Treating Parkinson’s Without a Cert: What Every Outpatient PT Needs to Know

WEBVTT

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brought to you by get the message out

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if you've spent more time thinking about

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your business if you spent more time

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congratulations you're normal get the

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help you finally hit the record button and

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look legit and

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You get to be the sage on stage,

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be the thing your audience sees.

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We do all the stuff in the background

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that you don't want to learn how to

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do.

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If you want to learn how to do

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that, you want to start it now,

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email me now, jimmy at ptpintcast.com,

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and let's make some noise together.

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Do want to thank some of our sponsors,

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Brooks IHL.

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They got one mission,

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turn good PTs into clinical leaders.

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Their residencies and fellowships give you

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real mentorship, evidence-based practice,

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and the support to level up.

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If you're ready to grow as a clinician,

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head to brooksihl.org.

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That is brooksihl.org.

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All right,

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if you think you need another specialist

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certification to treat someone with

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Parkinson's or that RTM is just another

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way to squeeze in some extra units,

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this episode might change your mind.

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Today's guest is the kind of PT who's

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helping the profession meet the moment

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from the clinic to the classroom to the

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emerging world of digital health.

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He treats movement disorders,

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teaches students, advises clinics on RTM,

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and still somehow has time for disc golf.

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From Arkansas to AI and everything in

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between, let's bring in our guest,

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Phil McKelvey.

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Phil, welcome to the show.

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Thanks for having me, Jimmy.

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You've got a lot in there.

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I do want to start with the most

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important.

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How do I get better at disc golf?

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Because I'm good at throwing Frisbees,

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but for some reason I'm terrible at disc

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golf.

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What am I doing wrong?

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It's very different.

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Yeah, it's all about the technique.

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They're more like airplane wings than

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regular Frisbees.

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There's lots of great YouTube channels out

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there that can help you.

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Come to Arkansas.

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There we go.

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It's a great sport.

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So, Phil, snapshot of you.

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What's your superhero backstory so people

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catch up besides disc golf?

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Yeah, so I'm a PT in Central Arkansas.

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I married one of my PT classmates.

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We've been married for going on nine

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years.

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She's an awesome therapist.

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And then we have two kids.

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I treat primarily neuro and vestibular

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disorders now,

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though I started out like your typical

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sports ortho guy out of PT school for

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more of my career than I've done this.

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Just had a little transition change.

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Yeah.

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And then I got interested in kind of

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the digital side of PT with an article

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in the APTA magazine about RTM.

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I'd randomly read it and I've just kind

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of been running down that rabbit hole for

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a while now and it hasn't stopped me

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yet.

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You've also got a little more family tree,

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a little PT family tree.

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I do.

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Yeah, absolutely.

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Yeah.

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So my father-in-law is a PT in Southeast

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Arkansas.

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I actually have a cousin-in-law who's a PT

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in Texas.

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So there's a lot of us.

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Did you ask permission before you popped

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the question to your PT school classmate?

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Was that something that you did?

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I did.

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So I asked her mom and her dad

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together because I knew that would be

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important to them.

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As I asked that question, I was like,

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man, he might say no.

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Yeah, then what do we go?

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Yeah, I did.

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That must have been cool for him.

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And, you know,

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maybe we'll get him on the show eventually

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later.

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But that must have been cool from the

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side note, which is like, oh,

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that's awesome.

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Like she went to PT school.

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Look at that.

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She found another one of us.

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Or was he like, hey –

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never gonna be a millionaire we're gonna

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do good in the world change the world

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yeah wouldn't it be great if you know

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yeah no he was he's uh an awesome

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built-in mentor he's someone who's been in

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the profession for a long time but never

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became a dinosaur just keeps learning so

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i've i've i've thrown so many questions at

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him over the years that have been glad

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to have him in my corner so that's

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a great point is um dinosaur doesn't

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actually only mean old when you're talking

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about someone who's old and crusty

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There's a lot of people who I know

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who are, quote, older age wise,

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but I do not like they do not

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give dinosaur vibes.

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And you're like, that's awesome.

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Like it's and it's life goals.

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Yeah,

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it's a choice because they plug in and

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keep learning.

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Yeah,

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which is why you could subscribe to this

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podcast just by going to Apple Podcasts.

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No, okay.

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But it is a good point,

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which is like the people who listen to

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not just my podcast,

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but podcasts in general or seek those

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things out, they're active, not passive.

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Those are the people who don't get crusty

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and rusty, like typically.

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Yeah.

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It's not just you pay the two thousand

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bucks for the weekend course.

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It's what do you do the other three

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hundred and sixty four days a year?

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Can you dip your toe?

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All right.

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Enough padding podcasts on the back.

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What do you let's go big picture question

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first.

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What do you think more?

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What do you wish more physical therapists

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understood?

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about treating patients with Parkinson's

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disease.

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Especially,

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we talked about this before we hit record,

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especially generalists who might only see

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it once in a while,

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who might be like,

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I'm picturing some of my PT school

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classmates.

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I'm an ortho bro.

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And then they look at their schedule and

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they're like, what's this?

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What do you wish that person,

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those people knew more about that?

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Yeah.

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And those are the exact people this is

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for.

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This isn't for your neuro experts.

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They know probably no more than I do.

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I've I've done certifications on

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Parkinson's.

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I'm not against those by any means.

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I'm all for the amplitude based training,

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the power, the big, all that stuff.

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But if you're a generalist and you live

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in a rural area or you live in

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a city where and this had this

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relationship with someone,

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they develop Parkinson's and they want you

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and no one else.

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You need to know that you just need

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to bump their intensity on whatever they

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enjoy doing.

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Especially if you're a rural therapist,

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they don't need,

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you got to find out what's going to

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be done safely for them.

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And maybe that looks like an exercise

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bike,

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but that doesn't look like an exercise

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bike,

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just pedaling around in a circle for ten

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minutes.

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That looks like doing interval sprints

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where you're twenty seconds on,

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forty seconds off as hard as they can

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go and then coasting.

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Sounds like a HIIT workout, bro.

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What are you talking about?

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It is a HIIT workout.

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Yeah.

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So if you're an ortho bro,

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and you've ever worked out a high level

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athlete and taking them through some

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cardio return, like you can do,

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you can do it.

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I'm not saying you're going to be as

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good as someone who only does this all

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the time.

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Cause that's impossible,

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but you can give that person meaningful

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neuroplastic change and drive a really

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good session and, and,

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change their perspective on exercise

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whether you you know have done lsvt big

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power rock steady or just kind of you

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know know how to work somebody out get

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them in thirteen to seventeen on the rpe

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range and keep them there yeah and that'll

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that'll get you eighty ninety percent of

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the way there

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This is by no means knocking the LSV,

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the power, the rock steady.

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I use it every day.

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It's just saying that you probably have

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more skills in your toolbox than you give

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yourself credit for.

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It might look different,

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but you probably know.

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So you mentioned intensity, right?

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is greater than protocol frequency.

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So let's see if I can remember these

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things.

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And my ex-phys professor will be excited.

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Sky Donovan, frequency and time,

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frequency, intensity, time, type, volume,

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progression.

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Those are your tools, man.

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Yeah.

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Those are your seven dwarfs, right?

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If you had to rank them,

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you're supposed to love all your fit VP

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equally,

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but what is the hierarchy of this?

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You've already said intensity,

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so we know the I is probably up

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there.

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What comes next?

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Frequency?

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It's probably number one.

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Frequency and time.

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Parkinson's Foundation recommends a

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hundred and fifty minutes a week for

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someone with Parkinson's as the floor.

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It is a lot.

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It's thirty minutes five times a week and

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moderate to vigorous intensity.

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Getting going where you could

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maintain a walk but you're kind of you're

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having to talk a little bit like this

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maybe yes and then the the type to

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me is a little less important it's

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whatever is going to get you exercising

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that much the aerobic is the one that's

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talked about the most and i think that

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falls back to that's just the easiest to

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research um

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If you're if you're a former lifter and

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you want to get into some lifting,

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like still do some aerobic, but go ahead,

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lift some weights, knock yourself out.

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Like, I mean, don't really.

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But, you know,

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if that's your if that's what's going to

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get you going for one hundred and fifty

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minutes a week,

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like we need to get you going for

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one hundred and fifty minutes a week

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because the the the thing is, like,

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if you're not doing it,

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it's not going to do you any good.

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So if I tell somebody you need to

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get on a bike one hundred fifty minutes

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a week or go for a walk,

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what's the point?

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You know?

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Yeah.

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I got to get, it could be dancing,

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you know,

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ballroom dancing or something like that.

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Like it doesn't have to look like

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exercise.

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It has to look like intensity,

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heart rate up, like moving quickly.

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But yeah, that's,

00:08:39.457 --> 00:08:41.119
that's where I would rate the,

00:08:41.158 --> 00:08:43.179
the most of those things.

00:08:43.200 --> 00:08:43.840
Yeah.

00:08:43.860 --> 00:08:46.020
What's the best exercise to do for insert,

00:08:46.961 --> 00:08:47.562
fill in the blank,

00:08:47.861 --> 00:08:48.903
the one you like doing,

00:08:48.923 --> 00:08:50.104
the one you're gonna do, right?

00:08:50.124 --> 00:08:50.323
Yeah.

00:08:51.323 --> 00:08:53.325
We've seen that research in low back pain

00:08:53.345 --> 00:08:55.645
for years, getting people moving,

00:08:55.885 --> 00:08:56.645
whatever it is,

00:08:56.907 --> 00:08:57.866
if they're going to stick with it,

00:08:57.947 --> 00:08:59.868
it's going to do better than maybe the

00:08:59.927 --> 00:09:01.488
perfect thing that they never do.

00:09:02.408 --> 00:09:04.029
Yeah, the perfect exercise you never do.

00:09:04.990 --> 00:09:05.830
I know it's better than that.

00:09:05.850 --> 00:09:08.010
It's a pretty good exercise that you do

00:09:08.071 --> 00:09:08.530
a lot.

00:09:08.572 --> 00:09:09.631
My brother's big, man.

00:09:09.672 --> 00:09:10.552
He's six four.

00:09:10.631 --> 00:09:12.113
He's a big dude.

00:09:12.552 --> 00:09:14.333
He just doesn't like lifting that much.

00:09:14.514 --> 00:09:16.875
so he'd rather go skate at our local

00:09:16.934 --> 00:09:19.875
rink and do and he likes the Stairmaster

00:09:19.916 --> 00:09:21.035
for some reason so he goes is that

00:09:21.076 --> 00:09:23.017
bad for me I go Stairmaster it up

00:09:23.037 --> 00:09:25.456
bro I'm like Stairmaster now you want to

00:09:25.476 --> 00:09:26.398
get stronger on the ice you want to

00:09:26.418 --> 00:09:27.957
skate faster I want you to do some

00:09:28.018 --> 00:09:29.337
single leg stuff or I want you to

00:09:29.357 --> 00:09:31.359
deadlift or squat but like if you don't

00:09:31.438 --> 00:09:32.980
like it me throwing it at you now

00:09:33.000 --> 00:09:34.360
it feels like I'm judging you now we

00:09:34.379 --> 00:09:37.000
get into psychology of it I bet which

00:09:37.041 --> 00:09:37.561
really matters

00:09:38.168 --> 00:09:39.208
which really matters too.

00:09:39.349 --> 00:09:40.788
And it especially matters when you're

00:09:40.808 --> 00:09:43.071
talking about someone who suffers from a

00:09:43.150 --> 00:09:45.331
disorder that causes apathy and depression

00:09:45.751 --> 00:09:46.772
for a lot of these patients.

00:09:47.212 --> 00:09:48.232
So if, you know,

00:09:48.293 --> 00:09:49.953
it's hard enough for me to go exercise

00:09:50.033 --> 00:09:51.254
and I don't have something like that

00:09:51.274 --> 00:09:53.836
hitting me down, a good percentage,

00:09:53.855 --> 00:09:54.596
I don't know the numbers,

00:09:54.636 --> 00:09:56.037
but these patients will deal with one of

00:09:56.057 --> 00:09:57.317
those two symptoms for a

00:09:57.639 --> 00:09:58.198
What were they again?

00:09:58.298 --> 00:10:00.100
Apathy and depression.

00:10:00.379 --> 00:10:02.520
Depression makes it hard to go along.

00:10:03.282 --> 00:10:05.263
Yeah, it's hard to get moving for anybody.

00:10:05.283 --> 00:10:06.562
But if you're if you're you know,

00:10:06.602 --> 00:10:08.664
if your diagnosis is making you a little

00:10:08.705 --> 00:10:10.865
apathetic, God, I don't know.

00:10:10.885 --> 00:10:12.005
How are you going to get that person

00:10:12.206 --> 00:10:14.486
to exercise and giving them something that

00:10:14.527 --> 00:10:16.187
they enjoy doing is going to really help

00:10:16.408 --> 00:10:17.928
get them going a lot more than just

00:10:18.328 --> 00:10:19.389
give them the perfect stuff.

00:10:20.845 --> 00:10:21.144
Yeah.

00:10:22.065 --> 00:10:24.427
We did mention things like power, LSVT,

00:10:24.547 --> 00:10:25.187
Rocksteady.

00:10:25.326 --> 00:10:26.827
And believe me,

00:10:27.528 --> 00:10:28.808
I've only heard good things about

00:10:29.109 --> 00:10:30.409
neurotherapists who've gone through those.

00:10:30.710 --> 00:10:32.350
But what's a step before that?

00:10:32.630 --> 00:10:33.731
What's the first date?

00:10:34.211 --> 00:10:35.212
Is there something free?

00:10:35.273 --> 00:10:36.693
Is there someone with a badass YouTube

00:10:36.714 --> 00:10:37.693
channel or a badass Instagram?

00:10:37.714 --> 00:10:38.414
What do you got?

00:10:38.455 --> 00:10:38.654
Absolutely.

00:10:39.274 --> 00:10:40.934
There's some good free stuff for patients

00:10:40.995 --> 00:10:41.634
and clinicians.

00:10:42.696 --> 00:10:44.696
I really like Rogue Physical Therapy.

00:10:44.796 --> 00:10:46.216
They're in Orange County, California.

00:10:46.855 --> 00:10:47.956
They're in a big enough area where they

00:10:47.996 --> 00:10:50.076
just specialize in people with

00:10:50.116 --> 00:10:50.636
Parkinson's.

00:10:50.657 --> 00:10:51.476
That's all they do.

00:10:51.557 --> 00:10:52.836
And it's a lot of cash based.

00:10:52.976 --> 00:10:54.418
I think there might be some insurance

00:10:54.437 --> 00:10:54.957
based stuff there,

00:10:55.298 --> 00:10:56.758
but they have a free YouTube channel and

00:10:56.778 --> 00:10:58.177
they have a paid YouTube channel for

00:10:58.217 --> 00:10:58.677
patients.

00:10:58.717 --> 00:11:00.158
But if you're a clinician looking for some

00:11:00.219 --> 00:11:01.839
exercise ideas or a person with

00:11:01.879 --> 00:11:03.259
Parkinson's looking for some exercise

00:11:03.318 --> 00:11:03.558
idea,

00:11:04.038 --> 00:11:05.840
go hit up their free channel and

00:11:07.559 --> 00:11:09.461
Good artists create, great artists steal.

00:11:09.520 --> 00:11:10.880
Just take a lot of their ideas and

00:11:10.900 --> 00:11:12.822
put it into your patient.

00:11:12.861 --> 00:11:14.663
And then there's one called Power for

00:11:14.702 --> 00:11:16.464
Parkinson's out of Austin, Texas.

00:11:16.484 --> 00:11:18.504
It's a nonprofit, P-O-W-E-R,

00:11:18.845 --> 00:11:20.684
not the Parkinson's Wellness Recovery

00:11:20.985 --> 00:11:21.505
Parkinson's.

00:11:22.005 --> 00:11:24.606
They have a lot of chair-based exercises,

00:11:24.647 --> 00:11:26.168
if that's the appropriate level for your

00:11:26.207 --> 00:11:26.888
patient or your

00:11:27.187 --> 00:11:29.090
your loved one with parkinson's and that's

00:11:29.110 --> 00:11:32.033
all free stuff so eat that up um

00:11:32.092 --> 00:11:33.615
i don't want to hype too many podcasts

00:11:33.654 --> 00:11:35.355
on your podcast but the i love neuro

00:11:35.395 --> 00:11:38.519
podcast has a bunch on parkinson's yeah

00:11:38.539 --> 00:11:40.642
that would be like those three resources

00:11:40.802 --> 00:11:42.543
just go to i love neuro and scroll

00:11:42.563 --> 00:11:44.004
through there there's you're gonna see

00:11:44.065 --> 00:11:46.807
within a year ten parkinson's podcast pick

00:11:46.947 --> 00:11:48.369
one on a topic that interests you and

00:11:48.469 --> 00:11:48.970
give it a listen

00:11:49.528 --> 00:11:51.448
always hype other podcasts i think that's

00:11:51.489 --> 00:11:53.830
right all podcasts raise other podcasts i

00:11:53.850 --> 00:11:55.671
do not think it is not straight if

00:11:55.691 --> 00:11:57.010
you listen to one podcast it's not like

00:11:57.030 --> 00:11:58.412
there's less cake for other people it's

00:11:58.432 --> 00:12:01.092
like more breeds more breeds more rising

00:12:01.153 --> 00:12:02.293
tides raise all boats

00:12:02.914 --> 00:12:03.835
Do not disagree there.

00:12:03.955 --> 00:12:05.235
Definitely agree.

00:12:05.676 --> 00:12:07.155
What else am I not asking about this?

00:12:07.176 --> 00:12:08.356
Because we're going to switch topics,

00:12:08.397 --> 00:12:09.756
but I want to make sure we don't

00:12:09.817 --> 00:12:10.957
leave this until you're like,

00:12:11.197 --> 00:12:12.738
I really wanted to talk about this.

00:12:12.898 --> 00:12:14.519
What is the last thing you'd say to

00:12:14.538 --> 00:12:18.500
maybe this avatar of outpatient ortho

00:12:18.539 --> 00:12:19.620
person who might have someone on

00:12:19.660 --> 00:12:21.061
Parkinson's on their schedule?

00:12:22.181 --> 00:12:23.562
Anything I didn't ask that opened a door

00:12:23.581 --> 00:12:23.761
for you?

00:12:25.182 --> 00:12:26.383
uh you we covered most of it i

00:12:26.423 --> 00:12:27.602
would just say don't be afraid to push

00:12:27.643 --> 00:12:29.903
these people um they may seem like they're

00:12:30.083 --> 00:12:32.725
they're not there to work hard um i

00:12:32.764 --> 00:12:34.505
work with them every day and i can

00:12:34.546 --> 00:12:36.606
tell you like um they're some of the

00:12:36.647 --> 00:12:38.427
nicest people i ever meet i don't know

00:12:38.447 --> 00:12:40.028
what that is about someone who suffers

00:12:40.048 --> 00:12:41.488
from parkinson's but they tend to be

00:12:41.508 --> 00:12:42.849
incredibly nice and they tend to be

00:12:42.889 --> 00:12:44.349
willing to work incredibly hard because

00:12:44.389 --> 00:12:45.889
they see the benefits and know the

00:12:45.909 --> 00:12:48.650
benefits so don't don't feel like i can't

00:12:48.691 --> 00:12:50.912
push this person because you know um

00:12:51.272 --> 00:12:53.432
They're seventy years old and they've got

00:12:53.513 --> 00:12:55.413
a tremor and they've got this flat affect

00:12:55.452 --> 00:12:56.553
like that person can go.

00:12:57.413 --> 00:12:59.394
Then they will go if you just coach

00:12:59.414 --> 00:13:00.794
them to get there, you know,

00:13:00.835 --> 00:13:02.275
progressively load them to that point.

00:13:02.655 --> 00:13:04.076
But don't feel like you can't push someone

00:13:04.096 --> 00:13:04.775
with Parkinson's.

00:13:04.796 --> 00:13:05.437
Yeah.

00:13:05.456 --> 00:13:07.576
Do not underdose safety first.

00:13:07.596 --> 00:13:08.638
That's right.

00:13:08.658 --> 00:13:08.817
Yeah.

00:13:08.857 --> 00:13:10.477
Right.

00:13:11.097 --> 00:13:11.999
And there's there's great.

00:13:12.038 --> 00:13:12.818
Like I said, I mean,

00:13:12.859 --> 00:13:14.198
a bike or a stepper,

00:13:14.239 --> 00:13:15.779
if that's what they can do for for

00:13:15.820 --> 00:13:17.419
the intensity part and you need to do

00:13:17.460 --> 00:13:18.480
some other stuff in sitting.

00:13:19.400 --> 00:13:20.721
Get their intensity on the bike or the

00:13:20.741 --> 00:13:21.082
stepper.

00:13:21.102 --> 00:13:21.503
That's fine.

00:13:22.163 --> 00:13:22.464
Okay.

00:13:22.864 --> 00:13:23.283
I like that.

00:13:23.303 --> 00:13:23.504
All right.

00:13:23.745 --> 00:13:24.544
Let's switch gears.

00:13:24.585 --> 00:13:25.346
Before we do that,

00:13:25.385 --> 00:13:27.548
let's just take a little quick break.

00:13:27.648 --> 00:13:31.410
All right.

00:13:31.431 --> 00:13:32.371
Taking a quick break.

00:13:32.392 --> 00:13:32.751
Got to help.

00:13:32.792 --> 00:13:33.673
We got to pay the bills, man.

00:13:33.732 --> 00:13:35.573
We got to keep the YouTube on here.

00:13:36.274 --> 00:13:38.277
Thanks to our friends at Empower EMR.

00:13:38.876 --> 00:13:41.239
It's like the opposite of a clunky system

00:13:41.418 --> 00:13:42.379
that you secretly hate.

00:13:42.539 --> 00:13:44.741
Empower EMR is smooth, smart,

00:13:44.802 --> 00:13:45.743
and helps you run your clinic.

00:13:46.417 --> 00:13:48.158
not wrestle with it.

00:13:48.177 --> 00:13:49.798
Check them out at EmpowerEMR.

00:13:49.839 --> 00:13:53.081
That's EmpowerEMR.com.

00:13:53.241 --> 00:13:54.422
And I want you to know about good

00:13:54.461 --> 00:13:55.003
causes.

00:13:55.822 --> 00:13:56.764
We love good causes.

00:13:56.823 --> 00:13:59.004
We want to give a microphone to the

00:13:59.024 --> 00:13:59.485
good cause.

00:13:59.525 --> 00:14:00.086
This one's cool.

00:14:00.405 --> 00:14:01.947
It's called One More Wave.

00:14:02.327 --> 00:14:04.229
They help wounded and disabled veterans

00:14:04.589 --> 00:14:06.671
heal through surfing.

00:14:06.990 --> 00:14:07.530
Yes.

00:14:07.890 --> 00:14:09.371
I can already hear the PTs wanting to

00:14:09.412 --> 00:14:09.972
volunteer.

00:14:09.993 --> 00:14:10.373
It's there.

00:14:10.852 --> 00:14:12.094
It's not just surfboards, though.

00:14:12.293 --> 00:14:14.615
They're taking custom adaptive boards

00:14:14.676 --> 00:14:15.876
designed for each vet,

00:14:16.537 --> 00:14:17.158
It's therapy.

00:14:17.518 --> 00:14:18.238
It's waves.

00:14:18.719 --> 00:14:19.418
It's purpose.

00:14:19.859 --> 00:14:20.460
Just check them out.

00:14:20.779 --> 00:14:22.760
Hit onemorewave.com to donate,

00:14:22.780 --> 00:14:23.380
get involved,

00:14:23.421 --> 00:14:25.182
or just watch someone catch a wave with

00:14:25.202 --> 00:14:27.543
a prosthetic leg and a huge smile and

00:14:27.604 --> 00:14:29.504
try not to get inspired or maybe shed

00:14:29.544 --> 00:14:30.186
a tear a little bit.

00:14:30.206 --> 00:14:36.830
So onemorewave.com.

00:14:36.870 --> 00:14:39.471
Let's change gears here with Phil.

00:14:41.493 --> 00:14:41.832
First of all,

00:14:41.852 --> 00:14:42.614
we got to paint the picture.

00:14:43.361 --> 00:14:46.067
What exactly is RTM and why should people

00:14:46.087 --> 00:14:46.288
care?

00:14:46.509 --> 00:14:47.951
You found out in a magazine and you

00:14:47.971 --> 00:14:49.254
were like, this is great.

00:14:49.294 --> 00:14:51.259
And then you dove in for the person

00:14:51.298 --> 00:14:52.822
who doesn't, who hasn't dove in yet.

00:14:53.062 --> 00:14:53.784
How do you paint the picture?

00:14:54.621 --> 00:14:54.761
Yeah,

00:14:54.881 --> 00:14:57.163
RTM is just remote therapeutic monitoring.

00:14:57.203 --> 00:14:58.785
So it's just a way for therapists to

00:14:58.806 --> 00:15:00.706
keep up with what's happening outside of

00:15:00.726 --> 00:15:04.730
the clinic, pain, home exercise adherence.

00:15:05.432 --> 00:15:06.773
Some of them will do step counts,

00:15:06.793 --> 00:15:09.615
activity levels, and patient messaging,

00:15:09.654 --> 00:15:11.496
phone calls, or messaging through the app.

00:15:11.517 --> 00:15:13.839
So it's a lot of what we do

00:15:13.918 --> 00:15:14.359
already.

00:15:14.399 --> 00:15:16.981
If you're doing what I feel like I

00:15:17.001 --> 00:15:18.942
should be doing and creating programs and

00:15:18.982 --> 00:15:20.024
keeping up with the patient,

00:15:20.083 --> 00:15:21.385
it's just done in a way that's now

00:15:21.446 --> 00:15:21.686
billable.

00:15:22.628 --> 00:15:26.390
Yeah, that might sound overwhelming.

00:15:26.451 --> 00:15:27.610
I've heard from people who've been like,

00:15:27.630 --> 00:15:28.812
I hear what it is,

00:15:28.851 --> 00:15:30.592
but that feels like it's adding a lot

00:15:30.673 --> 00:15:31.494
more work,

00:15:32.053 --> 00:15:34.155
which if you're doing a SWOT analysis,

00:15:34.235 --> 00:15:36.376
that's like a weakness or a threat.

00:15:36.797 --> 00:15:37.857
But if you're smart,

00:15:37.898 --> 00:15:38.979
like some tech companies,

00:15:39.058 --> 00:15:41.421
they look at it like an opportunity.

00:15:42.181 --> 00:15:44.001
Here's this road with a bump in it.

00:15:44.361 --> 00:15:46.004
How do I make it smoother?

00:15:46.764 --> 00:15:49.384
So there are companies who do that.

00:15:49.404 --> 00:15:50.904
There are organizations that go, hey,

00:15:50.945 --> 00:15:51.965
you do the PT part,

00:15:52.024 --> 00:15:52.885
we'll do the tech part.

00:15:53.025 --> 00:15:54.566
And when we merge,

00:15:55.206 --> 00:15:56.287
you're going to make more than...

00:15:56.346 --> 00:15:58.006
You're going to pay us something because

00:15:58.206 --> 00:15:59.106
we're doing work,

00:15:59.187 --> 00:16:00.988
but you're going to make more and be

00:16:01.008 --> 00:16:03.269
able to help more even after you pay

00:16:03.349 --> 00:16:03.528
us.

00:16:03.908 --> 00:16:05.149
So I want to throw that out there.

00:16:05.188 --> 00:16:06.769
There are apps and we can suggest some

00:16:06.809 --> 00:16:07.809
or whatever, but...

00:16:08.669 --> 00:16:09.451
That's out there.

00:16:09.631 --> 00:16:10.832
My next question for you is,

00:16:11.234 --> 00:16:13.456
I think we're past RTM is coming, right?

00:16:13.496 --> 00:16:15.278
It's like RTM's here, right?

00:16:15.460 --> 00:16:16.600
We're recording this at the end of twenty

00:16:16.620 --> 00:16:17.182
twenty five.

00:16:17.623 --> 00:16:18.683
Whether PTs like it or not,

00:16:19.004 --> 00:16:20.426
what's the opportunity here?

00:16:20.527 --> 00:16:22.568
What should clinics be doing now to

00:16:22.609 --> 00:16:24.412
prepare for twenty twenty six to twenty

00:16:24.451 --> 00:16:25.113
seven, twenty eight?

00:16:25.922 --> 00:16:27.783
Yeah, so it's definitely here.

00:16:27.883 --> 00:16:29.563
It's not ubiquitous by any means.

00:16:29.604 --> 00:16:31.926
There's all kinds of places that have

00:16:31.946 --> 00:16:32.485
never heard of it.

00:16:32.505 --> 00:16:33.767
I talked to PTs that have never heard

00:16:33.807 --> 00:16:35.768
of RTM or remote therapeutic monitoring

00:16:35.807 --> 00:16:36.288
spelled out.

00:16:36.928 --> 00:16:38.409
But it's here and it's going to stay.

00:16:39.090 --> 00:16:41.552
Excuse me, CMS, not CSM,

00:16:41.631 --> 00:16:42.951
not the conference.

00:16:43.312 --> 00:16:43.913
We're really smart.

00:16:44.133 --> 00:16:44.793
We're in healthcare.

00:16:44.854 --> 00:16:46.735
We name our conference CSM.

00:16:46.754 --> 00:16:48.475
Well, a lot of us deal with CMS,

00:16:48.495 --> 00:16:48.916
but yeah, I guess.

00:16:49.015 --> 00:16:49.755
Yes.

00:16:49.796 --> 00:16:52.956
So CMS has made changes to the codes

00:16:52.996 --> 00:16:54.297
coming in twenty twenty six that

00:16:54.317 --> 00:16:56.518
essentially fill some gaps that used to

00:16:57.638 --> 00:16:59.938
were some areas where you couldn't build

00:16:59.979 --> 00:17:01.438
someone because they didn't use the app

00:17:01.458 --> 00:17:02.839
enough or you didn't interact with them

00:17:02.879 --> 00:17:03.178
enough.

00:17:03.198 --> 00:17:04.779
They filled some of those gaps next year.

00:17:04.880 --> 00:17:06.140
And from what I understand,

00:17:06.180 --> 00:17:09.101
any time CMS is making positive changes to

00:17:09.141 --> 00:17:10.800
our reimbursement codes like that means

00:17:10.820 --> 00:17:11.641
they stay.

00:17:11.661 --> 00:17:13.821
Yeah, exactly.

00:17:13.842 --> 00:17:15.521
Yeah, it's it's rare, right?

00:17:15.602 --> 00:17:16.563
We're used to going in the other

00:17:16.583 --> 00:17:16.982
direction.

00:17:17.002 --> 00:17:17.063
Yes.

00:17:18.182 --> 00:17:18.423
But yeah,

00:17:18.462 --> 00:17:20.003
what what you should do now is,

00:17:20.805 --> 00:17:22.266
you know, you can reach out to me.

00:17:22.726 --> 00:17:24.207
I have a buddy named Matt Jurek who

00:17:24.387 --> 00:17:24.948
deals a lot.

00:17:27.029 --> 00:17:27.309
Yeah.

00:17:27.390 --> 00:17:28.971
So he's a good resource.

00:17:29.010 --> 00:17:30.932
And there's there's tons of vendors like I

00:17:30.951 --> 00:17:32.232
have some that I prefer.

00:17:32.353 --> 00:17:33.193
We can talk about that off.

00:17:33.513 --> 00:17:35.195
off mic if you or you can give

00:17:35.236 --> 00:17:38.440
him a shout out if you want like

00:17:38.460 --> 00:17:40.300
yeah yeah so uh orva is a great

00:17:40.402 --> 00:17:42.182
one orthopedic virtual assistant i really

00:17:42.202 --> 00:17:44.045
like them um i've dealt a little with

00:17:44.065 --> 00:17:46.048
um they just changed names i think it's

00:17:46.107 --> 00:17:49.270
prompt solutions uh they're integrated

00:17:49.310 --> 00:17:50.952
into prompt so if you use prompt those

00:17:50.972 --> 00:17:52.314
are the two i'm most familiar with but

00:17:52.374 --> 00:17:53.796
i've i've met with several different

00:17:53.816 --> 00:17:54.676
companies um

00:17:55.277 --> 00:17:56.959
vendors, you know, so there's,

00:17:57.078 --> 00:17:57.578
there's a lot.

00:17:57.659 --> 00:17:58.640
And, and some of them are just,

00:17:58.760 --> 00:17:59.800
I don't like them because they don't fit

00:17:59.820 --> 00:18:01.603
the clinic that I'm helping implement.

00:18:01.623 --> 00:18:02.804
Some are going to be better for some

00:18:02.824 --> 00:18:04.326
things and different for other settings.

00:18:04.625 --> 00:18:07.288
Uh, Steve Cohen, show, uh,

00:18:07.367 --> 00:18:07.989
is there a health?

00:18:08.048 --> 00:18:08.449
Is that him?

00:18:08.890 --> 00:18:09.549
Yeah.

00:18:09.671 --> 00:18:09.851
Yeah.

00:18:10.211 --> 00:18:12.451
yep yep that's a that's a pretty popular

00:18:12.551 --> 00:18:14.173
one you see him everywhere in the pt

00:18:14.192 --> 00:18:15.993
world like that guy's if you go to

00:18:16.013 --> 00:18:18.455
a conference you do spot steve have you

00:18:18.476 --> 00:18:20.037
seen him in person at a conference yeah

00:18:20.076 --> 00:18:21.837
i saw him last year and he's like

00:18:23.278 --> 00:18:26.140
he wears like the uncomfortably colored uh

00:18:26.220 --> 00:18:28.281
track suits and i think it's like at

00:18:28.321 --> 00:18:30.103
first glance you're like that's ridiculous

00:18:30.163 --> 00:18:30.482
and that's

00:18:32.142 --> 00:18:33.642
it is why he's doing it i remember

00:18:33.701 --> 00:18:35.502
seeing him so it worked you know yes

00:18:36.042 --> 00:18:37.242
yeah but that that one is more of

00:18:37.403 --> 00:18:38.864
a text messaging platform so you don't

00:18:38.884 --> 00:18:40.443
have to have the smartphone use you can

00:18:40.564 --> 00:18:42.045
you know which some a lot of these

00:18:42.105 --> 00:18:44.605
rely on apps so that one you know

00:18:44.625 --> 00:18:45.826
takes that out of the equation if you

00:18:45.846 --> 00:18:47.665
have older patients so you think can't do

00:18:47.826 --> 00:18:50.406
apps but um yeah so you know reach

00:18:50.446 --> 00:18:52.407
out to somebody find a podcast there's a

00:18:52.468 --> 00:18:54.008
lot that's that's how i started learning

00:18:54.028 --> 00:18:55.469
about it just a little bit as i'm

00:18:55.648 --> 00:18:56.288
sure i listen to

00:18:57.048 --> 00:18:58.931
Matt Jurek was one of our most listened

00:18:58.971 --> 00:19:01.992
to episodes in twenty twenty might have

00:19:02.012 --> 00:19:03.173
been the end of twenty three.

00:19:03.213 --> 00:19:04.194
And we might have been talking about that

00:19:04.214 --> 00:19:04.295
long.

00:19:04.335 --> 00:19:04.775
But he came in.

00:19:04.795 --> 00:19:05.355
Yeah, that's how I found him.

00:19:05.375 --> 00:19:07.436
Yeah.

00:19:07.497 --> 00:19:08.397
He came in and was like,

00:19:08.538 --> 00:19:09.278
I understand this.

00:19:09.338 --> 00:19:10.298
And that's what he does.

00:19:10.318 --> 00:19:11.941
Like not to get too much into Jurek.

00:19:12.361 --> 00:19:13.740
he drives around the country in an RV

00:19:13.760 --> 00:19:15.201
with his family and just like does cool

00:19:15.241 --> 00:19:15.582
stuff.

00:19:15.682 --> 00:19:16.801
And then he jumps on my laptop and

00:19:16.821 --> 00:19:19.143
he does this for clinics and he goes,

00:19:19.423 --> 00:19:21.644
they pay me and they're still making

00:19:21.683 --> 00:19:23.124
enough money to make the F the juice

00:19:23.144 --> 00:19:23.784
worth the squeeze.

00:19:23.804 --> 00:19:25.005
And I'm like, Oh,

00:19:25.065 --> 00:19:27.705
this is intersection of opportunity meets

00:19:28.205 --> 00:19:28.766
elbow grease.

00:19:28.826 --> 00:19:30.145
And I love those.

00:19:30.205 --> 00:19:30.906
Me and Matt met,

00:19:30.946 --> 00:19:32.567
he was in Arkansas when I reached out

00:19:32.586 --> 00:19:34.127
to him on LinkedIn and we just kind

00:19:34.147 --> 00:19:35.428
of met halfway, uh,

00:19:35.887 --> 00:19:37.128
over beers and talked through the whole

00:19:37.148 --> 00:19:38.769
rtm thing learned a lot so he's he's

00:19:38.789 --> 00:19:40.530
a great resource he gets it from two

00:19:40.551 --> 00:19:42.653
uh number one he understands the tech

00:19:42.772 --> 00:19:45.634
technology enough and he also meets you on

00:19:45.654 --> 00:19:47.316
the other side because he's a pt he's

00:19:47.336 --> 00:19:48.436
like i've been there i've been on the

00:19:48.477 --> 00:19:50.239
other side i know that this seems like

00:19:50.259 --> 00:19:50.898
it's going to be a pain in the

00:19:50.999 --> 00:19:53.320
ass but watch watch me remove every one

00:19:53.340 --> 00:19:55.201
of your um barriers or every one of

00:19:55.221 --> 00:19:56.563
your objections and if we can do it

00:19:56.623 --> 00:19:58.924
this smooth would you do it and when

00:19:58.964 --> 00:20:00.465
people you have to commit

00:20:01.023 --> 00:20:01.845
There is some work.

00:20:02.144 --> 00:20:02.986
There's going to be a lot of work

00:20:03.006 --> 00:20:03.506
in the beginning.

00:20:03.826 --> 00:20:04.946
And then the amount of work is going

00:20:04.967 --> 00:20:06.147
to fade out and you're going to get

00:20:06.347 --> 00:20:07.429
no return in the beginning.

00:20:07.469 --> 00:20:09.170
But then the return is only going to

00:20:09.190 --> 00:20:09.750
compound.

00:20:10.371 --> 00:20:12.192
And, you know, luck favors the bold.

00:20:12.913 --> 00:20:13.173
Yeah.

00:20:13.232 --> 00:20:15.154
And in a, you know,

00:20:15.214 --> 00:20:16.055
it's twenty twenty five,

00:20:16.095 --> 00:20:17.135
almost twenty twenty six.

00:20:17.276 --> 00:20:19.377
Everyone has gone digital in the world.

00:20:19.498 --> 00:20:22.500
I mean, airplanes, finance, you know,

00:20:22.519 --> 00:20:23.181
those are big things.

00:20:23.240 --> 00:20:23.760
It makes sense.

00:20:23.780 --> 00:20:26.682
But like food delivery, the fitness world,

00:20:26.722 --> 00:20:28.484
like your smartphone knows more about your

00:20:28.724 --> 00:20:29.986
activity than your PT does.

00:20:30.806 --> 00:20:32.749
So why don't we utilize that to let

00:20:32.769 --> 00:20:34.471
your PT know these same things, right?

00:20:34.491 --> 00:20:35.772
Like the person who's guiding your

00:20:35.813 --> 00:20:37.355
movement and care should know what,

00:20:37.556 --> 00:20:37.875
you know,

00:20:38.076 --> 00:20:40.420
just your app within your smartphone knows

00:20:40.500 --> 00:20:41.842
or your Garmin watch knows this.

00:20:41.922 --> 00:20:43.263
That's what RTM is trying to come from.

00:20:43.284 --> 00:20:44.465
It's trying to catch us up with the

00:20:44.506 --> 00:20:45.146
rest of the world.

00:20:45.527 --> 00:20:46.208
Yep.

00:20:46.528 --> 00:20:46.568
Um,

00:20:48.678 --> 00:20:49.419
How can people reach you?

00:20:49.439 --> 00:20:50.239
You said reach out to me.

00:20:50.278 --> 00:20:52.621
What's the, I want you to say it.

00:20:52.840 --> 00:20:53.381
Sure.

00:20:53.500 --> 00:20:54.902
Easiest way to find me would be,

00:20:54.922 --> 00:20:56.042
I'll give you three ways.

00:20:56.063 --> 00:20:57.904
So my email is just philmckelvey at

00:20:57.944 --> 00:20:58.825
gmail.com.

00:20:59.625 --> 00:21:01.507
I'm on LinkedIn, Philip McKelvey.

00:21:01.987 --> 00:21:05.349
And then my Instagram is philmckelvey.dpt.

00:21:05.430 --> 00:21:06.069
So you can reach,

00:21:06.130 --> 00:21:07.050
reach out on any of those.

00:21:07.191 --> 00:21:08.271
I'd be happy to talk to you.

00:21:08.811 --> 00:21:09.932
Let's talk about you for a second.

00:21:10.053 --> 00:21:10.933
You juggle a lot.

00:21:10.993 --> 00:21:13.056
In your intro, I mentioned clinician life,

00:21:13.215 --> 00:21:15.317
education, entrepreneurship, advocacy,

00:21:16.179 --> 00:21:17.460
son-in-law to another PT,

00:21:17.480 --> 00:21:18.621
so I'm sure he's always watching.

00:21:18.641 --> 00:21:22.703
I'm sure he's always eyeballing you.

00:21:22.743 --> 00:21:24.326
Your better half is also a physical

00:21:24.365 --> 00:21:25.185
therapist, too.

00:21:25.767 --> 00:21:28.449
How do those roles feed each other,

00:21:29.009 --> 00:21:31.531
and what keeps someone like you curious?

00:21:32.778 --> 00:21:33.038
Yeah,

00:21:33.058 --> 00:21:36.022
so I'm the kind of person that comes

00:21:36.063 --> 00:21:37.424
up with lots of ideas and then I

00:21:37.484 --> 00:21:38.586
drop a lot of those ideas.

00:21:38.665 --> 00:21:40.588
But if something continues to excite me

00:21:40.648 --> 00:21:41.509
for, you know,

00:21:41.789 --> 00:21:43.172
while I'm learning about it week after

00:21:43.211 --> 00:21:44.032
week, month after month,

00:21:44.607 --> 00:21:45.848
I kind of run it past my wife,

00:21:45.888 --> 00:21:46.249
of course.

00:21:46.269 --> 00:21:47.549
She's the discerner.

00:21:47.589 --> 00:21:48.569
I think you and I have talked about

00:21:48.589 --> 00:21:49.111
that before.

00:21:50.691 --> 00:21:52.792
But if, yeah, if, if, if that,

00:21:53.232 --> 00:21:54.933
if it clears that path and I get

00:21:55.773 --> 00:21:57.575
some excitement from it or enjoyment from

00:21:57.595 --> 00:21:59.036
it, I just keep running with it until,

00:21:59.236 --> 00:22:00.096
until it stops.

00:22:00.136 --> 00:22:02.498
So it, you would think like, oh, he's,

00:22:02.857 --> 00:22:06.119
he does, there's an adjunct professor,

00:22:06.200 --> 00:22:07.681
been doing that for a few semesters.

00:22:08.161 --> 00:22:10.462
I do the public relations.

00:22:10.482 --> 00:22:11.843
It's Arkansas College of Health

00:22:11.883 --> 00:22:12.523
Educations.

00:22:13.009 --> 00:22:13.770
What's your logo?

00:22:13.790 --> 00:22:14.571
What's the mascot?

00:22:14.632 --> 00:22:16.193
I judge schools by mascots and logos.

00:22:16.355 --> 00:22:18.257
Oh, I don't know that they really,

00:22:18.416 --> 00:22:19.719
I don't know if they really have a

00:22:19.759 --> 00:22:20.279
mascot.

00:22:20.619 --> 00:22:22.303
So it's just, it's like, yeah,

00:22:22.323 --> 00:22:22.923
they should get one.

00:22:22.943 --> 00:22:23.964
They have no sports teams.

00:22:23.984 --> 00:22:27.410
It's just like, it's like, yeah, but no,

00:22:27.430 --> 00:22:28.811
to my knowledge, there's no mascot.

00:22:29.172 --> 00:22:29.772
We'll work on it.

00:22:29.873 --> 00:22:30.053
Okay.

00:22:30.073 --> 00:22:30.393
Keep going.

00:22:30.413 --> 00:22:30.953
We'll work on it.

00:22:31.294 --> 00:22:31.535
Yeah.

00:22:31.595 --> 00:22:34.458
So all of these things like add to

00:22:34.979 --> 00:22:36.319
what I, they fill my cup.

00:22:36.520 --> 00:22:38.923
Like sometimes, you know, in PT,

00:22:38.942 --> 00:22:40.724
the word burnout is everywhere because

00:22:40.785 --> 00:22:42.528
it's, it's so easy to hit that.

00:22:43.669 --> 00:22:45.570
And dealing with patients with real

00:22:45.611 --> 00:22:47.532
problems and real sad things and, and,

00:22:47.834 --> 00:22:47.913
and,

00:22:48.233 --> 00:22:49.733
that can empty your cup so if you're

00:22:49.753 --> 00:22:51.815
not filling into it now i do that

00:22:51.855 --> 00:22:53.815
with disc golf and with hiking and camping

00:22:53.835 --> 00:22:56.454
and stuff like that but professionally it

00:22:56.494 --> 00:22:59.336
keeps me excited about being a pt by

00:22:59.395 --> 00:23:01.615
working on outside projects outside of my

00:23:02.115 --> 00:23:04.017
you know clinic job nine to five job

00:23:04.057 --> 00:23:06.156
and within that job i do some extra

00:23:06.176 --> 00:23:08.277
stuff there too so it the key to

00:23:08.317 --> 00:23:10.357
me is just finding things that you enjoy

00:23:10.617 --> 00:23:12.597
and and going down that and then if

00:23:12.617 --> 00:23:14.337
you stop and you know if it doesn't

00:23:14.377 --> 00:23:16.098
work then you just stop it you're not

00:23:16.118 --> 00:23:17.538
a failure you just you know

00:23:18.544 --> 00:23:19.525
you know,

00:23:19.545 --> 00:23:20.665
kind of that fail forward mentality.

00:23:21.247 --> 00:23:21.547
Yeah.

00:23:21.567 --> 00:23:22.768
This is bear grills.

00:23:22.928 --> 00:23:24.329
This is myth busters.

00:23:24.529 --> 00:23:26.932
You try stuff, you put it out there.

00:23:27.673 --> 00:23:27.833
You know,

00:23:27.853 --> 00:23:29.253
you've seen that chart before where it's

00:23:29.294 --> 00:23:31.016
like success, how we think it goes.

00:23:31.036 --> 00:23:32.196
And it's like up into the right.

00:23:32.237 --> 00:23:33.938
And then like how actual success is.

00:23:33.978 --> 00:23:36.119
And it's like, it's all over the place.

00:23:36.181 --> 00:23:36.401
Yeah.

00:23:37.343 --> 00:23:37.702
And for me,

00:23:37.722 --> 00:23:39.064
like connecting with people is a,

00:23:39.243 --> 00:23:41.704
is a real like a fire, you know,

00:23:41.724 --> 00:23:42.425
lots of fire me.

00:23:42.445 --> 00:23:43.826
So I reach out to people on,

00:23:44.027 --> 00:23:44.686
on projects.

00:23:44.767 --> 00:23:45.126
Yeah.

00:23:45.287 --> 00:23:46.407
It helps, you know,

00:23:46.607 --> 00:23:48.868
make me feel engaged and excited in the,

00:23:49.048 --> 00:23:52.090
in whether it's APTA or outside of APTA

00:23:52.111 --> 00:23:53.391
or like within clinics, like.

00:23:54.011 --> 00:23:55.752
That's what the real superpower of APTA

00:23:55.772 --> 00:23:56.393
membership is.

00:23:56.432 --> 00:23:57.432
We've talked about this before.

00:23:57.472 --> 00:23:58.933
I've raged on it on LinkedIn.

00:23:58.953 --> 00:23:59.835
I'm not going to stop.

00:23:59.914 --> 00:24:01.335
You're not selling CEUs.

00:24:01.414 --> 00:24:02.615
You're not selling a newsletter.

00:24:02.635 --> 00:24:03.957
You're not selling journal access.

00:24:03.977 --> 00:24:05.477
You are selling what Phil was talking

00:24:05.497 --> 00:24:06.238
about right now.

00:24:07.219 --> 00:24:09.940
companies and it's powerful yeah like the

00:24:10.019 --> 00:24:12.161
pts are great people and for the most

00:24:12.201 --> 00:24:14.442
part they want to like you can reach

00:24:14.501 --> 00:24:16.563
out to people on instagram on a post

00:24:16.603 --> 00:24:18.564
where you learn to learn something and

00:24:18.584 --> 00:24:19.924
these people can have eight hundred

00:24:19.944 --> 00:24:22.365
thousand followers and almost all of them

00:24:22.405 --> 00:24:23.125
message you back

00:24:24.113 --> 00:24:27.354
I figured that out a decade ago when

00:24:27.653 --> 00:24:29.413
Instagram PT was starting to become a

00:24:29.453 --> 00:24:29.693
thing.

00:24:29.713 --> 00:24:30.714
And I was reaching out to these people

00:24:30.734 --> 00:24:32.454
with specific questions I couldn't answer.

00:24:32.474 --> 00:24:34.935
And they were just mentoring me via DMs

00:24:34.996 --> 00:24:35.675
on Instagram.

00:24:36.215 --> 00:24:36.816
Miles, right?

00:24:37.476 --> 00:24:38.237
Yeah.

00:24:38.336 --> 00:24:39.416
And now some of those people are my

00:24:39.457 --> 00:24:39.797
friends.

00:24:39.836 --> 00:24:41.176
So it's just really cool.

00:24:41.237 --> 00:24:42.938
And so you can do that in lots

00:24:42.958 --> 00:24:43.557
of different ways.

00:24:43.617 --> 00:24:44.958
I know some people don't feel comfortable

00:24:44.978 --> 00:24:46.439
with that, but I encourage it.

00:24:46.459 --> 00:24:47.239
That's one way.

00:24:48.088 --> 00:24:51.250
Yeah, if they don't respond,

00:24:51.270 --> 00:24:52.231
it's because they were too busy,

00:24:52.251 --> 00:24:53.353
not because they didn't like you.

00:24:53.373 --> 00:24:54.153
It's no big deal.

00:24:54.712 --> 00:24:55.834
You're right where you are today.

00:24:56.335 --> 00:24:58.155
Yeah, we're going to play a quick game.

00:24:58.175 --> 00:24:59.215
Are you ready to play a quick game?

00:24:59.836 --> 00:25:00.136
Ready.

00:25:03.259 --> 00:25:05.461
Neuro Factor Fiction.

00:25:07.701 --> 00:25:07.882
Phil,

00:25:07.902 --> 00:25:09.042
since you're deep in the Parkinson's

00:25:09.083 --> 00:25:09.182
world,

00:25:09.202 --> 00:25:09.983
I'm going to hit you with a few

00:25:10.003 --> 00:25:10.443
statements.

00:25:10.604 --> 00:25:11.344
You tell us...

00:25:12.252 --> 00:25:15.416
If it's neuro, fact, or fiction,

00:25:15.537 --> 00:25:16.738
and then you set the record straight.

00:25:16.939 --> 00:25:18.000
Coming in hot with three.

00:25:18.299 --> 00:25:18.559
Okay.

00:25:19.602 --> 00:25:22.484
Only PTs with LSVT big certification

00:25:22.505 --> 00:25:24.587
should be treating persons with

00:25:24.627 --> 00:25:25.568
Parkinson's disease.

00:25:25.969 --> 00:25:26.529
Fact or fiction.

00:25:27.730 --> 00:25:29.852
Fiction LSVT big is great.

00:25:29.892 --> 00:25:32.453
And it really advanced how we see and

00:25:32.473 --> 00:25:34.115
treat people with Parkinson's in relation

00:25:34.134 --> 00:25:35.275
to amplitude based training,

00:25:35.315 --> 00:25:37.416
but that would severely limit access to

00:25:37.457 --> 00:25:39.317
people in, in bigger,

00:25:39.438 --> 00:25:41.939
bigger cities or certain areas where neuro

00:25:41.979 --> 00:25:43.660
specialists are, are present.

00:25:43.680 --> 00:25:44.701
Like it's, it's great.

00:25:44.740 --> 00:25:45.661
And those people get great care,

00:25:45.701 --> 00:25:46.662
but that's not where everyone with

00:25:46.682 --> 00:25:47.561
Parkinson's lives.

00:25:47.603 --> 00:25:50.064
So I want anyone who has Parkinson's or

00:25:50.104 --> 00:25:52.005
other movement disorders to get quality

00:25:52.045 --> 00:25:52.305
care,

00:25:52.345 --> 00:25:54.465
whether it makes sense for a PT and

00:25:54.486 --> 00:25:56.867
their vicinity to get certified or not.

00:25:57.405 --> 00:25:57.806
Number two,

00:25:57.986 --> 00:26:00.567
exercise can actually slow down the

00:26:00.607 --> 00:26:03.068
progression of Parkinson's disease.

00:26:03.250 --> 00:26:06.151
Fact or fiction?

00:26:06.191 --> 00:26:06.490
Fact.

00:26:07.231 --> 00:26:09.573
There's a ton amount of animal research

00:26:09.593 --> 00:26:10.374
that shows this.

00:26:10.814 --> 00:26:12.414
Human research is a lot harder to do.

00:26:12.454 --> 00:26:13.536
They're working on the studies.

00:26:13.596 --> 00:26:17.738
But I mean, functionally, mood wise,

00:26:17.877 --> 00:26:18.219
et cetera,

00:26:18.278 --> 00:26:19.398
it's going to improve everything.

00:26:19.578 --> 00:26:21.500
And all of the research I've seen and

00:26:21.520 --> 00:26:22.941
all the data is pointing in the direction

00:26:22.961 --> 00:26:24.903
that it absolutely slows down progression

00:26:24.923 --> 00:26:25.383
of disease.

00:26:25.891 --> 00:26:26.651
Now we're going to twist it.

00:26:26.790 --> 00:26:27.771
We'll do factor fiction,

00:26:27.791 --> 00:26:28.751
but this is about RTM.

00:26:28.811 --> 00:26:30.972
I'll slide in an RTM question in there.

00:26:30.992 --> 00:26:34.173
RTM is just a billing trick.

00:26:34.693 --> 00:26:36.875
Is it a billing trick fact or is

00:26:36.894 --> 00:26:37.214
it a bill?

00:26:37.255 --> 00:26:38.355
It's not a billing trick fiction.

00:26:38.415 --> 00:26:38.855
What do you think?

00:26:40.325 --> 00:26:41.086
I'd go with fiction.

00:26:41.205 --> 00:26:41.846
It can be.

00:26:42.307 --> 00:26:42.988
It shouldn't be.

00:26:43.488 --> 00:26:44.950
I don't think people that are implementing

00:26:44.990 --> 00:26:46.611
it are using it that way because it's

00:26:46.651 --> 00:26:48.313
too much work to get going on to

00:26:48.353 --> 00:26:49.834
just make a few extra bucks.

00:26:50.755 --> 00:26:52.936
And it can really offset some Medicare

00:26:52.957 --> 00:26:53.998
cuts and make you some money.

00:26:54.058 --> 00:26:55.038
But what it is,

00:26:55.099 --> 00:26:57.020
it's a way to better engage your patients

00:26:57.060 --> 00:26:58.282
and a way to better understand their

00:26:58.323 --> 00:26:58.623
recovery.

00:26:59.069 --> 00:26:59.690
There it is.

00:26:59.710 --> 00:26:59.890
All right.

00:26:59.930 --> 00:27:00.550
You're off the hot seat.

00:27:00.570 --> 00:27:01.411
That's fact or fiction.

00:27:02.411 --> 00:27:04.352
The last thing we do on most episodes.

00:27:04.372 --> 00:27:04.991
Where's my button?

00:27:05.071 --> 00:27:05.632
I got a button.

00:27:05.731 --> 00:27:06.232
I got a button.

00:27:06.252 --> 00:27:06.752
Here we go.

00:27:06.792 --> 00:27:08.753
This is the parting shot.

00:27:08.794 --> 00:27:09.413
Parting shot.

00:27:09.453 --> 00:27:11.315
Your last chance for a mic drop moment.

00:27:11.375 --> 00:27:12.795
I want to say thanks to AOMT.

00:27:13.214 --> 00:27:14.215
If you know, you know,

00:27:14.596 --> 00:27:16.957
AOMT is where orthopedic manual physical

00:27:16.977 --> 00:27:17.997
therapists go to connect,

00:27:18.057 --> 00:27:19.478
grow and sharpen their craft.

00:27:19.518 --> 00:27:20.198
Join the movement.

00:27:20.738 --> 00:27:24.701
at a-ompt.org that's a-a-o-m-p-t.org

00:27:24.740 --> 00:27:26.482
thanks for supporting the show parting

00:27:26.502 --> 00:27:27.864
shot your last chance for a mic drop

00:27:27.903 --> 00:27:28.805
moment what are you leaving with the

00:27:28.845 --> 00:27:29.305
audience today

00:27:30.980 --> 00:27:32.340
I'm going to get off both topics and

00:27:32.361 --> 00:27:34.743
just say, you know, work hard, be kind.

00:27:34.983 --> 00:27:37.986
So my dad was one of the biggest

00:27:38.006 --> 00:27:39.067
influences on my life.

00:27:39.367 --> 00:27:40.769
And if I could boil down everything I

00:27:40.808 --> 00:27:42.410
learned from that guy for to be a

00:27:42.470 --> 00:27:44.172
successful human and have a happy life,

00:27:44.612 --> 00:27:46.153
work hard, be kind.

00:27:46.212 --> 00:27:47.233
It doesn't even have to be in that

00:27:47.314 --> 00:27:47.535
order.

00:27:47.775 --> 00:27:48.875
You know, be kind,

00:27:48.935 --> 00:27:51.038
work hard and you're going to go

00:27:51.077 --> 00:27:51.377
somewhere.

00:27:51.982 --> 00:27:52.663
Love it.

00:27:52.682 --> 00:27:53.403
You want to give a shout out to

00:27:53.423 --> 00:27:54.444
your state chapter as well.

00:27:54.464 --> 00:27:55.625
That's how we connected was through your

00:27:55.664 --> 00:27:55.865
state.

00:27:55.884 --> 00:27:56.266
That is.

00:27:56.346 --> 00:27:56.605
Yeah.

00:27:56.665 --> 00:27:57.787
So I'm from Arkansas.

00:27:57.826 --> 00:27:59.587
So if you're a PT in Arkansas,

00:28:00.208 --> 00:28:01.769
reach out to me or someone about being

00:28:01.788 --> 00:28:02.829
a member of what that means.

00:28:03.349 --> 00:28:04.851
We're trying to figure out what people

00:28:04.931 --> 00:28:07.132
want and don't want and make it better.

00:28:07.192 --> 00:28:07.813
So, you know,

00:28:07.873 --> 00:28:09.354
reach out to myself or one of the

00:28:09.394 --> 00:28:09.614
other.

00:28:10.173 --> 00:28:11.035
Yeah, we're trying to grow it.

00:28:11.075 --> 00:28:12.315
So reach out.

00:28:12.434 --> 00:28:12.875
We can talk.

00:28:13.736 --> 00:28:14.076
Love it.

00:28:14.096 --> 00:28:15.156
Phil, appreciate the time.

00:28:15.217 --> 00:28:17.659
Thanks so much for for for espousing some

00:28:17.699 --> 00:28:18.838
wisdom here on the podcast.

00:28:18.858 --> 00:28:19.259
Appreciate that.

00:28:20.019 --> 00:28:20.740
I hope I had a little bit.

00:28:20.760 --> 00:28:21.401
Thanks for having me, Jimmy.