Top of Scope Isn’t a Job — It’s a Mindset

WEBVTT

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Looks great.

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Look at that.

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Beaches.

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I haven't seen that.

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I've seen the inside of the Hilton.

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It's in the conference center.

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Yeah.

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That's the thing.

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All right.

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Live from CSN,

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Rebecca Griffith is back on the show.

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We do a live stream once a week.

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We don't have a name for it yet.

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We call it books and stuff.

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We rarely talk about books.

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We talk about more stuff.

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How's your conference going?

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It's going great.

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I had some presentations yesterday and

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just really excited to be able to enjoy

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the content now.

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All right.

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Rebecca, you are the EDDPT.

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How much do you see ED content here

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outside of what you do?

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Well, actually,

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I put together some posts on my social

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media for people who are looking for ED

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content.

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So there's content on Thursday, Friday,

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and Saturday.

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There are platform presentations,

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poster presentations.

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I think tomorrow there's a full-length

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session specifically on BPPV in the

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emergency department.

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Isn't it great to see now?

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It's got to be pretty.

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It is.

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There are other people.

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It's not just you.

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Well,

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let me tell you the best part is

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yesterday when we were giving our

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presentation, I always say,

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how many of you have heard of PT

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and ED?

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And in the past,

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like only a couple of people have raised

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their hand.

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But yesterday I asked,

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how many of you practice in the emergency

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department?

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And hundreds of hands went up.

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And so that was like really exciting.

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So we actually took a photo of the

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audience because so many people were ADPTs

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in that audience.

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So that was really exciting.

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So you go into health systems as well,

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and people might say, okay, okay, okay,

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you got us, convinced us,

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and you help them sort of figure out

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how to do that.

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Yep.

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And do it well.

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So that's got to be pretty rewarding to

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see this.

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Yes.

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Yeah.

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What else are you looking for outside of

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this stuff?

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Because yourself and myself included have

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said,

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if you come to a conference like this,

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make it a point to go outside of

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your comfort zones, all the zones.

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Yeah,

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one of the things I'm hoping to go

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to this afternoon is the Oxford debate in

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the acute care section about float or

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focus.

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And one of the things I talk about

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a lot is,

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is it better for us to be specialists

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as being generalists or for us to

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specialize?

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And I think that's a current conversation

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in acute care.

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Should we put therapists in one specialty

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area in acute care or should we keep

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the team and the bench versatile and keep

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them moving throughout the hospital,

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building those skill sets,

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serving every patient that comes in the

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door?

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So I'm interested in that.

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Okay.

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One of your other things,

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like if you were to have a tattoo,

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I don't know if you have tattoos,

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but if you were to have,

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but I meant like a bicep tattoo.

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If you were to have a work tattoo,

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it probably would be top of scope.

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A hundred percent.

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Good.

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I got it.

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What is top of scope?

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Rewind.

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What does top of scope is a mindset

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actually mean?

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So for me,

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top of scope really is what you bring

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to yourself as a physical therapist.

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It's your training,

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it's your clinical experience,

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it's your lived experience,

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and it's the mindset with which you

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approach patients.

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So for me,

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top of scope is mindset plus skillset.

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So we take all of that together.

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And the one-liner is,

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who did you wanna be as a physical

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therapist?

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And why are you not being that person?

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That's what top of scope is.

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So top of scope isn't a destination,

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it's the journey of your career.

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Why aren't more PTs working in emergency

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settings?

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You saw a room today, obviously,

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that people are now doing it.

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But why aren't more?

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Why don't we stop here?

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I think part of it is there's just

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not jobs available, right?

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So when you come out of PT school,

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is it something you even know about?

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Or do you just look on Indeed and

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look for a job?

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Or do you come here?

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Is there anybody recruiting for the

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emergency department?

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So I think the answer to that is

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it's not easy yet.

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And I'll know that my work is done

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when you come out of PT school and

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you're like, oh,

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I'm going to apply for that job in

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the emergency department.

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It's just not there yet.

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Yeah.

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How could someone who's at an organization

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without PTs in the emergency department,

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how do they walk into a meeting and

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not get shut down or eyes rolled at,

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or what's the right way to,

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there's probably more than one right way,

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what are the right ways to do that?

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I think the answer is to do a

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PT evaluation on your hospital and your

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emergency department.

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We're good at that.

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Yeah.

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So you're going to receive a history.

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You're going to identify the impairments

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of the emergency department,

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the functional limitations,

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the participation restrictions,

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and you're going to set short and

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long-term goals of how physical therapy is

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going to remediate that for them.

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It can't be, oh,

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it makes the patients happy.

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Oh, the providers like us.

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We can decrease x-rays.

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It doesn't matter unless it matters to

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them.

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So figuring out what matters to them and

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then showing how the value you can add

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is the way to do that.

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And we know how to do it.

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We learned in school.

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And it feels like it might be for

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the right person, a more fulfilling day.

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And you might keep that person around

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longer.

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And if you're that person,

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you might be happier in your job.

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Also,

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just that like opportunity to be with

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patients in some of those most like

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vulnerable,

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scary moments and giving them that

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reassurance and that ability to go back

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out to the world with confidence is

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something it's hard to match.

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All right.

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Besides what you're doing here and the

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things that you're seeing, trends, themes,

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what people are whispering,

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because all the real good stuff happens in

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hallways or...

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Hotel room parties or actual parties at

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the House of Blues or wherever the parties

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might be.

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What are what's the buzz?

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You know,

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the other thing that I just keep hearing

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is I'm feeling better about the

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profession.

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Okay.

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Because I talk to a lot of people

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kind of the first day and they're like,

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oh, I'm not even sure why I'm here.

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I keep telling people not to become a

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physical therapist anymore.

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I'm kind of looking to get my groove

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back.

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And so I'm hearing people say, oh,

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today was so amazing.

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I talked to so many people.

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I'm feeling inspired again.

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So I think the theme that I'm walking

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away with is seeing people reinvigorated

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and inspired.

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Yeah.

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I was talking to someone yesterday who

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didn't understand that just a couple years

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ago, there was a next conference,

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then four months,

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there was a student conclave,

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then four months, there was CSM,

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and then four months, and four months,

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and four months, and four months.

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But people can get a little hit of

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dopamine, PT love at their state level.

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Absolutely.

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In states like Colorado.

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Yep.

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And I want to just plug APTA Colorado

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Fall Conference is in Breckenridge this

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year.

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You don't have to be a Colorado member

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to come.

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So please come on out to Colorado.

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We have outstanding programming.

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We're going to have a payment form as

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well.

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And we're going to go out,

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see the leaves and all the things.

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I was going to say,

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can you ski in Colorado in March?

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It's in October.

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Oh, you said October.

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They say March.

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It's in October.

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You can if there's snow,

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but usually it's peak leaf changing

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season.

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Everybody loves leaves.

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Well,

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also the hotels up there are a little

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bit cheaper because it's not ski season.

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So you can see the beauty of the

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mountains at that peak moment for a great

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price.

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Since we're on the PT podcast,

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you can have one drink and it feels

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like two or three.

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Oh, yeah.

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Altitude.

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Yeah.

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Oh, drink economically responsible.

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Exactly.

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That's smart.

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All right.

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These are fast.

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Normally we talk longer.

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Parting shot.

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What's your parting shot for today?

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if you haven't met somebody new yet at

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csm you've got to meet somebody and just

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like go up to them talk to them

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hey what are you clinically interested in

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tell me about your background like who are

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you what matters to you and you might

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leave with somebody that becomes a

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lifelong colleague the cheat code for me

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is i'm gonna hold up your badge here

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you got you got badges right and on

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it your name and like where you're from

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or where you're registered from

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My cheat code is I look at where

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someone's from and I'm like, oh, hey,

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Becca, Colorado.

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Tell me about that.

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That's so smart.

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Boom.

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People love talking about themselves and

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where they're from.

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And then that shouldn't be the only thing

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you talk about.

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But from there, things can go to Chico.

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I actually asked somebody to button my

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shirt yesterday in the lobby because I

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couldn't reach it.

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So that was my cheat code for meeting

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a new person yesterday.

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Can you help?

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So what you're saying is I should walk

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around unbuttoned most of the time.

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Yeah, that's what I'm saying.

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Perfect.

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All right, Rebecca Griffith, the EDDPT,

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will be live streaming next week again.

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And thank you for doing all you do

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in the state of Colorado.

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You got it.