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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: 2016
Dec 26, 2016

On this week's episode I am joined by Julie Sias, SPT.  Julie is doctor of physical therapy student at Chapman University in Orange County, CA and has been one of the behind the scenes stars at Healthy Wealthy & Smart!  Julie has been the perfect addition to the podcast and has been instrumental in the growth and quality of the podcast!

In this episode we discuss:

- Our favorite episodes and why we loved them

- Why collaboration is key in business and life

- The exact tools we use to produce the podcast each week

- How to find people to work for you virtually

- What we have in store for you in 2017!

- and much more!

 

The resources we talk about in this episode:

 

A huge thank you to all of the listeners of the Healthy Wealthy & Smart podcast!  Your love has made this our best year yet and we want you to know that we appreciate more than words can say! 

Thank you, thank you , thank you!  We wish you all a very happy and healthy 2017!

xo

Karen, Julie and Kortne

Dec 19, 2016

On this week’s episode, Paul Potter joins me to chat about the elements of starting a cash practice from scratch. For more than 35 years, Paul Potter has successfully managed his own private practice and has authored On Fire: Ignite Your Passion with a Cash Therapy Practice and the Cash Practice From Scratch Course. He helps therapists fulfill their calling and create their own dream practice at his PaulPotterPT.com and CashPracticeFromScratch.com websites.

In this episode, we discuss:

-How to build an entrepreneur mindset and achieve professional freedom

-How to align your strengths with your ideal client base

-Why crafting a memorable patient experience will boost your practice and ultimately the profession

-The six essential steps therapists should take to launch a successful practice

-And so much more!

 

Paul encourages every therapist to build their own brand and style of care as a way to stay motivated. Paul states, “Every therapist should own their own practice whether in business for themselves or not.”

 

Competing in the marketplace comes down to one key factor. Paul stresses, “The therapist that will become a little bit more consumer focused and step out of the older models, save the best from the previous models and the heritage we have as a profession, and bring that into the new 21st century, those are the ones that will survive, do the best job and have the best patient experience.”

 

To have a sustainable business in the long term, crafting a memorable patient experience can be an important differentiator. Paul believes, “There is a consumer movement happening where they are taking control of their healthcare dollar.”

 

From Paul’s extensive experience, he has discovered that, “Private practice is born out of community and the more you can share that with accountants, my business friends, my wife, my good friends, those were so key in helping me launch a sustainable career that I still love 35 years later.”

 

For more information on Paul:

Paul is a physical therapist and mentor who lives in Nebraska with his wife, who is also a therapist. They have four daughters. For more than 35 years he successfully managed his own private practice. He now guides therapists on how to start up their own practice at his website PaulPotterpt.com and podcast.

Paul created the Cash Therapy Success Academy because he believes in the power and impact of therapy entrepreneurs creating small business. Therapy provided in large organizations is essential and make no mistake we need it. But the real magic begins with entrepreneurs –born with the unique gift to build successful businesses.

Paul knows what it's like to begin a start-up for less than $100 when he lacked the necessary finances and self-confidence. He experienced what it's like to start all over when devastated by a life threatening diagnosis. After managing his own private practice for over 35 years Paul knows how valuable it is to have the support and guidance from family, friends and experienced mentors.

The Cash Therapy Success Academy exists to help entrepreneurs like you create a fulfilling and profitable practice for yourself and those you care about. We provide quality resources and training through courses, books, and coaching found on the PaulPotterPT.com blog and Cash Therapy Success Academy.

 

Social Media Links:

Facebook

Linked In  

Twitter

 

Resources discussed on this show:

StoryBrand by Donald Miller

 

Stay tuned for Cash Practice From Scratch launching January 3rd, 2017! Be sure to check out his blog for more great resources at PaulPotterPT.com. Paul welcomes any questions to his email heypaul@paulpotterpt.com.

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook 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 the Top 10 Podcast Episodes of 2016!

Dec 12, 2016

On this week’s episode of the Healthy Wealthy and Smart Podcast, Christoph Trappe joins me to share how you can be an authentic storyteller in healthcare. Christoph Trappe (aka The Authentic Storyteller™) is a career storyteller who has worked as a journalist, a nonprofit executive, and a content marketing strategist and consultant. He is a globally-recognized content marketing expert who frequently speaks at marketing conferences about social media, blogging and results-oriented storytelling strategies. 

In this episode, we discuss:

-Why healthcare practitioners should develop the skill of authentic storytelling

-How to promote your story to the world to make the largest impact

-Can ego sabotage your authentic story?

-How to craft a compelling and meaningful story

-And much, much more!

Christoph believes that differentiating your brand and attracting customer interest to your unique mission is the key to a successful practice. He stresses, “What it comes down to is whoever tells the best stories wins.”

Finding the best channels to disseminate your message is critical for growth. Christoph states, “Some people say it's not the best content that wins but it's the best promoted content that wins.”

While presenting to large audiences, Christoph discourages reliance on visuals and recommends stimulating a two-way dialogue. It is important to remember, “Story telling is a conversation even when people are not talking back.”

 

For more about Christoph:

Christoph Trappe (aka The Authentic Storyteller™) is a career storyteller who has worked as a journalist, a nonprofit executive, and a content marketing strategist and consultant. He is a global keynote speaker, frequent blogger and author. His digital initiatives have been recognized globally. He is currently helping hospitals across the United States share their authentic stories.

He is a globally-recognized content marketing expert who frequently speaks at marketing conferences about social media, blogging and results-oriented storytelling strategies. Some of his awards include:

Christoph sits on two global boards to advance the art and science of authentic storytelling content marketing:

Content marketing in healthcare

In his role as senior director of content marketing + content creation at MedTouch, Christoph and his team handle content writing across all sizes of website projects and advise healthcare brands across the United States on blogging, social media and eNewsletter strategies and how to align those strategies with patient/member/donor acquisition efforts. The team also partners closely with clients as needed to implement strategies. A key part of the team’s success is its internal engagement with physicians and leaders who actively request their guidance.  The Content Marketing Institute has listed the team as a top global content marketing agency.

 

Resources discussed on this show:

Authentic Storytelling

Christoph's twitter

The Official Ted Guide to Public Speaking

Marketoonist

ZDoggMD Youtube

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook 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 The Do's and Don'ts of Social Media!

 

Dec 5, 2016

On this week’s episode of the Healthy Wealthy and Smart Podcast, Erin Jackson joins me to answer audience questions on healthcare law for physical therapists. Erin is a healthcare attorney, consultant, and health equity advocate. She also is a Managing Partner of Jackson LLP, a healthcare law firm in Chicago, and a Principal of Jackson & Co., a healthcare consultancy serving the compliance and business needs of providers and practices nationwide. 

In this episode, we discuss:

-Why every independent PT practice owner needs a Privacy Policies and Procedures manual

-How to know if your practice falls under HIPAA rules and regulations

-Can referrals and profit sharing be kickbacks?

-Creative solutions for pro-bono work

-What a good legal representative should know and how to find the right one for your practice

-Everything you need to know about treating Medicare patients if you’re an out of network provider

-And so much more!

 

Before committing to your first job, Erin encourages reading the fine print to ensure it is the right fit for you. She recommends to not, “take one that really isn’t going to allow you to treat in the way that you have spent all this time educating yourself to treat. You really deserve to be in an environment that advances your profession and professional existence in a way that matches your vision and all of your hard work for the past several years.“

 

There is a conflict of interest when incentivizing current patients to refer others to your clinic. Erin states the consequences are, “It potentially thwarts the accuracy of information about the quality of the services when people are getting financial benefit.”

 

Hiring a healthcare lawyer is essential when incorporating your practice to avoid unnecessary challenges. Erin states, “The number one mistake I see people making is they have had their accountants set up their businesses. Now most of the time this is okay if you're opening a widget store however different rules apply to opening healthcare practices.”

 

For out of network providers, the argument for treating Medicare patients has high risk. Erin stresses, “If you're not in trial and you haven't been caught or gotten in trouble for this stuff, I would say most people's risk tolerance is way too low to tolerate this sort of risk… If you want to see Medicare beneficiaries, then take Medicare.”

 

For more information about Erin:

Erin Jackson is a healthcare attorney, consultant, and health equity advocate. 

 

She is the Managing Partner of Jackson LLP, a healthcare law firm in Chicago, and a Principal of Jackson & Co., a healthcare consultancy serving the compliance and business needs of providers and practices nationwide. 

 

In addition to her healthcare practice, Erin serves as the President of the nonprofit organization Inspire Santé.  Using her healthcare knowledge and patient experience, she speaks to healthcare providers about the importance of maintaining a patient-centered practice. In the past year, she spoke at the APTA's Combined Sections Meeting, keynoted the Michigan Physical Therapy Association's conference, and appeared on podcasts like the APTA's MoveForward Radio.  In 2017, she will be speaking at physical therapy conferences around the country and expanding her reach as an educator, consultant, and advocate.

 

Websites:

Jackson & Co. Healthcare Consultancy

Jackson LLP Law Firm

 

You can get more great insight from Erin on twitter and from her persistent pain blog here and health law blog here!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook 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 The Do's and Don'ts of Social Media!

 

Nov 28, 2016

Thanks for tuning in to this week’s episode of the Healthy Wealthy and Smart Podcast! Monique Costello joins me to chat about the healing nature of food. Monique Costello is a Certified Culinary Nutrition Expert, Integrative Holistic Health Coach and a Gourmet Cook who conquered her years of persistent pain with the very same element that fueled her passion, food.

In this episode, we discuss:

-Monique’s health journey with persistent pain

-The role of a health coach on a healthcare team

-How to utilize food to reduce inflammation and heal

-Monique’s timely tips for eating healthy during the holidays

-And much, much more!

Monique’s experiences with overcoming chronic pain have taught her the importance of positive thinking and challenging personal fears and limitations. She states, “If you're constantly thinking negative thoughts, there isn't a chance for positivity to win. It’s taking little ways of how we think and how we view the world and tweaking them. “

 

Monique is a strong believer that optimal nutrition and health looks different for everyone and requires self-reflection and experimentation. She recommends that you “Start to become a little more intuitive with your body and start to really notice what your body is telling you.”

 

Monique recommends pursuing mediation and personal growth to be the most optimal provider for your patients and clients. She stresses, “We don't stop and take time for ourselves… If you don't secure you first, you're not going to be able to help anyone else.”

 

For more about Monique:

Monique Costello is a Certified Culinary Nutrition Expert, Integrative Holistic Health Coach and a Gourmet Cook. After years of a debilitating break down of the body, chronic back pain and unexplained symptoms ranging from low energy, restless sleep and weight gain to dry skin, Monique found relief in the very same element that fueled her passion, food.


A champion recipe developer once featured on The Food Network, Monique now works as a health strategist through corporate wellness programs and a one-on-one coaching. She teaches Soma Institute's Health and Wellness certification program and healthy cooking classes at Kendall College along with hosting Clean Food Cleanse programs to help people recognize that food is medicine and it can heal you from the inside. Read more about Monique’s story at happyeatshealthy.com

 

Resources discussed on this show:

Entropy Physiotherapy Courses

Protectometer

 

If you’re interested in learning more from Monique, you can find more great resources on facebook, instagram, and twitter!

 

Sign up for the Happy Eats Healthy Newsletter and receive Monique’s 5 Sensational Summer Salads recipe at Happy Eats Healthy. You'll be the first to know about the launch of her online cooking classes as well!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook 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 The Do's and Don'ts of Social Media!

Nov 21, 2016

On this week’s episode of the Healthy Wealthy and Smart Podcast, Dr. Jamey Schrier joins me to discuss the tools necessary for an automated private practice. Jamey is a private practice physical therapy owner whose mission is to teach clinic owners exactly how to free themselves from their grueling daily work schedule, how to make more money and have more free time. With his book The Automated Practice: Success Secrets for Working Less and Earning More which has been an Amazon #1 best seller and his online education course, The Automated Private Practice, he has helped hundreds of owners with concrete strategies to automate and grow their business.

In this episode, we discuss:

-How Jamey transitioned from a clinician to a successful private practice owner

-The top three things that challenge private practice owners and what to do about them

-Why successful automation is mostly about building the right team for you practice

-The tools and technology Jamey uses to boost efficiency and grow his practice

-And much, much more!

 

Clarity is a key when transitioning from a clinician mindset to an owner mindset. Jamey stresses, “What do you want and how fast do you want it? Because we are in control, nothing else is controlling our future but us.”

 

Jamey believes that practical leadership is not accomplished through self-sacrifice but rather building a great team and effectively delegating duties. He states, “We can't do it all. So swallow your egos, swallow your pride, and be the real leader in your practice and bring great people on your team. Get people to take stuff off your plate that you don't like the most. Do it tomorrow—I promise you, it will come back to you 100 fold. “

 

If your goal is to ultimately automate your practice, one of Jamey’s biggest pieces of wisdom is, “You are not here to serve your business, your business is here to serve you. Build your business around you—build it around your superpowers, your natural ability, your passion. Build it around you and it will be the most successful business possible because you don’t serve the business well by doing things you don’t like, and frankly you’re not good at.”

 

For more information about Jamey:

In 2004, Jamey Schrier was facing the soul-crushing struggles of private practice ownership. He couldn’t figure out how to grow his business without sacrificing his family, income or time.

Armed with an insatiable curiosity, Jamey invested the next 9 years and over $300,000 to learn how to automate his practice. At the end of his journey, Jamey finally discovered the formula to creating a self-managed, profitable and stable practice that allowed more time with his family and more time to work “on” his business.

Today, Jamey is sharing his methodology and what he learned to practice owners all across the country. His book, The Automated Practice: Success Secrets for Working Less and Earning More, has been an Amazon #1 best seller and his online education course, The Automated Private Practice, has helped hundreds of owners with concrete strategies to automate and grow their business.

Today, Jamey spends most of his time teaching practice owners how to apply his methodologies through his revolutionary program called Lighthouse Leader.

As Jamey tells the story, a Lighthouse Leader is a professional practice owner committed to achieving personal freedom from the day the day stresses of business ownership without sacrificing income or quality of service. His unique approach combines sound business principles with best practices that he learned over 20 years in business. Jamey’s true gift is in his ability to share his wisdom in a fun, easy to understand and implement, way.

Jamey lives in the Washington D.C. area with his wife, Colleen, and two kids, Jack and Gracie. When not having fun with his family, you can find him on the basketball court, the golf course or reading in his favorite spot on the porch.

 

Resources discussed on this show:

Amazon: The Automated Practice: Success Secrets for Working Less and Earning More

Get a FREE copy of his book from his website: The Automated Professional Practice!

 

Connect with Jamey on twitter and send any questions via email to jamey@jameyschrier.com!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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.!!  Catch my interview on the Entrepreneur on Fire podcast with host John Lee Dumas!  Subscribe here

And get the show notes here!

 

Nov 14, 2016

On this week’s episode of the Healthy Wealthy and Smart Podcast, Dr. Jason Silvernail joins me for Part 2 of Ask Jason Anything! Dr. Silvernail is a Doctor of Physical Therapy who was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. A clinician and researcher, he has published clinical commentaries and original research in the medical literature including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy.

In this show, we discuss:

-The roadmap to a military physical therapy career

-Jason’s hiring process for seasoned professionals and new graduates

-How to translate the present body of knowledge into clinical practice

-Jason’s overall outlook for the physical therapy profession and advice for fresh PTs

-And so much more!

 

For more about Jason:

Jason Silvernail DPT, DSc, FAAOMPT qualified with a Master of Physical Therapy degree from the University Of Scranton Pennsylvania in 1997, and he has been in practice as a physical therapist since then. He completed his Doc tor of Physical Therapy Degree in 2006. He was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists.

Dr. Silvernail is a board-certified Orthopedic Clinical Specialist (OCS) from the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist (CSCS) with the National Strength and Conditioning Association.

He is a career military officer, practicing in the US Army since 1998, and has been stationed across the United States, Europe, the Middle East and in Afghanistan. Dr Silvernail has worked with a wide variety of patient populations and settings including orthopedic/sports, chronic pain, amputee and neurological rehabilitation, and strength and conditioning.

A clinician and researcher, he has published clinical commentaries and original research in the medical literature (including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy) and he has a prominent professional presence online where you can connect with him on Facebook or Twitter.

Dr. Silvernail is married to Carolyn T. Silvernail, who is a graduate student at American University with degrees in Exercise Science, Digital Film and in Music Performance. They live in the northern Virginia area and enjoy hiking, fitness, and ballroom dancing. Opinions expressed by Dr Silvernail are his own and do not represent the official policy or position of the United States Army, the Department of Defense, or the United States Government.

 

Resources discussed on this show:

Keith Smart Publications

Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy

The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model

Soma Simple

US Army-Baylor DPT Program

USA Jobs

San Diego Pain Summit 2017

 

Make sure to follow Jason on twitter and facebook for more great resources and conversations!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do’s and Don’ts of Social Media!

 

Nov 7, 2016

On this week’s episode of the Healthy Wealthy and Smart Podcast, Dr. Jason Silvernail joins me for Part 1 of Ask Jason Anything! Dr. Silvernail is a Doctor of Physical Therapy who was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists. A clinician and researcher, he has published clinical commentaries and original research in the medical literature including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy.

In this show, we discuss:

-How manual therapy is integrated into the biopsychosocial framework

-Rethinking the goals of your initial evaluation

-Strengths and limitations of a pain science perspective on patient care

-The roadmap to a military physical therapy career

-Jason’s hiring process for seasoned professionals and new graduates

-And so much more!

 

While Jason is a proponent for making advances in research, he also believes that there is more to gain from the existing literature to improve patient care. He challenges clinicians and researchers to “actually start using the evidence we already have. What can we do to build processes in our health systems to help us better integrate existing research evidence and clinical practice to make it relevant to clinicians, to make it relevant to payers, and to make it popular and effective for patients so patients start asking for it… What can we do to integrate and better use what we already know?”

 

Jason believes that there is a positive outlook for physical therapy and that the profession can fill a desired role in the current marketplace. He states, “Patients are looking for a low cost, low risk, non-invasive approach that they can have quick access to that is an appropriate match to their goals, that is matched to exactly what they want, and you can get what you want when you want it. There are not too many people in medicine that are offering something close to that, but PT is one of them.“

 

Utilizing the biopsychosocial framework for patient care has proven to be effective for Jason in his career. He advices, “One of the things I say the most to PT students is this job is half psychology and I used to think that my job was the evaluation, diagnosis and treatment of non-surgical musculoskeletal conditions. That’s actually not my job. I am in the business of behavior change. And if you’re a PT, you’re in the business of behavior change too. And the sooner you understand that and the sooner you start to work on your ability to help engage others for behavior change, the more success you will have in your profession. “

 

For more about Jason:

Jason Silvernail DPT, DSc, FAAOMPT qualified with a Master of Physical Therapy degree from the University Of Scranton Pennsylvania in 1997, and he has been in practice as a physical therapist since then. He completed his Doc tor of Physical Therapy Degree in 2006. He was selected for the prestigious Army-Baylor Doctoral Fellowship in Orthopedic Manual Physical Therapy at Fort Sam Houston for subspecialty training and graduated in 2010, earning him both a Doctor of Science degree from Baylor University and Fellow status in the American Academy of Orthopedic Manual Physical Therapists.

 

Dr. Silvernail is a board-certified Orthopedic Clinical Specialist (OCS) from the American Board of Physical Therapy Specialties and a Certified Strength and Conditioning Specialist (CSCS) with the National Strength and Conditioning Association.

 

He is a career military officer, practicing in the US Army since 1998, and has been stationed across the United States, Europe, the Middle East and in Afghanistan. Dr Silvernail has worked with a wide variety of patient populations and settings including orthopedic/sports, chronic pain, amputee and neurological rehabilitation, and strength and conditioning.

 

A clinician and researcher, he has published clinical commentaries and original research in the medical literature (including the Journal of Orthopedic and Sports Physical Therapy, Manual Therapy, and the Journal of Manual and Manipulative Therapy) and he has a prominent professional presence online where you can connect with him on Facebook or Twitter.

 

Dr. Silvernail is married to Carolyn T. Silvernail, who is a graduate student at American University with degrees in Exercise Science, Digital Film and in Music Performance. They live in the northern Virginia area and enjoy hiking, fitness, and ballroom dancing. Opinions expressed by Dr Silvernail are his own and do not represent the official policy or position of the United States Army, the Department of Defense, or the United States Government.

 

Resources discussed on this show:

Keith Smart Publications

Systematic Clinical Reasoning in Physical Therapy (SCRIPT): Tool for the Purposeful Practice of Clinical Reasoning in Orthopedic Manual Physical Therapy

The Mechanisms of Manual Therapy in the Treatment of Musculoskeletal Pain: A Comprehensive Model

Soma Simple

US Army-Baylor DPT Program

USA Jobs

San Diego Pain Summit 2017

 

Make sure to follow Jason on twitter and facebook for more great resources and conversations!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

Nov 2, 2016

On this week’s episode of the Healthy Wealthy and Smart Podcast, Nick Lucius and I chat about physical therapy wellness services. Nick is a Doctor of Physical Therapy and a Certified Strength and Conditioning Specialist working with Barwis Methods as an Applied Coach in Port St. Lucie, Florida.

In this episode, we discuss:

-How to transition from episodic care to wellness services

-The role of strength and conditioning in physical therapy services

-Nick’s thoughts on the Certified Strength and Conditioning Specialist

-How to develop a therapeutic alliance in a biopsychosocial model framework

-Advice for #FreshPTs

-And so much more!

 

When communicating desired outcomes to patients, it is important to stress the long-term wellness and quality of life aspects. He states, “have them understand that the goal is not to run you through the ground and to make you hurt, it’s really to empower you to live the rest of your life in the most positive and healthy way possible.”

 

In contrast to the biomedical approach to patient care, the biopsychosocial model can allow you to empower the patient and ultimately develop buy in for future wellness needs. He believes, “it really would benefit us to not look at us as a lifelong PT or lifelong clinician insinuating the mechanic, ‘Oh yeah, just come back to me and I'll fix you up.’ It's not like a car, you have feelings and emotions and thought processes, it muddies the water really fast, and that’s what really benefits having that wide range of education from strength conditioning to pain science to traditional physical therapy and that ties it all back in together.”

 

As a new graduate, Nick offers some advice for fresh PTs to, “Keep the hunger for knowledge and the hunger to really make substantial and life changing change for these individuals. When you get a couple of cases that might be discouraging or make you feel uncomfortable, everyone feels uncomfortable and at some point they got comfortable being uncomfortable, they got very used to having that hunger to try to keep driving to be better and better.”

 

For more about Nick:

Nick graduated from the University of Michigan with a Doctor in Physical Therapy in 2015. Previously Nick earned a Bachelors of Science from Grand Valley State University in Clinical Exercise Science in 2012. He is a Certified Strength and Conditioning Coach (CSCS) through the National Strength and Conditioning Association and CPR/AED certified through the American Red Cross. Nick began at Barwis Methods as an Intern prior to starting his DPT studies and is a Barwis Methods Applied Coach.

 

Make sure to follow Nick on twitter and facebook and find more educational materials at Barwis Methods where Nick is offering 10% off with the code: barwismethodHWS!

 

Resources discussed on this show:

Nick Winkelman Twitter

Mike Reinold Twitter

Kelly Starrett Twitter

Doc and Jock Podcast

Therapy Insiders Podcast

Essentials of Strength Training and Conditioning

Neuromechanics of Human Movement

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

P.S.S. Check out the inaugural Women in PT Summit here! Sign up now as space is limited!

 

Oct 24, 2016

Thanks for tuning into the Healthy Wealthy and Smart Podcast! I had the pleasure of chatting with Mike Connors about advocacy in physical therapy. Mike is a private practice physical therapy owner, an outside consultant for a professional ballet company in Fort Worth and an adjunct professor in orthopaedic physical therapy for the DPT program at the University of North Texas Health Science Center. In addition, Mike is the current President of the Texas Physical Therapy Association advocating regularly for the PT profession in Austin and DC on regulatory and payment policy issues impacting PT.

In this episode, we discuss:

-Levels of advocacy and ways to demonstrate the efficacy of physical therapy

-Mike’s pitch for APTA membership

-Mike’s initial wellness consultation and his focus on preventative care

-Advice to new professionals on empathy and preventing burnout

-And so much more!

 

Mike stresses the need for PT advocacy which can take many forms including calling an insurance company, talking to medical colleagues, and increasing awareness in the community in addition to legislative change. He states, “What did you do today that was in the patient’s best interest that the patient couldn’t do for themselves or didn't have the knowledge or the resources to do for themselves? We treat patients. We manage their complex presentations, but we do a lot more than I think we give ourselves credit for. That's a big part of why it is we don't have the widespread knowledge base about what we do because we don’t talk enough about what we do. PT has become the new fight club and the #1 rule of PT is not to talk about PT.”

 

Mike believes there are untapped candidates for physical therapy services due to public unawareness of the healthcare benefits. “Ironically, in private practice, we are sitting here all competing against one another for 20% of the pie and what we’re not seeing is another 75+% that’s out there that’s doing everything but physical therapy.”

 

Mike encourages entrepreneurship within physical therapy and recommends to continually strive for excellence. Mike advices, “Entrepreneurs are going to continually learn and evolve over time. Count your successes as much as you count your failures as long as you learn from them and you evolve then it was a worthwhile endeavor.”

 

For more about Mike:

Mike has a BS in Biology from Stockton College with a minor in Psychology (2001). His entry level degree in physical therapy is a Master of Physical Therapy from University of Medicine & Dentistry of NJ-Rutgers University (2003). Mike has a post professional Doctor of Physical Therapy degree from Temple University (2008). He became a board certified specialist in Orthopaedic Physical Therapy from the American Board of PT Specialties in 2011. Mike is currently finishing (ABD) the remaining requirements for completion of a PhD degree in Physical Therapy with an emphasis in applied biomechanics from Texas Woman's University (Anticipated completion 2016).

 

Mike began working with GTC in October 2004. He most recently rejoined the GTC family in June 2015 as the Director of the Fort Worth Clinic.

 

Mike's focus and specialization in orthopaedic physical therapy makes him an efficient clinician in managing patients with orthopedic dysfunction. He utilizes a multimodal approach to meet the needs of his patients and clients that include spinal manipulation, dry needling, KT taping, and various other interventions. Mike is certified in functional dry needling from Kinetacore. He has experience working with patients of all ages, from kids to adults and from the weekend warrior to the elite athlete. He is an outside consultant for a professional ballet company in Fort Worth and is an adjunct professor in orthopaedic physical therapy for the DPT program at the University of North Texas Health Science Center. In addition, Mike is the current President of the Texas Physical Therapy Association advocating regularly for the PT profession in Austin and DC on regulatory and payment policy issues impacting PT.

 

Mike is happily married to his wife Shannon. He enjoys spending time with his family, that includes two beautiful daughters. Mike enjoys staying active, running, traveling, exercising, biking, golfing and staying active in his faith community.

 

Personal statement: It's ALWAYS all about the patient. We exist as PTs to help patients move better with less pain. It's my pleasure to help patients achieve this goal on a day to day basis.

 

Social Media:

Greater Therapy Centers

Twitter

Facebook

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

P.S.S. Check out the inaugural Women in PT Summit here! Sign up now as space is limited!

Oct 17, 2016

On this week’s episode, I share the first part of my talk with Dr. Bronnie Thompson from one year ago on chronic pain management which will change the way you practice. Dr. Thompson has worked in the field of chronic pain management, helping people develop ‘self management’ skills for 20 years and has a passion to help people experiencing chronic health problems achieve their potential.


In this episode, we discuss:

-How to learn to live well despite chronic pain and her research on the 3 phases to reoccupy your self-concept

-How to incorporate values based pain management into your practice

-The value of motivational interviewing, the specifics of implementation, and why it’s not always about pain

-Why patience is key to a person-centered practice

-And so much more!

 

Healthcare providers should address the nature of chronic pain and the goal of treatment should be to educate patients on how to understand and manage their pain. Dr. Thompson found that for patients with chronic pain, “Hearing that this pain is likely to remain was a really important turning point for all the participants. So they stopped that search for the cure.”

 

Dr. Thompson promotes a psychosocial approach to learning to live well with chronic pain and making new sense of your self-concept.   Dr. Thompson states, “When pain comes on, life becomes incoherent—it doesn’t make sense anymore. Your self-concept, the person that you think you are, suddenly goes. You can't rely on yourself to do the things that you used to be able to do and the expectations you have of yourself disappear. For a long time, people are sustained on this search to go back to the person they used to be. But 5, 10, 15 years later, they are never going to be that person. It’s about saying, ‘Who can I be now?’ The process of learning to live well is about recognizing, ‘I do need to let go of that desire to go back to my old self and look to build this new person.’”

 

One of the key aspects of learning to live with chronic pain is to find a sense of community and begin building new meaning in your life. Dr. Thompson states, “Carrying that invisible sort of separation, ‘I’m not who I used to be, I feel like I’m not who I used to be and yet nobody can see that’ is so isolating. It’s unbelievably isolating. To be able to say, ‘I can connect,’—what you do connects you with other people, the way you dress, the way you happen to tidy your house or not, the way that you drive—you’re going to look at other people and you’re going to say I'm like them or I'm different from them and that’s how we find our way.”

 

For more about Dr. Thompson:

I trained as an occupational therapist, and graduated in 1984. Since then I’ve continued study at postgraduate level and my papers have included business skills, ergonomics, mental health therapies, and psychology. I completed by Masters in Psychology in 1999, and started my PhD in 2007. I’ve now finished my thesis (yay!) and can call myself Dr, or as my kids call me, Dr Mum.

 

I have a passion to help people experiencing chronic health problems achieve their potential. I have worked in the field of chronic pain management, helping people develop ‘self management’ skills for 20 years. Many of the skills are directly applicable to people with other health conditions.

 

My way of working: collaboratively – all people have limitations and vulnerabilities – as well as strengths and potential. I use a cognitive and behavioural approach – therapy isn’t helpful unless there are visible changes! I don’t use this approach exclusively, because it is necessary to ‘borrow’ at times from other approaches, but I encourage ongoing evaluation of everything that is put forward as ‘therapy’. I’m especially drawn to what’s known as third wave CBT, things like mindfulness, ACT (Acceptance and Commitment Therapy) and occupation.

 

I’m also an educator. I take this role very seriously – it is as important to health care as research and clinical skill. I offer an active knowledge of the latest research, integrated with current clinical practice, and communicated to clinicians working directly with people experiencing chronic ill health. I’m a Senior Lecturer in the Department of Orthopaedic surgery & Musculoskeletal Medicine at the University of Otago Christchurch Health Sciences.

 

I also offer courses, training and supervision for therapists working with people experiencing chronic ill health.

 

Check out her blog HealthSkills for more great resources and follow Dr. Thompson on twitterfacebook, and LinkedIn.

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

P.S.S. Check out the inaugural Women in PT Summit here! Sign up now as space is limited!

Oct 10, 2016

On today’s episode of the Healthy, Wealthy and Smart Podcast, Dr. Rachna Patel joins me to discuss common misconceptions of medical marijuana. Dr. Patel has been practicing in the area of Medical Marijuana since 2012 and step-by-step walks patients through how to use medical marijuana for their specific medical condition. 

In this episode, we discuss:

-How medical marijuana functions in the body

-Conditions that can be treated with medical marijuana and surprising outcomes

-What the side effects of medical marijuana are and how to avoid them

- Alternatives to smoking medical marijuana

-Why lab-tested medical grade marijuana is very different from what’s found on the streets

-And so much more!

 

The therapeutic range for medical marijuana varies from patient to patient. A practitioner can help find the optimal ratio of the THC and CBD components of the plant which work best for the patient. Dr. Patel states, “You can adjust the effect that the medication will have on you based on the proportions of these different chemicals.”

 

One of the practical benefits of medical marijuana is the fact that, “These chemicals are fat soluble… Patients don’t have to take this medication every day. Once you take it, you have stores of it in your body.”

 

Medical marijuana has proven to be less addictive and have fewer side effects. From Dr. Patel’s clinical experience, there is growing evidence that medical marijuana could serve as a potential alternative to opioids. “When I was reading the research studies, a couple studies I came across said that when medical marijuana is used in conjunction with opioids, the marijuana helps to reduce the dose of the opioids that you have to use. What I found surprisingly, patients were able to come off of a lot of these pain medications and just use medical marijuana in its place.“

 

There are potentially many patient populations that could benefit from the use of medical marijuana. For some conditions like fibromyalgia, medical marijuana has revolutionized patient treatment plans. “I expected [medical marijuana] to be a part of the arsenal, I didn't expect it to be the only tool in the arsenal that these patients were using.”

 

For more information on Dr. Patel:

Dr. Rachna Patel has been practicing in the area of Medical Marijuana since 2012.  She step-by-step walks patients through how to use medical marijuana for their specific medical condition.  She completed her medical studies at Touro University College of Osteopathic Medicine and her undergraduate studies at Northwestern University.  You can learn more about the work she does at www.DrRachnaPatel.com

 

Resources discussed on this show:

YouTube channel

How to Choose a Medical Marijuana Doctor.  

Facebook Page: Listeners are welcome to ask questions on the page for Ask Me Anything on Wednesdays every week. 

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

P.S.S. Check out the inaugural Women in PT Summit here! Sign up now as space is limited!

 

Oct 3, 2016

On this week’s episode, I had the pleasure of discussing financial strategies for Doctor of Physical Therapy student loans with Joseph Reinke. Joseph Reinke is the CEO and founder of FitBUX, Inc which is introducing innovative finance products and technology to the student lending industry with a specific focus on physical therapists.

In this episode, we discuss:

-Why FitBUX is in the business of aiding human capital development

-Helpful and actionable strategies to manage student loan debt

-Options for new graduates in debt that want to start their own business

-Why student debt should not get in the way of a worry-free retirement

-And so much more!

 

Joe recommends starting as early as possible on the road to entrepreneurship if that is your long-term goal. “Even if you're a student and you know you're going to be an entrepreneur, start networking at all these events with people who have podcasts or have private practices. Get into that setting so all that human capital that you are developing is geared toward being that business owner because the more you do of that the higher probability you will be successful.”

 

Joe has found that finance is more about discipline and delaying gratification. Developing strategies to tackle financial obstacles can help provide the extra discipline needed. Joe states, “The other thing you’re doing that is even more important is you’re developing discipline. That’s one of the hardest things to do in finance. We want instant gratification on everything. It doesn’t matter what you’re doing in finance, it can be paying off your loan, saving for retirement, buying a house and paying that off—there is no instant gratification...”

 

Joe cautions his clients to consider the downside. The more prepared people are for unexpected shocks, the less they will struggle with financial obstacles. He recommends, “Keep it simple and strategize… The stress a lot of people get financially will be gone or it will be a lot less because you'll be prepared. That’s when I see a lot of people get into financial stresses. They just get hit with a tsunami at some time and they are not ready for it and that’s when you start seeing people stress out about money.”

 

For more about Joe:

Joseph Reinke is the CEO and founder of Fitbux, Inc. FitBUX is introducing innovative finance products and technology to the student lending industry with a specific focus on physical therapists. Thus far in FitBUX’s beta test, they have helped PTs develop financial strategies on over $11mn in student loans. Joe has been in the finance industry for over a decade and is one of the few CFA Charterholders in the world who has experience in both wealth management and business valuation (globally, there are only 120,000 CFA Charterholders). He has hosted numerous live chats about student loans with SPTs across the country, presented at the California Student Conclave, appeared on podcasts, and written numerous financial blogs.

 

Resources:

FitBUX: Sign-up for the beta test that is testing FitBUX technology to help answer SPTs and DPTs questions about student loans such as “do I invest or prepay my loans?”, “do I pay down my loans or go onto a Federal Income Driven repayment plan?”, “what are my refinancing options and should I refinance?”…And the beta test is FREE!

FitBUX Blog for Physical Therapists

FitBUX Blog on Finance

FitBUX videos on student loans

PT Pintcast Episode

NewGradPT: How Physical Therapy Careers are Changing

 

Social Media:

FitBUX Twitter

FitPT Twitter

Facebook

LinkedIn

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

P.S.S. Check out the inaugural Women in PT Summit here! Sign up now as space is limited!

 

 

Sep 26, 2016

On today’s episode of the podcast, Sarah Ecker PT, DPT, PRPC joins me to discuss the STAND (Sustainable Therapy And New Development) Haiti Project which is a nonprofit organization working to provide continual, orthopedic care to Haitian communities most in need. Sarah is a physical therapist specializing in pelvic health and has been traveling the country as a "Travel Therapist," working in some of the United States’ most impoverished communities. Sarah is STAND's Director of Pelvic Health and is continuing to help further the mission of STAND and ensure that women in Haiti have improved access to pelvic health and education.

In this episode, we discuss:

- What is the STAND Haiti Project and how you can get involved

-How Sarah’s pelvic health specialty led to surprising insights while volunteering in Haiti

-How language and cultural barriers impact your treatment

-Advice for physical therapy volunteers traveling abroad

-And so much more!

 

While volunteering in Haiti, Sarah began to realize that her pelvic health training was in need for this female population. She states, “Are the infections prevalent and common there? Sure, but also with chronic infection comes chronic tissue changes. We were definitely seeing a lot of prolapse, general pelvic floor dysfunction, different tissue changes, and incontinence. Things that are very common ailments I've seen in patients in the States. Just no one has ever really examined these women before. There is really very little, if any, gynecologist care or care surrounding pregnancy.”

 

After breaking through the language and cultural barriers, Sarah discovered that many Haitian women were not being treated for common pelvic health issues. She then set out to lead a team to focus specifically on pelvic health treatment. Sarah believes, “This is a population we can do something about. Once we started having that conversation and digging a little deeper with the women we were seeing that were in child bearing ages, it was really coming to the surface that they think this is normal, and this is okay, and this is something they have to live with.”

 

Empowering the Haitian women by educating them on pelvic health dysfunction was important to reaffirm their experiences. Sarah discovered, “I think this was a game changer when I said, ‘We see patients like this all the time in the United States. I treat these patients all the time. These are normal symptoms that happen with different life changes and experiences as a woman going through pregnancy and childbirth.’ Just to see the look on their faces when their like, ‘Oh, this is not just me. This is not my fault that I have these problems.’”

 

Once cultural barriers are broken and patient-therapist trust is built, educating patients can lead to breakthroughs. She stresses, “The most powerful, impactful thing you can do is to just start the conversation. It has to start with you because you’re the clinician and you have the information regardless of whether you have trepidation around even breaching the topic in cultures that stigmatize sex or pelvic health or embarrassing issues more than we do in our native countries… it's really just educating, disseminating the information, letting people know these are common problems and it’s not their fault and most importantly you can do something about it. That's the message that translates through any culture and any population.”

 

For more information about Sarah:

Sarah Ecker, PT, DPT, PRPC received her Doctor of Physical Therapy degree from New York University in 2011 after working for several years in the science, medicine, and technology department of a publishing company in the New York City area. She fell in love with pelvic health early on in her physical therapy career and worked in the NYC area at a specialized practice during which time she received her Pelvic Rehabilitation Practitioner Certificate from the Herman and Wallace Institute. For the last few years, Sarah has been traveling the country as a "Travel Therapist," working in some of our nation's most impoverished communities in just about every setting imaginable. Last year, Sarah discovered STAND: The Haiti Project, volunteered for 2 weeks in May, and instantly fell in love with the project, the people of Haiti, and the amazing co-founders of the organization, Morgan Denny and Justin Dunaway. Sarah is committed to continuing to help further the mission of STAND, and as STAND's Director of Pelvic Health will help to ensure that women in Haiti have improved access to pelvic health and education. When Sarah is not working and traveling, she enjoys- well... traveling, cycling, anything that gets her outdoors, playing guitar, spending time with family, and home-brewing delicious craft beer.

 

For more information on STAND:

STAND (Sustainable Therapy And New Development) believes that freedom from pain and disability is a basic human right, not a privilege. In rural Haiti, only the highest socioeconomic class can afford medical care, but most people do not have access at all. This lack of access to the most basic care leads to widespread suffering from disabling pain and injury. These unaddressed ailments engender an environment where people lack the ability to work, farm, and care for themselves and their families. The social effects of this lack of care and community support are too often poverty, famine, and even death. By providing access to rehabilitative care, STAND aims to decrease disability and reverse its social effects on the populace. As a result, Haitians will be able to work, provide for their families, contribute to their communities, and ultimately enjoy a higher quality of life.

 

STAND: The Haiti Project is a 501(c)3 nonprofit organization working to provide continual, orthopedic care to Haitian communities most in need. To accomplish this, STAND will equip local health workers with a rigorous orthopedic curriculum. A competent team of Haitian practitioners will be able to provide relief from disabling pain and injury at STAND facilities year-round, allowing people to return to productive, happy, and fulfilling lives. You can give a man a fish, or you can teach a man to fish. We do both.

 

During our trips to Haiti, we work to restore people's functional mobility by providing comprehensive evaluation and treatment for a variety of conditions and injuries. Many have experienced traumatic and injurious events with no assistance or counsel from trained medical providers. Others are children born with orthopedic or neurological conditions. Each and every one of these people deserves a safe environment in which they can access quality and professional care. STAND provides manual physical therapy, wound care, patient education, orthotics, and the fabrication of prosthetics to meet the diverse needs of its patient population. Volunteer teams consisting of physical therapists, orthotists, prosthetists, general medical staff, educators, and students work to deliver these services to the highest standard. STAND also provides outreach programs to local hospitals, schools, orphanages, and assisted living facilities.

 

Ultimately, our clinics will be staffed year-round by STAND trained Haitian clinicians.

 

Sarah welcomes your questions via email (sarahecker123@gmail.com) to find more information on the winter trip with the STAND Haiti Project! Make sure to connect with Sarah on LinkedIn!

 

Check out the episode with Dr. Justin Dunaway and Dr. Morgan Denny about the STAND Haiti Project here!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

Sep 19, 2016

On this week’s episode, Dina Behrman joins me to share strategies for healthcare professionals on how to utilize publicity and public relations. Dina is a journalist-turned-publicity coach who is passionate about empowering business owners to get the best kind of publicity for their business to raise their profile, position themselves as an expert, build their brand, find new opportunities, reach new audiences, put their prices up and help more people.

In this episode, we discuss:

-Why you should start calling yourself an expert

-How introverts can break personal barriers and promote their brand

-How to pitch to the media and gain your brand access and coverage

-Dina’s top tips for attracting more publicity

-And much, much more!

 

The media often selects authority figures who are “experts” on a topic or field. As a healthcare professional, you have expertise and must learn to communicate and represent yourself as an expert. Dina suggests, “The main thing is to start seeing yourself as an expert, because especially if you're a health entrepreneur and you’ve got that expertise in a particular area then you want to be pitching yourself to the press as an expert and as someone who can talk knowledgably about a subject. A lot of people have an issue calling themselves an expert and it’s almost like they need someone to come along and say, ‘Yes, you're an expert’ as opposed to feeling very confident about saying you know what I really know my stuff.”

 

Sometimes introverts can be preoccupied with their own discomfort to pitch to a journalist. Dina suggests instead focusing on the huge benefits your expertise can provide to so many people. Dina recommends, “Having a bit of a mindset shift and thinking about it from the point of view of coming from a place of service and thinking whatever it is that you're sharing, if it’s your knowledge and your expertise that's going to be helping other people... The people that read that, it’s going to have a huge impact on them it’s going to really help them and the reason for getting that PR and publicity is that you can reach so many more people than you would be able to reach normally. So there is the potential for you to be helping so many more people and you’re doing something really good in the world by getting publicity and sharing your knowledge and your expertise and your experiences.”

 

Starting your publicity journey doesn’t have to be complicated. Often the very basics of your education are immensely valuable to the public and can start the conversation. “You only need to be a couple of steps ahead of the people you are talking to to be of help to them… Journalists can't possibly know all of the ins and outs of your industry the way that you do and so you're going to know more than they do and you're going to be useful to them… They don't have those years of training and everything that you have. There is so much value you can give even if it seems like it’s the basic level.”

 

For more information about Dina:

Journalist-turned publicity coach Dina Behrman is a PR and publicity expert who works with female entrepreneurs who are struggling to take their business to the next level. She helps them get their business seen and heard in the media so they can share their story and help more people, whilst gaining more followers, raising their prices and making more sales. She has featured as a PR expert in The Guardian, BBC Radio, Huffington Post, Raspberry Magazine, BussinesZone, YFS, Prowess, Women Unlimited, Business Rocks Magazine, amongst others.  Click here to download her media kit.

To get in touch, email her on dina@dinabehrman.com or click here to fill out a contact form.

 

Find Dina on social media: Facebook Twitter Pinterest LinkedIn

 

Make sure to grab her free publicity prep cheat sheet and check out her group program Business Fame School!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

P.S.S. Check out the inaugural Women in PT Summit here!  Sign up now as space is limited!

Sep 12, 2016

Thanks for tuning into the Healthy Wealthy and Smart Podcast! On this week’s episode, Dr. Christian Barton joins me to discuss the running retraining program. Dr. Barton is a physiotherapist in Melbourne, Australia who has published over 40 papers in Sports Medicine, Rehabilitation and Biomechanics journals and he is also an Associate Editor for the British Journal of Sports Medicine.

In this episode, we discuss:

-Current evidence on the optimal foot strike pattern

-Do traditional PT interventions have a place in a running retraining program?

-How to configure a physical therapy plan of care for limited office visits

-Managing expectations on recovery timeframes for runners

-The growth in wearable devices and how to use them in your practice

-And much more!

 

An important aspect of running retraining is educating patients on how they can self-modulate their technique while they run. Dr. Barton states, “When you're doing running retraining, it’s not trying to dictate the way someone runs for an entire run, but it’s giving them options that they can use throughout that run and try things. Often, if they do try these things, they can find a happy ground where they can run pain free again.”

 

Offering the most value to patients with limited office visits can be challenging. Patient education is integral so you can prioritize exercise rehabilitation and running retraining during your treatment sessions. Dr. Barton believes, “Most runners are incredibly motivated… If you’re giving them value in terms of their running and you’re giving them great guidance with their rehab and great guidance with their running technique and they can see that after a few months, they will probably pay for another couple of sessions to follow up and keep progressing things.”

 

Managing expectations and setting realistic goals is important for optimal patient satisfaction and outcomes. Dr. Barton stresses, “You have to talk to your patient. It’s about a shared decision process. I don’t think we get to dictate to every patient exactly what they need to do. We need to ask them that question at the beginning—what is the most important thing for you moving forward? Is there a short term goal you really, really want to get to... At the end of the day, it's about patient choice and working with them to their goals.”

 

The growth in technology allows physical therapists to make better clinical decisions and help with patient buy-in. Dr. Barton states, “[Technology] is just a great facilitator and a great way of measuring things. It’s educating the patient as well. It’s not only your analysis but it’s also your ability to educate the patient on what’s going on.”

 

For more on Dr. Barton:

Dr. Christian Barton is a physiotherapist who graduated with first class Honours from Charles Sturt University in 2005, and completed his PhD focusing on Patellofemoral Pain, Biomechanics and Foot Orthoses in 2010. Dr Barton’s broad research disciplines are biomechanics, running-related injury, knee pathology, tendinopathy, and rehabilitation, with a particular focus on research translation.

 

Dr. Barton has published over 40 papers in Sports Medicine, Rehabilitation and Biomechanics journals, and he is an Associate Editor for the British Journal of Sports Medicine.

 

Resources discussed on this show:

British Journal of Sports Medicine

British Journal of Sports Medicine Facebook

British Journal of Sports Medicine Podcast

British Journal of Sports Medicine App

Conversation with Dr. Claire Hiller

Hudl App

Kinovea Program

Coach's Eye App

Garmin Foot Pod

La Trobe University Sport and Exercise Medicine Research Centre Twitter

La Trobe University Sport and Exercise Medicine Research Centre Blog

La Trobe Sport and Exercise Medicine Research Facebook Group

Running Physio Twitter

 

Make sure to follow Dr. Barton on twitter to get exposed to more on the latest research!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

Sep 5, 2016

Happy Labor Day to the Healthy Wealthy and Smart Podcast family! On today’s episode, Amanda Goldman-Petri joins me to discuss how systems can lead to independence and where your business may land on the wealth pyramid. Amanda is the founder of MarketLikeANerd.com and an internationally renowned “Work Smarter, Not Harder” Online Marketing Coach for entrepreneurs who want to maximize their profits while minimizing the amount of time and effort they put into their business.

In this episode, we discuss:

-Amanda’s life experiences and how she broke from the fee-for-service ceiling

-How to create organized systems that delegate tasks properly

-What is the wealth pyramid and how to achieve the end stage of wealth

-Goals and actionable steps for each stage of the wealth pyramid

 -And much, much more!

 

Fee-for-service businesses like physical therapy have a scalability challenge. Creative solutions are key to working smarter not harder and moving up the wealth pyramid. Amanda recommends to, “Shift from the one-on-one to the leveraged offer because that’s better for long term sustainability and start automating your marketing because sales, while they are great in the short term for fast cash, are manual and time intensive. The more you can automate your marketing going into leveraged offers, the more scalable and sustainable your business is going to be.”

 

A capable team is integral to gaining more control over your time commitment to your business. From Amanda’s experience, “I really like delegating as much as possible in my business not just because I believe it is the most scalable way to do it but because it frees me up to do those things that I really, really love.”

 

Understanding each stage of the wealth pyramid allows entrepreneurs to get a sense of how they should be prioritizing their goals. Amanda states, “There are a lot of business owners who get into business because they want to make an impact on the world but they are so consumed with the need for them to pay themselves, the need for them to make money, that they never have that opportunity to feel released enough to focus on how their business can serve a greater purpose. I think ultimately that’s where most business owners would love to be.”

 

It’s common for business owners to think that hard work is the only way to success and independence however that mindset should only be temporary. Amanda believes, “We become accustomed to this idea that things have to be hard, that you have to sacrifice, that you have to hustle, and business has to be difficult… As long as you work smarter, you can make more money with less effort and it can make your business feel seamless.“

 

For more on Amanda:

Amanda is the founder of MarketLikeANerd.com. She is an internationally renowned “Work Smarter, Not Harder” Online Marketing Coach for entrepreneurs who want to maximize their profits while minimizing the amount of time and effort they put into their business. After overcoming poverty, child abuse, rape, teen pregnancy, and near death, Amanda was able to persevere and create her first $10K month within 4 months at the age of 22. She generated over $150K in her next business within 4 months at the age of 23, and in her first Market Like A Nerd launch she generated over $120K in 90 days while also expanding her business to 19 different countries.

 

She has helped clients turn $700 into $100K using Facebook ads, $300 into $16K using webinars, and sell out coaching programs completely within 90 days using free Facebook Group marketing strategies. Amanda has featured on major media outlets such as Small Business Trendsetters, ABC, CBS, NBC, FOX, The Huffington Post, Worth Magazine, International Business Times (and more) for her unique and nerdy approach to marketing. If you want to discover how to make more money while working less so you can screw hustle, screw sacrifice, and create a financially-free life full of impact and freedom, Amanda is the expert you need to talk to.

 

Resources discussed on this show:

Balanced Entrepreneur Facebook Group Community

Webinar: Welcome 50 ideal clients in 90 days 

 

Follow Amanda on Facebook, twitter, and LinkedIn and check out all of the amazing programs on her website Market Like a Nerd!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 po

Aug 29, 2016

On this week’s episode of the podcast, I welcome Dr. Evangelos Pappas back onto the show to discuss current research on ACL rehabilitation. Dr. Pappas is a Senior Lecturer within the Discipline of Physiotherapy with expertise in sports medicine and musculoskeletal physiotherapy at the University of Sydney. He has published extensively in journals in sports medicine, musculoskeletal physiotherapy and biomechanics and he has presented his work in more than 50 national and international conferences. Dr. Pappas research passion is to develop programs that effectively prevent lower extremity injuries and identify rehabilitation techniques that provide optimal outcomes for injured athletes.

In this episode, we discuss:

-Biomechanical deficits that predispose athletes to ACL injury

-Treatment interventions and screening assessments for return to sport that reduce the likelihood of re-injury

-Training programs on ACL injury prevention

-Wearable technology’s impact on future ACL injury statistics

-And so much more!

 

Dr. Pappas is critical of physical therapy interventions that do not address deficits that could predispose the athlete to re-injury. He stresses, “Even though it is relatively easy to rehabilitate somebody after an ACL reconstruction in terms of regaining strength, range of motion, and even some proprioception, and even getting them ready for sports, I would strongly argue we are providing a disservice to this patient if we don't take it a step further and try to identify the biomechanical deficits that would potentially predispose them to an ACL tear and try and rectify those…”

 

ACL injuries not only affect the athlete at the time of injury and throughout rehabilitation but also may lead to lasting adverse health effects. Dr. Pappas states, “You have an athlete with an ACL tear at age 16 who develops osteoarthritis because that commonly happens within the next 10-15 years… They’re supposed to be in their most productive years and there are not many good choices because they are too young for a total knee replacement and their knee related quality of life is similar to someone who is 70 or 80 years old. We are very passionate about preventing those injuries because once they happen there are things we can do to prevent it from getting worse or getting another injury but just the fact that it happens it can really be a life defining event.“

 

The FIFA 11 + is a successful injury prevention program because it is incorporates an easy-to-follow dynamic warm-up into the daily practices of athletes. “The athlete does a 10 minute warm-up, they will have to do it either way. They have a choice of doing something that is ineffective like static stretching or they have the choice of doing something that is probably a little bit more fun and also effective… The same exercises that prevent the injuries are also good at making athletes run faster or jump higher and have a competitive advantage over their opponents.”

 

New research has found that athletes who have deficits in the single hop test still present a year post ACL reconstruction have a higher likelihood of re-injury. Dr. Pappas cautions, “Almost nobody should be returning to sport before 9 months after an ACL reconstruction. The knee will feel okay, especially if they had some allograft with no other side morbidity, but it's the job of the PT to discourage and convince the athlete to not return to sport earlier than 9 months after the ACL reconstruction.”

 

For more on Dr. Pappas:

Professor Evangelos Pappas trained as a physiotherapist in Thessaloniki, Greece before pursuing a Masters in Orthopaedic Physical Therapy at Quinnipiac University and a PhD in Orthopaedic Biomechanics at New York University in the USA. Prior to coming to the University of Sydney, He taught for 11 years at Long Island University-Brooklyn Campus in kinesiology, clinical decision making and musculoskeletal pathology and physiotherapy. His excellence in teaching was recognized by his nomination for the Newton award for excellence in teaching. A/Professor Pappas joined the University of Sydney as a Senior Lecturer in 2013 where he continues to lecture in the areas of musculoskeletal physiotherapy, and particularly as it relates to the upper and lower extremities.

 

Professor Pappas is also active in musculoskeletal research. His research has been funded by the National Institutes of Health and intramural grants. He has presented his work in more than 50 national and international conferences and he has been interviewed on the radio as an expert on knee injuries. His publications appear in top journals in the fields of physiotherapy, sports medicine and biomechanics. One of his publications received the T. David Sisk award for best review paper from Sports Health; a leading multidisciplinary journal in sports medicine. In addition, A/Professor Pappas has served on the research subcommittee of the awards committee of the American Physical Therapy Association.

 

Resources discussed in this show:

Dance Research Collaborative

University of Sydney: Evangelos Pappas

FIFA 11 +

 

Kyritsis, Polyvios, et al. "Likelihood of ACL graft rupture: not meeting six clinical discharge criteria before return to sport is associated with a four times greater risk of rupture." British journal of sports medicine (2016): bjsports-2015. Link: http://bjsm.bmj.com/content/early/2016/05/23/bjsports-2015-095908.abstract

 

Myer, G. D., Martin, L., Ford, K. R., Paterno, M. V., Schmitt, L. C., Heidt, R. S., ... & Hewett, T. E. (2012). No association of time from surgery with functional deficits in athletes after anterior cruciate ligament reconstruction evidence for objective return-to-sport criteria. The American journal of sports medicine, 40(10), 2256-2263.  Pubmed link: http://www.ncbi.nlm.nih.gov/pubmed/22879403

 

Make sure to follow Dr. Pappas on twitter and facebook! You can reach out to him with your questions via email evangelos.pappas@sydney.edu.au! Listen to Dr. Pappas first discussion on the show here!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

 

Aug 22, 2016

On today’s episode, I had the pleasure of welcoming Dr. Richard Severin PT, DPT, CCS back onto the show to address audience questions on pursuing a terminal degree and entering the world of academia. Dr. Severin is a physical therapist currently pursuing his PhD in Rehab Science at the University of Illinois at Chicago with a focus in cardiovascular physiology.  

In this episode, we discuss:

- What it takes to get accepted into the right PhD program for you including how to find a mentor and develop a competitive advantage

-Differences between each terminal degree and their job prospects

-Is it possible to manage DPT debt and clinical work while you pursue a PhD?

-The changing academic world and growth in the job landscape

-And so much more!

 

The ideal PhD program for you comes down to finding the right mentor. Dr. Severin’s advice is to, “Find someone who does research that you are interested in. The PhD really is mentor driven. Usually if you’re considering going down that road, you have a list of researchers or authors you follow—you kind of know who they are already. So that’s the first step, finding the person. If you have discourse with them, reach out to them. And if not, you're not going to get a negative response from cold emailing and just say, ‘Hey, these are my interests, I would consider applying here, what are your opportunities?’”

 

Dr. Severin believes that the academic world is allowing for more entrepreneurial pursuits to support your income. He states, “You’ve got to eat what you kill. You’ve got to find ways to find revenue. Historically, patents weren’t something that contributed to rank and tenure and now they are starting to count. Social media is going to be a bigger thing now... Academia is starting to wisen up—which I think is good.”

 

Before applying to a PhD program, develop research experience to show that you can bring value. Dr. Severin recommends to, “Get a little bit of a taste of what it means to work in a lab before you commit yourself to 3 to 5 years of it. And that will look good on your application. There are usually 1 or 2 spots in most places, and if it’s a good lab with good researchers those are going to be very competitive spots. Sometimes even if it’s a smaller lab, funding is a scarce resource. It gives you a little bit of a taste, gives you an expectation of what you're going to be doing, and it also shows you can do certain things. A lot of times it is what you can contribute to our lab, goes back to those scarce resources, they want to bring in people who are going to contribute.”

 

Dr. Severin is optimistic about the prospects of researchers and clinicians bridging together to validate clinical practice with evidence. “There is so much [data] out there that if we can find a way to harvest that data, process it, that’s going to be huge for us. When we talk about proving our worth, imagine if we could get all the outcomes from all of the PTs and find out what is going on here, we can really have some strong numbers that can combat different organizations or insurance companies who are trying to take away our reimbursements.”

 

For more about Dr. Severin:

Dr. Severin is a physical therapist and ABPTS certified cardiovascular and pulmonary specialist. He completed his cardiopulmonary residency at the William S Middleton VA Medical Center/University of Wisconsin-Madison which he then followed up with an orthopedic residency at the University of Illinois at Chicago (UIC). Currently he is working on a PhD in Rehab Science at UIC with a focus in cardiovascular physiology. In addition to research, teaching and clinical practice regarding patients with cardiopulmonary diseases, Dr. Severin has a strong interest in developing clinical practice tools for risk assessments for physical therapists in a variety of practice settings. He is an active member within the APTA and serves on the social media committee and Heart Failure Clinical Practice guideline development team for the cardiopulmonary section.

 

His research interests include: Assessment of cardiovascular risk in orthopedic physical therapy patients, hemodynamic responses to orthopedic rehab, Heart Failure, End Stage Lung Disease, Transplant Rehab, Exercise Physiology, Sport Performance, Peripheral muscle changes with cardiopulmonary and metabolic diseases, Tendinopathy

 

Resources discussed on this show:

List of PhD programs

UIC Integrative Physiology Laboratory Twitter

Clinical Rehabilitation and Technology Research Certificate

Rehab Review Youtube Channel

 

You can find more from Dr. Severin on twitter, facebook, and his website PT Reviewer!

 

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter and facebook 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 The Do's and Don'ts of Social Media!

Aug 15, 2016

On this week’s episode of the Healthy Wealthy and Smart Podcast, I welcome Dr. Claire Hiller to the show to introduce us to dance medicine and how physiotherapists can break into the industry. Dr. Hiller is a physiotherapist specializing in dance injuries and her current research interests at the University of Sydney include further development of the Cumberland Ankle Instability Tool, prevalence and impact of chronic ankle problems, predictors of chronic ankle instability, dancers' lower limb injuries, and dance footwear.

 

In this episode, we discuss:

-Common injuries of the spine, knee, and ankle seen in dancers

-In-depth analysis of the lateral ankle sprain vs the high ankle sprain and differential diagnosis

-Pre-pointe assessments and when to give your dancer the green light

-How a medical professional can effectively collaborate with dancer, dance teacher, and parent

-And so much more!

 

Dr. Hiller encourages physical therapists to pursue their interest in dance medicine by taking continuing education courses regardless of their current background. She states, “Physical therapists and other allied healthcare professionals are trained to watch people move… Dancers are very forgiving, if you even show a glimmer of the fact that you have an understanding of just the basics that go into dance, and you know what to look for and how to look for it, and you understand the body and how it moves and how it all connects, then you can be just as good if that’s the field you want to go into.”

 

In dancers, lateral ankle sprains usually don’t occur in isolation and a full ankle assessment is necessary for a realistic prognosis back to sport. From her experience, Dr. Hiller has found, “Dancers will often do something at the base of the outer part of their foot. Dancers can also have a high ankle sprain component again because they are coming down from a [demi-pointe position] and that’s often missed. People will go back far too soon if they have that. It’s a really important injury to stay longer off than even your lateral ankle sprain.”

 

Dr. Hiller believes that parents should be tuned into their child’s complaints of pain and advocate early on for preventative care. “Some ways of training is you power on through everything. The life of a dancer is to live with pain, to be able to cope with pain. When you have pain, it is nothing unless you’re laid out on the floor and can hardly move. If your child is complaining of pain, and their consistently complaining of pain, don't wait till they are nagging you that they’re having pain. Listen to them when they start to say they have pain in my back, pain on the side of my knee, pain in my ankle, pain in my foot.”

 

Physical therapists have the training to facilitate a safe progression to pointe. Dr. Hiller illustrates this role, “A pre-pointe assessment is about whether your child is actually ready for that step of putting your pointe shoes on. It’s not just about being able to put the pointe shoes on and balance, you’ve got to be able to have the strength and the control at a certain level before you can safely get up on your pointe shoes. And not just safely, once you get up there and actually be able to do something and enjoy it.”

 

For more about Dr. Hiller:

Dr. Hiller has been awarded a Postdoctoral Fellowship at the University of Sydney to study ankle sprain and instability. Her current works aims to build on her doctoral studies which included: the development of the Cumberland Ankle Instability Tool (CAIT), an objective measure of functional ankle instability; finding bilateral changes following unilateral ankle sprain; and proposing a modified model of chronic ankle instability. Dr. Hiller is also a practicing physiotherapist with a special interest in dance injuries. She has been involved in convening specialist interest days at the International Association of Dance Medicine and Science Annual Meetings and recently co-convened the 4th International Ankle Symposium.

 

Current research interests include: further development of the CAIT, prevalence and impact of chronic ankle problems, predictors of chronic ankle instability, dancers' lower limb injuries, and dance footwear.

 

Resources discussed in this show:

International Association for Dance Medicine and Science

Harkness Center for Dance Injuries

Dance Movement Therapy Association of Australasia 

National Institute of Dance Medicine and Science (NIDMS)

Ausdance

Healthy Dancer Canada - The Dance Health Alliance of Canada

Performing Arts Medicine Association (PAMA)

 

Articles mentioned in today's podcast:

1) Liederbach MJ et al (2008) Incidence of anterior cruciate ligament injuries among elite ballet and modern dancers. American Journal of Sports Medicine 36: 1779-1788

2)Sman AD et al (2015) Diagnostic accuracy of clinical tests for ankle syndesmosis injury British Journal of Sports Medicine 49:323-329 

3) The Hazards of Ankle Sprains NYT July 25th 2016

 

Dr. Hiller invites you to reach out via email (claire.hiller@sydney.edu.au) and connect with researchers, clinicians and students interested in dance related research at Dance Research Collaborative!

 

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!

 

Aug 8, 2016

Thanks for tuning in to the Healthy Wealthy and Smart Podcast! Coming to you from Chicago, Drs. Sarah Haag, Sandy Hilton, and Jason Falvey join me for Part 2 on our discussion all about sex! You can check out Part 1 from CSM in Anaheim, California here in case you missed out!

 

In this episode, we discuss:

-Broaching the subject of sex with your patients

-Recalibrating sex after surgery and childbirth

-Rising rates of sexually transmitted diseases in the older adult population

-How a bladder diary can help those with persistent UTI

-And much, much more!

 

Sex has multiple health benefits outside what is commonly perceived and can be utilized as exercise. “There is so much that sex is good for cardiovascularly, musculoskeletally. It’s just awesome for so many reasons mentally. When we talk about population health and things that keep people moving and happy—that’s a good one.”

 

Sex is an important activity of daily living and can be a tool for clinicians to implement into their home exercise program. “Pleasurable movement is one of the things that help you get back to normal movement. So if you can make this make sense and feel good, it’s probably going to be one of the first and well motivated things you’re going to do in an exercise program.”

 

After patients have undergone surgery, surgical restrictions are not you’re only guiding tool for sex. “Always let pain be your guide, if it hurts, don’t do it. Sex is never supposed to hurt—it’s supposed to be amazing.”

 

We tend to forget about the vital functions our pelvic organs perform every day. “Peeing and pooping and sex, they are all very basic bodily functions and we can start to forget about it. If I ask any of you how often you peed today, you would have to think really hard and I betcha 10 bucks you’d be wrong with whatever you guessed. You can go pee mindlessly.”

Today's guests:

Sandy Hilton PT, DPT, MS: Sandy graduated from Pacific University (Oregon) in 1988 with a Master of Science in Physical Therapy and a Doctor of Physical Therapy degree from Des Moines University in December 2013. She has worked in multiple settings across the US with neurologic and orthopaedic emphasis combining these with a focus in pelvic rehabilitation for pain and dysfunction since 1995. Sandy has teaches Health Professionals and Community Education classes on returning to function following back and pelvic pain, assisted with Myofascial Release education, and co-teaches Advanced Level Male Pelvic Floor Evaluation and Treatment. Sandy’s clinical interest is chronic pain with a particular interest in complex pelvic pain disorders for men and women. Sandy is also pursuing opportunities for collaboration in research into the clinical treatment of pelvic pain conditions. Sandy brings science and common sense together beautifully to help people learn to help themselves.

 

Sarah Haag PT, DPT, MS, WCS Cert. MDT, RYT: Sarah graduated from Marquette University in 2002 with a Master’s of Physical Therapy. Sarah has pursued an interest in treating the spine, pelvis with a specialization in women’s and men’s health. Over the past 8 years, Sarah has seized every opportunity available to her in order to further her understanding of the human body, and the various ways it can seem to fall apart in order to sympathetically and efficiently facilitate a return to optimal function. Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Women’s Health. She went on to get her Doctorate of Physical Therapy and Masters of Science in Women’s Health from Rosalind Franklin University in 2008. In 2009 she was awarded a Board Certification as a specialist in women’s health (WCS). Sarah also completed a Certification in Mechanical Diagnosis Therapy from the Mckenzie Institute in 2010. Most recently, Sarah completed a 200 hour Yoga Instructor Training Program, and is now a Registered Yoga Instructor. Sarah plans to integrate yoga into her rehabilitation programs, as well as teach small, personalized classes. Sarah looks at education, and a better understanding of the latest evidence in the field of physical therapy, as the best way to help people learn about their conditions, and to help people learn to take care of themselves throughout the life span.

 

Jason Falvey PT, DPT, GCS: 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.

 

Resources discussed in this show:

Oswestry Disability Index

Finding a pelvic health PT

Holly Herman  

 

Make sure to give Jason Falvey , Sarah Haag , and Sandy Hilton a follow 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!

Aug 1, 2016

Today’s show is with Dr. Kelly Starrett where he answers audience questions concerning how he optimizes human performance. Kelly is a coach, physical therapist, author, speaker, and creator of the blog Mobility WOD. Kelly’s work across these mediums has reached large audiences and revolutionized how athletes think about human movement and athletic performance.

 

In this episode, we discuss:

-Allied relationships between physical therapists and strength and conditioning coaches

-Do anatomical variations impact ideal posture and movement?

-Why we should be taking a 30,000 foot view in our culture

-How Kelly reconciles pain science and biomechanics in his physical therapy practice

-How to build a large platform with the use of social media

-And so much more!

 

Kelly advocates that every human should be incorporating a mobility regime into their day to day lives. He states, “What does it mean foundationally to be a human being, what are the things we should be able to do? We remain agnostic about the way you want to train, but you better have a movement practice or at least express full range of motion if you plan on moving fast, lifting heavy, going up and down stairs, or picking up your kid.”

 

Kelly stresses that enhancing movement is a continual process and every day is a movement screen. “We don't expect movement competence to happen overnight. This is a process but eventually we should all be moving better and better and better because that is what it means to acquire skills as a human. It takes 10,000 repetitions as a baby to integrate a movement pattern. That means we have some tolerance in the system to buffer some less than ideal biomechanics. Overtime we should be refining that.”

 

Kelly challenges the physical therapy profession to focus more attention on educating the public on preventative care. He stresses, “When you have a fever, you take some Tylenol. If you have a cold, you don’t go see your doctor. If you have a cut, we teach people basic first aid. [Physical therapists] are not doing a good job teaching basic first aid around the body to everyone.”

 

We also discuss Kelly’s widely successful online fitness platform and the best ways to target and gain influence in your own local community. He states, “People are looking for advocates, they are looking for help… if you set out to influence a bunch of people, you influence no one. It’s not authentic, it’s not real. Solve a set of problems and be of use to your community and people will find you.”

 

For more about Kelly:

Kelly Starrett is a coach, physical therapist, author, speaker, and creator of [mobilitywod.com], which has revolutionized how athletes think about human movement and athletic performance.

 

His 2013 release, Becoming a Supple Leopard has become a New York Times and Wall Street Journal bestseller. [His] blog was voted #4 in Outside Magazine’s Top 10 Fitness Blogs of 2011, Breaking Muscle’s Top 10 Fitness Blogs of 2011, and Health Line’s Top 100 Health Blogs of 2011. Kelly and his work have been featured in Tim Ferris’ Four Hour Body, Competitor Magazine, Inside Triathlon, Outside Magazine, Details Magazine, Power Magazine, and the Crossfit Journal.

 

He teaches the wildly popular Crossfit Movement & Mobility Trainer course and has been a guest lecturer at the American Physical Therapy Association annual convention, Google, the Perform Better Summit, the Special Operations Medical Association annual conference, police departments, and elite military groups nationwide.

 

Coach Kelly Starrett received his Doctor of Physical Therapy in 2007 from Samuel Merritt College in Oakland, California.

 

Before starting his own physical therapy practice at San Francisco CrossFit, one of the first 30 CrossFit affiliates, he practiced performance-based physical therapy at the world-renowned Stone Clinic. In his current practice, Kelly continues to focus on performance-based Orthopedic Sports Medicine with an emphasis on returning athletes to elite level sport and performance.

 

Kelly’s clients have included Olympic gold-medalists, Tour de France cyclists, world and national record holding Olympic Lifting and Power athletes, Crossfit Games medalists, ballet dancers, military personnel, and competitive age-division athletes.

 

Kelly’s background as an athlete and coach includes paddling whitewater slalom canoe on the US Canoe and Kayak Teams, and leading the Men’s Whitewater Rafting Team to two national titles and competition in two World Championships. In his free time Kelly enjoys spending time with his wife Juliet and two daughters, Georgia and Caroline, surfing, paddling, Olympic lifting, hot-tubbing, and so-you-think-you-can-dancing.

 

Resources discussed on this show:

Stand Up Kids

Chris Powers

Dan Pfaff

Functional Movement Screen

Lorimer Moseley

David Butler

Greg Lehman

International Spine and Pain Institute

PTPintcast

 

Kelly welcomes you to stop by his clinic in San Francisco, California and see what he’s all about. You can find more from him at Mobility WOD and follow him on twitter!

 

Join me and other professionals for PT Day of Service this October 15th and give back to your local community!

 

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 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!

 

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