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WEBVTT

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Sounds buttery.

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Dude, I'm beat.

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Dave Kittle.

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I'm Jimmy McKay.

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Tony Maritato.

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He's on a prior off call or something.

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I don't know.

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He was on the camera and then also

00:00:27.551 --> 00:00:28.753
he's like, hang on, I'll be right back.

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And I'm like, that didn't look good.

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There he is.

00:00:30.434 --> 00:00:30.833
There he is.

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There he is.

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He's on a call.

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Dude, I'm beat.

00:00:36.037 --> 00:00:38.060
I... Because the Yankees got knocked out?

00:00:38.159 --> 00:00:39.140
They got knocked out, right?

00:00:39.600 --> 00:00:39.881
Did they?

00:00:39.941 --> 00:00:40.521
I went to sleep.

00:00:40.561 --> 00:00:40.902
I don't know.

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I think so.

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Probably.

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I mean, you're down O-two.

00:00:46.307 --> 00:00:46.567
Um,

00:00:47.567 --> 00:00:49.448
I travel a lot like for work or

00:00:49.488 --> 00:00:50.969
for, I don't know, cause I'm weird.

00:00:51.289 --> 00:00:52.970
And I don't think I realized that I

00:00:52.990 --> 00:00:54.731
was traveling for the last three straight

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weeks,

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including like me doing the live stream

00:00:58.634 --> 00:01:00.716
while I was scootering along the Hudson

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river.

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Was that yesterday?

00:01:01.817 --> 00:01:02.896
Two days ago, two days ago.

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And someone messaged me and they're like,

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what are you doing?

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And I'm like, I don't know.

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Like to just, you guys were like,

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that'd be funny.

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I'm like, that is funny.

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Let's do that.

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Um, so I'm beat.

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but we do have PPS coming up.

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I was talking about that with Tony.

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He was like, he was asking, Hey,

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are you going to PPS?

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And I'm like, yeah, my role at prompt,

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of course I'm going to be a PPS,

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but I usually go to that thing anyway.

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And I'm like, are you going?

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He's like, no, I'm like,

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I thought he was like leading to

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something.

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Like he was going to crash.

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We were all going to do it together

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or something like that.

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So why were you asking?

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Were you just curious if I was going

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to go to PPS?

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um cara the occupational therapist asked

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if i was going and i was like

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when is it where is it and it

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just it reminds me it goes back to

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like you and i went to the dc

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one i had an amazing time saw some

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old friends like people that got me

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started in the business right

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But I'm just thinking the three of us

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are relatively involved.

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And I still couldn't tell you that PPS,

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when it was, where it was,

00:02:01.885 --> 00:02:02.887
what's going on with it.

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I don't see anything in my social feeds.

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I don't hear anybody really talking about

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it.

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That was the first time somebody brought

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it up.

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It's October.

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This was yesterday, October seventh.

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And I think PPS is like mid-November,

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early November.

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One month on my birthday, November.

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No kidding.

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Yeah, so anyway, point being, we just,

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you know,

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how is it possible in today's day and

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age?

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I don't know about that until the last

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minute.

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I won't say who it was.

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Am I feeding back?

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Is that my speaker or someone's speaker?

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I won't say who it was because that's

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the quickest way to get people to have

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to tell you stuff.

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But they were like,

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if you've been to two PPSs,

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you're good.

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Like, you know what I mean?

00:02:45.646 --> 00:02:46.206
Like there's an,

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there's an A and a B.

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I talked to someone the other day who

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was, and I won't say who,

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because this was disrespectful.

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He was essentially giving me his

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presentation pitch and it was fantastic.

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And I didn't see it anywhere on the

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PPS lineup.

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And I'm like, how'd you get rejected?

00:03:00.419 --> 00:03:00.741
And he's like,

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not only did we get rejected this year,

00:03:02.762 --> 00:03:04.804
we got rejected last year and his lineup

00:03:04.824 --> 00:03:05.564
was loaded,

00:03:06.445 --> 00:03:07.887
which is not why you should get accepted.

00:03:07.926 --> 00:03:08.287
It's not.

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His lineup was loaded with people who do

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the thing and the thing they're talking

00:03:13.264 --> 00:03:14.465
about no one else is talking about,

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in my mind.

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Had to do with money and hiring,

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which people should pay attention to.

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So I sort of offered,

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let's do it on off.

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We're going to be there.

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There's more people not at PPS than are

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at PPS.

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And I'm going to have a phone and

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a laptop and a camera and a microphone.

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What's to stop me from broadcasting live

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in the lobby?

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Try and stop me, right?

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I'm pirate radio, right?

00:03:42.256 --> 00:03:43.437
I'll bring the Jolly Roger,

00:03:43.477 --> 00:03:45.397
the Skull and Crossbones, Jimmy McKay,

00:03:46.098 --> 00:03:47.959
pirate PT radio.

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You can't stop me.

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You can only hope to contain me,

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SportsCenter reference.

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But here's the thing.

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I've been to a few APTA conferences in

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the last few weeks.

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I was just telling Dave, I'm beat.

00:03:58.872 --> 00:03:59.712
Three weekends in a row.

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I did Florida,

00:04:00.573 --> 00:04:02.133
Nashville for the Chad Madden thing,

00:04:02.514 --> 00:04:03.493
APTA Colorado.

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And then somebody was like,

00:04:05.094 --> 00:04:06.155
another state wants you to come.

00:04:06.235 --> 00:04:07.876
I'm doing Virginia in a couple of weeks.

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Cool.

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I love it.

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But the other three hundred and sixty four

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days of the year,

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people are able to get stuff.

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And I'm not just saying it's us.

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It's it's it's everywhere.

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Right.

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Does that.

00:04:20.278 --> 00:04:23.259
deflate why people would people go to APTA

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things or anything in person and then what

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do you do about it if you're the

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association that isn't your value property

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more I don't see Dave running to an

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APTA New York event in the city I

00:04:35.485 --> 00:04:36.726
don't even know if they have them I

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literally talked to someone from APTA New

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York and they were like Mike why don't

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you guys ever have your conference in the

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city and they're like it's too expensive

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and I go yeah it's also a lot

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cooler like

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I love Albany and all, but who's like,

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where are you going on your honeymoon?

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Albany.

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No one.

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No one says that for a reason, right?

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So I don't understand the value prop for

00:04:56.519 --> 00:04:57.279
a lot of these things.

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I'm trying to,

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but I think it's a lot of pomp

00:05:00.262 --> 00:05:01.562
with not a lot of circumstance.

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The socialization gatherings is up.

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I don't know if you guys wanted to

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Google it.

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There's different sources,

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whether it's like meetup.com or some of

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these other platforms,

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whether it's Gen Z or it's just other

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folks that are maybe middle-aged or older,

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but in our current environment,

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for whatever reason,

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like multiple reasons,

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maybe it's still like the rebound effect

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from COVID.

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Maybe part of that is some of that.

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So going back to why people...

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why practice owners want to go to PPS.

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And the same thing as why anyone would

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want to go to some of these in-person

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things is because, I mean,

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there's always multiple reasons,

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but as business owners, practice owners,

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sometimes a lot of it is very,

00:05:46.434 --> 00:05:47.675
individual or isolating.

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It can be when I have issues or

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challenges with certain team members,

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which thankfully is not that often.

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But no one other than another business

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owner understands what I'm going through.

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Agreed.

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Not even my wife.

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She understands how frustrated I might be

00:06:03.783 --> 00:06:04.944
from something.

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But if you go to PPS,

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Then I can commiserate.

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I can socialize.

00:06:09.927 --> 00:06:11.327
Maybe I get a little bit of research.

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Maybe I get a little bit of,

00:06:13.127 --> 00:06:14.149
you know, like the party thing.

00:06:14.189 --> 00:06:15.488
Jimmy McKay is going to throw a party

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or whatever.

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Then I get to see I get to

00:06:17.750 --> 00:06:19.331
meet people like I still haven't met Tony

00:06:19.370 --> 00:06:20.230
Maritato in person.

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Ridiculous.

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Right.

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So I get to meet some people in

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person.

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There's all these reasons to meet in

00:06:25.112 --> 00:06:25.572
person.

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And I think it's all great.

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But the caveat is.

00:06:31.103 --> 00:06:33.485
going and not having like an objective,

00:06:33.507 --> 00:06:34.887
just going for like whatever,

00:06:35.148 --> 00:06:36.348
like if you don't have an objective,

00:06:36.369 --> 00:06:39.312
then I believe that part of these types

00:06:39.333 --> 00:06:41.033
of things could be a form of

00:06:41.214 --> 00:06:43.096
procrastination, just like an audio book,

00:06:43.115 --> 00:06:44.298
a podcast, all that,

00:06:44.798 --> 00:06:45.718
then you're complaining about

00:06:45.778 --> 00:06:47.120
reimbursement or payment or not getting

00:06:47.141 --> 00:06:48.721
any more new patients or hiring or all

00:06:48.742 --> 00:06:49.322
this type of stuff.

00:06:49.822 --> 00:06:50.463
And it's like, well,

00:06:51.404 --> 00:06:52.846
Have you been obsessive about the things

00:06:52.865 --> 00:06:53.706
that will actually move the needle?

00:06:53.725 --> 00:06:54.086
Like me,

00:06:54.125 --> 00:06:56.146
where I go on LinkedIn and do fifty

00:06:56.166 --> 00:06:57.867
to one hundred cold DMs manually.

00:06:58.466 --> 00:06:59.028
Yeah.

00:06:59.108 --> 00:07:00.908
Or send out or send out these letters

00:07:00.947 --> 00:07:02.788
to physical therapists at the place where

00:07:02.829 --> 00:07:03.908
they work to try to recruit them.

00:07:04.149 --> 00:07:04.809
Like who's doing this?

00:07:05.250 --> 00:07:05.829
Right.

00:07:05.949 --> 00:07:07.870
Someone someone commented on your letters

00:07:07.951 --> 00:07:10.130
and they called it diabolical,

00:07:10.211 --> 00:07:10.810
which I love.

00:07:10.831 --> 00:07:11.271
They were like,

00:07:11.632 --> 00:07:14.892
that is such a crazy good idea because

00:07:14.932 --> 00:07:15.072
it's.

00:07:16.434 --> 00:07:19.096
It's like no one can stop you.

00:07:19.297 --> 00:07:19.937
I love it.

00:07:19.997 --> 00:07:21.478
And even if you bat one percent,

00:07:21.519 --> 00:07:24.060
it's still like well beyond worth it.

00:07:24.636 --> 00:07:26.096
Quick comment on that before I kick it

00:07:26.117 --> 00:07:26.557
over to Tony.

00:07:27.177 --> 00:07:29.019
There was eighteen people last week.

00:07:29.100 --> 00:07:30.600
I sent I sent this to eighteen physical

00:07:30.620 --> 00:07:31.040
therapists.

00:07:31.060 --> 00:07:31.101
OK,

00:07:32.201 --> 00:07:36.466
one of them yesterday looked at my

00:07:36.665 --> 00:07:38.447
LinkedIn profile because it tells me the

00:07:38.487 --> 00:07:38.767
name of the.

00:07:38.788 --> 00:07:39.088
Wow.

00:07:39.108 --> 00:07:40.348
You're tracking that.

00:07:40.369 --> 00:07:41.771
You're tracking that now.

00:07:41.790 --> 00:07:43.732
So I send out eighteen,

00:07:43.752 --> 00:07:45.814
but I get one person that pulled their

00:07:45.853 --> 00:07:46.795
LinkedIn app up.

00:07:47.555 --> 00:07:49.137
Are you are you saying I messaged this

00:07:49.197 --> 00:07:50.137
guy like a while ago?

00:07:50.538 --> 00:07:50.677
Right.

00:07:50.718 --> 00:07:52.119
Who is this guy?

00:07:52.218 --> 00:07:53.199
He went into LinkedIn,

00:07:53.339 --> 00:07:55.002
probably searched either his messages or

00:07:55.062 --> 00:07:56.343
my name in the search bar and then

00:07:56.403 --> 00:07:57.504
looked at my profile from there.

00:07:57.564 --> 00:07:58.944
So it's like, hey,

00:07:59.165 --> 00:08:00.365
we're getting some movement.

00:08:00.386 --> 00:08:01.367
We're getting something.

00:08:02.367 --> 00:08:03.869
Tony, what were you going to say?

00:08:03.949 --> 00:08:05.089
I was going to ask you, Jimmy,

00:08:05.209 --> 00:08:07.471
are you doing October sixteenth or

00:08:07.512 --> 00:08:12.396
November sixth in Virginia?

00:08:12.435 --> 00:08:13.076
November sixth.

00:08:13.197 --> 00:08:14.218
What's October sixteenth?

00:08:15.483 --> 00:08:17.425
Uh, just as, uh, APTA,

00:08:17.485 --> 00:08:19.846
Virginia networking, social,

00:08:20.627 --> 00:08:21.788
they have their annual conference.

00:08:22.208 --> 00:08:23.309
Cause here's the honest truth.

00:08:23.369 --> 00:08:24.670
And I just posted about this the other

00:08:24.709 --> 00:08:24.930
day.

00:08:24.970 --> 00:08:26.872
Like, I don't know about you guys, but.

00:08:27.923 --> 00:08:29.865
I get asked to, like, speak at things,

00:08:30.225 --> 00:08:30.925
and then people are like,

00:08:31.285 --> 00:08:32.004
we don't have a budget.

00:08:32.085 --> 00:08:32.445
And I'm like,

00:08:32.605 --> 00:08:36.086
I'm not flying to Spokane on my dime

00:08:36.405 --> 00:08:37.765
to speak for sixty minutes.

00:08:38.067 --> 00:08:39.486
I'm like, you do realize that, like,

00:08:39.506 --> 00:08:40.626
as soon as I leave my couch,

00:08:40.787 --> 00:08:41.366
I'm on you.

00:08:42.207 --> 00:08:43.427
And I had to put together that talk

00:08:43.447 --> 00:08:45.168
that you wanted was custom, right?

00:08:45.528 --> 00:08:46.969
Well, we just want you to riff.

00:08:47.089 --> 00:08:47.349
I'm like,

00:08:47.489 --> 00:08:49.849
I can riff now because I've been

00:08:50.129 --> 00:08:52.570
collecting stories and ideas for two and a

00:08:52.590 --> 00:08:54.791
half decades, and I'm able to do it.

00:08:54.811 --> 00:08:55.890
You still got to pay for the riff.

00:08:56.390 --> 00:08:58.371
You pay for the two and a half

00:08:58.412 --> 00:08:59.292
decades worth of riff.

00:08:59.351 --> 00:09:01.033
The prep and the pre-riff.

00:09:01.052 --> 00:09:01.893
Correct.

00:09:02.072 --> 00:09:02.613
And the travel.

00:09:02.673 --> 00:09:03.994
Oh, yeah.

00:09:04.033 --> 00:09:05.214
And I've been doing this ridiculous

00:09:05.234 --> 00:09:06.595
podcast for eleven years.

00:09:06.674 --> 00:09:08.534
That's why I met her.

00:09:08.735 --> 00:09:09.696
And here's my other kicker.

00:09:09.716 --> 00:09:10.796
This is why I was writing my LinkedIn

00:09:10.836 --> 00:09:11.056
post.

00:09:11.615 --> 00:09:12.657
I still practice.

00:09:13.836 --> 00:09:14.798
I could go cold.

00:09:14.977 --> 00:09:15.317
I could.

00:09:15.538 --> 00:09:16.278
You guys know this.

00:09:16.318 --> 00:09:17.159
You guys could go cold.

00:09:17.799 --> 00:09:21.923
I still practice because I want to slay.

00:09:22.703 --> 00:09:23.504
But my point is,

00:09:23.705 --> 00:09:26.287
unless I'm getting on a stage, I mean,

00:09:26.366 --> 00:09:27.528
it's nice to be in the room.

00:09:27.587 --> 00:09:28.668
But if there's no point for me,

00:09:29.370 --> 00:09:30.549
I can sit on my couch and touch

00:09:30.590 --> 00:09:32.172
more people with you guys.

00:09:32.572 --> 00:09:33.773
And I can go have a Pop-Tart when

00:09:33.793 --> 00:09:34.212
I'm done.

00:09:34.653 --> 00:09:35.374
And you know me.

00:09:35.433 --> 00:09:36.455
I love being in the room.

00:09:36.715 --> 00:09:38.716
But the juice sometimes ain't worth the

00:09:38.756 --> 00:09:39.256
squeeze.

00:09:39.898 --> 00:09:41.038
Now, hold on a second.

00:09:41.058 --> 00:09:42.200
I want to play off what Dave said.

00:09:43.263 --> 00:09:43.942
If that's true,

00:09:43.982 --> 00:09:45.144
and I think it is in terms of

00:09:45.183 --> 00:09:46.625
people want to be in person more,

00:09:47.184 --> 00:09:49.066
then the APTA chapters and academies

00:09:49.326 --> 00:09:50.226
should have an advantage,

00:09:50.506 --> 00:09:53.008
except they don't structure it right.

00:09:53.168 --> 00:09:54.389
Because look at what Tony just said.

00:09:54.729 --> 00:09:56.169
I want to go and talk to people.

00:09:56.190 --> 00:09:56.830
And Dave said,

00:09:56.850 --> 00:09:57.971
I want to learn from other people and

00:09:58.010 --> 00:09:59.030
see how they're solving problems.

00:09:59.350 --> 00:10:00.392
But then you go to PPS,

00:10:00.892 --> 00:10:02.092
and it's classes all day.

00:10:02.332 --> 00:10:03.634
It's sit down and shut the hell up.

00:10:03.874 --> 00:10:04.953
It's be in the room with all the

00:10:04.974 --> 00:10:05.835
people you want to talk to,

00:10:05.875 --> 00:10:07.855
but please don't disturb the presentation.

00:10:08.395 --> 00:10:10.476
Guys, this is the Seattle Seahawks.

00:10:10.496 --> 00:10:11.496
You got to the one-yard line,

00:10:11.517 --> 00:10:13.517
you had Marshawn Lynch, and you passed.

00:10:13.697 --> 00:10:14.317
What are we doing?

00:10:14.538 --> 00:10:15.518
Hand Marshawn the ball.

00:10:15.758 --> 00:10:16.878
Get people in the room,

00:10:17.239 --> 00:10:18.879
do a twelve-minute presentation,

00:10:19.239 --> 00:10:20.739
and then do this.

00:10:20.940 --> 00:10:21.500
Do this.

00:10:21.860 --> 00:10:23.080
Why are presentations set up as

00:10:23.100 --> 00:10:23.620
presentations?

00:10:23.899 --> 00:10:25.740
Make them radio shows, you nitwits.

00:10:27.523 --> 00:10:28.082
You could just, yeah,

00:10:28.102 --> 00:10:29.364
you could have a whole bunch of breakout

00:10:29.403 --> 00:10:30.583
sessions and have, you know,

00:10:30.644 --> 00:10:31.764
moderators and all that.

00:10:31.845 --> 00:10:34.145
And then you're going to have, you know,

00:10:34.186 --> 00:10:35.647
imagine I get to be,

00:10:35.746 --> 00:10:36.826
if I was in like one of these

00:10:36.846 --> 00:10:38.368
groups and like Larry Benz is in the

00:10:38.408 --> 00:10:39.967
room and it's like eight practice owners,

00:10:40.028 --> 00:10:40.207
right?

00:10:40.268 --> 00:10:40.908
It's like, oh,

00:10:41.208 --> 00:10:42.589
I'm going to ask like a million questions.

00:10:42.690 --> 00:10:44.730
And maybe I'll say a couple of things

00:10:44.769 --> 00:10:46.410
of like the things that are working or

00:10:46.451 --> 00:10:47.191
not working for me.

00:10:47.211 --> 00:10:49.633
But it's also like I get to ask

00:10:49.692 --> 00:10:51.133
or be next to and rub elbows with

00:10:51.153 --> 00:10:53.614
someone who is like way further down the

00:10:53.634 --> 00:10:55.274
road building massive companies.

00:10:55.534 --> 00:10:56.654
You just proved my point.

00:10:56.835 --> 00:10:57.995
I was at the Chad Madden thing.

00:10:58.135 --> 00:10:59.155
Larry Benz was there.

00:10:59.316 --> 00:11:00.996
Obviously, I know Larry produces podcasts.

00:11:01.017 --> 00:11:02.216
The operator, you should check it out.

00:11:02.277 --> 00:11:02.677
It's ridiculous.

00:11:02.716 --> 00:11:03.817
It's like listening to Larry.

00:11:04.697 --> 00:11:06.278
Larry did an awesome presentation.

00:11:06.498 --> 00:11:07.339
Larry could riff.

00:11:07.698 --> 00:11:09.058
You could tell Larry practiced, though,

00:11:09.239 --> 00:11:10.178
this presentation.

00:11:11.159 --> 00:11:12.080
Then he was done.

00:11:12.279 --> 00:11:12.980
I looked at the clock.

00:11:13.000 --> 00:11:13.760
I'm in the back of the room,

00:11:13.780 --> 00:11:15.140
and I go, he's got ten minutes.

00:11:16.451 --> 00:11:19.232
I asked a poke the bear question that

00:11:19.273 --> 00:11:21.153
I knew Larry would love to tee off

00:11:21.234 --> 00:11:21.354
on.

00:11:21.933 --> 00:11:22.575
Next thing you know,

00:11:22.615 --> 00:11:23.955
there's sixty three questions.

00:11:24.635 --> 00:11:26.356
That's the magic, everybody.

00:11:26.716 --> 00:11:28.498
Larry's stuff was the prelude,

00:11:28.798 --> 00:11:31.019
but the real magic is the interaction.

00:11:31.339 --> 00:11:32.500
Presentation's nice,

00:11:32.519 --> 00:11:33.620
but conversation's better.

00:11:34.360 --> 00:11:35.322
So do you think,

00:11:35.522 --> 00:11:37.163
because there's plenty of examples out

00:11:37.183 --> 00:11:37.344
there,

00:11:37.384 --> 00:11:40.066
now I've never gone in person to like

00:11:41.027 --> 00:11:43.188
when ClickFunnels used to do their big

00:11:43.249 --> 00:11:45.370
event and all of these other big events

00:11:45.451 --> 00:11:45.871
out there,

00:11:46.351 --> 00:11:47.994
but do you think it's because the people

00:11:48.033 --> 00:11:51.376
doing this are so deep in academia where

00:11:51.777 --> 00:11:54.278
you sit, I talk, I'm the professor,

00:11:54.360 --> 00:11:56.140
you listen, you know,

00:11:56.500 --> 00:11:58.503
is that just the model that's stuck in

00:11:58.523 --> 00:11:58.923
their head?

00:11:59.571 --> 00:12:01.533
They don't understand what game they're

00:12:01.572 --> 00:12:01.994
playing.

00:12:02.173 --> 00:12:03.716
And I'm going to give kudos to people

00:12:03.855 --> 00:12:06.058
that I've been to their events.

00:12:06.119 --> 00:12:07.019
Love him or hate him.

00:12:07.120 --> 00:12:08.441
And he wants you to love him or

00:12:08.480 --> 00:12:08.761
hate him.

00:12:09.302 --> 00:12:13.086
Greg Todd knows how to throw an event.

00:12:13.126 --> 00:12:14.808
That's the word you just used.

00:12:16.291 --> 00:12:18.472
PPS and state chapter events are

00:12:18.552 --> 00:12:19.312
conferences.

00:12:19.613 --> 00:12:20.813
They are... Hang on,

00:12:20.833 --> 00:12:22.134
let me get my pinky up.

00:12:22.375 --> 00:12:24.677
They are symposiums.

00:12:24.937 --> 00:12:27.178
They are symposiums where you walk and you

00:12:27.278 --> 00:12:29.660
sit and here's my badge and doctor,

00:12:29.740 --> 00:12:31.341
doctor, doctor, doctor, I concur,

00:12:31.361 --> 00:12:31.861
do you concur?

00:12:32.222 --> 00:12:32.982
That's what that is.

00:12:33.442 --> 00:12:35.245
You go to a Greg Todd event or

00:12:35.264 --> 00:12:37.426
a Russell Brunson ClickFunnels event,

00:12:38.606 --> 00:12:40.067
there's five DJs,

00:12:40.148 --> 00:12:41.909
there's a lighting company, there's AV.

00:12:42.210 --> 00:12:43.210
It is a show...

00:12:44.349 --> 00:12:45.549
That touches your emotions.

00:12:45.990 --> 00:12:47.032
APTA State Chapters,

00:12:47.211 --> 00:12:49.134
the litmus test for getting in is you

00:12:49.173 --> 00:12:50.254
wrote a great paragraph.

00:12:50.375 --> 00:12:51.995
Sorry, sorry.

00:12:52.015 --> 00:12:53.658
ChatGPT wrote a great paragraph for your

00:12:53.717 --> 00:12:54.077
pitch.

00:12:54.399 --> 00:12:54.759
Great.

00:12:55.440 --> 00:12:57.361
And I wrote a post that actually Bill

00:12:57.402 --> 00:13:00.465
McGehee, APTA Speaker of the House,

00:13:00.884 --> 00:13:03.086
referenced before his talk in Colorado.

00:13:04.048 --> 00:13:04.989
It was a warm moment.

00:13:05.168 --> 00:13:05.649
And Bill goes,

00:13:05.668 --> 00:13:06.629
I'm about to give a presentation.

00:13:06.669 --> 00:13:07.570
I got Jimmy McCain in the back of

00:13:07.590 --> 00:13:08.730
the room saying most conference

00:13:08.750 --> 00:13:10.910
presentations are a D minus at best.

00:13:11.291 --> 00:13:13.451
Then Bill proceeded to drop an A

00:13:13.491 --> 00:13:16.393
presentation because he is the Speaker of

00:13:16.413 --> 00:13:16.732
the House.

00:13:16.753 --> 00:13:18.113
He understands how to hold a room.

00:13:19.173 --> 00:13:19.653
Most.

00:13:20.743 --> 00:13:24.284
most a giant majority do not being smart

00:13:24.525 --> 00:13:26.787
does not mean you're any good any good

00:13:27.067 --> 00:13:28.687
at giving the presentation and that's

00:13:28.707 --> 00:13:31.009
where we fall short expectation and

00:13:31.070 --> 00:13:33.431
reality are not the same so you get

00:13:33.490 --> 00:13:35.032
students all hyped up in the room they

00:13:35.052 --> 00:13:36.472
come and they're like this is worse than

00:13:36.513 --> 00:13:38.374
class and do you think they ever come

00:13:38.413 --> 00:13:40.615
back no you lose them before you ever

00:13:40.655 --> 00:13:42.557
gain them and you're saying maybe we'll

00:13:42.576 --> 00:13:44.538
make it cheaper for students no make it

00:13:44.597 --> 00:13:47.100
more awesome it doesn't have to be less

00:13:47.139 --> 00:13:48.341
expensive make it more awesome

00:13:49.501 --> 00:13:49.682
So yeah,

00:13:49.721 --> 00:13:52.082
I'm going to the November one in Virginia.

00:13:52.763 --> 00:13:53.743
I do have a quick question.

00:13:53.783 --> 00:13:55.043
I meant to bring this up the other

00:13:55.082 --> 00:13:55.464
day.

00:13:56.384 --> 00:14:00.625
I haven't heard anything about UPA, UPTA.

00:14:02.284 --> 00:14:02.846
What's going on?

00:14:03.145 --> 00:14:04.385
Like, where are they?

00:14:04.405 --> 00:14:05.225
What are they doing?

00:14:05.446 --> 00:14:07.006
Any, any word from Dave?

00:14:07.027 --> 00:14:08.726
Look at the look on Dave's face is

00:14:08.767 --> 00:14:10.368
like, I have things to say,

00:14:10.548 --> 00:14:11.748
but I'm not going to say them.

00:14:12.198 --> 00:14:12.599
No, no.

00:14:12.678 --> 00:14:12.919
I mean,

00:14:14.500 --> 00:14:16.243
I did see something a week or maybe

00:14:16.263 --> 00:14:18.845
last week that whatever they pay each

00:14:18.904 --> 00:14:20.706
other, like Scott and whoever,

00:14:21.226 --> 00:14:22.408
it's like a pretty modest.

00:14:22.589 --> 00:14:24.350
I think he gets like thirteen K or

00:14:24.370 --> 00:14:24.570
whatever,

00:14:24.590 --> 00:14:26.672
which like actually for a lot of his

00:14:26.731 --> 00:14:28.974
work and all the social media stuff like

00:14:29.455 --> 00:14:31.015
I think that's like I think that's still

00:14:31.115 --> 00:14:31.356
under.

00:14:31.517 --> 00:14:32.717
No, no, no, no.

00:14:32.758 --> 00:14:33.479
You misread.

00:14:34.392 --> 00:14:34.951
They take,

00:14:35.072 --> 00:14:37.173
I believe he said they take no money

00:14:37.312 --> 00:14:39.413
and he was throwing shade at the APTA

00:14:39.453 --> 00:14:41.774
board who gets fifteen thousand a year.

00:14:42.294 --> 00:14:43.615
But if you look at how many hours

00:14:43.635 --> 00:14:45.936
they put in is a joke,

00:14:46.576 --> 00:14:49.638
which I haven't said this because I'll

00:14:49.658 --> 00:14:50.638
have them on the show,

00:14:51.818 --> 00:14:53.038
but they're not going to have good

00:14:53.139 --> 00:14:54.059
answers, I don't think,

00:14:54.080 --> 00:14:54.620
but maybe they will.

00:14:56.687 --> 00:14:58.467
This is the same guy saying PT should

00:14:58.509 --> 00:15:00.269
be paid with their worth and also saying

00:15:00.289 --> 00:15:02.191
if someone volunteers a year's worth of

00:15:02.211 --> 00:15:05.173
their time, they should get paid nothing.

00:15:05.214 --> 00:15:06.134
I don't know how you talk out of

00:15:06.174 --> 00:15:07.416
both sides of your mouth on that one.

00:15:07.936 --> 00:15:09.878
We should get paid for our insights and

00:15:09.937 --> 00:15:10.437
our work.

00:15:10.557 --> 00:15:12.340
And also, if I get – oh,

00:15:12.379 --> 00:15:13.721
he's trying to get elected to APTA's

00:15:13.760 --> 00:15:14.020
board.

00:15:14.061 --> 00:15:18.664
He's trying to self-nominate himself.

00:15:19.205 --> 00:15:22.268
This is his soapbox, his ivory soapbox.

00:15:22.307 --> 00:15:24.308
If I get elected, I'll redonate.

00:15:24.389 --> 00:15:25.990
I'll donate back my stipend.

00:15:27.326 --> 00:15:29.008
Okay, you're very magnanimous,

00:15:29.967 --> 00:15:31.249
but what are you gonna do about it?

00:15:31.989 --> 00:15:33.289
In one of these Facebook groups here in

00:15:33.309 --> 00:15:33.850
New York City,

00:15:34.509 --> 00:15:35.451
my wife and I were in a bunch

00:15:35.471 --> 00:15:37.211
of these like mom and dad groups,

00:15:37.231 --> 00:15:38.552
like Manhattan, Brooklyn, whatever.

00:15:38.572 --> 00:15:39.873
And like one of the Manhattan ones,

00:15:40.472 --> 00:15:42.313
someone always posts about like trying to

00:15:42.333 --> 00:15:44.434
find a babysitter or babysitters are like

00:15:44.475 --> 00:15:46.495
posting to try to find gigs and stuff.

00:15:47.416 --> 00:15:51.061
And still the hourly rate is like twenty

00:15:51.081 --> 00:15:53.143
five dollars an hour or thirty dollars an

00:15:53.203 --> 00:15:54.585
hour, even in Manhattan.

00:15:54.785 --> 00:15:57.649
Now do dog walkers because the post said

00:15:57.708 --> 00:15:59.451
or the comment said, you know,

00:15:59.490 --> 00:16:01.333
that they this woman was like,

00:16:01.453 --> 00:16:03.255
I charge like twenty five dollars an hour

00:16:03.777 --> 00:16:05.318
or thirty dollars an hour if it's two

00:16:05.359 --> 00:16:05.719
kids.

00:16:06.460 --> 00:16:07.980
That's even in Manhattan, guys,

00:16:08.000 --> 00:16:10.121
which is wild because it's been that

00:16:10.182 --> 00:16:10.903
number forever.

00:16:10.942 --> 00:16:12.903
And the reason is this lady commented and

00:16:12.943 --> 00:16:13.183
said,

00:16:13.804 --> 00:16:16.647
because there's always someone that will

00:16:16.687 --> 00:16:17.746
do it for cheaper,

00:16:17.826 --> 00:16:18.827
that'll do it for less.

00:16:19.607 --> 00:16:22.049
That's just my comment there in terms of

00:16:22.590 --> 00:16:25.331
Scott Gardner, APTA,

00:16:25.552 --> 00:16:26.493
payment reimbursement.

00:16:26.732 --> 00:16:27.813
There's all these practices that are just

00:16:27.833 --> 00:16:29.695
going to take it and just continue to

00:16:29.835 --> 00:16:31.355
take and accept insurance because there's

00:16:31.375 --> 00:16:33.116
always practices that are going to accept

00:16:33.177 --> 00:16:34.437
it for less.

00:16:34.738 --> 00:16:36.078
whatever they're getting offered.

00:16:36.678 --> 00:16:37.558
And that, again,

00:16:37.619 --> 00:16:38.919
is why reimbursement is not going to

00:16:38.940 --> 00:16:39.120
change.

00:16:39.139 --> 00:16:40.019
I know we don't have to go through

00:16:40.041 --> 00:16:42.581
that whole route, but it doesn't matter.

00:16:42.682 --> 00:16:43.522
Unfortunately, it doesn't matter,

00:16:43.542 --> 00:16:44.062
in my opinion,

00:16:44.201 --> 00:16:45.682
who gets on the board or who doesn't.

00:16:46.082 --> 00:16:46.263
I mean,

00:16:46.342 --> 00:16:48.004
even if Scott became the president,

00:16:48.024 --> 00:16:50.565
the payment's not going to change,

00:16:50.706 --> 00:16:51.166
I don't think.

00:16:52.927 --> 00:16:54.506
But it's really easy to poke at, right?

00:16:54.547 --> 00:16:56.288
Just poke at someone's pain and go, well,

00:16:56.307 --> 00:16:57.008
they've been in charge.

00:16:57.028 --> 00:16:58.589
This is the playbook every four years in

00:16:58.649 --> 00:16:59.490
politics, right?

00:16:59.509 --> 00:17:00.070
Yeah.

00:17:00.350 --> 00:17:01.350
Do you dislike this?

00:17:01.471 --> 00:17:01.770
Yes.

00:17:01.831 --> 00:17:02.892
Well, we weren't in charge.

00:17:02.932 --> 00:17:04.313
Put us back in charge and we'll change

00:17:04.353 --> 00:17:04.413
it.

00:17:04.452 --> 00:17:05.513
It flops back and forth.

00:17:08.516 --> 00:17:09.876
So what do we want to talk about

00:17:10.257 --> 00:17:11.798
now that we just riffed for seventeen hot

00:17:11.837 --> 00:17:12.137
minutes?

00:17:12.578 --> 00:17:15.421
I want to get to your Instagram post,

00:17:15.441 --> 00:17:16.161
the carousel.

00:17:16.201 --> 00:17:18.442
But real quick, just a couple of minutes.

00:17:18.982 --> 00:17:23.946
The Utah AI prescribing physician story.

00:17:24.446 --> 00:17:25.607
AI?

00:17:25.748 --> 00:17:26.087
Yeah.

00:17:26.127 --> 00:17:27.970
So I think Dave shared it.

00:17:29.430 --> 00:17:31.751
I caught a video on TikTok this morning.

00:17:31.791 --> 00:17:32.471
So apparently,

00:17:32.511 --> 00:17:34.093
and I'm pretty sure I got it right,

00:17:34.673 --> 00:17:37.595
in Utah, they have the first AI,

00:17:37.835 --> 00:17:40.756
completely independent, no human involved,

00:17:41.296 --> 00:17:43.798
writing prescriptions for medication.

00:17:43.857 --> 00:17:48.099
Now, the caveat is it's a dermatologist,

00:17:48.319 --> 00:17:49.661
acne prescription.

00:17:50.101 --> 00:17:51.161
It's not narcotics.

00:17:51.201 --> 00:17:52.281
It's not life or death.

00:17:52.362 --> 00:17:55.903
It's not chemotherapy, but it is an AI.

00:17:56.804 --> 00:18:00.205
that is fully authorized to you upload a

00:18:00.246 --> 00:18:02.547
picture of your skin it analyzes the

00:18:02.586 --> 00:18:04.407
picture it determines if if you're an

00:18:04.428 --> 00:18:07.029
appropriate candidate for a medication and

00:18:07.049 --> 00:18:08.691
it writes a prescription for the

00:18:08.730 --> 00:18:12.292
medication to start treating acne with no

00:18:12.333 --> 00:18:14.653
human in the loop and the idea is

00:18:14.713 --> 00:18:16.895
that the story i heard this morning there

00:18:16.915 --> 00:18:19.136
were a bunch of counties in utah that

00:18:19.196 --> 00:18:21.557
don't even have a dermatologist available

00:18:21.857 --> 00:18:22.278
not like

00:18:22.858 --> 00:18:23.138
You know,

00:18:23.199 --> 00:18:25.642
this is better than there was nothing.

00:18:26.142 --> 00:18:28.724
So you go to this AI.

00:18:28.744 --> 00:18:30.605
This is the beginning, obviously.

00:18:31.247 --> 00:18:34.309
And what it said basically was, look,

00:18:34.329 --> 00:18:35.671
you're basically just following an

00:18:35.750 --> 00:18:36.191
algorithm.

00:18:36.230 --> 00:18:37.332
And I go back to me,

00:18:37.772 --> 00:18:40.154
me in this clinic every single day.

00:18:40.675 --> 00:18:41.957
I've got that student.

00:18:42.136 --> 00:18:43.617
She's been with us about a month.

00:18:44.058 --> 00:18:45.880
We've had about four cases,

00:18:45.940 --> 00:18:47.362
four different referrals.

00:18:48.446 --> 00:18:49.968
The similar background,

00:18:50.528 --> 00:18:53.191
they developed severe acute onset low back

00:18:53.230 --> 00:18:55.153
pain to the point where they went to

00:18:55.192 --> 00:18:56.775
the hospital emergency room.

00:18:57.695 --> 00:19:00.397
They were admitted, they were assessed,

00:19:01.019 --> 00:19:01.939
nothing was done.

00:19:02.359 --> 00:19:04.301
They were given muscle relaxers,

00:19:04.362 --> 00:19:06.544
pain medication, discharge to home,

00:19:06.604 --> 00:19:08.546
recommended trial physical therapy.

00:19:08.586 --> 00:19:09.967
If physical therapy fails,

00:19:10.366 --> 00:19:12.088
we'll do imaging, we'll do surgery.

00:19:13.991 --> 00:19:16.513
They fall into the category of some did

00:19:16.534 --> 00:19:17.534
better with flexion,

00:19:17.594 --> 00:19:19.155
some did better with extension,

00:19:19.195 --> 00:19:22.137
but it's a pretty typical presentation any

00:19:22.198 --> 00:19:23.778
of us would see in the clinic.

00:19:24.539 --> 00:19:27.922
They don't need the most intelligent

00:19:27.942 --> 00:19:29.782
physical therapist who understands all of

00:19:29.824 --> 00:19:31.684
the most recent clinical research.

00:19:32.105 --> 00:19:34.227
You just go through the algorithm,

00:19:34.727 --> 00:19:36.929
if this, then that, if that, then this,

00:19:36.989 --> 00:19:37.890
if this, then that.

00:19:38.690 --> 00:19:40.171
And at volume,

00:19:40.250 --> 00:19:42.692
at scale across three hundred and thirty

00:19:42.731 --> 00:19:44.511
million people in the United States,

00:19:45.133 --> 00:19:47.054
we don't have the health care providers

00:19:47.074 --> 00:19:48.314
who can go through that.

00:19:48.673 --> 00:19:50.115
So let the machines do it.

00:19:50.194 --> 00:19:52.296
And the ones that don't respond,

00:19:52.336 --> 00:19:53.976
because what are we doing right now?

00:19:54.276 --> 00:19:55.396
They're going to the ER.

00:19:55.517 --> 00:19:57.077
They're getting discharged with drugs.

00:19:57.478 --> 00:19:58.998
Some of them are going to come see

00:19:59.097 --> 00:19:59.238
us.

00:19:59.318 --> 00:20:00.358
Most of them are not.

00:20:00.439 --> 00:20:02.720
And they're just going to self-resolve

00:20:03.279 --> 00:20:04.780
back to the norm, you know.

00:20:05.580 --> 00:20:06.701
Yeah,

00:20:06.721 --> 00:20:08.462
this will be a fight because we've seen

00:20:08.482 --> 00:20:10.305
this before because it has to do with

00:20:10.424 --> 00:20:11.285
money and scope.

00:20:11.384 --> 00:20:12.105
And if I give an inch,

00:20:12.125 --> 00:20:13.047
you're going to want a yard.

00:20:13.507 --> 00:20:15.528
But if you but but if you honestly

00:20:15.567 --> 00:20:16.308
wanted to help people,

00:20:16.709 --> 00:20:18.269
I don't think I realized until a couple

00:20:18.289 --> 00:20:20.711
of years ago how often females have

00:20:20.872 --> 00:20:22.073
urinary tract infections,

00:20:22.492 --> 00:20:24.914
how insanely painful they are.

00:20:25.736 --> 00:20:27.797
And only recently now you can sort of

00:20:27.817 --> 00:20:29.577
like sign up for something similar where a

00:20:29.657 --> 00:20:31.160
doc will do like a telehealth visit.

00:20:31.839 --> 00:20:32.980
Because it's insanely,

00:20:33.040 --> 00:20:34.521
like some people are just built,

00:20:34.561 --> 00:20:35.403
like just the way they're built,

00:20:35.423 --> 00:20:37.144
like crazy painful.

00:20:37.523 --> 00:20:37.983
And like, oh,

00:20:38.003 --> 00:20:38.884
you just got to wait till you get

00:20:39.625 --> 00:20:41.086
an in-person with your PCP.

00:20:41.146 --> 00:20:43.748
And it's like, it's like a three second,

00:20:43.827 --> 00:20:45.730
it's like a four question checklist.

00:20:45.750 --> 00:20:46.170
Like you just said,

00:20:46.190 --> 00:20:47.570
it's now where they're like, yes, no, yes,

00:20:47.631 --> 00:20:47.871
no.

00:20:48.291 --> 00:20:49.913
And if you say those things-

00:20:50.353 --> 00:20:52.414
the person can get the meds like within

00:20:52.434 --> 00:20:53.016
the hour,

00:20:53.355 --> 00:20:55.038
but it's twenty twenty six and we're like,

00:20:55.097 --> 00:20:55.637
no, no.

00:20:56.078 --> 00:20:58.340
What if the person has this rare thing?

00:20:58.480 --> 00:20:59.142
OK, good.

00:20:59.862 --> 00:21:01.463
Then get the person on the phone.

00:21:01.523 --> 00:21:01.864
So like

00:21:02.796 --> 00:21:04.336
You just said there's some counties where

00:21:04.355 --> 00:21:05.696
there's no doctor.

00:21:05.717 --> 00:21:07.836
There's some hours with no doctor.

00:21:08.277 --> 00:21:12.478
But the doctors in the AMA, right,

00:21:12.518 --> 00:21:13.917
the vice president of the AMA has a

00:21:13.978 --> 00:21:15.718
problem with this because it's a slippery

00:21:15.798 --> 00:21:17.057
slope, right?

00:21:17.479 --> 00:21:17.878
So, yeah,

00:21:17.939 --> 00:21:19.358
people will have a problem with this,

00:21:19.699 --> 00:21:22.278
not because they're not – they will dangle

00:21:22.318 --> 00:21:24.960
the virtue signal of what about people

00:21:24.980 --> 00:21:26.539
that will get hurt, which is true.

00:21:27.000 --> 00:21:28.279
But instead of building a solution,

00:21:28.299 --> 00:21:29.381
they want to build a wall.

00:21:29.480 --> 00:21:30.641
So that's my opinion on this.

00:21:30.661 --> 00:21:30.780
Dave?

00:21:31.800 --> 00:21:33.221
I'm glad you brought the AMA up because

00:21:33.260 --> 00:21:34.142
a couple of minutes ago I was going

00:21:34.162 --> 00:21:37.343
to say that you guys better you as

00:21:37.363 --> 00:21:39.442
in the country better get ready,

00:21:39.983 --> 00:21:41.963
better get ready for the fight of a

00:21:42.023 --> 00:21:45.164
lifetime between the AMA versus any of

00:21:45.184 --> 00:21:45.765
this.

00:21:46.486 --> 00:21:52.708
They are they will absolutely not allow a

00:21:52.728 --> 00:21:53.607
lot of this to occur.

00:21:53.867 --> 00:21:55.587
And you think it's going to break through?

00:21:55.667 --> 00:21:56.749
You think that this is going to break

00:21:56.788 --> 00:21:57.009
through?

00:21:57.961 --> 00:21:58.641
Yeah, I mean,

00:21:58.721 --> 00:22:00.041
I was dumbfounded when the when the

00:22:00.142 --> 00:22:02.643
urinary tract infection thing like

00:22:02.682 --> 00:22:03.163
happened.

00:22:03.222 --> 00:22:03.363
Right.

00:22:03.423 --> 00:22:04.383
It was like an app that you could

00:22:04.403 --> 00:22:06.443
see, but like that's a miracle.

00:22:06.963 --> 00:22:07.104
Right.

00:22:07.124 --> 00:22:09.105
But that's what from what I was explained

00:22:09.144 --> 00:22:09.484
anyway,

00:22:09.644 --> 00:22:12.945
so low stakes and the issue is so

00:22:12.965 --> 00:22:15.707
important that why wouldn't you do like it

00:22:16.028 --> 00:22:18.848
makes us hurt our heads sometimes because

00:22:18.888 --> 00:22:19.689
it seems obvious.

00:22:19.749 --> 00:22:20.868
But we got a bunch of people who

00:22:20.909 --> 00:22:21.990
don't want to give up an inch to

00:22:22.029 --> 00:22:22.430
help people.

00:22:23.279 --> 00:22:25.542
I think it'll be Uber,

00:22:25.722 --> 00:22:27.664
just like the taxi cab drivers,

00:22:27.704 --> 00:22:30.667
the medallions fighting Uber drivers and

00:22:30.708 --> 00:22:32.951
doing all this stuff.

00:22:33.310 --> 00:22:35.634
The right technology is going to win.

00:22:35.854 --> 00:22:37.296
The AI is going to win.

00:22:37.875 --> 00:22:39.037
It's just going to be a matter of

00:22:39.117 --> 00:22:41.079
how long the AMA wants to fight.

00:22:41.481 --> 00:22:41.981
Yeah, yeah.

00:22:42.041 --> 00:22:43.242
I mean, like, here's your proof.

00:22:43.323 --> 00:22:45.023
You guys bought a CD recently?

00:22:45.664 --> 00:22:46.545
No, no,

00:22:46.625 --> 00:22:48.266
you don't even own your music anymore.

00:22:48.346 --> 00:22:50.508
You rent music, right?

00:22:50.528 --> 00:22:51.387
There's the proof.

00:22:52.328 --> 00:22:53.710
A woman was talking in my Instagram

00:22:53.730 --> 00:22:55.431
comment, my LinkedIn comments yesterday.

00:22:56.050 --> 00:22:57.352
And it's just funny.

00:22:57.692 --> 00:22:58.313
Now I'm that guy.

00:22:58.333 --> 00:22:58.532
I'm like,

00:22:58.573 --> 00:22:59.814
I've been around long enough where we have

00:22:59.854 --> 00:23:01.434
the same arguments that come up every,

00:23:01.515 --> 00:23:02.474
it's a news cycle, right?

00:23:02.515 --> 00:23:03.115
And she was like,

00:23:04.616 --> 00:23:07.898
universities need to lower tuition and

00:23:08.118 --> 00:23:09.720
insurance companies need to increase

00:23:09.779 --> 00:23:10.380
reimbursement.

00:23:10.440 --> 00:23:11.681
And I'm like, yes.

00:23:11.820 --> 00:23:13.422
And I would love to have wings because

00:23:13.501 --> 00:23:14.481
I would love to see what my house

00:23:14.521 --> 00:23:15.643
looks like from the sky.

00:23:16.282 --> 00:23:18.463
But I don't challenge these people as much

00:23:18.483 --> 00:23:19.224
as I just want to hold up a

00:23:19.305 --> 00:23:22.145
mirror and go, has that ever happened?

00:23:22.766 --> 00:23:23.126
No.

00:23:24.247 --> 00:23:25.407
What is the university's

00:23:26.582 --> 00:23:27.701
reason for lowering,

00:23:28.201 --> 00:23:29.883
if I have thirty seats in my PT

00:23:29.923 --> 00:23:32.463
program and thirty-one applicants,

00:23:32.723 --> 00:23:33.584
I'll have a problem.

00:23:33.884 --> 00:23:35.284
You might have a problem down the line,

00:23:35.304 --> 00:23:35.784
because you're like,

00:23:35.824 --> 00:23:37.605
we're getting all these graduates that

00:23:37.664 --> 00:23:38.625
aren't prepared, right?

00:23:39.005 --> 00:23:39.724
And you're right.

00:23:40.546 --> 00:23:42.066
But they don't have a problem.

00:23:42.105 --> 00:23:43.246
And insurance companies are like,

00:23:43.286 --> 00:23:44.926
we love the fact that there's gonna be

00:23:44.967 --> 00:23:46.586
less PTs, because we gotta pay less.

00:23:47.207 --> 00:23:47.467
So,

00:23:47.707 --> 00:23:49.147
I love that it's nice in a comment

00:23:49.167 --> 00:23:50.788
section, but it's useless,

00:23:50.988 --> 00:23:52.167
and I don't know why I interact,

00:23:52.509 --> 00:23:53.808
probably because I love poking bears.

00:23:55.047 --> 00:23:55.547
Here's a good one.

00:23:55.787 --> 00:23:56.626
Hang on, Dave, real quick.

00:23:57.468 --> 00:23:58.228
Right now, locally,

00:23:58.288 --> 00:23:59.508
I meant to grab the article.

00:23:59.567 --> 00:24:01.208
I couldn't get it before we started.

00:24:01.769 --> 00:24:03.469
Anthem Blue Cross Blue Shield is probably

00:24:03.548 --> 00:24:05.648
one of the bigger commercial payers in my

00:24:05.769 --> 00:24:07.769
area because this is like a steel mill

00:24:07.849 --> 00:24:08.930
industrial town.

00:24:09.109 --> 00:24:11.451
Anthem has the plan with the steel mill.

00:24:12.010 --> 00:24:12.671
So tons,

00:24:12.711 --> 00:24:14.750
thousands of employed individuals and

00:24:14.770 --> 00:24:17.211
their families are insured by Anthem.

00:24:18.112 --> 00:24:20.375
Anthem and Kettering, the local hospital,

00:24:20.435 --> 00:24:21.798
are in a battle right now.

00:24:22.380 --> 00:24:25.044
Kettering wants a thirty percent increase

00:24:25.064 --> 00:24:27.107
in reimbursement over the next three years

00:24:27.147 --> 00:24:27.888
or five years.

00:24:28.569 --> 00:24:29.932
Anthem doesn't want that.

00:24:30.875 --> 00:24:34.076
the the messaging coming out of anthem is

00:24:34.237 --> 00:24:36.238
look if we do that we have to

00:24:36.278 --> 00:24:38.238
raise premiums your family is going to pay

00:24:38.298 --> 00:24:41.358
more the insurance is going to cost more

00:24:41.858 --> 00:24:44.480
that is why we can't raise the

00:24:44.519 --> 00:24:47.020
reimbursement for kettering kettering now

00:24:47.320 --> 00:24:49.261
if you look at this objectively and and

00:24:49.402 --> 00:24:51.362
nobody i talk to has the ability to

00:24:51.402 --> 00:24:53.563
look at this objectively step out of the

00:24:53.643 --> 00:24:55.824
emotion and look at it objectively

00:24:56.743 --> 00:24:59.065
Anthem in this scenario is on the

00:24:59.105 --> 00:25:00.405
patient's side.

00:25:00.746 --> 00:25:02.727
They are trying to negotiate.

00:25:03.067 --> 00:25:05.008
The hospital looks like the villain

00:25:05.387 --> 00:25:06.808
because the hospital is saying,

00:25:06.909 --> 00:25:07.489
you know what?

00:25:07.608 --> 00:25:08.648
If you have a heart attack,

00:25:08.669 --> 00:25:10.269
you got to pay me thirty percent more.

00:25:10.670 --> 00:25:11.651
If you have cancer,

00:25:11.671 --> 00:25:13.191
you got to pay me thirty percent more.

00:25:13.270 --> 00:25:14.412
I'm not going to take care of you.

00:25:14.672 --> 00:25:15.913
You can die on the street.

00:25:16.393 --> 00:25:18.273
I don't care if you don't pay me

00:25:18.334 --> 00:25:18.513
more.

00:25:18.594 --> 00:25:20.434
That is the hospital's position.

00:25:21.295 --> 00:25:22.655
And Anthem is saying, look,

00:25:22.675 --> 00:25:24.436
we've got all these beneficiaries.

00:25:24.477 --> 00:25:25.958
We're trying to negotiate.

00:25:26.218 --> 00:25:28.019
Find some inefficiencies that you can

00:25:28.079 --> 00:25:28.720
improve.

00:25:29.319 --> 00:25:31.142
Let us help these people.

00:25:31.182 --> 00:25:32.422
These are our customers.

00:25:32.481 --> 00:25:34.123
Don't let them die in the street.

00:25:34.624 --> 00:25:35.765
You know, I mean,

00:25:35.805 --> 00:25:37.605
but that's not the way it's generally

00:25:37.665 --> 00:25:38.185
portrayed.

00:25:38.246 --> 00:25:38.605
It's, oh,

00:25:38.665 --> 00:25:40.667
the insurance company denies coverage and

00:25:40.688 --> 00:25:42.848
they're greedy and the investors make all

00:25:42.888 --> 00:25:43.329
the money.

00:25:44.411 --> 00:25:45.471
It's an interesting scenario,

00:25:45.491 --> 00:25:48.455
but if the hospital can't negotiate higher

00:25:48.497 --> 00:25:49.238
reimbursement,

00:25:49.317 --> 00:25:51.661
who thinks their little private practice

00:25:51.681 --> 00:25:53.683
with one or two PTs is ever going

00:25:53.703 --> 00:25:54.305
to have a chance?

00:25:54.404 --> 00:25:54.645
Right.

00:25:54.705 --> 00:25:56.548
Which is why we see MSOs and IPAs.

00:26:00.192 --> 00:26:02.134
Scott said the AMA also advocated for the

00:26:02.213 --> 00:26:03.474
use of cigarettes back in the day.

00:26:03.515 --> 00:26:04.035
Money talks.

00:26:04.134 --> 00:26:04.596
Absolutely.

00:26:04.816 --> 00:26:05.737
And speaking about money talks,

00:26:05.777 --> 00:26:06.636
I just pulled this up.

00:26:06.817 --> 00:26:09.500
AMA lobbying dollars versus the taxi cab

00:26:09.859 --> 00:26:11.901
industry or association lobbying dollars.

00:26:11.922 --> 00:26:13.282
Tony mentioned the taxi cab.

00:26:13.323 --> 00:26:17.286
So AMA spends about twenty five.

00:26:17.346 --> 00:26:17.846
I'm sorry.

00:26:17.885 --> 00:26:19.426
They spent twenty five million in twenty

00:26:19.446 --> 00:26:19.968
twenty four.

00:26:20.828 --> 00:26:22.569
Two years later now, it could be.

00:26:22.589 --> 00:26:23.391
I don't know.

00:26:24.171 --> 00:26:26.051
another it could be forty or fifty million

00:26:26.071 --> 00:26:28.492
by now who knows the taxi lobby spends

00:26:28.532 --> 00:26:30.493
about when they were fighting with uber

00:26:30.994 --> 00:26:33.435
they were spending two point seven million

00:26:33.455 --> 00:26:35.136
dollars a year in twenty twenty four three

00:26:35.156 --> 00:26:36.738
point four million dollars last year in

00:26:36.758 --> 00:26:41.319
twenty twenty five um the ama the the

00:26:41.400 --> 00:26:43.361
only inroad here where i could potentially

00:26:43.401 --> 00:26:44.981
agree with tony the only inroad is that

00:26:45.021 --> 00:26:46.303
these ai doctors

00:26:47.144 --> 00:26:50.209
are going to be offering a self-pay

00:26:50.249 --> 00:26:50.670
service.

00:26:51.150 --> 00:26:52.092
Can we all agree with that?

00:26:52.152 --> 00:26:54.013
Meaning that the AMA is going to talk

00:26:54.034 --> 00:26:55.155
to all the payers and say,

00:26:55.536 --> 00:26:58.200
we will absolutely not support any of the

00:26:58.980 --> 00:27:00.982
artificial intelligence prescription of

00:27:01.144 --> 00:27:01.483
anything,

00:27:01.584 --> 00:27:03.886
even if it's a dermatological topical or

00:27:03.967 --> 00:27:04.248
whatever.

00:27:05.471 --> 00:27:08.354
The AMA will band together with the payers

00:27:08.855 --> 00:27:11.957
somehow with lobbying dollars, pay them,

00:27:14.259 --> 00:27:15.619
so that they will not approve any of

00:27:15.640 --> 00:27:19.483
these AI prescriptions to be processed

00:27:19.503 --> 00:27:21.585
through the patient's

00:27:22.542 --> 00:27:23.644
In network health insurance.

00:27:24.104 --> 00:27:24.545
Yeah.

00:27:24.565 --> 00:27:25.945
So the only inroad, in my opinion,

00:27:26.105 --> 00:27:26.605
for all this.

00:27:26.625 --> 00:27:28.748
So let's just say if Tony is going

00:27:28.768 --> 00:27:29.808
to be right and he's just saying it's

00:27:29.828 --> 00:27:30.910
just a matter of time until we have

00:27:30.950 --> 00:27:32.931
the AI doctors prescribing stuff.

00:27:33.251 --> 00:27:34.192
The only inroad,

00:27:34.291 --> 00:27:36.193
it'll be like hims and hers.

00:27:36.233 --> 00:27:36.933
And what's the other one?

00:27:36.994 --> 00:27:37.355
Roman.

00:27:37.375 --> 00:27:38.736
And there's some of those other ones that

00:27:38.756 --> 00:27:39.696
are just like self-pay.

00:27:40.156 --> 00:27:40.717
Yep.

00:27:40.757 --> 00:27:41.698
And I feel like they're probably already

00:27:41.738 --> 00:27:42.718
doing this anyway, right?

00:27:42.837 --> 00:27:43.198
Yeah.

00:27:43.258 --> 00:27:43.377
Yeah.

00:27:44.538 --> 00:27:45.578
For that,

00:27:45.598 --> 00:27:46.940
they're going to know exactly which things

00:27:46.960 --> 00:27:48.420
they can do and they're going to triple

00:27:48.460 --> 00:27:48.960
down on that.

00:27:49.119 --> 00:27:49.380
Right.

00:27:49.500 --> 00:27:51.320
So I don't disagree.

00:27:51.340 --> 00:27:53.821
This is where I said if if reimbursement

00:27:53.862 --> 00:27:55.363
doesn't change or goes down,

00:27:55.923 --> 00:27:57.182
where would I put my money for three

00:27:57.202 --> 00:27:57.804
to five years?

00:27:58.344 --> 00:28:00.184
If Dave is going to take investors,

00:28:00.285 --> 00:28:01.005
you go that way.

00:28:01.025 --> 00:28:03.705
You put a concierge pain relief in New

00:28:03.746 --> 00:28:06.207
York and Boston and Chicago and Miami and

00:28:06.446 --> 00:28:06.686
L.A.

00:28:06.707 --> 00:28:07.287
and Dallas.

00:28:07.567 --> 00:28:08.567
You do that because

00:28:09.567 --> 00:28:11.469
when the pain is great enough that's when

00:28:11.509 --> 00:28:13.269
i make a change and if i'm doing

00:28:13.288 --> 00:28:14.829
the math i forget who it was yesterday

00:28:15.170 --> 00:28:18.730
was saying oh it was the dude from

00:28:18.770 --> 00:28:20.830
long island remember that atc wears his

00:28:20.871 --> 00:28:23.031
hat backwards like me his color mike mike

00:28:23.071 --> 00:28:25.173
stella mike he's got a point he's like

00:28:25.692 --> 00:28:27.173
i know your insurance feels like an

00:28:27.212 --> 00:28:29.074
insurance plan but it's actually the cash

00:28:29.114 --> 00:28:30.693
pay rate if you look at it is

00:28:30.854 --> 00:28:33.595
cheaper he's right and he's with a dry

00:28:33.615 --> 00:28:35.195
erase board he's like let me show you

00:28:35.215 --> 00:28:35.715
the math

00:28:35.976 --> 00:28:36.655
Tony's saying no,

00:28:36.736 --> 00:28:38.396
or he's just shaking his head.

00:28:38.416 --> 00:28:39.676
No, that's the dumbest stuff.

00:28:39.997 --> 00:28:41.817
I can't stand that argument.

00:28:42.597 --> 00:28:45.159
That is if you were not paying insurance

00:28:45.219 --> 00:28:45.619
already,

00:28:45.660 --> 00:28:47.920
if you were not paying insurance premiums,

00:28:47.940 --> 00:28:49.820
you were just going straight out of

00:28:49.861 --> 00:28:51.321
pocket, going to negotiate,

00:28:51.741 --> 00:28:53.761
and I don't have private health insurance.

00:28:54.083 --> 00:28:55.843
That's also like saying,

00:28:56.383 --> 00:28:58.644
if I go to a steakhouse and spend

00:28:58.663 --> 00:29:00.265
a hundred dollars on a ribeye,

00:29:00.884 --> 00:29:02.165
but I don't eat for a week,

00:29:02.205 --> 00:29:03.906
that's actually cheaper than if I eat

00:29:03.946 --> 00:29:06.308
every day and spend five dollars per meal

00:29:06.348 --> 00:29:07.809
for three, four meals a day.

00:29:07.950 --> 00:29:08.891
I'll get Mike on the show.

00:29:08.951 --> 00:29:09.790
I'm not going to argue for him.

00:29:09.811 --> 00:29:10.632
I'll get Mike on the show.

00:29:10.731 --> 00:29:11.913
Everybody loves to make.

00:29:11.972 --> 00:29:12.413
And look,

00:29:12.532 --> 00:29:14.035
I used to make that argument when I

00:29:14.075 --> 00:29:17.297
was trying to convince people, hey, look,

00:29:17.356 --> 00:29:19.377
pay me three hundred dollars.

00:29:19.459 --> 00:29:21.460
It's cheaper than going to a crappy

00:29:21.480 --> 00:29:23.862
physical therapist at fifty dollar copay a

00:29:23.902 --> 00:29:25.202
visit for eighteen visits.

00:29:25.762 --> 00:29:27.023
I can see you once and I can

00:29:27.064 --> 00:29:27.483
fix you.

00:29:27.844 --> 00:29:29.785
That's that's the argument that's here.

00:29:29.805 --> 00:29:31.265
But apples and oranges,

00:29:31.305 --> 00:29:33.506
we're not comparing the same things.

00:29:34.047 --> 00:29:35.928
Some people would rather get eighteen

00:29:35.968 --> 00:29:38.067
visits, even if it's not, quote,

00:29:38.188 --> 00:29:39.588
as good as we think it is.

00:29:39.868 --> 00:29:40.048
Right.

00:29:40.068 --> 00:29:40.630
I'll be right back.

00:29:40.670 --> 00:29:41.029
Go ahead.

00:29:41.109 --> 00:29:43.671
Yep.

00:29:43.691 --> 00:29:43.911
All right.

00:29:43.931 --> 00:29:45.192
Where do you want to go until Tony

00:29:45.211 --> 00:29:47.011
comes back from talking to insurance

00:29:47.031 --> 00:29:47.413
companies?

00:29:49.273 --> 00:29:50.554
Well, yeah, we're kind of bouncing around,

00:29:50.594 --> 00:29:55.355
but anything else that is interesting on

00:29:55.395 --> 00:29:56.395
your social media feed,

00:29:56.455 --> 00:29:57.715
whether it's stuff that you're putting out

00:29:57.736 --> 00:29:58.436
that you're surprised.

00:29:58.936 --> 00:30:01.017
I take a look at I actually started

00:30:01.057 --> 00:30:02.657
taking my own advice and we'll get to

00:30:02.817 --> 00:30:04.337
the post that Tony wanted me to share.

00:30:04.377 --> 00:30:06.058
But I started looking like LinkedIn was

00:30:06.098 --> 00:30:07.719
the thing I sort of didn't really do

00:30:08.538 --> 00:30:09.279
a year ago.

00:30:09.460 --> 00:30:11.539
And then I started and wouldn't you know,

00:30:11.660 --> 00:30:12.921
the more effort I put a little bit

00:30:12.941 --> 00:30:13.901
of effort and I got a lot of

00:30:13.961 --> 00:30:14.921
result on LinkedIn.

00:30:15.300 --> 00:30:16.461
So I started looking at what people

00:30:16.481 --> 00:30:17.122
interact with.

00:30:17.954 --> 00:30:20.015
I stopped paying attention to just what I

00:30:20.055 --> 00:30:20.855
like to talk about.

00:30:21.256 --> 00:30:22.476
I talked about five things,

00:30:22.536 --> 00:30:23.976
but when two popped, I said,

00:30:23.996 --> 00:30:25.176
let's double down on those things.

00:30:25.777 --> 00:30:27.557
So for me right now, it's hiring, right?

00:30:27.596 --> 00:30:28.856
If you walk into a room full of

00:30:29.417 --> 00:30:30.917
owners, except for Tony,

00:30:31.038 --> 00:30:32.198
because we're in different phases,

00:30:32.298 --> 00:30:33.778
not everybody's in the same phase or the

00:30:33.818 --> 00:30:34.419
same objective.

00:30:34.459 --> 00:30:35.179
Do not assume that.

00:30:35.878 --> 00:30:37.219
You mentioned this and people are very

00:30:37.259 --> 00:30:37.719
confused.

00:30:37.778 --> 00:30:38.980
And I go to the simple route,

00:30:39.000 --> 00:30:39.400
which is,

00:30:40.423 --> 00:30:41.464
And I've been using this phrase,

00:30:41.845 --> 00:30:43.105
mayonnaise flavored ice cream.

00:30:43.686 --> 00:30:45.067
So go to Indeed,

00:30:45.127 --> 00:30:46.108
look at the next ten,

00:30:46.549 --> 00:30:48.391
type in physical therapist in your city

00:30:48.852 --> 00:30:50.472
and read the next,

00:30:50.532 --> 00:30:53.134
the first ten job postings,

00:30:53.276 --> 00:30:54.135
job descriptions.

00:30:55.037 --> 00:30:56.178
And if one of them is yours,

00:30:56.258 --> 00:30:57.058
de-identify them.

00:30:57.179 --> 00:30:59.500
Can you identify your own job posting?

00:30:59.760 --> 00:31:02.743
I would bet a hundred American doll hairs

00:31:03.243 --> 00:31:05.185
you can't because it's so...

00:31:06.267 --> 00:31:07.567
mayonnaise flavored ice cream.

00:31:08.087 --> 00:31:09.749
And I think I have a little bit

00:31:09.769 --> 00:31:11.670
of a solution on how to stand out.

00:31:11.730 --> 00:31:12.769
And I think that was the post that

00:31:12.809 --> 00:31:15.152
Tony wanted me to talk about from from

00:31:15.211 --> 00:31:15.811
Instagram.

00:31:17.893 --> 00:31:18.532
Tony's like, I'm out.

00:31:19.913 --> 00:31:21.555
So I said this before and I'm going

00:31:21.575 --> 00:31:22.596
to double down on it,

00:31:23.955 --> 00:31:25.836
which is I get the idea of why

00:31:25.876 --> 00:31:27.798
we should have Google reviews.

00:31:28.679 --> 00:31:29.519
But Dave,

00:31:29.919 --> 00:31:31.619
if you see if you're going to buy

00:31:31.779 --> 00:31:33.480
a baseball glove or cleats or whatever,

00:31:33.520 --> 00:31:34.221
you're on Amazon.

00:31:34.241 --> 00:31:34.821
Yeah.

00:31:35.770 --> 00:31:37.632
You look, I look, I peek, just,

00:31:38.011 --> 00:31:39.593
it's gotta be more than sixteen or

00:31:39.633 --> 00:31:40.374
twenty-five.

00:31:40.453 --> 00:31:43.575
It's gotta be like triple digits, right?

00:31:43.695 --> 00:31:45.896
Sometimes, if it's a larger purchase,

00:31:45.997 --> 00:31:48.057
I'll click into them and see, like,

00:31:49.038 --> 00:31:51.839
and I'm looking for the bad one,

00:31:51.859 --> 00:31:54.221
because I want to see, like, yeah,

00:31:54.241 --> 00:31:55.982
I'm like, all five stars,

00:31:56.002 --> 00:31:56.623
and I'm kind of like, eh,

00:31:56.643 --> 00:31:57.864
a little shady, a little shady.

00:31:58.722 --> 00:31:59.343
So yeah,

00:31:59.583 --> 00:32:01.183
I am a hundred percent in on get

00:32:01.223 --> 00:32:04.006
reviews, ask people fairly, right?

00:32:04.046 --> 00:32:04.826
Don't make it shady.

00:32:04.865 --> 00:32:06.146
Don't break their terms of service.

00:32:06.207 --> 00:32:08.347
Cause then Google will penalize you and

00:32:08.387 --> 00:32:09.107
get reviews.

00:32:09.528 --> 00:32:11.190
I don't think that's the end of the

00:32:11.269 --> 00:32:12.130
rainbow though.

00:32:12.589 --> 00:32:14.010
So this was sort of my pitch that

00:32:14.050 --> 00:32:14.932
I brought the other day.

00:32:15.811 --> 00:32:17.492
I think getting the reviews, by the way,

00:32:17.772 --> 00:32:19.074
you can look at your reviews.

00:32:19.453 --> 00:32:21.095
You can look at your competitors reviews.

00:32:21.355 --> 00:32:22.414
You can look at anybody's reviews.

00:32:22.556 --> 00:32:24.155
They are a hundred percent public data.

00:32:24.557 --> 00:32:26.778
So I said, use the reviews.

00:32:27.946 --> 00:32:29.267
to fix what to say,

00:32:30.087 --> 00:32:31.748
what to improve and what to post.

00:32:31.788 --> 00:32:32.628
So my idea is,

00:32:33.108 --> 00:32:34.669
I think most clinics ignore the gold.

00:32:34.750 --> 00:32:36.950
They do this collection of reviews and

00:32:36.970 --> 00:32:37.611
then they're like, look,

00:32:37.651 --> 00:32:38.691
we got six hundred.

00:32:39.171 --> 00:32:40.231
Cool story, bro.

00:32:40.811 --> 00:32:41.491
Tell it again.

00:32:41.592 --> 00:32:42.632
Why are you doing that?

00:32:43.153 --> 00:32:46.094
So I think the other pain is,

00:32:46.973 --> 00:32:49.855
Clinics keep guessing at what to post,

00:32:50.356 --> 00:32:52.258
what services to discontinue,

00:32:52.298 --> 00:32:53.618
what services to improve,

00:32:53.919 --> 00:32:56.361
what employees are actually valuable.

00:32:56.981 --> 00:32:59.343
I think the information could be hiding in

00:32:59.363 --> 00:33:00.624
your public Google reviews.

00:33:01.005 --> 00:33:02.905
So I think you can turn your reviews

00:33:02.945 --> 00:33:05.147
if you've been collecting them into Intel.

00:33:05.907 --> 00:33:08.289
Use it as public feedback to know what

00:33:08.349 --> 00:33:10.651
you should say, what you should fix,

00:33:11.030 --> 00:33:12.531
and what you should post next.

00:33:12.571 --> 00:33:15.374
So my three-step plan was pull twenty to

00:33:15.413 --> 00:33:17.816
fifty reviews, recent ones,

00:33:18.115 --> 00:33:21.278
public-facing ones, de-identify them,

00:33:21.557 --> 00:33:22.979
and ask yourself four questions.

00:33:24.219 --> 00:33:25.440
And do this with AI, obviously.

00:33:25.460 --> 00:33:26.080
You're not doing this.

00:33:26.661 --> 00:33:27.942
What gets repeated?

00:33:29.078 --> 00:33:30.181
what gets praised,

00:33:30.881 --> 00:33:32.663
what pain points show up,

00:33:33.003 --> 00:33:34.486
and then just what words,

00:33:34.586 --> 00:33:35.547
or I would go as far as to

00:33:35.607 --> 00:33:38.451
say what words and emotions show up.

00:33:38.731 --> 00:33:40.374
When you ask people for their opinion,

00:33:40.874 --> 00:33:41.694
for better or worse,

00:33:41.976 --> 00:33:42.817
they give it to you.

00:33:43.438 --> 00:33:45.440
Then step three is sort it.

00:33:46.297 --> 00:33:47.938
You figure out what you can message,

00:33:48.157 --> 00:33:49.538
what content you can post,

00:33:49.917 --> 00:33:51.739
what operations maybe you need to fix.

00:33:51.759 --> 00:33:52.759
If someone repeatedly says, well,

00:33:52.839 --> 00:33:54.119
the bathroom's always clogged up,

00:33:54.359 --> 00:33:55.280
maybe you get a better toilet.

00:33:55.340 --> 00:33:55.641
I don't know.

00:33:56.320 --> 00:33:57.882
And then hiring as well.

00:33:58.422 --> 00:34:00.242
If people keep saying this is great,

00:34:00.643 --> 00:34:03.044
double down on finding employees that do

00:34:03.084 --> 00:34:05.164
the thing that your current and past

00:34:05.204 --> 00:34:06.424
clients are saying that it's great.

00:34:06.805 --> 00:34:08.385
But then you got to use it.

00:34:08.525 --> 00:34:10.547
Like getting this report is step one.

00:34:11.047 --> 00:34:12.768
You still need to use this damn thing.

00:34:13.027 --> 00:34:15.068
So I think you use good reviews as

00:34:15.088 --> 00:34:15.668
your message.

00:34:16.615 --> 00:34:19.039
Use bad reviews as your fix it list

00:34:19.619 --> 00:34:23.844
and use their exact words as the hooks

00:34:24.184 --> 00:34:24.965
on your content.

00:34:25.005 --> 00:34:25.545
Here's why.

00:34:26.106 --> 00:34:26.967
When people say,

00:34:27.007 --> 00:34:28.027
when businesses are asked,

00:34:28.608 --> 00:34:29.568
what do you do for marketing?

00:34:29.630 --> 00:34:30.891
A lot of them will say nothing.

00:34:31.351 --> 00:34:32.572
We get word of mouth.

00:34:32.913 --> 00:34:34.014
That's our best source.

00:34:34.313 --> 00:34:36.335
And I push back and say, what words?

00:34:37.036 --> 00:34:37.838
and whose mouths.

00:34:38.398 --> 00:34:40.539
That is a way to put good reviews,

00:34:40.900 --> 00:34:44.182
the same words, in other people's mouths.

00:34:44.362 --> 00:34:45.684
This is a strategy.

00:34:46.204 --> 00:34:48.385
This will cost you an hour of time

00:34:48.407 --> 00:34:48.927
at best.

00:34:49.688 --> 00:34:51.509
Yes, I put the caveat in there,

00:34:51.829 --> 00:34:53.710
remove names and identifying details,

00:34:53.751 --> 00:34:55.152
skip sensitive health information,

00:34:55.192 --> 00:34:55.952
but that's a nice step.

00:34:56.572 --> 00:34:57.653
I think it gives you more clarity,

00:34:57.693 --> 00:34:58.954
less guessing, clearer messages,

00:34:58.994 --> 00:35:00.295
better posts, and hang.

00:35:00.717 --> 00:35:01.697
I think it could lead to...

00:35:02.318 --> 00:35:03.838
helping to solve one of the biggest

00:35:03.878 --> 00:35:04.840
problems, which hiring,

00:35:05.079 --> 00:35:06.740
use it for the job post,

00:35:06.981 --> 00:35:09.402
which right now tastes like mayonnaise

00:35:09.422 --> 00:35:10.123
flavored ice cream.

00:35:10.384 --> 00:35:12.826
It's a big nothing burger.

00:35:12.846 --> 00:35:14.706
So that was my post.

00:35:14.726 --> 00:35:16.108
Dave, how many reviews do you have?

00:35:17.244 --> 00:35:19.228
got like seventy four i had another

00:35:19.248 --> 00:35:20.628
account years ago that had like a hundred

00:35:20.668 --> 00:35:22.411
something and it just literally got

00:35:22.431 --> 00:35:24.653
deleted from seventy four is enough though

00:35:24.733 --> 00:35:27.257
in my opinion yes it is it's i'll

00:35:27.277 --> 00:35:29.519
tell you what it's tough especially

00:35:29.539 --> 00:35:32.143
because some of our people are like too

00:35:32.204 --> 00:35:32.583
big

00:35:33.666 --> 00:35:33.905
you know,

00:35:34.085 --> 00:35:37.126
semi-celebrity or actual celebrities or

00:35:37.686 --> 00:35:38.266
they're private.

00:35:38.327 --> 00:35:40.168
Like they have, I don't know,

00:35:40.188 --> 00:35:42.268
they have MS or Parkinson's and like

00:35:42.427 --> 00:35:44.429
they're a no-namer respectfully,

00:35:44.509 --> 00:35:46.389
but like they don't want it to be

00:35:46.489 --> 00:35:46.809
out there.

00:35:46.829 --> 00:35:47.789
They don't want to have a social media

00:35:47.809 --> 00:35:48.248
footprint.

00:35:48.829 --> 00:35:51.610
So we should probably have like at least

00:35:51.650 --> 00:35:53.851
three hundred Google reviews.

00:35:54.710 --> 00:35:57.532
I still think seventy is enough.

00:35:57.831 --> 00:35:58.672
I think I got seven.

00:36:01.268 --> 00:36:02.708
so so to jimmy's point i don't know

00:36:02.728 --> 00:36:05.289
if you said this even if you have

00:36:05.369 --> 00:36:08.789
seven like me or three or zero go

00:36:08.829 --> 00:36:11.570
grab other reviews go to other websites go

00:36:11.590 --> 00:36:14.329
to dave's website websites go to other

00:36:14.409 --> 00:36:18.210
clinic websites like scrape their reviews

00:36:18.271 --> 00:36:20.831
put it into your chat gbt let it

00:36:20.871 --> 00:36:22.831
process that information and follow

00:36:22.871 --> 00:36:25.351
jimmy's formula because that's where

00:36:25.371 --> 00:36:27.233
you're gonna get it you know with my

00:36:27.333 --> 00:36:28.472
facebook posts

00:36:29.112 --> 00:36:30.775
if i put out a post that hits

00:36:30.894 --> 00:36:33.838
a thousand comments i will i will copy

00:36:33.878 --> 00:36:36.320
and paste that list of this exact process

00:36:36.340 --> 00:36:38.583
that i use copy and paste the list

00:36:38.623 --> 00:36:40.585
of a thousand just straight click and drag

00:36:40.625 --> 00:36:43.106
all the way down paste that into a

00:36:43.166 --> 00:36:46.230
google sheet because chat gpt can't handle

00:36:46.269 --> 00:36:47.871
that level of text in a chat

00:36:49.172 --> 00:36:50.813
You copy it into a Google Sheet.

00:36:50.853 --> 00:36:52.614
Google Sheet will automatically drop it

00:36:52.673 --> 00:36:54.855
into different rows and cells.

00:36:54.934 --> 00:36:55.155
Now,

00:36:55.315 --> 00:36:56.456
a lot of it is going to be

00:36:56.516 --> 00:36:58.556
like a cell for the comment,

00:36:58.617 --> 00:37:00.056
but then a cell for the like and

00:37:00.097 --> 00:37:01.097
a cell.

00:37:01.117 --> 00:37:04.579
ChatGPT will scroll that as a CSV file

00:37:04.639 --> 00:37:06.400
or as a data sheet file or anything.

00:37:06.739 --> 00:37:08.400
You upload it into chat.

00:37:09.221 --> 00:37:11.202
Then you tell it exactly what Jimmy said.

00:37:11.242 --> 00:37:12.822
Like, I think my prompts were like,

00:37:13.282 --> 00:37:14.742
identify the key themes,

00:37:14.822 --> 00:37:16.443
put them into buckets, you know,

00:37:16.682 --> 00:37:18.963
identify the language and the terminology

00:37:19.003 --> 00:37:21.164
that the consumer is using to describe

00:37:21.204 --> 00:37:21.585
this.

00:37:22.284 --> 00:37:24.045
And then you start going through what are

00:37:24.065 --> 00:37:25.365
the identified problems?

00:37:25.425 --> 00:37:27.166
What are the identified benefits?

00:37:27.206 --> 00:37:29.306
How did this change this person?

00:37:29.367 --> 00:37:30.367
What was the outcome?

00:37:31.327 --> 00:37:32.387
And then you say.

00:37:33.427 --> 00:37:37.331
generate a list of content ideas um as

00:37:37.431 --> 00:37:41.315
simple as give me ten questions that i

00:37:41.355 --> 00:37:43.617
can answer in it like one question per

00:37:43.677 --> 00:37:46.759
sixty second reel yep you know now here's

00:37:46.800 --> 00:37:48.041
where i fall off the wagon

00:37:49.275 --> 00:37:51.096
I can make these amazing systems.

00:37:52.115 --> 00:37:54.358
I said to my community, I was like,

00:37:54.398 --> 00:37:54.637
look,

00:37:54.818 --> 00:37:56.659
I want to do twenty pieces of content

00:37:56.719 --> 00:37:56.958
a day.

00:37:56.978 --> 00:37:57.778
You guys know this.

00:37:58.320 --> 00:38:00.039
I want ten reels and ten photos.

00:38:00.059 --> 00:38:01.280
That means ten ideas.

00:38:01.840 --> 00:38:04.523
Can I get ten ideas in twenty eight

00:38:04.543 --> 00:38:05.043
days,

00:38:05.242 --> 00:38:08.284
two hundred and eighty ideas for my niche?

00:38:08.885 --> 00:38:09.605
Very simple.

00:38:09.625 --> 00:38:11.905
And then I can start repeating those ideas

00:38:12.045 --> 00:38:13.467
month after month after month.

00:38:14.067 --> 00:38:14.507
I did it.

00:38:14.628 --> 00:38:15.088
I got it.

00:38:15.168 --> 00:38:16.228
I got the spreadsheet.

00:38:16.268 --> 00:38:17.809
I got everything laid out day one,

00:38:17.829 --> 00:38:18.530
day two, day three.

00:38:19.190 --> 00:38:20.369
I don't follow any of it.

00:38:20.389 --> 00:38:21.190
Of course not.

00:38:21.210 --> 00:38:24.110
It doesn't matter how simple it is.

00:38:24.612 --> 00:38:27.452
I can't get myself to follow it.

00:38:27.592 --> 00:38:28.652
I just, it's there.

00:38:28.853 --> 00:38:29.952
It's an awesome resource.

00:38:30.012 --> 00:38:32.514
But every minute I find myself,

00:38:32.934 --> 00:38:34.094
should I go look for ideas?

00:38:34.273 --> 00:38:35.974
I'm just going to record this, you know?

00:38:37.778 --> 00:38:39.079
But the difference is I get it done.

00:38:39.199 --> 00:38:40.739
I do get my twenty posts a day

00:38:40.760 --> 00:38:40.840
done.

00:38:42.099 --> 00:38:42.820
I don't flounder.

00:38:43.159 --> 00:38:44.481
Tactical.

00:38:44.561 --> 00:38:47.242
Your way is probably more efficient.

00:38:47.661 --> 00:38:48.722
Like the way of just like,

00:38:48.742 --> 00:38:50.402
I'm just going to do it as opposed

00:38:50.422 --> 00:38:52.282
to putting it in a spreadsheet and then

00:38:52.322 --> 00:38:53.322
crossing off, you know,

00:38:54.563 --> 00:38:55.483
the ones that you already did on the

00:38:55.523 --> 00:38:56.684
spreadsheet, going back.

00:38:57.443 --> 00:38:57.983
Where am I?

00:38:58.023 --> 00:39:00.344
Which row at the spreadsheet and all that

00:39:00.385 --> 00:39:01.164
takes extra time.

00:39:01.905 --> 00:39:02.304
Yeah.

00:39:02.364 --> 00:39:03.706
Let me ask you a tactical question.

00:39:04.556 --> 00:39:05.998
When you drop it in Google Sheets,

00:39:06.137 --> 00:39:08.139
do you upload it as a CSV?

00:39:08.179 --> 00:39:09.500
What is the actual file type?

00:39:09.519 --> 00:39:10.521
Because I want to know what it reads

00:39:10.581 --> 00:39:10.920
best.

00:39:11.541 --> 00:39:13.081
I used to do CSV,

00:39:13.722 --> 00:39:16.043
and then now I just put in the

00:39:16.083 --> 00:39:19.585
Google Sheet as like a link, a hyperlink,

00:39:19.606 --> 00:39:21.266
and it works equally well.

00:39:21.606 --> 00:39:21.887
Yeah,

00:39:21.987 --> 00:39:23.208
because you get into a point where if

00:39:23.228 --> 00:39:26.250
you give any of these AI programs too

00:39:26.289 --> 00:39:27.110
much information...

00:39:28.393 --> 00:39:30.315
starts making stuff up when it first

00:39:30.355 --> 00:39:31.715
started a year ago and i would drop

00:39:31.735 --> 00:39:33.516
in transcripts from our episode like i

00:39:33.556 --> 00:39:34.536
don't want to sit here and write the

00:39:34.576 --> 00:39:36.396
show notes sometimes you guys want the

00:39:36.416 --> 00:39:38.777
show notes it helps the show index we've

00:39:38.797 --> 00:39:40.097
taught well we can talk about that too

00:39:40.117 --> 00:39:43.298
with gemini but if you give it too

00:39:43.338 --> 00:39:44.778
much so i was sitting here and copying

00:39:44.978 --> 00:39:47.239
an hour-long transcript into four quarters

00:39:47.280 --> 00:39:49.621
to make sure to overload it my guess

00:39:49.701 --> 00:39:51.101
is i thought it would have been better

00:39:51.141 --> 00:39:52.181
by now i thought it would have been

00:39:52.221 --> 00:39:53.762
able to absorb more but it doesn't

00:39:55.737 --> 00:39:56.697
The post that you're talking about with

00:39:56.717 --> 00:39:57.697
the carousel that we're just looking at,

00:39:57.717 --> 00:39:58.797
can you put that back on the screen

00:39:58.858 --> 00:39:59.217
for a second?

00:39:59.237 --> 00:39:59.579
Yeah.

00:40:00.398 --> 00:40:02.358
Any of the pages, even the first one.

00:40:02.739 --> 00:40:02.920
Yeah.

00:40:03.760 --> 00:40:05.681
One thing that caught my attention with

00:40:05.721 --> 00:40:09.041
this post is the font, the headline font.

00:40:09.521 --> 00:40:11.842
I actually screenshotted this or a recent

00:40:11.862 --> 00:40:12.382
post of yours.

00:40:12.422 --> 00:40:13.202
Maybe it was last week.

00:40:13.242 --> 00:40:14.704
I screenshotted the headline.

00:40:15.344 --> 00:40:16.523
I sent it to Nate and I said,

00:40:16.563 --> 00:40:16.963
hey, Nate,

00:40:17.244 --> 00:40:19.184
for our upcoming thumbnails for YouTube,

00:40:19.704 --> 00:40:21.385
can you test out this exact font?

00:40:21.945 --> 00:40:23.467
Can we use this font and whatever?

00:40:23.608 --> 00:40:24.288
Just what's today?

00:40:24.387 --> 00:40:24.708
Thursday.

00:40:24.728 --> 00:40:25.349
So yesterday,

00:40:25.809 --> 00:40:27.971
the episode that went public on the Dave

00:40:27.990 --> 00:40:29.012
Kittle show on YouTube,

00:40:29.293 --> 00:40:31.574
that thumbnail was this font.

00:40:31.695 --> 00:40:32.494
So kudos to you.

00:40:32.655 --> 00:40:33.255
I like the font.

00:40:33.275 --> 00:40:34.597
I'm like, hey, let's let's borrow it.

00:40:34.617 --> 00:40:35.197
Let's share it.

00:40:36.059 --> 00:40:37.840
Let's utilize it because I could be

00:40:37.860 --> 00:40:39.681
standing far away from my device or

00:40:39.722 --> 00:40:42.224
computer and I can see this headline.

00:40:42.623 --> 00:40:43.826
Most important thing is like.

00:40:44.706 --> 00:40:46.108
Is this even capturing someone's

00:40:46.128 --> 00:40:46.568
attention?

00:40:48.028 --> 00:40:49.331
I like the font.

00:40:50.130 --> 00:40:50.931
Was there anything else, Tony,

00:40:50.952 --> 00:40:53.153
that you wanted to talk about or present

00:40:53.173 --> 00:40:54.695
with the carousel part?

00:40:55.056 --> 00:40:56.637
Was it more about the Google reviews

00:40:56.818 --> 00:40:57.438
specifically?

00:40:57.538 --> 00:40:57.858
Yeah,

00:40:58.079 --> 00:41:00.380
just the idea of harvesting your Google

00:41:00.420 --> 00:41:03.764
reviews or go out and harvest other Google

00:41:03.824 --> 00:41:04.264
reviews.

00:41:04.784 --> 00:41:07.927
There are plugins and platforms right now,

00:41:08.007 --> 00:41:10.969
I see Scott's, that will go to Amazon.

00:41:11.110 --> 00:41:13.813
They'll screenshot and capture all the

00:41:13.893 --> 00:41:16.014
Amazon reviews and then using that

00:41:16.054 --> 00:41:16.715
information,

00:41:16.775 --> 00:41:18.536
try to identify the fake reviews.

00:41:19.016 --> 00:41:21.219
By using that information,

00:41:21.699 --> 00:41:24.121
generate a UGC script,

00:41:24.681 --> 00:41:27.184
user generated content, UGC script,

00:41:27.304 --> 00:41:28.565
so that if you wanted to make a

00:41:28.625 --> 00:41:29.545
product video,

00:41:29.985 --> 00:41:31.907
you can hit all those pain points.

00:41:32.228 --> 00:41:32.907
Yep.

00:41:32.947 --> 00:41:34.168
Yeah.

00:41:34.329 --> 00:41:35.248
And just so you know, Dave,

00:41:35.509 --> 00:41:37.409
I wound up I go on Instagram and

00:41:37.469 --> 00:41:38.190
if I like something,

00:41:38.250 --> 00:41:39.650
I either save it on Instagram or I

00:41:39.710 --> 00:41:40.351
screenshot it.

00:41:40.510 --> 00:41:41.592
Same exact process.

00:41:42.331 --> 00:41:44.893
Now I've created a project in ChatGPT.

00:41:45.233 --> 00:41:46.693
So I never need to say use that

00:41:46.733 --> 00:41:48.673
really cool font over and over again.

00:41:49.494 --> 00:41:50.914
I now get I have a brand.

00:41:51.255 --> 00:41:53.635
I have a brand format that I saved

00:41:53.675 --> 00:41:54.496
as a PDF.

00:41:55.197 --> 00:41:56.777
And whenever I go to that project,

00:41:56.918 --> 00:41:58.559
I say pull from my brand standards.

00:41:58.860 --> 00:42:00.541
I don't need to explain my colors over

00:42:00.561 --> 00:42:02.581
and over again or fonts or the styles.

00:42:02.862 --> 00:42:04.143
I have a little bit of my headshot

00:42:04.923 --> 00:42:05.643
so it understands.

00:42:05.664 --> 00:42:07.445
Like when I say me, I mean Jimmy.

00:42:07.525 --> 00:42:09.065
And this is the headshot for Jimmy.

00:42:09.206 --> 00:42:11.608
Use this in this style, not that style.

00:42:11.927 --> 00:42:13.648
Make me lose fifteen pounds on camera

00:42:13.668 --> 00:42:14.230
because, you know,

00:42:14.590 --> 00:42:15.911
Jimmy's going into winter right now and

00:42:15.931 --> 00:42:16.891
I've got hibernation bod.

00:42:17.112 --> 00:42:18.452
But like instead of having to do that

00:42:18.472 --> 00:42:19.012
over and over again,

00:42:19.233 --> 00:42:21.795
do it one smart the right way and

00:42:21.815 --> 00:42:22.936
you can lather, rinse, repeat.

00:42:23.840 --> 00:42:25.101
and you can make more,

00:42:25.141 --> 00:42:26.740
you can be clear more often.

00:42:27.541 --> 00:42:28.702
So you guys kind of said this,

00:42:28.742 --> 00:42:30.623
and also Scott was just posting that live

00:42:30.643 --> 00:42:31.623
as a comment that you just put on

00:42:31.643 --> 00:42:32.043
the screen.

00:42:32.503 --> 00:42:33.425
This right here, so Scott,

00:42:33.465 --> 00:42:34.885
thank you so much for this live comment.

00:42:35.286 --> 00:42:35.686
Scott said,

00:42:35.746 --> 00:42:36.887
I use Google reviews all the time for

00:42:36.927 --> 00:42:37.347
marketing,

00:42:37.706 --> 00:42:39.327
always looking at bad reviews of your

00:42:39.347 --> 00:42:42.548
competitors to generate ideas and market

00:42:42.568 --> 00:42:44.289
to patients already receiving therapy.

00:42:44.329 --> 00:42:46.190
It's much easier than trying to convince

00:42:46.210 --> 00:42:48.452
someone that they need therapy.

00:42:49.112 --> 00:42:50.253
I know this colleague, I don't really,

00:42:50.313 --> 00:42:51.153
I've never met him in person,

00:42:51.173 --> 00:42:52.835
but I know a colleague where I've seen

00:42:52.894 --> 00:42:53.175
his

00:42:54.427 --> 00:42:55.929
Facebook and Instagram ads for his

00:42:55.969 --> 00:42:56.469
practice.

00:42:57.168 --> 00:42:59.010
And he also has a podcast,

00:42:59.690 --> 00:43:01.411
a physical therapy business podcast that I

00:43:01.451 --> 00:43:02.050
have listened to.

00:43:02.110 --> 00:43:03.771
And I heard him say on the podcast

00:43:04.132 --> 00:43:05.672
that he will look at the competitors,

00:43:05.952 --> 00:43:06.213
you know,

00:43:06.393 --> 00:43:07.673
all the network practices here in New York

00:43:07.713 --> 00:43:07.914
City.

00:43:08.414 --> 00:43:09.574
He'll look at the competitors,

00:43:10.815 --> 00:43:12.615
one star or two star or three star

00:43:12.635 --> 00:43:13.215
Google reviews.

00:43:13.615 --> 00:43:14.436
Love it.

00:43:14.456 --> 00:43:14.996
He'll take...

00:43:15.896 --> 00:43:18.139
Word for word, what the people are saying.

00:43:18.559 --> 00:43:18.679
Now,

00:43:18.778 --> 00:43:20.400
we all know it's sometimes you'll see like

00:43:21.481 --> 00:43:23.563
a twenty five year old writes a bad

00:43:23.782 --> 00:43:24.583
Google review and they're like,

00:43:24.744 --> 00:43:26.184
I was doing the same exercises next to

00:43:26.204 --> 00:43:27.646
a seventy or eighty year old woman or

00:43:27.686 --> 00:43:28.065
whatever.

00:43:28.085 --> 00:43:28.527
Things like that.

00:43:29.266 --> 00:43:30.507
But copying,

00:43:30.568 --> 00:43:33.230
pasting like those exact things and then

00:43:33.429 --> 00:43:35.512
using that in a video ad on Meta.

00:43:35.572 --> 00:43:36.833
So on Facebook or Instagram.

00:43:36.853 --> 00:43:38.193
So the practice owner or the pizza owner.

00:43:38.494 --> 00:43:40.175
is saying like, are you frustrated with,

00:43:40.215 --> 00:43:41.815
have you ever had physical therapy where,

00:43:42.275 --> 00:43:43.976
again, like the yellow TheraBand,

00:43:45.137 --> 00:43:47.297
whatever the people have posted,

00:43:47.318 --> 00:43:48.918
just exactly like Scott said,

00:43:49.739 --> 00:43:51.619
what are people exactly saying about your

00:43:51.659 --> 00:43:53.840
competitors in your local area?

00:43:54.440 --> 00:43:55.820
Look at the one-star, two-star,

00:43:55.860 --> 00:43:58.402
three-star Google review and use that

00:43:58.442 --> 00:44:00.182
exactly either in your post organically

00:44:00.222 --> 00:44:01.903
like Jimmy's doing or in your ads

00:44:03.206 --> 00:44:04.806
And I would love to get your guys'

00:44:04.827 --> 00:44:05.447
feedback on this,

00:44:05.487 --> 00:44:08.047
which is I heard recently that you should

00:44:08.106 --> 00:44:09.788
really only look at three-star reviews,

00:44:10.228 --> 00:44:12.248
which people don't always have three-star

00:44:12.268 --> 00:44:12.489
reviews.

00:44:12.509 --> 00:44:13.628
But the reason of three-star,

00:44:14.048 --> 00:44:16.809
one-star review is like someone who called

00:44:16.929 --> 00:44:18.110
in and they're like,

00:44:18.990 --> 00:44:21.490
the front desk was like angry and rude

00:44:21.630 --> 00:44:22.452
or they were too busy.

00:44:23.731 --> 00:44:25.052
They were disrespectful.

00:44:25.152 --> 00:44:26.353
So I never even went there.

00:44:26.414 --> 00:44:27.896
I just called them and the person wrote

00:44:27.916 --> 00:44:28.715
a one-star Google review.

00:44:28.737 --> 00:44:30.157
So they did not even experience the

00:44:30.217 --> 00:44:31.378
fulfillment of the service.

00:44:31.398 --> 00:44:32.300
They didn't even come in.

00:44:33.039 --> 00:44:34.581
Someone who posts a three-star Google

00:44:34.621 --> 00:44:35.541
review is,

00:44:35.722 --> 00:44:39.306
or two-star is like more likely to have

00:44:39.565 --> 00:44:41.246
experienced the service came in and

00:44:41.927 --> 00:44:42.228
they're like,

00:44:42.288 --> 00:44:43.548
I like the physical therapist.

00:44:44.309 --> 00:44:45.570
The front desk was okay.

00:44:46.331 --> 00:44:48.514
But then I got an a hundred dollars

00:44:48.554 --> 00:44:49.394
surprise medical bill.

00:44:50.175 --> 00:44:50.936
So consider that.

00:44:50.996 --> 00:44:51.675
Of course,

00:44:51.695 --> 00:44:52.797
there's people that write one-star Google

00:44:52.817 --> 00:44:55.077
reviews that did do five or ten or

00:44:55.097 --> 00:44:56.378
fifteen visits at the physical therapy

00:44:56.418 --> 00:44:57.179
practice, of course.

00:44:57.239 --> 00:44:59.880
But consider the two-star and the

00:44:59.900 --> 00:45:01.661
three-star Google review of someone who

00:45:01.902 --> 00:45:04.384
actually went through some of the process,

00:45:04.463 --> 00:45:05.724
or ideally all the process,

00:45:05.784 --> 00:45:08.346
and then got to graduation, discharged,

00:45:08.365 --> 00:45:09.827
they got a t-shirt, they rang the bell,

00:45:09.867 --> 00:45:10.246
whatever,

00:45:10.746 --> 00:45:12.827
and then they're mad because they got hit

00:45:12.909 --> 00:45:13.668
with a...

00:45:14.802 --> 00:45:16.163
a surprise medical bill and then that goes

00:45:16.182 --> 00:45:17.505
back to what jimmy said in the post

00:45:17.545 --> 00:45:20.606
of like hey billing uh revenue cycle

00:45:20.626 --> 00:45:23.190
management whatever like uh managing

00:45:23.210 --> 00:45:25.251
expectations communicating to every

00:45:25.291 --> 00:45:27.333
patient like what's your plan of policy

00:45:27.353 --> 00:45:28.693
and your coinsurance and what to

00:45:28.713 --> 00:45:31.117
potentially expect and somehow tony is

00:45:31.177 --> 00:45:33.057
able to never hit anyone with a surprise

00:45:33.097 --> 00:45:34.900
medical bill it's like why can't every

00:45:34.920 --> 00:45:35.721
practice just do that

00:45:36.715 --> 00:45:38.335
Yeah, because it's a priority.

00:45:38.436 --> 00:45:38.657
Like,

00:45:38.876 --> 00:45:41.059
I understand it's more important not to

00:45:41.099 --> 00:45:42.760
surprise them with a three hundred dollar

00:45:42.800 --> 00:45:45.702
bill than to have a therapist that

00:45:45.762 --> 00:45:48.445
understands the rotation of the SI joint

00:45:48.565 --> 00:45:50.266
into some like crazy level.

00:45:51.226 --> 00:45:53.047
Real quick, Dave said.

00:45:53.829 --> 00:45:55.670
He called Nate and said, Nate,

00:45:55.789 --> 00:45:58.050
I want you to model this.

00:45:58.492 --> 00:45:59.972
For those of us who don't have a

00:46:00.012 --> 00:46:00.373
Nate,

00:46:00.992 --> 00:46:03.074
what I would do is I would screenshot

00:46:03.094 --> 00:46:03.434
that.

00:46:03.554 --> 00:46:05.295
I would put it into my GPT.

00:46:05.496 --> 00:46:07.356
I would say, model this.

00:46:07.757 --> 00:46:09.297
You can even have it identify.

00:46:09.418 --> 00:46:10.657
If you want to use Canva,

00:46:10.697 --> 00:46:12.358
you can have it identify the font,

00:46:12.458 --> 00:46:14.079
make recommendations in Canva,

00:46:14.159 --> 00:46:15.380
find that font in Canva.

00:46:17.364 --> 00:46:20.065
but i did this yesterday with hang on

00:46:20.085 --> 00:46:21.226
a sec let me try and get that

00:46:21.266 --> 00:46:25.327
down with one of dave's reels and i

00:46:25.347 --> 00:46:26.887
think this is important for people to

00:46:26.907 --> 00:46:31.068
understand so on the left it is a

00:46:31.389 --> 00:46:34.391
a reel that dave published of his

00:46:34.411 --> 00:46:37.032
therapist doing some instrument assisted

00:46:37.291 --> 00:46:37.711
scraping

00:46:38.760 --> 00:46:39.780
I took a screenshot.

00:46:40.141 --> 00:46:41.541
You see the screenshot there.

00:46:41.581 --> 00:46:44.324
I put that exact screenshot into my chat

00:46:44.364 --> 00:46:46.186
GPT and I shared the prompts in the

00:46:46.206 --> 00:46:46.827
Facebook group.

00:46:46.867 --> 00:46:49.809
But I basically said, process this photo,

00:46:50.268 --> 00:46:51.650
recreate this photo,

00:46:51.730 --> 00:46:53.572
remove the text overlay,

00:46:53.612 --> 00:46:55.432
remove the social media icons,

00:46:55.974 --> 00:46:57.835
increase the resolution of four K,

00:46:58.115 --> 00:47:00.498
give me a four by five aspect ratio.

00:47:01.237 --> 00:47:03.958
obscure the therapist zoom in and obscure

00:47:03.978 --> 00:47:07.161
the therapist's face focus on the knee the

00:47:07.240 --> 00:47:10.282
instrument and the hands and basically now

00:47:11.282 --> 00:47:13.123
i got the new image i put that

00:47:13.164 --> 00:47:15.844
image on my social media i tagged uh

00:47:15.965 --> 00:47:19.346
dave on instagram i looked this morning it

00:47:19.365 --> 00:47:21.387
was like fifteen thousand views that the

00:47:21.447 --> 00:47:23.728
image had gotten now his channel doesn't

00:47:23.788 --> 00:47:25.309
excuse me to guess but yeah okay i

00:47:25.728 --> 00:47:26.489
don't know if he's talking

00:47:27.469 --> 00:47:29.570
His channel doesn't get credit for that.

00:47:30.251 --> 00:47:33.652
But still, maybe there's some overlay,

00:47:34.032 --> 00:47:34.891
something going on.

00:47:36.492 --> 00:47:38.213
I could take this same exact thing.

00:47:38.972 --> 00:47:39.393
I could say,

00:47:39.432 --> 00:47:41.373
change the shorts from blue to red.

00:47:41.914 --> 00:47:42.273
I could say,

00:47:42.333 --> 00:47:44.675
change the therapist's white shirt to

00:47:44.695 --> 00:47:45.114
black.

00:47:45.755 --> 00:47:48.195
I could make enough changes to turn this

00:47:48.255 --> 00:47:49.856
into a unique photo.

00:47:50.436 --> 00:47:51.777
Now, the question is,

00:47:52.036 --> 00:47:54.137
and this is where you decide for yourself,

00:47:54.637 --> 00:47:55.938
all right, where is the boundary?

00:47:55.978 --> 00:47:56.177
Like,

00:47:56.217 --> 00:47:58.378
if I see something that inspires me and

00:47:58.438 --> 00:47:59.659
I create something new,

00:47:59.699 --> 00:48:01.579
am I plagiarizing what I saw?

00:48:02.159 --> 00:48:04.420
Or is this something that's genuinely new?

00:48:04.940 --> 00:48:07.143
Good artists borrow, great artists steal.

00:48:07.603 --> 00:48:09.885
I mean, this was my entire radio career,

00:48:10.005 --> 00:48:10.304
right?

00:48:10.804 --> 00:48:12.806
I couldn't drop it into a GPT machine

00:48:12.847 --> 00:48:13.606
and make it spin,

00:48:13.626 --> 00:48:15.489
but I would constantly see what other

00:48:15.528 --> 00:48:16.949
people in other industries were doing.

00:48:17.329 --> 00:48:19.891
When Justin Timberlake and Janet Jackson

00:48:20.632 --> 00:48:22.873
were dancing at halftime during the Super

00:48:22.914 --> 00:48:23.114
Bowl,

00:48:23.634 --> 00:48:25.155
I knew what my radio station was talking

00:48:25.195 --> 00:48:26.436
about for the next seven days.

00:48:26.556 --> 00:48:26.996
I figured,

00:48:27.476 --> 00:48:29.358
what was our twist on Nipplegate?

00:48:29.498 --> 00:48:30.840
How are we going to play with this?

00:48:31.599 --> 00:48:32.320
to use the pun.

00:48:32.940 --> 00:48:33.501
And we did.

00:48:33.961 --> 00:48:35.842
We played with it and used puns for

00:48:35.862 --> 00:48:37.523
the next month and a half and brought

00:48:37.563 --> 00:48:38.344
it back every year.

00:48:38.403 --> 00:48:40.445
Nipplegate was a thing for us.

00:48:40.865 --> 00:48:42.387
But you have to see what people are

00:48:42.427 --> 00:48:44.728
already talking about and how you can use

00:48:45.188 --> 00:48:49.630
or newsjack that attention or style.

00:48:49.951 --> 00:48:52.032
This has been going on for millennia.

00:48:52.092 --> 00:48:53.233
This is not a new thing.

00:48:53.313 --> 00:48:53.893
It's not new.

00:48:53.914 --> 00:48:58.115
All right, we got time left.

00:48:58.235 --> 00:48:59.137
Do we have any more topics?

00:49:01.001 --> 00:49:02.041
I think we're at a good point.

00:49:02.641 --> 00:49:03.302
Yeah.

00:49:03.402 --> 00:49:05.382
Parting shots.

00:49:05.422 --> 00:49:06.322
Dave, go first.

00:49:06.963 --> 00:49:07.682
Parting shots.

00:49:08.463 --> 00:49:10.643
Ask your patients for Google reviews.

00:49:10.684 --> 00:49:11.563
It's very simple.

00:49:12.043 --> 00:49:13.804
I think one of the best approaches is

00:49:14.063 --> 00:49:15.925
either the therapist, clinic director,

00:49:16.144 --> 00:49:17.184
ideally the treating therapist,

00:49:18.804 --> 00:49:20.905
asking in person, like, hey, Jimmy,

00:49:20.925 --> 00:49:22.525
you mentioned you were just happy about

00:49:22.965 --> 00:49:24.565
you were able to kneel on that knee

00:49:24.686 --> 00:49:26.106
and you used to have pain with that

00:49:26.146 --> 00:49:26.347
knee.

00:49:26.387 --> 00:49:27.887
And now you think that you just said

00:49:27.927 --> 00:49:28.206
that you're

00:49:28.706 --> 00:49:29.507
maybe a little bit better.

00:49:30.588 --> 00:49:31.969
You just said that you're maybe feeling

00:49:32.010 --> 00:49:33.311
closer to getting back to ice hockey,

00:49:33.371 --> 00:49:34.411
the thing that you truly care about.

00:49:34.492 --> 00:49:35.373
And we know that, right?

00:49:35.393 --> 00:49:37.114
Because you love the socialization,

00:49:37.134 --> 00:49:38.755
some of the beer league, hockey, whatever.

00:49:39.235 --> 00:49:40.416
So Jimmy,

00:49:41.398 --> 00:49:42.878
you just said that you were happy about

00:49:43.039 --> 00:49:44.101
XYZ.

00:49:44.121 --> 00:49:44.920
Could you just,

00:49:45.561 --> 00:49:46.463
if I'll send you a link,

00:49:46.503 --> 00:49:47.523
I'll text it or email it,

00:49:47.543 --> 00:49:49.344
would you be open to posting that exact

00:49:49.385 --> 00:49:51.067
phrase on a Google review?

00:49:51.980 --> 00:49:52.760
Make it easier.

00:49:53.300 --> 00:49:56.242
How would you explain what happened here

00:49:56.483 --> 00:49:58.864
to someone who's kind of like how you

00:49:58.985 --> 00:49:59.545
used to be?

00:50:00.365 --> 00:50:01.987
How would you explain it to a friend

00:50:02.407 --> 00:50:03.967
who's going through the same thing?

00:50:04.289 --> 00:50:05.670
Because I think we say leave a review

00:50:05.710 --> 00:50:06.909
and we're like, uh,

00:50:06.969 --> 00:50:08.811
now this sounds formal.

00:50:09.431 --> 00:50:11.652
I like sort of like the lower stakes,

00:50:11.733 --> 00:50:12.253
which is like,

00:50:12.512 --> 00:50:13.853
how would you explain this to someone who

00:50:13.914 --> 00:50:15.753
is like you and why they should make

00:50:15.793 --> 00:50:16.034
the leap?

00:50:16.054 --> 00:50:17.034
Because this probably wasn't easy.

00:50:17.054 --> 00:50:17.875
You had to trust me.

00:50:18.335 --> 00:50:19.396
What would you say to them?

00:50:19.456 --> 00:50:20.135
How would you explain it?

00:50:20.396 --> 00:50:20.596
Now,

00:50:20.635 --> 00:50:22.336
hopefully their words roll out of their

00:50:22.376 --> 00:50:23.817
mouth and not a review.

00:50:24.557 --> 00:50:25.057
But then after that,

00:50:25.077 --> 00:50:26.418
you still have to have the ask of,

00:50:26.518 --> 00:50:27.278
hey, totally.

00:50:27.639 --> 00:50:29.719
And you put this publicly as a public.

00:50:29.820 --> 00:50:30.360
Yes, I would say.

00:50:30.940 --> 00:50:32.099
do that in a review,

00:50:32.179 --> 00:50:33.121
instead of saying a review, be like,

00:50:33.141 --> 00:50:34.840
would you mind doing it in a Google

00:50:34.880 --> 00:50:35.141
review?

00:50:35.161 --> 00:50:35.320
Like,

00:50:35.380 --> 00:50:36.380
but all I need you to do is

00:50:36.400 --> 00:50:39.802
just explain how you felt and what you

00:50:40.001 --> 00:50:40.581
experienced.

00:50:40.601 --> 00:50:42.083
How would you explain that and give an

00:50:42.143 --> 00:50:43.222
audience, not to everybody,

00:50:43.242 --> 00:50:43.963
because when I'm going to talk to

00:50:43.983 --> 00:50:45.623
everybody, we become presenters.

00:50:45.943 --> 00:50:46.583
We talked about that.

00:50:46.603 --> 00:50:48.804
That's what happens when smart PTs walk on

00:50:48.864 --> 00:50:51.304
stage at a conference, they become boring.

00:50:51.824 --> 00:50:53.565
How would you explain that to someone just

00:50:53.606 --> 00:50:55.106
like you or a friend?

00:50:55.206 --> 00:50:57.686
And now you get the real personal things,

00:50:57.706 --> 00:50:59.327
the real meat and potatoes.

00:51:01.771 --> 00:51:02.012
All right.

00:51:02.032 --> 00:51:03.974
I'm going to go because my audio is

00:51:04.034 --> 00:51:04.554
all weird.

00:51:04.695 --> 00:51:05.516
I can't hear Dave,

00:51:05.536 --> 00:51:06.536
but I can hear Jimmy.

00:51:06.717 --> 00:51:07.338
Totally bizarre.

00:51:07.358 --> 00:51:09.539
All right.

00:51:09.619 --> 00:51:11.240
Let's just say, guys,

00:51:11.402 --> 00:51:12.983
we give you tons of nuggets.

00:51:13.063 --> 00:51:14.003
Just take action.

00:51:14.063 --> 00:51:15.045
Doesn't matter what you do.

00:51:15.105 --> 00:51:16.065
Just do something.

00:51:16.586 --> 00:51:18.268
We will see you guys next week.

00:51:18.748 --> 00:51:20.190
You guys have an amazing weekend.

00:51:20.451 --> 00:51:21.251
Awesome.

00:51:21.291 --> 00:51:22.612
I will say the next thing we'll do

00:51:22.773 --> 00:51:24.273
is we'll talk about the organization that

00:51:24.313 --> 00:51:25.195
wants to hire us

00:51:26.054 --> 00:51:26.976
to talk about them.

00:51:27.036 --> 00:51:28.617
This is our first potential sponsor,

00:51:28.697 --> 00:51:29.456
Tony and Dave,

00:51:29.597 --> 00:51:31.418
an organization that wants to hire PTs,

00:51:31.858 --> 00:51:34.219
are coming to us on a live stream.

00:51:35.340 --> 00:51:36.242
Who the heck are we?

00:51:36.922 --> 00:51:37.242
We'll see you.

00:51:37.262 --> 00:51:38.782
That's it.

00:51:38.802 --> 00:51:39.304
We're out.

00:51:39.344 --> 00:51:40.744
Boys, what the hell are you doing?

00:51:40.885 --> 00:51:41.284
Follow Tony.

00:51:41.405 --> 00:51:42.625
And hey, just a reminder,

00:51:42.644 --> 00:51:44.085
none of this was for advice.

00:51:44.126 --> 00:51:45.746
This was for entertainment only.

00:51:45.885 --> 00:51:47.007
Our lawyers say that counts.

00:51:47.047 --> 00:51:47.666
Thanks, Keith.