Ep 117: Culture by Design: Leadership Frameworks to Help You Scale with Soul

Most practice owners start with purpose but get lost in the chaos of growth. In this episode, Garrett sits down with Will Humphreys, PT, and Michelle Bambanek, PT, to explore how leaders can build scalable systems without sacrificing heart, humanity, or culture. Together, they break down the frameworks that help teams thrive as the business grows. You'll learn about: The leadership principles that create both profitability and purpose How to design culture intentionally, not as an afterthought Using frameworks like "Six Working Geniuses" for hiring, communication, and delegation in ways that sustain growth Common traps that erode trust as teams expand Why scaling "with soul" leads to stronger, freer organizations This conversation is a roadmap for every owner who wants to grow without losing what made their mission meaningful in the first place.  

What happens when physical therapy embraces the tools of diagnostic medicine? In this episode, Garrett talks with Drs. Skye Grayson, Malachi Votaw, and Julia Whitehead from NCEPT (Escondido, California) about how they've built one of the most advanced PT practices in the country by combining EMG, ultrasound, and Neubie neuromuscular reeducation. You'll learn about: How objective diagnostics uncover what's really driving movement limitations The difference between structural and neurological dysfunction – and why it matters How Neubie integration accelerates nerve recovery and neuromuscular control Building a hybrid model that blends insurance-based care with cash-based innovation NCEPT's team-driven approach to leadership, mentorship, and excellence This is a look inside the next evolution of physical therapy, where you'll see a clear and inspiring picture of how technology and teamwork converge to create better outcomes and stronger practices.  

True athletic performance isn't built on muscle alone – it's driven by the nervous system. In this episode, Garrett explores how approaching training through a neurological lens can optimize movement, strength, and resilience across an athlete's lifetime. From youth development to elite performance, he breaks down how to train smarter, not just harder. In this episode, you'll learn: How the nervous system governs strength, coordination, and recovery The "Pyramid of Performance" framework from The NeuFit Method Why early movement diversity builds long-term athletic capacity How End Range Activation (ERA) improves mobility and joint control The importance of relaxation speed and eccentric strength for power How NeuFit technology enhances neuromuscular re-education and resilience Athletic development isn't a sprint, it's a neurological journey. And if you want to help yourself or your athletes reach their full potential, this episode will show you how incorporating neuroscience changes the game.  

The quality of our relationships determines the quality of our life. And, although many of us know how to lead at work, we struggle to bring that same clarity, purpose, and intention into our homes and our most important relationships.  In this episode, men's health and leadership coach Joel Evan shares how the same principles that drive success in business can transform relationships, communication, and connection at home. We cover several topics from Joel's book, Limitless: Forge an Unshakeable Marriage and Deepen Your Bond with Your Kids: How to apply leadership frameworks to marriage and fatherhood The power of extreme ownership in family life Why communication is the cornerstone of trust and intimacy Overcoming limiting beliefs that block authentic connection Building a legacy that lasts through your actions, not just your words Whether you're a husband, father, or simply someone seeking to deepen relationships with more integrity and purpose, this episode will challenge you to show up where it matters most.  

Low back pain is one of the most common – and complex – challenges in healthcare. In this episode, physical therapist Jeff Vitale shares how he applies Dr. Stuart McGill's evidence-based methods to help even the most difficult cases. Part of an elite group personally certified by Dr. McGill, Jeff integrates the McGill Method with other frameworks such as TPI and tools like the Neubie to create breakthrough results for patients who've often tried everything else. In this conversation, we discuss: Jeff's personal story with back pain and surgery as a college athlete The philosophy and principles behind the McGill Method for detailed assessment, which includes redefining "chronic" back pain How detailed assessment identifies pain triggers and guides precise exercise programming Balancing stability and mobility in athletic movements like the golf swing Where the Neubie fits into the rehab and performance equation This is an episode for anyone serious about solving back pain at its source. Whether you're a clinician looking for new tools or someone personally battling low back pain, this episode provides a roadmap with practical solutions.  

Carbon-60 (C-60) is a molecule that won a Nobel Prize in Chemistry for its groundbreaking discovery – and now it's at the center of fascinating research into aging and longevity. In this episode, our guest is Chris Burres and we dig into the story of how a lab material used in industry found its way into the world of health and human performance. In this episode, you'll hear about: The fascinating history of C60 Why oxidative stress is central to aging and disease How C60 may act as a unique antioxidant without blunting exercise benefits Early animal studies describing C60's effects on lifespan, tumors, and inflammation Anecdotal reports in humans on sleep, recovery, inflammation, and HRV The importance of safety, purity, and scientific rigor in supplementation Longevity breakthroughs always come with both promise and skepticism. This conversation brings the science, the story, and the open questions to light, so you can better understand where C60 fits in the longevity landscape.  

In this solo episode, Garrett dives into the powerful lessons that come from contemplating our own mortality. While it's often uncomfortable to think about, facing the reality that our time is limited can be one of the most practical ways to gain clarity about what truly matters – both in life and in business. The conversation includes: Reflecting on our own death as a powerful teacher The importance of having a true core purpose independent of external circumstances Why directing our energy wisely is the most important decision we make each day How "compressing time" exercises can cut through clutter and reveal real priorities This is an invitation to pause, reflect, and reorient. By compressing time and confronting our own finiteness, we discover focus, alignment, and a clearer path toward leading our best lives.  

What if your brain held the keys to living longer and healthier? In this solo episode, I dive into the fascinating intersection of neuroscience and longevity, unpacking how the nervous system shapes resilience, recovery, and the aging process. Drawing on both science and personal experience, I'll explore how practices like meditation, nervous system training, and targeted stimulation can help us unlock more years and better years.  We'll cover: Why the autonomic nervous system is the hidden regulator of health and longevity How neuroplasticity impacts the body and mind The ways foot stimulation impacts the brain to reduce fall risk and extend independence What psychoneuroimmunology teaches us about stress, inflammation, and the immune system's role in aging, or "inflammaging"  Insights from meditation, HRV tracking, and direct experience of rewiring the nervous system for resilience This is more than a discussion about just living longer, it's about living better too. Join me as we uncover how neuroscience provides both the framework and the tools to train your brain and body for vibrant health and longevity.  

In this episode, we explore how neuroscience reveals what truly makes leaders effective – from how they regulate themselves, lead by example, and the various ways they can influence others and shape a team's culture. You'll learn how emotional safety, trust, and meaning aren't just soft skills but are actually brain-based performance drivers. Discover how a leader's role modeling combined with mirror neurons influence your team's mood, energy, and behavior Understand why brains in "threat mode" shut down trust, learning, and creativity and why psychological safety is the #1 predictor of high-performing teams Learn how to move from individual contributor to team multiplier Hear why storytelling activates more of the brain than data – and how to use that as a leader Explore how trust, purpose, and vulnerability unlock team engagement Leadership isn't about control, it's about connection of people with each other and with a sense of shared purpose. And when you lead with safety, clarity, and purpose, you do far more than just manage a team – you multiply its impact.  

What if you could get laboratory-grade movement insights with nothing more than your phone? In this episode, Garrett sits down with Jacob Salim, co-founder of G8way Max, to explore how motion capture and biomechanical analysis are becoming more accessible, precise, and effective than ever. Jacob shares the origin of the platform, how it works, and why personalized programming is the missing link for many people dealing with pain or underperforming bodies. In this episode, you'll learn: How G8way Max captures and analyzes movement with only a smartphone camera, replicating the joint angle and posture measurements of advanced biomechanics laboratories The 8 movement categories the system evaluates to find dysfunction How personalized recommendations increase compliance and real-world results Why poor standing posture is often the source of deeper dysfunction How clinicians and coaches are using this tool in practice today Whether you're a coach, clinician, or someone who just wants to move better and hurt less, this conversation reveals how tech can accelerate progress – and put true biomechanical insight in your pocket.