May 1, 2025
The Note Ninjas: Burnout - Proof Documentation for PTs & OTs
Nicole and Stephanie, aka The Note Ninjas, are an OT and PT duo teaching therapists how to cut documentation time without cutting corners. In this episode, they join Jimmy to talk about their personal breaking points, how they created a better way to document, and why creative treatment doesn’t have to come at the cost of defensibility or compliance.
They also preview their upcoming CEU-approved virtual summit, where therapists will walk away with actionable documentation strategies and treatment ideas that actually help real humans.
WEBVTT
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We'll do the big fancy logo thing.
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And they're back.
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The note ninjas are here.
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I figured more masks, not enough weapons.
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Like where are the, no, no weapons.
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All right.
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Well, if you had, oh, first question.
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If you had weapons as note ninjas,
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as healthcare providers,
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what would they be?
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Oh man.
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I would say like a,
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like a recording pen type
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of thing that I could just like,
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and then it like goes to my
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computer and it's done.
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I have that.
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Well, I want that.
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Like a goniometer.
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Like a goniometer would be
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like what a note ninja might carry.
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You know what I mean?
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Threaten people with ranging
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their shoulder or something.
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Yeah.
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Yeah.
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All right.
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Introduce yourselves to the
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people who don't know who you are.
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All right.
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Hi, everyone.
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I'm Nicole.
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And I'm Stephanie.
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We're the Note Ninjas,
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an OT and PT duo teaching
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other therapists treatment
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ideas and documentation.
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That is not the first time
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you guys have done that.
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You guys are pros.
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We've been practicing, yeah.
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All right,
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so let's go backwards before we
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go forwards,
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because we're talking about
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an event that you've put together.
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You want people to come.
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They should,
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because you solved the problem
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you wish was solved for you.
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You did that.
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Let's go back.
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What was your personal, each of you,
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your breaking point with documentation?
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Was there a specific, like,
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I'm going to pull my hair out,
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I can't do this anymore
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moment that led to the
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creation of you putting on
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the, the ninja, you know,
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garb and becoming the note ninjas.
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What was it?
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I used to always say,
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I used to bring my computer
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home at night and I would
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just be sitting on my couch
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and usually go to bed early.
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I'd be up to like,
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I remember being up to
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eleven thirty at night and it's like,
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all right, we need to go to bed.
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Like this needs to be over.
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And it was just so stressful.
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And I just dreaded and I
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wanted to see almost less
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patients sometimes to do
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like less paperwork at the
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end of the day.
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And I just really couldn't
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take it anymore.
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It was burning me out.
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Yeah, and I would say, I mean,
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my very first evaluation,
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it took me four hours.
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And then I had very poor
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internet connection at home.
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And I like brought all my notes home.
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And like,
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I would literally spend like six
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hours doing documentation
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at night because I had no
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idea what I was doing
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because nobody taught me.
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Yeah.
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It's like, well,
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your CI will teach you and
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then figure it out.
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And meanwhile, the CI was taught by a CI.
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So it's a photocopy of a
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photocopy of a photocopy.
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And then we wind up just
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doing what we think we should be doing,
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but not what we should be doing.
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Right.
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We're told all the time.
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I remember I was told in PT school anyway,
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which was document every
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single thing this way, you know,
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you're safe.
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And I'm like,
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am I though like am I really
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safe just because I did a
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lot so you you you two
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teach therapists how to
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document more defensively
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and creatively what does
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that actually look like in
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practice walk us through a
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common example of how a
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boring note becomes more of
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a badass note so we just like to
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say that you don't have to write a lot.
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You just have to write
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exactly what you did.
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We just have to focus on the
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skill of the clinician,
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not necessarily the steps
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of any activity.
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So that's what we focus a
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lot in our trainings,
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showing an activity and
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then exactly how to
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document and living out the
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stuff that's really not important.
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It might be important why
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the patient was doing it to reach a goal,
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but not necessarily the
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steps of all the activities
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that you're doing.
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Yeah, it's like,
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Yeah.
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And to incorporate like the
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skilled phrases,
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I think is like the big thing.
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So, you know,
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we keep the list of skilled
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phrases like facilitated,
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engaged instead of
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tolerated and like things like that.
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Can we retire tolerated?
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It's about time.
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Have you ever like imagine
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someone was like, oh,
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I went to have drinks with
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my friend Jimmy.
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Oh, yeah.
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What's he like?
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Well, I tolerated it.
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Well, that sound positive at all.
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No, it sounds awful.
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You should not be reimbursed for that.
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Yeah.
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So you've mentioned cutting the fluff.
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What are the top two or
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three things besides
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tolerated that therapists
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should stop doing in their
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notes outside of what you just mentioned,
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which is like writing down
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just a list of steps?
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Good question.
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Let's see.
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Stop being vague with your notes.
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So we always say cut the fluff,
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but that doesn't mean being vague.
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You need to be specific.
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So we need to be incorporating,
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incorporating the right
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things into your notes.
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So the skill that you use,
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the strategy that you use,
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what cues you're providing, you know,
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you don't want to be vague in that, like,
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oh, just facilitated a balance activity.
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You know, why did you do that?
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And what did you bring to
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that treatment that a lay
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person could not have done?
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And even just how they're progressing or,
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you have to modify so they
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can do that that day if
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they could do something the
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other day and today they
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can't that's fine people
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are going to go up and down
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but they present what did
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you do and then how did the
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patient present it's all
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much more important than
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those little steps in
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between all right so
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typically things like
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compliance and
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defensibility and
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documentation and
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creativity are like two
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ends of the spectrum right
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we're taught in school pt
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school ot school slp school
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the creativity is not on the syllabus,
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right?
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But we work with humans,
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so we want to be creative.
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So how do you guys teach
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people to balance creative
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patient-specific treatment
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planning with the need for
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those things that have to be there,
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like compliance and
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defensibility and documentation?
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Well,
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I think it's just like important that
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like a lot of people think that we need,
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like you, especially with social media,
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you see all these crazy
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equipment that you use.
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And like, it's so like, oh wow,
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I want that, you know?
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But when it comes down to it, like,
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you have to like think about
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you and your patients.
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Like, what do you have the means to,
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you know,
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you have to work within your
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means of the equipment.
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So we like to bring like these simple,
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basic treatments and then
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just kind of elevate them.
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And that's going to show progress.
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It's going to challenge them.
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Plus it's going to be more fun.
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And then we want to keep it
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patient centered for the patient.
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So instead of, you know,
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just doing a ball toss,
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maybe you're doing a ball
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toss with a cognitive task
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and having them, you know, name a certain,
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some categories or walk and
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do the ball toss.
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Like it's just like that
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little thing that sets us
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apart because we're giving
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like that little creativity
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aspect with that simple
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activity that anyone can
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use in any setting.
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Plus a lot of our job too is
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to get them to want to come back.
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A lot of times, you know,
00:05:58.411 --> 00:05:59.132
people stop coming to
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therapy and the buy-in and engagement and
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So a lot of times they don't
00:06:02.552 --> 00:06:03.293
want to just do like two
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sets of fifteen like leg raises,
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you know.
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But if you add in some kind
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of activity that they enjoy.
00:06:07.956 --> 00:06:08.716
Like I was even thinking
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that this morning.
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I was at the gym and I go to
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a lady that's very creative.
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And I'm like, I know I don't need this,
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but this keeps me coming back.
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And this is what keeps our
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patients coming back too.
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Maybe they are.
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A patient might like that, but.
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a lot of them like to change
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it up a little bit and have
00:06:20.853 --> 00:06:21.793
a little bit of fun while
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still getting all the benefits out.
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Yeah.
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Yeah.
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This Justin,
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no one wants to do two sets of
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fifteen leg raises that we
00:06:28.237 --> 00:06:29.999
can retire that along with tolerated.
00:06:30.019 --> 00:06:31.379
Yeah.
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But I feel like you guys
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from the first time I sort
00:06:34.622 --> 00:06:36.103
of came across your content,
00:06:36.723 --> 00:06:38.264
was you weren't doing
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anything necessarily revolutionary,
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and that's not a knock,
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it's a compliment.
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What you were doing was
00:06:43.007 --> 00:06:43.747
showing people like, hey,
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what if we twist this?
00:06:44.708 --> 00:06:45.987
What if we made this a little bit harder?
00:06:46.348 --> 00:06:47.889
So I think people could copy
00:06:47.949 --> 00:06:49.089
exactly what you're doing,
00:06:49.170 --> 00:06:50.711
but really it felt like you
00:06:50.891 --> 00:06:51.750
guys were putting things
00:06:51.831 --> 00:06:53.492
out there to just spark...
00:06:54.872 --> 00:06:56.853
Whoever the viewer or the watcher was...
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take this and run with it.
00:06:58.834 --> 00:07:00.154
Like we are not the end all be all.
00:07:00.754 --> 00:07:01.915
We are the catalyst to let
00:07:01.935 --> 00:07:04.115
you know you are allowed to be creative.
00:07:04.134 --> 00:07:04.514
In fact,
00:07:04.535 --> 00:07:06.935
you're supposed to be creative here.
00:07:07.276 --> 00:07:07.776
Exactly.
00:07:08.115 --> 00:07:08.276
Yeah.
00:07:08.295 --> 00:07:09.136
We kind of like to set the
00:07:09.156 --> 00:07:10.357
foundation and then, yeah.
00:07:10.637 --> 00:07:12.137
And we get a lot of people that ask like,
00:07:12.576 --> 00:07:13.916
oh, I have a lower level patient.
00:07:13.937 --> 00:07:14.817
Like, how can I use this?
00:07:14.838 --> 00:07:15.158
I'm like,
00:07:15.237 --> 00:07:16.237
you just have to use your
00:07:16.257 --> 00:07:17.577
clinical reasoning skills.
00:07:18.038 --> 00:07:18.237
You know,
00:07:18.458 --> 00:07:19.778
you need to use your own personal
00:07:19.838 --> 00:07:21.418
judgment and trust yourself
00:07:21.459 --> 00:07:22.579
as a clinician and to
00:07:22.678 --> 00:07:23.778
modify the activity.
00:07:24.160 --> 00:07:24.379
You know,
00:07:24.420 --> 00:07:25.519
we're showing this activity
00:07:25.540 --> 00:07:26.339
that's balanced and
00:07:26.949 --> 00:07:30.370
sit down or have some support, you know,
00:07:30.531 --> 00:07:30.911
add some,
00:07:31.011 --> 00:07:32.711
add a gate bell and support them.
00:07:33.031 --> 00:07:34.192
So it's really, yeah, like you said,
00:07:34.211 --> 00:07:35.312
it's not revolutionary.
00:07:35.353 --> 00:07:37.012
It's just, you have to kind of, you know,
00:07:37.072 --> 00:07:37.913
use your own creativity.
00:07:38.254 --> 00:07:39.995
It's the basics done repetitively, right?
00:07:40.014 --> 00:07:40.754
Isn't that what we're taught?
00:07:40.774 --> 00:07:42.375
Like understand the basics.
00:07:42.795 --> 00:07:44.276
Sometimes people are on islands, right?
00:07:44.297 --> 00:07:45.516
You have solopreneurs who
00:07:45.536 --> 00:07:46.877
are out there sort of on their own.
00:07:47.418 --> 00:07:48.499
And next thing you know, I've,
00:07:48.699 --> 00:07:49.199
I've been there.
00:07:49.259 --> 00:07:50.038
You're repeating the same
00:07:50.079 --> 00:07:51.199
thing because you're like, man, I'm,
00:07:51.620 --> 00:07:52.579
I'm not looking at anybody
00:07:52.620 --> 00:07:53.341
else in clinic.
00:07:53.360 --> 00:07:54.500
I'm not talking to people
00:07:54.680 --> 00:07:55.882
enough because I'm busy.
00:07:56.242 --> 00:07:56.362
Right.
00:07:56.581 --> 00:07:58.062
I feel like how we consume
00:07:58.103 --> 00:07:59.403
content on devices,
00:07:59.783 --> 00:08:01.744
let's use that device for good,
00:08:01.783 --> 00:08:03.504
which is expose people to
00:08:03.545 --> 00:08:05.425
things and ideas that they
00:08:05.565 --> 00:08:06.687
might not have been exposed
00:08:06.706 --> 00:08:07.766
to in a different way.
00:08:08.187 --> 00:08:09.548
And then they can bring that with them.
00:08:09.588 --> 00:08:11.569
It's just, everything feels like yes and,
00:08:11.668 --> 00:08:13.050
like the rules of improv.
00:08:13.069 --> 00:08:13.250
Yes.
00:08:13.370 --> 00:08:16.370
Yeah, no, totally.
00:08:16.391 --> 00:08:16.511
I mean,
00:08:16.531 --> 00:08:17.411
I wasn't even getting burnt out
00:08:17.432 --> 00:08:18.432
because I was getting bored too.
00:08:18.572 --> 00:08:20.033
I stole exercises from Nicole,
00:08:20.173 --> 00:08:21.394
probably like one way it started.
00:08:21.673 --> 00:08:22.814
She was always the creative one.
00:08:22.834 --> 00:08:23.995
And I was always like, hmm.
00:08:24.451 --> 00:08:25.531
She doesn't have this patient with me.
00:08:25.552 --> 00:08:26.833
I'm totally taking that activity.
00:08:27.834 --> 00:08:27.913
Yeah.
00:08:27.934 --> 00:08:29.295
It made it more fun for me too.
00:08:29.355 --> 00:08:30.115
And for our patients.
00:08:30.216 --> 00:08:30.357
Yeah.
00:08:30.396 --> 00:08:32.097
And she put her PT spin on it.
00:08:32.337 --> 00:08:33.339
I guess I didn't really find
00:08:33.359 --> 00:08:33.899
the beginning either,
00:08:33.940 --> 00:08:34.961
especially being a PT.
00:08:35.020 --> 00:08:35.681
I didn't think about the
00:08:35.721 --> 00:08:36.721
creativity as much,
00:08:36.782 --> 00:08:38.004
but it definitely did help
00:08:38.043 --> 00:08:39.264
with me and with my
00:08:39.284 --> 00:08:40.265
patients when I started.
00:08:41.705 --> 00:08:41.784
Now,
00:08:41.965 --> 00:08:44.546
you did mention people seeing devices
00:08:44.586 --> 00:08:45.787
and saying, I want that.
00:08:45.846 --> 00:08:46.746
And sometimes, I mean,
00:08:46.907 --> 00:08:48.006
a lot of times we wind up
00:08:48.027 --> 00:08:49.327
buying something, myself included,
00:08:49.368 --> 00:08:50.008
off of Amazon.
00:08:50.508 --> 00:08:51.149
And then I get it.
00:08:51.168 --> 00:08:52.849
And three months later, I'm not using it.
00:08:53.448 --> 00:08:54.450
Is there something that you
00:08:54.470 --> 00:08:55.769
guys would recommend that
00:08:55.889 --> 00:08:57.071
doesn't have to be expensive,
00:08:57.110 --> 00:08:59.150
but that actually was helpful?
00:08:59.191 --> 00:09:00.912
A lot of times it's usually cheap,
00:09:00.951 --> 00:09:02.613
simple things that cover the basic.
00:09:02.673 --> 00:09:03.613
Anything that comes to mind?
00:09:04.335 --> 00:09:04.875
Oh yeah.
00:09:04.894 --> 00:09:05.515
I would say there's,
00:09:05.576 --> 00:09:06.875
there's three things that come to mind.
00:09:07.015 --> 00:09:08.057
One is a resistance,
00:09:08.096 --> 00:09:09.356
some type of resistance band.
00:09:09.797 --> 00:09:11.457
You can use it as a visual cue.
00:09:11.697 --> 00:09:12.197
Not even,
00:09:12.437 --> 00:09:13.458
I know a lot of people like hate
00:09:13.519 --> 00:09:15.240
on resistance bands for strengthening,
00:09:15.299 --> 00:09:16.179
but once again,
00:09:16.220 --> 00:09:16.860
as long as you're
00:09:16.919 --> 00:09:18.341
facilitating it the right way,
00:09:18.780 --> 00:09:19.801
we can get into that another time.
00:09:19.821 --> 00:09:20.601
But yeah, they're,
00:09:20.802 --> 00:09:21.501
they're great to use that.
00:09:21.522 --> 00:09:22.863
We love them for visual cues
00:09:22.903 --> 00:09:24.003
for just props.
00:09:24.863 --> 00:09:26.923
And then a deck of playing cards,
00:09:27.303 --> 00:09:27.965
simple as that.
00:09:27.985 --> 00:09:29.544
There's tons of activities you could do.
00:09:30.005 --> 00:09:31.466
And then a ball,
00:09:31.546 --> 00:09:33.267
a simple handheld ball that you could,
00:09:33.769 --> 00:09:34.909
work, you could do grip strength,
00:09:34.950 --> 00:09:36.791
you can do balance, um,
00:09:36.831 --> 00:09:38.111
working on ankle stability.
00:09:38.152 --> 00:09:39.692
There's like tons of ideas.
00:09:40.972 --> 00:09:41.092
Yeah.
00:09:41.133 --> 00:09:41.894
It's being creative.
00:09:42.014 --> 00:09:43.014
I was at a conference just
00:09:43.054 --> 00:09:45.495
last week and I'm, this is not a paid ad.
00:09:45.515 --> 00:09:46.697
I'm not trying to slide in an ad,
00:09:46.736 --> 00:09:47.517
but I was,
00:09:47.878 --> 00:09:49.057
I wound up playing with it
00:09:49.118 --> 00:09:49.818
during the conference.
00:09:49.839 --> 00:09:51.480
Cause their booth was next to ours.
00:09:52.139 --> 00:09:52.961
Have you guys toyed around
00:09:52.980 --> 00:09:54.081
with blaze pods at all?
00:09:54.120 --> 00:09:56.062
That feels like a deck of cards.
00:09:56.363 --> 00:09:56.783
Yes.
00:09:57.062 --> 00:09:59.005
sort of a visual light sensor.
00:09:59.066 --> 00:10:00.027
One of you guys, I mean,
00:10:00.047 --> 00:10:01.249
you're both nodding on a podcast,
00:10:01.269 --> 00:10:02.971
so I'm going to say that you want to.
00:10:03.211 --> 00:10:03.390
Yeah.
00:10:03.431 --> 00:10:03.552
We,
00:10:03.611 --> 00:10:05.533
we always say we want to work with them.
00:10:05.553 --> 00:10:06.936
Cause like they're so, they're so cool.
00:10:06.956 --> 00:10:07.777
So yeah.
00:10:08.136 --> 00:10:09.499
But like, that's the cool part.
00:10:09.599 --> 00:10:12.322
Once you see videos like yours,
00:10:12.363 --> 00:10:13.244
content like yours,
00:10:14.144 --> 00:10:15.385
the idea was there like
00:10:15.426 --> 00:10:16.506
that's those are those the
00:10:16.567 --> 00:10:17.827
aha moments was like well
00:10:17.868 --> 00:10:19.269
yeah of course of course
00:10:19.328 --> 00:10:20.129
it's so simple it's like
00:10:20.169 --> 00:10:20.971
well why don't you think of
00:10:21.010 --> 00:10:21.831
it it's because sometimes
00:10:22.172 --> 00:10:23.413
being creative is hard like
00:10:23.873 --> 00:10:24.734
that's why it's a whole you
00:10:24.793 --> 00:10:25.514
know that's why it's a
00:10:25.794 --> 00:10:26.595
whole you can learn how to
00:10:26.615 --> 00:10:28.096
be creative it's hard but
00:10:28.116 --> 00:10:29.017
it's valuable the juice is
00:10:29.057 --> 00:10:29.758
worth a squeeze on
00:10:29.798 --> 00:10:31.578
creativity yeah and I think
00:10:31.599 --> 00:10:32.559
the treatment was just like
00:10:32.580 --> 00:10:34.422
the one side of it um and
00:10:34.581 --> 00:10:35.381
like because we wanted to
00:10:35.783 --> 00:10:36.903
do the we started with the
00:10:36.923 --> 00:10:38.044
documentation idea but
00:10:38.065 --> 00:10:39.405
we're like teaching
00:10:39.426 --> 00:10:40.667
documentation is so boring
00:10:41.302 --> 00:10:43.244
so boring so like why don't
00:10:43.283 --> 00:10:44.465
we tie the documentation
00:10:44.504 --> 00:10:45.764
with the treatment because
00:10:46.105 --> 00:10:46.966
what's treatment without
00:10:47.005 --> 00:10:47.566
documentation what's
00:10:47.586 --> 00:10:48.126
documentation about
00:10:48.167 --> 00:10:49.246
treatment like so we had to
00:10:49.267 --> 00:10:51.148
put that together and I
00:10:51.168 --> 00:10:52.469
mean I don't know anyone
00:10:52.509 --> 00:10:54.009
who did that prior to us I
00:10:54.049 --> 00:10:54.710
think there's some people
00:10:54.730 --> 00:10:56.991
that do it now but um I
00:10:57.011 --> 00:10:57.851
would say that we are
00:10:58.052 --> 00:10:59.393
probably one of the first
00:10:59.432 --> 00:11:00.974
people like groups of people that
00:11:01.712 --> 00:11:02.894
really apply the
00:11:02.913 --> 00:11:04.215
documentation to the treatment idea.
00:11:04.294 --> 00:11:06.515
And I just like, it's so easy to do that,
00:11:06.596 --> 00:11:07.836
but you know,
00:11:07.856 --> 00:11:08.638
that's what people struggle with.
00:11:08.658 --> 00:11:10.139
I'm going to push back.
00:11:10.158 --> 00:11:10.678
It wasn't easy.
00:11:10.739 --> 00:11:11.500
It was simple, right?
00:11:11.519 --> 00:11:11.980
It was clear.
00:11:12.000 --> 00:11:12.639
It was linear,
00:11:12.921 --> 00:11:14.041
but it wasn't easy because if it was,
00:11:14.081 --> 00:11:15.042
somebody else would have done it.
00:11:15.461 --> 00:11:16.602
But of course now, you know,
00:11:16.623 --> 00:11:18.605
imitation is the sincerest
00:11:18.625 --> 00:11:19.384
form of flattery.
00:11:19.884 --> 00:11:21.446
You know, people are on the bandwagon.
00:11:21.466 --> 00:11:22.246
Like I'm sure you're
00:11:22.267 --> 00:11:23.888
probably flattered and also like, great.
00:11:23.927 --> 00:11:25.528
Like there's a lot of people
00:11:25.548 --> 00:11:26.610
that need help, but
00:11:26.730 --> 00:11:28.030
more graduating every single
00:11:28.071 --> 00:11:29.331
year that are going to need this.
00:11:29.371 --> 00:11:30.072
So you're not going to run
00:11:30.092 --> 00:11:30.714
out of people that can
00:11:30.754 --> 00:11:33.855
value this information.
00:11:33.916 --> 00:11:34.096
Yeah.
00:11:34.115 --> 00:11:35.317
We just need the people need it.
00:11:35.378 --> 00:11:37.960
So more people that can get it out there.
00:11:37.980 --> 00:11:38.841
Why not?
00:11:38.941 --> 00:11:39.120
All right.
00:11:39.181 --> 00:11:40.042
So you've got the note
00:11:40.201 --> 00:11:42.703
ninjas summit coming up.
00:11:42.823 --> 00:11:44.284
What's this look like?
00:11:44.365 --> 00:11:46.067
What do attendees expect to
00:11:46.126 --> 00:11:47.107
walk away with?
00:11:47.187 --> 00:11:48.389
Why should a busy clinician
00:11:48.788 --> 00:11:50.691
make time for this in person virtual?
00:11:50.730 --> 00:11:52.172
Like this is your chance to
00:11:52.192 --> 00:11:53.192
have at it and tee off.
00:11:54.274 --> 00:11:54.815
All right.
00:11:54.855 --> 00:11:55.215
Well,
00:11:55.355 --> 00:11:56.855
it's definitely turning out way
00:11:56.875 --> 00:11:58.836
better than we even imagined it could be.
00:11:59.176 --> 00:12:01.116
So I learned about summits last year.
00:12:01.136 --> 00:12:02.157
I came back to Nicole and said,
00:12:02.256 --> 00:12:03.256
we absolutely have to do
00:12:03.277 --> 00:12:05.557
this because we have, you know,
00:12:05.577 --> 00:12:06.258
we have our treatments.
00:12:06.278 --> 00:12:07.499
We worked with the older adult,
00:12:07.578 --> 00:12:08.379
but there's definitely
00:12:08.438 --> 00:12:09.658
other therapists too that
00:12:09.678 --> 00:12:11.460
are more specialized in different areas.
00:12:11.480 --> 00:12:12.379
We could ask all the time
00:12:12.399 --> 00:12:15.120
for neuro or for this or whatever it is.
00:12:15.240 --> 00:12:17.240
And that's, we're not specialized in that.
00:12:17.260 --> 00:12:18.322
So we thought there was a
00:12:18.361 --> 00:12:20.261
way to bring all those people together,
00:12:20.782 --> 00:12:21.903
but we also told them they
00:12:21.942 --> 00:12:23.023
had to tie in our documentation.
00:12:23.461 --> 00:12:24.743
So we said they have to come
00:12:24.783 --> 00:12:26.985
up with a presentation for PTs and OTs,
00:12:27.504 --> 00:12:28.586
really leaving out the fluff,
00:12:28.666 --> 00:12:30.668
giving them activity ideas
00:12:31.089 --> 00:12:32.249
and ways to document it,
00:12:32.610 --> 00:12:34.230
not why they have to, all that stuff,
00:12:34.291 --> 00:12:35.751
like just straight down to
00:12:35.772 --> 00:12:36.312
the facts that the
00:12:36.332 --> 00:12:37.693
therapist can use the next day.
00:12:38.094 --> 00:12:38.975
And we tried to find a good
00:12:38.995 --> 00:12:40.115
variety of people so we
00:12:40.135 --> 00:12:41.297
could cover a lot of
00:12:41.317 --> 00:12:42.317
different topics for the
00:12:42.457 --> 00:12:43.278
older adult as well.
00:12:44.215 --> 00:12:45.676
Yeah, we have an insane lineup.
00:12:45.775 --> 00:12:47.557
We got, I mean, we were really nervous,
00:12:47.576 --> 00:12:48.538
like reaching out to people,
00:12:48.557 --> 00:12:50.019
but we've built like this network.
00:12:50.619 --> 00:12:52.701
I would say past year, year, well,
00:12:52.721 --> 00:12:54.100
we've been doing this for six years,
00:12:54.140 --> 00:12:54.961
but we really came out of
00:12:55.001 --> 00:12:56.403
our shells like the past two years.
00:12:56.423 --> 00:12:57.244
So we really have been like
00:12:57.264 --> 00:12:58.163
building this network and
00:12:58.183 --> 00:12:59.065
relationships with other
00:12:59.105 --> 00:13:00.144
people that are online.
00:13:00.566 --> 00:13:01.886
So we have an awesome lineup
00:13:01.986 --> 00:13:04.508
of twenty plus PTs and OTs.
00:13:04.807 --> 00:13:07.129
We have neuro home health professionals.
00:13:08.020 --> 00:13:08.701
I can't even think of all
00:13:08.721 --> 00:13:12.043
the new hand therapy, um, acute stroke,
00:13:12.163 --> 00:13:13.085
cardiopulm.
00:13:13.605 --> 00:13:14.525
It's like, it's insane.
00:13:14.546 --> 00:13:16.047
It's a good variety.
00:13:16.466 --> 00:13:16.547
Yeah.
00:13:16.586 --> 00:13:18.269
And we decided to also,
00:13:18.688 --> 00:13:19.809
we kind of been avoiding
00:13:19.850 --> 00:13:21.051
like the CU things because
00:13:21.431 --> 00:13:22.711
whoever does CUs knows it's
00:13:22.812 --> 00:13:24.092
not easy to get them and
00:13:24.113 --> 00:13:25.173
they like torture you.
00:13:25.673 --> 00:13:26.815
So this is going to be our
00:13:26.835 --> 00:13:28.155
first real like event that
00:13:28.355 --> 00:13:30.158
we're pre-approved for PT and OT.
00:13:30.238 --> 00:13:31.778
We got approved for IOTI and
00:13:31.918 --> 00:13:32.678
I went through the torture
00:13:32.720 --> 00:13:34.181
of getting it for most states for PT.
00:13:34.240 --> 00:13:34.980
It was torture,
00:13:35.422 --> 00:13:37.102
but so we have twenty CUs or
00:13:37.711 --> 00:13:38.312
Contact hours.
00:13:38.331 --> 00:13:39.893
Contact hours for OT.
00:13:40.033 --> 00:13:40.854
And yeah,
00:13:40.874 --> 00:13:41.955
so this time we really went all
00:13:42.034 --> 00:13:42.475
in with that.
00:13:42.576 --> 00:13:43.856
So they also get that.
00:13:43.917 --> 00:13:44.378
And by the way,
00:13:44.418 --> 00:13:45.298
it's called Innovative
00:13:45.339 --> 00:13:46.058
Treatments Effortless
00:13:46.078 --> 00:13:47.841
Documentation for PTs and
00:13:47.880 --> 00:13:48.802
OTs working with older adults.
00:13:49.942 --> 00:13:50.383
Make sure you,
00:13:50.823 --> 00:13:51.504
that sounds like someone
00:13:51.524 --> 00:13:52.044
who's an expert in
00:13:52.085 --> 00:13:53.125
documenting something who
00:13:53.145 --> 00:13:54.427
would rename that that way.
00:13:54.447 --> 00:13:54.687
I would say.
00:13:57.734 --> 00:13:57.953
All right.
00:13:57.994 --> 00:13:58.414
Advice.
00:13:58.434 --> 00:14:00.255
If you had one sticky notes
00:14:00.296 --> 00:14:01.157
worth of advice,
00:14:01.177 --> 00:14:02.217
because that's how we used
00:14:02.238 --> 00:14:04.259
to keep track of things before apps,
00:14:05.059 --> 00:14:06.181
one sticky notes worth of
00:14:06.201 --> 00:14:07.802
advice to slap on every
00:14:07.842 --> 00:14:09.865
therapist's laptop or clipboard,
00:14:09.884 --> 00:14:10.985
whatever they're carrying around,
00:14:11.645 --> 00:14:12.606
what would it say about
00:14:12.706 --> 00:14:14.268
documentation or treatment planning?
00:14:14.288 --> 00:14:15.009
What's the, like,
00:14:15.028 --> 00:14:15.870
what's sort of the one
00:14:15.929 --> 00:14:18.471
thing you'd want to hit people with?
00:14:18.532 --> 00:14:20.553
Mine would say like, what did you do?
00:14:21.243 --> 00:14:23.264
So like as you're the OT or
00:14:23.303 --> 00:14:25.505
PT reading that, like what would you do?
00:14:25.605 --> 00:14:27.067
Don't worry about, you know,
00:14:27.086 --> 00:14:27.647
of course patient
00:14:27.667 --> 00:14:29.187
presentation is important,
00:14:29.508 --> 00:14:30.308
but you don't have to list
00:14:30.389 --> 00:14:31.509
all the steps of the activity.
00:14:31.549 --> 00:14:33.010
Just focus on the strategies
00:14:33.051 --> 00:14:33.730
and that's going to be,
00:14:33.770 --> 00:14:34.912
that's your skill right there.
00:14:34.991 --> 00:14:35.633
That's what's going to be
00:14:35.712 --> 00:14:36.732
reimbursed because that's
00:14:36.753 --> 00:14:38.313
what insurance cares about
00:14:38.413 --> 00:14:39.794
is what you did with the
00:14:39.835 --> 00:14:42.437
patient and why your brain was used.
00:14:42.456 --> 00:14:44.759
And then that's a good one.
00:14:44.778 --> 00:14:46.720
And then the next one would be
00:14:47.357 --> 00:14:48.578
is everything focusing on
00:14:48.659 --> 00:14:49.740
one of the patient's goals?
00:14:49.980 --> 00:14:50.761
Because I think another
00:14:50.782 --> 00:14:51.863
thing we do too is what's
00:14:51.883 --> 00:14:52.903
within normal limits.
00:14:52.943 --> 00:14:54.005
What do we think it should be?
00:14:54.086 --> 00:14:54.745
Adults do this.
00:14:54.765 --> 00:14:56.107
Like, does the patient need this?
00:14:56.128 --> 00:14:57.690
Is all the activities you're doing,
00:14:58.129 --> 00:14:59.711
no matter how creative or how boring,
00:14:59.731 --> 00:15:00.273
whatever it is,
00:15:00.293 --> 00:15:01.274
are they all related to the
00:15:01.313 --> 00:15:01.995
goals that the patient
00:15:02.034 --> 00:15:03.056
wants to get back to?
00:15:03.216 --> 00:15:04.517
And does it show it in your note?
00:15:04.537 --> 00:15:05.519
All right.
00:15:05.538 --> 00:15:06.620
You ready to play a quick game?
00:15:07.418 --> 00:15:08.618
Oh, sure, I guess.
00:15:08.638 --> 00:15:09.219
We're going to call it,
00:15:09.399 --> 00:15:10.359
because you guys are famous
00:15:10.379 --> 00:15:11.698
for wanting to cut out the fluff, right?
00:15:11.719 --> 00:15:13.299
We're going to call it fluff or fire.
00:15:13.320 --> 00:15:14.379
Okay.
00:15:14.460 --> 00:15:15.580
I'm going to give you a statement,
00:15:16.080 --> 00:15:17.201
and then you two have to
00:15:17.301 --> 00:15:17.921
each shout it out.
00:15:17.961 --> 00:15:18.701
You can't team up.
00:15:18.740 --> 00:15:19.900
You have to do it individually.
00:15:20.581 --> 00:15:22.741
Is it fluff, like cut it, or fire,
00:15:22.802 --> 00:15:23.341
you keep it?
00:15:23.361 --> 00:15:23.861
Are you ready?
00:15:23.881 --> 00:15:24.743
Okay.
00:15:24.802 --> 00:15:25.543
Here's the phrase.
00:15:25.942 --> 00:15:27.462
Skilled services provided to
00:15:27.523 --> 00:15:29.504
address patient deficits.
00:15:34.048 --> 00:15:34.128
What?
00:15:34.168 --> 00:15:35.068
What was it?
00:15:35.089 --> 00:15:36.250
Patient participated in
00:15:36.330 --> 00:15:37.630
obstacle course for dynamic
00:15:37.671 --> 00:15:38.571
balance retraining.
00:15:38.591 --> 00:15:40.653
Fire.
00:15:40.673 --> 00:15:44.475
Patient tolerated treatment well.
00:15:44.615 --> 00:15:45.037
Oh, fluff.
00:15:45.057 --> 00:15:45.496
There's that word.
00:15:45.517 --> 00:15:45.777
Terrible.
00:15:48.539 --> 00:15:49.961
Used bubbles to encourage
00:15:50.020 --> 00:15:54.705
midline crossing.
00:15:54.784 --> 00:15:55.065
Fire.
00:15:55.164 --> 00:15:55.625
Fire.
00:15:55.926 --> 00:15:56.025
Warm.
00:15:56.046 --> 00:15:56.326
All right, good.
00:15:56.686 --> 00:15:58.648
Continue plan of care as established.
00:16:00.695 --> 00:16:00.975
Fluff.
00:16:00.995 --> 00:16:01.716
All right, perfect.
00:16:01.735 --> 00:16:04.437
So when we put it out there in that way,
00:16:04.457 --> 00:16:05.337
it's funny and we're being
00:16:05.378 --> 00:16:06.418
goofy with a game like this,
00:16:06.739 --> 00:16:08.561
but you start to see those
00:16:08.600 --> 00:16:09.480
things that were repeated
00:16:09.522 --> 00:16:10.883
and copy pasted all the time,
00:16:10.903 --> 00:16:11.423
maybe when you were
00:16:11.442 --> 00:16:12.303
students or maybe when you
00:16:12.344 --> 00:16:13.684
were out in practice for a while,
00:16:14.245 --> 00:16:15.666
you can cut that fluff.
00:16:16.025 --> 00:16:16.947
Where should someone go to
00:16:16.966 --> 00:16:18.587
find out more about getting
00:16:18.628 --> 00:16:19.668
together and learning with
00:16:19.708 --> 00:16:20.730
the event you put together?
00:16:21.806 --> 00:16:25.206
So you can go to www.thenoteninjas.com.
00:16:25.787 --> 00:16:27.488
We will be having a pop-up for our summit.
00:16:28.869 --> 00:16:29.509
And then make sure you get
00:16:29.528 --> 00:16:30.208
on our email list.
00:16:30.229 --> 00:16:31.009
That's the most important
00:16:31.048 --> 00:16:31.710
thing because that's when
00:16:31.730 --> 00:16:32.210
you'll get all the
00:16:32.230 --> 00:16:33.610
announcements about the summit.
00:16:34.730 --> 00:16:35.350
And of course,
00:16:35.370 --> 00:16:37.052
our Instagram at The Note Ninjas.
00:16:37.932 --> 00:16:39.032
We will be promoting our
00:16:39.091 --> 00:16:39.913
summit all month long.
00:16:39.993 --> 00:16:40.673
It is OT month.
00:16:40.712 --> 00:16:43.014
So we make sure that you follow us.
00:16:43.618 --> 00:16:44.979
And what can people get
00:16:45.178 --> 00:16:46.700
outside of information
00:16:46.740 --> 00:16:48.861
about the summit from your email list?
00:16:48.881 --> 00:16:49.682
You guys are constantly
00:16:49.701 --> 00:16:50.663
putting out good information.
00:16:51.202 --> 00:16:52.163
Just give us the high level.
00:16:52.644 --> 00:16:54.625
What can people expect in their inbox?
00:16:54.644 --> 00:16:55.605
We always like to send,
00:16:55.645 --> 00:16:57.027
we usually send two emails a week.
00:16:57.147 --> 00:16:57.748
One is always like a
00:16:57.768 --> 00:16:58.988
treatment ID or documentation.
00:16:59.028 --> 00:17:00.349
It's very simple to the point.
00:17:01.210 --> 00:17:02.090
And then we always like to
00:17:02.110 --> 00:17:03.831
give a wrap up of our blogs and YouTubes.
00:17:03.851 --> 00:17:04.991
We put a lot of information
00:17:05.011 --> 00:17:05.913
on all of that every week.
00:17:06.468 --> 00:17:07.489
Yeah, fantastic.
00:17:07.568 --> 00:17:09.589
Well, thanks again for doing what you do.
00:17:10.351 --> 00:17:10.971
It's needed.
00:17:11.111 --> 00:17:11.750
If it wasn't,
00:17:11.811 --> 00:17:13.071
people wouldn't be following along.
00:17:13.132 --> 00:17:14.692
That's just how this works.
00:17:14.732 --> 00:17:15.814
We're an attention economy.
00:17:16.233 --> 00:17:17.055
And the fact that there are
00:17:17.095 --> 00:17:18.276
enough people clamoring and
00:17:18.435 --> 00:17:20.876
asking for it is saying it's needed.
00:17:20.916 --> 00:17:21.698
So you've met that
00:17:21.778 --> 00:17:26.980
intersection of fluff and fire.
00:17:27.000 --> 00:17:27.442
Yeah, thank you.
00:17:27.481 --> 00:17:28.402
All right, ladies, as always,
00:17:28.422 --> 00:17:28.883
thanks so much.
00:17:28.923 --> 00:17:29.643
We appreciate your time.
00:17:29.663 --> 00:17:30.222
All right, thank you.
00:00:01.100 --> 00:00:02.302
We'll do the big fancy logo thing.
00:00:07.424 --> 00:00:08.103
And they're back.
00:00:08.423 --> 00:00:09.505
The note ninjas are here.
00:00:09.564 --> 00:00:11.744
I figured more masks, not enough weapons.
00:00:11.785 --> 00:00:13.185
Like where are the, no, no weapons.
00:00:13.246 --> 00:00:13.605
All right.
00:00:13.705 --> 00:00:15.446
Well, if you had, oh, first question.
00:00:15.946 --> 00:00:18.088
If you had weapons as note ninjas,
00:00:18.167 --> 00:00:18.888
as healthcare providers,
00:00:18.908 --> 00:00:20.388
what would they be?
00:00:20.489 --> 00:00:21.570
Oh man.
00:00:21.629 --> 00:00:22.289
I would say like a,
00:00:22.510 --> 00:00:24.251
like a recording pen type
00:00:24.291 --> 00:00:25.690
of thing that I could just like,
00:00:26.972 --> 00:00:27.911
and then it like goes to my
00:00:27.931 --> 00:00:28.612
computer and it's done.
00:00:28.632 --> 00:00:29.733
I have that.
00:00:33.399 --> 00:00:34.320
Well, I want that.
00:00:34.442 --> 00:00:34.841
Like a goniometer.
00:00:34.862 --> 00:00:35.662
Like a goniometer would be
00:00:35.682 --> 00:00:37.164
like what a note ninja might carry.
00:00:37.183 --> 00:00:38.805
You know what I mean?
00:00:38.826 --> 00:00:40.027
Threaten people with ranging
00:00:40.046 --> 00:00:40.968
their shoulder or something.
00:00:41.027 --> 00:00:41.109
Yeah.
00:00:41.128 --> 00:00:41.249
Yeah.
00:00:41.268 --> 00:00:41.848
All right.
00:00:41.929 --> 00:00:42.850
Introduce yourselves to the
00:00:42.869 --> 00:00:45.213
people who don't know who you are.
00:00:45.692 --> 00:00:45.973
All right.
00:00:46.014 --> 00:00:46.594
Hi, everyone.
00:00:46.694 --> 00:00:47.314
I'm Nicole.
00:00:47.594 --> 00:00:48.435
And I'm Stephanie.
00:00:48.595 --> 00:00:49.597
We're the Note Ninjas,
00:00:49.857 --> 00:00:51.298
an OT and PT duo teaching
00:00:51.359 --> 00:00:52.661
other therapists treatment
00:00:52.680 --> 00:00:53.561
ideas and documentation.
00:00:54.212 --> 00:00:55.152
That is not the first time
00:00:55.171 --> 00:00:55.872
you guys have done that.
00:00:55.912 --> 00:00:56.512
You guys are pros.
00:00:56.533 --> 00:00:58.194
We've been practicing, yeah.
00:00:58.274 --> 00:00:58.914
All right,
00:00:58.954 --> 00:01:00.435
so let's go backwards before we
00:01:00.475 --> 00:01:00.895
go forwards,
00:01:00.914 --> 00:01:01.594
because we're talking about
00:01:01.615 --> 00:01:03.856
an event that you've put together.
00:01:04.055 --> 00:01:04.777
You want people to come.
00:01:04.856 --> 00:01:05.296
They should,
00:01:05.356 --> 00:01:06.496
because you solved the problem
00:01:06.537 --> 00:01:08.638
you wish was solved for you.
00:01:08.697 --> 00:01:09.259
You did that.
00:01:09.599 --> 00:01:10.159
Let's go back.
00:01:10.858 --> 00:01:12.299
What was your personal, each of you,
00:01:12.319 --> 00:01:14.040
your breaking point with documentation?
00:01:14.460 --> 00:01:15.742
Was there a specific, like,
00:01:15.841 --> 00:01:16.641
I'm going to pull my hair out,
00:01:16.662 --> 00:01:17.561
I can't do this anymore
00:01:17.621 --> 00:01:18.843
moment that led to the
00:01:18.882 --> 00:01:20.403
creation of you putting on
00:01:21.144 --> 00:01:22.605
the, the ninja, you know,
00:01:22.665 --> 00:01:24.085
garb and becoming the note ninjas.
00:01:24.105 --> 00:01:24.587
What was it?
00:01:25.668 --> 00:01:26.388
I used to always say,
00:01:26.408 --> 00:01:27.789
I used to bring my computer
00:01:27.808 --> 00:01:28.590
home at night and I would
00:01:28.609 --> 00:01:29.950
just be sitting on my couch
00:01:30.131 --> 00:01:31.891
and usually go to bed early.
00:01:31.951 --> 00:01:32.393
I'd be up to like,
00:01:32.433 --> 00:01:33.274
I remember being up to
00:01:33.313 --> 00:01:34.614
eleven thirty at night and it's like,
00:01:34.635 --> 00:01:35.816
all right, we need to go to bed.
00:01:35.855 --> 00:01:37.096
Like this needs to be over.
00:01:37.137 --> 00:01:38.837
And it was just so stressful.
00:01:38.858 --> 00:01:40.159
And I just dreaded and I
00:01:40.179 --> 00:01:40.980
wanted to see almost less
00:01:41.019 --> 00:01:41.879
patients sometimes to do
00:01:41.920 --> 00:01:43.221
like less paperwork at the
00:01:43.260 --> 00:01:43.902
end of the day.
00:01:44.221 --> 00:01:45.162
And I just really couldn't
00:01:45.203 --> 00:01:45.722
take it anymore.
00:01:45.742 --> 00:01:46.584
It was burning me out.
00:01:47.954 --> 00:01:48.974
Yeah, and I would say, I mean,
00:01:49.615 --> 00:01:51.115
my very first evaluation,
00:01:51.156 --> 00:01:52.296
it took me four hours.
00:01:52.736 --> 00:01:54.418
And then I had very poor
00:01:54.498 --> 00:01:55.697
internet connection at home.
00:01:55.718 --> 00:01:56.838
And I like brought all my notes home.
00:01:56.858 --> 00:01:57.299
And like,
00:01:57.319 --> 00:01:58.478
I would literally spend like six
00:01:58.519 --> 00:01:59.620
hours doing documentation
00:01:59.680 --> 00:02:00.920
at night because I had no
00:02:01.000 --> 00:02:01.680
idea what I was doing
00:02:01.700 --> 00:02:02.620
because nobody taught me.
00:02:04.004 --> 00:02:04.125
Yeah.
00:02:04.165 --> 00:02:04.745
It's like, well,
00:02:04.786 --> 00:02:06.206
your CI will teach you and
00:02:06.486 --> 00:02:07.186
then figure it out.
00:02:07.266 --> 00:02:09.108
And meanwhile, the CI was taught by a CI.
00:02:09.147 --> 00:02:10.188
So it's a photocopy of a
00:02:10.229 --> 00:02:11.590
photocopy of a photocopy.
00:02:12.129 --> 00:02:12.850
And then we wind up just
00:02:12.890 --> 00:02:14.632
doing what we think we should be doing,
00:02:15.092 --> 00:02:16.453
but not what we should be doing.
00:02:16.492 --> 00:02:16.693
Right.
00:02:17.152 --> 00:02:18.014
We're told all the time.
00:02:18.294 --> 00:02:19.955
I remember I was told in PT school anyway,
00:02:20.354 --> 00:02:21.656
which was document every
00:02:21.695 --> 00:02:23.897
single thing this way, you know,
00:02:23.918 --> 00:02:24.617
you're safe.
00:02:25.057 --> 00:02:25.419
And I'm like,
00:02:26.139 --> 00:02:28.262
am I though like am I really
00:02:28.442 --> 00:02:29.323
safe just because I did a
00:02:29.383 --> 00:02:30.924
lot so you you you two
00:02:30.943 --> 00:02:31.705
teach therapists how to
00:02:31.764 --> 00:02:33.026
document more defensively
00:02:33.206 --> 00:02:35.288
and creatively what does
00:02:35.308 --> 00:02:36.409
that actually look like in
00:02:36.469 --> 00:02:37.491
practice walk us through a
00:02:37.531 --> 00:02:38.913
common example of how a
00:02:38.992 --> 00:02:40.914
boring note becomes more of
00:02:40.935 --> 00:02:45.058
a badass note so we just like to
00:02:45.942 --> 00:02:47.203
say that you don't have to write a lot.
00:02:47.242 --> 00:02:47.823
You just have to write
00:02:47.842 --> 00:02:48.763
exactly what you did.
00:02:48.902 --> 00:02:50.123
We just have to focus on the
00:02:50.183 --> 00:02:51.003
skill of the clinician,
00:02:51.084 --> 00:02:53.025
not necessarily the steps
00:02:53.064 --> 00:02:53.844
of any activity.
00:02:53.865 --> 00:02:54.665
So that's what we focus a
00:02:54.686 --> 00:02:55.485
lot in our trainings,
00:02:55.566 --> 00:02:57.447
showing an activity and
00:02:57.467 --> 00:02:58.206
then exactly how to
00:02:58.227 --> 00:03:00.087
document and living out the
00:03:00.108 --> 00:03:01.609
stuff that's really not important.
00:03:01.688 --> 00:03:02.669
It might be important why
00:03:02.709 --> 00:03:04.110
the patient was doing it to reach a goal,
00:03:04.409 --> 00:03:05.530
but not necessarily the
00:03:05.650 --> 00:03:07.251
steps of all the activities
00:03:07.290 --> 00:03:07.850
that you're doing.
00:03:07.871 --> 00:03:09.092
Yeah, it's like,
00:03:09.675 --> 00:03:09.836
Yeah.
00:03:09.855 --> 00:03:11.076
And to incorporate like the
00:03:11.116 --> 00:03:11.978
skilled phrases,
00:03:12.038 --> 00:03:13.218
I think is like the big thing.
00:03:13.258 --> 00:03:14.098
So, you know,
00:03:14.120 --> 00:03:15.520
we keep the list of skilled
00:03:15.561 --> 00:03:16.861
phrases like facilitated,
00:03:16.942 --> 00:03:17.681
engaged instead of
00:03:17.741 --> 00:03:21.004
tolerated and like things like that.
00:03:21.064 --> 00:03:23.567
Can we retire tolerated?
00:03:24.768 --> 00:03:25.608
It's about time.
00:03:25.647 --> 00:03:27.289
Have you ever like imagine
00:03:27.330 --> 00:03:28.390
someone was like, oh,
00:03:28.411 --> 00:03:29.531
I went to have drinks with
00:03:29.551 --> 00:03:30.692
my friend Jimmy.
00:03:30.992 --> 00:03:31.372
Oh, yeah.
00:03:31.532 --> 00:03:32.032
What's he like?
00:03:32.073 --> 00:03:33.054
Well, I tolerated it.
00:03:33.074 --> 00:03:35.096
Well, that sound positive at all.
00:03:38.711 --> 00:03:39.550
No, it sounds awful.
00:03:39.570 --> 00:03:40.912
You should not be reimbursed for that.
00:03:40.931 --> 00:03:41.012
Yeah.
00:03:42.532 --> 00:03:43.893
So you've mentioned cutting the fluff.
00:03:44.073 --> 00:03:44.913
What are the top two or
00:03:44.953 --> 00:03:45.832
three things besides
00:03:45.872 --> 00:03:47.834
tolerated that therapists
00:03:47.854 --> 00:03:48.775
should stop doing in their
00:03:48.794 --> 00:03:50.254
notes outside of what you just mentioned,
00:03:50.275 --> 00:03:51.335
which is like writing down
00:03:51.395 --> 00:03:52.475
just a list of steps?
00:03:54.171 --> 00:03:54.671
Good question.
00:03:55.453 --> 00:03:55.832
Let's see.
00:03:55.872 --> 00:03:57.554
Stop being vague with your notes.
00:03:57.574 --> 00:03:59.074
So we always say cut the fluff,
00:03:59.115 --> 00:04:00.836
but that doesn't mean being vague.
00:04:00.855 --> 00:04:02.176
You need to be specific.
00:04:02.236 --> 00:04:03.978
So we need to be incorporating,
00:04:04.397 --> 00:04:05.538
incorporating the right
00:04:05.579 --> 00:04:06.759
things into your notes.
00:04:06.780 --> 00:04:08.341
So the skill that you use,
00:04:08.360 --> 00:04:09.662
the strategy that you use,
00:04:09.681 --> 00:04:11.622
what cues you're providing, you know,
00:04:11.682 --> 00:04:13.243
you don't want to be vague in that, like,
00:04:13.343 --> 00:04:15.284
oh, just facilitated a balance activity.
00:04:15.344 --> 00:04:16.625
You know, why did you do that?
00:04:16.745 --> 00:04:18.166
And what did you bring to
00:04:18.206 --> 00:04:19.307
that treatment that a lay
00:04:19.326 --> 00:04:21.369
person could not have done?
00:04:21.468 --> 00:04:23.310
And even just how they're progressing or,
00:04:23.906 --> 00:04:25.007
you have to modify so they
00:04:25.026 --> 00:04:26.327
can do that that day if
00:04:26.367 --> 00:04:26.968
they could do something the
00:04:26.987 --> 00:04:27.728
other day and today they
00:04:27.749 --> 00:04:28.829
can't that's fine people
00:04:28.850 --> 00:04:29.831
are going to go up and down
00:04:30.490 --> 00:04:31.651
but they present what did
00:04:31.672 --> 00:04:33.112
you do and then how did the
00:04:33.132 --> 00:04:34.374
patient present it's all
00:04:34.533 --> 00:04:35.654
much more important than
00:04:35.694 --> 00:04:36.475
those little steps in
00:04:36.536 --> 00:04:38.216
between all right so
00:04:38.257 --> 00:04:39.237
typically things like
00:04:39.278 --> 00:04:40.098
compliance and
00:04:40.117 --> 00:04:40.899
defensibility and
00:04:40.939 --> 00:04:42.300
documentation and
00:04:42.360 --> 00:04:43.841
creativity are like two
00:04:43.920 --> 00:04:45.122
ends of the spectrum right
00:04:45.281 --> 00:04:46.543
we're taught in school pt
00:04:46.562 --> 00:04:48.285
school ot school slp school
00:04:49.543 --> 00:04:50.985
the creativity is not on the syllabus,
00:04:51.266 --> 00:04:51.526
right?
00:04:51.886 --> 00:04:53.127
But we work with humans,
00:04:53.528 --> 00:04:55.249
so we want to be creative.
00:04:55.269 --> 00:04:56.290
So how do you guys teach
00:04:56.310 --> 00:04:58.252
people to balance creative
00:04:58.312 --> 00:04:59.572
patient-specific treatment
00:04:59.593 --> 00:05:01.134
planning with the need for
00:05:01.173 --> 00:05:02.154
those things that have to be there,
00:05:02.175 --> 00:05:02.975
like compliance and
00:05:02.995 --> 00:05:04.437
defensibility and documentation?
00:05:05.458 --> 00:05:05.538
Well,
00:05:05.557 --> 00:05:06.778
I think it's just like important that
00:05:06.999 --> 00:05:08.420
like a lot of people think that we need,
00:05:08.439 --> 00:05:09.800
like you, especially with social media,
00:05:09.841 --> 00:05:11.163
you see all these crazy
00:05:11.202 --> 00:05:13.004
equipment that you use.
00:05:13.084 --> 00:05:14.425
And like, it's so like, oh wow,
00:05:14.485 --> 00:05:15.466
I want that, you know?
00:05:15.886 --> 00:05:17.648
But when it comes down to it, like,
00:05:18.350 --> 00:05:19.310
you have to like think about
00:05:19.411 --> 00:05:20.572
you and your patients.
00:05:20.591 --> 00:05:21.892
Like, what do you have the means to,
00:05:21.932 --> 00:05:22.093
you know,
00:05:22.113 --> 00:05:22.954
you have to work within your
00:05:22.994 --> 00:05:23.935
means of the equipment.
00:05:24.235 --> 00:05:25.896
So we like to bring like these simple,
00:05:26.336 --> 00:05:27.658
basic treatments and then
00:05:27.677 --> 00:05:28.838
just kind of elevate them.
00:05:28.879 --> 00:05:29.860
And that's going to show progress.
00:05:29.899 --> 00:05:30.721
It's going to challenge them.
00:05:30.761 --> 00:05:31.862
Plus it's going to be more fun.
00:05:32.334 --> 00:05:33.076
And then we want to keep it
00:05:33.115 --> 00:05:34.716
patient centered for the patient.
00:05:35.036 --> 00:05:36.218
So instead of, you know,
00:05:36.257 --> 00:05:37.398
just doing a ball toss,
00:05:37.437 --> 00:05:38.499
maybe you're doing a ball
00:05:38.538 --> 00:05:39.920
toss with a cognitive task
00:05:39.939 --> 00:05:42.401
and having them, you know, name a certain,
00:05:42.661 --> 00:05:45.103
some categories or walk and
00:05:45.122 --> 00:05:45.824
do the ball toss.
00:05:45.843 --> 00:05:46.444
Like it's just like that
00:05:46.564 --> 00:05:49.086
little thing that sets us
00:05:49.105 --> 00:05:49.927
apart because we're giving
00:05:49.966 --> 00:05:51.047
like that little creativity
00:05:51.127 --> 00:05:52.267
aspect with that simple
00:05:52.307 --> 00:05:53.588
activity that anyone can
00:05:53.689 --> 00:05:54.509
use in any setting.
00:05:54.810 --> 00:05:56.430
Plus a lot of our job too is
00:05:56.451 --> 00:05:57.552
to get them to want to come back.
00:05:57.752 --> 00:05:58.391
A lot of times, you know,
00:05:58.411 --> 00:05:59.132
people stop coming to
00:05:59.173 --> 00:06:01.374
therapy and the buy-in and engagement and
00:06:01.771 --> 00:06:02.533
So a lot of times they don't
00:06:02.552 --> 00:06:03.293
want to just do like two
00:06:03.312 --> 00:06:04.994
sets of fifteen like leg raises,
00:06:05.014 --> 00:06:05.295
you know.
00:06:05.334 --> 00:06:06.355
But if you add in some kind
00:06:06.375 --> 00:06:07.555
of activity that they enjoy.
00:06:07.956 --> 00:06:08.716
Like I was even thinking
00:06:08.737 --> 00:06:09.177
that this morning.
00:06:09.197 --> 00:06:10.117
I was at the gym and I go to
00:06:10.137 --> 00:06:11.278
a lady that's very creative.
00:06:11.298 --> 00:06:12.420
And I'm like, I know I don't need this,
00:06:12.519 --> 00:06:13.860
but this keeps me coming back.
00:06:13.940 --> 00:06:14.762
And this is what keeps our
00:06:14.802 --> 00:06:15.762
patients coming back too.
00:06:15.781 --> 00:06:16.622
Maybe they are.
00:06:16.642 --> 00:06:17.903
A patient might like that, but.
00:06:18.290 --> 00:06:19.771
a lot of them like to change
00:06:19.791 --> 00:06:20.833
it up a little bit and have
00:06:20.853 --> 00:06:21.793
a little bit of fun while
00:06:21.814 --> 00:06:23.855
still getting all the benefits out.
00:06:23.915 --> 00:06:24.454
Yeah.
00:06:24.514 --> 00:06:24.735
Yeah.
00:06:24.776 --> 00:06:25.315
This Justin,
00:06:25.415 --> 00:06:26.757
no one wants to do two sets of
00:06:26.797 --> 00:06:28.218
fifteen leg raises that we
00:06:28.237 --> 00:06:29.999
can retire that along with tolerated.
00:06:30.019 --> 00:06:31.379
Yeah.
00:06:31.399 --> 00:06:32.761
But I feel like you guys
00:06:33.021 --> 00:06:34.603
from the first time I sort
00:06:34.622 --> 00:06:36.103
of came across your content,
00:06:36.723 --> 00:06:38.264
was you weren't doing
00:06:38.305 --> 00:06:40.086
anything necessarily revolutionary,
00:06:40.185 --> 00:06:41.286
and that's not a knock,
00:06:41.305 --> 00:06:41.906
it's a compliment.
00:06:42.247 --> 00:06:42.987
What you were doing was
00:06:43.007 --> 00:06:43.747
showing people like, hey,
00:06:43.766 --> 00:06:44.608
what if we twist this?
00:06:44.708 --> 00:06:45.987
What if we made this a little bit harder?
00:06:46.348 --> 00:06:47.889
So I think people could copy
00:06:47.949 --> 00:06:49.089
exactly what you're doing,
00:06:49.170 --> 00:06:50.711
but really it felt like you
00:06:50.891 --> 00:06:51.750
guys were putting things
00:06:51.831 --> 00:06:53.492
out there to just spark...
00:06:54.872 --> 00:06:56.853
Whoever the viewer or the watcher was...
00:06:57.634 --> 00:06:58.793
take this and run with it.
00:06:58.834 --> 00:07:00.154
Like we are not the end all be all.
00:07:00.754 --> 00:07:01.915
We are the catalyst to let
00:07:01.935 --> 00:07:04.115
you know you are allowed to be creative.
00:07:04.134 --> 00:07:04.514
In fact,
00:07:04.535 --> 00:07:06.935
you're supposed to be creative here.
00:07:07.276 --> 00:07:07.776
Exactly.
00:07:08.115 --> 00:07:08.276
Yeah.
00:07:08.295 --> 00:07:09.136
We kind of like to set the
00:07:09.156 --> 00:07:10.357
foundation and then, yeah.
00:07:10.637 --> 00:07:12.137
And we get a lot of people that ask like,
00:07:12.576 --> 00:07:13.916
oh, I have a lower level patient.
00:07:13.937 --> 00:07:14.817
Like, how can I use this?
00:07:14.838 --> 00:07:15.158
I'm like,
00:07:15.237 --> 00:07:16.237
you just have to use your
00:07:16.257 --> 00:07:17.577
clinical reasoning skills.
00:07:18.038 --> 00:07:18.237
You know,
00:07:18.458 --> 00:07:19.778
you need to use your own personal
00:07:19.838 --> 00:07:21.418
judgment and trust yourself
00:07:21.459 --> 00:07:22.579
as a clinician and to
00:07:22.678 --> 00:07:23.778
modify the activity.
00:07:24.160 --> 00:07:24.379
You know,
00:07:24.420 --> 00:07:25.519
we're showing this activity
00:07:25.540 --> 00:07:26.339
that's balanced and
00:07:26.949 --> 00:07:30.370
sit down or have some support, you know,
00:07:30.531 --> 00:07:30.911
add some,
00:07:31.011 --> 00:07:32.711
add a gate bell and support them.
00:07:33.031 --> 00:07:34.192
So it's really, yeah, like you said,
00:07:34.211 --> 00:07:35.312
it's not revolutionary.
00:07:35.353 --> 00:07:37.012
It's just, you have to kind of, you know,
00:07:37.072 --> 00:07:37.913
use your own creativity.
00:07:38.254 --> 00:07:39.995
It's the basics done repetitively, right?
00:07:40.014 --> 00:07:40.754
Isn't that what we're taught?
00:07:40.774 --> 00:07:42.375
Like understand the basics.
00:07:42.795 --> 00:07:44.276
Sometimes people are on islands, right?
00:07:44.297 --> 00:07:45.516
You have solopreneurs who
00:07:45.536 --> 00:07:46.877
are out there sort of on their own.
00:07:47.418 --> 00:07:48.499
And next thing you know, I've,
00:07:48.699 --> 00:07:49.199
I've been there.
00:07:49.259 --> 00:07:50.038
You're repeating the same
00:07:50.079 --> 00:07:51.199
thing because you're like, man, I'm,
00:07:51.620 --> 00:07:52.579
I'm not looking at anybody
00:07:52.620 --> 00:07:53.341
else in clinic.
00:07:53.360 --> 00:07:54.500
I'm not talking to people
00:07:54.680 --> 00:07:55.882
enough because I'm busy.
00:07:56.242 --> 00:07:56.362
Right.
00:07:56.581 --> 00:07:58.062
I feel like how we consume
00:07:58.103 --> 00:07:59.403
content on devices,
00:07:59.783 --> 00:08:01.744
let's use that device for good,
00:08:01.783 --> 00:08:03.504
which is expose people to
00:08:03.545 --> 00:08:05.425
things and ideas that they
00:08:05.565 --> 00:08:06.687
might not have been exposed
00:08:06.706 --> 00:08:07.766
to in a different way.
00:08:08.187 --> 00:08:09.548
And then they can bring that with them.
00:08:09.588 --> 00:08:11.569
It's just, everything feels like yes and,
00:08:11.668 --> 00:08:13.050
like the rules of improv.
00:08:13.069 --> 00:08:13.250
Yes.
00:08:13.370 --> 00:08:16.370
Yeah, no, totally.
00:08:16.391 --> 00:08:16.511
I mean,
00:08:16.531 --> 00:08:17.411
I wasn't even getting burnt out
00:08:17.432 --> 00:08:18.432
because I was getting bored too.
00:08:18.572 --> 00:08:20.033
I stole exercises from Nicole,
00:08:20.173 --> 00:08:21.394
probably like one way it started.
00:08:21.673 --> 00:08:22.814
She was always the creative one.
00:08:22.834 --> 00:08:23.995
And I was always like, hmm.
00:08:24.451 --> 00:08:25.531
She doesn't have this patient with me.
00:08:25.552 --> 00:08:26.833
I'm totally taking that activity.
00:08:27.834 --> 00:08:27.913
Yeah.
00:08:27.934 --> 00:08:29.295
It made it more fun for me too.
00:08:29.355 --> 00:08:30.115
And for our patients.
00:08:30.216 --> 00:08:30.357
Yeah.
00:08:30.396 --> 00:08:32.097
And she put her PT spin on it.
00:08:32.337 --> 00:08:33.339
I guess I didn't really find
00:08:33.359 --> 00:08:33.899
the beginning either,
00:08:33.940 --> 00:08:34.961
especially being a PT.
00:08:35.020 --> 00:08:35.681
I didn't think about the
00:08:35.721 --> 00:08:36.721
creativity as much,
00:08:36.782 --> 00:08:38.004
but it definitely did help
00:08:38.043 --> 00:08:39.264
with me and with my
00:08:39.284 --> 00:08:40.265
patients when I started.
00:08:41.705 --> 00:08:41.784
Now,
00:08:41.965 --> 00:08:44.546
you did mention people seeing devices
00:08:44.586 --> 00:08:45.787
and saying, I want that.
00:08:45.846 --> 00:08:46.746
And sometimes, I mean,
00:08:46.907 --> 00:08:48.006
a lot of times we wind up
00:08:48.027 --> 00:08:49.327
buying something, myself included,
00:08:49.368 --> 00:08:50.008
off of Amazon.
00:08:50.508 --> 00:08:51.149
And then I get it.
00:08:51.168 --> 00:08:52.849
And three months later, I'm not using it.
00:08:53.448 --> 00:08:54.450
Is there something that you
00:08:54.470 --> 00:08:55.769
guys would recommend that
00:08:55.889 --> 00:08:57.071
doesn't have to be expensive,
00:08:57.110 --> 00:08:59.150
but that actually was helpful?
00:08:59.191 --> 00:09:00.912
A lot of times it's usually cheap,
00:09:00.951 --> 00:09:02.613
simple things that cover the basic.
00:09:02.673 --> 00:09:03.613
Anything that comes to mind?
00:09:04.335 --> 00:09:04.875
Oh yeah.
00:09:04.894 --> 00:09:05.515
I would say there's,
00:09:05.576 --> 00:09:06.875
there's three things that come to mind.
00:09:07.015 --> 00:09:08.057
One is a resistance,
00:09:08.096 --> 00:09:09.356
some type of resistance band.
00:09:09.797 --> 00:09:11.457
You can use it as a visual cue.
00:09:11.697 --> 00:09:12.197
Not even,
00:09:12.437 --> 00:09:13.458
I know a lot of people like hate
00:09:13.519 --> 00:09:15.240
on resistance bands for strengthening,
00:09:15.299 --> 00:09:16.179
but once again,
00:09:16.220 --> 00:09:16.860
as long as you're
00:09:16.919 --> 00:09:18.341
facilitating it the right way,
00:09:18.780 --> 00:09:19.801
we can get into that another time.
00:09:19.821 --> 00:09:20.601
But yeah, they're,
00:09:20.802 --> 00:09:21.501
they're great to use that.
00:09:21.522 --> 00:09:22.863
We love them for visual cues
00:09:22.903 --> 00:09:24.003
for just props.
00:09:24.863 --> 00:09:26.923
And then a deck of playing cards,
00:09:27.303 --> 00:09:27.965
simple as that.
00:09:27.985 --> 00:09:29.544
There's tons of activities you could do.
00:09:30.005 --> 00:09:31.466
And then a ball,
00:09:31.546 --> 00:09:33.267
a simple handheld ball that you could,
00:09:33.769 --> 00:09:34.909
work, you could do grip strength,
00:09:34.950 --> 00:09:36.791
you can do balance, um,
00:09:36.831 --> 00:09:38.111
working on ankle stability.
00:09:38.152 --> 00:09:39.692
There's like tons of ideas.
00:09:40.972 --> 00:09:41.092
Yeah.
00:09:41.133 --> 00:09:41.894
It's being creative.
00:09:42.014 --> 00:09:43.014
I was at a conference just
00:09:43.054 --> 00:09:45.495
last week and I'm, this is not a paid ad.
00:09:45.515 --> 00:09:46.697
I'm not trying to slide in an ad,
00:09:46.736 --> 00:09:47.517
but I was,
00:09:47.878 --> 00:09:49.057
I wound up playing with it
00:09:49.118 --> 00:09:49.818
during the conference.
00:09:49.839 --> 00:09:51.480
Cause their booth was next to ours.
00:09:52.139 --> 00:09:52.961
Have you guys toyed around
00:09:52.980 --> 00:09:54.081
with blaze pods at all?
00:09:54.120 --> 00:09:56.062
That feels like a deck of cards.
00:09:56.363 --> 00:09:56.783
Yes.
00:09:57.062 --> 00:09:59.005
sort of a visual light sensor.
00:09:59.066 --> 00:10:00.027
One of you guys, I mean,
00:10:00.047 --> 00:10:01.249
you're both nodding on a podcast,
00:10:01.269 --> 00:10:02.971
so I'm going to say that you want to.
00:10:03.211 --> 00:10:03.390
Yeah.
00:10:03.431 --> 00:10:03.552
We,
00:10:03.611 --> 00:10:05.533
we always say we want to work with them.
00:10:05.553 --> 00:10:06.936
Cause like they're so, they're so cool.
00:10:06.956 --> 00:10:07.777
So yeah.
00:10:08.136 --> 00:10:09.499
But like, that's the cool part.
00:10:09.599 --> 00:10:12.322
Once you see videos like yours,
00:10:12.363 --> 00:10:13.244
content like yours,
00:10:14.144 --> 00:10:15.385
the idea was there like
00:10:15.426 --> 00:10:16.506
that's those are those the
00:10:16.567 --> 00:10:17.827
aha moments was like well
00:10:17.868 --> 00:10:19.269
yeah of course of course
00:10:19.328 --> 00:10:20.129
it's so simple it's like
00:10:20.169 --> 00:10:20.971
well why don't you think of
00:10:21.010 --> 00:10:21.831
it it's because sometimes
00:10:22.172 --> 00:10:23.413
being creative is hard like
00:10:23.873 --> 00:10:24.734
that's why it's a whole you
00:10:24.793 --> 00:10:25.514
know that's why it's a
00:10:25.794 --> 00:10:26.595
whole you can learn how to
00:10:26.615 --> 00:10:28.096
be creative it's hard but
00:10:28.116 --> 00:10:29.017
it's valuable the juice is
00:10:29.057 --> 00:10:29.758
worth a squeeze on
00:10:29.798 --> 00:10:31.578
creativity yeah and I think
00:10:31.599 --> 00:10:32.559
the treatment was just like
00:10:32.580 --> 00:10:34.422
the one side of it um and
00:10:34.581 --> 00:10:35.381
like because we wanted to
00:10:35.783 --> 00:10:36.903
do the we started with the
00:10:36.923 --> 00:10:38.044
documentation idea but
00:10:38.065 --> 00:10:39.405
we're like teaching
00:10:39.426 --> 00:10:40.667
documentation is so boring
00:10:41.302 --> 00:10:43.244
so boring so like why don't
00:10:43.283 --> 00:10:44.465
we tie the documentation
00:10:44.504 --> 00:10:45.764
with the treatment because
00:10:46.105 --> 00:10:46.966
what's treatment without
00:10:47.005 --> 00:10:47.566
documentation what's
00:10:47.586 --> 00:10:48.126
documentation about
00:10:48.167 --> 00:10:49.246
treatment like so we had to
00:10:49.267 --> 00:10:51.148
put that together and I
00:10:51.168 --> 00:10:52.469
mean I don't know anyone
00:10:52.509 --> 00:10:54.009
who did that prior to us I
00:10:54.049 --> 00:10:54.710
think there's some people
00:10:54.730 --> 00:10:56.991
that do it now but um I
00:10:57.011 --> 00:10:57.851
would say that we are
00:10:58.052 --> 00:10:59.393
probably one of the first
00:10:59.432 --> 00:11:00.974
people like groups of people that
00:11:01.712 --> 00:11:02.894
really apply the
00:11:02.913 --> 00:11:04.215
documentation to the treatment idea.
00:11:04.294 --> 00:11:06.515
And I just like, it's so easy to do that,
00:11:06.596 --> 00:11:07.836
but you know,
00:11:07.856 --> 00:11:08.638
that's what people struggle with.
00:11:08.658 --> 00:11:10.139
I'm going to push back.
00:11:10.158 --> 00:11:10.678
It wasn't easy.
00:11:10.739 --> 00:11:11.500
It was simple, right?
00:11:11.519 --> 00:11:11.980
It was clear.
00:11:12.000 --> 00:11:12.639
It was linear,
00:11:12.921 --> 00:11:14.041
but it wasn't easy because if it was,
00:11:14.081 --> 00:11:15.042
somebody else would have done it.
00:11:15.461 --> 00:11:16.602
But of course now, you know,
00:11:16.623 --> 00:11:18.605
imitation is the sincerest
00:11:18.625 --> 00:11:19.384
form of flattery.
00:11:19.884 --> 00:11:21.446
You know, people are on the bandwagon.
00:11:21.466 --> 00:11:22.246
Like I'm sure you're
00:11:22.267 --> 00:11:23.888
probably flattered and also like, great.
00:11:23.927 --> 00:11:25.528
Like there's a lot of people
00:11:25.548 --> 00:11:26.610
that need help, but
00:11:26.730 --> 00:11:28.030
more graduating every single
00:11:28.071 --> 00:11:29.331
year that are going to need this.
00:11:29.371 --> 00:11:30.072
So you're not going to run
00:11:30.092 --> 00:11:30.714
out of people that can
00:11:30.754 --> 00:11:33.855
value this information.
00:11:33.916 --> 00:11:34.096
Yeah.
00:11:34.115 --> 00:11:35.317
We just need the people need it.
00:11:35.378 --> 00:11:37.960
So more people that can get it out there.
00:11:37.980 --> 00:11:38.841
Why not?
00:11:38.941 --> 00:11:39.120
All right.
00:11:39.181 --> 00:11:40.042
So you've got the note
00:11:40.201 --> 00:11:42.703
ninjas summit coming up.
00:11:42.823 --> 00:11:44.284
What's this look like?
00:11:44.365 --> 00:11:46.067
What do attendees expect to
00:11:46.126 --> 00:11:47.107
walk away with?
00:11:47.187 --> 00:11:48.389
Why should a busy clinician
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make time for this in person virtual?
00:11:50.730 --> 00:11:52.172
Like this is your chance to
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have at it and tee off.
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All right.
00:11:54.855 --> 00:11:55.215
Well,
00:11:55.355 --> 00:11:56.855
it's definitely turning out way
00:11:56.875 --> 00:11:58.836
better than we even imagined it could be.
00:11:59.176 --> 00:12:01.116
So I learned about summits last year.
00:12:01.136 --> 00:12:02.157
I came back to Nicole and said,
00:12:02.256 --> 00:12:03.256
we absolutely have to do
00:12:03.277 --> 00:12:05.557
this because we have, you know,
00:12:05.577 --> 00:12:06.258
we have our treatments.
00:12:06.278 --> 00:12:07.499
We worked with the older adult,
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but there's definitely
00:12:08.438 --> 00:12:09.658
other therapists too that
00:12:09.678 --> 00:12:11.460
are more specialized in different areas.
00:12:11.480 --> 00:12:12.379
We could ask all the time
00:12:12.399 --> 00:12:15.120
for neuro or for this or whatever it is.
00:12:15.240 --> 00:12:17.240
And that's, we're not specialized in that.
00:12:17.260 --> 00:12:18.322
So we thought there was a
00:12:18.361 --> 00:12:20.261
way to bring all those people together,
00:12:20.782 --> 00:12:21.903
but we also told them they
00:12:21.942 --> 00:12:23.023
had to tie in our documentation.
00:12:23.461 --> 00:12:24.743
So we said they have to come
00:12:24.783 --> 00:12:26.985
up with a presentation for PTs and OTs,
00:12:27.504 --> 00:12:28.586
really leaving out the fluff,
00:12:28.666 --> 00:12:30.668
giving them activity ideas
00:12:31.089 --> 00:12:32.249
and ways to document it,
00:12:32.610 --> 00:12:34.230
not why they have to, all that stuff,
00:12:34.291 --> 00:12:35.751
like just straight down to
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the facts that the
00:12:36.332 --> 00:12:37.693
therapist can use the next day.
00:12:38.094 --> 00:12:38.975
And we tried to find a good
00:12:38.995 --> 00:12:40.115
variety of people so we
00:12:40.135 --> 00:12:41.297
could cover a lot of
00:12:41.317 --> 00:12:42.317
different topics for the
00:12:42.457 --> 00:12:43.278
older adult as well.
00:12:44.215 --> 00:12:45.676
Yeah, we have an insane lineup.
00:12:45.775 --> 00:12:47.557
We got, I mean, we were really nervous,
00:12:47.576 --> 00:12:48.538
like reaching out to people,
00:12:48.557 --> 00:12:50.019
but we've built like this network.
00:12:50.619 --> 00:12:52.701
I would say past year, year, well,
00:12:52.721 --> 00:12:54.100
we've been doing this for six years,
00:12:54.140 --> 00:12:54.961
but we really came out of
00:12:55.001 --> 00:12:56.403
our shells like the past two years.
00:12:56.423 --> 00:12:57.244
So we really have been like
00:12:57.264 --> 00:12:58.163
building this network and
00:12:58.183 --> 00:12:59.065
relationships with other
00:12:59.105 --> 00:13:00.144
people that are online.
00:13:00.566 --> 00:13:01.886
So we have an awesome lineup
00:13:01.986 --> 00:13:04.508
of twenty plus PTs and OTs.
00:13:04.807 --> 00:13:07.129
We have neuro home health professionals.
00:13:08.020 --> 00:13:08.701
I can't even think of all
00:13:08.721 --> 00:13:12.043
the new hand therapy, um, acute stroke,
00:13:12.163 --> 00:13:13.085
cardiopulm.
00:13:13.605 --> 00:13:14.525
It's like, it's insane.
00:13:14.546 --> 00:13:16.047
It's a good variety.
00:13:16.466 --> 00:13:16.547
Yeah.
00:13:16.586 --> 00:13:18.269
And we decided to also,
00:13:18.688 --> 00:13:19.809
we kind of been avoiding
00:13:19.850 --> 00:13:21.051
like the CU things because
00:13:21.431 --> 00:13:22.711
whoever does CUs knows it's
00:13:22.812 --> 00:13:24.092
not easy to get them and
00:13:24.113 --> 00:13:25.173
they like torture you.
00:13:25.673 --> 00:13:26.815
So this is going to be our
00:13:26.835 --> 00:13:28.155
first real like event that
00:13:28.355 --> 00:13:30.158
we're pre-approved for PT and OT.
00:13:30.238 --> 00:13:31.778
We got approved for IOTI and
00:13:31.918 --> 00:13:32.678
I went through the torture
00:13:32.720 --> 00:13:34.181
of getting it for most states for PT.
00:13:34.240 --> 00:13:34.980
It was torture,
00:13:35.422 --> 00:13:37.102
but so we have twenty CUs or
00:13:37.711 --> 00:13:38.312
Contact hours.
00:13:38.331 --> 00:13:39.893
Contact hours for OT.
00:13:40.033 --> 00:13:40.854
And yeah,
00:13:40.874 --> 00:13:41.955
so this time we really went all
00:13:42.034 --> 00:13:42.475
in with that.
00:13:42.576 --> 00:13:43.856
So they also get that.
00:13:43.917 --> 00:13:44.378
And by the way,
00:13:44.418 --> 00:13:45.298
it's called Innovative
00:13:45.339 --> 00:13:46.058
Treatments Effortless
00:13:46.078 --> 00:13:47.841
Documentation for PTs and
00:13:47.880 --> 00:13:48.802
OTs working with older adults.
00:13:49.942 --> 00:13:50.383
Make sure you,
00:13:50.823 --> 00:13:51.504
that sounds like someone
00:13:51.524 --> 00:13:52.044
who's an expert in
00:13:52.085 --> 00:13:53.125
documenting something who
00:13:53.145 --> 00:13:54.427
would rename that that way.
00:13:54.447 --> 00:13:54.687
I would say.
00:13:57.734 --> 00:13:57.953
All right.
00:13:57.994 --> 00:13:58.414
Advice.
00:13:58.434 --> 00:14:00.255
If you had one sticky notes
00:14:00.296 --> 00:14:01.157
worth of advice,
00:14:01.177 --> 00:14:02.217
because that's how we used
00:14:02.238 --> 00:14:04.259
to keep track of things before apps,
00:14:05.059 --> 00:14:06.181
one sticky notes worth of
00:14:06.201 --> 00:14:07.802
advice to slap on every
00:14:07.842 --> 00:14:09.865
therapist's laptop or clipboard,
00:14:09.884 --> 00:14:10.985
whatever they're carrying around,
00:14:11.645 --> 00:14:12.606
what would it say about
00:14:12.706 --> 00:14:14.268
documentation or treatment planning?
00:14:14.288 --> 00:14:15.009
What's the, like,
00:14:15.028 --> 00:14:15.870
what's sort of the one
00:14:15.929 --> 00:14:18.471
thing you'd want to hit people with?
00:14:18.532 --> 00:14:20.553
Mine would say like, what did you do?
00:14:21.243 --> 00:14:23.264
So like as you're the OT or
00:14:23.303 --> 00:14:25.505
PT reading that, like what would you do?
00:14:25.605 --> 00:14:27.067
Don't worry about, you know,
00:14:27.086 --> 00:14:27.647
of course patient
00:14:27.667 --> 00:14:29.187
presentation is important,
00:14:29.508 --> 00:14:30.308
but you don't have to list
00:14:30.389 --> 00:14:31.509
all the steps of the activity.
00:14:31.549 --> 00:14:33.010
Just focus on the strategies
00:14:33.051 --> 00:14:33.730
and that's going to be,
00:14:33.770 --> 00:14:34.912
that's your skill right there.
00:14:34.991 --> 00:14:35.633
That's what's going to be
00:14:35.712 --> 00:14:36.732
reimbursed because that's
00:14:36.753 --> 00:14:38.313
what insurance cares about
00:14:38.413 --> 00:14:39.794
is what you did with the
00:14:39.835 --> 00:14:42.437
patient and why your brain was used.
00:14:42.456 --> 00:14:44.759
And then that's a good one.
00:14:44.778 --> 00:14:46.720
And then the next one would be
00:14:47.357 --> 00:14:48.578
is everything focusing on
00:14:48.659 --> 00:14:49.740
one of the patient's goals?
00:14:49.980 --> 00:14:50.761
Because I think another
00:14:50.782 --> 00:14:51.863
thing we do too is what's
00:14:51.883 --> 00:14:52.903
within normal limits.
00:14:52.943 --> 00:14:54.005
What do we think it should be?
00:14:54.086 --> 00:14:54.745
Adults do this.
00:14:54.765 --> 00:14:56.107
Like, does the patient need this?
00:14:56.128 --> 00:14:57.690
Is all the activities you're doing,
00:14:58.129 --> 00:14:59.711
no matter how creative or how boring,
00:14:59.731 --> 00:15:00.273
whatever it is,
00:15:00.293 --> 00:15:01.274
are they all related to the
00:15:01.313 --> 00:15:01.995
goals that the patient
00:15:02.034 --> 00:15:03.056
wants to get back to?
00:15:03.216 --> 00:15:04.517
And does it show it in your note?
00:15:04.537 --> 00:15:05.519
All right.
00:15:05.538 --> 00:15:06.620
You ready to play a quick game?
00:15:07.418 --> 00:15:08.618
Oh, sure, I guess.
00:15:08.638 --> 00:15:09.219
We're going to call it,
00:15:09.399 --> 00:15:10.359
because you guys are famous
00:15:10.379 --> 00:15:11.698
for wanting to cut out the fluff, right?
00:15:11.719 --> 00:15:13.299
We're going to call it fluff or fire.
00:15:13.320 --> 00:15:14.379
Okay.
00:15:14.460 --> 00:15:15.580
I'm going to give you a statement,
00:15:16.080 --> 00:15:17.201
and then you two have to
00:15:17.301 --> 00:15:17.921
each shout it out.
00:15:17.961 --> 00:15:18.701
You can't team up.
00:15:18.740 --> 00:15:19.900
You have to do it individually.
00:15:20.581 --> 00:15:22.741
Is it fluff, like cut it, or fire,
00:15:22.802 --> 00:15:23.341
you keep it?
00:15:23.361 --> 00:15:23.861
Are you ready?
00:15:23.881 --> 00:15:24.743
Okay.
00:15:24.802 --> 00:15:25.543
Here's the phrase.
00:15:25.942 --> 00:15:27.462
Skilled services provided to
00:15:27.523 --> 00:15:29.504
address patient deficits.
00:15:34.048 --> 00:15:34.128
What?
00:15:34.168 --> 00:15:35.068
What was it?
00:15:35.089 --> 00:15:36.250
Patient participated in
00:15:36.330 --> 00:15:37.630
obstacle course for dynamic
00:15:37.671 --> 00:15:38.571
balance retraining.
00:15:38.591 --> 00:15:40.653
Fire.
00:15:40.673 --> 00:15:44.475
Patient tolerated treatment well.
00:15:44.615 --> 00:15:45.037
Oh, fluff.
00:15:45.057 --> 00:15:45.496
There's that word.
00:15:45.517 --> 00:15:45.777
Terrible.
00:15:48.539 --> 00:15:49.961
Used bubbles to encourage
00:15:50.020 --> 00:15:54.705
midline crossing.
00:15:54.784 --> 00:15:55.065
Fire.
00:15:55.164 --> 00:15:55.625
Fire.
00:15:55.926 --> 00:15:56.025
Warm.
00:15:56.046 --> 00:15:56.326
All right, good.
00:15:56.686 --> 00:15:58.648
Continue plan of care as established.
00:16:00.695 --> 00:16:00.975
Fluff.
00:16:00.995 --> 00:16:01.716
All right, perfect.
00:16:01.735 --> 00:16:04.437
So when we put it out there in that way,
00:16:04.457 --> 00:16:05.337
it's funny and we're being
00:16:05.378 --> 00:16:06.418
goofy with a game like this,
00:16:06.739 --> 00:16:08.561
but you start to see those
00:16:08.600 --> 00:16:09.480
things that were repeated
00:16:09.522 --> 00:16:10.883
and copy pasted all the time,
00:16:10.903 --> 00:16:11.423
maybe when you were
00:16:11.442 --> 00:16:12.303
students or maybe when you
00:16:12.344 --> 00:16:13.684
were out in practice for a while,
00:16:14.245 --> 00:16:15.666
you can cut that fluff.
00:16:16.025 --> 00:16:16.947
Where should someone go to
00:16:16.966 --> 00:16:18.587
find out more about getting
00:16:18.628 --> 00:16:19.668
together and learning with
00:16:19.708 --> 00:16:20.730
the event you put together?
00:16:21.806 --> 00:16:25.206
So you can go to www.thenoteninjas.com.
00:16:25.787 --> 00:16:27.488
We will be having a pop-up for our summit.
00:16:28.869 --> 00:16:29.509
And then make sure you get
00:16:29.528 --> 00:16:30.208
on our email list.
00:16:30.229 --> 00:16:31.009
That's the most important
00:16:31.048 --> 00:16:31.710
thing because that's when
00:16:31.730 --> 00:16:32.210
you'll get all the
00:16:32.230 --> 00:16:33.610
announcements about the summit.
00:16:34.730 --> 00:16:35.350
And of course,
00:16:35.370 --> 00:16:37.052
our Instagram at The Note Ninjas.
00:16:37.932 --> 00:16:39.032
We will be promoting our
00:16:39.091 --> 00:16:39.913
summit all month long.
00:16:39.993 --> 00:16:40.673
It is OT month.
00:16:40.712 --> 00:16:43.014
So we make sure that you follow us.
00:16:43.618 --> 00:16:44.979
And what can people get
00:16:45.178 --> 00:16:46.700
outside of information
00:16:46.740 --> 00:16:48.861
about the summit from your email list?
00:16:48.881 --> 00:16:49.682
You guys are constantly
00:16:49.701 --> 00:16:50.663
putting out good information.
00:16:51.202 --> 00:16:52.163
Just give us the high level.
00:16:52.644 --> 00:16:54.625
What can people expect in their inbox?
00:16:54.644 --> 00:16:55.605
We always like to send,
00:16:55.645 --> 00:16:57.027
we usually send two emails a week.
00:16:57.147 --> 00:16:57.748
One is always like a
00:16:57.768 --> 00:16:58.988
treatment ID or documentation.
00:16:59.028 --> 00:17:00.349
It's very simple to the point.
00:17:01.210 --> 00:17:02.090
And then we always like to
00:17:02.110 --> 00:17:03.831
give a wrap up of our blogs and YouTubes.
00:17:03.851 --> 00:17:04.991
We put a lot of information
00:17:05.011 --> 00:17:05.913
on all of that every week.
00:17:06.468 --> 00:17:07.489
Yeah, fantastic.
00:17:07.568 --> 00:17:09.589
Well, thanks again for doing what you do.
00:17:10.351 --> 00:17:10.971
It's needed.
00:17:11.111 --> 00:17:11.750
If it wasn't,
00:17:11.811 --> 00:17:13.071
people wouldn't be following along.
00:17:13.132 --> 00:17:14.692
That's just how this works.
00:17:14.732 --> 00:17:15.814
We're an attention economy.
00:17:16.233 --> 00:17:17.055
And the fact that there are
00:17:17.095 --> 00:17:18.276
enough people clamoring and
00:17:18.435 --> 00:17:20.876
asking for it is saying it's needed.
00:17:20.916 --> 00:17:21.698
So you've met that
00:17:21.778 --> 00:17:26.980
intersection of fluff and fire.
00:17:27.000 --> 00:17:27.442
Yeah, thank you.
00:17:27.481 --> 00:17:28.402
All right, ladies, as always,
00:17:28.422 --> 00:17:28.883
thanks so much.
00:17:28.923 --> 00:17:29.643
We appreciate your time.
00:17:29.663 --> 00:17:30.222
All right, thank you.