Philip Goldsmith: Why PTs Still Ask for Permission

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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Thanks, voiceover guy.

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Phil Goldsmith, welcome to the show.

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Good to be here, thanks.

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How many, what is your gram number?

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How many gram sessions have you been to?

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I think this is number four.

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Yeah?

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It's number three for me.

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Superhero backstory.

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Tell everybody who you are.

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What do you get to do in the

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profession?

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What is your superhero story?

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I can't say it's much of a superhero

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story.

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My name is Phil Goldsmith.

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I've been a PT for twenty six years

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and change.

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That's a superhero story, though.

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You've got a lot of stories in twenty

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six years.

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Oh, they're stories.

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Can't tell most of them.

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That's OK.

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HR's downstairs.

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That's all right.

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Exactly.

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What do you get to do in the

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profession now?

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What corner of the profession do you get

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to occupy?

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So I own a wee little home health

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management consulting company and do a

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little bit of clinical.

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It gets me out of the house and

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talking with other adults.

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So that's a good thing.

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Yeah.

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And then how about with an APTA?

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I am the president of APTA Home Health.

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Nice.

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Second term there.

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Right now that carries with it also the

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title of chief delegate for the academy.

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So you get to be involved.

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You understand what's coming down the

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line, the rules and the regs,

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and you get to weigh in on those

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things.

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I would like to think so.

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It hits a little hard and heavy sometimes

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and takes me a minute to get caught

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up, but yeah.

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Nice.

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So some big picture questions I'm asking.

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This is your fourth Graham Sessions.

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What's something you've either heard in

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the room or saw on the schedule that

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we're going to talk about later today that

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really excited you because you want to

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hear what people are thinking about?

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We'll start with topics and ideas.

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What do you like?

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I love the primary care discussion this

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morning.

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Good.

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So talk about the idea,

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not who said it.

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We'll leave names out of it.

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But what was that discussion about primary

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care?

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What did you hear?

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I think that the take home is that

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we all should be doing it.

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And we're all capable of doing it.

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But why aren't we?

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That's an easy question and a hard

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question all at the same time.

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That's why I look smart.

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I just asked the question.

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You got the harder job to answer.

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Is it permission?

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Are we waiting for someone else to do

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it?

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What is it?

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Is it waiting for permission?

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I think there's some people in the

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profession that are looking for

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permission.

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I think there's people in the profession

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that don't know how high top of license

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really is.

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And until they see it,

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or until someone's doing it in their own

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backyard, they just...

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Until they have to do it to keep

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up with the Joneses.

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You have to do it, you don't, yeah.

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What's something that is not on the docket

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that you're like, dude,

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why aren't we talking about this?

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What's something that's missing here?

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We couldn't put everything in grammar

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sessions, but what are you like, yes,

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this needs to be... Why wasn't this?

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This is hot.

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Why isn't this on the docket?

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They do a pretty good, I mean,

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all of the issues that I'd love to

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talk about are post-acute issues that I

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wouldn't expect this group to be

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interested in.

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I mean,

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they're hitting it pretty hard from the

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pivots that we've all had to make

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organizationally in the past year.

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Primary care PT is a big one.

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The differing generations, it's all there.

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Yeah.

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I mean,

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if you want to come hang and talk

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about those, and really,

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this is a safe space.

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There's no repercussions.

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This is the place to be.

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This is the hang.

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This is the hang.

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Fast forward to the hang next year.

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You get to pick one of the sessions.

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You get to title it, just the topic,

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the idea.

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What do you put on the docket for

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Graham Sessions next year?

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Look into the future.

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I want to go deeper into why we're

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not top of license.

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Okay.

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Why aren't we there?

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Why are we looking for permission?

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What type of person,

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person or people would you put on the

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panel?

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You don't have to name a person,

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but like what type of person are they

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all from within PT or do you go

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outside?

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Do you put a couple of people on

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the panel?

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I want somebody within the profession

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who's not doing primary care,

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who's not practicing top of license and,

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I guess it would be a little bit

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like an intervention.

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Ooh,

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that is a very Graham session way of

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looking at, can we,

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can we do an intervention for ourselves on

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why are we avoiding this problem?

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You have a problem.

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This is an intervention.

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It's a good way of looking at it.

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Uh,

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when were your first couple of Graham

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sessions about how long ago ballpark?

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five six years i've skipped a couple

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that's okay that's good what's something

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that actually you saw change it was

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disgusting gram sessions five or six years

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that's almost long enough for change right

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that act that you're like yeah that was

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cool we brought it up we did something

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about it any do you remember those things

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I think there's a more prevalence of

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cash-based practices.

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Yeah, in five or six years?

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Yeah.

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That's probably the big one.

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Yeah.

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I think people are finally starting to

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understand that we do have and have ways

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to access negotiating power with these

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insurance companies.

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Yeah,

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that was one conversation from earlier

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today,

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which that's been repeated several times.

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How are your C-legs?

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My sea legs are in good shape, man.

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Are you trying to get them in better

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shape for this summer?

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Oh, yeah.

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All right.

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Talk about that.

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You're doing something,

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and I hope Tony Maritato eventually is

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listening.

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We talked about this idea.

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I've seen people advertise it.

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Florida PTA has done it for a while.

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They've done it for their spring

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conference a few times.

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Of course they will.

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They're Florida.

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Right.

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Of course they will.

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So APTA Home Health decided to do

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something a little crazy,

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and we're doing ACHH at sea.

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A-C-A-H.

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Advanced Competency and Home Health.

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Our live portion of that is a sixteen

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hour live hands-on continuing education.

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We're an APTA component,

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so it's automatically approved in,

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I think, forty-four states.

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Nice.

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And we are approvers for, I think,

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all but two states.

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So, Eight Night Cruise, Royal Caribbean,

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Symphony of the Seas.

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Yeah.

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On the four C days, it's eight a.m.

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to noon, you're in class.

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The rest of the time,

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it's all you and your family or whoever

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else you want to bring with you to

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hang.

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So you're doing CEUs at sea?

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Yes.

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We were talking about this.

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Why wouldn't you?

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Why wouldn't you, right?

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And where do people go for that

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information if they're like,

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I want to be on board?

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You go to aptahomehealth.org and it's on

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our website.

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Perfect.

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All right.

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And then...

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When is it?

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It is August first through ninth,

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twenty twenty six.

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So you got this summer.

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You got you got a few months,

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got a couple of time and then ballpark

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of a price.

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Like what's someone that's the first

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question they're going to ask?

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The course is a little under five hundred

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dollars for academy members,

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for non-members.

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It's it's a little more expensive.

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I'll give you a hint.

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It's cheaper to be a member and pay

00:07:32.298 --> 00:07:33.639
the member price than it is to pay

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the non-member price.

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The cruise for an ocean view cabin is

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sixteen hundred ish dollars per person

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based on double occupancy.

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If you're flying solo,

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you're probably going to pay double that.

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yeah uh so smart people are already doing

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the math they're like how do i use

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these ceu dollars my employer has been

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promising me to get on the boat with

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phil smart that would that would be the

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good play that is a smart play where

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if you're smart and made yourself a little

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llc it's a business expense baby smart man

00:08:04.237 --> 00:08:06.216
um jimmy's already thinking can i live

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stream from the boat just i need a

00:08:08.117 --> 00:08:10.559
wi-fi signal we could we can get that

00:08:10.579 --> 00:08:12.339
i'll be at the cabana uh we have

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a tradition on the show the tradition is

00:08:14.201 --> 00:08:15.000
called the parting shot

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This is The Parting Shot.

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One last mic drop moment.

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No pressure.

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Just your legacy on the line.

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No pressure, Phil.

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Just your entire legacy on the line.

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But what's one thing you'd want to leave

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as we wrap up?

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What's the last idea, concept, quote,

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anything?

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Anything you'd want to leave with the

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audience?

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Top of scope is real.

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The good news is in home health,

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we've been doing it for twenty five years.

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Good for you, Phil.

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Appreciate this.

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We'll see if we can get you on

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the sea, man.

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Appreciate the time here at Graham

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Sessions.

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Awesome.

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Thank you.

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That's it for this one,

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but we're just getting warmed up.

00:08:54.042 --> 00:08:55.942
Smash follow, send it to a friend,

00:08:56.162 --> 00:08:57.822
or crank up the next episode.

00:08:58.342 --> 00:08:59.224
Want to go deeper?

00:08:59.703 --> 00:09:01.865
Hit us at pgpinecast.com.

00:09:03.105 --> 00:09:05.086
Or find us on YouTube and socials at

00:09:05.105 --> 00:09:06.366
pgpinecast.

00:09:06.767 --> 00:09:09.048
And legally, none of this was advice.

00:09:09.128 --> 00:09:10.889
It's for entertainment purposes only.

00:09:11.509 --> 00:09:12.509
Bullshit!

00:09:12.529 --> 00:09:13.110
See, Keith?

00:09:13.309 --> 00:09:14.389
We read the script.

00:09:14.691 --> 00:09:15.331
Happy now?