the kids to school as I’m somewhat want to do we’ve got Gene coming in from California we are all

across the United States here hey there’s Benny there’s my Marine Corps man right there Benny we’ve got Diana

from Riverview Florida so Diana my fellow Floridian so Kyle tells me that

he’s not going to come back to visit Florida anymore or something about Gators trying to eat him or something like that

we’re gonna bring that one up all right guys I think we will go ahead and get started

uh Emily says I got a smaller shrinker good the other one was too loose good I am glad that your prosthetist got you

that smaller shrinker because that will make it so much better for you and hopefully with that lymphedema as well Emily all right guys we’re gonna go

ahead and get started for those of you who are joining me for the first time welcome my name is kosi bayoso I’m a

physical therapist amputee specialist here in hot sticky sweaty Tampa Florida with me tonight I have my sponsors one

of my sponsors for 2023 click medical they are the creators and the inventors of one of the adjustable system

technologies that we’re going to be going over tonight and we have Jimmy Capra CEO and co-founder of Click

medical and then we have Kyle stepp and I’m just going to introduce him as amazing human being and I’m going to let

him tell you all about himself because it’s just he’s just an amazing human being so guys welcome to the show thank you

for your time and for being here this evening we really appreciate it so Kyle why don’t you just tell us a

quick little bit about yourself because you’re going to get more into your story later but just so people can hear your voice thanks Kelsey I appreciate it um Andrea

I love that you love New Mexico so next time you come visit let me know happy to show you new places that you haven’t

been before um but as close to mentioned my name is Kyle stepp and I am an above the amputee

from Albuquerque New Mexico a little over two years ago I I became a member of our community after downhill mountain

bike accident and over the past two years have found healing and purpose through physical activity and movement

I’m currently pursuing the Paralympics in Triathlon as well as so many of us

that have experienced just the challenges to get access to the care that we all deserve and so my personal

passion right now is doing legislative change across the United States to bridge the gap to access to Prosthetics

and Orthotics right and then Jimmy tell us a little bit about you oh

um yeah Jimmy caparov um gosh gosh uh one of the weird things about myself I’ve been in business for myself since I

was eight years old and um and I just I just love creating businesses and I love creating uh products that really help

people so it’s been a really great adventure over the last eight years creating click medical and to see the

impact that just as small and simple idea can really have on on people and

and their ability to really live the lives that they want to live so excited to talk to you about that tonight

yes absolutely and guys you know this is my second year working with click medical as an official sponsor of the

show and I I am not tired of talking about click medical when it comes up in conversation a lot when I’m talking to

folks within the community and it’s it’s definitely um growing a lot and a lot of people are noticing it and using the product and

very happy you have a lot of loyal fans here on the show right now too we’ve got Johnny V from Poughkeepsie New York and the Cozy talks house we got Jerry oh

good y’all got the text reminder yes so guys I’m gonna do this it’s my one Shameless plug that I gotta do for those

of you who are new to the show okay if you want to know when it is that I am going live

all you have to do is text cozy talks and all caps one word to that number and I promise I don’t spam your phone or any

blow it up or anything like that I just send you a reminder when I go live and I include the links in there to make it

super easy for you we’ve got Marianne coming in from South Dakota we’ve got Chuck on board and we had Mo here I

forgot there was Mo from Canada all right we got our Canadians on board so guys tonight we’re going to give you a

brief overview of all the fun toys that click medical has to offer we’re going to focus a little bit more on their new

technology because they’re always improving upon their designs there all right so

Jamie’s telling us we have to smile because she’s gonna take a screenshot all right Jamie ready one

there you go Jamie I hope you got it okay so guys click medical came about the

other founder is uh Joe and he’s been on the show several times as well so Joe is a prosthetist he was out skiing with his

wife and one of his patients called saying that they were having a problem with the the limb volume in the socket

the socket was just too big and he saw that his wife was adjusting her ski boot

with this cool little boa dial and that’s where the creation of the revofit system came into play right Jimmy

yeah that was the that was the inspiration right like Joe was really hoping that he could find a way where

where a patient actually had to control themselves rather than having to

realize a difficulty or or um you know poor fit then make an appointment and come in for a visit

um really most everyone would love to be able to just dial in the fit right when they need it and that was what he was

looking for and and when he saw his his wife dial in her snowboard boot he knew he had found an idea that would that

might work so guys I’ve been using the word adjustability we were talking about dialing it in so for a lot of you who

are new to being an amputee or maybe many of you who have been amputees but you’re just not sure what I’m talking about when you become an amputee

obviously one of the biggest obstacles when you’re first learning to use your prosthesis is adjusting the fit of your

socket and Kyle you’re still fairly recent from your your own amputation right so you can probably comment on

just how much your residual limb fluctuates in that first year year and a half after surgery right absolutely cozy

because when you originally you know the amputation happens you have a large volume there’s a lot of volume in a

residual limb that’s full of fluid and also so many your muscles are starting to heal the tendons are starting to heal

there’s so much complication that’s happening so you have a ton of inflammation and so it can happen

quickly and it can also happen over time where your limb does start to shrink

where you lose volume where you’re naturally maturing into your residual limb but I’ll tell you I’m still on that

Journey um there there could be like honestly two weeks ago I didn’t have I didn’t

need apply but now I do but lucky enough I’m able to adjust my socket um to be able to meet that demand no no

little plug in there but really I think the beautiful thing is being able to

have adjustability absolutely so we got Compadre and comadre on board we got Liz coming in

and Sandra thank you for joining us so guys we’ll do a quick cozy poll I want to hear from you how many of you

fluctuate on a daily basis whether you’re a new amputee or whether you are

years out of your amputation right because I think this is what catches a lot of my newer patients by surprise hey

we got Lou on board checking in from Santa Barbara California what’s up Lou

right so I think this is what causes a lot of confusion with a lot of my patients because they’re just like okay I’m almost a year and a half out of my

imputation my limb is changing every day what okay right and especially here in

Florida we joke about the hot sticky humidity and sweaty weather but that’s a huge Factor right Kyle that’s huge

traveling because cozy being here in New Mexico we have drier weather so I I sweat

um but I did not sweat as much as I went to Florida and I didn’t realize how much that impacted the volume of my residual

was not prepared for that um and that was that’s one of those blessings is when you do have the

adjustability right then and there you can meet that need and be able to make sure you have the fitting socket no

matter where you are freezing cold South Dakota our friends in South Dakota we know whether raising South Dakota or all

the way to hot sunny Florida absolutely so we got comments coming in so Benny says I still fluctuate and Benny’s been

out for a long time Emily says I have lymphedema so swelling is a constant battle Diana says six years out still

having the the fluctuations Johnny V same thing 21 years and still fluctuate and guys even in what’s considered to be

a mature limb you’re going to have fluctuations I have one gentleman his name is not joking James Bond

um and he’s an above the knee amputee and he’s been an amputee for decades now and he says I wake up in the morning and

I have five ply by lunch 10 ply by dinner time on 15 ply and then I start everything again the next morning so

he’s mature in the sense that it’s the same pattern but there’s fluctuation even within that okay and then Emily

brought up a very good point she has she struggles with lymphedema okay so your medical conditions I always say you know

those of you who lost your limb due to vascular issues and diabetic issues those are still present in your body and

they’re still you know causing some problems and that can be seen with your limb fluctuating getting bigger and

smaller okay so again one of the biggest frustrations for my patients is that fit

right how many ply socks do I put on how many socks do I take off when do I do

this what a pain in the neck I’ve got to take this thing on and off five times a day right

so go see one point there too is you know most of us don’t like to take our

pants off unless we’re in a private space right there’s just that small you know

so you know the the ability to to use socks to manage for volume it works

but boy that inconvenience of having to stop what you’re doing find a private place disrobe try it again and the

really crazy part is that oftentimes when you take your leg off it starts to swell a little bit and then you put the

sock on and then you put the socket on and and already it doesn’t quite fit right until you start ambulating again

yeah so that’s what we’re trying to address is the ease and ability to to manage that volume with just a simple

turn of a dial even and then even through your clothing absolutely and then the last thing I

hear from my patients is first thing in the morning right even those of you who still wear your shrinker at night and you have to do the Hop skip dance to get

into your socket right and some of you will tell me I have to walk 34 steps and then I finally start to see I mean right

finally sinking into the socket um so yeah and I’m getting all these comments here Mo says I’ve been an

amputee for almost 12 years and it’s fluctuating and it’s really inconvenient so let’s talk a little bit about what they’ve created here right so we’ve got

a lot of toys I’ve got all my toys here so let’s talk a little bit about

so if you talk to your prosthetist and you say I want to have an adjustable socket let’s get the revo fit system

right your prosthetist will build your socket right and this is something I really want to make it a point to to

make this point because many of you do have wonderful prosthetists who make beautiful sockets right so they’re still

in charge of making the socket they will order the revofit kit and inside this

kit they’re going to have all the materials they need to build the adjustability into the socket so and

it’s Kyla’s lovely demonstrating right there right and I have one of my friends here right so there’s several different

ways they have a panel design where they can cut out panels like this they have a

gap and then a huge design I don’t happen to have a hinge design with me do you

happen to have one Jimmy yeah the Hamish design you know opens opens to allow for

really easy um Dawning and Doffing and then and it also is great for limbs that aren’t quite Cinderella or or maybe a little

bit bulbous on the end you can get in without all that pressure and then you can close the door up and create the fit

that way it really just says that easy as simple as what hit he just Twisted right there and you’re in the socket now a lot of

people get confused because they see all this action on my model socket so Guys these are just the different options and

that’s kind of what I like is everybody is shaped a little bit differently everybody needs that relief in the

little different places so it’s nice to have these options Kyle what do you have what do which which model do you have I

know yeah so um on mine I personally have the Gap

um that’s where I found to be the best here so where I can adjust it right here and being able to open it up and close

it um you could tell that it’s closed because I finished running earlier and so halfway through the run I had to

tighten it because I lost some volume in the middle of my run and that’s what I love too is knowing when I start my run

it’s going to be my my residual limb is often a little bit more swollen

um just naturally sitting throughout the day I think so many of us will can sit throughout the day whether you’re working or you’re at home and you’ll

naturally just increase in volume and when I went to go put into my running leg I was like oh that’s a little tight

10 minutes into the run it was already loose and I already started losing volume and so for me I don’t want to

skip a beat I don’t think any of us want to skip a beat we just want to keep going so the ability while on the Run

um tightened it and got it to the perfect um to the perfect fit I needed and not

having to take everything off because guys you all know yeah yeah I I love working with Runners and I

see so many times especially on Instagram so the runners I follow you see them just taking their leg off mid-run wiping things down trying to get

it back on and put come on no cozy before I will tell you before I had before I had the click dial

on my running leg I’d be in the middle of a run I’d be sweating my leg would

this is crazy but it would fall off because I would lose suction because I didn’t have I couldn’t have the

tightness and I’d be in the middle of the street it’s kind of the funniest things I’d be in the middle of the side of the street trying to hold the

telephone pole wiping my leg off because I’m sweating so much and now like I

don’t worry about that I can you know I I know that I can get to the end of my run

um by adjusting the tightness or you know by loosening it as well because there might be times you may have a

little bit of swelling in the middle of your run that naturally happens as well so for you to be able to have that perfect comfort so you don’t skip a beat

absolutely and guys I’m gonna pause for a moment because I realized I forgot to announce the winner of our email subscription um

so the email of our winner subscription is Mark sovich so Mark congratulations we’ll be emailing you and you will be

receiving uh one of these click medical Yeti mugs these are really nice guys

congratulations to you and we’re actually going to go ahead and post our next giveaway so guys this one is our

Instagram giveaway and Jamie my Vanna White behind the scenes is going to put the handle up

there for us it’ll take a moment but she’ll get there

all right Olga good question she’s asking does the prosthetist need special training to do this so Jimmy I’m gonna

let you answer that one yeah I mean that’s a great question um some training yeah um we do offer a

very comprehensive class that uh prosthetists can take at any time right

so if you came in to your prosthetist and you wanted an adjustable socket but they didn’t know how to do it that’s no

problem uh they they will need to do a little bit of training within about an hour of of training and then maybe a

little bit of practice they can start to have the skills that they need in order to start to make an adjustable socket

there’s also some great ways for sockets to be made by people who do this all the time so you know if your process uses a

central fabrication um facility those guys are building these all the time so there you can have

a lot of confidence that your prosthetist can do this for you and I see a lot of my local prosthetists

using the click medical and guys I do have to make the statement there are other adjustable system Solutions out

there on the market um I will just flat out say I prefer the click medical one I’ve tried I’ve worked

with some of the other ones that are out there and they’re good systems I have patients who are happy with them but I consistently keep going back to

recommending The Click medical I just like all the variations that are available um aesthetically I like how it looks

it’s very aesthetically pleasing and Sleek um and it’s just it’s easy it’s easy and

comfortable for my patients so guys the link that click medical just posted is to their Instagram okay so listen

carefully because here’s the here’s the and I just lost my train of thought for just a split second there’s the mom

brain kicking in all right here’s what you got to do go to their Instagram site and you’re gonna see some of the

benefits okay about the new click reel that just came out all right so look at

those benefits and tell us which benefit you’re most excited about and I want you to put that in the comments section okay

so Lou says great to see you guys just came back from the process of my new socket and I was so thankful to be able

to adjust my socket on the three hour drive home from La if it was a if it was

La that probably means you only had to drive two miles but it took you three hours isn’t that the truth I was gonna say the

same thing cozy I was like so how far did you go

all right Kimberly I’m gonna hold you to it to watch the replay Emily asked a really good question how do you know the

prosthesis is fitting if you don’t have great sensation I have l45 spina bifida so Emily believe it or not a lot of

amputees even if they have full sensation they have to learn what the good fit the right fit feels like and it

really is a feeling so even if you don’t have complete sensation right when you work with your physical therapist and

adjusting the fit of your socket there’s going to come a point in time where your physical therapist says this this is how

it’s supposed to fit or your prosthetist right so as a physical therapist I look at landmarks I look to see how the skin

is reacting you know is there redness do I see pressure points somewhere and when I feel like I have a really good fit on

that socket I’ll tell the patient okay take kind of a mental picture of what this feels like how you feel like when

you’re standing this is how it should fit and this is how it should feel so even though you have impaired sensation

you’re still going to get a feeling as to how it should fit once your

prosthetist gets the right fit on there so I’m probably not I don’t know if I’m making sense but Kyle you’re the one who can really talk to us about this

yeah absolutely so I think one of the main things is as you’re feeling the sensation so knowing that you may have a

little bit of challenges with the Sensation that you personally have um you’ll notice where you can sense how

much Gap you may have in inside the socket so knowing so knowing ideally

your the inside of your inside of your socket is having constant contact with

your with your residual limb to the point where it’s comfortable because sometimes too much contact can be

uncomfortable but knowing that you’re keeping your suspension inside your socket where you’re able to make sure

that it’s staying intact at the bottom depending on your your suspension system which could be a great segue into the

next part as well but as well as ensuring that you have the contact and

so knowing you may not know how tight is just be able to check you can check by the inside of your hand to see how much

room or space you may have and to be able to ideally you you don’t want to be

able to fit your hand in and so knowing that you have if you’re not able to put

your hand in there you’re you’re able to have that Constant Contact and that’s how you can check is by you know taking

your hand around your residual limb in the brim of your socket to check to make

sure you have that contact if you can’t feel the sensation personally and then also checking your skin Emily

when you take everything off if you have pinkness and maybe just a touch of redness but it subsides after a few

minutes then you know you’re on the right track if you have redness that is persistent and is staying there then you

know it’s too tight right um and it’s it’s it’s a guessing check you’ve got to you’ve got to go through

the learning process again with your process of physical therapist helping you out with this uh zerot asks any

online training about this socket yes so there’s uh it’s called click Academy and

it’s on the click Medical website and I know Jamie will probably put that link up for us

um and they have a lot of online courses there I’ve actually been going through them myself

uh let’s see Drew good question what happens if your distal limb shrinks is there a way to adjust it or just the

sides adjust does the adjusting the socket cause more volume lost and does the compression cause the limb to lose

more volume so Jimmy do you want to grab that one yeah I think that’s a great question um and we we have had some feedback in

the past that that folks who now now have the capability to to compress compress compress sometimes they will

see over time a a change in their overall limb volume

um what is interesting right is that we as humans we kind of think that well if tight is good then tighter is better

um and that’s not always the case right so it’s kind of a bit of a learning curve to figure out what is this what is

the right amount of of compression for myself and and and might I do that amount of compression at the right time

so for example Kyle might really enjoy having a pretty tight socket during his run but while he’s cooking in the

kitchen or if he’s sitting on the couch the the beauty is you can expand that socket and let the fluid back into your

limb which is great for limb Health it’s a bit more comfortable uh your overall tissue is happier so it’s really a bit

of a learning process not unlike figuring out how to use socks this is just a whole lot easier to try to figure

out I’m going to dial in some tension or I’m going to dial out some some expansion I think that’s a really

important part that you just brought up Jimmy is the ability to loosen to tighten and loosen

um knowing because that’s more often than not the only solution is to tighten it

um and so knowing that you have that adjustability by just dialing in I mean it could be micro a very very small

adjustment or really large and that’s really the important part is when your prosthetist is going through that

process is there they want to give you a little bit extra room too knowing that whether it’s you may have some increase

in volume that was something you know we discovered um that I had a little bit of muscle gain that we did not expect that I would

have so knowing that we are able to allow to adjust where it can loosen depending on if I do you know gain some

muscle back but at the same time too it could be time of year it could be your the climate you’re in it could be

where you’re located there’s so many factors so the ability to choose in in

that spectrum of size and fit whenever you want absolutely and then Drew just

to answer your question if you have more shrinking on the distal end that’s why I kind of like the beauty of these

different options so where you place the adjustment the paneling the hinge the Gap design your process can put those in

the socket to accommodate to where you need that compression more

um so yeah and then Jerry yes would it be easier to put on than a regular socket if your tibia bone is pronounced yes especially if you do have a the

distal if the bottom part of your limb is a little bit bigger what we call kind of a bulbous shape and that tibia just

is also poking out and getting in the way absolutely it makes it a lot more comfortable and trying to shove it on you know with the tibia sticking out

um we’ve got beer now oh that’s my that’s one of my colleague Physical Therapy colleagues from Iceland and wreck oh am I going to pronounce this

right Reykjavik please forgive me if I mispronounce that she wants to know do you offer this kit in any countries

other than the states and also how much can you adjust this so you can adjust up

to 10 ply correct Jimmy correct me if I’m wrong you know that’s the that’s the number that we talk about

um we’ve got a couple of studies where you know there’s like a full 16 of of compression and that doesn’t that

doesn’t include the expansion right so it’s about 20 volume change is what the

the system well a three panel socket um typically can create

one of the beautiful things that that I wanted to bring back to Cosi you said

that you like this over different types of systems and I’m going to highlight just the fact that one of the coolest

Parts about the way we develop this product is it’s designed to go into a custom socket so whether whether it’s

big whether it’s small whether it’s long whether it’s short whether it’s shaped in all sorts of different ways that is

okay the prosthetist has the opportunity to then look at your body and see what it

needs and then design the socket to to move uh and compress or expand right

where you need it so that’s really that beautiful element of of how customizable the overall system is

absolutely and then Johnny V is asking what kind of maintenance is required to the adjustable socket

that depends a little bit on who you are um and I say that because you know we’ve

designed the system to be really robust and last a long time that said sockets are made out of carbon fiber which is

really sharp and some some uh amputees are very immobile some are incredibly

mobile and it really depends on the design it depends on your activity level what we typically say is hey that lace

is going to last about six months at minimum maybe it’ll last you three or four years we’ve seen it all but just be

aware that that lace should be changed out occasionally The Reel itself is guaranteed for the

life of the socket so if you ever have any issues with it or it breaks for some reason um it’s it’s backed by us and we’ll just

get you a new one you can just put a brand new one right in sounds good and then Diana says the click allows me to get back into working

out like I did prior to amputation prior to the click I would lose volume all writing in the spin bike and lots of

issues with the loose socket click allows me to tighten during the ride thanks to you for all you do and allow us get back get our lives back so you

know better testimony than that right so we are I mean I love how you guys are asking so many questions and I’m like oh

we have so much more to talk about too so I’m just briefly going to touch upon the other like I said fun toys that

click medical has to offer one of them is the revo lock and this is their suspension system this is something that

I’m a real stickler on the show is for you all to understand the difference between the shape of a socket and the suspension of a socket because I think

sometimes we get those mixed up but have no fear we’re going to be doing a whole show on suspension systems I believe

it’s in August we’ve got a suspension show coming up so we’re going to talk more about their suspension system there and then we have

one of my personal favorites the revo surface okay and we’re also doing a show on the revo surface as well so for a lot

of you who are like well I’ve got a really great comfortable socket I know I need adjustability but I’ve got a

comfortable socket otherwise and I don’t want to like Jinx that because we all know because when we fast for a new

socket it doesn’t fit quite as nicely so this is where the revo surface to me is

a really great option because you can put it onto your existing socket okay so I really really love that and I also

love the fact that you can put these systems on a check socket so if you’re just like I don’t know if this is going to work for me or not I don’t know I

want to try it out troubleshoot it you can put it on the check socket and and trial it out right so it’s very user

friendly in that regard did I get through everything I think I got through everything right yes okay

so let’s talk a little about the star about tonight so the on March 30th y’all came out with a brand new reel so

the one that I have this is one of the first models is called the boa dial and you can right so go out pop it in click click

click click click and then off you go and then to release the tension you would pull it out and the tension

releases completely right so that one was a little bit bigger an 18 millimeter

profile right and the reason why I mentioned that is the new system now is I believe 14 millimeters

so it’s a lower profile and you’re probably just like cozy four millimeters really you’re making a big deal about that but Kyle will tell you four

millimeters makes the difference doesn’t it especially you know depending on where where the placement is of that dial

um you know for above me amputees it’s right at the knee and it’s hard getting pants on and off I mean that profile

makes a big difference especially if you’re wearing pants um and getting caught on things I will

tell you the lower profile it just blends perfectly into the socket

they’ll adjust it through the clothing which is just really kind of cool absolutely you can just I mean you can

even just tell just how much closer it is versus I mean I’ve had where it was it was about out here and you can just

see that you know you can see the difference in the profile and that’s for me it makes a huge impact especially

just daily activities of putting clothes on and off that’s probably one of the most frustrating things because you have

this massive you have that you had a pretty large dial that was sticking out there and now it kind of Blends into the

socket so it’s seamless and again guys this is when I compare it to other adjustable socket systems out

there this is kind of like the most Sleek design that I’ve seen um so Jimmy tell us about like the star

part of this new click reel which is my favorite part yeah so you know we’ll talk about the

little The Reel itself but here it is in my hand you can kind of tell how how big it is

um one of the one of the things that we’ve really set out to do um and you know thank you to boa for

um in helping you know the the fact that BOA dials existed on snowboard boots helped spark the idea and then you know

we we worked with boa dials for about seven years uh was really good effect

um but we knew that there was more to more to innovate around and and as we were gathering a lot of feedback from

from users we were finding that profile was really a big deal we were finding

that that the ability to only to tighten it was and and not be able to release it

that was kind of a problem for folks and then the other thing is that you know boa dials are made they’re made

specifically for Footwear um specifically like uh the dials we were using for snowboard boots

snowboarding is a good thing I mean it’s a you know it’s also also sees some pretty extreme use but most snowboarders

snowboard about five days a year amputees use their limb every single day

right and so we were finding that the Reel just didn’t have the kind of longevity that it needed the the grip

would wear out sometimes the internal plastic components would wear out so we just said you know what let’s let’s

design a reel that’s going to really be specifically designed for the prosthetic industry let’s make it really really

strong and so we made it out of a lot of metal components that uh that can really last the life of a device

let’s make it able to be to compress um if you tighten to the right or loosen

if you if you turn to the left the ability like Kyle said earlier because there’s a there’s a gear train

that that provides a lot of power it also provides a huge amount of fidelity so if if I wind the dial up half turn

I’m going to get half a millimeter two millimeters of of compression or release

half a millimeter that’s that’s crazy you know but and you’d think it wouldn’t even make a difference but it makes a

huge difference so the ability to be able to either compress or expand with with such

Fidelity really brings a nice fit to a to a practitioner or sorry to a

patient to our amputee anytime that they need it and that really makes a big difference so those were kind of the

main things we were hoping to deliver in the new reel that we just launched last

week absolutely now how many of you here’s another quick cozy poll let’s say you’ve

got five ply on and you’re like uh it’s getting loose and you put one more ply so you’re up to six fly and you’re like

that was too tight you related like a five and a quarter ply or a five and a half ply but that

doesn’t exist in ply stock so you have to put on the six ply and Grunt and bear

and walk around until that limb shrinks down enough how many times has something like that happened to you guys in the

comment section I want to see those hands up right now all right so let’s see we’ve got some comments that came in

uh Emily asked do you have do you kind of have to ease into a new prosthesis how long should you be wearing it when

you get your first prosthesis Emily that’s a very good question I do put my patients on a wearing schedule

um especially patients who have sensitive skin and someone like yourself who has lymphedema decreased sensation

you would be somebody that I would be very conservative with the wearing schedule and getting you used to it little by little again protecting your

skin and allowing your body to get used to it so there’s no pain and no breakdown in the process yes insurance

does approve this Sean I have I’ve actually hadn’t had any problems from my patients or viewers telling me that it

was denied by their insurance um so it’s it’s it’s there

um good question Liz and actually Jimmy you could answer this one if you have the boa dial can it be changed to the

new reel easily uh you know unfortunately we did not do a backwards compatible uh system

primarily because really what it it was going to require a lot higher profile

so we would we would suggest you know keep using that socket if you’ve got a boa system but the next time that you go

in talk to them about when you’re when you’re going to be eligible for a new device and within that new device you

could move into a um a new click reel the other the other element is that you

know like cozy said that Revo surface kit can be used on existing sockets so

there’s there’s some times where it might make sense to try to move into a Revo surface scenario it just depends on

your socket and the need for for adjustability okay and then Ben Gregory to answer your

question yes these are available for our below the knee patients it just so happens that I have a bunch of AK models here with me but yes it is available for

our bks as well let’s see make sure I got all these questions Ben Gregory says

it’s a fine line between five and six Mike Davies raises hand yes you guys know what I’m talking about obviously so

Kyle tell us because you’ve you had a chance to use the boa dial and now you’re using the new click reel

tell us how you feel about the differences between the two yeah absolutely so I think the first thing I’ll start off with is the difference is

when you have the boa when you if you want to loosen or tighten you have to fully release

the release the dial in order to get to the specific size you want

yes that’s fine I think if if you are you know I think adjustability is

beautiful in an inside and out but the ability to make micro adjustments in

that moment is what’s key and so when I originally had the boa dial I would

you know I’d have to completely pop it out um and then increase the resistance to

get to the tighter fit I wanted um and unfortunately that’s not that’s not the most comfortable you know one of

the best parts about the click dial is whether it’s you know I’d be sitting here right now and let’s say I need to

loosen it I can just take a couple of couple of key turns and loosen it to the size I want or in the moment oh no I’m

actually I need it tighter because sometimes you may not get it to the exact size you wanted and the amount of

times I like popped it in and out I’m like no no no that’s tight oh dang it I went too far and that’s the funniest

things like I went too far and so you have to loosen it back up and start all over again

um and then the last thing as we mentioned before is um is just how Sleek it is um I think

the size of it mattered um knowing you know when I wear pants it got caught on things and it wasn’t that

that got frustrating um and so being able to have that low profile and it doesn’t get caught on my

clothing was really important okay very quick note one quick note on that cozy is that um you know we knew we

that was a big complaint by a lot of people and a lot of that comes from the fact that on a on a boa dial it has this

rubber grip the rubber grip is really nice because it gives you a lot of uh purchase with your fingers but boy does

it get caught on clothing so the creation of the click reel we

actually made it a plastic grip that’s actually quite slippery that’s great for clothing

if you still want the rubber for your for the for the feel or the touch or maybe you maybe you would have some hand

strength issues and you want a little bit more leverage you can put on a rubber grip and they

come in two versions that make you know the Comfort grip we call it and the power grip so there’s lots of options

there depending on your needs no it’s great especially for my folks who have fine motor uh impairment there

um Richard good question what’s the best way to get a rural prosthetist interested the same way you get an urban

process interested you squeak the wheel and you talk to them about it and you ask them a lot of questions about it

that’s honestly guys why click Medical’s on my show because two years ago so many

of you came to me with questions about adjustable socket technology and I knew I had as a clinician I had to get caught

up with the times and figure out okay what is this new technology and what is out there

um so I know you know sometimes clinicians myself included we get set in our ways and our preferences for one thing and we don’t want to look outside

the box but I think if you just keep bringing it to your classes especially if it’s a prosthetist that you have a

good relationship with that they are good at making your sockets and you just need to give them that push

push and ask them to have that conversation if this is an appropriate fit for you

and cozy we’re here to help um if if a prosthetist needs to

understand it better if they need training if they need to understand about how to bill for the insurance

coverage we are here to help them um this is the we we handle these kind of questions all day long and and know

that you can tell your process clicks here for you just give them a call we answer the phone and we’d love we’d love

to have a conversation about it they do and guys they mean it I’ve had one or two viewers that they were just like you know we’re having this issue and I

connected them with the click team and they they answered they answered the viewer right away um with regards to Diana you said you

had a problem with your insurance Diana um email me and I have a couple of things here that click just sent me

right now that we can help you out with that so please and guys let me just put my

to the show my email address I’m the only one who

answers it guys so if you have any questions in general anything about recovery from amputation

um please feel free to send me that that email to the to that email address that’s the whole purpose of this show

um or if you don’t want to necessarily ask your question live on the show I am happy to answer your question so Diana I

want you to please email me and say Cosi you said you were going to find this answer for me about the insurance and I will send you that information you do

they keep one of my toes I’m like nope that’s the whole point of the show right we have a lot of comments that came in

oh my gosh um Jenny says I find myself needing different layers of socks on the top of

the socket and then the bottom how can this fix that issue um so Jenny again just the different

ways that the adjustability can be built into this socket with the different types of designs you know like I said

we’ve got a gap design we’ve got a panel design we’ve got hidden design um it can really be placed in different

parts of the socket to accommodate for the fit uh let’s see because sometimes sometimes

people build sockets with two two systems on them um and that you know that isn’t that

isn’t right for everybody but boy there are just some conditions or some scenarios that people struggle with

um we had one guy who had three he was a line cook in a Las Vegas kitchen and he lost so much volume that you know the

first two hours he did system one the second two hours he did system two and the the last hours he did system three

so there’s a lot of options to make it work for you well can you imagine if he wouldn’t have

had those systems how many times that’s a lot that’s a lot uh Drew this

works with a variety of different suspension systems um they do have one they have at the revo lock and it’s a

mechanical suspension so it’s a mechanical lock system and again we’ll be going over suspension systems on a

different show um Kyle go ahead yeah no absolutely I think it also whether your suspension

system is suction or you can work with you know click for the but personally

you know more often than not a lot of us have used um have used the suction suspension

system and so it’ll be fine I know a lot of people have questions about what about my liners different

um because I know there’s different ways the ring is put on um whether it’s built into your liner or

it’s a external ring that you may have and I have found personally that it

works in um I’ve gone through multiple different liners and all the different versions of five what’s comfortable and it’s a click

nice there you go there you go uh let’s see has click had much dealings with the

VA we have there’s a lot of Champions within the VA that are using our product

quite often um many different VA recipients have uh

adjustable sockets it is absolutely an option wonderful and then Liz says I know my

prosthetist took the online classes and spoke with people at click mine was one of the first times he made this kind of socket wonderful

um so Jerry you know and this happens

Mary’s just mentioning that I’m you know she mentioned click to her prosthetist and they kind of brushed it off and I mentioned they had another new socket

come out in 2024 and they didn’t seem interested in that one either they make sockets at their Clinic maybe that’s why I don’t know so Jerry one thing I want

you to understand and maybe your process knows or maybe your process isn’t aware the prostitution is still the one making

the socket right what click medical is providing is all the tools needed to build the adjustability into the socket

now some of the other adjustable socket systems yes those are not built by the

prosthetist right or it’s built by a specialty clinic so it could be that your prosthetist doesn’t understand the

difference between click Medicals versus other systems and that might be something you might want to bring to their attention

I thought there was a couple of things because sorry Kyle

um you know there are some different adjustable sockets out there there’s a comment that just came in on the Martin socket

um and that’s that’s really it’s a it’s a nice adjustable socket it is it is the entire socket is made by Martin

Technologies and so a lot of prosthetists they lose a lot of control when they have to buy the entire

prosthesis from a different company the beauty about the revo fit system and

all the products that we offer is that they get integrated into the device that the prosthetist is building so it’s just

one more tool and that they can use to create functionality in a in a socket so

it once they get used to it once they see what it actually is it becomes pretty easy for them but it does take

some some uh change and change is hard yep uh so go ahead Kyle yes yes I think

there’s two things Jerry you bring up a really good point it’s so the first thing is introducing them to the click

team allowing your prosthetists to ask questions um to be curious about the technology because more than often not because I

think a lot of people um struggle with new Solutions or new ideas until they’re educated on the

solution itself and so taking the opportunity Jerry that I really encourage you that

um you as as a person the limb loss Community as well you decide what you want and more often not like you can

have the conversation with your process and would you be willing to explore this please I want to look into this and

working with them and I may be biased is that we’re always told the key thing so that’s just the

way it is um Jerry I think so many of us that if I did a poll on how many times you’ve

heard that statement it’s probably it’s you you’ve heard it multiple times in your journey but Jerry

um if this is something that you want or something you’re interested in exploring I definitely recommend

um if if your prosthetist is not willing to do it it’s also finding a practitioner that was willing to meet

the needs that you want um and ensure that you get the best fitting care and best fitting prosthetic you you deserve and again another

question and I ran into this there was one process that I respect very much is a phenomenal prosthetist and he just has

his own way of creating an adjustable socket and that’s fine and his patients were very happy and it’s a good solution

but the point is he has that option for his patients right where I have a little

bit of like a moment is when somebody will say well I just won’t make an adjustable socket and it’s like well

okay can we move outside of that box a little bit now if your prosthetist has an adjustable solution that they like to

use that patients are happy with and they’ve had experience okay then I can see why they may want to stick to that

idea but if they don’t have any kind of a solution and they don’t want to look into it then maybe a second opinion is

an order yeah time to time to ask that’s a really good point that’s a great point kosty and again so

Drew I think the biggest and again I am not guys let me just say I am not an expert on the Martin bionic system I’ve had a couple of patients with it so I

can comment generally on it um but I’m going to comment more on the comparison and Drew is asking what is the

comparison between the two they look very different they are very different systems they uh adjust in a different

way it’s a almost like a I don’t know if ratchet is the right word to use the ratchet strap is how they use the

adjustability um again I personally just like this because it’s taking a traditional socket

that you are already comfortable with that your process is already comfortable making that kind of shape and adding the adjustability into it as you need it

okay guys so what I would do you know if you if you’re wanting to compare the two find a Martin bionics practitioner and

ask them these questions they’re the ones who are who can answer this best for you in terms of the comparison between the two

um and Drew if this is something that you are thinking of making a change again go to find a prosthetist who works

with click medical and I believe there’s are there there’s a directory correct yes yes so actually Jamie can I trouble

you to put that directory so click medical has a directory online of practitioners who offer The Click

medical adjustable system so Drew if you want to look up one in your area just make an appointment and just ask them

questions right and get that consult and see what they can do for you and again I’d urge you

guys to call us our phone number’s on the website we’re happy to talk to patients we’re happy to talk to practitioners we’re happy to talk to

anybody who wants adjustability and uh and we can just learn a little bit more about what you need and then direct you

into some of our you know um even our favorite practitioners who might be in your area and help you out

that way okay um Jamie can you text me the name of our

winner for Instagram I’ve been so we’ve been so busy talking we’re having some great conversations

here so guys for those of you I don’t know if we you know if you guys got a chance to

do it but click on the Instagram click medical uh page follow it and then tell us what is your favorite feature so far

about the new click reel and put it into the comments section okay Kyle

it’s you buddy it’s all you right now sit back because you’re going to want to

hear this man’s story no and empathy that he is doing from Sports to legislature it’s all in one package

right here awesome I don’t know it’s like what are

those that you just you hand over the mic you’re like oh I just forgot your entire life story

if you want to start with the Gators that’s the story if anyone that knows me um I can get on

some really random tangent stories so I think I’m just gonna keep it in line that we don’t go down the gator story

maybe we’ll get there um but everyone as as cozy mentioned my name is Kyle step and I’ve just

um I’ve been a member of the limb loss and limb loss Community for a little over two years and I think so many of us

have had our fair share of Journeys and how we got to this point um you know for 14 years I lived with

chronic pain before my amputation um in 2008 I was diagnosed with a high

grade form of osteosarcoma and at the time my my surgeon recommended a surgery

called limb Salvage with the hopes to preserve my limb as long as possible and

unfortunately through that surgery there was a quite a few different complications that included drop foot

and a ton of muscle loss um and so for 14 years I lived with a metal plant metal a metal implant inside

my left leg from my femur my knee my my tibia into the ankle joint and wore a

carbon fiber afo and for 14 years lived with chronic pain lived with fears and

doubts and it was probably one of the hardest 14 years of my life I was living in boys homes I just you know I had

eventually you know go to college and you know I was navigating life for me personally like the struggles of coming

out as gay and like being an athlete and in 2020 I was down here doing what I love

and unfortunately came off of a jump and the metal shattered and

that day um for me it was freedom I I think so many of us that have been that

are a part of the limb loss Community I think a lot of us we’ve lived with chronic pain and we opted for electric

elective surgery because we know that life can be better and there’s more opportunity as an

individual with limb loss because of Technologies not to be biased but technology is like click and amazing

Prosthetics that are that we have accessible to us that allow us to maximize our mobility and live our lives

without the fear of anything holding us back and chronic pain and

um for me I personally found physical activity and movement to be my form of

healing Uh I that was the number one most important thing after I had my

amputation is I wanted to get my life back I’m physically active and so I

found um I found Sports and I found specifically Triathlon through an

organization called dare to try which I’m a huge believer and supporter of adaptive Sports and finding one in your

community because that’s where I found a sense of belonging that’s where I found Freedom that’s where I found my closest

friends to this day was through that and so now on this really rad journey of

pursuing uh the Paralympics in Triathlon wow amazing and it’s not just there it’s

not just there so outside of sports what have you been up

to yeah because there’s more to your story there yeah so Cosi I I think every one of us I

saw a couple of comments throughout the thread about I’m trying to get insurance to approve this or getting so frustrated

with the care I have um and deep down inside I said that’s just not the way it should be right like

that’s just not right you know when I became when I became an amputee I was really committed to being physically

active and unfortunately how to navigate the challenges of a practitioner that didn’t want to provide me the best care

I needed and had to self-adv Advocate had to had to seek out support of our

community that’s what I love so much about our community is a willingness that we’re willing to share ideas

perspectives connect each other with organizations I’ve never met a more collaborative

um and Community out there besides the limb loss and limb difference community and so through the past two years multiple

Insurance denials um just to get a basic microprocessor name to get my to be walking let alone

wanting to run again and realizing um that if any of us that want to run or

be physically active that’s a luxury and anyone that every single one of us

know that physical activity is not a luxury it’s a right um and so you know over the past you

know over the past year I had the opportunity to have a running blade donated by my prosthetist he had an old

running blade that was um actually sitting in the basement and he says you

know I I as you’re navigating getting grants or getting support for a running blade

I would love to donate this to you and I remember running for my first time

and I and I remember that feeling of just the endorphins going through my

body and just the natural spring that you feel as humans like the the the ability to experience physical activity

is a fundamental right but also just a gift um you you experience the emotional and

social medical activity and I kept questioning why can’t we get access to this why does

insurance deny this um and there was no real answer it was

just Insurance says you can’t have access to you know Prosthetics or Orthotics or

physical activity and you know Cosi um a little over eight months ago

um I learned about a young woman named Jordan passed a piece of legislation of State

in Maine she passed the legislation to provide prosthetics for kids under the

age of 18. to be able to be physically active um Jordan’s in college and she said no I

want every kid to experience what I wish I could have experienced the opportunity

to go play on the playground to go run with their friends at recess just to have that human right of physical

activity and just to be a kid just like everyone else and so I learned about what Jordan was doing and I reached out

to the American orthotic and prosthetic Association that was partnering

to expand this legislation and I said can we can can we not only expand this

legislation to kids can we do this for all ages and as well as including

orthotic users as well and so over the past six months I’ve been working with

an amazing team that I built here in New Mexico um to pass a piece of legislation not

only does Insurance fairness Insurance fairness essentially mandates that your private insurance has to cover

um your care at the same level that Medicare does which is an 80 20. so you have no more High out-of-pocket costs

um so we didn’t have insurance fairness in New Mexico so that was the first part and then second was to pass a piece of

legislation to mandate coverage for Prosthetics and Orthotics for physical activity and so if you’re an amputee no

matter what age you are or what we come from you can go through your

prosthetists to order a prosthetic orthotic for physical activity and so I’m excited to share that over the past

six months the legislation has passed in New Mexico we pass unanimously in every

in both the house and the Senate and this week the governor Michelle Lujan

Grisham will be signing our our bill into law that’s wonderful that is

amazing and what I love about it is with everything the craziness going on in our country in our world today it was both

sides of the coin agreed that this legislation in the past Five Points you know

and that’s a piece cozy is you know I think that was the one piece we all agreed on physical activity is a human

right um and it’s it’s not a privilege it’s a right and in what the most beautiful

part of all of this too is we brought the insurance companies to the table and we worked closely with them you know we

you know we had two large providers Blue Cross Blue Shield and Presbyterian Insurance

um they recognized that they should have been covering this and they said let’s work with you on ensuring that there is

you know we have there are some parameters you know lifetime restrictions as well as you know if it

does break what is that process to get it replaced um as well as how many can you order

over the course of your lifetime and we were mindful of that and having that conversation and but the exciting thing

is this this initiative is being expanded across the country

um and so we wanted a community to be a part of this um because each and every one of you

your store story matters because that’s where that’s where this changed why we are able to achieve this is because

unfortunately there there are not many elected officials that have our shared

life experiences they may not understand the challenges that you experience on a

daily basis getting access to the basic care that you deserve and and the most

beautiful part about government is we can Advocate they’re there we elect them

to represent us and we can design the system and we can

design that we deserve um and it really takes it takes each every one of us to educate those elected

officials about the broken system that exists and partner with them on creating

a better creating a better system is so that there is mobility for all and so every single one of us can access the

basic human right of physical activity and movement I love this and then Kyle I don’t know

if you’ve seen in one of the hashtags going around right now with April limb loss Awareness Month is hashtag Mobility

is not a luxury and there’s a lot going on in that statement right there and I know that you know with the 20 years that I’ve

been practicing Physical Therapy how many times I had to go up against insurance right especially when I worked

in my home health days to fight to get a couple of extra visits knowing that if I could give my patient extra Mobility

that would prevent them from being readmitted into the hospital and then really costing a lot of money so guys

and this is a point I bring up a lot with insurance companies because well it is a money thing right A lot of it is the money thing and a lot of insurance

companies are going to say well why am I going to pay extra thousands of dollars right for an extra prosthetic leg and

the way one of the one of the talking points and again you can speak directly to your insurance company and say in

order for me to stay active to stay at a healthy weight to have cardio cardiovascular health I need to be able

to have a leg that will allow me to do these activities and many of you have told me you only have one leg right and

you don’t want to do anything that could possibly risk damaging that leg because you know the insurance won’t replace it

or you’ll have to pay out of pocket or that leg simply cannot keep up with the activities that you would like to do

hiking on uneven terrain walking on a Sandy Beach being able to run being able

to ride a bicycle right it’s it’s it’s a right it should not be a luxury okay and

if you want to speak also to the insurance company to speak to them through their pockets and saying it will actually save you money in the long run to prevent all the other health issues

that I will be costing you that you will have to pay for down the line that is so

true right Emily said I just got my bill from two weeks of rehab thank God for him yes

ma’am and guys I don’t think insurance is the evil one but it just needs to be uh we need to be able to educate them on

what the needs are uh Emily also asks are there support groups for amputees yes oh my goodness yes Emily so one of

my favorite resources for support groups is the amputee Coalition okay and specifically they’re certified peer

visitor program especially for my newer amputees if you go to the amputee Coalition website Emily and look under

their certified peer visitor these are amputees that have been specially trained and they are in your community

and they pair you up with someone who’s in your zip code and they try to kind of pair you up with similar demographics so

the same gender hopefully same ampute level of amputation somebody that can be as relatable to you as possible and

that’s one great way to start there are also support groups that are sponsored by the amputee Coalition I know hanger

clinics also has several support groups throughout the nation Kyle I know you’ve got some resources you can probably tell

us about yeah absolutely what it’s really awesome is our friends at living with amplitude

um I’m gonna send I’m gonna send a link to to Jamie so she can drop in they actually created a state-by-state

resource guide everything you can dream of of needing it just came out this week

um I had a conversation with Larry yeah I know kosi when you see this it is then someone get on Larry it is is

beautifully in-depth um and so it gives you every resource you can imagine when it comes to the

limb loss and limb difference community and you can actually break it down state by state okay so memory

once again I put my email address did I put the right email address hang on hang on

that’s the correct email address cozy at cozytalks.com Emily your homework assignment is to send me an email and

say Cosi you’re supposed to get that guide from Kyle and I will go get that guide from Kyle okay

Jamie just dropped it yeah Jamie you’re awesome that’s great

okay so Emily says I go to Hanger Clinic Emily I’ve I’ve had a chance to speak at several Hanger Clinic support groups

around the nation they’re wonderful they’re wonderful and they’re run by wonderful people one of my favorite ones

I don’t know if she’s listening in tonight Elizabeth down in South Florida she’s one of my favorite people um and she runs one of the South Florida

support groups for hanger clinics uh Leslie green is another one that she’s everywhere running support groups for

hanger as well so guys so there there’s a lot of options for you so Emily get in touch with your Hanger Clinic and ask

them and then click on that link right there that Jamie just posted guys we gotta do one more give y’all want

another giveaway I got stuff to give away y’all want another giveaway all right so we have

ooh three-month supply of the liner wand which I know Kyle is a very big fan I

won’t be talking about that in just a minute so we’ve got a three month supply of the liner wand kit okay and Jamie is

going to post another link and it’s I want you to go and look at this link and you’re gonna see the name

of two Revo fit mentors right so click has amazing people like Kyle to answer a

lot of your questions and they have two folks that are mentors and they’re on this link she’s gonna put it in just a

minute Emily

let’s go there it is okay so there’s the link click on that link guys I want you to tell me the name of one of those

mentors and put it into the comments section that’s where we choose our winners from so if you want a chance at

the the liner wants uh three month kit you got to put it in the comments section who are one of the mentors

for revofit all right so Thomas asks a question can you give an example of what

the boundaries are for an extra prosthesis for Mobility

Thomas can you clarify what you mean by boundaries I’m not sure I understand

your question [Music]

like working with insurers that there were some boundaries to the oh yes great

question um so Thomas so an example of a boundary is when we when we had a conversation on

um how often those devices can be replaced and so we we worked really

closely with industry standards and so um depending on the state we pass our legislation is that it can be replaced

after three to five years so knowing that the lifetime of most Prosthetics and um are often three to five years so

that’s one and then a second boundary is identifying

um we actually passed the legislation where it’s one additional um prosthetic or orthotic for physical

activity um and so personally that was a big that was a conversation that they had is we

we want to make sure that individuals with limb loss or limb difference can get back to physical activity but the

reality is they know that there’s a lot of costs when it comes to um you can have a quiver of legs if you

really wanted to like one for rock climbing one for running one for skiing um but the route is how we got this

passes they agreed everyone should have physical activity but we’re going to limit it to one one physical activity

that you that the patient can choose and it’s a relationship between the patient and the physician

to decide what is the best physical activity for them so those are the two parameters so thanks for that question

Thomas but okay thank you for answering that Kyle

and Drew if you look up a little bit the link it was posted by click medical and

yes it is on Facebook and YouTube okay let me see it won’t allow me to do

it hang on let me see if I can type it in there for you drew

okay so Drew I just posted the link myself it should pop right up on your screen uh let’s see so Mike you had made

you made the comment that your process is not on the list of providers but it seems like an awesome product so again

Mike ask your prosthetist it could be that your prosthetist is undergoing the training there that they’ve heard about it and they just need that extra little

push from from you and their patient to say okay let me look into this and again you can say this is the direct links and

the direct number to click medical to start to start doing this and I don’t

know if you remember the earlier comment Liz I think it was that she said she was her proper this first time doing the

click medical um adjustable system and she’s very happy with it so that to me just kind of

indicates that the process can very easily learn how to do um this use this system and incorporate

it into the sockets um with the training that you provide

okay so you all can see it oh for some reason it was showing the one that I provided okay

Drew I am so sorry I don’t know why you’re not seeing it I am so sorry

okay holy smokes guys we covered a lot of information tonight

this is awesome and and to you know to your community Cosi if I can ever be a

resource to you all please don’t ever hesitate to reach out um whether it’s on Facebook or on Instagram everything is just at Kyle

stepp my first name last name would love to be a resource to you all be a partner in this journey so if you ever have

anything you need don’t hesitate to reach out all right guys so guys if you if you are on Instagram go file follow

Kyle it’s really amazing seeing some of the stuff that he’s been posting lately um okay so it’s showing on YouTube and

not Facebook true I am so sorry uh but yes Denise you are correct it is Sydney

and Lou Figaro is another one Lou is listening in tonight and Sydney is actually going to be on the show a little bit later this year and she’ll be

telling us her story so Guys these are two wonderful folks in addition to Kyle that if you have questions about the

revofit system they will connect you directly to these folks so that you can ask them yourselves about their personal

experiences with it um so guys once again

oh you’re welcome Liz and thank you guys for being a part of this guys I do want to take the time to thank click medical there’s a lot of work that goes into

putting these shows on and I couldn’t do it without their support and Jimmy and thank you very much for your time Kyle

you’re awesome loved having you on this show thank you for being here Jamie behind the scenes she’s like the the

Wizard of Oz behind the scenes thank you so much

everything like that guys this is definitely a show that is chock full of information and that’s why God

reinvented invented the replay so if you miss something go back there’s a lot of

good links in here a lot of good information if you can please share this out to your support groups there’s a lot

of people out there that still don’t know about this show and the resources that we provide with this show um so if you have the chance share it

out just one time to One support group and help get the word out um guys as always thank you so much for

letting us be a part of your lives this evening we will be back next week same bat time saying that channel so bring me

your questions good night guys thanks cozy