You're listening to the P.T.
Pinecast,
where smart people in healthcare come to
make noise.
Here's your host, Jimmy McKay.
All right,
the ingredients of a good talk or a
good session or a good meeting,
I would say most likely, well,
you've got to have chocolate,
you've got to have marshmallows,
you've
And you can't forget Graham.
Graham crackers.
I went to the supermarket the other day
just for you, just for this.
Oh, someone's getting phone calls here.
Patrick Graham here.
What year is this?
Nineteen.
This is nineteen.
Wow.
Good for you.
Is it still weird coming to a meeting
with literally your name on it?
Because now it's not even like I bet
you ninety percent of people in this room.
No, maybe not this room,
but most people who hear about the Graham
sessions,
they don't know like you're still at the
Graham sessions.
You're still there.
Well, yeah, it's it's very humbling.
Yeah.
So let's go back before we go forward.
I was there ten years ago.
when we did the founders interview,
it was in Florida.
Correct.
And we talked about where things had
started and where they had gone.
And each year,
or I imagine there are some cycles where
a topic comes up and it stays around
for a couple of years and maybe it's
solved or we move on.
But what are the things that stay the
same,
even nineteen years into doing the Graham
sessions?
You know,
I think the big thing that doesn't change
is
the broadness of ideas and the broadness
of thoughts.
And I think the more we focus on
those,
the more we're moving our profession
forward.
And that was the whole genesis of the
whole idea is
We want to get these ideas.
We want to flush them out.
We want to debate them.
And then from there,
people can take them back.
Do something with them.
Exactly.
First rule of Fight Club is you don't
talk about Fight Club.
Second rule of Fight Club is you don't
talk about Fight Club.
What's the first rule of Graham Sessions?
Everything's confidential.
Yeah.
You can talk about ideas but not attach
them to people.
Correct.
This way people aren't.
afraid apprehensive to say something
because they might have repercussions
everything's off the record yeah but we
want the ideas to leave the room
absolutely but we can just put a not
it's said by anonymous or we'll leave that
part out all right so i've been asking
everybody today been doing a bunch of live
uh streams ten minutes quick fast to the
point what's something on the docket this
year either you know we're at three
o'clock in the afternoon
something that's already been covered or
we're going to cover this afternoon that
you're like, yeah, I want to,
I'm excited to hear about this.
This is a topic that you're sitting there,
you know, all right, let's dig in.
What's exciting you?
So I love the panel that related to
some of the lessons with their learning
from dentistry as well as some of the
network opportunities that out of the box
thinking that occurred with the model they
discussed and how they've executed it.
beautiful yeah good artists borrow great
artists steal Picasso said that which is
hey listen if we keep trying to solve
the problem with what we've got in the
room we're gonna run out of solutions if
it doesn't work let's look outside so look
at a dentistry looking at different
options and that's a great start how about
something that's not on the docket that
you're like man where where's this I'm met
where's this
You know,
I think we discussed a little bit about
education and we just heard a great what
I believe speech.
But we can't tell by who what he
said.
No, I know.
I know.
I'm just kidding.
But he brought up the point of someone
in our profession who challenged the
status quo,
created something different that's
changing waves.
That excites me,
to have people in a room
Okay, they're doing this,
they're doing this.
How could we do that?
What do I do?
Correct.
How do I do that?
What's my version of that?
Yeah, it's exciting.
What needs to be on three hundred and
sixty five days from now?
What what would you put on the docket?
You've you've prepared this meeting a
bunch of times.
That can't be easy, right?
Because you can't have everything covered.
No.
But what would you put on the on
the horizon for the twentieth anniversary?
Wow.
You know, I think boldness.
Okay.
What does that mean?
So we've heard a bunch today,
but what energizes me about this meeting
is the freshness ideas,
the boldness of our colleagues and taking
that out into the real world to see
where we're going to go and what we
can do.
We can wallow in our pity,
how poorly we're reimbursed,
We have the best opportunity we've ever
had because people know who a physical
therapist is and the highest demand out
there.
What are we going to spend our effort
and our time on?
And diamonds are formed under pressure.
That's the theme this time.
You've been part of putting these
together, but in the beginning and now,
how did you figure out who to put
in the room?
What was the...
I imagine if a chef is making a
soup or whatever, you're like, okay,
it's got to have a little bit of
this and a little bit of that,
not too much this and not enough that.
How did you figure out what was a
good mix?
It wasn't me.
Steve Anderson has led this thing for
nineteen years and now Keaton's doing a
beautiful job.
The first year we literally,
we kind of invited,
we thought were thought leaders in the
profession and a bunch of them came and
it was productive.
Second year,
it started getting a little stale and
Steve really started putting some effort
and planning into.
kind of an agenda and specific topics and
got a committee structure.
He just really elevated it.
Yeah.
I mean, he's, he's,
it's incredible what he did.
And that to me has been what has
kept us alive.
Yeah.
Looking back, did,
did it achieve its goal each year?
Oh yeah.
Yeah.
I don't know.
I don't know if you remember last year,
but they kind of recapped some ton of
things that have happened in our
profession and,
And a lot of the ideas were fleshed
out and derived out of the Graham
sessions.
And that was the whole desire of this
crazy idea.
All right.
Well,
Keaton will be sixty and twenty more year.
I don't know.
But in twenty years, what do you hope?
How do you hope things have progressed?
What would you what would your hope be
for the next twenty being next year's
twentieth anniversary?
I hope that our younger generation.
is as bold and as passionate as we
are.
And I really believe they are.
Um,
I think the new therapists coming out have
more confidence and, uh,
tools at their disposal than any we've
ever had in our profession and their ideas
and technology and the use of technology.
I mean, I can't even fathom it.
I'm sixty and I look at where we've
come and I think it's just going to
get exponentially faster.
Yeah, I don't disagree.
And it's the people who lean into them
or at least curious about those tools.
Yeah.
You don't do a master on day one,
but pretend it doesn't exist.
That's how you get run over.
No, I do.
I think a lot of.
what some people would term as
traditional,
that's supposedly what got us here,
will be obsolete.
Yeah.
It's crazy how fast these things are
going.
Yeah.
I mean, look at you, man.
You're the first guy I've ever known in
our profession with your talent.
And I remember when you first came and
I was like,
This is a great idea.
Weird, right?
My mom was very confused, too.
And you're fantastic.
Well, thank you.
I appreciate that.
I mean, you really are.
Thank you.
I appreciate that.
I look at it as I get to
sit next to super smart people and either
ask great questions and try to find the
answer out there or a person has solved
a problem.
Great.
Reframe that problem.
Tell me how you solved it.
And we send it out there.
You know, I brought something up earlier.
We were talking about primary care.
That's great.
It was a great victory specifically in
Utah,
but there's different ways to access PT as
primary care.
And my push, of course,
I wanted to be spicy, which was,
this is a great idea.
Don't screw it up.
Well,
how are you going to screw it up?
And I made everybody look outside the
windows here on the seventh floor of APTA.
And I said,
all those people out there have no idea
what this means.
They have no idea how it could help
them.
And if we fail there,
it doesn't matter how great our services
are.
It doesn't matter how great our skills
are.
We've got to make sure we don't fumble
that.
Now, here's the best part.
You don't do it yourself.
There are professionals who can help you
do that.
But don't try to do it yourself if
you can't actually execute it
Cause I wouldn't want you to fail there
and be confused five years from now.
We had primary care.
What happened?
You'd failed this one simple thing.
Yeah, I agree.
We've got another talk going on soon,
but I wanted to make sure we have
a, we have a tradition on the show.
Every episode we do something called the
parting shot.
This is the parting shot.
One last mic drop moment.
No pressure.
Just your legacy on the line.
No pressure whatsoever, Patrick,
just your entire legacy.
Now, what's just an idea, a concept,
words of hope for the future,
something you want to leave with the
audience as we wrap up and go back
inside?
You know,
my whole career has been on not being
afraid to ask the questions.
And I would just encourage people,
ask the question.
Yeah, ask the question.
I just referenced Terry Gross is a NPR
host,
and she's done more than twenty thousand
interviews over her career.
And she wrote a book and the title
of the book I thought was great.
All I did was ask.
Right.
And questions can be powerful because
hopefully eventually if you ask enough of
them.
uh, they lead to answers.
Absolutely.
And that's what I think grand sessions is.
So it's a little, little pressure cooker,
right?
Bring them in, get a little fun.
Uh,
we've got a couple more sessions going on
as we live stream,
but we know where the real conversations
are going to happen tonight.
About five thirty.
Yep.
When we walked up there,
that's how do we get more of that
and facilitate it?
Because that's where the real
conversations and,
The back of the napkin.
The reason they say it's the back of
the napkin idea is because napkins are
over a drink or a meal or a
cup of coffee.
So looking forward to sharing some more
ideas after the agenda is over this
evening.
Awesome.
Patrick, appreciate the time, man.
Yeah, thanks.
That's it for this one,
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And legally, none of this was advice.
It's for entertainment purposes only.
Bullshit!
See, Keith?
We read the script.
Happy now?