Choose Your Hard: The Mindset Shift Every PT Clinic Needs

WEBVTT

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Broadcasting way too early from three

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separate Wi-Fi connections.

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It's PT Breakfast Club with Tony Meritato,

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Dave Kittle, and Jimmy McKay.

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Hey!

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Good morning, Tony Meritato.

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I'm Jimmy McKay.

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Dave Kittle is somewhere hanging out with

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M-I-C-K-E-Y-M-O-U-S-E, Mickey Mouse,

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Donald Duck, Mickey Mouse.

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He's in Disney World,

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which I think is a... Oh,

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I didn't know that.

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Didn't anybody say he's in Florida?

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I just assume everybody who goes to

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Florida is going to Disney World.

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Maybe I'm making things up, which.

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I mean, I know he was.

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I didn't know if he was still there.

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Pre eight thirty in the morning.

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I'm telling you what.

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We're going to Disney today.

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I'm out this morning.

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Yeah.

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OK.

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I didn't make that up.

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He refuses to admit it.

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He is going to be one of the

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New Yorkers that is moving to Florida.

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He is going to leave.

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Who was I talking to yesterday?

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I was talking to someone and I go,

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I live in Florida.

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I go, but where are you from?

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He's like, Florida.

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I go, where are you from?

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He's like, Ohio.

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Ohio, when I lived in,

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I moved to South Carolina because I was

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running a radio station and I was like,

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I'm going to be a PT now.

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And I was taking like one or two

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classes at a time to get my prereqs

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done.

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And then my dad,

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who didn't go to college, was like,

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wanted to understand.

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He's like, help me understand.

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Like you're taking these classes so you

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can take more classes.

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I was like, yeah,

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you got to like do this and then

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get that.

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And he's like, well,

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why is it taking so long?

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I was like, well,

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I have a job and I'm taking one

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or two.

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I want to do,

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I have to do well in these classes.

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And he's like,

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so if you quit and moved here with

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me,

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and live here for free in South Carolina,

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you could do it faster?

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And I was like, yup.

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And he's like,

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do you want to do that?

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I was like, oh, I already,

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I have boxes now.

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Like I already,

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I had like already just materialized.

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I was like, sure.

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So doing that,

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and when I got to South Carolina,

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I was like,

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I can't wait to meet all these South

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Carolina girls.

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And there were none.

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They were all from Ohio and Pennsylvania

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and New York and New Jersey.

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And I was like,

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where are all the girls with the accents?

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They did not exist.

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They didn't exist.

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All right.

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So Dave's in Florida.

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We are here.

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How was your New Year's?

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How was your Christmas?

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We haven't done this in a while.

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We did New Year's Eve,

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New Year's Day episode.

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So it was good.

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Everything was awesome.

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We had a great time.

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Family is good.

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Family is healthy.

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You know,

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I have officially hit that time in life

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where I say every day,

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where did my kids go?

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Because now like they've grown into men.

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They're taller than me.

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They're like doing their own thing.

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I barely see them.

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um and i can now say cherish it

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because it happens too fast yeah yeah

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that's scary i hit the official age where

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we had this like the same little group

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of people i mean i'm still friends with

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my my best friend since second grade and

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he's like we're having a bunch of the

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dudes over and the dudes are all friends

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we were friends with since elementary

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school and middle school high school and

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their wives and their kids now who are

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now in college and i'm like i'm weird

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uncle jimmy who has no wife or kids

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um

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And I look at my buddy Brian,

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who had just driven back from Florida,

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that the more he got back at eight

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a.m.,

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now it's like ten o'clock and he's wasted

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tired.

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He's like, I'm barely hanging on.

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And I go, I'm exhausted, too.

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I slept at home.

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I go, Do you mind?

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What would happen if I just dipped out?

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And he goes,

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You're the only one who can.

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Like, we're all living through you.

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He's like, Run.

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and i dipped out and i get a

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text message from his wife as i'm pulling

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in my driveway like you're a loser but

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i was like it's ten thirty and i

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don't want to be awake so i don't

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have to what am i proving i know

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what midnight looks like and i know how

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to count backwards from ten um nothing

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changes in the new year because uh we

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still need to uh we still need to

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pay some bills tony

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We do.

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Let's hear it.

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Here's the thing.

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One of our new sponsors for the new

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year is BioFreeze Your Feelings.

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For the clinician who's just got a

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one-star review on Google and took it so

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personally,

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apply BioFreeze for your feelings.

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It's not BioFreeze.

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This is BioFreeze for your feelings.

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Now in cryo-cucumber scent.

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And this is what happens.

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Just apply it directly to your feelings.

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I'm not really sure anatomically where

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your feelings are located,

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but you just smush it all over the

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place.

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And it'll just take that one-star review

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away from everybody.

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So let's start with with that one

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conversation that someone had where they

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where they were thinking about made.

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I almost want to make this a mail

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mailbag segment.

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Maybe we should make it a mailbag.

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Let's do that.

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It's mailbag time.

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Real questions.

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Real people.

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No bots allowed.

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gonna do the screenshot of the actual post

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but like maybe we'll spare the person

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because we we see these posts pretty often

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and this person was essentially like um

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i'm thinking about maybe starting a

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business so i'm overwhelmed yeah they're

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already that was the thing i'm already

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overwhelmed thinking about it um uh i'm

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looking for a mentor who can guide me

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step by step

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from paperwork to opening day,

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little by little,

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or advice on companies that can handle the

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setup for me and make the process easier.

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So you don't want to run a business,

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it sounds like.

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You want to have a business run for

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you.

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You want to skip running it to owning

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it.

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So I would take out a loan three

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times the size as normal and then factor

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in that loan someone to run the business

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you would like to buy.

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I don't know.

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This person is obviously,

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they're named Humble Sunflower.

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So they're talking,

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Dave would appreciate their speaking

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anonymously.

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But then, thirty people chime in.

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Don't be discouraged by the naysayers.

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There's still plenty of... This person,

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from only the information we have,

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this is the wrong person to start a

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business, right?

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Yeah.

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I think you have to go from that

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narrative of if you're overwhelmed now,

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what's down the road?

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Now, on the flip side, right?

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Because I'm the one that shared that post

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with you guys.

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I knew Dave would go crazy.

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Too bad he's not here to discuss it.

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But then look, we're physical therapists,

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right?

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We understand baby steps and acclimating.

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I know somebody who, you know,

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wants to run their first five K,

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wants to run their first marathon,

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wants to take that first step,

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like to an infant, to a toddler.

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I guess it's a toddler.

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Taking those first steps,

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learning to crawl before you can walk like

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I get it.

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I don't know.

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And I think this leads into the post

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that both Jared Hall created and Richard

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Severin kind of came on with, which is,

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okay, you know,

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we're in this field of physical therapy.

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We're making decisions constantly.

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People in a cognitively heavy,

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I think that was kind of the way

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they said it,

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profession need mental rest breaks.

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And I had to read the post a

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bunch of times,

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and I still can't put a coherent response

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to it.

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But basically, they were saying, well,

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if you're making all these cognitive

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decisions, you need breaks,

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and maybe we do a three hour work,

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like chunk of work,

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and then we take forty five minutes off

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and then we work another three and take

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another hour off.

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And they're looking for ways to change the

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workload.

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And my question is and this is where

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my age obviously shows.

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whether we're talking about somebody who

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wants to start a business who feels

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overwhelmed,

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we're talking about a practicing clinician

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who I think they're saying feels

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overwhelmed,

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is it that the situation is actually

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overwhelming?

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Or is it that the person hasn't developed

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the skills and the capacity to handle the

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cognitive load?

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You know,

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and that's where I go back to last

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week.

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I was in the clinic by myself.

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I saw a full caseload that's normally

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split between two therapists.

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Like, was it hard?

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Yeah, it was.

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But it didn't feel like, you know...

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Like I was going to collapse or I

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was going to have a mental breakdown.

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Now,

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I couldn't have done that as a new

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grad.

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Like you build capacity.

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I can't run, you know,

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a mile if I haven't run a block.

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But there's also humans that are running

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twenty six miles.

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Like there's there's a variation in all of

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this.

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I just think it kind of,

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we have to take context into account and

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I don't think we need to baby or

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coddle or, you know,

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tell people that they're too weak to

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handle it.

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Like build the reps.

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What do you think?

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I, of course,

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have to sound like old man Jimmy and

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default to what I knew because I never

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ran a clinic,

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but I did run a radio station.

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And I understand those are similar,

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not the same.

00:08:51.456 --> 00:08:52.937
I kept waiting for the day when I'd

00:08:52.977 --> 00:08:55.240
be ready to run the radio station until

00:08:55.440 --> 00:08:57.883
my boss, who was leaving, was like, dude,

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you've been doing it for six months.

00:08:59.484 --> 00:09:01.947
I've been stepping away like stuff has

00:09:01.986 --> 00:09:02.847
gone sideways.

00:09:03.207 --> 00:09:04.389
So the only way for me to have

00:09:04.428 --> 00:09:04.970
gotten there

00:09:07.243 --> 00:09:08.703
was a mentor who essentially was like,

00:09:08.844 --> 00:09:09.804
I'm not even gonna tell you that I'm

00:09:09.845 --> 00:09:10.725
taking the training wheels off.

00:09:10.764 --> 00:09:11.765
I'm just gonna start doing it.

00:09:12.206 --> 00:09:12.966
You're never ready.

00:09:13.787 --> 00:09:15.187
You're never ready, right?

00:09:15.488 --> 00:09:20.890
But from the second one-on-one meeting I

00:09:20.910 --> 00:09:21.831
had with this boss, he's like,

00:09:21.870 --> 00:09:22.812
what do you really wanna do in your

00:09:22.851 --> 00:09:23.091
career?

00:09:23.172 --> 00:09:25.192
And I felt scary telling the guy,

00:09:25.592 --> 00:09:26.433
I'd like to have your,

00:09:26.494 --> 00:09:27.354
not necessarily your job,

00:09:27.374 --> 00:09:29.294
but I'd like to have your job eventually.

00:09:29.654 --> 00:09:30.196
And he was like, good,

00:09:30.235 --> 00:09:30.676
say it out loud.

00:09:30.696 --> 00:09:31.475
Otherwise it doesn't happen.

00:09:31.816 --> 00:09:33.596
From then on, I think secretly,

00:09:33.636 --> 00:09:34.097
he was like,

00:09:34.837 --> 00:09:36.698
pushing me, pushing me, pushing me.

00:09:36.779 --> 00:09:37.940
Cause he was like, that's my job.

00:09:40.001 --> 00:09:41.523
But I, so I always wanted it.

00:09:41.582 --> 00:09:43.284
I was, I never felt overwhelmed.

00:09:43.304 --> 00:09:43.725
I always,

00:09:43.945 --> 00:09:45.746
I always felt like a healthy respect for

00:09:45.787 --> 00:09:46.447
while I'm not ready yet.

00:09:47.227 --> 00:09:48.349
It wasn't like I'm overwhelmed.

00:09:48.369 --> 00:09:48.589
It was like,

00:09:48.854 --> 00:09:50.375
Well, Chris is super smart.

00:09:50.414 --> 00:09:50.975
He's way smart.

00:09:50.995 --> 00:09:51.774
I'll never be that smart,

00:09:51.794 --> 00:09:52.716
but eventually I will.

00:09:52.755 --> 00:09:53.956
Until he was like, dude,

00:09:53.975 --> 00:09:54.996
it's running a radio station.

00:09:55.017 --> 00:09:55.956
This is not rocket surgery.

00:09:55.996 --> 00:09:57.197
No one's going to die if you screw

00:09:57.217 --> 00:09:58.077
this up, right?

00:09:58.538 --> 00:09:59.318
And I was like, oh, yeah.

00:09:59.359 --> 00:10:00.379
My dad even said that to me.

00:10:00.418 --> 00:10:02.139
My dad was a firefighter in New York

00:10:02.179 --> 00:10:02.379
City.

00:10:02.419 --> 00:10:02.639
He was like,

00:10:02.841 --> 00:10:03.961
is anyone going to die if you have

00:10:03.980 --> 00:10:04.921
a really bad day at work?

00:10:04.941 --> 00:10:05.802
And when he said that, I was like,

00:10:06.461 --> 00:10:06.881
uh, no.

00:10:07.042 --> 00:10:08.143
Stress level went from here to like,

00:10:08.302 --> 00:10:09.344
do you ever run a radio station?

00:10:09.364 --> 00:10:10.344
Like, what's the point?

00:10:10.970 --> 00:10:13.951
That was my immediate response when I read

00:10:14.030 --> 00:10:14.831
Richard's post.

00:10:14.910 --> 00:10:17.331
I was like, we're not generally speaking,

00:10:17.772 --> 00:10:20.533
we're not making life or death situations.

00:10:20.592 --> 00:10:22.273
Now again, it's context dependent.

00:10:22.293 --> 00:10:22.553
You know,

00:10:22.594 --> 00:10:24.994
he talks a lot about like vital signs

00:10:25.053 --> 00:10:27.095
and he seems to work with a very

00:10:27.615 --> 00:10:29.635
medically complex population.

00:10:29.676 --> 00:10:31.375
And if I was in that world, yeah,

00:10:31.436 --> 00:10:33.197
like I wanna take mental breaks.

00:10:33.876 --> 00:10:36.038
my world is not that world my patients

00:10:36.077 --> 00:10:37.759
are driving to the clinic they're dressing

00:10:37.798 --> 00:10:39.559
bathing feeding themselves they're living

00:10:39.600 --> 00:10:41.140
in the community yeah they just have

00:10:41.221 --> 00:10:43.623
nuisance conditions that they want to work

00:10:43.643 --> 00:10:46.663
through um so i think that's a big

00:10:46.683 --> 00:10:48.946
part of it the other part is are

00:10:48.966 --> 00:10:50.626
we in a situation where people are

00:10:50.667 --> 00:10:54.269
verbalizing things that we all thought but

00:10:54.288 --> 00:10:57.110
we didn't say i feel overwhelmed but i

00:10:57.129 --> 00:10:58.711
don't have to tell people i feel it

00:10:58.791 --> 00:11:00.912
i just internalize it and i work through

00:11:00.991 --> 00:11:01.692
it like

00:11:02.253 --> 00:11:03.313
They want a mentor.

00:11:03.514 --> 00:11:04.554
I wanted a mentor.

00:11:04.695 --> 00:11:06.616
The mentor didn't exist at that time.

00:11:06.777 --> 00:11:09.619
This was pretty much pre-internet,

00:11:09.658 --> 00:11:11.519
pre-social media, pre all that stuff.

00:11:12.841 --> 00:11:13.581
So I don't know.

00:11:15.283 --> 00:11:18.225
It's so hard to look at those situations.

00:11:18.265 --> 00:11:19.746
And everybody says the same thing.

00:11:19.787 --> 00:11:21.408
If I knew how challenging,

00:11:21.488 --> 00:11:22.969
how hard it was going to be to

00:11:23.009 --> 00:11:23.710
start a business,

00:11:23.750 --> 00:11:25.311
I probably never would have done it.

00:11:25.831 --> 00:11:27.913
But I just took the leap and I

00:11:28.033 --> 00:11:30.054
dealt with it as the things were coming

00:11:30.115 --> 00:11:30.375
at me.

00:11:30.714 --> 00:11:31.114
Dan says,

00:11:31.154 --> 00:11:32.515
person sounds like they don't have a

00:11:32.576 --> 00:11:33.397
written business plan.

00:11:33.437 --> 00:11:33.957
Yeah, it's fine.

00:11:33.977 --> 00:11:34.498
Just a dream.

00:11:34.958 --> 00:11:35.178
Yeah.

00:11:35.239 --> 00:11:35.418
I mean,

00:11:35.538 --> 00:11:36.600
you want someone else to do the work.

00:11:36.681 --> 00:11:38.482
Ben's saying going through the steps of

00:11:38.543 --> 00:11:39.724
learning brings the knowledge.

00:11:40.024 --> 00:11:40.164
Yeah.

00:11:40.245 --> 00:11:41.505
Like you don't.

00:11:42.187 --> 00:11:44.428
I'm very like I'm all pro education,

00:11:44.469 --> 00:11:45.890
but like there's a difference between

00:11:46.471 --> 00:11:47.513
theory and practice.

00:11:47.673 --> 00:11:48.974
And like even the people who teach you

00:11:49.014 --> 00:11:50.495
theory are going to tell you like you

00:11:50.535 --> 00:11:51.857
need to jump out of the nest.

00:11:52.437 --> 00:11:53.899
So now we take this and we say,

00:11:53.958 --> 00:11:54.178
okay,

00:11:54.219 --> 00:11:56.561
is this another symptom of kind of the

00:11:56.620 --> 00:11:58.282
modern education system?

00:11:58.942 --> 00:12:01.344
Everybody wants to be taught everything.

00:12:01.823 --> 00:12:03.304
Like, where are the innovators?

00:12:03.345 --> 00:12:05.306
Where are the trailblazers?

00:12:05.346 --> 00:12:06.726
Where are the people who look at this

00:12:06.767 --> 00:12:07.988
and say, you know what?

00:12:08.048 --> 00:12:09.589
Nobody's ever done what I want to do.

00:12:09.828 --> 00:12:11.370
I am going to go do it and

00:12:11.409 --> 00:12:12.091
figure it out.

00:12:12.270 --> 00:12:14.652
I am going to cut the trail in

00:12:14.711 --> 00:12:16.373
a virgin forest and I'm going to make

00:12:16.393 --> 00:12:17.073
this work.

00:12:17.693 --> 00:12:19.815
I feel like every single time I talk

00:12:19.835 --> 00:12:20.956
to somebody, they're like, well,

00:12:20.995 --> 00:12:22.096
show me how to do it.

00:12:22.136 --> 00:12:23.317
Teach me how to do it.

00:12:23.857 --> 00:12:25.077
And even if they're willing to do the

00:12:25.118 --> 00:12:25.518
work,

00:12:25.698 --> 00:12:28.840
like you have to do the you have

00:12:28.879 --> 00:12:29.541
to lift the weight.

00:12:29.581 --> 00:12:30.980
You have to do the thing.

00:12:31.721 --> 00:12:33.562
And there isn't a teacher for everything.

00:12:33.842 --> 00:12:34.703
But Ben has also said,

00:12:34.744 --> 00:12:36.345
if you don't want the knowledge or the

00:12:36.384 --> 00:12:36.784
wisdom,

00:12:36.905 --> 00:12:38.586
or I would also say like some of

00:12:38.626 --> 00:12:40.087
the stress, do a franchise.

00:12:40.128 --> 00:12:42.029
Like that's like that's the middle ground.

00:12:42.070 --> 00:12:42.250
Right.

00:12:42.269 --> 00:12:43.551
Which is like this is clinic in a

00:12:43.591 --> 00:12:43.910
box.

00:12:43.971 --> 00:12:45.572
We've stepped on the landmines.

00:12:45.653 --> 00:12:48.034
We've tripped over the mistakes that would

00:12:48.075 --> 00:12:50.437
normally cost you money or cripple you.

00:12:50.956 --> 00:12:51.738
So you jump in.

00:12:51.977 --> 00:12:54.100
But now you you pay for that.

00:12:54.620 --> 00:12:56.120
So you want all the freedom with none

00:12:56.140 --> 00:12:56.761
of the risk.

00:12:59.166 --> 00:13:00.365
I'm launching a course today that I've

00:13:00.385 --> 00:13:01.025
been talking about.

00:13:01.386 --> 00:13:02.746
You've been talking about me doing it for

00:13:02.966 --> 00:13:03.827
three years, which is like,

00:13:03.847 --> 00:13:04.967
you know how to run a podcast.

00:13:05.508 --> 00:13:07.288
People want to run those now.

00:13:07.308 --> 00:13:07.889
Five years ago,

00:13:08.110 --> 00:13:09.190
I think I had to convince people to

00:13:09.210 --> 00:13:09.909
launch a podcast.

00:13:10.390 --> 00:13:11.311
Now I just like,

00:13:11.831 --> 00:13:13.091
do we have enough podcasts?

00:13:13.131 --> 00:13:13.591
I feel like we might.

00:13:14.652 --> 00:13:15.273
But now people are like,

00:13:15.293 --> 00:13:15.793
I don't know how to do it.

00:13:15.812 --> 00:13:16.393
I'm like, great.

00:13:16.653 --> 00:13:18.874
It's five hundred bucks for eight weeks,

00:13:19.375 --> 00:13:20.315
which now if you do the math,

00:13:20.335 --> 00:13:21.655
I'm still sort of like five hundred bucks

00:13:21.676 --> 00:13:23.255
for eight weeks of one on one plus

00:13:23.416 --> 00:13:24.596
I'm going to add all these other things.

00:13:27.442 --> 00:13:29.024
You could Google all of the things I'm

00:13:29.043 --> 00:13:29.744
going to teach you,

00:13:30.823 --> 00:13:31.784
but I'm going to sit with you and

00:13:31.845 --> 00:13:33.885
hold your hand and look over your shoulder

00:13:33.966 --> 00:13:34.466
and then be like,

00:13:34.505 --> 00:13:35.745
now explain it to me why you're afraid

00:13:35.785 --> 00:13:36.125
again.

00:13:36.186 --> 00:13:37.106
And you're going to go because of this.

00:13:37.126 --> 00:13:38.086
I'm going to go, that doesn't matter.

00:13:38.908 --> 00:13:40.307
And you're thinking about the wrong thing.

00:13:40.347 --> 00:13:41.227
Remember two weeks ago,

00:13:41.268 --> 00:13:42.109
I told you to think about A,

00:13:42.149 --> 00:13:42.369
not B.

00:13:42.389 --> 00:13:43.788
We're not worried about microphones.

00:13:43.808 --> 00:13:44.429
It does not matter.

00:13:44.730 --> 00:13:44.970
Right.

00:13:45.409 --> 00:13:45.629
So,

00:13:45.929 --> 00:13:47.571
but they want all the freedom with none

00:13:47.591 --> 00:13:48.551
of the responsibility.

00:13:48.591 --> 00:13:50.152
People love to talk about what rights they

00:13:50.192 --> 00:13:50.412
have.

00:13:51.390 --> 00:13:52.812
The other side of rights, I was taught,

00:13:52.851 --> 00:13:54.192
is responsibilities.

00:13:54.231 --> 00:13:56.232
You also have responsibilities, right?

00:13:57.514 --> 00:13:58.433
This isn't going to end.

00:13:58.994 --> 00:14:00.215
This is great fuel.

00:14:00.575 --> 00:14:01.774
We'll always have something to talk about

00:14:01.794 --> 00:14:02.995
on the podcast because this is never going

00:14:03.015 --> 00:14:03.475
to go away.

00:14:03.495 --> 00:14:04.436
This is a new generation.

00:14:04.917 --> 00:14:05.956
Another group is going to walk in front

00:14:05.976 --> 00:14:08.077
of the firing squad and do it.

00:14:08.878 --> 00:14:09.798
Where are the people who are the

00:14:09.818 --> 00:14:10.298
innovators?

00:14:10.499 --> 00:14:11.479
Not in this Facebook group.

00:14:11.519 --> 00:14:12.399
They're out doing stuff.

00:14:12.419 --> 00:14:13.539
That's why we don't hear about them.

00:14:13.960 --> 00:14:14.721
They do exist.

00:14:15.000 --> 00:14:15.880
They're just doing them.

00:14:15.980 --> 00:14:16.500
That's the thing.

00:14:16.520 --> 00:14:17.621
They're not asking for permission.

00:14:18.381 --> 00:14:19.543
I was asking for permission when I

00:14:19.582 --> 00:14:20.342
launched my podcast.

00:14:21.350 --> 00:14:23.111
Even though I was thirty three years old,

00:14:23.952 --> 00:14:25.273
I still walked into my professor's office

00:14:25.293 --> 00:14:26.313
and think about this thing.

00:14:26.734 --> 00:14:28.254
And she's like, OK, I'm like,

00:14:28.294 --> 00:14:29.775
but you're I'm sort of asking.

00:14:29.796 --> 00:14:30.096
She's like,

00:14:30.756 --> 00:14:32.116
are you going to do it during class?

00:14:32.136 --> 00:14:33.477
I'm like, no, she's like, I don't care.

00:14:33.638 --> 00:14:35.198
Like in a good way, like do it.

00:14:36.500 --> 00:14:38.061
Now we need both, right?

00:14:38.100 --> 00:14:39.621
So like my wife and I always talk

00:14:39.642 --> 00:14:40.222
about this.

00:14:40.403 --> 00:14:42.484
We started our practice in two thousand

00:14:42.624 --> 00:14:42.764
one.

00:14:43.804 --> 00:14:45.306
I was not a physical therapist.

00:14:45.485 --> 00:14:47.567
I didn't even know her when I signed

00:14:47.607 --> 00:14:49.649
the lease to rent the space.

00:14:50.330 --> 00:14:52.110
And it was one of those deals where

00:14:52.490 --> 00:14:54.533
we met, we built a relationship,

00:14:54.913 --> 00:14:57.475
we got everything going and we were like,

00:14:57.615 --> 00:14:59.875
hey, you know, here's here's the space.

00:14:59.916 --> 00:15:01.456
I don't know what the storefront used to

00:15:01.476 --> 00:15:01.616
be.

00:15:02.577 --> 00:15:05.041
And almost as quickly as we were like,

00:15:05.321 --> 00:15:08.344
well, let's do she got to do.

00:15:08.945 --> 00:15:10.926
I already started to pull paneling off the

00:15:10.966 --> 00:15:11.147
wall.

00:15:11.167 --> 00:15:12.128
I'm like,

00:15:12.168 --> 00:15:13.609
we got to just start doing this.

00:15:13.869 --> 00:15:16.711
And so the joke between us is she

00:15:16.812 --> 00:15:19.774
is the quintessential physical therapist.

00:15:19.815 --> 00:15:20.216
You know,

00:15:20.255 --> 00:15:22.717
she did all the proper stuff and followed

00:15:22.738 --> 00:15:23.938
all the rules and did everything.

00:15:24.580 --> 00:15:24.860
She was like,

00:15:24.921 --> 00:15:26.644
I would still be thinking about if I

00:15:26.663 --> 00:15:29.207
should remove the panel and you've already

00:15:29.268 --> 00:15:30.250
ripped down the drywall.

00:15:30.289 --> 00:15:30.951
Right, right.

00:15:30.990 --> 00:15:33.375
You know, with zero plan on what's next.

00:15:33.875 --> 00:15:35.740
Are you the original Alex and Layla

00:15:35.759 --> 00:15:36.220
Hormozy?

00:15:37.198 --> 00:15:37.719
Perhaps,

00:15:37.778 --> 00:15:39.280
but we were never that successful.

00:15:40.322 --> 00:15:40.422
Well,

00:15:40.481 --> 00:15:42.322
I think you need in any good combo,

00:15:42.342 --> 00:15:43.484
like a wow and a how,

00:15:43.604 --> 00:15:47.246
like you've seen me talk to Andrea Chaney

00:15:47.287 --> 00:15:48.967
a couple of times and she's a marketer,

00:15:49.087 --> 00:15:49.989
but she's very much,

00:15:50.769 --> 00:15:51.971
there's a Venn diagram.

00:15:51.990 --> 00:15:53.692
Is she also a therapist?

00:15:53.751 --> 00:15:53.871
No.

00:15:53.892 --> 00:15:53.991
Okay.

00:15:54.993 --> 00:15:56.594
But she's worked in the healthcare space

00:15:56.894 --> 00:15:57.315
enough.

00:15:57.335 --> 00:15:57.674
And she's like,

00:15:57.715 --> 00:15:59.437
I like putting these efforts into

00:15:59.476 --> 00:16:01.097
something I feel like is a good product.

00:16:01.498 --> 00:16:02.278
but she's not a therapist.

00:16:02.558 --> 00:16:04.100
She's very, how?

00:16:04.440 --> 00:16:05.299
So she looked at me,

00:16:05.340 --> 00:16:06.860
the first time we ever worked together,

00:16:06.900 --> 00:16:08.501
we got like dropped in the room and

00:16:08.522 --> 00:16:09.442
both of us were looking at each other

00:16:09.462 --> 00:16:10.884
like, why are there two of us here?

00:16:11.563 --> 00:16:12.264
And we didn't know why.

00:16:12.283 --> 00:16:13.205
The person who put us in the same

00:16:13.225 --> 00:16:14.666
room was like, just figure it out.

00:16:15.125 --> 00:16:15.946
And then we looked at each other like,

00:16:15.985 --> 00:16:16.886
what are we supposed to do?

00:16:17.086 --> 00:16:18.508
And I remember it was like the Spider-Man

00:16:18.548 --> 00:16:18.748
meme.

00:16:18.788 --> 00:16:19.628
Like I'm pointing at her,

00:16:19.668 --> 00:16:20.269
she's pointing at me.

00:16:21.061 --> 00:16:21.640
And I remember being like,

00:16:21.701 --> 00:16:22.461
I don't want your job.

00:16:23.383 --> 00:16:24.943
I'm not going to be good at what

00:16:24.964 --> 00:16:25.504
you're good at.

00:16:25.624 --> 00:16:27.404
But conversely, I am a therapist.

00:16:27.465 --> 00:16:28.426
It was a therapy company.

00:16:28.846 --> 00:16:30.606
And I'm more all over the place.

00:16:30.626 --> 00:16:33.308
And once we sniff each other around a

00:16:33.328 --> 00:16:34.070
little bit, we're like, got it.

00:16:34.169 --> 00:16:34.610
OK, yeah,

00:16:34.669 --> 00:16:35.650
now this is how we work together.

00:16:35.691 --> 00:16:36.291
We figured that out.

00:16:36.331 --> 00:16:38.732
But that's a good team, I think.

00:16:39.133 --> 00:16:40.193
You need to be able to operate

00:16:40.234 --> 00:16:40.754
independently,

00:16:40.793 --> 00:16:41.975
but also play well with others.

00:16:42.745 --> 00:16:44.847
So back to the original post.

00:16:45.749 --> 00:16:47.692
I think a situation like that,

00:16:48.072 --> 00:16:50.917
what needs to happen is you don't know

00:16:50.937 --> 00:16:51.618
what you don't know.

00:16:52.418 --> 00:16:54.000
And agree, that's overwhelming.

00:16:54.020 --> 00:16:55.823
You just accept the overwhelm.

00:16:55.864 --> 00:16:57.206
You accept that feeling.

00:16:57.225 --> 00:16:58.827
You accept the feeling of.

00:16:59.268 --> 00:17:00.328
You're going to make mistakes.

00:17:00.688 --> 00:17:02.149
You start doing stuff.

00:17:02.210 --> 00:17:03.990
And as you start to do stuff,

00:17:04.550 --> 00:17:06.311
now you have information because you can't

00:17:06.352 --> 00:17:08.173
even go to somebody like I get questions

00:17:08.212 --> 00:17:08.712
all the time.

00:17:08.772 --> 00:17:09.893
I'm sure you it's the same.

00:17:10.273 --> 00:17:10.814
What do I do?

00:17:10.874 --> 00:17:11.534
How do I do this?

00:17:12.074 --> 00:17:12.595
I'm like,

00:17:12.694 --> 00:17:14.935
it doesn't matter if I even hand feed

00:17:15.076 --> 00:17:16.757
like spoon feed you the information.

00:17:16.817 --> 00:17:18.718
You don't know how to use it.

00:17:18.798 --> 00:17:18.998
Right.

00:17:19.498 --> 00:17:21.318
If you want to go down that road,

00:17:21.358 --> 00:17:22.359
you start doing it.

00:17:22.500 --> 00:17:24.040
You know, you're going to make mistakes.

00:17:24.141 --> 00:17:24.781
As Jimmy said,

00:17:24.801 --> 00:17:25.922
you're not going to kill anyone.

00:17:26.442 --> 00:17:27.182
It's okay.

00:17:27.782 --> 00:17:30.664
And you then have information when you

00:17:30.724 --> 00:17:33.146
mess something up to go back.

00:17:33.227 --> 00:17:35.127
I can't even tell you how many times

00:17:35.188 --> 00:17:36.169
I do something and they're like,

00:17:36.528 --> 00:17:37.849
you need a permit to do that.

00:17:37.869 --> 00:17:39.490
I'm like, okay, I'll go get a permit.

00:17:39.891 --> 00:17:41.152
You need a license to do that.

00:17:41.231 --> 00:17:41.412
What?

00:17:41.451 --> 00:17:42.051
That's stupid.

00:17:42.071 --> 00:17:42.712
But okay.

00:17:42.952 --> 00:17:43.532
That's what I need.

00:17:43.593 --> 00:17:43.753
Like,

00:17:43.933 --> 00:17:45.694
I will figure it out as I go.

00:17:46.895 --> 00:17:47.257
Yeah.

00:17:47.277 --> 00:17:48.939
Steven Johnson's this guy wrote a book

00:17:49.598 --> 00:17:52.962
called I can't remember the name of the

00:17:52.982 --> 00:17:53.124
book,

00:17:53.483 --> 00:17:54.965
but his concept is called the adjacent

00:17:54.986 --> 00:17:55.405
possible.

00:17:55.626 --> 00:17:58.049
He's like the world is a giant chessboard,

00:17:58.269 --> 00:17:59.932
just squares upon square in infinite

00:17:59.951 --> 00:18:00.392
directions.

00:18:00.452 --> 00:18:01.534
And wherever you're standing,

00:18:01.933 --> 00:18:02.855
it's because

00:18:04.038 --> 00:18:04.499
someone,

00:18:04.759 --> 00:18:06.760
forty nine thousand squares before,

00:18:06.840 --> 00:18:08.102
learned how to create electricity.

00:18:08.622 --> 00:18:10.262
So now you're standing in a Jason Possible

00:18:10.363 --> 00:18:11.844
and you have one, two, three, four, five,

00:18:11.884 --> 00:18:12.983
six, you have eight options.

00:18:13.204 --> 00:18:14.164
That's how chess boards work.

00:18:14.184 --> 00:18:14.644
You're standing.

00:18:14.965 --> 00:18:17.247
And then because I now is here,

00:18:17.287 --> 00:18:18.647
I can take one step forward here and

00:18:18.667 --> 00:18:20.229
now I have eight new options because now

00:18:20.249 --> 00:18:22.009
these options I have I have go back

00:18:22.029 --> 00:18:23.711
to where I was and I have go

00:18:23.750 --> 00:18:25.071
forward and all these and you're just

00:18:25.112 --> 00:18:25.852
continually.

00:18:26.071 --> 00:18:27.512
But most of it is standing on the

00:18:27.532 --> 00:18:28.354
shoulder of giants.

00:18:28.894 --> 00:18:30.595
but I have to walk my own walk,

00:18:31.035 --> 00:18:31.255
right?

00:18:31.295 --> 00:18:32.635
We all have access to laptops and

00:18:32.655 --> 00:18:33.155
electricity,

00:18:33.195 --> 00:18:36.117
but somebody built Apple and somebody

00:18:36.178 --> 00:18:37.077
didn't, right?

00:18:37.097 --> 00:18:39.720
It's because they put their unique spin on

00:18:39.799 --> 00:18:41.460
that adjacent possible.

00:18:41.661 --> 00:18:42.980
You can only take one step.

00:18:43.381 --> 00:18:46.343
That was his simplification of like how

00:18:46.403 --> 00:18:48.324
innovation was made.

00:18:48.564 --> 00:18:49.605
Where do good ideas come from?

00:18:50.404 --> 00:18:50.904
Steven Johnson.

00:18:50.924 --> 00:18:52.547
That was the end of the book.

00:18:52.707 --> 00:18:54.307
Shoot, adjacent possible.

00:18:54.788 --> 00:18:56.249
I actually wrote a note down, Tony,

00:18:56.509 --> 00:18:57.650
and didn't just interrupt someone and

00:18:57.670 --> 00:18:58.131
start talking.

00:18:58.151 --> 00:18:59.211
That's my twenty twenty six.

00:19:00.653 --> 00:19:01.313
So listen,

00:19:02.013 --> 00:19:03.734
this person will or will not be good

00:19:03.755 --> 00:19:05.236
at business and it's going to be

00:19:05.276 --> 00:19:07.356
determined if they take the leap or not,

00:19:07.758 --> 00:19:09.098
or they're going to be at a dinner

00:19:09.138 --> 00:19:10.500
party six years from now saying,

00:19:10.779 --> 00:19:11.681
I should have done it.

00:19:11.721 --> 00:19:12.401
I would have done it.

00:19:12.540 --> 00:19:13.201
I would have been great.

00:19:13.221 --> 00:19:13.422
And like,

00:19:13.461 --> 00:19:14.383
we're only going to know if you do

00:19:14.423 --> 00:19:14.482
it.

00:19:15.022 --> 00:19:15.943
And there is no perfect.

00:19:16.263 --> 00:19:17.023
And I'm very sorry.

00:19:17.164 --> 00:19:19.645
But that's our psychological analysis of

00:19:19.665 --> 00:19:21.227
this anonymous person Facebook group for

00:19:21.287 --> 00:19:23.189
eighteen and a half minutes.

00:19:23.568 --> 00:19:25.470
Can we spend a couple of minutes talking

00:19:25.509 --> 00:19:26.431
about EMRs?

00:19:27.471 --> 00:19:27.912
Yes.

00:19:28.311 --> 00:19:29.333
What do you want to talk about EMRs?

00:19:29.881 --> 00:19:32.962
So again, this plays off of Jared Hall,

00:19:33.282 --> 00:19:35.104
Richard Severin's post, you know,

00:19:35.125 --> 00:19:37.526
they were saying how therapists are

00:19:37.685 --> 00:19:40.428
overwhelmed with cognitive decisions and

00:19:40.468 --> 00:19:41.087
all of this stuff.

00:19:41.127 --> 00:19:43.529
And it got me thinking again, I'm like,

00:19:43.890 --> 00:19:44.270
I shared,

00:19:44.490 --> 00:19:46.711
I did finally squeak out a response.

00:19:46.751 --> 00:19:48.953
And I said something along the lines of,

00:19:50.374 --> 00:19:52.414
I think a lot of the decisions that

00:19:52.454 --> 00:19:54.654
therapists are burdened with are not

00:19:54.714 --> 00:19:56.756
decisions therapists should be making.

00:19:57.796 --> 00:19:59.376
This stuff should all be automated,

00:19:59.836 --> 00:20:01.396
which brings me back to the EMR.

00:20:01.696 --> 00:20:02.817
Now, I am happy,

00:20:02.897 --> 00:20:05.877
I'm satisfied with the EMR that I have.

00:20:06.038 --> 00:20:07.179
I have nothing negative to say.

00:20:07.759 --> 00:20:09.960
They've made great advances in EMRs

00:20:10.000 --> 00:20:12.000
compared to what I had purchased back in

00:20:12.060 --> 00:20:13.422
like the mid two thousands.

00:20:13.942 --> 00:20:15.883
But even with that, I, gosh,

00:20:16.462 --> 00:20:19.724
we went to Cheesecake Factory Sunday after

00:20:19.765 --> 00:20:21.586
church to like celebrate the end of the

00:20:21.625 --> 00:20:23.727
holiday and kids going back to school and

00:20:23.787 --> 00:20:23.946
stuff.

00:20:24.446 --> 00:20:24.968
I'm like, again,

00:20:25.867 --> 00:20:27.009
I scan the barcode,

00:20:27.068 --> 00:20:28.409
I scan the QR code and I pay

00:20:28.449 --> 00:20:28.789
my bill.

00:20:28.829 --> 00:20:30.230
I don't have to bother the server.

00:20:30.550 --> 00:20:31.830
He's busy with other stuff.

00:20:31.891 --> 00:20:34.553
Why do I not have that integrated into

00:20:34.593 --> 00:20:35.573
the EMR already?

00:20:35.952 --> 00:20:39.595
The EMR has so much information.

00:20:40.215 --> 00:20:41.435
I just want to tease a couple of

00:20:41.455 --> 00:20:42.896
things and see what you think about this.

00:20:43.477 --> 00:20:46.719
My EMR already knows what visit number it

00:20:46.798 --> 00:20:46.939
is.

00:20:47.298 --> 00:20:48.400
It already knows the date.

00:20:48.880 --> 00:20:50.141
So like if the patient,

00:20:50.260 --> 00:20:51.981
it already knows the diagnosis code.

00:20:52.021 --> 00:20:53.942
So if the patient is coming for left

00:20:53.982 --> 00:20:56.404
shoulder pain, non-surgical case,

00:20:57.424 --> 00:20:59.807
they haven't been seen for two weeks,

00:21:00.586 --> 00:21:03.449
I might have a different treatment plan

00:21:03.548 --> 00:21:05.150
scheduled for that day compared to the

00:21:05.190 --> 00:21:06.330
patient who is just here,

00:21:06.371 --> 00:21:07.750
forty eight hours ago with the same

00:21:07.791 --> 00:21:08.152
condition.

00:21:08.731 --> 00:21:11.252
My EMR knows when a payment is processed

00:21:11.292 --> 00:21:12.853
through a third party payer.

00:21:13.272 --> 00:21:14.294
It knows the allowed amount.

00:21:14.314 --> 00:21:15.314
It knows the billed amount.

00:21:15.354 --> 00:21:16.953
It knows the patient responsibility.

00:21:16.993 --> 00:21:19.974
It also knows the plan name, the policy.

00:21:20.315 --> 00:21:22.556
It has information and context.

00:21:22.695 --> 00:21:25.017
Why is it not applying that information

00:21:25.057 --> 00:21:25.497
forward?

00:21:25.936 --> 00:21:28.157
Why is it not making recommendations?

00:21:28.198 --> 00:21:29.738
And what it got me thinking about was,

00:21:30.583 --> 00:21:33.791
An airline pilot has autopilot that's

00:21:33.852 --> 00:21:36.218
making thousands of adjustments while it

00:21:36.258 --> 00:21:39.226
flies the plane from New York to LAX.

00:21:40.116 --> 00:21:43.440
Tesla can drive across the country making

00:21:43.519 --> 00:21:46.281
thousands of life and death decisions

00:21:46.962 --> 00:21:48.724
every second of the trip.

00:21:49.365 --> 00:21:52.067
Why is my EMR still in two thousand

00:21:52.106 --> 00:21:55.069
twenty six just collecting information and

00:21:55.130 --> 00:21:58.292
not doing anything to make the therapist's

00:21:58.353 --> 00:22:00.654
life better to support the clinical

00:22:00.694 --> 00:22:01.455
decision making?

00:22:01.496 --> 00:22:03.798
It has access to millions of data points.

00:22:04.377 --> 00:22:06.500
And I still feel like it's a dumb

00:22:06.539 --> 00:22:09.042
piece of software that just sits there and

00:22:09.063 --> 00:22:10.565
collects information that could be so

00:22:10.625 --> 00:22:11.184
valuable.

00:22:11.546 --> 00:22:14.890
So if the therapist is overloaded,

00:22:15.569 --> 00:22:17.833
maybe it's because we're not using

00:22:17.893 --> 00:22:20.556
technology that already exists in multiple

00:22:20.615 --> 00:22:21.676
different professions.

00:22:22.109 --> 00:22:24.632
We're standing between the information and

00:22:24.672 --> 00:22:26.854
the EMR and the use of the EMR.

00:22:26.874 --> 00:22:27.875
It's like waiting for us to...

00:22:27.894 --> 00:22:28.996
Do you want to know one of the

00:22:29.536 --> 00:22:31.298
things that made me sweatiest when I was

00:22:31.458 --> 00:22:31.938
in a clinic?

00:22:32.358 --> 00:22:32.778
What?

00:22:32.798 --> 00:22:35.221
Is doing the math on when someone had

00:22:35.280 --> 00:22:36.923
surgery and how many days it had been.

00:22:37.002 --> 00:22:37.242
Yes.

00:22:37.462 --> 00:22:38.423
I was like,

00:22:38.463 --> 00:22:39.384
because I got to be honest with you,

00:22:39.404 --> 00:22:39.625
Tony.

00:22:39.726 --> 00:22:40.886
You asked me what date it is.

00:22:41.507 --> 00:22:43.650
Ninety eight point nine percent of time.

00:22:43.950 --> 00:22:44.691
I know what month it is.

00:22:45.131 --> 00:22:45.491
Date.

00:22:45.791 --> 00:22:47.733
Not a not a clue.

00:22:47.753 --> 00:22:48.555
Could be the second.

00:22:48.595 --> 00:22:49.496
Could be the seventeenth.

00:22:49.635 --> 00:22:50.436
I don't I don't know.

00:22:50.797 --> 00:22:51.538
I know it's Tuesday.

00:22:51.838 --> 00:22:52.839
I always know what day of the week

00:22:52.859 --> 00:22:53.039
it is.

00:22:53.200 --> 00:22:53.840
But what date?

00:22:55.147 --> 00:22:56.848
That person knows when their surgery was.

00:22:56.888 --> 00:22:57.489
They know that date.

00:22:57.509 --> 00:22:58.869
It's important to them.

00:22:59.430 --> 00:23:01.931
But yes, I would be like, well,

00:23:01.971 --> 00:23:04.172
you're at two weeks from post-surgery.

00:23:04.192 --> 00:23:04.551
They're like,

00:23:04.571 --> 00:23:05.673
we're at six weeks post-surgery.

00:23:05.712 --> 00:23:06.972
I'm like, yeah, yeah, totally.

00:23:07.453 --> 00:23:08.294
Because it was April.

00:23:08.354 --> 00:23:10.055
And I'm like, now it's June, July.

00:23:10.075 --> 00:23:11.214
I don't know what month it is.

00:23:13.355 --> 00:23:14.237
That's the bare minimum.

00:23:14.257 --> 00:23:16.538
I'll give you one example that brought

00:23:16.577 --> 00:23:17.698
this to light with me.

00:23:17.758 --> 00:23:18.659
It was Seth Godin,

00:23:19.818 --> 00:23:21.079
who asked a simple question.

00:23:22.252 --> 00:23:23.452
Cover your ears if you don't wanna be

00:23:23.472 --> 00:23:24.753
pissed off every time you buy something

00:23:24.773 --> 00:23:24.993
now.

00:23:25.554 --> 00:23:26.513
Seth Godin says,

00:23:26.554 --> 00:23:29.634
when you're buying something online, name,

00:23:30.674 --> 00:23:32.135
address, like street,

00:23:32.655 --> 00:23:35.717
twenty-two Main Street, town name,

00:23:36.477 --> 00:23:37.917
zip code, state.

00:23:38.597 --> 00:23:38.877
He goes,

00:23:38.998 --> 00:23:40.557
I'm gonna slap you across the face now.

00:23:40.897 --> 00:23:42.219
If I put my zip code in,

00:23:42.858 --> 00:23:44.159
mine's one, two, five, eight, six.

00:23:44.558 --> 00:23:45.980
Can I live in Iowa?

00:23:48.606 --> 00:23:49.887
I have to live in one town.

00:23:50.167 --> 00:23:51.768
One, two, five, eight, six is Walden,

00:23:51.788 --> 00:23:52.189
New York.

00:23:52.689 --> 00:23:53.828
Thanks for coming.

00:23:54.349 --> 00:23:56.309
Then why am I typing Walden,

00:23:56.951 --> 00:23:58.351
then doing a dropdown in New York,

00:23:58.471 --> 00:24:00.311
then typing in a secret code one, two,

00:24:00.352 --> 00:24:00.932
five, eight, six?

00:24:02.292 --> 00:24:03.513
Why is there not a plugin?

00:24:03.574 --> 00:24:04.473
It's still not here.

00:24:04.513 --> 00:24:05.555
This was a decade ago,

00:24:05.595 --> 00:24:06.714
Seth Godin pointed this out.

00:24:06.914 --> 00:24:08.195
Why is not one, two, five, eight,

00:24:08.215 --> 00:24:10.136
six automatically go bing, bing, done,

00:24:10.277 --> 00:24:10.636
move on?

00:24:11.557 --> 00:24:13.618
Still does this, still does this.

00:24:13.959 --> 00:24:15.819
EMR, same thing, right?

00:24:15.839 --> 00:24:17.382
There's a bunch of things that as soon

00:24:17.422 --> 00:24:18.382
as you do one thing,

00:24:18.782 --> 00:24:20.523
seventy two other things are also true.

00:24:20.983 --> 00:24:23.445
And we put that load on me having

00:24:23.465 --> 00:24:24.686
to think about it, ask,

00:24:25.186 --> 00:24:27.888
go go through this paper thing or scroll

00:24:27.909 --> 00:24:29.049
backwards and do this dumb.

00:24:29.329 --> 00:24:30.351
You know how dumb we look when we're

00:24:30.371 --> 00:24:32.893
looking at spreadsheets on a computer like

00:24:33.113 --> 00:24:34.374
that's the dumbest face ever.

00:24:34.834 --> 00:24:36.675
So yes to everything that you just said.

00:24:37.857 --> 00:24:38.640
So what's the problem?

00:24:38.700 --> 00:24:40.423
Do EMR companies not know how to do

00:24:40.463 --> 00:24:40.724
this?

00:24:41.086 --> 00:24:42.169
Do they not want to do it?

00:24:42.189 --> 00:24:44.934
Because where's the hitch in the giddy-up?

00:24:46.084 --> 00:24:46.544
So,

00:24:47.084 --> 00:24:48.704
and I don't want to beat up the

00:24:48.785 --> 00:24:50.865
EMR companies because we know the guys

00:24:50.925 --> 00:24:52.046
behind the companies.

00:24:52.625 --> 00:24:54.207
I know they're working like crazy.

00:24:54.606 --> 00:24:56.027
I know they're trying to make things

00:24:56.086 --> 00:24:56.988
better constantly.

00:24:57.288 --> 00:24:58.887
And I know they're smart guys.

00:24:59.488 --> 00:25:01.068
They see this stuff.

00:25:01.689 --> 00:25:02.990
So I don't know.

00:25:03.829 --> 00:25:06.471
Is it, okay, Kodak had the digital camera,

00:25:06.510 --> 00:25:08.651
but they weren't the ones that brought it

00:25:08.791 --> 00:25:08.951
out.

00:25:09.372 --> 00:25:11.571
The ice harvesters weren't the ones that

00:25:11.612 --> 00:25:12.893
created the refrigerator.

00:25:13.775 --> 00:25:14.695
I don't know.

00:25:15.395 --> 00:25:19.259
I wonder if it's still that their focus

00:25:19.859 --> 00:25:21.701
is someplace else because they're not

00:25:21.800 --> 00:25:23.422
therapists, they're not in the clinic,

00:25:23.442 --> 00:25:25.182
they're not dealing with the day-to-day.

00:25:27.184 --> 00:25:30.487
Even the best of the best EMR companies,

00:25:31.147 --> 00:25:32.888
they don't have that connection.

00:25:33.904 --> 00:25:34.404
Like they don't,

00:25:35.305 --> 00:25:37.125
they don't know how important it is or

00:25:37.165 --> 00:25:38.046
how useful it would be,

00:25:38.125 --> 00:25:39.766
or they physically can't be done.

00:25:40.567 --> 00:25:41.727
I think that.

00:25:41.767 --> 00:25:43.926
So what I've always been told is two,

00:25:44.027 --> 00:25:44.587
two things.

00:25:45.347 --> 00:25:47.788
One, they're working on other priorities.

00:25:47.827 --> 00:25:48.888
They can't do everything.

00:25:49.088 --> 00:25:49.588
And I get it.

00:25:50.848 --> 00:25:52.910
I sent my EMR company a message the

00:25:52.930 --> 00:25:53.250
other day.

00:25:53.269 --> 00:25:53.990
I'm like, Hey guys.

00:25:54.789 --> 00:25:55.651
You made a change.

00:25:56.211 --> 00:25:58.712
I'm sure there's a reason for the change.

00:25:58.792 --> 00:26:00.693
I'm sure people love this change.

00:26:01.494 --> 00:26:03.175
I can't stand this change.

00:26:03.215 --> 00:26:04.856
This change just put three or four more

00:26:04.916 --> 00:26:06.617
clicks and three or four more screens

00:26:06.998 --> 00:26:09.079
between me and getting the information

00:26:09.099 --> 00:26:09.640
that I need.

00:26:10.421 --> 00:26:13.603
I know you can't change everything for

00:26:13.663 --> 00:26:14.502
every individual.

00:26:14.603 --> 00:26:16.163
If there's a way for me to roll

00:26:16.183 --> 00:26:17.444
back this change, I'll do it.

00:26:17.484 --> 00:26:19.026
If not, I'll deal with it.

00:26:20.047 --> 00:26:21.867
That's the customer experience, I think,

00:26:21.887 --> 00:26:22.648
for most of us.

00:26:23.798 --> 00:26:24.798
Give me the best you got.

00:26:24.898 --> 00:26:25.799
I'll deal with it.

00:26:25.880 --> 00:26:27.542
I'll figure out a way to work around

00:26:27.823 --> 00:26:28.884
the changes you're making.

00:26:30.326 --> 00:26:31.847
But every time I talk to them,

00:26:32.169 --> 00:26:34.991
they say they're working on other things,

00:26:35.071 --> 00:26:36.054
which I know they are.

00:26:37.423 --> 00:26:38.884
I just don't think those are the things

00:26:38.903 --> 00:26:40.685
that necessarily have the biggest impact

00:26:40.726 --> 00:26:42.047
for me as the therapist.

00:26:42.067 --> 00:26:42.186
Right.

00:26:42.788 --> 00:26:43.367
Ben, Ben,

00:26:43.448 --> 00:26:45.130
Ben brings up a good point for decades.

00:26:45.190 --> 00:26:45.369
Oh, wait.

00:26:46.010 --> 00:26:46.171
Oh,

00:26:46.191 --> 00:26:47.071
so I want to do this one first

00:26:47.092 --> 00:26:48.893
for ROI return on investment development.

00:26:49.272 --> 00:26:50.654
What more do they make if they do

00:26:50.694 --> 00:26:52.175
this versus they don't at some point,

00:26:52.215 --> 00:26:53.237
where is the return from them?

00:26:53.576 --> 00:26:55.298
Well, at some point when someone else,

00:26:55.358 --> 00:26:57.000
my answer would be when someone else does

00:26:57.079 --> 00:26:58.300
it and it's doing it smoother.

00:26:59.182 --> 00:27:00.603
I'm going to start thinking of leaving.

00:27:00.943 --> 00:27:02.924
So it's like I'm not married,

00:27:02.984 --> 00:27:04.306
but like if I didn't pick up my

00:27:04.365 --> 00:27:05.847
underpants enough times,

00:27:05.887 --> 00:27:07.288
eventually I'd piss off the person I was

00:27:07.348 --> 00:27:07.588
with.

00:27:07.689 --> 00:27:08.609
They'd be like, you know what?

00:27:09.029 --> 00:27:10.131
That guy over there picks up his

00:27:10.171 --> 00:27:10.632
underpants.

00:27:10.652 --> 00:27:11.172
So I'm going to go.

00:27:11.451 --> 00:27:12.113
So you're right.

00:27:12.512 --> 00:27:14.295
Nothing in the immediate time,

00:27:14.375 --> 00:27:17.356
except most of the EMRs are pretty close,

00:27:17.616 --> 00:27:17.836
right?

00:27:18.778 --> 00:27:20.138
They're pretty close.

00:27:20.759 --> 00:27:22.440
They're not crazy far apart.

00:27:23.799 --> 00:27:27.221
There's not one on the market that has

00:27:27.241 --> 00:27:28.682
an AI scribe and none of the others

00:27:28.721 --> 00:27:29.061
do.

00:27:29.762 --> 00:27:31.262
They're doing this.

00:27:31.623 --> 00:27:32.723
This is an arms race.

00:27:33.624 --> 00:27:34.104
For decades,

00:27:34.124 --> 00:27:35.904
the only person in EMR was billing.

00:27:35.944 --> 00:27:36.384
Therefore,

00:27:37.026 --> 00:27:38.786
the focus is not of clinical or health

00:27:38.826 --> 00:27:39.247
management.

00:27:39.326 --> 00:27:39.727
Agreed.

00:27:40.507 --> 00:27:42.508
except now we know how decisions are made

00:27:43.048 --> 00:27:45.169
i was just watching a video with uh

00:27:45.209 --> 00:27:47.109
what is rory's last name i never remember

00:27:47.190 --> 00:27:50.251
it sutherland and he was like please stop

00:27:50.291 --> 00:27:53.253
thinking we make logical decisions we make

00:27:53.314 --> 00:27:55.775
emotional decisions and then we make up we

00:27:55.894 --> 00:27:58.556
invent a logical story to justify that i

00:27:58.576 --> 00:27:59.936
don't care if you're in the c-suite or

00:27:59.977 --> 00:28:01.978
you're in the pit uh things are changing

00:28:02.018 --> 00:28:03.538
newer systems older systems wrap around

00:28:03.558 --> 00:28:05.059
will start to do what you're saying the

00:28:05.119 --> 00:28:07.681
person who does it first will

00:28:09.038 --> 00:28:09.479
do better.

00:28:09.558 --> 00:28:11.220
I was gonna say win, but I'll say,

00:28:11.259 --> 00:28:11.881
in my opinion,

00:28:11.921 --> 00:28:13.261
the person who starts to pay attention to

00:28:13.281 --> 00:28:15.542
the stuff that doesn't matter actually

00:28:15.603 --> 00:28:16.003
wins.

00:28:16.144 --> 00:28:19.826
Like the Microsoft Zune, are you familiar,

00:28:19.865 --> 00:28:20.145
Tony?

00:28:20.606 --> 00:28:20.747
No.

00:28:21.383 --> 00:28:24.046
Microsoft had their own MP three player.

00:28:24.066 --> 00:28:24.925
I don't, I can't remember,

00:28:25.026 --> 00:28:27.628
a year before the iPod, it was out.

00:28:28.390 --> 00:28:30.050
Like in all intents and purposes,

00:28:30.310 --> 00:28:31.271
it had better sound.

00:28:31.471 --> 00:28:33.134
If you asked like sound people,

00:28:33.213 --> 00:28:35.415
sound of files, it had better sound.

00:28:35.796 --> 00:28:37.397
It had better compression,

00:28:37.438 --> 00:28:41.161
which made you hold more songs per Zoom

00:28:41.201 --> 00:28:41.602
device.

00:28:41.622 --> 00:28:42.782
It's a plugin device.

00:28:44.036 --> 00:28:45.136
Do you want to know why it lost?

00:28:45.156 --> 00:28:47.798
It was better at all intents and purposes.

00:28:47.917 --> 00:28:49.558
Better battery life, better this,

00:28:49.598 --> 00:28:50.098
better that.

00:28:50.599 --> 00:28:52.500
Steve Jobs walked out on stage and said,

00:28:52.540 --> 00:28:53.641
a thousand songs in your pocket.

00:28:54.582 --> 00:28:55.603
And Bill Gates said,

00:28:55.863 --> 00:28:58.864
one point twenty one gigawatt per blah,

00:28:58.884 --> 00:29:00.605
blah, blah, blah, blah, blah.

00:29:00.965 --> 00:29:01.425
Better sound.

00:29:02.471 --> 00:29:03.711
I don't want, I mean,

00:29:03.751 --> 00:29:05.093
better sound is negligible.

00:29:05.472 --> 00:29:06.353
It's barely able,

00:29:06.573 --> 00:29:07.874
but a thousand songs in my pocket,

00:29:08.614 --> 00:29:10.294
and how do I access all those songs?

00:29:10.615 --> 00:29:11.835
I could go down, down, down, down, down,

00:29:11.875 --> 00:29:13.836
down, down, down, down, down, down, down,

00:29:13.875 --> 00:29:15.076
down, down, down, down, down, down, down,

00:29:15.375 --> 00:29:17.636
down, down, down, down, down, down, down,

00:29:17.656 --> 00:29:18.497
down, down, down, down, down, down, down,

00:29:18.517 --> 00:29:20.298
down, down, down, down, down, down, down,

00:29:20.317 --> 00:29:22.538
down, down, down, down, down, down, down,

00:29:22.577 --> 00:29:23.778
down, down, down, down, down, down, down,

00:29:23.798 --> 00:29:25.138
down, down, down, down, down, down, down,

00:29:25.159 --> 00:29:26.159
down, down, down, down, down, down, down,

00:29:26.179 --> 00:29:27.740
down, down, down, down, down, down, down,

00:29:27.759 --> 00:29:28.880
down, down, down, down, down, down, down,

00:29:28.900 --> 00:29:29.721
down, down, down, down, down, down, down,

00:29:29.780 --> 00:29:30.361
down, down, down,

00:29:30.441 --> 00:29:30.820
down

00:29:31.367 --> 00:29:32.509
Someone didn't explain it right.

00:29:32.548 --> 00:29:34.790
So my reason for bringing that up to

00:29:34.830 --> 00:29:37.172
Ben is that's cool, bro,

00:29:38.133 --> 00:29:39.834
except the one who does it will get

00:29:39.894 --> 00:29:40.954
more people buying it.

00:29:41.055 --> 00:29:42.276
There's your return on investment,

00:29:42.336 --> 00:29:43.057
in my opinion.

00:29:43.584 --> 00:29:45.185
And I agree because I think that's what

00:29:45.205 --> 00:29:46.467
we see in health care.

00:29:47.347 --> 00:29:49.851
I don't have to be much better,

00:29:50.070 --> 00:29:52.834
if any better than the clinic across the

00:29:52.854 --> 00:29:53.173
street.

00:29:53.213 --> 00:29:54.395
There's a clinic across the street,

00:29:54.415 --> 00:29:55.416
a clinic down the road.

00:29:55.797 --> 00:29:56.979
As long as we all suck,

00:29:57.318 --> 00:29:58.599
nobody has to get better.

00:29:59.080 --> 00:30:01.262
And it's easy to run a sucky clinic.

00:30:02.203 --> 00:30:05.227
Now, when somebody comes in who is like.

00:30:06.288 --> 00:30:07.730
orders of magnitude better.

00:30:08.230 --> 00:30:10.432
It is completely different experience.

00:30:10.913 --> 00:30:12.394
Now we have to elevate.

00:30:12.454 --> 00:30:13.736
Now we have to improve.

00:30:15.356 --> 00:30:16.377
From my perspective,

00:30:16.397 --> 00:30:20.221
the biggest innovation I saw in EMRs was

00:30:20.280 --> 00:30:23.003
when Luna came out and a therapist could

00:30:23.023 --> 00:30:25.185
just talk on the phone and do their

00:30:25.226 --> 00:30:26.346
documentation that way.

00:30:27.548 --> 00:30:29.628
That was blowing people's minds.

00:30:29.669 --> 00:30:31.609
That was completely changing things.

00:30:32.029 --> 00:30:34.672
The problem there is it's still, I think,

00:30:34.892 --> 00:30:37.594
retro instead of proactive,

00:30:37.653 --> 00:30:41.876
meaning I don't need an EMR to capture

00:30:41.916 --> 00:30:42.517
information.

00:30:42.616 --> 00:30:44.519
I need an EMR to be my predictive

00:30:44.558 --> 00:30:46.859
assistant to look ahead,

00:30:47.220 --> 00:30:49.521
to look at the past information and give

00:30:49.561 --> 00:30:52.103
me resources like a true...

00:30:53.124 --> 00:30:53.884
autopilot.

00:30:54.663 --> 00:30:55.765
Even if you don't want to take away

00:30:55.805 --> 00:30:57.184
my clinical decision-making,

00:30:57.305 --> 00:30:59.924
you can make recommendations to say, Hey,

00:31:00.346 --> 00:31:01.346
this is what's been done.

00:31:01.726 --> 00:31:03.546
This is what's going on here.

00:31:03.846 --> 00:31:06.386
Multiple data points that I recommend you

00:31:06.426 --> 00:31:08.007
consider doing in the future.

00:31:08.366 --> 00:31:09.326
You know, and like you said,

00:31:09.667 --> 00:31:11.167
don't wait for me to try and figure

00:31:11.248 --> 00:31:12.688
out how many weeks it's been since

00:31:12.728 --> 00:31:13.147
surgery.

00:31:13.428 --> 00:31:14.188
Tell me,

00:31:14.509 --> 00:31:16.388
because this is a post-surgical case.

00:31:16.828 --> 00:31:18.491
Like these are the things that are

00:31:18.531 --> 00:31:19.272
important to me.

00:31:19.333 --> 00:31:22.478
Give me those resources so I can see

00:31:22.959 --> 00:31:24.000
a mile down the hill.

00:31:24.020 --> 00:31:25.221
I got to be honest.

00:31:25.482 --> 00:31:26.984
I know nothing about technology,

00:31:27.025 --> 00:31:29.288
but my Peloton bike knows a lot.

00:31:29.982 --> 00:31:30.843
ton about me.

00:31:31.222 --> 00:31:33.023
It's like since in the last three weeks,

00:31:33.044 --> 00:31:34.664
your average watts have gone up, blah,

00:31:34.684 --> 00:31:35.065
blah, blah.

00:31:35.085 --> 00:31:36.184
Like, oh,

00:31:36.765 --> 00:31:38.486
so you did something with a date and

00:31:38.526 --> 00:31:40.846
a delta of watts over a certain time.

00:31:40.866 --> 00:31:42.027
And now you're giving me that result.

00:31:42.547 --> 00:31:43.768
I don't disagree with what Ben is saying

00:31:43.807 --> 00:31:43.907
here.

00:31:43.988 --> 00:31:46.028
Leaving an EHR is painful operational

00:31:46.048 --> 00:31:46.548
financially.

00:31:46.969 --> 00:31:47.548
Here's the thing.

00:31:47.749 --> 00:31:49.229
I don't know if anybody loves their EHR.

00:31:49.849 --> 00:31:50.829
So we're all married.

00:31:51.789 --> 00:31:54.151
But we're dating and we're looking for the

00:31:54.171 --> 00:31:54.671
next one.

00:31:55.070 --> 00:31:57.031
You talked about seeing into the future,

00:31:57.592 --> 00:31:59.073
not just seeing into the past.

00:31:59.809 --> 00:32:01.770
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00:32:25.961 --> 00:32:28.042
we're all just guessing we're spray and

00:32:28.084 --> 00:32:31.025
pray um i want to talk about golf

00:32:31.045 --> 00:32:33.886
okay i don't remember what golf this is

00:32:34.867 --> 00:32:37.410
some golf course land i don't even know

00:32:37.430 --> 00:32:40.912
what golf course this was and this was

00:32:40.971 --> 00:32:44.653
posted on like january first or january

00:32:44.713 --> 00:32:46.414
second and this is some golf course it

00:32:46.434 --> 00:32:48.477
looks very nice i'll describe the image

00:32:48.737 --> 00:32:50.458
for the podcast audience

00:32:51.007 --> 00:32:52.207
It's like a nice sand.

00:32:52.227 --> 00:32:52.987
It's not a sand trap.

00:32:53.007 --> 00:32:54.748
It's a waste area, but it's just sand.

00:32:54.788 --> 00:32:55.768
It looks near the ocean.

00:32:55.827 --> 00:32:56.827
It's just got that vibe.

00:32:57.067 --> 00:32:59.588
Lush grass, one tree on the horizon.

00:33:00.269 --> 00:33:01.349
And they're like, hey, everybody,

00:33:01.490 --> 00:33:03.670
all tee times for twenty twenty six have

00:33:03.710 --> 00:33:04.250
been filled.

00:33:05.049 --> 00:33:06.550
Thanks for coming out.

00:33:06.590 --> 00:33:07.230
January second.

00:33:08.030 --> 00:33:09.570
What does that do for cash flow?

00:33:09.590 --> 00:33:10.951
Let's talk about what that does for a

00:33:11.031 --> 00:33:12.731
golf course for a second.

00:33:12.771 --> 00:33:13.392
Cash flow.

00:33:13.692 --> 00:33:15.573
We cannot accept any more people.

00:33:16.516 --> 00:33:17.836
because you could only have,

00:33:17.936 --> 00:33:18.477
I can't remember.

00:33:18.537 --> 00:33:20.258
I used to know like the appropriate amount

00:33:20.278 --> 00:33:22.378
of time between tee times.

00:33:22.419 --> 00:33:23.240
Do you golf for Tony?

00:33:23.900 --> 00:33:24.700
Not much.

00:33:24.759 --> 00:33:26.020
I'll do it occasionally.

00:33:26.040 --> 00:33:26.760
Yeah.

00:33:26.800 --> 00:33:27.582
You understand the concept.

00:33:28.281 --> 00:33:28.622
And I was,

00:33:28.701 --> 00:33:29.923
I remember as a kid being like,

00:33:30.123 --> 00:33:31.344
why are tee times seven?

00:33:33.885 --> 00:33:35.487
and a half and it's like because they're

00:33:35.507 --> 00:33:37.729
estimating and the goal is stack as many

00:33:38.229 --> 00:33:41.892
foursomes so you keep the golf experience

00:33:41.912 --> 00:33:42.992
you don't want someone up your ass and

00:33:43.012 --> 00:33:44.153
you don't want to be up someone's ass

00:33:44.173 --> 00:33:45.233
you want to be backed up but the

00:33:45.253 --> 00:33:46.775
golf course is like want to get as

00:33:46.836 --> 00:33:48.856
many guys through so that's why the right

00:33:48.896 --> 00:33:51.118
the there's a dude who's like the mater

00:33:51.179 --> 00:33:54.361
d who's at the front going okay mckay

00:33:54.441 --> 00:33:56.282
up mckay four and you're like hey man

00:33:56.303 --> 00:33:57.884
how you doing the guy's like get put

00:33:57.903 --> 00:33:59.244
your ball put the ball in the t

00:34:00.712 --> 00:34:02.173
Do the yippity yap later on.

00:34:02.335 --> 00:34:02.855
Tee off.

00:34:02.914 --> 00:34:03.414
Get out of here.

00:34:03.516 --> 00:34:03.715
Boom.

00:34:03.736 --> 00:34:04.375
We're moving along.

00:34:05.096 --> 00:34:07.538
These guys are booked for twenty twenty

00:34:07.598 --> 00:34:07.858
six.

00:34:07.878 --> 00:34:09.039
I don't know the math on that,

00:34:09.219 --> 00:34:10.880
but what does that do for a business?

00:34:11.021 --> 00:34:12.922
Even if you know nothing about golf?

00:34:13.784 --> 00:34:14.264
I mean,

00:34:14.423 --> 00:34:17.226
it takes the peaks and the troughs away.

00:34:17.286 --> 00:34:17.887
Basically,

00:34:18.327 --> 00:34:20.889
you do cap your upside potential,

00:34:21.389 --> 00:34:23.831
but then you also limit your downside

00:34:23.891 --> 00:34:24.211
risk.

00:34:24.251 --> 00:34:25.773
You know your budget for the year.

00:34:25.813 --> 00:34:27.695
You have money in the bank like it

00:34:27.755 --> 00:34:28.635
guarantees all.

00:34:29.896 --> 00:34:32.057
It allows you to make forward-thinking

00:34:32.077 --> 00:34:32.657
decisions.

00:34:32.858 --> 00:34:33.259
Huge.

00:34:33.378 --> 00:34:34.539
You are not playing catch-up.

00:34:34.719 --> 00:34:35.280
Here's the thing.

00:34:35.679 --> 00:34:36.681
They're all booked.

00:34:37.061 --> 00:34:38.702
You know not everybody's going to show up.

00:34:39.181 --> 00:34:39.682
Even better.

00:34:40.003 --> 00:34:43.465
So if you knew your numbers well enough

00:34:44.085 --> 00:34:45.907
and you have margin here,

00:34:45.927 --> 00:34:46.626
you're already in the black.

00:34:47.724 --> 00:34:49.246
Now you can get creative.

00:34:49.465 --> 00:34:53.148
Now you can go, we know,

00:34:53.827 --> 00:34:55.349
twenty six percent of people who have a

00:34:55.389 --> 00:34:58.590
tee time don't show up because life or

00:34:58.650 --> 00:34:59.010
whatever.

00:34:59.771 --> 00:35:00.731
What do we do then?

00:35:02.121 --> 00:35:03.023
I was thinking about this.

00:35:03.282 --> 00:35:05.164
I was like, you fly standby.

00:35:05.784 --> 00:35:06.844
Who wants to fly standby?

00:35:07.365 --> 00:35:09.726
You do the same as a ski resort.

00:35:09.847 --> 00:35:11.088
If I'm a solo skier,

00:35:11.208 --> 00:35:12.429
I can sort of go on the shorter

00:35:12.469 --> 00:35:14.170
line than if I'm with a group of

00:35:14.269 --> 00:35:15.311
two or three other people.

00:35:15.851 --> 00:35:17.231
And then you get paired with singles to

00:35:17.271 --> 00:35:17.853
move it along.

00:35:18.393 --> 00:35:21.675
I would invest in a fly standby app.

00:35:21.735 --> 00:35:24.016
It's called, you know, it's tea time.

00:35:24.056 --> 00:35:25.358
It's a flight app.

00:35:25.538 --> 00:35:25.717
Right.

00:35:25.777 --> 00:35:27.579
I would I would do a standby app.

00:35:29.280 --> 00:35:32.101
I would maybe create a secondary market

00:35:32.681 --> 00:35:34.682
for that because you're not only paying

00:35:34.722 --> 00:35:35.322
for golf.

00:35:35.702 --> 00:35:37.264
What do you do at hole nine and

00:35:37.324 --> 00:35:38.744
eight after eight after nine and after

00:35:38.784 --> 00:35:39.184
eighteen?

00:35:39.525 --> 00:35:41.766
You go get some hot dogs and you

00:35:41.786 --> 00:35:45.568
get some overpriced drinks and you load up

00:35:45.947 --> 00:35:47.409
and then you stop by the pro shop.

00:35:47.768 --> 00:35:49.090
Every one of those missed tee times is

00:35:49.150 --> 00:35:49.769
missed revenue.

00:35:50.050 --> 00:35:50.369
How do I?

00:35:50.570 --> 00:35:52.190
They're already paid for.

00:35:52.231 --> 00:35:53.271
How I fill them back up.

00:35:54.110 --> 00:35:56.690
How do I dictate the secondary market if

00:35:56.731 --> 00:35:57.331
there is one?

00:35:57.371 --> 00:35:58.391
That's insane to me,

00:35:58.451 --> 00:36:00.112
but this is big on tickets.

00:36:01.172 --> 00:36:01.911
Maybe it's big on golf.

00:36:02.231 --> 00:36:03.432
My first question would be, dude,

00:36:03.793 --> 00:36:05.592
how did you do that?

00:36:05.612 --> 00:36:06.494
That's the question.

00:36:07.474 --> 00:36:08.693
I guess you get so damn good and

00:36:08.713 --> 00:36:09.434
so damn popular,

00:36:09.753 --> 00:36:12.675
and you live in an area where people

00:36:12.695 --> 00:36:14.235
want to come and play that golf course,

00:36:14.695 --> 00:36:17.077
and you have low supply and high demand,

00:36:17.097 --> 00:36:17.817
and that's what you do.

00:36:18.257 --> 00:36:20.518
So I guess my question is, man,

00:36:20.677 --> 00:36:21.818
how do you do that?

00:36:22.722 --> 00:36:23.362
Could you now,

00:36:23.621 --> 00:36:24.943
you've talked about this before,

00:36:25.043 --> 00:36:28.545
the five-fifteen appointment is really,

00:36:28.605 --> 00:36:29.445
really valuable.

00:36:30.105 --> 00:36:31.266
If you're in peds,

00:36:31.326 --> 00:36:35.208
the three-forty-seven tee time is more

00:36:35.268 --> 00:36:36.827
valuable because I don't want to go home

00:36:36.847 --> 00:36:38.068
and then bring my kid to therapy.

00:36:38.088 --> 00:36:38.989
I want to go to school,

00:36:39.068 --> 00:36:39.769
bring them to therapy,

00:36:39.849 --> 00:36:41.090
sit in the parking lot while they're doing

00:36:41.110 --> 00:36:41.451
therapy,

00:36:41.471 --> 00:36:42.371
then get them out of there and then

00:36:42.391 --> 00:36:42.530
go home.

00:36:43.583 --> 00:36:45.146
How do you structure this?

00:36:45.786 --> 00:36:47.530
I know that golf courses will sometimes do

00:36:47.570 --> 00:36:47.849
this,

00:36:48.271 --> 00:36:49.632
which is like if you tee off late

00:36:49.652 --> 00:36:50.414
in the day, they're like,

00:36:50.434 --> 00:36:51.494
I will knock a couple bucks off of

00:36:51.514 --> 00:36:53.577
it because most of the day is over.

00:36:54.679 --> 00:36:56.422
So what do you think is in twenty

00:36:56.461 --> 00:36:56.963
twenty six?

00:36:57.163 --> 00:36:59.085
I think I think flexible pricing and

00:36:59.126 --> 00:37:00.668
timing is definitely on the horizon.

00:37:01.880 --> 00:37:05.864
Yeah, which kind of related to the EMR.

00:37:06.625 --> 00:37:08.947
My EMR knows when I've got somebody who

00:37:08.987 --> 00:37:11.068
cancels more frequently than somebody

00:37:11.108 --> 00:37:11.369
else.

00:37:12.210 --> 00:37:14.733
Why is my EMR not adjusting in real

00:37:14.793 --> 00:37:15.152
time?

00:37:15.172 --> 00:37:17.835
Why is my EMR not utilizing this schedule

00:37:17.876 --> 00:37:21.079
management system to understand?

00:37:21.579 --> 00:37:24.161
And back to how ridiculous.

00:37:24.242 --> 00:37:25.422
Okay, if we're going to bill...

00:37:26.043 --> 00:37:26.324
you know,

00:37:26.463 --> 00:37:28.786
eight to twenty two minute CPT codes.

00:37:28.885 --> 00:37:31.648
Why am I scheduling everybody on the forty

00:37:31.688 --> 00:37:33.750
minute, the sixty minute?

00:37:33.811 --> 00:37:35.152
Like, why is that?

00:37:35.811 --> 00:37:38.875
Somebody asked a question and Jared and

00:37:39.534 --> 00:37:41.097
Richard both said the same thing.

00:37:41.157 --> 00:37:41.416
Like,

00:37:42.338 --> 00:37:44.980
if we weren't billing on CPT code units,

00:37:45.360 --> 00:37:47.742
what would the system look like?

00:37:47.842 --> 00:37:49.483
How could we make this different?

00:37:49.943 --> 00:37:51.565
If somebody's got a forty five dollar

00:37:51.605 --> 00:37:52.065
copay,

00:37:53.407 --> 00:37:55.050
is there an opportunity for me to come

00:37:55.110 --> 00:37:57.514
in with shorter visits that would actually

00:37:57.554 --> 00:37:59.978
cost less than a forty five dollar copay

00:38:00.478 --> 00:38:03.222
that would still make me more per

00:38:04.487 --> 00:38:05.509
minute of time,

00:38:06.210 --> 00:38:08.393
but would allow us to kind of create

00:38:08.413 --> 00:38:09.753
a win-win-win situation.

00:38:09.873 --> 00:38:11.536
I can't do that if I don't have

00:38:11.556 --> 00:38:13.217
a flexible scheduling system.

00:38:13.639 --> 00:38:15.740
And if my front desk or my EMR

00:38:15.862 --> 00:38:18.625
or everything is built around a thirty

00:38:18.664 --> 00:38:20.206
minute spot, forty minute spot,

00:38:20.266 --> 00:38:22.610
sixty minute spot without the seven and a

00:38:22.650 --> 00:38:23.550
half minute spot,

00:38:24.126 --> 00:38:25.469
You know, seven thirty one.

00:38:25.648 --> 00:38:25.909
Why?

00:38:25.949 --> 00:38:27.713
Why can't I schedule an appointment for

00:38:27.813 --> 00:38:30.317
seven minutes and thirty one seconds if

00:38:30.396 --> 00:38:32.701
it's the time rules?

00:38:32.721 --> 00:38:32.840
I mean,

00:38:33.161 --> 00:38:35.945
it's just we are not building efficient

00:38:35.985 --> 00:38:36.407
systems.

00:38:36.900 --> 00:38:38.699
it's uh it's it was very unique and

00:38:38.740 --> 00:38:40.141
jarring to me when i started i'm gonna

00:38:40.161 --> 00:38:41.201
make a point to come back to this

00:38:41.240 --> 00:38:42.501
i promise it's gonna sound like i'm going

00:38:42.521 --> 00:38:43.822
away but i'm gonna twist it i'm gonna

00:38:43.922 --> 00:38:46.463
slice it on back don't worry about uh

00:38:46.483 --> 00:38:48.463
coming going to pt conferences and then

00:38:48.503 --> 00:38:50.384
being asked and then being asked to speak

00:38:50.423 --> 00:38:52.483
at them hey jimmy we'd love to have

00:38:52.503 --> 00:38:54.644
you speak at this conference for

00:38:56.536 --> 00:38:57.677
whatever topic that you want.

00:38:57.817 --> 00:38:58.978
And I remember the first time I did

00:38:58.998 --> 00:38:59.518
that, I was like,

00:39:00.278 --> 00:39:01.739
I don't have a ninety minute talk on

00:39:01.780 --> 00:39:01.981
that.

00:39:02.340 --> 00:39:04.382
I can't I could do a forty two

00:39:04.422 --> 00:39:06.804
minute talk and then give someone else the

00:39:06.864 --> 00:39:07.664
other the difference.

00:39:08.106 --> 00:39:08.965
And they were like, no,

00:39:08.985 --> 00:39:09.867
we need to fill ninety.

00:39:09.927 --> 00:39:11.188
And that's when I was like, oh,

00:39:11.268 --> 00:39:12.648
you're in the Phil ninety game.

00:39:13.309 --> 00:39:15.632
I'm in the good talk per minute game

00:39:16.052 --> 00:39:17.532
because I want the audience to leave

00:39:17.634 --> 00:39:18.213
wanting more.

00:39:19.235 --> 00:39:20.596
Here's how it worked in radio.

00:39:20.695 --> 00:39:22.056
And I've said this to people who run

00:39:22.117 --> 00:39:22.697
conferences.

00:39:23.887 --> 00:39:25.088
but they're in the Phil ninety minute.

00:39:25.228 --> 00:39:25.608
They want it.

00:39:25.648 --> 00:39:26.849
They want to just get the thing filled

00:39:26.869 --> 00:39:28.231
and then start putting butts in seats.

00:39:28.610 --> 00:39:29.771
I'm in the put the better thing on

00:39:29.811 --> 00:39:30.072
stage.

00:39:30.833 --> 00:39:33.233
If Tony hosted the morning show and Jimmy

00:39:33.253 --> 00:39:35.596
was a budding radio DJ,

00:39:36.376 --> 00:39:38.057
I'd walk by Tony after he got off

00:39:38.077 --> 00:39:39.358
the airs like that was really great show.

00:39:39.398 --> 00:39:42.320
Tony step one kisses, but that was great,

00:39:42.340 --> 00:39:42.481
man.

00:39:42.501 --> 00:39:43.061
You guys are great.

00:39:43.380 --> 00:39:44.242
Hey, I got an idea.

00:39:44.302 --> 00:39:44.422
Hey,

00:39:44.943 --> 00:39:45.664
Got an idea for you.

00:39:45.724 --> 00:39:46.884
And you're like, all right, man, listen,

00:39:46.903 --> 00:39:47.083
bro.

00:39:47.144 --> 00:39:47.985
I got seven minutes.

00:39:48.005 --> 00:39:48.405
What do you got?

00:39:49.005 --> 00:39:50.246
I would now pitch the idea.

00:39:50.586 --> 00:39:52.208
And then you're sitting there and you're

00:39:52.248 --> 00:39:54.128
listening and you're envisioning how you

00:39:54.148 --> 00:39:55.831
would pull this off because it's your

00:39:55.871 --> 00:39:56.170
show.

00:39:56.650 --> 00:39:58.172
Tony's got to fill five hours.

00:39:58.733 --> 00:40:00.313
But the quality of the five hours,

00:40:00.514 --> 00:40:01.313
he's got two choices.

00:40:01.574 --> 00:40:03.255
Do something funny with a microphone or

00:40:03.315 --> 00:40:04.416
shut up and play some Pearl Jam.

00:40:05.697 --> 00:40:07.157
Figure out what math you want to do.

00:40:07.619 --> 00:40:09.000
I'm now pitching because I want to get

00:40:09.019 --> 00:40:10.239
on the show because the morning show is

00:40:10.300 --> 00:40:10.860
more listened to.

00:40:11.755 --> 00:40:13.396
And what I would not do is go,

00:40:13.476 --> 00:40:13.655
Tony,

00:40:13.675 --> 00:40:15.257
I got an idea for a fifteen minute

00:40:15.277 --> 00:40:15.476
bit.

00:40:15.697 --> 00:40:16.538
We're going to do this and this and

00:40:16.557 --> 00:40:16.737
this.

00:40:16.998 --> 00:40:17.498
Not how it works.

00:40:18.059 --> 00:40:19.199
You give me the bit.

00:40:20.000 --> 00:40:21.320
I then tell you, number one,

00:40:21.340 --> 00:40:22.041
if it's on the air.

00:40:22.201 --> 00:40:23.882
Number two, how much time you're getting.

00:40:25.103 --> 00:40:25.943
And then I tell you,

00:40:26.123 --> 00:40:27.423
I'm going to take your idea and mold

00:40:27.445 --> 00:40:27.485
it.

00:40:27.965 --> 00:40:30.226
We don't do that with conferences and we

00:40:30.266 --> 00:40:31.106
don't do that in clinical.

00:40:33.588 --> 00:40:34.668
You have to become a cat.

00:40:34.768 --> 00:40:35.668
Do you ever notice how cats,

00:40:35.688 --> 00:40:36.449
when they sit in a box,

00:40:36.469 --> 00:40:37.811
they become the shape of a box or

00:40:37.831 --> 00:40:38.510
they sit in a cylinder,

00:40:38.530 --> 00:40:39.371
they become the cylinder.

00:40:39.851 --> 00:40:41.112
That's not how it should work.

00:40:42.255 --> 00:40:43.818
A nine-minute appointment should exist.

00:40:43.978 --> 00:40:44.858
I'm agreeing with you.

00:40:45.300 --> 00:40:46.961
Because it's better.

00:40:48.083 --> 00:40:48.724
Because it's better.

00:40:49.224 --> 00:40:50.987
And now we have AI and we have

00:40:51.527 --> 00:40:53.028
the ability to do a nine-minute

00:40:53.048 --> 00:40:53.409
appointment.

00:40:53.469 --> 00:40:54.050
Why don't we?

00:40:55.271 --> 00:40:56.373
No one's asked for it enough.

00:40:56.413 --> 00:40:57.014
We need more.

00:40:57.034 --> 00:40:58.155
You know what we should start selling?

00:40:58.215 --> 00:40:59.097
Pitchforks and torches.

00:41:00.802 --> 00:41:02.164
we should show up where these decisions

00:41:02.204 --> 00:41:03.204
are made and where it's done and then

00:41:03.284 --> 00:41:04.826
things will get changed pitch to pitch

00:41:04.885 --> 00:41:07.768
forks uh and torches um so that was

00:41:07.788 --> 00:41:09.248
the golf course i thought it was brilliant

00:41:09.268 --> 00:41:11.250
these guys are stacked up all t times

00:41:11.269 --> 00:41:12.811
for twenty twenty six have been filled how

00:41:12.931 --> 00:41:14.152
great would it be if your clinic was

00:41:14.192 --> 00:41:16.333
close to that you asked a question i

00:41:16.373 --> 00:41:17.974
thought it was attached to that post

00:41:18.014 --> 00:41:20.536
saying should we call appointments

00:41:20.596 --> 00:41:22.978
something different what were you thinking

00:41:23.597 --> 00:41:24.818
i don't know um

00:41:27.115 --> 00:41:28.838
When I go to book my haircut with

00:41:28.918 --> 00:41:29.878
Rod down the street,

00:41:29.978 --> 00:41:30.960
I book through an app now.

00:41:31.840 --> 00:41:32.221
I love it.

00:41:32.701 --> 00:41:33.621
Rod's cutting hair.

00:41:33.661 --> 00:41:35.244
Why is he answering the phone and looking

00:41:35.264 --> 00:41:35.684
at a book?

00:41:36.664 --> 00:41:37.065
So I book.

00:41:37.164 --> 00:41:39.447
And the last step is, hey, man,

00:41:39.648 --> 00:41:41.329
if you don't come, it's thirty five.

00:41:41.469 --> 00:41:42.369
You're paying for the haircut.

00:41:42.731 --> 00:41:43.490
And I'm like, got it.

00:41:43.550 --> 00:41:44.092
Rod's busy.

00:41:44.211 --> 00:41:46.173
And I don't want a random dude cutting

00:41:46.193 --> 00:41:47.295
my hair and be on a ride for

00:41:47.335 --> 00:41:48.315
five years, six years.

00:41:51.137 --> 00:41:53.521
This also goes into the cancellation fee,

00:41:53.541 --> 00:41:54.101
which is like,

00:41:54.121 --> 00:41:55.182
it's not a cancellation fee.

00:41:55.202 --> 00:41:56.083
You already paid for this.

00:41:56.103 --> 00:41:57.206
You paid for it.

00:41:57.525 --> 00:41:58.887
There's a psychological difference there.

00:41:59.288 --> 00:42:01.190
Rory Sutherland would have a field day

00:42:01.210 --> 00:42:01.650
with this,

00:42:02.032 --> 00:42:03.574
which is you don't charge a cancellation

00:42:03.594 --> 00:42:03.793
fee.

00:42:04.094 --> 00:42:05.655
You take the money when you book the

00:42:05.695 --> 00:42:05.976
time.

00:42:06.896 --> 00:42:07.677
Hair stylists do this,

00:42:07.757 --> 00:42:08.858
and we do not bat an eye.

00:42:09.300 --> 00:42:10.681
Massage therapists do this.

00:42:10.780 --> 00:42:11.661
We do not bat an eye.

00:42:11.681 --> 00:42:12.322
They understand.

00:42:12.702 --> 00:42:14.023
I booked five to six.

00:42:14.364 --> 00:42:15.885
Five to six is gone.

00:42:16.425 --> 00:42:17.867
I cannot now make money.

00:42:18.306 --> 00:42:20.469
And if I were right at the line

00:42:20.489 --> 00:42:22.090
between breaking even and making money and

00:42:22.170 --> 00:42:23.070
feeding my family,

00:42:23.411 --> 00:42:25.112
you have now caused me to, oh, well,

00:42:25.213 --> 00:42:25.974
sorry, little Timmy,

00:42:26.074 --> 00:42:27.775
not enough coal to keep you warm tomorrow.

00:42:28.235 --> 00:42:29.737
But for some reason in health care,

00:42:29.876 --> 00:42:30.978
I think it's because there's a third

00:42:31.018 --> 00:42:31.699
person in the room.

00:42:32.298 --> 00:42:34.420
right that's probably the issue so yeah i

00:42:34.440 --> 00:42:36.422
guess a t time is you have bought

00:42:37.043 --> 00:42:40.945
the per the permission the right to stand

00:42:41.085 --> 00:42:43.628
at hole one at seven oh three at

00:42:43.688 --> 00:42:46.929
seven fifteen tough can't do it can't fit

00:42:46.949 --> 00:42:48.391
you in look at all the people but

00:42:48.411 --> 00:42:49.972
we don't do that so yeah i guess

00:42:50.012 --> 00:42:51.552
my question is like what is it as

00:42:51.612 --> 00:42:53.594
dumb as changing the name from an

00:42:53.635 --> 00:42:57.197
appointment to uh something i don't know i

00:42:57.217 --> 00:42:59.398
gotta buy a thesaurus or i mean no

00:42:59.418 --> 00:43:00.780
one's buying the sources anymore just

00:43:00.800 --> 00:43:01.400
going to ai but

00:43:01.800 --> 00:43:01.960
Like,

00:43:02.240 --> 00:43:03.822
I don't know what arose by any other

00:43:03.842 --> 00:43:06.623
name feel different is my question.

00:43:07.644 --> 00:43:10.166
Yeah, I mean, we've we've talked about,

00:43:10.326 --> 00:43:10.706
you know,

00:43:11.327 --> 00:43:16.070
requiring prepayment if and we know even

00:43:16.090 --> 00:43:16.769
with Medicare,

00:43:16.809 --> 00:43:18.692
you can have a cancellation fee,

00:43:18.731 --> 00:43:20.072
you can have a no show policy,

00:43:20.112 --> 00:43:22.134
you can charge Medicare beneficiaries.

00:43:22.693 --> 00:43:25.416
What you can't do is you can't force

00:43:25.436 --> 00:43:28.338
them to pay for something in order to

00:43:28.378 --> 00:43:30.320
receive the Medicare covered service,

00:43:30.760 --> 00:43:33.364
but you can have a policy in place

00:43:33.403 --> 00:43:34.784
for cancellations and no-shows.

00:43:35.286 --> 00:43:36.646
So then the question is, well,

00:43:36.746 --> 00:43:39.349
can I have a refundable, you know,

00:43:39.409 --> 00:43:40.710
something out there?

00:43:42.331 --> 00:43:43.833
And I would go back and say,

00:43:45.003 --> 00:43:47.023
Again, this is where smart technology,

00:43:47.603 --> 00:43:48.543
me as the human,

00:43:48.824 --> 00:43:51.045
maybe I can't keep track of a thousand

00:43:51.085 --> 00:43:52.945
patients over a calendar year,

00:43:53.545 --> 00:43:55.887
but if my AI can create a predictive

00:43:55.927 --> 00:43:57.507
analysis of, hey,

00:43:57.547 --> 00:43:59.628
this person based on these individual

00:43:59.668 --> 00:44:01.688
features are likely to cancel,

00:44:03.329 --> 00:44:05.590
maybe we can create scheduling systems

00:44:05.610 --> 00:44:06.931
that accommodate for that.

00:44:07.630 --> 00:44:09.771
And if I'm not in an insurance world,

00:44:10.592 --> 00:44:13.795
hundred percent like taking payment before

00:44:13.835 --> 00:44:16.677
the patient arrives taking patient to our

00:44:16.797 --> 00:44:20.059
payment to book the appointment absolutely

00:44:20.099 --> 00:44:22.041
like i can't imagine not doing something

00:44:22.081 --> 00:44:25.063
like hotels airlines maybe your rocket

00:44:25.123 --> 00:44:26.965
seven has an idea which is we call

00:44:27.005 --> 00:44:29.467
it a pt time what yeah

00:44:31.003 --> 00:44:33.246
It was sitting right there the whole time.

00:44:33.706 --> 00:44:37.150
A P-T-E-E time for the podcast listeners.

00:44:37.309 --> 00:44:39.110
It's been sitting right there the whole

00:44:39.150 --> 00:44:39.371
time.

00:44:39.411 --> 00:44:40.413
You understand this.

00:44:40.432 --> 00:44:41.434
You know what I was mad about?

00:44:42.134 --> 00:44:43.815
Do you ever ride one of those things?

00:44:44.036 --> 00:44:44.556
Not a boat,

00:44:44.596 --> 00:44:46.637
but a smaller individual one that you ride

00:44:46.797 --> 00:44:48.099
in the water, personal water.

00:44:48.539 --> 00:44:48.980
Jet ski?

00:44:49.000 --> 00:44:50.121
Yeah, yeah.

00:44:50.161 --> 00:44:51.742
Boater cycle was there the whole time.

00:44:53.532 --> 00:44:54.333
No one named it that.

00:44:54.452 --> 00:44:55.534
When someone pointed that out, I was like,

00:44:55.813 --> 00:44:57.715
dude, jet ski?

00:44:58.494 --> 00:44:59.315
That's not a jet ski.

00:44:59.356 --> 00:45:00.456
That's a motorcycle.

00:45:00.496 --> 00:45:01.376
But yeah, PT time.

00:45:02.137 --> 00:45:02.737
Hotels.

00:45:03.157 --> 00:45:04.798
I bet you if I asked JetGPT right

00:45:04.838 --> 00:45:04.978
now,

00:45:05.099 --> 00:45:07.519
create a list of industries where if I

00:45:08.099 --> 00:45:10.782
say that I'm coming to receive a service

00:45:10.822 --> 00:45:11.322
or a good,

00:45:12.402 --> 00:45:13.503
and then I don't show up,

00:45:14.619 --> 00:45:15.659
That industry sort of doesn't care

00:45:15.679 --> 00:45:16.300
because, like, let me pay.

00:45:16.539 --> 00:45:18.940
Hotel, past a certain time,

00:45:19.221 --> 00:45:19.800
it doesn't matter.

00:45:19.860 --> 00:45:21.222
Like, we'll let that room sit empty.

00:45:21.641 --> 00:45:22.362
You paid for it.

00:45:22.782 --> 00:45:24.722
Or we'll sell it again because you ain't

00:45:24.762 --> 00:45:25.503
here, right?

00:45:26.264 --> 00:45:27.704
And we sort of are pissed,

00:45:27.744 --> 00:45:28.945
but we're like, I guess so.

00:45:29.364 --> 00:45:30.144
But for some reason,

00:45:30.244 --> 00:45:31.326
our time isn't worth it?

00:45:32.286 --> 00:45:34.106
I don't, man, there's definitely,

00:45:34.126 --> 00:45:35.588
this is not a logistics question.

00:45:35.608 --> 00:45:37.148
This is a psychology question.

00:45:37.628 --> 00:45:38.509
This is like, well.

00:45:39.485 --> 00:45:40.367
Peace Corps, Gene.

00:45:40.387 --> 00:45:42.409
I want to save everybody.

00:45:42.931 --> 00:45:43.853
So that's the thing.

00:45:45.215 --> 00:45:46.317
You know, in health care,

00:45:46.898 --> 00:45:49.163
nobody ever wants to blame the patient for

00:45:49.202 --> 00:45:50.746
the patient's situation.

00:45:50.786 --> 00:45:51.686
And I totally get it.

00:45:52.653 --> 00:45:54.353
what about blaming the provider for the

00:45:54.393 --> 00:45:55.514
provider situation?

00:45:55.554 --> 00:45:57.855
Like, when do we as the provider,

00:45:58.014 --> 00:45:59.956
as the business owner, as the therapist,

00:45:59.996 --> 00:46:03.436
when do we take the responsibility for not

00:46:03.657 --> 00:46:06.257
implementing the systems that we see are

00:46:06.317 --> 00:46:08.318
successful in so many other industries,

00:46:08.358 --> 00:46:09.538
so many other professions?

00:46:09.557 --> 00:46:10.659
They're not like us.

00:46:10.998 --> 00:46:11.739
And what?

00:46:11.759 --> 00:46:13.358
They're not like us.

00:46:13.559 --> 00:46:15.239
Yeah.

00:46:15.420 --> 00:46:15.880
And, you know,

00:46:17.329 --> 00:46:18.030
I know what to do.

00:46:18.530 --> 00:46:19.871
I see what should be done.

00:46:20.452 --> 00:46:22.233
Jimmy and Tony are saying we should be

00:46:22.273 --> 00:46:24.273
doing this, but I don't do it.

00:46:24.693 --> 00:46:27.215
Like, when do we take that responsibility?

00:46:28.074 --> 00:46:29.295
Now, I know we're coming down,

00:46:29.376 --> 00:46:30.155
fifteen minutes.

00:46:30.755 --> 00:46:31.556
I shared with you,

00:46:31.597 --> 00:46:33.317
I don't have access to it in the

00:46:33.378 --> 00:46:36.239
chat, reimbursement rates, right?

00:46:36.398 --> 00:46:36.798
So, like,

00:46:36.938 --> 00:46:39.119
everybody's celebrating this big win.

00:46:39.159 --> 00:46:41.280
We got an increase in reimbursement rates,

00:46:41.300 --> 00:46:42.822
which on an absolute basis,

00:46:43.581 --> 00:46:46.586
I shared my Ohio Medicare rates from two

00:46:46.626 --> 00:46:48.068
thousand twenty five to two thousand

00:46:48.108 --> 00:46:48.710
twenty six.

00:46:49.269 --> 00:46:50.052
Yes, in fact,

00:46:50.112 --> 00:46:53.135
we did get a point five to two

00:46:53.175 --> 00:46:54.757
and a half percent increase,

00:46:55.358 --> 00:46:57.541
but inflation adjusted.

00:46:57.983 --> 00:46:59.125
We're still losing money.

00:47:00.045 --> 00:47:01.306
And I'm fine with that.

00:47:01.606 --> 00:47:03.706
I don't mind because, you know,

00:47:03.806 --> 00:47:04.987
as much as I'm the greedy,

00:47:05.027 --> 00:47:06.947
horrible capitalist who wants to make a

00:47:07.007 --> 00:47:09.068
profit in order to serve my community

00:47:09.108 --> 00:47:09.548
better,

00:47:10.210 --> 00:47:12.811
I also recognize that I'm working within a

00:47:12.871 --> 00:47:15.092
system that's running out of money every

00:47:15.132 --> 00:47:15.711
single year.

00:47:16.331 --> 00:47:19.713
And so I want to prioritize bringing the

00:47:19.753 --> 00:47:20.733
cost of care down.

00:47:21.255 --> 00:47:23.675
That's where it becomes my responsibility

00:47:23.695 --> 00:47:24.096
to say,

00:47:24.755 --> 00:47:24.996
okay,

00:47:25.195 --> 00:47:27.677
I need to make more efficient decisions.

00:47:27.717 --> 00:47:29.097
I need to leverage technology.

00:47:29.157 --> 00:47:31.077
I need to improve my systems so I

00:47:31.097 --> 00:47:34.179
can deliver a unit of therapy to Medicare

00:47:34.219 --> 00:47:36.139
beneficiaries for less cost,

00:47:36.679 --> 00:47:38.940
which allows me to make a profit.

00:47:39.001 --> 00:47:40.181
Or I need to make the profit on

00:47:40.240 --> 00:47:41.822
something else layered on top.

00:47:41.862 --> 00:47:43.641
So here are the actual numbers,

00:47:44.302 --> 00:47:48.483
the absolute number plus the inflation

00:47:48.523 --> 00:47:49.443
adjusted number.

00:47:50.123 --> 00:47:50.885
We're still losing.

00:47:50.905 --> 00:47:50.985
Yeah.

00:47:52.818 --> 00:47:54.860
People do pay a lot of attention.

00:47:54.880 --> 00:47:56.240
I don't think I have the graphic anymore.

00:47:56.300 --> 00:47:56.981
I used to play it.

00:47:57.021 --> 00:47:58.161
I think you and Dave used to laugh

00:47:58.503 --> 00:47:59.643
where it's just the seesaw.

00:47:59.884 --> 00:48:02.666
It's like we people will bitch about the

00:48:02.706 --> 00:48:04.347
cost of something,

00:48:04.367 --> 00:48:05.307
how much I have to pay.

00:48:05.688 --> 00:48:06.969
But it's like, what if you did better?

00:48:07.349 --> 00:48:08.931
This is where that app like Rocket Money

00:48:09.831 --> 00:48:10.391
does great.

00:48:10.572 --> 00:48:11.713
The cost of gas is going to be

00:48:11.733 --> 00:48:12.452
the cost of gas,

00:48:12.472 --> 00:48:14.155
but you're paying for seven subscriptions.

00:48:14.963 --> 00:48:16.684
blindly like get rid of that so pay

00:48:16.704 --> 00:48:17.545
attention to the other side of the

00:48:17.585 --> 00:48:19.485
equation which is like medicare's paying

00:48:19.525 --> 00:48:21.407
us less we're going to go underwater time

00:48:21.427 --> 00:48:23.088
to decree time to figure out how to

00:48:23.128 --> 00:48:24.728
make your boat that's what happens in

00:48:24.849 --> 00:48:27.851
every war movie we're going down guys dump

00:48:27.871 --> 00:48:29.811
the fuel get rid of all the things

00:48:29.831 --> 00:48:31.512
that are heavy it's like get as light

00:48:31.572 --> 00:48:33.514
as possible why are you not doing that's

00:48:33.554 --> 00:48:35.335
the only side of the equation you can

00:48:35.396 --> 00:48:37.536
actually affect you can yell at the other

00:48:37.556 --> 00:48:38.797
side of the equation but tony i gotta

00:48:38.818 --> 00:48:40.418
be honest yelling at the other side of

00:48:40.438 --> 00:48:42.699
the equation hasn't i mean to be fair

00:48:42.719 --> 00:48:43.780
it just hasn't worked yet

00:48:45.400 --> 00:48:46.001
It just hasn't worked yet.

00:48:46.221 --> 00:48:47.461
Maybe screaming at Medicare,

00:48:47.621 --> 00:48:49.583
maybe bitching at the about the APTA will

00:48:49.603 --> 00:48:50.623
work in twenty twenty six.

00:48:50.902 --> 00:48:55.304
Hey, let's be optimistic, everybody.

00:48:55.324 --> 00:48:57.525
I think it falls in like Ramit Sethi

00:48:57.585 --> 00:48:58.887
talks about, you know,

00:48:59.547 --> 00:49:02.268
stressing out about a latte on a daily

00:49:02.307 --> 00:49:02.869
basis,

00:49:02.909 --> 00:49:05.690
three bucks compared to making a bad

00:49:05.730 --> 00:49:07.811
decision when you're financing a house.

00:49:08.632 --> 00:49:09.492
You know, like,

00:49:09.952 --> 00:49:11.572
let's look at the big things.

00:49:11.632 --> 00:49:13.172
What has the big impact?

00:49:13.213 --> 00:49:15.134
And I talked about this and I didn't

00:49:15.153 --> 00:49:16.514
really get a response.

00:49:17.213 --> 00:49:18.855
I said, look, okay,

00:49:18.974 --> 00:49:21.494
I just realized I was today years old.

00:49:21.534 --> 00:49:22.956
That's what people say.

00:49:23.936 --> 00:49:24.996
When I'm like, you know what?

00:49:25.016 --> 00:49:27.416
I understand professional organizations

00:49:27.456 --> 00:49:29.657
are fighting to increase reimbursement.

00:49:30.177 --> 00:49:30.637
But I'm like,

00:49:30.757 --> 00:49:33.318
are we fighting for three percent or are

00:49:33.358 --> 00:49:34.898
we fighting for one hundred and fifty

00:49:34.938 --> 00:49:35.278
percent?

00:49:36.059 --> 00:49:37.980
I can't get behind a three percent,

00:49:38.019 --> 00:49:38.681
five percent,

00:49:38.721 --> 00:49:41.302
ten percent increase in reimbursement from

00:49:41.402 --> 00:49:43.123
Medicare and the like.

00:49:43.163 --> 00:49:44.103
It's not going to matter.

00:49:44.164 --> 00:49:45.684
It's going to disappear on the balance

00:49:45.704 --> 00:49:45.885
sheet.

00:49:45.925 --> 00:49:48.826
It's going to have a nominal or no

00:49:48.905 --> 00:49:49.347
impact.

00:49:50.407 --> 00:49:52.168
If you're telling me you're going to fight

00:49:52.248 --> 00:49:54.949
to double reimbursement, OK,

00:49:55.269 --> 00:49:56.951
maybe that's going to have some some

00:49:57.050 --> 00:49:59.632
measurable change on how things are going.

00:50:00.693 --> 00:50:02.173
We don't even know what they're fighting

00:50:02.213 --> 00:50:02.353
for.

00:50:03.467 --> 00:50:04.148
Yeah, I have not.

00:50:04.228 --> 00:50:05.289
I mean, to be honest, I have not.

00:50:05.329 --> 00:50:07.010
And by the time you win that,

00:50:07.250 --> 00:50:08.351
are you already in the red?

00:50:08.371 --> 00:50:08.972
Do you know what I mean?

00:50:09.032 --> 00:50:10.572
Like we've been fighting for twelve years

00:50:10.592 --> 00:50:11.554
and we got the three percent.

00:50:11.574 --> 00:50:12.054
It's like, dude,

00:50:12.074 --> 00:50:14.036
we've lost three percent over ten years.

00:50:14.376 --> 00:50:15.516
So we're down thirty.

00:50:16.358 --> 00:50:16.818
Thanks.

00:50:17.418 --> 00:50:17.679
You know,

00:50:18.498 --> 00:50:20.420
but what you're sort of advocating for is

00:50:20.740 --> 00:50:22.121
and I was taught this once there was

00:50:22.141 --> 00:50:24.384
a big housing company coming into my town

00:50:24.403 --> 00:50:26.166
when I was like in high school and

00:50:26.186 --> 00:50:27.487
they came in with these plans.

00:50:28.442 --> 00:50:29.181
And they were like, we're going to,

00:50:29.262 --> 00:50:30.603
we're going to build a thousand houses.

00:50:30.722 --> 00:50:33.565
People were losing their minds.

00:50:34.206 --> 00:50:34.585
They were like,

00:50:34.606 --> 00:50:36.146
that's going to do this and this and

00:50:36.186 --> 00:50:37.007
this and this.

00:50:37.327 --> 00:50:38.929
And the housing company like did a town

00:50:38.969 --> 00:50:39.628
hall or whatever.

00:50:40.009 --> 00:50:41.190
And there was this dude who was in

00:50:41.230 --> 00:50:41.769
my neighborhood.

00:50:41.789 --> 00:50:43.130
It was just this smart old dude who

00:50:43.150 --> 00:50:44.231
says they're not gonna build a thousand

00:50:44.271 --> 00:50:44.552
houses.

00:50:44.871 --> 00:50:45.972
He's like, and people were like, yeah,

00:50:45.992 --> 00:50:47.333
cause we're bitching at the town hall.

00:50:47.353 --> 00:50:47.554
He goes,

00:50:47.813 --> 00:50:48.974
they want to build two hundred houses.

00:50:50.184 --> 00:50:51.324
So they came with a thousand,

00:50:51.646 --> 00:50:53.626
everyone got all riled up and then they'll

00:50:53.646 --> 00:50:54.146
go, you know what?

00:50:54.346 --> 00:50:55.007
You guys are right,

00:50:55.047 --> 00:50:56.086
we're just gonna build two hundred.

00:50:56.786 --> 00:50:59.128
So they asked for a thousand knowing they

00:50:59.168 --> 00:51:00.748
were never gonna do a thousand.

00:51:00.869 --> 00:51:01.829
It wasn't possible.

00:51:02.929 --> 00:51:03.509
And then they were like,

00:51:03.570 --> 00:51:04.789
I guess we'll settle on two hundred.

00:51:05.070 --> 00:51:06.389
That's what they wanted all the time.

00:51:06.429 --> 00:51:07.771
But you had to ask for the thousand

00:51:08.411 --> 00:51:09.911
and get everybody like, what?

00:51:10.391 --> 00:51:12.092
The problem is you're negotiating,

00:51:12.132 --> 00:51:12.672
in my opinion,

00:51:12.713 --> 00:51:14.273
and I know very little about advocacy,

00:51:15.313 --> 00:51:18.894
there's no reason for Medicare to be like,

00:51:18.914 --> 00:51:19.494
oh, I guess so.

00:51:20.851 --> 00:51:21.871
They're like the TSA.

00:51:21.911 --> 00:51:22.351
Someone was like,

00:51:22.431 --> 00:51:24.373
when's the TSA going to get better?

00:51:24.454 --> 00:51:27.275
And I was like, never.

00:51:27.315 --> 00:51:28.797
Well, they need to.

00:51:29.217 --> 00:51:31.998
Is there a different line somewhere at the

00:51:32.079 --> 00:51:32.438
airport?

00:51:32.478 --> 00:51:33.280
There's no Coke.

00:51:33.920 --> 00:51:34.099
Sorry,

00:51:34.119 --> 00:51:35.762
there's no Pepsi to come along to say

00:51:36.081 --> 00:51:37.742
Coke better get their stuff together or

00:51:37.762 --> 00:51:38.724
they're going to get run out of business.

00:51:39.083 --> 00:51:40.684
Well, you've got Clear and PreCheck.

00:51:41.646 --> 00:51:43.827
Yeah, it all leads to TSA.

00:51:43.947 --> 00:51:46.750
It's just different routes to TSA, bro.

00:51:46.789 --> 00:51:48.391
It's different shades of bad.

00:51:50.353 --> 00:51:51.416
So there's no real reason.

00:51:51.456 --> 00:51:53.581
So that's why like if you were looking

00:51:53.621 --> 00:51:54.222
at it this way,

00:51:54.603 --> 00:51:56.447
do you want to advocate for maybe someone

00:51:56.467 --> 00:51:56.847
giving you

00:51:58.280 --> 00:52:00.740
more soup sir or do you want to

00:52:00.780 --> 00:52:02.722
do your own thing and lower the cost

00:52:02.822 --> 00:52:03.842
even if you're going to still take

00:52:03.882 --> 00:52:05.963
insurance okay that's i'm handcuffed

00:52:05.983 --> 00:52:08.485
that's the system i'm in affect the side

00:52:08.505 --> 00:52:10.266
of the equation you can this is this

00:52:10.306 --> 00:52:11.907
goes back to the dumb saying which is

00:52:11.947 --> 00:52:14.668
like control the controllables but we'll

00:52:14.688 --> 00:52:17.971
still yell at the apta and medicare i'm

00:52:18.010 --> 00:52:21.393
like they don't care when will they

00:52:22.443 --> 00:52:23.344
Never.

00:52:23.503 --> 00:52:24.844
Like they're not going to.

00:52:24.925 --> 00:52:27.067
You're going to be dead before anything

00:52:27.106 --> 00:52:27.567
changes.

00:52:27.646 --> 00:52:28.847
And that's not me being morbid.

00:52:29.327 --> 00:52:31.610
That's me being real.

00:52:31.710 --> 00:52:33.891
And I would say everybody is doing their

00:52:33.931 --> 00:52:34.192
thing.

00:52:34.652 --> 00:52:37.355
APTA is working hard as they can on

00:52:37.375 --> 00:52:38.416
the things that they're working on.

00:52:38.436 --> 00:52:39.056
As they can.

00:52:39.536 --> 00:52:40.856
As hard as they can.

00:52:40.958 --> 00:52:41.838
Yes.

00:52:41.958 --> 00:52:44.440
EMR companies are working hard as they can

00:52:44.719 --> 00:52:47.041
on the things that they think are

00:52:47.061 --> 00:52:47.643
important.

00:52:47.882 --> 00:52:49.844
PTs are working as hard as they can

00:52:49.945 --> 00:52:51.166
on the things that are important.

00:52:52.606 --> 00:52:52.867
You know,

00:52:53.246 --> 00:52:56.170
this is where I try to balance like,

00:52:56.731 --> 00:52:57.972
okay, I would, yes,

00:52:58.092 --> 00:52:59.813
I would love to pay everybody more.

00:53:00.474 --> 00:53:02.675
I would love to have universal healthcare.

00:53:03.177 --> 00:53:04.318
I would love to, you know,

00:53:04.418 --> 00:53:06.599
everybody to get a personalized,

00:53:06.679 --> 00:53:08.581
every kid in school to get a personalized

00:53:08.601 --> 00:53:11.224
tutor that spends an hour on every single

00:53:11.284 --> 00:53:11.784
subject.

00:53:12.748 --> 00:53:13.568
I love it all.

00:53:14.028 --> 00:53:15.010
It's not going to happen.

00:53:15.550 --> 00:53:17.893
So let me affect the things that I

00:53:17.932 --> 00:53:19.514
can actually change.

00:53:20.114 --> 00:53:22.036
I can provide a better experience in my

00:53:22.077 --> 00:53:24.300
clinic than the clinic across the street

00:53:24.860 --> 00:53:28.943
for less money and more profit within the

00:53:29.003 --> 00:53:31.266
scope of what I'm allowed to do legally.

00:53:31.666 --> 00:53:33.268
If we remove the legal part of it,

00:53:33.329 --> 00:53:34.550
I could do a whole lot more.

00:53:34.809 --> 00:53:35.731
I could do a whole lot more.

00:53:36.148 --> 00:53:37.731
Adam Meekins did have a rant the other

00:53:37.791 --> 00:53:40.172
day where he essentially said what you

00:53:40.213 --> 00:53:42.335
said nine months ago, which he's like,

00:53:42.434 --> 00:53:42.574
dude,

00:53:42.594 --> 00:53:44.416
this guy over here is a personal trainer

00:53:44.436 --> 00:53:45.217
who's unregulated,

00:53:45.257 --> 00:53:46.378
can say whatever they want.

00:53:46.659 --> 00:53:48.099
I can say – and do you know

00:53:48.199 --> 00:53:49.541
Adam's story right now,

00:53:49.621 --> 00:53:50.362
Adam Meekins' story?

00:53:51.222 --> 00:53:54.485
He's like on – he's been on like

00:53:54.525 --> 00:53:54.806
double,

00:53:54.847 --> 00:53:56.969
quadruple secret probation for like seven

00:53:57.009 --> 00:53:57.329
years.

00:53:57.528 --> 00:53:59.391
Like his license is like –

00:53:59.539 --> 00:54:01.760
potentially being taken away for dropping

00:54:01.920 --> 00:54:02.882
F-bombs on the internet.

00:54:02.961 --> 00:54:06.184
And I'm like, ah, sorry,

00:54:06.264 --> 00:54:08.284
Jimmy comes in with the first amendment

00:54:08.304 --> 00:54:08.505
again,

00:54:08.525 --> 00:54:09.706
and I know we're talking about America or

00:54:09.885 --> 00:54:10.567
Europe, but I'm like,

00:54:10.726 --> 00:54:12.507
the social media is sort of its own

00:54:12.527 --> 00:54:12.867
country.

00:54:13.889 --> 00:54:15.489
Like, I guess within reason,

00:54:16.498 --> 00:54:18.179
but I don't think Adams crossed that line.

00:54:18.219 --> 00:54:19.521
Like he didn't advocate for anyone,

00:54:19.760 --> 00:54:21.101
you know, things that I would,

00:54:21.402 --> 00:54:23.023
that I would say, eh, first amendment,

00:54:23.043 --> 00:54:23.403
not so great.

00:54:23.423 --> 00:54:25.045
Like murdering someone, not great.

00:54:25.184 --> 00:54:27.226
Anything, mostly anything with kids out,

00:54:27.306 --> 00:54:27.786
not cool.

00:54:28.708 --> 00:54:29.307
Adam's just like,

00:54:29.367 --> 00:54:30.768
I think your opinion sucks.

00:54:31.028 --> 00:54:32.690
And then he just adds colorful language

00:54:32.911 --> 00:54:34.030
and he, and he doesn't stop.

00:54:34.771 --> 00:54:35.331
Here's the thing.

00:54:35.431 --> 00:54:36.432
He believes he's right.

00:54:36.552 --> 00:54:37.713
Whether or not he's right or not,

00:54:38.074 --> 00:54:39.614
but like now his livelihood is on the

00:54:39.635 --> 00:54:39.896
line.

00:54:40.155 --> 00:54:42.777
The reason I'm bringing this up is someone

00:54:42.818 --> 00:54:43.378
who, well,

00:54:43.398 --> 00:54:44.119
did you hear of a new thing with

00:54:44.179 --> 00:54:44.358
Mel?

00:54:44.378 --> 00:54:45.860
You know, Mel Robbins is.

00:54:46.000 --> 00:54:46.119
Yeah.

00:54:46.878 --> 00:54:48.398
Now she's selling like protein powder.

00:54:48.438 --> 00:54:50.380
So people are like, oh God, it was,

00:54:51.121 --> 00:54:53.101
it was write the book, get the attention.

00:54:53.222 --> 00:54:54.362
Now here comes the grift.

00:54:54.523 --> 00:54:56.164
And it's like, oh, okay.

00:54:56.184 --> 00:54:57.764
In my mind, I'm like, what's she selling?

00:54:57.804 --> 00:54:58.686
And like protein powder.

00:54:58.706 --> 00:55:00.626
I'm like, all right.

00:55:00.947 --> 00:55:01.427
Okay.

00:55:01.467 --> 00:55:03.369
Like what's the problem?

00:55:03.409 --> 00:55:03.548
Like,

00:55:04.690 --> 00:55:06.371
is she saying it's protein powder and it's

00:55:06.411 --> 00:55:07.271
not protein powder?

00:55:07.572 --> 00:55:08.331
No, it's protein powder.

00:55:08.472 --> 00:55:09.773
Okay.

00:55:09.793 --> 00:55:10.873
But she's not a dietician.

00:55:12.072 --> 00:55:12.773
All right,

00:55:12.893 --> 00:55:15.753
I can go buy protein powder in my

00:55:16.054 --> 00:55:16.693
gas station.

00:55:17.153 --> 00:55:18.414
Now, if she were selling like, hey,

00:55:18.474 --> 00:55:21.195
I think you should use this medication,

00:55:21.215 --> 00:55:22.775
that's what a controlled substance is,

00:55:22.896 --> 00:55:24.556
in my rudimentary explanation.

00:55:24.576 --> 00:55:26.777
But she's selling plant-based protein

00:55:26.817 --> 00:55:27.436
powder, as far as I know.

00:55:27.456 --> 00:55:29.197
And I'm like, all right.

00:55:29.257 --> 00:55:30.958
I'm sort of OK with that.

00:55:31.398 --> 00:55:32.338
But she's doing it in public.

00:55:32.518 --> 00:55:35.699
She's not selling magic beans that she's

00:55:35.759 --> 00:55:37.980
saying is going to give you muscles and

00:55:38.000 --> 00:55:38.599
get you swole.

00:55:38.900 --> 00:55:39.300
I don't know.

00:55:40.001 --> 00:55:40.920
I'm a little disappointed.

00:55:40.940 --> 00:55:41.340
Go ahead.

00:55:42.039 --> 00:55:43.559
I was just going to say, like,

00:55:43.679 --> 00:55:46.201
I mean, yeah, I love Adam Eakins.

00:55:46.340 --> 00:55:48.001
I fully support everything he does,

00:55:48.041 --> 00:55:48.963
everything he says.

00:55:49.543 --> 00:55:49.902
You know,

00:55:50.003 --> 00:55:51.963
he's going to question convention,

00:55:52.364 --> 00:55:54.445
but he's going to bring the research

00:55:54.485 --> 00:55:56.186
behind it.

00:55:56.606 --> 00:55:59.507
And just the fact that he is willing

00:55:59.547 --> 00:56:02.528
to call people out and he gets sanctioned

00:56:02.568 --> 00:56:05.170
essentially for it, whereas you have...

00:56:05.731 --> 00:56:07.931
way loonier, way crazier,

00:56:08.112 --> 00:56:11.054
way more absurd people who just keep quiet

00:56:11.134 --> 00:56:13.155
and hang out in the shadows,

00:56:13.175 --> 00:56:15.135
who are never gonna run into any issues.

00:56:16.958 --> 00:56:18.378
And then in regards to the Mel Robbins

00:56:18.398 --> 00:56:19.659
thing, like, yeah,

00:56:19.679 --> 00:56:20.780
that's how business works.

00:56:21.340 --> 00:56:22.081
Now, you know,

00:56:22.240 --> 00:56:24.402
she's she is going to make her decision.

00:56:24.443 --> 00:56:26.164
She's going to need to make money to

00:56:26.204 --> 00:56:28.505
support the machine that she has created.

00:56:29.086 --> 00:56:30.387
And I think this is where it gets

00:56:30.407 --> 00:56:33.050
a little scary in health care because you

00:56:33.070 --> 00:56:35.431
have this huge working population.

00:56:35.492 --> 00:56:36.932
And we've got a couple of minutes.

00:56:37.153 --> 00:56:38.894
I want to bounce this this off of

00:56:38.914 --> 00:56:40.577
you because I'm trying to figure this out

00:56:40.617 --> 00:56:41.416
for myself.

00:56:42.338 --> 00:56:44.280
We always hear the people who say, well,

00:56:44.460 --> 00:56:45.521
you you you know,

00:56:45.541 --> 00:56:47.402
you can't have the business without the

00:56:47.442 --> 00:56:48.123
workers, right?

00:56:48.648 --> 00:56:50.831
get it like the people we're the workers

00:56:50.871 --> 00:56:52.012
we're the ones that are treating the

00:56:52.032 --> 00:56:54.114
patients we're the ones that are doing the

00:56:54.153 --> 00:56:56.675
heavy lifting we're the bricklayers but

00:56:56.695 --> 00:56:58.257
then you also can't have the business

00:56:58.277 --> 00:57:01.099
without the owner and the investor and and

00:57:01.159 --> 00:57:04.163
we're that too so i'm like as the

00:57:04.222 --> 00:57:07.885
population increases of people who feel

00:57:07.965 --> 00:57:09.648
cheated who believe that they're being

00:57:09.688 --> 00:57:10.809
taken advantage of

00:57:12.090 --> 00:57:14.731
They're obviously going to make decisions

00:57:14.992 --> 00:57:16.693
that are not in the best interest of

00:57:16.893 --> 00:57:18.534
the business and keeping the business

00:57:18.594 --> 00:57:19.135
operational.

00:57:19.175 --> 00:57:19.934
At some point,

00:57:20.576 --> 00:57:22.496
there's no reason to have the business if

00:57:22.516 --> 00:57:24.657
there's not a profit for the business

00:57:24.918 --> 00:57:26.920
owner.

00:57:27.159 --> 00:57:27.699
I don't know.

00:57:27.780 --> 00:57:30.161
It's just like the loudest voice on social

00:57:30.181 --> 00:57:34.085
media right now is the persecuted worker.

00:57:35.313 --> 00:57:36.956
And this is gonna go full circle all

00:57:36.976 --> 00:57:39.577
the way back to Jared Hall and Richard

00:57:39.597 --> 00:57:40.338
Severin's post.

00:57:40.398 --> 00:57:42.119
It's like, if Jimmy,

00:57:42.179 --> 00:57:44.161
you tell me that I'm being taken advantage

00:57:44.242 --> 00:57:46.224
of because I'm working harder than

00:57:46.264 --> 00:57:48.266
everybody else and I'm not making as much

00:57:48.326 --> 00:57:49.306
as I deserve,

00:57:49.887 --> 00:57:51.648
that's an easy message for you to sell

00:57:51.688 --> 00:57:51.969
to me.

00:57:52.509 --> 00:57:54.170
And that's a message that's gonna resonate

00:57:54.210 --> 00:57:56.413
with me and I'm gonna feel persecuted and

00:57:56.432 --> 00:57:58.795
I'm gonna become the victim and you are

00:57:58.835 --> 00:58:00.677
going to sell me that message

00:58:01.297 --> 00:58:03.318
to a point where I can't even hear

00:58:03.538 --> 00:58:04.978
the other side, which is,

00:58:05.639 --> 00:58:06.820
what are we supposed to do?

00:58:06.900 --> 00:58:09.221
This is what the service is valued at.

00:58:09.681 --> 00:58:11.342
This is what people are willing to pay

00:58:11.382 --> 00:58:12.342
for this service.

00:58:12.882 --> 00:58:14.204
Now, on a small scale,

00:58:14.384 --> 00:58:15.704
it's easy for me to just close the

00:58:15.744 --> 00:58:16.125
clinic.

00:58:16.625 --> 00:58:16.864
You know,

00:58:16.885 --> 00:58:18.206
it's easy for me to shut down and

00:58:18.226 --> 00:58:19.445
go do something else.

00:58:20.327 --> 00:58:22.547
But that's not the answer.

00:58:22.648 --> 00:58:24.329
Obviously, it hurts patients.

00:58:24.389 --> 00:58:25.929
It hurts the profession.

00:58:25.949 --> 00:58:26.849
It hurts everything.

00:58:27.690 --> 00:58:28.630
I don't know.

00:58:28.731 --> 00:58:29.590
Do you think about that?

00:58:29.612 --> 00:58:30.512
Do you have any, like,

00:58:30.815 --> 00:58:32.577
Yeah, I mean, quit.

00:58:33.878 --> 00:58:34.639
You can do it better.

00:58:34.800 --> 00:58:36.461
You just told me if you're the persecuted

00:58:36.501 --> 00:58:37.182
worker and you're like,

00:58:37.222 --> 00:58:38.043
I can run a business better.

00:58:38.063 --> 00:58:41.867
It's like, have at it, do it.

00:58:42.838 --> 00:58:45.460
So let's think of this as kind of

00:58:45.481 --> 00:58:46.101
the closing.

00:58:46.742 --> 00:58:48.603
What is the reason they're not?

00:58:48.623 --> 00:58:50.623
Because this is the theme, today's theme.

00:58:51.144 --> 00:58:53.106
Why aren't EMRs working on other things?

00:58:53.166 --> 00:58:54.806
Why aren't APTA working on?

00:58:55.208 --> 00:58:57.608
Why isn't the persecuted worker who feels

00:58:57.768 --> 00:58:59.489
underpaid and overworked and taken

00:58:59.550 --> 00:59:00.170
advantage of?

00:59:00.231 --> 00:59:01.952
And somebody used the word the other day,

00:59:02.411 --> 00:59:03.072
bullied.

00:59:03.652 --> 00:59:05.635
This is not a bullying situation,

00:59:05.675 --> 00:59:07.996
but why are they not quitting?

00:59:08.637 --> 00:59:09.317
Why are they not?

00:59:09.376 --> 00:59:10.597
Why do you think they're not?

00:59:10.617 --> 00:59:11.838
Because I don't know why they're not.

00:59:12.119 --> 00:59:12.639
Pain and fear.

00:59:13.599 --> 00:59:14.460
It's always an emotion.

00:59:14.659 --> 00:59:15.179
Pain and fear.

00:59:15.800 --> 00:59:16.380
What do we want?

00:59:16.501 --> 00:59:16.960
Change.

00:59:17.021 --> 00:59:17.561
When do we want it?

00:59:17.641 --> 00:59:17.940
Now.

00:59:18.001 --> 00:59:18.842
What are we willing to do to get

00:59:18.882 --> 00:59:18.961
it?

00:59:19.802 --> 00:59:22.983
Sing this song instead of just going to

00:59:23.023 --> 00:59:23.563
do it.

00:59:23.744 --> 00:59:24.284
Pain and fear.

00:59:24.724 --> 00:59:25.885
It's hard and scary,

00:59:26.405 --> 00:59:27.085
so I won't do it,

00:59:27.425 --> 00:59:28.626
but I'll complain about where I am.

00:59:30.525 --> 00:59:31.867
I had several of those people on my

00:59:31.907 --> 00:59:33.708
team before, and I'm like, you can go.

00:59:34.427 --> 00:59:35.608
I know the guy at the other radio

00:59:35.628 --> 00:59:36.489
station across the street.

00:59:36.708 --> 00:59:37.068
Go work.

00:59:37.088 --> 00:59:38.789
I will give you a glowing recommendation.

00:59:38.969 --> 00:59:39.369
Go work there.

00:59:40.510 --> 00:59:41.932
it's the same there all right well then

00:59:41.952 --> 00:59:45.398
call the fcc get a license pay seventy

00:59:45.418 --> 00:59:46.960
five thousand dollars two hundred fifty

00:59:46.981 --> 00:59:49.405
thousand dollars for music rights uh rent

00:59:49.445 --> 00:59:51.708
a building do it yourself so easy you

00:59:51.728 --> 00:59:53.170
just explain to me how i'm exploiting you

00:59:54.061 --> 00:59:57.943
So then does that put the business owner

00:59:57.983 --> 01:00:00.402
in a situation of saying, look,

01:00:00.463 --> 01:00:02.182
I know you're going to complain no matter

01:00:02.202 --> 01:00:02.784
what I do.

01:00:02.864 --> 01:00:03.764
Even if I give you,

01:00:05.143 --> 01:00:06.264
I did it today.

01:00:06.724 --> 01:00:08.284
Medicare gave us a two and a half

01:00:08.324 --> 01:00:09.005
percent raise.

01:00:09.105 --> 01:00:09.804
What did I do?

01:00:09.965 --> 01:00:11.644
I complained about it because it doesn't

01:00:11.864 --> 01:00:13.244
outpace inflation.

01:00:13.465 --> 01:00:15.905
I am the employee complaining that I'm

01:00:15.945 --> 01:00:18.726
overworked and underpaid and Medicare is

01:00:18.766 --> 01:00:19.365
going to be enough.

01:00:19.746 --> 01:00:21.427
And so Medicare doesn't care.

01:00:21.467 --> 01:00:21.887
No.

01:00:22.367 --> 01:00:24.949
Does the business owner then have to say,

01:00:25.010 --> 01:00:27.132
look, this is the price of doing business.

01:00:27.713 --> 01:00:28.875
I'm going to stay in business.

01:00:28.894 --> 01:00:29.835
You're going to complain.

01:00:30.076 --> 01:00:31.056
I'm going to do the best that I

01:00:31.077 --> 01:00:34.681
can, despite you not feeling appreciated.

01:00:35.481 --> 01:00:36.762
And we're just going to treat patients

01:00:36.782 --> 01:00:37.003
today.

01:00:37.284 --> 01:00:38.125
It's not show friends.

01:00:38.164 --> 01:00:38.644
It's show business.

01:00:38.744 --> 01:00:39.545
Go cut lawns.

01:00:39.585 --> 01:00:40.387
Go cut hair.

01:00:40.507 --> 01:00:41.608
Go walk dogs.

01:00:42.047 --> 01:00:46.452
This is the physics of this environment,

01:00:46.771 --> 01:00:47.932
and it is constantly changing.

01:00:49.195 --> 01:00:50.795
Why don't you yell at gravity, Tony?

01:00:51.195 --> 01:00:52.297
Dude, gravity is heavy.

01:00:52.797 --> 01:00:53.958
It's been the same heavy.

01:00:54.139 --> 01:00:55.920
You've never given us a break, gravity.

01:00:56.260 --> 01:00:57.981
Even when my grandma was ninety-nine years

01:00:58.081 --> 01:00:58.242
old,

01:00:58.443 --> 01:00:59.864
she still had the same gravity that she

01:00:59.884 --> 01:01:01.125
had when she was sixteen years old.

01:01:01.364 --> 01:01:02.505
That feels unfair.

01:01:02.867 --> 01:01:03.606
Tough shit!

01:01:04.668 --> 01:01:05.329
No one cares.

01:01:05.648 --> 01:01:06.068
No one cares.

01:01:06.409 --> 01:01:08.751
Work harder or like I don't necessarily.

01:01:08.972 --> 01:01:09.431
No one cares.

01:01:09.472 --> 01:01:09.952
Work harder.

01:01:10.373 --> 01:01:12.715
I go choose your heart.

01:01:12.855 --> 01:01:13.275
Choose it.

01:01:13.394 --> 01:01:14.155
Does this suck?

01:01:14.255 --> 01:01:14.496
Yeah.

01:01:14.576 --> 01:01:15.436
Is it unattainable?

01:01:15.898 --> 01:01:16.257
Yes.

01:01:16.717 --> 01:01:17.278
There's the door.

01:01:17.398 --> 01:01:18.699
You can push or pull.

01:01:18.940 --> 01:01:19.601
Doesn't matter.

01:01:19.681 --> 01:01:20.621
Push or pull.

01:01:20.661 --> 01:01:21.222
Do something else.

01:01:21.501 --> 01:01:22.182
But the patients,

01:01:22.463 --> 01:01:23.423
someone else will take care of them.

01:01:23.804 --> 01:01:24.364
They're going to be OK.

01:01:24.485 --> 01:01:25.346
It's not going to be you.

01:01:25.626 --> 01:01:26.467
That's OK, though.

01:01:26.706 --> 01:01:28.007
That's OK.

01:01:28.168 --> 01:01:28.809
I left radio.

01:01:29.068 --> 01:01:31.351
I loved it until it hit a point

01:01:31.371 --> 01:01:32.331
where I was like, oh,

01:01:33.356 --> 01:01:35.237
This is getting bad.

01:01:35.277 --> 01:01:36.097
This is what I didn't want.

01:01:36.117 --> 01:01:37.097
This is why I left radio when I

01:01:37.137 --> 01:01:37.416
left.

01:01:37.978 --> 01:01:39.378
I knew that I would have been the

01:01:39.418 --> 01:01:41.139
guy who was holding pristine pitching,

01:01:41.659 --> 01:01:42.539
screaming at clouds.

01:01:43.519 --> 01:01:44.039
So I left.

01:01:44.340 --> 01:01:45.539
But I looked for the door.

01:01:45.679 --> 01:01:46.740
I went to go to law school.

01:01:46.820 --> 01:01:47.721
I went to business school.

01:01:47.740 --> 01:01:48.942
And then I settled on PT.

01:01:49.521 --> 01:01:50.942
And now I just talk into microphones

01:01:50.961 --> 01:01:51.422
again.

01:01:51.802 --> 01:01:52.643
I chose my heart.

01:01:53.614 --> 01:01:54.195
I chose my heart.

01:01:54.596 --> 01:01:55.556
I know what I like to do.

01:01:55.717 --> 01:01:56.938
I thought I could treat patients.

01:01:57.177 --> 01:01:58.059
I didn't love it.

01:01:58.298 --> 01:01:59.059
I didn't hate it,

01:01:59.320 --> 01:02:00.021
but I didn't love it.

01:02:00.541 --> 01:02:01.061
And I was like, well,

01:02:01.081 --> 01:02:01.943
can I help people do it a different

01:02:01.963 --> 01:02:02.043
way?

01:02:02.523 --> 01:02:04.625
I invented it, for better or for worse.

01:02:04.664 --> 01:02:05.306
Is it working?

01:02:05.525 --> 01:02:05.905
I don't know.

01:02:06.146 --> 01:02:07.367
The lights are on for now.

01:02:07.628 --> 01:02:08.548
Who knows what the hell is gonna happen

01:02:08.568 --> 01:02:09.489
in a .

01:02:09.409 --> 01:02:09.929
Choose your heart.

01:02:10.230 --> 01:02:11.190
If you don't like it,

01:02:11.731 --> 01:02:12.751
go build your own clinic.

01:02:13.572 --> 01:02:14.373
Or go walk dogs.

01:02:14.813 --> 01:02:15.414
Do something else.

01:02:15.635 --> 01:02:17.275
If you hate, this is it.

01:02:17.436 --> 01:02:18.757
I'm very sorry.

01:02:18.836 --> 01:02:19.398
This is it.

01:02:19.858 --> 01:02:22.059
I wish we could just make it rain

01:02:22.099 --> 01:02:23.280
for everybody who came out of school.

01:02:23.300 --> 01:02:24.382
We can't.

01:02:25.882 --> 01:02:26.583
Parting shot.

01:02:27.244 --> 01:02:29.545
I think as physical therapists,

01:02:29.646 --> 01:02:31.688
we understand better than anyone.

01:02:32.717 --> 01:02:35.920
that we are in control of our own

01:02:35.960 --> 01:02:36.681
decisions.

01:02:36.960 --> 01:02:39.362
We can affect change in our own life,

01:02:39.463 --> 01:02:41.043
not in anybody else's life.

01:02:41.724 --> 01:02:45.168
And so just like I want to be

01:02:45.228 --> 01:02:46.469
able to walk across the room,

01:02:47.150 --> 01:02:48.291
I need to put the work in,

01:02:48.411 --> 01:02:49.711
I need to make the adjustments.

01:02:49.811 --> 01:02:53.155
And if I don't have the capacity to

01:02:53.215 --> 01:02:53.574
do it,

01:02:53.675 --> 01:02:55.237
I need to find another way to get

01:02:55.277 --> 01:02:56.177
across the room.

01:02:57.079 --> 01:02:58.884
But I'm always going to be working toward

01:02:58.903 --> 01:02:59.927
getting across the room.

01:02:59.967 --> 01:03:02.916
That is within my independence as a human.

01:03:03.137 --> 01:03:03.518
What you got?

01:03:04.652 --> 01:03:06.293
I would say I'll end what I ended

01:03:06.333 --> 01:03:07.472
with, which is choose your heart.

01:03:07.532 --> 01:03:09.614
Like if you honestly don't like it,

01:03:10.193 --> 01:03:10.994
change settings.

01:03:11.233 --> 01:03:12.333
And if it's still bad in the other

01:03:12.393 --> 01:03:13.715
setting and you tried three settings,

01:03:14.175 --> 01:03:15.175
maybe the profession is wrong.

01:03:15.195 --> 01:03:17.096
Or maybe you're on the right team,

01:03:17.135 --> 01:03:17.755
wrong position.

01:03:18.215 --> 01:03:18.876
Choose your heart.

01:03:19.255 --> 01:03:20.817
To me, right field was hard.

01:03:21.177 --> 01:03:22.117
First base was not hard.

01:03:22.277 --> 01:03:22.858
I chose my heart.

01:03:23.137 --> 01:03:23.958
I didn't leave baseball.

01:03:24.217 --> 01:03:25.358
But if baseball still sucked,

01:03:25.378 --> 01:03:26.097
would have left baseball,

01:03:26.117 --> 01:03:26.719
would have went swimming.

01:03:27.039 --> 01:03:29.119
Like choose your heart.

01:03:29.760 --> 01:03:30.880
The final thing I'll say is,

01:03:32.389 --> 01:03:34.132
you're really never too old to change

01:03:34.552 --> 01:03:35.233
whatever.

01:03:36.315 --> 01:03:38.358
Listen, if Gary Vee had this line,

01:03:38.378 --> 01:03:38.637
he's like,

01:03:38.677 --> 01:03:40.500
if you truly have a bullshit job, quit.

01:03:40.539 --> 01:03:41.922
There's bullshit jobs everywhere.

01:03:42.813 --> 01:03:42.972
Right.

01:03:42.992 --> 01:03:43.793
And then Jim Carrey,

01:03:43.833 --> 01:03:44.835
I'll end on Jim Carrey.

01:03:44.875 --> 01:03:46.516
He said his dad was funnier than him,

01:03:47.157 --> 01:03:48.559
but decided to be an accountant or

01:03:48.579 --> 01:03:49.900
whatever, and then got fired.

01:03:50.561 --> 01:03:51.981
He was an accountant because it was safer

01:03:52.001 --> 01:03:52.882
than being a comedian.

01:03:53.264 --> 01:03:55.226
So you could fail at the thing you

01:03:55.306 --> 01:03:56.387
freaking hate anyway.

01:03:56.987 --> 01:03:58.748
Might as well choose your heart and choose

01:03:58.789 --> 01:03:59.329
the right thing.

01:03:59.650 --> 01:04:01.452
I hope Dave has fun on Space Mountain.

01:04:01.472 --> 01:04:02.532
I want to see lots of pictures.

01:04:02.612 --> 01:04:03.733
We'll be back on Thursday.

01:04:05.295 --> 01:04:06.097
Tony, I'll talk to you soon.

01:04:07.317 --> 01:04:07.657
That's it.

01:04:07.677 --> 01:04:07.858
We're out.

01:04:07.878 --> 01:04:09.297
Boys, what the hell are you doing?

01:04:09.338 --> 01:04:12.139
Follow Tony Maritano on YouTube at Total

01:04:12.179 --> 01:04:13.199
Therapy Solution.

01:04:13.278 --> 01:04:14.280
Find Dave Kittle at

01:04:14.300 --> 01:04:17.460
ConciergePainRelief.com and on YouTube at

01:04:17.501 --> 01:04:18.661
The Dave Kittle Show.

01:04:19.001 --> 01:04:22.121
And follow Jimmy McKay at PT Podcasts on

01:04:22.181 --> 01:04:23.282
YouTube, the socials,

01:04:23.402 --> 01:04:25.184
and wherever you binge podcasts you

01:04:25.224 --> 01:04:26.884
pretend are for CEUs.

01:04:27.184 --> 01:04:28.644
And hey, just a reminder,

01:04:29.105 --> 01:04:30.425
none of this was for advice.

01:04:30.465 --> 01:04:31.806
This was for entertainment only.

01:04:32.206 --> 01:04:33.465
Our lawyers say that counts.

01:04:33.666 --> 01:04:34.586
Thanks, Keith.