WEBVTT 00:00:01.229 --> 00:00:02.670 You're listening to the PT Pinecast, 00:00:02.690 --> 00:00:03.891 where smart people in healthcare come to 00:00:04.051 --> 00:00:05.092 make noise. 00:00:05.192 --> 00:00:09.416 Here's your host, Jimmy McKay. 00:00:09.435 --> 00:00:10.657 Thanks, Radio Voice Guy. 00:00:10.817 --> 00:00:12.598 I do want to say thanks to Empower 00:00:12.737 --> 00:00:13.519 EMR. 00:00:13.579 --> 00:00:15.560 If you're looking to streamline workflows 00:00:15.619 --> 00:00:17.942 and how do you bring the AI safely 00:00:17.981 --> 00:00:19.283 into your clinic, 00:00:19.303 --> 00:00:20.684 everybody's wondering that right now. 00:00:21.263 --> 00:00:23.865 Save time, empower your clinicians. 00:00:23.986 --> 00:00:25.667 It's the app you're going to wind up 00:00:25.728 --> 00:00:26.307 touching forever. 00:00:27.472 --> 00:00:29.338 maybe even more than the text app on 00:00:29.358 --> 00:00:31.164 your phone if you're a clinician and 00:00:31.184 --> 00:00:33.189 you're using an EMR or you're a clinic 00:00:33.229 --> 00:00:33.411 owner. 00:00:33.892 --> 00:00:34.313 And I know... 00:00:34.948 --> 00:00:36.329 You're thinking, change EMRs. 00:00:36.409 --> 00:00:36.729 Man, 00:00:36.770 --> 00:00:38.570 people will white-knuckle one that they 00:00:38.670 --> 00:00:40.212 really know they don't like before 00:00:40.271 --> 00:00:41.353 switching because it's hard. 00:00:41.393 --> 00:00:41.912 It's not easy. 00:00:41.933 --> 00:00:42.234 It's hard. 00:00:42.274 --> 00:00:42.634 I get it. 00:00:43.194 --> 00:00:44.174 Empower gets it too. 00:00:44.575 --> 00:00:45.475 Go kick the tires. 00:00:45.496 --> 00:00:47.036 They'll walk you through not only what 00:00:47.076 --> 00:00:47.536 they can do, 00:00:47.576 --> 00:00:48.938 but what a transition might look like. 00:00:49.237 --> 00:00:50.219 Understand that. 00:00:50.539 --> 00:00:51.979 EmpowerEMR.com. 00:00:52.340 --> 00:00:54.942 EmpowerEMR.com. 00:00:55.582 --> 00:00:57.423 We're doing more CSM pre-promote. 00:00:57.482 --> 00:00:58.503 This is the hype machine. 00:00:59.784 --> 00:01:01.445 I will give a public service announcement 00:01:01.485 --> 00:01:03.707 for everybody who's got a significant 00:01:03.767 --> 00:01:03.927 other. 00:01:04.855 --> 00:01:06.236 Plan what you're doing for your 00:01:06.256 --> 00:01:09.058 significant other for Valentine's Day now 00:01:09.438 --> 00:01:12.921 because CSM crosses Valentine's Day. 00:01:13.221 --> 00:01:15.323 I say this from personal previous 00:01:15.384 --> 00:01:16.103 experience. 00:01:16.564 --> 00:01:17.825 You don't want to rush that. 00:01:18.225 --> 00:01:20.188 So that's a public service announcement. 00:01:20.847 --> 00:01:21.849 Lisa, Kristen, 00:01:22.368 --> 00:01:24.191 welcome to my public service announcement. 00:01:25.292 --> 00:01:25.971 Welcome to the show. 00:01:27.653 --> 00:01:28.313 Thank you. 00:01:28.515 --> 00:01:29.194 All right. 00:01:29.215 --> 00:01:30.075 I put the word out. 00:01:31.417 --> 00:01:33.197 If you got something going on at CSM, 00:01:33.378 --> 00:01:36.000 I describe CSM for first timers or fifty 00:01:36.040 --> 00:01:36.359 timers. 00:01:36.760 --> 00:01:39.742 It is a circus with eighteen circuses 00:01:40.581 --> 00:01:41.503 going on at the same time. 00:01:41.522 --> 00:01:42.724 It's a big top with a bunch of 00:01:42.743 --> 00:01:44.745 big tops all at the same time. 00:01:44.944 --> 00:01:46.546 I do find it ironic that we call 00:01:46.585 --> 00:01:47.587 it combined sections meeting. 00:01:47.826 --> 00:01:50.628 We come together and then we split up. 00:01:51.108 --> 00:01:52.209 But I digress. 00:01:52.228 --> 00:01:53.209 But you don't have to. 00:01:54.528 --> 00:01:57.691 So I said, if you're talking at CSM, 00:01:58.331 --> 00:01:59.512 let's do a movie trailer. 00:02:00.293 --> 00:02:01.132 So good on you guys. 00:02:01.534 --> 00:02:02.754 How many times have you guys been on 00:02:02.795 --> 00:02:03.394 the stage, 00:02:03.435 --> 00:02:05.837 on a big stage at CSM for you 00:02:05.876 --> 00:02:06.117 guys? 00:02:06.317 --> 00:02:08.939 What's your CSM experience? 00:02:08.960 --> 00:02:11.542 This will be my first time talking at 00:02:11.602 --> 00:02:12.322 CSM. 00:02:12.862 --> 00:02:15.104 I have talked multiple times for the Ohio 00:02:15.125 --> 00:02:16.725 Physical Therapy Association. 00:02:18.007 --> 00:02:18.387 But yeah, 00:02:18.426 --> 00:02:20.149 this will be my first time for CSM. 00:02:20.588 --> 00:02:21.088 Love it. 00:02:21.449 --> 00:02:21.849 Love it. 00:02:21.909 --> 00:02:22.330 Good for you. 00:02:22.370 --> 00:02:22.730 Kristen? 00:02:23.268 --> 00:02:27.908 I have previously presented once, 00:02:27.949 --> 00:02:29.169 but I actually have three presentations 00:02:29.189 --> 00:02:29.370 this year. 00:02:29.389 --> 00:02:30.169 So I'm going to be busy running around. 00:02:30.330 --> 00:02:31.610 I don't know how many times I presented 00:02:31.629 --> 00:02:33.170 at CSM, but I do know this statistic. 00:02:33.371 --> 00:02:35.231 I have written zero proposals. 00:02:35.372 --> 00:02:36.651 I'm the guy that always gets brought in. 00:02:36.671 --> 00:02:37.872 I'm like, I will show up. 00:02:37.991 --> 00:02:38.633 I will do my thing. 00:02:38.812 --> 00:02:41.453 But writing the proposal like nine months 00:02:41.473 --> 00:02:41.973 ahead of time, 00:02:42.313 --> 00:02:43.813 Jimmy's brain don't brain like that. 00:02:44.473 --> 00:02:46.175 So good on you guys for actually taking 00:02:46.194 --> 00:02:47.115 the initiative and follow through. 00:02:47.175 --> 00:02:49.116 And just really quickly for context for 00:02:49.156 --> 00:02:49.675 the audience, 00:02:50.295 --> 00:02:51.256 Lisa, Kristen, 00:02:51.537 --> 00:02:53.336 what's your sort of superhero origin 00:02:53.377 --> 00:02:53.776 stories? 00:02:54.397 --> 00:02:55.538 What do you get to do in this 00:02:56.018 --> 00:02:58.179 pretty cool profession of ours? 00:02:58.199 --> 00:03:02.121 So my origin story is I've actually been 00:03:02.281 --> 00:03:03.241 a physical therapist. 00:03:03.300 --> 00:03:04.282 I'm not going to say how long. 00:03:04.942 --> 00:03:07.782 But I pretty much worked in every single 00:03:08.163 --> 00:03:09.403 setting except PEDS. 00:03:10.183 --> 00:03:12.224 But as the OPTA, 00:03:12.284 --> 00:03:13.585 one of the OPTA directors, 00:03:13.705 --> 00:03:15.506 I actually – 00:03:15.705 --> 00:03:17.485 have the SIG for peds. 00:03:17.526 --> 00:03:19.667 So I'm learning about peds as I go 00:03:19.706 --> 00:03:19.967 too. 00:03:20.026 --> 00:03:21.667 So it's kind of funny how that all 00:03:22.026 --> 00:03:22.646 works out. 00:03:23.147 --> 00:03:25.508 I currently work as a regional director of 00:03:25.527 --> 00:03:28.008 clinical services for common spirit 00:03:28.049 --> 00:03:28.408 health. 00:03:29.149 --> 00:03:31.068 It is, um, they have hospitals, 00:03:31.109 --> 00:03:33.990 they have the skilled nursing facilities. 00:03:34.530 --> 00:03:34.650 Um, 00:03:34.750 --> 00:03:36.490 I'm in the home health and hospice arena. 00:03:36.550 --> 00:03:38.191 So I help, um, 00:03:38.230 --> 00:03:39.790 home health and hospices with their 00:03:39.811 --> 00:03:40.871 clinical and quality. 00:03:41.610 --> 00:03:42.132 Good for you. 00:03:42.171 --> 00:03:43.111 Thank you for doing that work. 00:03:43.312 --> 00:03:44.032 And Kristen, how about you? 00:03:45.050 --> 00:03:47.353 Yeah, so I'm also in Ohio. 00:03:48.513 --> 00:03:51.175 My story is I went through PT school, 00:03:51.235 --> 00:03:52.716 did sports residency, 00:03:52.776 --> 00:03:54.298 worked in athletic departments for about 00:03:54.337 --> 00:03:54.877 ten years, 00:03:54.937 --> 00:03:56.459 so I popped out to outpatient ortho. 00:03:58.479 --> 00:03:59.561 Volunteer wise, 00:03:59.681 --> 00:04:02.242 I also am a director with Lisa for 00:04:02.263 --> 00:04:04.504 the Ohio Physical Therapy Association, 00:04:05.145 --> 00:04:07.086 and I work with the Academy of Leadership 00:04:07.106 --> 00:04:07.766 and Innovation. 00:04:07.787 --> 00:04:10.088 I am their education chair and also LAMP 00:04:10.109 --> 00:04:10.808 leadership. 00:04:12.341 --> 00:04:13.342 And in addition to that, 00:04:13.401 --> 00:04:15.342 I'm actually delegate for the Academy of 00:04:15.383 --> 00:04:15.842 Sports. 00:04:16.002 --> 00:04:18.964 So busy touching a lot of different 00:04:19.004 --> 00:04:19.524 things. 00:04:20.406 --> 00:04:22.326 I guess kind of the genesis of this 00:04:22.846 --> 00:04:25.788 talk really came from a little bit of 00:04:25.829 --> 00:04:26.129 LAMP, 00:04:26.168 --> 00:04:28.050 but also what we experienced and what 00:04:28.089 --> 00:04:30.451 we're really interested in exploring 00:04:30.471 --> 00:04:33.012 within the state of Ohio is moral injury. 00:04:34.314 --> 00:04:34.613 All right. 00:04:34.653 --> 00:04:37.615 So this is really we understand in twenty, 00:04:37.656 --> 00:04:38.456 thirty minutes, whatever, 00:04:38.495 --> 00:04:39.297 how much we talk. 00:04:40.053 --> 00:04:41.095 We can't give you all of it. 00:04:41.295 --> 00:04:42.456 Just not possible, right? 00:04:42.475 --> 00:04:43.896 Can't put ten pounds of awesome in a 00:04:43.937 --> 00:04:44.576 five-pound bag. 00:04:45.298 --> 00:04:47.379 This is meant to give people enough tease 00:04:47.560 --> 00:04:49.161 and some tactical information to go, hey, 00:04:49.180 --> 00:04:51.242 if I'm going to be on site, again, 00:04:51.742 --> 00:04:53.923 eighteen circuses inside a circus, 00:04:55.966 --> 00:04:58.146 picking what to do each sort of time 00:04:58.187 --> 00:04:59.829 slot is simple but not easy. 00:05:00.528 --> 00:05:02.269 And more than a few times not to 00:05:02.329 --> 00:05:03.130 knock any speaker. 00:05:03.190 --> 00:05:04.692 I've walked into a thing thinking 00:05:04.851 --> 00:05:06.333 something from the description and being 00:05:06.353 --> 00:05:08.014 like, oh, this isn't it. 00:05:08.694 --> 00:05:10.154 where we if we can give people sort 00:05:10.175 --> 00:05:11.435 of that uncomfortable we always love when 00:05:11.456 --> 00:05:12.495 you're in the middle of a presentation 00:05:12.516 --> 00:05:14.136 someone opens the door in the back and 00:05:14.156 --> 00:05:15.875 you're like what we want to be able 00:05:15.896 --> 00:05:16.956 to give people to be able to peek 00:05:16.997 --> 00:05:18.677 around the corner a little bit at you 00:05:18.697 --> 00:05:19.997 know what is this going to be how 00:05:20.016 --> 00:05:21.937 will it make their life or education or 00:05:22.077 --> 00:05:24.398 career better and then of course where 00:05:24.458 --> 00:05:26.278 when they can see it so you know 00:05:26.298 --> 00:05:28.819 this is your movie trailer what i i 00:05:28.838 --> 00:05:30.399 think i even said in text messages like 00:05:30.478 --> 00:05:32.000 i don't even know what moral injury is 00:05:32.040 --> 00:05:33.879 like and then what is this so let's 00:05:33.899 --> 00:05:36.560 start there what is it and why does 00:05:36.581 --> 00:05:38.360 it deserve some time on the big stage 00:05:39.889 --> 00:05:40.168 Sure. 00:05:40.249 --> 00:05:43.552 I guess I will start with what we're 00:05:43.572 --> 00:05:45.233 exploring is the invisible wound. 00:05:45.293 --> 00:05:46.795 So moral injury is something that you 00:05:46.834 --> 00:05:48.295 can't visibly see. 00:05:48.776 --> 00:05:49.476 Right. 00:05:49.557 --> 00:05:51.377 And it is also not a mental health 00:05:51.458 --> 00:05:51.999 condition. 00:05:52.079 --> 00:05:56.062 It is an ethical burden that we've 00:05:56.122 --> 00:05:56.723 experienced. 00:05:56.783 --> 00:05:59.045 And we're looking at it specific to health 00:05:59.064 --> 00:06:00.466 care providers in COVID. 00:06:01.043 --> 00:06:03.824 and how we responded and or recovered from 00:06:04.446 --> 00:06:05.005 that. 00:06:05.045 --> 00:06:07.627 So Lisa comes from a very ethical side. 00:06:07.666 --> 00:06:08.447 So Lisa, 00:06:08.468 --> 00:06:09.648 do you want to explain kind of the 00:06:09.668 --> 00:06:11.569 difference between ethics and morals and 00:06:12.288 --> 00:06:14.670 how this is an ethical burden in the 00:06:14.690 --> 00:06:15.451 various realms? 00:06:16.788 --> 00:06:16.988 Yeah. 00:06:17.048 --> 00:06:19.410 So, you know, moral, you know, moral, 00:06:19.449 --> 00:06:21.170 the moral part of it is actually, 00:06:21.670 --> 00:06:24.232 you know, kind of your center, your base, 00:06:24.612 --> 00:06:24.853 you know, 00:06:24.892 --> 00:06:26.894 what is what is right and wrong. 00:06:27.074 --> 00:06:30.154 And then and that can be influenced by, 00:06:30.415 --> 00:06:31.536 you know, how you grew up. 00:06:31.836 --> 00:06:32.036 You know, 00:06:32.076 --> 00:06:34.297 there's many different things on what what 00:06:34.797 --> 00:06:35.978 morality looks like. 00:06:36.017 --> 00:06:37.757 But then you have the ethics piece where 00:06:37.819 --> 00:06:38.639 you're looking at. 00:06:39.418 --> 00:06:41.581 the different realms of how does it impact 00:06:42.060 --> 00:06:43.382 a person as an individual, 00:06:43.742 --> 00:06:45.764 how does it impact the organization, 00:06:45.884 --> 00:06:47.365 and then society as a whole. 00:06:47.886 --> 00:06:49.747 And, you know, we saw that with COVID. 00:06:50.266 --> 00:06:51.747 You know, we've heard stories, 00:06:51.788 --> 00:06:53.470 and that's one of the things that we're 00:06:53.490 --> 00:06:55.550 going to do within CSM, too, 00:06:55.850 --> 00:06:57.413 is to be a conversation. 00:06:57.992 --> 00:07:00.894 And we did this at Ohio Spring Conference 00:07:01.014 --> 00:07:01.555 last year, 00:07:02.295 --> 00:07:03.916 And it led to some really good 00:07:03.956 --> 00:07:06.338 conversations about how it impacted people 00:07:06.399 --> 00:07:07.038 individually. 00:07:07.980 --> 00:07:10.141 Also, what their organization was doing. 00:07:10.322 --> 00:07:12.762 And I could share stories about, you know, 00:07:12.802 --> 00:07:14.024 we had to furlough patients. 00:07:14.244 --> 00:07:15.886 We had to furlough, you know, 00:07:15.946 --> 00:07:17.547 employees in home health. 00:07:17.586 --> 00:07:18.747 And what did that look like? 00:07:19.187 --> 00:07:21.509 And then also the society implications. 00:07:21.529 --> 00:07:21.790 You know, 00:07:21.810 --> 00:07:24.170 there was implications related to not 00:07:24.190 --> 00:07:25.432 having PPE and everything. 00:07:27.072 --> 00:07:29.074 just the different laws and regulations 00:07:29.115 --> 00:07:31.036 and the different things that came out of 00:07:31.076 --> 00:07:33.918 it and how we had to all adapt 00:07:33.959 --> 00:07:34.759 very quickly. 00:07:35.319 --> 00:07:37.961 And I know Kristen and I talk, 00:07:38.161 --> 00:07:39.382 I always say I'm a stuffer. 00:07:39.704 --> 00:07:42.745 I don't share my emotions usually very 00:07:42.786 --> 00:07:43.086 much. 00:07:43.206 --> 00:07:46.228 And so a lot of people stuffed their 00:07:46.269 --> 00:07:48.850 emotions and just moved and went through 00:07:49.911 --> 00:07:51.872 the experience of the pandemic and never 00:07:51.932 --> 00:07:54.074 really reflected on it and how it had 00:07:54.115 --> 00:07:54.875 impacted them. 00:07:55.440 --> 00:07:58.182 Just you saying PPE, I didn't really, 00:07:58.521 --> 00:07:59.182 I mean, I remember it, 00:07:59.201 --> 00:08:00.442 but also I was like, oh yeah, 00:08:00.482 --> 00:08:00.942 we were like, 00:08:01.682 --> 00:08:03.622 where do I get masks and hoarding masks? 00:08:03.663 --> 00:08:04.262 And how do we, 00:08:04.642 --> 00:08:07.682 what's the different grades of masks? 00:08:07.862 --> 00:08:08.283 Everybody, 00:08:08.744 --> 00:08:12.384 they went from being a Supreme Court 00:08:12.444 --> 00:08:15.204 Senate expert to being a PPE expert to 00:08:15.245 --> 00:08:17.045 being an infectious disease expert. 00:08:17.944 --> 00:08:18.305 Everybody got, 00:08:18.504 --> 00:08:20.646 a lot of people got PhDs in twenty 00:08:20.665 --> 00:08:20.886 twenty. 00:08:21.425 --> 00:08:23.528 In topics they did no education in. 00:08:23.668 --> 00:08:24.567 Thinking back on that, 00:08:24.608 --> 00:08:25.809 that was a wild time. 00:08:25.829 --> 00:08:27.230 That was only six years ago. 00:08:28.071 --> 00:08:28.670 Yeah. 00:08:28.810 --> 00:08:31.072 And I don't think we have fully processed 00:08:31.814 --> 00:08:33.394 what we went through as healthcare 00:08:33.414 --> 00:08:33.875 providers. 00:08:33.934 --> 00:08:35.735 We literally, once we got the green light, 00:08:35.775 --> 00:08:38.317 it was focused on productivity and making 00:08:38.378 --> 00:08:41.740 up the money the organizations lost during 00:08:41.760 --> 00:08:42.360 that period of time. 00:08:42.681 --> 00:08:44.383 So healthcare providers have never 00:08:44.423 --> 00:08:44.682 really... 00:08:45.164 --> 00:08:46.426 talked about the trauma they've gone 00:08:46.466 --> 00:08:48.948 through or grieved the process that 00:08:48.969 --> 00:08:50.230 they've been through. 00:08:50.649 --> 00:08:52.572 I gave the same similar talk out in 00:08:52.611 --> 00:08:55.774 the state of Washington in October. 00:08:56.315 --> 00:08:57.856 And Washington was the state with the 00:08:57.956 --> 00:09:00.698 first kind of noted person with a positive 00:09:00.739 --> 00:09:01.379 COVID test. 00:09:01.759 --> 00:09:04.143 And they also received all the passengers 00:09:04.283 --> 00:09:05.984 on the cruise ship that was left out 00:09:06.063 --> 00:09:06.684 on the coast. 00:09:07.004 --> 00:09:09.206 So their experience was very different 00:09:09.326 --> 00:09:11.028 than what we experienced in Ohio. 00:09:11.647 --> 00:09:13.187 and talking about the scarcity of 00:09:13.229 --> 00:09:15.230 resources that early and how do they 00:09:15.269 --> 00:09:18.472 triage and figure out what's going on with 00:09:18.513 --> 00:09:20.235 their materials, with their staff, 00:09:20.615 --> 00:09:22.096 the fear that the staff had that they're 00:09:22.116 --> 00:09:24.258 going to make themselves sick and bring 00:09:24.298 --> 00:09:26.821 that home and make perhaps their children, 00:09:26.880 --> 00:09:27.620 their family, 00:09:27.942 --> 00:09:30.203 their older adults sick as well. 00:09:30.224 --> 00:09:30.364 I mean, 00:09:30.384 --> 00:09:32.745 it was just a time where healthcare 00:09:33.066 --> 00:09:34.908 providers were kind of shoved into this 00:09:34.967 --> 00:09:36.990 hero status and 00:09:38.466 --> 00:09:40.168 It's just like, what just happened? 00:09:40.369 --> 00:09:42.192 Can we really even process this and unpack 00:09:42.211 --> 00:09:42.393 this? 00:09:42.613 --> 00:09:43.975 Because I do think this is a part 00:09:44.014 --> 00:09:45.618 of what this burnout, 00:09:45.638 --> 00:09:48.081 what we're experiencing in the provider 00:09:48.101 --> 00:09:48.581 shortage. 00:09:48.863 --> 00:09:50.164 This is definitely a part of it that 00:09:50.205 --> 00:09:51.868 we haven't really fully examined. 00:09:52.355 --> 00:09:52.754 Yeah. 00:09:52.794 --> 00:09:53.495 So you guys don't know, 00:09:53.855 --> 00:09:55.115 there's no question list, right? 00:09:55.456 --> 00:09:56.456 So I'm gonna go off the cuff. 00:09:56.476 --> 00:09:57.937 I'm gonna ask you like an unfair, 00:09:58.038 --> 00:09:58.778 unprepared question. 00:09:59.077 --> 00:09:59.859 What if someone's like, 00:10:00.198 --> 00:10:01.899 it sounds like you're talking about just 00:10:02.039 --> 00:10:03.821 feelings and touchy feely things and how 00:10:03.980 --> 00:10:05.341 this feel like you're talking about, 00:10:05.841 --> 00:10:07.342 you know, all these things. 00:10:08.163 --> 00:10:09.764 why does that matter hey man i'm here 00:10:09.784 --> 00:10:11.485 to do this this feels like you're talking 00:10:11.525 --> 00:10:13.768 about stuff that you know moral injury 00:10:13.788 --> 00:10:15.970 like okay move on suck it up if 00:10:16.029 --> 00:10:17.371 someone's saying that what would you say 00:10:17.392 --> 00:10:19.693 to them how does this translate so i'll 00:10:19.734 --> 00:10:22.255 say in a different way too my uh 00:10:22.557 --> 00:10:24.077 professor in pt school gave me the 00:10:24.097 --> 00:10:24.658 greatest 00:10:25.833 --> 00:10:27.274 paradigm to think about research or 00:10:27.315 --> 00:10:30.136 anything what so what now what right so 00:10:30.177 --> 00:10:31.638 the what we can talk about but like 00:10:31.738 --> 00:10:34.500 so what it sucks it's unfair but now 00:10:34.700 --> 00:10:36.140 so how would you like push back or 00:10:36.201 --> 00:10:38.182 say to someone who's like I'm scrolling 00:10:38.201 --> 00:10:40.504 through I don't need this why why do 00:10:40.524 --> 00:10:42.125 they and they might not know it or 00:10:42.184 --> 00:10:43.666 not see it clearly 00:10:47.009 --> 00:10:47.970 One of the big things, 00:10:48.250 --> 00:10:50.791 we're going to talk about the history of 00:10:50.831 --> 00:10:50.910 it. 00:10:50.951 --> 00:10:52.432 We're going to have some of that 00:10:52.491 --> 00:10:53.111 conversation. 00:10:53.153 --> 00:10:54.513 But a lot of it is also going 00:10:54.552 --> 00:10:57.394 to be interventions and what people can 00:10:57.455 --> 00:10:57.894 do, 00:10:58.054 --> 00:10:59.735 the post-traumatic growth and the 00:10:59.775 --> 00:11:02.697 different strategies that there are to 00:11:02.738 --> 00:11:05.019 help you as you work through these things. 00:11:05.178 --> 00:11:06.059 And one of the big... 00:11:06.960 --> 00:11:08.701 reasons that we're doing it is for 00:11:08.721 --> 00:11:10.302 sustainability of the profession, 00:11:10.363 --> 00:11:12.225 because I can tell you one of the 00:11:12.264 --> 00:11:13.566 examples is we had, 00:11:14.206 --> 00:11:17.548 I had at least two PTAs that left 00:11:17.749 --> 00:11:18.289 home health. 00:11:18.450 --> 00:11:20.731 One went to, she also owned a bar. 00:11:20.851 --> 00:11:23.153 So she went to be the bartender and 00:11:23.193 --> 00:11:24.054 just worked that. 00:11:24.134 --> 00:11:26.576 And then we had another one that went 00:11:26.677 --> 00:11:28.677 to be the church secretary because they 00:11:28.717 --> 00:11:31.100 just couldn't handle the strain of it. 00:11:32.081 --> 00:11:35.083 And that's not to say that running a 00:11:35.144 --> 00:11:37.687 bar or running a church isn't stressful. 00:11:38.506 --> 00:11:39.607 And I'm an amateur. 00:11:40.889 --> 00:11:44.932 But it feels like the juice versus squeeze 00:11:44.972 --> 00:11:45.533 ratio is... 00:11:46.807 --> 00:11:47.788 was more clear. 00:11:48.828 --> 00:11:49.990 May or may not be better, 00:11:50.029 --> 00:11:52.052 but when I can clearly understand it, 00:11:52.131 --> 00:11:53.153 if I do these five things, 00:11:53.212 --> 00:11:55.394 I get this, versus if I do this, 00:11:55.455 --> 00:11:56.456 I don't know what I'm getting, 00:11:56.655 --> 00:11:59.138 or I keep doing more of this and 00:11:59.177 --> 00:12:01.019 getting the same or less of this, 00:12:01.600 --> 00:12:02.541 that makes me feel... 00:12:05.082 --> 00:12:06.224 burnout cheated. 00:12:06.764 --> 00:12:07.684 I'm not going to take it. 00:12:07.745 --> 00:12:08.065 I'm out. 00:12:08.625 --> 00:12:08.804 Right. 00:12:08.825 --> 00:12:10.765 So you just get just told two examples 00:12:10.806 --> 00:12:12.788 of like, yes, I'm a smart person. 00:12:12.827 --> 00:12:13.628 I'm doing the math. 00:12:13.768 --> 00:12:15.469 I keep doing this and feeling like this. 00:12:16.129 --> 00:12:17.691 I'm going to do not this anymore. 00:12:17.831 --> 00:12:18.931 I will do anything else, 00:12:18.990 --> 00:12:19.951 but you'll make less money, 00:12:20.991 --> 00:12:22.753 but it's a better juice versus squeeze 00:12:22.793 --> 00:12:23.173 ratio. 00:12:23.274 --> 00:12:24.634 Even if I'm getting less juice, 00:12:25.174 --> 00:12:27.235 I'm giving less squeeze. 00:12:27.596 --> 00:12:29.037 And the problem is the human is the 00:12:29.076 --> 00:12:30.898 thing getting squeezed. 00:12:31.359 --> 00:12:31.979 Exactly. 00:12:32.644 --> 00:12:34.065 And I would think to push back to 00:12:34.125 --> 00:12:35.946 somebody that feels this way, 00:12:36.186 --> 00:12:39.206 this term actually has its roots in the 00:12:39.226 --> 00:12:39.907 military. 00:12:40.587 --> 00:12:41.148 Which term? 00:12:41.168 --> 00:12:41.748 Moral injury? 00:12:41.827 --> 00:12:42.427 Moral injury. 00:12:42.888 --> 00:12:43.489 Oh, okay. 00:12:43.528 --> 00:12:45.708 The biggest, baddest dudes on the planet, 00:12:45.889 --> 00:12:47.990 they suffer from this, right? 00:12:48.090 --> 00:12:51.211 So to say that people in healthcare, 00:12:51.291 --> 00:12:52.251 I mean, more recently, 00:12:52.272 --> 00:12:54.351 the terminology has been moved to be more 00:12:54.392 --> 00:12:56.393 inclusive of people in public service. 00:12:56.942 --> 00:12:58.244 but my goodness, 00:12:58.323 --> 00:13:00.004 I would think you need a reality check 00:13:00.044 --> 00:13:01.647 if you're pushing back that hard on it 00:13:01.667 --> 00:13:05.269 and not willing to explore what has been 00:13:05.289 --> 00:13:05.929 going on. 00:13:06.591 --> 00:13:08.572 And it's, it's, it's involving. 00:13:08.631 --> 00:13:09.352 So, you know, 00:13:09.413 --> 00:13:11.394 you look at the works of, you know, 00:13:11.413 --> 00:13:13.796 you had Janet Bessner on earlier and then 00:13:13.875 --> 00:13:14.657 Nancy Kirsch. 00:13:14.677 --> 00:13:15.376 Like we, 00:13:15.498 --> 00:13:17.158 we talk about moral injury in terms of 00:13:17.198 --> 00:13:20.081 productivity and what it's doing to folks 00:13:20.260 --> 00:13:22.342 and the administrative burden and 00:13:22.711 --> 00:13:24.152 You know, it's been all over the place. 00:13:24.172 --> 00:13:26.812 We look at kind of even the sociopolitical 00:13:27.673 --> 00:13:29.113 moral injury that people have been 00:13:29.673 --> 00:13:30.553 enduring as well. 00:13:30.614 --> 00:13:32.975 So this term, while it feels touchy, 00:13:33.195 --> 00:13:33.514 I mean, 00:13:33.914 --> 00:13:35.475 you really got to dig deep and get 00:13:35.495 --> 00:13:37.635 to that root cause of maybe why you're 00:13:37.655 --> 00:13:38.817 feeling the way you're feeling. 00:13:38.856 --> 00:13:40.336 A lot of people can't put a term 00:13:40.417 --> 00:13:43.258 to, like, I just feel, you know, 00:13:43.337 --> 00:13:45.158 like there's no joy left in what it 00:13:45.239 --> 00:13:45.798 is that I do. 00:13:45.818 --> 00:13:47.120 And I have shame around some of the 00:13:47.159 --> 00:13:49.480 decisions and I feel betrayed or I witness 00:13:49.539 --> 00:13:50.900 things I'm not okay with. 00:13:51.424 --> 00:13:54.408 that's what moral injury really is. 00:13:54.467 --> 00:13:56.909 Now I feel like you could do something 00:13:56.970 --> 00:13:58.071 like say, all right, well, 00:13:58.110 --> 00:13:59.812 how does this affect the clinician? 00:14:00.212 --> 00:14:03.054 Will they leave or they stay and they 00:14:03.095 --> 00:14:03.436 hate it? 00:14:03.456 --> 00:14:04.557 Yeah. 00:14:04.616 --> 00:14:05.738 And then how does that affect them at 00:14:05.758 --> 00:14:05.977 home? 00:14:06.097 --> 00:14:06.258 Right. 00:14:06.278 --> 00:14:08.539 So that's one thing they stay and they 00:14:08.580 --> 00:14:08.919 hate it. 00:14:09.019 --> 00:14:10.201 What does that do to everybody around 00:14:10.241 --> 00:14:10.442 them? 00:14:11.162 --> 00:14:12.504 What does that do to their patients? 00:14:13.024 --> 00:14:14.445 What is their leaving due to their 00:14:14.485 --> 00:14:15.005 patients? 00:14:15.566 --> 00:14:16.947 What is their leaving or staying due to 00:14:16.966 --> 00:14:18.589 the profession or the business or 00:14:19.539 --> 00:14:21.360 What is due to patients short term, 00:14:21.421 --> 00:14:21.980 long term? 00:14:22.020 --> 00:14:23.900 Like this is big, tall, short, 00:14:23.961 --> 00:14:26.402 long term all around. 00:14:26.481 --> 00:14:28.543 So there's your now what? 00:14:28.842 --> 00:14:29.123 What? 00:14:29.182 --> 00:14:29.543 So what? 00:14:29.623 --> 00:14:30.563 There's your now what? 00:14:30.783 --> 00:14:31.524 It's not one thing. 00:14:31.604 --> 00:14:32.845 It's not just what happened to the 00:14:32.865 --> 00:14:34.365 clinician. 00:14:34.565 --> 00:14:35.785 These things are not in isolation. 00:14:35.806 --> 00:14:35.966 No, no. 00:14:35.985 --> 00:14:37.385 And these are rare. 00:14:37.586 --> 00:14:41.147 Like moral injury is technically a rare 00:14:41.167 --> 00:14:41.427 event. 00:14:41.447 --> 00:14:43.107 We just... 00:14:45.308 --> 00:14:49.052 We got hit again and again and again 00:14:49.072 --> 00:14:49.413 and again, 00:14:49.493 --> 00:14:52.216 and we never recovered and stood back up 00:14:52.296 --> 00:14:52.716 fully. 00:14:53.797 --> 00:14:56.980 We're still half activated and going this 00:14:57.019 --> 00:14:57.701 fight or flight. 00:14:58.120 --> 00:15:01.244 So yeah, it's time to talk about it, 00:15:01.264 --> 00:15:01.725 I think. 00:15:02.380 --> 00:15:03.562 I heard someone explain this to me in 00:15:03.581 --> 00:15:04.863 twenty twenty who was a Ph.D. 00:15:04.982 --> 00:15:08.125 researcher and they said this so calmly 00:15:08.605 --> 00:15:09.846 and I remember like it took me a 00:15:09.886 --> 00:15:10.727 minute to process. 00:15:10.748 --> 00:15:11.067 They said, 00:15:11.347 --> 00:15:14.169 you do realize that someone will do their 00:15:14.230 --> 00:15:17.192 entire career in research on this event 00:15:17.373 --> 00:15:18.793 like this going forward. 00:15:18.833 --> 00:15:20.375 They will now this is what they will 00:15:20.394 --> 00:15:22.236 be studying their whole life. 00:15:23.600 --> 00:15:25.203 and a small part of it likely, right? 00:15:25.224 --> 00:15:27.287 Like this person will study this for a 00:15:27.346 --> 00:15:27.888 long time. 00:15:27.908 --> 00:15:29.070 And I remember being like, no, 00:15:29.090 --> 00:15:30.491 this will be done in a few months. 00:15:30.692 --> 00:15:31.854 And then it took me a half a 00:15:31.894 --> 00:15:34.057 beat to be like, oh, 00:15:34.357 --> 00:15:36.441 this will not be done in a long, 00:15:36.480 --> 00:15:37.001 long time. 00:15:37.998 --> 00:15:38.738 You can look at something like, 00:15:39.158 --> 00:15:39.879 I grew up in New York. 00:15:39.918 --> 00:15:41.200 My dad was a New York City fireman. 00:15:42.181 --> 00:15:42.280 So, 00:15:42.341 --> 00:15:44.902 nine-eleven is obviously different to me 00:15:44.961 --> 00:15:46.263 than it was to my dad, 00:15:46.302 --> 00:15:47.323 than it was to my neighbor, 00:15:47.344 --> 00:15:48.705 than it was to someone in Texas or 00:15:48.745 --> 00:15:49.865 Washington or Japan. 00:15:49.884 --> 00:15:51.566 It still affects everybody, 00:15:51.605 --> 00:15:53.626 but what are the million different ways? 00:15:54.288 --> 00:15:56.009 It's a little more clear, 00:15:56.109 --> 00:15:56.668 I won't say easier, 00:15:56.708 --> 00:15:58.831 but more clear to see that and a 00:15:58.850 --> 00:16:00.511 little less clear to see what you're 00:16:00.552 --> 00:16:01.131 talking about there, 00:16:01.152 --> 00:16:02.192 but it's still there when you look. 00:16:02.212 --> 00:16:02.513 Oh, yeah. 00:16:02.753 --> 00:16:05.894 And it hits people in a different... 00:16:06.570 --> 00:16:08.471 Levels like those of us in the outpatient 00:16:08.510 --> 00:16:08.791 world, 00:16:08.831 --> 00:16:10.691 we did not have the same experience of 00:16:10.750 --> 00:16:13.032 people in acute or in the ICU. 00:16:13.091 --> 00:16:13.552 I mean, 00:16:14.831 --> 00:16:17.052 we even had in our course in Ohio, 00:16:17.113 --> 00:16:18.673 there was a girl that was like, 00:16:19.234 --> 00:16:21.293 I can't even go buy this room anymore. 00:16:22.173 --> 00:16:25.294 Like PTSD, I had patients dying there. 00:16:25.315 --> 00:16:27.216 I had people who didn't have family 00:16:27.235 --> 00:16:28.716 members and I had to be in there 00:16:28.755 --> 00:16:31.057 with them and with masks and I'm 00:16:31.136 --> 00:16:32.037 dehumanized. 00:16:32.096 --> 00:16:32.856 I've, you know, 00:16:32.917 --> 00:16:34.658 my entire identity is hidden. 00:16:35.159 --> 00:16:36.681 and we've lost that little touch of 00:16:36.741 --> 00:16:37.261 humanity. 00:16:37.302 --> 00:16:37.662 I mean, 00:16:37.682 --> 00:16:39.524 think about how that breaks the soul of 00:16:39.563 --> 00:16:40.284 the provider. 00:16:40.904 --> 00:16:42.767 So we actually use a lot of clips. 00:16:42.807 --> 00:16:44.469 Lisa found these awesome clips from The 00:16:44.548 --> 00:16:46.650 Pit, if you guys have watched that. 00:16:47.291 --> 00:16:50.374 And it's those flashbacks that some people 00:16:50.573 --> 00:16:53.996 have experienced in these really intense 00:16:54.017 --> 00:16:55.538 traumatic moments. 00:16:56.019 --> 00:16:58.061 So we will be giving some clips in 00:16:58.081 --> 00:17:01.283 the presentation as well at CSM. 00:17:01.740 --> 00:17:03.363 So you're going full multimedia, Lisa. 00:17:03.562 --> 00:17:05.184 Maybe you don't have to give the clips 00:17:05.224 --> 00:17:05.546 away, 00:17:05.605 --> 00:17:07.788 but what about the clips made you say, 00:17:07.929 --> 00:17:08.229 yes, 00:17:08.288 --> 00:17:09.871 this illustrates my point really well? 00:17:10.685 --> 00:17:13.366 So one is of Noah Wiley. 00:17:13.926 --> 00:17:14.407 Actually, 00:17:15.288 --> 00:17:20.130 his mentor actually died during COVID. 00:17:20.690 --> 00:17:21.670 In the show? 00:17:21.690 --> 00:17:22.510 You mean I haven't seen the show? 00:17:22.550 --> 00:17:23.570 Yes, in the show. 00:17:23.631 --> 00:17:23.891 Yes. 00:17:24.211 --> 00:17:27.173 And so he actually has flashbacks to that. 00:17:27.252 --> 00:17:28.712 And being in the room, 00:17:28.893 --> 00:17:31.074 when he's with a different patient and 00:17:31.114 --> 00:17:34.855 he's in the room and how that impacts 00:17:34.915 --> 00:17:35.435 him and just... 00:17:35.996 --> 00:17:38.157 watching his emotional reaction and him 00:17:38.198 --> 00:17:39.778 having to step out and what that looks 00:17:39.838 --> 00:17:41.420 like, it just shows, 00:17:42.101 --> 00:17:44.262 as Kristen said earlier, 00:17:44.303 --> 00:17:46.003 that invisible wound, 00:17:46.144 --> 00:17:48.086 and he's still trying to hide it from 00:17:48.145 --> 00:17:48.465 people. 00:17:49.446 --> 00:17:51.048 And so just seeing that impact. 00:17:51.087 --> 00:17:52.588 And then there's another clip about a 00:17:52.648 --> 00:17:54.711 whole conversation related to masks. 00:17:55.090 --> 00:17:57.311 you know, and wearing masks and, you know, 00:17:57.551 --> 00:18:00.253 and how, you know, how that impacted too, 00:18:00.273 --> 00:18:00.534 you know, 00:18:00.574 --> 00:18:02.694 because you had a lot of variable 00:18:02.914 --> 00:18:04.155 variation and, you know, 00:18:04.195 --> 00:18:06.116 people that wanted to wear masks and not 00:18:06.457 --> 00:18:08.238 wear masks and, you know, 00:18:08.458 --> 00:18:11.480 and always thinking about how I always, 00:18:11.779 --> 00:18:13.641 as a leader talked about, 00:18:13.760 --> 00:18:16.442 it was called a novel coronavirus for a 00:18:16.482 --> 00:18:17.682 reason, because it was new. 00:18:17.762 --> 00:18:18.923 It was new to all of us. 00:18:18.963 --> 00:18:19.785 And we were learning, 00:18:20.404 --> 00:18:21.846 we were learning as we went. 00:18:22.506 --> 00:18:25.227 on how to deal with it. 00:18:27.407 --> 00:18:28.808 We're building a plane in the air. 00:18:32.770 --> 00:18:33.131 Absolutely, yeah. 00:18:33.310 --> 00:18:34.872 And then you have these new grads who 00:18:34.892 --> 00:18:36.132 are coming out and they're like, 00:18:36.172 --> 00:18:37.432 am I going to get a job? 00:18:38.613 --> 00:18:40.054 Do I really want to do this? 00:18:40.473 --> 00:18:42.755 Sure, which is a valid question to ask. 00:18:43.194 --> 00:18:43.536 Yeah, 00:18:43.556 --> 00:18:45.076 are they going to finish their clinicals 00:18:45.135 --> 00:18:45.737 in time? 00:18:45.817 --> 00:18:46.176 You know, 00:18:46.237 --> 00:18:48.877 will CAPTI adjust their requirements? 00:18:48.897 --> 00:18:50.778 You have educators who are saying... 00:18:51.721 --> 00:18:52.080 you know, 00:18:52.340 --> 00:18:54.442 I'm sending my students out into the 00:18:54.482 --> 00:18:55.863 field, but I don't wanna go out there. 00:18:56.584 --> 00:18:58.244 And then you have folks who feel that 00:18:58.585 --> 00:19:00.506 tug of, you know, I am a PT, 00:19:00.605 --> 00:19:01.247 I can treat, 00:19:01.267 --> 00:19:03.768 but I'm safe at home doing Zoom classes. 00:19:03.788 --> 00:19:05.628 And then there's just the human component, 00:19:05.808 --> 00:19:07.509 because we're juggling more than just our 00:19:07.529 --> 00:19:08.851 professional identity, right? 00:19:08.871 --> 00:19:10.051 So just, I mean, 00:19:10.612 --> 00:19:12.913 it touched everybody at a very different 00:19:13.354 --> 00:19:13.794 level. 00:19:14.914 --> 00:19:15.714 We have to regroup. 00:19:16.115 --> 00:19:17.936 We have to strengthen ourselves and 00:19:17.977 --> 00:19:18.297 recover. 00:19:19.284 --> 00:19:21.306 And this is for people who maybe haven't 00:19:21.326 --> 00:19:24.367 been to CSM before or maybe just didn't 00:19:24.387 --> 00:19:25.348 understand the structure. 00:19:26.609 --> 00:19:28.551 I mentioned being it's combined sections 00:19:28.592 --> 00:19:29.232 meeting, right? 00:19:29.413 --> 00:19:31.334 People just call it CSM and I call 00:19:31.354 --> 00:19:32.615 it CSM without actually knowing what the 00:19:32.635 --> 00:19:34.037 heck the C, the S, the M meant. 00:19:34.737 --> 00:19:36.358 This falls under the Academy of Leadership 00:19:36.378 --> 00:19:39.561 and Innovation, which you do work with. 00:19:39.922 --> 00:19:42.763 Maybe give them a little nod because they 00:19:42.804 --> 00:19:45.366 can't green light a thousand 00:19:45.406 --> 00:19:46.086 presentations. 00:19:46.106 --> 00:19:46.607 They have to. 00:19:47.288 --> 00:19:49.288 hear the pitches and then select a few 00:19:49.368 --> 00:19:51.390 just because of time and space uh so 00:19:51.410 --> 00:19:52.931 give or not explain to people what the 00:19:52.990 --> 00:19:54.571 academy of leadership and innovation is 00:19:55.011 --> 00:19:57.173 the academy of orthopedics it's pretty 00:19:57.192 --> 00:19:59.453 straightforward geriatrics pediatrics got 00:19:59.473 --> 00:20:01.655 it got it got it ali is a 00:20:01.736 --> 00:20:03.215 little different uh what how do you 00:20:03.236 --> 00:20:04.257 describe it um so i mean that's a 00:20:04.277 --> 00:20:05.538 really great question we are kind of the 00:20:05.557 --> 00:20:05.678 group 00:20:15.068 --> 00:20:17.450 where the topics are bigger than just PT 00:20:17.490 --> 00:20:18.289 in general. 00:20:18.789 --> 00:20:20.131 So we've got global health. 00:20:20.250 --> 00:20:22.030 We've got population health. 00:20:22.050 --> 00:20:23.632 We have PT Proud. 00:20:23.672 --> 00:20:26.172 We have environmental catalyst groups. 00:20:26.192 --> 00:20:27.113 We have tech SIGs. 00:20:27.133 --> 00:20:28.573 We have leadership, 00:20:29.373 --> 00:20:31.933 disability justice and anti-ableism, 00:20:32.994 --> 00:20:34.095 PT and mental health, 00:20:34.115 --> 00:20:35.795 which obviously this is a part of that 00:20:35.875 --> 00:20:36.276 as well. 00:20:37.516 --> 00:20:38.736 I'll throw something out. 00:20:38.756 --> 00:20:40.376 The label might not sound good, 00:20:41.057 --> 00:20:43.337 but we all have one and we never 00:20:43.458 --> 00:20:44.018 ordered one. 00:20:44.983 --> 00:20:45.804 It's the junk drawer. 00:20:45.824 --> 00:20:46.125 Yeah. 00:20:46.184 --> 00:20:50.365 Well, we don't want to call it that. 00:20:50.625 --> 00:20:50.885 No, no, no. 00:20:50.905 --> 00:20:52.067 But what I mean is it's funny we 00:20:52.106 --> 00:20:52.846 call it that, 00:20:53.666 --> 00:20:55.208 except that's the stuff we're like, oh, 00:20:55.248 --> 00:20:56.087 I can't let that go. 00:20:56.528 --> 00:20:57.449 That's valuable. 00:20:57.528 --> 00:20:59.028 Ironically, we call it a junk drawer, 00:20:59.549 --> 00:21:01.269 but it's a treasure chest because you 00:21:01.309 --> 00:21:01.990 can't let it go. 00:21:02.411 --> 00:21:02.891 But you're like, 00:21:02.931 --> 00:21:03.951 I don't know where to put this, 00:21:03.971 --> 00:21:04.932 so I put it in this drawer. 00:21:04.951 --> 00:21:05.692 Yes. 00:21:08.477 --> 00:21:10.738 yes junk drawer is not a great tag 00:21:10.778 --> 00:21:12.478 but it's a great it's a great emotion 00:21:12.498 --> 00:21:14.417 because it's where all it's the island of 00:21:14.458 --> 00:21:17.239 misfit toys and that sounds bad too except 00:21:17.259 --> 00:21:19.058 if you watch the claymation movie that's 00:21:19.078 --> 00:21:20.339 where all the that's where all the heroes 00:21:20.380 --> 00:21:24.160 were yeah this is where the magic happens 00:21:24.180 --> 00:21:25.200 that's where the magic happens right it 00:21:25.220 --> 00:21:26.701 doesn't make sense until it makes sense 00:21:26.721 --> 00:21:29.121 yeah these are the change makers these are 00:21:29.141 --> 00:21:30.141 the people that kind of push into 00:21:30.161 --> 00:21:32.761 initiatives and see them through to the 00:21:32.781 --> 00:21:33.261 end and 00:21:33.734 --> 00:21:34.596 You know, 00:21:34.675 --> 00:21:36.818 even this week I had someone from India 00:21:36.898 --> 00:21:38.320 reach out and wanted to collaborate with 00:21:38.340 --> 00:21:40.503 the environmental PT group. 00:21:40.544 --> 00:21:43.548 So, I mean, the span is quite large, 00:21:43.627 --> 00:21:44.930 but we're still a smaller, 00:21:45.069 --> 00:21:46.111 lesser known academy. 00:21:46.151 --> 00:21:47.452 But yes, 00:21:47.732 --> 00:21:49.454 our topics are bigger than just patient 00:21:49.496 --> 00:21:50.175 care and PT. 00:21:50.356 --> 00:21:51.278 That's your superpower. 00:21:51.397 --> 00:21:52.058 Lisa, what do you got? 00:21:53.077 --> 00:21:54.459 I, just to expand on that, 00:21:54.499 --> 00:21:56.559 I think just from, as Kristen said, 00:21:56.619 --> 00:21:58.141 I'm into the ethics piece of it, 00:21:58.161 --> 00:22:00.162 just from an ethics lens, 00:22:00.201 --> 00:22:03.723 it's looking at it from a societal view. 00:22:04.184 --> 00:22:07.626 So as opposed to just a clinician or 00:22:07.747 --> 00:22:08.926 an organizational level, 00:22:09.087 --> 00:22:11.148 a lot of those parts of it are 00:22:11.548 --> 00:22:13.710 looking at society and how we can impact 00:22:13.769 --> 00:22:14.310 society. 00:22:14.351 --> 00:22:16.112 And I think that's a big part of, 00:22:16.892 --> 00:22:18.732 with the moral injury we're talking about 00:22:18.813 --> 00:22:19.394 too is, 00:22:20.054 --> 00:22:20.273 You know, 00:22:20.314 --> 00:22:21.875 there is we're going to talk about what 00:22:21.914 --> 00:22:23.214 you can do as an individual, 00:22:23.275 --> 00:22:25.957 how you can help yourself health as an 00:22:26.037 --> 00:22:26.636 individual. 00:22:26.676 --> 00:22:28.557 But also we're going to talk about, 00:22:28.577 --> 00:22:29.178 you know, 00:22:29.198 --> 00:22:31.719 moral communities and how you can develop 00:22:31.759 --> 00:22:32.259 those. 00:22:32.318 --> 00:22:34.259 And so you can help yourself, you know, 00:22:34.299 --> 00:22:36.300 get an organization or a group of people 00:22:36.320 --> 00:22:39.122 that are like minded and and share ideas 00:22:39.162 --> 00:22:40.403 and solutions and then. 00:22:41.522 --> 00:22:43.523 Hopefully that will translate into 00:22:43.984 --> 00:22:45.945 communities, into society, 00:22:46.885 --> 00:22:51.088 and being able to make bigger changes from 00:22:51.128 --> 00:22:55.192 the physical therapy profession at large. 00:22:55.211 --> 00:22:56.352 I'll just do some housekeeping. 00:22:56.613 --> 00:22:57.053 This talk, 00:22:57.073 --> 00:22:58.953 we're talking about the invisible wound, 00:22:58.973 --> 00:23:00.954 the unspoken consequences of moral injury 00:23:01.055 --> 00:23:02.516 on healthcare professionals following 00:23:02.536 --> 00:23:03.136 COVID-Nineteen. 00:23:03.854 --> 00:23:06.175 Thursday, the twelfth, eight a.m., 00:23:06.836 --> 00:23:07.416 coming and hopping. 00:23:07.436 --> 00:23:08.798 If you're going east coast to west coast, 00:23:08.877 --> 00:23:10.259 you're still sleeping in, so that's good. 00:23:10.298 --> 00:23:11.038 I know it sounds like early, 00:23:11.058 --> 00:23:13.080 but you're not, okay? 00:23:13.500 --> 00:23:15.221 I have a crazy idea that was not 00:23:15.261 --> 00:23:16.663 on the docket before we hit record. 00:23:16.682 --> 00:23:18.964 What you got? 00:23:18.984 --> 00:23:19.965 So let me work backwards. 00:23:20.425 --> 00:23:22.426 Somewhere in our profession, well, sorry, 00:23:22.446 --> 00:23:23.528 let me go bigger first. 00:23:24.489 --> 00:23:25.970 I don't think many people now, 00:23:26.089 --> 00:23:27.111 maybe ten years ago, 00:23:27.810 --> 00:23:28.711 but not many people now, 00:23:28.971 --> 00:23:31.534 disagree with that we need to learn how 00:23:31.554 --> 00:23:32.494 to communicate better 00:23:33.717 --> 00:23:35.018 Because communication is power. 00:23:35.698 --> 00:23:36.659 I come to that because I have a 00:23:36.679 --> 00:23:37.519 degree in communications, 00:23:37.660 --> 00:23:38.339 so I have a hammer. 00:23:38.400 --> 00:23:39.300 The world is full of nails. 00:23:40.000 --> 00:23:40.961 I understand I have bias. 00:23:42.182 --> 00:23:43.303 I think if someone said, 00:23:43.644 --> 00:23:44.683 if there was going to be a special 00:23:44.723 --> 00:23:46.444 interest group about communications, 00:23:46.806 --> 00:23:48.886 not marketing, in my mind, 00:23:49.086 --> 00:23:50.407 marketing fits under communications, 00:23:52.148 --> 00:23:52.809 people would, 00:23:52.970 --> 00:23:54.391 their gut reaction would say, 00:23:54.871 --> 00:23:55.872 that's for PPS. 00:23:56.192 --> 00:23:57.353 And I would say, no. 00:23:57.492 --> 00:23:57.613 No. 00:23:59.784 --> 00:24:01.884 Every conversation is a negotiation for 00:24:01.944 --> 00:24:02.526 information. 00:24:03.046 --> 00:24:04.165 That's from a great book I read. 00:24:04.807 --> 00:24:06.688 I would say a special interest group 00:24:06.887 --> 00:24:09.890 focused on how to make people improve 00:24:09.910 --> 00:24:12.171 their communication skills would fit best 00:24:12.290 --> 00:24:13.632 in the Academy of Leadership Innovation. 00:24:14.311 --> 00:24:15.393 Probably not its own academy, 00:24:15.553 --> 00:24:16.673 but it would definitely be a special 00:24:16.732 --> 00:24:17.314 interest group. 00:24:18.074 --> 00:24:19.295 And how do you define a special interest 00:24:19.315 --> 00:24:19.515 group? 00:24:19.555 --> 00:24:19.914 For me, 00:24:19.934 --> 00:24:21.036 it's a bunch of people who are like, 00:24:22.236 --> 00:24:23.116 I have this problem. 00:24:24.647 --> 00:24:26.509 I either have the problem or the solution. 00:24:26.589 --> 00:24:27.430 I am someone who knows how to do 00:24:27.471 --> 00:24:28.371 this and does it a lot, 00:24:28.832 --> 00:24:30.493 or I am the opposite of that. 00:24:31.494 --> 00:24:32.796 And I think you do a good job. 00:24:32.875 --> 00:24:36.420 Leadership shouldn't fit anywhere. 00:24:36.460 --> 00:24:37.320 It should fit everywhere. 00:24:37.621 --> 00:24:38.481 Like LAMP, 00:24:38.781 --> 00:24:40.243 the program that Academy of Leadership and 00:24:40.284 --> 00:24:41.865 Innovation has, is not a vertical. 00:24:42.866 --> 00:24:43.768 It's a horizontal. 00:24:44.828 --> 00:24:45.950 Would you be a better... 00:24:46.710 --> 00:24:48.171 Do we need leaders in pediatrics? 00:24:48.451 --> 00:24:48.951 Well, yeah. 00:24:49.432 --> 00:24:50.913 Do we need leaders in aquatics? 00:24:50.973 --> 00:24:51.213 Yes. 00:24:51.233 --> 00:24:51.913 Do we need... Yeah. 00:24:52.013 --> 00:24:52.193 Okay. 00:24:52.214 --> 00:24:53.255 So that's not a vertical anymore. 00:24:53.275 --> 00:24:53.915 It's a horizontal. 00:24:54.455 --> 00:24:56.038 I think communications is the same thing. 00:24:56.958 --> 00:24:58.098 How do I pitch a SIG? 00:24:59.460 --> 00:25:00.500 I don't even know how that works. 00:25:00.520 --> 00:25:03.503 Oh, there's a form on the... 00:25:03.523 --> 00:25:04.003 I'm already out. 00:25:05.361 --> 00:25:10.826 Send me a voice memo of what you 00:25:10.865 --> 00:25:11.006 want. 00:25:11.086 --> 00:25:11.967 I'll do it for you. 00:25:12.166 --> 00:25:14.249 Can I make a video that's ninety seconds 00:25:14.288 --> 00:25:15.269 or less? 00:25:15.609 --> 00:25:16.891 Okay. 00:25:16.951 --> 00:25:18.393 Yeah, let's try it. 00:25:18.413 --> 00:25:18.792 Wait, wait, wait. 00:25:18.813 --> 00:25:20.835 Wouldn't that be innovative? 00:25:22.217 --> 00:25:23.397 communication and innovative. 00:25:23.417 --> 00:25:23.577 No, no, no. 00:25:23.597 --> 00:25:24.838 A video to pitch the SIG. 00:25:24.878 --> 00:25:25.179 But yeah, 00:25:25.398 --> 00:25:27.259 what I'll do is I'll make the video. 00:25:27.480 --> 00:25:29.121 I'll take the transcription of the video. 00:25:29.520 --> 00:25:31.261 I'll make AI write the form. 00:25:31.521 --> 00:25:31.721 Yeah. 00:25:31.762 --> 00:25:32.262 So I can do it. 00:25:32.303 --> 00:25:32.623 Nevermind. 00:25:32.702 --> 00:25:33.262 I can do the form. 00:25:33.663 --> 00:25:34.324 I won't do the form. 00:25:34.423 --> 00:25:35.284 Jarvis will do the form. 00:25:35.503 --> 00:25:36.085 I can do the form. 00:25:36.125 --> 00:25:36.384 Got it. 00:25:36.464 --> 00:25:36.545 Okay. 00:25:36.565 --> 00:25:38.185 I love that. 00:25:38.205 --> 00:25:39.666 That was a side piece because listen, 00:25:40.702 --> 00:25:41.463 I've said this before. 00:25:41.824 --> 00:25:42.564 You guys are going to be on the 00:25:42.584 --> 00:25:43.125 big stage. 00:25:43.625 --> 00:25:44.486 Lisa's first time. 00:25:44.766 --> 00:25:45.705 Chris is coming back. 00:25:46.567 --> 00:25:48.347 I think being on stage at CSM is 00:25:48.468 --> 00:25:49.068 important. 00:25:49.749 --> 00:25:51.289 The part that breaks my heart is, 00:25:51.630 --> 00:25:52.911 and I don't know when during the year, 00:25:52.931 --> 00:25:53.971 I can't remember when this happens, 00:25:54.011 --> 00:25:55.972 but when they start releasing who got a 00:25:56.012 --> 00:25:57.294 spot at CSM and who didn't, 00:25:58.394 --> 00:25:59.756 it's like soccer tryout day. 00:25:59.875 --> 00:26:00.955 And if people find out who was on 00:26:00.976 --> 00:26:03.438 the team and who didn't, I always push, 00:26:03.538 --> 00:26:05.439 push back with a communication lens that 00:26:05.499 --> 00:26:05.940 says, 00:26:07.560 --> 00:26:08.780 how many people do you think we're going 00:26:08.800 --> 00:26:09.402 to be in the room? 00:26:10.151 --> 00:26:12.071 A hundred, five hundred. 00:26:13.271 --> 00:26:14.093 That's a big room. 00:26:14.133 --> 00:26:15.212 Five hundred, a thousand. 00:26:15.313 --> 00:26:15.472 Right. 00:26:15.492 --> 00:26:16.733 That's a bigger presentation. 00:26:17.233 --> 00:26:19.694 I still think the most of the time 00:26:19.714 --> 00:26:21.756 people will take to social media and say, 00:26:22.036 --> 00:26:23.436 oh, you know, little sour. 00:26:23.616 --> 00:26:25.718 I didn't get in or hey, I'm disappointed. 00:26:25.738 --> 00:26:27.278 Didn't get in the thing that you're 00:26:27.298 --> 00:26:28.038 complaining on. 00:26:29.686 --> 00:26:31.749 you can reach more people with it than 00:26:31.788 --> 00:26:33.789 you could have in the room with CSM. 00:26:34.030 --> 00:26:35.932 So is it impact and reach or ego? 00:26:36.051 --> 00:26:37.292 It's okay if it's a mix of all 00:26:37.333 --> 00:26:37.634 of them. 00:26:37.653 --> 00:26:38.273 Yeah. 00:26:38.714 --> 00:26:40.276 I applied for things and not got it 00:26:40.316 --> 00:26:41.156 and been like, ah, man. 00:26:41.176 --> 00:26:43.337 Yeah. 00:26:43.357 --> 00:26:44.779 I will say you could still reach more 00:26:44.880 --> 00:26:46.721 people over longer amounts of time if you 00:26:46.800 --> 00:26:49.163 did your presentation on YouTube. 00:26:50.423 --> 00:26:51.065 Very true. 00:26:51.839 --> 00:26:52.641 That's the way I look at it. 00:26:52.921 --> 00:26:53.361 I get it. 00:26:53.402 --> 00:26:54.241 Being in the room is fun. 00:26:54.321 --> 00:26:55.123 I like being in the room, 00:26:55.343 --> 00:26:56.443 but that's not the only way. 00:26:56.605 --> 00:26:58.906 That would be my first lesson in my 00:26:58.967 --> 00:27:00.587 special interest group in the Academy of 00:27:00.627 --> 00:27:01.388 Leadership Innovation, 00:27:01.409 --> 00:27:02.089 the special interest group of 00:27:02.109 --> 00:27:02.650 communications. 00:27:02.670 --> 00:27:05.011 I love that. 00:27:05.133 --> 00:27:06.294 I can't wait for you to pitch it. 00:27:06.314 --> 00:27:06.574 All right. 00:27:06.594 --> 00:27:07.694 Give me a future state. 00:27:08.256 --> 00:27:09.557 Someone walks out of the room at your 00:27:09.596 --> 00:27:12.078 presentation after this. 00:27:12.920 --> 00:27:14.101 What have they become? 00:27:14.141 --> 00:27:14.882 What have they learned more? 00:27:14.922 --> 00:27:15.942 What are they able to do? 00:27:17.204 --> 00:27:18.484 I love this question. 00:27:18.525 --> 00:27:18.704 Lisa, 00:27:18.724 --> 00:27:20.046 do you want to talk about our current 00:27:20.105 --> 00:27:20.705 initiatives? 00:27:21.766 --> 00:27:24.787 I'll let you start and then I will 00:27:24.826 --> 00:27:26.428 tag in because I know she is like 00:27:26.468 --> 00:27:28.548 the engine for this. 00:27:28.728 --> 00:27:31.169 So she is on it. 00:27:31.209 --> 00:27:32.709 She just keeps us moving. 00:27:32.749 --> 00:27:35.490 So I'll let her start and I'll add 00:27:35.509 --> 00:27:35.789 in. 00:27:35.890 --> 00:27:36.309 OK. 00:27:37.069 --> 00:27:39.070 So when Lisa and I gave this talk, 00:27:39.570 --> 00:27:40.990 this created so much buzz. 00:27:41.010 --> 00:27:42.612 We actually created a special interest 00:27:42.652 --> 00:27:45.373 group or a committee, actually. 00:27:45.393 --> 00:27:46.532 It's a committee, not even a SIG. 00:27:47.382 --> 00:27:48.342 Within the OPTA, 00:27:48.402 --> 00:27:50.002 so it is the Wellness Committee. 00:27:50.663 --> 00:27:53.523 And we have been working diligently. 00:27:53.584 --> 00:27:56.404 We actually completed our IRB submission 00:27:56.585 --> 00:28:00.445 yesterday for we're looking at provider 00:28:00.506 --> 00:28:02.586 wellness and professional sustainability. 00:28:02.665 --> 00:28:04.707 So we are exploring a national survey. 00:28:05.007 --> 00:28:05.727 So look for that. 00:28:05.767 --> 00:28:07.188 That will actually also be in our 00:28:07.228 --> 00:28:09.827 presentation in a little QR to go and 00:28:09.887 --> 00:28:10.248 take that. 00:28:10.508 --> 00:28:11.469 But we're exploring this. 00:28:11.489 --> 00:28:12.368 We're doing research. 00:28:12.796 --> 00:28:13.936 Our group is growing. 00:28:13.957 --> 00:28:14.997 We're going to have wellness Wednesdays. 00:28:15.017 --> 00:28:17.618 We're going to have a wellness summit. 00:28:18.099 --> 00:28:20.240 And I'm actually today putting together 00:28:20.320 --> 00:28:22.221 for a catalyst group in the Academy of 00:28:22.241 --> 00:28:23.343 Leadership and Innovation, 00:28:24.042 --> 00:28:27.065 a provider wellness and professional 00:28:27.105 --> 00:28:29.686 sustainability application to create a 00:28:29.707 --> 00:28:31.508 catalyst group to keep this going 00:28:32.288 --> 00:28:34.690 nationally so we can keep going. 00:28:35.790 --> 00:28:38.373 We have people from all across the US 00:28:38.413 --> 00:28:40.034 who are doing these things in silos. 00:28:40.390 --> 00:28:41.891 and we need to bring ourselves together. 00:28:42.171 --> 00:28:45.032 So Lisa Flexner has a company, you know, 00:28:45.493 --> 00:28:48.115 on the west coast that works at corporate 00:28:48.175 --> 00:28:52.358 trying to put more professional wellness 00:28:52.378 --> 00:28:54.901 stuff into their business structure to 00:28:54.980 --> 00:28:57.201 keep their employees happy and healthy. 00:28:57.602 --> 00:28:59.263 You have individuals like my home who 00:28:59.304 --> 00:28:59.784 trained, 00:28:59.844 --> 00:29:03.125 she's doing an individual consultation for 00:29:03.186 --> 00:29:05.188 providers who have burnout and trying to 00:29:05.208 --> 00:29:06.288 help restore their wellness. 00:29:06.528 --> 00:29:08.609 We have so many pockets of people across 00:29:08.630 --> 00:29:09.151 the US 00:29:09.582 --> 00:29:10.001 doing this, 00:29:10.061 --> 00:29:12.584 we need to combine forces and just push. 00:29:12.604 --> 00:29:13.845 They need to be able to connect. 00:29:15.645 --> 00:29:15.746 Yes. 00:29:15.766 --> 00:29:16.185 Give them a home. 00:29:16.205 --> 00:29:16.666 They'll come. 00:29:17.106 --> 00:29:18.788 They need to be able to communicate over 00:29:18.827 --> 00:29:20.890 distance and time. 00:29:20.910 --> 00:29:21.549 Lisa, what would you add? 00:29:22.272 --> 00:29:24.634 So I think the big thing is looking 00:29:24.674 --> 00:29:26.736 at that moral community piece and being 00:29:26.776 --> 00:29:29.438 able to grow that and have under that, 00:29:29.518 --> 00:29:29.718 well, 00:29:29.917 --> 00:29:31.858 I see the wellness committee as a huge 00:29:31.960 --> 00:29:32.619 umbrella. 00:29:33.220 --> 00:29:34.500 And then under that, 00:29:34.540 --> 00:29:37.163 you have all these other communities where 00:29:37.542 --> 00:29:39.364 people that are struggling with 00:29:39.765 --> 00:29:41.346 productivity standards within their 00:29:41.405 --> 00:29:43.426 organizations, different organizations, 00:29:43.487 --> 00:29:46.489 and how does that look? 00:29:46.548 --> 00:29:49.830 People that do need to talk about burnout 00:29:49.871 --> 00:29:51.613 or the people that want those wellness, 00:29:53.073 --> 00:29:53.493 areas. 00:29:53.534 --> 00:29:55.434 And so I feel like the, you know, 00:29:55.974 --> 00:29:57.556 the wellness is going to be a huge 00:29:57.615 --> 00:30:00.797 umbrella where we can then go down into 00:30:00.916 --> 00:30:02.137 all the different, like, you know, 00:30:02.157 --> 00:30:03.558 financial loans, 00:30:03.598 --> 00:30:06.400 how that's impacting students and how do 00:30:06.440 --> 00:30:08.181 we keep people in the profession and, 00:30:08.320 --> 00:30:10.241 you know, looking at physical, mental, 00:30:10.821 --> 00:30:12.282 spiritual, financial, 00:30:12.423 --> 00:30:16.005 all those dimensions of wellness. 00:30:16.384 --> 00:30:16.605 Yeah. 00:30:16.704 --> 00:30:18.125 Digital rest, Demi. 00:30:18.286 --> 00:30:18.586 Yes. 00:30:19.066 --> 00:30:19.686 Yes. 00:30:19.767 --> 00:30:20.086 Mm-hmm. 00:30:21.586 --> 00:30:21.707 Yeah, 00:30:21.727 --> 00:30:22.707 you got to check out of this thing 00:30:22.788 --> 00:30:23.788 once in a while. 00:30:23.928 --> 00:30:25.108 Yeah. 00:30:25.189 --> 00:30:25.888 Yeah. 00:30:25.909 --> 00:30:26.989 And it's just, I mean, 00:30:27.789 --> 00:30:29.130 we have never as a profession, 00:30:29.150 --> 00:30:31.810 all of our literature really focuses on 00:30:31.851 --> 00:30:32.571 the patient. 00:30:32.991 --> 00:30:35.032 Not much have we ever turned the lens 00:30:35.133 --> 00:30:37.433 inward and focused on ourselves. 00:30:39.334 --> 00:30:39.914 It's time. 00:30:40.275 --> 00:30:40.674 It's time. 00:30:40.714 --> 00:30:42.096 People have been laying the groundwork for 00:30:42.115 --> 00:30:42.516 a while, 00:30:42.536 --> 00:30:44.416 but we really need to do it now. 00:30:45.116 --> 00:30:45.896 Okay. 00:30:45.977 --> 00:30:47.458 Anything I didn't ask that you wanted to 00:30:47.478 --> 00:30:48.137 be able to talk about? 00:30:48.178 --> 00:30:49.519 Anything I didn't open the door for you 00:30:49.558 --> 00:30:50.078 to walk through? 00:30:52.397 --> 00:30:55.585 We're just excited to educate people on 00:30:55.605 --> 00:30:55.805 this. 00:30:55.846 --> 00:30:57.308 I think it's so critical. 00:30:58.338 --> 00:30:59.299 Agreed. 00:30:59.319 --> 00:30:59.680 All right. 00:30:59.700 --> 00:31:00.400 And I think, yeah, 00:31:00.420 --> 00:31:01.641 I think that's a big thing is we 00:31:01.661 --> 00:31:05.163 want to start the momentum that hopefully 00:31:05.742 --> 00:31:07.403 we can get, you know, this, 00:31:07.564 --> 00:31:08.845 cause I know like the, 00:31:08.984 --> 00:31:10.905 from a board perspective, 00:31:11.006 --> 00:31:13.027 only Ohio and I believe it's Illinois have 00:31:13.047 --> 00:31:14.468 like the safe Haven program. 00:31:14.508 --> 00:31:15.607 And so, you know, 00:31:15.647 --> 00:31:18.710 being able to help all the other state 00:31:19.009 --> 00:31:21.791 associations and just the APTA in general, 00:31:22.251 --> 00:31:23.913 you know, 00:31:23.952 --> 00:31:25.433 put a focus on this and to help 00:31:25.493 --> 00:31:26.074 it grow. 00:31:27.164 --> 00:31:27.424 Love it. 00:31:27.525 --> 00:31:27.746 All right. 00:31:27.786 --> 00:31:28.906 Well, we have a rule. 00:31:29.307 --> 00:31:30.429 Every time we do an episode, 00:31:31.450 --> 00:31:32.351 it's called the parting shot. 00:31:33.471 --> 00:31:35.513 This is the parting shot. 00:31:36.035 --> 00:31:37.435 One last mic drop moment. 00:31:38.116 --> 00:31:38.917 No pressure. 00:31:39.358 --> 00:31:41.480 Just your legacy on the line. 00:31:43.086 --> 00:31:43.425 All right. 00:31:43.826 --> 00:31:45.247 Parting shot brought to you by U.S. 00:31:45.287 --> 00:31:46.028 Physical Therapy, 00:31:46.048 --> 00:31:48.808 a nationwide network of clinics focused on 00:31:48.848 --> 00:31:51.589 developing clinicians and not burning them 00:31:51.670 --> 00:31:51.830 out. 00:31:51.871 --> 00:31:52.530 Look at this. 00:31:52.810 --> 00:31:53.590 It's an alignment. 00:31:54.271 --> 00:31:55.673 Leadership tracks, mentorship, 00:31:55.692 --> 00:31:56.353 career growth, 00:31:56.393 --> 00:31:57.794 and the stability to build your future 00:31:57.894 --> 00:31:58.394 NPT. 00:31:58.874 --> 00:32:00.595 If you want a place that supports how 00:32:00.634 --> 00:32:02.056 you want to practice, that's U.S. 00:32:02.195 --> 00:32:02.915 Physical Therapy. 00:32:02.955 --> 00:32:04.957 Visit usph.com. 00:32:04.977 --> 00:32:06.758 That is usph.com. 00:32:07.219 --> 00:32:09.519 Who would like to take their parting shot 00:32:09.579 --> 00:32:09.900 first? 00:32:12.756 --> 00:32:16.578 Go Lisa. 00:32:16.699 --> 00:32:18.901 Oh, so I would just say, join us. 00:32:19.020 --> 00:32:20.722 I know it's bright and early first thing 00:32:20.903 --> 00:32:21.782 on Thursday morning, 00:32:21.824 --> 00:32:24.605 the first session of CSM, 00:32:24.645 --> 00:32:26.106 but we will keep you awake. 00:32:26.788 --> 00:32:28.769 We will have great conversations and 00:32:28.929 --> 00:32:31.030 hopefully give you many different 00:32:31.070 --> 00:32:33.333 interventions for yourself and your 00:32:33.413 --> 00:32:38.096 organization to thrive in the future. 00:32:38.116 --> 00:32:39.018 All right, Kristen, no pressure. 00:32:40.964 --> 00:32:42.586 Okay. 00:32:42.605 --> 00:32:44.405 I would say we really need to meet 00:32:44.445 --> 00:32:47.105 each other on the human level and really 00:32:47.145 --> 00:32:49.926 care for ourselves and those around us. 00:32:50.126 --> 00:32:52.667 We get lost behind our identity as a 00:32:52.708 --> 00:32:54.587 physical therapist or a physical therapist 00:32:54.627 --> 00:32:56.268 assistant or a student, 00:32:56.307 --> 00:32:59.588 but you are a person first and you 00:32:59.628 --> 00:33:01.929 deserve to be well and show up well 00:33:02.328 --> 00:33:05.109 to your workplace and enjoy your life. 00:33:06.311 --> 00:33:07.732 I'll put it in the show notes as 00:33:07.792 --> 00:33:08.053 well. 00:33:08.133 --> 00:33:10.034 But this talk is on the twelfth at 00:33:10.114 --> 00:33:10.513 eight a.m. 00:33:10.554 --> 00:33:11.535 Invisible wound. 00:33:12.596 --> 00:33:13.976 Kristen, you mentioned two other talks. 00:33:13.996 --> 00:33:14.696 You've got that. 00:33:14.916 --> 00:33:18.078 I cannot skip over the fact that you, 00:33:18.179 --> 00:33:19.118 I think, nailed the name. 00:33:19.679 --> 00:33:20.920 You're giving a presentation on Friday, 00:33:20.960 --> 00:33:21.881 February thirteenth, 00:33:21.921 --> 00:33:22.740 Friday the thirteenth. 00:33:23.020 --> 00:33:23.500 Good luck with that. 00:33:23.560 --> 00:33:23.862 Eight a.m. 00:33:24.162 --> 00:33:26.423 What's the deal with pickleball, 00:33:26.843 --> 00:33:29.204 the bread and butter of America's fastest 00:33:29.244 --> 00:33:29.904 growing sport? 00:33:30.164 --> 00:33:31.546 I hope people understand that. 00:33:32.066 --> 00:33:34.087 Bread and butter is a type of pickle, 00:33:34.268 --> 00:33:35.268 so it's not like you... Yeah, 00:33:35.288 --> 00:33:36.249 that's my favorite type of pickle. 00:33:36.308 --> 00:33:36.869 I spotted that. 00:33:37.269 --> 00:33:38.510 And your other talk is going to be 00:33:38.590 --> 00:33:40.192 on Thursday, the twelfth, two o'clock. 00:33:40.652 --> 00:33:43.473 And this is LAMP Leadership TED Style TED 00:33:43.513 --> 00:33:43.894 Talks. 00:33:44.434 --> 00:33:46.155 Shared lessons on leading within and 00:33:46.195 --> 00:33:46.856 leading others. 00:33:46.876 --> 00:33:49.178 That's another event being put on by APTA, 00:33:49.397 --> 00:33:50.519 Academy of Leadership Innovation. 00:33:50.538 --> 00:33:53.540 That's several people speaking during that 00:33:53.621 --> 00:33:54.382 ninety minute session. 00:33:54.422 --> 00:33:56.063 Again, TED style talks. 00:33:56.343 --> 00:33:58.125 And you can find this all at APTA's 00:33:59.305 --> 00:33:59.486 app. 00:34:00.165 --> 00:34:03.127 You can find that at their website under 00:34:03.167 --> 00:34:03.669 programming. 00:34:03.689 --> 00:34:04.788 You can search by academy, 00:34:04.808 --> 00:34:05.829 you can search by speaker, 00:34:06.170 --> 00:34:07.030 or you can just start looking for 00:34:07.070 --> 00:34:07.652 keywords. 00:34:08.572 --> 00:34:09.452 There's three types of people in the 00:34:09.472 --> 00:34:09.713 world. 00:34:09.913 --> 00:34:11.514 People who already know what they're going 00:34:11.554 --> 00:34:13.135 to at CSM a month before, 00:34:13.436 --> 00:34:14.536 as we're recording this in January. 00:34:15.077 --> 00:34:16.777 People who figure it out on the plane. 00:34:18.438 --> 00:34:19.440 Or people who are like, oh, 00:34:19.460 --> 00:34:20.121 there's a session? 00:34:20.820 --> 00:34:21.922 Let me walk down this hallway. 00:34:22.141 --> 00:34:23.023 Doesn't matter who you are, 00:34:23.583 --> 00:34:26.164 but CSM roulette, 00:34:27.884 --> 00:34:28.425 Can't be a gamble. 00:34:29.126 --> 00:34:30.289 Ladies, thanks for doing what you do. 00:34:30.590 --> 00:34:31.751 We'll see you in LA. 00:34:32.213 --> 00:34:34.297 And thanks for coming on the show. 00:34:34.356 --> 00:34:35.960 Thank you. 00:34:37.815 --> 00:34:38.876 That's it for this one, 00:34:39.177 --> 00:34:40.858 but we're just getting warmed up. 00:34:41.318 --> 00:34:43.219 Smash follow, send it to a friend, 00:34:43.440 --> 00:34:45.101 or crank up the next episode. 00:34:45.621 --> 00:34:46.682 Want to go deeper? 00:34:46.782 --> 00:34:49.125 Hit us at pgpinecast.com. 00:34:50.364 --> 00:34:52.367 Or find us on YouTube and socials at 00:34:52.387 --> 00:34:53.608 pgpinecast. 00:34:54.027 --> 00:34:56.329 And legally, none of this was advice. 00:34:56.389 --> 00:34:58.090 It's for entertainment purposes only. 00:34:59.793 --> 00:35:00.373 See, Keith? 00:35:00.592 --> 00:35:01.653 We read the script. 00:35:01.954 --> 00:35:02.614 Happy now?