Aug. 20, 2025

The inside scoop on rehabbing an on-the-job injury | Guests: Ammar Alhaidar and Mohammed Rashed

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Our gym, Third Street Barbell, is blessed to have three physical therapy providers as members at the moment. Ammar and Moe work together in a clinic that treats patients covered by workers comp insurance. Are the metrics of physical therapy success different when return to work is the goal?

You can find Ammar on Instagram @ammar_alhaidar https://www.instagram.com/ammar_alhaidar and Moe at @thebuffguy https://www.instagram.com/thebuffguy

Join our Discord for free at goodcompanydiscord.com!

Check out our gym (Third Street Barbell) at ThirdStreetBarbell.com https://www.thirdstreetbarbell.com/!

Check out our podcast website: 50percentfacts.com https://www.50percentfacts.com/

50% Facts is a Spreaker Prime podcast on OCN – the Obscure Celebrity Network.

Hosted by Mike Farr (@silentmikke) https://www.instagram.com/silentmikke/ and Jim McDonald (@thejimmcd). https://www.instagram.com/thejimmcd/ Produced by Jim McDonald Production assistance by Sam McDonald and Sebastian Brambila. Theme by Aaron Moore. Show art by Joseph Manzo (@jmanzo523)

Become a supporter of this podcast: https://www.spreaker.com/podcast/50-facts-with-silent-mike-jim-mcd--5538735/support.

WEBVTT

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All right, welcome, we uh here at Thursday Barbell. We

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have had over the course of our time to be open,

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we have had five PT docs as members and we

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currently have three. And if you're an avid listener, you

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met Pat Bell a few weeks ago. He's one. So

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I'm here with Amar and Mo. Run run, just brief introduction.

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Start with you, Omar, physical therapist.

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I'm graduated from Texas for about three years now and

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working here in Sacramento in a work comp clinic with MO.

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So we're going teller. That's actually how we met, and yeah,

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we're here.

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My name is Mohammed els Go by MO, doctor of

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physical therapy. I'm really proud of that. Graduated about seven

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months ago from University of Saint Augustine over in San Diego,

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currently specializing in outpatient orthopedics, but currently and a pretty

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sweet work comp clinic and hoping to open my own

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clinic pretty soon, pretty darn.

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Soon, pretty darn soon.

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Yes, sir, Well, we'll get.

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Into the uh the intricacies of the different kinds of

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like patients that you guys deal with in a bit. However,

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are you guys UFC fans at all?

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Yeah, we're waiting to watch the fight to night.

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Well, I would say I used to be a fan,

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and then I stopped watching for a very long time

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and trying to get back into it.

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And trying to get back into it. So are you

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guys aware that the pay per views are going away?

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I heard they're going to Peacock. Is that right.

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They're just a huge deal, Yeah, seven year deal. They're

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taking one hundred percent of UFC's content. So not just

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the paper views, you know, so not just the numbered

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fights but all everything, but everything that was fight passed before,

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all that stuff.

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It's still going to be on stream east, you know.

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So it'll be well, yeah, it'll be on streaming, but

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that there's a really good chance of like the numbered fights,

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the ones that would have been on pay per view

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are going to be on on CBS.

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Yeah. Would that be free? Yeah?

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Yeah, well in paramoun plus is cheaper than like for

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a whole year, it's cheaper than probably two pay per views.

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And a whole lot more guaranteed money for the UFC,

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you know, like takes illegal streaming, not that we do

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that out.

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Yeah, yeah, so much better quality picture than you would

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get off of a you know, a boot leg. Pretty

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good nowadays. Yeah, I've never seen a good one on,

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to be honest with you. They're always like break up

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and you.

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Gotta have you always have to have a backup on

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in the background.

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Just in case this is all hypothetical and no one's

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admitting to any sort of.

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Goodness.

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Yes, yeah, this is kind of a kind of a

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shocking thing though, really, because Paramount just changed ownership. Basically

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the son of Larry Ellison, like you know Oracle, the

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like it company from the probably eighties that is worth

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bazillions of dollars and stuff. Yeah, his son who was

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head of sky Dance, which made like they made the

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the Star Trek reboot movies.

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It's a big movie production company.

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Yeah. Yeah, so they bought all the Paramount and this

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is like their first big splashy deal.

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I think it's going to be a good one, you know,

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like after the whole like Tyson and Jake paulfing on

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Netflix like that you know, boomed like crazy. There's a

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lot of viewership.

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And yeah, even though that stream was horrific, Oh it

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was really bad, they dropped the ball now one.

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Yeah, they we were really looking for a quality fight,

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but who knows.

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Yeah, I mean the yeah, that that fight seemed a

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little on the not on the up and up side.

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It was more like w w E to me, Yeah

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it was. It was it had an exhibition quality to

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it that and not like a Wow, this is a

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really serious fight between an old man and a young man.

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For some reason.

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There were glimpses though, bro.

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I saw it.

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It was the first round only it was like, oh,

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there he is and then.

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Wait a minute, I'm just I was just to go

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down in the whatever round he didn't really go down.

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But well, speaking of actual fighting, are you are you

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watching the fight tonight?

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How's that?

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Shamaiav? And do places are you going to watch that?

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No, I'm not the biggest fan. I will like if

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it's Let me back up and say that I was

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most likely to watch it if back in the day,

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if somebody somebody got the pay per view and I

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would chip in for it, or if it was somebody

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who I knew. So like the team Alpha Male guys,

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you know, yeah, yeah, some of them used to actually

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train in this building back in the day, which is

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kind of how we got to know them. Yeah, although

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Mike Mike is friends with Josh Emmett's like brother or something,

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so like he's known them for a long time.

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Guys, that's the guy that came to Agile. Oh yeah, yeah,

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so our pt clinic does you know like work screenings

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and Josh Emmett, the guy you just mentioned, came by

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to get you know, kind of screened, and so I

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just wanted to mention that, ye because I know that name.

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Thanks for mentioning. Yeah, no, yeah, he's yeah, yeah, I

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was actually saw him out for pizza a couple of

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weeks ago.

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But yeah, so you're famous.

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Uh yeah I am. Now, yeah, that's that's that's what

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did it. That's what pushed me over the edge. You

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got fifteen minutes. I got my fifteen minutes, yes, but

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uh no, yeah, I I knew a bunch of those

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guys and you know, and yes you're riah. We asked

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you your riahs. What did his ass off in this

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room on record a podcast and on a on a

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day that like we were hoping to do it earlier

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in the day and this is when you could make it.

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So it was like one o'clock in the afternoon and

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it was much hotter outside now and that the computer

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kept failing because it was too hot. That was fun.

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Damn.

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Yeah, so yeah, I wish this room had some kind

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of climate control, but it is not soon. It's okay

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or not never, so probably probably never. Uh Oh, there's

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a thing I want to do with you guys, and

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I was hoping Seabouse was going to be in here

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for it, but he's not, so his loss. Here's the thing.

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I saw a posting that somebody made on Instagram about

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this protein drink, this clear protein drink that Costco is selling,

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and I thought, well, okay, so before you guys are

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probably not familiar with the Masteronomics podcast, but they're going

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to be all over this. But they record a couple

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of weeks out. I will get this out next week.

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So I want us to do a little taste test

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of this, this this drink and get reaction.

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Yes, okay, Well these are the fruit flavored ones I've had.

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I bought, ye, I do different brands.

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Is going to do this?

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You try to different brands of this, but like the powder.

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So you just throw it in water and you shake it.

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And then it foams up pretty bad.

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Though this one doesn't. You don't have to foam. You

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don't have to do anything to this one. This is

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blue raspberry lemonade, Genius gourmet, sparkling protein, zero sugar, one

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hundred and thirty calories and purportedly thirty grams approaching.

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I just want to say thank you. No, you're welcome,

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very generous of you.

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Oh no, no, no, pro problem, no problem. We've got

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so much budget on the show that doesn't exist.

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It says, do not shake just that.

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Yeah, don't shake it, Okay, don't shake it okay. And

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it's it's sparkling, so it's it's foamy, So everybody go here,

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all right? Reactions. This smells a little bit like sweetheart can.

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Its honestly not bad.

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It's pretty good.

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There's a three chalkiness.

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A little bit of chalkiness. You feel you're feeling chalky.

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I don't mind it, though.

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Yeah, I would say I would buy this because the

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other two that I've tried, this is probably the least

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foamy one that like gives you that that film in

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your mouth taste.

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It's very passive. Yeah, it's like I wouldn't mind just

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sipping on this.

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And I'm usually someone who doesn't like carbonated drinks, but like,

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this is light.

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So you don't like carbonated drinks, no, bro, I.

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Just'd ether drink a juice or just water flavored water. Really, yeah,

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I don't like the carbonation. I prefer flat pop.

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Then that's very interesting.

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This is the West Coast. Okay, we don't say pop here,

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so whatever you guys say.

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Well, actually that that brings U a question like where

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did you learn to say pop? Oh?

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I'm from I'm from Michigan, born and raised in Detroit. Yeah,

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I ended up studying in Texas. I went back to

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Michigan and then I moved back. Well, I came here

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for the first time in September almost a year. Now,

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coming up Labor Day would be one year. So that's

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exciting milestone fall.

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And you came out for the job.

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I actually came out because my wife's studying at Davis.

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Oh, okay, nice. What is she studying.

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She's originally a journalist and now she's studying at Creative Writing.

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She's an MFA program. Yeah, it's a pretty cool thing.

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Cool.

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Speaking of journalists, my wife's cousin, who lives here in town, Yeah,

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works for for the PBS station, and then her her

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husband used to work for the b the local newspaper,

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and now he works for cow Matters, which is like

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a political reporting, public affairs kind of entity, nonprofit do.

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I ask me, I don't know anything about them, nothing

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at all. I'm just there. You're like you do you?

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Yeah, so when you're going to be home in Winstonner.

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That's all I need to know. That's all I need

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to know. That's true. Yeah, And you said, well, you

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said you went to school in San Diego, but where

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were you before that?

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So I live here in Sack I'll grow of Actually, no, excuse.

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Me, Oh so you're local. I didn't get that.

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Yeah, I'm local local. Yeah. So the physical therapy program

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over in San Diego is hybrid in the sense that

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you do most of your coursework online throughout the week,

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and then you physically travel to San Diego like twice

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a month, so sometimes up to four times a month,

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but very rarely. We did that. And it was just

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convenient for me because I got three kids, married and

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I had to work, so and I got to do

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it and about the same time as you would a

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typical grad school program. So you know, that was a

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few years, but you know, it was difficult, but you know,

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I didn't have to sacrifice being a dad or husband,

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you know, So it worked. Out pretty good.

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So what were you doing before that?

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I went to University of the Pacific for undergrad and

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over in Stockton, and you know, just worked in various

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you know jobs, the personal trainer, strength trainer, worked at

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the vitamin shop for a little bit. You Yeah, so

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always in this general field.

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Where just kind of curiosity, where were your personal trainer?

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I was a personal trainer at twenty four Fitness over

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on Center Parkway. It's actually the oldest gym and Sacramento. Really,

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you can fact check me on that one, Jim.

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Interesting, I'm not gonna how would I do that.

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Even for the fans.

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For the fans, I hope it's don't have any fact

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checkers with me today, so I'll have no clue. Sea Bass.

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Actually that that brings up a point. Stand by just

231
00:12:55.120 --> 00:12:56.879
for a moment, because I think I forgot to click

232
00:12:56.879 --> 00:12:58.399
one button. Not that we're not okay, but.

233
00:12:59.600 --> 00:13:00.480
We have to start off.

234
00:13:02.720 --> 00:13:05.200
This was pretty good, he says, I would definitely buy this.

235
00:13:06.000 --> 00:13:08.799
The thing is, my Costco membership ends in like three weeks.

236
00:13:09.679 --> 00:13:10.559
I gotta go stock up.

237
00:13:11.039 --> 00:13:13.240
We look the same, bro, What do you mean just

238
00:13:13.360 --> 00:13:13.840
use mine?

239
00:13:16.120 --> 00:13:16.960
I was confused.

240
00:13:16.960 --> 00:13:20.440
I was like, okay, so that actually brings up people

241
00:13:20.440 --> 00:13:24.600
who are just listening and not watching. I don't know

242
00:13:24.840 --> 00:13:28.159
what your sports backgrounds were, but like Amar looks like

243
00:13:28.159 --> 00:13:32.039
a wrestler, and Mo looks like the wrestler that he

244
00:13:32.039 --> 00:13:33.360
would be intimidated by.

245
00:13:36.159 --> 00:13:38.720
I have never fought. I actually just started.

246
00:13:39.080 --> 00:13:41.960
I took up jiu jitsu, like I've tooken a few

247
00:13:41.960 --> 00:13:44.120
free classes around and try to find a gym that

248
00:13:44.159 --> 00:13:48.320
I like. Yeah, interestingly enough, I was paired up with

249
00:13:48.360 --> 00:13:51.559
this purple belt. I think I wanted the gym nearby

250
00:13:51.600 --> 00:13:53.879
and it was jiu jitsu. This guy was one hundred

251
00:13:53.879 --> 00:13:57.879
and sixty five and I'm two hundred. You know, he

252
00:13:57.960 --> 00:14:02.759
submitted me twice in five minutes, so I have your ass.

253
00:14:02.840 --> 00:14:05.960
B Yes, so you're a sub now, So you're saying.

254
00:14:07.200 --> 00:14:09.879
Twice twice, double sub, double sub.

255
00:14:11.480 --> 00:14:12.759
That sparilal humble you man.

256
00:14:13.000 --> 00:14:15.159
They will, Yes, it is a fun thing. I would

257
00:14:15.159 --> 00:14:17.320
do it if I wasn't powerlifting. It would be like,

258
00:14:17.679 --> 00:14:19.919
you know, every every powerlift they when they retire, what

259
00:14:19.919 --> 00:14:21.480
do they do? They go to jiu jitsus. So yeah,

260
00:14:21.600 --> 00:14:22.480
I'll follow that trend.

261
00:14:23.240 --> 00:14:26.480
Or they become runners. Those are the other or bodybuilding

262
00:14:26.480 --> 00:14:27.200
that's the other one.

263
00:14:27.320 --> 00:14:29.200
It's just you know, so like coming from like a

264
00:14:29.240 --> 00:14:31.679
pt perspective, it's like a lot of those submissions in

265
00:14:31.759 --> 00:14:33.519
jiu jitsu. I did jiu jitsu for like a year

266
00:14:33.559 --> 00:14:37.639
when I was seventeen eighteen, and man, like they just

267
00:14:37.960 --> 00:14:39.120
destroy your joints.

268
00:14:39.120 --> 00:14:39.320
Men.

269
00:14:39.679 --> 00:14:42.120
Yeah, you know, like like there's one it's like a

270
00:14:42.519 --> 00:14:45.000
like a camorra or something like that, and it'll just

271
00:14:45.159 --> 00:14:47.600
f up your shoulder. I did it once and then

272
00:14:47.799 --> 00:14:50.159
like you know, like try to bench after working on

273
00:14:50.240 --> 00:14:53.559
camorras for like a day. You can't. So you know,

274
00:14:53.679 --> 00:14:55.919
it's like one or the other unless like you control

275
00:14:56.320 --> 00:14:59.559
the intensity of the sparring. But it's intense.

276
00:14:59.639 --> 00:15:03.559
Man, excuse me. I realized now why we don't drink

277
00:15:03.960 --> 00:15:06.919
carbonated on the show. I'm burbing up a storm over here.

278
00:15:11.879 --> 00:15:16.919
Uh So sports backgrounds, either of you?

279
00:15:17.799 --> 00:15:19.960
Uh No. I just played out on football in the

280
00:15:20.000 --> 00:15:20.559
street a lot.

281
00:15:20.720 --> 00:15:23.720
Like I've had two concussions from football and then kind

282
00:15:23.720 --> 00:15:27.080
of forced forced to stop. Took up more volleyball, played

283
00:15:27.080 --> 00:15:28.600
that a little bit, but it was always just like

284
00:15:28.639 --> 00:15:29.559
in the park or something.

285
00:15:29.639 --> 00:15:29.759
Yea.

286
00:15:30.080 --> 00:15:32.480
Never never played on the team.

287
00:15:32.960 --> 00:15:36.159
I have a very elaborate but I'm just kidding. When

288
00:15:36.200 --> 00:15:38.720
I was twelve years old I played. I was on

289
00:15:38.759 --> 00:15:43.000
a basketball team. I made two shots the whole year, Jim,

290
00:15:43.639 --> 00:15:47.679
and one of those shots for the other team. I

291
00:15:47.759 --> 00:15:49.639
was so excited to get the rebound, and I was like,

292
00:15:50.320 --> 00:15:55.360
there's a whole yea so to speak, easy, Jimsy, there's

293
00:15:55.480 --> 00:15:59.200
so to speak. The main sport I played was rugby.

294
00:15:59.240 --> 00:16:00.639
I played in high scho on college.

295
00:16:01.919 --> 00:16:03.720
You look like a rugby player. That's kind of where

296
00:16:03.759 --> 00:16:04.360
I was getting at.

297
00:16:05.480 --> 00:16:10.600
He's so generous, thank you. No, it was. It's it's

298
00:16:10.600 --> 00:16:13.720
not like the most popular sport, but we were in

299
00:16:14.039 --> 00:16:16.080
high school. I went to a private Islamic school. A

300
00:16:16.120 --> 00:16:19.200
lot of them shout out, and there weren't a whole

301
00:16:19.240 --> 00:16:21.559
lot of us in there, and you know, it's a

302
00:16:21.639 --> 00:16:24.639
very niche sport. And you know, we kind of just

303
00:16:24.679 --> 00:16:28.159
got the community together, put a varsity silver team up

304
00:16:28.240 --> 00:16:32.000
and we we went completely defeated our first.

305
00:16:31.919 --> 00:16:34.480
Year, completely defeated, did not win one.

306
00:16:34.360 --> 00:16:35.240
We didn't want ship.

307
00:16:35.399 --> 00:16:36.919
Yeah, did you score it all?

308
00:16:37.279 --> 00:16:39.240
We scored of course, you know, like there were maybe

309
00:16:39.240 --> 00:16:42.320
three or four competitive games. But the next year I

310
00:16:42.360 --> 00:16:45.559
was fortunate enough to be captain, and under my leadership Jim,

311
00:16:46.720 --> 00:16:48.480
we took the California championship.

312
00:16:48.960 --> 00:16:52.360
God, you know, so it was that's a zero to

313
00:16:52.440 --> 00:16:53.279
hero story.

314
00:16:53.679 --> 00:16:56.480
It was fun. Man, It's you know, like it's it's

315
00:16:56.480 --> 00:16:58.919
a sport where you truly leave it all in the field.

316
00:16:59.120 --> 00:17:02.120
You know. They say it's a Huligan limbs and you.

317
00:17:02.120 --> 00:17:03.159
Should watch Ted Leassel.

318
00:17:03.240 --> 00:17:05.279
That's like a it's like the same story pretty much,

319
00:17:05.319 --> 00:17:06.720
really similar Ted.

320
00:17:07.400 --> 00:17:09.319
I have not watched Ted last Soon pretty good.

321
00:17:09.400 --> 00:17:11.640
It's like it's the same story, the same story.

322
00:17:11.720 --> 00:17:18.519
Yeah. The one dude that Brett Goldstein, Yeah, who's he

323
00:17:18.599 --> 00:17:22.079
plays like one of the major characters in Ted Lasso

324
00:17:22.279 --> 00:17:26.000
is produces and is in another show called Shrinking, also

325
00:17:26.039 --> 00:17:26.519
on Apple.

326
00:17:26.960 --> 00:17:29.519
Oh yes, and he's a comedian.

327
00:17:29.599 --> 00:17:30.599
He's really funny.

328
00:17:31.680 --> 00:17:33.680
I've seen a couple episodes of Shrinking, but I was

329
00:17:33.680 --> 00:17:34.880
I wasn't into it so much.

330
00:17:36.319 --> 00:17:40.279
You I think it is an older person show. You

331
00:17:40.319 --> 00:17:43.359
guys are both in your twenties.

332
00:17:43.039 --> 00:17:44.359
Thirty thirty or thirty.

333
00:17:44.599 --> 00:17:50.079
Yes, sure, I'm nearly thirty, you're nearly thirty. Okay, Well

334
00:17:50.200 --> 00:17:52.839
there's still a residue of twenties on you, for sure,

335
00:17:53.079 --> 00:17:58.640
and you're just still soaking in it. So that's another

336
00:17:58.680 --> 00:18:01.000
thing that you know, it has taking some getting used

337
00:18:01.000 --> 00:18:03.440
to for me in owning this gym.

338
00:18:03.480 --> 00:18:07.839
It's just how many of y'all are so young. It's like,

339
00:18:09.279 --> 00:18:11.240
I mean, there are other people out there who are, like,

340
00:18:11.519 --> 00:18:13.799
you know, barely in their twenties.

341
00:18:14.200 --> 00:18:16.400
I feel very old, I'll tell you that much.

342
00:18:16.680 --> 00:18:20.440
Yeah, and you're twenty nine and you feel old, imagine

343
00:18:20.440 --> 00:18:20.960
how I feel.

344
00:18:21.079 --> 00:18:21.640
Act like it.

345
00:18:25.200 --> 00:18:29.920
He's he's yeah, I should, I should say that. When

346
00:18:29.960 --> 00:18:35.039
I ask you guys to be on the show, Amar said,

347
00:18:35.519 --> 00:18:39.279
I don't know, I'm really weird on camera. It's true,

348
00:18:39.720 --> 00:18:42.799
it's so far, you know, he's not far off the mark.

349
00:18:42.880 --> 00:18:44.799
So you know, some of the best advice you ever

350
00:18:44.839 --> 00:18:48.960
gave me. So I just graduated from PT school, right, yeah,

351
00:18:49.279 --> 00:18:53.279
and I start my job over with him in like February,

352
00:18:53.359 --> 00:18:57.160
you know, like brand new, first day off, and you know,

353
00:18:57.359 --> 00:19:00.480
like when you first graduate PET you know, like you're like,

354
00:19:00.759 --> 00:19:03.720
I know, I'm gonna I'm gonna fix everyone. You're super optimistic,

355
00:19:04.319 --> 00:19:08.119
you know. And then I knew this guy had like

356
00:19:08.160 --> 00:19:10.119
all the mentality when he's like you have to be

357
00:19:10.160 --> 00:19:15.359
a little bit of an asshole, and that really works. Man.

358
00:19:15.440 --> 00:19:18.680
You know, people respect you more, so thank you, Yeah

359
00:19:18.799 --> 00:19:19.079
you will.

360
00:19:19.240 --> 00:19:23.039
Yeah, yeah, you guys. I mean, you present his nice guys,

361
00:19:23.079 --> 00:19:25.720
but you know, Amar definitely looks like he could be

362
00:19:25.720 --> 00:19:26.200
an asshole.

363
00:19:26.240 --> 00:19:28.240
Sometimes it's just comes naturally.

364
00:19:28.400 --> 00:19:30.359
Yeah, great patient outcomes, though.

365
00:19:30.920 --> 00:19:33.759
It works better because I've tried the nice guy approach. Like,

366
00:19:34.160 --> 00:19:36.160
don't get me wrong, Like I'm not an actual asshole,

367
00:19:36.200 --> 00:19:37.799
but I could be mean if I need to be

368
00:19:37.920 --> 00:19:39.119
when time calls for it.

369
00:19:39.680 --> 00:19:40.640
But yes, when.

370
00:19:40.480 --> 00:19:46.000
You're like when you really listen to the patients and

371
00:19:46.039 --> 00:19:47.960
they really just want to complain, sometimes you just got

372
00:19:47.960 --> 00:19:49.680
to push them through it. Like that's really what it

373
00:19:49.680 --> 00:19:52.519
takes sometimes is like come on, just do your work.

374
00:19:52.680 --> 00:19:53.519
Yeah, stop pitching.

375
00:19:54.279 --> 00:19:56.079
I think that's got to be one of the hardest

376
00:19:56.079 --> 00:19:59.599
parts of being a PTY patient and probably one of

377
00:19:59.640 --> 00:20:05.279
the hardest as being a practitioner, is that people have

378
00:20:05.359 --> 00:20:08.759
to do work on their own. Yes, getting them to do.

379
00:20:08.680 --> 00:20:10.880
It is the accountability bit for sure.

380
00:20:10.960 --> 00:20:12.960
I think that's the probably one of like the better,

381
00:20:13.200 --> 00:20:16.240
like the more important skills, right, is to to find

382
00:20:16.599 --> 00:20:18.319
what motivates them to do it right.

383
00:20:18.599 --> 00:20:21.119
So you know, like one of the biggest things that

384
00:20:21.200 --> 00:20:24.960
you know, I've realized since practicing is you know, like

385
00:20:25.559 --> 00:20:28.680
you can be the best hands on PT the best

386
00:20:28.960 --> 00:20:31.640
you know, like clinician whatever, But if you don't know

387
00:20:31.640 --> 00:20:33.519
how to talk to someone, and you know, like there

388
00:20:33.559 --> 00:20:38.279
are different people, different personalities. One person who's motivated by this,

389
00:20:38.359 --> 00:20:40.880
and one is that you know, it's just as important

390
00:20:40.960 --> 00:20:44.799
as your you know, as your clinical skills. And that's

391
00:20:44.799 --> 00:20:47.519
something you know that I'm still working on and you know,

392
00:20:47.680 --> 00:20:52.920
it's humbles you. Yeah, it's been great so far.

393
00:20:53.240 --> 00:20:56.440
Yeah, and you guys are one hundred working with workers

394
00:20:56.559 --> 00:20:59.480
comp folks at the moment at the moment, which is

395
00:20:59.480 --> 00:21:04.079
a different Yeah, I was gonna say so, Like there

396
00:21:04.119 --> 00:21:06.519
in my mind, there's sort of like three paths. There's

397
00:21:06.599 --> 00:21:09.400
like the athlete path, which is what everybody wants to

398
00:21:09.400 --> 00:21:11.599
be involved in but is also a pain in the ass.

399
00:21:11.839 --> 00:21:15.400
And then there's like regular people, and that regular people

400
00:21:15.559 --> 00:21:21.440
think can include anything from you know, people somebody who

401
00:21:21.839 --> 00:21:24.000
broke a leg or whatever and is just a regular

402
00:21:24.039 --> 00:21:28.200
person or whatever, all the way up to you know,

403
00:21:28.759 --> 00:21:31.640
activities of daily living for a for a senior person.

404
00:21:32.359 --> 00:21:34.400
And then there's the workers comp which could be any

405
00:21:34.440 --> 00:21:40.480
of these things. But because the the payment structure is

406
00:21:40.519 --> 00:21:45.079
different and you're looking at work, return to work, it's

407
00:21:45.079 --> 00:21:49.000
a totally different It feels like a totally different vibe

408
00:21:49.240 --> 00:21:50.880
than the other ones for sure.

409
00:21:51.559 --> 00:21:54.079
I mean like there's also a lot of other venues.

410
00:21:54.119 --> 00:21:56.519
I mean you can go inpatient, you can go acute, yeah,

411
00:21:56.559 --> 00:21:59.960
but speaking of the outpatient world, yeah, and your mentality

412
00:22:00.079 --> 00:22:02.079
going into it is always going to be different. For like,

413
00:22:02.559 --> 00:22:04.480
you know, if you're an outpatient clinical or a private

414
00:22:04.480 --> 00:22:07.119
clinic you come to me, it's your goals that matter.

415
00:22:07.599 --> 00:22:10.640
But when you're coming at a works comp clinic, it's

416
00:22:10.680 --> 00:22:13.640
not really what your goal, Like, we can discharge you

417
00:22:13.640 --> 00:22:15.359
even if you're still in pain, Like, if you can

418
00:22:15.400 --> 00:22:17.920
do the job, you're ready to go back to work, right,

419
00:22:18.000 --> 00:22:20.759
So our goals are, can you do the job in

420
00:22:20.799 --> 00:22:23.559
a fairly safe manner, and then that's that's what you're

421
00:22:23.599 --> 00:22:26.759
ready to discharge if you can, right. So sometimes the

422
00:22:26.839 --> 00:22:30.880
patients aren't so happy about it, right. And also there's

423
00:22:31.079 --> 00:22:33.599
another aspect that comes in with it, is that there

424
00:22:33.640 --> 00:22:36.400
could also be ulterior motives when when you when you're

425
00:22:36.440 --> 00:22:39.160
a worker's comp right or ill intentioned folk.

426
00:22:39.240 --> 00:22:43.440
Yes, people who are trying to stretch it out, yeah,

427
00:22:43.440 --> 00:22:45.960
because they're getting paid on disability or whatever.

428
00:22:46.160 --> 00:22:49.480
Yeah, It's that's one of the things again. Is also

429
00:22:49.559 --> 00:22:51.440
like when I was coming on board, and I asked him,

430
00:22:51.759 --> 00:22:53.359
you know, I didn't really know him all that well,

431
00:22:53.359 --> 00:22:54.839
but I said, you know, like, how's the job. How

432
00:22:54.880 --> 00:22:58.319
are the folks? And he said, well, some of the

433
00:22:58.319 --> 00:23:02.599
patients are asked. You know, it's because I mean it's

434
00:23:02.599 --> 00:23:04.319
just something you know, like we deal with it in

435
00:23:04.400 --> 00:23:08.519
all in most PT avenues, you know, like different motivations

436
00:23:08.559 --> 00:23:11.480
and but you know, again it's like touching to what

437
00:23:11.519 --> 00:23:13.559
we're talking about earlier. It's you know, you have to

438
00:23:13.599 --> 00:23:16.559
motivate them the right way and you know, got to

439
00:23:16.599 --> 00:23:18.880
reach them somehow.

440
00:23:20.599 --> 00:23:25.359
Without like putting anyone on blasts in a way that

441
00:23:25.480 --> 00:23:29.920
is recognizable and would affect your employment. Do you have

442
00:23:29.960 --> 00:23:36.279
any thinly disguised stories that are shareable?

443
00:23:38.000 --> 00:23:39.200
I mean they come and go.

444
00:23:39.359 --> 00:23:41.519
Like I would say, like a small percentage of our

445
00:23:41.559 --> 00:23:45.440
patients are sometimes you know, they they they might have

446
00:23:45.559 --> 00:23:48.759
ulterior motives, right, and you can tell we like I'll

447
00:23:48.799 --> 00:23:51.240
tell you this part of it, Like there's techniques that

448
00:23:51.279 --> 00:23:53.359
we can use, for example, that will tell us if

449
00:23:53.400 --> 00:23:56.720
someone is actually faking, for example, their strength or something.

450
00:23:56.759 --> 00:23:56.920
Right.

451
00:23:57.000 --> 00:23:59.720
Well, really yeah, so like I'll give you like a

452
00:23:59.799 --> 00:24:01.799
d tell about it. Right, So if we're doing like

453
00:24:01.960 --> 00:24:04.920
you know, knee strength or something and they're just kind

454
00:24:04.920 --> 00:24:07.519
of like kicking back and forth. You can tell if

455
00:24:07.559 --> 00:24:10.480
it's an actual like tremor or versus if someone's met

456
00:24:10.640 --> 00:24:11.599
voluntarily doing that.

457
00:24:11.680 --> 00:24:13.359
Right, So you just note it.

458
00:24:13.480 --> 00:24:16.680
But you know, you don't want to claim that you

459
00:24:16.799 --> 00:24:18.799
think this person is faking out because that can that

460
00:24:18.839 --> 00:24:19.960
can come back about your nest.

461
00:24:20.960 --> 00:24:23.119
Yeah, objectively prove that.

462
00:24:23.240 --> 00:24:26.920
Yeah, you just you just observe the objectivity of it.

463
00:24:26.799 --> 00:24:27.480
And you note it.

464
00:24:27.559 --> 00:24:30.119
So basically you can say I did this test and

465
00:24:30.160 --> 00:24:32.279
this will result try your own conclusion.

466
00:24:32.400 --> 00:24:36.359
Yes, yeah, so yeah, again, like it's not like necessarily

467
00:24:36.359 --> 00:24:38.720
a story, but you know, like some people, you know,

468
00:24:38.799 --> 00:24:41.920
like I had a patience. You know, she she came

469
00:24:42.000 --> 00:24:45.480
in fell on the job and you know she heard

470
00:24:45.519 --> 00:24:47.400
her knee. So we looked at her name, you know,

471
00:24:47.599 --> 00:24:50.400
couldn't even touch it, you know, like you know, like

472
00:24:50.480 --> 00:24:52.480
it was you know, I think knows what I'm talking about,

473
00:24:52.839 --> 00:24:55.160
like she was a cat or something. Oh dude, it's

474
00:24:55.200 --> 00:24:58.359
just okay, So you're you're having some pain. Okay, So

475
00:24:58.400 --> 00:25:00.480
then we kind of work through the level stuff and

476
00:25:00.519 --> 00:25:04.440
then so usually in our facility that we work in,

477
00:25:05.519 --> 00:25:08.000
you know, we have in house imaging and you know,

478
00:25:08.079 --> 00:25:12.240
things like that. So if you don't significantly improve after

479
00:25:12.279 --> 00:25:14.559
a certain period of time, then we can you know,

480
00:25:14.640 --> 00:25:17.000
get some imaging done for you in house and get

481
00:25:17.079 --> 00:25:19.720
you referred out pretty quickly. And so you know, like

482
00:25:19.759 --> 00:25:24.319
this lady makes no progress with me, like none, and

483
00:25:24.359 --> 00:25:27.440
then so usually when that happens, okay, so maybe there's

484
00:25:27.480 --> 00:25:30.319
something more severe going on that's beyond you know, like

485
00:25:30.359 --> 00:25:32.559
physical therapy scope and you have to be referred out

486
00:25:32.559 --> 00:25:35.200
to a specialist or whatever. So this lady goes and

487
00:25:35.200 --> 00:25:37.720
gets imaging and there's absolutely nothing wrong with her name.

488
00:25:38.400 --> 00:25:41.759
So I'm like, you get the heck, you know, so

489
00:25:42.400 --> 00:25:45.480
there's kind of stuff like that. It's like trying hard

490
00:25:45.480 --> 00:25:45.720
for you.

491
00:25:46.200 --> 00:25:48.000
She's just sandbagging, I think.

492
00:25:48.079 --> 00:25:54.319
So, yeah, yeah, it's one of those things.

493
00:25:55.000 --> 00:25:57.799
I think a thing that has become kind of known

494
00:25:57.839 --> 00:26:02.480
about about imaging, particularly like spines, is that everybody's spine's

495
00:26:02.519 --> 00:26:07.440
messed up, and but that doesn't necessarily mean it's symptomatic.

496
00:26:08.599 --> 00:26:13.119
And then you put somebody in for imaging for another

497
00:26:13.319 --> 00:26:18.480
cause and you get all of this you know, disk information,

498
00:26:19.279 --> 00:26:20.680
and then suddenly it's a big deal.

499
00:26:21.400 --> 00:26:24.279
Yeah, and sometimes that can start to cause symptoms too,

500
00:26:24.519 --> 00:26:28.759
like because of the narrative behind it. So like you

501
00:26:28.759 --> 00:26:31.200
don't have your you have a disc and it's asymptomatic,

502
00:26:31.240 --> 00:26:33.920
and then you end up getting into MRI for whatever reason,

503
00:26:34.359 --> 00:26:36.000
and now your doctor tells you that you have a

504
00:26:36.039 --> 00:26:38.200
disc and you suddenly start to feel these symptoms. So

505
00:26:38.240 --> 00:26:41.880
that actually can be counterintuitive, right, It can make symptoms worse.

506
00:26:42.359 --> 00:26:46.000
And it goes both ways. I mean sometimes it is useful.

507
00:26:46.400 --> 00:26:48.480
It has it's a tool that you know, we can use,

508
00:26:49.680 --> 00:26:52.559
but yeah, I think it's overutilized at some points for sure.

509
00:26:52.680 --> 00:26:55.240
Yeah. I mean I mean, so like you have to

510
00:26:55.279 --> 00:26:58.519
look at again like that subjective data, right, Yeah, but

511
00:26:58.599 --> 00:27:01.599
there's also the functional ass too. It's like if we

512
00:27:01.640 --> 00:27:03.640
are if all three of us were to get imaging

513
00:27:03.720 --> 00:27:06.319
right now, we don't have a little some right, but

514
00:27:06.519 --> 00:27:09.720
you know, like you you show a certain patient that

515
00:27:10.079 --> 00:27:12.200
and you know, like you get a doctor like, oh,

516
00:27:12.319 --> 00:27:16.359
like your knees bone on bone, and now that's that

517
00:27:16.480 --> 00:27:20.200
patient's narrative and they're and they're gonna approach pt with

518
00:27:20.319 --> 00:27:26.440
a deficit mindset. It's like you know so and yeah,

519
00:27:26.480 --> 00:27:30.039
so like it goes into like the psychological the psychological

520
00:27:30.079 --> 00:27:33.519
aspect and can cause symptoms like I'm out of.

521
00:27:33.480 --> 00:27:38.000
Saying I I can tell you. I mean I I

522
00:27:38.119 --> 00:27:41.160
used to have a lot of low low back problems

523
00:27:41.400 --> 00:27:44.559
and I had imaging done. This is before I started

524
00:27:44.559 --> 00:27:49.279
para looking. I had imaging done and it's like L four,

525
00:27:49.440 --> 00:27:57.559
L five and and then a couple of my in

526
00:27:57.599 --> 00:28:00.759
my neck remember which ones and the next thing. My

527
00:28:01.000 --> 00:28:02.880
NeXT's been messed up forever. But like I never thought

528
00:28:02.880 --> 00:28:06.720
about it being a disc issue. But that's kind of

529
00:28:06.720 --> 00:28:11.279
a better overtime and without any like specific intervention. And

530
00:28:11.480 --> 00:28:15.839
I've had a couple of interventions over time, but before I,

531
00:28:16.240 --> 00:28:20.599
before powerlifting, I never never really had an you know,

532
00:28:20.680 --> 00:28:27.599
another problem. Conversely, however, this knee is currently screwed up.

533
00:28:28.319 --> 00:28:34.079
And I had imaging done probably ten years ago, and

534
00:28:34.119 --> 00:28:37.079
they were like, yeah, there's there's this is warren here,

535
00:28:37.119 --> 00:28:40.559
cartilage just worn here and worn there and whatever. And

536
00:28:40.640 --> 00:28:43.000
it wasn't bothering me at the time. It was actually

537
00:28:43.200 --> 00:28:46.079
it was a tendon behind that was that was the issue.

538
00:28:47.839 --> 00:28:49.440
Now I can tell you that it's messed up because

539
00:28:49.480 --> 00:28:53.559
of that. Now I I have done a couple of

540
00:28:53.640 --> 00:28:57.200
different things that that caused it to be you know,

541
00:28:57.440 --> 00:29:02.039
irritated pretty much all the time. Do you do anything

542
00:29:02.039 --> 00:29:04.680
about it? Not lately.

543
00:29:05.839 --> 00:29:07.480
There you go, you should start.

544
00:29:07.400 --> 00:29:08.079
I probably should.

545
00:29:08.240 --> 00:29:10.000
Yeah, I should talk to physical therapy.

546
00:29:10.119 --> 00:29:13.680
I could, yeah, you know, if I could find one.

547
00:29:14.839 --> 00:29:16.200
You know, I heard one of those is going to

548
00:29:16.240 --> 00:29:17.079
open up a clinic soon.

549
00:29:17.200 --> 00:29:21.160
Yeah, well shit, yeah, So what's your goal with the

550
00:29:21.720 --> 00:29:23.759
opening and clinic? What kind of patients do you want

551
00:29:23.799 --> 00:29:25.279
to see in that environment?

552
00:29:25.599 --> 00:29:29.640
You know, like insurance based physical therapy just is not

553
00:29:30.119 --> 00:29:33.480
a great model right now. You know, you're limited in

554
00:29:33.599 --> 00:29:38.440
some capacity, whether it be a time or you know whatever.

555
00:29:38.559 --> 00:29:41.480
So you know, if if you have the resources or

556
00:29:41.559 --> 00:29:45.720
you know, to open up your own space, and you know,

557
00:29:45.880 --> 00:29:48.559
I'm planning to do a hybrid practice, so you know,

558
00:29:48.759 --> 00:29:52.519
you can initially come in you know, through your insurance PPO, whatever,

559
00:29:53.079 --> 00:29:55.960
and then you know, pay out of pocket. But and

560
00:29:56.039 --> 00:29:58.039
you know, you get much more out of those sessions

561
00:29:58.039 --> 00:30:02.039
because now we're not limited by time and things like that.

562
00:30:02.720 --> 00:30:06.759
So I want everyone to see what physical therapy can

563
00:30:06.799 --> 00:30:10.279
really be and how it's not just you know, like

564
00:30:10.400 --> 00:30:13.200
rehabbing this one thing. You know, I want to tap

565
00:30:13.279 --> 00:30:17.599
into the performance bit and the wellness bit too, you know,

566
00:30:17.680 --> 00:30:22.640
because it's like there's you know, it's like taboo you know,

567
00:30:22.839 --> 00:30:27.640
to to like move these days, and you know, like

568
00:30:27.680 --> 00:30:30.599
people go to gyms and you know, like the intimidation

569
00:30:30.759 --> 00:30:33.160
factor is like a big thing, you know, So having

570
00:30:33.160 --> 00:30:36.319
a space where people can come in have some sort

571
00:30:36.359 --> 00:30:40.599
of degree of comfort under the general supervision of you know,

572
00:30:40.599 --> 00:30:43.319
a doctor of physical therapy there too. So I want

573
00:30:43.359 --> 00:30:46.440
to tap into a lot, you know, and I want

574
00:30:46.680 --> 00:30:49.720
to take care of a lot of folks and again

575
00:30:49.839 --> 00:30:52.440
just like show them like what this stuff really could

576
00:30:52.440 --> 00:30:55.880
be and how it's a lifestyle choice.

577
00:30:56.000 --> 00:31:01.160
Yeah, it seems like having access to physical therapy, even

578
00:31:01.200 --> 00:31:04.200
for you know, like short periods of time, even if

579
00:31:04.240 --> 00:31:06.200
you're paying for it out of pocket, solves a lot

580
00:31:06.200 --> 00:31:11.319
of problems for people, particularly particularly people who are lifters

581
00:31:11.319 --> 00:31:16.039
and athletes and stuff, but also just regular folks. It

582
00:31:16.160 --> 00:31:20.559
is where you're not you know, it's not a place.

583
00:31:20.599 --> 00:31:23.319
The knock against chiropractic is that basically that you're just

584
00:31:23.359 --> 00:31:27.240
a a cash cow for them. You know, they try

585
00:31:27.279 --> 00:31:29.039
to keep you on as long as they possibly can,

586
00:31:29.119 --> 00:31:37.319
and and and they don't really don't really celebrate your

587
00:31:37.799 --> 00:31:40.359
or your progress in a way that makes you feel

588
00:31:40.400 --> 00:31:42.759
like you could handle it on your own.

589
00:31:42.839 --> 00:31:45.799
Yeah, just keep coming in, buddy, We'll see you next week.

590
00:31:45.880 --> 00:31:48.319
Yeah, next week. I'll see you yeah later this week

591
00:31:48.359 --> 00:31:49.519
and then again next week for.

592
00:31:49.559 --> 00:31:52.039
A limit of time only, Jim, you can buy this

593
00:31:52.079 --> 00:31:53.319
fifty package deal.

594
00:31:53.440 --> 00:31:54.400
Yeah, exactly.

595
00:31:54.680 --> 00:31:58.599
Yeah, And I mean their cares are awesome.

596
00:31:58.920 --> 00:32:03.160
They're a good chiropractor, And I am not slamming the hole,

597
00:32:03.400 --> 00:32:07.960
you know, like yeah, but in reality, I've certainly seen

598
00:32:07.960 --> 00:32:11.720
the other side of it, Like, you know, I witnessed

599
00:32:11.720 --> 00:32:13.839
a guy doing that, Oh, we'll hold this you know,

600
00:32:14.200 --> 00:32:17.480
vitamin in your hands and see if you're like weaker.

601
00:32:18.440 --> 00:32:19.119
Oh jeez.

602
00:32:19.200 --> 00:32:23.960
Yes. And then had a training partner back in the

603
00:32:24.000 --> 00:32:28.640
old st days who had been going to this chiropractor

604
00:32:29.079 --> 00:32:34.400
like they were his like doctor, and like he going

605
00:32:34.519 --> 00:32:37.640
for a cold, for Heaven's sakes to a chiropractor, and

606
00:32:37.720 --> 00:32:43.039
the the chiropractor gave him like this specific water that

607
00:32:43.079 --> 00:32:45.160
he was supposed to drink because this water had like

608
00:32:45.200 --> 00:32:48.359
a different frequency that was supposed to make him like

609
00:32:48.559 --> 00:32:49.279
it's like, oh.

610
00:32:49.160 --> 00:32:52.599
My god, did you ever watch the water Boy?

611
00:32:53.480 --> 00:32:54.839
I have seen the water Boy? Yet?

612
00:32:55.200 --> 00:32:57.039
Was that that water the water from Alaska?

613
00:32:58.519 --> 00:33:00.759
I don't know what it was. I don't know what

614
00:33:00.799 --> 00:33:04.160
it was, but like those everything, I have a friend

615
00:33:04.200 --> 00:33:05.960
that that that was here at the time that. We

616
00:33:06.000 --> 00:33:08.000
still make jokes about the frequency water.

617
00:33:08.039 --> 00:33:11.240
It's like, what did you guys see the skit of

618
00:33:11.440 --> 00:33:13.880
this kid. He went and grabbed just a bunch of

619
00:33:13.880 --> 00:33:16.079
water bottles and they made him look fancy. He filled

620
00:33:16.079 --> 00:33:17.440
it up with tap water, and then he took it

621
00:33:17.440 --> 00:33:20.119
to a water tasting competition, and then all the people

622
00:33:20.119 --> 00:33:22.839
who were tasting it, m it has this mineral blah

623
00:33:22.839 --> 00:33:25.240
blah blah, right dude, and then they valued They add

624
00:33:25.319 --> 00:33:27.599
like two to five hundred dollars per bottle and it's

625
00:33:27.720 --> 00:33:28.440
just from the tap.

626
00:33:28.640 --> 00:33:32.119
Like all these judges they're like, I'm getting a taste

627
00:33:32.119 --> 00:33:35.640
of like it was like like like the hell was it?

628
00:33:35.759 --> 00:33:37.720
I don't know, like minerals or something.

629
00:33:37.519 --> 00:33:39.480
Like there's some density to this water that I just

630
00:33:39.519 --> 00:33:41.519
can't describe. I would value this a five hundred dollars

631
00:33:41.559 --> 00:33:41.880
a bottle.

632
00:33:41.920 --> 00:33:45.839
It's like get the come on, bro uh.

633
00:33:45.640 --> 00:33:49.880
And you know it's a wine is similar mm hmm.

634
00:33:50.599 --> 00:33:51.839
I've seen something like that too.

635
00:33:52.400 --> 00:33:55.400
Grab the It's like, you know two buck chuck versus

636
00:33:55.519 --> 00:34:00.279
you know something that's fifty bucks a bottle and tell

637
00:34:00.279 --> 00:34:03.119
the difference. I have a friend who does whiskey and

638
00:34:03.160 --> 00:34:07.519
you can definitely taste the difference with whiskeys, but but wines,

639
00:34:07.559 --> 00:34:11.440
it could go. I mean, a fifteen dollars bottle of

640
00:34:11.480 --> 00:34:17.199
wine is like plenty good for ninety percent of people's palates.

641
00:34:17.599 --> 00:34:19.239
Yeah, I wouldn't really know, never dry.

642
00:34:19.400 --> 00:34:23.599
I understand that, I understand. I understand that we discussed

643
00:34:23.599 --> 00:34:25.039
that off air a little bit.

644
00:34:25.079 --> 00:34:26.440
But yeah, we're must of them, gym.

645
00:34:26.440 --> 00:34:28.000
It's just saying.

646
00:34:29.360 --> 00:34:32.079
Just say, I'm just saying disclaimer, just saying.

647
00:34:37.639 --> 00:34:40.079
Actually, if you don't mind, so like back onto that

648
00:34:40.199 --> 00:34:44.320
topic about you know, the healthcare bit. There is actually

649
00:34:44.360 --> 00:34:48.719
a lobbying going on for physical therapists in particular to

650
00:34:48.800 --> 00:34:55.159
be a primary provider for those with muscular skill little issues.

651
00:34:55.760 --> 00:34:58.079
So it's like, you know, you go into the urgent

652
00:34:58.119 --> 00:35:01.199
care or whatever you like, let's there's a possibility that

653
00:35:01.239 --> 00:35:05.400
you strained your calf muscle, there is active lobbying going

654
00:35:05.400 --> 00:35:08.239
on for you to see a physical therapist first, so

655
00:35:08.320 --> 00:35:10.960
like rather than just you know, get some pain meds

656
00:35:11.039 --> 00:35:12.920
or some other you know.

657
00:35:13.000 --> 00:35:14.719
To get past them. I mean, I know what passed

658
00:35:14.719 --> 00:35:16.320
in Texas. I don't know past in Michigan. I don't

659
00:35:16.360 --> 00:35:21.039
know about California yet. Very limited here in California.

660
00:35:20.559 --> 00:35:25.039
Is well, the California Medical Association is probably the most

661
00:35:25.039 --> 00:35:28.519
powerful lobby in California, and if they are not for it,

662
00:35:28.559 --> 00:35:29.960
then it's going to be an uphill battle.

663
00:35:30.039 --> 00:35:32.199
Well, if you're watching this, can you make dry needling

664
00:35:32.280 --> 00:35:33.639
legal for physical therapists?

665
00:35:33.639 --> 00:35:34.000
Please?

666
00:35:35.119 --> 00:35:35.719
Just asking?

667
00:35:36.760 --> 00:35:41.440
Just asking? Yeah, yeah, No, I actually know somebody who

668
00:35:41.559 --> 00:35:45.400
used to lobby for California Medical Association. If he still

669
00:35:45.440 --> 00:35:46.679
does number.

670
00:35:48.679 --> 00:35:51.400
Number, but yeah, bring him on the pods.

671
00:35:52.280 --> 00:35:56.480
I have had him on a different pod. Yeah, I

672
00:35:56.480 --> 00:35:56.880
don't know.

673
00:35:57.239 --> 00:35:58.119
I'm honestly down.

674
00:36:00.320 --> 00:36:04.360
Go all out those gloves behind you don't want to

675
00:36:04.360 --> 00:36:05.280
break the microphone off.

676
00:36:05.440 --> 00:36:07.280
There are two I think there are two sets above someplace.

677
00:36:07.360 --> 00:36:09.679
Only have one of them out. Can wear the Power

678
00:36:09.719 --> 00:36:12.679
Range and wear the Power Range mask. I don't know

679
00:36:12.679 --> 00:36:13.559
if it fit on your head.

680
00:36:13.559 --> 00:36:16.920
You got saying I have a big head, Jim, I'm saying.

681
00:36:16.800 --> 00:36:22.840
You have you have a Yeah, you appreciably large noggin. Yeah.

682
00:36:23.000 --> 00:36:23.519
I don't know if that.

683
00:36:23.559 --> 00:36:24.559
I don't take offense to that.

684
00:36:24.760 --> 00:36:27.039
I don't know if that if that bears out in

685
00:36:27.119 --> 00:36:29.159
terms of like hats or anything like that.

686
00:36:29.280 --> 00:36:31.960
I mean, you got one your hat from Texas I

687
00:36:31.960 --> 00:36:32.800
could wear maybe I.

688
00:36:32.840 --> 00:36:37.159
Left it, but I can bring it. What kind of

689
00:36:37.199 --> 00:36:38.400
hat a bucket at.

690
00:36:38.639 --> 00:36:42.480
Oh yeah, he's got the belt, the shiny belt. What

691
00:36:42.599 --> 00:36:47.079
it's called them, the tight ass jean. Yeah, I should

692
00:36:47.079 --> 00:36:48.079
see him.

693
00:36:48.280 --> 00:36:49.280
No, I don't have the shoes.

694
00:36:50.280 --> 00:36:53.079
Not shoes, they're boots. Okay, I see what you did.

695
00:36:53.119 --> 00:36:55.599
They're trying to segue out of this. I don't have

696
00:36:56.440 --> 00:36:57.639
you know, you enjoy it.

697
00:36:57.639 --> 00:36:59.480
It's pretty cool. I actually work to a wedding.

698
00:36:59.239 --> 00:37:02.480
One bringing little Texas over to California.

699
00:37:02.559 --> 00:37:07.599
Now another sorry, go ahead. I was gonna say another.

700
00:37:07.360 --> 00:37:10.400
Bit about the cash base model. I had a mentor

701
00:37:10.440 --> 00:37:12.320
when I was a school who actually ran that model

702
00:37:12.320 --> 00:37:15.199
where it was like a percentage cash percentage insurance. And

703
00:37:15.480 --> 00:37:17.519
one thing you mentioned made me think of this where

704
00:37:17.559 --> 00:37:20.599
he said, after he discharges the patient, he actually like

705
00:37:20.760 --> 00:37:23.199
you know, keeps keeps tab on him. You know, they

706
00:37:23.280 --> 00:37:25.679
call him whenever they need anything. So like you know,

707
00:37:25.719 --> 00:37:27.400
how you do a six month check up with your

708
00:37:27.440 --> 00:37:29.840
dentist or the doctor. He actually ran something like that

709
00:37:29.880 --> 00:37:31.400
where you know, if you wanted to, you can just

710
00:37:31.480 --> 00:37:33.920
call him every whenever something comes up that you can

711
00:37:34.000 --> 00:37:36.440
kind of go in for or check up on him,

712
00:37:36.480 --> 00:37:38.800
either on the phone or in person. And that was

713
00:37:38.880 --> 00:37:40.079
it was a good model that worked for him, and

714
00:37:40.079 --> 00:37:42.440
he could would usually bring back people, you know, if

715
00:37:42.440 --> 00:37:43.199
they needed it.

716
00:37:43.199 --> 00:37:43.880
It's pretty good.

717
00:37:44.840 --> 00:37:47.360
I think that, like you're pointing out a just a

718
00:37:47.480 --> 00:37:50.440
kind of fundamental problem with our healthcare system. Anyway, I

719
00:37:50.519 --> 00:37:56.239
understand why the whole primary care physician model was was developed.

720
00:37:56.760 --> 00:38:00.880
It was developed to make h hmmo's work. Know, basically

721
00:38:00.880 --> 00:38:03.719
because that that your MC keeps falling. I don't know

722
00:38:03.760 --> 00:38:06.760
what it is. Needs like Mike viagra.

723
00:38:08.320 --> 00:38:08.760
Hymns.

724
00:38:09.480 --> 00:38:12.320
Yeah, I don't know why it's doing that. Can I

725
00:38:12.480 --> 00:38:14.079
it's not that one, it's the silver one.

726
00:38:14.559 --> 00:38:15.679
Yeah, I'm not going to mess with that.

727
00:38:16.639 --> 00:38:21.920
Mark can probably reach it. Yeah, you're falling further and

728
00:38:21.920 --> 00:38:28.840
further off, Mike, because the sorry range of motion isn't

729
00:38:28.880 --> 00:38:32.559
the best. The people you can probably see a physical

730
00:38:32.559 --> 00:38:33.440
therapist about that.

731
00:38:35.400 --> 00:38:36.440
You take cash.

732
00:38:37.039 --> 00:38:40.840
The UH primary care physicians under a nature mode. They

733
00:38:40.840 --> 00:38:45.519
get paid what's the monthly for each member. It's called capitation.

734
00:38:45.679 --> 00:38:47.719
You just X amount and you're being able to you're

735
00:38:47.719 --> 00:38:52.400
supposed to be able to provide care within that that budget.

736
00:38:53.760 --> 00:38:56.920
If primarily when you go to a primary care physician

737
00:38:56.960 --> 00:39:01.400
and you already know you need to see a specialist. Yeah,

738
00:39:01.880 --> 00:39:05.079
that's a waste of their time, your time and money,

739
00:39:06.400 --> 00:39:08.079
like you should you need to be able to go

740
00:39:08.719 --> 00:39:11.480
to the special The problem is that, of course we

741
00:39:11.480 --> 00:39:16.159
don't have an especialty dogs at all. We also don't

742
00:39:16.199 --> 00:39:20.400
have a primary care docs. And if you think it's

743
00:39:20.440 --> 00:39:22.119
bad here, it's worse in Canada.

744
00:39:23.679 --> 00:39:25.119
I know, their way times are insane.

745
00:39:25.239 --> 00:39:28.280
Yeah, the way times can be very very very long. Yeah,

746
00:39:28.440 --> 00:39:33.159
but it's free. But it's free, and I mean we

747
00:39:33.239 --> 00:39:38.119
need some kind of more efficient system and less cost.

748
00:39:40.079 --> 00:39:43.199
I think it's just crazy that it's just crazy that

749
00:39:43.199 --> 00:39:47.960
people can be bankrupted by medical debt.

750
00:39:50.199 --> 00:39:53.159
Yeah. No, it's a long discussion for sure.

751
00:39:53.239 --> 00:39:55.960
I mean I don't really know how you would solve

752
00:39:56.119 --> 00:39:58.559
something so deep, and there's a lot of greed behind

753
00:39:58.599 --> 00:40:02.119
the whole situation. So I think that's where the rule

754
00:40:02.119 --> 00:40:03.840
of the problem stems is greed, honestly.

755
00:40:04.280 --> 00:40:07.960
Yeah. And I think that like when you know, when

756
00:40:07.960 --> 00:40:11.400
the HMO system came in too, like a lot of doctors,

757
00:40:12.519 --> 00:40:15.239
I made tons of money because there was no like,

758
00:40:16.360 --> 00:40:22.119
there was no no limit really, and now they're cracking

759
00:40:22.159 --> 00:40:25.480
down on them. Yeah. Yeah, it's you know, it's just

760
00:40:25.599 --> 00:40:29.360
it's harder to get rich as a doctor than it

761
00:40:29.480 --> 00:40:29.840
used to be.

762
00:40:30.559 --> 00:40:33.320
It's actually funny because like some old family friends when

763
00:40:33.360 --> 00:40:35.719
I was a kid, as I grew older, like they

764
00:40:35.760 --> 00:40:38.480
would lose their licenses because then like these people are

765
00:40:38.519 --> 00:40:41.079
like you knew them and they were like the family

766
00:40:41.119 --> 00:40:43.719
doctor and then they you know, insurance fraud and all

767
00:40:43.719 --> 00:40:46.000
the stuff, and they would lose their license.

768
00:40:47.079 --> 00:40:50.079
Yeah, I mean insurance based care just.

769
00:40:50.880 --> 00:40:57.159
It is not incentivizes it, like it almost does incentivize it. Yeah,

770
00:40:57.519 --> 00:40:58.039
I mean.

771
00:40:58.599 --> 00:41:02.880
The cash pay model, man, it's it's it's making its

772
00:41:02.920 --> 00:41:03.599
way right now.

773
00:41:03.920 --> 00:41:06.920
Well. And if if if cash pay is like a

774
00:41:06.960 --> 00:41:10.800
reasonable a reasonable amount that somebody can actually like pay

775
00:41:10.840 --> 00:41:15.719
without without killing themselves. I mean, I mean, all the

776
00:41:15.719 --> 00:41:18.280
good physical therapy other than because I've been working with

777
00:41:18.320 --> 00:41:21.119
Pat lately, but all the good physical therapy I've ever

778
00:41:21.159 --> 00:41:23.559
had I paid for out of pocket. All of what

779
00:41:23.800 --> 00:41:27.079
was provided by insurance was crap. And I don't know

780
00:41:27.159 --> 00:41:30.039
if it was crap because it was provided by insurance

781
00:41:30.679 --> 00:41:34.000
or if it was just that the providers that contracted

782
00:41:34.039 --> 00:41:34.920
with are not very good.

783
00:41:35.159 --> 00:41:42.360
What was your general experience like with insurance based physical therapy.

784
00:41:44.159 --> 00:41:47.920
I went to way back in the day, I went

785
00:41:47.920 --> 00:41:50.840
to one for my back, and was.

786
00:41:50.840 --> 00:41:52.639
It like at a like a hospital. I mean I

787
00:41:52.679 --> 00:41:54.000
don't have to say the name, but like, was it

788
00:41:54.079 --> 00:41:56.079
like part of a hospital organization?

789
00:41:56.360 --> 00:41:58.320
The original one was the first one I went. It

790
00:41:58.360 --> 00:42:02.440
was an independent one, and like they had me hanging

791
00:42:02.519 --> 00:42:08.000
upside down on a traction thing and all that matter stuff,

792
00:42:08.360 --> 00:42:10.800
and I didn't I don't think I got any got

793
00:42:10.840 --> 00:42:13.199
better any faster than I would have had I just

794
00:42:13.679 --> 00:42:14.360
been on my own.

795
00:42:15.360 --> 00:42:17.320
I mean to answer your question, I don't think the

796
00:42:17.360 --> 00:42:21.119
actual therapists themselves were you know, inherently bad. It's probably

797
00:42:21.159 --> 00:42:23.559
the system they're under, right, because they need to see

798
00:42:23.599 --> 00:42:25.840
a certain amount in a day, so they're like stressed

799
00:42:25.840 --> 00:42:27.840
to finish the volume that the load that they have

800
00:42:27.920 --> 00:42:30.079
for the day, so they just don't have the time

801
00:42:30.519 --> 00:42:34.119
to spend with you one on one. And then they

802
00:42:34.199 --> 00:42:36.840
have other stressors like their documentation that has to meet

803
00:42:36.880 --> 00:42:39.480
the insurance standards and all that stuff. And then on

804
00:42:39.519 --> 00:42:41.599
top of that, like if you compare it to you

805
00:42:41.639 --> 00:42:43.639
going out and doing a one on one with cash,

806
00:42:43.920 --> 00:42:47.360
that therapist, you know, they're providing that value. Like if

807
00:42:47.360 --> 00:42:49.159
they're not providing the value, they're not going to keep

808
00:42:49.199 --> 00:42:51.280
you as a patient, Right, You're gonna go and leave

809
00:42:51.320 --> 00:42:53.280
fight someone else, so they have to give you your

810
00:42:53.320 --> 00:42:56.599
best effort versus if you're getting paid regardless, you know,

811
00:42:57.119 --> 00:42:59.559
you're not gonna care as much, just inherently as a human.

812
00:42:59.559 --> 00:43:01.119
You're gonna be like, yeah, you know, like you know,

813
00:43:01.199 --> 00:43:03.280
let me just get them through time, they'll get better, right,

814
00:43:03.800 --> 00:43:06.480
So I think that's part of the system they're under, right.

815
00:43:07.199 --> 00:43:12.559
Yeah, there's a disconnect between the between the patient and

816
00:43:12.599 --> 00:43:16.840
the payment unless the patient is paying directly, and then

817
00:43:17.280 --> 00:43:21.679
then you the value is obvious, whereas if it's if

818
00:43:21.679 --> 00:43:24.599
it's through insurance, the value is not necessarily of obvious

819
00:43:24.639 --> 00:43:29.280
to the practitioner. So yeah, no, that was like early

820
00:43:29.360 --> 00:43:31.920
on and then like later when it was not good.

821
00:43:31.960 --> 00:43:37.880
I went to two different rounds with sports Medicine PTS,

822
00:43:38.079 --> 00:43:41.440
and one I didn't get any better, and when I

823
00:43:41.440 --> 00:43:46.840
got worse. So I had this is all for your back, No,

824
00:43:49.079 --> 00:43:52.639
not all from my back. No. The most recent one

825
00:43:52.679 --> 00:44:00.639
was was my shoulder. This shoulder, I have like whole

826
00:44:00.800 --> 00:44:06.199
punch tears in my super spinatus tendon, and I was

827
00:44:06.440 --> 00:44:09.239
like this close to having surgery, and I said, screw it,

828
00:44:09.280 --> 00:44:11.880
I don't want to do that. So I tried physical

829
00:44:11.880 --> 00:44:16.840
therapy with their their people and it literally like caused

830
00:44:16.880 --> 00:44:20.239
me more pain and not in that you know, you know,

831
00:44:20.280 --> 00:44:26.119
when you're working with somebody with corrective exercises or just

832
00:44:26.159 --> 00:44:29.960
exercises period to loosen things up whatever, there's going to

833
00:44:30.039 --> 00:44:30.880
be some discomfort.

834
00:44:31.519 --> 00:44:34.079
This was not that like a sharp pain.

835
00:44:34.159 --> 00:44:37.960
He was sharp pain. And I finally, you know, the

836
00:44:38.000 --> 00:44:40.960
last time I said this is not working, like come

837
00:44:41.039 --> 00:44:43.599
up with something else, Okay, well next time or whatever,

838
00:44:43.599 --> 00:44:45.239
and I was like to never go back. I just

839
00:44:45.559 --> 00:44:50.440
should screw that and went paid on my own for

840
00:44:50.519 --> 00:44:53.840
a while, and then it just got better over time

841
00:44:54.039 --> 00:44:58.679
by itself. The other side that I'm working on now

842
00:44:58.840 --> 00:45:02.719
is it's get better. It's it's definitely, you know, considerably

843
00:45:02.719 --> 00:45:06.400
better than it was when I when I started. But

844
00:45:06.519 --> 00:45:12.679
again it's somebody who has a better sense of kind

845
00:45:12.679 --> 00:45:15.199
of the whole picture. I guess, you know, somebody who

846
00:45:15.440 --> 00:45:17.679
you're working with, somebody who lives weights. You're looking for

847
00:45:17.719 --> 00:45:24.639
somebody who's who's you know, has some some priority on

848
00:45:24.679 --> 00:45:28.320
fitness or whatever, as opposed to somebody who just like

849
00:45:28.440 --> 00:45:31.320
needs to open a shampoo bottle or something. Yeah.

850
00:45:31.880 --> 00:45:34.400
Yeah, there's always BPC one.

851
00:45:36.639 --> 00:45:37.719
Yeah, that is the new trend.

852
00:45:38.840 --> 00:45:41.000
That is the new trend. Yeah, I will tell you

853
00:45:41.039 --> 00:45:43.920
that I actually tried that and didn't really didn't do much.

854
00:45:44.360 --> 00:45:45.599
Over a long period of time.

855
00:45:45.760 --> 00:45:49.079
Well, I don't know how long is long.

856
00:45:49.559 --> 00:45:52.920
Well, so they give it to you what by like

857
00:45:52.920 --> 00:45:56.400
a month or like a month, I don't know.

858
00:45:56.400 --> 00:45:58.360
I think it's twenty days a bottle or something.

859
00:45:58.360 --> 00:45:59.840
I think that's what I think. That's about what I do.

860
00:46:00.199 --> 00:46:02.119
I did like the every day for twenty days.

861
00:46:02.199 --> 00:46:09.599
Yeah, was it oral or injectablejectable for your shoulder issue? Interesting?

862
00:46:09.760 --> 00:46:12.480
I think the people that say it works, if they

863
00:46:12.519 --> 00:46:15.079
hadn't done anything and they just did the twenty days

864
00:46:15.079 --> 00:46:17.679
of letting things heal, they probably would have ended up

865
00:46:17.679 --> 00:46:20.679
in the same spot because most people like I've talked

866
00:46:20.719 --> 00:46:23.960
to that have done it will have like just like

867
00:46:24.000 --> 00:46:26.039
a grade one muscle strain or something like that, And

868
00:46:26.079 --> 00:46:28.039
so if you just have left it alone.

869
00:46:27.760 --> 00:46:29.400
For three weeks, it would.

870
00:46:29.880 --> 00:46:30.079
Yeah.

871
00:46:31.480 --> 00:46:33.920
The other stories were like you have like a whole

872
00:46:33.960 --> 00:46:36.679
partial tear or something like that, and then it marrack

873
00:46:37.000 --> 00:46:38.679
like it just healed by itself with I mean not

874
00:46:38.760 --> 00:46:41.639
by itself with the BPC. Yeah, I mean that those

875
00:46:41.880 --> 00:46:44.920
stories are like, Okay, maybe this does work. But the

876
00:46:44.960 --> 00:46:46.639
other stories were like, yeah, I was just I was

877
00:46:46.679 --> 00:46:48.880
in pain and I took it. I was out of pain, like, eh,

878
00:46:48.960 --> 00:46:50.440
you probably would have been out of pain anyways.

879
00:46:52.360 --> 00:46:58.599
Placebo, yes, placebo. Actually on this this shoulder, I had

880
00:47:00.440 --> 00:47:04.199
oh my god, what's it called uh where they spin

881
00:47:04.320 --> 00:47:08.639
your platelets out and then inject them into your.

882
00:47:08.920 --> 00:47:12.519
Pc p uh something like that pp something.

883
00:47:12.920 --> 00:47:14.239
I don't know why I'm not I don't know why

884
00:47:14.280 --> 00:47:15.960
I'm blanking on it so hard right now. But anyway,

885
00:47:16.000 --> 00:47:18.079
I had that, actually have that, have had that done twice.

886
00:47:18.079 --> 00:47:20.719
I did it for for this tendon and it worked

887
00:47:21.199 --> 00:47:24.400
like worked like within six in the back of the name, Yeah,

888
00:47:24.440 --> 00:47:27.280
within six weeks it was like like.

889
00:47:27.360 --> 00:47:29.360
New almost, and that was something you were dealing with

890
00:47:29.400 --> 00:47:30.280
for a while too, right.

891
00:47:30.559 --> 00:47:34.239
Yeah long time, yeah, long time. Unfortunately now the other

892
00:47:34.280 --> 00:47:35.000
one is doing it.

893
00:47:35.039 --> 00:47:39.000
But go back the plasma stuff, yes, yeah, yeah, yeah,

894
00:47:39.760 --> 00:47:40.400
I know that word.

895
00:47:40.559 --> 00:47:42.440
Yeah, plasma platelets.

896
00:47:42.559 --> 00:47:44.760
It's a doctor and everybody.

897
00:47:44.519 --> 00:47:45.280
There's a p in it.

898
00:47:45.360 --> 00:47:45.880
I know that.

899
00:47:49.440 --> 00:47:52.440
I don't know why it sucks. I'm gonna have to

900
00:47:52.480 --> 00:47:56.239
look it up because I hate. Hey, when when my

901
00:47:56.360 --> 00:47:58.840
memory goes up and then you guys are no help

902
00:47:58.840 --> 00:47:59.159
at all.

903
00:47:59.280 --> 00:48:02.639
So it's I've actually only met like two people who

904
00:48:02.639 --> 00:48:07.079
have done it, so I don't remember too much about it.

905
00:48:07.079 --> 00:48:10.079
It's p r P.

906
00:48:10.480 --> 00:48:11.320
Yeah, that's the one.

907
00:48:12.320 --> 00:48:20.960
Yeah, plasma rich platelet lich rich plasma.

908
00:48:20.639 --> 00:48:24.199
Dan almost you got one. I got one.

909
00:48:25.840 --> 00:48:28.440
And I looked it up, so you know I did.

910
00:48:28.679 --> 00:48:33.000
I don't think I said it twice my shoulder. It

911
00:48:33.079 --> 00:48:33.360
did not.

912
00:48:33.960 --> 00:48:34.320
I would.

913
00:48:34.400 --> 00:48:36.840
I don't know whether it works or not. Eventually it

914
00:48:36.840 --> 00:48:40.480
got better, but it wasn't like as instantaneous. It wasn't.

915
00:48:40.519 --> 00:48:44.760
You know. Six weeks and it's better, and it hurt

916
00:48:44.800 --> 00:48:46.480
more for some reason. Oh my god, it hurt.

917
00:48:47.719 --> 00:48:48.920
So what is the process like?

918
00:48:49.960 --> 00:48:53.679
Uh, they take a vial or two of blood and

919
00:48:53.719 --> 00:48:56.199
they put it in a centrifusion, spin out the platelets

920
00:48:56.960 --> 00:48:59.039
and they load the platelets up in a in a

921
00:48:59.119 --> 00:49:03.719
syringe and then they they're supposed to do it under

922
00:49:05.599 --> 00:49:08.400
imaging so that they know that they're getting into the

923
00:49:09.199 --> 00:49:09.960
into the tendon.

924
00:49:10.599 --> 00:49:11.559
They just do it without it.

925
00:49:12.639 --> 00:49:16.000
They did you they Well, that had a very odd

926
00:49:16.039 --> 00:49:18.119
experience with it because I was having I was going

927
00:49:18.159 --> 00:49:21.320
to have the one behind my knee done and the

928
00:49:21.360 --> 00:49:26.039
original imaging showed all kind of crap in the tendon.

929
00:49:26.159 --> 00:49:29.760
There was like calcium deposits and just all kinds of

930
00:49:29.800 --> 00:49:33.480
issues and I'm like, huh, okay, so you know, we

931
00:49:33.519 --> 00:49:35.199
know what it looks like, so we're going to try this.

932
00:49:35.239 --> 00:49:38.400
So we go. They go in to do the to

933
00:49:38.559 --> 00:49:41.840
the PRP the first time, and they hadn't drawn the

934
00:49:41.840 --> 00:49:45.360
blood yet. They were just like checking where it was

935
00:49:45.400 --> 00:49:49.079
going to go, and like, wait a minute, this doesn't

936
00:49:49.079 --> 00:49:54.079
look anything like the original imaging. Like what happened and

937
00:49:55.360 --> 00:49:58.400
I don't know, I don't know, never solved, never solved,

938
00:49:59.000 --> 00:50:02.280
So canceled. I mean that time was canceled. And then

939
00:50:02.639 --> 00:50:05.480
like they went looked at all the films and all

940
00:50:05.480 --> 00:50:07.280
this stuff and like we don't know, we can't we

941
00:50:07.320 --> 00:50:09.440
can't answer this question. So it's like, okay, let's just

942
00:50:09.440 --> 00:50:11.960
reschedule it to do it. I don't care. So I did.

943
00:50:11.960 --> 00:50:13.480
It didn't work well.

944
00:50:13.519 --> 00:50:15.960
This stuff in general, like the p r P, it's

945
00:50:16.159 --> 00:50:20.239
it's becoming more prominent and so, you know, like someone

946
00:50:20.320 --> 00:50:23.880
that just took the board exam, you know, the national

947
00:50:23.880 --> 00:50:28.280
one for Physical Therapy, they're starting to incorporate p RP,

948
00:50:29.119 --> 00:50:31.719
you know, protocols inside that as well. It's not huge,

949
00:50:32.280 --> 00:50:35.760
but you know, like we are developing, you know, protocols

950
00:50:35.760 --> 00:50:36.039
from that.

951
00:50:37.199 --> 00:50:38.920
I'm not laughing at you. I'm laughing at it. Mark

952
00:50:38.960 --> 00:50:40.840
trying to get the microphone back up near your mouth.

953
00:50:40.840 --> 00:50:41.880
I don't know why it is.

954
00:50:44.000 --> 00:50:50.840
Go like this, Maybe we just can Can you guys

955
00:50:50.840 --> 00:50:52.159
hear me good? Or no?

956
00:50:52.320 --> 00:50:54.119
When you're close to the mic, I can hear you great?

957
00:50:55.559 --> 00:50:57.760
Oh you got to Yeah, it's you got into the

958
00:50:58.079 --> 00:51:00.199
flexi part of it, and now it's just gonna it.

959
00:51:00.639 --> 00:51:03.599
Okay, I'm just I'm just gonna go like this, hold it,

960
00:51:04.280 --> 00:51:06.400
there you go. I feel very fancy right now.

961
00:51:06.519 --> 00:51:09.760
Okay, dang, that's pretty good. Yeah, it's pretty good. Yeah.

962
00:51:09.800 --> 00:51:13.880
But ye but yeah, so like that stuff is being incorporated,

963
00:51:14.159 --> 00:51:16.480
you know, so it's and it's it's going to be

964
00:51:16.519 --> 00:51:17.039
more and more.

965
00:51:17.800 --> 00:51:21.079
Yeah, no, I worked out for you. Yeah, I mean well,

966
00:51:21.119 --> 00:51:22.719
I would love for insurance to cover it because it

967
00:51:22.760 --> 00:51:25.480
cost me, like it cost me seven to fifty the

968
00:51:25.519 --> 00:51:27.960
first time. It cost me like a grand the second time,

969
00:51:29.239 --> 00:51:32.199
serious inflation over however many years it was. But and

970
00:51:32.239 --> 00:51:35.039
it's probably even more. It's probably fifteen hundred now or more.

971
00:51:35.480 --> 00:51:36.760
Per per session.

972
00:51:37.039 --> 00:51:37.400
Yeah.

973
00:51:37.440 --> 00:51:40.599
Oh geez, that is a lot. Yeah, and how many

974
00:51:40.639 --> 00:51:41.039
need you to do?

975
00:51:42.039 --> 00:51:45.440
It's just one shot? Oh oh okay, just one shot yeah.

976
00:51:45.880 --> 00:51:47.599
I mean, I don't even know if they can do it.

977
00:51:48.800 --> 00:51:51.480
I think they have to wait like three or four

978
00:51:51.519 --> 00:51:54.679
months or something in between. I'm not sure exactly, just

979
00:51:54.679 --> 00:51:57.559
because it takes a long time for whatever. I mean

980
00:51:57.599 --> 00:52:00.639
theoretically they're like stem cells or whatever. Yeah, m hm,

981
00:52:01.920 --> 00:52:03.840
and you can. But you can also get stem cells

982
00:52:03.880 --> 00:52:06.559
should should you want, And I've certainly known people who

983
00:52:06.599 --> 00:52:07.159
did that.

984
00:52:07.159 --> 00:52:08.639
That's even pricier, and.

985
00:52:08.559 --> 00:52:11.360
It's a lot pricier, and it's totally out of pocket. Yeah,

986
00:52:11.840 --> 00:52:13.840
at least here. I don't know if there are other

987
00:52:13.880 --> 00:52:15.880
countries offer you any of that kind of stuff.

988
00:52:15.920 --> 00:52:20.079
But you gotta go. Where Where did Christian McCaffrey go

989
00:52:20.119 --> 00:52:22.239
for Germany? Was it Germany?

990
00:52:23.079 --> 00:52:25.679
I hope to god it works s frim because the

991
00:52:25.760 --> 00:52:27.119
NFL season is just starting.

992
00:52:27.239 --> 00:52:30.320
It's yeah, we're just around the precipice.

993
00:52:31.239 --> 00:52:31.440
I know.

994
00:52:31.480 --> 00:52:33.440
It's just like we fantasy drafts coming up.

995
00:52:35.239 --> 00:52:37.039
You guys are football guys, yes.

996
00:52:37.079 --> 00:52:41.800
Yeah, big, big, big Niners FM.

997
00:52:40.480 --> 00:52:42.719
Because you grew up here and you are one Pride

998
00:52:43.280 --> 00:52:44.159
Detroit Lions.

999
00:52:44.559 --> 00:52:45.920
Ye, that's what I thought you were gonna say.

1000
00:52:46.039 --> 00:52:47.880
Yeah, Niner's Nation.

1001
00:52:49.880 --> 00:52:51.559
It's a nice color you have on by the way.

1002
00:52:51.679 --> 00:52:56.159
Oh yeah, yeah, I'm representing today. I you're representing the Raiders.

1003
00:52:56.159 --> 00:53:02.199
Though, no, no, just no.

1004
00:53:01.320 --> 00:53:06.280
No one represents the Raiders representing right now. Okay, nobody

1005
00:53:06.320 --> 00:53:10.360
represents the Raiders. That's what it comes down to. Yeah,

1006
00:53:10.400 --> 00:53:13.840
this is a whole conversation about you shouldn't move franchises.

1007
00:53:13.920 --> 00:53:17.079
You should expand if it's actually if you can make

1008
00:53:17.119 --> 00:53:18.599
the argument that there should be a team there, you

1009
00:53:18.599 --> 00:53:21.639
should expand to it. What do you mean as a

1010
00:53:22.239 --> 00:53:30.599
because uh, Golden Knights, the hockey team is incredibly successful

1011
00:53:30.639 --> 00:53:35.800
in Vegas. Raiders moved from Oakland, after they were moved

1012
00:53:35.800 --> 00:53:41.679
from moved to la and then back to Oakland. Not successful.

1013
00:53:43.119 --> 00:53:45.800
I think they're not only not successful on the field,

1014
00:53:46.079 --> 00:53:49.679
but they're not not successful in terms of drawing crowds

1015
00:53:49.960 --> 00:53:53.400
because people who live in Vegas do not care. They

1016
00:53:53.400 --> 00:53:56.280
don't they don't own them the way they own the

1017
00:53:56.599 --> 00:53:59.159
hockey team. It will be the same with the A's

1018
00:53:59.199 --> 00:54:02.039
who are who literally play across the freeway right now

1019
00:54:02.079 --> 00:54:07.599
in Sacramento. They won't out let Sacramento like have their

1020
00:54:07.679 --> 00:54:12.840
name on anything. And so locally, you know, we don't

1021
00:54:12.840 --> 00:54:15.679
feel a sense of ownership. This is a you know,

1022
00:54:15.719 --> 00:54:20.679
this was a combination a Giants market anyway, more Giants

1023
00:54:20.679 --> 00:54:23.400
than A's. But you think with them right there, they

1024
00:54:23.400 --> 00:54:28.159
would be, you know, selling out that that tiny ballpark.

1025
00:54:28.440 --> 00:54:31.599
But the Sacramento crowd doesn't affiliate with it as much or.

1026
00:54:31.760 --> 00:54:35.000
No, because because they won't identify as being in Sacramento.

1027
00:54:36.079 --> 00:54:38.679
And when they go to Vegas, yeah, I'll say Las

1028
00:54:38.800 --> 00:54:42.639
Vegas Athletics or whatever, but it's not their team. You know.

1029
00:54:42.880 --> 00:54:47.199
They didn't like spring up out of you know, whole

1030
00:54:47.239 --> 00:54:52.719
cloth and and be a Vegas team. So this is

1031
00:54:52.960 --> 00:54:55.360
this is what's wrong with sports, just just so that

1032
00:54:55.440 --> 00:54:58.639
everybody knows. Just there's more wrong with it every everyone

1033
00:54:59.239 --> 00:55:01.519
everyone's time in my opinion and that time. But I

1034
00:55:01.599 --> 00:55:05.159
think that that's something that bears out. I think that

1035
00:55:05.159 --> 00:55:08.320
that Vegas has made a mistake by putting so much

1036
00:55:08.360 --> 00:55:10.400
money into relocating teams there.

1037
00:55:12.840 --> 00:55:14.800
I don't know that people actually lived in Vegas.

1038
00:55:15.119 --> 00:55:18.679
Yeah they do, and it's really hot. The economy in

1039
00:55:18.760 --> 00:55:23.079
Vegas is currently tanking too, because tourism is down in

1040
00:55:23.119 --> 00:55:27.960
the United States overall, and a lot of tourism in

1041
00:55:28.000 --> 00:55:33.679
the United States is to Vegas.

1042
00:55:33.719 --> 00:55:35.760
Crazy.

1043
00:55:37.239 --> 00:55:41.320
On that note, we have moat sweating again.

1044
00:55:43.039 --> 00:55:47.039
I had legs just before this Okay, give me a break.

1045
00:55:47.320 --> 00:55:52.239
Understandably. Thank you guys for coming on.

1046
00:55:52.519 --> 00:55:55.000
No, thank you for having us, Thank you for having us.

1047
00:55:55.039 --> 00:55:59.159
Jim, Yeah, well, I think we probably do some kind

1048
00:55:59.159 --> 00:56:00.920
of a round table at some point in the future,

1049
00:56:00.960 --> 00:56:03.079
bring Pad in and have the three of you.

1050
00:56:02.960 --> 00:56:07.360
Like and the California lobbying.

1051
00:56:07.000 --> 00:56:08.840
Guy and the California lobbying guy.

1052
00:56:08.920 --> 00:56:10.599
I would very much that would be a good discussion.

1053
00:56:11.000 --> 00:56:14.000
I bitch, I can't get him to do that, but

1054
00:56:13.760 --> 00:56:18.079
just buy him some protein. Any any political any political

1055
00:56:18.119 --> 00:56:18.639
hot topic.

1056
00:56:18.719 --> 00:56:22.679
He's like, I mean it's not I mean, it's not

1057
00:56:23.079 --> 00:56:26.000
like a huge one, but it's like, yes, so again,

1058
00:56:26.280 --> 00:56:29.400
just like the so like dry kneeling, you know what

1059
00:56:29.400 --> 00:56:33.159
that is. Yeah, So it's it's legal in most states.

1060
00:56:33.480 --> 00:56:37.480
In California is one of the few that it's not too. Yeah,

1061
00:56:37.519 --> 00:56:39.920
And it's like something that as physical therapists we're trained

1062
00:56:39.960 --> 00:56:44.159
to do, but it's illegal because it's it's only technically

1063
00:56:44.159 --> 00:56:47.679
an acupuncture scope of practice, and it's very helpful. It's

1064
00:56:47.760 --> 00:56:50.679
not that hard to do. So it's like, come on.

1065
00:56:50.599 --> 00:56:54.400
Bro, is it the acupunctural lobby that's causing this problem.

1066
00:56:54.079 --> 00:56:58.920
Or I don't know, Probably they don't want to lose

1067
00:56:58.960 --> 00:56:59.639
their jobs either.

1068
00:57:00.199 --> 00:57:02.519
Yeah, I mean I've I've like spoken to a couple

1069
00:57:02.559 --> 00:57:04.400
about it and they're like, yeah, well, if you guys

1070
00:57:04.559 --> 00:57:07.039
can can do this, then like we'd you know, be

1071
00:57:07.159 --> 00:57:10.400
out of a job. Kind of. Oh really, yeah, I

1072
00:57:10.400 --> 00:57:14.199
mean there are more pets than acupunctures, you know.

1073
00:57:14.360 --> 00:57:19.800
So yeah, I've seen acupuncture work, but I've also experienced

1074
00:57:19.840 --> 00:57:20.519
it not working.

1075
00:57:20.639 --> 00:57:25.159
So it's it's very supplementary, you know. Yeah, I mean,

1076
00:57:25.199 --> 00:57:27.480
but like as its own practice, it's i mean again

1077
00:57:27.519 --> 00:57:31.400
it's like fantastic, but I think you know, it's it's

1078
00:57:31.519 --> 00:57:34.679
very pain modulating in nature and something. You know, It's

1079
00:57:34.719 --> 00:57:37.880
like you do some hands on stuff, you do some exercise,

1080
00:57:37.920 --> 00:57:40.239
and then you end with some you know, dry needling,

1081
00:57:40.280 --> 00:57:43.400
a little bit of electrical stimulation on there. It's really

1082
00:57:43.400 --> 00:57:46.280
effective when like combined with other things.

1083
00:57:46.840 --> 00:57:49.559
Well, and for no other reason that they walk out

1084
00:57:49.559 --> 00:57:52.199
the door feeling better, even if it was just the

1085
00:57:52.280 --> 00:57:58.000
last intervention that that made them feel that way, just.

1086
00:57:58.039 --> 00:57:59.400
Like the cumulative effect.

1087
00:57:59.559 --> 00:58:04.440
I think. Plus, you're paying attention to their needs before

1088
00:58:04.440 --> 00:58:07.480
they walk out the door, of course, which.

1089
00:58:07.880 --> 00:58:11.599
Which what keeps people around. Yes, exactly, even if it's

1090
00:58:11.639 --> 00:58:12.559
just the placebo thing.

1091
00:58:12.559 --> 00:58:15.519
I mean yeah, well, yeah, you can't. I mean placebos

1092
00:58:15.519 --> 00:58:17.840
are still yeah, if it works, it works. Yeah, placebos

1093
00:58:17.880 --> 00:58:20.559
are still an intervention that works. It's it's just you know,

1094
00:58:20.679 --> 00:58:23.079
a little bit unpredictable because it doesn't necessarily work the

1095
00:58:23.079 --> 00:58:27.480
same way with everyone. But yeah, all right, where can

1096
00:58:27.480 --> 00:58:29.639
people find you? Should you want people to find you?

1097
00:58:29.880 --> 00:58:30.239
Amar?

1098
00:58:31.320 --> 00:58:31.880
Uh?

1099
00:58:31.920 --> 00:58:32.920
What do you mean online?

1100
00:58:33.079 --> 00:58:33.400
Yeah?

1101
00:58:33.480 --> 00:58:41.159
On Instagram tradition, you.

1102
00:58:41.440 --> 00:58:44.679
Share their handle as opposed to guys named amar.

1103
00:58:44.840 --> 00:58:48.440
Oh, it's actually just my name's Amar, and then underscore

1104
00:58:48.519 --> 00:58:49.840
al Haidar okay.

1105
00:58:51.639 --> 00:58:53.360
Instagram at the Buff guy.

1106
00:58:54.039 --> 00:58:55.920
See, I don't follow you on Instagram. I would totally

1107
00:58:55.960 --> 00:58:57.800
have done that if i'd known you were the Buff Guy.

1108
00:58:58.679 --> 00:59:00.880
Now we know that's that's an Instagram handled that you

1109
00:59:00.920 --> 00:59:01.519
can't ever let go.

1110
00:59:02.000 --> 00:59:05.000
Yeah, I made that back in twenty eleven or twelve,

1111
00:59:05.039 --> 00:59:08.360
when like Instagram first started, and I was like, I've

1112
00:59:08.400 --> 00:59:10.920
I've had people offer me money for that. So I

1113
00:59:10.960 --> 00:59:14.440
bet if you ever see like the Buff guy seven eight,

1114
00:59:14.440 --> 00:59:16.880
four or five, that's probably one of the folks that

1115
00:59:17.000 --> 00:59:17.840
offered me some money.

1116
00:59:18.079 --> 00:59:20.599
You said no too, yeah, because he didn't offer you

1117
00:59:20.679 --> 00:59:21.119
enough money.

1118
00:59:21.159 --> 00:59:22.960
It was like a couple hundred bucks. But I was like, ah,

1119
00:59:23.119 --> 00:59:26.280
does it mean it's catchy? I might have to change

1120
00:59:26.320 --> 00:59:28.320
it when I get my own spot open, But.

1121
00:59:28.440 --> 00:59:31.239
Just one just started doing, yeah, keep it personal. One.

1122
00:59:31.360 --> 00:59:34.159
So I got one, but for confidentiality reasons, I can't

1123
00:59:34.199 --> 00:59:35.119
say what it is yet.

1124
00:59:35.199 --> 00:59:39.599
So alrighty, Yes, that actually quick funny story. You know

1125
00:59:39.639 --> 00:59:42.159
how he got offered money for the tag? So do

1126
00:59:42.159 --> 00:59:44.079
you know how a Mira Abdulla is running back? Like

1127
00:59:44.320 --> 00:59:45.800
he was actually on the Raiders for a little while,

1128
00:59:45.920 --> 00:59:47.960
but he got drafted into the Lions. Yeah, so I

1129
00:59:48.000 --> 00:59:50.480
took his name. It was like Fear of Mirror twenty one.

1130
00:59:50.719 --> 00:59:52.239
And as soon as he got drafted, I went and

1131
00:59:52.280 --> 00:59:54.199
took his name, and I was like waiting for four

1132
00:59:54.280 --> 00:59:55.920
years until he offered.

1133
00:59:55.599 --> 00:59:58.039
Me money for that name. He never content.

1134
00:59:58.519 --> 01:00:00.719
I was like, whatever, you still then out hope I

1135
01:00:00.719 --> 01:00:03.000
will still yeah, until until he left the lines the

1136
01:00:03.000 --> 01:00:03.880
gay never mind.

1137
01:00:05.320 --> 01:00:08.320
I'm not gonna lie. It's pretty good one for.

1138
01:00:08.280 --> 01:00:10.960
Sure, all right. I am at the Jim McDonnell of

1139
01:00:11.000 --> 01:00:12.880
the social media. This show is fifty percent facts, where

1140
01:00:12.920 --> 01:00:14.920
percent of the word and fifty is just numbers. Fifty

1141
01:00:14.960 --> 01:00:17.159
percent facts. This is a speaker Prime podcast and association

1142
01:00:17.199 --> 01:00:19.480
with our Heart Media on the Obscure Celebrity Network and

1143
01:00:19.599 --> 01:00:28.320
I will talk to you next week.