March 19, 2026

The Numbers That Actually Grow a PT Business

The Numbers That Actually Grow a PT Business
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Most physical therapy clinics are tracking metrics—but not all metrics actually matter.

In this episode, Jimmy and Tony break down how KPIs can unintentionally drive the wrong behavior inside your clinic. From arrival rate to cancellation tracking, they explain how focusing on the wrong numbers can lead to worse patient outcomes and stalled business growth.


They also explore a bigger shift: why PT clinic owners should think beyond traditional revenue models and start leveraging attention, content, and alternative income streams.


Key Insights:

  • Why “what gets measured gets messed up” in PT clinics
  • How arrival rate can actually hurt patient access
  • The difference between downstream vs upstream metrics
  • Why profit—not activity—should guide decisions
  • The “patient drop-off cliff” after visit 2–3
  • How content and media can become a revenue stream
  • Why fear keeps PTs playing small in business


Why This Matters:

If you’re a clinic owner, tracking the wrong KPI doesn’t just waste time—it trains your team to prioritize the wrong behaviors. Fixing this can immediately improve patient retention, staff decision-making, and profitability.


GUEST

Tony Maritato


SPONSORS

SaRA Health — https://sarahealth.com

EMPOWER EMR — https://empoweremr.com

U.S. Physical Therapy — https://usph.com


SUBSCRIBE & FOLLOW

Apple Podcasts: https://podcasts.apple.com/us/podcast/pt-pintcast-physical-therapy/id1000443325

Spotify: https://open.spotify.com/show/3LmMUT64yrUc2iGo9Emafc

YouTube: https://www.youtube.com/@PTPintcast

LinkedIn: https://www.linkedin.com/in/jimmy-mckay-pt-dpt-a4207659/

Instagram: https://www.instagram.com/ptpintcast

X / Twitter: https://x.com/PTPintcast

Website: https://www.ptpintcast.com/

Transcript
WEBVTT

00:00:03.125 --> 00:00:05.710
Broadcasting way too early from three

00:00:05.750 --> 00:00:07.232
separate Wi-Fi connections.

00:00:07.633 --> 00:00:10.978
It's PT Breakfast Club with Tony Meritato,

00:00:11.218 --> 00:00:13.282
Dave Kittle, and Jimmy McKay.

00:00:18.873 --> 00:00:19.114
All right.

00:00:19.134 --> 00:00:20.335
Welcome to PT Breakfast Club,

00:00:20.355 --> 00:00:21.896
where physical therapists gather twice a

00:00:21.916 --> 00:00:23.597
week to talk about business, marketing,

00:00:23.736 --> 00:00:25.698
and occasionally realize that the problem

00:00:25.797 --> 00:00:26.879
might not be staff.

00:00:26.919 --> 00:00:27.960
It might be the system.

00:00:28.660 --> 00:00:29.039
I'm Jimmy.

00:00:29.079 --> 00:00:29.640
That's Tony.

00:00:29.701 --> 00:00:32.862
Dave is somewhere selling cream for knees.

00:00:32.883 --> 00:00:34.124
We'll get into that when he comes back

00:00:34.164 --> 00:00:34.863
next Tuesday.

00:00:35.124 --> 00:00:36.465
He's going to drop his business model.

00:00:36.725 --> 00:00:37.865
He's going to start selling stuff for

00:00:37.886 --> 00:00:38.146
knees.

00:00:40.250 --> 00:00:41.832
We're going to talk about KPIs.

00:00:42.252 --> 00:00:42.811
For some reason,

00:00:42.832 --> 00:00:44.451
that's been a conversation that several

00:00:44.491 --> 00:00:47.192
people on LinkedIn and Twitter,

00:00:47.332 --> 00:00:47.753
not Twitter,

00:00:48.014 --> 00:00:49.314
LinkedIn and Facebook have been having.

00:00:49.334 --> 00:00:50.933
And we sort of wrapped up last week

00:00:51.414 --> 00:00:52.015
or not last week.

00:00:52.034 --> 00:00:52.634
Sorry, two days ago.

00:00:52.674 --> 00:00:52.954
Wow.

00:00:52.975 --> 00:00:53.054
St.

00:00:53.094 --> 00:00:54.936
Patrick's Day was just two days ago

00:00:54.956 --> 00:00:56.195
talking about KPIs.

00:00:56.515 --> 00:00:58.216
And then wouldn't you know it

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serendipitously,

00:00:59.496 --> 00:01:01.698
we got a new sponsor today only.

00:01:01.957 --> 00:01:02.658
And here they are.

00:01:03.537 --> 00:01:04.858
KPIO meter.

00:01:05.819 --> 00:01:07.200
Not sure what to track in your clinic?

00:01:07.219 --> 00:01:10.121
Just plug in the KPI-o-meter and instantly

00:01:10.162 --> 00:01:12.203
generate a completely random metric your

00:01:12.283 --> 00:01:14.644
staff will obsess over.

00:01:15.045 --> 00:01:17.046
Arrival rate, units billed,

00:01:17.647 --> 00:01:19.227
smiles per session.

00:01:19.828 --> 00:01:22.230
Watch your team optimize for the number

00:01:22.549 --> 00:01:24.912
and accidentally destroy everything else.

00:01:25.191 --> 00:01:26.153
KPI-o-meter,

00:01:26.352 --> 00:01:29.355
because what gets measured gets messed up.

00:01:29.454 --> 00:01:30.236
And if that isn't

00:01:30.775 --> 00:01:31.816
But that isn't the thing we're sort of

00:01:31.835 --> 00:01:32.417
talking about.

00:01:32.816 --> 00:01:33.316
Or anyway,

00:01:33.376 --> 00:01:34.956
Larry Benz has been writing articles about

00:01:34.996 --> 00:01:35.096
this.

00:01:35.117 --> 00:01:36.897
He did a whole series on,

00:01:37.197 --> 00:01:38.518
I think this is the last episode in

00:01:38.558 --> 00:01:39.118
his series.

00:01:39.179 --> 00:01:40.978
And he writes online on LinkedIn and he's

00:01:41.019 --> 00:01:42.459
got a sub stack called the operator.

00:01:43.599 --> 00:01:45.040
And I think it was called something like

00:01:45.060 --> 00:01:48.721
to the effect of the metric that like,

00:01:48.760 --> 00:01:49.341
doesn't matter.

00:01:49.382 --> 00:01:50.501
I'll get the, I'll get the exact,

00:01:50.522 --> 00:01:50.841
but it's like,

00:01:51.141 --> 00:01:52.582
it's not measuring the thing that you want

00:01:52.623 --> 00:01:53.623
it to measure for.

00:01:54.222 --> 00:01:56.183
So you sort of wrapped up last,

00:01:56.364 --> 00:01:58.084
last live stream on Tuesday with this sort

00:01:58.123 --> 00:01:58.685
of idea.

00:01:59.105 --> 00:02:00.084
Where do you want to start with this?

00:02:02.864 --> 00:02:03.484
Well, you know,

00:02:04.385 --> 00:02:05.987
I think we see this in business.

00:02:06.048 --> 00:02:07.448
We see it in patient care.

00:02:07.489 --> 00:02:08.911
We see it in parenting.

00:02:09.651 --> 00:02:12.055
Like parents are obsessed with grades.

00:02:12.974 --> 00:02:13.775
Grades don't matter.

00:02:14.074 --> 00:02:15.955
I tell my seventh grader all the time,

00:02:16.015 --> 00:02:16.316
I'm like,

00:02:16.796 --> 00:02:18.676
nobody's going to care if you've got a

00:02:18.736 --> 00:02:20.138
C on your history test.

00:02:20.497 --> 00:02:21.758
It does not matter.

00:02:22.158 --> 00:02:23.618
And I'm not going to be worried that

00:02:23.639 --> 00:02:24.939
you're going to be a thirty seven year

00:02:25.000 --> 00:02:27.420
old who doesn't understand what the

00:02:27.461 --> 00:02:29.842
capital of Arkansas is.

00:02:29.882 --> 00:02:31.763
You know, it's just like Little Rock.

00:02:31.802 --> 00:02:33.383
So we get these metrics,

00:02:33.524 --> 00:02:35.163
we get these ideas in our head,

00:02:36.104 --> 00:02:36.905
patient care.

00:02:37.405 --> 00:02:38.626
Patients are coming in.

00:02:39.145 --> 00:02:41.507
I can only get ninety seven degrees of

00:02:41.606 --> 00:02:43.407
knee flexion after my knee replacement.

00:02:43.427 --> 00:02:44.187
It's been six weeks.

00:02:44.888 --> 00:02:45.427
I don't care.

00:02:45.568 --> 00:02:46.688
Can you get off the toilet?

00:02:46.729 --> 00:02:49.110
Can you do this is why you had

00:02:49.129 --> 00:02:50.189
the knee replacement.

00:02:50.631 --> 00:02:53.412
Not so you're a champion goniometric

00:02:53.831 --> 00:02:54.412
performer.

00:02:55.513 --> 00:02:56.932
And then the same thing in business.

00:02:57.133 --> 00:02:58.174
It's like in business.

00:02:59.032 --> 00:03:00.753
As the business owner, I'm thinking,

00:03:01.493 --> 00:03:04.156
I need patients to complete their plans of

00:03:04.216 --> 00:03:04.556
care.

00:03:04.656 --> 00:03:06.197
I just heard you and Larry Benz talking

00:03:06.217 --> 00:03:07.698
about that in a clip you had.

00:03:08.277 --> 00:03:09.658
Completed plans of care.

00:03:09.998 --> 00:03:11.919
If the patient does the plan of care,

00:03:11.939 --> 00:03:13.120
the patient will get better.

00:03:13.260 --> 00:03:14.040
I will make money.

00:03:14.640 --> 00:03:16.342
We both win in that situation.

00:03:16.782 --> 00:03:17.663
So I think, okay,

00:03:17.723 --> 00:03:19.343
I need to improve arrival rate.

00:03:19.903 --> 00:03:21.544
I'm going to track arrival rate.

00:03:22.125 --> 00:03:24.126
What I don't realize is the person in

00:03:24.165 --> 00:03:24.686
charge,

00:03:24.706 --> 00:03:27.048
the person responsible for arrival rate,

00:03:27.843 --> 00:03:29.625
They're not making the connection that

00:03:30.224 --> 00:03:31.724
it's not about arrival rate.

00:03:32.186 --> 00:03:34.246
It's about completed plans of care.

00:03:34.265 --> 00:03:35.287
It's about success.

00:03:35.347 --> 00:03:36.486
It's about achievement.

00:03:36.986 --> 00:03:40.228
But the easiest way to manage performance

00:03:40.288 --> 00:03:43.248
of arrival rate is to stop scheduling

00:03:43.288 --> 00:03:44.389
patients who don't come.

00:03:44.430 --> 00:03:45.189
So what we did,

00:03:45.650 --> 00:03:46.631
and then I'll give you a chance to

00:03:46.670 --> 00:03:50.012
talk years ago, twenty years ago,

00:03:50.891 --> 00:03:52.872
we've always worked for a long time.

00:03:52.893 --> 00:03:54.733
We've been in network with all payers,

00:03:54.793 --> 00:03:55.854
including Medicaid.

00:03:56.652 --> 00:03:57.633
Historically,

00:03:57.913 --> 00:04:00.775
patients on Medicaid who are relying on

00:04:00.835 --> 00:04:04.276
transportation through Medicaid don't have

00:04:04.317 --> 00:04:05.818
the best arrival rate numbers.

00:04:06.098 --> 00:04:06.777
They just don't.

00:04:07.378 --> 00:04:08.878
And so we said,

00:04:09.099 --> 00:04:11.181
we don't want to lose these patients.

00:04:11.980 --> 00:04:14.382
I might schedule ten visits and get three

00:04:14.401 --> 00:04:15.522
that actually happen.

00:04:16.062 --> 00:04:19.644
How can I change my system to accommodate

00:04:19.884 --> 00:04:20.665
what's going on?

00:04:21.644 --> 00:04:24.365
So we wouldn't book a dedicated spot for

00:04:24.427 --> 00:04:26.507
an individual that consistently was

00:04:26.567 --> 00:04:28.029
missing appointments.

00:04:28.050 --> 00:04:29.490
We would give them a flex spot.

00:04:29.591 --> 00:04:31.632
Either we'd call them the day of or

00:04:31.653 --> 00:04:33.814
we tell them to call us or we'd

00:04:33.855 --> 00:04:35.415
put them on the schedule in like a

00:04:35.516 --> 00:04:38.017
light gray font so that they might come.

00:04:38.057 --> 00:04:38.999
They might not come.

00:04:39.038 --> 00:04:39.560
If they come,

00:04:39.600 --> 00:04:41.040
we'll treat them and we'll bill for them

00:04:41.081 --> 00:04:41.862
if they don't come.

00:04:42.221 --> 00:04:42.641
That's OK,

00:04:42.661 --> 00:04:44.101
because I've got other patients in that

00:04:44.141 --> 00:04:46.062
spot and you can do this in a

00:04:46.103 --> 00:04:47.103
compliant way.

00:04:47.682 --> 00:04:50.543
But the idea is this allowed us to

00:04:51.163 --> 00:04:54.264
not lose sight of what is the actual

00:04:54.345 --> 00:04:54.904
goal.

00:04:55.584 --> 00:04:56.925
Get patients in the door,

00:04:57.605 --> 00:05:00.545
not get the best performance on a KPI

00:05:00.565 --> 00:05:02.387
that doesn't really track what we're

00:05:02.427 --> 00:05:03.226
trying to achieve.

00:05:03.786 --> 00:05:04.007
Yeah.

00:05:04.086 --> 00:05:06.687
And this this pops up everywhere in life.

00:05:07.846 --> 00:05:08.447
with kids.

00:05:09.107 --> 00:05:10.228
I don't even have any kids,

00:05:10.367 --> 00:05:11.228
but I've been a kid.

00:05:11.288 --> 00:05:12.649
And I'm gonna give you ten dollars a

00:05:12.709 --> 00:05:14.329
week for your allowance.

00:05:14.430 --> 00:05:15.569
All you have to do is keep your

00:05:15.610 --> 00:05:16.170
room clean.

00:05:16.689 --> 00:05:17.110
Sounds like.

00:05:17.370 --> 00:05:18.271
And the first week,

00:05:19.331 --> 00:05:20.752
I go with the letter of the law

00:05:21.211 --> 00:05:22.252
and the spirit of the law.

00:05:22.353 --> 00:05:23.452
And I keep my room clean.

00:05:23.572 --> 00:05:24.473
And then a week in,

00:05:24.973 --> 00:05:25.874
I want my ten bucks.

00:05:25.954 --> 00:05:27.694
And before mom comes in to inspect,

00:05:28.254 --> 00:05:29.935
I just shove everything in the closet.

00:05:30.336 --> 00:05:31.815
And I've.

00:05:32.156 --> 00:05:33.497
We didn't talk about the closet.

00:05:33.516 --> 00:05:34.416
The closet's not clean.

00:05:34.817 --> 00:05:35.877
I've heard about surgeons

00:05:36.911 --> 00:05:39.434
not wanting to take on difficult cases for

00:05:39.494 --> 00:05:40.754
like good surgeons,

00:05:41.175 --> 00:05:42.815
not wanting to take on difficult cases

00:05:42.855 --> 00:05:45.158
because it might mess up my average.

00:05:45.958 --> 00:05:48.319
And if I'm being measured by the average,

00:05:48.800 --> 00:05:49.521
I want to do that.

00:05:49.800 --> 00:05:52.523
This happens in sales or pipeline

00:05:52.562 --> 00:05:53.244
generation.

00:05:53.663 --> 00:05:54.805
I've done one of those jobs.

00:05:55.464 --> 00:05:56.367
I ever go to do one of those

00:05:56.387 --> 00:05:57.949
jobs again, Tony, full permission.

00:05:57.968 --> 00:06:00.091
You drive from Ohio to New York and

00:06:00.110 --> 00:06:01.754
you slap me clear across the face.

00:06:02.014 --> 00:06:04.096
Because once I realized it was a big,

00:06:04.156 --> 00:06:05.778
dumb game that didn't mean anything,

00:06:06.158 --> 00:06:06.819
I couldn't play it.

00:06:07.882 --> 00:06:08.521
I just couldn't do it.

00:06:08.822 --> 00:06:09.682
Pipeline generation.

00:06:09.963 --> 00:06:10.062
Oh,

00:06:10.083 --> 00:06:11.603
how many deals do you think you'll close

00:06:11.642 --> 00:06:12.884
in the next three to six months?

00:06:13.384 --> 00:06:14.303
And I was like, none.

00:06:14.343 --> 00:06:15.904
And people looked at me like a ghast

00:06:16.165 --> 00:06:17.384
because I was telling the truth.

00:06:17.646 --> 00:06:19.185
How many did I think were closed?

00:06:19.386 --> 00:06:19.605
None.

00:06:19.685 --> 00:06:20.766
I don't think any of these are legit.

00:06:20.807 --> 00:06:21.567
These are all bull.

00:06:22.166 --> 00:06:23.427
And yet everybody else was playing the

00:06:23.468 --> 00:06:23.687
game.

00:06:23.708 --> 00:06:24.487
Like people pulled me aside.

00:06:24.507 --> 00:06:24.747
They're like,

00:06:24.767 --> 00:06:25.827
you kind of got to make this up

00:06:25.848 --> 00:06:26.149
a little bit.

00:06:26.168 --> 00:06:27.548
I was like, oh, I'm sorry.

00:06:27.809 --> 00:06:29.269
I just thought we were here to do

00:06:29.310 --> 00:06:29.670
something.

00:06:30.290 --> 00:06:30.790
legit.

00:06:31.211 --> 00:06:33.095
So that's where this idea of good hearts

00:06:33.196 --> 00:06:34.076
law comes in.

00:06:34.197 --> 00:06:36.100
I love these stupid things like the Pareto

00:06:36.141 --> 00:06:39.005
principle, eighty, twenty and all those.

00:06:39.387 --> 00:06:40.449
And I had heard of this.

00:06:40.468 --> 00:06:41.651
Then Larry Benz used it in one of

00:06:41.670 --> 00:06:42.492
his articles recently,

00:06:42.512 --> 00:06:42.833
which is

00:06:44.634 --> 00:06:46.194
uh he uses the the allegory of the

00:06:46.254 --> 00:06:48.035
russian nail factory it's a short one

00:06:48.074 --> 00:06:50.254
right so russian you're in the nail

00:06:50.295 --> 00:06:52.656
factory you're what am i measured with

00:06:52.795 --> 00:06:55.175
because i'm working do i work as fast

00:06:55.216 --> 00:06:56.735
as possible so they put a metric on

00:06:56.755 --> 00:06:58.836
the board produce as many nails as

00:06:58.877 --> 00:07:00.757
possible and then you get a bonus that's

00:07:00.797 --> 00:07:02.677
even better when you get a bonus so

00:07:02.718 --> 00:07:04.377
the russian nail factory the workers were

00:07:04.398 --> 00:07:05.617
like all right let's make a bunch of

00:07:05.898 --> 00:07:08.519
let's make a bajillion tiny little nails

00:07:09.430 --> 00:07:10.312
Great metric hit,

00:07:10.331 --> 00:07:11.591
but the nails were so small,

00:07:11.771 --> 00:07:12.733
they couldn't use them.

00:07:12.752 --> 00:07:14.134
It's like, okay, okay, okay, okay.

00:07:14.153 --> 00:07:15.274
We see you game the system.

00:07:15.295 --> 00:07:16.014
Let's go the other way.

00:07:16.514 --> 00:07:16.795
And said,

00:07:16.855 --> 00:07:19.156
we'll do it on based on weight of

00:07:19.216 --> 00:07:19.757
nails produced.

00:07:19.776 --> 00:07:21.017
That'll be more bigger nails.

00:07:21.257 --> 00:07:24.019
So they produced like five gigantic nails

00:07:24.040 --> 00:07:25.480
that were useless again.

00:07:25.560 --> 00:07:26.480
So metric hit.

00:07:27.081 --> 00:07:30.403
So KPIs that we were talking about,

00:07:30.483 --> 00:07:31.904
or we were just discussing on LinkedIn

00:07:31.925 --> 00:07:33.466
yesterday's cancellation rate.

00:07:34.766 --> 00:07:36.127
To sum up what Larry Benz and other

00:07:36.146 --> 00:07:39.028
people like Jerry Durham has said is

00:07:39.507 --> 00:07:41.048
you're too far downstream with

00:07:41.088 --> 00:07:42.129
cancellation rate.

00:07:42.749 --> 00:07:44.209
Why are they checked out?

00:07:45.370 --> 00:07:46.569
Why would they drop out?

00:07:46.651 --> 00:07:48.670
I don't cancel my haircut.

00:07:48.750 --> 00:07:49.851
I barely care about my hair.

00:07:49.872 --> 00:07:51.932
It's because I need it now.

00:07:52.012 --> 00:07:52.833
This is a need.

00:07:53.572 --> 00:07:55.374
So I feel like Larry summed it up

00:07:55.413 --> 00:07:55.653
well.

00:07:55.754 --> 00:07:59.415
Why would someone who is in need and

00:07:59.475 --> 00:08:00.555
made an appointment,

00:08:00.956 --> 00:08:02.557
why would they cancel?

00:08:02.596 --> 00:08:04.358
So are we measuring something way

00:08:04.398 --> 00:08:04.958
downstream?

00:08:05.177 --> 00:08:06.718
Moneyball, right?

00:08:06.759 --> 00:08:08.399
That was the attempt to show where you

00:08:08.420 --> 00:08:09.680
could get the right metrics.

00:08:09.899 --> 00:08:11.100
It's not about home runs.

00:08:11.721 --> 00:08:13.240
The Oakland A's didn't have enough money

00:08:13.261 --> 00:08:15.862
to pay for Johnny Damon or, you know,

00:08:15.901 --> 00:08:16.942
and Jason Giambi.

00:08:17.221 --> 00:08:18.322
So like, well, what matters?

00:08:18.403 --> 00:08:20.283
It's getting on base.

00:08:20.663 --> 00:08:22.362
So they optimize for getting on base.

00:08:22.382 --> 00:08:24.303
It would have been a better story if

00:08:24.324 --> 00:08:25.644
they actually won the World Series that

00:08:25.663 --> 00:08:25.824
year.

00:08:25.843 --> 00:08:25.963
Right.

00:08:25.983 --> 00:08:26.564
It would have flipped.

00:08:26.725 --> 00:08:28.185
It has already changed baseball,

00:08:28.545 --> 00:08:30.165
which is already over metric size.

00:08:30.425 --> 00:08:31.346
But they didn't say,

00:08:31.466 --> 00:08:32.505
let's not look at metrics.

00:08:33.225 --> 00:08:33.485
They said,

00:08:33.625 --> 00:08:35.587
why are we looking at these metrics and

00:08:35.648 --> 00:08:36.349
not these?

00:08:36.389 --> 00:08:38.831
Because these, the goal is to get wins,

00:08:39.152 --> 00:08:40.173
wins produce playoffs,

00:08:40.212 --> 00:08:41.394
playoffs produce championships.

00:08:41.433 --> 00:08:43.635
So I think this is a shakeup.

00:08:43.696 --> 00:08:45.038
And I think people resist this because

00:08:45.057 --> 00:08:46.259
they're so used to doing it.

00:08:47.552 --> 00:08:49.371
And, you know, that was a great example.

00:08:49.591 --> 00:08:49.972
Like,

00:08:50.413 --> 00:08:52.773
what are therapists obsessed with

00:08:53.293 --> 00:08:56.193
continuing education, certifications,

00:08:56.274 --> 00:08:57.594
letters after their name?

00:08:58.274 --> 00:09:00.774
We pretty well know the thing that makes

00:09:00.794 --> 00:09:03.595
the patient better is liking you.

00:09:04.096 --> 00:09:06.235
So instead of you worrying about getting a

00:09:06.275 --> 00:09:08.557
new certification for a new manual therapy

00:09:08.576 --> 00:09:09.076
technique,

00:09:09.496 --> 00:09:11.076
why don't you take a course on how

00:09:11.096 --> 00:09:12.216
to communicate better,

00:09:12.576 --> 00:09:14.837
how to influence friends and whatever?

00:09:15.597 --> 00:09:16.759
Win friends and influence people.

00:09:16.778 --> 00:09:16.859
Yeah.

00:09:17.399 --> 00:09:17.698
Yeah.

00:09:17.739 --> 00:09:19.220
Like these are the things.

00:09:19.980 --> 00:09:21.880
If I want patients to get better,

00:09:21.921 --> 00:09:23.642
I just need to get their butt in

00:09:23.701 --> 00:09:24.221
the door.

00:09:24.381 --> 00:09:26.023
It almost doesn't matter what they do

00:09:26.102 --> 00:09:26.602
after that.

00:09:26.964 --> 00:09:28.403
So I don't want to optimize,

00:09:29.225 --> 00:09:31.525
make it easier, flexible scheduling,

00:09:31.865 --> 00:09:32.846
no penalties.

00:09:33.167 --> 00:09:34.427
You're not going to get threatened.

00:09:34.466 --> 00:09:36.148
You're not going to get punished because

00:09:36.168 --> 00:09:38.028
you missed an appointment, came in late,

00:09:38.048 --> 00:09:39.169
came in early, whatever.

00:09:39.929 --> 00:09:43.533
And once we start to realize it's not

00:09:43.553 --> 00:09:45.336
about the things we think it's about,

00:09:45.797 --> 00:09:46.937
it's not about the things that are

00:09:46.957 --> 00:09:47.839
important to us.

00:09:47.958 --> 00:09:51.643
It's about the simple things that have big

00:09:51.763 --> 00:09:52.283
impact.

00:09:52.803 --> 00:09:54.145
I think everything changes.

00:09:54.306 --> 00:09:54.905
Everything changes.

00:09:55.706 --> 00:09:57.768
uh you ever get a speeding ticket tony

00:09:57.828 --> 00:09:59.208
i haven't gotten one i mean i'm knock

00:09:59.269 --> 00:10:00.490
on wood here i haven't gotten a speeding

00:10:00.529 --> 00:10:02.611
ticket a long time but if giving out

00:10:02.672 --> 00:10:05.092
tickets curbed speeding we'd be done by

00:10:05.153 --> 00:10:06.754
now wouldn't we i feel like we'd just

00:10:06.774 --> 00:10:08.455
be like it's the threat of it no

00:10:08.475 --> 00:10:10.596
one wants to get the ticket no one

00:10:11.096 --> 00:10:12.817
wants to speed but i do want to

00:10:12.857 --> 00:10:15.298
get there faster right so we've said i'll

00:10:15.339 --> 00:10:16.820
slap you on the wrist well you don't

00:10:16.840 --> 00:10:18.421
show up i'll give you i'll give you

00:10:18.441 --> 00:10:18.841
a fee

00:10:19.601 --> 00:10:20.121
I don't know.

00:10:20.283 --> 00:10:21.743
I'm not saying don't do anything.

00:10:21.984 --> 00:10:23.144
What I'm saying is that I think a

00:10:23.163 --> 00:10:24.384
lot of the smart people who've studied

00:10:24.404 --> 00:10:25.245
this, smarter than me,

00:10:25.625 --> 00:10:26.447
go further upstream.

00:10:26.466 --> 00:10:29.368
They go, why did that person cancel?

00:10:29.568 --> 00:10:30.308
What was it?

00:10:30.950 --> 00:10:32.389
Larry calls it the cliff.

00:10:32.431 --> 00:10:33.691
Have you seen this as well?

00:10:34.532 --> 00:10:36.572
He says it happens after usually visit two

00:10:36.613 --> 00:10:37.073
or three.

00:10:37.173 --> 00:10:38.094
If they cancel,

00:10:38.815 --> 00:10:41.375
usually the fall off is after visit two

00:10:41.416 --> 00:10:41.797
or three.

00:10:42.136 --> 00:10:44.258
And he put it to me very eloquently.

00:10:44.298 --> 00:10:45.078
And all of a sudden, I was like,

00:10:45.099 --> 00:10:45.759
oh, not even eloquently.

00:10:45.778 --> 00:10:46.600
He put it very simply.

00:10:47.860 --> 00:10:50.743
The eval is very intense, typically.

00:10:50.883 --> 00:10:51.523
We're measuring,

00:10:51.562 --> 00:10:53.443
we're asking a lot of questions.

00:10:54.043 --> 00:10:55.424
This is about me.

00:10:55.705 --> 00:10:57.826
You're asking me and I'm telling you.

00:10:58.346 --> 00:11:01.168
Some PTs will like poke fun at the

00:11:01.207 --> 00:11:01.688
patient,

00:11:01.729 --> 00:11:03.950
like tell me their whole damn life story.

00:11:03.970 --> 00:11:05.530
And I'm like, it's because you asked.

00:11:06.571 --> 00:11:07.351
And that's good.

00:11:07.552 --> 00:11:09.253
You're getting someone's life story.

00:11:09.273 --> 00:11:10.813
A lot of times that's like pulling teeth.

00:11:11.553 --> 00:11:14.676
And, uh, so the eval is very intensive.

00:11:14.696 --> 00:11:16.017
It feels very like, look, I don't know.

00:11:16.037 --> 00:11:17.398
They have me doing things and there's a

00:11:17.597 --> 00:11:18.818
measuring and it's all about me.

00:11:18.879 --> 00:11:20.519
It's about me, me, me for an hour.

00:11:21.020 --> 00:11:22.400
And then visit two or three is like,

00:11:22.481 --> 00:11:23.121
Hey, how you doing?

00:11:23.142 --> 00:11:24.302
Why don't you jump on the bike over

00:11:24.322 --> 00:11:24.523
there?

00:11:24.582 --> 00:11:28.004
Now it's like, Oh, what happened?

00:11:28.044 --> 00:11:29.426
I thought we were, we felt like,

00:11:29.686 --> 00:11:30.907
I thought we were, you were my guy.

00:11:30.986 --> 00:11:31.827
I was your guy.

00:11:32.168 --> 00:11:32.969
What happened there?

00:11:33.369 --> 00:11:34.950
So you go through that motion one more

00:11:35.009 --> 00:11:35.951
time and you're like,

00:11:36.917 --> 00:11:38.557
oh, I got played?

00:11:38.577 --> 00:11:40.240
That was just to get the first date?

00:11:40.259 --> 00:11:41.600
You feel like you got sold.

00:11:41.980 --> 00:11:44.182
And then when you apply for a job,

00:11:44.222 --> 00:11:46.264
the hiring manager or that recruiter is

00:11:46.303 --> 00:11:47.345
like, oh my God,

00:11:47.625 --> 00:11:48.885
tell me all about you.

00:11:49.086 --> 00:11:50.106
Oh my God, I'm so interested.

00:11:50.126 --> 00:11:50.967
You're going to love it here.

00:11:51.248 --> 00:11:52.408
And then you never hear from that person

00:11:52.448 --> 00:11:52.649
again.

00:11:52.668 --> 00:11:56.312
You're like, where's Katie from HR?

00:11:56.491 --> 00:11:56.932
Where's that?

00:11:57.013 --> 00:11:58.453
It's like, oh yeah, dude,

00:11:58.494 --> 00:12:00.014
she said whatever she had to do because

00:12:00.075 --> 00:12:04.197
her metric was applications to contracts

00:12:04.217 --> 00:12:04.639
signed.

00:12:05.298 --> 00:12:06.899
And then that leaves you feeling

00:12:06.940 --> 00:12:07.399
something.

00:12:07.460 --> 00:12:09.301
And I think Paul nails it right here

00:12:09.321 --> 00:12:11.883
on the comment when he says relationships

00:12:12.302 --> 00:12:14.183
equal everything.

00:12:14.403 --> 00:12:15.424
So what is it, Tony?

00:12:15.445 --> 00:12:18.405
Like when you mentioned letters and Con

00:12:18.505 --> 00:12:18.765
Ed,

00:12:19.927 --> 00:12:21.788
we feel like we need to be the

00:12:21.827 --> 00:12:22.568
magician.

00:12:23.769 --> 00:12:25.750
But if you actually look at the research,

00:12:25.809 --> 00:12:25.990
right,

00:12:26.009 --> 00:12:27.510
I'm sure somebody smarter than me has it.

00:12:28.292 --> 00:12:30.572
Doesn't it say it's the relationship?

00:12:30.613 --> 00:12:31.953
And I mean, if they don't show up.

00:12:32.773 --> 00:12:34.215
None of that con ed matters, does it?

00:12:34.595 --> 00:12:37.238
Even if you have magic hands.

00:12:37.298 --> 00:12:37.798
Yeah.

00:12:37.879 --> 00:12:38.778
Yeah.

00:12:38.820 --> 00:12:39.379
Same thing.

00:12:39.419 --> 00:12:41.962
Like I've I've tried to look for the

00:12:42.003 --> 00:12:42.583
research.

00:12:42.624 --> 00:12:44.446
I've tried to look outside the profession.

00:12:44.525 --> 00:12:46.768
I've tried to look at other data points

00:12:47.048 --> 00:12:49.431
and I can't really put anything tangible

00:12:49.471 --> 00:12:51.013
together to say, hey, look,

00:12:51.432 --> 00:12:52.533
I'm proving it to you.

00:12:52.573 --> 00:12:53.775
You're wrong and I'm right.

00:12:54.385 --> 00:12:56.785
But I think on some level,

00:12:57.206 --> 00:12:59.147
we have to acknowledge the fact that what

00:12:59.167 --> 00:13:01.287
you said, if they're not there,

00:13:01.626 --> 00:13:02.687
they're not going to get better.

00:13:03.947 --> 00:13:05.888
If they don't like us, trust us,

00:13:05.988 --> 00:13:06.948
want to be around us,

00:13:06.969 --> 00:13:07.969
they're not going to get better.

00:13:08.469 --> 00:13:09.548
And I think the thing that you said

00:13:09.589 --> 00:13:10.649
is super important.

00:13:10.708 --> 00:13:11.850
Like I've been married.

00:13:11.909 --> 00:13:18.051
We're going on twenty years.

00:13:18.130 --> 00:13:18.711
Dating.

00:13:26.720 --> 00:13:35.767
before we got married.

00:13:35.826 --> 00:13:36.788
I think you're cutting out a little bit,

00:13:36.827 --> 00:13:37.028
Tony.

00:13:37.048 --> 00:13:38.649
I think you were good there for a

00:13:38.690 --> 00:13:39.070
hot minute,

00:13:39.090 --> 00:13:43.352
but I think you're cutting out.

00:13:43.413 --> 00:13:43.653
All right,

00:13:43.693 --> 00:13:44.734
not sure if Tony can hear me.

00:13:45.054 --> 00:13:46.336
If you got a question or a comment,

00:13:46.796 --> 00:13:48.277
what I'll ask the audience,

00:13:48.297 --> 00:13:50.198
because I think you could ask a hundred

00:13:50.239 --> 00:13:51.440
different clinic owners in a hundred

00:13:51.460 --> 00:13:53.801
different clinics what they think and feel

00:13:53.841 --> 00:13:54.341
about this.

00:13:55.938 --> 00:13:57.198
And it's in the name, right?

00:13:57.259 --> 00:14:01.640
It's KPI, key performance indicators.

00:14:01.701 --> 00:14:03.241
I think we use KPI so often.

00:14:04.341 --> 00:14:05.642
Myself included, we'll just be like, wait,

00:14:05.662 --> 00:14:06.082
what was it?

00:14:06.663 --> 00:14:10.943
Key performance indicators.

00:14:11.004 --> 00:14:12.184
How is this performing?

00:14:12.684 --> 00:14:14.625
Performance to me feels like an outcome,

00:14:14.765 --> 00:14:16.046
a result of.

00:14:17.025 --> 00:14:18.366
So that's the whole thing with Goodhart's

00:14:18.427 --> 00:14:20.488
Law is when the measure becomes the

00:14:20.548 --> 00:14:21.048
target...

00:14:22.323 --> 00:14:24.884
it fails to measure the thing that

00:14:24.945 --> 00:14:25.485
matters.

00:14:25.825 --> 00:14:28.025
That was the line in Larry Benz's article

00:14:28.046 --> 00:14:29.006
that sort of hit.

00:14:29.027 --> 00:14:31.467
I don't know if Tony is back.

00:14:31.508 --> 00:14:31.908
There he is.

00:14:32.187 --> 00:14:33.248
Yeah, he cut out there for a second.

00:14:33.668 --> 00:14:35.469
But when you give someone a target,

00:14:37.029 --> 00:14:39.211
they're going to game for the target.

00:14:39.270 --> 00:14:40.990
But you can't... That's where it's like,

00:14:41.051 --> 00:14:43.091
don't hate the player, hate the game,

00:14:43.111 --> 00:14:44.533
but you just invented the game.

00:14:44.552 --> 00:14:46.933
You're like... I'll give you an example.

00:14:47.033 --> 00:14:47.754
In radio...

00:14:49.485 --> 00:14:51.567
We were measured in quarter hours.

00:14:52.227 --> 00:14:54.089
So if you were listening at twelve

00:14:54.149 --> 00:14:54.850
fourteen,

00:14:55.311 --> 00:14:56.491
if you wrote this is how this is

00:14:56.511 --> 00:14:58.092
how accurate radio measurements were.

00:14:59.313 --> 00:15:01.636
We they sent out thousands of diaries like

00:15:01.697 --> 00:15:03.298
little books like that used to write

00:15:04.306 --> 00:15:06.147
essays in high school, like little books.

00:15:06.527 --> 00:15:07.768
And you're supposed to keep it with you

00:15:07.807 --> 00:15:09.188
every day and write down what you were

00:15:09.208 --> 00:15:11.370
listening to and when from twelve oh one

00:15:11.429 --> 00:15:12.410
to twelve sixteen.

00:15:12.850 --> 00:15:14.892
So radio is measured in quarter hours.

00:15:15.533 --> 00:15:17.033
So if you wrote down someone wrote down

00:15:17.073 --> 00:15:19.294
a listing at twelve fifteen and I stopped

00:15:19.335 --> 00:15:20.816
at twelve thirty one.

00:15:22.336 --> 00:15:24.798
How many minutes is that right?

00:15:24.817 --> 00:15:25.938
That's three quarter hours.

00:15:26.971 --> 00:15:28.392
because you were in the first quarter

00:15:28.432 --> 00:15:29.753
hour, twelve fourteen,

00:15:29.873 --> 00:15:31.934
you crossed and crossed twelve fifteen to

00:15:31.955 --> 00:15:32.735
twelve sixteen.

00:15:33.216 --> 00:15:34.736
That's the second quarter hour and you got

00:15:34.777 --> 00:15:35.557
to thirty one.

00:15:36.958 --> 00:15:37.919
So what did Jimmy do?

00:15:39.240 --> 00:15:40.721
I made sure we were not in commercial

00:15:40.741 --> 00:15:41.503
breaks during

00:15:43.243 --> 00:15:45.684
The change over quarter hours.

00:15:45.845 --> 00:15:48.785
I made sure we optimized our clocks or

00:15:48.885 --> 00:15:51.087
when we played commercials or when we were

00:15:51.128 --> 00:15:52.008
playing songs.

00:15:52.688 --> 00:15:54.909
Did I try to game the system?

00:15:55.450 --> 00:15:56.331
Absolutely.

00:15:56.931 --> 00:15:58.072
Because if that's how you're going to

00:15:58.251 --> 00:16:00.432
arbitrarily measure me, quality,

00:16:01.913 --> 00:16:04.655
that's how I'm going to show up on

00:16:04.696 --> 00:16:05.076
the field.

00:16:06.027 --> 00:16:07.347
It's just also funny that the name of

00:16:07.368 --> 00:16:08.668
the company that did radio ratings,

00:16:08.688 --> 00:16:09.769
and I believe still does,

00:16:09.808 --> 00:16:10.649
is called Arbitron.

00:16:10.909 --> 00:16:12.110
Felt arbitrary to us.

00:16:12.431 --> 00:16:14.712
We could kick ass all day, every day.

00:16:15.232 --> 00:16:16.754
But if we got a few diaries that

00:16:17.453 --> 00:16:18.514
people didn't listen to us,

00:16:20.015 --> 00:16:21.616
or they just happened to not be listening

00:16:21.657 --> 00:16:23.217
that ratings period,

00:16:23.918 --> 00:16:26.139
but those were the KPIs.

00:16:26.320 --> 00:16:28.061
TSL in radio.

00:16:28.160 --> 00:16:30.101
Time spent listening.

00:16:31.082 --> 00:16:32.543
Man, maybe that is a good...

00:16:32.884 --> 00:16:34.544
Maybe that's a good KPI for...

00:16:35.639 --> 00:16:39.904
Now that we can record with AI scribes

00:16:39.945 --> 00:16:45.110
and technology, time spent listening.

00:16:46.071 --> 00:16:46.991
You can measure.

00:16:47.493 --> 00:16:51.677
Maybe I just invented a new KPI.

00:16:51.716 --> 00:16:52.738
Time spent listening.

00:16:52.879 --> 00:16:54.259
This would be an interesting one.

00:16:54.360 --> 00:16:55.280
Once Tony gets back on,

00:16:55.321 --> 00:16:55.942
I'll ask him about it.

00:16:55.961 --> 00:16:57.283
But time spent listening would be

00:16:58.265 --> 00:17:00.408
If you have a half hour,

00:17:00.427 --> 00:17:03.169
a forty five or a sixty minute slot

00:17:03.230 --> 00:17:04.089
with your patient,

00:17:04.911 --> 00:17:07.873
how much time do you spend actually

00:17:09.134 --> 00:17:09.615
listening?

00:17:09.855 --> 00:17:11.635
That would be an interesting question and

00:17:11.655 --> 00:17:13.938
an interesting KPI to think about.

00:17:15.159 --> 00:17:16.480
I'd love to hear from the audience.

00:17:17.682 --> 00:17:20.242
now or later on if you want to

00:17:20.282 --> 00:17:22.064
jump on linkedin and just comment what are

00:17:22.104 --> 00:17:24.625
the kpis that you have that you actually

00:17:24.665 --> 00:17:27.146
track now keep in mind with ehrs now

00:17:27.186 --> 00:17:31.189
today you can track a lot of them

00:17:31.229 --> 00:17:33.451
maybe too well definitely too many because

00:17:33.471 --> 00:17:37.093
they all the kpis can't be key so

00:17:37.212 --> 00:17:40.114
which are the ones that matter and i'll

00:17:40.153 --> 00:17:42.174
get into that once once tony gets back

00:17:42.214 --> 00:17:43.135
on the uh the show

00:17:44.005 --> 00:17:44.825
And the question is,

00:17:45.405 --> 00:17:49.607
if you've ever improved a metric only to

00:17:49.647 --> 00:17:51.409
see results actually go down.

00:17:51.828 --> 00:17:54.830
So you put something on the scoreboard to

00:17:55.171 --> 00:18:00.013
gamify in terms of a KPI, but results,

00:18:01.433 --> 00:18:02.315
the product,

00:18:03.394 --> 00:18:05.175
the big picture thing has actually gone

00:18:05.195 --> 00:18:05.415
down.

00:18:05.656 --> 00:18:07.617
And Tony talked about this last week.

00:18:08.038 --> 00:18:09.919
He optimized for his front desk

00:18:11.299 --> 00:18:12.540
For arrival rate,

00:18:13.221 --> 00:18:16.064
someone gets put on the schedule a day,

00:18:16.585 --> 00:18:17.965
a week, a month ahead.

00:18:18.605 --> 00:18:19.666
How many actually arrive?

00:18:20.708 --> 00:18:21.368
Sounds pretty good.

00:18:21.608 --> 00:18:23.269
Arrival rate on the schedule.

00:18:23.750 --> 00:18:25.251
How many actually show up a week,

00:18:25.352 --> 00:18:27.252
a month, a quarter later?

00:18:27.433 --> 00:18:27.814
How many?

00:18:29.715 --> 00:18:31.656
And then Tony talked about, well, whoops,

00:18:32.117 --> 00:18:34.740
if I'm being measured for arrival rate...

00:18:36.036 --> 00:18:37.997
I'm probably not going to put questionable

00:18:38.037 --> 00:18:39.278
people on the schedule.

00:18:39.518 --> 00:18:40.679
And that makes sense.

00:18:40.778 --> 00:18:43.300
You just taught your front desk what was

00:18:43.361 --> 00:18:45.883
important.

00:18:45.942 --> 00:18:48.585
Arrival rate, not helping people.

00:18:49.704 --> 00:18:51.287
And that's a problem.

00:18:52.467 --> 00:18:53.067
Tony, you still there?

00:18:56.269 --> 00:18:57.171
So I would like to know what the

00:18:57.191 --> 00:18:59.092
KPIs are for people out there.

00:19:00.987 --> 00:19:02.488
that are actually key and actually move

00:19:02.508 --> 00:19:02.807
the needle.

00:19:02.827 --> 00:19:03.647
And we can get into that.

00:19:04.048 --> 00:19:05.067
I do want to make sure we have

00:19:05.087 --> 00:19:06.348
our sponsors taken care of.

00:19:06.409 --> 00:19:08.128
So let's welcome in our newest sponsor,

00:19:10.109 --> 00:19:11.569
Front Desk Crystal Ball.

00:19:11.650 --> 00:19:12.851
Tired of cancellations?

00:19:13.030 --> 00:19:13.631
Absolutely.

00:19:14.050 --> 00:19:15.412
With Front Desk Crystal Ball,

00:19:15.471 --> 00:19:17.873
your staff can now predict exactly which

00:19:17.932 --> 00:19:21.173
patients might cancel and simply never

00:19:21.253 --> 00:19:21.814
schedule them.

00:19:21.913 --> 00:19:22.273
Boom.

00:19:22.834 --> 00:19:24.075
One hundred percent arrival rate.

00:19:24.515 --> 00:19:25.255
Zero growth.

00:19:26.363 --> 00:19:28.085
front desk crystal ball because you can't

00:19:28.105 --> 00:19:31.728
cancel if you were never ever booked.

00:19:32.169 --> 00:19:33.108
I mean, that plays right into,

00:19:33.349 --> 00:19:35.151
I'm wondering if Tony's team did have

00:19:35.491 --> 00:19:36.932
front desk crystal ball.

00:19:36.952 --> 00:19:43.159
Let me see if I can get Tony.

00:19:51.157 --> 00:19:52.638
Let's move to the next topic,

00:19:52.838 --> 00:19:55.060
and then we'll come back to when Tony

00:19:55.080 --> 00:19:59.124
either calls in or can get back online.

00:19:59.144 --> 00:20:01.365
Next topic, content.

00:20:02.207 --> 00:20:03.567
We said something last show that I felt

00:20:03.627 --> 00:20:03.948
mattered.

00:20:04.909 --> 00:20:06.509
I figured out how to do it wrong

00:20:06.569 --> 00:20:07.050
a lot.

00:20:07.090 --> 00:20:08.372
That's what I said last show.

00:20:08.511 --> 00:20:09.393
That was on Tuesday.

00:20:10.053 --> 00:20:13.115
Most PT content fails, in my opinion,

00:20:14.096 --> 00:20:15.577
for one of a couple reasons,

00:20:15.617 --> 00:20:16.557
but this is a key one.

00:20:17.739 --> 00:20:19.280
I think it's made for the creator,

00:20:20.871 --> 00:20:21.750
not the platform.

00:20:22.070 --> 00:20:24.092
If you work for small organizations,

00:20:25.373 --> 00:20:26.573
or you're a solo person,

00:20:27.012 --> 00:20:28.554
is the content made for you?

00:20:31.535 --> 00:20:34.016
Or is the content made for your CEO?

00:20:35.276 --> 00:20:36.395
Tony's back in the, all right.

00:20:36.777 --> 00:20:38.037
So hey, before we move on to content,

00:20:40.675 --> 00:20:42.217
What are the KPIs that matter?

00:20:42.257 --> 00:20:44.019
Let's not just bitch about something and

00:20:44.058 --> 00:20:45.160
sort of poke.

00:20:46.220 --> 00:20:47.862
I told everybody about how you had said

00:20:47.882 --> 00:20:51.183
two days ago that when you optimize for

00:20:51.565 --> 00:20:54.326
arrival or showing up arrival,

00:20:54.646 --> 00:20:55.988
I put you on the schedule a day,

00:20:56.208 --> 00:20:57.209
a week, a month out,

00:20:57.548 --> 00:20:58.250
and then you show up.

00:20:58.490 --> 00:20:58.789
Boom.

00:20:58.849 --> 00:21:00.111
Keep that number as close to a hundred

00:21:00.131 --> 00:21:00.510
percent.

00:21:00.892 --> 00:21:03.854
And then you said your front desk figured

00:21:03.894 --> 00:21:05.035
out what game they were playing and played

00:21:05.055 --> 00:21:05.355
it well.

00:21:05.394 --> 00:21:06.276
What happened with that?

00:21:07.167 --> 00:21:07.729
Yeah,

00:21:07.888 --> 00:21:11.071
so we eventually had to get to the

00:21:11.132 --> 00:21:13.934
point where we realized that we always

00:21:13.974 --> 00:21:14.455
were small.

00:21:14.875 --> 00:21:16.838
At our biggest, we were at five locations.

00:21:17.558 --> 00:21:20.261
So I could identify a single individual

00:21:20.321 --> 00:21:22.744
who understood the intention behind the

00:21:22.765 --> 00:21:23.306
KPI.

00:21:23.746 --> 00:21:24.207
There you go.

00:21:24.227 --> 00:21:26.368
Put that person in charge of the KPI

00:21:26.930 --> 00:21:28.230
and they would perform in the way that

00:21:28.270 --> 00:21:28.832
we wanted.

00:21:29.212 --> 00:21:30.753
But if I just took a random person,

00:21:30.775 --> 00:21:33.397
if I had a hundred front desk positions

00:21:34.018 --> 00:21:36.781
and tried to expect them to perform the

00:21:36.821 --> 00:21:38.624
way I wanted them to perform,

00:21:38.723 --> 00:21:39.285
it was always

00:22:15.557 --> 00:22:17.419
All right, Tony, can you hear me?

00:22:17.558 --> 00:22:18.119
I can.

00:22:18.359 --> 00:22:20.580
I don't understand what is going on for

00:22:20.641 --> 00:22:21.082
us today.

00:22:22.061 --> 00:22:22.423
Listen,

00:22:22.482 --> 00:22:24.183
every once in a while the internet just

00:22:24.384 --> 00:22:24.864
hates us,

00:22:24.923 --> 00:22:26.525
but I'm pretty sure everybody can hear you

00:22:26.585 --> 00:22:27.445
now, so keep going.

00:22:27.465 --> 00:22:27.786
All right,

00:22:27.806 --> 00:22:28.807
so you were saying if you had a

00:22:28.826 --> 00:22:29.227
hundred people,

00:22:29.827 --> 00:22:31.749
it sounds like you're starting the

00:22:31.888 --> 00:22:32.849
explanation where it's like,

00:22:33.029 --> 00:22:34.270
do you need to understand the letter of

00:22:34.290 --> 00:22:35.852
the law or the spirit of the law?

00:22:36.551 --> 00:22:38.653
Yeah, yeah, the intent behind it.

00:22:38.814 --> 00:22:40.634
And so we got to the point where

00:22:40.654 --> 00:22:41.154
we said, hey,

00:22:41.194 --> 00:22:42.076
we've got all these

00:22:42.662 --> 00:22:43.623
you know, twenty, thirty,

00:22:43.663 --> 00:22:46.184
forty KPIs and we're feeling good about

00:22:46.244 --> 00:22:47.987
tracking all these metrics and looking at

00:22:48.027 --> 00:22:49.667
these charts and the charts are going up

00:22:49.708 --> 00:22:51.849
and to the right and we realize it

00:22:51.869 --> 00:22:52.471
doesn't matter.

00:22:53.151 --> 00:22:54.432
What actually matters?

00:22:55.133 --> 00:22:56.054
I need profit.

00:22:56.513 --> 00:22:57.714
Are we making profit?

00:22:57.775 --> 00:22:59.317
How are we measuring profit?

00:22:59.396 --> 00:23:00.538
Am I making profit?

00:23:00.678 --> 00:23:02.619
What actions can I take to make profit

00:23:02.660 --> 00:23:03.019
go up?

00:23:03.536 --> 00:23:05.416
What action can I take to make profit

00:23:05.436 --> 00:23:06.037
go down?

00:23:06.096 --> 00:23:07.637
Let's do more of one and less of

00:23:07.678 --> 00:23:08.157
the other.

00:23:08.678 --> 00:23:09.318
And we say, look,

00:23:09.419 --> 00:23:10.999
I don't even care if it's profit from

00:23:11.058 --> 00:23:11.940
physical therapy.

00:23:13.740 --> 00:23:15.922
There's nothing that says I have to only

00:23:15.961 --> 00:23:17.722
make profit from physical therapy.

00:23:18.222 --> 00:23:18.542
Hence,

00:23:18.663 --> 00:23:22.265
you see the major shift away from physical

00:23:22.305 --> 00:23:24.806
therapy as a profit center to media as

00:23:24.826 --> 00:23:25.586
a profit center.

00:23:25.766 --> 00:23:26.467
Right.

00:23:26.507 --> 00:23:27.007
I was watching...

00:23:27.126 --> 00:23:28.346
It made me think of you.

00:23:28.406 --> 00:23:30.949
Because first, they mock you.

00:23:32.916 --> 00:23:33.938
uh i forget what the next step is

00:23:33.958 --> 00:23:35.298
there's like a natural progression like

00:23:35.318 --> 00:23:37.442
grief like first they mock you then they

00:23:37.461 --> 00:23:39.063
whatever and then like by the end of

00:23:39.083 --> 00:23:40.865
the step like they're like i i always

00:23:40.924 --> 00:23:43.627
believed in you right like i'm not gonna

00:23:43.647 --> 00:23:45.269
call them out but my classmates in pt

00:23:45.289 --> 00:23:46.631
school when i launched this podcast we're

00:23:46.651 --> 00:23:48.692
like this podcast dude talking to you

00:23:48.732 --> 00:23:50.934
talking to yourself and now they're like i

00:23:50.954 --> 00:23:52.277
always believed in you ten years later

00:23:52.317 --> 00:23:53.938
like i i saw i saw the vision

00:23:53.978 --> 00:23:54.919
too um

00:23:56.260 --> 00:23:58.242
I saw a video or a series of

00:23:58.282 --> 00:23:58.844
videos.

00:23:59.044 --> 00:24:00.065
Have you seen this one?

00:24:00.184 --> 00:24:02.166
It's essentially a remote control car with

00:24:02.186 --> 00:24:02.988
a GoPro on it.

00:24:04.430 --> 00:24:05.851
And you're seeing the point of view of

00:24:05.871 --> 00:24:06.271
the car.

00:24:06.332 --> 00:24:07.092
It's first person.

00:24:07.932 --> 00:24:09.595
And the remote control car has a little

00:24:10.075 --> 00:24:11.977
container on it filled with dog food.

00:24:12.817 --> 00:24:15.080
And it drives around back alleys looking

00:24:15.121 --> 00:24:16.102
for stray dogs.

00:24:17.340 --> 00:24:17.942
And of course,

00:24:18.561 --> 00:24:20.463
the videos are all pretty much the same.

00:24:20.503 --> 00:24:21.003
First of all,

00:24:21.503 --> 00:24:22.365
a dog is going to be like,

00:24:22.424 --> 00:24:23.326
what the hell is this?

00:24:23.365 --> 00:24:24.047
And be scared.

00:24:25.186 --> 00:24:26.347
And then eventually it's going to sniff,

00:24:26.367 --> 00:24:26.689
sniff, sniff,

00:24:26.709 --> 00:24:27.730
and then it's going to eat the food.

00:24:27.849 --> 00:24:28.309
And of course,

00:24:28.329 --> 00:24:30.131
there's violin music playing in the

00:24:30.171 --> 00:24:30.692
background.

00:24:31.352 --> 00:24:32.773
And you watch it because the story is

00:24:32.794 --> 00:24:34.335
about a dog who's hungry and now you're

00:24:34.355 --> 00:24:34.795
feeding it.

00:24:35.415 --> 00:24:38.298
It's similar to the idea of some guy

00:24:38.337 --> 00:24:40.480
knocking on a door of this house that's

00:24:40.500 --> 00:24:42.060
got just an overrun lawn.

00:24:42.501 --> 00:24:43.701
And he starts talking to the owner.

00:24:43.721 --> 00:24:43.843
Yeah.

00:24:44.522 --> 00:24:46.182
right person's older and they can't afford

00:24:46.223 --> 00:24:47.584
to do their lawn but the city is

00:24:47.604 --> 00:24:49.443
going to come find them and of course

00:24:49.503 --> 00:24:52.244
this guy mows their lawn so the cost

00:24:52.265 --> 00:24:54.105
of the remote control car and the person's

00:24:54.145 --> 00:24:55.806
time to make the video with the dog

00:24:55.826 --> 00:24:58.146
and the person's you know time and the

00:24:58.446 --> 00:25:00.227
the the gas and the tools to do

00:25:00.247 --> 00:25:02.748
a lawn the video with the lawn that

00:25:02.807 --> 00:25:06.308
i saw number one had a million likes

00:25:07.346 --> 00:25:07.685
Yeah.

00:25:07.705 --> 00:25:08.625
Nevermind views.

00:25:08.645 --> 00:25:08.806
Like,

00:25:08.865 --> 00:25:10.106
I don't even know how many views it

00:25:10.126 --> 00:25:10.326
was.

00:25:10.426 --> 00:25:11.807
It had a million likes.

00:25:12.047 --> 00:25:13.307
So views are always going to outdo the,

00:25:13.327 --> 00:25:14.528
the, the interactions.

00:25:15.448 --> 00:25:16.909
And then by the end of the video,

00:25:16.989 --> 00:25:18.348
he was like, and by the way,

00:25:18.409 --> 00:25:19.669
we started to go fund me.

00:25:20.349 --> 00:25:21.910
And if the video was telling the truth

00:25:22.049 --> 00:25:23.951
and it, at this point, I'm not shocked.

00:25:24.911 --> 00:25:25.990
They started to go fund me for this

00:25:26.030 --> 00:25:26.290
woman.

00:25:26.411 --> 00:25:27.652
Cause of course the guy then is getting

00:25:27.692 --> 00:25:28.551
into her story.

00:25:28.612 --> 00:25:29.872
My husband passed away.

00:25:29.932 --> 00:25:30.652
My kids are dead.

00:25:30.731 --> 00:25:32.272
I can't take care of my house.

00:25:32.893 --> 00:25:34.633
And they raised a half a million dollars

00:25:34.673 --> 00:25:35.854
for her in like, like,

00:25:38.661 --> 00:25:40.982
And you're telling me what we do is

00:25:41.022 --> 00:25:44.644
impactful and has so many stories that you

00:25:44.704 --> 00:25:46.365
couldn't actually start to say,

00:25:47.126 --> 00:25:50.328
I'm leveraging the attention that I can

00:25:50.368 --> 00:25:51.609
get from my clinic,

00:25:51.650 --> 00:25:53.671
the stories I can cultivate here.

00:25:55.132 --> 00:25:55.792
At some point,

00:25:55.833 --> 00:25:57.153
it's going to be more valuable.

00:25:57.433 --> 00:25:59.134
Let me give you one more example.

00:26:00.035 --> 00:26:01.215
And then I want to hear what your

00:26:01.256 --> 00:26:01.756
thoughts are.

00:26:01.776 --> 00:26:02.717
And then I'm going to bring up some

00:26:02.777 --> 00:26:03.758
of these videos on the screen.

00:26:04.018 --> 00:26:04.137
Yeah.

00:26:04.557 --> 00:26:05.997
I was talking with some APTA state

00:26:06.017 --> 00:26:06.857
chapters recently.

00:26:06.938 --> 00:26:08.657
I'm sort of still on the stupid idea

00:26:08.678 --> 00:26:10.178
that every one of them needs their own

00:26:10.198 --> 00:26:11.538
YouTube channel and podcast.

00:26:11.858 --> 00:26:12.659
None of them are going to do it

00:26:12.679 --> 00:26:14.239
themselves because they're all busy.

00:26:15.099 --> 00:26:16.799
Being a member or being a volunteer is

00:26:16.839 --> 00:26:18.140
their second or third or fourth

00:26:18.220 --> 00:26:20.121
responsibility, but they all want it.

00:26:20.901 --> 00:26:22.201
They want the attention, right?

00:26:22.221 --> 00:26:23.682
Because they all say, what do you want?

00:26:23.821 --> 00:26:24.541
More engagement.

00:26:24.582 --> 00:26:24.922
I'm like, well,

00:26:24.942 --> 00:26:25.801
you need to give people something to

00:26:25.842 --> 00:26:26.422
engage with.

00:26:27.402 --> 00:26:29.462
And I say, I will come on board.

00:26:30.603 --> 00:26:31.564
I will help you.

00:26:31.704 --> 00:26:33.747
I don't want to host your podcast.

00:26:33.847 --> 00:26:35.690
I want to executive produce your podcast.

00:26:35.829 --> 00:26:38.874
I will turn your volunteers into podcast

00:26:38.913 --> 00:26:39.335
hosts.

00:26:39.434 --> 00:26:41.718
I will build the system and I will

00:26:41.758 --> 00:26:42.940
make sure the system runs.

00:26:45.865 --> 00:26:48.645
I will find sponsors in a state like

00:26:48.685 --> 00:26:50.386
New York or Texas or California.

00:26:50.807 --> 00:26:52.468
We'll just go to the top ten organizations

00:26:52.488 --> 00:26:54.189
that want to hire PTs and PTAs and

00:26:54.229 --> 00:26:54.548
go, hey,

00:26:54.969 --> 00:26:56.490
I have a direct route of attention of

00:26:56.509 --> 00:26:57.390
the people you want to hire.

00:26:57.890 --> 00:26:59.891
You pay this amount of money and that

00:26:59.931 --> 00:27:01.392
attention now is yours for the year.

00:27:01.892 --> 00:27:03.813
I will do that before I ever start.

00:27:04.333 --> 00:27:05.953
And if I don't reach what my minimum

00:27:06.013 --> 00:27:07.654
is to start, I just won't start.

00:27:07.694 --> 00:27:08.575
And then you owe me nothing.

00:27:08.674 --> 00:27:09.634
Anyway, I'm still on that.

00:27:10.076 --> 00:27:11.076
Here is their concern.

00:27:11.556 --> 00:27:13.537
And I think it's valid now,

00:27:13.997 --> 00:27:14.857
but not in the future.

00:27:16.317 --> 00:27:18.358
A couple of the chapters concerns were we

00:27:18.398 --> 00:27:19.799
have in-person events.

00:27:20.119 --> 00:27:21.661
We have a one or two day conference

00:27:21.701 --> 00:27:22.701
every year in our state.

00:27:23.301 --> 00:27:25.482
And we have sponsors for that.

00:27:25.542 --> 00:27:27.943
What we don't want to do is we

00:27:27.963 --> 00:27:29.125
don't want those sponsors to be like,

00:27:29.625 --> 00:27:29.765
well,

00:27:29.805 --> 00:27:32.487
why would I pay two thousand dollars for

00:27:32.527 --> 00:27:34.788
a table for a couple hours,

00:27:35.387 --> 00:27:37.209
two days a year when I can have

00:27:37.348 --> 00:27:39.891
eyes and ears of their attention three

00:27:39.911 --> 00:27:41.270
hundred and sixty five days a year?

00:27:41.832 --> 00:27:44.613
And my response is exactly right.

00:27:45.446 --> 00:27:45.646
Right.

00:27:45.948 --> 00:27:47.970
So right now I said, OK, well,

00:27:47.990 --> 00:27:50.232
then only offer the YouTube and podcast

00:27:50.252 --> 00:27:53.636
sponsorship to the people who already are

00:27:53.696 --> 00:27:54.999
sponsoring your in-person event.

00:27:55.239 --> 00:27:56.921
You have to be sponsoring the in-person

00:27:56.961 --> 00:27:57.201
event.

00:27:57.442 --> 00:27:58.742
Then you're allowed to be able to have

00:27:58.803 --> 00:27:59.443
access to this.

00:28:00.045 --> 00:28:03.209
My prediction, Tony, in the near future,

00:28:03.509 --> 00:28:04.430
that will be flipped.

00:28:05.167 --> 00:28:07.028
You are only allowed to come in person

00:28:07.388 --> 00:28:09.150
if you are a sponsor of the digital

00:28:09.190 --> 00:28:12.211
content because that will be the more

00:28:12.251 --> 00:28:14.253
valuable thing, in my opinion,

00:28:14.594 --> 00:28:16.815
because it will be in their inbox once,

00:28:17.015 --> 00:28:17.715
twice a week.

00:28:17.816 --> 00:28:19.416
It'll be in their feeds six,

00:28:19.457 --> 00:28:20.336
seven times a week.

00:28:20.457 --> 00:28:23.759
It'll be in their ears all the time.

00:28:23.838 --> 00:28:25.579
Right.

00:28:25.680 --> 00:28:26.641
I think this is going to happen.

00:28:26.820 --> 00:28:28.461
So this just goes to your idea of

00:28:28.501 --> 00:28:29.682
eventually there'll be a clinic...

00:28:31.390 --> 00:28:33.790
that will make more money or provide free

00:28:33.830 --> 00:28:34.351
care.

00:28:34.750 --> 00:28:37.291
And the way they monetize and pay recoup

00:28:37.471 --> 00:28:39.612
their costs and make money from this is

00:28:39.832 --> 00:28:42.292
the attention that they derive from it.

00:28:42.452 --> 00:28:44.294
I'm shocked we haven't seen more of it

00:28:44.913 --> 00:28:46.794
outside of our profession in medicine.

00:28:46.854 --> 00:28:49.595
Have you seen anybody in direct patient

00:28:49.615 --> 00:28:52.375
care, like a GP doing anything like this?

00:28:52.556 --> 00:28:53.155
Why wouldn't they?

00:28:54.800 --> 00:28:56.705
No, I haven't seen it.

00:28:56.787 --> 00:28:57.007
I mean,

00:28:57.027 --> 00:29:00.777
we've seen GPs and orthopedics and other

00:29:02.064 --> 00:29:05.366
people make huge media channels and

00:29:05.426 --> 00:29:07.229
completely replace their income from

00:29:07.288 --> 00:29:07.689
media,

00:29:07.729 --> 00:29:09.951
but they've never really built a native

00:29:10.030 --> 00:29:12.472
business model that said, hey,

00:29:12.633 --> 00:29:14.094
we're going to give away the healthcare

00:29:14.134 --> 00:29:16.936
for free in exchange for collecting the

00:29:16.977 --> 00:29:18.817
profits on the media side.

00:29:19.137 --> 00:29:22.520
It's like if I ever opened a restaurant,

00:29:22.580 --> 00:29:24.702
imagine a restaurant that said,

00:29:24.722 --> 00:29:26.163
we're going to give away the food for

00:29:26.203 --> 00:29:26.565
free,

00:29:26.924 --> 00:29:28.105
but we're going to charge you for the

00:29:28.145 --> 00:29:29.527
seat, for the silverware,

00:29:29.626 --> 00:29:30.587
and for the tablecloth.

00:29:30.887 --> 00:29:32.509
Right, right, right, right, right.

00:29:32.528 --> 00:29:34.451
It's just a change in mindset.

00:29:35.372 --> 00:29:37.693
But I just think that we're still in

00:29:37.773 --> 00:29:40.715
such a world where I'm going to school

00:29:40.756 --> 00:29:42.196
to become a physical therapist.

00:29:42.237 --> 00:29:43.798
Physical therapy is the most important

00:29:43.838 --> 00:29:44.098
thing.

00:29:44.138 --> 00:29:45.539
It's the most valuable thing.

00:29:45.619 --> 00:29:48.321
How can you devalue the profession?

00:29:48.342 --> 00:29:48.541
I mean,

00:29:48.582 --> 00:29:50.523
I still hear those silly arguments of

00:29:50.983 --> 00:29:52.826
you're devaluing the profession.

00:29:52.885 --> 00:29:53.866
How could you do that?

00:29:53.906 --> 00:29:55.587
Why would you give it away for free?

00:29:56.548 --> 00:29:56.588
Um,

00:29:58.288 --> 00:30:00.309
And this goes back to my problem with

00:30:00.329 --> 00:30:02.329
people who don't understand business and

00:30:02.430 --> 00:30:04.191
free markets and capitalism.

00:30:05.830 --> 00:30:07.132
We should be innovating.

00:30:07.172 --> 00:30:09.092
We should be changing and evolving and

00:30:09.132 --> 00:30:09.832
improving.

00:30:10.333 --> 00:30:13.113
We see so many businesses that come out

00:30:13.212 --> 00:30:15.594
and serve a public customer

00:30:16.397 --> 00:30:18.500
in ways that never happened before.

00:30:19.000 --> 00:30:19.921
And everybody loves it.

00:30:19.941 --> 00:30:22.022
And everybody's quality of life is better

00:30:22.663 --> 00:30:24.644
until that company starts making too much

00:30:24.684 --> 00:30:24.944
money.

00:30:24.964 --> 00:30:25.665
And then all of a sudden,

00:30:25.705 --> 00:30:27.227
everybody wants to tear it back down.

00:30:27.326 --> 00:30:27.666
Correct.

00:30:27.707 --> 00:30:28.407
We love winners.

00:30:28.827 --> 00:30:29.969
Everybody loved the Yankees in the

00:30:30.068 --> 00:30:31.710
eighties.

00:30:31.769 --> 00:30:33.412
And then they started winning in the

00:30:33.471 --> 00:30:33.832
nineties.

00:30:33.872 --> 00:30:34.972
And everybody was like, these guys suck.

00:30:36.253 --> 00:30:38.576
We couldn't buy a win in the eighties.

00:30:39.959 --> 00:30:40.779
or a playoff spot.

00:30:40.900 --> 00:30:42.801
And then they started winning and then

00:30:42.821 --> 00:30:43.301
they suck.

00:30:43.663 --> 00:30:45.324
Everybody loves you on the way up.

00:30:46.365 --> 00:30:48.647
Did you see the movie air?

00:30:49.067 --> 00:30:50.628
Did you see the Michael Jordan movie air?

00:30:50.970 --> 00:30:52.131
Great movie.

00:30:53.172 --> 00:30:54.292
You know, true story.

00:30:54.313 --> 00:30:54.992
I'm using air quotes.

00:30:55.213 --> 00:30:56.295
It's generally the true story,

00:30:56.335 --> 00:30:57.155
but of course it's a movie.

00:30:57.175 --> 00:30:58.416
So they got to sort of fictionalize it.

00:30:58.916 --> 00:30:59.938
And Matt Damon,

00:31:00.077 --> 00:31:01.298
essentially Michael Jordan,

00:31:03.779 --> 00:31:05.181
was going to be the big draft pick.

00:31:05.201 --> 00:31:05.961
He was going to go to the NBA.

00:31:06.300 --> 00:31:06.861
And now it's like,

00:31:06.980 --> 00:31:08.561
which company is going to get him for

00:31:08.721 --> 00:31:09.281
the shoe deal?

00:31:10.122 --> 00:31:12.903
Adidas, Converse, Reebok, whatever.

00:31:13.563 --> 00:31:15.583
And Nike wasn't Nike yet.

00:31:15.643 --> 00:31:18.183
Nike wasn't the Patriots yet.

00:31:18.223 --> 00:31:19.963
They were still like this fifth best sort

00:31:19.983 --> 00:31:21.744
of little step kid.

00:31:22.904 --> 00:31:25.465
And Matt Damon delivers this speech to

00:31:25.526 --> 00:31:27.286
Michael Jordan where he's like,

00:31:28.006 --> 00:31:29.486
you'll do things that people have never

00:31:29.547 --> 00:31:31.267
seen and they will love you for it.

00:31:32.096 --> 00:31:33.037
And then eventually he's like,

00:31:33.076 --> 00:31:34.198
and you'll reach the mountain.

00:31:34.218 --> 00:31:35.279
You'll be the greatest ever.

00:31:35.779 --> 00:31:37.122
And then all they'll want to do is

00:31:37.162 --> 00:31:37.761
tear you down.

00:31:38.583 --> 00:31:38.864
Yeah.

00:31:39.483 --> 00:31:40.885
Everybody wants you to do well.

00:31:41.046 --> 00:31:42.488
They just don't want you to do better

00:31:42.528 --> 00:31:42.928
than them.

00:31:44.069 --> 00:31:44.470
Right.

00:31:44.490 --> 00:31:45.290
That's the problem.

00:31:45.310 --> 00:31:46.752
They root for you until you're kicking

00:31:46.893 --> 00:31:47.053
ass.

00:31:47.093 --> 00:31:48.855
And they're like, he's sold out.

00:31:49.655 --> 00:31:51.298
I knew that band before they were...

00:31:52.451 --> 00:31:53.952
Cool.

00:31:54.173 --> 00:31:55.134
It's an internal thing.

00:31:55.673 --> 00:31:56.134
Here's the thing.

00:31:56.154 --> 00:31:56.835
While you were talking,

00:31:56.875 --> 00:32:00.498
I thought of one example in medicine and

00:32:00.617 --> 00:32:02.259
one big example outside of medicine that

00:32:02.318 --> 00:32:04.359
you actually brought up first that made me

00:32:04.380 --> 00:32:04.980
say, wow.

00:32:06.021 --> 00:32:07.982
One example in medicine of someone who I'm

00:32:08.123 --> 00:32:11.905
betting not only gives away her medical

00:32:11.945 --> 00:32:13.366
treatments for free,

00:32:14.106 --> 00:32:15.928
I bet you they've paid to fly people

00:32:15.948 --> 00:32:17.128
around the country to see her.

00:32:17.769 --> 00:32:20.290
And I'm talking about Dr. Pimple Popper.

00:32:21.152 --> 00:32:25.698
Cause she needs the most ridiculous cases.

00:32:25.738 --> 00:32:26.499
Like she needs the,

00:32:26.558 --> 00:32:29.102
somebody with the six pound lipoma on

00:32:29.122 --> 00:32:32.066
their shoulder because that makes for some

00:32:32.105 --> 00:32:34.347
content and whatever she's going to get

00:32:34.489 --> 00:32:35.369
out of that video.

00:32:35.450 --> 00:32:36.550
And I've got it on the screen.

00:32:37.511 --> 00:32:39.053
I'll just click videos.

00:32:39.393 --> 00:32:40.853
I won't even click popular yet.

00:32:41.314 --> 00:32:42.433
I'll just click videos.

00:32:42.973 --> 00:32:44.855
Three days ago, she released a video.

00:32:44.875 --> 00:32:47.375
One hundred and ten thousand views.

00:32:47.915 --> 00:32:49.457
Four days ago, eighty five.

00:32:49.656 --> 00:32:51.157
Eight days ago, sixty seven.

00:32:51.637 --> 00:32:53.398
If I were to click popular.

00:32:53.919 --> 00:32:54.598
Oh, I can't.

00:32:55.318 --> 00:32:55.799
Oh, I can't.

00:32:55.900 --> 00:32:56.720
There's popular.

00:32:57.539 --> 00:33:00.421
What do you think her biggest videos that

00:33:00.441 --> 00:33:02.622
have been around for ten years are getting

00:33:02.721 --> 00:33:05.282
view wise?

00:33:05.343 --> 00:33:06.084
Or the totals?

00:33:08.134 --> 00:33:09.476
I'm going to say three million.

00:33:09.615 --> 00:33:12.679
Seventy eight million.

00:33:13.519 --> 00:33:15.721
So the video was released ten years ago.

00:33:15.760 --> 00:33:16.721
This needs context.

00:33:16.781 --> 00:33:17.863
How long has the video been around?

00:33:17.883 --> 00:33:19.263
It's been around for ten years.

00:33:19.703 --> 00:33:21.405
It's got seventy eight million views.

00:33:21.846 --> 00:33:23.207
That doesn't tell the whole story, guys.

00:33:23.227 --> 00:33:24.468
We're talking about KPIs.

00:33:25.189 --> 00:33:26.970
It's still today, ten years later,

00:33:26.990 --> 00:33:28.811
getting thirty five views per hour.

00:33:30.854 --> 00:33:33.215
So like ballpark this for me because I'm

00:33:33.256 --> 00:33:35.237
not really good with like CPM on YouTube.

00:33:35.616 --> 00:33:37.739
What's a video getting thirty five views

00:33:37.798 --> 00:33:39.339
per hour or a hundred views per hour?

00:33:39.619 --> 00:33:41.601
What's that making her like?

00:33:41.641 --> 00:33:42.981
What do you think she's walking away with?

00:33:43.001 --> 00:33:44.903
There's an estimate because I use vid IQ.

00:33:44.943 --> 00:33:45.683
So on the screen,

00:33:46.144 --> 00:33:48.346
vid IQ is estimating the monthly revenue

00:33:48.766 --> 00:33:49.787
for this YouTube channel.

00:33:50.106 --> 00:33:52.148
It's a wide margin between ninety three

00:33:52.469 --> 00:33:53.990
and two hundred and seventy eight thousand

00:33:54.029 --> 00:33:54.369
dollars.

00:33:56.692 --> 00:33:57.412
I know.

00:33:59.282 --> 00:34:00.463
I know typical,

00:34:01.425 --> 00:34:03.347
and it's going to depend on topic,

00:34:03.428 --> 00:34:06.071
but if we put that video in the

00:34:06.192 --> 00:34:08.896
lower revenue, lower CPM category,

00:34:08.956 --> 00:34:09.777
it's going to be about,

00:34:10.438 --> 00:34:11.699
I want to say it's like two thousand

00:34:11.739 --> 00:34:13.222
dollars per million views.

00:34:14.461 --> 00:34:15.161
So, you know,

00:34:15.181 --> 00:34:17.123
you're looking at a hundred and forty

00:34:17.143 --> 00:34:17.784
million dollars.

00:34:17.864 --> 00:34:20.385
No, a hundred and forty thousand dollars.

00:34:20.405 --> 00:34:21.125
For that one video.

00:34:21.164 --> 00:34:22.425
For a seventy million view.

00:34:22.965 --> 00:34:23.646
For that one video,

00:34:23.666 --> 00:34:24.847
which is four minutes long.

00:34:24.967 --> 00:34:27.407
Now, she had to find the patient.

00:34:27.768 --> 00:34:29.128
And that's what happened right now.

00:34:29.849 --> 00:34:32.329
I'm guessing in the beginning of Dr.

00:34:32.369 --> 00:34:35.351
Pimple Popper's media career,

00:34:35.652 --> 00:34:37.413
which I'm sure everybody took a dump on

00:34:37.432 --> 00:34:38.552
him, which is like, this is stupid.

00:34:38.572 --> 00:34:39.512
This is what you're going to do?

00:34:39.914 --> 00:34:40.333
Videos?

00:34:41.574 --> 00:34:42.534
Now she's a genius.

00:34:43.396 --> 00:34:44.878
She was just serving people out of her

00:34:44.898 --> 00:34:46.702
clinic and doing this as sort of like

00:34:46.722 --> 00:34:47.021
a thing.

00:34:47.443 --> 00:34:48.905
And then it hit a point where people

00:34:48.925 --> 00:34:51.047
started going to her more than the people

00:34:51.088 --> 00:34:51.628
down the street.

00:34:51.748 --> 00:34:52.050
Why?

00:34:52.289 --> 00:34:53.251
Because they saw her.

00:34:54.416 --> 00:34:55.898
I got to know you and like you

00:34:55.918 --> 00:34:56.358
a little bit.

00:34:56.677 --> 00:34:57.458
Then if I trust you,

00:34:57.478 --> 00:34:58.277
then you're my choice.

00:34:58.657 --> 00:35:00.998
But then it probably hit a tipping point

00:35:01.018 --> 00:35:01.539
where she's like,

00:35:02.079 --> 00:35:04.039
even giving away this stuff for free,

00:35:04.740 --> 00:35:05.641
we need more people.

00:35:05.880 --> 00:35:06.061
Why?

00:35:06.081 --> 00:35:07.340
Because we need more content because now

00:35:07.360 --> 00:35:09.422
we're in the content business.

00:35:09.521 --> 00:35:11.342
I mean, she's got...

00:35:11.422 --> 00:35:13.182
I've been scrolling and I haven't found a

00:35:13.222 --> 00:35:15.463
video yet that doesn't have multiple

00:35:15.563 --> 00:35:16.684
millions of views.

00:35:18.364 --> 00:35:19.565
And she's brilliant because each one of

00:35:19.585 --> 00:35:21.365
these five, ten, fifteen minute videos,

00:35:21.385 --> 00:35:23.166
then of course she cuts up into shorts

00:35:23.186 --> 00:35:23.487
and

00:35:23.952 --> 00:35:25.434
Do you even want to know what her

00:35:25.494 --> 00:35:27.014
most popular shorts are looking at?

00:35:27.074 --> 00:35:28.817
Ninety two million, fifty million,

00:35:28.896 --> 00:35:29.858
twenty three million.

00:35:30.077 --> 00:35:30.657
I mean, it's wild.

00:35:31.239 --> 00:35:32.259
The other example,

00:35:32.280 --> 00:35:33.460
do you remember the other example that you

00:35:33.500 --> 00:35:35.181
gave me that sort of was like proof

00:35:35.202 --> 00:35:35.742
of concept?

00:35:35.762 --> 00:35:36.503
Do you remember what it was?

00:35:36.762 --> 00:35:38.063
No.

00:35:38.443 --> 00:35:39.025
Judge Judy.

00:35:40.266 --> 00:35:40.826
People's court.

00:35:41.547 --> 00:35:41.646
OK.

00:35:41.666 --> 00:35:42.688
People come into court.

00:35:43.447 --> 00:35:44.509
I'm suing this guy.

00:35:44.528 --> 00:35:45.570
I'm suing my landlord.

00:35:46.269 --> 00:35:48.391
But the whole model was the people,

00:35:48.512 --> 00:35:51.655
the defendant and the defendant and the

00:35:51.974 --> 00:35:52.454
what's the other?

00:35:52.574 --> 00:35:53.235
I'm not in law school.

00:35:54.403 --> 00:35:54.684
Plaintiff.

00:35:54.704 --> 00:35:54.884
Plaintiff.

00:35:54.943 --> 00:35:55.384
Thank you.

00:35:55.664 --> 00:35:56.005
I'm sorry.

00:35:56.025 --> 00:35:56.726
When we do a live stream,

00:35:56.766 --> 00:35:57.065
I go blank.

00:35:57.306 --> 00:35:57.606
Plaintiff.

00:35:58.507 --> 00:35:59.907
None of whatever the judgment is,

00:35:59.987 --> 00:36:00.708
it's binding,

00:36:01.208 --> 00:36:02.871
but the show pays for the outcome.

00:36:02.911 --> 00:36:04.572
So if I'm suing you for three thousand

00:36:04.592 --> 00:36:05.552
dollars and I win,

00:36:06.452 --> 00:36:08.014
you actually don't pay three thousand

00:36:08.034 --> 00:36:09.536
dollars as the defendant.

00:36:09.556 --> 00:36:10.175
Right.

00:36:10.197 --> 00:36:12.197
The show does because the show is like

00:36:12.237 --> 00:36:14.380
that nine minutes of whatever is

00:36:14.639 --> 00:36:15.701
nine minutes of this.

00:36:16.041 --> 00:36:17.981
We need more conversations because I need

00:36:18.041 --> 00:36:19.882
nine minutes of attention because then

00:36:19.902 --> 00:36:21.163
we're going to go to commercial break and

00:36:21.182 --> 00:36:23.103
we're going to sell Corn Flakes and

00:36:23.143 --> 00:36:26.106
Toyotas and MacBooks.

00:36:26.786 --> 00:36:28.067
That's more valuable.

00:36:29.106 --> 00:36:30.728
I don't remember who it was,

00:36:30.947 --> 00:36:34.208
but somebody came out and said he and

00:36:34.228 --> 00:36:36.771
his buddies would create fake claims.

00:36:36.971 --> 00:36:38.251
They would file them.

00:36:38.311 --> 00:36:39.512
They would get on the show.

00:36:39.552 --> 00:36:41.172
They had gotten on the show at least

00:36:41.193 --> 00:36:41.492
twice.

00:36:42.657 --> 00:36:46.340
And it was completely made up,

00:36:46.380 --> 00:36:48.143
but they knew how to game the system

00:36:48.182 --> 00:36:49.003
to get on the show.

00:36:49.063 --> 00:36:51.186
And now that person has some sort of

00:36:51.226 --> 00:36:52.788
media outlet.

00:36:53.028 --> 00:36:53.668
I know who it is.

00:36:53.728 --> 00:36:54.449
And I can't remember his name.

00:36:54.489 --> 00:36:56.672
He's the guy who creates fake Facebook

00:36:56.713 --> 00:36:57.092
pages.

00:36:57.813 --> 00:36:59.456
Yeah.

00:36:59.476 --> 00:37:00.516
And then pokes the bear.

00:37:00.597 --> 00:37:02.179
He'll create the IHOP...

00:37:04.735 --> 00:37:05.637
The first one he did,

00:37:05.657 --> 00:37:07.498
whatever city in California he lived in,

00:37:07.577 --> 00:37:09.519
he created a Facebook page.

00:37:09.739 --> 00:37:10.500
He's hysterical.

00:37:10.599 --> 00:37:12.021
It's just the dumbest thing ever,

00:37:12.501 --> 00:37:13.581
but he just does it over and over

00:37:13.601 --> 00:37:14.083
and over again.

00:37:14.123 --> 00:37:15.103
Yeah, that was the guy.

00:37:15.164 --> 00:37:16.565
He just showed you, I can fake this.

00:37:16.804 --> 00:37:17.304
Here's the thing.

00:37:17.545 --> 00:37:18.465
Judge Judy doesn't care.

00:37:19.447 --> 00:37:20.067
Right.

00:37:20.106 --> 00:37:20.927
They're like, can you be...

00:37:22.259 --> 00:37:24.940
entertaining can you captivate could you

00:37:24.980 --> 00:37:26.659
create an interesting story for nine

00:37:26.699 --> 00:37:28.579
minutes and this is where i look at

00:37:28.619 --> 00:37:31.061
healthcare and i go you keep telling me

00:37:31.701 --> 00:37:33.842
we're the most impactful this and we

00:37:33.902 --> 00:37:36.021
change lives and i'm just saying stop

00:37:36.081 --> 00:37:39.003
telling me and start showing me but don't

00:37:39.023 --> 00:37:42.882
even show me show them well who's them

00:37:42.902 --> 00:37:44.583
the other people you seek to serve

00:37:45.523 --> 00:37:45.643
Now,

00:37:46.264 --> 00:37:47.804
here's one of the reasons that people

00:37:47.824 --> 00:37:48.244
won't do it.

00:37:48.324 --> 00:37:50.985
Number one, the Roger Bannister effect.

00:37:51.244 --> 00:37:51.965
No one's doing it.

00:37:52.626 --> 00:37:54.465
So it's not possible because no one's

00:37:54.505 --> 00:37:54.865
doing it.

00:37:55.346 --> 00:37:57.266
That will go away as soon as someone

00:37:57.306 --> 00:37:57.666
does it.

00:37:57.827 --> 00:37:59.467
Then people will rush to fill the void.

00:37:59.947 --> 00:38:01.007
And for people who don't know,

00:38:01.086 --> 00:38:02.728
Roger Bannister was the first person to

00:38:02.768 --> 00:38:04.068
break the four-minute mile.

00:38:04.788 --> 00:38:05.768
And it was impossible.

00:38:06.068 --> 00:38:06.788
And then he did it.

00:38:06.867 --> 00:38:08.128
And then within the first eight months

00:38:08.168 --> 00:38:08.809
after he did it,

00:38:09.688 --> 00:38:10.490
Lots of people did it.

00:38:11.132 --> 00:38:11.494
It fell.

00:38:12.456 --> 00:38:13.800
So there's the Roger Bannister effect.

00:38:14.202 --> 00:38:16.068
There's also, I think, the mismatched...

00:38:17.353 --> 00:38:20.034
skill set effect, which is like,

00:38:20.275 --> 00:38:21.436
I'm good at being a PT.

00:38:22.115 --> 00:38:23.036
Now I have to learn how to do

00:38:23.117 --> 00:38:23.556
media.

00:38:23.896 --> 00:38:25.998
And I'll go, yes, you don't have to.

00:38:26.018 --> 00:38:27.179
But if you want to do this,

00:38:27.199 --> 00:38:27.579
you do.

00:38:28.039 --> 00:38:29.181
Or you hire someone.

00:38:29.221 --> 00:38:29.601
That's it.

00:38:30.262 --> 00:38:32.342
You hire someone and you go all in.

00:38:32.603 --> 00:38:33.344
I'm going to try this.

00:38:33.364 --> 00:38:33.903
I'm going to do it for...

00:38:34.545 --> 00:38:35.684
This isn't an overnight thing.

00:38:35.724 --> 00:38:36.286
Dr. Pimplepot.

00:38:36.485 --> 00:38:37.126
I would love to do it.

00:38:37.286 --> 00:38:37.786
I would love to...

00:38:37.806 --> 00:38:38.967
There's got to be a story on her.

00:38:39.288 --> 00:38:40.949
I would love to hear where it started

00:38:41.068 --> 00:38:42.949
and almost how I built this.

00:38:44.170 --> 00:38:45.592
So many people crapped on me and they

00:38:45.632 --> 00:38:46.652
told me this was stupid.

00:38:47.373 --> 00:38:50.673
And now she sells subscriptions and she's

00:38:50.713 --> 00:38:54.074
got this and people... She is... Oh,

00:38:54.155 --> 00:38:54.896
I know who could do it.

00:38:55.416 --> 00:38:56.436
I know who could do it in PT

00:38:56.456 --> 00:38:56.835
tomorrow.

00:38:56.996 --> 00:38:57.615
Stuart McGill.

00:38:59.356 --> 00:38:59.476
Right?

00:38:59.536 --> 00:38:59.896
Okay.

00:39:00.056 --> 00:39:01.038
You know who Stuart McGill is?

00:39:01.717 --> 00:39:02.217
Of course.

00:39:02.717 --> 00:39:03.217
He could do it.

00:39:03.759 --> 00:39:05.458
He's already before media.

00:39:05.659 --> 00:39:06.719
I interviewed him when I was in PT

00:39:06.739 --> 00:39:07.780
school a decade ago.

00:39:08.726 --> 00:39:09.065
Yeah.

00:39:09.085 --> 00:39:10.246
And he was telling me stuff that I

00:39:10.266 --> 00:39:12.166
was like, oh my God, is this real?

00:39:12.246 --> 00:39:13.427
I don't think he was lying.

00:39:13.807 --> 00:39:15.068
People would fly to...

00:39:15.889 --> 00:39:17.389
I believe he was in Nova Scotia.

00:39:17.748 --> 00:39:20.690
They'd fly to Nova Scotia to be seen

00:39:20.731 --> 00:39:21.050
by him.

00:39:21.110 --> 00:39:22.471
And they'd stay for like a week and

00:39:22.530 --> 00:39:23.472
get several treatments.

00:39:23.931 --> 00:39:24.291
Why?

00:39:25.632 --> 00:39:26.853
Because people talked about him.

00:39:26.893 --> 00:39:27.273
They were like,

00:39:27.452 --> 00:39:28.713
if you've been dealing with back pain for

00:39:28.753 --> 00:39:30.153
ten years, you go to see Stuart McGill.

00:39:30.373 --> 00:39:31.715
Love him or hate him, whatever.

00:39:31.735 --> 00:39:32.474
That's not the point.

00:39:33.054 --> 00:39:35.295
Don't get emotional about liking or not

00:39:35.315 --> 00:39:36.155
liking Stuart McGill.

00:39:36.175 --> 00:39:36.737
That's on you.

00:39:36.757 --> 00:39:37.036
But like...

00:39:37.934 --> 00:39:40.077
He did it before social media.

00:39:40.137 --> 00:39:41.338
He did it, I don't know,

00:39:41.418 --> 00:39:43.159
in message boards or whatever.

00:39:43.320 --> 00:39:46.362
They found him and they flew there.

00:39:46.461 --> 00:39:46.742
Yeah.

00:39:48.284 --> 00:39:48.603
Yeah,

00:39:48.864 --> 00:39:51.447
but this is just one leg of the

00:39:51.507 --> 00:39:53.128
stool like you always talk about.

00:39:55.010 --> 00:39:56.851
You and I tend to be media first

00:39:56.871 --> 00:39:59.012
because that's our comfort zone.

00:39:59.521 --> 00:40:00.842
This could be product sales.

00:40:00.943 --> 00:40:02.182
This could be real estate.

00:40:02.222 --> 00:40:03.704
This could be franchising.

00:40:03.744 --> 00:40:05.724
This could be any number of things.

00:40:06.204 --> 00:40:09.086
You look at the opportunity.

00:40:09.387 --> 00:40:11.608
I would think physical therapists would be

00:40:11.648 --> 00:40:14.608
the absolute best free market capitalists

00:40:14.949 --> 00:40:15.769
in the world.

00:40:15.929 --> 00:40:16.170
Why?

00:40:16.230 --> 00:40:18.210
Because they are the best at analyzing a

00:40:18.271 --> 00:40:20.411
problem and finding a solution.

00:40:21.052 --> 00:40:21.672
And yet,

00:40:21.853 --> 00:40:25.295
they refuse to look at this through any

00:40:25.534 --> 00:40:28.135
unbiased point of view because

00:40:29.356 --> 00:40:30.577
They forced it into,

00:40:30.617 --> 00:40:33.038
it's like me having a bilateral amputee

00:40:33.077 --> 00:40:34.820
and saying, nope, you got to walk.

00:40:34.860 --> 00:40:35.780
Nope, no prosthetic.

00:40:35.800 --> 00:40:36.840
You got to do it on your own.

00:40:37.041 --> 00:40:37.581
No chance.

00:40:37.601 --> 00:40:38.762
We're not doing anything different.

00:40:38.981 --> 00:40:40.722
There's a thousand ways for that person to

00:40:40.762 --> 00:40:41.244
locomote.

00:40:41.264 --> 00:40:42.864
They don't need to do it the way

00:40:42.885 --> 00:40:43.885
everybody else does it.

00:40:44.525 --> 00:40:46.586
I don't understand why more of us don't

00:40:46.626 --> 00:40:48.807
bring that into the business world and

00:40:48.847 --> 00:40:49.429
just say, look,

00:40:49.548 --> 00:40:51.449
I can bash my head against the wall

00:40:51.789 --> 00:40:53.851
trying to force physical therapy to be

00:40:53.931 --> 00:40:56.172
profitable in a CPT code model.

00:40:56.193 --> 00:40:56.572
Right.

00:40:57.135 --> 00:40:57.715
But why?

00:40:57.896 --> 00:40:59.556
There's a million other ways to make the

00:40:59.597 --> 00:41:02.038
profit I need to support the habit of

00:41:02.358 --> 00:41:03.599
treating people.

00:41:03.619 --> 00:41:05.039
The desire, the passion.

00:41:05.639 --> 00:41:07.320
Yep.

00:41:08.021 --> 00:41:11.541
The answer is always just Google emotion

00:41:11.601 --> 00:41:11.942
wheel.

00:41:11.961 --> 00:41:13.182
Have you ever seen the emotion wheel?

00:41:13.202 --> 00:41:14.222
It looks like a color wheel.

00:41:14.963 --> 00:41:16.143
So the emotion wheel...

00:41:17.945 --> 00:41:19.204
I'll bring it up on the screen just

00:41:19.224 --> 00:41:20.686
so I can talk about it well.

00:41:20.726 --> 00:41:23.166
You'll find this in psychology classes.

00:41:24.847 --> 00:41:25.987
And it's like a color wheel.

00:41:27.356 --> 00:41:28.815
And you'll see around the edge.

00:41:28.835 --> 00:41:30.137
Let me make sure I'm sharing it for

00:41:30.157 --> 00:41:31.597
the nine people who are watching.

00:41:31.637 --> 00:41:33.597
Yeah, I'm watching while you do that.

00:41:33.677 --> 00:41:33.918
Perfect.

00:41:33.938 --> 00:41:34.318
All right.

00:41:34.358 --> 00:41:36.358
So here's the emotion wheel, right?

00:41:36.797 --> 00:41:38.039
And if you go around the edge,

00:41:38.239 --> 00:41:39.898
you see things like agony, hurt,

00:41:39.938 --> 00:41:41.798
depressed, isolated, grief, power,

00:41:42.199 --> 00:41:45.000
pleased, satisfied, amused, enchanted,

00:41:45.079 --> 00:41:47.380
romantic, fond, frightened, helpless.

00:41:47.400 --> 00:41:49.420
So it is a lot like color, right?

00:41:49.820 --> 00:41:50.940
Like green is good.

00:41:51.842 --> 00:41:52.922
But the problem is...

00:41:55.054 --> 00:41:58.436
or what the emotion wheel exists to sort

00:41:58.476 --> 00:41:59.755
of help funnel.

00:41:59.916 --> 00:42:01.916
If you look at it in one little

00:42:01.976 --> 00:42:03.398
slice of the pie, it's a funnel.

00:42:03.998 --> 00:42:06.159
So let's just go to panic here in

00:42:06.199 --> 00:42:06.599
the red.

00:42:07.840 --> 00:42:09.440
What's underneath panic?

00:42:09.780 --> 00:42:10.521
Well, I'm panicked.

00:42:10.681 --> 00:42:11.141
Why?

00:42:11.661 --> 00:42:12.041
Why?

00:42:12.121 --> 00:42:13.342
And then it goes to terror.

00:42:14.083 --> 00:42:15.664
And then everything funnels to fear.

00:42:16.264 --> 00:42:17.864
So it's like if you're using any of

00:42:17.925 --> 00:42:20.827
these words, it's because you mean this,

00:42:20.967 --> 00:42:21.726
but you really mean fear.

00:42:22.106 --> 00:42:23.347
You're not saying fear, but you mean fear.

00:42:24.385 --> 00:42:28.567
So I sort of want to know what

00:42:28.686 --> 00:42:31.588
is the feeling that stops healthcare

00:42:31.608 --> 00:42:33.748
providers who, let's be honest,

00:42:33.909 --> 00:42:35.349
and I'm speaking in generalities because I

00:42:35.389 --> 00:42:35.768
have to,

00:42:36.248 --> 00:42:37.650
but we want to prove our worth.

00:42:38.030 --> 00:42:39.789
I want to show you, especially PTs, right?

00:42:39.809 --> 00:42:41.731
Because we're like, we are doctors.

00:42:42.070 --> 00:42:43.931
It's like you're coming at it from a

00:42:43.972 --> 00:42:45.371
position of trying to prove yourself.

00:42:45.672 --> 00:42:46.911
I can say this because I am one.

00:42:47.873 --> 00:42:49.112
But I want to try to find the

00:42:49.172 --> 00:42:51.134
right word on the color wheel or the

00:42:51.414 --> 00:42:52.353
emotion wheel to

00:42:53.458 --> 00:42:57.442
that actually talks about why shameful.

00:42:58.282 --> 00:42:59.844
No, I don't think it's shameful.

00:43:00.925 --> 00:43:01.525
Insecure.

00:43:01.585 --> 00:43:01.945
There it is.

00:43:02.186 --> 00:43:03.487
So the root, the, all right.

00:43:03.507 --> 00:43:04.927
So I think the word is insecure.

00:43:05.007 --> 00:43:05.648
Would you agree?

00:43:05.809 --> 00:43:07.349
Like, why do we, yeah.

00:43:07.570 --> 00:43:09.030
So I found, so above,

00:43:09.351 --> 00:43:11.313
so here's how we follow the path inferior.

00:43:11.413 --> 00:43:13.313
So if I feel inferior or inadequate,

00:43:13.414 --> 00:43:14.554
both of those go to insecure,

00:43:15.255 --> 00:43:16.257
insecure goes to fear.

00:43:16.536 --> 00:43:17.378
And then we go to Yoda.

00:43:17.958 --> 00:43:19.438
Fear is the path to the dark side,

00:43:19.498 --> 00:43:19.679
right?

00:43:20.019 --> 00:43:22.722
So because I want to make sure I

00:43:22.742 --> 00:43:25.443
appear superior and not inferior,

00:43:25.943 --> 00:43:28.867
I will do everything the way because I

00:43:28.907 --> 00:43:31.329
am aware that everybody in the medical,

00:43:31.349 --> 00:43:32.429
everybody in the world is looking at me

00:43:32.510 --> 00:43:35.311
and I need to appear to do everything

00:43:35.331 --> 00:43:35.851
the right way,

00:43:36.072 --> 00:43:38.193
just like everybody else that I want to

00:43:38.253 --> 00:43:40.076
appear on the level with.

00:43:41.528 --> 00:43:43.090
So we might be the last group that

00:43:43.130 --> 00:43:45.050
does this because we want to maintain this

00:43:45.150 --> 00:43:47.990
last bastion of, I earned this,

00:43:48.210 --> 00:43:49.510
which I agree, I did.

00:43:50.231 --> 00:43:51.952
But stop telling people that are never

00:43:51.992 --> 00:43:53.492
going to agree with you anyway.

00:43:53.512 --> 00:43:54.952
If I waited for permission to start a

00:43:54.992 --> 00:43:57.693
podcast, I'd still be waiting.

00:43:58.193 --> 00:43:59.494
I did it because I liked it.

00:44:00.235 --> 00:44:01.596
Like it was very selfish.

00:44:02.195 --> 00:44:03.577
So I like to me,

00:44:03.617 --> 00:44:05.117
you have to get to the emotion of

00:44:05.137 --> 00:44:05.936
what's stopping you.

00:44:06.757 --> 00:44:06.898
Right.

00:44:06.938 --> 00:44:08.717
That's the whole point with the stealth.

00:44:08.918 --> 00:44:10.498
Twelve step program is like you have to

00:44:10.518 --> 00:44:10.797
admit.

00:44:11.478 --> 00:44:11.619
Well,

00:44:11.639 --> 00:44:13.018
before you have to before you make up

00:44:13.039 --> 00:44:13.438
the problem,

00:44:13.458 --> 00:44:14.679
you have to know what the problem is.

00:44:15.139 --> 00:44:17.300
I think the answer is inferiority,

00:44:17.559 --> 00:44:18.500
insecure fear.

00:44:18.840 --> 00:44:20.601
If you follow that on the emotion wheel,

00:44:20.701 --> 00:44:21.481
that is my view.

00:44:21.840 --> 00:44:24.161
And I don't I'm not standing here saying

00:44:24.342 --> 00:44:26.202
I'm smart enough to figure out why or

00:44:26.262 --> 00:44:27.121
how we get over that.

00:44:27.382 --> 00:44:28.422
But that's the thing we have to get

00:44:28.463 --> 00:44:28.643
over.

00:44:28.742 --> 00:44:29.943
It's not a technology thing.

00:44:32.688 --> 00:44:34.688
Because even like a fun exercise that I'll

00:44:34.708 --> 00:44:35.489
do after this,

00:44:35.730 --> 00:44:37.170
and I'll post it on LinkedIn and Facebook,

00:44:37.431 --> 00:44:38.532
it'll be a long text thread,

00:44:38.552 --> 00:44:39.652
or maybe I'll make it a short video.

00:44:40.713 --> 00:44:41.873
I'll go research Dr.

00:44:41.914 --> 00:44:43.074
Pimple Popper and be like,

00:44:43.434 --> 00:44:44.014
give me the beats.

00:44:44.034 --> 00:44:44.735
Give me the timeline.

00:44:44.775 --> 00:44:47.416
How did she get from where she is

00:44:47.476 --> 00:44:47.697
now?

00:44:48.157 --> 00:44:48.818
Where'd she start?

00:44:48.918 --> 00:44:50.159
How did she twist and turn?

00:44:50.778 --> 00:44:50.978
Right?

00:44:50.998 --> 00:44:52.300
She probably got mocked, right?

00:44:52.820 --> 00:44:54.840
And then run that parallel.

00:44:55.222 --> 00:44:56.521
What does a PT need to do in

00:44:56.541 --> 00:44:57.623
the next seven days,

00:45:03.561 --> 00:45:05.282
PT now it's not going to be a

00:45:05.322 --> 00:45:07.704
direct parallel because like I don't know

00:45:07.864 --> 00:45:09.625
there's two types of people Tony do you

00:45:09.664 --> 00:45:10.365
like Dr.

00:45:10.385 --> 00:45:12.907
Pimple Popper's stuff does that like draw

00:45:12.927 --> 00:45:14.969
you in I don't watch it no I'm

00:45:15.028 --> 00:45:17.490
not a fan for some reason dude it

00:45:17.570 --> 00:45:20.913
is like eye candy to me it's gross

00:45:20.952 --> 00:45:22.934
yeah but I like gotta see it when

00:45:22.954 --> 00:45:24.456
someone walks in with a giant hump on

00:45:24.476 --> 00:45:26.918
their back I'm like what is in there

00:45:27.902 --> 00:45:29.282
And I got to watch until this giant

00:45:29.402 --> 00:45:31.724
chicken cutlet-sized thing comes out.

00:45:32.344 --> 00:45:34.565
But there's enough people that are

00:45:34.606 --> 00:45:36.146
repulsed by it, but even more people,

00:45:36.987 --> 00:45:38.188
that many people watching it.

00:45:38.869 --> 00:45:40.630
We don't necessarily have that.

00:45:40.990 --> 00:45:42.050
We don't have directly that.

00:45:42.070 --> 00:45:42.811
So the question would be,

00:45:42.911 --> 00:45:44.012
what's our versions?

00:45:44.092 --> 00:45:46.134
What are our versions of that?

00:45:46.554 --> 00:45:48.295
Yeah, I wouldn't say we don't have that.

00:45:48.335 --> 00:45:48.755
We do.

00:45:48.795 --> 00:45:49.655
We do, just not that.

00:45:49.735 --> 00:45:50.237
Obviously,

00:45:50.677 --> 00:45:52.358
we've got lymphedema therapists.

00:45:52.418 --> 00:45:53.978
We've got wound care therapists.

00:45:54.577 --> 00:45:56.498
We've got therapists doing...

00:45:58.518 --> 00:46:00.759
There's always something disgusting in the

00:46:00.798 --> 00:46:02.079
clinic that's available.

00:46:02.119 --> 00:46:05.139
For me, post-surgical incisions,

00:46:05.340 --> 00:46:06.440
those are my biggest,

00:46:06.500 --> 00:46:09.001
most popular Facebook posts.

00:46:10.780 --> 00:46:13.202
But you could even go the direction of...

00:46:13.501 --> 00:46:17.302
I shared a picture yesterday of a person.

00:46:17.543 --> 00:46:18.603
I don't know this person.

00:46:18.643 --> 00:46:20.384
They had a goniometer on their knee at

00:46:20.463 --> 00:46:20.784
home.

00:46:20.844 --> 00:46:22.463
It wasn't really lined up properly.

00:46:22.605 --> 00:46:24.324
I knew it wasn't lined up properly.

00:46:24.969 --> 00:46:25.590
I shared it.

00:46:25.949 --> 00:46:27.833
And of course, most of the comments were,

00:46:28.112 --> 00:46:29.355
they've got it in the wrong spot.

00:46:29.394 --> 00:46:30.275
It's not lined up.

00:46:30.315 --> 00:46:32.039
They don't know the anatomical landmarks,

00:46:32.079 --> 00:46:32.378
you know?

00:46:32.418 --> 00:46:32.760
Um, so like,

00:46:35.563 --> 00:46:38.284
What you're really looking at is what is

00:46:38.405 --> 00:46:42.867
inflammatory or exciting or disgusting or

00:46:42.887 --> 00:46:46.190
whatever that doesn't cross the line but

00:46:46.230 --> 00:46:48.811
will get eyeballs.

00:46:49.050 --> 00:46:51.753
Dave shared an awesome video that we'll

00:46:51.793 --> 00:46:53.733
talk about when he's back that's taking

00:46:53.853 --> 00:46:55.114
off on Instagram.

00:46:56.034 --> 00:46:57.056
I want to hear,

00:46:57.516 --> 00:46:59.036
because I've been thinking about this

00:46:59.117 --> 00:47:00.378
specifically for you.

00:47:00.677 --> 00:47:02.259
You and I have had this conversation

00:47:02.318 --> 00:47:02.918
before.

00:47:03.338 --> 00:47:04.219
It's been a while.

00:47:05.217 --> 00:47:06.297
I want to hear from you.

00:47:06.757 --> 00:47:07.737
You just said,

00:47:08.038 --> 00:47:10.498
I want to know her story.

00:47:11.199 --> 00:47:13.701
Why aren't you the one that's contacting

00:47:13.740 --> 00:47:15.641
her and saying, Hey,

00:47:15.722 --> 00:47:16.882
I've got this podcast.

00:47:16.922 --> 00:47:18.123
I'm in the PT space,

00:47:18.182 --> 00:47:20.423
but I'm looking to expand outside.

00:47:20.943 --> 00:47:22.485
I would love to get you on the

00:47:22.525 --> 00:47:24.065
show and hear your background,

00:47:24.126 --> 00:47:25.925
hear your story, hear your journey.

00:47:26.427 --> 00:47:29.307
And for the last week or so,

00:47:31.599 --> 00:47:32.161
For months,

00:47:32.561 --> 00:47:34.021
you've been publishing a lot more.

00:47:34.081 --> 00:47:36.083
You've got this goal of at least one

00:47:36.103 --> 00:47:37.244
piece of content a day.

00:47:37.644 --> 00:47:39.726
And I'm like, the thing for Jimmy... Yeah,

00:47:39.746 --> 00:47:40.567
you're right.

00:47:40.606 --> 00:47:43.469
Jimmy is fighting such an uphill battle

00:47:43.510 --> 00:47:46.751
because how big is his potential audience

00:47:46.992 --> 00:47:48.353
really?

00:47:48.574 --> 00:47:51.335
How many therapists are there who actually

00:47:51.376 --> 00:47:53.637
listen to a podcast about PT?

00:47:54.518 --> 00:47:56.199
Narrow it down even more to business.

00:47:56.239 --> 00:47:56.579
I'm like,

00:47:56.701 --> 00:47:58.242
where Jimmy could turn a corner...

00:47:59.094 --> 00:48:00.235
and be like, okay,

00:48:00.255 --> 00:48:01.536
why don't I just broaden it out?

00:48:01.815 --> 00:48:03.998
Maybe I make this more about professional

00:48:04.077 --> 00:48:06.659
service-based businesses, not just PT.

00:48:07.139 --> 00:48:09.422
What if I make this about small

00:48:09.481 --> 00:48:10.342
businesses?

00:48:11.222 --> 00:48:13.485
Yeah, because your concepts are universal.

00:48:13.664 --> 00:48:15.106
The topics are universal.

00:48:15.445 --> 00:48:17.768
This information, it is.

00:48:17.827 --> 00:48:20.208
What we're talking about applies to every

00:48:20.289 --> 00:48:21.871
professional and small business,

00:48:22.030 --> 00:48:23.431
not just in healthcare.

00:48:23.612 --> 00:48:23.692
Yeah.

00:48:25.119 --> 00:48:27.782
You got me all feeling like, yeah,

00:48:28.121 --> 00:48:29.163
I'm ready to run out of the room.

00:48:29.463 --> 00:48:30.164
But do you want to know why I

00:48:30.184 --> 00:48:30.724
haven't done it?

00:48:30.824 --> 00:48:31.525
It's on the screen.

00:48:31.545 --> 00:48:32.826
Yeah.

00:48:32.885 --> 00:48:33.065
Fear.

00:48:33.347 --> 00:48:33.746
It's fear.

00:48:34.186 --> 00:48:36.849
Because I'm good in my...

00:48:37.190 --> 00:48:39.452
I want to stay in my corner though.

00:48:39.532 --> 00:48:40.893
It's funny that that line from Dirty

00:48:40.913 --> 00:48:41.472
Dancing is like,

00:48:41.612 --> 00:48:42.813
nobody puts baby in a corner.

00:48:43.195 --> 00:48:45.056
But we wind up putting ourselves in a

00:48:45.096 --> 00:48:45.416
corner.

00:48:46.838 --> 00:48:48.318
Well, everybody... People should do this,

00:48:48.338 --> 00:48:48.798
but not me.

00:48:49.400 --> 00:48:49.920
You should do it.

00:48:49.940 --> 00:48:50.460
You could do it.

00:48:50.480 --> 00:48:51.201
You could pull it off.

00:48:51.260 --> 00:48:52.202
I was talking with this woman.

00:48:52.242 --> 00:48:53.523
Do you know Farley Schweigert?

00:48:54.615 --> 00:48:55.577
Yeah, yeah.

00:48:55.597 --> 00:48:56.436
She's over here.

00:48:56.476 --> 00:48:57.737
If you've ever met Farley,

00:48:58.197 --> 00:48:59.097
you don't even need to know who the

00:48:59.117 --> 00:48:59.818
heck she is.

00:49:00.119 --> 00:49:01.679
She comes on the screen and she's just

00:49:01.699 --> 00:49:03.161
got a huge personality.

00:49:04.641 --> 00:49:06.402
If I followed around with a camera every

00:49:06.422 --> 00:49:06.623
day,

00:49:08.231 --> 00:49:10.012
She'd spend more time smiling than not

00:49:10.072 --> 00:49:10.452
smiling.

00:49:10.492 --> 00:49:11.452
That's all I know about her.

00:49:12.092 --> 00:49:12.452
And I'm like,

00:49:12.711 --> 00:49:14.813
how are you having any problem getting

00:49:14.833 --> 00:49:15.992
people to pay attention to videos?

00:49:16.512 --> 00:49:19.713
Her personality is oozing through the Zoom

00:49:19.753 --> 00:49:20.594
call that we were on.

00:49:21.335 --> 00:49:22.195
And she was just like, well,

00:49:22.255 --> 00:49:23.114
I don't feel like I...

00:49:23.175 --> 00:49:24.175
And I'm able to spot it from a

00:49:24.215 --> 00:49:24.735
mile away.

00:49:24.755 --> 00:49:26.376
I'm like, oh, you need permission.

00:49:27.806 --> 00:49:28.847
There's no such thing as permission,

00:49:28.867 --> 00:49:29.748
but she feels like it.

00:49:30.068 --> 00:49:31.108
So I keep on her ass.

00:49:31.148 --> 00:49:31.387
I'm like,

00:49:32.108 --> 00:49:33.309
have you done that thing we said?

00:49:33.329 --> 00:49:34.349
And she's like, no.

00:49:34.809 --> 00:49:36.409
Eventually she'll crack and she'll do it.

00:49:36.469 --> 00:49:37.789
And then the only complaint that she'll

00:49:37.809 --> 00:49:38.230
have is,

00:49:38.710 --> 00:49:39.891
why didn't I do this six months ago

00:49:39.931 --> 00:49:40.630
or six years ago?

00:49:40.650 --> 00:49:41.391
And I'll go, I don't know,

00:49:41.630 --> 00:49:42.550
but you're doing it now.

00:49:42.610 --> 00:49:44.331
So let's triple down on that.

00:49:44.351 --> 00:49:45.172
But you're right.

00:49:45.411 --> 00:49:46.413
I should just go to Dr.

00:49:46.432 --> 00:49:47.552
Pimple Popper and be like,

00:49:48.711 --> 00:49:50.052
I should do a video where I go,

00:49:50.072 --> 00:49:50.532
hey, everybody,

00:49:50.751 --> 00:49:51.773
you should know who this is.

00:49:51.873 --> 00:49:54.452
And then DM-er, not a piece of text,

00:49:54.492 --> 00:49:56.793
I should DM-er a video of me in

00:49:57.012 --> 00:49:58.893
one take looking in the camera and being

00:49:58.914 --> 00:49:59.074
like,

00:49:59.474 --> 00:50:01.074
I've been following your story for a long

00:50:01.114 --> 00:50:01.414
time.

00:50:01.773 --> 00:50:03.193
All I want to do is show PTs

00:50:03.213 --> 00:50:04.695
what you've done or show healthcare what

00:50:04.715 --> 00:50:06.275
you've done because I think the world

00:50:06.375 --> 00:50:08.155
needs more people like you because you're

00:50:08.175 --> 00:50:09.956
doing something very simple, not easy,

00:50:10.155 --> 00:50:13.476
but simple and powerful.

00:50:13.795 --> 00:50:16.677
I'm sure the American Dermatology

00:50:17.157 --> 00:50:17.916
Association

00:50:19.228 --> 00:50:22.550
hated her or people in it are like,

00:50:22.630 --> 00:50:24.672
she is this and look how she does

00:50:24.713 --> 00:50:24.952
that.

00:50:25.032 --> 00:50:26.054
And they micromanage.

00:50:26.474 --> 00:50:28.155
And then there's also a portion going,

00:50:28.375 --> 00:50:28.876
hell yeah.

00:50:29.695 --> 00:50:30.137
And I'm saying,

00:50:30.536 --> 00:50:31.958
if you try to win everybody over,

00:50:32.257 --> 00:50:34.420
you are not pizza, ice cream, or sex.

00:50:34.539 --> 00:50:35.099
You can't do it.

00:50:35.139 --> 00:50:36.141
You're not those three things.

00:50:36.721 --> 00:50:37.121
You're not going to,

00:50:37.141 --> 00:50:37.822
it's not going to happen.

00:50:38.463 --> 00:50:39.903
So she didn't do that.

00:50:39.963 --> 00:50:40.844
She didn't wait for permission.

00:50:40.864 --> 00:50:41.684
She did it, but you're right.

00:50:41.864 --> 00:50:42.204
I should,

00:50:43.545 --> 00:50:46.208
I should find the dermatologist who,

00:50:46.744 --> 00:50:48.244
find like that's how i should set this

00:50:48.344 --> 00:50:51.246
up find the different specialties yeah you

00:50:51.266 --> 00:50:54.188
got dr mike right dr got her you

00:50:54.208 --> 00:50:56.007
got so many you can find them at

00:50:56.068 --> 00:50:58.730
all different levels z dog and of course

00:50:58.769 --> 00:51:01.331
then you go into like you should be

00:51:01.371 --> 00:51:04.411
talking to the guy from the corner report

00:51:04.492 --> 00:51:07.353
or corner or something oh yeah the guy

00:51:07.393 --> 00:51:09.474
with all the small business ideas and

00:51:10.525 --> 00:51:11.465
Just so many of those.

00:51:11.545 --> 00:51:12.447
And like I said,

00:51:12.487 --> 00:51:13.907
you and I have had this conversation.

00:51:13.927 --> 00:51:14.387
We said,

00:51:14.427 --> 00:51:15.507
who's going to be on the list?

00:51:15.527 --> 00:51:16.648
Who are you going to reach out to?

00:51:16.708 --> 00:51:18.170
I think you reached out to Seth Godin

00:51:18.230 --> 00:51:19.030
at that time.

00:51:19.130 --> 00:51:19.809
I reached out to a bunch.

00:51:19.829 --> 00:51:20.990
And he politely declined.

00:51:21.010 --> 00:51:21.291
Yeah, yeah.

00:51:21.311 --> 00:51:22.170
That's okay.

00:51:22.210 --> 00:51:22.751
Cost me nothing.

00:51:22.791 --> 00:51:24.032
Yeah.

00:51:24.072 --> 00:51:25.112
But if I knock on his door,

00:51:25.132 --> 00:51:26.112
if I knock on his door,

00:51:27.514 --> 00:51:29.755
I don't think he's doing this to me.

00:51:29.795 --> 00:51:32.775
But if the fiftieth time, he's like, fine.

00:51:33.536 --> 00:51:35.697
And then I give him such a ridiculously

00:51:35.717 --> 00:51:36.518
good experience.

00:51:38.876 --> 00:51:39.538
It's like the kid,

00:51:39.557 --> 00:51:41.039
did you ever see the kid who's,

00:51:41.398 --> 00:51:42.260
this is years ago,

00:51:42.699 --> 00:51:43.981
started a Facebook channel,

00:51:44.001 --> 00:51:45.262
which became a YouTube channel.

00:51:46.443 --> 00:51:48.684
And he was like nine and he was

00:51:48.724 --> 00:51:51.467
obsessed with like David Letterman and Jay

00:51:51.487 --> 00:51:51.628
Leno.

00:51:51.648 --> 00:51:52.969
Like he wanted to be a late night

00:51:53.028 --> 00:51:54.349
host at like seven.

00:51:54.510 --> 00:51:56.632
And this is years ago.

00:51:56.731 --> 00:51:57.992
And then his mom or his dad was

00:51:58.012 --> 00:52:00.195
just like, Ooh, like he's not stopping.

00:52:00.695 --> 00:52:02.016
I need to shut this kid up.

00:52:02.918 --> 00:52:05.179
So they started writing letters and

00:52:05.260 --> 00:52:08.443
getting celebrities to come to their home

00:52:09.083 --> 00:52:10.344
and sit on a couch.

00:52:10.824 --> 00:52:12.186
And this nine-year-old kid,

00:52:12.246 --> 00:52:13.027
I got to find out who that kid

00:52:13.047 --> 00:52:13.987
was because it was great.

00:52:14.547 --> 00:52:15.668
And he would do a late night show

00:52:16.130 --> 00:52:17.030
and then he'd share it.

00:52:17.130 --> 00:52:18.431
And then when the next time he went

00:52:18.452 --> 00:52:19.773
to do a pitch, in the pitch,

00:52:19.793 --> 00:52:20.353
he'd probably be,

00:52:20.413 --> 00:52:22.155
and here's how we interviewed, blah, blah,

00:52:22.175 --> 00:52:22.434
blah.

00:52:22.454 --> 00:52:24.536
And someone's publicist was like,

00:52:24.976 --> 00:52:26.539
this is like the Taylor Swift effect.

00:52:26.898 --> 00:52:28.079
This doesn't make any sense.

00:52:28.159 --> 00:52:29.501
Why would we take the star...

00:52:30.242 --> 00:52:32.043
to do this ridiculously small kids thing

00:52:32.143 --> 00:52:34.706
that's the reason like why does Taylor

00:52:34.726 --> 00:52:37.608
Swift every once in a while show up

00:52:37.628 --> 00:52:39.791
at a wedding and sing the first song

00:52:40.132 --> 00:52:42.094
is because there's ninety seven camera

00:52:42.114 --> 00:52:44.275
phones in the audience and it will blow

00:52:44.315 --> 00:52:46.177
up because it's such a juxtaposition it

00:52:46.197 --> 00:52:48.519
doesn't make any sense that it completely

00:52:48.579 --> 00:52:49.902
all of a sudden being made she can't

00:52:49.922 --> 00:52:51.503
do it every day but when she does

00:52:51.563 --> 00:52:54.246
do it it's insane yeah

00:52:55.367 --> 00:52:55.867
Fine.

00:52:56.467 --> 00:52:57.748
Now I need to go do this.

00:52:58.949 --> 00:53:00.190
I didn't think I needed to do the

00:53:00.210 --> 00:53:01.289
things that I was saying, Tony.

00:53:01.329 --> 00:53:02.590
I thought I just stood here and told

00:53:02.731 --> 00:53:04.492
other people what they should be doing and

00:53:04.552 --> 00:53:06.172
mocked them for not doing it.

00:53:06.393 --> 00:53:07.512
Now I've mean, all right, fine.

00:53:07.574 --> 00:53:07.833
I'll go.

00:53:07.873 --> 00:53:08.233
I'll try.

00:53:08.454 --> 00:53:08.954
I have no problem.

00:53:09.014 --> 00:53:09.373
I'll fail.

00:53:09.393 --> 00:53:10.614
Yeah.

00:53:10.675 --> 00:53:11.275
Here's a KPI.

00:53:11.436 --> 00:53:12.655
I mean,

00:53:12.675 --> 00:53:14.277
that's your superpower is that you're

00:53:14.317 --> 00:53:15.838
willing to experiment and try.

00:53:16.507 --> 00:53:18.108
Hey, as we wrap up the show,

00:53:18.148 --> 00:53:19.829
can you pull up my...

00:53:19.949 --> 00:53:21.851
If you go to my Instagram on your

00:53:21.911 --> 00:53:22.572
desktop,

00:53:23.092 --> 00:53:27.195
go to the profile and show the recent

00:53:27.255 --> 00:53:29.775
posts.

00:53:29.795 --> 00:53:31.677
There's a KPI to measure as I'm bringing

00:53:31.697 --> 00:53:32.077
this up,

00:53:32.257 --> 00:53:33.918
which is how many times have you failed?

00:53:33.958 --> 00:53:37.221
How many ideas have failed in the last

00:53:37.621 --> 00:53:38.340
five months?

00:53:38.420 --> 00:53:39.362
That would be a good one.

00:53:40.659 --> 00:53:41.860
I can't even imagine.

00:53:41.960 --> 00:53:43.860
I don't know how you keep track.

00:53:44.262 --> 00:53:45.141
That's a good one.

00:53:45.181 --> 00:53:45.302
Yeah.

00:53:45.362 --> 00:53:45.561
All right.

00:53:45.581 --> 00:53:46.041
I'm on your Instagram.

00:53:46.061 --> 00:53:47.262
I have two days until spring.

00:53:48.643 --> 00:53:49.224
Yeah.

00:53:49.324 --> 00:53:49.724
Okay.

00:53:49.764 --> 00:53:50.824
So if you look at that,

00:53:50.864 --> 00:53:52.664
I want to give people something tangible

00:53:52.704 --> 00:53:54.626
because we were talking about this in one

00:53:54.666 --> 00:53:55.626
of the Facebook groups.

00:53:56.286 --> 00:53:58.768
So a lot of these images,

00:53:58.887 --> 00:54:00.248
some are actual photos.

00:54:00.768 --> 00:54:02.829
Some are AI-generated images.

00:54:02.929 --> 00:54:04.670
Obviously, the two days until spring.

00:54:05.219 --> 00:54:07.099
That's an AI-generated image.

00:54:07.800 --> 00:54:09.981
I made that yesterday when I realized I

00:54:10.021 --> 00:54:11.643
saw somebody else's post and I was like,

00:54:11.822 --> 00:54:13.344
oh, there's two days till spring.

00:54:13.744 --> 00:54:15.525
Everybody loves to complain about winter.

00:54:16.045 --> 00:54:17.465
I'm going to put up a post on

00:54:17.545 --> 00:54:18.766
Facebook and Instagram.

00:54:19.226 --> 00:54:20.608
So I go to ChatGPT.

00:54:20.668 --> 00:54:22.188
I'm using the twenty dollar a month

00:54:22.228 --> 00:54:22.670
account.

00:54:22.809 --> 00:54:23.510
And I say, hey,

00:54:24.050 --> 00:54:29.574
create a illustration in this case of,

00:54:29.713 --> 00:54:29.994
you know,

00:54:31.047 --> 00:54:32.387
a spring scene,

00:54:32.867 --> 00:54:34.987
lots of flowers that are blooming,

00:54:35.487 --> 00:54:38.427
put a total knee replacement prosthesis in

00:54:38.467 --> 00:54:39.748
the middle of the scene,

00:54:40.329 --> 00:54:42.489
a text overlay that says two days until

00:54:42.568 --> 00:54:44.548
spring, generate that image.

00:54:45.648 --> 00:54:47.190
And I mean, it's a decent image,

00:54:47.210 --> 00:54:49.210
you know, it's nothing, nothing fancy.

00:54:50.010 --> 00:54:51.329
If you look at the next one,

00:54:51.369 --> 00:54:53.271
free coffee, same thing.

00:54:53.471 --> 00:54:54.271
I was like, Oh,

00:54:54.371 --> 00:54:57.490
I saw somebody standing on another post

00:54:57.570 --> 00:54:59.612
next to an A-frame in front of a

00:54:59.652 --> 00:55:00.231
coffee house.

00:55:00.371 --> 00:55:00.472
Yep.

00:55:00.742 --> 00:55:02.083
I was like, oh, that's a cool image.

00:55:02.402 --> 00:55:03.483
Hey, ChessieBT,

00:55:03.503 --> 00:55:07.125
create an A-frame image where in chalk,

00:55:07.565 --> 00:55:09.545
you draw a total knee replacement

00:55:09.606 --> 00:55:10.467
prosthesis.

00:55:10.766 --> 00:55:12.547
You say across the top,

00:55:12.588 --> 00:55:13.909
free coffee with a hundred and twenty

00:55:13.949 --> 00:55:15.009
degrees of knee flexion.

00:55:15.509 --> 00:55:17.010
I was trying to think of like how

00:55:17.090 --> 00:55:18.610
I could tie in the temperature of the

00:55:18.650 --> 00:55:21.291
coffee to the degrees of the knee,

00:55:21.331 --> 00:55:23.052
but it was too complicated.

00:55:23.092 --> 00:55:24.373
So I said, just do this.

00:55:25.074 --> 00:55:27.574
Generated that a hundred and twelve likes,

00:55:27.695 --> 00:55:28.695
twelve comments.

00:55:29.402 --> 00:55:30.244
Yeah.

00:55:30.264 --> 00:55:32.005
The big one, though, from yesterday,

00:55:33.106 --> 00:55:35.047
do you see the one that has the

00:55:35.987 --> 00:55:38.170
schematic of the knee replacement with the

00:55:38.230 --> 00:55:40.092
nerves coming in from the medial side?

00:55:40.112 --> 00:55:41.211
Wow, yeah, you're right.

00:55:42.072 --> 00:55:43.713
So same thing.

00:55:44.074 --> 00:55:44.914
I took that.

00:55:45.655 --> 00:55:48.177
I did find a different illustration

00:55:48.418 --> 00:55:48.958
online.

00:55:49.159 --> 00:55:50.920
It was a black and white illustration,

00:55:51.000 --> 00:55:51.820
line drawing.

00:55:52.460 --> 00:55:54.603
I put that illustration into ChatGPT.

00:55:54.663 --> 00:55:56.965
I said, use this as a reference image.

00:55:57.606 --> 00:56:00.688
recreate this image with, I said,

00:56:00.728 --> 00:56:03.869
text overlay, totally replacement,

00:56:03.909 --> 00:56:04.851
you know, implant.

00:56:04.971 --> 00:56:06.311
I want skin tone.

00:56:06.672 --> 00:56:08.132
I want it to be a color image.

00:56:08.172 --> 00:56:09.393
Show the incision.

00:56:10.434 --> 00:56:13.016
This one image generated like a hundred

00:56:13.036 --> 00:56:14.717
and thirty five thousand views.

00:56:15.137 --> 00:56:17.460
It's got two hundred and ninety six parts

00:56:17.559 --> 00:56:20.121
and two hundred and eighty four comments

00:56:20.501 --> 00:56:22.043
in less than twenty four hours.

00:56:23.184 --> 00:56:23.903
It's a lot.

00:56:24.003 --> 00:56:24.844
That is a lot.

00:56:27.106 --> 00:56:28.726
I'm going to the insights on my side.

00:56:28.786 --> 00:56:29.047
Yeah.

00:56:29.527 --> 00:56:31.809
And, you know, as I scroll down,

00:56:31.909 --> 00:56:33.672
I mean, that's a ton of engagement.

00:56:34.472 --> 00:56:36.753
So I posted thirteen or fourteen things

00:56:36.793 --> 00:56:37.375
yesterday.

00:56:37.494 --> 00:56:38.615
This was the winner.

00:56:39.356 --> 00:56:41.778
But like, like talk about all you.

00:56:41.858 --> 00:56:42.780
Can you see this video?

00:56:42.820 --> 00:56:43.840
Can you talk about this video?

00:56:46.195 --> 00:56:50.277
It's the one, no infection, just swelling.

00:56:50.297 --> 00:56:52.538
It's like you poking at a knee

00:56:52.557 --> 00:56:53.619
replacement.

00:56:53.639 --> 00:56:53.759
Yeah,

00:56:53.778 --> 00:56:56.320
so this was a person that had been

00:56:56.360 --> 00:56:57.860
in my clinic multiple times,

00:56:57.940 --> 00:56:59.900
had like six knee surgeries,

00:57:00.041 --> 00:57:02.021
had a large implant put in.

00:57:02.981 --> 00:57:05.543
I know this looks like an infected knee.

00:57:05.682 --> 00:57:06.103
Literally,

00:57:06.143 --> 00:57:08.623
this person came from the doctor before I

00:57:08.643 --> 00:57:09.503
shot that video.

00:57:10.173 --> 00:57:11.974
and confirm there's no infection.

00:57:12.635 --> 00:57:14.514
But like the act of poking it,

00:57:14.534 --> 00:57:15.655
this is what we're talking about with

00:57:15.695 --> 00:57:16.295
simple pop.

00:57:17.115 --> 00:57:18.936
Everybody goes crazy about this.

00:57:18.996 --> 00:57:20.476
Every time I share this video,

00:57:20.516 --> 00:57:22.257
it gets hundreds of thousands of views.

00:57:22.317 --> 00:57:24.358
I've shared this video multiple times.

00:57:25.438 --> 00:57:26.297
And I mean, it's just,

00:57:26.398 --> 00:57:29.778
this is tugging at a certain emotional

00:57:29.818 --> 00:57:32.380
thing in a person who's had a knee

00:57:32.420 --> 00:57:34.141
replacement and they love it.

00:57:34.240 --> 00:57:35.940
They love to comment and engage.

00:57:36.001 --> 00:57:38.041
And this was one of my first videos

00:57:38.061 --> 00:57:39.521
that jumped over a million views.

00:57:40.016 --> 00:57:40.476
Yeah.

00:57:40.496 --> 00:57:41.737
This one right now that I just brought

00:57:41.757 --> 00:57:42.798
up is two point six.

00:57:42.858 --> 00:57:44.360
But you've obviously shared it more than

00:57:44.480 --> 00:57:44.699
once.

00:57:44.760 --> 00:57:44.960
Right.

00:57:45.019 --> 00:57:45.739
And why wouldn't you?

00:57:45.760 --> 00:57:45.960
Yeah.

00:57:46.041 --> 00:57:46.621
Yeah, of course.

00:57:46.681 --> 00:57:46.840
Yeah.

00:57:47.460 --> 00:57:48.001
Say it again.

00:57:48.141 --> 00:57:51.704
And like this was a moment that could

00:57:51.724 --> 00:57:54.485
have been lost in my physical therapy

00:57:54.545 --> 00:57:54.945
clinic.

00:57:56.005 --> 00:57:57.728
This video has probably generated a couple

00:57:57.768 --> 00:58:00.130
hundred dollars in ad revenue across

00:58:00.170 --> 00:58:01.471
YouTube and Facebook.

00:58:01.871 --> 00:58:02.192
But like,

00:58:02.851 --> 00:58:04.713
look at the hundred and forty three

00:58:04.753 --> 00:58:07.675
thousand view video of the guy walking

00:58:07.715 --> 00:58:09.137
with a cane on his right and I

00:58:09.197 --> 00:58:10.719
circle the knee on the left.

00:58:10.739 --> 00:58:10.918
Right.

00:58:11.760 --> 00:58:14.161
That was a video that's been sitting on

00:58:14.202 --> 00:58:15.003
my hard drive.

00:58:15.043 --> 00:58:17.324
I didn't even know I had it sitting

00:58:17.405 --> 00:58:19.626
on my hard drive since two thousand twenty

00:58:19.686 --> 00:58:20.007
two.

00:58:20.126 --> 00:58:23.050
I think this guy is still in my

00:58:23.090 --> 00:58:23.409
clinic.

00:58:24.501 --> 00:58:26.402
He's been coming for over ten years.

00:58:27.523 --> 00:58:29.143
I pulled that video and showed it to

00:58:29.182 --> 00:58:30.663
him yesterday when he came in.

00:58:30.742 --> 00:58:31.382
I was like, hey,

00:58:31.443 --> 00:58:32.083
I got to show you.

00:58:32.143 --> 00:58:33.224
I found an old video.

00:58:34.143 --> 00:58:34.724
But again,

00:58:34.784 --> 00:58:38.244
these are valuable assets that are sitting

00:58:38.405 --> 00:58:41.144
in the ether that we're not taking

00:58:41.184 --> 00:58:41.824
advantage of.

00:58:41.864 --> 00:58:43.344
We're not monetizing.

00:58:44.646 --> 00:58:45.646
And all I had to do was just

00:58:45.965 --> 00:58:48.286
scroll through my old videos and be like,

00:58:48.306 --> 00:58:50.547
oh, I haven't posted this for a while.

00:58:50.666 --> 00:58:51.907
The first step is you had to take

00:58:51.967 --> 00:58:52.027
it.

00:58:53.561 --> 00:58:54.481
And that sounds stupid,

00:58:54.521 --> 00:58:55.782
but you have to capture it.

00:58:55.842 --> 00:58:56.922
Yeah, you have to capture it.

00:58:57.663 --> 00:58:58.724
All right, we'll talk more.

00:58:59.764 --> 00:59:01.824
We all have bones glued to our hands.

00:59:01.965 --> 00:59:03.184
There's nothing special.

00:59:03.364 --> 00:59:05.786
This is not about technology or skill.

00:59:05.905 --> 00:59:07.947
This is about fear, myself included.

00:59:08.166 --> 00:59:10.248
This is about getting over it and doing

00:59:10.288 --> 00:59:12.489
it poorly.

00:59:12.809 --> 00:59:13.708
None of Tony's stuff,

00:59:13.728 --> 00:59:14.608
if you go to his Instagram,

00:59:14.628 --> 00:59:15.630
and I'll put it in the show notes,

00:59:16.150 --> 00:59:19.510
none of the stuff is like, like,

00:59:21.038 --> 00:59:23.119
you're just, this is reality show.

00:59:23.159 --> 00:59:23.418
You're not,

00:59:23.619 --> 00:59:24.980
you're not scripting this at all.

00:59:25.380 --> 00:59:25.980
You might be like, Hey,

00:59:26.000 --> 00:59:27.039
move your knee or do that.

00:59:27.161 --> 00:59:27.400
Do that.

00:59:27.420 --> 00:59:28.561
Like you might have like a sort of

00:59:28.581 --> 00:59:29.320
a half a plan.

00:59:29.541 --> 00:59:30.601
You have an outline in your head,

00:59:31.041 --> 00:59:32.702
but you're not doing multiple cuts.

00:59:32.922 --> 00:59:34.603
Like Tony's not walking around with a ring

00:59:34.664 --> 00:59:36.724
light.

00:59:36.905 --> 00:59:38.804
Like it's just not like these are fit.

00:59:38.824 --> 00:59:40.525
Like I just counted that one video with

00:59:40.545 --> 00:59:40.606
the,

00:59:40.686 --> 00:59:42.106
on the pointing to the surgical side with

00:59:42.126 --> 00:59:43.246
the K five seconds.

00:59:43.266 --> 00:59:43.766
Yeah.

00:59:43.786 --> 00:59:45.827
Five seconds has turned into,

00:59:45.927 --> 00:59:46.909
and you can tell me later with the

00:59:46.929 --> 00:59:48.728
statistic, how much watch time.

00:59:48.809 --> 00:59:49.710
Cause you can look at that in the

00:59:49.730 --> 00:59:50.150
insights.

00:59:51.873 --> 00:59:54.378
how many days probably worth of watch time

00:59:54.538 --> 00:59:56.141
of a hundred and forty five thousand views

00:59:56.681 --> 00:59:57.523
times five seconds.

00:59:57.684 --> 00:59:58.525
And I could do that math quick,

00:59:58.545 --> 00:59:59.586
but I can't do that math quick.

01:00:00.764 --> 01:00:02.525
So let's dig into a bunch of content

01:00:02.706 --> 01:00:04.226
because I wanted to talk about Judy and

01:00:04.246 --> 01:00:05.827
her cafe and her pancakes.

01:00:05.847 --> 01:00:07.108
I want to talk about that.

01:00:07.128 --> 01:00:09.548
I want to talk about Dave's rocket ship.

01:00:09.608 --> 01:00:11.110
I want to talk about my Avengers rocket

01:00:11.130 --> 01:00:12.090
ship from a month ago.

01:00:12.110 --> 01:00:13.130
And how do I recapture that?

01:00:13.451 --> 01:00:14.731
So we'll get into let's get let's do

01:00:14.791 --> 01:00:16.311
a whole episode specific on content.

01:00:17.311 --> 01:00:19.172
We'll pick three sort of verticals and

01:00:19.213 --> 01:00:19.833
dive into them.

01:00:19.934 --> 01:00:21.554
Or maybe my guess is we could talk

01:00:21.574 --> 01:00:22.195
about this all day.

01:00:22.295 --> 01:00:23.875
This might be a couple episodes deep.

01:00:23.894 --> 01:00:24.135
Yeah.

01:00:24.396 --> 01:00:25.956
All right.

01:00:25.996 --> 01:00:26.856
So parting shot for today.

01:00:26.876 --> 01:00:27.257
What do you got?

01:00:29.115 --> 01:00:31.400
You know, there's value all around us.

01:00:31.521 --> 01:00:31.782
I mean,

01:00:31.882 --> 01:00:34.608
literally value comes out of thin air.

01:00:35.148 --> 01:00:36.652
It's just a matter of

01:00:37.253 --> 01:00:39.414
choosing what you're going to monetize,

01:00:39.494 --> 01:00:40.916
how you're going to capture the value,

01:00:40.996 --> 01:00:42.277
and then putting it out there for the

01:00:42.297 --> 01:00:42.938
consumer.

01:00:42.978 --> 01:00:43.518
Choose your heart.

01:00:44.420 --> 01:00:46.460
Mine will be directed towards the

01:00:46.481 --> 01:00:49.603
listener, but also to me, which is, okay,

01:00:49.623 --> 01:00:50.605
whatever you're most afraid of,

01:00:50.846 --> 01:00:52.086
whatever you want the most but aren't

01:00:52.126 --> 01:00:52.427
doing,

01:00:52.847 --> 01:00:54.128
understand that the answer is probably

01:00:54.188 --> 01:00:54.429
fear.

01:00:54.768 --> 01:00:55.550
And I'll bring my buddy who's a

01:00:55.570 --> 01:00:57.291
psychologist on to prove me right.

01:00:57.972 --> 01:00:59.213
And he'll do a little therapy session of

01:00:59.273 --> 01:00:59.793
why that is.

01:01:00.844 --> 01:01:02.487
Understand that that's the barrier.

01:01:02.507 --> 01:01:04.809
The results that you're not getting are

01:01:04.889 --> 01:01:06.411
hiding in the work that you're not doing.

01:01:06.550 --> 01:01:07.192
And that's what we'll do.

01:01:07.311 --> 01:01:08.612
So we'll talk content on Tuesday.

01:01:08.632 --> 01:01:10.094
Dave will be back by then.

01:01:10.375 --> 01:01:12.376
His little weird video that was off the

01:01:12.416 --> 01:01:13.898
cuff will have already crossed fifty

01:01:13.918 --> 01:01:14.579
thousand views.

01:01:14.900 --> 01:01:16.400
And that video doesn't make any sense

01:01:16.521 --> 01:01:18.943
until it makes perfect sense.

01:01:18.983 --> 01:01:19.864
Tony, I'll see you on Tuesday.

01:01:20.815 --> 01:01:21.735
See you, dude.

01:01:21.775 --> 01:01:22.677
That's it.

01:01:22.717 --> 01:01:23.177
We're out.

01:01:23.197 --> 01:01:24.717
Boys, what the hell are you doing?

01:01:24.757 --> 01:01:27.577
Follow Tony Maritano on YouTube at Total

01:01:27.637 --> 01:01:28.657
Therapy Solution.

01:01:28.697 --> 01:01:29.699
Find Dave Kittle at

01:01:29.719 --> 01:01:32.920
conciergepainrelief.com and on YouTube at

01:01:32.940 --> 01:01:34.139
The Dave Kittle Show.

01:01:34.440 --> 01:01:37.581
And follow Jimmy McKay at PT Podcast on

01:01:37.621 --> 01:01:38.721
YouTube, the socials,

01:01:38.840 --> 01:01:40.621
and wherever you binge podcasts you

01:01:40.641 --> 01:01:42.322
pretend are for CEUs.

01:01:42.603 --> 01:01:44.043
And hey, just a reminder,

01:01:44.523 --> 01:01:45.824
none of this was for advice.

01:01:45.844 --> 01:01:47.164
This was for entertainment only.

01:01:47.204 --> 01:01:49.003
Our lawyers say that counts.

01:01:49.105 --> 01:01:49.985
Thanks, Keith.