What Will the CrossFit Tragedy Teach Us?

WEBVTT

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Good Tuesday morning to you

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as we get live on Tuesday,

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August 13th here for PT Breakfast Club.

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Some things on the docket today.

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We're going to be talking

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about CrossFit back in the news.

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Good, bad, sad, scary.

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APTA comes up in discussion,

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and this is going to surprise, wow,

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a lot of you.

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APTA was the scapegoat again.

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Again, I don't work for APTA,

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but I just do find it

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interesting that APTA is

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all of the reasons that are

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wrong with our profession.

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And then we're going to get

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into sort of some different

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business model questions.

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These always pop up in Facebook groups,

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on Reddit, people looking for advice.

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And the funny part is if you

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watch long enough,

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the topic just comes back up again.

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I'll be joined by my co-hosts,

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Tony Maritato and Dave Kittle.

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Without further ado,

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let's kick off today's show.

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We're gonna watch the intro again, sorry.

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i thought you just needed a

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little extra I thought you

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just needed a little extra

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I thought you just needed a

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little extra time there

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yeah that's like the time

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there yeah that's like the

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time there yeah that's like

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the that's the way to do it

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uh it's such that's the way

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to do it uh it's such

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that's the way to do it uh

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it's such an uh mtv remote

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control vibe I like an uh

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mtv remote control vibe I

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like an uh mtv remote

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control vibe I like that

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little intro tony maritato

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I'm that little intro tony

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maritato I'm that little

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intro tony maritato I'm

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jimmy mckay dave kittle

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gonna join us jimmy mckay

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dave kittle gonna join us

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jimmy mckay dave kittle

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gonna join us because I

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originally said hey can we

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because I originally said

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hey can we because I

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originally said hey can we

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start at 8 40 and you guys

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were like yeah start at 8

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40 and you guys were like

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yeah start at 8 40 and you guys were like

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I'm not a CrossFit, like, you know,

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I don't follow it.

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I don't practice it.

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I think I mentioned to you guys,

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like back in PT school,

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I was like super anti.

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And I think it was because there was like,

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I don't know if it was a

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New Yorker article back

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when I was in PT school and

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it was like all about rhabdo.

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It was, like, 2014.

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Oh, I remember that one.

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And it was, like, everywhere.

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And I remember, like, I'm a PT student.

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I'm reading this.

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Oh, my gosh.

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CrossFit is evil.

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And I went around telling

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everybody I could it was evil.

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And then I was like, oh,

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it's actually just a bunch

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of people working out.

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Got it.

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Okay.

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Like, and rap does a thing.

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But, like, you know, it's not everywhere.

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Like, the way the article was written,

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and obviously it was written well for,

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like, spreading, right?

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was this thing is going to

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be like an epidemic like

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people are going to be

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dropping dead of rhabdo or

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they're going to be losing

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limbs or whatever happens

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you know kitties are going

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to be shutting down and

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that wasn't necessarily the

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case and then crossfit went

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on to I don't know if it

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was singularly responsible

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I think maybe lululemon

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probably had a little bit

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to do with it and you know

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uh yoga fashion but like

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was really like

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instrumental in the last

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I'd say 10 years of kicking

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off this you know fashion

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uh uh function and exercise

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being like kind of in fashion

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But they were in the news

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just a couple of days ago.

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They had a competitor in

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like a pretty elite competition.

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He drowned and he passed away.

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And a lot of people were

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commenting on this.

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And I thought because it was

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in the exercise world,

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we it would be like remiss.

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We'd be remiss not to talk about it.

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So that's the story.

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Did you guys see this?

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Yeah,

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I saw the video and it was very close

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to the,

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I don't know if it was a finish line,

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but they were coming out of the water.

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He was very, very, I don't know,

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50 yards or 100 yards away

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from the shore.

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And there were,

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it looked like lifeguards on each side,

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like on paddle boards or

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something or whatever, you know,

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lifeguard, you know, device.

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But they're, like you said,

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I think in messaging,

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all the competitors were

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kind of spread out.

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So, yeah.

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I think they maybe weren't

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having enough life cards

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per competitor at that

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phase of the event when

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there's a lot more fatigue.

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And they also maybe, I don't know,

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maybe I'm jumping to

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conclusions and saying like,

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a lot of these competitors

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or the whole brand and all the lifeguards,

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like you just don't think

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that that's going to happen

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because these are elite

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athletes and they're going

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to be able to just, you know,

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get through it and all that.

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There's a lifeguard at the Olympics,

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my man.

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We always put a lifeguard that, you know,

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stuff happens.

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So I believe this was a this

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was a this was a repeated

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and I don't have the details.

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Someone will correct me in

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the comments and I hope they do.

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it was a run, swim, run,

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like they were doing back and forth.

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So it was kind of like what, you know,

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CrossFit's known for, which is do a thing,

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but do it a lot of times or

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over and over and over again.

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And yeah,

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so I guess there was some video online.

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I don't watch them just FYI.

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If it's like, oh,

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we have footage of the

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person like getting hurt or killed.

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I don't watch it.

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Like I'm the one guy, but I just,

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I won't do it.

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But as a triathlete,

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or a former triathlete,

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I haven't done one in a while.

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There's a reason the swim is

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first in the triathlon.

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And there's a couple,

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and I was dictating that.

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This is where I get to sound smart.

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And it's because number one,

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you want people as fresh as

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possible because in terms of swim, bike,

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run, swim is pretty dangerous.

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So is bike, right?

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Traveling that fast,

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but swim is dangerous

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because of drowning.

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So you want the athletes as

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fresh as possible.

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And then as a former lifeguard,

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I get to break that out of my resume.

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You want you want to be able

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to maximize your your

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eyeballs from guards per swimmer.

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Right.

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So you can do that if they

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all start at the same time,

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they will spread out.

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But if you started out on

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the bike or the run and

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then did the swim last,

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you'd be having people

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every 20 minutes maybe,

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or you don't know.

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So it's like this event.

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When I saw this first story, I was like,

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oh, cringe, man.

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Don't do that.

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As a lifeguard, it's too hard.

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What does drowning look like?

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Just newsflash.

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Not in the movies.

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It's super silent.

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And if you're yelling,

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it means you have a...

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Lungs full of air.

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That's not what drowning a lot.

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It's silent drowning.

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So, you know, is this surprising?

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No.

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Is it sad and heartbreaking?

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Yeah,

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because it feels like it could have

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been prevented.

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You know,

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you said that I didn't realize that.

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Like, I grew up in Florida.

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We were in the water constantly.

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There were multiple times

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where I felt like.

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I wasn't going to make it

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out of that water just

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because I'm just not a great swimmer,

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but I was always in the water.

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Silent.

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That's the thing.

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Now that we have kids, Dave,

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you're stepping into this world.

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What does drowning look like?

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And I remember hearing and

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learning about this.

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It's really scary once you

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start to dig into it.

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It's not in the movies where, oh, you know,

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throw Baywatch out of it.

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Listen, guys,

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Baywatch was not an infomercial,

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was not a documentary.

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It was entertainment.

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It's quiet, it's silent and professional.

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Not to say this guy was a

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competitive fitness person,

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but now you put people in it.

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This is an interesting environment.

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This is why I'm a good triathlete,

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because if you put me against swimmers,

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I lose.

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But I can swim faster than

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some cyclists and runners.

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I can cycle faster than

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swimmers and bikers.

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And I can run faster than

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cyclists and swimmers.

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So this guy was fit.

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Swimming is a different animal, man.

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It is a difficult exercise

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on an unstable surface,

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not even a surface.

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So danger, danger, danger.

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So this is really sad.

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And then, Tony,

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you and I were talking

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about this before we hit go live.

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That guy, Greg Glassman,

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I'm pretty sure he's known

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as the founder of CrossFit.

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He doesn't own it.

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I guess he sold it.

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Yeah, I had no idea.

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Did you look it up or anything?

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Dave, have you heard anything about this?

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Yeah, he had some.

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I think he had some comments years ago.

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He had some not so flattering comments,

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I think, on something,

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on something polarizing.

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And I think he.

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Oh, George Floyd.

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I'm looking it up.

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Following the outcry after

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Glassman's comments

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regarding the murder of George Floyd.

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Selling the company to Eric Rosa.

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Yeah.

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So I don't know the whole story,

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but I would assume like

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whoever else owned the company, you know,

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partially owned it at that

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time when he made those comments,

00:08:09.629 --> 00:08:10.531
they were probably like, hey,

00:08:11.011 --> 00:08:12.011
this is bad for the brand.

00:08:12.170 --> 00:08:13.451
And almost like Donald

00:08:13.471 --> 00:08:14.531
Sterling from the L.A.

00:08:14.572 --> 00:08:14.932
Clippers,

00:08:14.992 --> 00:08:17.093
like we need you to sell the company.

00:08:17.132 --> 00:08:18.413
We need or we need to or

00:08:18.432 --> 00:08:20.473
we're going to or Papa John or, you know,

00:08:20.494 --> 00:08:21.994
we're going to buy the rest of, you know,

00:08:22.014 --> 00:08:23.295
we're going to buy you out, basically.

00:08:23.774 --> 00:08:25.475
I just saw Jonah Hill from

00:08:25.495 --> 00:08:26.636
the Oscars like that one, like.

00:08:27.848 --> 00:08:29.870
that gift cut it bro like

00:08:29.889 --> 00:08:31.550
you're out um but the

00:08:31.571 --> 00:08:32.650
reason he I'm bringing him

00:08:32.730 --> 00:08:34.172
up is people were saying I

00:08:34.192 --> 00:08:35.471
could see him buying back

00:08:35.552 --> 00:08:37.133
crossfit now to like you

00:08:37.153 --> 00:08:38.173
know as an opportunity I

00:08:38.192 --> 00:08:40.374
think so no no they

00:08:40.394 --> 00:08:41.073
wouldn't let him or he

00:08:41.114 --> 00:08:44.596
wouldn't want to uh because

00:08:44.676 --> 00:08:45.475
I think with the whole

00:08:45.515 --> 00:08:46.375
george floyd thing now that

00:08:46.456 --> 00:08:48.256
that rings a bell um that

00:08:48.297 --> 00:08:49.778
wasn't that long ago and

00:08:49.857 --> 00:08:50.878
nowadays like you know

00:08:50.898 --> 00:08:51.837
bigger brands and companies

00:08:51.857 --> 00:08:53.178
like you know the the

00:08:54.441 --> 00:08:55.041
the sentiment in the

00:08:55.081 --> 00:08:56.743
marketplace is still important.

00:08:56.942 --> 00:08:57.702
And that would just

00:08:57.883 --> 00:08:59.043
potentially be brought back up.

00:08:59.583 --> 00:09:00.644
And then if, I don't know,

00:09:00.804 --> 00:09:03.306
does Reebok own some of CrossFit still,

00:09:03.346 --> 00:09:04.826
or maybe they used to, I'm not sure,

00:09:05.388 --> 00:09:06.889
but if they do,

00:09:07.328 --> 00:09:08.350
like they're a powerhouse.

00:09:08.389 --> 00:09:09.850
So they're going to say there's absolutely,

00:09:09.870 --> 00:09:10.850
like he does not bring any

00:09:10.890 --> 00:09:12.932
value anymore to the cap

00:09:12.971 --> 00:09:14.092
table if we bring him back

00:09:14.192 --> 00:09:15.274
into ownership.

00:09:15.734 --> 00:09:19.176
So I would push all my chips in and say,

00:09:19.716 --> 00:09:20.777
there's no way he's going

00:09:20.797 --> 00:09:22.057
to come back and own CrossFit.

00:09:22.557 --> 00:09:23.599
Yeah,

00:09:23.698 --> 00:09:25.000
I do want to mention the person's

00:09:25.340 --> 00:09:26.581
name because, you know,

00:09:26.660 --> 00:09:28.081
I think the person it's

00:09:28.201 --> 00:09:30.482
Lazar Ducic was the was the

00:09:30.523 --> 00:09:32.303
competitor from Serbia, 28 years old,

00:09:32.345 --> 00:09:32.544
man.

00:09:33.424 --> 00:09:33.644
And like,

00:09:33.664 --> 00:09:34.605
that's the that's the thing I

00:09:34.625 --> 00:09:35.826
wanted to bring up is like this.

00:09:36.006 --> 00:09:37.988
Like, I don't know, man,

00:09:38.148 --> 00:09:39.849
I am never directed a race.

00:09:40.129 --> 00:09:41.190
But the minute I heard about

00:09:41.210 --> 00:09:42.971
that and read two lines into it,

00:09:42.990 --> 00:09:43.231
I was like,

00:09:43.272 --> 00:09:45.033
do why do you have tired people swimming?

00:09:45.952 --> 00:09:47.874
like that aren't necessarily swimmers,

00:09:48.394 --> 00:09:48.595
right?

00:09:48.654 --> 00:09:52.136
And maybe later today or future episodes,

00:09:52.638 --> 00:09:54.219
I think we sometimes talk

00:09:54.239 --> 00:09:56.000
about change and I would

00:09:56.120 --> 00:09:57.181
bet that this will

00:09:57.561 --> 00:09:58.682
dramatically change

00:09:59.282 --> 00:10:00.864
CrossFit and any of the

00:10:00.923 --> 00:10:02.244
other Spartan races or whatever.

00:10:02.845 --> 00:10:03.706
When there's people now in

00:10:03.725 --> 00:10:05.287
the water for all these other races,

00:10:05.826 --> 00:10:07.947
they will, I would bet in terms of change,

00:10:08.028 --> 00:10:08.649
they're going to

00:10:08.749 --> 00:10:09.629
dramatically increase the

00:10:09.649 --> 00:10:10.730
amount of lifeguards and it

00:10:10.850 --> 00:10:12.412
might even swing the other

00:10:12.451 --> 00:10:13.511
way and maybe it's going to

00:10:13.532 --> 00:10:15.553
be one lifeguard per competitor.

00:10:15.913 --> 00:10:16.214
Oh yeah.

00:10:16.254 --> 00:10:18.296
I mean, I don't know if you could do that.

00:10:18.895 --> 00:10:19.736
So it would do this.

00:10:20.236 --> 00:10:22.477
They could get volunteers or who knows.

00:10:22.778 --> 00:10:24.539
They have personal buoyancy devices.

00:10:24.679 --> 00:10:27.182
So what you essentially have is like, um,

00:10:28.121 --> 00:10:29.842
uh, a pup tent bag, you know, like the,

00:10:29.923 --> 00:10:30.823
like the light bags,

00:10:30.884 --> 00:10:31.884
they fill that with air and

00:10:31.904 --> 00:10:32.684
they'll put that on like a

00:10:32.725 --> 00:10:34.647
little belt and you can't

00:10:34.886 --> 00:10:36.327
float on it necessarily.

00:10:36.368 --> 00:10:38.129
You can't use it like for speed.

00:10:38.188 --> 00:10:38.969
Like you can't use it as a

00:10:39.009 --> 00:10:39.669
floaty and kick.

00:10:40.490 --> 00:10:40.711
Um, uh,

00:10:41.581 --> 00:10:42.480
But you can use it in case

00:10:42.500 --> 00:10:43.162
you're going down.

00:10:43.741 --> 00:10:45.322
And they've even had like

00:10:46.503 --> 00:10:47.543
devices that are on your

00:10:47.702 --> 00:10:49.543
ankle that are empty with a

00:10:49.583 --> 00:10:51.563
little air CO2 canister or something.

00:10:51.583 --> 00:10:52.884
And you push the button and it inflates.

00:10:54.044 --> 00:10:54.945
Because this came up because

00:10:54.985 --> 00:10:55.504
people were like,

00:10:55.664 --> 00:10:56.466
I want to do the Ironman,

00:10:56.485 --> 00:10:57.686
but the swim scares me

00:10:57.706 --> 00:10:58.285
because the swim in the

00:10:58.346 --> 00:10:59.547
Ironman is 2.4 miles.

00:11:01.086 --> 00:11:02.408
But you want to talk about change.

00:11:03.227 --> 00:11:04.347
Ironman had a problem.

00:11:05.408 --> 00:11:05.948
Ironman.

00:11:07.115 --> 00:11:07.895
changed their swim.

00:11:07.975 --> 00:11:09.557
Their swim used to be pretty famous.

00:11:09.576 --> 00:11:10.636
And I got to do one of these.

00:11:10.677 --> 00:11:11.418
So I was a little point of

00:11:11.457 --> 00:11:12.717
pride because now what they

00:11:12.738 --> 00:11:13.977
do is they do a staggered start.

00:11:14.578 --> 00:11:15.278
They shoot a gun.

00:11:15.859 --> 00:11:17.019
There's chips on your ankles.

00:11:17.480 --> 00:11:18.500
Your clock doesn't start

00:11:18.539 --> 00:11:20.100
until you step into the water.

00:11:20.480 --> 00:11:22.501
It used to be 3,000 athletes

00:11:22.902 --> 00:11:23.581
treading water,

00:11:24.042 --> 00:11:25.582
listening to Rihanna at 7

00:11:25.582 --> 00:11:26.722
o'clock in the morning or whatever,

00:11:26.842 --> 00:11:28.703
or Creed as they're blasting it.

00:11:28.943 --> 00:11:31.225
And then they would shoot a cannon off.

00:11:31.544 --> 00:11:32.445
And everybody goes.

00:11:32.465 --> 00:11:33.605
And they used to call it the

00:11:33.645 --> 00:11:34.265
washing machine.

00:11:35.005 --> 00:11:36.828
And ESPN named it one of the

00:11:36.889 --> 00:11:38.951
top 10 moments in sports.

00:11:39.412 --> 00:11:40.033
And they've done some

00:11:40.092 --> 00:11:40.995
underwater photography.

00:11:41.095 --> 00:11:41.654
And I'll be honest,

00:11:41.755 --> 00:11:42.817
I'm pretty confident in the water.

00:11:43.076 --> 00:11:43.758
It was crazy.

00:11:44.058 --> 00:11:45.780
It was cool to be there, but it was like,

00:11:45.801 --> 00:11:46.743
because if you've ever done

00:11:46.763 --> 00:11:48.424
the start of a marathon like that,

00:11:48.445 --> 00:11:49.485
you're all huddled in and

00:11:49.505 --> 00:11:50.687
you're trying to get to the inside,

00:11:51.048 --> 00:11:51.750
do that in the water.

00:11:52.929 --> 00:11:53.591
It was a little bit nuts.

00:11:53.791 --> 00:11:55.211
So anyway, you want to talk about change?

00:11:55.471 --> 00:11:56.332
Iron Man changed that.

00:11:56.873 --> 00:11:57.953
That was like sort of one of

00:11:57.974 --> 00:11:58.995
their signature moves.

00:11:59.014 --> 00:12:00.517
I mean, think about that with drones.

00:12:00.537 --> 00:12:01.918
You want to make the hype of

00:12:01.957 --> 00:12:03.859
an Iron Man start hype here

00:12:04.620 --> 00:12:06.140
to start everybody together.

00:12:06.181 --> 00:12:07.042
And oh, here we go.

00:12:07.381 --> 00:12:08.602
And they changed that for safety.

00:12:08.823 --> 00:12:10.085
The other reason, too,

00:12:10.465 --> 00:12:11.826
was people were going from

00:12:11.946 --> 00:12:13.388
zero heart rate.

00:12:13.628 --> 00:12:14.388
Well, that's your heart rate.

00:12:14.408 --> 00:12:14.849
I mean, you're dead.

00:12:15.109 --> 00:12:16.359
They were going from, you know, 60,

00:12:16.359 --> 00:12:18.052
80 beats a minute, like getting hyped.

00:12:18.652 --> 00:12:19.832
to like 170.

00:12:20.413 --> 00:12:21.572
So what they wanted to do is

00:12:21.592 --> 00:12:22.734
they wanted to sort of like, I think,

00:12:22.833 --> 00:12:24.094
bring down the stress a little bit.

00:12:24.134 --> 00:12:24.715
Someone will correct me,

00:12:24.735 --> 00:12:25.375
but I'm pretty sure that

00:12:25.414 --> 00:12:26.895
was like two of the reasons.

00:12:27.375 --> 00:12:28.615
Safety is they needed to

00:12:28.655 --> 00:12:29.356
increase it because they

00:12:29.397 --> 00:12:31.177
realized every time because people,

00:12:31.278 --> 00:12:31.518
you know,

00:12:31.597 --> 00:12:32.878
people do pass away in these

00:12:32.937 --> 00:12:33.678
exercise events.

00:12:34.078 --> 00:12:35.538
My non-exercise friends are always like,

00:12:35.899 --> 00:12:36.899
people die doing these things.

00:12:36.940 --> 00:12:37.659
Why do you exercise?

00:12:37.679 --> 00:12:38.880
I'm like, well, my man, like, all right,

00:12:38.961 --> 00:12:39.841
that's a little deeper question.

00:12:40.260 --> 00:12:42.182
But even a big corporation,

00:12:42.221 --> 00:12:43.143
that's what Ironman is.

00:12:43.182 --> 00:12:43.883
It's a corporation.

00:12:44.003 --> 00:12:44.763
Even they said,

00:12:45.124 --> 00:12:45.864
we got to make a change

00:12:45.884 --> 00:12:46.724
because when this happens,

00:12:46.764 --> 00:12:48.144
if it's preventable, it's just,

00:12:48.645 --> 00:12:50.467
Well, not even bad business before that.

00:12:50.488 --> 00:12:51.951
It's bad humanship, right?

00:12:51.971 --> 00:12:52.471
It's just bad.

00:12:52.851 --> 00:12:53.613
People shouldn't have to.

00:12:54.053 --> 00:12:55.777
And then seven steps later,

00:12:55.797 --> 00:12:56.538
it's bad business.

00:12:57.038 --> 00:12:58.140
So even they made the big change.

00:12:58.400 --> 00:13:00.083
I 100% agree CrossFit's going to,

00:13:00.244 --> 00:13:00.965
they got to do something.

00:13:01.485 --> 00:13:02.067
They got to do something.

00:13:03.331 --> 00:13:04.350
Let's talk about some of the

00:13:04.392 --> 00:13:07.053
business lessons learned from CrossFit,

00:13:07.094 --> 00:13:08.735
like CrossFit at its heyday.

00:13:09.355 --> 00:13:11.457
CrossFit when it was growing like crazy,

00:13:11.538 --> 00:13:12.438
what they did right,

00:13:12.558 --> 00:13:13.879
what maybe they did wrong.

00:13:15.101 --> 00:13:16.123
I'll tell you one of the

00:13:16.182 --> 00:13:17.344
things that I pull out of

00:13:17.443 --> 00:13:18.544
CrossFit every time,

00:13:18.565 --> 00:13:19.765
especially when therapists

00:13:19.785 --> 00:13:21.467
tell me every PT session

00:13:21.488 --> 00:13:22.609
needs to be one-on-one for

00:13:22.668 --> 00:13:23.610
it to be quality care.

00:13:24.370 --> 00:13:26.513
I think about a CrossFit coach,

00:13:27.173 --> 00:13:28.416
moderately trained,

00:13:28.615 --> 00:13:30.778
running 20 people in a warehouse,

00:13:30.899 --> 00:13:32.461
doing snatch and clean and

00:13:32.481 --> 00:13:35.566
jerk when these are relatively untrained,

00:13:35.745 --> 00:13:37.389
normal humans like me.

00:13:39.385 --> 00:13:39.886
And they did it.

00:13:40.167 --> 00:13:41.248
And people paid for it.

00:13:41.307 --> 00:13:41.928
And they loved it.

00:13:41.948 --> 00:13:42.970
And they were paying premium

00:13:43.009 --> 00:13:45.893
memberships for dirty leg

00:13:45.932 --> 00:13:48.495
hair on the rope, disgusting gyms.

00:13:48.976 --> 00:13:50.197
But it was part of the culture.

00:13:51.419 --> 00:13:53.061
And yes, people got hurt.

00:13:53.120 --> 00:13:54.082
This is very true.

00:13:54.182 --> 00:13:55.683
I saw plenty of injuries

00:13:55.724 --> 00:13:56.445
that would happen.

00:13:56.504 --> 00:13:57.846
But people get hurt walking

00:13:57.907 --> 00:13:58.528
across the street.

00:13:59.008 --> 00:13:59.227
You know,

00:13:59.248 --> 00:14:00.769
I had a patient yesterday who is

00:14:00.909 --> 00:14:01.690
complaining about

00:14:01.789 --> 00:14:03.091
osteoarthritis in his knees

00:14:03.111 --> 00:14:03.971
because he was a college

00:14:04.091 --> 00:14:05.614
athlete and played all these sports.

00:14:05.653 --> 00:14:07.735
And I tell him the same thing every time.

00:14:07.775 --> 00:14:08.336
Like, you know what?

00:14:08.495 --> 00:14:09.856
I also know people who are

00:14:09.897 --> 00:14:11.158
sedentary who sat in the

00:14:11.219 --> 00:14:12.720
library all through college

00:14:12.860 --> 00:14:13.419
and they have

00:14:13.480 --> 00:14:14.841
osteoarthritic knees as well.

00:14:15.402 --> 00:14:16.842
I would rather be active and

00:14:17.003 --> 00:14:19.083
injured than inactive and

00:14:19.144 --> 00:14:20.365
still have the same pain

00:14:20.424 --> 00:14:21.144
and other issues.

00:14:21.466 --> 00:14:22.985
But back to go ahead.

00:14:23.005 --> 00:14:23.366
No, no, no.

00:14:23.386 --> 00:14:24.506
I think I like this.

00:14:24.547 --> 00:14:25.567
Like this could turn into

00:14:25.587 --> 00:14:26.668
the focus of this episode

00:14:26.688 --> 00:14:27.749
or at least the next couple of minutes,

00:14:27.808 --> 00:14:29.309
which is look at all the

00:14:29.350 --> 00:14:31.770
things CrossFit brings that.

00:14:32.511 --> 00:14:33.052
And we've had this

00:14:33.091 --> 00:14:34.373
conversation the last few weeks.

00:14:34.452 --> 00:14:34.572
Right.

00:14:34.613 --> 00:14:36.394
What I started saying, hey,

00:14:36.453 --> 00:14:37.554
everybody says mills are bad.

00:14:38.797 --> 00:14:39.837
but can you define a mill?

00:14:40.058 --> 00:14:40.960
And everybody started

00:14:41.039 --> 00:14:41.620
throwing out these

00:14:41.660 --> 00:14:44.344
definitions that were mostly subjective,

00:14:44.784 --> 00:14:46.025
or if they were objective,

00:14:46.066 --> 00:14:47.749
like X number of patients per hour,

00:14:48.028 --> 00:14:48.669
there was made up.

00:14:48.809 --> 00:14:49.850
And I was like, there's no line.

00:14:50.192 --> 00:14:52.014
So if you can't define something, you know,

00:14:52.033 --> 00:14:52.975
you just sort of know it.

00:14:53.436 --> 00:14:54.096
That's subjective.

00:14:54.537 --> 00:14:55.217
So the question is,

00:14:56.331 --> 00:14:57.251
What are the things that you

00:14:57.272 --> 00:14:58.153
just mentioned that

00:14:58.232 --> 00:15:00.495
CrossFit brought in terms

00:15:00.534 --> 00:15:02.537
of value or reasons people went?

00:15:02.937 --> 00:15:04.317
Because it wasn't cleanliness.

00:15:04.557 --> 00:15:06.820
It wasn't evidence-based practice.

00:15:06.879 --> 00:15:08.621
It wasn't the degree of the instructor.

00:15:08.981 --> 00:15:09.802
Like quite literally,

00:15:09.842 --> 00:15:11.283
they're the opposite of PT

00:15:11.303 --> 00:15:12.445
because PT would be one-on-one.

00:15:12.806 --> 00:15:15.427
CrossFit is 15, 20 people at a time.

00:15:16.649 --> 00:15:18.711
So I think CrossFit –

00:15:20.091 --> 00:15:22.535
The number one thing is community, right?

00:15:22.576 --> 00:15:23.336
It's no different than any

00:15:23.417 --> 00:15:27.022
church or any other, you know, rotary or,

00:15:27.341 --> 00:15:29.124
you know, PTA group or whatever.

00:15:29.183 --> 00:15:30.206
Like it's, it's community.

00:15:30.706 --> 00:15:31.768
There was a, there was a quote,

00:15:32.288 --> 00:15:33.671
you guys know Mitch Babcock.

00:15:33.691 --> 00:15:35.332
He's, he's a physical therapist.

00:15:35.373 --> 00:15:36.254
I think he's in like Michigan.

00:15:36.274 --> 00:15:37.416
He's absolutely ripped.

00:15:37.875 --> 00:15:38.056
Yeah.

00:15:38.115 --> 00:15:38.616
Barbell.

00:15:39.317 --> 00:15:39.496
Yeah.

00:15:39.537 --> 00:15:40.238
Barbell athlete.

00:15:40.298 --> 00:15:42.399
So he for, you know,

00:15:42.438 --> 00:15:43.740
for decades or whatever,

00:15:43.860 --> 00:15:45.501
he was like he wrote

00:15:45.542 --> 00:15:46.682
something on Facebook or

00:15:46.822 --> 00:15:50.044
something like he always was the earbuds,

00:15:50.745 --> 00:15:52.986
you know, lifter at the gym, you know,

00:15:53.246 --> 00:15:53.687
lifting by.

00:15:53.807 --> 00:15:54.347
So earbuds,

00:15:54.368 --> 00:15:55.528
meaning you go to some big box

00:15:55.568 --> 00:15:56.570
gym and you work out by

00:15:56.610 --> 00:15:58.250
yourself and you're like that.

00:15:59.030 --> 00:15:59.971
And he never thought that he

00:16:00.011 --> 00:16:01.312
was going to love CrossFit

00:16:01.352 --> 00:16:01.994
as much as he did.

00:16:02.754 --> 00:16:04.317
And he said something around that of like,

00:16:04.899 --> 00:16:06.344
I no longer have the earbuds.

00:16:06.884 --> 00:16:08.168
It's like a community thing.

00:16:08.188 --> 00:16:10.394
And we push each other and

00:16:11.980 --> 00:16:13.022
You get to kind of see other

00:16:13.062 --> 00:16:14.363
people's challenges or

00:16:14.403 --> 00:16:15.484
their injuries or whatever.

00:16:15.804 --> 00:16:18.767
But there's some affinity to that.

00:16:20.749 --> 00:16:22.850
And I agree, Jimmy, for what we do,

00:16:23.311 --> 00:16:25.933
home visits, it is very one on one.

00:16:25.974 --> 00:16:26.955
It's very personable.

00:16:27.836 --> 00:16:31.118
But then Tony or any other

00:16:31.178 --> 00:16:32.038
outpatient office is kind

00:16:32.058 --> 00:16:32.799
of like in the middle.

00:16:32.840 --> 00:16:33.880
There is the socialization.

00:16:33.900 --> 00:16:35.702
There is the cheers effect.

00:16:35.743 --> 00:16:36.543
Everyone knows your name.

00:16:37.423 --> 00:16:38.203
everyone knows what's going

00:16:38.365 --> 00:16:40.004
on or or you know people

00:16:40.044 --> 00:16:40.806
meet each other become

00:16:40.885 --> 00:16:42.166
friends at physical therapy

00:16:42.606 --> 00:16:44.988
in an office so I think I

00:16:45.008 --> 00:16:45.827
would have to push back and

00:16:45.868 --> 00:16:46.649
say I don't know if it's

00:16:46.688 --> 00:16:48.950
the opposite of crossfit or

00:16:48.990 --> 00:16:49.970
you could say crossfit is

00:16:49.990 --> 00:16:51.091
the opposite of my business

00:16:51.130 --> 00:16:51.931
model where we go to

00:16:51.971 --> 00:16:53.572
people's homes and we do

00:16:53.672 --> 00:16:55.052
one-on-one so maybe there's

00:16:55.072 --> 00:16:55.893
something we can break down

00:16:56.594 --> 00:16:57.453
I would say most of the

00:16:57.494 --> 00:16:58.735
time pt's one-on-one though right

00:16:59.767 --> 00:17:00.467
I don't know.

00:17:00.628 --> 00:17:01.008
Ask Tony.

00:17:01.028 --> 00:17:03.730
Tony's got a different approach.

00:17:04.349 --> 00:17:05.270
I'm glad you said that.

00:17:05.330 --> 00:17:06.351
What does that even mean?

00:17:06.432 --> 00:17:07.531
First, what's PT?

00:17:08.432 --> 00:17:09.973
There's so many aspects to it.

00:17:09.993 --> 00:17:11.394
There's so many elements to it.

00:17:12.736 --> 00:17:14.217
One-on-one in a group,

00:17:14.576 --> 00:17:17.179
that's my preferred mode of delivery.

00:17:17.338 --> 00:17:18.599
I'll be one-on-one,

00:17:18.779 --> 00:17:19.680
but I want to have 20

00:17:19.680 --> 00:17:20.861
people around me so we can

00:17:20.881 --> 00:17:22.281
all socialize and engage

00:17:22.321 --> 00:17:24.182
and take the pressure off,

00:17:24.222 --> 00:17:25.644
the expectations off.

00:17:26.785 --> 00:17:29.346
That's my preferred mode of delivering.

00:17:29.787 --> 00:17:31.048
the patient care experience

00:17:32.407 --> 00:17:35.269
real quick uh so scott said

00:17:36.150 --> 00:17:36.990
how can we make physical

00:17:37.030 --> 00:17:38.050
therapy as a profession

00:17:38.111 --> 00:17:39.432
feel more like a community

00:17:39.771 --> 00:17:40.732
we should probably all join

00:17:40.752 --> 00:17:45.494
an association so scott you

00:17:45.535 --> 00:17:47.316
should absolutely check out

00:17:47.336 --> 00:17:48.896
total therapy solutions uh

00:17:48.977 --> 00:17:49.936
on youtube I don't know

00:17:49.977 --> 00:17:50.917
tony do you do you do

00:17:50.978 --> 00:17:51.738
videos or have you done

00:17:51.758 --> 00:17:52.558
videos where it's showing

00:17:52.618 --> 00:17:53.638
multiple patients that have

00:17:53.659 --> 00:17:54.640
agreed to be on video or no

00:17:56.704 --> 00:17:58.326
I do it when I teach my

00:17:58.365 --> 00:17:59.467
Medicare billing course

00:17:59.487 --> 00:18:01.107
because I want to expose.

00:18:01.347 --> 00:18:03.388
So when I teach my courses,

00:18:04.509 --> 00:18:06.130
my intent is not to tell

00:18:06.170 --> 00:18:07.451
therapists to do it like this.

00:18:07.611 --> 00:18:08.750
My intent is to show a

00:18:08.770 --> 00:18:09.951
therapist the boundaries.

00:18:10.311 --> 00:18:10.711
I'm like, look,

00:18:10.731 --> 00:18:12.133
you don't have to go this extreme.

00:18:12.153 --> 00:18:13.273
You don't have to be like me.

00:18:13.894 --> 00:18:15.434
but I want you to see what's possible.

00:18:15.474 --> 00:18:15.775
And there's,

00:18:15.855 --> 00:18:17.336
there's a couple of photos

00:18:17.356 --> 00:18:19.278
that I share because any day of the week,

00:18:19.337 --> 00:18:20.499
if you walk into my clinic,

00:18:20.959 --> 00:18:22.079
you will see husbands and

00:18:22.160 --> 00:18:23.641
wives working out together.

00:18:23.701 --> 00:18:24.842
You'll see neighbors.

00:18:25.142 --> 00:18:25.702
You'll see,

00:18:25.782 --> 00:18:27.423
like I was in the clinic the

00:18:27.463 --> 00:18:29.425
other day doing an initial evaluation.

00:18:29.445 --> 00:18:30.726
And I swear three out of

00:18:30.766 --> 00:18:31.967
four people that walked in

00:18:32.007 --> 00:18:33.468
the door while I was doing

00:18:33.489 --> 00:18:34.828
my evaluation knew the

00:18:34.869 --> 00:18:35.569
person that I was

00:18:35.609 --> 00:18:37.111
evaluating because they

00:18:37.151 --> 00:18:38.531
were neighbors or cousins

00:18:38.592 --> 00:18:39.873
or related in some way.

00:18:40.594 --> 00:18:41.534
And so, um,

00:18:42.494 --> 00:18:42.914
Obviously,

00:18:42.954 --> 00:18:44.596
this builds huge community

00:18:44.675 --> 00:18:45.596
within my clinic.

00:18:45.655 --> 00:18:47.236
This gets me word of mouth

00:18:47.296 --> 00:18:48.696
referrals out the wazoo.

00:18:49.936 --> 00:18:52.178
But it just improves compliance.

00:18:52.238 --> 00:18:53.317
It improves outcomes.

00:18:53.357 --> 00:18:54.337
Like there's so many

00:18:54.397 --> 00:18:55.499
benefits to something like

00:18:55.538 --> 00:18:57.338
that that you just don't get.

00:18:57.358 --> 00:18:59.440
If I was in a private room,

00:19:00.200 --> 00:19:01.339
kind of sequestered away

00:19:01.400 --> 00:19:02.279
from everybody else.

00:19:03.601 --> 00:19:05.000
Yeah, I don't know if it's the opposite,

00:19:05.020 --> 00:19:06.300
the anti-PT,

00:19:06.602 --> 00:19:08.241
but it sure takes all the things that

00:19:09.730 --> 00:19:10.930
Uh, there's no such thing, right?

00:19:10.950 --> 00:19:11.651
Cause it's all subjective,

00:19:11.691 --> 00:19:12.631
like traditional PT,

00:19:12.790 --> 00:19:14.172
like every clinic I ever

00:19:14.192 --> 00:19:14.991
worked in was like, Hey,

00:19:15.031 --> 00:19:15.951
here's your patient.

00:19:16.432 --> 00:19:17.133
You will be working with

00:19:17.153 --> 00:19:18.293
this person for the next 30,

00:19:18.293 --> 00:19:19.813
45 or 60 minutes.

00:19:20.173 --> 00:19:21.814
And they were like, this is the eight 30.

00:19:21.894 --> 00:19:23.075
Are you jumping in the eight 30?

00:19:23.434 --> 00:19:23.795
Cool.

00:19:24.835 --> 00:19:26.836
Here's your therapeutic extras.

00:19:26.855 --> 00:19:27.596
Here's your corrective

00:19:27.655 --> 00:19:29.696
exercise versus here's the wad.

00:19:30.517 --> 00:19:31.737
Like everybody's doing this

00:19:31.876 --> 00:19:32.577
and we're gonna figure out

00:19:32.617 --> 00:19:33.377
how you can do it.

00:19:33.518 --> 00:19:35.838
If you, you know, I was watching a, uh,

00:19:36.558 --> 00:19:37.378
a video the other day about the,

00:19:37.638 --> 00:19:38.259
remember the college

00:19:38.299 --> 00:19:39.160
student who had one arm?

00:19:40.676 --> 00:19:42.178
remember that kid and he was

00:19:42.238 --> 00:19:43.838
like yeah basketball player

00:19:43.859 --> 00:19:44.519
sorry yeah it was like a

00:19:44.559 --> 00:19:46.141
guard and they said the

00:19:46.201 --> 00:19:47.122
punishment for missing a

00:19:47.182 --> 00:19:48.202
pass or something was like

00:19:48.383 --> 00:19:49.763
one like fingertip push-ups

00:19:50.144 --> 00:19:50.704
and the coach was like

00:19:50.724 --> 00:19:51.464
we're gonna do sprints and

00:19:51.484 --> 00:19:52.385
the kid was like no we're

00:19:52.405 --> 00:19:53.547
doing fingertip push-ups it

00:19:53.567 --> 00:19:54.548
was like how are we gonna

00:19:54.587 --> 00:19:55.449
do that and he's like we're

00:19:55.469 --> 00:19:56.229
gonna figure it out like

00:19:56.249 --> 00:19:57.109
the kid with one arm was

00:19:57.210 --> 00:19:58.171
giving the lesson not

00:19:58.490 --> 00:19:59.231
receiving like he was like

00:19:59.251 --> 00:19:59.971
we're gonna figure it out

00:20:00.653 --> 00:20:02.453
so I don't know if it's the

00:20:02.673 --> 00:20:04.596
exact 180 degree opposite

00:20:04.635 --> 00:20:07.018
of traditional PT most of

00:20:07.057 --> 00:20:07.998
it across the country but

00:20:08.038 --> 00:20:09.799
it sure takes all the aspects

00:20:11.112 --> 00:20:12.252
and sort of flips them on their head.

00:20:12.272 --> 00:20:13.913
And I think what you see is

00:20:14.134 --> 00:20:14.894
what's the biggest thing

00:20:14.913 --> 00:20:16.494
that PTs love to make goofy

00:20:16.535 --> 00:20:18.375
videos about roasting their patients,

00:20:18.395 --> 00:20:19.257
which is compliance.

00:20:20.366 --> 00:20:21.468
did you do the exercises?

00:20:21.488 --> 00:20:22.827
And the, and the, and like the, the,

00:20:22.948 --> 00:20:24.028
the patient in the video is like,

00:20:24.308 --> 00:20:24.828
of course,

00:20:24.909 --> 00:20:25.650
and then proceeds to

00:20:25.690 --> 00:20:26.390
demonstrate something

00:20:26.410 --> 00:20:27.510
that's not the exercise.

00:20:28.131 --> 00:20:29.551
That's the whole thing with CrossFit.

00:20:29.632 --> 00:20:30.432
It's like, if you're not doing it right,

00:20:30.451 --> 00:20:31.512
it's like, don't worry about it, man.

00:20:31.532 --> 00:20:31.913
We'll figure it.

00:20:31.932 --> 00:20:32.292
Let's do here.

00:20:32.333 --> 00:20:32.532
Okay.

00:20:32.553 --> 00:20:33.053
Let's try this.

00:20:34.433 --> 00:20:35.515
I want to talk about Will

00:20:35.535 --> 00:20:38.115
Boyd's question shortly,

00:20:38.215 --> 00:20:40.336
but when we talk about this,

00:20:40.376 --> 00:20:43.338
this goes back to, it's like, okay, again,

00:20:43.358 --> 00:20:43.439
this,

00:20:44.038 --> 00:20:45.559
What there's no single answer.

00:20:45.599 --> 00:20:47.079
There's no this is the way to do it.

00:20:47.880 --> 00:20:49.941
Dave has very different methodology.

00:20:50.060 --> 00:20:52.001
But if I was thinking,

00:20:52.261 --> 00:20:54.442
what is the ideal scenario?

00:20:54.701 --> 00:20:54.962
You know,

00:20:55.002 --> 00:20:56.063
I think of somebody who gets

00:20:56.123 --> 00:20:57.883
referred to me for a knee replacement,

00:20:58.203 --> 00:20:59.703
for low back pain,

00:20:59.983 --> 00:21:01.484
for shoulder pain or for neck pain.

00:21:01.585 --> 00:21:02.244
I don't care what it is.

00:21:02.644 --> 00:21:03.405
They all have to lift

00:21:03.766 --> 00:21:04.606
something off the ground.

00:21:04.767 --> 00:21:05.607
They all have to walk.

00:21:05.627 --> 00:21:07.210
They have to move, ambulate,

00:21:07.269 --> 00:21:08.330
move throughout the community.

00:21:08.351 --> 00:21:10.032
They have to do certain things.

00:21:10.512 --> 00:21:11.054
So I'm like,

00:21:11.554 --> 00:21:12.996
why am I creating different

00:21:13.056 --> 00:21:13.916
plans of care?

00:21:13.977 --> 00:21:15.337
Why am I selecting different

00:21:15.417 --> 00:21:16.759
exercises for different

00:21:16.839 --> 00:21:18.221
people with different conditions?

00:21:18.260 --> 00:21:21.564
When in reality, I could just have a WOD,

00:21:21.744 --> 00:21:23.006
a workout of the day where

00:21:23.046 --> 00:21:25.048
like today it's all about sit to stand.

00:21:25.208 --> 00:21:25.847
I don't care what your

00:21:25.867 --> 00:21:26.568
condition is because

00:21:26.709 --> 00:21:28.729
everybody needs to stand from a chair,

00:21:28.848 --> 00:21:29.670
sit to a chair,

00:21:30.210 --> 00:21:31.289
and we're going to work on this.

00:21:31.530 --> 00:21:33.651
Tomorrow, it's going to be, you know,

00:21:33.790 --> 00:21:35.172
ambulation or mobility

00:21:35.211 --> 00:21:36.172
throughout the community.

00:21:37.913 --> 00:21:39.453
I could totally see that.

00:21:40.438 --> 00:21:41.878
fitting into an insurance model.

00:21:42.640 --> 00:21:44.922
And then when I go back and I say, okay,

00:21:45.501 --> 00:21:47.624
the theory is Dave sees

00:21:47.683 --> 00:21:48.664
somebody on Monday,

00:21:48.724 --> 00:21:49.786
he shows them what to do.

00:21:49.846 --> 00:21:51.166
He's trying to build independence.

00:21:51.207 --> 00:21:52.508
He's trying to build resilience.

00:21:53.108 --> 00:21:54.630
Then I'm gonna have this

00:21:54.690 --> 00:21:56.030
person do his own program

00:21:56.050 --> 00:21:57.712
for the next seven days.

00:21:57.772 --> 00:21:59.253
And I'm gonna see him again next week.

00:22:00.615 --> 00:22:01.496
I think that's theory.

00:22:01.596 --> 00:22:02.817
I don't think that's reality.

00:22:03.258 --> 00:22:04.699
If you want me to do something,

00:22:04.959 --> 00:22:05.759
build the habit,

00:22:05.839 --> 00:22:07.361
make me do it every single day.

00:22:07.461 --> 00:22:08.521
Let me get in here.

00:22:08.561 --> 00:22:09.923
Let me do it repeatedly.

00:22:10.423 --> 00:22:12.625
So I want to build that experience.

00:22:12.826 --> 00:22:13.886
And that's what you guys

00:22:13.926 --> 00:22:14.607
hear me talk about.

00:22:14.647 --> 00:22:16.288
I'll spend 10 minutes with a patient.

00:22:16.630 --> 00:22:17.770
I'll show them one thing.

00:22:18.111 --> 00:22:18.750
And we're going to do that

00:22:18.892 --> 00:22:20.252
one thing every single day

00:22:20.313 --> 00:22:21.413
for the next two weeks.

00:22:21.753 --> 00:22:22.615
And we'll make it fun and

00:22:22.634 --> 00:22:23.895
we'll make it exciting and

00:22:24.115 --> 00:22:25.657
we'll crack up and you know, but

00:22:26.137 --> 00:22:27.259
this is the one thing and

00:22:27.298 --> 00:22:28.440
I'm going to make sure you

00:22:28.519 --> 00:22:29.861
do it now I can't build

00:22:29.901 --> 00:22:31.502
insurance for all of that

00:22:31.522 --> 00:22:32.844
right but if I could build

00:22:32.884 --> 00:22:34.085
a profitable model I could

00:22:34.125 --> 00:22:35.326
deliver that experience and

00:22:35.346 --> 00:22:36.606
I can achieve the outcome

00:22:36.887 --> 00:22:38.269
right um just different

00:22:38.288 --> 00:22:39.289
ways to get into the same

00:22:39.329 --> 00:22:41.270
goal that was the thing that got me from

00:22:42.662 --> 00:22:43.982
like guy who wanted to do a

00:22:44.002 --> 00:22:45.364
triathlon one day to doing

00:22:45.443 --> 00:22:46.684
one was there was a group

00:22:46.704 --> 00:22:49.426
that met at five Oh five

00:22:49.826 --> 00:22:50.688
and did a bike ride.

00:22:50.728 --> 00:22:52.888
And I knew I wasn't riding

00:22:52.888 --> 00:22:54.390
25 miles or whatever by myself.

00:22:54.450 --> 00:22:55.171
I just knew it,

00:22:55.770 --> 00:22:56.672
but I could try to keep up

00:22:56.692 --> 00:22:58.232
with people who were riding 25 miles.

00:22:58.773 --> 00:22:59.693
So I think that culture,

00:22:59.733 --> 00:23:02.215
I think that group thing is a thing.

00:23:02.276 --> 00:23:04.156
I mean, like look at CrossFit, look at,

00:23:04.458 --> 00:23:05.317
look at Pilates.

00:23:05.498 --> 00:23:07.900
Have you guys ever heard of Megan Brown,

00:23:07.940 --> 00:23:08.601
Megan Bellamy Brown?

00:23:09.585 --> 00:23:11.366
She's a friend of mine, she's a PT.

00:23:11.626 --> 00:23:12.708
She'd be great on a live stream.

00:23:12.788 --> 00:23:14.849
Her model is, she's a liar.

00:23:16.075 --> 00:23:18.415
She runs a Pilates studio in Alexandria,

00:23:18.455 --> 00:23:20.537
Virginia, like one of the hardest,

00:23:20.576 --> 00:23:22.518
most expensive real estate in the country,

00:23:22.958 --> 00:23:23.137
right?

00:23:23.337 --> 00:23:25.338
And she runs a Pilates studio.

00:23:25.358 --> 00:23:26.398
I'm using quotes, Megan,

00:23:26.819 --> 00:23:27.720
because it's a lie.

00:23:27.740 --> 00:23:29.099
You come in for the Pilates,

00:23:29.861 --> 00:23:30.500
and then she does.

00:23:30.641 --> 00:23:31.701
And then she, oh, by the way,

00:23:31.721 --> 00:23:32.801
you're actually buying community.

00:23:33.001 --> 00:23:33.862
And she's a PT.

00:23:34.222 --> 00:23:35.942
So the last thing she tries

00:23:35.962 --> 00:23:36.943
to do is sell PT.

00:23:37.003 --> 00:23:38.423
She tries not to sell PT.

00:23:38.765 --> 00:23:39.565
She refers out.

00:23:39.865 --> 00:23:40.765
She's like, oh, no, no, no.

00:23:40.805 --> 00:23:41.726
And people are like, oh, you're a PT?

00:23:42.465 --> 00:23:43.747
like nowhere on her

00:23:43.906 --> 00:23:44.907
marketing is she like

00:23:45.188 --> 00:23:46.128
unless maybe in her about

00:23:46.169 --> 00:23:47.009
section is she like I'm a

00:23:47.049 --> 00:23:48.810
pt she understands what

00:23:48.851 --> 00:23:50.172
business that she's in

00:23:50.451 --> 00:23:51.212
she's in the community

00:23:51.252 --> 00:23:52.634
business she's in the

00:23:52.854 --> 00:23:53.835
repeating and creating a

00:23:53.875 --> 00:23:55.115
habit business all right

00:23:55.155 --> 00:23:56.096
let's get to old boy's question

00:23:57.691 --> 00:23:58.111
So he said,

00:23:58.151 --> 00:23:59.592
I'd love to hear from you guys

00:23:59.672 --> 00:24:01.112
about how you guys handle

00:24:01.291 --> 00:24:03.173
unexpected bad things in your business.

00:24:03.272 --> 00:24:04.814
I've got a laundry list of these,

00:24:04.913 --> 00:24:05.973
so I'll share a couple

00:24:06.034 --> 00:24:08.394
first and then we'll jump on you guys.

00:24:09.035 --> 00:24:09.954
I'd love to hear from other

00:24:09.974 --> 00:24:10.695
business owners,

00:24:10.736 --> 00:24:11.976
how they respond to the bad moments.

00:24:11.996 --> 00:24:14.037
All right, let me grab two.

00:24:14.557 --> 00:24:15.958
So I can remember,

00:24:17.691 --> 00:24:20.692
We were still in South Florida, Sarasota.

00:24:20.751 --> 00:24:22.212
We had three clinic locations.

00:24:22.752 --> 00:24:23.673
We came to Ohio.

00:24:23.712 --> 00:24:25.413
We opened two more clinic locations.

00:24:25.493 --> 00:24:27.434
So we're sitting at five clinics.

00:24:28.755 --> 00:24:30.435
You know, business is going well.

00:24:30.976 --> 00:24:33.896
We're hitting a new phase in business.

00:24:33.916 --> 00:24:35.397
We're trying to make some decisions.

00:24:36.238 --> 00:24:38.499
And one of my main people

00:24:38.699 --> 00:24:41.099
decided they're going to go independent.

00:24:42.150 --> 00:24:43.711
I've never done non-compete.

00:24:43.871 --> 00:24:45.873
I've never held anything against anybody.

00:24:46.153 --> 00:24:48.194
But this was tough because

00:24:48.295 --> 00:24:49.536
now all of a sudden I'm not

00:24:49.556 --> 00:24:50.717
going to go back to Florida.

00:24:51.057 --> 00:24:52.778
My family is here in Ohio.

00:24:53.479 --> 00:24:55.180
And this was somebody that

00:24:55.220 --> 00:24:56.260
was really running the show.

00:24:56.340 --> 00:24:57.442
He wanted to buy the clinic.

00:24:57.461 --> 00:24:58.343
We just couldn't figure out

00:24:58.383 --> 00:24:59.644
a way to make that work.

00:25:00.304 --> 00:25:01.505
So he leaves,

00:25:02.006 --> 00:25:03.866
opens his own clinic about a

00:25:03.946 --> 00:25:05.449
half a mile up the road from me.

00:25:07.365 --> 00:25:08.806
You know, he has all the relationships.

00:25:08.846 --> 00:25:10.247
I hadn't been there in like five years.

00:25:11.787 --> 00:25:14.388
The staff wants to, you know,

00:25:14.429 --> 00:25:15.209
stay in place,

00:25:15.269 --> 00:25:16.169
but then they also have

00:25:16.209 --> 00:25:17.250
some loyalty to him.

00:25:17.289 --> 00:25:18.089
There were people that he

00:25:18.130 --> 00:25:19.510
hired that I never even met.

00:25:20.250 --> 00:25:21.311
Long story short,

00:25:21.711 --> 00:25:24.932
we lost probably 50 to 60%

00:25:24.932 --> 00:25:26.753
of our revenue from that clinic.

00:25:26.794 --> 00:25:28.474
That was our main clinic

00:25:28.515 --> 00:25:29.976
that was driving all of the growth,

00:25:30.056 --> 00:25:31.717
all of the revenue for everything else.

00:25:32.876 --> 00:25:34.538
Cut us down by half.

00:25:34.917 --> 00:25:36.579
Had to hire a traveler,

00:25:36.700 --> 00:25:37.640
had to figure out how we're

00:25:37.660 --> 00:25:38.661
going to deal with this.

00:25:39.342 --> 00:25:41.243
Took a year of losses.

00:25:41.403 --> 00:25:42.424
Then the second year,

00:25:42.484 --> 00:25:43.526
we kind of break even.

00:25:43.625 --> 00:25:45.386
Third year, we were back to where we,

00:25:45.807 --> 00:25:46.107
you know,

00:25:46.147 --> 00:25:48.068
we're back to a growth trajectory.

00:25:48.589 --> 00:25:49.651
But that was tough.

00:25:49.851 --> 00:25:50.451
That was tough.

00:25:50.491 --> 00:25:51.633
And on a personal level,

00:25:51.712 --> 00:25:52.913
it's tough because I always said,

00:25:52.933 --> 00:25:54.115
if you can do it better,

00:25:54.414 --> 00:25:55.496
go do it for yourself.

00:25:55.796 --> 00:25:56.737
And I'm never going to hold

00:25:56.777 --> 00:25:57.478
that against you.

00:25:58.439 --> 00:25:59.700
But like anything,

00:25:59.720 --> 00:26:01.601
you got to overcome that challenge,

00:26:01.621 --> 00:26:02.481
that adversity.

00:26:02.501 --> 00:26:05.285
And I just tried to stay

00:26:05.345 --> 00:26:07.205
true to my personal values

00:26:07.266 --> 00:26:08.587
that no matter what,

00:26:09.188 --> 00:26:10.670
I still to this day would

00:26:10.710 --> 00:26:11.931
say if anybody working for

00:26:11.971 --> 00:26:13.152
me wants to leave and wants

00:26:13.172 --> 00:26:14.113
to do it themselves and

00:26:14.153 --> 00:26:16.174
believes they can do it better, go do it.

00:26:16.815 --> 00:26:18.155
because you're you're not

00:26:18.195 --> 00:26:19.017
tied to me there's no

00:26:19.116 --> 00:26:20.438
obligation to me you can

00:26:20.458 --> 00:26:22.359
leave tomorrow I'll deal

00:26:22.400 --> 00:26:23.580
with my business you deal

00:26:23.621 --> 00:26:24.701
with your business the

00:26:24.882 --> 00:26:26.163
other one just super quick

00:26:26.182 --> 00:26:27.503
when we had first started

00:26:27.943 --> 00:26:28.904
we knew nothing about

00:26:28.964 --> 00:26:30.046
therapy we knew nothing

00:26:30.086 --> 00:26:31.606
about billing we we were

00:26:31.686 --> 00:26:33.128
cash based for everything

00:26:33.588 --> 00:26:35.009
we hired a billing company

00:26:35.289 --> 00:26:36.330
months and months no

00:26:36.371 --> 00:26:38.913
collections I i shared this story also

00:26:39.794 --> 00:26:40.934
um hired a second billing

00:26:40.974 --> 00:26:42.017
company they couldn't fix

00:26:42.057 --> 00:26:43.077
the first billing company's

00:26:43.117 --> 00:26:44.419
problems we ended up losing

00:26:44.459 --> 00:26:46.000
like sixty thousand dollars

00:26:46.181 --> 00:26:47.142
in that first year of

00:26:47.221 --> 00:26:48.903
business we would have been

00:26:49.104 --> 00:26:50.505
done if we didn't have the

00:26:50.545 --> 00:26:51.786
personal training side I

00:26:51.826 --> 00:26:52.727
was not a physical

00:26:52.747 --> 00:26:53.887
therapist so I was growing

00:26:53.907 --> 00:26:54.729
the personal training

00:26:54.769 --> 00:26:56.951
business but like these are

00:26:57.010 --> 00:26:58.833
things that you're not prepared for yeah

00:26:59.653 --> 00:27:00.694
When you're bootstrapping a

00:27:00.734 --> 00:27:01.736
business like that.

00:27:03.096 --> 00:27:05.618
But like anything, you know, we overcame.

00:27:05.778 --> 00:27:06.880
We learned our lessons.

00:27:06.960 --> 00:27:07.880
It never happened to us

00:27:07.960 --> 00:27:09.761
again in the next 22 years

00:27:09.882 --> 00:27:10.942
after that first year.

00:27:10.962 --> 00:27:14.746
And we just stayed true to the idea that,

00:27:14.826 --> 00:27:16.606
hey, this is what we want to do.

00:27:17.067 --> 00:27:17.847
What about you guys?

00:27:18.528 --> 00:27:19.169
Yeah, Dave, go ahead.

00:27:21.413 --> 00:27:21.653
Well,

00:27:21.773 --> 00:27:24.257
I don't have anything that cratered

00:27:24.317 --> 00:27:26.759
as much revenue as Tony's experiences,

00:27:26.900 --> 00:27:28.240
but I do have a couple.

00:27:29.623 --> 00:27:30.604
When I transitioned from a

00:27:30.644 --> 00:27:31.704
previous company that was

00:27:31.724 --> 00:27:32.645
doing home visits in New

00:27:32.665 --> 00:27:33.465
York City and then opened

00:27:33.507 --> 00:27:37.490
up my own shingle, a few of those,

00:27:37.590 --> 00:27:38.070
quote unquote,

00:27:38.511 --> 00:27:39.893
that guy's patients wrote

00:27:39.952 --> 00:27:41.255
me a Google review on my

00:27:42.724 --> 00:27:45.586
my, my practices, Google listing, uh,

00:27:45.606 --> 00:27:47.509
he event, you know, the owner of an, I,

00:27:47.568 --> 00:27:48.910
by the way, I put this out publicly.

00:27:48.970 --> 00:27:50.590
I was interviewed on a Urson

00:27:50.611 --> 00:27:51.451
show about this, whatever,

00:27:51.491 --> 00:27:53.453
like this guy went ballistic.

00:27:54.314 --> 00:27:55.095
Um, he,

00:27:55.434 --> 00:27:57.076
he had contacted Ron Miller a bunch

00:27:57.116 --> 00:27:57.477
of times.

00:27:57.497 --> 00:27:58.758
He had contacted Rob Vining

00:27:58.798 --> 00:27:59.498
a bunch of times.

00:27:59.959 --> 00:28:02.820
He was writing publicly all over like, um,

00:28:02.921 --> 00:28:03.221
you know,

00:28:03.541 --> 00:28:05.383
the second coming of the devil basically.

00:28:06.223 --> 00:28:06.324
Um,

00:28:07.766 --> 00:28:10.310
There was nothing signed on

00:28:10.411 --> 00:28:12.314
file in terms of like, quote unquote,

00:28:12.354 --> 00:28:13.496
coaching patients or whatever.

00:28:14.037 --> 00:28:14.798
But this was...

00:28:15.770 --> 00:28:17.291
early 2020, early COVID.

00:28:18.952 --> 00:28:22.314
And it was, there was a bunch of stuff,

00:28:22.694 --> 00:28:23.375
you know, publicly,

00:28:23.414 --> 00:28:25.395
like he posts like negative

00:28:25.435 --> 00:28:26.016
Google reviews.

00:28:26.056 --> 00:28:27.477
He posted on my business negative,

00:28:27.497 --> 00:28:28.877
you know, one star Google review,

00:28:29.397 --> 00:28:30.759
one star Facebook review on

00:28:30.778 --> 00:28:32.220
my Facebook page, my business page.

00:28:32.279 --> 00:28:34.340
I mean, just crazy stuff.

00:28:34.721 --> 00:28:38.343
Crazy long emails, a tirade, just crazy.

00:28:39.113 --> 00:28:40.032
Yeah, I mean,

00:28:41.574 --> 00:28:42.973
so it's the opposite of how

00:28:43.015 --> 00:28:45.434
Tony has approached, you know,

00:28:45.695 --> 00:28:47.336
business and employees or

00:28:47.355 --> 00:28:48.135
team members or whatever.

00:28:49.596 --> 00:28:49.916
But again,

00:28:50.616 --> 00:28:54.058
there was no big money loss or

00:28:54.098 --> 00:28:55.759
revenue loss like in Tony's experiences.

00:28:56.339 --> 00:28:57.519
And also like, I don't know,

00:28:57.539 --> 00:28:58.721
I'm not saying I'm tougher,

00:28:59.601 --> 00:29:01.561
but I definitely have, you know,

00:29:01.922 --> 00:29:03.801
a different level of thick

00:29:03.821 --> 00:29:06.163
skin because I think not a

00:29:06.202 --> 00:29:07.243
lot of people could have

00:29:08.086 --> 00:29:09.086
especially during COVID

00:29:09.126 --> 00:29:10.508
cause like early COVID, it was like,

00:29:10.528 --> 00:29:11.587
there was so much uncertainty.

00:29:11.607 --> 00:29:12.588
I was, you know,

00:29:12.608 --> 00:29:13.950
we were treating patients

00:29:13.990 --> 00:29:15.810
with gloves on and masks on

00:29:15.851 --> 00:29:16.612
and it was crazy.

00:29:16.932 --> 00:29:18.313
And then I'm getting emails like,

00:29:18.894 --> 00:29:20.034
and text messages and

00:29:20.134 --> 00:29:22.476
voicemails and messages

00:29:22.556 --> 00:29:24.116
from every platform from this guy,

00:29:24.176 --> 00:29:24.998
from this previous owner.

00:29:25.018 --> 00:29:26.798
Um, and saying, you know,

00:29:26.838 --> 00:29:27.940
he's going to tell Karen Litsy,

00:29:27.960 --> 00:29:28.660
he's going to tell everyone

00:29:28.680 --> 00:29:29.560
in New York city that I'm

00:29:29.621 --> 00:29:30.602
like the worst physical therapy.

00:29:30.642 --> 00:29:31.541
I'm the worst person ever.

00:29:31.603 --> 00:29:33.104
And just, just craziness.

00:29:33.624 --> 00:29:34.384
Now, um,

00:29:35.244 --> 00:29:36.765
To answer Will Boyd's question, like,

00:29:36.904 --> 00:29:37.806
how did I respond to that?

00:29:40.425 --> 00:29:42.086
Will said that I have the East Coast,

00:29:42.126 --> 00:29:43.366
Philly, NYC thick skin.

00:29:43.406 --> 00:29:43.846
Exactly.

00:29:44.387 --> 00:29:45.968
So how do I respond to that?

00:29:46.087 --> 00:29:47.008
First thing is I didn't

00:29:47.048 --> 00:29:48.709
respond to this guy for months,

00:29:49.189 --> 00:29:50.169
like in terms of like what

00:29:50.189 --> 00:29:50.909
would be like the best

00:29:51.009 --> 00:29:52.890
legal response is like no response.

00:29:53.986 --> 00:29:55.386
um eventually it kind of got

00:29:55.426 --> 00:29:57.429
settled he I don't know

00:29:57.489 --> 00:29:58.630
like he just eventually

00:29:58.650 --> 00:30:00.991
went away but he was also

00:30:01.011 --> 00:30:03.314
he was very crazily

00:30:03.413 --> 00:30:04.454
persistent like I think he

00:30:04.494 --> 00:30:05.335
was doing these messages

00:30:05.414 --> 00:30:07.957
for like two years

00:30:08.037 --> 00:30:09.398
literally from 2020 to like

00:30:09.398 --> 00:30:12.320
2022 yikes um and he said

00:30:12.361 --> 00:30:13.281
that then he posted

00:30:13.301 --> 00:30:14.343
somewhere so he posted a

00:30:14.843 --> 00:30:15.683
one-star review somewhere

00:30:15.743 --> 00:30:17.105
online that I cratered his

00:30:17.125 --> 00:30:18.346
whole business and it's like

00:30:19.755 --> 00:30:20.634
How does one employee

00:30:20.674 --> 00:30:22.855
leaving crater your whole business?

00:30:22.875 --> 00:30:24.057
Tony gave an example of how

00:30:24.076 --> 00:30:25.396
it actually can affect you.

00:30:25.877 --> 00:30:26.698
If one employee can leave

00:30:26.738 --> 00:30:27.557
and create your whole business,

00:30:27.678 --> 00:30:28.499
you don't have a business,

00:30:28.538 --> 00:30:29.459
you have a great employee.

00:30:29.719 --> 00:30:30.078
I don't know.

00:30:30.138 --> 00:30:32.420
Maybe that's just my snapshot response.

00:30:34.201 --> 00:30:34.540
Yeah.

00:30:34.681 --> 00:30:35.842
And I had said to him, I'm like, hey,

00:30:35.902 --> 00:30:37.082
I'm interested in maybe

00:30:37.122 --> 00:30:38.103
buying some of this business.

00:30:38.163 --> 00:30:39.282
This was back in, I don't know,

00:30:39.303 --> 00:30:44.726
probably 2016 or 17 or something or 18.

00:30:44.726 --> 00:30:46.546
And then he kind of brushed

00:30:46.586 --> 00:30:47.446
me off and I was like,

00:30:48.442 --> 00:30:48.781
all right, well,

00:30:48.801 --> 00:30:50.384
I'm going to go open up my own shingle.

00:30:51.003 --> 00:30:52.625
I understand the whole business model.

00:30:52.766 --> 00:30:53.145
I get it.

00:30:53.266 --> 00:30:54.666
I see how profitable it is.

00:30:54.686 --> 00:30:57.349
I see that there's demand for this service,

00:30:57.490 --> 00:30:58.490
especially in Manhattan.

00:30:58.570 --> 00:31:00.432
So I'm going to go do my own thing.

00:31:02.534 --> 00:31:02.794
I've got,

00:31:02.814 --> 00:31:04.115
this is a good question from Will Boyd,

00:31:04.316 --> 00:31:05.576
like unexpected challenges

00:31:05.696 --> 00:31:06.538
and how you respond.

00:31:06.938 --> 00:31:08.699
And I'll give, I've been taking notes.

00:31:09.554 --> 00:31:10.653
I'm looking for the themes

00:31:10.693 --> 00:31:11.894
that you guys have responded with.

00:31:11.914 --> 00:31:13.134
And I think there is one, at least,

00:31:13.375 --> 00:31:13.816
maybe two.

00:31:14.395 --> 00:31:14.695
For me,

00:31:14.715 --> 00:31:15.916
it was when podcasting really

00:31:15.977 --> 00:31:18.698
switched to video.

00:31:18.738 --> 00:31:19.557
And there's actually more

00:31:19.577 --> 00:31:22.098
people with podcasts now than without.

00:31:22.558 --> 00:31:23.900
We've hit the tipping point.

00:31:23.960 --> 00:31:25.079
Everybody's got a podcast.

00:31:25.119 --> 00:31:25.901
You telling someone you have

00:31:25.941 --> 00:31:27.040
a podcast is like, yeah, OK,

00:31:27.060 --> 00:31:27.520
that makes sense.

00:31:28.142 --> 00:31:29.122
And I think I had to decide

00:31:29.162 --> 00:31:29.961
what business I was in.

00:31:29.981 --> 00:31:31.663
Am I doing this or not?

00:31:32.022 --> 00:31:33.223
And then understanding what

00:31:33.263 --> 00:31:34.223
business I was actually in.

00:31:34.903 --> 00:31:36.464
How I might do this is podcasting,

00:31:36.505 --> 00:31:37.585
but the idea is you're

00:31:37.605 --> 00:31:38.645
still in an attention game.

00:31:39.306 --> 00:31:40.166
and you're in an education

00:31:40.186 --> 00:31:41.469
game or an inspiration game

00:31:41.608 --> 00:31:42.490
or an entertainment game

00:31:42.810 --> 00:31:43.731
and understanding those things.

00:31:44.292 --> 00:31:45.413
And I think whenever I would

00:31:45.433 --> 00:31:47.396
get frustrated because

00:31:47.416 --> 00:31:48.218
every couple of years,

00:31:48.458 --> 00:31:49.479
Apple will shuffle the deck.

00:31:50.711 --> 00:31:53.334
and they'll change the algorithms.

00:31:53.394 --> 00:31:54.913
And you can be mad at it or you can say,

00:31:55.094 --> 00:31:55.894
Apple's trying to keep

00:31:55.934 --> 00:31:57.016
things a little bit more

00:31:57.056 --> 00:31:57.915
pure because people are

00:31:57.935 --> 00:31:58.556
figuring out how to game

00:31:58.576 --> 00:31:59.757
the system in terms of

00:31:59.817 --> 00:32:01.577
download numbers or anything like that.

00:32:03.259 --> 00:32:03.999
And they shuffle the deck

00:32:04.019 --> 00:32:04.680
and then all of a sudden

00:32:04.700 --> 00:32:06.259
your downloads just crater.

00:32:06.401 --> 00:32:07.840
And you're like, wait, what just happened?

00:32:08.040 --> 00:32:09.061
Am I less valuable today

00:32:09.082 --> 00:32:10.021
than I was a month ago?

00:32:10.242 --> 00:32:11.383
Because my downloads were cut by 40%.

00:32:12.903 --> 00:32:13.743
It's like, well, no,

00:32:13.963 --> 00:32:16.025
it's just they weren't as

00:32:16.105 --> 00:32:17.046
accurate a month ago.

00:32:17.185 --> 00:32:18.385
They're actually more accurate now.

00:32:19.086 --> 00:32:20.987
So I know it's hard egotistically to say,

00:32:21.106 --> 00:32:22.307
okay, they're more accurate now.

00:32:22.847 --> 00:32:24.588
Doesn't mean I'm worth nothing.

00:32:24.828 --> 00:32:25.628
But then I actually looked

00:32:25.669 --> 00:32:26.890
at it and someone else gave

00:32:26.910 --> 00:32:27.930
me a good mindset.

00:32:28.029 --> 00:32:29.931
I think it was a person from academia,

00:32:29.990 --> 00:32:30.611
not in media,

00:32:30.671 --> 00:32:32.751
not in anything related to what I did.

00:32:33.551 --> 00:32:34.152
And they said, great.

00:32:34.252 --> 00:32:35.613
So does this happen just to

00:32:35.653 --> 00:32:36.333
you or to everybody?

00:32:36.693 --> 00:32:37.394
I was like, well, everybody.

00:32:37.753 --> 00:32:38.433
And they go, great.

00:32:38.493 --> 00:32:40.174
So each download is now worth more.

00:32:41.621 --> 00:32:43.702
It just like the value per

00:32:43.742 --> 00:32:44.703
download just went up

00:32:44.864 --> 00:32:46.265
because everybody across the board,

00:32:46.285 --> 00:32:47.105
it got slashed.

00:32:47.766 --> 00:32:49.548
So I looked at it like that and I was like,

00:32:49.728 --> 00:32:50.188
oh shoot.

00:32:50.327 --> 00:32:51.328
Okay, if I look at it like that.

00:32:51.368 --> 00:32:52.430
So the two things were me or

00:32:52.809 --> 00:32:53.711
am I gonna flip to what

00:32:53.730 --> 00:32:54.491
we're doing right now?

00:32:54.571 --> 00:32:55.432
If you're watching the live

00:32:55.472 --> 00:32:56.492
stream or realize that we

00:32:56.512 --> 00:32:57.453
do these via video now,

00:32:57.773 --> 00:32:59.316
I was super apprehensive about that.

00:33:01.101 --> 00:33:02.521
Because I was just like, I don't know,

00:33:02.541 --> 00:33:03.403
I was a radio guy.

00:33:03.542 --> 00:33:04.683
And like, do people care?

00:33:05.023 --> 00:33:05.743
But then I realized I could

00:33:05.763 --> 00:33:06.744
do two at the same time.

00:33:06.765 --> 00:33:07.925
And it was actually a yes and.

00:33:08.326 --> 00:33:10.028
Now I can make eye contact with Tony.

00:33:10.288 --> 00:33:10.928
Could you imagine if we were

00:33:10.948 --> 00:33:12.509
doing this episode with no eye contact?

00:33:13.009 --> 00:33:14.250
Like the amount of like, wait,

00:33:14.290 --> 00:33:15.391
should I go?

00:33:15.411 --> 00:33:17.573
Video is so much better than

00:33:17.593 --> 00:33:18.273
no eye contact.

00:33:18.294 --> 00:33:19.094
Even if you never watched

00:33:19.114 --> 00:33:20.996
the video just for recording it.

00:33:21.715 --> 00:33:22.435
I've watched when I

00:33:22.455 --> 00:33:23.876
interview people with better guests,

00:33:24.237 --> 00:33:25.577
their anxiety is way lower

00:33:25.597 --> 00:33:26.798
because I'm doing all the

00:33:26.858 --> 00:33:27.739
things that we talk about

00:33:27.759 --> 00:33:28.940
with patients or anybody.

00:33:29.460 --> 00:33:30.661
Nodding, I'm smiling,

00:33:30.701 --> 00:33:32.662
I'm making pseudo eye contact.

00:33:33.061 --> 00:33:34.242
It makes me less stressed,

00:33:34.502 --> 00:33:35.423
therefore they're less.

00:33:35.723 --> 00:33:36.364
So the two things,

00:33:36.423 --> 00:33:37.484
switching to video and when

00:33:37.585 --> 00:33:38.505
Apple shuffles the deck

00:33:38.525 --> 00:33:39.306
every two to three years,

00:33:41.144 --> 00:33:42.066
And here comes the theme

00:33:42.086 --> 00:33:43.365
that I think tied us all together,

00:33:43.405 --> 00:33:44.646
which what is the bad thing

00:33:44.666 --> 00:33:45.606
and what we do about it,

00:33:46.126 --> 00:33:47.127
which is there's an

00:33:47.188 --> 00:33:48.587
emotional component to this.

00:33:49.308 --> 00:33:50.528
And you can freak out and I

00:33:50.568 --> 00:33:51.650
could go write negative one

00:33:51.670 --> 00:33:53.369
star reviews for Apple

00:33:53.891 --> 00:33:55.431
about how dare they shift

00:33:55.471 --> 00:33:56.892
their own algorithm for

00:33:56.912 --> 00:33:58.712
their own proprietary thing

00:33:58.732 --> 00:34:00.173
called podcasting and be

00:34:00.252 --> 00:34:01.413
mad about it and shake my

00:34:01.453 --> 00:34:02.153
fist at the world.

00:34:02.614 --> 00:34:03.275
Or I can be.

00:34:04.394 --> 00:34:06.257
mad for 24 hours or upset or

00:34:06.297 --> 00:34:07.397
emotional for 24 hours,

00:34:07.557 --> 00:34:08.478
but don't do anything.

00:34:08.679 --> 00:34:09.438
Don't write the email.

00:34:09.458 --> 00:34:10.619
Don't make the ranting post.

00:34:10.659 --> 00:34:11.440
Just be emotional.

00:34:12.061 --> 00:34:12.702
And then go, okay,

00:34:12.722 --> 00:34:13.862
how does this change this for me?

00:34:13.922 --> 00:34:15.344
Do I still want to be in this business?

00:34:15.903 --> 00:34:17.545
If the answer is yes, then figure out how.

00:34:17.905 --> 00:34:18.867
And I feel like each one of

00:34:18.907 --> 00:34:20.108
you had that emotional thing.

00:34:20.407 --> 00:34:22.250
I mean, losing 50% is insane.

00:34:22.690 --> 00:34:24.291
Many people would pack it in and be like,

00:34:24.371 --> 00:34:25.871
well, that model's dead.

00:34:25.891 --> 00:34:26.293
I'm out.

00:34:27.681 --> 00:34:29.682
I did this with radio.

00:34:30.182 --> 00:34:31.324
I looked ahead and said,

00:34:31.443 --> 00:34:32.264
everything's shifting.

00:34:32.545 --> 00:34:33.925
Do I wanna be in this business?

00:34:34.365 --> 00:34:35.887
And after 20 something years

00:34:35.947 --> 00:34:39.489
of becoming a radio intern

00:34:39.528 --> 00:34:40.608
and going to college, I said, no,

00:34:40.668 --> 00:34:41.148
and I left.

00:34:41.510 --> 00:34:42.389
And I was fine with it

00:34:42.409 --> 00:34:43.851
because I decided I didn't

00:34:43.891 --> 00:34:44.751
wanna be in this business.

00:34:44.911 --> 00:34:45.992
This business will

00:34:46.492 --> 00:34:47.492
fundamentally change with

00:34:47.512 --> 00:34:48.012
the invention of

00:34:48.072 --> 00:34:49.153
smartphones and the internet.

00:34:49.534 --> 00:34:50.954
I didn't wanna be in that anymore.

00:34:50.994 --> 00:34:52.916
And I left and I never felt bad about it.

00:34:53.036 --> 00:34:54.536
I missed it, but never felt bad about it.

00:34:54.556 --> 00:34:56.018
So I think it's check the emotion,

00:34:57.014 --> 00:34:58.157
And now make the decision.

00:34:58.177 --> 00:34:59.259
Do I still want to do this?

00:34:59.298 --> 00:35:00.842
If the answer is yes, do it.

00:35:01.163 --> 00:35:02.166
The answer is no, don't do it.

00:35:03.108 --> 00:35:03.989
That's simple, not easy.

00:35:05.956 --> 00:35:08.177
Let's keep this theme going.

00:35:08.737 --> 00:35:11.239
Jimmy, you shared this screenshot.

00:35:11.500 --> 00:35:13.561
So opening your own practice.

00:35:14.641 --> 00:35:15.483
After graduation,

00:35:15.543 --> 00:35:17.284
I plan on opening my own practice.

00:35:17.344 --> 00:35:20.427
I run an anytime fitness franchise,

00:35:20.467 --> 00:35:21.708
green-lighted PTs to

00:35:21.748 --> 00:35:22.788
practice in their gyms.

00:35:23.369 --> 00:35:25.170
Keep in mind, no overhead costs,

00:35:25.851 --> 00:35:27.172
which isn't right.

00:35:28.052 --> 00:35:29.112
Just a partnership.

00:35:29.172 --> 00:35:30.253
My question here,

00:35:30.793 --> 00:35:33.016
how much revenue can one PT

00:35:33.115 --> 00:35:33.896
practice make?

00:35:34.597 --> 00:35:34.657
Now,

00:35:34.677 --> 00:35:35.998
I don't know if this person's asking

00:35:36.038 --> 00:35:38.500
for one PT in the practice

00:35:38.639 --> 00:35:40.101
or one PT practice,

00:35:40.141 --> 00:35:43.143
like obviously one PT practice, ATI,

00:35:43.224 --> 00:35:45.346
Athletico, like it's infinite.

00:35:45.746 --> 00:35:46.286
Yeah,

00:35:46.407 --> 00:35:48.268
I do live in a rural area with plenty

00:35:48.289 --> 00:35:49.809
of connections, patient referrals.

00:35:50.349 --> 00:35:52.972
I plan on billing insurances primarily.

00:35:53.860 --> 00:35:55.581
So a couple of things that I

00:35:55.661 --> 00:35:57.061
responded to Jimmy's post

00:35:57.081 --> 00:35:58.463
when he shared this originally,

00:35:58.483 --> 00:36:00.643
and it was kind of tongue

00:36:00.684 --> 00:36:02.043
in cheek a little bit, but I said,

00:36:02.103 --> 00:36:04.985
mistake number one, you know,

00:36:05.425 --> 00:36:06.827
this individual thinks that

00:36:06.867 --> 00:36:08.967
they they if they're going

00:36:08.987 --> 00:36:10.168
to do insurance,

00:36:10.228 --> 00:36:11.489
insurance is your customer.

00:36:11.889 --> 00:36:13.411
The patient is not your customer.

00:36:14.090 --> 00:36:15.672
And I say this repeatedly.

00:36:15.891 --> 00:36:17.833
Insurance is your customer.

00:36:18.012 --> 00:36:19.673
You serve the insurance company.

00:36:20.114 --> 00:36:21.934
The patient is the insurance

00:36:21.974 --> 00:36:22.856
company's customer.

00:36:24.396 --> 00:36:26.577
Number two, if you're doing insurance,

00:36:26.637 --> 00:36:29.378
particularly Medicare,

00:36:29.438 --> 00:36:30.818
you have to pay fair market

00:36:30.838 --> 00:36:31.818
value for the space.

00:36:32.237 --> 00:36:33.458
You can't just work out of

00:36:33.478 --> 00:36:34.458
the space for free.

00:36:34.858 --> 00:36:36.518
There's all these rules and regulations,

00:36:36.619 --> 00:36:38.119
even to the degree that

00:36:38.199 --> 00:36:39.199
Medicare requires a

00:36:39.239 --> 00:36:40.760
provider to have exclusive

00:36:40.960 --> 00:36:42.541
use of a specific area.

00:36:43.101 --> 00:36:44.302
for treating patients.

00:36:44.382 --> 00:36:46.364
So in the Medicare guidelines,

00:36:46.423 --> 00:36:48.425
it talks about a pool, a community pool,

00:36:48.565 --> 00:36:49.387
YMCA pool.

00:36:49.827 --> 00:36:50.867
If you're going to rent a

00:36:51.027 --> 00:36:53.309
portion of the pool to treat patients,

00:36:53.409 --> 00:36:54.871
you have to have exclusive

00:36:54.990 --> 00:36:56.452
use of that portion of the pool.

00:36:57.112 --> 00:36:58.594
We see therapists that will

00:36:58.675 --> 00:37:00.556
rent a room or a corner of

00:37:00.596 --> 00:37:02.637
a CrossFit gym and Anytime Fitness,

00:37:03.018 --> 00:37:04.039
and they use the whole thing.

00:37:04.119 --> 00:37:04.659
Technically,

00:37:04.699 --> 00:37:07.081
that is not compliant with the

00:37:07.101 --> 00:37:07.983
Medicare guideline.

00:37:09.864 --> 00:37:11.443
and then just you know the

00:37:11.543 --> 00:37:12.784
idea and I think this is

00:37:12.925 --> 00:37:14.885
the topic here therapists

00:37:14.905 --> 00:37:17.266
think well this gym has 500

00:37:17.266 --> 00:37:18.206
members I'm going to go

00:37:18.226 --> 00:37:19.525
into the gym all those

00:37:19.565 --> 00:37:20.407
people need physical

00:37:20.447 --> 00:37:21.527
therapy I'm going to be

00:37:21.626 --> 00:37:22.547
swamped I'm going to have

00:37:22.606 --> 00:37:24.387
you know unlimited patients

00:37:24.427 --> 00:37:25.788
and the reality is those

00:37:25.847 --> 00:37:27.047
people don't generally want

00:37:27.088 --> 00:37:28.708
physical therapy I can't

00:37:28.768 --> 00:37:29.728
tell you how many

00:37:30.289 --> 00:37:31.208
therapists open in a

00:37:31.268 --> 00:37:33.050
crossfit gym open in a yoga

00:37:33.070 --> 00:37:34.809
studio and they get like

00:37:35.030 --> 00:37:37.951
zero or one random person from the gym

00:37:38.590 --> 00:37:40.293
Because that community

00:37:40.454 --> 00:37:41.956
doesn't want to feel like

00:37:41.996 --> 00:37:43.617
they need physical therapy,

00:37:43.777 --> 00:37:45.199
even if they would benefit from it.

00:37:45.599 --> 00:37:46.621
They don't want to go.

00:37:46.702 --> 00:37:47.262
They don't want to be

00:37:47.282 --> 00:37:48.804
dependent on a therapist.

00:37:48.905 --> 00:37:50.626
That's why they're doing

00:37:50.666 --> 00:37:51.527
those other things.

00:37:52.028 --> 00:37:53.831
My clinic is full of people

00:37:53.871 --> 00:37:55.032
who don't go to the gym.

00:37:55.632 --> 00:37:56.134
You know,

00:37:56.273 --> 00:37:57.355
and so when they get referred to

00:37:57.375 --> 00:37:58.135
physical therapy,

00:37:58.175 --> 00:37:59.617
they come because they

00:37:59.657 --> 00:38:01.257
think that they need me to fix them,

00:38:01.297 --> 00:38:01.918
which I don't.

00:38:03.320 --> 00:38:05.521
But if I'm if I'm a CrossFit, you know,

00:38:05.601 --> 00:38:07.362
participant, I'm doing all this stuff.

00:38:07.503 --> 00:38:08.583
My shoulder could be

00:38:09.125 --> 00:38:10.505
dislocated and I am not

00:38:10.545 --> 00:38:11.907
going to go to a physical therapist.

00:38:11.947 --> 00:38:13.047
I'm going to do three more

00:38:14.528 --> 00:38:16.090
kipping pull ups and that's

00:38:16.130 --> 00:38:17.050
going to fix my shoulder.

00:38:17.070 --> 00:38:18.793
So what do you guys think about that post?

00:38:21.617 --> 00:38:21.998
Well, first,

00:38:22.018 --> 00:38:23.398
I think I think he was asking

00:38:24.159 --> 00:38:25.800
a like a solo practice.

00:38:25.820 --> 00:38:28.663
So he wrote a a one PT practice.

00:38:28.722 --> 00:38:31.605
So it sounds like a solo therapy practice.

00:38:31.744 --> 00:38:31.965
Hold on.

00:38:31.985 --> 00:38:32.264
Yeah.

00:38:32.304 --> 00:38:34.126
He says, I run an anytime fitness.

00:38:34.387 --> 00:38:34.786
I run.

00:38:34.867 --> 00:38:35.126
So I'm like,

00:38:35.146 --> 00:38:36.307
he's the manager of an anytime

00:38:36.347 --> 00:38:37.748
fitness or he owns a

00:38:37.869 --> 00:38:39.190
franchise of an anytime fitness.

00:38:39.230 --> 00:38:39.429
Right.

00:38:40.010 --> 00:38:40.070
And.

00:38:40.831 --> 00:38:42.472
and the franchise greenlit

00:38:42.532 --> 00:38:43.693
pts to practice in their

00:38:43.713 --> 00:38:45.293
gyms and I'm like okay so

00:38:45.333 --> 00:38:46.195
what I think he's saying is

00:38:46.315 --> 00:38:48.157
I'm already here can I act

00:38:48.217 --> 00:38:50.217
as a pt when I can get paid

00:38:50.257 --> 00:38:51.579
as a pt and bill insurance

00:38:51.958 --> 00:38:53.000
or and then when I'm not

00:38:53.019 --> 00:38:54.260
doing that I will act as a

00:38:54.641 --> 00:38:56.043
trainer or a manager or a

00:38:56.083 --> 00:38:58.123
facilitator of the of the

00:38:58.164 --> 00:38:59.844
facility right and I mean I'm I'm

00:39:00.693 --> 00:39:01.333
It's a Reddit post.

00:39:01.373 --> 00:39:03.014
I'm trying to read, trying to be accurate.

00:39:03.675 --> 00:39:04.896
Maybe, yeah, he's trying to double dip.

00:39:04.916 --> 00:39:05.317
I don't know.

00:39:05.637 --> 00:39:06.737
Right, right.

00:39:06.936 --> 00:39:07.737
I think what he's saying is

00:39:07.777 --> 00:39:09.239
what Tony was saying was like, well,

00:39:09.278 --> 00:39:10.059
I have a bunch of people

00:39:10.159 --> 00:39:11.079
and I'm a PT and these

00:39:11.099 --> 00:39:12.019
people are moving and we're

00:39:12.059 --> 00:39:13.360
movement experts, which I hate that.

00:39:13.740 --> 00:39:14.320
I don't know.

00:39:14.340 --> 00:39:15.621
That term just drives me insane.

00:39:16.021 --> 00:39:17.282
But I think what he's trying

00:39:17.302 --> 00:39:17.742
to say is like,

00:39:17.822 --> 00:39:19.684
why can't I be the PT for this place?

00:39:20.885 --> 00:39:22.025
So like, what do you think, Dave?

00:39:22.465 --> 00:39:23.746
But then he asks a question

00:39:23.847 --> 00:39:24.967
which everybody just wants to scream.

00:39:25.007 --> 00:39:25.507
It depends,

00:39:25.568 --> 00:39:27.128
which is how much can one PT

00:39:27.168 --> 00:39:27.849
make in this setting?

00:39:29.693 --> 00:39:29.952
I mean,

00:39:30.414 --> 00:39:32.215
with a hundred percent in network

00:39:32.635 --> 00:39:34.277
insurance, I don't know, 200 grand,

00:39:34.277 --> 00:39:35.717
300 grand depends on your payers.

00:39:37.914 --> 00:39:38.094
Right.

00:39:38.936 --> 00:39:41.297
So I share this and we got,

00:39:41.456 --> 00:39:42.898
I thought we'd have more of a discussion,

00:39:43.257 --> 00:39:44.778
but I do feel like this is

00:39:44.798 --> 00:39:45.440
what I talked about in the

00:39:45.539 --> 00:39:46.780
opener when like these

00:39:46.920 --> 00:39:48.442
posts like this pop up all the time.

00:39:49.161 --> 00:39:49.362
Right.

00:39:49.842 --> 00:39:51.483
And people then chime in,

00:39:51.603 --> 00:39:52.443
like people just probably

00:39:52.483 --> 00:39:53.605
copy paste their own answers.

00:39:53.644 --> 00:39:54.646
Cause it's just different

00:39:54.666 --> 00:39:55.445
people asking the same

00:39:55.485 --> 00:39:56.146
questions all the time.

00:39:56.447 --> 00:39:58.188
I did like Tony, how you, you laid it out.

00:39:58.788 --> 00:40:00.570
Mistake one, you wait to the,

00:40:00.650 --> 00:40:01.389
this is to the,

00:40:01.429 --> 00:40:03.391
I forgot about that hobby.

00:40:03.471 --> 00:40:04.112
That was a different one.

00:40:04.777 --> 00:40:05.157
No, no,

00:40:05.438 --> 00:40:06.780
I forgot I said that about the

00:40:06.800 --> 00:40:07.981
seven years.

00:40:08.101 --> 00:40:09.983
So this was Jay Lopez was the guy.

00:40:10.003 --> 00:40:11.184
Yeah, it's the same post.

00:40:11.425 --> 00:40:12.887
And then you essentially said, okay,

00:40:12.907 --> 00:40:13.688
here are your three mistakes.

00:40:13.728 --> 00:40:14.128
Number one,

00:40:14.148 --> 00:40:15.389
you wasted seven years becoming

00:40:15.409 --> 00:40:17.211
a PT when you wanted to be

00:40:17.251 --> 00:40:17.833
a business owner.

00:40:18.172 --> 00:40:19.233
Those are two different things.

00:40:19.434 --> 00:40:19.994
Can you do that?

00:40:20.936 --> 00:40:21.516
By the way,

00:40:21.675 --> 00:40:22.815
Tony said this is tongue in cheek.

00:40:22.836 --> 00:40:24.257
So don't read this literally.

00:40:24.317 --> 00:40:26.036
This is Tony with a little, you know.

00:40:26.056 --> 00:40:26.998
This is the Internet.

00:40:27.177 --> 00:40:28.177
Everything is literal.

00:40:28.838 --> 00:40:30.237
Look, I can point at it.

00:40:30.617 --> 00:40:31.978
But the person sounds like

00:40:31.998 --> 00:40:33.119
they want to be a business owner.

00:40:33.358 --> 00:40:35.219
They are running or somehow

00:40:35.360 --> 00:40:38.559
in charge of a anytime fitness and a PT.

00:40:39.360 --> 00:40:39.721
Okay.

00:40:39.820 --> 00:40:40.701
I could see how one would be

00:40:40.740 --> 00:40:41.501
a great job while you're in

00:40:41.521 --> 00:40:42.760
PT school maybe or something.

00:40:42.820 --> 00:40:44.961
But these are two different things, right?

00:40:45.001 --> 00:40:46.001
You wasted seven years

00:40:46.081 --> 00:40:47.041
becoming a PT when you

00:40:47.061 --> 00:40:47.902
wanted to be a business owner.

00:40:48.242 --> 00:40:48.802
Mistake two.

00:40:50.063 --> 00:40:51.023
You highlighted you probably

00:40:51.063 --> 00:40:52.465
can't partner officially

00:40:52.505 --> 00:40:53.907
with Anytime Fitness in your state.

00:40:54.509 --> 00:40:55.670
If you want to bill insurance,

00:40:55.789 --> 00:40:56.471
you can rent.

00:40:56.992 --> 00:40:58.793
So this is now it's like, hey,

00:40:58.853 --> 00:40:59.675
what does it cost me?

00:40:59.735 --> 00:41:00.416
I'm just partnering.

00:41:00.456 --> 00:41:01.056
It's like, well,

00:41:01.476 --> 00:41:03.119
you can't know the rules in

00:41:03.159 --> 00:41:03.860
your neighborhood to make

00:41:03.880 --> 00:41:04.541
sure you don't break them.

00:41:05.322 --> 00:41:06.583
And then mistake three, Tony,

00:41:06.603 --> 00:41:07.784
you've talked about this before.

00:41:08.284 --> 00:41:09.264
You're operating a billing

00:41:09.304 --> 00:41:11.206
company if you want to bill insurance,

00:41:11.606 --> 00:41:12.807
not a physical therapy company.

00:41:13.007 --> 00:41:15.309
How you might get permission

00:41:15.329 --> 00:41:16.530
to bill is physical therapy.

00:41:16.831 --> 00:41:18.452
But the business that you're

00:41:18.572 --> 00:41:20.492
in is a billing company is

00:41:20.512 --> 00:41:22.014
what I think you're getting at.

00:41:22.574 --> 00:41:23.135
And you're running a

00:41:23.175 --> 00:41:24.255
staffing company to deliver

00:41:24.295 --> 00:41:25.777
PT if you hire more people

00:41:26.358 --> 00:41:27.438
to get paid for the PT.

00:41:27.798 --> 00:41:29.079
But actually delivering the

00:41:29.159 --> 00:41:32.021
PT is the lowest priority option.

00:41:32.181 --> 00:41:32.722
on your list of

00:41:32.782 --> 00:41:34.523
responsibilities and this I

00:41:34.543 --> 00:41:35.882
don't know if this led to

00:41:36.563 --> 00:41:38.664
or this was in parallel

00:41:38.724 --> 00:41:41.164
with your example I thought

00:41:41.184 --> 00:41:42.085
which was good which is

00:41:42.166 --> 00:41:43.865
surgeons like surgeons are

00:41:43.905 --> 00:41:44.967
highly trained individuals

00:41:45.606 --> 00:41:46.806
they could do stitches they

00:41:46.827 --> 00:41:48.588
could put band-aids on they

00:41:48.608 --> 00:41:50.347
typically don't why is that

00:41:50.387 --> 00:41:51.449
tony why aren't surgeon

00:41:51.728 --> 00:41:53.148
surgeons you know putting

00:41:53.188 --> 00:41:54.369
band-aids on boo-boos

00:41:54.990 --> 00:41:55.090
Well,

00:41:55.110 --> 00:41:56.733
this goes back to the bigger topic

00:41:56.753 --> 00:41:57.934
that we always talk about is,

00:41:57.994 --> 00:41:59.336
are you being paid for the job?

00:41:59.416 --> 00:42:01.679
Are you being paid for your value?

00:42:01.719 --> 00:42:03.802
And you see therapists say, no, your worth,

00:42:04.382 --> 00:42:05.704
your worth is infinite.

00:42:05.784 --> 00:42:06.726
Nobody is ever going to pay

00:42:06.766 --> 00:42:08.748
you enough for what you are worth.

00:42:08.929 --> 00:42:10.610
So what is the job worth?

00:42:11.431 --> 00:42:14.934
And I brought up these topics around, okay,

00:42:14.996 --> 00:42:17.617
so did we over-educate the profession?

00:42:17.697 --> 00:42:19.018
And it's not about the DPT.

00:42:19.039 --> 00:42:20.019
I don't even care about the

00:42:20.059 --> 00:42:21.260
transition to DPT.

00:42:21.340 --> 00:42:22.222
It's, look,

00:42:22.342 --> 00:42:24.103
if I have a person that wants

00:42:24.164 --> 00:42:25.344
to build a house,

00:42:25.806 --> 00:42:27.567
that wants to do the thing,

00:42:28.108 --> 00:42:29.989
then why am I coaching them,

00:42:30.068 --> 00:42:30.630
training them,

00:42:30.789 --> 00:42:32.010
educating them to be the

00:42:32.190 --> 00:42:33.753
architect when they want to

00:42:33.773 --> 00:42:34.554
hammer the nails?

00:42:34.793 --> 00:42:34.934
Hmm.

00:42:35.534 --> 00:42:37.434
And so I think so many of us

00:42:37.755 --> 00:42:40.157
want to deliver the service,

00:42:40.637 --> 00:42:41.677
which is an amazing,

00:42:42.257 --> 00:42:44.278
self-fulfilling thing.

00:42:44.338 --> 00:42:44.838
We love it.

00:42:44.878 --> 00:42:45.739
It makes us feel good.

00:42:46.320 --> 00:42:47.960
But our highest value,

00:42:48.141 --> 00:42:50.262
absolute monetary value is

00:42:50.322 --> 00:42:51.362
in the evaluation,

00:42:51.782 --> 00:42:52.463
in the differential

00:42:52.503 --> 00:42:53.824
diagnosis and developing

00:42:53.864 --> 00:42:55.065
the plan of care and seeing

00:42:55.085 --> 00:42:55.905
the big picture and

00:42:55.945 --> 00:42:57.045
coordinating the team.

00:42:57.965 --> 00:42:59.746
And if we want to make the

00:42:59.786 --> 00:43:00.867
money that we want to make,

00:43:01.068 --> 00:43:02.228
that is where we need to

00:43:02.268 --> 00:43:03.849
spend the lion's share of our time.

00:43:04.389 --> 00:43:05.829
And so if we want to just

00:43:05.869 --> 00:43:07.431
hang out and party and get

00:43:07.451 --> 00:43:08.610
to know patients and help

00:43:08.650 --> 00:43:09.731
them achieve their goals,

00:43:10.652 --> 00:43:12.472
I could train a monkey to

00:43:12.873 --> 00:43:14.253
make sure a patient does

00:43:14.333 --> 00:43:15.653
three sets of 10 lat pull.

00:43:15.693 --> 00:43:17.275
It doesn't take anything

00:43:17.454 --> 00:43:19.615
above minimal competency,

00:43:20.255 --> 00:43:21.856
but we're stuck in that trap.

00:43:21.876 --> 00:43:22.257
Okay.

00:43:26.615 --> 00:43:27.077
You're muted.

00:43:27.639 --> 00:43:28.001
Sorry.

00:43:28.021 --> 00:43:29.887
Sorry, sorry, sorry.

00:43:30.088 --> 00:43:31.492
I've also noticed the opposite,

00:43:31.552 --> 00:43:31.954
which is...

00:43:33.632 --> 00:43:35.172
I've noticed PTs try to be

00:43:35.193 --> 00:43:37.393
like with a patient and be

00:43:37.432 --> 00:43:39.233
like hyper focused.

00:43:39.934 --> 00:43:40.193
I mean,

00:43:40.213 --> 00:43:41.434
let me see exactly how you're doing

00:43:41.474 --> 00:43:42.215
that lap pull down.

00:43:42.255 --> 00:43:42.635
Hang on.

00:43:42.695 --> 00:43:44.396
I want you three millimeters

00:43:44.456 --> 00:43:45.976
to the right because so

00:43:45.996 --> 00:43:46.755
what they're trying to do

00:43:46.795 --> 00:43:47.396
is they're trying to do the

00:43:47.436 --> 00:43:48.177
reverse of this.

00:43:48.717 --> 00:43:49.137
They're trying to

00:43:49.157 --> 00:43:50.498
demonstrate their hyper

00:43:50.577 --> 00:43:52.018
skill in this specific

00:43:52.097 --> 00:43:53.378
thing that let's be honest, man,

00:43:53.778 --> 00:43:54.358
lap pull down.

00:43:54.818 --> 00:43:56.960
I mean, can you monumentally do it wrong?

00:43:57.539 --> 00:43:57.800
Sure.

00:43:58.559 --> 00:43:59.679
Are most people going to, you know,

00:44:00.101 --> 00:44:00.440
but no.

00:44:00.521 --> 00:44:01.461
So what they've tried to do

00:44:01.541 --> 00:44:03.103
is rise the level of their

00:44:03.384 --> 00:44:04.985
pounding nails to architect

00:44:05.025 --> 00:44:06.367
level to make it look like that.

00:44:06.806 --> 00:44:08.228
And the audience knows, man,

00:44:08.748 --> 00:44:11.490
people know with people with no fitness,

00:44:11.891 --> 00:44:12.371
anatomy,

00:44:12.452 --> 00:44:14.594
physiology background know when

00:44:14.614 --> 00:44:15.614
they're being bullshitted.

00:44:15.936 --> 00:44:16.275
They do.

00:44:16.735 --> 00:44:17.936
They might not know exactly why,

00:44:18.898 --> 00:44:19.599
but they can smell it.

00:44:19.639 --> 00:44:20.840
I used to tell us with new radio DJs.

00:44:22.007 --> 00:44:23.429
Don't try to act cooler than you are.

00:44:23.630 --> 00:44:25.471
The audience will know and

00:44:25.751 --> 00:44:26.592
they'll just get an icky

00:44:26.632 --> 00:44:27.632
feeling and they just won't

00:44:27.652 --> 00:44:28.313
want to listen to you.

00:44:28.653 --> 00:44:29.795
They might not know why,

00:44:30.135 --> 00:44:31.115
but if you're puking your

00:44:31.155 --> 00:44:32.878
voice out like this to sound cooler,

00:44:33.018 --> 00:44:33.619
that's not cooler.

00:44:33.978 --> 00:44:35.440
That's something.

00:44:35.480 --> 00:44:36.420
That's your version of cooler,

00:44:36.440 --> 00:44:36.882
but not everybody.

00:44:36.902 --> 00:44:38.422
So be as real as you can.

00:44:38.443 --> 00:44:39.304
But I like this quote.

00:44:39.324 --> 00:44:40.425
This might be the thing that

00:44:41.005 --> 00:44:42.045
we use for the thumbnail,

00:44:42.085 --> 00:44:43.427
which is you can't demand

00:44:43.547 --> 00:44:44.329
architect money while

00:44:44.349 --> 00:44:45.248
you're busy pounding nails.

00:44:46.192 --> 00:44:46.411
right?

00:44:47.072 --> 00:44:49.594
So if you want to be the one hands-on,

00:44:49.833 --> 00:44:49.974
right,

00:44:50.014 --> 00:44:51.414
the entire time or walk them

00:44:51.434 --> 00:44:52.695
through exercise, do that.

00:44:53.456 --> 00:44:55.396
But then don't be upset when

00:44:55.416 --> 00:44:56.157
you're not getting paid

00:44:56.217 --> 00:44:57.177
architect money because

00:44:57.197 --> 00:44:58.458
you're not doing architect things.

00:44:58.739 --> 00:44:59.820
Surgeons get paid surgeon

00:44:59.860 --> 00:45:00.880
money when they do surgeon things.

00:45:01.141 --> 00:45:03.461
They can put boo-boos on ouchies.

00:45:03.902 --> 00:45:05.143
They don't because they want

00:45:05.163 --> 00:45:07.023
to maximize their value and

00:45:07.083 --> 00:45:07.724
that's how they do it.

00:45:07.985 --> 00:45:08.905
So Tony, your alternative,

00:45:09.105 --> 00:45:11.005
how does a PT do architect

00:45:11.025 --> 00:45:12.047
things all day then?

00:45:13.905 --> 00:45:15.326
Ooh, that's a good question.

00:45:15.427 --> 00:45:17.688
So, so for me, you know, and there,

00:45:17.809 --> 00:45:20.672
there are seasons to our careers, right?

00:45:21.371 --> 00:45:23.173
Um, when I was a younger grad,

00:45:23.233 --> 00:45:24.195
I was new into the

00:45:24.255 --> 00:45:25.916
profession of physical therapy.

00:45:25.936 --> 00:45:27.898
Uh, yeah, I, I would,

00:45:27.958 --> 00:45:29.139
I would just treat my

00:45:29.179 --> 00:45:31.041
patients and hang out and talk and,

00:45:31.202 --> 00:45:33.063
and help them achieve their fitness goals,

00:45:33.103 --> 00:45:35.065
their performance goals, all that stuff.

00:45:35.806 --> 00:45:35.907
Um,

00:45:36.527 --> 00:45:38.307
But I wasn't making the kind

00:45:38.347 --> 00:45:39.588
of money that I needed to

00:45:39.628 --> 00:45:40.650
make to support a family.

00:45:40.869 --> 00:45:41.909
I wasn't making the kind of

00:45:41.949 --> 00:45:42.951
money I needed to make to

00:45:43.010 --> 00:45:43.891
do other things.

00:45:44.851 --> 00:45:45.931
I think there's a couple ways.

00:45:45.972 --> 00:45:46.632
I think one,

00:45:46.853 --> 00:45:48.474
if you know deep in your heart,

00:45:48.594 --> 00:45:50.355
I want to be a clinician.

00:45:50.574 --> 00:45:52.155
I don't want to be a business owner.

00:45:52.195 --> 00:45:53.516
I don't want to be an entrepreneur.

00:45:53.556 --> 00:45:55.036
I don't want to do these other things.

00:45:55.637 --> 00:45:57.199
Then be a clinician.

00:45:57.278 --> 00:45:58.818
Go partner with somebody who

00:45:58.918 --> 00:46:00.260
wants to do the other things.

00:46:00.360 --> 00:46:01.460
Dave is a great example.

00:46:02.041 --> 00:46:04.083
I could go work for Dave and

00:46:04.164 --> 00:46:05.746
do what I want to do best

00:46:05.806 --> 00:46:06.907
if I want to be a clinician

00:46:06.927 --> 00:46:08.248
and let Dave handle the

00:46:08.289 --> 00:46:09.449
business side of things.

00:46:10.130 --> 00:46:11.452
Even though I'm taking home

00:46:11.532 --> 00:46:13.514
less money than I potentially could,

00:46:13.534 --> 00:46:15.936
he is dealing with all the

00:46:15.976 --> 00:46:16.458
headaches and the

00:46:16.498 --> 00:46:17.940
frustrations and the stuff

00:46:17.980 --> 00:46:19.061
that I don't want to deal with.

00:46:19.942 --> 00:46:21.983
And we see it like think of how many.

00:46:23.052 --> 00:46:25.552
athletes and singers and all of these,

00:46:25.952 --> 00:46:26.213
you know,

00:46:26.253 --> 00:46:27.994
more in the arts that are doing

00:46:28.034 --> 00:46:29.293
that on the side because

00:46:29.353 --> 00:46:30.835
it's their passion and they love it.

00:46:31.735 --> 00:46:32.974
But they still have their day job.

00:46:32.994 --> 00:46:33.715
They still have the thing

00:46:33.755 --> 00:46:35.195
that puts money in the bank account.

00:46:35.655 --> 00:46:38.217
So so you can build the life you want,

00:46:38.797 --> 00:46:40.577
leveraging the financial

00:46:40.617 --> 00:46:42.057
tools and the resources you have.

00:46:42.097 --> 00:46:43.378
But you have to be mindful of it.

00:46:43.418 --> 00:46:45.099
You can't just sit there and complain.

00:46:45.119 --> 00:46:47.199
I don't get paid enough.

00:46:47.800 --> 00:46:49.442
When really the thing that

00:46:49.481 --> 00:46:51.384
you want to deliver just

00:46:51.463 --> 00:46:52.405
doesn't have that much

00:46:52.485 --> 00:46:53.686
monetary value to the

00:46:53.826 --> 00:46:55.527
person or the organization

00:46:55.588 --> 00:46:56.469
that's buying it.

00:46:57.469 --> 00:46:58.010
That's where we are.

00:46:58.471 --> 00:46:58.891
Real quick,

00:46:58.951 --> 00:47:01.893
there's a guy who he's a personal chef.

00:47:01.934 --> 00:47:03.596
I sent Dave the video last night.

00:47:04.076 --> 00:47:05.456
Personal chef in Las Vegas.

00:47:05.818 --> 00:47:06.739
I have no idea what kind of

00:47:06.778 --> 00:47:08.719
money this guy makes, but he literally...

00:47:09.320 --> 00:47:11.161
does three meals a day for the family.

00:47:11.222 --> 00:47:12.322
He goes and buys all the

00:47:12.362 --> 00:47:13.983
stuff like he does all this.

00:47:14.065 --> 00:47:15.425
He's an amazing artist when

00:47:15.465 --> 00:47:16.286
it comes to food.

00:47:16.706 --> 00:47:17.927
He seems to have an amazing

00:47:17.987 --> 00:47:19.407
lifestyle and is happy with

00:47:19.447 --> 00:47:20.108
what he's doing.

00:47:20.188 --> 00:47:22.050
He's living the dream that he's had.

00:47:22.070 --> 00:47:24.411
I don't know.

00:47:24.431 --> 00:47:25.773
I don't remember the channel

00:47:25.813 --> 00:47:26.534
or I would share it.

00:47:26.594 --> 00:47:28.414
But that is a great example

00:47:28.534 --> 00:47:30.335
of if I was a mobile therapist,

00:47:30.456 --> 00:47:31.896
I would be modeling what he

00:47:31.936 --> 00:47:33.699
has already achieved for his success.

00:47:35.009 --> 00:47:35.389
Well, I mean,

00:47:35.409 --> 00:47:36.429
you talked about this tactically.

00:47:36.469 --> 00:47:37.311
Go ahead, Dave.

00:47:37.331 --> 00:47:37.951
What was the channel?

00:47:38.572 --> 00:47:40.092
I'll pull it up.

00:47:40.112 --> 00:47:41.793
Go ahead.

00:47:41.833 --> 00:47:44.115
I was going to say, you had said before,

00:47:44.155 --> 00:47:44.956
the solution to this,

00:47:45.016 --> 00:47:46.878
if you can't demand

00:47:46.938 --> 00:47:47.599
architect money while

00:47:47.619 --> 00:47:48.460
you're busy pounding nails,

00:47:48.920 --> 00:47:49.860
do architect things.

00:47:50.440 --> 00:47:51.581
The highest value,

00:47:51.742 --> 00:47:52.782
correct me if I'm wrong here,

00:47:52.822 --> 00:47:53.824
but the highest tactical

00:47:53.864 --> 00:47:55.264
value of doing architect

00:47:55.284 --> 00:47:56.626
things for a PT is evaluations.

00:47:58.744 --> 00:48:00.764
Your goal should be evaluations, right?

00:48:00.784 --> 00:48:02.626
Because that is the highest

00:48:03.067 --> 00:48:04.427
value thing to your customer,

00:48:04.447 --> 00:48:05.708
which is not your patient.

00:48:06.507 --> 00:48:07.469
It's the insurance if that's

00:48:07.489 --> 00:48:08.309
who you're going through.

00:48:09.190 --> 00:48:09.809
Otherwise,

00:48:10.269 --> 00:48:11.891
if it's your time and someone

00:48:11.931 --> 00:48:13.751
wants concierge care,

00:48:14.052 --> 00:48:15.853
they want someone of your

00:48:15.893 --> 00:48:16.713
level of skill watching

00:48:16.733 --> 00:48:17.753
them do lat pulldowns and

00:48:17.773 --> 00:48:18.875
counting to 10 three times,

00:48:19.554 --> 00:48:20.896
then that person will pay you for that.

00:48:20.936 --> 00:48:22.297
But that person is now your audience.

00:48:23.594 --> 00:48:24.516
And it also helps someone

00:48:24.536 --> 00:48:25.916
commented a while ago on

00:48:25.936 --> 00:48:27.077
that tweet thread about my,

00:48:27.297 --> 00:48:28.237
my biceps and the whole

00:48:28.257 --> 00:48:29.498
concierge out of pocket.

00:48:29.898 --> 00:48:30.639
Someone did say,

00:48:30.739 --> 00:48:32.179
all you need to do to

00:48:32.239 --> 00:48:34.740
charge two 50 to $400 per

00:48:34.800 --> 00:48:37.242
visit is to live in a place

00:48:37.362 --> 00:48:38.222
where there's patients

00:48:38.262 --> 00:48:38.902
willing to pay that.

00:48:39.103 --> 00:48:40.903
And I was kind of like, yeah,

00:48:41.184 --> 00:48:42.224
kind of touche.

00:48:42.264 --> 00:48:42.985
Like, yeah.

00:48:43.405 --> 00:48:44.405
Like that's why it's easier

00:48:44.425 --> 00:48:45.126
here in New York city

00:48:45.186 --> 00:48:46.666
compared to do that.

00:48:46.806 --> 00:48:48.588
You can't charge $80 in New York city.

00:48:50.744 --> 00:48:51.565
You can't, right?

00:48:51.585 --> 00:48:53.286
Because you wouldn't be in business.

00:48:54.106 --> 00:48:54.525
Yeah, I mean,

00:48:54.726 --> 00:48:55.947
I guess some of the in-networks do,

00:48:55.967 --> 00:48:57.847
but then they're crazy volume-based.

00:48:57.867 --> 00:48:58.586
I don't know how they do it.

00:48:58.606 --> 00:48:59.847
All right, so real quick.

00:48:59.887 --> 00:49:01.367
So the YouTube channel,

00:49:01.407 --> 00:49:02.449
The Private Chef is at

00:49:02.548 --> 00:49:04.889
Culinary Misfits is the

00:49:05.170 --> 00:49:06.329
channel that Tony shared with it.

00:49:07.894 --> 00:49:08.494
Yeah.

00:49:08.534 --> 00:49:09.494
Go check this guy out.

00:49:09.534 --> 00:49:10.315
See what he's doing.

00:49:10.476 --> 00:49:10.976
Again,

00:49:10.996 --> 00:49:13.436
I think he does a great job with the

00:49:13.476 --> 00:49:15.036
content, with the message.

00:49:15.936 --> 00:49:17.617
He's building his personal brand.

00:49:17.697 --> 00:49:17.978
I mean,

00:49:18.097 --> 00:49:19.597
he is opening so many doors for

00:49:19.637 --> 00:49:20.938
himself into the future,

00:49:21.478 --> 00:49:23.599
but this is a great one to model.

00:49:24.099 --> 00:49:24.340
Now,

00:49:24.519 --> 00:49:26.760
to your point about go where the money is,

00:49:27.161 --> 00:49:28.880
solve expensive problems

00:49:28.940 --> 00:49:29.862
for people who have the

00:49:29.902 --> 00:49:30.942
money to pay for it.

00:49:31.001 --> 00:49:31.161
I do.

00:49:31.501 --> 00:49:31.983
That's what I do.

00:49:32.143 --> 00:49:34.364
Alex Ramosi references

00:49:34.545 --> 00:49:36.047
Warren Buffett with the

00:49:36.086 --> 00:49:37.389
story where he says it's

00:49:37.449 --> 00:49:38.909
not about what boat you're in.

00:49:38.990 --> 00:49:40.893
It's about or it's something

00:49:40.932 --> 00:49:42.974
about going with the river, you know,

00:49:43.476 --> 00:49:44.096
like, yeah,

00:49:44.115 --> 00:49:46.018
you you have to put yourself

00:49:46.219 --> 00:49:47.559
in a position for success.

00:49:47.659 --> 00:49:48.742
I talk to therapists who

00:49:48.802 --> 00:49:49.583
want to be mobile.

00:49:50.123 --> 00:49:52.083
but they live in a rural area.

00:49:52.503 --> 00:49:53.864
It takes them 45 minutes to

00:49:53.905 --> 00:49:54.925
drive to one house,

00:49:55.065 --> 00:49:56.425
and they're frustrated

00:49:56.445 --> 00:49:57.686
because they want to get

00:49:57.706 --> 00:49:58.547
paid by Medicare.

00:49:58.586 --> 00:49:59.766
They don't want to charge the patient.

00:50:00.086 --> 00:50:00.748
They don't want to do

00:50:00.807 --> 00:50:02.608
telehealth because they don't enjoy it.

00:50:03.349 --> 00:50:04.949
They want everything,

00:50:05.088 --> 00:50:06.170
but their environment is

00:50:06.210 --> 00:50:08.351
not conducive to what they want.

00:50:08.891 --> 00:50:11.431
So it's like, okay, take a left turn,

00:50:11.931 --> 00:50:14.393
fill your bank account with money somehow,

00:50:14.472 --> 00:50:16.333
some way, and then come back,

00:50:16.853 --> 00:50:17.954
and you can spend a day

00:50:17.994 --> 00:50:18.954
treating two patients,

00:50:19.014 --> 00:50:21.014
driving however many hours you need.

00:50:21.414 --> 00:50:22.456
So here's the thing, though,

00:50:22.496 --> 00:50:23.356
because there is a good

00:50:23.416 --> 00:50:26.601
chunk of our profession who is –

00:50:26.601 --> 00:50:27.882
blue if you use the color

00:50:27.902 --> 00:50:28.742
game right they're all

00:50:28.782 --> 00:50:29.664
about like that's like the

00:50:29.684 --> 00:50:31.204
emotion one right but

00:50:31.465 --> 00:50:33.065
everybody deserves access

00:50:33.166 --> 00:50:34.266
and I'm I agree with you

00:50:34.947 --> 00:50:35.909
but then you need to figure

00:50:35.929 --> 00:50:37.809
out a model someone's got

00:50:37.829 --> 00:50:39.572
to pay for that if it's you

00:50:39.592 --> 00:50:41.373
giving it away for free do

00:50:41.413 --> 00:50:43.835
that but then you can't be

00:50:43.876 --> 00:50:44.815
like well I can't afford a

00:50:44.856 --> 00:50:46.077
house or I can't live in

00:50:46.117 --> 00:50:47.539
this area or I can't go on

00:50:47.579 --> 00:50:49.840
vacation or where's my 401k can't do that

00:50:50.599 --> 00:50:52.282
So solve expensive problems,

00:50:52.382 --> 00:50:53.143
and then if you want to

00:50:53.182 --> 00:50:54.103
give that away and you want

00:50:54.123 --> 00:50:55.344
to make it accessible, do that.

00:50:55.364 --> 00:50:55.724
I mean, Tony,

00:50:55.744 --> 00:50:56.606
you've talked about before

00:50:58.547 --> 00:50:59.469
different times of the day

00:50:59.528 --> 00:51:01.090
being more valuable, right?

00:51:01.291 --> 00:51:03.693
As a pediatric, as a former pediatric PT,

00:51:04.414 --> 00:51:06.135
there were parents who,

00:51:06.155 --> 00:51:09.259
when you had the 330 –

00:51:09.259 --> 00:51:10.639
on Tuesdays and Thursdays

00:51:10.659 --> 00:51:12.481
slot for your kid, you were like,

00:51:12.641 --> 00:51:13.262
I'm never getting,

00:51:13.282 --> 00:51:14.443
that thing is worth an

00:51:14.483 --> 00:51:16.063
extra 10 grand because you were like,

00:51:16.304 --> 00:51:17.844
it's right out of school, right?

00:51:17.864 --> 00:51:19.085
I don't have to take the kid out of school,

00:51:19.166 --> 00:51:21.967
but there's only one 3.30 to 4.30 slot.

00:51:21.987 --> 00:51:24.728
So I'm not saying don't do

00:51:24.789 --> 00:51:26.769
the philanthropy thing,

00:51:26.809 --> 00:51:29.891
which also shout out to PhilanthroPT,

00:51:30.592 --> 00:51:31.914
who essentially says,

00:51:31.934 --> 00:51:33.394
there's a way to do it,

00:51:39.530 --> 00:51:40.251
The person to help you get

00:51:40.291 --> 00:51:41.413
there is probably a business person,

00:51:42.914 --> 00:51:43.074
right?

00:51:43.195 --> 00:51:44.376
Because you're not gonna

00:51:44.577 --> 00:51:45.858
bleeding heart your way to win this.

00:51:46.699 --> 00:51:48.202
There needs to be a solution.

00:51:49.266 --> 00:51:49.726
Yeah,

00:51:50.266 --> 00:51:51.766
we don't have time to hit it in this

00:51:52.286 --> 00:51:52.807
episode,

00:51:52.867 --> 00:51:54.768
but one of the posts that's kind

00:51:54.809 --> 00:51:55.969
of getting some traction in

00:51:55.989 --> 00:51:58.650
my Facebook group is Medicare for all,

00:51:59.010 --> 00:51:59.271
right?

00:51:59.331 --> 00:51:59.831
What do we do?

00:51:59.871 --> 00:52:01.251
Do we open up Medicare

00:52:01.311 --> 00:52:02.751
insurance for everyone?

00:52:03.132 --> 00:52:05.673
Do we go to universal healthcare?

00:52:06.853 --> 00:52:10.034
But even within that, I go back to, okay,

00:52:10.056 --> 00:52:12.195
there are therapists, lots of them.

00:52:12.336 --> 00:52:13.737
I would say the vast majority,

00:52:13.777 --> 00:52:15.237
and I don't think I'm exaggerating,

00:52:15.597 --> 00:52:17.880
who just want to be great therapists.

00:52:18.201 --> 00:52:19.481
They want to get paid a rate

00:52:19.603 --> 00:52:20.704
that allows them to live

00:52:20.744 --> 00:52:22.025
the lifestyle they want,

00:52:22.405 --> 00:52:23.686
but they just want to focus

00:52:23.746 --> 00:52:24.407
on patient care.

00:52:24.447 --> 00:52:25.829
They just want to treat patients.

00:52:26.329 --> 00:52:27.471
And so I'm like, okay,

00:52:27.630 --> 00:52:30.914
is the solution to demonetize

00:52:33.157 --> 00:52:34.579
I hate to say health care services.

00:52:34.659 --> 00:52:35.780
Let's say physical therapy

00:52:35.800 --> 00:52:37.521
services take all of the

00:52:37.581 --> 00:52:38.983
financial incentives away.

00:52:39.422 --> 00:52:41.164
Let it be run by the government,

00:52:41.284 --> 00:52:42.806
not just insurance.

00:52:42.887 --> 00:52:44.588
The actual health care system,

00:52:44.628 --> 00:52:45.608
the actual physical

00:52:45.708 --> 00:52:47.451
therapist is a government

00:52:47.490 --> 00:52:49.833
employee like a postal worker,

00:52:49.952 --> 00:52:52.615
like a police officer, firefighter.

00:52:52.775 --> 00:52:55.418
Like, do we just let either city, state,

00:52:55.559 --> 00:52:57.360
federal run health care?

00:52:58.021 --> 00:52:59.043
pay them a salary,

00:52:59.143 --> 00:53:00.344
give them unionized

00:53:00.405 --> 00:53:01.726
benefits and all that stuff,

00:53:01.847 --> 00:53:03.748
and just wipe out any

00:53:03.969 --> 00:53:05.130
monetization problems.

00:53:05.612 --> 00:53:06.934
I'm not saying that's what I want.

00:53:07.394 --> 00:53:09.338
I'm just putting that out there is,

00:53:09.818 --> 00:53:11.059
is that the solution?

00:53:11.099 --> 00:53:13.503
And then allow private business to say,

00:53:13.603 --> 00:53:14.003
okay, look,

00:53:14.485 --> 00:53:15.746
There's your, you know,

00:53:16.266 --> 00:53:17.346
everybody gets physical

00:53:17.365 --> 00:53:18.547
therapy at a basic level.

00:53:18.967 --> 00:53:20.047
Now, if you want more,

00:53:20.608 --> 00:53:21.507
that's where we can come in.

00:53:21.967 --> 00:53:23.068
That's where we can sell the

00:53:23.128 --> 00:53:24.188
next layer of the cake.

00:53:24.268 --> 00:53:25.550
That's where we can provide

00:53:25.929 --> 00:53:27.010
the services that aren't

00:53:27.070 --> 00:53:28.891
covered by universal health care.

00:53:29.351 --> 00:53:30.552
You guys ever talk about

00:53:30.572 --> 00:53:31.492
that or think about that?

00:53:31.512 --> 00:53:34.413
Well, that's the NHS, right?

00:53:34.492 --> 00:53:35.554
That's England or Great

00:53:35.594 --> 00:53:36.594
Britain or the United Kingdom.

00:53:36.634 --> 00:53:37.375
I don't even know what to call them.

00:53:38.135 --> 00:53:38.954
That's what they do, right?

00:53:39.815 --> 00:53:40.416
Yeah, I think so.

00:53:41.478 --> 00:53:42.860
I'm sure there's some nuance to that,

00:53:43.500 --> 00:53:45.001
but that's what they do, I assume.

00:53:45.541 --> 00:53:47.702
But even in England,

00:53:47.862 --> 00:53:50.164
there's some private pay practices.

00:53:50.204 --> 00:53:51.885
I think Paul Goff has still

00:53:52.005 --> 00:53:53.327
three or four locations and

00:53:53.867 --> 00:53:54.708
they're out of pocket.

00:53:54.947 --> 00:53:57.389
And then if you want to do NHS,

00:53:57.688 --> 00:53:59.710
you go to the physio or whatever,

00:53:59.811 --> 00:54:00.630
and it's going to be like a

00:54:00.751 --> 00:54:03.032
one or two month waiting list or longer.

00:54:05.213 --> 00:54:06.315
We've treated in our practice,

00:54:06.355 --> 00:54:08.195
we treated someone that was

00:54:08.255 --> 00:54:10.577
living in Germany or from Germany and

00:54:11.836 --> 00:54:14.378
when they contacted us here months ago,

00:54:14.398 --> 00:54:15.518
we were able to have a

00:54:15.579 --> 00:54:16.880
physical therapist at their

00:54:16.900 --> 00:54:18.139
door the following day.

00:54:18.541 --> 00:54:19.161
And they were just,

00:54:19.201 --> 00:54:20.081
they were like blown away

00:54:20.121 --> 00:54:21.181
by it because like, you know,

00:54:21.862 --> 00:54:24.063
in Germany back home, that would take,

00:54:24.123 --> 00:54:24.344
you know,

00:54:24.384 --> 00:54:26.045
two or three months waiting list.

00:54:26.565 --> 00:54:27.085
And it's like, well,

00:54:27.224 --> 00:54:28.945
so unfortunately that is

00:54:28.985 --> 00:54:30.746
the difference between when

00:54:30.766 --> 00:54:32.007
there's a gigantic system

00:54:32.208 --> 00:54:34.188
with a ton of people and

00:54:34.969 --> 00:54:36.831
there's so many factors, but it's,

00:54:37.838 --> 00:54:40.119
It's one is serving a large population,

00:54:40.260 --> 00:54:41.960
but then you have to wait in line.

00:54:42.161 --> 00:54:43.201
And that's just how it is,

00:54:43.280 --> 00:54:46.202
whether it's Germany, England and NHS,

00:54:46.521 --> 00:54:48.742
or if it was here, Medicare for all.

00:54:49.342 --> 00:54:50.123
There could be medical.

00:54:50.224 --> 00:54:51.123
I almost commented.

00:54:51.143 --> 00:54:51.923
I didn't.

00:54:52.023 --> 00:54:52.824
I almost commented on that

00:54:52.884 --> 00:54:53.684
post because I wanted to

00:54:53.744 --> 00:54:55.324
say I wanted to comment

00:54:55.385 --> 00:54:56.045
because by the way,

00:54:56.106 --> 00:54:57.606
everyone's comments were like paragraphs.

00:54:57.626 --> 00:54:58.586
And I was just going to read.

00:54:58.686 --> 00:55:00.327
They were novels.

00:55:00.427 --> 00:55:02.427
Yeah, my I didn't comment,

00:55:02.467 --> 00:55:04.668
but I was going to comment cash.

00:55:05.688 --> 00:55:07.289
slash out of pocket for all.

00:55:07.931 --> 00:55:09.811
And that's also would be

00:55:09.831 --> 00:55:10.831
kind of tongue in cheek

00:55:10.871 --> 00:55:13.434
because we have Medicare

00:55:13.454 --> 00:55:15.576
beneficiaries in our family, neighbors,

00:55:16.096 --> 00:55:17.916
people that I've seen and

00:55:18.637 --> 00:55:19.617
Medicare beneficiaries.

00:55:19.717 --> 00:55:20.418
I understand that the

00:55:20.458 --> 00:55:24.300
Medicare is for health care

00:55:24.360 --> 00:55:25.282
and health expenditures.

00:55:25.342 --> 00:55:26.443
I get it for procedures.

00:55:26.523 --> 00:55:27.563
It's really needed, all that.

00:55:28.344 --> 00:55:30.164
But if you look at those

00:55:30.204 --> 00:55:32.626
Medicare beneficiaries, they are spenders

00:55:33.550 --> 00:55:36.193
Like everyone else, they have iPhones,

00:55:36.353 --> 00:55:39.235
they go to Target, BJ's, Costco,

00:55:39.516 --> 00:55:41.137
they spend money on cars

00:55:41.197 --> 00:55:44.260
and tires and trips and they spend money.

00:55:46.965 --> 00:55:48.527
That that's where I kind of come from.

00:55:48.568 --> 00:55:49.789
I'm not saying it's right for everyone.

00:55:49.809 --> 00:55:50.429
I know there's certain

00:55:50.489 --> 00:55:52.010
people in this population

00:55:52.050 --> 00:55:53.192
that are not spenders and

00:55:53.213 --> 00:55:54.434
they actually have low

00:55:54.474 --> 00:55:55.855
socioeconomic status and

00:55:55.914 --> 00:55:57.617
they actually do need the safety net.

00:55:58.277 --> 00:55:59.259
But I was going to comment that.

00:55:59.278 --> 00:56:00.159
But I figured like people

00:56:00.179 --> 00:56:01.021
were just going in so many

00:56:01.061 --> 00:56:02.521
different directions with

00:56:02.601 --> 00:56:04.384
the paragraphs and novels

00:56:04.423 --> 00:56:05.025
that they're writing.

00:56:05.184 --> 00:56:05.744
And I was just like,

00:56:05.824 --> 00:56:06.606
I'll sit this one out.

00:56:06.646 --> 00:56:08.007
I'll just maybe I'll mention it here.

00:56:09.414 --> 00:56:11.596
Well, think about your parting shots.

00:56:11.896 --> 00:56:14.719
Dwight Barnes on that thread

00:56:14.780 --> 00:56:16.081
left a comment that kind of

00:56:16.181 --> 00:56:17.802
laid out the different

00:56:17.862 --> 00:56:19.744
systems between Canada and

00:56:19.824 --> 00:56:23.509
Britain and Germany and a couple others.

00:56:23.909 --> 00:56:24.969
He and I don't agree on a

00:56:25.030 --> 00:56:26.070
lot of political things,

00:56:26.150 --> 00:56:27.753
but he's a super smart guy.

00:56:27.773 --> 00:56:28.673
He's got a great

00:56:29.373 --> 00:56:29.454
uh,

00:56:29.655 --> 00:56:31.476
heart and he did a great job kind of

00:56:31.576 --> 00:56:32.317
laying that out.

00:56:33.217 --> 00:56:33.358
Um,

00:56:33.797 --> 00:56:35.778
I do still think too many of us are

00:56:35.818 --> 00:56:37.360
confusing payment for

00:56:37.400 --> 00:56:38.822
healthcare services with

00:56:39.061 --> 00:56:40.023
healthcare services.

00:56:40.083 --> 00:56:42.224
You know, Medicare for all is okay.

00:56:42.244 --> 00:56:43.565
Everybody's going to get insurance,

00:56:43.666 --> 00:56:45.106
but that doesn't have

00:56:45.166 --> 00:56:45.967
anything to do with the

00:56:46.027 --> 00:56:47.128
healthcare that they're getting.

00:56:47.668 --> 00:56:48.009
It's like,

00:56:48.108 --> 00:56:50.650
they want everybody to get healthcare and

00:56:51.195 --> 00:56:53.956
but they're going about it

00:56:54.036 --> 00:56:55.797
in a weird roundabout way.

00:56:56.438 --> 00:56:57.719
So my parting shot,

00:56:58.039 --> 00:57:00.021
looking at today's conversation,

00:57:00.880 --> 00:57:02.342
you can't control what happens.

00:57:02.762 --> 00:57:04.302
You can't control what other people do.

00:57:04.342 --> 00:57:05.284
You can only control your

00:57:05.324 --> 00:57:06.684
response to the situation.

00:57:07.304 --> 00:57:09.545
And so when we lost half our

00:57:09.585 --> 00:57:11.547
business and all these other challenges,

00:57:11.608 --> 00:57:13.068
the only thing I could

00:57:13.088 --> 00:57:14.750
control was how I responded to it.

00:57:15.289 --> 00:57:17.391
Like Jimmy said, let myself get upset,

00:57:17.550 --> 00:57:18.811
let myself get it out,

00:57:18.871 --> 00:57:21.472
let myself experience the pain.

00:57:22.632 --> 00:57:24.393
But then once it's done, it's done.

00:57:24.432 --> 00:57:25.552
And then you just move forward.

00:57:25.893 --> 00:57:26.974
So what about Dave?

00:57:28.474 --> 00:57:30.235
Oh, man, we talked about a bunch.

00:57:30.355 --> 00:57:31.255
I don't know if this was a

00:57:32.375 --> 00:57:33.615
smooth themed episode,

00:57:33.635 --> 00:57:35.115
but it was it was interesting.

00:57:35.155 --> 00:57:36.237
It was it was kind of all over.

00:57:38.362 --> 00:57:40.342
I think we'll go back to my

00:57:40.382 --> 00:57:42.083
party shot would be like the,

00:57:42.525 --> 00:57:43.704
just knowing your practice,

00:57:43.724 --> 00:57:45.827
your business model, whether again,

00:57:45.867 --> 00:57:47.047
you have to know your consumer,

00:57:47.088 --> 00:57:48.288
your customer, who you're serving,

00:57:48.387 --> 00:57:50.489
all the players, all the stakeholders.

00:57:50.530 --> 00:57:52.911
So whether it's the patient and insurance,

00:57:53.010 --> 00:57:54.813
or if it's, you know,

00:57:55.052 --> 00:57:55.992
you're in a CrossFit

00:57:56.072 --> 00:57:56.873
business or you're in a

00:57:56.934 --> 00:57:58.275
physical therapy practice business.

00:57:59.536 --> 00:58:02.077
And the challenge is for example,

00:58:02.117 --> 00:58:03.677
that Reddit post from that

00:58:04.498 --> 00:58:05.639
Jay Lopez or whoever,

00:58:06.460 --> 00:58:09.121
Their question was so early on,

00:58:09.481 --> 00:58:11.101
and it's okay because we've

00:58:11.121 --> 00:58:11.561
all been there,

00:58:11.601 --> 00:58:13.702
but it's a newbie question.

00:58:13.742 --> 00:58:15.523
It's a noob or newbie question.

00:58:15.884 --> 00:58:18.804
And Tony's reply was such an

00:58:18.864 --> 00:58:21.246
advanced ninja response

00:58:21.666 --> 00:58:22.947
that a newbie cannot even

00:58:22.987 --> 00:58:24.987
understand when Tony says,

00:58:25.407 --> 00:58:26.307
if you're taking insurance,

00:58:26.327 --> 00:58:27.088
you're a billing company.

00:58:27.208 --> 00:58:28.548
If you're going to hire a therapist,

00:58:28.588 --> 00:58:30.230
you're kind of like a staffing company.

00:58:31.670 --> 00:58:32.471
I would not have even

00:58:32.510 --> 00:58:33.532
understood that a couple of

00:58:33.552 --> 00:58:34.452
years into business.

00:58:34.532 --> 00:58:36.413
And I know that that Jay

00:58:36.452 --> 00:58:37.454
Lopez probably doesn't even

00:58:37.474 --> 00:58:38.775
understand Tony's reply,

00:58:39.815 --> 00:58:40.795
but that's why it's great

00:58:40.815 --> 00:58:41.757
to have folks out there

00:58:42.177 --> 00:58:43.617
interact with a newbie.

00:58:44.177 --> 00:58:46.139
And maybe you can learn that

00:58:46.219 --> 00:58:47.380
faster or sooner because

00:58:47.420 --> 00:58:48.121
otherwise it's just going

00:58:48.141 --> 00:58:49.320
to take years in the

00:58:49.360 --> 00:58:50.481
trenches as a business owner.

00:58:50.942 --> 00:58:51.282
And money.

00:58:52.378 --> 00:58:53.199
gonna make you're you're

00:58:53.219 --> 00:58:53.858
gonna go in there not

00:58:53.898 --> 00:58:54.500
knowing that and you're

00:58:54.519 --> 00:58:56.041
gonna get cut down maybe

00:58:56.121 --> 00:58:57.141
maybe not I mean I'd love

00:58:57.161 --> 00:58:58.362
to be wrong but I that's

00:58:58.422 --> 00:58:59.284
these are expensive

00:58:59.463 --> 00:59:00.525
mistakes to make I would

00:59:00.565 --> 00:59:01.184
have fallen for these

00:59:01.666 --> 00:59:03.186
mistakes as well had I gone

00:59:03.206 --> 00:59:04.086
that route I would not have

00:59:04.106 --> 00:59:05.347
understood those I'm just

00:59:05.409 --> 00:59:06.268
now starting to understand

00:59:06.289 --> 00:59:08.351
those uh my parting shot is

00:59:08.990 --> 00:59:10.152
you can't demand architect

00:59:10.211 --> 00:59:10.972
money while you're busy

00:59:11.012 --> 00:59:12.333
pounding nails I like that

00:59:12.414 --> 00:59:13.795
one that's a good one so

00:59:14.014 --> 00:59:14.695
and I would add to this

00:59:14.876 --> 00:59:16.097
which is understand what

00:59:16.157 --> 00:59:16.998
business you're in which

00:59:17.077 --> 00:59:17.938
sounds like a super

00:59:19.221 --> 00:59:20.320
organizations to stop

00:59:20.360 --> 00:59:21.541
working on their value

00:59:22.382 --> 00:59:24.103
mission statement vision

00:59:24.182 --> 00:59:25.902
for their website and

00:59:25.943 --> 00:59:26.903
really figure out what

00:59:26.923 --> 00:59:27.804
business they're actually

00:59:27.864 --> 00:59:29.385
in I mean if you were going

00:59:29.405 --> 00:59:31.465
to reset a north star as an

00:59:31.525 --> 00:59:32.905
organization I would figure

00:59:32.965 --> 00:59:33.686
out what business that

00:59:33.706 --> 00:59:34.646
you're in and figure out

00:59:34.746 --> 00:59:36.067
who else is doing that well

00:59:36.086 --> 00:59:36.847
or who else does something

00:59:36.867 --> 00:59:37.967
similar well and then

00:59:38.047 --> 00:59:39.248
double down on that we're

00:59:39.268 --> 00:59:40.309
coming back on thursday

00:59:41.228 --> 00:59:42.831
Find all these guys on the socials,

00:59:43.452 --> 00:59:44.693
the Dave Kittle Show on YouTube,

00:59:44.753 --> 00:59:47.016
Learn Medicare Billing on

00:59:47.237 --> 00:59:48.619
YouTube for Tony and myself

00:59:48.679 --> 00:59:49.400
at PT Pinecast.

00:59:49.420 --> 00:59:50.802
We'll see you guys back on Thursday.

00:59:51.903 --> 00:59:52.344
Sounds good.

00:59:52.364 --> 00:59:53.025
All right, guys.