Feb. 18, 2026

It’s Not the Patient. It’s You.

It’s Not the Patient. It’s You.
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Recorded live from CSM, this episode features Jake Irwin, PT, DPT — professor, athletics PT, private practice owner, and APTA delegate.

The conversation covers:

  • Why seasoned PTs still attend CSM
  • How to approach conferences strategically
  • The real value of networking
  • Using AI to navigate conference programming
  • The uncomfortable truth about home exercise compliance

Jake delivers a strong parting shot:

When patients don’t get better because they didn’t follow their home program — that’s not their fault. That’s yours.

This episode challenges clinicians to choose growth over blame.

<p>This episode is part of the <a href="/physical-therapy-business-podcast">Physical Therapy Business Podcast</a>, where physical therapists and clinic owners learn how to get more patients, improve operations, and grow their clinic without relying only on referrals.</p>

<p>Looking for more episodes? Explore the full <a href="/physical-therapy-business-podcast">Physical Therapy Business Podcast</a> for real-world strategies on physical therapy marketing, patient acquisition, and clinic growth.</p>

Transcript
WEBVTT

00:00:01.631 --> 00:00:02.190
There we go.

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Dun, dun, dun.

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All right, we are doing it live.

00:00:14.343 --> 00:00:17.365
I'm wearing a ridiculous Valentine's Day

00:00:17.405 --> 00:00:17.686
theme.

00:00:17.705 --> 00:00:19.027
You are very easy to spot in the

00:00:19.067 --> 00:00:19.246
crowd.

00:00:19.266 --> 00:00:20.268
That's why people are like,

00:00:20.327 --> 00:00:21.568
that's a great red jacket.

00:00:21.588 --> 00:00:22.710
I'm like, it's Valentine's Day.

00:00:22.750 --> 00:00:24.271
Jake Irwin, live on the show.

00:00:24.771 --> 00:00:26.553
Appreciate you walking by.

00:00:26.574 --> 00:00:27.535
We made eye contact,

00:00:27.594 --> 00:00:29.775
and we were talking about talking anyway,

00:00:30.617 --> 00:00:31.378
so we'll just go with it.

00:00:32.118 --> 00:00:33.859
Jake, what's your superhero backstory?

00:00:34.401 --> 00:00:35.862
When someone says here at CSM,

00:00:36.201 --> 00:00:37.143
who are you, what do you do,

00:00:37.904 --> 00:00:39.424
where do you fit in the profession?

00:00:39.465 --> 00:00:41.265
So I'm a full-time professor at Georgia

00:00:41.286 --> 00:00:42.006
State University.

00:00:42.066 --> 00:00:42.987
Nice.

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In addition to working at my teaching job,

00:00:45.807 --> 00:00:47.167
I spend ten hours a week working with

00:00:47.228 --> 00:00:48.488
all the sports teams on campus.

00:00:48.509 --> 00:00:50.189
I'm the only physical therapist employed

00:00:50.210 --> 00:00:51.210
by the athletics department.

00:00:51.229 --> 00:00:52.289
And how long have you been there?

00:00:52.310 --> 00:00:53.430
I've been there since twenty-twelve,

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but I've been with athletics since

00:00:54.390 --> 00:00:55.031
twenty-twenty-three.

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Good for you.

00:00:55.932 --> 00:00:57.453
But I also own a small private practice,

00:00:57.472 --> 00:00:58.073
so I get a lot of hats.

00:00:58.773 --> 00:00:59.774
When do you do others?

00:01:00.134 --> 00:01:02.115
I'm also a delegate to APTA.

00:01:02.134 --> 00:01:02.615
For Georgia?

00:01:02.875 --> 00:01:04.516
yeah well good i love that so you're

00:01:04.555 --> 00:01:05.977
all over i'm also on the bylaws and

00:01:05.996 --> 00:01:07.477
house documents committee for apt well

00:01:07.537 --> 00:01:08.978
someone's got to write bylaws i got a

00:01:08.998 --> 00:01:10.260
little bit everything going glad it's not

00:01:10.299 --> 00:01:13.402
me uh so let's go with uh excited

00:01:13.421 --> 00:01:15.403
and expectations since we started csm all

00:01:15.444 --> 00:01:17.564
of twelve minutes ago yeah i can't ask

00:01:17.584 --> 00:01:18.745
you what you've seen so far but what

00:01:18.766 --> 00:01:20.126
are you what are you looking forward to

00:01:20.167 --> 00:01:21.268
what are you seeking out here

00:01:21.507 --> 00:01:22.388
So that's a great question.

00:01:23.129 --> 00:01:24.668
I actually am looking for a specific

00:01:24.728 --> 00:01:26.189
answer to a specific patient problem.

00:01:26.930 --> 00:01:29.412
I've got an athlete who's presenting with

00:01:29.432 --> 00:01:31.352
a neurologic problem that nobody can seem

00:01:31.371 --> 00:01:31.813
to figure out.

00:01:32.313 --> 00:01:33.793
And I'm not really a neuro PT.

00:01:33.914 --> 00:01:35.293
So I'm going to go to some of

00:01:35.313 --> 00:01:36.875
the neuro sessions and see if anybody has

00:01:36.935 --> 00:01:37.375
answers for me.

00:01:37.394 --> 00:01:38.355
Come to where the neuro PTs are.

00:01:38.375 --> 00:01:38.516
Exactly.

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Let's go to where the experts are and

00:01:40.917 --> 00:01:41.697
see if someone's got an answer.

00:01:41.917 --> 00:01:43.337
I heard that great advice long ago.

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I think this is my tenth CSM?

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Ninth?

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I mean,

00:01:46.338 --> 00:01:47.719
you start losing count after five or six.

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And someone said,

00:01:48.939 --> 00:01:50.941
really great advice is if you're an ortho

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PT,

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make sure you go to at least one

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or two things that are not in your

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lane.

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Hearing the same or similar things fifty

00:01:57.884 --> 00:01:59.424
times is great,

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but hearing different things might make

00:02:01.125 --> 00:02:01.885
you go, huh.

00:02:02.540 --> 00:02:03.040
Yeah,

00:02:03.061 --> 00:02:04.042
the only time I go to things that

00:02:04.102 --> 00:02:04.623
I know about,

00:02:04.703 --> 00:02:06.364
I'm actually just sort of interested in

00:02:06.986 --> 00:02:08.568
how they're presenting it.

00:02:08.608 --> 00:02:09.909
As somebody who teaches this material,

00:02:09.949 --> 00:02:11.231
I like to see how other people present

00:02:11.252 --> 00:02:11.872
the same concept.

00:02:11.893 --> 00:02:12.693
Yeah, delivery device.

00:02:12.753 --> 00:02:14.436
See if there's something else that I can

00:02:14.455 --> 00:02:14.856
do differently.

00:02:14.917 --> 00:02:16.419
I don't really take notes on the content.

00:02:16.498 --> 00:02:17.419
It's more on the delivery.

00:02:17.479 --> 00:02:17.721
Yeah.

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There will be many screenshots of slides

00:02:20.722 --> 00:02:23.201
that will die in your photo app that

00:02:23.222 --> 00:02:23.762
you'll never,

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because they're out of context in a week.

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You're like, oh yeah,

00:02:26.122 --> 00:02:27.663
that was that cool slide in the moment.

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It felt so impactful,

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but you have no idea where it is.

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No idea why I even took a picture

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of it.

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Yeah.

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Yeah, that definitely happens.

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So, Pat,

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looking backwards to CSMs in the past.

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Yes.

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When someone comes away with this,

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and there's a lot of PTs here.

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We'll find the final number at the end

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of the day.

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People question all the time,

00:02:46.086 --> 00:02:46.687
why do you come?

00:02:46.826 --> 00:02:49.807
I've said the CEU ratio is not the

00:02:49.867 --> 00:02:50.747
reason to come.

00:02:51.407 --> 00:02:53.229
It's a part of a reason.

00:02:53.568 --> 00:02:55.150
But what do you come to CSM for?

00:02:55.189 --> 00:02:55.889
Flying from Georgia,

00:02:56.349 --> 00:02:57.590
it's not a short trip, man.

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I've been coming to CSM since I was

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a first-year PT student.

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I love CSM.

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Honestly,

00:03:03.151 --> 00:03:04.612
it's really more for the networking.

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When I was a student and a new

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grad, it was the material.

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Give it to me from the experts who

00:03:08.996 --> 00:03:10.116
are on the cutting edge of it.

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Instead of reading the article,

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listen to the guy who wrote it or

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the lady who wrote it.

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That was huge early on.

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And then I had a gap when I

00:03:18.581 --> 00:03:19.962
was starting my private practice.

00:03:19.983 --> 00:03:21.104
I couldn't afford to just take a bunch

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of time off to come here.

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Probably busy, too.

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Yep.

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But now that I'm teaching,

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I get some money from the school to

00:03:26.546 --> 00:03:27.106
be able to come.

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I come every year and it's really a

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ton of networking.

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I get to see a lot of people

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that I only get to see once a

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year at CSM.

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And so I just love the time I

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spend with those people.

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I get to catch up with, you know,

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I went to school at Southern Cal.

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So I get to like see some of

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the people I went to school with.

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It's the only time I really get a

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chance to do that.

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That's great.

00:03:46.656 --> 00:03:48.116
yeah it's an awesome experience words of

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wisdom if someone is walking in here

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because people are like it's pretty cool

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to watch you got people like yourself you

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got people like i was hanging out with

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stanley paris yesterday who's like i don't

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even know how many decades of csm's i've

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been here been here since before it's been

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csm uh when someone's walking in here with

00:04:01.564 --> 00:04:03.746
fresh eyes you see it every third or

00:04:03.765 --> 00:04:05.907
fourth person here is someone walking with

00:04:05.947 --> 00:04:08.348
fresh eyes what do you wish we'll play

00:04:08.389 --> 00:04:10.069
that whole what do you wish you knew

00:04:10.330 --> 00:04:11.110
uh what do you know now that you

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wish you knew then any words of advice

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for someone

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So the exhibit hall, have a plan.

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Like it's way too big to wander around

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and try to find what you're looking for.

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Have a plan,

00:04:19.500 --> 00:04:20.382
know where you're trying to get to.

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That's how I got here.

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I looked you up.

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I said, oh, it's booth twelve forty four.

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I'm going right there.

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And for the rest of it,

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it's also have a plan.

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But pick two or three things for every

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hour,

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for every time frame that there's an

00:04:32.689 --> 00:04:33.009
event,

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because you're going to go into one and

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like listen to it for a little bit

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and be like, no,

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it's not what I wanted.

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But pick one that's close by.

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Like geographically nearby.

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So you're not missing half of it.

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You could walk around for forty five

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minutes and not see anything.

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So have two or three events for every

00:04:49.882 --> 00:04:51.223
time frame that there's scheduled

00:04:51.244 --> 00:04:51.723
programming.

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And pick things that are near each other

00:04:55.726 --> 00:04:57.048
so that if you don't like something,

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you can immediately just walk out and go

00:04:59.209 --> 00:04:59.509
next door.

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Right.

00:05:00.589 --> 00:05:01.790
It's not too late because these things

00:05:01.810 --> 00:05:02.310
were quick.

00:05:02.672 --> 00:05:05.353
I dumped a bunch of screenshots from the

00:05:05.413 --> 00:05:06.934
programming into AI.

00:05:07.153 --> 00:05:08.175
And then I was like, hey,

00:05:08.235 --> 00:05:10.055
I'm looking for this and this and this.

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Help me figure that out.

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And it was like, oh,

00:05:12.057 --> 00:05:13.036
here's three suggestions.

00:05:13.757 --> 00:05:15.338
None of the titles were anything that I

00:05:15.358 --> 00:05:16.838
would have normally been like, oh,

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that that could find that.

00:05:18.379 --> 00:05:20.060
But sometimes you got to go deeper than

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the headline.

00:05:20.401 --> 00:05:21.440
Yeah, no, that's really smart.

00:05:21.540 --> 00:05:22.982
I've not thought to do it that way.

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I still search it by category.

00:05:25.182 --> 00:05:25.822
By next year,

00:05:25.862 --> 00:05:27.401
it'll just have AI embedded in it.

00:05:27.482 --> 00:05:27.963
And you'll just say,

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I'm looking to become this.

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It'll be great.

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Got your suggestions.

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Simple, simple, but not easy.

00:05:33.264 --> 00:05:35.244
All right, let's do a parting shot.

00:05:35.764 --> 00:05:36.564
Every episode has a...

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This is the parting shot.

00:05:40.024 --> 00:05:41.444
One last mic drop moment.

00:05:42.105 --> 00:05:42.904
No pressure.

00:05:43.346 --> 00:05:45.446
Just your legacy on the line.

00:05:46.572 --> 00:05:47.494
Oh, yeah.

00:05:47.673 --> 00:05:49.014
Well, we started Parting Shot.

00:05:49.053 --> 00:05:50.074
I'll give you the inside scoop.

00:05:50.095 --> 00:05:50.514
I'll give you one.

00:05:50.555 --> 00:05:52.795
Because I was interviewing people as a

00:05:52.855 --> 00:05:53.776
student, and I was like,

00:05:53.916 --> 00:05:56.137
I don't know how to – Will Humphrey

00:05:56.158 --> 00:05:56.617
is walking by.

00:05:57.199 --> 00:05:58.800
I don't know how to end these interviews

00:05:58.879 --> 00:06:00.620
because they just keep saying smart stuff.

00:06:00.641 --> 00:06:01.221
So I had to come up with a

00:06:01.261 --> 00:06:01.761
thing where I was like,

00:06:01.781 --> 00:06:02.822
it's called the Parting Shot,

00:06:02.841 --> 00:06:03.982
which means like, hey,

00:06:04.283 --> 00:06:05.142
say something great.

00:06:05.403 --> 00:06:06.062
Time to go, though.

00:06:06.103 --> 00:06:06.363
All right.

00:06:06.403 --> 00:06:07.704
So wrap it up with something good.

00:06:07.723 --> 00:06:08.384
Yeah.

00:06:08.985 --> 00:06:10.485
When your patient doesn't get better

00:06:10.505 --> 00:06:11.485
because they didn't follow their home

00:06:11.526 --> 00:06:13.187
exercise program, that's not their fault.

00:06:13.226 --> 00:06:13.848
That's your fault.

00:06:13.887 --> 00:06:14.088
Yeah.

00:06:14.247 --> 00:06:15.367
Re-evaluate what you did.

00:06:15.567 --> 00:06:16.889
If you blame the patient for not getting

00:06:16.928 --> 00:06:17.149
better,

00:06:17.168 --> 00:06:18.430
you've missed an opportunity to learn.

00:06:18.490 --> 00:06:19.250
It's lazy.

00:06:19.449 --> 00:06:20.271
Plus it's lazy.

00:06:20.591 --> 00:06:21.711
And let's say they are the most,

00:06:22.052 --> 00:06:23.612
we'll say it in this hypothetical,

00:06:23.872 --> 00:06:25.552
that is the most horrible patient in the

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world.

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Sure.

00:06:27.053 --> 00:06:28.235
You still should change your game.

00:06:28.295 --> 00:06:28.394
Yep.

00:06:28.834 --> 00:06:29.555
You've got to learn from it.

00:06:30.036 --> 00:06:31.656
You have a choice in those situations to

00:06:31.737 --> 00:06:33.298
blame them and move on or learn.

00:06:33.557 --> 00:06:33.898
Yeah.

00:06:33.918 --> 00:06:34.718
All right.

00:06:34.738 --> 00:06:34.918
Jake,

00:06:34.939 --> 00:06:36.259
where can people find you on LinkedIn?

00:06:36.339 --> 00:06:37.680
It's just under your Jake.

00:06:38.021 --> 00:06:40.242
Dr. Jake DPT is my title for everything.

00:06:40.362 --> 00:06:40.802
Jackpot.

00:06:40.862 --> 00:06:41.043
Jake,

00:06:41.062 --> 00:06:42.644
appreciate you walking by and jumping on

00:06:42.884 --> 00:06:44.144
and taking the leap with us live from

00:06:44.365 --> 00:06:44.605
CSM.

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We've got more.