WEBVTT 00:00:02.294 --> 00:00:04.958 Broadcasting way too early from three 00:00:04.998 --> 00:00:06.721 separate Wi-Fi connections. 00:00:06.881 --> 00:00:10.205 It's PT Breakfast Club with Tony Meritato, 00:00:10.467 --> 00:00:12.548 Dave Kittle, and Jimmy McKay. 00:00:17.806 --> 00:00:19.827 all right gentlemen well one gentleman 00:00:20.367 --> 00:00:21.928 second gentleman coming pretty soon pt 00:00:21.948 --> 00:00:24.487 breakfast club tony good news we got a 00:00:24.568 --> 00:00:28.349 sponsor all right this is such a smart 00:00:28.489 --> 00:00:31.189 idea combine two things one thing that you 00:00:31.228 --> 00:00:32.630 like and one thing that you hate today's 00:00:32.649 --> 00:00:34.090 episode is brought to you by the prior 00:00:34.149 --> 00:00:36.789 authorization escape room can you solve 00:00:36.829 --> 00:00:39.051 twelve impossible puzzles find the missing 00:00:39.070 --> 00:00:41.151 facts call the insurance company get 00:00:41.191 --> 00:00:42.871 transferred four times sit on hold for 00:00:42.911 --> 00:00:44.631 twenty minutes and track down the 00:00:44.671 --> 00:00:46.332 physician who retired in twenty nineteen 00:00:46.911 --> 00:00:48.792 before your patient's shoulder freezes. 00:00:48.993 --> 00:00:49.993 Nobody has escaped yet. 00:00:50.593 --> 00:00:53.375 Look your next clinic team building event 00:00:53.414 --> 00:00:55.734 today, prior authorization escape room. 00:00:56.076 --> 00:00:57.915 It's technically in network. 00:00:58.996 --> 00:00:59.817 Don't you always feel like that? 00:00:59.837 --> 00:01:00.496 It's always good. 00:01:01.518 --> 00:01:02.317 So that's a sponsor. 00:01:02.338 --> 00:01:03.719 All right. 00:01:03.738 --> 00:01:04.759 I love it. 00:01:04.778 --> 00:01:06.420 That's one of the things that APTA is 00:01:06.439 --> 00:01:07.640 working on, right? 00:01:07.700 --> 00:01:09.320 Like reducing liability, 00:01:09.400 --> 00:01:12.382 reducing prior auth, all that stuff. 00:01:13.492 --> 00:01:14.733 Well, I mean, that was the thing. 00:01:14.774 --> 00:01:15.674 Somebody asked me the other day. 00:01:15.694 --> 00:01:17.355 They weren't at the thing I went to 00:01:17.415 --> 00:01:18.436 Portland two weeks ago. 00:01:18.516 --> 00:01:22.040 It was the APTA's payment summit forum. 00:01:23.301 --> 00:01:23.882 Extravaganza, 00:01:23.902 --> 00:01:24.581 whatever you want to call it. 00:01:25.403 --> 00:01:26.003 And people were like, 00:01:26.043 --> 00:01:27.043 what were the big takeaways? 00:01:27.063 --> 00:01:27.844 And I listed a few. 00:01:27.864 --> 00:01:28.305 Then I was like, 00:01:28.344 --> 00:01:29.305 here's the biggest takeaway. 00:01:29.325 --> 00:01:30.947 The fact that they're having this meeting. 00:01:30.966 --> 00:01:31.227 I mean, 00:01:31.248 --> 00:01:33.388 putting a meeting on like that is not 00:01:33.409 --> 00:01:33.810 cheap. 00:01:34.030 --> 00:01:34.530 You know what I mean? 00:01:34.569 --> 00:01:35.790 It's not just a webinar. 00:01:36.272 --> 00:01:37.552 This is an in-person, 00:01:37.832 --> 00:01:38.873 four hundred and fifty, 00:01:38.894 --> 00:01:40.454 five hundred people were there renting a 00:01:40.534 --> 00:01:41.977 ballroom for two days and 00:01:42.516 --> 00:01:43.878 If you've ever had an event, 00:01:44.018 --> 00:01:44.718 it's not small. 00:01:44.858 --> 00:01:46.959 So APTA is paying attention. 00:01:46.980 --> 00:01:48.221 They've always been paying attention. 00:01:48.301 --> 00:01:49.682 It's just, what do you do about it? 00:01:49.921 --> 00:01:51.123 Because I do hear other people going, 00:01:51.183 --> 00:01:52.683 APTA should, APTA should. 00:01:53.043 --> 00:01:55.646 And I go, you're APTA CEO tomorrow. 00:01:56.165 --> 00:01:57.546 Show me exactly what you would do. 00:01:57.587 --> 00:01:59.248 You can't just say the big picture stuff. 00:01:59.507 --> 00:02:02.150 You've got to give me the granular stuff. 00:02:02.189 --> 00:02:03.251 But let's talk about something that you 00:02:03.271 --> 00:02:05.331 shared from APTA as Dave joins us. 00:02:05.753 --> 00:02:08.473 I'm going to pull it up. 00:02:08.514 --> 00:02:10.575 You sort of alluded to that 00:02:12.164 --> 00:02:13.485 the post that said roughly half the 00:02:13.526 --> 00:02:15.328 profession feels burned out according to a 00:02:15.388 --> 00:02:18.349 survey but the thing that caught my eye 00:02:18.370 --> 00:02:20.512 was like the comments of course right 00:02:21.133 --> 00:02:22.373 instead of people talking about pay 00:02:22.413 --> 00:02:25.036 housing cost living they're talking about 00:02:25.116 --> 00:02:27.258 burnout Larry Benz is talking a lot about 00:02:27.318 --> 00:02:30.400 this and he's like he's got some thoughts 00:02:30.479 --> 00:02:32.782 but why did you screenshot this and share 00:02:32.801 --> 00:02:34.204 it what what jumped out at you or 00:02:34.383 --> 00:02:35.884 it's got to be a pattern it's either 00:02:35.905 --> 00:02:37.747 it's either a pattern over time or it's 00:02:37.787 --> 00:02:39.268 something interesting at once 00:02:40.205 --> 00:02:41.966 Yeah, so Dave, good morning. 00:02:41.985 --> 00:02:43.106 Good morning. 00:02:43.127 --> 00:02:43.347 You know, 00:02:43.366 --> 00:02:45.888 the survey says nearly fifty percent of PT 00:02:45.927 --> 00:02:49.270 surveyed say they're experiencing burnout. 00:02:50.290 --> 00:02:51.972 And from my perspective now, 00:02:52.012 --> 00:02:54.233 maybe we have a different definition of 00:02:54.353 --> 00:02:56.914 burnout, but I'm like, all right, 00:02:57.074 --> 00:03:00.236 if I am self-declared burnt out, 00:03:00.676 --> 00:03:02.038 experiencing burnout, 00:03:02.557 --> 00:03:04.579 I'm probably not loving my work. 00:03:04.879 --> 00:03:06.860 I'm probably not coming in today 00:03:07.600 --> 00:03:09.963 looking for new opportunities to impress 00:03:10.003 --> 00:03:11.985 my patients, to share my knowledge, 00:03:12.006 --> 00:03:13.728 to like wow the consumer, 00:03:13.768 --> 00:03:15.349 to build raving fans, right? 00:03:15.889 --> 00:03:17.592 I'm probably just scraping by. 00:03:18.052 --> 00:03:18.894 I'm struggling. 00:03:19.334 --> 00:03:21.195 There's therapists on TikTok who talk 00:03:21.235 --> 00:03:22.978 about crying on their way to work every 00:03:23.018 --> 00:03:23.459 single day. 00:03:23.998 --> 00:03:26.900 like how can that therapist be an amazing 00:03:26.939 --> 00:03:29.701 therapist in the clinic i openly admit 00:03:29.762 --> 00:03:31.442 look i am not as good of a 00:03:31.502 --> 00:03:33.643 therapist at four p.m in the afternoon 00:03:34.204 --> 00:03:35.864 than i was at nine a.m in the 00:03:35.903 --> 00:03:37.985 morning i'm just not like we're human 00:03:38.025 --> 00:03:40.747 beings we have a limited capacity and so 00:03:41.766 --> 00:03:44.348 I shared that the intent behind my 00:03:44.388 --> 00:03:46.568 original post was basically to say, look, 00:03:46.588 --> 00:03:48.149 you want to know why insurance is paying 00:03:48.229 --> 00:03:48.750 us less? 00:03:49.090 --> 00:03:51.110 Because half the profession feels burnout. 00:03:51.591 --> 00:03:52.510 How many people, 00:03:52.591 --> 00:03:54.391 Dave is in a hiring mode. 00:03:54.931 --> 00:03:56.651 Does Dave want to hire and pay a 00:03:56.731 --> 00:03:58.633 premium rate to somebody who comes in and 00:03:58.693 --> 00:04:00.014 says, man, I'm burnout. 00:04:00.193 --> 00:04:01.493 I hate what I'm doing. 00:04:01.574 --> 00:04:02.754 I hate physical therapy. 00:04:02.794 --> 00:04:04.155 Like, no, nobody wants to pay, 00:04:04.574 --> 00:04:05.955 including payers. 00:04:06.575 --> 00:04:09.038 So of course there were the clinicians, 00:04:09.118 --> 00:04:11.200 at least two who came on and they're 00:04:11.281 --> 00:04:13.463 like, look, I've experienced burnout. 00:04:13.524 --> 00:04:15.406 I can still deliver a great patient care 00:04:15.445 --> 00:04:16.086 experience. 00:04:16.127 --> 00:04:18.048 I can still be a great therapist just 00:04:18.069 --> 00:04:19.930 because I feel burnout doesn't mean it 00:04:19.951 --> 00:04:20.971 affects my performance. 00:04:21.793 --> 00:04:24.315 I call bullshit, but even if I didn't, 00:04:24.896 --> 00:04:26.517 okay, you're the unicorn. 00:04:26.557 --> 00:04:29.321 You're the one person in a thousand and 00:04:29.420 --> 00:04:32.985 ten thousand who can still put their 00:04:33.024 --> 00:04:34.507 professional face forward, 00:04:34.567 --> 00:04:37.529 deliver a great service and feel burnout 00:04:37.790 --> 00:04:38.531 on the back end. 00:04:39.211 --> 00:04:41.533 but most aren't most are not. 00:04:41.593 --> 00:04:43.615 And that was the point is we still 00:04:43.636 --> 00:04:45.716 have a huge percentage of the profession 00:04:46.338 --> 00:04:48.920 who are just not capable of delivering an 00:04:48.980 --> 00:04:50.180 exceptional experience. 00:04:50.240 --> 00:04:50.600 Dave, 00:04:51.002 --> 00:04:53.524 what do you think when somebody says, man, 00:04:53.584 --> 00:04:54.524 I'm burned out on this, 00:04:54.584 --> 00:04:56.026 are they going to be the best employee? 00:04:56.065 --> 00:04:57.526 Are they going to be the best clinician? 00:04:57.586 --> 00:04:59.228 Is that who you want seeing your mom 00:04:59.267 --> 00:04:59.447 or dad? 00:04:59.468 --> 00:05:02.750 Definitely not. 00:05:03.011 --> 00:05:03.531 Definitely not. 00:05:03.732 --> 00:05:04.192 Definitely not. 00:05:04.211 --> 00:05:04.471 They, 00:05:04.512 --> 00:05:06.733 they would not be able to bring it. 00:05:06.774 --> 00:05:08.755 They would not be able to, um, 00:05:09.692 --> 00:05:14.244 provide a excellent or wonderful patient 00:05:14.283 --> 00:05:14.725 experience. 00:05:14.785 --> 00:05:15.567 No, they just can't. 00:05:15.586 --> 00:05:16.709 It doesn't matter what location, 00:05:16.790 --> 00:05:17.911 what type of setting they're in. 00:05:18.733 --> 00:05:18.874 Um, 00:05:19.833 --> 00:05:21.634 I tend to try to hire people that 00:05:22.295 --> 00:05:25.617 understand, like, hey, I'm a professional. 00:05:26.317 --> 00:05:28.538 And it doesn't matter what personal stuff 00:05:28.617 --> 00:05:29.559 that's happening. 00:05:29.579 --> 00:05:30.839 You might lose a family member, 00:05:30.939 --> 00:05:33.120 God forbid, or something happens. 00:05:34.101 --> 00:05:35.783 But can you separate that? 00:05:35.802 --> 00:05:37.744 Can you not bring that into work? 00:05:37.764 --> 00:05:39.285 Can you not bring that into the hospital 00:05:39.365 --> 00:05:41.786 or the outpatient clinic or home visits or 00:05:41.826 --> 00:05:42.447 whatever it is? 00:05:43.226 --> 00:05:43.807 Um, 00:05:43.846 --> 00:05:45.267 obviously it's challenging and obviously 00:05:45.367 --> 00:05:47.129 everyone has, uh, different, 00:05:47.288 --> 00:05:48.689 different things that happen and occur, 00:05:48.788 --> 00:05:50.529 especially they could be surprises or 00:05:50.550 --> 00:05:52.550 we're out of the, uh, 00:05:52.610 --> 00:05:53.370 out of the ordinary. 00:05:54.091 --> 00:05:55.312 Um, and those things are, you know, 00:05:55.331 --> 00:05:56.452 that's life and that's okay. 00:05:56.552 --> 00:05:56.752 Right. 00:05:56.793 --> 00:05:58.934 And maybe they need some extra support and 00:05:58.973 --> 00:05:59.413 all that. 00:06:00.074 --> 00:06:01.514 But in general, 00:06:02.535 --> 00:06:04.555 I love this topic because the burnout 00:06:04.596 --> 00:06:06.836 definition needs to be defined in the 00:06:06.877 --> 00:06:07.336 challenges. 00:06:07.617 --> 00:06:07.757 It's, 00:06:07.896 --> 00:06:09.237 it's like the word it's like personal 00:06:09.257 --> 00:06:09.637 development. 00:06:10.706 --> 00:06:12.827 personal development has no definition. 00:06:12.848 --> 00:06:15.129 There's no way to measure it. 00:06:15.471 --> 00:06:15.711 You know, 00:06:15.750 --> 00:06:16.851 you pay all this money to go to 00:06:16.891 --> 00:06:18.613 Tony Robbins and you don't know if it 00:06:18.653 --> 00:06:19.394 did anything or not. 00:06:19.435 --> 00:06:20.475 Did you take action or not? 00:06:20.536 --> 00:06:22.297 What's the ROI of going to Tony Robbins 00:06:22.317 --> 00:06:23.879 and paying five or ten grand or even 00:06:23.999 --> 00:06:24.338 more? 00:06:24.560 --> 00:06:25.701 Some people pay more, which is 00:06:26.812 --> 00:06:27.653 Crazy, right? 00:06:27.673 --> 00:06:29.434 So we'll get back to burnout. 00:06:29.533 --> 00:06:30.754 You also don't know, like, 00:06:30.774 --> 00:06:31.375 what's the definition? 00:06:31.415 --> 00:06:32.675 Everyone's got different definitions. 00:06:32.997 --> 00:06:34.517 And also, it's hard to know, 00:06:36.499 --> 00:06:37.899 are we all speaking about the same thing? 00:06:38.401 --> 00:06:38.701 Correct. 00:06:38.721 --> 00:06:39.922 That's what Larry Benz is talking about. 00:06:39.942 --> 00:06:40.482 We'll get to that. 00:06:40.502 --> 00:06:42.002 But I just typed that in and looked 00:06:42.023 --> 00:06:42.244 that up. 00:06:42.264 --> 00:06:43.144 So we have two definitions. 00:06:43.324 --> 00:06:44.865 One is the pop culture definition. 00:06:45.605 --> 00:06:47.567 this is like in the zeitgeist right just 00:06:47.607 --> 00:06:49.627 out there in the ether pop culture burnout 00:06:49.648 --> 00:06:52.129 says i'm exhausted i hate my job i'm 00:06:52.230 --> 00:06:54.151 over it it's sort of what dave is 00:06:54.170 --> 00:06:56.512 saying become the catch-all for low pay 00:06:56.591 --> 00:06:58.692 too much paperwork bad bosses long hours 00:06:58.713 --> 00:07:00.274 difficult patients student loans work-life 00:07:00.293 --> 00:07:02.074 balance that's all lumped together 00:07:02.115 --> 00:07:03.255 basically work sucks 00:07:04.016 --> 00:07:06.257 The psychological like book definition is 00:07:06.357 --> 00:07:07.036 more specific. 00:07:07.096 --> 00:07:08.538 The World Health Organization defines 00:07:08.598 --> 00:07:11.019 burnout as a syndrome caused by chronic 00:07:11.059 --> 00:07:12.939 workplace stress that hasn't been 00:07:13.000 --> 00:07:14.021 successfully managed. 00:07:14.081 --> 00:07:15.281 And it has to have three parts. 00:07:15.661 --> 00:07:16.862 And you guys touched on all of them. 00:07:17.322 --> 00:07:18.362 First is exhaustion. 00:07:18.583 --> 00:07:19.322 You're running on empty. 00:07:19.944 --> 00:07:21.803 Tony Tony's tired of four p.m. 00:07:22.125 --> 00:07:23.165 Second is cynicism. 00:07:23.625 --> 00:07:25.745 You start emotionally distancing yourself 00:07:25.766 --> 00:07:26.266 from the work. 00:07:26.387 --> 00:07:27.567 Nobody wants to hire that person. 00:07:27.807 --> 00:07:29.208 No one really wants to be that person. 00:07:30.199 --> 00:07:31.901 So patients stop becoming Mrs. 00:07:31.940 --> 00:07:34.202 Smith and start becoming the ten o'clock. 00:07:34.622 --> 00:07:36.665 And then third is reduced effectiveness. 00:07:36.764 --> 00:07:37.886 You feel like you're working incredibly 00:07:37.927 --> 00:07:38.206 hard. 00:07:38.786 --> 00:07:40.088 You're just not getting anywhere. 00:07:40.168 --> 00:07:41.810 So that's the psychological definition. 00:07:41.850 --> 00:07:44.432 They do specify that it is not a 00:07:44.473 --> 00:07:45.454 diagnosis, though. 00:07:45.634 --> 00:07:48.196 Burnout is not a actual almost almost 00:07:48.237 --> 00:07:49.538 sounds like it, though. 00:07:49.598 --> 00:07:50.759 It is a criteria. 00:07:53.040 --> 00:07:54.382 Um, but, uh, 00:07:54.603 --> 00:07:56.824 but Larry Benz has a series on this. 00:07:56.946 --> 00:07:58.047 I helped produce the podcast. 00:07:58.086 --> 00:07:59.367 There's his podcast. 00:07:59.387 --> 00:07:59.988 That's a disclaimer. 00:08:00.009 --> 00:08:01.571 But if you want a guy with more 00:08:01.610 --> 00:08:03.593 experience in, I mean, 00:08:03.632 --> 00:08:05.175 he's wrote a book called called to care 00:08:05.435 --> 00:08:06.735 and he's doing a pod, uh, 00:08:07.177 --> 00:08:08.557 a series on his sub stack. 00:08:09.098 --> 00:08:11.461 where he's saying if technology actually 00:08:11.500 --> 00:08:12.502 wants to help with this, 00:08:12.762 --> 00:08:13.622 I full disclaimer, 00:08:13.642 --> 00:08:15.204 I work for a technology company in health 00:08:15.225 --> 00:08:15.444 care. 00:08:15.985 --> 00:08:17.906 It needs to do these five things. 00:08:17.947 --> 00:08:19.468 And he's got a great series and we 00:08:19.487 --> 00:08:21.009 can go into depth on those five things. 00:08:21.069 --> 00:08:22.851 But when I show the pop culture 00:08:22.872 --> 00:08:24.192 definition, the psych definition, 00:08:24.512 --> 00:08:25.834 did that line up to what you guys 00:08:25.874 --> 00:08:26.415 thought it was? 00:08:28.418 --> 00:08:30.738 I would say my definition, 00:08:31.379 --> 00:08:33.541 I didn't know the psych definition, 00:08:33.561 --> 00:08:34.861 but that's what it is. 00:08:34.902 --> 00:08:38.063 Like you're frustrated, you're cynical, 00:08:38.124 --> 00:08:40.625 you're coming into the clinic to see the 00:08:40.684 --> 00:08:42.966 same people with a different name and a 00:08:43.006 --> 00:08:44.707 different body, but the same condition. 00:08:45.128 --> 00:08:47.470 You know that no matter how hard you 00:08:47.549 --> 00:08:48.129 try, 00:08:48.570 --> 00:08:50.272 the person in front of you is never 00:08:50.312 --> 00:08:51.251 going to get better. 00:08:51.292 --> 00:08:53.212 That's the feeling you have inside. 00:08:53.734 --> 00:08:55.475 And so that individual is, 00:08:56.258 --> 00:08:57.818 there's nothing left in the tank. 00:08:58.278 --> 00:08:59.000 They're done. 00:08:59.580 --> 00:09:00.880 They come to the understanding, 00:09:00.900 --> 00:09:02.042 I'm never going to make more money. 00:09:02.522 --> 00:09:04.322 I'm never going to help this person truly 00:09:04.363 --> 00:09:05.344 gain independence. 00:09:05.683 --> 00:09:07.245 The person doesn't want to be here, 00:09:07.284 --> 00:09:07.804 the patient. 00:09:08.164 --> 00:09:09.866 The therapist doesn't want to be here. 00:09:10.706 --> 00:09:12.868 Nobody in the equation wants to do any 00:09:12.927 --> 00:09:13.448 of this stuff. 00:09:13.749 --> 00:09:15.269 That is, in my mind, 00:09:15.309 --> 00:09:16.591 the definition of burnout. 00:09:17.250 --> 00:09:19.131 And that is the person who is not 00:09:19.152 --> 00:09:21.533 going to come in and continue to feel 00:09:21.634 --> 00:09:22.995 inspired and passionate. 00:09:23.014 --> 00:09:23.274 Right. 00:09:25.674 --> 00:09:26.816 So the people who are making those 00:09:26.836 --> 00:09:28.515 comments are not burnout. 00:09:28.755 --> 00:09:30.057 They're just doing hard stuff, 00:09:30.116 --> 00:09:31.277 and we all do hard stuff. 00:09:32.337 --> 00:09:34.557 But everybody wants to label it as 00:09:34.618 --> 00:09:34.998 burnout. 00:09:35.057 --> 00:09:36.818 Right, right, right, right. 00:09:36.839 --> 00:09:38.198 Do you like the hard stuff? 00:09:38.899 --> 00:09:39.840 So I worked in radio, 00:09:39.919 --> 00:09:41.139 notoriously were underpaid. 00:09:41.379 --> 00:09:42.041 I didn't care. 00:09:42.120 --> 00:09:43.900 I would have crawled over broken glass to 00:09:43.941 --> 00:09:45.261 stay in that industry if it still 00:09:45.302 --> 00:09:45.721 survived. 00:09:46.662 --> 00:09:47.802 I liked the stuff. 00:09:48.003 --> 00:09:50.125 That stuff – that job still had a 00:09:50.184 --> 00:09:50.785 downside. 00:09:50.806 --> 00:09:52.187 There was a boring part of it. 00:09:52.226 --> 00:09:53.427 I had to go to parades. 00:09:53.788 --> 00:09:55.529 I had to go to endless parades, 00:09:55.570 --> 00:09:56.410 parades forever. 00:09:56.451 --> 00:09:57.351 I never want to go to a parade 00:09:57.392 --> 00:09:57.572 again. 00:09:58.793 --> 00:09:59.393 But here's the thing. 00:09:59.432 --> 00:10:02.655 The upside for me outweighed the bad by 00:10:02.755 --> 00:10:04.217 a factor of something. 00:10:04.238 --> 00:10:05.219 There was enough pull. 00:10:05.818 --> 00:10:07.220 Here's that poll I was talking about on 00:10:07.279 --> 00:10:07.580 LinkedIn. 00:10:07.600 --> 00:10:08.280 I did this yesterday. 00:10:08.681 --> 00:10:10.341 I didn't want to make it a burnout 00:10:10.381 --> 00:10:11.763 poll because I feel like that's the 00:10:11.783 --> 00:10:12.683 clickbait term. 00:10:12.703 --> 00:10:13.644 And I could have done that because 00:10:13.683 --> 00:10:14.764 everybody just wants to pile on. 00:10:15.205 --> 00:10:16.666 I wanted what you're really looking for. 00:10:16.725 --> 00:10:18.466 Or I tried to as scientific as a 00:10:18.527 --> 00:10:19.368 LinkedIn poll could be. 00:10:19.727 --> 00:10:20.749 And this is what I asked. 00:10:21.408 --> 00:10:23.009 What do you really want as a clinician? 00:10:23.831 --> 00:10:25.451 When you say you want fewer patients a 00:10:25.471 --> 00:10:26.893 day, what are you actually asking for? 00:10:26.913 --> 00:10:27.953 Because that was the thing everybody says 00:10:27.974 --> 00:10:28.653 they want, right? 00:10:29.094 --> 00:10:31.155 Do you want more time with each patient? 00:10:32.230 --> 00:10:33.591 Do you actually want a little buffer? 00:10:33.630 --> 00:10:34.750 Do you want to reset? 00:10:34.770 --> 00:10:36.172 This is what Dave provides. 00:10:36.211 --> 00:10:37.273 Both of those things, right? 00:10:37.312 --> 00:10:40.094 More time and a buff. 00:10:40.855 --> 00:10:41.695 Do you want both? 00:10:41.735 --> 00:10:42.816 Which of course everybody wants, 00:10:42.836 --> 00:10:43.615 but everyone wants the most. 00:10:43.635 --> 00:10:45.297 Whatever the most is, I want the most. 00:10:46.559 --> 00:10:47.740 Or I do like this. 00:10:47.801 --> 00:10:49.283 Twenty two percent of people were honest. 00:10:49.342 --> 00:10:50.384 Like, honestly, I just want less. 00:10:50.504 --> 00:10:51.264 I just want less patience. 00:10:51.403 --> 00:10:51.825 I read that. 00:10:52.565 --> 00:10:52.686 Yes. 00:10:52.966 --> 00:10:53.765 I just wanted to learn. 00:10:53.866 --> 00:10:55.368 I want to work less. 00:10:55.888 --> 00:10:56.528 Right. 00:10:56.548 --> 00:10:58.691 But I like the first three options anyway. 00:10:58.730 --> 00:11:00.572 So thirty six percent want both. 00:11:00.591 --> 00:11:01.712 They want that buffer. 00:11:02.173 --> 00:11:03.355 You want to be able to recharge. 00:11:03.375 --> 00:11:04.895 You want to be able to actually process 00:11:04.975 --> 00:11:05.976 mentally what just happened. 00:11:06.476 --> 00:11:07.899 Maybe you want to go say something. 00:11:08.499 --> 00:11:08.859 Of course, 00:11:08.879 --> 00:11:11.279 appropriate to a coworker between patients 00:11:11.299 --> 00:11:12.801 because you can't always say, you know, 00:11:12.880 --> 00:11:14.500 inside jokes in front of patients. 00:11:14.881 --> 00:11:16.642 Or do you want more time with patients? 00:11:17.123 --> 00:11:19.663 So when you say you want less patients, 00:11:19.703 --> 00:11:20.423 what do you say? 00:11:20.524 --> 00:11:22.004 What do you what do you actually want? 00:11:22.065 --> 00:11:23.325 That's that was that's been up for less 00:11:23.345 --> 00:11:24.085 than twenty four hours. 00:11:24.164 --> 00:11:26.125 It's got almost one hundred responses on 00:11:26.145 --> 00:11:27.927 my LinkedIn. 00:11:27.966 --> 00:11:28.086 Now, 00:11:28.126 --> 00:11:29.246 I don't I don't think that's too 00:11:29.346 --> 00:11:30.268 surprising or shocking, 00:11:30.288 --> 00:11:32.109 and I think sixty four votes is a 00:11:32.208 --> 00:11:34.570 pretty decent sample size for a LinkedIn 00:11:34.610 --> 00:11:35.149 poll like that. 00:11:35.529 --> 00:11:37.030 What do you guys think? 00:11:37.071 --> 00:11:38.030 Yeah, I think that's great. 00:11:38.975 --> 00:11:39.875 Yeah. 00:11:40.136 --> 00:11:42.197 Um, so, and by the way, all, 00:11:42.297 --> 00:11:43.738 all the structure with concierge pain 00:11:43.758 --> 00:11:43.998 relief, 00:11:44.018 --> 00:11:45.099 all the things that I'm putting out on 00:11:45.139 --> 00:11:47.320 LinkedIn, I like, I didn't know, 00:11:47.440 --> 00:11:48.200 I wouldn't think, 00:11:48.259 --> 00:11:48.960 I don't know if I'd be able to 00:11:49.019 --> 00:11:50.400 guess the percentages of each of those 00:11:50.461 --> 00:11:52.642 answers, but the signaling, right. 00:11:52.741 --> 00:11:54.503 Of that, the sentiment of that. 00:11:55.222 --> 00:11:57.203 I know that a lot more therapists are 00:11:57.264 --> 00:12:00.166 yearning for everything from that pole, 00:12:00.206 --> 00:12:00.365 right? 00:12:00.765 --> 00:12:02.226 They want less patients. 00:12:02.267 --> 00:12:04.548 They want a buffer in between patients. 00:12:04.908 --> 00:12:05.769 Actually, I didn't even think of that, 00:12:05.788 --> 00:12:07.789 but that makes sense to not have 00:12:08.130 --> 00:12:09.610 back-to-back-to-back nonstop. 00:12:09.871 --> 00:12:12.092 And I remember, I didn't call it burnout, 00:12:12.133 --> 00:12:14.293 but my first job out of school, 00:12:14.354 --> 00:12:15.615 we're seeing patients every thirty 00:12:15.654 --> 00:12:15.875 minutes. 00:12:15.955 --> 00:12:16.755 And sometimes, 00:12:16.816 --> 00:12:18.096 as Tony has talked about it before, 00:12:18.616 --> 00:12:20.197 sometimes you get people that come in 00:12:20.258 --> 00:12:21.577 early, some people come in late, 00:12:21.597 --> 00:12:22.578 and all of a sudden it feels like 00:12:22.879 --> 00:12:23.239 it's like a, 00:12:23.818 --> 00:12:25.700 like an avalanche of patients coming in. 00:12:25.779 --> 00:12:26.039 Right. 00:12:26.080 --> 00:12:26.580 Catch up. 00:12:26.639 --> 00:12:26.980 Right. 00:12:27.039 --> 00:12:28.160 Suffocating. 00:12:28.181 --> 00:12:29.341 But the thing is like, 00:12:30.280 --> 00:12:32.981 I didn't look for LinkedIn groups and 00:12:33.022 --> 00:12:35.222 stuff to go on there and like flame 00:12:35.783 --> 00:12:36.342 employer. 00:12:36.643 --> 00:12:37.342 I know, I know. 00:12:37.503 --> 00:12:38.264 I write the bar. 00:12:41.249 --> 00:12:41.509 Yeah. 00:12:41.929 --> 00:12:43.312 So, so I never, 00:12:43.993 --> 00:12:46.235 it never registered for me the word 00:12:46.275 --> 00:12:48.177 burnout back then, which, and listen guys, 00:12:48.238 --> 00:12:49.178 it's not even that long ago. 00:12:49.219 --> 00:12:49.659 We're talking. 00:12:50.400 --> 00:12:50.480 Yeah. 00:12:50.561 --> 00:12:51.982 Ten, twelve years ago, 00:12:52.043 --> 00:12:53.244 like thirteen years ago, 00:12:53.264 --> 00:12:54.505 like not that long ago. 00:12:54.865 --> 00:12:56.989 So like, I don't, I just don't understand. 00:12:57.089 --> 00:12:58.129 I know now I'm a business owner, 00:12:58.149 --> 00:13:00.113 but even when I wasn't a practice owner, 00:13:00.897 --> 00:13:04.063 i wasn't thinking of of saying burnout and 00:13:04.124 --> 00:13:06.048 saying like i need a new job and 00:13:06.067 --> 00:13:08.172 this license was horrible and the and the 00:13:08.211 --> 00:13:09.796 loan debt and all that like i just 00:13:09.836 --> 00:13:11.318 was like i just was like 00:13:12.528 --> 00:13:14.009 i was just looking for more options 00:13:14.028 --> 00:13:15.549 looking to do more things but i wasn't 00:13:15.590 --> 00:13:17.549 like the victim that's the thing that like 00:13:17.610 --> 00:13:18.770 i know this irritates me i think it 00:13:18.811 --> 00:13:20.610 irritates tony a little bit but i was 00:13:20.671 --> 00:13:22.951 never like this was you know i got 00:13:22.991 --> 00:13:25.692 blindsided by the profession and you know 00:13:25.832 --> 00:13:27.812 then you got the health the health uh 00:13:27.852 --> 00:13:29.673 reimbursement the payment right so for me 00:13:29.693 --> 00:13:30.913 it's like when i started practice i'm like 00:13:31.073 --> 00:13:32.673 i'm gonna just unplug it i'm just gonna 00:13:32.693 --> 00:13:34.014 do something different and not be in 00:13:34.054 --> 00:13:35.274 network right but i didn't 00:13:35.715 --> 00:13:37.716 Even then in twenty eighteen, 00:13:37.735 --> 00:13:38.216 twenty nineteen, 00:13:38.255 --> 00:13:41.418 I didn't go on line and say this 00:13:41.437 --> 00:13:42.197 is all horrible. 00:13:42.298 --> 00:13:42.638 I was like, 00:13:42.798 --> 00:13:45.419 I'm going to just take action and march 00:13:45.480 --> 00:13:46.600 this way. 00:13:46.639 --> 00:13:48.301 Yeah. 00:13:48.321 --> 00:13:48.721 Dave, 00:13:48.900 --> 00:13:52.283 does this help you change how you write 00:13:52.322 --> 00:13:54.043 copy to find answers? 00:13:54.655 --> 00:13:56.057 new clinicians to work with you. 00:13:56.438 --> 00:13:57.600 If you're seeing data like this, 00:13:57.640 --> 00:13:58.423 what they're looking for, 00:13:58.763 --> 00:14:01.388 and you provide it, like that's copy gold, 00:14:01.447 --> 00:14:01.707 right? 00:14:01.788 --> 00:14:02.970 This is the audience telling you what they 00:14:03.009 --> 00:14:03.250 want. 00:14:03.291 --> 00:14:03.851 If you have it, 00:14:04.293 --> 00:14:06.096 say it in fifty different ways, right? 00:14:06.115 --> 00:14:07.157 Because if that's what you offer, 00:14:07.177 --> 00:14:08.519 that's who you want to attract. 00:14:09.975 --> 00:14:10.434 Exactly. 00:14:10.455 --> 00:14:11.937 But the thing is, is like, 00:14:12.937 --> 00:14:15.339 I want to attract the ones that are 00:14:16.000 --> 00:14:18.142 not being inflammatory online, though. 00:14:18.422 --> 00:14:20.222 There's a there's a kid. 00:14:20.243 --> 00:14:20.964 Tony's laughing. 00:14:20.984 --> 00:14:23.466 There's a continuum of clinicians that 00:14:23.485 --> 00:14:24.647 this post resonates with. 00:14:24.986 --> 00:14:27.428 But I'm still selecting like a certain 00:14:28.269 --> 00:14:29.450 batch of those folks, 00:14:29.509 --> 00:14:32.552 the ones that are probably not. 00:14:33.390 --> 00:14:34.991 writing inflammatory stuff online. 00:14:35.991 --> 00:14:38.994 Their heads are down and they're doing the 00:14:39.014 --> 00:14:40.173 grind somewhere else, 00:14:40.234 --> 00:14:43.316 but they're not flaming their employer or 00:14:43.375 --> 00:14:45.277 the profession or blaming others. 00:14:45.576 --> 00:14:47.298 They might say to me privately, yeah, 00:14:47.337 --> 00:14:49.058 I would love to make more and only 00:14:49.078 --> 00:14:50.438 treat four to six patients a day. 00:14:51.399 --> 00:14:52.379 To answer your question, yes, 00:14:52.519 --> 00:14:54.201 I'm posting organic content on LinkedIn, 00:14:54.221 --> 00:14:55.062 sometimes Facebook, 00:14:55.581 --> 00:14:57.082 and it's hitting a lot of those things. 00:14:57.582 --> 00:14:59.384 I think that poll certainly can help 00:14:59.443 --> 00:15:01.043 assist with more of the copy. 00:15:01.063 --> 00:15:01.705 So yeah, totally. 00:15:02.337 --> 00:15:02.538 Yeah. 00:15:02.638 --> 00:15:02.818 All right. 00:15:02.879 --> 00:15:05.822 Teresa had said most clinicians don't burn 00:15:05.922 --> 00:15:07.724 out because they care too much. 00:15:07.744 --> 00:15:09.065 They burn out because they care without 00:15:09.164 --> 00:15:10.346 systems, without recovery, 00:15:10.947 --> 00:15:11.748 without boundaries. 00:15:11.788 --> 00:15:12.928 People rarely fail alone. 00:15:12.948 --> 00:15:14.490 They fail inside systems that don't 00:15:14.529 --> 00:15:14.971 support them. 00:15:16.672 --> 00:15:17.513 What boundaries, though? 00:15:17.533 --> 00:15:19.575 You signed up for an eight-hour workday 00:15:19.654 --> 00:15:20.056 each day. 00:15:20.756 --> 00:15:22.578 What boundaries? 00:15:22.599 --> 00:15:22.678 Well, 00:15:22.698 --> 00:15:24.139 that's someone who wants to stay within 00:15:24.600 --> 00:15:27.443 whatever system they signed up for. 00:15:27.624 --> 00:15:32.149 This is a mismatch of expectation and 00:15:32.168 --> 00:15:34.672 reality, except if you show up... 00:15:35.513 --> 00:15:38.293 and someone does something oh several 00:15:38.333 --> 00:15:41.174 times believe them this is how it's going 00:15:41.215 --> 00:15:43.436 to be right so you have two choices 00:15:43.676 --> 00:15:45.956 you can complain about it and i don't 00:15:45.996 --> 00:15:47.677 even know if that feels good or you 00:15:47.717 --> 00:15:49.038 do something different you go somewhere 00:15:49.097 --> 00:15:51.178 else you build your own thing those are 00:15:51.278 --> 00:15:54.320 them's the rules them them's the rules so 00:15:54.460 --> 00:15:55.541 yeah on linkedin 00:15:56.260 --> 00:15:57.802 i think the really dangerous thing here 00:15:57.861 --> 00:16:00.342 and dave's kind of alluding to it it's 00:16:00.383 --> 00:16:03.924 so easy to play into their anger and 00:16:03.965 --> 00:16:06.505 frustration and all of that stuff i mean 00:16:06.525 --> 00:16:08.226 that's what we see politicians doing 00:16:08.267 --> 00:16:11.408 constantly the politician who offers free 00:16:11.428 --> 00:16:13.950 this and free that and raises and rent 00:16:13.970 --> 00:16:16.791 freezes and all that stuff it's so easy 00:16:16.850 --> 00:16:17.892 to feed that 00:16:19.312 --> 00:16:21.274 but that's not the person you want working 00:16:21.315 --> 00:16:21.654 for you. 00:16:21.735 --> 00:16:23.596 You want the person that's innately 00:16:23.657 --> 00:16:25.859 successful, that's naturally happy, 00:16:26.259 --> 00:16:27.860 the person who walks in the door with 00:16:27.900 --> 00:16:28.400 a smile, 00:16:28.461 --> 00:16:30.602 not somebody who's looking for your job 00:16:30.702 --> 00:16:32.664 opportunity to fix their problem, 00:16:32.705 --> 00:16:34.746 to fix their life, to make them happy. 00:16:36.107 --> 00:16:39.591 So from a communication perspective, 00:16:40.071 --> 00:16:43.153 it's really easy to fire up that angry 00:16:43.193 --> 00:16:44.816 disgruntled base 00:16:45.395 --> 00:16:46.836 but that's not who we're trying to 00:16:46.876 --> 00:16:47.256 attract. 00:16:47.277 --> 00:16:48.878 We're trying to attract kind of the 00:16:48.957 --> 00:16:50.119 opposite of what that is. 00:16:50.139 --> 00:16:52.200 The person who's happy and satisfied and 00:16:52.240 --> 00:16:54.400 fulfilled, even making, 00:16:54.561 --> 00:16:55.701 earning less money, 00:16:55.861 --> 00:16:57.822 even working harder than everyone else on 00:16:57.842 --> 00:16:58.163 the team. 00:16:58.182 --> 00:17:02.145 Go ahead. 00:17:02.166 --> 00:17:03.086 This is Adam Paris. 00:17:03.125 --> 00:17:03.966 I wanted to make sure it was not 00:17:03.986 --> 00:17:04.106 Teresa. 00:17:04.126 --> 00:17:04.207 Okay. 00:17:04.227 --> 00:17:08.169 So to double click on that, Tony, 00:17:08.528 --> 00:17:10.470 like the candidates that we want are the 00:17:10.691 --> 00:17:11.191 ones that 00:17:11.986 --> 00:17:14.509 don't like treating patients every thirty 00:17:14.529 --> 00:17:16.573 minutes or having to go home and do 00:17:16.673 --> 00:17:19.596 fifteen to twenty four notes every day but 00:17:19.696 --> 00:17:22.079 they're not online complaining about it 00:17:22.280 --> 00:17:24.343 and they the patients where they current 00:17:24.363 --> 00:17:25.384 where the the patients where they 00:17:25.404 --> 00:17:26.026 currently work 00:17:26.760 --> 00:17:29.344 would not know that they were dissatisfied 00:17:29.384 --> 00:17:32.467 with the volume of in-network model. 00:17:32.487 --> 00:17:33.127 Does that make sense? 00:17:33.488 --> 00:17:35.851 The patients for those therapists that we 00:17:35.891 --> 00:17:36.371 want to hire, 00:17:36.412 --> 00:17:39.355 that we're plucking and poaching from the 00:17:39.375 --> 00:17:41.958 in-network world, that have a following, 00:17:41.998 --> 00:17:43.659 that have a good reputation, 00:17:43.980 --> 00:17:47.383 all of their patients are looking at them 00:17:47.462 --> 00:17:47.824 as like, 00:17:48.626 --> 00:17:48.707 Yeah, 00:17:48.727 --> 00:17:49.907 of course they love their job and all 00:17:49.928 --> 00:17:50.108 that. 00:17:50.169 --> 00:17:52.090 Now, privately, they will say, 00:17:52.371 --> 00:17:53.731 I would love to make more or just 00:17:53.751 --> 00:17:55.433 treat four to six patients a day and 00:17:55.473 --> 00:17:56.915 do some home visits with you guys and 00:17:56.935 --> 00:17:57.896 do some office visits. 00:17:59.258 --> 00:18:00.680 That's the sweet spot, Tony. 00:18:00.880 --> 00:18:02.882 And that's really hard to find. 00:18:03.201 --> 00:18:04.344 But the ones that are like... 00:18:04.983 --> 00:18:07.545 probably commenting about, 00:18:07.724 --> 00:18:09.346 I don't know if there's any comments on 00:18:09.365 --> 00:18:10.426 that post, Jimmy, with the poll, 00:18:10.446 --> 00:18:13.028 but if people are commenting like blaming 00:18:13.048 --> 00:18:16.388 the APTA and blaming United Healthcare and 00:18:16.409 --> 00:18:17.769 blaming their employer and all that type 00:18:17.789 --> 00:18:18.089 of stuff, 00:18:18.690 --> 00:18:21.852 they will get attracted by our post about 00:18:21.932 --> 00:18:23.873 what we're trying to market and advertise 00:18:23.913 --> 00:18:26.173 for clinicians and job roles, 00:18:26.273 --> 00:18:29.535 but they won't make it through our 00:18:29.615 --> 00:18:30.415 interview process. 00:18:31.056 --> 00:18:32.576 So let me ask an unfair question. 00:18:33.413 --> 00:18:33.613 Right. 00:18:33.712 --> 00:18:34.953 So here it is on the board. 00:18:35.493 --> 00:18:37.454 If PT salaries increase twenty five 00:18:37.494 --> 00:18:38.474 thousand dollars tomorrow, 00:18:38.795 --> 00:18:40.675 does burnout suddenly become less common? 00:18:41.036 --> 00:18:42.557 So, yes, you're asking. 00:18:42.717 --> 00:18:43.076 Right. 00:18:43.116 --> 00:18:45.258 So that so it's this one thing. 00:18:45.498 --> 00:18:45.698 Right. 00:18:45.798 --> 00:18:48.358 Or for some percentage, it's one thing. 00:18:48.638 --> 00:18:49.420 What do you think, Tony? 00:18:49.599 --> 00:18:52.480 Does does the does the the inflammatory 00:18:52.540 --> 00:18:55.142 posting about burnout drop by fifty 00:18:55.182 --> 00:18:57.942 percent tomorrow if salaries go up twenty 00:18:57.982 --> 00:18:58.683 five K? 00:18:58.723 --> 00:18:59.284 Tony, no, no. 00:18:59.844 --> 00:19:00.984 No, I don't think it does. 00:19:01.365 --> 00:19:02.705 I think this, you know, 00:19:02.726 --> 00:19:04.267 they say it's a systemic problem. 00:19:04.326 --> 00:19:05.928 I think it's a mental problem. 00:19:06.008 --> 00:19:07.449 I think in their brains, 00:19:07.489 --> 00:19:08.549 it does not matter. 00:19:08.950 --> 00:19:09.911 I've got friends, 00:19:09.971 --> 00:19:11.731 I've got associates that are in other 00:19:11.771 --> 00:19:14.433 healthcare professions who are making half 00:19:14.473 --> 00:19:14.994 a million, 00:19:15.115 --> 00:19:16.715 seven hundred and fifty thousand a year. 00:19:17.236 --> 00:19:18.616 They're saying the same stuff. 00:19:18.957 --> 00:19:20.598 They're feeling the same emotions. 00:19:20.939 --> 00:19:22.599 They're just as unhappy, 00:19:22.680 --> 00:19:23.980 just as frustrated. 00:19:24.401 --> 00:19:26.383 it makes no difference how much money 00:19:26.423 --> 00:19:27.143 they're going to make. 00:19:27.804 --> 00:19:29.585 This is where you go back to there's 00:19:29.625 --> 00:19:31.586 a person who's happy and there's a person 00:19:31.626 --> 00:19:32.067 who's not. 00:19:32.366 --> 00:19:34.648 The person who's not happy is not happy 00:19:34.689 --> 00:19:36.971 because of their own choice and decision 00:19:37.090 --> 00:19:38.932 and the way they perceive the environment 00:19:39.272 --> 00:19:41.233 compared to the person who is happy. 00:19:41.653 --> 00:19:43.096 And no amount of money is going to 00:19:43.135 --> 00:19:43.496 change that. 00:19:43.516 --> 00:19:43.596 Yeah. 00:19:43.615 --> 00:19:46.637 Dave says this is the exact same thing. 00:19:48.410 --> 00:19:49.191 Some amount of money, 00:19:49.790 --> 00:19:51.912 some amount of money or less of a 00:19:51.971 --> 00:19:53.853 caseload for, for some people, Jimmy, you, 00:19:53.913 --> 00:19:55.333 you, you qualified it. 00:19:55.792 --> 00:19:57.153 And so I initially said, yes, 00:19:57.173 --> 00:19:58.295 I'm a twenty five K bump, 00:19:58.795 --> 00:20:00.174 but then you said some, 00:20:00.275 --> 00:20:01.895 so I think you would get less, 00:20:01.955 --> 00:20:03.896 you would get maybe, you know, let's say, 00:20:04.037 --> 00:20:05.458 let's say for every extra thousand dollars 00:20:05.478 --> 00:20:05.958 in salary, 00:20:05.998 --> 00:20:07.699 we get one percent less of therapists 00:20:07.838 --> 00:20:09.239 online complaining about burnout. 00:20:09.298 --> 00:20:09.779 How about that? 00:20:10.200 --> 00:20:11.640 Can we, 00:20:11.700 --> 00:20:12.800 maybe it's somewhere in that range. 00:20:13.608 --> 00:20:16.230 know i don't know uh dave from linkedin 00:20:16.250 --> 00:20:19.172 says this is the exact subject it's this 00:20:19.231 --> 00:20:20.772 exact subject which is a reason why many 00:20:20.813 --> 00:20:23.874 mature pt companies hire their student 00:20:23.894 --> 00:20:28.156 affiliates more than direct applicants why 00:20:28.217 --> 00:20:29.557 i want to know what he means but 00:20:29.577 --> 00:20:31.317 what do you what first of all because 00:20:31.337 --> 00:20:33.019 they'll accept lower salaries in general 00:20:33.038 --> 00:20:35.099 my opinion my opinion i don't know if 00:20:35.119 --> 00:20:35.980 that's what he means though 00:20:38.006 --> 00:20:40.867 I thought my interpretation of this, 00:20:40.907 --> 00:20:43.670 like we used to hire our student PTs 00:20:43.730 --> 00:20:44.371 all the time. 00:20:45.070 --> 00:20:47.353 It gave us twelve weeks to understand who 00:20:47.393 --> 00:20:48.614 they are, what they're like. 00:20:48.634 --> 00:20:48.913 You know, 00:20:49.054 --> 00:20:50.955 it gives them twelve weeks to understand 00:20:50.996 --> 00:20:52.517 who we are, what we are like. 00:20:52.537 --> 00:20:53.758 Does the culture fit? 00:20:55.479 --> 00:20:57.721 We almost hardly ever hired a PT off 00:20:57.740 --> 00:20:58.221 the street. 00:20:58.362 --> 00:21:00.163 It was usually always a student. 00:21:00.762 --> 00:21:02.084 Now that I'm not hiring, 00:21:02.265 --> 00:21:03.164 I don't take students. 00:21:03.224 --> 00:21:04.665 There's no reason for me to take a 00:21:04.705 --> 00:21:05.047 student. 00:21:05.528 --> 00:21:05.769 Right. 00:21:06.308 --> 00:21:07.669 Adam is clarifying. 00:21:07.709 --> 00:21:09.130 He was the comment a few minutes ago. 00:21:09.150 --> 00:21:10.549 He said clarification on boundaries. 00:21:10.589 --> 00:21:12.309 He meant clinicians that take ownership of 00:21:12.410 --> 00:21:14.310 outcomes they don't control, 00:21:15.191 --> 00:21:17.111 let their emotional part of the job take 00:21:17.191 --> 00:21:17.431 over. 00:21:18.031 --> 00:21:19.071 I agree with that and was having a 00:21:19.092 --> 00:21:20.771 conversation with students in Colorado 00:21:20.791 --> 00:21:21.592 this weekend about that. 00:21:21.652 --> 00:21:24.853 I said I so I did a talk 00:21:24.893 --> 00:21:25.613 on communications, 00:21:25.653 --> 00:21:26.813 but really I did it about trust. 00:21:26.972 --> 00:21:27.272 And I said, 00:21:27.292 --> 00:21:29.213 if you move the goalposts closer, 00:21:30.094 --> 00:21:31.694 It's not cheating, kind of. 00:21:32.115 --> 00:21:33.257 I want you to move closer to the 00:21:33.297 --> 00:21:33.717 goalpost. 00:21:34.057 --> 00:21:35.259 Your goal is to be clear. 00:21:35.499 --> 00:21:36.660 Your goal is to be understood. 00:21:36.900 --> 00:21:39.662 That patient is going to decide on their 00:21:39.741 --> 00:21:39.823 own. 00:21:40.123 --> 00:21:40.963 We make suggestions. 00:21:40.983 --> 00:21:41.663 They make decisions. 00:21:41.683 --> 00:21:42.904 They're going to decide on their own if 00:21:42.924 --> 00:21:43.885 they're going to do this or not. 00:21:44.386 --> 00:21:45.567 If you attach... 00:21:45.627 --> 00:21:46.729 I think this is what Adam is saying. 00:21:47.169 --> 00:21:47.990 If you attach... 00:21:49.704 --> 00:21:51.986 outcome to your emotion and that person's 00:21:52.006 --> 00:21:54.448 not getting better and you feel like crap 00:21:54.468 --> 00:21:57.628 because of it that's not fair and agreed 00:21:57.848 --> 00:21:59.349 that is a roller coaster ride you do 00:21:59.369 --> 00:22:00.510 not want to be on there's no way 00:22:00.530 --> 00:22:02.672 to win that game so what was the 00:22:02.711 --> 00:22:04.613 vibe of the student you know what are 00:22:04.653 --> 00:22:07.134 some of the the inspirations or the 00:22:07.193 --> 00:22:08.914 positive things you took away from that 00:22:09.015 --> 00:22:09.935 student engagement 00:22:10.625 --> 00:22:12.288 Whenever I go with a group of students, 00:22:12.327 --> 00:22:13.929 it was a hundred APTA, 00:22:14.009 --> 00:22:16.111 it was a hundred students from Colorado PT 00:22:16.411 --> 00:22:18.393 schools with APTA. 00:22:18.432 --> 00:22:21.036 First of all, if they had a tail, 00:22:21.076 --> 00:22:22.576 if they all had tails, they'd be wagging. 00:22:22.636 --> 00:22:23.458 Like they're pumped. 00:22:23.778 --> 00:22:25.460 Like that's the thing that kills me is 00:22:25.480 --> 00:22:26.800 they were ready to Kool-Aid man, 00:22:26.820 --> 00:22:28.242 run out of the room and just start 00:22:28.262 --> 00:22:28.843 helping people. 00:22:29.443 --> 00:22:31.346 And I don't wanna see them in these 00:22:31.385 --> 00:22:32.246 Facebook comments 00:22:33.126 --> 00:22:35.008 a year from now six months from now 00:22:35.067 --> 00:22:36.528 eighteen months from i just i don't want 00:22:36.548 --> 00:22:38.309 to see them like that because they're all 00:22:39.150 --> 00:22:42.751 so excited um about doing that it was 00:22:42.832 --> 00:22:44.231 also sort of unfair i gotta be honest 00:22:44.571 --> 00:22:47.394 so i'll give a nod to alice barnes 00:22:47.594 --> 00:22:50.494 alice is a pt in colorado that's where 00:22:50.555 --> 00:22:53.557 the where the little uh conclave took 00:22:53.576 --> 00:22:53.876 place 00:22:55.141 --> 00:22:56.781 She has it dialed in, man. 00:22:56.821 --> 00:22:59.483 You walk in, no beige paint, Tony. 00:22:59.964 --> 00:23:01.726 No beige paint. 00:23:01.826 --> 00:23:03.707 Cold plunge, hot plunge, infrared sun. 00:23:03.727 --> 00:23:05.127 You walk into this gym. 00:23:05.568 --> 00:23:06.749 It's three stories high. 00:23:06.769 --> 00:23:08.911 It feels like an NFL training facility. 00:23:10.872 --> 00:23:12.212 You feel like you're an athlete. 00:23:12.232 --> 00:23:13.554 It's called the performance shift. 00:23:14.275 --> 00:23:15.556 Good luck trying to get a job there 00:23:15.576 --> 00:23:16.655 because there's people probably crawling 00:23:16.695 --> 00:23:18.698 all over each other in Colorado to work 00:23:18.718 --> 00:23:18.938 with her. 00:23:18.978 --> 00:23:20.759 But imagine you're a student and you're 00:23:20.778 --> 00:23:22.381 like, look at this. 00:23:22.520 --> 00:23:24.061 I come to work every day in this 00:23:24.082 --> 00:23:24.422 gym. 00:23:24.622 --> 00:23:25.823 Not all of them are like that, 00:23:25.903 --> 00:23:27.083 but you don't have to work at all 00:23:27.123 --> 00:23:27.363 of them. 00:23:27.863 --> 00:23:29.844 You can either go find the ones or 00:23:29.884 --> 00:23:31.565 you could make the one. 00:23:31.785 --> 00:23:33.326 You could make that thing. 00:23:33.346 --> 00:23:35.686 Dave is saying that, bingo, Tony, 00:23:35.707 --> 00:23:36.386 that's what he was saying. 00:23:36.747 --> 00:23:38.048 Got a lot of interaction today. 00:23:38.508 --> 00:23:39.728 Let's go, live comments. 00:23:40.088 --> 00:23:41.449 Let's go, live comments. 00:23:41.469 --> 00:23:42.650 All right, are we done with this topic? 00:23:42.769 --> 00:23:43.289 I have more. 00:23:43.970 --> 00:23:45.490 Yeah, go to the next one. 00:23:46.124 --> 00:23:46.483 All right. 00:23:46.503 --> 00:23:47.865 Well, before we go to the next one, 00:23:47.904 --> 00:23:49.005 gentlemen, you know how this works. 00:23:49.025 --> 00:23:50.085 We got to we got to pay the 00:23:50.125 --> 00:23:50.566 bills. 00:23:50.925 --> 00:23:52.246 And this one is apropos. 00:23:53.287 --> 00:23:55.166 Today's show is also brought to you by 00:23:55.886 --> 00:23:57.627 Student Loan Stretch. 00:24:00.848 --> 00:24:02.130 The only yoga program designed 00:24:02.150 --> 00:24:03.690 specifically for health care professionals 00:24:03.710 --> 00:24:06.590 featuring popular poses like Income Based 00:24:06.631 --> 00:24:07.151 Warrior, 00:24:07.551 --> 00:24:11.093 Downward Facing Debt and the PSLF Maybe. 00:24:11.732 --> 00:24:12.933 And everybody's favorite positions, 00:24:12.993 --> 00:24:13.714 child's pose, 00:24:13.734 --> 00:24:15.296 because that's where you'll be living if 00:24:15.336 --> 00:24:16.576 tuition keeps going up. 00:24:16.656 --> 00:24:18.358 Student loan stretch, 00:24:18.638 --> 00:24:20.340 helping healthcare professionals become 00:24:20.921 --> 00:24:22.643 more flexible. 00:24:23.103 --> 00:24:23.824 All right. 00:24:23.844 --> 00:24:24.865 That's a good sponsor. 00:24:24.884 --> 00:24:25.826 Let me get that off the screen. 00:24:25.846 --> 00:24:26.705 That's why we need a producer. 00:24:27.146 --> 00:24:27.366 All right. 00:24:27.446 --> 00:24:28.107 Next topic. 00:24:28.748 --> 00:24:30.349 Should have stayed in school. 00:24:30.589 --> 00:24:32.431 Dave, I don't have the screenshot, 00:24:32.451 --> 00:24:33.833 but I'll paint the picture. 00:24:33.893 --> 00:24:34.953 I think I can paint the picture. 00:24:34.973 --> 00:24:37.075 This was a buddy of yours from high 00:24:37.115 --> 00:24:38.317 school or college, right? 00:24:38.876 --> 00:24:39.997 Construction worker? 00:24:40.857 --> 00:24:41.018 No, 00:24:42.337 --> 00:24:44.719 a weekend baseball player on another team. 00:24:45.699 --> 00:24:47.578 And he's in a manhole. 00:24:47.618 --> 00:24:48.940 It's ninety two degrees. 00:24:49.259 --> 00:24:51.700 These captions says should have stayed in 00:24:51.759 --> 00:24:53.121 school. 00:24:53.141 --> 00:24:54.520 The funny thing, though, again, 00:24:54.681 --> 00:24:56.001 if you ask enough health care workers, 00:24:56.041 --> 00:24:57.981 they'll tell you maybe I should have 00:24:58.602 --> 00:25:00.803 started an HVAC company or climbed in 00:25:00.843 --> 00:25:01.583 manholes. 00:25:01.883 --> 00:25:03.042 And I think I responded, man, 00:25:03.063 --> 00:25:04.584 the grass is always greener when there's 00:25:04.604 --> 00:25:04.743 some. 00:25:05.785 --> 00:25:07.826 fertilizer on it right so it's green where 00:25:07.846 --> 00:25:09.526 you water it so every profession thinks 00:25:09.546 --> 00:25:11.086 the grass is greener construction has 00:25:11.126 --> 00:25:12.527 physical wear and tear health care has 00:25:12.567 --> 00:25:17.209 emotional wear and tear neither is free so 00:25:17.348 --> 00:25:18.609 for both of you and since we have 00:25:18.650 --> 00:25:20.250 people watching i guess the first question 00:25:20.269 --> 00:25:22.351 would be would you still become a pt 00:25:22.391 --> 00:25:23.971 again i i think i could answer for 00:25:24.031 --> 00:25:27.573 both of you i think yes 00:25:30.111 --> 00:25:30.171 Yes. 00:25:30.191 --> 00:25:30.990 Yeah, I think I would. 00:25:31.090 --> 00:25:33.613 I, you know, the, the information, 00:25:33.673 --> 00:25:35.834 I would become a PT again for the 00:25:35.913 --> 00:25:39.076 information, the experience, 00:25:39.135 --> 00:25:42.758 the connections, but you know, how, 00:25:42.998 --> 00:25:45.880 the question now is how would you be 00:25:46.039 --> 00:25:47.401 a different PT? 00:25:47.721 --> 00:25:48.981 Because gotta go back. 00:25:49.001 --> 00:25:52.084 I became an official PT in two thousand 00:25:52.163 --> 00:25:52.503 six. 00:25:52.544 --> 00:25:53.644 That was a different world. 00:25:53.663 --> 00:25:54.704 That was twenty years ago. 00:25:55.965 --> 00:25:57.727 How would I become a PT today? 00:25:59.585 --> 00:26:00.705 That's a good one to think about. 00:26:00.746 --> 00:26:02.167 For me, I was already, 00:26:03.790 --> 00:26:04.952 it was before I was engaged, 00:26:04.992 --> 00:26:06.855 but my wife was right out of the 00:26:06.875 --> 00:26:08.136 school living back here in Brooklyn. 00:26:08.377 --> 00:26:09.338 If I could do it over again, 00:26:09.679 --> 00:26:11.020 I would have come up here in twenty 00:26:11.101 --> 00:26:12.683 eleven, twenty twelve, 00:26:13.398 --> 00:26:15.040 and just started concierge pain relief 00:26:15.060 --> 00:26:15.340 then. 00:26:15.721 --> 00:26:15.882 Right. 00:26:15.902 --> 00:26:16.481 But it's like, I didn't, 00:26:16.541 --> 00:26:17.923 I didn't have all those skills and all 00:26:17.963 --> 00:26:19.724 the knowledge and the, and the, 00:26:19.925 --> 00:26:22.508 the fearlessness and the gumption and all 00:26:22.667 --> 00:26:23.128 the grit. 00:26:23.348 --> 00:26:23.489 I mean, 00:26:23.528 --> 00:26:24.390 I had some of the grit cause I 00:26:24.410 --> 00:26:26.372 did the initial, but I would, 00:26:26.551 --> 00:26:27.492 I would have done it sooner. 00:26:27.553 --> 00:26:27.732 Right. 00:26:27.792 --> 00:26:28.433 I mean, 00:26:28.473 --> 00:26:30.536 who knows how much larger the practice 00:26:30.556 --> 00:26:31.096 would be right now, 00:26:31.176 --> 00:26:32.738 but can't change any of that. 00:26:32.858 --> 00:26:33.298 So yeah, 00:26:35.330 --> 00:26:36.811 What I think is interesting now that I'm 00:26:36.852 --> 00:26:37.751 thinking about it. 00:26:37.892 --> 00:26:39.853 So as you guys know, 00:26:40.153 --> 00:26:41.073 I became a PT. 00:26:41.133 --> 00:26:43.034 I already had a physical therapy practice. 00:26:43.074 --> 00:26:44.574 We already had two locations, 00:26:44.634 --> 00:26:45.394 opened a third. 00:26:46.515 --> 00:26:48.756 But I ultimately became a PT to be 00:26:48.796 --> 00:26:49.635 a personal trainer. 00:26:49.695 --> 00:26:50.996 I was already a strength coach. 00:26:51.036 --> 00:26:52.936 I was already a personal trainer in my 00:26:52.997 --> 00:26:54.317 mind then and now. 00:26:55.538 --> 00:26:58.939 The reason why going that route was to 00:26:58.979 --> 00:27:00.759 become a better personal trainer. 00:27:01.579 --> 00:27:03.804 not to be necessarily a physical 00:27:03.844 --> 00:27:04.223 therapist. 00:27:04.263 --> 00:27:06.067 It gave me a license to bill insurance 00:27:06.086 --> 00:27:07.068 for personal training. 00:27:07.409 --> 00:27:09.772 That is effectively why I became a PT. 00:27:09.792 --> 00:27:12.135 It gave me a license to bill insurance 00:27:12.176 --> 00:27:13.137 for personal training, 00:27:13.397 --> 00:27:15.060 to make people fitter, healthier, 00:27:15.101 --> 00:27:15.501 stronger. 00:27:16.596 --> 00:27:17.737 Well, let me ask this question. 00:27:17.856 --> 00:27:20.778 As Angie says, she would become an SLP, 00:27:21.359 --> 00:27:22.701 but would definitely start private 00:27:22.721 --> 00:27:24.801 practice sooner and make the change. 00:27:24.981 --> 00:27:26.923 Class of two thousand and eight is is 00:27:27.044 --> 00:27:27.284 Angie. 00:27:27.304 --> 00:27:28.125 Thanks for chiming in. 00:27:28.944 --> 00:27:31.067 Most of the time when people give this 00:27:31.426 --> 00:27:34.670 regret, it's I wish I went bigger sooner. 00:27:34.710 --> 00:27:35.250 My question. 00:27:36.835 --> 00:27:40.955 My question to her, why become an SLP? 00:27:41.316 --> 00:27:43.356 Like you want to be a business owner. 00:27:43.916 --> 00:27:45.416 I was already a business owner. 00:27:45.557 --> 00:27:48.198 I already had two to three locations. 00:27:48.798 --> 00:27:50.739 Then I became a physical therapist because 00:27:51.138 --> 00:27:52.538 I wanted that next step. 00:27:52.578 --> 00:27:53.298 It was a hobby. 00:27:53.338 --> 00:27:55.299 It was recreation. 00:27:55.480 --> 00:27:57.080 If, you know, and I go back, 00:27:57.740 --> 00:27:59.840 a business owner is a business owner. 00:27:59.901 --> 00:28:01.481 It is a full-time occupation. 00:28:01.642 --> 00:28:03.422 It is a job and a title and 00:28:03.442 --> 00:28:05.702 a profession all in of itself. 00:28:06.623 --> 00:28:08.964 why even go the SLP route? 00:28:08.984 --> 00:28:10.246 You can hire SLPs. 00:28:11.007 --> 00:28:13.689 You can, you know, have ten SLPs, 00:28:14.028 --> 00:28:15.769 whereas if you become the SLP, 00:28:15.790 --> 00:28:19.272 you can only have one SLP. 00:28:20.453 --> 00:28:21.474 So let me ask this question, 00:28:22.536 --> 00:28:24.396 and this is fitting for both of you. 00:28:24.416 --> 00:28:25.678 If your son or daughter wanted to become 00:28:25.698 --> 00:28:28.601 a PT tomorrow, would you encourage them? 00:28:28.740 --> 00:28:29.000 Tony, 00:28:29.020 --> 00:28:30.241 you've got kids that are a little older. 00:28:30.402 --> 00:28:30.721 Dave, 00:28:30.741 --> 00:28:32.564 you've got one that's a little younger. 00:28:34.113 --> 00:28:35.015 So what would you say? 00:28:35.375 --> 00:28:36.357 One of your kids, Tony, 00:28:36.518 --> 00:28:37.901 your kids are high school age, right? 00:28:37.941 --> 00:28:38.741 If they walked in and said, 00:28:38.761 --> 00:28:39.604 I want to be a PT, 00:28:40.045 --> 00:28:40.866 do they have any interest? 00:28:40.886 --> 00:28:41.827 I think you said they didn't. 00:28:41.847 --> 00:28:42.971 They were doing other things, right? 00:28:44.182 --> 00:28:44.343 Yeah, 00:28:44.403 --> 00:28:46.163 nobody has an interest in it right now. 00:28:47.164 --> 00:28:49.105 But we are talking all the time about 00:28:49.145 --> 00:28:50.507 like, what do my kids want to do? 00:28:50.586 --> 00:28:52.307 What are they appropriate for? 00:28:53.808 --> 00:28:55.670 I think you have to look at personality 00:28:55.950 --> 00:28:57.671 is one of them, which, you know, 00:28:58.151 --> 00:28:59.251 do they want a job? 00:28:59.291 --> 00:29:00.192 Do they want a W-II? 00:29:00.231 --> 00:29:01.752 Do they want to clock in, clock out, 00:29:01.792 --> 00:29:03.594 go home and not thinking about anything 00:29:03.634 --> 00:29:04.275 during the day? 00:29:04.855 --> 00:29:06.135 Are they going to work and stay in 00:29:06.155 --> 00:29:06.796 the profession? 00:29:06.816 --> 00:29:08.037 Like, I've got all boys. 00:29:08.457 --> 00:29:10.699 There's not going to be a maternity leave. 00:29:10.719 --> 00:29:12.240 There's not going to be that time. 00:29:12.380 --> 00:29:13.921 Even if they want to be there like 00:29:14.020 --> 00:29:15.261 I was with the kids, 00:29:15.741 --> 00:29:17.303 it's not the same as being a woman 00:29:17.323 --> 00:29:18.324 who's going to get pregnant, 00:29:18.364 --> 00:29:19.904 who's going to leave the profession for a 00:29:19.984 --> 00:29:21.185 predetermined amount of time. 00:29:21.746 --> 00:29:23.527 So from my perspective, 00:29:24.008 --> 00:29:25.808 if somebody wants a W-II, 00:29:26.148 --> 00:29:28.671 work forty hours a week, have benefits, 00:29:28.730 --> 00:29:29.832 work for a hospital, 00:29:30.592 --> 00:29:31.913 Okay, go ahead and do it. 00:29:32.073 --> 00:29:32.432 You know, 00:29:33.114 --> 00:29:35.875 I would rather you make your money first, 00:29:36.276 --> 00:29:38.237 you build your nest egg first, 00:29:38.856 --> 00:29:41.638 then go back and do what I would 00:29:41.679 --> 00:29:44.059 consider a career that doesn't pay enough 00:29:44.119 --> 00:29:46.442 to afford the education. 00:29:47.001 --> 00:29:48.442 But you're doing it for joy. 00:29:48.762 --> 00:29:50.104 Again, just like I did. 00:29:50.144 --> 00:29:51.003 That's my bias. 00:29:52.085 --> 00:29:54.365 I can't break away from what felt 00:29:54.405 --> 00:29:55.166 comfortable to me. 00:29:56.576 --> 00:29:57.855 This might be a hard question for David 00:29:57.875 --> 00:29:59.876 to answer just because your son's so 00:29:59.916 --> 00:30:00.176 young. 00:30:00.196 --> 00:30:00.517 I mean, 00:30:00.557 --> 00:30:01.896 who the hell knows what PT is going 00:30:01.916 --> 00:30:03.538 to look like in three years, never mind, 00:30:03.657 --> 00:30:04.577 you know, eighteen years. 00:30:04.637 --> 00:30:06.778 But what are your thoughts? 00:30:07.178 --> 00:30:08.659 If you had a nephew or something who 00:30:08.679 --> 00:30:10.098 was five years away from high school 00:30:10.118 --> 00:30:10.699 graduation, 00:30:10.739 --> 00:30:12.239 would that be something you'd push? 00:30:14.220 --> 00:30:15.099 Totally, yeah, 00:30:15.240 --> 00:30:18.240 but I would want them to know the 00:30:18.800 --> 00:30:19.740 market forces, 00:30:19.820 --> 00:30:22.101 which you don't learn about until you 00:30:22.121 --> 00:30:23.201 become a professional, 00:30:23.281 --> 00:30:24.321 at least in health care. 00:30:25.088 --> 00:30:25.789 the market forces, 00:30:25.829 --> 00:30:28.032 meaning the cap in payment reimbursement 00:30:28.074 --> 00:30:29.635 and a little bit, you know, in general, 00:30:29.655 --> 00:30:30.917 a little bit more volume, 00:30:31.657 --> 00:30:33.318 compared to like the self padded network 00:30:33.338 --> 00:30:33.519 stuff, 00:30:33.538 --> 00:30:35.500 which I think every single year now is 00:30:35.559 --> 00:30:37.201 like becoming more and more acceptable. 00:30:37.280 --> 00:30:39.622 It's becoming more and more known. 00:30:39.642 --> 00:30:41.643 Uh, I've, I'm, I'm a, 00:30:41.682 --> 00:30:42.804 I'm trying to get out of doing the 00:30:42.824 --> 00:30:44.404 callbacks for concierge pain relief and 00:30:44.424 --> 00:30:46.165 I'm about to hire some virtual front desk, 00:30:46.185 --> 00:30:47.905 but doing all these calls for the last 00:30:47.987 --> 00:30:48.366 eight years, 00:30:48.386 --> 00:30:49.787 like there's definitely a trend in more 00:30:49.826 --> 00:30:51.989 people being like, Oh yeah, all right. 00:30:52.009 --> 00:30:53.648 Like out of pocket or, you know, even, 00:30:54.069 --> 00:30:54.349 Oh, okay. 00:30:54.390 --> 00:30:55.089 Three fifty, whatever. 00:30:55.109 --> 00:30:57.090 Like less and less people balking more and 00:30:57.111 --> 00:30:58.392 more people paying out of pocket. 00:30:58.791 --> 00:31:01.752 So the nephew or the family member, 00:31:01.853 --> 00:31:03.452 if we're giving advice, at least for me, 00:31:04.252 --> 00:31:05.732 I would say, yes, do it. 00:31:06.013 --> 00:31:08.233 But know that you got to know the 00:31:08.253 --> 00:31:08.574 game. 00:31:08.854 --> 00:31:10.594 And it's really hard, I think, 00:31:10.634 --> 00:31:13.775 to teach or to convey the game of 00:31:13.795 --> 00:31:15.935 whatever industry it is or whatever sector 00:31:16.036 --> 00:31:18.955 of health care to someone who is eighteen 00:31:18.976 --> 00:31:19.895 to twenty four years old. 00:31:20.336 --> 00:31:21.777 Like they could hear it, 00:31:22.156 --> 00:31:22.916 but do they get it? 00:31:23.376 --> 00:31:24.957 And does it does it actually like does 00:31:24.977 --> 00:31:26.317 it actually get through the noggin? 00:31:26.397 --> 00:31:27.278 You know what I mean? 00:31:27.557 --> 00:31:27.637 Yeah. 00:31:28.634 --> 00:31:30.316 I think what's interesting in that 00:31:30.355 --> 00:31:31.497 question real quick, too, 00:31:31.616 --> 00:31:34.199 is when I was younger in my late 00:31:34.239 --> 00:31:35.941 teens, early twenties, it was like, 00:31:36.020 --> 00:31:37.321 what's a stable job? 00:31:37.481 --> 00:31:38.962 I'm going to go get a stable job. 00:31:39.163 --> 00:31:40.904 Like what's job security? 00:31:40.924 --> 00:31:43.106 And that was part of, you know, 00:31:43.126 --> 00:31:44.448 some people are always going to get hurt. 00:31:44.528 --> 00:31:45.628 People are always going to need the 00:31:45.669 --> 00:31:46.849 services we can deliver, 00:31:46.910 --> 00:31:48.490 whether it's called physical therapy or 00:31:48.530 --> 00:31:48.691 not. 00:31:49.511 --> 00:31:52.854 Now I find myself thinking less about what 00:31:52.894 --> 00:31:54.796 is the right job and more what are 00:31:54.836 --> 00:31:56.696 the personality traits of the kid? 00:31:57.217 --> 00:31:59.919 You know, like, what are they curious? 00:32:00.078 --> 00:32:02.601 Are they more technical? 00:32:03.161 --> 00:32:04.162 What are they looking for? 00:32:04.182 --> 00:32:05.541 What's going to satisfy them? 00:32:06.623 --> 00:32:09.005 If I understand the kid, the personality, 00:32:09.065 --> 00:32:10.625 the culture they were raised in, 00:32:10.965 --> 00:32:12.727 then I feel more comfortable making 00:32:12.787 --> 00:32:14.667 recommendations about things they can do. 00:32:14.688 --> 00:32:15.788 All right. 00:32:15.828 --> 00:32:16.730 So in that vein, 00:32:16.750 --> 00:32:17.950 this will be the last question I ask 00:32:17.990 --> 00:32:18.631 on this topic. 00:32:21.817 --> 00:32:24.239 who's selling or who's communicating this 00:32:24.298 --> 00:32:25.740 because before i said there's a difference 00:32:25.779 --> 00:32:27.500 between expectation and reality that's 00:32:27.540 --> 00:32:30.584 where the friction lies so who's actually 00:32:30.683 --> 00:32:33.645 selling this because if you're in college 00:32:33.746 --> 00:32:35.988 it's going to be a university a pt 00:32:36.008 --> 00:32:37.449 program selling they're going to create 00:32:37.469 --> 00:32:38.970 the brochure if it's a private 00:32:38.990 --> 00:32:40.672 practitioner they're going to create a 00:32:40.692 --> 00:32:41.632 different picture because they're looking 00:32:41.672 --> 00:32:43.673 for something different so does our 00:32:43.713 --> 00:32:46.076 profession oversell or i should say 00:32:47.449 --> 00:32:51.531 clearly sell the actual career is that is 00:32:51.592 --> 00:32:55.895 that the disconnect could that be it gosh 00:32:56.816 --> 00:32:59.439 i don't i don't know um i i 00:32:59.479 --> 00:33:02.941 still think there's a message that says 00:33:03.020 --> 00:33:05.083 you're always going to have a job right 00:33:05.303 --> 00:33:06.804 maybe it's not paying you enough but 00:33:06.824 --> 00:33:08.266 you're always going to have a job there's 00:33:08.326 --> 00:33:09.866 always going to be a demand there's always 00:33:09.906 --> 00:33:10.606 going to be a need 00:33:11.428 --> 00:33:13.009 Where is that coming from? 00:33:13.911 --> 00:33:16.413 Probably more the employer than the 00:33:16.573 --> 00:33:17.173 university. 00:33:17.694 --> 00:33:20.678 The university, and we see those messages, 00:33:21.097 --> 00:33:23.319 they're going to sell their time in 00:33:23.380 --> 00:33:23.780 school. 00:33:24.101 --> 00:33:25.281 You want to take eight years, 00:33:25.321 --> 00:33:27.785 twelve years, stay a student for life, 00:33:27.825 --> 00:33:29.445 don't ever stop learning, you know, 00:33:29.906 --> 00:33:31.288 and keep paying us our tuition. 00:33:31.749 --> 00:33:32.509 Like, yeah, 00:33:32.569 --> 00:33:34.731 so they have their motivations. 00:33:35.992 --> 00:33:38.733 The APTA messaging, I mean, 00:33:38.753 --> 00:33:40.414 that's really hard because now you're 00:33:40.454 --> 00:33:42.695 talking across the entire scope of the 00:33:42.736 --> 00:33:45.498 profession from pediatric to geriatric to 00:33:45.538 --> 00:33:48.638 neuro to ortho to employee to independent. 00:33:50.460 --> 00:33:50.859 I don't know. 00:33:50.980 --> 00:33:52.340 I don't know where the messaging comes 00:33:52.361 --> 00:33:54.501 from or what even the messaging should be. 00:33:58.364 --> 00:33:59.025 What do you think, Dave? 00:33:59.045 --> 00:34:00.846 Does the profession over or mis-sell the 00:34:00.865 --> 00:34:01.145 career? 00:34:01.165 --> 00:34:03.106 Is that where the friction starts? 00:34:05.936 --> 00:34:06.499 It's hard. 00:34:09.094 --> 00:34:09.454 I mean, 00:34:09.594 --> 00:34:11.896 I feel like either they undersell it or 00:34:11.996 --> 00:34:13.976 they just kind of here it is. 00:34:14.237 --> 00:34:14.657 And like, 00:34:14.717 --> 00:34:15.797 you've got to kind of figure it out 00:34:15.836 --> 00:34:18.018 later if it truly was for you. 00:34:18.217 --> 00:34:19.838 And you don't fully know until you get 00:34:19.878 --> 00:34:20.119 into it, 00:34:20.159 --> 00:34:21.878 maybe in terms of like the volume and 00:34:21.898 --> 00:34:22.518 the demands. 00:34:23.440 --> 00:34:23.920 But again, 00:34:23.960 --> 00:34:25.260 just circling back to the whole burnout 00:34:25.280 --> 00:34:25.420 thing, 00:34:25.480 --> 00:34:27.721 it's like there's certain people that are 00:34:27.760 --> 00:34:28.181 going, 00:34:28.201 --> 00:34:29.722 there's a lot of therapists that are going 00:34:29.742 --> 00:34:32.722 through the same type of productivity 00:34:32.762 --> 00:34:34.782 demands and, you know, 00:34:35.103 --> 00:34:36.403 patient volume and all that. 00:34:36.929 --> 00:34:40.291 that don't complain right so it's like i 00:34:40.331 --> 00:34:41.791 think it's it's a hard question because 00:34:41.811 --> 00:34:43.512 you're asking how to how do all these 00:34:43.532 --> 00:34:45.554 people respond in the same type of like 00:34:45.594 --> 00:34:47.815 job environment or the same type of you 00:34:47.835 --> 00:34:55.639 know work uh and role all right um 00:34:55.679 --> 00:34:57.300 let's move to another topic tony you 00:34:57.320 --> 00:34:59.483 shared a or i think you tagged me 00:34:59.563 --> 00:35:01.384 in a screenshot on facebook 00:35:02.539 --> 00:35:05.880 You sort of had ChatGPT do an analysis 00:35:06.181 --> 00:35:07.842 of all of your social channels. 00:35:07.862 --> 00:35:11.402 And I thought this was pretty informative. 00:35:11.443 --> 00:35:13.443 You sort of uploaded all of your details 00:35:13.483 --> 00:35:15.784 and all of your views and everything from 00:35:15.804 --> 00:35:16.684 the last couple of months. 00:35:17.644 --> 00:35:19.425 And ChatGPT gave you sort of like a 00:35:19.485 --> 00:35:21.505 consultant level analysis. 00:35:21.907 --> 00:35:22.786 Why'd you do it? 00:35:22.847 --> 00:35:23.567 What did it say? 00:35:23.626 --> 00:35:25.027 And how could someone else use that? 00:35:25.447 --> 00:35:28.568 Yeah, you would love this stuff. 00:35:28.748 --> 00:35:31.409 So inside of Meta, 00:35:32.358 --> 00:35:33.277 I've been using all three. 00:35:33.898 --> 00:35:36.278 Inside of Meta, on my business page, 00:35:36.318 --> 00:35:38.318 there's called the Creative Assistant, 00:35:38.358 --> 00:35:39.039 I think it's called. 00:35:39.579 --> 00:35:40.900 It's the Meta AI. 00:35:41.539 --> 00:35:43.340 You can only access it through your cell 00:35:43.360 --> 00:35:45.800 phone, through the app. 00:35:45.880 --> 00:35:46.681 And basically, 00:35:47.141 --> 00:35:49.201 it has access to all of the comments 00:35:49.340 --> 00:35:50.782 on all of your Facebook posts. 00:35:50.842 --> 00:35:52.001 It's got your analytics. 00:35:52.021 --> 00:35:52.641 It's got everything. 00:35:52.661 --> 00:35:54.722 It's the only way I have found to 00:35:54.822 --> 00:35:56.382 get all of that information. 00:35:57.103 --> 00:35:59.523 it gives me feedback on what's doing well 00:35:59.744 --> 00:36:01.945 what the meta algorithm thinks is doing 00:36:01.985 --> 00:36:04.166 well what's what maybe could be improved 00:36:04.806 --> 00:36:06.045 then i take some of that stuff i 00:36:06.085 --> 00:36:07.987 throw it into chat gpt and gemini i'm 00:36:08.027 --> 00:36:10.347 like hey analyze these analytics tell me 00:36:10.427 --> 00:36:12.068 you know the messaging and create 00:36:12.427 --> 00:36:16.630 categories the photos i made a thousand 00:36:16.670 --> 00:36:20.630 dollars in seven days just posting photos 00:36:20.811 --> 00:36:21.972 on facebook last week 00:36:22.512 --> 00:36:23.534 That's crazy. 00:36:24.135 --> 00:36:27.800 I had eighteen million views in the twenty 00:36:27.840 --> 00:36:28.963 eight day analytics, 00:36:29.003 --> 00:36:31.067 but most of those views came last week. 00:36:32.909 --> 00:36:35.351 And so now as I'm learning and 00:36:35.411 --> 00:36:36.751 understanding a lot of this, 00:36:37.291 --> 00:36:40.351 the AIs are giving me, you know, 00:36:40.851 --> 00:36:42.472 obviously post recommendations, 00:36:42.532 --> 00:36:44.552 has given me wording recommendations, 00:36:44.952 --> 00:36:46.213 but more than anything, I just, 00:36:46.313 --> 00:36:49.413 I like to see what the AI says 00:36:49.914 --> 00:36:51.534 and how the AI interprets it. 00:36:51.574 --> 00:36:52.893 Just like I asked Dave, I'm like, Dave, 00:36:52.914 --> 00:36:54.434 what do you think about this situation? 00:36:54.894 --> 00:36:58.114 I like to hear his perspective because it 00:36:58.175 --> 00:37:00.536 helps me develop my perspective. 00:37:01.775 --> 00:37:04.237 But so many of the elements there, 00:37:04.297 --> 00:37:04.538 I think, 00:37:04.577 --> 00:37:07.641 are useful for therapists that are trying 00:37:07.701 --> 00:37:10.063 to get their social media up and running. 00:37:13.766 --> 00:37:15.266 You bounced it off to get my input, 00:37:15.286 --> 00:37:16.268 but you're the master. 00:37:16.307 --> 00:37:17.509 I mean, we're here, 00:37:17.648 --> 00:37:18.530 especially both of you, 00:37:18.550 --> 00:37:20.311 with social media posting and the amount 00:37:20.351 --> 00:37:20.791 of views... 00:37:21.474 --> 00:37:23.434 that you get tony is just i mean 00:37:23.614 --> 00:37:24.735 i showed my wife the other day i'm 00:37:24.775 --> 00:37:26.356 like something about what i think was was 00:37:26.456 --> 00:37:28.137 this post about seven million views or 00:37:28.297 --> 00:37:30.398 some other post even my mom in new 00:37:30.458 --> 00:37:32.679 jersey screenshots tony's and jimmy's 00:37:32.699 --> 00:37:33.659 stuff and she's like oh my god i 00:37:33.679 --> 00:37:34.780 can't believe how many views this guy 00:37:35.019 --> 00:37:35.981 these guys are crushing it 00:37:37.333 --> 00:37:38.894 And my mom's like, you know, 00:37:39.034 --> 00:37:40.376 obviously my supporter, no matter what, 00:37:40.396 --> 00:37:41.938 she's like, you're crushing it too, Dave. 00:37:41.958 --> 00:37:43.280 You know, my mom and I'm like, 00:37:43.340 --> 00:37:49.204 my YouTube gets and Tony's getting, 00:37:49.364 --> 00:37:49.585 you know, 00:37:49.686 --> 00:37:51.106 seven million on a post or whatever. 00:37:51.126 --> 00:37:51.688 It's just crazy. 00:37:51.728 --> 00:37:53.889 But it's just it's just hilarious. 00:37:53.909 --> 00:37:54.811 But, you know, 00:37:55.271 --> 00:37:56.251 huge fan of what you guys doing. 00:37:56.311 --> 00:37:56.672 Obviously, 00:37:56.733 --> 00:37:58.534 Tony's just like bonkers with the views. 00:37:59.574 --> 00:38:00.695 I think if there's a lesson at all 00:38:00.715 --> 00:38:03.038 is you do stuff and you see what 00:38:03.057 --> 00:38:04.458 succeeds, you see what fails. 00:38:04.518 --> 00:38:05.679 This is PT, right? 00:38:06.820 --> 00:38:07.960 The talk I gave this weekend, 00:38:07.981 --> 00:38:09.041 to come back to it again, 00:38:09.121 --> 00:38:10.822 one of the slides had the FIT VP 00:38:10.862 --> 00:38:12.943 principle, frequency, intensity, time, 00:38:13.003 --> 00:38:14.764 type, volume, and progression. 00:38:15.144 --> 00:38:15.465 I said, 00:38:15.505 --> 00:38:16.847 there's your acronym if you want to write 00:38:16.867 --> 00:38:17.067 it down. 00:38:17.106 --> 00:38:19.608 Kids, take a picture of this slide. 00:38:19.807 --> 00:38:21.088 Those are exercise principles, 00:38:21.108 --> 00:38:22.730 but they're also communication principles. 00:38:22.769 --> 00:38:24.070 They're also business principles. 00:38:24.090 --> 00:38:25.532 They're also parenting principles. 00:38:26.012 --> 00:38:27.574 Frequency, intensity, time, type, volume, 00:38:27.594 --> 00:38:28.054 and progression. 00:38:29.391 --> 00:38:30.213 A year ago, 00:38:30.733 --> 00:38:32.317 it was all about short form reels, 00:38:32.436 --> 00:38:33.137 the short, you know, 00:38:33.157 --> 00:38:35.282 the the fifteen to thirty five. 00:38:35.422 --> 00:38:38.246 And now Facebook says there's too many 00:38:38.306 --> 00:38:39.228 people doing it. 00:38:39.307 --> 00:38:40.050 It's swamped. 00:38:40.449 --> 00:38:41.632 So we are going to show you we're 00:38:41.652 --> 00:38:43.574 going to move the carrot over here and 00:38:43.594 --> 00:38:43.695 we're 00:38:46.088 --> 00:38:47.449 are going to know that images are the 00:38:47.489 --> 00:38:49.050 thing to do now, or text posts. 00:38:49.210 --> 00:38:51.170 LinkedIn a year ago was like, 00:38:51.210 --> 00:38:52.291 we want to be in the short form 00:38:52.311 --> 00:38:52.751 video game. 00:38:52.771 --> 00:38:54.211 We'll encourage you with added 00:38:54.871 --> 00:38:55.492 impressions. 00:38:55.932 --> 00:38:57.373 And now that thing's a desert, I mean, 00:38:57.393 --> 00:38:58.934 I don't even bother sharing a short form 00:38:58.954 --> 00:38:59.173 video. 00:39:00.094 --> 00:39:01.034 I don't even go image. 00:39:01.094 --> 00:39:02.534 I go only text on LinkedIn. 00:39:03.632 --> 00:39:05.675 But I pay attention to that right you 00:39:05.695 --> 00:39:06.976 got to pay attention to these things or 00:39:07.036 --> 00:39:08.157 have someone that pays attention, 00:39:08.177 --> 00:39:09.579 but if I were to say anything would 00:39:09.599 --> 00:39:11.541 be frequency intensity time type volume of 00:39:11.581 --> 00:39:12.023 progression. 00:39:12.443 --> 00:39:14.204 Those are exercise principles and there's 00:39:14.346 --> 00:39:15.726 those are those are communication 00:39:15.746 --> 00:39:16.168 principles. 00:39:16.617 --> 00:39:16.858 Yeah, 00:39:16.898 --> 00:39:19.920 the same exact lessons we learn in the 00:39:19.940 --> 00:39:21.922 clinic apply to social media, 00:39:21.942 --> 00:39:23.943 apply to everything in life, really. 00:39:24.023 --> 00:39:25.824 Even marriage advice, like, 00:39:26.565 --> 00:39:28.166 it can come out of the physical therapy 00:39:28.206 --> 00:39:28.545 clinic. 00:39:28.907 --> 00:39:30.367 We apply those principles. 00:39:30.407 --> 00:39:31.148 You do the reps. 00:39:31.168 --> 00:39:32.068 You do the hard things. 00:39:32.088 --> 00:39:33.789 You face the challenges, you know. 00:39:35.090 --> 00:39:37.413 But I will say, like, I left... 00:39:37.813 --> 00:39:39.193 pretty much a hundred percent left 00:39:39.233 --> 00:39:39.775 LinkedIn. 00:39:40.355 --> 00:39:41.836 I gave it a solid year, 00:39:41.876 --> 00:39:42.697 year and a half. 00:39:42.797 --> 00:39:44.378 I just wasn't getting the return on the 00:39:44.418 --> 00:39:45.039 investment. 00:39:45.139 --> 00:39:47.601 And it was cutting my focus away. 00:39:48.181 --> 00:39:49.523 So that's why I moved. 00:39:49.583 --> 00:39:51.485 And then when Facebook took off, 00:39:51.545 --> 00:39:52.365 I was just like, 00:39:52.847 --> 00:39:54.108 I'm still gaining fourteen, 00:39:54.128 --> 00:39:56.389 fifteen thousand followers a month on 00:39:56.429 --> 00:39:57.090 Facebook. 00:39:58.451 --> 00:40:00.572 It's the fastest platform for me right 00:40:00.632 --> 00:40:00.871 now. 00:40:00.931 --> 00:40:02.012 It's the most effective. 00:40:02.032 --> 00:40:03.333 It's paying me the most money. 00:40:04.753 --> 00:40:06.153 But at some point that'll change. 00:40:06.815 --> 00:40:07.994 I'm not attached to it. 00:40:08.074 --> 00:40:10.755 I know that something's going to change. 00:40:11.297 --> 00:40:12.777 That's not going to be as exciting of 00:40:12.797 --> 00:40:14.717 an opportunity as it is today. 00:40:15.197 --> 00:40:16.478 And then I'll move on to the next 00:40:16.498 --> 00:40:16.739 thing. 00:40:17.239 --> 00:40:17.539 You know, 00:40:17.579 --> 00:40:20.139 we're going back to the profession of 00:40:20.179 --> 00:40:21.079 physical therapy. 00:40:21.179 --> 00:40:24.402 If you are not changing the profession of 00:40:24.461 --> 00:40:26.501 physical therapy today is not the 00:40:26.541 --> 00:40:27.041 profession. 00:40:27.101 --> 00:40:28.983 It was twenty years ago when I became 00:40:29.043 --> 00:40:29.563 licensed. 00:40:30.123 --> 00:40:31.063 It's not the profession. 00:40:31.083 --> 00:40:33.605 My wife was in twenty five or thirty 00:40:33.625 --> 00:40:36.405 years ago. 00:40:36.746 --> 00:40:36.985 Yeah. 00:40:37.065 --> 00:40:39.487 And I don't think that's a big shock, 00:40:40.007 --> 00:40:40.327 Tony, 00:40:40.387 --> 00:40:43.648 because there's more consumers like your 00:40:43.688 --> 00:40:45.768 content is your you like the consumer 00:40:45.789 --> 00:40:45.989 experience. 00:40:47.170 --> 00:40:48.831 production, like the consumer content, 00:40:49.210 --> 00:40:50.652 the biggest tam, 00:40:50.692 --> 00:40:52.072 like the total addressable market, 00:40:52.112 --> 00:40:53.672 the biggest, the biggest, you know, 00:40:53.733 --> 00:40:54.434 mass audience. 00:40:54.934 --> 00:40:56.295 And LinkedIn is just all of us. 00:40:56.315 --> 00:40:59.416 It's just all the professionals, you know, 00:40:59.436 --> 00:41:00.416 it's a smaller pond, right? 00:41:00.456 --> 00:41:01.356 So that makes sense. 00:41:01.376 --> 00:41:01.556 Like, 00:41:01.817 --> 00:41:04.878 that's the same thing why you were doing 00:41:04.938 --> 00:41:07.579 more of like the like Instagram and 00:41:07.619 --> 00:41:09.380 Facebook posts are just around total knee 00:41:09.420 --> 00:41:10.422 replacement as opposed to 00:41:11.414 --> 00:41:12.474 I think LinkedIn, 00:41:12.494 --> 00:41:13.855 you were doing some total knee stuff, 00:41:13.875 --> 00:41:15.074 but then you were also maybe you were 00:41:15.094 --> 00:41:16.635 kind of doing some like Medicare stuff and 00:41:16.655 --> 00:41:17.856 clinician stuff over the years. 00:41:17.896 --> 00:41:19.677 But yeah, that makes sense. 00:41:19.697 --> 00:41:21.976 What's interesting now is as I move, 00:41:22.018 --> 00:41:24.637 so I asked chat GPT and Gemini both 00:41:24.878 --> 00:41:27.599 and meta, I'm like, Hey, do I have, 00:41:27.639 --> 00:41:27.958 you know, 00:41:28.039 --> 00:41:31.280 what it takes to be the biggest total 00:41:31.300 --> 00:41:34.621 knee replacement resource on Facebook? 00:41:35.702 --> 00:41:36.902 And what are you pointing at? 00:41:36.922 --> 00:41:38.322 I was gonna say, what did it say? 00:41:38.880 --> 00:41:39.260 Oh, 00:41:39.300 --> 00:41:42.963 so it said there is no established like 00:41:43.184 --> 00:41:46.206 resource that everybody goes to with your 00:41:46.246 --> 00:41:46.726 growth. 00:41:46.786 --> 00:41:48.369 And the big thing it was telling me 00:41:48.409 --> 00:41:50.230 about all the growth I had last week 00:41:50.731 --> 00:41:54.454 was I am getting the majority of non 00:41:54.514 --> 00:41:56.215 followers seeing my content. 00:41:56.856 --> 00:41:58.478 And basically what it was saying was like, 00:41:58.538 --> 00:42:00.159 it was mostly followers seeing your 00:42:00.199 --> 00:42:00.820 content. 00:42:01.340 --> 00:42:01.960 That's okay. 00:42:02.639 --> 00:42:04.079 But that means that Facebook isn't 00:42:04.139 --> 00:42:06.039 interested in growing your audience and 00:42:06.101 --> 00:42:07.860 helping more people get exposure. 00:42:08.461 --> 00:42:09.181 A lot of my, 00:42:09.402 --> 00:42:11.902 I did a text only post, no image, 00:42:12.023 --> 00:42:12.623 no video, 00:42:12.782 --> 00:42:15.605 just text one or two sentences got half 00:42:15.625 --> 00:42:17.505 a million views in forty eight hours. 00:42:17.885 --> 00:42:19.706 And it was like ninety two percent non 00:42:19.746 --> 00:42:20.347 followers. 00:42:21.266 --> 00:42:24.369 So the algorithm said, yes, absolutely. 00:42:24.708 --> 00:42:27.550 You have the signals from Facebook to say 00:42:28.050 --> 00:42:31.130 you can build and be the biggest resource 00:42:31.371 --> 00:42:32.172 on Facebook. 00:42:32.771 --> 00:42:36.831 for total knee replacement um in my mind 00:42:36.891 --> 00:42:39.572 i'm like okay but it's still a capped 00:42:39.713 --> 00:42:41.893 audience maybe i need to start pushing 00:42:41.932 --> 00:42:44.233 toward just osteoarthritis of the knee 00:42:44.773 --> 00:42:46.293 because that's a bigger audience than 00:42:46.333 --> 00:42:47.875 people who have had the knee replacement 00:42:47.914 --> 00:42:50.454 surgery there you go yeah and when i'm 00:42:50.474 --> 00:42:51.996 looking at these other pages that are 00:42:52.016 --> 00:42:55.976 doing a thousand two thousand a day that's 00:42:55.996 --> 00:42:57.657 where it's gonna come from it's gonna come 00:42:57.697 --> 00:43:00.398 from the next level of audience we don't 00:43:00.438 --> 00:43:01.458 have that in pt 00:43:02.485 --> 00:43:03.884 Unless you go the digital route. 00:43:04.570 --> 00:43:04.771 Right. 00:43:05.231 --> 00:43:06.731 What should clinics be doing differently 00:43:06.771 --> 00:43:07.632 because of this? 00:43:08.152 --> 00:43:10.532 What are people taking away from this? 00:43:10.552 --> 00:43:12.932 What are businesses or solopreneurs, 00:43:12.972 --> 00:43:14.353 what should they be doing differently 00:43:14.733 --> 00:43:15.454 because of this? 00:43:16.074 --> 00:43:18.355 One thing I would say is stop overthinking 00:43:18.375 --> 00:43:19.574 or trying to overproduce. 00:43:19.974 --> 00:43:22.016 You have all the tools you need in 00:43:22.056 --> 00:43:23.155 your pocket right now. 00:43:23.175 --> 00:43:24.836 I tell people all the time, 00:43:25.177 --> 00:43:27.237 don't spend a dollar on anything until you 00:43:27.257 --> 00:43:28.436 do a hundred repetitions. 00:43:28.476 --> 00:43:31.018 Don't spend a dollar on a microphone until 00:43:31.038 --> 00:43:32.219 you've done a hundred episodes of a 00:43:32.259 --> 00:43:32.818 podcast. 00:43:32.858 --> 00:43:33.458 Don't do it. 00:43:35.110 --> 00:43:36.072 What do you think, Dave? 00:43:36.092 --> 00:43:37.876 What should clinics be doing differently 00:43:37.916 --> 00:43:39.739 because of what Tony is finding out that 00:43:39.760 --> 00:43:41.764 you can reach an audience if you pay 00:43:41.784 --> 00:43:42.766 attention to the signals? 00:43:44.876 --> 00:43:46.617 literally just pull your phone out and 00:43:47.297 --> 00:43:48.699 just, I just said it last week, 00:43:48.719 --> 00:43:50.019 but model what Tony is doing. 00:43:50.760 --> 00:43:51.762 I was, when we were doing, 00:43:51.782 --> 00:43:53.023 thinking about doing video and I was like, 00:43:53.103 --> 00:43:53.202 Oh, 00:43:53.262 --> 00:43:54.583 I want to do like a Gary V 00:43:54.643 --> 00:43:56.686 type person and hire a videographer and an 00:43:56.766 --> 00:43:58.847 editor and someone to post the content. 00:43:59.088 --> 00:43:59.889 And Tony's like, yeah, 00:43:59.909 --> 00:44:01.630 but you could also just like pull your 00:44:01.650 --> 00:44:02.010 phone out, 00:44:02.050 --> 00:44:04.231 record videos and then post them and try 00:44:04.271 --> 00:44:04.972 to post, you know, 00:44:05.572 --> 00:44:07.132 two to five a day or at least 00:44:07.253 --> 00:44:08.974 one a day and string a bunch of 00:44:08.994 --> 00:44:10.074 days together where you're just posting 00:44:10.153 --> 00:44:10.594 one a day. 00:44:11.295 --> 00:44:13.396 But something as simple as anything that 00:44:13.416 --> 00:44:17.016 you tell a patient, any like HEP guidance, 00:44:17.056 --> 00:44:18.057 any counseling, 00:44:18.117 --> 00:44:19.518 any like support type thing, 00:44:19.577 --> 00:44:20.739 we all overlook it. 00:44:21.333 --> 00:44:22.074 Tony's like, Hey, 00:44:22.094 --> 00:44:23.074 just like pull your phone out. 00:44:23.494 --> 00:44:24.934 And with the patient and client's 00:44:24.974 --> 00:44:26.215 permission, if you had them sign, 00:44:26.235 --> 00:44:27.335 hopefully a social media release, 00:44:27.376 --> 00:44:28.077 if not do that. 00:44:29.416 --> 00:44:31.257 But just just film them in the clinic, 00:44:31.297 --> 00:44:33.237 like just record them or record you 00:44:33.438 --> 00:44:35.099 without even seeing the without showing 00:44:35.119 --> 00:44:36.820 the patient record what you're saying on 00:44:36.880 --> 00:44:37.280 your end. 00:44:38.800 --> 00:44:39.960 And do that string a bunch of days 00:44:39.981 --> 00:44:42.342 together, then like I did, then over time, 00:44:42.362 --> 00:44:43.601 then I bought the lapel mics, 00:44:43.641 --> 00:44:44.623 which were like a hundred bucks. 00:44:44.663 --> 00:44:45.382 And now it's like, 00:44:45.762 --> 00:44:47.983 now even my therapist know we're doing it. 00:44:48.043 --> 00:44:48.224 But 00:44:48.985 --> 00:44:51.847 The the one the videos that are the 00:44:52.047 --> 00:44:53.009 most like for Tony, 00:44:53.028 --> 00:44:54.831 the ones that are the most unique or 00:44:54.871 --> 00:44:56.311 the ones that tend to get a lot 00:44:56.351 --> 00:44:58.313 of views are the ones that are just 00:44:58.355 --> 00:45:00.476 so raw and genuine and real. 00:45:01.157 --> 00:45:03.780 And it's Tony's finger and he's pointing 00:45:03.800 --> 00:45:05.581 at something or he's explaining something. 00:45:05.981 --> 00:45:07.563 Or it's his patient or client talking 00:45:07.583 --> 00:45:08.103 about something. 00:45:08.742 --> 00:45:09.824 And it feels so real. 00:45:09.844 --> 00:45:11.063 You feel like a fly on the wall. 00:45:11.244 --> 00:45:13.465 That is the sweet spot right now. 00:45:13.844 --> 00:45:15.985 Not the overproduced, you know, 00:45:16.045 --> 00:45:18.327 pay someone thousands of dollars to chop 00:45:18.347 --> 00:45:20.387 down and make like a thirty second reel 00:45:20.467 --> 00:45:21.748 or a one or two minute video. 00:45:22.268 --> 00:45:23.809 You're going to pay way more and then 00:45:23.829 --> 00:45:25.349 there's not going to be an ROI there. 00:45:25.389 --> 00:45:26.791 Maybe you sprinkle that in later. 00:45:27.570 --> 00:45:29.092 You just pull your phone out and record. 00:45:29.914 --> 00:45:31.235 Yeah, Dave, you think like a New Yorker. 00:45:31.255 --> 00:45:32.115 It's what Dave Bullock thinks. 00:45:33.275 --> 00:45:34.297 Well, I live here. 00:45:34.317 --> 00:45:35.217 I mean, I'm from New Jersey. 00:45:35.717 --> 00:45:37.117 I'm from New Jersey, from South Jersey, 00:45:37.137 --> 00:45:37.918 went to school in Philly, 00:45:37.938 --> 00:45:39.958 lived there for six years. 00:45:40.259 --> 00:45:42.699 Now I'm in New York for eleven-something 00:45:42.719 --> 00:45:42.880 years. 00:45:42.920 --> 00:45:44.840 So I would hope that I think like 00:45:44.880 --> 00:45:45.320 a New Yorker. 00:45:45.340 --> 00:45:45.800 Thank you, Dave. 00:45:46.161 --> 00:45:46.842 Shout out to you. 00:45:47.202 --> 00:45:48.021 You're overthinking it. 00:45:48.121 --> 00:45:49.382 It's going to be the same thing that 00:45:49.402 --> 00:45:51.384 this user said earlier in the show, 00:45:51.423 --> 00:45:51.844 which is, 00:45:51.903 --> 00:45:53.563 I wish I started my business sooner. 00:45:53.603 --> 00:45:54.704 I wish I went bigger. 00:45:55.867 --> 00:45:56.869 you're overthinking this. 00:45:57.329 --> 00:45:58.731 Like quite literally, Tony, 00:45:58.751 --> 00:46:03.016 you also shared another account who was 00:46:03.117 --> 00:46:07.342 just sharing screenshots of tweets or 00:46:07.422 --> 00:46:08.103 something like that. 00:46:08.422 --> 00:46:09.784 Were they even their tweets? 00:46:10.429 --> 00:46:11.170 No, no. 00:46:11.269 --> 00:46:14.371 I mean, some other people's tweets. 00:46:14.831 --> 00:46:16.192 He takes the screenshot. 00:46:16.512 --> 00:46:20.914 He has Claude write the the caption. 00:46:22.134 --> 00:46:22.614 And I mean, 00:46:22.653 --> 00:46:24.215 this guy is crushing it now. 00:46:24.255 --> 00:46:25.635 He's in the financial space. 00:46:25.655 --> 00:46:27.135 He's not in the health care space, 00:46:27.556 --> 00:46:28.576 but it's the same thing. 00:46:28.635 --> 00:46:30.277 So the AI keeps telling me the same 00:46:30.317 --> 00:46:30.856 thing, which is. 00:46:31.416 --> 00:46:34.338 The exercise demonstrations are fine. 00:46:34.438 --> 00:46:35.000 They're good. 00:46:35.039 --> 00:46:35.920 They get views. 00:46:36.340 --> 00:46:38.882 The thing that blows the engagement out of 00:46:38.922 --> 00:46:41.804 the water is the stuff that opens the 00:46:41.844 --> 00:46:45.186 door and invites the viewer to contribute. 00:46:45.867 --> 00:46:47.489 I've got multiple posts now. 00:46:47.889 --> 00:46:50.291 The million view posts, they're nice. 00:46:50.931 --> 00:46:53.432 I've got posts that have thousands of 00:46:53.492 --> 00:46:53.974 comments. 00:46:54.153 --> 00:46:55.675 I never in a million years thought I'd 00:46:55.695 --> 00:46:57.856 get a post with thousands of comments. 00:46:58.516 --> 00:47:00.900 And it's something as simple as my last 00:47:01.001 --> 00:47:01.481 one was, 00:47:01.961 --> 00:47:03.945 when did your total knee replacement feel 00:47:04.045 --> 00:47:05.947 natural or feel like your natural knee or 00:47:05.987 --> 00:47:06.768 something like that? 00:47:07.289 --> 00:47:10.152 And then it just explodes in the comment 00:47:10.193 --> 00:47:10.614 section. 00:47:11.451 --> 00:47:11.951 And of course, 00:47:12.050 --> 00:47:13.913 that is what gives Facebook the 00:47:14.032 --> 00:47:15.134 information it needs. 00:47:15.574 --> 00:47:17.896 They're not, you know, the typical like, 00:47:18.155 --> 00:47:18.596 hey, 00:47:18.675 --> 00:47:21.418 comment link to get a link to this 00:47:21.498 --> 00:47:22.358 product or whatever. 00:47:22.818 --> 00:47:24.340 These are all unique comments. 00:47:24.360 --> 00:47:26.081 They're all completely different comments. 00:47:26.101 --> 00:47:27.842 The other day, the AI said, 00:47:28.302 --> 00:47:30.224 what's most interesting about your posts 00:47:30.324 --> 00:47:32.505 is people are talking to each other in 00:47:32.525 --> 00:47:33.186 the comments. 00:47:33.226 --> 00:47:34.987 That's a huge positive signal for the 00:47:35.088 --> 00:47:37.849 algorithm to say what you're offering, 00:47:37.989 --> 00:47:39.751 what you're contributing is valuable. 00:47:40.489 --> 00:47:42.289 Yeah, I'm doing this right now. 00:47:42.550 --> 00:47:44.550 I took the train into work today and 00:47:44.650 --> 00:47:46.271 I was thinking about what we're going to 00:47:46.291 --> 00:47:46.690 talk about. 00:47:47.070 --> 00:47:48.532 So on my LinkedIn feed, 00:47:48.931 --> 00:47:51.172 I asked a stunningly simple question. 00:47:51.893 --> 00:47:54.733 People love to talk about themselves or 00:47:54.753 --> 00:47:55.373 their babies. 00:47:55.414 --> 00:47:56.833 I don't get into their babies on LinkedIn. 00:47:57.193 --> 00:47:58.855 So I asked the question this morning. 00:48:00.864 --> 00:48:03.628 The actual prompt read this. 00:48:03.728 --> 00:48:05.050 Help me settle curiosity. 00:48:05.751 --> 00:48:07.233 How long have you been at your current 00:48:07.253 --> 00:48:08.434 job as a physical therapist? 00:48:08.514 --> 00:48:09.896 Just drop the number of years in the 00:48:09.936 --> 00:48:10.336 comments. 00:48:10.677 --> 00:48:11.579 No explanation needed. 00:48:11.599 --> 00:48:12.880 I'm wondering what the distribution 00:48:12.980 --> 00:48:13.621 actually is. 00:48:14.021 --> 00:48:15.503 People want to be part of something, 00:48:15.943 --> 00:48:16.864 want to cast their vote. 00:48:17.585 --> 00:48:17.726 Now, 00:48:17.786 --> 00:48:20.246 how am I hacking LinkedIn or trying to 00:48:20.306 --> 00:48:20.688 anyway? 00:48:21.108 --> 00:48:22.248 When someone responds, 00:48:22.288 --> 00:48:25.670 when Adam Paris responds, thirty years, 00:48:26.451 --> 00:48:28.512 I go triple decade club and I put 00:48:28.532 --> 00:48:30.452 a little trophy, three trophy emojis. 00:48:30.492 --> 00:48:31.952 And when someone says seven years, 00:48:32.454 --> 00:48:33.954 I give them a medal for hitting the 00:48:34.175 --> 00:48:35.074 half a decade mark. 00:48:35.394 --> 00:48:35.775 Why? 00:48:36.416 --> 00:48:38.797 LinkedIn is looking at is there 00:48:40.177 --> 00:48:41.438 interaction? 00:48:41.498 --> 00:48:42.278 Are there comments? 00:48:43.784 --> 00:48:44.784 I know they look deeper. 00:48:44.824 --> 00:48:45.505 We don't know what it is, 00:48:45.525 --> 00:48:46.846 but are they looking for how long the 00:48:46.885 --> 00:48:47.865 comment, how varied? 00:48:47.925 --> 00:48:48.387 I don't know. 00:48:48.606 --> 00:48:50.387 But right now I'm trying to get numbers 00:48:50.807 --> 00:48:52.449 and LinkedIn might like that for today. 00:48:52.489 --> 00:48:53.088 But so far, 00:48:53.108 --> 00:48:54.949 that post that I posted on the train 00:48:54.989 --> 00:48:57.592 two hours ago has gotten four hundred 00:48:57.632 --> 00:48:58.331 impressions. 00:48:59.152 --> 00:49:03.175 And I got to refresh. 00:49:03.215 --> 00:49:03.675 Fifteen, 00:49:03.855 --> 00:49:05.315 fifteen people have voted in the last 00:49:05.376 --> 00:49:05.576 hour. 00:49:07.768 --> 00:49:08.268 Nice. 00:49:08.369 --> 00:49:08.768 Yeah. 00:49:08.809 --> 00:49:11.369 So you're trying to, 00:49:11.429 --> 00:49:14.190 one of the takeaways from this weekend 00:49:14.210 --> 00:49:15.811 with the students in Colorado, yes, 00:49:15.871 --> 00:49:17.052 the fit VP principle, 00:49:17.391 --> 00:49:20.413 but don't try to create social media. 00:49:21.313 --> 00:49:23.954 Try to create media that is social. 00:49:24.074 --> 00:49:25.614 Like think about what you would ask 00:49:25.635 --> 00:49:26.695 someone at a dinner party. 00:49:27.434 --> 00:49:28.896 you wouldn't ask them hugely dense 00:49:28.916 --> 00:49:31.157 questions not to start the conversation 00:49:31.197 --> 00:49:33.378 you'd ask them something about them do 00:49:33.418 --> 00:49:34.880 that i think some of the life advice 00:49:34.900 --> 00:49:35.960 i gave him was do you want to 00:49:35.981 --> 00:49:37.943 sound like the most interesting person at 00:49:38.202 --> 00:49:40.083 a uh at a dinner party just ask 00:49:40.204 --> 00:49:43.465 questions never answer them just ask the 00:49:43.505 --> 00:49:45.568 question then put your hand on your chin 00:49:45.588 --> 00:49:47.188 and do exactly what dave is doing and 00:49:47.228 --> 00:49:50.451 just not interesting interesting take how 00:49:50.471 --> 00:49:51.931 did you get to that conclusion oh it's 00:49:51.952 --> 00:49:52.552 very interesting 00:49:53.260 --> 00:49:54.300 The trap here though, 00:49:54.320 --> 00:49:55.920 and I think this is what anybody watching 00:49:55.960 --> 00:49:57.681 this episode is going to be thinking right 00:49:57.721 --> 00:49:58.800 now is, yeah, 00:49:58.820 --> 00:50:00.061 but how does that put money in my 00:50:00.121 --> 00:50:00.481 pocket? 00:50:01.902 --> 00:50:03.621 Why are we spending this time? 00:50:04.041 --> 00:50:04.442 I got you. 00:50:04.581 --> 00:50:05.561 I got you from my side. 00:50:06.163 --> 00:50:06.422 All right. 00:50:06.463 --> 00:50:08.182 So with Tony's inspiration, 00:50:08.603 --> 00:50:11.123 we have started a TikTok for Concierge 00:50:11.164 --> 00:50:11.664 Pain Relief. 00:50:11.903 --> 00:50:13.284 There we go. 00:50:13.563 --> 00:50:15.304 Now we're getting some leads where people 00:50:15.364 --> 00:50:16.724 are actually saying, hey, 00:50:16.764 --> 00:50:17.945 can you help with this nerve in my 00:50:17.965 --> 00:50:18.625 back, whatever. 00:50:19.244 --> 00:50:21.166 And I don't know if they've converted to 00:50:21.226 --> 00:50:21.826 phone calls yet, 00:50:21.846 --> 00:50:22.786 but we're getting very close. 00:50:23.326 --> 00:50:25.827 So this particular post with this, um, 00:50:25.887 --> 00:50:27.527 full knee flexion off the edge of the 00:50:27.588 --> 00:50:28.949 treatment table, kind of like, um, 00:50:29.610 --> 00:50:31.871 like a full quad, uh, hip flexor stretch. 00:50:32.490 --> 00:50:35.253 Someone had commented a woman just a 00:50:35.273 --> 00:50:37.233 couple of days ago, literally, 00:50:37.273 --> 00:50:37.914 this is hilarious. 00:50:37.934 --> 00:50:39.195 You're going to love this. 00:50:39.215 --> 00:50:39.614 She goes, 00:50:41.286 --> 00:50:43.487 I was considering coming to you guys for 00:50:43.847 --> 00:50:44.947 PT for my back, 00:50:45.108 --> 00:50:45.929 but I got to say, 00:50:46.228 --> 00:50:49.090 this looks so painful. 00:50:49.570 --> 00:50:51.431 And then I'm like, oh, here we go. 00:50:51.472 --> 00:50:52.672 This is like a troll. 00:50:52.693 --> 00:50:53.112 What is this? 00:50:53.713 --> 00:50:54.012 So I said, 00:50:54.032 --> 00:50:55.893 we don't push our clients into pain or 00:50:55.934 --> 00:50:57.335 over-treat them to the point where our 00:50:57.375 --> 00:50:58.436 clients are experiencing pain. 00:50:58.476 --> 00:50:59.836 This technique is not for everyone. 00:51:00.097 --> 00:51:01.858 And this young man, the patient, 00:51:01.878 --> 00:51:02.257 the client, 00:51:03.106 --> 00:51:05.007 in the video is not wincing in pain 00:51:05.327 --> 00:51:07.708 smiley face anyway we'd love to speak with 00:51:07.728 --> 00:51:08.969 you on the phone to see if it 00:51:09.009 --> 00:51:11.150 might be the right fit for the for 00:51:11.250 --> 00:51:13.150 each of us be well and then she 00:51:13.190 --> 00:51:14.672 replied because i don't know what i mean 00:51:14.692 --> 00:51:17.554 tiktok is crazy but she replied i was 00:51:17.574 --> 00:51:19.454 just kidding thanks for responding i will 00:51:19.474 --> 00:51:21.036 call you this week i will i will 00:51:21.056 --> 00:51:24.577 call you this week tiktok is crazy so 00:51:24.818 --> 00:51:25.257 listen i 00:51:26.550 --> 00:51:26.751 you know, 00:51:26.771 --> 00:51:28.432 there's certain people to follow, 00:51:29.253 --> 00:51:32.717 especially Jimmy and Tony for volume, 00:51:32.876 --> 00:51:34.759 and you guys are doing an incredible job 00:51:34.878 --> 00:51:36.539 getting views getting engagements. 00:51:37.581 --> 00:51:38.762 Yeah, I want some of that. 00:51:39.103 --> 00:51:40.563 And I would love to have millions of 00:51:40.583 --> 00:51:41.445 views like Tony has, 00:51:41.485 --> 00:51:43.507 but I also want the phone ringing and 00:51:43.586 --> 00:51:45.327 I want to pull humans out of this 00:51:45.789 --> 00:51:47.090 internet ecosystem. 00:51:47.871 --> 00:51:48.050 And 00:51:49.016 --> 00:51:51.056 engage in the Concierge Pain Relief 00:51:51.137 --> 00:51:53.536 in-person visits, in-person experiences. 00:51:53.597 --> 00:51:54.838 That's what it's all about for us. 00:51:55.438 --> 00:51:56.918 And the fact that now people are following 00:51:56.978 --> 00:52:00.079 and commenting and asking questions and 00:52:00.119 --> 00:52:02.539 stuff publicly in the comments and DMs 00:52:03.159 --> 00:52:05.101 just on TikTok alone in the past two 00:52:05.121 --> 00:52:07.822 weeks is progress enough for me. 00:52:08.581 --> 00:52:08.842 Yeah, 00:52:09.003 --> 00:52:10.786 I would say it is the image I'm 00:52:10.806 --> 00:52:11.907 going to put on the screen in just 00:52:11.967 --> 00:52:12.409 a second. 00:52:12.648 --> 00:52:13.871 This is one of the slides that I 00:52:13.891 --> 00:52:14.572 had this weekend. 00:52:15.273 --> 00:52:18.179 The purpose of social media is attention 00:52:18.239 --> 00:52:18.639 first. 00:52:19.402 --> 00:52:22.405 because attention leads to trust or just 00:52:22.605 --> 00:52:23.746 knowing, right? 00:52:24.365 --> 00:52:25.786 So attention leads to trust, 00:52:26.007 --> 00:52:27.128 trust leads to action. 00:52:27.487 --> 00:52:28.969 Now this can be said for a clinician 00:52:28.989 --> 00:52:30.048 in the clinic, right? 00:52:30.068 --> 00:52:31.710 You have to earn their attention to 00:52:31.750 --> 00:52:33.452 eventually over time earn their trust so 00:52:34.112 --> 00:52:36.492 the patient takes action or the person on 00:52:37.034 --> 00:52:39.414 this weird device world that we live into, 00:52:39.934 --> 00:52:41.876 they pay attention to you over time, 00:52:41.896 --> 00:52:42.177 they're like, 00:52:42.597 --> 00:52:44.818 yeah tony guy sounds like he likes knees 00:52:44.838 --> 00:52:46.320 and he knows he's talking about he's got 00:52:46.400 --> 00:52:48.481 fifty different people and eventually if 00:52:48.501 --> 00:52:50.523 they need your help and you and you're 00:52:50.543 --> 00:52:52.724 clear about click here for my knee course 00:52:52.764 --> 00:52:54.266 or click here to subscribe to my youtube 00:52:54.286 --> 00:52:57.248 channel attention leads to trust trust 00:52:57.289 --> 00:52:59.369 leads to action so the point of social 00:52:59.409 --> 00:53:01.371 media in my in my opinion is not 00:53:01.692 --> 00:53:03.753 stopping at attention a hundred thousand 00:53:03.793 --> 00:53:04.793 views is cute 00:53:05.614 --> 00:53:07.056 But if it doesn't lead to trust, 00:53:07.096 --> 00:53:09.097 if you're just doing it for no good, 00:53:09.976 --> 00:53:11.157 it can't lead to action. 00:53:11.217 --> 00:53:12.938 So that's how it puts money in your 00:53:13.438 --> 00:53:16.199 pocket or clients in the door is this. 00:53:16.280 --> 00:53:17.240 Now, I will say, 00:53:17.621 --> 00:53:19.461 there's whatever variation that you want. 00:53:19.981 --> 00:53:20.762 Somebody asked, 00:53:21.043 --> 00:53:22.583 a student asked this weekend, 00:53:23.384 --> 00:53:24.565 I kind of want to get into this. 00:53:24.625 --> 00:53:25.625 I said, that's fantastic. 00:53:25.644 --> 00:53:27.186 She goes, what platform would you suggest? 00:53:27.206 --> 00:53:27.646 And I said, 00:53:28.045 --> 00:53:29.467 what platform do you already consume 00:53:29.487 --> 00:53:30.007 content on? 00:53:30.047 --> 00:53:30.768 What do you like? 00:53:31.800 --> 00:53:33.202 then she said well i guess instagram and 00:53:33.222 --> 00:53:35.543 i said here's my suggestion in the next 00:53:35.603 --> 00:53:37.686 week if you're just cruising and you stop 00:53:37.706 --> 00:53:39.688 and watch ten things screenshot them 00:53:40.088 --> 00:53:41.590 inside the profession outside the 00:53:41.630 --> 00:53:43.711 profession i would actually suggest throw 00:53:43.731 --> 00:53:45.213 them up on a vision board and ask 00:53:45.233 --> 00:53:46.813 yourself what you liked about them and 00:53:46.853 --> 00:53:48.856 what you'd want to do because some people 00:53:48.896 --> 00:53:50.797 like watching talking head videos but 00:53:51.177 --> 00:53:52.759 would never ever want to put their face 00:53:52.778 --> 00:53:53.239 on a camera. 00:53:53.280 --> 00:53:53.500 Great, 00:53:53.519 --> 00:53:57.784 do voiceover videos or share text content. 00:53:57.824 --> 00:53:59.885 You don't have to do what the next 00:53:59.925 --> 00:54:02.588 person is doing the way that they're doing 00:54:02.608 --> 00:54:02.648 it. 00:54:02.688 --> 00:54:04.650 You just don't have to. 00:54:04.690 --> 00:54:06.431 Dave, just on the technical side, 00:54:06.530 --> 00:54:09.273 are you putting the location in your 00:54:09.313 --> 00:54:09.893 videos? 00:54:10.315 --> 00:54:11.496 Not in the video part, 00:54:11.536 --> 00:54:13.657 but in the post part, 00:54:13.697 --> 00:54:14.978 you can choose a location? 00:54:16.757 --> 00:54:19.179 tiktok allows me to pin our actual brick 00:54:19.199 --> 00:54:20.338 and mortar which is where most of the 00:54:20.358 --> 00:54:22.639 videos are so yes hundred percent yeah 00:54:22.679 --> 00:54:25.541 like i do that on tiktok instagram 00:54:25.561 --> 00:54:27.521 facebook they all allow you to pin the 00:54:27.561 --> 00:54:30.601 location okay awesome yeah i will say this 00:54:30.942 --> 00:54:32.922 tony there was one time not long ago 00:54:32.983 --> 00:54:35.043 i shared a screenshot of a post of 00:54:35.063 --> 00:54:36.224 mine that went off and it had a 00:54:36.244 --> 00:54:38.545 little bit of an analysis that's instagram 00:54:38.664 --> 00:54:38.985 edits 00:54:39.644 --> 00:54:40.565 Have you played with edits? 00:54:40.626 --> 00:54:44.831 What that's doing is it's using their own 00:54:44.931 --> 00:54:45.833 internal AI. 00:54:46.273 --> 00:54:48.135 I don't know how many comments you need, 00:54:48.516 --> 00:54:49.858 but if you hit a certain number, 00:54:50.338 --> 00:54:51.139 it'll be like, hey, 00:54:51.199 --> 00:54:53.583 the comments all generally saying it's 00:54:53.603 --> 00:54:55.846 giving you a summary of the vibe of 00:54:55.865 --> 00:54:56.586 the audience. 00:54:57.188 --> 00:54:59.588 that's a pretty powerful tool uh as well 00:54:59.628 --> 00:55:01.648 i've started to that's my workflow now 00:55:01.668 --> 00:55:03.809 i'll record the video i might judge it 00:55:03.829 --> 00:55:06.090 a little bit with that captions.ai app and 00:55:06.130 --> 00:55:08.371 then to edits then to instagram and i've 00:55:08.431 --> 00:55:10.050 seen a lot more success doing it that 00:55:10.090 --> 00:55:12.652 way because i get some insight so i'm 00:55:12.711 --> 00:55:14.512 i'm using the edits app like crazy what 00:55:14.572 --> 00:55:17.193 i do is i'll pull my content and 00:55:17.572 --> 00:55:19.052 like through the edits app it pulls in 00:55:19.072 --> 00:55:21.514 your your camera images and photos and all 00:55:21.534 --> 00:55:21.693 that 00:55:22.778 --> 00:55:24.418 I'll make a video with some captions. 00:55:24.539 --> 00:55:25.460 I'll hit download. 00:55:25.599 --> 00:55:26.179 So the download, 00:55:26.199 --> 00:55:27.900 then I will post it on TikTok. 00:55:27.980 --> 00:55:30.420 And then you hit another button and the 00:55:30.521 --> 00:55:31.440 reel that I just made, 00:55:31.501 --> 00:55:32.800 you hit the Instagram button and it puts 00:55:32.820 --> 00:55:33.742 it right into Instagram. 00:55:34.141 --> 00:55:35.521 And then I just write a caption and 00:55:35.561 --> 00:55:36.101 then boom. 00:55:37.021 --> 00:55:38.563 You can set it up where it goes 00:55:38.583 --> 00:55:39.202 to both too. 00:55:39.362 --> 00:55:41.083 It's Instagram and Facebook if you want it 00:55:41.103 --> 00:55:41.202 to. 00:55:41.262 --> 00:55:42.344 Yeah, exactly. 00:55:42.603 --> 00:55:42.884 Yep. 00:55:42.903 --> 00:55:43.264 That's great. 00:55:43.911 --> 00:55:46.813 So this is the clinical brain being 00:55:46.873 --> 00:55:48.793 applied to different business models. 00:55:49.494 --> 00:55:51.534 I was asking the AIs the other day, 00:55:51.594 --> 00:55:52.034 I'm like, 00:55:52.735 --> 00:55:55.818 I can post through Meta Business Suite and 00:55:55.878 --> 00:55:57.759 it'll post out to both Instagram and 00:55:57.798 --> 00:55:58.219 Facebook. 00:55:59.384 --> 00:56:02.246 I can post to Instagram and it'll cross 00:56:02.286 --> 00:56:03.887 post to Facebook automatically. 00:56:03.967 --> 00:56:06.530 It'll show me the analytics for both. 00:56:07.172 --> 00:56:10.635 I can post individually to Facebook and 00:56:10.775 --> 00:56:11.355 Instagram. 00:56:11.376 --> 00:56:12.777 I'm like, what's better? 00:56:14.398 --> 00:56:15.940 Why can I do these different things? 00:56:16.039 --> 00:56:17.661 What are the best options of each? 00:56:17.701 --> 00:56:19.262 How does this differentiate? 00:56:19.643 --> 00:56:21.425 And it gave me a list of criteria 00:56:21.445 --> 00:56:22.065 and I was like, well, 00:56:22.972 --> 00:56:24.432 If right now for me, 00:56:25.092 --> 00:56:28.574 my Facebook has ten X the volume of 00:56:28.673 --> 00:56:29.474 my Instagram. 00:56:30.034 --> 00:56:31.835 So it's like from a social proof 00:56:31.856 --> 00:56:34.297 perspective, if you share to Instagram, 00:56:34.336 --> 00:56:36.277 post organically to Instagram, 00:56:36.878 --> 00:56:39.059 Instagram cross posts to Facebook, 00:56:39.179 --> 00:56:40.679 it connects those. 00:56:40.778 --> 00:56:43.000 And when somebody goes to my Instagram, 00:56:43.661 --> 00:56:44.661 looks at reels, 00:56:44.701 --> 00:56:46.322 you can see the number of views. 00:56:46.702 --> 00:56:49.422 What you see is a hundred thousand, 00:56:49.643 --> 00:56:51.023 five hundred thousand views. 00:56:51.744 --> 00:56:52.505 But really, 00:56:53.125 --> 00:56:54.525 ninety percent of that is on Facebook. 00:56:57.867 --> 00:56:58.849 Oh, just blacked out. 00:56:58.869 --> 00:56:59.449 Tony blacked out. 00:57:01.791 --> 00:57:02.630 That's great. 00:57:02.670 --> 00:57:03.572 At the end of the show, 00:57:03.612 --> 00:57:04.431 he's got great advice. 00:57:05.492 --> 00:57:06.974 And we have to say tune in next 00:57:07.014 --> 00:57:09.735 time for part two. 00:57:09.775 --> 00:57:10.876 While he's not on the screen, 00:57:10.896 --> 00:57:12.438 I'll use this as an opportunity to pay 00:57:12.478 --> 00:57:13.097 some bills. 00:57:13.438 --> 00:57:15.219 This episode is brought to you by 00:57:15.360 --> 00:57:17.260 FactsGPT. 00:57:17.920 --> 00:57:20.103 AI is transforming health care. 00:57:20.762 --> 00:57:22.623 Unless your referral source still uses a 00:57:22.664 --> 00:57:23.483 fax machine. 00:57:23.925 --> 00:57:26.465 FaxGPT takes your PDF, prints it, 00:57:26.505 --> 00:57:28.266 scans it, refaxes it, 00:57:28.487 --> 00:57:29.588 waits twelve minutes, 00:57:29.668 --> 00:57:31.748 and proudly announces transmission failed. 00:57:31.809 --> 00:57:33.110 FaxGPT, 00:57:33.730 --> 00:57:36.150 only in nineteen eighty seven to twenty 00:57:36.190 --> 00:57:36.811 twenty six. 00:57:36.831 --> 00:57:37.391 Sorry, Tony. 00:57:37.472 --> 00:57:39.132 Tony, great cliffhanger, buddy. 00:57:39.172 --> 00:57:39.612 Great. 00:57:40.599 --> 00:57:42.201 Sorry, I got a call coming in. 00:57:43.461 --> 00:57:43.902 Basically, 00:57:43.922 --> 00:57:45.382 what I was saying was you get the 00:57:45.422 --> 00:57:48.385 benefit of the social proof if you cross 00:57:48.445 --> 00:57:50.786 post from Instagram to Facebook because 00:57:50.806 --> 00:57:52.987 you see all of the views as if 00:57:53.047 --> 00:57:54.369 they're Instagram views. 00:57:55.009 --> 00:57:57.150 But if you want cleaner analytics, 00:57:57.190 --> 00:57:59.891 you post individually to each one. 00:57:59.952 --> 00:58:01.952 Don't cross post the same video. 00:58:02.474 --> 00:58:04.375 You put them on both platforms, 00:58:04.414 --> 00:58:05.815 but separate posts. 00:58:06.215 --> 00:58:07.496 You get cleaner analytics. 00:58:07.516 --> 00:58:09.358 It gives you better information. 00:58:09.980 --> 00:58:10.740 Gotcha. 00:58:10.920 --> 00:58:11.360 All right. 00:58:11.380 --> 00:58:12.641 Just takes a little longer, unfortunately. 00:58:13.143 --> 00:58:13.842 Yeah, yeah, yeah. 00:58:13.862 --> 00:58:15.465 But that's the thing is they're trying to 00:58:15.505 --> 00:58:17.806 weed people out who are doing it for 00:58:17.847 --> 00:58:18.427 the volume. 00:58:18.467 --> 00:58:20.489 They're looking for, unfortunately, 00:58:20.528 --> 00:58:21.028 you know, 00:58:21.108 --> 00:58:22.110 do a little bit of a harder pushup. 00:58:22.130 --> 00:58:22.309 All right. 00:58:22.329 --> 00:58:25.512 What do we got for parting shots? 00:58:25.552 --> 00:58:25.853 Guys, 00:58:26.193 --> 00:58:28.356 the profession is evolving every single 00:58:28.396 --> 00:58:28.615 day. 00:58:28.655 --> 00:58:29.817 If you're staying the same, 00:58:29.876 --> 00:58:31.217 if you're the same therapist you were 00:58:31.277 --> 00:58:33.440 twenty years ago, you are left behind. 00:58:35.945 --> 00:58:36.726 I love this graphic. 00:58:36.806 --> 00:58:36.967 I mean, 00:58:37.027 --> 00:58:38.268 I know Jimmy's probably gonna riff on it. 00:58:38.307 --> 00:58:39.048 But yeah, 00:58:39.409 --> 00:58:40.869 the reason why we're on this one right 00:58:40.889 --> 00:58:42.431 here attention to trust to action. 00:58:43.572 --> 00:58:43.931 Same thing, 00:58:44.233 --> 00:58:46.253 whether it's like we're trying to put this 00:58:46.313 --> 00:58:48.536 out there just for our creative outlet, 00:58:48.556 --> 00:58:50.416 but also to attract the things that we're 00:58:50.436 --> 00:58:50.898 looking for. 00:58:52.398 --> 00:58:53.719 Same type of thing that patients are 00:58:53.739 --> 00:58:54.420 looking for out there. 00:58:54.481 --> 00:58:55.021 So for us, 00:58:55.501 --> 00:58:57.322 we are trying to get more social media 00:58:57.362 --> 00:58:57.862 content out there. 00:58:57.922 --> 00:58:59.043 Now, like I said, Tick Tock, 00:58:59.063 --> 00:59:00.025 we've been doing Instagram and 00:59:00.626 --> 00:59:03.353 Facebook for a while and just continuing 00:59:03.393 --> 00:59:05.898 to get feedback from those analytics, 00:59:05.938 --> 00:59:08.324 from the data and continue to try to 00:59:08.344 --> 00:59:08.565 get 00:59:09.155 --> 00:59:10.115 patients and clients from it, 00:59:10.195 --> 00:59:11.295 but at the same time, 00:59:11.597 --> 00:59:14.137 feeding the top of the bucket, 00:59:14.157 --> 00:59:15.217 which is the attention first. 00:59:15.737 --> 00:59:16.016 Yeah. 00:59:16.077 --> 00:59:17.038 Attention leads to trust. 00:59:17.077 --> 00:59:18.117 Trust leads to action. 00:59:18.557 --> 00:59:19.938 That was a take-home slide from this 00:59:20.217 --> 00:59:21.778 conversation with students this weekend in 00:59:21.818 --> 00:59:22.358 Colorado. 00:59:22.579 --> 00:59:23.438 Thank you, Colorado. 00:59:23.458 --> 00:59:24.958 You don't have to twist my arm to 00:59:24.998 --> 00:59:26.259 go to Colorado for a couple of days. 00:59:26.960 --> 00:59:29.300 The other I would say is you have 00:59:29.340 --> 00:59:30.380 the brainpower to do this. 00:59:30.400 --> 00:59:31.260 Don't overthink it. 00:59:31.900 --> 00:59:33.021 I gave it to the students in the 00:59:33.081 --> 00:59:34.960 Fit VP. 00:59:35.221 --> 00:59:37.382 Fit VP, Frequency, Intensity, Time, Type, 00:59:37.422 --> 00:59:38.342 Volume progression. 00:59:39.365 --> 00:59:40.246 Do one a week. 00:59:40.626 --> 00:59:42.027 You don't need to do thirty two things. 00:59:42.047 --> 00:59:43.027 You don't need to be doing it at 00:59:43.047 --> 00:59:44.447 the level of what Tony's doing. 00:59:44.487 --> 00:59:45.369 He didn't start there. 00:59:46.588 --> 00:59:46.889 You're right. 00:59:46.929 --> 00:59:47.449 As a PT, 00:59:47.469 --> 00:59:49.070 you wouldn't tell someone go to Saquon 00:59:49.110 --> 00:59:50.510 Barkley's Tuesday. 00:59:50.570 --> 00:59:51.231 You wouldn't do that. 00:59:51.251 --> 00:59:51.831 That's insane. 00:59:51.951 --> 00:59:53.992 Of course, that ramp up, ramp up, 00:59:54.492 --> 00:59:54.791 ramp up. 00:59:54.811 --> 00:59:55.413 We're back on. 00:59:55.873 --> 00:59:57.092 We're back on Thursday. 00:59:57.853 --> 00:59:59.074 Dave, enjoy New York City, man. 00:59:59.173 --> 00:59:59.534 I'm across. 00:59:59.755 --> 01:00:00.994 I'm waving at you from across the river 01:00:01.014 --> 01:00:01.574 in Hoboken. 01:00:02.635 --> 01:00:03.896 Oh, man. 01:00:03.916 --> 01:00:04.476 We'll talk soon. 01:00:07.438 --> 01:00:07.719 That's it. 01:00:07.739 --> 01:00:07.978 We're out. 01:00:07.998 --> 01:00:09.420 Boys, what the hell are you doing? 01:00:09.460 --> 01:00:12.280 Follow Tony Meritato on YouTube at Total 01:00:12.320 --> 01:00:13.360 Therapy Solution. 01:00:13.420 --> 01:00:14.400 Find Dave Kittle at 01:00:14.440 --> 01:00:17.621 conciergepainrelief.com and on YouTube at 01:00:17.661 --> 01:00:18.820 The Dave Kittle Show. 01:00:19.141 --> 01:00:22.061 And follow Jimmy McKay at PT Podcasts on 01:00:22.181 --> 01:00:23.442 YouTube, the socials, 01:00:23.541 --> 01:00:25.342 and wherever you binge podcasts you 01:00:25.362 --> 01:00:27.003 pretend are for CEUs. 01:00:27.322 --> 01:00:28.762 And hey, just a reminder, 01:00:29.242 --> 01:00:30.543 none of this was for advice. 01:00:30.583 --> 01:00:32.003 This was for entertainment only. 01:00:32.322 --> 01:00:33.724 Our lawyers say that counts. 01:00:33.804 --> 01:00:34.563 Thanks, Keith.