August 20, 2025 • 60 mins
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.
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.
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Transcript
Episode Transcript
Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:10):
All right, welcome, we uh here at Thursday Barbell. We
have had over the course of our time to be open,
we have had five PT docs as members and we
currently have three. And if you're an avid listener, you
met Pat Bell a few weeks ago. He's one. So
(00:31):
I'm here with Amar and Mo. Run run, just brief introduction.
Speaker 2 (00:39):
Start with you, Omar, physical therapist.
Speaker 3 (00:43):
I'm graduated from Texas for about three years now and
working here in Sacramento in a work comp clinic with MO.
Speaker 2 (00:51):
So we're going teller. That's actually how we met, and yeah,
we're here.
Speaker 4 (00:55):
My name is Mohammed els Go by MO, doctor of
physical therapy. I'm really proud of that. Graduated about seven
months ago from University of Saint Augustine over in San Diego,
currently specializing in outpatient orthopedics, but currently and a pretty
sweet work comp clinic and hoping to open my own
clinic pretty soon, pretty darn.
Speaker 1 (01:17):
Soon, pretty darn soon.
Speaker 4 (01:18):
Yes, sir, Well, we'll get.
Speaker 1 (01:21):
Into the uh the intricacies of the different kinds of
like patients that you guys deal with in a bit. However,
are you guys UFC fans at all?
Speaker 2 (01:34):
Yeah, we're waiting to watch the fight to night.
Speaker 3 (01:36):
Well, I would say I used to be a fan,
and then I stopped watching for a very long time
and trying to get back into it.
Speaker 1 (01:41):
And trying to get back into it. So are you
guys aware that the pay per views are going away?
Speaker 2 (01:46):
I heard they're going to Peacock. Is that right.
Speaker 1 (01:49):
They're just a huge deal, Yeah, seven year deal. They're
taking one hundred percent of UFC's content. So not just
the paper views, you know, so not just the numbered
fights but all everything, but everything that was fight passed before,
all that stuff.
Speaker 2 (02:06):
It's still going to be on stream east, you know.
Speaker 1 (02:08):
So it'll be well, yeah, it'll be on streaming, but
that there's a really good chance of like the numbered fights,
the ones that would have been on pay per view
are going to be on on CBS.
Speaker 2 (02:19):
Yeah. Would that be free? Yeah?
Speaker 1 (02:22):
Yeah, well in paramoun plus is cheaper than like for
a whole year, it's cheaper than probably two pay per views.
Speaker 4 (02:31):
And a whole lot more guaranteed money for the UFC,
you know, like takes illegal streaming, not that we do
that out.
Speaker 1 (02:40):
Yeah, yeah, so much better quality picture than you would
get off of a you know, a boot leg. Pretty
good nowadays. Yeah, I've never seen a good one on,
to be honest with you. They're always like break up
and you.
Speaker 2 (02:54):
Gotta have you always have to have a backup on
in the background.
Speaker 1 (02:56):
Just in case this is all hypothetical and no one's
admitting to any sort of.
Speaker 4 (03:02):
Goodness.
Speaker 1 (03:03):
Yes, yeah, this is kind of a kind of a
shocking thing though, really, because Paramount just changed ownership. Basically
the son of Larry Ellison, like you know Oracle, the
like it company from the probably eighties that is worth
bazillions of dollars and stuff. Yeah, his son who was
(03:28):
head of sky Dance, which made like they made the
the Star Trek reboot movies.
Speaker 4 (03:36):
It's a big movie production company.
Speaker 1 (03:38):
Yeah. Yeah, so they bought all the Paramount and this
is like their first big splashy deal.
Speaker 4 (03:47):
I think it's going to be a good one, you know,
like after the whole like Tyson and Jake paulfing on
Netflix like that you know, boomed like crazy. There's a
lot of viewership.
Speaker 1 (03:56):
And yeah, even though that stream was horrific, Oh it
was really bad, they dropped the ball now one.
Speaker 4 (04:02):
Yeah, they we were really looking for a quality fight,
but who knows.
Speaker 1 (04:09):
Yeah, I mean the yeah, that that fight seemed a
little on the not on the up and up side.
It was more like w w E to me, Yeah
it was. It was it had an exhibition quality to
it that and not like a Wow, this is a
really serious fight between an old man and a young man.
(04:33):
For some reason.
Speaker 4 (04:35):
There were glimpses though, bro.
Speaker 1 (04:37):
I saw it.
Speaker 3 (04:38):
It was the first round only it was like, oh,
there he is and then.
Speaker 1 (04:42):
Wait a minute, I'm just I was just to go
down in the whatever round he didn't really go down.
Speaker 4 (04:48):
But well, speaking of actual fighting, are you are you
watching the fight tonight?
Speaker 1 (04:53):
How's that?
Speaker 4 (04:53):
Shamaiav? And do places are you going to watch that?
Speaker 1 (04:56):
No, I'm not the biggest fan. I will like if
it's Let me back up and say that I was
most likely to watch it if back in the day,
if somebody somebody got the pay per view and I
would chip in for it, or if it was somebody
who I knew. So like the team Alpha Male guys,
(05:20):
you know, yeah, yeah, some of them used to actually
train in this building back in the day, which is
kind of how we got to know them. Yeah, although
Mike Mike is friends with Josh Emmett's like brother or something,
so like he's known them for a long time.
Speaker 4 (05:39):
Guys, that's the guy that came to Agile. Oh yeah, yeah,
so our pt clinic does you know like work screenings
and Josh Emmett, the guy you just mentioned, came by
to get you know, kind of screened, and so I
just wanted to mention that, ye because I know that name.
Speaker 1 (05:56):
Thanks for mentioning. Yeah, no, yeah, he's yeah, yeah, I
was actually saw him out for pizza a couple of
weeks ago.
Speaker 2 (06:04):
But yeah, so you're famous.
Speaker 1 (06:08):
Uh yeah I am. Now, yeah, that's that's that's what
did it. That's what pushed me over the edge. You
got fifteen minutes. I got my fifteen minutes, yes, but
uh no, yeah, I I knew a bunch of those
guys and you know, and yes you're riah. We asked
you your riahs. What did his ass off in this
(06:28):
room on record a podcast and on a on a
day that like we were hoping to do it earlier
in the day and this is when you could make it.
So it was like one o'clock in the afternoon and
it was much hotter outside now and that the computer
kept failing because it was too hot. That was fun.
Speaker 4 (06:46):
Damn.
Speaker 1 (06:46):
Yeah, so yeah, I wish this room had some kind
of climate control, but it is not soon. It's okay
or not never, so probably probably never. Uh Oh, there's
a thing I want to do with you guys, and
I was hoping Seabouse was going to be in here
for it, but he's not, so his loss. Here's the thing.
(07:12):
I saw a posting that somebody made on Instagram about
this protein drink, this clear protein drink that Costco is selling,
and I thought, well, okay, so before you guys are
(07:32):
probably not familiar with the Masteronomics podcast, but they're going
to be all over this. But they record a couple
of weeks out. I will get this out next week.
So I want us to do a little taste test
of this, this this drink and get reaction.
Speaker 3 (07:50):
Yes, okay, Well these are the fruit flavored ones I've had.
I bought, ye, I do different brands.
Speaker 2 (08:02):
Is going to do this?
Speaker 1 (08:04):
You try to different brands of this, but like the powder.
Speaker 3 (08:07):
So you just throw it in water and you shake it.
Speaker 2 (08:10):
And then it foams up pretty bad.
Speaker 1 (08:12):
Though this one doesn't. You don't have to foam. You
don't have to do anything to this one. This is
blue raspberry lemonade, Genius gourmet, sparkling protein, zero sugar, one
hundred and thirty calories and purportedly thirty grams approaching.
Speaker 4 (08:31):
I just want to say thank you. No, you're welcome,
very generous of you.
Speaker 1 (08:34):
Oh no, no, no, pro problem, no problem. We've got
so much budget on the show that doesn't exist.
Speaker 2 (08:40):
It says, do not shake just that.
Speaker 1 (08:42):
Yeah, don't shake it, Okay, don't shake it okay. And
it's it's sparkling, so it's it's foamy, So everybody go here,
all right? Reactions. This smells a little bit like sweetheart can.
Speaker 4 (08:57):
Its honestly not bad.
Speaker 2 (08:58):
It's pretty good.
Speaker 4 (09:00):
There's a three chalkiness.
Speaker 1 (09:04):
A little bit of chalkiness. You feel you're feeling chalky.
Speaker 4 (09:06):
I don't mind it, though.
Speaker 3 (09:08):
Yeah, I would say I would buy this because the
other two that I've tried, this is probably the least
foamy one that like gives you that that film in
your mouth taste.
Speaker 4 (09:17):
It's very passive. Yeah, it's like I wouldn't mind just
sipping on this.
Speaker 3 (09:24):
And I'm usually someone who doesn't like carbonated drinks, but like,
this is light.
Speaker 1 (09:27):
So you don't like carbonated drinks, no, bro, I.
Speaker 2 (09:31):
Just'd ether drink a juice or just water flavored water. Really, yeah,
I don't like the carbonation. I prefer flat pop.
Speaker 1 (09:40):
Then that's very interesting.
Speaker 4 (09:43):
This is the West Coast. Okay, we don't say pop here,
so whatever you guys say.
Speaker 1 (09:51):
Well, actually that that brings U a question like where
did you learn to say pop? Oh?
Speaker 3 (09:55):
I'm from I'm from Michigan, born and raised in Detroit. Yeah,
I ended up studying in Texas. I went back to
Michigan and then I moved back. Well, I came here
for the first time in September almost a year. Now,
coming up Labor Day would be one year. So that's
exciting milestone fall.
Speaker 1 (10:09):
And you came out for the job.
Speaker 2 (10:11):
I actually came out because my wife's studying at Davis.
Speaker 1 (10:14):
Oh, okay, nice. What is she studying.
Speaker 3 (10:18):
She's originally a journalist and now she's studying at Creative Writing.
She's an MFA program. Yeah, it's a pretty cool thing.
Speaker 4 (10:27):
Cool.
Speaker 1 (10:27):
Speaking of journalists, my wife's cousin, who lives here in town, Yeah,
works for for the PBS station, and then her her
husband used to work for the b the local newspaper,
and now he works for cow Matters, which is like
(10:48):
a political reporting, public affairs kind of entity, nonprofit do.
Speaker 2 (10:54):
I ask me, I don't know anything about them, nothing
at all. I'm just there. You're like you do you?
Speaker 1 (11:01):
Yeah, so when you're going to be home in Winstonner.
That's all I need to know. That's all I need
to know. That's true. Yeah, And you said, well, you
said you went to school in San Diego, but where
were you before that?
Speaker 4 (11:18):
So I live here in Sack I'll grow of Actually, no, excuse.
Speaker 1 (11:22):
Me, Oh so you're local. I didn't get that.
Speaker 4 (11:25):
Yeah, I'm local local. Yeah. So the physical therapy program
over in San Diego is hybrid in the sense that
you do most of your coursework online throughout the week,
and then you physically travel to San Diego like twice
a month, so sometimes up to four times a month,
but very rarely. We did that. And it was just
convenient for me because I got three kids, married and
(11:47):
I had to work, so and I got to do
it and about the same time as you would a
typical grad school program. So you know, that was a
few years, but you know, it was difficult, but you know,
I didn't have to sacrifice being a dad or husband,
you know, So it worked. Out pretty good.
Speaker 1 (12:04):
So what were you doing before that?
Speaker 4 (12:07):
I went to University of the Pacific for undergrad and
over in Stockton, and you know, just worked in various
you know jobs, the personal trainer, strength trainer, worked at
the vitamin shop for a little bit. You Yeah, so
always in this general field.
Speaker 1 (12:26):
Where just kind of curiosity, where were your personal trainer?
Speaker 4 (12:30):
I was a personal trainer at twenty four Fitness over
on Center Parkway. It's actually the oldest gym and Sacramento. Really,
you can fact check me on that one, Jim.
Speaker 1 (12:41):
Interesting, I'm not gonna how would I do that.
Speaker 4 (12:43):
Even for the fans.
Speaker 1 (12:44):
For the fans, I hope it's don't have any fact
checkers with me today, so I'll have no clue. Sea Bass.
Actually that that brings up a point. Stand by just
for a moment, because I think I forgot to click
one button. Not that we're not okay, but.
Speaker 4 (12:59):
We have to start off.
Speaker 3 (13:02):
This was pretty good, he says, I would definitely buy this.
The thing is, my Costco membership ends in like three weeks.
Speaker 2 (13:09):
I gotta go stock up.
Speaker 4 (13:11):
We look the same, bro, What do you mean just
use mine?
Speaker 2 (13:16):
I was confused.
Speaker 1 (13:16):
I was like, okay, so that actually brings up people
who are just listening and not watching. I don't know
what your sports backgrounds were, but like Amar looks like
a wrestler, and Mo looks like the wrestler that he
would be intimidated by.
Speaker 2 (13:36):
I have never fought. I actually just started.
Speaker 3 (13:39):
I took up jiu jitsu, like I've tooken a few
free classes around and try to find a gym that
I like. Yeah, interestingly enough, I was paired up with
this purple belt. I think I wanted the gym nearby
and it was jiu jitsu. This guy was one hundred
and sixty five and I'm two hundred. You know, he
submitted me twice in five minutes, so I have your ass.
Speaker 1 (14:02):
B Yes, so you're a sub now, So you're saying.
Speaker 2 (14:07):
Twice twice, double sub, double sub.
Speaker 4 (14:11):
That sparilal humble you man.
Speaker 2 (14:13):
They will, Yes, it is a fun thing. I would
do it if I wasn't powerlifting. It would be like,
you know, every every powerlift they when they retire, what
do they do? They go to jiu jitsus. So yeah,
I'll follow that trend.
Speaker 1 (14:23):
Or they become runners. Those are the other or bodybuilding
that's the other one.
Speaker 4 (14:27):
It's just you know, so like coming from like a
pt perspective, it's like a lot of those submissions in
jiu jitsu. I did jiu jitsu for like a year
when I was seventeen eighteen, and man, like they just
destroy your joints.
Speaker 1 (14:39):
Men.
Speaker 4 (14:39):
Yeah, you know, like like there's one it's like a
like a camorra or something like that, and it'll just
f up your shoulder. I did it once and then
like you know, like try to bench after working on
camorras for like a day. You can't. So you know,
it's like one or the other unless like you control
the intensity of the sparring. But it's intense.
Speaker 1 (14:59):
Man, excuse me. I realized now why we don't drink
carbonated on the show. I'm burbing up a storm over here.
Uh So sports backgrounds, either of you?
Speaker 2 (15:17):
Uh No. I just played out on football in the
street a lot.
Speaker 3 (15:20):
Like I've had two concussions from football and then kind
of forced forced to stop. Took up more volleyball, played
that a little bit, but it was always just like
in the park or something.
Speaker 4 (15:29):
Yea.
Speaker 2 (15:30):
Never never played on the team.
Speaker 4 (15:32):
I have a very elaborate but I'm just kidding. When
I was twelve years old I played. I was on
a basketball team. I made two shots the whole year, Jim,
and one of those shots for the other team. I
was so excited to get the rebound, and I was like,
there's a whole yea so to speak, easy, Jimsy, there's
(15:55):
so to speak. The main sport I played was rugby.
I played in high scho on college.
Speaker 1 (16:01):
You look like a rugby player. That's kind of where
I was getting at.
Speaker 4 (16:05):
He's so generous, thank you. No, it was. It's it's
not like the most popular sport, but we were in
high school. I went to a private Islamic school. A
lot of them shout out, and there weren't a whole
lot of us in there, and you know, it's a
very niche sport. And you know, we kind of just
got the community together, put a varsity silver team up
(16:28):
and we we went completely defeated our first.
Speaker 1 (16:31):
Year, completely defeated, did not win one.
Speaker 4 (16:34):
We didn't want ship.
Speaker 1 (16:35):
Yeah, did you score it all?
Speaker 4 (16:37):
We scored of course, you know, like there were maybe
three or four competitive games. But the next year I
was fortunate enough to be captain, and under my leadership Jim,
we took the California championship.
Speaker 1 (16:48):
God, you know, so it was that's a zero to
hero story.
Speaker 4 (16:53):
It was fun. Man, It's you know, like it's it's
a sport where you truly leave it all in the field.
You know. They say it's a Huligan limbs and you.
Speaker 2 (17:02):
Should watch Ted Leassel.
Speaker 3 (17:03):
That's like a it's like the same story pretty much,
really similar Ted.
Speaker 1 (17:07):
I have not watched Ted last Soon pretty good.
Speaker 2 (17:09):
It's like it's the same story, the same story.
Speaker 1 (17:11):
Yeah. The one dude that Brett Goldstein, Yeah, who's he
plays like one of the major characters in Ted Lasso
is produces and is in another show called Shrinking, also
on Apple.
Speaker 2 (17:26):
Oh yes, and he's a comedian.
Speaker 1 (17:29):
He's really funny.
Speaker 3 (17:31):
I've seen a couple episodes of Shrinking, but I was
I wasn't into it so much.
Speaker 1 (17:36):
You I think it is an older person show. You
guys are both in your twenties.
Speaker 2 (17:43):
Thirty thirty or thirty.
Speaker 3 (17:44):
Yes, sure, I'm nearly thirty, you're nearly thirty. Okay, Well
there's still a residue of twenties on you, for sure,
and you're just still soaking in it. So that's another
thing that you know, it has taking some getting used
to for me in owning this gym.
Speaker 1 (18:03):
It's just how many of y'all are so young. It's like,
I mean, there are other people out there who are, like,
you know, barely in their twenties.
Speaker 2 (18:14):
I feel very old, I'll tell you that much.
Speaker 1 (18:16):
Yeah, and you're twenty nine and you feel old, imagine
how I feel.
Speaker 4 (18:21):
Act like it.
Speaker 1 (18:25):
He's he's yeah, I should, I should say that. When
I ask you guys to be on the show, Amar said,
I don't know, I'm really weird on camera. It's true,
it's so far, you know, he's not far off the mark.
Speaker 4 (18:42):
So you know, some of the best advice you ever
gave me. So I just graduated from PT school, right, yeah,
and I start my job over with him in like February,
you know, like brand new, first day off, and you know,
like when you first graduate PET you know, like you're like,
I know, I'm gonna I'm gonna fix everyone. You're super optimistic,
(19:04):
you know. And then I knew this guy had like
all the mentality when he's like you have to be
a little bit of an asshole, and that really works. Man.
You know, people respect you more, so thank you, Yeah
you will.
Speaker 1 (19:19):
Yeah, yeah, you guys. I mean, you present his nice guys,
but you know, Amar definitely looks like he could be
an asshole.
Speaker 2 (19:26):
Sometimes it's just comes naturally.
Speaker 4 (19:28):
Yeah, great patient outcomes, though.
Speaker 3 (19:30):
It works better because I've tried the nice guy approach. Like,
don't get me wrong, Like I'm not an actual asshole,
but I could be mean if I need to be
when time calls for it.
Speaker 2 (19:39):
But yes, when.
Speaker 3 (19:40):
You're like when you really listen to the patients and
they really just want to complain, sometimes you just got
to push them through it. Like that's really what it
takes sometimes is like come on, just do your work.
Speaker 2 (19:52):
Yeah, stop pitching.
Speaker 1 (19:54):
I think that's got to be one of the hardest
parts of being a PTY patient and probably one of
the hardest as being a practitioner, is that people have
to do work on their own. Yes, getting them to do.
Speaker 4 (20:08):
It is the accountability bit for sure.
Speaker 3 (20:10):
I think that's the probably one of like the better,
like the more important skills, right, is to to find
what motivates them to do it right.
Speaker 4 (20:18):
So you know, like one of the biggest things that
you know, I've realized since practicing is you know, like
you can be the best hands on PT the best
you know, like clinician whatever, But if you don't know
how to talk to someone, and you know, like there
are different people, different personalities. One person who's motivated by this,
and one is that you know, it's just as important
(20:40):
as your you know, as your clinical skills. And that's
something you know that I'm still working on and you know,
it's humbles you. Yeah, it's been great so far.
Speaker 1 (20:53):
Yeah, and you guys are one hundred working with workers
comp folks at the moment at the moment, which is
a different Yeah, I was gonna say so, Like there
in my mind, there's sort of like three paths. There's
like the athlete path, which is what everybody wants to
be involved in but is also a pain in the ass.
And then there's like regular people, and that regular people
(21:15):
think can include anything from you know, people somebody who
broke a leg or whatever and is just a regular
person or whatever, all the way up to you know,
activities of daily living for a for a senior person.
And then there's the workers comp which could be any
of these things. But because the the payment structure is
(21:40):
different and you're looking at work, return to work, it's
a totally different It feels like a totally different vibe
than the other ones for sure.
Speaker 3 (21:51):
I mean like there's also a lot of other venues.
I mean you can go inpatient, you can go acute, yeah,
but speaking of the outpatient world, yeah, and your mentality
going into it is always going to be different. For like,
you know, if you're an outpatient clinical or a private
clinic you come to me, it's your goals that matter.
But when you're coming at a works comp clinic, it's
not really what your goal, Like, we can discharge you
(22:13):
even if you're still in pain, Like, if you can
do the job, you're ready to go back to work, right,
So our goals are, can you do the job in
a fairly safe manner, and then that's that's what you're
ready to discharge if you can, right. So sometimes the
patients aren't so happy about it, right. And also there's
another aspect that comes in with it, is that there
could also be ulterior motives when when you when you're
(22:36):
a worker's comp right or ill intentioned folk.
Speaker 1 (22:39):
Yes, people who are trying to stretch it out, yeah,
because they're getting paid on disability or whatever.
Speaker 4 (22:46):
Yeah, It's that's one of the things again. Is also
like when I was coming on board, and I asked him,
you know, I didn't really know him all that well,
but I said, you know, like, how's the job. How
are the folks? And he said, well, some of the
patients are asked. You know, it's because I mean it's
just something you know, like we deal with it in
all in most PT avenues, you know, like different motivations
(23:08):
and but you know, again it's like touching to what
we're talking about earlier. It's you know, you have to
motivate them the right way and you know, got to
reach them somehow.
Speaker 1 (23:20):
Without like putting anyone on blasts in a way that
is recognizable and would affect your employment. Do you have
any thinly disguised stories that are shareable?
Speaker 2 (23:38):
I mean they come and go.
Speaker 3 (23:39):
Like I would say, like a small percentage of our
patients are sometimes you know, they they they might have
ulterior motives, right, and you can tell we like I'll
tell you this part of it, Like there's techniques that
we can use, for example, that will tell us if
someone is actually faking, for example, their strength or something.
Speaker 2 (23:56):
Right.
Speaker 3 (23:57):
Well, really yeah, so like I'll give you like a
d tell about it. Right, So if we're doing like
you know, knee strength or something and they're just kind
of like kicking back and forth. You can tell if
it's an actual like tremor or versus if someone's met
voluntarily doing that.
Speaker 2 (24:11):
Right, So you just note it.
Speaker 3 (24:13):
But you know, you don't want to claim that you
think this person is faking out because that can that
can come back about your nest.
Speaker 4 (24:20):
Yeah, objectively prove that.
Speaker 3 (24:23):
Yeah, you just you just observe the objectivity of it.
Speaker 2 (24:26):
And you note it.
Speaker 1 (24:27):
So basically you can say I did this test and
this will result try your own conclusion.
Speaker 4 (24:32):
Yes, yeah, so yeah, again, like it's not like necessarily
a story, but you know, like some people, you know,
like I had a patience. You know, she she came
in fell on the job and you know she heard
her knee. So we looked at her name, you know,
couldn't even touch it, you know, like you know, like
it was you know, I think knows what I'm talking about,
(24:52):
like she was a cat or something. Oh dude, it's
just okay, So you're you're having some pain. Okay, So
then we kind of work through the level stuff and
then so usually in our facility that we work in,
you know, we have in house imaging and you know,
things like that. So if you don't significantly improve after
a certain period of time, then we can you know,
(25:14):
get some imaging done for you in house and get
you referred out pretty quickly. And so you know, like
this lady makes no progress with me, like none, and
then so usually when that happens, okay, so maybe there's
something more severe going on that's beyond you know, like
physical therapy scope and you have to be referred out
to a specialist or whatever. So this lady goes and
(25:35):
gets imaging and there's absolutely nothing wrong with her name.
So I'm like, you get the heck, you know, so
there's kind of stuff like that. It's like trying hard
for you.
Speaker 1 (25:46):
She's just sandbagging, I think.
Speaker 4 (25:48):
So, yeah, yeah, it's one of those things.
Speaker 1 (25:55):
I think a thing that has become kind of known
about about imaging, particularly like spines, is that everybody's spine's
messed up, and but that doesn't necessarily mean it's symptomatic.
And then you put somebody in for imaging for another
cause and you get all of this you know, disk information,
(26:19):
and then suddenly it's a big deal.
Speaker 3 (26:21):
Yeah, and sometimes that can start to cause symptoms too,
like because of the narrative behind it. So like you
don't have your you have a disc and it's asymptomatic,
and then you end up getting into MRI for whatever reason,
and now your doctor tells you that you have a
disc and you suddenly start to feel these symptoms. So
that actually can be counterintuitive, right, It can make symptoms worse.
(26:42):
And it goes both ways. I mean sometimes it is useful.
It has it's a tool that you know, we can use,
but yeah, I think it's overutilized at some points for sure.
Speaker 4 (26:52):
Yeah. I mean I mean, so like you have to
look at again like that subjective data, right, Yeah, but
there's also the functional ass too. It's like if we
are if all three of us were to get imaging
right now, we don't have a little some right, but
you know, like you you show a certain patient that
and you know, like you get a doctor like, oh,
like your knees bone on bone, and now that's that
(27:16):
patient's narrative and they're and they're gonna approach pt with
a deficit mindset. It's like you know so and yeah,
so like it goes into like the psychological the psychological
aspect and can cause symptoms like I'm out of.
Speaker 1 (27:33):
Saying I I can tell you. I mean I I
used to have a lot of low low back problems
and I had imaging done. This is before I started
para looking. I had imaging done and it's like L four,
L five and and then a couple of my in
(27:57):
my neck remember which ones and the next thing. My
NeXT's been messed up forever. But like I never thought
about it being a disc issue. But that's kind of
a better overtime and without any like specific intervention. And
I've had a couple of interventions over time, but before I,
before powerlifting, I never never really had an you know,
(28:20):
another problem. Conversely, however, this knee is currently screwed up.
And I had imaging done probably ten years ago, and
they were like, yeah, there's there's this is warren here,
cartilage just worn here and worn there and whatever. And
it wasn't bothering me at the time. It was actually
(28:43):
it was a tendon behind that was that was the issue.
Now I can tell you that it's messed up because
of that. Now I I have done a couple of
different things that that caused it to be you know,
irritated pretty much all the time. Do you do anything
about it? Not lately.
Speaker 2 (29:05):
There you go, you should start.
Speaker 1 (29:07):
I probably should.
Speaker 4 (29:08):
Yeah, I should talk to physical therapy.
Speaker 1 (29:10):
I could, yeah, you know, if I could find one.
Speaker 2 (29:14):
You know, I heard one of those is going to
open up a clinic soon.
Speaker 1 (29:17):
Yeah, well shit, yeah, So what's your goal with the
opening and clinic? What kind of patients do you want
to see in that environment?
Speaker 4 (29:25):
You know, like insurance based physical therapy just is not
a great model right now. You know, you're limited in
some capacity, whether it be a time or you know whatever.
So you know, if if you have the resources or
you know, to open up your own space, and you know,
(29:45):
I'm planning to do a hybrid practice, so you know,
you can initially come in you know, through your insurance PPO, whatever,
and then you know, pay out of pocket. But and
you know, you get much more out of those sessions
because now we're not limited by time and things like that.
So I want everyone to see what physical therapy can
(30:06):
really be and how it's not just you know, like
rehabbing this one thing. You know, I want to tap
into the performance bit and the wellness bit too, you know,
because it's like there's you know, it's like taboo you know,
to to like move these days, and you know, like
(30:27):
people go to gyms and you know, like the intimidation
factor is like a big thing, you know, So having
a space where people can come in have some sort
of degree of comfort under the general supervision of you know,
a doctor of physical therapy there too. So I want
to tap into a lot, you know, and I want
to take care of a lot of folks and again
(30:49):
just like show them like what this stuff really could
be and how it's a lifestyle choice.
Speaker 1 (30:56):
Yeah, it seems like having access to physical therapy, even
for you know, like short periods of time, even if
you're paying for it out of pocket, solves a lot
of problems for people, particularly particularly people who are lifters
and athletes and stuff, but also just regular folks. It
(31:16):
is where you're not you know, it's not a place.
The knock against chiropractic is that basically that you're just
a a cash cow for them. You know, they try
to keep you on as long as they possibly can,
and and and they don't really don't really celebrate your
(31:37):
or your progress in a way that makes you feel
like you could handle it on your own.
Speaker 4 (31:42):
Yeah, just keep coming in, buddy, We'll see you next week.
Speaker 1 (31:45):
Yeah, next week. I'll see you yeah later this week
and then again next week for.
Speaker 4 (31:49):
A limit of time only, Jim, you can buy this
fifty package deal.
Speaker 1 (31:53):
Yeah, exactly.
Speaker 4 (31:54):
Yeah, And I mean their cares are awesome.
Speaker 1 (31:58):
They're a good chiropractor, And I am not slamming the hole,
you know, like yeah, but in reality, I've certainly seen
the other side of it, Like, you know, I witnessed
a guy doing that, Oh, we'll hold this you know,
vitamin in your hands and see if you're like weaker.
Speaker 2 (32:18):
Oh jeez.
Speaker 1 (32:19):
Yes. And then had a training partner back in the
old st days who had been going to this chiropractor
like they were his like doctor, and like he going
for a cold, for Heaven's sakes to a chiropractor, and
the the chiropractor gave him like this specific water that
(32:43):
he was supposed to drink because this water had like
a different frequency that was supposed to make him like
it's like, oh.
Speaker 4 (32:49):
My god, did you ever watch the water Boy?
Speaker 1 (32:53):
I have seen the water Boy? Yet?
Speaker 4 (32:55):
Was that that water the water from Alaska?
Speaker 1 (32:58):
I don't know what it was. I don't know what
it was, but like those everything, I have a friend
that that that was here at the time that. We
still make jokes about the frequency water.
Speaker 3 (33:08):
It's like, what did you guys see the skit of
this kid. He went and grabbed just a bunch of
water bottles and they made him look fancy. He filled
it up with tap water, and then he took it
to a water tasting competition, and then all the people
who were tasting it, m it has this mineral blah
blah blah, right dude, and then they valued They add
like two to five hundred dollars per bottle and it's
just from the tap.
Speaker 4 (33:28):
Like all these judges they're like, I'm getting a taste
of like it was like like like the hell was it?
Speaker 2 (33:35):
I don't know, like minerals or something.
Speaker 4 (33:37):
Like there's some density to this water that I just
can't describe. I would value this a five hundred dollars
a bottle.
Speaker 2 (33:41):
It's like get the come on, bro uh.
Speaker 1 (33:45):
And you know it's a wine is similar mm hmm.
Speaker 2 (33:50):
I've seen something like that too.
Speaker 1 (33:52):
Grab the It's like, you know two buck chuck versus
you know something that's fifty bucks a bottle and tell
the difference. I have a friend who does whiskey and
you can definitely taste the difference with whiskeys, but but wines,
it could go. I mean, a fifteen dollars bottle of
wine is like plenty good for ninety percent of people's palates.
Speaker 2 (34:17):
Yeah, I wouldn't really know, never dry.
Speaker 1 (34:19):
I understand that, I understand. I understand that we discussed
that off air a little bit.
Speaker 4 (34:25):
But yeah, we're must of them, gym.
Speaker 2 (34:26):
It's just saying.
Speaker 1 (34:29):
Just say, I'm just saying disclaimer, just saying.
Speaker 4 (34:37):
Actually, if you don't mind, so like back onto that
topic about you know, the healthcare bit. There is actually
a lobbying going on for physical therapists in particular to
be a primary provider for those with muscular skill little issues.
So it's like, you know, you go into the urgent
(34:58):
care or whatever you like, let's there's a possibility that
you strained your calf muscle, there is active lobbying going
on for you to see a physical therapist first, so
like rather than just you know, get some pain meds
or some other you know.
Speaker 3 (35:13):
To get past them. I mean, I know what passed
in Texas. I don't know past in Michigan. I don't
know about California yet. Very limited here in California.
Speaker 1 (35:20):
Is well, the California Medical Association is probably the most
powerful lobby in California, and if they are not for it,
then it's going to be an uphill battle.
Speaker 4 (35:30):
Well, if you're watching this, can you make dry needling
legal for physical therapists?
Speaker 1 (35:33):
Please?
Speaker 4 (35:35):
Just asking?
Speaker 1 (35:36):
Just asking? Yeah, yeah, No, I actually know somebody who
used to lobby for California Medical Association. If he still
does number.
Speaker 4 (35:48):
Number, but yeah, bring him on the pods.
Speaker 1 (35:52):
I have had him on a different pod. Yeah, I
don't know.
Speaker 4 (35:57):
I'm honestly down.
Speaker 3 (36:00):
Go all out those gloves behind you don't want to
break the microphone off.
Speaker 1 (36:05):
There are two I think there are two sets above someplace.
Only have one of them out. Can wear the Power
Range and wear the Power Range mask. I don't know
if it fit on your head.
Speaker 4 (36:13):
You got saying I have a big head, Jim, I'm saying.
Speaker 1 (36:16):
You have you have a Yeah, you appreciably large noggin. Yeah.
I don't know if that.
Speaker 4 (36:23):
I don't take offense to that.
Speaker 1 (36:24):
I don't know if that if that bears out in
terms of like hats or anything like that.
Speaker 4 (36:29):
I mean, you got one your hat from Texas I
could wear maybe I.
Speaker 2 (36:32):
Left it, but I can bring it. What kind of
hat a bucket at.
Speaker 4 (36:38):
Oh yeah, he's got the belt, the shiny belt. What
it's called them, the tight ass jean. Yeah, I should
see him.
Speaker 2 (36:48):
No, I don't have the shoes.
Speaker 4 (36:50):
Not shoes, they're boots. Okay, I see what you did.
They're trying to segue out of this. I don't have
you know, you enjoy it.
Speaker 2 (36:57):
It's pretty cool. I actually work to a wedding.
Speaker 4 (36:59):
One bringing little Texas over to California.
Speaker 2 (37:02):
Now another sorry, go ahead. I was gonna say another.
Speaker 3 (37:07):
Bit about the cash base model. I had a mentor
when I was a school who actually ran that model
where it was like a percentage cash percentage insurance. And
one thing you mentioned made me think of this where
he said, after he discharges the patient, he actually like
you know, keeps keeps tab on him. You know, they
call him whenever they need anything. So like you know,
how you do a six month check up with your
(37:27):
dentist or the doctor. He actually ran something like that
where you know, if you wanted to, you can just
call him every whenever something comes up that you can
kind of go in for or check up on him,
either on the phone or in person. And that was
it was a good model that worked for him, and
he could would usually bring back people, you know, if
they needed it.
Speaker 4 (37:43):
It's pretty good.
Speaker 1 (37:44):
I think that, like you're pointing out a just a
kind of fundamental problem with our healthcare system. Anyway, I
understand why the whole primary care physician model was was developed.
It was developed to make h hmmo's work. Know, basically
because that that your MC keeps falling. I don't know
what it is. Needs like Mike viagra.
Speaker 4 (38:08):
Hymns.
Speaker 1 (38:09):
Yeah, I don't know why it's doing that. Can I
it's not that one, it's the silver one.
Speaker 4 (38:14):
Yeah, I'm not going to mess with that.
Speaker 1 (38:16):
Mark can probably reach it. Yeah, you're falling further and
further off, Mike, because the sorry range of motion isn't
the best. The people you can probably see a physical
therapist about that.
Speaker 4 (38:35):
You take cash.
Speaker 1 (38:37):
The UH primary care physicians under a nature mode. They
get paid what's the monthly for each member. It's called capitation.
You just X amount and you're being able to you're
supposed to be able to provide care within that that budget.
If primarily when you go to a primary care physician
and you already know you need to see a specialist. Yeah,
(39:01):
that's a waste of their time, your time and money,
like you should you need to be able to go
to the special The problem is that, of course we
don't have an especialty dogs at all. We also don't
have a primary care docs. And if you think it's
bad here, it's worse in Canada.
Speaker 2 (39:23):
I know, their way times are insane.
Speaker 1 (39:25):
Yeah, the way times can be very very very long. Yeah,
but it's free. But it's free, and I mean we
need some kind of more efficient system and less cost.
I think it's just crazy that it's just crazy that
people can be bankrupted by medical debt.
Speaker 2 (39:50):
Yeah. No, it's a long discussion for sure.
Speaker 3 (39:53):
I mean I don't really know how you would solve
something so deep, and there's a lot of greed behind
the whole situation. So I think that's where the rule
of the problem stems is greed, honestly.
Speaker 1 (40:04):
Yeah. And I think that like when you know, when
the HMO system came in too, like a lot of doctors,
I made tons of money because there was no like,
there was no no limit really, and now they're cracking
down on them. Yeah. Yeah, it's you know, it's just
(40:25):
it's harder to get rich as a doctor than it
used to be.
Speaker 3 (40:30):
It's actually funny because like some old family friends when
I was a kid, as I grew older, like they
would lose their licenses because then like these people are
like you knew them and they were like the family
doctor and then they you know, insurance fraud and all
the stuff, and they would lose their license.
Speaker 4 (40:47):
Yeah, I mean insurance based care just.
Speaker 2 (40:50):
It is not incentivizes it, like it almost does incentivize it. Yeah,
I mean.
Speaker 4 (40:58):
The cash pay model, man, it's it's it's making its
way right now.
Speaker 1 (41:03):
Well. And if if if cash pay is like a
reasonable a reasonable amount that somebody can actually like pay
without without killing themselves. I mean, I mean, all the
good physical therapy other than because I've been working with
Pat lately, but all the good physical therapy I've ever
had I paid for out of pocket. All of what
was provided by insurance was crap. And I don't know
(41:27):
if it was crap because it was provided by insurance
or if it was just that the providers that contracted
with are not very good.
Speaker 4 (41:35):
What was your general experience like with insurance based physical therapy.
Speaker 1 (41:44):
I went to way back in the day, I went
to one for my back, and was.
Speaker 4 (41:50):
It like at a like a hospital. I mean I
don't have to say the name, but like, was it
like part of a hospital organization?
Speaker 1 (41:56):
The original one was the first one I went. It
was an independent one, and like they had me hanging
upside down on a traction thing and all that matter stuff,
and I didn't I don't think I got any got
better any faster than I would have had I just
been on my own.
Speaker 3 (42:15):
I mean to answer your question, I don't think the
actual therapists themselves were you know, inherently bad. It's probably
the system they're under, right, because they need to see
a certain amount in a day, so they're like stressed
to finish the volume that the load that they have
for the day, so they just don't have the time
to spend with you one on one. And then they
have other stressors like their documentation that has to meet
(42:36):
the insurance standards and all that stuff. And then on
top of that, like if you compare it to you
going out and doing a one on one with cash,
that therapist, you know, they're providing that value. Like if
they're not providing the value, they're not going to keep
you as a patient, Right, You're gonna go and leave
fight someone else, so they have to give you your
best effort versus if you're getting paid regardless, you know,
(42:57):
you're not gonna care as much, just inherently as a human.
You're gonna be like, yeah, you know, like you know,
let me just get them through time, they'll get better, right,
So I think that's part of the system they're under, right.
Speaker 1 (43:07):
Yeah, there's a disconnect between the between the patient and
the payment unless the patient is paying directly, and then
then you the value is obvious, whereas if it's if
it's through insurance, the value is not necessarily of obvious
to the practitioner. So yeah, no, that was like early
(43:29):
on and then like later when it was not good.
I went to two different rounds with sports Medicine PTS,
and one I didn't get any better, and when I
got worse. So I had this is all for your back, No,
not all from my back. No. The most recent one
(43:52):
was was my shoulder. This shoulder, I have like whole
punch tears in my super spinatus tendon, and I was
like this close to having surgery, and I said, screw it,
I don't want to do that. So I tried physical
therapy with their their people and it literally like caused
(44:16):
me more pain and not in that you know, you know,
when you're working with somebody with corrective exercises or just
exercises period to loosen things up whatever, there's going to
be some discomfort.
Speaker 2 (44:31):
This was not that like a sharp pain.
Speaker 1 (44:34):
He was sharp pain. And I finally, you know, the
last time I said this is not working, like come
up with something else, Okay, well next time or whatever,
and I was like to never go back. I just
should screw that and went paid on my own for
a while, and then it just got better over time
by itself. The other side that I'm working on now
(44:58):
is it's get better. It's it's definitely, you know, considerably
better than it was when I when I started. But
again it's somebody who has a better sense of kind
of the whole picture. I guess, you know, somebody who
you're working with, somebody who lives weights. You're looking for
somebody who's who's you know, has some some priority on
(45:24):
fitness or whatever, as opposed to somebody who just like
needs to open a shampoo bottle or something. Yeah.
Speaker 4 (45:31):
Yeah, there's always BPC one.
Speaker 2 (45:36):
Yeah, that is the new trend.
Speaker 1 (45:38):
That is the new trend. Yeah, I will tell you
that I actually tried that and didn't really didn't do much.
Speaker 4 (45:44):
Over a long period of time.
Speaker 1 (45:45):
Well, I don't know how long is long.
Speaker 4 (45:49):
Well, so they give it to you what by like
a month or like a month, I don't know.
Speaker 2 (45:56):
I think it's twenty days a bottle or something.
Speaker 1 (45:58):
I think that's what I think. That's about what I do.
I did like the every day for twenty days.
Speaker 4 (46:02):
Yeah, was it oral or injectablejectable for your shoulder issue? Interesting?
Speaker 3 (46:09):
I think the people that say it works, if they
hadn't done anything and they just did the twenty days
of letting things heal, they probably would have ended up
in the same spot because most people like I've talked
to that have done it will have like just like
a grade one muscle strain or something like that, And
so if you just have left it alone.
Speaker 2 (46:27):
For three weeks, it would.
Speaker 1 (46:29):
Yeah.
Speaker 3 (46:31):
The other stories were like you have like a whole
partial tear or something like that, and then it marrack
like it just healed by itself with I mean not
by itself with the BPC. Yeah, I mean that those
stories are like, Okay, maybe this does work. But the
other stories were like, yeah, I was just I was
in pain and I took it. I was out of pain, like, eh,
you probably would have been out of pain anyways.
Speaker 1 (46:52):
Placebo, yes, placebo. Actually on this this shoulder, I had
oh my god, what's it called uh where they spin
your platelets out and then inject them into your.
Speaker 2 (47:08):
Pc p uh something like that pp something.
Speaker 1 (47:12):
I don't know why I'm not I don't know why
I'm blanking on it so hard right now. But anyway,
I had that, actually have that, have had that done twice.
I did it for for this tendon and it worked
like worked like within six in the back of the name, Yeah,
within six weeks it was like like.
Speaker 2 (47:27):
New almost, and that was something you were dealing with
for a while too, right.
Speaker 1 (47:30):
Yeah long time, yeah, long time. Unfortunately now the other
one is doing it.
Speaker 4 (47:35):
But go back the plasma stuff, yes, yeah, yeah, yeah,
I know that word.
Speaker 2 (47:40):
Yeah, plasma platelets.
Speaker 1 (47:42):
It's a doctor and everybody.
Speaker 4 (47:44):
There's a p in it.
Speaker 2 (47:45):
I know that.
Speaker 1 (47:49):
I don't know why it sucks. I'm gonna have to
look it up because I hate. Hey, when when my
memory goes up and then you guys are no help
at all.
Speaker 3 (47:59):
So it's I've actually only met like two people who
have done it, so I don't remember too much about it.
Speaker 1 (48:07):
It's p r P.
Speaker 2 (48:10):
Yeah, that's the one.
Speaker 4 (48:12):
Yeah, plasma rich platelet lich rich plasma.
Speaker 2 (48:20):
Dan almost you got one. I got one.
Speaker 1 (48:25):
And I looked it up, so you know I did.
I don't think I said it twice my shoulder. It
did not.
Speaker 2 (48:33):
I would.
Speaker 1 (48:34):
I don't know whether it works or not. Eventually it
got better, but it wasn't like as instantaneous. It wasn't.
You know. Six weeks and it's better, and it hurt
more for some reason. Oh my god, it hurt.
Speaker 2 (48:47):
So what is the process like?
Speaker 1 (48:49):
Uh, they take a vial or two of blood and
they put it in a centrifusion, spin out the platelets
and they load the platelets up in a in a
syringe and then they they're supposed to do it under
imaging so that they know that they're getting into the
into the tendon.
Speaker 2 (49:10):
They just do it without it.
Speaker 1 (49:12):
They did you they Well, that had a very odd
experience with it because I was having I was going
to have the one behind my knee done and the
original imaging showed all kind of crap in the tendon.
There was like calcium deposits and just all kinds of
issues and I'm like, huh, okay, so you know, we
(49:33):
know what it looks like, so we're going to try this.
So we go. They go in to do the to
the PRP the first time, and they hadn't drawn the
blood yet. They were just like checking where it was
going to go, and like, wait a minute, this doesn't
look anything like the original imaging. Like what happened and
(49:55):
I don't know, I don't know, never solved, never solved,
So canceled. I mean that time was canceled. And then
like they went looked at all the films and all
this stuff and like we don't know, we can't we
can't answer this question. So it's like, okay, let's just
reschedule it to do it. I don't care. So I did.
It didn't work well.
Speaker 4 (50:13):
This stuff in general, like the p r P, it's
it's becoming more prominent and so, you know, like someone
that just took the board exam, you know, the national
one for Physical Therapy, they're starting to incorporate p RP,
you know, protocols inside that as well. It's not huge,
but you know, like we are developing, you know, protocols
(50:35):
from that.
Speaker 1 (50:37):
I'm not laughing at you. I'm laughing at it. Mark
trying to get the microphone back up near your mouth.
I don't know why it is.
Speaker 4 (50:44):
Go like this, Maybe we just can Can you guys
hear me good? Or no?
Speaker 1 (50:52):
When you're close to the mic, I can hear you great?
Oh you got to Yeah, it's you got into the
flexi part of it, and now it's just gonna it.
Speaker 4 (51:00):
Okay, I'm just I'm just gonna go like this, hold it,
there you go. I feel very fancy right now.
Speaker 1 (51:06):
Okay, dang, that's pretty good. Yeah, it's pretty good. Yeah.
Speaker 4 (51:09):
But ye but yeah, so like that stuff is being incorporated,
you know, so it's and it's it's going to be
more and more.
Speaker 1 (51:17):
Yeah, no, I worked out for you. Yeah, I mean well,
I would love for insurance to cover it because it
cost me, like it cost me seven to fifty the
first time. It cost me like a grand the second time,
serious inflation over however many years it was. But and
it's probably even more. It's probably fifteen hundred now or more.
Speaker 2 (51:35):
Per per session.
Speaker 1 (51:37):
Yeah.
Speaker 2 (51:37):
Oh geez, that is a lot. Yeah, and how many
need you to do?
Speaker 1 (51:42):
It's just one shot? Oh oh okay, just one shot yeah.
I mean, I don't even know if they can do it.
I think they have to wait like three or four
months or something in between. I'm not sure exactly, just
because it takes a long time for whatever. I mean
theoretically they're like stem cells or whatever. Yeah, m hm,
and you can. But you can also get stem cells
(52:03):
should should you want, And I've certainly known people who
did that.
Speaker 2 (52:07):
That's even pricier, and.
Speaker 1 (52:08):
It's a lot pricier, and it's totally out of pocket. Yeah,
at least here. I don't know if there are other
countries offer you any of that kind of stuff.
Speaker 2 (52:15):
But you gotta go. Where Where did Christian McCaffrey go
for Germany? Was it Germany?
Speaker 4 (52:23):
I hope to god it works s frim because the
NFL season is just starting.
Speaker 1 (52:27):
It's yeah, we're just around the precipice.
Speaker 4 (52:31):
I know.
Speaker 2 (52:31):
It's just like we fantasy drafts coming up.
Speaker 1 (52:35):
You guys are football guys, yes.
Speaker 4 (52:37):
Yeah, big, big, big Niners FM.
Speaker 2 (52:40):
Because you grew up here and you are one Pride
Detroit Lions.
Speaker 1 (52:44):
Ye, that's what I thought you were gonna say.
Speaker 2 (52:46):
Yeah, Niner's Nation.
Speaker 4 (52:49):
It's a nice color you have on by the way.
Speaker 2 (52:51):
Oh yeah, yeah, I'm representing today. I you're representing the Raiders.
Speaker 4 (52:56):
Though, no, no, just no.
Speaker 1 (53:01):
No one represents the Raiders representing right now. Okay, nobody
represents the Raiders. That's what it comes down to. Yeah,
this is a whole conversation about you shouldn't move franchises.
You should expand if it's actually if you can make
the argument that there should be a team there, you
should expand to it. What do you mean as a
(53:22):
because uh, Golden Knights, the hockey team is incredibly successful
in Vegas. Raiders moved from Oakland, after they were moved
from moved to la and then back to Oakland. Not successful.
(53:43):
I think they're not only not successful on the field,
but they're not not successful in terms of drawing crowds
because people who live in Vegas do not care. They
don't they don't own them the way they own the
hockey team. It will be the same with the A's
who are who literally play across the freeway right now
in Sacramento. They won't out let Sacramento like have their
(54:07):
name on anything. And so locally, you know, we don't
feel a sense of ownership. This is a you know,
this was a combination a Giants market anyway, more Giants
than A's. But you think with them right there, they
would be, you know, selling out that that tiny ballpark.
Speaker 2 (54:28):
But the Sacramento crowd doesn't affiliate with it as much or.
Speaker 1 (54:31):
No, because because they won't identify as being in Sacramento.
And when they go to Vegas, yeah, I'll say Las
Vegas Athletics or whatever, but it's not their team. You know.
They didn't like spring up out of you know, whole
cloth and and be a Vegas team. So this is
(54:52):
this is what's wrong with sports, just just so that
everybody knows. Just there's more wrong with it every everyone
everyone's time in my opinion and that time. But I
think that that's something that bears out. I think that
that Vegas has made a mistake by putting so much
money into relocating teams there.
Speaker 4 (55:12):
I don't know that people actually lived in Vegas.
Speaker 1 (55:15):
Yeah they do, and it's really hot. The economy in
Vegas is currently tanking too, because tourism is down in
the United States overall, and a lot of tourism in
the United States is to Vegas.
Speaker 2 (55:33):
Crazy.
Speaker 1 (55:37):
On that note, we have moat sweating again.
Speaker 4 (55:43):
I had legs just before this Okay, give me a break.
Speaker 1 (55:47):
Understandably. Thank you guys for coming on.
Speaker 4 (55:52):
No, thank you for having us, Thank you for having us.
Speaker 1 (55:55):
Jim, Yeah, well, I think we probably do some kind
of a round table at some point in the future,
bring Pad in and have the three of you.
Speaker 4 (56:02):
Like and the California lobbying.
Speaker 1 (56:07):
Guy and the California lobbying guy.
Speaker 2 (56:08):
I would very much that would be a good discussion.
Speaker 1 (56:11):
I bitch, I can't get him to do that, but
just buy him some protein. Any any political any political
hot topic.
Speaker 4 (56:18):
He's like, I mean it's not I mean, it's not
like a huge one, but it's like, yes, so again,
just like the so like dry kneeling, you know what
that is. Yeah, So it's it's legal in most states.
In California is one of the few that it's not too. Yeah,
And it's like something that as physical therapists we're trained
(56:39):
to do, but it's illegal because it's it's only technically
an acupuncture scope of practice, and it's very helpful. It's
not that hard to do. So it's like, come on.
Speaker 1 (56:50):
Bro, is it the acupunctural lobby that's causing this problem.
Speaker 2 (56:54):
Or I don't know, Probably they don't want to lose
their jobs either.
Speaker 4 (57:00):
Yeah, I mean I've I've like spoken to a couple
about it and they're like, yeah, well, if you guys
can can do this, then like we'd you know, be
out of a job. Kind of. Oh really, yeah, I
mean there are more pets than acupunctures, you know.
Speaker 1 (57:14):
So yeah, I've seen acupuncture work, but I've also experienced
it not working.
Speaker 4 (57:20):
So it's it's very supplementary, you know. Yeah, I mean,
but like as its own practice, it's i mean again
it's like fantastic, but I think you know, it's it's
very pain modulating in nature and something. You know, It's
like you do some hands on stuff, you do some exercise,
and then you end with some you know, dry needling,
a little bit of electrical stimulation on there. It's really
(57:43):
effective when like combined with other things.
Speaker 1 (57:46):
Well, and for no other reason that they walk out
the door feeling better, even if it was just the
last intervention that that made them feel that way, just.
Speaker 4 (57:58):
Like the cumulative effect.
Speaker 1 (57:59):
I think. Plus, you're paying attention to their needs before
they walk out the door, of course, which.
Speaker 2 (58:07):
Which what keeps people around. Yes, exactly, even if it's
just the placebo thing.
Speaker 3 (58:12):
I mean yeah, well, yeah, you can't. I mean placebos
are still yeah, if it works, it works. Yeah, placebos
are still an intervention that works. It's it's just you know,
a little bit unpredictable because it doesn't necessarily work the
same way with everyone. But yeah, all right, where can
people find you? Should you want people to find you?
Speaker 1 (58:29):
Amar?
Speaker 4 (58:31):
Uh?
Speaker 2 (58:31):
What do you mean online?
Speaker 1 (58:33):
Yeah?
Speaker 2 (58:33):
On Instagram tradition, you.
Speaker 1 (58:41):
Share their handle as opposed to guys named amar.
Speaker 3 (58:44):
Oh, it's actually just my name's Amar, and then underscore
al Haidar okay.
Speaker 4 (58:51):
Instagram at the Buff guy.
Speaker 1 (58:54):
See, I don't follow you on Instagram. I would totally
have done that if i'd known you were the Buff Guy.
Speaker 2 (58:58):
Now we know that's that's an Instagram handled that you
can't ever let go.
Speaker 4 (59:02):
Yeah, I made that back in twenty eleven or twelve,
when like Instagram first started, and I was like, I've
I've had people offer me money for that. So I
bet if you ever see like the Buff guy seven eight,
four or five, that's probably one of the folks that
offered me some money.
Speaker 1 (59:18):
You said no too, yeah, because he didn't offer you
enough money.
Speaker 4 (59:21):
It was like a couple hundred bucks. But I was like, ah,
does it mean it's catchy? I might have to change
it when I get my own spot open, But.
Speaker 1 (59:28):
Just one just started doing, yeah, keep it personal. One.
Speaker 4 (59:31):
So I got one, but for confidentiality reasons, I can't
say what it is yet.
Speaker 3 (59:35):
So alrighty, Yes, that actually quick funny story. You know
how he got offered money for the tag? So do
you know how a Mira Abdulla is running back? Like
he was actually on the Raiders for a little while,
but he got drafted into the Lions. Yeah, so I
took his name. It was like Fear of Mirror twenty one.
And as soon as he got drafted, I went and
took his name, and I was like waiting for four
years until he offered.
Speaker 2 (59:55):
Me money for that name. He never content.
Speaker 3 (59:58):
I was like, whatever, you still then out hope I
will still yeah, until until he left the lines the
gay never mind.
Speaker 4 (01:00:05):
I'm not gonna lie. It's pretty good one for.
Speaker 1 (01:00:08):
Sure, all right. I am at the Jim McDonnell of
the social media. This show is fifty percent facts, where
percent of the word and fifty is just numbers. Fifty
percent facts. This is a speaker Prime podcast and association
with our Heart Media on the Obscure Celebrity Network and
I will talk to you next week.
All right, welcome, we uh here at Thursday Barbell. We
have had over the course of our time to be open,
we have had five PT docs as members and we
currently have three. And if you're an avid listener, you
met Pat Bell a few weeks ago. He's one. So
(00:31):
I'm here with Amar and Mo. Run run, just brief introduction.
Speaker 2 (00:39):
Start with you, Omar, physical therapist.
Speaker 3 (00:43):
I'm graduated from Texas for about three years now and
working here in Sacramento in a work comp clinic with MO.
Speaker 2 (00:51):
So we're going teller. That's actually how we met, and yeah,
we're here.
Speaker 4 (00:55):
My name is Mohammed els Go by MO, doctor of
physical therapy. I'm really proud of that. Graduated about seven
months ago from University of Saint Augustine over in San Diego,
currently specializing in outpatient orthopedics, but currently and a pretty
sweet work comp clinic and hoping to open my own
clinic pretty soon, pretty darn.
Speaker 1 (01:17):
Soon, pretty darn soon.
Speaker 4 (01:18):
Yes, sir, Well, we'll get.
Speaker 1 (01:21):
Into the uh the intricacies of the different kinds of
like patients that you guys deal with in a bit. However,
are you guys UFC fans at all?
Speaker 2 (01:34):
Yeah, we're waiting to watch the fight to night.
Speaker 3 (01:36):
Well, I would say I used to be a fan,
and then I stopped watching for a very long time
and trying to get back into it.
Speaker 1 (01:41):
And trying to get back into it. So are you
guys aware that the pay per views are going away?
Speaker 2 (01:46):
I heard they're going to Peacock. Is that right.
Speaker 1 (01:49):
They're just a huge deal, Yeah, seven year deal. They're
taking one hundred percent of UFC's content. So not just
the paper views, you know, so not just the numbered
fights but all everything, but everything that was fight passed before,
all that stuff.
Speaker 2 (02:06):
It's still going to be on stream east, you know.
Speaker 1 (02:08):
So it'll be well, yeah, it'll be on streaming, but
that there's a really good chance of like the numbered fights,
the ones that would have been on pay per view
are going to be on on CBS.
Speaker 2 (02:19):
Yeah. Would that be free? Yeah?
Speaker 1 (02:22):
Yeah, well in paramoun plus is cheaper than like for
a whole year, it's cheaper than probably two pay per views.
Speaker 4 (02:31):
And a whole lot more guaranteed money for the UFC,
you know, like takes illegal streaming, not that we do
that out.
Speaker 1 (02:40):
Yeah, yeah, so much better quality picture than you would
get off of a you know, a boot leg. Pretty
good nowadays. Yeah, I've never seen a good one on,
to be honest with you. They're always like break up
and you.
Speaker 2 (02:54):
Gotta have you always have to have a backup on
in the background.
Speaker 1 (02:56):
Just in case this is all hypothetical and no one's
admitting to any sort of.
Speaker 4 (03:02):
Goodness.
Speaker 1 (03:03):
Yes, yeah, this is kind of a kind of a
shocking thing though, really, because Paramount just changed ownership. Basically
the son of Larry Ellison, like you know Oracle, the
like it company from the probably eighties that is worth
bazillions of dollars and stuff. Yeah, his son who was
(03:28):
head of sky Dance, which made like they made the
the Star Trek reboot movies.
Speaker 4 (03:36):
It's a big movie production company.
Speaker 1 (03:38):
Yeah. Yeah, so they bought all the Paramount and this
is like their first big splashy deal.
Speaker 4 (03:47):
I think it's going to be a good one, you know,
like after the whole like Tyson and Jake paulfing on
Netflix like that you know, boomed like crazy. There's a
lot of viewership.
Speaker 1 (03:56):
And yeah, even though that stream was horrific, Oh it
was really bad, they dropped the ball now one.
Speaker 4 (04:02):
Yeah, they we were really looking for a quality fight,
but who knows.
Speaker 1 (04:09):
Yeah, I mean the yeah, that that fight seemed a
little on the not on the up and up side.
It was more like w w E to me, Yeah
it was. It was it had an exhibition quality to
it that and not like a Wow, this is a
really serious fight between an old man and a young man.
(04:33):
For some reason.
Speaker 4 (04:35):
There were glimpses though, bro.
Speaker 1 (04:37):
I saw it.
Speaker 3 (04:38):
It was the first round only it was like, oh,
there he is and then.
Speaker 1 (04:42):
Wait a minute, I'm just I was just to go
down in the whatever round he didn't really go down.
Speaker 4 (04:48):
But well, speaking of actual fighting, are you are you
watching the fight tonight?
Speaker 1 (04:53):
How's that?
Speaker 4 (04:53):
Shamaiav? And do places are you going to watch that?
Speaker 1 (04:56):
No, I'm not the biggest fan. I will like if
it's Let me back up and say that I was
most likely to watch it if back in the day,
if somebody somebody got the pay per view and I
would chip in for it, or if it was somebody
who I knew. So like the team Alpha Male guys,
(05:20):
you know, yeah, yeah, some of them used to actually
train in this building back in the day, which is
kind of how we got to know them. Yeah, although
Mike Mike is friends with Josh Emmett's like brother or something,
so like he's known them for a long time.
Speaker 4 (05:39):
Guys, that's the guy that came to Agile. Oh yeah, yeah,
so our pt clinic does you know like work screenings
and Josh Emmett, the guy you just mentioned, came by
to get you know, kind of screened, and so I
just wanted to mention that, ye because I know that name.
Speaker 1 (05:56):
Thanks for mentioning. Yeah, no, yeah, he's yeah, yeah, I
was actually saw him out for pizza a couple of
weeks ago.
Speaker 2 (06:04):
But yeah, so you're famous.
Speaker 1 (06:08):
Uh yeah I am. Now, yeah, that's that's that's what
did it. That's what pushed me over the edge. You
got fifteen minutes. I got my fifteen minutes, yes, but
uh no, yeah, I I knew a bunch of those
guys and you know, and yes you're riah. We asked
you your riahs. What did his ass off in this
(06:28):
room on record a podcast and on a on a
day that like we were hoping to do it earlier
in the day and this is when you could make it.
So it was like one o'clock in the afternoon and
it was much hotter outside now and that the computer
kept failing because it was too hot. That was fun.
Speaker 4 (06:46):
Damn.
Speaker 1 (06:46):
Yeah, so yeah, I wish this room had some kind
of climate control, but it is not soon. It's okay
or not never, so probably probably never. Uh Oh, there's
a thing I want to do with you guys, and
I was hoping Seabouse was going to be in here
for it, but he's not, so his loss. Here's the thing.
(07:12):
I saw a posting that somebody made on Instagram about
this protein drink, this clear protein drink that Costco is selling,
and I thought, well, okay, so before you guys are
(07:32):
probably not familiar with the Masteronomics podcast, but they're going
to be all over this. But they record a couple
of weeks out. I will get this out next week.
So I want us to do a little taste test
of this, this this drink and get reaction.
Speaker 3 (07:50):
Yes, okay, Well these are the fruit flavored ones I've had.
I bought, ye, I do different brands.
Speaker 2 (08:02):
Is going to do this?
Speaker 1 (08:04):
You try to different brands of this, but like the powder.
Speaker 3 (08:07):
So you just throw it in water and you shake it.
Speaker 2 (08:10):
And then it foams up pretty bad.
Speaker 1 (08:12):
Though this one doesn't. You don't have to foam. You
don't have to do anything to this one. This is
blue raspberry lemonade, Genius gourmet, sparkling protein, zero sugar, one
hundred and thirty calories and purportedly thirty grams approaching.
Speaker 4 (08:31):
I just want to say thank you. No, you're welcome,
very generous of you.
Speaker 1 (08:34):
Oh no, no, no, pro problem, no problem. We've got
so much budget on the show that doesn't exist.
Speaker 2 (08:40):
It says, do not shake just that.
Speaker 1 (08:42):
Yeah, don't shake it, Okay, don't shake it okay. And
it's it's sparkling, so it's it's foamy, So everybody go here,
all right? Reactions. This smells a little bit like sweetheart can.
Speaker 4 (08:57):
Its honestly not bad.
Speaker 2 (08:58):
It's pretty good.
Speaker 4 (09:00):
There's a three chalkiness.
Speaker 1 (09:04):
A little bit of chalkiness. You feel you're feeling chalky.
Speaker 4 (09:06):
I don't mind it, though.
Speaker 3 (09:08):
Yeah, I would say I would buy this because the
other two that I've tried, this is probably the least
foamy one that like gives you that that film in
your mouth taste.
Speaker 4 (09:17):
It's very passive. Yeah, it's like I wouldn't mind just
sipping on this.
Speaker 3 (09:24):
And I'm usually someone who doesn't like carbonated drinks, but like,
this is light.
Speaker 1 (09:27):
So you don't like carbonated drinks, no, bro, I.
Speaker 2 (09:31):
Just'd ether drink a juice or just water flavored water. Really, yeah,
I don't like the carbonation. I prefer flat pop.
Speaker 1 (09:40):
Then that's very interesting.
Speaker 4 (09:43):
This is the West Coast. Okay, we don't say pop here,
so whatever you guys say.
Speaker 1 (09:51):
Well, actually that that brings U a question like where
did you learn to say pop? Oh?
Speaker 3 (09:55):
I'm from I'm from Michigan, born and raised in Detroit. Yeah,
I ended up studying in Texas. I went back to
Michigan and then I moved back. Well, I came here
for the first time in September almost a year. Now,
coming up Labor Day would be one year. So that's
exciting milestone fall.
Speaker 1 (10:09):
And you came out for the job.
Speaker 2 (10:11):
I actually came out because my wife's studying at Davis.
Speaker 1 (10:14):
Oh, okay, nice. What is she studying.
Speaker 3 (10:18):
She's originally a journalist and now she's studying at Creative Writing.
She's an MFA program. Yeah, it's a pretty cool thing.
Speaker 4 (10:27):
Cool.
Speaker 1 (10:27):
Speaking of journalists, my wife's cousin, who lives here in town, Yeah,
works for for the PBS station, and then her her
husband used to work for the b the local newspaper,
and now he works for cow Matters, which is like
(10:48):
a political reporting, public affairs kind of entity, nonprofit do.
Speaker 2 (10:54):
I ask me, I don't know anything about them, nothing
at all. I'm just there. You're like you do you?
Speaker 1 (11:01):
Yeah, so when you're going to be home in Winstonner.
That's all I need to know. That's all I need
to know. That's true. Yeah, And you said, well, you
said you went to school in San Diego, but where
were you before that?
Speaker 4 (11:18):
So I live here in Sack I'll grow of Actually, no, excuse.
Speaker 1 (11:22):
Me, Oh so you're local. I didn't get that.
Speaker 4 (11:25):
Yeah, I'm local local. Yeah. So the physical therapy program
over in San Diego is hybrid in the sense that
you do most of your coursework online throughout the week,
and then you physically travel to San Diego like twice
a month, so sometimes up to four times a month,
but very rarely. We did that. And it was just
convenient for me because I got three kids, married and
(11:47):
I had to work, so and I got to do
it and about the same time as you would a
typical grad school program. So you know, that was a
few years, but you know, it was difficult, but you know,
I didn't have to sacrifice being a dad or husband,
you know, So it worked. Out pretty good.
Speaker 1 (12:04):
So what were you doing before that?
Speaker 4 (12:07):
I went to University of the Pacific for undergrad and
over in Stockton, and you know, just worked in various
you know jobs, the personal trainer, strength trainer, worked at
the vitamin shop for a little bit. You Yeah, so
always in this general field.
Speaker 1 (12:26):
Where just kind of curiosity, where were your personal trainer?
Speaker 4 (12:30):
I was a personal trainer at twenty four Fitness over
on Center Parkway. It's actually the oldest gym and Sacramento. Really,
you can fact check me on that one, Jim.
Speaker 1 (12:41):
Interesting, I'm not gonna how would I do that.
Speaker 4 (12:43):
Even for the fans.
Speaker 1 (12:44):
For the fans, I hope it's don't have any fact
checkers with me today, so I'll have no clue. Sea Bass.
Actually that that brings up a point. Stand by just
for a moment, because I think I forgot to click
one button. Not that we're not okay, but.
Speaker 4 (12:59):
We have to start off.
Speaker 3 (13:02):
This was pretty good, he says, I would definitely buy this.
The thing is, my Costco membership ends in like three weeks.
Speaker 2 (13:09):
I gotta go stock up.
Speaker 4 (13:11):
We look the same, bro, What do you mean just
use mine?
Speaker 2 (13:16):
I was confused.
Speaker 1 (13:16):
I was like, okay, so that actually brings up people
who are just listening and not watching. I don't know
what your sports backgrounds were, but like Amar looks like
a wrestler, and Mo looks like the wrestler that he
would be intimidated by.
Speaker 2 (13:36):
I have never fought. I actually just started.
Speaker 3 (13:39):
I took up jiu jitsu, like I've tooken a few
free classes around and try to find a gym that
I like. Yeah, interestingly enough, I was paired up with
this purple belt. I think I wanted the gym nearby
and it was jiu jitsu. This guy was one hundred
and sixty five and I'm two hundred. You know, he
submitted me twice in five minutes, so I have your ass.
Speaker 1 (14:02):
B Yes, so you're a sub now, So you're saying.
Speaker 2 (14:07):
Twice twice, double sub, double sub.
Speaker 4 (14:11):
That sparilal humble you man.
Speaker 2 (14:13):
They will, Yes, it is a fun thing. I would
do it if I wasn't powerlifting. It would be like,
you know, every every powerlift they when they retire, what
do they do? They go to jiu jitsus. So yeah,
I'll follow that trend.
Speaker 1 (14:23):
Or they become runners. Those are the other or bodybuilding
that's the other one.
Speaker 4 (14:27):
It's just you know, so like coming from like a
pt perspective, it's like a lot of those submissions in
jiu jitsu. I did jiu jitsu for like a year
when I was seventeen eighteen, and man, like they just
destroy your joints.
Speaker 1 (14:39):
Men.
Speaker 4 (14:39):
Yeah, you know, like like there's one it's like a
like a camorra or something like that, and it'll just
f up your shoulder. I did it once and then
like you know, like try to bench after working on
camorras for like a day. You can't. So you know,
it's like one or the other unless like you control
the intensity of the sparring. But it's intense.
Speaker 1 (14:59):
Man, excuse me. I realized now why we don't drink
carbonated on the show. I'm burbing up a storm over here.
Uh So sports backgrounds, either of you?
Speaker 2 (15:17):
Uh No. I just played out on football in the
street a lot.
Speaker 3 (15:20):
Like I've had two concussions from football and then kind
of forced forced to stop. Took up more volleyball, played
that a little bit, but it was always just like
in the park or something.
Speaker 4 (15:29):
Yea.
Speaker 2 (15:30):
Never never played on the team.
Speaker 4 (15:32):
I have a very elaborate but I'm just kidding. When
I was twelve years old I played. I was on
a basketball team. I made two shots the whole year, Jim,
and one of those shots for the other team. I
was so excited to get the rebound, and I was like,
there's a whole yea so to speak, easy, Jimsy, there's
(15:55):
so to speak. The main sport I played was rugby.
I played in high scho on college.
Speaker 1 (16:01):
You look like a rugby player. That's kind of where
I was getting at.
Speaker 4 (16:05):
He's so generous, thank you. No, it was. It's it's
not like the most popular sport, but we were in
high school. I went to a private Islamic school. A
lot of them shout out, and there weren't a whole
lot of us in there, and you know, it's a
very niche sport. And you know, we kind of just
got the community together, put a varsity silver team up
(16:28):
and we we went completely defeated our first.
Speaker 1 (16:31):
Year, completely defeated, did not win one.
Speaker 4 (16:34):
We didn't want ship.
Speaker 1 (16:35):
Yeah, did you score it all?
Speaker 4 (16:37):
We scored of course, you know, like there were maybe
three or four competitive games. But the next year I
was fortunate enough to be captain, and under my leadership Jim,
we took the California championship.
Speaker 1 (16:48):
God, you know, so it was that's a zero to
hero story.
Speaker 4 (16:53):
It was fun. Man, It's you know, like it's it's
a sport where you truly leave it all in the field.
You know. They say it's a Huligan limbs and you.
Speaker 2 (17:02):
Should watch Ted Leassel.
Speaker 3 (17:03):
That's like a it's like the same story pretty much,
really similar Ted.
Speaker 1 (17:07):
I have not watched Ted last Soon pretty good.
Speaker 2 (17:09):
It's like it's the same story, the same story.
Speaker 1 (17:11):
Yeah. The one dude that Brett Goldstein, Yeah, who's he
plays like one of the major characters in Ted Lasso
is produces and is in another show called Shrinking, also
on Apple.
Speaker 2 (17:26):
Oh yes, and he's a comedian.
Speaker 1 (17:29):
He's really funny.
Speaker 3 (17:31):
I've seen a couple episodes of Shrinking, but I was
I wasn't into it so much.
Speaker 1 (17:36):
You I think it is an older person show. You
guys are both in your twenties.
Speaker 2 (17:43):
Thirty thirty or thirty.
Speaker 3 (17:44):
Yes, sure, I'm nearly thirty, you're nearly thirty. Okay, Well
there's still a residue of twenties on you, for sure,
and you're just still soaking in it. So that's another
thing that you know, it has taking some getting used
to for me in owning this gym.
Speaker 1 (18:03):
It's just how many of y'all are so young. It's like,
I mean, there are other people out there who are, like,
you know, barely in their twenties.
Speaker 2 (18:14):
I feel very old, I'll tell you that much.
Speaker 1 (18:16):
Yeah, and you're twenty nine and you feel old, imagine
how I feel.
Speaker 4 (18:21):
Act like it.
Speaker 1 (18:25):
He's he's yeah, I should, I should say that. When
I ask you guys to be on the show, Amar said,
I don't know, I'm really weird on camera. It's true,
it's so far, you know, he's not far off the mark.
Speaker 4 (18:42):
So you know, some of the best advice you ever
gave me. So I just graduated from PT school, right, yeah,
and I start my job over with him in like February,
you know, like brand new, first day off, and you know,
like when you first graduate PET you know, like you're like,
I know, I'm gonna I'm gonna fix everyone. You're super optimistic,
(19:04):
you know. And then I knew this guy had like
all the mentality when he's like you have to be
a little bit of an asshole, and that really works. Man.
You know, people respect you more, so thank you, Yeah
you will.
Speaker 1 (19:19):
Yeah, yeah, you guys. I mean, you present his nice guys,
but you know, Amar definitely looks like he could be
an asshole.
Speaker 2 (19:26):
Sometimes it's just comes naturally.
Speaker 4 (19:28):
Yeah, great patient outcomes, though.
Speaker 3 (19:30):
It works better because I've tried the nice guy approach. Like,
don't get me wrong, Like I'm not an actual asshole,
but I could be mean if I need to be
when time calls for it.
Speaker 2 (19:39):
But yes, when.
Speaker 3 (19:40):
You're like when you really listen to the patients and
they really just want to complain, sometimes you just got
to push them through it. Like that's really what it
takes sometimes is like come on, just do your work.
Speaker 2 (19:52):
Yeah, stop pitching.
Speaker 1 (19:54):
I think that's got to be one of the hardest
parts of being a PTY patient and probably one of
the hardest as being a practitioner, is that people have
to do work on their own. Yes, getting them to do.
Speaker 4 (20:08):
It is the accountability bit for sure.
Speaker 3 (20:10):
I think that's the probably one of like the better,
like the more important skills, right, is to to find
what motivates them to do it right.
Speaker 4 (20:18):
So you know, like one of the biggest things that
you know, I've realized since practicing is you know, like
you can be the best hands on PT the best
you know, like clinician whatever, But if you don't know
how to talk to someone, and you know, like there
are different people, different personalities. One person who's motivated by this,
and one is that you know, it's just as important
(20:40):
as your you know, as your clinical skills. And that's
something you know that I'm still working on and you know,
it's humbles you. Yeah, it's been great so far.
Speaker 1 (20:53):
Yeah, and you guys are one hundred working with workers
comp folks at the moment at the moment, which is
a different Yeah, I was gonna say so, Like there
in my mind, there's sort of like three paths. There's
like the athlete path, which is what everybody wants to
be involved in but is also a pain in the ass.
And then there's like regular people, and that regular people
(21:15):
think can include anything from you know, people somebody who
broke a leg or whatever and is just a regular
person or whatever, all the way up to you know,
activities of daily living for a for a senior person.
And then there's the workers comp which could be any
of these things. But because the the payment structure is
(21:40):
different and you're looking at work, return to work, it's
a totally different It feels like a totally different vibe
than the other ones for sure.
Speaker 3 (21:51):
I mean like there's also a lot of other venues.
I mean you can go inpatient, you can go acute, yeah,
but speaking of the outpatient world, yeah, and your mentality
going into it is always going to be different. For like,
you know, if you're an outpatient clinical or a private
clinic you come to me, it's your goals that matter.
But when you're coming at a works comp clinic, it's
not really what your goal, Like, we can discharge you
(22:13):
even if you're still in pain, Like, if you can
do the job, you're ready to go back to work, right,
So our goals are, can you do the job in
a fairly safe manner, and then that's that's what you're
ready to discharge if you can, right. So sometimes the
patients aren't so happy about it, right. And also there's
another aspect that comes in with it, is that there
could also be ulterior motives when when you when you're
(22:36):
a worker's comp right or ill intentioned folk.
Speaker 1 (22:39):
Yes, people who are trying to stretch it out, yeah,
because they're getting paid on disability or whatever.
Speaker 4 (22:46):
Yeah, It's that's one of the things again. Is also
like when I was coming on board, and I asked him,
you know, I didn't really know him all that well,
but I said, you know, like, how's the job. How
are the folks? And he said, well, some of the
patients are asked. You know, it's because I mean it's
just something you know, like we deal with it in
all in most PT avenues, you know, like different motivations
(23:08):
and but you know, again it's like touching to what
we're talking about earlier. It's you know, you have to
motivate them the right way and you know, got to
reach them somehow.
Speaker 1 (23:20):
Without like putting anyone on blasts in a way that
is recognizable and would affect your employment. Do you have
any thinly disguised stories that are shareable?
Speaker 2 (23:38):
I mean they come and go.
Speaker 3 (23:39):
Like I would say, like a small percentage of our
patients are sometimes you know, they they they might have
ulterior motives, right, and you can tell we like I'll
tell you this part of it, Like there's techniques that
we can use, for example, that will tell us if
someone is actually faking, for example, their strength or something.
Speaker 2 (23:56):
Right.
Speaker 3 (23:57):
Well, really yeah, so like I'll give you like a
d tell about it. Right, So if we're doing like
you know, knee strength or something and they're just kind
of like kicking back and forth. You can tell if
it's an actual like tremor or versus if someone's met
voluntarily doing that.
Speaker 2 (24:11):
Right, So you just note it.
Speaker 3 (24:13):
But you know, you don't want to claim that you
think this person is faking out because that can that
can come back about your nest.
Speaker 4 (24:20):
Yeah, objectively prove that.
Speaker 3 (24:23):
Yeah, you just you just observe the objectivity of it.
Speaker 2 (24:26):
And you note it.
Speaker 1 (24:27):
So basically you can say I did this test and
this will result try your own conclusion.
Speaker 4 (24:32):
Yes, yeah, so yeah, again, like it's not like necessarily
a story, but you know, like some people, you know,
like I had a patience. You know, she she came
in fell on the job and you know she heard
her knee. So we looked at her name, you know,
couldn't even touch it, you know, like you know, like
it was you know, I think knows what I'm talking about,
(24:52):
like she was a cat or something. Oh dude, it's
just okay, So you're you're having some pain. Okay, So
then we kind of work through the level stuff and
then so usually in our facility that we work in,
you know, we have in house imaging and you know,
things like that. So if you don't significantly improve after
a certain period of time, then we can you know,
(25:14):
get some imaging done for you in house and get
you referred out pretty quickly. And so you know, like
this lady makes no progress with me, like none, and
then so usually when that happens, okay, so maybe there's
something more severe going on that's beyond you know, like
physical therapy scope and you have to be referred out
to a specialist or whatever. So this lady goes and
(25:35):
gets imaging and there's absolutely nothing wrong with her name.
So I'm like, you get the heck, you know, so
there's kind of stuff like that. It's like trying hard
for you.
Speaker 1 (25:46):
She's just sandbagging, I think.
Speaker 4 (25:48):
So, yeah, yeah, it's one of those things.
Speaker 1 (25:55):
I think a thing that has become kind of known
about about imaging, particularly like spines, is that everybody's spine's
messed up, and but that doesn't necessarily mean it's symptomatic.
And then you put somebody in for imaging for another
cause and you get all of this you know, disk information,
(26:19):
and then suddenly it's a big deal.
Speaker 3 (26:21):
Yeah, and sometimes that can start to cause symptoms too,
like because of the narrative behind it. So like you
don't have your you have a disc and it's asymptomatic,
and then you end up getting into MRI for whatever reason,
and now your doctor tells you that you have a
disc and you suddenly start to feel these symptoms. So
that actually can be counterintuitive, right, It can make symptoms worse.
(26:42):
And it goes both ways. I mean sometimes it is useful.
It has it's a tool that you know, we can use,
but yeah, I think it's overutilized at some points for sure.
Speaker 4 (26:52):
Yeah. I mean I mean, so like you have to
look at again like that subjective data, right, Yeah, but
there's also the functional ass too. It's like if we
are if all three of us were to get imaging
right now, we don't have a little some right, but
you know, like you you show a certain patient that
and you know, like you get a doctor like, oh,
like your knees bone on bone, and now that's that
(27:16):
patient's narrative and they're and they're gonna approach pt with
a deficit mindset. It's like you know so and yeah,
so like it goes into like the psychological the psychological
aspect and can cause symptoms like I'm out of.
Speaker 1 (27:33):
Saying I I can tell you. I mean I I
used to have a lot of low low back problems
and I had imaging done. This is before I started
para looking. I had imaging done and it's like L four,
L five and and then a couple of my in
(27:57):
my neck remember which ones and the next thing. My
NeXT's been messed up forever. But like I never thought
about it being a disc issue. But that's kind of
a better overtime and without any like specific intervention. And
I've had a couple of interventions over time, but before I,
before powerlifting, I never never really had an you know,
(28:20):
another problem. Conversely, however, this knee is currently screwed up.
And I had imaging done probably ten years ago, and
they were like, yeah, there's there's this is warren here,
cartilage just worn here and worn there and whatever. And
it wasn't bothering me at the time. It was actually
(28:43):
it was a tendon behind that was that was the issue.
Now I can tell you that it's messed up because
of that. Now I I have done a couple of
different things that that caused it to be you know,
irritated pretty much all the time. Do you do anything
about it? Not lately.
Speaker 2 (29:05):
There you go, you should start.
Speaker 1 (29:07):
I probably should.
Speaker 4 (29:08):
Yeah, I should talk to physical therapy.
Speaker 1 (29:10):
I could, yeah, you know, if I could find one.
Speaker 2 (29:14):
You know, I heard one of those is going to
open up a clinic soon.
Speaker 1 (29:17):
Yeah, well shit, yeah, So what's your goal with the
opening and clinic? What kind of patients do you want
to see in that environment?
Speaker 4 (29:25):
You know, like insurance based physical therapy just is not
a great model right now. You know, you're limited in
some capacity, whether it be a time or you know whatever.
So you know, if if you have the resources or
you know, to open up your own space, and you know,
(29:45):
I'm planning to do a hybrid practice, so you know,
you can initially come in you know, through your insurance PPO, whatever,
and then you know, pay out of pocket. But and
you know, you get much more out of those sessions
because now we're not limited by time and things like that.
So I want everyone to see what physical therapy can
(30:06):
really be and how it's not just you know, like
rehabbing this one thing. You know, I want to tap
into the performance bit and the wellness bit too, you know,
because it's like there's you know, it's like taboo you know,
to to like move these days, and you know, like
(30:27):
people go to gyms and you know, like the intimidation
factor is like a big thing, you know, So having
a space where people can come in have some sort
of degree of comfort under the general supervision of you know,
a doctor of physical therapy there too. So I want
to tap into a lot, you know, and I want
to take care of a lot of folks and again
(30:49):
just like show them like what this stuff really could
be and how it's a lifestyle choice.
Speaker 1 (30:56):
Yeah, it seems like having access to physical therapy, even
for you know, like short periods of time, even if
you're paying for it out of pocket, solves a lot
of problems for people, particularly particularly people who are lifters
and athletes and stuff, but also just regular folks. It
(31:16):
is where you're not you know, it's not a place.
The knock against chiropractic is that basically that you're just
a a cash cow for them. You know, they try
to keep you on as long as they possibly can,
and and and they don't really don't really celebrate your
(31:37):
or your progress in a way that makes you feel
like you could handle it on your own.
Speaker 4 (31:42):
Yeah, just keep coming in, buddy, We'll see you next week.
Speaker 1 (31:45):
Yeah, next week. I'll see you yeah later this week
and then again next week for.
Speaker 4 (31:49):
A limit of time only, Jim, you can buy this
fifty package deal.
Speaker 1 (31:53):
Yeah, exactly.
Speaker 4 (31:54):
Yeah, And I mean their cares are awesome.
Speaker 1 (31:58):
They're a good chiropractor, And I am not slamming the hole,
you know, like yeah, but in reality, I've certainly seen
the other side of it, Like, you know, I witnessed
a guy doing that, Oh, we'll hold this you know,
vitamin in your hands and see if you're like weaker.
Speaker 2 (32:18):
Oh jeez.
Speaker 1 (32:19):
Yes. And then had a training partner back in the
old st days who had been going to this chiropractor
like they were his like doctor, and like he going
for a cold, for Heaven's sakes to a chiropractor, and
the the chiropractor gave him like this specific water that
(32:43):
he was supposed to drink because this water had like
a different frequency that was supposed to make him like
it's like, oh.
Speaker 4 (32:49):
My god, did you ever watch the water Boy?
Speaker 1 (32:53):
I have seen the water Boy? Yet?
Speaker 4 (32:55):
Was that that water the water from Alaska?
Speaker 1 (32:58):
I don't know what it was. I don't know what
it was, but like those everything, I have a friend
that that that was here at the time that. We
still make jokes about the frequency water.
Speaker 3 (33:08):
It's like, what did you guys see the skit of
this kid. He went and grabbed just a bunch of
water bottles and they made him look fancy. He filled
it up with tap water, and then he took it
to a water tasting competition, and then all the people
who were tasting it, m it has this mineral blah
blah blah, right dude, and then they valued They add
like two to five hundred dollars per bottle and it's
just from the tap.
Speaker 4 (33:28):
Like all these judges they're like, I'm getting a taste
of like it was like like like the hell was it?
Speaker 2 (33:35):
I don't know, like minerals or something.
Speaker 4 (33:37):
Like there's some density to this water that I just
can't describe. I would value this a five hundred dollars
a bottle.
Speaker 2 (33:41):
It's like get the come on, bro uh.
Speaker 1 (33:45):
And you know it's a wine is similar mm hmm.
Speaker 2 (33:50):
I've seen something like that too.
Speaker 1 (33:52):
Grab the It's like, you know two buck chuck versus
you know something that's fifty bucks a bottle and tell
the difference. I have a friend who does whiskey and
you can definitely taste the difference with whiskeys, but but wines,
it could go. I mean, a fifteen dollars bottle of
wine is like plenty good for ninety percent of people's palates.
Speaker 2 (34:17):
Yeah, I wouldn't really know, never dry.
Speaker 1 (34:19):
I understand that, I understand. I understand that we discussed
that off air a little bit.
Speaker 4 (34:25):
But yeah, we're must of them, gym.
Speaker 2 (34:26):
It's just saying.
Speaker 1 (34:29):
Just say, I'm just saying disclaimer, just saying.
Speaker 4 (34:37):
Actually, if you don't mind, so like back onto that
topic about you know, the healthcare bit. There is actually
a lobbying going on for physical therapists in particular to
be a primary provider for those with muscular skill little issues.
So it's like, you know, you go into the urgent
(34:58):
care or whatever you like, let's there's a possibility that
you strained your calf muscle, there is active lobbying going
on for you to see a physical therapist first, so
like rather than just you know, get some pain meds
or some other you know.
Speaker 3 (35:13):
To get past them. I mean, I know what passed
in Texas. I don't know past in Michigan. I don't
know about California yet. Very limited here in California.
Speaker 1 (35:20):
Is well, the California Medical Association is probably the most
powerful lobby in California, and if they are not for it,
then it's going to be an uphill battle.
Speaker 4 (35:30):
Well, if you're watching this, can you make dry needling
legal for physical therapists?
Speaker 1 (35:33):
Please?
Speaker 4 (35:35):
Just asking?
Speaker 1 (35:36):
Just asking? Yeah, yeah, No, I actually know somebody who
used to lobby for California Medical Association. If he still
does number.
Speaker 4 (35:48):
Number, but yeah, bring him on the pods.
Speaker 1 (35:52):
I have had him on a different pod. Yeah, I
don't know.
Speaker 4 (35:57):
I'm honestly down.
Speaker 3 (36:00):
Go all out those gloves behind you don't want to
break the microphone off.
Speaker 1 (36:05):
There are two I think there are two sets above someplace.
Only have one of them out. Can wear the Power
Range and wear the Power Range mask. I don't know
if it fit on your head.
Speaker 4 (36:13):
You got saying I have a big head, Jim, I'm saying.
Speaker 1 (36:16):
You have you have a Yeah, you appreciably large noggin. Yeah.
I don't know if that.
Speaker 4 (36:23):
I don't take offense to that.
Speaker 1 (36:24):
I don't know if that if that bears out in
terms of like hats or anything like that.
Speaker 4 (36:29):
I mean, you got one your hat from Texas I
could wear maybe I.
Speaker 2 (36:32):
Left it, but I can bring it. What kind of
hat a bucket at.
Speaker 4 (36:38):
Oh yeah, he's got the belt, the shiny belt. What
it's called them, the tight ass jean. Yeah, I should
see him.
Speaker 2 (36:48):
No, I don't have the shoes.
Speaker 4 (36:50):
Not shoes, they're boots. Okay, I see what you did.
They're trying to segue out of this. I don't have
you know, you enjoy it.
Speaker 2 (36:57):
It's pretty cool. I actually work to a wedding.
Speaker 4 (36:59):
One bringing little Texas over to California.
Speaker 2 (37:02):
Now another sorry, go ahead. I was gonna say another.
Speaker 3 (37:07):
Bit about the cash base model. I had a mentor
when I was a school who actually ran that model
where it was like a percentage cash percentage insurance. And
one thing you mentioned made me think of this where
he said, after he discharges the patient, he actually like
you know, keeps keeps tab on him. You know, they
call him whenever they need anything. So like you know,
how you do a six month check up with your
(37:27):
dentist or the doctor. He actually ran something like that
where you know, if you wanted to, you can just
call him every whenever something comes up that you can
kind of go in for or check up on him,
either on the phone or in person. And that was
it was a good model that worked for him, and
he could would usually bring back people, you know, if
they needed it.
Speaker 4 (37:43):
It's pretty good.
Speaker 1 (37:44):
I think that, like you're pointing out a just a
kind of fundamental problem with our healthcare system. Anyway, I
understand why the whole primary care physician model was was developed.
It was developed to make h hmmo's work. Know, basically
because that that your MC keeps falling. I don't know
what it is. Needs like Mike viagra.
Speaker 4 (38:08):
Hymns.
Speaker 1 (38:09):
Yeah, I don't know why it's doing that. Can I
it's not that one, it's the silver one.
Speaker 4 (38:14):
Yeah, I'm not going to mess with that.
Speaker 1 (38:16):
Mark can probably reach it. Yeah, you're falling further and
further off, Mike, because the sorry range of motion isn't
the best. The people you can probably see a physical
therapist about that.
Speaker 4 (38:35):
You take cash.
Speaker 1 (38:37):
The UH primary care physicians under a nature mode. They
get paid what's the monthly for each member. It's called capitation.
You just X amount and you're being able to you're
supposed to be able to provide care within that that budget.
If primarily when you go to a primary care physician
and you already know you need to see a specialist. Yeah,
(39:01):
that's a waste of their time, your time and money,
like you should you need to be able to go
to the special The problem is that, of course we
don't have an especialty dogs at all. We also don't
have a primary care docs. And if you think it's
bad here, it's worse in Canada.
Speaker 2 (39:23):
I know, their way times are insane.
Speaker 1 (39:25):
Yeah, the way times can be very very very long. Yeah,
but it's free. But it's free, and I mean we
need some kind of more efficient system and less cost.
I think it's just crazy that it's just crazy that
people can be bankrupted by medical debt.
Speaker 2 (39:50):
Yeah. No, it's a long discussion for sure.
Speaker 3 (39:53):
I mean I don't really know how you would solve
something so deep, and there's a lot of greed behind
the whole situation. So I think that's where the rule
of the problem stems is greed, honestly.
Speaker 1 (40:04):
Yeah. And I think that like when you know, when
the HMO system came in too, like a lot of doctors,
I made tons of money because there was no like,
there was no no limit really, and now they're cracking
down on them. Yeah. Yeah, it's you know, it's just
(40:25):
it's harder to get rich as a doctor than it
used to be.
Speaker 3 (40:30):
It's actually funny because like some old family friends when
I was a kid, as I grew older, like they
would lose their licenses because then like these people are
like you knew them and they were like the family
doctor and then they you know, insurance fraud and all
the stuff, and they would lose their license.
Speaker 4 (40:47):
Yeah, I mean insurance based care just.
Speaker 2 (40:50):
It is not incentivizes it, like it almost does incentivize it. Yeah,
I mean.
Speaker 4 (40:58):
The cash pay model, man, it's it's it's making its
way right now.
Speaker 1 (41:03):
Well. And if if if cash pay is like a
reasonable a reasonable amount that somebody can actually like pay
without without killing themselves. I mean, I mean, all the
good physical therapy other than because I've been working with
Pat lately, but all the good physical therapy I've ever
had I paid for out of pocket. All of what
was provided by insurance was crap. And I don't know
(41:27):
if it was crap because it was provided by insurance
or if it was just that the providers that contracted
with are not very good.
Speaker 4 (41:35):
What was your general experience like with insurance based physical therapy.
Speaker 1 (41:44):
I went to way back in the day, I went
to one for my back, and was.
Speaker 4 (41:50):
It like at a like a hospital. I mean I
don't have to say the name, but like, was it
like part of a hospital organization?
Speaker 1 (41:56):
The original one was the first one I went. It
was an independent one, and like they had me hanging
upside down on a traction thing and all that matter stuff,
and I didn't I don't think I got any got
better any faster than I would have had I just
been on my own.
Speaker 3 (42:15):
I mean to answer your question, I don't think the
actual therapists themselves were you know, inherently bad. It's probably
the system they're under, right, because they need to see
a certain amount in a day, so they're like stressed
to finish the volume that the load that they have
for the day, so they just don't have the time
to spend with you one on one. And then they
have other stressors like their documentation that has to meet
(42:36):
the insurance standards and all that stuff. And then on
top of that, like if you compare it to you
going out and doing a one on one with cash,
that therapist, you know, they're providing that value. Like if
they're not providing the value, they're not going to keep
you as a patient, Right, You're gonna go and leave
fight someone else, so they have to give you your
best effort versus if you're getting paid regardless, you know,
(42:57):
you're not gonna care as much, just inherently as a human.
You're gonna be like, yeah, you know, like you know,
let me just get them through time, they'll get better, right,
So I think that's part of the system they're under, right.
Speaker 1 (43:07):
Yeah, there's a disconnect between the between the patient and
the payment unless the patient is paying directly, and then
then you the value is obvious, whereas if it's if
it's through insurance, the value is not necessarily of obvious
to the practitioner. So yeah, no, that was like early
(43:29):
on and then like later when it was not good.
I went to two different rounds with sports Medicine PTS,
and one I didn't get any better, and when I
got worse. So I had this is all for your back, No,
not all from my back. No. The most recent one
(43:52):
was was my shoulder. This shoulder, I have like whole
punch tears in my super spinatus tendon, and I was
like this close to having surgery, and I said, screw it,
I don't want to do that. So I tried physical
therapy with their their people and it literally like caused
(44:16):
me more pain and not in that you know, you know,
when you're working with somebody with corrective exercises or just
exercises period to loosen things up whatever, there's going to
be some discomfort.
Speaker 2 (44:31):
This was not that like a sharp pain.
Speaker 1 (44:34):
He was sharp pain. And I finally, you know, the
last time I said this is not working, like come
up with something else, Okay, well next time or whatever,
and I was like to never go back. I just
should screw that and went paid on my own for
a while, and then it just got better over time
by itself. The other side that I'm working on now
(44:58):
is it's get better. It's it's definitely, you know, considerably
better than it was when I when I started. But
again it's somebody who has a better sense of kind
of the whole picture. I guess, you know, somebody who
you're working with, somebody who lives weights. You're looking for
somebody who's who's you know, has some some priority on
(45:24):
fitness or whatever, as opposed to somebody who just like
needs to open a shampoo bottle or something. Yeah.
Speaker 4 (45:31):
Yeah, there's always BPC one.
Speaker 2 (45:36):
Yeah, that is the new trend.
Speaker 1 (45:38):
That is the new trend. Yeah, I will tell you
that I actually tried that and didn't really didn't do much.
Speaker 4 (45:44):
Over a long period of time.
Speaker 1 (45:45):
Well, I don't know how long is long.
Speaker 4 (45:49):
Well, so they give it to you what by like
a month or like a month, I don't know.
Speaker 2 (45:56):
I think it's twenty days a bottle or something.
Speaker 1 (45:58):
I think that's what I think. That's about what I do.
I did like the every day for twenty days.
Speaker 4 (46:02):
Yeah, was it oral or injectablejectable for your shoulder issue? Interesting?
Speaker 3 (46:09):
I think the people that say it works, if they
hadn't done anything and they just did the twenty days
of letting things heal, they probably would have ended up
in the same spot because most people like I've talked
to that have done it will have like just like
a grade one muscle strain or something like that, And
so if you just have left it alone.
Speaker 2 (46:27):
For three weeks, it would.
Speaker 1 (46:29):
Yeah.
Speaker 3 (46:31):
The other stories were like you have like a whole
partial tear or something like that, and then it marrack
like it just healed by itself with I mean not
by itself with the BPC. Yeah, I mean that those
stories are like, Okay, maybe this does work. But the
other stories were like, yeah, I was just I was
in pain and I took it. I was out of pain, like, eh,
you probably would have been out of pain anyways.
Speaker 1 (46:52):
Placebo, yes, placebo. Actually on this this shoulder, I had
oh my god, what's it called uh where they spin
your platelets out and then inject them into your.
Speaker 2 (47:08):
Pc p uh something like that pp something.
Speaker 1 (47:12):
I don't know why I'm not I don't know why
I'm blanking on it so hard right now. But anyway,
I had that, actually have that, have had that done twice.
I did it for for this tendon and it worked
like worked like within six in the back of the name, Yeah,
within six weeks it was like like.
Speaker 2 (47:27):
New almost, and that was something you were dealing with
for a while too, right.
Speaker 1 (47:30):
Yeah long time, yeah, long time. Unfortunately now the other
one is doing it.
Speaker 4 (47:35):
But go back the plasma stuff, yes, yeah, yeah, yeah,
I know that word.
Speaker 2 (47:40):
Yeah, plasma platelets.
Speaker 1 (47:42):
It's a doctor and everybody.
Speaker 4 (47:44):
There's a p in it.
Speaker 2 (47:45):
I know that.
Speaker 1 (47:49):
I don't know why it sucks. I'm gonna have to
look it up because I hate. Hey, when when my
memory goes up and then you guys are no help
at all.
Speaker 3 (47:59):
So it's I've actually only met like two people who
have done it, so I don't remember too much about it.
Speaker 1 (48:07):
It's p r P.
Speaker 2 (48:10):
Yeah, that's the one.
Speaker 4 (48:12):
Yeah, plasma rich platelet lich rich plasma.
Speaker 2 (48:20):
Dan almost you got one. I got one.
Speaker 1 (48:25):
And I looked it up, so you know I did.
I don't think I said it twice my shoulder. It
did not.
Speaker 2 (48:33):
I would.
Speaker 1 (48:34):
I don't know whether it works or not. Eventually it
got better, but it wasn't like as instantaneous. It wasn't.
You know. Six weeks and it's better, and it hurt
more for some reason. Oh my god, it hurt.
Speaker 2 (48:47):
So what is the process like?
Speaker 1 (48:49):
Uh, they take a vial or two of blood and
they put it in a centrifusion, spin out the platelets
and they load the platelets up in a in a
syringe and then they they're supposed to do it under
imaging so that they know that they're getting into the
into the tendon.
Speaker 2 (49:10):
They just do it without it.
Speaker 1 (49:12):
They did you they Well, that had a very odd
experience with it because I was having I was going
to have the one behind my knee done and the
original imaging showed all kind of crap in the tendon.
There was like calcium deposits and just all kinds of
issues and I'm like, huh, okay, so you know, we
(49:33):
know what it looks like, so we're going to try this.
So we go. They go in to do the to
the PRP the first time, and they hadn't drawn the
blood yet. They were just like checking where it was
going to go, and like, wait a minute, this doesn't
look anything like the original imaging. Like what happened and
(49:55):
I don't know, I don't know, never solved, never solved,
So canceled. I mean that time was canceled. And then
like they went looked at all the films and all
this stuff and like we don't know, we can't we
can't answer this question. So it's like, okay, let's just
reschedule it to do it. I don't care. So I did.
It didn't work well.
Speaker 4 (50:13):
This stuff in general, like the p r P, it's
it's becoming more prominent and so, you know, like someone
that just took the board exam, you know, the national
one for Physical Therapy, they're starting to incorporate p RP,
you know, protocols inside that as well. It's not huge,
but you know, like we are developing, you know, protocols
(50:35):
from that.
Speaker 1 (50:37):
I'm not laughing at you. I'm laughing at it. Mark
trying to get the microphone back up near your mouth.
I don't know why it is.
Speaker 4 (50:44):
Go like this, Maybe we just can Can you guys
hear me good? Or no?
Speaker 1 (50:52):
When you're close to the mic, I can hear you great?
Oh you got to Yeah, it's you got into the
flexi part of it, and now it's just gonna it.
Speaker 4 (51:00):
Okay, I'm just I'm just gonna go like this, hold it,
there you go. I feel very fancy right now.
Speaker 1 (51:06):
Okay, dang, that's pretty good. Yeah, it's pretty good. Yeah.
Speaker 4 (51:09):
But ye but yeah, so like that stuff is being incorporated,
you know, so it's and it's it's going to be
more and more.
Speaker 1 (51:17):
Yeah, no, I worked out for you. Yeah, I mean well,
I would love for insurance to cover it because it
cost me, like it cost me seven to fifty the
first time. It cost me like a grand the second time,
serious inflation over however many years it was. But and
it's probably even more. It's probably fifteen hundred now or more.
Speaker 2 (51:35):
Per per session.
Speaker 1 (51:37):
Yeah.
Speaker 2 (51:37):
Oh geez, that is a lot. Yeah, and how many
need you to do?
Speaker 1 (51:42):
It's just one shot? Oh oh okay, just one shot yeah.
I mean, I don't even know if they can do it.
I think they have to wait like three or four
months or something in between. I'm not sure exactly, just
because it takes a long time for whatever. I mean
theoretically they're like stem cells or whatever. Yeah, m hm,
and you can. But you can also get stem cells
(52:03):
should should you want, And I've certainly known people who
did that.
Speaker 2 (52:07):
That's even pricier, and.
Speaker 1 (52:08):
It's a lot pricier, and it's totally out of pocket. Yeah,
at least here. I don't know if there are other
countries offer you any of that kind of stuff.
Speaker 2 (52:15):
But you gotta go. Where Where did Christian McCaffrey go
for Germany? Was it Germany?
Speaker 4 (52:23):
I hope to god it works s frim because the
NFL season is just starting.
Speaker 1 (52:27):
It's yeah, we're just around the precipice.
Speaker 4 (52:31):
I know.
Speaker 2 (52:31):
It's just like we fantasy drafts coming up.
Speaker 1 (52:35):
You guys are football guys, yes.
Speaker 4 (52:37):
Yeah, big, big, big Niners FM.
Speaker 2 (52:40):
Because you grew up here and you are one Pride
Detroit Lions.
Speaker 1 (52:44):
Ye, that's what I thought you were gonna say.
Speaker 2 (52:46):
Yeah, Niner's Nation.
Speaker 4 (52:49):
It's a nice color you have on by the way.
Speaker 2 (52:51):
Oh yeah, yeah, I'm representing today. I you're representing the Raiders.
Speaker 4 (52:56):
Though, no, no, just no.
Speaker 1 (53:01):
No one represents the Raiders representing right now. Okay, nobody
represents the Raiders. That's what it comes down to. Yeah,
this is a whole conversation about you shouldn't move franchises.
You should expand if it's actually if you can make
the argument that there should be a team there, you
should expand to it. What do you mean as a
(53:22):
because uh, Golden Knights, the hockey team is incredibly successful
in Vegas. Raiders moved from Oakland, after they were moved
from moved to la and then back to Oakland. Not successful.
(53:43):
I think they're not only not successful on the field,
but they're not not successful in terms of drawing crowds
because people who live in Vegas do not care. They
don't they don't own them the way they own the
hockey team. It will be the same with the A's
who are who literally play across the freeway right now
in Sacramento. They won't out let Sacramento like have their
(54:07):
name on anything. And so locally, you know, we don't
feel a sense of ownership. This is a you know,
this was a combination a Giants market anyway, more Giants
than A's. But you think with them right there, they
would be, you know, selling out that that tiny ballpark.
Speaker 2 (54:28):
But the Sacramento crowd doesn't affiliate with it as much or.
Speaker 1 (54:31):
No, because because they won't identify as being in Sacramento.
And when they go to Vegas, yeah, I'll say Las
Vegas Athletics or whatever, but it's not their team. You know.
They didn't like spring up out of you know, whole
cloth and and be a Vegas team. So this is
(54:52):
this is what's wrong with sports, just just so that
everybody knows. Just there's more wrong with it every everyone
everyone's time in my opinion and that time. But I
think that that's something that bears out. I think that
that Vegas has made a mistake by putting so much
money into relocating teams there.
Speaker 4 (55:12):
I don't know that people actually lived in Vegas.
Speaker 1 (55:15):
Yeah they do, and it's really hot. The economy in
Vegas is currently tanking too, because tourism is down in
the United States overall, and a lot of tourism in
the United States is to Vegas.
Speaker 2 (55:33):
Crazy.
Speaker 1 (55:37):
On that note, we have moat sweating again.
Speaker 4 (55:43):
I had legs just before this Okay, give me a break.
Speaker 1 (55:47):
Understandably. Thank you guys for coming on.
Speaker 4 (55:52):
No, thank you for having us, Thank you for having us.
Speaker 1 (55:55):
Jim, Yeah, well, I think we probably do some kind
of a round table at some point in the future,
bring Pad in and have the three of you.
Speaker 4 (56:02):
Like and the California lobbying.
Speaker 1 (56:07):
Guy and the California lobbying guy.
Speaker 2 (56:08):
I would very much that would be a good discussion.
Speaker 1 (56:11):
I bitch, I can't get him to do that, but
just buy him some protein. Any any political any political
hot topic.
Speaker 4 (56:18):
He's like, I mean it's not I mean, it's not
like a huge one, but it's like, yes, so again,
just like the so like dry kneeling, you know what
that is. Yeah, So it's it's legal in most states.
In California is one of the few that it's not too. Yeah,
And it's like something that as physical therapists we're trained
(56:39):
to do, but it's illegal because it's it's only technically
an acupuncture scope of practice, and it's very helpful. It's
not that hard to do. So it's like, come on.
Speaker 1 (56:50):
Bro, is it the acupunctural lobby that's causing this problem.
Speaker 2 (56:54):
Or I don't know, Probably they don't want to lose
their jobs either.
Speaker 4 (57:00):
Yeah, I mean I've I've like spoken to a couple
about it and they're like, yeah, well, if you guys
can can do this, then like we'd you know, be
out of a job. Kind of. Oh really, yeah, I
mean there are more pets than acupunctures, you know.
Speaker 1 (57:14):
So yeah, I've seen acupuncture work, but I've also experienced
it not working.
Speaker 4 (57:20):
So it's it's very supplementary, you know. Yeah, I mean,
but like as its own practice, it's i mean again
it's like fantastic, but I think you know, it's it's
very pain modulating in nature and something. You know, It's
like you do some hands on stuff, you do some exercise,
and then you end with some you know, dry needling,
a little bit of electrical stimulation on there. It's really
(57:43):
effective when like combined with other things.
Speaker 1 (57:46):
Well, and for no other reason that they walk out
the door feeling better, even if it was just the
last intervention that that made them feel that way, just.
Speaker 4 (57:58):
Like the cumulative effect.
Speaker 1 (57:59):
I think. Plus, you're paying attention to their needs before
they walk out the door, of course, which.
Speaker 2 (58:07):
Which what keeps people around. Yes, exactly, even if it's
just the placebo thing.
Speaker 3 (58:12):
I mean yeah, well, yeah, you can't. I mean placebos
are still yeah, if it works, it works. Yeah, placebos
are still an intervention that works. It's it's just you know,
a little bit unpredictable because it doesn't necessarily work the
same way with everyone. But yeah, all right, where can
people find you? Should you want people to find you?
Speaker 1 (58:29):
Amar?
Speaker 4 (58:31):
Uh?
Speaker 2 (58:31):
What do you mean online?
Speaker 1 (58:33):
Yeah?
Speaker 2 (58:33):
On Instagram tradition, you.
Speaker 1 (58:41):
Share their handle as opposed to guys named amar.
Speaker 3 (58:44):
Oh, it's actually just my name's Amar, and then underscore
al Haidar okay.
Speaker 4 (58:51):
Instagram at the Buff guy.
Speaker 1 (58:54):
See, I don't follow you on Instagram. I would totally
have done that if i'd known you were the Buff Guy.
Speaker 2 (58:58):
Now we know that's that's an Instagram handled that you
can't ever let go.
Speaker 4 (59:02):
Yeah, I made that back in twenty eleven or twelve,
when like Instagram first started, and I was like, I've
I've had people offer me money for that. So I
bet if you ever see like the Buff guy seven eight,
four or five, that's probably one of the folks that
offered me some money.
Speaker 1 (59:18):
You said no too, yeah, because he didn't offer you
enough money.
Speaker 4 (59:21):
It was like a couple hundred bucks. But I was like, ah,
does it mean it's catchy? I might have to change
it when I get my own spot open, But.
Speaker 1 (59:28):
Just one just started doing, yeah, keep it personal. One.
Speaker 4 (59:31):
So I got one, but for confidentiality reasons, I can't
say what it is yet.
Speaker 3 (59:35):
So alrighty, Yes, that actually quick funny story. You know
how he got offered money for the tag? So do
you know how a Mira Abdulla is running back? Like
he was actually on the Raiders for a little while,
but he got drafted into the Lions. Yeah, so I
took his name. It was like Fear of Mirror twenty one.
And as soon as he got drafted, I went and
took his name, and I was like waiting for four
years until he offered.
Speaker 2 (59:55):
Me money for that name. He never content.
Speaker 3 (59:58):
I was like, whatever, you still then out hope I
will still yeah, until until he left the lines the
gay never mind.
Speaker 4 (01:00:05):
I'm not gonna lie. It's pretty good one for.
Speaker 1 (01:00:08):
Sure, all right. I am at the Jim McDonnell of
the social media. This show is fifty percent facts, where
percent of the word and fifty is just numbers. Fifty
percent facts. This is a speaker Prime podcast and association
with our Heart Media on the Obscure Celebrity Network and
I will talk to you next week.
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