Tech-Enabled Rehab: Scaling Quality PT Access with Ryan Eder

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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All right.

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Before we kick off,

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I want to say thanks to Brooks Institute

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of Higher Learning, brooksihl.org.

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If you want to do a residency,

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a fellowship, pediatrics, geriatrics,

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neuro, pelvic health, orthopedics.

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They have like six more.

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I'm sorry.

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I don't have the notes in front of

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me.

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They've been in support of the show for

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like three years.

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They have a lot of them.

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Essentially,

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if you want to make sure you are

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better prepared,

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do a residency and a fellowship and get

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paid while you're doing it, brooksihl.org.

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Plus, it's in Florida.

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And right now in the dead of winter,

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Florida doesn't sound that bad.

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So visit them online at brooksihl.org.

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Ryan's back on the show.

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Ryan, welcome back.

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You started as an internationally awarded

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designer.

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Did I know that last time that you

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were a designer?

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Yeah, my background,

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I went to school for design.

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No, I knew that.

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I knew that.

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Yeah, but like what kind of design?

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It's like intricate design.

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It's called industrial design,

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but it's not like industrial facilities.

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It's products.

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So like I worked for a design agency

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like golf clubs and medical equipment.

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That's what it was.

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That kind of stuff, yeah.

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Yeah.

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So a buddy of mine lives in one

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of those like bougie apartments and they

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have like a movie theater and a gym

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and they have one of those golf simulator

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rooms you can just rent.

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And I'm in there, you know,

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and I'm hitting the ball on the screen

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and watching it go into the water,

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even on the screen.

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And my buddy just turns to me and

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goes like, dude,

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like how old are those clubs?

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And I'm like, oh, I don't know.

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I'm in nineteen ninety six when I was

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in high school.

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And he's like, my man,

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do you know the size of your target

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zone or whatever the term is?

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Like, how do you hit those?

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I'm like, my man,

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I play golf two times a year.

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I mean,

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so like I could tell you all the

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engineering behind getting the maximum

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moment of inertia and all this stuff.

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It does not matter unless you have a

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consistent swing.

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Correct.

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Otherwise,

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it's just a gamble every time you swing

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it.

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So.

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Oh,

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that is a great way of naming my

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golf game.

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A gamble every time I swing it.

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I'm going to say that every day.

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I'm out here for a good time,

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not a long time.

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That's what I do on the golf course.

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All right.

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So now what are you doing?

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Now you're building AI tools that...

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Last time we talked,

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you introduced me to this thing called

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computer vision,

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which feels like not long ago,

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but I feel like...

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kind of feels like long ago but wasn't

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that long ago yeah so like I mean

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yeah right so like the kind of evolution

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here is that you know we actually

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how we got our start.

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So kind of think like medical grade tonal,

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if you will, that we installed clinics.

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All right.

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And then in nineteen,

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we did a partnership with Cincinnati

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Children's in Ohio and got us into

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computer vision.

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COVID hits.

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We decided to shut down the machine side

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of the business entirely and go all in

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on the computer vision.

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and then but we wanted to be scalable

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so we ended up working with google for

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about two years helping develop their core

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computer vision models and then we piloted

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we had some sbir grants from the air

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force and piloted with them for about

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another year and then you know along came

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this rtm model and we're like all right

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we're going to deploy it towards that so

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that was the original plan but then uh

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things changed a bit as we progressed and

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so like we did that for a good

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two years

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Got really good results for the patients

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that we got enrolled,

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but getting in patients enrolled at the

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pace and scale, you know, was just brutal.

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It's always the problem, right?

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Like it's a problem in research.

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Hey, we got this great idea to test.

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We got funding.

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Where are the people?

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How do we get the people to show

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up?

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Simple, not easy.

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I mean,

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we know all the challenges with the

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industry, right?

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And so then adding another,

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like essentially care model on top of that

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and implementing that through is tough.

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And, you know, you see it now,

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like people are predicting twenty six as

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the year of RTM.

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It's like that came out four years ago.

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But we haven't figured out how to make

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sure.

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We know the model.

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How do you make it run smoothly?

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That's the trick.

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Some have been really successful with it

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and, you know,

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others are still trying to figure it out.

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Right.

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And we were bashing our heads against the

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wall because, you know,

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we're venture backed and we're like, hey,

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we want to go fast.

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We want to go fast.

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This is not going fast.

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care navigation companies that we were

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supposed to be just the technology layer

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and working with other providers to

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deliver virtual care in mixed in hybrid

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care as well,

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and just could not get the adoption.

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So like they approached us,

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which was in summer of twenty three, said,

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hey, we want to go faster.

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Will you guys consider becoming a virtual

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practice yourselves and treating these

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patients with your technology?

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So I said, whoa, okay.

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So my background's in products, right?

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I'm not a clinician for one,

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and certainly I haven't had a medical

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practice,

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but I had PTs on staff that were

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licensed in, I mean,

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over like twenty five states.

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Right.

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And so, you know what,

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we'll give it a try.

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And so in summer of twenty three,

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we actually brought the technology

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internal use and became a virtual PT

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practice.

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And we've been doing that since.

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So what does that look like?

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What is, yeah, what is that?

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Like, let's get to the, like,

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like literally spell it out.

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Who, what do you do?

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How does it work?

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Okay.

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So first, like we work, I mean,

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we work with a variety of different

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clients.

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Okay.

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So we'll work with, you know,

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health plans, HMOs for health systems.

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We work with regional health plans,

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care navigation companies,

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or even like the virtual PT arm for

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health systems.

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OK,

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but the way that this works is like

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we're very adamant on being a pure medical

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model.

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So just right out the gate,

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we're not sitting here trying to use

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technology and displace the PT.

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So we're big believers of the therapeutic

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alliance.

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So, you know,

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and we're also not self-enrolled.

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We're not going to employers and say, hey,

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enroll if you got to make some pains

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and a health coach is going to help

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you.

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Right.

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This is physician referral based.

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So we get referrals just like any other

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PT practice would.

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I mean,

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straight faxes coming in old school,

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right?

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But like, that's where it changes.

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Because then like,

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we then reach out to that patient via

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SMS, typically same day,

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no more than twenty four hours after

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referral with a self scheduling link to

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set up their eval.

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And so they schedule and then every

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episode starts with a forty five minute

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eval with a DPT on our staff.

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dedicated they're the only ones treating

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that patient and they understand exactly

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what's going on with them and making sure

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that virtual pt is appropriate for them

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and then once we kind of you know

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cross or check those boxes then we set

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them up with a care plan which is

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powered by our technology the computer

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vision got a whole collection of automated

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reminders and all and it's all web-based

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so it just runs on whatever the patient

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already has we don't have to send anything

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to them download anything any of those

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kind of like access barriers

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And so patients will complete their care

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plans on their own time,

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on their own device.

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There's unlimited secure messaging between

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the PT and the patient.

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From a synchronous visit standpoint,

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it's either once or twice a month that

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they connect face to face.

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The rest is all async.

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And we collect a tremendous amount of data

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on how that patient is progressing,

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report that back to our partners,

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all while a whole month for us is

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typically less than the cost of a single

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in-person eval.

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Wow.

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And how are you able to do that?

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Because the RTM and because the time

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allotted?

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You think of your requirement of

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face-to-face time, right?

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That's very important and that's how we

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set up every episode of care,

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but we're not limiting access to PT based

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on when you can get two people

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face-to-face.

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We are using the computer vision as

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essentially extension.

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of that and so that lets our patients

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which you know we treat patients from

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their teens to their nineties and but

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they're able to you know a lot of

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time you can't fit into the clinic

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schedule you can't get there your life is

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busy right so this is like all right

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i do it late at night i do

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it after my kids go to sleep or

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whatever it fits into your life and then

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so if you can remove kind of those

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logistical barriers but also if you can

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remove some of the economic barriers of

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co-pays high deductibles that kind of deal

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right um engagement just goes through the

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roof

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And is this being done,

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I get a link, I open my laptop,

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and now I'm told what to do,

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shown what to do,

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and then I do it,

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and it's being measured because of

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computer vision,

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what we talked about earlier?

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Help me understand, pretend I'm an idiot,

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because this is where I am.

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Yeah,

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so your PT's gonna create a care plan,

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and it's gonna have a collection of

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exercises, functional tests, PROMs, PREMs,

00:08:24.925 --> 00:08:26.427
delivered at different times, right?

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So basically,

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every day you have something prescribed

00:08:28.648 --> 00:08:28.887
for you,

00:08:28.908 --> 00:08:29.987
you get kind of like a fresh link.

00:08:30.548 --> 00:08:32.509
And so it's a one-tap, tokenized link,

00:08:32.649 --> 00:08:33.850
just goes and opens the browser,

00:08:33.870 --> 00:08:34.850
you're gonna get the list of what you're

00:08:34.870 --> 00:08:35.191
gonna do,

00:08:36.032 --> 00:08:37.613
And then you just hit start and it

00:08:37.653 --> 00:08:38.033
goes through.

00:08:38.073 --> 00:08:39.475
And so like we rebranded,

00:08:39.514 --> 00:08:41.056
so we were previously include health.

00:08:41.096 --> 00:08:42.998
Last time we talked, we rebranded to lane.

00:08:43.018 --> 00:08:45.299
Elena's basically the personification of

00:08:45.320 --> 00:08:45.941
the technology.

00:08:47.091 --> 00:08:48.832
But she just guides you through.

00:08:49.013 --> 00:08:50.754
So, you know, sometimes it'll be here.

00:08:50.774 --> 00:08:51.894
We're just going to do some stretches.

00:08:51.913 --> 00:08:53.315
We're just going to do certain light

00:08:53.355 --> 00:08:54.495
activities this day.

00:08:54.576 --> 00:08:54.855
Next day,

00:08:54.875 --> 00:08:56.216
we're going to do some functional tests

00:08:56.236 --> 00:08:57.317
and get you in front of the camera.

00:08:57.337 --> 00:08:58.639
I'm going to log your range of motion,

00:08:59.139 --> 00:09:00.480
maybe get you to do a five times

00:09:00.500 --> 00:09:01.681
at stand, that kind of deal.

00:09:02.100 --> 00:09:03.442
And then also collect your problems,

00:09:03.481 --> 00:09:05.243
you know, your regular pain and same,

00:09:05.263 --> 00:09:06.683
but then also like your joint specific

00:09:06.823 --> 00:09:06.984
ones.

00:09:07.504 --> 00:09:08.144
And so we just,

00:09:08.504 --> 00:09:10.407
we're very good at engaging with these

00:09:10.447 --> 00:09:10.826
patients.

00:09:10.846 --> 00:09:13.269
The average completed episode for us has

00:09:13.889 --> 00:09:15.692
thirty four visits in it.

00:09:16.152 --> 00:09:17.793
And it's collecting a tremendous amount of

00:09:17.833 --> 00:09:19.394
data that comes back that helps us

00:09:19.434 --> 00:09:20.556
understand how they're progressing.

00:09:20.855 --> 00:09:21.056
Right.

00:09:21.376 --> 00:09:22.837
And also shares that with the kind of

00:09:22.857 --> 00:09:24.418
the referring source that's sent to us.

00:09:24.438 --> 00:09:25.200
And with RTM,

00:09:25.220 --> 00:09:26.620
you can prove that it was done.

00:09:26.660 --> 00:09:27.101
It was done.

00:09:27.162 --> 00:09:28.283
How long was done?

00:09:28.322 --> 00:09:29.244
How well?

00:09:30.465 --> 00:09:31.186
What are the parameters?

00:09:31.225 --> 00:09:32.005
Again, people have spent like,

00:09:32.225 --> 00:09:33.326
what do I need to say that?

00:09:33.988 --> 00:09:36.409
to to to to clear the bar of

00:09:36.490 --> 00:09:38.230
rtm what is that again it's like well

00:09:38.331 --> 00:09:39.351
it's interesting because like we don't

00:09:39.471 --> 00:09:41.592
actually build under rtm we tend to build

00:09:41.633 --> 00:09:43.254
more under kind of like value-based

00:09:43.293 --> 00:09:47.456
arrangements but we do map it to rtm

00:09:47.476 --> 00:09:49.298
and rtm has engagement rates of like you

00:09:49.339 --> 00:09:50.899
know certain amount of data you need or

00:09:50.960 --> 00:09:52.701
thirty days and that kind of deal but

00:09:52.740 --> 00:09:54.822
like for us we look at i mean

00:09:54.842 --> 00:09:55.982
it goes everywhere from the very beginning

00:09:56.023 --> 00:09:57.244
so you've got a referral come in we

00:09:57.264 --> 00:09:59.426
have a thirty day window enrollment window

00:09:59.525 --> 00:10:00.706
and so we have a whole collection of

00:10:00.726 --> 00:10:01.988
ways to get them to set up their

00:10:02.028 --> 00:10:02.567
first eval

00:10:03.153 --> 00:10:05.375
And then they do their eval and then

00:10:05.394 --> 00:10:06.916
we continuously monitor like, okay,

00:10:07.176 --> 00:10:08.976
typically we ask someone to do something

00:10:09.037 --> 00:10:10.657
every day.

00:10:10.756 --> 00:10:13.097
Spoilers, no one does something every day.

00:10:13.138 --> 00:10:14.578
This is human psychology to where if you

00:10:14.678 --> 00:10:15.339
ask them to do it,

00:10:15.479 --> 00:10:16.500
I'm going to do it five times.

00:10:16.519 --> 00:10:17.159
And they're like, okay,

00:10:17.220 --> 00:10:18.421
I did it three times.

00:10:19.360 --> 00:10:21.001
I want you to do it two times.

00:10:21.101 --> 00:10:22.601
So it's a win for everybody.

00:10:22.743 --> 00:10:23.442
Right.

00:10:23.482 --> 00:10:25.323
But then you said we have like these

00:10:25.384 --> 00:10:27.264
automated reminders that go out based off

00:10:27.325 --> 00:10:28.524
of their local time zone.

00:10:28.565 --> 00:10:30.666
And then if they didn't complete it during

00:10:30.686 --> 00:10:30.966
the day,

00:10:30.985 --> 00:10:32.527
we send another reminder in the evening.

00:10:33.126 --> 00:10:35.347
and people it's amazing it's so simple and

00:10:35.408 --> 00:10:37.589
people like patients love it because

00:10:37.609 --> 00:10:38.609
they're like oh it just keeps me

00:10:38.649 --> 00:10:40.549
accountable and keeps me on my and you're

00:10:40.570 --> 00:10:48.474
like yeah it's simple not easy yeah right

00:10:48.553 --> 00:10:49.214
right right i mean

00:10:50.052 --> 00:10:50.652
Yeah,

00:10:50.672 --> 00:10:52.952
because when we developed the platform

00:10:53.493 --> 00:10:54.812
early on during the COVID days,

00:10:54.932 --> 00:10:56.913
I had probably like forty five different

00:10:56.933 --> 00:10:58.094
devices here because I was like,

00:10:58.274 --> 00:10:59.554
all right, I need to be web based.

00:10:59.575 --> 00:11:01.095
So it's got to run on every screen

00:11:01.154 --> 00:11:02.434
size, every browser,

00:11:02.495 --> 00:11:03.515
every operating system,

00:11:03.535 --> 00:11:04.495
different type of device.

00:11:04.515 --> 00:11:04.755
And like,

00:11:04.796 --> 00:11:06.456
where are the edges where this thing falls

00:11:06.475 --> 00:11:09.157
apart and how can we expand those further?

00:11:09.557 --> 00:11:11.738
So that took years of development to get

00:11:11.778 --> 00:11:12.057
it there.

00:11:12.097 --> 00:11:12.957
But once it's there,

00:11:13.077 --> 00:11:17.119
then it doesn't matter what you have.

00:11:17.158 --> 00:11:17.239
Yeah.

00:11:17.259 --> 00:11:18.639
You say PTs are not being replaced by

00:11:18.700 --> 00:11:19.019
tech.

00:11:20.394 --> 00:11:22.215
Other people say this is where it's

00:11:22.294 --> 00:11:22.634
similar.

00:11:23.735 --> 00:11:24.035
Yeah,

00:11:24.056 --> 00:11:25.116
but some people say PTs aren't being

00:11:25.136 --> 00:11:25.817
replaced by tech.

00:11:25.836 --> 00:11:26.837
They're being empowered by it.

00:11:26.998 --> 00:11:28.197
You say a funny twist,

00:11:28.217 --> 00:11:30.559
which is they're being exposed by it.

00:11:31.399 --> 00:11:31.940
I like that.

00:11:31.980 --> 00:11:32.841
What does that mean?

00:11:32.860 --> 00:11:34.701
Because it's different than what a lot of

00:11:34.721 --> 00:11:35.361
people are saying.

00:11:35.402 --> 00:11:36.383
It's similar, but not the same.

00:11:37.337 --> 00:11:39.197
Well, I mean,

00:11:39.217 --> 00:11:40.438
I'll frame it a little bit differently

00:11:40.479 --> 00:11:41.318
just in that, like,

00:11:41.879 --> 00:11:43.979
if you look at like the stats from

00:11:43.999 --> 00:11:44.940
the PT industry,

00:11:45.360 --> 00:11:47.080
some reports will tell you that somewhere

00:11:47.120 --> 00:11:49.280
between only twenty and thirty five

00:11:49.301 --> 00:11:51.421
percent of patients referred by a doctor.

00:11:52.961 --> 00:11:53.662
Go get PT.

00:11:55.121 --> 00:11:56.861
You have an industry where a physician,

00:11:57.121 --> 00:11:58.062
your doc is telling you,

00:11:58.101 --> 00:11:59.462
you need this and a majority of the

00:11:59.503 --> 00:12:00.342
patients don't go.

00:12:03.462 --> 00:12:03.942
Yeah, I know.

00:12:03.962 --> 00:12:04.202
Right.

00:12:04.563 --> 00:12:06.664
So like there's a lot of framing of

00:12:06.684 --> 00:12:06.966
like, oh,

00:12:06.985 --> 00:12:08.366
technology is going to steal my patients.

00:12:08.626 --> 00:12:10.508
There's a whole population where going in

00:12:10.548 --> 00:12:12.190
clinic, going to PT works for them,

00:12:12.250 --> 00:12:12.909
works really well.

00:12:13.571 --> 00:12:14.751
Virtual can't replace that.

00:12:15.451 --> 00:12:15.832
Even right.

00:12:15.873 --> 00:12:17.114
You can keep virtual can't replace hands

00:12:17.134 --> 00:12:17.793
on manipulation.

00:12:17.894 --> 00:12:19.375
There's inclusion, exclusion criteria.

00:12:19.395 --> 00:12:20.296
You can't be delusional.

00:12:20.336 --> 00:12:23.899
But there's a whole chunk of patients that

00:12:23.999 --> 00:12:25.961
need PT and cannot access it.

00:12:27.830 --> 00:12:29.889
And so how do you use the technology

00:12:29.950 --> 00:12:32.711
to open that door further for them?

00:12:33.831 --> 00:12:35.772
All while you still have that PT,

00:12:35.892 --> 00:12:38.032
like managing those cases, right?

00:12:38.072 --> 00:12:39.172
Like there was an analogy I heard of

00:12:39.211 --> 00:12:40.413
like a, just like pilots,

00:12:40.432 --> 00:12:42.373
like you have a co-pilot on a plane,

00:12:42.393 --> 00:12:44.052
right?

00:12:44.092 --> 00:12:46.014
But that it's not autonomous flying and

00:12:46.033 --> 00:12:47.553
there's no pilot in the plane that you

00:12:47.594 --> 00:12:49.053
can be able to have that pilot being

00:12:49.073 --> 00:12:50.955
able to do the really high cognitive load

00:12:50.995 --> 00:12:51.274
work.

00:12:51.794 --> 00:12:53.495
And then like the repetitive low tax test

00:12:53.514 --> 00:12:53.715
stuff,

00:12:53.735 --> 00:12:55.316
you're able to leverage technology to do

00:12:55.855 --> 00:12:57.115
all under your management.

00:12:58.424 --> 00:13:00.245
And like that model works.

00:13:00.265 --> 00:13:01.287
So I kind of think of us as

00:13:01.326 --> 00:13:03.629
like in between you got like traditional

00:13:03.668 --> 00:13:04.168
PT,

00:13:04.229 --> 00:13:06.270
every in clinic in person to then like

00:13:07.292 --> 00:13:08.591
the opposite end of the spectrum is just

00:13:08.793 --> 00:13:11.674
throw them on an app and self-serve,

00:13:11.715 --> 00:13:13.576
let them do your things or not have

00:13:13.596 --> 00:13:15.197
a PT involved or minimal PT.

00:13:15.256 --> 00:13:17.139
We kind of split those up, right?

00:13:18.399 --> 00:13:20.041
You talk, you have PTs on your team.

00:13:21.293 --> 00:13:21.874
You talk to PTs.

00:13:21.894 --> 00:13:22.315
Yeah.

00:13:23.394 --> 00:13:26.356
What are the biggest myths about either AI

00:13:26.397 --> 00:13:28.778
or virtual care that keep PTs from

00:13:28.818 --> 00:13:29.519
embracing it?

00:13:29.538 --> 00:13:30.940
What are the things that you're like, hey,

00:13:30.980 --> 00:13:32.400
you hear from them and you're like, well,

00:13:32.421 --> 00:13:33.682
it's not actually like that.

00:13:33.701 --> 00:13:35.163
So you're sort of like doing some course

00:13:35.202 --> 00:13:35.623
correction.

00:13:35.643 --> 00:13:36.624
What are some of the things that come

00:13:36.663 --> 00:13:38.144
up over and over again in your world?

00:13:38.164 --> 00:13:39.206
I think people...

00:13:40.505 --> 00:13:41.586
When you mention AI,

00:13:41.626 --> 00:13:46.269
they immediately think full replacement or

00:13:46.309 --> 00:13:47.451
that it's going to be a hundred percent

00:13:47.471 --> 00:13:47.811
correct.

00:13:48.631 --> 00:13:52.634
And you're like, okay, no, it's not.

00:13:52.914 --> 00:13:54.615
And that's why you're needed, right?

00:13:54.755 --> 00:13:56.037
It's not a hundred percent correct.

00:13:56.687 --> 00:13:57.927
But with anything,

00:13:57.967 --> 00:13:58.888
if you have one hundred percent of a

00:13:58.928 --> 00:14:00.730
job and something can get you eighty

00:14:00.750 --> 00:14:02.471
percent there and you can just focus on

00:14:02.490 --> 00:14:03.171
the last twenty percent,

00:14:03.211 --> 00:14:04.511
like you would do that.

00:14:05.013 --> 00:14:06.833
That makes sense.

00:14:07.553 --> 00:14:09.335
Access, access to chainsaws,

00:14:09.375 --> 00:14:11.376
to machines to cut down trees like this

00:14:11.437 --> 00:14:12.317
one feels more efficient,

00:14:12.336 --> 00:14:13.658
but I still need someone to do the

00:14:13.677 --> 00:14:13.937
thing.

00:14:13.957 --> 00:14:15.578
But now that person is doing the higher

00:14:15.659 --> 00:14:16.080
end thing.

00:14:16.100 --> 00:14:16.759
Right.

00:14:16.840 --> 00:14:17.360
And I think I mean,

00:14:17.380 --> 00:14:19.522
it's always easy for people to feel

00:14:20.142 --> 00:14:21.663
threatened by technology.

00:14:21.724 --> 00:14:23.504
I mean, everyone just self-preservation.

00:14:23.725 --> 00:14:24.524
It's human nature.

00:14:25.025 --> 00:14:25.206
But

00:14:26.836 --> 00:14:30.018
have i mean this is happening it's already

00:14:30.118 --> 00:14:32.177
i mean it's happening it's not coming it's

00:14:32.217 --> 00:14:34.318
here no it's here and like as just

00:14:34.339 --> 00:14:36.239
what has happened within you know the last

00:14:36.339 --> 00:14:39.820
week between gpt health and and then uh

00:14:39.879 --> 00:14:42.360
claude right like i mean it's it's here

00:14:42.380 --> 00:14:44.061
and how many people i do it myself

00:14:44.481 --> 00:14:45.942
like so i got blood work and i

00:14:46.101 --> 00:14:47.282
submitted it to gpt i was like what

00:14:47.302 --> 00:14:49.202
the hell does all this mean right and

00:14:49.243 --> 00:14:51.222
then and then i had my pcp meeting

00:14:51.302 --> 00:14:53.283
and i'm like sure enough that's exactly

00:14:53.303 --> 00:14:53.663
what it was

00:14:54.894 --> 00:14:55.395
Okay.

00:14:55.456 --> 00:14:58.422
Now you still want to have, like,

00:14:58.542 --> 00:14:59.725
it's good to give you information.

00:14:59.764 --> 00:15:00.767
You still want to validate that

00:15:00.787 --> 00:15:01.347
information,

00:15:01.408 --> 00:15:03.631
but it gets you closer to that source

00:15:03.672 --> 00:15:04.232
of truth quicker.

00:15:05.590 --> 00:15:08.052
How do you pitch this model to payers?

00:15:08.072 --> 00:15:09.452
Because now we need to go from idea

00:15:09.493 --> 00:15:11.956
and practice to a translation of

00:15:11.995 --> 00:15:12.777
resources, money.

00:15:13.376 --> 00:15:14.697
And how do you pitch this to payers?

00:15:14.798 --> 00:15:17.100
And what metrics actually get their

00:15:17.140 --> 00:15:17.581
attention?

00:15:18.142 --> 00:15:21.524
In computer vision or KPIs or dashboards,

00:15:21.764 --> 00:15:23.447
we can measure a lot of things.

00:15:23.846 --> 00:15:25.788
But which ones actually pass what I call

00:15:25.808 --> 00:15:27.730
the eyebrow test that they actually get

00:15:27.750 --> 00:15:29.312
their attention and make them raise their

00:15:29.352 --> 00:15:29.592
eyebrow?

00:15:30.409 --> 00:15:32.010
Yeah, I mean, the pitch is simple.

00:15:32.051 --> 00:15:32.270
It's like,

00:15:32.291 --> 00:15:34.091
do you want to expand access to

00:15:34.652 --> 00:15:36.711
conservative care, virtual PT,

00:15:38.153 --> 00:15:40.274
and improve engagement,

00:15:40.974 --> 00:15:42.193
not compromise outcomes,

00:15:42.595 --> 00:15:43.335
and save on costs?

00:15:43.355 --> 00:15:46.076
And they're like, yes, please.

00:15:46.436 --> 00:15:47.196
Keep talking.

00:15:47.355 --> 00:15:47.756
Got it.

00:15:48.057 --> 00:15:49.736
Let me understand what are those metrics,

00:15:49.797 --> 00:15:50.037
right?

00:15:50.477 --> 00:15:52.057
And so you start breaking it down kind

00:15:52.097 --> 00:15:55.339
of compared to traditional published stats

00:15:55.599 --> 00:15:57.179
on in-person PT.

00:15:57.820 --> 00:15:59.581
And so one big thing is completion rate.

00:16:00.668 --> 00:16:02.210
And completion rates a little fuzzy

00:16:02.269 --> 00:16:03.870
because like what you see published

00:16:03.931 --> 00:16:05.432
online, you know, they say,

00:16:05.491 --> 00:16:07.714
thirty percent of patients complete their

00:16:07.793 --> 00:16:08.573
prescribed PT.

00:16:09.095 --> 00:16:10.195
Well, what's prescribed PT?

00:16:10.254 --> 00:16:12.417
Well, it's what was prescribed for them.

00:16:12.937 --> 00:16:13.197
Right.

00:16:13.456 --> 00:16:16.058
And you're like, OK, but like, you know,

00:16:16.458 --> 00:16:18.301
for us, it's almost sixty percent.

00:16:19.480 --> 00:16:22.003
And then it's like, OK, and then,

00:16:22.523 --> 00:16:22.923
you know,

00:16:22.964 --> 00:16:24.325
how what's their engagement rate?

00:16:24.745 --> 00:16:25.625
And that's what I was like telling you

00:16:25.645 --> 00:16:27.025
is like, you know, on average,

00:16:27.226 --> 00:16:28.606
our completed episodes have thirty four

00:16:28.647 --> 00:16:28.888
visits.

00:16:30.187 --> 00:16:32.008
So you're not talking like eight, right?

00:16:32.629 --> 00:16:33.989
And so you're talking meaningful visits.

00:16:34.009 --> 00:16:35.188
And then you're like, okay,

00:16:35.229 --> 00:16:37.230
what's the wait time?

00:16:37.809 --> 00:16:37.990
Well,

00:16:38.009 --> 00:16:39.529
typically the eval happens within a week

00:16:39.549 --> 00:16:40.090
from referral.

00:16:40.630 --> 00:16:42.331
So you don't have patients waiting to try

00:16:42.370 --> 00:16:42.931
to get care.

00:16:43.211 --> 00:16:43.750
Like, all right.

00:16:44.270 --> 00:16:46.331
And then you get into clinical outcomes.

00:16:46.351 --> 00:16:47.172
You look at pain.

00:16:48.091 --> 00:16:50.753
And over several thousands of patients,

00:16:51.393 --> 00:16:53.833
both chronic and post-op,

00:16:54.693 --> 00:16:56.894
our average reported pain reduction is

00:16:57.315 --> 00:16:58.394
sixty eight percent.

00:16:59.886 --> 00:17:00.447
Like, okay.

00:17:00.466 --> 00:17:01.327
All right.

00:17:01.368 --> 00:17:02.168
And then the costs.

00:17:02.349 --> 00:17:02.649
All right.

00:17:02.688 --> 00:17:03.850
You're doing all this and the cost,

00:17:03.889 --> 00:17:05.171
what would the cost look like?

00:17:05.891 --> 00:17:07.352
Our average episode of care is four

00:17:07.372 --> 00:17:09.953
hundred fifty dollars.

00:17:09.973 --> 00:17:12.055
You take that across the different

00:17:12.115 --> 00:17:13.115
averages, cost of care,

00:17:13.155 --> 00:17:15.938
it can save upwards of seventy percent and

00:17:15.978 --> 00:17:16.657
care delivery.

00:17:17.179 --> 00:17:18.019
And on top of all that,

00:17:18.058 --> 00:17:19.740
we collect all the data and report all

00:17:19.759 --> 00:17:20.340
the data back.

00:17:20.480 --> 00:17:23.363
So they have complete visibility via APIs

00:17:23.482 --> 00:17:24.604
all time, real time.

00:17:24.683 --> 00:17:25.263
What's happening?

00:17:25.884 --> 00:17:26.865
Yeah.

00:17:26.904 --> 00:17:29.446
The set checks pretty much all the boxes.

00:17:30.079 --> 00:17:30.440
Yep.

00:17:30.460 --> 00:17:32.520
Understand whoever you're talking with,

00:17:33.541 --> 00:17:35.123
what matters to them.

00:17:35.923 --> 00:17:37.564
And if you can speak to how what

00:17:37.644 --> 00:17:40.505
you have matters to them, things,

00:17:40.525 --> 00:17:41.165
they're not perfect,

00:17:41.226 --> 00:17:42.906
but they sure do get a lot easier.

00:17:43.366 --> 00:17:46.067
You get to either know or yes, faster.

00:17:46.468 --> 00:17:47.209
And that's okay.

00:17:47.229 --> 00:17:48.128
If it's not going to work,

00:17:48.148 --> 00:17:49.670
it's not right, that's sort of okay.

00:17:50.170 --> 00:17:52.131
But you get there faster when you can

00:17:52.171 --> 00:17:53.352
talk in someone's language.

00:17:53.372 --> 00:17:53.692
Right.

00:17:53.852 --> 00:17:54.553
Let me ask you,

00:17:54.573 --> 00:17:56.013
let me ask you a weird question.

00:17:56.354 --> 00:17:58.855
I was at an APTA, Ryan's like, okay.

00:17:59.115 --> 00:18:00.897
Uh, I was at an APTA New Jersey,

00:18:01.238 --> 00:18:02.778
uh, event last weekend just for students.

00:18:02.798 --> 00:18:03.960
It was like their student conclave.

00:18:04.500 --> 00:18:06.221
If you were talking to PT students and

00:18:06.241 --> 00:18:08.864
that's the ultimate self preservation,

00:18:08.963 --> 00:18:10.365
I don't even know the light at the

00:18:10.384 --> 00:18:11.526
end of the tunnel might be a train,

00:18:11.566 --> 00:18:12.246
but it might be the end of a

00:18:12.307 --> 00:18:12.686
tunnel.

00:18:12.767 --> 00:18:12.886
Um,

00:18:13.267 --> 00:18:13.667
what,

00:18:13.788 --> 00:18:15.788
what future would you paint for them?

00:18:16.009 --> 00:18:17.309
Cause they're the ones who are just,

00:18:17.410 --> 00:18:18.471
they're about to, you know,

00:18:18.510 --> 00:18:19.672
be sort of kicked out of the nest.

00:18:19.991 --> 00:18:22.192
So room full of PT, PTA students, what,

00:18:22.373 --> 00:18:22.534
what,

00:18:22.673 --> 00:18:24.154
what would you paint in terms of a

00:18:24.214 --> 00:18:25.335
view of the future look like?

00:18:26.635 --> 00:18:29.438
I think a lot more people are going

00:18:29.478 --> 00:18:31.619
to be accessing physical therapy in the

00:18:31.640 --> 00:18:33.480
future.

00:18:33.500 --> 00:18:34.241
We wanted that, right?

00:18:34.382 --> 00:18:34.801
Yeah.

00:18:36.403 --> 00:18:36.643
Right.

00:18:36.682 --> 00:18:37.864
But the way they do it is not

00:18:37.884 --> 00:18:39.464
going to be the way it's historically been

00:18:39.505 --> 00:18:39.765
done.

00:18:39.825 --> 00:18:41.105
That'll continue to stay.

00:18:41.205 --> 00:18:41.846
That'll be there.

00:18:41.987 --> 00:18:42.146
But,

00:18:42.741 --> 00:18:44.644
these doors are going to open and people

00:18:44.683 --> 00:18:46.305
are going to start accessing this

00:18:46.345 --> 00:18:46.904
profession,

00:18:46.924 --> 00:18:49.007
this expertise from a multitude of

00:18:49.027 --> 00:18:49.688
different angles.

00:18:50.407 --> 00:18:52.890
And the more you embrace that and adopt

00:18:52.910 --> 00:18:53.711
that, the better you're going to be.

00:18:53.730 --> 00:18:54.231
Yeah.

00:18:55.392 --> 00:18:56.153
It's gotta be right.

00:18:56.173 --> 00:18:56.292
I mean,

00:18:56.313 --> 00:18:57.855
the only constant is change is such a

00:18:57.894 --> 00:18:58.375
cliche.

00:18:58.394 --> 00:18:58.694
It's like,

00:18:58.734 --> 00:19:01.356
but the reason they're cliches is they

00:19:01.416 --> 00:19:02.739
stick around and they're, you know,

00:19:02.778 --> 00:19:03.398
you can plug them in.

00:19:03.419 --> 00:19:04.019
I mean, I,

00:19:05.713 --> 00:19:06.453
And this is cliche as well,

00:19:06.473 --> 00:19:07.375
because they say it all the time,

00:19:07.394 --> 00:19:07.694
but I mean,

00:19:07.734 --> 00:19:11.656
patients are consumers and like all of us

00:19:11.696 --> 00:19:13.758
buy shit and all of us want convenience.

00:19:13.798 --> 00:19:14.617
We all love Amazon,

00:19:14.637 --> 00:19:15.877
how quickly our stuff gets to us,

00:19:15.978 --> 00:19:18.239
like and how easy it is to return

00:19:18.299 --> 00:19:20.299
and like convenience is just real.

00:19:21.260 --> 00:19:22.740
And so that's going to make its way

00:19:22.760 --> 00:19:24.622
through and technology can make things

00:19:24.741 --> 00:19:25.843
infinitely more convenient.

00:19:26.623 --> 00:19:27.624
Doesn't mean it's always appropriate,

00:19:28.144 --> 00:19:28.903
right?

00:19:28.943 --> 00:19:29.944
That's why you need to have that

00:19:29.984 --> 00:19:31.585
governance and that regulatory governance

00:19:31.625 --> 00:19:31.865
there,

00:19:31.984 --> 00:19:34.125
but it's going to break down these walls

00:19:34.205 --> 00:19:35.567
of access quite a bit.

00:19:35.926 --> 00:19:36.067
Yeah,

00:19:36.086 --> 00:19:38.688
as my livestream co-host Tony Maritato

00:19:38.708 --> 00:19:39.548
would say, well, you know,

00:19:39.568 --> 00:19:41.169
some people might push back and say, well,

00:19:41.189 --> 00:19:42.309
this isn't quality care.

00:19:43.202 --> 00:19:44.983
And I would say quality to who?

00:19:45.064 --> 00:19:46.164
Who gets to define that?

00:19:46.704 --> 00:19:47.605
Exactly.

00:19:47.625 --> 00:19:49.586
I understand what Smith & Walensky's is

00:19:49.626 --> 00:19:50.907
and I understand what Wendy's is.

00:19:51.107 --> 00:19:52.509
And I understand when I want one and

00:19:52.548 --> 00:19:52.909
the other.

00:19:53.709 --> 00:19:56.230
And I make decisions based on my need

00:19:56.490 --> 00:19:57.811
now and what I value.

00:19:58.592 --> 00:20:00.073
And that's not the same for everybody all

00:20:00.113 --> 00:20:00.452
the time.

00:20:00.472 --> 00:20:03.055
You can have two people that are very

00:20:03.095 --> 00:20:03.414
hungry.

00:20:03.914 --> 00:20:05.195
Some people can afford a steakhouse.

00:20:05.236 --> 00:20:05.635
Some can't.

00:20:05.655 --> 00:20:06.797
They still need to eat.

00:20:08.222 --> 00:20:09.544
And wouldn't it be better if?

00:20:09.924 --> 00:20:10.565
Wouldn't it be better?

00:20:10.605 --> 00:20:12.125
You just mentioned this is going to open

00:20:12.186 --> 00:20:12.886
up access.

00:20:13.948 --> 00:20:15.910
I don't think you'd find a PT who

00:20:15.930 --> 00:20:16.830
would be against that.

00:20:17.131 --> 00:20:19.833
This offers another door to walk through.

00:20:19.853 --> 00:20:20.834
Are you against that?

00:20:21.555 --> 00:20:24.037
But I understand going full circle why

00:20:24.116 --> 00:20:26.298
someone might be afraid of this,

00:20:26.919 --> 00:20:27.539
making an assumption,

00:20:27.859 --> 00:20:29.362
self-preservation like you pointed out.

00:20:29.682 --> 00:20:31.584
The answer is always in an emotion,

00:20:31.884 --> 00:20:33.025
a root-based emotion.

00:20:33.384 --> 00:20:33.724
It is.

00:20:34.286 --> 00:20:34.465
I mean,

00:20:34.506 --> 00:20:36.086
you think of like schools that freaked out

00:20:36.106 --> 00:20:37.567
when the calculator wasn't that.

00:20:37.627 --> 00:20:37.847
Sure.

00:20:37.929 --> 00:20:38.068
Right.

00:20:38.348 --> 00:20:39.230
Like, you know,

00:20:40.150 --> 00:20:41.790
I know now like universities are talking

00:20:41.810 --> 00:20:43.192
about, you know, infusing AI.

00:20:43.393 --> 00:20:45.134
It's like, we can't fight it.

00:20:45.855 --> 00:20:46.154
Yes.

00:20:46.474 --> 00:20:47.015
They're using it.

00:20:47.296 --> 00:20:48.477
How do they use it as a tool?

00:20:48.517 --> 00:20:48.777
Right.

00:20:48.797 --> 00:20:49.738
And I'm like, yeah,

00:20:49.758 --> 00:20:50.337
when I was in school,

00:20:50.397 --> 00:20:52.179
I had like the cards with the encyclopedia

00:20:52.199 --> 00:20:52.880
and all that kind of, I mean,

00:20:52.900 --> 00:20:54.340
that was just access to knowledge.

00:20:54.381 --> 00:20:55.061
Correct.

00:20:55.102 --> 00:20:56.623
This is access to knowledge.

00:20:56.982 --> 00:20:57.202
Right.

00:20:57.222 --> 00:20:57.763
So how do you,

00:20:57.983 --> 00:20:59.924
it's going to be a tool that everybody's

00:21:00.005 --> 00:21:00.746
using moving forward.

00:21:00.766 --> 00:21:01.767
So how do you make sure people know

00:21:01.787 --> 00:21:02.207
how to use it?

00:21:02.594 --> 00:21:02.753
Yeah,

00:21:03.173 --> 00:21:05.194
I was in college when Napster came about

00:21:05.275 --> 00:21:06.615
and that was going to change the world,

00:21:06.736 --> 00:21:06.915
right?

00:21:06.935 --> 00:21:08.256
So for Pete, here's the funny part.

00:21:08.276 --> 00:21:09.436
We're so far away from Napster,

00:21:09.777 --> 00:21:10.997
half the audience doesn't know what it is.

00:21:11.396 --> 00:21:13.557
It was an app that you downloaded and

00:21:13.577 --> 00:21:14.298
then you could,

00:21:14.318 --> 00:21:15.939
it was a file sharing service,

00:21:15.979 --> 00:21:17.480
which doesn't sound very sexy,

00:21:17.960 --> 00:21:19.901
except if you're like MP threes,

00:21:19.980 --> 00:21:21.000
which I didn't know what the hell they

00:21:21.040 --> 00:21:22.221
were until they were a thing.

00:21:23.221 --> 00:21:24.863
You essentially now had access to

00:21:25.883 --> 00:21:27.443
virtually any song ever recorded.

00:21:27.463 --> 00:21:28.304
So you could go on there and just

00:21:28.364 --> 00:21:29.565
get them for free.

00:21:29.585 --> 00:21:30.825
Without paying, right?

00:21:30.964 --> 00:21:31.585
Without paying.

00:21:31.825 --> 00:21:33.346
So this is where it's so funny,

00:21:33.826 --> 00:21:35.626
looking back, Metallica,

00:21:35.926 --> 00:21:38.469
who could be seen as this, you know,

00:21:40.249 --> 00:21:41.410
we're anti-everything,

00:21:41.569 --> 00:21:44.290
they were the ones who were raging against

00:21:44.371 --> 00:21:47.792
Napster, which I understand.

00:21:47.853 --> 00:21:48.452
Listen, hey,

00:21:48.492 --> 00:21:49.973
if anybody can just get our music,

00:21:50.314 --> 00:21:51.875
this is how we feed our families.

00:21:52.914 --> 00:21:53.634
Which I understand.

00:21:54.076 --> 00:21:54.695
And then someone,

00:21:54.756 --> 00:21:55.916
I think it was Dave Grohl from the

00:21:55.957 --> 00:21:57.136
Foo Fighters, came along and was like,

00:21:57.176 --> 00:21:58.557
listen, you can try...

00:21:59.198 --> 00:22:00.337
to yell and scream,

00:22:00.357 --> 00:22:01.778
to legislate against technology,

00:22:02.439 --> 00:22:03.979
I can also go down to the beach

00:22:04.019 --> 00:22:05.859
and scream at the tide not to come

00:22:05.940 --> 00:22:06.039
in.

00:22:06.359 --> 00:22:08.039
It just ain't going to do anything,

00:22:08.099 --> 00:22:09.579
except make I'm going to go horse.

00:22:10.621 --> 00:22:11.641
You can even bring a lot of people

00:22:11.681 --> 00:22:13.040
and a lot of shovels and brooms.

00:22:13.540 --> 00:22:14.662
Tide's coming in, my man.

00:22:14.801 --> 00:22:17.061
Tide and technology, very similar.

00:22:18.182 --> 00:22:18.622
For sure.

00:22:18.682 --> 00:22:19.962
And then I would argue,

00:22:20.143 --> 00:22:20.982
how great is Spotify?

00:22:21.868 --> 00:22:22.529
Right, right.

00:22:23.170 --> 00:22:24.310
So that's the funny part.

00:22:24.371 --> 00:22:26.592
It's probably not going to look like this,

00:22:26.833 --> 00:22:27.853
just like this.

00:22:28.212 --> 00:22:29.213
This is the beginning of the tide.

00:22:29.233 --> 00:22:30.734
It's going to look like Spotify.

00:22:30.934 --> 00:22:32.596
We couldn't picture Spotify when we were

00:22:32.616 --> 00:22:34.218
just MP three downloading.

00:22:35.077 --> 00:22:37.740
But as long as there's a reasonable value

00:22:37.799 --> 00:22:39.340
prop, I mean, for me, Apple Music,

00:22:39.381 --> 00:22:40.741
ten bucks a month and I get whatever

00:22:40.761 --> 00:22:41.102
I want.

00:22:41.122 --> 00:22:41.363
Great.

00:22:41.442 --> 00:22:41.682
Sold.

00:22:41.762 --> 00:22:42.743
Here's ten dollars.

00:22:42.943 --> 00:22:43.604
Have a great day.

00:22:44.064 --> 00:22:45.384
To me, this is fair.

00:22:45.645 --> 00:22:47.527
I hope the artists get paid well and

00:22:47.686 --> 00:22:48.627
Nary the Twain shall meet.

00:22:49.028 --> 00:22:50.068
There will be something...

00:22:51.400 --> 00:22:52.800
we talk about sword and hinge and we're

00:22:52.820 --> 00:22:54.661
like, Oh, Oh, it's never going to,

00:22:54.681 --> 00:22:55.402
this is going to fail.

00:22:55.422 --> 00:22:55.602
I go,

00:22:55.662 --> 00:22:57.303
it's not going to be like this five

00:22:57.343 --> 00:22:57.803
years from now.

00:22:58.022 --> 00:22:59.103
We're still toddlers.

00:22:59.703 --> 00:23:01.023
We're going to laugh at this time.

00:23:01.084 --> 00:23:01.584
Cause we're like, Oh,

00:23:01.604 --> 00:23:02.305
how did they not see?

00:23:02.365 --> 00:23:03.305
It was supposed to be like this.

00:23:03.505 --> 00:23:04.045
Cause we couldn't,

00:23:04.065 --> 00:23:05.605
we can't see around corners just yet.

00:23:05.905 --> 00:23:06.866
So it'll be something.

00:23:07.126 --> 00:23:08.467
It won't be exactly like this,

00:23:09.087 --> 00:23:10.147
but it's not going away.

00:23:10.188 --> 00:23:11.489
No matter how much you yell.

00:23:11.848 --> 00:23:12.729
It's not, it's not.

00:23:12.868 --> 00:23:15.190
And sword and hinge, you know,

00:23:15.230 --> 00:23:16.871
proved that there's, uh,

00:23:17.855 --> 00:23:19.936
a market for tech enabled services.

00:23:20.357 --> 00:23:21.298
Right.

00:23:21.617 --> 00:23:24.579
And we all know how big this space

00:23:24.660 --> 00:23:26.840
is and how big they are,

00:23:26.861 --> 00:23:28.662
but how small they are compared to this

00:23:28.682 --> 00:23:29.323
whole space.

00:23:29.702 --> 00:23:31.183
And but I think

00:23:32.970 --> 00:23:35.653
there's the opportunity of embracing this

00:23:35.673 --> 00:23:36.493
tech-enabled care,

00:23:36.554 --> 00:23:38.656
but doing it under a pure medical model

00:23:38.876 --> 00:23:41.078
and doing it by PTs and doing it

00:23:41.200 --> 00:23:43.402
referral-based and integrated into where

00:23:43.461 --> 00:23:44.884
patients actually access care.

00:23:45.505 --> 00:23:47.807
And that's where it's ultimately gonna

00:23:47.846 --> 00:23:48.107
land.

00:23:48.468 --> 00:23:48.807
Agreed.

00:23:48.827 --> 00:23:50.009
All right, we're gonna play a quick game.

00:23:50.029 --> 00:23:51.171
You ready for a quick game?

00:23:51.191 --> 00:23:51.270
Sure.

00:23:51.371 --> 00:23:52.152
Let's do it.

00:23:56.005 --> 00:23:57.645
it's called the access challenge don't

00:23:57.665 --> 00:23:58.965
think just answer i'm going to give you

00:23:59.226 --> 00:24:01.606
i'm going to give you uh uh a

00:24:01.666 --> 00:24:03.387
quick question first thing that comes to

00:24:03.407 --> 00:24:05.068
your mind like you're you know a

00:24:05.088 --> 00:24:07.589
psychologist right word associate what is

00:24:07.630 --> 00:24:10.330
the most frustrating barrier to care in

00:24:10.371 --> 00:24:12.132
your mind what's the most frustrating

00:24:12.172 --> 00:24:17.054
barrier to care referrals okay one feature

00:24:17.253 --> 00:24:20.394
every aipt tool must have

00:24:24.073 --> 00:24:25.973
describe auto documentation i mean if it

00:24:25.993 --> 00:24:28.195
doesn't you're gonna that's the lowest

00:24:28.236 --> 00:24:30.656
hanging fruit it is uh people will skip

00:24:30.678 --> 00:24:32.979
it uh worst excuse for not showing up

00:24:33.019 --> 00:24:36.902
to pt worst excuse for not showing up

00:24:36.922 --> 00:24:40.284
to pt that's interesting uh traditional

00:24:40.324 --> 00:24:46.347
versus you know now virtual right uh i

00:24:46.367 --> 00:24:48.148
mean i guess now worse for us worse

00:24:48.189 --> 00:24:48.869
excuses for god

00:24:49.829 --> 00:24:50.150
Right.

00:24:50.190 --> 00:24:50.570
Forgot.

00:24:50.651 --> 00:24:51.771
Or I was going to say time.

00:24:51.791 --> 00:24:52.172
It's like, well,

00:24:52.192 --> 00:24:52.932
you can do this when you want.

00:24:53.073 --> 00:24:53.972
So you're just,

00:24:54.173 --> 00:24:55.414
all you're doing is you're just taking the

00:24:55.434 --> 00:24:56.055
bullets out of the gun.

00:24:56.075 --> 00:24:56.295
You're like,

00:24:56.394 --> 00:24:57.796
we're going to make sure you've got no

00:24:57.856 --> 00:24:58.116
excuses.

00:24:58.136 --> 00:24:59.258
There's no excuses left in the,

00:24:59.298 --> 00:25:00.018
in the reminders.

00:25:00.038 --> 00:25:00.999
You're going to do it whenever you need,

00:25:01.019 --> 00:25:01.819
whenever you can.

00:25:02.380 --> 00:25:02.599
Right.

00:25:03.060 --> 00:25:05.643
One healthcare buzzword that you hate.

00:25:05.843 --> 00:25:07.124
What is a word that you hate?

00:25:07.144 --> 00:25:08.944
You're like, Oh God, cringe this again.

00:25:08.986 --> 00:25:11.968
Oh, that's a good question.

00:25:14.130 --> 00:25:16.111
It is funny because I actually don't like

00:25:16.250 --> 00:25:17.112
AI.

00:25:17.192 --> 00:25:19.253
It's so, it got old fast.

00:25:19.273 --> 00:25:19.354
Yeah.

00:25:20.871 --> 00:25:21.250
Like, it's just...

00:25:21.270 --> 00:25:23.432
It becomes whitewashing, and, like,

00:25:24.134 --> 00:25:25.994
it's just... I prefer... I mean,

00:25:26.015 --> 00:25:27.516
it's just tech-enabled care, but, like,

00:25:27.596 --> 00:25:29.498
everything's now .ai, .this, like,

00:25:29.597 --> 00:25:31.419
and all that.

00:25:31.519 --> 00:25:33.641
Yeah, it got real stale real fast.

00:25:34.142 --> 00:25:37.724
Your favorite non-healthcare tech product.

00:25:37.785 --> 00:25:40.326
What is your favorite non-healthcare tech

00:25:40.346 --> 00:25:40.747
product?

00:25:40.767 --> 00:25:44.769
Oh, man, all my tech is around healthcare.

00:25:44.789 --> 00:25:49.294
It's probably...

00:25:52.063 --> 00:25:53.023
It's probably my – I have like Tonal

00:25:53.044 --> 00:25:54.023
and Peloton and all this stuff,

00:25:54.044 --> 00:25:54.744
and I just got the ring.

00:25:54.785 --> 00:25:55.765
I got all this healthcare stuff.

00:25:55.785 --> 00:25:56.786
Yeah, yeah, yeah.

00:25:56.846 --> 00:25:57.807
That's a shock, by the way.

00:25:57.886 --> 00:25:59.708
I'm shocked.

00:26:00.028 --> 00:26:02.068
I actually really just like the AirPod

00:26:02.108 --> 00:26:02.548
Maxes.

00:26:02.930 --> 00:26:03.630
Hell, yeah.

00:26:03.670 --> 00:26:04.671
Noise-canceling, man.

00:26:05.070 --> 00:26:06.531
Yeah.

00:26:06.571 --> 00:26:07.792
It's funny because I'll work out with

00:26:07.833 --> 00:26:10.394
those because they don't fall out or the

00:26:10.433 --> 00:26:12.695
pros in will pop out all the time,

00:26:13.296 --> 00:26:14.896
and they really isolate you.

00:26:15.492 --> 00:26:17.575
really simple mine I can now start my

00:26:17.615 --> 00:26:19.998
car with my phone which this is the

00:26:20.018 --> 00:26:21.019
first time I've ever had an app and

00:26:21.038 --> 00:26:23.942
I'm like I can make seats I can

00:26:24.022 --> 00:26:26.305
butt warm the seats like before you know

00:26:26.644 --> 00:26:28.386
and not just from a range like just

00:26:28.406 --> 00:26:29.509
with a key I'm like oh look at

00:26:29.528 --> 00:26:30.910
the app I still have no idea how

00:26:30.930 --> 00:26:32.412
the hell my car has Wi-Fi I don't

00:26:32.432 --> 00:26:33.212
even know if it does I don't know

00:26:33.232 --> 00:26:33.932
how it works I don't care

00:26:34.653 --> 00:26:35.355
Last question.

00:26:35.634 --> 00:26:38.298
What's the next profession AI will

00:26:38.337 --> 00:26:38.939
disrupt?

00:26:39.278 --> 00:26:40.840
Like, PT is already here,

00:26:40.881 --> 00:26:42.461
but what do you think the next profession?

00:26:42.481 --> 00:26:42.782
I mean,

00:26:42.803 --> 00:26:43.644
the answer is going to be all of

00:26:43.663 --> 00:26:43.784
them.

00:26:44.605 --> 00:26:45.945
What is the one that hasn't been touched

00:26:46.006 --> 00:26:48.848
yet and you think it will?

00:26:48.868 --> 00:26:49.970
I think it's going to go into...

00:26:51.007 --> 00:26:52.887
I mean, it's the next wave of giving,

00:26:52.968 --> 00:26:54.548
putting AI into the physical world is

00:26:54.568 --> 00:26:55.349
through robotics.

00:26:55.490 --> 00:26:58.111
And so it's like, you know,

00:26:58.131 --> 00:27:00.173
just recently Atlas with Boston Dynamics

00:27:00.192 --> 00:27:00.893
for manufacturing,

00:27:00.913 --> 00:27:02.253
those robots are pretty wild.

00:27:02.354 --> 00:27:03.755
They are wild.

00:27:03.775 --> 00:27:06.196
And then the humanoid robot wave is

00:27:06.257 --> 00:27:06.636
coming.

00:27:07.814 --> 00:27:08.295
We'll see.

00:27:09.036 --> 00:27:10.739
It's going to have an adoption curve to

00:27:10.798 --> 00:27:11.800
it because I know a lot of people

00:27:11.820 --> 00:27:13.502
have freaked them out, understandably so.

00:27:13.603 --> 00:27:16.548
But a lot of the stuff where people

00:27:16.567 --> 00:27:17.169
are like, oh, well,

00:27:17.189 --> 00:27:18.590
it's contained in software,

00:27:19.112 --> 00:27:21.075
it's going to be broken free of that

00:27:21.115 --> 00:27:21.415
form.

00:27:21.949 --> 00:27:22.990
Yeah, I agree.

00:27:23.450 --> 00:27:23.589
I mean,

00:27:23.609 --> 00:27:24.911
I've seen some of those robots and I'm

00:27:24.931 --> 00:27:26.392
like, you guys saw Terminator.

00:27:26.451 --> 00:27:28.114
Why are you designing to look just like

00:27:28.153 --> 00:27:28.334
that?

00:27:28.574 --> 00:27:29.474
You saw the end.

00:27:29.615 --> 00:27:30.035
But I mean,

00:27:30.075 --> 00:27:32.196
I guess history repeats itself, right?

00:27:32.217 --> 00:27:32.477
Well,

00:27:32.737 --> 00:27:35.019
I believe that the development of all this

00:27:35.038 --> 00:27:37.240
technology is all inspired because of what

00:27:37.299 --> 00:27:39.000
these leaders saw when they were young,

00:27:39.481 --> 00:27:39.761
right?

00:27:39.902 --> 00:27:42.564
And so it's kind of like the entertainment

00:27:42.624 --> 00:27:44.285
industry is almost like laying the

00:27:44.325 --> 00:27:46.346
groundwork of where people want to go.

00:27:46.366 --> 00:27:48.127
I mean, when you call your robot Optimus,

00:27:48.749 --> 00:27:48.969
Right.

00:27:50.259 --> 00:27:51.019
It's going to happen.

00:27:51.079 --> 00:27:53.942
This is why the phrase art imitates life.

00:27:54.923 --> 00:27:56.704
It's like, well, now life imitates art.

00:27:56.904 --> 00:27:58.145
This is a circle.

00:27:58.986 --> 00:28:00.007
All right, you're off the hot seat.

00:28:00.086 --> 00:28:01.228
Last thing we do, as you know,

00:28:01.268 --> 00:28:02.308
is the parting shot.

00:28:02.348 --> 00:28:05.231
This is the parting shot.

00:28:05.811 --> 00:28:07.192
One last mic drop moment.

00:28:07.894 --> 00:28:08.694
No pressure.

00:28:09.134 --> 00:28:11.237
Just your legacy on the line.

00:28:12.517 --> 00:28:14.057
All right, thanks to Empower EMR,

00:28:14.097 --> 00:28:16.519
the platform giving clinics simplifying

00:28:16.578 --> 00:28:17.239
documentation,

00:28:17.298 --> 00:28:18.638
improved patient engagement,

00:28:18.699 --> 00:28:20.740
and get their life and time back.

00:28:21.160 --> 00:28:23.020
Your EMR doesn't have to be painful.

00:28:23.080 --> 00:28:23.842
That is a choice.

00:28:23.942 --> 00:28:25.261
You are choosing a pain in the ass

00:28:25.342 --> 00:28:25.662
EMR.

00:28:26.403 --> 00:28:27.303
As long as you pick the right one,

00:28:27.442 --> 00:28:28.423
and I know the change,

00:28:29.044 --> 00:28:29.644
it's a pain in the ass.

00:28:29.663 --> 00:28:30.384
You're like, oh my God,

00:28:30.403 --> 00:28:31.084
I changed my EMR.

00:28:31.104 --> 00:28:31.964
I'm not even thinking about that.

00:28:32.464 --> 00:28:34.205
They'll make it simple and they'll walk

00:28:34.246 --> 00:28:34.625
you through it.

00:28:34.665 --> 00:28:35.925
Kick the tires, light the fires,

00:28:35.965 --> 00:28:37.987
EmpowerEMR.com.

00:28:38.027 --> 00:28:39.008
All right, Ryan, parting shot,

00:28:39.028 --> 00:28:40.647
your last chance for a mic drop moment,

00:28:40.667 --> 00:28:41.388
soapbox statement,

00:28:41.429 --> 00:28:42.209
whatever you want it to be.

00:28:43.131 --> 00:28:44.652
It's really super simple.

00:28:44.672 --> 00:28:47.173
Let's just stop protecting the past and

00:28:47.212 --> 00:28:48.273
start preparing for the future.

00:28:48.713 --> 00:28:49.913
Ooh, yes.

00:28:49.993 --> 00:28:51.095
Spoken like someone right at the

00:28:51.134 --> 00:28:52.816
intersection of where it's sort of all

00:28:52.836 --> 00:28:53.135
happening.

00:28:53.635 --> 00:28:54.616
Where can people go?

00:28:54.977 --> 00:28:55.856
I'll put it in the show notes,

00:28:55.876 --> 00:28:57.137
but where can people go to find out

00:28:57.238 --> 00:28:58.419
more and interact with you and the

00:28:58.459 --> 00:28:58.959
organization?

00:28:59.231 --> 00:28:59.471
Yeah.

00:28:59.853 --> 00:29:00.992
I mean, laneofhealth.com,

00:29:01.114 --> 00:29:02.314
and you can fill out forms if you

00:29:02.354 --> 00:29:02.934
want to check it out,

00:29:02.974 --> 00:29:03.796
do a deeper dive.

00:29:03.855 --> 00:29:05.076
If you just want to connect with us

00:29:05.156 --> 00:29:05.656
personally,

00:29:05.737 --> 00:29:08.519
LinkedIn's the best platform for us.

00:29:08.638 --> 00:29:09.339
Yeah.

00:29:09.400 --> 00:29:09.779
Try it.

00:29:09.839 --> 00:29:12.001
Go down to the beach and yell sternly

00:29:12.021 --> 00:29:13.282
at the tide to not come in,

00:29:13.603 --> 00:29:14.584
and then let me know how that works.

00:29:14.604 --> 00:29:16.164
Do the same for technology.

00:29:16.424 --> 00:29:18.467
Let me know how that works.

00:29:18.886 --> 00:29:19.708
That was the rule when I was a

00:29:19.728 --> 00:29:20.147
lifeguard.

00:29:20.268 --> 00:29:21.849
Never turn your back on the ocean.

00:29:21.910 --> 00:29:23.211
That's when a wave kicks your ass.

00:29:23.250 --> 00:29:23.310
See?

00:29:23.330 --> 00:29:24.652
I was a lifeguard, too.

00:29:25.942 --> 00:29:26.463
That's it.

00:29:26.825 --> 00:29:28.026
Never turn your back to a wave.

00:29:28.046 --> 00:29:29.228
Dude, you're going to get your ass kicked.

00:29:29.949 --> 00:29:32.132
Don't do the same to technology.

00:29:32.172 --> 00:29:34.694
Turn your back and you will get run.

00:29:36.214 --> 00:29:37.276
That's it for this one,

00:29:37.556 --> 00:29:39.237
but we're just getting warmed up.

00:29:39.698 --> 00:29:41.598
Smash follow, send it to a friend,

00:29:41.818 --> 00:29:43.480
or crank up the next episode.

00:29:44.000 --> 00:29:45.020
Want to go deeper?

00:29:45.362 --> 00:29:49.403
Hit us at pgpinecast.com or find us on

00:29:49.443 --> 00:29:52.006
YouTube and socials at pgpinecast.

00:29:52.406 --> 00:29:54.688
And legally, none of this was advice.

00:29:54.768 --> 00:29:56.489
It's for entertainment purposes only.

00:29:56.509 --> 00:29:57.390
See you.

00:29:57.529 --> 00:29:58.750
Bulls**t. See, Keith?

00:29:58.971 --> 00:30:00.031
We read the script.

00:30:00.332 --> 00:30:01.012
Happy now?