WEBVTT 00:00:08.461 --> 00:00:10.704 We now have, like, intros that are, like, 00:00:11.263 --> 00:00:11.564 old. 00:00:11.765 --> 00:00:13.646 Like, that was an old intro. 00:00:14.127 --> 00:00:15.487 I like the beat of the old intro, 00:00:15.507 --> 00:00:15.667 though. 00:00:15.688 --> 00:00:15.928 The beat. 00:00:16.829 --> 00:00:17.809 Remember the first time I made it, 00:00:17.829 --> 00:00:19.611 it was, like, twenty seconds long, 00:00:19.631 --> 00:00:20.211 and then we were like, 00:00:20.251 --> 00:00:21.292 we gotta cut that. 00:00:21.452 --> 00:00:22.292 That one's six. 00:00:22.533 --> 00:00:23.574 That one's six seconds long. 00:00:23.594 --> 00:00:25.275 Six is better. 00:00:25.356 --> 00:00:25.596 Yeah. 00:00:25.955 --> 00:00:26.155 So, 00:00:26.277 --> 00:00:28.478 Tony Maritato pulling in the parking lot. 00:00:28.617 --> 00:00:29.859 Dave Kittle on the beach. 00:00:31.088 --> 00:00:31.750 Yeah. 00:00:32.289 --> 00:00:32.890 Yeah. 00:00:32.911 --> 00:00:33.472 So he's off. 00:00:33.491 --> 00:00:35.012 So we're going to discuss stuff today. 00:00:35.774 --> 00:00:36.695 What do we want to start with? 00:00:36.734 --> 00:00:37.837 We just decided that we were going to 00:00:37.856 --> 00:00:38.718 talk about what today? 00:00:39.298 --> 00:00:39.518 Yeah. 00:00:39.578 --> 00:00:41.720 So I and I'm going to pitch the 00:00:41.740 --> 00:00:43.121 same question to you. 00:00:44.444 --> 00:00:46.847 My question and this I'm actually parked 00:00:46.906 --> 00:00:47.366 right now. 00:00:48.188 --> 00:00:49.209 This applies. 00:00:49.950 --> 00:00:51.351 We're going to hit this in different ways. 00:00:52.188 --> 00:00:54.969 Jimmy, I know that you did triathlons, 00:00:54.990 --> 00:00:57.051 you were an athlete, maybe still are. 00:00:58.271 --> 00:01:00.914 My question to you is, realistically, 00:01:02.094 --> 00:01:04.637 could a therapist who's never done a 00:01:04.697 --> 00:01:05.558 triathlon 00:01:06.456 --> 00:01:10.739 effectively treat a triathlete in the 00:01:10.760 --> 00:01:12.742 clinic whether it be somebody who's 00:01:12.781 --> 00:01:14.763 developed an injury from competing 00:01:14.822 --> 00:01:17.844 somebody who's developed a tendinopathy or 00:01:17.864 --> 00:01:20.787 an overuse do you think they have the 00:01:20.828 --> 00:01:22.308 point of reference even if they've seen 00:01:22.349 --> 00:01:23.709 all the videos read all the books 00:01:23.810 --> 00:01:27.893 understand what a triathlete has to do can 00:01:27.912 --> 00:01:29.733 they effectively develop a treatment plan 00:01:29.774 --> 00:01:30.834 and treat that individual 00:01:31.762 --> 00:01:32.082 Oh, man, 00:01:32.123 --> 00:01:33.823 I'm going to PT this and just say 00:01:33.843 --> 00:01:34.424 it depends. 00:01:36.006 --> 00:01:39.368 It depends how curious they are. 00:01:39.588 --> 00:01:42.492 Because if you say to someone, well, 00:01:42.512 --> 00:01:43.692 what's involved in swimming? 00:01:43.992 --> 00:01:45.355 There's some shoulder stuff. 00:01:46.015 --> 00:01:47.096 There's some kicking. 00:01:47.977 --> 00:01:49.597 And now you can't figure out why the 00:01:49.638 --> 00:01:50.778 swimmer's elbow hurts. 00:01:51.740 --> 00:01:53.281 and you're not willing to go a step 00:01:53.322 --> 00:01:53.781 further, 00:01:54.263 --> 00:01:56.063 you wouldn't know that sometimes coaches 00:01:56.103 --> 00:01:58.224 tell you to really flex your wrist. 00:01:58.786 --> 00:01:59.865 And that puts a lot of pressure on 00:01:59.885 --> 00:02:00.906 the medial epicondyle. 00:02:01.346 --> 00:02:04.149 So like, it just depends. 00:02:04.468 --> 00:02:06.911 So if it's a inquisitive therapist, 00:02:07.031 --> 00:02:09.271 who's going to keep saying, but why, 00:02:09.473 --> 00:02:10.513 but why, but why? 00:02:10.612 --> 00:02:11.533 Like if they're just like, 00:02:11.554 --> 00:02:13.074 if they got like a little something stuck 00:02:13.094 --> 00:02:14.716 in their craw, like I'm pissed, 00:02:14.776 --> 00:02:15.937 I can't figure this out. 00:02:16.377 --> 00:02:17.037 Then yes. 00:02:17.984 --> 00:02:19.283 But if the person's just like, 00:02:19.503 --> 00:02:20.425 I understand swimming, 00:02:20.465 --> 00:02:22.044 but they've never swam and they're not 00:02:22.085 --> 00:02:23.145 willing to look, it's not, 00:02:23.466 --> 00:02:24.825 I don't think you need to be an 00:02:24.945 --> 00:02:26.127 Ironman to treat Ironman. 00:02:26.646 --> 00:02:28.067 That might be like a bold statement. 00:02:28.766 --> 00:02:31.687 But if you're not willing to ask people 00:02:31.728 --> 00:02:33.308 who've done it or are doing it, 00:02:34.775 --> 00:02:35.776 Well, what goes into that? 00:02:35.836 --> 00:02:36.997 Or let me double if you if you're 00:02:37.016 --> 00:02:38.739 not going to just keep double clicking, 00:02:39.058 --> 00:02:40.099 the answer would be no, 00:02:40.240 --> 00:02:41.580 you're going to stay on the surface level. 00:02:41.882 --> 00:02:43.143 So I don't think you need to necessarily 00:02:43.163 --> 00:02:43.802 have done it. 00:02:44.324 --> 00:02:45.784 But I think you need to be like, 00:02:45.905 --> 00:02:48.288 just ridiculously curious to figure out 00:02:48.407 --> 00:02:49.147 what goes into that. 00:02:49.449 --> 00:02:50.008 Why is that? 00:02:50.169 --> 00:02:50.669 Why is that? 00:02:50.729 --> 00:02:50.810 Well, 00:02:50.849 --> 00:02:52.270 why is that until you come up with 00:02:52.290 --> 00:02:52.611 an answer? 00:02:53.600 --> 00:02:56.122 So then let's take that in two directions. 00:02:56.241 --> 00:02:57.542 Let's say, you know, 00:02:57.581 --> 00:02:58.983 we always hear people talking about 00:02:59.043 --> 00:03:00.103 business coaches. 00:03:00.782 --> 00:03:02.883 Should you take advice from a business 00:03:02.924 --> 00:03:05.224 coach that hasn't built the business that 00:03:05.264 --> 00:03:06.044 you want to build? 00:03:06.064 --> 00:03:07.405 If you want to get, you know, 00:03:07.425 --> 00:03:08.906 the first thing I tell everybody in my 00:03:08.945 --> 00:03:10.066 Medicare course is, look, 00:03:10.645 --> 00:03:12.586 I am not the guy to take you 00:03:12.646 --> 00:03:14.387 to a ten million dollar business. 00:03:14.447 --> 00:03:16.087 I've never built a ten million dollar 00:03:16.127 --> 00:03:16.487 business. 00:03:16.527 --> 00:03:17.448 I've never been there. 00:03:17.927 --> 00:03:19.729 It requires a different skill set. 00:03:21.075 --> 00:03:23.396 Why aren't these the same? 00:03:23.477 --> 00:03:25.578 Or are they like, theoretically, 00:03:25.777 --> 00:03:28.520 I might understand the principles of a ten 00:03:28.560 --> 00:03:29.580 million dollar business, 00:03:29.620 --> 00:03:31.842 but I've never experienced the ten million 00:03:31.882 --> 00:03:32.562 dollar business. 00:03:35.246 --> 00:03:35.926 I've never, 00:03:36.106 --> 00:03:38.250 I've never been in the water at a 00:03:38.310 --> 00:03:40.252 quarter mile, you know, and, 00:03:40.372 --> 00:03:44.336 and known the feeling of whatever you feel 00:03:44.518 --> 00:03:45.277 at that point. 00:03:45.378 --> 00:03:48.842 Like, I just don't know how, yes, 00:03:48.923 --> 00:03:52.046 I could probably like finagle it and be 00:03:52.206 --> 00:03:52.747 okay, 00:03:52.828 --> 00:03:53.008 but 00:03:53.288 --> 00:03:54.429 Well, 00:03:54.449 --> 00:03:55.968 then I would say your resources as a 00:03:56.030 --> 00:03:57.750 PT aren't just what you know at that 00:03:57.830 --> 00:03:58.431 moment, right? 00:03:58.450 --> 00:04:00.012 Because we go to CPGs and we go 00:04:00.032 --> 00:04:01.632 to courses or we Google stuff. 00:04:02.212 --> 00:04:03.432 So you could say like, well, 00:04:03.453 --> 00:04:05.473 I read all about sports psychology and I 00:04:05.534 --> 00:04:07.556 understand why you stop and you panic at, 00:04:07.635 --> 00:04:08.716 you know, a half mile. 00:04:09.075 --> 00:04:10.937 You're surrounded by a half mile of water. 00:04:11.798 --> 00:04:12.217 I get it. 00:04:12.258 --> 00:04:13.778 So I'm going to say my answer is 00:04:13.919 --> 00:04:13.979 yes. 00:04:14.391 --> 00:04:15.394 Ben gives an example. 00:04:15.433 --> 00:04:16.615 I don't think that the comment is going 00:04:16.634 --> 00:04:18.057 to work because it's going to be he 00:04:18.076 --> 00:04:18.677 gives a link. 00:04:19.119 --> 00:04:21.401 He says he agrees not doing it doesn't 00:04:21.422 --> 00:04:22.682 mean you can't become an expert, 00:04:22.702 --> 00:04:25.607 but not doing it and not understanding it, 00:04:25.646 --> 00:04:26.048 then no. 00:04:27.185 --> 00:04:28.766 So I guess he has an extreme example. 00:04:28.826 --> 00:04:30.125 I think I know what this is. 00:04:30.747 --> 00:04:33.208 I think it's a kicking coach, 00:04:33.468 --> 00:04:34.608 like a football kicking coach, 00:04:34.809 --> 00:04:35.869 who was never a kicker. 00:04:36.689 --> 00:04:37.170 And they're like, well, 00:04:37.189 --> 00:04:38.029 I could break this down. 00:04:38.129 --> 00:04:39.831 It's this, this, this, this, this, 00:04:39.870 --> 00:04:41.492 do this, more this, less this. 00:04:41.971 --> 00:04:43.333 Do you ever read the book Blink by 00:04:43.632 --> 00:04:44.392 Malcolm Gladwell? 00:04:44.992 --> 00:04:45.434 I know it. 00:04:45.533 --> 00:04:46.233 I've never read it. 00:04:46.677 --> 00:04:47.778 I mean, I'll save you, you know, 00:04:47.798 --> 00:04:49.338 twenty three dollars and a couple hours of 00:04:49.358 --> 00:04:49.738 your life. 00:04:50.119 --> 00:04:50.619 Essentially, 00:04:50.658 --> 00:04:53.339 it's like essentially Malcolm was positing 00:04:53.459 --> 00:04:55.040 and I'm going to is a rough summation. 00:04:55.680 --> 00:04:57.341 We're just we're pattern recognition 00:04:57.382 --> 00:04:57.901 machines. 00:04:58.161 --> 00:05:00.262 Like there was a guy in the book 00:05:00.283 --> 00:05:02.684 who was a free throw shooting expert and 00:05:02.744 --> 00:05:03.543 you could cover. 00:05:04.826 --> 00:05:06.146 all you would do is show the shooter 00:05:06.166 --> 00:05:07.307 and you would cover like the pat. 00:05:07.348 --> 00:05:08.507 As soon as the ball left the guy's 00:05:08.528 --> 00:05:10.069 hand, you would leave. 00:05:10.209 --> 00:05:11.088 You couldn't see it. 00:05:11.129 --> 00:05:13.310 And he could like going in, going out, 00:05:13.350 --> 00:05:15.009 going in, going out, going in, going out. 00:05:15.209 --> 00:05:17.170 Like he knew it because he was like, 00:05:17.250 --> 00:05:18.752 it doesn't matter what happens after the 00:05:18.771 --> 00:05:18.951 ball. 00:05:19.172 --> 00:05:20.971 Nothing's nothing's happening. 00:05:21.192 --> 00:05:21.833 Like nothing, 00:05:22.012 --> 00:05:24.052 nothing of note is happening after the 00:05:24.072 --> 00:05:24.694 ball leaves the hand. 00:05:24.934 --> 00:05:25.973 He's like, it's all this. 00:05:26.293 --> 00:05:28.074 So he could tell there's a guy on 00:05:28.115 --> 00:05:29.014 Instagram called Lee. 00:05:29.035 --> 00:05:30.875 His Instagram handles lethal shooter. 00:05:31.843 --> 00:05:33.223 And he does these ridiculous shooting 00:05:33.242 --> 00:05:33.663 challenges. 00:05:33.963 --> 00:05:36.004 Like he'll get like a rim that is 00:05:36.043 --> 00:05:38.463 like an eighth of an inch larger than 00:05:38.483 --> 00:05:39.303 a basketball. 00:05:39.783 --> 00:05:41.345 And he'll just like knock stuff down. 00:05:42.084 --> 00:05:42.805 He actually went to St. 00:05:42.824 --> 00:05:44.425 Bonaventure University, go Bonneys, 00:05:45.285 --> 00:05:45.824 was a really, 00:05:45.865 --> 00:05:47.826 really good college player at St. 00:05:47.846 --> 00:05:48.326 Bonaventure. 00:05:48.346 --> 00:05:49.545 And I'm not knocking my alma mater, 00:05:49.846 --> 00:05:52.386 but like he wasn't going pro. 00:05:52.747 --> 00:05:54.247 So how is he the guy that gets 00:05:54.307 --> 00:05:58.026 brought in when professional NBA players 00:05:58.047 --> 00:05:59.108 get a hitch in their giddy up? 00:05:59.947 --> 00:06:01.168 He's good at that thing. 00:06:06.244 --> 00:06:08.163 I think an interesting aspect here is, 00:06:09.944 --> 00:06:14.326 so I started boxing when I got into 00:06:14.447 --> 00:06:15.026 Penn State. 00:06:15.767 --> 00:06:18.009 I never did like organized sports before 00:06:18.048 --> 00:06:18.228 that. 00:06:19.079 --> 00:06:20.120 So I did martial arts. 00:06:20.180 --> 00:06:21.839 I grew up in a martial arts academy. 00:06:21.880 --> 00:06:23.221 I did martial arts forever, 00:06:23.581 --> 00:06:24.882 but I never really competed. 00:06:25.122 --> 00:06:27.322 Once I got into college and I was 00:06:27.362 --> 00:06:28.463 looking for something to do, 00:06:28.524 --> 00:06:31.144 I got into boxing as an intramural sport. 00:06:32.026 --> 00:06:33.105 And I can tell you, like, 00:06:33.666 --> 00:06:35.047 I remember the experience. 00:06:35.108 --> 00:06:37.168 First time I got seriously punched in the 00:06:37.209 --> 00:06:39.509 face, likely broke my nose. 00:06:40.009 --> 00:06:41.471 Blood everywhere. 00:06:41.891 --> 00:06:44.492 Like being in that situation is not 00:06:44.572 --> 00:06:47.334 something you can understand from reading 00:06:47.454 --> 00:06:49.295 and listening and learning in the 00:06:49.315 --> 00:06:50.036 classroom. 00:06:50.677 --> 00:06:52.517 So we bring in those other aspects. 00:06:53.379 --> 00:06:54.860 What got me thinking about this whole 00:06:54.899 --> 00:06:58.182 topic is and I'm going to butcher his 00:06:58.242 --> 00:06:58.721 last name, 00:06:58.781 --> 00:07:00.302 even though I've known him for years. 00:07:00.983 --> 00:07:02.425 You would you would probably say it right. 00:07:02.485 --> 00:07:04.045 Mark Caragella. 00:07:04.065 --> 00:07:04.826 Mark Caragella. 00:07:06.987 --> 00:07:10.550 He has just elevated into the next tier 00:07:10.810 --> 00:07:14.814 of creators for me. 00:07:15.014 --> 00:07:15.894 His TikTok, 00:07:16.014 --> 00:07:18.197 his pain stuff is just incredible. 00:07:18.997 --> 00:07:22.581 Lorimer Mosley and some of the other guys, 00:07:22.761 --> 00:07:24.362 he's in that level for me right now. 00:07:24.762 --> 00:07:27.225 Anyway, I'm listening to him yesterday. 00:07:27.264 --> 00:07:28.204 I'm walking the dog. 00:07:28.446 --> 00:07:29.906 I'm thinking about all the stuff that he's 00:07:29.947 --> 00:07:30.627 talking about. 00:07:31.786 --> 00:07:33.507 I've been experiencing some back pain. 00:07:34.588 --> 00:07:35.908 I don't think you and Dave and I 00:07:35.947 --> 00:07:36.829 talked about it. 00:07:37.028 --> 00:07:40.829 I had a major flood in my laundry 00:07:40.889 --> 00:07:42.050 room on the second floor. 00:07:43.069 --> 00:07:43.810 I left. 00:07:43.911 --> 00:07:44.730 I came home. 00:07:44.911 --> 00:07:47.391 It was like a torrential downpour in my 00:07:47.512 --> 00:07:51.293 kitchen because the second floor laundry 00:07:51.452 --> 00:07:53.874 had ruptured a hose and water was just 00:07:53.894 --> 00:07:54.454 pouring through. 00:07:55.134 --> 00:07:57.074 So anyway, so I'm doing repair work. 00:07:57.834 --> 00:07:58.894 I've done drywall. 00:07:59.014 --> 00:08:00.375 I'm working on the ceiling. 00:08:00.475 --> 00:08:02.516 I spend a lot of time in extension 00:08:02.555 --> 00:08:03.536 for a couple of days. 00:08:04.276 --> 00:08:06.456 My low back is killing me. 00:08:06.557 --> 00:08:08.197 Like worst low back pain I've had in 00:08:08.218 --> 00:08:08.658 a long time. 00:08:08.697 --> 00:08:10.918 And it's got me thinking about, okay, 00:08:10.937 --> 00:08:12.798 you know, I've had sore backs. 00:08:12.858 --> 00:08:15.238 I've had like fascial pain. 00:08:16.480 --> 00:08:18.699 I theoretically understand what my 00:08:18.740 --> 00:08:20.261 patients describe to me. 00:08:21.310 --> 00:08:24.593 But now I've experienced a very specific 00:08:24.632 --> 00:08:25.713 kind of back pain, 00:08:26.074 --> 00:08:28.555 like a virtually debilitating back pain. 00:08:30.117 --> 00:08:32.960 And so now I feel like I can 00:08:33.159 --> 00:08:35.620 better treat certain individuals. 00:08:36.261 --> 00:08:38.062 I am going to say it does confirm 00:08:38.102 --> 00:08:39.104 my biases, 00:08:39.703 --> 00:08:42.567 what I thought I understood to what now 00:08:42.667 --> 00:08:44.248 I feel like I understand better. 00:08:45.326 --> 00:08:47.549 It's cemented certain ideas for me about 00:08:47.690 --> 00:08:48.250 back pain. 00:08:49.653 --> 00:08:50.955 But that being said, 00:08:51.394 --> 00:08:53.337 I just I see this carry through so 00:08:53.378 --> 00:08:55.721 many like categories in life. 00:08:55.740 --> 00:08:55.942 Yeah. 00:08:56.581 --> 00:08:58.524 Not taking advice from a business coach 00:08:58.544 --> 00:09:00.347 who's never run a successful business. 00:09:00.967 --> 00:09:02.650 Not taking advice from, you know, 00:09:02.671 --> 00:09:04.533 a sports therapist who's never played the 00:09:04.573 --> 00:09:06.035 sport that they're trying to coach. 00:09:06.596 --> 00:09:07.577 And it's really, 00:09:07.717 --> 00:09:10.402 really hard for me watching all of the 00:09:10.501 --> 00:09:13.547 social media content to hear somebody 00:09:13.586 --> 00:09:16.270 who's never experienced the condition say, 00:09:16.650 --> 00:09:19.371 so emphatically telling the patient what 00:09:19.412 --> 00:09:20.812 they should be experiencing, 00:09:20.851 --> 00:09:22.013 what they should be feeling. 00:09:22.052 --> 00:09:23.432 This is what's going on. 00:09:24.354 --> 00:09:27.034 You're missing so much of the context of 00:09:27.075 --> 00:09:28.014 the experience, 00:09:28.075 --> 00:09:29.715 the fear and the anxiety and the 00:09:29.735 --> 00:09:31.395 frustration and, you know, 00:09:31.416 --> 00:09:33.277 the emotional baggage and the support 00:09:33.317 --> 00:09:35.397 systems within the family and like, oh, 00:09:35.456 --> 00:09:36.317 yeah, 00:09:36.477 --> 00:09:38.979 all of these aspects that you just will 00:09:39.019 --> 00:09:40.119 never get out of a book. 00:09:40.716 --> 00:09:43.499 Yeah, I agree. 00:09:44.919 --> 00:09:46.562 You can tell when someone is telling you 00:09:46.601 --> 00:09:48.363 something from a book or when someone has 00:09:48.423 --> 00:09:49.264 walked through it. 00:09:49.403 --> 00:09:50.544 There's nuance to that. 00:09:50.605 --> 00:09:51.865 I'll read Ben's comment in a minute 00:09:51.885 --> 00:09:53.606 because Ben, he's dropping paragraphs. 00:09:53.647 --> 00:09:54.908 He's dropping full paragraphs. 00:09:54.927 --> 00:09:55.368 I love that. 00:09:55.808 --> 00:09:57.529 Ben, we'll just send you a link. 00:09:57.549 --> 00:09:58.311 We'll get you on the show. 00:09:58.331 --> 00:09:59.010 It's easier to read. 00:10:00.272 --> 00:10:00.972 I can see that. 00:10:01.113 --> 00:10:02.053 I mean, you know. 00:10:02.774 --> 00:10:03.594 for a while there, 00:10:03.614 --> 00:10:04.514 three or four years ago, 00:10:04.554 --> 00:10:06.456 the thing was mentorship for students. 00:10:06.556 --> 00:10:08.076 That was the thing everybody was selling. 00:10:08.155 --> 00:10:09.897 And I felt really icky about that. 00:10:10.496 --> 00:10:11.378 And that was legit. 00:10:11.437 --> 00:10:12.837 Like clinicians were like, 00:10:12.878 --> 00:10:13.739 do you want to be mentored? 00:10:14.479 --> 00:10:15.899 Because I'm a clinician and I've been 00:10:15.919 --> 00:10:17.000 doing this for ten years and you've been 00:10:17.019 --> 00:10:17.779 doing it for ten weeks. 00:10:17.820 --> 00:10:19.000 And do you feel awkward? 00:10:19.041 --> 00:10:20.741 And all those things. 00:10:20.861 --> 00:10:22.341 It just felt predatory to me. 00:10:22.841 --> 00:10:23.663 Like, I don't know. 00:10:23.722 --> 00:10:23.903 Like, 00:10:24.263 --> 00:10:25.844 there's an exchange of value and people 00:10:25.864 --> 00:10:26.943 thought the money was worth it. 00:10:27.004 --> 00:10:28.524 So some of the students gave it. 00:10:28.825 --> 00:10:29.705 It just felt icky to me. 00:10:29.725 --> 00:10:30.505 Yeah. 00:10:32.456 --> 00:10:32.778 So yeah, 00:10:32.857 --> 00:10:35.480 I get that where someone is like, 00:10:35.960 --> 00:10:37.520 I build a seven-figure business. 00:10:37.541 --> 00:10:38.682 They love talking figures. 00:10:39.062 --> 00:10:40.222 We're going to build seven-figure 00:10:40.263 --> 00:10:41.964 businesses and eight-figure businesses. 00:10:42.464 --> 00:10:43.865 But you look into their credentials and 00:10:43.884 --> 00:10:44.485 they haven't. 00:10:44.826 --> 00:10:46.966 And there's something to that. 00:10:47.268 --> 00:10:48.908 Well, I would push back on like, 00:10:49.269 --> 00:10:51.630 could you as a physical therapist help a 00:10:51.711 --> 00:10:53.192 triathlete rehab? 00:10:53.932 --> 00:10:55.793 You have extensive knowledge in rehab, 00:10:55.813 --> 00:10:56.354 right? 00:10:56.613 --> 00:10:57.133 Do you know what I mean? 00:10:57.173 --> 00:10:57.312 Like, 00:10:57.533 --> 00:10:58.793 it's not like the person is coming off 00:10:58.854 --> 00:10:59.374 cold. 00:10:59.833 --> 00:11:01.174 Like, so I guess we, you know, the, 00:11:01.195 --> 00:11:02.695 the researchers out there will be able to, 00:11:03.115 --> 00:11:05.336 to answer or set up this experiment 00:11:05.375 --> 00:11:05.635 better. 00:11:06.376 --> 00:11:07.917 Who'd be better at helping a triathlete 00:11:07.976 --> 00:11:08.418 rehab, 00:11:08.658 --> 00:11:10.457 a coach with extensive triathlon 00:11:10.477 --> 00:11:11.198 experience, 00:11:11.958 --> 00:11:14.779 a PT with a lot of rehab experience, 00:11:14.820 --> 00:11:16.520 but no competitive experience. 00:11:16.780 --> 00:11:17.980 Like you need to tease that out. 00:11:18.260 --> 00:11:19.501 The answer is somewhere in the middle. 00:11:20.491 --> 00:11:22.493 The answer is someone who gives a shit. 00:11:22.692 --> 00:11:25.933 Ryan Clark is a, he's on ESPN, 00:11:25.953 --> 00:11:26.875 but he was a pro bowler, 00:11:26.914 --> 00:11:28.455 like three or four time pro bowler for 00:11:28.534 --> 00:11:30.615 in the NFL played for the Steelers and 00:11:30.635 --> 00:11:31.135 the giants. 00:11:31.515 --> 00:11:32.976 I saw him speak at a medical conference 00:11:33.017 --> 00:11:35.437 in DC and he had an issue with 00:11:36.297 --> 00:11:38.238 I think it was sickle cell anemia or 00:11:38.258 --> 00:11:39.258 something with his spleen. 00:11:39.817 --> 00:11:41.859 Every test was coming back, you're fine. 00:11:42.298 --> 00:11:43.860 And he was like wasting away. 00:11:44.220 --> 00:11:45.039 And they're like, you're fine, 00:11:45.059 --> 00:11:45.340 you're fine. 00:11:45.360 --> 00:11:46.260 He's like, I'm dropping weight. 00:11:46.321 --> 00:11:47.201 I can't get out of bed. 00:11:47.321 --> 00:11:48.921 I'm a defensive back in the NFL. 00:11:49.261 --> 00:11:50.182 I cannot get out of bed. 00:11:50.721 --> 00:11:52.883 And the NFL doctor from his team was 00:11:52.942 --> 00:11:53.743 like, you're fine, you're fine, 00:11:53.763 --> 00:11:54.102 you're fine. 00:11:54.143 --> 00:11:55.303 He went and hired his own doctor. 00:11:55.683 --> 00:11:56.923 And this doctor sat down and he's like, 00:11:57.004 --> 00:11:57.865 all your tests are fine. 00:11:57.924 --> 00:11:58.384 And he was like, 00:11:58.904 --> 00:11:59.544 Here we go again. 00:11:59.645 --> 00:12:00.525 And he goes, no, 00:12:00.605 --> 00:12:01.586 something is clearly not fine. 00:12:01.606 --> 00:12:02.727 You're telling me you're not fine. 00:12:03.028 --> 00:12:03.587 I look at you. 00:12:03.668 --> 00:12:04.509 You don't look fine. 00:12:04.708 --> 00:12:05.789 I look at a picture of you last 00:12:05.830 --> 00:12:06.070 year. 00:12:06.250 --> 00:12:07.130 That's not what you look like. 00:12:07.350 --> 00:12:07.971 Something's wrong. 00:12:08.672 --> 00:12:10.293 And then he's like the message that Ryan 00:12:10.312 --> 00:12:11.573 Clark was giving through the room full of 00:12:11.614 --> 00:12:13.355 like medical professionals was. 00:12:15.511 --> 00:12:16.631 I just need you to give a shit. 00:12:16.991 --> 00:12:17.753 So the guy was like, 00:12:18.732 --> 00:12:20.013 cause Ryan Clark was like, I'm dying. 00:12:20.232 --> 00:12:20.432 He's like, 00:12:20.472 --> 00:12:21.433 I'm going to go home and die in 00:12:21.453 --> 00:12:21.953 a couple of months. 00:12:22.014 --> 00:12:23.474 Cause if this keeps going in the slippery 00:12:23.514 --> 00:12:23.793 slope. 00:12:24.195 --> 00:12:24.855 And he was just like, 00:12:24.975 --> 00:12:25.634 I looked at this guy. 00:12:25.654 --> 00:12:25.875 He's like, 00:12:25.934 --> 00:12:26.654 I have no idea what's going on, 00:12:26.674 --> 00:12:27.556 but we're just going to figure it out. 00:12:27.796 --> 00:12:29.436 Like, that's the kind of person you need. 00:12:29.696 --> 00:12:31.537 Now the difference is if this is your 00:12:31.596 --> 00:12:32.037 business, 00:12:32.076 --> 00:12:33.397 like you could have someone make a really 00:12:33.417 --> 00:12:35.817 crappy decision and crash your business. 00:12:35.857 --> 00:12:36.937 That's different than like crashing your 00:12:36.977 --> 00:12:38.379 race, unless you're a professional racer. 00:12:39.274 --> 00:12:40.154 but I'm not. 00:12:40.315 --> 00:12:41.635 I want to hear Ben's comment because I 00:12:41.696 --> 00:12:42.296 can't see it, 00:12:42.375 --> 00:12:45.456 but I want to take this idea into, 00:12:45.897 --> 00:12:47.717 you know, this is where you're like, 00:12:47.878 --> 00:12:49.538 all right, am I treating the condition? 00:12:50.057 --> 00:12:52.778 Like I I've never done a triathlon, 00:12:52.999 --> 00:12:54.318 but I've sprained an ankle. 00:12:54.740 --> 00:12:57.080 Am I treating the ankle or am I 00:12:57.100 --> 00:12:58.260 treating the athlete? 00:12:59.181 --> 00:13:01.282 This is where you're looking at this as 00:13:01.701 --> 00:13:01.861 is, 00:13:01.981 --> 00:13:05.643 am I a holistic provider trying to address 00:13:05.783 --> 00:13:06.143 all of 00:13:06.222 --> 00:13:08.604 these issues nutrition and psychology and 00:13:08.644 --> 00:13:10.803 emotion and all that stuff or am I 00:13:10.844 --> 00:13:13.504 just here to fix you know a very 00:13:13.565 --> 00:13:16.186 discreet mechanical problem what did Ben 00:13:16.225 --> 00:13:17.947 say Ben said this he's like all being 00:13:18.006 --> 00:13:20.366 said experience is immensely helpful which 00:13:20.407 --> 00:13:22.327 is why the guy he was talking about 00:13:22.408 --> 00:13:25.349 Doug Blevins is an NFL kicking coach um 00:13:25.369 --> 00:13:26.668 Doug is the exception and typically you 00:13:26.688 --> 00:13:27.889 find ex-experts 00:13:28.590 --> 00:13:30.711 Being leaders like a former dancer, 00:13:30.831 --> 00:13:31.631 a former, you know, 00:13:31.652 --> 00:13:32.653 where I play beer hockey, 00:13:32.673 --> 00:13:34.094 there's a poster of a guy who's like 00:13:34.474 --> 00:13:35.794 coaching goalies because he was a 00:13:36.014 --> 00:13:38.035 semi-professional ice hockey goalie. 00:13:38.056 --> 00:13:39.397 Like he understands it. 00:13:39.476 --> 00:13:39.717 Right. 00:13:40.716 --> 00:13:41.817 He said it's not a hundred percent the 00:13:41.837 --> 00:13:42.337 requirement, 00:13:42.357 --> 00:13:43.339 but he would agree to think that the 00:13:43.418 --> 00:13:46.542 ex tennis pro who is a PT would 00:13:46.562 --> 00:13:48.123 be better to treat tennis injuries than 00:13:48.143 --> 00:13:49.744 the average PT who never played. 00:13:50.605 --> 00:13:51.926 So it goes back to my PT answer. 00:13:51.946 --> 00:13:52.407 It depends, 00:13:52.866 --> 00:13:54.707 but more leans to Tony in that probably 00:13:54.727 --> 00:13:56.470 the person with experience has insight. 00:13:56.590 --> 00:13:59.471 Others don't, I don't disagree there. 00:13:59.893 --> 00:14:01.094 Like if I were to come in and 00:14:01.114 --> 00:14:01.974 be like, Tony, how many, 00:14:02.274 --> 00:14:03.235 how many events are there? 00:14:03.254 --> 00:14:05.376 How many parts are there to a triathlon? 00:14:05.397 --> 00:14:06.298 What would your, 00:14:06.717 --> 00:14:07.379 it's not a trick question. 00:14:07.418 --> 00:14:07.678 Yeah. 00:14:07.839 --> 00:14:08.679 Three. 00:14:08.700 --> 00:14:08.961 Three. 00:14:09.481 --> 00:14:10.984 I would say it is a trick question 00:14:11.203 --> 00:14:12.546 because if you're doing a long-distance 00:14:12.586 --> 00:14:15.409 triathlon, it's swim, bike, run, think, 00:14:15.630 --> 00:14:16.130 and eat. 00:14:16.292 --> 00:14:17.452 You've got a lot of time to think 00:14:17.754 --> 00:14:19.155 and be nervous and over-calculate, 00:14:19.436 --> 00:14:20.298 and you have to keep eating. 00:14:20.518 --> 00:14:21.519 So it's like, oh, yeah, 00:14:21.558 --> 00:14:23.903 but a shorter triathlon – 00:14:23.461 --> 00:14:24.663 Nutrition, not so much. 00:14:24.682 --> 00:14:26.484 When I see people in a sprint triathlon 00:14:26.783 --> 00:14:28.644 stopping for water, and I'm like, 00:14:29.024 --> 00:14:30.186 you're not going to get sweaty in this 00:14:30.225 --> 00:14:30.625 whole race. 00:14:30.645 --> 00:14:33.528 It's like you've seen Bolt taking a drink 00:14:33.567 --> 00:14:34.229 at the hundred meters. 00:14:34.249 --> 00:14:35.688 It's like, I think you'll be okay. 00:14:36.570 --> 00:14:36.850 So yeah, 00:14:36.889 --> 00:14:39.371 I think insight can definitely help. 00:14:39.892 --> 00:14:42.352 I've also seen, I won't say his name, 00:14:42.373 --> 00:14:47.076 but there was a great people, Hong Kang. 00:14:47.537 --> 00:14:49.317 He was a CI. 00:14:49.437 --> 00:14:50.057 He wasn't my CI, 00:14:50.158 --> 00:14:51.038 but he was at the clinic I was 00:14:51.099 --> 00:14:52.399 at, one of my rotations. 00:14:53.360 --> 00:14:55.421 and he just broke he was like don't 00:14:55.461 --> 00:14:56.880 overthink it man it's just movement like 00:14:57.360 --> 00:14:59.881 why is he's like a baseball pitcher dancer 00:15:00.261 --> 00:15:01.802 he's like he just had this way of 00:15:01.863 --> 00:15:03.562 looking at things though where he's like 00:15:03.602 --> 00:15:04.864 show me the thing that makes you hurt 00:15:04.964 --> 00:15:06.244 and like they do it ten times and 00:15:06.264 --> 00:15:07.884 he's like okay we do this and he 00:15:07.904 --> 00:15:10.105 was just like like dude looked so 00:15:10.164 --> 00:15:12.905 disinterested i was like this guy does not 00:15:12.946 --> 00:15:15.187 care he's just over in the corner and 00:15:15.206 --> 00:15:16.466 was just on his notes and he'd like 00:15:16.527 --> 00:15:17.707 look up and be like do this 00:15:18.467 --> 00:15:20.548 And he looked so disinterested, 00:15:21.068 --> 00:15:23.090 but he got like such great results. 00:15:23.110 --> 00:15:24.811 And he only did what he needed to 00:15:24.850 --> 00:15:25.051 do. 00:15:25.770 --> 00:15:27.011 You know what I mean? 00:15:27.052 --> 00:15:28.653 Like there was no wasted effort. 00:15:28.692 --> 00:15:29.732 There was no wasted energy. 00:15:29.753 --> 00:15:30.592 It wasn't a wasted. 00:15:30.953 --> 00:15:31.913 I wouldn't even say it was a wasted 00:15:31.994 --> 00:15:32.313 word. 00:15:32.533 --> 00:15:33.875 It wasn't even a wasted syllable. 00:15:34.235 --> 00:15:35.495 Dude just knew exactly what to do. 00:15:35.535 --> 00:15:36.436 And he's like, it's just movement. 00:15:37.395 --> 00:15:39.256 What do you do? 00:15:39.297 --> 00:15:40.658 So what made you think of this? 00:15:41.754 --> 00:15:43.176 Just just it. 00:15:43.277 --> 00:15:45.038 Everything goes back into marketing for 00:15:45.077 --> 00:15:45.298 me. 00:15:45.359 --> 00:15:46.980 So I was sitting here and I'm like, 00:15:47.660 --> 00:15:47.900 you know, 00:15:47.941 --> 00:15:50.984 I flip through TikTok and Instagram and 00:15:51.044 --> 00:15:53.147 I'm watching these younger clinicians that 00:15:53.187 --> 00:15:55.089 are coming out, creating content. 00:15:55.769 --> 00:15:58.451 I'm thinking about target demographics, 00:15:58.552 --> 00:15:59.413 who you're talking to. 00:15:59.432 --> 00:16:00.514 And I even think about myself, 00:16:00.553 --> 00:16:02.515 like my total knee replacement community. 00:16:03.017 --> 00:16:04.818 I've never had a total knee replacement. 00:16:05.298 --> 00:16:07.801 I don't care if I've treated hundreds of 00:16:08.000 --> 00:16:10.341 patients after knee replacement or 00:16:10.461 --> 00:16:12.062 thousands of people online. 00:16:12.123 --> 00:16:14.465 It's one of those deals where I've never 00:16:14.524 --> 00:16:15.686 been in your shoes. 00:16:15.745 --> 00:16:16.686 And I acknowledge it. 00:16:16.806 --> 00:16:17.366 I say that. 00:16:17.407 --> 00:16:17.947 I'm like, look, 00:16:18.466 --> 00:16:20.008 the best thing that I could deliver is 00:16:20.087 --> 00:16:20.509 I could say, 00:16:21.533 --> 00:16:22.913 you, Mr. Patient, 00:16:23.333 --> 00:16:25.195 can talk to your brother, your sister, 00:16:25.294 --> 00:16:26.815 somebody you know who had a knee 00:16:26.855 --> 00:16:27.394 replacement. 00:16:28.075 --> 00:16:30.696 I can bring you the experience of hundreds 00:16:30.735 --> 00:16:32.576 of people who have had a knee replacement, 00:16:32.995 --> 00:16:33.816 but I've never been there. 00:16:34.037 --> 00:16:35.756 I've never experienced it. 00:16:36.397 --> 00:16:38.817 And so when I'm thinking of my back 00:16:38.836 --> 00:16:42.538 pain at an age of fifty, I'm like, 00:16:42.557 --> 00:16:46.178 there's no person who hasn't experienced 00:16:46.198 --> 00:16:48.759 what I'm experiencing who can really 00:16:48.839 --> 00:16:51.299 understand what I'm feeling 00:16:52.597 --> 00:16:53.739 And in my opinion, 00:16:53.899 --> 00:16:56.041 I don't think they can create an effective 00:16:56.081 --> 00:16:57.601 treatment plan because they're going to 00:16:57.662 --> 00:16:59.923 come at me with all their techniques and 00:16:59.943 --> 00:17:01.765 their specialties and their biases and 00:17:01.785 --> 00:17:02.605 their ideas. 00:17:03.888 --> 00:17:05.689 I think I would be really hard pressed 00:17:05.709 --> 00:17:09.511 to find a therapist who really understood 00:17:09.593 --> 00:17:11.875 exactly what I'm experiencing right now. 00:17:12.535 --> 00:17:12.875 You know, 00:17:12.895 --> 00:17:15.179 and it's something that has taken me out 00:17:15.239 --> 00:17:17.363 of commission from a training perspective. 00:17:17.423 --> 00:17:18.104 I haven't run. 00:17:18.484 --> 00:17:19.326 I haven't lifted. 00:17:19.385 --> 00:17:21.469 There's a bunch of stuff that I literally 00:17:21.509 --> 00:17:22.109 can't do. 00:17:22.872 --> 00:17:24.354 Doesn't mean I haven't done other things. 00:17:24.753 --> 00:17:26.076 Doesn't mean I've stopped working. 00:17:26.116 --> 00:17:26.978 Doesn't mean, you know. 00:17:27.878 --> 00:17:29.220 I've changed behaviors. 00:17:29.799 --> 00:17:32.441 But I just I think if I was 00:17:32.500 --> 00:17:35.481 an uneducated consumer who doesn't really 00:17:35.542 --> 00:17:36.962 understand what I'm feeling, 00:17:37.542 --> 00:17:39.183 coming into a therapist, 00:17:39.503 --> 00:17:40.785 and I hate to put an age on 00:17:40.845 --> 00:17:40.964 it, 00:17:41.345 --> 00:17:42.405 but I'm just going to say like a 00:17:42.506 --> 00:17:44.205 twenty five year old therapist, 00:17:44.826 --> 00:17:46.027 they're going to take me through all of 00:17:46.047 --> 00:17:47.528 these special tests and they're going to 00:17:47.548 --> 00:17:49.048 take me through all of these things. 00:17:49.088 --> 00:17:51.169 And I'm going to have positive findings 00:17:51.209 --> 00:17:52.509 for, you know, yeah, 00:17:52.589 --> 00:17:54.391 I probably have had stenosis for twenty 00:17:54.431 --> 00:17:55.991 years and I probably had these other 00:17:56.011 --> 00:17:56.432 things. 00:17:56.491 --> 00:17:56.571 And 00:17:57.642 --> 00:17:57.982 I don't know. 00:17:58.063 --> 00:18:00.086 It's just so so I go in two 00:18:00.106 --> 00:18:01.269 directions with this one. 00:18:02.131 --> 00:18:03.272 I don't know that I could find a 00:18:03.854 --> 00:18:05.718 clinician who could effectively treat me 00:18:05.758 --> 00:18:07.141 for what I'm dealing with right now. 00:18:08.211 --> 00:18:11.794 if they don't understand their own 00:18:11.854 --> 00:18:12.375 experiences? 00:18:12.714 --> 00:18:13.516 And two, 00:18:14.316 --> 00:18:16.798 why are we not making this the focus 00:18:16.878 --> 00:18:19.059 of our marketing messages? 00:18:19.961 --> 00:18:21.823 I know there are therapists who say, hey, 00:18:21.863 --> 00:18:23.223 I come from a sports background. 00:18:23.284 --> 00:18:25.205 I played collegiate football. 00:18:25.266 --> 00:18:26.567 I understand these things. 00:18:27.228 --> 00:18:28.828 But I want to see more of that. 00:18:28.848 --> 00:18:31.330 I want to see every therapist out there 00:18:31.391 --> 00:18:31.852 saying, 00:18:32.491 --> 00:18:34.432 I understand, I can empathize, 00:18:34.492 --> 00:18:36.532 I can connect with because these are my 00:18:36.573 --> 00:18:37.794 personal experiences. 00:18:37.854 --> 00:18:39.273 This is what I've been through. 00:18:39.834 --> 00:18:41.755 Now, I would share this experience, 00:18:41.775 --> 00:18:42.815 but I don't want to because I don't 00:18:42.835 --> 00:18:44.756 want a bunch of low back pain referrals. 00:18:45.036 --> 00:18:46.455 That is not what I want at my 00:18:46.496 --> 00:18:46.976 clinic. 00:18:47.375 --> 00:18:49.616 So there's the business side of it that 00:18:49.656 --> 00:18:52.057 says stay away from low back pain. 00:18:52.458 --> 00:18:53.479 That is not what we do. 00:18:53.519 --> 00:18:55.119 That's not the culture of our clinic. 00:18:55.840 --> 00:18:57.001 But it just got me thinking from a 00:18:57.102 --> 00:18:58.242 marketing perspective, 00:18:59.044 --> 00:19:01.145 if I did want that kind of referral, 00:19:02.047 --> 00:19:03.067 how would I communicate it? 00:19:03.548 --> 00:19:03.647 Yeah. 00:19:04.409 --> 00:19:04.729 Yeah. 00:19:04.749 --> 00:19:04.969 I mean, 00:19:05.269 --> 00:19:07.111 I'd be remiss if my friend Jamie, 00:19:07.131 --> 00:19:08.031 who's a psychologist, 00:19:08.051 --> 00:19:09.252 were listening because he listens to the 00:19:09.292 --> 00:19:10.653 show sometimes and he loves when I try 00:19:10.694 --> 00:19:11.075 to bring up, 00:19:11.955 --> 00:19:13.376 I try to be an amateur psychologist, 00:19:13.396 --> 00:19:14.657 but he did teach me this. 00:19:15.578 --> 00:19:15.878 Do you know, 00:19:16.179 --> 00:19:17.000 did we talk about this before? 00:19:17.039 --> 00:19:18.340 The difference between empathy and 00:19:18.401 --> 00:19:18.801 sympathy? 00:19:18.821 --> 00:19:18.942 Yeah. 00:19:20.212 --> 00:19:21.093 Tell me. 00:19:21.113 --> 00:19:24.535 I can have empathy for a woman who's 00:19:24.575 --> 00:19:26.256 pregnant and what it's like to give birth. 00:19:26.395 --> 00:19:27.936 I can't have sympathy for it because I 00:19:27.977 --> 00:19:28.517 haven't done it. 00:19:28.856 --> 00:19:30.077 But I can imagine. 00:19:30.478 --> 00:19:30.637 Right. 00:19:30.678 --> 00:19:31.657 I could be like, oh, man, 00:19:31.698 --> 00:19:32.739 look at how she's standing. 00:19:32.759 --> 00:19:34.700 Her back must be killing her or whatever. 00:19:35.099 --> 00:19:35.440 Gosh, 00:19:35.460 --> 00:19:37.161 that must be so uncomfortable after 00:19:37.201 --> 00:19:37.540 hearing. 00:19:38.000 --> 00:19:38.902 But I can't have sympathy. 00:19:39.162 --> 00:19:41.063 Someone else who's done it can have 00:19:41.123 --> 00:19:41.583 sympathy. 00:19:42.998 --> 00:19:45.160 but knowing that like no two experiences 00:19:45.200 --> 00:19:46.240 are exactly alike. 00:19:46.260 --> 00:19:47.603 So I don't think Tony needs to get 00:19:47.623 --> 00:19:49.244 a knee replacement himself, 00:19:49.664 --> 00:19:50.885 even though he doesn't need one just to 00:19:50.925 --> 00:19:53.128 go through the process of being able to, 00:19:53.209 --> 00:19:53.769 uh, to have it. 00:19:53.788 --> 00:19:57.192 There was a doctor who just amputated his 00:19:57.252 --> 00:19:57.712 own leg, 00:19:57.732 --> 00:19:59.174 but he had a little psychology issue. 00:19:59.375 --> 00:20:00.817 He, some people have a thing. 00:20:00.836 --> 00:20:01.497 That's a thing. 00:20:01.958 --> 00:20:02.518 Yeah. 00:20:02.578 --> 00:20:05.060 Seated psychology issue to amputate. 00:20:05.481 --> 00:20:05.541 Um, 00:20:07.631 --> 00:20:09.755 I think you just need to ask the 00:20:09.795 --> 00:20:11.298 right questions, right? 00:20:11.378 --> 00:20:13.221 I mean, people will reveal themselves. 00:20:15.088 --> 00:20:16.429 Well, what you were getting to, 00:20:16.689 --> 00:20:17.230 and I agree, 00:20:17.269 --> 00:20:19.651 I think the best compromise for all of 00:20:19.691 --> 00:20:22.152 this is if I was going to try 00:20:22.172 --> 00:20:23.132 to find a therapist, 00:20:23.553 --> 00:20:24.913 go to therapy somewhere, 00:20:25.693 --> 00:20:27.473 I would be looking for somebody who's 00:20:27.493 --> 00:20:31.256 going to function as an associate, 00:20:31.856 --> 00:20:33.217 not a healer. 00:20:33.537 --> 00:20:33.836 You know, 00:20:33.917 --> 00:20:35.678 somebody who's going to work with me to 00:20:35.698 --> 00:20:37.199 help me try to figure this out, 00:20:37.778 --> 00:20:39.140 not somebody who's going to say, 00:20:39.359 --> 00:20:40.520 I have the cure for you. 00:20:40.701 --> 00:20:41.621 This is what we're going to do. 00:20:42.481 --> 00:20:42.902 And so... 00:20:44.358 --> 00:20:47.141 I think even that kind of line of 00:20:47.201 --> 00:20:48.500 thought is something that we should 00:20:48.540 --> 00:20:50.481 communicate in our marketing message. 00:20:51.163 --> 00:20:52.442 If that's what we want to be like, 00:20:52.682 --> 00:20:53.923 I don't want to be the healer. 00:20:54.003 --> 00:20:55.045 I don't want to be the guru. 00:20:55.144 --> 00:20:56.085 I don't want to be the one that 00:20:56.105 --> 00:20:57.766 has the fix. 00:20:57.786 --> 00:20:59.386 I tell every one of my patients, look, 00:20:59.826 --> 00:21:01.307 I probably don't know. 00:21:02.208 --> 00:21:04.589 what the root cause of this problem is. 00:21:06.352 --> 00:21:07.853 I'm going to do the best to eliminate 00:21:07.873 --> 00:21:09.954 the things that just absolutely don't make 00:21:09.994 --> 00:21:10.295 sense. 00:21:10.335 --> 00:21:12.416 This doesn't seem like a bone problem. 00:21:12.616 --> 00:21:14.679 This doesn't seem like a ligament problem. 00:21:14.719 --> 00:21:16.299 This doesn't seem like, you know, 00:21:16.319 --> 00:21:16.700 whatever. 00:21:18.241 --> 00:21:20.583 And in the process of us eliminating what 00:21:20.644 --> 00:21:23.365 we probably don't think this is, 00:21:24.328 --> 00:21:25.471 we're going to work on moving, 00:21:25.810 --> 00:21:27.253 getting fit, getting strong, 00:21:27.294 --> 00:21:29.597 like doing things that don't make you feel 00:21:29.657 --> 00:21:32.501 worse and potentially improve your fitness 00:21:32.542 --> 00:21:33.544 level and health level. 00:21:34.365 --> 00:21:35.688 And maybe at the end, 00:21:36.689 --> 00:21:38.712 even if you don't have less pain, 00:21:39.829 --> 00:21:40.931 we're going to be healthier. 00:21:41.230 --> 00:21:43.492 Maybe we'll be stronger and we're going to 00:21:43.512 --> 00:21:45.413 have things that we can use to kind 00:21:45.513 --> 00:21:48.496 of control what's going on better than you 00:21:48.536 --> 00:21:49.237 have right now. 00:21:49.656 --> 00:21:51.558 Like that's the kind of therapist that 00:21:51.598 --> 00:21:53.279 I've always been that I want to be. 00:21:53.900 --> 00:21:55.301 So I don't need to be an expert. 00:21:55.402 --> 00:21:58.403 I don't need to be a triathlete in 00:21:58.443 --> 00:22:00.484 order to help them kind of discover the 00:22:00.545 --> 00:22:02.886 path back to where they want to be. 00:22:03.267 --> 00:22:05.189 I'm just going to come with you along 00:22:05.209 --> 00:22:05.749 for the ride. 00:22:05.989 --> 00:22:06.088 Yeah. 00:22:06.109 --> 00:22:07.810 It's the difference between, um, 00:22:09.275 --> 00:22:11.396 the, the, the, the hero and the guide, 00:22:11.517 --> 00:22:12.396 like I'm going to be the guide, 00:22:12.698 --> 00:22:13.317 but also it's like, 00:22:13.397 --> 00:22:14.979 am I being the guide for, uh, 00:22:15.118 --> 00:22:15.279 you know, 00:22:15.339 --> 00:22:16.861 in terms of rehab or am I being 00:22:16.881 --> 00:22:18.162 the guy for performance? 00:22:18.241 --> 00:22:19.163 Those are two different things. 00:22:19.442 --> 00:22:22.484 You can have someone who's the X Ironman 00:22:22.585 --> 00:22:23.125 champion, 00:22:23.465 --> 00:22:24.787 who is now really great at coaching. 00:22:24.987 --> 00:22:26.528 You could have someone who's a mediocre 00:22:26.607 --> 00:22:27.028 athlete, 00:22:27.269 --> 00:22:28.849 be a really great coach because they're 00:22:28.869 --> 00:22:30.810 just coaching is a skill, right? 00:22:31.071 --> 00:22:32.472 And being an athlete is 00:22:33.053 --> 00:22:35.035 has a set of skills and you might've 00:22:35.055 --> 00:22:36.455 done all the same things, right? 00:22:36.576 --> 00:22:37.817 But you just didn't have it. 00:22:37.897 --> 00:22:38.178 I don't know. 00:22:38.198 --> 00:22:39.618 Your legs weren't long enough or you just 00:22:39.659 --> 00:22:40.800 weren't big enough or whatever. 00:22:40.901 --> 00:22:41.981 Just as you didn't have it. 00:22:43.742 --> 00:22:47.507 So, so yes, I mean, I think, 00:22:47.606 --> 00:22:49.067 I think we've seen our fair share. 00:22:49.087 --> 00:22:50.529 If you were, if you brought Mark Cargill, 00:22:50.569 --> 00:22:50.630 uh, 00:22:52.354 --> 00:22:54.255 One example of this would be if someone 00:22:54.375 --> 00:22:57.195 asks, I was very confused by this. 00:22:57.836 --> 00:22:59.916 We have that pain scale from zero to 00:22:59.957 --> 00:23:01.196 ten, where's your pain, right? 00:23:01.676 --> 00:23:03.038 And then someone says ten, 00:23:03.498 --> 00:23:04.498 and I remember I did this too when 00:23:04.518 --> 00:23:05.038 I was a student. 00:23:05.057 --> 00:23:05.739 I was like, oh yeah. 00:23:07.219 --> 00:23:08.759 you know, tens, we're going to, 00:23:08.799 --> 00:23:10.000 you just got stung by bees in the 00:23:10.121 --> 00:23:11.821 eyeball with salt. 00:23:12.343 --> 00:23:13.624 And they're like, yeah, it's a tent. 00:23:13.644 --> 00:23:15.204 And I remember being like, ah, 00:23:15.365 --> 00:23:16.665 this person just wants attention or 00:23:16.685 --> 00:23:17.066 whatever. 00:23:17.425 --> 00:23:18.886 And then you look back at it or 00:23:18.906 --> 00:23:20.208 you hear someone like Mark, 00:23:20.228 --> 00:23:21.308 and I'm pretty sure it was him having 00:23:21.328 --> 00:23:23.810 the discussion is like, how do you know? 00:23:24.587 --> 00:23:25.709 Like that person could be sitting 00:23:25.729 --> 00:23:27.288 completely calm and they're so used to 00:23:27.308 --> 00:23:28.230 what ten is, whatever. 00:23:28.289 --> 00:23:28.549 I don't know. 00:23:28.769 --> 00:23:30.510 You made the scale up, dumbass. 00:23:30.790 --> 00:23:31.431 I answered it. 00:23:31.671 --> 00:23:32.490 Why are you mad at me? 00:23:32.551 --> 00:23:33.291 Why are you doubting me? 00:23:33.412 --> 00:23:34.811 Is it because I'm not screaming and 00:23:34.853 --> 00:23:36.032 bleeding, right? 00:23:36.212 --> 00:23:37.534 Is that what you're – or are you 00:23:37.594 --> 00:23:39.374 trying to teach me something? 00:23:39.474 --> 00:23:40.575 It's not that bad, buddy. 00:23:41.394 --> 00:23:42.935 Or I've also heard this, 00:23:43.096 --> 00:23:44.817 and it's probably an amalgamation of all 00:23:44.856 --> 00:23:45.817 of them, 00:23:45.836 --> 00:23:48.038 which is like is this person – has 00:23:48.057 --> 00:23:49.838 this person said it's a six and it 00:23:49.858 --> 00:23:51.660 really hurts and it really hurts four 00:23:51.700 --> 00:23:52.480 thousand times? 00:23:52.539 --> 00:23:52.859 I'm like, 00:23:52.920 --> 00:23:53.980 I guess I have to yell a ten. 00:23:55.348 --> 00:23:58.270 We've called a rental car company and 00:23:58.351 --> 00:24:01.792 screamed, operate, operator, 00:24:01.833 --> 00:24:03.153 because you're just frustrated with the 00:24:03.192 --> 00:24:03.693 process. 00:24:03.713 --> 00:24:03.933 You're like, 00:24:04.173 --> 00:24:05.494 I guess I have to be a dick 00:24:06.255 --> 00:24:07.836 to get the result because nothing. 00:24:08.036 --> 00:24:08.796 I've been nice. 00:24:09.056 --> 00:24:09.797 That didn't work. 00:24:09.896 --> 00:24:10.876 Now I need to scream. 00:24:10.936 --> 00:24:12.458 So it's like sometimes people are just in 00:24:12.498 --> 00:24:12.978 the system. 00:24:13.519 --> 00:24:14.900 You put them in the system and they 00:24:14.940 --> 00:24:16.619 said ten and you doubted them. 00:24:16.980 --> 00:24:17.721 Who the hell are you? 00:24:17.980 --> 00:24:19.182 Who the hell are you to doubt them? 00:24:19.241 --> 00:24:19.501 Right. 00:24:19.642 --> 00:24:20.142 I don't know. 00:24:20.583 --> 00:24:22.163 But I think if Mark were here, 00:24:22.463 --> 00:24:23.104 he'd bring that up. 00:24:23.771 --> 00:24:25.992 Talking about pain scales, I think it was, 00:24:26.553 --> 00:24:28.133 I don't even know, fifteen years ago. 00:24:28.853 --> 00:24:30.913 I've been practice owner twenty five 00:24:30.973 --> 00:24:31.294 years. 00:24:31.314 --> 00:24:33.114 So let's go back like fifteen, 00:24:33.255 --> 00:24:34.275 eighteen years ago. 00:24:34.734 --> 00:24:35.875 I was like, why? 00:24:36.015 --> 00:24:38.736 Why am I wasting my time asking patients 00:24:38.776 --> 00:24:41.957 for a number when the patient, you know, 00:24:42.017 --> 00:24:43.497 on the best of days, 00:24:43.517 --> 00:24:45.557 the patient's going to be like, well, 00:24:45.678 --> 00:24:47.438 in the morning or in the afternoon with 00:24:47.478 --> 00:24:49.038 pain meds or without pain meds? 00:24:49.058 --> 00:24:49.798 You know, it's like 00:24:50.419 --> 00:24:53.420 We understand the context around pain and 00:24:53.460 --> 00:24:56.141 it's so dependent on, are you fearful, 00:24:56.221 --> 00:24:57.020 anxiety? 00:24:57.080 --> 00:24:58.661 Did you sleep well last night? 00:24:58.681 --> 00:24:59.281 Are you hungry? 00:24:59.301 --> 00:25:00.922 Like all of these influencing factors. 00:25:00.942 --> 00:25:02.742 I'm like, it makes no sense. 00:25:03.563 --> 00:25:05.863 So I had transitioned to, okay, 00:25:05.883 --> 00:25:07.463 I don't want a subjective pain report. 00:25:07.943 --> 00:25:09.285 I'm never going to ask you for a 00:25:09.345 --> 00:25:10.006 pain number. 00:25:11.165 --> 00:25:12.708 I found the Mankowski, 00:25:12.748 --> 00:25:13.847 and I don't know if I'm saying that 00:25:13.888 --> 00:25:14.788 right, pain scale, 00:25:14.808 --> 00:25:19.051 which had descriptors of what a seven 00:25:19.092 --> 00:25:20.913 would be, what a five would be. 00:25:21.574 --> 00:25:23.655 And then I would use the physical 00:25:23.695 --> 00:25:26.857 manifestation of what I could observe as 00:25:27.398 --> 00:25:29.740 an indication of pain level. 00:25:30.161 --> 00:25:31.902 But even with that, you know, I mean, 00:25:32.001 --> 00:25:33.383 it's completely ridiculous. 00:25:33.403 --> 00:25:36.525 Like I would tell you a deep searing 00:25:36.565 --> 00:25:36.846 pain. 00:25:37.586 --> 00:25:38.987 But it makes me laugh. 00:25:39.106 --> 00:25:42.289 My response to discomfort, my response, 00:25:42.630 --> 00:25:44.612 even if, you know, something bad happens, 00:25:45.512 --> 00:25:46.854 my first response is to laugh. 00:25:46.874 --> 00:25:48.955 I have a nervous habit of laughing. 00:25:49.936 --> 00:25:51.778 And so I remember a couple of years 00:25:51.817 --> 00:25:54.160 ago, I think I fractured an ankle, 00:25:54.961 --> 00:25:56.803 stepped on the edge of a basketball court. 00:25:57.522 --> 00:25:58.943 It was immense pain. 00:25:59.585 --> 00:26:01.826 I was laying on the ground laughing 00:26:01.886 --> 00:26:04.288 hysterically because I didn't know what 00:26:04.308 --> 00:26:05.349 else to do, you know, 00:26:05.390 --> 00:26:07.932 but that is the way pain comes out 00:26:08.011 --> 00:26:09.594 for me. 00:26:09.693 --> 00:26:11.315 An observer would look at me and be 00:26:11.355 --> 00:26:11.935 like, what the heck? 00:26:12.016 --> 00:26:13.057 You can't hurt that much. 00:26:13.457 --> 00:26:14.298 Right. 00:26:14.317 --> 00:26:14.678 So, yeah, 00:26:14.798 --> 00:26:16.599 I think the pain scale is absurd. 00:26:16.680 --> 00:26:18.382 I think it's ridiculous that we're still 00:26:18.422 --> 00:26:20.824 teaching students to use the pain scale. 00:26:21.463 --> 00:26:22.965 It's never been an effective tool. 00:26:23.532 --> 00:26:25.096 Yeah, Ben said he heard someone say this. 00:26:25.195 --> 00:26:26.859 If I used a rusty knife to pull 00:26:26.920 --> 00:26:27.842 off your skin right now, 00:26:27.882 --> 00:26:29.806 would your pain increase from the ten? 00:26:30.748 --> 00:26:31.750 If so, it's not a ten. 00:26:32.270 --> 00:26:32.550 Yes. 00:26:33.934 --> 00:26:35.035 I get it. 00:26:35.095 --> 00:26:36.175 He heard a PT say that once. 00:26:36.477 --> 00:26:37.938 I think the only effective pain scale, 00:26:37.958 --> 00:26:38.758 have you ever seen this one? 00:26:38.778 --> 00:26:40.199 This is the improved pain scale. 00:26:40.619 --> 00:26:41.160 Yeah. 00:26:41.180 --> 00:26:42.461 Number one might be an itch. 00:26:42.500 --> 00:26:43.701 Number two, I just need a Band-Aid. 00:26:43.741 --> 00:26:45.623 Number six is bees. 00:26:46.344 --> 00:26:47.765 Number nine, mauled by a bear. 00:26:48.925 --> 00:26:49.866 I guess that's accurate. 00:26:49.886 --> 00:26:51.448 But also, I always like to ask, 00:26:51.488 --> 00:26:53.048 or someone smart taught me to ask, 00:26:53.189 --> 00:26:54.109 what are you going to do with that 00:26:54.150 --> 00:26:54.630 information? 00:26:54.670 --> 00:26:55.009 Right. 00:26:55.191 --> 00:26:55.290 Yeah. 00:26:55.911 --> 00:26:56.611 So it's a nine. 00:26:56.931 --> 00:26:57.230 Okay. 00:26:57.912 --> 00:26:58.951 Well, that's better than yesterday. 00:26:59.192 --> 00:27:00.811 Why don't you look on the bright side? 00:27:01.093 --> 00:27:03.173 Um, I'm here and it's a nine. 00:27:03.272 --> 00:27:04.053 So I get it. 00:27:04.093 --> 00:27:05.074 Let's all look on the bright side. 00:27:05.094 --> 00:27:06.114 What are we going to do about it? 00:27:06.513 --> 00:27:07.595 What does that nine, 00:27:07.714 --> 00:27:09.015 does that nine change any of your 00:27:09.055 --> 00:27:09.835 information or not? 00:27:09.855 --> 00:27:10.494 Does it change? 00:27:10.634 --> 00:27:12.096 Uh, does it change your treatment plan? 00:27:12.135 --> 00:27:13.355 If not, I don't know. 00:27:13.435 --> 00:27:14.817 Great information. 00:27:14.856 --> 00:27:16.076 Good to know. 00:27:16.237 --> 00:27:16.636 Yeah. 00:27:16.777 --> 00:27:16.957 Yeah. 00:27:17.416 --> 00:27:17.917 I agree. 00:27:18.958 --> 00:27:19.077 Um, 00:27:20.244 --> 00:27:22.125 Anything before we wrap this up? 00:27:22.165 --> 00:27:25.269 And I know we had shared some topic 00:27:25.409 --> 00:27:25.989 ideas. 00:27:26.088 --> 00:27:26.950 If you want to take a look in 00:27:26.970 --> 00:27:27.470 the chat. 00:27:27.931 --> 00:27:28.391 I've got one. 00:27:28.770 --> 00:27:29.071 Go ahead. 00:27:29.531 --> 00:27:30.413 So I'm doing this. 00:27:31.373 --> 00:27:32.534 I was talking to some people the other 00:27:32.554 --> 00:27:33.555 day about... 00:27:35.336 --> 00:27:37.239 what we see on like social media right 00:27:37.659 --> 00:27:39.060 so what we see and what people are 00:27:39.080 --> 00:27:41.525 looking for and the debate comes in or 00:27:41.545 --> 00:27:43.067 maybe i just notice it and then it 00:27:43.106 --> 00:27:44.489 comes out and then it comes back again 00:27:44.509 --> 00:27:46.592 i've seen it ten times in my ten 00:27:46.632 --> 00:27:49.234 years and it's how much business content 00:27:49.615 --> 00:27:50.817 should be in pt school 00:27:51.337 --> 00:27:51.538 Right. 00:27:52.138 --> 00:27:54.261 And I look at them and I say, 00:27:54.342 --> 00:27:55.723 like, I, first of all, there is, 00:27:55.743 --> 00:27:57.586 there needs to be business content or that 00:27:57.626 --> 00:27:58.468 school isn't accredited. 00:27:58.488 --> 00:27:59.869 So I'm going to defend the academics 00:27:59.890 --> 00:28:00.029 there. 00:28:00.069 --> 00:28:02.232 There has to be a checkbox list of 00:28:02.272 --> 00:28:02.753 those things. 00:28:03.173 --> 00:28:04.215 But the question always is, 00:28:04.556 --> 00:28:05.436 is it enough to, 00:28:06.423 --> 00:28:07.864 And I would always say, 00:28:08.243 --> 00:28:09.663 I don't think that's the role of PT 00:28:09.683 --> 00:28:10.464 school, right? 00:28:10.704 --> 00:28:12.125 It's actually in the name. 00:28:12.184 --> 00:28:13.726 If you look very, very closely, 00:28:14.105 --> 00:28:17.048 it says physical therapy school. 00:28:17.327 --> 00:28:18.887 The school is teaching you how to be 00:28:18.907 --> 00:28:19.228 a physical. 00:28:19.268 --> 00:28:20.009 I know it's confusing. 00:28:20.028 --> 00:28:21.669 It should be school physical therapy. 00:28:21.689 --> 00:28:23.309 But there's also a business school. 00:28:23.609 --> 00:28:24.770 There's a communication school. 00:28:24.790 --> 00:28:25.871 There's a school of psychology. 00:28:27.271 --> 00:28:28.632 So I'm not saying no content. 00:28:28.771 --> 00:28:30.373 Or if you're curious about it, 00:28:30.432 --> 00:28:32.153 there was no content about ice hockey 00:28:32.273 --> 00:28:32.614 before. 00:28:32.893 --> 00:28:34.794 or gymnastics in my PT program. 00:28:34.834 --> 00:28:36.074 But if I wanted to treat ice hockey 00:28:36.094 --> 00:28:36.974 players or gymnasts, 00:28:37.335 --> 00:28:38.434 I would need to go on to more 00:28:38.474 --> 00:28:39.915 schooling or look into it myself. 00:28:40.355 --> 00:28:40.776 But anyway, 00:28:41.336 --> 00:28:42.876 we got to go in circles and someone 00:28:42.916 --> 00:28:43.136 said, 00:28:43.617 --> 00:28:45.698 how much business content is on your 00:28:45.758 --> 00:28:46.759 podcast specifically? 00:28:46.778 --> 00:28:47.118 I'm like, well, 00:28:47.159 --> 00:28:48.759 I think it's sprinkled in there. 00:28:48.799 --> 00:28:50.160 We're talking about stuff that's related 00:28:50.200 --> 00:28:51.941 to business because I think when you boil 00:28:51.980 --> 00:28:52.540 business down, 00:28:53.000 --> 00:28:55.643 it's a value exchange between people. 00:28:55.722 --> 00:28:56.803 It's communicating that. 00:28:56.843 --> 00:28:58.104 There's psychology elements. 00:28:58.304 --> 00:28:59.483 There's rules and regulations, 00:28:59.523 --> 00:29:00.505 which I don't want to touch with a 00:29:01.945 --> 00:29:03.707 So I just said, gosh, 00:29:04.448 --> 00:29:05.509 I know a lot of people, 00:29:05.548 --> 00:29:08.031 but I've never really structured it in 00:29:08.112 --> 00:29:09.093 terms of a course. 00:29:09.472 --> 00:29:10.074 I've never done it. 00:29:10.314 --> 00:29:11.775 I'm also not selling a course. 00:29:11.935 --> 00:29:13.477 This is not my prelude to. 00:29:13.777 --> 00:29:15.159 For just ninety three dollars, 00:29:15.219 --> 00:29:16.539 you can have the MBA. 00:29:16.839 --> 00:29:17.381 I'm not doing that. 00:29:17.560 --> 00:29:18.863 This will be open sourced. 00:29:19.423 --> 00:29:20.304 this will be free. 00:29:20.923 --> 00:29:22.266 This will be, uh, uh, 00:29:22.705 --> 00:29:23.247 what is it called? 00:29:23.287 --> 00:29:25.368 Like, will we create it in a group? 00:29:25.429 --> 00:29:26.589 Like just like group, group, 00:29:26.609 --> 00:29:27.230 create a group, 00:29:27.269 --> 00:29:28.290 think whatever we're doing. 00:29:28.811 --> 00:29:30.913 Uh, the, the experts, I am vetting them. 00:29:31.134 --> 00:29:32.454 I sort of have to know if they're, 00:29:32.714 --> 00:29:33.115 if they've got, 00:29:33.276 --> 00:29:34.636 if I would take a course, 00:29:34.676 --> 00:29:35.958 if this person were teaching that, 00:29:36.298 --> 00:29:37.980 would I trust that person enough to do 00:29:38.000 --> 00:29:38.200 that? 00:29:38.621 --> 00:29:40.782 So I posted this on LinkedIn yesterday, 00:29:40.823 --> 00:29:42.023 not even twenty four hours ago. 00:29:42.104 --> 00:29:42.684 Did you see this? 00:29:42.845 --> 00:29:43.905 I think I tagged you in it. 00:29:43.925 --> 00:29:44.165 I've been an 00:29:46.383 --> 00:29:47.544 I tagged you in it, Tony. 00:29:47.663 --> 00:29:48.744 I was looking for you to teach a 00:29:48.785 --> 00:29:49.105 course. 00:29:49.224 --> 00:29:51.646 So I just literally said the MBA, 00:29:51.707 --> 00:29:53.127 Masters of Business Administration, 00:29:53.449 --> 00:29:54.189 for the DPT. 00:29:54.710 --> 00:29:56.451 This would not be in a syllabus. 00:29:56.490 --> 00:29:57.711 This would not be in a school. 00:29:58.152 --> 00:29:59.532 So I said PT schools taught us how 00:29:59.553 --> 00:30:00.413 to treat patients, 00:30:00.493 --> 00:30:02.576 didn't teach us how to run a business, 00:30:02.675 --> 00:30:04.917 lead a team, design a career. 00:30:05.198 --> 00:30:05.577 Because again, 00:30:05.597 --> 00:30:06.578 you don't need to just run... 00:30:06.919 --> 00:30:07.880 You don't have to just want to run 00:30:07.900 --> 00:30:08.240 a business. 00:30:08.259 --> 00:30:09.500 You could want to be in a business. 00:30:09.961 --> 00:30:11.222 But part of that would be running a 00:30:11.303 --> 00:30:12.784 team, all those different things. 00:30:13.203 --> 00:30:14.424 So what if we unfixed it? 00:30:14.464 --> 00:30:14.625 So... 00:30:15.786 --> 00:30:16.807 I created, 00:30:16.926 --> 00:30:17.768 and I know this is going to shock 00:30:17.788 --> 00:30:18.929 you, Tony, with ChatGPT, 00:30:19.048 --> 00:30:22.070 what would the syllabus be for a physical 00:30:22.090 --> 00:30:24.313 therapist who wanted to know more about 00:30:24.353 --> 00:30:24.593 business? 00:30:24.613 --> 00:30:27.255 What would be the MBA light for a 00:30:27.295 --> 00:30:27.915 DPT? 00:30:28.016 --> 00:30:28.836 And it spit out 00:30:29.795 --> 00:30:30.394 A syllabus. 00:30:30.694 --> 00:30:31.996 We're going to break up into four 00:30:32.036 --> 00:30:32.536 semesters. 00:30:32.796 --> 00:30:33.695 So we're going to do this in twenty 00:30:33.715 --> 00:30:35.217 twenty six, four quarters, 00:30:35.777 --> 00:30:37.676 five or six courses per quarter. 00:30:37.977 --> 00:30:38.877 And I just put it out there. 00:30:39.278 --> 00:30:42.118 Who wants to teach what course? 00:30:42.298 --> 00:30:42.838 And I did not. 00:30:43.058 --> 00:30:44.578 Besides you and a couple of people, 00:30:44.598 --> 00:30:45.720 I did not ping a lot of people. 00:30:45.759 --> 00:30:46.420 This was not like. 00:30:46.900 --> 00:30:47.740 an attention grab, 00:30:48.121 --> 00:30:49.362 but people have showed up. 00:30:49.402 --> 00:30:50.622 Will Boyd just chimed in. 00:30:50.642 --> 00:30:52.002 He's like, I'll do number one, 00:30:52.324 --> 00:30:54.805 the thing we say we need in school. 00:30:55.265 --> 00:30:56.365 I would actually say we need it before 00:30:56.405 --> 00:30:56.967 you go to PTs, 00:30:57.007 --> 00:30:58.748 before you sign on for a loan. 00:30:58.768 --> 00:31:00.509 You have to understand it's too late when 00:31:00.528 --> 00:31:01.108 you're doing it there. 00:31:01.690 --> 00:31:02.349 But Will Boyd's like, 00:31:02.390 --> 00:31:03.351 I'll do money literacy. 00:31:04.266 --> 00:31:05.926 Chad Madden, known for marketing, is like, 00:31:06.248 --> 00:31:07.669 I'll do marketing one-on-one, right? 00:31:08.588 --> 00:31:10.030 Amit is a guy I know who's a 00:31:10.090 --> 00:31:11.491 business consultant and has jumped on for 00:31:11.511 --> 00:31:11.711 a bun. 00:31:11.751 --> 00:31:14.233 I've had Lucas Van Etten from Ohio on 00:31:14.253 --> 00:31:14.773 a couple times. 00:31:14.834 --> 00:31:17.696 So I'm sort of crowdsourcing these things 00:31:18.076 --> 00:31:18.517 where I've said, 00:31:18.557 --> 00:31:19.919 these are the things that – this is 00:31:19.939 --> 00:31:22.641 how I've used my podcast for ten years. 00:31:23.961 --> 00:31:25.083 I want to know some stuff. 00:31:26.031 --> 00:31:27.272 I don't feel like paying for the course 00:31:27.292 --> 00:31:28.054 or taking too much time. 00:31:28.314 --> 00:31:29.355 Could you just like have a beer with 00:31:29.394 --> 00:31:31.596 me and like, just give me the beats. 00:31:31.915 --> 00:31:32.737 Give me the CliffsNotes. 00:31:33.176 --> 00:31:35.199 So you're not going to get a certificate 00:31:35.259 --> 00:31:35.960 at the end of this. 00:31:36.640 --> 00:31:37.340 You're just not. 00:31:38.060 --> 00:31:39.261 But you will walk away with some good 00:31:39.321 --> 00:31:39.622 ideas. 00:31:39.883 --> 00:31:41.763 So think of this as like a less 00:31:41.983 --> 00:31:42.565 scripted, 00:31:42.884 --> 00:31:44.266 although I've already had a conversation 00:31:44.286 --> 00:31:45.186 with several of these people going, 00:31:45.426 --> 00:31:46.446 do you want me to do slides? 00:31:47.288 --> 00:31:47.948 Not slides. 00:31:47.968 --> 00:31:49.249 Like, is this a conversation? 00:31:49.269 --> 00:31:50.009 Is this Q&A? 00:31:50.289 --> 00:31:51.690 And I keep pushing back like a good 00:31:51.730 --> 00:31:52.150 therapist. 00:31:52.170 --> 00:31:52.951 And I go, depends. 00:31:53.750 --> 00:31:54.751 How do you picture this? 00:31:55.031 --> 00:31:56.192 Does it need slides? 00:31:56.452 --> 00:31:57.712 Because we can record the video, 00:31:57.752 --> 00:31:58.453 which is fine. 00:31:59.054 --> 00:32:00.934 I'm not going to edit it a ton, 00:32:01.095 --> 00:32:01.654 if at all. 00:32:01.775 --> 00:32:03.576 But the goal is to give people a 00:32:03.635 --> 00:32:06.057 taste while you're driving or, you know, 00:32:06.116 --> 00:32:07.657 tour from class, tour from clinical, 00:32:07.698 --> 00:32:08.417 tour from work. 00:32:08.818 --> 00:32:09.459 So that's the idea. 00:32:09.659 --> 00:32:10.598 So I'm crowdsourcing that. 00:32:10.638 --> 00:32:11.980 And that's my goal for twenty twenty six. 00:32:12.000 --> 00:32:13.141 That's my that's my big, hairy, 00:32:13.161 --> 00:32:14.461 audacious goal for twenty twenty six. 00:32:14.480 --> 00:32:15.461 So what are you teaching, Tony? 00:32:16.374 --> 00:32:18.015 I don't know, but I love the idea. 00:32:18.055 --> 00:32:19.797 How have we never done that before? 00:32:19.856 --> 00:32:22.239 Have you never done that before? 00:32:22.259 --> 00:32:24.340 I started to in PT school. 00:32:24.901 --> 00:32:26.561 I said, I want to be in sports. 00:32:26.742 --> 00:32:27.702 This is back when I thought I wanted 00:32:27.722 --> 00:32:28.864 to be a sports physical therapist. 00:32:28.903 --> 00:32:30.405 So I was like, I have a podcast. 00:32:30.665 --> 00:32:32.126 I will interview someone who's like an 00:32:32.267 --> 00:32:33.248 expert at sports. 00:32:34.451 --> 00:32:36.373 baseball football track swimming and then 00:32:36.413 --> 00:32:38.214 I want to get into we like fencing, 00:32:38.796 --> 00:32:39.737 or like, 00:32:40.077 --> 00:32:41.759 I don't like weird sports and get into 00:32:41.799 --> 00:32:41.880 it. 00:32:42.079 --> 00:32:43.121 And what I found is like, 00:32:43.300 --> 00:32:44.883 there was some nuance to it but was 00:32:44.923 --> 00:32:47.046 it interesting enough to do a conversation 00:32:47.086 --> 00:32:48.207 with each kind of, 00:32:48.446 --> 00:32:49.689 it was but I lost interest, 00:32:49.709 --> 00:32:50.750 I also didn't want to be a sports 00:32:50.769 --> 00:32:51.730 physical therapist anymore. 00:32:52.717 --> 00:32:53.998 I'm still interested in this. 00:32:54.218 --> 00:32:54.999 So look at this. 00:32:55.558 --> 00:32:58.461 I get to ride sidecar on this motorcycle 00:32:58.540 --> 00:33:00.261 sidecar little journey with these smart 00:33:00.281 --> 00:33:01.663 people while they ride around. 00:33:02.423 --> 00:33:02.923 And listen, 00:33:02.943 --> 00:33:06.546 this is Seinfeld going for coffee in cars 00:33:06.685 --> 00:33:08.428 with donuts or whatever his show is. 00:33:09.627 --> 00:33:10.429 So that's the syllabus. 00:33:10.848 --> 00:33:12.410 I would love for you and Dave to 00:33:12.450 --> 00:33:13.790 take a look and see if I missed 00:33:13.830 --> 00:33:14.250 anything. 00:33:14.491 --> 00:33:15.511 We can always add to it. 00:33:15.571 --> 00:33:16.573 I mean, there's no rules here. 00:33:17.413 --> 00:33:18.673 And I would like to make it a 00:33:18.795 --> 00:33:19.615 mix of people. 00:33:19.875 --> 00:33:21.655 I like the fact that someone like Will 00:33:21.695 --> 00:33:22.057 Boyd, 00:33:22.757 --> 00:33:23.678 or Chad Madden, 00:33:24.358 --> 00:33:26.000 who probably could teach five or six of 00:33:26.040 --> 00:33:27.162 these was like, I'll take one. 00:33:27.442 --> 00:33:28.202 And I like, I mean, 00:33:28.442 --> 00:33:29.663 I like that because now I know it'll 00:33:29.683 --> 00:33:30.885 be a higher likelihood of them getting it 00:33:30.925 --> 00:33:32.346 done because I know how I am too. 00:33:32.847 --> 00:33:33.969 But I also like how we're just going 00:33:33.989 --> 00:33:35.089 to like, I don't know, man, 00:33:35.329 --> 00:33:38.594 mix it up, you know, toss the salad. 00:33:38.713 --> 00:33:40.315 Please don't say that. 00:33:40.335 --> 00:33:41.195 I wanted to see if I could make 00:33:41.215 --> 00:33:41.596 you laugh. 00:33:42.917 --> 00:33:44.179 Yeah, no, it's awesome. 00:33:44.358 --> 00:33:45.460 I would say, you know, 00:33:45.519 --> 00:33:49.242 bringing more voices in is what we want. 00:33:49.423 --> 00:33:51.464 I'll just fill in the gaps where needed, 00:33:51.525 --> 00:33:52.185 where I can. 00:33:52.807 --> 00:33:54.988 Ben said, maybe you do get a certificate. 00:33:55.489 --> 00:33:56.930 It says it's not that hard to partner 00:33:56.950 --> 00:33:58.351 with an educational institutionalist. 00:33:58.951 --> 00:33:59.392 Really? 00:33:59.531 --> 00:33:59.592 See, 00:33:59.612 --> 00:34:00.813 that's coming from someone like me who's 00:34:00.853 --> 00:34:01.814 like, ah, it's probably, 00:34:02.434 --> 00:34:04.696 if it's more than four pages of paperwork. 00:34:06.310 --> 00:34:07.612 Like I wouldn't still have a driver's 00:34:07.632 --> 00:34:08.713 license if it was difficult. 00:34:08.992 --> 00:34:09.914 But yeah, you're probably right. 00:34:09.974 --> 00:34:13.356 I mean, Matt Kondo is a professor. 00:34:13.416 --> 00:34:14.617 He came to me and he would make 00:34:14.637 --> 00:34:17.219 a bunch of stuff for my NPTE study 00:34:17.259 --> 00:34:17.798 podcast. 00:34:18.199 --> 00:34:21.402 We got published somewhere in some journal 00:34:21.422 --> 00:34:22.722 that Matt could tell you what it was. 00:34:22.983 --> 00:34:24.324 He was like, let's study if... 00:34:26.096 --> 00:34:28.777 studying for the NPTE with a podcast like 00:34:28.978 --> 00:34:29.398 helps. 00:34:29.777 --> 00:34:31.559 And I'm like, okay, 00:34:31.579 --> 00:34:32.661 you're in charge of how to do, 00:34:32.740 --> 00:34:33.501 I don't know how to do that. 00:34:33.561 --> 00:34:34.641 I'll be the podcast guy. 00:34:34.681 --> 00:34:35.143 You do the, 00:34:35.182 --> 00:34:37.184 and we got published and I could find 00:34:37.204 --> 00:34:38.726 that somewhere, but yeah, I guess maybe, 00:34:38.746 --> 00:34:40.467 I don't know, Ben, you're smarter than me. 00:34:40.487 --> 00:34:41.547 We'll get out a certificate. 00:34:41.847 --> 00:34:43.108 I can make something on, well, 00:34:43.148 --> 00:34:43.610 first of all, 00:34:44.050 --> 00:34:45.451 you can just make certificates. 00:34:45.510 --> 00:34:47.413 Like you can go to Canva and you 00:34:47.432 --> 00:34:48.333 can just make those. 00:34:48.753 --> 00:34:49.773 So good idea. 00:34:50.594 --> 00:34:51.815 Stephen Dunn says he's into it too. 00:34:51.976 --> 00:34:52.295 He said, 00:34:52.876 --> 00:34:54.295 even though some of us old clinic owners 00:34:54.335 --> 00:34:55.117 are interested in it as well. 00:34:55.677 --> 00:34:57.757 I think if you're an old clinic owner 00:34:58.077 --> 00:34:59.077 and you're still around, 00:34:59.217 --> 00:35:02.840 it shows that you probably have the desire 00:35:02.880 --> 00:35:03.519 to learn more. 00:35:03.780 --> 00:35:04.699 Because if you didn't, 00:35:05.121 --> 00:35:06.521 you wouldn't have learned more and you 00:35:06.581 --> 00:35:07.862 probably would have been phased out by 00:35:07.902 --> 00:35:08.041 now. 00:35:08.061 --> 00:35:09.222 I mean, you evolved. 00:35:10.181 --> 00:35:12.923 So this is built out of my curiosity 00:35:12.943 --> 00:35:13.704 and we'll see where it goes. 00:35:15.009 --> 00:35:16.550 But I would love suggestions too. 00:35:16.710 --> 00:35:17.590 If you think like, oh, 00:35:17.630 --> 00:35:19.771 I would love to learn from this person 00:35:19.811 --> 00:35:20.371 on this topic. 00:35:20.952 --> 00:35:22.652 I don't think they need to be in 00:35:22.693 --> 00:35:24.954 PT specifically as well. 00:35:25.014 --> 00:35:26.114 I don't think that's a prerequisite. 00:35:26.615 --> 00:35:28.317 Look at me using educational terms like 00:35:28.436 --> 00:35:31.998 prerequisite. 00:35:32.099 --> 00:35:32.498 All right. 00:35:32.518 --> 00:35:33.079 That's awesome. 00:35:33.119 --> 00:35:33.960 What else do we got? 00:35:36.721 --> 00:35:37.922 I was looking through the chat. 00:35:40.163 --> 00:35:40.704 Yeah. 00:35:42.032 --> 00:35:44.672 I didn't get a chance to read Larry's 00:35:45.393 --> 00:35:46.474 recent article. 00:35:46.773 --> 00:35:48.375 Did you get a chance to read that? 00:35:48.434 --> 00:35:49.574 I think Dave shared it. 00:35:50.835 --> 00:35:52.335 I read the title, 00:35:52.657 --> 00:35:55.038 and then I read the comments to see 00:35:55.237 --> 00:35:56.858 which direction people are going. 00:35:56.898 --> 00:35:59.099 But the one you're talking about was the 00:35:59.159 --> 00:36:00.659 one he was talking about, Hinge or Sword? 00:36:01.000 --> 00:36:01.239 Yeah. 00:36:01.260 --> 00:36:02.380 Okay. 00:36:03.335 --> 00:36:06.898 What was the general theme that you picked 00:36:06.958 --> 00:36:07.039 up? 00:36:08.599 --> 00:36:10.041 I mean, well, I mean, 00:36:10.081 --> 00:36:11.742 he shared an image of a stick figure 00:36:11.943 --> 00:36:12.382 and he's like, 00:36:12.402 --> 00:36:14.744 when your three billion dollar AI care 00:36:14.784 --> 00:36:19.307 model comes with stick figures and no PT, 00:36:19.768 --> 00:36:24.291 how much is actually there was the vibe 00:36:24.311 --> 00:36:24.853 that I was getting. 00:36:26.010 --> 00:36:27.170 So I shared, 00:36:27.471 --> 00:36:28.572 and this is what got me thinking of 00:36:28.672 --> 00:36:28.851 it. 00:36:30.213 --> 00:36:32.974 So I go through my old photos and 00:36:32.994 --> 00:36:33.414 videos. 00:36:33.594 --> 00:36:35.737 And actually this morning on the way here, 00:36:35.916 --> 00:36:38.159 I shared a post saying, hey guys, 00:36:38.699 --> 00:36:41.981 like if you're not capturing photos and 00:36:42.001 --> 00:36:43.722 videos just all day long, 00:36:43.842 --> 00:36:46.545 you're missing out on a ton of value. 00:36:48.166 --> 00:36:49.166 I wanted to get some... 00:36:50.208 --> 00:36:52.728 posts out on my Facebook business page and 00:36:53.248 --> 00:36:54.509 Instagram and TikTok. 00:36:55.009 --> 00:36:56.148 So what I do is I go into 00:36:56.188 --> 00:36:58.710 my desktop and I'm like iPhone downloads. 00:36:58.750 --> 00:36:59.110 And I just, 00:36:59.230 --> 00:37:00.789 I find all of the stuff that I 00:37:00.809 --> 00:37:01.650 pull off my phone. 00:37:02.469 --> 00:37:03.610 And in the past, 00:37:03.789 --> 00:37:06.771 I had found pictures of home exercise 00:37:06.811 --> 00:37:07.371 programs. 00:37:07.451 --> 00:37:09.891 Now some were stick figures, 00:37:10.371 --> 00:37:11.592 some were drawings, 00:37:12.072 --> 00:37:13.831 some were photos of people, 00:37:13.851 --> 00:37:15.612 but this was stuff like even in the 00:37:15.733 --> 00:37:17.773 best of what I found, 00:37:18.512 --> 00:37:20.313 It was like Microsoft Word. 00:37:20.634 --> 00:37:21.974 You take a photo, 00:37:22.255 --> 00:37:23.996 you put it into a Word document, 00:37:24.016 --> 00:37:25.277 you type up the description, 00:37:25.336 --> 00:37:27.038 and that's the home exercise program. 00:37:27.057 --> 00:37:29.039 It's been printed out thousands of times. 00:37:29.739 --> 00:37:30.920 And so I shared a post. 00:37:31.659 --> 00:37:33.221 Maybe I didn't word it correctly. 00:37:33.842 --> 00:37:35.963 You know, kind of saying, hey, guys, 00:37:36.182 --> 00:37:37.724 it's two thousand twenty five. 00:37:37.784 --> 00:37:39.565 This is two thousand five. 00:37:40.264 --> 00:37:40.844 content. 00:37:40.945 --> 00:37:43.246 Why are we still producing this? 00:37:43.346 --> 00:37:44.447 We want to get paid more. 00:37:44.586 --> 00:37:45.947 We want to be better respected. 00:37:46.327 --> 00:37:48.748 And yet we're putting junk like this out. 00:37:49.449 --> 00:37:50.510 And holy cow, 00:37:50.750 --> 00:37:52.851 I was surprised at how many therapists are 00:37:52.871 --> 00:37:55.211 like geriatrics don't know how to use 00:37:55.251 --> 00:37:55.972 technology. 00:37:56.032 --> 00:37:58.172 Geriatrics don't want smartphones. 00:37:58.193 --> 00:37:59.753 They need this kind of stuff. 00:38:01.452 --> 00:38:02.572 Even if that was the case, 00:38:02.592 --> 00:38:03.172 which it's not, 00:38:04.132 --> 00:38:05.994 I've got a clinic full of geriatrics who 00:38:06.074 --> 00:38:08.554 want me to send them videos on their 00:38:08.635 --> 00:38:11.315 smartphones that they can reference with 00:38:11.376 --> 00:38:13.536 verbal explanations of what they should be 00:38:13.597 --> 00:38:13.938 doing. 00:38:14.617 --> 00:38:15.137 But I get it. 00:38:15.237 --> 00:38:15.458 Yeah, 00:38:15.478 --> 00:38:17.579 like there's still a place for paper 00:38:17.619 --> 00:38:18.699 copies of things. 00:38:20.059 --> 00:38:22.601 I was just amazed at how resistant 00:38:22.641 --> 00:38:24.862 therapists were to saying, hey, 00:38:24.902 --> 00:38:25.862 we can make this better. 00:38:26.422 --> 00:38:28.585 You know, so I've always said, look, 00:38:28.824 --> 00:38:29.844 if I'm going to give you a stick 00:38:29.864 --> 00:38:31.226 figure, it's going to be free. 00:38:31.806 --> 00:38:33.648 If I'm going to give you something better, 00:38:33.987 --> 00:38:36.010 there might be some costs associated with 00:38:36.030 --> 00:38:36.070 it, 00:38:36.130 --> 00:38:38.951 especially if I'm updating it outside of 00:38:39.032 --> 00:38:40.612 billable face-to-face time. 00:38:41.313 --> 00:38:42.393 That's a different topic. 00:38:42.994 --> 00:38:46.416 But I was just surprised at how resistant 00:38:46.777 --> 00:38:49.237 so many therapists were to saying, hey, 00:38:49.679 --> 00:38:51.300 we could probably do better than these 00:38:51.340 --> 00:38:51.920 stick figures. 00:38:51.940 --> 00:38:52.820 Is it... 00:38:55.813 --> 00:38:58.675 Is it because it's hard that they would 00:38:58.695 --> 00:38:59.496 have to make a change? 00:38:59.655 --> 00:39:00.737 Ironically, like, isn't it? 00:39:01.077 --> 00:39:04.039 If I were my friend, Jamie would say, 00:39:04.778 --> 00:39:06.480 every accusation is an admission. 00:39:07.161 --> 00:39:08.561 These geriatrics don't understand 00:39:08.621 --> 00:39:09.202 technology. 00:39:09.342 --> 00:39:09.501 Oh, 00:39:09.521 --> 00:39:11.322 so you don't know how to use anything 00:39:11.382 --> 00:39:11.623 better. 00:39:12.623 --> 00:39:14.304 Or it's effort on your part to have 00:39:14.344 --> 00:39:16.326 to do that outside of, well, 00:39:16.346 --> 00:39:17.967 just go over to HEP to go and 00:39:18.027 --> 00:39:19.807 hit click, click, click, print. 00:39:20.728 --> 00:39:23.210 My grandmother was ninety nine and a half 00:39:23.230 --> 00:39:23.349 years. 00:39:25.016 --> 00:39:26.858 uh gammy just passed away a few months 00:39:26.898 --> 00:39:30.157 ago she was on facebook she was on 00:39:30.177 --> 00:39:31.938 she was texting and she wasn't just like 00:39:32.139 --> 00:39:34.659 on there like she would chime in the 00:39:34.679 --> 00:39:36.539 group chat with the family and make funny 00:39:36.719 --> 00:39:38.900 like she knew she had comedic timing at 00:39:38.960 --> 00:39:40.601 ninety nine we're gonna round up say she 00:39:40.641 --> 00:39:41.681 was a hundred because she was ninety nine 00:39:41.701 --> 00:39:43.101 and a half so that is a cop 00:39:43.181 --> 00:39:44.842 out especially in twenty twenty five like 00:39:45.681 --> 00:39:47.061 i'm wondering when that is going i can 00:39:47.101 --> 00:39:49.802 actually hear apta geriatrics members uh 00:39:49.822 --> 00:39:51.302 cheering because they've thought they've 00:39:51.344 --> 00:39:52.903 known this for years um 00:39:54.112 --> 00:39:57.295 Is someone – who's the app? 00:39:57.414 --> 00:39:57.994 What's the app? 00:39:58.215 --> 00:40:01.197 HEP to go is essentially stick figures, 00:40:01.757 --> 00:40:02.836 like, in a printed form. 00:40:03.018 --> 00:40:04.277 But, like, hey, listen, 00:40:04.318 --> 00:40:05.518 did its job for a long time. 00:40:06.239 --> 00:40:07.639 Have we not evolved from that? 00:40:07.739 --> 00:40:08.760 Is there nothing out – I know a 00:40:08.800 --> 00:40:09.400 lot – I know, like, 00:40:09.501 --> 00:40:11.561 every EMR wants to do the thing, 00:40:11.641 --> 00:40:13.422 and they sort of have it embedded. 00:40:13.443 --> 00:40:15.804 But, like, has anybody done it well? 00:40:16.965 --> 00:40:18.784 I haven't seen it, you know, 00:40:18.925 --> 00:40:21.007 and I – 00:40:21.931 --> 00:40:25.233 My point in sharing that more was not 00:40:25.253 --> 00:40:27.653 to necessarily say we need to completely 00:40:27.693 --> 00:40:30.514 do away with this, but it's to say, 00:40:30.614 --> 00:40:33.177 look, we can do better than this. 00:40:34.271 --> 00:40:35.733 And even if you have somebody at the 00:40:35.793 --> 00:40:37.293 other end, now my mother-in-law, 00:40:37.353 --> 00:40:38.414 I think she's ninety two. 00:40:38.875 --> 00:40:40.797 She loves her phone because she can't 00:40:40.876 --> 00:40:41.257 hear. 00:40:41.516 --> 00:40:43.438 She's got like ninety eight percent 00:40:43.498 --> 00:40:44.159 hearing loss. 00:40:44.219 --> 00:40:45.219 She can read lips. 00:40:45.940 --> 00:40:47.380 If you talk to her directly, 00:40:47.440 --> 00:40:49.061 she has no cognitive deficits, 00:40:49.121 --> 00:40:51.023 but she loves the phone because she can 00:40:51.083 --> 00:40:53.505 read the text message and she can kind 00:40:53.545 --> 00:40:54.686 of watch the videos. 00:40:54.746 --> 00:40:57.588 And especially with closed caption. 00:40:58.208 --> 00:40:58.409 I mean, 00:40:58.449 --> 00:41:00.369 it's opened up her world to so many 00:41:00.429 --> 00:41:00.949 new things. 00:41:00.969 --> 00:41:01.391 So like 00:41:02.050 --> 00:41:05.454 There are advantages in both directions. 00:41:05.994 --> 00:41:07.215 My thing is, no, 00:41:07.815 --> 00:41:09.757 I haven't seen a platform out there that 00:41:09.797 --> 00:41:10.416 does it well. 00:41:11.858 --> 00:41:13.780 I know there is a way to do 00:41:13.840 --> 00:41:14.260 it well. 00:41:14.340 --> 00:41:16.541 We just need somebody to figure it out. 00:41:16.922 --> 00:41:17.862 You know, that's all I'm saying. 00:41:18.063 --> 00:41:19.204 Are we two weeks? 00:41:19.224 --> 00:41:19.684 I was going to say, 00:41:19.704 --> 00:41:21.085 are we six months to a year away? 00:41:21.364 --> 00:41:23.246 But really, are we two weeks away from? 00:41:23.867 --> 00:41:24.186 I mean, look, 00:41:24.387 --> 00:41:25.168 I don't know how to code, 00:41:25.387 --> 00:41:27.710 but we have AI scribes. 00:41:29.224 --> 00:41:31.527 I think the issue is like exercises and 00:41:31.586 --> 00:41:31.947 movement, 00:41:31.967 --> 00:41:33.708 like have all these like jargony terms, 00:41:33.789 --> 00:41:34.931 what I might call it this, 00:41:34.971 --> 00:41:35.811 you might call it that. 00:41:35.831 --> 00:41:36.431 And it's weird. 00:41:36.871 --> 00:41:38.333 Now the patient in the middle is like, 00:41:38.474 --> 00:41:39.155 I don't really know. 00:41:39.574 --> 00:41:41.096 Then if you want to modify someone, 00:41:41.376 --> 00:41:43.157 something to do something, do this, 00:41:43.197 --> 00:41:44.679 but do it like this, not as deep, 00:41:44.719 --> 00:41:45.119 whatever. 00:41:45.561 --> 00:41:46.942 So you could record that. 00:41:48.570 --> 00:41:51.172 And then add something like an AI video 00:41:51.211 --> 00:41:51.773 generator. 00:41:52.672 --> 00:41:54.355 So the process would be like, all right, 00:41:54.375 --> 00:41:55.956 hey, listen, it's the last five minutes. 00:41:56.657 --> 00:41:58.117 You prompt your AI scribe. 00:41:58.617 --> 00:41:59.599 Hey, it's the last five minutes. 00:41:59.679 --> 00:42:01.179 Let's work on the three exercises I'm 00:42:01.199 --> 00:42:01.760 going to give you. 00:42:02.121 --> 00:42:02.922 Here's number one. 00:42:03.202 --> 00:42:03.882 I'm going to do it. 00:42:04.463 --> 00:42:06.563 Add computer vision to this part, right? 00:42:06.704 --> 00:42:08.565 Or you could just describe it as now 00:42:08.606 --> 00:42:09.646 it gets a little tricky. 00:42:09.666 --> 00:42:10.708 You have to be a good describer. 00:42:11.527 --> 00:42:11.668 Yeah. 00:42:12.409 --> 00:42:14.309 We're going to modify it not as deep. 00:42:14.730 --> 00:42:15.170 Got it. 00:42:15.389 --> 00:42:16.590 There's video number one. 00:42:16.829 --> 00:42:17.751 Let's do video two. 00:42:17.791 --> 00:42:18.690 Here's video three. 00:42:19.130 --> 00:42:21.152 And then let's get that texted over you. 00:42:21.532 --> 00:42:22.791 And now it should be able to be 00:42:22.851 --> 00:42:24.472 texted through the EMR because you have 00:42:24.512 --> 00:42:26.552 that patient's cell phone number logged in 00:42:26.572 --> 00:42:26.713 there. 00:42:26.773 --> 00:42:27.873 We can send text messages. 00:42:28.293 --> 00:42:30.253 So let me know when my royalties check 00:42:30.655 --> 00:42:31.315 should show up. 00:42:31.355 --> 00:42:32.614 I'll let you know the address because we 00:42:32.655 --> 00:42:33.715 just invented how to do it, right? 00:42:33.875 --> 00:42:34.456 But we're there. 00:42:35.335 --> 00:42:36.255 Nothing I just said. 00:42:36.516 --> 00:42:38.876 The connections between might be broken, 00:42:39.217 --> 00:42:40.677 but everything I just said is possible 00:42:40.858 --> 00:42:41.737 right now, correct? 00:42:42.539 --> 00:42:43.661 Yeah, a hundred percent. 00:42:44.440 --> 00:42:46.603 And I think we would probably find that 00:42:46.643 --> 00:42:48.443 it's being done in other professions. 00:42:49.143 --> 00:42:50.744 I showed you guys, you know, 00:42:50.945 --> 00:42:52.806 when my car goes into the shop, 00:42:52.867 --> 00:42:54.447 Toyota puts it up on the lift. 00:42:54.947 --> 00:42:57.188 The mechanic takes a phone. 00:42:57.309 --> 00:42:58.329 I don't know if it's his phone or 00:42:58.349 --> 00:42:59.590 the company's phone. 00:43:00.110 --> 00:43:01.913 records a video showing me the 00:43:02.072 --> 00:43:03.313 undercarriage of my car, 00:43:03.353 --> 00:43:04.315 showing me the wheel, 00:43:04.355 --> 00:43:06.657 showing me the inspection that he's doing 00:43:07.237 --> 00:43:08.378 in real time, 00:43:08.858 --> 00:43:11.701 shoots that video over to me so that 00:43:11.800 --> 00:43:13.583 I can then make a decision to say, 00:43:13.663 --> 00:43:15.103 yes, I want this, 00:43:15.164 --> 00:43:17.686 this and this and pay for it right 00:43:17.706 --> 00:43:18.987 then and there over the phone. 00:43:19.027 --> 00:43:21.309 My car is literally still on the lift 00:43:21.329 --> 00:43:22.411 when I make that decision. 00:43:23.351 --> 00:43:26.853 You know that that is an app where 00:43:26.932 --> 00:43:27.253 he is, 00:43:27.574 --> 00:43:29.974 I'm guessing the mechanic is prompted. 00:43:30.494 --> 00:43:31.376 It's an oil change. 00:43:31.675 --> 00:43:33.436 It brings up an oil change template. 00:43:33.876 --> 00:43:34.038 Yeah. 00:43:34.117 --> 00:43:34.458 Okay. 00:43:34.518 --> 00:43:35.858 Video one, show you, 00:43:36.119 --> 00:43:37.159 I need to see the dipstick, 00:43:37.219 --> 00:43:38.980 pull the dip video of the dipstick, right? 00:43:39.000 --> 00:43:40.440 He's probably got a chest mount so he 00:43:40.460 --> 00:43:42.503 can be doing the thing while he's showing 00:43:42.523 --> 00:43:44.684 you things with his hands and whatever 00:43:44.724 --> 00:43:46.344 that app costs to develop. 00:43:46.925 --> 00:43:48.065 I mean, that's like, it's bold. 00:43:48.126 --> 00:43:49.367 It's like creating a video. 00:43:50.460 --> 00:43:51.161 with guardrails. 00:43:51.202 --> 00:43:52.481 It's bowling with bumpers. 00:43:52.501 --> 00:43:53.762 It's like, you can't really miss. 00:43:53.802 --> 00:43:54.543 It's like, okay, 00:43:54.864 --> 00:43:58.666 shoot a ten-second or less video of you 00:43:58.706 --> 00:44:00.648 showing the dipstick and walk through what 00:44:00.688 --> 00:44:01.148 we've said. 00:44:01.628 --> 00:44:03.789 Or it's got the script right on it 00:44:03.809 --> 00:44:04.550 and a teleprompter. 00:44:04.869 --> 00:44:06.030 And then you hit next and it brings 00:44:06.050 --> 00:44:06.550 you to the, okay, 00:44:06.610 --> 00:44:08.391 now go to the tire and show the 00:44:08.452 --> 00:44:08.793 tread. 00:44:09.112 --> 00:44:10.273 Even if the tread is good. 00:44:11.297 --> 00:44:11.577 Right? 00:44:11.817 --> 00:44:13.918 Because that shows your tread is good. 00:44:13.938 --> 00:44:15.157 Look, this is the tool we measure it. 00:44:15.418 --> 00:44:16.818 And you still got a ways to go. 00:44:16.878 --> 00:44:18.219 Come back in a couple thousand miles and 00:44:18.239 --> 00:44:18.860 we'll check it again. 00:44:19.340 --> 00:44:20.721 You do those eight point, 00:44:20.800 --> 00:44:23.961 fifteen point inspections and you show, 00:44:24.561 --> 00:44:25.121 not tell. 00:44:25.661 --> 00:44:26.862 Everybody's favorite day was show and 00:44:26.882 --> 00:44:27.163 tell. 00:44:27.762 --> 00:44:28.983 But every day is a tell day at 00:44:29.003 --> 00:44:29.304 school. 00:44:29.423 --> 00:44:30.923 Not every day are you allowed to bring 00:44:31.023 --> 00:44:32.744 in something cool and show people. 00:44:33.304 --> 00:44:34.925 So that was that was showing. 00:44:35.485 --> 00:44:35.666 I, we, 00:44:36.206 --> 00:44:37.606 there have been a lot of apps that 00:44:37.626 --> 00:44:38.567 have tried to do this, right? 00:44:38.606 --> 00:44:40.768 Like postural apps and things like that. 00:44:41.148 --> 00:44:42.608 I think the pushback there is they're 00:44:42.628 --> 00:44:43.349 like, dude, 00:44:43.369 --> 00:44:44.949 like that's not really showing, you know, 00:44:45.090 --> 00:44:45.969 everybody's different. 00:44:46.190 --> 00:44:47.110 We're not tires. 00:44:47.291 --> 00:44:49.532 I know the body mechanic analogy works, 00:44:49.572 --> 00:44:50.112 but doesn't. 00:44:50.992 --> 00:44:51.152 Um, 00:44:51.333 --> 00:44:53.454 I do like the use of video to 00:44:53.494 --> 00:44:54.833 show people results though. 00:44:54.893 --> 00:44:55.554 I think that's good. 00:44:55.594 --> 00:44:55.755 Look, 00:44:55.775 --> 00:44:57.094 look at personal trainers or people in 00:44:57.135 --> 00:44:57.614 weight loss. 00:44:57.835 --> 00:44:58.576 That's their bread and butter. 00:44:59.608 --> 00:45:01.148 So what's interesting here, 00:45:01.349 --> 00:45:02.670 and I'll just share what I do. 00:45:03.911 --> 00:45:05.813 Everybody who comes through my door signs 00:45:05.853 --> 00:45:06.733 a media release, 00:45:06.793 --> 00:45:09.175 signs the normal HIPAA privacy notice, 00:45:09.215 --> 00:45:10.255 signs all of that stuff. 00:45:12.418 --> 00:45:14.498 Usually on the first session and then 00:45:14.579 --> 00:45:16.681 periodically throughout the plan of care. 00:45:17.362 --> 00:45:18.643 I'm recording content. 00:45:19.063 --> 00:45:21.025 And you can see it on any of 00:45:21.085 --> 00:45:21.764 my media. 00:45:22.606 --> 00:45:23.505 Two or three things. 00:45:23.947 --> 00:45:25.047 This is what we're going to do. 00:45:25.168 --> 00:45:26.568 This is what your home program is. 00:45:27.597 --> 00:45:29.137 I record it while you're in the clinic. 00:45:29.717 --> 00:45:33.300 I immediately text it to your phone so 00:45:33.320 --> 00:45:35.541 that I have confirmation you received it, 00:45:35.681 --> 00:45:36.262 I sent it, 00:45:36.521 --> 00:45:38.402 but I also have the privacy notices in 00:45:38.463 --> 00:45:40.344 place because I'm gonna share it. 00:45:41.063 --> 00:45:44.186 And they know that I'm gonna share it. 00:45:44.326 --> 00:45:46.507 This benefits me and the patient in 00:45:46.547 --> 00:45:47.148 several ways. 00:45:48.088 --> 00:45:50.489 One, the patient sees themself. 00:45:50.728 --> 00:45:52.309 They're not seeing a fitness model. 00:45:52.329 --> 00:45:53.650 They're not seeing a twenty-year-old. 00:45:53.670 --> 00:45:55.010 This goes back to the beginning of the 00:45:55.030 --> 00:45:57.733 show where we said this is relatable. 00:45:57.753 --> 00:45:59.532 You see a real human that happens to 00:45:59.552 --> 00:46:00.153 be you. 00:46:00.653 --> 00:46:03.034 You hear what the therapist is telling you 00:46:03.054 --> 00:46:04.715 because it's my voice coming through the 00:46:04.755 --> 00:46:06.376 phone behind the camera. 00:46:06.996 --> 00:46:08.157 You hear the instructions. 00:46:08.177 --> 00:46:09.197 You hear the reps and sets. 00:46:09.217 --> 00:46:10.057 You hear the frequency. 00:46:10.097 --> 00:46:11.398 You hear everything that's supposed to 00:46:11.438 --> 00:46:11.739 happen. 00:46:13.380 --> 00:46:15.900 I can capture, let's say, a minute 00:46:16.914 --> 00:46:19.034 And that minute that would have normally 00:46:19.054 --> 00:46:21.496 been paid for by the insurance and never 00:46:21.536 --> 00:46:22.777 gotten paid again, 00:46:23.556 --> 00:46:25.518 I can capture that minute of time and 00:46:25.597 --> 00:46:27.539 monetize it for the next five to ten 00:46:27.579 --> 00:46:27.878 years. 00:46:28.378 --> 00:46:30.719 Because social media is going to continue 00:46:30.739 --> 00:46:33.382 to pay me if it's a good clip 00:46:33.521 --> 00:46:35.382 and if other people want to see that 00:46:35.422 --> 00:46:35.663 clip. 00:46:36.402 --> 00:46:38.563 I can provide access to individuals 00:46:38.704 --> 00:46:40.925 anywhere in the world to hear what a 00:46:40.965 --> 00:46:42.726 physical therapist in the United States 00:46:42.746 --> 00:46:44.286 would be telling them if they had the 00:46:44.306 --> 00:46:47.009 same condition completely for free. 00:46:47.688 --> 00:46:50.371 That person in India gets free access to 00:46:50.391 --> 00:46:50.590 care. 00:46:51.510 --> 00:46:53.411 I get paid by the advertisers and 00:46:53.452 --> 00:46:54.733 potentially the product company. 00:46:55.273 --> 00:46:58.036 My patient gets the best possible example 00:46:58.076 --> 00:46:59.677 and explanation of what they should be 00:46:59.717 --> 00:47:02.478 doing at home until we update the home 00:47:02.539 --> 00:47:03.599 exercise program. 00:47:04.440 --> 00:47:06.340 And I do it in the session. 00:47:06.380 --> 00:47:08.041 So it's not like I have to take 00:47:08.101 --> 00:47:10.344 time away that's not billable forever. 00:47:11.144 --> 00:47:13.768 or take time away from other people to 00:47:13.887 --> 00:47:16.010 go in and create the HEP and do 00:47:16.070 --> 00:47:16.791 all of this stuff. 00:47:17.532 --> 00:47:19.614 I am doing this at point of contact 00:47:20.076 --> 00:47:22.117 as part of the paid treatment session. 00:47:23.320 --> 00:47:26.202 To me, it makes so much sense 00:47:27.155 --> 00:47:27.576 And now, 00:47:28.317 --> 00:47:30.259 does every single patient who walk in my 00:47:30.298 --> 00:47:31.880 door want a service like that? 00:47:31.960 --> 00:47:32.181 No. 00:47:32.601 --> 00:47:32.880 Okay. 00:47:33.141 --> 00:47:34.001 So I don't do it for them. 00:47:34.503 --> 00:47:36.864 But it's a vast minority of people, 00:47:37.025 --> 00:47:39.427 less than a ten percent, 00:47:39.847 --> 00:47:40.947 who don't want that. 00:47:41.969 --> 00:47:44.231 Most of the other people do want that 00:47:44.291 --> 00:47:44.711 service. 00:47:47.543 --> 00:47:49.005 Why aren't you sharing these things? 00:47:49.286 --> 00:47:52.831 Tony just turned his clinic into show and 00:47:52.871 --> 00:47:54.054 tell day every day. 00:47:55.114 --> 00:47:56.677 Was talking with someone the other day. 00:47:56.717 --> 00:47:57.318 I won't say who. 00:47:58.288 --> 00:47:59.509 but they were looking to raise their 00:47:59.568 --> 00:47:59.989 rates. 00:48:00.208 --> 00:48:01.309 And how do they do that? 00:48:01.349 --> 00:48:02.190 Did we talk about this? 00:48:02.210 --> 00:48:03.451 We might have talked about this on the 00:48:03.490 --> 00:48:03.690 side. 00:48:04.110 --> 00:48:05.132 So they were going to raise their rates. 00:48:05.172 --> 00:48:05.791 I forget what it was. 00:48:05.811 --> 00:48:06.731 Let's say they were going to raise them. 00:48:06.853 --> 00:48:07.873 They haven't done it in five years. 00:48:07.913 --> 00:48:09.233 They have to raise it twenty percent, 00:48:09.994 --> 00:48:13.135 which is actually should be advocating for 00:48:13.155 --> 00:48:14.556 you to raise your rates more often. 00:48:14.677 --> 00:48:16.478 So it doesn't need to be twenty percent 00:48:16.498 --> 00:48:17.117 to stay afloat. 00:48:17.478 --> 00:48:18.798 So I'll just that that's a little mini 00:48:18.838 --> 00:48:19.438 lesson right there. 00:48:20.599 --> 00:48:22.300 But what I had suggested was. 00:48:23.021 --> 00:48:24.141 Here's a crazy idea. 00:48:24.382 --> 00:48:25.722 Here's someone who's never done it, 00:48:25.963 --> 00:48:27.083 throwing out a Hail Mary. 00:48:27.143 --> 00:48:27.704 A what if? 00:48:28.045 --> 00:48:29.606 I haven't done it, but let's try it. 00:48:30.106 --> 00:48:31.188 So my suggestion was, 00:48:31.268 --> 00:48:33.309 what if you said you have to rate, 00:48:33.849 --> 00:48:34.650 we're raising our rate, 00:48:34.831 --> 00:48:37.393 we're raising our rate. 00:48:37.413 --> 00:48:38.434 We're raising our rate. 00:48:38.474 --> 00:48:39.333 We're raising our rate. 00:48:39.353 --> 00:48:39.894 We're raising our rate. 00:48:39.914 --> 00:48:41.695 We're raising our rate. 00:48:41.715 --> 00:48:42.536 We're raising our rate. 00:48:42.637 --> 00:48:44.719 We're raising our rate. 00:48:45.079 --> 00:48:46.440 We're raising our rate. 00:48:46.500 --> 00:48:47.581 We're raising our rate. 00:48:47.621 --> 00:48:48.501 We're raising our rate. 00:48:48.661 --> 00:48:49.422 We're raising our rate. 00:48:49.443 --> 00:48:50.463 We're raising our rate. 00:48:52.641 --> 00:48:53.822 with a hundred houses in it, 00:48:54.202 --> 00:48:56.643 you go submit plans to the town board 00:48:56.684 --> 00:48:59.005 for seven hundred and fifty houses and 00:48:59.025 --> 00:49:01.106 they talk you down to a hundred houses 00:49:01.126 --> 00:49:02.567 and you're like, fine, you win, 00:49:02.668 --> 00:49:03.588 I'll only do a hundred, 00:49:03.608 --> 00:49:04.809 we'll scale this back, right? 00:49:05.168 --> 00:49:06.570 So the idea there being is, 00:49:07.650 --> 00:49:09.092 Each choice is a win. 00:49:09.331 --> 00:49:09.592 You're like, 00:49:09.793 --> 00:49:10.954 do you not want to be on camera? 00:49:10.974 --> 00:49:11.773 You're not going to sign the release. 00:49:11.793 --> 00:49:12.295 That's fine. 00:49:12.474 --> 00:49:13.215 It's totally your thing. 00:49:13.615 --> 00:49:14.896 We give a ten percent discount. 00:49:15.416 --> 00:49:19.460 I'm sure I think I'm wondering if someone 00:49:19.500 --> 00:49:21.661 seal coats my driveway or paints my house 00:49:21.981 --> 00:49:23.463 and then there's a sign in my lawn 00:49:23.503 --> 00:49:24.623 for two weeks. 00:49:25.065 --> 00:49:26.425 Did I get something for that or am 00:49:26.445 --> 00:49:27.827 I just being nice because the guys were 00:49:27.907 --> 00:49:28.146 good? 00:49:28.266 --> 00:49:28.987 Like I'm always like. 00:49:29.668 --> 00:49:31.027 No, I paid you. 00:49:31.407 --> 00:49:32.588 You did the thing I paid you. 00:49:32.608 --> 00:49:34.429 You don't get to advertise on my lawn. 00:49:34.909 --> 00:49:36.628 But I know people who've said, oh, 00:49:36.648 --> 00:49:37.110 you know what? 00:49:37.369 --> 00:49:38.670 We'll give you two hundred fifty bucks 00:49:38.750 --> 00:49:38.929 off. 00:49:39.030 --> 00:49:41.150 It was never did the two hundred fifty 00:49:41.190 --> 00:49:42.590 bucks that you were going to take off 00:49:42.811 --> 00:49:44.271 was going to go in that guy's pocket, 00:49:44.311 --> 00:49:45.610 like just right to have a driver. 00:49:46.070 --> 00:49:46.731 But that's the idea. 00:49:46.751 --> 00:49:47.811 So what do you think of that strategy? 00:49:47.851 --> 00:49:48.012 Listen, 00:49:48.052 --> 00:49:49.012 we're going to we're going to increase 00:49:49.052 --> 00:49:49.371 prices. 00:49:49.411 --> 00:49:50.052 Thirty percent. 00:49:50.512 --> 00:49:51.773 We'll give you ten percent off if you 00:49:51.813 --> 00:49:53.152 sign the social media release. 00:49:54.065 --> 00:49:55.045 I like the idea. 00:49:55.226 --> 00:49:56.967 I don't like the strategy. 00:49:57.128 --> 00:49:59.449 First, let me ask you, why twenty percent? 00:50:00.751 --> 00:50:02.112 Why was this person doing twenty percent 00:50:02.132 --> 00:50:02.351 at all? 00:50:03.112 --> 00:50:04.152 They hadn't raised their rates in a 00:50:04.293 --> 00:50:05.353 million years and they were like, 00:50:05.434 --> 00:50:06.574 we can't stay solvent. 00:50:06.735 --> 00:50:07.556 And I'm like, OK, 00:50:07.596 --> 00:50:09.617 so why aren't you charging more? 00:50:09.697 --> 00:50:11.079 I feel bad. 00:50:11.278 --> 00:50:12.340 I don't want to raise my rates. 00:50:12.380 --> 00:50:13.320 My patients can't pay it. 00:50:13.360 --> 00:50:14.202 I'm like, do you know that? 00:50:15.940 --> 00:50:18.201 Twenty percent just seems like it's not 00:50:18.280 --> 00:50:18.981 even worth it. 00:50:19.161 --> 00:50:20.661 You know, I think more. 00:50:21.061 --> 00:50:21.400 Yeah. 00:50:21.981 --> 00:50:22.300 Yes. 00:50:22.981 --> 00:50:24.922 I don't know what their base rate is. 00:50:25.202 --> 00:50:27.041 One percent was was too much for this 00:50:27.242 --> 00:50:28.463 for this clinician who was like, 00:50:28.603 --> 00:50:30.262 I don't I can't rate I can't raise 00:50:30.322 --> 00:50:30.702 any rates. 00:50:30.902 --> 00:50:31.503 But that's the thing. 00:50:31.822 --> 00:50:33.344 If you're going to go through the pain, 00:50:33.603 --> 00:50:35.923 if you don't want to raise rates, 00:50:36.643 --> 00:50:37.965 one percent, twenty percent, 00:50:38.025 --> 00:50:39.664 fifty percent, it's all going to hurt. 00:50:39.784 --> 00:50:41.385 Let's just go for fifty percent. 00:50:41.905 --> 00:50:42.826 You know, now, again, 00:50:43.005 --> 00:50:44.485 I don't know what the rates are, but. 00:50:45.186 --> 00:50:46.106 If you're you, 00:50:46.146 --> 00:50:49.289 twenty percent just seems like it's it's 00:50:49.329 --> 00:50:50.929 in that uncomfortable zone, 00:50:50.949 --> 00:50:52.690 but not really going to make an impact. 00:50:54.132 --> 00:50:55.251 Let's overshoot, 00:50:55.413 --> 00:50:56.853 which is kind of what you're saying. 00:50:57.253 --> 00:50:57.994 Right. 00:50:58.114 --> 00:51:00.695 I don't like making the value exchange of 00:51:00.835 --> 00:51:02.016 let me record media. 00:51:02.577 --> 00:51:03.858 Because I think people are going to let 00:51:03.878 --> 00:51:04.938 you record it anyway. 00:51:05.119 --> 00:51:06.880 I don't think you're gaining any benefit 00:51:06.900 --> 00:51:07.219 from that. 00:51:07.701 --> 00:51:09.902 I do love the idea of saying, hey, 00:51:10.081 --> 00:51:11.483 we're going to double our rates. 00:51:11.884 --> 00:51:13.324 But for existing clients, 00:51:13.465 --> 00:51:15.206 we're going to give you fifty percent off 00:51:15.246 --> 00:51:15.626 of that. 00:51:16.005 --> 00:51:17.286 So you're only going to get a fifty 00:51:17.327 --> 00:51:18.527 percent increase, you know, 00:51:19.748 --> 00:51:20.909 and I would just leave it at that. 00:51:20.949 --> 00:51:23.692 Like it's a reward for being a longtime 00:51:23.731 --> 00:51:25.753 client that you're not going to go to 00:51:25.793 --> 00:51:26.773 three hundred dollars. 00:51:26.934 --> 00:51:28.914 You're you're only going to go to two 00:51:28.954 --> 00:51:29.635 hundred dollars. 00:51:31.436 --> 00:51:33.900 I think that's plenty of thank you for 00:51:33.920 --> 00:51:34.842 being a customer. 00:51:36.182 --> 00:51:37.344 I would also say if you're going to 00:51:37.385 --> 00:51:38.385 raise twenty, 00:51:39.568 --> 00:51:41.530 you're going to lose people no matter 00:51:41.590 --> 00:51:42.030 what. 00:51:42.311 --> 00:51:44.213 You have to raise enough to make up 00:51:44.233 --> 00:51:46.056 for the number of people you lose. 00:51:46.836 --> 00:51:49.460 But to your main topic here, 00:51:50.614 --> 00:51:51.514 People love media. 00:51:52.255 --> 00:51:53.456 Either they love it or they hate it. 00:51:53.856 --> 00:51:54.476 If they don't want it, 00:51:54.496 --> 00:51:55.775 they're not going to do it anyway. 00:51:56.737 --> 00:51:58.836 If I went into an exchange to say, 00:51:58.996 --> 00:51:59.336 hey, 00:51:59.637 --> 00:52:01.597 I'm going to record and share this in 00:52:01.697 --> 00:52:02.978 exchange for something, 00:52:03.858 --> 00:52:05.079 I would go straight on. 00:52:05.338 --> 00:52:06.559 Look, I'll treat you for free. 00:52:06.579 --> 00:52:08.099 Right. 00:52:08.320 --> 00:52:10.679 We've got plenty of individuals that come. 00:52:10.760 --> 00:52:12.041 They get referred to us. 00:52:12.521 --> 00:52:14.081 They have high deductible plans. 00:52:14.121 --> 00:52:16.621 They absolutely cannot afford therapy. 00:52:18.001 --> 00:52:19.782 I would do an exchange with that person 00:52:20.141 --> 00:52:22.264 saying, hey, I want to see you. 00:52:22.724 --> 00:52:23.885 I know you can't afford it. 00:52:24.284 --> 00:52:25.105 I know nobody else. 00:52:25.786 --> 00:52:26.885 Somebody called yesterday. 00:52:26.925 --> 00:52:28.706 They got quoted three hundred dollars an 00:52:28.827 --> 00:52:32.570 hour at another larger corporate clinic. 00:52:33.246 --> 00:52:34.507 You know, so we're like, look, 00:52:34.527 --> 00:52:35.847 we can work with you on this. 00:52:35.887 --> 00:52:37.447 This is what we're going to do based 00:52:37.487 --> 00:52:38.648 on your diagnosis, 00:52:38.728 --> 00:52:40.969 not having evaluated you. 00:52:41.389 --> 00:52:43.090 This is really what I think you probably 00:52:43.130 --> 00:52:43.371 need. 00:52:44.012 --> 00:52:45.271 We gave him a flat rate and we're 00:52:45.291 --> 00:52:47.514 like, do with that what you want. 00:52:47.534 --> 00:52:47.893 Right. 00:52:49.362 --> 00:52:51.465 But my point being is, yeah, 00:52:51.784 --> 00:52:54.306 just twenty percent seems crazy to waste 00:52:54.487 --> 00:52:55.788 all of that effort. 00:52:56.407 --> 00:52:57.989 Go for fifty percent or more. 00:52:58.128 --> 00:52:59.389 I would not do twenty. 00:53:00.130 --> 00:53:01.130 One percent was too much. 00:53:01.231 --> 00:53:02.411 I can't believe I have to raise the 00:53:02.572 --> 00:53:02.891 rate. 00:53:03.052 --> 00:53:04.273 And I'm like, my man, like, 00:53:04.753 --> 00:53:06.655 have you have you have you watched 00:53:07.755 --> 00:53:09.376 television for the last twenty years? 00:53:09.396 --> 00:53:10.918 Like everything's more expensive. 00:53:11.217 --> 00:53:11.478 Yeah. 00:53:12.219 --> 00:53:13.820 You know, the whole conversation is. 00:53:14.672 --> 00:53:15.554 And once people, 00:53:15.873 --> 00:53:17.295 once someone put this in perspective for 00:53:17.335 --> 00:53:18.556 me, you can't unsee it, 00:53:18.597 --> 00:53:20.579 which is people complain about needs, 00:53:20.639 --> 00:53:21.139 not wants. 00:53:22.099 --> 00:53:24.601 I will complain about the price of food, 00:53:25.182 --> 00:53:26.724 gasoline, health insurance. 00:53:26.864 --> 00:53:27.885 Those are needs, not wants. 00:53:27.965 --> 00:53:28.646 I need those things. 00:53:28.965 --> 00:53:29.766 I die without them. 00:53:30.288 --> 00:53:32.068 Food, shelter, clothing, medical care. 00:53:34.170 --> 00:53:35.672 Have you been to a, well, 00:53:35.853 --> 00:53:36.793 what's the team that you go to? 00:53:36.833 --> 00:53:37.775 You're the Reds fan, right? 00:53:38.682 --> 00:53:40.143 For baseball, we're the Reds. 00:53:40.182 --> 00:53:41.463 For football, Bengals. 00:53:41.684 --> 00:53:43.884 What's a night out at the Reds to 00:53:43.923 --> 00:53:46.304 watch the Reds play for you and the 00:53:46.324 --> 00:53:46.405 kids? 00:53:46.425 --> 00:53:47.505 This is a great example. 00:53:48.344 --> 00:53:50.606 We can go to a Reds game. 00:53:51.286 --> 00:53:53.045 Decent seats, not great seats, 00:53:53.065 --> 00:53:54.606 not terrible seats are going to be like 00:53:54.646 --> 00:53:55.746 thirty five dollars. 00:53:57.047 --> 00:53:57.666 And then, you know, 00:53:57.686 --> 00:53:58.867 you're going to pay for food. 00:53:58.907 --> 00:54:00.208 You're going to pay for parking. 00:54:00.288 --> 00:54:02.387 I mean, there's six of us. 00:54:02.487 --> 00:54:02.708 Right. 00:54:02.748 --> 00:54:04.547 My wife, myself, the four kids. 00:54:04.568 --> 00:54:06.768 You're talking about a five hundred dollar 00:54:06.789 --> 00:54:06.869 deal. 00:54:07.556 --> 00:54:10.539 event and that if we went to football 00:54:10.980 --> 00:54:13.862 it's like two hundred dollars a ticket for 00:54:13.922 --> 00:54:16.885 like just the same quality nine home games 00:54:16.905 --> 00:54:18.748 that's it only nine home games there's 00:54:18.867 --> 00:54:21.831 eighty uh two home games in or eighty 00:54:21.911 --> 00:54:23.371 one home games in professional baseball i 00:54:23.853 --> 00:54:25.534 went to i went to a yankee playoff 00:54:25.574 --> 00:54:27.836 game somebody got tickets the tickets 00:54:27.856 --> 00:54:30.039 weren't crazy so it was yankees red socks 00:54:30.278 --> 00:54:32.061 wild card series 00:54:33.402 --> 00:54:34.621 hundred and twenty five bucks for the 00:54:34.661 --> 00:54:34.882 ticket. 00:54:34.902 --> 00:54:35.643 I was like sold. 00:54:35.702 --> 00:54:35.882 Like, 00:54:35.922 --> 00:54:36.663 what am I going to see this again? 00:54:36.922 --> 00:54:38.382 My best friend is a Red Sox fan. 00:54:38.782 --> 00:54:39.722 So he's like, we got to go. 00:54:41.643 --> 00:54:43.264 I'll get the drinks because he organized 00:54:43.284 --> 00:54:45.184 the we went with a bunch of dudes 00:54:45.505 --> 00:54:46.204 bus ride down there. 00:54:47.224 --> 00:54:48.344 I was like, I'll get the first round. 00:54:48.664 --> 00:54:49.565 I got a vodka soda. 00:54:49.885 --> 00:54:51.465 The guy at the counter goes single or 00:54:51.485 --> 00:54:51.885 a double. 00:54:51.985 --> 00:54:52.346 And I'm like, 00:54:52.626 --> 00:54:54.327 we're we're at Yankees Red Sox. 00:54:54.407 --> 00:54:55.327 When are we going to do this again? 00:54:55.387 --> 00:54:56.286 Double it up, my man. 00:54:56.347 --> 00:54:57.166 And then the guy says, 00:54:57.306 --> 00:54:59.327 how much do you think two double vodka 00:54:59.367 --> 00:55:00.947 sodas in left field at Yankee Stadium was? 00:55:02.969 --> 00:55:03.989 I got a story too, 00:55:04.030 --> 00:55:06.731 but I'm going to be the nice guy 00:55:06.751 --> 00:55:08.811 and I'm going to say fifty bucks knowing 00:55:08.871 --> 00:55:09.652 that it's more. 00:55:09.972 --> 00:55:11.594 It was fifty five dollars each. 00:55:12.393 --> 00:55:13.634 Each drink was fifty five. 00:55:14.155 --> 00:55:17.496 But we got to keep the cup not 00:55:17.536 --> 00:55:17.876 to keep. 00:55:18.115 --> 00:55:19.097 We got to keep the cup. 00:55:19.137 --> 00:55:19.717 What's your story? 00:55:20.492 --> 00:55:20.911 Yeah, 00:55:20.972 --> 00:55:23.193 we have some really great friends of ours. 00:55:23.233 --> 00:55:25.733 They have like really great seats, 00:55:25.833 --> 00:55:27.592 box seats, you know, free food, 00:55:27.652 --> 00:55:28.373 all this stuff. 00:55:29.193 --> 00:55:29.893 So I'm like, hey, 00:55:29.934 --> 00:55:31.114 I'm going to get around to drinks. 00:55:31.193 --> 00:55:32.094 I'm going to go to the bar. 00:55:32.173 --> 00:55:32.474 Meanwhile, 00:55:32.534 --> 00:55:34.394 I've never been to this section of the 00:55:34.414 --> 00:55:35.155 ballpark. 00:55:35.755 --> 00:55:36.355 I'm like, hey, 00:55:36.394 --> 00:55:38.516 let me get to whatever the drinks were. 00:55:39.436 --> 00:55:41.235 One for my wife, one for his wife. 00:55:41.876 --> 00:55:42.956 And the guy's like, all right, 00:55:42.976 --> 00:55:43.976 that'll be fifty dollars. 00:55:44.016 --> 00:55:45.016 So what? 00:55:46.054 --> 00:55:47.155 their little drinks. 00:55:47.315 --> 00:55:49.516 I was like, holy cow. 00:55:51.398 --> 00:55:51.838 But again, 00:55:52.498 --> 00:55:54.320 so going back to the person who's raising 00:55:54.360 --> 00:55:55.079 rates, it's like, 00:55:55.559 --> 00:55:58.121 have you never been somewhere that 00:55:58.322 --> 00:56:00.463 something was painfully expensive? 00:56:00.523 --> 00:56:01.422 I'm sure you have. 00:56:02.304 --> 00:56:03.824 And you have a decision. 00:56:03.844 --> 00:56:05.184 Do I want to buy it or not? 00:56:05.346 --> 00:56:07.447 I'm not forced to buy it. 00:56:08.067 --> 00:56:08.327 You know, 00:56:08.628 --> 00:56:10.568 and this is where we get into that 00:56:10.648 --> 00:56:11.630 weird dynamic. 00:56:11.650 --> 00:56:12.952 And I know we're running out of time 00:56:12.992 --> 00:56:15.974 where it's like, hey, is this something? 00:56:16.213 --> 00:56:17.655 And I think what killed us as a 00:56:17.695 --> 00:56:19.717 profession was when we got into medical 00:56:19.777 --> 00:56:20.458 necessity. 00:56:20.958 --> 00:56:21.119 Right. 00:56:21.159 --> 00:56:22.260 Because if you're going to tell me 00:56:22.320 --> 00:56:24.322 something is medically necessary. 00:56:25.603 --> 00:56:26.463 Oh, is that your cup? 00:56:27.284 --> 00:56:29.146 Yes. 00:56:29.206 --> 00:56:29.746 So the cup, 00:56:29.766 --> 00:56:31.007 it's one hundred and ten dollar cup. 00:56:32.298 --> 00:56:34.840 Um, if something's medically necessary, 00:56:34.920 --> 00:56:37.380 I'm going to feel terrible expecting you 00:56:37.400 --> 00:56:39.400 to pay if it's something that you can't 00:56:39.460 --> 00:56:39.920 afford. 00:56:40.481 --> 00:56:40.701 Right. 00:56:40.780 --> 00:56:42.280 But I'm sorry, guys, 00:56:42.320 --> 00:56:44.001 this is not medical necessity. 00:56:44.061 --> 00:56:45.681 Like it's not life or death. 00:56:46.161 --> 00:56:48.061 Like it's a nice to have, you know, 00:56:48.121 --> 00:56:49.422 yes, you could function better. 00:56:49.443 --> 00:56:50.362 You could survive better. 00:56:50.382 --> 00:56:51.623 We improve quality of life. 00:56:51.643 --> 00:56:53.382 We do so many of these things, 00:56:54.623 --> 00:56:55.884 at least in my clinic, 00:56:56.664 --> 00:56:57.903 it's not life or death. 00:56:57.983 --> 00:57:00.385 It's not medically necessary. 00:57:01.143 --> 00:57:04.407 And so when I would share the Maslow 00:57:04.666 --> 00:57:05.286 pyramid, 00:57:06.288 --> 00:57:08.329 you clearly see the higher you go on 00:57:08.349 --> 00:57:11.472 that pyramid, the less necessary it is, 00:57:11.532 --> 00:57:13.193 but the more valuable it is, 00:57:13.253 --> 00:57:15.054 the more people are willing to pay for 00:57:15.114 --> 00:57:15.215 it. 00:57:15.675 --> 00:57:17.115 So let's do parting shots. 00:57:17.717 --> 00:57:19.197 It's a fifty dollar parting shot. 00:57:19.878 --> 00:57:21.559 If you're going to go through the pain 00:57:21.619 --> 00:57:23.963 of raising prices, raising your rates, 00:57:24.063 --> 00:57:27.326 do not do this little ten percent, 00:57:27.387 --> 00:57:30.329 twenty percent like go big or go home. 00:57:30.469 --> 00:57:31.391 Don't waste your time. 00:57:31.431 --> 00:57:33.253 I would say fifty percent minimum. 00:57:33.572 --> 00:57:34.074 Yeah. 00:57:34.114 --> 00:57:35.996 Most people could probably double if 00:57:36.016 --> 00:57:38.018 you're struggling with the idea of raising 00:57:38.038 --> 00:57:38.398 your rates, 00:57:38.418 --> 00:57:40.141 you're probably undercharging already. 00:57:41.057 --> 00:57:42.077 double those rates, 00:57:42.538 --> 00:57:44.998 and then you can always offer discounts 00:57:45.039 --> 00:57:45.978 and be more flexible. 00:57:46.518 --> 00:57:47.858 What's your parting shot? 00:57:47.898 --> 00:57:49.360 This is the line that I used once. 00:57:49.400 --> 00:57:51.960 I had a large educational organization who 00:57:51.980 --> 00:57:53.760 was like, we want to launch a podcast. 00:57:53.780 --> 00:57:54.820 We want to do this, this, this, this, 00:57:54.840 --> 00:57:55.021 this. 00:57:55.041 --> 00:57:56.201 And I let them talk and talk and 00:57:56.240 --> 00:57:56.481 talk. 00:57:56.780 --> 00:57:57.882 And every time they said they wanted 00:57:57.922 --> 00:57:58.181 something, 00:57:58.202 --> 00:57:59.282 I would write it down on a line, 00:57:59.322 --> 00:58:00.282 on a line, on a line, 00:58:00.362 --> 00:58:01.141 on a line, on a line. 00:58:01.461 --> 00:58:02.702 And then I said, this is the rate. 00:58:03.083 --> 00:58:03.422 And they're like, 00:58:03.563 --> 00:58:04.702 can you do it for half? 00:58:04.762 --> 00:58:05.523 And my line was, 00:58:05.543 --> 00:58:06.543 I don't know how to hit half a 00:58:06.583 --> 00:58:06.884 home run. 00:58:07.164 --> 00:58:08.384 Half a home run is a pop out 00:58:08.423 --> 00:58:09.023 to second base. 00:58:09.909 --> 00:58:10.530 Yeah. 00:58:10.570 --> 00:58:11.851 Do you want to pop out to second 00:58:11.871 --> 00:58:12.130 base? 00:58:12.692 --> 00:58:13.211 And then I said, 00:58:13.353 --> 00:58:14.474 I know ten people that can do it 00:58:14.494 --> 00:58:14.813 cheaper. 00:58:15.173 --> 00:58:16.014 It's not going to be as good, 00:58:16.114 --> 00:58:17.637 but they'll do it for that, 00:58:18.197 --> 00:58:19.378 but not me. 00:58:19.398 --> 00:58:20.400 Sounds like Chris Doe. 00:58:21.344 --> 00:58:23.967 Yeah, it's not big-timing someone, 00:58:24.007 --> 00:58:25.809 but if I had said yes to get 00:58:25.849 --> 00:58:26.469 the client, 00:58:26.829 --> 00:58:27.791 I'm just going to tell you this. 00:58:28.032 --> 00:58:29.112 It's a treadmill. 00:58:29.413 --> 00:58:30.153 It's a hamster wheel. 00:58:30.333 --> 00:58:31.054 You don't move. 00:58:31.315 --> 00:58:32.034 There's movement. 00:58:32.695 --> 00:58:33.356 There's movement. 00:58:33.436 --> 00:58:34.338 You're burning calories, 00:58:34.358 --> 00:58:35.217 and you're doing stuff, 00:58:35.237 --> 00:58:37.000 but you're not going anywhere if you do 00:58:37.039 --> 00:58:37.641 things like that. 00:58:37.721 --> 00:58:38.842 You're just trying to maintain, 00:58:39.322 --> 00:58:40.262 and it feels icky. 00:58:40.963 --> 00:58:42.025 You know how many times I've had my 00:58:42.065 --> 00:58:45.108 finger hovering over the send button on 00:58:45.148 --> 00:58:47.190 like an, like on a, on a quote. 00:58:47.532 --> 00:58:48.954 And I've said like, I can't believe this. 00:58:49.014 --> 00:58:49.653 I can't believe it. 00:58:49.713 --> 00:58:50.434 And you send it and I'm like, 00:58:50.454 --> 00:58:51.315 can I unsend it? 00:58:52.077 --> 00:58:54.699 And most of the time, if you've clearly, 00:58:55.041 --> 00:58:56.262 this is, and I'll have a parting, 00:58:56.302 --> 00:58:56.802 parting shot. 00:58:57.083 --> 00:58:58.764 If you've clearly described value, 00:58:59.405 --> 00:59:00.666 That person never complains. 00:59:00.827 --> 00:59:02.268 They might say, no, I don't have it. 00:59:02.608 --> 00:59:04.070 And it's not a negotiation. 00:59:04.530 --> 00:59:07.152 I would also say making sure that is 00:59:07.251 --> 00:59:08.193 very clear. 00:59:08.773 --> 00:59:10.655 And this is where I think PT almost 00:59:10.695 --> 00:59:11.356 gets a pass. 00:59:11.695 --> 00:59:12.757 It's very ambiguous. 00:59:13.117 --> 00:59:13.217 Well, 00:59:13.257 --> 00:59:14.237 how long do I have to show up, 00:59:14.277 --> 00:59:14.557 Tony? 00:59:14.577 --> 00:59:15.699 I don't know. 00:59:15.759 --> 00:59:16.139 For a while. 00:59:16.380 --> 00:59:17.480 So I don't know what this is. 00:59:17.519 --> 00:59:18.340 Is this ongoing? 00:59:18.601 --> 00:59:20.623 So that is sort of the part of 00:59:20.663 --> 00:59:23.505 our profession that sucks is people might 00:59:23.545 --> 00:59:25.186 pay something, think they're getting this, 00:59:25.206 --> 00:59:25.907 but they just don't. 00:59:25.967 --> 00:59:26.226 Why? 00:59:26.887 --> 00:59:26.947 Why? 00:59:27.148 --> 00:59:30.391 Bodies, science, biology, life, it sucks. 00:59:31.311 --> 00:59:32.532 That's where I do like the idea of 00:59:32.552 --> 00:59:34.614 a flat rate and then continuing care, 00:59:34.673 --> 00:59:35.155 things like that. 00:59:35.195 --> 00:59:35.914 You can get creative, 00:59:35.974 --> 00:59:36.896 as Tony just talked about. 00:59:37.717 --> 00:59:38.898 Dave will be back from the beach, 00:59:38.998 --> 00:59:39.938 I believe, next week. 00:59:41.639 --> 00:59:43.661 Hopefully, he will have a tan. 00:59:43.681 --> 00:59:46.523 There's at least four dozen pictures of 00:59:46.563 --> 00:59:47.784 Dave with his shirt off running on the 00:59:47.804 --> 00:59:48.405 beach, probably. 00:59:49.536 --> 00:59:50.956 Guys, he knows how to get the attention. 00:59:51.556 --> 00:59:52.016 So we'll be back. 00:59:52.117 --> 00:59:53.237 Oh, we'll be back on Thursday. 00:59:53.418 --> 00:59:53.677 Never mind. 00:59:53.697 --> 00:59:54.838 I thought today was Thursday for a hot 00:59:54.878 --> 00:59:55.137 second. 00:59:55.557 --> 00:59:56.898 I will be in Reno. 00:59:57.759 --> 01:00:00.159 I'm going to AOMT, the AOMT Conference, 01:00:00.659 --> 01:00:02.278 American Association of Orthopedic Manual 01:00:02.318 --> 01:00:03.039 Physical Therapists. 01:00:03.099 --> 01:00:03.980 I was out there last year. 01:00:04.440 --> 01:00:05.380 Now I'm going to Reno. 01:00:06.340 --> 01:00:08.960 I hope I still have some money left. 01:00:09.481 --> 01:00:10.141 All right, guys. 01:00:10.181 --> 01:00:12.161 Don't forget Dave Kittle's show, 01:00:12.240 --> 01:00:14.222 PT Pinecast, Learn Medicare Belling. 01:00:14.242 --> 01:00:15.702 We'll see you guys on Thursday.