Episode Transcript
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0:02
Welcome to Unstoppable at Craig , where
0:04
we pull back the curtain on what makes healthy
0:06
workplace cultures click and what happens
0:09
when people are empowered to expand
0:11
the boundaries of what is possible . We'll
0:13
explore the perspectives of employees and
0:15
leaders who have carte blanche to speak their
0:17
truths , tell their stories and unlock
0:19
uncommon ways of approaching challenges
0:22
. I'm Dr Jandell Allen-Davis
0:24
, ceo and President of Craig Hospital
0:26
, a world-renowned rehabilitation
0:28
hospital that exclusively specializes
0:31
in the neurorehabilitation and research
0:33
of patients with spinal cord and brain
0:35
injury . Join me as we learn from people
0:37
who love what they do and what happens
0:39
when fear doesn't stifle innovation
0:41
doesn't
0:52
stifle innovation . I remember when I first met this amazing guy I get to talk with today
0:54
at Craig Hospital . It was before the pandemic , I think , and
0:56
it was on the fourth floor gym , which means nothing
0:58
to any of you except that's a physical therapy gym
1:00
. It was in the evening and one of the traditions
1:03
and conventions that's part of our really
1:06
expansive peer mentoring program is
1:08
that there is a dinner once a month that's
1:10
hosted by any one of a number of generous
1:13
either organizations or individuals , and
1:15
Josh was there . But what I was struck
1:18
by immediately as we were talking and I said I
1:20
need to get to know you better just because of
1:22
the work you were doing in advocacy for
1:25
our folks with one of the
1:27
toughest , I think , agendas in America
1:29
talk . But it is my absolute pleasure to welcome Josh
1:47
Basile and have the opportunity to
1:50
just get to know you so welcome .
1:52
It's great to be here today and thank you for having
1:54
me on the podcast Well it is super
1:56
cool to do this .
1:57
You know , we talked to , and I've had the just
2:00
the privilege and opportunity to talk to , a lot of
2:02
folks in different sectors . This
2:04
podcast gives us the opportunity to talk
2:06
about building great cultures and we're going to have
2:09
, as I think about it , the chance to talk
2:11
about building great cultures at a policy
2:13
stage , at a national , at a global
2:15
stage , in a very different way , and
2:17
, heaven knows , there's tons of work to do
2:20
in this space . So I thought just
2:22
to contextualize things
2:24
, since we're just chatting and no one can see
2:26
us , maybe we'd start by having
2:28
you , josh , just tell your story . Well
2:31
, again .
2:31
It's great to be here , and my
2:33
journey into the spinal cord injury world
2:36
started as a teenager . It was
2:38
almost 20 years ago . I
2:40
was on a summer vacation , finished
2:42
my freshman year of college and went
2:44
to the beach with my family and friends , something
2:47
I look forward to every year . And
2:49
while in the water waist-high
2:51
water I turned my back to the ocean
2:54
and a wave just picked
2:56
me up , threw me over my boogie board
2:58
and I landed headfirst against the ocean
3:00
floor . And I remember just hearing
3:02
a loud crack , ocean floor . And I remember just
3:04
hearing a loud crack . And when I became paralyzed , I
3:07
was face down in the water , unable
3:10
to move my arms , my legs , unable
3:12
to scream for help . And
3:19
I just remember floating in the water , just kind of trying to be
3:21
as calm as I could , to not panic , and just hoping my friends would see me . I floated
3:23
there for a while . I'm happy
3:25
to report they did , they did , they found
3:27
me and that was the start to a
3:29
new life . I was medevaced off the
3:31
beach to a hospital system in
3:33
a critical unit and spent
3:36
the next four weeks in
3:38
the trauma unit with a ventilator on
3:40
my neck , unable to breathe
3:43
on my own , unable to speak words because
3:46
of the ventilator , and I could
3:48
only communicate with my family by blinking
3:50
once for yes and twice for no . Then
3:53
I went to spend another
3:55
two months in an inpatient hospital
3:57
and I was sent home
3:59
and off to a new life . That was , yeah
4:01
, 20 years ago . It's kind of crazy
4:03
to think about that .
4:04
It's interesting you use the phrase off to a new life . It certainly was a new life
4:07
. That was , yeah , 20 years ago . It's kind of crazy to think about that . It's interesting you use the phrase off
4:09
to a new life , did it ? It certainly was a new and different life . You say that
4:11
with a smile , which is amazing
4:13
. I could imagine , though , that it wasn't with smiles
4:15
at the beginning , and what was that transition
4:17
like ?
4:17
if you don't mind , sharing , yeah , there weren't many
4:20
smiles in the beginning days , but
4:22
I did find my first smile
4:24
thanks to community
4:26
thanks to mentors . I
4:28
remember I was in my
4:30
inpatient room and
4:32
this guy , robbie
4:35
Beckman , who's a quadriplegic
4:37
from the Maryland area , was injured
4:39
like a year before me and
4:42
he ends up racing
4:44
in the room in his power wheelchair and tries
4:47
to almost attacking my nurse
4:49
playfully and I was just like what
4:51
is going on ? This is like the
4:53
strangest scene ever . I have no idea
4:55
who this person is . And he starts kind
4:58
of yelling at her like smiling , laughing , and
5:00
I was just like I have no idea what's
5:02
going on . And he looks at me and he's like
5:04
son , you got to turn that frown upside down
5:06
and it's the first time I smiled . I
5:08
was like I didn't know you could be playful with
5:11
a spinal cord injury . I didn't know you could have
5:13
fun , you could joke . Since then it's
5:15
been a I've just had countless
5:17
mentors come into my life
5:19
to show me what was possible
5:22
and that life could go on in
5:24
beautiful ways . And
5:31
I know , just laying in the hospital bed during the early days I would just be on my back , staring
5:33
at the ceiling , counting every little imperfection
5:35
in the ceiling and memorizing it . Because
5:37
it was just . Those were my days
5:39
and I would be dreaming of like
5:41
what could my future still hold
5:43
, and I didn't know , but as
5:46
time went on it ended up becoming
5:48
a pretty beautiful future .
5:50
Yeah , and I don't even want to fast
5:52
forward through all the chapters , but
5:55
I will say fast forward to today
5:57
. You clearly figured it all out . What
6:00
was that story ?
6:00
like being able to follow
6:03
in others' wheel tracks you
6:05
know , being a quadriplegic
6:07
. It's
6:12
going from being on two feet , running
6:14
everywhere and living life with pure independence
6:16
. I had to hit a big reset button
6:19
on life and
6:21
you know , I did things a million different ways before my
6:23
injury . Now I do it one million
6:25
new ways , one million different ways . And
6:27
having to figure that out
6:30
it could either be done by trial
6:32
and error or it could be done by
6:34
learning from others , learning from community
6:36
members , and you know , truly
6:39
, the power of mentoring
6:42
changed my world , being
6:44
able to have people come into my life . When
6:47
I was still in the hospital I
6:49
got to meet Tim Strachan , who was a
6:52
quadriplegic from Maryland who , 10
6:54
years earlier than me , was at the
6:56
same beach a few doors down , dove
6:59
headfirst into the water and
7:01
hit a sandbar and shattered his
7:03
neck , and
7:08
he actually had a full ride to play for Joe Paterno at Penn State . He was the number
7:10
one prospect college football
7:12
player quarterback and he
7:14
came home , went to community
7:16
college , went to undergrad , then
7:19
went to the law school . He
7:21
passed the bar , fell in love
7:23
, got married and had
7:25
kids . And you know what , when
7:27
I heard that story early on
7:30
, it just said Josh , if Tim
7:32
can do it , you can do it too . So
7:34
it set me on a new path and
7:36
a new mission . You know what I
7:39
can live a meaningful life
7:41
and make an impact . And as
7:43
I went through school and really
7:45
and really , in those early days of my injury
7:47
when I did regain my voice
7:50
, I found the power of
7:53
what your voice and your words can
7:55
do to influence the world around you . So
7:58
becoming a communication major
8:00
myself , then graduating
8:02
Magna cum laude from law school
8:04
, I did it without ever flipping a page
8:06
with my fingers .
8:07
There's a ton of tangents in there
8:10
. You're pointing out the importance of mentoring
8:12
. Just to say that there is big life , like
8:14
the person who came in , who's married and has
8:16
kids , went to law school . The
8:18
man who came in and joked
8:21
with the nurse and said turn that
8:23
frown upside down and I love that your
8:25
very first smile . I know
8:27
it's had a bigger impact than just you
8:29
saying that mentoring is important in
8:31
words . You know , when I think about Spinalpedia
8:34
, I'd love for you to spend some time talking about
8:36
that . And then , what was the genesis ? What inspired
8:38
you to create this incredible library
8:41
of all sorts of videos that are easily
8:43
accessible ?
8:45
Well , with hitting that big reset
8:47
button and
8:50
entering this new world of
8:52
paralysis . It's just it's
8:54
crazy to think about every little piece
8:57
of your day , every little activity
8:59
of daily living . You have to figure
9:02
out how to do it again . And the
9:04
way that I figured out how to do it a
9:06
lot because of my paralysis
9:08
and high level injuries I
9:11
would have to rely a lot on technology and
9:13
a lot on caregivers . So I became very
9:15
dependent on technology
9:18
or adaptive devices
9:20
or family friends , caregivers
9:22
to tackle life . But
9:24
I learned very quickly that through
9:27
all the technology and
9:29
people in my life I became independent
9:32
because as long as I could have
9:34
the say , physically
9:38
I was paralyzed , but mentally I
9:40
was still there , I was still Josh and
9:42
focusing on what I could control that
9:45
perspective . It really transformed
9:48
my ability to kind of tackle
9:50
my day with purpose . But
9:52
it really took mentors to give me the
9:55
ability how to figure things out so
9:57
that I didn't have to do it five or
9:59
10 different ways and fail . I could be
10:01
like , all right , they did it . Well , that way , I'm
10:03
going to try it . Did that work for me ? It
10:05
did . I'm going to do it that way , or you know what it didn't , but I'm
10:07
work for me . It did , I'm gonna do it that way , or you know what it ? didn't , but I'm gonna tweak it
10:09
and I'm gonna figure out how to how to do it in my own way or
10:12
within my own environment . But so
10:14
much of that mentoring that I
10:17
found it just like every single time
10:19
that I had someone new come into my life , it
10:21
just it rocked my world . It got me
10:23
in a different direction , it got me on
10:25
a straighter path to figuring this
10:27
all out . And it's
10:30
crazy , but after 10 months
10:32
I compiled it felt like
10:34
volumes of information that
10:36
I wish I could have slowly rolled
10:39
out to myself right after
10:41
my injury . So I didn't have to make
10:43
the big mistakes . I didn't have to . I
10:45
didn't have to struggle through different parts of
10:48
of the mental game of an
10:50
injury or or how to
10:52
gain access to vocational
10:54
supports or government programs . And
10:57
because the quicker you can get
10:59
in the in the right direction on
11:01
a different path with a with a
11:03
high level spinal cord injury or with any
11:06
really spinal cord injury , it's
11:09
a whole new world of possibilities and
11:13
I know each and every time I
11:15
met those special people it's
11:18
just like I kept on saying I wish I met you sooner
11:20
. But I would
11:22
always come to each new encounter
11:24
with a sense of gratitude
11:26
. First of all because it's just like you
11:29
know . You don't know what you don't know and if
11:32
people are willing to give and to
11:34
help you and if you're willing to
11:36
let them in . That's sometimes the hardest
11:38
part of paralysis
11:40
in the early days . You
11:43
choose to believe like this is
11:45
going to be so temporary , I'm going
11:47
to beat this , and it's good to have that
11:49
mentality . It's good to have hope . Any
11:52
dose of hope is good in life
11:54
and in general . I'm
11:57
not saying to give up that hope early on . What
11:59
I'm saying is , like so often
12:02
, there's people within the
12:04
spinal cord community that I end up
12:06
reaching out to and mentoring I'll go a little bit more into that but like they're
12:08
not ready to have a mentor , there's people within the spinal cord community that I end
12:10
up reaching out to and mentoring I'll go a little bit more into that but
12:13
they're not ready to have a mentor . They're
12:15
still coping , they're still in the grief
12:18
stage or
12:21
they're just not ready for that . But luckily I
12:23
had certain mentors in my life to show me the value of it . Luckily I had certain mentors
12:25
in my life to show me the value of it . And
12:28
the next thing I knew , the more and more people I
12:31
let into my life , it
12:33
set me off in
12:36
a really , really beautiful journey . And
12:44
so about 10 months after my injury , I had friends and family come to me and said Josh
12:46
, what do you want to do with your next
12:48
chapter ? And we decided
12:50
we wanted to start a foundation . So
12:52
we started the Determined to Heal Foundation
12:54
to help simplify
12:56
the transition into life with paralysis
12:59
for newly injured families . And
13:01
at first I kind of just shared my story and
13:04
almost writing like a book , 130
13:07
pages of different topics
13:09
that we ended up putting on the internet . But
13:11
I quickly learned that my unique level of paralysis
13:14
was very specific to me . One
13:17
level above my injury , I would
13:19
likely be on a ventilator . One level below , I'd
13:22
start to have a tricep one level
13:24
of that uh , fingers , um
13:27
and level , like it's just every level
13:29
of the spinal cord injury branches
13:31
out into a whole new world . So
13:34
then I started saying , all right , what can we do
13:36
to bring mentors to people across
13:38
the world ? And that's when Spinalpedia
13:41
was born . It's a video
13:43
mentoring platform where we take
13:45
videos from the internet and break
13:47
them down , all by functionality , so
13:50
that you put your exact movement in and
13:52
the next you know , you have somebody within
13:54
the process community to show you
13:56
different activities of daily
13:58
living , different parts of life you
14:01
name it . And now , in 2024
14:05
, since 2007 , we
14:07
are now over 10,000 community
14:10
members and over 33,000
14:12
videos broken down by functionality
14:15
, and it's just one of those things . It
14:18
started off as my baby and it's
14:20
now a teenager and it's
14:22
grown up in a beautiful way and
14:24
I'm very , very proud of
14:26
what it's become .
14:28
It certainly takes a village or entourage
14:30
, however you want to put it . I want to
14:32
switch gears just a bit
14:34
, because you
14:36
did go to law school Holy moly , I love
14:38
it and never flipped a page
14:40
, which is scary . But there you
14:43
go in terms of the ability to do
14:45
what you got done through
14:47
any one of a number of both technologies and , as
14:49
you said , people to help . But you've
14:51
, I think , committed your life to
14:53
a particularly important aspect
14:55
of law , and it has to do with disability
14:57
law , which is what I remember us talking about in
14:59
that gym that day , which was one of the
15:01
things that I said . Oh , because I'd done government relations
15:04
at Kaiser Permanente before coming to Craig
15:06
, and obviously we have a role that we
15:08
play in local and national policy
15:10
. But I wanted to give you a just just
15:13
talk about how that whole journey
15:15
started and then we can get into some specifics
15:17
.
15:18
You know , when I learned that Tim Strachan became
15:21
an attorney , it kind of taught
15:23
me that you know the power
15:25
of your voice , the power of advocacy . You
15:28
can really change the world with your words
15:30
, and if you have a unique set of skills
15:32
, more so than
15:34
others , you really can
15:36
gain a superpower of sorts to
15:38
change the world around you . So
15:41
I started getting as much education and
15:43
confidence as I possibly could around
15:46
advocacy and I turned
15:48
it almost into a sport , into a game . The
15:51
more I practiced at it , the more I played at it
15:53
, the more I put myself into the game , the
15:55
better I got , and learning
15:57
everything I could around me also
16:00
helped . Being
16:03
able to live in the Washington DC area contributed to allowing
16:05
me to be , you know , rolled down the streets of Capitol Hill
16:07
. I learned that you know . When I wheeled down the streets in DC area contributed to allowing me to be , you know , roll down the streets of Capitol Hill . I learned that , you
16:09
know , when I wheel down the streets in
16:12
DC I get to turn some heads , but
16:15
if I wheel down the street with you
16:17
know , two or three or five people
16:19
in chairs a lot more
16:21
people Turn a lot of heads yeah you
16:23
create a small army and people
16:25
start listening , People start healing and
16:27
they realize that this is a
16:30
real story , this is real life
16:32
, this is real impact and
16:34
letting them be a part of your journey
16:36
and that consistency
16:39
within advocacy I learned
16:41
it's . Change does not
16:43
happen fast anywhere
16:46
in the world , especially within the US
16:48
political system , but
16:50
a consistent , steady beat , a
16:52
persistent beat of letting
16:55
the world know what needs to change , why
16:58
it needs to change , and continuing
17:00
to working with the powers to
17:02
be to make it happen . It's
17:04
just , it's amazing
17:07
what happens when you
17:09
keep beating that drum over time . There's
17:11
so many things that need fixing
17:14
. Unfortunately , so
17:17
many people within spinal cord injury rely
17:20
on Medicaid , and when Medicaid
17:22
was first formed in the 1970s
17:25
, it was made to help get poor people
17:28
off the ground and to get them
17:30
back up and to give them a
17:32
safety net of sort in place
17:35
so that they just didn't
17:37
crumble . They had something
17:40
to support them and they quickly
17:42
joined in the elderly
17:45
, children and
17:47
persons with disabilities . But they
17:49
left that component that you had to be poor
17:51
, and that's been one of the
17:53
hardest points of having
17:55
a high-level injury is the
17:57
only place you really can turn for
17:59
long-term care , which is that
18:01
nursing care , that attending care in
18:04
the community , is through Medicaid
18:06
, and people
18:08
with disabilities , especially
18:11
with spinal cord injuries at high levels , will
18:13
always choose to survive before
18:15
they thrive . Survival is
18:17
attached to Medicaid if
18:20
you want to be in the community and out of an institution
18:22
like a nursing home . So
18:25
basically , people with disabilities , especially
18:27
spinal cord injuries , were not going back
18:29
to work . And in the 1990s
18:33
they realized that people weren't
18:35
going back to work because if they made any money they'd
18:37
lose their caregiving . The federal
18:39
government , Congress , decided
18:42
to pass two pieces of legislation the 1997
18:45
Balanced Budget Act and the 1999
18:47
Ticket to Work , Work Incentive Improvement
18:49
Act and both of these legislative
18:51
authorities granted states
18:54
to create what's known as Medicaid buying programs
18:56
for workers with disabilities and
18:58
allowed states to design
19:00
people have higher income
19:02
, higher asset limits , be able to
19:05
work to a certain point and
19:07
not be kicked out of their Medicaid benefits
19:09
. And this was a beautiful turning
19:12
point . In the beginning
19:14
days they made very conservative
19:16
rules around these programs
19:19
and as time went on
19:21
, state by state by state
19:23
, we're finding that a lot of these rules
19:25
are being relaxed to allow people to make
19:27
more money , to save more money , to
19:30
be able to get married without a penalty to
19:32
be able to work past the age of 65
19:34
. So right now that's one
19:36
of my biggest advocacy
19:39
pieces in my life is
19:41
transforming Medicaid buying programs across
19:44
the country 46 out of
19:47
50 states have Medicaid-buying
19:49
programs .
19:49
Oh , that's fabulous .
19:50
So Florida , alabama , louisiana
19:52
and Tennessee are currently the
19:54
only states that do not have it , and
19:56
the District of Columbia , but within
19:58
Maryland , after five years
20:00
of advocacy I started with
20:03
Governor Hogan , who's a former governor I
20:05
was actually able to convince with
20:08
Governor Hogan , who's a former governor , I was actually able to convince
20:10
him and his administration to remove the income limits and to allow once
20:12
somebody's in the program to
20:14
save for the future based on the amount
20:17
of money they make in a year . So as of
20:19
January 1 , 2024 , this
20:21
year , maryland workers with disabilities
20:23
in the Medicaid Buy-In Program are
20:26
able to work without any
20:28
barriers on income , which is huge .
20:30
That's amazing , you know , it's almost . I guess
20:32
I'm going to try not to get on a soapbox
20:35
, but it's unbelievable to
20:37
think about what a huge inequity that
20:39
is . I can save for the future as much as
20:41
I want and continue to work as
20:43
a person not living with a disability
20:45
, I mean it just so
20:47
marginalizes and so calls out
20:49
difference where there shouldn't be . So
20:52
what you're doing , you and
20:54
a throng of others rolling
20:56
to the capitals all over this country
20:58
, is
21:00
welcome , and you know , I think
21:03
there's also an all boats rise with
21:05
the tide playing out here too , because
21:08
the same thing happens for able-bodied , poor people
21:10
who are trapped in poverty
21:12
because of some real arcane regulations
21:15
and rules that need to change .
21:17
So thank you , and the only way they're going to change
21:19
is to is to speak up
21:21
. Let your voices be heard , let
21:24
your wheels be heard . Just you , your wheels , be heard . You
21:26
got to be heard . The only way
21:28
to really change the world is
21:31
to immerse yourself within it and
21:33
to let the world around you know
21:35
that you have value , that you
21:37
have purpose and that your
21:39
future is up to you
21:41
. I learned early on in my injury that nobody's going to fight harder for me than I'm going
21:43
to fight for myself . And when I learned that I my injury , that nobody's going to
21:45
fight harder for me than I'm going to fight for myself
21:48
. And when I learned that I
21:50
became an advocate for life and
21:53
I need to be able to bring together
21:55
other beautiful people to fight
21:57
alongside me so that we can amplify our
21:59
voices and stories and to show
22:01
that systematic problems
22:04
need to be fixed , because it's just
22:06
not one person falling through the cracks
22:08
, it's many .
22:10
What are some of the other big cultural
22:13
issues that do need to change through
22:16
yours and others' leadership ? And
22:18
not just those who are wheelchair
22:20
users or who are spinal cord
22:23
or brain injury or any other disability
22:26
, but those of us who do
22:28
use these two things to walk
22:30
around on and can jump out of bed . What's
22:33
some of the big things we have
22:35
to struggle with ?
22:36
Yeah . So the patience and persistence
22:39
, it's key . Like
22:42
you can't win every day within
22:45
the advocacy game , it just doesn't work
22:47
like that . Small incremental wins
22:49
and many losses
22:51
together both of those together
22:54
is forward
22:56
moving . It's
22:59
like even this year , through the Maryland legislature , I brought forward
23:01
a bill so that people age
23:03
65 and above in Maryland could
23:05
be able to work without losing all
23:07
their Medicaid , which currently
23:10
you turn 65 , it's time
23:12
to retire , which is
23:14
not fair . There's a marriage
23:16
penalty , so if I were to get married , my
23:18
premium per month would go from
23:20
$50 to over $500
23:22
, $700 a month , which disincentivizes
23:25
marriage which I would love to marry
23:27
, the love of my life my fiance and
23:30
the Department of Health
23:32
in my state was able to kill the bill
23:34
, but we were able
23:36
to get a survey put forward so
23:38
that over the next year they could study
23:41
it . We got the media behind us
23:43
and I full heartedly believe in 2025
23:46
, we will get the bill passed . We
23:48
didn't get it done this year , but we
23:51
were allowed enough to get the powers
23:53
to be to recognize that they needed to do something , to
23:56
get the powers to be to recognize that they needed to do
23:59
something . There's
24:01
a big issue right now with access to care
24:03
and good care and making sure that those that are attendants and nurses want
24:06
to enter this field and get paid
24:08
a fair wage , and that's a
24:10
struggle . I see quadriplegics
24:12
like myself and my level of injury
24:14
getting two to three hours in the morning
24:16
and two to three hours in the
24:19
evening . That's tough being
24:21
able to have that number of hours
24:23
for care . When you're paralyzed
24:25
below the shoulders , it's
24:28
almost torturous to not
24:30
have the supports needed to
24:32
be able to tackle your day and live your best life
24:34
. There's
24:36
so many things that we need to do within transportation to be able to tackle your day
24:38
and live your best life Like there's so many things that we need to do within transportation to
24:40
be able to give access to more
24:42
people to the world around them , and
24:45
you know we live in a world right now where
24:47
the Internet is . You
24:49
know most people now realize
24:51
that they have to make their physical storefront
24:54
accessible to
24:57
people that are going to be customers
24:59
, but we now live in this huge digital
25:01
world where our websites need to be accessible
25:04
. The different products and the
25:06
way that we communicate with the world online
25:08
needs to be accessible , and I've been extremely
25:11
passionate about that .
25:13
There's no shortage of work for us to
25:15
do . I mean the very and it's all . As
25:17
I look at it , it just it's . I
25:20
gotta tell you it's angering and I'm going to try not to
25:22
get emotional , but you know , when you're
25:24
talking about being able to marry
25:26
, to marry , you know one
25:28
of the things that we hold so at
25:30
least politicians do sacrosanct
25:33
and wonderful being able to
25:35
get around where public transportation actually
25:37
works , let alone private , and is affordable
25:40
. Employment , which you
25:43
know lessening , to use a phrase , the burden of
25:45
government in general , just to have
25:47
full access to employment . And
25:49
, in particular , one of the things I don't know , that I've said
25:51
this to you but your story certainly once
25:53
again reinforces , is that the people
25:56
many , most , in fact I
25:58
dare say all people living with spinal
26:01
cord injuries , absent congenital
26:03
conditions , woke
26:05
up with one reality and went to bed with a very
26:07
different one . It's not as if they left everything
26:10
that they are and were and their potential
26:12
on that ocean floor or
26:14
on that , you know , the side of that road in a
26:16
car accident , or at
26:18
the bottom of that building from a fall , or those
26:20
stairs from a fall , and yet we throw and
26:23
we waste so much realized
26:26
, actualized and potential this
26:29
way , home health , and then accessibility
26:32
through as we become a more digital
26:34
world . Those are just
26:36
five of a host of things that will keep
26:38
a ton of us busy
26:40
. It's one of the things just
26:43
a little sharing is , I've thought , why
26:46
did the heavens put an OBGYN
26:48
in the place of service
26:51
at a national neurorehabilitation hospital
26:53
? And I knew what it was . It was to use my voice
26:56
on behalf of the vulnerable , and
26:58
I call myself a warrior for the vulnerable
27:00
. So together we're stronger . I rarely
27:02
say fatigue or tired because
27:04
there's lots of work left to do . But
27:08
what would you , from your 38
27:10
year vistas , say
27:12
to we old folks , because and
27:15
I think it's important to get that and
27:17
by old folks , old leaders , old people who are
27:19
going to be in the fight till the
27:21
fight ends ? I say that because maybe
27:23
there'll be a day that old Josh will
27:26
need to hear that from young Josh . So what would you say
27:28
to those of us who you know
27:30
these fights get all this many
27:32
years of doing this and at my age given
27:34
therefore , you know , know , when I went
27:36
into medicine , what it looked like , let alone
27:39
the very few leaders
27:42
of color and certainly disabled
27:44
leaders that are out there who
27:46
are the sort of the , the
27:48
pioneers in some ways I would
27:50
just say the importance
27:53
of of purpose
27:55
, the importance of knowing that
27:57
when you get to wake up , you
28:00
choose what you want to do next .
28:02
So if you're tired of beating the same
28:04
drum over and over again , there's
28:07
so much more , there's
28:10
so many new drum beats
28:12
that you can create in different directions
28:14
in life to truly create
28:16
meaningful change and to have
28:18
that influence around
28:21
you . Like there's
28:23
not enough hours in the day for me to do what
28:26
I want to do now , but I know if
28:29
I needed to go in a different direction , I
28:31
could go in instantly and do
28:33
something new and still be
28:36
able to make big impact in that area . And
28:40
it kind of makes me excited
28:42
to know . You know , like my spinal cord
28:44
injury , you know it immediately
28:46
had me at a reset button , but
28:48
it also started a new chapter . And
28:51
you know , after you know , graduating from law school it was a new chapter . You
28:53
know , after you know , graduating from law school , it
28:55
was a new chapter . After falling
28:58
in love and finding the love of my
29:00
life , katie started a new chapter
29:02
. I got to immediately
29:04
become a father to her beautiful three-year-old
29:08
daughter and the next thing you know , katie
29:11
underwent in vitro fertilization
29:13
and
29:15
I became a dad from the beginning , and that was a new chapter
29:17
. It's just . Each and every chapter
29:20
of our lives can
29:22
begin something new , but it's up to you to
29:25
be that star , that
29:28
main character in it , and what you
29:30
do next . So , whatever
29:32
if you're 38 , or
29:34
if you're 70 , the
29:38
truth is that each and every
29:40
chapter that comes next , you
29:45
are the actor in it to decide what
29:47
happens next . With that next word
29:49
, the next sentence , that next page
29:51
, we are the narrator of our journey
29:54
.
29:55
This hour , there's been just so many gems that
29:57
you've dropped , not just in service
29:59
to and in support of persons
30:02
living with spinal cord injury , but those of us who
30:04
aren't . And one
30:06
thing I suspect that , had
30:09
that wave not changed , your trajectory
30:11
would have been part of your future , would have been this
30:13
desire , this drive
30:16
, this need , this responsibility
30:18
to mentor , and I know that you're
30:20
like you said there's always another
30:23
cool thing you're doing and you are doing something interesting
30:26
in the mentoring space .
30:27
We're creating a national peer mentoring
30:30
program to get to families as early
30:32
on as possible within
30:34
the critical unit , within the
30:36
inpatient setting
30:38
, and making sure that you
30:40
know just if the person that's
30:42
injured needs somebody , we're
30:45
there for them the second that they're ready
30:47
. Oftentimes you need to mentor the family
30:49
members as quickly as possible
30:51
to get them so that they're ready
30:54
to make that transition from
30:56
hospital to home , which is very
30:58
scary . I remember coming
31:01
home from the inpatient
31:03
hospital and I was
31:06
there within the hospital systems for
31:08
almost two and a half three months and
31:10
when I came home and they wheeled
31:12
me into my garage I
31:14
saw an old pair of cleats and a tennis
31:17
racket and that's when it hit me . The
31:20
life was going to be different from that moment on . I
31:22
really did not get it as much
31:24
when I was
31:26
still in the hospital . But
31:28
creating an international peer mentoring program , we're
31:31
going to try to get to families early on , to every
31:33
hospital , and also
31:35
to get technology to
31:38
families early on to every hospital and to get also to get technology . What ? What if we could
31:40
get a piece of technology into someone's mouth immediately after their injury
31:42
, to actually give them independence
31:45
back and to give them the ability
31:47
to control their environment , to communicate
31:49
with the world around them , to
31:51
be able to , to not just be in
31:54
that hospital bed staring up at the ceiling
31:56
, blinking once for yes and twice
31:58
for no ? What if , from day one
32:00
, the first week , we
32:03
can give people the ability to
32:05
not go down a road
32:07
of depression , which every single person
32:10
with a spinal cord injury gets a dose
32:12
of depression Like . It's
32:14
hard not to . It's the reality of the day . But
32:17
how can we give them the tools they need , the
32:19
mentors they need to
32:21
have a better fighting chance , to live
32:24
their best life and to not
32:26
be alone ? That's something I
32:28
would love to try my
32:30
hardest to give to the world and
32:33
something that , at least in this chapter , I'm
32:35
going to be fighting for . You know there's
32:38
just so many things that we're all doing that
32:40
are contributing , and Craig
32:42
Hospital . You know I
32:44
came out there because I brought
32:47
five families
32:49
to go adaptive skiing from around
32:51
the country and we came to
32:53
the Denver area and it's just like it
32:56
was a no brainer . I had to get out to Craig . We've
32:58
heard so much of the magic that happens
33:00
and the families that the lives that
33:02
you've changed , and being within your
33:04
walls it
33:07
made so much sense . It was such an incredible
33:09
place for healing to occur
33:11
and for people to
33:14
come together and learn and I put on
33:16
a support group when I was there and there
33:18
was like 60 families , like
33:21
it was just . It
33:23
was so beautiful to have a
33:25
touchpoint early on in those families'
33:28
journey and to hopefully say like
33:30
I had a part
33:32
in getting them in a new direction
33:34
. Craig helped have a part in getting them in a new direction . Craig
33:36
helped have a part in getting them in a new direction . So
33:38
it's just coming together , being
33:41
the matchmakers and actually doing
33:44
something together . It's like I'm excited
33:47
for us to do a lot together .
33:49
Well , I think that our futures
33:51
are bright in that respect
33:53
and , as we end , I just
33:55
wanted to say to you
33:57
that , as
34:00
a person who's done this journey
34:02
through different you know sort of a different lens
34:04
, a different set of , I'd say , absolute challenges
34:07
from a social , a political
34:09
and economic perspective , despite
34:12
, or maybe because of my comment
34:14
about fatigue that just hits you
34:16
every now and again , keep going
34:18
, because I was 38
34:20
at one point in my life and
34:23
at this ripe and still
34:25
ripening age of 66 , I still
34:27
feel like there's tons more to do . So
34:29
then , when we hit , when you hit 66 , you'll
34:32
listen to me saying this to you because I'll
34:34
be a lot older and I hope I'm still saying things
34:36
to you to say keep going . We got lots more rolling
34:38
to do . Josh , I want to thank you
34:40
. This has been just an honor , a privilege
34:42
and you know it's funny how life works
34:45
meeting you in a gym on the fourth floor at Craig
34:47
and a room full of families who come
34:49
together monthly to share a meal and catch
34:52
up with friends and work with both
34:54
our formal and less formal peer mentors
34:57
who are there . Who would have ever thought there'd
34:59
come a day that we'd be hanging out
35:01
in Washington DC , your home , where
35:03
you're doing fabulous work , and
35:05
having a chance just to share
35:07
some thoughts , and thank you for being
35:10
here with us today .
35:11
It was a pleasure to be here and you
35:13
know I'm a big believer that beautiful
35:16
people gravitate towards each other , so
35:18
we're doing good in the world and that good attracts
35:21
each other .
35:27
Wow , what an honor and privilege
35:29
it was to spend an hour
35:31
with Josh Basile , an amazing disability
35:33
rights advocate , and
35:36
I loved the line that
35:38
he said about being the hero in your own
35:40
story and didn't say
35:42
it in a way that look at me being the hero
35:44
in my own story , but recognizing his
35:47
personal power and agency
35:49
to take
35:52
what he called every chapter
35:54
and actually leverage the opportunity
35:56
for new challenges and fun . And
35:59
he's managed to do that beautifully , while
36:01
never , interestingly , giving
36:04
up the possibility of
36:06
hope for a cure , which is one
36:08
of the components of something that
36:10
we haven't talked about on this podcast
36:13
, namely the Craig recipe , and that
36:15
is what we think is that recipe that makes
36:17
Craig Hospital so special . What
36:19
he has learned over time
36:22
in terms of the implications
36:25
of each level of spinal
36:27
injury , opening a new world that
36:29
he's had to navigate transportation
36:31
, and does so beautifully . Employment
36:34
he's had to stitch together
36:37
and has a wonderful caregiver
36:40
. But the home health situation that is
36:42
quite a challenge for those
36:44
living with spinal cord and brain injuries or
36:46
any other kind of disability . And
36:48
certainly how he leverages
36:50
the accessibility that
36:53
already lives in technology
36:55
and will only continue to flourish
36:57
over time because of the genius of so
36:59
many people working in this space . And
37:02
then , if there's something that just really frosts
37:04
me and I will say it that way are
37:07
the ways that some of our public
37:09
programs work to keep people
37:11
locked into certain
37:14
levels of income and
37:16
also then make some things
37:18
as basic and as part
37:20
of life , as marriage literally
37:22
and pardon the pun inaccessible
37:25
to parts of the population or something
37:27
that we really do need to address at some
37:29
point . But what I'd say about
37:32
Josh , and in this wonderful interview
37:34
that just was the highlight
37:36
of it for me , is that his eternal
37:39
optimism in the face of all
37:41
sorts of challenges . He is a beautiful
37:43
, wonderful young man and
37:45
man . Are we both blessed as
37:48
a world and a country to have someone
37:50
who's done the kind of work , alongside all
37:52
other sorts of heroes in their own story
37:54
to remove barriers
37:57
, to break through barriers and to create
37:59
new possibilities for people living
38:01
with disabilities ? Interestingly
38:03
, when I think about what we do at Craig , it's
38:05
a perfect sort of bow on this
38:07
wonderful interview that we
38:09
had , or opportunity for a discussion , and
38:12
that is because that's what we do at Craig and that's
38:14
what this wonderful culture that
38:16
is buttressed by a ton
38:18
of courage , a ton of optimism and
38:21
a lot of systemic sorts of
38:23
structures that we've built to absolutely
38:26
fuel the ways that we break through
38:28
barriers to create opportunities
38:30
for independence , at the same time
38:32
recognizing that the work is never done . So
38:35
thank you again for joining us
38:37
at Unstoppable at Craig , and I look forward
38:39
to the next conversation we'll have as we continue
38:41
to explore what makes for great cultures
38:43
and , more importantly , who are
38:46
the people who are part of building those
38:48
great cultures .
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