May 29, 2025

The AI Shift in PT: Letting Go, Leveling Up

The AI Shift in PT: Letting Go, Leveling Up
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Tony Maritato and Dave Kittle return to PT Pintcast with a deep (and hilarious) dive into the future of physical therapy, AI’s role in care, and how clinicians can thrive by adapting—not resisting.


Transcript
WEBVTT

00:00:09.368 --> 00:00:09.669
All right,

00:00:09.689 --> 00:00:11.369
we're doing PT Breakfast Club a

00:00:11.390 --> 00:00:11.971
little early.

00:00:12.131 --> 00:00:14.551
I'm on the left coast today.

00:00:14.612 --> 00:00:15.872
I've only been out here a couple times,

00:00:15.932 --> 00:00:17.234
but I'm near San Francisco.

00:00:17.254 --> 00:00:18.875
So I'm doing it live at five thirty.

00:00:18.934 --> 00:00:20.696
I must like you guys without coffee,

00:00:20.716 --> 00:00:21.977
by the way, because the downstairs,

00:00:21.996 --> 00:00:23.277
the breakfast at the hotel

00:00:23.317 --> 00:00:24.818
lobby didn't crank in front

00:00:24.838 --> 00:00:25.439
of the thirty minutes.

00:00:25.478 --> 00:00:26.800
But Tony Maritella,

00:00:26.839 --> 00:00:27.980
you're up and you're up and

00:00:28.179 --> 00:00:29.460
about here at eight thirty

00:00:29.481 --> 00:00:30.321
in the morning on the East Coast.

00:00:30.341 --> 00:00:30.762
What's going on?

00:00:31.202 --> 00:00:32.143
Yeah, not much.

00:00:32.203 --> 00:00:33.664
It's beautiful, beautiful,

00:00:33.804 --> 00:00:35.344
sunny day here in Ohio.

00:00:36.109 --> 00:00:37.731
I already started treating patients.

00:00:37.790 --> 00:00:39.591
Dave Kittle is out for the day.

00:00:39.731 --> 00:00:41.133
I'm not sure what he's doing,

00:00:41.173 --> 00:00:42.973
but he's out and about.

00:00:43.234 --> 00:00:46.396
So I wanted to ask you,

00:00:46.435 --> 00:00:47.796
you and I had talked about

00:00:47.877 --> 00:00:50.597
this a while back today on the episode.

00:00:50.618 --> 00:00:52.079
I want to talk about AI agents.

00:00:52.939 --> 00:00:53.700
Jerry Durham,

00:00:54.000 --> 00:00:55.081
I still don't know exactly

00:00:55.100 --> 00:00:55.661
what he's doing,

00:00:55.680 --> 00:00:56.881
but he's doing a ton of stuff,

00:00:56.942 --> 00:00:57.621
it sounds like,

00:00:57.661 --> 00:00:59.904
with AI agents and automating things.

00:01:01.124 --> 00:01:02.604
I want to talk about not

00:01:02.685 --> 00:01:04.146
selling the outcome.

00:01:04.465 --> 00:01:06.727
which is what most of the

00:01:06.766 --> 00:01:09.009
time I'm hearing people say.

00:01:09.088 --> 00:01:10.430
People say, sell the outcome,

00:01:10.489 --> 00:01:12.010
sell the dream, sell the vision,

00:01:12.811 --> 00:01:14.331
sell the European trip,

00:01:14.412 --> 00:01:17.433
not the flight there, not the TSA,

00:01:17.513 --> 00:01:18.694
not the baggage check,

00:01:18.995 --> 00:01:20.956
not the screaming kid kicking your seat.

00:01:21.837 --> 00:01:22.257
I don't know.

00:01:22.337 --> 00:01:23.518
I don't think we can get

00:01:23.558 --> 00:01:25.019
away with selling the outcome.

00:01:25.498 --> 00:01:26.719
There's a part of that,

00:01:27.659 --> 00:01:28.980
but the reality is,

00:01:29.677 --> 00:01:30.878
We're the ones in the

00:01:30.918 --> 00:01:32.477
trenches actually having to

00:01:32.518 --> 00:01:34.858
make the patient do the exercise.

00:01:34.938 --> 00:01:35.879
We're the ones having to

00:01:36.340 --> 00:01:37.820
make the patient do the

00:01:37.840 --> 00:01:38.740
thing that they probably

00:01:38.801 --> 00:01:39.861
didn't want to do.

00:01:40.781 --> 00:01:42.563
I think we have to focus on

00:01:42.623 --> 00:01:43.942
attracting patients who

00:01:44.483 --> 00:01:46.965
want the experience, want the adventure.

00:01:47.344 --> 00:01:48.424
And I was thinking about this,

00:01:48.465 --> 00:01:49.445
and I'll turn it over to you.

00:01:50.355 --> 00:01:51.737
This morning, I'm talking to my wife.

00:01:51.897 --> 00:01:52.998
We have our coffee.

00:01:53.040 --> 00:01:53.941
We're just hanging out.

00:01:54.361 --> 00:01:55.061
We're chit-chatting.

00:01:55.102 --> 00:01:55.643
And she was like,

00:01:56.183 --> 00:01:58.006
why are so many women in

00:01:58.046 --> 00:02:00.429
particular so afraid of

00:02:00.509 --> 00:02:01.611
lifting heavy weights?

00:02:02.070 --> 00:02:03.412
And I think CrossFit did a

00:02:03.453 --> 00:02:05.695
lot to help change that paradigm.

00:02:06.316 --> 00:02:07.977
But even within my family,

00:02:08.296 --> 00:02:10.918
I've got women in their fifties, sixties,

00:02:10.978 --> 00:02:11.258
you know,

00:02:11.397 --> 00:02:14.179
in-laws and different people

00:02:14.199 --> 00:02:15.199
that I'm associated with.

00:02:15.778 --> 00:02:16.860
You give them an eight pound

00:02:16.919 --> 00:02:18.020
dumbbell and you would

00:02:18.060 --> 00:02:19.819
think you ask them to lift

00:02:19.840 --> 00:02:21.040
one hundred and fifty

00:02:21.080 --> 00:02:22.080
percent of their body weight,

00:02:22.121 --> 00:02:25.141
which should be lifted like a reasonable.

00:02:25.882 --> 00:02:26.701
So the question is.

00:02:27.830 --> 00:02:30.453
Why are we so scared to lift heavy things?

00:02:31.653 --> 00:02:34.275
Why are we not more focused

00:02:34.354 --> 00:02:36.537
in therapy on selling and

00:02:36.576 --> 00:02:37.897
packaging the experience

00:02:37.918 --> 00:02:38.777
rather than the outcome?

00:02:38.818 --> 00:02:39.799
The outcome doesn't matter.

00:02:40.479 --> 00:02:41.879
Even if you give them pain relief,

00:02:41.941 --> 00:02:42.741
it's temporary.

00:02:42.820 --> 00:02:43.662
Everybody's going to get

00:02:43.701 --> 00:02:45.603
pain again of some kind.

00:02:46.302 --> 00:02:48.664
Let's focus on marketing the experience.

00:02:49.224 --> 00:02:49.365
Yeah,

00:02:49.406 --> 00:02:50.746
Rory Sutherland is big on this where

00:02:50.786 --> 00:02:51.206
he says,

00:02:52.038 --> 00:02:53.319
Well, OK,

00:02:53.340 --> 00:02:54.881
so who does sell the outcome in

00:02:54.961 --> 00:02:56.682
our profession or in health care?

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And I found this when I was

00:02:58.463 --> 00:02:59.185
treating patients,

00:02:59.465 --> 00:03:01.627
which was patients would

00:03:01.667 --> 00:03:03.348
come post knee replacement,

00:03:04.449 --> 00:03:06.230
hip replacement, some surgery,

00:03:06.751 --> 00:03:07.211
and they would say,

00:03:07.331 --> 00:03:09.193
I don't understand any of this like this.

00:03:09.674 --> 00:03:10.875
This was not in the brochure.

00:03:11.534 --> 00:03:13.116
Somebody, maybe a surgeon,

00:03:13.157 --> 00:03:15.157
had sold the outcome, which is, hey,

00:03:15.538 --> 00:03:16.558
twelve months from now,

00:03:16.598 --> 00:03:17.980
you'll be able to do those things.

00:03:18.802 --> 00:03:19.843
What they forgot to mention

00:03:19.864 --> 00:03:21.004
was the thing that you'll

00:03:21.025 --> 00:03:21.945
need to do or the things

00:03:21.966 --> 00:03:23.467
that you'll need to do from

00:03:23.787 --> 00:03:25.628
day one post-surgery until

00:03:25.649 --> 00:03:26.449
that twelve months.

00:03:26.830 --> 00:03:27.689
And unfortunately,

00:03:27.931 --> 00:03:29.632
PTs were sort of caught in the crossfire.

00:03:29.931 --> 00:03:30.733
We were now looked at.

00:03:30.752 --> 00:03:31.173
This was not.

00:03:31.233 --> 00:03:32.394
Am I an abnormality?

00:03:32.454 --> 00:03:33.314
Is this going wrong?

00:03:34.536 --> 00:03:35.616
So Rory Sutherland talks

00:03:35.657 --> 00:03:36.617
about this in terms of

00:03:36.758 --> 00:03:38.939
people don't fear necessarily pain.

00:03:39.599 --> 00:03:40.882
People fear uncertainty

00:03:41.461 --> 00:03:42.342
where I think people are

00:03:42.423 --> 00:03:43.683
smart enough to know that, like,

00:03:44.283 --> 00:03:45.825
if I'm going through physical therapy,

00:03:46.186 --> 00:03:46.686
it's,

00:03:47.026 --> 00:03:48.747
there'll be something physical on it.

00:03:49.326 --> 00:03:50.627
And most of them are smart

00:03:50.668 --> 00:03:51.328
enough to know it's not

00:03:51.388 --> 00:03:53.169
just something physical a

00:03:53.209 --> 00:03:54.530
therapist is going to do to them.

00:03:54.610 --> 00:03:55.770
So they don't necessarily

00:03:55.790 --> 00:03:57.311
fear the pain or the

00:03:57.350 --> 00:03:59.132
difficulty or the lifting of the weights.

00:03:59.151 --> 00:04:00.793
They fear the uncertainty of knowing like,

00:04:00.913 --> 00:04:01.812
is this going to work?

00:04:01.872 --> 00:04:02.973
How hard will it actually be?

00:04:03.033 --> 00:04:03.954
Will I be able to do it?

00:04:03.973 --> 00:04:04.794
Will I keep up with it?

00:04:05.215 --> 00:04:06.496
So the worst part of PT isn't

00:04:07.295 --> 00:04:09.237
maybe the actual things that you're doing,

00:04:09.358 --> 00:04:10.299
it's the not knowing.

00:04:10.399 --> 00:04:12.181
So going along your lines of saying,

00:04:12.520 --> 00:04:13.581
don't just sell the outcome.

00:04:13.641 --> 00:04:14.562
Don't just sell the lifting

00:04:14.582 --> 00:04:15.503
the grandkids again.

00:04:15.544 --> 00:04:15.824
Be like,

00:04:16.384 --> 00:04:18.367
I've seen a lot of great PTs and a

00:04:18.406 --> 00:04:19.848
lot of people in business too.

00:04:20.869 --> 00:04:23.011
You get to the no as quickly as possible.

00:04:23.331 --> 00:04:24.512
Like that's one of the ideas.

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Get to the no as quickly as possible.

00:04:26.634 --> 00:04:27.035
Meaning,

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you want to weed people out who are,

00:04:29.913 --> 00:04:30.754
who aren't going to make it

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past visit three.

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Anyway, this isn't going to be for you.

00:04:33.394 --> 00:04:33.595
Right.

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I'm, you know, fight club them.

00:04:35.435 --> 00:04:35.997
And I think I have to

00:04:36.016 --> 00:04:37.117
qualify down that because

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of the movie has been out for so long.

00:04:39.197 --> 00:04:40.338
Fight club them is, you know,

00:04:40.379 --> 00:04:41.738
there was this super elite

00:04:41.778 --> 00:04:42.959
underground fight club in a

00:04:43.000 --> 00:04:44.961
movie with Brad Pitt and Ed

00:04:45.000 --> 00:04:47.382
Norton and anybody that wanted to apply.

00:04:47.822 --> 00:04:48.963
I don't think I have to say spoiler alert.

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If the movie is more than two years old,

00:04:50.262 --> 00:04:51.303
right.

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Anybody that wanted to apply

00:04:52.483 --> 00:04:54.084
to get into this, like it was a cult.

00:04:54.125 --> 00:04:55.526
I mean, essentially what fight club was,

00:04:55.545 --> 00:04:56.086
it was a cult,

00:04:56.125 --> 00:04:57.466
but anybody that wanted to get in,

00:04:58.478 --> 00:04:59.660
you'd be originally told no.

00:05:00.100 --> 00:05:01.983
Like, no, you're too, and the person,

00:05:02.023 --> 00:05:02.963
if the person was tall,

00:05:02.983 --> 00:05:03.504
they were too tall.

00:05:03.524 --> 00:05:04.564
If they were short, they were too short.

00:05:04.584 --> 00:05:05.665
If they were fat, they were too fat.

00:05:06.166 --> 00:05:07.168
So you had to fight club them.

00:05:07.968 --> 00:05:08.970
And then the idea was if

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they stuck around long enough,

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they were the people who

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actually wanted to get in.

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Academics feels a lot like this.

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A job that you want,

00:05:16.391 --> 00:05:17.391
like really a tough job

00:05:17.411 --> 00:05:18.172
that you're really reaching

00:05:18.211 --> 00:05:19.733
for feels like this because

00:05:20.173 --> 00:05:21.413
usually you're denied once

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and you've got to go

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through another acceptance process again.

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So everybody wants to know

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how long this will take.

00:05:26.656 --> 00:05:27.416
Am I doing it right?

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Is this even working?

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I think what's worse than a

00:05:31.678 --> 00:05:34.240
difficult journey is when

00:05:34.261 --> 00:05:36.201
you don't know when the end is.

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So instead of just selling

00:05:38.947 --> 00:05:40.208
the outcome or not selling

00:05:40.228 --> 00:05:41.350
the outcome or not selling the outcome,

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I think you should show,

00:05:43.172 --> 00:05:45.995
if you create and sell clarity,

00:05:46.637 --> 00:05:47.338
that's something that's

00:05:47.377 --> 00:05:48.038
even more powerful.

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So I was just working with a

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patient ten minutes ago and

00:05:52.843 --> 00:05:54.242
we were talking about some

00:05:54.543 --> 00:05:56.324
painful areas on his body.

00:05:56.384 --> 00:05:58.403
And he was saying, you know, man,

00:05:58.423 --> 00:05:59.985
this thing is just not getting better.

00:06:00.024 --> 00:06:01.725
And I was like, you know, I mean,

00:06:01.745 --> 00:06:03.565
it might never get better.

00:06:03.745 --> 00:06:05.326
And I said air quotes better

00:06:05.365 --> 00:06:06.886
because I'm like,

00:06:06.925 --> 00:06:08.206
it's it's it's one of those

00:06:08.247 --> 00:06:10.326
things that they're degenerative changes.

00:06:10.346 --> 00:06:11.387
There's other stuff that

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absolutely we can't change.

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It's not about feeling good

00:06:15.531 --> 00:06:16.913
or getting to that point

00:06:17.035 --> 00:06:18.456
where you're quote healed.

00:06:18.978 --> 00:06:19.918
It's about the journey.

00:06:19.959 --> 00:06:21.341
It's about coming in every day.

00:06:21.382 --> 00:06:22.343
It's about working out.

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It's about getting stronger

00:06:23.665 --> 00:06:25.588
and improving yourself.

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And I feel like,

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If we talk about burnout and

00:06:29.781 --> 00:06:31.483
frustration and therapists

00:06:31.502 --> 00:06:32.903
who just feel like they're

00:06:32.944 --> 00:06:33.845
treading water and they're

00:06:33.865 --> 00:06:34.985
never getting anywhere.

00:06:35.446 --> 00:06:37.608
Because we're trying to help consumers,

00:06:37.649 --> 00:06:38.009
again,

00:06:38.048 --> 00:06:40.250
that don't really want what we want

00:06:40.290 --> 00:06:41.192
them to want.

00:06:41.833 --> 00:06:43.935
I think if we do what CrossFit did,

00:06:43.995 --> 00:06:44.975
what yoga does,

00:06:45.016 --> 00:06:46.817
what all these other brands do.

00:06:47.437 --> 00:06:49.620
They repel the wrong people.

00:06:49.660 --> 00:06:51.180
They attract the right people.

00:06:51.982 --> 00:06:53.603
You did a triathlon, right?

00:06:53.642 --> 00:06:54.403
You did the Iron.

00:06:54.684 --> 00:06:55.564
I was the Ironman.

00:06:55.584 --> 00:06:55.665
Yeah.

00:06:56.324 --> 00:06:58.447
So so that takes a very

00:06:58.507 --> 00:06:59.968
special kind of human

00:07:00.148 --> 00:07:01.189
wanting to achieve a

00:07:01.249 --> 00:07:02.529
special kind of thing.

00:07:02.990 --> 00:07:05.112
And it wasn't just about, you know,

00:07:05.372 --> 00:07:06.293
how you place.

00:07:06.372 --> 00:07:08.615
It was about the experience of doing it.

00:07:08.634 --> 00:07:09.194
It was.

00:07:10.136 --> 00:07:11.476
I feel like we need to

00:07:11.497 --> 00:07:12.677
figure out for ourselves, OK,

00:07:12.918 --> 00:07:14.459
what do I deliver for me?

00:07:15.220 --> 00:07:16.701
I don't deliver pain relief.

00:07:16.742 --> 00:07:18.925
Pain relief is a lucky, you know,

00:07:19.524 --> 00:07:20.507
lucky thing that might

00:07:20.567 --> 00:07:22.488
happen because even if we

00:07:22.928 --> 00:07:24.130
achieve pain relief today,

00:07:24.170 --> 00:07:25.653
I don't have pain relief tomorrow.

00:07:25.793 --> 00:07:27.074
Like there's no guarantee.

00:07:27.894 --> 00:07:31.059
I want to achieve for me, education,

00:07:31.360 --> 00:07:33.362
information, empowerment,

00:07:33.716 --> 00:07:35.978
I want you to feel good doing hard things.

00:07:36.317 --> 00:07:37.918
And I want people coming to

00:07:37.959 --> 00:07:39.920
me that want that experience.

00:07:40.439 --> 00:07:41.560
And so that's what I try to

00:07:41.600 --> 00:07:42.841
convey in my messaging.

00:07:43.201 --> 00:07:44.341
That's what I try and convey

00:07:44.382 --> 00:07:46.242
in my ads and my social media.

00:07:46.682 --> 00:07:49.204
It's not about achieving pain relief.

00:07:49.644 --> 00:07:51.526
It's about doing more things

00:07:51.665 --> 00:07:52.725
with the same pain,

00:07:52.786 --> 00:07:53.887
maybe even with more pain,

00:07:53.927 --> 00:07:55.348
like pain is just a part of life.

00:07:55.367 --> 00:07:55.767
We can't

00:07:56.168 --> 00:07:57.809
be void of pain forever.

00:07:57.829 --> 00:08:00.529
And I think that would help

00:08:00.569 --> 00:08:02.411
just so many therapists,

00:08:02.810 --> 00:08:04.672
if they embrace that, hey,

00:08:04.732 --> 00:08:06.932
we're not a drug that relieves pain,

00:08:07.192 --> 00:08:08.612
you know, maybe some people do.

00:08:09.153 --> 00:08:09.913
But the rest of us,

00:08:09.954 --> 00:08:11.553
we want you to want to be healthy.

00:08:11.834 --> 00:08:13.855
We want you to want to do hard things.

00:08:13.915 --> 00:08:15.355
We want you to not be scared

00:08:15.396 --> 00:08:16.836
of lifting eight pounds,

00:08:17.377 --> 00:08:18.737
when it's reasonable that

00:08:18.776 --> 00:08:19.778
you should be lifting a

00:08:19.817 --> 00:08:20.858
hundred and eight pounds.

00:08:22.399 --> 00:08:26.081
So I sort of took this into account,

00:08:26.583 --> 00:08:27.023
I think,

00:08:27.163 --> 00:08:29.625
maybe on my own experience of not

00:08:29.685 --> 00:08:30.185
understanding, like,

00:08:30.204 --> 00:08:30.865
where are we in this?

00:08:31.045 --> 00:08:32.586
Like, wait, was this forever or whatever?

00:08:33.008 --> 00:08:36.330
So this is a dummy account.

00:08:36.409 --> 00:08:38.871
This is the Othellus AI scribe.

00:08:39.472 --> 00:08:40.692
And I've been playing around with this.

00:08:41.514 --> 00:08:42.115
one of the things that

00:08:42.134 --> 00:08:43.916
allows you to do is when you're done,

00:08:43.995 --> 00:08:44.557
when it's every,

00:08:44.616 --> 00:08:45.417
everyone knows an AI scribe

00:08:45.437 --> 00:08:46.717
will write the note for you, right?

00:08:46.758 --> 00:08:48.379
It'll suggest billing codes, yada, yada,

00:08:48.419 --> 00:08:48.620
yada.

00:08:49.080 --> 00:08:50.822
What I like about this one too is it'll,

00:08:51.081 --> 00:08:52.363
it'll create an email for

00:08:52.403 --> 00:08:54.825
the patient and the referring provider,

00:08:55.485 --> 00:08:57.567
but then I can go in and judge up.

00:08:57.746 --> 00:08:58.548
How do I write?

00:08:58.827 --> 00:08:59.327
Number one,

00:08:59.629 --> 00:09:02.150
at no point will any email I send say,

00:09:02.171 --> 00:09:03.611
I hope this email finds you well.

00:09:03.692 --> 00:09:04.692
Like I literally wrote that

00:09:04.893 --> 00:09:06.573
if that comes out, that is,

00:09:06.734 --> 00:09:08.154
I've been kidnapped by the way.

00:09:08.294 --> 00:09:08.816
Like that's my,

00:09:09.456 --> 00:09:10.376
If I've been kidnapped,

00:09:10.878 --> 00:09:11.878
I will give you a proof of

00:09:11.937 --> 00:09:12.519
life and it'll say,

00:09:12.538 --> 00:09:13.440
I hope this finds you well.

00:09:14.019 --> 00:09:15.421
Blink three times if you're not okay.

00:09:15.621 --> 00:09:18.063
So I literally put that in the prompt.

00:09:18.203 --> 00:09:19.404
Do not say cliches like,

00:09:19.445 --> 00:09:20.405
I hope this email finds you well.

00:09:20.985 --> 00:09:22.788
But it might be hard to see here,

00:09:22.807 --> 00:09:25.029
but it says, based on similar cases...

00:09:27.586 --> 00:09:28.826
I'd say you're currently at

00:09:28.846 --> 00:09:30.107
about sixty percent of your

00:09:30.168 --> 00:09:31.469
normal status with our plan.

00:09:31.489 --> 00:09:32.490
We aim to get you as close

00:09:32.509 --> 00:09:34.091
to one hundred and dancing

00:09:34.111 --> 00:09:34.591
without issues.

00:09:34.611 --> 00:09:37.234
This is like a mock patient

00:09:37.595 --> 00:09:38.735
who hurt herself dancing.

00:09:39.436 --> 00:09:40.437
But I think if you set the

00:09:40.496 --> 00:09:42.239
expectation early, they understand like,

00:09:42.298 --> 00:09:43.340
OK, I'm going to buckle.

00:09:43.419 --> 00:09:45.201
I'm going to buckle up or OK,

00:09:45.461 --> 00:09:47.943
like we're we're almost towards the end.

00:09:49.105 --> 00:09:50.186
If I just finish this thing,

00:09:50.206 --> 00:09:51.145
I'll get a little a little

00:09:51.187 --> 00:09:51.886
bit more out of it.

00:09:51.927 --> 00:09:53.488
Both of those things are clarity.

00:09:53.808 --> 00:09:55.149
They're setting you up for success.

00:09:56.794 --> 00:09:58.394
at least being okay with what,

00:09:58.495 --> 00:09:59.956
or understanding, not even being okay,

00:10:00.296 --> 00:10:02.495
understanding what happens next.

00:10:02.816 --> 00:10:04.355
And I was on a big kick for a while there.

00:10:04.395 --> 00:10:06.897
Like what I think the reason

00:10:07.417 --> 00:10:09.697
for communication is the

00:10:09.758 --> 00:10:11.217
reason for communicating

00:10:11.278 --> 00:10:13.717
isn't to have communicated.

00:10:13.758 --> 00:10:14.378
Like the reason for,

00:10:14.658 --> 00:10:15.798
for going to the gym isn't

00:10:16.259 --> 00:10:17.479
to have gone to the gym.

00:10:17.899 --> 00:10:20.080
It's to elicit a change, right?

00:10:20.179 --> 00:10:21.059
I know that going to the gym

00:10:21.080 --> 00:10:22.360
and doing whatever I do isn't going to,

00:10:23.034 --> 00:10:23.754
be the whole thing,

00:10:24.075 --> 00:10:25.196
but it's going to elicit a

00:10:25.235 --> 00:10:26.956
small change and then change over time.

00:10:27.437 --> 00:10:27.537
Well,

00:10:27.557 --> 00:10:29.456
the goal of communication is to have

00:10:29.476 --> 00:10:32.118
it is to achieve understanding, right?

00:10:32.557 --> 00:10:34.399
So I give this example too, which is like,

00:10:34.479 --> 00:10:35.058
I could be the most

00:10:35.139 --> 00:10:37.419
efficient third grade teacher ever.

00:10:37.559 --> 00:10:38.240
I could save school

00:10:38.279 --> 00:10:39.181
districts so much money.

00:10:39.500 --> 00:10:40.600
I'll teach the entire third

00:10:40.620 --> 00:10:42.981
grade curriculum in like three weeks.

00:10:43.341 --> 00:10:43.662
That's it.

00:10:43.841 --> 00:10:44.503
I could blow, dude,

00:10:44.523 --> 00:10:45.623
I've read the third grade curriculum.

00:10:45.663 --> 00:10:46.643
There's not a whole,

00:10:46.722 --> 00:10:48.024
it hasn't changed since I was in school,

00:10:48.124 --> 00:10:48.344
right?

00:10:48.754 --> 00:10:49.515
So I could rip through that

00:10:49.535 --> 00:10:50.216
whole third grade

00:10:50.636 --> 00:10:51.498
curriculum in three weeks.

00:10:51.817 --> 00:10:51.957
Now,

00:10:52.198 --> 00:10:54.201
I will have a bunch of third graders

00:10:54.640 --> 00:10:56.643
staring at me very confused

00:10:56.663 --> 00:10:58.605
because I went way too fast, you know,

00:10:58.625 --> 00:10:59.586
because if the goal is just

00:10:59.666 --> 00:11:01.748
blow through the curriculum, that's easy.

00:11:01.827 --> 00:11:03.649
I could read out loud and blow through it.

00:11:03.929 --> 00:11:04.750
But if the goal is to make

00:11:04.770 --> 00:11:05.912
sure third graders go from

00:11:05.971 --> 00:11:07.254
not understanding to understanding,

00:11:07.514 --> 00:11:08.033
that's different.

00:11:08.855 --> 00:11:10.076
So understanding what the goal is.

00:11:10.456 --> 00:11:11.255
I think what you're talking

00:11:11.296 --> 00:11:12.356
about is shifting the goal

00:11:12.976 --> 00:11:14.057
of what we're actually

00:11:14.118 --> 00:11:15.077
being able to provide,

00:11:15.398 --> 00:11:16.958
which is the journey.

00:11:17.259 --> 00:11:19.440
And if you don't like this, I can't,

00:11:20.640 --> 00:11:21.301
you're going to hate me.

00:11:21.600 --> 00:11:22.182
I'm really sorry.

00:11:22.221 --> 00:11:22.861
Don't step in here.

00:11:22.902 --> 00:11:23.442
Don't start.

00:11:24.442 --> 00:11:25.823
And we met those people on

00:11:26.124 --> 00:11:27.264
initial evals where you're like,

00:11:27.323 --> 00:11:28.184
this person isn't sticking.

00:11:28.264 --> 00:11:28.865
You know that,

00:11:28.985 --> 00:11:31.686
but you go through it anyway.

00:11:31.767 --> 00:11:33.947
Yeah, I was listening to a guy.

00:11:33.967 --> 00:11:36.528
It's a new to me marketing channel.

00:11:37.339 --> 00:11:38.799
And he was talking about like,

00:11:38.899 --> 00:11:41.802
you don't go to a buffet

00:11:41.841 --> 00:11:43.802
for an amazing steak experience.

00:11:44.082 --> 00:11:44.582
Right.

00:11:44.602 --> 00:11:45.744
You go to a steakhouse.

00:11:45.783 --> 00:11:47.524
It's a completely different experience.

00:11:47.544 --> 00:11:49.125
And I think Dave's not here.

00:11:49.166 --> 00:11:50.647
I was going to talk to him about this.

00:11:50.706 --> 00:11:52.668
Like Dave Kittle would be

00:11:52.707 --> 00:11:54.688
the quintessential steakhouse.

00:11:54.749 --> 00:11:55.350
And you have the

00:11:55.389 --> 00:11:56.890
well-trained server and you

00:11:56.931 --> 00:11:58.091
have the wine list and you

00:11:58.110 --> 00:11:58.831
have all this stuff.

00:11:59.491 --> 00:12:01.974
And then my kids love Golden Corral.

00:12:02.173 --> 00:12:03.995
You know, you go to Golden Corral and,

00:12:04.414 --> 00:12:06.174
For fifteen bucks or whatever it is,

00:12:06.215 --> 00:12:07.296
you've got a thousand

00:12:07.355 --> 00:12:09.495
options and the dessert bar

00:12:09.515 --> 00:12:10.755
and they go straight for that.

00:12:11.836 --> 00:12:13.336
None of the food is amazing,

00:12:13.437 --> 00:12:15.756
but you're not there for amazing food.

00:12:15.777 --> 00:12:16.977
You're there for a breath,

00:12:17.038 --> 00:12:19.437
a wide experience of different foods.

00:12:20.097 --> 00:12:22.359
And the same thing within what we do.

00:12:22.399 --> 00:12:23.979
If you look at most physical

00:12:24.019 --> 00:12:25.379
therapy websites,

00:12:25.979 --> 00:12:28.399
it's more reflective of Golden Corral.

00:12:29.405 --> 00:12:31.428
than it is of a high-end steakhouse.

00:12:31.448 --> 00:12:32.929
Oh, they want anybody and everybody.

00:12:33.191 --> 00:12:35.472
Yeah, like everything is on the menu.

00:12:35.594 --> 00:12:37.115
Everything is being offered.

00:12:37.635 --> 00:12:39.197
None of it is going to be amazing,

00:12:39.258 --> 00:12:40.058
but it's all going to be

00:12:40.119 --> 00:12:41.461
relatively good enough.

00:12:42.041 --> 00:12:42.621
But I just,

00:12:42.701 --> 00:12:44.924
I go back to so many of our listeners,

00:12:45.085 --> 00:12:46.086
people that are paying

00:12:46.125 --> 00:12:47.147
attention to this show,

00:12:47.988 --> 00:12:50.710
You deliver that steakhouse experience,

00:12:50.769 --> 00:12:53.410
fine dining like that's what you want.

00:12:53.711 --> 00:12:54.751
But I don't know that it's

00:12:54.831 --> 00:12:56.793
really conveyed to the right people.

00:12:57.352 --> 00:12:58.553
And then the real killer is

00:12:58.573 --> 00:12:59.953
the person who wants to

00:12:59.994 --> 00:13:01.134
deliver the fine dining

00:13:01.195 --> 00:13:03.796
experience at a buffet style price.

00:13:04.255 --> 00:13:04.336
Yeah.

00:13:04.356 --> 00:13:05.517
And you just you can't burn

00:13:05.537 --> 00:13:06.937
that candle from both ends.

00:13:06.957 --> 00:13:08.258
I was just I was just thinking that.

00:13:08.359 --> 00:13:09.739
And then and then and then hold on.

00:13:09.759 --> 00:13:10.500
There's one more level.

00:13:11.410 --> 00:13:13.251
There's the people who want

00:13:13.292 --> 00:13:14.894
to deliver or they're okay.

00:13:14.933 --> 00:13:15.653
So there's the people who

00:13:15.874 --> 00:13:17.195
are or want to deliver the

00:13:17.235 --> 00:13:19.216
steakhouse feeling Smith

00:13:19.236 --> 00:13:21.717
and Walensky in either a

00:13:21.758 --> 00:13:23.099
Smith and Walensky setting.

00:13:23.440 --> 00:13:24.259
Those people are fine.

00:13:24.880 --> 00:13:25.620
Those people are not in

00:13:25.640 --> 00:13:26.422
Facebook groups pitching.

00:13:26.942 --> 00:13:27.842
They understand who they are,

00:13:27.942 --> 00:13:28.562
what they deliver.

00:13:29.224 --> 00:13:29.943
And if they're not finding

00:13:29.984 --> 00:13:31.365
the people that want to buy it,

00:13:32.066 --> 00:13:32.686
they're either selling the

00:13:32.706 --> 00:13:33.366
wrong thing in the wrong

00:13:33.407 --> 00:13:34.707
place or they're not good at it.

00:13:35.870 --> 00:13:36.491
The person is like,

00:13:36.591 --> 00:13:37.432
I am a high-performance

00:13:37.472 --> 00:13:38.173
physical therapist.

00:13:38.214 --> 00:13:39.534
I'm going to work with elite athletes.

00:13:39.875 --> 00:13:42.538
And enough athletes show up and go, no,

00:13:42.597 --> 00:13:43.219
for whatever reason.

00:13:44.240 --> 00:13:45.000
And those people wash out.

00:13:45.881 --> 00:13:47.923
The funny part comes in when

00:13:47.964 --> 00:13:48.605
the people who are

00:13:48.625 --> 00:13:52.489
delivering or attracting

00:13:52.528 --> 00:13:55.331
buffet-style customers yell

00:13:55.432 --> 00:13:57.254
at the large PT chains for being mills.

00:13:58.407 --> 00:14:00.148
That's the funny part, right?

00:14:00.508 --> 00:14:01.589
So like you said,

00:14:01.729 --> 00:14:02.889
is McDonald's good or bad?

00:14:03.009 --> 00:14:03.590
Oh, it's horrible.

00:14:03.610 --> 00:14:04.130
It's horrible.

00:14:04.630 --> 00:14:06.312
Well, not for, I don't know,

00:14:06.432 --> 00:14:09.114
a million people per day per location.

00:14:09.193 --> 00:14:09.533
I don't know.

00:14:09.553 --> 00:14:10.474
I don't know what the data

00:14:10.533 --> 00:14:12.635
is on each McDonald's franchise.

00:14:12.655 --> 00:14:14.076
But like enough people

00:14:14.817 --> 00:14:16.118
understand what they're

00:14:16.138 --> 00:14:16.937
getting at McDonald's.

00:14:17.058 --> 00:14:18.038
If McDonald's put a filet

00:14:18.058 --> 00:14:19.780
mignon on their –

00:14:19.580 --> 00:14:21.301
menu what like that would be

00:14:21.321 --> 00:14:22.601
a great social experiment

00:14:22.782 --> 00:14:24.322
like what would happen like

00:14:24.743 --> 00:14:26.342
would people not order it

00:14:26.363 --> 00:14:27.083
because like this doesn't

00:14:27.104 --> 00:14:28.465
make sense or they'd be

00:14:28.485 --> 00:14:29.465
like this is a great deal

00:14:29.485 --> 00:14:30.546
because I'm getting a filet

00:14:30.566 --> 00:14:32.407
mignon at McDonald's like

00:14:32.606 --> 00:14:34.687
why don't you think they do

00:14:34.707 --> 00:14:37.288
they could they could it

00:14:37.328 --> 00:14:39.850
doesn't make sense they

00:14:39.889 --> 00:14:41.591
could they choose not to

00:14:41.630 --> 00:14:43.511
because they understand the

00:14:43.572 --> 00:14:44.572
business they're in the

00:14:44.613 --> 00:14:45.712
messaging did you see that

00:14:45.753 --> 00:14:46.714
post that I shared with

00:14:46.793 --> 00:14:49.034
Ronald McDonald no

00:14:49.798 --> 00:14:51.360
Oh, it's on LinkedIn.

00:14:51.421 --> 00:14:52.442
I shared it last night.

00:14:53.423 --> 00:14:55.404
I prompted chat GPT to give

00:14:55.445 --> 00:14:57.486
me an image of Ronald McDonald.

00:14:57.986 --> 00:14:59.327
I said with his big clown

00:14:59.347 --> 00:15:00.490
feet up on the desk,

00:15:00.529 --> 00:15:01.831
hands behind his head,

00:15:02.291 --> 00:15:04.533
stacks of money around him laughing,

00:15:04.592 --> 00:15:06.475
saying, quote, Oh, no,

00:15:06.534 --> 00:15:07.456
they can make a better

00:15:07.515 --> 00:15:09.938
hamburger because the whole

00:15:10.078 --> 00:15:11.600
the whole post was about that.

00:15:12.600 --> 00:15:13.280
McDonald's,

00:15:13.600 --> 00:15:15.182
I showed my kids last night the

00:15:15.221 --> 00:15:17.562
stock chart of McDonald's,

00:15:17.621 --> 00:15:18.682
and it's just a beautiful

00:15:18.761 --> 00:15:20.383
slope up accelerating.

00:15:21.202 --> 00:15:23.663
They make so much money, they don't care.

00:15:23.682 --> 00:15:26.604
Yeah, this was from ChatGPD.

00:15:27.104 --> 00:15:28.705
They don't care about

00:15:28.784 --> 00:15:30.544
everybody else who can make better food.

00:15:31.024 --> 00:15:32.745
They understand the business they're in.

00:15:33.044 --> 00:15:34.725
They serve millions of happy

00:15:34.765 --> 00:15:36.365
customers every single day.

00:15:36.826 --> 00:15:38.346
They don't care what

00:15:38.466 --> 00:15:40.006
everybody else thinks of them.

00:15:40.586 --> 00:15:42.628
The they've embraced who they are,

00:15:42.668 --> 00:15:44.269
what they are, what they do best.

00:15:44.408 --> 00:15:45.889
And they're amazing at it.

00:15:45.990 --> 00:15:46.350
And I mean,

00:15:46.389 --> 00:15:48.250
there's very few stock charts

00:15:48.931 --> 00:15:49.971
over the course of a

00:15:50.030 --> 00:15:51.351
lifetime of the business

00:15:51.371 --> 00:15:52.852
that can show that kind of

00:15:52.932 --> 00:15:53.893
success and growth.

00:15:54.693 --> 00:15:55.953
That's what drives me crazy

00:15:55.974 --> 00:15:58.274
when therapists love to beat up on, quote,

00:15:58.315 --> 00:15:59.875
the mills, corporate PT,

00:15:59.936 --> 00:16:01.015
all this other stuff.

00:16:01.677 --> 00:16:02.897
And in reality,

00:16:03.317 --> 00:16:04.638
they wouldn't exist if

00:16:04.658 --> 00:16:05.859
there wasn't a need,

00:16:05.899 --> 00:16:07.019
if there wasn't demand,

00:16:07.058 --> 00:16:08.639
if they weren't doing something right.

00:16:09.325 --> 00:16:10.470
There's a function and a

00:16:10.509 --> 00:16:12.557
purpose for them in the market.

00:16:15.307 --> 00:16:16.147
So what do you think people

00:16:16.167 --> 00:16:19.447
should take most away from that post?

00:16:20.048 --> 00:16:21.288
To me, I'll tell you what I took away.

00:16:21.308 --> 00:16:22.249
You tell me if that was part

00:16:22.269 --> 00:16:22.808
of your intent.

00:16:23.448 --> 00:16:23.769
To me,

00:16:23.808 --> 00:16:25.929
it's understand what you... Where

00:16:25.950 --> 00:16:26.529
would you start?

00:16:26.990 --> 00:16:27.831
I would start with what you

00:16:27.850 --> 00:16:28.530
want to provide.

00:16:29.291 --> 00:16:31.111
Because if you come into a

00:16:31.152 --> 00:16:32.152
profession or if you're like,

00:16:32.172 --> 00:16:33.292
I'm going to open a business and look,

00:16:33.312 --> 00:16:34.192
there's a big need,

00:16:34.832 --> 00:16:35.692
you could be successful.

00:16:35.913 --> 00:16:36.732
But if you don't like it,

00:16:37.013 --> 00:16:39.014
six months or a year down the line,

00:16:40.130 --> 00:16:40.811
You're going to hate it.

00:16:40.990 --> 00:16:41.191
Right.

00:16:41.211 --> 00:16:42.951
So I think start with what you like to do.

00:16:43.412 --> 00:16:44.432
And if it's working with

00:16:44.572 --> 00:16:46.413
this type of patient or

00:16:46.533 --> 00:16:48.193
doing these types of things, start there.

00:16:48.875 --> 00:16:49.794
Then you have to look at if

00:16:50.134 --> 00:16:51.255
if there's a need for it,

00:16:51.355 --> 00:16:52.495
like maybe you're in a

00:16:52.515 --> 00:16:53.996
really saturated market.

00:16:54.437 --> 00:16:54.777
Right.

00:16:54.817 --> 00:16:55.937
So then you have to change.

00:16:55.998 --> 00:16:57.177
You can't be McDonald's.

00:16:57.197 --> 00:17:01.100
You have to be Wendy's, which is similar.

00:17:01.600 --> 00:17:03.159
But they make a point of

00:17:03.240 --> 00:17:04.621
pointing out where their differences are.

00:17:05.280 --> 00:17:05.500
Right.

00:17:05.540 --> 00:17:06.781
So what was the what do you

00:17:06.842 --> 00:17:07.721
what were you hoping people

00:17:07.741 --> 00:17:09.222
were taking away from from that?

00:17:10.271 --> 00:17:11.491
I think my main intent with

00:17:11.531 --> 00:17:13.593
that post was really just to say,

00:17:13.833 --> 00:17:14.133
you know,

00:17:14.353 --> 00:17:16.673
it doesn't matter what you like.

00:17:16.713 --> 00:17:18.394
It doesn't matter what you want.

00:17:18.555 --> 00:17:19.474
I'm going to go opposite of

00:17:19.515 --> 00:17:22.395
what you said in the sense that, like,

00:17:22.435 --> 00:17:23.455
just look at nature.

00:17:23.576 --> 00:17:25.656
Like, you can't control nature.

00:17:25.676 --> 00:17:26.576
You know, the rhino.

00:17:27.201 --> 00:17:28.702
is like the perfect

00:17:29.483 --> 00:17:31.025
amalgamation of all of

00:17:31.065 --> 00:17:32.546
these different traits for

00:17:32.586 --> 00:17:33.946
the environment the rhino

00:17:33.988 --> 00:17:34.847
is supposed to live in.

00:17:35.368 --> 00:17:36.829
Put the rhino in Manhattan,

00:17:36.990 --> 00:17:38.471
he's going to die.

00:17:38.490 --> 00:17:39.291
He just can't survive.

00:17:40.092 --> 00:17:40.853
So it's like,

00:17:41.574 --> 00:17:43.915
I don't think about what I want.

00:17:44.516 --> 00:17:45.596
I think about what the

00:17:45.636 --> 00:17:46.837
environment supports,

00:17:47.818 --> 00:17:49.160
what is already proven to

00:17:49.180 --> 00:17:50.681
be successful out there,

00:17:51.181 --> 00:17:52.962
and is there an opportunity

00:17:53.002 --> 00:17:54.223
for me to build something

00:17:54.243 --> 00:17:55.345
that's going to fit into

00:17:55.424 --> 00:17:56.546
that environment?

00:17:57.086 --> 00:17:59.108
If I want to go big, if I want to scale,

00:17:59.148 --> 00:18:00.190
if I want hundreds of

00:18:00.250 --> 00:18:02.492
locations and a thousand therapists,

00:18:02.973 --> 00:18:04.095
that is going to be a very

00:18:04.194 --> 00:18:06.678
different animal than if I

00:18:06.698 --> 00:18:09.761
want to do just me doing, you know,

00:18:09.882 --> 00:18:11.865
manual therapy for sixty minutes,

00:18:11.984 --> 00:18:13.446
one on one with every individual.

00:18:14.186 --> 00:18:16.729
And if that's the business

00:18:16.749 --> 00:18:17.529
that I'm going to build,

00:18:17.569 --> 00:18:18.471
then I'm going to do it at

00:18:18.530 --> 00:18:19.751
a three hundred, four hundred,

00:18:19.791 --> 00:18:22.034
five hundred dollar price point,

00:18:22.795 --> 00:18:25.096
not at Medicare reimbursement rates.

00:18:25.636 --> 00:18:27.479
But I have to put that

00:18:27.618 --> 00:18:29.201
animal in the right environment.

00:18:29.740 --> 00:18:30.622
I can't force the

00:18:30.682 --> 00:18:32.503
environment to accept the

00:18:32.624 --> 00:18:34.265
animal that I want to deliver to it.

00:18:34.305 --> 00:18:34.526
Right.

00:18:35.226 --> 00:18:36.205
I was saying start with what

00:18:36.226 --> 00:18:38.186
you want because if you're

00:18:38.207 --> 00:18:39.666
actually starting a business,

00:18:40.028 --> 00:18:41.307
I don't know that you'd

00:18:41.428 --> 00:18:42.508
want to keep doing it.

00:18:42.647 --> 00:18:43.147
Ask yourself,

00:18:43.248 --> 00:18:44.848
is this the business I

00:18:44.868 --> 00:18:45.588
actually want to get in?

00:18:45.868 --> 00:18:46.769
Because I think a problem

00:18:46.789 --> 00:18:48.430
comes in a lot of times

00:18:48.470 --> 00:18:51.070
when people start in two ways.

00:18:51.671 --> 00:18:53.332
They conform to what they

00:18:53.372 --> 00:18:54.112
think they need to do.

00:18:55.123 --> 00:18:55.303
Right.

00:18:55.323 --> 00:18:56.784
Well, this is how it's going to be.

00:18:56.943 --> 00:18:57.544
And you hear those people

00:18:57.564 --> 00:18:58.224
complaining a lot.

00:18:58.265 --> 00:18:59.325
And then three years in, they're like,

00:18:59.625 --> 00:19:00.445
I'm still doing this

00:19:00.465 --> 00:19:01.385
because the goal was to do

00:19:01.405 --> 00:19:02.346
this and then change.

00:19:03.086 --> 00:19:04.567
And yet you built a business

00:19:04.587 --> 00:19:05.709
that was built on this.

00:19:06.989 --> 00:19:07.349
Or.

00:19:09.611 --> 00:19:09.810
Yeah,

00:19:09.851 --> 00:19:11.112
not understanding what you will

00:19:11.152 --> 00:19:12.491
actually drive you like I

00:19:12.531 --> 00:19:13.313
knew in PT school,

00:19:13.333 --> 00:19:14.333
I didn't want to do patient care,

00:19:14.452 --> 00:19:15.394
but I kept going because

00:19:15.413 --> 00:19:16.755
that's what I was supposed to do.

00:19:16.875 --> 00:19:17.134
Yeah,

00:19:17.394 --> 00:19:19.115
I'm halfway through the degree and

00:19:19.155 --> 00:19:20.036
I'll learn to like it.

00:19:20.336 --> 00:19:21.057
And I was surrounded by

00:19:21.136 --> 00:19:22.278
thirty seven other people.

00:19:23.099 --> 00:19:23.960
who the more they did it,

00:19:23.980 --> 00:19:25.140
the more they liked it,

00:19:25.299 --> 00:19:25.861
or at least that that's

00:19:25.881 --> 00:19:26.520
what they were saying.

00:19:26.560 --> 00:19:29.201
And I was like, Oh man, I'm the,

00:19:29.300 --> 00:19:30.362
I'm the mole of the group.

00:19:30.422 --> 00:19:31.021
Like, what do I,

00:19:31.061 --> 00:19:31.981
what am I supposed to do here?

00:19:32.001 --> 00:19:32.622
But I knew.

00:19:32.761 --> 00:19:33.682
And then I tried a couple of

00:19:33.701 --> 00:19:34.241
different settings.

00:19:34.262 --> 00:19:37.123
I was like, I it's, it's not, it's not me.

00:19:37.303 --> 00:19:38.722
I don't, I don't like what is me.

00:19:38.884 --> 00:19:39.763
I don't like this.

00:19:40.163 --> 00:19:41.064
So I need to find something

00:19:41.124 --> 00:19:42.124
different and that's okay.

00:19:42.144 --> 00:19:43.805
Yeah.

00:19:43.884 --> 00:19:44.224
What would be,

00:19:44.404 --> 00:19:45.505
what would be not okay is me

00:19:45.545 --> 00:19:46.904
sitting in a clinic bitching about it.

00:19:46.924 --> 00:19:48.306
Right.

00:19:48.346 --> 00:19:48.486
Right.

00:19:48.506 --> 00:19:49.705
You knew, you knew what it was.

00:19:50.845 --> 00:19:53.467
So real quick, Will Boyd's here.

00:19:53.626 --> 00:19:57.089
Will, I am trying program, no, what is it?

00:19:57.471 --> 00:19:59.132
Like whatever Facebook

00:19:59.271 --> 00:20:00.873
automated ads are right now,

00:20:01.093 --> 00:20:02.714
I'm trying it where I

00:20:02.755 --> 00:20:05.777
basically just told Facebook, here's my,

00:20:06.238 --> 00:20:07.198
I think it recommended a

00:20:07.239 --> 00:20:08.098
three dollar budget.

00:20:08.640 --> 00:20:10.340
Here's my three dollar daily budget.

00:20:10.461 --> 00:20:12.462
Just run whatever ad you want to run.

00:20:13.063 --> 00:20:14.384
And I gave it a list of

00:20:15.005 --> 00:20:16.605
videos that are already on

00:20:16.665 --> 00:20:18.367
my Facebook business page.

00:20:18.968 --> 00:20:20.528
So I didn't give it any

00:20:20.608 --> 00:20:21.789
other information than that.

00:20:21.869 --> 00:20:22.549
I'm going to see what

00:20:22.589 --> 00:20:24.852
Facebook does with that information,

00:20:25.471 --> 00:20:26.893
which kind of leads us into

00:20:26.952 --> 00:20:29.194
the next topic about AI agents.

00:20:29.795 --> 00:20:30.395
And, you know,

00:20:30.435 --> 00:20:33.577
Facebook has AI running ads right now.

00:20:34.898 --> 00:20:37.921
It's making decisions just knowing, OK,

00:20:37.980 --> 00:20:40.201
Tony wants more inbound leads.

00:20:40.702 --> 00:20:42.683
I want people messaging me and calling me.

00:20:45.803 --> 00:20:47.564
never do a facebook will is

00:20:47.584 --> 00:20:49.785
saying no with several with

00:20:49.845 --> 00:20:51.165
several o's never do a

00:20:51.185 --> 00:20:52.246
facebook suggest always

00:20:52.527 --> 00:20:53.346
always ends up the worst

00:20:53.366 --> 00:20:54.126
performance and then he

00:20:54.146 --> 00:20:55.188
says call but keep me

00:20:55.228 --> 00:20:56.127
posted keep me posted so

00:20:56.167 --> 00:20:58.549
he's he's telling you to to

00:20:58.569 --> 00:20:59.529
go left when you're going

00:20:59.569 --> 00:21:01.230
right well we're gonna see

00:21:01.250 --> 00:21:03.332
what happens so uh I could

00:21:03.432 --> 00:21:04.492
I could handle losing three

00:21:04.532 --> 00:21:07.273
dollars a day um but yeah

00:21:07.314 --> 00:21:09.255
like we we know we're moving towards

00:21:10.077 --> 00:21:11.398
A AI future.

00:21:12.500 --> 00:21:14.981
I think I shared this.

00:21:15.041 --> 00:21:16.323
Did we talk about this?

00:21:16.343 --> 00:21:18.285
You got to tell me.

00:21:18.305 --> 00:21:19.046
Back in the day,

00:21:19.606 --> 00:21:21.769
you remember being up late at night,

00:21:21.909 --> 00:21:22.970
two o'clock in the morning,

00:21:23.109 --> 00:21:25.011
infomercials took over television.

00:21:25.571 --> 00:21:27.094
Television used to end.

00:21:27.534 --> 00:21:28.756
There was a point where

00:21:28.796 --> 00:21:31.798
you'd see the American flag and one of,

00:21:31.838 --> 00:21:33.141
you know, I don't know,

00:21:33.181 --> 00:21:34.662
was it the anthem or Star

00:21:34.701 --> 00:21:35.743
Spangled Banner or

00:21:35.784 --> 00:21:36.785
something was playing and

00:21:36.924 --> 00:21:38.326
literally the television

00:21:38.366 --> 00:21:39.867
would end broadcasting.

00:21:40.568 --> 00:21:42.630
Then infomercials came on

00:21:43.170 --> 00:21:44.730
because that attention

00:21:44.871 --> 00:21:46.010
could be monetized.

00:21:46.050 --> 00:21:47.811
And I was thinking about it this week.

00:21:47.832 --> 00:21:48.991
I was like, man,

00:21:49.132 --> 00:21:50.952
if people are in pain and I

00:21:50.972 --> 00:21:52.673
don't want to sell a solution for pain,

00:21:52.713 --> 00:21:53.554
but if people are in pain,

00:21:53.574 --> 00:21:54.193
they're up at night.

00:21:54.874 --> 00:21:56.714
My audience, total knee replacement.

00:21:56.755 --> 00:21:57.635
They can't sleep.

00:21:57.675 --> 00:21:58.516
They're up at night.

00:21:58.596 --> 00:22:00.457
They're flipping through late night TV,

00:22:00.797 --> 00:22:02.057
scrolling their phone.

00:22:02.497 --> 00:22:04.617
I'm like, why don't I buy that time?

00:22:04.778 --> 00:22:06.239
I used to only run ads

00:22:06.278 --> 00:22:07.479
during the day when I had

00:22:07.519 --> 00:22:08.819
people to answer the phone.

00:22:09.440 --> 00:22:10.622
But now I'm like, well, shoot,

00:22:10.942 --> 00:22:12.085
I can get cheaper ads in

00:22:12.105 --> 00:22:12.846
the middle of the night.

00:22:13.865 --> 00:22:15.106
I'm going to capture that.

00:22:15.606 --> 00:22:16.488
I'm going to focus the

00:22:16.528 --> 00:22:17.669
message on the person who's

00:22:17.729 --> 00:22:20.771
awake at night, can't fall asleep,

00:22:20.811 --> 00:22:22.032
getting frustrated.

00:22:23.614 --> 00:22:24.795
But I don't have somebody to

00:22:24.954 --> 00:22:26.016
answer the phone.

00:22:26.056 --> 00:22:29.038
So this is where we talk about automation,

00:22:29.258 --> 00:22:29.719
AI.

00:22:29.759 --> 00:22:32.201
Can I get an AI agent who

00:22:32.240 --> 00:22:33.761
can answer the phone for me

00:22:33.862 --> 00:22:35.623
at two thirty two a.m.?

00:22:36.304 --> 00:22:37.664
What do you know about this?

00:22:37.704 --> 00:22:38.746
And I know Jerry Durham's

00:22:38.766 --> 00:22:39.886
talking about this a lot.

00:22:40.346 --> 00:22:40.707
Yeah.

00:22:40.727 --> 00:22:42.548
You, you could do this yesterday.

00:22:42.688 --> 00:22:44.548
You know, this was, I think,

00:22:44.628 --> 00:22:46.829
I feel like we, we, we, we knew this,

00:22:47.891 --> 00:22:49.751
like when you called Delta or whatever,

00:22:49.791 --> 00:22:51.531
like you knew that this was happening,

00:22:51.613 --> 00:22:52.792
right?

00:22:52.813 --> 00:22:53.232
We weren't,

00:22:53.272 --> 00:22:54.374
we weren't planning on doing this,

00:22:54.394 --> 00:22:55.394
but do you want to test one out?

00:22:55.934 --> 00:22:56.755
Sure.

00:22:56.835 --> 00:22:57.394
All right.

00:22:57.434 --> 00:22:58.776
So I'll just, I'm opening myself.

00:22:58.976 --> 00:23:00.757
While you're getting that ready, you know,

00:23:01.116 --> 00:23:02.738
my understanding, it was, what do I do?

00:23:02.758 --> 00:23:04.159
Thank you for calling Parabella.

00:23:04.179 --> 00:23:04.459
This is Sophia.

00:23:04.479 --> 00:23:05.058
How can I help you today?

00:23:09.388 --> 00:23:10.529
yeah I uh I was doing

00:23:10.549 --> 00:23:11.630
karaoke last night and I

00:23:11.650 --> 00:23:12.651
fell off the stage and I

00:23:12.671 --> 00:23:13.611
need a physical therapy

00:23:13.631 --> 00:23:19.375
appointment okay just to

00:23:19.434 --> 00:23:20.075
make sure you're looking to

00:23:20.095 --> 00:23:20.694
book at terra bella palo

00:23:20.714 --> 00:23:25.617
alto right yeah we have an

00:23:25.637 --> 00:23:26.719
appointment available with

00:23:26.759 --> 00:23:29.941
sarah thompson uh today

00:23:30.060 --> 00:23:30.820
tuesday may twenty seventh

00:23:30.840 --> 00:23:31.560
at nine o'clock a.m would

00:23:31.580 --> 00:23:32.781
that work for you no that's

00:23:32.842 --> 00:23:34.143
way too early anything later

00:23:37.167 --> 00:23:37.929
Let me check what else we

00:23:37.949 --> 00:23:38.890
have available for today.

00:23:39.170 --> 00:23:40.230
Tuesday, May twenty seventh.

00:23:40.590 --> 00:23:41.372
We have an appointment with

00:23:41.412 --> 00:23:43.193
Sarah Thompson at two o'clock p.m.

00:23:43.713 --> 00:23:44.895
Would that be more to your liking?

00:23:45.195 --> 00:23:48.598
Yeah, that's better.

00:23:48.679 --> 00:23:49.240
All right, great.

00:23:49.660 --> 00:23:50.820
So to book that two p.m.

00:23:50.840 --> 00:23:52.542
appointment with Sarah Thompson today,

00:23:52.903 --> 00:23:54.244
Tuesday, May twenty seventh,

00:23:54.684 --> 00:23:55.365
I'll just need you to

00:23:55.385 --> 00:23:56.406
register with our system to

00:23:56.446 --> 00:23:57.268
finalize everything.

00:23:57.307 --> 00:23:58.348
Is that all right?

00:23:58.388 --> 00:23:58.509
Yeah.

00:24:00.696 --> 00:24:03.079
Before I go ahead and book

00:24:03.140 --> 00:24:03.601
that appointment,

00:24:03.621 --> 00:24:04.300
may I know your first name, please?

00:24:04.320 --> 00:24:04.981
So now the rest of that

00:24:05.001 --> 00:24:06.304
appointment will be making

00:24:06.324 --> 00:24:07.085
sure they know my name,

00:24:07.265 --> 00:24:08.205
spelled it properly,

00:24:08.326 --> 00:24:09.307
making sure what insurance

00:24:09.367 --> 00:24:11.069
I have and my numbers and

00:24:11.089 --> 00:24:11.871
what type and all that.

00:24:12.270 --> 00:24:13.532
So then it just it's going

00:24:13.553 --> 00:24:14.693
to appear on the EMR.

00:24:15.807 --> 00:24:17.288
for Sarah Thompson booked,

00:24:17.509 --> 00:24:18.130
right then and there.

00:24:18.630 --> 00:24:21.772
Now that was a pretty unsophisticated,

00:24:22.273 --> 00:24:23.674
medium sophisticated, right?

00:24:24.335 --> 00:24:25.615
Sometimes when I do that demo,

00:24:25.916 --> 00:24:26.896
I always like do something funny.

00:24:26.936 --> 00:24:28.878
Like I fell off the stage doing karaoke or,

00:24:28.959 --> 00:24:30.760
you know, I was playing polo or whatever.

00:24:31.221 --> 00:24:32.301
Sometimes she'll react.

00:24:32.561 --> 00:24:33.923
Sometimes she'll go, oh my gosh,

00:24:33.982 --> 00:24:35.284
like I love karaoke.

00:24:35.344 --> 00:24:35.865
That's horrible.

00:24:36.164 --> 00:24:37.846
Sometimes she doesn't, like there,

00:24:37.906 --> 00:24:39.667
she was business, right?

00:24:40.087 --> 00:24:42.529
So can you program an AI agent to react

00:24:43.290 --> 00:24:44.593
in certain ways and triage?

00:24:44.733 --> 00:24:45.074
Yes.

00:24:45.674 --> 00:24:46.537
I'm working with a client

00:24:46.557 --> 00:24:48.839
right now who is a surgical

00:24:49.101 --> 00:24:51.765
center who also does like

00:24:51.845 --> 00:24:52.846
urgent care hours.

00:24:53.367 --> 00:24:54.028
And right now it's an

00:24:54.108 --> 00:24:54.970
answering service that has

00:24:54.990 --> 00:24:56.593
to figure out when to call

00:24:56.633 --> 00:24:57.374
the surgeon on call.

00:24:58.257 --> 00:24:59.837
And I'm like, well, how do they know?

00:24:59.857 --> 00:25:00.798
It's like we have a,

00:25:00.818 --> 00:25:02.519
remember logic in eighth

00:25:02.539 --> 00:25:03.660
grade or ninth grade math?

00:25:03.700 --> 00:25:05.060
Like if then, if then, if then.

00:25:05.480 --> 00:25:06.382
That's what AI is.

00:25:06.402 --> 00:25:07.702
It's a big giant if then engine.

00:25:08.123 --> 00:25:10.845
So if the person says this, tell them,

00:25:11.424 --> 00:25:12.385
can you see the bone?

00:25:12.665 --> 00:25:12.905
Yes.

00:25:13.246 --> 00:25:14.426
Go to the emergency room.

00:25:14.747 --> 00:25:16.048
That's not us.

00:25:16.587 --> 00:25:17.848
Or just forward them to,

00:25:17.949 --> 00:25:19.630
I'm now forwarding you to nine one one.

00:25:20.150 --> 00:25:23.311
So can you, for what you're looking for,

00:25:23.491 --> 00:25:24.472
create an AI agent?

00:25:24.673 --> 00:25:26.013
Yeah, you could do it yesterday.

00:25:26.707 --> 00:25:26.928
Okay,

00:25:26.968 --> 00:25:28.912
so what was that agent that you just

00:25:28.932 --> 00:25:29.251
shared?

00:25:29.271 --> 00:25:30.233
Is that from Thales?

00:25:30.434 --> 00:25:31.236
That was from Thales, yeah.

00:25:31.257 --> 00:25:31.917
Okay,

00:25:32.819 --> 00:25:35.746
what are your thoughts on what you

00:25:35.786 --> 00:25:37.429
just shared with me?

00:25:38.294 --> 00:25:39.513
Yeah, I think it's a really good B-,

00:25:39.653 --> 00:25:42.634
I think it's a B- in terms of audio,

00:25:42.775 --> 00:25:43.035
right?

00:25:43.075 --> 00:25:44.455
Like, I want, like,

00:25:45.435 --> 00:25:47.256
I knew it was an AI agent because, I mean,

00:25:47.277 --> 00:25:48.416
I think most people would be like, yeah,

00:25:48.457 --> 00:25:49.896
okay, it's not a person yet.

00:25:50.457 --> 00:25:54.337
I think in twelve months, maybe less,

00:25:54.898 --> 00:25:56.219
it'll be so sophisticated.

00:25:56.439 --> 00:25:56.659
Like,

00:25:56.898 --> 00:26:00.279
in terms of tone and time and delay

00:26:00.319 --> 00:26:02.161
and processing, like, again,

00:26:02.181 --> 00:26:03.221
you've called Delta, right?

00:26:03.766 --> 00:26:04.826
three years ago to change a

00:26:04.866 --> 00:26:05.547
flight and you knew you

00:26:05.567 --> 00:26:06.428
were talking to a robot

00:26:07.167 --> 00:26:08.489
representative

00:26:08.888 --> 00:26:11.211
representative like right

00:26:11.230 --> 00:26:12.330
just hitting zero like

00:26:12.351 --> 00:26:13.531
because it was annoying I

00:26:13.571 --> 00:26:15.133
think so much effort and

00:26:15.192 --> 00:26:16.093
people can see there's so

00:26:16.133 --> 00:26:17.054
many people looking for

00:26:17.094 --> 00:26:18.434
something like this now the

00:26:18.535 --> 00:26:19.414
average person's looking

00:26:19.434 --> 00:26:20.516
for this they're putting so

00:26:20.536 --> 00:26:21.656
much effort into the speech

00:26:21.696 --> 00:26:23.018
the tone the timing in

00:26:23.057 --> 00:26:23.978
twelve months you I don't

00:26:23.998 --> 00:26:24.618
know that you'll be able to

00:26:24.659 --> 00:26:26.480
discern discern the difference

00:26:27.474 --> 00:26:29.655
And we talked last episode

00:26:29.836 --> 00:26:32.777
about do we need to inform people?

00:26:33.277 --> 00:26:33.916
I know there are some

00:26:33.997 --> 00:26:35.817
federal laws that were in

00:26:35.877 --> 00:26:38.239
place with health care and calls,

00:26:38.618 --> 00:26:40.479
robocalls and things like that.

00:26:41.400 --> 00:26:43.440
Did that say you're talking

00:26:43.460 --> 00:26:45.221
to an AI agent or what's

00:26:45.260 --> 00:26:46.260
the deal with that?

00:26:46.340 --> 00:26:47.662
It doesn't right now.

00:26:48.862 --> 00:26:51.083
I don't know the legality on that.

00:26:52.756 --> 00:26:55.257
I appreciate your honesty, Scott says.

00:26:56.778 --> 00:26:58.397
The latency is the killer

00:26:58.417 --> 00:27:00.519
part for me with that.

00:27:00.798 --> 00:27:02.819
But I think the latency

00:27:02.839 --> 00:27:03.839
could be addressed right now.

00:27:04.361 --> 00:27:07.142
I think you just say, hi, this is Sarah.

00:27:07.162 --> 00:27:08.922
I'm an AI agent for Total

00:27:08.961 --> 00:27:10.163
Therapy Solutions.

00:27:11.663 --> 00:27:12.644
I just wanted to let you

00:27:12.703 --> 00:27:13.684
know that there's going to

00:27:13.704 --> 00:27:15.266
be a slight delay while I

00:27:15.326 --> 00:27:17.106
process what you say,

00:27:17.146 --> 00:27:18.327
just so the person on the

00:27:18.347 --> 00:27:19.708
phone understands why.

00:27:19.768 --> 00:27:22.009
Because the very first time

00:27:22.049 --> 00:27:25.692
that happened in that call, I was like,

00:27:25.751 --> 00:27:26.711
did we get cut off?

00:27:26.873 --> 00:27:27.932
Are we on mute?

00:27:27.972 --> 00:27:29.233
Like, what happened there?

00:27:29.334 --> 00:27:33.336
And it takes me a couple times to realize,

00:27:33.415 --> 00:27:34.596
oh, this is just latency.

00:27:34.696 --> 00:27:35.897
It's just taking longer.

00:27:37.098 --> 00:27:38.920
It's like, still, I think I use Waze.

00:27:39.680 --> 00:27:41.560
or Google maps in the car.

00:27:42.082 --> 00:27:44.103
And it gives me the turn

00:27:44.202 --> 00:27:45.963
just a half a second too late.

00:27:46.003 --> 00:27:49.306
Like I want it just a little bit earlier.

00:27:49.486 --> 00:27:50.866
I want that response just a

00:27:50.906 --> 00:27:52.548
little quicker or tell me

00:27:53.568 --> 00:27:55.309
I'm processing what you're saying.

00:27:55.690 --> 00:27:57.131
Give me just a moment and

00:27:57.171 --> 00:27:59.112
then give me the information, you know?

00:27:59.932 --> 00:28:01.354
But like you said, I mean,

00:28:01.854 --> 00:28:03.714
months in months,

00:28:03.775 --> 00:28:04.915
it's going to be amazing.

00:28:05.296 --> 00:28:05.517
Right.

00:28:05.777 --> 00:28:05.997
Um,

00:28:06.738 --> 00:28:08.740
What other kind of uses do

00:28:08.759 --> 00:28:10.280
you see for something like that?

00:28:10.721 --> 00:28:11.142
Yeah,

00:28:11.462 --> 00:28:13.505
there's some insurance companies

00:28:13.565 --> 00:28:14.365
require that if you're

00:28:14.385 --> 00:28:18.329
going to work a certain denial,

00:28:18.369 --> 00:28:19.050
you've got to do it by

00:28:19.111 --> 00:28:21.433
phone or it's faster by phone,

00:28:22.654 --> 00:28:23.375
but then they'll put you on

00:28:23.415 --> 00:28:24.057
hold for an hour.

00:28:24.813 --> 00:28:25.634
What does that mean?

00:28:25.673 --> 00:28:27.414
So like if I get a denial on

00:28:27.474 --> 00:28:29.136
my claim as a provider.

00:28:29.636 --> 00:28:30.377
You might have to.

00:28:30.417 --> 00:28:31.598
There are certain situations

00:28:31.699 --> 00:28:32.439
or it's been elevated to

00:28:32.459 --> 00:28:33.039
the point where you have to

00:28:33.079 --> 00:28:35.721
call to actually work to

00:28:35.781 --> 00:28:36.883
get paid for that denial.

00:28:37.503 --> 00:28:38.845
So you could use an agent to

00:28:38.884 --> 00:28:39.846
now make the call.

00:28:40.125 --> 00:28:41.446
So like I think in my mind,

00:28:41.586 --> 00:28:42.587
that's where my head went,

00:28:42.708 --> 00:28:44.690
which was it's a catcher.

00:28:45.150 --> 00:28:46.330
It's going to handle things.

00:28:46.351 --> 00:28:47.011
It's going to catch and

00:28:47.051 --> 00:28:49.012
block and route and understand.

00:28:49.053 --> 00:28:49.953
Take your information and

00:28:50.013 --> 00:28:50.994
put it into an EMR.

00:28:52.182 --> 00:28:52.842
well, we have,

00:28:52.862 --> 00:28:54.282
I don't have the video pulled up now,

00:28:54.643 --> 00:28:55.784
we have a demo of an AI

00:28:55.903 --> 00:28:56.804
agent calling a

00:28:56.864 --> 00:28:58.325
representative from an

00:28:58.365 --> 00:29:00.885
insurance company and saying,

00:29:01.006 --> 00:29:02.846
I'm here to work this, you know,

00:29:02.866 --> 00:29:03.567
there was a problem with

00:29:03.586 --> 00:29:05.748
this claim being paid.

00:29:05.988 --> 00:29:08.148
And you can tell the person

00:29:08.169 --> 00:29:09.970
on the other end probably knows a little,

00:29:10.029 --> 00:29:10.730
that knows that they're

00:29:10.750 --> 00:29:12.770
talking to an AI agent and

00:29:12.830 --> 00:29:15.531
is sort of giving her, and I'm using,

00:29:15.551 --> 00:29:16.952
let's use a pronoun, I just said her,

00:29:17.472 --> 00:29:18.993
using the AI agent a little bit of, eh,

00:29:20.338 --> 00:29:24.020
Like, well, what's the date of service?

00:29:24.122 --> 00:29:25.041
I don't have the date of service,

00:29:25.061 --> 00:29:25.863
but I have the total.

00:29:26.522 --> 00:29:28.644
So it knew, like, well, in lack of this,

00:29:28.724 --> 00:29:29.244
I have this.

00:29:29.285 --> 00:29:30.905
So it has access to all that information,

00:29:30.965 --> 00:29:32.987
and it's able to say, in lieu of this,

00:29:33.027 --> 00:29:34.228
do this.

00:29:34.367 --> 00:29:35.128
If this, then that.

00:29:35.148 --> 00:29:37.190
So it's able to make the phone call.

00:29:37.730 --> 00:29:38.931
You know, and I think the layup things,

00:29:38.971 --> 00:29:39.172
too,

00:29:39.192 --> 00:29:40.813
would be a phone call or a text

00:29:40.853 --> 00:29:41.972
message when someone has an

00:29:42.012 --> 00:29:43.974
appointment or has to take a turn.

00:29:44.674 --> 00:29:45.455
Make sure you give that

00:29:45.496 --> 00:29:46.777
person the text message,

00:29:46.797 --> 00:29:47.497
a reminder of their

00:29:47.517 --> 00:29:49.798
appointment in time and on time.

00:29:50.558 --> 00:29:52.861
So Scott brings up an

00:29:52.901 --> 00:29:54.261
interesting topic that we

00:29:54.301 --> 00:29:56.042
kind of talked about on a

00:29:56.123 --> 00:29:56.923
different topic.

00:29:56.963 --> 00:29:59.105
Scott says AI agents need a

00:29:59.164 --> 00:30:02.347
bit more empathy to improve engagement.

00:30:03.647 --> 00:30:05.068
My question is,

00:30:05.470 --> 00:30:06.651
and I think it's when I was

00:30:06.691 --> 00:30:09.712
talking about is an AI right now ready to,

00:30:10.192 --> 00:30:10.492
you know,

00:30:10.593 --> 00:30:12.555
generate my entire plan of care

00:30:12.595 --> 00:30:13.915
based on my clinical

00:30:13.955 --> 00:30:15.096
information that I provide.

00:30:16.194 --> 00:30:17.737
When Scott says that,

00:30:18.477 --> 00:30:19.738
I think what Scott is

00:30:19.778 --> 00:30:21.460
comparing is his level of

00:30:21.539 --> 00:30:23.922
empathy and engagement to the AI.

00:30:24.563 --> 00:30:26.144
But what about the level of

00:30:26.364 --> 00:30:27.365
empathy and engagement

00:30:27.404 --> 00:30:29.227
across the entire profession?

00:30:29.767 --> 00:30:31.008
Like if we have two hundred

00:30:31.048 --> 00:30:32.430
plus thousand licensed

00:30:32.470 --> 00:30:34.290
therapists in the profession,

00:30:35.031 --> 00:30:38.335
is the level of empathy with AI right now

00:30:39.089 --> 00:30:42.451
higher than the average equal to below.

00:30:43.131 --> 00:30:45.471
I know a lot of angry, frustrated,

00:30:45.571 --> 00:30:47.053
just hateful physical

00:30:47.093 --> 00:30:49.133
therapists in the profession right now.

00:30:49.653 --> 00:30:51.574
I know a lot of angry, hateful,

00:30:51.673 --> 00:30:55.236
like unhappy front desk people right now.

00:30:56.096 --> 00:30:58.336
I think a completely muted

00:30:58.477 --> 00:31:00.517
agent is already better

00:31:00.938 --> 00:31:02.458
than a lot of what is out

00:31:02.498 --> 00:31:03.438
there right now.

00:31:03.478 --> 00:31:04.558
And I remember having this

00:31:04.598 --> 00:31:05.959
conversation with Jerry Durham.

00:31:05.999 --> 00:31:08.000
The first time I met him, I was like,

00:31:08.769 --> 00:31:10.069
The standard of

00:31:10.130 --> 00:31:11.832
communication and empathy

00:31:11.852 --> 00:31:14.034
and happiness in health

00:31:14.054 --> 00:31:17.497
care right now across humans is so low.

00:31:17.537 --> 00:31:18.678
The bar is so low.

00:31:18.738 --> 00:31:20.219
You just have to be half

00:31:20.278 --> 00:31:22.300
awake and reasonably

00:31:22.340 --> 00:31:23.321
curious and you're going to

00:31:23.342 --> 00:31:25.884
be light years above everybody else.

00:31:26.204 --> 00:31:27.005
You're comparing this

00:31:27.025 --> 00:31:27.945
against your all star.

00:31:28.287 --> 00:31:28.606
Yeah.

00:31:28.707 --> 00:31:28.946
Yeah.

00:31:29.307 --> 00:31:30.048
And you're like, well,

00:31:30.067 --> 00:31:31.128
it's a be my like I was

00:31:31.169 --> 00:31:32.671
comparing that against a human being.

00:31:33.760 --> 00:31:34.441
She didn't have empathy,

00:31:34.461 --> 00:31:35.582
but if I did that same

00:31:35.602 --> 00:31:38.123
phone call with my same words ten times,

00:31:38.423 --> 00:31:40.063
she would say, she's done.

00:31:40.742 --> 00:31:41.663
Oh, I'm sorry to hear that.

00:31:41.743 --> 00:31:43.884
Karaoke is dangerous sometimes.

00:31:44.424 --> 00:31:45.125
You could tell she

00:31:45.204 --> 00:31:45.845
understood what I was

00:31:45.865 --> 00:31:47.105
saying and played with it a little bit.

00:31:47.125 --> 00:31:47.526
Right.

00:31:48.965 --> 00:31:50.067
The other thing, I mean,

00:31:50.886 --> 00:31:53.087
I just we used to have a

00:31:53.147 --> 00:31:55.347
front desk person who when

00:31:55.367 --> 00:31:56.469
a new patient would call,

00:31:57.009 --> 00:31:58.209
they would follow this

00:31:58.229 --> 00:32:00.190
written out process of

00:32:00.730 --> 00:32:01.790
asking these questions,

00:32:01.830 --> 00:32:03.171
collecting this information,

00:32:03.230 --> 00:32:04.932
putting it straight into an EMR.

00:32:05.571 --> 00:32:07.492
That's obviously replaceable

00:32:07.532 --> 00:32:09.173
right now with the AI

00:32:09.314 --> 00:32:11.213
agents that are on the market today.

00:32:12.134 --> 00:32:13.755
Go through a twenty question

00:32:13.795 --> 00:32:16.056
and I can do this with ChatGPT right now.

00:32:17.116 --> 00:32:19.258
I've done it where I make up a fake case.

00:32:19.837 --> 00:32:20.178
I say,

00:32:20.498 --> 00:32:22.019
ask me twenty questions and then

00:32:22.098 --> 00:32:23.679
generate a physical therapy

00:32:23.719 --> 00:32:25.160
evaluation and plan of care.

00:32:25.640 --> 00:32:27.260
Generate function-based goals,

00:32:27.320 --> 00:32:29.042
generate impairment-based goals,

00:32:29.242 --> 00:32:30.743
consider these CPT codes

00:32:30.784 --> 00:32:32.766
based on these typical conditions.

00:32:33.445 --> 00:32:35.768
And it's completely possible

00:32:35.827 --> 00:32:37.368
to have your finished

00:32:38.250 --> 00:32:39.711
physical therapy evaluation,

00:32:39.770 --> 00:32:41.692
documentation, plan of care,

00:32:41.772 --> 00:32:44.394
plus the next ten to

00:32:44.454 --> 00:32:46.256
fifteen treatment notes

00:32:46.916 --> 00:32:48.897
auto-generated right from

00:32:48.938 --> 00:32:50.019
that phone call before

00:32:50.058 --> 00:32:51.500
you've ever spoken to the human.

00:32:51.519 --> 00:32:54.682
You know, and we can do that right now.

00:32:54.803 --> 00:32:54.903
Yeah.

00:32:58.156 --> 00:32:59.357
So the funny part was,

00:32:59.377 --> 00:33:00.298
did you see the video that

00:33:00.378 --> 00:33:01.720
I had recorded in response

00:33:01.759 --> 00:33:03.721
to your question and the response and the,

00:33:03.861 --> 00:33:05.663
and the, and the comments in that,

00:33:05.883 --> 00:33:06.643
in that Facebook group?

00:33:07.183 --> 00:33:07.923
Tell me about it.

00:33:07.963 --> 00:33:08.285
I don't know.

00:33:08.525 --> 00:33:08.964
So I was just,

00:33:09.065 --> 00:33:10.125
I was just pointing out how

00:33:10.165 --> 00:33:11.547
like people were like,

00:33:12.188 --> 00:33:13.568
people are quick to defend.

00:33:13.608 --> 00:33:14.749
Cause now it,

00:33:14.769 --> 00:33:16.431
the question feels pointed at them.

00:33:17.652 --> 00:33:17.832
Like,

00:33:17.892 --> 00:33:19.752
do we now have something like my mom

00:33:19.792 --> 00:33:20.634
worked for the New York

00:33:20.653 --> 00:33:22.634
state toll authority for years.

00:33:22.654 --> 00:33:23.276
Okay.

00:33:23.935 --> 00:33:24.696
And when they started

00:33:24.717 --> 00:33:25.758
putting easy pass in,

00:33:27.195 --> 00:33:28.096
I couldn't figure out why

00:33:28.116 --> 00:33:30.099
she was so pissed because I was like,

00:33:30.119 --> 00:33:30.740
this is great.

00:33:30.780 --> 00:33:31.761
Like, I don't think stop.

00:33:31.781 --> 00:33:33.124
Like, look at the traffic jams.

00:33:33.724 --> 00:33:33.924
Yeah.

00:33:34.226 --> 00:33:35.326
Memorial Day weekend.

00:33:35.667 --> 00:33:38.892
You knew every thirty miles

00:33:38.932 --> 00:33:39.573
on the New York State

00:33:39.593 --> 00:33:41.576
Thruway was going to jam up

00:33:41.615 --> 00:33:42.517
again because everybody had

00:33:42.537 --> 00:33:43.558
to get out their nickels.

00:33:44.727 --> 00:33:46.008
And throw it in a basket or

00:33:46.067 --> 00:33:47.008
hand over dollars.

00:33:47.028 --> 00:33:47.468
And they did it.

00:33:47.548 --> 00:33:48.548
And it's just like multiply

00:33:48.588 --> 00:33:50.548
that times a hundred thousand cars.

00:33:50.568 --> 00:33:51.150
And it's chaos.

00:33:51.690 --> 00:33:53.289
Now we barely, we don't like, then,

00:33:53.309 --> 00:33:54.270
then you had to slow down

00:33:54.310 --> 00:33:56.711
to to get counted and now

00:33:56.751 --> 00:33:57.771
you don't even have to slow down.

00:33:57.832 --> 00:33:58.873
It's like, you don't even, Oh,

00:33:58.893 --> 00:33:59.692
is that a toll barrier?

00:33:59.732 --> 00:34:00.492
I wasn't even sure.

00:34:00.932 --> 00:34:01.113
Yeah.

00:34:01.292 --> 00:34:02.314
She was so angry.

00:34:03.992 --> 00:34:05.134
And I didn't understand why.

00:34:05.154 --> 00:34:05.734
I was like, this is great.

00:34:05.796 --> 00:34:07.357
And then I understood it.

00:34:07.397 --> 00:34:08.478
She was looking three or

00:34:08.518 --> 00:34:10.001
four steps ahead and saying, well,

00:34:10.021 --> 00:34:10.983
if they don't need us there,

00:34:11.382 --> 00:34:12.485
where else won't they need us?

00:34:12.585 --> 00:34:13.485
And where else won't they need us?

00:34:13.706 --> 00:34:15.208
But no, what I do is special.

00:34:15.809 --> 00:34:17.771
You need me to do this, right?

00:34:18.112 --> 00:34:19.835
So I think a lot of the therapists were –

00:34:20.094 --> 00:34:21.195
in that Facebook group who

00:34:21.215 --> 00:34:22.597
were writing comments were

00:34:22.637 --> 00:34:23.438
feeling a little bit like

00:34:24.259 --> 00:34:25.260
they're taking it personally.

00:34:25.601 --> 00:34:28.483
They were getting defensive of,

00:34:28.603 --> 00:34:29.344
of course not,

00:34:29.384 --> 00:34:30.945
because I am special and I

00:34:30.965 --> 00:34:32.907
have special this and I have special that,

00:34:32.987 --> 00:34:33.969
and you couldn't possibly

00:34:34.009 --> 00:34:35.849
know what I know.

00:34:35.911 --> 00:34:38.733
So is this the trait of the entrepreneur?

00:34:38.773 --> 00:34:41.376
Because, you know, the entrepreneur in me,

00:34:42.179 --> 00:34:42.958
From the beginning,

00:34:42.998 --> 00:34:45.061
first time I ever read E-Myth Revisited,

00:34:45.541 --> 00:34:46.981
everything was about

00:34:47.121 --> 00:34:48.621
putting myself out of business,

00:34:48.702 --> 00:34:50.242
putting myself out of a job,

00:34:50.282 --> 00:34:51.664
putting myself out of business,

00:34:52.023 --> 00:34:53.284
replacing myself either

00:34:53.304 --> 00:34:55.445
with other humans or technology.

00:34:55.806 --> 00:34:57.666
Like my entire fifty years

00:34:57.706 --> 00:34:59.748
of life has been,

00:35:00.148 --> 00:35:01.929
how do I replace myself

00:35:02.028 --> 00:35:03.349
with something else?

00:35:03.849 --> 00:35:05.931
Whereas I can certainly see

00:35:06.871 --> 00:35:08.992
a person feeling threatened,

00:35:09.152 --> 00:35:10.934
their identity feeling threatened,

00:35:12.335 --> 00:35:13.356
I would hope that that

00:35:13.396 --> 00:35:14.697
person would recognize that

00:35:14.737 --> 00:35:15.998
it's just insecurity and

00:35:16.018 --> 00:35:17.039
kind of get past it.

00:35:17.579 --> 00:35:19.581
What did your mom end up doing?

00:35:19.601 --> 00:35:21.161
Was that the point that she said, OK,

00:35:21.181 --> 00:35:22.222
I'm going to retire and I'm

00:35:22.242 --> 00:35:23.043
out of the workforce?

00:35:23.063 --> 00:35:24.704
Did she shift it into something else?

00:35:24.985 --> 00:35:26.666
She knew that this was her last job,

00:35:26.686 --> 00:35:28.088
but I think she was looking around.

00:35:28.128 --> 00:35:28.987
She's like, you know,

00:35:29.007 --> 00:35:29.929
there's kids who are twenty

00:35:29.969 --> 00:35:31.170
five years old who work here.

00:35:31.751 --> 00:35:34.092
But but I'll take a more modern approach.

00:35:34.894 --> 00:35:35.356
To me,

00:35:35.735 --> 00:35:37.918
I did the morning announcements in

00:35:37.998 --> 00:35:38.619
sixth grade.

00:35:39.099 --> 00:35:40.081
That's all I wanted to do.

00:35:40.121 --> 00:35:41.061
I was like, I don't know what this is,

00:35:41.101 --> 00:35:41.681
but I like it.

00:35:42.043 --> 00:35:43.543
Then went to school for communications,

00:35:44.005 --> 00:35:45.346
internships at radio stations,

00:35:45.786 --> 00:35:47.447
worked at radio stations, big ones,

00:35:47.568 --> 00:35:48.630
small ones, didn't matter.

00:35:49.349 --> 00:35:50.471
I was driving home.

00:35:51.291 --> 00:35:53.233
Now I'm twenty eight years

00:35:53.375 --> 00:35:54.936
old and I'm running my own.

00:35:55.135 --> 00:35:57.117
I'm running two radio stations like.

00:35:58.371 --> 00:35:59.811
Four eleven year old me

00:35:59.851 --> 00:36:00.632
would look at twenty eight

00:36:00.652 --> 00:36:02.014
year old me and be like, holy cow,

00:36:02.373 --> 00:36:03.574
we made it like that's my

00:36:03.614 --> 00:36:04.396
that was my version of

00:36:04.436 --> 00:36:05.315
getting drafted by the

00:36:05.376 --> 00:36:06.677
Yankees and playing first

00:36:06.737 --> 00:36:07.478
base for the Yankees.

00:36:07.557 --> 00:36:07.818
Right.

00:36:08.038 --> 00:36:09.518
Which was my second choice.

00:36:09.559 --> 00:36:10.460
That was my second choice.

00:36:10.840 --> 00:36:12.260
Running radio stations was my first.

00:36:12.802 --> 00:36:14.802
And I'm driving home with my kids.

00:36:15.264 --> 00:36:16.744
We didn't call it an iPhone one.

00:36:17.405 --> 00:36:18.346
We just called it the iPhone

00:36:18.385 --> 00:36:19.507
because we didn't think

00:36:19.527 --> 00:36:20.166
there would be a two.

00:36:20.186 --> 00:36:21.347
We're like, this is revolutionary.

00:36:21.367 --> 00:36:21.487
Right.

00:36:21.768 --> 00:36:22.849
I'm driving home from the

00:36:22.889 --> 00:36:23.989
radio station one day at

00:36:24.050 --> 00:36:24.851
seven o'clock at night.

00:36:26.057 --> 00:36:28.119
And I plugged my iPhone into the aux cord,

00:36:28.501 --> 00:36:30.822
and someone had texted me a link.

00:36:32.304 --> 00:36:33.144
And I tapped it,

00:36:33.286 --> 00:36:35.527
and I was listening to KROQ

00:36:36.088 --> 00:36:38.110
LA while I was in Pennsylvania.

00:36:38.791 --> 00:36:39.731
And it was crappy.

00:36:39.952 --> 00:36:40.974
The signal was crappy,

00:36:41.673 --> 00:36:42.896
and it was buffering.

00:36:43.335 --> 00:36:43.576
Kids,

00:36:43.596 --> 00:36:44.376
there used to be this thing called

00:36:44.416 --> 00:36:44.858
buffering.

00:36:45.237 --> 00:36:45.599
Essentially,

00:36:45.639 --> 00:36:46.820
just like the internet wasn't

00:36:46.860 --> 00:36:47.340
working right.

00:36:48.101 --> 00:36:48.822
And I was listening to a

00:36:48.862 --> 00:36:49.663
radio station in Los

00:36:49.722 --> 00:36:50.923
Angeles while I was in Pennsylvania.

00:36:51.103 --> 00:36:51.605
And I was like,

00:36:51.764 --> 00:36:52.945
and I literally did the math.

00:36:53.266 --> 00:36:54.146
And I was like, I'm out.

00:36:54.728 --> 00:36:56.449
Like, I cannot compete with this.

00:36:57.349 --> 00:36:58.210
I could have hung on in

00:36:58.251 --> 00:37:00.092
radio for another ten years.

00:37:00.594 --> 00:37:02.114
So I could have went from twenty eight.

00:37:02.155 --> 00:37:03.175
I could went to thirty eight.

00:37:03.896 --> 00:37:04.396
But I was like,

00:37:04.777 --> 00:37:06.358
I don't like where this was going.

00:37:06.398 --> 00:37:06.918
Here's why.

00:37:07.179 --> 00:37:08.079
Because there were other things.

00:37:08.119 --> 00:37:09.260
People were simulcasting.

00:37:09.320 --> 00:37:10.260
So you'd have like a morning

00:37:10.282 --> 00:37:13.643
show in Dallas would be in Ohio, Florida,

00:37:14.184 --> 00:37:15.324
Seattle, LA.

00:37:15.364 --> 00:37:19.228
So you had simulcasting, right?

00:37:19.568 --> 00:37:21.268
So you were able to do that.

00:37:21.568 --> 00:37:22.429
You had voice tracking.

00:37:23.630 --> 00:37:24.431
I was on the radio in

00:37:24.630 --> 00:37:26.273
Northeast Pennsylvania seven days a week.

00:37:26.413 --> 00:37:27.432
I wasn't at the radio

00:37:27.472 --> 00:37:28.554
station seven days a week.

00:37:28.614 --> 00:37:29.594
I was recording that.

00:37:29.954 --> 00:37:30.215
Right.

00:37:30.655 --> 00:37:31.635
And I was recording a lot of

00:37:31.655 --> 00:37:32.916
that one on one like that

00:37:32.936 --> 00:37:35.456
was only being used once.

00:37:35.536 --> 00:37:36.076
In that moment,

00:37:36.135 --> 00:37:37.076
like I knew I was recording

00:37:37.115 --> 00:37:39.157
for Tuesday at, you know,

00:37:39.277 --> 00:37:40.496
at three o'clock in the morning.

00:37:41.036 --> 00:37:41.297
Right.

00:37:41.456 --> 00:37:42.177
And then it was burned.

00:37:42.536 --> 00:37:43.257
But I was still like,

00:37:44.137 --> 00:37:45.757
this isn't a this isn't a place.

00:37:46.177 --> 00:37:48.277
This is a place where people scale.

00:37:48.318 --> 00:37:49.619
So I was looking at that the

00:37:49.739 --> 00:37:51.059
minute I saw the minute I

00:37:51.099 --> 00:37:53.398
heard KROQ in Pennsylvania.

00:37:53.679 --> 00:37:55.039
I'm out.

00:37:55.079 --> 00:37:56.440
Went to go to law school, hated it,

00:37:56.480 --> 00:37:57.360
went to go to business school.

00:37:58.291 --> 00:38:00.411
didn't hate it, didn't love it, came to PT,

00:38:00.512 --> 00:38:01.771
and I saw some opportunity.

00:38:02.452 --> 00:38:03.233
But that's my point,

00:38:03.253 --> 00:38:04.172
which is like I don't – so

00:38:04.213 --> 00:38:07.193
to answer your question, yeah,

00:38:07.333 --> 00:38:08.875
I think it is part of your

00:38:08.914 --> 00:38:10.335
personality and my personality,

00:38:10.355 --> 00:38:12.175
which is like we're doing

00:38:12.215 --> 00:38:14.016
the math six or seven steps ahead,

00:38:14.416 --> 00:38:16.376
and you're like, nope.

00:38:16.396 --> 00:38:17.398
I either had to own the

00:38:17.438 --> 00:38:18.617
radio station at that point

00:38:18.898 --> 00:38:21.179
because even though I would sell that,

00:38:21.239 --> 00:38:21.498
actually,

00:38:21.579 --> 00:38:23.019
I wouldn't want to own that for very long,

00:38:24.159 --> 00:38:25.240
or I need to be somewhere

00:38:25.280 --> 00:38:30.662
else where I can –

00:38:28.135 --> 00:38:29.114
I can create something

00:38:29.175 --> 00:38:30.436
different because what I

00:38:30.496 --> 00:38:31.835
saw right then and there at twenty eight,

00:38:32.295 --> 00:38:32.856
I'm not going to be doing

00:38:32.876 --> 00:38:33.496
this at thirty eight.

00:38:33.536 --> 00:38:34.056
And I wasn't.

00:38:34.237 --> 00:38:35.077
And a lot of people who

00:38:35.117 --> 00:38:36.878
looked at me were like, dude,

00:38:36.898 --> 00:38:37.998
but you have the dream job.

00:38:38.458 --> 00:38:39.297
They were excited, too,

00:38:39.318 --> 00:38:40.179
because a lot of guys were like, well,

00:38:40.518 --> 00:38:40.978
Jimmy leaves.

00:38:41.018 --> 00:38:41.539
I can move up.

00:38:41.699 --> 00:38:43.418
I just move up one level on the ladder.

00:38:43.880 --> 00:38:45.860
And I was like, get off the ladder.

00:38:45.880 --> 00:38:47.320
This is not a ladder to be on.

00:38:47.820 --> 00:38:49.221
This is like a ladder on the Titanic.

00:38:49.240 --> 00:38:50.280
And a lot of those guys and

00:38:50.300 --> 00:38:51.101
a lot of those girls don't

00:38:51.121 --> 00:38:51.862
have jobs anymore.

00:38:52.639 --> 00:38:53.579
So I think that's what a lot

00:38:53.619 --> 00:38:54.420
of those people in that

00:38:54.440 --> 00:38:55.420
Facebook group are looking at,

00:38:55.460 --> 00:38:57.320
which is like, they're just naysaying it.

00:38:57.699 --> 00:38:58.940
Like everybody was naysaying me.

00:38:58.981 --> 00:39:00.161
Radio is never going to die.

00:39:00.240 --> 00:39:00.501
Really?

00:39:00.661 --> 00:39:00.920
Okay.

00:39:00.940 --> 00:39:01.041
Well,

00:39:01.061 --> 00:39:02.001
I got the numbers to prove that

00:39:02.282 --> 00:39:03.661
podcast use has now

00:39:03.702 --> 00:39:04.762
surpassed radio use in the

00:39:04.782 --> 00:39:07.342
United States for people above twelve.

00:39:07.583 --> 00:39:08.503
That's not just adults.

00:39:08.523 --> 00:39:09.423
It's above twelve.

00:39:10.184 --> 00:39:10.264
Um.

00:39:11.507 --> 00:39:13.190
I think PTs are looking at that going,

00:39:13.250 --> 00:39:13.331
well,

00:39:14.572 --> 00:39:16.454
if this is true that I'm out of a job,

00:39:16.474 --> 00:39:17.215
I'm not valuable.

00:39:17.576 --> 00:39:18.617
I don't think that's true.

00:39:19.498 --> 00:39:20.800
I think you think that all

00:39:20.840 --> 00:39:22.081
this is part of the magic

00:39:22.742 --> 00:39:24.065
and you're so good at magic

00:39:24.125 --> 00:39:25.347
where I think that you need

00:39:25.786 --> 00:39:27.228
to be good at another part of this,

00:39:27.409 --> 00:39:28.931
which is the human connection.

00:39:30.454 --> 00:39:32.175
So the saying was, you know,

00:39:32.735 --> 00:39:34.375
AI is not gonna put you out of a job.

00:39:34.414 --> 00:39:35.594
Somebody using AI will put

00:39:35.614 --> 00:39:36.456
you out of a job.

00:39:36.655 --> 00:39:39.335
I came to that and I said, yeah, AI,

00:39:39.577 --> 00:39:40.976
somebody using AI is gonna

00:39:41.016 --> 00:39:42.657
put ten people out of a job.

00:39:43.418 --> 00:39:44.858
And that's where I'm seeing

00:39:44.918 --> 00:39:46.318
the real sweet spot here.

00:39:46.458 --> 00:39:48.358
So we realized pretty quick

00:39:49.239 --> 00:39:51.920
AI isn't taking away the

00:39:51.960 --> 00:39:54.063
stuff that needs the actual human.

00:39:54.663 --> 00:39:56.744
AI is not going to rub my patients back.

00:39:56.885 --> 00:39:58.085
The human is going to rub my

00:39:58.126 --> 00:39:58.826
patients back.

00:39:58.865 --> 00:39:59.847
But AI is going to do a

00:39:59.927 --> 00:40:01.527
thousand times of a better

00:40:02.047 --> 00:40:03.690
job doing the evaluation,

00:40:03.730 --> 00:40:05.670
processing millions of cases,

00:40:05.791 --> 00:40:07.211
collecting the information.

00:40:09.297 --> 00:40:10.938
You and I talked about Hinge

00:40:10.998 --> 00:40:12.059
and Sword and a lot of

00:40:12.079 --> 00:40:13.920
these companies where what

00:40:13.960 --> 00:40:17.043
happened was in my best of times,

00:40:17.603 --> 00:40:19.443
I'm going to manage twenty

00:40:19.503 --> 00:40:21.105
or thirty active patients

00:40:21.664 --> 00:40:23.226
in a week that are coming

00:40:23.266 --> 00:40:25.248
two or three times a week at my best,

00:40:25.307 --> 00:40:26.007
at my peak.

00:40:26.807 --> 00:40:28.108
A therapist working for

00:40:28.168 --> 00:40:29.210
Hinge or Sword is going to

00:40:29.230 --> 00:40:30.451
manage seven hundred

00:40:30.490 --> 00:40:31.831
patients because of the way

00:40:31.871 --> 00:40:33.092
the system is designed.

00:40:33.992 --> 00:40:36.054
Talking about what we've talked about,

00:40:37.135 --> 00:40:39.097
if the AI can do the interview,

00:40:39.458 --> 00:40:40.719
can collect the case history,

00:40:40.739 --> 00:40:41.760
can ask the questions,

00:40:41.800 --> 00:40:43.360
can process the information

00:40:43.922 --> 00:40:46.403
better than a human, better than me,

00:40:46.864 --> 00:40:51.248
the AI with me, now I've got clones of me,

00:40:51.949 --> 00:40:53.849
it can ask the questions that I would ask,

00:40:53.909 --> 00:40:55.672
it can learn from the way I do things,

00:40:55.731 --> 00:40:56.873
even if it's gonna

00:40:56.992 --> 00:40:59.635
replicate me in that sense,

00:41:00.275 --> 00:41:01.637
it gives me scale,

00:41:01.956 --> 00:41:03.539
it allows me to manage,

00:41:04.099 --> 00:41:07.081
Hundreds of patients now at the same time.

00:41:07.601 --> 00:41:08.802
So the questions that I'm

00:41:08.842 --> 00:41:10.244
thinking about with this is,

00:41:10.925 --> 00:41:13.226
is this one solution to the

00:41:13.266 --> 00:41:14.608
declining workforce?

00:41:14.688 --> 00:41:16.150
If we're losing therapists,

00:41:16.170 --> 00:41:16.751
we don't have enough

00:41:16.791 --> 00:41:18.291
therapists to fill the jobs.

00:41:18.692 --> 00:41:19.873
Schools aren't attracting

00:41:19.893 --> 00:41:20.873
enough therapists because

00:41:20.914 --> 00:41:22.635
the return on investment isn't there.

00:41:23.536 --> 00:41:27.260
Can one therapist now do more without,

00:41:27.460 --> 00:41:27.840
you know,

00:41:28.242 --> 00:41:30.324
the typical expectation of you

00:41:30.344 --> 00:41:31.565
got to build more units and

00:41:31.585 --> 00:41:33.025
you got to see more people?

00:41:33.606 --> 00:41:34.907
You can see more people

00:41:34.927 --> 00:41:36.349
because the AI is allowing

00:41:36.389 --> 00:41:38.471
you to see more people.

00:41:38.831 --> 00:41:40.793
Laws are not going to keep up with AI.

00:41:42.134 --> 00:41:43.894
So now the question is,

00:41:44.574 --> 00:41:45.795
if I have all of the

00:41:45.855 --> 00:41:48.175
information required for the evaluation,

00:41:48.215 --> 00:41:49.096
but I'm missing the

00:41:49.155 --> 00:41:50.516
face-to-face time that is a

00:41:50.556 --> 00:41:52.436
required element of billing

00:41:52.476 --> 00:41:53.496
the evaluation,

00:41:54.157 --> 00:41:56.456
can I start a plan of care

00:41:57.217 --> 00:41:58.436
if all of the other

00:41:58.516 --> 00:42:00.318
checkboxes are checked?

00:42:00.978 --> 00:42:03.318
Even if I can't bill for that plan of care,

00:42:03.838 --> 00:42:05.679
or excuse me, bill for the eval,

00:42:06.599 --> 00:42:08.201
If I have all the information,

00:42:08.260 --> 00:42:09.844
can the PTA or the other

00:42:09.884 --> 00:42:11.945
people start delivering the service?

00:42:12.467 --> 00:42:14.088
Because if the evaluation,

00:42:14.128 --> 00:42:15.751
if I could do a hundred AI

00:42:15.811 --> 00:42:19.215
evaluations in ten minutes, right,

00:42:19.996 --> 00:42:21.559
now the cost of an

00:42:21.599 --> 00:42:23.882
evaluation drops to virtually zero.

00:42:24.483 --> 00:42:24.822
Yeah,

00:42:24.862 --> 00:42:26.744
so I don't need the reimbursement for

00:42:26.784 --> 00:42:27.744
the evaluation,

00:42:27.983 --> 00:42:29.744
but I need the legal

00:42:29.784 --> 00:42:31.784
requirement of the evaluation.

00:42:31.844 --> 00:42:32.844
So what does the State

00:42:32.864 --> 00:42:36.146
Practice Act require for the evaluation?

00:42:37.266 --> 00:42:38.985
This opens a whole new line

00:42:39.085 --> 00:42:41.146
of thought in potential

00:42:41.186 --> 00:42:43.347
opportunity to let the

00:42:43.387 --> 00:42:45.447
people that are actually hands-on,

00:42:45.507 --> 00:42:47.768
boots on the ground, doing the care,

00:42:49.028 --> 00:42:50.168
do it in a different way.

00:42:52.440 --> 00:42:53.282
Yeah, I was, uh,

00:42:53.322 --> 00:42:55.507
I was playing around with that, uh,

00:42:55.527 --> 00:42:56.369
that very question.

00:42:56.922 --> 00:42:58.664
But the question was, I was driving,

00:42:59.143 --> 00:43:00.925
and I was using AI hands-free.

00:43:00.945 --> 00:43:02.505
I was talking to ChachiBT hands-free,

00:43:02.706 --> 00:43:03.505
so don't come at me.

00:43:04.186 --> 00:43:05.246
And I have conversations,

00:43:05.427 --> 00:43:07.148
because instead of listening to a book,

00:43:07.188 --> 00:43:07.447
I'm like,

00:43:07.748 --> 00:43:08.989
I could have someone who has

00:43:09.068 --> 00:43:10.809
read every book answer me

00:43:10.869 --> 00:43:11.710
based on the author.

00:43:12.550 --> 00:43:13.231
And I was saying,

00:43:13.550 --> 00:43:15.532
and I have friends who are cops,

00:43:15.952 --> 00:43:16.853
family who are cops,

00:43:17.393 --> 00:43:18.693
but a significant portion

00:43:18.753 --> 00:43:20.034
of my little village's

00:43:20.614 --> 00:43:22.815
income is based on tickets.

00:43:23.688 --> 00:43:24.690
And some have been public

00:43:24.731 --> 00:43:25.652
and say we have quotas.

00:43:25.972 --> 00:43:27.536
So they know that that

00:43:27.876 --> 00:43:29.639
police officer is going to

00:43:29.679 --> 00:43:31.021
bring in X number or should

00:43:31.041 --> 00:43:32.684
be bringing in X number of dollars.

00:43:33.487 --> 00:43:36.853
What happens when AI is driving cars?

00:43:39.079 --> 00:43:40.659
No more traffic infractions, right?

00:43:40.679 --> 00:43:42.780
Because the AI knows to turn

00:43:42.800 --> 00:43:43.981
the blinker on or it won't turn.

00:43:44.380 --> 00:43:46.121
The AI knows that this is fifty five.

00:43:46.161 --> 00:43:47.202
Do not do fifty six.

00:43:47.702 --> 00:43:48.081
Yeah.

00:43:48.141 --> 00:43:49.443
Now you have traffic cops going.

00:43:49.682 --> 00:43:51.483
How many traffic tickets did you write?

00:43:51.784 --> 00:43:52.123
Zero.

00:43:52.684 --> 00:43:54.405
So AI was I said, listen,

00:43:54.505 --> 00:43:55.644
based on the fact that you

00:43:55.704 --> 00:43:57.985
know that police officers

00:43:58.106 --> 00:43:58.965
and traffic infractions,

00:43:59.266 --> 00:44:00.447
it's an income driver.

00:44:01.086 --> 00:44:01.927
It got to a point where you

00:44:01.967 --> 00:44:04.047
can't erase it because it's I don't know,

00:44:04.068 --> 00:44:04.748
making up figures,

00:44:04.789 --> 00:44:05.869
but it's enough of a budget

00:44:05.909 --> 00:44:07.429
of a town where if you took it away,

00:44:07.590 --> 00:44:08.230
we'll collapse.

00:44:09.898 --> 00:44:11.059
I'm not anti-government,

00:44:11.199 --> 00:44:11.898
but I'm smart enough to

00:44:11.938 --> 00:44:13.000
know that the government is very,

00:44:13.039 --> 00:44:14.601
very efficient at doing a couple things.

00:44:14.981 --> 00:44:16.061
One of them is separating

00:44:16.121 --> 00:44:17.262
money from its constituents.

00:44:17.862 --> 00:44:19.744
So AI just started extrapolating.

00:44:19.864 --> 00:44:20.563
It gave me like,

00:44:20.623 --> 00:44:21.224
like a lot of times you

00:44:21.244 --> 00:44:22.065
have to prompt AI to give

00:44:22.085 --> 00:44:23.585
you more than like five or six ideas.

00:44:24.045 --> 00:44:25.067
It gave me like fifteen.

00:44:25.907 --> 00:44:26.728
And it was like essentially

00:44:26.748 --> 00:44:28.228
like AI usage fees.

00:44:28.668 --> 00:44:30.369
It was infractions for what

00:44:30.389 --> 00:44:31.731
people are doing in the car,

00:44:32.490 --> 00:44:33.351
which I thought was funny.

00:44:33.371 --> 00:44:34.632
Like music's too loud.

00:44:34.911 --> 00:44:35.672
And I was like, oh my gosh,

00:44:35.733 --> 00:44:36.293
now we have to start

00:44:36.333 --> 00:44:38.715
policing things that are based on like

00:44:39.835 --> 00:44:42.436
activities right um it would

00:44:42.456 --> 00:44:44.358
give you well ais or these

00:44:44.398 --> 00:44:45.157
cars are driving on our

00:44:45.217 --> 00:44:46.679
streets then the usage fees

00:44:46.719 --> 00:44:47.719
on the streets would go up

00:44:47.739 --> 00:44:48.699
so it would just be a usage

00:44:48.739 --> 00:44:50.021
fee they would start

00:44:50.061 --> 00:44:51.041
passing that along to the

00:44:51.081 --> 00:44:52.902
door dash driver and by say

00:44:52.981 --> 00:44:54.882
driver I mean the the ai

00:44:55.023 --> 00:44:55.844
agent or whatever that's

00:44:55.864 --> 00:44:57.244
driving the car so the

00:44:57.304 --> 00:44:58.304
money's gonna come the same

00:44:58.324 --> 00:44:58.885
amount of money is gonna

00:44:58.905 --> 00:45:00.005
come from somewhere we're

00:45:00.025 --> 00:45:00.806
just gonna put a different

00:45:00.927 --> 00:45:02.588
label on it so as soon as

00:45:02.608 --> 00:45:04.088
you squish this out it's

00:45:04.108 --> 00:45:05.068
gonna pop out somewhere

00:45:05.128 --> 00:45:06.009
don't worry about it like

00:45:06.028 --> 00:45:06.889
they're gonna get their money

00:45:07.349 --> 00:45:08.050
They're already thinking

00:45:08.070 --> 00:45:09.211
about different ways to do that.

00:45:09.532 --> 00:45:10.333
You should be already

00:45:10.353 --> 00:45:11.092
thinking about different

00:45:11.112 --> 00:45:11.934
ways to do this too,

00:45:11.974 --> 00:45:13.014
which is how can you

00:45:13.054 --> 00:45:14.615
provide something of value

00:45:15.237 --> 00:45:16.097
if the way that you're

00:45:16.117 --> 00:45:19.179
providing it now went away tomorrow?

00:45:19.539 --> 00:45:19.920
Kids,

00:45:21.561 --> 00:45:23.782
a thirteen-year-old used to bike

00:45:23.802 --> 00:45:25.063
around my neighborhood and

00:45:25.083 --> 00:45:27.445
throw newspapers at people's doors.

00:45:28.146 --> 00:45:28.586
And now...

00:45:29.588 --> 00:45:30.809
That would be most of the time.

00:45:30.849 --> 00:45:31.512
That's absurd.

00:45:31.552 --> 00:45:32.492
You get your news from a

00:45:32.552 --> 00:45:34.235
website or an email link

00:45:34.936 --> 00:45:36.780
sent to you every single morning.

00:45:37.061 --> 00:45:37.802
It's insane.

00:45:38.083 --> 00:45:39.264
It just changed.

00:45:39.905 --> 00:45:41.168
So I would start skating to

00:45:41.208 --> 00:45:43.371
where that change actually is.

00:45:44.161 --> 00:45:44.601
Yeah, you know,

00:45:44.621 --> 00:45:46.181
it's funny you bring that up.

00:45:46.322 --> 00:45:48.103
On a morbid fact side,

00:45:48.284 --> 00:45:50.204
I remember during COVID,

00:45:50.264 --> 00:45:51.306
somebody brought this up.

00:45:52.007 --> 00:45:53.347
There were fewer drivers,

00:45:53.407 --> 00:45:55.188
fewer car accidents.

00:45:55.748 --> 00:45:57.550
I don't remember the exact number,

00:45:57.610 --> 00:45:59.311
but it was an unreasonable

00:45:59.351 --> 00:46:02.074
amount of number, a financial number.

00:46:02.753 --> 00:46:04.356
When a person gets in a car

00:46:04.416 --> 00:46:06.577
accident and dies on the road,

00:46:07.137 --> 00:46:08.719
somebody had calculated out

00:46:08.900 --> 00:46:10.740
how much money that pours

00:46:10.780 --> 00:46:13.704
into the system of local government.

00:46:13.864 --> 00:46:14.945
I don't remember like

00:46:14.965 --> 00:46:16.186
between hospital and

00:46:16.346 --> 00:46:18.148
ambulance and all the other stuff.

00:46:18.869 --> 00:46:19.028
Um,

00:46:19.853 --> 00:46:20.954
It just blew my mind.

00:46:21.014 --> 00:46:22.213
I had never thought that

00:46:22.293 --> 00:46:23.695
people dying on the road

00:46:23.934 --> 00:46:26.496
increased domestic product

00:46:26.516 --> 00:46:27.916
for the local government.

00:46:29.137 --> 00:46:31.097
One of the ideas on the AI side though,

00:46:31.318 --> 00:46:32.338
and this is the stuff that

00:46:32.358 --> 00:46:34.699
I talk to my kids about, I'm like, okay,

00:46:34.739 --> 00:46:36.619
so we drive virtually the

00:46:36.679 --> 00:46:38.800
same routes every day in my neighborhood,

00:46:38.840 --> 00:46:40.442
like around the city and

00:46:40.461 --> 00:46:41.681
going to baseball practice,

00:46:41.722 --> 00:46:42.322
going to school.

00:46:43.422 --> 00:46:45.023
My phone is usually plugged

00:46:45.103 --> 00:46:46.364
in and sitting on the dash

00:46:46.405 --> 00:46:47.324
like a dash cam,

00:46:47.364 --> 00:46:48.826
although I'm not recording anything.

00:46:48.885 --> 00:46:49.985
And I told Lucas, I'm like,

00:46:50.626 --> 00:46:52.547
why hasn't somebody, one,

00:46:52.987 --> 00:46:56.048
created an app that follows GPS,

00:46:56.329 --> 00:46:57.929
starts tracking the timers

00:46:58.170 --> 00:46:59.451
on traffic lights,

00:46:59.570 --> 00:47:01.152
and starts getting a

00:47:01.211 --> 00:47:02.672
knowledge of understanding

00:47:03.112 --> 00:47:05.873
traffic flows so that it

00:47:06.074 --> 00:47:07.775
optimizes my speed?

00:47:08.295 --> 00:47:09.876
I am happy to drive slower.

00:47:10.476 --> 00:47:11.637
If there's a better chance

00:47:11.657 --> 00:47:12.418
that I'm going to make the

00:47:12.438 --> 00:47:13.440
traffic light and if the

00:47:13.480 --> 00:47:14.862
light's running on a sensor

00:47:14.902 --> 00:47:16.182
and there's cars ahead of me,

00:47:16.222 --> 00:47:17.385
the camera can see that.

00:47:17.824 --> 00:47:18.505
So there should be a

00:47:18.565 --> 00:47:20.309
predictive algorithm to say, Tony,

00:47:20.349 --> 00:47:21.429
if you drive slower,

00:47:21.469 --> 00:47:23.231
if you hit forty two right now,

00:47:23.632 --> 00:47:24.434
you're not going to have to

00:47:24.454 --> 00:47:25.235
hit the brakes.

00:47:25.695 --> 00:47:27.117
And then the secondary benefit,

00:47:27.177 --> 00:47:28.778
I think this came from Joe Rogan.

00:47:29.719 --> 00:47:30.961
One of the main drivers of

00:47:31.041 --> 00:47:34.746
air pollution is brake pads wearing down.

00:47:35.166 --> 00:47:36.929
So if I need to hit the brakes less,

00:47:36.969 --> 00:47:38.550
there's less air pollution.

00:47:39.030 --> 00:47:39.652
If, you know,

00:47:39.811 --> 00:47:41.673
better economy of scale and I

00:47:41.713 --> 00:47:42.876
save gas and I'm like,

00:47:43.356 --> 00:47:44.898
I don't think that app exists.

00:47:44.998 --> 00:47:46.739
Why doesn't this app exist

00:47:46.940 --> 00:47:48.081
out in the wild?

00:47:48.922 --> 00:47:50.043
So I was thinking about this, too.

00:47:50.083 --> 00:47:51.324
We must think about weird

00:47:51.364 --> 00:47:52.144
things like this.

00:47:53.266 --> 00:47:54.586
We've just invented trains.

00:47:55.987 --> 00:47:56.148
Right.

00:47:56.168 --> 00:47:57.268
Because if I'm going from A

00:47:57.289 --> 00:47:58.570
to B and I just got in the car,

00:47:58.911 --> 00:47:59.710
why wouldn't I?

00:47:59.731 --> 00:48:00.552
And now I'm going to be on

00:48:00.592 --> 00:48:02.494
that road and I can't pass

00:48:02.534 --> 00:48:03.594
this guy because that would

00:48:03.614 --> 00:48:04.454
violate speed.

00:48:04.795 --> 00:48:05.795
Right.

00:48:05.815 --> 00:48:06.577
We're going the same way.

00:48:06.617 --> 00:48:08.378
But now our now our cars just link up.

00:48:08.898 --> 00:48:09.559
And they're going to go the

00:48:09.619 --> 00:48:10.581
same rate and they're going

00:48:10.601 --> 00:48:11.581
to slow down or speed up

00:48:11.641 --> 00:48:13.242
based on intersections.

00:48:13.302 --> 00:48:13.523
Right.

00:48:13.563 --> 00:48:14.684
And this is also like why

00:48:14.744 --> 00:48:16.746
Americans we love we love

00:48:16.806 --> 00:48:18.588
ninety degree turns and red and red,

00:48:18.608 --> 00:48:19.568
yellow and green.

00:48:19.588 --> 00:48:20.389
But the rest of the world is

00:48:20.409 --> 00:48:21.331
like traffic circles.

00:48:21.391 --> 00:48:22.170
It's just more efficient.

00:48:22.431 --> 00:48:23.373
The traffic never stops.

00:48:23.413 --> 00:48:24.454
It just sort of slows down.

00:48:25.213 --> 00:48:25.954
We love our ways.

00:48:26.315 --> 00:48:28.416
So like I see the types of

00:48:28.456 --> 00:48:30.039
roads changing and how

00:48:30.059 --> 00:48:31.340
we're and how those things are monitored,

00:48:31.360 --> 00:48:32.740
because, yeah, if two of us are coming

00:48:33.800 --> 00:48:34.681
Towards a collision.

00:48:35.061 --> 00:48:35.240
Right.

00:48:35.260 --> 00:48:35.981
If we're coming at ninety

00:48:36.021 --> 00:48:36.902
degrees to each other,

00:48:37.262 --> 00:48:38.043
we don't have to stop

00:48:38.063 --> 00:48:39.626
anymore because the A. I'll be like, OK,

00:48:39.706 --> 00:48:40.065
I got it.

00:48:40.146 --> 00:48:41.266
I'm going to go because I

00:48:41.286 --> 00:48:42.148
couldn't communicate to

00:48:42.188 --> 00:48:43.610
Tony if I'm driving next to

00:48:43.650 --> 00:48:45.090
him unless I just do this.

00:48:45.331 --> 00:48:46.271
Honk, honk, honk, honk, honk.

00:48:46.351 --> 00:48:47.552
Like honks just sound negative.

00:48:47.572 --> 00:48:48.454
Yeah.

00:48:48.494 --> 00:48:49.155
Like that doesn't say

00:48:49.195 --> 00:48:50.056
anything unless I'm tapping

00:48:50.076 --> 00:48:50.775
it out Morse code.

00:48:51.237 --> 00:48:53.478
So now you can now those

00:48:53.518 --> 00:48:55.280
cars can talk to each other and say, OK,

00:48:55.300 --> 00:48:55.981
we're going to keep this

00:48:56.021 --> 00:48:56.942
track because the purpose

00:48:56.983 --> 00:48:58.143
is to be the most efficient.

00:48:58.938 --> 00:48:59.159
Right now,

00:48:59.179 --> 00:49:00.599
the purpose of roads is just be

00:49:00.659 --> 00:49:01.601
a road and everyone has to

00:49:01.641 --> 00:49:03.181
follow this ridiculous set of rules.

00:49:03.222 --> 00:49:04.242
But I have friends who came

00:49:04.262 --> 00:49:05.643
from Asia and they're like,

00:49:05.684 --> 00:49:06.585
we thought we were a very

00:49:06.684 --> 00:49:07.925
neat and orderly society,

00:49:07.965 --> 00:49:10.128
but American driving is like, woo,

00:49:10.188 --> 00:49:11.588
like you guys have rules.

00:49:11.628 --> 00:49:12.969
And if you violate one of those rules,

00:49:13.250 --> 00:49:13.590
trust me,

00:49:13.610 --> 00:49:14.431
the other drivers are going to

00:49:14.471 --> 00:49:16.172
tell you those rules are

00:49:16.193 --> 00:49:16.913
going to have to go.

00:49:17.032 --> 00:49:17.733
They're going to start to go

00:49:17.793 --> 00:49:20.195
away from the humans won't

00:49:20.215 --> 00:49:21.516
have to understand those rules as much.

00:49:22.217 --> 00:49:23.057
I remember reading a book

00:49:23.097 --> 00:49:24.199
when I was in elementary school.

00:49:24.219 --> 00:49:26.039
This is in the eighties and

00:49:26.340 --> 00:49:27.661
looking at a car design.

00:49:28.443 --> 00:49:31.086
where the front passengers, the parents,

00:49:31.527 --> 00:49:32.387
their seats swiveled

00:49:32.407 --> 00:49:33.108
backwards and they were

00:49:33.128 --> 00:49:34.590
playing a board game with their kids.

00:49:35.070 --> 00:49:37.293
Like that's not far away, right?

00:49:37.632 --> 00:49:39.235
Watching a movie or playing a board game,

00:49:39.255 --> 00:49:40.076
you know, whatever.

00:49:40.784 --> 00:49:41.364
turning around.

00:49:41.545 --> 00:49:42.585
Why do you have to look forwards?

00:49:42.646 --> 00:49:44.146
Like will, will, you know,

00:49:44.485 --> 00:49:46.126
Dave's got a one-year-old, right?

00:49:46.706 --> 00:49:47.927
Will Dave's one-year-old

00:49:48.047 --> 00:49:49.266
have a driver's license?

00:49:49.286 --> 00:49:51.268
Do you need a license to sit

00:49:51.288 --> 00:49:52.847
in a car and have something else drive?

00:49:52.989 --> 00:49:54.469
I, I don't think you will.

00:49:54.568 --> 00:49:56.188
So we're thinking three or

00:49:56.750 --> 00:49:58.389
four or five or ten steps ahead.

00:49:59.150 --> 00:50:00.271
I think healthcare providers

00:50:00.291 --> 00:50:01.650
have a big upside, but you have like,

00:50:02.010 --> 00:50:03.371
I give that monkey bar analogy.

00:50:03.592 --> 00:50:04.431
The only way to get ahead on

00:50:04.452 --> 00:50:05.351
the monkey bars, right?

00:50:05.371 --> 00:50:06.652
You got to reach forward big,

00:50:07.132 --> 00:50:08.432
see the future and,

00:50:08.512 --> 00:50:09.394
You got to let go.

00:50:09.735 --> 00:50:11.260
You have to let go of some things.

00:50:11.501 --> 00:50:12.382
And some of those things are

00:50:12.422 --> 00:50:13.304
tied to your identity,

00:50:13.726 --> 00:50:15.570
where I think that's where

00:50:15.590 --> 00:50:16.313
the hesitancy is.

00:50:16.806 --> 00:50:17.025
Yeah.

00:50:17.266 --> 00:50:17.485
Yeah.

00:50:17.545 --> 00:50:19.447
Because we have a couple of

00:50:19.507 --> 00:50:21.208
young pilots in the family.

00:50:21.248 --> 00:50:22.329
These guys are just getting

00:50:22.409 --> 00:50:24.389
out of college.

00:50:24.409 --> 00:50:26.490
They're just getting into, you know,

00:50:26.771 --> 00:50:28.211
they've got their private.

00:50:28.351 --> 00:50:29.333
I don't even know what it is,

00:50:29.373 --> 00:50:31.333
but they can fly a private plane.

00:50:31.353 --> 00:50:33.275
They can't fly a commercial plane yet.

00:50:34.355 --> 00:50:35.775
And I'm talking to them like, guys,

00:50:36.155 --> 00:50:37.617
I don't understand this.

00:50:37.677 --> 00:50:38.818
If you're in a cockpit.

00:50:39.358 --> 00:50:40.838
You're looking at monitors

00:50:40.898 --> 00:50:42.079
basically all around you.

00:50:42.179 --> 00:50:43.978
Why is there a human pilot

00:50:44.539 --> 00:50:46.300
when there's all these laws

00:50:46.360 --> 00:50:47.519
and rules and restrictions

00:50:47.539 --> 00:50:48.800
against how much you can fly,

00:50:48.820 --> 00:50:50.001
when you can fly?

00:50:50.701 --> 00:50:52.601
Why not just put a person in

00:50:52.641 --> 00:50:53.782
front of a computer that

00:50:53.942 --> 00:50:55.543
looks just like a cockpit

00:50:56.083 --> 00:50:57.362
and let anyone from

00:50:57.523 --> 00:50:59.224
anywhere fly the plane?

00:50:59.983 --> 00:51:00.563
And they were like,

00:51:01.284 --> 00:51:03.144
I think part of it is the

00:51:03.224 --> 00:51:04.985
passengers want a human

00:51:05.425 --> 00:51:08.487
that if he dies or if we die, he dies.

00:51:09.586 --> 00:51:11.228
But when you look at those

00:51:11.507 --> 00:51:13.648
single passenger autonomous

00:51:14.268 --> 00:51:16.068
flights that are going like

00:51:16.108 --> 00:51:18.190
San Francisco and some of these places,

00:51:18.670 --> 00:51:19.811
none of them have pilots.

00:51:20.170 --> 00:51:21.590
Like you get in this thing,

00:51:22.010 --> 00:51:23.572
it lifts you and flies you

00:51:23.612 --> 00:51:24.572
across the river or

00:51:24.592 --> 00:51:25.273
wherever you're going.

00:51:25.293 --> 00:51:26.233
It's happening now.

00:51:26.853 --> 00:51:28.514
Right now, like right now,

00:51:28.675 --> 00:51:30.418
these are fully autonomous

00:51:30.557 --> 00:51:31.699
passenger flights.

00:51:32.300 --> 00:51:33.601
I think it's one to four people.

00:51:34.603 --> 00:51:35.443
I just watched the big

00:51:35.503 --> 00:51:36.844
interview with four of the

00:51:36.864 --> 00:51:38.567
main companies that are doing this.

00:51:39.047 --> 00:51:40.550
They've got redundancy and

00:51:40.610 --> 00:51:41.811
all of this other stuff.

00:51:43.572 --> 00:51:45.994
People don't think of it like an airplane.

00:51:46.295 --> 00:51:48.918
So I think they're more willing to do it.

00:51:48.938 --> 00:51:51.079
Plus, they're in tech hubs.

00:51:51.280 --> 00:51:53.623
So the people there are just, yeah,

00:51:53.963 --> 00:51:55.643
they already have autonomous driving.

00:51:55.684 --> 00:51:57.065
They already have taxis that

00:51:57.085 --> 00:51:58.887
are driving them with no human.

00:51:59.588 --> 00:52:00.108
So it's just,

00:52:00.447 --> 00:52:01.748
these are the early adopters.

00:52:02.248 --> 00:52:03.228
Did you hear how, you know,

00:52:03.248 --> 00:52:04.489
you're familiar with Waymo, right?

00:52:05.190 --> 00:52:05.429
Yeah.

00:52:06.809 --> 00:52:08.150
Did you hear what they did

00:52:08.670 --> 00:52:10.190
when they were going to do a beta test in,

00:52:10.451 --> 00:52:11.771
I forget what city, probably somewhere,

00:52:11.791 --> 00:52:12.572
I'm out in California,

00:52:12.592 --> 00:52:15.032
probably somewhere out in California.

00:52:15.052 --> 00:52:15.972
The first thing they did,

00:52:16.092 --> 00:52:17.373
it's a brilliant PR move.

00:52:17.414 --> 00:52:19.074
They understood the problem.

00:52:20.173 --> 00:52:22.114
They had the Waymo cars

00:52:22.215 --> 00:52:23.275
driving around without

00:52:23.375 --> 00:52:24.936
anybody in them for six months.

00:52:25.538 --> 00:52:27.597
OK, because they were going to ask people,

00:52:28.239 --> 00:52:29.978
these people, these people,

00:52:30.159 --> 00:52:31.798
that person here to

00:52:31.838 --> 00:52:33.460
eventually get in them and ride in them.

00:52:34.000 --> 00:52:36.920
So they let them watch them from afar.

00:52:37.681 --> 00:52:38.420
If you were going to have

00:52:38.460 --> 00:52:40.621
your kid pet a dog for the

00:52:40.800 --> 00:52:41.900
kid had never seen a dog.

00:52:42.661 --> 00:52:43.782
I don't think you run your

00:52:43.822 --> 00:52:44.782
kid right up to the dog.

00:52:45.501 --> 00:52:46.021
Maybe you would.

00:52:46.282 --> 00:52:46.802
And maybe that kid would

00:52:46.822 --> 00:52:47.503
have a fear of dogs.

00:52:47.943 --> 00:52:48.882
I think the smart people

00:52:48.902 --> 00:52:49.643
would let the kid watch the

00:52:49.682 --> 00:52:51.623
dog from across the room.

00:52:51.682 --> 00:52:51.983
First time,

00:52:52.224 --> 00:52:54.063
like you can't understand that.

00:52:54.556 --> 00:52:55.478
what it's like to see a dog

00:52:55.498 --> 00:52:56.358
for the first time when

00:52:56.378 --> 00:52:57.860
you've seen a dog your entire life.

00:52:59.380 --> 00:53:00.521
You have the curse of knowledge.

00:53:01.083 --> 00:53:02.923
But looking at a three-year-old,

00:53:03.724 --> 00:53:06.987
it's hairy, and I've seen dogs on TV,

00:53:07.007 --> 00:53:08.088
but Bluey does not look

00:53:08.108 --> 00:53:09.690
like that because Bluey is a cartoon,

00:53:09.750 --> 00:53:10.010
right?

00:53:10.851 --> 00:53:11.831
But seeing it in real life

00:53:11.871 --> 00:53:12.813
is also real different.

00:53:13.152 --> 00:53:14.894
So Waymo was smart enough to say,

00:53:14.914 --> 00:53:15.474
we're going to let these

00:53:15.494 --> 00:53:16.755
cars just drive around town.

00:53:17.697 --> 00:53:19.458
and be there and people and

00:53:19.478 --> 00:53:20.380
of course you believe me

00:53:20.739 --> 00:53:22.402
when you when you drive

00:53:22.442 --> 00:53:23.503
next to a car with the

00:53:23.663 --> 00:53:24.443
steering wall on the other

00:53:24.503 --> 00:53:27.586
side you notice yes that's

00:53:27.706 --> 00:53:28.867
really because it's pattern

00:53:28.887 --> 00:53:29.708
interruption it's a purple

00:53:29.748 --> 00:53:32.010
cow it's one two one two

00:53:32.052 --> 00:53:33.072
wait a minute two one that

00:53:33.092 --> 00:53:34.233
doesn't make any sense so

00:53:34.313 --> 00:53:35.235
people were noticing these

00:53:35.255 --> 00:53:36.775
driverless cars for months

00:53:37.257 --> 00:53:38.036
and then they started

00:53:38.077 --> 00:53:39.858
taking passengers and it

00:53:39.878 --> 00:53:41.260
was less of a leap

00:53:42.351 --> 00:53:42.552
Right.

00:53:42.632 --> 00:53:43.992
A leap from what we know to

00:53:44.092 --> 00:53:45.994
what is completely new is a giant leap.

00:53:46.034 --> 00:53:46.574
They just moved.

00:53:46.655 --> 00:53:47.735
They made the leap smaller

00:53:48.577 --> 00:53:51.259
and people it it it went smoother.

00:53:51.298 --> 00:53:52.099
I bet you if they did that

00:53:52.139 --> 00:53:53.000
beta test in a different

00:53:53.039 --> 00:53:55.141
town and went from we're

00:53:55.222 --> 00:53:56.043
legally allowed to take

00:53:56.083 --> 00:53:57.344
drivers and riders and

00:53:57.364 --> 00:53:58.063
we're taking riders,

00:53:58.443 --> 00:53:59.125
there would have been a lot

00:53:59.164 --> 00:54:00.206
more of this friction.

00:54:00.266 --> 00:54:00.985
I would actually love if

00:54:01.005 --> 00:54:01.726
they could test that

00:54:01.746 --> 00:54:02.367
because I think that would

00:54:02.387 --> 00:54:04.108
be a great way to prove the concept.

00:54:04.349 --> 00:54:05.550
But I saw that on Sixty

00:54:05.590 --> 00:54:06.190
Minutes or something and

00:54:06.210 --> 00:54:06.831
thought it was brilliant.

00:54:07.492 --> 00:54:09.612
Yeah, yeah.

00:54:09.632 --> 00:54:10.873
So let's wrap up the show.

00:54:11.273 --> 00:54:12.875
Let's bring it full circle.

00:54:13.135 --> 00:54:13.434
You know,

00:54:13.454 --> 00:54:15.096
when we were talking about cars

00:54:15.135 --> 00:54:16.016
and turning cars

00:54:16.056 --> 00:54:17.478
effectively into a virtual

00:54:17.538 --> 00:54:18.998
train with virtual connections,

00:54:19.599 --> 00:54:20.438
it reminded me,

00:54:20.860 --> 00:54:22.501
I had mentioned nature earlier,

00:54:22.940 --> 00:54:23.900
like how ants,

00:54:24.101 --> 00:54:25.561
we have leaf cutter ants at

00:54:25.581 --> 00:54:26.983
the Cincinnati Zoo and you

00:54:27.003 --> 00:54:28.244
see these leaf cutter ants

00:54:28.284 --> 00:54:30.625
just going in like synchronicity.

00:54:33.507 --> 00:54:34.827
How do we bring some of

00:54:34.847 --> 00:54:36.889
these concepts back into patient care?

00:54:37.585 --> 00:54:40.047
I think going from in-person

00:54:40.106 --> 00:54:41.268
straight to telehealth is

00:54:41.307 --> 00:54:43.168
too big of a leap for a lot of people.

00:54:43.248 --> 00:54:44.369
So that's where you're like,

00:54:44.789 --> 00:54:47.411
you start to introduce telehealth,

00:54:48.911 --> 00:54:50.713
even from the respect of, okay,

00:54:50.793 --> 00:54:52.112
I send the human physical

00:54:52.132 --> 00:54:53.373
therapist assistant to the

00:54:53.414 --> 00:54:56.615
house and I'm there through the phone.

00:54:57.096 --> 00:54:58.356
And then eventually I start

00:54:58.376 --> 00:54:59.896
to step back from the phone

00:54:59.956 --> 00:55:00.777
until I'm not even,

00:55:01.498 --> 00:55:03.239
or the human is not there

00:55:03.278 --> 00:55:05.280
as much and we initiate the calls.

00:55:06.199 --> 00:55:08.061
I think it could be done and

00:55:08.260 --> 00:55:10.262
just like this we have

00:55:10.742 --> 00:55:11.681
telephone calls

00:55:11.742 --> 00:55:13.282
supplemented with the AI

00:55:13.443 --> 00:55:15.262
agent and then eventually

00:55:15.282 --> 00:55:16.403
the AI agent just

00:55:16.423 --> 00:55:17.724
completely takes over the

00:55:17.764 --> 00:55:19.045
telephone call which then

00:55:19.085 --> 00:55:20.644
eventually completely takes

00:55:20.744 --> 00:55:22.925
over the patient history

00:55:23.085 --> 00:55:24.987
gathering which then takes

00:55:25.086 --> 00:55:26.847
over the full evaluation.

00:55:28.981 --> 00:55:29.963
I think inch by inch,

00:55:30.003 --> 00:55:31.083
we're going to get there.

00:55:31.103 --> 00:55:33.425
And I think that's going to

00:55:33.445 --> 00:55:34.746
be the solution to not

00:55:34.766 --> 00:55:35.987
having enough therapists,

00:55:36.568 --> 00:55:37.829
not having enough students

00:55:37.849 --> 00:55:39.811
going into the DPT programs.

00:55:40.871 --> 00:55:43.293
We have to be able to do

00:55:43.333 --> 00:55:44.855
this without the therapist

00:55:44.875 --> 00:55:46.835
feeling like we're taking

00:55:46.896 --> 00:55:49.137
away more of their independence.

00:55:50.179 --> 00:55:52.780
They still have to feel like

00:55:52.800 --> 00:55:54.463
they play a role,

00:55:55.103 --> 00:55:56.824
even though they probably

00:55:56.864 --> 00:55:58.385
don't do as much as they think they do.

00:55:59.976 --> 00:56:00.976
That's my parting shot.

00:56:00.996 --> 00:56:02.577
What you got?

00:56:02.597 --> 00:56:03.338
What is your parting shot?

00:56:03.358 --> 00:56:06.318
I feel like therapists don't

00:56:06.338 --> 00:56:08.119
do as much as they think they do.

00:56:08.199 --> 00:56:10.559
We need to start to bring

00:56:10.760 --> 00:56:12.780
these AI agents into our

00:56:12.820 --> 00:56:13.981
day-to-day operation,

00:56:14.081 --> 00:56:15.581
even if it's done subtly,

00:56:16.240 --> 00:56:17.422
until all of a sudden we

00:56:17.461 --> 00:56:18.902
realize it's doing way more

00:56:18.942 --> 00:56:20.061
than we ever thought it would do.

00:56:20.902 --> 00:56:21.342
I would say...

00:56:23.496 --> 00:56:25.717
You can, you can do any,

00:56:25.797 --> 00:56:26.817
you can do a lot of things.

00:56:27.097 --> 00:56:27.597
You can.

00:56:28.418 --> 00:56:29.117
I think even if you're

00:56:29.137 --> 00:56:30.097
saying you're sitting there and you're,

00:56:30.117 --> 00:56:31.038
let's say you're on the far

00:56:31.097 --> 00:56:31.938
left of the bell curve.

00:56:31.978 --> 00:56:33.818
You're like, I'm never going to use AI.

00:56:34.280 --> 00:56:35.260
It's just, I don't love it.

00:56:35.340 --> 00:56:35.699
I hate it.

00:56:35.719 --> 00:56:36.599
It's going to replace humans.

00:56:36.639 --> 00:56:37.501
And I'm all about humans.

00:56:37.621 --> 00:56:37.800
Good.

00:56:39.201 --> 00:56:39.940
Understanding its

00:56:39.960 --> 00:56:41.302
capabilities and then

00:56:41.342 --> 00:56:42.282
doubling down the things

00:56:42.302 --> 00:56:43.543
that you think will take it

00:56:43.563 --> 00:56:44.543
the longest to get to.

00:56:45.525 --> 00:56:45.726
right?

00:56:46.045 --> 00:56:48.407
It's going to permeate in healthcare,

00:56:48.467 --> 00:56:50.648
in business, in remember movie phone?

00:56:50.688 --> 00:56:52.108
It used to be like a directory,

00:56:52.128 --> 00:56:53.088
a phone directory to find

00:56:53.128 --> 00:56:54.509
out what movies and book your tickets.

00:56:55.329 --> 00:56:56.789
But you can do a lot of things.

00:56:57.190 --> 00:56:58.929
Number one, staying right where you are.

00:56:59.371 --> 00:57:00.010
You can do that.

00:57:00.833 --> 00:57:01.715
You can.

00:57:01.815 --> 00:57:02.715
I would not recommend it.

00:57:03.376 --> 00:57:05.077
There are still horse-drawn

00:57:05.117 --> 00:57:06.818
buggies in New York.

00:57:07.958 --> 00:57:08.338
There are,

00:57:08.358 --> 00:57:09.719
but they're the exception at the

00:57:09.760 --> 00:57:11.641
rule because they're the last one.

00:57:11.701 --> 00:57:12.420
Now they're cute,

00:57:12.782 --> 00:57:14.503
but they're not functional, right?

00:57:14.822 --> 00:57:15.983
I mean,

00:57:16.023 --> 00:57:17.505
they're functional for what they are.

00:57:18.284 --> 00:57:19.385
I would say paying attention

00:57:19.405 --> 00:57:20.987
to what AI can do simply

00:57:21.186 --> 00:57:24.148
and then how does it work

00:57:24.208 --> 00:57:25.289
you out of the business?

00:57:25.929 --> 00:57:27.371
Start with the stuff you hate doing,

00:57:28.311 --> 00:57:28.572
right?

00:57:28.791 --> 00:57:29.072
I've got

00:57:30.168 --> 00:57:31.251
I've got a bunch of things

00:57:31.271 --> 00:57:33.094
in the background that I do that I'm like,

00:57:33.195 --> 00:57:33.896
I hate doing this.

00:57:34.398 --> 00:57:36.202
I hope that I hope to tell me,

00:57:36.262 --> 00:57:37.485
figure out what to pack to

00:57:37.505 --> 00:57:38.166
come on this trip.

00:57:39.155 --> 00:57:40.135
And what time to leave to

00:57:40.175 --> 00:57:42.077
get to the airport efficiently?

00:57:42.378 --> 00:57:43.679
Because I hate thinking about that.

00:57:44.099 --> 00:57:44.539
So I didn't.

00:57:44.818 --> 00:57:45.420
I didn't have to.

00:57:45.940 --> 00:57:46.760
Some people are saying it's

00:57:46.780 --> 00:57:47.922
going to create dumb humans.

00:57:47.981 --> 00:57:50.202
And I'm like, I don't know, man.

00:57:51.143 --> 00:57:51.925
I sat there and had that

00:57:51.965 --> 00:57:53.206
conversation about how

00:57:53.266 --> 00:57:54.186
municipalities will make

00:57:54.246 --> 00:57:55.327
money when no one's getting

00:57:55.367 --> 00:57:56.387
traffic tickets anymore.

00:57:57.228 --> 00:57:59.349
I liked to do that higher level idea.

00:57:59.389 --> 00:58:01.731
So AI, you can do a lot of things.

00:58:01.891 --> 00:58:03.293
So could AI find out what

00:58:03.313 --> 00:58:05.275
those things cross and where they don't.

00:58:05.855 --> 00:58:06.655
And I would spend a lot of

00:58:06.695 --> 00:58:07.436
times where they don't,

00:58:07.556 --> 00:58:08.217
at least right now.

00:58:09.056 --> 00:58:11.338
We're back on Tuesday.

00:58:11.398 --> 00:58:12.719
Dave will probably be back on Tuesday.

00:58:13.099 --> 00:58:14.141
Tony, have yourself a good week.

00:58:14.161 --> 00:58:14.820
I'm going to hang out here

00:58:14.840 --> 00:58:15.762
on the left coast.

00:58:16.382 --> 00:58:16.922
I'm going to go to an

00:58:16.963 --> 00:58:17.724
In-N-Out burger because

00:58:17.744 --> 00:58:18.423
people have been talking so

00:58:18.443 --> 00:58:19.264
much smack about it.

00:58:19.344 --> 00:58:20.525
I'll let you know on Thursday.

00:58:20.565 --> 00:58:21.706
Animal style, baby.

00:58:21.887 --> 00:58:22.246
Animal style.

00:58:22.327 --> 00:58:23.387
I'll do animal style,

00:58:24.208 --> 00:58:24.768
and I'll let you know if

00:58:24.789 --> 00:58:25.748
the juice is worth the squeeze.

00:58:25.768 --> 00:58:27.251
All right.

00:58:27.411 --> 00:58:27.971
See you.

00:58:27.990 --> 00:58:28.871
We'll see you on Thursday, guys.

00:58:28.891 --> 00:58:29.092
Thanks.