WEBVTT

00:00:01.129 --> 00:00:03.170
You're listening to the PT Pinecast,

00:00:03.310 --> 00:00:05.291
where smart people in healthcare come to

00:00:05.333 --> 00:00:06.012
make noise.

00:00:06.033 --> 00:00:10.816
Here's your host, Jimmy McKay.

00:00:10.836 --> 00:00:11.436
If I had a time machine,

00:00:11.516 --> 00:00:12.037
I would go back.

00:00:12.096 --> 00:00:13.637
I wouldn't name it PT Pinecast.

00:00:13.718 --> 00:00:14.519
That was a goof.

00:00:14.659 --> 00:00:16.160
This was because we drank beers after

00:00:16.260 --> 00:00:17.800
class and we're like, oh, I get it.

00:00:17.821 --> 00:00:19.181
We want it to be fun and like

00:00:19.202 --> 00:00:19.882
a happy hour.

00:00:20.702 --> 00:00:22.103
I don't even, I mean, I like beer,

00:00:22.143 --> 00:00:22.923
but I don't love it.

00:00:22.963 --> 00:00:23.464
Like people like,

00:00:23.504 --> 00:00:24.864
they want to talk to me about beers

00:00:24.885 --> 00:00:25.865
and I'm like, I don't know, man.

00:00:25.885 --> 00:00:26.766
I like regular beers.

00:00:27.734 --> 00:00:28.934
It's not my identity.

00:00:28.954 --> 00:00:29.714
That's my problem.

00:00:29.995 --> 00:00:32.817
But now that beer follows me everywhere.

00:00:32.917 --> 00:00:34.158
Although it is good at CSM because you

00:00:34.179 --> 00:00:34.918
know what people...

00:00:34.939 --> 00:00:36.100
When they see me walking through the hotel

00:00:36.119 --> 00:00:38.701
bar, everybody wants to buy me a beer.

00:00:38.841 --> 00:00:40.262
So I saved myself a couple of bucks.

00:00:40.622 --> 00:00:43.604
Rebecca Griffith, Drew McKay.

00:00:43.645 --> 00:00:45.627
We were just chatting before we hit go

00:00:45.726 --> 00:00:46.127
live.

00:00:46.347 --> 00:00:49.509
You got a... Someone commented.

00:00:49.530 --> 00:00:50.289
They didn't DM you.

00:00:50.310 --> 00:00:52.011
They commented on something.

00:00:52.051 --> 00:00:53.012
So set the story up.

00:00:53.192 --> 00:00:54.253
And I was going to put the thing

00:00:54.292 --> 00:00:55.314
on the screen, but I don't want to...

00:00:56.475 --> 00:00:57.817
I don't want to blast the person.

00:00:57.837 --> 00:00:57.917
Yeah,

00:00:57.936 --> 00:00:58.758
I don't want to put this person on

00:00:58.798 --> 00:00:59.098
blast,

00:00:59.118 --> 00:01:00.640
but let's talk about the reason this

00:01:00.679 --> 00:01:01.020
person...

00:01:02.033 --> 00:01:03.594
Yeah,

00:01:03.615 --> 00:01:05.057
so kind of the context is I posted

00:01:05.076 --> 00:01:06.558
a video about the difference between an

00:01:06.617 --> 00:01:08.260
emergency department physical therapist

00:01:08.420 --> 00:01:09.960
and an acute care physical therapist.

00:01:09.980 --> 00:01:11.121
Got it.

00:01:11.341 --> 00:01:12.584
It's a question that I get asked, like,

00:01:12.623 --> 00:01:14.484
how is that different than regular acute

00:01:14.504 --> 00:01:14.846
care?

00:01:14.906 --> 00:01:16.647
How is it different than an outpatient PT?

00:01:17.147 --> 00:01:18.328
And so it was really just sort of

00:01:18.349 --> 00:01:19.168
clarifying that.

00:01:19.709 --> 00:01:21.831
And then the person just sort of said,

00:01:22.091 --> 00:01:22.331
like,

00:01:22.471 --> 00:01:23.993
sounds like a physical therapist who works

00:01:24.013 --> 00:01:25.094
in the emergency department.

00:01:25.135 --> 00:01:26.936
There's no such thing as an ED physical

00:01:26.956 --> 00:01:27.337
therapist.

00:01:27.757 --> 00:01:28.356
Which, you know,

00:01:28.376 --> 00:01:29.537
if you want to split hairs, fine.

00:01:29.938 --> 00:01:31.518
I personally feel like a physical

00:01:31.537 --> 00:01:33.558
therapist, no matter where you are,

00:01:33.599 --> 00:01:34.539
you're a physical therapist.

00:01:34.578 --> 00:01:35.239
I'm fine with that.

00:01:35.319 --> 00:01:35.838
That's okay.

00:01:36.879 --> 00:01:39.099
But then the person went on to say

00:01:39.579 --> 00:01:40.359
in the hospital,

00:01:40.400 --> 00:01:41.840
we're all just physical therapists.

00:01:41.881 --> 00:01:45.081
There are no specialized PTs in the acute

00:01:45.201 --> 00:01:46.561
or emergency department world,

00:01:46.682 --> 00:01:48.203
whether we're ED or acute,

00:01:48.283 --> 00:01:49.862
we're all just discharge monkeys.

00:01:53.274 --> 00:01:54.433
And that made me really sad.

00:01:54.554 --> 00:01:57.174
In the Oxford debate at CSM this year,

00:01:57.215 --> 00:01:59.575
too, for the acute care academy,

00:01:59.875 --> 00:02:02.536
the question was, float or focus?

00:02:02.555 --> 00:02:04.615
Should we be generalists or should we be

00:02:04.656 --> 00:02:06.337
really specialized in the acute care

00:02:06.376 --> 00:02:06.677
world?

00:02:07.117 --> 00:02:08.497
But I think what bothers me here is

00:02:08.516 --> 00:02:10.356
that I feel like this person has lost

00:02:10.457 --> 00:02:10.837
their agency.

00:02:10.858 --> 00:02:15.198
Yeah, like their way.

00:02:15.338 --> 00:02:15.739
Yeah.

00:02:19.794 --> 00:02:21.235
And I feel like a lot of physical

00:02:21.276 --> 00:02:22.858
therapists are feeling like that,

00:02:23.157 --> 00:02:25.039
regardless of the setting that they're in,

00:02:25.599 --> 00:02:27.282
whether they're in the rehab setting,

00:02:27.301 --> 00:02:28.203
the acute care setting,

00:02:28.223 --> 00:02:29.163
the home health setting.

00:02:29.443 --> 00:02:31.906
I feel like we're all sort of feeling

00:02:31.945 --> 00:02:33.907
like we're practicing the way that we're

00:02:33.967 --> 00:02:34.407
told,

00:02:34.908 --> 00:02:36.710
not the way that we could or should

00:02:36.729 --> 00:02:40.774
be practicing.

00:02:40.813 --> 00:02:42.354
So number one, I'm on purpose,

00:02:42.395 --> 00:02:43.256
like just being quiet,

00:02:43.276 --> 00:02:44.396
which is painful for me,

00:02:44.437 --> 00:02:45.217
but I'm going to jump in now.

00:02:45.873 --> 00:02:48.175
So like this person is having a bad

00:02:48.235 --> 00:02:49.617
experience where they are.

00:02:50.217 --> 00:02:51.800
So like, I think this person,

00:02:51.819 --> 00:02:52.741
that's why I don't want to put them

00:02:52.800 --> 00:02:54.602
on blast as the kids say,

00:02:54.622 --> 00:02:55.383
I don't even know what the kids say

00:02:55.402 --> 00:02:55.763
that anymore.

00:02:58.105 --> 00:02:58.947
This sucks.

00:02:59.167 --> 00:03:00.747
Like this part, like, okay,

00:03:00.848 --> 00:03:01.729
so let's unpack.

00:03:01.788 --> 00:03:02.990
The person actually said there are no

00:03:03.129 --> 00:03:04.211
EDPTs.

00:03:04.231 --> 00:03:05.012
There's no difference.

00:03:05.312 --> 00:03:08.656
Listen, Rebecca is not, you are special.

00:03:10.010 --> 00:03:11.572
but you're not special because you work in

00:03:11.592 --> 00:03:11.991
the ED,

00:03:12.032 --> 00:03:13.592
but there are some skills you pick up

00:03:13.632 --> 00:03:15.173
there versus working in peds or

00:03:15.193 --> 00:03:15.812
geriatrics.

00:03:16.032 --> 00:03:16.853
We are all PTs.

00:03:16.872 --> 00:03:17.073
Yes.

00:03:17.834 --> 00:03:19.413
You're just playing a different position,

00:03:20.435 --> 00:03:20.615
right?

00:03:20.655 --> 00:03:22.014
Like I'll use a sports analogy.

00:03:22.034 --> 00:03:22.974
We're both baseball players,

00:03:23.014 --> 00:03:24.295
but if you put Jimmy at third base,

00:03:24.376 --> 00:03:25.116
that doesn't make any sense.

00:03:25.135 --> 00:03:26.497
Right.

00:03:26.657 --> 00:03:27.637
I could learn it maybe,

00:03:27.676 --> 00:03:28.576
but I'm also left-handed.

00:03:28.637 --> 00:03:29.337
That doesn't make any sense.

00:03:29.397 --> 00:03:30.258
But anyway, I digress.

00:03:31.837 --> 00:03:32.758
This person's in a bad,

00:03:33.118 --> 00:03:36.199
this person's in a bad system, right?

00:03:36.485 --> 00:03:37.605
And maybe they're too far gone.

00:03:37.626 --> 00:03:39.287
Maybe they're just like, if we're like,

00:03:39.426 --> 00:03:40.967
all I am is a discharge monkey,

00:03:41.328 --> 00:03:42.649
I'm really sorry you feel that way.

00:03:43.049 --> 00:03:43.209
Well,

00:03:43.229 --> 00:03:44.750
and that was exactly how I responded.

00:03:44.870 --> 00:03:45.890
I literally said,

00:03:45.991 --> 00:03:47.752
I'm really sorry that's been your

00:03:47.771 --> 00:03:48.353
experience.

00:03:48.812 --> 00:03:49.092
Yeah.

00:03:49.713 --> 00:03:50.633
You're in a bad system.

00:03:50.774 --> 00:03:52.455
That sucks because I also don't think this

00:03:52.474 --> 00:03:53.116
is isolated.

00:03:53.175 --> 00:03:54.195
I think a lot of people will start

00:03:54.216 --> 00:03:54.817
to feel like this.

00:03:55.986 --> 00:03:56.127
No,

00:03:56.206 --> 00:03:57.448
and I know there are more trends in

00:03:57.467 --> 00:03:59.348
the acute care setting where physical

00:03:59.388 --> 00:04:02.149
therapists are told that you can't make a

00:04:02.188 --> 00:04:03.830
specific discharge recommendation.

00:04:03.870 --> 00:04:05.969
You can't say acute rehab or sub-acute

00:04:05.990 --> 00:04:06.330
rehab.

00:04:07.211 --> 00:04:09.512
You have to say post-acute rehab or,

00:04:09.831 --> 00:04:11.532
and that's not isolated to any one

00:04:11.572 --> 00:04:12.293
hospital system.

00:04:12.372 --> 00:04:13.812
I've been hearing that from people across

00:04:13.832 --> 00:04:14.312
the country.

00:04:14.793 --> 00:04:15.653
And the reason for that,

00:04:15.713 --> 00:04:17.394
like if we really stop and think,

00:04:17.494 --> 00:04:19.095
is it to strip physical therapists of

00:04:19.154 --> 00:04:20.696
their autonomy and their discharge

00:04:20.716 --> 00:04:21.716
planning and their expertise?

00:04:22.536 --> 00:04:22.937
No,

00:04:23.358 --> 00:04:25.319
it's because we work in payer-centered

00:04:25.358 --> 00:04:26.300
healthcare, right?

00:04:26.699 --> 00:04:28.841
It's not patient-centered,

00:04:28.920 --> 00:04:30.062
it's payer-centered care.

00:04:30.461 --> 00:04:32.103
And so when the case managers go and

00:04:32.144 --> 00:04:33.884
they have to actually find a discharge

00:04:33.925 --> 00:04:35.086
plan for this patient,

00:04:35.446 --> 00:04:36.987
and we've narrowed it down to this one

00:04:37.206 --> 00:04:37.646
thing,

00:04:38.048 --> 00:04:39.749
that patient may not have access to that,

00:04:39.788 --> 00:04:40.088
right?

00:04:40.149 --> 00:04:41.870
So by changing it to a more general

00:04:41.910 --> 00:04:42.711
recommendation,

00:04:43.031 --> 00:04:44.512
our case managers may actually be able to

00:04:44.531 --> 00:04:46.473
get the patient some level of care.

00:04:46.894 --> 00:04:48.475
So I think it's

00:04:50.423 --> 00:04:52.084
Instead of fighting that system,

00:04:52.526 --> 00:04:54.406
we're accommodating to that system.

00:04:54.726 --> 00:04:56.528
And I think that's the frustrating part.

00:04:56.569 --> 00:04:58.250
And I think therapists who are also

00:04:58.290 --> 00:04:59.591
accommodating to that, right?

00:04:59.651 --> 00:05:00.791
And that's top of facility.

00:05:00.812 --> 00:05:02.312
Like you're just doing what you're told at

00:05:02.333 --> 00:05:03.334
the place where you work.

00:05:03.853 --> 00:05:06.276
It does not lessen your expertise.

00:05:06.596 --> 00:05:08.117
But when you think about who is really

00:05:08.158 --> 00:05:10.358
taking away your autonomy and authority,

00:05:11.500 --> 00:05:13.262
it's really the healthcare system around

00:05:13.362 --> 00:05:13.541
us.

00:05:13.562 --> 00:05:14.762
It's payer-centered care.

00:05:14.843 --> 00:05:19.586
It's not that hospitals don't value your

00:05:19.646 --> 00:05:20.166
expertise.

00:05:22.882 --> 00:05:26.826
This is also a situation where if you

00:05:26.865 --> 00:05:29.887
go back at this person like a keyboard

00:05:30.108 --> 00:05:31.970
cowboy and you're like, you're wrong.

00:05:32.089 --> 00:05:33.031
All you're going to do is bark at

00:05:33.050 --> 00:05:34.591
each other like two dogs through a fence.

00:05:35.892 --> 00:05:38.033
This person is talking from emotion.

00:05:38.254 --> 00:05:39.654
So if we come back with logic,

00:05:39.694 --> 00:05:40.156
we miss.

00:05:41.297 --> 00:05:42.697
If we're like, but you're wrong.

00:05:43.057 --> 00:05:44.519
The person, I'm going to defend them.

00:05:44.658 --> 00:05:46.420
They're not wrong because they're talking

00:05:46.439 --> 00:05:47.221
about how they feel.

00:05:47.983 --> 00:05:49.586
Yeah, and it's been their experience.

00:05:49.706 --> 00:05:50.608
And it's their experience.

00:05:50.908 --> 00:05:53.192
And I've consulted with enough hospitals

00:05:54.386 --> 00:05:57.088
to know that that's not a unique

00:05:57.269 --> 00:05:59.850
experience right and there is also this

00:05:59.870 --> 00:06:02.233
conversation too like in in acute care

00:06:02.273 --> 00:06:04.516
settings are you an interventionalist are

00:06:04.555 --> 00:06:06.096
you a consultant are you a discharge

00:06:06.137 --> 00:06:08.959
consultant or are you an interventionalist

00:06:09.319 --> 00:06:11.341
and i think there's space for both right

00:06:11.382 --> 00:06:13.764
and i think hospitals might also benefit

00:06:13.843 --> 00:06:15.565
from dividing their teams and these are

00:06:15.586 --> 00:06:16.567
the people that make discharge

00:06:16.586 --> 00:06:17.788
recommendations and these are the people

00:06:17.807 --> 00:06:19.129
that intervene on the patients that can't

00:06:19.149 --> 00:06:19.649
discharge

00:06:20.362 --> 00:06:21.882
And maybe you are a little more effective

00:06:21.923 --> 00:06:22.322
that way.

00:06:22.423 --> 00:06:23.843
And people get to do what they want

00:06:23.884 --> 00:06:24.543
a little bit more,

00:06:24.564 --> 00:06:27.045
but I don't think anybody went to PT

00:06:27.065 --> 00:06:30.007
school to become a discharge monkey and

00:06:30.067 --> 00:06:31.228
tell people like, I,

00:06:31.567 --> 00:06:33.009
I am going to say this patient can

00:06:33.048 --> 00:06:33.709
discharge or not.

00:06:33.769 --> 00:06:34.470
Like, that's not,

00:06:35.089 --> 00:06:36.550
I would say that's not the dream.

00:06:36.630 --> 00:06:36.831
Right.

00:06:38.028 --> 00:06:38.528
Of course not.

00:06:38.629 --> 00:06:39.749
I mean, maybe for some people.

00:06:39.809 --> 00:06:40.569
I mean, I don't know.

00:06:40.589 --> 00:06:40.990
Some people.

00:06:41.230 --> 00:06:42.769
But I would say a majority.

00:06:42.910 --> 00:06:43.910
Like in the middle of the bell curve,

00:06:43.930 --> 00:06:44.550
the answer is no.

00:06:44.891 --> 00:06:46.310
What would you say to this person if

00:06:46.331 --> 00:06:48.550
they were like in front of you?

00:06:49.112 --> 00:06:51.312
I think your first move would be you'd

00:06:51.351 --> 00:06:53.533
wait to let them get all the air

00:06:53.612 --> 00:06:55.353
out and get all their...

00:06:56.112 --> 00:06:57.612
That's the smart move, right?

00:06:57.894 --> 00:06:59.473
But after the person did that,

00:07:00.213 --> 00:07:03.274
what would a conversation like this person

00:07:03.334 --> 00:07:04.074
and you look like?

00:07:04.990 --> 00:07:06.511
I think the first question that I would

00:07:06.630 --> 00:07:07.310
ask, obviously,

00:07:07.350 --> 00:07:08.812
is just like receiving a patient history.

00:07:08.831 --> 00:07:09.831
I would say, tell me, like,

00:07:09.872 --> 00:07:10.672
tell me all about it.

00:07:10.692 --> 00:07:11.932
Tell me about your experience so I can

00:07:11.971 --> 00:07:13.473
understand what your experience is,

00:07:13.512 --> 00:07:14.752
both in the acute care setting and the

00:07:14.773 --> 00:07:15.793
emergency department setting.

00:07:16.153 --> 00:07:17.392
And then once, as you said,

00:07:17.413 --> 00:07:18.733
they like let all the air out and

00:07:18.754 --> 00:07:20.574
they feel like they've really been heard

00:07:20.754 --> 00:07:21.814
because they think that's the thing.

00:07:22.074 --> 00:07:23.634
This person clearly doesn't feel heard,

00:07:23.654 --> 00:07:25.975
valued, or respected for their expertise.

00:07:26.274 --> 00:07:26.855
I would ask them,

00:07:26.894 --> 00:07:29.276
what do you want it to look like?

00:07:29.536 --> 00:07:30.315
What changed?

00:07:30.875 --> 00:07:32.136
What would you like, like,

00:07:32.175 --> 00:07:33.976
what would success look like for you in

00:07:34.016 --> 00:07:34.737
your current role?

00:07:36.875 --> 00:07:38.396
And what does it look like?

00:07:38.557 --> 00:07:40.017
Because right now they would describe it

00:07:40.057 --> 00:07:41.759
as discharge monkey, which is valid.

00:07:42.718 --> 00:07:43.939
It sounds like I'm being like real

00:07:44.019 --> 00:07:45.060
woo-woo, but I'm not.

00:07:45.081 --> 00:07:45.761
I'm just like, okay,

00:07:46.000 --> 00:07:47.442
to get this person to see something

00:07:47.482 --> 00:07:49.163
differently, potentially,

00:07:49.642 --> 00:07:51.444
I have to try to understand what they

00:07:51.504 --> 00:07:52.223
think they're seeing.

00:07:52.245 --> 00:07:53.384
Because whatever they think they're

00:07:53.425 --> 00:07:54.425
seeing, they are seeing.

00:07:55.386 --> 00:07:57.786
Most likely, you and I both know this,

00:07:58.747 --> 00:07:59.709
it's the system they're in.

00:07:59.988 --> 00:08:01.449
We can be mad at a system,

00:08:01.488 --> 00:08:03.009
but then recognize the system's just made

00:08:03.029 --> 00:08:04.630
up of a bunch of people who are

00:08:04.670 --> 00:08:05.831
all in constraints.

00:08:07.136 --> 00:08:08.358
And they might not have a lot of

00:08:08.399 --> 00:08:08.718
like, well,

00:08:08.738 --> 00:08:09.560
I want to blow up the system and

00:08:09.600 --> 00:08:09.961
change it.

00:08:09.982 --> 00:08:11.223
It's like the system is people.

00:08:11.244 --> 00:08:12.807
We're going to all come back together.

00:08:12.867 --> 00:08:13.387
I understand.

00:08:13.728 --> 00:08:15.793
But the system is also massive and

00:08:15.973 --> 00:08:16.694
interconnected.

00:08:16.875 --> 00:08:17.836
I'm not saying it can't be done.

00:08:18.177 --> 00:08:18.858
I know it should be done.

00:08:20.406 --> 00:08:22.329
But that stops so many conversations.

00:08:22.348 --> 00:08:23.970
This is not a great social media strategy

00:08:24.310 --> 00:08:25.550
is when someone comments on one of my

00:08:25.571 --> 00:08:25.891
videos.

00:08:26.190 --> 00:08:26.331
Well,

00:08:26.351 --> 00:08:29.074
then they need to lower tuition costs.

00:08:29.194 --> 00:08:29.514
And I was like,

00:08:29.673 --> 00:08:31.615
who are they and how will they accomplish

00:08:31.636 --> 00:08:33.297
this by yelling at schools?

00:08:33.336 --> 00:08:33.756
What do they do?

00:08:33.777 --> 00:08:36.139
Stand outside the school like from the

00:08:36.158 --> 00:08:36.379
movie,

00:08:36.418 --> 00:08:37.980
say anything with a boombox and just stand

00:08:38.000 --> 00:08:38.760
there until it changes.

00:08:38.841 --> 00:08:39.721
No, it's not going to work.

00:08:40.121 --> 00:08:40.663
What would you do?

00:08:41.243 --> 00:08:43.365
This is when other organizations go,

00:08:43.706 --> 00:08:44.947
APTA doesn't do it right.

00:08:45.027 --> 00:08:46.048
I go, how would you do it?

00:08:46.288 --> 00:08:47.249
I would just accomplish it.

00:08:47.590 --> 00:08:47.850
Great.

00:08:47.909 --> 00:08:48.571
How would you do that?

00:08:48.971 --> 00:08:49.532
No answer.

00:08:49.951 --> 00:08:50.471
No answer.

00:08:50.793 --> 00:08:52.293
I would just make them with what?

00:08:52.394 --> 00:08:52.715
A gun?

00:08:52.894 --> 00:08:53.294
What would you do?

00:08:54.120 --> 00:08:56.001
What would you do realistically?

00:08:56.042 --> 00:08:58.063
And the answer is they don't know.

00:08:58.803 --> 00:09:00.404
I love when people do lobbying.

00:09:00.664 --> 00:09:01.666
Like I would love to have just,

00:09:01.725 --> 00:09:02.907
I've talked to Justin Alley before.

00:09:03.326 --> 00:09:04.227
I would love,

00:09:04.967 --> 00:09:06.149
he would never be able to answer my

00:09:06.188 --> 00:09:06.668
questions.

00:09:07.090 --> 00:09:07.549
He shouldn't.

00:09:07.990 --> 00:09:09.010
As a media professional, I'll be like,

00:09:09.030 --> 00:09:10.331
Justin, do not answer my questions.

00:09:10.371 --> 00:09:11.832
Because I would love to hear what people

00:09:11.913 --> 00:09:12.413
yell at him.

00:09:12.472 --> 00:09:14.153
Like, why don't you just do this?

00:09:14.234 --> 00:09:15.735
And he's like, he's probably thinking,

00:09:15.875 --> 00:09:17.056
I freaking do do that.

00:09:17.316 --> 00:09:19.097
Me and a team of people who this

00:09:19.538 --> 00:09:21.818
is our freaking job and we've been doing

00:09:21.839 --> 00:09:22.820
it for decades.

00:09:23.100 --> 00:09:24.020
We do that.

00:09:24.441 --> 00:09:25.501
or they're like why don't you do this

00:09:25.522 --> 00:09:26.902
you're like that doesn't that's not the

00:09:26.922 --> 00:09:29.143
way it works like that's like me yelling

00:09:29.163 --> 00:09:31.063
at my auto mechanic to blah blah blah

00:09:31.104 --> 00:09:32.225
it's like that ain't the way it works

00:09:32.784 --> 00:09:34.625
numb nuts and it's funny that you

00:09:34.645 --> 00:09:36.346
mentioned that i was interviewed for

00:09:36.386 --> 00:09:37.947
research studies today about prescriptive

00:09:37.966 --> 00:09:39.727
authority for physical therapists for

00:09:39.868 --> 00:09:43.210
imaging labs or imaging image labs and

00:09:43.250 --> 00:09:45.071
durable medical equipment and one of the

00:09:45.110 --> 00:09:46.971
questions they asked me were like how did

00:09:47.011 --> 00:09:49.153
you get that authority and what were the

00:09:49.173 --> 00:09:50.592
barriers that you had and how did you

00:09:50.613 --> 00:09:51.594
overcome those barriers

00:09:52.073 --> 00:09:52.914
And I was like, well,

00:09:52.995 --> 00:09:53.695
let me tell you.

00:09:53.894 --> 00:09:55.216
I was a member of the APTA.

00:09:55.355 --> 00:09:57.697
I became the APTA president.

00:09:57.878 --> 00:09:59.678
Advocacy, working with our lobbyists,

00:09:59.698 --> 00:10:03.061
testifying with many, many, many,

00:10:03.100 --> 00:10:03.780
many steps.

00:10:04.182 --> 00:10:05.121
I didn't stand there and say,

00:10:05.282 --> 00:10:06.903
physical therapists should have this,

00:10:06.962 --> 00:10:09.284
and that's that, or be mad about it.

00:10:09.625 --> 00:10:11.865
So it was interesting to actually have to

00:10:11.926 --> 00:10:12.506
explain that.

00:10:12.947 --> 00:10:14.587
But I think for somebody like this,

00:10:15.969 --> 00:10:17.690
the place that I would start with that

00:10:18.429 --> 00:10:18.549
is,

00:10:18.811 --> 00:10:20.892
are you behaving like a discharge monkey?

00:10:22.023 --> 00:10:23.822
Okay, great.

00:10:23.883 --> 00:10:24.703
So step one is,

00:10:25.624 --> 00:10:26.964
what does a discharge monkey mean?

00:10:27.024 --> 00:10:28.004
Help me understand.

00:10:28.283 --> 00:10:28.604
Yes,

00:10:28.764 --> 00:10:31.625
and you can control what you can control,

00:10:31.705 --> 00:10:31.945
right?

00:10:31.965 --> 00:10:32.465
Correct.

00:10:33.225 --> 00:10:34.525
And I talk about top of license,

00:10:34.546 --> 00:10:35.946
top of facility, and top of scope,

00:10:35.985 --> 00:10:37.586
and that we have limitations at every

00:10:37.625 --> 00:10:38.605
single one of those layers.

00:10:38.966 --> 00:10:40.047
But for this patient,

00:10:40.326 --> 00:10:42.307
let's say they're not able or willing to

00:10:42.366 --> 00:10:44.748
do anything at the licensure level or even

00:10:44.788 --> 00:10:45.847
at the facility level.

00:10:46.128 --> 00:10:48.587
They still have their own scope, right?

00:10:48.889 --> 00:10:50.548
When you walk into a room,

00:10:51.383 --> 00:10:52.562
in the acute care setting,

00:10:52.984 --> 00:10:54.663
are you walking in there bringing

00:10:54.724 --> 00:10:56.164
discharge monkey energy,

00:10:56.644 --> 00:10:59.306
or are you bringing comprehensive doctor

00:10:59.326 --> 00:11:00.326
of physical therapy,

00:11:00.546 --> 00:11:02.807
patient management energy into that room?

00:11:03.547 --> 00:11:04.366
It may be, you know,

00:11:04.466 --> 00:11:05.207
they may be telling you,

00:11:05.227 --> 00:11:06.368
you have to see this many patients a

00:11:06.388 --> 00:11:06.707
day.

00:11:07.008 --> 00:11:08.609
We really need discharge recommendations.

00:11:08.629 --> 00:11:10.408
That's our focus here and that's okay.

00:11:10.789 --> 00:11:12.850
But how are you interacting and engaging

00:11:12.870 --> 00:11:13.711
with that patient?

00:11:14.010 --> 00:11:16.091
You can still be the discharge monkey and

00:11:16.211 --> 00:11:17.932
add value to that patient encounter.

00:11:18.513 --> 00:11:19.153
Yeah, I mean,

00:11:20.975 --> 00:11:22.296
I've got experience outside PT.

00:11:22.316 --> 00:11:23.576
It's where most of my career was.

00:11:24.778 --> 00:11:26.440
I could have done the exact same things

00:11:26.460 --> 00:11:27.500
that I did to,

00:11:27.581 --> 00:11:28.381
and I'm using air quotes here,

00:11:28.461 --> 00:11:30.602
be innovative and be energetic and bring

00:11:30.623 --> 00:11:31.264
good energy.

00:11:31.563 --> 00:11:33.025
And I could have had a crappy boss

00:11:33.505 --> 00:11:35.768
and I would have never gotten promoted.

00:11:35.967 --> 00:11:36.908
I would have been dumped on,

00:11:36.989 --> 00:11:38.049
not allowed to do things.

00:11:38.971 --> 00:11:40.392
And I would have been the same person

00:11:40.451 --> 00:11:42.072
in a different system and got crappy

00:11:42.113 --> 00:11:42.514
results.

00:11:42.614 --> 00:11:43.934
And then I would have been jaded and

00:11:43.975 --> 00:11:44.855
said, the system sucks.

00:11:45.395 --> 00:11:46.216
I think I lucked out.

00:11:48.529 --> 00:11:50.892
this person might be or might have been

00:11:51.032 --> 00:11:53.214
a very optimistic, energetic,

00:11:53.433 --> 00:11:54.835
let's go change the world in a good

00:11:54.875 --> 00:11:56.135
way, however I can.

00:11:56.437 --> 00:11:57.977
And if you're in a system where someone

00:11:58.038 --> 00:12:00.000
just, I mean, let's be honest,

00:12:00.019 --> 00:12:01.441
like if you got a crappy boss or

00:12:01.461 --> 00:12:02.442
you're in a crappy system with no

00:12:02.461 --> 00:12:04.604
rigidity, I've worked in hospital systems,

00:12:04.844 --> 00:12:05.804
in communications.

00:12:06.404 --> 00:12:08.025
And I came in there ready to change

00:12:08.046 --> 00:12:08.385
the world.

00:12:08.427 --> 00:12:08.667
I was like,

00:12:08.687 --> 00:12:10.248
look at all these great things that happen

00:12:10.268 --> 00:12:10.888
at a hospital.

00:12:11.249 --> 00:12:12.389
This is going to be the easiest and

00:12:12.589 --> 00:12:13.590
greatest job in the world.

00:12:13.610 --> 00:12:14.850
All I have to do is tell stories

00:12:14.890 --> 00:12:16.412
of great people doing great things every

00:12:16.432 --> 00:12:16.672
day.

00:12:17.253 --> 00:12:19.293
And then I got slapped with so many

00:12:19.354 --> 00:12:21.556
rules and constraints that someone like

00:12:21.596 --> 00:12:23.596
me, I was like, I can't do this.

00:12:24.158 --> 00:12:25.879
It takes me forty nine steps to tell

00:12:26.058 --> 00:12:27.220
one story on Facebook.

00:12:27.440 --> 00:12:27.779
I'm out.

00:12:28.301 --> 00:12:29.260
I got that way.

00:12:29.522 --> 00:12:30.842
But I recognize it was the system.

00:12:30.863 --> 00:12:32.082
I'm like, I just can't operate here.

00:12:32.102 --> 00:12:32.783
I got to go somewhere else.

00:12:33.120 --> 00:12:34.100
Well, and that's the thing.

00:12:34.120 --> 00:12:35.542
So people will come to me and they'll

00:12:35.581 --> 00:12:35.923
say, well,

00:12:36.062 --> 00:12:37.423
I really want to practice the top of

00:12:37.443 --> 00:12:38.684
my scope, but they will let me.

00:12:39.065 --> 00:12:40.647
So we have that conversation, right?

00:12:40.706 --> 00:12:41.386
Who is they?

00:12:41.427 --> 00:12:42.368
Why won't they let you?

00:12:42.729 --> 00:12:44.149
And what can you do about it?

00:12:44.309 --> 00:12:46.371
And you can advocate for change within

00:12:46.392 --> 00:12:47.011
your facility.

00:12:47.052 --> 00:12:48.653
You can advocate for change within your

00:12:48.673 --> 00:12:49.153
license,

00:12:49.674 --> 00:12:51.296
but you can also advocate for change

00:12:51.316 --> 00:12:51.937
within yourself.

00:12:52.336 --> 00:12:54.198
And if you're not able to bring that

00:12:54.759 --> 00:12:55.980
expertise, that authority,

00:12:56.020 --> 00:12:57.822
that energy that you want to the place

00:12:57.841 --> 00:12:58.663
that you work,

00:12:59.696 --> 00:13:02.317
You're making the choice to do that every

00:13:02.336 --> 00:13:02.557
day.

00:13:02.657 --> 00:13:03.736
Like bottom line.

00:13:04.716 --> 00:13:06.697
I mean, that's what you can control.

00:13:06.836 --> 00:13:09.378
And, and I, I know that we,

00:13:09.677 --> 00:13:10.998
it's more nuanced than that.

00:13:11.177 --> 00:13:12.859
I know we have golden handcuffs.

00:13:13.019 --> 00:13:14.078
I know we have to pay off our

00:13:14.119 --> 00:13:14.359
debt.

00:13:14.418 --> 00:13:15.499
We have children to support.

00:13:15.519 --> 00:13:16.879
Like I have three kids.

00:13:17.000 --> 00:13:19.840
I understand that.

00:13:20.159 --> 00:13:22.400
But I also know that I've chosen different

00:13:22.441 --> 00:13:24.020
paths so that I can

00:13:25.386 --> 00:13:27.168
feel comfortable about what I'm doing so I

00:13:27.187 --> 00:13:29.928
can advocate for the change and still meet

00:13:29.969 --> 00:13:30.428
those goals.

00:13:30.528 --> 00:13:31.969
And I know not everyone has the freedom

00:13:32.009 --> 00:13:32.509
to do that.

00:13:32.749 --> 00:13:33.870
Yes.

00:13:33.889 --> 00:13:36.650
So if you don't, I totally respect that.

00:13:36.770 --> 00:13:38.410
But who are you showing up as?

00:13:38.530 --> 00:13:40.412
Don't let them take that from you.

00:13:40.772 --> 00:13:43.092
That should be the one thing you try

00:13:43.113 --> 00:13:43.793
to hold on to.

00:13:43.952 --> 00:13:45.274
I mean, I had bad bosses.

00:13:45.553 --> 00:13:47.094
I had bosses who stole my ideas.

00:13:47.615 --> 00:13:49.115
I had bosses who just wouldn't let me

00:13:49.154 --> 00:13:49.634
do anything.

00:13:50.495 --> 00:13:51.395
And I was just like, okay.

00:13:51.916 --> 00:13:53.876
I looked, I stole a line from Mr.

00:13:53.937 --> 00:13:54.736
Rogers was like,

00:13:55.745 --> 00:13:56.666
that whole line where he says,

00:13:56.926 --> 00:13:57.765
look for the helpers.

00:13:58.947 --> 00:14:00.587
He was teaching kids how not to be

00:14:00.607 --> 00:14:03.529
traumatized in a crazy event.

00:14:03.890 --> 00:14:05.150
He was like, just focus on the positive.

00:14:05.491 --> 00:14:07.293
So I would look and they're there.

00:14:07.332 --> 00:14:08.714
They're the ones that make eye contact

00:14:08.874 --> 00:14:10.034
with you in a meeting when you brought

00:14:10.054 --> 00:14:11.215
a good idea or a good idea is

00:14:11.254 --> 00:14:12.897
said and watch them,

00:14:13.096 --> 00:14:14.717
even if they don't nod because maybe they

00:14:14.758 --> 00:14:15.138
can't.

00:14:15.477 --> 00:14:16.678
Their eyebrows go up and they start

00:14:16.698 --> 00:14:17.740
looking around the room going,

00:14:19.201 --> 00:14:20.422
who are the...

00:14:20.581 --> 00:14:21.822
Alan Jetty taught me a term.

00:14:22.903 --> 00:14:24.184
Is Alan Jetty still the editor of PTJ?

00:14:25.385 --> 00:14:25.726
He was.

00:14:26.427 --> 00:14:28.408
I haven't.

00:14:28.428 --> 00:14:30.551
Anyway, he taught me this phrase.

00:14:30.610 --> 00:14:31.412
He gave a talk.

00:14:32.352 --> 00:14:34.153
It was called positive deviance.

00:14:34.215 --> 00:14:34.355
Yes.

00:14:36.263 --> 00:14:38.024
So a lot of times people...

00:14:38.364 --> 00:14:39.644
If I were to describe myself as a

00:14:39.724 --> 00:14:41.524
deviant, that sounds negative.

00:14:42.105 --> 00:14:44.264
But deviant just means to deviate.

00:14:44.485 --> 00:14:46.066
I know it's used a lot of times.

00:14:46.105 --> 00:14:47.025
Kids are just deviants.

00:14:47.046 --> 00:14:48.667
They're down there with the skateboards

00:14:49.386 --> 00:14:50.407
and whatever.

00:14:50.447 --> 00:14:51.307
It's looked as negative.

00:14:51.326 --> 00:14:53.008
But when you put that word positive in

00:14:53.048 --> 00:14:53.427
front of it...

00:14:54.441 --> 00:14:55.462
Um, it's like,

00:14:55.503 --> 00:14:57.404
I'm here to shake things up because I

00:14:57.485 --> 00:14:58.846
want the same things you do,

00:14:59.567 --> 00:15:01.210
but I have to hold up a mirror

00:15:01.230 --> 00:15:02.932
a lot of times in projects and meetings

00:15:03.393 --> 00:15:04.394
to people and be like,

00:15:04.875 --> 00:15:07.017
you're telling me to do it the same

00:15:07.057 --> 00:15:08.479
way and expecting a different outcome.

00:15:08.499 --> 00:15:10.522
And we know that's the cliche of cliches.

00:15:10.542 --> 00:15:10.642
Yeah.

00:15:11.763 --> 00:15:13.583
So how can we do it differently?

00:15:13.844 --> 00:15:16.024
And I can give you ten ideas knowing

00:15:16.043 --> 00:15:16.904
we can only do one.

00:15:17.325 --> 00:15:17.865
That's okay.

00:15:17.924 --> 00:15:18.884
I'm the idea machine.

00:15:19.504 --> 00:15:21.166
You help me pick and then we'll execute.

00:15:21.645 --> 00:15:23.666
And the problem is sometimes the machine

00:15:23.706 --> 00:15:24.567
doesn't want to change.

00:15:25.287 --> 00:15:26.006
Sometimes it's too big.

00:15:27.727 --> 00:15:28.528
Or it doesn't know how.

00:15:28.548 --> 00:15:29.187
Or it doesn't know how.

00:15:29.227 --> 00:15:30.727
That's what I look at myself or I

00:15:30.788 --> 00:15:36.029
try to be the idea to change Sherpa.

00:15:36.490 --> 00:15:36.970
Which is like,

00:15:37.250 --> 00:15:39.510
I don't know the way but I know

00:15:39.530 --> 00:15:39.831
that there's

00:15:41.095 --> 00:15:41.875
I just steal.

00:15:42.015 --> 00:15:43.236
Like, look, look what they did.

00:15:43.277 --> 00:15:43.856
Look what they did.

00:15:43.876 --> 00:15:46.460
Could we steal the elements of that that

00:15:46.519 --> 00:15:47.561
made that successful?

00:15:47.620 --> 00:15:48.100
Hold on.

00:15:48.761 --> 00:15:50.844
Like, I know like in PT school,

00:15:51.364 --> 00:15:52.985
everybody loved case studies.

00:15:53.085 --> 00:15:54.125
They're great, right?

00:15:54.186 --> 00:15:55.206
Because they're real.

00:15:55.226 --> 00:15:55.807
And like,

00:15:55.847 --> 00:15:57.249
look at the elements of a case study.

00:15:57.609 --> 00:15:59.591
A thirty nine year old woman like, oh,

00:15:59.630 --> 00:16:00.652
I can I can see that.

00:16:00.792 --> 00:16:01.152
OK.

00:16:01.493 --> 00:16:03.214
And she does this and she lives.

00:16:03.514 --> 00:16:04.855
I loved case study because there are many

00:16:04.895 --> 00:16:05.336
stories.

00:16:05.355 --> 00:16:05.515
Right.

00:16:05.576 --> 00:16:05.755
Right.

00:16:06.537 --> 00:16:08.577
I love case studies in marketing and

00:16:08.597 --> 00:16:11.477
communications and ideas and ideation and

00:16:11.518 --> 00:16:12.739
innovation because it's like,

00:16:13.438 --> 00:16:16.799
I know we're not Yahoo or Netflix or

00:16:16.919 --> 00:16:18.399
Amazon, but you can be like,

00:16:18.539 --> 00:16:19.240
they were faced.

00:16:19.640 --> 00:16:20.341
I learned one today.

00:16:20.360 --> 00:16:20.961
I'll teach it to you.

00:16:21.880 --> 00:16:22.761
This was a while ago.

00:16:22.802 --> 00:16:23.621
This was years ago.

00:16:24.642 --> 00:16:26.783
Netflix was getting a lot of complaints

00:16:26.863 --> 00:16:27.363
early on.

00:16:28.325 --> 00:16:30.105
They used to be, kids,

00:16:30.485 --> 00:16:32.986
they used to be a DVD mail service.

00:16:33.366 --> 00:16:36.548
So DVDs were like videos on discs,

00:16:36.727 --> 00:16:37.269
on coasters.

00:16:37.969 --> 00:16:39.690
When they went to All Streaming,

00:16:40.491 --> 00:16:43.072
They were the first streaming platform.

00:16:43.113 --> 00:16:45.592
You use a remote control to go on

00:16:45.633 --> 00:16:47.513
the internet on your TV and watch things.

00:16:48.374 --> 00:16:49.953
And they were receiving their number one

00:16:49.994 --> 00:16:52.734
complaint was not what movies they had or

00:16:52.774 --> 00:16:54.534
didn't have or any of those things.

00:16:54.934 --> 00:16:57.475
It was, you're buffering a lot.

00:16:57.875 --> 00:16:59.056
I'm in the middle of a movie and

00:16:59.096 --> 00:17:00.855
it's grainy or it buffers.

00:17:01.635 --> 00:17:04.757
And Netflix could have done a national ad

00:17:04.797 --> 00:17:05.896
campaign saying,

00:17:07.058 --> 00:17:09.140
We don't control your internet speed.

00:17:09.880 --> 00:17:12.980
It's buffering because Spectrum or Optum

00:17:13.020 --> 00:17:14.862
or all the different, wherever you live,

00:17:16.241 --> 00:17:17.541
they're lying to you.

00:17:17.663 --> 00:17:19.942
When you say you're buying your plan at

00:17:20.103 --> 00:17:21.943
however many gigabytes per minute

00:17:21.983 --> 00:17:23.144
download, whatever,

00:17:23.223 --> 00:17:24.984
I don't even know what good is.

00:17:26.962 --> 00:17:28.163
That isn't the actual speed.

00:17:28.202 --> 00:17:30.243
They could have done this education

00:17:30.263 --> 00:17:31.844
campaign where they just pointed and

00:17:31.884 --> 00:17:33.585
placed, they moved the blame.

00:17:33.984 --> 00:17:34.865
They didn't do that.

00:17:35.204 --> 00:17:36.164
Somebody in the room was like,

00:17:36.184 --> 00:17:36.826
it's not going to work.

00:17:36.846 --> 00:17:36.945
Great.

00:17:37.945 --> 00:17:38.746
What should we do?

00:17:39.185 --> 00:17:40.866
They launched a website called,

00:17:41.146 --> 00:17:43.487
I think it was called fast.com.

00:17:45.627 --> 00:17:47.548
And it's similar to like internet speed

00:17:47.587 --> 00:17:48.387
test.com.

00:17:48.407 --> 00:17:49.548
Have you ever done internet speed

00:17:49.588 --> 00:17:50.169
test.com?

00:17:51.334 --> 00:17:53.798
It's just a way of actually measuring your

00:17:54.097 --> 00:17:55.901
speed right now in this moment, upload,

00:17:55.921 --> 00:17:57.282
download speed.

00:17:57.323 --> 00:17:59.707
So they were like, hey, test this out.

00:18:00.448 --> 00:18:02.109
And then when you got the data,

00:18:02.150 --> 00:18:03.412
like this was your speed,

00:18:04.255 --> 00:18:06.195
this is what you need to actually stream

00:18:06.236 --> 00:18:09.796
a movie reliably without problems we don't

00:18:10.277 --> 00:18:12.896
offer the streaming so that's okay like

00:18:13.297 --> 00:18:15.258
they were bringing people to like the two

00:18:15.278 --> 00:18:18.818
yard line going who's problem who is

00:18:18.939 --> 00:18:21.338
actually the person screwing you over on

00:18:21.378 --> 00:18:22.819
watching this movie we're giving you the

00:18:22.920 --> 00:18:25.400
access you need the person who's bringing

00:18:25.420 --> 00:18:26.760
you here is the internet service provider

00:18:26.780 --> 00:18:27.161
the isp

00:18:28.040 --> 00:18:29.520
So it was a great power play.

00:18:29.681 --> 00:18:31.682
So my example is like, oh,

00:18:31.721 --> 00:18:33.021
if we're getting a lot of complaints,

00:18:33.563 --> 00:18:35.542
let's look at people who solved complaints

00:18:35.962 --> 00:18:38.384
innovatively.

00:18:38.483 --> 00:18:42.204
And I think when you're this person and

00:18:42.345 --> 00:18:45.685
you are probably objectively pretty burnt

00:18:45.766 --> 00:18:47.886
out and kind of given up on things,

00:18:47.906 --> 00:18:51.948
I think you're lacking that feeling of

00:18:52.008 --> 00:18:52.347
power,

00:18:52.488 --> 00:18:53.087
that lack of

00:18:53.682 --> 00:18:55.003
the agency, the control.

00:18:55.183 --> 00:18:57.005
And probably there's some moral injury

00:18:57.025 --> 00:18:57.905
that goes with that too.

00:18:58.486 --> 00:18:59.886
Because you're not being who you want to

00:18:59.926 --> 00:19:00.086
be.

00:19:00.107 --> 00:19:01.709
Yeah, that sucks.

00:19:01.749 --> 00:19:03.009
That's not the person that's probably

00:19:03.049 --> 00:19:03.630
going to solve that.

00:19:03.670 --> 00:19:05.351
But I read a quote this morning that

00:19:05.371 --> 00:19:05.912
was like,

00:19:06.112 --> 00:19:07.913
excellence in healthcare comes at a cost.

00:19:08.012 --> 00:19:08.794
Pay it anyways.

00:19:10.615 --> 00:19:12.796
What we give doesn't always return,

00:19:12.955 --> 00:19:14.738
but what we give is always what we

00:19:14.857 --> 00:19:15.077
are.

00:19:17.219 --> 00:19:19.661
And that's like the kind of therapist that

00:19:19.861 --> 00:19:20.481
I want to be.

00:19:20.662 --> 00:19:22.143
So that's why I feel like

00:19:23.529 --> 00:19:26.111
when you go into that room whether you're

00:19:26.171 --> 00:19:28.290
tasked with being a discharge monkey or

00:19:28.351 --> 00:19:31.372
not do you bring that energy with you

00:19:32.633 --> 00:19:34.272
or are you bringing the physical therapist

00:19:34.353 --> 00:19:37.413
energy with you yeah like you can be

00:19:37.594 --> 00:19:40.234
angry you can be angry about it but

00:19:40.275 --> 00:19:41.555
are you taking that anger out on your

00:19:41.575 --> 00:19:43.976
patients yeah right right right right

00:19:44.016 --> 00:19:45.916
don't become the thing that don't become

00:19:45.957 --> 00:19:47.416
the thing that you're raging against

00:19:48.419 --> 00:19:50.299
Rage against the machine didn't say rage

00:19:50.339 --> 00:19:51.220
against the machine,

00:19:51.300 --> 00:19:52.401
then become a machine.

00:19:52.500 --> 00:19:53.541
It said rage against it.

00:19:53.582 --> 00:19:56.542
But like, what are the different ways?

00:19:56.603 --> 00:19:57.703
It's not throw a brick.

00:19:58.344 --> 00:20:00.944
And even just like that little act of

00:20:01.046 --> 00:20:03.946
resistance where you're bringing the best

00:20:03.987 --> 00:20:05.548
you can into every room,

00:20:06.208 --> 00:20:08.189
even if you don't have the energy,

00:20:08.669 --> 00:20:09.769
if you don't have the skill set,

00:20:09.789 --> 00:20:11.451
you don't have the knowledge of how to

00:20:11.550 --> 00:20:14.112
advocate within your facility,

00:20:14.132 --> 00:20:15.813
within your profession, within your state,

00:20:15.873 --> 00:20:17.094
at the national level,

00:20:18.353 --> 00:20:21.415
please like advocate within yourself.

00:20:21.476 --> 00:20:21.736
Yeah.

00:20:22.236 --> 00:20:23.336
It's going to be frustrating too,

00:20:23.356 --> 00:20:24.898
because I'm sure like in your role,

00:20:24.939 --> 00:20:26.119
you've been with, you've been, I mean,

00:20:26.140 --> 00:20:27.901
now you're APTA Colorado president,

00:20:27.921 --> 00:20:28.862
but you've done other things.

00:20:28.902 --> 00:20:29.122
Right.

00:20:30.303 --> 00:20:31.824
And when you get a bunch of really

00:20:31.884 --> 00:20:33.506
motivated, passionate people together,

00:20:34.352 --> 00:20:37.413
who want to do fifty different things a

00:20:37.452 --> 00:20:39.854
hundred different ways knowing that you

00:20:39.913 --> 00:20:41.734
can't there are constraints there is

00:20:41.894 --> 00:20:45.797
bandwidth so you know which problem do you

00:20:45.817 --> 00:20:47.616
just I mean even deciding which problem to

00:20:47.678 --> 00:20:50.378
solve is a problem because you're going to

00:20:50.419 --> 00:20:52.358
make more enemies than friends I used to

00:20:52.398 --> 00:20:55.520
hate doing contests on the radio here's

00:20:55.560 --> 00:20:55.800
why

00:20:57.131 --> 00:20:58.251
Most of our audience,

00:20:58.372 --> 00:21:00.374
most of the listeners didn't participate

00:21:00.794 --> 00:21:01.414
for whatever reason.

00:21:01.434 --> 00:21:02.855
They're busy.

00:21:03.175 --> 00:21:04.156
We surveyed people this.

00:21:04.557 --> 00:21:05.337
A lot of times they were like,

00:21:06.358 --> 00:21:07.480
mathematically, I'm not an idiot.

00:21:07.500 --> 00:21:08.000
I'm not going to win.

00:21:08.020 --> 00:21:08.901
So you're going to ask me to try

00:21:08.961 --> 00:21:09.241
something.

00:21:09.261 --> 00:21:09.741
I'm not going to win.

00:21:09.761 --> 00:21:10.061
I get it.

00:21:10.762 --> 00:21:11.403
I was the same way.

00:21:12.423 --> 00:21:14.266
I didn't always try to actively

00:21:14.286 --> 00:21:15.186
participate in contests.

00:21:15.571 --> 00:21:18.574
I mean, I did win one once.

00:21:18.674 --> 00:21:19.935
What'd you win?

00:21:19.955 --> 00:21:21.997
I won a signed copy of the Ray

00:21:22.017 --> 00:21:22.577
soundtrack.

00:21:24.538 --> 00:21:25.921
Remember that movie with Jamie Foxx?

00:21:25.941 --> 00:21:27.521
I won that and I won tickets to

00:21:27.642 --> 00:21:30.744
Evanescence.

00:21:30.865 --> 00:21:31.585
So I won twice, I guess.

00:21:31.605 --> 00:21:33.006
I used to love taking phone calls because

00:21:33.046 --> 00:21:34.647
the phone calls were great payoff, right?

00:21:34.748 --> 00:21:36.209
Always record the phone call as a radio

00:21:36.229 --> 00:21:37.869
DJ and then play it back because it's

00:21:37.910 --> 00:21:38.651
great energy.

00:21:38.691 --> 00:21:40.112
The person's happy, right?

00:21:40.492 --> 00:21:41.973
And I used to love,

00:21:42.153 --> 00:21:43.595
but one of my schticks was because I

00:21:43.634 --> 00:21:44.076
heard it enough.

00:21:44.115 --> 00:21:44.496
People were like,

00:21:44.855 --> 00:21:45.817
Oh my God, I can't believe I won.

00:21:45.856 --> 00:21:46.777
I never won things.

00:21:46.957 --> 00:21:48.577
And I was like, I would be like,

00:21:48.637 --> 00:21:49.398
Rebecca, Rebecca.

00:21:49.419 --> 00:21:50.138
And like, yeah,

00:21:50.179 --> 00:21:54.342
like you can never say that again ever.

00:21:54.461 --> 00:21:55.942
Cause you won one thing for the rest

00:21:55.962 --> 00:21:56.282
of your life.

00:21:56.462 --> 00:21:57.022
Like play with it.

00:21:57.064 --> 00:21:57.263
Right.

00:21:57.644 --> 00:21:57.963
I always,

00:21:58.163 --> 00:21:59.144
I would also have fun with it.

00:21:59.184 --> 00:21:59.964
I would push back.

00:22:00.846 --> 00:22:03.406
So of course we would like Pavlovian dog,

00:22:03.467 --> 00:22:07.089
have a sound effect, be colored X,

00:22:07.210 --> 00:22:08.309
be color tan right now.

00:22:08.369 --> 00:22:08.589
Right.

00:22:08.871 --> 00:22:10.791
And people would call, Hey,

00:22:12.612 --> 00:22:13.413
This is the radio station.

00:22:13.873 --> 00:22:14.334
Who's this?

00:22:14.473 --> 00:22:14.914
Rebecca.

00:22:15.595 --> 00:22:16.175
Did I win?

00:22:17.657 --> 00:22:18.679
I would twist it.

00:22:19.058 --> 00:22:21.823
I'd be like, what are you calling for?

00:22:22.282 --> 00:22:23.724
And if you didn't know what the contest

00:22:23.765 --> 00:22:27.509
was, I clung up on you.

00:22:28.069 --> 00:22:29.711
And that pissed off one person.

00:22:30.696 --> 00:22:32.858
But I made a hundred friends because they

00:22:32.878 --> 00:22:33.919
were like, good.

00:22:34.159 --> 00:22:35.200
I really wanted that.

00:22:35.701 --> 00:22:36.560
And I didn't win it.

00:22:36.840 --> 00:22:38.082
And I don't want her to have it

00:22:38.102 --> 00:22:39.542
because she didn't even know what it was.

00:22:40.003 --> 00:22:41.084
So that is the way,

00:22:41.104 --> 00:22:41.865
because I just said,

00:22:41.924 --> 00:22:43.846
I didn't like doing contests because in

00:22:43.905 --> 00:22:44.507
contests,

00:22:44.747 --> 00:22:46.969
you make one friend and ninety nine people

00:22:47.009 --> 00:22:47.509
get pissed.

00:22:47.788 --> 00:22:48.710
That math don't math.

00:22:49.069 --> 00:22:49.871
But I did.

00:22:49.971 --> 00:22:50.671
I twisted it.

00:22:50.711 --> 00:22:51.612
And I was like, no,

00:22:51.751 --> 00:22:52.732
you don't get it because you don't know

00:22:52.752 --> 00:22:53.212
what it was.

00:22:53.512 --> 00:22:55.214
You were caller ten and you can take

00:22:55.234 --> 00:22:56.035
this up with our lawyers.

00:22:56.194 --> 00:22:56.655
No one did.

00:22:57.215 --> 00:22:58.297
But I would have fun with it.

00:22:59.308 --> 00:23:00.169
I would also say,

00:23:00.449 --> 00:23:01.630
I'm going to ask for caller ten.

00:23:01.930 --> 00:23:03.309
You better know what you're trying to win.

00:23:04.250 --> 00:23:04.829
Just tell me.

00:23:04.869 --> 00:23:05.770
You don't have to be like, exactly.

00:23:05.790 --> 00:23:06.191
You're just like, oh,

00:23:06.211 --> 00:23:07.510
the tickets for the evidence.

00:23:07.651 --> 00:23:07.891
Got it.

00:23:07.931 --> 00:23:08.790
Yeah, you pay attention.

00:23:09.191 --> 00:23:10.491
But if you didn't, I push back.

00:23:11.932 --> 00:23:13.112
That was a way of like me sort

00:23:13.132 --> 00:23:16.633
of combating the people listening going,

00:23:16.853 --> 00:23:17.613
I never win.

00:23:17.853 --> 00:23:19.453
They were okay with not winning as long

00:23:19.493 --> 00:23:21.134
as someone who in their eyes didn't

00:23:21.153 --> 00:23:22.894
deserve it didn't win either.

00:23:23.295 --> 00:23:24.615
Sometimes you win by losing.

00:23:26.909 --> 00:23:30.230
So whose job is it to talk to

00:23:30.271 --> 00:23:32.792
this guy at a hospital and be like,

00:23:32.932 --> 00:23:37.196
hey, man, tomorrow you're not working.

00:23:37.217 --> 00:23:37.817
We're going to pay you.

00:23:37.856 --> 00:23:38.498
You're coming to work.

00:23:38.538 --> 00:23:39.417
We're going to go hang out.

00:23:40.479 --> 00:23:43.201
And I need to listen to you and

00:23:43.300 --> 00:23:45.163
figure out how to get you back on

00:23:45.603 --> 00:23:45.962
our team.

00:23:46.222 --> 00:23:47.403
Is there a job for that?

00:23:47.703 --> 00:23:48.424
What job is that?

00:23:48.545 --> 00:23:49.185
I want that job.

00:23:49.865 --> 00:23:50.026
Well,

00:23:50.246 --> 00:23:52.387
I think that I would love that job.

00:23:52.448 --> 00:23:53.909
I wish I could be a guidance counselor

00:23:53.949 --> 00:23:54.990
for physical therapists.

00:23:55.628 --> 00:23:57.369
Guidance counselors for companies.

00:23:57.671 --> 00:23:57.810
Yeah.

00:23:57.851 --> 00:23:58.891
Isn't that a job?

00:23:59.372 --> 00:24:01.874
I mean, HR, isn't that HR?

00:24:02.314 --> 00:24:03.434
I don't think so.

00:24:03.515 --> 00:24:05.757
Cause I think HR is all defense, right?

00:24:05.777 --> 00:24:07.077
They just work for the company.

00:24:07.657 --> 00:24:09.558
It's like defense and procedure, right?

00:24:09.578 --> 00:24:11.260
Like, I don't know that it's investment.

00:24:12.101 --> 00:24:13.501
Like there has to be like a human

00:24:13.682 --> 00:24:14.843
assets department,

00:24:15.324 --> 00:24:16.785
like a development department.

00:24:16.924 --> 00:24:19.826
Like, and I think,

00:24:19.846 --> 00:24:21.327
I think then you get into that like

00:24:21.387 --> 00:24:24.990
rabbit hole of management or leadership,

00:24:25.010 --> 00:24:25.111
right?

00:24:26.666 --> 00:24:28.648
you have a management team or do you

00:24:28.689 --> 00:24:30.611
have a leadership team right totally

00:24:30.651 --> 00:24:34.193
different and i think unfortunately the

00:24:34.233 --> 00:24:36.457
way most companies i don't just even want

00:24:36.477 --> 00:24:37.817
to throw hospitals under the bus most

00:24:37.837 --> 00:24:39.539
companies are set up to have supervisors

00:24:39.559 --> 00:24:42.863
and managers not like leaders and leaders

00:24:42.982 --> 00:24:45.404
also don't necessarily make good managers

00:24:45.464 --> 00:24:46.705
right so i feel like you have to

00:24:46.726 --> 00:24:48.448
have some combination of both but i feel

00:24:48.468 --> 00:24:50.089
like this is where your leadership

00:24:52.176 --> 00:24:52.817
maybe not your managers,

00:24:52.836 --> 00:24:55.798
have to step in and help lead people

00:24:55.837 --> 00:24:56.077
through.

00:24:56.117 --> 00:24:58.138
But I don't think there is a job

00:24:58.199 --> 00:24:58.679
for that.

00:25:00.239 --> 00:25:01.599
I think that the organization would have

00:25:01.619 --> 00:25:05.020
to be big enough to financially afford

00:25:05.080 --> 00:25:07.361
that and then allow that person to...

00:25:07.381 --> 00:25:09.301
Invest in people.

00:25:09.321 --> 00:25:10.082
Invest in people.

00:25:10.442 --> 00:25:11.722
Did you ever hear of a story from

00:25:11.843 --> 00:25:12.143
Zappos?

00:25:12.163 --> 00:25:13.343
You know what Zappos is, right?

00:25:13.363 --> 00:25:14.482
It's like an online shoe store.

00:25:15.163 --> 00:25:16.023
And people were...

00:25:17.010 --> 00:25:19.393
People were like, to Jeff Bezos,

00:25:19.413 --> 00:25:20.394
when he launched Amazon,

00:25:20.413 --> 00:25:21.454
when he was just going to sell books,

00:25:21.474 --> 00:25:21.815
they were like,

00:25:21.994 --> 00:25:24.057
that is the dumbest idea ever.

00:25:24.116 --> 00:25:25.538
Who's going to buy a book online?

00:25:25.999 --> 00:25:28.381
And then you go to like, I know,

00:25:28.441 --> 00:25:28.760
me too.

00:25:29.082 --> 00:25:30.843
And then you go to shoes and people

00:25:30.863 --> 00:25:32.924
are like, you have to try shoes on.

00:25:33.346 --> 00:25:34.626
You have to walk around.

00:25:34.646 --> 00:25:36.307
Do you remember before the first day of

00:25:36.347 --> 00:25:36.709
school,

00:25:36.749 --> 00:25:38.190
how important it was to try it on?

00:25:38.529 --> 00:25:39.330
And your mom was like,

00:25:39.490 --> 00:25:40.471
walk around in it.

00:25:41.448 --> 00:25:43.108
And then everyone's like watching you walk

00:25:43.148 --> 00:25:43.489
around.

00:25:43.509 --> 00:25:45.128
You're like, yeah, they're new shoes.

00:25:45.489 --> 00:25:45.929
Yeah.

00:25:45.989 --> 00:25:46.409
I don't know.

00:25:46.509 --> 00:25:47.930
Like, what am I supposed to feel?

00:25:48.029 --> 00:25:49.170
Anyway, I digress.

00:25:49.690 --> 00:25:51.550
So then someone launches Zappos.com and

00:25:51.570 --> 00:25:52.171
they're like,

00:25:52.290 --> 00:25:54.211
that's not going to work because shoes are

00:25:54.231 --> 00:25:56.112
all about touching the shoes and putting

00:25:56.132 --> 00:25:57.913
them on and feeling them.

00:25:57.932 --> 00:26:01.294
They had a problem with complaints.

00:26:02.253 --> 00:26:04.535
And the guy who launched Zappos was one

00:26:04.575 --> 00:26:04.954
guy.

00:26:04.974 --> 00:26:05.894
And then it was two people.

00:26:05.914 --> 00:26:06.234
And then it was

00:26:08.971 --> 00:26:10.731
All complaints went through this guy.

00:26:11.051 --> 00:26:12.271
Someone's going to Google the name of the

00:26:12.432 --> 00:26:14.613
CEO or whatever who came up with it.

00:26:14.732 --> 00:26:16.432
The Jeff Bezos of Zappos.

00:26:17.252 --> 00:26:20.114
And he realized he was handling every

00:26:20.153 --> 00:26:22.134
complaint because in his mind,

00:26:22.154 --> 00:26:22.535
he was like,

00:26:22.555 --> 00:26:23.674
I want to touch every complaint.

00:26:24.135 --> 00:26:25.756
Good idea, but...

00:26:26.172 --> 00:26:28.192
bad execution because there were so many.

00:26:28.413 --> 00:26:29.634
You're an online retailer.

00:26:30.374 --> 00:26:32.795
And then the longer someone's complaint

00:26:33.075 --> 00:26:34.195
takes to get solved,

00:26:34.536 --> 00:26:35.636
the more pissed they are.

00:26:35.856 --> 00:26:38.478
You can't blame them, right?

00:26:38.817 --> 00:26:39.798
It's like an ounce of prevention,

00:26:39.838 --> 00:26:40.538
pound of cure.

00:26:40.778 --> 00:26:42.079
But that ounce of prevention needed to

00:26:42.119 --> 00:26:42.960
come in the first

00:26:51.161 --> 00:26:52.943
And I forget the exact dollar amount,

00:26:52.983 --> 00:26:53.525
but it was like,

00:26:53.684 --> 00:26:55.888
if you're taking the complaint,

00:26:55.969 --> 00:26:59.114
if you're John Smith on the phone at

00:26:59.153 --> 00:26:59.615
Zappos,

00:27:00.566 --> 00:27:02.387
And it's your complaint to handle.

00:27:02.807 --> 00:27:05.830
And the solution to make this person happy

00:27:06.872 --> 00:27:09.355
is less than two hundred dollars.

00:27:09.734 --> 00:27:10.536
Just solve it.

00:27:10.576 --> 00:27:11.576
Just do it.

00:27:11.616 --> 00:27:12.538
Just write in the computer.

00:27:12.917 --> 00:27:14.559
This guy had a legit complaint.

00:27:14.900 --> 00:27:15.800
It was this and this.

00:27:15.901 --> 00:27:17.603
And I just gave him a two hundred

00:27:17.623 --> 00:27:18.123
dollar credit.

00:27:18.363 --> 00:27:19.304
And the guy was thrilled.

00:27:19.904 --> 00:27:21.906
And he was like, the time it took.

00:27:23.450 --> 00:27:25.574
was worth just solving it.

00:27:25.994 --> 00:27:26.095
Yeah.

00:27:26.115 --> 00:27:27.477
That's why like sometimes if you order

00:27:27.498 --> 00:27:28.740
like furniture is a big one.

00:27:28.960 --> 00:27:30.262
If you order something with furniture...

00:27:31.249 --> 00:27:32.549
And there's a problem with it.

00:27:32.569 --> 00:27:33.830
And you can prove it with a picture.

00:27:33.951 --> 00:27:35.092
And this is where also people start

00:27:35.132 --> 00:27:35.872
scamming the system.

00:27:36.071 --> 00:27:37.594
But a lot of times,

00:27:37.614 --> 00:27:38.433
they'll just be like, keep it.

00:27:38.453 --> 00:27:39.255
We'll send you a new one.

00:27:39.835 --> 00:27:41.615
And now you have a slightly damaged

00:27:41.675 --> 00:27:42.136
whatever.

00:27:42.537 --> 00:27:43.798
That's why you see them on Facebook.

00:27:43.817 --> 00:27:44.178
My buddy,

00:27:44.498 --> 00:27:45.719
you see them on Facebook Marketplace a

00:27:45.778 --> 00:27:45.999
lot.

00:27:46.200 --> 00:27:47.160
Because people are like, I don't know.

00:27:47.200 --> 00:27:48.681
Wayfair sent me a hot...

00:27:48.721 --> 00:27:51.702
My buddy's neighbor bought a nine thousand

00:27:51.722 --> 00:27:54.464
dollar hot tub or something crazy on

00:27:54.565 --> 00:27:55.205
Wayfair.

00:27:55.566 --> 00:27:56.787
And there was a giant scratch in it.

00:27:56.846 --> 00:27:57.748
And no offense, but like...

00:27:58.648 --> 00:27:59.670
I dropped nine grand.

00:27:59.809 --> 00:28:01.190
I want the version without the scratch in

00:28:01.230 --> 00:28:01.330
it.

00:28:01.351 --> 00:28:01.611
Right.

00:28:02.191 --> 00:28:02.711
So they were like,

00:28:02.770 --> 00:28:03.551
we'll send you a new one.

00:28:04.031 --> 00:28:04.311
And he's like,

00:28:04.412 --> 00:28:05.313
what do I do with the old one?

00:28:05.333 --> 00:28:07.193
They're like, it's your problem now.

00:28:08.051 --> 00:28:08.971
He gave it to my buddy.

00:28:08.991 --> 00:28:10.073
He was like, do you want this?

00:28:10.093 --> 00:28:11.173
And my buddy was like, yes.

00:28:11.252 --> 00:28:13.453
And he's like, there's a scratch in it.

00:28:13.493 --> 00:28:15.214
And he goes, I don't care.

00:28:15.615 --> 00:28:16.655
But somewhere along the line,

00:28:16.695 --> 00:28:17.816
someone did the math and was like,

00:28:18.375 --> 00:28:19.596
I need that guy to be happy because

00:28:19.636 --> 00:28:19.997
that guy's,

00:28:20.257 --> 00:28:21.657
if he's dropping nine grand on a hot

00:28:21.698 --> 00:28:21.978
tub,

00:28:22.397 --> 00:28:24.838
his lifetime value of products is more

00:28:24.858 --> 00:28:25.378
than nine grand.

00:28:25.419 --> 00:28:26.019
Make him happy.

00:28:26.279 --> 00:28:28.060
How much does it cost to ship the

00:28:28.101 --> 00:28:28.800
first one back?

00:28:29.965 --> 00:28:30.705
Ship a new one.

00:28:31.967 --> 00:28:33.728
We already had to ship the second one.

00:28:34.268 --> 00:28:35.409
What do we do with the first one?

00:28:35.788 --> 00:28:37.009
And then we ship it back?

00:28:37.269 --> 00:28:39.411
What are we going to do with it?

00:28:39.570 --> 00:28:40.810
I need to warehouse that.

00:28:40.871 --> 00:28:41.832
Now it's going to sit here.

00:28:41.892 --> 00:28:42.632
Now it's damaged.

00:28:42.672 --> 00:28:43.593
It's like, dude, deal with it.

00:28:45.114 --> 00:28:45.294
Well,

00:28:45.354 --> 00:28:47.054
and I think one thing that you point

00:28:47.115 --> 00:28:48.835
out really well and often,

00:28:48.934 --> 00:28:50.375
especially about communications,

00:28:50.496 --> 00:28:52.977
is that nobody owns it.

00:28:53.037 --> 00:28:53.857
Nobody owns that.

00:28:54.018 --> 00:28:56.118
And I think that's the same problem with

00:28:56.378 --> 00:28:57.619
this therapist, right?

00:28:57.660 --> 00:28:57.880
Like,

00:28:59.001 --> 00:29:00.843
the people making the decisions about how

00:29:00.863 --> 00:29:02.825
they will implement and utilize physical

00:29:02.865 --> 00:29:05.946
therapists are not taking any

00:29:06.007 --> 00:29:08.528
responsibility for that impact on that

00:29:08.588 --> 00:29:10.410
therapist, on how that impacts them,

00:29:10.470 --> 00:29:11.931
on how that impacts morale,

00:29:11.971 --> 00:29:14.071
because their job is not to advance

00:29:14.092 --> 00:29:14.873
physical therapy.

00:29:15.232 --> 00:29:16.433
Their job is to advance the mission of

00:29:16.453 --> 00:29:18.154
the hospital in the healthcare context

00:29:18.174 --> 00:29:19.036
that it exists in.

00:29:19.455 --> 00:29:22.117
So there isn't anybody who is responsible

00:29:22.478 --> 00:29:24.640
for making sure that their therapists are

00:29:25.539 --> 00:29:26.401
feeling like

00:29:28.202 --> 00:29:29.203
They're well utilized,

00:29:29.324 --> 00:29:31.545
that they're competent and taken care of

00:29:31.726 --> 00:29:33.326
and practicing at the top of their scope.

00:29:33.346 --> 00:29:34.386
Like no one owns that.

00:29:34.426 --> 00:29:35.929
So when you say whose job is that?

00:29:36.449 --> 00:29:36.729
Nobody's.

00:29:37.209 --> 00:29:37.730
Nobody's.

00:29:37.769 --> 00:29:38.569
There's a hole there.

00:29:38.589 --> 00:29:40.432
And it's going to be a very expensive

00:29:40.511 --> 00:29:42.532
hole for a shortage.

00:29:42.772 --> 00:29:43.054
Good.

00:29:43.733 --> 00:29:44.354
But Rebecca,

00:29:44.434 --> 00:29:46.536
hiring someone just for that job?

00:29:47.135 --> 00:29:48.237
How will they ever meet their

00:29:48.257 --> 00:29:48.897
productivity?

00:29:49.617 --> 00:29:50.338
Well, not even that.

00:29:50.378 --> 00:29:52.240
Like we're going to pay someone to do

00:29:52.319 --> 00:29:53.961
this job that should just not be a

00:29:54.020 --> 00:29:54.501
problem.

00:29:54.721 --> 00:29:55.623
Sorry, it is.

00:29:56.519 --> 00:29:58.500
And then we can't pay for that.

00:29:58.840 --> 00:30:00.602
I would push back and go, you are.

00:30:01.083 --> 00:30:02.544
It's just hidden in your P&L.

00:30:03.184 --> 00:30:04.945
And it's because you hired someone and

00:30:04.965 --> 00:30:06.748
they stuck around for two years and left.

00:30:07.167 --> 00:30:09.450
And now you had a vacancy for a

00:30:09.490 --> 00:30:11.451
year and you didn't fill it.

00:30:11.832 --> 00:30:13.073
And now you burn the rest of your

00:30:13.093 --> 00:30:14.854
staff out because they had to fill in

00:30:14.874 --> 00:30:16.415
because that's what people with a Peace

00:30:16.435 --> 00:30:17.276
Corps gene do.

00:30:17.696 --> 00:30:18.616
And we appreciate that.

00:30:18.837 --> 00:30:20.338
So we take advantage of it.

00:30:20.898 --> 00:30:21.720
You're paying for it,

00:30:21.740 --> 00:30:22.701
whether you're doing it or not.

00:30:23.185 --> 00:30:24.046
Well, statistically,

00:30:24.105 --> 00:30:26.446
presenteeism is worse than absenteeism.

00:30:26.847 --> 00:30:28.127
Wait, what is presenteeism?

00:30:28.407 --> 00:30:29.509
Presenteeism,

00:30:30.028 --> 00:30:31.148
you might have to look up the exact

00:30:31.169 --> 00:30:31.589
definition.

00:30:31.609 --> 00:30:33.150
I learned this from a course that I

00:30:33.170 --> 00:30:34.250
took with Mike Eisenhardt.

00:30:34.651 --> 00:30:36.632
Presenteeism is that person that shows up

00:30:36.672 --> 00:30:39.472
to work every day with that attitude.

00:30:39.914 --> 00:30:41.115
Which with, with which attitude?

00:30:41.575 --> 00:30:43.395
Like the discharge monkey attitude.

00:30:43.415 --> 00:30:44.296
It doesn't matter.

00:30:44.355 --> 00:30:45.876
Like that, that person,

00:30:46.057 --> 00:30:48.576
the person who's like present,

00:30:49.038 --> 00:30:51.198
but pulling everybody down with them.

00:30:51.258 --> 00:30:52.939
They're like the vacuum in the room.

00:30:52.999 --> 00:30:54.278
The person's going to ruin it.

00:30:54.618 --> 00:30:55.638
Even if their stats,

00:30:55.719 --> 00:30:57.420
even if like their output was great,

00:30:58.099 --> 00:30:59.661
they're net negative by a lot.

00:30:59.681 --> 00:31:00.560
Cause they're going to make a lot of

00:31:00.621 --> 00:31:01.401
good people leave.

00:31:01.820 --> 00:31:03.761
And you would rather have that person not

00:31:03.801 --> 00:31:04.342
come to work.

00:31:04.826 --> 00:31:05.346
Yeah.

00:31:05.366 --> 00:31:08.489
Work every day and be this like net

00:31:08.949 --> 00:31:09.409
drag.

00:31:09.489 --> 00:31:09.749
Right.

00:31:10.108 --> 00:31:13.951
So they found that people who go to

00:31:13.990 --> 00:31:15.771
work like that just they just drain the

00:31:15.791 --> 00:31:16.271
system.

00:31:16.432 --> 00:31:18.432
And so if you're looking at like physical

00:31:18.452 --> 00:31:19.614
there to work with,

00:31:19.653 --> 00:31:21.775
like direct to employer type services will

00:31:21.835 --> 00:31:23.576
focus on those folks.

00:31:23.675 --> 00:31:23.895
Right.

00:31:24.875 --> 00:31:26.556
They'll focus on the absentee folks too,

00:31:26.636 --> 00:31:26.836
right?

00:31:26.856 --> 00:31:28.077
Like, is that a health condition?

00:31:28.117 --> 00:31:29.239
But they're going to focus on all of

00:31:29.259 --> 00:31:30.920
those people to help bring them back to

00:31:30.960 --> 00:31:31.740
the pack, right?

00:31:31.800 --> 00:31:33.643
And make sure that everybody's attitude is

00:31:33.682 --> 00:31:33.942
better.

00:31:34.442 --> 00:31:36.565
But do you work on keeping everybody happy

00:31:36.625 --> 00:31:37.885
or do you have to focus on those

00:31:37.905 --> 00:31:39.948
people that are really causing the

00:31:40.107 --> 00:31:41.529
problem?

00:31:41.789 --> 00:31:42.790
Are you a hockey fan or are you

00:31:42.810 --> 00:31:43.290
a baseball fan?

00:31:43.310 --> 00:31:43.912
Are you a hockey fan at all?

00:31:43.932 --> 00:31:44.291
I'm a baseball fan.

00:31:45.230 --> 00:31:45.549
All right,

00:31:45.609 --> 00:31:47.471
so there is a stat for this in

00:31:47.530 --> 00:31:47.971
baseball.

00:31:47.991 --> 00:31:49.571
It's called WAR, W-A-R,

00:31:49.632 --> 00:31:51.292
Wins Above Replacement.

00:31:51.713 --> 00:31:52.594
I'm a baseball fan too,

00:31:52.614 --> 00:31:53.734
and I can't understand WAR.

00:31:53.954 --> 00:31:57.136
The idea is, as a right fielder,

00:31:57.396 --> 00:31:59.298
how are you compared to other right

00:31:59.397 --> 00:31:59.917
fielders?

00:32:00.018 --> 00:32:01.358
When you're in the game,

00:32:02.680 --> 00:32:06.342
do you do the intangibles well that never

00:32:06.382 --> 00:32:08.383
before showed up on the stat sheet?

00:32:08.883 --> 00:32:10.624
It's a little easier to explain in hockey.

00:32:10.683 --> 00:32:12.125
Even not a hockey fan, you'll get this.

00:32:13.761 --> 00:32:16.183
So how do you get things in the

00:32:16.203 --> 00:32:17.265
back of your hockey card?

00:32:17.525 --> 00:32:22.710
Goals, assists, penalty minutes,

00:32:22.789 --> 00:32:24.632
time on the ice, how much you work.

00:32:24.751 --> 00:32:28.134
Those are easier to measure, right?

00:32:28.154 --> 00:32:29.636
Then they come up with this statistic

00:32:29.656 --> 00:32:30.617
called plus-minus.

00:32:31.670 --> 00:32:34.031
So let's say I'm on the ice and

00:32:34.132 --> 00:32:34.832
I actually...

00:32:35.333 --> 00:32:36.653
So the way to get an assist is

00:32:36.814 --> 00:32:38.234
I pass it to you and you score.

00:32:38.734 --> 00:32:39.516
I get an assist.

00:32:40.135 --> 00:32:41.917
Another way would be I pass it to

00:32:41.998 --> 00:32:42.458
Steve.

00:32:42.718 --> 00:32:43.939
Steve passes it to you.

00:32:44.579 --> 00:32:45.259
You get a goal.

00:32:45.420 --> 00:32:46.260
Steve gets an assist.

00:32:46.560 --> 00:32:48.663
I get an assist.

00:32:48.722 --> 00:32:50.124
But there's a lot of stuff going on

00:32:50.324 --> 00:32:51.144
on a hockey rink

00:32:52.109 --> 00:32:53.171
That isn't just that.

00:32:53.330 --> 00:32:55.413
Like maybe I needed to dig the puck

00:32:55.452 --> 00:32:57.114
out of the corner of my own zone,

00:32:57.374 --> 00:32:59.655
then pass it to Steve, then Mike,

00:32:59.875 --> 00:33:00.557
then Rebecca.

00:33:00.676 --> 00:33:01.257
She scores.

00:33:01.538 --> 00:33:02.678
I got nothing on that.

00:33:03.638 --> 00:33:05.520
That's okay, but that's a thing.

00:33:05.961 --> 00:33:07.721
Or the guy who is always really good

00:33:07.782 --> 00:33:08.383
at communicating.

00:33:08.603 --> 00:33:09.483
But how do you put that on a

00:33:09.523 --> 00:33:09.943
stat sheet?

00:33:09.963 --> 00:33:11.125
So they came up with plus minus,

00:33:11.885 --> 00:33:14.028
which is when a goal is scored,

00:33:14.248 --> 00:33:16.148
the person in the booth and stats just

00:33:16.189 --> 00:33:18.631
writes everybody's name down who was on

00:33:18.671 --> 00:33:19.231
the ice.

00:33:19.692 --> 00:33:20.712
And that's a plus one.

00:33:21.942 --> 00:33:23.785
When a goal is scored against us,

00:33:24.346 --> 00:33:25.287
who is on the ice?

00:33:25.527 --> 00:33:26.428
That's a minus one.

00:33:26.909 --> 00:33:28.250
And just like a running count,

00:33:28.289 --> 00:33:30.333
if you're card counting in blackjack,

00:33:30.692 --> 00:33:32.375
what's the running count on Jimmy?

00:33:32.394 --> 00:33:34.037
Yeah.

00:33:34.257 --> 00:33:35.818
Man, every time Jimmy steps on the ice,

00:33:35.858 --> 00:33:36.740
we get scored on.

00:33:37.240 --> 00:33:39.663
But we don't measure that because...

00:33:40.579 --> 00:33:41.701
I didn't get a goal.

00:33:42.402 --> 00:33:44.804
The goalie gets a goal against her or

00:33:44.864 --> 00:33:46.765
him because they're the goalie,

00:33:47.006 --> 00:33:48.066
but I'm just a forward.

00:33:48.326 --> 00:33:49.867
But it is my responsibility to guard my

00:33:49.907 --> 00:33:50.167
guy.

00:33:50.248 --> 00:33:51.028
And when I'm out there,

00:33:51.128 --> 00:33:52.089
I just sort of don't.

00:33:52.509 --> 00:33:53.730
And then that leads to a pass,

00:33:53.750 --> 00:33:54.491
which leads to a goal.

00:33:54.872 --> 00:33:56.993
So the answer was plus minus.

00:33:57.634 --> 00:33:58.976
So you want to be as plus as

00:33:59.036 --> 00:33:59.455
possible,

00:33:59.496 --> 00:34:01.478
which is like we get scored on as

00:34:01.518 --> 00:34:02.159
little as possible.

00:34:02.179 --> 00:34:04.000
We score as much as possible.

00:34:04.361 --> 00:34:07.603
It's an imperfect way of measuring the

00:34:07.623 --> 00:34:08.224
intangibles.

00:34:09.501 --> 00:34:10.922
That's hard to do in business.

00:34:11.342 --> 00:34:11.702
It is.

00:34:11.983 --> 00:34:12.764
Where would you do that?

00:34:13.523 --> 00:34:15.326
That's not a net promoter score.

00:34:15.346 --> 00:34:16.385
It's not NPS.

00:34:17.226 --> 00:34:20.108
I also would love to see outcomes for

00:34:20.148 --> 00:34:21.728
people who feel like that,

00:34:22.329 --> 00:34:24.030
for those therapists who are really burned

00:34:24.170 --> 00:34:27.612
out and aren't bringing that energy into

00:34:27.632 --> 00:34:28.313
the room with them.

00:34:29.574 --> 00:34:31.094
Are you delaying people's discharge

00:34:31.255 --> 00:34:32.896
because you're not intervening the way

00:34:32.916 --> 00:34:33.496
that you should?

00:34:34.177 --> 00:34:37.139
Are your patients more hesitant to go home

00:34:37.179 --> 00:34:37.739
because they're

00:34:38.657 --> 00:34:40.559
Your attitude does not inspire confidence.

00:34:41.159 --> 00:34:43.059
Do your patients need home health more

00:34:43.199 --> 00:34:43.601
often?

00:34:44.081 --> 00:34:45.501
Are the home health therapists like,

00:34:45.561 --> 00:34:47.922
why is this patient in this bad of

00:34:47.943 --> 00:34:48.882
shape coming home?

00:34:49.724 --> 00:34:51.905
Are you discharging more people to rehab

00:34:51.945 --> 00:34:54.585
than home with an assistive device?

00:34:55.266 --> 00:34:57.527
What do your outcomes look like compared

00:34:57.547 --> 00:34:59.789
to people who are operating

00:35:00.798 --> 00:35:03.480
positively within their scope as opposed

00:35:03.519 --> 00:35:05.920
to walking into every room being like i'm

00:35:05.940 --> 00:35:08.400
just here to just make a trash

00:35:08.440 --> 00:35:12.460
recommendation and then leave i mean there

00:35:12.501 --> 00:35:14.101
was a guy who had the same job

00:35:14.141 --> 00:35:15.822
as me in radio there were four radio

00:35:15.842 --> 00:35:17.442
stations in one building all owned by the

00:35:17.481 --> 00:35:20.463
same company right and a guy ran a

00:35:20.523 --> 00:35:22.324
country station his office was next to

00:35:22.384 --> 00:35:24.443
mine and he was sort of an eeyore

00:35:25.717 --> 00:35:27.818
So I got told one day on a

00:35:27.918 --> 00:35:30.119
Tuesday that I had to go home and

00:35:30.139 --> 00:35:31.599
come back the next day and fire someone

00:35:31.619 --> 00:35:32.240
from my staff.

00:35:32.260 --> 00:35:33.161
Have I told you this story before?

00:35:33.181 --> 00:35:35.641
I had to go home, Jimmy.

00:35:35.922 --> 00:35:37.003
You have to come home tomorrow,

00:35:37.123 --> 00:35:37.943
come back to work tomorrow.

00:35:38.679 --> 00:35:39.440
And my boss was like,

00:35:39.539 --> 00:35:40.300
tell me who to fire.

00:35:40.320 --> 00:35:41.800
It's your job.

00:35:41.860 --> 00:35:42.440
You're the boss.

00:35:42.780 --> 00:35:45.661
You get to get handed the trophies when

00:35:45.681 --> 00:35:46.121
you win.

00:35:46.942 --> 00:35:47.902
And then you got to do the bad

00:35:47.922 --> 00:35:48.123
work.

00:35:48.503 --> 00:35:49.163
So I went home,

00:35:49.503 --> 00:35:51.563
had a couple of Chardonnays because I was

00:35:51.603 --> 00:35:51.963
pissed.

00:35:52.264 --> 00:35:53.364
None of my people did anything wrong.

00:35:53.603 --> 00:35:55.065
They were all on the plus side and

00:35:55.085 --> 00:35:55.744
the plus minus.

00:35:55.784 --> 00:35:56.445
They were hard work.

00:35:56.625 --> 00:35:57.664
But I had to fire one of them

00:35:58.105 --> 00:35:59.186
because numbers.

00:35:59.806 --> 00:36:01.146
And that's a reality.

00:36:01.746 --> 00:36:03.246
So I went home and I thought about

00:36:03.266 --> 00:36:05.047
it similarly to how we're thinking about

00:36:05.086 --> 00:36:05.367
this.

00:36:05.907 --> 00:36:07.007
But I didn't think about it from my...

00:36:08.106 --> 00:36:09.887
particular small radio stations point of

00:36:09.907 --> 00:36:10.106
view.

00:36:10.748 --> 00:36:12.148
I thought about it from the entire

00:36:12.188 --> 00:36:12.528
building.

00:36:12.909 --> 00:36:13.989
So four radio stations.

00:36:14.070 --> 00:36:14.510
And I was like,

00:36:15.030 --> 00:36:17.273
this guy over here is a,

00:36:17.333 --> 00:36:19.713
this he's a net negative guy.

00:36:20.574 --> 00:36:22.637
And he makes more money than my people.

00:36:23.875 --> 00:36:26.257
And the station he's running isn't

00:36:26.277 --> 00:36:29.039
performing well because of, I mean,

00:36:29.139 --> 00:36:31.521
my extrapolation because of his attitude,

00:36:31.541 --> 00:36:33.242
this guy could, you know,

00:36:33.802 --> 00:36:35.184
so I went back in the next morning,

00:36:35.405 --> 00:36:37.606
a little hungover and I said, Hey boss,

00:36:38.226 --> 00:36:39.288
I got a crazy idea.

00:36:39.608 --> 00:36:40.789
And he was used to me saying that.

00:36:40.809 --> 00:36:41.349
And he's like, Jimmy,

00:36:41.369 --> 00:36:42.690
this is not the time for a crazy

00:36:42.751 --> 00:36:43.030
idea.

00:36:43.351 --> 00:36:44.132
This is the time for an,

00:36:44.311 --> 00:36:45.373
I need an answer, dude.

00:36:46.134 --> 00:36:46.614
And I was like,

00:36:47.494 --> 00:36:48.695
I have an answer that is going to

00:36:48.715 --> 00:36:49.836
give you an answer that

00:36:51.172 --> 00:36:53.233
You're going to save more money and you're

00:36:53.253 --> 00:36:54.434
going to give me a raise.

00:36:54.554 --> 00:36:55.333
And he was like, oh,

00:36:55.393 --> 00:36:56.755
I can't wait to hear this.

00:36:57.655 --> 00:36:58.235
And I was like,

00:36:58.356 --> 00:36:59.416
and I just made my case.

00:36:59.436 --> 00:36:59.615
I'm like,

00:36:59.635 --> 00:37:01.577
you got a guy over here running an

00:37:01.617 --> 00:37:02.697
entire radio station.

00:37:03.418 --> 00:37:04.298
And we both know

00:37:05.833 --> 00:37:06.653
He ain't going to get it done.

00:37:07.273 --> 00:37:08.494
And it's nothing he's doing.

00:37:08.534 --> 00:37:09.074
It's who he is.

00:37:09.355 --> 00:37:10.034
He's an Eeyore.

00:37:10.534 --> 00:37:12.655
And you can't out Eeyore this guy.

00:37:13.195 --> 00:37:13.496
And I was like,

00:37:13.715 --> 00:37:14.516
you're going to fire him.

00:37:14.817 --> 00:37:16.237
I'm going to take over his radio station.

00:37:16.496 --> 00:37:17.556
This was a country radio station.

00:37:17.916 --> 00:37:19.538
I knew nothing about country.

00:37:19.637 --> 00:37:21.418
And I said that, Bill, you know me.

00:37:21.677 --> 00:37:22.219
I'm a rock guy.

00:37:22.358 --> 00:37:23.259
I know nothing about country.

00:37:23.278 --> 00:37:23.659
He goes, yeah.

00:37:23.679 --> 00:37:24.458
How are you going to get around that?

00:37:25.139 --> 00:37:26.760
There's a staff on that radio station that

00:37:26.780 --> 00:37:27.780
knows all about country.

00:37:28.420 --> 00:37:29.661
I know how to work with people and

00:37:29.681 --> 00:37:30.380
be creative.

00:37:30.860 --> 00:37:32.320
I also know how to listen to people.

00:37:32.822 --> 00:37:34.262
So I'm going to do that guy's job.

00:37:35.505 --> 00:37:37.146
You're going to save money because you're

00:37:37.166 --> 00:37:37.547
going to hire,

00:37:37.586 --> 00:37:38.907
you're going to fire another manager.

00:37:39.126 --> 00:37:40.367
You asked me to follow, you know,

00:37:40.887 --> 00:37:41.668
fire one of my people.

00:37:41.827 --> 00:37:42.909
He makes more money than them.

00:37:43.248 --> 00:37:44.349
You're going to give me a little bit

00:37:44.369 --> 00:37:45.389
of that money because now I'm going to

00:37:45.409 --> 00:37:50.190
do two jobs and net positive, we will,

00:37:50.210 --> 00:37:52.751
the team will be stronger for it.

00:37:52.851 --> 00:37:55.572
You're going to fire a good person and

00:37:55.652 --> 00:37:58.574
let a net negative person,

00:37:58.614 --> 00:37:59.355
what do you call them again?

00:37:59.554 --> 00:37:59.755
Like a...

00:38:01.047 --> 00:38:03.590
presentism you let that person stick

00:38:03.630 --> 00:38:05.090
around and when i made the case he

00:38:05.110 --> 00:38:07.652
was like you're right by five o'clock that

00:38:07.672 --> 00:38:08.974
day i was running two radio stations and

00:38:08.994 --> 00:38:11.976
someone was like sorry but i protected my

00:38:12.036 --> 00:38:14.117
people they did nothing wrong they were

00:38:14.217 --> 00:38:17.179
all plus plus minus people and you were

00:38:17.199 --> 00:38:19.179
a minus plus minus person and i want

00:38:19.221 --> 00:38:21.081
plus plus minus people and we would have

00:38:21.101 --> 00:38:22.663
been net negative if i hadn't pulled that

00:38:22.682 --> 00:38:24.543
move and i will do it ten times

00:38:24.583 --> 00:38:26.385
out of ten that's how i got my

00:38:26.485 --> 00:38:27.166
second radio station

00:38:28.242 --> 00:38:28.583
And I think,

00:38:28.822 --> 00:38:30.103
I think the question that people are

00:38:30.143 --> 00:38:32.485
probably asking if they are in management

00:38:32.706 --> 00:38:35.166
is how do I screen for those people

00:38:35.367 --> 00:38:37.148
to keep them onto our team?

00:38:37.507 --> 00:38:40.210
How do I avoid the conversion from a

00:38:40.269 --> 00:38:41.391
positive to a negative?

00:38:41.411 --> 00:38:42.650
Because I think that's a big one.

00:38:42.690 --> 00:38:42.952
Yeah.

00:38:42.972 --> 00:38:43.552
Cause everybody, yeah.

00:38:43.592 --> 00:38:45.132
No one shows up to be that right.

00:38:45.552 --> 00:38:47.094
And it does happen and it happens a

00:38:47.213 --> 00:38:49.916
lot and I see it and I see

00:38:49.936 --> 00:38:52.637
it everywhere in our profession, right?

00:38:52.657 --> 00:38:54.257
You just have to look at social media

00:38:54.297 --> 00:38:54.797
comments.

00:38:55.518 --> 00:38:55.719
Like,

00:39:00.367 --> 00:39:02.248
i tell people not to become a physical

00:39:02.289 --> 00:39:03.891
therapist because of x y like you're

00:39:03.931 --> 00:39:06.112
poisoning the well before they even got in

00:39:06.152 --> 00:39:08.693
the water right like why are we not

00:39:08.733 --> 00:39:10.416
making the profession better why are we

00:39:10.456 --> 00:39:12.777
just like i think what they're with i

00:39:13.018 --> 00:39:15.378
mean they're i mean a psychologist would

00:39:15.418 --> 00:39:18.461
say they're projecting right yeah and i've

00:39:18.722 --> 00:39:20.342
made videos i will not talk out of

00:39:20.362 --> 00:39:22.025
both sides of my mouth i am pissed

00:39:22.164 --> 00:39:24.326
off at the math because math don't care

00:39:24.346 --> 00:39:25.226
about vibes totally

00:39:26.273 --> 00:39:27.434
So I would like to change the system

00:39:27.474 --> 00:39:27.775
as well.

00:39:27.974 --> 00:39:29.615
But yes, I agree with that.

00:39:29.735 --> 00:39:29.896
I mean,

00:39:29.956 --> 00:39:31.297
I put a comment every day that got...

00:39:31.916 --> 00:39:35.079
Someone asked about, should I become a PT?

00:39:35.119 --> 00:39:36.239
And I was like, do the math.

00:39:36.860 --> 00:39:38.059
If you really want to do this and

00:39:38.079 --> 00:39:39.481
you understand what it costs and you still

00:39:39.501 --> 00:39:40.201
go with it, great.

00:39:40.362 --> 00:39:41.362
Go with God.

00:39:41.382 --> 00:39:42.041
Knock yourself out.

00:39:42.523 --> 00:39:43.762
But like someone said,

00:39:44.224 --> 00:39:45.784
schools should do a better job educating.

00:39:45.824 --> 00:39:46.485
And I'm like, my man,

00:39:47.085 --> 00:39:48.405
they gave you the papers.

00:39:49.490 --> 00:39:50.831
All the numbers were in there.

00:39:51.371 --> 00:39:55.795
You're not looking at them as your fault.

00:39:56.014 --> 00:39:57.215
So I'm not saying don't pay back the

00:39:57.255 --> 00:39:58.516
loans or any of those things.

00:39:58.996 --> 00:40:01.197
I'm saying let's change that because this

00:40:01.257 --> 00:40:01.639
sucks.

00:40:01.958 --> 00:40:02.898
And down the line,

00:40:03.139 --> 00:40:05.501
we're going to have less good people on

00:40:05.541 --> 00:40:06.061
our team.

00:40:06.402 --> 00:40:08.483
And that's going to screw everybody.

00:40:09.431 --> 00:40:11.132
So I'm not saying let's just erase it

00:40:11.152 --> 00:40:12.653
and say, ah, you made a bad move.

00:40:12.994 --> 00:40:14.275
Let's change the whole damn thing because

00:40:14.315 --> 00:40:15.416
it's not good.

00:40:15.775 --> 00:40:17.617
Never mind fair or equitable.

00:40:18.358 --> 00:40:18.918
It's deeper.

00:40:19.039 --> 00:40:21.942
It's not good for the system,

00:40:21.981 --> 00:40:23.342
for the person, for the people,

00:40:23.643 --> 00:40:24.324
for the organization.

00:40:24.344 --> 00:40:25.445
It's not good.

00:40:25.885 --> 00:40:27.346
So if something's not good,

00:40:27.987 --> 00:40:29.427
I thought we were supposed to be able

00:40:29.447 --> 00:40:29.969
to change it.

00:40:30.268 --> 00:40:32.050
And here's the problem.

00:40:32.771 --> 00:40:36.253
The parts of the system that make the

00:40:36.273 --> 00:40:38.715
decisions for not good, I'll talk to them.

00:40:38.875 --> 00:40:40.255
They're not listening to my podcast.

00:40:40.376 --> 00:40:41.356
I could talk about them for months.

00:40:41.637 --> 00:40:43.617
The people who decide what PT programs

00:40:43.657 --> 00:40:45.318
cost, from my understanding,

00:40:46.039 --> 00:40:46.659
I talk to people.

00:40:47.079 --> 00:40:48.581
It's not the professors, guys.

00:40:48.800 --> 00:40:49.141
Trust me.

00:40:49.481 --> 00:40:51.943
They are not rolling in cash.

00:40:52.262 --> 00:40:53.443
I'm not saying they're not making money.

00:40:53.543 --> 00:40:54.103
They should be.

00:40:54.384 --> 00:40:55.885
They have a ton of experience and do

00:40:55.925 --> 00:40:56.385
a great job.

00:40:56.885 --> 00:40:58.746
It is not the chairs of the department.

00:40:59.947 --> 00:41:01.509
It is not the deans.

00:41:03.427 --> 00:41:06.389
people you've never met who are doing jobs

00:41:06.648 --> 00:41:07.829
that you have no idea.

00:41:08.650 --> 00:41:09.429
It's those people.

00:41:09.650 --> 00:41:10.831
They're not listening to you.

00:41:11.231 --> 00:41:11.670
They're not.

00:41:11.831 --> 00:41:12.672
That's probably their problem,

00:41:12.692 --> 00:41:14.472
but they are not incentivized to make you

00:41:14.512 --> 00:41:14.833
happy.

00:41:15.152 --> 00:41:17.554
They win the minute you apply and sign

00:41:18.034 --> 00:41:18.894
and someone gets paid.

00:41:19.235 --> 00:41:20.456
So how to fix it?

00:41:20.556 --> 00:41:21.556
I'm not saying I know how,

00:41:21.775 --> 00:41:23.536
but you're yelling at the wrong person.

00:41:23.856 --> 00:41:25.077
You're mad at the wrong people.

00:41:25.097 --> 00:41:27.458
It's also like saying that the APTA is

00:41:27.478 --> 00:41:29.019
somehow like in a hundred percent control

00:41:29.079 --> 00:41:29.800
of what we get paid.

00:41:29.860 --> 00:41:30.280
Correct.

00:41:31.360 --> 00:41:32.300
I'm not saying you're not.

00:41:32.521 --> 00:41:33.702
You're yawning at the wrong people.

00:41:33.722 --> 00:41:35.023
Like they're doing the things,

00:41:35.382 --> 00:41:37.905
but you need to take all that energy

00:41:37.985 --> 00:41:39.726
and take it to where those decisions are

00:41:39.766 --> 00:41:40.027
made.

00:41:40.507 --> 00:41:41.947
And then talk is doing that.

00:41:42.248 --> 00:41:42.467
Right.

00:41:42.588 --> 00:41:44.469
And then talk to them in a language

00:41:44.750 --> 00:41:45.650
that they can understand.

00:41:45.751 --> 00:41:47.512
Listen, they know what they're doing.

00:41:48.293 --> 00:41:48.652
Right.

00:41:48.853 --> 00:41:50.153
They know what they're doing.

00:41:51.135 --> 00:41:53.036
There's just no reason for them not to

00:41:53.096 --> 00:41:53.456
do it.

00:41:53.637 --> 00:41:55.418
Oh, we should stop applying.

00:41:55.498 --> 00:41:57.318
And I go, would you have stopped applying?

00:41:57.460 --> 00:41:57.599
No.

00:41:58.358 --> 00:41:59.480
You wouldn't have.

00:41:59.599 --> 00:42:02.961
It will not change until the pain of

00:42:03.121 --> 00:42:04.563
inaction is greater than the pain of

00:42:04.623 --> 00:42:04.882
action.

00:42:05.123 --> 00:42:05.704
Did I do that right?

00:42:06.204 --> 00:42:06.364
Yeah.

00:42:06.664 --> 00:42:07.885
The pain of inaction is greater than.

00:42:08.025 --> 00:42:09.246
That's the only reason you get off the

00:42:09.266 --> 00:42:11.387
couch because you feel an internal pain

00:42:11.628 --> 00:42:13.349
that staying here hurts more than what it

00:42:13.369 --> 00:42:14.429
does when I just got to go run

00:42:14.449 --> 00:42:14.949
a couple of miles.

00:42:15.530 --> 00:42:17.311
There's no reason for them to lower costs.

00:42:17.811 --> 00:42:19.431
This whole thing with the unprofessional

00:42:19.472 --> 00:42:20.092
Malone's thing,

00:42:20.231 --> 00:42:20.891
it's not going to change it.

00:42:21.371 --> 00:42:22.293
Not going to change cost.

00:42:22.853 --> 00:42:24.474
It will screw people because they won't be

00:42:24.514 --> 00:42:24.753
able to...

00:42:25.134 --> 00:42:28.235
It'll change who is able to apply from

00:42:28.414 --> 00:42:29.576
the smart people that I've talked to.

00:42:30.275 --> 00:42:32.177
I would love when people are in my

00:42:32.217 --> 00:42:35.838
DMs going, but, but, but...

00:42:36.177 --> 00:42:38.059
If there are forty seats at a program,

00:42:38.259 --> 00:42:39.940
as long as there's forty-one qualified

00:42:39.980 --> 00:42:40.400
applicants...

00:42:42.489 --> 00:42:43.168
Ta-da!

00:42:43.188 --> 00:42:44.349
There's no change.

00:42:44.971 --> 00:42:48.612
You need to have six applicants at most

00:42:48.693 --> 00:42:50.273
for five years before it would change.

00:42:50.373 --> 00:42:51.195
And I'm making up numbers,

00:42:51.235 --> 00:42:51.974
but you get what I mean.

00:42:52.315 --> 00:42:54.476
You need to be bleeding before you call

00:42:54.516 --> 00:42:54.996
the ambulance.

00:42:55.016 --> 00:42:56.297
It's not going to happen.

00:42:56.318 --> 00:42:57.199
It's just like PT payment, right?

00:42:57.239 --> 00:43:00.800
PTs have been taking the payment the way

00:43:00.840 --> 00:43:02.402
that it is for so long.

00:43:03.003 --> 00:43:05.284
Why on earth would insurance companies

00:43:05.344 --> 00:43:06.684
suddenly be like, you know what?

00:43:06.744 --> 00:43:07.344
We were wrong.

00:43:07.706 --> 00:43:08.146
Correct.

00:43:08.365 --> 00:43:09.347
Let's pay you more money.

00:43:10.318 --> 00:43:11.519
The other way too, hey,

00:43:11.539 --> 00:43:13.760
we're taking jobs at salaries we shouldn't

00:43:13.800 --> 00:43:13.960
do.

00:43:14.001 --> 00:43:15.300
And you're saying we should unionize.

00:43:15.340 --> 00:43:16.121
And I'm going, great.

00:43:16.202 --> 00:43:18.603
Are you any good at organizing people?

00:43:18.623 --> 00:43:19.422
Yeah.

00:43:19.443 --> 00:43:20.563
I'm not saying don't do it.

00:43:20.744 --> 00:43:21.864
I'm saying the likelihood of that

00:43:21.903 --> 00:43:22.844
happening is low.

00:43:23.465 --> 00:43:23.764
Yes.

00:43:23.804 --> 00:43:25.425
I would love to be wrong here though.

00:43:25.525 --> 00:43:26.387
I would love to be.

00:43:26.746 --> 00:43:27.706
Maybe that is the only way.

00:43:27.827 --> 00:43:28.547
I don't know it.

00:43:30.608 --> 00:43:34.190
But being mad at the wrong people,

00:43:34.230 --> 00:43:35.570
it's a real waste of energy.

00:43:39.385 --> 00:43:39.985
I don't blame them.

00:43:40.065 --> 00:43:41.306
I don't either.

00:43:42.628 --> 00:43:43.228
I don't blame them.

00:43:43.728 --> 00:43:44.929
We're measuring the wrong things.

00:43:44.949 --> 00:43:46.371
I don't know.

00:43:46.391 --> 00:43:48.452
It's easier to be wrong or being angry

00:43:48.512 --> 00:43:51.114
at a group of people or a perceived

00:43:52.034 --> 00:43:55.096
person in the entire system because if

00:43:55.115 --> 00:43:56.056
you're mad at the system,

00:43:57.097 --> 00:43:58.298
it feels too big to solve.

00:43:58.699 --> 00:44:03.222
Who gets yelled at when you don't like

00:44:03.242 --> 00:44:04.503
what a PT program is doing?

00:44:04.563 --> 00:44:06.043
The chair and the professors.

00:44:07.021 --> 00:44:09.304
They are not the ones setting the prices.

00:44:09.364 --> 00:44:11.367
My friends, if they were,

00:44:11.407 --> 00:44:13.208
they'd be setting their own salaries and

00:44:13.268 --> 00:44:14.670
trust me, they'd be higher.

00:44:15.512 --> 00:44:17.735
Like it's just not, it's not it.

00:44:18.074 --> 00:44:19.657
You're not wrong for being mad.

00:44:20.157 --> 00:44:21.980
You're just yelling at the wrong thing.

00:44:22.380 --> 00:44:23.161
In my opinion,

00:44:23.320 --> 00:44:24.603
this is just everything here is my

00:44:24.623 --> 00:44:24.902
opinion.

00:44:26.621 --> 00:44:26.880
All right.

00:44:26.940 --> 00:44:29.222
So to make this tactical,

00:44:29.443 --> 00:44:31.744
let's say you did work for this person

00:44:31.764 --> 00:44:33.045
that we started this whole conversation

00:44:33.065 --> 00:44:33.505
around with.

00:44:33.666 --> 00:44:36.909
You work and you are in a position

00:44:37.068 --> 00:44:39.650
of leadership, not management,

00:44:40.291 --> 00:44:42.092
but management and or let's say

00:44:42.132 --> 00:44:42.632
leadership.

00:44:43.673 --> 00:44:44.695
What would you do?

00:44:44.715 --> 00:44:47.356
I would want to hear everything.

00:44:48.257 --> 00:44:48.538
Say it.

00:44:48.976 --> 00:44:50.916
Like, no holds barred.

00:44:50.936 --> 00:44:51.536
Like,

00:44:51.677 --> 00:44:53.217
this will not reflect poorly on you on

00:44:53.257 --> 00:44:54.478
your performance evaluation.

00:44:54.498 --> 00:44:55.697
This will not be held against you.

00:44:55.717 --> 00:44:57.338
Like, tell me everything.

00:44:58.018 --> 00:44:58.318
Tell me.

00:44:58.378 --> 00:44:59.179
Like, lay it on me.

00:44:59.599 --> 00:45:01.378
I even want to hear your personal stuff,

00:45:01.398 --> 00:45:01.619
too.

00:45:02.019 --> 00:45:03.380
Because maybe this person is under a lot

00:45:03.400 --> 00:45:04.579
of personal duress as well.

00:45:04.659 --> 00:45:05.981
Like, they have a health problem.

00:45:06.021 --> 00:45:07.800
They aren't making enough money for their

00:45:07.840 --> 00:45:08.101
family.

00:45:08.121 --> 00:45:09.222
They've had to pick up a second job.

00:45:09.262 --> 00:45:10.782
Like, I want to hear all of it.

00:45:10.902 --> 00:45:12.523
I want to hear why they wanted to

00:45:12.563 --> 00:45:13.023
be a PT.

00:45:13.043 --> 00:45:14.202
I want to hear why they're still a

00:45:14.242 --> 00:45:14.623
PT.

00:45:14.722 --> 00:45:17.103
I want to know why they feel the

00:45:17.143 --> 00:45:17.643
way they feel.

00:45:19.047 --> 00:45:20.208
And I just want to receive all that.

00:45:20.309 --> 00:45:21.588
I think that's step one, right?

00:45:21.608 --> 00:45:22.650
Just receiving all of it,

00:45:23.010 --> 00:45:24.389
not telling them, not explaining,

00:45:24.429 --> 00:45:24.931
not defending.

00:45:24.971 --> 00:45:25.251
Well,

00:45:25.291 --> 00:45:26.630
the hospital had to make this decision

00:45:26.650 --> 00:45:27.612
because I was like,

00:45:27.632 --> 00:45:28.632
we're not doing that today.

00:45:29.552 --> 00:45:31.112
We're just receiving all of that.

00:45:31.994 --> 00:45:33.835
What do you love about this job?

00:45:34.215 --> 00:45:35.335
I want to hear all of that too.

00:45:35.494 --> 00:45:37.076
Like, why did you take this job?

00:45:37.396 --> 00:45:38.896
Why are you still at this job?

00:45:39.237 --> 00:45:41.358
What would make this job feel worth it

00:45:41.398 --> 00:45:42.057
to you again?

00:45:42.617 --> 00:45:44.059
And then like that stretch goal too,

00:45:44.099 --> 00:45:46.059
like what would make this job magical to

00:45:46.099 --> 00:45:46.199
you?

00:45:47.608 --> 00:45:49.309
Like what would make this job someplace

00:45:49.349 --> 00:45:51.550
that you wanted to be every day?

00:45:51.989 --> 00:45:54.010
And if you can't see a path to

00:45:54.050 --> 00:45:56.012
that, like if there's like nothing,

00:45:56.152 --> 00:45:57.773
if you're, if your answer is nothing,

00:45:57.813 --> 00:45:59.373
it's never going to be like, I don't.

00:46:00.193 --> 00:46:01.454
Then maybe we just be done.

00:46:02.195 --> 00:46:03.516
Maybe it's time for you to look for

00:46:03.556 --> 00:46:04.016
something else.

00:46:04.036 --> 00:46:04.157
Like,

00:46:04.177 --> 00:46:06.358
because I'm fully receptive to hearing

00:46:06.378 --> 00:46:06.637
from you,

00:46:06.657 --> 00:46:08.579
like what it would take to get you

00:46:08.619 --> 00:46:09.478
back on the horse.

00:46:10.380 --> 00:46:11.280
I want to get you back on the

00:46:11.360 --> 00:46:12.760
unicorn, but.

00:46:14.831 --> 00:46:16.411
If you can't see a path to that,

00:46:16.472 --> 00:46:18.632
I can't even meet you halfway.

00:46:18.713 --> 00:46:20.233
So I'm probably going to decrease my

00:46:20.293 --> 00:46:22.956
investment in you because you've decreased

00:46:22.976 --> 00:46:25.077
your investment in the organization.

00:46:25.297 --> 00:46:27.378
And realistically,

00:46:27.398 --> 00:46:28.858
if you're bringing that energy into rooms,

00:46:28.878 --> 00:46:30.280
you've decreased your investment in your

00:46:30.320 --> 00:46:30.760
patients.

00:46:30.800 --> 00:46:31.661
And maybe at this point,

00:46:31.681 --> 00:46:33.101
you're a little bit of a liability.

00:46:33.222 --> 00:46:34.181
I don't know that for sure.

00:46:34.483 --> 00:46:36.884
I'm not like if I felt like I

00:46:36.903 --> 00:46:38.824
was in the hole that deeply,

00:46:38.945 --> 00:46:40.346
I would be worried about my ability to

00:46:40.405 --> 00:46:42.547
provide care.

00:46:42.746 --> 00:46:42.827
Yeah.

00:46:42.847 --> 00:46:43.608
So I would start there.

00:46:44.766 --> 00:46:46.208
Oprah said people want to be seen, heard,

00:46:46.228 --> 00:46:46.688
and understood.

00:46:46.708 --> 00:46:46.807
Yes.

00:46:46.847 --> 00:46:49.989
That's where I would start.

00:46:50.530 --> 00:46:52.471
And if there's the movie Jersey up in

00:46:52.510 --> 00:46:53.791
the air with George Clooney and Anna

00:46:53.811 --> 00:46:54.070
Kendrick.

00:46:54.090 --> 00:46:54.170
Yeah.

00:46:54.190 --> 00:46:56.431
Where they fire everybody.

00:46:56.452 --> 00:46:56.572
Well,

00:46:56.592 --> 00:46:58.012
their job is to be brought in and

00:46:58.052 --> 00:46:59.713
he had the one who's the guy from

00:46:59.733 --> 00:47:00.454
the drumming movie.

00:47:00.474 --> 00:47:00.514
Um,

00:47:00.534 --> 00:47:04.036
the guy that was in Top Gun too.

00:47:05.074 --> 00:47:05.534
No, J.K.

00:47:05.576 --> 00:47:07.378
Simmons, the drumming instructor.

00:47:07.818 --> 00:47:08.478
Yeah.

00:47:08.518 --> 00:47:09.159
Not Miles Teller.

00:47:09.900 --> 00:47:10.240
So anyway,

00:47:10.302 --> 00:47:12.483
George Clooney is firing Miles Teller in

00:47:12.523 --> 00:47:12.925
this scene.

00:47:12.945 --> 00:47:13.525
It's a great scene.

00:47:14.507 --> 00:47:15.728
And of course, like J.K.,

00:47:17.452 --> 00:47:19.253
is pissed his character jk simmons

00:47:19.594 --> 00:47:21.815
characters piss and he's like who are you

00:47:21.876 --> 00:47:24.398
you know f you and clooney and of

00:47:24.438 --> 00:47:25.719
course it's a movie guys i get it

00:47:26.119 --> 00:47:27.981
but he turns it into a story he

00:47:28.081 --> 00:47:29.923
read that guy's whole file before he

00:47:29.963 --> 00:47:31.505
brought him in to fire him whole file

00:47:31.766 --> 00:47:33.367
and jk simmons is in his fifties or

00:47:33.407 --> 00:47:36.650
sixties or whatever in this scene and he's

00:47:36.690 --> 00:47:38.371
essentially he's framing this as like a

00:47:38.472 --> 00:47:40.554
rebirth and he's like

00:47:44.588 --> 00:47:47.090
The whole pitch is he saw in the

00:47:47.110 --> 00:47:49.831
guy's file that he studied French culinary

00:47:50.373 --> 00:47:51.373
arts in college.

00:47:51.853 --> 00:47:54.596
Like, that's not a gimme major.

00:47:54.976 --> 00:47:55.737
Like, that's hard.

00:47:55.936 --> 00:47:56.297
And, like,

00:47:57.338 --> 00:47:58.920
you're not going to make a billion dollars

00:47:59.019 --> 00:47:59.880
doing that, right?

00:48:00.561 --> 00:48:02.001
So he's like, and he's like,

00:48:02.123 --> 00:48:03.764
and you waited tables at El Picador.

00:48:03.844 --> 00:48:05.644
Like, he read the guy's file.

00:48:05.684 --> 00:48:06.846
And now he's in, like, some cubicle.

00:48:08.067 --> 00:48:10.148
And he's like, and his question was,

00:48:10.309 --> 00:48:11.791
how much did they pay you to give

00:48:11.831 --> 00:48:12.590
up on your dream?

00:48:13.112 --> 00:48:13.492
Ooh.

00:48:14.050 --> 00:48:14.650
And he was like,

00:48:15.431 --> 00:48:17.652
thirty eight thousand dollars in health

00:48:17.672 --> 00:48:18.152
insurance.

00:48:18.733 --> 00:48:20.434
And he's like, I'm not he's like,

00:48:20.474 --> 00:48:21.255
this is happening.

00:48:22.215 --> 00:48:22.655
But he's like,

00:48:22.735 --> 00:48:25.117
your next step is your choice to make.

00:48:26.217 --> 00:48:28.438
And you lose your job.

00:48:28.458 --> 00:48:29.778
It's not softening the blow,

00:48:30.239 --> 00:48:32.059
but at least it's at least saying like

00:48:33.001 --> 00:48:34.382
you could go find another one of these

00:48:34.422 --> 00:48:36.001
jobs and this could happen again.

00:48:36.163 --> 00:48:37.523
And also you hate it here.

00:48:37.583 --> 00:48:38.643
Why aren't you in a kitchen?

00:48:39.164 --> 00:48:40.764
You wanted to be in that kitchen.

00:48:41.827 --> 00:48:44.188
And you made the smart move of getting

00:48:44.228 --> 00:48:46.550
a reliable job with four Oh one K

00:48:46.590 --> 00:48:47.329
and health insurance.

00:48:47.409 --> 00:48:47.851
I get it.

00:48:48.291 --> 00:48:49.931
But he made the guy look at himself.

00:48:50.192 --> 00:48:51.492
Cause you could be mad at the company

00:48:51.913 --> 00:48:53.873
or the machine or the world.

00:48:54.454 --> 00:48:56.215
And that isn't going to change it.

00:48:56.295 --> 00:48:57.737
But you reframing how you're going to look

00:48:57.797 --> 00:49:00.177
at it is the only, it sucks.

00:49:00.197 --> 00:49:02.259
You can control what you can control,

00:49:02.280 --> 00:49:03.400
but you can control it.

00:49:03.659 --> 00:49:04.460
So that was a great,

00:49:04.641 --> 00:49:07.443
I thought a great scene from that movie.

00:49:07.543 --> 00:49:08.884
Cause at least Clooney's character was

00:49:08.923 --> 00:49:09.143
like,

00:49:10.148 --> 00:49:10.768
Can you imagine?

00:49:10.949 --> 00:49:11.748
I couldn't do that job.

00:49:11.929 --> 00:49:13.150
The guy where you just fire everybody.

00:49:13.931 --> 00:49:16.092
Although someone's going to do it.

00:49:16.572 --> 00:49:17.353
Someone's going to do it.

00:49:17.373 --> 00:49:17.994
It's happened.

00:49:18.393 --> 00:49:19.355
That was one of the lines.

00:49:19.394 --> 00:49:19.994
This is happening.

00:49:23.177 --> 00:49:25.798
But it showed he actually took the time

00:49:26.780 --> 00:49:28.521
because people want to be seen, heard,

00:49:28.561 --> 00:49:29.322
and understood,

00:49:29.501 --> 00:49:30.722
according to our friend Oprah.

00:49:31.023 --> 00:49:31.864
That's probably why she was pretty

00:49:31.884 --> 00:49:32.423
successful.

00:49:34.364 --> 00:49:35.666
To do that with that guy and the

00:49:35.766 --> 00:49:37.447
idea there is his character is now going

00:49:37.487 --> 00:49:38.068
to leave and

00:49:39.012 --> 00:49:40.994
inhale exhale while he takes his stuff to

00:49:41.034 --> 00:49:42.373
his car in a cardboard box and go

00:49:42.474 --> 00:49:44.275
what do i got twenty more years man

00:49:44.894 --> 00:49:46.876
what do i want to do go do

00:49:46.916 --> 00:49:50.496
that yeah go do that all right parting

00:49:50.516 --> 00:49:53.518
shots what do you got parting shots i

00:49:53.538 --> 00:49:55.418
think my parting shot is is to this

00:49:55.458 --> 00:49:57.480
therapist and in any therapist that feels

00:49:57.500 --> 00:49:58.659
like this we don't want to lose you

00:49:58.679 --> 00:50:00.701
like so

00:50:03.088 --> 00:50:04.469
Figure out what it would take for you

00:50:04.510 --> 00:50:05.710
to get back on the unicorn.

00:50:06.050 --> 00:50:07.472
And if PT is not it,

00:50:07.532 --> 00:50:08.072
I get that.

00:50:08.211 --> 00:50:09.713
If it's the place where you work,

00:50:09.793 --> 00:50:10.273
I get that.

00:50:10.773 --> 00:50:12.574
But advocate within yourself,

00:50:12.675 --> 00:50:14.476
advocate within your facility and advocate

00:50:14.496 --> 00:50:15.436
within your profession.

00:50:15.896 --> 00:50:17.036
And if that feels like too much,

00:50:18.277 --> 00:50:18.818
then let it go.

00:50:19.318 --> 00:50:20.398
But we want you.

00:50:20.619 --> 00:50:22.059
We want you in this profession.

00:50:22.320 --> 00:50:24.762
And so do the best that you can.

00:50:24.822 --> 00:50:26.141
Control what you can control,

00:50:26.202 --> 00:50:27.663
which is what you bring to your job,

00:50:27.682 --> 00:50:28.903
what you bring to your patients every day.

00:50:30.422 --> 00:50:31.563
If I repeat it a couple times,

00:50:31.583 --> 00:50:32.923
it probably has to be a parting shot,

00:50:32.943 --> 00:50:34.184
which is people want to be seen, heard,

00:50:34.204 --> 00:50:34.686
and understood.

00:50:35.746 --> 00:50:36.327
I ain't magic.

00:50:36.766 --> 00:50:38.329
When I was a boss in radio,

00:50:38.809 --> 00:50:40.170
I didn't have a lot of levers I

00:50:40.190 --> 00:50:40.650
could pull.

00:50:41.550 --> 00:50:43.413
But I learned from my dad,

00:50:43.452 --> 00:50:44.393
who was a fireman.

00:50:44.454 --> 00:50:45.655
He was like, when you get promoted,

00:50:45.735 --> 00:50:46.695
you work for them.

00:50:46.755 --> 00:50:48.516
You work for the people you oversee.

00:50:49.197 --> 00:50:51.179
So my job was like, how are you?

00:50:51.739 --> 00:50:52.681
And I can't be like,

00:50:52.721 --> 00:50:54.101
here's a bucket load more money.

00:50:54.302 --> 00:50:55.302
That wasn't an option.

00:50:56.215 --> 00:50:57.916
So how else can we creatively make this

00:50:57.956 --> 00:50:59.918
place something that you want to do again?

00:50:59.938 --> 00:51:01.579
Because supposedly when you came here to

00:51:01.619 --> 00:51:03.362
work, you wanted to do this.

00:51:04.802 --> 00:51:06.043
So people want to be seen, heard,

00:51:06.184 --> 00:51:06.764
and understood.

00:51:07.605 --> 00:51:09.027
Find Rebecca online, website.

00:51:09.827 --> 00:51:10.969
BDDPT.com.

00:51:11.748 --> 00:51:12.769
And we'll talk again soon.

00:51:12.869 --> 00:51:15.152
I think we need an actual official name

00:51:15.211 --> 00:51:16.713
for your recurring segment.

00:51:18.340 --> 00:51:19.501
I don't want to use AI to get

00:51:19.541 --> 00:51:19.621
it.

00:51:19.641 --> 00:51:21.402
I want it to be au natural.

00:51:21.603 --> 00:51:21.802
Maybe,

00:51:21.963 --> 00:51:24.625
but I will take comments or suggestions

00:51:24.644 --> 00:51:25.846
from someone watching or listening,

00:51:25.885 --> 00:51:28.708
but we'll be back next week with Rebecca.

00:51:30.632 --> 00:51:31.693
That's it for this one,

00:51:31.972 --> 00:51:33.653
but we're just getting warmed up.

00:51:34.114 --> 00:51:36.056
Smash follow, send it to a friend,

00:51:36.255 --> 00:51:37.938
or crank up the next episode.

00:51:38.438 --> 00:51:39.318
Want to go deeper?

00:51:39.798 --> 00:51:43.842
Hit us at pgpinecast.com or find us on

00:51:43.882 --> 00:51:46.443
YouTube and socials at pgpinecast.

00:51:46.864 --> 00:51:49.146
And legally, none of this was advice.

00:51:49.226 --> 00:51:50.967
It's for entertainment purposes only.

00:51:52.628 --> 00:51:53.208
See, Keith?

00:51:53.409 --> 00:51:54.489
We read the script.

00:51:54.789 --> 00:51:55.451
Happy now?