Healthy Wealthy & Smart

Happy December to the Healthy Wealthy and Smart family! On this episode, I welcome Tricia Brouk on the show to discuss the elements of a memorable talk. In addition to working in the entertainment industry, Tricia Brouk applies her expertise as a director and writer for film, television and theater to the art of public speaking. She's the executive producer of TEDxLincolnSquare and has choreographed Black Box on ABC, The Affair on Showtime, Rescue Me on Fox, and John Turturro's Romance and Cigarettes. The series she directed, Sublets, won Best Comedy at the Vancouver Web-Festival. She's written two musicals, a play, a sitcom pilot, and a feature film. She's been featured in Inc. Magazine, Huffington Post, Broadway World and has been a featured guest on Leaders In The Trenches, Ultimate Leadership, EO Fire, and Weekly Alignment. She also hosts the podcast, The Big Talk on iTunes, where she interviews people who talk for a living. In this episode, we discuss: -Tricia's simple formula to make a powerful talk -How to craft a raw and meaningful story -Introversion and ways to overcome stage fright -The importance of communicating expectations for success -And so much more! Over her career, Tricia has been able to work on a variety of projects by maintaining confidence in her talents. Tricia recommends jumping at any new opportunities that present themselves and that, "It was all about saying yes, being challenged and not being afraid of failing." To create a powerful and meaningful talk, Tricia advises, "Inspire what you have to offer without selling what you have to offer." The most powerful talks use stories and a point of view that are unique and authentic to the speaker. As a result, "You disarmed the audience by sharing something about yourself, by showing up and being vulnerable." For those wanting to improve their public speaking, Tricia suggests that, "You have to flex the speaking muscle just like you flex the bicep." To gain more comfort on stage, there is no substitute to practice. Tricia recommends gradually pushing boundaries, starting with family and moving on to co-workers, as she has found that, "Repetition is everything." For more information on Tricia: Tricia Brouk draws on experience as a TEDx organizer, a writer, director and choreographer in film, television, and theater to help you bring your life-changing talk into focus. Her unique point of view will get you onto the big stage and guarantee you an unforgettable big talk every time. I view public speakers through the same lens I do an actor. You have something important to say and it's my job to help you find the way to say it with truth, confidence, vulnerability, awe, compassion and courage. With the help of my direction and guidance, I'll bring your life-changing speech into focus, while giving you the unique insight into what makes an unforgettable big talk. I'll break down your script just like I do with a film or play. I'll identify the arcs the beats, and if what you are saying is actually what you mean to say. I'll identify what you need to do for your big talk or your Keynote, as they are very different. Once I do that, we'll work together on clarifying, specifying and performing your big talk through blocking, repetition, and simple techniques I use with actors. My goal in the room is to create a safe space so you can drop in. When you are working on the material, I'll help you find new and interesting ways to communicate your very important talk. Once we find those, together, I will help you maintain the integrity and consistency of the performance so you can be free to talk to the audience, like you're talking to a friend. I will help illuminate the importance of what you, as a speaker, want to say and how you communicate that information so that your audience leans in. Resources discussed on this show: Tricia Brouk Website Tricia Brouk Twitter Krumping is language. | Brian HallowDreamz Henry | TEDxLincolnSquare The Big Talk Website Gift: 4 Ways To Inspire Your Audience, Create Adoring Fans and Organically Drive New Business 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

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of speaking with Melissa Morrison about her journey following a concussion. Melissa Morrison is the International Bestselling author of the book, Unstick Your Stuck. She is a Certified Co-Active Professional Coach, a Certified Neurosculpting Facilitator and a speaker. As a TBI Thriver Life Coach she works with TBI survivors to find their new normal so they can heal and gain their life back personally and professionally. In this episode, we discuss: -How Melissa's concussion symptoms impacted her daily life -Melissa's experience with medical providers following her concussion -Why Melissa became a life coach and began her work with TBI survivors -The various components of neurosculpting -And so much more! Symptoms of a concussion can often go unnoticed at the time of injury. From Melissa's experience, she states, "I didn't think it was that bad. It was something that I thought would just go away." Melissa was unable to receive appropriate medical management of her concussion leading to greater harm to her psychology. She states, "That was hard for me to look in the mirror and not see anything… There was a disconnect." One of the turning points of Melissa's journey was when she was able to express herself freely and feel as though she was in a safe environment. With the help of her physical therapist, Melissa found that, "There was actually a chance after this that maybe I could heal… She understood what I was going through… She really listened to what was going on." For concussion management, Melissa advises all medical providers to, "Really slow down and listen because a lot of times the processing of the person with a concussion is slower than it was prior to… Really taking the time and believe them. Believe what they're saying." Melissa's life path was altered following her injury in a direction that has led her to pursue her passions. Despite the hardships, she remarks, "Having this concussion was a wakeup call from the universe." For more information on Melissa: I am Melissa S. Morrison, CPCC, CNSF, CFE. I am a recovering accountant and a brain injury thriver who found my passion as a life coach and an author. I specialize in working with people who want to stretch the edges of their comfort zone by transforming and taking the lead in their lives. As a traumatic brain injury survivor, I understand what it means to personally transform. I am living proof that you can step into your truth no matter what circumstance you face in life. I obtained my coaching certification from the Coaches Training Institute as a Co-Active Professional Coach. I am a Certified Neurosculpting® Facilitator from the Neurosculpting® Institute, aimed at improving lives using neuroscience through education of overall brain health and re-wiring old stories through meditation. My career background in leadership and business in auditing, consulting, and fraud creates a unique viewpoint as a life coach. As a Certified Fraud Examiner, I am equipped with the tools to recognize and eliminate the personal fraud we all hide behind. I excel at being creatively curious with clients, bringing my strong intuition and awareness into the space and bringing the energy and fun we need back in our lives. Here is me. I am loving, caring and powerful. On the other hand: I'm blunt; I'm bold; I'm a risk-taker. I am also driven, curious, inspirational, and intelligent. Honesty is number one and I plan to give that to you in all the work we do together. I want this to be interactive; to start conversations. Resources discussed on this show: Free copy of Unstick Your Stuck Melissa Morrison Facebook Melissa Morrison Website Coach Training Institute Neurosculpting Institute Email: [email protected] 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

On this episode of the Healthy Wealthy and Smart Podcast, I welcome Dr. Christian Barton on the show to talk about exercise for patellofemoral pain. Dr Christian Barton is a physiotherapist who graduated with first class Honours from Charles Sturt University in 2005, and completed his PhD focusing on Patellofemoral Pain, Biomechanics and Foot Orthoses in 2010. Dr Barton's broad research disciplines are biomechanics, running-related injury, knee pathology, tendinopathy, and rehabilitation, with a particular focus on research translation. Dr Barton has published over 40 papers in Sports Medicine, Rehabilitation and Biomechanics journals, and he is an Associate Editor for the British Journal of Sports Medicine. In this episode, we discuss: -Why exercise is so important in treating patellofemoral pain -Exercise prescription principles for optimizing therapeutic programs -Muscle power and its role in absorbing load during activity -Utilizing graded exposure to address fear around movement -And so much more! The current literature shows, "Exercise is the key intervention, along with education" for patellofemoral pain. Although uncertainty exists around specific exercise prescription parameters, Dr. Barton has found that, "The exercise that probably should be provided is primarily hip and knee based on current evidence." Dr. Barton is a proponent for conservative management over injections and surgical interventions for patellofemoral pain and encourages all clinicians to, "[make] sure that patients take this on board and you stop them from looking for quick fixes." While strength and power deficits will exist for individuals with patellofemoral pain, other factors such as recovery expectations and fear of movement can further impact clinical presentation and intervention. Dr. Barton stresses, "Ultimately, you need to treat the patient in front of you." For more information on Dr. Barton: Dr Christian Barton, APAM, is both a researcher and clinician treating sports and musculoskeletal patients in Melbourne. He is a postdoctoral research fellow and the Communications Manager at the La Trobe Sport and Exercise Medicine Research Centre. Christian's research is focussed on the knee, running injuries and knowledge translation including the use of digital technologies. He has written and contributed to a multitude of peer-reviewed publications and is a regular invited speaker both in Australia and internationally. He also runs courses on patellofermoral pain and running injury management in Australia, the United Kingdom and Scandinavia. He is on the board of the Victorian branch of the Musculoskeletal Physiotherapy Association, and a guest lecturer at La Trobe University and the University of Melbourne. Christian is currently studying a Master of Communication, focussing on journalism innovation. He is an Associate Editor and Deputy Social Media Editor at the British Journal of Sports Medicine, as well as Associate Editor at Physical Therapy in Sport. Resources discussed on this show: Christian Barton Twitter La Trobe University Sport and Exercise Medicine Research Blog The International Patellofemoral Research Network Proximal muscle rehabilitation is effective for patellofemoral pain: a systematic review with meta-analysis How can we implement exercise therapy for patellofemoral pain if we don't know what was prescribed? A systematic review IPFRN Exercise Guide 2016 Patellofemoral pain consensus statement from the 4th International Patellofemoral Pain Research Retreat, Manchester. Part 2: recommended physical interventions (exercise, taping, bracing, foot orthoses and combined interventions) Hip rate of force development and strength are impaired in females with patellofemoral pain without signs of altered gluteus medius and maximus morphology La Trobe University Blog: Hip muscle rate of force development is impaired in females with knee cap pain 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

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of speaking to many attendees at the Private Practice Section Annual Meeting in Chicago as few weeks ago. I asked people to answer 2 questions: 1) What was your biggest take away from the day? 2) How do you think it will change the way you practice? This short and sweet episode is a great recap of the PPS meeting and I hope it will inspire you to attend next year! Resources mentioned in this episode: Mel Robbins Sally Hogshead Jamey Schrier Private Practice Section 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

LIVE from the Net Health Event at the Private Practice Section Meeting in Chicago, Sturdy McKee joins me on this episode to discuss finding your core vales and your vision as components of business management. Sturdy is a business coach, entrepreneur and business owner who also happens to be a physical therapist and private practice owner. As a business coach and instructor, Sturdy brings the practical knowledge of owning, operating and growing businesses, combined with extensive training and learning, to clients who want to improve their business operations and achieve their personal and business goals. In this episode, we discuss: -Current challenges facing the physical therapy profession -What is a vision of meaning? -The top three qualities Sturdy looks for in job candidates -How to motivate employees with Key Performance Indicators -And so much more! Sturdy stresses that a vision for your business should be put into practice daily in order to get your team members fully aligned behind it. He stresses, "You don't want core values to be aspirational. You don't want them to be things you hope for and want to do some day—They need to be actual rules you live by now." New physical therapy graduates are skilled in treatment and clinical judgment, however, they have had limited opportunities to develop softer skills such as communication and developing patient rapport. Sturdy advises new graduates, "You don't go work on the strongest muscle group, you work on the stuff that isn't." Coaches of athletic teams share many similarities with business leaders and many coaching tactics can be applied to business management. Most importantly, Sturdy has noted that, "[Coaches] don't focus on the outcome, the metric, what they focus on is the process." For more information on Sturdy: Sturdy is a business coach, entrepreneur and business owner who also happens to be a physical therapist and private practice owner. His "Why" is to help people succeed. He has a special place in his heart for physical therapist entrepreneurs and private practice owners. As a business coach and instructor, Sturdy brings the practical knowledge of owning, operating and growing businesses, combined with extensive training and learning, to clients who want to improve their business operations and achieve their personal and business goals. Sturdy created and taught "Clinicient University", a 2 day business crash course for Clinicient client owners and operations executives. Attendees of this 2-day course realized an average increase in revenue of 8.9% in the first 3 months following attending with the top of the range at 22%. Sturdy has served as an EO Accelerator Mentor, helping business owners define their vision, mission and values, as well as achieve their business goals. He spent the last year building a team of business coaches at Clinicient, an EMR & Revenue Cycle Management company for physical, occupational and speech therapists. Sturdy finds immense satisfaction in coaching and working with business owners and executives to help them achieve their business and personal goals. Resources discussed on this show: Jim Collins: Big Hairy Audacious Goal New Zealand All Blacks Kelly Duggan LinkedIn PPS Conference Sturdy McKee LinkedIn Sturdy McKee 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

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of welcoming Dr. Ebonie Rio onto the show to discuss tendinopathy. Ebonie is a physiotherapist and researcher with extensive experience in tendon pain. She is a post doctoral researcher at La Trobe University, and completed her PhD in tendon pain, researching "Corticospinal responses associated with patellar tendinopathy and the effect of externally paced strength training." Her research has changed rehabilitation practise around the world. In this episode, we discuss: -Tendon Neuroplastic Training -Motor cortex changes with tendon pain and the powerful role a metronome can play for your brain excitability -How to utilize time under tension and load to reduce tendon pain -The importance of patient input for goal setting -And so much more! Ebonie suggests, "We are not winning the battle with musculoskeletal pain. It is so common." Physiotherapists need to be aware of and utilize the best evidence available to treat the growing problem of musculoskeletal pain. Ebonie believes a skillful examination and evaluation can guide differential diagnosis and she stresses, "It's critical that our rehab, as we go forward, becomes much more tailored to what we are seeing in front of us." Ebonie is a proponent of utilizing isometric exercise in addition to other adjunctive therapies to reduce pain and develop adherence into a loading program. She suggests, "When you see someone with pain, we need a way in. And as physios, we've got some really great tools." Ultimately, to treat tendon pain, the research evidence supports that, "Load is our primary modality." Manual skills have a role in the examination but from Ebonie's perspective the information specifically from palpation is more limited. She outlines, "The problem with palpation is that it is nonspecific. Lots of things are going to hurt to poke." Due to the nonspecific nature, Ebonie has found that, "Our hands are incredibly important; poking is just not that useful when it comes to diagnosis." For more information on Dr. Ebonie Rio: Ebonie is a physiotherapist and researcher with extensive experience in tendon pain. She is a post doctoral researcher at La Trobe University, and completed her PhD in tendon pain, researching "Corticospinal responses associated with patellar tendinopathy and the effect of externally paced strength training." Her research has changed rehabilitation practise around the world. She currently is involved in a variety of projects investigating tendon pain, especially in the lower limb, however also other areas such as investigating innovative new rehabilitation techniques. Ebonie also still consults clinically, having been previously involved at the Australian Institute of Sport, Australian Ballet, and Winter Olympics. Resources discussed on this show: Leung et al 2015: Motor cortex excitability is not differentially modulated following skill and strength training. Professor Jill Cook Email: [email protected] La Trobe Sport and Exercise Medicine Centre 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

On this episode of the Healthy Wealthy and Smart Podcast, Alan Stein joins me to discuss the qualities of great leadership. Alan Stein, Jr. is a veteran basketball performance coach, corporate speaker, podcast host and social media influencer. Alan delivers high-energy keynote performances to develop genuine leadership, authentic team cohesion and true mental toughness. He inspires his audiences to take immediate action and improve their mindset, habits and productivity. In this episode, we discuss: -Alan's transition from basketball performance coach to corporate speaker -The 3 steps needed to create change: awareness, understanding, reconditioning -The role of a "change agent" in overcoming barriers to change -Important qualities in a great leader: self-awareness, vulnerability, competency, vision -And so much more! From Alan's experience, transitioning into a new career does not have to be done overnight and can be developed over the long term. Alan encourages, "Anything good takes time to build." Alan promotes utilizing your current network to its utmost potential to support new ventures. He believes, "Relationships are one of our most important currencies." Change can often result in setbacks which is why many people fear it; however, Alan finds that change is necessary for improvement and growth. He believes that sustainable change is, "daily recalibration… It's definitely not this linear ramp that is always going up to improvement." Being a leader means positively impacting the lives of those around you. Most of the qualities of leadership can be learned, cultivated, practiced and improved. Alan stresses, "Leadership is a choice." For more information on Alan: Alan Stein, Jr. is a veteran basketball performance coach, corporate speaker, podcast host and social media influencer. He has spent the past 15 years working with the highest performing athletes on the planet (including NBA superstars Kevin Durant). Alan delivers high-energy keynote performances to develop genuine leadership, authentic team cohesion and true mental toughness. He inspires his audiences to take immediate action and improve their mindset, habits and productivity. In other words, Alan teaches organizations how to utilize the same strategies in business that elite athletes and coaches use to perform at a world-class level. He is an amicably divorced father of 7-year-old twin sons (Luke and Jack) and a 5-year-old daughter (Lyla) and lives just outside of Washington, D.C. Resources discussed on this show: Alan Stein Jr Website Alan Stein Jr Twitter Alan Stein Jr Facebook 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

LIVE from the Ascend Conference in Washington DC, I am joined by CEO and Co-Founder of Strive Labs Scott Hebert to discuss business metrics for physical therapy practices. At Strive Labs, we're changing the way individuals and health systems manage the most common health condition in the United States: musculoskeletal disease. Our care management platform enables healthcare providers to inform, engage, and empower their patients to reach their recovery goals and avoid chronic injury. In this episode, we discuss: -How Strive Labs manages customer relationships from acquisition to retention -The most important business metrics for physical therapy owners -How to calculate your Net Promoter Score -Crafting relevant email campaigns for current and prospective patients -And so much more! Promoters are people who are going to recommend your services to friends and family. In order to create a net promoter, you may need to go beyond only satisfying customers. From Scott's experience, he stresses, "Satisfaction is important. Satisfaction is the foundation of any good business, but what people have started to realize is that satisfaction in many ways is kind of worthless. Loyalty is what's priceless." There are dozens of ways potential clients can stumble upon your services; most of them are via online platforms. Because of this, Scott encourages all practices to maintain an online presence. He has found that, "If they are looking for physical therapy, you need to be able to be present in that local region." As your business grows, you may find yourself having difficulties finding ways to scale or automate certain aspects of your responsibilities. If you are wondering if automated email marketing is right for you, Scott suggests, "That moment you start to feel like you're losing control of things… that could be a moment to start considering it." For more information on Strive Labs: At Strive Labs, we're changing the way individuals and health systems manage the most common health condition in the United States: musculoskeletal disease. Our care management platform enables healthcare providers to inform, engage, and empower their patients to reach their recovery goals and avoid chronic injury. Our team of creative thinkers, healthcare professionals, industry experts, and technologists are all working together to develop new solutions for improving the patient experience. In 2017, Strive Labs became part of the WebPT family, and together, we're going to help rehab therapists obtain new patients, retain existing ones, and get all of them better faster. Resources discussed on this show: Strive Labs Website Net Promoter Score Survey Monkey Google My Business Mail Chimp Infusion soft Rehab Therapists Give Back Scott Hebert Twitter Strive Labs 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

LIVE from the Ascend Conference in Washington DC, Rick Gawenda joins me on this episode to discuss the CPT codes. Rick Gawenda, PT, is a licensed physical therapist with 25 years of experience and currently serves as the founder and President of Gawenda Seminars & Consulting, Inc. He has provided valuable education and consulting to hospitals, private practices, skilled nursing facilities, and rehabilitation agencies in the areas of CPT coding, ICD-10 coding, billing, documentation compliance, revenue enhancement, practice management, and denial management as they relate to outpatient therapy services. In this episode, we discuss: -The 4 components to determine levels of CPT Codes: history, examination, clinical presentation, decision making -Differentiating the complexity levels of CPT Codes with patient case studies -Challenges with billing higher complexity levels differently than lower complexity levels -Common myths surrounding the treatment of Medicare patients -And so much more! Therapists are not documenting relevant patient co-morbidities and clinical presentation. Rick finds, "We are underestimating the complexity level." Although CPT codes are complex, it's important for any healthcare practitioner to understand their billing process and avoid the potential for abuse or fraud. Rick finds that our current understanding is limited and can be seen as abuse since, "We don't know we are doing it wrong." Rick outlines multiple ways you can bill to maximize your payments for your treatment sessions but notes that it is important to be ethical. He stresses, "Nobody wants to be on the radar of an insurance company." And more importantly, "Reputation is everything. It takes a long, long time to develop a positive reputation and it can be gone in a heartbeat." For more information on Rick: Rick Gawenda, PT, is a licensed physical therapist with 25 years of experience and currently serves as the founder and President of Gawenda Seminars & Consulting, Inc. He graduated with a Bachelor of Science degree in Physical Therapy from Wayne State University in Detroit, Michigan, in 1991. Mr. Gawenda is also Director of Finance for Kinetix Advanced Physical Therapy, a private practice with offices located in Southern California. In addition, he previously worked as the Director of Physical Medicine and Rehabilitation at Detroit Receiving Hospital where he was responsible for physical therapy, occupational therapy, and speech-language pathology services, both in the inpatient and outpatient setting. He has provided valuable education and consulting to hospitals, private practices, skilled nursing facilities, and rehabilitation agencies in the areas of CPT coding, ICD-10 coding, billing, documentation compliance, revenue enhancement, practice management, and denial management as they relate to outpatient therapy services. Mr. Gawenda has presented nationally since 2004 and currently presents approximately 100 dates per year around the United States. Mr. Gawenda is a member of the American Physical Therapy Association (APTA) and Michigan Physical Therapy Association (MPTA). Mr. Gawenda is the Past President of the Section on Health Policy & Administration of the APTA as well as Past President of the Michigan Association of Medical Rehabilitation Program Administrators. Mr. Gawenda is also the author of "The How-To Manual for Rehab Documentation: A Complete Guide to Increasing Reimbursement and Reducing Denials" and "Coding and Billing For Outpatient Rehab Made Easy: Proper Use of CPT Codes, ICD-9 Codes and Modifiers". Resources discussed on this show: Gawenda Seminars Episode 175: Making Sense of ICD 10 w/ Rick Gawenda, PT Darci Lynne: 12-Year-Old Singing Ventriloquist Gets Golden Buzzer - America's Got Talent 2017 Centers for Medicare and Medicaid Services Rehab Therapists Give Back Ascend Conference 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

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Travis Zigler joins me to discuss eye health. Dr. Travis Zigler is on a mission to end preventable blindness. In 2010 he graduated from The Ohio State University College of Optometry with Magna Cum Laude honors. He went on to own two optometry practices in South Carolina specializing in "difficult to fit" contact lens patients and dry eye, but soon found his passion for entrepreneurship. In this episode, we discuss: -Missions abroad with The Eye Love Cares Foundation and the impact of preventable blindness in third world countries -How often should you have your eyes checked? -Selecting the right optometrist/ophthalmologist for you -Surprising factors that affect Macular Degeneration and Dry Eye Disease -And so much more! Having regular eye exams can also function as a general health screen. Dr. Zigler notes, "An eye exam is the only time that we can actually see live blood vessels and we can actually see a live nerve in the back of your eye. And that can tell us a tremendous amount about your health." From Dr. Zigler's experience, most conditions are a result of many lifestyle factors such as diet, exercise and hydration. He believes, "If we learn how to solve this chronic inflammation problem that plagues the western society, all of us in the US, then it is going to make a huge difference." Dr. Zigler believes in a holistic plan of care for all of his patients with most preventable eye problems being a symptom of a systemic problem. He stresses, "Disease is your body's way of telling you you're doing something wrong." For more information on Dr. Zigler: Dr. Travis Zigler is on a mission to end preventable blindness. In 2010 he graduated from The Ohio State University College of Optometry with Magna Cum Laude honors. He went on to own two optometry practices in South Carolina specializing in "difficult to fit" contact lens patients and dry eye, but soon found his passion for entrepreneurship. In 2015, he started Eye Love, an eye wellness company with a mission to end preventable blindness. Along with his wife, Jenna, they continue to work part time in optometry and build Eye Love with the goal of eventually opening free clinics in the US and abroad. Because 703 million people are blind due to lack of glasses, they give a portion of all profits back to those who can neither afford nor obtain eye care in Jamaica and South Carolina. When he's not working on Eye Love or in clinic, he enjoys traveling to Jamaica, running, and playing the ukulele while he drinks his morning coffee. Resources discussed on this show: Eye Love Dry Eye Syndrome Support Community Dr. Travis Zigler Facebook Dry Eye Community Video Series Eye Love Cares Foundation American Academy of Optometry 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

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of welcoming Ben Cormack onto the show to discuss exercise and pain science. Ben Cormack owns and runs cor-Kinetic. Cor-kinetic provides educational courses based on modern movement and pain sciences within a strong evidence based framework. They have delivered courses in Europe, Asia, USA and South America and present regularly at national and specialist subject conferences around the world. In this episode, we discuss: -How exercise influences pain -Keeping healthcare more patient-centered with exercise optionality -How to communicate pain science both verbally and experientially -The Five A's of Exercise Adherence -And so much more! People seek out healthcare providers because, "People are always looking for a rational or an answer to their problem." The research evidence doesn't support biomechanical explanations of pain, however with pain science, Ben finds, "We can give people a rationale, we can give them an answer but it doesn't have to be a definitive answer that says it's this or it's that." Chronic pain can lead to a feeling of helplessness, but by better explaining what pain is and promoting activity therapists can convey to patients that, "The body is always changing according to what we do which is in a way empowering for people because they are gaining control of that change." Ben reveals that for successful pain management, "It's the process, not the destination." Exercise prescription is a powerful tool for pain management. The current evidence suggests, "The specifics really don't matter that much but actually doing it does." As a provider, Ben has found his role has evolved in that, "It's much more about facilitating people to do things themselves." In summary, Ben stresses, "Pain science is understanding people. Movement and exercise are basic tenants of being a human being." For more information on Ben: Ben Cormack owns and runs cor-Kinetic. Cor-kinetic provides educational courses based on modern movement and pain sciences within a strong evidence based framework. They have delivered courses in Europe, Asia, USA and South America and present regularly at national and specialist subject conferences around the world. Ben is a musculoskeletal therapist with a clinical, rehabilitation & exercise background stretching back 15 years. He specializes in a movement & exercise based approach with a strong education component and patient centered focus. Resources discussed on this show: Cor-Kinetic Website Mishel 1981: The measurement of uncertainty in illness Darlow et al 2013: The enduring impact of what clinicians say to people with low back pain Peter O'Sullivan 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

LIVE from the Ascend Conference in Washington DC, I am joined by Co-Founders of PT Day of Service Efosa Guobadia and Josh D'Angelo to discuss PT Day of Service. PT Day of Service has brought together nearly 8,000 volunteers from 42 countries in just two years. Treating at a pro bono clinic. Working in a soup kitchen. Cleaning up a park. No matter where or how, we have the ability to positively impact change. Whether we call ourselves 'Physical Therapists' or 'Physiotherapists,' service embodies who we are, what we do, and how we act. Join us this year on October 14, 2017! In this episode, we discuss: -What is PT Day of Service? -The future of PT Day of Service and Efosa's and Josh's goal of transcending the status quo -Building a team with shared values to achieve goals -Ways you can give back to those affected by recent natural disasters -And so much more! PT Day of Service encourages physical therapists to give back to their communities and all across the globe. Josh states, "It's about writing service into the DNA of our profession….PT Day of service has always been about what we can do when we unite, when we join together as a profession" The goal of the PT day of Service team is to, "create a platform from which people can stand and serve to move the world in a positive direction." Dedicating a day of service gives the opportunity for each person to make a lasting impact on their communities and Efosa remarks, "The power that we have, from one interaction, from one touch point can change the world." For more information on the PT Day of Service Story: EFOSA GUOBADIA: What if. I imagine a few things have started that way in the past, and a few things will start that way in the future. This particular 'what if' came to my mind in February 2015. I was doing health volunteer work off the Amazon River in Peru. As I looked upon the river, an idea that had been bubbling in the back of my mind suddenly shot to the front in full force. What if, on the same day, clinicians, students and associated staff of the Physical Therapy profession volunteered in different communities around the world? What if, we then shared those moments and acts in a way that was galvanizing, inspiring, and promoted connections all over the world? What if!? Being on the Amazon and watching the river flow, I couldn't help but think of our profession of Physical Therapy as a flowing river. A river made up of passion, love, life, kindness, and heart. A river that enhances and is enhanced by the shores it passes and the encounters it makes. Our River. Our Profession. Our Communities. The idea was taking form that a Day of Service would be another wave to have a positive impact on all involved. I was smiling as the thought was developing and I knew I had to share it with someone. I emailed Josh right away... JOSH D'ANGELO: Let's shoot for the stars. Back in February, I received an email at about 11:30pm. As I curled into bed and saw the email was from Efosa, I could not help but read it. Our exchanges often serve as a place to reflect on our lives, careers, and what physical therapy can and should be. This particular email happened to be a new idea, something to the effect of starting a 'PT Day of Service.' Three sentences into the email, I had a visceral response, one that told me this is something we not only should do, but something we need to do; a chance for the profession to show what we can do when we all work together. At 11:35pm, I popped back up, turned the light on, and flipped open my laptop. Over the next 15 minutes, I did my best to articulate that this was NOT just another idea, this is a movement we HAVE to start. Later on that night as I drifted off to sleep, I remember the last thought that crossed my mind: 'Let's really do this. Let's shoot for the stars.' EFOSA & JOSH: What was once an idea has evolved into a real, palpable movement driven by eight volunteers, a growing list of international ambassadors, and many supporters across the world. We have had the chance to talk about servant leadership, community engagement, and all that is possible when we ask ourselves how we can do our part to make life better for those around us, when we ask ourselves how can we put compassion into action. We know the impact will be real on not only those we serve, but on our profession and ourselves. To our knowledge, this is the first global Day of Service coordinated by a whole profession. It gives us the chance to lead and serve at the same time. Our hope for this day is that it sparks new connections, strengthens established ones, and further stimulates conversations on how we can keep this river flowing strongly for our profession and the communities we touch. Because...What if. Resources discussed on this show: PT Day of Service Website Ascend Conference Day of Affirmation Address Stephen Colbert 2011 Commencement Speech at Northwestern University Rehab Therapists Give Back Thanks for listening and subscribing to the podcast! Make su

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of continuing the conversation following the Women in Physical Therapy Summit with both Dr. Michelle Collie and Dr. Sandy Norby. Dr. Michelle Collie is the CEO of Performance Physical Therapy, a multi-clinic private practice with over 130 employees in Rhode Island and Massachusetts. Michelle dedicates time to teaching, mentoring and coaching women through their careers. Dr. Sandra Norby is CEO and Co-Founder of HomeTown Physical Therapy which provides a practice model for ownership and champions the leadership of women in physical therapy. In this episode, we discuss: -Reflections on the Women in Physical Therapy Summit -What it takes to open a private practice and be a female entrepreneur -Why prioritizing self-care may improve your ability to lead others -The future of the Private Practice Section and public advocacy of physical therapy -And so much more! One of the most important qualities of successful entrepreneurs and leaders is the strength to remain true to themselves. Dr. Collie stresses, "We need to have the courage to be authentic and not change who we are for other people." The Women in Physical Therapy Summit has provided an opportunity to build a strong nationwide community. Sandy's biggest take away from the conference is that, "All of us women now have a confidant or a connection… At a drop of a hat, we'd all be very willing to help them out." As evidence supporting the efficacy of physical therapy continues to build, it becomes easier to share this information with the public and juxtapose non-invasive physical therapy treatment with less conservative and more costly interventions. Dr. Collie finds that, "It's an exciting time for PTs. We are all learning how to advocate better for our profession because we are all respecting and understanding the value of it." For more information on Dr. Collie: Dr. Michelle Collie PT, DPT, MS, OCS is the CEO of Performance Physical Therapy, a multi-clinic private practice with over 130 employees in Rhode Island and Massachusetts. A graduate of the Otago University Physiotherapy program in New Zealand, Michelle came to America in 1994 to gain additional clinical experience. She completed post-graduate studies at MGH-IHP in Boston Massachusetts followed by becoming a board certified clinical specialist. Michelle chairs the National Private Practice Marketing and PR Committee and devotes much of her time to advocating for the profession of physical therapy. The Performance Physical Therapy team have received multiple awards including the 2012 RI Outstanding Philanthropic Business Award and the 2014 prestigious National Private Practice of the Year award. With over 25 years of experience, Michelle has provided clinical instruction, published articles and presented at a local and national level on physical therapy, marketing, entrepreneurship and leadership. Finally, Michelle dedicates time to teaching, mentoring and coaching women through their careers. For more information on Dr. Norby: Sandra Norby, PT, DPT is CEO and Co-Founder of HomeTown Physical Therapy, LLC. This Iowa based corporation provides a practice model for ownership and champions the leadership of women in physical therapy. Sandra has served on many leadership positions in APTA and PPS, including being a member of PPAC and two terms as a Director on the PPS Board. She was awarded the 2017 APTA Federal Advocacy Leadership Award for her instrumental work on making Locum Tenens a reality for physical therapists. Sandra received her Physical Therapy Masters degree from the University of Iowa and her DPT from the University of Montana – Missoula. She has an expertise in compliance and billing and has been a speaker at many state and national events on topics that include technology, leadership, and championing the success of women in physical therapy. Resources discussed on this show: Women in Physical Therapy Summit The Leadership Gap by Lolly Daskal Peer2Peer NetWork PPS Sole Shero Half Marathon APTA Private Practice Section PPS Annual Conference @MyPhysTherapist Twitter PPS Monthly Marketing Toolkit PPS Fit Factor HomeTown Physical Therapy Performance Physical Therapy 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

In this chapter of the #PTSideHustle I share my biggest take aways from the Women in PT Summit on leadership. The Women in PT Summit took place on Saturday September 23rd in NYC. It brought together some of the finest leaders in the physical therapy world including our keynote speakers Dr. Sharon Dunn, president of the APTA and best selling author and executive leadership coach Lolly Daskal. This episode is all about changing your mindset and getting in touch with your self and you needs. In this episode I discuss: - The importance of authenticity in your life and in your business. - Why knowing your values is paramount to your business - How amplification can improve your side hustle - My leadership archetypes and how they can help and hinder me in my life - And much more! Resources I spoke about in this episode: Women in PT Summit The Leadership Gap by Lolly Daskal Dr. Sharon Dunn Thank you to our sponsor for today's episode. Get your free month today by clicking on the link below: Freshbooks 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

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Mark Merolli joins me to chat about eHeath and physical therapy. Dr. Mark Merolli is a physiotherapist, health informatician and digital health consultant. He works in the digital health research and academia space and practices physio in a sports and musculoskeletal practice. In this episode, we discuss: -The many forms of digital health -The latest trends in eHealth for business marketing and knowledge management -Opportunities for physical therapists to leverage health data for improved treatment outcomes and insurance reimbursements -Mark's case for why healthcare professionals should collaborate with tech companies to create digital healthcare products -And so much more! Physical therapists can benefit from leveraging social media for both patient management and education. Mark stresses, "Social media is one trend that we can't ignore." With innovations such as wearable technology wide scale, fairly accurate accumulation of health data is now possible which can be used to better understand treatment outcomes and change the way insurance companies think about reimbursement. In this age Mark understands that, "Information is power." Many applications are being developed for health and wellness needs and Mark has found that, "There's a lot happening in the digital health space." However, many apps underperform due to lack of insights from healthcare practitioners who more readily understand the patient experience. Unfortunately, Mark has found that, "Healthcare is inherently slow to adopt a lot of these trends." Mark believes healthcare providers should partner with digital innovators and have a role in developing these technologies because, "It's the practicing health professional's role to have an intimate knowledge of healthcare." For more information on Mark: I'm Mark Merolli, a passionate digital health and informatics professional. I work in academia, research, clinical practice, as a consultant, and on various entrepreneurial projects. My clinical background as a Physiotherapist has been rewarding and grounding. After years focussing on clinical practice exclusively, I was drawn in by the paradigm shift I was witnessing both with my own patients and in the wider community – a push enabled by technology. I was an early adopter. During a stint living and practicing abroad in the United Kingdom, I was fortunate enough to gain some experience working at a digital media agency alongside my clinical work, specialising in online, print media and advertising. This parallel experience to health practice was invaluable and provided a foothold to explore "digital" in "health". Working as part of the online team helped me gain extensive knowledge in the web, social media, website management, search engine optimization (SEO), digital analytics and, digital strategy. By doing this, I was better able to conceptualise the digital landscape and relate it back to my passion – healthcare. All of my experiences have led me to focus my career very much in the digital health space. I have a PhD in this area, specialising in social media for health but my interests and expertise covers a range of technologies and areas (especially consumer-centric technologies that influence participation in health – mHealth, apps, sensors, telehealth, virtual reality, games, etc). Now, I research, lecture, educate, strategise, speak and provide thought leadership on all things digital health to various health organisations, entities and individuals. I love all of my roles! I also have formal qualifications in health informatics, such as Membership in the Australasian College of Health Informatics (MACHI), am a Certified Health Informatician Australasia (CHIA), endorsed by Australian College of Health Informatics (ACHI) and Health Informatics Society of Australia (HISA), and am the Chairman of the International Medical Informatics Association – Participatory Health and Social Media Working Group (IMIA – PHSM). My real passion is to connect with likeminded health professionals and other stakeholders who are interested in this big wide world we now call "digital health". As technologies continue to intertwine with healthcare, it's important we're equipped with the knowledge and understanding to operate confidently in this environment. My overall vision is to connect with, educate and up-skill health professionals across a variety of digital health areas and to help solve practical solutions in future models of healthcare. My Mission: "To connect professionals with digital health" My Credo: "For health professionals..by health professionals" Resources discussed on this show: Mark Merolli Website Mark Merolli Twitter Mark Merolli LinkedIn patientslikeme.com TEDMED: Cole Galloway Go Baby Go TED Talk: Meet e-Patient Dave epatients.org Society for Participatory Medicine Digital Resources about Technology and Physio Social Media for Physios: Mark's Training and Business Course Thanks

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Osman Ahmed joins me to discuss concussion management and eHealth. Dr. Ahmed is a Lecturer in Physiotherapy at Bournemouth University, England and also works for the Football Association in England as a physiotherapist within their elite disability football programme. Since completing his PhD he has published and presented widely in the fields of concussion and eHealth/social media healthcare. In this episode, we discuss: -Is social media propagating myths about concussions? -Why healthcare providers should be engaging in eHealth initiatives -Challenges with concussion management for disabled populations -The important role journalists play in disseminating knowledge about concussions in the mainstream media -And so much more! More providers are beginning to engage the public with healthcare information through the use of social media. Dr. Ahmed warns, "Social media is not going to stay the same. Social media is going to evolve." The challenge for clinicians is to keep current with the different platforms and continue to engage with users. He encourages, "We have to engage patients where they are." Most of the markers in our current assessment tools for concussion recognition and concussion assessment will not have the same validity in disabled populations. Dr. Ahmed stresses, "There is a big opportunity to enhance the care for athletes with a disability when it comes to concussion in sport." Dr. Ahmed believes transforming the public's view of concussions through the conduit of influencers in the media may be one of the best options for getting better healthcare outcomes following injury. As a result of a more informed public, "Better educated clinicians are going to be able to treat concussions better. Better educated parents are going to be able to manage their kids' symptoms better. Better educated players are not going to push each other to go back until their symptom free." For more information on Dr. Ahmed: Dr. Osman Ahmed is a Lecturer in Physiotherapy at Bournemouth University, England and also works for the Football Association in England as a physiotherapist within their elite disability football programme. He graduated from the University of Nottingham in 2002, and worked clinically until commencing his PhD in 2008 at the University of Otago, New Zealand on the topic of concussion in sport (with a focus on social media and concussion). Since completing his PhD he has published and presented widely in the fields of concussion and eHealth/social media healthcare. Resources discussed on this show: Consensus statement on concussion in sport Dr. Ahmed will be travelling as the squad physiotherapist with the England Cerebral Palsy football team IFCPF CP Football World Championships (San Luis Argentina, September 4-24) Osman Ahmed Bournemouth University Email: [email protected] Osman Ahmed Twitter Dr. Mesko: eHealth information Richard Weiler: Do Neurocognitive SCAT3 Baseline Test Scores Differ Between Footballers (Soccer) Living With and Without Disability? A Cross-Sectional Study Sport Concussion Assessment Tool: 5th Edition CDC: Concussion Checklist Mayo Clinic Website Cleveland Clinic CDC: Traumatic Brain Injury and Concussion Football Association 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

On this episode of the Healthy Wealthy and Smart Podcast, Scott Ford joins me to discuss building wealth for a lifetime. Scott Ford is Founder and CEO of Cornerstone Wealth Management Group, an independent Registered Investment Advisory firm serving entrepreneurs, business owners, executives, and their families. The firm specializes in comprehensive wealth management, business liquidity strategies, and SBA financing. It is Scott's mission to help his clients pursue financial freedom and live a balanced and fulfilled life. In this episode, we discuss: -How to shift to a long-term mindset with the Lifetime Extender Exercise -The Sustainable Edge: balancing personal life to achieve professional growth -Scott's top habit changes to increase productivity -Retirement, investment and saving strategies to make money last a lifetime -And so much more! Focusing on short-term career and personal goals can often lead to an underappreciation of the long-run. Scott envisions what can be accomplished over his longest potential lifespan, which he believes, "Gives me the opportunity and space to think about how I am going to accomplish that because it's a long game." Scott encourages everyone to compound their accomplishments over the long-term by completing at least one important task every day. Scott stresses, "If I just accomplish one thing per day but I'm doing that over a span of 30 years and that one thing I know is the most important task, what impact is that going to have on me and other people's lives over a 30 year span? It's huge." One of Scott's tips for short term planning is to remember that, "What is on your calendar is what your priorities are regardless of what you tell yourself." While putting away money for retirement is always an important consideration, Scott believes aspiring entrepreneurs should leave enough to allocate to their current pursuits. "One of your best investments if this person has their own business is in themselves and in their business." For more information on Scott: Scott Ford is Founder and CEO of Cornerstone Wealth Management Group, an independent Registered Investment Advisory firm serving entrepreneurs, business owners, executives, and their families. The firm specializes in comprehensive wealth management, business liquidity strategies, and SBA financing. It is Scott's mission to help his clients pursue financial freedom and live a balanced and fulfilled life. Scott is the author of three books: Financial Jiu-Jitsu: A Fighter's Guide to Conquering Your Finances, The Widow's Wealth Map: Six Steps to Beginning Again, and the New York Time Bestseller, The Sustainable Edge: Fifteen Minutes a Week to a Richer Entrepreneurial Life. He and his wife, Angie, reside in Hedgesville, WV and have two wonderful children as well as a dog and a cat. In addition to spending time with his family, Scott is a voracious reader and enjoys woodworking, Brazilian Jiu-Jitsu, golf, hunting, permaculture and beekeeping; basically anything outdoors. Resources discussed on this show: Dan Sullivan IQ Grower pdf The Sustainable Edge Website Planner Pads Google Docs The Automatic Millionaire: A Powerful One-Step Plan to Live and Finish Rich Cornerstone Wealth Group 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!

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Alli Gokeler joins me to discuss motor learning following ACL injury. Alli has a special interest in motor control. He's currently working on the development of prevention programs designed to reduce primary and secondary ACL injury rate and optimization of return to sports and performance. In this episode, we discuss: -The 4 principles of motor learning -How to facilitate neuroplasticity with principles of motor learning -Self-controlled feedback and how it enhances learning and motivation -Dr. Gokeler's take on the timetable for returning to sport following ACL injury -And so much more! The way clinicians guide and cue their patients can impact their patients' success in learning motor skills. Dr. Gokeler outlines important considerations for clinicians and suggests, "A very simple change in wording can have a significant effect on learning." Incorporating motor learning principles into your treatment is not a one-sized fit all approach and can be dependent on the learning style of the patient, the task and the environment. Dr. Gokeler reiterates, "There is no motor learning principle that is the gold standard." Despite widely accepted ACL injury rehabilitation practices, patients continue to display high incidence of re-injury and altered movement patterns. Dr. Gokeler believes, "We need to step up and come up with better rehab approaches." To improve long term outcomes, Dr. Gokeler advises all clinicians to, "Make rehab challenging, fun but attainable." For more information on Dr. Gokeler: Alli Gokeler was born on 18 September 1967 in Groningen, the Netherlands. He obtained his degree in Physical Therapy in 1990 from the Rijkshogeschool Groningen. From 1991-2001 he worked as a physical therapist in the United States and Germany. Upon return to the Netherlands, he obtained a degree in Sports Physical Therapy from the Utrecht University of Applied Science in 2003. In 2005 he started on his PhD project at the University Medical Center Groningen, Center for Rehabilitation. Alli has a special interest in motor control. He's currently working on the development of prevention programs designed to reduce primary and secondary ACL injury rate and optimization of return to sports and performance. Resources discussed on this show: Motor Control and Motor Learning---5th-Edition Human Performance by Fitts and Posner Richard Masters: The theory of reinvestment Tim Gabbett Twitter Alli Gokeler Twitter Alli Gokeler Facebook aclrehabilitation.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!

In today's #PTSideHustle podcast series I talk about one of the most important things you need as an entrepreneur: the ability to network! Networking both inside and outside of the physical therapy world is vitally important to growing your side hustle into a full time gig (if that is your long term goal). In the episode I talk about: - How to find out if you are an introvert, extrovert or ambivert - How to go to a meeting or conference where you know no one and walk away with new connections - One of the most important aspects of networking that cannot be missed - How to get to said meeting and conferences when you are on a budget - Finally the added detail you need to do to be remembered. Links I spoke about during this episode: - Introvert, Extrovert, Ambivert Quiz - Podcast Episode w/ Dr. Liam West 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

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Jason Eure, DPT joins me to discuss intraprofessional communication. Jason is an outpatient physiotherapist based in Virginia with an interest in exploring how our innate biases are influencing our reasoning abilities and preventing constructive communication. In this episode, we discuss: -Human susceptibility to confirmation bias -How online communication differs from in person communication -Common assumptions within arguments: what is being said and what is not being said -How argumentation will progress the physical therapy profession -And so much more! Humans are susceptible to confirmation bias and "We tend to gravitate towards people who think like we do." Jason also stresses that individuals do not weigh evidence from every perspective and come to rational decisions but, "We have these intuitive beliefs of something we just want to believe and then after the fact we will come up with justifications for why that is true. We are really biased in the way that we come to our decisions." Before trying to reason with someone, Jason recommends first establishing rapport with the person and then framing the argument around their values. Jason begins each conversation by asking, "What information would have to be provided to have them change their mind." Jason also cautions, "If someone is not willing to have their mind changed, there's literally nothing you can say to have them change their mind." While it's important to consider the biases of others before engaging in an argument, it's even more critical to assess your own biases and be willing to accept counter evidence which challenges your beliefs. Jason stresses, "Group reasoning always is going to outperform the individuals. It is absolutely essential for us to move the profession forward collectively." For more information on Jason: A Physical Therapist working in the outpatient setting. Aside from caring about dogs, movies, and music- I have a strong passion for my professional field. I have been compelled to write about various topics within PT to help nudge the profession forward in any small way I can. Recently, I have invested time exploring how our innate biases are influencing our reasoning abilities and preventing constructive communication. Resources discussed on this show: Hugo Mercier: Why Do Humans Reason? Arguments for an Argumentative Theory Jason Eure Twitter Jason Eure Facebook Jason Eure LinkedIn Jason Eure: Lost in Translation: Communication in Physiotherapy Physiological 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!

On this episode of the Healthy Wealthy and Smart Podcast, Naomi Mdudu joins me on the show to discuss strategies for entrepreneurial success. Naomi Mdudu founded The Lifestyle Edit in February 2015, following a string of successful positions within the fashion industry in the UK. Her love of digital media and the lack of real-life content for women inspired her to create the UK's first digital lifestyle glossy, which has amassed a loyal following in the UK and US in the short time since its launch. In 2016 she expanded The Lifestyle Edit business to encompass a consulting company that supports the small to medium sized female founded businesses she champions on the site. In this episode, we discuss: -How Naomi made the leap from managing a content platform to consulting small businesses -How to differentiate yourself from others in your space -Strategies for on-boarding new clients and how to manage their expectations -Why you should focus on cooperation over competition -And so much more! Pursuing entrepreneurial ventures is more about conquering fear than taking excessive risks. Naomi has found, "The fear is more about the unknown. When you really break it down, many of us don't have anything to lose." She has found that challenging your mindset will help squelch most doubts saying, "I'm in a really strong and empowered position." Seeing your work directly contribute to your personal success and benefit others is one of the many rewards of being an entrepreneur. Naomi offers, "Every day I wake up knowing that my success boils down to me and how much I am willing to put in it. I can't think of something more liberating than that." Expanding a business requires delegation of certain tasks to allow more time to focus on what actually matters. From Naomi's experience, she states, "In order for my business to grow, I need to constantly be working in my mode of genius and delegate the rest." For more information on Naomi: Naomi Mdudu founded The Lifestyle Edit in February 2015, following a string of successful positions within the fashion industry in the UK. Prior to launching The Lifestyle Edit, Mdudu was the fashion editor of Metro as well as City A.M.'s Style Editor and the PR to luxury Italian label Alessandra Ferreira. Her love of digital media and the lack of real-life content for women inspired her to create the UK's first digital lifestyle glossy, which has amassed a loyal following in the UK and US in the short time since it's launch. Hailing from South London, Mdudu graduated with a law degree, before turning to fashion and has worked with the likes of Harper's Bazaar, Glamour and Tatler, all before reaching her mid-twenties. In 2016 she expanded The Lifestyle Edit business to encompass a consulting company that supports the small to medium sized female founded businesses she champions on the site. She's currently living between London and New York, as she expands The Lifestyle Edit internationally. Resources discussed on this show: The Lifestyle Edit The Lifestyle Edit Twitter The Lifestyle Edit Instagram Naomi Mdudu Twitter Naomi Mdudu Instagram 1000 True Fans by Kevin Kelly The E Myth Revisited The 7 Habits of Highly Effective People Rising Tide Society 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!

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!

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

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!

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 an

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

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!

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: [email protected] 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!

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

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!

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 healt

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! Mak

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 book

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'

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: [email protected] 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!

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? Mak

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

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: [email protected] 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!

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: [email protected] 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!

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!

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: [email protected] 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!

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

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!

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: [email protected] 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!

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!

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!

LIVE from Combined Sections Meeting, the Healthy Wealthy and Smart Podcast covers the professional dialogue that happens outside the conference halls driving the physical therapy profession forward. This episode features the thoughts from the following influential figures in physical therapy: Lisa Maczura, Rachel Jermann, Todd Davenport, Mike Eisenhart, Dee Kornetti, Karen Litzy, Jerry Durham, and Sean Hagey! In this episode, we discuss: -The importance of engaging patients at national conferences -Why students should seek out more networking opportunities -Humanizing patients to move the profession forward -The importance of building self-efficacy in patients -The need for stronger advocacy in physical therapy -Validating the patient's pain experience -Engaging in professional dialogue and debate -And so much more! Lisa believes that patient engagement needs to be integrated into national conferences. She states, "We need to create a safe zone, not just for the PTs, but for the patients to tell their stories, to feel validated." Professional development needs to take place outside of the classroom by engaging in professional dialogue. From Rachel's experience, she shares, "The failing that we see right now in education is you teach your students to treat patients, you may not teach them to interact in their profession." Physical therapists should be taking more ownership of the impact we make on society with public health advocacy. Todd states, "If we see the people who seek our care as people, our profession moves forward." Physical therapy needs to be at the forefront of transforming society by building self-efficacy in patients and encouraging movement. Mike stresses, "We have the ability to change the trajectory of someone's life." Home health physical therapy catches a glimpse into the impact we make on the quality of life of our patients. Dee fears the profession can often,"get stuck with an inability to define our own value." Developing interpersonal skills and using reflective questioning can make a bigger impact than any manual technique for chronic pain patients. For chronic pain management, Karen believes our role is "To be able to reassure, to be able to validate that you're pain is real. I understand, now what can we do about it?" Engaging in professional debate on controversial topics is for the ultimate benefit of our patients. Jerry proposes, "Think about what you can gain from a conversation with someone you disagree with." Sean challenges physical therapists to promote the profession on larger platforms. He feels you should, "Be a part of something bigger than yourself. It's the most rewarding thing I've ever done, I'd encourage you to do the same." For more information on the guests featured on this show: Lisa Maczura Twitter Rachel Jermann Twitter Todd Davenport Twitter Mike Eisenhart Twitter Dee Kornetti Twitter Karen Litzy Twitter Jerry Durham Twitter Sean Hagey 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!

On this episode, Healthy Wealthy and Smart Combined Sections Meeting Scholarship recipient Becky Bouressa, SPT joins me to discuss CSM from a student's perspective. Becky is a second year Doctor of Physical Therapy student at A.T. Still University in Mesa, AZ and is most interested in pediatric physical therapy and developing her niche through further clinical rotation experience. Stay tuned to the podcast for next year's scholarship opportunity to attend Combined Sections Meeting 2018 in New Orleans, Louisiana! In this episode, we discuss: -How to prepare for and make the most of a conference experience -Becky's conference and networking highlights from CSM -How technology can improve your next CSM experience and social media resources for students -Recommendations for students networking with seasoned clinicians -And so much more! Combined Sections Meeting has ample opportunities for student engagement both clinically and professionally. Becky recommends preparing activities in advance to make the most of your conference experience as, "There is always an opportunity to learn at CSM." Becky encourages students to reach out to many of the lecturers from Combined Sections Meeting with follow up questions. She has found that, "People are happy to respond so don't be afraid to [email]. They are open to answer any questions. They are there to teach." For more information on Becky: Hello! I am a second year DPT student at A.T. Still University in Mesa, AZ. I am originally from Wisconsin where I received my undergraduate degree from Marquette University in Milwaukee. As of now, I am most interested in pediatric physical therapy, but am open to all types and hope to develop my niche through further clinical rotation experience. Resources discussed on this show: Combined Sections Meeting App Doctor of Physical Therapy Student Group on Facebook 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!

On this episode of the Healthy Wealthy and Smart Podcast, I welcome Dr. Sarah Haag, Dr. Sandy Hilton and Dr. Jason Falvey for another installment all about sex. The was recorded live at CSM and we covered a wide range of topics including 50 Shades of Grey. Two of the four of us read the books…guess which two! Make sure to catch up on Part 1 and Part 2 and enjoy the show! In this episode, we discuss: -What's normal female anatomy? -Graded exposure for women's sexual health -Can interventions for sex be researched? -Sex education for people with low back pain -What you should and shouldn't be inserting into the vagina -And so much more! For a lot of people in today's society, there is almost no body part which escapes insecurity. Sandy believes the variety of human forms should be celebrated and genitalia is no different. Sandy reminds us that, "The normal human variability is as variable as noses." Patients may question whether they should continue sexual activity that is accompanied by chronic pain. Both Sandy and Sarah emphatically agree, "sex should never be painful," adding, "if it doesn't feel good, don't do it." Many chronic pelvic pain patients may have adverse experiences with sex. Sarah finds that a graded exposure treatment plan which is sensitive to psychological associations and fears will lead to better outcomes. Sarah finds, "It's really important to have something that the person doesn't feel the need to protect against." For more information on the panel: SARAH HAAG PT, DPT, MS, WCS CERT. MDT, RYT: Sarah graduated from Marquette University in 2002 with a Master's of Physical Therapy. Sarah has pursued an interest in treating the spine, pelvis with a specialization in women's and men's health. Over the past 8 years, Sarah has seized every opportunity available to her in order to further her understanding of the human body, and the various ways it can seem to fall apart in order to sympathetically and efficiently facilitate a return to optimal function. Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Women's Health. She went on to get her Doctorate of Physical Therapy and Masters of Science in Women's Health from Rosalind Franklin University in 2008. In 2009 she was awarded a Board Certification as a specialist in women's health (WCS). Sarah also completed a Certification in Mechanical Diagnosis Therapy from the Mckenzie Institute in 2010. Most recently, Sarah completed a 200 hour Yoga Instructor Training Program, and is now a Registered Yoga Instructor. Sarah plans to integrate yoga into her rehabilitation programs, as well as teach small, personalized classes. Sarah looks at education, and a better understanding of the latest evidence in the field of physical therapy, as the best way to help people learn about their conditions, and to help people learn to take care of themselves throughout the life span. SANDY HILTON PT, DPT, MS: Sandy graduated from Pacific University (Oregon) in 1988 with a Master of Science in Physical Therapy and a Doctor of Physical Therapy degree from Des Moines University in December 2013. She has worked in multiple settings across the US with neurologic and orthopaedic emphasis combining these with a focus in pelvic rehabilitation for pain and dysfunction since 1995. Sandy has teaches Health Professionals and Community Education classes on returning to function following back and pelvic pain, assisted with Myofascial Release education, and co-teaches Advanced Level Male Pelvic Floor Evaluation and Treatment. Sandy's clinical interest is chronic pain with a particular interest in complex pelvic pain disorders for men and women. Sandy is also pursuing opportunities for collaboration in research into the clinical treatment of pelvic pain conditions. Sandy brings science and common sense together beautifully to help people learn to help themselves. JASON FALVEY PT, DPT, GCS, CEEAA: Jason is a board certified geriatric physical therapist with a strong interest in improving outcomes for both frail older adults and older adults with hospital-associated deconditioning. He has current funding from the Foundation for Physical Therapy (PODS 1 Award, 2015) and the Academy of Geriatric Physical Therapy to support his participation in ongoing research the use of a novel Progressive High Intensity Therapy (PHIT) training program on medically complex older adults after acute hospitalization. He also has funding from both the American Physical Therapy Association Health Policy and Administration Section and the Home Health Section to evaluate how physical therapists can reduce avoidable hospital readmissions. Lastly, Jason is collaborating with local long-term care providers to determine how physical functioning can be assessed and best managed to reduce rates of falls, ER visits, and hospitalization. Resources discussed on this show: Jason Falvey Twitter Sarah Haag Twitter Sandy Hilton Twitter Pain Catastrophizing Scale Orebro Sc

LIVE from Combined Sections Meeting, this episode of the Healthy Wealthy and Smart Podcast features Professor Peter O'Sullivan discussing elements of the biopsychosocial model for chronic pain management. Peter O'Sullivan is Professor of Musculoskeletal Physiotherapy at Curtin University, Perth, Australia. In addition to his teaching and research at Curtin University, he works in clinical practice as a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005) in Perth, Australia. He is recognized internationally as a leading clinician, researcher and educator in the management of complex musculoskeletal pain disorders. In this episode, we discuss: -Why you should validate your patient's pain experience, understand their beliefs and fears, and disconfirm them through behavioral learning -The link between a practitioner's language and self-efficacy -The informal and non-threatening art of Peter's initial examination -Maintaining professional boundaries with chronic pain patients and avoiding burn out -And so much more! One of the strongest influences to better treatment outcomes for chronic pain patients is trust in the therapeutic alliance. "You've got to build a strong therapeutic relationship," Peter suggests if you want to see patient's engage in their program and take more control over their pain. Treating chronic pain patients can be challenging. With the right evaluation framework and understanding of neuroscience, Peter believes you can make instant impact for the patient. Peter stresses, "The nervous system is so damn plastic. If you can get to the heart of what someone is thinking and feeling. Validate it and take them on a journey—it can break that schema up." Peter is critical of therapeutic techniques in physical therapy when in fact a majority of patients would benefit from relaxation strategies and progressive loading. He suggests, "I think we undermine how smart the body is…someone who gets in trouble is someone who is too hyper vigilant and probably obsessed with their technique." For more information on Peter: Peter is the Professor of Musculoskeletal Physiotherapy at Curtin University, West Australia and is a Specialist Musculoskeletal Physiotherapist (as awarded by the Australian College of Physiotherapists in 2005). His private clinic is Body Logic Physiotherapy in Perth www.bodylogicphysiotherapy.com.au. Peter has an international reputation for clinical research investigating the development, multi-dimensional assessment and targeted management of chronic spinal pain disorders. He has also developed a management approach for chronic low back pain – called 'cognitive functional therapy'. He has published over 190 papers with his team in international peer review journals, has presented the findings of his research at more than 90 National and International conferences and has run clinical workshops in over 24 countries. Peter's expertise is linking of clinical research to the clinical setting. (see www.pain-ed.com) Resources discussed on this show: Blink by Malcolm Gladwell NOI Group Body in Mind Pain-Ed Adriaan Louw 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!