Jan. 26, 2026
Graham Sessions Unplugged: Reimbursement, Students & the Future of PT
In this special episode recorded live at Graham Sessions, Jimmy talks with clinic owner Mike Reing and Marymount University DPT Dean Skye Donovan about what’s broken in the profession — and what it’ll take to fix it.
You’ll hear:
- Why clinic owners are frustrated with declining reimbursement
- How to actually hire and retain new grads
- The divide (and opportunity) between academics and business
- What PT education needs to teach that it currently doesn’t
- Why optimism still matters — and how to find it
Whether you’re a student, academic, or clinic owner, this conversation hits on the real tension — and the real possibilities — in PT today.
???? Resources & Links
- Marymount DPT Program: https://marymount.edu
- USPH Careers: https://usphcareers.com
- Brooks IHL: https://brooksihl.org
- Empower EMR: https://www.empoweremr.com
????️ Sponsors:
- Pre-Roll: Empower EMR → “Upgrade your clinic’s brain with EMPOWER EMR. Better notes, smoother workflows, and support that doesn’t ghost you.” → https://www.empoweremr.com
- Mid-Roll: U.S. Physical Therapy → “Leadership tracks, mentorship, and career growth — all in a national network built for PTs.” → https://usph.com
- Pre-Parting Shot: Brooks IHL → “Residencies, fellowships, and CE that shape better clinicians — not just give you letters.” → https://brooksihl.org
Transcript
WEBVTT
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You're listening to the P.T.
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Pinecast,
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where smart people in healthcare come to
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make noise.
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Here's your host, Jimmy McKay.
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Here's your host, Jimmy McKay,
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still pushing buttons as we go live.
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And we're live.
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There we are.
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Sky Donovan, Mike Ring,
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welcome to your live stream from Graham
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Sessions.
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Thanks, Jimmy.
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This is your first Graham Sessions?
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It is, yeah.
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This is your first?
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My first.
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Look at this.
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Very odd to me.
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That's weird.
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Because you're very elbow-rubby in APTA.
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But I don't own a private practice.
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Oh, that's a good point.
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Yeah, but you're a big thinker.
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I like to think I think.
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I think you're right.
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We're going very Dr. Seuss here.
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All right.
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Yeah.
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So that is a good point.
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I just see I know you're in academics,
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but to me,
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you're sort of everywhere in PT.
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But Mike, background,
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back of the baseball card.
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How long you own your practice?
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Sixteen years.
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Yeah.
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Sixteen years.
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Good for you.
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Our second location, actually,
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December four.
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Can you see it from here?
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You can't quite close.
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It's not close enough to see.
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Close enough.
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All right, so why'd you come?
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How was this framed for you as a
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practice owner?
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I was thinking about this.
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A lot of practice owners in there.
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Leaving a practice for a day is hard.
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Your business is going on.
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So how was this framed for you to
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come to something like this?
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What did you expect,
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and then what has been delivered?
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To be honest,
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this was the first time I knew this
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existed.
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I literally had no idea that Graham
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Sessions was a thing.
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I got an email from private practice
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section.
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And so I don't know if it was
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because I was at the past couple of
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PPS meetings or how I got on the
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list, but I did.
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I looked at the content.
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I was like, actually, you know what?
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That's kind of cool.
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And it actually worked out great because I
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don't see patients on Friday anyway.
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Jackpot.
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And then Sky, APJ vice president,
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you get brought to lots of different
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things in the corner of PT.
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Being in PT for a long time, right,
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in the profession.
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Are you calling me old?
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No.
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Walked right into that one.
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Good.
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But no,
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you've been in PT for how long?
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Been around a long time.
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Uh, not as long as you think.
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Orthopedics, academics?
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Yeah, I mean,
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I've been a PT since two thousand three.
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Okay.
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So twenty three years.
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So, uh,
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what were you expecting and what are you
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seeing from, I mean, you're like,
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you're sort of like the down the middle
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person this is designed for and you're
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not,
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which means you're both going to look at
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what is going on here differently.
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So what did you expect was going to
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happen?
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What did I expect was going to happen
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has happened,
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was that I was going to hear totally
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different perspectives than I usually
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hear.
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So I love conferences like this because
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I'm not exposed to this kind of lens
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and thought about their everyday lives.
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And also the meta,
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like how can we change things so they're
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better for the future?
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So that has been really good for me.
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And I got to meet a ton of
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people that I've never met before.
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So I always love that.
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This isn't the area you're normally in.
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Yeah, so I get to listen a lot,
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which is so cool.
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When you looked at the agenda,
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as a practice owner, what made you say,
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ooh, yeah, let's drill down on this.
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That's exciting.
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Yeah, so there were a couple things.
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One was the opportunity to hear a little
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bit more about
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the APTA's decisions specifically with DEI
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stuff, right?
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So that was very interesting to me.
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And then a couple of other pieces were,
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you know,
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talking about where we are with
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reimbursement, honestly,
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where we are with reimbursement,
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how we're going about changing things,
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what our plan is,
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what are some of the options.
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One of the things that I'd like to
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hear a little more, quite honestly.
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That's my next question.
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Keep going, keep going.
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We've talked a lot about the what's wrong.
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and I'd like to hear a little bit
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more about here's some options.
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Here's some solutions.
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So we know it's wrong.
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We know reimbursement's declining.
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We know we're having a harder and harder
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time.
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We're getting squeezed.
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We're one of the very few industries that
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is not tied to inflation.
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I can raise my prices all I want.
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I'm not going to get paid a dime
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more just because inflation went up.
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So how do we combat that?
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So I'd like to hear a little bit
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more of that kind of conversation,
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and maybe we will today or tomorrow.
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In what format?
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Like people who've done stuff and then
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they walk you backwards and reverse
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engineer that for you?
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Correct.
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Exactly.
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Exactly.
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So we know there's a couple options out
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there and we've heard a lot of those
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options that they exist and maybe we
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didn't know they existed.
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But I'd like to hear some more about
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how do you get there?
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How do you get from point A to
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point B?
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Right.
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that's why like a show like bar rescue
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is kind of cool i mean i know
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it's you know it's sort of set up
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right but it's like we go in there
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and there's the glaring problem john
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taffrey yells and screams but they do a
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pressure test everything explodes the
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owner loses their mind but then they go
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all right now here's how we're going to
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fix it and i really like when they
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do an episode that they go hey remember
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that episode from three years ago well
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they're still in business or they've
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tripled their whatever you're like oh yeah
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this stuff works over time
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Which is good.
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What's something that you thought should
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have been on the menu?
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Oh,
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that's not what I thought you were going
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to ask me.
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I thought you were going to ask me
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the question you asked him.
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No, you're on a practice.
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But how would you have answered that one?
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I am really looking forward to tomorrow
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because I have the good fortune of being
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on a panel.
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And I get caught in a vacuum of
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listening of how to solve the problems
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from academics.
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And I really want to hear what a
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business person has to say about how we
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can solve this problem.
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I watch that a lot.
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I get caught in that a lot, right?
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Because I do live streams with business
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owners and we're like, you know,
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academic this, this, this.
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And then I know somebody who's in
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academics and you're like, okay,
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I see what you're saying.
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But actually, that's not how,
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not even just how it works.
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It's like,
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we've tried that or you can't do that
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because of A, B, X, Y, Z.
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So it's good to know that.
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Why don't you just do this?
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And you're like, oh, hey,
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thank you for pointing out that thing
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that's so obvious in my line of work
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that I can't do because of these seventeen
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reasons.
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You're like, oh, I didn't know that.
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Sorry.
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So to answer your question,
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not be a bad guest,
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the question that you did ask me,
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what did I want to see?
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Or what did you look at and say,
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oh,
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I thought that would have been an edgy
00:06:03.958 --> 00:06:04.177
top,
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like something Graham Session worthy that
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wasn't?
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knowing that they can't put everything.
00:06:08.706 --> 00:06:08.846
Right,
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they can't put everything because it's a
00:06:10.307 --> 00:06:11.427
pretty small conference.
00:06:11.487 --> 00:06:13.148
But I don't know.
00:06:13.427 --> 00:06:14.889
I would have liked to see something.
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And we touched on this a little bit,
00:06:16.589 --> 00:06:16.951
but like...
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How to maintain your optimism.
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Okay.
00:06:21.629 --> 00:06:23.911
Or how to continue to think big in
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a world that seems to be more restrictive.
00:06:25.951 --> 00:06:26.232
Squeezing.
00:06:26.471 --> 00:06:26.752
Yeah.
00:06:26.771 --> 00:06:29.233
Going into the diamonds caused under
00:06:29.273 --> 00:06:29.673
pressure.
00:06:29.952 --> 00:06:30.572
Yeah.
00:06:30.713 --> 00:06:31.754
So how do we keep diamonding?
00:06:32.213 --> 00:06:33.375
Yeah.
00:06:33.495 --> 00:06:35.615
I would say Rihanna, but there's no way.
00:06:35.716 --> 00:06:36.196
We can do that.
00:06:36.216 --> 00:06:36.896
We'll do that later.
00:06:37.375 --> 00:06:38.437
And I was just talking with Patrick
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Graham.
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You guys are following Patrick Graham,
00:06:40.077 --> 00:06:40.757
the guy...
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this thing's named after.
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And he and I both concluded,
00:06:45.204 --> 00:06:46.444
I was like, these are great discussions.
00:06:46.625 --> 00:06:48.105
I'm like, Patrick, but where's the real,
00:06:48.567 --> 00:06:49.987
where's the real conversation?
00:06:50.028 --> 00:06:50.588
He's like the bar.
00:06:50.728 --> 00:06:51.249
And I'm like, right.
00:06:51.309 --> 00:06:52.088
We know that the answer,
00:06:52.168 --> 00:06:53.730
which is why this podcast,
00:06:54.031 --> 00:06:55.672
how this podcast originated.
00:06:56.372 --> 00:06:59.095
If you were to be on the planning
00:06:59.115 --> 00:07:00.156
committee for next year,
00:07:00.255 --> 00:07:01.716
what would you be like this?
00:07:02.338 --> 00:07:03.798
Either I'm going to give this talk or
00:07:03.819 --> 00:07:04.459
I need,
00:07:04.718 --> 00:07:06.261
this needs to be here next year.
00:07:07.762 --> 00:07:09.221
What would you do if you had sixteen
00:07:09.262 --> 00:07:09.603
years?
00:07:10.163 --> 00:07:11.103
What do they say?
00:07:11.502 --> 00:07:13.963
Ninety percent of the biggest person,
00:07:14.004 --> 00:07:14.624
three years.
00:07:14.684 --> 00:07:15.704
And if you make it past three years,
00:07:15.745 --> 00:07:16.305
it's like, dude.
00:07:16.524 --> 00:07:17.384
Yeah, exactly.
00:07:17.404 --> 00:07:20.286
So what I would probably say is one
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of the topics and Sky just sort of
00:07:21.625 --> 00:07:22.166
touched on it.
00:07:22.187 --> 00:07:22.567
You know,
00:07:23.127 --> 00:07:24.286
how do you maintain the optimism?
00:07:24.666 --> 00:07:26.987
How do you how can we sort of
00:07:27.007 --> 00:07:28.187
combat all the challenges that we're
00:07:28.208 --> 00:07:29.488
facing as a profession right now?
00:07:30.817 --> 00:07:32.939
without changing the quality of what we
00:07:33.019 --> 00:07:33.880
do, right?
00:07:34.360 --> 00:07:35.341
So I would sort of focus on that
00:07:35.382 --> 00:07:35.541
piece.
00:07:35.562 --> 00:07:36.043
I'd say, all right, well,
00:07:36.242 --> 00:07:36.963
what's successful?
00:07:37.004 --> 00:07:37.423
What works?
00:07:37.483 --> 00:07:38.384
How does it work?
00:07:38.685 --> 00:07:40.447
And how do you make sure that we
00:07:40.487 --> 00:07:41.327
value our people,
00:07:41.487 --> 00:07:42.730
that we value the care we give,
00:07:42.790 --> 00:07:43.850
and put that above all else?
00:07:44.250 --> 00:07:46.973
We stop competing with each other, right?
00:07:47.014 --> 00:07:49.055
We stop competing with other PT practices,
00:07:49.536 --> 00:07:50.577
and we focus on competing
00:07:51.278 --> 00:07:53.420
to get paid what we deserve, right?
00:07:53.680 --> 00:07:55.321
And what's the key to that piece,
00:07:55.401 --> 00:07:57.423
I think?
00:07:57.483 --> 00:07:59.244
You are in academics.
00:07:59.524 --> 00:08:01.865
You take people to work for you who
00:08:01.906 --> 00:08:03.487
have just graduated from academics.
00:08:04.168 --> 00:08:06.310
What's something that you think is
00:08:06.350 --> 00:08:06.829
important?
00:08:07.091 --> 00:08:07.411
Right now,
00:08:07.451 --> 00:08:09.112
the discussion going on right now is about
00:08:09.172 --> 00:08:09.872
generations.
00:08:10.312 --> 00:08:11.754
And we're like, what's important to you?
00:08:11.793 --> 00:08:13.254
And how do I figure that out instead
00:08:13.295 --> 00:08:15.156
of these kids today?
00:08:15.197 --> 00:08:15.937
These kids today...
00:08:16.817 --> 00:08:18.059
It's usually followed by a negative.
00:08:18.158 --> 00:08:19.338
Some of these kids today are so
00:08:19.579 --> 00:08:20.038
innovative.
00:08:20.519 --> 00:08:21.199
It's usually negative.
00:08:22.040 --> 00:08:24.100
But how do you or how have you
00:08:24.141 --> 00:08:25.742
over sixteen years been able to say like,
00:08:25.802 --> 00:08:26.742
all right,
00:08:26.822 --> 00:08:29.283
here here is a generational divide and I
00:08:29.322 --> 00:08:32.163
need to figure out how to incentivize or
00:08:32.224 --> 00:08:33.884
work with this person when they value
00:08:34.345 --> 00:08:36.005
something drastically than I did?
00:08:36.166 --> 00:08:36.385
Yeah.
00:08:36.426 --> 00:08:38.346
So I think I think that answer is
00:08:38.986 --> 00:08:40.427
it's probably pretty simple,
00:08:40.467 --> 00:08:41.128
but maybe not easy.
00:08:41.408 --> 00:08:43.688
uh the great things are yeah right and
00:08:43.769 --> 00:08:46.331
so um it's just doing what we as
00:08:46.410 --> 00:08:48.932
physical therapists do the best right from
00:08:49.072 --> 00:08:50.293
we talked earlier today about the
00:08:50.352 --> 00:08:52.355
diagnostic tools that are now potentially
00:08:52.375 --> 00:08:53.956
available in a bunch of different states
00:08:54.960 --> 00:08:56.000
but I still think the thing we do
00:08:56.020 --> 00:08:56.620
the best is listen.
00:08:57.201 --> 00:09:00.123
And if we listen to the new graduates,
00:09:00.143 --> 00:09:01.263
to the prospective hires,
00:09:01.863 --> 00:09:02.923
and figure out what motivates them,
00:09:02.984 --> 00:09:04.625
figure out what they want to do.
00:09:04.985 --> 00:09:06.446
Do they wanna own a practice someday?
00:09:06.505 --> 00:09:08.086
Do they wanna manage a practice someday?
00:09:08.527 --> 00:09:09.167
What do they wanna see?
00:09:09.187 --> 00:09:10.327
They wanna see a bunch of athletes that
00:09:10.347 --> 00:09:11.548
like geriatric populations?
00:09:12.168 --> 00:09:13.548
Talk to people, listen to them,
00:09:13.649 --> 00:09:14.669
figure out what they want,
00:09:15.659 --> 00:09:16.821
then figure out a way we can provide
00:09:16.860 --> 00:09:18.621
that build that right build that so that
00:09:18.942 --> 00:09:19.962
because listen if you came to work for
00:09:19.982 --> 00:09:21.724
me jimmy and and you said mike i
00:09:21.764 --> 00:09:23.544
really only want to see soccer players and
00:09:23.565 --> 00:09:25.385
basketball players i said okay you know
00:09:25.405 --> 00:09:26.846
what i will do everything i can to
00:09:26.907 --> 00:09:28.868
get you that population you got to work
00:09:28.888 --> 00:09:30.288
with me a little bit as often as
00:09:30.328 --> 00:09:31.889
possible i need to fill up your schedule
00:09:31.950 --> 00:09:33.490
but as much as we can i will
00:09:33.530 --> 00:09:35.052
get you relationships with the people who
00:09:35.072 --> 00:09:36.994
are going to send you that population and
00:09:37.014 --> 00:09:38.654
i'll support you because this is what you
00:09:38.695 --> 00:09:40.235
love right honestly if you do what you
00:09:40.275 --> 00:09:40.475
love
00:09:41.126 --> 00:09:41.506
It's great.
00:09:41.687 --> 00:09:41.908
Right.
00:09:42.187 --> 00:09:42.927
What's the old saying?
00:09:43.388 --> 00:09:44.188
You never work a day in your life.
00:09:44.269 --> 00:09:44.509
Right.
00:09:44.668 --> 00:09:45.309
Right.
00:09:45.389 --> 00:09:45.509
Yeah.
00:09:45.529 --> 00:09:46.129
I believe that's very true.
00:09:46.269 --> 00:09:49.072
I heard a great interview question that
00:09:49.111 --> 00:09:50.812
you can find something like this out,
00:09:50.913 --> 00:09:52.254
tease it out, which is, uh,
00:09:52.413 --> 00:09:54.315
the guy taught me to ask, uh,
00:09:54.335 --> 00:09:55.495
in the initial interview,
00:09:55.515 --> 00:09:57.376
when you're hiring a clinician, um,
00:09:57.437 --> 00:09:58.677
if you were to quit in two years,
00:09:58.758 --> 00:09:59.999
why, why, why would that be?
00:10:00.359 --> 00:10:00.778
And if they're,
00:10:00.860 --> 00:10:02.080
if they say something like, well,
00:10:02.379 --> 00:10:03.941
if you didn't pay me enough or if
00:10:03.961 --> 00:10:04.241
it was like,
00:10:04.261 --> 00:10:05.923
there's no growth or I wasn't seeing that
00:10:06.123 --> 00:10:07.543
there, instead of saying like,
00:10:08.283 --> 00:10:08.985
What do you need?
00:10:09.405 --> 00:10:11.307
It's saying, why would you leave?
00:10:11.327 --> 00:10:12.328
It turns it into a story.
00:10:12.349 --> 00:10:15.192
That's why people don't leave his clinic.
00:10:15.211 --> 00:10:16.494
I mean, really,
00:10:16.514 --> 00:10:18.937
he listens to them and he helps them
00:10:19.618 --> 00:10:21.659
see what's valuable to them and then he
00:10:21.700 --> 00:10:22.461
tries to make it happen.
00:10:22.581 --> 00:10:23.982
I feel like you pointed out that the
00:10:24.003 --> 00:10:25.323
job of a business owner is to create
00:10:25.443 --> 00:10:26.184
a good environment.
00:10:26.905 --> 00:10:28.606
and listen but the job of clinician is
00:10:28.647 --> 00:10:30.948
to create a great environment and listen
00:10:31.048 --> 00:10:33.551
differently right but doing both of those
00:10:33.571 --> 00:10:35.371
things for different audiences can lead to
00:10:35.432 --> 00:10:37.714
success absolutely you see and interact
00:10:37.813 --> 00:10:41.035
with students long before they graduate
00:10:41.056 --> 00:10:44.678
and join the workforce um what can
00:10:44.778 --> 00:10:46.799
academics teach business about these
00:10:46.860 --> 00:10:48.741
things or how to predict what's coming
00:10:48.782 --> 00:10:49.861
like i feel like you should just be
00:10:49.881 --> 00:10:52.344
like writing messages in a bottle to mike
00:10:52.364 --> 00:10:54.004
and be like okay in six years these
00:10:54.044 --> 00:10:55.686
students are gonna be like this and you
00:10:55.706 --> 00:10:56.226
should do this
00:10:57.561 --> 00:10:59.422
I really think we need to be better
00:10:59.481 --> 00:11:00.902
in academics about having it be
00:11:00.961 --> 00:11:03.062
bi-directional because we get a lot of
00:11:03.582 --> 00:11:04.442
these kids today,
00:11:04.503 --> 00:11:06.043
we get it from the clinics and they're
00:11:06.063 --> 00:11:06.244
like,
00:11:06.344 --> 00:11:08.024
you guys aren't doing a good enough job
00:11:08.764 --> 00:11:11.985
in academics to prepare them for what real
00:11:12.044 --> 00:11:15.326
life clinic is like now.
00:11:15.525 --> 00:11:17.927
So I think that we should be working
00:11:17.986 --> 00:11:20.368
together more to sort of develop a
00:11:20.488 --> 00:11:23.729
curriculum and a more, you know,
00:11:23.928 --> 00:11:26.769
in context learning experience so they can
00:11:27.230 --> 00:11:29.691
understand what the current challenges but
00:11:29.731 --> 00:11:30.831
then how do they turn those into
00:11:30.892 --> 00:11:33.192
opportunities i'm always thinking about
00:11:33.254 --> 00:11:35.335
too like we need to give them more
00:11:35.434 --> 00:11:37.035
for what they're paying for and what
00:11:37.056 --> 00:11:39.256
they're doing like students you mean yeah
00:11:39.397 --> 00:11:42.359
i mean like i just think about can
00:11:42.418 --> 00:11:45.841
we give them a skill set where it's
00:11:45.880 --> 00:11:47.642
like how do we get them to be
00:11:47.682 --> 00:11:49.123
more entrepreneurial and how do we do
00:11:49.182 --> 00:11:51.043
design thinking because
00:11:51.744 --> 00:11:53.105
we can't just prepare them for the way
00:11:53.125 --> 00:11:55.346
that how I practice physical therapy,
00:11:55.466 --> 00:11:56.187
you know, it's like,
00:11:56.287 --> 00:11:57.746
we have to prepare them to be like,
00:11:57.807 --> 00:11:58.607
what's the next thing.
00:11:58.648 --> 00:11:59.749
And if we want the profession to move
00:11:59.788 --> 00:12:00.109
forward,
00:12:00.589 --> 00:12:03.530
we should also spend some time developing
00:12:04.091 --> 00:12:05.371
almost like what you'd see in a business
00:12:05.392 --> 00:12:07.692
curriculum, not how to open a business,
00:12:07.732 --> 00:12:09.854
but how do you have that mindset to
00:12:09.894 --> 00:12:12.816
think bigger than what we are now?
00:12:12.916 --> 00:12:14.177
Cause I'm always also thinking about the
00:12:14.216 --> 00:12:15.277
profession and it's like,
00:12:15.496 --> 00:12:17.418
we keep having the same discussion over
00:12:17.438 --> 00:12:18.019
and over again.
00:12:18.058 --> 00:12:19.419
Like, why don't people know what we do?
00:12:19.620 --> 00:12:19.779
Like,
00:12:20.279 --> 00:12:21.301
Why don't people see the value?
00:12:21.341 --> 00:12:23.381
We know that we give great care and
00:12:23.422 --> 00:12:26.283
it's more economical and we do prevention,
00:12:26.322 --> 00:12:27.643
but it's like, no, still,
00:12:27.663 --> 00:12:30.044
we're not moving the needle as far as
00:12:30.085 --> 00:12:30.465
we can.
00:12:31.044 --> 00:12:32.186
So I'm sort of like, well,
00:12:32.225 --> 00:12:34.986
do we create armies of people who,
00:12:35.586 --> 00:12:35.986
you know what I mean?
00:12:36.006 --> 00:12:36.147
Like,
00:12:37.028 --> 00:12:38.107
I am not the first person to say
00:12:38.128 --> 00:12:39.509
this, but why do we teach goniometry?
00:12:40.028 --> 00:12:41.288
goniometry over sixteen weeks.
00:12:41.629 --> 00:12:42.990
I don't know.
00:12:43.049 --> 00:12:45.951
It's the same device.
00:12:45.990 --> 00:12:47.490
Just pick a different joint.
00:12:47.530 --> 00:12:48.150
Maybe we just do,
00:12:48.191 --> 00:12:49.311
here's one ball and socket,
00:12:49.350 --> 00:12:50.351
here's one hinge joint.
00:12:51.751 --> 00:12:53.152
Do it on the upper and lower extremity.
00:12:53.192 --> 00:12:55.572
We'll teach you the spine.
00:12:58.333 --> 00:12:58.653
I get it.
00:12:58.734 --> 00:13:00.313
There's academic bloat.
00:13:00.433 --> 00:13:01.475
What do you take out?
00:13:01.534 --> 00:13:02.134
What do you put in?
00:13:02.154 --> 00:13:03.455
But I think we have to rethink it.
00:13:03.554 --> 00:13:05.355
Love it.
00:13:05.875 --> 00:13:06.076
Yeah.
00:13:07.275 --> 00:13:07.897
Same question,
00:13:07.917 --> 00:13:09.839
but different point in life.
00:13:10.399 --> 00:13:11.861
How do you know when someone walks in
00:13:12.201 --> 00:13:13.583
who's just graduated,
00:13:13.624 --> 00:13:14.804
who's going to be a great clinician?
00:13:15.245 --> 00:13:17.008
And how can you tell when someone walks
00:13:17.028 --> 00:13:19.630
in, they're going to be a great student?
00:13:19.650 --> 00:13:21.211
So what are you looking for?
00:13:21.231 --> 00:13:22.293
What are the things that you're like,
00:13:22.313 --> 00:13:22.394
yeah.
00:13:23.772 --> 00:13:27.313
great clinicians, probably, mostly for me,
00:13:27.354 --> 00:13:28.475
when I sit down with somebody for an
00:13:28.495 --> 00:13:28.794
interview,
00:13:28.815 --> 00:13:31.297
the kind of things I want to hear
00:13:31.317 --> 00:13:34.639
from them are not about all the different
00:13:34.658 --> 00:13:36.860
things they've seen in other clinics or as
00:13:36.899 --> 00:13:37.900
a student or anything like that.
00:13:38.360 --> 00:13:38.480
It's
00:13:39.481 --> 00:13:40.221
It's probably hard to quantify.
00:13:40.261 --> 00:13:41.623
It's, it's a motivation.
00:13:41.743 --> 00:13:44.183
It's a, it's a desire to see.
00:13:45.104 --> 00:13:45.823
And it's a passion.
00:13:46.203 --> 00:13:47.684
If they've got a passion about something,
00:13:47.725 --> 00:13:47.965
if they,
00:13:48.345 --> 00:13:50.125
if they can explain to me something they
00:13:50.186 --> 00:13:50.346
love,
00:13:50.365 --> 00:13:51.245
and it's one of the questions I always
00:13:51.326 --> 00:13:52.307
ask is, tell me what you love.
00:13:52.326 --> 00:13:53.346
What do you love about physical therapy?
00:13:53.366 --> 00:13:55.087
Like, why do you love physical therapy?
00:13:55.967 --> 00:13:56.427
And quite honestly,
00:13:56.447 --> 00:13:58.229
I've had some interviews where they, well,
00:13:58.249 --> 00:13:59.428
I'm not sure I do.
00:13:59.808 --> 00:14:00.590
You're like, got it.
00:14:00.669 --> 00:14:02.129
And you're just drawing a right line.
00:14:02.610 --> 00:14:04.331
Well, so maybe, but,
00:14:04.451 --> 00:14:05.711
but the first question I asked after that
00:14:05.751 --> 00:14:06.491
is, why?
00:14:07.371 --> 00:14:07.991
I love what I do.
00:14:08.032 --> 00:14:09.312
I love what I do every day since
00:14:09.332 --> 00:14:09.812
I've been doing it.
00:14:09.832 --> 00:14:10.873
I've been doing it for twenty five years.
00:14:10.913 --> 00:14:12.634
So like I don't know how you couldn't
00:14:12.673 --> 00:14:13.134
love this.
00:14:13.474 --> 00:14:14.475
Tell me about where you work now.
00:14:14.534 --> 00:14:16.195
Tell me about your last experience.
00:14:16.716 --> 00:14:17.635
What was not to love?
00:14:17.796 --> 00:14:19.856
What would you not like about that?
00:14:20.017 --> 00:14:20.256
Right.
00:14:20.537 --> 00:14:22.018
Because then I'll get a sense of because
00:14:22.158 --> 00:14:24.759
if they describe my office and they don't
00:14:24.798 --> 00:14:25.899
love that and they don't love that,
00:14:26.058 --> 00:14:26.798
they're not going to love me.
00:14:26.918 --> 00:14:27.078
Right.
00:14:27.099 --> 00:14:28.139
And they're not going to come work for
00:14:28.179 --> 00:14:28.259
me.
00:14:28.779 --> 00:14:30.380
But if they describe an office where
00:14:30.721 --> 00:14:32.601
they're asked to see thirty patients a day
00:14:32.662 --> 00:14:34.062
and they're not given the time and not
00:14:34.082 --> 00:14:35.322
given the support and they're not given
00:14:35.383 --> 00:14:37.244
Con Ed and they're not given any sort
00:14:37.283 --> 00:14:38.664
of professional development or
00:14:38.705 --> 00:14:40.666
encouragement to pursue their passion.
00:14:40.686 --> 00:14:42.746
I was like, well, I can fix that.
00:14:42.846 --> 00:14:43.528
I can take care of that.
00:14:43.548 --> 00:14:44.768
So you're at you're teasing out as an
00:14:44.827 --> 00:14:46.009
environmental or internal.
00:14:46.048 --> 00:14:46.149
Yep.
00:14:46.269 --> 00:14:47.889
And if it's internal, I can't fix that.
00:14:47.909 --> 00:14:48.250
I can't fix that.
00:14:48.269 --> 00:14:48.710
There's nothing.
00:14:48.769 --> 00:14:50.270
But if you were in a crappy situation,
00:14:50.350 --> 00:14:51.571
let's get you in a better situation.
00:14:51.630 --> 00:14:52.291
Yeah, exactly.
00:14:52.311 --> 00:14:52.711
Yeah.
00:14:52.770 --> 00:14:53.251
Okay.
00:14:53.312 --> 00:14:54.292
Great answer.
00:14:54.312 --> 00:14:55.392
So how do you want to answer this?
00:14:55.451 --> 00:14:56.832
Do you want to answer what makes,
00:14:57.552 --> 00:14:58.714
what do you see that you know that
00:14:58.754 --> 00:14:59.594
this person is going to be a good
00:14:59.634 --> 00:14:59.994
student?
00:15:00.274 --> 00:15:01.855
Or what do you see while they're
00:15:02.754 --> 00:15:03.916
a student that you're like, Oh,
00:15:03.936 --> 00:15:04.736
this person's going to have,
00:15:04.797 --> 00:15:06.038
this person's going to do great things.
00:15:06.217 --> 00:15:07.379
I think the answer is the same.
00:15:07.619 --> 00:15:09.640
Okay, good.
00:15:09.841 --> 00:15:11.621
And I think it is people who are
00:15:11.662 --> 00:15:12.222
successful,
00:15:12.283 --> 00:15:17.567
who have enough self-awareness to be open
00:15:17.647 --> 00:15:18.707
to change.
00:15:19.428 --> 00:15:23.091
I think PT school is very challenging and
00:15:23.111 --> 00:15:24.533
the people who are sort of like
00:15:25.100 --> 00:15:26.480
this is not going to be forever.
00:15:26.980 --> 00:15:28.241
I may need help in this.
00:15:28.361 --> 00:15:30.043
I'm excelling at this and I'm going to
00:15:30.102 --> 00:15:32.725
go like show my skills to somebody else.
00:15:32.745 --> 00:15:33.865
And I'm going to feel proud of myself
00:15:33.884 --> 00:15:35.626
for that two weeks that I actually had
00:15:35.667 --> 00:15:38.908
my stuff together out of a hundred and
00:15:38.928 --> 00:15:39.629
twelve weeks.
00:15:40.450 --> 00:15:41.009
I had two.
00:15:41.750 --> 00:15:43.631
But I think it's the person who is
00:15:43.772 --> 00:15:45.972
adaptable and they are willing to like
00:15:46.072 --> 00:15:47.634
know who they are,
00:15:47.693 --> 00:15:48.475
what their shortcomings are,
00:15:48.495 --> 00:15:49.414
what their strengths are,
00:15:49.514 --> 00:15:50.755
and be able to kind of like
00:15:52.369 --> 00:15:54.091
be okay with all of that because that
00:15:54.130 --> 00:15:56.874
kind of a person is going to be
00:15:56.994 --> 00:15:58.595
like our patients come in like that too.
00:15:58.615 --> 00:15:58.836
Right.
00:15:59.275 --> 00:16:00.697
So that kind of a person is like
00:16:00.716 --> 00:16:01.378
someone who's like,
00:16:01.398 --> 00:16:02.578
the job's going to be different every day.
00:16:02.599 --> 00:16:03.600
I'm going to be working with different
00:16:03.620 --> 00:16:04.421
people every day.
00:16:04.841 --> 00:16:05.982
I'm willing to learn about them.
00:16:07.397 --> 00:16:09.839
I'm open to growing as an individual
00:16:09.879 --> 00:16:14.322
myself and not being kind of like stuck
00:16:14.402 --> 00:16:16.082
in the like,
00:16:16.263 --> 00:16:18.625
every day is going to be horrible and
00:16:18.924 --> 00:16:20.144
I'm not doing great.
00:16:20.206 --> 00:16:20.645
And it's like,
00:16:20.686 --> 00:16:22.647
can we just sort of rise above and
00:16:22.687 --> 00:16:26.629
like the students that really see this as
00:16:26.710 --> 00:16:30.831
a opportunity to live in the moment and
00:16:30.932 --> 00:16:31.852
do all the things in the moment,
00:16:31.893 --> 00:16:33.394
but this is just for now.
00:16:33.714 --> 00:16:35.554
And they have the capacity to be something
00:16:35.595 --> 00:16:36.296
different at the end.
00:16:36.515 --> 00:16:37.557
Do you remember when I had a clinical
00:16:37.596 --> 00:16:38.697
in an underground mall?
00:16:39.356 --> 00:16:39.898
I remember that.
00:16:39.998 --> 00:16:40.957
What was the name of that mall?
00:16:41.197 --> 00:16:43.239
It was like an underground bomb shelter.
00:16:43.259 --> 00:16:45.139
It doesn't even exist anymore.
00:16:45.159 --> 00:16:45.801
It was in Crystal City.
00:16:45.821 --> 00:16:46.520
It was across from Panagon.
00:16:46.620 --> 00:16:47.461
It was in Crystal City.
00:16:48.101 --> 00:16:48.621
It's right here.
00:16:49.243 --> 00:16:50.582
So I was in the food court of
00:16:50.602 --> 00:16:51.464
an underground mall.
00:16:52.163 --> 00:16:53.205
It was a national chain.
00:16:53.264 --> 00:16:54.164
I'm not going to throw them under the
00:16:54.205 --> 00:16:54.524
bus.
00:16:55.745 --> 00:16:57.826
And I literally remember messaging you and
00:16:57.866 --> 00:17:01.288
being like, is this it?
00:17:01.349 --> 00:17:02.509
And you were like, no.
00:17:02.629 --> 00:17:03.309
And I was like, well,
00:17:03.370 --> 00:17:05.090
this feels like this...
00:17:06.128 --> 00:17:07.830
I like to think I'm pretty resilient,
00:17:07.851 --> 00:17:09.132
like at least like a B plus.
00:17:09.172 --> 00:17:11.114
But I was like, what are we doing?
00:17:11.134 --> 00:17:13.896
And my CI was rubbing butts through jeans.
00:17:14.156 --> 00:17:15.378
He was like, dude,
00:17:15.459 --> 00:17:16.299
I remember just being like,
00:17:17.039 --> 00:17:18.241
I don't know what I'm doing here.
00:17:18.721 --> 00:17:18.882
Yeah.
00:17:19.041 --> 00:17:20.963
Underground mall where I was looking at a
00:17:21.404 --> 00:17:23.046
subway restaurant because I was in the
00:17:23.086 --> 00:17:23.646
food court.
00:17:23.666 --> 00:17:23.747
Yeah.
00:17:24.887 --> 00:17:26.369
And that was fun.
00:17:26.769 --> 00:17:28.451
But I think I said something to the
00:17:28.471 --> 00:17:29.752
effect because I say it all the time.
00:17:30.374 --> 00:17:30.513
Well,
00:17:30.574 --> 00:17:31.996
I think I said something like you can
00:17:32.056 --> 00:17:33.497
learn as much about what you don't want.
00:17:33.636 --> 00:17:33.978
Right.
00:17:34.878 --> 00:17:36.200
And that's a valuable experience.
00:17:36.279 --> 00:17:36.480
It is.
00:17:36.621 --> 00:17:37.461
Yeah, that's right.
00:17:37.480 --> 00:17:38.722
Look at it more like sculpture.
00:17:38.742 --> 00:17:39.983
Like, what are we chipping away?
00:17:40.023 --> 00:17:41.546
We're not going to have that.
00:17:41.826 --> 00:17:42.547
Got it.
00:17:42.807 --> 00:17:43.646
You need windows.
00:17:43.747 --> 00:17:44.228
All right.
00:17:44.248 --> 00:17:44.867
Check.
00:17:44.887 --> 00:17:46.248
Because literally it was like winter.
00:17:46.268 --> 00:17:46.989
It was like now.
00:17:47.068 --> 00:17:49.068
So I would go to work at like
00:17:49.269 --> 00:17:50.670
in dark, zero dark thirty.
00:17:50.710 --> 00:17:52.070
I would leave at zero dark thirty.
00:17:52.090 --> 00:17:52.830
Never saw the sun.
00:17:52.851 --> 00:17:53.550
Never saw the sun.
00:17:53.590 --> 00:17:55.211
And I was just like, this is great.
00:17:55.271 --> 00:17:56.531
This is this.
00:17:56.551 --> 00:17:58.292
I used to play rock music loud and
00:17:58.313 --> 00:17:59.673
give away beer and concert tickets.
00:17:59.712 --> 00:18:01.673
But now we're rubbing butts through jeans.
00:18:01.713 --> 00:18:02.595
And this is my job.
00:18:02.615 --> 00:18:03.394
I'm like, cool.
00:18:03.474 --> 00:18:04.075
In the dungeon.
00:18:04.615 --> 00:18:05.115
And I'm like, well,
00:18:05.135 --> 00:18:06.496
at least there's this on the bright side.
00:18:06.516 --> 00:18:07.695
There's a subway right there.
00:18:08.217 --> 00:18:10.196
Got as many subway punch things.
00:18:10.217 --> 00:18:11.238
And I got a free footlong.
00:18:11.978 --> 00:18:16.201
um uh is there anything i didn't ask
00:18:16.221 --> 00:18:17.862
you didn't ask me what session i want
00:18:17.882 --> 00:18:20.104
to see oh yeah sorry i forgot what
00:18:20.124 --> 00:18:22.365
would you put on the docket how to
00:18:22.384 --> 00:18:23.346
have a nerd lunch
00:18:23.935 --> 00:18:25.096
What's a nerd lunch?
00:18:25.156 --> 00:18:26.479
Oh, I have them all the time.
00:18:26.618 --> 00:18:27.720
What is a nerd lunch?
00:18:27.759 --> 00:18:29.961
So you know what a nerd lunch is.
00:18:29.981 --> 00:18:30.303
Do I?
00:18:30.403 --> 00:18:31.544
Yeah, because you've been to one.
00:18:31.564 --> 00:18:32.484
I have.
00:18:32.525 --> 00:18:33.665
You're going to be invited to the next
00:18:33.767 --> 00:18:33.866
one.
00:18:33.886 --> 00:18:34.847
I eat lunch with myself.
00:18:34.968 --> 00:18:35.508
Yeah, no.
00:18:35.567 --> 00:18:38.330
So where you have a lunch and or
00:18:38.371 --> 00:18:39.152
it doesn't have to be lunch.
00:18:39.311 --> 00:18:40.673
You have a moment and it's on a
00:18:40.713 --> 00:18:43.596
repetitive schedule and you have a group
00:18:43.656 --> 00:18:45.298
of people that do things that are
00:18:45.338 --> 00:18:46.259
completely opposite to you.
00:18:46.567 --> 00:18:47.767
So it's like your accountability group.
00:18:47.846 --> 00:18:49.067
It's like, how do you form that?
00:18:49.407 --> 00:18:50.929
Like if our group chat was just like,
00:18:51.048 --> 00:18:52.288
we're going to meet Fridays at one,
00:18:52.368 --> 00:18:52.949
twelve to one.
00:18:53.068 --> 00:18:53.269
Right.
00:18:53.469 --> 00:18:54.930
We all do in our group chat is
00:18:54.970 --> 00:18:56.369
like a bunch of PTs.
00:18:56.410 --> 00:18:57.851
But I don't think do any of us
00:18:57.871 --> 00:18:59.692
do the same thing now?
00:19:00.011 --> 00:19:02.393
Yeah.
00:19:02.492 --> 00:19:03.313
And why is that good?
00:19:04.388 --> 00:19:06.411
because I've said this before, it's like,
00:19:06.810 --> 00:19:08.672
we gotta get out of the silo.
00:19:09.073 --> 00:19:10.993
So I think having people that are
00:19:11.013 --> 00:19:12.775
comfortable enough to challenge you,
00:19:12.815 --> 00:19:14.316
and I think it's even better when they're
00:19:14.375 --> 00:19:15.277
outside of the profession,
00:19:15.857 --> 00:19:17.038
because they just look at things so
00:19:17.078 --> 00:19:17.499
differently.
00:19:18.345 --> 00:19:19.144
Yeah.
00:19:19.484 --> 00:19:21.205
So I'm just going to come back.
00:19:21.405 --> 00:19:22.826
I'm doing a cohort.
00:19:23.086 --> 00:19:23.746
I'm a teacher now.
00:19:23.766 --> 00:19:24.826
I'm teaching people how to podcast.
00:19:25.047 --> 00:19:26.727
So I've been asked before.
00:19:26.747 --> 00:19:27.467
I was like, I'll do it,
00:19:27.487 --> 00:19:28.288
but only if a couple of you are
00:19:28.307 --> 00:19:29.008
going to do it at once because it
00:19:29.028 --> 00:19:29.647
doesn't make any sense.
00:19:30.127 --> 00:19:31.228
So I've got three or four people going
00:19:31.248 --> 00:19:32.249
through this at the same time.
00:19:32.749 --> 00:19:34.469
And week one or two, I was like,
00:19:34.909 --> 00:19:35.549
this is your homework.
00:19:35.970 --> 00:19:37.130
Who are you talking to?
00:19:37.210 --> 00:19:38.029
Make up a fake person.
00:19:38.109 --> 00:19:39.030
As dumb as it sounds,
00:19:39.151 --> 00:19:40.090
exercise actually helps.
00:19:40.891 --> 00:19:42.232
And they're going through it and they're
00:19:42.272 --> 00:19:43.073
doing their thing.
00:19:43.193 --> 00:19:44.454
And then week two is like,
00:19:44.654 --> 00:19:45.955
now I want you to like,
00:19:46.037 --> 00:19:49.299
now it's what's one episode for this?
00:19:49.820 --> 00:19:50.701
What's one problem?
00:19:50.740 --> 00:19:53.104
And the funny part is the person who
00:19:53.483 --> 00:19:55.486
their podcast is launching is like really
00:19:55.526 --> 00:19:57.147
hard to articulate what they're trying to
00:19:57.188 --> 00:19:57.367
do.
00:19:57.669 --> 00:19:59.009
The other two people are like, oh, no,
00:19:59.049 --> 00:20:00.372
no, no, this is it.
00:20:00.491 --> 00:20:02.354
And they're able to rattle it off so
00:20:02.394 --> 00:20:02.933
damn easy.
00:20:03.815 --> 00:20:05.115
And then like, how are you doing that?
00:20:05.154 --> 00:20:05.695
I'm like, watch,
00:20:05.816 --> 00:20:06.675
you're going to be able to do it
00:20:06.715 --> 00:20:07.236
for him.
00:20:07.496 --> 00:20:08.195
He's going to be able to do it.
00:20:08.215 --> 00:20:08.935
You're going to be able to do it
00:20:08.955 --> 00:20:09.676
for the other people.
00:20:10.116 --> 00:20:11.057
You have the curse of knowledge.
00:20:11.656 --> 00:20:13.998
Like you've exhausted all the probable
00:20:14.337 --> 00:20:16.398
solutions because you know this space.
00:20:16.979 --> 00:20:18.239
And then you get another person that comes
00:20:18.278 --> 00:20:18.818
in and they're like,
00:20:19.138 --> 00:20:20.359
I've been tried this thing that you've
00:20:20.400 --> 00:20:20.839
never heard of.
00:20:20.859 --> 00:20:22.119
And you're like, no, what is that?
00:20:22.519 --> 00:20:24.601
Three M the company three M did this.
00:20:26.201 --> 00:20:28.321
they couldn't figure out how to do some
00:20:28.402 --> 00:20:29.102
engineering thing.
00:20:29.201 --> 00:20:29.701
And they were like,
00:20:29.981 --> 00:20:32.843
some entrepreneurial Scotsman came up with
00:20:32.863 --> 00:20:33.363
this idea.
00:20:33.462 --> 00:20:35.403
Essentially he created open source problem
00:20:35.442 --> 00:20:36.022
solutions.
00:20:36.202 --> 00:20:37.104
So they were like, all right,
00:20:37.124 --> 00:20:38.804
we're gonna put this on a website and
00:20:38.824 --> 00:20:39.824
we'll put a bounty on it.
00:20:40.223 --> 00:20:40.864
So some like,
00:20:41.184 --> 00:20:42.525
the famous story that I heard on a
00:20:42.565 --> 00:20:45.404
podcast was some shepherd was like, well,
00:20:45.424 --> 00:20:46.306
have you tried this?
00:20:46.586 --> 00:20:48.066
And these engineers were like,
00:20:48.506 --> 00:20:49.326
what the hell is that?
00:20:49.346 --> 00:20:50.707
And like, oh, well, we've, this, this,
00:20:50.727 --> 00:20:51.646
this, and it solved it.
00:20:52.346 --> 00:20:53.667
you needed a shepherd to solve an
00:20:53.708 --> 00:20:55.589
engineering problem why because engineers
00:20:55.630 --> 00:20:57.491
are taught engineering things they don't
00:20:57.571 --> 00:20:59.314
know how to get the flock out of
00:20:59.334 --> 00:21:03.218
here um all right uh is there anything
00:21:03.258 --> 00:21:06.099
i didn't ask about uh graham sessions or
00:21:06.119 --> 00:21:09.103
you know uh yeah all right we'll wrap
00:21:09.163 --> 00:21:10.805
up uh last thing we do on the
00:21:10.825 --> 00:21:13.367
uh episodes we call it the parting shot
00:21:15.442 --> 00:21:16.582
This is the parting shot.
00:21:17.123 --> 00:21:19.143
One last mic drop moment.
00:21:19.202 --> 00:21:20.002
No pressure.
00:21:20.442 --> 00:21:22.604
Just your legacy on the line.
00:21:23.743 --> 00:21:24.384
I will point out,
00:21:24.443 --> 00:21:25.785
I've been doing the parting shot for a
00:21:25.845 --> 00:21:26.365
decade.
00:21:26.464 --> 00:21:28.785
And just twenty eight minutes ago in
00:21:28.865 --> 00:21:31.185
Graham Sessions, someone on stage,
00:21:31.266 --> 00:21:32.105
I won't say who,
00:21:32.605 --> 00:21:33.906
but a pretty prominent person was like,
00:21:33.926 --> 00:21:35.207
do we have any other parting shots?
00:21:35.247 --> 00:21:37.027
And I was like, that's my turn.
00:21:37.207 --> 00:21:39.228
That's when you know you've been saying
00:21:39.248 --> 00:21:39.688
something over here.
00:21:39.748 --> 00:21:39.928
All right.
00:21:39.968 --> 00:21:40.488
Parting shot.
00:21:40.528 --> 00:21:41.928
Just last chance for whatever.
00:21:41.988 --> 00:21:42.709
Mic drop moment.
00:21:42.729 --> 00:21:43.388
Soapbox statement.
00:21:43.409 --> 00:21:43.689
Something.
00:21:43.729 --> 00:21:44.148
What do you got?
00:21:46.911 --> 00:21:48.352
I think the main take home for me
00:21:48.392 --> 00:21:50.073
from this whole Graham session has been,
00:21:51.453 --> 00:21:53.494
if you find people who love what they
00:21:53.535 --> 00:21:53.855
do,
00:21:54.415 --> 00:21:55.997
you'll be successful running a private
00:21:56.017 --> 00:21:56.416
practice.
00:21:56.798 --> 00:21:57.637
But you got to find people who love
00:21:57.657 --> 00:21:58.479
what they do and support them.
00:21:58.838 --> 00:22:00.220
You know, one of the other,
00:22:00.279 --> 00:22:01.181
I feel like I've been saying a whole
00:22:01.221 --> 00:22:02.981
bunch of sayings today, but I apologize.
00:22:03.582 --> 00:22:06.224
um is hire people smarter than you yeah
00:22:06.845 --> 00:22:08.267
right and let them do what they're good
00:22:08.287 --> 00:22:10.888
at yeah that second part's not easy like
00:22:10.969 --> 00:22:13.270
that's why steve jobs that's why that's so
00:22:13.491 --> 00:22:16.273
there's a cliche right but have you been
00:22:16.294 --> 00:22:18.316
in that situation have you been the person
00:22:18.375 --> 00:22:20.898
hired and then told what and how to
00:22:20.939 --> 00:22:22.840
do oh yeah sure and that's terribly
00:22:22.861 --> 00:22:24.942
frustrating and then the boss is like why
00:22:24.982 --> 00:22:26.503
isn't this working well yeah i think i
00:22:26.523 --> 00:22:28.246
said the other day which was uh
00:22:29.387 --> 00:22:29.969
In the context,
00:22:29.989 --> 00:22:32.068
it was the CEO kept messing with
00:22:32.128 --> 00:22:32.549
marketing.
00:22:32.910 --> 00:22:34.390
And I think my response was something
00:22:34.431 --> 00:22:34.871
like, well,
00:22:34.971 --> 00:22:36.991
if you keep putting your fingers in the
00:22:37.051 --> 00:22:38.192
soup, don't be pissed.
00:22:38.231 --> 00:22:39.113
It tastes like fingers.
00:22:40.212 --> 00:22:41.594
Stop touching the marketing and then it
00:22:41.634 --> 00:22:42.594
won't taste like fingers.
00:22:42.653 --> 00:22:45.174
But it's simple, but not easy.
00:22:45.194 --> 00:22:45.776
Parting shot.
00:22:45.796 --> 00:22:46.496
Clears before beers.
00:22:47.381 --> 00:22:49.863
I think that was my first party.
00:22:49.883 --> 00:22:51.383
That was her party shot like ten years
00:22:51.403 --> 00:22:51.463
ago.
00:22:51.483 --> 00:22:52.824
Yeah, I'm saying that to my kids.
00:22:52.844 --> 00:22:54.505
I'm like, just please, clues before beers.
00:22:56.646 --> 00:22:58.367
So I heard this yesterday.
00:22:58.428 --> 00:22:59.848
So it wasn't at Graham Sessions,
00:22:59.888 --> 00:23:00.689
but I heard it yesterday.
00:23:00.709 --> 00:23:01.930
So we were sort of like in the
00:23:02.009 --> 00:23:03.810
lead up to Graham Sessions and it was
00:23:04.030 --> 00:23:07.133
find the extraordinary in the ordinary.
00:23:07.413 --> 00:23:08.213
Oh, what does that mean?
00:23:08.354 --> 00:23:09.335
What do you think that what is that?
00:23:09.375 --> 00:23:09.615
What do you?
00:23:10.019 --> 00:23:11.099
I think you can mean whatever you want
00:23:11.119 --> 00:23:11.500
it to mean.
00:23:12.820 --> 00:23:15.561
I think it's like about reinvesting in
00:23:15.622 --> 00:23:17.442
wonderment because I think right now we
00:23:17.461 --> 00:23:18.803
don't have a lot of wonder in our
00:23:18.843 --> 00:23:19.282
lives.
00:23:19.423 --> 00:23:19.722
Good.
00:23:20.042 --> 00:23:21.823
So I've been trying to spend some time.
00:23:21.942 --> 00:23:25.044
I wonder what we should do.
00:23:25.183 --> 00:23:26.424
Did you find this at dinner last night?
00:23:27.505 --> 00:23:29.145
With the dinner that you were at.
00:23:29.266 --> 00:23:30.026
At dinner last night,
00:23:30.125 --> 00:23:32.247
I pointed out to people, you know,
00:23:32.468 --> 00:23:33.847
I was a typical twenty five year old
00:23:33.907 --> 00:23:34.648
rock radio DJ.
00:23:34.669 --> 00:23:36.409
We would make fun of things and people.
00:23:36.469 --> 00:23:37.190
That was our job,
00:23:37.269 --> 00:23:38.190
like to sort of be a dick.
00:23:38.830 --> 00:23:39.871
And now I'm like,
00:23:40.111 --> 00:23:41.491
like if I find out someone likes,
00:23:41.811 --> 00:23:42.092
I don't know,
00:23:42.152 --> 00:23:43.452
Pokemon or Disney or whatever.
00:23:43.553 --> 00:23:45.054
I used to be like, this is lame.
00:23:45.453 --> 00:23:46.875
Now I'm like just excited that they're
00:23:46.914 --> 00:23:49.316
excited, like finding extraordinary.
00:23:49.355 --> 00:23:49.596
I'm like,
00:23:49.996 --> 00:23:51.777
I don't care about Disney or whatever,
00:23:51.856 --> 00:23:52.737
but I'm like, that's cool.
00:23:52.757 --> 00:23:53.557
Why do you like that?
00:23:54.278 --> 00:23:55.419
i'm never gonna like that thing that's
00:23:55.459 --> 00:23:57.220
okay but it's like i'm actually excited
00:23:57.240 --> 00:23:59.142
you you're super into hula hooping tell me
00:23:59.182 --> 00:24:01.943
more about the hula hoop uh uh you
00:24:01.983 --> 00:24:03.505
know community and how i can be a
00:24:03.565 --> 00:24:05.686
part of it um so this is fun
00:24:06.126 --> 00:24:08.189
uh i appreciate you guys doing this now
00:24:08.568 --> 00:24:09.950
uh we should dip out of graham sessions
00:24:09.990 --> 00:24:11.730
early and go to dinner sounds like a
00:24:11.770 --> 00:24:11.912
plan
00:24:13.615 --> 00:24:14.674
That's it for this one,
00:24:14.954 --> 00:24:16.635
but we're just getting warmed up.
00:24:17.096 --> 00:24:19.017
Smash follow, send it to a friend,
00:24:19.237 --> 00:24:20.876
or crank up the next episode.
00:24:21.396 --> 00:24:22.438
Want to go deeper?
00:24:22.778 --> 00:24:26.798
Hit us at pgpinecast.com or find us on
00:24:26.858 --> 00:24:29.420
YouTube and socials at pgpinecast.
00:24:29.819 --> 00:24:32.101
And legally, none of this was advice.
00:24:32.161 --> 00:24:34.082
It's for entertainment purposes only.
00:24:34.561 --> 00:24:35.541
Bulls**t!
00:24:35.582 --> 00:24:36.162
See, Keith?
00:24:36.382 --> 00:24:37.442
We read the script.
00:24:37.742 --> 00:24:38.383
Happy now?
00:00:00.029 --> 00:00:02.571
You're listening to the P.T.
00:00:02.591 --> 00:00:02.750
Pinecast,
00:00:02.770 --> 00:00:04.472
where smart people in healthcare come to
00:00:04.492 --> 00:00:10.095
make noise.
00:00:10.115 --> 00:00:10.794
Here's your host, Jimmy McKay.
00:00:10.814 --> 00:00:11.416
Here's your host, Jimmy McKay,
00:00:11.435 --> 00:00:13.196
still pushing buttons as we go live.
00:00:13.356 --> 00:00:13.977
And we're live.
00:00:14.057 --> 00:00:14.518
There we are.
00:00:16.239 --> 00:00:17.199
Sky Donovan, Mike Ring,
00:00:17.278 --> 00:00:19.339
welcome to your live stream from Graham
00:00:19.359 --> 00:00:19.740
Sessions.
00:00:19.760 --> 00:00:20.861
Thanks, Jimmy.
00:00:20.881 --> 00:00:22.042
This is your first Graham Sessions?
00:00:22.062 --> 00:00:22.681
It is, yeah.
00:00:22.722 --> 00:00:23.402
This is your first?
00:00:23.422 --> 00:00:24.283
My first.
00:00:24.323 --> 00:00:24.803
Look at this.
00:00:25.283 --> 00:00:26.164
Very odd to me.
00:00:26.184 --> 00:00:26.464
That's weird.
00:00:27.431 --> 00:00:30.239
Because you're very elbow-rubby in APTA.
00:00:30.579 --> 00:00:32.323
But I don't own a private practice.
00:00:32.344 --> 00:00:33.085
Oh, that's a good point.
00:00:33.125 --> 00:00:34.088
Yeah, but you're a big thinker.
00:00:35.091 --> 00:00:36.493
I like to think I think.
00:00:37.060 --> 00:00:38.100
I think you're right.
00:00:38.560 --> 00:00:39.860
We're going very Dr. Seuss here.
00:00:39.941 --> 00:00:40.121
All right.
00:00:40.140 --> 00:00:40.220
Yeah.
00:00:40.561 --> 00:00:41.420
So that is a good point.
00:00:41.740 --> 00:00:43.341
I just see I know you're in academics,
00:00:43.381 --> 00:00:43.761
but to me,
00:00:43.801 --> 00:00:45.561
you're sort of everywhere in PT.
00:00:45.822 --> 00:00:47.042
But Mike, background,
00:00:47.101 --> 00:00:47.962
back of the baseball card.
00:00:48.042 --> 00:00:49.002
How long you own your practice?
00:00:49.521 --> 00:00:50.082
Sixteen years.
00:00:50.243 --> 00:00:50.603
Yeah.
00:00:50.662 --> 00:00:51.283
Sixteen years.
00:00:51.302 --> 00:00:51.762
Good for you.
00:00:51.802 --> 00:00:53.442
Our second location, actually,
00:00:53.463 --> 00:00:54.082
December four.
00:00:54.722 --> 00:00:55.984
Can you see it from here?
00:00:56.363 --> 00:00:58.404
You can't quite close.
00:00:58.423 --> 00:01:00.524
It's not close enough to see.
00:01:00.545 --> 00:01:01.005
Close enough.
00:01:02.704 --> 00:01:04.727
All right, so why'd you come?
00:01:04.768 --> 00:01:07.150
How was this framed for you as a
00:01:07.189 --> 00:01:07.771
practice owner?
00:01:08.492 --> 00:01:09.192
I was thinking about this.
00:01:09.212 --> 00:01:11.155
A lot of practice owners in there.
00:01:11.194 --> 00:01:13.537
Leaving a practice for a day is hard.
00:01:13.558 --> 00:01:14.859
Your business is going on.
00:01:14.959 --> 00:01:17.703
So how was this framed for you to
00:01:17.742 --> 00:01:18.483
come to something like this?
00:01:18.504 --> 00:01:19.525
What did you expect,
00:01:19.686 --> 00:01:20.867
and then what has been delivered?
00:01:22.429 --> 00:01:22.868
To be honest,
00:01:23.289 --> 00:01:25.010
this was the first time I knew this
00:01:25.090 --> 00:01:25.751
existed.
00:01:25.850 --> 00:01:28.331
I literally had no idea that Graham
00:01:28.352 --> 00:01:29.152
Sessions was a thing.
00:01:29.591 --> 00:01:32.373
I got an email from private practice
00:01:32.394 --> 00:01:32.713
section.
00:01:32.793 --> 00:01:33.573
And so I don't know if it was
00:01:33.614 --> 00:01:35.674
because I was at the past couple of
00:01:36.135 --> 00:01:39.216
PPS meetings or how I got on the
00:01:39.257 --> 00:01:39.897
list, but I did.
00:01:40.418 --> 00:01:41.358
I looked at the content.
00:01:41.378 --> 00:01:42.558
I was like, actually, you know what?
00:01:42.578 --> 00:01:43.099
That's kind of cool.
00:01:43.679 --> 00:01:44.659
And it actually worked out great because I
00:01:44.680 --> 00:01:45.760
don't see patients on Friday anyway.
00:01:45.802 --> 00:01:46.302
Jackpot.
00:01:48.144 --> 00:01:50.506
And then Sky, APJ vice president,
00:01:50.686 --> 00:01:52.528
you get brought to lots of different
00:01:52.569 --> 00:01:53.709
things in the corner of PT.
00:01:55.010 --> 00:01:57.933
Being in PT for a long time, right,
00:01:57.953 --> 00:01:58.515
in the profession.
00:01:58.534 --> 00:01:59.415
Are you calling me old?
00:01:59.436 --> 00:01:59.475
No.
00:01:59.495 --> 00:02:02.399
Walked right into that one.
00:02:02.418 --> 00:02:02.539
Good.
00:02:02.558 --> 00:02:02.718
But no,
00:02:02.939 --> 00:02:03.921
you've been in PT for how long?
00:02:03.941 --> 00:02:05.001
Been around a long time.
00:02:06.331 --> 00:02:07.052
Uh, not as long as you think.
00:02:07.072 --> 00:02:07.691
Orthopedics, academics?
00:02:07.712 --> 00:02:08.151
Yeah, I mean,
00:02:08.231 --> 00:02:10.272
I've been a PT since two thousand three.
00:02:10.372 --> 00:02:10.453
Okay.
00:02:10.473 --> 00:02:11.753
So twenty three years.
00:02:11.794 --> 00:02:13.014
So, uh,
00:02:13.054 --> 00:02:14.634
what were you expecting and what are you
00:02:14.694 --> 00:02:16.195
seeing from, I mean, you're like,
00:02:16.235 --> 00:02:17.475
you're sort of like the down the middle
00:02:17.496 --> 00:02:19.037
person this is designed for and you're
00:02:19.076 --> 00:02:19.356
not,
00:02:19.396 --> 00:02:21.657
which means you're both going to look at
00:02:21.937 --> 00:02:23.359
what is going on here differently.
00:02:23.979 --> 00:02:25.819
So what did you expect was going to
00:02:25.860 --> 00:02:26.120
happen?
00:02:27.610 --> 00:02:29.413
What did I expect was going to happen
00:02:29.832 --> 00:02:30.514
has happened,
00:02:30.614 --> 00:02:32.195
was that I was going to hear totally
00:02:32.216 --> 00:02:33.556
different perspectives than I usually
00:02:33.576 --> 00:02:33.817
hear.
00:02:33.956 --> 00:02:35.919
So I love conferences like this because
00:02:36.139 --> 00:02:40.144
I'm not exposed to this kind of lens
00:02:40.864 --> 00:02:44.407
and thought about their everyday lives.
00:02:45.128 --> 00:02:46.050
And also the meta,
00:02:46.169 --> 00:02:47.911
like how can we change things so they're
00:02:47.931 --> 00:02:48.570
better for the future?
00:02:48.610 --> 00:02:50.473
So that has been really good for me.
00:02:50.492 --> 00:02:53.134
And I got to meet a ton of
00:02:53.155 --> 00:02:54.395
people that I've never met before.
00:02:54.414 --> 00:02:55.735
So I always love that.
00:02:55.776 --> 00:02:57.518
This isn't the area you're normally in.
00:02:57.638 --> 00:02:58.777
Yeah, so I get to listen a lot,
00:02:58.798 --> 00:02:59.618
which is so cool.
00:02:59.758 --> 00:03:01.139
When you looked at the agenda,
00:03:02.100 --> 00:03:03.801
as a practice owner, what made you say,
00:03:04.162 --> 00:03:06.524
ooh, yeah, let's drill down on this.
00:03:06.563 --> 00:03:07.063
That's exciting.
00:03:07.304 --> 00:03:08.344
Yeah, so there were a couple things.
00:03:08.625 --> 00:03:11.146
One was the opportunity to hear a little
00:03:11.167 --> 00:03:12.388
bit more about
00:03:13.492 --> 00:03:17.235
the APTA's decisions specifically with DEI
00:03:17.276 --> 00:03:18.156
stuff, right?
00:03:19.197 --> 00:03:20.318
So that was very interesting to me.
00:03:20.397 --> 00:03:22.079
And then a couple of other pieces were,
00:03:22.598 --> 00:03:22.899
you know,
00:03:23.300 --> 00:03:26.001
talking about where we are with
00:03:26.502 --> 00:03:27.622
reimbursement, honestly,
00:03:27.641 --> 00:03:28.543
where we are with reimbursement,
00:03:28.603 --> 00:03:30.204
how we're going about changing things,
00:03:30.745 --> 00:03:31.444
what our plan is,
00:03:31.485 --> 00:03:32.306
what are some of the options.
00:03:33.826 --> 00:03:34.826
One of the things that I'd like to
00:03:34.847 --> 00:03:36.748
hear a little more, quite honestly.
00:03:36.769 --> 00:03:37.848
That's my next question.
00:03:37.868 --> 00:03:39.250
Keep going, keep going.
00:03:40.691 --> 00:03:43.092
We've talked a lot about the what's wrong.
00:03:44.253 --> 00:03:45.433
and I'd like to hear a little bit
00:03:45.473 --> 00:03:47.455
more about here's some options.
00:03:47.596 --> 00:03:48.817
Here's some solutions.
00:03:49.317 --> 00:03:49.957
So we know it's wrong.
00:03:50.657 --> 00:03:52.038
We know reimbursement's declining.
00:03:52.058 --> 00:03:53.699
We know we're having a harder and harder
00:03:53.719 --> 00:03:53.840
time.
00:03:53.860 --> 00:03:54.580
We're getting squeezed.
00:03:54.621 --> 00:03:56.401
We're one of the very few industries that
00:03:57.182 --> 00:03:59.443
is not tied to inflation.
00:04:00.064 --> 00:04:01.265
I can raise my prices all I want.
00:04:01.846 --> 00:04:02.907
I'm not going to get paid a dime
00:04:02.967 --> 00:04:04.608
more just because inflation went up.
00:04:05.489 --> 00:04:06.248
So how do we combat that?
00:04:06.669 --> 00:04:07.469
So I'd like to hear a little bit
00:04:07.509 --> 00:04:08.770
more of that kind of conversation,
00:04:09.151 --> 00:04:10.431
and maybe we will today or tomorrow.
00:04:10.551 --> 00:04:11.271
In what format?
00:04:11.391 --> 00:04:13.332
Like people who've done stuff and then
00:04:13.353 --> 00:04:14.794
they walk you backwards and reverse
00:04:14.854 --> 00:04:15.474
engineer that for you?
00:04:15.754 --> 00:04:16.175
Correct.
00:04:16.214 --> 00:04:16.514
Exactly.
00:04:16.675 --> 00:04:16.995
Exactly.
00:04:17.014 --> 00:04:18.196
So we know there's a couple options out
00:04:18.216 --> 00:04:19.156
there and we've heard a lot of those
00:04:19.276 --> 00:04:21.057
options that they exist and maybe we
00:04:21.076 --> 00:04:21.918
didn't know they existed.
00:04:22.057 --> 00:04:23.978
But I'd like to hear some more about
00:04:24.098 --> 00:04:24.639
how do you get there?
00:04:24.658 --> 00:04:25.480
How do you get from point A to
00:04:25.500 --> 00:04:25.839
point B?
00:04:25.899 --> 00:04:26.100
Right.
00:04:26.439 --> 00:04:28.541
that's why like a show like bar rescue
00:04:28.942 --> 00:04:30.182
is kind of cool i mean i know
00:04:30.223 --> 00:04:31.644
it's you know it's sort of set up
00:04:31.684 --> 00:04:33.024
right but it's like we go in there
00:04:33.125 --> 00:04:34.605
and there's the glaring problem john
00:04:34.646 --> 00:04:36.726
taffrey yells and screams but they do a
00:04:36.788 --> 00:04:38.369
pressure test everything explodes the
00:04:38.389 --> 00:04:40.709
owner loses their mind but then they go
00:04:40.810 --> 00:04:41.790
all right now here's how we're going to
00:04:41.810 --> 00:04:44.153
fix it and i really like when they
00:04:44.173 --> 00:04:45.733
do an episode that they go hey remember
00:04:45.754 --> 00:04:47.634
that episode from three years ago well
00:04:47.654 --> 00:04:48.915
they're still in business or they've
00:04:48.975 --> 00:04:50.677
tripled their whatever you're like oh yeah
00:04:50.697 --> 00:04:52.238
this stuff works over time
00:04:52.838 --> 00:04:53.278
Which is good.
00:04:54.579 --> 00:04:56.300
What's something that you thought should
00:04:56.319 --> 00:04:56.920
have been on the menu?
00:04:56.939 --> 00:04:56.980
Oh,
00:04:57.000 --> 00:05:00.701
that's not what I thought you were going
00:05:00.721 --> 00:05:01.261
to ask me.
00:05:01.281 --> 00:05:02.062
I thought you were going to ask me
00:05:02.081 --> 00:05:02.901
the question you asked him.
00:05:02.982 --> 00:05:04.021
No, you're on a practice.
00:05:04.081 --> 00:05:07.642
But how would you have answered that one?
00:05:08.083 --> 00:05:09.923
I am really looking forward to tomorrow
00:05:09.963 --> 00:05:12.524
because I have the good fortune of being
00:05:12.543 --> 00:05:12.944
on a panel.
00:05:12.963 --> 00:05:15.785
And I get caught in a vacuum of
00:05:15.904 --> 00:05:17.526
listening of how to solve the problems
00:05:17.586 --> 00:05:18.466
from academics.
00:05:18.665 --> 00:05:19.725
And I really want to hear what a
00:05:19.745 --> 00:05:21.387
business person has to say about how we
00:05:21.406 --> 00:05:22.107
can solve this problem.
00:05:22.406 --> 00:05:23.447
I watch that a lot.
00:05:23.627 --> 00:05:25.449
I get caught in that a lot, right?
00:05:25.490 --> 00:05:27.190
Because I do live streams with business
00:05:27.230 --> 00:05:28.831
owners and we're like, you know,
00:05:28.971 --> 00:05:30.072
academic this, this, this.
00:05:30.473 --> 00:05:31.494
And then I know somebody who's in
00:05:31.574 --> 00:05:32.735
academics and you're like, okay,
00:05:32.754 --> 00:05:33.375
I see what you're saying.
00:05:33.415 --> 00:05:35.937
But actually, that's not how,
00:05:35.978 --> 00:05:36.959
not even just how it works.
00:05:36.978 --> 00:05:37.218
It's like,
00:05:37.678 --> 00:05:39.240
we've tried that or you can't do that
00:05:39.259 --> 00:05:40.601
because of A, B, X, Y, Z.
00:05:41.141 --> 00:05:42.023
So it's good to know that.
00:05:42.622 --> 00:05:43.663
Why don't you just do this?
00:05:43.704 --> 00:05:44.663
And you're like, oh, hey,
00:05:44.704 --> 00:05:45.824
thank you for pointing out that thing
00:05:45.845 --> 00:05:48.726
that's so obvious in my line of work
00:05:48.766 --> 00:05:50.988
that I can't do because of these seventeen
00:05:51.028 --> 00:05:51.288
reasons.
00:05:51.309 --> 00:05:53.430
You're like, oh, I didn't know that.
00:05:53.550 --> 00:05:54.591
Sorry.
00:05:54.651 --> 00:05:56.232
So to answer your question,
00:05:56.291 --> 00:05:57.512
not be a bad guest,
00:05:57.733 --> 00:05:59.113
the question that you did ask me,
00:05:59.535 --> 00:06:00.555
what did I want to see?
00:06:00.875 --> 00:06:02.096
Or what did you look at and say,
00:06:02.255 --> 00:06:02.336
oh,
00:06:02.416 --> 00:06:03.937
I thought that would have been an edgy
00:06:03.958 --> 00:06:04.177
top,
00:06:04.257 --> 00:06:06.879
like something Graham Session worthy that
00:06:06.920 --> 00:06:07.199
wasn't?
00:06:07.785 --> 00:06:08.685
knowing that they can't put everything.
00:06:08.706 --> 00:06:08.846
Right,
00:06:08.865 --> 00:06:10.247
they can't put everything because it's a
00:06:10.307 --> 00:06:11.427
pretty small conference.
00:06:11.487 --> 00:06:13.148
But I don't know.
00:06:13.427 --> 00:06:14.889
I would have liked to see something.
00:06:14.949 --> 00:06:16.550
And we touched on this a little bit,
00:06:16.589 --> 00:06:16.951
but like...
00:06:18.468 --> 00:06:20.069
How to maintain your optimism.
00:06:20.769 --> 00:06:21.129
Okay.
00:06:21.629 --> 00:06:23.911
Or how to continue to think big in
00:06:23.951 --> 00:06:25.932
a world that seems to be more restrictive.
00:06:25.951 --> 00:06:26.232
Squeezing.
00:06:26.471 --> 00:06:26.752
Yeah.
00:06:26.771 --> 00:06:29.233
Going into the diamonds caused under
00:06:29.273 --> 00:06:29.673
pressure.
00:06:29.952 --> 00:06:30.572
Yeah.
00:06:30.713 --> 00:06:31.754
So how do we keep diamonding?
00:06:32.213 --> 00:06:33.375
Yeah.
00:06:33.495 --> 00:06:35.615
I would say Rihanna, but there's no way.
00:06:35.716 --> 00:06:36.196
We can do that.
00:06:36.216 --> 00:06:36.896
We'll do that later.
00:06:37.375 --> 00:06:38.437
And I was just talking with Patrick
00:06:38.456 --> 00:06:38.697
Graham.
00:06:38.716 --> 00:06:40.038
You guys are following Patrick Graham,
00:06:40.077 --> 00:06:40.757
the guy...
00:06:41.560 --> 00:06:42.302
this thing's named after.
00:06:43.882 --> 00:06:45.163
And he and I both concluded,
00:06:45.204 --> 00:06:46.444
I was like, these are great discussions.
00:06:46.625 --> 00:06:48.105
I'm like, Patrick, but where's the real,
00:06:48.567 --> 00:06:49.987
where's the real conversation?
00:06:50.028 --> 00:06:50.588
He's like the bar.
00:06:50.728 --> 00:06:51.249
And I'm like, right.
00:06:51.309 --> 00:06:52.088
We know that the answer,
00:06:52.168 --> 00:06:53.730
which is why this podcast,
00:06:54.031 --> 00:06:55.672
how this podcast originated.
00:06:56.372 --> 00:06:59.095
If you were to be on the planning
00:06:59.115 --> 00:07:00.156
committee for next year,
00:07:00.255 --> 00:07:01.716
what would you be like this?
00:07:02.338 --> 00:07:03.798
Either I'm going to give this talk or
00:07:03.819 --> 00:07:04.459
I need,
00:07:04.718 --> 00:07:06.261
this needs to be here next year.
00:07:07.762 --> 00:07:09.221
What would you do if you had sixteen
00:07:09.262 --> 00:07:09.603
years?
00:07:10.163 --> 00:07:11.103
What do they say?
00:07:11.502 --> 00:07:13.963
Ninety percent of the biggest person,
00:07:14.004 --> 00:07:14.624
three years.
00:07:14.684 --> 00:07:15.704
And if you make it past three years,
00:07:15.745 --> 00:07:16.305
it's like, dude.
00:07:16.524 --> 00:07:17.384
Yeah, exactly.
00:07:17.404 --> 00:07:20.286
So what I would probably say is one
00:07:20.305 --> 00:07:21.565
of the topics and Sky just sort of
00:07:21.625 --> 00:07:22.166
touched on it.
00:07:22.187 --> 00:07:22.567
You know,
00:07:23.127 --> 00:07:24.286
how do you maintain the optimism?
00:07:24.666 --> 00:07:26.987
How do you how can we sort of
00:07:27.007 --> 00:07:28.187
combat all the challenges that we're
00:07:28.208 --> 00:07:29.488
facing as a profession right now?
00:07:30.817 --> 00:07:32.939
without changing the quality of what we
00:07:33.019 --> 00:07:33.880
do, right?
00:07:34.360 --> 00:07:35.341
So I would sort of focus on that
00:07:35.382 --> 00:07:35.541
piece.
00:07:35.562 --> 00:07:36.043
I'd say, all right, well,
00:07:36.242 --> 00:07:36.963
what's successful?
00:07:37.004 --> 00:07:37.423
What works?
00:07:37.483 --> 00:07:38.384
How does it work?
00:07:38.685 --> 00:07:40.447
And how do you make sure that we
00:07:40.487 --> 00:07:41.327
value our people,
00:07:41.487 --> 00:07:42.730
that we value the care we give,
00:07:42.790 --> 00:07:43.850
and put that above all else?
00:07:44.250 --> 00:07:46.973
We stop competing with each other, right?
00:07:47.014 --> 00:07:49.055
We stop competing with other PT practices,
00:07:49.536 --> 00:07:50.577
and we focus on competing
00:07:51.278 --> 00:07:53.420
to get paid what we deserve, right?
00:07:53.680 --> 00:07:55.321
And what's the key to that piece,
00:07:55.401 --> 00:07:57.423
I think?
00:07:57.483 --> 00:07:59.244
You are in academics.
00:07:59.524 --> 00:08:01.865
You take people to work for you who
00:08:01.906 --> 00:08:03.487
have just graduated from academics.
00:08:04.168 --> 00:08:06.310
What's something that you think is
00:08:06.350 --> 00:08:06.829
important?
00:08:07.091 --> 00:08:07.411
Right now,
00:08:07.451 --> 00:08:09.112
the discussion going on right now is about
00:08:09.172 --> 00:08:09.872
generations.
00:08:10.312 --> 00:08:11.754
And we're like, what's important to you?
00:08:11.793 --> 00:08:13.254
And how do I figure that out instead
00:08:13.295 --> 00:08:15.156
of these kids today?
00:08:15.197 --> 00:08:15.937
These kids today...
00:08:16.817 --> 00:08:18.059
It's usually followed by a negative.
00:08:18.158 --> 00:08:19.338
Some of these kids today are so
00:08:19.579 --> 00:08:20.038
innovative.
00:08:20.519 --> 00:08:21.199
It's usually negative.
00:08:22.040 --> 00:08:24.100
But how do you or how have you
00:08:24.141 --> 00:08:25.742
over sixteen years been able to say like,
00:08:25.802 --> 00:08:26.742
all right,
00:08:26.822 --> 00:08:29.283
here here is a generational divide and I
00:08:29.322 --> 00:08:32.163
need to figure out how to incentivize or
00:08:32.224 --> 00:08:33.884
work with this person when they value
00:08:34.345 --> 00:08:36.005
something drastically than I did?
00:08:36.166 --> 00:08:36.385
Yeah.
00:08:36.426 --> 00:08:38.346
So I think I think that answer is
00:08:38.986 --> 00:08:40.427
it's probably pretty simple,
00:08:40.467 --> 00:08:41.128
but maybe not easy.
00:08:41.408 --> 00:08:43.688
uh the great things are yeah right and
00:08:43.769 --> 00:08:46.331
so um it's just doing what we as
00:08:46.410 --> 00:08:48.932
physical therapists do the best right from
00:08:49.072 --> 00:08:50.293
we talked earlier today about the
00:08:50.352 --> 00:08:52.355
diagnostic tools that are now potentially
00:08:52.375 --> 00:08:53.956
available in a bunch of different states
00:08:54.960 --> 00:08:56.000
but I still think the thing we do
00:08:56.020 --> 00:08:56.620
the best is listen.
00:08:57.201 --> 00:09:00.123
And if we listen to the new graduates,
00:09:00.143 --> 00:09:01.263
to the prospective hires,
00:09:01.863 --> 00:09:02.923
and figure out what motivates them,
00:09:02.984 --> 00:09:04.625
figure out what they want to do.
00:09:04.985 --> 00:09:06.446
Do they wanna own a practice someday?
00:09:06.505 --> 00:09:08.086
Do they wanna manage a practice someday?
00:09:08.527 --> 00:09:09.167
What do they wanna see?
00:09:09.187 --> 00:09:10.327
They wanna see a bunch of athletes that
00:09:10.347 --> 00:09:11.548
like geriatric populations?
00:09:12.168 --> 00:09:13.548
Talk to people, listen to them,
00:09:13.649 --> 00:09:14.669
figure out what they want,
00:09:15.659 --> 00:09:16.821
then figure out a way we can provide
00:09:16.860 --> 00:09:18.621
that build that right build that so that
00:09:18.942 --> 00:09:19.962
because listen if you came to work for
00:09:19.982 --> 00:09:21.724
me jimmy and and you said mike i
00:09:21.764 --> 00:09:23.544
really only want to see soccer players and
00:09:23.565 --> 00:09:25.385
basketball players i said okay you know
00:09:25.405 --> 00:09:26.846
what i will do everything i can to
00:09:26.907 --> 00:09:28.868
get you that population you got to work
00:09:28.888 --> 00:09:30.288
with me a little bit as often as
00:09:30.328 --> 00:09:31.889
possible i need to fill up your schedule
00:09:31.950 --> 00:09:33.490
but as much as we can i will
00:09:33.530 --> 00:09:35.052
get you relationships with the people who
00:09:35.072 --> 00:09:36.994
are going to send you that population and
00:09:37.014 --> 00:09:38.654
i'll support you because this is what you
00:09:38.695 --> 00:09:40.235
love right honestly if you do what you
00:09:40.275 --> 00:09:40.475
love
00:09:41.126 --> 00:09:41.506
It's great.
00:09:41.687 --> 00:09:41.908
Right.
00:09:42.187 --> 00:09:42.927
What's the old saying?
00:09:43.388 --> 00:09:44.188
You never work a day in your life.
00:09:44.269 --> 00:09:44.509
Right.
00:09:44.668 --> 00:09:45.309
Right.
00:09:45.389 --> 00:09:45.509
Yeah.
00:09:45.529 --> 00:09:46.129
I believe that's very true.
00:09:46.269 --> 00:09:49.072
I heard a great interview question that
00:09:49.111 --> 00:09:50.812
you can find something like this out,
00:09:50.913 --> 00:09:52.254
tease it out, which is, uh,
00:09:52.413 --> 00:09:54.315
the guy taught me to ask, uh,
00:09:54.335 --> 00:09:55.495
in the initial interview,
00:09:55.515 --> 00:09:57.376
when you're hiring a clinician, um,
00:09:57.437 --> 00:09:58.677
if you were to quit in two years,
00:09:58.758 --> 00:09:59.999
why, why, why would that be?
00:10:00.359 --> 00:10:00.778
And if they're,
00:10:00.860 --> 00:10:02.080
if they say something like, well,
00:10:02.379 --> 00:10:03.941
if you didn't pay me enough or if
00:10:03.961 --> 00:10:04.241
it was like,
00:10:04.261 --> 00:10:05.923
there's no growth or I wasn't seeing that
00:10:06.123 --> 00:10:07.543
there, instead of saying like,
00:10:08.283 --> 00:10:08.985
What do you need?
00:10:09.405 --> 00:10:11.307
It's saying, why would you leave?
00:10:11.327 --> 00:10:12.328
It turns it into a story.
00:10:12.349 --> 00:10:15.192
That's why people don't leave his clinic.
00:10:15.211 --> 00:10:16.494
I mean, really,
00:10:16.514 --> 00:10:18.937
he listens to them and he helps them
00:10:19.618 --> 00:10:21.659
see what's valuable to them and then he
00:10:21.700 --> 00:10:22.461
tries to make it happen.
00:10:22.581 --> 00:10:23.982
I feel like you pointed out that the
00:10:24.003 --> 00:10:25.323
job of a business owner is to create
00:10:25.443 --> 00:10:26.184
a good environment.
00:10:26.905 --> 00:10:28.606
and listen but the job of clinician is
00:10:28.647 --> 00:10:30.948
to create a great environment and listen
00:10:31.048 --> 00:10:33.551
differently right but doing both of those
00:10:33.571 --> 00:10:35.371
things for different audiences can lead to
00:10:35.432 --> 00:10:37.714
success absolutely you see and interact
00:10:37.813 --> 00:10:41.035
with students long before they graduate
00:10:41.056 --> 00:10:44.678
and join the workforce um what can
00:10:44.778 --> 00:10:46.799
academics teach business about these
00:10:46.860 --> 00:10:48.741
things or how to predict what's coming
00:10:48.782 --> 00:10:49.861
like i feel like you should just be
00:10:49.881 --> 00:10:52.344
like writing messages in a bottle to mike
00:10:52.364 --> 00:10:54.004
and be like okay in six years these
00:10:54.044 --> 00:10:55.686
students are gonna be like this and you
00:10:55.706 --> 00:10:56.226
should do this
00:10:57.561 --> 00:10:59.422
I really think we need to be better
00:10:59.481 --> 00:11:00.902
in academics about having it be
00:11:00.961 --> 00:11:03.062
bi-directional because we get a lot of
00:11:03.582 --> 00:11:04.442
these kids today,
00:11:04.503 --> 00:11:06.043
we get it from the clinics and they're
00:11:06.063 --> 00:11:06.244
like,
00:11:06.344 --> 00:11:08.024
you guys aren't doing a good enough job
00:11:08.764 --> 00:11:11.985
in academics to prepare them for what real
00:11:12.044 --> 00:11:15.326
life clinic is like now.
00:11:15.525 --> 00:11:17.927
So I think that we should be working
00:11:17.986 --> 00:11:20.368
together more to sort of develop a
00:11:20.488 --> 00:11:23.729
curriculum and a more, you know,
00:11:23.928 --> 00:11:26.769
in context learning experience so they can
00:11:27.230 --> 00:11:29.691
understand what the current challenges but
00:11:29.731 --> 00:11:30.831
then how do they turn those into
00:11:30.892 --> 00:11:33.192
opportunities i'm always thinking about
00:11:33.254 --> 00:11:35.335
too like we need to give them more
00:11:35.434 --> 00:11:37.035
for what they're paying for and what
00:11:37.056 --> 00:11:39.256
they're doing like students you mean yeah
00:11:39.397 --> 00:11:42.359
i mean like i just think about can
00:11:42.418 --> 00:11:45.841
we give them a skill set where it's
00:11:45.880 --> 00:11:47.642
like how do we get them to be
00:11:47.682 --> 00:11:49.123
more entrepreneurial and how do we do
00:11:49.182 --> 00:11:51.043
design thinking because
00:11:51.744 --> 00:11:53.105
we can't just prepare them for the way
00:11:53.125 --> 00:11:55.346
that how I practice physical therapy,
00:11:55.466 --> 00:11:56.187
you know, it's like,
00:11:56.287 --> 00:11:57.746
we have to prepare them to be like,
00:11:57.807 --> 00:11:58.607
what's the next thing.
00:11:58.648 --> 00:11:59.749
And if we want the profession to move
00:11:59.788 --> 00:12:00.109
forward,
00:12:00.589 --> 00:12:03.530
we should also spend some time developing
00:12:04.091 --> 00:12:05.371
almost like what you'd see in a business
00:12:05.392 --> 00:12:07.692
curriculum, not how to open a business,
00:12:07.732 --> 00:12:09.854
but how do you have that mindset to
00:12:09.894 --> 00:12:12.816
think bigger than what we are now?
00:12:12.916 --> 00:12:14.177
Cause I'm always also thinking about the
00:12:14.216 --> 00:12:15.277
profession and it's like,
00:12:15.496 --> 00:12:17.418
we keep having the same discussion over
00:12:17.438 --> 00:12:18.019
and over again.
00:12:18.058 --> 00:12:19.419
Like, why don't people know what we do?
00:12:19.620 --> 00:12:19.779
Like,
00:12:20.279 --> 00:12:21.301
Why don't people see the value?
00:12:21.341 --> 00:12:23.381
We know that we give great care and
00:12:23.422 --> 00:12:26.283
it's more economical and we do prevention,
00:12:26.322 --> 00:12:27.643
but it's like, no, still,
00:12:27.663 --> 00:12:30.044
we're not moving the needle as far as
00:12:30.085 --> 00:12:30.465
we can.
00:12:31.044 --> 00:12:32.186
So I'm sort of like, well,
00:12:32.225 --> 00:12:34.986
do we create armies of people who,
00:12:35.586 --> 00:12:35.986
you know what I mean?
00:12:36.006 --> 00:12:36.147
Like,
00:12:37.028 --> 00:12:38.107
I am not the first person to say
00:12:38.128 --> 00:12:39.509
this, but why do we teach goniometry?
00:12:40.028 --> 00:12:41.288
goniometry over sixteen weeks.
00:12:41.629 --> 00:12:42.990
I don't know.
00:12:43.049 --> 00:12:45.951
It's the same device.
00:12:45.990 --> 00:12:47.490
Just pick a different joint.
00:12:47.530 --> 00:12:48.150
Maybe we just do,
00:12:48.191 --> 00:12:49.311
here's one ball and socket,
00:12:49.350 --> 00:12:50.351
here's one hinge joint.
00:12:51.751 --> 00:12:53.152
Do it on the upper and lower extremity.
00:12:53.192 --> 00:12:55.572
We'll teach you the spine.
00:12:58.333 --> 00:12:58.653
I get it.
00:12:58.734 --> 00:13:00.313
There's academic bloat.
00:13:00.433 --> 00:13:01.475
What do you take out?
00:13:01.534 --> 00:13:02.134
What do you put in?
00:13:02.154 --> 00:13:03.455
But I think we have to rethink it.
00:13:03.554 --> 00:13:05.355
Love it.
00:13:05.875 --> 00:13:06.076
Yeah.
00:13:07.275 --> 00:13:07.897
Same question,
00:13:07.917 --> 00:13:09.839
but different point in life.
00:13:10.399 --> 00:13:11.861
How do you know when someone walks in
00:13:12.201 --> 00:13:13.583
who's just graduated,
00:13:13.624 --> 00:13:14.804
who's going to be a great clinician?
00:13:15.245 --> 00:13:17.008
And how can you tell when someone walks
00:13:17.028 --> 00:13:19.630
in, they're going to be a great student?
00:13:19.650 --> 00:13:21.211
So what are you looking for?
00:13:21.231 --> 00:13:22.293
What are the things that you're like,
00:13:22.313 --> 00:13:22.394
yeah.
00:13:23.772 --> 00:13:27.313
great clinicians, probably, mostly for me,
00:13:27.354 --> 00:13:28.475
when I sit down with somebody for an
00:13:28.495 --> 00:13:28.794
interview,
00:13:28.815 --> 00:13:31.297
the kind of things I want to hear
00:13:31.317 --> 00:13:34.639
from them are not about all the different
00:13:34.658 --> 00:13:36.860
things they've seen in other clinics or as
00:13:36.899 --> 00:13:37.900
a student or anything like that.
00:13:38.360 --> 00:13:38.480
It's
00:13:39.481 --> 00:13:40.221
It's probably hard to quantify.
00:13:40.261 --> 00:13:41.623
It's, it's a motivation.
00:13:41.743 --> 00:13:44.183
It's a, it's a desire to see.
00:13:45.104 --> 00:13:45.823
And it's a passion.
00:13:46.203 --> 00:13:47.684
If they've got a passion about something,
00:13:47.725 --> 00:13:47.965
if they,
00:13:48.345 --> 00:13:50.125
if they can explain to me something they
00:13:50.186 --> 00:13:50.346
love,
00:13:50.365 --> 00:13:51.245
and it's one of the questions I always
00:13:51.326 --> 00:13:52.307
ask is, tell me what you love.
00:13:52.326 --> 00:13:53.346
What do you love about physical therapy?
00:13:53.366 --> 00:13:55.087
Like, why do you love physical therapy?
00:13:55.967 --> 00:13:56.427
And quite honestly,
00:13:56.447 --> 00:13:58.229
I've had some interviews where they, well,
00:13:58.249 --> 00:13:59.428
I'm not sure I do.
00:13:59.808 --> 00:14:00.590
You're like, got it.
00:14:00.669 --> 00:14:02.129
And you're just drawing a right line.
00:14:02.610 --> 00:14:04.331
Well, so maybe, but,
00:14:04.451 --> 00:14:05.711
but the first question I asked after that
00:14:05.751 --> 00:14:06.491
is, why?
00:14:07.371 --> 00:14:07.991
I love what I do.
00:14:08.032 --> 00:14:09.312
I love what I do every day since
00:14:09.332 --> 00:14:09.812
I've been doing it.
00:14:09.832 --> 00:14:10.873
I've been doing it for twenty five years.
00:14:10.913 --> 00:14:12.634
So like I don't know how you couldn't
00:14:12.673 --> 00:14:13.134
love this.
00:14:13.474 --> 00:14:14.475
Tell me about where you work now.
00:14:14.534 --> 00:14:16.195
Tell me about your last experience.
00:14:16.716 --> 00:14:17.635
What was not to love?
00:14:17.796 --> 00:14:19.856
What would you not like about that?
00:14:20.017 --> 00:14:20.256
Right.
00:14:20.537 --> 00:14:22.018
Because then I'll get a sense of because
00:14:22.158 --> 00:14:24.759
if they describe my office and they don't
00:14:24.798 --> 00:14:25.899
love that and they don't love that,
00:14:26.058 --> 00:14:26.798
they're not going to love me.
00:14:26.918 --> 00:14:27.078
Right.
00:14:27.099 --> 00:14:28.139
And they're not going to come work for
00:14:28.179 --> 00:14:28.259
me.
00:14:28.779 --> 00:14:30.380
But if they describe an office where
00:14:30.721 --> 00:14:32.601
they're asked to see thirty patients a day
00:14:32.662 --> 00:14:34.062
and they're not given the time and not
00:14:34.082 --> 00:14:35.322
given the support and they're not given
00:14:35.383 --> 00:14:37.244
Con Ed and they're not given any sort
00:14:37.283 --> 00:14:38.664
of professional development or
00:14:38.705 --> 00:14:40.666
encouragement to pursue their passion.
00:14:40.686 --> 00:14:42.746
I was like, well, I can fix that.
00:14:42.846 --> 00:14:43.528
I can take care of that.
00:14:43.548 --> 00:14:44.768
So you're at you're teasing out as an
00:14:44.827 --> 00:14:46.009
environmental or internal.
00:14:46.048 --> 00:14:46.149
Yep.
00:14:46.269 --> 00:14:47.889
And if it's internal, I can't fix that.
00:14:47.909 --> 00:14:48.250
I can't fix that.
00:14:48.269 --> 00:14:48.710
There's nothing.
00:14:48.769 --> 00:14:50.270
But if you were in a crappy situation,
00:14:50.350 --> 00:14:51.571
let's get you in a better situation.
00:14:51.630 --> 00:14:52.291
Yeah, exactly.
00:14:52.311 --> 00:14:52.711
Yeah.
00:14:52.770 --> 00:14:53.251
Okay.
00:14:53.312 --> 00:14:54.292
Great answer.
00:14:54.312 --> 00:14:55.392
So how do you want to answer this?
00:14:55.451 --> 00:14:56.832
Do you want to answer what makes,
00:14:57.552 --> 00:14:58.714
what do you see that you know that
00:14:58.754 --> 00:14:59.594
this person is going to be a good
00:14:59.634 --> 00:14:59.994
student?
00:15:00.274 --> 00:15:01.855
Or what do you see while they're
00:15:02.754 --> 00:15:03.916
a student that you're like, Oh,
00:15:03.936 --> 00:15:04.736
this person's going to have,
00:15:04.797 --> 00:15:06.038
this person's going to do great things.
00:15:06.217 --> 00:15:07.379
I think the answer is the same.
00:15:07.619 --> 00:15:09.640
Okay, good.
00:15:09.841 --> 00:15:11.621
And I think it is people who are
00:15:11.662 --> 00:15:12.222
successful,
00:15:12.283 --> 00:15:17.567
who have enough self-awareness to be open
00:15:17.647 --> 00:15:18.707
to change.
00:15:19.428 --> 00:15:23.091
I think PT school is very challenging and
00:15:23.111 --> 00:15:24.533
the people who are sort of like
00:15:25.100 --> 00:15:26.480
this is not going to be forever.
00:15:26.980 --> 00:15:28.241
I may need help in this.
00:15:28.361 --> 00:15:30.043
I'm excelling at this and I'm going to
00:15:30.102 --> 00:15:32.725
go like show my skills to somebody else.
00:15:32.745 --> 00:15:33.865
And I'm going to feel proud of myself
00:15:33.884 --> 00:15:35.626
for that two weeks that I actually had
00:15:35.667 --> 00:15:38.908
my stuff together out of a hundred and
00:15:38.928 --> 00:15:39.629
twelve weeks.
00:15:40.450 --> 00:15:41.009
I had two.
00:15:41.750 --> 00:15:43.631
But I think it's the person who is
00:15:43.772 --> 00:15:45.972
adaptable and they are willing to like
00:15:46.072 --> 00:15:47.634
know who they are,
00:15:47.693 --> 00:15:48.475
what their shortcomings are,
00:15:48.495 --> 00:15:49.414
what their strengths are,
00:15:49.514 --> 00:15:50.755
and be able to kind of like
00:15:52.369 --> 00:15:54.091
be okay with all of that because that
00:15:54.130 --> 00:15:56.874
kind of a person is going to be
00:15:56.994 --> 00:15:58.595
like our patients come in like that too.
00:15:58.615 --> 00:15:58.836
Right.
00:15:59.275 --> 00:16:00.697
So that kind of a person is like
00:16:00.716 --> 00:16:01.378
someone who's like,
00:16:01.398 --> 00:16:02.578
the job's going to be different every day.
00:16:02.599 --> 00:16:03.600
I'm going to be working with different
00:16:03.620 --> 00:16:04.421
people every day.
00:16:04.841 --> 00:16:05.982
I'm willing to learn about them.
00:16:07.397 --> 00:16:09.839
I'm open to growing as an individual
00:16:09.879 --> 00:16:14.322
myself and not being kind of like stuck
00:16:14.402 --> 00:16:16.082
in the like,
00:16:16.263 --> 00:16:18.625
every day is going to be horrible and
00:16:18.924 --> 00:16:20.144
I'm not doing great.
00:16:20.206 --> 00:16:20.645
And it's like,
00:16:20.686 --> 00:16:22.647
can we just sort of rise above and
00:16:22.687 --> 00:16:26.629
like the students that really see this as
00:16:26.710 --> 00:16:30.831
a opportunity to live in the moment and
00:16:30.932 --> 00:16:31.852
do all the things in the moment,
00:16:31.893 --> 00:16:33.394
but this is just for now.
00:16:33.714 --> 00:16:35.554
And they have the capacity to be something
00:16:35.595 --> 00:16:36.296
different at the end.
00:16:36.515 --> 00:16:37.557
Do you remember when I had a clinical
00:16:37.596 --> 00:16:38.697
in an underground mall?
00:16:39.356 --> 00:16:39.898
I remember that.
00:16:39.998 --> 00:16:40.957
What was the name of that mall?
00:16:41.197 --> 00:16:43.239
It was like an underground bomb shelter.
00:16:43.259 --> 00:16:45.139
It doesn't even exist anymore.
00:16:45.159 --> 00:16:45.801
It was in Crystal City.
00:16:45.821 --> 00:16:46.520
It was across from Panagon.
00:16:46.620 --> 00:16:47.461
It was in Crystal City.
00:16:48.101 --> 00:16:48.621
It's right here.
00:16:49.243 --> 00:16:50.582
So I was in the food court of
00:16:50.602 --> 00:16:51.464
an underground mall.
00:16:52.163 --> 00:16:53.205
It was a national chain.
00:16:53.264 --> 00:16:54.164
I'm not going to throw them under the
00:16:54.205 --> 00:16:54.524
bus.
00:16:55.745 --> 00:16:57.826
And I literally remember messaging you and
00:16:57.866 --> 00:17:01.288
being like, is this it?
00:17:01.349 --> 00:17:02.509
And you were like, no.
00:17:02.629 --> 00:17:03.309
And I was like, well,
00:17:03.370 --> 00:17:05.090
this feels like this...
00:17:06.128 --> 00:17:07.830
I like to think I'm pretty resilient,
00:17:07.851 --> 00:17:09.132
like at least like a B plus.
00:17:09.172 --> 00:17:11.114
But I was like, what are we doing?
00:17:11.134 --> 00:17:13.896
And my CI was rubbing butts through jeans.
00:17:14.156 --> 00:17:15.378
He was like, dude,
00:17:15.459 --> 00:17:16.299
I remember just being like,
00:17:17.039 --> 00:17:18.241
I don't know what I'm doing here.
00:17:18.721 --> 00:17:18.882
Yeah.
00:17:19.041 --> 00:17:20.963
Underground mall where I was looking at a
00:17:21.404 --> 00:17:23.046
subway restaurant because I was in the
00:17:23.086 --> 00:17:23.646
food court.
00:17:23.666 --> 00:17:23.747
Yeah.
00:17:24.887 --> 00:17:26.369
And that was fun.
00:17:26.769 --> 00:17:28.451
But I think I said something to the
00:17:28.471 --> 00:17:29.752
effect because I say it all the time.
00:17:30.374 --> 00:17:30.513
Well,
00:17:30.574 --> 00:17:31.996
I think I said something like you can
00:17:32.056 --> 00:17:33.497
learn as much about what you don't want.
00:17:33.636 --> 00:17:33.978
Right.
00:17:34.878 --> 00:17:36.200
And that's a valuable experience.
00:17:36.279 --> 00:17:36.480
It is.
00:17:36.621 --> 00:17:37.461
Yeah, that's right.
00:17:37.480 --> 00:17:38.722
Look at it more like sculpture.
00:17:38.742 --> 00:17:39.983
Like, what are we chipping away?
00:17:40.023 --> 00:17:41.546
We're not going to have that.
00:17:41.826 --> 00:17:42.547
Got it.
00:17:42.807 --> 00:17:43.646
You need windows.
00:17:43.747 --> 00:17:44.228
All right.
00:17:44.248 --> 00:17:44.867
Check.
00:17:44.887 --> 00:17:46.248
Because literally it was like winter.
00:17:46.268 --> 00:17:46.989
It was like now.
00:17:47.068 --> 00:17:49.068
So I would go to work at like
00:17:49.269 --> 00:17:50.670
in dark, zero dark thirty.
00:17:50.710 --> 00:17:52.070
I would leave at zero dark thirty.
00:17:52.090 --> 00:17:52.830
Never saw the sun.
00:17:52.851 --> 00:17:53.550
Never saw the sun.
00:17:53.590 --> 00:17:55.211
And I was just like, this is great.
00:17:55.271 --> 00:17:56.531
This is this.
00:17:56.551 --> 00:17:58.292
I used to play rock music loud and
00:17:58.313 --> 00:17:59.673
give away beer and concert tickets.
00:17:59.712 --> 00:18:01.673
But now we're rubbing butts through jeans.
00:18:01.713 --> 00:18:02.595
And this is my job.
00:18:02.615 --> 00:18:03.394
I'm like, cool.
00:18:03.474 --> 00:18:04.075
In the dungeon.
00:18:04.615 --> 00:18:05.115
And I'm like, well,
00:18:05.135 --> 00:18:06.496
at least there's this on the bright side.
00:18:06.516 --> 00:18:07.695
There's a subway right there.
00:18:08.217 --> 00:18:10.196
Got as many subway punch things.
00:18:10.217 --> 00:18:11.238
And I got a free footlong.
00:18:11.978 --> 00:18:16.201
um uh is there anything i didn't ask
00:18:16.221 --> 00:18:17.862
you didn't ask me what session i want
00:18:17.882 --> 00:18:20.104
to see oh yeah sorry i forgot what
00:18:20.124 --> 00:18:22.365
would you put on the docket how to
00:18:22.384 --> 00:18:23.346
have a nerd lunch
00:18:23.935 --> 00:18:25.096
What's a nerd lunch?
00:18:25.156 --> 00:18:26.479
Oh, I have them all the time.
00:18:26.618 --> 00:18:27.720
What is a nerd lunch?
00:18:27.759 --> 00:18:29.961
So you know what a nerd lunch is.
00:18:29.981 --> 00:18:30.303
Do I?
00:18:30.403 --> 00:18:31.544
Yeah, because you've been to one.
00:18:31.564 --> 00:18:32.484
I have.
00:18:32.525 --> 00:18:33.665
You're going to be invited to the next
00:18:33.767 --> 00:18:33.866
one.
00:18:33.886 --> 00:18:34.847
I eat lunch with myself.
00:18:34.968 --> 00:18:35.508
Yeah, no.
00:18:35.567 --> 00:18:38.330
So where you have a lunch and or
00:18:38.371 --> 00:18:39.152
it doesn't have to be lunch.
00:18:39.311 --> 00:18:40.673
You have a moment and it's on a
00:18:40.713 --> 00:18:43.596
repetitive schedule and you have a group
00:18:43.656 --> 00:18:45.298
of people that do things that are
00:18:45.338 --> 00:18:46.259
completely opposite to you.
00:18:46.567 --> 00:18:47.767
So it's like your accountability group.
00:18:47.846 --> 00:18:49.067
It's like, how do you form that?
00:18:49.407 --> 00:18:50.929
Like if our group chat was just like,
00:18:51.048 --> 00:18:52.288
we're going to meet Fridays at one,
00:18:52.368 --> 00:18:52.949
twelve to one.
00:18:53.068 --> 00:18:53.269
Right.
00:18:53.469 --> 00:18:54.930
We all do in our group chat is
00:18:54.970 --> 00:18:56.369
like a bunch of PTs.
00:18:56.410 --> 00:18:57.851
But I don't think do any of us
00:18:57.871 --> 00:18:59.692
do the same thing now?
00:19:00.011 --> 00:19:02.393
Yeah.
00:19:02.492 --> 00:19:03.313
And why is that good?
00:19:04.388 --> 00:19:06.411
because I've said this before, it's like,
00:19:06.810 --> 00:19:08.672
we gotta get out of the silo.
00:19:09.073 --> 00:19:10.993
So I think having people that are
00:19:11.013 --> 00:19:12.775
comfortable enough to challenge you,
00:19:12.815 --> 00:19:14.316
and I think it's even better when they're
00:19:14.375 --> 00:19:15.277
outside of the profession,
00:19:15.857 --> 00:19:17.038
because they just look at things so
00:19:17.078 --> 00:19:17.499
differently.
00:19:18.345 --> 00:19:19.144
Yeah.
00:19:19.484 --> 00:19:21.205
So I'm just going to come back.
00:19:21.405 --> 00:19:22.826
I'm doing a cohort.
00:19:23.086 --> 00:19:23.746
I'm a teacher now.
00:19:23.766 --> 00:19:24.826
I'm teaching people how to podcast.
00:19:25.047 --> 00:19:26.727
So I've been asked before.
00:19:26.747 --> 00:19:27.467
I was like, I'll do it,
00:19:27.487 --> 00:19:28.288
but only if a couple of you are
00:19:28.307 --> 00:19:29.008
going to do it at once because it
00:19:29.028 --> 00:19:29.647
doesn't make any sense.
00:19:30.127 --> 00:19:31.228
So I've got three or four people going
00:19:31.248 --> 00:19:32.249
through this at the same time.
00:19:32.749 --> 00:19:34.469
And week one or two, I was like,
00:19:34.909 --> 00:19:35.549
this is your homework.
00:19:35.970 --> 00:19:37.130
Who are you talking to?
00:19:37.210 --> 00:19:38.029
Make up a fake person.
00:19:38.109 --> 00:19:39.030
As dumb as it sounds,
00:19:39.151 --> 00:19:40.090
exercise actually helps.
00:19:40.891 --> 00:19:42.232
And they're going through it and they're
00:19:42.272 --> 00:19:43.073
doing their thing.
00:19:43.193 --> 00:19:44.454
And then week two is like,
00:19:44.654 --> 00:19:45.955
now I want you to like,
00:19:46.037 --> 00:19:49.299
now it's what's one episode for this?
00:19:49.820 --> 00:19:50.701
What's one problem?
00:19:50.740 --> 00:19:53.104
And the funny part is the person who
00:19:53.483 --> 00:19:55.486
their podcast is launching is like really
00:19:55.526 --> 00:19:57.147
hard to articulate what they're trying to
00:19:57.188 --> 00:19:57.367
do.
00:19:57.669 --> 00:19:59.009
The other two people are like, oh, no,
00:19:59.049 --> 00:20:00.372
no, no, this is it.
00:20:00.491 --> 00:20:02.354
And they're able to rattle it off so
00:20:02.394 --> 00:20:02.933
damn easy.
00:20:03.815 --> 00:20:05.115
And then like, how are you doing that?
00:20:05.154 --> 00:20:05.695
I'm like, watch,
00:20:05.816 --> 00:20:06.675
you're going to be able to do it
00:20:06.715 --> 00:20:07.236
for him.
00:20:07.496 --> 00:20:08.195
He's going to be able to do it.
00:20:08.215 --> 00:20:08.935
You're going to be able to do it
00:20:08.955 --> 00:20:09.676
for the other people.
00:20:10.116 --> 00:20:11.057
You have the curse of knowledge.
00:20:11.656 --> 00:20:13.998
Like you've exhausted all the probable
00:20:14.337 --> 00:20:16.398
solutions because you know this space.
00:20:16.979 --> 00:20:18.239
And then you get another person that comes
00:20:18.278 --> 00:20:18.818
in and they're like,
00:20:19.138 --> 00:20:20.359
I've been tried this thing that you've
00:20:20.400 --> 00:20:20.839
never heard of.
00:20:20.859 --> 00:20:22.119
And you're like, no, what is that?
00:20:22.519 --> 00:20:24.601
Three M the company three M did this.
00:20:26.201 --> 00:20:28.321
they couldn't figure out how to do some
00:20:28.402 --> 00:20:29.102
engineering thing.
00:20:29.201 --> 00:20:29.701
And they were like,
00:20:29.981 --> 00:20:32.843
some entrepreneurial Scotsman came up with
00:20:32.863 --> 00:20:33.363
this idea.
00:20:33.462 --> 00:20:35.403
Essentially he created open source problem
00:20:35.442 --> 00:20:36.022
solutions.
00:20:36.202 --> 00:20:37.104
So they were like, all right,
00:20:37.124 --> 00:20:38.804
we're gonna put this on a website and
00:20:38.824 --> 00:20:39.824
we'll put a bounty on it.
00:20:40.223 --> 00:20:40.864
So some like,
00:20:41.184 --> 00:20:42.525
the famous story that I heard on a
00:20:42.565 --> 00:20:45.404
podcast was some shepherd was like, well,
00:20:45.424 --> 00:20:46.306
have you tried this?
00:20:46.586 --> 00:20:48.066
And these engineers were like,
00:20:48.506 --> 00:20:49.326
what the hell is that?
00:20:49.346 --> 00:20:50.707
And like, oh, well, we've, this, this,
00:20:50.727 --> 00:20:51.646
this, and it solved it.
00:20:52.346 --> 00:20:53.667
you needed a shepherd to solve an
00:20:53.708 --> 00:20:55.589
engineering problem why because engineers
00:20:55.630 --> 00:20:57.491
are taught engineering things they don't
00:20:57.571 --> 00:20:59.314
know how to get the flock out of
00:20:59.334 --> 00:21:03.218
here um all right uh is there anything
00:21:03.258 --> 00:21:06.099
i didn't ask about uh graham sessions or
00:21:06.119 --> 00:21:09.103
you know uh yeah all right we'll wrap
00:21:09.163 --> 00:21:10.805
up uh last thing we do on the
00:21:10.825 --> 00:21:13.367
uh episodes we call it the parting shot
00:21:15.442 --> 00:21:16.582
This is the parting shot.
00:21:17.123 --> 00:21:19.143
One last mic drop moment.
00:21:19.202 --> 00:21:20.002
No pressure.
00:21:20.442 --> 00:21:22.604
Just your legacy on the line.
00:21:23.743 --> 00:21:24.384
I will point out,
00:21:24.443 --> 00:21:25.785
I've been doing the parting shot for a
00:21:25.845 --> 00:21:26.365
decade.
00:21:26.464 --> 00:21:28.785
And just twenty eight minutes ago in
00:21:28.865 --> 00:21:31.185
Graham Sessions, someone on stage,
00:21:31.266 --> 00:21:32.105
I won't say who,
00:21:32.605 --> 00:21:33.906
but a pretty prominent person was like,
00:21:33.926 --> 00:21:35.207
do we have any other parting shots?
00:21:35.247 --> 00:21:37.027
And I was like, that's my turn.
00:21:37.207 --> 00:21:39.228
That's when you know you've been saying
00:21:39.248 --> 00:21:39.688
something over here.
00:21:39.748 --> 00:21:39.928
All right.
00:21:39.968 --> 00:21:40.488
Parting shot.
00:21:40.528 --> 00:21:41.928
Just last chance for whatever.
00:21:41.988 --> 00:21:42.709
Mic drop moment.
00:21:42.729 --> 00:21:43.388
Soapbox statement.
00:21:43.409 --> 00:21:43.689
Something.
00:21:43.729 --> 00:21:44.148
What do you got?
00:21:46.911 --> 00:21:48.352
I think the main take home for me
00:21:48.392 --> 00:21:50.073
from this whole Graham session has been,
00:21:51.453 --> 00:21:53.494
if you find people who love what they
00:21:53.535 --> 00:21:53.855
do,
00:21:54.415 --> 00:21:55.997
you'll be successful running a private
00:21:56.017 --> 00:21:56.416
practice.
00:21:56.798 --> 00:21:57.637
But you got to find people who love
00:21:57.657 --> 00:21:58.479
what they do and support them.
00:21:58.838 --> 00:22:00.220
You know, one of the other,
00:22:00.279 --> 00:22:01.181
I feel like I've been saying a whole
00:22:01.221 --> 00:22:02.981
bunch of sayings today, but I apologize.
00:22:03.582 --> 00:22:06.224
um is hire people smarter than you yeah
00:22:06.845 --> 00:22:08.267
right and let them do what they're good
00:22:08.287 --> 00:22:10.888
at yeah that second part's not easy like
00:22:10.969 --> 00:22:13.270
that's why steve jobs that's why that's so
00:22:13.491 --> 00:22:16.273
there's a cliche right but have you been
00:22:16.294 --> 00:22:18.316
in that situation have you been the person
00:22:18.375 --> 00:22:20.898
hired and then told what and how to
00:22:20.939 --> 00:22:22.840
do oh yeah sure and that's terribly
00:22:22.861 --> 00:22:24.942
frustrating and then the boss is like why
00:22:24.982 --> 00:22:26.503
isn't this working well yeah i think i
00:22:26.523 --> 00:22:28.246
said the other day which was uh
00:22:29.387 --> 00:22:29.969
In the context,
00:22:29.989 --> 00:22:32.068
it was the CEO kept messing with
00:22:32.128 --> 00:22:32.549
marketing.
00:22:32.910 --> 00:22:34.390
And I think my response was something
00:22:34.431 --> 00:22:34.871
like, well,
00:22:34.971 --> 00:22:36.991
if you keep putting your fingers in the
00:22:37.051 --> 00:22:38.192
soup, don't be pissed.
00:22:38.231 --> 00:22:39.113
It tastes like fingers.
00:22:40.212 --> 00:22:41.594
Stop touching the marketing and then it
00:22:41.634 --> 00:22:42.594
won't taste like fingers.
00:22:42.653 --> 00:22:45.174
But it's simple, but not easy.
00:22:45.194 --> 00:22:45.776
Parting shot.
00:22:45.796 --> 00:22:46.496
Clears before beers.
00:22:47.381 --> 00:22:49.863
I think that was my first party.
00:22:49.883 --> 00:22:51.383
That was her party shot like ten years
00:22:51.403 --> 00:22:51.463
ago.
00:22:51.483 --> 00:22:52.824
Yeah, I'm saying that to my kids.
00:22:52.844 --> 00:22:54.505
I'm like, just please, clues before beers.
00:22:56.646 --> 00:22:58.367
So I heard this yesterday.
00:22:58.428 --> 00:22:59.848
So it wasn't at Graham Sessions,
00:22:59.888 --> 00:23:00.689
but I heard it yesterday.
00:23:00.709 --> 00:23:01.930
So we were sort of like in the
00:23:02.009 --> 00:23:03.810
lead up to Graham Sessions and it was
00:23:04.030 --> 00:23:07.133
find the extraordinary in the ordinary.
00:23:07.413 --> 00:23:08.213
Oh, what does that mean?
00:23:08.354 --> 00:23:09.335
What do you think that what is that?
00:23:09.375 --> 00:23:09.615
What do you?
00:23:10.019 --> 00:23:11.099
I think you can mean whatever you want
00:23:11.119 --> 00:23:11.500
it to mean.
00:23:12.820 --> 00:23:15.561
I think it's like about reinvesting in
00:23:15.622 --> 00:23:17.442
wonderment because I think right now we
00:23:17.461 --> 00:23:18.803
don't have a lot of wonder in our
00:23:18.843 --> 00:23:19.282
lives.
00:23:19.423 --> 00:23:19.722
Good.
00:23:20.042 --> 00:23:21.823
So I've been trying to spend some time.
00:23:21.942 --> 00:23:25.044
I wonder what we should do.
00:23:25.183 --> 00:23:26.424
Did you find this at dinner last night?
00:23:27.505 --> 00:23:29.145
With the dinner that you were at.
00:23:29.266 --> 00:23:30.026
At dinner last night,
00:23:30.125 --> 00:23:32.247
I pointed out to people, you know,
00:23:32.468 --> 00:23:33.847
I was a typical twenty five year old
00:23:33.907 --> 00:23:34.648
rock radio DJ.
00:23:34.669 --> 00:23:36.409
We would make fun of things and people.
00:23:36.469 --> 00:23:37.190
That was our job,
00:23:37.269 --> 00:23:38.190
like to sort of be a dick.
00:23:38.830 --> 00:23:39.871
And now I'm like,
00:23:40.111 --> 00:23:41.491
like if I find out someone likes,
00:23:41.811 --> 00:23:42.092
I don't know,
00:23:42.152 --> 00:23:43.452
Pokemon or Disney or whatever.
00:23:43.553 --> 00:23:45.054
I used to be like, this is lame.
00:23:45.453 --> 00:23:46.875
Now I'm like just excited that they're
00:23:46.914 --> 00:23:49.316
excited, like finding extraordinary.
00:23:49.355 --> 00:23:49.596
I'm like,
00:23:49.996 --> 00:23:51.777
I don't care about Disney or whatever,
00:23:51.856 --> 00:23:52.737
but I'm like, that's cool.
00:23:52.757 --> 00:23:53.557
Why do you like that?
00:23:54.278 --> 00:23:55.419
i'm never gonna like that thing that's
00:23:55.459 --> 00:23:57.220
okay but it's like i'm actually excited
00:23:57.240 --> 00:23:59.142
you you're super into hula hooping tell me
00:23:59.182 --> 00:24:01.943
more about the hula hoop uh uh you
00:24:01.983 --> 00:24:03.505
know community and how i can be a
00:24:03.565 --> 00:24:05.686
part of it um so this is fun
00:24:06.126 --> 00:24:08.189
uh i appreciate you guys doing this now
00:24:08.568 --> 00:24:09.950
uh we should dip out of graham sessions
00:24:09.990 --> 00:24:11.730
early and go to dinner sounds like a
00:24:11.770 --> 00:24:11.912
plan
00:24:13.615 --> 00:24:14.674
That's it for this one,
00:24:14.954 --> 00:24:16.635
but we're just getting warmed up.
00:24:17.096 --> 00:24:19.017
Smash follow, send it to a friend,
00:24:19.237 --> 00:24:20.876
or crank up the next episode.
00:24:21.396 --> 00:24:22.438
Want to go deeper?
00:24:22.778 --> 00:24:26.798
Hit us at pgpinecast.com or find us on
00:24:26.858 --> 00:24:29.420
YouTube and socials at pgpinecast.
00:24:29.819 --> 00:24:32.101
And legally, none of this was advice.
00:24:32.161 --> 00:24:34.082
It's for entertainment purposes only.
00:24:34.561 --> 00:24:35.541
Bulls**t!
00:24:35.582 --> 00:24:36.162
See, Keith?
00:24:36.382 --> 00:24:37.442
We read the script.
00:24:37.742 --> 00:24:38.383
Happy now?