In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Stephanie Weyrauch welcomes Dr. Joseph Peila, a direct primary care physician based in Billings, Montana. Dr. Joe shares his journey from growing up in the area to completing his medical training in Nevada and Colorado, ultimately returning to serve his community. He discusses his passion for internal medicine and primary care, emphasizing the importance of building relationships with patients to enhance their quality of life. As he reflects on his experiences in a fee-for-service practice, Dr. Joe highlights the challenges posed by decreasing patient interaction time and the need for a more proactive approach to health care. Tune in to learn about Dr. Joe's insights on proactive health and the future of patient-centered care.
Time Stamps:
[00:03:01] Direct primary care challenges.
[00:04:37] Rural healthcare challenges and solutions.
[00:09:49] Innovating in primary care practice.
[00:12:51] Preventative healthcare challenges.
[00:15:14] Developing leadership skills in healthcare.
[00:20:32] Patient-centered care and business success.
[00:23:11] Diabetes care barriers and solutions.
[00:27:14] Small decisions for weight loss.
[00:00:00] Pinnacle Internal Medicine and Billings.
More About Dr. Joe Peila:
Dr. Joseph (Joe) Peila grew up in Shepherd, Montana. He graduated from Montana State University with a degree in Cell Biology and Neuroscience. He then attended medical school at the University of Nevada School of Medicine and did his Internal Medicine residency at the University of Colorado.
Dr. Peila then worked for two years as an outpatient Internal Medicine physician at Kaiser Permanente in Denver while waiting for his wife to finish her medical training. He moved back to Montana in 2017 and worked as an internist at Billings Clinic until deciding to start his own practice.
Dr. Peila has served as a faculty member for the Billings Clinic Internal Medicine Residency program as well as a clinical educator for medical students. He is board certified by the American Board of Internal Medicine and is a Fellow of the American College of Physicians.
In his free time, Dr. Peila enjoys spending time with his wife, Sarah, and their four children as well as outdoor activities like working on the family ranch, skiing, hiking, and hunting.
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In this episode of Healthy, Wealthy, and Smart, host Karen Litzy welcomes Dr. Robert A. Kayal, the founder and CEO of the Kayal Orthopedic Center in New York and New Jersey. Dr. Kayal shares his journey to becoming a physician, highlighting his lifelong passion for medicine and his dedication to restoring an active and joyful quality of life for his patients. He discusses the challenges of navigating the business side of healthcare, reflecting on the limited business education available in medical training. Join Karen and Dr. Kayal as they explore the intersection of medicine and entrepreneurship and learn about the rewarding field of orthopedic surgery.
Time Stamps:
[00:01:25] Becoming a physician and entrepreneur.
[00:06:38] Physician as a business owner.
[00:11:06] Balancing work and family life.
[00:12:45] Balancing personal and professional life.
[00:20:14] Attributes of a great healthcare provider.
[00:21:17] Customer experience in healthcare.
[00:27:11] Employee onboarding and culture.
[00:32:29] Branding through company culture.
[00:34:46] Reinvestment in orthopedic practice.
[00:38:43] Business growth through specialization.
[00:44:48] Growth of medical practices.
[00:49:14] Mastering the Business of Medicine.
[00:52:07] Purpose in life and work.More About Dr. Kayal:
Robert A. Kayal, MD, FAAOS, FAAHKS is the founder, president, and CEO of Kayal Orthopaedic Center located in northern New Jersey and New York. Dr. Kayal is the husband of Kim S. Kayal, RN and father of their six children: Katlyn Madeline, Michaela Noel, Robert Joseph, Shannon Isabella, Mia Grace, and Luke Christopher. Dr. Kayal is the proud grandfather (or "Gido") of their newest family addition, Hope Madeline.
During the last twenty-five years, Dr. Kayal built one of the most successful multi-specialty orthopaedic medical practices in the United States, and in 2021, in one of the most substantial health care transactions ever to close, he partnered with RWJBarnabas Health, the largest and most comprehensive health care system in New Jersey.
Dr. Kayal considers it an honor, pleasure, blessing and privilege to help restore an active lifestyle and joyful life to each of his patients. He gives all his thanks to God for his talents and skills and prays his practice will always be used to honor, glorify, and exalt his awesome Triune God: God the Father, God the Son, and God the Holy Spirit.
Specializing in partial and total joint replacements, sports medicine, and arthroscopy, Dr. Kayal knows the importance of staying abreast of the latest technologies. By keeping his finger on the pulse of innovation, he can provide beneficial treatments to help patients recover quickly. “What you’ll find here aren’t just state-of-the-art facilities. It’s an entire philosophy,” says Dr. Kayal. With both New Jersey and New York locations, the award-winning practice prides itself on offering advanced orthopaedic treatments in a compassionate environment. As a patient, “you aren’t just a number,” says Dr. Kayal. “We’re focused on building lifelong relationships, accelerating rehabilitation, and inspiring quality of life. Besides the Kayal Orthopaedic Center, Dr. Kayal’s practice includes centers for Pain & Spine, Rheumatology, Chiropractic & Physical Therapy, bone metabolism, and advanced, high-resolution, cross-sectional medical imaging. These facilities allow him to provide a wider range of musculoskeletal treatments and therapies. “I believe our patients do their homework and choose this practice because of our training, skill, experience, and innovation,” Dr. Kayal says. “But what they also find from us is patience, compassion, and a genuine concern and commitment to each and every one of them.”
The Kayal Orthopaedic Center is also dedicated to staying abreast of the latest treatments and technologies in each specialist’s field of expertise. Years ago, Dr. Kayal and his team of orthopaedic surgeons began using the Stryker Mako robot, a sophisticated instrument that allows for greater precision and control during partial and total hip and knee replacement surgeries. This customized joint replacement technology, using the Mako robot, in combination with high-resolution cross-sectional medical CT scan imaging and Stryker's proprietary software, ensures accurate sizing, placement, fit, balance, alignment, and rotation of installed components, much akin to being fitted with a "tailor-made suit." At Kayal Orthopaedic Center, this Mako robotic technology has also been used in combination with the minimally invasive direct anterior approach (DAA) for hip replacement surgery. “You can be certain that the Kayal team has done its homework and is ready to provide our patients with the best treatment approaches available,” says Dr. Kayal.
The philosophy of Kayal Orthopaedic Center is to provide every patient with the pain-free, active lifestyle they deserve. With decades of orthopaedic surgery experience, Dr. Robert Kayal and his staff provide comprehensive care that gives patients the one-on-one attention they need. Kayal Orthopaedic Center uses a patient-focused approach that has a proven track record of success. Dr. Kayal has built his practice around highly trained surgeons and specialists, innovative treatments, and state-of-the-art equipment. “Our philosophy is that the most beneficial service is the one that offers the best outcome for each unique patient,” Dr. Kayal says. “We offer everything our patients may need under one roof,” says Dr. Kayal.
As of November 2024, Robert A. Kayal, MD, FAAOS has 666 five-star ratings on healthgrades.com. On the practice’s website, Dr. Kayal says patients aren’t just a number and that the office’s patient experience is second to none. “We’re focused on building lifelong relationships, accelerating rehabilitation, and inspiring quality of life,” says Dr. Kayal.
Kayal Orthopaedic Center is a proud sponsor and supporter of many local non-profit organizations. Furthermore, the office also works to support local and state police departments by sponsoring golf outings and providing meals to the men and women in blue. Also, as a preceptorship for many physician assistant educational programs in both NY and NJ, Kayal Orthopaedic Center offers shadowing opportunities for students as part of its commitment to the next generation of healthcare providers.
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In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litz7 welcomes Dr. Alan Rosanski, a distinguished professor of medicine at the Icahn School of Medicine at Mount Sinai and director of nuclear cardiology at Mount Sinai. Dr. Rosanski shares his journey from aspiring psychiatrist to a renowned cardiologist, highlighting the pivotal moments during his medical training that led him to specialize in cardiology. With a focus on enhancing vitality through a comprehensive health model known as the six domains of health, Dr. Rosanski offers valuable insights into maintaining and improving overall health in today's world. Tune in to learn how a blend of cardiology, health psychology, and behavioral medicine can empower individuals to achieve better health outcomes.
Time Stamps:
[00:03:12] Six dimensions of health.
[00:04:58] Sense of purpose and health.
[00:08:28] Exercise as depression treatment.
[00:14:00] Preventative cardiology and health behaviors.
[00:15:56] Motivational interviewing techniques in healthcare.
[00:21:43] Evolution of heart disease treatment.
[00:25:46] Sedentary lifestyle and health challenges.
[00:27:41] Redefining health and vitality.
[00:32:05] Importance of staying active.
More About Dr. Alan Rozanski:
Dr. Alan Rozanski is a distinguished Professor of Medicine at the Icahn School of Medicine at Mount Sinai and Director of Nuclear Cardiology at Mount Sinai St. Luke, and he’s has dedicated his career to exploring and pioneering research to help clients understand how to maintain and enhance vitality in their daily lives.
Combining his extensive expertise in cardiology, health psychology, and behavioral Medicine with the guidance of his comprehensive health model, The Six Domains of Health, Dr. Rozanski brings a unique perspective and makes him a compelling voice in the discussion of achieving and maintaining health and vitality in today's world.
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In this episode of the Healthy, Wealthy, and Smart podcast, host Dr. Karen Litzy welcomes fellow physical therapist Jay Dicharry, MPT, SCS, a leading expert in sports rehabilitation and the author of "Running Rewired." The conversation dives into running, covering assessment, injuries, and innovative approaches to help endurance athletes recover. Jay shares insights on the evolution of running advice over the decades, highlighting the need for updated methodologies in training and rehabilitation. Tune in to gain valuable knowledge on running techniques and how to effectively address common injuries while benefiting from Jay's extensive experience in the field.
Time Stamps:
[00:02:20] Assessing body mechanics in running.
[00:03:41] Postural compensations in running.
[00:08:48] Running economy and control.
[00:11:09] Runners' identity and injury management.
[00:14:01] Hip extension vs. lumbar compensation.
[00:17:02] Tech-assisted motor control techniques.
[00:21:15] Wearable tech in biomechanics.
[00:25:26] Asymmetries in runner's performance.
[00:27:34] Strength, power, and running injuries.
[00:30:03] Plyometrics for bone density.
[00:32:28] Tendon rehabilitation techniques.
[00:36:30] Patient engagement in physical therapy.
[00:40:24] Mental focus in running.
[00:42:30] Improve movement quality for runners.
[00:46:08] Strength training for runners.
[00:50:24] Personal growth in physical therapy.
[00:00:00] Staying healthy, wealthy, and smart.
More About Jay:
Jay Dicharry completed his Masters of Physical Therapy at Louisiana State University Medical Center and is a Board-certified Sports Clinical Specialist. Dicharry’s career blurs the line between clinical practice, coaching, and engineering to solve problems and optimize performance. Dicharry built his reputation in biomechanical analysis as Director of the SPEED Clinic at the University of Virginia and is the Founder of MOBO. Dicharry writes for digital and print media and has authored two books on running gait, “Running Rewired” and "Anatomy for Runners." Dicharry enjoys an active research career and has published over thirty-five professional journal articles and book chapters. He also consults for the running and cycling industry, the US Armed Forces, USA Track and Field, USA Triathlon, and athletes across the world. Having taught in the Sports Medicine program at UVA and the DPT program at OSU-Cascades, he brings a strong bias towards patient education, and teaches internationally to elevate the standard of care for Therapists, Physicians, and Coaches. He is excited to share his research-driven focus and expertise to build our students into critical thinkers and push the needle in our profession.
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New York Times Article on Injury Prevention
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