Feb. 18, 2026

Do It Differently or Die: A Wake-Up Call for PT Owners

Do It Differently or Die: A Wake-Up Call for PT Owners

Do It Differently or Die: A Wake-Up Call for PT Owners

Live from CSM, Jimmy talks with Eric Fernandez from Hyperice about the uncomfortable realities facing outpatient physical therapy.


What We Cover:

  • The three-year journey behind the Nike x Hyperice recovery shoe
  • Why AI and efficiency won’t save a broken business model
  • Why PTs must start thinking like consumer brands
  • The importance of lifecycle care and long-term value
  • Why wellness companies are winning cash-based dollars
  • The danger of waiting for insurance companies to “fix it”
  • The mindset shift clinic owners must make


Key Takeaway

The system is perfectly designed to produce the results you’re currently getting.

If you don’t like the results, rebuild the system.


Guest

Eric Fernandez – Hyperice

https://hyperice.com

Transcript
WEBVTT

00:00:00.530 --> 00:00:01.191
There should be a video.

00:00:01.312 --> 00:00:02.513
There it is.

00:00:02.533 --> 00:00:03.134
Look at that.

00:00:03.154 --> 00:00:04.778
A little time lapse.

00:00:04.819 --> 00:00:05.601
Is there a camera?

00:00:05.921 --> 00:00:06.522
That was me.

00:00:06.562 --> 00:00:07.022
We're live.

00:00:07.104 --> 00:00:07.565
We're live.

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That's later.

00:00:08.226 --> 00:00:09.007
I'll be riding the...

00:00:10.210 --> 00:00:10.912
Are you going to go to Disney?

00:00:11.430 --> 00:00:13.432
no i was thinking about going to i

00:00:13.451 --> 00:00:15.073
don't think i realized how close disney

00:00:15.092 --> 00:00:17.434
world land sorry to the disney people

00:00:17.533 --> 00:00:19.355
let's go disney disney how close disney

00:00:19.375 --> 00:00:21.155
was it's like a hundred yards away yeah

00:00:21.234 --> 00:00:23.536
as we're live at csm uh eric fernandez

00:00:23.577 --> 00:00:25.117
from hyper ice appreciate you taking time

00:00:25.196 --> 00:00:26.538
out appreciate you having me your booth is

00:00:26.698 --> 00:00:30.859
never slow because you've got great

00:00:32.494 --> 00:00:36.338
touchable wearable tryable things that's

00:00:36.359 --> 00:00:39.040
for sure uh less than a year ago

00:00:39.841 --> 00:00:41.682
i never got to really ask this but

00:00:41.764 --> 00:00:45.146
you have the hyper ice nike crossover

00:00:45.226 --> 00:00:47.728
collab should i like run with the camera

00:00:47.749 --> 00:00:49.350
yeah we'll bring it back a little late

00:00:49.390 --> 00:00:49.771
for that huh

00:00:50.051 --> 00:00:50.790
People have seen it.

00:00:50.890 --> 00:00:51.911
I'll put the link on there.

00:00:51.932 --> 00:00:52.491
If you haven't seen it,

00:00:52.512 --> 00:00:55.033
just Google Nike hyper ice shoe shoe.

00:00:55.213 --> 00:00:55.792
Yeah.

00:00:56.012 --> 00:00:58.113
And I think you told me about how

00:00:58.173 --> 00:01:00.755
long does something like Nike doesn't let

00:01:00.774 --> 00:01:04.256
the swoosh go anywhere unless like seventy

00:01:04.296 --> 00:01:06.316
eight steps are checked and cross checked.

00:01:06.356 --> 00:01:07.617
And yeah, there's a lot of steps.

00:01:07.757 --> 00:01:08.998
So how long does something like that?

00:01:09.257 --> 00:01:09.778
I mean,

00:01:09.918 --> 00:01:11.260
it was about three years in development.

00:01:11.381 --> 00:01:13.043
Okay, that's even longer than I thought.

00:01:13.063 --> 00:01:13.763
For anyone who doesn't know,

00:01:13.783 --> 00:01:15.745
it's a high-top shoe that has Normatex

00:01:15.786 --> 00:01:17.707
dynamic air compression therapy built into

00:01:17.748 --> 00:01:17.867
it,

00:01:18.248 --> 00:01:20.090
along with an electric heating technology.

00:01:20.490 --> 00:01:21.972
So you get heat and compression therapy on

00:01:21.992 --> 00:01:23.314
the ankle and Achilles complex.

00:01:23.375 --> 00:01:24.275
On a wearable shoe.

00:01:24.316 --> 00:01:24.736
On a wearable.

00:01:24.756 --> 00:01:25.557
You can go, you can dance,

00:01:25.576 --> 00:01:25.998
you can run,

00:01:26.018 --> 00:01:26.759
you can do whatever you want.

00:01:28.111 --> 00:01:28.632
It's awesome.

00:01:28.712 --> 00:01:30.334
It is very much like a performance,

00:01:30.414 --> 00:01:31.674
wellness, self-care product.

00:01:31.694 --> 00:01:32.894
You'll never see it in a clinic.

00:01:32.915 --> 00:01:34.236
That's not what it's meant for, of course.

00:01:34.757 --> 00:01:36.177
But really cool piece of tech.

00:01:36.477 --> 00:01:38.179
And funny aside,

00:01:38.259 --> 00:01:39.058
I almost shouldn't say this,

00:01:39.078 --> 00:01:39.700
but it's a live stream.

00:01:39.719 --> 00:01:40.340
We're having fun.

00:01:40.760 --> 00:01:42.141
So you want to know the origin.

00:01:42.762 --> 00:01:44.643
Forever we wanted to build a performance,

00:01:45.063 --> 00:01:46.524
tech-enabled shoe with Nike.

00:01:46.864 --> 00:01:47.644
And for a long time,

00:01:47.685 --> 00:01:48.525
I think they were like,

00:01:49.286 --> 00:01:50.126
I don't think we want that.

00:01:50.706 --> 00:01:51.927
And they had something else they wanted us

00:01:51.968 --> 00:01:54.250
to build, a heating and cooling vest,

00:01:54.290 --> 00:01:55.290
temperature controlling for their

00:01:55.349 --> 00:01:55.730
athletes.

00:01:56.689 --> 00:01:57.469
And we were like, we can do it,

00:01:57.489 --> 00:01:58.551
but we really want to do this shoe.

00:02:00.091 --> 00:02:01.251
We went to this very small,

00:02:01.311 --> 00:02:02.992
intimate prototype meeting with like a

00:02:03.013 --> 00:02:04.474
couple of their highest end athletes and

00:02:04.493 --> 00:02:06.435
their innovation people, private summit.

00:02:06.775 --> 00:02:07.975
And we had mocked up the shoe.

00:02:07.995 --> 00:02:09.235
We almost weren't supposed to have like

00:02:09.256 --> 00:02:09.635
brought it.

00:02:10.336 --> 00:02:11.856
It was so like the battery pack was

00:02:11.877 --> 00:02:13.038
like taped to the back of the calf,

00:02:13.078 --> 00:02:13.897
like earlier.

00:02:13.997 --> 00:02:15.199
It's just got to hang on for the

00:02:15.258 --> 00:02:15.579
meeting.

00:02:15.959 --> 00:02:17.659
And the shoe stole the show.

00:02:17.800 --> 00:02:19.200
Like athletes wouldn't give it back.

00:02:19.221 --> 00:02:20.040
They were obsessed.

00:02:20.161 --> 00:02:21.762
And then it was just iteration and

00:02:21.822 --> 00:02:22.862
iteration after that.

00:02:23.362 --> 00:02:24.924
And three years later, now we have it.

00:02:25.562 --> 00:02:26.584
And then like, what do you do?

00:02:26.623 --> 00:02:27.664
You wait a year and then you come

00:02:27.705 --> 00:02:29.526
out with like color or something.

00:02:29.545 --> 00:02:30.646
Like you got to do a twist.

00:02:30.727 --> 00:02:32.088
Like we got more stuff coming.

00:02:32.109 --> 00:02:32.588
We're not done.

00:02:32.729 --> 00:02:34.390
I was on the ramp getting on the

00:02:34.450 --> 00:02:35.350
airplane to fly here.

00:02:35.371 --> 00:02:36.391
And the guy in front of me had

00:02:36.472 --> 00:02:38.514
high top Nike's Wu-Tang clan,

00:02:38.653 --> 00:02:39.314
like limited.

00:02:39.354 --> 00:02:39.835
And I literally,

00:02:39.854 --> 00:02:41.356
I'm not a sneaker head or anything,

00:02:41.396 --> 00:02:42.016
but I respect.

00:02:42.037 --> 00:02:42.877
And I was like, my man,

00:02:43.497 --> 00:02:45.460
those must not have been easy to get.

00:02:45.500 --> 00:02:47.461
Like those had to be insane to get.

00:02:47.782 --> 00:02:48.361
That's what you want.

00:02:48.562 --> 00:02:49.862
Now, I just saw the other day,

00:02:50.163 --> 00:02:51.044
you have the orange.

00:02:51.344 --> 00:02:53.145
Yep, that was an Olympic special product.

00:02:53.246 --> 00:02:54.447
I don't know why I want them more,

00:02:55.007 --> 00:02:56.407
but I do because they're orange.

00:02:56.427 --> 00:02:57.209
And because you can't get them.

00:02:57.248 --> 00:02:58.149
Because you can't get them.

00:02:58.169 --> 00:02:59.430
There is no amount of money you could

00:02:59.490 --> 00:02:59.991
offer me, man,

00:03:00.390 --> 00:03:01.230
that will get you a pair.

00:03:01.251 --> 00:03:02.592
Oh, so it's just Olympic athletes.

00:03:02.611 --> 00:03:04.334
Just for like fifty Olympic athletes.

00:03:04.354 --> 00:03:04.774
That's cool.

00:03:05.133 --> 00:03:06.616
Limited run, special edition.

00:03:06.735 --> 00:03:07.256
That's fun.

00:03:07.276 --> 00:03:08.556
All right, so let's get spicy.

00:03:08.677 --> 00:03:09.098
Okay, spicy.

00:03:09.198 --> 00:03:11.240
You're the last live stream of the day.

00:03:11.259 --> 00:03:11.439
Okay,

00:03:11.460 --> 00:03:12.901
so you've behaved yourself long enough,

00:03:12.921 --> 00:03:14.002
and now we can just be ourselves.

00:03:14.082 --> 00:03:17.105
I'm four steps away from the hotel bar

00:03:17.246 --> 00:03:18.086
and going to dinner.

00:03:18.106 --> 00:03:19.608
And then I'll come back tomorrow and we'll

00:03:19.627 --> 00:03:19.967
do it all again.

00:03:19.989 --> 00:03:20.408
We'll do it all again.

00:03:20.429 --> 00:03:20.908
Everything's great.

00:03:21.090 --> 00:03:21.610
Isn't that lovely?

00:03:21.949 --> 00:03:24.872
Why is outpatient PT in a race to

00:03:24.893 --> 00:03:25.633
the bottom right now?

00:03:25.895 --> 00:03:26.915
Oh, all right.

00:03:26.936 --> 00:03:27.597
That's a loaded question.

00:03:27.616 --> 00:03:28.176
Shots fired.

00:03:28.296 --> 00:03:28.896
Shots fired.

00:03:29.237 --> 00:03:30.038
So here's the thing, right?

00:03:30.198 --> 00:03:31.899
Outpatient is one of the most

00:03:31.938 --> 00:03:33.599
cost-effective ways to manage your

00:03:33.639 --> 00:03:34.300
long-term care.

00:03:34.340 --> 00:03:34.900
We know that.

00:03:34.939 --> 00:03:35.920
The data is so clear.

00:03:36.100 --> 00:03:36.480
All over.

00:03:36.681 --> 00:03:39.241
Yet it's like the bottom of the funnel.

00:03:39.401 --> 00:03:40.522
It's kicked to the side.

00:03:40.763 --> 00:03:41.924
There's so many challenges.

00:03:42.044 --> 00:03:43.723
Everybody knows the X, right?

00:03:43.764 --> 00:03:44.764
Reimbursements are going down.

00:03:44.844 --> 00:03:46.126
Cost of doing business is going up.

00:03:46.885 --> 00:03:49.387
And I think the challenge is nobody wants

00:03:49.426 --> 00:03:50.247
to break out of the model.

00:03:50.647 --> 00:03:51.987
So we're all looking for efficiencies,

00:03:52.329 --> 00:03:52.669
right?

00:03:52.709 --> 00:03:55.110
So AI, everything in your life these days.

00:03:55.550 --> 00:03:56.673
And AI is amazing.

00:03:56.693 --> 00:03:57.895
There are so many things that it's

00:03:57.915 --> 00:04:00.060
bringing to the space in terms of

00:04:00.080 --> 00:04:02.485
efficiency of your notes and documentation

00:04:02.506 --> 00:04:03.728
and being more personalized.

00:04:03.747 --> 00:04:04.790
There's so many things.

00:04:06.134 --> 00:04:08.137
But all we're doing is squeezing

00:04:08.176 --> 00:04:09.937
efficiency into a model that doesn't work.

00:04:09.978 --> 00:04:10.519
So in my mind,

00:04:10.538 --> 00:04:12.600
it's like we're changing the band-aid

00:04:12.741 --> 00:04:14.763
versus actually triaging and fixing the

00:04:14.802 --> 00:04:15.223
problem.

00:04:15.824 --> 00:04:17.045
And so it has its place.

00:04:17.524 --> 00:04:19.747
But if we just think we can keep

00:04:19.826 --> 00:04:21.668
hammering in the same direction we've

00:04:21.689 --> 00:04:22.408
always been going,

00:04:23.850 --> 00:04:25.172
that's the definition of insanity, right?

00:04:25.952 --> 00:04:27.334
How do we expect the equation to change?

00:04:27.694 --> 00:04:29.995
So what would or what could or what

00:04:30.055 --> 00:04:30.896
should the clinic,

00:04:30.915 --> 00:04:32.896
the outpatient ortho clinic in ten years

00:04:32.916 --> 00:04:33.377
look like?

00:04:33.577 --> 00:04:34.738
And then spoiler alert,

00:04:34.759 --> 00:04:37.319
whoever does that now has the first mover

00:04:37.339 --> 00:04:37.800
advantage.

00:04:37.819 --> 00:04:40.521
But what do you envision a clinic in

00:04:40.562 --> 00:04:41.702
five or ten years looking like?

00:04:42.115 --> 00:04:42.276
Look,

00:04:42.315 --> 00:04:43.055
I think there's always going to be

00:04:43.076 --> 00:04:44.216
diversity, right?

00:04:44.357 --> 00:04:45.656
Like a hospital-based system,

00:04:46.076 --> 00:04:47.096
a large corporate PT,

00:04:47.137 --> 00:04:48.038
your private practice,

00:04:48.057 --> 00:04:48.997
they're all going to be different,

00:04:49.017 --> 00:04:49.497
of course.

00:04:49.898 --> 00:04:50.577
But I think at the end of the

00:04:50.598 --> 00:04:51.838
day, there's high-level changes.

00:04:52.038 --> 00:04:52.858
And the first one is,

00:04:53.579 --> 00:04:54.759
let's stop calling them patients.

00:04:55.420 --> 00:04:56.019
They're consumers.

00:04:56.540 --> 00:04:57.459
At the end of the day,

00:04:57.560 --> 00:04:58.800
your patients are consumers, right?

00:04:58.841 --> 00:04:59.201
And it's like,

00:04:59.841 --> 00:05:01.242
we all choose to spend our money where

00:05:01.262 --> 00:05:02.161
we perceive value.

00:05:03.601 --> 00:05:04.682
And how many times have you heard from

00:05:04.702 --> 00:05:05.283
the therapist,

00:05:05.302 --> 00:05:07.384
my patient can barely afford their co-pay

00:05:07.603 --> 00:05:09.245
or X, Y, and Z.

00:05:09.485 --> 00:05:11.045
And I never want to minimize people's

00:05:11.065 --> 00:05:12.466
individual financial situations.

00:05:12.766 --> 00:05:13.846
Hardship is real.

00:05:14.346 --> 00:05:15.807
But people invest their time and their

00:05:15.827 --> 00:05:16.067
money,

00:05:16.168 --> 00:05:17.208
typically their two most precious

00:05:17.247 --> 00:05:19.288
resources, where they perceive value.

00:05:19.829 --> 00:05:21.350
And I think if we don't start thinking

00:05:21.370 --> 00:05:23.230
about them as consumers and looking at

00:05:23.250 --> 00:05:25.252
consumer behavior and consumer choice,

00:05:26.461 --> 00:05:28.144
we're not gonna solve the equation.

00:05:29.326 --> 00:05:30.747
A lot of people now are talking about

00:05:31.550 --> 00:05:33.072
PT being the primary care of MSK.

00:05:33.793 --> 00:05:34.553
I believe in that model.

00:05:34.793 --> 00:05:36.317
That's how I interact with my therapist

00:05:36.396 --> 00:05:37.639
and my trusted care team.

00:05:38.220 --> 00:05:39.762
There's no reason why your PT shouldn't be

00:05:39.802 --> 00:05:40.343
the quarterback.

00:05:41.172 --> 00:05:41.891
But I think if you're going to be

00:05:41.911 --> 00:05:42.713
the quarterback, one,

00:05:42.733 --> 00:05:44.074
you have to figure out how to interact

00:05:44.274 --> 00:05:45.494
with the other disciplines and the other

00:05:45.595 --> 00:05:46.675
areas of health and wellness.

00:05:46.995 --> 00:05:49.776
And I think you have to provide services

00:05:50.177 --> 00:05:51.958
and solutions to consistently meet the

00:05:51.978 --> 00:05:52.559
patient's need.

00:05:52.999 --> 00:05:53.939
I've said this a lot lately,

00:05:53.978 --> 00:05:56.560
but like my need is a forty one

00:05:56.581 --> 00:05:57.882
year old who still tries to play men's

00:05:57.901 --> 00:05:59.062
league hockey with a bunch of twenty two

00:05:59.101 --> 00:05:59.483
year old.

00:05:59.502 --> 00:06:00.242
You know what I mean?

00:06:00.283 --> 00:06:01.944
Like and everything else I do,

00:06:01.983 --> 00:06:04.125
like my needs are going to go up

00:06:04.144 --> 00:06:04.865
and down over time,

00:06:05.125 --> 00:06:06.507
but it's consistent and it's going to go

00:06:06.526 --> 00:06:06.567
up.

00:06:06.586 --> 00:06:06.966
Sure.

00:06:07.346 --> 00:06:09.048
And I think too often you see clinics

00:06:09.067 --> 00:06:09.648
that are really,

00:06:09.687 --> 00:06:10.668
really good at providing care.

00:06:10.689 --> 00:06:11.829
They care terribly.

00:06:12.509 --> 00:06:14.009
They're great at the pinnacle of need,

00:06:14.350 --> 00:06:15.531
right at the peak of the wave.

00:06:16.170 --> 00:06:17.451
And as we go down to the trough,

00:06:17.872 --> 00:06:18.711
that's where we fall off.

00:06:19.033 --> 00:06:20.192
That's where patients don't complete.

00:06:20.213 --> 00:06:21.274
They don't come to their last couple

00:06:21.293 --> 00:06:21.673
visits.

00:06:21.694 --> 00:06:22.653
They don't stick with maintenance

00:06:22.694 --> 00:06:23.153
programs.

00:06:23.615 --> 00:06:24.495
We also haven't designed,

00:06:24.615 --> 00:06:25.175
for the most part,

00:06:25.235 --> 00:06:27.596
services to give them a way to stay

00:06:27.617 --> 00:06:27.916
connected.

00:06:27.956 --> 00:06:28.516
A life cycle.

00:06:28.836 --> 00:06:29.658
Right.

00:06:29.697 --> 00:06:30.838
But I think if we can crack that

00:06:30.877 --> 00:06:33.838
trough, then you've won.

00:06:33.899 --> 00:06:34.800
And I think it's just like,

00:06:36.920 --> 00:06:38.081
You need cash-based revenue.

00:06:38.682 --> 00:06:39.983
You need retail services.

00:06:41.283 --> 00:06:42.463
You need to be really efficient on

00:06:42.483 --> 00:06:42.744
billing.

00:06:42.783 --> 00:06:43.745
You need the remote monitoring.

00:06:43.785 --> 00:06:44.625
You need all of it.

00:06:44.644 --> 00:06:45.365
You know what I mean?

00:06:45.386 --> 00:06:46.586
There's not one silver bullet.

00:06:46.966 --> 00:06:47.966
But if we don't start moving in that

00:06:47.987 --> 00:06:49.788
direction, I don't know.

00:06:49.827 --> 00:06:50.649
It's like DME.

00:06:50.668 --> 00:06:51.468
It's a race to the bottom.

00:06:52.509 --> 00:06:53.490
Is this a good moment?

00:06:53.569 --> 00:06:56.732
I feel like we go through cycles.

00:06:57.211 --> 00:06:59.134
We go through eras, like Taylor Swift.

00:07:00.074 --> 00:07:01.654
feel like are we in now the getting

00:07:01.694 --> 00:07:03.915
married era right but i feel like the

00:07:03.935 --> 00:07:05.737
the era is like and we always take

00:07:05.757 --> 00:07:07.218
it to the extreme right we're doing you

00:07:07.237 --> 00:07:08.858
know we're shoving coffee where coffee

00:07:08.879 --> 00:07:11.160
doesn't belong uh to feel better i know

00:07:11.180 --> 00:07:13.120
what that is there's a name for that

00:07:13.161 --> 00:07:14.081
there is a name for that i'm not

00:07:14.101 --> 00:07:15.983
sure we're putting coffee there but we're

00:07:16.043 --> 00:07:17.504
in the moment where people are like decaf

00:07:17.524 --> 00:07:20.264
right but we're in the moment now where

00:07:20.305 --> 00:07:22.086
people are like okay i'm gonna invest the

00:07:22.146 --> 00:07:24.086
health and wellness era and of course

00:07:24.107 --> 00:07:26.569
there's good bad and indifferent but we're

00:07:26.689 --> 00:07:27.108
in that

00:07:28.245 --> 00:07:30.067
Isn't PT, like, sort of poised to, like,

00:07:30.108 --> 00:07:32.389
be a good beacon for that?

00:07:32.430 --> 00:07:33.512
We have the real estate.

00:07:33.572 --> 00:07:35.392
We have clinics in your communities.

00:07:35.432 --> 00:07:36.535
We have relationships.

00:07:36.915 --> 00:07:38.497
Isn't it the best position?

00:07:38.677 --> 00:07:39.036
Yes.

00:07:39.177 --> 00:07:40.478
I would say yes.

00:07:40.819 --> 00:07:42.281
The best, like, the skill set?

00:07:43.100 --> 00:07:44.762
So are we just medicalizing this instead

00:07:44.802 --> 00:07:45.584
of leaning into it?

00:07:45.603 --> 00:07:46.725
Or are we saying, well, actually,

00:07:46.805 --> 00:07:47.946
which is the worst two words?

00:07:47.985 --> 00:07:49.267
No one wants to hear, well, actually.

00:07:51.083 --> 00:07:52.083
Allegedly, apparently.

00:07:52.682 --> 00:07:53.684
According to the literature.

00:07:53.983 --> 00:07:55.384
Yeah, yeah, exactly, exactly.

00:07:55.803 --> 00:07:58.285
No, I mean, I think that's the challenge,

00:07:58.305 --> 00:07:58.485
right?

00:07:58.504 --> 00:07:59.805
And there's a challenge in terms of like

00:07:59.985 --> 00:08:01.545
educating our therapists in terms of,

00:08:02.024 --> 00:08:04.105
you know, what is the continuum of care,

00:08:04.146 --> 00:08:04.305
right?

00:08:04.346 --> 00:08:05.985
What is like the more holistic approach?

00:08:06.406 --> 00:08:07.646
I think it's what are your services?

00:08:07.726 --> 00:08:09.627
But I mean, look, the trend is really,

00:08:09.666 --> 00:08:10.627
really clear on wellness.

00:08:11.708 --> 00:08:12.788
The money just keeps going up.

00:08:12.807 --> 00:08:14.067
People are pouring more and more money

00:08:14.088 --> 00:08:14.447
into it.

00:08:14.767 --> 00:08:14.987
And like,

00:08:15.048 --> 00:08:16.788
why is somebody spending a hundred and

00:08:16.829 --> 00:08:18.149
twenty bucks for a stretch session?

00:08:19.281 --> 00:08:21.384
Why is somebody paying, personally,

00:08:21.403 --> 00:08:22.444
a whole lot of money for my lifetime

00:08:22.463 --> 00:08:23.084
fitness membership?

00:08:23.745 --> 00:08:24.545
I prioritize it.

00:08:24.646 --> 00:08:25.685
It helps in the health and wellness.

00:08:25.706 --> 00:08:30.288
We also have to remember, I'm forty-one,

00:08:30.668 --> 00:08:32.770
I'm getting older.

00:08:32.831 --> 00:08:34.371
My younger cousins, the next generation,

00:08:34.572 --> 00:08:35.251
they're coming up.

00:08:35.312 --> 00:08:36.173
They want this.

00:08:36.513 --> 00:08:37.033
You know what I mean?

00:08:37.052 --> 00:08:39.715
So I think if we base our model

00:08:40.115 --> 00:08:43.457
around what worked ten years ago,

00:08:43.477 --> 00:08:44.758
that community's aging out.

00:08:46.131 --> 00:08:48.333
Understand what people value.

00:08:49.715 --> 00:08:50.456
We mentioned before,

00:08:50.755 --> 00:08:52.878
you vote with your time and your money.

00:08:53.619 --> 00:08:55.841
You know this because you sell things,

00:08:56.400 --> 00:08:57.282
you listen to,

00:08:57.761 --> 00:08:59.303
Hyper is not gonna create something for it

00:08:59.323 --> 00:09:00.043
to sit on a shelf.

00:09:00.063 --> 00:09:00.884
It's not how you work.

00:09:01.466 --> 00:09:03.147
I mean,

00:09:04.207 --> 00:09:05.568
what amount of time worth of research is

00:09:05.589 --> 00:09:07.350
done before you even make a new anything

00:09:07.551 --> 00:09:09.673
or a change to something or add a

00:09:09.753 --> 00:09:10.212
feature?

00:09:10.734 --> 00:09:13.255
You're not doing that, you know,

00:09:14.692 --> 00:09:15.212
in no time,

00:09:15.393 --> 00:09:16.734
you're putting time and effort into

00:09:17.114 --> 00:09:20.336
understanding what people are looking for.

00:09:20.395 --> 00:09:20.796
Totally.

00:09:21.155 --> 00:09:22.397
And I think what you're seeing from like

00:09:22.437 --> 00:09:23.857
a health and wellness trend, you see this,

00:09:23.998 --> 00:09:24.957
like that's the other thing, right?

00:09:24.977 --> 00:09:26.379
We have to look outside of what has

00:09:26.418 --> 00:09:27.419
been our narrow focus.

00:09:28.019 --> 00:09:30.841
If we ignore learnings from the fitness

00:09:30.860 --> 00:09:32.701
industry, from hospitality, right?

00:09:32.982 --> 00:09:34.883
If we think cryotherapy is just this weird

00:09:34.923 --> 00:09:36.043
thing or stretch is this weird,

00:09:36.163 --> 00:09:37.304
like we can't.

00:09:37.404 --> 00:09:37.504
One,

00:09:37.524 --> 00:09:39.385
we have to learn from those to see

00:09:39.405 --> 00:09:40.807
what people are responding to and what

00:09:40.826 --> 00:09:41.626
people are asking for.

00:09:41.846 --> 00:09:43.749
I took heat because I asked a question

00:09:43.788 --> 00:09:46.009
because Stretch Labs, right,

00:09:46.029 --> 00:09:48.091
which is a franchise or other things or

00:09:48.111 --> 00:09:50.072
spinoffs and PTs were saying, well,

00:09:50.153 --> 00:09:52.215
actually, and I remember just saying,

00:09:52.315 --> 00:09:52.975
I asked a question.

00:09:52.995 --> 00:09:53.195
I was like,

00:09:53.235 --> 00:09:54.475
are you mad they're doing it or are

00:09:54.495 --> 00:09:56.116
you mad they're doing it better than you?

00:09:56.177 --> 00:09:56.638
Right.

00:09:56.677 --> 00:09:57.938
Are you mad that they thought about it?

00:09:57.958 --> 00:10:00.019
Well, they're just buying this thing.

00:10:00.039 --> 00:10:00.259
I'm like,

00:10:00.360 --> 00:10:02.182
they are super transparent on what they're

00:10:02.221 --> 00:10:02.581
selling.

00:10:02.881 --> 00:10:04.543
You will be stretched for forty five

00:10:04.562 --> 00:10:04.783
minutes.

00:10:04.823 --> 00:10:07.345
You will pay me this and people show

00:10:07.765 --> 00:10:07.905
up.

00:10:08.566 --> 00:10:09.947
Well, actually, no, my man.

00:10:10.288 --> 00:10:12.048
The expectation and the reality are met.

00:10:12.089 --> 00:10:13.870
And that's when people walk out feeling

00:10:13.929 --> 00:10:15.451
great that they just gave someone money

00:10:15.471 --> 00:10:17.312
because they got more than they put in.

00:10:17.972 --> 00:10:20.115
And it's ambiguous when you go to a

00:10:20.174 --> 00:10:20.534
PT.

00:10:20.595 --> 00:10:21.395
What it'll cost?

00:10:21.596 --> 00:10:22.297
What am I getting?

00:10:22.557 --> 00:10:23.618
Am I here for a week or is

00:10:23.638 --> 00:10:25.418
this an ongoing thing forever?

00:10:25.859 --> 00:10:27.259
Expectation meets reality.

00:10:27.320 --> 00:10:28.400
And if it's misaligned,

00:10:28.801 --> 00:10:29.922
that's when people feel robbed.

00:10:30.201 --> 00:10:31.903
That's when people don't show up back up

00:10:32.104 --> 00:10:32.923
because they don't understand.

00:10:33.024 --> 00:10:34.806
Where am I on this journey?

00:10:35.125 --> 00:10:35.405
Totally.

00:10:35.426 --> 00:10:35.666
I mean,

00:10:35.686 --> 00:10:37.486
like one of the best PT experiences I

00:10:37.626 --> 00:10:40.648
ever had was with this guy, Mike Silva,

00:10:40.687 --> 00:10:43.148
who's like come Mike's amazing, right?

00:10:43.168 --> 00:10:44.568
Like patient experience, guru,

00:10:44.649 --> 00:10:45.369
amazing therapist,

00:10:45.389 --> 00:10:47.149
amazing business leader, growth coach,

00:10:47.190 --> 00:10:47.929
et cetera.

00:10:47.970 --> 00:10:49.429
But like I was running into some knee

00:10:49.450 --> 00:10:49.929
pain issues.

00:10:49.951 --> 00:10:51.071
I was training for a half marathon and

00:10:51.091 --> 00:10:52.270
he invited me down to his house and

00:10:52.291 --> 00:10:54.032
like treated me in his private treatment

00:10:54.052 --> 00:10:54.392
space.

00:10:54.871 --> 00:10:56.491
And sure, he was doing me a favor.

00:10:56.653 --> 00:10:57.633
He took like an hour and a half

00:10:57.673 --> 00:10:58.332
of his time,

00:10:58.633 --> 00:11:00.114
but I have never been so thoroughly

00:11:00.153 --> 00:11:00.734
diagnosed.

00:11:00.813 --> 00:11:01.913
He knew what I was in for,

00:11:02.313 --> 00:11:03.534
but he looked at the whole body.

00:11:03.595 --> 00:11:04.475
He looked at everything.

00:11:04.955 --> 00:11:05.816
And he clearly said,

00:11:05.875 --> 00:11:06.855
here's what we need to do to get

00:11:06.895 --> 00:11:07.716
you back on track.

00:11:08.157 --> 00:11:09.238
But here's what you need to be thinking

00:11:09.258 --> 00:11:10.599
about for six and twelve months down the

00:11:10.639 --> 00:11:10.839
road.

00:11:11.019 --> 00:11:11.979
Here's what you need to be thinking about

00:11:11.999 --> 00:11:13.500
for the next five years based off your

00:11:13.679 --> 00:11:13.921
age.

00:11:13.980 --> 00:11:15.621
Like, it was amazing.

00:11:15.662 --> 00:11:16.902
It gave me such a clear roadmap.

00:11:16.982 --> 00:11:18.163
You understood.

00:11:18.523 --> 00:11:19.423
That was a good.

00:11:20.845 --> 00:11:22.405
It's a way to understand and make sure

00:11:22.426 --> 00:11:22.706
that there.

00:11:23.586 --> 00:11:26.207
I always say my one of my soapboxes

00:11:26.227 --> 00:11:27.769
is the goal of communication is not to

00:11:27.828 --> 00:11:28.669
have communicated.

00:11:28.730 --> 00:11:29.890
It's to achieve understanding.

00:11:30.211 --> 00:11:30.410
Yes.

00:11:30.910 --> 00:11:32.392
And just because I said something one way,

00:11:32.432 --> 00:11:33.413
Michael could have said, well,

00:11:33.432 --> 00:11:34.193
you're going to need this.

00:11:34.313 --> 00:11:35.234
If he saw the look in your eye,

00:11:35.254 --> 00:11:36.894
like, I don't think he gets it.

00:11:36.934 --> 00:11:37.796
Or do you understand that?

00:11:37.816 --> 00:11:38.517
Say it back to me.

00:11:38.657 --> 00:11:39.356
Like, explain that to me.

00:11:39.376 --> 00:11:39.857
I just want to help.

00:11:39.878 --> 00:11:41.077
I'm gonna make sure I'm the same page.

00:11:41.519 --> 00:11:42.779
If you walked out of there without being

00:11:42.820 --> 00:11:45.380
clear, it's everything's ambiguous.

00:11:45.501 --> 00:11:47.082
And there's no there's no wonder people

00:11:47.102 --> 00:11:47.302
don't.

00:11:48.493 --> 00:11:49.254
If I hear it again,

00:11:49.374 --> 00:11:50.494
people don't understand what we do.

00:11:50.955 --> 00:11:52.535
How good are you explaining it?

00:11:52.556 --> 00:11:54.456
Well, it's the APTA's job.

00:11:54.576 --> 00:11:55.277
I got news for you.

00:11:55.477 --> 00:11:57.259
The APTA is a professional association

00:11:57.519 --> 00:11:58.980
where professionals associate.

00:11:59.519 --> 00:12:00.461
We're the profession.

00:12:00.821 --> 00:12:01.621
That's not outside.

00:12:01.662 --> 00:12:02.741
Someone the other day was arguing on

00:12:02.761 --> 00:12:05.703
Facebook how APTA needs to do a national

00:12:05.744 --> 00:12:06.784
ad campaign to get patients.

00:12:06.804 --> 00:12:07.245
And I was like,

00:12:07.424 --> 00:12:09.067
I don't think they should.

00:12:09.746 --> 00:12:10.908
That's not what they're built for.

00:12:11.048 --> 00:12:11.807
They're not built for that.

00:12:11.827 --> 00:12:13.489
They're built for professional

00:12:13.528 --> 00:12:14.309
associations.

00:12:14.669 --> 00:12:15.610
That's what they are.

00:12:15.870 --> 00:12:17.172
Understand what that is.

00:12:17.491 --> 00:12:19.972
Right, yeah, no, I mean, look,

00:12:20.573 --> 00:12:24.096
there's so many challenges there we can

00:12:24.176 --> 00:12:24.576
unpack.

00:12:24.655 --> 00:12:26.576
There's also just so many opportunities,

00:12:26.616 --> 00:12:27.657
but you said something there that's key,

00:12:27.697 --> 00:12:27.897
right?

00:12:28.158 --> 00:12:29.278
If I'm gonna wait for somebody else to

00:12:29.298 --> 00:12:30.158
solve the problem for me,

00:12:31.259 --> 00:12:32.140
I'm gonna be the last thing that can

00:12:32.160 --> 00:12:32.921
work out.

00:12:33.261 --> 00:12:34.743
There's more patients out there than the

00:12:34.783 --> 00:12:36.845
industry will ever have the bandwidth to

00:12:36.884 --> 00:12:37.465
care for.

00:12:37.884 --> 00:12:39.366
And so if we actually think about that

00:12:39.407 --> 00:12:39.947
for a second,

00:12:40.807 --> 00:12:42.068
then let's think about who we're going

00:12:42.168 --> 00:12:42.489
after.

00:12:43.009 --> 00:12:43.490
I get it.

00:12:43.889 --> 00:12:45.051
As a healthcare professional,

00:12:45.392 --> 00:12:46.773
therapists wanna help everybody.

00:12:46.793 --> 00:12:48.214
They don't care about demographics,

00:12:48.234 --> 00:12:49.274
they don't care about income levels,

00:12:49.294 --> 00:12:50.216
ability to pay, et cetera.

00:12:50.836 --> 00:12:52.755
but you can't deliver care unless the

00:12:52.796 --> 00:12:53.876
dollar and cents works.

00:12:54.037 --> 00:12:55.297
And if your P&L is in the red,

00:12:55.756 --> 00:12:57.477
you're going out of business.

00:12:57.618 --> 00:13:00.258
And so you have to be comfortable charging

00:13:00.298 --> 00:13:02.519
what your value is and setting a value

00:13:02.538 --> 00:13:03.499
and creating a value.

00:13:03.519 --> 00:13:04.879
That's the other thing too, right?

00:13:04.918 --> 00:13:06.980
Like is a forty five minute stretch worth

00:13:07.000 --> 00:13:07.840
one hundred twenty bucks?

00:13:08.179 --> 00:13:09.360
Depends on who's doing it and how I

00:13:09.400 --> 00:13:10.260
feel when I'm leaving.

00:13:10.280 --> 00:13:11.801
They put the money up and people will

00:13:11.841 --> 00:13:12.941
come for it, you know?

00:13:13.181 --> 00:13:14.142
And so, again,

00:13:14.201 --> 00:13:15.282
I just I think it's like we have

00:13:15.302 --> 00:13:16.942
to challenge everything appropriately

00:13:17.702 --> 00:13:18.982
because the existing model, man,

00:13:20.264 --> 00:13:21.485
It's not working for a lot of people.

00:13:21.725 --> 00:13:23.745
Look how many companies are here trying to

00:13:23.785 --> 00:13:25.605
recruit every possible kid they could

00:13:25.645 --> 00:13:26.407
coming out of school.

00:13:26.746 --> 00:13:28.547
Nobody can attract, retention, burnout,

00:13:28.626 --> 00:13:29.648
all the buzzwords.

00:13:29.687 --> 00:13:30.187
You know what I mean?

00:13:30.207 --> 00:13:32.668
It's not that people are doing bad

00:13:32.707 --> 00:13:33.129
business.

00:13:33.149 --> 00:13:34.688
It's not that leaders don't care.

00:13:35.668 --> 00:13:36.830
The model needs to be rebuilt.

00:13:37.190 --> 00:13:40.510
The system is perfectly designed to get

00:13:40.551 --> 00:13:41.311
the result it gets.

00:13:42.187 --> 00:13:43.808
If you don't like the result of getting,

00:13:43.889 --> 00:13:45.071
it's not the world.

00:13:45.130 --> 00:13:46.030
It's the system you're in.

00:13:46.091 --> 00:13:47.552
And I know it's bad and it's hard

00:13:47.592 --> 00:13:48.212
to change.

00:13:48.514 --> 00:13:49.293
But if you don't,

00:13:50.434 --> 00:13:52.317
you're not going to have a job or

00:13:52.336 --> 00:13:53.798
a clinic in, I don't know,

00:13:53.837 --> 00:13:54.619
three to five years.

00:13:54.639 --> 00:13:55.399
A lot of these things aren't going to

00:13:55.419 --> 00:13:55.799
exist.

00:13:56.681 --> 00:13:57.341
You know,

00:13:57.360 --> 00:13:58.381
there's people out there doing it well.

00:13:58.422 --> 00:13:59.462
There's models that are working.

00:13:59.482 --> 00:14:00.884
There's people making that change.

00:14:01.485 --> 00:14:02.806
You know, who's going to be first?

00:14:02.846 --> 00:14:03.606
Who's going to follow?

00:14:03.667 --> 00:14:04.687
Who's going to figure out how to adapt

00:14:04.707 --> 00:14:05.368
to a system level?

00:14:05.528 --> 00:14:05.969
Those are all...

00:14:06.229 --> 00:14:07.809
The one that hurts is when someone told

00:14:07.830 --> 00:14:08.090
me,

00:14:08.330 --> 00:14:09.830
there are people stupider than you making

00:14:09.870 --> 00:14:10.530
more money than you.

00:14:10.811 --> 00:14:12.370
And I'm like, well, shit.

00:14:12.431 --> 00:14:13.432
It doesn't even hurt because I know it's

00:14:13.471 --> 00:14:13.751
true.

00:14:13.912 --> 00:14:14.451
It is true.

00:14:14.471 --> 00:14:15.452
As soon as you go, no, it's not.

00:14:15.493 --> 00:14:17.592
I go, dude, someone invented a pet rock,

00:14:17.653 --> 00:14:17.894
dude.

00:14:18.214 --> 00:14:19.933
Like, it's dumb.

00:14:20.073 --> 00:14:20.914
Remember the Chia Pet?

00:14:21.115 --> 00:14:21.914
Chia Pet.

00:14:22.595 --> 00:14:23.316
I mean, all of them.

00:14:23.395 --> 00:14:24.716
Snap bracelets.

00:14:25.937 --> 00:14:28.898
You're more likely to overthink it than

00:14:28.937 --> 00:14:29.977
you are to underthink it.

00:14:30.857 --> 00:14:31.798
And what's the worst that happens?

00:14:32.950 --> 00:14:34.510
try again because if you do nothing you

00:14:34.671 --> 00:14:36.390
it's inevitable that this will not work

00:14:36.490 --> 00:14:39.091
out yeah uh last thing i'll ask what's

00:14:39.111 --> 00:14:41.352
an uncomfortable truth owners need to hear

00:14:41.873 --> 00:14:43.533
right now in twenty twenty six an

00:14:43.552 --> 00:14:44.953
uncomfortable truth we said some

00:14:44.994 --> 00:14:46.413
uncomfortable yeah i feel like we've said

00:14:46.453 --> 00:14:48.335
some uncomfortable truth um

00:14:50.924 --> 00:14:51.125
I mean,

00:14:51.164 --> 00:14:52.446
I think it really is that the model

00:14:52.946 --> 00:14:54.586
is not working.

00:14:54.606 --> 00:14:55.967
You can yell at insurance companies all

00:14:55.988 --> 00:14:56.187
you want.

00:14:56.227 --> 00:14:56.847
I got news for you.

00:14:56.868 --> 00:14:57.528
They're not listening.

00:14:57.548 --> 00:14:58.048
They don't care.

00:14:58.229 --> 00:14:59.229
They're not going to change.

00:14:59.330 --> 00:15:00.889
Facebook comment section is not where

00:15:00.909 --> 00:15:01.630
things get changed.

00:15:02.171 --> 00:15:03.951
You either do it differently or you die.

00:15:04.111 --> 00:15:04.792
I'm very sorry.

00:15:04.812 --> 00:15:05.913
You'd be blunt.

00:15:05.952 --> 00:15:06.533
That's what I think.

00:15:06.552 --> 00:15:07.494
Don't get me wrong.

00:15:09.028 --> 00:15:11.028
I just think, look, here we go.

00:15:11.048 --> 00:15:14.451
You're absolutely undervaluing yourself

00:15:14.910 --> 00:15:15.691
and your services,

00:15:16.490 --> 00:15:17.731
and you're not willing to change.

00:15:18.331 --> 00:15:19.452
And if you're not willing to change,

00:15:19.592 --> 00:15:20.493
what do you expect to happen?

00:15:20.572 --> 00:15:22.714
And you're gonna get what you deserve.

00:15:22.894 --> 00:15:23.754
Look, change can be scary.

00:15:24.355 --> 00:15:25.894
Or change can be exciting, right?

00:15:26.034 --> 00:15:26.215
Like,

00:15:26.294 --> 00:15:27.895
every problem is actually an opportunity.

00:15:28.456 --> 00:15:29.336
It's the mindset.

00:15:29.375 --> 00:15:30.255
It's how we approach it.

00:15:30.576 --> 00:15:31.635
It's how we attack the problem.

00:15:31.836 --> 00:15:32.876
It doesn't have to be perfect.

00:15:32.917 --> 00:15:34.277
Just take a step.

00:15:34.317 --> 00:15:34.836
Like, you know,

00:15:34.876 --> 00:15:35.976
we say this all the time, right?

00:15:36.256 --> 00:15:37.197
There's not a silver bullet.

00:15:37.456 --> 00:15:38.957
There's not one hyperized solution you can

00:15:38.977 --> 00:15:40.577
buy or a solution from any company in

00:15:40.597 --> 00:15:41.597
this room that you can buy that's going

00:15:41.618 --> 00:15:42.038
to fix it.

00:15:42.557 --> 00:15:44.619
But take a step, man.

00:15:44.658 --> 00:15:45.479
Try something different.

00:15:45.538 --> 00:15:46.359
Fall on your face.

00:15:46.438 --> 00:15:48.278
Like, again,

00:15:48.418 --> 00:15:49.278
you just got to get out there and

00:15:49.298 --> 00:15:49.599
do it.

00:15:49.679 --> 00:15:49.919
All right.

00:15:49.960 --> 00:15:50.679
Last thing we do on the show,

00:15:50.720 --> 00:15:52.139
we call it the parting shot.

00:15:53.945 --> 00:15:55.066
This is the Parting Shot.

00:15:55.626 --> 00:15:57.028
One last mic drop moment.

00:15:57.710 --> 00:15:58.490
No pressure.

00:15:58.951 --> 00:16:01.113
Just your legacy on the line.

00:16:02.195 --> 00:16:02.916
Pressure here, Eric.

00:16:03.235 --> 00:16:04.658
What do you want to leave with the

00:16:04.697 --> 00:16:04.937
audience?

00:16:04.957 --> 00:16:07.461
Parting Shot, what do you got?

00:16:07.480 --> 00:16:08.642
Hawaiian pizza is the best pizza on the

00:16:08.662 --> 00:16:08.782
planet.

00:16:08.802 --> 00:16:09.884
Oh, yeah, we didn't even talk about that.

00:16:10.183 --> 00:16:11.225
Hawaiian pizza is the best pizza on the

00:16:11.245 --> 00:16:11.645
planet.

00:16:11.706 --> 00:16:12.386
I agree with you.

00:16:13.717 --> 00:16:14.499
I like it.

00:16:14.578 --> 00:16:15.899
Also, I think it's a Canadian invention.

00:16:16.320 --> 00:16:17.740
So then there's maybe some geopolitical

00:16:18.740 --> 00:16:19.182
angles there.

00:16:20.001 --> 00:16:21.143
I don't think the best bagels come from

00:16:21.163 --> 00:16:21.582
New York City.

00:16:21.602 --> 00:16:21.783
All right.

00:16:21.803 --> 00:16:22.283
Where do they come from?

00:16:22.303 --> 00:16:23.605
I think North Jersey, Bergen County.

00:16:23.945 --> 00:16:24.264
Okay.

00:16:24.284 --> 00:16:24.966
Close, but different.

00:16:25.186 --> 00:16:25.385
Yeah.

00:16:25.605 --> 00:16:26.907
Okay.

00:16:27.767 --> 00:16:31.370
And if you have heard of Hyperice,

00:16:31.629 --> 00:16:32.971
a percussion gun, Normatech,

00:16:33.010 --> 00:16:33.650
any of our stuff,

00:16:33.671 --> 00:16:34.792
or even stuff that looks like us,

00:16:35.293 --> 00:16:36.613
and you think it doesn't belong in your

00:16:36.653 --> 00:16:37.354
PT clinic...

00:16:38.990 --> 00:16:39.572
Come find me.

00:16:39.672 --> 00:16:40.393
All right.

00:16:40.572 --> 00:16:41.894
Let me prove you wrong or prove me

00:16:41.934 --> 00:16:42.215
wrong.

00:16:42.735 --> 00:16:43.496
You can prove me wrong.

00:16:43.736 --> 00:16:45.538
I will absolutely buy you a Hyperice tool

00:16:45.578 --> 00:16:46.019
you're choosing.

00:16:46.039 --> 00:16:46.421
There we go.

00:16:46.600 --> 00:16:47.402
Eric Fernandez, Hyperice.

00:16:47.422 --> 00:16:48.724
Thank you for stopping by the live stream

00:16:48.744 --> 00:16:48.943
studio.