May 10, 2025
Why Culture Beats Size in Physical Therapy Practice Growth

This week on PT Pintcast, Jimmy McKay sits down with Dave Kittle and Tony Maritato to tackle one of the biggest questions facing physical therapists today: Should you go big, go solo, or go home?
We explore the real differences between working in corporate PT chains vs. independent practices. Plus, we highlight how organizations like Fox Rehab scaled without losing their culture — and why that’s the key to long-term retention and success.
Topics covered:
- The solopreneur revolution in physical therapy
- Why PTs are leaving corporate chains for boutique and niche practices
- How small clinics can win with clinician-first leadership
- The return of real-world connection: micro events vs. Zoom fatigue
- A “Steal This Strategy” segment on building buzz through dinner parties, not webinars
Guests Mentioned:
- Dave Kittle – The Dave Kittle Show on YouTube
- Tony Maritato – Learn Medicare Billing on YouTube
Subscribe & Follow:
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WEBVTT
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All right,
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good morning to PT Breakfast Club,
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the only show of, well,
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physical therapists who are
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talking mindlessly in their
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kitchens and various rooms.
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Health for misfits who
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believe that live shows
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should be faster than your
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EMR and hopefully twice as fun,
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depending on what you're looking at.
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The big idea today when Dave joins,
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Tony is still on school chaperone duty.
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When Dave joins,
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the topic I want to talk about
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is scale and I think both
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tony and dave would agree
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with me that the funnel has
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been flipped over forget
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the ten location empire the
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pendulum is swinging back
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to tight boutique and
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intentionally small I was
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talking I was listening to
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someone talk yesterday
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about one of the reasons
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for maybe the difficulty in
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hiring physical therapists right now
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And they would point to cost of education,
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shrinking reimbursement,
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student debt going high.
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So salary expectations are
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equally as high.
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And all those things are valid.
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And this person had a really great point.
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And I don't think the first
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person to say it, it's just a reminder.
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I'd heard other people say it,
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but it was just a reminder
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that I am noticing.
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And again,
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it might be like the red Jeep theory.
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When you notice something,
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that's all you can see.
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But I'm noticing a lot of
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what this person called
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one to one and a half person clinics,
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meaning, as Dave joins,
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meaning one to one and a
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half person clinics,
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meaning these people are saying,
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I don't want to build a
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business that's going to scale.
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In fact, I don't need to,
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because what they're trying
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to do is build a life.
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So Dave, I'm setting up the first topic,
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which is
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Big is the new small,
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small is the new big.
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The idea being that the death of scale,
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why small is the new smart in healthcare.
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Things get a little bit out
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of control when things get too big.
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Where is too big?
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We're seeing certain
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physical therapy
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organizations at the national level,
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stock prices are going down fast, right?
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At some point,
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some of these organizations
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were a lot smaller before
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they started merging and
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acquiring clinics.
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At some point,
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They were good, right?
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Before,
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so maybe some of our colleagues
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would just instantly start
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calling them a PT mill for
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no other reason.
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They're too big.
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They're a mill, right?
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But the idea here is what I'm seeing more,
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and I'm trying to make sure
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it's not just confirmation bias,
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but what someone was
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pointing out yesterday is
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the rise and the popularity
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of one to one and a half
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FTE employees,
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one to one and a half
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full-time employee
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businesses because it's easier to manage.
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The person wants to be a
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small business owner,
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which is different than a
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large business owner.
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They understand what they're
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getting into a little bit more.
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a little bit more some
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people not everybody but a
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little bit more today than
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they maybe did five or ten
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years ago and they're
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understanding that they
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want to create a business
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around their lifestyle and
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not necessarily I want to
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get to ten or twenty
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clinics do it over twenty
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years and then sell what
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are your thoughts so are
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you are we talking about
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the are we talking about
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the micro practices so
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you're saying one to one
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and a half providers
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And there's nothing in the middle.
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It's either you're that or
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you're the big corporate.
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Because I would say I
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strongly disagree with the
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micro clinic emphasis.
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OK, why?
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Well, I want time freedom.
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I'm an entrepreneur.
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I spent a ton of years in
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the trenches treating patients,
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doing outpatient physical therapy,
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then doing mobile home visits.
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Right now, probably for the past,
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two, three months or maybe longer.
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It's been several months
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where I'm seeing one
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patient visit per week.
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So four patient total visits
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per month because I have
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other therapists treating
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patients and I get to do
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whatever I want as a business owner,
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because I spent a ton of
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time and effort to set up
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the processes and I'm still
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improving that and the
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whole playbook and the whole thing,
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all the processes and SOPs
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for the business.
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If you are, any therapists out there,
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if they wanna be a micro
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practice owner as a solo practice owner,
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that's fine, but you're creating a job.
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So when you get hit by a bus,
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there's no asset to sell.
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When you go to retire,
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there's no asset to sell.
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So many owners have reached
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out to me over the years
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about partnering or buying their clinic.
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And I'm like, all right, yeah,
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so tell me about it.
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So is it like how many FTEs
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and all this and front desk person,
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how many patients per day
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or per week and per month and all that?
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And it's just like, oh, no, no, no.
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It's like I'm just I'm
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selling my practice like I'm retiring.
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But like it's the practice there,
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like all the treatment
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tables and the equipment and all that.
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And but there's no front
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desk person and there's no
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other therapist or PT or anyone.
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And guess what happens to those clinics,
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Jimmy?
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Nobody buys them.
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They just go away.
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Exactly.
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They shut down.
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They literally shut down.
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Then you see the post on all
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the Facebook groups that says like, hey,
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selling these old tables
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and these old Chattanooga
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units and the old UBE and
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all the other equipment.
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So it's sold for pennies on the dollar.
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And they can't even get
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money for their book of business,
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like their past patient list, the names,
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phone numbers, emails, all that.
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So I would actually say the
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gold is in the middle.
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The gold is...
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multiple therapists and
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that's where therapists can really thrive,
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grow, expand, charge whatever they want.
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They can raise rates if
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they're out of network or out of pocket.
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But I actually am strongly
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against an individual
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therapist who wants to be
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their own boss and treat
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patients solo for the longterm.
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I'm talking, you know,
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if that's like they're
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between now and when they retire,
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if that's their main goal,
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it's a horrible idea.
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Yeah.
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I think it's a horrible idea
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if that's what you're looking for.
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I think what I was trying to point out,
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maybe I wasn't doing it as
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Tony is joining from a tour bus in D.C.
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I want to see a picture, Tony.
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Email me a picture so I can
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put it on the screen.
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Email it to me.
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Don't text it to me.
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Email it to me.
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I need to see a monument.
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I need to see a monument.
00:06:31.339 --> 00:06:33.279
Lincoln, Jefferson's my favorite.
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The Meritata Monument.
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Jimmy did get his ears lowered.
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That was about a week ago,
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but thanks for noticing.
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I think I just...
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So let me,
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let me try to re-communicate this.
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I agree with you a hundred percent.
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All I'm saying,
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all I'm noticing is a lot
00:06:47.550 --> 00:06:48.771
more people are treating
00:06:48.791 --> 00:06:50.112
their PT license.
00:06:51.353 --> 00:06:51.774
I agree.
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Like a break.
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They're just like,
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here's my Instagram account.
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And I don't want to call
00:06:55.978 --> 00:06:56.639
people out because I don't
00:06:56.680 --> 00:06:57.399
disagree with it.
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You're right.
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I think they're being more savvy.
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I think maybe we can get
00:07:03.083 --> 00:07:03.783
into psychographics,
00:07:03.802 --> 00:07:04.663
and this is all guessing.
00:07:04.684 --> 00:07:05.685
This is all speculation.
00:07:06.206 --> 00:07:07.788
I think some people of a
00:07:07.848 --> 00:07:09.689
generation who have gotten
00:07:09.709 --> 00:07:10.810
their PT degree in the last
00:07:10.831 --> 00:07:12.233
couple of years, even five to ten,
00:07:12.632 --> 00:07:13.134
are saying,
00:07:13.233 --> 00:07:16.257
that's not the bag I wanted to be in.
00:07:16.617 --> 00:07:18.480
I wanted to show up, be a great clinician.
00:07:19.380 --> 00:07:20.281
put money in the four Oh one
00:07:20.302 --> 00:07:21.204
K and be able to afford it.
00:07:21.444 --> 00:07:24.288
I can't, I'm willing to trade that.
00:07:24.367 --> 00:07:25.689
Cause that sounds horrible
00:07:25.951 --> 00:07:27.091
working in that situation
00:07:27.132 --> 00:07:27.752
for someone else.
00:07:28.093 --> 00:07:29.274
I also don't want to start
00:07:29.295 --> 00:07:30.776
running a business cause I
00:07:30.877 --> 00:07:33.141
know that's not my strong suit.
00:07:33.701 --> 00:07:34.762
So I'll just be a brand.
00:07:35.524 --> 00:07:36.485
And I'm seeing them start
00:07:36.764 --> 00:07:39.346
very successful Instagram accounts,
00:07:39.706 --> 00:07:41.307
as an example, and then saying,
00:07:41.487 --> 00:07:43.370
I'm the dance PT in San Diego.
00:07:44.029 --> 00:07:46.112
And they do that full well
00:07:46.151 --> 00:07:47.031
knowing the minute they
00:07:47.072 --> 00:07:48.132
stop wanting to do that or
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when they want to take a vacation,
00:07:49.514 --> 00:07:50.454
their income stops.
00:07:51.074 --> 00:07:52.216
they're trying to build those.
00:07:52.557 --> 00:07:53.838
I see people also saying, well,
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I'll build digital assets
00:07:55.000 --> 00:07:56.343
or I'll do telehealth and
00:07:56.382 --> 00:07:57.564
those things working,
00:07:58.386 --> 00:07:59.987
but not as well as like the
00:08:00.028 --> 00:08:01.550
financial porn bros going,
00:08:01.571 --> 00:08:02.651
it's passive income, bro.
00:08:02.672 --> 00:08:03.733
It's passive income.
00:08:03.754 --> 00:08:04.014
I'm like,
00:08:04.175 --> 00:08:05.656
I think it's a great idea in theory.
00:08:06.377 --> 00:08:06.497
Um,
00:08:07.298 --> 00:08:09.180
I had so many people years ago being like,
00:08:09.540 --> 00:08:10.980
teach courses and yada, yada.
00:08:11.000 --> 00:08:11.880
And I don't disagree.
00:08:11.940 --> 00:08:12.862
I think if you're good at it,
00:08:13.521 --> 00:08:14.382
I have a lot of knowledge.
00:08:15.362 --> 00:08:16.802
I sat down to start teaching
00:08:16.822 --> 00:08:18.324
courses in podcasting a
00:08:18.403 --> 00:08:20.004
dozen times and I hated it.
00:08:20.024 --> 00:08:21.545
So I was like, why am I doing this?
00:08:21.586 --> 00:08:23.987
Because people in my DMs are telling me to,
00:08:24.007 --> 00:08:25.307
that they would pay me to
00:08:25.367 --> 00:08:26.427
teach them how to podcast.
00:08:26.487 --> 00:08:26.908
And I was like, well,
00:08:26.927 --> 00:08:27.788
then pay me and I'll teach
00:08:27.829 --> 00:08:28.528
you how to podcast.
00:08:28.829 --> 00:08:29.670
I don't like recording.
00:08:29.889 --> 00:08:31.511
Look, we're doing this stupid thing live,
00:08:31.571 --> 00:08:31.831
right?
00:08:32.350 --> 00:08:34.273
So I think the underlying
00:08:34.332 --> 00:08:36.374
idea here is as long as you
00:08:36.433 --> 00:08:37.254
understand what you're
00:08:37.394 --> 00:08:38.514
actually getting into,
00:08:39.755 --> 00:08:41.797
I think that's good, right?
00:08:41.998 --> 00:08:43.538
Understand that this might
00:08:43.578 --> 00:08:45.360
not be most probably the
00:08:45.539 --> 00:08:48.542
one to one and a half FTE business.
00:08:49.669 --> 00:08:51.250
is not going to necessarily
00:08:51.811 --> 00:08:53.572
be valuable five, ten,
00:08:53.613 --> 00:08:54.173
twenty years from now.
00:08:54.192 --> 00:08:54.653
It's not.
00:08:55.214 --> 00:08:56.274
I think most of them know
00:08:56.313 --> 00:08:57.835
that and they're just okay with it.
00:08:58.355 --> 00:08:59.176
I was looking at it from a
00:08:59.216 --> 00:09:00.476
perspective when people say,
00:09:00.937 --> 00:09:02.057
where are all the PTs?
00:09:02.077 --> 00:09:03.418
So many people leave in the profession.
00:09:04.038 --> 00:09:04.879
The student debt,
00:09:05.259 --> 00:09:07.020
the shrinking reimbursement,
00:09:07.302 --> 00:09:08.361
not disagreeing with you.
00:09:08.701 --> 00:09:09.923
I think one of the things in
00:09:09.962 --> 00:09:11.624
there is also people
00:09:11.724 --> 00:09:12.745
looking at those things.
00:09:12.945 --> 00:09:13.586
My debt's high.
00:09:14.505 --> 00:09:15.447
reimbursements low,
00:09:15.868 --> 00:09:17.028
the salary from one of
00:09:17.048 --> 00:09:19.410
these companies isn't going
00:09:19.431 --> 00:09:20.331
to light me up.
00:09:21.131 --> 00:09:21.332
Great.
00:09:21.393 --> 00:09:22.774
I'll take less money or I'll
00:09:22.793 --> 00:09:23.674
take more risk and I'll
00:09:23.695 --> 00:09:25.576
just do this Instagram
00:09:25.615 --> 00:09:27.638
brand clinic type thing.
00:09:27.677 --> 00:09:28.359
I don't think they're taking
00:09:28.399 --> 00:09:29.759
much risk by doing that, by the way.
00:09:30.081 --> 00:09:31.041
Maybe a little hard effort
00:09:31.081 --> 00:09:32.883
here and there with Instagram brands.
00:09:33.524 --> 00:09:34.745
But we joked about it before,
00:09:34.784 --> 00:09:36.186
therapists that have five, ten,
00:09:36.245 --> 00:09:37.466
twenty thousand followers
00:09:38.028 --> 00:09:39.068
reach out to me for a job.
00:09:40.984 --> 00:09:41.684
Isn't that interesting?
00:09:42.544 --> 00:09:43.125
Well, yes.
00:09:43.225 --> 00:09:45.067
I mean, also,
00:09:46.028 --> 00:09:47.629
it's the highlight reel mentality.
00:09:47.909 --> 00:09:49.091
How many followers you have
00:09:49.230 --> 00:09:50.412
does not equate income.
00:09:50.611 --> 00:09:51.052
It doesn't.
00:09:51.331 --> 00:09:52.734
I know lots of people who are like, well,
00:09:52.754 --> 00:09:53.855
I grew my Instagram account,
00:09:53.914 --> 00:09:55.255
and they'll come to me too.
00:09:55.296 --> 00:09:56.756
Those people are coming to you for jobs.
00:09:56.956 --> 00:09:57.957
They're coming to me being like,
00:09:58.077 --> 00:09:58.859
how do you make money with
00:09:58.879 --> 00:09:59.639
an Instagram account?
00:09:59.839 --> 00:10:00.080
I don't know.
00:10:00.100 --> 00:10:00.840
I run a podcast.
00:10:01.039 --> 00:10:02.662
I happen to also be on Instagram.
00:10:02.981 --> 00:10:04.964
To me, that's tertiary.
00:10:05.384 --> 00:10:06.304
People are like, I don't understand.
00:10:06.565 --> 00:10:07.326
You're saying you have this
00:10:07.365 --> 00:10:07.865
many downloads.
00:10:07.885 --> 00:10:08.066
I'm like,
00:10:08.186 --> 00:10:09.647
I will open up my dashboard right
00:10:09.687 --> 00:10:10.408
now and show you how many
00:10:10.467 --> 00:10:12.429
downloads I have in the podcast.
00:10:12.730 --> 00:10:13.951
That also doesn't matter.
00:10:14.831 --> 00:10:15.552
So let's shift this.
00:10:15.731 --> 00:10:16.253
I didn't think this was
00:10:16.273 --> 00:10:17.374
going to go this direction.
00:10:17.634 --> 00:10:17.994
Real quick.
00:10:18.033 --> 00:10:20.556
Tony did DM us on Facebook Messenger.
00:10:20.836 --> 00:10:21.697
He didn't email it.
00:10:21.976 --> 00:10:22.638
That's fine.
00:10:23.097 --> 00:10:23.918
He understood the assignment.
00:10:23.938 --> 00:10:25.080
As long as I could get on the computer.
00:10:25.320 --> 00:10:27.522
He said it extremely fast.
00:10:27.601 --> 00:10:29.222
As soon as you said it,
00:10:29.243 --> 00:10:30.563
he is absolutely watching live.
00:10:30.965 --> 00:10:31.125
Yeah.
00:10:31.567 --> 00:10:31.746
All right,
00:10:31.807 --> 00:10:33.970
I'll download those while you're talking.
00:10:34.051 --> 00:10:34.951
Did you want to make a point, or Tony,
00:10:34.971 --> 00:10:35.793
what was your point?
00:10:35.812 --> 00:10:37.335
That was it.
00:10:37.375 --> 00:10:39.597
Okay, so what I was getting into was,
00:10:39.697 --> 00:10:40.799
watch this, watch this,
00:10:40.820 --> 00:10:41.961
because it's the same in
00:10:42.341 --> 00:10:43.923
Instagram as it is on Twitter,
00:10:43.964 --> 00:10:44.725
as it is on Facebook,
00:10:44.784 --> 00:10:45.886
as it is in podcasting,
00:10:45.966 --> 00:10:48.269
as it almost is on YouTube.
00:10:48.990 --> 00:10:49.490
Almost.
00:10:49.871 --> 00:10:51.231
Here's what I'm going to say.
00:10:51.251 --> 00:10:53.293
If you have a wildly successful,
00:10:54.073 --> 00:10:54.774
and some of these social
00:10:54.813 --> 00:10:56.514
platforms will monetize,
00:10:56.836 --> 00:10:57.956
like they will pay you
00:10:57.975 --> 00:10:58.897
what's called a CPM,
00:10:59.417 --> 00:11:00.837
which stands for cost per milli.
00:11:01.158 --> 00:11:02.219
I don't know why it's cost per milli.
00:11:02.359 --> 00:11:03.158
It's cost per thousand.
00:11:03.259 --> 00:11:04.059
It should be CPK,
00:11:04.299 --> 00:11:06.841
but don't get me started on Latin.
00:11:06.860 --> 00:11:09.082
They will give you a rate.
00:11:09.322 --> 00:11:10.302
They decide the rate.
00:11:10.342 --> 00:11:11.624
The platform decides the rate.
00:11:11.683 --> 00:11:12.825
YouTube decides the rate
00:11:12.904 --> 00:11:13.764
based on your niche.
00:11:13.884 --> 00:11:15.025
And they will say for every
00:11:15.086 --> 00:11:16.346
thousand views you get,
00:11:17.047 --> 00:11:18.067
we'll give you something.
00:11:19.760 --> 00:11:20.581
It's crazy low.
00:11:20.942 --> 00:11:23.224
Like I understand people are monetized.
00:11:23.903 --> 00:11:25.004
If you are saying I'm going
00:11:25.044 --> 00:11:26.206
to get to a million,
00:11:26.346 --> 00:11:27.988
ten million followers and monetize,
00:11:28.227 --> 00:11:28.967
you can do that.
00:11:29.448 --> 00:11:30.450
It's less than you think.
00:11:30.769 --> 00:11:32.051
It's a lot less than you think.
00:11:32.792 --> 00:11:33.631
So this is where I need
00:11:33.672 --> 00:11:35.514
people to shift what their
00:11:35.573 --> 00:11:38.176
product actually is.
00:11:38.255 --> 00:11:38.676
Here's what I mean.
00:11:39.297 --> 00:11:40.337
If someone says I have a
00:11:40.457 --> 00:11:42.599
hundred thousand followers on Instagram,
00:11:43.139 --> 00:11:46.403
Instagram is my product.
00:11:46.442 --> 00:11:46.883
You're wrong.
00:11:48.104 --> 00:11:49.284
Your audience is your product.
00:11:50.813 --> 00:11:51.754
Your audience is your product.
00:11:52.615 --> 00:11:55.379
So, sorry, Tony,
00:11:55.438 --> 00:11:56.178
thousand doesn't start with
00:11:56.259 --> 00:11:57.341
K. Kilo starts with K. Latin,
00:11:59.962 --> 00:12:00.744
everything should be Latin.
00:12:00.783 --> 00:12:02.586
No, you meant thousand, you meant K,
00:12:02.625 --> 00:12:03.706
like if you say, ten K,
00:12:03.826 --> 00:12:04.567
it's ten thousand.
00:12:04.648 --> 00:12:05.208
I know what you meant.
00:12:05.448 --> 00:12:06.350
Kili, kilo.
00:12:06.769 --> 00:12:07.711
Thank you.
00:12:08.110 --> 00:12:10.072
So your audience is your product.
00:12:10.890 --> 00:12:12.513
So I don't charge... Dave,
00:12:12.533 --> 00:12:13.453
have you ever listened to
00:12:13.594 --> 00:12:14.394
PT Podcast before?
00:12:14.414 --> 00:12:15.696
Have you downloaded it and listened to it?
00:12:15.856 --> 00:12:16.677
Of course.
00:12:17.337 --> 00:12:19.159
Have you ever paid Apple or
00:12:19.220 --> 00:12:22.244
Jimmy to listen to any episode?
00:12:22.303 --> 00:12:22.484
No.
00:12:22.884 --> 00:12:24.086
No, you have not.
00:12:24.566 --> 00:12:26.008
Because I understand you're my product.
00:12:27.269 --> 00:12:28.451
Now, I then turn to...
00:12:29.994 --> 00:12:31.375
brooks institute of higher
00:12:31.414 --> 00:12:33.416
learning and I say you have
00:12:33.475 --> 00:12:34.836
residency and fellowship
00:12:34.855 --> 00:12:36.937
programs in pt and you need
00:12:37.238 --> 00:12:38.857
students and they go yes
00:12:39.318 --> 00:12:40.058
and I go are you in the
00:12:40.099 --> 00:12:41.259
business of knowing how to
00:12:41.320 --> 00:12:42.259
go out and get those
00:12:42.279 --> 00:12:43.980
students to pay attention
00:12:44.020 --> 00:12:46.062
to you to maybe consider
00:12:46.121 --> 00:12:47.863
giving you lots of money to
00:12:47.903 --> 00:12:49.823
then do a residency and they said no
00:12:50.464 --> 00:12:51.264
And then they say, no.
00:12:51.484 --> 00:12:52.304
And I say, well, what do you do now?
00:12:52.345 --> 00:12:53.205
They're like, we go to CSN,
00:12:53.225 --> 00:12:53.985
we put up a table.
00:12:54.105 --> 00:12:54.705
Does it work?
00:12:55.125 --> 00:12:55.565
Sort of.
00:12:55.924 --> 00:12:56.706
And I go, cool.
00:12:57.346 --> 00:12:58.885
I release five episodes a week.
00:12:59.166 --> 00:13:00.226
I'm in people's ears,
00:13:00.447 --> 00:13:01.626
forty-five minutes a pop.
00:13:02.287 --> 00:13:03.768
We get between twenty and
00:13:03.888 --> 00:13:05.528
sixty thousand downloads a month, I think,
00:13:05.567 --> 00:13:06.107
right about now.
00:13:06.648 --> 00:13:07.729
So I'm like, do the math on that,
00:13:07.788 --> 00:13:09.269
how much attention we have earned.
00:13:09.708 --> 00:13:12.889
And now a simple podcast can be â
00:13:13.070 --> 00:13:14.510
more time spent in
00:13:14.571 --> 00:13:16.812
relationship than your
00:13:16.851 --> 00:13:18.133
gigantic booth at CSM.
00:13:18.212 --> 00:13:19.072
Even if you went to CSM
00:13:19.192 --> 00:13:20.053
every day of the year,
00:13:20.734 --> 00:13:21.433
that doesn't mean those
00:13:21.474 --> 00:13:22.095
people are actually paying
00:13:22.115 --> 00:13:23.394
attention to your booth in
00:13:23.696 --> 00:13:24.936
the back corner of the expo hall.
00:13:25.517 --> 00:13:27.116
So this is what I try to explain to people,
00:13:27.538 --> 00:13:29.859
that your audience is your product.
00:13:30.298 --> 00:13:31.740
How you get them is a
00:13:31.779 --> 00:13:32.821
podcast or funny little
00:13:32.860 --> 00:13:33.961
dance videos or whatever.
00:13:34.360 --> 00:13:35.361
But then flipping,
00:13:35.442 --> 00:13:36.923
converting your dance video
00:13:36.982 --> 00:13:38.303
followers who are there for
00:13:38.344 --> 00:13:40.985
the giggles into a sale is
00:13:41.245 --> 00:13:43.046
a monumental chasm.
00:13:43.307 --> 00:13:46.008
It is a large, large leap.
00:13:46.587 --> 00:13:48.048
I do not trust this person for this.
00:13:48.409 --> 00:13:51.191
This is why someone like Joe Ranke.
00:13:51.230 --> 00:13:52.511
Do you know Joe Ranke from Fitbox?
00:13:52.532 --> 00:13:54.452
A little bit.
00:13:54.472 --> 00:13:56.514
He's been on the show a bunch of times.
00:13:56.774 --> 00:13:57.554
He's a financial guy.
00:13:59.244 --> 00:14:00.748
But he's chosen student debt
00:14:01.008 --> 00:14:03.214
and student loans as his hyper niche.
00:14:03.274 --> 00:14:05.018
The riches are in the niches, right?
00:14:05.038 --> 00:14:06.061
That's like the quote.
00:14:06.100 --> 00:14:06.581
Must be true.
00:14:06.682 --> 00:14:07.043
It rhymes.
00:14:08.833 --> 00:14:09.475
But he said,
00:14:09.615 --> 00:14:11.416
I understand that my knowledge
00:14:11.475 --> 00:14:13.217
is how I get people to pay attention.
00:14:13.857 --> 00:14:15.220
I give it out freely.
00:14:15.259 --> 00:14:16.400
He's got a YouTube channel.
00:14:17.280 --> 00:14:19.243
When he gets your attention, eventually,
00:14:19.803 --> 00:14:20.083
you're like,
00:14:20.303 --> 00:14:21.245
I feel like if I'm going to
00:14:21.284 --> 00:14:22.365
pick somebody to help me
00:14:22.446 --> 00:14:23.866
navigate my student loan repayment,
00:14:24.287 --> 00:14:24.967
this is the guy.
00:14:25.268 --> 00:14:26.269
And then he has a product at
00:14:26.308 --> 00:14:26.710
the end of it.
00:14:26.990 --> 00:14:28.250
Now, Joe did it himself.
00:14:29.231 --> 00:14:30.293
You don't have to do it yourself.
00:14:30.352 --> 00:14:30.913
Look what I do.
00:14:31.234 --> 00:14:32.514
I don't necessarily have a product.
00:14:32.875 --> 00:14:33.455
I understand that
00:14:34.135 --> 00:14:36.216
How I get people is giving out content.
00:14:36.857 --> 00:14:37.738
What I can do with them is
00:14:37.798 --> 00:14:39.158
now go one step further to
00:14:39.219 --> 00:14:40.500
somebody who wants that attention,
00:14:40.539 --> 00:14:41.480
is willing to pay for it,
00:14:41.961 --> 00:14:43.181
and ask them for money in
00:14:43.240 --> 00:14:44.221
exchange for that attention.
00:14:44.442 --> 00:14:45.783
And that is the model.
00:14:46.182 --> 00:14:47.224
So back to the clinic,
00:14:48.303 --> 00:14:49.205
I understand that getting
00:14:49.264 --> 00:14:50.525
ten thousand Instagram
00:14:50.546 --> 00:14:51.365
followers is great.
00:14:51.385 --> 00:14:52.326
But if you're only treating
00:14:52.366 --> 00:14:53.907
in San Diego and you have
00:14:53.947 --> 00:14:55.248
followers all across the world,
00:14:55.607 --> 00:14:57.529
that's a big chasm to give you time.
00:14:58.190 --> 00:14:58.769
And Tony might say
00:14:58.789 --> 00:15:00.811
telehealth and we would say, yeah,
00:15:01.692 --> 00:15:02.932
but I don't know how far
00:15:02.972 --> 00:15:03.293
it's going to go.
00:15:06.390 --> 00:15:08.052
So what was the impetus
00:15:08.172 --> 00:15:09.652
about the whole microclinic
00:15:09.731 --> 00:15:10.371
talk this morning?
00:15:10.672 --> 00:15:11.993
You saw or you're seeing
00:15:12.033 --> 00:15:14.013
more posts on Facebook or
00:15:14.072 --> 00:15:15.094
Instagram or LinkedIn.
00:15:15.234 --> 00:15:16.354
Like where did this come from?
00:15:16.474 --> 00:15:17.053
And I'm reading this.
00:15:17.114 --> 00:15:19.654
So this is a book called Unscaled.
00:15:19.674 --> 00:15:22.515
And it's written years ago.
00:15:22.796 --> 00:15:24.035
But I didn't read that book either.
00:15:24.096 --> 00:15:29.238
But I think the solo practice is like â
00:15:30.697 --> 00:15:32.119
too unscaled.
00:15:32.198 --> 00:15:34.162
Like that book probably says,
00:15:34.822 --> 00:15:35.943
do things like I've done, right?
00:15:36.244 --> 00:15:36.985
With my practice.
00:15:37.385 --> 00:15:40.090
Like when it's last year,
00:15:40.370 --> 00:15:42.312
it was like October, or something.
00:15:42.352 --> 00:15:42.913
We had two,
00:15:43.433 --> 00:15:44.956
one of my therapists had two patients
00:15:45.817 --> 00:15:47.158
with a birthday on the same
00:15:47.197 --> 00:15:48.619
day he was seeing one of
00:15:48.639 --> 00:15:49.779
the patient one of the
00:15:49.820 --> 00:15:51.139
patients on their birthday
00:15:51.660 --> 00:15:52.520
and he was seeing the other
00:15:52.561 --> 00:15:53.682
person like a day or two
00:15:53.782 --> 00:15:55.462
after her birthday and I
00:15:55.702 --> 00:15:57.043
you know I did the unscaled
00:15:57.083 --> 00:15:58.985
thing of of we talked about
00:15:59.004 --> 00:16:00.546
it and I said we don't have
00:16:00.566 --> 00:16:01.466
a process in place we don't
00:16:01.486 --> 00:16:02.307
have anything automated we
00:16:02.327 --> 00:16:03.447
don't have anything where
00:16:03.467 --> 00:16:04.048
we get an email
00:16:04.089 --> 00:16:05.730
automatically internally
00:16:05.769 --> 00:16:07.091
like hey it's jimmy mckay's
00:16:07.130 --> 00:16:08.071
birthday let's you know
00:16:08.091 --> 00:16:09.011
let's send them chocolates
00:16:09.032 --> 00:16:10.192
or a cake or flowers or whatever
00:16:11.092 --> 00:16:13.374
so we sent we I told my
00:16:13.394 --> 00:16:14.815
therapist bring this guy
00:16:14.875 --> 00:16:17.035
bring the male client this
00:16:17.096 --> 00:16:18.015
chocolate cake and then for
00:16:18.035 --> 00:16:20.096
the woman a bouquet of
00:16:20.116 --> 00:16:23.099
flowers I think that is the
00:16:23.219 --> 00:16:24.619
in terms of unscaled things
00:16:24.719 --> 00:16:25.820
in physical therapy
00:16:25.860 --> 00:16:27.081
practice and business maybe
00:16:27.221 --> 00:16:28.821
more of that focus but I
00:16:28.860 --> 00:16:29.761
truly think that the
00:16:29.922 --> 00:16:32.023
individual solo therapist
00:16:33.259 --> 00:16:34.821
you can do things that are unscaled.
00:16:34.860 --> 00:16:35.182
Of course,
00:16:35.721 --> 00:16:36.783
that's like everything you're
00:16:36.802 --> 00:16:38.403
doing is like unscaled basically,
00:16:38.884 --> 00:16:39.745
unless you're doing things
00:16:39.804 --> 00:16:41.606
like creating a playbook, recruiting,
00:16:41.647 --> 00:16:42.246
hiring, all that.
00:16:42.287 --> 00:16:43.187
So anyway.
00:16:43.828 --> 00:16:45.049
Well, so the, so,
00:16:45.070 --> 00:16:46.149
so the one step this book
00:16:46.211 --> 00:16:47.552
is saying is you can,
00:16:47.711 --> 00:16:49.113
you can purchase or create
00:16:49.493 --> 00:16:51.154
low to no cost systems that
00:16:51.254 --> 00:16:52.075
automate this as a
00:16:52.154 --> 00:16:54.476
solopreneur where you needed to,
00:16:55.278 --> 00:16:56.339
where you needed to, I mean,
00:16:56.359 --> 00:16:57.639
it uses the Walmart example.
00:16:57.679 --> 00:16:58.440
Like you had to have
00:16:59.041 --> 00:17:02.163
physical square footage in a town.
00:17:02.923 --> 00:17:04.164
you had to have inventory
00:17:04.384 --> 00:17:05.144
you had to have people
00:17:05.285 --> 00:17:06.145
stocking and moving that
00:17:06.165 --> 00:17:07.086
inventory and selling that
00:17:07.105 --> 00:17:07.965
inventory when you were
00:17:08.006 --> 00:17:09.146
closed you made no money
00:17:09.507 --> 00:17:10.508
back when walmart first
00:17:10.528 --> 00:17:11.728
started before the before
00:17:11.768 --> 00:17:12.587
you could buy something at
00:17:12.608 --> 00:17:13.189
three o'clock in the
00:17:13.229 --> 00:17:13.888
morning and have it shipped
00:17:13.909 --> 00:17:15.930
to you um I'm not saying
00:17:16.009 --> 00:17:16.951
I'm not advocate just to be
00:17:16.971 --> 00:17:17.971
clear I'm not advocating
00:17:18.010 --> 00:17:19.392
for any of these models
00:17:19.932 --> 00:17:21.092
what I think people are
00:17:21.112 --> 00:17:22.133
doing now or I think the
00:17:22.232 --> 00:17:24.294
rise of these solopreneurs
00:17:24.453 --> 00:17:25.954
is they're saying okay
00:17:26.914 --> 00:17:27.875
I can a hundred percent.
00:17:28.536 --> 00:17:29.416
It's a scale, right?
00:17:29.457 --> 00:17:30.076
It's a spectrum.
00:17:30.376 --> 00:17:31.698
I could a hundred percent go
00:17:31.897 --> 00:17:33.439
and work for a large organization.
00:17:33.578 --> 00:17:34.720
And there's advantages to that.
00:17:35.140 --> 00:17:35.980
There's stability.
00:17:36.280 --> 00:17:36.941
Most of the time,
00:17:37.582 --> 00:17:38.821
not a whole lot of mobility.
00:17:38.903 --> 00:17:39.623
Cause what do you do after
00:17:39.663 --> 00:17:40.262
you're a clinician?
00:17:40.403 --> 00:17:41.443
You become a clinic director,
00:17:41.624 --> 00:17:42.805
then you become a regional director.
00:17:43.005 --> 00:17:44.125
And then maybe you go into a
00:17:44.205 --> 00:17:47.087
side thing like clinical director, or you,
00:17:47.428 --> 00:17:49.148
you oversee a particular vertical,
00:17:49.189 --> 00:17:50.750
like vestibular care or
00:17:50.829 --> 00:17:51.990
neuro or ortho for a big
00:17:52.030 --> 00:17:54.231
organization in the middle of
00:17:55.801 --> 00:17:56.682
If you're the owner,
00:17:56.883 --> 00:17:59.223
it's a lot more risk but
00:17:59.263 --> 00:18:00.424
good reward if you're going
00:18:00.444 --> 00:18:02.365
to run something that you own yourself.
00:18:02.786 --> 00:18:03.787
As a clinician for that,
00:18:03.906 --> 00:18:05.248
is there a difference between that?
00:18:05.788 --> 00:18:07.388
Dave, if someone owns three clinics,
00:18:07.429 --> 00:18:08.509
if I own three clinics and
00:18:08.549 --> 00:18:09.690
my employees work for me
00:18:09.730 --> 00:18:11.030
versus working for ATI,
00:18:11.711 --> 00:18:12.892
there's not really a lot of
00:18:12.932 --> 00:18:13.752
difference there, is there?
00:18:14.272 --> 00:18:14.653
For who?
00:18:14.673 --> 00:18:15.313
For the employees?
00:18:15.554 --> 00:18:15.973
The employees.
00:18:15.993 --> 00:18:17.515
It's still forty in, forty out, right?
00:18:18.637 --> 00:18:19.558
Well, I mean,
00:18:21.259 --> 00:18:22.961
you just spoke with Ben Fung recently.
00:18:23.122 --> 00:18:24.743
I know he's pretty tight
00:18:24.763 --> 00:18:26.365
around employers and
00:18:26.484 --> 00:18:28.487
offerings and all that.
00:18:28.606 --> 00:18:29.847
I think things can vary.
00:18:29.928 --> 00:18:31.269
I think that the smaller
00:18:31.308 --> 00:18:32.750
practice that has three or
00:18:32.770 --> 00:18:33.991
five or whatever locations
00:18:35.515 --> 00:18:38.118
has more of an onus to keep
00:18:38.138 --> 00:18:39.019
the therapist happy.
00:18:39.099 --> 00:18:40.281
And this is from the
00:18:41.344 --> 00:18:42.045
business owners and the
00:18:42.085 --> 00:18:42.726
practitioners that we've
00:18:42.746 --> 00:18:43.366
spoken with that we've
00:18:43.386 --> 00:18:44.347
tried to partner with or
00:18:44.407 --> 00:18:45.490
acquire or whatever over
00:18:45.509 --> 00:18:47.251
the past couple of years is
00:18:48.193 --> 00:18:48.954
the ones that have two or
00:18:48.974 --> 00:18:50.356
three or four or five locations
00:18:51.226 --> 00:18:54.449
There's more of an intimate team.
00:18:54.828 --> 00:18:56.430
Of course, there's a little bit of like,
00:18:56.869 --> 00:18:58.531
it is a job and all that, but,
00:18:58.892 --> 00:19:00.032
and it's not necessarily a family.
00:19:00.073 --> 00:19:01.034
It's more about like, Hey,
00:19:01.054 --> 00:19:01.953
we're like a sports team.
00:19:01.973 --> 00:19:02.714
Like we want to operate.
00:19:02.755 --> 00:19:03.675
We want to, you know,
00:19:03.695 --> 00:19:04.756
we want to perform at our best,
00:19:05.076 --> 00:19:06.077
but this isn't like,
00:19:06.817 --> 00:19:09.719
This isn't family where you
00:19:09.739 --> 00:19:10.699
can't fire your uncle,
00:19:10.898 --> 00:19:12.398
but I can fire my therapist
00:19:12.439 --> 00:19:13.378
if they step out of line or
00:19:14.118 --> 00:19:15.819
if they're not documenting
00:19:15.900 --> 00:19:17.400
or if they're coming in late or whatever.
00:19:17.680 --> 00:19:19.039
I can write them up.
00:19:19.140 --> 00:19:21.721
I can try to improve, sit them down,
00:19:21.760 --> 00:19:23.721
try to have an approach or
00:19:25.141 --> 00:19:26.362
some type of game plan to
00:19:26.642 --> 00:19:28.122
help them improve whatever
00:19:28.182 --> 00:19:29.321
they're deficient in,
00:19:29.362 --> 00:19:31.082
whether it's coding or documentation,
00:19:31.402 --> 00:19:32.803
timely documentation, whatever it is.
00:19:34.651 --> 00:19:37.012
I think that the smaller, like two to five,
00:19:37.053 --> 00:19:37.953
two to ten location
00:19:37.973 --> 00:19:41.316
practices have a tight-knit offering.
00:19:41.496 --> 00:19:47.300
There's a lot of good morale and culture,
00:19:47.381 --> 00:19:49.261
typically, at least on the East Coast.
00:19:49.362 --> 00:19:51.743
I'll say from upstate New York to Florida.
00:19:52.044 --> 00:19:52.944
Any of the practices that
00:19:52.964 --> 00:19:54.786
are two to ten locations
00:19:54.806 --> 00:19:55.527
that we've spoken with,
00:19:56.547 --> 00:19:57.988
that's what we've seen.
00:19:58.048 --> 00:19:58.628
Obviously,
00:19:58.648 --> 00:20:00.230
we don't speak to the big
00:20:00.269 --> 00:20:01.070
corporates and the
00:20:01.111 --> 00:20:02.211
quote-unquote mills out there.
00:20:02.751 --> 00:20:03.813
I would bet, though, that
00:20:05.358 --> 00:20:06.539
and maybe because I'm also
00:20:06.619 --> 00:20:08.060
in that realm of like kind
00:20:08.121 --> 00:20:10.182
of in that practice owner world,
00:20:11.123 --> 00:20:13.163
I would say that it is on
00:20:13.243 --> 00:20:14.744
average better to have a
00:20:14.805 --> 00:20:15.705
staff physical therapist
00:20:15.726 --> 00:20:18.407
job at the one to ten
00:20:18.428 --> 00:20:20.108
location private practice clinics
00:20:20.669 --> 00:20:22.691
As opposed to the ATI, well,
00:20:22.711 --> 00:20:23.632
I don't know if you want to call them out,
00:20:23.652 --> 00:20:26.335
but the big corporates, the big mills,
00:20:26.815 --> 00:20:28.477
that's just, but of course I'm biased.
00:20:28.557 --> 00:20:29.838
There might be other folks that say like,
00:20:29.999 --> 00:20:31.700
oh, I agree with Jimmy and it, you know,
00:20:31.720 --> 00:20:32.761
it's forty and forty out
00:20:33.301 --> 00:20:34.163
and I'm a staff physical
00:20:34.202 --> 00:20:36.305
therapist in either place and they,
00:20:36.625 --> 00:20:37.145
you know,
00:20:37.165 --> 00:20:37.987
treat whatever they want to
00:20:38.027 --> 00:20:39.448
treat and they get in, they get out,
00:20:39.468 --> 00:20:40.450
they do their notes and that's it.
00:20:42.506 --> 00:20:45.186
I would say I've seen behind
00:20:45.227 --> 00:20:46.327
the door or behind the
00:20:46.347 --> 00:20:47.488
kimono of a lot of these
00:20:47.528 --> 00:20:50.730
practices and what the
00:20:50.789 --> 00:20:52.911
practice owners do in terms
00:20:52.951 --> 00:20:53.570
of taking them out.
00:20:53.991 --> 00:20:55.972
You never see, and maybe it happens,
00:20:56.053 --> 00:20:56.932
but you never see with
00:20:56.952 --> 00:20:57.653
these large corporates,
00:20:57.673 --> 00:20:59.294
you never see the...
00:21:00.815 --> 00:21:03.217
CEO or the regional director
00:21:03.336 --> 00:21:04.217
taking out the therapist
00:21:04.257 --> 00:21:06.939
for axe throwing or Christmas dinners.
00:21:07.460 --> 00:21:08.359
It might happen.
00:21:08.400 --> 00:21:09.961
Fox was mandatory.
00:21:10.020 --> 00:21:10.721
It wasn't mandatory.
00:21:10.741 --> 00:21:12.462
There was a budget for that.
00:21:12.823 --> 00:21:13.923
So Fox is massive.
00:21:13.963 --> 00:21:15.684
They're like in thirty something states.
00:21:15.724 --> 00:21:16.365
Tell me what.
00:21:16.665 --> 00:21:18.707
So Fox maybe has scaled the
00:21:18.767 --> 00:21:20.028
unscalable by doing that.
00:21:20.087 --> 00:21:20.748
So go ahead.
00:21:20.788 --> 00:21:22.108
So I'll only speak because I
00:21:22.128 --> 00:21:23.990
have personal experience with this.
00:21:24.029 --> 00:21:24.170
Yeah.
00:21:25.555 --> 00:21:26.996
they put their clinicians
00:21:27.355 --> 00:21:28.496
like before the patients
00:21:28.557 --> 00:21:29.517
which sounds insane but
00:21:29.537 --> 00:21:30.096
we've talked about this
00:21:30.136 --> 00:21:30.897
before why that's actually
00:21:30.917 --> 00:21:31.897
a better idea take care of
00:21:31.917 --> 00:21:32.959
clinicians and they do I
00:21:32.979 --> 00:21:33.719
don't know what the average
00:21:33.759 --> 00:21:34.739
tenure is for a fox
00:21:34.779 --> 00:21:36.319
therapist but it was pretty
00:21:36.359 --> 00:21:38.701
good and I think they did
00:21:38.721 --> 00:21:39.942
it because they were remote
00:21:39.981 --> 00:21:41.163
based like you're a
00:21:41.182 --> 00:21:42.363
clinician you have to you
00:21:42.423 --> 00:21:43.544
have to so what they did
00:21:43.564 --> 00:21:45.605
was they put a real
00:21:45.724 --> 00:21:46.865
emphasis I think more
00:21:46.924 --> 00:21:47.826
organizations are doing
00:21:47.865 --> 00:21:49.507
this they put a real emphasis on
00:21:50.326 --> 00:21:51.650
who they promoted to leadership.
00:21:51.971 --> 00:21:53.594
It wasn't who was around the longest.
00:21:54.055 --> 00:21:56.259
It was who can do this?
00:21:56.820 --> 00:21:58.565
Who's the seventh guy on an NBA team?
00:21:58.585 --> 00:21:59.307
It's the glue guy.
00:21:59.426 --> 00:21:59.827
Is he good?
00:21:59.968 --> 00:22:00.409
It's pretty good.
00:22:01.481 --> 00:22:02.042
Why is he there?
00:22:02.702 --> 00:22:03.203
Everybody loves him.
00:22:03.604 --> 00:22:04.404
He keeps everybody light.
00:22:04.464 --> 00:22:06.126
When we lost four in a row,
00:22:06.467 --> 00:22:08.189
he makes a fart joke,
00:22:08.209 --> 00:22:08.808
and everybody laughs,
00:22:08.888 --> 00:22:10.230
and everybody can start
00:22:10.250 --> 00:22:10.891
hitting threes again.
00:22:11.332 --> 00:22:12.232
So they did it,
00:22:12.512 --> 00:22:13.894
and I can only speak from experience.
00:22:14.194 --> 00:22:15.236
I can't speak to what,
00:22:15.635 --> 00:22:16.636
and I know we keep saying ATI.
00:22:16.696 --> 00:22:17.557
I think we keep saying ATI
00:22:17.577 --> 00:22:18.538
because they're the biggest, right?
00:22:18.679 --> 00:22:20.401
Or Athletico, any of those.
00:22:20.480 --> 00:22:21.821
Their bruise is just easy to
00:22:21.862 --> 00:22:22.363
punch on them.
00:22:22.383 --> 00:22:23.304
They're just a punching bag.
00:22:23.644 --> 00:22:24.964
The funny thing is, well,
00:22:24.984 --> 00:22:25.684
that's a different topic.
00:22:25.704 --> 00:22:26.625
I'll get into the wheeze in a minute.
00:22:26.665 --> 00:22:28.406
So yeah, Fox did make it mandatory.
00:22:28.606 --> 00:22:29.826
They did say,
00:22:29.866 --> 00:22:30.807
because this was part of my
00:22:30.847 --> 00:22:33.709
job when I was there, Tim Fox said,
00:22:34.009 --> 00:22:35.631
I want to be able to shake
00:22:35.851 --> 00:22:37.632
every person's hand once a year.
00:22:37.991 --> 00:22:39.313
And that dude got on a plane
00:22:39.373 --> 00:22:40.553
and flew around the country
00:22:41.574 --> 00:22:44.895
and they threw like Christmas parties,
00:22:44.976 --> 00:22:46.455
but like all year, like there's, you know,
00:22:46.576 --> 00:22:47.176
there's no way he could
00:22:47.196 --> 00:22:48.317
just visit everybody in December.
00:22:48.416 --> 00:22:50.157
Just couldn't do it.
00:22:50.178 --> 00:22:52.400
Doing four or five or six of
00:22:52.420 --> 00:22:52.980
those a month.
00:22:54.699 --> 00:22:56.079
And it was like he'd come in,
00:22:56.119 --> 00:22:57.279
they'd rent out a room at a ball,
00:22:57.400 --> 00:22:58.140
you know, at a hotel,
00:22:58.180 --> 00:22:59.441
like a nice ballroom.
00:22:59.760 --> 00:23:01.761
They'd throw orange all over
00:23:01.781 --> 00:23:03.382
the place and they'd throw a party.
00:23:04.041 --> 00:23:05.282
And that but that wasn't the
00:23:05.323 --> 00:23:06.363
only time those clinicians
00:23:06.403 --> 00:23:08.864
in that area would see each other.
00:23:08.923 --> 00:23:10.644
They did have the axe throwings,
00:23:10.704 --> 00:23:11.664
the journal clubs,
00:23:12.045 --> 00:23:13.846
but they realized they did
00:23:13.885 --> 00:23:15.006
sit there and they go, well,
00:23:15.226 --> 00:23:16.606
why would someone want to work for us?
00:23:17.366 --> 00:23:19.309
okay let's diagnose the dna
00:23:19.411 --> 00:23:20.873
of what people like about
00:23:20.932 --> 00:23:21.653
because they were small
00:23:21.734 --> 00:23:22.957
like like any any big
00:23:22.997 --> 00:23:23.577
organization they were
00:23:23.597 --> 00:23:24.419
small they were like we're
00:23:24.479 --> 00:23:26.482
jersey and pennsylvania but
00:23:26.502 --> 00:23:27.944
what if we hit california
00:23:28.665 --> 00:23:30.449
to their credit they said
00:23:32.422 --> 00:23:33.201
I think Tim said,
00:23:33.281 --> 00:23:34.383
and I'm trying to get the quote right.
00:23:34.442 --> 00:23:36.023
Don't unquote me if Tim ever
00:23:36.064 --> 00:23:36.704
gets hold of this.
00:23:37.144 --> 00:23:37.704
But he said something.
00:23:37.724 --> 00:23:38.445
He's like,
00:23:38.726 --> 00:23:40.788
the way I'll measure failure is
00:23:40.807 --> 00:23:41.387
if someone says,
00:23:41.868 --> 00:23:42.729
who's worked here for ten
00:23:42.769 --> 00:23:44.470
or fifteen years and leaves,
00:23:44.711 --> 00:23:45.810
and someone says, why'd you leave?
00:23:46.132 --> 00:23:47.553
It just doesn't feel the same anymore.
00:23:48.472 --> 00:23:50.315
He's like, that would be the failure.
00:23:50.494 --> 00:23:51.255
Because that's how you keep
00:23:51.275 --> 00:23:52.056
good people around.
00:23:52.936 --> 00:23:54.218
What brought the good people in...
00:23:55.464 --> 00:23:57.705
If you're just recruiting to fill a spot,
00:23:58.326 --> 00:23:58.786
I get it.
00:23:58.846 --> 00:23:59.645
Short-term benefit.
00:23:59.746 --> 00:24:00.826
I need someone to treat patients.
00:24:01.326 --> 00:24:04.048
They said no a lot to people
00:24:04.067 --> 00:24:05.268
with licenses who could
00:24:05.288 --> 00:24:06.548
fill a role because they were like,
00:24:06.669 --> 00:24:07.729
it's going to cost us more
00:24:08.148 --> 00:24:09.368
and let's just keep looking
00:24:09.388 --> 00:24:10.049
for a better fit.
00:24:10.529 --> 00:24:12.170
They hired me with no job.
00:24:12.329 --> 00:24:12.710
They were like,
00:24:12.769 --> 00:24:13.570
we don't understand what
00:24:13.590 --> 00:24:14.631
Jimmy's going to do on day one,
00:24:14.671 --> 00:24:15.431
but by day fifty,
00:24:15.471 --> 00:24:16.351
we'll have a better idea.
00:24:16.612 --> 00:24:17.652
So they hired on culture.
00:24:19.065 --> 00:24:20.686
I think, yeah, maybe you're right.
00:24:20.707 --> 00:24:20.886
Maybe,
00:24:21.047 --> 00:24:22.508
maybe small organizations can do
00:24:22.528 --> 00:24:25.170
that better because one bad hire at a,
00:24:25.330 --> 00:24:26.371
at a ten person,
00:24:26.551 --> 00:24:27.732
at a ten clinician clinic,
00:24:28.173 --> 00:24:29.473
that's ten percent of a bad,
00:24:29.493 --> 00:24:29.954
you know what I mean?
00:24:29.994 --> 00:24:30.375
Like ten,
00:24:30.535 --> 00:24:31.996
now you have one bad apple among ten,
00:24:32.317 --> 00:24:33.817
whereas a hundred bad,
00:24:33.857 --> 00:24:35.239
bad apples are around thirty thousand.
00:24:35.259 --> 00:24:36.299
That doesn't do any, that's not,
00:24:36.319 --> 00:24:37.161
that's not a problem.
00:24:38.721 --> 00:24:39.343
So.
00:24:39.522 --> 00:24:41.605
I, I love this because this is,
00:24:43.336 --> 00:24:45.759
So Fox is a great example of they've gone,
00:24:46.119 --> 00:24:47.781
you know, regional and then they've gone,
00:24:47.801 --> 00:24:49.324
you know, like the whole East Coast.
00:24:49.384 --> 00:24:49.984
And now I think they're
00:24:50.005 --> 00:24:51.266
starting to go like more
00:24:51.866 --> 00:24:53.328
Midwest and Southwest.
00:24:53.388 --> 00:24:53.588
Right.
00:24:54.069 --> 00:24:54.990
I know I've spoken to some
00:24:55.070 --> 00:24:55.932
owners that have reached
00:24:55.991 --> 00:24:57.973
out about like them looking
00:24:57.993 --> 00:24:59.134
to acquire like kind of
00:24:59.215 --> 00:25:00.676
like in Georgia and something like this.
00:25:00.717 --> 00:25:01.258
They just did.
00:25:01.278 --> 00:25:02.819
They just they just acquired somebody.
00:25:03.079 --> 00:25:05.521
There you go.
00:25:05.561 --> 00:25:05.942
And by the way,
00:25:05.961 --> 00:25:08.282
that's how they're expanding.
00:25:08.383 --> 00:25:10.525
They started organically in Cherry Hill,
00:25:10.545 --> 00:25:11.005
New Jersey,
00:25:11.045 --> 00:25:12.286
the town next to where I'm from.
00:25:13.626 --> 00:25:15.188
And they've grown dramatically.
00:25:15.928 --> 00:25:18.789
So much kudos and applause
00:25:18.829 --> 00:25:19.871
to Tim and the team.
00:25:20.931 --> 00:25:21.531
So that's why.
00:25:22.011 --> 00:25:23.333
That's probably one of the
00:25:23.413 --> 00:25:24.953
main reasons if you had
00:25:24.993 --> 00:25:26.535
some business coach come in
00:25:26.954 --> 00:25:28.336
and give an assessment or whatever,
00:25:28.375 --> 00:25:29.557
some third-party assessment.
00:25:30.136 --> 00:25:32.018
is doing wow it's like most
00:25:32.057 --> 00:25:34.198
of the country it's not wow
00:25:34.617 --> 00:25:35.898
but so the question was the
00:25:35.939 --> 00:25:37.960
question is so I when I was
00:25:37.980 --> 00:25:39.160
there I don't think any of
00:25:39.200 --> 00:25:40.099
these states here I think
00:25:40.119 --> 00:25:41.101
we were like I think as far
00:25:41.161 --> 00:25:41.881
west as we were like
00:25:41.921 --> 00:25:43.701
illinois I know we were we
00:25:43.721 --> 00:25:44.862
were in wisconsin
00:25:46.973 --> 00:25:48.777
But the idea was when they were just here,
00:25:48.896 --> 00:25:50.579
how do you stay the same?
00:25:51.480 --> 00:25:52.863
Like when you're Fritos or
00:25:52.923 --> 00:25:54.265
Dr. Pepper and now you're
00:25:54.285 --> 00:25:56.409
being â or Sam Adams and
00:25:56.429 --> 00:25:57.891
you want a brewery on the West Coast,
00:25:58.531 --> 00:26:03.349
how does the cherry wheat hit the same â
00:26:02.914 --> 00:26:03.815
In the new brewery.
00:26:04.055 --> 00:26:05.296
It's like, well, out West, we don't,
00:26:05.596 --> 00:26:06.155
we do this.
00:26:06.175 --> 00:26:06.817
So the, you know,
00:26:06.876 --> 00:26:08.297
do you ever hear the story about the guy,
00:26:08.336 --> 00:26:09.678
the New Yorker who moved to
00:26:09.698 --> 00:26:10.958
Florida and opened a
00:26:10.998 --> 00:26:16.000
pizzeria and he bought a ship, like a,
00:26:16.180 --> 00:26:19.781
like a, like a cargo ship, a cargo ship.
00:26:20.583 --> 00:26:22.405
And he went to New York and
00:26:22.445 --> 00:26:23.728
he filled the cargo ship.
00:26:23.748 --> 00:26:24.848
He just went up to a fire
00:26:24.869 --> 00:26:25.990
hydrant in like on the
00:26:26.191 --> 00:26:28.234
docks of New York and water
00:26:28.875 --> 00:26:29.876
up with water.
00:26:30.438 --> 00:26:31.378
And he'd been doing it for
00:26:31.439 --> 00:26:32.861
years and he's bragging about it.
00:26:32.881 --> 00:26:33.782
He's like, it's free water.
00:26:33.843 --> 00:26:34.564
It's like, first of all,
00:26:35.913 --> 00:26:36.752
We we pay for that water
00:26:36.772 --> 00:26:37.713
that comes from where I am.
00:26:37.733 --> 00:26:38.794
That comes from upstate New York,
00:26:39.094 --> 00:26:40.153
New York City water.
00:26:40.213 --> 00:26:41.015
It comes from somewhere.
00:26:41.414 --> 00:26:42.234
But he was doing this for
00:26:42.275 --> 00:26:43.474
years until someone was like,
00:26:43.976 --> 00:26:44.855
that's an environmental.
00:26:45.016 --> 00:26:46.115
You can't just take water.
00:26:46.596 --> 00:26:47.497
But anyway, the point was,
00:26:47.717 --> 00:26:49.957
how do you actually import the things,
00:26:50.538 --> 00:26:52.317
the ingredients that make
00:26:52.377 --> 00:26:53.498
the thing that people want?
00:26:53.778 --> 00:26:54.959
You have to go further upstream.
00:26:56.086 --> 00:26:57.366
This conversation started in
00:26:57.386 --> 00:26:59.688
terms of scale, but I think really it was,
00:26:59.768 --> 00:27:00.929
I think there's more people
00:27:01.189 --> 00:27:03.630
able and wanting to just do
00:27:03.670 --> 00:27:05.130
things on a smaller scale
00:27:05.410 --> 00:27:06.810
and they're able to do it now.
00:27:07.131 --> 00:27:07.990
Where I don't think you,
00:27:08.332 --> 00:27:09.711
before social media- Why
00:27:09.751 --> 00:27:10.913
were they unable to do it before?
00:27:11.212 --> 00:27:13.012
Why were they unable to do it five, ten,
00:27:13.032 --> 00:27:13.653
fifteen years ago?
00:27:13.854 --> 00:27:14.673
Without social media,
00:27:15.054 --> 00:27:16.634
how would you get clients?
00:27:16.654 --> 00:27:18.234
If you couldn't run ads to get patients,
00:27:18.295 --> 00:27:19.135
you had to rely on the
00:27:19.175 --> 00:27:19.996
clinic down the street.
00:27:22.428 --> 00:27:24.189
No, you know, no, you if if fifteen,
00:27:24.249 --> 00:27:25.230
twenty years ago, whatever,
00:27:25.769 --> 00:27:26.430
there were independent
00:27:26.450 --> 00:27:27.270
therapists back then.
00:27:27.631 --> 00:27:28.010
Sure.
00:27:28.531 --> 00:27:29.853
They just popped up their own shingle.
00:27:29.893 --> 00:27:30.873
They had a word of mouth.
00:27:30.913 --> 00:27:32.094
They had some following
00:27:32.453 --> 00:27:33.714
because because they either
00:27:33.734 --> 00:27:35.096
worked at a hospital like
00:27:35.415 --> 00:27:36.616
like like Ron Miller and
00:27:36.797 --> 00:27:37.836
maybe Tony Maritato.
00:27:37.856 --> 00:27:38.837
I think I can't remember.
00:27:38.958 --> 00:27:39.598
No, Tony didn't.
00:27:40.278 --> 00:27:41.660
But there's some owners that
00:27:41.720 --> 00:27:43.500
work for a hospital and
00:27:43.540 --> 00:27:44.942
they got a reputation.
00:27:45.321 --> 00:27:46.162
And then they were like,
00:27:46.623 --> 00:27:47.383
I want to make more money
00:27:47.442 --> 00:27:48.943
or I want some senior leadership,
00:27:48.963 --> 00:27:49.304
whatever.
00:27:49.364 --> 00:27:51.045
And the hospital or the mill or whatever,
00:27:51.065 --> 00:27:51.944
we're going to call it the corporate,
00:27:51.964 --> 00:27:53.026
whatever is like, no,
00:27:53.066 --> 00:27:53.846
like you're capped out.
00:27:53.865 --> 00:27:54.165
That's it.
00:27:54.186 --> 00:27:55.227
And then they were like, all right, well,
00:27:55.247 --> 00:27:55.606
screw you.
00:27:55.747 --> 00:27:56.106
I'm out.
00:27:56.387 --> 00:27:57.627
I'm going to take myself.
00:27:57.847 --> 00:27:58.989
I'm going to go open up a shingle,
00:27:59.729 --> 00:28:00.710
open up a private practice
00:28:00.750 --> 00:28:01.670
nearby that I mean,
00:28:01.890 --> 00:28:03.250
that's I don't understand
00:28:03.290 --> 00:28:05.372
how it's different now than you're right.
00:28:05.392 --> 00:28:06.192
There was no social media.
00:28:06.212 --> 00:28:06.512
There was no.
00:28:07.333 --> 00:28:09.055
You couldn't have an Instagram account.
00:28:09.174 --> 00:28:10.155
There was no YouTube.
00:28:10.175 --> 00:28:11.215
There was no videos.
00:28:11.256 --> 00:28:13.317
There was no digital footprint.
00:28:13.577 --> 00:28:14.318
But back then,
00:28:14.378 --> 00:28:17.662
the in-person word of mouth
00:28:17.701 --> 00:28:18.942
and the in-person footprint
00:28:19.002 --> 00:28:20.003
was the main thing.
00:28:20.124 --> 00:28:22.385
That was like, of course, there was no,
00:28:22.846 --> 00:28:23.366
I mean, there was,
00:28:23.386 --> 00:28:24.488
I was about to say Yelp.
00:28:24.728 --> 00:28:26.890
There was the Yellow Pages.
00:28:27.289 --> 00:28:28.131
Anyone watching this is
00:28:28.151 --> 00:28:29.511
probably knowing and
00:28:29.531 --> 00:28:30.792
remembers the Yellow Pages.
00:28:30.972 --> 00:28:32.835
The Yellow Pages, they were passive.
00:28:34.307 --> 00:28:35.548
I can now be in front of you.
00:28:35.628 --> 00:28:36.430
And I'm not saying like
00:28:36.450 --> 00:28:37.692
people didn't go get referrals.
00:28:38.112 --> 00:28:39.314
That was a way.
00:28:39.834 --> 00:28:41.155
But if I want to have a lifestyle,
00:28:41.195 --> 00:28:42.176
there's there's just more
00:28:42.238 --> 00:28:43.740
ways to be able to support that.
00:28:44.039 --> 00:28:45.201
I want to give this much
00:28:45.281 --> 00:28:47.324
effort to get this much to
00:28:47.344 --> 00:28:48.265
get this many patients.
00:28:49.076 --> 00:28:50.477
Because if you were doing that,
00:28:50.557 --> 00:28:53.378
I had to just be the PT for
00:28:53.398 --> 00:28:54.099
this one doctor.
00:28:54.339 --> 00:28:55.059
And the minute that doctor
00:28:55.079 --> 00:28:56.260
stopped referring to me, I was dead.
00:28:56.361 --> 00:28:56.721
Correct.
00:28:56.942 --> 00:28:58.982
So I interviewed a while ago,
00:28:59.502 --> 00:29:02.384
maybe last year, Ben, oh my God,
00:29:02.424 --> 00:29:03.385
from Star Physical Therapy
00:29:03.405 --> 00:29:03.885
in New York City.
00:29:03.905 --> 00:29:06.347
They sold to Motion PT, but they had,
00:29:06.688 --> 00:29:07.308
and they still have,
00:29:07.628 --> 00:29:08.710
the biggest square footage
00:29:08.910 --> 00:29:11.251
practice in Manhattan, in New York City.
00:29:11.872 --> 00:29:13.973
The biggest practice that's
00:29:14.114 --> 00:29:15.255
not affiliated with any
00:29:15.654 --> 00:29:16.935
Rusk or NYU or whatever.
00:29:17.016 --> 00:29:18.016
So they...
00:29:19.196 --> 00:29:20.478
They left the hospital.
00:29:22.279 --> 00:29:23.641
Ben Gelfand, I remember,
00:29:23.701 --> 00:29:24.741
Ben Gelfand and Mike Fox,
00:29:24.761 --> 00:29:26.423
they left the hospital jobs that they had,
00:29:27.003 --> 00:29:27.984
and they were so good.
00:29:28.005 --> 00:29:30.106
They had such a good reputation,
00:29:30.207 --> 00:29:30.968
such good word of mouth
00:29:30.988 --> 00:29:33.309
from all the hospital-based physicians.
00:29:33.369 --> 00:29:34.310
They went out on their own.
00:29:34.691 --> 00:29:35.832
They told all the surgeons
00:29:35.852 --> 00:29:36.893
and all the physicians, hey,
00:29:37.773 --> 00:29:38.334
we love you guys,
00:29:38.354 --> 00:29:39.494
but we're going out on our own.
00:29:39.515 --> 00:29:40.875
We're going to make a go of it.
00:29:43.278 --> 00:29:44.700
This was twenty, twenty-five years ago,
00:29:44.720 --> 00:29:45.560
maybe thirty years ago.
00:29:46.280 --> 00:29:47.261
way before the internet.
00:29:47.922 --> 00:29:48.442
And they got,
00:29:48.582 --> 00:29:49.541
they had all the word of
00:29:49.561 --> 00:29:50.522
mouth from the physicians.
00:29:50.542 --> 00:29:52.042
So the mass,
00:29:52.263 --> 00:29:53.483
the masses of patients seeing
00:29:53.523 --> 00:29:56.984
all these Mount Sinai, HSS, you know, NYU,
00:29:57.065 --> 00:30:00.666
whatever physicians refer to them.
00:30:00.846 --> 00:30:02.126
And that's how they built their practice.
00:30:02.647 --> 00:30:03.548
And it's public knowledge
00:30:03.587 --> 00:30:04.848
that then he made like
00:30:04.909 --> 00:30:06.209
seven million dollars, you know,
00:30:06.229 --> 00:30:06.909
selling his practice.
00:30:06.949 --> 00:30:09.549
So it absolutely happened
00:30:09.730 --> 00:30:10.550
with the word of mouth,
00:30:10.570 --> 00:30:12.111
like the patient to
00:30:12.171 --> 00:30:13.872
physician marketing and all that before.
00:30:13.912 --> 00:30:14.813
How long did they practice
00:30:14.833 --> 00:30:15.633
before they did that job?
00:30:18.763 --> 00:30:20.685
I think it was maybe a good
00:30:20.826 --> 00:30:22.146
five or ten years before.
00:30:22.907 --> 00:30:24.648
So they worked somewhere for
00:30:24.689 --> 00:30:26.911
five or ten years, probably, most likely.
00:30:26.951 --> 00:30:28.192
That's a lot.
00:30:28.332 --> 00:30:29.353
Sam chiming in saying,
00:30:29.513 --> 00:30:30.554
he's talking about Fox, I believe.
00:30:30.994 --> 00:30:32.415
They got the culture down, then scaled.
00:30:32.756 --> 00:30:33.717
Not scaled, then scaled.
00:30:33.737 --> 00:30:36.980
You can't do it the second way.
00:30:37.559 --> 00:30:39.221
The second way, I love this example,
00:30:39.241 --> 00:30:40.182
because this comes up a lot.
00:30:41.619 --> 00:30:42.342
I baked a cake,
00:30:42.682 --> 00:30:44.744
baked a birthday cake for a friend.
00:30:45.185 --> 00:30:45.886
At the last minute,
00:30:45.926 --> 00:30:47.068
I realized I didn't put any
00:30:47.128 --> 00:30:48.211
sugar in the mix.
00:30:48.570 --> 00:30:50.273
So I just threw five times
00:30:50.294 --> 00:30:51.375
as much sugar on top.
00:30:51.816 --> 00:30:52.257
And it'll take time.
00:30:54.683 --> 00:30:58.285
You have to bake it inside first.
00:30:58.484 --> 00:30:59.726
You cannot do it the other way.
00:30:59.865 --> 00:31:00.705
It does not taste.
00:31:00.986 --> 00:31:01.726
It's not the same thing.
00:31:01.746 --> 00:31:02.906
People will eat that cake and be like,
00:31:03.207 --> 00:31:04.787
well, it called for three cups of sugar.
00:31:04.866 --> 00:31:05.667
I did fifteen.
00:31:05.748 --> 00:31:06.867
It should be.
00:31:06.887 --> 00:31:08.208
The icing was a sugar bomb
00:31:08.307 --> 00:31:09.628
and then inside was bland.
00:31:09.929 --> 00:31:10.648
It doesn't work.
00:31:10.888 --> 00:31:11.910
And people will recognize it.
00:31:11.930 --> 00:31:12.049
Like,
00:31:12.109 --> 00:31:13.289
I don't know what I don't like about it,
00:31:13.369 --> 00:31:14.130
but it sucks.
00:31:14.150 --> 00:31:15.290
I don't know what you did here,
00:31:15.550 --> 00:31:16.050
but it sucks.
00:31:17.250 --> 00:31:17.651
All right.
00:31:17.750 --> 00:31:19.172
Real quick with Sam Kellecate.
00:31:19.211 --> 00:31:22.153
So he's a physical therapist in Sam.
00:31:22.232 --> 00:31:23.853
I can't remember if you left
00:31:23.873 --> 00:31:24.673
Philly and I think you
00:31:24.692 --> 00:31:25.432
moved to South Jersey,
00:31:25.452 --> 00:31:27.773
but he's from we play.
00:31:27.834 --> 00:31:27.973
Yeah,
00:31:28.013 --> 00:31:29.795
we played baseball together growing up.
00:31:30.434 --> 00:31:31.355
We went to the same hit
00:31:31.394 --> 00:31:33.536
doctor indoor training facility.
00:31:33.875 --> 00:31:34.715
And then like years later,
00:31:34.736 --> 00:31:35.576
he becomes a physical therapist.
00:31:35.596 --> 00:31:36.635
I couldn't believe it was amazing.
00:31:37.215 --> 00:31:39.237
We talk all the time and I'm
00:31:39.257 --> 00:31:40.356
going to have him on my show.
00:31:40.416 --> 00:31:42.538
And I also want him in the coming weeks.
00:31:43.038 --> 00:31:43.939
to come on here live.
00:31:43.979 --> 00:31:44.920
He agreed to come on here
00:31:44.960 --> 00:31:47.222
live with you and Tony as a
00:31:47.303 --> 00:31:48.765
sidebar right now because
00:31:48.865 --> 00:31:51.548
he has done some digital
00:31:51.567 --> 00:31:53.550
programs where he's
00:31:53.611 --> 00:31:54.692
charging patients and
00:31:54.731 --> 00:31:55.593
clients like multiple
00:31:55.613 --> 00:31:56.334
thousands of dollars.
00:31:56.374 --> 00:31:57.476
It's usually around like
00:31:57.516 --> 00:31:58.977
headaches and migraines, I believe.
00:31:59.218 --> 00:31:59.778
Very niche.
00:32:00.419 --> 00:32:01.180
Yeah, very niche.
00:32:02.160 --> 00:32:04.142
He gets great referrals from
00:32:04.923 --> 00:32:05.782
neurologists and other
00:32:05.803 --> 00:32:06.723
folks that specialize in
00:32:06.763 --> 00:32:07.664
headaches and migraines.
00:32:08.125 --> 00:32:09.246
And I always, you know,
00:32:09.266 --> 00:32:10.626
I always come on here and I
00:32:10.826 --> 00:32:12.147
poke Tony and I bash the
00:32:12.167 --> 00:32:13.789
whole digital stuff and the
00:32:13.829 --> 00:32:14.789
virtual care and all that.
00:32:15.351 --> 00:32:16.311
And then Sam, you know,
00:32:16.352 --> 00:32:17.952
sends me a DM on Instagram
00:32:18.012 --> 00:32:19.074
or a text message or whatever.
00:32:19.334 --> 00:32:21.935
What was he saying?
00:32:21.976 --> 00:32:22.415
Clinic in Philly.
00:32:22.435 --> 00:32:23.497
Yeah, live in New Jersey.
00:32:23.517 --> 00:32:24.958
So yeah, he's back in South Jersey.
00:32:25.057 --> 00:32:25.219
Okay.
00:32:25.838 --> 00:32:26.299
That's what I thought.
00:32:26.359 --> 00:32:28.121
OK, so in the coming weeks,
00:32:28.141 --> 00:32:28.682
we're going to have him
00:32:28.701 --> 00:32:29.923
back on all four of us.
00:32:30.223 --> 00:32:30.963
You know, Tony,
00:32:31.565 --> 00:32:33.366
Tony will be able to have
00:32:33.467 --> 00:32:34.548
one under his belt in terms
00:32:34.567 --> 00:32:36.710
of another therapist doing
00:32:36.750 --> 00:32:39.713
virtual coaching and virtual care,
00:32:39.733 --> 00:32:40.433
whatever you want to call it.
00:32:40.453 --> 00:32:41.536
But I can't wait to have him
00:32:41.635 --> 00:32:42.696
on and share what he's doing.
00:32:43.096 --> 00:32:46.099
Where in the world is Tony Meritato?
00:32:46.119 --> 00:32:47.321
I don't know.
00:32:48.431 --> 00:32:50.132
Oh, that I thought I was like,
00:32:50.152 --> 00:32:51.452
what is this like?
00:32:51.732 --> 00:32:52.053
Italy?
00:32:52.113 --> 00:32:54.193
Is this?
00:32:54.914 --> 00:32:59.836
Tony, have you been elected Pope?
00:32:59.876 --> 00:33:01.077
Have we seen white smoke?
00:33:01.097 --> 00:33:02.178
Have we gotten?
00:33:02.198 --> 00:33:04.480
If you're not, if you're not watching.
00:33:04.559 --> 00:33:06.200
I thought it was black smoke.
00:33:06.279 --> 00:33:07.080
It's white smoke.
00:33:08.190 --> 00:33:09.230
Black is no good, right?
00:33:09.250 --> 00:33:10.010
Is that what they don't have?
00:33:10.030 --> 00:33:10.652
I don't know.
00:33:10.711 --> 00:33:12.813
I haven't watched the Tom Hanks movie,
00:33:13.673 --> 00:33:14.515
Da Vinci Code, in a while.
00:33:15.115 --> 00:33:16.155
Or Conclave.
00:33:16.596 --> 00:33:17.656
He's not at the Vatican.
00:33:18.258 --> 00:33:19.778
He is at... He's not at the Vatican.
00:33:20.038 --> 00:33:21.059
That must be a Smithsonian.
00:33:21.901 --> 00:33:23.162
He's... The Meritato.
00:33:23.281 --> 00:33:24.923
No, that's the Washington Monument.
00:33:25.163 --> 00:33:25.903
Washington, yep.
00:33:25.983 --> 00:33:26.805
Now, today,
00:33:26.845 --> 00:33:28.666
being renamed the Meritato Monument.
00:33:28.967 --> 00:33:30.268
Meritato Monument.
00:33:30.587 --> 00:33:31.328
It looks very good.
00:33:32.289 --> 00:33:33.410
All right,
00:33:33.530 --> 00:33:34.651
so we got ten minutes because I
00:33:34.671 --> 00:33:35.471
got to go play in a golf
00:33:35.491 --> 00:33:36.153
tournament today.
00:33:37.271 --> 00:33:38.292
Oh, lucky you.
00:33:38.553 --> 00:33:39.873
That's why I'm wearing my golf shirt.
00:33:40.153 --> 00:33:41.713
I don't do polos very often,
00:33:41.773 --> 00:33:42.734
but I do sometimes.
00:33:44.575 --> 00:33:45.915
So here's something we want to talk about.
00:33:45.935 --> 00:33:47.997
So I have an intro for Steal This segment.
00:33:48.396 --> 00:33:49.617
It took me eleven or twelve
00:33:49.657 --> 00:33:50.577
minutes to make this intro,
00:33:50.617 --> 00:33:51.298
so I'm going to play.
00:33:57.141 --> 00:33:57.461
That's it.
00:33:57.580 --> 00:33:58.281
Steal This strategy.
00:33:58.622 --> 00:33:59.942
So I think the strategy goes
00:33:59.981 --> 00:34:01.482
along with the big topic today,
00:34:01.542 --> 00:34:02.864
which is opposites.
00:34:03.626 --> 00:34:06.270
I think five, ten years ago when COVID hit,
00:34:06.310 --> 00:34:09.695
we were forced to go digital and virtual.
00:34:10.655 --> 00:34:12.038
I think we've hit peak Zoom.
00:34:12.217 --> 00:34:13.599
In fact, yesterday,
00:34:14.909 --> 00:34:16.090
They retired Skype.
00:34:17.192 --> 00:34:18.853
Skype was a verb.
00:34:18.873 --> 00:34:19.634
Skype is dead.
00:34:19.653 --> 00:34:20.295
It's no longer.
00:34:20.414 --> 00:34:21.335
Zoom is still around.
00:34:21.416 --> 00:34:21.896
Who owned that?
00:34:21.936 --> 00:34:22.297
Microsoft?
00:34:22.336 --> 00:34:23.097
Microsoft, yeah.
00:34:23.378 --> 00:34:24.119
They sunset.
00:34:24.139 --> 00:34:24.980
Because now they have Teams.
00:34:25.099 --> 00:34:25.481
So, of course,
00:34:25.501 --> 00:34:26.581
they're not going to keep Skype around.
00:34:26.621 --> 00:34:27.623
But, yeah, we just sunset.
00:34:27.643 --> 00:34:29.085
And half the audience just went,
00:34:29.284 --> 00:34:30.246
what the hell is a Skype?
00:34:31.226 --> 00:34:32.027
Nobody wants another
00:34:32.128 --> 00:34:33.568
eight-hour virtual summit.
00:34:34.130 --> 00:34:35.670
with bad slides nobody wants
00:34:35.710 --> 00:34:36.811
that nobody wants to come
00:34:36.851 --> 00:34:38.432
to your webinar which we
00:34:38.572 --> 00:34:40.054
all know is a thinly veiled
00:34:40.114 --> 00:34:41.175
sales pitch to buy your
00:34:41.235 --> 00:34:42.155
coaching or to buy your
00:34:42.195 --> 00:34:43.876
product so the question is
00:34:44.438 --> 00:34:45.418
what's winning now or
00:34:45.458 --> 00:34:46.199
what's going to be winning
00:34:46.619 --> 00:34:47.559
three six nine twelve
00:34:47.599 --> 00:34:49.782
months from now I think it
00:34:49.842 --> 00:34:51.844
is curated real life micro
00:34:51.884 --> 00:34:54.085
events that actually in the
00:34:54.125 --> 00:34:55.246
room create trust buzz
00:34:55.266 --> 00:34:57.307
loyalty fast listen
00:34:58.137 --> 00:34:58.817
In the sixties,
00:34:59.056 --> 00:35:00.097
there were these pants and
00:35:00.117 --> 00:35:00.717
they were called bell
00:35:00.757 --> 00:35:02.097
bottoms and everybody wore
00:35:02.117 --> 00:35:03.657
them until everybody wore
00:35:03.677 --> 00:35:04.498
them and then they weren't
00:35:04.539 --> 00:35:05.559
cool anymore and you
00:35:05.579 --> 00:35:07.239
couldn't wear them until a
00:35:07.259 --> 00:35:08.019
couple of years ago,
00:35:08.320 --> 00:35:09.380
bell bottoms were back in
00:35:09.579 --> 00:35:10.380
and they were everywhere
00:35:10.679 --> 00:35:11.559
until they were everywhere
00:35:11.579 --> 00:35:12.320
and then we're back in.
00:35:12.641 --> 00:35:13.581
The world's a pendulum,
00:35:13.860 --> 00:35:14.940
I need you to understand that.
00:35:15.260 --> 00:35:17.061
So I'm looking at this and saying,
00:35:17.762 --> 00:35:18.764
Zoom fatigue is real.
00:35:18.804 --> 00:35:19.405
I don't even think you need
00:35:19.425 --> 00:35:20.547
to... That's not a debate.
00:35:20.726 --> 00:35:22.469
Like webinar fatigue, less engagement.
00:35:22.610 --> 00:35:23.492
Everybody wants a connection
00:35:23.512 --> 00:35:24.132
that feels real.
00:35:24.592 --> 00:35:28.440
This is why UGC, user-generated content...
00:35:30.590 --> 00:35:31.791
is being shared more.
00:35:32.512 --> 00:35:33.753
It might eventually go out,
00:35:33.773 --> 00:35:34.893
but right now it's the thing.
00:35:35.153 --> 00:35:36.835
We're not looking for a
00:35:36.934 --> 00:35:38.396
Marvel or Avengers level
00:35:38.675 --> 00:35:40.036
quality video all the time,
00:35:40.117 --> 00:35:41.257
sometimes when it's appropriate.
00:35:41.838 --> 00:35:43.139
So what I'm saying is,
00:35:43.199 --> 00:35:44.820
how could you use this in your business?
00:35:45.521 --> 00:35:45.981
I'm saying,
00:35:46.101 --> 00:35:46.802
instead of trying to get a
00:35:46.842 --> 00:35:47.461
hundred people on your
00:35:47.521 --> 00:35:48.623
webinar for your clinic or
00:35:48.643 --> 00:35:49.422
your business or your
00:35:49.463 --> 00:35:50.923
podcast or anything you're trying to sell,
00:35:51.784 --> 00:35:53.425
think fifteen to thirty people.
00:35:54.570 --> 00:35:55.411
the right people,
00:35:56.231 --> 00:35:58.231
the right psychographic and
00:35:58.271 --> 00:36:00.333
demographic for who you want to talk to.
00:36:00.353 --> 00:36:01.753
So that requires you thinking,
00:36:01.773 --> 00:36:03.253
not just get as many people
00:36:03.293 --> 00:36:04.114
as you want in a room and
00:36:04.173 --> 00:36:05.655
hope one of those things hits,
00:36:06.175 --> 00:36:07.994
to have higher value conversations.
00:36:08.014 --> 00:36:09.115
It doesn't mean you need to
00:36:09.135 --> 00:36:10.396
be selling something that's
00:36:11.376 --> 00:36:12.757
valued at thirty thousand dollars.
00:36:13.036 --> 00:36:14.356
These are higher value on
00:36:14.416 --> 00:36:16.257
your part and their part conversations.
00:36:16.818 --> 00:36:18.422
More dinner party, less trade show.
00:36:18.804 --> 00:36:19.043
Tony,
00:36:19.123 --> 00:36:20.809
I kicked that idea to you yesterday
00:36:20.969 --> 00:36:21.972
and I still owe you video
00:36:21.992 --> 00:36:23.135
clips from when you came here.
00:36:23.195 --> 00:36:24.860
I just remembered that we shot that thing
00:36:27.014 --> 00:36:27.494
Yeah, yeah, yeah.
00:36:27.514 --> 00:36:27.673
My couch.
00:36:27.755 --> 00:36:28.534
Beautiful living room.
00:36:28.614 --> 00:36:29.096
It was great.
00:36:29.476 --> 00:36:30.157
I was trying.
00:36:30.177 --> 00:36:31.016
The problem was we hit
00:36:31.077 --> 00:36:32.137
record and we talked for
00:36:32.157 --> 00:36:33.119
like an hour and a half.
00:36:33.398 --> 00:36:34.599
And then I tried to upload
00:36:34.900 --> 00:36:36.461
ninety minute long video clips.
00:36:36.561 --> 00:36:37.842
And my editor kept saying,
00:36:37.902 --> 00:36:38.523
I'm not getting them.
00:36:38.563 --> 00:36:38.923
And I'm like,
00:36:39.623 --> 00:36:40.684
so I'm going to hand deliver those.
00:36:40.764 --> 00:36:41.405
So I will get those.
00:36:41.445 --> 00:36:41.686
We will.
00:36:43.047 --> 00:36:44.728
They're the lost sessions.
00:36:45.548 --> 00:36:46.050
Yeah, that was.
00:36:46.730 --> 00:36:47.851
Did Connie have some of those?
00:36:48.050 --> 00:36:49.231
The lost mixtape?
00:36:49.773 --> 00:36:50.614
The lost sessions.
00:36:50.634 --> 00:36:53.235
Or Jay-Z or Dave Chappelle or something?
00:36:53.255 --> 00:36:53.335
Yeah.
00:36:53.815 --> 00:36:54.617
So back to the idea,
00:36:54.697 --> 00:36:55.677
how could you use this?
00:36:55.697 --> 00:36:56.978
So if you're like, yeah, man, I get it.
00:36:57.077 --> 00:36:57.597
I agree.
00:36:57.697 --> 00:36:59.259
So this is what I like to notice.
00:36:59.278 --> 00:36:59.398
Like,
00:36:59.478 --> 00:37:00.940
what are the big brands doing and how
00:37:00.960 --> 00:37:01.820
do you steal the strategy?
00:37:01.840 --> 00:37:02.860
That's the point of this whole segment,
00:37:02.880 --> 00:37:04.141
which is if we know that
00:37:04.222 --> 00:37:05.181
Zoom fatigue is real,
00:37:05.442 --> 00:37:06.103
how do you play with it?
00:37:06.563 --> 00:37:07.824
Even if you weren't doing webinars,
00:37:07.844 --> 00:37:09.123
it doesn't mean stop doing webinars.
00:37:09.204 --> 00:37:10.465
It's like notice what the
00:37:10.505 --> 00:37:11.766
world is tired of.
00:37:12.545 --> 00:37:13.347
Give them the opposite.
00:37:13.527 --> 00:37:15.028
If the world is tired of bell bottoms,
00:37:15.108 --> 00:37:17.110
give them skinny jeans, right?
00:37:17.371 --> 00:37:19.273
B, go to skinny jeans first.
00:37:19.773 --> 00:37:21.597
So my idea for Dave,
00:37:21.617 --> 00:37:23.539
and then we can expound upon this, was,
00:37:23.858 --> 00:37:26.501
hey, who are you?
00:37:26.521 --> 00:37:27.684
So who are you looking to talk to?
00:37:27.903 --> 00:37:28.545
You're in New York.
00:37:28.724 --> 00:37:30.106
I'm just up the street from New York.
00:37:30.367 --> 00:37:31.487
Who are you looking to talk to?
00:37:31.507 --> 00:37:32.208
Who are your people?
00:37:33.938 --> 00:37:35.721
Clinicians, practice owners.
00:37:36.260 --> 00:37:37.121
No, practice owners.
00:37:37.161 --> 00:37:38.943
So I know we mentioned,
00:37:38.963 --> 00:37:39.905
can we mention a few names?
00:37:40.005 --> 00:37:41.126
I'll mention a few names
00:37:41.146 --> 00:37:42.907
that I want to meet in the city.
00:37:42.947 --> 00:37:43.688
And I think you could maybe
00:37:43.708 --> 00:37:44.170
help me with it.
00:37:45.271 --> 00:37:47.072
so dan dan ruttenberg ceo of
00:37:47.092 --> 00:37:48.492
spear they have I don't
00:37:48.512 --> 00:37:50.052
even know close to fifty
00:37:50.072 --> 00:37:52.333
locations he started he
00:37:52.373 --> 00:37:53.634
started with one obviously
00:37:53.733 --> 00:37:54.614
he was like the same thing
00:37:54.994 --> 00:37:56.275
hospital based job I
00:37:56.295 --> 00:37:57.115
believe and then went out
00:37:57.235 --> 00:38:00.056
on his own um so dan
00:38:00.097 --> 00:38:01.516
ruttenberg is one and and
00:38:01.637 --> 00:38:03.018
really I'd love to meet
00:38:03.077 --> 00:38:04.117
practice owners that have
00:38:04.137 --> 00:38:06.039
uh I mean most of the
00:38:06.259 --> 00:38:06.998
practice owners that have a
00:38:07.059 --> 00:38:08.659
solo location I pretty much know them all
00:38:08.920 --> 00:38:09.940
So the ones that have like
00:38:10.021 --> 00:38:12.442
two to five or five to ten-ish,
00:38:12.541 --> 00:38:13.882
like the ones that I don't know,
00:38:13.942 --> 00:38:14.641
I would love to meet them.
00:38:14.663 --> 00:38:16.862
Like Paul Zion that owns
00:38:16.902 --> 00:38:17.684
Zion Physical Therapy.
00:38:17.704 --> 00:38:19.844
I think they have like five locations,
00:38:19.885 --> 00:38:22.005
like four in the city or New York area,
00:38:22.106 --> 00:38:22.786
one in Connecticut.
00:38:23.126 --> 00:38:24.586
There's owners like that, that like,
00:38:25.407 --> 00:38:27.588
I'd be, I would love to meet, uh,
00:38:27.608 --> 00:38:28.467
break some bread with,
00:38:28.648 --> 00:38:29.507
and then at the same time,
00:38:29.547 --> 00:38:30.648
like if we do it together
00:38:30.768 --> 00:38:32.528
and maybe it's some, a fellow's collab,
00:38:33.009 --> 00:38:34.748
then you get, you get, you get some,
00:38:34.869 --> 00:38:35.730
you get in front of them at
00:38:35.750 --> 00:38:36.329
the same time.
00:38:36.610 --> 00:38:37.750
And we do it in a way that's
00:38:37.769 --> 00:38:38.409
very authentic.
00:38:38.449 --> 00:38:40.030
We can, you, you pitched,
00:38:40.530 --> 00:38:42.371
we maybe do like a little chat,
00:38:42.391 --> 00:38:42.972
little interview.
00:38:43.012 --> 00:38:43.952
We record it, whatever.
00:38:43.992 --> 00:38:44.871
We can kind of talk about
00:38:44.911 --> 00:38:45.692
the same stuff here.
00:38:45.972 --> 00:38:46.652
Like, you know,
00:38:46.893 --> 00:38:48.193
reimbursement issues and
00:38:48.293 --> 00:38:49.253
staffing and hiring.
00:38:49.353 --> 00:38:51.193
And like, we all have the same challenges.
00:38:51.474 --> 00:38:52.353
Who's doing it better.
00:38:53.922 --> 00:38:55.302
You know what I mean?
00:38:55.322 --> 00:38:56.782
Like, hey, how are you solving this?
00:38:57.302 --> 00:38:57.922
So this is,
00:38:57.963 --> 00:38:59.103
we're going through this paradigm.
00:38:59.143 --> 00:39:02.543
You just described your who and their what,
00:39:02.603 --> 00:39:04.043
that yellow part of that Venn diagram.
00:39:04.143 --> 00:39:05.045
What are their problems?
00:39:05.085 --> 00:39:05.824
What are their whatever?
00:39:06.244 --> 00:39:08.244
And then their next question is like, well,
00:39:08.264 --> 00:39:09.286
what do you bring to the table?
00:39:09.306 --> 00:39:10.565
It's like, well, we have an audience,
00:39:10.786 --> 00:39:11.186
number one,
00:39:11.226 --> 00:39:12.405
so we can record some of this stuff.
00:39:12.626 --> 00:39:14.746
If you want exposure to other PTs, great.
00:39:15.086 --> 00:39:15.666
Even if you don't,
00:39:16.146 --> 00:39:16.987
what we're doing is we're
00:39:17.007 --> 00:39:18.568
saying we're doing the work of getting,
00:39:18.588 --> 00:39:19.847
I mean,
00:39:19.867 --> 00:39:21.108
we can't take a hundred people to
00:39:21.128 --> 00:39:22.409
dinner in New York City.
00:39:23.728 --> 00:39:24.309
You can take a hundred
00:39:24.329 --> 00:39:24.949
people to dinner for the
00:39:24.969 --> 00:39:25.929
same budget in Iowa,
00:39:26.050 --> 00:39:26.630
but you cannot take a
00:39:26.670 --> 00:39:27.351
hundred people to dinner.
00:39:27.371 --> 00:39:28.532
You can take two people to
00:39:28.552 --> 00:39:30.393
dinner in New York city, the same budget.
00:39:30.492 --> 00:39:31.313
We should go to Iowa.
00:39:31.833 --> 00:39:33.014
We would slay in Iowa.
00:39:33.114 --> 00:39:34.056
We always make fun of Iowa.
00:39:34.076 --> 00:39:34.976
We should do a show in Iowa
00:39:34.996 --> 00:39:35.577
to say thank you.
00:39:35.916 --> 00:39:36.896
But the question here is in
00:39:36.936 --> 00:39:38.157
the middle of that Venn diagram is like,
00:39:38.237 --> 00:39:39.539
why is someone like Dan
00:39:39.559 --> 00:39:41.840
Rutenberg or Dutch Rojas or
00:39:41.900 --> 00:39:42.380
practice owners?
00:39:42.400 --> 00:39:43.221
Like we're just naming people,
00:39:43.260 --> 00:39:44.601
but like it's the person we
00:39:44.681 --> 00:39:45.282
don't know yet.
00:39:46.239 --> 00:39:47.420
That's who we want to meet too.
00:39:47.699 --> 00:39:48.400
That fits that.
00:39:48.760 --> 00:39:49.561
Let's come together.
00:39:50.021 --> 00:39:51.400
Even if you're not going to necessarily,
00:39:51.641 --> 00:39:52.422
and I'm using air quotes here,
00:39:52.581 --> 00:39:53.581
buy what we're selling.
00:39:53.922 --> 00:39:57.643
The funny part is success usually comes,
00:39:57.842 --> 00:39:58.902
the road is people.
00:39:59.402 --> 00:40:00.023
You network.
00:40:00.063 --> 00:40:01.204
This is why you're networking.
00:40:01.463 --> 00:40:02.744
The idea isn't network to
00:40:02.784 --> 00:40:04.385
have a little number under
00:40:04.425 --> 00:40:05.985
your picture on LinkedIn that's high.
00:40:06.204 --> 00:40:08.025
Look how many followers that person has.
00:40:08.306 --> 00:40:09.485
No, you're doing it wrong.
00:40:10.085 --> 00:40:11.485
I'd rather have five hundred
00:40:11.545 --> 00:40:12.226
really good tight
00:40:12.266 --> 00:40:13.166
connections that people
00:40:13.186 --> 00:40:14.146
that I get value from and
00:40:14.186 --> 00:40:15.708
give value to than five
00:40:15.748 --> 00:40:16.827
thousand people that sort
00:40:16.847 --> 00:40:17.387
of know who I am.
00:40:17.708 --> 00:40:18.527
So that's the idea,
00:40:18.568 --> 00:40:19.909
which is could we do a
00:40:19.989 --> 00:40:21.128
dinner in New York?
00:40:21.489 --> 00:40:22.289
We should do it before the
00:40:22.329 --> 00:40:23.269
summer because no one wants to.
00:40:23.429 --> 00:40:24.449
Everybody gets out of the
00:40:24.469 --> 00:40:25.030
city in the summer.
00:40:25.050 --> 00:40:25.190
Right.
00:40:25.769 --> 00:40:26.050
True.
00:40:26.170 --> 00:40:26.391
True.
00:40:26.650 --> 00:40:28.251
The west side of Manhattan.
00:40:28.271 --> 00:40:29.431
Could we do it around?
00:40:29.610 --> 00:40:30.871
And then my question is,
00:40:30.891 --> 00:40:31.811
it would be fun to do like
00:40:31.911 --> 00:40:33.672
a video session that people walk away.
00:40:33.893 --> 00:40:34.132
Listen,
00:40:34.652 --> 00:40:36.512
you got some great content video clips.
00:40:36.733 --> 00:40:37.213
They're yours.
00:40:37.313 --> 00:40:38.034
Keep them whatever.
00:40:38.914 --> 00:40:40.255
But then there's that elbow rub.
00:40:40.275 --> 00:40:41.534
Who are you sitting next to at dinner?
00:40:41.735 --> 00:40:42.416
Who are we meeting?
00:40:42.976 --> 00:40:44.456
And that person you meet in
00:40:44.556 --> 00:40:46.097
twenty twenty five in
00:40:46.137 --> 00:40:47.057
twenty twenty eight.
00:40:47.077 --> 00:40:48.018
You're like, you know what?
00:40:48.117 --> 00:40:48.918
That person, you know,
00:40:48.958 --> 00:40:50.259
we could now that person is
00:40:50.298 --> 00:40:51.519
done is doing this thing.
00:40:51.539 --> 00:40:53.101
We could connect and it's wild.
00:40:53.221 --> 00:40:55.101
So I want to try that.
00:40:55.282 --> 00:40:56.202
I think it's a good idea.
00:40:56.362 --> 00:40:57.222
I stole this idea.
00:40:57.242 --> 00:40:58.543
It's called steal this strategy.
00:40:58.802 --> 00:41:00.164
I'm stealing this idea from someone else.
00:41:01.244 --> 00:41:02.025
Picasso said.
00:41:02.929 --> 00:41:05.170
Good artists borrow, great artists steal.
00:41:05.331 --> 00:41:06.610
So that is my suggestion.
00:41:06.690 --> 00:41:09.512
Small, curated for clinic owners.
00:41:09.552 --> 00:41:10.052
It could be,
00:41:10.172 --> 00:41:13.092
I want to take ten parents in
00:41:13.112 --> 00:41:14.753
my area out for dinner.
00:41:15.713 --> 00:41:16.833
Parents of baseball players.
00:41:17.313 --> 00:41:18.474
I want to understand what
00:41:18.534 --> 00:41:19.554
travel ball is really like.
00:41:19.795 --> 00:41:20.394
Why don't you tell me?
00:41:20.675 --> 00:41:21.436
What are the problems you're
00:41:21.456 --> 00:41:21.916
seeing with it?
00:41:22.036 --> 00:41:23.476
If you want to treat baseball players.
00:41:23.835 --> 00:41:25.336
It seems like if there's no
00:41:25.376 --> 00:41:27.516
conversion at dinner, there might not be.
00:41:27.797 --> 00:41:28.797
But there could be a whole
00:41:28.818 --> 00:41:29.478
lot of conversion.
00:41:29.958 --> 00:41:31.137
down the line so that is
00:41:31.157 --> 00:41:32.438
down the line for steel
00:41:33.219 --> 00:41:36.119
slow play the slow play all
00:41:36.139 --> 00:41:36.980
right I gotta go play golf
00:41:37.159 --> 00:41:38.981
poorly so parting shots
00:41:39.280 --> 00:41:40.001
what does dave have for
00:41:40.021 --> 00:41:42.081
parting shots are you I
00:41:42.101 --> 00:41:42.742
don't want to break any
00:41:42.782 --> 00:41:43.822
rules here I have this
00:41:43.882 --> 00:41:45.063
funny post from uncaged
00:41:45.103 --> 00:41:46.822
clinician can I as my
00:41:46.842 --> 00:41:47.842
parting shot can I read
00:41:47.882 --> 00:41:49.724
this yeah and foreshadow
00:41:49.764 --> 00:41:50.724
that we will break this
00:41:50.764 --> 00:41:52.465
down and respond to it on a
00:41:52.485 --> 00:41:53.784
future episode yes do you
00:41:53.804 --> 00:41:54.565
want me to show the image
00:41:54.585 --> 00:41:55.266
is this the image that we
00:41:55.286 --> 00:41:55.826
were sharing or no
00:41:58.858 --> 00:42:00.798
The one about the cameras in the clinic?
00:42:01.039 --> 00:42:01.599
Show it real quick.
00:42:01.739 --> 00:42:02.159
Is it that?
00:42:03.061 --> 00:42:03.740
No, no, no.
00:42:04.942 --> 00:42:05.402
No, it's not.
00:42:05.422 --> 00:42:05.461
No.
00:42:05.501 --> 00:42:05.641
Okay.
00:42:05.661 --> 00:42:05.702
No,
00:42:05.842 --> 00:42:07.563
then I don't know what you're talking
00:42:07.583 --> 00:42:07.764
about.
00:42:07.784 --> 00:42:08.003
Go ahead.
00:42:08.023 --> 00:42:08.644
I didn't send it.
00:42:08.664 --> 00:42:08.905
All right.
00:42:09.065 --> 00:42:10.485
So Uncaged Clinician Facebook group.
00:42:10.885 --> 00:42:13.027
This is a post that is a
00:42:13.047 --> 00:42:13.887
little interesting and I
00:42:13.907 --> 00:42:14.889
think we could break it down.
00:42:15.309 --> 00:42:16.449
Love it.
00:42:16.489 --> 00:42:17.050
So here's the post.
00:42:18.449 --> 00:42:19.030
I worked at a private
00:42:19.070 --> 00:42:19.911
practice that had about
00:42:20.010 --> 00:42:21.172
four cameras in the open
00:42:21.211 --> 00:42:22.192
gym treatment area.
00:42:22.771 --> 00:42:24.333
I was wondering if they need
00:42:24.373 --> 00:42:25.414
to inform patients they
00:42:25.434 --> 00:42:27.434
have cameras or even the staff members.
00:42:28.175 --> 00:42:29.115
I asked because one of the
00:42:29.195 --> 00:42:30.335
owners was texting me
00:42:30.376 --> 00:42:32.077
before I was ready to leave.
00:42:32.498 --> 00:42:35.699
I ignored it as I needed to
00:42:35.719 --> 00:42:37.860
be somewhere and left the
00:42:37.920 --> 00:42:39.101
clinic after my shift.
00:42:39.440 --> 00:42:40.081
The next day,
00:42:40.822 --> 00:42:41.963
They basically used the
00:42:42.043 --> 00:42:44.605
video to tell me they saw me sitting,
00:42:45.085 --> 00:42:46.166
talking to the front desk
00:42:46.186 --> 00:42:48.106
person and looking on my phone.
00:42:48.487 --> 00:42:50.889
I told them, the owners of the practice,
00:42:51.949 --> 00:42:53.269
I told them I didn't see
00:42:53.309 --> 00:42:54.251
their text at the time,
00:42:54.851 --> 00:42:55.492
which I only saw the
00:42:55.532 --> 00:42:56.532
notification of the text,
00:42:56.932 --> 00:42:58.434
just wondering if this is legal.
00:42:59.467 --> 00:43:00.349
Now, first of all,
00:43:00.449 --> 00:43:02.110
it is legal to have in most states,
00:43:02.150 --> 00:43:02.550
I think,
00:43:03.030 --> 00:43:05.733
to have cameras in the open gym area.
00:43:06.313 --> 00:43:07.715
And maybe they require a
00:43:07.775 --> 00:43:08.934
certain sign or it's just
00:43:09.016 --> 00:43:10.277
it's in the open area.
00:43:10.297 --> 00:43:11.838
We're not talking about the private rooms,
00:43:11.858 --> 00:43:14.199
which I think is not legal
00:43:14.280 --> 00:43:16.300
or you need like written or
00:43:16.380 --> 00:43:18.342
express consideration or whatever.
00:43:19.324 --> 00:43:19.543
But.
00:43:21.202 --> 00:43:22.483
that's the post.
00:43:22.503 --> 00:43:23.083
I, we don't have time.
00:43:23.103 --> 00:43:24.664
You got to run, but that's something,
00:43:24.684 --> 00:43:25.045
that's something,
00:43:25.065 --> 00:43:26.206
that's something for all of
00:43:26.246 --> 00:43:26.726
us to break down.
00:43:26.746 --> 00:43:27.646
It made me think, you know,
00:43:27.666 --> 00:43:28.467
when there's like a hockey
00:43:28.487 --> 00:43:30.027
game or an NFL game and
00:43:30.047 --> 00:43:30.989
there's like a call and
00:43:31.009 --> 00:43:32.309
then they just like automatically,
00:43:32.349 --> 00:43:34.050
like they're like, here's the play.
00:43:34.351 --> 00:43:35.110
And they bring in some
00:43:35.150 --> 00:43:37.032
retired referee and they're like,
00:43:37.072 --> 00:43:37.873
what do you, and they're like,
00:43:38.012 --> 00:43:38.914
before the call is made,
00:43:38.934 --> 00:43:41.094
we need a lawyer on speed
00:43:41.135 --> 00:43:43.936
diet and be like, okay, Hey,
00:43:43.956 --> 00:43:45.056
we're talking, what's the deal?
00:43:45.077 --> 00:43:46.077
And they're gonna be like, all right, well,
00:43:46.097 --> 00:43:46.858
what state is it?
00:43:46.898 --> 00:43:47.759
I need to see where the camera,
00:43:47.778 --> 00:43:48.760
like we need like real,
00:43:49.744 --> 00:43:51.244
So I'll just preface this by saying,
00:43:51.846 --> 00:43:53.447
I'll hold my take, but I have a hot,
00:43:53.507 --> 00:43:55.289
I have a very hot take on that.
00:43:55.349 --> 00:43:56.650
I want to just go right in there too.
00:43:56.670 --> 00:43:57.530
We'll do it, Tony.
00:43:57.630 --> 00:43:58.632
All right.
00:43:58.652 --> 00:44:02.235
Parting shot is pick your heart, you know,
00:44:02.275 --> 00:44:03.376
and it could be, listen,
00:44:03.436 --> 00:44:04.577
I want to go work for a big clinic.
00:44:04.697 --> 00:44:05.119
I want to have,
00:44:05.518 --> 00:44:06.239
I know I'm going into that
00:44:06.260 --> 00:44:07.019
with less flexibility,
00:44:07.039 --> 00:44:07.780
but more stability.
00:44:08.021 --> 00:44:08.942
We'll want to have a lot of
00:44:08.981 --> 00:44:10.222
flexibility with no stability.
00:44:10.443 --> 00:44:11.824
This is hips and shoulders.
00:44:11.844 --> 00:44:12.965
I did hips and shoulders.
00:44:12.985 --> 00:44:13.525
This is a shoulder.
00:44:13.606 --> 00:44:14.007
This is a hip.
00:44:14.067 --> 00:44:14.967
I know, but Joyce, I promise.
00:44:15.387 --> 00:44:16.989
But understand what it is
00:44:17.028 --> 00:44:17.949
before you get into it.
00:44:17.989 --> 00:44:19.190
Because if you get into it, you're like,
00:44:19.210 --> 00:44:20.130
this isn't what I thought.
00:44:20.471 --> 00:44:21.190
You didn't ask.
00:44:21.570 --> 00:44:22.291
These things are very
00:44:22.351 --> 00:44:23.371
obvious and very transparent.
00:44:23.391 --> 00:44:23.992
If you're going to work for
00:44:24.012 --> 00:44:24.793
a big organization,
00:44:25.052 --> 00:44:26.594
there's some flexibility in
00:44:26.653 --> 00:44:29.675
terms of growth and a lot of stability.
00:44:29.695 --> 00:44:31.476
So you're sacrificing one for another.
00:44:31.556 --> 00:44:32.556
And there's a happy medium.
00:44:32.597 --> 00:44:35.518
And which one is good depends on you.
00:44:36.278 --> 00:44:38.039
Your great might be my awful
00:44:38.099 --> 00:44:38.840
and vice versa.
00:44:39.101 --> 00:44:40.882
So understand, pick your hard.
00:44:42.001 --> 00:44:42.943
All this stuff's going to be hard.
00:44:43.847 --> 00:44:44.387
It's going to be a lot
00:44:44.407 --> 00:44:45.509
easier to stomach and get
00:44:45.528 --> 00:44:47.250
out of bed and do when you
00:44:47.309 --> 00:44:48.351
like that particular heart.
00:44:49.331 --> 00:44:50.753
Tony is back and he'll be
00:44:50.773 --> 00:44:52.733
wearing his papal helmet
00:44:52.773 --> 00:44:55.054
since he has apparently been elected.
00:44:56.315 --> 00:44:58.938
He's been elected Pope.
00:44:59.418 --> 00:45:01.559
He is touching up the Sistine Chapel,
00:45:01.619 --> 00:45:02.320
it looks like there.
00:45:02.340 --> 00:45:04.402
He's just putting touches on the artwork.
00:45:05.762 --> 00:45:07.864
Or as I saw someone do in a
00:45:08.003 --> 00:45:09.505
comment of that photo, they were like,
00:45:09.784 --> 00:45:11.065
is this a subtle ad for
00:45:11.166 --> 00:45:11.947
nose hair trimmers?
00:45:11.967 --> 00:45:12.987
Because you nailed it.
00:45:13.047 --> 00:45:13.748
Like, so I think.
00:45:15.030 --> 00:45:15.710
We wish you well.
00:45:15.931 --> 00:45:17.233
Have fun at the Capitol there.
00:45:17.514 --> 00:45:19.538
And we'll see you guys on Tuesday.
00:45:19.617 --> 00:45:21.041
And I will report how many
00:45:21.081 --> 00:45:22.664
golf balls I lost at this
00:45:22.704 --> 00:45:23.244
golf tournament.
00:00:10.076 --> 00:00:10.297
All right,
00:00:10.317 --> 00:00:12.159
good morning to PT Breakfast Club,
00:00:12.218 --> 00:00:14.000
the only show of, well,
00:00:14.019 --> 00:00:15.621
physical therapists who are
00:00:15.842 --> 00:00:17.062
talking mindlessly in their
00:00:17.222 --> 00:00:19.425
kitchens and various rooms.
00:00:20.146 --> 00:00:21.106
Health for misfits who
00:00:21.146 --> 00:00:22.126
believe that live shows
00:00:22.146 --> 00:00:23.007
should be faster than your
00:00:23.088 --> 00:00:25.250
EMR and hopefully twice as fun,
00:00:25.811 --> 00:00:27.512
depending on what you're looking at.
00:00:28.972 --> 00:00:31.454
The big idea today when Dave joins,
00:00:31.495 --> 00:00:33.837
Tony is still on school chaperone duty.
00:00:33.877 --> 00:00:34.557
When Dave joins,
00:00:35.018 --> 00:00:36.158
the topic I want to talk about
00:00:37.121 --> 00:00:39.444
is scale and I think both
00:00:39.503 --> 00:00:40.764
tony and dave would agree
00:00:40.783 --> 00:00:42.625
with me that the funnel has
00:00:42.665 --> 00:00:45.046
been flipped over forget
00:00:45.087 --> 00:00:47.149
the ten location empire the
00:00:47.209 --> 00:00:48.389
pendulum is swinging back
00:00:48.429 --> 00:00:50.371
to tight boutique and
00:00:50.430 --> 00:00:51.892
intentionally small I was
00:00:51.911 --> 00:00:53.453
talking I was listening to
00:00:53.493 --> 00:00:54.472
someone talk yesterday
00:00:54.993 --> 00:00:56.515
about one of the reasons
00:00:56.534 --> 00:00:58.915
for maybe the difficulty in
00:00:59.076 --> 00:01:01.057
hiring physical therapists right now
00:01:01.898 --> 00:01:05.025
And they would point to cost of education,
00:01:06.129 --> 00:01:07.150
shrinking reimbursement,
00:01:09.781 --> 00:01:11.481
student debt going high.
00:01:11.721 --> 00:01:13.522
So salary expectations are
00:01:13.602 --> 00:01:14.302
equally as high.
00:01:14.442 --> 00:01:15.683
And all those things are valid.
00:01:16.263 --> 00:01:17.664
And this person had a really great point.
00:01:17.703 --> 00:01:18.484
And I don't think the first
00:01:18.525 --> 00:01:20.344
person to say it, it's just a reminder.
00:01:20.385 --> 00:01:21.305
I'd heard other people say it,
00:01:21.325 --> 00:01:22.245
but it was just a reminder
00:01:23.006 --> 00:01:24.346
that I am noticing.
00:01:24.546 --> 00:01:25.027
And again,
00:01:25.787 --> 00:01:27.248
it might be like the red Jeep theory.
00:01:27.287 --> 00:01:28.207
When you notice something,
00:01:28.248 --> 00:01:29.087
that's all you can see.
00:01:29.849 --> 00:01:31.769
But I'm noticing a lot of
00:01:32.028 --> 00:01:33.230
what this person called
00:01:34.762 --> 00:01:38.144
one to one and a half person clinics,
00:01:38.905 --> 00:01:40.706
meaning, as Dave joins,
00:01:41.846 --> 00:01:43.007
meaning one to one and a
00:01:43.048 --> 00:01:44.009
half person clinics,
00:01:44.769 --> 00:01:45.950
meaning these people are saying,
00:01:46.010 --> 00:01:47.631
I don't want to build a
00:01:47.671 --> 00:01:50.352
business that's going to scale.
00:01:50.472 --> 00:01:51.853
In fact, I don't need to,
00:01:52.894 --> 00:01:53.694
because what they're trying
00:01:53.715 --> 00:01:54.635
to do is build a life.
00:01:55.256 --> 00:01:57.737
So Dave, I'm setting up the first topic,
00:01:57.778 --> 00:01:58.259
which is
00:01:59.174 --> 00:02:00.156
Big is the new small,
00:02:00.215 --> 00:02:01.135
small is the new big.
00:02:01.736 --> 00:02:04.737
The idea being that the death of scale,
00:02:04.778 --> 00:02:07.359
why small is the new smart in healthcare.
00:02:08.080 --> 00:02:08.860
Things get a little bit out
00:02:08.881 --> 00:02:11.062
of control when things get too big.
00:02:11.442 --> 00:02:12.302
Where is too big?
00:02:12.842 --> 00:02:13.663
We're seeing certain
00:02:13.723 --> 00:02:14.383
physical therapy
00:02:14.424 --> 00:02:15.925
organizations at the national level,
00:02:16.444 --> 00:02:19.526
stock prices are going down fast, right?
00:02:19.627 --> 00:02:20.407
At some point,
00:02:20.426 --> 00:02:21.388
some of these organizations
00:02:21.407 --> 00:02:22.408
were a lot smaller before
00:02:22.429 --> 00:02:23.930
they started merging and
00:02:23.949 --> 00:02:25.069
acquiring clinics.
00:02:25.110 --> 00:02:25.890
At some point,
00:02:26.735 --> 00:02:28.657
They were good, right?
00:02:28.697 --> 00:02:28.956
Before,
00:02:28.977 --> 00:02:30.558
so maybe some of our colleagues
00:02:30.579 --> 00:02:31.620
would just instantly start
00:02:31.639 --> 00:02:32.820
calling them a PT mill for
00:02:32.860 --> 00:02:33.341
no other reason.
00:02:33.441 --> 00:02:33.961
They're too big.
00:02:34.282 --> 00:02:35.682
They're a mill, right?
00:02:36.183 --> 00:02:40.508
But the idea here is what I'm seeing more,
00:02:40.807 --> 00:02:41.709
and I'm trying to make sure
00:02:41.729 --> 00:02:43.371
it's not just confirmation bias,
00:02:43.850 --> 00:02:44.451
but what someone was
00:02:44.491 --> 00:02:45.633
pointing out yesterday is
00:02:45.812 --> 00:02:48.395
the rise and the popularity
00:02:48.556 --> 00:02:50.497
of one to one and a half
00:02:51.612 --> 00:02:53.715
FTE employees,
00:02:53.854 --> 00:02:54.915
one to one and a half
00:02:54.936 --> 00:02:55.757
full-time employee
00:02:56.097 --> 00:02:58.879
businesses because it's easier to manage.
00:02:59.500 --> 00:03:00.640
The person wants to be a
00:03:00.741 --> 00:03:01.722
small business owner,
00:03:02.081 --> 00:03:03.364
which is different than a
00:03:03.424 --> 00:03:04.264
large business owner.
00:03:04.304 --> 00:03:05.344
They understand what they're
00:03:05.365 --> 00:03:06.586
getting into a little bit more.
00:03:07.326 --> 00:03:08.147
a little bit more some
00:03:08.168 --> 00:03:09.108
people not everybody but a
00:03:09.147 --> 00:03:10.149
little bit more today than
00:03:10.169 --> 00:03:11.370
they maybe did five or ten
00:03:11.409 --> 00:03:12.370
years ago and they're
00:03:12.449 --> 00:03:13.211
understanding that they
00:03:13.251 --> 00:03:14.312
want to create a business
00:03:14.831 --> 00:03:16.432
around their lifestyle and
00:03:16.492 --> 00:03:18.253
not necessarily I want to
00:03:18.274 --> 00:03:19.074
get to ten or twenty
00:03:19.094 --> 00:03:20.756
clinics do it over twenty
00:03:20.795 --> 00:03:23.116
years and then sell what
00:03:23.157 --> 00:03:25.598
are your thoughts so are
00:03:25.618 --> 00:03:26.620
you are we talking about
00:03:26.699 --> 00:03:28.040
the are we talking about
00:03:28.281 --> 00:03:29.241
the micro practices so
00:03:29.260 --> 00:03:30.042
you're saying one to one
00:03:30.062 --> 00:03:31.122
and a half providers
00:03:32.239 --> 00:03:34.221
And there's nothing in the middle.
00:03:34.420 --> 00:03:35.842
It's either you're that or
00:03:35.861 --> 00:03:37.163
you're the big corporate.
00:03:37.682 --> 00:03:39.564
Because I would say I
00:03:39.664 --> 00:03:42.167
strongly disagree with the
00:03:42.227 --> 00:03:44.729
micro clinic emphasis.
00:03:44.968 --> 00:03:47.830
OK, why?
00:03:47.871 --> 00:03:49.151
Well, I want time freedom.
00:03:49.611 --> 00:03:51.073
I'm an entrepreneur.
00:03:51.713 --> 00:03:53.115
I spent a ton of years in
00:03:53.134 --> 00:03:54.395
the trenches treating patients,
00:03:54.616 --> 00:03:56.037
doing outpatient physical therapy,
00:03:56.397 --> 00:03:57.598
then doing mobile home visits.
00:03:58.158 --> 00:04:00.681
Right now, probably for the past,
00:04:02.522 --> 00:04:03.963
two, three months or maybe longer.
00:04:04.384 --> 00:04:05.164
It's been several months
00:04:05.245 --> 00:04:07.106
where I'm seeing one
00:04:07.167 --> 00:04:09.048
patient visit per week.
00:04:09.389 --> 00:04:11.931
So four patient total visits
00:04:11.991 --> 00:04:14.573
per month because I have
00:04:14.592 --> 00:04:15.574
other therapists treating
00:04:15.614 --> 00:04:17.235
patients and I get to do
00:04:17.334 --> 00:04:19.257
whatever I want as a business owner,
00:04:19.317 --> 00:04:20.658
because I spent a ton of
00:04:20.677 --> 00:04:21.838
time and effort to set up
00:04:21.879 --> 00:04:23.199
the processes and I'm still
00:04:23.279 --> 00:04:24.461
improving that and the
00:04:24.480 --> 00:04:25.822
whole playbook and the whole thing,
00:04:25.882 --> 00:04:28.004
all the processes and SOPs
00:04:28.024 --> 00:04:28.564
for the business.
00:04:30.312 --> 00:04:33.454
If you are, any therapists out there,
00:04:33.634 --> 00:04:35.136
if they wanna be a micro
00:04:35.636 --> 00:04:37.896
practice owner as a solo practice owner,
00:04:38.197 --> 00:04:39.557
that's fine, but you're creating a job.
00:04:39.898 --> 00:04:41.499
So when you get hit by a bus,
00:04:42.079 --> 00:04:43.160
there's no asset to sell.
00:04:43.220 --> 00:04:44.281
When you go to retire,
00:04:44.321 --> 00:04:45.341
there's no asset to sell.
00:04:45.781 --> 00:04:46.762
So many owners have reached
00:04:46.802 --> 00:04:47.783
out to me over the years
00:04:48.202 --> 00:04:49.783
about partnering or buying their clinic.
00:04:50.483 --> 00:04:51.365
And I'm like, all right, yeah,
00:04:51.425 --> 00:04:52.004
so tell me about it.
00:04:52.045 --> 00:04:53.605
So is it like how many FTEs
00:04:53.625 --> 00:04:55.307
and all this and front desk person,
00:04:55.846 --> 00:04:57.348
how many patients per day
00:04:57.387 --> 00:04:58.629
or per week and per month and all that?
00:04:59.309 --> 00:05:00.269
And it's just like, oh, no, no, no.
00:05:00.329 --> 00:05:01.370
It's like I'm just I'm
00:05:01.411 --> 00:05:03.031
selling my practice like I'm retiring.
00:05:03.072 --> 00:05:05.394
But like it's the practice there,
00:05:05.434 --> 00:05:05.995
like all the treatment
00:05:06.014 --> 00:05:07.175
tables and the equipment and all that.
00:05:07.596 --> 00:05:08.297
And but there's no front
00:05:08.317 --> 00:05:09.098
desk person and there's no
00:05:09.117 --> 00:05:10.778
other therapist or PT or anyone.
00:05:11.540 --> 00:05:13.120
And guess what happens to those clinics,
00:05:13.141 --> 00:05:13.380
Jimmy?
00:05:14.983 --> 00:05:15.562
Nobody buys them.
00:05:15.583 --> 00:05:16.084
They just go away.
00:05:17.235 --> 00:05:17.636
Exactly.
00:05:17.696 --> 00:05:18.656
They shut down.
00:05:18.776 --> 00:05:19.716
They literally shut down.
00:05:19.956 --> 00:05:22.278
Then you see the post on all
00:05:22.317 --> 00:05:23.879
the Facebook groups that says like, hey,
00:05:23.939 --> 00:05:25.658
selling these old tables
00:05:25.699 --> 00:05:27.040
and these old Chattanooga
00:05:27.139 --> 00:05:30.141
units and the old UBE and
00:05:30.161 --> 00:05:31.141
all the other equipment.
00:05:31.161 --> 00:05:33.002
So it's sold for pennies on the dollar.
00:05:33.961 --> 00:05:35.202
And they can't even get
00:05:35.223 --> 00:05:36.223
money for their book of business,
00:05:36.242 --> 00:05:38.903
like their past patient list, the names,
00:05:38.983 --> 00:05:40.225
phone numbers, emails, all that.
00:05:41.504 --> 00:05:43.245
So I would actually say the
00:05:43.305 --> 00:05:44.266
gold is in the middle.
00:05:44.446 --> 00:05:45.166
The gold is...
00:05:46.166 --> 00:05:48.728
multiple therapists and
00:05:48.788 --> 00:05:50.509
that's where therapists can really thrive,
00:05:50.569 --> 00:05:52.610
grow, expand, charge whatever they want.
00:05:52.630 --> 00:05:53.670
They can raise rates if
00:05:53.711 --> 00:05:54.971
they're out of network or out of pocket.
00:05:55.872 --> 00:05:57.673
But I actually am strongly
00:05:57.713 --> 00:05:59.475
against an individual
00:05:59.514 --> 00:06:01.175
therapist who wants to be
00:06:01.196 --> 00:06:02.916
their own boss and treat
00:06:02.956 --> 00:06:08.399
patients solo for the longterm.
00:06:08.459 --> 00:06:09.300
I'm talking, you know,
00:06:09.480 --> 00:06:10.100
if that's like they're
00:06:10.360 --> 00:06:11.682
between now and when they retire,
00:06:11.701 --> 00:06:12.461
if that's their main goal,
00:06:12.541 --> 00:06:13.382
it's a horrible idea.
00:06:14.314 --> 00:06:15.394
Yeah.
00:06:15.415 --> 00:06:16.576
I think it's a horrible idea
00:06:16.596 --> 00:06:17.576
if that's what you're looking for.
00:06:17.956 --> 00:06:19.196
I think what I was trying to point out,
00:06:19.216 --> 00:06:20.257
maybe I wasn't doing it as
00:06:20.836 --> 00:06:23.338
Tony is joining from a tour bus in D.C.
00:06:23.718 --> 00:06:24.958
I want to see a picture, Tony.
00:06:25.598 --> 00:06:26.538
Email me a picture so I can
00:06:26.579 --> 00:06:27.119
put it on the screen.
00:06:27.199 --> 00:06:27.658
Email it to me.
00:06:27.678 --> 00:06:28.319
Don't text it to me.
00:06:28.379 --> 00:06:28.819
Email it to me.
00:06:29.238 --> 00:06:30.100
I need to see a monument.
00:06:30.600 --> 00:06:31.279
I need to see a monument.
00:06:31.339 --> 00:06:33.279
Lincoln, Jefferson's my favorite.
00:06:33.680 --> 00:06:34.641
The Meritata Monument.
00:06:34.961 --> 00:06:36.000
Jimmy did get his ears lowered.
00:06:36.040 --> 00:06:36.781
That was about a week ago,
00:06:36.800 --> 00:06:37.521
but thanks for noticing.
00:06:37.742 --> 00:06:38.062
I think I just...
00:06:40.083 --> 00:06:40.764
So let me,
00:06:40.783 --> 00:06:42.045
let me try to re-communicate this.
00:06:42.985 --> 00:06:44.346
I agree with you a hundred percent.
00:06:45.387 --> 00:06:45.949
All I'm saying,
00:06:46.048 --> 00:06:47.471
all I'm noticing is a lot
00:06:47.550 --> 00:06:48.771
more people are treating
00:06:48.791 --> 00:06:50.112
their PT license.
00:06:51.353 --> 00:06:51.774
I agree.
00:06:52.175 --> 00:06:52.815
Like a break.
00:06:53.175 --> 00:06:53.896
They're just like,
00:06:53.937 --> 00:06:55.057
here's my Instagram account.
00:06:55.237 --> 00:06:55.939
And I don't want to call
00:06:55.978 --> 00:06:56.639
people out because I don't
00:06:56.680 --> 00:06:57.399
disagree with it.
00:06:58.156 --> 00:06:58.978
You're right.
00:06:58.997 --> 00:07:01.701
I think they're being more savvy.
00:07:01.860 --> 00:07:03.062
I think maybe we can get
00:07:03.083 --> 00:07:03.783
into psychographics,
00:07:03.802 --> 00:07:04.663
and this is all guessing.
00:07:04.684 --> 00:07:05.685
This is all speculation.
00:07:06.206 --> 00:07:07.788
I think some people of a
00:07:07.848 --> 00:07:09.689
generation who have gotten
00:07:09.709 --> 00:07:10.810
their PT degree in the last
00:07:10.831 --> 00:07:12.233
couple of years, even five to ten,
00:07:12.632 --> 00:07:13.134
are saying,
00:07:13.233 --> 00:07:16.257
that's not the bag I wanted to be in.
00:07:16.617 --> 00:07:18.480
I wanted to show up, be a great clinician.
00:07:19.380 --> 00:07:20.281
put money in the four Oh one
00:07:20.302 --> 00:07:21.204
K and be able to afford it.
00:07:21.444 --> 00:07:24.288
I can't, I'm willing to trade that.
00:07:24.367 --> 00:07:25.689
Cause that sounds horrible
00:07:25.951 --> 00:07:27.091
working in that situation
00:07:27.132 --> 00:07:27.752
for someone else.
00:07:28.093 --> 00:07:29.274
I also don't want to start
00:07:29.295 --> 00:07:30.776
running a business cause I
00:07:30.877 --> 00:07:33.141
know that's not my strong suit.
00:07:33.701 --> 00:07:34.762
So I'll just be a brand.
00:07:35.524 --> 00:07:36.485
And I'm seeing them start
00:07:36.764 --> 00:07:39.346
very successful Instagram accounts,
00:07:39.706 --> 00:07:41.307
as an example, and then saying,
00:07:41.487 --> 00:07:43.370
I'm the dance PT in San Diego.
00:07:44.029 --> 00:07:46.112
And they do that full well
00:07:46.151 --> 00:07:47.031
knowing the minute they
00:07:47.072 --> 00:07:48.132
stop wanting to do that or
00:07:48.153 --> 00:07:49.173
when they want to take a vacation,
00:07:49.514 --> 00:07:50.454
their income stops.
00:07:51.074 --> 00:07:52.216
they're trying to build those.
00:07:52.557 --> 00:07:53.838
I see people also saying, well,
00:07:53.858 --> 00:07:54.980
I'll build digital assets
00:07:55.000 --> 00:07:56.343
or I'll do telehealth and
00:07:56.382 --> 00:07:57.564
those things working,
00:07:58.386 --> 00:07:59.987
but not as well as like the
00:08:00.028 --> 00:08:01.550
financial porn bros going,
00:08:01.571 --> 00:08:02.651
it's passive income, bro.
00:08:02.672 --> 00:08:03.733
It's passive income.
00:08:03.754 --> 00:08:04.014
I'm like,
00:08:04.175 --> 00:08:05.656
I think it's a great idea in theory.
00:08:06.377 --> 00:08:06.497
Um,
00:08:07.298 --> 00:08:09.180
I had so many people years ago being like,
00:08:09.540 --> 00:08:10.980
teach courses and yada, yada.
00:08:11.000 --> 00:08:11.880
And I don't disagree.
00:08:11.940 --> 00:08:12.862
I think if you're good at it,
00:08:13.521 --> 00:08:14.382
I have a lot of knowledge.
00:08:15.362 --> 00:08:16.802
I sat down to start teaching
00:08:16.822 --> 00:08:18.324
courses in podcasting a
00:08:18.403 --> 00:08:20.004
dozen times and I hated it.
00:08:20.024 --> 00:08:21.545
So I was like, why am I doing this?
00:08:21.586 --> 00:08:23.987
Because people in my DMs are telling me to,
00:08:24.007 --> 00:08:25.307
that they would pay me to
00:08:25.367 --> 00:08:26.427
teach them how to podcast.
00:08:26.487 --> 00:08:26.908
And I was like, well,
00:08:26.927 --> 00:08:27.788
then pay me and I'll teach
00:08:27.829 --> 00:08:28.528
you how to podcast.
00:08:28.829 --> 00:08:29.670
I don't like recording.
00:08:29.889 --> 00:08:31.511
Look, we're doing this stupid thing live,
00:08:31.571 --> 00:08:31.831
right?
00:08:32.350 --> 00:08:34.273
So I think the underlying
00:08:34.332 --> 00:08:36.374
idea here is as long as you
00:08:36.433 --> 00:08:37.254
understand what you're
00:08:37.394 --> 00:08:38.514
actually getting into,
00:08:39.755 --> 00:08:41.797
I think that's good, right?
00:08:41.998 --> 00:08:43.538
Understand that this might
00:08:43.578 --> 00:08:45.360
not be most probably the
00:08:45.539 --> 00:08:48.542
one to one and a half FTE business.
00:08:49.669 --> 00:08:51.250
is not going to necessarily
00:08:51.811 --> 00:08:53.572
be valuable five, ten,
00:08:53.613 --> 00:08:54.173
twenty years from now.
00:08:54.192 --> 00:08:54.653
It's not.
00:08:55.214 --> 00:08:56.274
I think most of them know
00:08:56.313 --> 00:08:57.835
that and they're just okay with it.
00:08:58.355 --> 00:08:59.176
I was looking at it from a
00:08:59.216 --> 00:09:00.476
perspective when people say,
00:09:00.937 --> 00:09:02.057
where are all the PTs?
00:09:02.077 --> 00:09:03.418
So many people leave in the profession.
00:09:04.038 --> 00:09:04.879
The student debt,
00:09:05.259 --> 00:09:07.020
the shrinking reimbursement,
00:09:07.302 --> 00:09:08.361
not disagreeing with you.
00:09:08.701 --> 00:09:09.923
I think one of the things in
00:09:09.962 --> 00:09:11.624
there is also people
00:09:11.724 --> 00:09:12.745
looking at those things.
00:09:12.945 --> 00:09:13.586
My debt's high.
00:09:14.505 --> 00:09:15.447
reimbursements low,
00:09:15.868 --> 00:09:17.028
the salary from one of
00:09:17.048 --> 00:09:19.410
these companies isn't going
00:09:19.431 --> 00:09:20.331
to light me up.
00:09:21.131 --> 00:09:21.332
Great.
00:09:21.393 --> 00:09:22.774
I'll take less money or I'll
00:09:22.793 --> 00:09:23.674
take more risk and I'll
00:09:23.695 --> 00:09:25.576
just do this Instagram
00:09:25.615 --> 00:09:27.638
brand clinic type thing.
00:09:27.677 --> 00:09:28.359
I don't think they're taking
00:09:28.399 --> 00:09:29.759
much risk by doing that, by the way.
00:09:30.081 --> 00:09:31.041
Maybe a little hard effort
00:09:31.081 --> 00:09:32.883
here and there with Instagram brands.
00:09:33.524 --> 00:09:34.745
But we joked about it before,
00:09:34.784 --> 00:09:36.186
therapists that have five, ten,
00:09:36.245 --> 00:09:37.466
twenty thousand followers
00:09:38.028 --> 00:09:39.068
reach out to me for a job.
00:09:40.984 --> 00:09:41.684
Isn't that interesting?
00:09:42.544 --> 00:09:43.125
Well, yes.
00:09:43.225 --> 00:09:45.067
I mean, also,
00:09:46.028 --> 00:09:47.629
it's the highlight reel mentality.
00:09:47.909 --> 00:09:49.091
How many followers you have
00:09:49.230 --> 00:09:50.412
does not equate income.
00:09:50.611 --> 00:09:51.052
It doesn't.
00:09:51.331 --> 00:09:52.734
I know lots of people who are like, well,
00:09:52.754 --> 00:09:53.855
I grew my Instagram account,
00:09:53.914 --> 00:09:55.255
and they'll come to me too.
00:09:55.296 --> 00:09:56.756
Those people are coming to you for jobs.
00:09:56.956 --> 00:09:57.957
They're coming to me being like,
00:09:58.077 --> 00:09:58.859
how do you make money with
00:09:58.879 --> 00:09:59.639
an Instagram account?
00:09:59.839 --> 00:10:00.080
I don't know.
00:10:00.100 --> 00:10:00.840
I run a podcast.
00:10:01.039 --> 00:10:02.662
I happen to also be on Instagram.
00:10:02.981 --> 00:10:04.964
To me, that's tertiary.
00:10:05.384 --> 00:10:06.304
People are like, I don't understand.
00:10:06.565 --> 00:10:07.326
You're saying you have this
00:10:07.365 --> 00:10:07.865
many downloads.
00:10:07.885 --> 00:10:08.066
I'm like,
00:10:08.186 --> 00:10:09.647
I will open up my dashboard right
00:10:09.687 --> 00:10:10.408
now and show you how many
00:10:10.467 --> 00:10:12.429
downloads I have in the podcast.
00:10:12.730 --> 00:10:13.951
That also doesn't matter.
00:10:14.831 --> 00:10:15.552
So let's shift this.
00:10:15.731 --> 00:10:16.253
I didn't think this was
00:10:16.273 --> 00:10:17.374
going to go this direction.
00:10:17.634 --> 00:10:17.994
Real quick.
00:10:18.033 --> 00:10:20.556
Tony did DM us on Facebook Messenger.
00:10:20.836 --> 00:10:21.697
He didn't email it.
00:10:21.976 --> 00:10:22.638
That's fine.
00:10:23.097 --> 00:10:23.918
He understood the assignment.
00:10:23.938 --> 00:10:25.080
As long as I could get on the computer.
00:10:25.320 --> 00:10:27.522
He said it extremely fast.
00:10:27.601 --> 00:10:29.222
As soon as you said it,
00:10:29.243 --> 00:10:30.563
he is absolutely watching live.
00:10:30.965 --> 00:10:31.125
Yeah.
00:10:31.567 --> 00:10:31.746
All right,
00:10:31.807 --> 00:10:33.970
I'll download those while you're talking.
00:10:34.051 --> 00:10:34.951
Did you want to make a point, or Tony,
00:10:34.971 --> 00:10:35.793
what was your point?
00:10:35.812 --> 00:10:37.335
That was it.
00:10:37.375 --> 00:10:39.597
Okay, so what I was getting into was,
00:10:39.697 --> 00:10:40.799
watch this, watch this,
00:10:40.820 --> 00:10:41.961
because it's the same in
00:10:42.341 --> 00:10:43.923
Instagram as it is on Twitter,
00:10:43.964 --> 00:10:44.725
as it is on Facebook,
00:10:44.784 --> 00:10:45.886
as it is in podcasting,
00:10:45.966 --> 00:10:48.269
as it almost is on YouTube.
00:10:48.990 --> 00:10:49.490
Almost.
00:10:49.871 --> 00:10:51.231
Here's what I'm going to say.
00:10:51.251 --> 00:10:53.293
If you have a wildly successful,
00:10:54.073 --> 00:10:54.774
and some of these social
00:10:54.813 --> 00:10:56.514
platforms will monetize,
00:10:56.836 --> 00:10:57.956
like they will pay you
00:10:57.975 --> 00:10:58.897
what's called a CPM,
00:10:59.417 --> 00:11:00.837
which stands for cost per milli.
00:11:01.158 --> 00:11:02.219
I don't know why it's cost per milli.
00:11:02.359 --> 00:11:03.158
It's cost per thousand.
00:11:03.259 --> 00:11:04.059
It should be CPK,
00:11:04.299 --> 00:11:06.841
but don't get me started on Latin.
00:11:06.860 --> 00:11:09.082
They will give you a rate.
00:11:09.322 --> 00:11:10.302
They decide the rate.
00:11:10.342 --> 00:11:11.624
The platform decides the rate.
00:11:11.683 --> 00:11:12.825
YouTube decides the rate
00:11:12.904 --> 00:11:13.764
based on your niche.
00:11:13.884 --> 00:11:15.025
And they will say for every
00:11:15.086 --> 00:11:16.346
thousand views you get,
00:11:17.047 --> 00:11:18.067
we'll give you something.
00:11:19.760 --> 00:11:20.581
It's crazy low.
00:11:20.942 --> 00:11:23.224
Like I understand people are monetized.
00:11:23.903 --> 00:11:25.004
If you are saying I'm going
00:11:25.044 --> 00:11:26.206
to get to a million,
00:11:26.346 --> 00:11:27.988
ten million followers and monetize,
00:11:28.227 --> 00:11:28.967
you can do that.
00:11:29.448 --> 00:11:30.450
It's less than you think.
00:11:30.769 --> 00:11:32.051
It's a lot less than you think.
00:11:32.792 --> 00:11:33.631
So this is where I need
00:11:33.672 --> 00:11:35.514
people to shift what their
00:11:35.573 --> 00:11:38.176
product actually is.
00:11:38.255 --> 00:11:38.676
Here's what I mean.
00:11:39.297 --> 00:11:40.337
If someone says I have a
00:11:40.457 --> 00:11:42.599
hundred thousand followers on Instagram,
00:11:43.139 --> 00:11:46.403
Instagram is my product.
00:11:46.442 --> 00:11:46.883
You're wrong.
00:11:48.104 --> 00:11:49.284
Your audience is your product.
00:11:50.813 --> 00:11:51.754
Your audience is your product.
00:11:52.615 --> 00:11:55.379
So, sorry, Tony,
00:11:55.438 --> 00:11:56.178
thousand doesn't start with
00:11:56.259 --> 00:11:57.341
K. Kilo starts with K. Latin,
00:11:59.962 --> 00:12:00.744
everything should be Latin.
00:12:00.783 --> 00:12:02.586
No, you meant thousand, you meant K,
00:12:02.625 --> 00:12:03.706
like if you say, ten K,
00:12:03.826 --> 00:12:04.567
it's ten thousand.
00:12:04.648 --> 00:12:05.208
I know what you meant.
00:12:05.448 --> 00:12:06.350
Kili, kilo.
00:12:06.769 --> 00:12:07.711
Thank you.
00:12:08.110 --> 00:12:10.072
So your audience is your product.
00:12:10.890 --> 00:12:12.513
So I don't charge... Dave,
00:12:12.533 --> 00:12:13.453
have you ever listened to
00:12:13.594 --> 00:12:14.394
PT Podcast before?
00:12:14.414 --> 00:12:15.696
Have you downloaded it and listened to it?
00:12:15.856 --> 00:12:16.677
Of course.
00:12:17.337 --> 00:12:19.159
Have you ever paid Apple or
00:12:19.220 --> 00:12:22.244
Jimmy to listen to any episode?
00:12:22.303 --> 00:12:22.484
No.
00:12:22.884 --> 00:12:24.086
No, you have not.
00:12:24.566 --> 00:12:26.008
Because I understand you're my product.
00:12:27.269 --> 00:12:28.451
Now, I then turn to...
00:12:29.994 --> 00:12:31.375
brooks institute of higher
00:12:31.414 --> 00:12:33.416
learning and I say you have
00:12:33.475 --> 00:12:34.836
residency and fellowship
00:12:34.855 --> 00:12:36.937
programs in pt and you need
00:12:37.238 --> 00:12:38.857
students and they go yes
00:12:39.318 --> 00:12:40.058
and I go are you in the
00:12:40.099 --> 00:12:41.259
business of knowing how to
00:12:41.320 --> 00:12:42.259
go out and get those
00:12:42.279 --> 00:12:43.980
students to pay attention
00:12:44.020 --> 00:12:46.062
to you to maybe consider
00:12:46.121 --> 00:12:47.863
giving you lots of money to
00:12:47.903 --> 00:12:49.823
then do a residency and they said no
00:12:50.464 --> 00:12:51.264
And then they say, no.
00:12:51.484 --> 00:12:52.304
And I say, well, what do you do now?
00:12:52.345 --> 00:12:53.205
They're like, we go to CSN,
00:12:53.225 --> 00:12:53.985
we put up a table.
00:12:54.105 --> 00:12:54.705
Does it work?
00:12:55.125 --> 00:12:55.565
Sort of.
00:12:55.924 --> 00:12:56.706
And I go, cool.
00:12:57.346 --> 00:12:58.885
I release five episodes a week.
00:12:59.166 --> 00:13:00.226
I'm in people's ears,
00:13:00.447 --> 00:13:01.626
forty-five minutes a pop.
00:13:02.287 --> 00:13:03.768
We get between twenty and
00:13:03.888 --> 00:13:05.528
sixty thousand downloads a month, I think,
00:13:05.567 --> 00:13:06.107
right about now.
00:13:06.648 --> 00:13:07.729
So I'm like, do the math on that,
00:13:07.788 --> 00:13:09.269
how much attention we have earned.
00:13:09.708 --> 00:13:12.889
And now a simple podcast can be â
00:13:13.070 --> 00:13:14.510
more time spent in
00:13:14.571 --> 00:13:16.812
relationship than your
00:13:16.851 --> 00:13:18.133
gigantic booth at CSM.
00:13:18.212 --> 00:13:19.072
Even if you went to CSM
00:13:19.192 --> 00:13:20.053
every day of the year,
00:13:20.734 --> 00:13:21.433
that doesn't mean those
00:13:21.474 --> 00:13:22.095
people are actually paying
00:13:22.115 --> 00:13:23.394
attention to your booth in
00:13:23.696 --> 00:13:24.936
the back corner of the expo hall.
00:13:25.517 --> 00:13:27.116
So this is what I try to explain to people,
00:13:27.538 --> 00:13:29.859
that your audience is your product.
00:13:30.298 --> 00:13:31.740
How you get them is a
00:13:31.779 --> 00:13:32.821
podcast or funny little
00:13:32.860 --> 00:13:33.961
dance videos or whatever.
00:13:34.360 --> 00:13:35.361
But then flipping,
00:13:35.442 --> 00:13:36.923
converting your dance video
00:13:36.982 --> 00:13:38.303
followers who are there for
00:13:38.344 --> 00:13:40.985
the giggles into a sale is
00:13:41.245 --> 00:13:43.046
a monumental chasm.
00:13:43.307 --> 00:13:46.008
It is a large, large leap.
00:13:46.587 --> 00:13:48.048
I do not trust this person for this.
00:13:48.409 --> 00:13:51.191
This is why someone like Joe Ranke.
00:13:51.230 --> 00:13:52.511
Do you know Joe Ranke from Fitbox?
00:13:52.532 --> 00:13:54.452
A little bit.
00:13:54.472 --> 00:13:56.514
He's been on the show a bunch of times.
00:13:56.774 --> 00:13:57.554
He's a financial guy.
00:13:59.244 --> 00:14:00.748
But he's chosen student debt
00:14:01.008 --> 00:14:03.214
and student loans as his hyper niche.
00:14:03.274 --> 00:14:05.018
The riches are in the niches, right?
00:14:05.038 --> 00:14:06.061
That's like the quote.
00:14:06.100 --> 00:14:06.581
Must be true.
00:14:06.682 --> 00:14:07.043
It rhymes.
00:14:08.833 --> 00:14:09.475
But he said,
00:14:09.615 --> 00:14:11.416
I understand that my knowledge
00:14:11.475 --> 00:14:13.217
is how I get people to pay attention.
00:14:13.857 --> 00:14:15.220
I give it out freely.
00:14:15.259 --> 00:14:16.400
He's got a YouTube channel.
00:14:17.280 --> 00:14:19.243
When he gets your attention, eventually,
00:14:19.803 --> 00:14:20.083
you're like,
00:14:20.303 --> 00:14:21.245
I feel like if I'm going to
00:14:21.284 --> 00:14:22.365
pick somebody to help me
00:14:22.446 --> 00:14:23.866
navigate my student loan repayment,
00:14:24.287 --> 00:14:24.967
this is the guy.
00:14:25.268 --> 00:14:26.269
And then he has a product at
00:14:26.308 --> 00:14:26.710
the end of it.
00:14:26.990 --> 00:14:28.250
Now, Joe did it himself.
00:14:29.231 --> 00:14:30.293
You don't have to do it yourself.
00:14:30.352 --> 00:14:30.913
Look what I do.
00:14:31.234 --> 00:14:32.514
I don't necessarily have a product.
00:14:32.875 --> 00:14:33.455
I understand that
00:14:34.135 --> 00:14:36.216
How I get people is giving out content.
00:14:36.857 --> 00:14:37.738
What I can do with them is
00:14:37.798 --> 00:14:39.158
now go one step further to
00:14:39.219 --> 00:14:40.500
somebody who wants that attention,
00:14:40.539 --> 00:14:41.480
is willing to pay for it,
00:14:41.961 --> 00:14:43.181
and ask them for money in
00:14:43.240 --> 00:14:44.221
exchange for that attention.
00:14:44.442 --> 00:14:45.783
And that is the model.
00:14:46.182 --> 00:14:47.224
So back to the clinic,
00:14:48.303 --> 00:14:49.205
I understand that getting
00:14:49.264 --> 00:14:50.525
ten thousand Instagram
00:14:50.546 --> 00:14:51.365
followers is great.
00:14:51.385 --> 00:14:52.326
But if you're only treating
00:14:52.366 --> 00:14:53.907
in San Diego and you have
00:14:53.947 --> 00:14:55.248
followers all across the world,
00:14:55.607 --> 00:14:57.529
that's a big chasm to give you time.
00:14:58.190 --> 00:14:58.769
And Tony might say
00:14:58.789 --> 00:15:00.811
telehealth and we would say, yeah,
00:15:01.692 --> 00:15:02.932
but I don't know how far
00:15:02.972 --> 00:15:03.293
it's going to go.
00:15:06.390 --> 00:15:08.052
So what was the impetus
00:15:08.172 --> 00:15:09.652
about the whole microclinic
00:15:09.731 --> 00:15:10.371
talk this morning?
00:15:10.672 --> 00:15:11.993
You saw or you're seeing
00:15:12.033 --> 00:15:14.013
more posts on Facebook or
00:15:14.072 --> 00:15:15.094
Instagram or LinkedIn.
00:15:15.234 --> 00:15:16.354
Like where did this come from?
00:15:16.474 --> 00:15:17.053
And I'm reading this.
00:15:17.114 --> 00:15:19.654
So this is a book called Unscaled.
00:15:19.674 --> 00:15:22.515
And it's written years ago.
00:15:22.796 --> 00:15:24.035
But I didn't read that book either.
00:15:24.096 --> 00:15:29.238
But I think the solo practice is like â
00:15:30.697 --> 00:15:32.119
too unscaled.
00:15:32.198 --> 00:15:34.162
Like that book probably says,
00:15:34.822 --> 00:15:35.943
do things like I've done, right?
00:15:36.244 --> 00:15:36.985
With my practice.
00:15:37.385 --> 00:15:40.090
Like when it's last year,
00:15:40.370 --> 00:15:42.312
it was like October, or something.
00:15:42.352 --> 00:15:42.913
We had two,
00:15:43.433 --> 00:15:44.956
one of my therapists had two patients
00:15:45.817 --> 00:15:47.158
with a birthday on the same
00:15:47.197 --> 00:15:48.619
day he was seeing one of
00:15:48.639 --> 00:15:49.779
the patient one of the
00:15:49.820 --> 00:15:51.139
patients on their birthday
00:15:51.660 --> 00:15:52.520
and he was seeing the other
00:15:52.561 --> 00:15:53.682
person like a day or two
00:15:53.782 --> 00:15:55.462
after her birthday and I
00:15:55.702 --> 00:15:57.043
you know I did the unscaled
00:15:57.083 --> 00:15:58.985
thing of of we talked about
00:15:59.004 --> 00:16:00.546
it and I said we don't have
00:16:00.566 --> 00:16:01.466
a process in place we don't
00:16:01.486 --> 00:16:02.307
have anything automated we
00:16:02.327 --> 00:16:03.447
don't have anything where
00:16:03.467 --> 00:16:04.048
we get an email
00:16:04.089 --> 00:16:05.730
automatically internally
00:16:05.769 --> 00:16:07.091
like hey it's jimmy mckay's
00:16:07.130 --> 00:16:08.071
birthday let's you know
00:16:08.091 --> 00:16:09.011
let's send them chocolates
00:16:09.032 --> 00:16:10.192
or a cake or flowers or whatever
00:16:11.092 --> 00:16:13.374
so we sent we I told my
00:16:13.394 --> 00:16:14.815
therapist bring this guy
00:16:14.875 --> 00:16:17.035
bring the male client this
00:16:17.096 --> 00:16:18.015
chocolate cake and then for
00:16:18.035 --> 00:16:20.096
the woman a bouquet of
00:16:20.116 --> 00:16:23.099
flowers I think that is the
00:16:23.219 --> 00:16:24.619
in terms of unscaled things
00:16:24.719 --> 00:16:25.820
in physical therapy
00:16:25.860 --> 00:16:27.081
practice and business maybe
00:16:27.221 --> 00:16:28.821
more of that focus but I
00:16:28.860 --> 00:16:29.761
truly think that the
00:16:29.922 --> 00:16:32.023
individual solo therapist
00:16:33.259 --> 00:16:34.821
you can do things that are unscaled.
00:16:34.860 --> 00:16:35.182
Of course,
00:16:35.721 --> 00:16:36.783
that's like everything you're
00:16:36.802 --> 00:16:38.403
doing is like unscaled basically,
00:16:38.884 --> 00:16:39.745
unless you're doing things
00:16:39.804 --> 00:16:41.606
like creating a playbook, recruiting,
00:16:41.647 --> 00:16:42.246
hiring, all that.
00:16:42.287 --> 00:16:43.187
So anyway.
00:16:43.828 --> 00:16:45.049
Well, so the, so,
00:16:45.070 --> 00:16:46.149
so the one step this book
00:16:46.211 --> 00:16:47.552
is saying is you can,
00:16:47.711 --> 00:16:49.113
you can purchase or create
00:16:49.493 --> 00:16:51.154
low to no cost systems that
00:16:51.254 --> 00:16:52.075
automate this as a
00:16:52.154 --> 00:16:54.476
solopreneur where you needed to,
00:16:55.278 --> 00:16:56.339
where you needed to, I mean,
00:16:56.359 --> 00:16:57.639
it uses the Walmart example.
00:16:57.679 --> 00:16:58.440
Like you had to have
00:16:59.041 --> 00:17:02.163
physical square footage in a town.
00:17:02.923 --> 00:17:04.164
you had to have inventory
00:17:04.384 --> 00:17:05.144
you had to have people
00:17:05.285 --> 00:17:06.145
stocking and moving that
00:17:06.165 --> 00:17:07.086
inventory and selling that
00:17:07.105 --> 00:17:07.965
inventory when you were
00:17:08.006 --> 00:17:09.146
closed you made no money
00:17:09.507 --> 00:17:10.508
back when walmart first
00:17:10.528 --> 00:17:11.728
started before the before
00:17:11.768 --> 00:17:12.587
you could buy something at
00:17:12.608 --> 00:17:13.189
three o'clock in the
00:17:13.229 --> 00:17:13.888
morning and have it shipped
00:17:13.909 --> 00:17:15.930
to you um I'm not saying
00:17:16.009 --> 00:17:16.951
I'm not advocate just to be
00:17:16.971 --> 00:17:17.971
clear I'm not advocating
00:17:18.010 --> 00:17:19.392
for any of these models
00:17:19.932 --> 00:17:21.092
what I think people are
00:17:21.112 --> 00:17:22.133
doing now or I think the
00:17:22.232 --> 00:17:24.294
rise of these solopreneurs
00:17:24.453 --> 00:17:25.954
is they're saying okay
00:17:26.914 --> 00:17:27.875
I can a hundred percent.
00:17:28.536 --> 00:17:29.416
It's a scale, right?
00:17:29.457 --> 00:17:30.076
It's a spectrum.
00:17:30.376 --> 00:17:31.698
I could a hundred percent go
00:17:31.897 --> 00:17:33.439
and work for a large organization.
00:17:33.578 --> 00:17:34.720
And there's advantages to that.
00:17:35.140 --> 00:17:35.980
There's stability.
00:17:36.280 --> 00:17:36.941
Most of the time,
00:17:37.582 --> 00:17:38.821
not a whole lot of mobility.
00:17:38.903 --> 00:17:39.623
Cause what do you do after
00:17:39.663 --> 00:17:40.262
you're a clinician?
00:17:40.403 --> 00:17:41.443
You become a clinic director,
00:17:41.624 --> 00:17:42.805
then you become a regional director.
00:17:43.005 --> 00:17:44.125
And then maybe you go into a
00:17:44.205 --> 00:17:47.087
side thing like clinical director, or you,
00:17:47.428 --> 00:17:49.148
you oversee a particular vertical,
00:17:49.189 --> 00:17:50.750
like vestibular care or
00:17:50.829 --> 00:17:51.990
neuro or ortho for a big
00:17:52.030 --> 00:17:54.231
organization in the middle of
00:17:55.801 --> 00:17:56.682
If you're the owner,
00:17:56.883 --> 00:17:59.223
it's a lot more risk but
00:17:59.263 --> 00:18:00.424
good reward if you're going
00:18:00.444 --> 00:18:02.365
to run something that you own yourself.
00:18:02.786 --> 00:18:03.787
As a clinician for that,
00:18:03.906 --> 00:18:05.248
is there a difference between that?
00:18:05.788 --> 00:18:07.388
Dave, if someone owns three clinics,
00:18:07.429 --> 00:18:08.509
if I own three clinics and
00:18:08.549 --> 00:18:09.690
my employees work for me
00:18:09.730 --> 00:18:11.030
versus working for ATI,
00:18:11.711 --> 00:18:12.892
there's not really a lot of
00:18:12.932 --> 00:18:13.752
difference there, is there?
00:18:14.272 --> 00:18:14.653
For who?
00:18:14.673 --> 00:18:15.313
For the employees?
00:18:15.554 --> 00:18:15.973
The employees.
00:18:15.993 --> 00:18:17.515
It's still forty in, forty out, right?
00:18:18.637 --> 00:18:19.558
Well, I mean,
00:18:21.259 --> 00:18:22.961
you just spoke with Ben Fung recently.
00:18:23.122 --> 00:18:24.743
I know he's pretty tight
00:18:24.763 --> 00:18:26.365
around employers and
00:18:26.484 --> 00:18:28.487
offerings and all that.
00:18:28.606 --> 00:18:29.847
I think things can vary.
00:18:29.928 --> 00:18:31.269
I think that the smaller
00:18:31.308 --> 00:18:32.750
practice that has three or
00:18:32.770 --> 00:18:33.991
five or whatever locations
00:18:35.515 --> 00:18:38.118
has more of an onus to keep
00:18:38.138 --> 00:18:39.019
the therapist happy.
00:18:39.099 --> 00:18:40.281
And this is from the
00:18:41.344 --> 00:18:42.045
business owners and the
00:18:42.085 --> 00:18:42.726
practitioners that we've
00:18:42.746 --> 00:18:43.366
spoken with that we've
00:18:43.386 --> 00:18:44.347
tried to partner with or
00:18:44.407 --> 00:18:45.490
acquire or whatever over
00:18:45.509 --> 00:18:47.251
the past couple of years is
00:18:48.193 --> 00:18:48.954
the ones that have two or
00:18:48.974 --> 00:18:50.356
three or four or five locations
00:18:51.226 --> 00:18:54.449
There's more of an intimate team.
00:18:54.828 --> 00:18:56.430
Of course, there's a little bit of like,
00:18:56.869 --> 00:18:58.531
it is a job and all that, but,
00:18:58.892 --> 00:19:00.032
and it's not necessarily a family.
00:19:00.073 --> 00:19:01.034
It's more about like, Hey,
00:19:01.054 --> 00:19:01.953
we're like a sports team.
00:19:01.973 --> 00:19:02.714
Like we want to operate.
00:19:02.755 --> 00:19:03.675
We want to, you know,
00:19:03.695 --> 00:19:04.756
we want to perform at our best,
00:19:05.076 --> 00:19:06.077
but this isn't like,
00:19:06.817 --> 00:19:09.719
This isn't family where you
00:19:09.739 --> 00:19:10.699
can't fire your uncle,
00:19:10.898 --> 00:19:12.398
but I can fire my therapist
00:19:12.439 --> 00:19:13.378
if they step out of line or
00:19:14.118 --> 00:19:15.819
if they're not documenting
00:19:15.900 --> 00:19:17.400
or if they're coming in late or whatever.
00:19:17.680 --> 00:19:19.039
I can write them up.
00:19:19.140 --> 00:19:21.721
I can try to improve, sit them down,
00:19:21.760 --> 00:19:23.721
try to have an approach or
00:19:25.141 --> 00:19:26.362
some type of game plan to
00:19:26.642 --> 00:19:28.122
help them improve whatever
00:19:28.182 --> 00:19:29.321
they're deficient in,
00:19:29.362 --> 00:19:31.082
whether it's coding or documentation,
00:19:31.402 --> 00:19:32.803
timely documentation, whatever it is.
00:19:34.651 --> 00:19:37.012
I think that the smaller, like two to five,
00:19:37.053 --> 00:19:37.953
two to ten location
00:19:37.973 --> 00:19:41.316
practices have a tight-knit offering.
00:19:41.496 --> 00:19:47.300
There's a lot of good morale and culture,
00:19:47.381 --> 00:19:49.261
typically, at least on the East Coast.
00:19:49.362 --> 00:19:51.743
I'll say from upstate New York to Florida.
00:19:52.044 --> 00:19:52.944
Any of the practices that
00:19:52.964 --> 00:19:54.786
are two to ten locations
00:19:54.806 --> 00:19:55.527
that we've spoken with,
00:19:56.547 --> 00:19:57.988
that's what we've seen.
00:19:58.048 --> 00:19:58.628
Obviously,
00:19:58.648 --> 00:20:00.230
we don't speak to the big
00:20:00.269 --> 00:20:01.070
corporates and the
00:20:01.111 --> 00:20:02.211
quote-unquote mills out there.
00:20:02.751 --> 00:20:03.813
I would bet, though, that
00:20:05.358 --> 00:20:06.539
and maybe because I'm also
00:20:06.619 --> 00:20:08.060
in that realm of like kind
00:20:08.121 --> 00:20:10.182
of in that practice owner world,
00:20:11.123 --> 00:20:13.163
I would say that it is on
00:20:13.243 --> 00:20:14.744
average better to have a
00:20:14.805 --> 00:20:15.705
staff physical therapist
00:20:15.726 --> 00:20:18.407
job at the one to ten
00:20:18.428 --> 00:20:20.108
location private practice clinics
00:20:20.669 --> 00:20:22.691
As opposed to the ATI, well,
00:20:22.711 --> 00:20:23.632
I don't know if you want to call them out,
00:20:23.652 --> 00:20:26.335
but the big corporates, the big mills,
00:20:26.815 --> 00:20:28.477
that's just, but of course I'm biased.
00:20:28.557 --> 00:20:29.838
There might be other folks that say like,
00:20:29.999 --> 00:20:31.700
oh, I agree with Jimmy and it, you know,
00:20:31.720 --> 00:20:32.761
it's forty and forty out
00:20:33.301 --> 00:20:34.163
and I'm a staff physical
00:20:34.202 --> 00:20:36.305
therapist in either place and they,
00:20:36.625 --> 00:20:37.145
you know,
00:20:37.165 --> 00:20:37.987
treat whatever they want to
00:20:38.027 --> 00:20:39.448
treat and they get in, they get out,
00:20:39.468 --> 00:20:40.450
they do their notes and that's it.
00:20:42.506 --> 00:20:45.186
I would say I've seen behind
00:20:45.227 --> 00:20:46.327
the door or behind the
00:20:46.347 --> 00:20:47.488
kimono of a lot of these
00:20:47.528 --> 00:20:50.730
practices and what the
00:20:50.789 --> 00:20:52.911
practice owners do in terms
00:20:52.951 --> 00:20:53.570
of taking them out.
00:20:53.991 --> 00:20:55.972
You never see, and maybe it happens,
00:20:56.053 --> 00:20:56.932
but you never see with
00:20:56.952 --> 00:20:57.653
these large corporates,
00:20:57.673 --> 00:20:59.294
you never see the...
00:21:00.815 --> 00:21:03.217
CEO or the regional director
00:21:03.336 --> 00:21:04.217
taking out the therapist
00:21:04.257 --> 00:21:06.939
for axe throwing or Christmas dinners.
00:21:07.460 --> 00:21:08.359
It might happen.
00:21:08.400 --> 00:21:09.961
Fox was mandatory.
00:21:10.020 --> 00:21:10.721
It wasn't mandatory.
00:21:10.741 --> 00:21:12.462
There was a budget for that.
00:21:12.823 --> 00:21:13.923
So Fox is massive.
00:21:13.963 --> 00:21:15.684
They're like in thirty something states.
00:21:15.724 --> 00:21:16.365
Tell me what.
00:21:16.665 --> 00:21:18.707
So Fox maybe has scaled the
00:21:18.767 --> 00:21:20.028
unscalable by doing that.
00:21:20.087 --> 00:21:20.748
So go ahead.
00:21:20.788 --> 00:21:22.108
So I'll only speak because I
00:21:22.128 --> 00:21:23.990
have personal experience with this.
00:21:24.029 --> 00:21:24.170
Yeah.
00:21:25.555 --> 00:21:26.996
they put their clinicians
00:21:27.355 --> 00:21:28.496
like before the patients
00:21:28.557 --> 00:21:29.517
which sounds insane but
00:21:29.537 --> 00:21:30.096
we've talked about this
00:21:30.136 --> 00:21:30.897
before why that's actually
00:21:30.917 --> 00:21:31.897
a better idea take care of
00:21:31.917 --> 00:21:32.959
clinicians and they do I
00:21:32.979 --> 00:21:33.719
don't know what the average
00:21:33.759 --> 00:21:34.739
tenure is for a fox
00:21:34.779 --> 00:21:36.319
therapist but it was pretty
00:21:36.359 --> 00:21:38.701
good and I think they did
00:21:38.721 --> 00:21:39.942
it because they were remote
00:21:39.981 --> 00:21:41.163
based like you're a
00:21:41.182 --> 00:21:42.363
clinician you have to you
00:21:42.423 --> 00:21:43.544
have to so what they did
00:21:43.564 --> 00:21:45.605
was they put a real
00:21:45.724 --> 00:21:46.865
emphasis I think more
00:21:46.924 --> 00:21:47.826
organizations are doing
00:21:47.865 --> 00:21:49.507
this they put a real emphasis on
00:21:50.326 --> 00:21:51.650
who they promoted to leadership.
00:21:51.971 --> 00:21:53.594
It wasn't who was around the longest.
00:21:54.055 --> 00:21:56.259
It was who can do this?
00:21:56.820 --> 00:21:58.565
Who's the seventh guy on an NBA team?
00:21:58.585 --> 00:21:59.307
It's the glue guy.
00:21:59.426 --> 00:21:59.827
Is he good?
00:21:59.968 --> 00:22:00.409
It's pretty good.
00:22:01.481 --> 00:22:02.042
Why is he there?
00:22:02.702 --> 00:22:03.203
Everybody loves him.
00:22:03.604 --> 00:22:04.404
He keeps everybody light.
00:22:04.464 --> 00:22:06.126
When we lost four in a row,
00:22:06.467 --> 00:22:08.189
he makes a fart joke,
00:22:08.209 --> 00:22:08.808
and everybody laughs,
00:22:08.888 --> 00:22:10.230
and everybody can start
00:22:10.250 --> 00:22:10.891
hitting threes again.
00:22:11.332 --> 00:22:12.232
So they did it,
00:22:12.512 --> 00:22:13.894
and I can only speak from experience.
00:22:14.194 --> 00:22:15.236
I can't speak to what,
00:22:15.635 --> 00:22:16.636
and I know we keep saying ATI.
00:22:16.696 --> 00:22:17.557
I think we keep saying ATI
00:22:17.577 --> 00:22:18.538
because they're the biggest, right?
00:22:18.679 --> 00:22:20.401
Or Athletico, any of those.
00:22:20.480 --> 00:22:21.821
Their bruise is just easy to
00:22:21.862 --> 00:22:22.363
punch on them.
00:22:22.383 --> 00:22:23.304
They're just a punching bag.
00:22:23.644 --> 00:22:24.964
The funny thing is, well,
00:22:24.984 --> 00:22:25.684
that's a different topic.
00:22:25.704 --> 00:22:26.625
I'll get into the wheeze in a minute.
00:22:26.665 --> 00:22:28.406
So yeah, Fox did make it mandatory.
00:22:28.606 --> 00:22:29.826
They did say,
00:22:29.866 --> 00:22:30.807
because this was part of my
00:22:30.847 --> 00:22:33.709
job when I was there, Tim Fox said,
00:22:34.009 --> 00:22:35.631
I want to be able to shake
00:22:35.851 --> 00:22:37.632
every person's hand once a year.
00:22:37.991 --> 00:22:39.313
And that dude got on a plane
00:22:39.373 --> 00:22:40.553
and flew around the country
00:22:41.574 --> 00:22:44.895
and they threw like Christmas parties,
00:22:44.976 --> 00:22:46.455
but like all year, like there's, you know,
00:22:46.576 --> 00:22:47.176
there's no way he could
00:22:47.196 --> 00:22:48.317
just visit everybody in December.
00:22:48.416 --> 00:22:50.157
Just couldn't do it.
00:22:50.178 --> 00:22:52.400
Doing four or five or six of
00:22:52.420 --> 00:22:52.980
those a month.
00:22:54.699 --> 00:22:56.079
And it was like he'd come in,
00:22:56.119 --> 00:22:57.279
they'd rent out a room at a ball,
00:22:57.400 --> 00:22:58.140
you know, at a hotel,
00:22:58.180 --> 00:22:59.441
like a nice ballroom.
00:22:59.760 --> 00:23:01.761
They'd throw orange all over
00:23:01.781 --> 00:23:03.382
the place and they'd throw a party.
00:23:04.041 --> 00:23:05.282
And that but that wasn't the
00:23:05.323 --> 00:23:06.363
only time those clinicians
00:23:06.403 --> 00:23:08.864
in that area would see each other.
00:23:08.923 --> 00:23:10.644
They did have the axe throwings,
00:23:10.704 --> 00:23:11.664
the journal clubs,
00:23:12.045 --> 00:23:13.846
but they realized they did
00:23:13.885 --> 00:23:15.006
sit there and they go, well,
00:23:15.226 --> 00:23:16.606
why would someone want to work for us?
00:23:17.366 --> 00:23:19.309
okay let's diagnose the dna
00:23:19.411 --> 00:23:20.873
of what people like about
00:23:20.932 --> 00:23:21.653
because they were small
00:23:21.734 --> 00:23:22.957
like like any any big
00:23:22.997 --> 00:23:23.577
organization they were
00:23:23.597 --> 00:23:24.419
small they were like we're
00:23:24.479 --> 00:23:26.482
jersey and pennsylvania but
00:23:26.502 --> 00:23:27.944
what if we hit california
00:23:28.665 --> 00:23:30.449
to their credit they said
00:23:32.422 --> 00:23:33.201
I think Tim said,
00:23:33.281 --> 00:23:34.383
and I'm trying to get the quote right.
00:23:34.442 --> 00:23:36.023
Don't unquote me if Tim ever
00:23:36.064 --> 00:23:36.704
gets hold of this.
00:23:37.144 --> 00:23:37.704
But he said something.
00:23:37.724 --> 00:23:38.445
He's like,
00:23:38.726 --> 00:23:40.788
the way I'll measure failure is
00:23:40.807 --> 00:23:41.387
if someone says,
00:23:41.868 --> 00:23:42.729
who's worked here for ten
00:23:42.769 --> 00:23:44.470
or fifteen years and leaves,
00:23:44.711 --> 00:23:45.810
and someone says, why'd you leave?
00:23:46.132 --> 00:23:47.553
It just doesn't feel the same anymore.
00:23:48.472 --> 00:23:50.315
He's like, that would be the failure.
00:23:50.494 --> 00:23:51.255
Because that's how you keep
00:23:51.275 --> 00:23:52.056
good people around.
00:23:52.936 --> 00:23:54.218
What brought the good people in...
00:23:55.464 --> 00:23:57.705
If you're just recruiting to fill a spot,
00:23:58.326 --> 00:23:58.786
I get it.
00:23:58.846 --> 00:23:59.645
Short-term benefit.
00:23:59.746 --> 00:24:00.826
I need someone to treat patients.
00:24:01.326 --> 00:24:04.048
They said no a lot to people
00:24:04.067 --> 00:24:05.268
with licenses who could
00:24:05.288 --> 00:24:06.548
fill a role because they were like,
00:24:06.669 --> 00:24:07.729
it's going to cost us more
00:24:08.148 --> 00:24:09.368
and let's just keep looking
00:24:09.388 --> 00:24:10.049
for a better fit.
00:24:10.529 --> 00:24:12.170
They hired me with no job.
00:24:12.329 --> 00:24:12.710
They were like,
00:24:12.769 --> 00:24:13.570
we don't understand what
00:24:13.590 --> 00:24:14.631
Jimmy's going to do on day one,
00:24:14.671 --> 00:24:15.431
but by day fifty,
00:24:15.471 --> 00:24:16.351
we'll have a better idea.
00:24:16.612 --> 00:24:17.652
So they hired on culture.
00:24:19.065 --> 00:24:20.686
I think, yeah, maybe you're right.
00:24:20.707 --> 00:24:20.886
Maybe,
00:24:21.047 --> 00:24:22.508
maybe small organizations can do
00:24:22.528 --> 00:24:25.170
that better because one bad hire at a,
00:24:25.330 --> 00:24:26.371
at a ten person,
00:24:26.551 --> 00:24:27.732
at a ten clinician clinic,
00:24:28.173 --> 00:24:29.473
that's ten percent of a bad,
00:24:29.493 --> 00:24:29.954
you know what I mean?
00:24:29.994 --> 00:24:30.375
Like ten,
00:24:30.535 --> 00:24:31.996
now you have one bad apple among ten,
00:24:32.317 --> 00:24:33.817
whereas a hundred bad,
00:24:33.857 --> 00:24:35.239
bad apples are around thirty thousand.
00:24:35.259 --> 00:24:36.299
That doesn't do any, that's not,
00:24:36.319 --> 00:24:37.161
that's not a problem.
00:24:38.721 --> 00:24:39.343
So.
00:24:39.522 --> 00:24:41.605
I, I love this because this is,
00:24:43.336 --> 00:24:45.759
So Fox is a great example of they've gone,
00:24:46.119 --> 00:24:47.781
you know, regional and then they've gone,
00:24:47.801 --> 00:24:49.324
you know, like the whole East Coast.
00:24:49.384 --> 00:24:49.984
And now I think they're
00:24:50.005 --> 00:24:51.266
starting to go like more
00:24:51.866 --> 00:24:53.328
Midwest and Southwest.
00:24:53.388 --> 00:24:53.588
Right.
00:24:54.069 --> 00:24:54.990
I know I've spoken to some
00:24:55.070 --> 00:24:55.932
owners that have reached
00:24:55.991 --> 00:24:57.973
out about like them looking
00:24:57.993 --> 00:24:59.134
to acquire like kind of
00:24:59.215 --> 00:25:00.676
like in Georgia and something like this.
00:25:00.717 --> 00:25:01.258
They just did.
00:25:01.278 --> 00:25:02.819
They just they just acquired somebody.
00:25:03.079 --> 00:25:05.521
There you go.
00:25:05.561 --> 00:25:05.942
And by the way,
00:25:05.961 --> 00:25:08.282
that's how they're expanding.
00:25:08.383 --> 00:25:10.525
They started organically in Cherry Hill,
00:25:10.545 --> 00:25:11.005
New Jersey,
00:25:11.045 --> 00:25:12.286
the town next to where I'm from.
00:25:13.626 --> 00:25:15.188
And they've grown dramatically.
00:25:15.928 --> 00:25:18.789
So much kudos and applause
00:25:18.829 --> 00:25:19.871
to Tim and the team.
00:25:20.931 --> 00:25:21.531
So that's why.
00:25:22.011 --> 00:25:23.333
That's probably one of the
00:25:23.413 --> 00:25:24.953
main reasons if you had
00:25:24.993 --> 00:25:26.535
some business coach come in
00:25:26.954 --> 00:25:28.336
and give an assessment or whatever,
00:25:28.375 --> 00:25:29.557
some third-party assessment.
00:25:30.136 --> 00:25:32.018
is doing wow it's like most
00:25:32.057 --> 00:25:34.198
of the country it's not wow
00:25:34.617 --> 00:25:35.898
but so the question was the
00:25:35.939 --> 00:25:37.960
question is so I when I was
00:25:37.980 --> 00:25:39.160
there I don't think any of
00:25:39.200 --> 00:25:40.099
these states here I think
00:25:40.119 --> 00:25:41.101
we were like I think as far
00:25:41.161 --> 00:25:41.881
west as we were like
00:25:41.921 --> 00:25:43.701
illinois I know we were we
00:25:43.721 --> 00:25:44.862
were in wisconsin
00:25:46.973 --> 00:25:48.777
But the idea was when they were just here,
00:25:48.896 --> 00:25:50.579
how do you stay the same?
00:25:51.480 --> 00:25:52.863
Like when you're Fritos or
00:25:52.923 --> 00:25:54.265
Dr. Pepper and now you're
00:25:54.285 --> 00:25:56.409
being â or Sam Adams and
00:25:56.429 --> 00:25:57.891
you want a brewery on the West Coast,
00:25:58.531 --> 00:26:03.349
how does the cherry wheat hit the same â
00:26:02.914 --> 00:26:03.815
In the new brewery.
00:26:04.055 --> 00:26:05.296
It's like, well, out West, we don't,
00:26:05.596 --> 00:26:06.155
we do this.
00:26:06.175 --> 00:26:06.817
So the, you know,
00:26:06.876 --> 00:26:08.297
do you ever hear the story about the guy,
00:26:08.336 --> 00:26:09.678
the New Yorker who moved to
00:26:09.698 --> 00:26:10.958
Florida and opened a
00:26:10.998 --> 00:26:16.000
pizzeria and he bought a ship, like a,
00:26:16.180 --> 00:26:19.781
like a, like a cargo ship, a cargo ship.
00:26:20.583 --> 00:26:22.405
And he went to New York and
00:26:22.445 --> 00:26:23.728
he filled the cargo ship.
00:26:23.748 --> 00:26:24.848
He just went up to a fire
00:26:24.869 --> 00:26:25.990
hydrant in like on the
00:26:26.191 --> 00:26:28.234
docks of New York and water
00:26:28.875 --> 00:26:29.876
up with water.
00:26:30.438 --> 00:26:31.378
And he'd been doing it for
00:26:31.439 --> 00:26:32.861
years and he's bragging about it.
00:26:32.881 --> 00:26:33.782
He's like, it's free water.
00:26:33.843 --> 00:26:34.564
It's like, first of all,
00:26:35.913 --> 00:26:36.752
We we pay for that water
00:26:36.772 --> 00:26:37.713
that comes from where I am.
00:26:37.733 --> 00:26:38.794
That comes from upstate New York,
00:26:39.094 --> 00:26:40.153
New York City water.
00:26:40.213 --> 00:26:41.015
It comes from somewhere.
00:26:41.414 --> 00:26:42.234
But he was doing this for
00:26:42.275 --> 00:26:43.474
years until someone was like,
00:26:43.976 --> 00:26:44.855
that's an environmental.
00:26:45.016 --> 00:26:46.115
You can't just take water.
00:26:46.596 --> 00:26:47.497
But anyway, the point was,
00:26:47.717 --> 00:26:49.957
how do you actually import the things,
00:26:50.538 --> 00:26:52.317
the ingredients that make
00:26:52.377 --> 00:26:53.498
the thing that people want?
00:26:53.778 --> 00:26:54.959
You have to go further upstream.
00:26:56.086 --> 00:26:57.366
This conversation started in
00:26:57.386 --> 00:26:59.688
terms of scale, but I think really it was,
00:26:59.768 --> 00:27:00.929
I think there's more people
00:27:01.189 --> 00:27:03.630
able and wanting to just do
00:27:03.670 --> 00:27:05.130
things on a smaller scale
00:27:05.410 --> 00:27:06.810
and they're able to do it now.
00:27:07.131 --> 00:27:07.990
Where I don't think you,
00:27:08.332 --> 00:27:09.711
before social media- Why
00:27:09.751 --> 00:27:10.913
were they unable to do it before?
00:27:11.212 --> 00:27:13.012
Why were they unable to do it five, ten,
00:27:13.032 --> 00:27:13.653
fifteen years ago?
00:27:13.854 --> 00:27:14.673
Without social media,
00:27:15.054 --> 00:27:16.634
how would you get clients?
00:27:16.654 --> 00:27:18.234
If you couldn't run ads to get patients,
00:27:18.295 --> 00:27:19.135
you had to rely on the
00:27:19.175 --> 00:27:19.996
clinic down the street.
00:27:22.428 --> 00:27:24.189
No, you know, no, you if if fifteen,
00:27:24.249 --> 00:27:25.230
twenty years ago, whatever,
00:27:25.769 --> 00:27:26.430
there were independent
00:27:26.450 --> 00:27:27.270
therapists back then.
00:27:27.631 --> 00:27:28.010
Sure.
00:27:28.531 --> 00:27:29.853
They just popped up their own shingle.
00:27:29.893 --> 00:27:30.873
They had a word of mouth.
00:27:30.913 --> 00:27:32.094
They had some following
00:27:32.453 --> 00:27:33.714
because because they either
00:27:33.734 --> 00:27:35.096
worked at a hospital like
00:27:35.415 --> 00:27:36.616
like like Ron Miller and
00:27:36.797 --> 00:27:37.836
maybe Tony Maritato.
00:27:37.856 --> 00:27:38.837
I think I can't remember.
00:27:38.958 --> 00:27:39.598
No, Tony didn't.
00:27:40.278 --> 00:27:41.660
But there's some owners that
00:27:41.720 --> 00:27:43.500
work for a hospital and
00:27:43.540 --> 00:27:44.942
they got a reputation.
00:27:45.321 --> 00:27:46.162
And then they were like,
00:27:46.623 --> 00:27:47.383
I want to make more money
00:27:47.442 --> 00:27:48.943
or I want some senior leadership,
00:27:48.963 --> 00:27:49.304
whatever.
00:27:49.364 --> 00:27:51.045
And the hospital or the mill or whatever,
00:27:51.065 --> 00:27:51.944
we're going to call it the corporate,
00:27:51.964 --> 00:27:53.026
whatever is like, no,
00:27:53.066 --> 00:27:53.846
like you're capped out.
00:27:53.865 --> 00:27:54.165
That's it.
00:27:54.186 --> 00:27:55.227
And then they were like, all right, well,
00:27:55.247 --> 00:27:55.606
screw you.
00:27:55.747 --> 00:27:56.106
I'm out.
00:27:56.387 --> 00:27:57.627
I'm going to take myself.
00:27:57.847 --> 00:27:58.989
I'm going to go open up a shingle,
00:27:59.729 --> 00:28:00.710
open up a private practice
00:28:00.750 --> 00:28:01.670
nearby that I mean,
00:28:01.890 --> 00:28:03.250
that's I don't understand
00:28:03.290 --> 00:28:05.372
how it's different now than you're right.
00:28:05.392 --> 00:28:06.192
There was no social media.
00:28:06.212 --> 00:28:06.512
There was no.
00:28:07.333 --> 00:28:09.055
You couldn't have an Instagram account.
00:28:09.174 --> 00:28:10.155
There was no YouTube.
00:28:10.175 --> 00:28:11.215
There was no videos.
00:28:11.256 --> 00:28:13.317
There was no digital footprint.
00:28:13.577 --> 00:28:14.318
But back then,
00:28:14.378 --> 00:28:17.662
the in-person word of mouth
00:28:17.701 --> 00:28:18.942
and the in-person footprint
00:28:19.002 --> 00:28:20.003
was the main thing.
00:28:20.124 --> 00:28:22.385
That was like, of course, there was no,
00:28:22.846 --> 00:28:23.366
I mean, there was,
00:28:23.386 --> 00:28:24.488
I was about to say Yelp.
00:28:24.728 --> 00:28:26.890
There was the Yellow Pages.
00:28:27.289 --> 00:28:28.131
Anyone watching this is
00:28:28.151 --> 00:28:29.511
probably knowing and
00:28:29.531 --> 00:28:30.792
remembers the Yellow Pages.
00:28:30.972 --> 00:28:32.835
The Yellow Pages, they were passive.
00:28:34.307 --> 00:28:35.548
I can now be in front of you.
00:28:35.628 --> 00:28:36.430
And I'm not saying like
00:28:36.450 --> 00:28:37.692
people didn't go get referrals.
00:28:38.112 --> 00:28:39.314
That was a way.
00:28:39.834 --> 00:28:41.155
But if I want to have a lifestyle,
00:28:41.195 --> 00:28:42.176
there's there's just more
00:28:42.238 --> 00:28:43.740
ways to be able to support that.
00:28:44.039 --> 00:28:45.201
I want to give this much
00:28:45.281 --> 00:28:47.324
effort to get this much to
00:28:47.344 --> 00:28:48.265
get this many patients.
00:28:49.076 --> 00:28:50.477
Because if you were doing that,
00:28:50.557 --> 00:28:53.378
I had to just be the PT for
00:28:53.398 --> 00:28:54.099
this one doctor.
00:28:54.339 --> 00:28:55.059
And the minute that doctor
00:28:55.079 --> 00:28:56.260
stopped referring to me, I was dead.
00:28:56.361 --> 00:28:56.721
Correct.
00:28:56.942 --> 00:28:58.982
So I interviewed a while ago,
00:28:59.502 --> 00:29:02.384
maybe last year, Ben, oh my God,
00:29:02.424 --> 00:29:03.385
from Star Physical Therapy
00:29:03.405 --> 00:29:03.885
in New York City.
00:29:03.905 --> 00:29:06.347
They sold to Motion PT, but they had,
00:29:06.688 --> 00:29:07.308
and they still have,
00:29:07.628 --> 00:29:08.710
the biggest square footage
00:29:08.910 --> 00:29:11.251
practice in Manhattan, in New York City.
00:29:11.872 --> 00:29:13.973
The biggest practice that's
00:29:14.114 --> 00:29:15.255
not affiliated with any
00:29:15.654 --> 00:29:16.935
Rusk or NYU or whatever.
00:29:17.016 --> 00:29:18.016
So they...
00:29:19.196 --> 00:29:20.478
They left the hospital.
00:29:22.279 --> 00:29:23.641
Ben Gelfand, I remember,
00:29:23.701 --> 00:29:24.741
Ben Gelfand and Mike Fox,
00:29:24.761 --> 00:29:26.423
they left the hospital jobs that they had,
00:29:27.003 --> 00:29:27.984
and they were so good.
00:29:28.005 --> 00:29:30.106
They had such a good reputation,
00:29:30.207 --> 00:29:30.968
such good word of mouth
00:29:30.988 --> 00:29:33.309
from all the hospital-based physicians.
00:29:33.369 --> 00:29:34.310
They went out on their own.
00:29:34.691 --> 00:29:35.832
They told all the surgeons
00:29:35.852 --> 00:29:36.893
and all the physicians, hey,
00:29:37.773 --> 00:29:38.334
we love you guys,
00:29:38.354 --> 00:29:39.494
but we're going out on our own.
00:29:39.515 --> 00:29:40.875
We're going to make a go of it.
00:29:43.278 --> 00:29:44.700
This was twenty, twenty-five years ago,
00:29:44.720 --> 00:29:45.560
maybe thirty years ago.
00:29:46.280 --> 00:29:47.261
way before the internet.
00:29:47.922 --> 00:29:48.442
And they got,
00:29:48.582 --> 00:29:49.541
they had all the word of
00:29:49.561 --> 00:29:50.522
mouth from the physicians.
00:29:50.542 --> 00:29:52.042
So the mass,
00:29:52.263 --> 00:29:53.483
the masses of patients seeing
00:29:53.523 --> 00:29:56.984
all these Mount Sinai, HSS, you know, NYU,
00:29:57.065 --> 00:30:00.666
whatever physicians refer to them.
00:30:00.846 --> 00:30:02.126
And that's how they built their practice.
00:30:02.647 --> 00:30:03.548
And it's public knowledge
00:30:03.587 --> 00:30:04.848
that then he made like
00:30:04.909 --> 00:30:06.209
seven million dollars, you know,
00:30:06.229 --> 00:30:06.909
selling his practice.
00:30:06.949 --> 00:30:09.549
So it absolutely happened
00:30:09.730 --> 00:30:10.550
with the word of mouth,
00:30:10.570 --> 00:30:12.111
like the patient to
00:30:12.171 --> 00:30:13.872
physician marketing and all that before.
00:30:13.912 --> 00:30:14.813
How long did they practice
00:30:14.833 --> 00:30:15.633
before they did that job?
00:30:18.763 --> 00:30:20.685
I think it was maybe a good
00:30:20.826 --> 00:30:22.146
five or ten years before.
00:30:22.907 --> 00:30:24.648
So they worked somewhere for
00:30:24.689 --> 00:30:26.911
five or ten years, probably, most likely.
00:30:26.951 --> 00:30:28.192
That's a lot.
00:30:28.332 --> 00:30:29.353
Sam chiming in saying,
00:30:29.513 --> 00:30:30.554
he's talking about Fox, I believe.
00:30:30.994 --> 00:30:32.415
They got the culture down, then scaled.
00:30:32.756 --> 00:30:33.717
Not scaled, then scaled.
00:30:33.737 --> 00:30:36.980
You can't do it the second way.
00:30:37.559 --> 00:30:39.221
The second way, I love this example,
00:30:39.241 --> 00:30:40.182
because this comes up a lot.
00:30:41.619 --> 00:30:42.342
I baked a cake,
00:30:42.682 --> 00:30:44.744
baked a birthday cake for a friend.
00:30:45.185 --> 00:30:45.886
At the last minute,
00:30:45.926 --> 00:30:47.068
I realized I didn't put any
00:30:47.128 --> 00:30:48.211
sugar in the mix.
00:30:48.570 --> 00:30:50.273
So I just threw five times
00:30:50.294 --> 00:30:51.375
as much sugar on top.
00:30:51.816 --> 00:30:52.257
And it'll take time.
00:30:54.683 --> 00:30:58.285
You have to bake it inside first.
00:30:58.484 --> 00:30:59.726
You cannot do it the other way.
00:30:59.865 --> 00:31:00.705
It does not taste.
00:31:00.986 --> 00:31:01.726
It's not the same thing.
00:31:01.746 --> 00:31:02.906
People will eat that cake and be like,
00:31:03.207 --> 00:31:04.787
well, it called for three cups of sugar.
00:31:04.866 --> 00:31:05.667
I did fifteen.
00:31:05.748 --> 00:31:06.867
It should be.
00:31:06.887 --> 00:31:08.208
The icing was a sugar bomb
00:31:08.307 --> 00:31:09.628
and then inside was bland.
00:31:09.929 --> 00:31:10.648
It doesn't work.
00:31:10.888 --> 00:31:11.910
And people will recognize it.
00:31:11.930 --> 00:31:12.049
Like,
00:31:12.109 --> 00:31:13.289
I don't know what I don't like about it,
00:31:13.369 --> 00:31:14.130
but it sucks.
00:31:14.150 --> 00:31:15.290
I don't know what you did here,
00:31:15.550 --> 00:31:16.050
but it sucks.
00:31:17.250 --> 00:31:17.651
All right.
00:31:17.750 --> 00:31:19.172
Real quick with Sam Kellecate.
00:31:19.211 --> 00:31:22.153
So he's a physical therapist in Sam.
00:31:22.232 --> 00:31:23.853
I can't remember if you left
00:31:23.873 --> 00:31:24.673
Philly and I think you
00:31:24.692 --> 00:31:25.432
moved to South Jersey,
00:31:25.452 --> 00:31:27.773
but he's from we play.
00:31:27.834 --> 00:31:27.973
Yeah,
00:31:28.013 --> 00:31:29.795
we played baseball together growing up.
00:31:30.434 --> 00:31:31.355
We went to the same hit
00:31:31.394 --> 00:31:33.536
doctor indoor training facility.
00:31:33.875 --> 00:31:34.715
And then like years later,
00:31:34.736 --> 00:31:35.576
he becomes a physical therapist.
00:31:35.596 --> 00:31:36.635
I couldn't believe it was amazing.
00:31:37.215 --> 00:31:39.237
We talk all the time and I'm
00:31:39.257 --> 00:31:40.356
going to have him on my show.
00:31:40.416 --> 00:31:42.538
And I also want him in the coming weeks.
00:31:43.038 --> 00:31:43.939
to come on here live.
00:31:43.979 --> 00:31:44.920
He agreed to come on here
00:31:44.960 --> 00:31:47.222
live with you and Tony as a
00:31:47.303 --> 00:31:48.765
sidebar right now because
00:31:48.865 --> 00:31:51.548
he has done some digital
00:31:51.567 --> 00:31:53.550
programs where he's
00:31:53.611 --> 00:31:54.692
charging patients and
00:31:54.731 --> 00:31:55.593
clients like multiple
00:31:55.613 --> 00:31:56.334
thousands of dollars.
00:31:56.374 --> 00:31:57.476
It's usually around like
00:31:57.516 --> 00:31:58.977
headaches and migraines, I believe.
00:31:59.218 --> 00:31:59.778
Very niche.
00:32:00.419 --> 00:32:01.180
Yeah, very niche.
00:32:02.160 --> 00:32:04.142
He gets great referrals from
00:32:04.923 --> 00:32:05.782
neurologists and other
00:32:05.803 --> 00:32:06.723
folks that specialize in
00:32:06.763 --> 00:32:07.664
headaches and migraines.
00:32:08.125 --> 00:32:09.246
And I always, you know,
00:32:09.266 --> 00:32:10.626
I always come on here and I
00:32:10.826 --> 00:32:12.147
poke Tony and I bash the
00:32:12.167 --> 00:32:13.789
whole digital stuff and the
00:32:13.829 --> 00:32:14.789
virtual care and all that.
00:32:15.351 --> 00:32:16.311
And then Sam, you know,
00:32:16.352 --> 00:32:17.952
sends me a DM on Instagram
00:32:18.012 --> 00:32:19.074
or a text message or whatever.
00:32:19.334 --> 00:32:21.935
What was he saying?
00:32:21.976 --> 00:32:22.415
Clinic in Philly.
00:32:22.435 --> 00:32:23.497
Yeah, live in New Jersey.
00:32:23.517 --> 00:32:24.958
So yeah, he's back in South Jersey.
00:32:25.057 --> 00:32:25.219
Okay.
00:32:25.838 --> 00:32:26.299
That's what I thought.
00:32:26.359 --> 00:32:28.121
OK, so in the coming weeks,
00:32:28.141 --> 00:32:28.682
we're going to have him
00:32:28.701 --> 00:32:29.923
back on all four of us.
00:32:30.223 --> 00:32:30.963
You know, Tony,
00:32:31.565 --> 00:32:33.366
Tony will be able to have
00:32:33.467 --> 00:32:34.548
one under his belt in terms
00:32:34.567 --> 00:32:36.710
of another therapist doing
00:32:36.750 --> 00:32:39.713
virtual coaching and virtual care,
00:32:39.733 --> 00:32:40.433
whatever you want to call it.
00:32:40.453 --> 00:32:41.536
But I can't wait to have him
00:32:41.635 --> 00:32:42.696
on and share what he's doing.
00:32:43.096 --> 00:32:46.099
Where in the world is Tony Meritato?
00:32:46.119 --> 00:32:47.321
I don't know.
00:32:48.431 --> 00:32:50.132
Oh, that I thought I was like,
00:32:50.152 --> 00:32:51.452
what is this like?
00:32:51.732 --> 00:32:52.053
Italy?
00:32:52.113 --> 00:32:54.193
Is this?
00:32:54.914 --> 00:32:59.836
Tony, have you been elected Pope?
00:32:59.876 --> 00:33:01.077
Have we seen white smoke?
00:33:01.097 --> 00:33:02.178
Have we gotten?
00:33:02.198 --> 00:33:04.480
If you're not, if you're not watching.
00:33:04.559 --> 00:33:06.200
I thought it was black smoke.
00:33:06.279 --> 00:33:07.080
It's white smoke.
00:33:08.190 --> 00:33:09.230
Black is no good, right?
00:33:09.250 --> 00:33:10.010
Is that what they don't have?
00:33:10.030 --> 00:33:10.652
I don't know.
00:33:10.711 --> 00:33:12.813
I haven't watched the Tom Hanks movie,
00:33:13.673 --> 00:33:14.515
Da Vinci Code, in a while.
00:33:15.115 --> 00:33:16.155
Or Conclave.
00:33:16.596 --> 00:33:17.656
He's not at the Vatican.
00:33:18.258 --> 00:33:19.778
He is at... He's not at the Vatican.
00:33:20.038 --> 00:33:21.059
That must be a Smithsonian.
00:33:21.901 --> 00:33:23.162
He's... The Meritato.
00:33:23.281 --> 00:33:24.923
No, that's the Washington Monument.
00:33:25.163 --> 00:33:25.903
Washington, yep.
00:33:25.983 --> 00:33:26.805
Now, today,
00:33:26.845 --> 00:33:28.666
being renamed the Meritato Monument.
00:33:28.967 --> 00:33:30.268
Meritato Monument.
00:33:30.587 --> 00:33:31.328
It looks very good.
00:33:32.289 --> 00:33:33.410
All right,
00:33:33.530 --> 00:33:34.651
so we got ten minutes because I
00:33:34.671 --> 00:33:35.471
got to go play in a golf
00:33:35.491 --> 00:33:36.153
tournament today.
00:33:37.271 --> 00:33:38.292
Oh, lucky you.
00:33:38.553 --> 00:33:39.873
That's why I'm wearing my golf shirt.
00:33:40.153 --> 00:33:41.713
I don't do polos very often,
00:33:41.773 --> 00:33:42.734
but I do sometimes.
00:33:44.575 --> 00:33:45.915
So here's something we want to talk about.
00:33:45.935 --> 00:33:47.997
So I have an intro for Steal This segment.
00:33:48.396 --> 00:33:49.617
It took me eleven or twelve
00:33:49.657 --> 00:33:50.577
minutes to make this intro,
00:33:50.617 --> 00:33:51.298
so I'm going to play.
00:33:57.141 --> 00:33:57.461
That's it.
00:33:57.580 --> 00:33:58.281
Steal This strategy.
00:33:58.622 --> 00:33:59.942
So I think the strategy goes
00:33:59.981 --> 00:34:01.482
along with the big topic today,
00:34:01.542 --> 00:34:02.864
which is opposites.
00:34:03.626 --> 00:34:06.270
I think five, ten years ago when COVID hit,
00:34:06.310 --> 00:34:09.695
we were forced to go digital and virtual.
00:34:10.655 --> 00:34:12.038
I think we've hit peak Zoom.
00:34:12.217 --> 00:34:13.599
In fact, yesterday,
00:34:14.909 --> 00:34:16.090
They retired Skype.
00:34:17.192 --> 00:34:18.853
Skype was a verb.
00:34:18.873 --> 00:34:19.634
Skype is dead.
00:34:19.653 --> 00:34:20.295
It's no longer.
00:34:20.414 --> 00:34:21.335
Zoom is still around.
00:34:21.416 --> 00:34:21.896
Who owned that?
00:34:21.936 --> 00:34:22.297
Microsoft?
00:34:22.336 --> 00:34:23.097
Microsoft, yeah.
00:34:23.378 --> 00:34:24.119
They sunset.
00:34:24.139 --> 00:34:24.980
Because now they have Teams.
00:34:25.099 --> 00:34:25.481
So, of course,
00:34:25.501 --> 00:34:26.581
they're not going to keep Skype around.
00:34:26.621 --> 00:34:27.623
But, yeah, we just sunset.
00:34:27.643 --> 00:34:29.085
And half the audience just went,
00:34:29.284 --> 00:34:30.246
what the hell is a Skype?
00:34:31.226 --> 00:34:32.027
Nobody wants another
00:34:32.128 --> 00:34:33.568
eight-hour virtual summit.
00:34:34.130 --> 00:34:35.670
with bad slides nobody wants
00:34:35.710 --> 00:34:36.811
that nobody wants to come
00:34:36.851 --> 00:34:38.432
to your webinar which we
00:34:38.572 --> 00:34:40.054
all know is a thinly veiled
00:34:40.114 --> 00:34:41.175
sales pitch to buy your
00:34:41.235 --> 00:34:42.155
coaching or to buy your
00:34:42.195 --> 00:34:43.876
product so the question is
00:34:44.438 --> 00:34:45.418
what's winning now or
00:34:45.458 --> 00:34:46.199
what's going to be winning
00:34:46.619 --> 00:34:47.559
three six nine twelve
00:34:47.599 --> 00:34:49.782
months from now I think it
00:34:49.842 --> 00:34:51.844
is curated real life micro
00:34:51.884 --> 00:34:54.085
events that actually in the
00:34:54.125 --> 00:34:55.246
room create trust buzz
00:34:55.266 --> 00:34:57.307
loyalty fast listen
00:34:58.137 --> 00:34:58.817
In the sixties,
00:34:59.056 --> 00:35:00.097
there were these pants and
00:35:00.117 --> 00:35:00.717
they were called bell
00:35:00.757 --> 00:35:02.097
bottoms and everybody wore
00:35:02.117 --> 00:35:03.657
them until everybody wore
00:35:03.677 --> 00:35:04.498
them and then they weren't
00:35:04.539 --> 00:35:05.559
cool anymore and you
00:35:05.579 --> 00:35:07.239
couldn't wear them until a
00:35:07.259 --> 00:35:08.019
couple of years ago,
00:35:08.320 --> 00:35:09.380
bell bottoms were back in
00:35:09.579 --> 00:35:10.380
and they were everywhere
00:35:10.679 --> 00:35:11.559
until they were everywhere
00:35:11.579 --> 00:35:12.320
and then we're back in.
00:35:12.641 --> 00:35:13.581
The world's a pendulum,
00:35:13.860 --> 00:35:14.940
I need you to understand that.
00:35:15.260 --> 00:35:17.061
So I'm looking at this and saying,
00:35:17.762 --> 00:35:18.764
Zoom fatigue is real.
00:35:18.804 --> 00:35:19.405
I don't even think you need
00:35:19.425 --> 00:35:20.547
to... That's not a debate.
00:35:20.726 --> 00:35:22.469
Like webinar fatigue, less engagement.
00:35:22.610 --> 00:35:23.492
Everybody wants a connection
00:35:23.512 --> 00:35:24.132
that feels real.
00:35:24.592 --> 00:35:28.440
This is why UGC, user-generated content...
00:35:30.590 --> 00:35:31.791
is being shared more.
00:35:32.512 --> 00:35:33.753
It might eventually go out,
00:35:33.773 --> 00:35:34.893
but right now it's the thing.
00:35:35.153 --> 00:35:36.835
We're not looking for a
00:35:36.934 --> 00:35:38.396
Marvel or Avengers level
00:35:38.675 --> 00:35:40.036
quality video all the time,
00:35:40.117 --> 00:35:41.257
sometimes when it's appropriate.
00:35:41.838 --> 00:35:43.139
So what I'm saying is,
00:35:43.199 --> 00:35:44.820
how could you use this in your business?
00:35:45.521 --> 00:35:45.981
I'm saying,
00:35:46.101 --> 00:35:46.802
instead of trying to get a
00:35:46.842 --> 00:35:47.461
hundred people on your
00:35:47.521 --> 00:35:48.623
webinar for your clinic or
00:35:48.643 --> 00:35:49.422
your business or your
00:35:49.463 --> 00:35:50.923
podcast or anything you're trying to sell,
00:35:51.784 --> 00:35:53.425
think fifteen to thirty people.
00:35:54.570 --> 00:35:55.411
the right people,
00:35:56.231 --> 00:35:58.231
the right psychographic and
00:35:58.271 --> 00:36:00.333
demographic for who you want to talk to.
00:36:00.353 --> 00:36:01.753
So that requires you thinking,
00:36:01.773 --> 00:36:03.253
not just get as many people
00:36:03.293 --> 00:36:04.114
as you want in a room and
00:36:04.173 --> 00:36:05.655
hope one of those things hits,
00:36:06.175 --> 00:36:07.994
to have higher value conversations.
00:36:08.014 --> 00:36:09.115
It doesn't mean you need to
00:36:09.135 --> 00:36:10.396
be selling something that's
00:36:11.376 --> 00:36:12.757
valued at thirty thousand dollars.
00:36:13.036 --> 00:36:14.356
These are higher value on
00:36:14.416 --> 00:36:16.257
your part and their part conversations.
00:36:16.818 --> 00:36:18.422
More dinner party, less trade show.
00:36:18.804 --> 00:36:19.043
Tony,
00:36:19.123 --> 00:36:20.809
I kicked that idea to you yesterday
00:36:20.969 --> 00:36:21.972
and I still owe you video
00:36:21.992 --> 00:36:23.135
clips from when you came here.
00:36:23.195 --> 00:36:24.860
I just remembered that we shot that thing
00:36:27.014 --> 00:36:27.494
Yeah, yeah, yeah.
00:36:27.514 --> 00:36:27.673
My couch.
00:36:27.755 --> 00:36:28.534
Beautiful living room.
00:36:28.614 --> 00:36:29.096
It was great.
00:36:29.476 --> 00:36:30.157
I was trying.
00:36:30.177 --> 00:36:31.016
The problem was we hit
00:36:31.077 --> 00:36:32.137
record and we talked for
00:36:32.157 --> 00:36:33.119
like an hour and a half.
00:36:33.398 --> 00:36:34.599
And then I tried to upload
00:36:34.900 --> 00:36:36.461
ninety minute long video clips.
00:36:36.561 --> 00:36:37.842
And my editor kept saying,
00:36:37.902 --> 00:36:38.523
I'm not getting them.
00:36:38.563 --> 00:36:38.923
And I'm like,
00:36:39.623 --> 00:36:40.684
so I'm going to hand deliver those.
00:36:40.764 --> 00:36:41.405
So I will get those.
00:36:41.445 --> 00:36:41.686
We will.
00:36:43.047 --> 00:36:44.728
They're the lost sessions.
00:36:45.548 --> 00:36:46.050
Yeah, that was.
00:36:46.730 --> 00:36:47.851
Did Connie have some of those?
00:36:48.050 --> 00:36:49.231
The lost mixtape?
00:36:49.773 --> 00:36:50.614
The lost sessions.
00:36:50.634 --> 00:36:53.235
Or Jay-Z or Dave Chappelle or something?
00:36:53.255 --> 00:36:53.335
Yeah.
00:36:53.815 --> 00:36:54.617
So back to the idea,
00:36:54.697 --> 00:36:55.677
how could you use this?
00:36:55.697 --> 00:36:56.978
So if you're like, yeah, man, I get it.
00:36:57.077 --> 00:36:57.597
I agree.
00:36:57.697 --> 00:36:59.259
So this is what I like to notice.
00:36:59.278 --> 00:36:59.398
Like,
00:36:59.478 --> 00:37:00.940
what are the big brands doing and how
00:37:00.960 --> 00:37:01.820
do you steal the strategy?
00:37:01.840 --> 00:37:02.860
That's the point of this whole segment,
00:37:02.880 --> 00:37:04.141
which is if we know that
00:37:04.222 --> 00:37:05.181
Zoom fatigue is real,
00:37:05.442 --> 00:37:06.103
how do you play with it?
00:37:06.563 --> 00:37:07.824
Even if you weren't doing webinars,
00:37:07.844 --> 00:37:09.123
it doesn't mean stop doing webinars.
00:37:09.204 --> 00:37:10.465
It's like notice what the
00:37:10.505 --> 00:37:11.766
world is tired of.
00:37:12.545 --> 00:37:13.347
Give them the opposite.
00:37:13.527 --> 00:37:15.028
If the world is tired of bell bottoms,
00:37:15.108 --> 00:37:17.110
give them skinny jeans, right?
00:37:17.371 --> 00:37:19.273
B, go to skinny jeans first.
00:37:19.773 --> 00:37:21.597
So my idea for Dave,
00:37:21.617 --> 00:37:23.539
and then we can expound upon this, was,
00:37:23.858 --> 00:37:26.501
hey, who are you?
00:37:26.521 --> 00:37:27.684
So who are you looking to talk to?
00:37:27.903 --> 00:37:28.545
You're in New York.
00:37:28.724 --> 00:37:30.106
I'm just up the street from New York.
00:37:30.367 --> 00:37:31.487
Who are you looking to talk to?
00:37:31.507 --> 00:37:32.208
Who are your people?
00:37:33.938 --> 00:37:35.721
Clinicians, practice owners.
00:37:36.260 --> 00:37:37.121
No, practice owners.
00:37:37.161 --> 00:37:38.943
So I know we mentioned,
00:37:38.963 --> 00:37:39.905
can we mention a few names?
00:37:40.005 --> 00:37:41.126
I'll mention a few names
00:37:41.146 --> 00:37:42.907
that I want to meet in the city.
00:37:42.947 --> 00:37:43.688
And I think you could maybe
00:37:43.708 --> 00:37:44.170
help me with it.
00:37:45.271 --> 00:37:47.072
so dan dan ruttenberg ceo of
00:37:47.092 --> 00:37:48.492
spear they have I don't
00:37:48.512 --> 00:37:50.052
even know close to fifty
00:37:50.072 --> 00:37:52.333
locations he started he
00:37:52.373 --> 00:37:53.634
started with one obviously
00:37:53.733 --> 00:37:54.614
he was like the same thing
00:37:54.994 --> 00:37:56.275
hospital based job I
00:37:56.295 --> 00:37:57.115
believe and then went out
00:37:57.235 --> 00:38:00.056
on his own um so dan
00:38:00.097 --> 00:38:01.516
ruttenberg is one and and
00:38:01.637 --> 00:38:03.018
really I'd love to meet
00:38:03.077 --> 00:38:04.117
practice owners that have
00:38:04.137 --> 00:38:06.039
uh I mean most of the
00:38:06.259 --> 00:38:06.998
practice owners that have a
00:38:07.059 --> 00:38:08.659
solo location I pretty much know them all
00:38:08.920 --> 00:38:09.940
So the ones that have like
00:38:10.021 --> 00:38:12.442
two to five or five to ten-ish,
00:38:12.541 --> 00:38:13.882
like the ones that I don't know,
00:38:13.942 --> 00:38:14.641
I would love to meet them.
00:38:14.663 --> 00:38:16.862
Like Paul Zion that owns
00:38:16.902 --> 00:38:17.684
Zion Physical Therapy.
00:38:17.704 --> 00:38:19.844
I think they have like five locations,
00:38:19.885 --> 00:38:22.005
like four in the city or New York area,
00:38:22.106 --> 00:38:22.786
one in Connecticut.
00:38:23.126 --> 00:38:24.586
There's owners like that, that like,
00:38:25.407 --> 00:38:27.588
I'd be, I would love to meet, uh,
00:38:27.608 --> 00:38:28.467
break some bread with,
00:38:28.648 --> 00:38:29.507
and then at the same time,
00:38:29.547 --> 00:38:30.648
like if we do it together
00:38:30.768 --> 00:38:32.528
and maybe it's some, a fellow's collab,
00:38:33.009 --> 00:38:34.748
then you get, you get, you get some,
00:38:34.869 --> 00:38:35.730
you get in front of them at
00:38:35.750 --> 00:38:36.329
the same time.
00:38:36.610 --> 00:38:37.750
And we do it in a way that's
00:38:37.769 --> 00:38:38.409
very authentic.
00:38:38.449 --> 00:38:40.030
We can, you, you pitched,
00:38:40.530 --> 00:38:42.371
we maybe do like a little chat,
00:38:42.391 --> 00:38:42.972
little interview.
00:38:43.012 --> 00:38:43.952
We record it, whatever.
00:38:43.992 --> 00:38:44.871
We can kind of talk about
00:38:44.911 --> 00:38:45.692
the same stuff here.
00:38:45.972 --> 00:38:46.652
Like, you know,
00:38:46.893 --> 00:38:48.193
reimbursement issues and
00:38:48.293 --> 00:38:49.253
staffing and hiring.
00:38:49.353 --> 00:38:51.193
And like, we all have the same challenges.
00:38:51.474 --> 00:38:52.353
Who's doing it better.
00:38:53.922 --> 00:38:55.302
You know what I mean?
00:38:55.322 --> 00:38:56.782
Like, hey, how are you solving this?
00:38:57.302 --> 00:38:57.922
So this is,
00:38:57.963 --> 00:38:59.103
we're going through this paradigm.
00:38:59.143 --> 00:39:02.543
You just described your who and their what,
00:39:02.603 --> 00:39:04.043
that yellow part of that Venn diagram.
00:39:04.143 --> 00:39:05.045
What are their problems?
00:39:05.085 --> 00:39:05.824
What are their whatever?
00:39:06.244 --> 00:39:08.244
And then their next question is like, well,
00:39:08.264 --> 00:39:09.286
what do you bring to the table?
00:39:09.306 --> 00:39:10.565
It's like, well, we have an audience,
00:39:10.786 --> 00:39:11.186
number one,
00:39:11.226 --> 00:39:12.405
so we can record some of this stuff.
00:39:12.626 --> 00:39:14.746
If you want exposure to other PTs, great.
00:39:15.086 --> 00:39:15.666
Even if you don't,
00:39:16.146 --> 00:39:16.987
what we're doing is we're
00:39:17.007 --> 00:39:18.568
saying we're doing the work of getting,
00:39:18.588 --> 00:39:19.847
I mean,
00:39:19.867 --> 00:39:21.108
we can't take a hundred people to
00:39:21.128 --> 00:39:22.409
dinner in New York City.
00:39:23.728 --> 00:39:24.309
You can take a hundred
00:39:24.329 --> 00:39:24.949
people to dinner for the
00:39:24.969 --> 00:39:25.929
same budget in Iowa,
00:39:26.050 --> 00:39:26.630
but you cannot take a
00:39:26.670 --> 00:39:27.351
hundred people to dinner.
00:39:27.371 --> 00:39:28.532
You can take two people to
00:39:28.552 --> 00:39:30.393
dinner in New York city, the same budget.
00:39:30.492 --> 00:39:31.313
We should go to Iowa.
00:39:31.833 --> 00:39:33.014
We would slay in Iowa.
00:39:33.114 --> 00:39:34.056
We always make fun of Iowa.
00:39:34.076 --> 00:39:34.976
We should do a show in Iowa
00:39:34.996 --> 00:39:35.577
to say thank you.
00:39:35.916 --> 00:39:36.896
But the question here is in
00:39:36.936 --> 00:39:38.157
the middle of that Venn diagram is like,
00:39:38.237 --> 00:39:39.539
why is someone like Dan
00:39:39.559 --> 00:39:41.840
Rutenberg or Dutch Rojas or
00:39:41.900 --> 00:39:42.380
practice owners?
00:39:42.400 --> 00:39:43.221
Like we're just naming people,
00:39:43.260 --> 00:39:44.601
but like it's the person we
00:39:44.681 --> 00:39:45.282
don't know yet.
00:39:46.239 --> 00:39:47.420
That's who we want to meet too.
00:39:47.699 --> 00:39:48.400
That fits that.
00:39:48.760 --> 00:39:49.561
Let's come together.
00:39:50.021 --> 00:39:51.400
Even if you're not going to necessarily,
00:39:51.641 --> 00:39:52.422
and I'm using air quotes here,
00:39:52.581 --> 00:39:53.581
buy what we're selling.
00:39:53.922 --> 00:39:57.643
The funny part is success usually comes,
00:39:57.842 --> 00:39:58.902
the road is people.
00:39:59.402 --> 00:40:00.023
You network.
00:40:00.063 --> 00:40:01.204
This is why you're networking.
00:40:01.463 --> 00:40:02.744
The idea isn't network to
00:40:02.784 --> 00:40:04.385
have a little number under
00:40:04.425 --> 00:40:05.985
your picture on LinkedIn that's high.
00:40:06.204 --> 00:40:08.025
Look how many followers that person has.
00:40:08.306 --> 00:40:09.485
No, you're doing it wrong.
00:40:10.085 --> 00:40:11.485
I'd rather have five hundred
00:40:11.545 --> 00:40:12.226
really good tight
00:40:12.266 --> 00:40:13.166
connections that people
00:40:13.186 --> 00:40:14.146
that I get value from and
00:40:14.186 --> 00:40:15.708
give value to than five
00:40:15.748 --> 00:40:16.827
thousand people that sort
00:40:16.847 --> 00:40:17.387
of know who I am.
00:40:17.708 --> 00:40:18.527
So that's the idea,
00:40:18.568 --> 00:40:19.909
which is could we do a
00:40:19.989 --> 00:40:21.128
dinner in New York?
00:40:21.489 --> 00:40:22.289
We should do it before the
00:40:22.329 --> 00:40:23.269
summer because no one wants to.
00:40:23.429 --> 00:40:24.449
Everybody gets out of the
00:40:24.469 --> 00:40:25.030
city in the summer.
00:40:25.050 --> 00:40:25.190
Right.
00:40:25.769 --> 00:40:26.050
True.
00:40:26.170 --> 00:40:26.391
True.
00:40:26.650 --> 00:40:28.251
The west side of Manhattan.
00:40:28.271 --> 00:40:29.431
Could we do it around?
00:40:29.610 --> 00:40:30.871
And then my question is,
00:40:30.891 --> 00:40:31.811
it would be fun to do like
00:40:31.911 --> 00:40:33.672
a video session that people walk away.
00:40:33.893 --> 00:40:34.132
Listen,
00:40:34.652 --> 00:40:36.512
you got some great content video clips.
00:40:36.733 --> 00:40:37.213
They're yours.
00:40:37.313 --> 00:40:38.034
Keep them whatever.
00:40:38.914 --> 00:40:40.255
But then there's that elbow rub.
00:40:40.275 --> 00:40:41.534
Who are you sitting next to at dinner?
00:40:41.735 --> 00:40:42.416
Who are we meeting?
00:40:42.976 --> 00:40:44.456
And that person you meet in
00:40:44.556 --> 00:40:46.097
twenty twenty five in
00:40:46.137 --> 00:40:47.057
twenty twenty eight.
00:40:47.077 --> 00:40:48.018
You're like, you know what?
00:40:48.117 --> 00:40:48.918
That person, you know,
00:40:48.958 --> 00:40:50.259
we could now that person is
00:40:50.298 --> 00:40:51.519
done is doing this thing.
00:40:51.539 --> 00:40:53.101
We could connect and it's wild.
00:40:53.221 --> 00:40:55.101
So I want to try that.
00:40:55.282 --> 00:40:56.202
I think it's a good idea.
00:40:56.362 --> 00:40:57.222
I stole this idea.
00:40:57.242 --> 00:40:58.543
It's called steal this strategy.
00:40:58.802 --> 00:41:00.164
I'm stealing this idea from someone else.
00:41:01.244 --> 00:41:02.025
Picasso said.
00:41:02.929 --> 00:41:05.170
Good artists borrow, great artists steal.
00:41:05.331 --> 00:41:06.610
So that is my suggestion.
00:41:06.690 --> 00:41:09.512
Small, curated for clinic owners.
00:41:09.552 --> 00:41:10.052
It could be,
00:41:10.172 --> 00:41:13.092
I want to take ten parents in
00:41:13.112 --> 00:41:14.753
my area out for dinner.
00:41:15.713 --> 00:41:16.833
Parents of baseball players.
00:41:17.313 --> 00:41:18.474
I want to understand what
00:41:18.534 --> 00:41:19.554
travel ball is really like.
00:41:19.795 --> 00:41:20.394
Why don't you tell me?
00:41:20.675 --> 00:41:21.436
What are the problems you're
00:41:21.456 --> 00:41:21.916
seeing with it?
00:41:22.036 --> 00:41:23.476
If you want to treat baseball players.
00:41:23.835 --> 00:41:25.336
It seems like if there's no
00:41:25.376 --> 00:41:27.516
conversion at dinner, there might not be.
00:41:27.797 --> 00:41:28.797
But there could be a whole
00:41:28.818 --> 00:41:29.478
lot of conversion.
00:41:29.958 --> 00:41:31.137
down the line so that is
00:41:31.157 --> 00:41:32.438
down the line for steel
00:41:33.219 --> 00:41:36.119
slow play the slow play all
00:41:36.139 --> 00:41:36.980
right I gotta go play golf
00:41:37.159 --> 00:41:38.981
poorly so parting shots
00:41:39.280 --> 00:41:40.001
what does dave have for
00:41:40.021 --> 00:41:42.081
parting shots are you I
00:41:42.101 --> 00:41:42.742
don't want to break any
00:41:42.782 --> 00:41:43.822
rules here I have this
00:41:43.882 --> 00:41:45.063
funny post from uncaged
00:41:45.103 --> 00:41:46.822
clinician can I as my
00:41:46.842 --> 00:41:47.842
parting shot can I read
00:41:47.882 --> 00:41:49.724
this yeah and foreshadow
00:41:49.764 --> 00:41:50.724
that we will break this
00:41:50.764 --> 00:41:52.465
down and respond to it on a
00:41:52.485 --> 00:41:53.784
future episode yes do you
00:41:53.804 --> 00:41:54.565
want me to show the image
00:41:54.585 --> 00:41:55.266
is this the image that we
00:41:55.286 --> 00:41:55.826
were sharing or no
00:41:58.858 --> 00:42:00.798
The one about the cameras in the clinic?
00:42:01.039 --> 00:42:01.599
Show it real quick.
00:42:01.739 --> 00:42:02.159
Is it that?
00:42:03.061 --> 00:42:03.740
No, no, no.
00:42:04.942 --> 00:42:05.402
No, it's not.
00:42:05.422 --> 00:42:05.461
No.
00:42:05.501 --> 00:42:05.641
Okay.
00:42:05.661 --> 00:42:05.702
No,
00:42:05.842 --> 00:42:07.563
then I don't know what you're talking
00:42:07.583 --> 00:42:07.764
about.
00:42:07.784 --> 00:42:08.003
Go ahead.
00:42:08.023 --> 00:42:08.644
I didn't send it.
00:42:08.664 --> 00:42:08.905
All right.
00:42:09.065 --> 00:42:10.485
So Uncaged Clinician Facebook group.
00:42:10.885 --> 00:42:13.027
This is a post that is a
00:42:13.047 --> 00:42:13.887
little interesting and I
00:42:13.907 --> 00:42:14.889
think we could break it down.
00:42:15.309 --> 00:42:16.449
Love it.
00:42:16.489 --> 00:42:17.050
So here's the post.
00:42:18.449 --> 00:42:19.030
I worked at a private
00:42:19.070 --> 00:42:19.911
practice that had about
00:42:20.010 --> 00:42:21.172
four cameras in the open
00:42:21.211 --> 00:42:22.192
gym treatment area.
00:42:22.771 --> 00:42:24.333
I was wondering if they need
00:42:24.373 --> 00:42:25.414
to inform patients they
00:42:25.434 --> 00:42:27.434
have cameras or even the staff members.
00:42:28.175 --> 00:42:29.115
I asked because one of the
00:42:29.195 --> 00:42:30.335
owners was texting me
00:42:30.376 --> 00:42:32.077
before I was ready to leave.
00:42:32.498 --> 00:42:35.699
I ignored it as I needed to
00:42:35.719 --> 00:42:37.860
be somewhere and left the
00:42:37.920 --> 00:42:39.101
clinic after my shift.
00:42:39.440 --> 00:42:40.081
The next day,
00:42:40.822 --> 00:42:41.963
They basically used the
00:42:42.043 --> 00:42:44.605
video to tell me they saw me sitting,
00:42:45.085 --> 00:42:46.166
talking to the front desk
00:42:46.186 --> 00:42:48.106
person and looking on my phone.
00:42:48.487 --> 00:42:50.889
I told them, the owners of the practice,
00:42:51.949 --> 00:42:53.269
I told them I didn't see
00:42:53.309 --> 00:42:54.251
their text at the time,
00:42:54.851 --> 00:42:55.492
which I only saw the
00:42:55.532 --> 00:42:56.532
notification of the text,
00:42:56.932 --> 00:42:58.434
just wondering if this is legal.
00:42:59.467 --> 00:43:00.349
Now, first of all,
00:43:00.449 --> 00:43:02.110
it is legal to have in most states,
00:43:02.150 --> 00:43:02.550
I think,
00:43:03.030 --> 00:43:05.733
to have cameras in the open gym area.
00:43:06.313 --> 00:43:07.715
And maybe they require a
00:43:07.775 --> 00:43:08.934
certain sign or it's just
00:43:09.016 --> 00:43:10.277
it's in the open area.
00:43:10.297 --> 00:43:11.838
We're not talking about the private rooms,
00:43:11.858 --> 00:43:14.199
which I think is not legal
00:43:14.280 --> 00:43:16.300
or you need like written or
00:43:16.380 --> 00:43:18.342
express consideration or whatever.
00:43:19.324 --> 00:43:19.543
But.
00:43:21.202 --> 00:43:22.483
that's the post.
00:43:22.503 --> 00:43:23.083
I, we don't have time.
00:43:23.103 --> 00:43:24.664
You got to run, but that's something,
00:43:24.684 --> 00:43:25.045
that's something,
00:43:25.065 --> 00:43:26.206
that's something for all of
00:43:26.246 --> 00:43:26.726
us to break down.
00:43:26.746 --> 00:43:27.646
It made me think, you know,
00:43:27.666 --> 00:43:28.467
when there's like a hockey
00:43:28.487 --> 00:43:30.027
game or an NFL game and
00:43:30.047 --> 00:43:30.989
there's like a call and
00:43:31.009 --> 00:43:32.309
then they just like automatically,
00:43:32.349 --> 00:43:34.050
like they're like, here's the play.
00:43:34.351 --> 00:43:35.110
And they bring in some
00:43:35.150 --> 00:43:37.032
retired referee and they're like,
00:43:37.072 --> 00:43:37.873
what do you, and they're like,
00:43:38.012 --> 00:43:38.914
before the call is made,
00:43:38.934 --> 00:43:41.094
we need a lawyer on speed
00:43:41.135 --> 00:43:43.936
diet and be like, okay, Hey,
00:43:43.956 --> 00:43:45.056
we're talking, what's the deal?
00:43:45.077 --> 00:43:46.077
And they're gonna be like, all right, well,
00:43:46.097 --> 00:43:46.858
what state is it?
00:43:46.898 --> 00:43:47.759
I need to see where the camera,
00:43:47.778 --> 00:43:48.760
like we need like real,
00:43:49.744 --> 00:43:51.244
So I'll just preface this by saying,
00:43:51.846 --> 00:43:53.447
I'll hold my take, but I have a hot,
00:43:53.507 --> 00:43:55.289
I have a very hot take on that.
00:43:55.349 --> 00:43:56.650
I want to just go right in there too.
00:43:56.670 --> 00:43:57.530
We'll do it, Tony.
00:43:57.630 --> 00:43:58.632
All right.
00:43:58.652 --> 00:44:02.235
Parting shot is pick your heart, you know,
00:44:02.275 --> 00:44:03.376
and it could be, listen,
00:44:03.436 --> 00:44:04.577
I want to go work for a big clinic.
00:44:04.697 --> 00:44:05.119
I want to have,
00:44:05.518 --> 00:44:06.239
I know I'm going into that
00:44:06.260 --> 00:44:07.019
with less flexibility,
00:44:07.039 --> 00:44:07.780
but more stability.
00:44:08.021 --> 00:44:08.942
We'll want to have a lot of
00:44:08.981 --> 00:44:10.222
flexibility with no stability.
00:44:10.443 --> 00:44:11.824
This is hips and shoulders.
00:44:11.844 --> 00:44:12.965
I did hips and shoulders.
00:44:12.985 --> 00:44:13.525
This is a shoulder.
00:44:13.606 --> 00:44:14.007
This is a hip.
00:44:14.067 --> 00:44:14.967
I know, but Joyce, I promise.
00:44:15.387 --> 00:44:16.989
But understand what it is
00:44:17.028 --> 00:44:17.949
before you get into it.
00:44:17.989 --> 00:44:19.190
Because if you get into it, you're like,
00:44:19.210 --> 00:44:20.130
this isn't what I thought.
00:44:20.471 --> 00:44:21.190
You didn't ask.
00:44:21.570 --> 00:44:22.291
These things are very
00:44:22.351 --> 00:44:23.371
obvious and very transparent.
00:44:23.391 --> 00:44:23.992
If you're going to work for
00:44:24.012 --> 00:44:24.793
a big organization,
00:44:25.052 --> 00:44:26.594
there's some flexibility in
00:44:26.653 --> 00:44:29.675
terms of growth and a lot of stability.
00:44:29.695 --> 00:44:31.476
So you're sacrificing one for another.
00:44:31.556 --> 00:44:32.556
And there's a happy medium.
00:44:32.597 --> 00:44:35.518
And which one is good depends on you.
00:44:36.278 --> 00:44:38.039
Your great might be my awful
00:44:38.099 --> 00:44:38.840
and vice versa.
00:44:39.101 --> 00:44:40.882
So understand, pick your hard.
00:44:42.001 --> 00:44:42.943
All this stuff's going to be hard.
00:44:43.847 --> 00:44:44.387
It's going to be a lot
00:44:44.407 --> 00:44:45.509
easier to stomach and get
00:44:45.528 --> 00:44:47.250
out of bed and do when you
00:44:47.309 --> 00:44:48.351
like that particular heart.
00:44:49.331 --> 00:44:50.753
Tony is back and he'll be
00:44:50.773 --> 00:44:52.733
wearing his papal helmet
00:44:52.773 --> 00:44:55.054
since he has apparently been elected.
00:44:56.315 --> 00:44:58.938
He's been elected Pope.
00:44:59.418 --> 00:45:01.559
He is touching up the Sistine Chapel,
00:45:01.619 --> 00:45:02.320
it looks like there.
00:45:02.340 --> 00:45:04.402
He's just putting touches on the artwork.
00:45:05.762 --> 00:45:07.864
Or as I saw someone do in a
00:45:08.003 --> 00:45:09.505
comment of that photo, they were like,
00:45:09.784 --> 00:45:11.065
is this a subtle ad for
00:45:11.166 --> 00:45:11.947
nose hair trimmers?
00:45:11.967 --> 00:45:12.987
Because you nailed it.
00:45:13.047 --> 00:45:13.748
Like, so I think.
00:45:15.030 --> 00:45:15.710
We wish you well.
00:45:15.931 --> 00:45:17.233
Have fun at the Capitol there.
00:45:17.514 --> 00:45:19.538
And we'll see you guys on Tuesday.
00:45:19.617 --> 00:45:21.041
And I will report how many
00:45:21.081 --> 00:45:22.664
golf balls I lost at this
00:45:22.704 --> 00:45:23.244
golf tournament.