Episode 14: Developing a Cash-Based Mobile PT Practice

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Nate Reynolds 0:05

Welcome to this week's episode of the Clinical Crosstalk podcast. I'm talking with Lisa Yacavoni. She is currently a physical therapist and she opened up her own mobile PT clinic called Dynamo Physical Therapy in Albany, New York. I'm excited to talk with her about how she went about opening it and learn what is mobile PT?

Lisa Yacavoni 0:48

Thank you for having me.

Nate Reynolds 0:50

So tell me a little bit more about like your background where you went to school?

Lisa Yacavoni 0:55

Yeah, I actually grew up in the Binghamton area. We're both from the same town, Endwell, New York and then I did my undergrad at Brockport. I graduated PT school from SUNY Upstate, which is in Syracuse. Really what brought me into the PT world was I was an athlete, all my life. Played basketball through college, and I tore my ACL going into my freshman year of high school. So I had a pretty lengthy rehab and I got to know Mr. Tom Janik, who is in the Binghamton area, really great PT. And I started shadowing him. I was really impressed by his knowledge, his ability to connect with people, and I kind of fell in love with PT there and started shadowing in different settings. I was like, wow, there's this whole world, that we can help and serve people and really had my eye on the prize, so to speak. And here we are today.

Nate Reynolds 1:49

So pause one second. Did you know that Tom Janik is the reason why I became a PT?

Lisa Yacavoni 1:54

He is. Wait, we need to like make him a tribute. He's literally the reason I'm a PT too. I bet you a lot of people can say that to like, truthfully, I like a lot of people shadowed him.

Nate Reynolds 2:04

Yeah, I know at least probably a handful of PTs that are because of him. I always talk about him to patients. My dad was an engineer, and I shadowed him. And I was like, I can't live in a cubicle. And I was like, I can't do that.

Lisa Yacavoni 2:20

Wait. So funny. That's literally my parents, because they're engineers as well. It's like, yeah, it's just not for me. Okay. Wow, that's awesome.

Nate Reynolds 2:27

And then yeah. And then I got injured alot in high school, and I was shadowing Tom. And I thought I always tell people I'm like, Yeah, my PT was, you know, he's six two with a high pitch voice and he's the nicest guy in the world.

Lisa Yacavoni 2:40

He literally is.

Nate Reynolds 2:42

Yeah, I took a course in a couple of years ago. It was great. It was, it was like things who came full circle.

Lisa Yacavoni 2:46

That's so awesome. I would love to do that, too. I hope he's doing better now. Anyways, cool.

Nate Reynolds 2:52

Yeah, so so now I know a little bit more about your history. And tell me a little bit more about Dynamo, kind of what inspired and what transpired.

Lisa Yacavoni 3:01

So I had never even like heard of this concept of mobile network, cash based therapy before. But what really drew me into it was, I was already starting to get a little better, I made some moves early on to try to work towards, you know, finding that dream job. And I thought I always told myself, it was out there, that sort of thing. I'm definitely most passionate about like outpatient work, working with different orthopedic conditions, stuff like that. And definitely athletes as well, because that's what drew me into it by was finding that there is this possibility, and at first it was, it was just a dream. I was like, Oh, I don't have the time, I have student loans to pay, like financial responsibilities and all that. But about a year or so into my career, I was furloughed. And it ended up being a huge pivotal point for me, in that I didn't have the excuse of time anymore, that's for sure. And I really started connecting with a lot of mentors and resources. And I actually took a course that taught me all about like business because that that I was overseas with my background and that and undergrad, my backgrounds Exercise Science and PT. So anyways, one thing led to another and I don't remember I took a lot of time to come up with the concept of Dynamo truthfully, that was a process. But what I ultimately fell in love with with it was that I consider Dynamo synonymous with someone who is a go getter, someone who takes initiative, and like really wants to invest in themselves. And that's kind of really what I try to inspire in all of my clients and the people I work with, and even the ones that I don't work with, honestly, I've been more present and outgoing on social media than I ever thought I would have. Partially because that was told to me, you know, that's a great business strategy, honestly, like connecting with people and I love to connect with people. And I've also found that it's helped me connect with people and just raise a little bit more awareness on PT in general. I ended up taking a course and that was really like a huge pivotal point for me. Put in all the paperwork, did all that got it up and running. And here we are seven months later.

Nate Reynolds 5:06

That's awesome. I think one thing that like talked about, like bringing awareness to PT, I think people really don't know what we do. And I dropped into a gym last night and I was talking to talking to one of the coaches. And he was like, yeah, so like, what does a chiropractor do? What does a PT do? And I saw him, like, I was like, you know, a good PT, good Cairo, you know, there's gonna be a lot of overlap. It just like even someone in the healthcare, or the fitness industry, you know, doesn't really know what we do. And so it just means like, if they don't know what we're doing, then how do we provide them value or show them what we're worth? And so I think, you know, that whole narrative that like, really need to make people more aware, but also just provide a better product, because I feel like so much of what we've done in the past 10 1520 years ago was stim ice. People just didn't get better. And so then, yeah, sometimes people think of synonymous with PT is like, your group exercises to them. And then like, you're not gonna get better.

Lisa Yacavoni 6:04

Yeah, no, I would 1,000% agree with that, like the big thing for me how I was saying I was kind of unhappy and quote, burnt out, I learned this concept of moral injury, which I think is more applicable to a lot of our situations, if you're ever feeling like that. Just as that at times, it felt cookie cutter to me. And I just didn't like having to work with multiple people at a time some people thrive at it, which is great. And I'm not saying they don't give high quality care. But just for me, like personally, like it was really taking a toll on me, like, I like being able to treat one on one, which I do now. I like being able to have more time for manual work, I definitely mix like manual and therapists, like that's kind of my primary, my primary interventions, but you're right, like it was a lot of like the passive stuff. And I was gonna get into this later. But definitely one thing that really ate away with me, that still sticks with me to this day, as someone in my outpatient job, a supervisor, literally told me once he was like, Oh, don't give them too much education, or don't give them too much and keep coming back. But by the same token, it's like, it just doesn't sit right with me, like I'm from an treat someone I'm gonna give them, you know, the best and myself to try to get them better, truly. And I think that I've found those words to be the opposite. In that, I feel like I'd really try to pour myself into every session. And I've never had a patient say, like, me, I'm like, we're good. Like,

Nate Reynolds 7:26

I can definitely relate to that. Because it's almost like, when you give that one on one care, you know, I've had one of my bosses or said, like, when you have multiple people here, like you need to feel like they're you made that person feel like they're the only person in that room. And that's such a hard concept to do. You know, I'm not a great multitasker. But I'm someone that like, you know, I'd really try to dive deep into, like who the person is, and then build that relationship that way. And it's really hard when you have multiple patients to do that. Because, you know, with high deductibles and people paying so much money, now, you need to provide a quality service that they feel is justifiable, or they're not gonna come back. And that's so hard in an outpatient setting. So it's kind of cool that you know, with you being a mobile PT and go on people's houses, you can kind of see the environment they live in, like what they need to actually be able to do on a day to day. And so it's really a unique concept that you've kind of championed and developed.

Lisa Yacavoni 8:23

Yeah, I think it's definitely more unique to like upstate New York, because actually, so like some of the courses I was talking about, that I found and a lot of people that I've connected with that are also doing mobile PTR thinking about it. It's definitely more popular kind of in like the South and the Midwest, and specifically in metropolitan areas, cities like out Phoenix outside of so I think it's just, you know, I just hasn't quite migrated everywhere yet. And it's growing for sure. I think for a lot of the reasons we just touched on Yeah.

Nate Reynolds 8:55

I wonder if some of it is like weather dependent. You know, being in the northeast in the wintertime. I mean, you are granted side inside people's houses. But yeah, it's probably nice that you can like be like, Alright, you know, we're gonna work outside outside today, because it's such a nice day out. That can be like a huge perk, you know, let's just meet at a park today.

Lisa Yacavoni 9:11

Oh, yeah. Yeah, for sure. Because one, one population I do like to work with to with golfers and I can imagine it's way easier, or maybe even, I don't know, just to be able to do some of the more sports specific training like outdoors probably would go, you know, like when it's actually nice weather. So yeah, for sure.

Nate Reynolds 9:28

This is that kind of brings me to the next topic. I've been kind of talking about, you know, we've kind of talked about some of the benefits and the challenges, but how does it work with like equipment, like bringing them into the house? You know, I kind of saw in one of your pictures that you had like your DeWalt travel kit, which I think is awesome.

Lisa Yacavoni 9:43

Thank you. Shout out to my husband.

Nate Reynolds 9:45

Yeah, it definitely goes to show how expensive like the medical field is because if instead of DeWalt and you put medical on it, it'd be like probably twice the cost. It's like you really need to know how to save money and have better equipment.

Lisa Yacavoni 10:02

For sure. That's a really good point. Well, I didn't think of that. I actually, like tagged Walton was like, you know, jumping on this now. But um, yeah, so what Nate's referring to I, I do have a lot of equipment that I bring with me, I have a table a treatment table, and like it's a really good quality when in a lot of people say it's very comfortable, it's adjustable. Because again, it's definitely useful for some exercise. And it's definitely useful for the manual therapy. And then I have this large toolbox, like a stackable toolbox that I'm able to keep a lot of different things in, like, I have therapy ends. And there I have different objective tests, like a dynamometer goniometer, a stethoscope and a blood pressure cuff, just in case for screening purposes. I also have like new instrument assisted soft tissue massage, that said, There, I have stretching straps, pro strap, some really light weights. And then I do have a couple of like up to 20 pound weights that I keep in the back of my car, depending on the person. But the other thing is, as far as the equipment goes, if there's something I know someone will really benefit from, usually I'll chat with them about it. And I'm willing to help. I think this year has taught us more than anything like not everyone still feels comfortable going into even a gym. So I really tried to create, like sustainability and things that they can still be doing at home, we really just try to collaborate in that sense. And like figure out what will work for you. And I'm not going to tell you Oh, get this really expensive. Get a full rack, get it get this that? Definitely would it be beneficial for some people? Probably. But more often than not, you can get creative. Like we use RX we use kettlebells. Like, well, you know, you can make it work in most cases.

Nate Reynolds 11:41

Yeah, I think that's the one of the benefits is if you can do it in their home, then there's no reason for not doing it at home exercise program. I think there's a huge barrier and outpatient is trying to get people to be consistent with their home exercise, because we're like, I don't have a treatment table. How am I supposed to do this? But when you're renting their home, you're like, this is what we're gonna modify. And I know you can do it.

Lisa Yacavoni 12:01

Yeah, I've seen it. No excuses.

Nate Reynolds 12:04

Exactly. And then what do you say some of the biggest challenges that you face so far as being a mobile PT?

Lisa Yacavoni 12:12

Those are good ones. And I always like to point it out. Because Yeah, like I love what I do. But at the end of the day, no matter what setting you work in, there's things that make it quote, a job, you know, like, are just challenges you're gonna face really an ad, any setting. So I would say, going off the equipment, there are some things that I would still like to purchase that are like more expensive. So one thing I've actively definitely tried to do all while trying to grow and expand and budget and all that is like apply for grants and stuff. So you know, we'll say like, that would obviously be beneficial to the patients if I could just get more of some things on my items on my list. But I think one of the biggest challenges that I have faced that we kind of talked to, that's at least specifically, a challenge to myself, being about two years out from school and working in New York would be direct access, because it's delayed someone's care. And I kind of have to like hound someone like Hey, hey, can you give me that script? I definitely try to make sure I'm really communicating. And that, you know, I'm on the same page as a provider who's providing the script and stuff like that. And by the same token, there's been a couple people, it's like, oh, I don't want to go through that. Here's how easy it can be. And like all I got to do, but it has been a challenge for sure. The other challenges, I would say, Oh, go ahead.

Nate Reynolds 13:29

I'll just say even as someone that has direct access, it's such a challenge, because a lot of times, you know, it takes two, three weeks to develop true strength things. And that leaves you like a week of actually getting them better. And so it's been hard for me, because I've I'm three and a half years out, I was in a hospital outpatient, so like script was never an issue. But when you're in a private practice, and you're trying to get like, Yeah, I was planning karason, six, eight weeks, and you got to be like, you're gonna be probably like, 75% better at four weeks? And then how do I get you that 25% better? We need to get a script and go back. And then you know, there's there's also just hurdles that once you are you do have direct access, but definitely easier in other states that don't have that limitation.

Lisa Yacavoni 14:14

For sure. And I'm sure there's multiple reasons why I do hope that eventually we make that move like other states just because solely for the reason that it's more beneficial to the patients like know that the sooner that people can see us, the less likely they are to like chronically depend on medications and like have, you know, more significant conditions to overcome. And again, like it is like a time or money thing right now. So yeah, for sure. So direct access has definitely been a challenge in general kind of going off of that. I have met a little bit of I like to call it systemic resistance in that, you know, like there. Again, we talked about how this business model with PT is definitely pretty innovative in the grand scheme of things. So there's still a lot of providers out there. People within the healthcare industry that just aren't familiar with it, and some of them are very submissive of it without really even taking the time to, like, have a conversation with me. So for sure, like when I tried, I've tried to put myself out there a lot to really get to know a lot of providers in my area, because not just so that I can get the referral though either, but like, genuinely, so I can have like a solid referral source. When I know someone needs something like, like, I have a great connection with a podiatrist and an orthopedic who specializes in shoulders now. And like that, and now I feel good knowing that if so if I had a conversation with someone in the community, or a current patient expressed another issue, like I have someone to kind of, you know, say, Hey, this is a great referral source, too. So it's a negative and a positive one.

Nate Reynolds 15:48

It brings up a good point about, you know, the referral sources, because I think, for us to have like a really good plan of care. Like, as long as not improvement, we need to have someone to send them to. And so if you can find someone that's like really good, even though you don't fix that person, if you send them someone that can get the get them the answers that they need, and get a good job, and they're sorry, you know, pain, a positive light, because you got them the solution, having a good referral source.

Lisa Yacavoni 16:15

There's definitely something to be said for like, like having some humility about it, too. Like if you genuinely No, like you said, People don't forget, like, even if you're not the one they were working with the whole time, like, if you gave them a reference that really made a difference for them, they do not forget, that's happened with me too. And actually another positive of what I'm doing, I'm taking spin in this little bit as that I have found other mobile therapists in my area. And each of us kind of has like a different niche, so to speak. So, for example, one of my colleagues, he really specializes in neuro populations and like, has been doing it for for many years, like, I think 2020 years. And certain individuals with neurological conditions, like, there's some that I definitely feel, you know, very competent, and like I could help with, but there's others that I'm like, it would just make more, I think it'd be of more benefit for you to see. His name's Tony. So if you saw him, and he appreciates that, and it's reciprocated, and the patients always seem to appreciate it, too.

Nate Reynolds 17:18

Yeah, I think that's one thing that I always try to tell people is like, you don't you can't treat or you've never seen before. And so someone that is in like the neuro field like that, you know, there's, they've seen it so much that even like the little nuances, that can make a huge difference, like they know. And so it's just important, providing that patient the right care. And kind like we said, you can build a lot more trust being honest, and showing that sense of humility, then just trying to fake it.

Lisa Yacavoni 17:46

Yeah, absolutely. I don't know, I feel like that that's thrown around. Or at least it was like, when we were in school at times, like oh, fake it to make it. But at this by the same token, like, yeah, there's always going to be those times where we're feeling a little bit, or there will be those cases, sometimes where you feel not as confident necessarily just for whatever reason. But at the end of the day, as long as you're you have, I think the true intentions of helping the person in front of you like making a solid game plan and being transparent goes smiles.

Nate Reynolds 18:20

I don't agree with that. And so we've kind of touched on, you know, the business side of things. You know, I would agree that when I went down to Stony Brook, you know, we didn't, we had one business force, who wasn't the greatest force, you know, I think we're definitely taught to be physical therapists first. It's like, it's like in the back of your mind, like, you're not really like competent at all on it. And I think that's one thing that's hard is because we're so I think we're so willing to give our services for free that, like, we don't understand that there's a business side of it. And I think that's just the type of people that go into our field. Right? And so what are some things that you've learned, being in business so far?

Lisa Yacavoni 18:55

So one thing for sure, I've learned is you got to be able to put yourself out there, people can't seek your services, if they don't know you exist, you know, so, I'm trying to trying to make solid relationships. But by far my biggest driver of like, getting new clients has been word of mouth from current patients, which just kind of goes to show you it's like, you know, when you read a solid review that gets you to take the plunge and press purchase online or something like that. But like, it means so much more. When someone who you trust says like, this person is great, they're going to take care of you. So definitely learning about marketing, learning about putting myself out there and many, many amazing opportunities that have come from it like also with collaborating with other disciplines and healthcare specialists in my area. That's really been two large benefits of doing that. I would definitely say that some of the best business advice that I got in those regards we're imperfect action is better than inaction when it comes to putting yourself out there, you know, like, because I don't know, if you this holds true to your character either. I feel like a lot of pts, I know, kind of have like a perfectionist mentality, meaning, you know, like, everything has to be really perfect, shiny and bright. But like at the end of the day, too, like, we don't get like you just said, We don't give ourselves enough credit as pts our value because people really appreciate what we have to offer. Like, I always go back to this statistic that health literacy in the US, like our first world country is only like 10%, more likely than not, you have a lot of value to offer, especially when you just have a conversation with someone so that that's been huge. And that's another reason why I love that time to treat one on one. So I really have time to speak with people and I i one part of my business model, as well as I love having a quote discovery call. And I always tell people, I want to hop on the phone with you and learn a lot more about you before I even see you in person. And I'll be honest, if I think we're like a good fit.

Nate Reynolds 21:00

And discovery call is great, because I think one thing that ends up happening price sometimes business is if someone's not a good fit for you, and you're just trying to take their money, then I feel like they're gonna be the ones that leave a bad review or have the bad experience. And you know, you're really trying to provide great experience. And if you can be like, I think you need to go here or go there, make a good experience, and just kind of give them the awareness that like, you know, this, this is an ideal fit.

Lisa Yacavoni 21:24

Yeah, 1,000% I agree, I try to tell people compare it to like, I don't know, when you buy a car, right? You, you're gonna do your research, and you're gonna look at multiple vendors and stuff like that, until you found something that checks all of your boxes off for you. And that includes like, feeling comfortable and like working well with the person. So it's like, why not do that with your health, but the you know, just the way the nature of like the system in general, like, that's not always permissible, or it's just a huge hassle. So like, I've definitely had people work with that, say, you know, I went to someone, and we weren't a great fit, but by the time I got in, and by the time this this, this happened, like I just stayed like that sort of like it was better, something was better than nothing, which is probably true. But you know, like to really make it the best experience for everyone found it beneficial.

Nate Reynolds 22:11

Yeah, I always use the analogy of like, if you go to a restaurant and you have a bad experience, or you have a bad meal, you're not going to go back because the food is bad. So I kind of use that example of like doctor was like, if you know, like your document, if you don't like me, like, you have the option to not come back. Like that's an option. And I think because you said the health literature, like 10% people get kind of sucked into the system and are like, I don't know what I'm doing. I don't I don't have the I don't really have the knowledge to guide my care. But really, the biggest thing is being an advocate for yourself in the kind of saying like, this doesn't feel right, this doesn't pass the smell test.

Lisa Yacavoni 22:47

I think you're so right. I know too many people that have said, Well, I didn't know what to ask, or I was intimidated. And like, the term white coat syndrome, like that's a real thing for a lot of people like you know, just like the intimidation factor. Or if you're not well versed in something, it's hard to know, like the right questions to ask stuff like that. So I definitely try to just keep it simple and say to people, like, how did that person make you feel? Like, are you comfortable with them? And if the answer's no, like, that's a red flag right there for you. You know what I mean? Like, just like, different strategies like that even can be pretty effective in that sense.

Nate Reynolds 23:22

Yeah, I feel like because of just the nature of our business, where you see you over such a long period of time, you would develop so much more rapport with the patient, that I think nine times out of 10, they'll go to the doctor, and then the last few years have your opinion. And like what you think, because they trust you. There's that familiarity. Whereas when you see someone once, it's hard to be like, Oh, this person has my best interest.

Lisa Yacavoni 23:44

That's a good point. Yeah, that's definitely something with like the nature of what we do, you know, seeing people for many treatments in a relatively short period of time versus just like burn annual or whatever, we have that benefit in ability, for sure.

Nate Reynolds 24:01

And so you've kind of touched on the business, what was the ratio that you used to grow and develop your business?

Lisa Yacavoni 24:07

So I've learned there's a lot and there are a lot on social media and on Facebook. And that being said, you know, you gotta, you got to do what's right for you, there's a lot of people that are going to try to tell you like, Oh, you have to grow your business this way or this way. But that's the other cool thing I've learned about being a business owner, like, truly like your quote, success depends on you. I love this one thing that was said in the group, which I'll get to, um, someone asked, like, how do you know when you've made it? And I can't remember the exact context of the question, but the answer that stuck most with me was this one therapist who said, you can either be choose to be you know, try to grow into this huge network, you know, that serves a huge area, you know, you're gonna have a lot of therapists working under you that sort of thing, even with this model, or you can be like your local mom and pop shop. You know what I mean? If you just want it to be you like, treating on kind of on your terms like But he's still doing a lot of good. So it's really what you make of it. But as far as the group that I'm referring to there, they just rebranded they're known as the uncaged clinicians. So on cage, meaning like out of network, like just trying to expose you more to like the possibilities, and it's not just pts. It's mostly pts right now. But there's OTS, there's slps, I think there's some dieticians in the group, I'm trying to think if there was any others, those are the four that stand out to me the most. And that group in general, you can learn a lot. It's everywhere from people who are just like you said, trying to like learn a little bit more about, like the possibilities that are out there. And they're just kind of passively taking in what what's being said in it, there's always a lot of open dialogue, and people are always asking questions. And then there's also people who have been doing like mobile or out of network or a hybrid. There's some people who will do mostly out of network and just see Medicare beneficiaries and stuff like that. But anyways, and they've been doing it for years. So it's really cool. And then specifically, my my biggest mentors were David bailiff, and Josh Payne. And they're kind of two of the leaders of that group. And they offer a course. So that was the course that I was referring to really trying to share, Josh grew his own practice in the Denver Colorado area years ago, and has since grown it to something that he was able to sell. And he has learned that as much as he loves being the clinician, he also has a lot of passion for the business side of healthcare now, so he really kind of just has his, like, consulting business now, because he's realized how it passionate about, and he wants to help people discover what he did. And

Nate Reynolds 26:41

That's the cool part is when you can see other clinicians trying to help each other and kind of get out of that know, where people are, you know, seeing 15, 20, 30 patients a day, and then they're getting burned out. Because I feel like, you know, you said you've been in PT for two years, I'm sure there's other fields that people get burned out pretty quickly. But I feel like it's a huge issue in our in our profession, then you add in the top of the fact that, you know, we're coming out with these a lot of student debt, the salary isn't matching the increase in tuition costs. And it just, you can see that there's, there's gonna be a train wreck coming down the line, and you're just like, I'm so glad I got out before then. But you're worried about the profession as a whole in like, we all kind of have like a chip on our back, because we have to prove that we do have value. I think it's just gonna create chaos. So this is, this is a really cool opportunity for people to learn more about the business side of things, you know, there's an option out there, that may not be the traditional option. The pandemic has taught us that necessity drives innovation. And so, you know, with Dynamo PT is like the perfect storm where you had the opportunity to actually take the time develop a business, and learn. And then now this can pretty much open up a bunch of doors that you never thought were possible.

Lisa Yacavoni 28:01

Yeah, it truly and always learning. I mean, as pts we're always learning anyways. Right. And it's really important, I'll say to that I should mention, I think another I don't know if it's a challenge. But it's so important to like, establish your support system, when you choose to start a business to like from all ends, make sure it because it's a it's a big time commitment. Still, you might not be seeing 20 or 30 patients a day. I mean, you probably could if you really wanted to, but there's still a lot of time commitment, like just from all the other things you have to be doing. And as far as like having an accountant, and like that illegal console, like stuff like you know, considerations like that are really important, too. So.

Nate Reynolds 28:40

So that brings us to like the last segment, the hot take segment. The first question is, what would you say the best advice you ever received, when opening up your business?

Lisa Yacavoni 28:50

I would say I'll keep it short. But the first would be I already alluded to this was the imperfect action is better than an action for sure for me. But the second would be be aware and don't but don't compare meaning like, it can. That's the other thing with business, it's so easy to compare yourself to other new business owners and be like, Oh, well they're doing this or they're seeing this many clients, that sort of thing. And like, there's always like, you're gonna have your ups and downs with it. And times where you feel like no one's noticing you and are you know, you're just not where exactly where you want to be that sort of thing. So being aware of what other people are doing, maybe learning from them, collaborating with them. But again, we define our own definition of success. So like, just kind of keeping it within and keeping everything in perspective.

Nate Reynolds 29:35

And so the next question, and it's kind of more elaborating on what you just kind of said, so, you know, owning a business. There's that level of vulnerability and self doubt, that's pretty natural. What keeps you motivated to keep building and growing your business?

Lisa Yacavoni 29:49

Definitely hearing the impact that I've made for people, you know, on particular out from clients, I've been told recently, one was, I have hoped for the first time in a very long time, like That was really, you know, got me and I was like, hey, like I like you just can't do anything, but continue to do everything in your power to keep that going for that person. And then the other thing was probably when one of my patients like looked me in the eye and said, Dr. Yacavoni, I would not be here today, without you and everything that you've done for me, and like I was like, Wow. So it's really just the impact that you know, you can make for people. That's what keeps me going at the end of the day, not forgetting those people. And then by that same token, I've said, I've tried to be more active, like on social media. And you know, there's always those times where you might post a video, you might post something, and you're like, I don't know if I even really saw that, or I've only got, however many likes or whatever. But then there's been times where people have come up to me that when it's the other person, and they're like, hey, like, I saw this, and it was really helpful, or like, this, like really sparked this for me. And I was like, oh, cool, like, and I didn't know that they had even seen it. So just little things like that.

Nate Reynolds 30:55

Yeah, it's very interesting when you get like the insights on like Instagram, or Facebook, and you see how they go or reach. And then it's, it's interesting, because like, I don't think my, like girlfriend's friends following but like, they know I did the podcast, and they know, so they see it, but like, sometimes you're just you're a con. Sure. Yeah, girl. It's kind of cool.

Lisa Yacavoni 31:15

Right, right. Absolutely. I know that you experienced that too. Like anytime you're doing something like this, where you're putting yourself out there, but more people than you realize, definitely see it, and it makes an impact.

Nate Reynolds 31:25

And then the last question, just give us some context. So obviously, we grew up in this area. And Lisa's cousins was one of my best friends. And so I just want to know, one of your favorite Fedorchek household memories. And also who is Kathy's favorite?

Lisa Yacavoni 31:46

So my favorite memories at the Fedorchak house, that would definitely be everyone in that will all the boys. All my cousins are musically inclined. So just like growing up over the years, there's been too many times to count where we've had like jam sessions like Greg on the guitar mat on drums, Kyle, usually like on bass or something like that. Those are really good times. And then we're also a huge game family. Like Kyle discovers every board game known to man. And then as far as Kathy, aka my aunt's favorite, definitely, Matt. I mean, he's the baby. So...

Nate Reynolds 32:18

I will say this. My least favorite board game ever is Werewolf.

Lisa Yacavoni 32:24

So I wouldn't that doesn't surprise me. That's a huge hit in the Fedorchak/Yacavoni household.

Nate Reynolds 32:54

So Lisa, thank you for coming onto the podcast

Lisa Yacavoni

Thank you for having me. This is definitely another one of those moments for me though to where it's like wow, I put myself out there. Full circle like reconnecting with somebody like grew up in the same area with like, we're both doing cool things like Yeah, really cool. Good stuff.