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Healthy Wealthy & Smart

The Healthy Wealthy & Smart podcast with Dr. Karen Litzy features top experts in health, wellness and business with a particular focus on physical therapy. We take evidence based medicine and break it down making it easier to understand and immediately apply to your life. At Healthy Wealthy & Smart our goal is simple: to provide you with the best information to live a healthy and pain free life!
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Now displaying: July, 2016
Jul 25, 2016

On today’s episode, Amy Mewborn discusses how she jumpstarted her career and now designs strategies for others to do the same. Amy is a serial entrepreneur, CEO, author, and operations and strategy expert. She teaches women business owners how to use technology and systems to leverage their business growth and maximize profits through automation.

In this episode, we discuss,

-Amy’s health journey and how she escaped the 9-5

-Building an information highway through automation technology

-What to do if your launch falls flat in the online space

-Mindset challenges women need to address to kick start their business

-And so much more!

 

Amy discusses the importance of taking action when branching out into new business opportunities. In Amy’s experience, she states, “You have to have the courage to take a risk, because if you don't, one day you will wake up and your entire life will go by and you've been going through the motions but never really got to where you want to be. Listen to your intuition, no one knows what is better for you than you do yourself and do as much research and be as well prepared as you possibly can.”

 

Amy describes the reciprocal relationship between passive income streams and personal independence as a result of automation.   She states, “The more time that you can free up from the things that you are doing, the more revenue streams you can potentially create, the more income you can have, the more clients you can see, and the more time you can have off and have fun…That’s when our creative energy starts to flow.“

 

Amy embraces taking risks because failure can offer an equally beneficial learning experience. From her experience, she states, “Had I given up after falling flat on my face the first time, I would have just thought I would never be able to make it… it's just about going back and looking at what worked and what didn't work and how you're going to adjust going forward.”

 

For women who are hesitant to pursue a new venture, Amy reassures us that, “As women, we always wonder if we are good enough—is what I have to offer really any different or more valuable or anything better than what is already out in the market place? We don't think about how we do business with people we know, we like, and we trust… We constantly have to break through that mindset that we are not enough because there is probably someone out there who is just like us and is waiting for us to share our gifts and secrets with the world.“

 

For more information about Amy:

 

Amy Mewborn is a serial entrepreneur, CEO, author, and operations and strategy expert. She teaches women business owners how to use technology and systems to leverage their business growth and maximize profits through automation. 

She has spoken with Carlsbad Chamber of Commerce, Healthy Living Expo, Health and Wellness Expo, and Blastoff Business Breakthrough. She has been a featured teacher and continuing education provider with the American Council on Exercise. Amy has been featured on CBS, KUSI, Fox, Ivillage, San Diego Magazine, Ranch and Coast, and is a contributing editor to a number of publications.

 

She is a sought after speaker on business topics surrounding increasing profitability through technology, systems, and automation.

 

Her passion is helping women business owners achieve financial independence, and every speech or educational program that she produces is designed to teach women how to increase their business through systems and automation.

 

Check out all the goodies Amy has for you on her website and send her your questions, comments, and concerns via email Amy@amymewborn.com.

 

You can also get her book The Great Escape: The Successful Women's Guide to Escaping the 9-5 FREE this week only!(July 25, 2016 to July 30, 2016)

 

You can find Amy on twitter, facebook, and instagram!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!

 

Have a great week and as always stay Healthy Wealthy and Smart!

 

Xo Karen

 

P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on

the home page! Check out my latest blog post on Managing Expectations: It Shouldn't be That Difficult!

 

Jul 18, 2016

On this week’s episode of the Healthy Wealthy and Smart podcast, Dr. Beth Darnall joins us to talk about the opioid epidemic and alternative treatments for patients experiencing chronic pain. Dr. Darnall is a Clinical Associate Professor in the Division of Pain Medicine at Stanford University and treats individuals and groups at the Stanford Pain Management Center. She is an NIH-funded principal investigator for pain psychology research that is examining the mechanisms of pain catastrophizing treatment, including a novel single-session pain catastrophizing class she developed (funded by the NIH National Center for Complementary and Integrative Health). She is dedicated to empowering life beyond pain.

In this episode, we discuss:

-The opioid epidemic and cost effective treatment solutions that you can incorporate into your care

-Tapering off opioid use, associated effects, and protocol

-How opioid use and chronic pain effect brain chemistry

-Pain catastrophizing defined and what patients can do if they have chronic pain

-And so much more!

Treatment for chronic pain with opioids alone is not sustainable and alternative treatment approaches are needed to retrain the brain. The research has shown that, “When we take opioids, it really changes brain chemistry. It actually changes the structure of the brain but so does chronic pain itself…[With alternative treatment,] you're rewiring and recovering and exercise and enjoyment and going out and getting back to doing the things you love, these are going to help facilitate your brain as it is rewiring, as you’re managing pain differently, as you’re becoming more and more active and functional.”

 

Evidence based healthcare providers must monitor patients who begin opioid treatment for chronic pain and how their condition evolves. “We want to ask ourselves a critical question—are people getting better? And this is where we've really fallen short, opioids will be prescribed and nobody is tracking long term to see if they are getting better or if there are new risk factors or addictive behaviors. It’s a constant process of monitoring… We need to do better at stopping what isn't working. If people aren't getting better, if their pain is only worsening, let's not add more of what isn't working. Let’s stop it and emphasize the alternatives.”

 

Dr. Darnall supports the biopsychosocial model for treating chronic pain because it effectively and comprehensively targets the nervous system. She states, “The nervous system leads us into this area where we’re really talking about the modulation of pain, the facilitation of pain and the exacerbation of pain… No matter where you feel pain in your body, no matter how it got started or why, the processing of it will occur in the brain and spinal cord. That's what we can target with some of these treatments and therapies, we’re able to dampen the experience of pain… The nervous system is a critically important part in helping decrease not only pain and intensity but more importantly how much a person suffers from pain. “

 

Dr. Darnall advocates a pain management approach that allows the patient to take more control in achieving a desirable outcome. She stresses, “The most important person on the healthcare team isn't the doctor or the psychologist or the physical therapist—it’s the patient. If you have chronic pain, you are the most important person on your healthcare team. My hope and my wish is that every person on your healthcare team will have a similar philosophy that is focused on empowering you to acquire the right information and the right skills so you can best self manage your pain and your symptoms so that you’re able to become more functional, to enjoy more of the life you have even with the health conditions you have so you’re able to live your best life possible.”

For more about Dr. Darnall:

Beth is a Clinical Associate Professor in the Division of Pain Medicine at Stanford University and treats individuals and groups at the Stanford Pain Management Center. She is an NIH-funded principal investigator for pain psychology research that is examining the mechanisms of pain catastrophizing treatment, including a novel single-session pain catastrophizing class she developed (funded by the NIH National Center for Complementary and Integrative Health).

 

She is Co-Chair of the Pain Psychology Task Force at the American Academy of Pain Medicine (AAPM), and in 2015 received a Presidential Commendation from AAPM.

 

Beth is author of Less Pain, Fewer Pills ©2014 and The Opioid-Free Pain Relief Kit ©2016. Her upcoming book, The Surprising Psychology of Pain: Evidence-Based Relief from Catastrophizing and Pain is due out in 2017. As a pain psychologist, she has 15 years experience treating adults with chronic pain, and she lived through her own chronic pain experience. She enjoys helping individuals with chronic pain gain control over mind and body and live their best life possible.

 

Beth is a licensed clinical psychologist (CA License #25495).

 

Beth received her doctoral training at the University of Colorado at Boulder and her clinical residency at the Southern Arizona Veterans Affairs Health Care System (Tucson VA Hospital). She received post-doctoral training at The Johns Hopkins University School of Medicine Department of Rehabilitation Medicine and the Bloomberg School of Public Health (T32 Fellowship). Clinically, she provided psychological services to patients with catastrophic burn, spinal cord injury or amputation. She was an Associate Professor at Oregon Health and Science University (2005-2012) prior to joining the faculty at Stanford University in late 2012. Her desire to specialize in the management of chronic pain was inspired by her clinical experiences and by her own personal experience with chronic pain.

 

Make sure to grab copies of Dr. Darnall’s books The Opioid-Free Pain Relief Kit: 10 Simple Steps to Ease Your Pain and Less Pain, Fewer Pills: Avoid the Dangers of Prescription Opioids and Gain Control over Chronic Pain and follow her on twitter!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!

 

Have a great week and as always stay Healthy Wealthy and Smart!

 

Xo Karen

 

P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on Managing Expectations: It Shouldn't be That Difficult

Jul 11, 2016

On today’s episode, I had the pleasure of welcoming Dr. Jason Falvey PT, DPT, GCS onto the podcast to discuss how physical therapists can better treat the geriatric population. Dr. Falvey is currently pursuing his PhD at the University of Colorado Denver in the Muscle Performance Lab and is interested in optimizing rehabilitation for medically deconditioned older adults in post-acute and home care settings.

In this episode, we discuss:

-The push for more medically necessary research funding for the growing baby boomer population

-Are fresh PT graduates prepared to manage older adults?

-Jason’s top strategies to break cemented patient routines

-How to properly dose exercise for the geriatric population

-And so much more!

Jason explains the value of understanding optimal aging and long term health management when dealing with clients of any age and in any setting. He states, In every practice area, knowledge of successful aging will make you a better therapist. If you’re a geriatric specialist or have good knowledge in that area, I think you would be an incredible asset to any healthcare organization.”

 

Some of Jason’s best treatment results come from empowering patient’s on their rehabilitation journey. “These patients we see are often homebound, their often not respected or valued or heard by medical professionals… So really getting in and promoting autonomy and putting power in their hands immediately to take charge of their care. It’s surprising how refreshing that is for patients and how much they open up after the first session.”

 

In order to maximize patient outcomes, clinicians need to understand the foundations of movement and address their patient’s functional deficits. To better illustrate this point, Jason proposes this example, If I gave you a book in Spanish and I tell you to read it, you read through it and you don't understand because you don’t understand the foundation of the Spanish language and then I have you do 100 repetitions of reading that book, that 100th time you’re not going to be any better at it because I didn’t fix the foundational issue that you don’t know some of the basic vocabulary you needed to understand.”

 

Geriatric research is now beginning to incorporate physical function into the equation and physical therapists are at the forefront for advocating its importance. Jason stresses, “Physical function is its own independent risk factor for so many adverse outcomes like hospital readmissions, all cause emergency room visits, falls, cognition and physical function often run in tandem… I think there is increased recognition that how people move and interact with their community is not just a secondary outcome but it is a primary outcome… They haven’t included physical therapists in physician trials, so there is still work to do, but we have successfully promoted the message that mobility is important, mobility is a quality of life issue, and exercise is medicine and we need to integrate those things across the spectrum. “

 

For more about Dr. Falvey:

PhD Student Jason Falvey was awarded a Kendall Scholarship from the Foundation for Physical Therapy in 2014 and a Fellowship for Geriatric Research through the Academy of Geriatric Physical Therapy in 2015 to support his research examining the role of home physical therapy in enhancing function and reducing re-hospitalizations for medically complex older adults. He is also the primary investigator on a research grant from the American Physical Therapy Association, Section of Health Policy and Administration looking at the role of physical therapists in models of transitional care for older adults after acute hospitalization.

You can find more resources on Jason’s research here and follow him on twitter!

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!

 

Have a great week and stay Healthy Wealthy and Smart!

 

Xo Karen

 

P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on Managing Expectations: It Shouldn't be That Difficult!

 

Jul 4, 2016

Happy Independence Day to the American Healthy Wealthy and Smart family! On this week’s episode, Greg Lehman and I review the evidence and rethink effective treatment strategies. Greg is both a physiotherapist and chiropractor who treats musculoskeletal disorders within a biopsychosocial model and simplifies pain science for clinicians around the world.

In this episode, we discuss:

-Why explaining pain leads to better treatment outcomes

-The case for and against repeated spinal flexion

-Does glute activation or inhibition affect pain?

-Functional training and the carry-over effect

-And so much more!

 

Greg stresses that most physical therapists should rethink what is valuable to their patients. He states, “The technical mastery is less important…It probably has more to do with how your patient feels comfortable and how you respond to them rather than you being a good robot who knows lines of drive and the biomechanics. That isn’t what is valuable and isn’t supported in all the research that we have.”

 

Greg also questions the effectiveness of being so specific with our interventions and takes a broader approach in his treatment philosophy. “I don't think there is any treatment that ever has to occur… It’s actually a neat, big question for therapy I would like to see addressed more. Is there ever a treatment that is absolutely necessary for a specific condition or are there a number of things that can be helpful? I tend to believe there are a number of things—I have my biases—but I think most things aren't that specific.”

 

Greg builds patient self-awareness with education and believes it is his most effective treatment tool. “I go right into education for low back pain. I am not too worried about getting them super active right away. I want to encourage them to getting back to doing the things that are important. If they tell me they are afraid to do a number of things that they like doing and they are meaningful activities, my go to intervention is to convince them they can start doing those things again.”

 

Greg suggests shifting our focus as clinicians from a purely biomedical approach to treatment and instead developing our psychosocial expertise. “I really believe it is okay to be simple. We don't really need the complexity that we try to do, especially the biomechanics. The big point of that is if you simplify your biomechanics, your physical interventions, it can allow you to develop your skills in the other areas, the psychosocial stuff and start taking more classes outside our typical training—psychologists, social workers, that type of stuff. That’s where we can build our skill set. There's not a better manipulation, there’s not that special exercise technique that you need to learn. It’s fun but it’s not necessary for patients with pain.”

 

For more about Greg:

  1. GREG LEHMAN BKIN, MSC, DC, MSCPT

He is a physiotherapist and chiropractor treating musculoskeletal disorders within a biopsychosocial model.

Prior to his clinical career he was fortunate enough to receive a Natural Sciences and Engineering Research Council MSc graduate scholarship that permitted me to be one of only two yearly students to train with Professor Stuart McGill in his Occupational Biomechanics Laboratory subsequently publishing more than 20 peer reviewed papers in the manual therapy and exercise biomechanics field. Greg was an assistant professor at the Canadian Memorial Chiropractic College teaching a graduate level course in Spine Biomechanics and Instrumentation as well conducting more than 20 research experiments while supervising more than 50 students. He has lectured on a number of topics on reconciling treatment biomechanics with pain science, running injuries, golf biomechanics, occupational low back injuries and therapeutic neuroscience. His clinical musings can be seen on Medbridge Health CE and various web based podcasts. Greg is currently an instructor with therunningclinic.ca and with Reconciling Biomechanics with Pain Science.  Both are continuing education platforms that provide clinically relevant research that helps shape and refine clinical practice.

While he has a strong biomechanics background he was introduced to the field of neuroscience and the importance of psychosocial risk factors in pain and injury management almost two decades ago. Greg believes successful injury management and prevention can use simple techniques that still address the multifactorial and complex nature of musculoskeletal disorders. He is active on social media and consider the discussion and dissemination of knowledge an important component of responsible practice. Further in depth bio and history of my education, works and publications.

For more information on where Greg will be lecturing next, make sure to visit his website and keep up with Greg on twitter!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!

 

Have a great week and stay Healthy Wealthy and Smart!

 

Xo Karen

 

P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my latest blog post on Managing Expectations: It Shouldn't be That Difficult!

 

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