WEBVTT 00:00:00.029 --> 00:00:00.621 Sound effect-y. 00:00:07.346 --> 00:00:07.806 All right, 00:00:07.825 --> 00:00:09.887 this episode brought to you by Brooks IHL, 00:00:10.006 --> 00:00:12.766 elevating clinician education for the next 00:00:12.807 --> 00:00:14.307 generation of physical therapists, 00:00:15.208 --> 00:00:15.968 residencies, 00:00:16.128 --> 00:00:18.468 fellowships in whatever flavor of ice 00:00:18.487 --> 00:00:20.649 cream you prefer, pediatrics, geriatrics, 00:00:20.809 --> 00:00:23.189 orthopedics, pelvic floor, get your mix. 00:00:23.969 --> 00:00:25.949 Find them online at brooksihl.org. 00:00:25.989 --> 00:00:28.210 That is brooksihl.org. 00:00:28.730 --> 00:00:30.690 Elevate your career with Brooks. 00:00:31.291 --> 00:00:31.990 Our episode today, 00:00:32.030 --> 00:00:33.911 our guest was headed for a career. 00:00:34.072 --> 00:00:35.591 I am not making this up, probably. 00:00:36.271 --> 00:00:40.322 As a reptile surgeon, yes, crocodiles, 00:00:40.762 --> 00:00:44.049 venomous snakes, but a spinal cord injury? 00:00:45.545 --> 00:00:46.487 changed the course of everything. 00:00:47.006 --> 00:00:48.487 Now she's a clinician for humans, 00:00:48.948 --> 00:00:49.609 a coordinator, 00:00:50.009 --> 00:00:52.350 an educator who blends psychologically 00:00:52.390 --> 00:00:54.491 informed care and lifestyle medicine to 00:00:54.551 --> 00:00:56.533 treat some of the most complex cases in 00:00:56.573 --> 00:00:57.133 our profession. 00:00:57.734 --> 00:00:59.914 She's the mentor you wish you had, honest, 00:00:59.975 --> 00:01:02.256 empowering, radically human-centered, 00:01:02.435 --> 00:01:04.016 and she likes creepy crawly things. 00:01:04.397 --> 00:01:05.058 In her world, 00:01:05.117 --> 00:01:07.299 healing is more than symptom resolution. 00:01:07.680 --> 00:01:09.861 It's about showing up, slowing down, 00:01:10.460 --> 00:01:11.001 which I need to do, 00:01:11.281 --> 00:01:12.662 and seeing the patient as a whole. 00:01:13.783 --> 00:01:15.183 She might have black coffee in one hand 00:01:15.224 --> 00:01:17.185 and a tangled rope metaphor in another. 00:01:17.605 --> 00:01:18.805 She's here to remind us that doing the 00:01:18.846 --> 00:01:22.626 basics really well is elite level care. 00:01:23.067 --> 00:01:26.228 Let's welcome Faith Stokes to the show. 00:01:26.289 --> 00:01:27.189 Faith, how'd I do on the intro? 00:01:27.209 --> 00:01:28.810 You did great. 00:01:30.150 --> 00:01:30.811 So I can't, 00:01:30.850 --> 00:01:32.432 you can't have an introduction where I 00:01:32.471 --> 00:01:35.033 talk about crocodiles and snakes without 00:01:35.093 --> 00:01:36.694 being like backstory me. 00:01:38.447 --> 00:01:39.106 Absolutely. 00:01:39.606 --> 00:01:43.328 So I was actually interested in reptiles 00:01:43.388 --> 00:01:44.808 since I was a child, 00:01:44.888 --> 00:01:46.569 as in my mother said the first time 00:01:46.650 --> 00:01:47.709 I tried to catch a snake, 00:01:47.769 --> 00:01:48.811 I was still in a diaper. 00:01:49.171 --> 00:01:49.730 Yeah. 00:01:49.751 --> 00:01:50.450 All right. 00:01:50.510 --> 00:01:53.492 So she actually taught me how to read 00:01:53.632 --> 00:01:55.612 using snake books from the library because 00:01:55.653 --> 00:01:56.653 it was the only way she could get 00:01:56.673 --> 00:01:57.853 me to sit down long enough. 00:01:58.073 --> 00:01:58.414 Genius. 00:01:59.138 --> 00:02:01.721 So I was using their Latin names before 00:02:01.760 --> 00:02:02.341 I was ten. 00:02:03.102 --> 00:02:05.263 When I went to college, 00:02:05.984 --> 00:02:07.965 I was interested in veterinary medicine 00:02:08.265 --> 00:02:11.269 and everyone that knew me said, well, 00:02:11.308 --> 00:02:12.789 of course, she's going to become a vet. 00:02:12.870 --> 00:02:13.189 Of course, 00:02:13.210 --> 00:02:14.471 she's going to work with reptiles. 00:02:14.491 --> 00:02:15.451 She's going to go to zoos. 00:02:15.512 --> 00:02:16.953 I was already working at a zoo. 00:02:18.174 --> 00:02:19.215 In the reptile department. 00:02:19.254 --> 00:02:20.376 Where were you geographically? 00:02:20.516 --> 00:02:24.099 I was a volunteer for the Chattanooga Zoo 00:02:24.680 --> 00:02:25.700 in Chattanooga, Tennessee. 00:02:26.421 --> 00:02:28.424 So I was there first and to my 00:02:28.443 --> 00:02:30.765 knowledge, only reptile volunteer. 00:02:30.866 --> 00:02:31.725 I emailed them and said, 00:02:31.786 --> 00:02:33.207 I want to work in that department. 00:02:33.888 --> 00:02:34.429 And they said, 00:02:34.528 --> 00:02:36.531 people don't usually want to do that. 00:02:36.811 --> 00:02:37.390 Especially, yeah. 00:02:37.411 --> 00:02:37.692 Yeah. 00:02:38.361 --> 00:02:38.882 And I said, 00:02:38.901 --> 00:02:41.282 I will only work in that department. 00:02:41.302 --> 00:02:42.963 That's what I want to do. 00:02:43.484 --> 00:02:44.585 So they brought me in. 00:02:44.925 --> 00:02:47.325 I worked with the big pythons and the 00:02:47.366 --> 00:02:48.286 big boas. 00:02:48.407 --> 00:02:49.766 I got to hang out with the Komodo 00:02:49.806 --> 00:02:51.647 dragons and the alligators. 00:02:51.728 --> 00:02:53.729 My son loved coming to see me there. 00:02:54.248 --> 00:02:56.669 So this was just a normal pace of 00:02:56.710 --> 00:02:57.090 life. 00:02:57.189 --> 00:03:00.951 My research in undergrad was on creating 00:03:01.032 --> 00:03:04.413 or finding antibiotic type proteins in 00:03:04.473 --> 00:03:04.954 snake venom. 00:03:05.713 --> 00:03:08.754 So using it to treat antibiotic resistant 00:03:08.854 --> 00:03:09.915 bacterial strains. 00:03:11.216 --> 00:03:13.537 So I was playing with that research wise, 00:03:13.556 --> 00:03:15.518 got to compete at several conferences with 00:03:15.598 --> 00:03:15.758 it. 00:03:16.358 --> 00:03:18.838 But my husband in two thousand eleven had 00:03:18.938 --> 00:03:22.661 a spinal cord injury and I was going 00:03:22.700 --> 00:03:23.800 to have to leave, 00:03:23.881 --> 00:03:26.681 obviously for specialized training to go 00:03:26.961 --> 00:03:28.802 and finish that career path. 00:03:29.582 --> 00:03:30.864 And I remember keenly. 00:03:31.883 --> 00:03:35.283 He was in inpatient rehab at the time 00:03:35.463 --> 00:03:37.365 at Siskin in Chattanooga. 00:03:37.444 --> 00:03:38.264 They were wonderful. 00:03:39.365 --> 00:03:40.085 And I was like, 00:03:40.125 --> 00:03:41.026 I don't think I'm going to be able 00:03:41.066 --> 00:03:41.425 to go. 00:03:41.566 --> 00:03:42.425 I can't leave you guys. 00:03:43.265 --> 00:03:44.387 And he was like, 00:03:44.486 --> 00:03:46.247 I think you should try PT. 00:03:46.606 --> 00:03:48.427 They have a doctorate program here in 00:03:48.467 --> 00:03:49.147 Chattanooga. 00:03:49.187 --> 00:03:50.587 You could stay at home with us. 00:03:50.647 --> 00:03:53.008 You could still be Dr. Stokes. 00:03:55.229 --> 00:03:56.729 It's a super stable career. 00:03:56.770 --> 00:03:57.870 They have good insurance. 00:03:57.889 --> 00:03:59.450 He'd obviously been looking into this. 00:04:00.366 --> 00:04:01.788 And he said the phrase, 00:04:02.750 --> 00:04:03.790 I see you in them. 00:04:04.350 --> 00:04:05.551 Wow. 00:04:05.652 --> 00:04:06.453 And I was like, 00:04:06.473 --> 00:04:08.314 I'm standing there in jeans, Jimmy. 00:04:08.375 --> 00:04:10.317 And I had been in a stream that 00:04:10.377 --> 00:04:13.640 morning chasing hellbenders, 00:04:13.661 --> 00:04:14.361 which is a salamander. 00:04:14.401 --> 00:04:15.141 I don't know what that is. 00:04:15.242 --> 00:04:15.862 Okay, good. 00:04:15.962 --> 00:04:17.024 Yeah. 00:04:17.204 --> 00:04:17.425 Thank you. 00:04:17.545 --> 00:04:18.386 What's their Latin name? 00:04:19.476 --> 00:04:19.937 I don't know. 00:04:19.997 --> 00:04:20.958 I don't remember anymore. 00:04:21.379 --> 00:04:21.658 Faith, 00:04:21.718 --> 00:04:23.821 you could have literally said gibberish. 00:04:23.841 --> 00:04:24.982 I would be like, God, I am not. 00:04:25.161 --> 00:04:26.141 No, no, I am not going to, 00:04:26.202 --> 00:04:27.062 I'm not going to mess that up. 00:04:27.103 --> 00:04:28.303 I've been out of it long enough. 00:04:28.444 --> 00:04:29.805 I was in a stream. 00:04:30.125 --> 00:04:30.625 I was in a stream. 00:04:30.725 --> 00:04:33.588 I had mud up like mid femur and 00:04:33.649 --> 00:04:35.009 I looked at him and I was like, 00:04:35.250 --> 00:04:37.872 they sit in a business office in business 00:04:37.911 --> 00:04:38.952 professional clothes. 00:04:39.153 --> 00:04:41.074 I have nothing in common with these 00:04:41.115 --> 00:04:42.375 people. 00:04:42.815 --> 00:04:44.057 And he's like, I don't know. 00:04:44.396 --> 00:04:45.257 I see you in them. 00:04:45.478 --> 00:04:46.298 Just think about it. 00:04:47.101 --> 00:04:49.444 So when I started my PT program, 00:04:49.845 --> 00:04:50.665 I was accepted. 00:04:51.005 --> 00:04:55.189 I lied on my application and told them 00:04:55.250 --> 00:04:56.891 I always wanted to be a PT and 00:04:56.951 --> 00:04:58.012 I related to the field. 00:04:58.031 --> 00:04:58.232 You know, 00:04:58.312 --> 00:05:00.334 anything that you think you have to do 00:05:00.353 --> 00:05:02.315 to get into a graduate program. 00:05:02.396 --> 00:05:04.137 You wanted to be like a Python trainer. 00:05:04.218 --> 00:05:05.319 So that's PT, right? 00:05:05.338 --> 00:05:05.759 Same thing. 00:05:05.838 --> 00:05:07.079 Yeah. 00:05:07.120 --> 00:05:09.403 No, it was a lie. 00:05:09.423 --> 00:05:10.663 My first day of school, 00:05:10.783 --> 00:05:12.545 I just remember sitting in there thinking, 00:05:13.485 --> 00:05:14.266 I don't want to be here. 00:05:14.286 --> 00:05:16.168 I don't want to be. 00:05:16.447 --> 00:05:19.069 You very rarely get bitten. 00:05:19.130 --> 00:05:20.031 It's never zero. 00:05:20.091 --> 00:05:21.331 It's probably a higher impedance, 00:05:21.351 --> 00:05:23.153 but you rarely get bitten. 00:05:23.194 --> 00:05:25.735 People who do herpetology do really well 00:05:25.755 --> 00:05:26.995 with TBI patients. 00:05:27.016 --> 00:05:28.877 Why is that? 00:05:28.898 --> 00:05:31.180 Just because the TBI patients are super 00:05:31.259 --> 00:05:32.600 impulsive and aggressive. 00:05:34.221 --> 00:05:35.442 It's the same as a crocodile. 00:05:37.641 --> 00:05:38.783 That was not on my bingo card, 00:05:38.963 --> 00:05:40.244 but I bet you a bunch of TV, 00:05:40.324 --> 00:05:42.524 I bet you a bunch of neuro-PTs, 00:05:42.564 --> 00:05:43.826 I can hear them right now going, yeah, 00:05:43.865 --> 00:05:45.406 that tracks, that tracks. 00:05:45.528 --> 00:05:47.408 I could totally tackle someone and wrestle 00:05:47.449 --> 00:05:49.029 them down and talk to them calmly the 00:05:49.050 --> 00:05:50.730 whole time and keep your blood pressure 00:05:50.771 --> 00:05:52.351 down and they're going to stop struggling 00:05:52.391 --> 00:05:52.973 eventually. 00:05:54.375 --> 00:05:56.156 But anyway, long story, very short. 00:05:56.536 --> 00:05:58.757 I was probably in my second year. 00:05:59.016 --> 00:06:02.619 I went on a residency call with the 00:06:02.678 --> 00:06:04.860 APTA to just look at residencies because I 00:06:04.879 --> 00:06:06.201 was like, if I'm going to do this, 00:06:07.041 --> 00:06:08.122 I need to do this. 00:06:08.341 --> 00:06:10.083 I need to like it is what it 00:06:10.182 --> 00:06:10.423 is. 00:06:10.663 --> 00:06:11.343 I'm here. 00:06:11.483 --> 00:06:12.824 This is not going to change. 00:06:13.545 --> 00:06:15.346 So who do I want to be? 00:06:15.846 --> 00:06:17.706 And maybe I just haven't found that 00:06:17.747 --> 00:06:19.408 version of myself yet. 00:06:19.733 --> 00:06:23.295 So that's what launched me into my 00:06:23.355 --> 00:06:28.519 training pathway from that world into this 00:06:28.720 --> 00:06:28.879 one. 00:06:29.940 --> 00:06:32.201 But I will say that even just the 00:06:32.221 --> 00:06:33.884 work that I did with reptiles, 00:06:33.923 --> 00:06:35.124 kind of along the lines of the 00:06:35.185 --> 00:06:37.906 conversation with the patient population I 00:06:37.927 --> 00:06:38.346 work with, 00:06:39.918 --> 00:06:41.199 With a reptile, 00:06:41.718 --> 00:06:43.319 they have no attachment to you. 00:06:43.360 --> 00:06:44.781 They don't have mammalian brains. 00:06:44.841 --> 00:06:46.362 So they could kill me. 00:06:46.622 --> 00:06:47.483 I could die. 00:06:47.562 --> 00:06:48.622 They're not going to miss me. 00:06:48.663 --> 00:06:50.004 They don't care that I exist. 00:06:51.064 --> 00:06:54.166 You take care of them because it's a 00:06:54.346 --> 00:06:58.488 living creature and it deserves patience, 00:06:58.769 --> 00:07:00.050 love, kindness, 00:07:00.711 --> 00:07:02.692 whether it can reciprocate or not. 00:07:04.028 --> 00:07:06.129 And so that was what I really pulled 00:07:06.168 --> 00:07:08.168 from my reptile training into patient 00:07:08.189 --> 00:07:08.550 cares. 00:07:08.589 --> 00:07:10.610 There's sometimes there are patients who 00:07:10.670 --> 00:07:11.170 seem, 00:07:11.550 --> 00:07:12.850 and I'm gonna highlight that they seem 00:07:12.911 --> 00:07:13.531 unlovable. 00:07:14.351 --> 00:07:15.812 And I just remind myself, 00:07:15.911 --> 00:07:18.473 if you can care for a boa constrictor 00:07:19.552 --> 00:07:21.454 that really just wanted you to die, 00:07:21.994 --> 00:07:23.774 but you did everything you could to take 00:07:23.795 --> 00:07:25.855 care of that animal because it was alive 00:07:25.975 --> 00:07:27.675 and it deserved to be taken care of, 00:07:28.317 --> 00:07:30.416 you can take care of this person and 00:07:30.476 --> 00:07:31.958 they don't have to love you back. 00:07:32.983 --> 00:07:35.625 And carrying that into care, 00:07:36.545 --> 00:07:40.125 humans respond completely differently to 00:07:40.146 --> 00:07:41.446 that approach than reptiles. 00:07:41.545 --> 00:07:42.646 I know that shocks you. 00:07:42.846 --> 00:07:44.367 This is my shocked face. 00:07:44.406 --> 00:07:45.206 I know, right? 00:07:45.786 --> 00:07:47.648 Humans respond differently to that 00:07:47.668 --> 00:07:50.149 approach when you walk into the room and 00:07:50.168 --> 00:07:50.608 you say, 00:07:50.689 --> 00:07:52.528 regardless of what I get out of this 00:07:52.588 --> 00:07:53.449 relationship, 00:07:53.930 --> 00:07:58.031 I'm going to meet their needs. 00:07:58.050 --> 00:07:58.730 That's powerful. 00:08:00.663 --> 00:08:01.824 Did you ever ask your, I mean, 00:08:01.903 --> 00:08:03.144 you must've asked your husband, like, 00:08:03.225 --> 00:08:04.526 but what did you see in me? 00:08:04.625 --> 00:08:04.766 Like, 00:08:04.846 --> 00:08:06.427 I see them and I see you in 00:08:06.466 --> 00:08:06.666 them. 00:08:06.708 --> 00:08:07.567 I see them in you. 00:08:08.168 --> 00:08:09.009 Did you ever ask him, like, 00:08:09.430 --> 00:08:10.050 what's that mean? 00:08:10.129 --> 00:08:13.252 Like what, like, you know, 00:08:13.331 --> 00:08:15.134 he could probably word it a little bit 00:08:15.173 --> 00:08:15.553 better, 00:08:15.613 --> 00:08:20.016 but Joey has had several TBIs and words 00:08:20.076 --> 00:08:21.077 are not his strength, 00:08:21.098 --> 00:08:22.538 which was why in that moment, 00:08:22.559 --> 00:08:23.959 that was all he could give me. 00:08:24.821 --> 00:08:26.302 Um, but I will be honest, 00:08:26.401 --> 00:08:27.202 like the people, 00:08:27.403 --> 00:08:28.903 this is something I tell my mentees, 00:08:28.944 --> 00:08:30.045 the people that know you, 00:08:30.855 --> 00:08:33.538 and love you for who you are will 00:08:33.597 --> 00:08:36.460 see potential in you that you don't see. 00:08:36.539 --> 00:08:38.240 And sometimes you just have to trust them. 00:08:38.841 --> 00:08:41.423 So now like looking at what I do 00:08:42.244 --> 00:08:44.945 and my identity and like, 00:08:46.625 --> 00:08:48.528 I hope I'm in my nineties treating 00:08:48.587 --> 00:08:49.248 patients. 00:08:49.748 --> 00:08:51.809 Like I don't, I love what I do. 00:08:52.429 --> 00:08:55.172 And so I don't know what he saw, 00:08:55.572 --> 00:08:56.293 but he was right. 00:08:58.072 --> 00:08:58.831 So I think that's, 00:08:59.452 --> 00:09:01.234 that was what I took away from it. 00:09:01.433 --> 00:09:03.514 Even now making career decisions, 00:09:03.634 --> 00:09:05.034 like I'll think, oh my gosh, 00:09:05.155 --> 00:09:06.255 I don't know that that's the best fit 00:09:06.275 --> 00:09:06.535 for me. 00:09:06.995 --> 00:09:08.037 Or I don't know that I should do 00:09:08.057 --> 00:09:08.256 that. 00:09:08.297 --> 00:09:09.618 And the people that love me are in 00:09:09.658 --> 00:09:13.320 my ear saying, no, that's you go. 00:09:13.399 --> 00:09:16.260 So that was my first introduction to just 00:09:16.301 --> 00:09:18.902 jumping blindly off a cliff when someone 00:09:18.922 --> 00:09:19.763 told me to jump. 00:09:19.842 --> 00:09:21.322 And it's been a bit of a pattern 00:09:21.342 --> 00:09:22.024 for me lately. 00:09:22.043 --> 00:09:23.664 I love that. 00:09:23.904 --> 00:09:24.024 Um, 00:09:26.149 --> 00:09:27.429 I love the fact that like we've got, 00:09:27.490 --> 00:09:27.789 you know, what, 00:09:27.809 --> 00:09:30.051 three hundred thousand PTs in the country 00:09:30.071 --> 00:09:30.390 or whatever. 00:09:30.451 --> 00:09:32.192 And there's like stories like that. 00:09:32.251 --> 00:09:33.192 But you'd never know. 00:09:33.732 --> 00:09:33.932 Right. 00:09:33.952 --> 00:09:34.673 We just assume. 00:09:34.732 --> 00:09:35.052 Right. 00:09:35.413 --> 00:09:37.075 I tore my ACL as a soccer player 00:09:37.095 --> 00:09:39.096 in high school and my grandmother. 00:09:39.176 --> 00:09:40.216 Those are the two cliches. 00:09:40.275 --> 00:09:40.535 Right. 00:09:42.216 --> 00:09:43.278 That's a cool story, though. 00:09:43.398 --> 00:09:44.217 Thank you for telling me that. 00:09:44.357 --> 00:09:45.018 Mm hmm. 00:09:45.219 --> 00:09:45.519 Yeah. 00:09:46.479 --> 00:09:47.620 We apparently met. 00:09:48.509 --> 00:09:49.971 We're going to talk about what you're 00:09:49.990 --> 00:09:50.971 talking about, CSM. 00:09:51.111 --> 00:09:52.494 The prompt I put on LinkedIn was like, 00:09:52.514 --> 00:09:53.634 let's put some butts in seats. 00:09:53.674 --> 00:09:55.937 A lot of people, 00:09:55.976 --> 00:09:58.418 APTA has a monumentally large job. 00:09:58.519 --> 00:09:58.919 Yes. 00:09:58.960 --> 00:10:00.900 Which essentially is like communicate, 00:10:02.071 --> 00:10:03.831 all of the four hundred i don't even 00:10:03.851 --> 00:10:05.933 know bajillion sessions at this one 00:10:07.215 --> 00:10:08.735 conference we're talking about csm which 00:10:08.755 --> 00:10:10.456 is in a couple of months i remember 00:10:10.537 --> 00:10:12.298 my first csm which was la and there's 00:10:12.317 --> 00:10:14.240 a story there which i don't remember and 00:10:14.259 --> 00:10:15.701 i remember my professor had asked me like 00:10:15.740 --> 00:10:17.162 what'd you think of csm and i was 00:10:17.182 --> 00:10:18.903 like it was a circus and she goes 00:10:18.942 --> 00:10:20.364 it was and i go with a bunch 00:10:20.403 --> 00:10:23.927 of circuses in it like like twenty 00:10:23.947 --> 00:10:25.707 different circuses in the big top and i 00:10:25.727 --> 00:10:27.408 remember just being like for someone like 00:10:27.469 --> 00:10:27.568 me 00:10:28.570 --> 00:10:30.071 overstimulated but i like that sort of 00:10:30.110 --> 00:10:32.393 thing but you leave like just spent so 00:10:32.472 --> 00:10:37.596 we met at csm in twenty fifteen sixteen 00:10:37.635 --> 00:10:39.336 whenever that was when it was la it's 00:10:39.376 --> 00:10:40.957 gonna be in la so faith and jimmy 00:10:40.998 --> 00:10:44.140 are going full circle um what are you 00:10:44.301 --> 00:10:45.841 you said you remember we met i don't 00:10:45.861 --> 00:10:48.023 remember this help me out what did i 00:10:48.123 --> 00:10:49.604 did i do something bad no you didn't 00:10:51.918 --> 00:10:55.121 You had won an award for this podcast 00:10:55.201 --> 00:10:56.443 idea. 00:10:57.183 --> 00:10:59.027 My program had won an award for a 00:10:59.106 --> 00:11:00.408 fundraiser. 00:11:00.567 --> 00:11:03.572 All of the students that had won awards 00:11:03.611 --> 00:11:04.332 for something, 00:11:05.100 --> 00:11:08.001 were all pulled together to prepare us for 00:11:08.042 --> 00:11:10.043 the ceremony so that we knew how to 00:11:10.083 --> 00:11:11.845 behave and what to say and what not 00:11:11.884 --> 00:11:13.605 to say and where to walk you know 00:11:14.025 --> 00:11:16.587 yeah they were they were corralling the 00:11:16.628 --> 00:11:20.431 toddlers um so we were we were all 00:11:20.510 --> 00:11:22.432 like grouped together at the bottom of the 00:11:22.471 --> 00:11:26.154 stairs talking and you started talking 00:11:26.195 --> 00:11:28.376 about this podcast that i remember you 00:11:28.417 --> 00:11:30.197 describing it with such excitement 00:11:30.977 --> 00:11:33.400 And you were, I don't know if you, 00:11:33.461 --> 00:11:35.822 I think at that moment you were saying, 00:11:35.982 --> 00:11:37.104 I don't know if this is something I'm 00:11:37.124 --> 00:11:38.125 going to keep doing, 00:11:38.784 --> 00:11:40.407 but it was just something you were super 00:11:40.466 --> 00:11:41.246 excited about. 00:11:41.287 --> 00:11:42.948 And then, like I said earlier, 00:11:43.048 --> 00:11:44.870 a few years later, I was like, 00:11:45.291 --> 00:11:45.770 he did it. 00:11:45.811 --> 00:11:48.153 It's still going because I saw it pop 00:11:48.293 --> 00:11:50.895 up and I thought he will never remember 00:11:50.916 --> 00:11:52.517 me, but that's completely fine. 00:11:52.716 --> 00:11:54.159 That was a decade ago. 00:11:54.179 --> 00:11:54.419 That was. 00:11:54.660 --> 00:11:55.501 I know. 00:11:55.883 --> 00:11:56.464 I mean, that was. 00:11:58.467 --> 00:11:59.168 I know. 00:11:59.789 --> 00:12:00.471 It's wild. 00:12:00.552 --> 00:12:01.614 And like, when you turn back. 00:12:02.923 --> 00:12:03.163 You know, 00:12:03.183 --> 00:12:05.365 the stupid cliche is cliche for a reason. 00:12:05.385 --> 00:12:07.067 It's like, where did a decade go? 00:12:07.226 --> 00:12:09.208 Like, it's crazy. 00:12:10.409 --> 00:12:11.650 And then I do the math on like 00:12:11.730 --> 00:12:13.192 number of episodes, number of, 00:12:13.211 --> 00:12:14.293 I don't really care about episodes, 00:12:14.312 --> 00:12:15.634 like number of conversations, 00:12:16.014 --> 00:12:17.075 number of people you met, 00:12:17.294 --> 00:12:18.895 number of stories you've heard and shared. 00:12:18.916 --> 00:12:21.217 And you're like something like sixteen 00:12:21.258 --> 00:12:23.058 hundred episodes in ten years, 00:12:23.099 --> 00:12:24.139 which I'm not a mathematician, 00:12:24.200 --> 00:12:24.921 but I'm glad it's ten. 00:12:24.961 --> 00:12:25.280 It's round. 00:12:25.520 --> 00:12:27.221 It's one hundred and sixty episodes about 00:12:27.562 --> 00:12:28.222 per year, 00:12:28.503 --> 00:12:30.544 which means almost every other day. 00:12:32.125 --> 00:12:33.105 That's intense. 00:12:33.125 --> 00:12:35.307 I need to get out more. 00:12:35.408 --> 00:12:35.988 I know I do. 00:12:36.427 --> 00:12:38.230 All right. 00:12:38.250 --> 00:12:39.009 So you're going to CSM. 00:12:39.070 --> 00:12:39.431 I am. 00:12:39.990 --> 00:12:41.572 You're going to be on the big stage. 00:12:41.631 --> 00:12:42.432 Congratulations. 00:12:42.572 --> 00:12:44.293 Although just because your your thing 00:12:44.354 --> 00:12:46.495 wasn't picked doesn't mean it wasn't a 00:12:46.515 --> 00:12:48.236 good submission. 00:12:48.337 --> 00:12:49.477 Absolutely correct. 00:12:49.558 --> 00:12:50.818 And I will interview anybody who had a 00:12:50.860 --> 00:12:52.181 great submission but didn't get picked. 00:12:52.900 --> 00:12:54.501 There's only so many things that they can 00:12:54.562 --> 00:12:55.383 put on the stage. 00:12:55.403 --> 00:12:56.283 They try to mix it up. 00:12:56.303 --> 00:12:57.524 So it's not the same things or same 00:12:57.565 --> 00:12:58.245 people over again. 00:12:59.426 --> 00:13:00.508 wanted to throw that psa in there a 00:13:00.528 --> 00:13:02.590 little little shot for apta to be like 00:13:02.629 --> 00:13:03.751 we i see what you're trying to do 00:13:03.812 --> 00:13:06.235 it's not easy so what what what is 00:13:06.394 --> 00:13:07.677 what how do we put butts in seats 00:13:07.736 --> 00:13:09.399 what's on the marquee what do you want 00:13:09.458 --> 00:13:11.500 who do you want in the seat who 00:13:11.620 --> 00:13:12.883 who should be there what are they going 00:13:12.903 --> 00:13:14.865 to get when they come see faith is 00:13:14.905 --> 00:13:16.167 it just you or do you have co-speakers 00:13:16.768 --> 00:13:18.169 i do i have a co-speaker 00:13:19.542 --> 00:13:25.304 So Mika and I are presenting. 00:13:25.524 --> 00:13:27.385 Oh, now you've got different Mika. 00:13:27.765 --> 00:13:29.326 Now I've got the last names mixed up. 00:13:29.606 --> 00:13:30.947 Well, I'm going to meet this Mika. 00:13:31.006 --> 00:13:31.548 I'm going to know too. 00:13:31.567 --> 00:13:32.748 You are going to meet Mika. 00:13:32.788 --> 00:13:33.607 She's wonderful. 00:13:34.229 --> 00:13:34.369 Um, 00:13:34.408 --> 00:13:37.070 she works in the residency with me and 00:13:38.051 --> 00:13:39.270 Mika and I are presenting. 00:13:39.311 --> 00:13:39.630 So we're, 00:13:39.931 --> 00:13:42.972 we are both pelvic health specialists and 00:13:43.052 --> 00:13:45.533 we're presenting on a syndrome. 00:13:46.447 --> 00:13:49.211 That the story behind this syndrome, 00:13:49.230 --> 00:13:50.231 which I think is what makes it 00:13:50.312 --> 00:13:50.831 interesting, 00:13:51.011 --> 00:13:53.534 is males were getting on discussion boards 00:13:53.575 --> 00:13:56.517 for years talking about this topic. 00:13:57.577 --> 00:14:02.081 And what we found was that in about 00:14:02.142 --> 00:14:02.903 twenty twenty, 00:14:02.962 --> 00:14:04.764 the medical community finally said we 00:14:04.804 --> 00:14:05.885 should take this seriously. 00:14:05.905 --> 00:14:06.626 This is a thing. 00:14:07.047 --> 00:14:07.847 Only took two decades. 00:14:08.390 --> 00:14:09.672 Yeah, it only took a while. 00:14:10.251 --> 00:14:11.613 So but in twenty twenty, 00:14:11.893 --> 00:14:14.033 the medical community said pelvic health 00:14:14.073 --> 00:14:15.815 therapists are the therapist, 00:14:15.934 --> 00:14:17.755 are the provider of choice to send these 00:14:17.796 --> 00:14:18.417 patients to. 00:14:19.037 --> 00:14:20.937 Guess what we knew about this population? 00:14:20.957 --> 00:14:24.679 Nothing, nothing. 00:14:24.700 --> 00:14:25.780 This was the first thing that was 00:14:25.821 --> 00:14:26.240 published. 00:14:26.860 --> 00:14:29.123 So these patients is called hard flaccid 00:14:29.182 --> 00:14:32.424 syndrome and it is a syndrome, 00:14:32.485 --> 00:14:34.806 meaning that it is not one thing. 00:14:35.336 --> 00:14:36.197 cluster. 00:14:36.317 --> 00:14:37.878 It is a cluster of things. 00:14:38.118 --> 00:14:39.057 Absolutely. 00:14:39.619 --> 00:14:43.380 And so what we started working on together 00:14:44.501 --> 00:14:47.724 was these patients were coming in and they 00:14:47.744 --> 00:14:49.024 were telling us it was just a, 00:14:49.065 --> 00:14:50.565 like a, just a few patients, 00:14:50.645 --> 00:14:52.846 but those of us that started seeing them 00:14:53.466 --> 00:14:57.509 started to see more and more and more. 00:14:58.831 --> 00:14:59.230 And I 00:15:00.972 --> 00:15:03.134 What I think has been interesting for me 00:15:03.174 --> 00:15:03.895 as a clinician, 00:15:03.936 --> 00:15:05.096 now I'm going to have to look up 00:15:05.136 --> 00:15:05.898 her name because y'all, 00:15:05.918 --> 00:15:08.360 it is literally bugging me because it's 00:15:08.500 --> 00:15:09.721 Mitchell is stuck in my head. 00:15:09.761 --> 00:15:10.523 I think it's Bryant. 00:15:10.582 --> 00:15:11.243 It is Bryant. 00:15:11.683 --> 00:15:11.943 Okay. 00:15:12.605 --> 00:15:13.225 Now I feel better. 00:15:13.625 --> 00:15:14.547 Mika Bryant and I, 00:15:14.586 --> 00:15:16.128 she practices in North Carolina. 00:15:17.109 --> 00:15:18.730 We started actually doing teams 00:15:18.791 --> 00:15:22.715 conferencing on these patients because 00:15:23.095 --> 00:15:24.937 there was nothing in the evidence that 00:15:25.984 --> 00:15:27.583 The only thing that we were finding for 00:15:27.624 --> 00:15:28.865 a while were case studies. 00:15:29.565 --> 00:15:31.485 And they were looking at one component of 00:15:31.524 --> 00:15:32.164 the condition, 00:15:32.225 --> 00:15:34.206 the pelvic floor component or the direct 00:15:34.326 --> 00:15:35.245 genital approach. 00:15:36.105 --> 00:15:39.067 And what Mika and I both found was 00:15:39.126 --> 00:15:41.648 that you had to treat the whole person. 00:15:42.827 --> 00:15:46.168 And so per my general population, 00:15:47.048 --> 00:15:50.070 pelvic health therapists who work with 00:15:50.110 --> 00:15:51.490 patients who have syndromes, 00:15:52.280 --> 00:15:54.081 who work with patients who have 00:15:54.142 --> 00:15:56.804 complicating autoimmune, orthopedic, 00:15:56.985 --> 00:15:59.125 yellow flag, lifestyle issues, 00:15:59.787 --> 00:16:01.187 pelvic floor dysfunction, 00:16:01.248 --> 00:16:02.448 sexual dysfunction. 00:16:03.450 --> 00:16:05.650 This is a patient population where all of 00:16:05.691 --> 00:16:07.091 those things merge together. 00:16:07.173 --> 00:16:08.734 And if you aren't addressing each 00:16:08.813 --> 00:16:10.274 component in some way, 00:16:11.296 --> 00:16:13.778 they do not respond well to conservative 00:16:13.817 --> 00:16:14.038 care. 00:16:15.618 --> 00:16:18.599 So what we're doing is this is our 00:16:18.658 --> 00:16:20.580 title is a little bit tongue in cheek. 00:16:21.019 --> 00:16:27.042 So it's called the syndrome itself is a 00:16:27.162 --> 00:16:30.703 partially erect penis and it stays that 00:16:30.724 --> 00:16:30.984 way. 00:16:31.183 --> 00:16:32.604 It never fully relaxes. 00:16:32.924 --> 00:16:34.384 They never get a full erection. 00:16:35.325 --> 00:16:37.306 So we called the presentation. 00:16:37.346 --> 00:16:40.246 It's not that hard clinical reasoning in 00:16:40.267 --> 00:16:41.827 the presentation of hard flaccid. 00:16:44.461 --> 00:16:46.568 No notes. 00:16:46.609 --> 00:16:48.355 Well done. 00:16:48.375 --> 00:16:48.875 Slow clap. 00:16:50.326 --> 00:16:51.587 Because that's the point, right? 00:16:51.628 --> 00:16:53.109 You got to get attention. 00:16:53.448 --> 00:16:55.370 I try to tell people the headline is 00:16:55.389 --> 00:16:56.071 to get attention. 00:16:56.331 --> 00:17:00.134 The sub headline is to explain the 00:17:00.193 --> 00:17:01.855 context, not the other way around. 00:17:02.034 --> 00:17:02.575 So keep going. 00:17:02.875 --> 00:17:03.176 Well done. 00:17:04.375 --> 00:17:06.298 So we came up with the title and 00:17:06.617 --> 00:17:09.259 we present one of my patients that I 00:17:09.299 --> 00:17:11.020 treated for this who got better. 00:17:11.300 --> 00:17:15.584 And we track how he did through treatment. 00:17:15.983 --> 00:17:18.965 But we talk through how do you evaluate 00:17:19.046 --> 00:17:20.007 each of these areas? 00:17:20.747 --> 00:17:23.089 How do you prioritize one area over the 00:17:23.170 --> 00:17:23.410 other? 00:17:23.450 --> 00:17:24.711 And that's where the clinical reasoning 00:17:24.750 --> 00:17:25.531 component comes in. 00:17:25.971 --> 00:17:28.755 So while it is very specifically the 00:17:28.875 --> 00:17:30.977 entire, I want to be very clear, 00:17:31.217 --> 00:17:33.179 I would welcome any specialty, 00:17:33.700 --> 00:17:35.681 but our entire presentation is about 00:17:35.721 --> 00:17:36.041 penises. 00:17:36.061 --> 00:17:36.241 Got it. 00:17:39.377 --> 00:17:41.579 What we talk through specifically is how 00:17:41.599 --> 00:17:43.182 do you clinically reason through a 00:17:43.281 --> 00:17:43.781 syndrome? 00:17:44.522 --> 00:17:46.884 How do you make the decision to prioritize 00:17:46.904 --> 00:17:48.326 the orthopedic dysfunction? 00:17:48.787 --> 00:17:51.789 How do you prioritize the psychosocial? 00:17:52.250 --> 00:17:53.991 How do you get these patients in 00:17:54.051 --> 00:17:54.771 counseling? 00:17:56.294 --> 00:17:58.654 and help them find a counselor who can 00:17:58.714 --> 00:18:00.777 have a conversation about sexual 00:18:00.817 --> 00:18:04.038 dysfunction with compassion and recognize 00:18:04.058 --> 00:18:06.020 there's even an addiction component to 00:18:06.060 --> 00:18:06.260 this. 00:18:06.280 --> 00:18:08.342 So that's where Mika's specialty is. 00:18:08.701 --> 00:18:11.785 Her background prior to being a PT was 00:18:11.845 --> 00:18:15.267 working in the counseling arena with 00:18:15.287 --> 00:18:15.807 addiction. 00:18:16.188 --> 00:18:17.328 What kind of addiction? 00:18:17.568 --> 00:18:20.810 So there's a substance issue? 00:18:20.871 --> 00:18:23.252 It can be substance. 00:18:23.333 --> 00:18:24.854 It can even be masturbation. 00:18:26.604 --> 00:18:28.084 So they, yes, 00:18:28.684 --> 00:18:30.746 this is very much a pelvic health topic, 00:18:31.205 --> 00:18:33.386 but I think it represents well, 00:18:34.027 --> 00:18:36.028 even across orthopedics, 00:18:36.828 --> 00:18:38.609 when we are talking about the fact that 00:18:38.650 --> 00:18:40.151 these patients have to be managed 00:18:40.191 --> 00:18:40.971 holistically. 00:18:41.530 --> 00:18:43.092 And as you evaluate each of these 00:18:43.112 --> 00:18:43.813 components, 00:18:44.492 --> 00:18:47.473 what Mika and I both have found is 00:18:47.554 --> 00:18:47.974 that the 00:18:48.933 --> 00:18:51.075 these patients often have some type of 00:18:51.134 --> 00:18:52.595 past medical history of trauma. 00:18:53.736 --> 00:18:55.936 And so when you are approaching the 00:18:56.017 --> 00:18:56.596 addiction, 00:18:56.656 --> 00:18:59.397 when you are approaching the issues that 00:18:59.438 --> 00:19:00.678 these patients face, 00:19:02.199 --> 00:19:04.180 the compassion has to be completely 00:19:04.220 --> 00:19:06.921 different and they may not tell you. 00:19:07.060 --> 00:19:10.662 So my patient didn't tell me his trauma 00:19:10.781 --> 00:19:13.282 till nine months into treatment. 00:19:13.442 --> 00:19:15.344 Mika's patient, it was over a 00:19:19.500 --> 00:19:23.682 Those are things that if you aren't aware 00:19:23.721 --> 00:19:24.902 that it might be there, 00:19:25.462 --> 00:19:26.982 or you're just assuming they'll tell you 00:19:27.042 --> 00:19:27.683 if it is, 00:19:28.384 --> 00:19:30.464 especially given that it is individuals 00:19:30.505 --> 00:19:32.185 likely to identify as male, 00:19:33.046 --> 00:19:34.507 they just might not talk about it. 00:19:35.968 --> 00:19:36.489 Um, 00:19:36.568 --> 00:19:38.150 I've never talked about this in the show, 00:19:38.329 --> 00:19:39.611 but I, I have a penis. 00:19:39.871 --> 00:19:41.491 And if I had this, like, 00:19:41.612 --> 00:19:42.272 I'm just trying to picture, 00:19:42.292 --> 00:19:43.192 cause that's what we do, right? 00:19:43.232 --> 00:19:45.494 We try to empathy, not sympathy, empathy, 00:19:45.515 --> 00:19:45.835 empathy. 00:19:46.154 --> 00:19:48.916 So I'm just like, gosh, that would be, 00:19:50.117 --> 00:19:50.979 that would be devastating. 00:19:51.118 --> 00:19:51.358 Right? 00:19:51.398 --> 00:19:53.661 Like, and what you said, 00:19:53.780 --> 00:19:54.701 then of course I go to what you 00:19:54.721 --> 00:19:55.541 said before, which is like, 00:19:55.582 --> 00:19:56.122 what do we do? 00:19:56.843 --> 00:19:57.923 We ask for advice. 00:19:58.443 --> 00:20:00.025 You can't ask one of your buddies, right? 00:20:00.045 --> 00:20:01.105 You're probably not going to, you could, 00:20:01.165 --> 00:20:02.906 but hopefully you're probably not going 00:20:02.946 --> 00:20:04.268 to, you're going to do this, 00:20:04.627 --> 00:20:04.949 go to the, 00:20:05.729 --> 00:20:06.028 Reddit, 00:20:06.048 --> 00:20:07.431 you're going to log in with your burner 00:20:07.451 --> 00:20:08.152 account, right? 00:20:08.271 --> 00:20:09.472 The account no one can track you with. 00:20:10.134 --> 00:20:11.755 And you're going to find nothing. 00:20:12.276 --> 00:20:13.057 And then you're going to go, 00:20:13.457 --> 00:20:15.659 I'm the only person who's dealing with 00:20:15.679 --> 00:20:15.920 this. 00:20:16.480 --> 00:20:16.961 Absolutely. 00:20:17.101 --> 00:20:18.162 And then you're not going to go anywhere 00:20:18.201 --> 00:20:21.285 else because no one ever put down an 00:20:21.365 --> 00:20:22.707 exit sign that said, actually, 00:20:22.787 --> 00:20:23.928 if you have this, go this way. 00:20:24.248 --> 00:20:26.049 So for a long time, this was happening. 00:20:27.131 --> 00:20:28.873 That sounds awful. 00:20:30.050 --> 00:20:32.031 It was definitely for these patients. 00:20:32.152 --> 00:20:34.272 They were having to self-support one 00:20:34.292 --> 00:20:35.933 another when they did find each other. 00:20:36.233 --> 00:20:36.673 Yeah. 00:20:36.753 --> 00:20:37.734 Even if you did find each other. 00:20:37.795 --> 00:20:39.394 So like that is sort of how the 00:20:39.414 --> 00:20:40.115 internet, right? 00:20:40.556 --> 00:20:41.615 Cause even in the, 00:20:41.816 --> 00:20:44.178 in the medical community for a long time, 00:20:44.377 --> 00:20:46.157 this was discredited and they've even 00:20:46.218 --> 00:20:47.898 started doing studies now and they're 00:20:47.939 --> 00:20:49.759 still providers who don't believe this is 00:20:49.839 --> 00:20:51.361 a syndrome or an issue. 00:20:51.441 --> 00:20:51.580 Yeah. 00:20:52.031 --> 00:20:55.633 And it is devastating. 00:20:55.673 --> 00:20:56.334 Quite literally, 00:20:56.413 --> 00:20:58.054 there's visible proof of this. 00:20:58.134 --> 00:20:58.775 There is. 00:21:00.154 --> 00:21:02.175 You're talking about what you're talking 00:21:02.195 --> 00:21:02.296 about. 00:21:02.316 --> 00:21:02.715 You're seeing. 00:21:02.756 --> 00:21:03.236 You can see it. 00:21:03.756 --> 00:21:04.196 You can see it. 00:21:04.217 --> 00:21:04.957 It's difficult to fake. 00:21:05.217 --> 00:21:06.057 I mean, I have one of these. 00:21:06.076 --> 00:21:08.178 That'd be difficult to fake. 00:21:08.218 --> 00:21:08.738 Correct. 00:21:09.377 --> 00:21:09.739 No, that's... 00:21:11.521 --> 00:21:12.583 I think in medicine, 00:21:12.603 --> 00:21:14.644 and this is a faith soapbox, 00:21:14.784 --> 00:21:16.404 and it's something I had to get over 00:21:16.444 --> 00:21:19.586 with as someone who practices in complex 00:21:19.626 --> 00:21:20.166 cases, 00:21:20.946 --> 00:21:23.048 we get really comfortable being the expert 00:21:23.068 --> 00:21:23.608 in the room. 00:21:24.568 --> 00:21:26.911 And anytime we are not the expert in 00:21:26.971 --> 00:21:28.832 something, it makes us uncomfortable. 00:21:29.776 --> 00:21:32.416 And our discomfort as a human is going 00:21:32.457 --> 00:21:34.278 to cause us to respond in a certain 00:21:34.317 --> 00:21:34.538 way. 00:21:34.637 --> 00:21:36.919 So each individual is going to have a 00:21:36.959 --> 00:21:38.000 different response to that. 00:21:38.039 --> 00:21:39.921 And I find that in the medical community, 00:21:40.381 --> 00:21:42.261 especially with sexual dysfunction, 00:21:42.281 --> 00:21:44.103 and that's why Mika and I were so 00:21:44.182 --> 00:21:45.844 excited to present this together, 00:21:46.463 --> 00:21:48.265 is she messaged me and said, 00:21:49.105 --> 00:21:49.404 Faith, 00:21:49.484 --> 00:21:51.326 no one is presenting on male sexual 00:21:51.365 --> 00:21:51.685 function. 00:21:51.705 --> 00:21:53.106 There's a lot of stuff on females. 00:21:53.146 --> 00:21:54.587 Last year, they only had, 00:21:54.847 --> 00:21:56.308 I forget how many male talks. 00:21:56.328 --> 00:21:58.230 And she's like, this is an issue. 00:21:58.250 --> 00:21:59.089 This is a problem. 00:21:59.109 --> 00:22:00.471 We've both struggled with this. 00:22:00.550 --> 00:22:01.852 We need to present on this. 00:22:02.551 --> 00:22:04.153 And so we we put in to do 00:22:04.192 --> 00:22:04.953 it together. 00:22:05.034 --> 00:22:07.954 But just the medical providers I speak to 00:22:07.994 --> 00:22:08.295 now, 00:22:08.335 --> 00:22:10.135 when they say I'm not comfortable talking 00:22:10.175 --> 00:22:10.676 about that. 00:22:11.616 --> 00:22:13.118 Mika and I will tell them, that's fine. 00:22:14.119 --> 00:22:14.539 That's fine. 00:22:14.579 --> 00:22:16.182 If they start talking to you and you're 00:22:16.201 --> 00:22:17.762 uncomfortable, send them to me. 00:22:18.163 --> 00:22:19.085 I will screen them. 00:22:19.224 --> 00:22:20.986 If they are not appropriate for my office, 00:22:21.126 --> 00:22:22.448 I will let you know where they need 00:22:22.468 --> 00:22:22.887 to go. 00:22:23.388 --> 00:22:25.550 But if this is not a conversation you're 00:22:25.611 --> 00:22:26.932 comfortable having, that is, 00:22:27.653 --> 00:22:29.595 I don't know where that provider is coming 00:22:29.654 --> 00:22:29.894 from, 00:22:29.994 --> 00:22:31.557 either from past experiences 00:22:32.076 --> 00:22:34.157 experiences or training. 00:22:34.798 --> 00:22:36.558 I am trained to talk about this. 00:22:36.659 --> 00:22:38.299 I am comfortable talking about this. 00:22:38.339 --> 00:22:39.759 So just send them to me. 00:22:39.839 --> 00:22:41.101 Please do not send them back to the 00:22:41.141 --> 00:22:41.580 internet. 00:22:41.921 --> 00:22:42.580 Yeah. 00:22:42.601 --> 00:22:44.362 So this is a talk that's going to 00:22:44.402 --> 00:22:45.502 be about a case study. 00:22:46.462 --> 00:22:47.383 This is a talk that's going to be 00:22:47.423 --> 00:22:49.124 about a syndrome that like maybe a lot 00:22:49.163 --> 00:22:49.604 of people, I mean, 00:22:49.844 --> 00:22:50.704 maybe a lot of people in the room 00:22:50.765 --> 00:22:51.204 won't know. 00:22:52.133 --> 00:22:53.453 But this is also gonna be a talk 00:22:53.493 --> 00:22:55.295 about how you reasoned your way through 00:22:55.315 --> 00:22:55.434 this. 00:22:55.474 --> 00:22:56.155 So even if you're like, 00:22:56.215 --> 00:22:57.115 I don't treat pelvic, 00:22:57.395 --> 00:23:00.798 I might never see a patient like this, 00:23:01.038 --> 00:23:02.358 there's still gonna be a component where 00:23:02.378 --> 00:23:03.000 you're like, hey, 00:23:03.039 --> 00:23:04.401 here's this thing that no one knew 00:23:04.421 --> 00:23:07.423 anything about, and here was what we saw, 00:23:07.522 --> 00:23:08.262 and then here's what we did, 00:23:08.282 --> 00:23:09.284 and here's what happened. 00:23:09.903 --> 00:23:11.384 And PTs, I mean, from what I know, 00:23:11.424 --> 00:23:12.605 PTs love stuff like that. 00:23:12.625 --> 00:23:13.184 So even if you're like, 00:23:13.305 --> 00:23:14.546 this doesn't make any sense. 00:23:15.105 --> 00:23:16.526 I love things that don't make any sense 00:23:16.546 --> 00:23:17.205 looking forward, 00:23:17.365 --> 00:23:18.586 like someone who's going to work with 00:23:18.626 --> 00:23:20.047 reptiles, but now as a PT. 00:23:20.406 --> 00:23:21.567 And then you look backwards and you're 00:23:21.587 --> 00:23:24.009 like, oh, all the dots line up. 00:23:24.048 --> 00:23:25.048 That makes perfect sense. 00:23:25.068 --> 00:23:27.029 So even if you're like, ah, male pelvic, 00:23:27.089 --> 00:23:27.690 no thanks. 00:23:28.910 --> 00:23:30.351 Feels like there's still some gems. 00:23:31.611 --> 00:23:32.090 There is, 00:23:32.171 --> 00:23:34.051 especially for the orthopedic component. 00:23:34.071 --> 00:23:35.071 That's something I've... 00:23:35.673 --> 00:23:36.712 Which section is this in? 00:23:37.711 --> 00:23:39.071 This is in pelvic health. 00:23:39.112 --> 00:23:39.372 Got it. 00:23:39.451 --> 00:23:39.932 Okay. 00:23:39.951 --> 00:23:40.692 But it's sneaky. 00:23:40.791 --> 00:23:43.173 Cause it's like it's in pelvic health, 00:23:43.212 --> 00:23:43.953 but you're like, Hey, 00:23:44.814 --> 00:23:45.834 just don't overlook it. 00:23:45.854 --> 00:23:46.335 That's the, 00:23:46.355 --> 00:23:48.115 that's the cool part about CSM is like 00:23:48.615 --> 00:23:49.036 it got, 00:23:49.096 --> 00:23:51.436 and for people don't know each section 00:23:52.217 --> 00:23:52.916 puts forth, 00:23:52.936 --> 00:23:54.758 there is allowed X number of talks per 00:23:54.798 --> 00:23:55.337 day, whatever, 00:23:55.377 --> 00:23:57.298 because capacity and money and that's how 00:23:57.318 --> 00:23:57.578 it works. 00:23:58.298 --> 00:23:59.619 And, um, 00:24:00.996 --> 00:24:02.738 Even if you're like, I'm an ortho PT, 00:24:03.259 --> 00:24:05.441 I would say you're doing yourself and your 00:24:05.480 --> 00:24:08.565 patients a disservice if you stay only on 00:24:08.605 --> 00:24:09.705 the ortho track. 00:24:10.105 --> 00:24:10.426 Right. 00:24:10.606 --> 00:24:12.429 Like, hey, man, you bro out on that. 00:24:13.529 --> 00:24:15.392 Three hundred and sixty two days a year, 00:24:16.192 --> 00:24:18.855 maybe it's called combined sections, 00:24:18.915 --> 00:24:20.157 meaning they're all there. 00:24:21.003 --> 00:24:23.224 dip man like touch a little like you 00:24:23.244 --> 00:24:24.766 know remember remember trivial pursuit 00:24:25.086 --> 00:24:27.086 don't just get green wedges like get a 00:24:27.126 --> 00:24:29.407 blue get a yellow get a pink so 00:24:29.428 --> 00:24:32.449 when you leave your pie is full so 00:24:32.489 --> 00:24:34.529 if you were considering taking jimmy's 00:24:34.549 --> 00:24:36.530 approach which i do i do agree with 00:24:37.392 --> 00:24:39.333 the reason why a talk like this can 00:24:39.373 --> 00:24:43.115 be so important is specifically as as 00:24:43.194 --> 00:24:46.715 someone who identifies as female this can 00:24:46.756 --> 00:24:48.957 be incredibly hard for male patients to 00:24:48.997 --> 00:24:49.798 speak with me about 00:24:50.669 --> 00:24:53.711 And they may talk to someone who appears 00:24:53.750 --> 00:24:54.750 to identify as male. 00:24:55.471 --> 00:24:57.393 This is a conversation these patients 00:24:57.432 --> 00:24:57.853 bring up. 00:24:57.893 --> 00:25:00.454 And Mika and I both had the experience 00:25:00.515 --> 00:25:02.655 where we were learning how to navigate 00:25:02.675 --> 00:25:06.597 these conversations to ask appropriate 00:25:06.637 --> 00:25:06.998 questions. 00:25:07.018 --> 00:25:09.078 Like these are challenging conversations 00:25:09.118 --> 00:25:10.460 to have with patients. 00:25:11.039 --> 00:25:12.922 And if you've ever had the experience 00:25:12.942 --> 00:25:14.162 where a patient has brought up an 00:25:14.201 --> 00:25:15.303 uncomfortable topic, 00:25:16.300 --> 00:25:18.823 and you didn't know how to respond in 00:25:18.863 --> 00:25:20.084 a way that was going to be the 00:25:20.124 --> 00:25:21.305 most supportive of them, 00:25:22.365 --> 00:25:24.548 that is what we go through in this 00:25:24.607 --> 00:25:28.171 talk is how did we learn to communicate 00:25:28.191 --> 00:25:30.092 to these patients to normalize what 00:25:30.132 --> 00:25:32.693 they're feeling, to reassure them, 00:25:33.234 --> 00:25:34.976 to talk them through the process, 00:25:35.236 --> 00:25:37.218 to get them to the right specialist, 00:25:37.698 --> 00:25:40.320 but recognizing that in syndromes, 00:25:40.361 --> 00:25:42.082 a lot of times the PT is 00:25:42.951 --> 00:25:44.174 becomes the PCP. 00:25:44.655 --> 00:25:47.423 We are the provider in the middle that 00:25:47.462 --> 00:25:49.468 is comfortable talking about everything, 00:25:49.688 --> 00:25:50.671 but knows, okay, 00:25:50.711 --> 00:25:52.255 it's time to send you to this person. 00:25:53.001 --> 00:25:53.162 Okay, 00:25:53.201 --> 00:25:55.022 it's time to loop this person into the 00:25:55.083 --> 00:25:57.042 equation. 00:25:57.083 --> 00:26:00.743 So I'm excited because I enjoy talking 00:26:00.784 --> 00:26:01.825 through clinical reasoning. 00:26:01.884 --> 00:26:03.865 I think that's one of those topics that 00:26:04.265 --> 00:26:05.405 we need a class on, 00:26:05.425 --> 00:26:07.165 but a class on clinical reasoning doesn't 00:26:07.246 --> 00:26:07.905 usually sell. 00:26:08.705 --> 00:26:11.707 And it's usually hard to frame into a 00:26:11.767 --> 00:26:14.488 curriculum because it's best done when 00:26:14.528 --> 00:26:16.528 we're doing it on live patients or on 00:26:16.588 --> 00:26:17.848 real patient case studies. 00:26:18.808 --> 00:26:19.670 So for me, 00:26:19.730 --> 00:26:21.351 I think the thing that's exciting about 00:26:21.391 --> 00:26:24.814 this is to take the patient case all 00:26:24.854 --> 00:26:27.915 the way through to recognize that the 00:26:27.996 --> 00:26:30.377 standard clinical presentation now has 00:26:30.417 --> 00:26:31.439 some variation. 00:26:32.839 --> 00:26:35.701 And to be able to reason through, 00:26:35.902 --> 00:26:37.403 is this condition present? 00:26:38.203 --> 00:26:40.484 Recognize medical providers in your area 00:26:40.525 --> 00:26:41.987 may tell you it's not even a real 00:26:42.027 --> 00:26:43.567 thing and not want to treat it. 00:26:44.707 --> 00:26:46.147 How do you help them find the right 00:26:46.188 --> 00:26:46.728 provider? 00:26:46.867 --> 00:26:48.450 But then for me, 00:26:48.849 --> 00:26:51.050 as I was in my fellowship specifically, 00:26:52.231 --> 00:26:55.534 I was exposed to some training. 00:26:55.594 --> 00:26:57.836 I believe her name was Hughes in twenty 00:26:57.875 --> 00:26:58.115 twenty. 00:26:58.155 --> 00:26:58.875 Christina Hughes. 00:26:59.376 --> 00:27:02.798 She did a paper on patients who had 00:27:02.838 --> 00:27:05.141 been in pelvic health and failed pelvic 00:27:05.181 --> 00:27:07.201 health like they did not recover. 00:27:07.362 --> 00:27:08.982 Sexual function, prolapse, 00:27:09.063 --> 00:27:10.183 urinary incontinence, et cetera. 00:27:10.644 --> 00:27:12.506 She took an exhaustive approach to the 00:27:12.546 --> 00:27:12.905 spine. 00:27:14.798 --> 00:27:18.040 and all of them got better. 00:27:18.121 --> 00:27:20.082 And it really challenged me to say, 00:27:20.241 --> 00:27:21.682 how good is my spine exam? 00:27:22.624 --> 00:27:24.365 And when we look at this syndrome, 00:27:25.474 --> 00:27:28.116 there are two places the spine can really 00:27:28.136 --> 00:27:29.979 begin to play into their presentation. 00:27:30.038 --> 00:27:31.680 And that's something that Mika and I both 00:27:31.700 --> 00:27:35.983 have found clinically is that we have to 00:27:36.044 --> 00:27:37.424 be exhaustive. 00:27:37.525 --> 00:27:39.686 We have to progress through full range of 00:27:39.767 --> 00:27:43.190 motion with overpressure and make sure 00:27:43.230 --> 00:27:45.971 we're addressing any type of source of 00:27:46.011 --> 00:27:48.193 those symptoms just because of where it 00:27:48.213 --> 00:27:49.015 can get disrupted. 00:27:49.035 --> 00:27:49.434 And again, 00:27:49.474 --> 00:27:51.196 there's a lot of wonderful researchers 00:27:51.237 --> 00:27:53.338 that specialize in sexual medicine only 00:27:54.019 --> 00:27:56.221 doing research in this population now 00:27:56.281 --> 00:27:58.123 trying to understand those mechanisms. 00:27:59.125 --> 00:28:00.306 I love theory. 00:28:01.152 --> 00:28:02.673 but i want to know what i need 00:28:02.712 --> 00:28:05.115 to do monday because they're going to be 00:28:05.154 --> 00:28:07.156 here on monday so there's a lot of 00:28:07.257 --> 00:28:10.180 theory going around right now um we will 00:28:10.220 --> 00:28:12.981 briefly touch on that in our talk but 00:28:13.061 --> 00:28:15.703 we are mostly talking boots on the ground 00:28:15.845 --> 00:28:17.625 what do you need to do on monday 00:28:17.705 --> 00:28:20.008 what do you need to hand them when 00:28:20.028 --> 00:28:22.410 they come in the door what message do 00:28:22.450 --> 00:28:25.152 they need to hear what's their prognosis 00:28:26.012 --> 00:28:27.634 How long is it going to take to 00:28:27.673 --> 00:28:29.795 do an evaluation on this person? 00:28:30.715 --> 00:28:34.679 What should you allocate for time-wise if 00:28:34.719 --> 00:28:36.460 they are uncomfortable with a certain type 00:28:36.500 --> 00:28:37.140 of provider? 00:28:37.180 --> 00:28:39.541 How can you supplement care in that area 00:28:39.582 --> 00:28:40.903 to keep them moving forward? 00:28:41.383 --> 00:28:42.723 So our hope is to make it a 00:28:42.743 --> 00:28:44.984 really practical approach to a challenging 00:28:45.025 --> 00:28:48.086 case, pulling all of those components in. 00:28:48.106 --> 00:28:49.268 Do you know when it is? 00:28:49.587 --> 00:28:50.189 When's your talk? 00:28:50.209 --> 00:28:52.470 It's on Thursday. 00:28:52.509 --> 00:28:53.931 I don't remember the date yet. 00:28:54.278 --> 00:28:54.678 Thursday. 00:28:55.198 --> 00:28:57.398 I think Valentine's Day is Saturday. 00:28:57.419 --> 00:28:59.279 So, fourteen, thirteen, twelfth. 00:28:59.299 --> 00:29:00.441 The twelfth at two. 00:29:00.941 --> 00:29:01.260 At two. 00:29:01.441 --> 00:29:02.422 And say the name again, 00:29:02.501 --> 00:29:03.761 just so people will mark it down. 00:29:03.842 --> 00:29:04.863 I'll put it in the show notes, too. 00:29:05.423 --> 00:29:06.483 It's not that hard. 00:29:06.663 --> 00:29:08.845 Clinical reasoning in the management of 00:29:08.865 --> 00:29:09.625 hard flaccid. 00:29:09.704 --> 00:29:11.905 You got to earn their attention to get 00:29:11.925 --> 00:29:13.047 them get butts in seats. 00:29:13.487 --> 00:29:14.346 I'm not going to lie. 00:29:14.406 --> 00:29:15.968 I was a little disappointed not to get 00:29:16.008 --> 00:29:17.949 Valentine's Day because I thought like a 00:29:17.989 --> 00:29:19.890 penis talk on Valentine's Day was actually 00:29:19.910 --> 00:29:20.730 going to be pretty fun. 00:29:20.769 --> 00:29:21.851 But I'll take Thursday. 00:29:22.474 --> 00:29:24.195 It's pre-Valentine's Day, little surprise. 00:29:24.636 --> 00:29:25.317 Yes, it is. 00:29:26.337 --> 00:29:27.117 We got to pay some bills. 00:29:27.137 --> 00:29:30.500 Hang tight one second. 00:29:30.540 --> 00:29:33.002 Episode is sponsored by Empower EMR. 00:29:33.303 --> 00:29:36.644 It's built by physical therapists for 00:29:36.944 --> 00:29:39.027 physical therapists with customizable 00:29:39.067 --> 00:29:39.446 templates, 00:29:39.487 --> 00:29:40.807 lightning fast documentation and 00:29:40.847 --> 00:29:43.230 scheduling that actually makes sense in 00:29:43.250 --> 00:29:43.769 this world. 00:29:44.191 --> 00:29:47.153 Empower EMR is the EMR your team deserves. 00:29:47.252 --> 00:29:48.413 Learn more, take a test drive, 00:29:48.433 --> 00:29:49.634 kick the tires, light the fires. 00:29:50.035 --> 00:29:51.215 Empower EMR. 00:29:52.797 --> 00:29:54.298 And we want to make sure you know 00:29:54.318 --> 00:29:55.740 about this organization. 00:29:56.020 --> 00:29:56.922 If you haven't heard about them, 00:29:57.323 --> 00:29:59.526 my first exposure was at an APTA national 00:29:59.566 --> 00:30:00.026 conference. 00:30:00.046 --> 00:30:01.367 It was called Go Baby Go, 00:30:01.847 --> 00:30:03.691 supporting pediatric mobility and play for 00:30:03.730 --> 00:30:06.094 children of all abilities through those 00:30:06.114 --> 00:30:07.335 little modified, you know, 00:30:07.355 --> 00:30:08.537 the battery powered cars. 00:30:08.817 --> 00:30:10.199 You modify them and make it's like a 00:30:10.259 --> 00:30:10.719 hackathon. 00:30:11.460 --> 00:30:11.779 And this way, 00:30:11.819 --> 00:30:13.481 kids have mobility devices and they don't 00:30:13.501 --> 00:30:13.842 have to, like, 00:30:14.142 --> 00:30:16.002 pay for wheelchairs that cost thousands 00:30:16.022 --> 00:30:16.784 and thousands of dollars. 00:30:17.023 --> 00:30:17.565 And they're awesome. 00:30:17.845 --> 00:30:19.385 And then you can help build them. 00:30:19.465 --> 00:30:20.406 It's all open sourced. 00:30:20.606 --> 00:30:21.446 Let kids be kids, 00:30:21.528 --> 00:30:23.169 even if they roll a little different. 00:30:23.528 --> 00:30:25.410 Learn how to donate or get involved at 00:30:25.450 --> 00:30:26.911 GoBabyGo.org. 00:30:26.991 --> 00:30:28.712 That was Cole Galloway who kicked off that 00:30:28.732 --> 00:30:29.133 initiative. 00:30:29.153 --> 00:30:30.574 And I saw him in an APTA event. 00:30:30.634 --> 00:30:31.515 That was the first time I ever heard 00:30:31.535 --> 00:30:31.934 him speak. 00:30:32.375 --> 00:30:32.615 All right. 00:30:32.736 --> 00:30:33.797 So you have a meeting. 00:30:34.557 --> 00:30:36.098 But I want to make sure that we 00:30:36.118 --> 00:30:36.740 get to this. 00:30:37.339 --> 00:30:38.260 I post on LinkedIn. 00:30:38.401 --> 00:30:40.403 I now treat LinkedIn like Twitter. 00:30:41.084 --> 00:30:41.845 I posted something. 00:30:42.165 --> 00:30:43.446 You didn't disagree with me, 00:30:43.606 --> 00:30:44.448 but you were like, hey, 00:30:45.088 --> 00:30:47.270 and I think we probably most likely agree 00:30:47.551 --> 00:30:48.432 on what I said, 00:30:48.512 --> 00:30:49.753 but we'll bring it on. 00:30:49.773 --> 00:30:50.114 We'll learn. 00:30:50.394 --> 00:30:51.855 So I will read the post. 00:30:52.136 --> 00:30:53.498 I said, hey, unpopular opinion. 00:30:54.038 --> 00:30:55.380 Nobody cares about what you did. 00:30:56.080 --> 00:30:57.362 Not on LinkedIn, not on Instagram, 00:30:57.382 --> 00:30:58.362 not on Facebook, nowhere. 00:30:58.782 --> 00:30:59.403 I wrote a book. 00:30:59.923 --> 00:31:00.963 I launched a podcast. 00:31:01.023 --> 00:31:01.864 I posted a video. 00:31:01.943 --> 00:31:03.065 Cool, great, fantastic. 00:31:03.424 --> 00:31:05.465 But what does it have to do for 00:31:05.726 --> 00:31:06.906 me? 00:31:06.926 --> 00:31:08.188 This is the lesson that I'm trying to 00:31:08.228 --> 00:31:08.788 show people. 00:31:08.807 --> 00:31:11.170 I'm trying to grab their attention, faith, 00:31:11.410 --> 00:31:12.470 and then teach them the lesson. 00:31:12.490 --> 00:31:13.510 I got to get their attention first. 00:31:14.090 --> 00:31:15.751 I continue to say social media isn't your 00:31:15.791 --> 00:31:16.393 trophy shelf. 00:31:16.413 --> 00:31:17.313 It's a value exchange. 00:31:17.633 --> 00:31:19.334 People care about four main things. 00:31:19.933 --> 00:31:21.355 Does this save me time, make me money, 00:31:21.375 --> 00:31:22.036 make me better? 00:31:22.435 --> 00:31:23.757 Does this make me laugh for a second? 00:31:24.501 --> 00:31:25.182 If the answer's no, 00:31:25.201 --> 00:31:26.623 then your post is just a digital pat 00:31:26.643 --> 00:31:27.022 on the back. 00:31:27.343 --> 00:31:28.163 And congratulations, 00:31:28.182 --> 00:31:29.443 you're seconds away from dislocating your 00:31:29.463 --> 00:31:29.763 shoulder. 00:31:30.023 --> 00:31:31.544 Don't dislocate your shoulder patting your 00:31:31.585 --> 00:31:31.845 back. 00:31:32.625 --> 00:31:33.444 Want people to listen? 00:31:33.924 --> 00:31:35.306 Want your stuff to sound like it matters? 00:31:35.405 --> 00:31:37.145 Stop announcing your accomplishments and 00:31:37.165 --> 00:31:38.646 start explaining how what you do lifts 00:31:38.686 --> 00:31:39.247 other people up. 00:31:39.666 --> 00:31:40.708 When you help someone rise, 00:31:40.867 --> 00:31:42.327 suddenly everyone starts paying attention. 00:31:42.448 --> 00:31:44.068 And then you said counterargument. 00:31:44.128 --> 00:31:44.808 And I love counterarguments. 00:31:44.828 --> 00:31:45.890 Do you want to read your counterargument 00:31:46.089 --> 00:31:48.790 in your voice? 00:31:48.871 --> 00:31:49.851 Expand it for me. 00:31:50.211 --> 00:31:50.730 All right. 00:31:51.131 --> 00:31:52.311 So my counterargument... 00:31:53.193 --> 00:31:54.234 was to ask, 00:31:54.855 --> 00:31:56.596 what if this individual is a minority, 00:31:57.155 --> 00:31:59.797 marginalized, or atypical in their field? 00:32:00.438 --> 00:32:02.818 So these individuals inspire others who 00:32:02.898 --> 00:32:04.619 identify with them to see these 00:32:04.660 --> 00:32:06.381 accomplishments as achievable. 00:32:07.805 --> 00:32:09.247 I often work with students who are 00:32:09.287 --> 00:32:11.269 first-generation college graduates. 00:32:11.608 --> 00:32:13.631 Posting means that our community, 00:32:13.671 --> 00:32:15.752 so our PT community, 00:32:16.173 --> 00:32:17.634 can support and cheer for them in a 00:32:17.694 --> 00:32:21.137 way that their environment can't because 00:32:21.159 --> 00:32:23.540 they don't understand their experience. 00:32:23.701 --> 00:32:25.202 And for me, 00:32:25.282 --> 00:32:26.824 this could certainly fall under how does 00:32:26.844 --> 00:32:27.684 this make me better? 00:32:27.704 --> 00:32:27.785 Yeah. 00:32:28.826 --> 00:32:31.268 But I want to see their accomplishments. 00:32:31.567 --> 00:32:32.528 I want to promote them. 00:32:32.588 --> 00:32:33.609 I want to cheer for them, 00:32:34.009 --> 00:32:35.490 especially in these cases. 00:32:36.372 --> 00:32:38.073 But then the flip side of that argument 00:32:38.113 --> 00:32:39.534 is when we're trying to fight for 00:32:39.614 --> 00:32:40.214 equality. 00:32:41.294 --> 00:32:43.454 we can't decide who that goes to. 00:32:43.494 --> 00:32:44.596 It has to be for everyone. 00:32:45.317 --> 00:32:48.179 So I'm okay with posting accomplishments 00:32:48.459 --> 00:32:50.460 and maybe that's my unpopular opinion, 00:32:50.539 --> 00:32:50.960 but if I, 00:32:51.421 --> 00:32:53.301 I don't know if someone is a minority, 00:32:53.461 --> 00:32:54.442 if they're atypical, 00:32:54.583 --> 00:32:56.183 if they're marginalized in some way. 00:32:57.045 --> 00:32:57.805 Um, so it's, 00:32:57.964 --> 00:32:59.486 it is easier for me to say, 00:32:59.526 --> 00:33:01.366 you know what you post it, 00:33:01.667 --> 00:33:02.667 what you do is on you. 00:33:02.708 --> 00:33:04.409 What I do is on me and I'd 00:33:04.449 --> 00:33:05.009 rather clap. 00:33:05.458 --> 00:33:06.077 Yeah, yeah. 00:33:06.378 --> 00:33:07.078 I don't disagree. 00:33:07.179 --> 00:33:08.279 I think we probably are more... 00:33:09.401 --> 00:33:10.902 So thank you for challenging me because 00:33:11.122 --> 00:33:13.463 I'm not here to just post stuff and 00:33:13.483 --> 00:33:14.324 have everybody agree with me. 00:33:15.305 --> 00:33:16.125 I agree, a hundred percent. 00:33:19.367 --> 00:33:20.107 I'm struggling with like, 00:33:20.388 --> 00:33:21.249 that's what I meant, 00:33:21.709 --> 00:33:22.750 but it isn't what I said. 00:33:23.211 --> 00:33:24.330 But I don't disagree with you. 00:33:24.431 --> 00:33:25.071 So I'm just like, where... 00:33:25.432 --> 00:33:27.192 So maybe if I had added like to 00:33:27.252 --> 00:33:28.253 motivate others, 00:33:28.874 --> 00:33:31.195 because like I did something amazing. 00:33:31.415 --> 00:33:32.596 I'm here for it. 00:33:33.698 --> 00:33:34.999 I guess my problem is... 00:33:36.650 --> 00:33:37.490 Especially PTs. 00:33:39.373 --> 00:33:40.493 When they wrote a book, 00:33:41.755 --> 00:33:43.296 it takes them months or years. 00:33:44.037 --> 00:33:45.637 Faith, I'm excited when I read a book. 00:33:46.398 --> 00:33:47.539 I pat myself on the back when I 00:33:47.599 --> 00:33:48.540 finish reading a book. 00:33:48.840 --> 00:33:52.545 I cannot imagine or fathom writing a book. 00:33:52.865 --> 00:33:53.566 My problem, 00:33:53.586 --> 00:33:55.067 what I'm trying to get people to see 00:33:55.768 --> 00:33:56.608 is, I agree with you, 00:33:57.884 --> 00:33:59.605 You took nine months to write a book 00:34:00.045 --> 00:34:02.086 and fourteen seconds to post about it. 00:34:02.487 --> 00:34:03.846 You said, I wrote a book. 00:34:04.228 --> 00:34:05.587 What I want you to say is, 00:34:06.249 --> 00:34:07.788 look what I'm able to help you unlock. 00:34:09.030 --> 00:34:10.311 Because that will get people to go, 00:34:10.451 --> 00:34:12.172 hang on a second, what does that mean? 00:34:12.672 --> 00:34:14.452 So you're right. 00:34:15.052 --> 00:34:17.295 Your critique of what I said was right. 00:34:18.041 --> 00:34:18.922 What I'm trying to figure out is how 00:34:18.942 --> 00:34:19.541 do I say it better? 00:34:19.563 --> 00:34:22.465 Because what I meant is if someone did 00:34:22.525 --> 00:34:24.887 something from a minority, 00:34:25.307 --> 00:34:28.570 how do we make sure everybody recognizes, 00:34:28.710 --> 00:34:31.172 lifts that person up so that what you're 00:34:31.193 --> 00:34:32.675 saying is more people see it? 00:34:33.255 --> 00:34:34.617 I was doing it more of a reframe, 00:34:34.657 --> 00:34:35.097 which is like, 00:34:35.237 --> 00:34:36.438 I see what a lot of you are 00:34:36.458 --> 00:34:36.719 doing. 00:34:37.179 --> 00:34:37.820 I wrote a paper. 00:34:38.726 --> 00:34:40.148 Tell me what I'm going to get if 00:34:40.228 --> 00:34:41.829 I give you eleven minutes to read the 00:34:41.889 --> 00:34:43.692 paper, if I could even access the paper. 00:34:45.514 --> 00:34:46.615 Please give me free access to. 00:34:46.635 --> 00:34:51.322 I got to see so much greatness going 00:34:51.362 --> 00:34:51.922 around. 00:34:51.983 --> 00:34:52.784 Like I launched, 00:34:53.063 --> 00:34:54.826 I published another podcast episode. 00:34:55.778 --> 00:34:56.798 Cool story, Jimmy. 00:34:56.858 --> 00:34:57.679 That's about you. 00:34:57.880 --> 00:34:59.639 What I want to say is we're going 00:34:59.659 --> 00:35:02.621 to make sense of lizards and clinical 00:35:02.661 --> 00:35:06.061 reasoning with mildly flaccid penises, 00:35:06.422 --> 00:35:07.862 and you're going to walk out not feeling 00:35:07.922 --> 00:35:10.242 uncomfortable if this ever comes to you. 00:35:10.382 --> 00:35:12.123 You know what I mean? 00:35:12.362 --> 00:35:13.842 I recorded a podcast episode, 00:35:14.182 --> 00:35:15.744 as the kids would say, cool story, bro. 00:35:15.804 --> 00:35:16.423 Tell it again. 00:35:16.864 --> 00:35:17.923 So I don't disagree with you. 00:35:17.943 --> 00:35:20.324 I have two thoughts for you. 00:35:20.364 --> 00:35:20.605 Okay, go. 00:35:22.532 --> 00:35:22.632 Okay. 00:35:22.672 --> 00:35:22.831 One, 00:35:23.592 --> 00:35:25.552 you're coming at this perspective as a 00:35:25.632 --> 00:35:26.132 mentor. 00:35:26.853 --> 00:35:28.074 You do this for a living. 00:35:28.094 --> 00:35:28.353 Okay. 00:35:28.994 --> 00:35:31.755 So you in that post were mentoring us, 00:35:32.496 --> 00:35:35.237 mentoring potentially people who do not 00:35:35.297 --> 00:35:36.818 know how this currency works. 00:35:36.838 --> 00:35:36.958 Got it. 00:35:36.978 --> 00:35:39.298 So I didn't understand the audience 00:35:39.338 --> 00:35:39.659 enough. 00:35:40.260 --> 00:35:42.840 You were mentoring to say, Hey y'all, 00:35:43.847 --> 00:35:44.967 You're coming into your own. 00:35:45.007 --> 00:35:46.088 You're doing great things. 00:35:46.128 --> 00:35:46.909 Fantastic. 00:35:47.309 --> 00:35:49.630 This is how you leverage that because deep 00:35:49.670 --> 00:35:50.592 down inside, 00:35:51.472 --> 00:35:53.034 I don't know anybody that didn't become a 00:35:53.094 --> 00:35:55.235 PT to be really good at what they 00:35:55.295 --> 00:35:57.476 do in whatever avenue they do it to 00:35:57.577 --> 00:35:58.297 help people. 00:35:58.878 --> 00:36:00.639 Like it was too much work to not 00:36:00.659 --> 00:36:01.539 come in to help people. 00:36:02.079 --> 00:36:03.842 So I think you were coming to it 00:36:03.882 --> 00:36:05.583 from a mentoring perspective. 00:36:06.072 --> 00:36:08.172 what I've had to learn from a mentoring 00:36:08.213 --> 00:36:10.434 perspective is that if someone has never 00:36:10.494 --> 00:36:11.795 had this modeled for them, 00:36:12.315 --> 00:36:14.416 so say they have never been in an 00:36:14.476 --> 00:36:16.717 environment where they've had a platform, 00:36:17.277 --> 00:36:19.217 this is the first time they've been given 00:36:19.398 --> 00:36:20.458 one and they get up there with a 00:36:20.518 --> 00:36:23.280 microphone and they're just sweating and 00:36:23.340 --> 00:36:25.380 like, they don't know what to do. 00:36:25.460 --> 00:36:25.760 And like, 00:36:25.780 --> 00:36:27.440 you're up there trying to help them and 00:36:27.561 --> 00:36:29.081 ask them questions like you're doing now 00:36:29.101 --> 00:36:29.521 with me. 00:36:30.463 --> 00:36:31.963 I've learned that when they post those 00:36:31.983 --> 00:36:34.503 things and it's really comes across as 00:36:34.543 --> 00:36:35.184 bragging, 00:36:36.445 --> 00:36:38.905 I can either walk away from it or 00:36:38.985 --> 00:36:39.646 I can say, no, 00:36:39.666 --> 00:36:41.766 this is another mentoring opportunity for 00:36:41.806 --> 00:36:44.768 me where I can get in the comments 00:36:44.907 --> 00:36:45.648 and say, wow, 00:36:45.927 --> 00:36:47.349 I can tell why you're so proud of 00:36:47.389 --> 00:36:48.389 this accomplishment. 00:36:48.989 --> 00:36:50.989 What was the biggest barrier you hit and 00:36:51.050 --> 00:36:52.150 how did you solve that problem? 00:36:52.190 --> 00:36:54.090 Help me understand how you did. 00:36:54.130 --> 00:36:54.911 Yeah. 00:36:54.952 --> 00:36:56.052 What is the biggest lesson? 00:36:56.592 --> 00:36:57.612 But I was trying to be funny and 00:36:57.632 --> 00:36:58.213 sarcastic. 00:37:01.929 --> 00:37:03.851 So now what I'm going to wait, 00:37:03.871 --> 00:37:04.771 what you said, you had two things. 00:37:04.791 --> 00:37:05.831 Was that two things or one thing? 00:37:05.851 --> 00:37:06.771 Those were the two things. 00:37:06.811 --> 00:37:07.193 So you, 00:37:07.492 --> 00:37:08.713 that was the perspective was the 00:37:08.753 --> 00:37:09.273 mentoring. 00:37:09.393 --> 00:37:11.574 And then as we try to elevate our 00:37:11.614 --> 00:37:12.215 mentoring, 00:37:12.934 --> 00:37:14.376 we can either walk away and say, 00:37:14.416 --> 00:37:15.876 I'm not mentoring this person. 00:37:16.077 --> 00:37:17.097 They're not a nice person. 00:37:17.157 --> 00:37:18.177 Or I could say, you know what? 00:37:18.217 --> 00:37:19.378 I'm going to assume. 00:37:20.179 --> 00:37:21.418 That they just don't have the knowledge of 00:37:21.478 --> 00:37:21.818 a skill. 00:37:22.280 --> 00:37:23.780 Well, I say that all the time. 00:37:23.880 --> 00:37:24.661 I used to say. 00:37:25.731 --> 00:37:27.152 When I got into this profession, 00:37:27.432 --> 00:37:28.675 I looked around and PTs were bad at 00:37:28.695 --> 00:37:29.235 communicating. 00:37:29.677 --> 00:37:31.298 And then I was like, I amended that. 00:37:31.318 --> 00:37:32.860 I was like, oh no, you know what? 00:37:32.880 --> 00:37:33.242 That's not it. 00:37:35.242 --> 00:37:35.563 Um, 00:37:35.643 --> 00:37:36.903 I think you're trained to communicate 00:37:36.963 --> 00:37:39.005 certain ways and you do those things and 00:37:39.025 --> 00:37:39.125 you, 00:37:39.244 --> 00:37:40.885 and surprisingly the things you're trained 00:37:40.925 --> 00:37:42.005 in and you do a lot, you're good. 00:37:42.025 --> 00:37:42.945 You're better at, right? 00:37:43.706 --> 00:37:44.907 And then when you look at mass 00:37:44.947 --> 00:37:46.268 communication, faith, 00:37:46.307 --> 00:37:47.887 it's almost as if it's an entire degree 00:37:47.927 --> 00:37:48.407 in college. 00:37:48.507 --> 00:37:49.728 And I have one of those mass 00:37:49.748 --> 00:37:53.030 communication, but not the same. 00:37:53.309 --> 00:37:54.030 It's not. 00:37:54.090 --> 00:37:55.550 And then I come to the defense again 00:37:55.590 --> 00:37:55.871 and say, 00:37:55.931 --> 00:37:57.532 PTs aren't bad or healthcare providers 00:37:57.572 --> 00:37:58.632 aren't bad at communicating. 00:37:58.652 --> 00:38:00.432 I'm using air quotes on a podcast. 00:38:01.273 --> 00:38:03.114 You lack the T's and P's. 00:38:03.134 --> 00:38:04.054 Did I ever talk to you about the 00:38:04.094 --> 00:38:04.574 T's and P's? 00:38:05.842 --> 00:38:06.902 I think you talked about it on your 00:38:06.922 --> 00:38:08.204 last episode. 00:38:08.583 --> 00:38:11.925 Tools, training, time, people, 00:38:12.445 --> 00:38:15.748 process to then generate the product, 00:38:16.268 --> 00:38:17.128 which is the thing. 00:38:17.588 --> 00:38:18.389 That's work. 00:38:19.490 --> 00:38:20.050 That's work. 00:38:20.090 --> 00:38:20.590 Yes, it is. 00:38:21.072 --> 00:38:23.632 And I, I recognize that like, Hey man, 00:38:23.873 --> 00:38:25.414 I'm sharing this thing and I'm doing it 00:38:25.474 --> 00:38:27.635 while I'm on the bus or just between 00:38:27.675 --> 00:38:28.155 whatever's. 00:38:29.197 --> 00:38:29.476 And yeah, 00:38:31.067 --> 00:38:32.728 I what I hope to do is not 00:38:32.748 --> 00:38:33.528 give a lecture. 00:38:33.588 --> 00:38:34.690 I want to give a bunch of little 00:38:34.730 --> 00:38:35.110 digest. 00:38:35.170 --> 00:38:36.090 I'm just going to be the guy who's 00:38:36.110 --> 00:38:36.271 like, 00:38:36.472 --> 00:38:38.072 let's make you one tenth of one percent 00:38:38.092 --> 00:38:38.653 better today. 00:38:39.434 --> 00:38:40.835 But I see where my sarcasm might have 00:38:40.914 --> 00:38:41.695 missed it a little bit. 00:38:41.735 --> 00:38:42.836 I was close. 00:38:43.056 --> 00:38:43.737 Here's the best part. 00:38:44.018 --> 00:38:45.199 Got a degree in communications in two 00:38:45.219 --> 00:38:45.699 thousand one. 00:38:45.920 --> 00:38:47.340 Been doing it a lot. 00:38:48.581 --> 00:38:50.603 Still a process to get better at it. 00:38:50.643 --> 00:38:51.905 You could still miss the mark. 00:38:52.525 --> 00:38:55.148 You always have to be evaluating that 00:38:55.548 --> 00:38:56.329 because, because you, 00:38:56.530 --> 00:38:58.170 even if you know the audience, well, 00:38:58.811 --> 00:39:00.632 the audience is so vast and so wide, 00:39:00.733 --> 00:39:01.994 like you're, it's not going to land. 00:39:02.014 --> 00:39:02.894 It's a bell curve again. 00:39:03.215 --> 00:39:04.797 It's going to land with a lot, 00:39:04.836 --> 00:39:05.818 but then also there's going to be, well, 00:39:05.858 --> 00:39:06.978 what F and what actually, 00:39:06.998 --> 00:39:08.199 and then faith comes in the comments. 00:39:08.219 --> 00:39:09.420 Like what I'm like, Oh, you know what? 00:39:09.501 --> 00:39:09.701 Yeah. 00:39:09.820 --> 00:39:10.101 Okay. 00:39:10.161 --> 00:39:10.722 No, she has a point. 00:39:11.163 --> 00:39:11.983 So here's what I'm going to do. 00:39:12.923 --> 00:39:14.744 I'm going to take this lesson. 00:39:14.844 --> 00:39:16.664 I'm going to go back to that post 00:39:16.864 --> 00:39:20.186 and I'm going to remix it as the 00:39:20.206 --> 00:39:21.585 kids would say and see if I can 00:39:21.606 --> 00:39:23.365 make it better because that's all we do. 00:39:24.306 --> 00:39:25.606 Were you great with your first? 00:39:25.806 --> 00:39:28.807 Do you remember your first patient? 00:39:28.907 --> 00:39:30.648 No, I really don't. 00:39:30.887 --> 00:39:31.467 I don't remember mine, 00:39:31.487 --> 00:39:32.628 but I remember just like being like, 00:39:32.728 --> 00:39:34.489 I would probably apologize to my first one 00:39:34.528 --> 00:39:34.809 hundred. 00:39:35.737 --> 00:39:35.916 Right. 00:39:35.936 --> 00:39:37.177 Wouldn't we all? 00:39:37.237 --> 00:39:38.177 No, I'll tell you this. 00:39:38.277 --> 00:39:39.518 I can tell you one of my first 00:39:39.617 --> 00:39:39.757 ones. 00:39:39.777 --> 00:39:41.759 And it's probably one of the reasons why 00:39:41.898 --> 00:39:43.699 I don't remember like the initial 00:39:43.739 --> 00:39:44.340 patients. 00:39:45.619 --> 00:39:47.621 He was a stroke patient and he came 00:39:47.701 --> 00:39:49.920 in and man, 00:39:49.960 --> 00:39:51.802 he was having a hard time like through 00:39:51.842 --> 00:39:52.581 his paperwork. 00:39:53.161 --> 00:39:55.143 When he left, I was like, 00:39:55.182 --> 00:39:56.242 he's not coming back. 00:39:57.364 --> 00:39:57.643 You know, 00:39:57.684 --> 00:39:59.623 we're almost nine years later and we still 00:39:59.664 --> 00:40:00.764 have lunch every month. 00:40:01.204 --> 00:40:01.864 Really? 00:40:03.072 --> 00:40:04.574 So hold on a second. 00:40:04.614 --> 00:40:05.534 You had to have asked, like, 00:40:05.594 --> 00:40:06.856 what was it to go from throwing your 00:40:06.896 --> 00:40:09.057 papers to nine years? 00:40:09.659 --> 00:40:09.759 Like, 00:40:09.778 --> 00:40:11.081 did you just give him enough compassion? 00:40:11.121 --> 00:40:11.721 Like, what was it? 00:40:13.163 --> 00:40:14.403 I didn't get upset at him. 00:40:14.724 --> 00:40:15.965 He said he was going to come back 00:40:16.085 --> 00:40:16.246 in. 00:40:16.385 --> 00:40:17.827 He was someone who kept his word. 00:40:18.608 --> 00:40:20.391 And I just kept trying. 00:40:21.231 --> 00:40:22.492 I kept trying to work with him. 00:40:22.512 --> 00:40:24.193 We ended up working together for two 00:40:24.233 --> 00:40:24.673 years. 00:40:25.675 --> 00:40:27.715 He had a stroke on his dominant side. 00:40:27.815 --> 00:40:29.637 I literally helped him handwrite and fill 00:40:29.697 --> 00:40:31.257 out his disability paperwork. 00:40:33.139 --> 00:40:34.860 Again, I worked with reptiles. 00:40:35.340 --> 00:40:37.442 I was used to things wanting to bite 00:40:37.481 --> 00:40:39.182 me when I was trying to help it. 00:40:39.722 --> 00:40:43.365 So it didn't upset me that he was 00:40:43.405 --> 00:40:45.947 upset at me. 00:40:46.447 --> 00:40:48.528 I was like, okay, he needs help. 00:40:48.688 --> 00:40:49.570 He's scared. 00:40:50.369 --> 00:40:51.831 How do I calm him down? 00:40:51.911 --> 00:40:53.431 What does this patient need from me? 00:40:53.472 --> 00:40:54.913 And he needed help with disability 00:40:54.932 --> 00:40:55.413 paperwork. 00:40:56.233 --> 00:40:58.054 That's not in the playbook, 00:40:58.094 --> 00:40:59.916 but you recognized it was necessary. 00:41:00.777 --> 00:41:03.398 Because I walked in the room and said, 00:41:03.579 --> 00:41:04.559 this organism, 00:41:04.599 --> 00:41:06.780 this living thing needs this. 00:41:06.840 --> 00:41:08.302 This is not personal. 00:41:08.422 --> 00:41:10.063 It is a response to something in the 00:41:10.483 --> 00:41:10.963 environment. 00:41:11.824 --> 00:41:13.565 And so we worked together on and off 00:41:13.585 --> 00:41:15.304 for two years and he is still one 00:41:15.344 --> 00:41:16.865 of my dearest and closest friends. 00:41:17.365 --> 00:41:19.306 So I love to tell that story to 00:41:19.346 --> 00:41:22.246 new grads because they think that when you 00:41:22.286 --> 00:41:23.387 come out of school, 00:41:23.487 --> 00:41:25.088 like you don't know anything and you've 00:41:25.128 --> 00:41:26.807 got to hide the fact that you're a 00:41:26.867 --> 00:41:28.289 new grad and you've got to wait till 00:41:28.329 --> 00:41:29.509 you get all the letters. 00:41:30.028 --> 00:41:30.730 And I'm like, no, 00:41:30.809 --> 00:41:33.550 my biggest cheerleaders to this day are 00:41:33.610 --> 00:41:35.690 patients that I treated in that first six 00:41:35.791 --> 00:41:36.090 months. 00:41:36.110 --> 00:41:37.612 There are four of them that I still 00:41:37.652 --> 00:41:38.431 stay in touch with. 00:41:39.536 --> 00:41:41.039 And like I said, 00:41:41.079 --> 00:41:43.342 they're my biggest cheerleaders and I have 00:41:43.402 --> 00:41:46.164 told them I had no idea what I 00:41:46.204 --> 00:41:46.846 was doing. 00:41:47.327 --> 00:41:48.909 And they said, we knew, 00:41:49.028 --> 00:41:50.269 but you figured it out. 00:41:51.126 --> 00:41:52.827 So figure it out. 00:41:53.668 --> 00:41:55.248 It is okay to not know what you're 00:41:55.268 --> 00:41:55.548 doing. 00:41:55.969 --> 00:41:56.668 Yeah. 00:41:56.728 --> 00:41:57.389 Ryan Clark, 00:41:57.429 --> 00:41:58.269 before we do your parting shot, 00:41:58.289 --> 00:41:59.050 because I know you've got a meeting. 00:41:59.070 --> 00:42:00.489 I don't want to be the reason for 00:42:00.510 --> 00:42:00.710 a meeting. 00:42:01.050 --> 00:42:03.650 Ryan Clark was a former NFL pro bowler. 00:42:04.032 --> 00:42:04.331 Awesome. 00:42:04.351 --> 00:42:05.711 Played for the Steelers and the Giants. 00:42:05.751 --> 00:42:08.793 I saw him at a healthcare medical 00:42:08.833 --> 00:42:10.114 conference in D.C., 00:42:11.034 --> 00:42:12.295 he had this i forget what the condition 00:42:12.335 --> 00:42:13.596 was i think it might have been sickle 00:42:13.615 --> 00:42:15.036 cell anemia he had some condition where it 00:42:15.056 --> 00:42:17.297 was not every test he was being given 00:42:17.798 --> 00:42:19.420 you're fine man and he's like i am 00:42:19.519 --> 00:42:21.501 losing weight i can't get out of bed 00:42:21.701 --> 00:42:23.302 it's like i'm a defensive back in the 00:42:23.641 --> 00:42:28.304 nfl i can't get out of bed so 00:42:28.344 --> 00:42:29.846 this was the team dot also you're an 00:42:29.905 --> 00:42:32.108 nfl defensive back you have the best 00:42:32.148 --> 00:42:34.329 doctors in the world and this one doctor 00:42:34.509 --> 00:42:35.170 might have been great 00:42:36.101 --> 00:42:37.202 But he was like, no, you're good. 00:42:37.342 --> 00:42:37.623 Go ahead. 00:42:37.663 --> 00:42:38.043 Get out of here. 00:42:38.063 --> 00:42:38.403 And he's like, 00:42:38.744 --> 00:42:39.965 I'm wasting away to nothing. 00:42:41.788 --> 00:42:43.510 I think he said go out of pocket 00:42:43.530 --> 00:42:45.030 and go to a new doctor. 00:42:45.090 --> 00:42:46.552 And the doctors did all the same tests 00:42:46.612 --> 00:42:48.695 and said everything came back negative. 00:42:49.215 --> 00:42:50.117 And then Ryan Clark was like, 00:42:51.177 --> 00:42:51.478 and he goes, 00:42:51.498 --> 00:42:52.500 I don't know what's going on, 00:42:52.519 --> 00:42:53.460 but we're just going to keep doing stuff 00:42:53.481 --> 00:42:54.101 till we figure it out. 00:42:54.181 --> 00:42:55.443 And Ryan Clark goes, that's all I wanted. 00:42:55.963 --> 00:42:56.543 That's all they want. 00:42:56.563 --> 00:42:59.606 Just tell me that you believe me. 00:42:59.626 --> 00:43:00.065 Look at me. 00:43:00.206 --> 00:43:01.706 I'm a defensive back. 00:43:01.806 --> 00:43:03.027 I'm dripping weight. 00:43:03.108 --> 00:43:04.088 I'm dropping weight like Creed. 00:43:04.168 --> 00:43:04.648 Not normal. 00:43:05.128 --> 00:43:05.628 Everything's normal. 00:43:05.648 --> 00:43:05.849 He goes, 00:43:05.869 --> 00:43:07.030 I don't know what's going to happen, 00:43:07.050 --> 00:43:08.010 but we're going to keep doing it to 00:43:08.050 --> 00:43:09.170 figure it out. 00:43:09.471 --> 00:43:11.411 Someone just wants a wingman. 00:43:13.012 --> 00:43:14.032 It's not an assembly line. 00:43:14.052 --> 00:43:16.273 There's going to be a lot of typical 00:43:16.293 --> 00:43:18.574 things in your career. 00:43:18.655 --> 00:43:23.338 Read and recognize when it's inaudible. 00:43:23.717 --> 00:43:24.418 See, I could do this all day. 00:43:24.438 --> 00:43:25.559 Yes, you can. 00:43:26.876 --> 00:43:28.117 Are you ready to do the parting shot? 00:43:28.157 --> 00:43:28.856 Your parting shot? 00:43:29.297 --> 00:43:35.059 Sure. 00:43:35.079 --> 00:43:36.460 Our parting shot brought to you by Get 00:43:36.480 --> 00:43:37.300 the Message Out, 00:43:37.500 --> 00:43:39.420 a full service storytelling shop. 00:43:39.920 --> 00:43:41.561 It's a small creative agency with a big 00:43:41.621 --> 00:43:41.961 mouth. 00:43:42.541 --> 00:43:43.822 We help healthcare professionals turn 00:43:43.842 --> 00:43:44.422 their ideas. 00:43:45.235 --> 00:43:47.097 into impact for podcast launches, 00:43:47.137 --> 00:43:48.117 social media strategy. 00:43:48.878 --> 00:43:50.579 They help you speak your truth and connect 00:43:50.599 --> 00:43:51.039 with your audience. 00:43:51.079 --> 00:43:51.960 And by they, I mean me. 00:43:52.001 --> 00:43:52.621 It's my company. 00:43:52.760 --> 00:43:53.101 I do this. 00:43:53.121 --> 00:43:53.481 This is me. 00:43:54.521 --> 00:43:55.422 Just drop me an email, 00:43:55.463 --> 00:43:56.864 jimmy at ptpinecast.com. 00:43:56.903 --> 00:43:58.784 I help APTA sections and academies do 00:43:58.804 --> 00:43:59.005 this. 00:43:59.065 --> 00:44:00.286 I help private practices do this. 00:44:00.666 --> 00:44:02.248 We just help you make your good work 00:44:02.628 --> 00:44:03.007 well known. 00:44:03.909 --> 00:44:06.090 So your parting shot, last chance, 00:44:06.369 --> 00:44:08.030 mic drop moment, soapbox statement. 00:44:08.791 --> 00:44:10.132 What do you want your parting shot to 00:44:10.152 --> 00:44:10.233 be? 00:44:11.027 --> 00:44:12.369 I want to loop back to something you 00:44:12.389 --> 00:44:13.831 said at the start of the podcast when 00:44:13.851 --> 00:44:15.634 you were talking about the tangled rope. 00:44:15.653 --> 00:44:17.275 Oh, yeah. 00:44:27.429 --> 00:44:28.911 is what moves patients forward. 00:44:29.251 --> 00:44:30.690 And so if we're looking at a tangled 00:44:30.751 --> 00:44:32.871 rope and it's a small, simple knot, 00:44:33.431 --> 00:44:35.472 many of us feel really comfortable using 00:44:35.512 --> 00:44:37.833 our basic skills to tease that apart and 00:44:37.914 --> 00:44:38.713 untangle the rope. 00:44:39.393 --> 00:44:41.074 And a complex patient is not any 00:44:41.114 --> 00:44:41.695 different. 00:44:41.914 --> 00:44:43.335 It is a larger knot. 00:44:44.416 --> 00:44:46.137 It is the same basic approaches. 00:44:46.197 --> 00:44:47.777 It's the same humanity. 00:44:48.358 --> 00:44:50.657 It's the same skills that we have been 00:44:50.717 --> 00:44:53.139 taught since we were in PT school. 00:44:53.820 --> 00:44:54.800 It takes longer. 00:44:56.141 --> 00:44:57.302 which is what makes us nervous. 00:44:57.342 --> 00:44:59.242 And sometimes we have to have people help 00:44:59.322 --> 00:45:01.844 us hold the rope up while we're teasing 00:45:01.884 --> 00:45:02.384 it apart. 00:45:02.445 --> 00:45:04.346 But we do it the same way. 00:45:05.146 --> 00:45:09.268 So try not to make really complex things 00:45:09.467 --> 00:45:10.168 complex. 00:45:10.208 --> 00:45:11.670 Find the simplicity in them. 00:45:12.650 --> 00:45:14.550 Use your training and what you've learned 00:45:14.590 --> 00:45:15.110 to do. 00:45:15.672 --> 00:45:19.594 It just may take longer. 00:45:19.634 --> 00:45:20.313 Mike drop. 00:45:20.795 --> 00:45:21.875 Boom. 00:45:21.934 --> 00:45:23.376 Faith Stokes, we'll see at CSM. 00:45:23.416 --> 00:45:24.416 I'm going to be there. 00:45:25.358 --> 00:45:26.519 I'm going to be doing something ridiculous 00:45:26.559 --> 00:45:26.960 probably, 00:45:27.019 --> 00:45:29.161 but maybe we'll recreate like where we met 00:45:29.222 --> 00:45:30.521 because it'll be the same venue. 00:45:30.541 --> 00:45:31.302 We'll try to figure it out. 00:45:31.322 --> 00:45:32.063 That's exciting. 00:45:32.503 --> 00:45:36.445 And we'll take a selfie for ten years 00:45:36.585 --> 00:45:37.266 under the influence. 00:45:37.286 --> 00:45:39.228 That's a decade under the influence is 00:45:39.248 --> 00:45:39.827 what the podcast is. 00:45:39.847 --> 00:45:41.088 That sounds fantastic. 00:45:41.108 --> 00:45:42.969 Let's do that. 00:45:42.989 --> 00:45:43.951 FaceDokes, appreciate the time. 00:45:43.971 --> 00:45:44.510 Thanks for doing this. 00:45:45.231 --> 00:45:45.771 Absolutely. 00:45:45.811 --> 00:45:46.391 Have a great day.