PTs, It’s Time to Level Up or Step Aside

WEBVTT

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You're listening to the PT Pinecast,

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where smart people in healthcare come to

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make noise.

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Here's your host, Jimmy McKay.

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Thanks, voiceover guy.

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I'm not on the camera.

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All right,

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scooch to your right a little bit.

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We are live.

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We're making this up.

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It doesn't really matter.

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It's a podcast.

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Lisa Van Hoose to my right,

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Rebecca Griffith to her radio right,

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and we're live from Graham Sessions.

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And I'm not sure why I'm asking this

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a lot,

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but how many Graham Sessions is this for

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you?

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I was trying to count.

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I know it's been more than five.

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Wow, that's a lot.

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Three, two.

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This is my third.

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Your third.

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This is my third as well.

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So why did you come the first time

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and why do you keep coming back?

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We'll go with Lisa first.

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So I came the first time because I

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heard through the grapevine that there

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were these like heated conversations

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happening.

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And I was like,

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I needed to be in the room where

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it was happening.

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And I keep coming back because it's one

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of my favorite places because you can come

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in here, you can have that conversation,

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say those things and be like,

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what do y'all think about that?

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And the ground rules are we can say

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anything that was said,

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but we'll just never,

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we want to attach it to anybody.

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So you can feel free to say anything

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in that room.

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The ideas should leave the room,

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but who said them doesn't have to leave

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the room.

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i won't say what you said but you

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did not shy at all went right to

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the microphone twenty five minutes ago and

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you were like you're like i have something

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to say and i'm like that's i don't

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know i leaned over to someone else and

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said uh she's ready to talk and i

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know there's a line but she's ready to

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talk now and that's lines are not really

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lines enough for lisa why do you come

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back rebecca

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The first time I came,

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I was invited to be on a panel

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to talk about access,

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which is obviously one of the things

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that's most important to me is that our

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patients can't get to us when they need

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to.

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And then last year, last time I came,

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I gave a what I believe speech.

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And what I believe is that physical

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therapists could change the world,

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but we won't.

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Why?

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Well,

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because we're waiting for permission.

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And we already have it.

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So we have to do it.

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Right.

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Yeah.

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And we're scary.

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We're scary or scared?

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We are scared.

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Oh, we are scared.

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Of?

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Of.

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I think it's our own imposter syndrome.

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We're so rule follower-y.

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And we're very employee mindset.

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Like follow.

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Yeah.

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Yeah.

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Yeah.

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Technician, not doctor.

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Yeah.

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So I'm back this year to listen.

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Cool.

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But you'll say something when you have

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something to say.

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She already said something.

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I'm not going to actually say it.

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I can't say what you said.

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That's the rules.

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What are you excited to see discussed and

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what are you upset that it's not on

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the menu?

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I'm excited about the Big Beautiful Bill

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conversation.

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Okay.

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That whole conversation around

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professional designation.

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What I am a little sad that we're

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not talking about is still the lack of

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diversification of our workforce.

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I feel like we talked about that a

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lot five years ago.

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But now we're scared.

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And then we stopped talking about that.

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Yeah, because there's political powers.

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Because it's solved?

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Because it's solved?

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Well, you know, now we're redefining,

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you know,

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marginalized groups as dominant groups

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now.

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Yeah.

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Interesting point of view.

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Yeah.

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What are you excited and upset that's not

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on my docket?

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I was excited to hear the primary care

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conversation this morning because I think

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that's an area of practice that I'm in.

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But I'm also interested in the one about

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generational differences because I hear a

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lot of clinical owners and business owners

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complain to me and say, well,

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nobody wants to work anymore or I can't

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get that generation to XYZ.

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And I also have teenagers and we're like

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six, seven and all that.

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And I feel like.

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We have to be able to communicate with

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the people that came behind us because now

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we're just turning into our parents.

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So I'm excited.

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We're saying the things that we were

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pissed at these kids today.

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Now it's coming out of your mouth.

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So pause before you say that.

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So let's talk about those two that you

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just said.

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So primary care, there was,

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and correct me if I'm wrong,

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I'll just structure it.

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There was a policy win in Utah.

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That's what like sort of starts part of

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it.

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Hey, now we're primary care.

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And what does that mean?

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And what does it change?

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And all those things are for smarter

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policy people to talk about.

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I come in and I go because I

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can say what I said.

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You can say what you said,

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but you can't say what someone else said.

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I said, this is awesome.

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And then I think I made everybody in

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this room where I'm the seventh floor of

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APTA Avengers Tower here in Alexandria,

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where we're looking Washington.

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I made everybody made everybody look

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outside the windows, look out the window,

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look at the window, look at it, look.

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And people weren't doing it.

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I was like, look outside the window.

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None of those people understand what the

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hell primary care physical therapy is.

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It's as confusing as when do I go

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to the urgent care?

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And how many words was the definition?

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Eighty-three.

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Do you think I counted or did I

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take a picture of the definition in AI

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and make it count for me?

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Of course.

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Yeah.

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Because I'm not an idiot.

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But that's the point.

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And I will give credit.

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People just don't want to work hard these

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days.

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You should have counted it yourself.

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Smarter, not harder.

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And I know that's an internal definition

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for us.

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But, and this is not to knock.

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I don't think anybody here is really to

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knock a person.

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But we're to push and pressure ideas and

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say, this is cool.

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And I think my last question or my

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last statement, which, by the way,

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is the best way to look smart,

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is just ask questions at a big conference

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like this, but never answer them.

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Oh,

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you taught a whole masterclass last night

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over beers.

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My last question or my last statement,

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which sounded like a question,

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was this will fail if you fail to

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message this right.

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And I know I'm coming from a lens

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of marketing and communications,

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whatever it is, because that's my life.

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But I'm like, I see what you're doing.

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This is great.

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But if the people outside the seventh

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floor window here don't understand it,

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quickly, clearly, concisely, consistently,

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we'll lose here.

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And we will be confused how we lost.

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And I will point right back to that

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moment.

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I actually disagree with you.

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I don't think that it's on the people

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outside to understand it.

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I think it's on every physical therapist

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to own it.

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And once they start practicing that way,

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that just becomes the standard of care.

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And so when people come to a physical

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therapist,

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that's just the care that they expect.

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So I think until every physical therapist

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starts leveling up and then providing that

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level of care, that level of expertise,

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it doesn't matter what the people out

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there think.

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Like marketing it and bringing patients

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in, we don't need to do that.

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We need to take the patients we have

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and own them and raise those people up.

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And then like you heard,

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there are people like,

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can you see this patient?

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Can you get this person in?

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Like I've sent my physical therapist tons

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of patients because he does have a primary

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care mindset.

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And I know those patients will be taken

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care of, not treated.

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Show, don't tell.

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That's what I should have said.

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That was my mic drop moment.

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Show the people outside this.

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Show the people directly outside this

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building, which are our colleagues.

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Show them how to communicate this and then

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to be able to show,

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not just tell the public.

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You have to be a primary care provider

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before you start doing it.

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There you go.

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And now you don't have to market anything.

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You are acting as if.

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Act as if.

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Maybe primary care,

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maybe that's the rollout.

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but maybe not act.

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Okay.

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Well, I meant like act as if, yeah,

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I know.

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But act as if the first time I

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ever scored a goal in like high school

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hockey, like I celebrated,

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like I just won the Stanley cup and

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my coach was like, Hey, great work.

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Act as pretend like you've been there

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before.

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Cause I think part of our issue right

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now is we have a lot of PTs

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that are acting.

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Okay.

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Right.

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Where we've got this list of things

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related to contemporary practice that you

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are fully aware that you need to upskill,

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but you're not doing that.

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And so I'm just going to put it

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out there.

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This is Lisa Van Hoose.

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I'm saying this as an individual.

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You are providing subpar care.

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And so if that's what you're willing to

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do,

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then you can't complain about subpar

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payments.

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Oh, so I'm like,

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level up and then we can talk about

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having some improvements in payment.

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Tony Maritato, my live stream co-host,

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has said and pointed out something

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similar, which is,

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do you honestly believe that half of the

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profession is better than half?

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what we're being paid because medicare is

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just one example is saying you are worth

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this much money per hour and people get

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mad i'm like who's getting mad do you

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think that half more than half the

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profession is better than that if the

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answer is yes then we deserve more or

00:07:54.302 --> 00:07:55.605
do we have to raise the floor of

00:07:55.625 --> 00:07:55.685
our

00:07:55.845 --> 00:07:58.346
well and truly like if you were being

00:07:58.406 --> 00:07:59.826
paid more for that for what you were

00:07:59.867 --> 00:08:02.088
doing where's the incentive to do better

00:08:02.369 --> 00:08:03.629
too i think that's a piece of it

00:08:03.670 --> 00:08:07.151
also chicken egg egg chicken uh because

00:08:07.211 --> 00:08:08.473
you know like right now the big

00:08:08.492 --> 00:08:10.413
conversation is groceries right that's the

00:08:10.454 --> 00:08:10.653
big

00:08:11.146 --> 00:08:13.168
political conversation i love frosted

00:08:13.189 --> 00:08:17.192
flakes right but it's got to be kellogg's

00:08:17.233 --> 00:08:18.913
but i'm gonna be mad if i go

00:08:18.954 --> 00:08:21.156
pay a kellogg's price and i'm getting some

00:08:21.257 --> 00:08:23.778
off correct i don't want that agreed i

00:08:23.798 --> 00:08:25.560
don't want that and so i think part

00:08:25.581 --> 00:08:27.041
of what we see in social media right

00:08:27.081 --> 00:08:29.785
now is patients and clients and caregivers

00:08:29.845 --> 00:08:31.947
are talking about i went to a pt

00:08:32.006 --> 00:08:33.087
i was expecting this

00:08:34.024 --> 00:08:35.625
but I got something underneath that.

00:08:36.206 --> 00:08:38.206
Now there are those PTs out where we're

00:08:38.246 --> 00:08:39.748
going to shout you out that are providing

00:08:39.788 --> 00:08:40.587
amazing care,

00:08:41.107 --> 00:08:43.288
but I'm not comfortable saying it's fifty

00:08:43.328 --> 00:08:45.610
percent of us right now because we're

00:08:45.650 --> 00:08:48.611
doing just enough for whatever reason.

00:08:49.011 --> 00:08:50.373
And that's where I feel like we need

00:08:50.413 --> 00:08:52.114
to follow some Mel Robbins, right?

00:08:52.634 --> 00:08:53.754
Let you move on.

00:08:54.495 --> 00:08:55.835
If this isn't what you want to do,

00:08:55.855 --> 00:08:57.395
if you don't want to upskill to where

00:08:57.436 --> 00:08:59.277
we're trying to be as a profession,

00:08:59.982 --> 00:09:00.604
Move on.

00:09:00.703 --> 00:09:02.485
There's all different types of things you

00:09:02.505 --> 00:09:03.267
can do in the world.

00:09:03.388 --> 00:09:03.988
Agreed.

00:09:04.129 --> 00:09:04.769
You don't have to be a PT.

00:09:04.788 --> 00:09:05.470
You can leave the house.

00:09:05.630 --> 00:09:07.273
Spicy takes before noon at Graham

00:09:07.312 --> 00:09:08.413
Sessions, Lisa Van Hoose.

00:09:08.433 --> 00:09:09.556
I don't even think that's spicy.

00:09:09.576 --> 00:09:09.975
It's not even spicy.

00:09:09.995 --> 00:09:11.177
And it's okay to change.

00:09:11.357 --> 00:09:12.700
It is totally okay to change.

00:09:13.100 --> 00:09:14.221
I'm not going to call you a bad

00:09:14.241 --> 00:09:14.663
PT.

00:09:14.722 --> 00:09:15.884
I'm not going to say you're a bad

00:09:15.923 --> 00:09:16.225
human.

00:09:16.605 --> 00:09:18.946
You just decided that the profession is

00:09:18.966 --> 00:09:19.645
going this way.

00:09:19.806 --> 00:09:20.586
I don't want to do that.

00:09:20.667 --> 00:09:21.187
Yeah.

00:09:21.226 --> 00:09:22.567
But then follow through on that.

00:09:22.667 --> 00:09:23.488
Don't stick around.

00:09:23.927 --> 00:09:24.788
And then complain.

00:09:24.908 --> 00:09:25.428
Right.

00:09:25.448 --> 00:09:26.528
Or provide subpart care.

00:09:26.869 --> 00:09:27.990
I will point that out as well.

00:09:28.190 --> 00:09:28.450
You know,

00:09:29.090 --> 00:09:31.030
being mad about a thing you're not doing

00:09:31.471 --> 00:09:34.111
feels a little bit defeated or not

00:09:34.152 --> 00:09:34.631
productive.

00:09:35.052 --> 00:09:37.472
So I just play the world's smallest violin

00:09:37.513 --> 00:09:39.614
for people who do that.

00:09:39.813 --> 00:09:40.715
And life is short.

00:09:40.995 --> 00:09:41.235
Yeah.

00:09:41.254 --> 00:09:42.534
Don't do things you don't want to do.

00:09:42.634 --> 00:09:43.235
Here for a good time,

00:09:43.255 --> 00:09:43.796
not a long time.

00:09:44.416 --> 00:09:45.596
I had a conversation with somebody the

00:09:45.616 --> 00:09:46.856
other day that PT is like,

00:09:46.876 --> 00:09:48.138
we're just in a burning building.

00:09:48.418 --> 00:09:49.918
And you know that you've got that meme

00:09:49.958 --> 00:09:51.299
where you've got the dog sitting in the

00:09:51.320 --> 00:09:51.820
burning building.

00:09:52.059 --> 00:09:52.399
It's fine.

00:09:52.419 --> 00:09:52.679
It's fine.

00:09:52.700 --> 00:09:53.019
It's all fine.

00:09:53.760 --> 00:09:57.221
And are you going to be that dog

00:09:57.261 --> 00:09:59.163
and just sit there while the burning

00:09:59.243 --> 00:10:00.303
building consumes you?

00:10:00.644 --> 00:10:01.825
You could exit the building.

00:10:02.044 --> 00:10:03.365
You could help put out the fire.

00:10:03.745 --> 00:10:05.105
But if you continue to sit there in

00:10:05.125 --> 00:10:05.966
the burning building and say,

00:10:06.027 --> 00:10:08.028
why don't the fire department come and put

00:10:08.048 --> 00:10:08.587
out this fire?

00:10:09.067 --> 00:10:10.288
Or I didn't start this fire.

00:10:11.208 --> 00:10:12.870
I'm beginning burned and I didn't start

00:10:12.890 --> 00:10:13.250
this fire.

00:10:13.451 --> 00:10:13.932
Okay.

00:10:13.971 --> 00:10:15.773
So exit the building or get a fire

00:10:15.832 --> 00:10:16.234
extinguisher.

00:10:16.274 --> 00:10:17.495
But we need you to take a role

00:10:17.554 --> 00:10:19.115
here other than somebody that has to be

00:10:19.155 --> 00:10:19.495
rescued.

00:10:19.596 --> 00:10:19.996
Yeah.

00:10:20.076 --> 00:10:21.597
I think I said this yesterday.

00:10:21.618 --> 00:10:22.538
The worst thing to do in a panic

00:10:22.558 --> 00:10:24.201
situation, my dad taught me, was panic.

00:10:24.581 --> 00:10:25.422
The second worst thing to do in a

00:10:25.442 --> 00:10:27.462
panic situation is nothing.

00:10:27.503 --> 00:10:27.844
Nothing.

00:10:27.903 --> 00:10:30.245
If you think it's that bad, don't panic.

00:10:30.846 --> 00:10:32.427
But do something productive.

00:10:32.807 --> 00:10:34.229
Leave whatever system you're in.

00:10:34.490 --> 00:10:36.230
And I'm talking about physically where you

00:10:36.431 --> 00:10:38.113
work or practice or work.

00:10:38.552 --> 00:10:39.974
How you're doing that.

00:10:40.254 --> 00:10:42.534
You have other levers to pull other than

00:10:43.274 --> 00:10:43.936
leave completely,

00:10:44.655 --> 00:10:46.216
but it's also okay if you want to

00:10:46.236 --> 00:10:46.777
leave completely.

00:10:46.797 --> 00:10:48.258
You have the door, push, pull,

00:10:48.317 --> 00:10:48.977
it goes either way.

00:10:49.318 --> 00:10:50.739
We all have power, right?

00:10:51.078 --> 00:10:53.941
So we've got power to change things within

00:10:53.961 --> 00:10:54.221
ourselves.

00:10:54.380 --> 00:10:55.022
that building.

00:10:56.042 --> 00:10:57.783
I think people also forget that the

00:10:57.823 --> 00:11:00.946
profession is made up of people.

00:11:00.966 --> 00:11:02.287
So when you're talking about the

00:11:02.346 --> 00:11:03.427
profession sucks,

00:11:03.447 --> 00:11:06.168
you're actually self-loathing because

00:11:06.188 --> 00:11:08.410
you're saying you suck because you're part

00:11:08.431 --> 00:11:09.250
of us.

00:11:09.331 --> 00:11:09.652
Right.

00:11:10.312 --> 00:11:11.893
And you also always have the power to

00:11:11.952 --> 00:11:12.374
leave.

00:11:12.693 --> 00:11:13.173
So I'm like,

00:11:13.674 --> 00:11:15.635
recognize your power and then decide on

00:11:15.676 --> 00:11:16.417
how you're going to use it.

00:11:16.557 --> 00:11:16.736
Agreed.

00:11:16.756 --> 00:11:16.937
All right.

00:11:17.336 --> 00:11:17.918
We try to keep the,

00:11:17.937 --> 00:11:19.238
we're trying to keep these short under

00:11:24.193 --> 00:11:25.374
This is The Parting Shot.

00:11:25.914 --> 00:11:27.296
One last mic drop moment.

00:11:27.995 --> 00:11:28.777
No pressure.

00:11:29.236 --> 00:11:32.739
Just your legacy on the line.

00:11:32.778 --> 00:11:34.580
Sounds like scary when you say your legacy

00:11:34.620 --> 00:11:35.000
on the line.

00:11:35.081 --> 00:11:36.861
But Parting Shot, just one concept,

00:11:36.961 --> 00:11:37.783
one mic drop moment,

00:11:37.883 --> 00:11:39.043
just one thing you want to leave with

00:11:39.062 --> 00:11:39.484
the audience.

00:11:39.504 --> 00:11:39.903
What do you got?

00:11:40.203 --> 00:11:41.184
You got to be about it,

00:11:41.325 --> 00:11:42.346
not just talk about it.

00:11:43.307 --> 00:11:44.548
put that on a crochet that on a

00:11:44.609 --> 00:11:46.211
pillow gotta be about it don't just talk

00:11:46.250 --> 00:11:48.373
about it good luck following that i know

00:11:48.393 --> 00:11:50.315
that was a good one you have ism

00:11:50.375 --> 00:11:52.638
you have sayings i'm gonna sit with the

00:11:52.717 --> 00:11:56.621
fact that individualism is a fallacy right

00:11:57.241 --> 00:11:59.585
so this concept that just you are gonna

00:11:59.644 --> 00:12:02.508
make some difference or all the only thing

00:12:02.528 --> 00:12:05.009
that matters is you is a joke it's

00:12:05.110 --> 00:12:06.631
all about the collective us

00:12:07.032 --> 00:12:07.991
all right well we're gonna have s'mores

00:12:08.011 --> 00:12:09.133
later because we're at graham sessions

00:12:09.153 --> 00:12:10.993
here at apta headquarters in alexandria

00:12:11.033 --> 00:12:13.474
virginia lisa van hoose rebecca griffith

00:12:13.894 --> 00:12:16.854
thanks for talking that's it for this one

00:12:17.134 --> 00:12:19.695
but we're just getting warmed up smash

00:12:19.715 --> 00:12:21.875
follow send it to a friend or crank

00:12:21.916 --> 00:12:24.635
up the next episode want to go deeper

00:12:24.755 --> 00:12:28.996
hit us at pgpiecast.com or find us on

00:12:29.037 --> 00:12:32.118
youtube and socials at pgpiecast and

00:12:32.197 --> 00:12:34.639
legally none of this was advice it's for

00:12:34.678 --> 00:12:35.979
entertainment purposes only

00:12:37.756 --> 00:12:38.399
See, Keith?

00:12:38.558 --> 00:12:39.643
We read the script.

00:12:39.903 --> 00:12:40.546
Happy now?