Dean Metz, PT, MPH, has been in clinical practice for 20 years as a physical therapist in New York and Florida, and most recently for three years as a physiotherapist in the National Health Service (NHS) of England. That journey was chronicled in Dean’s prior ADVANCE blog, “A New York PT in Queen Elizabeth’s Court.” He’s now working for the oldest and largest home care agency in the United States, training and implementing a growing healthcare plan that addresses the holistic needs of the frail elderly population in New York state. With a spouse in England and continuing research in the NHS, he’s accumulating lots of air miles crossing the “pond” with regularity.