Using Exercise as Treatment: Telehealth, Home Workouts and Cues

From a treatment, obviously from a diagnosing standpoint, it might be a little bit more difficult because you can't have the hands-on orthopedic testing. But from an actual patient management standpoint, I can't see where it would actually be difficult to manage a case, especially if you have a somewhat half-decent background in exercise. You're listening to the Restoring Human Movement podcast, where movement experts discuss the latest evidence-based practices to help you and your clients move with mastery. And now, your host, Dr. Sebastian Gonzales. Hey, everybody. This is Dr. Sebastian Gonzales, your host for the Restoring Human Movement podcast.

Thanks for joining the movement movement. If this is your first time and you're hearing that I'm interviewing someone today, then you need to go back to the last episode, which was part one. This is part two of the interview with Cody D. Mack. Cody is a serial host that I have on, co-host that I have come on every once in a while. Even so much that I want him to come back that I bought him a mic and sent it to him. So, he lives out in Texas. I'm in California. So, if this is your first time in the podcast, we've started to slow this podcast, at least the release, for the next couple months, for sure, in an effort to get you guys to go back and listen to a lot of the old material if you haven't already.

I know a lot of you have listened to every single episode, and I thank you very much for that. And the whole intention is for us to become better clinicians and get better outcome for our patients. A lot of these episodes are patient-friendly. Some of them are not. But the patient-friendly ones, I encourage you to share them with your patients. Go listen to them again. If you're a patient or a lay public listening to this, you'll notice that the ones that are more friendly to you are the ones that are labeled like hip impingement, sciatica, fear avoidance, things like that. Like, they're more conditional-based ones versus general topics.

However, if you go through this podcast today and you figure out, hey, I like the general conversation, we try to keep them kind of tame and not too technical, but still thought-provoking. So, again, this is part two. Please go back and listen to part one. This is going to be Cody D-Mac on today. And I want to invite you guys to really take advantage of some of the resources we have for you. We've mentioned them a couple times into the p2sportscare.com slash products page where there are video guides or video sessions or video recordings, I guess, of the things we're talking about in here because they're very hard to find information on it.

And we don't mean that from like a mercenary point of view. It's like we're not trying to sell you a bunch of stuff, but you're not going to find it anywhere. You really won't. And that's the sad thing is that if we're trying to improve our ability to get our patients to become empowered and teach them how to move well and how to do certain exercises without pain, like having someone with a cervical radiculopathy, being able to coach them in a certain exercise they can do at the gym without having problems or flare-ups within a couple sessions, can you do that? I want you guys to do that. And I want to even get better at it too.

So those are the resources that we put out there for you. So go to p2sportscare.com slash products and scroll down and look for the five-step patient care series or the strength and conditioning series and they'll be in there. Okay. We're going to get right into the interview with Cody D. Mack. And I'll see you guys on the other side. You said you were going to write a book one day, so there's going to be a affiliated quote. I said that. I keep, you know, I feel like maybe one day, but I just feel like I don't know enough. I don't feel like I'm at the point where I know enough to put, truly, to put the pen to paper, right, or, you know, the fingers to the keys.

I just, I feel like I'm missing a lot and I'm not sure where it's at and I'm looking for it. I know what I'm interested in and I know what I want to do from a learning standpoint, but I just feel like I'm missing something and I just don't know what it is. I haven't. Maybe there should just be like, you just create chapters. And so at chapter five, you just leave blank, put pending, and then just start with chapter six. You know, that way people know it's a work in progress. You're not trying to be like a know-it-all. I think it might be a more of a, like a, something I'm missing is like a kind of a connector, so to speak.

I don't know what it is. I honestly don't know what it is, but I feel like I'm just missing something. Yeah. I think I know what it is. I'm going to give you another observation. Something that's really important. I'm going to give you a general observation. The corrective exercise doesn't matter. It's just the fact that you got on and off the ground multiple times a day. They just write a whole chapter on that. That's it. Get back up. Get back ups. That's right. Yeah. The other, it's based on support. Well, I mean, yeah, the sad thing is I don't think there's anywhere to learn it. I know that I told everybody, I don't, I don't know everything either, but the, um, you know, I think, I think if we're like, like these kids are coming out of school or, um, you know, when they, I know that the common thing is when they get out of, they get out of school, they said for number one, we've never really seen multiple patients sequentially.

Like, cause you'll go into clinic, they'll see one and then somebody else sees them. So they never really know truly what works. Um, and so they, they'll see like, so today I'm like, I'm the student doc and I'll see, like, I'll see you, me, my patient. And then next time when they're observed, when they're observing you, no, no, no, no. When they're, when they're in student clinic, because the person will, the patient will come in and see other, other student doctors. Really? Yeah. So they don't always get the same follow-up. It's, that's my general understanding. So they don't know, they don't know how the course of a plan lays out.

Yeah. How do you, how do you know what you're doing is working? Yeah, you don't. You're just, you're just, you're just doing stuff. Yeah. You got to do stuff, but I think, so I think that's the, I think that's the first thing. But the, but the second thing is again, that I, I think, you know, like how, how much you've learned, how much I've learned at least over the years is just, I think you could make something to create a good starting point. You know, like, like, I think knowledge only increases if you pass it on from generation to generation or else everyone's going to start in the same down spot.

Yeah. Yeah, it's true. You're right. I know. I need to get, I know, I know. I need to get something going. Honestly, I think, you know, I've, you know, when I was, when I was in practice in California, I just had so many ideas and I didn't know how to like kind of verbally put them on the paper. And I can, I felt like the only way I can say this stuff is just kind of at a level that you and I are at from like a, like a mental standpoint, I can talk to you and I can talk to patients. It was like the people between AKA like, you know, and I'm realizing the students that I didn't quite, if they don't know the stuff, like I, I didn't, mentally, I didn't realize that how far back I need to go, truly how far back I need to go in terms of like baseline stuff.

Right. And so teaching this course has actually opened up my, it has opened my eyes to truly kind of like, you know, where, you know, where, where I need to start essentially. And, and, and, and how much information can be saved for later, you know what I mean? Cause how much basic and what you and I just think is so like remedial or just, you know, I don't want to say remedial, but like, we just, it's just automatic for us. Right. Because we were exposed to it, you know, we're exposed to it for a long time and we were exposed to it at the right point in time. We were, we were wanting to hear it.

We were ready to hear it. You know what I mean? For some people it's, they're not in that stage right now, you know, and, and, and, and so, you know, I have to, I can't, I can't, I can't write, I can't write a course that's just like overbearing per se. If I want to, if I want to get certain, uh, need certain objectives and get things across, you know? Yeah. Well, you need a PT3 probably in a four. It's in the, it's in the work. Yeah. That'd be, that'd be pretty challenging. Um, but no, I, you're right. I mean, there's no real course out there that goes through like loading and to like, you know, how, and how you truly, how you like broken down into like patient care and stuff.

I can't think of one. Yeah. And it's, it's, uh, I think it's, it's an unfortunate. Cause, cause it's, I mean, I know that I, I learned a lot of. From a, from a, from a full encompassing biomechanics standpoint, um, you know, cause, cause you look at Dr. Levinson's, uh, uh, seminars. He does, he does that. He doesn't, but it's really kind of structured towards like creating the environment and social, uh, social constructs for motor learning essentially. Right. Which, which that's what should, things should be around. You know what I mean? Uh, but if you have a student coming out, sometimes they, they kind of, they're not ready for that because they don't know the bio.

You know what I mean? We know the bio. You know, we, we, we, we know the psychosocial. We, we, we try and implement it as much as in the practice as we can, but, but we really know the bio so we can manipulate our social, our, our, our communication with the patient. We can manipulate the environment in our office, um, to, uh, while we're changing the bio, but like a student, they have no, they don't know that they, they still, they don't, sometimes they don't know what a hip hinge is. Yeah. Most of them don't know what a lifter's wedge is. Uh, most of them don't know what the, what tension is, you know what I mean?

And so there's, there's, you know, there's not, I don't know. Yeah. I don't know. I agree. I think so. Yeah. Leave. So like Liebensons is like, I guess the way I see, like, I don't want to say just Liebensons, but like, let's just say every, like most, most of these courses, a lot of these courses, it looks like they're different things. Like they're different, like, Oh, we're just going to do that, you know, or that, and you kind of leave behind some of your fundamentals. And this is just one big thing. Like, I don't think there's a lot of things that will tie things together. That's why you should take it all.

You know, honestly, that's why you should take, you need to take Liebensons. You need to take DNS. You need to take SFMA. You need to take McGill. You need to take, you know, take, take it all. Right. And you, you, you take, you take all of that. And then you take what you, how you want to practice and, and you use those tools and you use it, but you have to, you know, it's, you got to take it all. You got to. Yeah. There's no way around it. You're not going to, you're not going to save. You're not going to say, if you're trying to save money, uh, you know, by going to like continue education, uh, seminars and that are cheap, you're going to get what you pay for.

Probably. Yeah. I, I've been describing it like a, like a week, like a wheel with spokes. You just need a, you need at least, you need some fundamental spokes, you know, but, uh, they, they encompass the entire wheel. And like you said, with, uh, um, you just, you keep adding the spokes. So it becomes a little bit more sturdier, right? Oh, are you talking about robustness? Um, yeah, the, um, but, but you, you, you mentioned like creating, creating the environment and changing the conversation too. Like, that's a whole nother thing that like with, um, I feel like it just comes with repetition, you know, and case recognition.

Like if someone walks in and, um, they, it takes years and years to be really good at it. You think you're good in the beginning and you probably are, you're probably better than most, you know what I mean? But man, then you start to like, kind of like me, I've had so many epiphanies, uh, like the stuff I used to say in a couple of first couple of years of practice. Don't move. Don't move at all. Yeah. There's definitely the case recognition and the, uh, I think that the case itself, but also the person's tolerance to like your wording and you, man, you just, you just get so good at reading people and seeing the, the, the, the look on their face when, uh, when they're talking, you're getting, you're used to, you get really used to reading their, um, kind of their demeanor.

You know what I mean? You read body language really well. Um, it just, it takes time. I mean, it takes a long time to get used to that stuff and, and you can, you can almost predict the reaction that they're going to have with what you're about to say. Once you start getting really good at that, you know, you get good at reading body language and, and, um, you know, just kind of how they're reacting to the, to everything, you know, the conversation, the, like you walking into your office, you know what I mean? So people react when they walk into your office, you know what I mean? Cause it's not, it's not a normal chiropractor's office.

When you first walk in, you're like, you're in the gym and it's like, am I at the chiropractor? I'm at the gym. I mean, I'm sure you've probably heard that one a couple of times. Right. Yeah. So it's, you know, it's interesting. Yeah. I had one lady before that she, uh, it was on a, it was on a, it was on a Saturday. It was years ago. And, uh, she came in, I came in specific, like, you know, I don't work on Saturdays, but I came specifically for this person and, uh, it was a new patient and they walked in, uh, they looked around and they walked out and I chased them out the door. I said, what's going on?

Are you, I'm like, they're like, Oh, um, I was looking for the chiropractor's office. I'm like, I'm this, I'm like, this is it. And they said, nah, no, no, no. And they just walked away. Like that was it. They wouldn't, they didn't want to do it. It was it. Yeah. I never saw him again, but something either the way I smelled or the way the office, like, cause there was a, it was the, it was the other office. It was the old office that had that laminate floor outside. Oh yeah. So it looked like kind of like a dance studio. Yeah. I remember that one. They had scared, it scared them off. So I don't know.

Your new office is so much better than that old one. I know. Don't ever do word. Uh, word. Uh, do not make your gym out of laminate floor, no matter how much you want to spend the money. Just get the rubber floor. Yeah. The laminate, um, on windy days, what, uh, dust would come under the door. I finally put a threshold, but dust it's like, it's, it's not to just say like makes it look dusty. You slide slippery. Yeah, you're slipping, man. Yeah, it was pretty bad. That's, that's not good. Now I'll give you, I'll give you the option here. We can cut this into a two part series and go another 15 minutes or so, or we can stop this here in lieu of doing something else later.

Uh, dealer's choice up to you, big guy. This is your, this is your show. I think I'll cut it. I think we'll, I know. I think we, I think we keep going 20 minutes and we're going to do a, we'll do a two part and two part Cody. Okay. You pick the next topic though. Oh boy. I'm going to have you pick. You're the co-host. I can't, I can't host all this. I gotta be the co-host. I hear you. Um, uh, next topic we're going right now. Yeah. Okay. Let's see. Um, this is all live, man. This is all live. Yeah. You're hearing you got stumped. So next, next topic here. Are you, are you, are you, are you, you still, uh, you still dabbling in the, uh, you're probably not anymore.

If you were to though, would you still dabble into the, uh, the nice citrusy IPAs? I have, I haven't been, it's funny. It's funny. Yeah. The, uh, so I think, I don't know if I mentioned on the other podcast to lead into this, but I've been doing it, uh, elimination diet. And so now we're adding. Right. And so I realized the successful steps that you need in this diet to integrate back in beer is yeast, gluten, and I mean, those are the major ones. Right. Yeah. And so I tried kombucha. Great. Perfect. Great. That's, that's yeast out of the way right there. Nice. And, uh, then I got cleared for tequila.

I'm like, God, okay, I could do tequila, but I really want a beer. Yeah. Um, it was awesome though. It was good. I know, but it's not as good as a beer. It's so I started making tequila, lime, orange drinks. I had to start adding mint splashes like bond. Um, the, the second option for alcohol I got was alcohol kombucha, but I still haven't tried bread yet. So I got to put yeast or gluten in, and then I can go to the IPA, the California IPA. You're going to, you're going to do a little sourdough first or what? Uh, I thought about it. Yeah. It's, uh, or are you going to go just regular gluten and have some dopio zero?

You know, that's funny because my room, my roommate, he brought in dopios. He's like, do you want to use the dopios bread as your chest? It's, it's organic and it's from Italy. Yeah, I know. So it's gotta be good. Yeah. I thought, I've thought about it. I don't know, but I did the first possibility of adding bread back in was going to be, um, there was a, there was a Southern barbecue place. And so I was like, Allie, I'm going to eat a biscuit. And she's like, yo, there's other stuff in it. I'm like, I'm like, what? Like butter. And I'm like, I've already tried all that. I might as well just eat a biscuit.

Right. Yeah. I didn't eat the biscuit. Good. So you're, we're, we're close. We're really close. And then I'll, I'll send you a picture of that IPA. I saw a guy the other day, their beaches were closed. Right. And so him and his girlfriend had bought a, a crowler from rip and they went down to Bolsa Chica and just cracked it. Cause there's no one down there. It was great. Yeah. That's good stuff. Yeah. I can't wait to head back to Cali, man. I'm excited. You know, whenever this comes down, I'm, I'm coming. Yeah. Are you a, well, you can still, you can still fly. Yeah. I could. You could. How long is it drive from, from Dallas?

A drive? Yeah. To Cali? It's over 24. Is it? Mm-hmm. Is there anything nice in the middle? Sure. No, it's not a lot of sand, a lot of desert. It's a lot of desert. Yeah. You could go up North and kind of pass, pass close to Las Vegas, but you're still passing South though. No, no, there's not. Yeah. You'll pass through Flagstaff. Flagstaff would be nice if you go up North. Unless I take this, I took the Southern route. I think it's a little faster. Got it. So what is the comparable beer? Is there a comparable beer that Texans, when they moved to California, they think, man, I can't wait for this again.

If they, you're talking about Texans who moved to California? Yeah. Like I want to have this one Texan version of this beer, but I can't seem to get it. So there's a community, the community, uh, mosaic IPA here in Texas is incredible. That is probably the closest thing to California, uh, kind of like a rip or a, a, a Mongo from a pork brewing company that you can find. Yeah. That was one that we had, huh? That is. Yeah. It's, it's just spot on. There's another, there's another little place here called hop and staying. It's actually really good. It's got some good stuff too. Deep Elm is pretty, pretty solid.

Deep Elm. I think I've had Deep Elm before. Yeah. We, we had that one too. Yeah. Do we? I remember going to that barbecue place and then, uh, I think I went to the bathroom real quick and then you ordered that second community already and I had another community sitting there. Yeah. I was, I was, I was definitely drunk when we were leaving there. Yeah. I see. That's the problem is you're, you're about half my body weight. Uh, so I know. Yeah. What are you? Yeah. Are you like, are you, are you, you're not below 200? No, gosh, no, no, no. I'm like two 45 right now. Really? Yeah. A good two 45. Yeah.

I got down. I got down to like one 50. I'm going to add the three. You know, in my freshman year of high school, I was, uh, 200 pounds. Yeah. They caught the, uh, what was the nickname? I didn't have a nickname then. Yeah. When I was 12, it was psycho man. Wait, what's the, what's the, what's the, what's the, what's the nickname that everyone needs to know right now? That they're, they're, you didn't have one? No, no. The student, this, this funny, the students call here at Parker, they call, uh, because they have myself and my wife in the same trimester. So they call us instead of DMAC, Dr. DMAC, they call us, uh, Dr.

uh, Dr. He-Mac and Dr. She-Mac. It's awesome. It's classic. It's hilarious. That's good. It came up, who came up, whoever came up with that's clever. That's good. He-Mac, she-Mac. I like that. Yeah. You're going to have shirts coming pretty soon, probably. So I got a question for you. So you've been, uh, I know you guys were on lockdown, right? Um, so you had to shut the doors to the practice, correct? You, you, for a, for a brief moment, right? Yeah. Well, there was never a hard stop. There was the advised. So you did it to kind of, to kind of help facilitate the, the kind of distancing and whatnot.

Right. Um, so you, you, you kind of switched gears to telehealth and stuff like that. Uh, how did that go? Did you find that was super easy for you or did you find that it was kind of difficult? It wasn't, it wasn't that hard. I, I, actually the hardest thing was convincing people that they did not be, that they, they didn't need to be seen in person. Um, I think the general rule was like, like, you know, you, if it was an emergency case, like you're, like, you're supposed to see emergency cases, you know, and, and like, you obviously don't want to see some, I didn't want to see anybody with like hard, ridiculous, like weight, like wasting things like that.

Like things that are just really challenging. But if it's like, you know, my neck hurts, my back hurts, I got this knee problem. Sure. Um, I found out that it's, it wasn't that hard, but it was, we had to get creative with our, um, it'd get really good at cueing to get them to do movements and, or at least for physical exam. And so for knee, like for knee and hip range of motion, I'd have them stand. I combine a single leg stance, plus I put a knee to your chest. And then, and then for, uh, extension patterns, I had them put their heel to their butt and standing and I seated, I did, uh, I did, I'll show you.

So I did cross-legged like that. And then I had them bring their knee to their chest or to across their chest to check out for rotational, just changes. Interrotation. Um, but it wasn't that hard, um, for most, for most people. But, um, I know I had a, I had a guy that came in recently that he, I'd seen him before for non-telehealth. And then during the time he developed something else and, uh, we did telehealth and night, it was a neck, it was a neck thing night and day in like a, about a week and a half. Um, but then he came in recently with an elbow thing and it was also a ridiculous thing.

And, um, it was much easier to examine that in person because I think it was far enough away from like the suggestion I gave him was significantly different than what he would probably expect. And I think I needed some buy-in with that, but for spinal base complaints and hips and shoulders, it was easy. From a treat, from obviously from a diagnosing standpoint, it might be a little bit more difficult because you can't have the hands-on orthopedic testing, but from an actual patient management, uh, standpoint, I can't see where it'd be. It would actually be difficult to, to manage a case, especially if you have a somewhat half decent background in exercise.

Yeah, it, it, it, I don't think it was challenging. I mean, it was the hardest things of telemedicine is the exam and getting the person to understand that they can get better, not being touched. Um, and some people opted to wait. They're like, uh, I don't know. I need to be seen in person, you know, cause they weren't convinced on the whole thing. But you're right. And a lot of things that we've spoken about today, um, such as an overhead pull down or building a hip hinge, like those can be done via telehealth. They're not hard. Yeah. I think that's when, that's when the knowledge of, uh, you know, of just basic knowledge of, of just basic strength and conditioning, push, pull, vertical push, vertical pull, horizontal push, horizontal pull, knee dominant, hip dominant carry, uh, you know, and, and what, you know, hip hinging, shoulder hinging, basic stuff like that.

And you can, you can get creative in the home. You know, you can get creative with, you know, like, you know, obviously you don't, maybe the patient doesn't have a kettlebell at home. That's fine. You can find something else to, to facilitate a overhead pressing pattern. Maybe you have them lay on their back and do a wall bug. You know what I mean? So this is an isometric push, right? And so it's still a vertical press, vertical push, but it's, but now it's, it's a little, you know, it's different because they're on their back, but there's, you're still loading the pattern per se. So you have options.

And I think people get, you know, started probably, especially in our profession, they started freaking out like, Oh my gosh, I can't adjust my patients. Well, that's hopefully it's not the only tool in your toolbox that you have. You know what I mean? It could be, it could be the perfect tool for the right person. You know what I mean? But you know, there's so much other stuff you can do from a, from a, like a coaching standpoint, you know, being efficient with the words you choose, you know, when you're coaching things. Yeah. I agree. I think it's a, I hope it was a wake up call to a lot of people.

Um, I did a, I did a whole podcast on it when it, when it hit and just basically talking about, it's a good opportunity to improve your skill sets. Um, and it like, like, you're right. Like being able to change things on the fly, um, you know, like where can you get this person challenged to that movement if they don't have the implement that you're used to using? Um, uh, like half the time, like you'd have to ask, like, what do you have around you? You know, and then we're going to be time efficient too. So it's like, okay, so what's the heaviest thing you see in your site? Well, I see there's a, there's a lady that had a bucket and she put a bunch of water in the bucket or sorry.

Um, it was a, it was a stock pot. And so the, and so we took that and use that as it has her overhead press for two hands in that case. Cause it's going to be one. Um, but yeah, there's, there's even times where I noticed that you had to change your, change time under tension and change the rep range a little bit or the range of motion because the weight was so light. It wouldn't challenge them in a closed chain activity where you had to do like a, like a pulsing type of thing just to get the effect that you wanted out of it. Yeah. You got to change it and just get to, get to adapt. That's good.

That's awesome. So you would, so is that what you would do whenever you didn't have enough load to kind of, if you're doing like a time under tension or some isometric hold stuff, um, and they wouldn't get the fields, so to speak, you would actually add like a little, like kind of like rhythmic pulse to it. Yeah. Just a little, yeah, just a little bit. Um, and then I would see if I can creep their range. If it like, um, just to, just to see, I used to tell them, just find, find the most challenging range that you can attain and then, and then pulse that. And then I'll ask them where they feel it.

And if it's in the desired area, then I'll keep it, you know? Yeah. What would, uh, what was like, I'm just curious, what would you tell the patient to like, how would you describe the pulse thing? Cause to some people that doesn't mean anything. Oh, so we're not, since I'm on the other end here, I'll kind of like, you know, just kind of show them like, I'm just bouncing motion. Yeah. Like all emotion. So they can, I'm like their, I guess I'd be their metronome, you know, not having to talk so much during it. They just kind of follow. Uh, but yeah, that's, that's kind of it. I don't know. I was, I've been trying to get less specific about.

Like the nuances of, of what exercise I choose lately, just for efficiency purposes. Like, uh, I had someone doing a landmine, um, uh, uh, SL, uh, single leg deadlift landmine. And, um, she's a lady that she's, she's, she's fun to work with, but she just, the more cues you give her, the worse it gets. Um, she, um, she, um, so she'll try to do everything. So I just, I was like, look, just go ahead and step back, stand up, you know? And I let it happen just like five times. I said, where do you feel this? And she says, right here. I said, perfect. Just do that. So I was trying not to get nuanced with things, especially via telehealth.

Yeah. So that's actually, you know, the, that's actually called the, um, well, this is kind of more so of, uh, that's why using external cues is so important. Uh, painting the picture, if you use it too many words or internal cues, it creates too much to think too much, you know? So if you think you stink, so, you know, in terms of using internal cues versus external cues, uh, internal cues, it's called the constraint action hypothesis. So, um, um, basically what hap, what happens is if you, you use internal cues, you actually create more and more noise in the nervous system. And so you're, you actually get a less efficient movement.

It looks, it looks choppy almost. It's less smoother. It's, it's more cortical as opposed to using like an external focus or external cue. It actually decreases antagonist muscle activity. The move, the movement's much smoother and it's more sub, it's more, the movement's more subcortical because they're not thinking about their individual body parts. They're thinking about maybe a goal, the movement outcome or the environment or something like that. What do you, what do you think the cues that pop locker dancers give themselves to make themselves look choppy, but efficient as an external cue?

Um, but they're probably not thinking at all, honestly. So they're probably, they're probably in the flow state, man. So they're, they're just doing their thing. They're not thinking at all. They're just listening to the music and moving. They're feeling, they're feeling the music is their external. That's it, man. They're riding the way they're riding the waves of, of the wind. Yeah. Well, you know, you got to think too, like, you know, we've, they've probably, when they first started, they probably had, uh, somebody who, who had very little knowledge of anatomy. And so they would give them analogies to, to kind of like to, to create visuals in the brain, to execute something that's external focus, right?

Using an analogy actually paints a picture in the brain and actually makes for some, for most, for everybody, really, it depends on the analogy though, uh, what effect it's going to have on certain people that it'll create a more efficient movement and actually maybe, uh, help retention. I agree. We've all, we've all had, we've all had coaches or people who've like, who've told us something, one thing. And like, we've remembered that for the rest of our lives. And it was probably an analogy. Yeah. Story, storytelling. Yeah. Um, did you do a telehealth? I haven't. No, I haven't. No. You didn't have to do one.

I did not. No, I, what we did was when we shut down the, uh, I shut down the clinic and we're still shut down right now. Um, we shut down the clinic and, uh, uh, I, we went on academic break actually. So we'll have two weeks, I think of, of school, two or three weeks of school left. And we finished that online. And then we went on academic break. I took PTO from the clinic. So I needed some time off. So I actually didn't, I've, I've done, I've done, I've done, you know, consults, uh, before. Online, you know, and it's, it's the same thing, you know, you just gotta, it's just, it's just like you're in the office, except it's on, you know, documentation standpoints the same, you know, you just, you just have to be creative with what, how you're, you know, how you're, um, you know, you're performing the exam.

It's more movement based. And then you, you get, like you said, you get kind of creative if you have to do some type of, uh, um, you know, some type of, uh, orthopedic testing. Yeah. You know, I noticed the one thing that, which was kind of crappy was, is I'm looking at you here. I only see from your very long V-neck upward and, um, deep V baby. The deep V, yeah, the man, the man DV. Um, so you can't, I had a performance play sports medicine shirt on, uh, before this, but it was soaking wet from the walk. So I had to, I had to change. Oh, got it. Yeah. You got the XL. Okay. If I did. Yeah. I used my move one, uh, a couple, a couple of weeks ago.

I was, I was sure I need to, I need to reorder some of those. That's a great shirt. Did you, uh, did you get, or you got rid of them all? We still have some, none that fit me. Um, but we need to, we need to order some cause they're just really good shirts. I think you should make a muscle tee out of one. Just like kind of tear the sides right there. We, we did have a female tank. We did have a female tank top one and it was awesome. It was a good one. I didn't put it on. Obviously I didn't wear it, but. Raise your back. Look, didn't go. Yeah. Um, but I was going to say about the frame was that, uh, you can't observe there are other things going on.

All you have is, is what you see. So I think you lose a little bit of information that way. Mm-hmm. And I don't know if it's a, I don't know if you do it, but I know I do it when the exam and I noticed I do it in life now is I look at the person there when they're talking, but then I start looking at other parts of them. And I realized when I'm not in office, I look creepy. A hundred percent. Yeah. All the time. You do. You look creepy. I'm just kidding. But no, but no, that, that's, that's you reading body language. You're like, you're, you're making observations. You know what I mean? You know, and a normal person would keep looking at, uh, in their eyes and then in your peripheral vision, observe like what their arms are doing in their hands.

I'm just kidding. But no, that, I mean, that's what you're doing. Right. So that's, you're kind of, you're taking in more information and like how this, you know, is this person, you know, how comfortable are they talking to me about maybe, maybe that you're just talking to the patient and they're fully confident and comfortable talking to you, but all of a sudden a specific topic comes up and their body language changes, but they're, they still talk, they're talking to you like almost like normal, but you just, just something doesn't quite fit. You know what I mean? So like that topic maybe might strike like a memory for them where, you know, it's not kind of being expressed to like, you know, their body language, you know what I mean?

And so as a practitioner, as a doctor, you do have to take that into consideration of like, you know, is this a potential driver or facilitator and their pain, you know, and their, their perception of the pain, you know what I mean? Agreed. As we start to wrap up here, is there anything that you think we should still hit? Nothing that, that, that comes to my immediate mind. I think, you know, you bring up a great point that there's not a lot, you know, some, I know some students were asking about some continued education when it comes to like putting things together of, uh, of loading and, um, in specific conditions, uh, so to speak.

Also, um, uh, I can't think of anything. I think that's probably a big, uh, a need in the, you know, a need out there. Um, you know, those of you still listening, uh, I think if you can take any, if you can take anything, if you made it past the beer conversation, if you can take anything away, um, from the earlier conversations, I think, you know, remembering how to create tension and to implements or being able to manipulate tension throughout the body, uh, and then applying that, uh, and then loading it, loading your body, exercise, lift, uh, train, move more, walk, run, bike. I don't care what it is, find something you love to do and, and, and do it, do it a lot.

Uh, but not too much to, uh, uh, uh, uh, not too much, not too little, just the right amount. Sounds fair. Okay. So as we close this, then, um, everybody, again, uh, there is lots of podcasts in the archives. Please go listen to them. Cody's been on, I think with, I think it was one, one 22, one 40, like, I don't know. You just go back. Okay. Just start looking back. Yeah, go back. All things hamstring, but as the tie, that's the title, that one's actually really popular when everyone likes that one. So start with that one. Um, but if you're looking to see the only place where Cody has any, I think information right now is, is on my website.

So he agreed to put it on the site. Um, and there's no CEs involved. It's just, just raw information. So if you're looking for those, just email, uh, you can email me actually, you know, screw it. Just go on the site. Okay. P2 sports care. There's a product or a page or a shop or something. I don't know what they call it, but just scroll through. You'll see it's, uh, uh, Cody's playing with somebody there in red and black. So upper and lower quarter are very helpful. Uh, I think you guys should really take advantage of those. Okay. I'll let you, I'll let you close it today then. Yeah. So, um, goodbye.

See you guys next week.