Liesa and The Market

This is the second post from Liesa;

The market was interesting, I loved it!
The stalls are made from shipping containers and are grouped into different areas according to type of goods: spices, meats, hats, slippers, Christmas decorations, cheese, underwear, fruit, candy, nuts, dresses, toys, books…..
But the tricky thing was, because it was snowing, everyone wore similar padded coats, hats & scarves. This meant I had to keep a lookout for my friends because from the back, everyone looks the same!
In need of a bra? Just go behind the curtain & try one on (subzero temperatures remember!!)
The food halls were an experience….on many levels 🙂
First was the cheese section. I LOVE cheese! I bought cheese curds flavored with vanilla. They are similar to ricotta cheese. Other flavors were chocolate, lemon & hazelnut.
Then the spice section 🙂 Svieta bought a spice mix of about 12 different spices! The “spice lady” asked what she was going to cook (chicken) & so she quickly went about mixing a concoction in a paper cone. We had it with chicken & rice tonight & it was delicious!
Next came the honey section. I tasted honey in several different states: cut straight from the honeycomb (which I bought), crystalized, smooth for spreading (bought that too!) & as a hard chunk that you bite pieces off.
Walking through a weird mix of total fake junk food in packets next to incredibly healthy & natural foods…….then apples displayed right next to raw, whole chickens…..we came to the meat section. You cannot get meat any more fresh than this (fortunately there’s a drain for the blood to flow…).

I will continue to share her post on KTC. You can also see pictures and video’s she is sharing on her own facebook page and the Know To Change facebook page

Ukraine Update

This is an update by Liesa from Ukraine

SUNDAY: I have been here in Ukraine for 6 days. It has been quite time consuming between teaching, getting my sleep pattern back, getting to know my students, the staff & the residents, adjusting to the food, & snatching moments of wifi availability to connect with my husband, Naresh!

My journey began with a flight leaving Dallas Fort Worth at 6am on December 3rd. In the previous 5 days I had flown to Canada & back again & then driven from Tulsa to Plano, Texas. Thank goodness for the company of my friend & business support, Cathe!

From Dallas, I flew to Chicago… London Heathrow. I had an 8 hour layover from 10pm to 6am & the entire airport was closed. So I rented a “sleep pod”, which are available by the hour 🙂 It was literally that, a pod! It had a bed with a TV built into the foot, a toilet & shower stall (together!) & just enough space between the two to slide a suitcase in sideways! But that’s all I needed!
8 hours later, I’m back on the plane for another 4 hours….to Kiev this time. Upon landing in Kiev, I’m still not there. Nope, now I have a 6 hour minibus drive (with limited heat!), across frozen lumps of snow (with a limited suspension), in the dark….but I made it under the protective eye of Julia, one of my students to be 🙂

The terrain is fairly flat. It is mostly fields & farmland. The cities are somewhat worn down, partly due to age & partly due to the country’s history of war. As you leave the city, the snow increases & buildings become more scarce. City people live almost exclusively in apartment buildings, & often live there their whole lives. Multiple floors without elevators are common. Therefore, it is very common for people with disabilities to never leave their apartment for years at a time. Often, they don’t leave their beds. This is why the movement of Agape is so vitally necessary here. More about that later.

There are houses in the villages but they are very small. In comparison, a small, 2 bedroom house in the midwest United States is only affordable by wealthy families here, & very rare. Because of price, availability of materials, & cost of living, it takes an average of 5 years to build a house. Typically, many family members live in one apartment, or house, for their whole lives.

During this first week, I either sleep for hours or cannot sleep at all. My mind is racing with all the new information, thinking of all the ways I (we…..??) can help & the sheer wonder of God’s work that I am seeing here. Sometimes it is difficult, to be so far from home, with very limited internet options, no phone data plan, no television, thick snow, temperatures well below freezing, & the loneliness surges inside me….despite the genuine love from my friend, hosts & students, it is easy to feel separated. But I am quick to remember, that the majority of people who come to Agape, are isolated for the majority of their lives due to their disability & their environment. However, my situation is temporary, to come here was my choice & is completely within my control, & I would do it all over again without a second thought.

Ukrainian is a soft, pleasant & melodic language to listen to….with lots of expression & emphasis! are the Ukrainian words that I have learned so far
(written phoenetically because their alphabet is different to ours)

thank you jarkuoo
bye pappa
question petanya
month mices
coffee kava
welcome budlaska
good dobre

As Liesa finds time and wifi I will keep on updating this blog.
Thank you all for support and prayers

Sere’s Story

Sere’ was rescued from a highway, by Liesa, when she was only 6 weeks old. Discarded and covered with ticks, Liesa fell in love with this dirty ball of fur. With much love and patience, Liesa saw the potential in Sere’. She began training her to assist with the children. Sere’ became more than a much loved part of the family, she became the source of comfort that the children looked forward to when going to the clinic for the uncomfortable treatment.

Much like with Sere’, Liesa sees potential in those that certain societies would like to hide or ignore. It is not so much to be cruel, as it is not knowing how to help or assist. Such is the cause she is working toward right now. Liesa will be going in December. She is taking her month off teaching, to travel to the least desirable areas, to train others with a heart to improve lives of children with physical disabilities. She is taking much needed supplies, her knowledge, training and ability to teach, to these two locations to rescue these children from a life of unnecessary difficulty. The only funding for this mission of love is her own personal check book and support of friend, families and neighbors.

Please consider donating to Liesa’s mission. Every $1 or $100 will be deeply appreciated. Liesa is gifted, able and willing to save these children from their current survival status to one of living to their potential.

Feeling Helpless? Be Helpful

This is Cathe, Liesa’s lefthand, Not righthand, she does all the physical work. I am currently on a flight with my husband, headed to visit family. About 30 minutes ago, the flight crew requested the assistance of any licensed medical professional, who was willing to volunteer their services to help a fellow passenger.

I suddenly felt helpless. I love helping, but I have no license, nor am I a profession medical anything! I sat in my seat praying. My mind has a difficult time staying on task, so as I was asking God to be the help or bring the help, I started to think about LIeasa. See I know her well. She has a heart filled with compassion and love. I can only imagine the force she felt when she was informed about a medical urgency that she could help with. This is what she works for. This is what she has practiced and taught and successfully treat many children for.

Just as much as I wanted to help and was unable to, how much more the desire and call to help when you can.
Money. We make it, we spend it, we invest it. Then there are times we can give it. Money is what is standing between Dr. Liesa (She has the degree, not comfortable with the title) and these kids. She is going because there is a huge need that she can fill, or at least make a difference in. But she can use our help. $5 from each person will help. $50 dollars is what we are asking from other professional P.T.’s. But anything will be very appreciated.

If you have ever been in a situation where medical attention was needed, and willing to do your part to help, here is your chance. Liesa is the hands and feet on the ground, the skilled and physical on the scene person. We are the suppliers. We can fuel her on and not sit on the sidelines feeling helpless. She needs your prayers as well as financial support.

Thank You
Cathe W/ Know To Change


Many of you know of, Liesa Persaud. Liesa is actually Dr. Liesa Persaud. Her original intent was not to get her doctorate. Instead, she was propelled by her desire to know as much as she could about her field of study. It was her desire to serve children and families as best possible that drove her education to higher degrees.

Liesa is originally from York, England. Moved to the USA for love. Then after living in the US for many years, and  already used to traveling around the states for different degree programs, she was invited to teach and treat overseas. She accepted without hesitation!

Liesa embraces her sense of adventure when it comes to travel. If she is headed to an area, she does her homework to see what else is nearby. No reason to be close to something and miss it because you didn’t take the extra day!

This is what happened when she recently visited the Middle East. After attending a church service, the group she was with, was invited to coffee afterwards. As Liesa stood off to the side of the room, she was introduced, by a friend, to Hannah. Hannah just “happened” to be a social worker in Bethlehem who supports families affected by disability. There is much more to this story, & I will let Liesa tell you in her own words in the very near future. But, suffice to say for now, she deliberately sought out ways in which she could be of help.

Liesa often says, “I just want to leave the world a little better than how I found it.”

Life Gets Turned Upside Down

Liesa just shared the challenges with life on the opposite side of the equator.

“So….. everything turns the opposite way here in Australia: hot water is cold and cold water is hot… this includes the water pressure being in the opposite direction. 

Well, at the end of my first day of being able to handle the real world after recovering from the being quite ill, I decide to run myself a fabulous hot bath in the spa tub that Erikka so wonderfully provided for me! When filling the bath, the water pressure was a little high, so I turned it “down.” Nope, that increased the pressure because everything is in the opposite direction here!

Picture scalding hot water spraying everywhere as the entire faucet blows off! Now, picture me slipping and sliding on the wet tile floor, trying not to sustain third-degree burns, while I attempt to turn off the water by successfully turning it in the wrong direction again! Oh, I’m also attempting to replace the faucet with HOT water spurting out of it!! “

Here are the ensuing photographs, I’m sure you can picture the scene…..

A Note From Cathe

While Liesa travels to teach and treat, I am left on the home front to make sure everything else stays in order, and to fill orders.


Liesa is currently in Australia. She landed in time to sleep, then hit the road, teaching. She also keeps up with emails and other projects she is working on.

It is always exciting here at Know To Change, and ever changing. Keep an eye on our upcoming seminars. We are adding our 2018 calendar this week. It’s not full,…yet.

Liesa keeps telling me she will only travel on certain months or days. I have to laugh. The time she keeps open to stay home, ends up getting booked.
She had a family travel from Canada to Tulsa to have Liesa treat their child. News of Liesa got back to Canada, and the invitation was extended. Liesa sees a need, and needs to fill it.

Her travels sound glamorous, but I can tell you they are full of work.

Liesa actually took a vacation a few months back, to Israel, a Holy Land Tour. This experience will be a whole series of posts. She got more than she expected. Only hours after her arrival, her husband, Naresh, jokingly asked her “have you found any children to treat yet?” He was only half joking. He knows his wife and her passion.

I love her passion to assist families and other therapist. It is the reason for Know To Change


Liesa Persaud not only teaches around the U.S. but is now in high demand around the world. Recently, while on a vacation to visit family in Europe, she was asked to hold a one night seminar for parents. A few PT’s also were in attendance. Immediately following there was a request for her to return to hold a seminar.

Liesa is in high demand. We have had clinics and hospital waiting to get her time. Now she is available to you online.

NEW Pediatric Toe Walking Series Online
With International expert Liesa Persaud, PT, DPT, PCS, CKTP

What Others are Saying:

“Finally a course that problem solves and shows innovative ways to treat!  Liesa was full of great background and scientific information and translated that knowledge into applicable interventions.  Although focused on Toe-Walking, it gave me information how to problem solve and apply some of the techniques to help with other gait deviations.  I liked most how to use what we have and adapt and change old or ineffective orthotics, how to suggest proper orthotics or improve gait by improving shoes.  I would recommend this course to any therapist and Liesa will definitely keep you engaged the entire course.” – P Morte, PT

Online Courses


Presenter: Liesa M. Persaud,  PT, DPT, PCS, CKTP
Evaluation & Management of Pediatric Toe Walking from PT & OT Perspectives  DAY 3!
Days 1 & 2 challenged the clinician to ask the right questions and form a systematic approach to the child who “toe walks.” Chaos was replaced with clarity through organized management. As requested by previous participants, Day 3 continues with additional information regarding:
*Primitive & postural reflexes: influence & mediation
*Modification of shoes & orthoses: practical application
*Vision:implications, assessment, & intervention
Previously introduced, the Act! (Assessment Criteria for Toe walking) is further utilized in a
guided, evidence-based, detailed, decision making process to design treatment sessions & implement
long term treatment plans.
Clinical application skills are enhanced via the design of detailed evaluation & treatment plans by using case studies, videos &
objective data.

No Poisons, No Knives

When a parent is given an assessment of their child’s condition, they usually just hear “something is wrong with my child”. Then they do some research, online.

I have done some medical research online. In fact, my coworkers and I joked about looking up symptoms. The first diagnosis you see is usually cancer. Cancer is serious, and so can simple symptoms be serious. I think that is why cancer is first, “Go to see a doctor!” Accurate diagnosis is the first step in health maintenance.

Recently my daughter, Breanna, received a diagnosis about my 5-year-old granddaughter. To me it appears to be an easy treatment, but time consuming. I am not my daughter in-law. I am not responsible for my granddaughter, as much as I love her and would do for her. Breanna did her research. She is a well-educated woman and know how to navigate websites, yet all she saw for treatment of this diagnosis was surgery.

Surgery is an option, but not always the only option and not always the best option. As I study the medical discipline of Naturopathic Doctor, I respect that fact that this branch of practice chooses natural remedies first, when possible. Not when time is a factor, like acute appendicitis or when antibiotics are needed.

Liesa has a saying “No poisons, No knives” She will work with her families to make the safest smartest treatments, without cutting or doping. She saw my daughter, but quickly noted her feet would need reconstructive surgery. Had we seen Liesa before her growth plates had fused, we may have been able to avoid surgery. We are grateful for the skilled surgeon and the referral from Liesa.
She does have a respected working relationship with a few orthopedic surgeons (if you work with the best, you only need a few) and a handful of pediatricians. She works independently, and as a team member with other health professionals.

Cathe W/ Know To Change