You're listening to the PT Pinecast,
where smart people in healthcare come to
make noise.
Here's your host, Jimmy McKay.
Thanks, voiceover guy.
I'm not on the camera.
All right,
scooch to your right a little bit.
We are live.
We're making this up.
It doesn't really matter.
It's a podcast.
Lisa Van Hoose to my right,
Rebecca Griffith to her radio right,
and we're live from Graham Sessions.
And I'm not sure why I'm asking this
a lot,
but how many Graham Sessions is this for
you?
I was trying to count.
I know it's been more than five.
Wow, that's a lot.
Three, two.
This is my third.
Your third.
This is my third as well.
So why did you come the first time
and why do you keep coming back?
We'll go with Lisa first.
So I came the first time because I
heard through the grapevine that there
were these like heated conversations
happening.
And I was like,
I needed to be in the room where
it was happening.
And I keep coming back because it's one
of my favorite places because you can come
in here, you can have that conversation,
say those things and be like,
what do y'all think about that?
And the ground rules are we can say
anything that was said,
but we'll just never,
we want to attach it to anybody.
So you can feel free to say anything
in that room.
The ideas should leave the room,
but who said them doesn't have to leave
the room.
i won't say what you said but you
did not shy at all went right to
the microphone twenty five minutes ago and
you were like you're like i have something
to say and i'm like that's i don't
know i leaned over to someone else and
said uh she's ready to talk and i
know there's a line but she's ready to
talk now and that's lines are not really
lines enough for lisa why do you come
back rebecca
The first time I came,
I was invited to be on a panel
to talk about access,
which is obviously one of the things
that's most important to me is that our
patients can't get to us when they need
to.
And then last year, last time I came,
I gave a what I believe speech.
And what I believe is that physical
therapists could change the world,
but we won't.
Why?
Well,
because we're waiting for permission.
And we already have it.
So we have to do it.
Right.
Yeah.
And we're scary.
We're scary or scared?
We are scared.
Oh, we are scared.
Of?
Of.
I think it's our own imposter syndrome.
We're so rule follower-y.
And we're very employee mindset.
Like follow.
Yeah.
Technician, not doctor.
Yeah.
So I'm back this year to listen.
Cool.
But you'll say something when you have
something to say.
She already said something.
I'm not going to actually say it.
I can't say what you said.
That's the rules.
What are you excited to see discussed and
what are you upset that it's not on
the menu?
I'm excited about the Big Beautiful Bill
conversation.
Okay.
That whole conversation around
professional designation.
What I am a little sad that we're
not talking about is still the lack of
diversification of our workforce.
I feel like we talked about that a
lot five years ago.
But now we're scared.
And then we stopped talking about that.
Yeah, because there's political powers.
Because it's solved?
Well, you know, now we're redefining,
you know,
marginalized groups as dominant groups
now.
Yeah.
Interesting point of view.
Yeah.
What are you excited and upset that's not
on my docket?
I was excited to hear the primary care
conversation this morning because I think
that's an area of practice that I'm in.
But I'm also interested in the one about
generational differences because I hear a
lot of clinical owners and business owners
complain to me and say, well,
nobody wants to work anymore or I can't
get that generation to XYZ.
And I also have teenagers and we're like
six, seven and all that.
And I feel like.
We have to be able to communicate with
the people that came behind us because now
we're just turning into our parents.
So I'm excited.
We're saying the things that we were
pissed at these kids today.
Now it's coming out of your mouth.
So pause before you say that.
So let's talk about those two that you
just said.
So primary care, there was,
and correct me if I'm wrong,
I'll just structure it.
There was a policy win in Utah.
That's what like sort of starts part of
it.
Hey, now we're primary care.
And what does that mean?
And what does it change?
And all those things are for smarter
policy people to talk about.
I come in and I go because I
can say what I said.
You can say what you said,
but you can't say what someone else said.
I said, this is awesome.
And then I think I made everybody in
this room where I'm the seventh floor of
APTA Avengers Tower here in Alexandria,
where we're looking Washington.
I made everybody made everybody look
outside the windows, look out the window,
look at the window, look at it, look.
And people weren't doing it.
I was like, look outside the window.
None of those people understand what the
hell primary care physical therapy is.
It's as confusing as when do I go
to the urgent care?
And how many words was the definition?
Eighty-three.
Do you think I counted or did I
take a picture of the definition in AI
and make it count for me?
Of course.
Yeah.
Because I'm not an idiot.
But that's the point.
And I will give credit.
People just don't want to work hard these
days.
You should have counted it yourself.
Smarter, not harder.
And I know that's an internal definition
for us.
But, and this is not to knock.
I don't think anybody here is really to
knock a person.
But we're to push and pressure ideas and
say, this is cool.
And I think my last question or my
last statement, which, by the way,
is the best way to look smart,
is just ask questions at a big conference
like this, but never answer them.
Oh,
you taught a whole masterclass last night
over beers.
My last question or my last statement,
which sounded like a question,
was this will fail if you fail to
message this right.
And I know I'm coming from a lens
of marketing and communications,
whatever it is, because that's my life.
But I'm like, I see what you're doing.
This is great.
But if the people outside the seventh
floor window here don't understand it,
quickly, clearly, concisely, consistently,
we'll lose here.
And we will be confused how we lost.
And I will point right back to that
moment.
I actually disagree with you.
I don't think that it's on the people
outside to understand it.
I think it's on every physical therapist
to own it.
And once they start practicing that way,
that just becomes the standard of care.
And so when people come to a physical
therapist,
that's just the care that they expect.
So I think until every physical therapist
starts leveling up and then providing that
level of care, that level of expertise,
it doesn't matter what the people out
there think.
Like marketing it and bringing patients
in, we don't need to do that.
We need to take the patients we have
and own them and raise those people up.
And then like you heard,
there are people like,
can you see this patient?
Can you get this person in?
Like I've sent my physical therapist tons
of patients because he does have a primary
care mindset.
And I know those patients will be taken
care of, not treated.
Show, don't tell.
That's what I should have said.
That was my mic drop moment.
Show the people outside this.
Show the people directly outside this
building, which are our colleagues.
Show them how to communicate this and then
to be able to show,
not just tell the public.
You have to be a primary care provider
before you start doing it.
There you go.
And now you don't have to market anything.
You are acting as if.
Act as if.
Maybe primary care,
maybe that's the rollout.
but maybe not act.
Okay.
Well, I meant like act as if, yeah,
I know.
But act as if the first time I
ever scored a goal in like high school
hockey, like I celebrated,
like I just won the Stanley cup and
my coach was like, Hey, great work.
Act as pretend like you've been there
before.
Cause I think part of our issue right
now is we have a lot of PTs
that are acting.
Okay.
Right.
Where we've got this list of things
related to contemporary practice that you
are fully aware that you need to upskill,
but you're not doing that.
And so I'm just going to put it
out there.
This is Lisa Van Hoose.
I'm saying this as an individual.
You are providing subpar care.
And so if that's what you're willing to
do,
then you can't complain about subpar
payments.
Oh, so I'm like,
level up and then we can talk about
having some improvements in payment.
Tony Maritato, my live stream co-host,
has said and pointed out something
similar, which is,
do you honestly believe that half of the
profession is better than half?
what we're being paid because medicare is
just one example is saying you are worth
this much money per hour and people get
mad i'm like who's getting mad do you
think that half more than half the
profession is better than that if the
answer is yes then we deserve more or
do we have to raise the floor of
our
well and truly like if you were being
paid more for that for what you were
doing where's the incentive to do better
too i think that's a piece of it
also chicken egg egg chicken uh because
you know like right now the big
conversation is groceries right that's the
big
political conversation i love frosted
flakes right but it's got to be kellogg's
but i'm gonna be mad if i go
pay a kellogg's price and i'm getting some
off correct i don't want that agreed i
don't want that and so i think part
of what we see in social media right
now is patients and clients and caregivers
are talking about i went to a pt
i was expecting this
but I got something underneath that.
Now there are those PTs out where we're
going to shout you out that are providing
amazing care,
but I'm not comfortable saying it's fifty
percent of us right now because we're
doing just enough for whatever reason.
And that's where I feel like we need
to follow some Mel Robbins, right?
Let you move on.
If this isn't what you want to do,
if you don't want to upskill to where
we're trying to be as a profession,
Move on.
There's all different types of things you
can do in the world.
Agreed.
You don't have to be a PT.
You can leave the house.
Spicy takes before noon at Graham
Sessions, Lisa Van Hoose.
I don't even think that's spicy.
It's not even spicy.
And it's okay to change.
It is totally okay to change.
I'm not going to call you a bad
PT.
I'm not going to say you're a bad
human.
You just decided that the profession is
going this way.
I don't want to do that.
Yeah.
But then follow through on that.
Don't stick around.
And then complain.
Right.
Or provide subpart care.
I will point that out as well.
You know,
being mad about a thing you're not doing
feels a little bit defeated or not
productive.
So I just play the world's smallest violin
for people who do that.
And life is short.
Yeah.
Don't do things you don't want to do.
Here for a good time,
not a long time.
I had a conversation with somebody the
other day that PT is like,
we're just in a burning building.
And you know that you've got that meme
where you've got the dog sitting in the
burning building.
It's fine.
It's all fine.
And are you going to be that dog
and just sit there while the burning
building consumes you?
You could exit the building.
You could help put out the fire.
But if you continue to sit there in
the burning building and say,
why don't the fire department come and put
out this fire?
Or I didn't start this fire.
I'm beginning burned and I didn't start
this fire.
Okay.
So exit the building or get a fire
extinguisher.
But we need you to take a role
here other than somebody that has to be
rescued.
Yeah.
I think I said this yesterday.
The worst thing to do in a panic
situation, my dad taught me, was panic.
The second worst thing to do in a
panic situation is nothing.
Nothing.
If you think it's that bad, don't panic.
But do something productive.
Leave whatever system you're in.
And I'm talking about physically where you
work or practice or work.
How you're doing that.
You have other levers to pull other than
leave completely,
but it's also okay if you want to
leave completely.
You have the door, push, pull,
it goes either way.
We all have power, right?
So we've got power to change things within
ourselves.
that building.
I think people also forget that the
profession is made up of people.
So when you're talking about the
profession sucks,
you're actually self-loathing because
you're saying you suck because you're part
of us.
Right.
And you also always have the power to
leave.
So I'm like,
recognize your power and then decide on
how you're going to use it.
Agreed.
All right.
We try to keep the,
we're trying to keep these short under
This is The Parting Shot.
One last mic drop moment.
No pressure.
Just your legacy on the line.
Sounds like scary when you say your legacy
on the line.
But Parting Shot, just one concept,
one mic drop moment,
just one thing you want to leave with
the audience.
What do you got?
You got to be about it,
not just talk about it.
put that on a crochet that on a
pillow gotta be about it don't just talk
about it good luck following that i know
that was a good one you have ism
you have sayings i'm gonna sit with the
fact that individualism is a fallacy right
so this concept that just you are gonna
make some difference or all the only thing
that matters is you is a joke it's
all about the collective us
all right well we're gonna have s'mores
later because we're at graham sessions
here at apta headquarters in alexandria
virginia lisa van hoose rebecca griffith
thanks for talking that's it for this one
but we're just getting warmed up smash
follow send it to a friend or crank
up the next episode want to go deeper
hit us at pgpiecast.com or find us on
youtube and socials at pgpiecast and
legally none of this was advice it's for
entertainment purposes only
See, Keith?
We read the script.
Happy now?