Welcome to start on your place in the universe where science and pop culture collide knocked off begin right now. This is start off sports addition, Neil digress thyssen, here your personal astrophysicist we'll get title this one best foot forward as mysterious to me. I had to learn more about that in a minute. Let me introduce. My coach jackknife jack what's happening yeah and I got a dairy o reilly, gary former soccer pro idealized, all right, dude and also sports announcer Yes, it's so Gary! You cooked up this. This episode, so am I can't wait to find out what's gonna happen, so timid me what you, what you got in the oven, a question: what links a clinical podiatrist A hundred and thirty thousand amputations a year and welcome

sneak a design, anyone I've, a guess, I'm going to say an apocalyptic design war. I know if this is a hell hole. Kind of an old new orleans is accepted, but Jason jason takes manhattan movie or some such excess chain store leads. Jason are alright, so I have a little bit more daylight to a little bit more of the reveal. So this show is about smart engineering and innovation, material science, kicker sportswear design, converging. As I said, tell people recover faster and live longer the link to all of the cover from sports injure injury patients oaks well yeah, sorry are linked solely above, sadly, diabetes. last, so we are tracked or are we in fact and endocrine system. The results are only amputations or is there a way

to walk out of this particular hell. Let me introduce autumn guess I see what you did their fellow reminder to where we were not that jerry. I note I, then it won't happen again so adopted jason, hence the person that chose to question. Why things were not improving with these patients conditions and then investigated he's, lanka, surgeon and clinical podiatrist in Miami florida. This is the guy the gonads to then go out and do something about it. Let me introduce a second guest An industrial design, Michael dictatorial, with a client that has included google nike Jordan. That will be the mai. Conversion nine honda as well in being the design directive at this false, where joint converse winner of the entire, through design society of america, personal recognition award? until nineteen, so neo plays what

come out to get a good doctor Jason and my for your excellent work, welcome to start talk eyes, my gosh, ravenous yo silk. So let me say: let me start by saying Could you just remind us why diabetes has anything at all to do with like circulation, which ultimately ends up in amputations, because here that it has to do with you know your metabolism and processing of sugar. and then all of a sudden somebody gets their legs amputated like what a. How do you? How do you get from here to there? Let's, let's take a half a step back and talk about who gets from here to there, So, as of today, one in ten americans stiver, twenty twenty, Why gonna be one in three. And they were out of real years and three years it. Why horror at two out of three will be black mud huts. That is an understatement, rapporteur, holler and

people are native americans have a fifty percent. A chance so become I have my so, Looking at hundreds of millions of people around the world becoming diabetic once I ve had diabetes the fluctuations, blood sugar affect a mile covering up the nerves. And the nerves that are far this from your central nervous system, your brain have the law. Is the mile, or so this tissue because of flux, patients and blood sugar gets thicker and thicker, and the electrical impulse cannot be conducted, so they develop would call peripheral moroccan loss of feeling in their hands and feet, and this isn't it we step on a nail. You can't see it. This is small amounts of pressure. You can't feel so here you have this large group of people who lose the feeling in their feet and they get small amounts of pressure. Type, a shoe robbing a sought, balled up an inappropriate sitting. Should this cuts off the local, sir

waiting, leading to a one. Of all the wounds that occur in the. U s, roughly three million a year, eighty ip, the girl should become infected within six weeks. That's the pathway patients, once you violate the tooth womble up diabetic patient bacteria get in and that's half way to these hundred and twenty thousand plus amputations, so Jason. So specifically, whether what are the most common symptoms did typically they have no symptoms. because they have no feeling so small scale. That's what I was gonna ass, we called irene. I read that the mile is, like I don't know, like a conductor, it allows the electrical impulses to write. You know, travel up your spinal cord in whatever, so it that stops or slows down you just you're, not feeling anything that

correct, so typically the only time that people present with the wonders when someone visualizes they don't know they have it until the either look which most people can see them. bottom under foot or someone else looks at it there's no damage repairable. or is this just right? Why always true right now, there's no cure for them that, if perform their opposite, there are achieving therapies, vitamins, etc. An arm medicines to me which the symptoms, but there is nothing to bring back the feeling. I chased jason method? Medical science throws a lotta resources at a number of problems, has from the resources. At this point, a condition or is this condition just particularly baffling right now to quite bath, resources in the billions have been thrown at it, including genetic. My

vacations gene therapy or or medicine? acceptable medicines, tissue transplants, and today nothing has worked well. Well, that's our show. People talk a bit, ok, so the dear, allow me too, dear such a suggestion, you're. Only solution is for diabetes to go away. Some hearing diabetes doesn't turner apathy, even if you had patients will have performed raucously and showed no? No, no! No! I'm I'm! I'm I'm saying preventing diabetes in the first place, eradicating it from the species put you out of business. Is that correct? Please? Yes, that would be wonderful. Okay, there, you go that's all I'm trying to say here that that we can t keep putting band aids on a problem when the problem press

could be solved in a different way rather than brand old band aids. In the end, the hacksaw for your amputations. I mean this that that's all I'm saying just making a simple but say- and I stress that the difference between a truly caring medical profession and that you know capitalism me real. The real answer is no music. want to cure it with Finally, we want to keep tree yeah of your money and occurred on monday in the early in the three, but I must ask from from a patient walking into your planet and we the fact that now there, where they have a diabetic, also and things go wrong. Why does the timeline. I know you said it could be six weeks, an infection. So what the timeline to amputation and then what after amputation, are we talking about for their future if they

going to be one, and how long are we talking about so this? just to be clear. This have been all sir in one of your extremities. Yet would go I noticed and then get infected, even though this is an also the foot. Typically because the hand, amputation rate is a hundred times less than the foot amputations you I see that you don't walk on your hands and instead The real issue is the pressure walking right once you get a whole you're walking keeps the wound from here my two thousand, while the body ceiling processes or even stern ongoing process is to take place seven to twenty six, I'm your body. What goes on the bottom of your foot with every step, so if you're trying they will learn- and you can't take the pressure off low likelihood said. I Your question about timing. Do it depends the extent of one infection is identified bright if you're at home, you dont know you have a one you not and looking at your foot. If this infection spread to the bone theirs

a very high likelihood north of seventy percent that you'll end up losing a portion and or all of your foot? Don't you? Doesn't the body respond to infection with a fever, and wouldn't that be a noticeable symptom. Some indy now diabetic or healthy, non amino compromise, patient fever, redness swelling pain or signs and infection, but the diabetic patient is considered a mean on compromise and they dont mount the same type of response: Wriggling goes on the of jason. How many of your patients would you clinically identify as obese, because that means that I may not be able to see my feet I bet compounding literally pressure on white through my my lower limbs and its built almost in a perfect way to ending the destructive process. In the past store yeah good. If you, if you're more Leo beast or obese, and almost on any category you don't really

see the lower half your body, it all right. So this is absolutely correct. There are two types of diabetes type on and intend to take to us by. The vast majority of people are over increase increased. Am I the not only can't they touch feel the bottom of their feet? They can't see them and unfortunately, This is one of the pillars of why this epidemic has not only expand. and continues to grow but is gone. Sort of a shameful mark has been put on right because people who are heavy have this. So let me ask you this way since there is no symptoms, we also know that you're at risk. If you are obese, is there any preventative self diagnostic? tools that you might be able to use to say, hey, I'm in this risk category now. Let me keep an eye on this afoot, mirror

That is the simplest answer, absolutely correct with new technologies with the name enabled mass temperatures and seeing man, oh visualization and temperature measurement can be done remotely, so you can have a a method. Of your bed every night you stand on? It, can measure temperature pressure and report to a cloud where a medical practitioner can follow up on that score the absolute technology available to assist, but in essence, was format a mirror on a stick or a spouse, inspecting your feet and an american diabetes association recommends regular routine. It visual inspection of la look at that it'd be great if it A part of you know your regular meadow medical insurance you'll be able to get some of those. You know technological sisters but then use a mere honest, it is over that's perfect, but that's it that's what she can you like I'd like to

we'll myself also clouds mildly. Their life is a mere said dot adjacent give with. we're getting into a medical unit. Now that has brain machine interfaces and that work and development? that be of any use? see this peripheral new up so You can stimulate the central nervous system and you can interface with the central nervous system and trigger but when the wire leaving the junction box isn't working properly, nothing goes any farther than were that my linda's fitted in thick and write a second jamming signal That's crazy, morocco, at an accurate description. Is there a chemical? The potential chemical solutions once seconds to reduce that there

number of companies that have tried to day, nothing has been successful in clinical trials. The best way to keep your mile and then is to keep your blood sugar under control. So if you don't have these massive swings of blood sugar, the mile and doesn't get there and there lots of technology for assisting in keeping your blood sugar on the control, continuous glucose monitoring palms that in that instil occasions your wifi communication, the phones, vibrating headset. mynors, all sorts of device available out there to help you control you shouldn't, I gotta go, take a short break. When we come back, we're gonna find out why Michael detour is actually one of our guests as well jason and start the. America's number one sports will fan tool. Wants you to be ready for game day when college football kicks off, that's right,

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latest hit on repeat wherever your journey takes. You plus with t mobile, you can download your favorite movies and games from practically anywhere. So you can do even more of what you love t mobile's got our star talk. Radio listeners covered visit, your local t, mobile store to make the switch and join the leader in five g coverage today see five g device cover. an plan details at t, mobile dot com. We're back startled sports addition, we're talking about your lower extremities, like your feet, boots that might be worn over them and we got with its two guests, a doctor jason enhanced and whose an expert dare I say, amputations and we bring on in this segment in full force, michael due to low my

if you came and on the other side of this, what will your role and what's goin on here? How you trying to make this a better world, so thanks me out my background is as an industrial designer most people listening, probably dont know it. Industrial designer is so. I know what it is and you guys in my favorite people. Thank you world. Thank you. Oh my gosh normally makes living not only helpful but beautiful children's. Those aren't you gonna, leave only allowed to get together has already pointed out that I have the term care of rough videos. Favorite yeah, we're out like now near this term. I just found out rodney dangerfield, said: hey, get a room yeah, I'm going to I'm going to make a zoom breakout room for Neela nice, though yeah. So I explained to people If you think of what an architect does for buildings and what a fashion designer does for apparel. I do that

very literally everything else in your life, your your phone, your pants, your car, your chair for better for a worse everything you touch with design by an industrial designer at some point and so me. I love working on challenges, a love of learning. I always say, I'm not a subject. Matter: expert: emma creed. Generalists. So I love partnering with people like jason, who are so Passionate and crazy knowledgeable because I feel like I could pull then some crazy parameters that we can use to find innovative solution and in most This is a mean when you design is like this fine mix of science and art and I think, when you're you're putting these two things together, the solution, oftentimes afterwards, seems painfully obvious, but it's only until you get to that that it seems that way. If that makes sense- and I got things like a paperclip-

I mean the word paperclips before somebody invented a paper clip exactly and so that that's probably in the hall of fame of industrial design, yeah and among things so so right. So let's take a let's take us a sample case foreigner, person with diabetes walks in and I m J has a look and you have a look at this person. Now, how do you put your heads together and address what what's going on here when Jason came to me about four years ago. The first thing we did was put together three basic principles: one it has to functionally perform. Obviously right, we have they quickly. It is now the good is what you write so silly, wanted to create this protective boot right. That would create an environment where someone's wounded he'll right, because, if you're walking right, if you if you're person a normal person. You're gonna still go to work, giving a silver the grocery store. So you can't avoid putting pressure on your foot so

have to create an environment that alleviate the pressure, so someone's wound can actually here so that in principle, one ass, a function principle, two. It has to be easy to put on and take off, because again we were dealing with a person with reduced mobility, redeem feeling right. So they have to be able to put it on and off error free, even at two in the morning when you have to run to the bathroom real quick, channel chuck here, and it has to look fabulous there's principally at the third principle, is a prudent work if its stays in someone's closet. Right because you re aerial to ashamed to go to working. It can't work right wing, a hundred percent of the time that has not used and listen. You know how many we'll need orthopedic shoes, but seven where the earlier I refuse? Yes, that is exactly what was going on here before chop the devices

that were on the market. There are other boots to protect the foot, but people couldn't or wouldn't use them all. Because of that, appeal. They were not usable or good looking right. So much always my balls, you put this on repair genes in august look as much like a pair jordan's and can make it not so that, instead of going It says someone saying like. Oh what's that I want someone to say: oh what is that tell me about it? Oh very good! More! More importantly, more importantly, you want them to say who that algeria, my those who is that is rearing its crazies. That work were building this out for function right, but the world of fashion you looking like what can you asked, is doing with adidas it's not far off from where this is going, where it, whereas at six hundred dollar eight hundred dollar pair balenciaga, says so we're kind of like these worlds are gonna colliding right now, Michael

You mentioned Jordan, so I bring up the goats if you would and I don't you designing, specifically for Michael Jordan right back in your day. Now, thou wait Michael Jordan has diabetes. Jim behaves come on with good I'd know. In any credit, not sorry gary's, I got so much so every you designed for him and every other elite, while placidly has Maybe I could rise and you are pushing the forward. So is the book the white goes through the ball of the foot so as I can sprint or megan skies Michael rather than make so you set the heel? It's not a low level facts, I think of it as a skaters sneaker its flat to sit on skateboard right right. When you ve got a sneaker bits.

the past was decoration. I guess it's raise. The heat is ways you gonna drop, that's putting pressure on the fall of the foot forum he's in some, as you can launch forward now, her everything you ve learned to make that for those athletes, you have the kind of full of car. So how do you start to do the retrofit, because you can't put the pressure of the book the virtually gases ugly right. This is this: is the jordan twenty to be either work done? He's got a ten millimeter drop from the from the hill to the tow a running she might have even more that's death. common right there and in time, illegally like forcing you onto the basi your feet, which is exactly where the wounds from a diabetic foot ulcer are they're. Typically, on the balls of your feet, you know that's aggravating those diabetic foot ulcers and, as jason said most folks, who are getting treatment there they're leaving the office in their shoe so they're they're, leaving the office in the product, that's aggravating

they're wooing so to this product. That jason and I worked on the foot defender, has a slight negative two millimeter heel drop and it deceptively looks like a for where materials, but underneath this is a injection, molded brace there goes all the way around. The product and then we ve got a piece of sprung: and fibre here so that is really seeing the geometry of your leg backward. So you just cannot put pressure on it. Bob and bottom is also flat. So, unlike that, a speaker right where you have these, these huge rockers at least you into and out of the product by having flat again you can't get out over. to the basel feet, so their son china, geometry and science that goes into this thing. As deceptively looks a lot like a shoe. We brazil raising yet, but we develop with Michael but had got my job, I'm sorry to cut you off yorkers. First of all ingenious design. Secondly, love the the

and function playing together. Thirdly, and most importantly, how did you get me jordans It's just goes on skype. Anyone Els allowed that, like everyone else, is in vienna in portland shackles area, not that far from camp is you ve conquered the bit where the footman maybe but remain rigid. You register you, kids, the whites. But in doing that, all you, then the best the curse. Are you then creating other mysteries that need to solve in this titular solution are not jason, take that The answer to your question is yes, but that's worth thirty five years of violence chemical analysis comes into play. If you look at the foot really carefully the mid part of the food is a rigid arch It rarely if ever touches the ground, and it doesn't move see novice

structure by which you can transfer forced to without causing a problem as the reason for this as part of the reason it took seven years and thirty nine iterations to get to the device you're seeing today was once we enforce doesn't disappear. Meal can appreciate that. But why You move force from one place to another. You have to come up with a mechanism by which to deal with whether your decreasing by creating unique material disco, elastic materials that rebound and push it in another direction, or you is very rigid materials to transfer of the leg. Rice in making this out of just one in a one supply of of rubber plastic rank, did did where's, whether commercially available materials to do this, or did you have to

be creative beyond that both. So there were some in the world, we used a number of materials that you would find in the footwear in a whipping anti friction: foam and and claw materials textiles, but We were looking for maximum impact the attenuation right, so you have a four hundred pound person whose muscles don't work and nerves, don't work so they're foot slapping the ground. Much like you, take your hand and just slam it on the table. So we we looked at seven hundred. Different materials to try and find the best impact producing material around and we then modified it. Sweet actually created a new material of fiscal elastic polyurethane that we Calling absorbing m that have

I myself you find in were carved yes, absorbing this right is working to find the right next to vibrate in obtaining a kind of updating them exactly so it removes war between eighty seven and ninety percent of the impact force. By the mechanical and material properties. I hate this is very precise. Just read physics, precise, say, but tell me if I'm wrong, that it dissipates You are absolutely right. Ok, ok, send somebody says, but but but here's the thing now guys. Please don't jerk me, for this is just how I think we do anyway, that I say you talking about something that is probably you know the most prolific shock absorber for the foot in history. There's a

crap load of money in running scruples. Something like this, I mean. Are you thinking about in some ways actually does the opposite re sooner in a running shoe. You want the farm to rebound, really Could you want you want that forced return, you don't lose the would examine their design dampener right, so you a return of energy. If you're running right entertain shock absorber, they re so yes takes. I got the idea that environment has why the blame. The blade works so well because all the energy that you used to land. Other pressing recovered thanks bring back, it's actually so yeah, there's very different utility core michael. If we disassembled this and a boot how many pieces of it so like you do in ancient, because Take the engine apart. Nude lay all look but sat on the on the tables. How many p These are in the because a mite asses

This has ridiculously low turnout basis. yeah, probably over a hundred, I mean there's just so many different things going. I Side of this product mean jason talked about. absorbing material. I even just wanted to aesthetically give you the painter where those are right. What we talked about the index designers job to make a functional, but also I wanted to draw attention to that function. So the there's those two packs her under the big deal and in the forefront yourself at his visually, telling a story Can you hold that arm again like? Can you hold that up again see the soul of the shoe right there? The guys, like you listening to us on the porthos apologies, but best like a foot within a foot within a foot, What's going on there is that that you can't tell me that's just cosmetic, because it's on the sum of the four among same so there must be a really good reason. Why is and trying to kind of basic

draw the eye in word, because we have a asymmetrical product, pure isaac, newton, left and right, so that automatically makes it aesthetically a little off but are treated fool the I'd made. It feel slimmer more. Said the boy are, you know, all. This traction is kind of oversized because you're wearing this inside and outside and at one guy they're in grimed can fall out as easily as possible, but give you this This traction? That's gonna, give you that under the grip you want to actually using basically a cup technologies. This is like one giant pisa, rubber. That's that's very stiff. That's using honeybees basketball, she's skate shoes. heavier and stiffer than a typical out but we want that rigidity rights or were making all these choices due to two to have fun. benefits? Even these, this law, into these kind of red embroidered pits right. You don t know need to be there, but they tell you with

You having to look at the manual like this is how you get into, and out of this thing you these are the technical design, design people so it's very well by the way I got it, I got interjected. I got energy at least for those who didn't otherwise think about not talking to you, Michael, but chalk worth hurt me life, one of the greatest contributions to this world that apple computer. Gifted us is not even the computer, is the fact that the made it normal few to open the package and operate some, Without ever looking at an instruction, ass right, intuitive didn't they may have been made that until a common always correct and I remember growin up. Ok, here's this box. I wish the answer which open up the manual weird, where's this which what happens? If it's has this event This sound is three flashes of light. What do I do now that we have people growing up that have never

looked in an instruction manual, because it I'm just I told you mike, I'm all mean you tight, namely a barrier of yesterday, and I wanna go this right like this person. They think I'm a life to live. I don't want them to spend time reading a technical manual. I want them to just get this thing from their doctor and be able to put it on kind of idiots. Proof that term, but, but you know, four in terms of just putting on correctly and not have to read a manual won t, be able to use it and deal so like all the boots open toad raised great if you live in florida all year round, but you're up there in the latitude, it's cold and your foot how so, how always I'll bring this problem, but an uncontrolled you, Michael, wherever one lives in florida up there in canada, a very re intentional, as you and gas drain and ngos, and could speak to this more, but not most have folks that that have his condition right there, their foot may be

at a normal size, it might be swelling, it might be wrapped in bandages and jason. Do you want to speak to that from from your professional sure, so everybody everybody that goes in a foot defender has an open wound. That wound requires a bandage. If you put a close to on it, you're now can finding a space and you'll more likely get a rub or an area of pressure and it'll be self the faded. What we found in cold temperature These people are using really high technology. It's called a sock cold weather saw and even about people? Are some thermally assisted, such they have a battery that can warm the cmos I've seen socks they told me tat. Okay, so just sits there. We our audience- and I can remember, chasing your based where, where are you now thou farm? My himself, oh, you bet, I portland, Oregon opposite corner put up a portly organ hooker got it, but it's never really sub freezing in portland

it is always just cold and dank yeah get a little snow, but but not much yeah, yeah, okay, so there it sits where the miami connection is coming into yourself. Miami facing right, correct, yeah, yeah, let's take a quick break. When we come back more on this sordid diabetic boots solution that might prevent amputations, which is something we would I want to start off with. You need help managing depressive learning, mindful tat means to combat anxiety or working through relationship issues. Getting started is easy with tell it doc tell that gives you access to license therapists to help. Get you back to feeling your best to feel like yourself again, So many of us are feeling stressed anxious to press or might be struggling with a personal or a family issue, while men, Two per cent of people who use tell adopts on improvement in their mental health virtual therapy helps fit.

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that geo learn more and subscribe to day at natural dot com slashed premium again. That's not geo dot com, slash premium terms, apply. Rebecca start on sports addition? We ve got doktor jason humphed. I say that right, jason, loved and Michael due to low jason, is a as a surgeon who, unfortunately, is confronted with having to amputate many a lower extremity from, diseases complications, diabetes. Michael, the two o is figuring out how to not make that happen, and we need more folks like this walking among us in the world. I so let's wishes pick up the conversation With this with this boot. Are we to say here that if you

have a sore that develops on the bottom of the feed from complications from diabetes. This boot will allow to heal and do diabetics, heal the way, diabetics do like, on the same time, frame into the response to the same topical medicines. The sort of thing jason really interesting question so that the best way I can, gimme. The answer to that is diabetics. Don't do anything the same as non diabetics but we do know that whatever we do the diabetics have the ability deal because wounds elsewhere in their bodies, dont led to an amputation every twenty seconds and that's in vienna it states every twenty. Second, someone in the: u s is losing their legs, the complication, but I've had it for those wild. That's That is that serbian? Yes, I'd something we don't talk about raising because because they jason sailors shames seated with it that someone feels like thereat fall. It's you hi, you hire you ruined in your shoe. You don't show anybody, and so I think,

a pint of milk or trying to raise just. this out into the open and vienna hey, there's no shame in this. Let's fix it, and I love that because you know this is one of the diseases that we often refer to as a lifestyle malady and At the moment you add lifestyle to the description of the of the problem it makes it seem like. Well, you did this to yourself. You know it's like lung cancer. People are far less likely to have compassion for a person. lung cancer. Like all you shouldn't smoke, That's an interesting point point so, Michael maybe you can answer this You would have traditionally gone to a man called device equipment manufacturers to do it but you ve turned around because we're getting results, you wanted and went to a shoe faction. Am I right a boy? What what, What was not being delivered, see you in their little. Do it wouldn't matter?

without it could get where the shoe fact we struggled for two years. Where aware we are working with some some, the vice makers to hit the performance targets, but we couldn't get that fit and finish. Let me I feel like an acceptable consumer product that made it feel like you could get it it's the locker to be short and so Fine. We had it we're having a brainstorm session. In my my studio, jason, and I ask that you know We were just thinking about this totally wrong. We work we were working with a medical factory. You are exposing all the hard plastic parts and issues a real challenge to make it look right and then time, we wanted to make a change to treat the performance like massive tooling glass has left for thinking about this less like a medical device and more like a Nicole, shewed ass. They do something, and I will be able to train a footwear factory adam. something with our technical parameters, a lot easier than it

would be to train a medical factory had a stove something like this. So that's what led to hiding all of the texts, parts. You did you see the little of peaks of it. You could see a tiny peak into the carbon fiber here legally expose it suddenly but by hiding all a bit wicked, create this nice piece of footwear and then as we were, prototyping testing all different internal braces. We can make all those changes internally until we got the speck exactly right and then confirm that way, factory and now just check to make sure there there executing it exactly to the specification. Will you come with me and design everything in my yes You do at all. Are you d? Will you do something as simple as like on my rapes teeth? I love it. I asked if you're designer every everything in front of you is subject. I went over this. I didn't like all my other yeah yeah

The snow was aiming at the car, so Michael give you ve, incorporated even cooperating to bring into this, but haven't you now, those of us with certain vintage flashed back to what was it. Lay eighties early nineties near here. Even remotely did you come reebok retro without with a high top? in the way weather we just remind people so wasn't revised. There was a pump pumping up where who is a high top sneaker others that had an airbag in it. Where you put on the snake lace it up, but maybe it didn't fit perfectly- places that had a pump on it, which fill the gaps with air, so that your entire foot would be more. a smell of lonely. Fifth snugly fears that the incineration like on the boy you foreign, unless it's like six months, I think Neil you Do my whole description from Ebay? Is absurdly it's gotta, be bumptious reed economic, renew its efforts and then said,

there was a cave women we should, but this will pumping to fill the acts right exactly like new york nobody's two legs exactly the same, even though its it grey. The performs. Well, there could be the ceiling of gaps, the youtube fitted up, and then you pump up the rest. and now you're you're, basically just pushing In turn, all sleeve constant, can't, with the body. So you get this appropriate receptive effect you feel much more secure so that the latter, the air bladder, would fill in it needs to and not fill in where it can't be. Yes, it's guides at totally cousin and then were ladders basically shaped like a pair lungs, so so there's physically two chambers and anxiety, over your seal, so you had a really lacking the seal into place again we don't want to cause any more injury, so any kind of repetitive movement insiders attend

for more injuries? Chris rock was the lead performer et cetera, nightlife skip back when that reebok sneaker was passed Were and was thanksgiving dinner and it was spirit of the pump the reap you they now Oh turkey's that you could pump up a hook, the turkey a little bump, and you can make a big If you had more people come in for thanksgiving. Just just look that went up on Google, you should be able to find it so the other, the other, important and functional part of upon is, is not only said, but you can imagine. If you're, trying to control forces and the heat was pacing up and down as the person walks cassettes a rigid device, if you dont, lock the heel and you're gonna load, the first the four. So it really is all about this decreasing the pressure on the front of the forces on the front of a foot, because that's where percent of the wounds have. How widespread as this product right now.

it's available everywhere in the united states, were shipping to other countries. We really had our first product launch in April commercial value as also referendum, so recent ok, I heard them first product. If I have learned lessons from this, I could have obviously it's taken more than five minutes to bring it from a clean sheet of paper to this one, is it a category one medical device? Lessons of you learn along the journey and have a view applied. Those then to new products are met. They show has enough time for all the lessons we have learned. Our entire team has as learn lessons because we're we're doing things that no one stun before nobody has built the medical device or the law strategy that is patient centre right, thing we did is built so that a patient will want to use, because if he had rocket boots and patient so didn't wear them we'll get out of it. so you've got rocket boots working on it

oh by the way, not to not to beat a dead horse, but in the early days of the pc wars between I b m and apple apple did not have much entry into the business. work is a b m was already there and apple got great inroads into the art world. So then how's apple, going to reach the best world so that a commercial where there's an apple pc there was, it is mac and it was there was a early in the mac and then there is, it empathy and and the two secularism looking at it and they so which one is more powerful, the apple or the ibm pc and then the person answers I once more powerful is the one that people want to use. It was a line of people waiting apple, the man love and at times, like one person I buried at that's all. It is this that whole principle are using. It then its useful. We don't claimed to be the proof.

Pressure, reducing the base, but we really are a fresh, reducing device that people can easily get on an art and one of the few. we discovered along the way was, Glenn I and some other engineers and a long time on this front. Spat interior embrace Michael showed you earlier and how it almost auto closes. You pull off three tabs open it like a book, then you let go in back on itself. So it's really easy to do. found was patients about the first fifty debate, Zack forty nine out of fifty adjusted at once put it on and off like a cat women they just slid, therefore, then slid it out. They leave a bite. Bed at night? They not just saving, they decide their foot right in and the device isn't designed to fit skintight. It's designed to there it small, medium and large, so that

also where the pump part comes in handy somewhere in between sizes it'll help with the device on and adjusted appropriately, it doesn't have to hug you or reduce circulation it's so cycle, jason, just jason, just open up a whole other product line here, which is make this out of astrid skin and other common. whether cowboy boots and you you can start a whole new style, a man right Can we ran a market of you're an hourly out, you know your pal you later skin or corner the taxes market. That's it the other learnings we found in all of our business has been built on what patients have told us. We took. We essentially pulled five thousand patients and said why to using the devices you have, and the first answer was. I can't the second answer was the stigma, get good work and do it Third one was when I get home. I need to take my device off because it ready from being out in the world. So here these people that are protecting

all day, they come home now, around in a sock or a flips one or a sly, and there they're out there. That shows you actually walk more at home than he don't work for most people, so here they are all day being there jump. Then they come home and put their body weight timescale or more on What all night long it's a michael! What you what you you heard about that and then what did you do? Yeah, so I sighed of like, if we could think of the foot defender as like our f one car right? This is where we're going to do all our research for a formula one car listen to my gosh okay. This is where we're doing all of our r and d right. How can we take that down into like the Bmw m three that someone could drive Every day right, so we develop this product. The cloud now, DR might have one to work every minute, even I noticed now as the main global dream, but anne felt this is

all the same material science that went into the foot defender, but this is something someone could wear at home, or when they don't need the foot defender and your or maybe before they even need the foot defender forget him at a time into something like this organ. in a bunch of different colors and it's just they need the rack around the house comfortably high would totally where that no metal. What are you go then? It is like a supervisor look as if I was you what's the difference we had an like clogs. I set the scene architecture I sent for factor yeah. It looks very netherlands the right rest, but internally we ve got all the same material stack. That's inside the foot you're so that absorbing em to absorb impacts. There's like we're. How big is that in jason between two millimetre. Thirteen domineering saw so it later feels like you're, walking, uncloud now and then the lad

we developed so just to be on smiled. Nine was a cloud rating system that at work the night of that in the system was a accumulate accumulation. which left me: one nimbus clouds with the puffy to the clause, so that led to the tradition of saying I'm a cloud nine, because you don't. on class, seven causes serious yard and and bed or whatever? That's where angels go to die? I actually never knew the origin of the items are meteorologist who went around the world to shout any classified cloud types in the cloud nine was a coup. Was the keenness puffy a car Third, in the situation before we have Rapporteur, this up. Sadly islands, forty thousand amputations in the: u s each year, how Do you ass? The you could possibly take out of that. You not impressed him with this burden. This photo Imagine if we could get this our technology on ten per

and that number to one of those amputations cost the healthcare system, half a million dollars oh god, what other ways of amputation isn't for the surgery. It's the that in its further brief about the patient, but it's for low, is that your her everywhere that patient and by the way, the mortality rate it by beers. For these amply, hated diabetics is fifty percent. Ireland, not answers so so. what you got an invitation to five years, a fifty percent mortality by ankara to further. Idea behind our business, the whole idea behind the foot defender and its offshoots is stopping that moment of two being from treating a wound a mortal amputation right now. So can you talk to us about price point, because it seems as though that my

an important factor. I looked on line and there's like crap boots for like sixty dollars and then there's like these super like high tech. Looking foods for four hundred dollars and everything in between there were a day. We are a proved reimbursable could buy insurance. The code is l for three six wanted, is on average around the country around two hundred. Ninety five dollars for reimbursement. were selling the doctors and medical distributors they fix their own prices are current rate. Sale, prices right in the middle of the range you just talked about two hundred and fifty dollars in cash, Why is it cheaper than modern air jordans? Isn't that if you have any good pair of shoes or running this point in time, yeah- and that is just tremendous on every Congratulations, you guys! Could you earlier, I randy oases. You know it's it's possible to put

sign and science together and try to save the world. You not tell some new forty verse to find a sort of early to this problem- is exactly exactly well Michael jason. Thank you for being guess, starting your hair even lightened us and you enlightened, are our audience and we look forward to the end of entire category of amputations because nobody wants to lose any their body at any time. as you guys have a website or something repeat: people guy element, offender that come no care. This. Clean and simple enough. Excellent and michael do have like a design page or something where I can. Hang out here you go, you can just go It's you may go to tools that can or if your eye instagram the letter d, the number to l, a p d love fanatically, occur yeah. I see what he designed even design, your damn name, our guys, this gary check

It was my pleasure. I love this topic and gary taking up these tiny at this has come about a year, cyrus, sir. What are we gonna production team and we can keep mining and Lydia resigned, deepen of this policy and therefore less keep doing it all right near the grass face in here has always reporting and.