She's Katie Sutton.
I'm Jimmy McKay.
And we're giving a future of
rehab therapy summit preview.
We're both I'm in D.C.
You will be in D.C.
shortly.
And this is an event that
this is the first time they're doing it.
They've done some things like this,
like innovative talks.
You were on stage for one.
What was that?
What was that one?
Oh, yeah,
that was the future of physical
therapy at the Centennial.
So that was a couple years ago.
But the idea is get a bunch
of people in the room who
all have a vested interest
in what the future is going to look like.
Let's put some people in the
room who might have some ideas.
They're going to present those ideas.
And then the future is
actually going to be something close,
but not exactly what these
people predict.
If you look at history,
that's sort of the way it works.
Probably.
Yeah.
So let's set the stage here.
So we're entering a future,
I was doing some research,
where more people will need therapy.
And we're purposefully
saying therapy and not
physical therapy because
this is the future of rehab therapy.
So the president, the CEO,
presidents of the APTA,
but also AOTA and ASHA,
which is occupational
therapy and speech therapy,
will be there.
So we're sort of looking at
this and saying, like,
we're going to be affected
by the same things.
Yeah.
our successes or failures
will be tied together how
will we solve this so more
people will need therapy
than ever before going into
the future every single day
more people will be over
the age of sixty five and
under eighteen or some
statistic I saw aging
populations chronic
conditions and also in a
good way a growing area of
interest of of movement
health like people are
trying to be healthier
healthier than ever yeah I
was actually looking you
can find it anywhere you
know it's at everyone's fingertips now
Right.
I was looking at a statistic
of the average like
drinking use and it's
declined every year since
nineteen ninety one.
Like the average age of when
people like start drinking
and how much they drink has declined,
which is like.
It just shows the
ineffectiveness of telling
people not to do something
when you have to just
create the culture around
it of why we don't we don't do that.
and I'm using air quotes, like we do this,
we don't do that.
So if you want people to stop smoking,
you need to create a
culture around it where
that's not what we do.
Not finger wagging or
putting restrictions or
making cigarettes more expensive,
that stuff doesn't work.
So more and more people will need this.
And yet, dun, dun, dun, plot twist.
fewer and fewer people are
choosing to become physical therapists,
physical therapist assistants.
I'm not actually sure if
it's the same for OTAs or
speech therapists.
Yeah.
I mean,
from the trends that I've heard in
higher education, it's across the board.
It's not just a PT issue
that we're going to be dealing with.
This is across the board.
This is definitely we're
seeing it in health care.
And maybe that's because
we're so close to it that
we feel a little more
anxious about the fact that there's
going to be less humans to
fill these roles in the
future but I think across
the board in general in
higher education again if
there's the less people to
put butts in the seats in
universities and colleges
then we're simply going to
have less people graduating
so I mean yes definitely a
health care problem but
also a higher education problem period
Well, those two things are tied together.
And then the rudimentary
math is demand is going up,
but supply is going down.
So you're in higher education.
You're paying attention to this.
Let's start there, then.
Why are less people who are
– I'm going to use air quotes again.
Why are less smart people
choosing these things to go into?
They're not even entering
sort of the conveyor belt of –
choosing this as a major,
going through education, graduating,
and then figuring out what
part of the professions
they want to be in.
Why are they just simply not
making this choice?
What have you seen and heard?
Well, I think it's varied.
And I don't know that my
problems are the same as
the problems that somebody
is having in a different state.
But to me,
I think students are just sharp and wise.
They have more information
at their fingertips than ever.
And we say this all the time, right?
I mean,
so this is true in their
educational process as well,
but they can find other things to do.
People are choosing to not
go to college altogether.
I mean,
there's influencers that are making
way more money than you can being a PTA,
you know?
So like there's a lot of
different reasons why
somebody is going to look
at any profession and say, well,
unpacking,
you were talking about
unpacking not that long ago, right?
About unpacking a job.
Like
You go through,
you kind of look at all the
nitty gritty details of that job.
And is this something I
really want to do for the
rest of my life?
And this is the wage I'm going to earn.
And this is the trajectory of the career.
So people are looking at
these things and it's not
always attracted to everybody.
Now,
I think that people who really do
desire to have that true
connection with a patient
and I want to help people,
I want to give them a
future and function and things like that.
I think those people who are
truly in it for that stay.
So let's talk about unpacking.
I don't know if that's
something we talked about.
I think we talked about it just offline.
But unpacking was this article I found.
It was actually called Face It,
You're a Crazy Person.
And I sent it to you.
Did you think I was calling
you a crazy person when you
first saw the title?
Yeah.
No.
I'm not really sure why he
Adam Mastriani titled it Face It,
You're a Crazy Person.
But he said he meets a lot
of people who don't like their jobs.
Or when he asks them what
they'd rather be doing, they,
seventy five percent say something.
And did you have you have
you ever said this?
They've said, I don't know.
I would love to run a little
coffee shop or something.
And it's just weird how that
or bed and breakfast or
something always comes up.
And I think people,
for a couple of reasons,
I've said this because I
like going to coffee shops.
Yeah.
I think people like it
because it seems like a big
enough business that you
can make a living on it,
but not so huge that you
can't sort of see other parts of it.
Not going to be a
multinational corporation.
No one says I want to start
the next Starbucks.
What they say is they want a coffee shop.
One.
They feel like coffee is
something a lot of people like,
feel like they need.
So there's demand.
And if you provide the supply,
you can make a business off that.
It feels like it's net positive.
Like no one, you know,
outside of like multinational,
like Starbucks or something
where people like don't
like how they're everywhere.
A coffee shop.
No,
no one's protesting a coffee shop
opening.
You feel good in a coffee shop.
And when you leave, people are like,
so it makes me think of this image,
which I've talked about before,
which is Aikigai,
which is a Japanese concept
of reason for being.
So you need four things.
So I feel like the coffee shop,
why I want to become a
barista or own a coffee shop,
it checks off four of these,
I was going to say boxes,
but really they're circles.
So it's do what you love.
what the world needs,
what you can be paid for
and what you're good at.
So here's the problem that
Adam actually unpacks or
asks people to unpack when they say,
I wanna do something like,
I wanna open a coffee shop.
He says, I asked them,
what kind of coffee mug is the best?
How much does a La Marzacoa
espresso machine cost?
Would you bake your
blueberry muffins in house
or would you buy them from a third party?
What software would you use
for your point of service?
And none of these are things
that people talk about when
they want to open a coffee shop.
what he's displaying is the
outcome or the thing that
you can see the sign of a
coffee shop the smell of
the beans is not actually
what most of the job is
about most of it is about
decisions that have nothing
to do with coffee it's
staffing people what
happens when your best
barista calls in stick or
quits like that's the job
so that's where we went on
a little tangent of like
So he talks about unpacking,
like take apart the job
because we've been asked
this since you were five years old.
Right.
What do you want to be when you grow up?
And people just I did just
instinctively answered to make the big,
tall adult person happy or
leave me alone.
And then you're asked that
when you go to college.
So I think.
Now that we understand unpacking,
if you had a student
sitting in front of you
that was going to apply to
your PTA program and says,
I want to be a PTA,
that's perfectly in line with,
I want to run a coffee shop.
How would you help them
unpack what a day and a
career as a PTA looks like?
How would you, like,
what would you need them?
Because what I know about
you is what you don't want
is to get that kid,
we call them kids because they're adults,
but they're kids.
Way younger than me.
you don't want to get that
kid signed up and then ten
years down the line realize
that the unpacking that needed to be done,
what the job was actually like,
didn't look like the name or the title.
So how do you unpack being a
physical therapist assistant for people?
Well, first of all,
I think this is something
that anybody listening to
this podcast right now is
going to recognize is that
there's this perception,
and maybe we'll talk about
that a little bit later on,
that we only work with
certain populations or that
we only do aftercare or
that we're only following
that injury or that surgery
or something like that.
So there's definitely that
public perception.
that somebody thinks I'm
going to go into physical therapy.
I'm going to work with athletes.
I was an athlete myself.
Like that's the story that I
hear a lot is I had PT myself.
And so, you know,
this is why I want to do it.
Every once in a while,
you'll have that person
who's like my experience next to PT was
a person who had had a
stroke in their family or an older adult,
and you might have them see
that inpatient side,
but typically it's more of
the outpatient side that
they are recognizing and
understanding when they come in.
And so to me, it's a conversation about,
you know,
you're going to see very sick people.
I have this conversation
with students who want to
come in and do pediatrics.
And I'm like,
Kids get sick too.
And it's not always pretty.
You might be on the floor in
the cafeteria and you might
be crawling around on the
gym floor and it's
disgusting and gross and,
and things like that.
You know,
like we have to kind of really
dive into what it really looked
smell good all the time.
We work with things that are
kind of gross.
We touch feet,
we touch all of these different, you know,
parts of the human body and
are very close to it.
So I try to have those
conversations with students
when they're coming into the program.
And I'm very clear about
that in class as well.
But I mean, is that enough?
I don't know.
I mean, you,
it sounds like you fight club them.
Have you seen fight club?
Okay.
Well, I know what it is,
but so fight clubbing is somebody wants,
you know,
they create this club and
someone wants to come into it.
And they're essentially just
trying to weed people out.
They're trying to convince
more people that this
actually isn't what you
want because what it looks
like from the outside, it ain't it.
This is a lot of hard work.
This is all those things.
I mean, you know,
my former career in radio,
people would just say like,
that's awesome.
You talk on the radio.
That's the easiest.
That's the greatest job in the world.
That was a,
that was a decent percentage of it.
But what people didn't see,
the feet or the covered in
whatever or crawling on the
floor was when you have a
bad day in your life and you will,
you had to not bring that
bad day to you that you're
having to work.
And you had to sort of be up
or when you don't want to do it,
whatever.
you know,
I get to go to really cool concerts.
Like for every really cool concert I got,
I got to go to, got to go to,
I had to go to events that
were not that great, you know, or,
you know, I wasn't in the mood.
So unpacking those things and,
and to be dead honest,
I don't know that I
unpacked becoming a
physical therapist as much
as I should have before I went into it.
I mean, I did, I did the whole, you know,
shadowing.
I think that's number one.
is asking yourself after the
the sheen wears off is this
something you want to do
now uh seth godin is a
writer he calls it the dip
and he's like at any start
of anything you start here
and then every once in a
while doesn't matter no
doesn't matter what it is
there will be a dip and he
called like other people
have called it the suck
like there will be the dip
or the suck that you have
to get through and if you
like the thing enough you
can have enough momentum
I always pictured driving a
car through a creek or a river.
It's like how much you like
something is how much
momentum the car has.
Because when you hit that creek,
it's going to slow a lot.
How much do you like to keep
kicking to get to the other
side to make sure you can keep going?
So I think number one,
unpacking and understanding
if it's right for you.
Or can we also this is what
people want to do in part
of the rehab therapy,
the future of rehab therapy summit.
How do we change the
profession or how do we change the jobs?
You know,
I've talked about in a recent live stream,
one of my co-hosts, Anthony Meritato,
Tony said PTAs are an unused weapon.
Instead of the PT having to, quote,
do everything, which would burn you out.
Like, could you utilize PTAs more?
Does it make business sense?
Does it make human sense?
Does it make quality sense?
And he says, yes.
And this is a guy who's run
a PT clinic for years and
years and years.
This is the suck that he's
decided to embrace.
And he leans into PTAs and
says they're not utilized enough.
It makes sense for your business,
sense for your patients,
sense for your well-being.
Yeah, I agree.
And I think that we're going
to see a lot more leaning
into PTAs coming up here in the future.
APTA just released a study, I think.
Please don't quote me on that,
but it wasn't that long ago.
Podcast, we're quoting you.
Keep going.
Okay.
on the shortage of PTs that are coming up.
So there's going to be a
shortage of physical therapists.
And we already talked about
there's less humans going
into higher education and
definitely in physical
therapy and healthcare professions.
So if we have a shortage coming up,
how can we fix this, right?
So we know we have this
whole chunk of physical
therapist assistants that could easily, I
they can bridge or go
through a traditional DPT
program and become a
physical therapist if they wanted to.
But we've made it so complicated.
I mean,
you still have to get your
bachelor's degree and then
you still have to apply.
And even if you go to a bridge program,
it's not like it's any
shorter or different.
It's just you're in a cohort of
PTAs that are becoming DPTs as well.
And that's not to knock
either type of program.
But what I'm saying is,
why can't we make this a
little bit easier?
We know we're going to have this problem.
Can there not be a
multi-entry type of system here?
Can you come into...
the profession as an
associate's degree PTA or a
bachelor's level PTA or a
master's level PTA or PT?
Is there something in
between that maybe I don't
become a doctor of physical therapy,
but I can be a master in
physical therapy instead or
something like that so that
we can kind of bridge that gap?
I mean, nursing already does this.
There's already a roadmap out there.
Yep.
So if we could somehow
alleviate some of this
restriction that we have on
getting PTAs through this system,
we might be able to fill
that gap a little bit and
maybe we can fix things
to some extent,
such as burnout and
perception and things like that.
I mean, your patient,
when you're seeing it, and yeah,
informed consent and all of these things,
and you're going to make
sure that you introduce yourself as a PTA,
but my patient doesn't
always understand that.
So they're like, oh,
you're physical therapy.
They group me together.
Most of the time they group
us with like OT too, you know?
So like in their mind,
I'm a professional that's
coming in to work with them
for physical therapy,
the same as you coming in
to work with them for physical therapy.
They're looking for the outcome,
which is what we teach in
communications and business,
which is don't really sell the how,
but we love in healthcare or science,
we love selling the how.
We love overselling the how.
We love selling the features
and less on the benefits.
And we love turf.
So talking about-
we love it we love to show
off what we what we know
I'm guilty of it myself and
we we we can't not talk
about the elephant in the
room which is how we're how
we get paid or our value
financially and this is we
could have a whole
different conversation
about value being financial
or non-financial our value
is dictated by someone who
is not in the room which is
a system that is known as
the third party payment system which is
which should anger you,
which I didn't understand
it before I came to healthcare.
And now that I'm here,
I feel like I understand it even less.
It is convoluted and
confusing and values
certain things over others.
I think the more that we can
understand the system that we're in, yeah,
by all means, try to change it.
But like realistically
understanding like through our lifetime,
it probably won't change a whole lot.
So that the other route,
because right now the only
way to get paid more in a
third party payment system, well,
there's a couple of ways.
One is see more patients.
But nobody signed on to do
more work because there's a
law of diminishing returns, right?
After X number of patients,
X plus fifty percent is
going to bring you fifty
percent more money.
But it's also going to it's
going to kill you.
Like you're going to hate
doing what you're doing.
The other route or one of
the other routes is innovation.
And I feel like that's a lot
of people in the
conversation at the future
rehab therapy summit that
we're going to this week.
Agreed.
Entrepreneurship and innovation.
You're going to see a lot of people doing.
different things or doing
the same things different ways.
Yeah.
Um,
those things could or should be viable
paths for PTs and PTAs to
financial freedom,
because that is part of the
math equate equation that
people are doing.
What are you excited to take a look at?
In terms of like,
who do you think is doing it?
Well, who do I think is doing it?
Well, like innovating,
even if it's not something you want to do,
like, who do you look at?
And you go?
Yeah, they're pretty innovative.
They're pretty cutting edge.
Well,
I don't know that I can just throw
out some names,
but I think that the tech
companies that are trying
really hard to like get
into health care and show
the value and the benefit.
I mean, you work for a health tech company,
too.
Right.
You know,
like I still hear so much
pushback on some of these
innovative technologies.
Yeah.
And I'm like, man, we got it.
We've got to lean into this
and leverage it.
I will give there there is a
lot of pushback right I
will attempt to explain why
I feel like because I've
only been in this
profession for less than
ten years people have been
pitched and promised for so
long and they've been burnt
so they are on guard which
makes complete sense like
of course when you're a bright-eyed
bushy tailed new PTA or PT, you're like,
look at this shiny new thing.
And I remember bringing
those things to my
professors in PT school and
having them like,
sort of like take a breath, like,
and like,
look at the promises that is not before.
And you're like, no, no, no, this is new.
This is innovative.
But,
and then you watch how the cycles of
innovation go.
Um,
But instead of looking for
the things that's going to ten X,
looking for the ten percent improvements.
And that's where I think
that if you're looking for a panacea,
one solution that's going
to absolutely change everything, don't.
Anybody who promises you that,
run away from it.
Someone who's promising you
ten percent improvement or
improvement over time,
that's a little more
realistic and more likely to happen.
And they're small increments.
And that makes a difference, right?
Over time.
Yeah.
I mean, we'll talk about the tech company.
We don't have to give a pitch,
but if clinicians are
saying administrative burden,
that phrase was everywhere like three,
four years ago,
and then all of a sudden
something else replaced it, right?
I believe it was just
reimbursement and burnout.
AI scribing technology is
essentially saying, oh,
I see your administrative
burden and I raise you this
application that you can use today.
And yet so many people are still very,
very, very skeptical about if it's you,
if it's a good utility and
good use of their time or not.
I say go bang on one like
there's there's fifty companies.
Go try one.
The one I want is great.
Go test drive a bunch.
Trust me, they'll love to have you.
On the other end of that
would be like automations,
like using the technology
to augment the thing that
it can't replace you and say, okay,
you're telling me your time
is your most valuable asset.
The only thing you can't replace,
I can give you twenty percent again,
not one hundred percent
watch for someone who's
going to promise you the world.
I can give you twenty
percent back and to still
watch people be skeptical
of it confuses me.
And that to me explains the
lack of progress.
Yeah.
Well,
and I'm looking at the list of
industry partner
presentations that are
going to be there and all
of them have some type of
digital or online or AI
type of EHR scribes, all of that,
like all of those people
that are going to be our
partners are leaning into innovation.
which is obviously,
this is all about the
future of rehab therapy, right?
But all of these things are
only going to give us that five percent,
that ten percent, and that's enough.
That's enough to help
decrease burnout and help
fill some of those gaps
that we're dealing with in
the profession.
The funny part is,
and this is where I get to like sort of
hold my colleagues in
healthcare accountable.
If you were at a backyard
barbecue and you were
complaining about back pain
to the guy who was hosting the party,
who was grilling,
who also happened to be a PT,
the PT would, of course,
lean in and be like, hey, listen,
come to see me in my office on Monday.
I can help you.
And the person with back
pain is standing there in
the backyard and saying,
I'll just Google a YouTube
video or I'll figure it out.
It'll get better.
And that person,
the PT would obviously be mad.
pta would be mad like I have
this knowledge and the
ability to help you and
you're just refusing at the
same token I feel like
healthcare for so long has
pushed away on everybody
you just mentioned which is
like technology or or just
any industry outside our
own we just said we're
going to solve it ourselves
so we would do the exact
same thing imagine the
person with back pain was
uh you know an engineer for
for for a computer company
where that PT could have
said yeah if I hire you I
could solve my problems
it's it's well it's a
Mexican standoff I think
now people I I don't know
maybe maybe it's just the
moment that we're in I feel
like people are more at
least beginning to be more
open to adopting the help
or the ideas of things
outside of health care
We do not improve unless we do.
I will die on that hill.
Yeah, yeah.
Well,
I think our good friend Sky Donovan
said that a long time ago.
If we don't start looking
outside the profession,
we might be missing the boat.
Yeah,
I always like to play a game where like,
Nike,
Nike just launched a thing called
Nike Strength Club.
Essentially,
they're like brick and mortar gyms,
for lack of a better term,
ten squat racks,
with space for two people
at each squat rack, three,
four classes in the morning,
and then like three,
four classes in the afternoon.
And
you should be annoyed as an
outpatient or a sports
physical therapist that
you're not doing this model.
And I'm not saying nobody's
doing this model,
but what I'm getting at is
instead of being mad at
Nike for encroaching on our territory,
Why didn't you do it before?
You needed no permission whatsoever.
So every time I see someone
come into our turf,
I was in a Facebook group,
which is the worst place in
the world you should ever be.
And I was listening to
someone or watching someone.
They put up a screenshot of
a personal trainer's ad or flyer.
And they were saying,
the personal trainer was saying, like,
you know,
prevent bone density loss and
osteoporosis,
like using those exact words.
And the physical therapist was like,
who do they think they are?
And I just simply asked a
question that was never answered,
by the way,
because it didn't fit the narrative.
My question was simply,
do we have some sort of
ownership over osteoporosis?
Like, do we get to...
Do we get to own this?
And I feel like a large
majority of our profession would be like,
well, of course we own that.
You don't.
You might have insight in how to treat it.
It might be part of your professional duty,
but you don't own it.
So instead of being mad at that person,
be like, wow,
they said the thing by name.
They went to those people
and that person might run a
profitable business doing
something they love,
actually running the coffee
shop how they want.
And our first instinct was to crap on it.
And I find that defeating.
Yeah.
I think that we think we own
a lot of spaces.
Yeah.
The last big problem is PT
has a perception problem.
And this is something that I
get on a personal soapbox
about is people like to
look and wag their finger at the APTA.
I don't work for the APTA.
I've been a member for a long time.
Yeah.
This isn't a perception problem.
Just like we mentioned at
the top of this conversation,
twenty five minutes ago,
to change culture and
perception is not is not a
one person thing.
It's not like changing
health behaviors in society
doesn't happen overnight.
It's not one organization.
It's an everybody thing.
People love to wave their
finger at the APTA and say,
how come they haven't solved this?
They can't.
Also, the APTA is a bunch of people,
your people.
If you haven't solved it, don't expect it.
Exactly.
but I think you can do it on
a one-to-one level just as
I mentioned with that
personal trainer saying I
help people prevent
fractures from osteoporosis
come to my class that's the
only way it'll happen so
you need to change how
you're speaking who you're
speaking to how often
you're speaking in what
ways you're speaking I
think there's still a
communications and a
marketing problem that
healthcare people think
that they can out science
I'll just explain to them
that this is the best way
and they'll do it and that
in the history of the world
has never really worked
Not usually.
How do you explain the
difference or the value
from a PTA's perspective?
PTAs have notoriously been
treated like third-class
citizens in our own
profession for the longest time.
It must exhaust you and your
colleagues having to prove
yourself and prove your
value to other people in
and outside of your profession.
What do you advise PTAs in
your classes to do?
You teach like a
professional development class, right?
Does this come up?
Yeah, it does.
I think that from my perspective,
I've tried really hard to
show the students the
opportunities that I have had,
but I also try to really
recognize and tip my hat to
the work that had been done
in order to get us here.
Students that graduate from
the program that I work in,
now will not understand or
recognize the challenges
that other PTAs had twenty
years ago because it's
already been solved.
But it was solved because
somebody continued to show
up over and over and over
again and ask questions and
rub elbows with the right
people at the right tables
and create influence and
create a culture change.
So all of those things had
to happen in order for my
students to graduate now.
And know that there's a
possibility that they can
run for APTA's board of
directors in the future, maybe.
These are the things that I
like to try to show
students is look at the history,
look at what has changed.
The perception is different.
That's kind of like where I lean into.
And that's not to like pat
myself or anybody else on the back, but
I mean,
the opportunities that I had came
because I showed up and I
started asking questions.
Why can't?
Why shouldn't?
Why can?
Why should?
All right.
Let's do we're almost at a half hour.
Okay.
the future of Rehab Therapy Summit,
by the time someone hears this,
they're not gonna be able
to come if they're not already on the way,
which is fine.
We're gonna be doing episodes onsite.
So the next couple of weeks,
you're gonna hear from
people who are actually onsite.
So let's do a parting shot,
but do it in the form of a prediction.
Three years from now, right?
What are the things that you think,
what's the one thing that
you think will change the
most in three years, in twenty,
twenty eight?
Hmm.
Okay.
So the things that I think,
how many did I have to say?
Three?
You could do more than one,
but you have to do at least one.
I have to do at least one.
Okay.
So my prediction is that we
are going to leave this
summit filled to the brim with ideas,
and then it's going to
spark a fire in rehab therapy settings.
And we are going to find
creative ways to fill gaps.
And this could look
very different in whatever
silo that we're in.
But in my opinion,
we're going to fill gaps with PTAs, CODAs,
whoever needs to kind of
step up into those roles to help fill.
And I think we're going to
start to see more of a
trend leaning towards
getting those ten percent
those five percent um that
remote therapeutic
monitoring this is a
perfect space for ptas
perfect space just did an
episode not that long ago I
don't think it's been
released yet but if it
hasn't it'll be coming out
soon that this is like
prime prime area for pta so
I think that there's going
to be more of that coming
out in the future.
And again, this isn't to replace anything.
We're not replacing our hands in that,
that physical touch and physical therapy,
but we are going to need to
lean into things that are
an adjunct that can get us
that extra five and
That I agree with a lot of what you say,
but I disagree with it.
Okay.
Some of it.
And here's what I think a
lot of people will get energized.
And a lot of people will
hear the conversations that
we're going to share.
And then a bunch of people
will still begin.
Ninety percent of them will
continue to do it the same way,
but harder or the same way,
but bigger or the same way, but green.
they will just continue to
do the same thing now I
think ten percent will see
the opportunity I mean it's
just that's just how that
math math's right it's just
that's just how it'll go so
I think the people that
actually lean into the
unsafe things the things
that are not proven
while keeping the guy like
the north star in line like
you know traditionally we
haven't been good at at
looking outside of our
profession for solutions
right I mean it took us the
longest time to actually
have an emr that was
directed just towards our
profession like decades
right yeah one of the first
opportunities someone saw
so I think I think the
future will be given and it
will belong to the people
who will lean into the
spaces that aren't touched yet
We're looking right now like
an arms race on all these
different categories.
There are a couple of
categories I don't think even exist yet.
But when you see the opportunity,
like maybe somebody will
spark an idea at the summit,
the people that actually
the luck favors the bold is
my is my parting shot.
So I tell people just
because someone isn't doing
it doesn't mean they can't
do it and be really,
really successful at it.
So you use that however you want,
because in my opinion,
those people will succeed.
Yeah, I think you're right.
There's going to be a
percentage of people who
are going to take what's
discussed and run with it.
And there's going to be a
percentage of people that
it stays in the back of
their mind and they're
going to sit on it for a long time.
Yeah.
They're going to sit on it
until it's worthless.
Like the first mover
advantage is something
that's talked about in technology.
It's like the people who see
it and go first have a better chance.
Doesn't always mean success,
but better chance at doing
something like that.
So I'm looking forward to
hearing the side conversations.
Yes.
I'm all about the presentations.
Most of the time I'm in the
bar looking and waiting to
hear people and being able
to push people and ask them, oh,
you want to do this?
Just like opening a coffee shop.
What about this?
Have you thought about this?
Yeah.
Let's see where that goes.
All right.
More from DC.
Yeah.
And like T minus like two days, right?
Yeah.
Wednesday, all the action starts.