WEBVTT

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You're listening to the PT 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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Live at Graham Sessions again.

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If it looks like we're blurry,

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it's because we are blurry.

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We're not worried about the camera.

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I'm not sure why it's... There we go.

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Now it's focused.

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And there we are.

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And we fixed it.

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Allie, Bethany, superhero backstory.

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I asked you this last night.

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Hmm.

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It was lackluster last night.

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No, it wasn't.

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It was good.

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You said at first, I don't have one.

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And I said, everybody has one.

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And then you gave me one and it

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was great.

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So how do you,

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how do you frame this as we go

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live from Graham sessions here at APT

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headquarters?

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Where, how did,

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where are you in the profession?

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How'd you get there?

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Yeah,

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I am in the profession and I think

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a misfit space.

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Good.

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Island of Misfit Toys was the fun part

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of the movie.

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Definitely Island of Misfit Toys.

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Anyone that knows Mike Eisenhardt,

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I'm one of his misfit toys.

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With Proactivity,

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I found my way there because I did

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not feel like I could tolerate any other

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kind of traditional setting.

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I very much like to be a thousand

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places at once and running around.

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Good.

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And so a traditional setting was not for

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me.

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And so I'm in a direct to employer

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prevention based model.

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So day to day is kind of everything

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from helping my team get around different

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places,

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keep people away from physical therapy as

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much as possible and taking better care of

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themselves in very like dirty jobs,

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micro type of environments.

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I like it.

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I already see an Instagram series for

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productivity in my brain.

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And Bethany,

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you're a clinician working in a role that

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is non-traditional,

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but doesn't mean you don't bring your

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clinical skills to a non-traditional

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place.

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How do you describe what you get to

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do?

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There we go.

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You're good.

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I feel like Chris Collins.

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You're right.

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We're calling things here as we watch

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everybody eat lunch.

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So what do you get to do?

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So I was an OT.

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I practiced for about ten years.

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I worked mostly in acute care in the

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hospital setting.

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And then I always found that I worked

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in like the land of red tape and

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I hate red tape and I felt like

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I was running into walls all the time.

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And I would then bring things to an

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executive team or a finance team and they

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didn't give me the credibility.

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that i felt like we deserved as a

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therapy profession because i think they

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felt like i didn't speak their finance

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language so i went back to get an

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mba specifically with the vendetta feeling

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with both tools to be able to say

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no i speak both languages and i want

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everyone else to speak both languages

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If it's a clinician,

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I want them to be able to speak

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the financial side.

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If it's a finance person,

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I want them to be able to speak

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and understand the clinical side.

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So I do find my job very rewarding

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right now because the primary aspect of my

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job is bridging those two components.

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I already hear the name of this episode

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when I publish it.

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It'll be B for Vendetta.

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Bethany for Vendetta.

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You literally were like, hey,

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if you think I'm not understanding your

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language,

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I'm literally going to go back to school

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and prove it to you and slap you

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across the face with it.

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I think that might be a slight issue

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of my psyche.

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I like it.

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All right, so is this your first?

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How many gram sessions is this for?

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Three gram sessions.

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Me too.

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Three-timers club.

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How many of this is for you?

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This is my first one.

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brand new, brand new, uh, situation.

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So we'll start with Bethany.

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First one,

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what'd you think it was going to be?

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And then what has it actually been like?

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Well,

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I think you did a good job prepping

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me.

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How did I prep you?

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I can't remember.

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I don't remember.

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You said it was like cool kids.

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Yeah.

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And you said it was, um,

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people are more authentic and more open

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and I think willing to have harder

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conversations.

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Yeah.

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so but i would not have i actually

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would have expected it to be a little

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bit more cagey cagey yeah spears later

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don't worry about it i'm waiting for it

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yeah i'm waiting for it two years ago

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i got thrown off the roof really no

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not really but that'd be that'd be a

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great story just always say two years ago

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a guy got thrown off the roof and

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then be like i can't remember who was

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i can't talk about there's legal situation

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um i think the people in this room

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are traditionally people who are um not

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afraid or it's not a fear thing they

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are more apt to make noise and they

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are talking more this is not better this

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is not worse this is just different i

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see you know people next to me i

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won't say who right because it's like

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vegas you can't say who's here i see

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academy president i see another academy

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president i see ceo i see state chapter

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president

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I see he does like fifteen different.

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But these are the people who were like

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they say things that piss you off or

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you agree with on LinkedIn.

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The funny thing is most these people don't

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care if you agree with them or piss.

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Just say something like do something.

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Why did you come to your first Graham

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sessions and why did you come back?

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Good question.

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I came with Mike.

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He said he made you.

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Yeah, he kind of made me.

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He said, I think you'll like this.

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And I had I just read the description

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online.

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I'm like, cool.

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And I came and I shared at the

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end of it that it felt very reminiscent.

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I'm from New Jersey.

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I'm Italian.

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It felt like dinner,

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like a lot of yelling.

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And that was my love language is like

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yelling and cussing at each other.

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which there was both of.

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So I liked that.

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I liked that I had grown kind of

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frustrated with the professional

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conferences because I felt like we just

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talked about the same stuff.

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And nobody had the courage to disagree.

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And I didn't feel that at Graham Sessions.

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So I came back and got more and

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more interested.

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And here I am three years later.

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All right.

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So now we're level set.

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I'll just keep it easy.

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What's one thing...

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that excited you that you've either heard

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already or you've seen on the program that

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we're going to talk about?

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And what's one thing that you're like,

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dude, where's this?

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Like, hey, you're missing this one.

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So we'll start with the thing that's

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there.

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What's something that you're excited to

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that's either already been talked about

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here halfway through the first day or

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something that's coming up that you're

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excited about?

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I can answer the first one.

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I really liked the kind of disparaging the

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myth that it's just data that is going

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to help you with payer negotiations or

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contracts.

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I think we've all fallen, myself included,

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fallen victim to like, oh,

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if we just have enough data instead of,

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no, if we just have enough leverage.

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And so I think the leverage word,

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that has been stuck in my head.

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Yeah,

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and I wasn't in the room for that,

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but someone was explaining,

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is that more along the lines of the

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IPA discussion?

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Like, how do we band together?

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I think I used it as like a

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tubing at Lake Havasu.

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We can remain individual people in our

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individual tubes, but if we all link arms,

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now we can walk into a situation and

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we've got the leverage.

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We have the longer lever.

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Yes, yes.

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We should wake up to that.

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Other people are doing that.

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And by people, I mean professions.

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So there were good examples.

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This has worked.

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This is not just in a vacuum.

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Something that excited you.

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I like the primary care topic a lot.

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Good.

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Why?

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I think that, well, to me, I'm like,

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don't we just all already do this?

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Like, I guess I'm naive.

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Wait, is this a new,

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this was already in the building.

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I just, I'm naive to traditional settings.

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So I kind of just assume that my

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experience is,

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which has been doing that and not having

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to ask someone to get paid for it

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and not having to worry about whether it

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was legal or not,

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or whether there was going to be some

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sort of regular, I'm like,

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this is just all I know.

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So I'm excited to have had that

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conversation and that it's becoming

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something that's being pursued more.

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I'm allowed to talk about what I said

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in the room.

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I said, this is awesome.

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But if you don't message it for literally

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everybody else,

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I made everybody in the room look outside

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the windows from the seventh floor here,

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you can see DC, you can see Alexandria.

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I was like,

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if those people don't understand this very

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clearly,

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this could be awesome and will fail.

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Yeah.

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And I think that's why I feel sometimes

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like a broken record on the direct to

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employer because I don't have to market

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that to them because it's a small social

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network.

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So they just have to experience it and

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then it markets itself.

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They talk to each other.

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Right.

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It's a small social network.

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I don't have to market it to however

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many thousand people live in my community.

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I market it to a group of five

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hundred and they have one experience of

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they helped me with this.

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I didn't know they could do that.

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And the social network markets itself.

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What's your wedge?

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How do you get into...

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Let's say you've got...

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What's a great type of company that you

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like to work with?

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Or give me examples that you work with.

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Yeah, like a grizzled industrial employer.

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Got it.

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Those are my people.

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How do you knock on the door?

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What's the email?

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How do you get the first coffee?

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Yeah, good question.

00:08:26.851 --> 00:08:27.492
At this point,

00:08:27.552 --> 00:08:29.694
it's more like knocking on our door

00:08:29.713 --> 00:08:30.874
because we built a relationship.

00:08:30.915 --> 00:08:31.415
Yeah, yeah, yeah.

00:08:31.435 --> 00:08:32.475
But if you're starting Xero,

00:08:32.875 --> 00:08:34.996
the grizzled industrial has no idea what

00:08:35.017 --> 00:08:35.256
the hell...

00:08:35.277 --> 00:08:36.238
They look at you and they're like...

00:08:36.738 --> 00:08:37.258
What's this girl?

00:08:37.658 --> 00:08:38.778
Why are you all dressed up?

00:08:38.899 --> 00:08:40.279
We make we we you know,

00:08:40.320 --> 00:08:41.321
we make metal here.

00:08:41.341 --> 00:08:42.062
Yeah, that's it.

00:08:42.081 --> 00:08:43.822
Well, that is my exact client.

00:08:43.883 --> 00:08:44.342
OK,

00:08:44.383 --> 00:08:45.283
so how do you get them to go?

00:08:45.344 --> 00:08:45.703
Hey, hey.

00:08:45.884 --> 00:08:47.085
Well, first of all, you don't dress up.

00:08:47.144 --> 00:08:47.885
You look like them.

00:08:48.285 --> 00:08:49.307
When you show up for the meeting,

00:08:49.326 --> 00:08:50.687
you've got your steel toed boots and

00:08:50.706 --> 00:08:52.227
you've got your jeans and you look like

00:08:52.249 --> 00:08:53.870
you could go work in the steel mill.

00:08:54.269 --> 00:08:54.990
I can see you.

00:08:55.009 --> 00:08:55.451
I can see you.

00:08:55.490 --> 00:08:55.770
Yeah.

00:08:55.811 --> 00:08:57.032
You got to wear dress the part.

00:08:57.772 --> 00:08:59.634
Um, it's really pretty simple.

00:08:59.714 --> 00:09:01.054
It's that you have a problem.

00:09:01.154 --> 00:09:02.196
I know you have a problem.

00:09:02.255 --> 00:09:04.118
I know you have a healthcare cost problem.

00:09:04.197 --> 00:09:06.019
And I know musculoskeletal is in the top

00:09:06.099 --> 00:09:07.740
two, probably number one,

00:09:07.780 --> 00:09:09.042
if you're an industrial employer.

00:09:10.023 --> 00:09:11.663
And I'm a profession that knows how to

00:09:11.724 --> 00:09:12.644
solve that problem.

00:09:12.825 --> 00:09:13.605
Oh, and by the way,

00:09:13.645 --> 00:09:14.306
when I do that,

00:09:14.405 --> 00:09:15.567
I can solve your health problems.

00:09:15.687 --> 00:09:16.869
Yeah, I want to rewind there,

00:09:16.948 --> 00:09:18.129
just like we are doing Monday Night

00:09:18.149 --> 00:09:18.769
Football.

00:09:18.809 --> 00:09:21.231
The first three things you said were about

00:09:21.451 --> 00:09:21.732
them.

00:09:22.610 --> 00:09:24.231
And that's when people listen.

00:09:24.272 --> 00:09:25.932
You didn't say, hi, I am Ali.

00:09:26.052 --> 00:09:29.953
I have a doctor and I don't care.

00:09:30.033 --> 00:09:30.715
You were like, hey,

00:09:30.855 --> 00:09:31.674
I see what you're doing.

00:09:31.855 --> 00:09:33.196
And then like when I'm pitching,

00:09:33.235 --> 00:09:34.836
like to do stuff with APTA state chapters,

00:09:34.856 --> 00:09:36.177
I'm like, let me take a guess.

00:09:37.038 --> 00:09:39.038
Do you have this, this and that problem?

00:09:39.058 --> 00:09:40.119
They're like, how did you know that?

00:09:40.198 --> 00:09:40.960
I'm like, first of all,

00:09:40.980 --> 00:09:41.840
you all have the same problems.

00:09:42.779 --> 00:09:44.160
But that's what people want to hear.

00:09:44.321 --> 00:09:45.020
Like, can you solve,

00:09:45.101 --> 00:09:47.142
am I solving your problem or are you

00:09:47.162 --> 00:09:48.222
helping me solve me problem?

00:09:48.263 --> 00:09:49.744
Because I want to talk about me problems.

00:09:50.904 --> 00:09:52.307
And then what are they looking for?

00:09:52.366 --> 00:09:54.269
What's the, I call it the eyebrow test.

00:09:54.450 --> 00:09:55.110
They're like, okay,

00:09:55.152 --> 00:09:56.232
you understand my problems.

00:09:56.293 --> 00:09:57.654
What's the thing that, is it money?

00:09:57.755 --> 00:09:59.057
Is it downtime?

00:09:59.097 --> 00:10:01.400
It's all money, but it equates to money.

00:10:01.562 --> 00:10:03.924
But when do you see them go, ooh.

00:10:05.037 --> 00:10:06.138
I think when you make it clear,

00:10:06.197 --> 00:10:07.759
you know how to fix it and that

00:10:07.798 --> 00:10:08.979
it doesn't look like,

00:10:09.500 --> 00:10:11.921
and this is the exact plan because you

00:10:11.941 --> 00:10:13.001
don't even know my people yet.

00:10:13.022 --> 00:10:14.942
So how do you know what my problem

00:10:15.023 --> 00:10:16.023
is and how to fix it?

00:10:16.624 --> 00:10:18.804
Because my people are different than all

00:10:18.825 --> 00:10:19.765
the people you've ever met.

00:10:20.745 --> 00:10:22.187
Different, just like everybody else.

00:10:22.846 --> 00:10:25.048
Is this like you can curse on here?

00:10:25.067 --> 00:10:25.248
All of it.

00:10:25.268 --> 00:10:26.489
Yeah, there's no FCC.

00:10:26.509 --> 00:10:28.370
When it becomes very clear that you

00:10:28.529 --> 00:10:30.049
understand their problem,

00:10:30.230 --> 00:10:31.730
that you understand the solution,

00:10:31.770 --> 00:10:33.091
maybe not the specifics because you don't

00:10:33.111 --> 00:10:33.892
know the population,

00:10:33.971 --> 00:10:35.092
and you really give a shit,

00:10:35.513 --> 00:10:36.994
like you really give a shit about doing

00:10:37.053 --> 00:10:39.154
it, then it's not hard.

00:10:40.154 --> 00:10:40.754
I was just going to ask,

00:10:40.815 --> 00:10:42.895
are you doing like structural and

00:10:42.916 --> 00:10:44.317
environmental changes within the

00:10:44.356 --> 00:10:45.998
organization or just like direct to

00:10:46.018 --> 00:10:46.398
consumers?

00:10:46.989 --> 00:10:48.931
Sometimes it's all of the above.

00:10:49.010 --> 00:10:49.311
It depends.

00:10:49.331 --> 00:10:50.091
Whatever the population needs.

00:10:50.111 --> 00:10:50.532
That's awesome.

00:10:52.768 --> 00:10:53.028
Yeah,

00:10:53.048 --> 00:10:55.029
I was going to say a quote that

00:10:55.090 --> 00:10:57.292
I've sort of stolen from, I think,

00:10:57.351 --> 00:10:58.192
Eleanor Roosevelt.

00:10:58.212 --> 00:10:58.633
And she said,

00:10:58.693 --> 00:11:01.216
no one cares how much you know until

00:11:01.235 --> 00:11:03.018
they know how much you care.

00:11:03.057 --> 00:11:04.399
And I was like, that's bullshit.

00:11:04.479 --> 00:11:05.058
I love Eleanor.

00:11:05.078 --> 00:11:05.799
I love you, Eleanor.

00:11:05.879 --> 00:11:06.600
She's not with us anymore.

00:11:07.160 --> 00:11:08.822
But I think no one cares how much

00:11:08.842 --> 00:11:10.664
you know or how much you care until

00:11:10.684 --> 00:11:13.346
they know that you know how to understand

00:11:13.386 --> 00:11:14.687
their problem and can solve it.

00:11:15.068 --> 00:11:16.289
Now I'm like, oh,

00:11:16.389 --> 00:11:17.171
how much do you care?

00:11:17.250 --> 00:11:17.551
Cool.

00:11:17.671 --> 00:11:18.552
I want that person with me.

00:11:18.831 --> 00:11:21.374
But make sure you demonstrate, I see you,

00:11:21.514 --> 00:11:22.615
I hear you, I understand you.

00:11:22.654 --> 00:11:24.135
That's what Oprah taught me.

00:11:24.355 --> 00:11:25.537
People want to be seen, heard, understood.

00:11:26.136 --> 00:11:26.937
Do that first.

00:11:27.378 --> 00:11:28.599
I see PTs all the time,

00:11:28.619 --> 00:11:29.220
and I love you,

00:11:29.259 --> 00:11:29.919
and I'm one of you.

00:11:30.500 --> 00:11:31.841
Stop talking about yourself.

00:11:32.062 --> 00:11:33.682
Yes, a hundred percent.

00:11:33.702 --> 00:11:34.663
Stop talking about yourself.

00:11:34.682 --> 00:11:35.323
They don't care about us.

00:11:35.403 --> 00:11:35.844
And to your point,

00:11:35.864 --> 00:11:37.304
they don't care that I'm a PT.

00:11:38.125 --> 00:11:39.326
They don't care about any of that.

00:11:39.486 --> 00:11:41.427
So don't focus on that.

00:11:41.548 --> 00:11:42.269
Focus on the problem.

00:11:42.389 --> 00:11:43.370
You don't do that,

00:11:43.529 --> 00:11:44.830
but you do something similar.

00:11:45.049 --> 00:11:46.630
You're not solving workforce,

00:11:46.671 --> 00:11:48.871
but you are because you work more

00:11:48.932 --> 00:11:49.613
technology.

00:11:49.692 --> 00:11:50.913
These are the things that,

00:11:51.253 --> 00:11:53.494
so you're sitting there pretending like,

00:11:53.754 --> 00:11:54.855
hmm, let me take a wild guess.

00:11:55.514 --> 00:11:57.176
You hate denials.

00:11:57.775 --> 00:11:58.596
Are denials an issue?

00:11:58.616 --> 00:12:00.278
Of course, it's a loaded question,

00:12:00.317 --> 00:12:01.817
but you're doing something similar but not

00:12:01.857 --> 00:12:02.259
the same.

00:12:02.678 --> 00:12:04.779
What's a good wedge for you that makes

00:12:04.799 --> 00:12:06.860
someone go, oh, she, yes, okay,

00:12:06.921 --> 00:12:08.282
sounds like you might understand me.

00:12:08.341 --> 00:12:10.403
What are some things that you throw out

00:12:10.423 --> 00:12:10.982
in the beginning

00:12:12.298 --> 00:12:12.457
Well,

00:12:12.597 --> 00:12:14.841
I always focus on themes over any sort

00:12:14.880 --> 00:12:15.481
of features.

00:12:15.701 --> 00:12:16.042
So like,

00:12:16.143 --> 00:12:18.304
I don't really do anything about like,

00:12:18.365 --> 00:12:20.067
Hey, here's how we solve it.

00:12:20.126 --> 00:12:21.969
I like to figure out like what themes

00:12:22.470 --> 00:12:23.912
are people experiencing.

00:12:24.432 --> 00:12:26.153
And so I would say within the space

00:12:26.173 --> 00:12:28.636
that I work in within like revenue cycle,

00:12:28.657 --> 00:12:29.018
let's say,

00:12:29.522 --> 00:12:32.105
I would say a major theme is ownership,

00:12:32.206 --> 00:12:33.888
autonomy, transparency.

00:12:34.168 --> 00:12:35.049
That's what they're looking,

00:12:35.090 --> 00:12:35.750
that's what they want.

00:12:35.770 --> 00:12:36.451
That's what they want.

00:12:36.471 --> 00:12:39.716
People want to have ownership of their

00:12:39.755 --> 00:12:42.841
money, of their future, of their practice.

00:12:42.860 --> 00:12:43.500
Their day.

00:12:43.621 --> 00:12:44.403
They started a business,

00:12:44.462 --> 00:12:45.804
now they're working for someone else,

00:12:45.884 --> 00:12:46.525
it feels like.

00:12:46.865 --> 00:12:48.126
Yeah, visibility.

00:12:48.287 --> 00:12:50.746
I think oftentimes people outsource

00:12:50.788 --> 00:12:52.967
completely because they know enough to

00:12:53.008 --> 00:12:54.188
say, I don't know about this.

00:12:54.609 --> 00:12:55.969
But then as they start to learn,

00:12:56.028 --> 00:12:56.970
then they realize, oh my gosh,

00:12:56.990 --> 00:12:58.309
I don't know anything about what's

00:12:58.330 --> 00:12:58.850
happening.

00:12:59.370 --> 00:13:01.071
And they don't know what step to take

00:13:01.110 --> 00:13:02.932
to then start to regain control.

00:13:03.371 --> 00:13:04.613
And then they don't know what they don't

00:13:04.633 --> 00:13:04.793
know.

00:13:04.852 --> 00:13:08.053
So just trying to also help uncover where

00:13:08.094 --> 00:13:09.494
the problem is and then being very

00:13:09.514 --> 00:13:11.294
transparent if we are not the right fit.

00:13:11.315 --> 00:13:11.754
Yeah, yeah, yeah.

00:13:11.774 --> 00:13:13.096
Try to get to the know as quickly

00:13:13.115 --> 00:13:13.635
as possible.

00:13:13.696 --> 00:13:14.436
Yeah.

00:13:14.475 --> 00:13:15.937
Confused people don't.

00:13:17.235 --> 00:13:18.895
So I know I have a problem,

00:13:18.995 --> 00:13:20.336
but I'm even confused what the next step

00:13:20.417 --> 00:13:20.576
is.

00:13:20.616 --> 00:13:21.116
So what do I do?

00:13:21.456 --> 00:13:21.836
Nothing.

00:13:22.076 --> 00:13:22.756
I just go, you know what?

00:13:22.777 --> 00:13:24.357
I'm going to solve the other problems

00:13:24.378 --> 00:13:25.758
because I at least know how to solve

00:13:25.778 --> 00:13:25.957
them.

00:13:26.298 --> 00:13:27.597
This is what I'm like frustrated with.

00:13:27.837 --> 00:13:29.499
And I try to clean my house as

00:13:29.538 --> 00:13:30.259
little as possible.

00:13:30.339 --> 00:13:31.339
Like when there's people coming over,

00:13:31.359 --> 00:13:31.899
that's when I do it.

00:13:32.359 --> 00:13:34.460
But I find myself like I'm trying to

00:13:34.480 --> 00:13:35.480
do I was trying to change a flight

00:13:35.759 --> 00:13:36.940
and I was using an app and I

00:13:36.960 --> 00:13:37.700
couldn't get my password.

00:13:37.779 --> 00:13:38.780
I tried fourteen different ways.

00:13:39.221 --> 00:13:40.640
So I just stopped and cleaned my house.

00:13:41.120 --> 00:13:42.442
Because I knew I could control that.

00:13:42.581 --> 00:13:44.302
I was like, well, that's not happening.

00:13:44.522 --> 00:13:45.102
I'm going to do this.

00:13:45.123 --> 00:13:46.543
It's the same in business.

00:13:46.663 --> 00:13:48.083
If you're like, I know I'm leaking money.

00:13:48.224 --> 00:13:48.823
What do I do about it?

00:13:48.884 --> 00:13:49.563
I have no idea.

00:13:49.604 --> 00:13:50.365
So what do you do about it?

00:13:50.384 --> 00:13:50.644
Nothing.

00:13:51.225 --> 00:13:55.206
You move on to rearrange the deck chairs

00:13:55.226 --> 00:13:55.866
on my Titanic.

00:13:55.927 --> 00:13:56.126
Why?

00:13:56.386 --> 00:13:57.587
Because I can control that.

00:13:58.148 --> 00:13:59.268
And we're big, dumb animals,

00:13:59.288 --> 00:14:01.989
and we like control.

00:14:02.190 --> 00:14:04.029
This is a cool format, though, I think,

00:14:04.149 --> 00:14:04.831
a presentation.

00:14:04.931 --> 00:14:05.191
And then...

00:14:06.501 --> 00:14:09.283
really dedicated time to hearing from the

00:14:09.342 --> 00:14:10.442
audience, right?

00:14:10.802 --> 00:14:11.962
I do think it's funny though,

00:14:12.802 --> 00:14:14.683
is that most people are falling into the

00:14:14.703 --> 00:14:15.964
trap I just did, right?

00:14:16.043 --> 00:14:17.744
So let's say you gave a presentation and

00:14:17.844 --> 00:14:18.644
I either agree or disagree,

00:14:18.663 --> 00:14:19.804
I'm gonna stand up and ask questions or

00:14:19.825 --> 00:14:20.384
make a statement,

00:14:20.725 --> 00:14:21.605
and then a lot of people spend the

00:14:21.644 --> 00:14:22.924
first forty-five seconds explaining who

00:14:22.945 --> 00:14:23.245
they are.

00:14:23.585 --> 00:14:23.985
And I'm sort of like,

00:14:24.005 --> 00:14:26.225
save that for later.

00:14:26.245 --> 00:14:27.725
Save, I don't care right now,

00:14:27.785 --> 00:14:30.326
unless it's directly in context, right?

00:14:30.386 --> 00:14:31.427
Which is like, I get it,

00:14:31.626 --> 00:14:32.486
but also I'm like,

00:14:32.907 --> 00:14:34.087
skip to the good part.

00:14:37.448 --> 00:14:37.649
All right.

00:14:37.668 --> 00:14:38.749
So third, first.

00:14:39.490 --> 00:14:42.071
And you're going to both speak next year.

00:14:42.270 --> 00:14:43.851
If you were going to speak next year,

00:14:43.912 --> 00:14:45.192
what would your talk be on?

00:14:45.293 --> 00:14:46.072
I'm cheering Allie on.

00:14:46.212 --> 00:14:47.433
That's my role next year.

00:14:47.453 --> 00:14:48.695
We're going to do it together.

00:14:48.715 --> 00:14:49.274
Hold on a second.

00:14:49.294 --> 00:14:49.615
Wait, wait, wait.

00:14:49.654 --> 00:14:50.596
You spoke already.

00:14:50.655 --> 00:14:51.975
You gave a two-minute hot,

00:14:52.596 --> 00:14:53.517
coming in hot statement.

00:14:53.596 --> 00:14:54.136
I did.

00:14:54.177 --> 00:14:54.857
What was the gist?

00:14:54.898 --> 00:14:55.778
Let's just talk about the gist of it.

00:14:55.798 --> 00:14:56.739
Or do you have it memorized?

00:14:57.038 --> 00:14:58.700
No, I don't have it fully memorized.

00:14:58.720 --> 00:15:00.360
But the gist of it, I will say,

00:15:00.500 --> 00:15:02.162
and you tell me if I'm not doing

00:15:02.182 --> 00:15:02.581
this justice.

00:15:02.964 --> 00:15:04.645
But the gist of this is that I

00:15:04.686 --> 00:15:06.347
think in the therapy world specifically,

00:15:06.447 --> 00:15:08.990
we feel this need to either choose between

00:15:09.030 --> 00:15:12.014
doing well or doing good.

00:15:12.115 --> 00:15:13.035
And by that meaning,

00:15:13.677 --> 00:15:15.679
well is like we're financially thriving

00:15:15.740 --> 00:15:17.160
and our clinic's doing financially well.

00:15:17.182 --> 00:15:19.244
And then good meaning we're allocating

00:15:19.283 --> 00:15:21.346
everything we have to our patients and

00:15:21.386 --> 00:15:21.567
that.

00:15:22.105 --> 00:15:23.607
we do not have to choose one or

00:15:23.648 --> 00:15:25.390
the other, that we deserve both.

00:15:25.431 --> 00:15:26.292
But beyond that,

00:15:26.692 --> 00:15:29.115
like the survival of our entire profession

00:15:29.176 --> 00:15:31.919
relies on us having both.

00:15:32.399 --> 00:15:33.962
And that was it.

00:15:33.982 --> 00:15:35.264
I don't need to divulge that.

00:15:35.303 --> 00:15:36.725
It was really good.

00:15:36.986 --> 00:15:38.408
I love the doing well versus doing good.

00:15:38.708 --> 00:15:41.230
And then you brought in also a topic

00:15:41.250 --> 00:15:42.451
that I guess was in last year.

00:15:42.471 --> 00:15:43.211
I wasn't here last year,

00:15:43.231 --> 00:15:44.712
but they were talking about artificial

00:15:44.732 --> 00:15:45.494
intelligence last year.

00:15:45.734 --> 00:15:47.615
It's not on the docket this year because

00:15:47.634 --> 00:15:49.035
apparently we've solved all that.

00:15:49.856 --> 00:15:50.738
I was out of the room when we

00:15:50.758 --> 00:15:51.097
solved AI.

00:15:52.259 --> 00:15:54.961
Your angle was AI is not the thing.

00:15:55.081 --> 00:15:56.221
It's the thing that will help you do

00:15:56.261 --> 00:15:56.662
the thing.

00:15:56.782 --> 00:15:57.623
AI is not the answer.

00:15:57.663 --> 00:15:58.923
It's the vehicle you will get in to

00:15:58.984 --> 00:16:01.144
solve this or this or at least work

00:16:01.205 --> 00:16:02.186
on this or this or this.

00:16:02.500 --> 00:16:03.201
Yes.

00:16:03.221 --> 00:16:04.283
Yes.

00:16:04.303 --> 00:16:04.464
Yeah.

00:16:04.504 --> 00:16:05.524
That was my kind of thought.

00:16:05.706 --> 00:16:06.927
That could be an entire talk, though.

00:16:06.947 --> 00:16:07.788
You did it in two minutes.

00:16:07.908 --> 00:16:09.490
You could go deeper and wider.

00:16:09.510 --> 00:16:10.392
Yeah, I could.

00:16:10.412 --> 00:16:11.714
You might have just accidentally talked

00:16:11.734 --> 00:16:12.615
yourself into a talk.

00:16:13.056 --> 00:16:14.317
Allie, you're on the docket next year.

00:16:14.496 --> 00:16:15.318
What are you talking about?

00:16:15.359 --> 00:16:16.080
With your hands.

00:16:17.926 --> 00:16:20.547
I am this afternoon doing one on

00:16:20.586 --> 00:16:21.347
gentelligence.

00:16:21.408 --> 00:16:22.048
Oh, no, I knew that.

00:16:22.087 --> 00:16:23.168
You are talking this year.

00:16:23.187 --> 00:16:23.248
Yes,

00:16:23.288 --> 00:16:25.489
my head is on that because at a

00:16:25.528 --> 00:16:26.210
lot of conferences,

00:16:26.289 --> 00:16:28.309
I feel like I feel this very emotional

00:16:28.951 --> 00:16:31.591
distress around the younger generation or

00:16:31.611 --> 00:16:33.513
the younger generation against older

00:16:33.533 --> 00:16:34.232
generations.

00:16:34.273 --> 00:16:36.573
And so I feel like honest conversations

00:16:36.594 --> 00:16:37.254
are needed there.

00:16:38.355 --> 00:16:39.355
So that's where my head is at right

00:16:39.414 --> 00:16:39.634
now.

00:16:39.774 --> 00:16:40.615
Next year, I don't know.

00:16:40.676 --> 00:16:43.216
So what do you hope people walk away

00:16:43.277 --> 00:16:44.197
thinking, feeling,

00:16:44.376 --> 00:16:45.977
doing after they listen to your talk

00:16:45.998 --> 00:16:46.357
today?

00:16:46.903 --> 00:16:48.563
I hope that instead of just being

00:16:48.644 --> 00:16:51.086
frustrated and angry and being like,

00:16:51.186 --> 00:16:53.587
they need to change either direction.

00:16:53.607 --> 00:16:54.227
They need to change.

00:16:54.248 --> 00:16:56.408
They need to change either direction.

00:16:56.528 --> 00:16:57.230
It's their fault.

00:16:57.250 --> 00:16:59.130
We come to understand like nobody's

00:16:59.171 --> 00:17:00.231
probably going to change.

00:17:00.272 --> 00:17:01.773
So let's figure out what to do about

00:17:01.832 --> 00:17:03.734
it because otherwise our profession will

00:17:03.754 --> 00:17:04.875
fail to exist.

00:17:05.434 --> 00:17:05.935
In twenty years,

00:17:05.976 --> 00:17:08.057
if we don't make a profession that the

00:17:08.096 --> 00:17:10.038
younger generation wants to be a part of.

00:17:10.058 --> 00:17:11.159
They're going to leave.

00:17:11.278 --> 00:17:12.220
Then they're going to leave and we won't

00:17:12.259 --> 00:17:12.640
have one.

00:17:12.700 --> 00:17:15.102
So I guess that's my hope is that

00:17:15.521 --> 00:17:16.682
people think about it differently.

00:17:16.962 --> 00:17:17.262
Yeah.

00:17:17.544 --> 00:17:18.503
I'm in a discussion.

00:17:18.523 --> 00:17:19.525
I'm going to have this guy on,

00:17:19.545 --> 00:17:21.326
but there was a guy on LinkedIn writing

00:17:21.446 --> 00:17:21.987
thoughtfully.

00:17:22.867 --> 00:17:23.928
And essentially he was like,

00:17:24.449 --> 00:17:25.108
I'm paraphrasing.

00:17:25.128 --> 00:17:26.009
I won't put words in his mouth.

00:17:26.170 --> 00:17:27.111
He's going to put words in his mouth.

00:17:27.310 --> 00:17:28.531
I'm paraphrasing, you know,

00:17:28.571 --> 00:17:30.272
like we got to work harder.

00:17:30.492 --> 00:17:31.453
Like people don't want to work hard.

00:17:31.493 --> 00:17:34.056
And I was like, is that it?

00:17:34.236 --> 00:17:35.696
Like this generation just woke up and

00:17:35.737 --> 00:17:36.758
doesn't want to work hard.

00:17:36.998 --> 00:17:38.199
And then I sort of broke it down.

00:17:38.619 --> 00:17:40.760
Maybe I used AI to an equation.

00:17:40.820 --> 00:17:41.721
And I was like, is the,

00:17:41.801 --> 00:17:43.363
is it the conversion factor?

00:17:43.643 --> 00:17:45.125
If I used to work ten hours,

00:17:46.048 --> 00:17:47.749
units of work hard i used to get

00:17:48.068 --> 00:17:51.010
twelve f units of payoff and now i

00:17:51.030 --> 00:17:52.330
do ten efforts of work hard and i

00:17:52.351 --> 00:17:55.432
get six and i'm not stupid that doesn't

00:17:55.452 --> 00:17:57.834
work and then his sort of counter was

00:17:57.854 --> 00:17:59.414
like well you could start your own company

00:17:59.454 --> 00:18:01.236
i said we're talking about the conversion

00:18:01.256 --> 00:18:03.156
factor of this system going outside the

00:18:03.176 --> 00:18:06.498
system is valid i'm a radio dj pt

00:18:06.898 --> 00:18:08.720
i went outside the system i made this

00:18:08.799 --> 00:18:08.940
up

00:18:09.640 --> 00:18:11.981
I'm okay with how much work I do

00:18:12.021 --> 00:18:12.803
for what I get.

00:18:13.123 --> 00:18:13.823
Would I like more?

00:18:14.022 --> 00:18:14.344
Sure.

00:18:14.683 --> 00:18:16.224
So I want to work on two things,

00:18:16.505 --> 00:18:18.006
how much work I do, hard,

00:18:18.386 --> 00:18:19.807
and the conversion factor.

00:18:19.847 --> 00:18:21.509
Because wouldn't it be great if the amount

00:18:21.568 --> 00:18:23.130
I'm doing now could just yield more?

00:18:23.871 --> 00:18:25.672
Clinicians and clinics want that.

00:18:25.852 --> 00:18:26.173
They're like,

00:18:26.212 --> 00:18:27.913
I want to put it in this system.

00:18:28.034 --> 00:18:29.595
I don't want to run my own company.

00:18:29.895 --> 00:18:31.135
Why is that a bad thing?

00:18:31.196 --> 00:18:32.196
Neither good nor bad.

00:18:32.557 --> 00:18:33.999
It's right or wrong for you.

00:18:34.338 --> 00:18:35.539
So I want to focus on the conversion

00:18:35.559 --> 00:18:37.641
factor because it didn't used to be this

00:18:37.681 --> 00:18:38.122
way.

00:18:38.142 --> 00:18:38.342
Right.

00:18:38.868 --> 00:18:40.549
I put that on like Instagram and I

00:18:40.569 --> 00:18:42.151
was waiting for like the younger

00:18:42.171 --> 00:18:43.570
generation to agree with me and the older

00:18:43.590 --> 00:18:44.632
to disagree.

00:18:44.672 --> 00:18:46.553
And the funny part was they both agree.

00:18:46.573 --> 00:18:47.653
They were like, yeah, it didn't use.

00:18:47.792 --> 00:18:49.153
I was there in the eighties.

00:18:49.394 --> 00:18:51.555
It used to be this gotcha that now

00:18:51.595 --> 00:18:52.714
it's this gotcha this.

00:18:52.775 --> 00:18:53.496
And that sucks.

00:18:53.556 --> 00:18:54.875
But I am close to retiring and I'm

00:18:54.895 --> 00:18:55.977
like, that does suck.

00:18:56.196 --> 00:18:57.116
But these people aren't.

00:18:57.537 --> 00:18:58.538
So what are we doing about it?

00:18:58.557 --> 00:18:59.678
Uh,

00:18:59.718 --> 00:19:01.419
so that's what my thing would be is

00:19:01.519 --> 00:19:03.160
what's the conversion factor of hard work?

00:19:03.200 --> 00:19:04.980
What's hard work worth these days?

00:19:05.161 --> 00:19:05.260
Um,

00:19:05.881 --> 00:19:07.402
We have a tradition on the show before

00:19:07.422 --> 00:19:08.561
we end every episode.

00:19:08.662 --> 00:19:09.942
It is called the parting shot.

00:19:09.961 --> 00:19:12.722
This is the parting shot.

00:19:13.262 --> 00:19:14.663
One last mic drop moment.

00:19:15.344 --> 00:19:16.163
No pressure.

00:19:16.584 --> 00:19:18.763
Just your legacy on the line.

00:19:20.085 --> 00:19:23.365
Just you can reiterate an idea, a thought,

00:19:23.425 --> 00:19:24.266
a concept, a quote.

00:19:24.546 --> 00:19:25.066
Doesn't matter.

00:19:25.086 --> 00:19:25.905
It's just whatever you want.

00:19:25.925 --> 00:19:27.686
The last thing the audience hears from

00:19:27.727 --> 00:19:27.946
you.

00:19:28.247 --> 00:19:28.846
What do you want to be?

00:19:29.436 --> 00:19:30.679
I would just say that going to what

00:19:30.699 --> 00:19:33.321
you said about systems that I would just

00:19:33.682 --> 00:19:35.565
reiterate that we aren't just participants

00:19:35.605 --> 00:19:36.286
of a system.

00:19:36.707 --> 00:19:40.152
We are architects of the future for it.

00:19:40.231 --> 00:19:40.751
Architect.

00:19:40.791 --> 00:19:42.875
Look at you dropping crochet that on a

00:19:42.894 --> 00:19:43.175
pillow.

00:19:43.680 --> 00:19:44.421
That was beautiful.

00:19:44.780 --> 00:19:46.001
You look following that.

00:19:46.082 --> 00:19:47.624
I mean, it's a bar.

00:19:47.644 --> 00:19:48.585
You got to get over that bar.

00:19:48.625 --> 00:19:49.184
Yeah, no.

00:19:49.786 --> 00:19:50.946
I'm going to get over it by just

00:19:51.166 --> 00:19:52.167
using one of her lines.

00:19:52.188 --> 00:19:52.567
There you go.

00:19:52.627 --> 00:19:54.089
Smart, smart.

00:19:54.170 --> 00:19:55.431
I'm going to use Bethany's line of,

00:19:55.990 --> 00:19:57.512
I love the concept that you don't have

00:19:57.532 --> 00:19:59.694
to trade doing well for doing good.

00:19:59.994 --> 00:20:01.255
And I think if we just put a

00:20:01.315 --> 00:20:03.236
lot more of our effort on how and

00:20:03.256 --> 00:20:04.936
what are innovative ways to make that

00:20:04.977 --> 00:20:05.436
happen,

00:20:06.156 --> 00:20:08.557
then we would build a better profession

00:20:08.597 --> 00:20:10.038
and one that maybe the next generation

00:20:10.097 --> 00:20:10.377
wants to be in.

00:20:10.417 --> 00:20:11.317
And how do you find those?

00:20:11.417 --> 00:20:12.959
I'll steal words from someone else.

00:20:13.078 --> 00:20:14.679
Good artists borrow, great artists steal.

00:20:14.839 --> 00:20:16.079
Look at what other people are doing.

00:20:16.920 --> 00:20:17.460
In class,

00:20:17.500 --> 00:20:18.381
you weren't allowed to look at other

00:20:18.401 --> 00:20:19.080
people's papers.

00:20:19.938 --> 00:20:21.578
In life, we sort of are.

00:20:21.679 --> 00:20:22.939
We could just be like, I don't know,

00:20:22.999 --> 00:20:24.140
what's OT doing?

00:20:24.200 --> 00:20:24.880
What's dental?

00:20:24.980 --> 00:20:26.941
What are aeronautical engineers doing?

00:20:26.961 --> 00:20:28.582
What can I steal in a good way?

00:20:28.882 --> 00:20:29.682
The essence of,

00:20:29.781 --> 00:20:31.262
and then just plug it in over here.

00:20:31.282 --> 00:20:31.843
Does it work?

00:20:32.064 --> 00:20:32.344
I don't know.

00:20:32.364 --> 00:20:33.003
Let's try it.

00:20:33.544 --> 00:20:35.244
Good artist borrow, great artist steal.

00:20:35.585 --> 00:20:36.526
Allie, Bethany,

00:20:36.566 --> 00:20:37.605
appreciate the time here at Graham

00:20:37.645 --> 00:20:37.905
Sessions.

00:20:37.925 --> 00:20:38.926
We're going to have some graham crackers

00:20:38.967 --> 00:20:41.867
and some s'mores here as we live stream

00:20:41.887 --> 00:20:43.848
from the top of the APTA's venue.

00:20:45.188 --> 00:20:46.268
That's it for this one,

00:20:46.528 --> 00:20:48.189
but we're just getting warmed up.

00:20:48.669 --> 00:20:50.589
Smash follow, send it to a friend,

00:20:50.809 --> 00:20:52.450
or crank up the next episode.

00:20:52.970 --> 00:20:53.911
Want to go deeper?

00:20:54.351 --> 00:20:58.392
Hit us at pgpinecast.com or find us on

00:20:58.432 --> 00:21:00.952
YouTube and socials at pgpinecast.

00:21:01.393 --> 00:21:03.693
And legally, none of this was advice.

00:21:03.733 --> 00:21:05.473
It's for entertainment purposes only.

00:21:05.513 --> 00:21:07.115
Bullshit!

00:21:07.154 --> 00:21:07.734
See, Keith?

00:21:07.954 --> 00:21:09.016
We read the script.

00:21:09.316 --> 00:21:09.955
Happy now?

