WEBVTT

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You're listening to the P.T.

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Pinecast,

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where smart people in healthcare come to

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make noise.

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Here's your host, Jimmy McKay.

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All right,

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the ingredients of a good talk or a

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good session or a good meeting,

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I would say most likely, well,

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you've got to have chocolate,

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you've got to have marshmallows,

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you've

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And you can't forget Graham.

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Graham crackers.

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Graham crackers.

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I went to the supermarket the other day

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just for you, just for this.

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Oh, someone's getting phone calls here.

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Patrick Graham here.

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What year is this?

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Nineteen.

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This is nineteen.

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Wow.

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Good for you.

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Is it still weird coming to a meeting

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with literally your name on it?

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Because now it's not even like I bet

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you ninety percent of people in this room.

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No, maybe not this room,

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but most people who hear about the Graham

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sessions,

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they don't know like you're still at the

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Graham sessions.

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You're still there.

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Well, yeah, it's it's very humbling.

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Yeah.

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Yeah.

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So let's go back before we go forward.

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I was there ten years ago.

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when we did the founders interview,

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it was in Florida.

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Correct.

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And we talked about where things had

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started and where they had gone.

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And each year,

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or I imagine there are some cycles where

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a topic comes up and it stays around

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for a couple of years and maybe it's

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solved or we move on.

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But what are the things that stay the

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same,

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even nineteen years into doing the Graham

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sessions?

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You know,

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I think the big thing that doesn't change

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is

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the broadness of ideas and the broadness

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of thoughts.

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And I think the more we focus on

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those,

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the more we're moving our profession

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forward.

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And that was the whole genesis of the

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whole idea is

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We want to get these ideas.

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We want to flush them out.

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We want to debate them.

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And then from there,

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people can take them back.

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Do something with them.

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Do something with them.

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Exactly.

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First rule of Fight Club is you don't

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talk about Fight Club.

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Second rule of Fight Club is you don't

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talk about Fight Club.

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What's the first rule of Graham Sessions?

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Everything's confidential.

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Yeah.

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You can talk about ideas but not attach

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them to people.

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Correct.

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This way people aren't.

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afraid apprehensive to say something

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because they might have repercussions

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everything's off the record yeah but we

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want the ideas to leave the room

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absolutely but we can just put a not

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it's said by anonymous or we'll leave that

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part out all right so i've been asking

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everybody today been doing a bunch of live

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uh streams ten minutes quick fast to the

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point what's something on the docket this

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year either you know we're at three

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o'clock in the afternoon

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something that's already been covered or

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we're going to cover this afternoon that

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you're like, yeah, I want to,

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I'm excited to hear about this.

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This is a topic that you're sitting there,

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you know, all right, let's dig in.

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What's exciting you?

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So I love the panel that related to

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some of the lessons with their learning

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from dentistry as well as some of the

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network opportunities that out of the box

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thinking that occurred with the model they

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discussed and how they've executed it.

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beautiful yeah good artists borrow great

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artists steal Picasso said that which is

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hey listen if we keep trying to solve

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the problem with what we've got in the

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room we're gonna run out of solutions if

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it doesn't work let's look outside so look

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at a dentistry looking at different

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options and that's a great start how about

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something that's not on the docket that

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you're like man where where's this I'm met

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where's this

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You know,

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I think we discussed a little bit about

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education and we just heard a great what

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I believe speech.

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But we can't tell by who what he

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said.

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No, I know.

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I know.

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I'm just kidding.

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But he brought up the point of someone

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in our profession who challenged the

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status quo,

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created something different that's

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changing waves.

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That excites me,

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to have people in a room

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Okay, they're doing this,

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they're doing this.

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How could we do that?

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What do I do?

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Correct.

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How do I do that?

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What's my version of that?

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Yeah, it's exciting.

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What needs to be on three hundred and

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sixty five days from now?

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What what would you put on the docket?

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You've you've prepared this meeting a

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bunch of times.

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That can't be easy, right?

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Because you can't have everything covered.

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No.

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But what would you put on the on

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the horizon for the twentieth anniversary?

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Wow.

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You know, I think boldness.

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Okay.

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What does that mean?

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So we've heard a bunch today,

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but what energizes me about this meeting

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is the freshness ideas,

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the boldness of our colleagues and taking

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that out into the real world to see

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where we're going to go and what we

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can do.

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We can wallow in our pity,

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how poorly we're reimbursed,

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We have the best opportunity we've ever

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had because people know who a physical

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therapist is and the highest demand out

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there.

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What are we going to spend our effort

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and our time on?

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And diamonds are formed under pressure.

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That's the theme this time.

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You've been part of putting these

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together, but in the beginning and now,

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how did you figure out who to put

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in the room?

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What was the...

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I imagine if a chef is making a

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soup or whatever, you're like, okay,

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it's got to have a little bit of

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this and a little bit of that,

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not too much this and not enough that.

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How did you figure out what was a

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good mix?

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It wasn't me.

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Steve Anderson has led this thing for

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nineteen years and now Keaton's doing a

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beautiful job.

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The first year we literally,

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we kind of invited,

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we thought were thought leaders in the

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profession and a bunch of them came and

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it was productive.

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Second year,

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it started getting a little stale and

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Steve really started putting some effort

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and planning into.

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kind of an agenda and specific topics and

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got a committee structure.

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He just really elevated it.

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Yeah.

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I mean, he's, he's,

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it's incredible what he did.

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And that to me has been what has

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kept us alive.

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Yeah.

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Looking back, did,

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did it achieve its goal each year?

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Oh yeah.

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Yeah.

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Yeah.

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I don't know.

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I don't know if you remember last year,

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but they kind of recapped some ton of

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things that have happened in our

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profession and,

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And a lot of the ideas were fleshed

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out and derived out of the Graham

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sessions.

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And that was the whole desire of this

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crazy idea.

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All right.

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Well,

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Keaton will be sixty and twenty more year.

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I don't know.

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But in twenty years, what do you hope?

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How do you hope things have progressed?

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What would you what would your hope be

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for the next twenty being next year's

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twentieth anniversary?

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I hope that our younger generation.

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is as bold and as passionate as we

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are.

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And I really believe they are.

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Um,

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I think the new therapists coming out have

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more confidence and, uh,

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tools at their disposal than any we've

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ever had in our profession and their ideas

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and technology and the use of technology.

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I mean, I can't even fathom it.

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I'm sixty and I look at where we've

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come and I think it's just going to

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get exponentially faster.

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Yeah, I don't disagree.

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And it's the people who lean into them

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or at least curious about those tools.

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Yeah.

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You don't do a master on day one,

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but pretend it doesn't exist.

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That's how you get run over.

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No, I do.

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I think a lot of.

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what some people would term as

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traditional,

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that's supposedly what got us here,

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will be obsolete.

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Yeah.

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It's crazy how fast these things are

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going.

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Yeah.

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I mean, look at you, man.

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You're the first guy I've ever known in

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our profession with your talent.

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And I remember when you first came and

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I was like,

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This is a great idea.

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Weird, right?

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My mom was very confused, too.

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And you're fantastic.

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Well, thank you.

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I appreciate that.

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I mean, you really are.

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Thank you.

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I appreciate that.

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I look at it as I get to

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sit next to super smart people and either

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ask great questions and try to find the

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answer out there or a person has solved

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a problem.

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Great.

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Reframe that problem.

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Tell me how you solved it.

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And we send it out there.

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You know, I brought something up earlier.

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We were talking about primary care.

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That's great.

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It was a great victory specifically in

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Utah,

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but there's different ways to access PT as

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primary care.

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And my push, of course,

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I wanted to be spicy, which was,

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this is a great idea.

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Don't screw it up.

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Well,

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how are you going to screw it up?

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And I made everybody look outside the

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windows here on the seventh floor of APTA.

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And I said,

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all those people out there have no idea

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what this means.

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They have no idea how it could help

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them.

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And if we fail there,

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it doesn't matter how great our services

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are.

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It doesn't matter how great our skills

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are.

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We've got to make sure we don't fumble

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that.

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Now, here's the best part.

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You don't do it yourself.

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There are professionals who can help you

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do that.

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But don't try to do it yourself if

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you can't actually execute it

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Cause I wouldn't want you to fail there

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and be confused five years from now.

00:09:17.336 --> 00:09:18.378
We had primary care.

00:09:18.898 --> 00:09:19.618
What happened?

00:09:20.158 --> 00:09:22.779
You'd failed this one simple thing.

00:09:23.039 --> 00:09:24.260
Yeah, I agree.

00:09:24.500 --> 00:09:26.120
Yeah, I agree.

00:09:26.140 --> 00:09:27.902
We've got another talk going on soon,

00:09:28.142 --> 00:09:29.482
but I wanted to make sure we have

00:09:29.682 --> 00:09:30.903
a, we have a tradition on the show.

00:09:31.024 --> 00:09:32.604
Every episode we do something called the

00:09:32.683 --> 00:09:33.424
parting shot.

00:09:33.445 --> 00:09:36.245
This is the parting shot.

00:09:36.806 --> 00:09:38.187
One last mic drop moment.

00:09:38.866 --> 00:09:39.668
No pressure.

00:09:40.128 --> 00:09:42.229
Just your legacy on the line.

00:09:43.458 --> 00:09:44.841
No pressure whatsoever, Patrick,

00:09:44.860 --> 00:09:46.062
just your entire legacy.

00:09:46.101 --> 00:09:48.384
Now, what's just an idea, a concept,

00:09:48.625 --> 00:09:49.785
words of hope for the future,

00:09:49.846 --> 00:09:50.966
something you want to leave with the

00:09:51.006 --> 00:09:52.268
audience as we wrap up and go back

00:09:52.288 --> 00:09:52.548
inside?

00:09:52.948 --> 00:09:53.188
You know,

00:09:53.269 --> 00:09:55.331
my whole career has been on not being

00:09:55.351 --> 00:09:56.472
afraid to ask the questions.

00:09:58.011 --> 00:09:59.653
And I would just encourage people,

00:10:00.475 --> 00:10:01.216
ask the question.

00:10:01.416 --> 00:10:02.456
Yeah, ask the question.

00:10:02.476 --> 00:10:05.821
I just referenced Terry Gross is a NPR

00:10:05.860 --> 00:10:06.280
host,

00:10:06.902 --> 00:10:08.224
and she's done more than twenty thousand

00:10:08.244 --> 00:10:09.424
interviews over her career.

00:10:09.485 --> 00:10:10.625
And she wrote a book and the title

00:10:10.645 --> 00:10:11.547
of the book I thought was great.

00:10:11.647 --> 00:10:12.548
All I did was ask.

00:10:12.928 --> 00:10:13.850
All I did was ask.

00:10:14.070 --> 00:10:14.330
Right.

00:10:14.409 --> 00:10:15.751
And questions can be powerful because

00:10:15.772 --> 00:10:16.952
hopefully eventually if you ask enough of

00:10:16.972 --> 00:10:17.114
them.

00:10:17.793 --> 00:10:18.695
uh, they lead to answers.

00:10:18.715 --> 00:10:19.115
Absolutely.

00:10:19.154 --> 00:10:20.875
And that's what I think grand sessions is.

00:10:21.116 --> 00:10:22.898
So it's a little, little pressure cooker,

00:10:22.937 --> 00:10:23.118
right?

00:10:23.138 --> 00:10:24.558
Bring them in, get a little fun.

00:10:25.259 --> 00:10:26.080
Uh,

00:10:26.100 --> 00:10:27.841
we've got a couple more sessions going on

00:10:27.900 --> 00:10:28.802
as we live stream,

00:10:29.763 --> 00:10:31.323
but we know where the real conversations

00:10:31.344 --> 00:10:32.524
are going to happen tonight.

00:10:32.565 --> 00:10:33.985
About five thirty.

00:10:34.005 --> 00:10:34.306
Yep.

00:10:34.346 --> 00:10:35.106
When we walked up there,

00:10:35.126 --> 00:10:37.028
that's how do we get more of that

00:10:37.087 --> 00:10:37.928
and facilitate it?

00:10:37.948 --> 00:10:38.808
Because that's where the real

00:10:38.849 --> 00:10:39.590
conversations and,

00:10:40.232 --> 00:10:41.214
The back of the napkin.

00:10:41.234 --> 00:10:42.455
The reason they say it's the back of

00:10:42.475 --> 00:10:44.677
the napkin idea is because napkins are

00:10:44.697 --> 00:10:45.999
over a drink or a meal or a

00:10:46.198 --> 00:10:46.799
cup of coffee.

00:10:46.840 --> 00:10:49.582
So looking forward to sharing some more

00:10:49.643 --> 00:10:52.206
ideas after the agenda is over this

00:10:52.285 --> 00:10:52.546
evening.

00:10:52.826 --> 00:10:53.366
Awesome.

00:10:53.407 --> 00:10:54.227
Patrick, appreciate the time, man.

00:10:54.248 --> 00:10:55.089
Yeah, thanks.

00:10:56.147 --> 00:10:57.207
That's it for this one,

00:10:57.508 --> 00:10:59.188
but we're just getting warmed up.

00:10:59.629 --> 00:11:01.551
Smash follow, send it to a friend,

00:11:01.770 --> 00:11:03.432
or crank up the next episode.

00:11:03.952 --> 00:11:04.552
Want to go deeper?

00:11:04.592 --> 00:11:09.355
Hit us at pgpiecast.com or find us on

00:11:09.397 --> 00:11:11.937
YouTube and socials at pgpiecast.

00:11:12.359 --> 00:11:14.659
And legally, none of this was advice.

00:11:14.720 --> 00:11:16.442
It's for entertainment purposes only.

00:11:17.062 --> 00:11:18.102
Bullshit!

00:11:18.123 --> 00:11:18.702
See, Keith?

00:11:18.923 --> 00:11:19.984
We read the script.

00:11:20.283 --> 00:11:20.924
Happy now?