The Transition from a Clinical PT to Working for Ekso Bionics

Last summer I was sitting in my hospital’s charting room with beautiful views of the San Francisco Bay and glimpses of the Golden Gate Bridge.  Much time in the life of a physical therapist (PT) is spent documenting in a familiar environment.  One of my unit’s case managers came up to me and stated, “I intercepted this fairly vague phone call.  The caller was looking to speak with the PT supervisor.” She continued on, saying, “I tried to receive the call and answer appropriately, but she was very insistent in speaking with you.  Would you mind calling her back, if it’s not too inconvenient? Unfortunately, all I have is a name and number.”  Without hesitation, I took the limited information and after a brief call, I was introduced to Ekso Bionics™.

After 10 years of clinical work, I found myself frustrated with watching a clock, and counting minutes to assure I was fulfilling Medicare’s expectations of time spent with patients and units of productive service expected by my clinic.  Although I wasn’t actively seeking a change in employment, I found myself excited with the opportunity Ekso Bionics offered.  A series of phone calls and conveniently local headquarters offered the opportunity for me to interview and visit with the company on two separate occasions.  On the second visit, I asked Darrell Musick (the Clinical Director) if an able-bodied person can walk in Ekso and about 10 minutes later I was wearing and walking in Ekso.  I was sold and really wanted the position.

With much excitement, I was offered the position of Clinical Training Specialist.  With appropriate diligence to wrap up my former position and assist with appropriate transitions, it took a couple months to close one chapter of my PT career to open the next.  The clinic was everything I knew and one where I could anticipate what curveballs would head my way.  The challenges of patient or family members, therapy or nursing team dynamics, staffing ratios and productivity were quickly swept away.  I was moving into a world extremely foreign to the clinical-based physical therapist.  A biotech start-up company is entirely different. I was now trying to understand fairly new and evolving technology.  I think of myself as a math and science person, but I’m not very tech-savvy.  Although I feel confident in my knowledge of the body, biomechanics and neuromuscular function, I stepped into a world of technology and discovered how a robot can interface with the highly sophisticated system that is the human body.  The learning curve was eased with training from my colleagues who spent appropriate time to explain and offer opportunities for learning.

This new and dynamic experience is ever-changing and exciting.  I see the Clinical Training Specialist as a 3-dimensional role.  We are first and foremost physical therapists working with patients and analyzing gait, but we also act as clinical educators/instructors and tap into a sales and marketing component.

Throughout each week we have test pilots come to headquarters.  These appointments help on multiple levels.  It offers the clinical staff opportunity to gain exposure to learning styles and teaching opportunities, while still maintaining a clinical opportunity of patient and family interaction.  The test pilots have the opportunity to use the product, ambulate and gain benefits of walking in Ekso.  The product development team gains opportunities to test and trial new hardware, soft goods and software changes.  It’s a win-win situation for all parties involved.

The Ekso Clinical Training Specialist is also responsible to assist with sales demonstrations.  It is a rare opportunity for PTs to travel for work.  Outside a home healthcare scenario, it is the clinical model in the US healthcare system for patients to travel to the clinic due to equipment and logistical constraints.  I have been offered the opportunity to travel across the country to demonstrate and expose people and clinicians to Ekso.  It is a priceless experience to watch people witness our ambassadors and test pilots walking in Ekso each time.

The ultimate goal of many of these demonstrations is to place Ekso in the rehabilitation clinics.  When these sales are complete, the clinical PTs have the opportunity to train up to four of the clinical site’s PTs on how to safely use the device.   As a clinical instructor, it is such a pleasure to have the opportunity to get back into teaching.

This career change was certainly unexpected and an opportunity that is unmatched.  Every day I work side-by-side with some of the world’s most innovative engineers, top-notch executives, brilliant marketing and customer relations representatives and an elite group of clinicians.  I find myself very fortunate to have this opportunity and excited for the many lives we will touch in the future.

True Inspiration

When you’re a person with a visible disability and you’re out there getting on with your life, it comes with the territory for people to often say to you…

You are such an inspiration!

I love the idea that my example in the world as a person living with paralysis would empower others to be the best they can be. After all, it’s my job description: “inspirational speaker.”

I don’t actually bill myself that way. But the simple fact of being a man who’s been a wheelchair user for nigh on forty years who is paid to speak in public about the disability experience automatically earns me that title.

Yet I don’t wholly subscribe to it.

Why, you might wonder, would I have a problem with that?

Because I find that the reaction people have to a paralyzed person living well is not actually to be truly inspired, however sincerely they use the word. They give themselves away with their next words: “…but I could never do what you do.”

Doesn’t sound like inspiration to me. Sounds like intimidation!

True inspiration is indeed what I’m after, so it’s been a profound struggle for me to search for a way to communicate the disability experience in a way that actually does inspire! I want people to come away with the belief that they can push beyond what they thought were their limits. I want them to at least believe that they could do what I do if they had to (like I did), even though they don’t have a clue how it’s done.

Because that’s exactly how it’s done. You move forward without a clue how. That’s how I did it — guided by therapists, reinforced by the love of my family and friends. And I can tell you it was as sloppy and emotional as any other life experience that pushes us beyond the edges of our comfort zone.

I so often see the “inspirational speaker” set up on a pedestal, set apart from others for being remarkable and uniquely strong-willed, talented, persistent, etc. Or just lucky.

What people expect from a great keynote experience is a profound emotional hit. They want the heart opening tug we get from stories of people who overcome great odds, bounce back from moments of darkness and doubt, find their way to the light of self-belief, and embrace life for all it’s worth. My job as a speaker is to energize the room, to offer fresh perspective. And to entertain (easily enough achieved with my impressive juggling skills, those of you who’ve seen me will know).

But is it true inspiration? Does the authentic insight into ourselves and our lives that we seek really reside in these kinds of powerful emotional moments? Not necessarily. I find that true inspiration often resides in a calmer place, where the recognition of our greater powers is a simpler understanding that leads to a kind of relaxed letting go, taking a deep breath in response to that moment of clarity. A moment of yes that seems obvious, self-evident.

It’s a fact: people who live well with disabilities, whether since childhood or acquired later in life, are not at all rare. It’s a pretty common thing. It’s not that big a deal.

See? Where’s the emotional jolt in that?! But if you take a moment to think about it, the above statement is quite radical. It challenges a core belief that living well with disability (and being perfectly happy with it) is exceptional. Only exceptional people achieve it — which is why they are the “exception.” Isn’t that the underlying belief in our culture?; we should honor the people who thrive with disability because they do what most other people couldn’t.

That’s the very core belief I’m devoted to changing, because the facts don’t support it.

People do it all the time. People who never would have believed they could.

Their ability to do it depends on whether they get access to what they need: rehabilitation, adaptive technologies like the Ekso, an accessible environment to live, work, and play. That’s not a matter of the human spirit, that’s a matter of public policy.

Above all else, their ability to do it depends on their ability to believe they can. As long as our culture operates on the belief that it takes an heroic force of will and the rare exceptional being to succeed with disability, people will continue to fall into the trap of self-doubt.

Many have rebelled against these attitudes, and fought their way to self-worth despite the lowered expectations which surround them. That is heroic, but why should they have to waste their energy on it?

The current inspirational model actually does a disservice to us all. By setting the bar artificially high, we make it harder for people to reach it. It will take longer for someone to adapt to a traumatic change. Some won’t make it. And that includes kids with disabilities, raised to doubt that they can play as a full a role in our world as anyone else. The inspirational model actually ends up having the exact opposite effect on the people faced with living with disability.

It costs us the contributions those people would make in their families, communities, and the workplace. It costs us money in the unnecessary Social Security and Medicate benefits everyone is so concerned about these days, from the people who leave jobs when they don’t have to, and from the secondary medical costs of depression, weight gain, heart disease, diabetes, skin breakdown, and all sorts of stupid, nasty things that happen when people are prevented from living the lives that are possible.

The true inspiration is in recognizing what the example of those of us living well with disabilities really models: that we are miraculously adaptive beings. Every one of us.

What would happen if we operated on that assumption as a society? What would happen if we designed our public policy around that belief? What would happen if instead of celebrating the exceptional people who thrive, we celebrate even more how it becomes almost mundane for people to adapt and live well with their disabilities because we expect it rather than doubt it?

This is where I get the big emotional hit. This is the dream I believe in. And I’m asking you to start by being willing to very simply and calmly believe that, with all it’s initial messiness and grieving and mystery, you could do it, too, should you ever have to.

Allow yourself to be truly inspired.

 

 

 

Ekso Bionics’ Blogger Gary Karp is an author and speaker on what he calls the Modern Disability Experience. His work supports people making a recent adjustment to paralysis, and he helps business and government clients recognize and embrace the historic emergence of people with disabilities as employees. Learn more at www.moderndisability.com.

New Levels of Autonomy for Patients Wearing Upgraded Bionic Walking Suit “Ekso”

Plus New Ways to Understand and Share Your Progress

 

RICHMOND, California, August 9, 2012 – Ekso Bionics today announced that it has begun shipping an upgraded version of Ekso™, the bionic suit that powers patients with spinal cord injuries and pathologies up to get them standing up and walking again. Each Ekso now comes equipped with three new walking modes for progressive rehabilitation options, in addition to EksoPulse™, a wireless networked usage monitor. Patients will have new challenges as they master each level and more control of the suit as they become more adept. Also, Ekso now provides both the patient and the physical therapist with better insights into that patient’s headway.

Ekso is a ready-to-wear, battery-powered bionic suit – or exoskeleton – that is strapped over the user’s clothing. The device transfers its 45 lb. load directly to the ground, so the patient doesn’t bear the weight. Each Ekso can be adjusted in a few minutes to fit most people weighing 220 pounds or less, and between 5’2” and 6’2”, with at least partial upper body strength. The patient provides the balance and proper body positioning, and Ekso facilitates walking over ground with reciprocal gait.

“With this upgrade, clinicians using Ekso can now empower their patients even more by teaching them to control the suit autonomously, thereby giving them greater independence,” said Eythor Bender, Ekso Bionics’ CEO.

“As the patient gains confidence and familiarity with walking, Ekso now permits them to graduate to a next level, and then another,” explained Darrell Musick, clinical director at Ekso Bionics. “This comfortable experience-based progression allows for sequentially- increased freedom and better control. The patients love it.”

Ekso’s Three New Walking Modes: 

Read More +

Bringing Hope Back: Interview with Jason Gieser, Ekso Ambassador

“Some People Have Lost Hope, & Ekso Really Brings That Back”

I met Jason in 2010 as Ekso Bionics (formerly Berkeley Bionics) was preparing to launch their bionic exoskeleton to the world (which was then known as eLEGS). Jason had a quiet calming demeanor and I instantly knew that he had experienced life. Jason never ceased to surprise with his joie de vivre and little gems of wisdom that seeped through into our conversation. I found myself not only intrigued with his story, but with his spirit. I wanted to know more. Read More +

Ekso Ambassador Profile: Jason Gieser


I want to be a good role model to my family and to reach out to as many people through sharing my life’s experiences to help others increase their quality of life.”


Date of Birth:  March 28, 1980

Disability Type:
 T-3 ASIA A Spinal Cord Injury

Date of Injury:
 October 14, 2008

Residence:
 Discovery Bay, CA

Interests:
 Enjoying the outdoors; handcycling; anything on the water; spending time with family; camping; watching movies; vacations; traveling overseas; learning how to downhill ski.

 

All my life I have been a fighter! I’ve never given up hope to what most people would call the impossible.  I knew I would walk again—there was never a doubt in my mind.  It was just a matter of time.  I felt that was God’s promise to me.  I am excited to say that His promise was fulfilled.  While my legs still do not work, it has not stopped me from walking in Ekso. Read More +

Supporting the Ekso Just Because Technology is Way Cool

I’m a boy-child of the sixties who played with Tinker Toys and Erector Sets. These were the bomb in those days.

It was generally my great pleasure to take things apart. Sometimes I even managed to put them back together in a functional form.

Then I grew up and bought my first car; a 1959 Thunderbird. Coolest car I ever had, but it needed work (thus the $450 price tag). So I tinkered more, to the degree I could by myself at least. Mainly, I suppose, I did my own oil changes.

Star Trek fan. Say no more.

This was the high-tech—and vision of high-tech—of my youth. Read More +

REVOLUTIONIZING MOBILITY – An Update from our CEO

Eythor Bender
Ekso Bionics’ CEO

Our company is at a crossroads in the history of mobility. Up until now, bionic exoskeletons were contraptions portrayed in the form of sci-fi avatars or robots. We are at the tipping point of scientific advancement where we have the ability to turn dreams and hope into reality. This month marks the beginning of an unprecedented journey as we delivered our first Ekso to Craig Hospital in Denver, CO on February 14th.

Many things had to happen over the last year to get us to where we are today. A dedicated team of employees and test pilots has been working towards the goal of helping people to realize their dreams of standing up and walking. Read More +