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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: 2017
Jul 31, 2017

On today’s episode of the Healthy Wealthy and Smart Podcast, I welcome Jonathan David Lewis onto the show to discuss brand survival. Jonathan David Lewis is the author of Brand vs Wild, a Forbes contributor and a brand survival expert at McKee Wallwork + Co. Jonathan’s opinions are highly sought by numerous business and marketing publications, including Forbes, Digiday, and Advertising Age, where he explores the factors of stalled growth and the principles proven to help companies traverse the dangers of the brand wilderness.

In this episode, we discuss:

-What survival psychology can teach us about growing a business

-Why maintaining success requires continual curiosity

-Brand differentiation strategies and how to find your niche audience

-Brand vs Wild: how to navigate the increasingly harsh business world

-And so much more!

 

Business challenges can create fear, but fear is a primary driver of personal and business growth. Jonathan believes, “Fear is one of those emotions that is fundamental to business and career and life.”

 

Survival psychology describes three different reactions to adversity: being prepared, becoming paralyzed or panicking. Interestingly, Jonathan describes, “There is very little difference psychologically between a group of survivors who have crashed landed on a mountain or became lost in the desert and a group of business people who are just trying to navigate some sort of unexpected business challenge. We go through the same psychological reaction.”

 

Being an industry leader breeds complacency and arrogance. Jonathan warns, “One of the biggest enemies of continual learning is success.”

 

The age of mass marketing is coming to an end. New businesses should seek to be hyper-relevant to a very small tribe. Jonathan reminds us, “It’s okay to be small. It’s okay to be niche.”

 

For more information on Jonathan:

Jonathan David Lewis is the author of Brand vs Wild, a Forbes contributor and a brand survival expert at McKee Wallwork + Co.

 

As partner and strategy director at MW+C, Jonathan led his firm to be recognized by purveyor Advertising Age as a national leader in branding and marketing, winning the Southwest Small Agency of the Year, national B2B Campaign of the Year, and national Best Places to Work awards.

 

Jonathan sharpened his skills during the harsh years of the Great Recession, helping brands navigate today’s unforgiving new business paradigms. Jonathan’s opinions are highly sought by numerous business and marketing publications, including Forbes, Digiday, and Advertising Age, where he explores the factors of stalled growth and the principles proven to help companies traverse the dangers of the brand wilderness.

 

Resources discussed on this show:

Brand vs Wild

Jonathan David Lewis Twitter

McKee Wallwork & Company

Jonathan David Lewis Website

Survival Psychology by John Leach

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jul 28, 2017

In this episode of the PT Side Hustle podcast I discuss:

- What is an NPI number and do I need it?

- What is a covered entity

- What do I do when self doubt start to creep in?

 

Resources discusses in this episode:

APTA information on the NPI Number

NPPES Website

Are you a Covered Entity

Physio Matters Podcast

 

Thanks to our sponsor for this episode Freshbooks! Click here for a free 30 day trial.

 

Thank you for listening and supporting the PT Side Hustle Series. I appreciate it more than you know.

xo

Karen

 

Jul 24, 2017

On today’s episode of the Healthy Wealthy and Smart Podcast, I had the honor of welcoming Professor Lorimer Moseley onto the show to answer audience questions regarding persistent pain. Lorimer Moseley’s interests lie in the role of the brain and mind in chronic pain. He is Professor of Clinical Neurosciences at the University of South Australia and a Senior Principal Research Fellow at Neuroscience Research Australia.

In this episode, we discuss:

-The Pain Revolution: creating a public discourse about persistent pain

-Misconceptions surrounding the biopsychosocial model and pain

-Confronting medical providers who promote negative pain beliefs

-Is there merit in using placebo treatments for chronic pain?

-How does Lorimer stay critical of his own scientific work?

-And so much more!

 

Persistent pain needs to be understood not only by clinicians but the general public and policymakers. Lorimer believes, “It’s our most burdensome non-fatal condition facing our species.”

 

Clinicians need to understand what motivates their patients. Lorimer reminds us that, “When push comes to shove, in the raw moment, you ask a patient with persistent pain or anyone in pain, what do you want most right now? I think most of them would say pain relief.”

 

Medical providers hold a great deal of sway with patients. This influence can be used to validate what patients are feeling and aid the healing process. Lorimer states, “Nearly all health professionals have a natural tendency and a very slick skill set of legitimizing someone’s suffering.”

 

Although the biopsychosocial model differs in many ways from the biomedical model, there are many opportunities to share insights and practitioners of both frameworks should be self-critical. Lorimer advices, “It’s tempting for us to cast character judgments on those who are not like us. Actually, I think that people are trying to help their patients a lot of the time. They’re good people. I really think we need to collaborate and just keep open the possibility that we’re wrong. We have to be committed to try and prove ourselves wrong.”

 

For more information on Lorimer:

Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Foundation Professor of Neuroscience and Chair in Physiotherapy, The Sansom Institute for Health Research at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow.

 

He has published over 200 papers, four books and numerous book chapters. He has given over 140 keynote or invited presentations at interdisciplinary meetings in 30 countries and has provided professional education in pain sciences to over 10,000 medical and health practitioners and public lectures to as many again. His YouTube and TEDx talks have been viewed over 200,000 times.

 

He consults to governmental and industry bodies in Europe and North America on pain-related issues. He was awarded the inaugural Ulf Lindblom Award for the outstanding mid-career clinical scientist working in a pain-related field by the International Association for the Study of Pain, was shortlisted for the 2011 and 2012 Australian Science Minister’s Prize for Life Sciences, and won the 2013 Marshall & Warren Award from the NHMRC, for the Best Innovative and Potentially Transformative Project. He was made Fellow of the Australian College of Physiotherapists in 2011, by original contribution, and an Honoured Member of the Australian Physiotherapy Association, their highest honour, in 2014.

 

Resources discussed on this show:

Pain Revolution

Pain Revolution Facebook

Explain Pain Supercharged

Body In Mind Twitter

Body In Mind

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jul 17, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Jo Gibson is featured to discuss physical therapy treatment of the unstable shoulder. Jo is a Clinical Physiotherapy Specialist working at the Liverpool Upper Limb Unit at the Royal Liverpool Hospital and a Consultant in private practice. She has worked as a Shoulder Specialist since 1995 and lectures nationally and internationally about assessment and rehabilitation of the shoulder complex. Jo has co-developed Masters modules with Liverpool University for the diagnosis and treatment of upper limb pathology and has co-authored national guidelines for the management of different shoulder pathologies. She has presented original research at many National and International conferences, published in peer-reviewed journals and written several book chapters. In addition she is an Associate Editor of the British Shoulder & Elbow Journal.

In this episode, we discuss:

-Using patient history to classify shoulder pathology

-Factors to consider when deciding whether to treat with surgery or rehabilitation

-The nervous system’s role in shoulder instability

-How to use language and metaphors to develop buy-in

-Jo’s takeaways from the British Elbow and Shoulder Society Conference

-And so much more!

 

Jo prioritizes learning about a patient’s history during the initial evaluation because it can serve as a roadmap for treatment. Jo has found that, “The biggest investment of my time is hearing how everything started and what the story has been from there.” Jo believes patient history to be more valuable than other evaluation method as she states, “The history tells me far more than any clinical test.”

 

Symptom modification can be an important psychological tool to encourage more confidence in a patients shoulder capabilities. Jo stresses, “It is very empowering for the patient because it shows them that if we make their muscles work differently they are stable.”

 

Jo’s treatment protocol includes a variety of functional exercises which utilize external cues to promote motor learning and neuroplasticity. Jo believes there is room for physical therapists to get creative with these treatments and that sometimes, “We kind of undermine the artistry of what we do.”

 

Jo has found that improving her communication skills has led directly to improved physical therapy treatment outcomes. Jo reminds us that, “This is about being human. Communication underpins everything we do… Patients are just the biggest source of information and actually they give us all of the clues and give us the language to use.”

 

For more information on Jo:

Jo Gibson Grad.Dip.Phys MSc.(Adv.Pract) MCSP. Jo Gibson studied physiotherapy at the Salford College of Technlogy and qualified in 1987. Her physiotherapy career started in Nottingham in 1987 at Queen’s Medical Centre where an encounter with Professor Angus Wallace fuelled her interest in the shoulder.

Jo moved to Liverpool in 1989 and after completing several years of rotational experience she joined forces with Professor Simon Frostick and in 1996 she became one of the first specialist Upper Limb Physiotherapists in the UK.

In order to increase her subspeciality knowledge and expertise, Jo completed travel fellowships in the UK, Europe and the USA sponsored by the British Elbow and Shoulder Society and Royal Liverpool University Hospital Trust Charities Board.

Since that time the Liverpool Upper Limb Unit has gained an International reputation as a centre of Excellence in Shoulder and Elbow surgery and it was here that Jo started working with Peter Brownson.

Jo has a passion for education and since 1996 she has lectured nationally and internationally on rehabilitation of the shoulder and she runs her own courses all over the World.

Internationally, in 2004 she was a co-founder of the International Congress of Shoulder and Elbow Therapists, a meeting which now runs tri-annually. In addition, Jo has served as Vice president and Chair of the education committee on the EUSSER board (European Society of Shoulder & Elbow Rehabilitation).

Nationally, Jo has been the AHP representative on the British Elbow and Shoulder Society (BESS) Council and in addition she has served as a member of the BESS Research and Education Committees. She is an associate lecturer at the University of Liverpool and has co-developed tailor made masters modules to support physiotherapists working in or towards specialist Upper Limb appointments.

Jo completed her Masters in Advanced Practice at Liverpool University in 2012 and completed her dissertation on the Biopsychosocial model cementing her belief in tailoring treatment to the individual and the importance of communication skills.

She continues to be involved in upper limb research, has presented original research at many National and International conferences winning three Best Paper prizes. She has published in peer-reviewed journals and written several book chapters. Jo has also co-authored BESS Care Pathways for the British Elbow and Shoulder Society.

Jo’s recognized expertise in the assessment and management of shoulder pathology has resulted in consultancy work with many elite sports teams in a variety of sports including football, rugby, cricket, gymnastics, swimming, boxing and tennis. In addition she is regularly sought out by other clinicians to help problem solve more challenging presentations.

Her close working relationship with Peter Brownson has been pivotal in the opportunity to develop postoperative rehabilitation regimes facilitating early return to sport or function and has resulted in a publication of results in an elite football population.

 

Resources discussed on this show:

Stanmore Classification

Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial

Derby Shoulder

Jane Moser Research

Noi Group Apps

Noi Group Website

Twitter #bess2017

British Elbow and Shoulder Society

Jo Gibson Twitter

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jul 14, 2017

On this episode of the Healthy Wealthy & Smart podcast we continue with the PT Side Hustle series. This series is all about adding a side hustle to your physical therapy career.

In this episode I discuss:

- Types of side hustle (hint they don't have to be patient care related)

- An easy technique to get clear on what your side hustle could be (get a pen and paper ready)

- Setting SMART goals and why they is important

- Making sure everyone in your life is ready for your side hustle (sometimes it is not all about you)

- How to pick up at least 10 extra hours in your week.

 

Resources from this episode:

Freshbooks

Chris Winfield

Entrepreneur.com Side Hustle Series with Chris Winfield

Pomodoro Method

Example of Theta Wave Music

 

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!

 

Thank you for embracing this new series the PT Side Hustle!

Have a great week and stay Healthy Wealthy and Smart!

 

Xo Karen

 

Jul 10, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Andrew Murray joins me to discuss the building blocks of population health. Dr. Murray is a Sports and Exercise Medicine doctor, GP and runner who has worked in the Olympic, Paralympic and Commonwealth Games, the Ryder Cup and with various national and international squads. He currently works for the European and Challenge Tour Golf, the SportScotland Institute of Sport, and the Scottish Rugby Union. He is passionate about increasing physical activity for health and has worked for the Scottish Government as their first “physical activity champion”, and enjoys research with the University of Edinburgh in this area.

In this episode, we discuss:

-The role of preventative care as the foundation for population health

-How much exercise is enough?

-How sleep and diet contribute to optimal health

-Practical tips to implement healthier lifestyle changes and ways to advocate in the community

-And so much more!

 

Modern medicine is capable at combating many ailments however, Dr. Murray believes, “What isn’t working at the moment is preventative medicine.”

 

From international government relations to community outreach programs, collaboration, education and other forms of social support are needed for more individuals to achieve optimal health outcomes. Dr. Murray stresses, “Everyone’s got a role as being part of the solution.”

 

Physical activity has been shown to be a key prevention tool. Dr. Murray encourages everyone to at the very least start small and get moving as, “Something is better than nothing…You’re never too late, you still got time…Start today.”

 

Although preventative medicine is not an immediate fix for patients, Dr. Murray encourages practitioners and the broader industry to adopt a long-term perspective for better outcomes over time. Dr. Murray is a proponent of, “If we do the basics right then good health will follow.”

 

For more information on Dr. Murray:

My background is as a Sports and Exercise Medicine doctor, GP and runner, whilst I have written a couple books, enjoy a load of speaking engagements and do a little journalism.

As a runner, I have completed challenges including a 4,300km run from far north Scotland to the Sahara desert, 7 ultra-marathons on the 7 different continents in under a week, and with Donnie Campbell the first run across the mighty Namib desert and a run across East Africa. Race wise, I’ve placed first in the North Pole Marathon, the Antarctic Ice Marathon, the Gobi Challenge, the Indo Jungle Ultra, and races closer to home, whilst also competing for Scotland in various events.

Work wise I have worked at the Olympic, Paralympic and Commonwealth Games, the Ryder Cup and with various national and international squads. I currently work for the European and Challenge Tour Golf, the SportScotland Institute of Sport, and the Scottish Rugby Union from the elite sport side of thing, but am passionate about increasing physical activity for health. To this end, I worked for the Scottish Government as their first “physical activity champion”, and enjoy my research with the University of Edinburgh in this area. Getting active, and staying active really is the best thing you can do for your health. Each step is a step to health.

I needed a good kick up the backside from a mate to get active again after university, and urge everyone to GET ACTIVE today, and spread the word.

Updates from various capers, health promotion stuff and injury advices will appear in my blog and the site content will be updated. My next big adventure is a husky riding, running extravaganza to Outer Mongolia in temperatures around -40 celsius in January 2016. Preparation and the adventure will be shared fully in my blogs.

 

Please take the time to check out my charities. Thanks to you all, over £150k has been raised through various runs for 3 amazing causes.

 

My books “Running Beyond Limits” and “Running Your Best – Some Science Medicine” are available via Amazon and the usual book stores.

 

For talks or inquiries, please get in touch !

 

Resources discussed on this show:

23 and 1/2 hours: What is the single best thing we can do for our health? Video

Yann Le Meur Website

Dr. Andrew Murray Twitter

Dr. Andrew Murray Website

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jul 5, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Jim Klopman joins me to talk about the integral role of balance for health and longevity. Jim is a lifelong innovator who has always been one of those people who thinks differently. He believes balance training has sharpened his ability to make new neural connections and see the possibilities and pathways that others miss.

In this episode, we discuss:

-The statistics of the death and injury caused by poor balance

-Four ways modern life impairs our balance

-The link between balance and athletic performance

-Balance training for concussion patients

-And so much more!

 

Jim believes that balance is a fundamental component of longevity; however its decline can easily be overlooked by most people. Jim has found that, “Balance is this kind of hidden system that we don’t know has gotten worse. When it gets worse, we don’t recognize it but we do see fall off in the performance of our sports.”

 

Jim notes, “We have more fitness, we have better physical therapy, we have better medical care. Our spaces that people walk around in since the ADA has been instituted are perfectly flat, there’s ramps everywhere, there’s no place you should be able to trip in any public space. Yet this number of accidental deaths and accidental injuries for the people over 65 have nearly doubled.” In a world where our balance system is no longer challenged on a daily basis, Jim believes individuals must work to actively include it in their exercise programming.

 

We gravitate to and enjoy sports and recreation which challenge our balance and yet day to day workplace activities we do are predictable. Jim believes, “The problem is that we are losing this sense of balance because of the modern world we live in.” He challenges, “We are not really meant to live in this world where there are perfectly flat floors and perfectly vertical walls.”

 

For more information on Jim:

Jim is a lifelong innovator who has always been one of those people who thinks differently. He believes balance training has sharpened his ability to make new neural connections and see the possibilities and pathways that others miss.

 

Originally Jim was looking for a way to maintain his own athletic performance well into his 90s. But the Slackbow Balance Training System he developed turned out to be a key to whole body and mind fitness that was even more revolutionary than he could have imagined.

 

He is eager to spread his knowledge, techniques and tools far and wide to help seekers like him tune their brains to perform better in work and sports, sleep better, look younger and live longer.

 

Resources discussed on this show:

SlackBow Website

SlackBow Products

SlackBow Facebook

Balance is Power

Email: jim@slackbow.com

Phone: (435) 200-3287

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jun 30, 2017

On this episode of the Healthy Wealthy & Smart podcast I am so happy to debut a new series called the Physical Therapy Side Hustle! I get so many questions from physical therapists across the country every week that I thought I would answer many of those questions right here on the podcast.

Enter the PT Side Hustle Series! This series will have 2 episodes a month dedicated to the true side hustle. I will share my ups and downs as an entrepreneur, answers lots of your questions and hear from business experts. Topics will range from shifting your mindset, systems set ups, goal setting, handling the day-to-day grind of essentially working 2 jobs, marketing, branding and much more!

I am really excited to share this series with you and I hope you enjoy it as I much as I do!

In this episode I discuss:

- Why I decided to start a PT Side Hustle Business

- The big mistake I made when I first started

- Do you need a corporate entity for a side hustle?

- What kind of malpractice insurance do you need?

- How can you start to create your client list?

 

Resources discussed in this episode:

Is Professional Liability Insurance Worth it? This is a nice article from WebPT

Corporate Entities

 

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

 

 

Jun 26, 2017

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of welcoming Dr. Kenneth Miller onto the show to discuss patient care transitions between physical therapy settings. Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working in home care and inpatient rehab settings, as well as more than 7 years in adjunct faculty roles for the University of St Augustine, New York Institute of Technology, University of Michigan–Flint, and Touro College. He is a clinical educator at Catholic Home Care, in Farmingdale, N.Y., has developed a course on clinical pharmacology for GREAT Seminars and has several online courses for MedBridge. Dr. Miller chairs the APTA’s Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and is a manuscript reviewer for the Journal of Geriatric Physical Therapy.

In this episode, we discuss:

-The current state of information transmission between physical therapy settings

-Biomarkers used to evaluate the health status of patients

-The real risk of patient fragility and the importance of adequately overloading during treatment

-How to enhance home compliance and educate patients through technology

-And so much more!

 

Information sharing between healthcare settings is often not reliable. Instead practitioners should focus on ensuring they have the most salient information. From Dr. Miller’s experience, he states, “It is often difficult to get the information I need. It becomes futile sometimes to try and get that information. Some clinicians have stopped reaching out to hospitals and just try to do the best they can with what they have.”

 

Effective and literature supported biomarkers such as gait speed and distance are useful tools to assess risk of re-hospitalization and guide plan of care. Dr. Miller stresses to, “Get those biomarkers out there, so that way even if we can’t get all of the information, be very specific with the type of information, and we can reduce readmissions.”

 

With a growing demographic of home care patients, assessing patient risk level and the need for physical therapy is becoming more important. Dr. Miller notes, “Our patient case loads are going through the roof. I think we need to be able to triage our patients more appropriately for who does need care and who doesn’t and try not to make visits that are not necessary.”

 

One of the biggest challenges facing physical therapy exercise prescription is effectively loading patients. Dr. Miller shares that, “The only known way to combat frailty at this point is exercise and it has to be appropriately dosed.”

 

For more information on Dr. Miller:

Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working in home care and inpatient rehab settings, as well as more than five years in adjunct faculty roles. He is currently a clinical educator and physical therapist at Catholic Home Care, in Farmingdale, N.Y., and a consultant, for The Corridor Group. He has taught for New York Institute of Technology, University of Michigan–Flint, and Touro College.

 

He is the co-author of the book Providing Physical Therapy in the Home, published by the American Physical Therapy Association (APTA), as well as the author of peer-reviewed publications in Neurorehabilitation and the Journal of Geriatric Physical Therapy. He has presented at the APTA Combined Sections Meeting and NEXT Conference.

 

Dr. Miller chairs the APTA’s Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and the Journal of Novel Physiotherapy and Physical Rehabilitation.

 

He is the recipient of numerous honors, including three APTA Home Health Section awards: 2016 Section Contribution Award, 2015 Outstanding Effort Award, and 2010 Excellence in Home Care Award. In 2012, he received the Shining Star Award from the Long Island Health Network.

 

He is a Board Certified Geriatric Specialist, a TeamSTEPPS Master Trainer, an APTA Credentialed Clinical Instructor, and an APTA Certified Exercise Expert for Aging Adults.

 

Resources discussed on this show:

Fried et al. 2001: Frailty in older adults: evidence for a phenotype.

Dr. Kenneth Miller Twitter

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jun 19, 2017

On behalf of the British Journal of Sports Medicine, I had the pleasure of speaking with Dr. Marie-Elaine Grant on taping and bracing in the athletic population LIVE from the IOC World Conference in Monaco.

Dr. Marie-Elaine Grant, is a chartered physiotherapist currently on the IOC medical commission and has monitored physiotherapy services on behalf of the IOC for the past 2 Summer Olympic games in addition to owning a clinical practice in Dublin, Ireland. Dr. Grant’s globally recognized Chartered Physiotherapist qualification has led to a career of preparing, rehabilitating and working with Olympic athletes and clinical patients.

In this episode, we discuss:

-The top 3 reasons for when to use and not use tape or a brace on your athlete

-Does the ongoing use of taping or bracing develop dependency?

-The most important considerations to uphold the integrity of taping during sport

-Is bracing or neuromuscular training more effective post-injury? And what are the validity of the outcome measures?

-And so much more!

 

There are many nuances to treating the high level athlete that can sometimes be more important than clinical reasoning. Dr. Grant believes, “Every elite athlete will have a very strict drill the day before and certainly in the hour leading into competition. And that drill and that discipline that they have developed that they get themselves to the starting blocks of the track that has to absolutely be something that is fully respected.”

 

The ultimate goal of a physiotherapist is to help the athlete return to sport without the use of taping or bracing. Dr. Grant finds, “The less dependency that athletes have on extraneous supports, the better and the more likely they are to have consistent and really good performances.”

 

Regardless of whether the mechanisms of taping and bracing have gained support from the research literature, “Athletes will continue to use it and they will continue to request it. Therefore, there is something in this… we have to try and understand why athletes find this beneficial even if the science is not there.” From Dr. Grant’s experience with the Olympics, she has found that the real importance is, “we need to have a much better understanding of what it is doing, how it does it and to ensure that athletes don’t develop a false dependency on it.”

 

For more information on Dr. Grant:

 

Dr. Marie-Elaine Grant (PhD, PT), Physiotherapist to the International Olympic Committee’s (IOC) Medical Commission, Games Group. Ireland’s Olympic Team Lead Physiotherapist from 1990 – 2010. A specialist member of the Irish Society of Chartered Physiotherapists.

 

Marie-Elaine is a physiotherapy graduate of UCD (University College Dublin). During the early phase of her career she worked in University Hospitals in Dublin before traveling to Europe and the USA to further her learning and skills. During this time she developed a keen interest in sports physiotherapy and advanced her knowledge and expertise by successfully completing post graduate courses in core sports physiotherapy skills and at the same time advancing clinical experience working with sports teams and aspiring young athletes before advancing to supporting the high performance athlete.

She was appointed to the Medical Committee of the Olympic Council of Ireland in 1990 and subsequently appointed as their lead physiotherapist. Marie-Elaine has served with the Irish Olympic Team for 5 consecutive Summer Olympic Games commencing with Barcelona 1992 through to Beijing 2008. She also served with the Irish Olympic Team for the Turin 2006 and Vancouver 2010 Winter Olympics and was appointed to 10 Irish European Youth Olympic Squads. In this role she planned, implemented strategies for provision of high quality physiotherapy services and injury prevention screening programmes for high performance and developmental athletes together with developing physiotherapy support networks with the National Governing Bodies of Olympic Sports.

 

Marie-Elaine was inspired by the commitment, focus and dedication of so many athletes which in turn inspired her to push the boundaries of her clinical understanding by undertaking further learning by scientific research. She was awarded a PhD in 1997, the title of her research thesis was: ‘Evaluation of the Effects of Spinal Strengthening using a Sports Medicine Exercise Approach’. She continues to participate in clinical research, has had peer reviewed publications and presents regularly at international conferences.

 

In 2011 Marie-Elaine was appointed to the International Olympic Committee’s (IOC) Medical Commission Games Group, as a clinical expert in sports physiotherapy, in this role she has been responsible for monitoring physiotherapy activities and facilities for participating nations at the London 2012 and Rio 2016 Summer Olympic Games and the 2014 Sochi Winter Olympic Games, and is currently preparing for the 2018 Winter Olympic Games to be held in PyeongChang. The key aims of this role are to protect the health of the world’s Olympic athletes and advance the role of physiotherapy within the global Olympic movement. Marie-Elaine continues to further advance sports physiotherapy ensuring recognition of the very important role that physiotherapy plays in protecting the health of the athlete through prevention, delivery of treatment of the highest standard and also intervention to support performance.

 

She continues to work extensively in clinical practice focusing on all aspects of sports physiotherapy. She also lectures on third level BSc Physiotherapy programmes and post-graduate MSc programmes in Sports and Exercise Physiotherapy for Universities in Ireland and has also been an external examiner. She supervises clinical placements for physiotherapy students and mentors post graduates.

 

She was awarded Specialist Membership of the Irish Society of Chartered Physiotherapists in Sports Medicine in 2006 which has been renewed in 2013 for a second term. In September 2013 she was awarded an Honorary Doctorate from University College Dublin in recognition of expertise and contribution to Sports Physiotherapy in Ireland and beyond.

 

 

 

 

 

Resources discussed on this show:

Marie-Elaine Grant Publications

Grant Physiotherapy Website

Marie-Elaine Grant LinkedIn

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jun 12, 2017

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of welcoming Cynthia Toussaint onto the show to discuss her experiences as a patient managing Complex Regional Pain Syndrome. Cynthia Toussaint is the founder and spokesperson of For Grace, an organization that promotes better care and wellness for women in pain. Toussaint championed and gave key testimony at two California Senate hearings – one was dedicated to CRPS awareness, the second explored the chronic under-treatment of and gender bias toward women in pain. She will lead a 2017 conference that will convene healthcare and policy leaders to bring pain care into the 21st century. The solutions proposed at the event will mandate structural changes that respond to patient needs and gender inequalities in California. Toussaint is the author of Battle for Grace: A Memoir of Pain, Redemption and Impossible Love.

In this episode, we discuss:

-The story behind Cynthia’s long battle with Complex Regional Pain Syndrome

-How Cynthia developed independent survival solutions when medical providers would no longer help

-Why gratitude, acceptance and grieving are necessary components for the management of chronic pain

-For Grace: better care and wellness for women in pain

-And so much more!

 

Cynthia’s long history of battling unimaginable physical and psychological pain has taught her how to be resilient. She believes, “We don’t know what we can live with until we are there.”

 

Cynthia has used her past experiences as inspiration for her advocacy and has created meaningful change for CRPS patients. Based on her experience, she stresses, “Don’t ever let anybody say you can’t get something done.”

 

Cynthia has found that adversity can breed strength and that, “People who go through the impossible odds survive and they go on to make the world a better place.”

 

After exhausting her family support system and the recommendations of her medical providers were unable to help with her chronic pain, Cynthia found her greatest relief through her own strength and will. She states, “With high impact chronic pain, we have to refuse to be a victim. We have to be our own advocates. We have to be deeply involved with self management.”

 

For more information on Cynthia:

Cynthia Toussaint serves as Spokesperson at For Grace and has had Complex Regional Pain Syndrome for 34 years. She later developed Fibromylagia and other over-lapping, auto-immune conditions. Cynthia founded For Grace in 2002 to raise awareness about CRPS and five years later expanded the organization’s mission to include all women in pain. Before becoming ill, she was an accomplished ballerina and worked professionally as a dancer, actor and singer.

 

Since 1997, she has been a leading advocate for women in pain, raising awareness through local, national and worldwide media as well as public speaking. Toussaint championed and gave key testimony at two California Senate informational hearings. The first, in May 2001, was dedicated to CRPS awareness. The second took place in February 2004 and explored the chronic under treatment of and gender bias toward women in pain. Both of these efforts were the first of their kind in the nation.

 

In 2006, Toussaint ran for the California State Assembly to bring attention to her CRPS Education Bill that Governor Schwarzenegger vetoed after she got it to his desk in its first year. Her next bill, a seven year effort, was signed into law by Governor Jerry Brown in 2015. This Step Therapy legislation reformed an unethical prescription practice used by the health insurance industry to save money in a way that increased the suffering of California pain patients.

 

Toussaint was the first CRPS sufferer to be featured in the New York Times, Los Angeles Times and on the Public Broadcasting System and National Public Radio. She is a consultant for The Discovery Channel, ABC News, FOX News, the National Pain Report and PainPathways, the official magazine of the World Institute of Pain. Also, she is a guide and guest contributor for Maria Shriver’s Architects of Change website.

 

Her many speaking engagements include the National Institutes of Health and Capitol Hill.

 

She is the author of Battle for Grace: A Memoir of Pain, Redemption and Impossible Love. Also, Toussaint is experiencing her first-ever partial CRPS remission largely due to the narrative therapy of writing this book.

 

Toussaint continues to be a leading advocate for health care reform in California. She was instrumental in changing public opinion which sparked sweeping HMO reform legislation that was signed by Governor Gray Davis in 1999. Her focus has now shifted to creating a single-payer, universal health care plan in California that would provide a model for the rest of the country.

 

Resources discussed on this show:

Battle for Grace: A Memoir of Pain, Redemption and Impossible Love

For Grace: Women in Pain Facebook

Cynthia Toussaint Twitter

For Grace Website

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Jun 5, 2017

On today’s episode of the Healthy Wealthy and Smart Podcast, Sharon Salzberg joins me to discuss her new book Real Love which will be released on June 6th, 2017! In her tenth book, Sharon Salzberg provides a pathway towards more sustainable and authentic connection by offering a creative toolkit of mindfulness exercises and meditation techniques that guide us to strip away our layers of habit to access a truer understanding of love, “real love.” This journey enables us to become more present and to begin to experience real love—love based on direct interactions, rather than preconceptions. When we are truly engaged in these present experiences we are not only able to feel more connected to our own core selves, but also to those around us, and ultimately to life itself. Divided into three sections, Real Love explores love in three arenas of life: for oneself, love for an other, and love for all of life.

In this episode, we discuss:

-An introduction to Loving Kindness Meditation

-Practical strategies to incorporate meditation into a busy schedule

-Is self compassion through meditation considered laziness?

-What Sharon hopes readers will learn from Real Love and viewing love as an ability not a feeling

-And so much more!

 

Sharon believes that our human brain, “can tend to fixate on what’s wrong and not appreciate what’s right and what’s good.” Loving Kindness Meditation understands our bias to focus on the negative and balances it with positive reflection for a holistic view of ourselves.

 

Incorporating meditation into a busy schedule can be as simple as being more present in everyday activities. Sharon stresses that, “Just short moments that break the crazy momentum that we get lost in, they make a difference too.”

 

According to Sharon, meditation is not a process of resetting our inner thoughts but rather enhancing them. “Our goal is not to wipe out thoughts, our goal is to develop a different relationship to our thoughts… The kind of awareness we are cultivating is balanced, it’s clear, it’s present, it’s loving.”

 

Sharon shares that the ultimate effect of meditation is revealed through a constant practice. By mastering the skill, “We learn to let go and begin again. When we do that over and over and over again, what happens is that our attention starts to get stabilized.”

 

For more information on Sharon:

Born in New York City in 1952, Sharon Salzberg experienced a childhood involving considerable loss and turmoil. An early realization of the power of meditation to overcome personal suffering determined her life direction. Her teaching and writing now communicates that power to a worldwide audience of practitioners. She offers non-sectarian retreat and study opportunities for participants from widely diverse backgrounds. Sharon first encountered Buddhism in 1969, in an Asian philosophy course at the State University of New York, Buffalo. The course sparked an interest that, in 1970, took her to India, for an independent study program. Sharon traveled motivated by “an intuition that the methods of meditation would bring me some clarity and peace.” In 1971, in Bodh Gaya, India, Sharon attended her first intensive meditation course. She spent the next years engaged in intensive study with highly respected meditation teachers. She returned to America in 1974 and began teaching vipassana (insight) meditation. In 1976, she established, together with Joseph Goldstein and Jack Kornfield, the Insight Meditation Society (IMS) in Barre, Massachusetts, which now ranks as one of the most prominent and active meditation centers in the Western world. Sharon and Joseph Goldstein expanded their vision in 1989 by co-founding the Barre Center for Buddhist Studies (BCBS). In 1998, they initiated the Forest Refuge, a long-term retreat center secluded in a wooded area on IMS property. Today she teaches a variety of offerings around the globe. Sharon resides in Barre, Massachusetts, and New York City. She served as a panelist with the Dalai Lama and leading scientists at the 2005 Mind and Life Investigating the Mind Conference in Washington, DC. She also coordinated the meditation faculty for the 2005 Mind and Life Summer Institute, an intensive five-day meeting to advance research on the intersection of meditation and the cognitive and behavioral sciences.  At the 2005 Sacred Circles Conference at the Washington National Cathedral, Sharon served as a keynote speaker. She has addressed audiences at the State of the World Forum, the Peacemakers Conference (sharing a plenary panel with Nobel Laureates His Holiness the Dalai Lama and Jose Ramos Horta) and has delivered keynotes at Tricycle’s Buddhism in America Conference, as well as Yoga Journal, Kripalu and Omega conferences. She was selected to attend the Gethsemani encounter, a dialogue on spiritual life between Buddhist and Christian leaders that included His Holiness the Dalai Lama. The written word is central to Sharon Salzberg’s teaching and studies. She is the author of nine books including Lovingkindness, the NY Times best seller Real Happiness, and Real Happiness at Work. In her early Buddhist studies at the University of Buffalo, she discovered Chogyam Trungpa Rinpoche’s book, Meditation in Action. She later heard him speak at a nearby school:  he was the first practicing Buddhist she encountered. While studying in India, Shunryu Suzuki’s book Zen Mind, Beginner’s Mind profoundly influenced the direction of her meditation practice. She is a weekly columnist for On Being, a regular contributor the the Huffington Post, and was a contributing editor of Oprah’s O Magazine for several years. She has appeared in Time Magazine, Yoga Journal, msnbc.com, Tricycle, Real Simple, Body & Soul, Mirabella, Good Housekeeping, Self, Buddhadharma, More and Shambhala Sun, as well as on a variety of radio programs. Various anthologies on spirituality have featured Sharon Salzberg and her work, including Meetings with Remarkable WomenGifts of the Spirit, A Complete Guide to Buddhist America, Handbook of the Heart, The Best Guide to Meditation, From the Ashes—A Spiritual Response to the Attack on America, and How to Stop the Next War Now: Effective Responses to Violence and Terrorism.

 

Resources discussed on this show:

Sharon Salzberg Website

Real Love Book

Sharon Salzberg Twitter

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

May 29, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Liam West joins me to discuss how young medical professions can break into the competitive sports and exercise medicine world. Dr. Liam West trained at Cardiff Medical School in Wales, United Kingdom and has transitioned into working in Australian Rules Football both at the elite and Academy levels whilst still working in Soccer for Melbourne Victory. He is also working in research at La Trobe University whilst also helping lead their SEM departments Social Media and content creation

In this episode, we discuss:

-Tools young clinicians use to break into sports and exercise medicine

-Tips for introverts preparing for networking events

-The key element to master for buy-in with athletes

-Why you should seek out communication training to supplement your clinical skill set

-And so much more!

 

Sports and exercise medicine has a lot of traction globally and getting involved in international conferences can lead to many opportunities. Dr. West believes, “You don’t just need a local network, you need an international network.” One of the easiest tools at your disposal to connect with people outside your geographic region is through the use of social media. However, Dr. West warns, “Be very careful on social media,” and always project professionalism.

 

Gaining access to a niche field like sports medicine requires hard work and self-initiative, Dr. West reminds us that, “People don’t owe you the experience.”

 

Sports medicine practitioners face the unique dilemma of supporting a team’s success while looking out for the player’s best interest and health. Maintaining professional boundaries is critical to sustaining objectivity and ensuring positive outcomes and Dr. West stresses, “You’re there to work, do not become a fan.”

 

While experience is valuable, young clinicians will find that athletes care more about your commitment to their success than how long you have been treating patients as Dr. West points out, “Athletes don’t really care how much you know until they know that you care.” Dr. West believes, “Honesty is really powerful with an athlete.”

 

For more information on Dr. West:

Dr. Liam West trained at Cardiff Medical School in Wales, United Kingdom. During his first few years there he also completed a Sports Science Bachelors degree to dip his toes into the alluring water of Sports Medicine. During his undergraduate studies he set up a student society to promote, educate and offers opportunities within SEM to his peers both in medicine but all areas of SEM such as physiotherapy, sports science etc. Through the national acclaimed success of this society he then crated similar societies across the UK before founding an overarching UK student society and later a European wide one.

These societies kick started what is now an extremely strong and vibrant junior SEM scene in the UK. In his fourth year of his studies he single handedly ran his own student SEM conference attracting 250 delegates - this introduced him to Karim Kahn and Peter Brukner. A role within BJSM followed and over the years this has developed into being a Senior Associate Editor and a role within education.

After his studies finished he completed a Diploma in SEM whilst working full time as a junior doctor. He picked up his clinical work by working in horse riding, the Women's Soccer Premier League and as the England Under 16 Doctor.

In 2015 he made the switch to live in Melbourne where he still currently resides. He has transitioned into working in Australian Rules Football both at the elite and Academy levels whilst still working in Soccer for Melbourne Victory. He has left hospital medicine and is working in research at La Trobe University whilst also helping lead their SEM departments Social Media and content creation. He wrote a chapter in the newly released Clinical Sports Medicine (Brukner and Kahn).

Away from Academia, after playing soccer all of his life he has now converted this season to playing Australian Rules Football and is slowly learning what a true contact sport feels like.

 

Resources discussed on this show:

Switch: How to Change Things When Change Is Hard

Liam West Twitter

Journal Articles:

BJSM: Inside Track

 

West, L. R. (2013). Sport and exercise medicine in the undergraduate curriculum. Are we inspiring the next generation of sport and exercise medicine doctors and helping them overcome the barriers they face getting into the specialty? British Journal of Sports Medicine, 47(11), 664-5

 

West, L. R., & Griffin, S. (2016). Sport and exercise medicine in the UK: what juniors should know to get ahead. British Journal of Sports Medicine, bjsports-2016-096631Published Online First: 8 October 2016

 

To train or not to train for SEM – the medical student dilemma - British Journal of Sports Medicine

 

What my 13 flight, 4 country sports medicine elective taught me – 5 lessons for success in sports & exercise medicine – British Journal of Sports Medicine

 

To MSc or not to MSc; a Doctor’s perspective – British Journal of Sports Medicine

 

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

May 22, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Jackie Whittaker and I discuss youth injuries in sport. Dr. Whittaker is an Assistant Professor in the Department of Physical Therapy, University of Alberta in Edmonton, Canada, Research Director of the Glen Sather Sports Medicine Clinic and recognized as a clinical specialist in musculoskeletal physiotherapy by the Canadian Physiotherapy Association. Jackie’s research is focused on prevention of youth sport injuries and the consequences of these injuries as it relates to later negative health outcomes such as inactivity, obesity and osteoarthritis.

In this episode, we discuss:

-The most common injuries in youth sports and their lasting impact

-Physical therapy’s role in youth medical care

-What is most important in your first patient encounter?

-How to intervene for primary, secondary, and tertiary prevention

-Dr. Whittaker’s current research on long-term effects of youth injury

-And so much more!

 

Physical therapy’s role in youth healthcare is very important and Dr. Whittaker notes that, “The leading cause of injury requiring medical attention is related to sport and recreation participation.” Injury amongst youth athletes is driven by multiple factors including early sport specialization and year-round seasons.

 

Within a few years following youth injury, Dr. Whittaker shares, “They are starting to head down this trajectory of having negative health outcomes,” which includes becoming less active and obese.

 

When treating adolescents, it is important to consider the long-term impact beyond the initial injury. Preventing negative outcomes in the future requires setting realistic expectations and instilling confidence in their body’s capabilities. Dr. Whittaker stresses, “We also have to have their long term musculoskeletal health in the back of our head when we are treating their acute injury and trying to get them back to sport.”

 

Physical therapists should advocate active alternatives to competitive sport to allow youth to maintain involvement in a peer group and mitigate risk of future negative health outcomes. Dr. Whittaker believes physical therapists need to have the difficult conversation about how, “There knee is never going to be the same again.”

 

 

For more information on Dr. Whittaker:

Dr. Whittaker is an Assistant Professor in the Department of Physical Therapy, Faculty of Rehabilitation Medicine, and Research Director of the Glen Sather Sports Medicine Clinic at the University of Alberta in Edmonton, Canada. She is recognized as a clinical specialist in musculoskeletal (MSK) physiotherapy by the Canadian Physiotherapy Association and is a Fellow of the Canadian Academy of Manipulative Physical Therapists. Jackie’s research interests lie in scientific inquiry that will substantially influence a shift in the approach taken to manage chronic MSK disorders from treatment of chronic disease (tertiary prevention) towards prevention and delaying/halting disease onset (primary and secondary prevention) including optimizing the musculoskeletal health of youth and adolescent populations. Jackie’s background combines knowledge gained through 21 years of clinical practice and intensive research training (PhD and post-doctoral fellowship). In addition to her appointment at the University of Alberta, Dr. Whittaker is an Adjunct Professor at the International Olympic Committee funded Sport Injury Prevention Research Centre at the University of Calgary, Canada and Associate Member of the Arthritis Research UK Centre for Sport, Exercise and Osteoarthritis.

 

Resources discussed on this show:

Jackie Whittaker Twitter

Jackie Whittaker University of Alberta Website

Email: jwhittak@ualberta.ca

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

May 18, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Kyle Ridgeway and Dr. Kenny Venere join me for Part 2 where we discuss the necessity for evidence in physical therapy! Kyle Ridgeway is a senior physical therapist at University of Colorado Hospital and coordinator of physical therapy quality improvement project in the medical intensive care unit. Dr. Kenny Venere is a home health physical therapist at Intermountain Healthcare in Salt Lake City, Utah. Make sure to check out Part 1 if you missed it!

In this episode, we discuss:

-Is physical therapy science based?

-Why we should breed a culture of skepticism in physical therapy

-Fad treatments and why practitioners are attracted to them

-Kyle and Kenny’s passion for the science behind physical therapy

-And so much more!

 

The current marketing of continuing education in physical therapy acts as a barrier to evidence based innovations. Kyle believes, “Because of perverse incentives and the way the continuing education model is structured, it lends itself to guruism… This is foundationally an educational problem,” as many physical therapists are not well trained to analyze claims and assess validity.

 

For the physical therapy profession to continue to advance in quality of care, Kenny stresses, “We need a culture in physical therapy that is skeptical. A culture that is comfortable with engaging in argument and debate.” He stresses that there must be plausibility to our treatments and that, “We have to be less certain in our convictions and I think that is a hallmark of a scientific profession.”

 

Scientific debate requires an open mind and the ability to incorporate new information however Kyle has found that humans struggle with this. He believes that, “If you were truly open minded and you’re coming in with no previous data, no previous preconceptions, and you are not taking a bayesian approach to this problem, you are equally open to both outcomes.”

 

Kyle restricts his treatments to those backed by sound evidence and carefully reviews newly vaunted treatments before exposing patients to them because, “These aren’t actually delineating things, these are actually diluting factors that make the profession we are at large less elevated.”

 

Kyle has found that physical therapy adds a great deal of value to the healthcare world and states, “My experience is other people in healthcare are just yearning for physical therapist’s input and once they get it they want more of it.”

 

Navigating the complexities of patient care can be difficult for new physical therapy graduates. Kyle advises, “We are seeing people at their absolute most distressing moments, in a convoluted system, with perverse incentives, and ridiculous rules. And it’s really complicated. I think the first thing was just letting in that uncertainty and being okay with the fact that you’re never there, you’re always improving, there is always something different to consider, and welcoming that journey.”

 

For more information on Dr. Kyle Ridgeway:

Kyle Ridgeway received a BA in neuroscience from Pomona College and a doctor of physical therapy degree from University of Colorado Denver: Anschutz Medical Campus. Currently, he is a senior physical therapist and team lead for medical ICU physical therapy at University of Colorado Hospital. He also serves as a clinical instructor for the University of Colorado Denver Physical Therapy Program. A quality improvement project in the medical ICU, that he designed and implemented, eventually became standard practice. He speaks nationally regarding acute care physical therapy specifically in critical care, acute care quality improvement, hospital readmissions, and outcomes following critical illness. He blogs at PT Think Tank https://ptthinktank.com/author/kridgeway/ where he aims to provide thoughtful analysis and critical thinking on various clinical, scientific, and humanistic topics relating to physical therapy. But, of course, that is just his opinion.

 

For more information on Dr. Kenny Venere:

Kenny Venere currently works as a home health physical therapist for Intermountain Homecare and Hospice in Salt Lake City. He graduated from Northeastern University in Boston, MA with his DPT in 2014. His primary interests within physical therapy are scientific literacy, meta-research and the philosophy of evidence based practice. He writes (infrequently) on these topics over at his website, www.physiologicalpt.com.

 

 

 

Resources discussed on this show:

Kyle Ridgeway Twitter

Kenny Venere Twitter

Talking Points: An Oxford-Style Debate on Dry Needling

Physiological PT

PT Think Tank

Why do humans reason? Arguments for an argumentative theory.

 

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 blog post on the Top 10 Podcast Episodes of 2016!

May 15, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Kyle Ridgeway and Dr. Kenny Venere join me for Part 1 where we answer viewer questions on a variety of topics ranging from dry needling to physical therapy as a solution to the opioid crisis! Kyle Ridgeway is a senior physical therapist at University of Colorado Hospital and coordinator of physical therapy quality improvement project in the medical intensive care unit. Kenny Venere is a home health physical therapist at Intermountain Healthcare in Salt Lake City, Utah.

In this episode, we discuss:

- Should dry needling be implemented as a physical therapy intervention?

-What is physical therapy’s role in the opioid crisis?

-How can acute care PT’s better collaborate with home health PT’s following discharge from the hospital?

-And so much more!

 

Kenny and Kyle did not set out to change any minds at their dry needling debate at Combined Sections Meeting. Instead they sought to encourage skepticism to those who are still appraising the evidence and Kenny hopes, “they left more informed and just the greater goal of having people think more critically about how they choose to implement interventions in a physical therapy practice. How they think about the literature on interventions in physical therapy practice was really what we hoped to accomplish.”

 

Kenny advocates physical therapists should be very selective and vet new methodologies before they are adopted into their toolkit by supporting a high bar for evidence of effectiveness. He stresses, “Research is everything. Without it, we have nothing.”

 

Although physical therapists are well equipped to play a key role in treating chronic pain, opioid use is a multifaceted problem with many players both in the medical field and pharmaceutical industry. Kenny believes, “Physical therapists I think have a role but it’s important that we be humble in the claims we make about our role. We are by no means a panacea or a cure for the opioid crisis but I think we can play an essential role in what is a bigger puzzle.” Kyle warns about the realities of treating chronic pain and states, “I get justifiably nervous when we start talking about physical therapy as the answer to the opioid crisis…it’s nuanced and it’s layered.”

 

Kyle suggests hospitals should rethink how they evaluate patient satisfaction and disentangle pain from quality of service and care. Kyle points out that, “We made pain a vital sign. Patient satisfaction in the hospital is one of the most talked about things in administration and if you mix this context together there’s real incentive to say we have to do something to take this pain away.”

 

More collaboration across physical therapy settings may lead to a more holistic approach to tackling unique patient healthcare needs. Kyle finds that one of the problems is, “These communications really don’t happen between settings and especially between acute care and home health.”

 

For more information on Kyle Ridgeway:

Kyle Ridgeway received a BA in neuroscience from Pomona College and a doctor of physical therapy degree from University of Colorado Denver: Anschutz Medical Campus. Currently, he is a senior physical therapist and team lead for medical ICU physical therapy at University of Colorado Hospital. He also serves as a clinical instructor for the University of Colorado Denver Physical Therapy Program. A quality improvement project in the medical ICU, that he designed and implemented, eventually became standard practice. He speaks nationally regarding acute care physical therapy specifically in critical care, acute care quality improvement, hospital readmissions, and outcomes following critical illness. He blogs at PT Think Tank https://ptthinktank.com/author/kridgeway/ where he aims to provide thoughtful analysis and critical thinking on various clinical, scientific, and humanistic topics relating to physical therapy. But, of course, that is just his opinion.

 

For more information on Kenny Venere:

Kenny Venere currently works as a home health physical therapist for Intermountain Homecare and Hospice in Salt Lake City. He graduated from Northeastern University in Boston, MA with his DPT in 2014. His primary interests within physical therapy are scientific literacy, meta-research and the philosophy of evidence based practice. He writes (infrequently) on these topics over at his website, www.physiologicalpt.com

 

Resources discussed on this show:

Kyle Ridgeway Twitter

Kenny Venere Twitter

Talking Points: An Oxford-Style Debate on Dry Needling

Physiological PT

PT Think Tank

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

May 11, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Brett Kestenbaum joins me for Part 2 of our discussion on outlining goals and defining success. Brett Kestenbaum is the co-founder of NewGradPhysicalTherapy.com, a website that provides tools and resources to help the transition from student to practitioner, and CovalentCareers.com, a technology whose mission is to make on-demand employment for healthcare professionals possible. Brett is dedicated to helping physical therapists find success and fulfillment in their careers.

In this episode, we discuss:

-High burnout among new PT graduates and alternative career avenues with this expertise

-Goal setting to establish a foundation for success

-Meditation as a secret weapon to enhance your focus

-Brett’s best advice to a new physical therapy graduate to achieve success

-And so much more!

 

Brett measures success as taking direct action towards terms that you choose for yourself. Brett reminds us that, “Success is a personal feeling that nobody can give you and nobody can define for you except you yourself.”

 

For busy professionals or entrepreneurs, the mind can be easily cluttered by a never ending stream of tasks. Brett finds that meditation leads to clarity of mind and a greater understanding of your goals and allows you to, “start taking actions in that direction.”

 

Organizing time without distractions allows for better management of responsibilities and the potential to streamline productivity. Brett believes, “Habits are muscles too. They are something you have to train and you’ll get better and better at creating habits over time and accomplishing tasks within a refined period of time as well.”

 

For more information on Brett:

Brett Kestenbaum is the co-founder of NewGradPhysicalTherapy.com, a website that provides tools and resources to help the transition from student to practitioner, and CovalentCareers.com, a technology whose mission is to make on-demand employment for healthcare professionals possible. Brett is dedicated to helping physical therapists find success and fulfillment in their careers.

 

Brett escaped the winters of his native New York, in order to attend grad school at NOVA Southeastern University in Ft. Lauderdale, Florida.  He took a job at Scripps Mercy Hospital in San Diego following graduation. Brett has chosen to pursue a versatile background in physical therapy, by providing care to a highly dynamic patient population in both inpatient and outpatient settings. Outside of physical therapy, Brett is an avid golfer and has developed a new technology to help physical therapists find jobs, while studying lifestyle design. Shoot him an email if you want to play a round of golf!

 

Resources discussed on this show:

Brett Kestenbaum Twitter

New Grad Physical Therapy Facebook

Brett Kestenbaum LinkedIn

Brett Kestenbaum Facebook

New Grad Physical Therapy Website

Covalent Careers Website

Schedule a 15 minute chat with Brett here!

Westworld

Richard Feynman

Alan Watts

Sharon Salzberg

Pomodoro Technique

Chris Winfield

Email: Brett@covalentcareers.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 blog post on the Top 10 Podcast Episodes of 2016!

 

May 8, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Brett Kestenbaum joins me for Part 1 of our discussion on branding with social media and how to overcome fear that comes with broadening your career horizons. Brett Kestenbaum is the co-founder of NewGradPhysicalTherapy.com, a website that provides tools and resources to help the transition from student to practitioner, and CovalentCareers.com, a technology whose mission is to make on-demand employment for healthcare professionals possible. Brett is dedicated to helping physical therapists find success and fulfillment in their careers.

In this episode, we discuss:

-How to utilize online technology to build a community and leverage a greater audience

-Social media’s role in building a brand in your community

-Steps you can take to invest and build your website, develop copy and create a personal brand

-Overcoming mental roadblocks new graduates face in starting their businesses

-And so much more!

 

For new graduates, their own inner resistance to take risks and pursue opportunities can be their greatest hurdle. Brett believes, “Typically, that fear will stop people from taking any action in general.” Brett stresses to continue to push through the fear and take action because oftentimes, “That’s a barrier for everybody, and that’s your biggest opportunity that there is a barrier there.”

 

Regardless of the number of failures, successful entrepreneurs and practitioners attain the best opportunities through persistence. From Brett’s experience, his advice is, “I want to put myself out there as much as possible. And I want to stink as many times as possible. I want to sound like a goofy clown or whatever it may be as many times as possible. Because I know that one time—maybe—I will do something that will resonate with people and it will be a huge impact on my life and on my career.”

 

Young entrepreneurs often have insecurities about their ability to differentiate themselves and add value in the marketplace. Brett states, “The resistance is the part of the creative process that stops your from creating. It’s that question that comes up in your head. Am I good enough to create a blog post or is this blog post perfect? It’s the resistance that stops you from clicking the publish button.”

 

For more information on Brett:

Dr. Brett Kestenbaum is the co-founder of NewGradPhysicalTherapy.com, a website that provides tools and resources to help the transition from student to practitioner, and CovalentCareers.com, a technology whose mission is to make on-demand employment for healthcare professionals possible. Brett is dedicated to helping physical therapists find success and fulfillment in their careers.

 

Brett escaped the winters of his native New York, in order to attend grad school at NOVA Southeastern University in Ft. Lauderdale, Florida.  He took a job at Scripps Mercy Hospital in San Diego following graduation. Brett is an avid golfer and has developed a new technology to help physical therapists find jobs, while studying lifestyle design. Shoot him an email if you want to play a round of golf!

 

Resources discussed on this show:

Brett Kestenbaum Twitter

New Grad Physical Therapy Facebook

Brett Kestenbaum LinkedIn

Brett Kestenbaum Facebook

New Grad Physical Therapy Website

Covalent Careers Website

Schedule a 15 minute chat with Brett here!

Greg Todd Twitter

Ben Fung Twitter

Rich Severin Twitter

Crossing the Chasm

Gary Vaynerchuk

Mark Cuban

Email: Brett@covalentcareers.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 blog post on the Top 10 Podcast Episodes of 2016!

 

May 4, 2017

On this episode of the Healthy Wealthy and Smart Podcast, I am honored to have Lolly Daskal join me to discuss her book The Leadership Gap. Lolly Daskal is one of the most sought-after executive leadership coaches in the world. As founder and CEO of Lead From Within, her proprietary leadership program is engineered to be a catalyst for leaders who want to enhance performance and make a meaningful difference in their companies, their lives, and the world.

In this episode, we discuss:

-The Leadership Gap and shifting concepts of leadership

-Lolly’s RETHINK system which celebrates all archetypes and shadow traits of leaders

-Taking advantage of leadership gaps created by the imposter syndrome

-Making the leap from good to great leadership

-And so much more!

 

Everyone has a chance to be a leader in their current roles as Lolly states, “If you are impacting someone, if you are influencing someone, if you are advising someone and if people come to you for help, you’re a leader.” The one commonality to becoming a great leader is, “we have to learn to lead from within.”

 

From Fortune 500 executives to stay-at-home mothers, all leaders can identify with virtues and shadow traits outlined in her book. Lolly reminds us, “These are human beings... It is so universal.”

 

Leaders can create self-doubt by comparing themselves to others. Lolly believes that to be a strong leader, “We have to stop looking outward… look inward—that is where all the treasure is.”

 

The potential to be a better leader occurs every day and leaders should always strive to be better tomorrow. Lolly advices, “When we choose greatness, then we take the higher standard of who we are.”

 

For more information on Lolly:

Lolly Daskal is one of the most sought-after executive leadership coaches in the world. Her extensive cross-cultural expertise spans 14 countries, six languages and hundreds of companies.

As founder and CEO of Lead From Within, her proprietary leadership program is engineered to be a catalyst for leaders who want to enhance performance and make a meaningful difference in their companies, their lives, and the world. Based on a mix of modern philosophy, science, and nearly thirty years coaching top executives, Lolly’s perspective on leadership continues to break new ground and produce exceptional results.

Of her many awards and accolades, Lolly was designated a Top-50 Leadership and Management Expert by Inc. magazine. Huffington Post honored Lolly with the title of The Most Inspiring Woman in the World.

Her writing has appeared in HBR, Inc.com, Fast Company (Ask The Expert), Huffington Post, and Psychology Today, and others.

Lolly’s proprietary insights are the subject of her new book, The Leadership Gap: What Gets Between You and Your Greatness, and is available for pre-order here.
Her previous bestseller, Thoughts Spoken From the Heart, is available here.

Resources discussed on this show:

Lolly Daskal Twitter

Lolly Daskal Website

Lolly Daskal LinkedIn

The Leadership Gap Book

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

May 1, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Bart Dingenen joins me to discuss rehabilitation following an ACL injury. Dr. Dingenen is currently both a sport physiotherapist at Motion To Balance in Genk, Belgium and a post-doctoral researcher and lecturer at Hasselt University.

In this episode, we discuss:

-Physiological and psychological considerations for return to sport following ACL reconstruction

-How to structure treatments to promote motor learning

-The fine line of early return to sport and the risk for re-injury

-Integration of sport prevention training at follow-up

-And so much more!

 

More traditional approaches to rehabilitation following ACL reconstruction are limited to the physiology of the athlete. Bart believes, “Knee focused outcomes can be valuable but probably don’t tell us enough about the big picture of that patient in front of you.” One outcome measure isn’t adequate enough to determine how an athlete is progressing through therapy and Bart stresses, “We don’t treat a structure, we really treat a person.”

 

Bart stresses that the most effective intervention addresses the sensory motor system considering the neuroplastic changes that occurred following injury. He states, “If we just continue to consider the ACL as a pure mechanical problem, I think you miss so much.”

 

The clinician’s role is to provide a rich environment that is sport specific, fun and challenging to ensure compliance and reduce risk of re-injury. Bart recommends, “People have no time to be consciously aware of their knee. They have to have fun and they have to move. These aspects have to be there in your training.”

 

Treatment sessions should seek to mimic an open and dynamic environment which challenges the athlete physically and cognitively. Bart warns, “If you do [ACL injury prevention training] the traditional way you see indeed the compliance rates are really low.”

 

For more information on Bart:

Dr. Bart Dingenen is a sport physical therapist from Belgium. He is currently working as a postdoctoral researcher and lecturer at the University of Hasselt, Belgium, in combination with his work as sport physical therapist in the private physical therapy practice Motion to Balance, Genk, Belgium.

He finished his PhD in 2015 at KU Leuven (Belgium) on postural control in relation to knee and ankle injuries. Bart published numerous papers in international peer-reviewed journals over the last 5 years on ACL injury, chronic ankle instability, athletic screening, injury prevention, postural control and jumping and running mechanics, and is a well-respected speaker at both national and international conferences, workshops and symposia.

 

Resources discussed on this show:

Bart Dingenen Twitter

Bart Dingenen Publications

Return to sport Video

International Knee Documentation Committee Questionnaire

Optimization of the Return-to-Sport Paradigm After Anterior Cruciate Ligament Reconstruction: A Critical Step Back to Move Forward

Tim Gabbett Publications

Email: bart.dingenen@uhasselt.be

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Apr 24, 2017

On today's episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of collaborating with Dr. Gene Shirokobrod from the Therapy Insiders Podcast to discuss female leadership in physical therapy. Gene is a doctor of physical therapy and entrepreneur and is currently the CEO of Recharge LLC and CEO and co-founder of UpDoc Media. He is also the co-inventor of arc and has had experience with crowdfunding, having raised $30k in 40 days on Kickstarter.

 

In this episode, we discuss:

-Why are women not thought of as leaders in the physical therapy profession?

-Creative solutions for hiring the best fit for your company's culture

-Enhancing the female voice through amplification

-How to grow an audience with solid content and consistency

-Strategies to overcome imposter syndrome and how to foster an environment for vulnerability

-And so much more!

 

Although women occupy many of the highest leadership roles in physical therapy, the influence of female therapists at professional conferences and on social media is not comparable. At a higher level, Gene notes, “We hark on evidence based and we hark on following data and data has shown that women are as good and in most cases better leaders than men but we are still entrenched in more traditional mindset of leadership.”

 

Both Gene and I stress that more conversation around gender in leadership roles in physical therapy needs to continue with the overall goal to ensure equality of opportunity. Gene believes, "It's about having the opportunity to be a leader and be seen based on merit and not on sex.”

 

Many different qualities can encompass successful leadership however the one value a leader must possess is the ability to, “make sure that other people around you are succeeding and I don't think that that's sex dependent.”

 

For more information on Gene:

Dr. Gene Shirokobrod is a physical therapist guided by entrepreneurial passion. He is the CEO of Verve LLC, who along with his business partner Corey Fleischer, developed and created arc. In 2014, arc was successfully funded on crowdfunding platform Kickstarter, raising over $30k in 40 days. After the launch of arc, Dr. Gene and Corey had the great experience of auditioning for Shark Tank. They made it through round 1 and being called to move on to round 2. While working as a full time clinician, Dr. Gene started a podcast called Therapy Insiders. What started out as a fun hobby, quickly grew into a serious endeavor. Therapy Insiders steadily gained listeners and followers, eventually reaching #1 Medical Podcast on iTunes. Due to the success of Therapy Insiders, Dr. Gene co-founded UpDoc Media, a company focused on producing high quality custom content and digital marketing for healthcare companies. UpDoc media launched with 4 podcasts, focusing on business, fitness, running and of course medicine. UpDoc media is focused on providing "content you NEED to know, that is delivered with clinical precision." In March 2017, he became CEO of his new venture Recharge. The company is a unique combination of physical therapy, CrossFit and Mindfulness training. Incorporating three important elements of health under one roof with a focus on the customer experience and fun. Recharge is home to HoCo CrossFit which is also owned by Recharge. Dr. Gene is also an adjunct faculty member at University of Maryland School of Medicine, Department of Physical Therapy, which is also where he received his doctorate degree. When not focusing on growing his companies, he is chasing his son Aaron (5) and daughter Zoe (1) with the help of his wife Jaimie.

 

 

Resources discussed on this show:

Women in Physical Therapy Summit

Therapy Insiders Podcast

Gene Shirokobrod twitter

UpDoc Media

 

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

Apr 20, 2017

On behalf of the British Journal of Sports Medicine, I had the pleasure of speaking with Dr. Margo Mountjoy on psychological injury and abuse in sport LIVE from the IOC World Conference in Monaco. Dr. Mountjoy is a member of the IOC medical commission, FINA executive board member, and associate clinical professor at McMaster University. She explores the various types of harassment, how it can occur, and what safeguards can be put in place to help athletes report abuse.

In this episode, we discuss:

-What form does psychological abuse and injury take in the world of sports?

-How psychological abuse persists with the use of social media for the millennial generation

-How competitive sport culture can enable abuse

-The role healthcare professionals can play in preventing abuse

-Signs and symptoms of psychological and sexual abuse

-And so much more!

 

One of the key risks for psychological injury and abuse to occur is when “there is a differential in power relationships.” The differential of power could be due to differences in a variety of factors including age, religion, gender, sexual orientation, or athletic ability which leads to the harassment and abuse.

 

The advent of social media has led to more persistent forms of abuse which are carried off the field and into everyday life. With social media, there is no physical escape from the abuse and Dr. Mountjoy believes, “There is always someone that is ready to criticize.”

 

Psychological injury and abuse in sport is not unique to any one sport or region and global resources are available through Dr. Mountjoy’s research and the IOC to help combat this problem. In our roles as coach, support team or therapist, Dr. Mountjoy stresses, “Each and every one of us in sport has the ability to stop this. But not only the ability, we have the responsibility.”

 

One of the challenges of helping athletes is that, “Most athletes do not talk about their abuse while they are in sport because the process of abuse often silences the athlete. We see time and time again that we learn about harassment and abuse after they have retired.” However, healthcare providers have unique opportunities to engage athletes as impartial healers and provide support both physically and mentally.

 

For more information on Dr. Mountjoy:

Margo received her medical education and her family medicine training at McMaster University, Canada and her sports medicine specialty degree in Ottawa, Canada. Margo has worked as a community sports medicine physician in the Health & Performance Centre at the University of Guelph since 1988 where she has focused her practice on promoting elite athlete care and physical activity promotion in the general population. In addition, Margo has acted as the national team physician for Synchro Canada for 20 years as well as for the National Endurance Training Centre Athletes (middle and long distance track athletes) and the National Triathlon & Wrestling team training centres.

 

Margo is an Associate Clinical Professor in the Faculty of Family Medicine in the Michael G. DeGroote School of Medicine, McMaster University, Canada where she teaches sports medicine and is the Director of Student & Resident Affairs.

 

Margo is a member of the FINA Executive Board and holds the portfolio of Sports Medicine. She is also the Chair of the ASOIF Medical Consultative Group and a member of the IOC Medical Commission Games Group. Margo sits on the TUE committees of the IOC, WADA and CCES as well as the USADA and World Rugby Anti-doping Review Boards. Margo’s areas of research focus on elite athlete health and safety.

 

Resources discussed on this show:

BJSM Website

BJSM Podcast

IOC consensus statement on non-accidental violence in sport

Margo Mountjoy Twitter

Margo Mountjoy Publications

 

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 blog post on the Top 10 Podcast Episodes of 2016!

Apr 17, 2017

On this episode of the Healthy Wealthy and Smart Podcast, physiotherapist Alister Cran joins me to share his insights on treating the extreme sport competitor. Alister is a private practice physiotherapy owner in Surfers Paradise, Queensland, Australia. He assists with the Nitro Circus Live Tour of New Zealand and pursues his passion for sports physiotherapy treating a variety of high level athletes.

In this episode, we discuss:

-How to leverage opportunities early in your career to gain access to high level athletes

-Tailoring your social media presence to your ideal patient population

-Do you need to be a high level athlete to treat one?

-Managing expectations for return to sport following injury for high level performers

-And so much more!

 

To break into treating high level athletes and performers, oftentimes you have to sacrifice financial benefits for once in a lifetime opportunities. To break into niche industries, Alister recommends taking advantage of any exposure to your patient population and, “doing it for the experience,” after which good things will likely follow.

 

To reach the high level athlete, pursuing doctor referrals is wasted time as Alister finds younger athletes are likely to spend more of their time on social media. To make the most of your online presence and build brand awareness, Alister believes, “You’ve got to post consistently.”

 

Outlining the costs and benefits of an early return to sport and managing expectations can be challenging for extreme sport competitors. Alister advices, “Unless they are in the hospital, they are probably going to go back up that ramp.” Convincing show coordinators who view athletes as commodities can be even more challenging because, “There’s politics in physio and action sports.”

 

For more information on Alister:

Graduated Griffith University on the Gold Coast in 2012. Got a job with a Sydney based Physiotherapy practice ‘Bodyworks Physiotherapy’. Through bodyworks physiotherapy I began to treat extreme sports clients. I provided the physiotherapy for the Nitro Circus Live tours of both Australia and New Zealand. In addition to this, while still based in Sydney, provided the physiotherapy for the red bull ‘cape fear’ event. After a few years, came back to the Gold Coast and started working in a nursing home during the day and opened a room inside Funk Fitness gym at the beginning of 2016 outside of the 9-5 working hours of the nursing home. After about 4 months, I had saved up enough money and built up enough of a client base to not have to rely on the income of the nursing home anymore and have now worked full time out of a few rooms in the Isle of Capri shopping centre, Capri on Via Roma.

 

After coming back to the gold coast and opening Physio on Capri practice, I have maintained a relationship with bodywork physiotherapy and have been fortunate enough to be offered the Nitro Circus Live Brisbane show and the exhibition Ice Hockey match (Canada vs. USA). In addition to this, I was also offered the American and European leg of the Nitro Circus Live tour.

 

Resources discussed on this show:

Alister Cran Instagram

Physio On Capri Facebook

Alister Cran LinkedIn

Email: alister@physiooncapri.com

Get in contact with Alister to take advantage of his offer for a free initial consultation over Skype!

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Apr 10, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Win Kelly Charles joins us to share the patient perspective of living well with Cerebral Palsy. Win was born with Cerebral Palsy and has dedicated her life to inspiring others as a bestselling author, artist and podcast host of Butterflies of Wisdom. If you would like to learn more about Cerebral Palsy, Move Forward PT provides a great introductory resource: Physical Therapist's Guide to Cerebral Palsy. Be sure to check out the first episode with Win here!

In this episode, we discuss:

-The evolution of physical therapy care for patients with Cerebral Palsy

-Win’s experience being the first woman with Cerebral Palsy to wear an exoskeleton

-Win’s rehabilitation and fitness schedule

-First-hand advice from a Cerebral Palsy patient on how to effectively treat the condition

-The challenges of gaining adequate insurance coverage for lifelong conditions

-And so much more!

 

Cerebral Palsy has a variety of presentations and requires a customized treatment plan for each individual. Win encourages all physical therapists, “Don’t go by the textbook!”

 

Medical coverage is a never ending battle for patients with chronic conditions. Win has found results using innovative physical therapy technology but has had to go outside of her coverage. From Win’s experiences, “The medical system gives all of us the heebie-jeebies.”

 

Win has benefited from and encourages physical therapists to explore new technologies. Her positive experience being the first women with Cerebral Palsy to wear an exoskeleton has convinced her of the benefits of alternatives in physical therapy. She states, “I never thought I would see a day of my life where I would be the bionic women. I never thought that I would be walking in an exoskeleton.”

 

For more information on Win:

Born with Cerebral Palsy, Win Charles has defied the odds by becoming an author. Her memoir I, Win is an amazing story of how she remembers her life through the years of having a condition called "CP". As a competitor in the Kona Iron Man Triathlon, CEO of her own jewelry design company, and motivational speaker, Win Charles truly is an inspiration to many. Today Win Charles tours the country, speaking to schools and institutions to raise awareness about cerebral palsy and living a full life no matter what holds you back. She is also an advocate of veterans across the world.

 

 

Resources discussed on this show:

Win Charles Website

Win Charles Twitter

Butterflies of Wisdom Podcast

Bridging Bionics

Amanda Boxtel

Galileo Tilt Table

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

Apr 6, 2017

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Sandy Hilton and I went into the crowd at the San Diego Pain Summit on the last day to get the attendee's views on the Pain Summit this year. 

In this episode, we learn:

- The common theme running through the San Diego Pain Summit

- Which talks resonated with a lot of the attendees of the summit

- The reasons why you should attend the summit

- What is in store for the San Diego Pain Summit 2018

- Lots of great behind the scenes conversations happy after hours

- And much more!

 

"You know you are in the right room when you are definitely not the smartest person in the room" - Ben Cormack

"There is nothing I don't like about the San Diego Pain Summit" - Eric Purves

"It is a gathering of all of the clinicians I admire most in the world. Great to be able to to talk with them and pick their brains" - Laura Dunkley

"Wonderful conversation about clinical and scientific problems to learn and share together" - Jonathan Fass

"We are all a work in progress and you have to be a student first." - Nick Tumminello

"The emphasis on making things real for patients. We do things that matter for people" - Bronnie Thompson

 

Resources:

The San Diego Pain Summit

 

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 blog post on the Top 10 Podcast Episodes of 2016!

 

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