AI in PT: Why Clinicians Must Adapt or Get Left Behind

WEBVTT

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You're listening to the PT Pinecast,

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where smart people in healthcare come to

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make noise.

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Here's your host, Jimmy McKay.

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Thanks, voice guy.

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I am Drew McKay.

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Episode is brought to you by Brooks IHL.

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It stands for Brooks Institute of Higher

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Learning.

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It sounds fancy because when we say the

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word institute, we just consume.

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Place PTs go when they're ready to level

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up their clinical game, residencies,

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fellowships, orthopedics, neuro,

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women's health, pediatrics, geriatrics,

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and more.

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Brooksihl.org, brooksihl.org.

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We've already heard a dog bark,

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and we have a rule on this show.

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If a dog ever makes it on camera,

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a dog or a baby,

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make it on camera.

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You have to stop the interview and

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introduce the dog or the baby to the

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audience.

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You cannot just have it.

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Anyway, I'll introduce the guest first.

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Hang on.

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Let me do the guest first.

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She wrangles regulatory chaos by day.

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and chickens by night we have to bring

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this up somehow with a background that

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spans clinical workflows compliance

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strategy and healthcare technology she's

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the one startup's call when they've built

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something great but they're not sure how

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to like scale it without compromising

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values that's where she comes in she's an

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anime recruiting

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sci-fi devouring lateral thinkers who's

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helped pts reimagine their value beyond

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hands-on care and showing how technology

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isn't the threat it's the tool we need

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let's meet the managing director of cjm

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strategic consulting cj morrow cj welcome

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to the show hello i'm i'm excited to

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be here so how was the intro was

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i was it close was it good what

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how did we do

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That was awesome.

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I actually included as a snippet,

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I included the anime because I thought I

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should sound more human.

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And so that's probably, you know,

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it could be one of the issues that

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I have with my life is that AI

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is telling me to be more human.

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Hi,

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we have I am a computer explaining to

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you a human how to be more human.

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But it is true,

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because I was watching Spy X Family with

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my daughters, which are,

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I won't say the age,

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they're probably too young for the

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episode.

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Wait, what were you watching?

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Spy Family?

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I don't know Spy Family.

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So it's an anime,

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and it has an adorable four-year-old

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daughter that's telepathic.

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And I have a four-year-old who may or

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may not have been watching it.

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But if she was,

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if my four-year-old was telepathic,

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she'd be exactly like that anime

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character.

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So you've just walked into my trap.

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If you had to,

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if you got to pick a superpower,

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what would it be?

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This is not easy because now you get

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to pick a lot of superheroes.

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They're just,

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it just comes to them and they're just,

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they learn to use it.

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But if you have a spider, they get,

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you know, it's just, yeah.

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If you could just bang dry erase board

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one superpower, what is it?

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Honestly,

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so what comes to my favorite superhero is

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Deadpool.

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I mean,

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besides the fact that he can regrow limbs,

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but he's also funny.

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I don't know.

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Ryan Reynolds to me is hilarious.

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So if I could regrow limbs and be

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funny, then yeah.

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Sarcasm is a service that I offer and

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could be called a superpower,

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I guess we could say.

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Yes, exactly.

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Yes.

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All right.

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CJ,

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you said PTs need to stop seeing

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themselves as just their hands.

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Why is that such a dangerous mindset in

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twenty twenty six to have?

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Well, so and I was this right.

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So I have an OCS.

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I was like one of the first things

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I would ask my patients when they'd come

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from a doctor's appointment,

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especially when they're disgruntled,

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is did the doctor did your doctor

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actually um touch you did they like lay

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sounds did they did they move you around

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and a lot of times that question is

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no right and i really was a believer

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of like these were what i used to

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heal with

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And then I moved to digital care and

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all, I didn't have these anymore.

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In fact,

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I only had my voice and I only

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had my ability to educate and empower my

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patients.

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And that is where I truly found what

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physical therapy can be,

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which is really our ability to sit with

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someone and empower them to heal

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themselves.

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Now, sometimes they, yes,

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they do need help.

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They need help manually.

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They need help to kind of,

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with our hands,

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but our voice and our minds are the

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biggest tool set.

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And we need to focus more on that,

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I think.

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Yes.

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Yeah.

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So look more really, I mean,

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I'll say some phrases you tell me if

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you disagree or agree.

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Tech's a multiplier, not a replacement.

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We've heard these things.

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It really, I mean,

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I guess it sort of opens up a

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space to explore clinician identity.

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Like, hey, if we're not attached to

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These, I mean,

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they should remain attached to your hands.

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I mean,

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unless you're Deadpool and then they don't

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happen.

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Unless you're Deadpool.

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Ah, see, there's a thread.

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We never know what's going to happen,

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but it always pops up.

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But yeah, this is an identity thing.

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And you see people,

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if you go to remove something from an

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identity from someone without even

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consciously knowing it,

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they get really upset.

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Yeah.

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And that's what's happening now, honestly.

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So with,

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I work a lot with AI companies.

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And AI is removing this confident identity

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that we have, digital care,

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removing this confident identity that we

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as physical therapists have.

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And I'll say the caveat, I'm licensed,

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but I'm not practicing.

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But it is,

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it's an identity crisis that we're going

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through right now.

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That saying of AI,

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if you don't use AI,

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you're going to get replaced,

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that sort of thing.

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It's really...

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not so much that, but we're,

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we're going to experience this workforce

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skills migration where it's not, again,

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it's like,

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it's not going to be all about our

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hands, but it's not,

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we're also not going to be manual

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therapists anymore.

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And I say that a little controversially,

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I'm sure there'll be plenty of comments on

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that,

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but we have to adapt so that we

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can use all the tools that we have

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at our

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In our arsenal.

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Yeah, yeah.

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Disposal, yeah.

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Yeah, you don't have to be...

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You don't have to be only anything.

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Like only manual, right?

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I mean, geez, I mean, how many...

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It was so frustrating to me as a

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second career PT going through PT school

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when I was told every patient that comes

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through,

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you do the subjective and then you do

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the measuring and then you do manual for

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a little while and then you get them

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to move and you give them a little

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ice or heat and then they're out.

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And I was like,

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Oh, I left radio for this.

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Oh, that's not good.

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This what?

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This feels like an ice cream stand.

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Like everybody gets a cone.

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Everybody picks a flavor.

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It's different, but it's a flavor.

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And then they get sprinkles,

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rainbow or chocolate.

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By the way, they're both the same flavor.

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And then you give them a napkin and

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they get out the door.

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And I was like, oh, no.

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And of course,

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that's not the same everywhere.

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But it could be a little scary to

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think about it like that.

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I didn't like the concept of,

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when I did an eval,

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I had to find and create pain with

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someone.

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That was some like expected thing during

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an eval.

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And I understand conceptually why,

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but I also, I started asking more like,

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okay, what makes you feel good?

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You know, like that sort of thing.

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So when you say that,

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and I'm a second career PT or two.

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What was your first career?

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I was a quality engineer at Johnson &

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Johnson.

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Doing what?

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Were you the person who figured out if

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there were, in fact, no more tears?

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In the shampoo?

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Who's got that job?

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That's got to be great or horrible.

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Oh, my God.

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Now I'm thinking about how.

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Yeah, that was a live test.

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Like now, of course.

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Sorry, I'm a lateral thinker.

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So now in my brain,

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I'm thinking about like,

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how are they testing these?

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Hopefully not on babies.

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But what did you do?

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What did you do?

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Thank you for wrangling me in.

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I am.

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So I worked at a company that did

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insulin pumps.

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So we manufactured insulin pumps.

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in Pennsylvania and I worked on like the

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quality,

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the incoming quality and quality

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engineering side.

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Um,

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and that was part of Johnson and Johnson's

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like diabetic diabetes franchise.

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And then I also worked at bandaid.

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I worked in Neutrogena when I was there.

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Um,

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And I worked at their they have a

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project management institute called

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Flawless Project Execution.

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So I did four years where I rotated

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through and part of a leadership

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development program.

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That's cool.

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Yeah.

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You have a closet filled with band-aids

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and insulin pump.

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Did you like get like some stuff?

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I'm just imagining like I got I got

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concert T-shirts and CDs.

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I'm imagining you got band-aids on

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band-aids on band-aids right now.

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There was,

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I didn't get too many band-aids.

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I worked actually on the idea conception.

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So it was like pre-ideas.

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So we did like, when I was there,

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it was a lot of hydrocolloids,

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which is like this,

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the material that absorbs,

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which is really cool.

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And we're like, well,

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puzzle shapes is cool.

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I remember when I was at Neutrogena,

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you know, manufacturing,

00:09:36.245 --> 00:09:38.187
they have your mislabeled or

00:09:39.128 --> 00:09:39.908
cap doesn't work.

00:09:40.288 --> 00:09:41.089
So on,

00:09:41.549 --> 00:09:42.590
I don't think they do this anymore,

00:09:42.629 --> 00:09:43.311
but you know,

00:09:43.350 --> 00:09:45.131
every once in a while you just get

00:09:45.172 --> 00:09:47.854
this plastic bag of Neutrogena products.

00:09:47.913 --> 00:09:50.215
So, um, that was really nice.

00:09:50.294 --> 00:09:50.936
And it's like,

00:09:51.015 --> 00:09:54.278
I just carry out a bunch of Neutrogena

00:09:54.317 --> 00:09:56.119
and Aveeno products, um,

00:09:56.139 --> 00:09:57.899
from the LA manufacturing area.

00:09:57.919 --> 00:09:58.519
So, yeah.

00:09:58.600 --> 00:09:59.600
Well, that's what you did.

00:10:00.162 --> 00:10:02.082
Now what you do is you help healthcare

00:10:03.293 --> 00:10:04.575
make sure I'm getting this right first.

00:10:05.054 --> 00:10:07.135
You help healthcare tech companies scale

00:10:07.556 --> 00:10:10.657
without losing what makes them special.

00:10:11.717 --> 00:10:12.158
Yes.

00:10:13.018 --> 00:10:14.778
How can clinics or providers,

00:10:14.798 --> 00:10:16.198
how do people in our profession start

00:10:16.278 --> 00:10:17.799
thinking that way too?

00:10:17.899 --> 00:10:19.880
Like what can you teach them about how

00:10:19.921 --> 00:10:21.741
these things more similar than they are

00:10:21.782 --> 00:10:22.322
different maybe?

00:10:23.293 --> 00:10:23.673
Yeah,

00:10:23.735 --> 00:10:27.778
so one thing that I've learned is there

00:10:27.899 --> 00:10:30.100
are people out there that are creative and

00:10:30.140 --> 00:10:32.884
visionary and you have these entrepreneurs

00:10:32.923 --> 00:10:36.187
and founders and they have these amazing

00:10:36.288 --> 00:10:38.570
ideas and that could be a PT that

00:10:38.610 --> 00:10:39.791
has an amazing idea.

00:10:40.897 --> 00:10:42.879
or a patient that has amazing idea.

00:10:43.440 --> 00:10:45.120
And then that's not me,

00:10:45.500 --> 00:10:47.844
but I like all the boring stuff that

00:10:47.903 --> 00:10:50.865
helps to allow your amazing idea to get

00:10:50.905 --> 00:10:51.567
to the clinic.

00:10:53.087 --> 00:10:56.532
So if we think about the clinics

00:10:56.552 --> 00:10:58.393
themselves and PTs themselves,

00:10:58.793 --> 00:11:00.355
one thing I would say is that your

00:11:00.434 --> 00:11:04.219
idea to help you or your patient is

00:11:04.259 --> 00:11:05.259
an amazing idea.

00:11:06.500 --> 00:11:09.361
and it could be a unique idea and

00:11:09.442 --> 00:11:12.482
there's so much out there now that allows

00:11:12.523 --> 00:11:17.005
for that little light bulb to grow and

00:11:17.066 --> 00:11:19.366
so what i do and what i actually

00:11:19.407 --> 00:11:21.828
like to do is read i like to

00:11:21.849 --> 00:11:24.110
read i do a lot of reading um

00:11:24.149 --> 00:11:26.490
the regulations and compliance and then

00:11:26.591 --> 00:11:27.611
build kind of

00:11:28.799 --> 00:11:30.900
the framework that allows your idea then

00:11:30.961 --> 00:11:33.602
to go to clinic and go to market.

00:11:34.903 --> 00:11:37.625
And so what I think about that is

00:11:39.827 --> 00:11:42.589
I allow you to continue to be creative

00:11:43.690 --> 00:11:46.532
so that you continue to do what you

00:11:46.611 --> 00:11:47.312
do great.

00:11:47.773 --> 00:11:49.494
And then I do what I really love,

00:11:49.533 --> 00:11:51.975
which is kind of catalyze your idea and

00:11:52.015 --> 00:11:55.197
help it survive in this like highly

00:11:55.238 --> 00:11:55.958
complex,

00:11:56.158 --> 00:11:58.000
always moving regulatory environment.

00:11:58.436 --> 00:11:59.035
And the world,

00:11:59.115 --> 00:12:00.777
like the world is constantly moving.

00:12:00.797 --> 00:12:02.437
What worked yesterday might not work at

00:12:02.457 --> 00:12:04.558
all tomorrow or six months from now.

00:12:05.519 --> 00:12:07.139
So you're like a how, like, so you,

00:12:07.320 --> 00:12:09.561
I work well with people like you because

00:12:09.640 --> 00:12:10.682
I'm a wow person.

00:12:10.841 --> 00:12:12.202
That's not me patting myself on the back.

00:12:12.243 --> 00:12:14.163
I'm like, I'm going to come in hot.

00:12:14.183 --> 00:12:16.043
I'm going to throw in ninety seven ideas

00:12:16.124 --> 00:12:19.365
knowing I'm OK if two of them will

00:12:19.405 --> 00:12:21.267
work because I got four hundred sixty

00:12:21.287 --> 00:12:21.746
eight more.

00:12:22.086 --> 00:12:22.607
Just wait.

00:12:22.748 --> 00:12:23.467
I'll tell you.

00:12:23.927 --> 00:12:25.269
So I bring in the wow and I

00:12:25.308 --> 00:12:27.210
work well with how people you're like,

00:12:27.250 --> 00:12:27.629
great.

00:12:29.052 --> 00:12:29.693
I got to tell you what,

00:12:29.754 --> 00:12:31.254
sixty three of those will never get off

00:12:31.335 --> 00:12:32.275
past step two.

00:12:32.556 --> 00:12:33.596
The rest of them will never get.

00:12:33.736 --> 00:12:35.979
OK, these two, though, maybe.

00:12:36.078 --> 00:12:38.181
And then now now because I'm like,

00:12:38.201 --> 00:12:38.881
here's the idea.

00:12:39.162 --> 00:12:40.003
Have a great day.

00:12:40.102 --> 00:12:41.144
And I'm like, I'm out of here.

00:12:41.244 --> 00:12:41.384
Like,

00:12:41.403 --> 00:12:42.904
I just dropped my genius and I'm out.

00:12:43.306 --> 00:12:45.227
And then but nothing happens unless you

00:12:45.248 --> 00:12:46.788
have a house, unless you have people.

00:12:47.727 --> 00:12:48.548
Yeah, exactly.

00:12:49.749 --> 00:12:50.969
Or, I mean, it's kind of lunchtime.

00:12:51.009 --> 00:12:52.690
So I would think about you bring,

00:12:53.149 --> 00:12:54.409
if we're thinking about burgers, right?

00:12:54.429 --> 00:12:55.250
Ooh, I like that.

00:12:55.350 --> 00:12:55.750
And bars.

00:12:55.791 --> 00:12:57.610
So if you bring, you know,

00:12:57.671 --> 00:12:59.971
the high quality burger material,

00:13:00.772 --> 00:13:02.832
I'm the one that's going to, you know,

00:13:02.873 --> 00:13:04.873
make the artisanal bread and bun that's

00:13:04.893 --> 00:13:06.854
going to like seal it all together and

00:13:06.913 --> 00:13:11.054
be kind of envelope it so that it's

00:13:11.075 --> 00:13:13.556
like able to be eaten, so to speak.

00:13:13.576 --> 00:13:14.275
I've said before,

00:13:14.475 --> 00:13:16.456
I'm good in the beginning and the end.

00:13:17.903 --> 00:13:19.424
So you have nothing,

00:13:19.985 --> 00:13:20.866
but you have a target.

00:13:21.748 --> 00:13:22.628
I got some ideas.

00:13:23.048 --> 00:13:24.409
And then once we sort of have it

00:13:24.470 --> 00:13:25.571
close, I'm like, all right,

00:13:25.811 --> 00:13:27.011
figure out how to math that.

00:13:27.131 --> 00:13:27.552
Got it.

00:13:27.572 --> 00:13:28.212
See you guys later.

00:13:28.514 --> 00:13:29.234
And in the end, you're like,

00:13:29.254 --> 00:13:29.794
we have it.

00:13:29.835 --> 00:13:30.655
How do we get it out to the

00:13:30.676 --> 00:13:30.875
world?

00:13:30.916 --> 00:13:31.937
I'm like, oh, that's easy too.

00:13:32.216 --> 00:13:32.817
Watch this.

00:13:32.856 --> 00:13:33.317
We do this.

00:13:33.357 --> 00:13:33.758
We do this.

00:13:33.778 --> 00:13:34.139
We do this.

00:13:34.558 --> 00:13:36.980
It's that middle part that I'm like, oh,

00:13:37.000 --> 00:13:38.682
we're going to do paperwork or build a

00:13:38.743 --> 00:13:39.222
thing.

00:13:39.263 --> 00:13:40.384
And it's moving slowly.

00:13:40.644 --> 00:13:41.725
That's why me in the clinic,

00:13:42.471 --> 00:13:43.373
did not work.

00:13:43.913 --> 00:13:45.073
Like it wasn't like I didn't pass the

00:13:45.114 --> 00:13:46.235
test or anything, but I was like,

00:13:46.916 --> 00:13:48.057
I could design and wow,

00:13:48.076 --> 00:13:49.278
and meeting the people, well,

00:13:49.298 --> 00:13:51.220
subjective all day and like find the

00:13:51.259 --> 00:13:52.301
problem, awesome.

00:13:52.341 --> 00:13:53.261
And once we have it, I'm like,

00:13:53.522 --> 00:13:55.524
all right, let's move it on.

00:13:55.624 --> 00:13:56.544
Who are we gonna meet next?

00:13:56.565 --> 00:13:57.865
Like, no, dude, you gotta do that.

00:13:57.905 --> 00:13:58.886
And I'm like, oh, it's too slow.

00:13:58.927 --> 00:14:00.087
My brain doesn't brain that slow.

00:14:00.327 --> 00:14:01.308
Have you ever taken,

00:14:01.649 --> 00:14:02.409
you said you read a lot.

00:14:02.470 --> 00:14:04.111
Have you ever heard of six types of

00:14:04.192 --> 00:14:04.873
working genius?

00:14:05.797 --> 00:14:06.476
No.

00:14:06.496 --> 00:14:07.798
So this is one of those things that

00:14:07.837 --> 00:14:08.717
you like, you know,

00:14:09.058 --> 00:14:10.259
one of those assessments.

00:14:11.320 --> 00:14:12.159
I like these things,

00:14:12.259 --> 00:14:14.041
probably part of my personality, right?

00:14:14.280 --> 00:14:16.062
But this only has six types of working

00:14:16.101 --> 00:14:17.962
genius.

00:14:18.023 --> 00:14:19.263
And it spells the word widget,

00:14:20.104 --> 00:14:21.004
which is good too, right?

00:14:21.024 --> 00:14:22.585
Like it's an acronym, like scuba.

00:14:22.904 --> 00:14:27.427
So it's wonder, invention, discernment,

00:14:28.008 --> 00:14:31.349
galvanizing, enablement, and tenacity.

00:14:32.090 --> 00:14:34.671
And the idea here is these are...

00:14:35.932 --> 00:14:38.274
Things that you do, types of activities,

00:14:38.815 --> 00:14:39.775
and it's not skill.

00:14:40.456 --> 00:14:41.957
It's does it give you energy?

00:14:42.437 --> 00:14:42.677
Yeah.

00:14:43.138 --> 00:14:45.700
Take energy or sort of lukewarm

00:14:45.740 --> 00:14:46.140
mayonnaise.

00:14:46.760 --> 00:14:48.763
And since there's two,

00:14:49.702 --> 00:14:52.706
it's sort of like you have like two

00:14:52.745 --> 00:14:54.307
out of the six that give you energy.

00:14:54.706 --> 00:14:55.106
Yeah.

00:14:55.167 --> 00:14:56.889
Two out of the six that just drain

00:14:56.948 --> 00:14:57.308
energy.

00:14:57.369 --> 00:14:58.129
You can do them,

00:14:58.149 --> 00:14:58.789
but at the end of the day,

00:14:58.809 --> 00:14:59.770
you're like, I hate this.

00:15:00.191 --> 00:15:00.410
Yeah.

00:15:00.471 --> 00:15:02.493
And then two that you're like, you know,

00:15:02.732 --> 00:15:03.553
neither here nor there.

00:15:05.023 --> 00:15:07.184
wait so you're not so which do you

00:15:07.205 --> 00:15:08.846
think you are i'll explain we did not

00:15:08.885 --> 00:15:10.407
plan on this as this being the episode

00:15:10.707 --> 00:15:12.668
so wonder is like you sit around like

00:15:12.708 --> 00:15:14.311
me and i'm like look at that nail

00:15:14.350 --> 00:15:15.831
gun how could we use that in a

00:15:15.932 --> 00:15:17.753
non like how could we not use that

00:15:17.773 --> 00:15:19.495
properly it's really what i do and i'm

00:15:19.514 --> 00:15:20.875
like and then you maybe you invent

00:15:20.895 --> 00:15:21.917
something great or maybe you shoot

00:15:21.937 --> 00:15:24.298
someone's eye out invention is the next

00:15:24.318 --> 00:15:26.419
step which is like i got some raw

00:15:26.440 --> 00:15:28.981
materials i was the kid always building

00:15:29.062 --> 00:15:30.323
forts and i was like i don't know

00:15:30.464 --> 00:15:31.904
but i never finished the damn forts

00:15:33.105 --> 00:15:34.206
I could draw the fort or tell you

00:15:34.226 --> 00:15:34.827
what it's going to look like.

00:15:34.868 --> 00:15:36.489
I could sell you the vision on why

00:15:36.548 --> 00:15:38.029
you should gather materials and steal your

00:15:38.049 --> 00:15:39.991
dad's nails and hammer.

00:15:40.513 --> 00:15:41.933
But then halfway through the fort,

00:15:42.014 --> 00:15:43.635
I'm over here building the pool, right?

00:15:44.096 --> 00:15:44.937
So that's invention.

00:15:46.177 --> 00:15:50.902
Discernment is you see a hundred ideas and

00:15:50.981 --> 00:15:52.442
for whatever reason,

00:15:53.104 --> 00:15:55.125
you know which ones are the ones.

00:15:55.686 --> 00:15:57.187
And you might not even know how.

00:15:58.645 --> 00:15:59.907
galvanizing is like,

00:16:00.226 --> 00:16:01.888
like teachers are very like good,

00:16:01.988 --> 00:16:03.548
good elementary school teachers.

00:16:03.908 --> 00:16:05.070
You can get everybody, Hey,

00:16:05.090 --> 00:16:06.850
everybody on me.

00:16:07.010 --> 00:16:07.850
We're going this way.

00:16:07.991 --> 00:16:08.532
Who's ready.

00:16:09.052 --> 00:16:09.913
And some people are like,

00:16:10.092 --> 00:16:11.394
I would be exhausted again.

00:16:11.413 --> 00:16:13.735
It's about energy enablement.

00:16:14.735 --> 00:16:16.076
Um, that's like,

00:16:16.416 --> 00:16:19.398
you're the ultimate Robin where you might

00:16:19.418 --> 00:16:20.778
not be good at doing the thing,

00:16:20.999 --> 00:16:22.179
but you're running around going,

00:16:22.360 --> 00:16:23.841
I know what he's going to need next.

00:16:23.860 --> 00:16:24.081
Um,

00:16:24.823 --> 00:16:25.605
I'll get it for him.

00:16:25.764 --> 00:16:27.265
I know what she's going to need six

00:16:27.287 --> 00:16:27.927
steps from now.

00:16:27.966 --> 00:16:28.827
I'm going to set that.

00:16:28.847 --> 00:16:29.749
Like you're the ultimate,

00:16:29.928 --> 00:16:31.471
like this person's usually like a good

00:16:31.510 --> 00:16:33.192
executive assistant where people like

00:16:33.232 --> 00:16:34.673
you're only an executive assistant.

00:16:34.714 --> 00:16:36.956
I'm like, if you are good at that,

00:16:37.056 --> 00:16:39.479
you are worth ten X other people.

00:16:39.739 --> 00:16:42.142
And then tenacity, you're a closer.

00:16:42.282 --> 00:16:42.442
Like,

00:16:43.792 --> 00:16:46.813
a ninety percent finished project is itchy

00:16:46.894 --> 00:16:49.014
in your brain you're like we where I'm

00:16:49.054 --> 00:16:51.197
like seventy three projects half finished

00:16:51.517 --> 00:16:53.337
that's great and they're like no no

00:16:53.378 --> 00:16:54.979
projects are finished and I'm like yeah

00:16:54.999 --> 00:16:56.919
but seventy eight of them look at all

00:16:56.960 --> 00:16:59.140
this potential greatness we have and the

00:16:59.160 --> 00:17:01.903
tenacity people are like shut up sit down

00:17:02.342 --> 00:17:05.904
finish the project so this is where you

00:17:05.944 --> 00:17:08.106
see a team with people with different

00:17:08.166 --> 00:17:11.148
skills is better this is why the Avengers

00:17:11.348 --> 00:17:12.710
are interesting and

00:17:13.529 --> 00:17:15.813
Five Deadpools would not be as good as

00:17:15.972 --> 00:17:17.434
one Deadpool and a Wolverine.

00:17:17.474 --> 00:17:18.115
Do you know what I mean?

00:17:18.496 --> 00:17:18.955
Yes.

00:17:19.037 --> 00:17:19.938
Because you got to be different.

00:17:20.317 --> 00:17:22.059
So anyway, after I hear that,

00:17:22.240 --> 00:17:24.303
you have not had no time to do

00:17:24.343 --> 00:17:24.542
this.

00:17:24.883 --> 00:17:27.226
Which are your two like energy givers that

00:17:27.486 --> 00:17:29.147
how I just how I describe those things?

00:17:29.188 --> 00:17:29.969
Which do you think?

00:17:30.130 --> 00:17:30.950
And I'm putting you on the spot.

00:17:30.990 --> 00:17:31.290
I know that.

00:17:31.590 --> 00:17:32.332
Oh, no, I think,

00:17:33.112 --> 00:17:35.693
so it probably discernment and E,

00:17:35.713 --> 00:17:36.233
what was it?

00:17:36.253 --> 00:17:36.453
Enablement.

00:17:36.554 --> 00:17:36.673
Yeah.

00:17:38.335 --> 00:17:39.336
Like, yeah.

00:17:39.435 --> 00:17:41.317
Yeah.

00:17:41.356 --> 00:17:42.298
I love, I'll say like,

00:17:42.498 --> 00:17:44.398
I love your one hundred one ideas.

00:17:45.599 --> 00:17:46.740
This is what we have,

00:17:46.779 --> 00:17:48.421
the environmental constraints that we

00:17:48.461 --> 00:17:48.842
have.

00:17:49.102 --> 00:17:49.382
Right.

00:17:49.541 --> 00:17:51.982
And let's go with these five and let's,

00:17:52.003 --> 00:17:52.763
you know, push.

00:17:53.163 --> 00:17:54.424
But then I'm also,

00:17:56.125 --> 00:17:58.667
lukewarm mayonnaise is probably tenacity

00:17:58.728 --> 00:17:59.587
in the sense of like.

00:17:59.768 --> 00:18:00.409
You can do it.

00:18:01.189 --> 00:18:02.150
I can do it.

00:18:02.170 --> 00:18:03.431
We have to finish it.

00:18:04.751 --> 00:18:07.193
And then anything that, you know,

00:18:07.253 --> 00:18:07.834
I don't know if you,

00:18:08.255 --> 00:18:09.996
I resonate with being a shadow worker.

00:18:10.135 --> 00:18:10.797
So all of that,

00:18:10.836 --> 00:18:12.698
like D and E is like, okay, you,

00:18:12.738 --> 00:18:13.939
you're the spotlight, right?

00:18:13.959 --> 00:18:14.680
What's D and E?

00:18:14.779 --> 00:18:15.079
What's that?

00:18:15.099 --> 00:18:17.842
Like a discernment enablement.

00:18:18.583 --> 00:18:19.824
You would be the spotlight.

00:18:20.124 --> 00:18:22.006
I would take that and I work behind

00:18:22.026 --> 00:18:25.347
the scenes and then you get it back

00:18:25.689 --> 00:18:26.328
for the spotlight.

00:18:26.388 --> 00:18:28.250
And then let's spell it again.

00:18:28.351 --> 00:18:28.530
Yeah.

00:18:28.590 --> 00:18:28.730
Right.

00:18:29.478 --> 00:18:30.259
So that's all me.

00:18:30.619 --> 00:18:31.361
Yeah.

00:18:31.500 --> 00:18:33.884
All of these things are easy if it's

00:18:33.923 --> 00:18:34.744
your skill set.

00:18:35.085 --> 00:18:35.326
Yes.

00:18:35.405 --> 00:18:36.727
Like once I realized,

00:18:36.747 --> 00:18:37.989
like I remember being in group projects,

00:18:38.028 --> 00:18:39.730
you assume everybody's just kind of like

00:18:39.770 --> 00:18:39.911
you.

00:18:40.814 --> 00:18:41.294
I did anyway.

00:18:41.334 --> 00:18:41.614
I was like,

00:18:41.653 --> 00:18:42.835
everybody loves the same things I do.

00:18:43.115 --> 00:18:44.556
So I'd be in group projects and I'd

00:18:44.576 --> 00:18:45.615
be like halfway through.

00:18:45.655 --> 00:18:48.176
And of course, I'm like tenacities,

00:18:48.257 --> 00:18:48.836
whatever.

00:18:48.936 --> 00:18:49.557
And I'm just like,

00:18:50.298 --> 00:18:52.117
can't we just invent six more potential

00:18:52.137 --> 00:18:52.358
things?

00:18:52.378 --> 00:18:53.519
Like finish this one thing.

00:18:54.638 --> 00:18:55.640
As I got into PT school,

00:18:55.660 --> 00:18:57.019
what I realized, I was like, hey,

00:18:57.319 --> 00:18:58.980
I will help in the beginning and then

00:18:59.020 --> 00:19:00.541
I will deliver the presentation and I'll

00:19:00.602 --> 00:19:01.382
be there in the middle,

00:19:01.402 --> 00:19:02.762
but someone else needs to be in charge.

00:19:03.323 --> 00:19:04.462
And you know how many of my classmates

00:19:04.522 --> 00:19:04.823
love that?

00:19:04.843 --> 00:19:05.983
Like, you'll do the presentation.

00:19:06.003 --> 00:19:06.203
I'm like,

00:19:06.364 --> 00:19:08.204
I will love to do the presentation.

00:19:09.305 --> 00:19:12.066
spend more time doing those things that

00:19:12.125 --> 00:19:12.866
give you energy.

00:19:12.987 --> 00:19:14.688
Like I could do sixty eight podcast

00:19:14.887 --> 00:19:15.647
interviews a week.

00:19:16.607 --> 00:19:18.088
My problem is I got to find the

00:19:18.128 --> 00:19:18.489
people.

00:19:18.788 --> 00:19:19.309
That's all right.

00:19:19.509 --> 00:19:20.230
I'm OK at that.

00:19:20.549 --> 00:19:21.250
And then I got to be like,

00:19:21.509 --> 00:19:22.951
click this link and fill out this form

00:19:22.971 --> 00:19:23.711
and pick a time.

00:19:23.730 --> 00:19:24.031
And I'm like,

00:19:24.652 --> 00:19:26.553
I'd rather just like hire like put me

00:19:26.573 --> 00:19:27.353
in front of a microphone.

00:19:27.792 --> 00:19:29.413
Give me five things to ask them.

00:19:29.753 --> 00:19:30.374
Don't worry.

00:19:30.413 --> 00:19:31.414
I'll get an hour out of them.

00:19:31.515 --> 00:19:31.934
Don't.

00:19:31.954 --> 00:19:32.976
That's not our problem.

00:19:33.036 --> 00:19:33.895
Don't worry about that.

00:19:34.795 --> 00:19:36.355
And it's amazing what happens when you put

00:19:36.375 --> 00:19:38.157
the right people on the right project and

00:19:38.178 --> 00:19:38.518
the right team.

00:19:38.577 --> 00:19:39.098
That's why I'm like,

00:19:39.239 --> 00:19:41.259
I'm like so attracted to working with like

00:19:41.740 --> 00:19:43.741
project managers and that you'd think it

00:19:43.761 --> 00:19:45.403
didn't make any sense or like,

00:19:46.104 --> 00:19:46.644
but it does.

00:19:46.684 --> 00:19:47.806
Cause I'm like, Oh,

00:19:48.125 --> 00:19:49.186
all the things I hate to do,

00:19:49.247 --> 00:19:51.228
I can hand to you and you like

00:19:51.269 --> 00:19:53.130
those and all the things you don't want

00:19:53.150 --> 00:19:53.349
to do.

00:19:53.369 --> 00:19:54.611
Like, Oh, isn't this great.

00:19:54.631 --> 00:19:56.613
We're like, let's only do this whole,

00:19:56.813 --> 00:19:57.993
everybody needs to be the world's well,

00:19:58.114 --> 00:19:59.515
well, most well-rounded.

00:20:00.476 --> 00:20:02.116
I don't care how my heart surgeon is

00:20:02.156 --> 00:20:02.577
at feet.

00:20:04.266 --> 00:20:05.586
But we should be – I'm like,

00:20:05.606 --> 00:20:06.807
do you know where feet are?

00:20:06.866 --> 00:20:07.126
Yes.

00:20:07.207 --> 00:20:07.688
Good enough.

00:20:08.188 --> 00:20:09.087
Are you wearing shoes?

00:20:09.188 --> 00:20:09.528
Great.

00:20:09.627 --> 00:20:10.469
How about hearts now?

00:20:10.509 --> 00:20:11.128
Let's do hearts.

00:20:11.209 --> 00:20:12.549
How does that work, right?

00:20:12.990 --> 00:20:14.730
And that makes more sense in a specialized

00:20:14.770 --> 00:20:15.010
world.

00:20:15.090 --> 00:20:15.691
Well-rounded,

00:20:16.010 --> 00:20:17.491
great when we all needed to forage and

00:20:17.551 --> 00:20:20.653
learn how to light fires and escape bears.

00:20:21.213 --> 00:20:22.173
Well-rounded there, I guess,

00:20:22.213 --> 00:20:23.375
but we don't have to do that anymore.

00:20:23.535 --> 00:20:24.555
We need the other things.

00:20:24.974 --> 00:20:25.295
Yeah.

00:20:25.935 --> 00:20:26.516
No, definitely.

00:20:26.536 --> 00:20:29.856
We need more – we have to specialize.

00:20:30.357 --> 00:20:30.978
So then –

00:20:32.160 --> 00:20:33.863
Is this where PTs are sort of,

00:20:33.942 --> 00:20:34.963
or anybody really, I mean,

00:20:35.183 --> 00:20:37.106
walk around the world now with technology

00:20:37.146 --> 00:20:38.548
and AI and all those things.

00:20:38.969 --> 00:20:40.971
What are some of the common tech myths

00:20:41.893 --> 00:20:43.494
that PTs believe are

00:20:44.229 --> 00:20:46.210
that wind up holding them back where

00:20:46.230 --> 00:20:46.651
you're like,

00:20:46.711 --> 00:20:48.051
eventually you're going to understand

00:20:48.092 --> 00:20:48.311
this.

00:20:48.372 --> 00:20:50.073
And the sooner you understand this,

00:20:50.252 --> 00:20:51.273
the better for you.

00:20:52.013 --> 00:20:53.035
What are some of the things that you

00:20:53.194 --> 00:20:55.135
wind up course correcting on most people

00:20:55.155 --> 00:20:56.336
or wish you could just reach through

00:20:56.356 --> 00:20:56.998
LinkedIn and be like,

00:20:57.018 --> 00:20:58.478
that's not actually the way it is.

00:20:58.699 --> 00:20:59.578
It's actually like this.

00:21:01.800 --> 00:21:02.980
So what are the things that you wish

00:21:03.102 --> 00:21:06.284
more people in our profession knew but

00:21:06.324 --> 00:21:06.644
don't?

00:21:06.723 --> 00:21:07.284
And if they did,

00:21:07.324 --> 00:21:08.105
they'd be better off for it.

00:21:09.098 --> 00:21:09.920
I think so.

00:21:10.599 --> 00:21:12.280
The first thing that comes to mind is,

00:21:12.401 --> 00:21:13.842
you know, the pet peeve of, you know,

00:21:14.082 --> 00:21:15.843
ChatGPT, Claude, Gemini,

00:21:15.883 --> 00:21:17.223
that's not a search, right?

00:21:17.243 --> 00:21:20.205
That's a conversationalist.

00:21:20.226 --> 00:21:22.086
You're designed to have a conversation.

00:21:22.146 --> 00:21:24.388
If you want to search, go on Google,

00:21:24.449 --> 00:21:26.470
although now Gemini is associated with,

00:21:26.630 --> 00:21:27.671
like, you're just going to get it.

00:21:27.750 --> 00:21:28.751
You're going to get it no matter what.

00:21:30.212 --> 00:21:30.712
But I think...

00:21:32.147 --> 00:21:32.387
You know,

00:21:32.407 --> 00:21:34.809
and I say this as non-practicing,

00:21:34.890 --> 00:21:36.391
non-private practice owning,

00:21:36.471 --> 00:21:40.994
but I think there is this view of

00:21:41.075 --> 00:21:44.657
tech and the undertone of how then to

00:21:44.678 --> 00:21:46.538
get paid for using the tech that's like

00:21:46.699 --> 00:21:50.541
insurmountable in terms of change and in a

00:21:50.603 --> 00:21:51.002
clinic.

00:21:51.063 --> 00:21:51.383
And it's,

00:21:52.784 --> 00:21:55.605
it is easier if you ask the right

00:21:55.645 --> 00:21:58.429
questions upfront to really see,

00:21:58.489 --> 00:22:00.670
see if that tech integrates into your

00:22:00.710 --> 00:22:01.310
practice.

00:22:02.163 --> 00:22:02.923
Um,

00:22:03.423 --> 00:22:05.224
and we were just having a conversation

00:22:05.265 --> 00:22:08.106
about this earlier, um, not on here,

00:22:08.166 --> 00:22:10.548
but in a different forum around just,

00:22:10.749 --> 00:22:12.670
you know, the tech is great.

00:22:12.809 --> 00:22:14.851
So like remote therapeutic monitoring and

00:22:14.891 --> 00:22:16.772
hybrid care, the tech is there.

00:22:16.893 --> 00:22:17.353
I would love,

00:22:17.772 --> 00:22:19.114
I wanted to be able to reach my

00:22:19.153 --> 00:22:20.615
patients in between visits.

00:22:20.835 --> 00:22:20.914
I,

00:22:21.955 --> 00:22:24.117
I gave my phone number out to patient,

00:22:24.157 --> 00:22:24.577
which is like

00:22:25.117 --> 00:22:26.179
Please don't do that.

00:22:26.219 --> 00:22:28.121
The compliance cap comes on.

00:22:28.161 --> 00:22:29.121
Please do not do that.

00:22:30.422 --> 00:22:31.482
But, you know,

00:22:31.682 --> 00:22:33.464
I love the idea and working at a

00:22:33.505 --> 00:22:34.726
digital health firm, too,

00:22:34.786 --> 00:22:36.186
is like I love the idea of my

00:22:36.227 --> 00:22:38.107
patient could ask me a question anytime

00:22:38.147 --> 00:22:39.108
that's top of mind.

00:22:39.148 --> 00:22:40.569
And it's like two a.m.

00:22:40.630 --> 00:22:42.372
on Christmas morning and they have this

00:22:42.392 --> 00:22:43.673
question or they have this pain.

00:22:43.692 --> 00:22:45.314
They're sending me that question when it's

00:22:45.894 --> 00:22:46.335
fresh.

00:22:46.815 --> 00:22:48.076
Then I get it when I can and

00:22:48.155 --> 00:22:48.757
I answer it.

00:22:49.676 --> 00:22:52.278
and then it's like that tech works great

00:22:52.397 --> 00:22:55.078
but then it's the question of you know

00:22:55.118 --> 00:22:56.739
and i don't like talking about money

00:22:56.778 --> 00:22:58.299
either because you know i just want to

00:22:58.339 --> 00:22:59.500
do what i love to do and what

00:22:59.519 --> 00:23:01.760
gives me energy which is not talking

00:23:01.800 --> 00:23:03.540
financials but then it's like how do i

00:23:03.560 --> 00:23:06.041
get paid for that because tech costs money

00:23:06.521 --> 00:23:09.803
and i think that there is this especially

00:23:09.823 --> 00:23:11.044
in pt world there's this

00:23:11.743 --> 00:23:13.785
Whenever something is associated with,

00:23:13.884 --> 00:23:15.246
okay, how do I bill for it?

00:23:15.266 --> 00:23:17.867
How do I add that all complexity of

00:23:18.048 --> 00:23:20.249
administration, complexity around it?

00:23:20.970 --> 00:23:22.931
It's almost like this insurmountable

00:23:23.010 --> 00:23:25.893
barrier is put up and then it's like

00:23:25.913 --> 00:23:26.972
cognitive overload.

00:23:28.213 --> 00:23:29.734
We can't think about how it integrates

00:23:29.775 --> 00:23:35.137
into the clinical practice because a lot

00:23:35.157 --> 00:23:36.358
of things revolve around money.

00:23:38.393 --> 00:23:40.634
That's where you need that type of how

00:23:40.673 --> 00:23:40.973
person.

00:23:40.993 --> 00:23:41.513
That's again,

00:23:41.554 --> 00:23:42.775
going back to the six types of working

00:23:42.815 --> 00:23:43.075
genius.

00:23:43.095 --> 00:23:44.796
It's not finance, communicate.

00:23:44.816 --> 00:23:45.175
It's not.

00:23:45.536 --> 00:23:47.096
It's just what types of things.

00:23:47.696 --> 00:23:50.018
That's where you hire the person who

00:23:50.278 --> 00:23:52.019
they're like, I can't wait.

00:23:52.118 --> 00:23:53.838
I had a small group of people working

00:23:53.858 --> 00:23:54.619
with my podcast.

00:23:54.680 --> 00:23:55.880
Most of them were PT students back a

00:23:55.900 --> 00:23:56.461
couple years ago.

00:23:57.161 --> 00:24:01.923
I wouldn't give spreadsheet tasks to the

00:24:02.042 --> 00:24:04.483
other group, to the rest of the group.

00:24:05.717 --> 00:24:07.519
because one of my personality traits is

00:24:07.598 --> 00:24:09.560
whoa like i need everybody to like me

00:24:09.641 --> 00:24:11.321
like people like it's not great it's a

00:24:11.362 --> 00:24:12.864
trait like believe me it's exhausting

00:24:12.903 --> 00:24:15.405
sometimes meanwhile they were there

00:24:15.445 --> 00:24:17.448
because those particular women loved

00:24:19.210 --> 00:24:21.592
spreadsheet tasks so i was keeping them

00:24:21.632 --> 00:24:23.614
away from like i was holding the thing

00:24:23.634 --> 00:24:25.395
that they were there for because i didn't

00:24:25.415 --> 00:24:26.537
want to give them the thing that i

00:24:26.576 --> 00:24:28.499
thought was bad that they liked because i

00:24:28.538 --> 00:24:29.579
wanted them to like me

00:24:30.345 --> 00:24:30.444
Oh,

00:24:30.484 --> 00:24:31.926
you give me a spreadsheet and I'll fall

00:24:31.946 --> 00:24:32.548
in love with you.

00:24:33.148 --> 00:24:34.009
To me, I was like,

00:24:34.109 --> 00:24:35.251
I don't want to give it to CJ

00:24:35.271 --> 00:24:36.532
because in my brain,

00:24:36.693 --> 00:24:39.176
spreadsheets are boring and I want her to

00:24:39.217 --> 00:24:39.617
like me.

00:24:39.657 --> 00:24:40.679
So I'm only going to ask her to

00:24:40.699 --> 00:24:41.220
do things.

00:24:41.259 --> 00:24:42.922
The funny part was I would put them

00:24:42.981 --> 00:24:46.386
on podcasts and they would do it.

00:24:47.522 --> 00:24:48.803
but they hated it to me.

00:24:48.843 --> 00:24:49.222
I was like, well,

00:24:49.242 --> 00:24:50.163
I want to get you on the show.

00:24:50.483 --> 00:24:50.844
And they're like,

00:24:50.983 --> 00:24:52.163
I don't want to be on the show.

00:24:52.183 --> 00:24:53.025
I'm like, of course you do.

00:24:53.184 --> 00:24:54.305
Of course I do.

00:24:54.845 --> 00:24:56.486
And that's a, that's a present.

00:24:56.885 --> 00:24:57.506
That's a gift.

00:24:57.526 --> 00:24:58.165
I don't want to keep that.

00:24:58.185 --> 00:24:59.486
And they're like, I don't, can you not,

00:24:59.746 --> 00:25:00.467
I just want to be in the back.

00:25:00.527 --> 00:25:02.086
I'm like, no, I know what you really,

00:25:02.106 --> 00:25:02.946
you really want to.

00:25:02.987 --> 00:25:03.667
And then I had to listen.

00:25:03.688 --> 00:25:03.867
I'm like,

00:25:03.948 --> 00:25:05.127
they're telling you what they want.

00:25:05.428 --> 00:25:06.548
They don't want that.

00:25:07.189 --> 00:25:08.429
And that was a huge,

00:25:10.339 --> 00:25:11.340
mind opener for me.

00:25:11.401 --> 00:25:13.482
I was like, they are not being humble.

00:25:13.762 --> 00:25:15.084
They do not like that.

00:25:15.284 --> 00:25:16.505
And they do like the other thing.

00:25:16.525 --> 00:25:18.346
And I was like, oh, yeah,

00:25:18.385 --> 00:25:18.965
we're all different.

00:25:19.105 --> 00:25:19.666
Oh, my gosh.

00:25:20.247 --> 00:25:20.587
Wow.

00:25:21.208 --> 00:25:22.348
And I was in my thirties at the

00:25:22.388 --> 00:25:22.608
time.

00:25:22.848 --> 00:25:23.569
I learned that lesson.

00:25:23.609 --> 00:25:24.210
I was like, wow,

00:25:24.250 --> 00:25:25.971
they really don't like this.

00:25:26.090 --> 00:25:26.951
And I'm like, oh, who knew?

00:25:28.073 --> 00:25:29.074
You should have known because they were

00:25:29.094 --> 00:25:31.234
telling you in English over and over

00:25:31.275 --> 00:25:31.515
again.

00:25:33.135 --> 00:25:34.978
So compliance, you talk about it

00:25:36.023 --> 00:25:37.904
And as a swimmer, I used to swim,

00:25:38.684 --> 00:25:40.286
you call it about compliance as a swim

00:25:40.346 --> 00:25:43.507
lane instead of a roadblock.

00:25:43.807 --> 00:25:44.747
What's that mean?

00:25:45.688 --> 00:25:47.647
And how does it apply to like innovation?

00:25:47.769 --> 00:25:48.509
So like first,

00:25:48.568 --> 00:25:50.249
what is swim lane versus roadblock mean?

00:25:50.529 --> 00:25:51.349
And then how does that apply?

00:25:52.348 --> 00:25:55.490
Yeah, so roadblocks synonymous with,

00:25:56.230 --> 00:25:57.892
like when I was at J&J and I

00:25:57.932 --> 00:25:59.113
was quality engineer,

00:25:59.393 --> 00:26:02.575
you'd walk into a room with R&D and

00:26:02.634 --> 00:26:04.195
all these creative people and you're like,

00:26:04.256 --> 00:26:05.277
hi, I'm from quality.

00:26:05.336 --> 00:26:06.277
And then all of a sudden it's like

00:26:06.297 --> 00:26:08.038
the fun police have come in and we're

00:26:08.057 --> 00:26:08.999
shutting the party down.

00:26:09.818 --> 00:26:11.721
And that really stuck with me.

00:26:12.882 --> 00:26:14.924
going forward when I moved from like a

00:26:14.984 --> 00:26:16.686
digital practice into quality,

00:26:16.846 --> 00:26:18.609
like I didn't want that to be there.

00:26:18.670 --> 00:26:20.972
And I think sometimes there's this

00:26:21.232 --> 00:26:23.955
compliance and regulatory and HIPAA and

00:26:25.160 --> 00:26:27.161
now it's like with with with software as

00:26:27.181 --> 00:26:28.961
a medical like apps right you have sock

00:26:28.980 --> 00:26:30.602
too you have high trust all of all

00:26:30.642 --> 00:26:34.083
of these things and what we're also

00:26:34.123 --> 00:26:37.163
finding like deep seek is not this right

00:26:37.203 --> 00:26:40.163
constraints have helped with innovation

00:26:40.825 --> 00:26:43.345
and so when i think about roadblocks right

00:26:43.384 --> 00:26:46.645
that's like the whoa you know instead of

00:26:46.846 --> 00:26:48.626
looking at your hundred and one ideas and

00:26:48.666 --> 00:26:51.288
finding the three that are magic you're

00:26:51.327 --> 00:26:51.587
like

00:26:52.348 --> 00:26:54.210
whatever that math is,

00:26:54.250 --> 00:26:55.590
you're focusing on the ninety eight that

00:26:55.631 --> 00:26:57.332
I've just said, like, whoa, on.

00:26:58.953 --> 00:27:02.276
And I think there are some out there

00:27:02.316 --> 00:27:04.537
that's just like compliance, stimulus,

00:27:04.576 --> 00:27:05.198
innovation.

00:27:05.218 --> 00:27:07.038
There's no way to get through this.

00:27:08.299 --> 00:27:11.102
We see it a little bit like U.S.

00:27:11.142 --> 00:27:13.423
health care, stimulus, innovation,

00:27:13.462 --> 00:27:15.104
fee for service, all of that.

00:27:16.101 --> 00:27:17.082
If you want to go down that lane,

00:27:17.122 --> 00:27:18.363
we can definitely go down that lane.

00:27:18.403 --> 00:27:20.124
But then there's also swim lanes, right?

00:27:20.743 --> 00:27:23.885
And constraints can sometimes help.

00:27:23.945 --> 00:27:26.448
Swim lanes can sometimes help to really

00:27:26.508 --> 00:27:28.630
accelerate and catalyze innovation.

00:27:28.690 --> 00:27:30.310
So now we're thinking, all right,

00:27:30.471 --> 00:27:34.473
you have three ideas that are just baller.

00:27:35.013 --> 00:27:35.815
But, you know,

00:27:35.894 --> 00:27:38.056
you also had twenty ideas that weren't

00:27:38.737 --> 00:27:40.678
totally, you know.

00:27:42.300 --> 00:27:44.303
crap, but they were like,

00:27:44.383 --> 00:27:46.065
they had some really good points with it.

00:27:46.164 --> 00:27:48.047
And now if we think about those swim

00:27:48.086 --> 00:27:50.068
lanes and those constraints that we have

00:27:50.088 --> 00:27:52.290
to kind of navigate, um,

00:27:53.294 --> 00:27:55.174
and we add some of the magic,

00:27:55.335 --> 00:27:55.575
you know,

00:27:55.595 --> 00:27:57.276
we take the magic of the three ideas,

00:27:57.316 --> 00:28:00.196
we add some of the sprinkles from the

00:28:00.258 --> 00:28:00.758
other one,

00:28:00.817 --> 00:28:02.798
and we're building that ice cream cone.

00:28:03.159 --> 00:28:05.259
An ice cream cone needs to look kind

00:28:05.299 --> 00:28:06.721
of like an ice cream cone.

00:28:07.520 --> 00:28:09.662
Your idea needs to fit into some of

00:28:09.682 --> 00:28:11.722
the regulatory bounds of what US

00:28:11.762 --> 00:28:12.344
healthcare,

00:28:12.364 --> 00:28:14.525
I'm assuming that we're in the US, is.

00:28:15.525 --> 00:28:17.726
um with hipaa with you know all of

00:28:17.766 --> 00:28:20.626
that we need to maintain privacy for for

00:28:20.686 --> 00:28:23.928
patients and data okay so how do we

00:28:23.988 --> 00:28:28.148
do this while really making it an amazing

00:28:28.229 --> 00:28:30.470
experience and one of the things that i

00:28:30.509 --> 00:28:33.190
also pride myself on as a licensed pt

00:28:33.230 --> 00:28:35.451
having been there on both sides of that

00:28:35.471 --> 00:28:37.771
kind of in person and digital is now

00:28:37.852 --> 00:28:39.291
i'm going to be able to inject kind

00:28:39.311 --> 00:28:42.292
of this empathetic idea of what the

00:28:42.353 --> 00:28:44.173
workflow is so

00:28:45.193 --> 00:28:47.476
you have a great idea we've adjusted kind

00:28:47.516 --> 00:28:49.979
of swim lanes and some constraints that

00:28:49.999 --> 00:28:52.141
swim lane now is like accelerating you

00:28:52.161 --> 00:28:54.743
down the the pool if we're using the

00:28:54.784 --> 00:28:57.566
swim analogy and we know we have a

00:28:57.626 --> 00:29:00.429
target we're going towards that target and

00:29:00.449 --> 00:29:03.211
okay well how do we make sure that

00:29:03.231 --> 00:29:04.693
we're meeting the right target

00:29:05.714 --> 00:29:07.914
And we're being able to do it in

00:29:07.974 --> 00:29:09.855
a way that's going to connect with the

00:29:09.895 --> 00:29:11.816
clinical, um,

00:29:11.836 --> 00:29:14.096
clinical workflow with the clinicians,

00:29:14.477 --> 00:29:17.017
because you have an AI solution or you

00:29:17.037 --> 00:29:18.698
have a solution and you're like, Hey,

00:29:18.718 --> 00:29:20.117
this is a wonderful idea.

00:29:20.238 --> 00:29:21.117
I love this idea.

00:29:21.137 --> 00:29:21.337
Okay.

00:29:21.357 --> 00:29:22.857
Let's put some stuff around it.

00:29:22.917 --> 00:29:23.558
Let's, you know,

00:29:23.598 --> 00:29:25.019
we're swimming down the lane and then all

00:29:25.038 --> 00:29:27.439
of a sudden it's like no clinicians going

00:29:27.459 --> 00:29:28.259
to use it.

00:29:28.380 --> 00:29:30.279
Or you have the, oh,

00:29:30.299 --> 00:29:31.539
the pilot went great.

00:29:31.640 --> 00:29:32.380
And then it's like,

00:29:32.460 --> 00:29:35.161
those people are really tech forward.

00:29:36.240 --> 00:29:37.901
And now we're going into like general

00:29:37.941 --> 00:29:41.203
population and it's like, okay,

00:29:41.243 --> 00:29:43.405
another application, another EMR,

00:29:43.766 --> 00:29:45.287
all of those kinds of things to think

00:29:45.307 --> 00:29:48.148
about as you're sitting at the table,

00:29:48.670 --> 00:29:51.672
really designing and working on that idea.

00:29:51.731 --> 00:29:54.854
So I've been on the fun police and

00:29:54.874 --> 00:29:56.615
the roadblock side.

00:29:56.655 --> 00:29:58.096
And there's some,

00:29:58.356 --> 00:29:59.978
I just look up quality engineering,

00:30:00.178 --> 00:30:02.359
quality assurance memes out there and that

00:30:02.519 --> 00:30:03.201
I've been there.

00:30:03.705 --> 00:30:03.986
Yeah.

00:30:05.105 --> 00:30:08.067
The funny part is I shouldn't like to

00:30:08.126 --> 00:30:10.347
work with those people, but I did.

00:30:10.688 --> 00:30:11.448
And here's why.

00:30:12.348 --> 00:30:14.808
I work at a certain speed and I

00:30:14.848 --> 00:30:17.710
can't see the things that those types of

00:30:17.769 --> 00:30:18.529
people know.

00:30:18.690 --> 00:30:18.829
Like,

00:30:19.090 --> 00:30:20.431
it's like almost like I just it's like.

00:30:21.778 --> 00:30:22.419
I just can't see it.

00:30:22.439 --> 00:30:23.160
I don't have the vision.

00:30:23.721 --> 00:30:24.863
I'm moving at a hundred miles an hour.

00:30:25.323 --> 00:30:26.424
So I remember I'd be like, okay,

00:30:26.444 --> 00:30:27.506
I'm going to throw an idea and I

00:30:27.546 --> 00:30:28.387
want you to shoot holes in it.

00:30:28.688 --> 00:30:30.130
And most people would be like, oh,

00:30:30.170 --> 00:30:31.432
creative people just want their idea to go

00:30:31.491 --> 00:30:31.692
through.

00:30:31.711 --> 00:30:33.054
I'm like, I understand.

00:30:33.295 --> 00:30:33.895
I call them.

00:30:34.096 --> 00:30:35.538
I've called them since I was a kid.

00:30:36.439 --> 00:30:37.279
You made me write it down.

00:30:37.401 --> 00:30:38.162
Idea parts.

00:30:38.823 --> 00:30:40.963
idea parts so when people are like hey

00:30:41.003 --> 00:30:42.025
so i want to do this and this

00:30:42.065 --> 00:30:44.266
and this and you're like that wouldn't

00:30:44.326 --> 00:30:48.328
work but save those three things

00:30:48.409 --> 00:30:50.049
separately just put them in a box because

00:30:50.089 --> 00:30:52.230
like if you put those with the we

00:30:52.250 --> 00:30:53.892
don't have the other puzzle part for that

00:30:53.912 --> 00:30:56.233
yet but when we do like there was

00:30:56.273 --> 00:30:57.974
a there was a um there was a

00:30:58.055 --> 00:31:01.237
thor movie in the eighties and it was

00:31:01.277 --> 00:31:02.417
terrible want to know why

00:31:04.009 --> 00:31:04.869
We had a great story,

00:31:04.891 --> 00:31:05.711
but you couldn't tell it.

00:31:05.810 --> 00:31:06.810
There was no lightning bolts.

00:31:06.851 --> 00:31:08.192
It was like a guy with a bad

00:31:08.231 --> 00:31:09.152
wig and a hammer.

00:31:10.152 --> 00:31:11.232
And then they were like, hang on.

00:31:11.333 --> 00:31:12.532
They made the movie,

00:31:12.633 --> 00:31:14.173
and it didn't do well.

00:31:14.614 --> 00:31:16.714
And then they, like, forty years later,

00:31:16.795 --> 00:31:18.694
whatever, forty years in tech version,

00:31:18.734 --> 00:31:21.737
they were like, hang on, everybody.

00:31:22.336 --> 00:31:22.817
Thor.

00:31:22.916 --> 00:31:23.517
And they were like, well,

00:31:23.537 --> 00:31:24.498
last time we did that, it sucked.

00:31:24.518 --> 00:31:24.998
I go, I know,

00:31:25.038 --> 00:31:26.357
but now we can shoot lightning bolts out

00:31:26.377 --> 00:31:27.057
of his eyeballs.

00:31:27.278 --> 00:31:28.298
And it looks like lightning bolts.

00:31:28.318 --> 00:31:29.118
And they're like, oh, yeah.

00:31:29.898 --> 00:31:30.980
But ahead of your time.

00:31:31.834 --> 00:31:32.913
The other thing that you made me write

00:31:32.933 --> 00:31:34.615
down, which I explained to people before,

00:31:35.055 --> 00:31:39.997
a lot of times you'll think fun police.

00:31:40.297 --> 00:31:43.278
I tend to think wonder and invention

00:31:43.298 --> 00:31:44.038
people, right?

00:31:44.117 --> 00:31:45.098
The two that I have,

00:31:45.719 --> 00:31:47.419
we're like outside the box thinkers.

00:31:47.519 --> 00:31:48.960
We want a blank dry erase board.

00:31:49.180 --> 00:31:50.660
No, no, no, no, no, no, no, no.

00:31:51.280 --> 00:31:52.721
I, to think outside the box,

00:31:52.740 --> 00:31:54.501
there needs to be a box.

00:31:54.561 --> 00:31:55.301
Yeah.

00:31:55.342 --> 00:31:56.803
You have to give me things to work

00:31:56.843 --> 00:31:58.563
around or I just, I'm like, okay,

00:31:58.583 --> 00:32:00.003
it looks like a straight line is the

00:32:00.064 --> 00:32:00.403
answer.

00:32:00.423 --> 00:32:00.923
Cause yeah.

00:32:01.613 --> 00:32:02.673
There's nothing in the way.

00:32:03.614 --> 00:32:04.554
I'll give you an example.

00:32:05.355 --> 00:32:06.635
I did an internship for K rock.

00:32:06.675 --> 00:32:07.875
I told you this before we hit record.

00:32:08.096 --> 00:32:09.596
The morning guy at K rock was Howard

00:32:09.616 --> 00:32:11.077
Stern and Howard Stern.

00:32:11.258 --> 00:32:12.498
If you liked him or not, it's fine.

00:32:12.979 --> 00:32:16.259
He got real crafty to like drop innuendos

00:32:16.279 --> 00:32:17.421
without ever getting fined.

00:32:17.661 --> 00:32:18.381
Cause there were rules.

00:32:18.421 --> 00:32:20.021
You can't say these words or do this.

00:32:20.041 --> 00:32:21.202
So he'd like get around it,

00:32:21.823 --> 00:32:22.623
love him or hate him.

00:32:22.963 --> 00:32:23.604
That was his thing.

00:32:23.824 --> 00:32:25.644
He goes to satellite radio and now he

00:32:25.664 --> 00:32:27.346
can drop F bombs and S bombs and

00:32:27.726 --> 00:32:29.426
T bombs, whatever bombs he wants to drop.

00:32:31.161 --> 00:32:33.942
And it wasn't fun anymore in the beginning

00:32:33.982 --> 00:32:34.542
because it was like,

00:32:35.003 --> 00:32:36.204
you don't have a villain.

00:32:38.105 --> 00:32:40.166
He wasn't fighting the FCC anymore.

00:32:40.247 --> 00:32:41.587
And I think he recognized that.

00:32:41.627 --> 00:32:42.409
Again, love him or hate him.

00:32:42.689 --> 00:32:43.108
Then he was like,

00:32:43.329 --> 00:32:44.711
maybe I should just get really good at

00:32:44.730 --> 00:32:46.832
getting to the heart of people's stories.

00:32:47.271 --> 00:32:48.053
And in my opinion,

00:32:48.093 --> 00:32:49.713
now he's a better interviewer than he was

00:32:49.973 --> 00:32:50.894
for the last thirty years.

00:32:52.082 --> 00:32:52.961
He needed a box.

00:32:53.102 --> 00:32:54.542
Now his box is the person in front

00:32:54.583 --> 00:32:54.803
of them.

00:32:55.103 --> 00:32:56.982
And the goal isn't shock them.

00:32:57.202 --> 00:32:59.443
The goal is make them feel like get

00:32:59.503 --> 00:33:00.865
the best out of them.

00:33:00.964 --> 00:33:01.265
And it's a,

00:33:01.505 --> 00:33:02.384
and he's still good at it.

00:33:02.605 --> 00:33:02.825
Right.

00:33:03.204 --> 00:33:04.385
But yeah, so idea parts.

00:33:04.526 --> 00:33:05.945
And if you,

00:33:06.006 --> 00:33:06.766
I want you to come in and think

00:33:07.086 --> 00:33:07.967
outside the box, Jimmy.

00:33:08.007 --> 00:33:09.807
And my first questions are what boxes are

00:33:09.826 --> 00:33:10.426
you putting me in?

00:33:10.547 --> 00:33:11.728
And I will begin to think my way

00:33:11.788 --> 00:33:12.147
out of them.

00:33:12.228 --> 00:33:12.867
But if you don't put me in a

00:33:12.887 --> 00:33:13.228
box,

00:33:13.627 --> 00:33:15.068
you get a bunch of ideas that don't

00:33:15.108 --> 00:33:16.308
help anybody.

00:33:16.429 --> 00:33:16.628
Yeah.

00:33:17.352 --> 00:33:19.291
So this is where your superpower comes in

00:33:19.332 --> 00:33:22.252
because you've been that in-person PT.

00:33:22.292 --> 00:33:24.113
You've been that person on the other end

00:33:24.133 --> 00:33:25.354
of a camera and a microphone and you

00:33:25.394 --> 00:33:26.114
couldn't use your hands.

00:33:26.354 --> 00:33:27.713
And you've been that person who's walked

00:33:27.733 --> 00:33:29.233
in the room and everybody sort of like

00:33:29.253 --> 00:33:30.515
played it cool because kill it,

00:33:30.674 --> 00:33:31.555
the cops are here or whatever.

00:33:31.934 --> 00:33:33.035
And you've been like, but I've been you,

00:33:33.214 --> 00:33:33.994
don't worry about it.

00:33:34.115 --> 00:33:37.016
Like, but that's why you're there.

00:33:38.556 --> 00:33:39.896
Yeah, exactly.

00:33:39.936 --> 00:33:40.037
Yeah.

00:33:40.076 --> 00:33:43.636
You said clinicians are the architects of

00:33:43.837 --> 00:33:45.778
data AI is learning from.

00:33:47.175 --> 00:33:47.955
They're learning from us.

00:33:47.996 --> 00:33:49.036
They need AI.

00:33:49.276 --> 00:33:49.896
Oh, I said they.

00:33:49.916 --> 00:33:50.636
That's probably not good.

00:33:50.676 --> 00:33:52.037
I'm giving human pronouns too.

00:33:52.057 --> 00:33:54.377
They're anthropomorphizing the machines.

00:33:54.498 --> 00:33:54.978
It's not good.

00:33:55.637 --> 00:33:57.698
What should we be doing differently right

00:33:57.778 --> 00:34:02.538
now that we know that these machines are

00:34:02.598 --> 00:34:03.539
learning from us?

00:34:03.619 --> 00:34:05.819
How does that change maybe how we approach

00:34:05.859 --> 00:34:06.920
it or how we think or what we

00:34:06.940 --> 00:34:08.380
do?

00:34:08.501 --> 00:34:08.820
I think...

00:34:10.731 --> 00:34:12.072
really and i really like the term

00:34:12.172 --> 00:34:13.773
architect and i did not come up with

00:34:13.793 --> 00:34:15.494
that term because again i'm not creative i

00:34:15.514 --> 00:34:19.137
just helped to put it out but um

00:34:19.177 --> 00:34:21.639
when i think about right now what we're

00:34:21.699 --> 00:34:24.760
doing in that all of our documentation and

00:34:24.820 --> 00:34:27.661
our notes and um and i mentioned this

00:34:27.681 --> 00:34:29.463
before like we're documenting in order to

00:34:29.483 --> 00:34:31.405
get paid but we also need

00:34:32.469 --> 00:34:33.610
you know, the future of,

00:34:34.210 --> 00:34:35.251
and I'm going to put it out there.

00:34:35.371 --> 00:34:36.452
I believe in automate,

00:34:36.592 --> 00:34:38.333
I believe we're going to start automating

00:34:38.393 --> 00:34:40.755
care and we are going to get to

00:34:40.795 --> 00:34:42.916
the point where we're automating aspects,

00:34:42.976 --> 00:34:44.016
not all of PT,

00:34:44.056 --> 00:34:46.038
but aspects of physical therapy.

00:34:46.818 --> 00:34:48.000
And, um,

00:34:49.204 --> 00:34:51.364
In order to do that in the best

00:34:51.425 --> 00:34:54.286
service for ourselves as clinicians and

00:34:54.347 --> 00:34:55.347
for our patients,

00:34:55.407 --> 00:34:58.389
especially the data that we have now,

00:34:58.429 --> 00:35:02.371
which is all the documented notes and

00:35:02.550 --> 00:35:05.713
journals and case studies and all of that

00:35:06.072 --> 00:35:08.253
is going to be so important to help

00:35:08.534 --> 00:35:09.434
that in the future.

00:35:10.235 --> 00:35:12.876
And now I'm talking just automate actually

00:35:12.996 --> 00:35:13.557
health care.

00:35:13.597 --> 00:35:14.538
And, you know,

00:35:14.557 --> 00:35:16.119
we can talk about automation all around

00:35:16.159 --> 00:35:16.420
that.

00:35:16.460 --> 00:35:16.659
You know,

00:35:16.679 --> 00:35:18.440
we have RCM type of stuff like

00:35:18.501 --> 00:35:20.362
reimbursement, denial automation,

00:35:22.003 --> 00:35:23.264
automating the front desk,

00:35:23.324 --> 00:35:24.065
automating scheduling.

00:35:24.425 --> 00:35:25.885
All of that is going to help.

00:35:25.925 --> 00:35:28.188
But right now we are truly the architects

00:35:28.248 --> 00:35:32.130
of future care automation.

00:35:33.994 --> 00:35:35.356
And we think about when I think about

00:35:35.436 --> 00:35:38.398
value based care and the true idea of

00:35:38.478 --> 00:35:41.101
quality care, we have to.

00:35:41.742 --> 00:35:43.382
And also we talked about specialization.

00:35:43.422 --> 00:35:43.704
Right.

00:35:44.503 --> 00:35:47.387
I can't keep everything in my mind that

00:35:47.447 --> 00:35:49.668
I need to for like I have a

00:35:49.728 --> 00:35:51.451
certain project and I do that project.

00:35:51.490 --> 00:35:53.413
And that's like my my full focus.

00:35:53.432 --> 00:35:54.974
And as a PT, for instance,

00:35:56.135 --> 00:35:56.755
I would not.

00:35:57.923 --> 00:35:59.565
treat, for instance, women's health.

00:36:00.306 --> 00:36:01.889
That's not my forte.

00:36:04.012 --> 00:36:05.873
I loved ankles.

00:36:06.014 --> 00:36:09.739
I wanted to do the intersection of acute

00:36:09.778 --> 00:36:12.603
orthopedic injuries in a chronic

00:36:12.643 --> 00:36:13.384
neuropathic

00:36:13.742 --> 00:36:16.125
neurologic now i can't talk anymore a

00:36:16.144 --> 00:36:19.806
neurologic population so i wanted to focus

00:36:19.827 --> 00:36:24.110
that specific niche and i think now that

00:36:24.150 --> 00:36:25.951
we're getting into like all of this

00:36:26.010 --> 00:36:28.032
healthcare data that's coming through and

00:36:28.092 --> 00:36:30.233
it's all this new data that's coming out

00:36:30.333 --> 00:36:32.094
like um there's

00:36:33.014 --> 00:36:36.597
It's nearly impossible to retain and just

00:36:36.657 --> 00:36:38.099
keep up with what we learned.

00:36:38.179 --> 00:36:39.161
And I went to school.

00:36:39.181 --> 00:36:40.661
I graduated in twenty fifteen.

00:36:40.722 --> 00:36:42.764
So it's like ten years ago.

00:36:42.784 --> 00:36:43.704
Oh, God.

00:36:43.744 --> 00:36:44.184
Ten years.

00:36:44.405 --> 00:36:45.226
I know.

00:36:45.306 --> 00:36:45.626
I'm sorry.

00:36:45.646 --> 00:36:46.967
I'm having an existential crisis.

00:36:48.568 --> 00:36:49.989
So ten years ago,

00:36:50.030 --> 00:36:52.873
what I learned isn't some of the baseline.

00:36:52.893 --> 00:36:53.733
Yeah, it's applicable,

00:36:53.773 --> 00:36:55.954
but I can't use some of that data

00:36:56.014 --> 00:36:56.315
now.

00:36:56.335 --> 00:36:59.538
It's like we've had stuff come up and

00:37:01.820 --> 00:37:03.041
I lost my train of thought because this

00:37:03.081 --> 00:37:04.541
is what happens if I don't write things

00:37:04.561 --> 00:37:04.802
down.

00:37:04.842 --> 00:37:06.824
But going forward,

00:37:07.083 --> 00:37:09.085
we need to be the architects of what

00:37:09.485 --> 00:37:10.887
the future is going to be.

00:37:10.927 --> 00:37:12.068
And that means that

00:37:13.458 --> 00:37:16.099
And the catch-twenty-two is that we still

00:37:16.119 --> 00:37:17.940
need the document to get paid.

00:37:18.460 --> 00:37:18.860
We're not,

00:37:18.981 --> 00:37:21.121
we don't have enough time to put extra

00:37:21.661 --> 00:37:23.802
notes or quality documentation or, like,

00:37:23.842 --> 00:37:24.724
say, like, hey,

00:37:24.804 --> 00:37:26.684
I tried this with this patient,

00:37:27.784 --> 00:37:29.125
and let's see what happens.

00:37:29.505 --> 00:37:30.726
We also don't even have time to look

00:37:30.786 --> 00:37:32.867
back at our notes to see how that

00:37:32.947 --> 00:37:34.126
might have changed.

00:37:36.128 --> 00:37:39.530
But those types of details in the care

00:37:39.550 --> 00:37:41.030
that we provide for the health of the

00:37:41.070 --> 00:37:42.552
patient to promote their health,

00:37:42.833 --> 00:37:44.134
that's what's going to help us in the

00:37:44.173 --> 00:37:47.416
future to really deliver on and help

00:37:47.516 --> 00:37:49.757
automated simple routine aspects of

00:37:49.817 --> 00:37:50.777
physical therapy.

00:37:52.018 --> 00:37:52.918
And then that way,

00:37:52.978 --> 00:37:55.820
what we have is like just this cognitive

00:37:55.940 --> 00:37:57.682
unloading that allows us to really

00:37:57.822 --> 00:37:59.143
personalize care.

00:38:00.070 --> 00:38:02.032
address complex patients.

00:38:03.672 --> 00:38:05.271
And I think that's kind of where we're

00:38:05.311 --> 00:38:05.773
heading.

00:38:05.813 --> 00:38:08.552
And I think some of the government

00:38:08.592 --> 00:38:11.094
programs are also recognizing that's where

00:38:11.114 --> 00:38:11.713
we're heading,

00:38:11.733 --> 00:38:14.414
which is a little bit exciting,

00:38:15.375 --> 00:38:16.414
but there's a lot of change.

00:38:16.775 --> 00:38:18.536
Yeah.

00:38:18.615 --> 00:38:18.856
Yeah.

00:38:18.876 --> 00:38:19.596
Simple, not easy.

00:38:20.235 --> 00:38:20.456
Yeah.

00:38:20.635 --> 00:38:22.376
So let's make this super tactical.

00:38:23.980 --> 00:38:28.682
and clear and say what's one thing someone

00:38:28.722 --> 00:38:32.065
listening now could do this week without

00:38:32.105 --> 00:38:33.846
having to buy anything or whatever what's

00:38:34.025 --> 00:38:35.586
one thing someone listening now could do

00:38:35.666 --> 00:38:39.509
this week to move from fear to action

00:38:39.708 --> 00:38:42.190
when it comes to ai if someone's like

00:38:42.291 --> 00:38:43.831
i've been anti-banana i have friends who

00:38:43.851 --> 00:38:45.213
are like i'll never do that and this

00:38:45.233 --> 00:38:46.253
is like a year and a half ago

00:38:46.273 --> 00:38:49.414
i'm like you will but i'm not going

00:38:49.434 --> 00:38:50.876
to fight you on it because the harder

00:38:50.936 --> 00:38:51.976
i push the harder you push back

00:38:52.757 --> 00:38:54.237
So those people who maybe are still

00:38:54.338 --> 00:38:55.699
sitting on the side of the pool waiting

00:38:55.719 --> 00:38:56.838
to jump into a swim lane,

00:38:57.340 --> 00:38:59.240
what's one thing they could do to move

00:38:59.280 --> 00:39:01.202
from fear towards action when it comes to

00:39:01.322 --> 00:39:01.601
AI?

00:39:01.621 --> 00:39:02.621
Where would you have them start?

00:39:04.704 --> 00:39:06.885
So in the last week,

00:39:07.324 --> 00:39:09.565
we've had the three major models come out

00:39:09.585 --> 00:39:12.168
with just healthcare-specific chat.

00:39:12.248 --> 00:39:14.369
Wait, I only know two, ChatGPT and Claude.

00:39:14.389 --> 00:39:15.088
What was the other one?

00:39:15.409 --> 00:39:17.351
Gemini announced Gemini for Health

00:39:17.391 --> 00:39:17.891
yesterday.

00:39:18.239 --> 00:39:20.101
You blink, you blink in the thing.

00:39:20.262 --> 00:39:20.382
Okay.

00:39:20.802 --> 00:39:22.702
That would be a major news like a

00:39:22.762 --> 00:39:23.184
year ago.

00:39:23.244 --> 00:39:24.385
Now it's like, ah, it's the third.

00:39:24.724 --> 00:39:25.085
Okay.

00:39:25.105 --> 00:39:25.826
So I missed that one.

00:39:25.865 --> 00:39:26.226
Thank you.

00:39:26.525 --> 00:39:28.186
I know literally yesterday.

00:39:28.226 --> 00:39:30.389
So there is,

00:39:30.409 --> 00:39:33.751
so there's generative AI and there's chat

00:39:33.771 --> 00:39:36.652
GPT and then there's Claude and Gemini

00:39:37.713 --> 00:39:40.556
really asking where I started was thinking

00:39:40.596 --> 00:39:42.617
about it more of like critical thinking

00:39:42.657 --> 00:39:43.759
and thought partnership.

00:39:44.018 --> 00:39:45.239
And what I wish was,

00:39:46.221 --> 00:39:49.463
I'd had in the clinic is, um,

00:39:49.623 --> 00:39:50.224
in our clinic,

00:39:50.264 --> 00:39:52.927
we use the photo focus on therapeutic

00:39:52.987 --> 00:39:55.789
outcomes and we get a PDF of that,

00:39:56.108 --> 00:39:57.831
you know, every quarter of like, you know,

00:39:58.030 --> 00:39:59.351
I was, it was,

00:39:59.371 --> 00:40:00.472
was not good at hips.

00:40:00.592 --> 00:40:02.875
I apologize to all my patients with hip

00:40:02.914 --> 00:40:03.235
pain.

00:40:03.655 --> 00:40:05.896
You're probably not seeing the best PT out

00:40:05.916 --> 00:40:06.197
there,

00:40:06.737 --> 00:40:08.179
but it was really good at back and

00:40:08.219 --> 00:40:09.260
neck and spine.

00:40:09.920 --> 00:40:10.121
Um,

00:40:11.442 --> 00:40:12.822
But take that PDF,

00:40:12.862 --> 00:40:13.842
you can scratch it out,

00:40:13.862 --> 00:40:14.902
your name or whatever,

00:40:14.943 --> 00:40:16.364
and just like put it in and then

00:40:16.403 --> 00:40:18.164
put some of your goals in and just

00:40:18.364 --> 00:40:20.445
ask where you should focus on your

00:40:20.525 --> 00:40:21.585
continuing education.

00:40:23.065 --> 00:40:26.987
Or take a really hard patient case,

00:40:27.027 --> 00:40:29.068
like someone you're stuck with or someone

00:40:29.108 --> 00:40:29.668
that, you know,

00:40:29.708 --> 00:40:31.789
just needs in your mind a little extra

00:40:31.829 --> 00:40:32.268
TLC.

00:40:32.309 --> 00:40:32.628
Right.

00:40:33.722 --> 00:40:35.804
Anonymize it, don't put patient names,

00:40:35.864 --> 00:40:37.003
any kind of identifiers,

00:40:37.423 --> 00:40:40.005
but just put the case in there and

00:40:40.864 --> 00:40:42.085
see what it says.

00:40:42.146 --> 00:40:45.206
So in the long winded explanation,

00:40:45.266 --> 00:40:47.827
just experiment and try it out.

00:40:48.266 --> 00:40:50.268
Because I think a lot of the fear

00:40:50.288 --> 00:40:52.047
that we have as clinicians,

00:40:52.108 --> 00:40:55.248
as patients around the perception of

00:40:55.289 --> 00:40:56.829
clinicians using AI too,

00:40:58.210 --> 00:41:00.451
is around this like a lot of unknowns.

00:41:00.990 --> 00:41:03.371
and yes it's a big black box and

00:41:03.391 --> 00:41:05.373
there's a lot of unknowns in there but

00:41:05.472 --> 00:41:08.153
i think there is you know this benefit

00:41:08.193 --> 00:41:10.715
of just trying it and if you don't

00:41:10.735 --> 00:41:13.096
want to go and download chat gbt or

00:41:13.135 --> 00:41:15.996
download claude just put a question into

00:41:16.056 --> 00:41:19.378
and i'm i'm not i get no no

00:41:19.398 --> 00:41:21.739
financial help but you know any of this

00:41:22.179 --> 00:41:24.121
but just put a question to the google

00:41:24.460 --> 00:41:26.922
chat bar it'll be there it's there and

00:41:26.981 --> 00:41:29.262
it'll help answer and then just read it

00:41:29.342 --> 00:41:29.443
and

00:41:30.751 --> 00:41:32.793
you know, judge for yourself, you know,

00:41:32.913 --> 00:41:35.376
accuracy or hallucination or not.

00:41:35.516 --> 00:41:36.677
And is it applicable?

00:41:38.358 --> 00:41:39.760
I also like it for bias.

00:41:39.800 --> 00:41:42.603
So I, you know, I recognize that,

00:41:42.643 --> 00:41:44.043
you know, as we specialize, right.

00:41:44.063 --> 00:41:45.826
And I have, you know, my upbringing,

00:41:45.885 --> 00:41:49.028
my specific lived experiences, my,

00:41:49.148 --> 00:41:49.248
you

00:41:51.130 --> 00:41:52.833
all has led me to who I am

00:41:52.893 --> 00:41:53.373
today.

00:41:53.432 --> 00:41:55.335
But I also want to be cognizant of

00:41:55.916 --> 00:41:57.137
how I communicate.

00:41:57.476 --> 00:41:59.559
You talked about your six types of working

00:41:59.599 --> 00:42:00.059
genius.

00:42:00.179 --> 00:42:03.222
I'm an IMTJ and an ERM-VI.

00:42:03.643 --> 00:42:04.362
I recognize them.

00:42:05.184 --> 00:42:06.385
If I don't have to be on stage,

00:42:06.405 --> 00:42:07.326
I don't want to be on stage,

00:42:07.365 --> 00:42:10.048
but you give me a data sheet and

00:42:10.329 --> 00:42:11.969
I'll love you forever type of thing.

00:42:12.010 --> 00:42:13.791
But some of that is communication

00:42:13.831 --> 00:42:14.733
preferences and

00:42:15.173 --> 00:42:16.655
And I communicate a little bit lateral

00:42:16.675 --> 00:42:17.695
thinking and everything.

00:42:18.494 --> 00:42:19.356
That is, you know,

00:42:19.436 --> 00:42:22.297
talking and I'm anthropomorphizing.

00:42:22.617 --> 00:42:23.438
I use Claude.

00:42:23.478 --> 00:42:25.699
And so using Claude as a thought partner

00:42:25.719 --> 00:42:28.500
to help challenge my own biases so that

00:42:28.559 --> 00:42:30.820
I then can understand a little bit more

00:42:30.920 --> 00:42:33.862
around my world perspective or thinking.

00:42:33.961 --> 00:42:34.362
For instance,

00:42:34.442 --> 00:42:36.264
I mentioned I have not owned a private

00:42:36.304 --> 00:42:36.884
practice.

00:42:36.903 --> 00:42:38.605
I'm not a practicing PT.

00:42:39.025 --> 00:42:41.086
I'm able to ask the questions to help

00:42:41.126 --> 00:42:44.389
me prepare some of that more empathy in

00:42:44.429 --> 00:42:46.230
some of the situations that I'm in, too.

00:42:46.329 --> 00:42:52.114
So just yeah, just try it.

00:42:52.153 --> 00:42:53.934
Jump in the shallow end.

00:42:53.974 --> 00:42:54.335
Sorry.

00:42:54.675 --> 00:42:55.635
Jump in the shallow end.

00:42:56.262 --> 00:42:56.884
Exactly.

00:42:57.003 --> 00:42:57.684
Dip the toe in.

00:42:57.704 --> 00:43:01.268
You're not going to be able to avoid

00:43:01.307 --> 00:43:05.070
it six months from now.

00:43:05.492 --> 00:43:06.592
It's like you can't find a manual

00:43:06.612 --> 00:43:07.614
transmission car now.

00:43:08.054 --> 00:43:08.253
No.

00:43:08.534 --> 00:43:09.695
You can't find it.

00:43:10.717 --> 00:43:11.237
For a while there,

00:43:11.257 --> 00:43:12.599
you had to pay more for automatic,

00:43:12.639 --> 00:43:13.539
and then you had to pay more for

00:43:13.599 --> 00:43:15.320
stick, and now you can't get a stick.

00:43:15.400 --> 00:43:16.501
No.

00:43:16.521 --> 00:43:18.523
These kids today don't know what a clutch

00:43:18.623 --> 00:43:18.784
is.

00:43:19.833 --> 00:43:20.954
All right.

00:43:20.974 --> 00:43:22.715
So we're going to have you back on

00:43:22.755 --> 00:43:23.135
the show.

00:43:23.215 --> 00:43:24.097
I sort of feel like you could be

00:43:24.137 --> 00:43:24.998
my secret weapon.

00:43:25.018 --> 00:43:26.400
You'll be our AI Deadpool.

00:43:26.619 --> 00:43:27.501
Okay, cool.

00:43:27.521 --> 00:43:29.523
We'll pull you out every like three months

00:43:30.443 --> 00:43:32.065
in between now and three months from now.

00:43:32.244 --> 00:43:34.306
Just jot down this, this,

00:43:34.407 --> 00:43:36.588
put all your idea parts down and then

00:43:36.608 --> 00:43:37.791
we bring you back and you go,

00:43:38.090 --> 00:43:38.771
here's what everybody needs.

00:43:38.911 --> 00:43:39.751
Here's what you missed.

00:43:40.918 --> 00:43:42.480
Maybe three months is too long because,

00:43:42.679 --> 00:43:44.920
again, we blink and a new thing happens.

00:43:45.181 --> 00:43:45.380
I mean,

00:43:45.420 --> 00:43:47.943
we blinked in a week and three health

00:43:48.322 --> 00:43:49.503
care chatbots came out.

00:43:49.983 --> 00:43:51.704
So last thing we do on the episode,

00:43:51.744 --> 00:43:52.864
CJ, no pressure.

00:43:53.385 --> 00:43:55.206
We call it the parting shot.

00:43:56.347 --> 00:43:58.347
This is the parting shot.

00:43:58.907 --> 00:44:00.309
One last mic drop moment.

00:44:00.969 --> 00:44:01.769
No pressure.

00:44:02.210 --> 00:44:04.331
Just your legacy on the line.

00:44:05.690 --> 00:44:05.951
All right.

00:44:05.971 --> 00:44:08.253
Just whatever you want to wrap up with.

00:44:08.313 --> 00:44:09.293
It could be a quote,

00:44:09.313 --> 00:44:10.614
something you've already said you could

00:44:10.653 --> 00:44:11.155
repeat.

00:44:12.155 --> 00:44:13.496
What's because people always remember the

00:44:13.536 --> 00:44:15.157
last thing that somebody said, right?

00:44:15.737 --> 00:44:16.057
Yeah.

00:44:16.277 --> 00:44:17.858
What would you have your parting shot be

00:44:18.039 --> 00:44:18.860
around today's topics?

00:44:20.420 --> 00:44:22.322
I've been thinking about, you know, what.

00:44:24.201 --> 00:44:26.702
what the reaction would be when we find

00:44:26.722 --> 00:44:28.422
that AI is better than us.

00:44:28.802 --> 00:44:30.704
Because we've seen that in radiology,

00:44:30.724 --> 00:44:30.923
right?

00:44:31.023 --> 00:44:33.865
AI is better at reading some radiology,

00:44:33.985 --> 00:44:36.387
but it's not replaced radiologists, right?

00:44:39.088 --> 00:44:42.489
It's coming where we're going to see that

00:44:42.730 --> 00:44:47.271
AI is better at doing some aspects of

00:44:47.351 --> 00:44:50.132
physical therapy and rehab than we are.

00:44:50.753 --> 00:44:51.173
And

00:44:52.422 --> 00:44:56.648
I'm excited for that and what that means

00:44:56.869 --> 00:44:58.090
to elevate our profession.

00:44:58.510 --> 00:44:59.231
You know, the rising,

00:44:59.512 --> 00:45:00.634
we talked about rising boat, tides,

00:45:00.653 --> 00:45:02.596
you know, that sort of thing.

00:45:03.297 --> 00:45:04.197
Uh,

00:45:04.237 --> 00:45:05.940
I would add it to your tide analogy.

00:45:06.041 --> 00:45:07.722
I was a lifeguard as a beach lifeguard.

00:45:08.043 --> 00:45:10.326
And if you turn your back on the

00:45:10.425 --> 00:45:10.726
ocean,

00:45:11.436 --> 00:45:12.637
That's when you get run over by the

00:45:12.657 --> 00:45:12.978
wave.

00:45:13.378 --> 00:45:14.797
You can bury your head in the sand

00:45:15.099 --> 00:45:15.938
all day.

00:45:16.458 --> 00:45:18.219
It's coming whether you like it or not.

00:45:18.440 --> 00:45:20.061
Science works whether you believe it or

00:45:20.101 --> 00:45:20.300
not.

00:45:20.820 --> 00:45:21.960
It does not require your belief.

00:45:22.362 --> 00:45:24.422
Technology, same thing.

00:45:24.583 --> 00:45:25.222
It's coming.

00:45:25.742 --> 00:45:27.384
You don't like it, you'll resist it.

00:45:28.358 --> 00:45:28.619
Great.

00:45:28.858 --> 00:45:29.219
Cool.

00:45:29.460 --> 00:45:30.019
You do that.

00:45:30.380 --> 00:45:31.481
If you turn your back on it,

00:45:31.621 --> 00:45:32.420
it will run you over.

00:45:33.161 --> 00:45:34.521
CJ, appreciate the time.

00:45:35.282 --> 00:45:37.204
We're going to treat you as our AI

00:45:37.563 --> 00:45:38.405
secret weapon, I think.

00:45:38.425 --> 00:45:40.226
You'll be our AI correspondent.

00:45:40.365 --> 00:45:43.166
I love AI Deadpool.

00:45:43.286 --> 00:45:46.048
I might have to get a costume or

00:45:46.068 --> 00:45:46.409
something.

00:45:46.449 --> 00:45:46.869
It's fine.

00:45:47.009 --> 00:45:47.769
We're good.

00:45:47.829 --> 00:45:48.530
Appreciate the time.

00:45:48.590 --> 00:45:49.170
Thank you for this.

00:45:49.210 --> 00:45:49.731
I learned a lot.

00:45:50.952 --> 00:45:52.173
Yeah, no, this was awesome.

00:45:52.474 --> 00:45:55.498
And I'm so honored to be here.

00:45:55.958 --> 00:45:57.440
And I know you talked about, you know,

00:45:57.480 --> 00:45:58.621
expectations out there.

00:45:58.681 --> 00:46:00.903
I'm still like, it's like, I don't know.

00:46:01.063 --> 00:46:01.264
Yeah.

00:46:01.603 --> 00:46:02.204
All right.

00:46:02.224 --> 00:46:02.945
Well, thank you for your time.

00:46:05.289 --> 00:46:06.371
That's it for this one,

00:46:06.630 --> 00:46:08.311
but we're just getting warmed up.

00:46:08.773 --> 00:46:10.673
Smash follow, send it to a friend,

00:46:10.893 --> 00:46:12.556
or crank up the next episode.

00:46:13.076 --> 00:46:13.936
Want to go deeper?

00:46:14.416 --> 00:46:18.480
Hit us at pgpiecast.com or find us on

00:46:18.519 --> 00:46:21.061
YouTube and socials at pgpiecast.

00:46:21.481 --> 00:46:23.764
And legally, none of this was advice.

00:46:23.844 --> 00:46:25.764
It's for entertainment purposes only.

00:46:26.246 --> 00:46:27.226
Bulls**t!

00:46:27.246 --> 00:46:27.847
See, Keith?

00:46:28.047 --> 00:46:29.108
We read the script.

00:46:29.407 --> 00:46:30.088
Happy now?