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"arias medical group" Discussed on PT Pintcast - Physical Therapy
"Guest as we. We bring him into the screen Chris Johnson a little earlier from the West Coast Chris. Welcome back to the program. Thanks for having me again. Jimmy mentioned before we got to broadcasting doing the Doing the caffeine the thing and not the alcohol thing this morning. It's still the same field. That right yeah you sell those packages so you do like a coffee mug. Pint Glass Chris Chris there you you go. You're creating things as we're on the air that's what that's why the alive element brings so much to it. We actually just started selling pint glasses because so many people ask for them so so I had. I had one next to the to them. I think we sound for like seven bucks on the website. We'll have the link if people are asking but they say it's hard to see right now. It's it's clear but it's got the logo on one side and then. From game of thrones I drink and I know things which is true of all physical therapists. Right I drink it I know things. Well there's something about pint glasses you know when I go and race so I've done a bunch of these long course races mainly the ironman branded ones and I never buy anything if the tent which is where. They're selling all their merchandise but they get you they get you coming coming ago in there. Yeah and I've been breaking a bunch of them lately like they chip and then you know it's Unlike are now what's going to happen today in there always from my most memorable races rights. It yeah I had my cousin. I did my first marathon my first New York City Marathon. You know before you the marathon you just I mean it's just this thing it's got this aura about it and of course by the pint pint glass when I finish and my my closest cousin comes over to celebrate like a month later and she smashes the thing and of course I could get another one probably even cheaper because they're trying to get rid of that one but it's it's still. I wanted that one because I bought that one race day so I don't I think people who don't do races and kind of grab something like that. They don't understand Chris. Well maybe you need to make a sleep for it so I actually. I was sitting here. And you had the pint glass when we were talking before we got on the call and so I have one of the coffee mugs from a race in always by pint glass so but you know the pint glasses for for the ironman races are like twenty four dollars now so yeah it's got an Ironman logo on it. Yeah that's it When we bring you on again no no stranger to the show? You've been on before. I think it was like episode. One forty one. I reached out because you are a physical therapist who works with traffic leads Athletes runners you. I know that that sort of realm and my interest there led me to you and then we actually did a review of your You APP talk about that for a second run cadence we. We did a a what's happening episode. We reviewed that describe what it is in case the audience says No. And what's what's up with it now. So the run cadence APP is something that my good friend and business partner Ben Walker. WHO HEADS UP Lake Washington? PT Here in Seattle. Actually Kirkland technically he and I just got to Chattanooga his fortieth birthday today and We just felt like there is a simple metronome APP that was needed for runners. And we didn't want to do a million things we wanted to basically you through Tessa so you could identify your step rate at a given speed and then have a built-in metronome that could give you feedback so essentially just a gate rate retraining tool the world's a it's an amazing place. It was a very interesting problem to solve. And I won't say that we've solved it so it it's It's still live on on the APP store. I think it's a dollar ninety nine right now and yeah I think a lot of clinicians Around the world are using it. These APPS are very expensive. I mean the do do it right in a coded out and then the technology is always changing. You know they're doing software. UPDATES new watches are coming out. So you know. It's always interesting to me. People talk about putting together an APP over dinner and it's just so far from reality. Yeah I wouldn't even go anywhere near doing something like that but I'll tell you I've got it on my phone. I use it through throughout my training process. If there's ever an issues that come up but I liked it because it was simple. Listen if you're asking me to calculate something that I start counting fingers and I'm not actually running like I'm supposed to be running it. Does that for you. And then the after once it figures out that what whatever cadence you're at and what was it was. It was a reduction in in sorry increase in cadence by ten ten steps ten percent while I was a math so five to ten percent. And there's there's a lot of research that lends credence to that range So once you go above. Ten percent tends to occur to metabolic costs as we say juice isn't worth the squeeze you know five percent and also yields a meaningful change and there are some research out there that shows it you know. Generally a three percent increase in step rate is ones optimal step rate. That's a taper izzy Moore wasn't the author. Choose over. She's a A PhD over in the UK. She wasn't the author on it. But she referenced it in a a manuscript that you put out relative running economy factors the other thing. That's cool about that APP. Is it with all the the ten in research coming out. I mean mainly joke cooks lab with Ebony Ebony Rios tender aplastic training it basically is it allows you to set the stage someone rather than just say hey do three sets of ten you leave them to their their own devices you get them to do three sets of ten to say forty five beats a minute and It's just another way to standardize things so it has so many applications is it just depends on. Are you aware of all the research. That's out there in how to infuse it in to the rehab process so look. This isn't something we're trying to retire. Let me be clear about that. We just I don't know we felt a need to put it out there. It's funny though. I have to contend with so many emails people are like Oh it's not working. I Want my money back and I'm like we'll will gladly give you your money back but let's troubleshoot because it's always something in the settings that they didn't turn up you know this is this goes with the territory itunes. We'll be right back to the PODCAST. Can't say thanks enough to our sponsors at Arias Medical Group. They are the leaders in travel physical therapy staffing quite simply they find physical therapists jobs. Do what you WanNa do where you want to do it. I'm talking about placements in all fifty states states Just take a look get on a phone call with one of their recruiters. Yeah Arias is the expert and travel physical therapy a U. R. E. U. S. MEDICAL DOT com. It's Arias Medical Group A U. R. E.. US Medical Dot Com all right shoulder day brought to you by the Brooks Institute of higher learning an innovator in providing advanced post Professional Education Brooks IDEL offering continuing education courses in numerous specialty areas six residency programs and fellowship as well as challenging challenging but rewarding internships the H. L. Specializes in the translation of information from evidence to patient management. Learn what they can do for you to support your professional professional development at Brooks I H L DOT ORG and we're back. Let's get back to the show so you took something like creating an APP. You did did that And then he said well let me try something a lot easier and less time consuming and you wrote a book I would say like Ben. Meet me reading. A book is Is a pretty big undertaking. So someone writing a book. I'm always kind of impressed. we're putting the The name on the screen for those watching watching online at is called a guide you strength training for runners. You wrote it alongside us some colleagues Jol Nathan who workout with you Out in the West Coast. I talk about the book. Why did you decide? Yeah right writing a book. I'M GONNA get into this well it's So Yeah it's essentially a strength. Training Guide for runners and really practitioners practitioners has a little bit more technical slant. Technically it's called running on resistance. You've probably heard the phrase running on empty and I'm like well. We don't need to be running on empty. This is something something that seems like it could really lend itself to improve performance greater consistency with running. But all these videos that I've been shooting over the past several several years They raise so many questions when I put him out to the online community it almost creates more work for me on the back. Because I try to follow up with people desperately Just because I want to be cool and be a resource so I felt like I just need birth this this thing Nathan. Carlson is in Kansas City. Casey endurance it heads up Casey running mate in Joel Sat Gas just took a position Methodist University so we just teamed up we. We have a very similar Code of ethics. So you know value system and we're able to get it done but it was a a long haul when you start writing something you realize. How much has been published on something as simple as is a bridge or a step up So long story short we wanted to put this out. There is almost a digital textbook. I felt like I learned nothing in. PT Not School. And this isn't to knock the program so much to cover. I felt like I was so trained from an orthopedic standpoint but I learned nothing with runners and I thought I had had some affinity to run in that may put me in a better position to help runners dead wrong so we created this book and it surf follows almost like how Dan John Talks about strength drain. He's like you know you have a push. Poll Hints Squat Press Kerry. We started realizing that. We're giving very similar exercises for runners. I mean running has predictable set of performance demands. It shouldn't be a mystery what we need to do to prepare someone so we basically break it down. Connecting with endurance athletes. Chapter there is a A programming considerations chapter which gets more into tactics less period for individual coaching. which we'll talk about in second and then takes you through a dynamic warm up a march in these are all individual chapter so you can just jump to whatever chapter one A loaded carry a squat a step step up at toe tap abridge plank calf training imply metrics in. We gave the primary exercises. It were using when we're in the trenches working with runners honors but we also felt that you need to have clear learning objectives for each chapter. We may get into anywhere from four to eight exercises for each exercise. We say. Here's a rationale. Here's the objective here is what constitutes success. Here's what constitutes mastery relevant cues in combination again. I think it's going to be an evergreen product. I mean this is something that this stuff is not going to change over time and And we kept at digital digital because of all the links everyone's asking I'm printing up a I do a limited run of hard copies bit with the way technology is gone. You know we just want to keep the so. We'll get get it on the kindle momentarily but yet to digital textbook more than anything yeah that literally was one of the things that I wanted to say it looks like a textbook and almost like like a a written version of how can walk through. Not just a running evaldo but really kind of running treatment because this is ongoing you know just just for an example. You had a table on there to ask an athlete to self report. Their quality of sleep there soreness and then you add that up to a scale. You're making it very very easy for the person who wanted to go from learning and PT school to how to be a specific physical therapist. Forerunners walking them right through that process. It did feel textbook alike because there's a lot of references because you cited a lot but it wasn't so high level that I don't think somebody who is an athlete. I'd say they. You have to be a higher level athlete in terms of really paying attention to this stuff. You know. This isn't like a Saturday. This isn't summer. Reading people would call it. But if you're into this stuff it's not so high level it's going to go over their head but it's going to be intriguing. It's going to have some. It's going to challenge them a little bit. We're just hearing. You say that tells me that we hit the nail on the head so I mean we wanted to put something out that you know as much as you.
"arias medical group" Discussed on PT Pintcast - Physical Therapy
"Phone call with one of their recruiters. Yeah Arias areas. Is the expert in travel. Physical therapy a U. R. E.. US MEDICAL DOT com. That's Arias Medical Group A U. R. E. US medical dot COM com our home on the Internet by CAST DOT COM created by build build. PD provides marketing services services specifically for private practice PT's website development and hosted inviting content marketing solutions PT clinics across the country scene with PT. Can Do for you today. Dot Com. We're back let's get back to the show. Were you sitting around. Hopefully a beer or a drink was involved when you said. Hey you know we should do. and which is the beginning of of anything. Hopefully one of you said. Hey Hang on hold my beer and started typing. But how how did this thing come about when you said. Let's let's see what ridiculous stuff we can actually get published. It was crazy. Josh Cleland's idea is a mask. You're generating crazy ideas but actually not following through these so the politics were dumb enough. I have to agree to do it with them. So you get the emails overnight because they come from usually Africa the Middle East India new wakeup in your email box if she had thirty to forty requests to submit a paper. Josh publishes a lot. He has well over two hundred legitimate publication so he gets about thirty to forty these day so he contacted acted all and I by email and said hey. I'm so sick of this crazy paper and I had a gap in my schedule so I started writing. Sent it to those guys they added. They're beautiful remarks to end. The we submitted it to the first request we had and it was published. So crazy joshes the impetus behind us so give if people that the nuts and bolts. What are the? What did the patient look like dead for five years repeated spinal manipulations and then poof? Like how would you describe it if you were going to present this as a legitimate intimate paper. Yeah so it's it's so full of garbage that it's really hard to describe it without somebody saying no. He's he's pulling our leg dead. Five years he met two clinical prediction rules. He centralized allies it. Low fear avoidance multiple subway stations. I mean we made up all this Baloney in a Oswestry of one hundred timed up and go the incident time. I'm because he couldn't get out of the chair. He was unresponsive. During the patient history silliness throughout the whole thing. We decided that a manipulation of only in one manipulation was needed but it would need to be repeated two hundred fifty times which is ridiculous at manipulation. One hundred seventy six. He started to see major changes his in his self reported disability quality of life and then he came back to life. Oh Man I gotta wipe my eyes right now. I'm tearing up a little bit. I mean it's just you riddled riddled with landmines. Anybody who who knew any of these words would say this. I mean it wasn't just one thing or a piece of data or data set this with this thing was stacked act completely stacked end so stacked we had a lawyer. Look at it to make sure that we weren't going to get in trouble. The lawyer wrote wrote back to US instead. This is the funniest thank I've ever read the lawyer sorted out. There's no way if this American we let it let ride so boom you guys get the email you put put together landmine ridden paper patient survives. Fantastic how long did it go from writing to submission to publication less than two weeks weeks that in fact we sent an email because the first thing they did is once they receive the The manuscript submission by email by anyway. They said we're GONNA need you to agree to pay four hundred and forty dollars. I wrote back and said no I. I don't agree to pay. That didn't hear from him and the next thing I know it was a complete copy edited. Final accepted publication. That they sent to me. That never requested the money again. I even emailed them as a courtesy and said hey was a fake paper. Probably WanNa pull it off your website. Nope they offered me a an editorial position after I sent him. You got a job. Yes wow even better so would love to break some news here. Are you going to be taking the position with that journal. No I politely declined. I think like my standards are a little too strict for that journal. What was the name of the Journal just because now I'm curious it was the archives of Women's health are something like that and that's another thing? Ah Our patient was male. Had nothing to do with the focus of the Journal. They were just looking for anything. But but now they're starting to use words that as you mentioned earlier ear which are difficult to sort out the archives of archives right there it sounds like it's legitimate true. That what they do is they target big-name journals they tweak the words a little bit so the an unassuming individual will think that they're actually dealing with that particular journal and we started going out for just pure math as you mentioned engine. Most of these things are in the lower income areas and email cost nothing. So if you send a thousand emails. You've you've likely copied and pasted an ask request and you're you're sitting there for a couple of hours you know. It's it's hard to blame the telemarketers when people are still ordering stuff when they pick up the phone so that's where we come back to full circle the dark side of pubmed and Predator journals. Talk that you're going to be given at. CSM Thursday January twenty fourth eight am and that's going to be in room. One fifty nine A and B You're going to be there with Lori. Michener Frederico Posey Julie Tilson let us know what we can learn there. What are we gonNA walk out of there knowing how to do? But you know you can get a blacklist and this is what Jeff reveals lists used to be in that would be a list of all the journals and all the predatory journals end the we've really strayed away from that because they're proliferating so quickly that it's almost impossible. I would've stay on top of that so we will be talking about white listing. What do you look for in a proper journal? Certainly one of the things. I'm GonNa talk about how it's impacted academia Daimyo at how sleazy academicians are actually using Predatory publishing the pad their CB's to get promoted and to get tenure and a a lot of universities are really struggling with this especially smaller universities. That really require a lot of teaching from their Field that this is their only way of going. We're going to talk a lot about the history of predatory publishing. We'll talk a little bit about some of the things that have happened including our particular thing that we did for fun but it has really done a nice job of pointing out how easy it is published in this particular area and we'll talk a little bit about fake news our Source Amnesia. And how overtime what you read aide Legitimate Journal and what you rate allows the Journal tends to have the same level of creative so we're trying to say our profession is evidence based and with the proliferation of predatory journals and Fash tag fake research. It's going to undermine what the thing that we're trying to build and unfortunately it is difficult and for good the reason to produce quality research and when it's out there you want to be able to find it. It looks like on a lot of different sides of the coin. Academics publishing people being duped into it or using it on purpose maliciously. It looks like is a giant giant problem as you mentioned only getting bigger. I am astounded by the number eight to ten thousand. But as you mentioned they're they're easy to create because they're made of air easy to get a deal I number and pretend you have a journal it's astounding just four or five years ago. It was six hundred and quickly huge problem. Anything else that you're looking forward to a 'em how do you pick what you what you go and you spend your time on in in terms of Presentations what do you look for. How do you pick so like you mostly do networking and you end up with so many people your schedule the me? It's it's the perfect time to do that because everybody is there. I like to target courses that it's a rare chance to actually see somebody speak so whether that's an overseas person that comes in or committee. It's a topic that I I don't normally see an end. Then I show up about forty five minutes before it actually starts to make sure that I can get that is hand because if you think it's interesting chances are with last last. CSM NEW ORLEANS. Seventeen thousand plus some of those rooms could get big and they can get overflowed. And if you're GONNA if there's something that you want really WanNa see and we suggest it's this often get there early as you as you just mentioned and yeah why first couple. CSM's do interviews out there. I'd reach out to people and they'd give me these these windows of time that were super small and I thought I was getting blown off and then go to. CSM's and you realize it might be a couple days but it's there. There are very few opportunities to actually do stuff because there are so many people when you want to be able to say hi in person agreed and the evening functions to are as strong as the day functions. There's very little sleep in that three four day period I say. CSM's four days of longest eight days in my life. Because you need a vacation when you get back from it. It feels like it's and it's a weekend of Vegas right if you're in a room or the Expo Hall. No windows no clocks. It feels like it's always daytime. I'm assuming the I cannot confirm or deny that they're pumping oxygen into the room to keep us awake. I don't know it could be. That's a good so again Dan. The dark side of pubmed predatory journals is going to be Thursday January. Twenty four eight to ten with Chad Cook Lori Michener for Rico Posey and Julie Early Tilson that's going to be in one fifty nine am be. I will say download the abt a APP because sometimes rooms change and they will be updated on the APP faster faster than the website rule looking forward to this. I think this is important and only going to get bigger as you mentioned being six hundred five years ago and now we're close it on ten K.. Hey this is something that we definitely need to put some effort into to make sure our profession doesn't get eroded parting shot last thing we do on the show. This is the parting shots. Take the parting. Shot is brought to you by rock tate. They're more than just a tape company. There are movement company. Rock tape helps athletes at every level. Go stronger longer. Her with the best kinesiology tape. Cutting education and fitness support products. Raw tape wants people to move more and move better. Find Them Online at rock tape dot com uh-huh slash medical. How about we do? The antithesis of Predatory Journal about the jam series have you you may have seen our opioid taper. That came out again suggests a the early access to PT Exposure. Just exposure doesn't even mean good care but just care by e t actually decreases downstream USA. Both few ice and that paper came out on Friday and Jemma Open. Hope everybody gets a chance to read that. We're starting to see enough information to suggest that early access. Access to PT really changes that healthcare utilization process and good way last question Zion Williams. Can she in fact jump over the backboard. It looks like he can clear the backboard. You probably saw him hit his head on the on the backboard it's insane. I can't believe the guy he is. He is a big big man. He's alive at a chance HE S. I saw them play eastern Michigan so I saw him in person. He's a beast. I know he's only here for one year but we're sure glad we got looking forward to uh to see and some more of that. Good Luck in the dance with Zion. He's a he's a big dance partner to have on your team doctor. Jack Cook from Duke University looking forward to seeing you at CSM. Thanks for taking the time not done with us. Hey thanks again for all of what you do and giving us the boys the PT podcast is a product of P podcast LLC it is hosted and produced by hi PT podcast CEO Jim McKay and Cbo Sky Donovan from Marymount University we talk pt drink beer and recorded this has been another poor four from the PT PODCAST PD. PODCAST is intended for educational purposes. Only no clinical decision making should be based solely on one source law care is taken to ensure accuracy factual errors can be present hasn't more on the show. PT PODCASTS DOT COM. All right sure they brought to you by the Brooks Institute of Higher Learning in Innovator and providing advanced post professional education education brooks. IHL offering continuing education courses in numerous.
"arias medical group" Discussed on PT Pintcast - Physical Therapy
"Jack Cook is a leader in the field and PT before he went to CSM this year. He gave us a little preview. What he'd be talking about? Here's a spoiler alert in case you weren't there. It was about a paper about a spinal manipulation that brought someone back from the dead that will now. You gotTA listen to see how this thing works or will doesn't Chad making the top twelve of twenty. Nineteen here on podcast. Yes Oh it's so full of garbage. It's really hard to describe it. Without somebody. Saying he's he's pulling langer late two clinical prediction rules. He centralized it. Low Fear Avoidance Multiple Civilisations. I mean we made up all this Baloney Loni oswestry hundred up and goes infinite times because he couldn't get out of the chair. He was unresponsive. During patient. History silliness throughout the whole thing. It has manipulation only one manipulation was needed but it would need to be repeated two hundred fifty times which is ridiculous at manipulation. One hundred seventy six. He started to see major changes in his self reported disability quality of life and then he came back to life. That is Chad Cook Duke University. Physical Therapy repeat chair talking about a paper that he and two other submitted for publication on Purpose Predatory Journal. Yeah it's pretty awesome shadowy that'll be having a presentation at C. S. M. This year in Washington. DC talking about the dark side of pubmed and highlighting the dangers of predatory journals on the profession of physical therapist Arabic. We get into more of that in this episode brought to you by Owens recovery signs single source for PT Looking for a certification on personalized blood flow restriction rehabilitation training training and the equipment. You need to apply. Johnny Owens guys have this thing covered and their own podcast now on I tunes the Recovery Science podcast find out more information mation about Johnny and getting certified via far at Owens Recovery Science Dot com broadcasting to physical therapists around the world. This is this is the a PT podcast play introduced me to introduce you to. Here's your host physical therapist Jimmy Mackay Best Conversations. Sion's happened at happy hour. Welcome to ours WanNa let you know we are on social media at PT Pint calf. That's on twitter. INSTAGRAM and facebook. And as always if you WANNA leave an honest review on itunes or on spotify or who will podcast. We appreciate that to bring back No Stranger to the show and a member of the elite club. The top twelve over twenty eighteen most downloaded episodes from last year chat cooking. Shed Cook Welcome to the show. Hey it's great to be back and I'm I am honored. I didn't know I was one of the top. Everybody does a top ten list right. We do the top twelve because there's twelve ounces in a beers we try to keep that. That's why we do the top twelve twelve appreciate you taking some time out last time we had you on the show. We were talking about Your Med bridge. Course and really making sure clinicians practicing could still. We'll navigate evidence based practice and learn how to do that long after you've left PT programs and having you back on the show because you're you're going one step further and you're GonNa do it live live at CSM. Of course we're going to converge on the nation's capital coming up in just a few weeks the twenty third twenty four twenty fifth in January. And you've got a presentation with Laurie. Michener of Rico's e and Julie Tilson the title. The dark side of pubmed predatory journals. It makes me think of like the star one of the Star Wars theme as you guys walk into the room and just started out there. You can use that. It's in the section on research. If you WANNA check it out Thursday January twenty eight. Am to ten am in room. One fifty nine A. and B.. This looks like it'll it'll spark some fun in some research where this idea come from but as you probably know we're really struggling with a lot of predatory journals I think were close to eight to ten thousand what I've read recently and it's gotten to the point now where we're really struggling to understand. We're reading real evidence or if it's fake evidence or somewhere somewhere in between it used to be a lot clear it certainly not clear now and what we want to try to do at CSM as give people an idea had navigate that quagmire of evidence Ed's eight to ten thousand journals or articles journal. That's crazy. I saw a recent figure that showed that one third of all journals now of all journals are predatory journals. I think I know what a predatory journal is. But let's let's step back and go real real macro. How would you describe a predatory journal? What would make something qualify to be labeled as that it has no legitimate peer review process? That's the most compelling piece to it there there isn't anybody evaluating. Are you waiting. The strength of the science at the end of the peer review process it. It just doesn't exist. A second piece to that is a goes into a dark hole an abyss. Yes and if it's good information it never actually gets out to the public. They put it on their website. It's impossible to find. It rarely gets on pubmed. pubmed used to be a nice way to discriminate between quality work. Not but not anymore. Those are two ways to really understand it straight off the bat. What's the reason for their existence? You know with ah third of all journals. That's that's a lot money. Yeah so if you think of this. At an average predatory journal only charges about four hundred dollars per publication. And and you would think that's very much but if you look at where these are actually housed from Nigeria India in. Let's say they publish any particular journal. Thirty thirty papers a year. They don't make a lot of money a little over twelve thousand dollars. But that's actually more than the average individual banks and if you puff at eight hundred titles titles are eight hundred journals within a particular company and there's actually big money and predatory publishing okay all right well that make the economics of it. Why are individuals vigils submitting to predatory journals? They not know or do they need to get something published. It's all for starters are a lot of people who actually don't know and it isn't just junior faculty are new researchers that get duped into this it's actually seasoned researchers because sometimes it's really difficult to determine if it's a predatory external are not the sounds of the titles of the journal sound similar to others. That's one of the reasons people get duped other people absolutely no and they still published in them Anyway because they don't want to go through the strict route of a legitimate journal. That's a real problem because it's starting to affect academics promotion tenure and also Source Amnesia bias. which you have a difficult time sorting information that you've heard in the past whether it was real or not that term? That was really really really all over the place in twenty eighteen that fake news. Now we're starting to get fake research. Yeah and having lived one recently and we talked about this that we're we're playing around with the. I wanted to see how easy it was to. Actually publish a predatory journal so my colleagues Josh Cleland Call Me Gin and I wrote a fake paper about bringing. Winging somebody back from death had been dead for five years. When did repeated manipulations? The paper was so full of errors and silliness. It was probably a hole. Let's rewind I want to go to the back to this story because this is this is one that that's going to be told in the hallways at CSM furlong time. What made you guys were you? Were you sitting around and hopefully beer drink was involved when you said. Hey you know we should do and that. which is the beginning of anything? Hopefully one of you said hey hang on hold my beer and started taping but how how did this come about when you said. Let's let's see what ridiculous stuff we can actually get published. It was crazy. Josh Cleland's idea is a master generating crazy. I did but actually not following through on these dumb enough to agrees to do them. I love the story. I want you to stick around and here all the land. Mines that Chedda. Josh and Paul put in this paper and then wound up getting published in the Predatory Journal. Just wait till you hear the ridiculous stuff. They included in the patient description. And what they were doing and then what happened. Came back to life. Can't say thanks enough enough to our sponsors at Arias Medical Group. They are the leaders in travel physical therapy staffing quite simply they find physical therapists jobs. Do what you WanNa do where you want to do it. I'm talking about placements in all fifty states Just take a look get on a.