For most physicians, talk of court, lawyers, or subpoenas brings on a rush of anxiety. The medical and legal worlds can overlap in many ways. In this five part series, we'll cover everything from the basics, to being a percipient or expert witness, to the dreaded malpractice lawsuits. Joining us as Guest Host, is Dr. John Rose, Professor of Emergency Medicine at UC Davis. In the fourth episode of our series, we continue our conversation with Tom Doyle highlighting what EM physicians should know about being sued and living through a lawsuit. We delve into the importance of charting, including how the EMR can both help and hurt you. And we address how to handle it when mistakes are made. Have you had to deal with a malpractice lawsuit? What advice to you have for others? Please share! Tag us on social media, @empulsepodcast, or reach out via email firstname.lastname@example.org, or connect through our website, ucdavisem.com. Encourage your friends and colleagues to listen and share their perspective, too! ***Please rate us and leave us a review on iTunes! It helps us reach more people.*** Hosts: Dr. Julia Magaña, Associate Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Associate Professor of Emergency Medicine at UC Davis Guest Host: Dr. John Rose, Professor of Emergency Medicine and EMS Fellowship Director at UC Davis Guest: Thomas J. Doyle, Partner at Schuering, Zimmerman & Doyle in Sacramento, CA. Resources: Law 101 for Experts: Understanding Jury Trials, by Dani Alexis Ryskamp, JD 1 in 3 physicians has been sued; by age 55, 1 in 2 hit with suit, by Kevin B. O'Reilly, News Editor, AMA Getting Sued: A Resident's Perspective (ACEP) Malpractice Litigation Stress: Doctors Beware, presentation by Dr. Gillian Schmitz (ACEP) Things I Want You to Know About Malpractice Litigation, by Dr. Stacia Dearmin, founder of Thrive, for the ACEP section American Association of Women Emergency Physicians *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
Is this a controversial topic or just what everyone thinks but won't say? It's not clear...what is clear is that it was a fun discussion. We had Damien Corlew and Heather Dunn from Vanderbilt join us for this interesting topic. Full disclaimer that we are not referencing any of the EMR's in particular and is really just a discussion on the general market and experience. Please Subscribe and do a Review if you can remember. It's really important to us as this podcast grows. Thanks for listening.
Brian Werner is a physical therapist that specializes in the management of patients with balance and vestibular dysfunction. Brian has been in the business of balance for 25 years while owning and operating 5 balance centers before coming on board with FYZICAL as the first franchisee of FYZICAL. Currently, he is the National Director of Balance Center Development, Education and Training working with multiple groups in the FYZICAL family while onboarding new franchisees.Episode TakeawaysThe benefits and misconceptions of a physical therapy franchisee FYZICAL educational programsOpportunities for growth in a franchisee Defining the five types of dizziness in clinical practice - vertigo, lightheadedness, motion sickness, disequilibrium, and behavioral dizziness Building a practice around dizziness and balanceThree QuestionsWho is someone the audience should follow to learn more about today's topic? Tim Hain - The Dizzy Doc of ChicagoWhat is something the audience should take a look at if they want to take a deeper dive into some of the things we talked about today? Vestibular Certification Courses - Emory University Division of Physical Therapy Why should people care about this episode/topic? The number of older adults who fall or are admitted into the hospital due to a fall is every 11-19 minutes. Dizziness is prevalent in the human population and needs to be addressed. Parting Shot“We really want people who are interested in ownership of a physical therapy practice or people who are interested in being a part of a group of providers that absolutely love what we do.” - Brian Werner Connect with Brian and Fyzical!TwitterFYZICAL Therapy & Balance CentersFYZICAL Franchise Download FYZICAL's FREE Information eBook on The Guide to the Business of Balance PT Pintcast is brewed by:Practice Freedom UFor PT Owners who want to Treat Less, Earn More, and create the business you've always dreamed of. Take the Practice Quiz now to see where you stack up. Visit practicefreedomu.com.FYZICAL Therapy and Balance CentersDo you want to open a Physical Therapy Practice? Thinking about selling your practice?You should know this: on average, a private practice who joins the FYZICAL network grows more than 40%! If you're ready to discover how the largest network of PT private practice owners are growing and adapting to industry changes, visit FYZICALFranchise.comCBDRX4U.comYOUR CBD Store - get the ABC's of CBD at CBDRX4u.comJackson TherapyProviding awesome adventures in patient care for physical therapists who care about where they're going! Look no further than JacksonTherapy.comMW TherapyAn EMR is to a Physical Therapist as a Hammer is to a Carpenter. You deserve to LOVE USING IT!It's time for something better. It's time for something customizable. That's where MWTherapy comes in, take a demo of their amazing EMR now at MWTherapy.com where switching your EMR is easy!FIRST ROUND Owens Recovery ScienceYour single course for clinicians who want certification in Personalized Blood Flow Restriction Rehabilitation Training and the equipment YOU Need to apply it properly In your clinical practice. Find out where you can get certified NEXT at www.owensrecoveryscience.com. PARTING SHOTThe Academy of Orthopaedic Physical TherapyThe leaders in orthopedic PT are the academy OF orthopedic PT, orthoPT.org now with Current concepts of Orthopedic PT 5th edition.
In this episode, we are joined by William Neugebauer, CEO and Founder of OutPatientPro, to discuss hard server versus a cloud-based option for surgery centers, why EMR adoption is slow in the ASC space, how the company is addressing gaps in interoperability and much more. This episode is sponsored by OutPatientPro.
Leader to Leader: A Data Revolution in a Consumer-First World In this CHIMECast Leader to Leader podcast episode, Russ Branzell engages “Epic Viking” Kevin Field, President of Clearsense, in a lively discussion on the importance of harnessing data to solve healthcare problems. In a prior role, Kevin led major EMR implementations across the US and globally. He has moved into a role where data and technology are being leveraged to improve healthcare operations and patient services. Kevin shares how patients are now consumers in the healthcare space. They want what they get at Amazon: VIP services, consumers' needs as the top focus, and convenience. Kevin highlights the importance of data as a valuable asset and why the data revolution is inevitable. Tune in to find out what's up with the Epic nickname and how Clearsense maximizes data and analytics to improve operations for providers and transform the quality and convenience of healthcare for patients. Participant: Kevin Field Clearsense
In this episode I invite my special guest Christine Hall CHC (AAPC Instructor) CPC , CPB, CPMA, CRC, CEMC, CPC-I to discuss the Global Package. We will discuss the proposed revisions by CMS and the history of it since 1992. Are we ready for a revision? Let's find out What changes have technology and advances in medicine brought us? Are you getting involved and sharing what challenges your practice is facing? Specialty Specific Global Care for Orthopedics and Dermatology Is your EMR up the challenge? Using Subject Matter experts to improve operations and discover missed opportunities costing your practice Could revising the global package lead to better patient care? Check out some great resources: Global Package FAQ Global Surgery Indicators RAND Report CMS-1751-F Contact email@example.com for more information on improving your operations with coding and revenue challenges --- Send in a voice message: https://anchor.fm/healthcrossroads/message
Sangeetha Madhavavan is a professor and researcher at the University of Illinois at Chicago. She specializes in working on understanding the brain and how it adapts to disease, training, and recovery. We started out planning to talk about stroke and Neuroplasticity but... realized that she was an unexpected expert in telerehabiliation. Find out more about Dr. Madhavavan here: https://bpl.ahs.uic.edu/PT Pintcast is brewed by:Practice Freedom UFor PT Owners who want to Treat Less, Earn More, and create the business you've always dreamed of. Take the Practice Quiz now to see where you stack up. Visit practicefreedomu.com.FYZICAL Therapy and Balance CentersDo you want to open a Physical Therapy Practice? Thinking about selling your practice?You should know this: on average, a private practice who joins the FYZICAL network grows more than 40%! If you're ready to discover how the largest network of PT private practice owners are growing and adapting to industry changes, visit FYZICALFranchise.comCBDRX4U.comYOUR CBD Store - get the ABC's of CBD at CBDRX4u.comJackson TherapyProviding awesome adventures in patient care for physical therapists who care about where they're going! Look no further than JacksonTherapy.comMW TherapyAn EMR is to a Physical Therapist as a Hammer is to a Carpenter. You deserve to LOVE USING IT!It's time for something better. It's time for something customizable. That's where MWTherapy comes in, take a demo of their amazing EMR now at MWTherapy.com where switching your EMR is easy!FIRST ROUND Owens Recovery ScienceYour single course for clinicians who want certification in Personalized Blood Flow Restriction Rehabilitation Training and the equipment YOU Need to apply it properly In your clinical practice. Find out where you can get certified NEXT at www.owensrecoveryscience.com. PARTING SHOTThe Academy of Orthopaedic Physical TherapyThe leaders in orthopedic PT are the academy OF orthopedic PT, orthoPT.org now with Current concepts of Orthopedic PT 5th edition.
In episode 257: Dealing with Patients Who First Met with Dr. Google I bring to you...✅ The importance of listening to your patient and not making them feel bad about the online information they looked at.✅ Why patient education about internet information is a must.✅ How to re-direct your patient toward a proper evaluation and treatment plan.✅ An interesting scenario where we used "Google" to figure out an interesting patient diagnosis.I'd like to introduce you to our newest Sponsor, Robin Healthcare. Robin combines cutting-edge technology with trained healthcare staff to deliver a seamless experience that integrates directly into the electronic medical record (EMR). Be sure to check out Robin's website to learn more about what they do and how they can help you with reducing your documentation time.Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: firstname.lastname@example.orgNeed some online CEU's?? ⬇⬇⬇⬇⬇⬇⬇Meet our sponsor, Medbridge!!! Be sure to check them out HERE and receive $175 off your next 1 year subscription NOW! Use coupon code "OEP"Come visit our WEBSITE!! Click HERE to check it outGet our NEW downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our NEW downloadable 7.5 hour cervical and lumbar continuing ed courseGet our NEW downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 460+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal Podcast and Enjoy!#physicaltherapypodcasts #dptpodcasts #occupationaltherapypodcasts #Physicaltherapy #DPT #Medicalproviders #sportsmedicine #athletictraining #occupationaltherapy Support the show
Fertility Bridge CEO Andrew Mintz shares the Pinnacle philosophy; will it scale? Inside Reproductive Health guest, Andew Mintz, shares the evolution of Pinnacle Fertility on this week’s podcast episode with Griffin Jones. The fertility network which now owns ORM (Oregon Reproductive Medicine), SRM (Seattle Reproductive Medicine) and others, seemingly came out of nowhere. Is their model scalable? Will it stand the test of time? Tune in to hear: Andrew Mintz detail the Pinnacle Fertility model, including how they constructed their Medical Director and Lab Director Councils, and how they contribute to the overarching success and development of their network. Griffin press Andrew on the efficacy of Pinnacle Fertility’s physician buy-in program, and how it could potentially implode. Griffin question whether or not Pinnacle Fertility’s private equity backing equally beneficial to physicians across the board, or only those stepping into retirement. Griffin ask how Andrew Mintz and his team approached the selection of the ever-challenging EMR system, and how they decided on just one. https://www.listennotes.com/e/a867e83c0e72405787c94ae210d741d0/
CEO Andrew Mintz shares the Pinnacle philosophy; will it scale? Inside Reproductive Health guest, Andew Mintz, shares the evolution of Pinnacle Fertility on this week's podcast episode with Griffin Jones. The fertility network which now owns ORM (Oregon Reproductive Medicine), SRM (Seattle Reproductive Medicine) and others, seemingly came out of nowhere. Is their model scalable? Will it stand the test of time? Tune in to hear: Andrew Mintz detail the Pinnacle Fertility model, including how they constructed their Medical Director and Lab Director Councils, and how they contribute to the overarching success and development of their network. Griffin press Andrew on the efficacy of Pinnacle Fertility's physician buy-in program, and how it could potentially implode. Griffin question whether or not Pinnacle Fertility's private equity backing equally beneficial to physicians across the board, or only those stepping into retirement. Griffin ask how Andrew Mintz and his team approached the selection of the ever-challenging EMR system, and how they decided on just one.
John Seivert is the owner of Body Logic Physical Therapy in California for the last 22 years to help patients with chronic pain through motivational interviewing. During his free time, he is a 10-time Ironman distance triathlete, western states 100-mile endurance finisher, and a 60+ age group competitive cyclist. He'll be presenting on Motivational Interviewing at the California Physical Therapy Association Annual Meeting this month. John shows you exactly how to use Motivational Interviewing and the idea of CFT (cognitive functional therapy) in your clinical practice, and your life outside of the clinic.Win your ticket from them hereEpisode TakeawaysPhysical Therapists are to be the experts in musculoskeletal evaluations and differential diagnosisMotivational Interviewing/CFT?This episode will give the PT a few tips in questioning patients about their primary problemPTs will understand open-ended questions and their immense value Parting ShotConnect with JohnTwitterInstagram PT Pintcast is brewed by:Practice Freedom UFor PT Owners who want to Treat Less, Earn More, and create the business you've always dreamed of. Take the Practice Quiz now to see where you stack up. Visit practicefreedomu.com.FYZICAL Therapy and Balance CentersDo you want to open a Physical Therapy Practice? Thinking about selling your practice?You should know this: on average, a private practice who joins the FYZICAL network grows more than 40%! If you're ready to discover how the largest network of PT private practice owners are growing and adapting to industry changes, visit FYZICALFranchise.comCBDRX4U.comYOUR CBD Store - get the ABC's of CBD at CBDRX4u.comJackson TherapyProviding awesome adventures in patient care for physical therapists who care about where they're going! Look no further than JacksonTherapy.comMW TherapyAn EMR is to a Physical Therapist as a Hammer is to a Carpenter. You deserve to LOVE USING IT!It's time for something better. It's time for something customizable. That's where MWTherapy comes in, take a demo of their amazing EMR now at MWTherapy.com where switching your EMR is easy!FIRST ROUND Owens Recovery ScienceYour single course for clinicians who want certification in Personalized Blood Flow Restriction Rehabilitation Training and the equipment YOU Need to apply it properly In your clinical practice. Find out where you can get certified NEXT at www.owensrecoveryscience.com. PARTING SHOTThe Academy of Orthopaedic Physical TherapyThe leaders in orthopedic PT are the academy OF orthopedic PT, orthoPT.org now with Current concepts of Orthopedic PT 5th edition.
David Feinberg joined Cerner last year. Cerner then was subsequently acquired by Oracle. Oracle's founder and executive chairman, Larry Ellison, touts that Cerner is seeking to build a national EMR. What does it all mean? This episode takes a guess.
In Episode 256, 5 "Must Do's" with Early Post op ACLR Patients I talk about...✅ The importance of maximizing knee extension early.✅ Re-activating the quadriceps.✅ Why patella mobility is so important.✅ Best ways to control effusion and why?✅ Developing good lower extremity control and so much more!
This podcast is brought to you by HealthRev Partners-- Grow and expand your agency with a high powered revenue cycle management partner. Join hosts, Michael Greenlee and Hannah Vale as they sit down with Rich Berner to answer questions about the future of home health and hospice. What type of growth strategies should be considered? How do agencies need to incorporate technology strategies? If putting a growth and technology strategy in place, should agencies consider a RCM partner? What is the number one criteria agency buyers are seeking? Rich Berner serves as a board member and Chief Executive Officer of Complia Health - a leading provider of EMR solutions, technology, and services for pre- and post-acute care agencies. As CEO, he guides the company's direction to help their clients improve the quality of life and healthcare experience of the populations they manage, while fulfilling the company's purpose of connecting administrators, caregivers, consumers, and their families on the consumers' terms. With over 25 years across business-to-business and business-to-consumer industries in established and emerging markets, Rich previously served as CEO of MDLive; President for Allscripts' International & Acute division including Allscripts' Sunrise EMR; and in various leadership roles with Caradigm, a Microsoft/GE joint venture; Cerner Corporation; FreeDrive; Tellabs; the U.S. Army Corps of Engineers; and others. Rich graduated as an Evans Scholar from the University of Illinois with a Bachelor of Science in Teaching of Computer Science.
Reframing Acute Neurological Deficits with Dr. Harrison Vawter Pt 2FAKTR Podcast Episode 36Featuring: Harrison Vawter, DC, MICTEPISODE SUMMARYWe've all seen the headline stories about patients who have allegedly suffered stroke after receiving spinal manipulations. The media attempt to place blame on the chiropractor, but what does the research say?In today's episode, we will do a deep-dive into what the literature has to say about chiropractic and acute neurological deficits so that you know how to spot the signs and "red-flag" symptoms when they present in your office.About our Speaker:Dr Vawter is a graduate of Cleveland University undergraduate and graduate (DC) programs. He now serves as an adjunct faculty at Cleveland teaching a course specifically dedicated to assessment and management of emergencies in the private practice setting. Over the last 10 years Dr. Vawter has been a Paramedic in the Kansas City area working in both the field, and in the Emergency Medical Sciences program at Johnson County Community College. He teaches EMR, EMT, Cardiology and Paramedic content both in didactic settings and also in the clinical settings working with students in a variety of hospital rolls throughout the city. Dr. Vawter is also in private practice, where he owns and operates Industrial Athletics, which is an athletic development and monitoring strategy specifically for police, fire, EMS, and healthcare workers.This Episode Sponsored by: This episode is sponsored by the Flight Path Business Launch Workshop scheduled for October 22-23 on the campus of Texas Chiropractic College in Pasadena, TX. To learn more and reserve your seat, visit https://tinyurl.com/FP-biz-workshopLinks:Submit your questions for an upcoming Q&A episode here: https://2earrqgh.paperform.coWant to stay informed about upcoming events, special offers, new products, courses and more? Click the link below to get on our email list (you'll be glad you did): https://dsb2mjfm.paperform.co/Interested in having Southeast Professional Education Group help with your upcoming event? Schedule a call with a member of our team here: https://3y3izqyx.paperform.coCONNECT WITH US ON SOCIAL MEDIA: FACEBOOK: https://www.facebook.com/FAKTRconceptINSTAGRAM: https://www.instagram.com/FAKTREDUCATION/LINKEDIN: https://www.linkedin.com/showcase/faktr
https://www.youtube.com/watch?v=h4rwwyqiI0c YİRMİ ALTINCI SÖZ İkinci Mebhas Eğer desen: Kader ile cüz-ü ihtiyarî nasıl tevfik edilebilir? Elcevap: Yedi vech ile. … ALTINCISI [Gayet müdakkik âlimlere mahsus bir hakikattir]: Cüz-ü ihtiyarînin üssü'l-esası olan meyelân, Maturidîce bir emr-i itibarîdir, abde verilebilir. Fakat Eş'arî ona mevcut nazarıyla baktığı için, abde vermemiş. Fakat o meyelândaki tasarruf, Eş'ariyece bir emr-i itibarîdir. Öyle ise o meyelân, o tasarruf, bir emr-i nisbîdir. Muhakkak bir vücud-u haricîsi yoktur. Emr-i itibarî ise, illet-i tâmme istemez ki, illet-i tâmme vücudu için lüzum ve zaruret ve vücub ortaya girip ihtiyarı ref' etsin. Belki o emr-i itibarînin illeti, bir rüçhâniyet derecesinde bir vaziyet alsa, o emr-i itibarî sübut bulabilir. Öyle ise, o anda onu terk edebilir. Kur'ân ona o anda diyebilir ki, "Şu şerdir, yapma." Evet, eğer abd, hâlık-ı ef'âli bulunsaydı ve icada iktidarı olsaydı, o vakit ihtiyarı ref olurdu. Çünkü ilm-i usul ve hikmette, مَالَمْ يَجِبْ لَمْ يُوجَدْ kaidesince mukarrerdir ki, "Bir şey vâcip olmazsa, vücuda gelmez." Yani, illet-i tâmme bulunacak; sonra vücuda gelebilir. İllet-i tâmme ise, malûlu, bizzarure ve bilvücub iktiza ediyor. O vakit ihtiyar kalmaz.
The core strength of Nicolette's technology is the visualization of complex medical data. They build visual, audio, and interactive displays of data that enables patients to understand their health quickly and with enough confidence to serve as their own healthcare advocate. Nicolette's entry point is the NICU, where new parents are in high stakes, high anxiety situations and typically do not have the capability of understanding their baby's diagnosis, plan of care, and progress (or lack thereof). This leaves them to defer completely to others and hope for the best. The dashboards will translate raw EMR data so well that these same parents understand complex topics within a matter of minutes, then efficiently move through treatment options and ultimately a collaborative decision with their provider's team. Empowering patients in this way leads to better health outcomes for them, and for providers it leads to higher revenue, reduced risk, and increased productivity. If you have the next big idea, apply to the Expert Dojo Accelerator: www.expertdojo.com
In episode 255 Tall Walker Boot vs Short Walker Boot Showdown I I bring to you...✅ Indications for a tall vs a short walker boot.✅ The importance of leveling up the pelvis and how to do it.✅ Diagnoses I have treated with a walker boot.✅ My personal opinion about walker boots (which will not take long
REGISTER HERE for the NEXT webinar Hacking the EMR: Making the EMR work for you, at 6 PM CT on September 7, 2022. This webinar is a collaboration between the Society for Vascular Surgery Community Practice Section, Health Information Technology Committee, and the Wellness Committee. Today, we are republishing the HITC Webinar from May 4, 2022, on New Technologies in Vascular Surgery. New technologies designed to improve surgical techniques are rapidly emerging in the vascular specialty. These technologies include Blue Dop, which assists in determining limb preservation; Voythos, an EMR assistant; FORS technology, which provides real-time 3D visualization of the full shape of devices inside the body without the need for fluoroscopy; and Cydar AI, which advances surgical visualization and decision-making to build a future where all surgery works exactly as planned. Click here for the full webinar video. Faculty: Blue Dop - Patrick Kelly, MD, Vascular Surgeon at Sanford Health Voythos - Sophia Khan-Makoid, MD, CEO and Founder of Voythos Fiber Optic RealShape (FORS) Technology - Andre Schanzer, MD, Professor and Chief of Vascular Surgery at the University of Massachusetts Cydar AI - Murray Shames, MD, Professor and Chief of Vascular Surgery at the University of South Florida Moderators: Judith C. Lin, MD, MBA; Chair, HIT Committee; Professor and Chief of Vascular Surgery, Michigan State University College of Human Medicine Oliver O. Aalami, MD; Clinical Professor and Vascular Surgeon, Stanford Editor and Reviewers: Adam Johnson and Ezra Schwartz
https://www.ahajournals.org/doi/abs/10.1161/CIRCULATIONAHA.122.059410?af=RThe Biomarkers say REDUCE-IT was a scamhttps://jamanetwork.com/journals/jamainternalmedicine/article-abstract/2791663NO! Just NO-- stick with the calculator for nowhttps://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.122.059038start the SLGT-2 inhibitors early! maybe an early dischargehttps://pubmed.ncbi.nlm.nih.gov/35849407/If we could get the EMR to do it automatically else you cant expect providers tohttps://pubmed.ncbi.nlm.nih.gov/35727595/the head CT for psych stuff can probably be put on holdhttps://eprints.whiterose.ac.uk/180135/continue the disease modifying agents
You know this, you need to make space, space and room for new thoughts, Ideas, new practice methods, new running exercises, new stretching routine, new routine, new fartlek training. Let us narrow it down. What will this practice this EMR (Effective Mental rehearsal) do? 1. Learn a new training skill 2. Strengthen your focus 3. Be more effective. You are the only one that can determine what goes on inside your mind. Or what you let in. How and what you think about events. That's why today we are going to fill it with some helpful and useful things… but first the intro…We have had the ER topic in the show, yes? Where we discuss your desire to become better, stronger or run longer. Today we talk about not ER but EMR. But first let me ask you… How do you think of your run? I can guarantee that your and my, and a pro runners' thoughts towards a run is different. And that along with some other factors makes the difference, a difference in exertion, in dedication, in attitude, in mental preparation… all this that leads to a much better performance. …and no you don't need to be a pro runner or athlete to access these methods. You need to have some faith in your own ability, and of course do. Do what use that faith… see life is lived forwards unraveling itself in the rearview mirror. But if you head in the right direction, there won't be surprises in the mirror. SHOWNOTES: What does this mean for your running? Here some useful links. Your “how to do it” run streak Run 365 Days: Your 365 Day Run Streak Brain Training For Runners': Your Mental Guide To Better Running. Improve your discipline Accountability Coach. Add swimming to your run Become a better swimmer. Follow us on INSTAGRAM. Follow us on TWITTER. Follow us on YouTube. More about your HOST. Train your BRAIN become a better runner.
Darren Brown: Long COVID Physio ForumEpisode TakeawaysThe Long COVID Physio International Forum is suitable for any audience, including health and social care professionals, people living with or affected by Long COVID or other conditions, academics, service providers, policymakers, students of allied health and rehabilitation professions, and people wanting to learn more. Link to RegisterDates: September 9, September 10 2022Types of Learning SessionsWhat steps were taken to make this inclusive and accessibleWhat you will learn by attendingConnect with David and DarrenDarren @darrenabrown@LongCOVIDPhysioPT Pintcast is brewed by:Practice Freedom UFor PT Owners who want to Treat Less, Earn More, and create the business you've always dreamed of. Take the Practice Quiz now to see where you stack up. Visit practicefreedomu.com.FYZICAL Therapy and Balance CentersDo you want to open a Physical Therapy Practice? Thinking about selling your practice?You should know this: on average, a private practice who joins the FYZICAL network grows more than 40%! If you're ready to discover how the largest network of PT private practice owners are growing and adapting to industry changes, visit FYZICALFranchise.comCBDRX4U.comYOUR CBD Store - get the ABC's of CBD at CBDRX4u.comJackson TherapyProviding awesome adventures in patient care for physical therapists who care about where they're going! Look no further than JacksonTherapy.comMW TherapyAn EMR is to a Physical Therapist as a Hammer is to a Carpenter. You deserve to LOVE USING IT!It's time for something better. It's time for something customizable. That's where MWTherapy comes in, take a demo of their amazing EMR now at MWTherapy.com where switching your EMR is easy!FIRST ROUND Owens Recovery ScienceYour single course for clinicians who want certification in Personalized Blood Flow Restriction Rehabilitation Training and the equipment YOU Need to apply it properly In your clinical practice. Find out where you can get certified NEXT at www.owensrecoveryscience.com. PARTING SHOTThe Academy of Orthopaedic Physical TherapyThe leaders in orthopedic PT are the academy OF orthopedic PT, orthoPT.org now with Current concepts of Orthopedic PT 5th edition.
In this episode I take on provider legibility. I know you are on an EMR but take a listen to this 13 minute episode to find out how a technical violation results in significant demands for refund by payors. I break down how payors try to use sampling and extrapolation without actually using the words but findings other synonyms to try to make it look less like they are doing something they should not be doing...
ORN Martin Armstrong show notes 8/31/22 Armstrong's Socrates Artificial Intelligence program monitors the entire world, writes reports, and generates charts and graphs. Examples of successful real world Socrates predictions for Lebanon, Saudi Arabia. Computer picks up capital flow movements. E.g. What would China do first if they were to invade the US? Sell off US debt. Selloffs mean the money will be spent somewhere else. Does Socrates need to be continually tweaked? No, it uploads new information itself. Only 6 people needed to monitor it. It's not politically oriented. First forecast of Socrates in the 80s was that the British pound would fall and British economy would flip in line with the US and countertrend to Europe. Britain was then becoming energy independent with Black Sea oil and Europe was still dependent for energy. They staged a coup to get rid of Margaret Thatcher and John Major brought Britain into the EMR. Bretton Woods collapsed because of a business cycle. Politicians don't understand currency. In 2014 after Ukraine coup d'état, Obama said he wanted SWIFT to remove Russia. They refused, twice. We used to have sanctions between countries. Now sanctions involve individuals. It's no longer a global economy. Biden has split the world economy in half. Europeans are being driven by climate change zealots. All they care about is reducing fossil fuels. They want to destroy as much as possible the ability to produce energy. They think solutions will come later. Different situation in 3rd world countries with no social support networks. They don't have the resources the West does. They will riot first. E.g. Sri Lanka. European Commission leader says she doesn't understand why electricity prices will be higher this winter. Ukraine is the flat land. It's where all the pipelines come together. Black Plague started there. Have been invaded multiple times – the tanks can come through there. Is why Putin didn't want NATO in Ukraine. John McCain was the leader of the NeoCons. Nasty person. It didn't matter what Russia did, McCain thought they would always be the enemy. Putin is Russia's leader because of a plot to take over Russia. They wanted NATO to absorb Russia. Armstrong has a new book coming out about it called Seizure of Russia, based on declassified documents from Clinton's presidency. Putin was not a communist nor an oligarch. Yeltsin turned to Putin because he was neutral. Yeltsin's last words to Putin: “Protect Russia”. Neocons thought we'd take out the dictators and the people would appreciate us for doing so. But you can't change the culture of a country just by removing the leader. Climate change people are controlling Biden today. So-called globalists are backing away. Antagonism between Armstrong and Klaus Schwab. Schwab is a Marxist. Thinks Marxism failed because they didn't have US and Europe in with them. Won't acknowledge it as a failed policy. When forming the Euro, they didn't consolidate debt. Europe has cancelled currencies routinely. US has never cancelled its currency. Biden has split the country. Civil War was because of state's rights issues, not slavery. People didn't want to be dictated to by federal government. Abortion rights, taxes – current hotspots because of efforts to federalize them. State's rights issues again a cause of discord. Hillary created the student loan situation. Designed loans so they couldn't be defaulted on. So bankers set it up so parents would cosign and they can take parent's assets. Can't dismiss student loans in bankruptcy. imposed.
In episode 254, "Can Weather Affect Joint Pain?" I discuss the following...▶ Is there a physiologic reason why some people have more pain related to humidity and a change in weather?▶ Research related to weather and joint pain.▶ Theories about why this happens.▶ Recommendations to combat the effects of weather related joint pain and more!I'd like to introduce you to our newest Sponsor, Robin Healthcare. Robin combines cutting-edge technology with trained healthcare staff to deliver a seamless experience that integrates directly into the electronic medical record (EMR). Be sure to check out Robin's website to learn more about what they do and how they can help you with reducing your documentation time.Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: email@example.comNeed some online CEU's?? ⬇⬇⬇⬇⬇⬇⬇Meet our sponsor, Medbridge!!! Be sure to check them out HERE and receive $175 off your next 1 year subscription NOW! Use coupon code "OEP"Come visit our WEBSITE!! Click HERE to check it outGet our NEW downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our NEW downloadable 7.5 hour cervical and lumbar continuing ed courseGet our NEW downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 460+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal Podcast and Enjoy!#jointpain #shoulderpain #kneepain #weatherandpain #Physicaltherapy #DPT #Medicalproviders #sportsmedicine #athletictraining #occupationaltherapy #arthritisSupport the show
Suzi is joined by Retired Colonel Loren Weeks to talk about some of the issues and possible solutions within the VA Healthcare system. Some of the questions are: Why is the Veterans Affairs Hospital system not mapped out to serve veterans as efficiently as they are served when on active duty? Why is it that when veterans go to a VA hospital no matter where the location, the EMR system cannot retrieve medical records from another VA location? Why does a veteran have to enroll when they come into the Emergency Room before being seen? So many questions? Listen in to Suzi and Loren's perspectives on issues and solutions to create a better system for our veteran community.BioColonel Loren A. Weeks enlisted in the Army Reserve on June 6, 1983 as a 13B, Cannon Crewman, with the C Battery, 4th Battalion, 75th Division Artillery. He served three years as an enlisted soldier with the U.S. Army Reserve and the Illinois Army National Guard before receiving a commission as a 2nd Lieutenant on May 10, 1986. His service continued with the Illinois Army National Guard as a Platoon Leader with Company A, 3rd Battalion, 130th Infantry Regiment and Chemical Officer for the 106th Aviation Battalion. In September 1987, he transferred to the U.S. Army serving as Chemical Officer with the 1st Battalion, 508th Airborne Infantry, 193rd Infantry Brigade stationed in the Republic of Panama. During this tour, he participated in 28 named Joint Operations concluding with Operation Just Cause. In 1990, he was transferred to Fort Campbell and served with the 63rd Chemical Company, 101st Airborne Division and the 160th Special Operations Aviation Regiment. Colonel Weeks returned to the Illinois Army National Guard in March 1991 with service in the 66th Infantry Brigade, 34th Infantry Division as Brigade Chemical Officer and HHC Company Commander. Branch transferring into the Quartermaster Corps, he was assigned duties within the Department of Logistics, State Area Command as the Defense Movement and Supply Management Officer. His last duty assignment within the Illinois Army National Guard was as Support Operations Officer, 232nd Corps Support Battalion. He transferred to the California Army National Guard in 2003 and served as the Support Operations Officer, XO and the Battalion Commander of the 340th Forward Support Battalion and 1/149 Armor Battalion until his first Operation Enduring Freedom deployment. As part of Task Force Phoenix, the 40th ID Embedded Training Team mentored the 5th Kandak (CSS Battalion), 2nd Brigade, 201st Corps at Forward Operating Base Fiaz, Kunar Province supporting ANA combat operations in the Kunar, Pech, Waterpor, Waygal, and Korrengal Valleys.Colonel Weeks returned to the CAARNG in 2009 to command the Pre-Mobilization Training Battalion, Task Force Warrior, with the primary responsibility for training assistance and certification of mobilizing units. In 2012, he conducted his second OEF Deployment assigned to the Combined Joint Special Operations Task Force - Afghanistan. Upon return, he was assigned as the Army Division G-4. In May 2015, he deployed to Afghanistan as commander of the 224th Logistics Mentor Team.Colonel Weeks' military education includes the Chemical Officer Basic Course, Quartermaster Officer's Advanced Course, Combined Arms and Services Staff School, Command and General Staff College. His civilian education includes a Baccalaureate of Arts Degree in Political Science from Southern Illinois University in 1987.Colonel Weeks' military awards and decorations include the Legion of Merit, Bronze Star with one Bronze Oak Leaf Clusters, Defense Meritorious Service Medal, Meritorious Service Medal with three Bronze Oak Leaf Clusters, Army Commendation Medal with two Bronze Oak Leaf Clusters, Army Achievement Medal, Air Force Achievement Medal, National Defense Service Me
Reframing Acute Neurological Deficits with Dr. Harrison VawterFAKTR Podcast Episode 35Featuring: Harrison Vawter, DC, MICTEPISODE SUMMARYWe've all seen the headline stories about patients who have allegedly suffered stroke after receiving spinal manipulations. The media attempt to place blame on the chiropractor, but what does the research say?In today's episode, we will do a deep-dive into what the literature has to say about chiropractic and acute neurological deficits so that you know how to spot the signs and "red-flag" symptoms when they present in your office.About our Speaker:Dr Vawter is a graduate of Cleveland University undergraduate and graduate (DC) programs. He now serves as an adjunct faculty at Cleveland teaching a course specifically dedicated to assessment and management of emergencies in the private practice setting. Over the last 10 years Dr. Vawter has been a Paramedic in the Kansas City area working in both the field, and in the Emergency Medical Sciences program at Johnson County Community College. He teaches EMR, EMT, Cardiology and Paramedic content both in didactic settings and also in the clinical settings working with students in a variety of hospital rolls throughout the city. Dr. Vawter is also in private practice, where he owns and operates Industrial Athletics, which is an athletic development and monitoring strategy specifically for police, fire, EMS, and healthcare workers.This Episode Sponsored by: This episode is sponsored by Southeast Professional Education Group. For close to a decade, we have been assisting content creators with leveraging education to engage their audience and grow their influence within the healthcare industry. If you are interested in launching an online course, podcast or teaching continuing education courses, we want to talk to you.Fill out the interest form to schedule an appointment here: https://tinyurl.com/y8atnz4hLinks:Submit your questions for an upcoming Q&A episode here: https://2earrqgh.paperform.coWant to stay informed about upcoming events, special offers, new products, courses and more? Click the link below to get on our email list (you'll be glad you did): https://dsb2mjfm.paperform.co/Interested in having Southeast Professional Education Group help with your upcoming event? Schedule a call with a member of our team here: https://3y3izqyx.paperform.coCONNECT WITH US ON SOCIAL MEDIA: FACEBOOK: https://www.facebook.com/FAKTRconceptINSTAGRAM: https://www.instagram.com/FAKTREDUCATION/LINKEDIN: https://www.linkedin.com/showcase/faktr
Robin Wiener is a nationally recognised leader and change agent in healthcare IT and patient engagement. She brings more than 20 years of experience in business development, management and product strategy to her position as president and founding partner of Get Real Health. Ms. Wiener leads business development and marketing efforts for Get Real Health, leveraging her outstanding people skills and a large network of contacts to identify opportunities and close sales. She also cultivates the company's growing list of strategic partnerships around the world. Ms. Wiener has an innate knack for identifying the skill sets integral to a successful team. Her corporate leadership abilities are evidenced by Get Real Health's impressive employee retention rate and the staff's unwavering commitment to the company's success. In our conversation, we talk about Get Real Health's digital front door, putting people first in healthcare and business, and finding your path. Show Notes: https://steampoweredshow.com/shows/robin-wiener [00:01:14] Robin's journey from fashion to health IT [00:01:38] A love for bringing the right people together and the shift to human resources in tech. [00:02:57] Human resources from a technical engineering perspective in the dot-com era. [00:04:33] Pivoting out of the dot-com crash. [00:05:47] The importance of the people side of business and tech. Empower and respect your people. [00:10:26] The origins of Get Real Health and their digital front door. [00:11:18] Building an app that connected to Microsoft HealthVault. [00:11:49] Hurricane Katrina was the impetus for change in health record management. [00:13:49] Building the American Heart Association and the American Cancer Society a patient portal and realising there is a product there. [00:17:28] Incorporating a digital front door for integrated patient services. [00:18:57] Overcoming the challenges of integration with disparate systems and standardisation practices. [00:19:52] FHIR standard and Meaningful Use. [00:21:14] Standardisation facilitates AI on the data (with patient-controlled consent) which allows patients who wouldn't otherwise have access to participate in clinical studies to be considered. [00:22:16] Naturally facilitating telehealth during COVID providing access to healthcare providers and providers access to health records for treatment. [00:22:42] The portability of the platform internationally. [00:22:55] Standards and many of the large EMR companies being multinational helps. [00:25:27] My Health Record (Australia). [00:26:37] Digital health systems should be patient-focussed. It should be innovative but uncomplicated. [00:27:56] Working with Telstra Health (Australia) and Spark Health (NZ). [00:29:39] Communicating safety and privacy for health records, keeping public trust. [00:30:48] Granular patient-controlled consent and supporting irregularties such as region-based age of majority and emergency access. [00:35:41] Alerts for physical and mental health crises. [00:36:48] It's not just information, it's tools that empower you to be able to manage your personal health. [00:37:47] Resources to manage your own healthcare allows for timely care and early intervention. [00:40:34] We're learning that telehealth and tools that facilitate it works. [00:42:17] Geographic limitations to the platform. Legal and privacy issues. [00:45:06] How granular we can get with access control. [00:48:42] Robin's experiences with a strong support network and her passion for helping people achieve their potential. [00:51:51] Strategies to stay the course when following your path. [00:59:59] Bonus Question 1: What hobby or interest do you have that is most unrelated to your field of work? [01:00:47] Robin's early theatre and performance experience. [01:02:37] Bonus Question 2: Which childhood book holds the strongest memories for you? [01:05:14] Bonus Question 3: What advice you would give someone who wants to do what you do? Or what advice should they ignore? [01:05:21] As a leader you need to know the pieces that make up the puzzle. [01:06:43] Build the team around you. [01:08:39] 'It's not a sprint, it's a journey.' [01:10:03] On grit and moxie. [01:12:20] On balancing operational and strategic skills. [01:14:31] Don't forget the users and the human side of your business. [01:16:06] The full STEAM of healthcare. Connect with STEAM Powered: Website | YouTube | Facebook | Instagram | Twitter | Patreon | Ko-Fi
In episode 253 "Axillary Nerve Palsy" I discuss...✅ The anatomical course of the axillary nerve.✅ Causes of axillary nerve injuries.✅ Signs and symptoms of axillary nerve injuries.✅ How to best diagnose axillary nerve injuries.✅ What to do after you have identified one and much more!!
“If I continue to hear how difficult it is for hospitals to make money, I would like for them to see what it's like to operate a real business. They are overstaffed…they are overpaying…they are not responsible for quality or outcomes…there are no guarantees on their services…they can block competition from entering their markets…they can buy up market share – that's not a real business.” Well, lesson learned. If you ask Roger Jansen, Michigan State University Health Care's Chief Innovation & Digital Health Officer, how he think things are going in US health systems when it comes to digital transformation and the integration of technology and value-based business models in hospitals, be prepared for a blunt conversation about how US healthcare model is failing and how the lack of incentive for change is keeping us all stuck in the same-old, same-old. From digital health and telehealth to EMR and value-based care business models, we cover a lot of health innovation ground in this chat and get a reality check on whether or not things are really evolving inside health systems – and which stakeholders Roger believes hold the key to driving that change. (Hint: He identifies them as those who are already “footing the bill for the lavish lifestyles that healthcare administrators live that are probably well out-of-balance with the value that they actually bring to their corporations.”) Roger on digital health? There's better adoption and receptivity when it's combined with “a service component that doesn't add additional burden to the clinical component.” On virtual care and telehealth? Down 70% since the pandemic's lockdown days and more of a “behavior change problem” at this point than anything else. When we get to EMRs around the 19-minute mark, things get extra spicy and we take a turn into “all this jibberish about volume versus value” and how value-based care models aren't gaining meaningful traction either. It's a big, bold reality check on the state-of-play of health tech, virtual care, and healthcare payment model innovation in health systems… watch now and let us know what you think! * Jessica DaMassa, the emerging ‘It girl' of health tech interviewing, chats it up with the ‘who's who' of the health tech and healthcare innovation set on 'WTF Health - What's the Future, Health?' Catch 100's of interviews with leading health tech startups and the VC investors, health insurance companies, big pharma co's, and hospital systems helping bring their new ideas into the healthcare establishment. From AI and Big Data to digital health, virtual care, telehealth, digital therapeutics, payment model innovation, and investing, Jessica helps you spot the trends and figure out what's next.
Burnout and impostor syndrome are common for therapists, so taking a moment to connect with other therapists to find some humor in common struggles can really help you get out of the grind for a moment to laugh and relax a bit. In this episode, I talk with Nicole Arzt, therapist, author, and the creator of Psychotherapy Memes, about how she built an inclusive space for therapists based on the idea of shared humor and collective experience, as well as the struggles she faced as a therapist in community mental health, how she copes with and overcomes impostor syndrome on the daily, and more. More about Nicole: Nicole Arzt is a practicing psychotherapist in Southern California. In her work, she has worked with a wide variety of individuals, couples, and families. Her clinical emphasis lies in treating substance use, eating disorders, and complex trauma. An accomplished author, Nicole contributes to numerous mental health organizations. She owns Soul of Therapy LLC, a writing and SEO business for therapists. She is also the founder of Psychotherapy Memes, a global community of more than 125,000 followers. Psychotherapy Memes aims to provide a comedic outlet for coping with the many challenges associated with this field. In addition, Nicole enjoys consulting and speaking with new therapists about working in mental health. She's been featured on several podcasts and has been the keynote speaker for several events around the country. She currently facilitates the Prelicensed Group on the Teletherapist Network. Her debut book, Sometimes Therapy Is Awkward, is available wherever books are sold. Nicole's website: https://psychotherapymemes.com/ (www.psychotherapymemes.com) -------------------------------------------------------
DescriptionToday I show you 5 Simple Home Exercises for Tennis Elbow. I also add a few modifications incase the exercises are too difficult for you or the patient. Wrist extension (and modifications) Supination with modifications Side lying external rotation Reverse fly's Thoracic rotation Simple Home Exercises for Tennis Elbow VideoI'd like to introduce you to our newest Sponsor, Robin Healthcare. Robin combines cutting-edge technology with trained healthcare staff to deliver a seamless experience that integrates directly into the electronic medical record (EMR). Be sure to check out Robin's website to learn more about what they do and how they can help you with reducing your documentation time.Want to join the OEP community? Click HERE to jump onto our email list. SUBSCRIBE at the bottom of the page.Ask me your ortho evaluation questions and I will answer them on the show: firstname.lastname@example.orgNeed some online CEU's?? ⬇⬇⬇⬇⬇⬇⬇Meet our sponsor, Medbridge!!! Be sure to check them out HERE and receive $175 off your next 1 year subscription NOW! Use coupon code "OEP"Come visit our WEBSITE!! Click HERE to check it outGet our NEW downloadable 1.5 hour shoulder anatomy with cadaver dissection lectureGet our NEW downloadable 7.5 hour cervical and lumbar continuing ed courseGet our NEW downloadable 6.0 hour shoulder continuing ed courseBe sure to "follow" us on our new Facebook PageI finally made it to Instagram. Stop by and check us outAre you looking for One on one Coaching? We have it!Be sure to check out our 460+ videos on our YouTube Channel called Ortho Eval Pal with Paul MarquisFollow our Podcast show on Apple Podcasts, Spotify and most all other podcasting platforms. Just search: Ortho Eval Pal Podcast and Enjoy!#tenniselbow #tenniselbowexercises #Physicaltherapy #DPT #Medicalproviders #sportsmedicine #athletictraining #occupationaltherapy #elbow pain #orthoevalpalSupport the showSupport the show
The Compliance Guy Coding and Compliance Roundtable this week was simply put, Awesome! Guests Stephanie Allard, CPC, CEMA, RHIT Christine Hall CHC CPC , CPB, CPMA, CRC, CEMC, CPC-I John Paul Spencer and Terry A Fletcher BS CPC CEMC CCC CCS CCSP CMC ACS-CA SCP-CA, QMPM provided outstanding insight on a variety of topics and the engagement from the audience was fantastic! Topics Include: 1. Laboratory services - the issues between ordering physicians and labs... 2. The use of templates for procedures and how they do not always support the service or drug codes being billed and 3. The use of "smart" EMR's that are intended to code for a provider and why a human (certified coder) still needs to review documentation to determine medical necessity if the providers are not changing what the system auto selects for them... 4. HIPAA and OSHA Compliance in the Remote workspace for Healthcare Professionals. OSHA is now knocking on doors of employees homes and they are being told that their "work space" is not compliant. 5. Internal audits vs. external audits. What is better for medical practices? Don't miss these subject matter experts as we discuss and debate all that is coding and compliance!
Here in Episode 252, The Shoulder Apprehension Test, Relocation Test and Shoulder Release Test I review...✅ "Why" we perform these tests.✅ "How" to perform the tests.✅ The anatomical tissues affected.✅ When a "Positive" test isn't so positive and so much more!
Sharif Zeid is a business director at MWTherapy working with practices and partners daily to help implement a higher level of EMR and health IT. Episode TakeawaysThe increase in health technology and how it plays a role in the hiring process Importance of thinking of your whole team when selecting an EMR staff will use on a daily basis The difference between features and benefits How to be efficient with documentation with customization Learn more about billing and marketing operations in your EMRParting Shot “There's always uncertainty. A lot of people are feeling trepidation these days. Businesses thrive on stability and wanting to know what is coming next. There is a lot to be optimistic about in the PT space.” - Sharif Zeid Connect with MW Therapy:Website: www.mwtherapy.com PT Pintcast is brewed by:Practice Freedom UFor PT Owners who want to Treat Less, Earn More, and create the business you've always dreamed of. Take the Practice Quiz now to see where you stack up. Visit practicefreedomu.com.FYZICAL Therapy and Balance CentersDo you want to open a Physical Therapy Practice? Thinking about selling your practice?You should know this: on average, a private practice who joins the FYZICAL network grows more than 40%! If you're ready to discover how the largest network of PT private practice owners are growing and adapting to industry changes, visit FYZICALFranchise.comCBDRX4U.comYOUR CBD Store - get the ABC's of CBD at CBDRX4u.comJackson TherapyProviding awesome adventures in patient care for physical therapists who care about where they're going! Look no further than JacksonTherapy.comMW TherapyAn EMR is to a Physical Therapist as a Hammer is to a Carpenter. You deserve to LOVE USING IT!It's time for something better. It's time for something customizable. That's where MWTherapy comes in, take a demo of their amazing EMR now at MWTherapy.com where switching your EMR is easy!FIRST ROUND Owens Recovery ScienceYour single course for clinicians who want certification in Personalized Blood Flow Restriction Rehabilitation Training and the equipment YOU Need to apply it properly In your clinical practice. Find out where you can get certified NEXT at www.owensrecoveryscience.com. PARTING SHOTThe Academy of Orthopaedic Physical TherapyThe leaders in orthopedic PT are the academy OF orthopedic PT, orthoPT.org now with Current concepts of Orthopedic PT 5th edition.
How do you win deals when you don't have a significantly stronger clinical advantage with your product? Every decision about which product is used is going to come down to a handful of factors: 1. Clinical advantages/disadvantages 2. Ease of use for the surgeon and staff 3. Relationship(s) with the surgeon and staff 4. Contractual obligations 5. Financial acquisition options In a best-case scenario, your product or service has a strong clinical advantage over your competitors and you can focus heavily on those clinical advantages. Yes, you will still have to address the ease of use, your relationships, their contracts and how this deal will inevitably be done. But those clinical advantages will likely be the biggest factor why you may get that deal. On the other hand, when you cannot argue a significant clinical advantage over your competitors, your ability to outline the benefits you bring to the table in those other four areas are extremely important. As expected, you must make sure your offering checks the boxes for all of the clinical needs that are a minimum requirement. For example, in the arthroscopic and endoscopic video area (which is one area I am involved), our video equipment must check the boxes for: 4K image front-to-back, bi-directional integration capabilities with the facility EMR, multiple camera head types (integrated & c-mount), LED light source, heads-up display capabilities, wireless integration options, etc. While we can check those boxes, pretty much all of our competitors can check them to. Which leaves us with focusing on the other four areas above where we believe we can stand out from our competitors. This is why it's so important to know your competitors' product/service capabilities because, if you do have a significant clinical advantage, then you want to make sure every single person involved in using the product and involved in the decision making has an understanding of that clinical advantage. But if you don't have a significant clinical advantage over your competitors or if they offer a clinical advantage that your system doesn't have, then the majority of your time needs to be spent outlining the benefits your system has in the other areas listed above. _________ Medical Sales Training: https://medicalsalescertificationprogram.com/programs/ YouTube: https://www.youtube.com/channel/UCUu7_015SYVe3qxRk9uEpaw? LinkedIn: https://www.linkedin.com/company/medical-sales-certification-program/ Instagram: https://www.instagram.com/medicalsalescertification/ Facebook: https://www.facebook.com/MedicalSalesCertificationProgram
Today I show you 5 Simple Home Exercises for Tennis Elbow. I also add a few modifications incase the exercises are too difficult for you or the patient.✅ Wrist extension (and modifications)✅ Supination with modifications✅ Side lying external rotation✅ Reverse fly's ✅ Thoracic rotation
Want to become more heart-centered? We invite you to join us on Deb's Dailies (daily blog and newsletter), a daily reflection of living and loving life as a heart-centered leader. Michael Netzley is the Founder and CEO of Extend My Runway Pte Ltd (EMR, founded 2018), and an award winning executive development facilitator and coach now working with IMD SE Asia. In 2021 Michael was named one of APAC Entrepreneur magazine's entrepreneurs of the year. EMR, Michael's "second act," is a talent development platform that combines neuroscience with AI to deliver an ultra-personalised approach to strengthening your higher-order thinking. Our platform and BraiNergy Index enables employers and employees to verifiably improve performance, increase productivity, and deliver more innovative solutions. We strengthen and verify the higher thinking skills that employers need to compete in today's knowledge economy. Previously Michael spent 15 years on the faculty of Singapore Management University where he built a successful career in teaching excellence and executive development. Most recently, he served as the first Faculty Programme Director for the Graduate Certificate in Applied Innovation. His work was recognised with the 2011 Champions Award for innovative course design and delivery from the Central and Eastern European Management Association and the 2015 Best Case Award in entrepreneurship from EFMD. Connect with Michael at: https://www.extendmyrunway.com/ https://twitter.com/communicateasia https://www.linkedin.com/in/michaelnetzley/
Rancho Mesa's Alyssa Burley, Media Communications & Client Services Manager, and Account Executive Casey Craig discuss the link between a company's EMR and Primary Threshold. Show Notes: Subscribe to Rancho Mesa's Newsletter. Director/Host: Alyssa Burley Guest: Casey Craig Producer/Editor: Lauren Stumpf Music: "Home" by JHS Pedals, “News Room News” by Spence © Copyright 2022. Rancho Mesa Insurance Services, Inc. All rights reserved.
Healthcare and law may seem unrelated, but this episode of the Busine$$ of the V aims to demonstrate just how intertwined they really are. Dr. Dweck and Rachel are delighted to welcome Delphine O'Rourke, one of the few and esteemed attorneys focusing on women's health. Delphine is extremely subspecialized in the field of law, and she is a trailblazer in the field of women's health legislation. Her primary concern is, as she puts it, “what can I do to contribute to advancing the health and wellness of women?” This discussion emphasizes the importance of a woman having both medical and legal support. It addresses modern-day issues such as electronic medical records, telehealth, and the overall physician shortage in the United States. Delphine approaches each of these topics with the same fiery passion and demonstrates the significance of putting patients first. Medicaid is a program she strongly supports, and emphasizes how important it is for all states to accept and expand this program. If you are interested in the seismic shifts in the women's health and wellness industry, Delphine O'Rourke is the person to follow! You can subscribe or listen to previous episodes of the Busine$$ of the V podcast by clicking here. TOPICS COVERED: When Delphine first began practicing law, she realized that women's health was a relatively small niche. Medicaid required the involvement of more lawyers, and it was no longer just a clinical issue. In the United States, approximately 98.6 percent of babies are born in hospitals. Rachel suggests that Delphine's engagement was dual in nature: she was concerned with both the mother and the baby, as well as with reducing the number of legal suits. Delphine: “What can I do to contribute to advancing the health and wellness of women?” Dweck discusses her unfavorable experience with electronic medical records. Delphine adds: “It's a good idea in theory.” When it comes to the EMR, a lot of pretty amazing technology is on the horizon, according to Delphine. We learn that the field of digital health is teeming with innovation. Although telehealth has both advantages and disadvantages, it has helped many people access basic medical care. Contrary to popular belief, telehealth was effective for patients beyond the age of 60. Dweck expresses her concerns regarding the shortage of doctors and other healthcare professionals. Interesting fact: the emergence of home clinics is highly likely. Delphine's overview of the Affordable Care Act. Rachel is astounded by Delphine's enthusiasm. What happens when public health emergency ends? HOT FLASH: It has been estimated that only about 71% of providers accept Medicaid. That's compared to 85% who take Medicare and 90% that accept private insurance! QUOTES: “Talking to the lawyer in regard to maternal fetal health is never my first choice.” (Dr. Dweck) “I don't know what people's impressions are of attorneys, but bursting with enthusiasm is not necessarily a stereotype that I would've had.” (Rachel) “We saw a lot of activity in telemedicine through the pandemic. I think that where opportunity really lies is the bridge between the traditional health system and innovation.” (Delphine) FURTHER RESOURCES: Goodwin: goodwinlaw.com Delphine @LinkedIn LINKS FOR BUSINE$$ OF THE V: Website: www.businessofthev.com Dr. Alyssa Dweck: https://drdweck.com Author Rachel Braun Scherl: www.sparksolutionsforgrowth.com/about-rachel-braun-scherl/
We made it!!! EPISODE 250! Enter our drawing for a free 1 hour online coaching session with Paul and enter "Episode 250" and leave me a question for the show. EMAIL PAULIn today's episode I will...--> Go over some quick stats.--> Introduce our new sponsor.--> Discuss common causes of anterior knee pain with passive knee ext.--> Discuss how to identify the sources of the above and so much more!!
I received an email recently and this fellow Medical Assistant had a interesting concern about Electronic Medical Records. Today we embark on; Did your program heavily emphasize EMR training and if not, why not?!?! Did your employer train you adequately to face your new EMR system? Like this supporter you can reach me at TheEverydayMA@gmail.com with any questions, idea's, suggestions, and or MA stories. I'm always down for a good story time. Hope you enjoy this episode and don't forget to follow the new Instagram page @cortezeveryday --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app Support this podcast: https://anchor.fm/theeverydayma/support
Lots of physicians take on “extracurricular” work in their jobs, often motivated by their desire to solve a problem that is frustrating them. In unexpected and intriguing ways, this desire to solve a problem may end up leading these physicians into a new career direction. My guest today, Dr. Jennifer Bepple, is here to share how she did this with her passion for using technology to solve a problem she was experiencing in her urology practice. Dr. Bepple will discuss what sparked her interest in this area, how she forged her own path, and her tips for other physicians looking to do the same. You can find the show notes for this episode and more information by clicking here: www.doctorscrossing.com/88 In this episode we're talking about: The patient access issue Dr. Bepple was driven to solve What exactly is informatics? How Jennifer learned to navigate the system to achieve her goals The changes Dr. Bepple initiated at her institution How her experience led Jennifer to pursue a degree in informatics The types of roles available in the informatics field How to design your own path to achieve your career goals Links for this episode: Dr. Jennifer Bepple's LinkedIn Ohanaoneinternational - Nonprofit that uses digital technology to assist with surgical mentoring and training. Episode #65: Opportunities in Digital Health - Catch the Wave Episode #55: How About a Job Improving the EMR?
Dr. Matt Wilson is the Founder and CEO of uMEd, bringing together healthcare providers and researchers to reach out to patients to participate in clinical trials. Using health data, uMed facilitates targeting good candidates for trials and helps the care provider educate patients about the value of participating in one or multiple clinical trials. In a very repeatable and scalable environment, uMed can match patients to specific study opportunities based on standardized queries. Matt explains, "A lot of other organizations in the clinical study space that are looking at using health record data are using it in a very different way because they're generally focused on bringing together existing EMR data or claims data from lots of different healthcare providers and using that in of itself to identify trends and value for researchers. Whereas uMed is taking a different approach, saying, "Well, actually, their health record data is incredibly useful as a starting point to be able to identify potential study participants." "We essentially have a common data infrastructure that sits across our network of healthcare providers, that's bound to the U.K. and now the U.S. as well, which will shortly be coming online. What we do in that network is each of these providers essentially say, "Yes, we want to be part of the uMed network." That allows us to be able to bring the data from those health records and normalize them across all of the different providers we're working with." #uMed #PatientRecruitment #ClinicalTrials #MedicalResearch #ClinicalTrialRecruitment uMed.io Download the transcript here
In today's episode▶▶▶Decreased Lumbar Spine Stabilization with Low Back Pain◀◀◀I review the following...✅ What the Transverse (transversus) Abdominis is.✅ How it responds to low back pain.✅ A Hodges and Richardson study.✅ "How" and "why" we need to explain this to patients and so much more!
The show took an unexpected month and a half hiatus. My mom got sick and then died in just a few months.This left me lost, overwhelmed, confused, and sad.This didn't go away immediately and if I'm being honest (which we get in this episode) it still hasn't.I've been told that the worst hasn't come yet and I'm beginning to believe that.We bring in an expert, Dr. of Clinical Psychology Jamie Hagenbaugh to help me figure this out, and maybe some of you have some advice too.PT Pintcast is Brewed by:FYZICAL Therapy and Balance CentersDo you want to open a Physical Therapy Practice?Thinking about selling your practice?You should know this: on average, a private practice that joins the FYZICAL network grows more than 40%!If you're ready to discover how the largest network of PT private practice owners are growing and adapting to industry changes, visit FYZICALFranchise.comCBD RX 4 U .comYOUR CBD Store - get the ABC's of CBD at CBDRX4u.comMW TherapyAn EMR is to a Physical Therapist as a Hammer is to a Carpenter. You deserve to LOVE USING IT!It's time for something better. It's time for something customizable. That's where MWTherapy comes in, take a demo of their amazing EMR now at MWTherapy.com where switching your EMR is easy!Practice Freedom UPractice Freedom U…For PT Owners who want to Treat Less and Earn More. — And create the business you've always dreamed of. https://practicefreedomu.com/Take the Practice Quiz now to see where you stack up: https://shrtlnk.co/oXrPYFIRST ROUNDOwens recovery scienceYour single course for clinicians who want certification in Personalized Blood Flow Restriction Rehabilitation Training and the equipment YOU Need to apply it properly In your clinical practice.Find out where you can get certified NEXT at www.OWENSRECOVERYSCIENCE.com PARTING SHOTThe Academy of Orthopaedic Physical TherapyThe leaders in orthopedic PT are the academy OF orthopedic PT, orthoPT.org now with Current concepts of Orthopedic PT 5th edition.Jackson Therapy Partners Providing awesome adventures in patient care for physical therapists who care about where they're going!JacksonTherapy.comWho is someone the audience should follow to learn more about today's topic? What is something the audience should take a look at if they wanna take a deeper dive into some of the things we talked about today? And why should people care about this episode/topic?The Academy of Orthopaedic Physical Therapy - Take a peek at their Current Concepts of Orthopaedic PT here: https://www.orthopt.org/course/31-2-current-concepts-of-physical-therapy-5th-edition
Hello, and welcome to Beauty and the Biz where we talk about the business and marketing side of plastic surgery and how Sheila Barbarino, MD has practices in LA and Austin. I'm your host, Catherine Maley, author of Your Aesthetic Practice – What your patients are saying, as well as consultant to plastic surgeons, to get them more patients and more profits. Now, today's episode is called “Practices in LA and Austin. How? - with Sheila Barbarino, MD". When life throws you a curve ball, you have the choice to duck, run away or figure it out. That's what Sheila Barbarino, MD did. She figured it out. Dr. Barbarino, a cosmetic surgeon of the face and body has a thriving practice in LA with celebrity clientele, lots of PR media opportunities and a great reputation as the go-to source for expert techniques for injectables, laser and aesthetic devices. All was well until she experienced a pull to set up another practice in Austin, TX (you have to listen in to find out). This week's Beauty and the Biz Podcast is my interview with Dr. Barbarino describing her journey from LA to Austin to worldwide lecturer, innovator and industry thought leader. It's quite a ride! Visit Dr. Barbarino's Website
Dr. Stacy Beller Stryer walks us through all the reasons why we all need to put down our phones, tablets and computers and get outside! Being in nature provides a myriad of benefits for our emotional and physical well-being with reductions in stress, improved attention and lowered blood pressure and cortisol. It's a free and safe remedy that can be prescribed online right in your practice! Using Nature Prescribed, clinicians, patients and families, create a prescription for a nature experience that includes dose, frequency and instructions with a built in text reminder! Key Highlights: [00:30 - 08:38] Pediatric Meltdown: How Nature Can Help Pediatrician and associate medical director for nature prescribed, Stacy Beller Stryer, joins the show to discuss the benefits of nature for children and how to prescribe nature prescriptions to improve their health. Stacy emphasizes the importance of nature for social development, mental health, and physical health, and notes that it is important for children of all ages. Studies have found that children who spend more time outside have better mental health outcomes, including decreased anxiety and depression. Stacey encourages adults to spend more time outside to benefit their mental health as well. [08:39 - 16:24] How to Prescribe Nature to Improve Mental Health The benefits of nature include physical and mental health improvements. Forest bathing is a form of therapy from Japan that focuses on green space and taking in the environment. There are studies that show people who are prescribed nature are less stressed and have better immune systems. Providers can prescribe nature by filling out a prescription on Nature Prescribed's website. The prescription is sent to the patient's cell phone or computer, and they can decide how often to receive reminders. [16:24 - 24:11] Prescribing Prescription Drugs to Kids There are many ways to prescribe nature for mental health, including writing a prescription and having a doctor enter it into the electronic medical record (EMR). There are many resources available online, including posters and swag, to help people get started. One way to make nature more accessible for people is to work with local parks or green spaces. [24:11 - 32:16] Teachers Encouraged to Take Kids Outside for Therapy Teachers should take kids to therapy or sessions, bring them outside, and do the session outside to improve outcomes. There are now more and more therapists who are doing their sessions outside or walking and talking. Nature has many benefits, including decreased anxiety and depression, increased physical activity, and better academic outcomes. Closing segment Final Words Thank you to Dr. Stacy Beller Stryer Nature matters It is sad that Kids on average get 6 to 8 minutes of outdoor time per day but its changeable Numerous studies finds that the closer you are to nature the better the outcome and the better your sense of wellbeing Forest bathing is a form of Japanese therapy. It reduces heart rate, blood pressure and cortisol Immersion in nature. Using all five senses allows you to revel in wonderment and amazement. So how do you get your patients outside? Head to natureprescribe.org and click on prescribe from there. Healthcare providers, teachers and therapists can use the site to up your game. Start with an email to Stacy or Richard Dr. Stacy Bella Stryer's final advice, which I think is lovely. Take a break, take more time. Go Outside Key quotes: “Take a break, take more time. Go Outside” - Dr. Stacy Bella Stryer Connect With Dr. Stacy Beller Stryer Email:email@example.com Resources Mentioned: Book: Richard Louv “Last Child in the Woods” https://parkrxamerica.org/providers/human-benefits-of-nature.php (https://parkrxamerica.org/providers/human-benefits-of-nature.ph)p ...
In this episode, Founder of Enhanced Recovery After Delivery™, Dr. Rebeca Segraves, Co-Founder of Entropy Physiotherapy, Dr. Sarah Haag, Owner and Founder of Reform Physical Therapy, Dr. Abby Bales, and Co-Owner of Entropy Physiotherapy, Dr. Sandy Hilton, talk about the consequences of overturning Roe v. Wade. Today, they talk about the importance of taking proactive measure in communities, and the legal and ethical obligations of healthcare practitioners. How do physical therapists get the trust of communities who already don't trust healthcare? Hear about red-flagged multipurpose drugs, advocating for young people's education, providing physical therapy care during and after delivery, and get everyone's words of encouragement for healthcare providers and patients, all on today's episode of The Healthy, Wealthy & Smart Podcast. Key Takeaways “Our insurance-based system is not ready to handle the far-reaching consequences of forced birth at a young age and botched abortions.” “We do need to know abortive procedures so that we can recognize when someone has been through an unsafe situation.” “We really need to take into consideration the ramifications of what this will do.” “This is not good healthcare and we need to do more.” “We're going to have to know our rules, our laws, and what we're willing to do and go through so that we can provide the care that we know our patients deserve.” “We're looking at the criminalization of healthcare. That is not healthcare.” “We know who this criminalization of healthcare is going to affect the most. It's going to affect poor, marginalized people of color.” “We can no longer choose to stay in our lane.” “We need to have a public health physio on the labour and delivery, and on maternity floors.” “We don't get to have an opinion on the right or wrongness of this. We have a problem ahead of us that is happening already as we speak.” “We need to create more innovators in our field, and education is the way to do that.” “This is frustrating and new, and we're not going to abandon you. We're going to figure it out and be there to help.” “Our clinics are still safe. We are still treating you based on what you are dealing with, and we will not be dictated by anybody else.” “If you need help, there is help.” “If we believe in the autonomy of an individual to know all of the information before making a decision, then we still believe in the autonomy of an individual to know all of the information that is best for their body.” “This affects everyone. We're dedicated to advocating for you.” More about Dr. Rebeca Segraves Rebeca Segraves, PT, DPT, WCS is a physical therapist and Board-Certified Women's Health Clinical Specialist who has served individuals and families within the hospital and home during pregnancy and immediately postpartum. She has extensive experience with optimizing function during long-term hospitalizations for high-risk pregnancy and following perinatal loss and pregnancy termination. In the hospital and home health settings, she has worked with maternal care teams to maximize early recovery after delivery, including Caesarean section, birth-related injuries, and following obstetric critical care interventions. She is the founder of Enhanced Recovery After Delivery™, an obstetrics clinical pathway that maximizes mental and physical function during pregnancy and immediately postpartum with hospital and in-home occupational and physical therapy before and after birth. Her vision is that every person will have access to an obstetric rehab therapist during pregnancy and within the first 6 weeks after birth, perinatal loss, and pregnancy termination regardless of their location or ability to pay. More About Dr. Sarah Haag Dr. Sarah Haag, PT, DPT, MS graduated from Marquette University in 2002 with a Master of Physical Therapy. She went on to complete Doctor of Physical Therapy and Master of Science in Women's Health from Rosalind Franklin University in 2008. Sarah has pursued an interest in treating the spine, pelvis with a specialization in women's and men's health, becoming a Board-Certified Women's Health Clinical Specialist in 2009 and Certification in Mechanical Diagnosis Therapy from the McKenzie Institute in 2010. Sarah joined the faculty of Rosalind Franklin in 2019. In her roles at Rosalind Franklin, she is the physical therapy faculty liaison for the Interprofessional Community Clinic and teaching in the College of Health Professions. Sarah cofounded Entropy Physiotherapy and Wellness with Dr. Sandy Hilton, in Chicago, Illinois in 2013. Entropy was designed to be a clinic where people would come for help, but not feel like ‘patients' when addressing persistent health issues. More About Dr. Abby Bales Dr. Abby Bales, PT, DPT, CSCS is the owner and founder of Reform Physical Therapy in New York City, a practice specializing in women's health and orthopedic physical therapy. Dr. Bales received her doctorate in physical therapy from New York University and has advanced training through the renowned Herman and Wallace Pelvic Rehabilitation Institute, Grey Institute, Barral Institute, and Postural Restoration Institute, among others. She also holds her Certified Strength and Conditioning Specialist certification from the NSCA and guest lectures in the physical therapy departments at both NYU and Columbia University, as well as at conferences around the country. Dr. Bales has a special interest in and works with adult and adolescent athletes with a history of RED-S (formerly known as the Female Athlete Triad) and hypothalamic amenorrhea. A lifelong athlete, marathon runner, and fitness professional, Dr. Bales is passionate about educating athletes, coaches, and physical therapists about the lifespan of the female athlete. Her extensive knowledge of and collaboration with endocrinologists, sports medicine specialists, pediatricians, and Ob/gyns has brought professional athletes, dancers, and weekend warriors alike to seek out her expertise. With an undergraduate degree in both pre-med and musical theatre, a background in sports and dance, 20 years of Pilates experience and training, Dr. Bales has lent her extensive knowledge as a consultant to the top fitness studios in New York City and is a founding advisor and consultant for The Mirror and the Olympya app. She built Reform Physical Therapy to support female athletes of all ages and stages in their lives. Dr. Bales is a mom of two and lives with her husband and family in New York. More About Dr. Sandy Hilton Sandra (Sandy) Hilton graduated with a Master of Science in Physical Therapy from Pacific University in 1988. She received her Doctor of Physical Therapy degree from Des Moines University in 2013. Sandy has contributed to multiple book chapters, papers, and co-authored “Why Pelvic Pain Hurts”. She is an international instructor and speaker on treating pelvic pain for professionals and for public education. Sandy is a regular contributor on health-related podcasts and is co-host of the Pain Science and Sensibility Podcast with Cory Blickenstaff. Sandy was the Director of Programming for the Section on Women's Health of the American Physical Therapy Association from 2012 - 2017. She is now on the board of the Abdominal and Pelvic Pain special interest group, a part of the International Association for the Study of Pain. Suggested Keywords Healthy, Wealthy, Smart, Roe v Wade, Abortion, Trauma, Sexual Trauma, Pregnancy, Advocacy, Pelvic Health, Healthcare, Education, Treatment, Empowerment, To learn more, follow our guests at: Website: https://enhancedrecoverywellness.com https://enhancedrecoveryafterdelivery.com https://www.entropy.physio https://reformptnyc.com Instagram: @sandyhiltonpt @reformptnyc @enhancedrecoveryandwellness Twitter: @RebecaSegraves @SandyHiltonPT @Abby_NYC @SarahHaagPT LinkedIn: Sandy Hilton Sarah Haag Abby Bales Rebeca Segraves Subscribe to Healthy, Wealthy & Smart: Website: https://podcast.healthywealthysmart.com Apple Podcasts: https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify: https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud: https://soundcloud.com/healthywealthysmart Stitcher: https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio: https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927 Read the Full Transcript Here: 00:07 Welcome to the healthy, wealthy and smart podcast. Each week we interview the best and brightest in physical therapy, wellness and entrepreneurship. We give you cutting edge information you need to live your best life healthy, wealthy and smart. The information in this podcast is for entertainment purposes only and should not be used as personalized medical advice. And now, here's your host, Dr. Karen Litzy. Hey everybody, 00:36 welcome back to the podcast. I am your host, Karen Litzy. And on today's episode, I am very fortunate to have for pretty remarkable physical therapists who also happen to be pelvic health specialists. On to discuss the recent Supreme Court ruling in the dobs case that overturned the landmark ruling of Roe vs. Wade. How will this reversal of Roe v Wade affect the patients that we may see on a regular basis in all facets, facets of the physical therapy world. So to help have this discussion, I am very excited to welcome onto the podcast, Dr. Rebecca Seagraves and Dr. Abby bales and to welcome back to the podcast Dr. Sandy Hilton, and Dr. Sarah Hague. So regardless of where you fall on this decision, it is important that the physical therapy world be prepared to care for these patients. So I want to thank all four of these remarkable physical therapists for coming on to the podcast. Once the podcast starts, they will talk a little bit more about themselves, and then we will get right into our discussion. So thank you everyone for tuning in. And thanks to Abby, Rebecca, Sandy, and Sarah. 02:03 I, my name is Rebecca Seagraves, I'm a private practice pelvic health therapist who provides hospital based and home based pelvic health services and I teach occupational and physical therapists to provide their services earlier in the hospital so that women don't have to suffer. 02:20 Perfect Sarah, go ahead. 02:22 I am Sarah Haig. And I'm a physical therapist at entropy physiotherapy in Chicago, and I'm also assistant professor and at a university where I do get to teach a variety of health care providers. 02:35 Perfect, Abby, go ahead. My name is Abby bales. I'm a physical therapist, I specialize in pelvic health for the pregnant and postpartum athlete. I have my practice in New York City called perform physical therapy, and I do in home visits and I have a small clinic location. 02:54 Perfect and Sandy. Go ahead. 02:56 Sandy Hilton. I'm a pelvic health physical therapist. I'm currently in Chicago with Sara entropy. And I'm in Chicago and online. Because we can see people for consultations wherever they are, and we may be needing to do more of that. 03:13 So the first question I have for all of you lovely ladies, is how will the recent Supreme Court ruling in the dobs case, which was overturning Roe v. Wade? How is that going to affect people who give birth that we see in our clinics in the hospital setting in an outpatient setting in a home setting? So let's start with Sara, go ahead. I'll start with you. And then we'll just kind of go around. And and and also feel free to chime in and you know, the conversation as you see fit? Got? 03:58 That's such a big question. And I get to go first. So the question was how, how is this decision going to affect people who give birth? And I would say it just it affects everyone in in kind of different ways. Because I would say what this will undoubtedly do is result in us seeing people who didn't want to give birth. And and I think, you know, the effects of that are going to be far reaching and that we I think maybe we in this little group can have an idea of, of the vastness of this decision, but I think that even we will be surprised at what happens. I think that how it will affect people who give birth. Gosh, I'm kind of speechless because there's so many different ways. But when we're looking at that person in front of us with whatever they need to do For whatever they need assistance with after giving birth, we're going to have to just amplify exponentially our consideration for where they are and how they felt going into the birth, how they got pregnant in the first place. And, and kind of how they see themselves going forward. We talk about treating women in the fourth trimester. And it's, I mean, I'm in that fourth trimester, myself, and I can tell you that it would be harder to ask for help. And I'm really fortunate that I, that I have that I do have support, and that I do have the ability to seek help. I have a million great friends that I can reach out to for help, but I'm just how the how it's gonna affect the women, I'll say, I'm scared, but it's not about me. I'm very concerned for other women who won't be able to access the care that they that they need. 06:05 Yeah, Sandy, go ahead. What do you think? How do you feel this decision will affect people who can give birth, especially as they come to see physical therapist, whether that be during pregnancy? As Sarah just said, the fourth trimester, or perhaps after a procedure, or abortion that maybe didn't go? Well? Because it wasn't safe? 06:30 Yeah, so I work a lot with pain. One of my concerns is, but what is the future gonna hold for some people who did not want to be pregnant not added some sort of convenience or concern for finances, both of which, you know, your spot in life determines whether or not you have the the ability to raise another person at that moment. So there are individual decisions that people should make, in my opinion, but also, there's the if something happens to you, that you did not give permission to happen. And then you are dealing with the consequences. In this instance, pregnancy, and you happen to have back pain or have hip pain, or have a chronic condition, or a pelvic pain history, where you didn't not want to be pregnant. How's that going to affect the pain and the dysfunction that you're, you are already happening? And will it sensitize people to worse outcomes and recovery afterwards, because this is a, you know, there's a perceived injustice scale, I want to pull that back out. I hadn't been using it very often in the clinic just didn't seem to change the course of care. But I think that when I'm working with the people pre post, during pregnancy, I think I'm going to pull my perceived injustice scale back out and see if that might be a nice way to find out. If I need to hook someone up to a counselor, a financial counselor, psychologist, sexual therapist, anyone who might be able to support this person, we already don't have good support systems for pregnancy. I just am astounded at how much what a bad choice it is to add more need to a system that isn't currently handling the demand. I know we're gonna need to get creative because these people will need help. But I am a little awestruck at the possible quantum s we're gonna walk into 08:51 an abbey you had mentioned before we started recording about you know, some of the folks that you see that may have a history of different kinds of trauma, and how that may affect their abilities are to kind of wrap their head around being pregnant and then being forced to give birth because now they don't have any alternative. So how do you feel like that's going to play out in the physical therapy world, if they even get to physical therapy if they even get to a pelvic health therapist? 09:34 Yeah, that's, that's one of the things that I was I was thinking about as everyone was chiming in was, we really are just at the precipice in our niche of our profession, where people who give birth are seeking or even hearing about pelvic health and postpartum care, pregnancy care there. Just barely hearing about it. And my I have, you know, a concern, a very deep concern that these people will go into hiding if they have had an abortion in the past, because are we obligated to report that, and what is the statute of limitations on that, and the shame that they might feel for having had an abortion, or having had give birth and didn't want to, and the trauma that my patients who have, for the most part, not everyone who have wanted pregnancies that either the birth is traumatic, the pregnancy is traumatic, they get to a successful delivery, or they have a loss during the pregnancy, the trauma that they are experiencing, and for the most part, I'm seeing adults, and I cannot comprehend children, because it's this gonna be a lot of children who are forced to give birth, or who are having unsafe abortions, and the trauma that they're going to experience, and how, how much it takes for a person who has sexual trauma or birth trauma to get to my clinic, how these young people how these people who feel that shame, I don't know how they're going to get to me, or any of us, except for a real team based approach with pediatricians, with hospitals, with OB GYN, with your gynecologist with people who might see them first before us. I just don't know how they get to us to be able to treat and help treat that trauma. And like Sandy said, that pelvic pain that might be a result of the trauma if if it's unwanted sexual intercourse, I just don't know how we get to them. And that is something that we struggle with now, with, for the most part, wanted pregnancies. And I don't know how we get there. And I don't think we're prepared as a profession. for that. I think the advocacy for getting ourselves into pediatricians offices into into family medicine offices, is going to be so crucial in getting to these patients. But there aren't enough of us. We are not prepared. And our insurance based system is not ready to handle the far reaching consequences of forced birth at a young age and botched abortions. It is not ready to handle that. 12:52 Rebecca, go ahead. I'm curious to hear your thoughts around this because of your work in acute care systems. 13:00 Absolutely. I believe that I'm beyond the argument of whether this is right, or whether this is wrong. I think that as a profession, we're going to have to quickly change to a mindset of can we be prepared enough to handle what Abby was saying the amount of trauma, the amount of mental health I think, comes to mind when when someone's autonomy is taken away from them in any regard. I was very vocal as to how dangerous it was to force, you know, mandates on people even last year. And now here we are, we're at a point in our profession where we have to now separate our own personal beliefs and be committed to the oath of doing no further harm because this will result in harm, having treated individuals after an unplanned cesarean section or a cesarean hysterectomy, because of severe blood loss. They had no choice in those procedures. And they had no choice in the kind of recovery or rehabilitation they would get. I had to fight an advocate for our services, physical and occupational therapy services to be offered to individuals. So when you're looking someone in the eye who has lost autonomy over their body as last choice has gone through trauma that changes you it changes me really as a profession, even on this a professional or even on this issue. I'm now pivoting as quickly as I can't decide, do I have the skills that's going to be needed to address maybe hemorrhage events from an unsafe abortion that's performed? Maybe the mental health of having to try All across state lines so that you can find a provider that will treat you maybe the, you know, the shame around, you know, even finding Well, you know, is there a safe space for me to be treated for my pelvic health trauma from you know, maybe needing to carry this pregnancy longer than then I would have wanted to, there's, there's so much around this that we really have to start looking at with a clinical eye with a very empathetic or sympathetic eye as pelvic health therapists because of the fact that there's so few of us. And because now we're in a scenario where there will be more people who will be needing services but not knowing who to turn to. So my my biggest hope from this conversation, and many more that we'll have is that there's some how going to be a way to designate ourselves as a safe space for anyone, no matter what choice they've made for their body, period, I'm really done with being on one end of the spectrum with this, I'm a professional that doesn't have that opportunity to just, you know, be extreme on this, I advocate for the person and for their choice over their body period. 16:17 I think we need to, and it's just beautifully, beautifully said, the the getting getting some small systemic procedures in place in the communities we live in, is most likely the first step is reach out to the pediatricians and the chiropractors and the massage therapists and the trainers and the school athletic trainers and whoever you find that can have a connection with people and let them know on an individual basis. So like how do you tell people hey, I'm a trustworthy clinic to come to is not usually by writing it on your website. But if you can make connections in your community and be a trusted provider, that's going to go further, I suspect. I'm assuming there's going to be a fair bit of mistrust. And we have to earn it once it's lost. We've got to earn it back. So yeah, I like the proactiveness of that. 17:22 I, I totally agree on something you said Sandy sparked something that I would love for a health care lawyer to start weighing in on is we want, I am a safe space. I think every patient I have ever met who sees me cries. And I hold I hold that part of what I do. Very close to me, it's it's an honor to be someone that my patients open up to. And I know all of you on this call feel the same way because we we are that place that they they I love hearing birth stories. I love it. Even it just gives me an insight into that person into that experience. I feel like I'm there with them. And I understand better what they have gone through. But what happens when the legal system is going to come for us? Or them through us? What happens to that? How do we continue to be a safe space where they can share their sexual trauma, their birth trauma, their birth history, their pregnancy history, their menstruation, history, their sexual history? All of those really, really intimate things? How do we continue to be that for our patients? 18:56 I think we've had to do this I've had to do this previously, for in some very, in situations of incest in for the most part, we need a trigger warning on this. But, you know, there you have an individual that is a minor, or, or for some reason not independent that is being abused in what is supposed to be their safe space. And then that person, the abuser can be like, Oh, look, I'm helping you get better. And they're actually not safe. So there's some things and if the person you're treating is a minor, that adult has access to their records. And so I've worked in places not I don't know how to do with an EMR but I've worked in places where we have our chart that we write down the official record and sticky notes, which are the things that will not get put in the official record. But we need to have written down so people know it. And we've had to do that in situations where the patient wasn't safe. We all knew the patient wasn't safe. was being worked on to get them safe, but they were not yet safe. And you had to make sure there was nothing in their records that was going to make them more unsafe. I don't know how to do it as an EMR, if someone has a clever way to do that, that'd be great. Or we go back to EMR plus paper charts. 20:18 Even to to add to your point, Abby, if we're looking now at possible, you know, jurisdiction, you know, lead legal their jurisdiction or subpoena of documentation, you know, after having intervened for someone who may have had to make a choice that their state did not condone? Yeah, no, I, I'm completely, you know, on guard against that now, and that those are things that I'm thinking about now and thinking about, well, what would my profession do? Would we back, you know, you know, efforts on Capitol Hill to advocate for, you know, someone who, who has lost their, their autonomy, or lost their ability to, to at least have a safer procedure, and we've had to intervene in that way. You know, I think about that now, and I, that makes me fearful that this is such a hot topic issue that, you know, we might not as an organization want to choose size, but we as professionals on the ground as pelvic health therapists, I don't think that we have that luxury and turning someone away. And so So yeah, I think more conversations like this need to be had so that we can form a unified front of at least, you know, pelvic health specialists that can really help with the the after effects of this. 21:38 And I think a big barrier to that legal aspect of it is, you know, what is our legal responsibility. And what happens, if we don't do XYZ is because a lot of the laws and a lot of these states, some of these trigger laws and other laws being that are being passed, the rules seem to be a bit murky. They're not clear. And so I agree, I think the APTA or the section on pelvic health needs to come out with clear guidelines as to what we as healthcare professionals, can and should do. But here's the other thing that I don't understand and maybe someone else can. What about HIPAA? Isn't that a thing? Where did the HIPAA laws come in to protect the privacy between the provider and the patient? And I don't know the answer that I'm not a lawyer, but we have protection through hip isn't that the point of a HIPAA HIPAA laws? I don't know what 22:44 you would think so. But unfortunately, one of the justices who shall not be named has decided that abortion does not fall under HIPAA, because it involves the life of another being in so I can only state what has been stated or restate. But yes, the those are the very things that I'm afraid we're up against as professionals. 23:12 Yeah, I think they're going to try to make us mandatory reporters. for it. I think they're gonna try to make all healthcare we are mandatory. For some things, the thing that's good for some things. Yeah, the 23:24 thing that bothers me about that is the where I'm in Illinois right now, Illinois is a designated, look, we're not, we're not going to infringe on people's right to health care. Just great. But some of the laws and I've lost track, I was trying to keep track of how many have are voting on or have already voted on laws that would have civil penalties, penalties of providers from other states, regardless of the Practice Act of that provider, to be able to have a civil lawsuit against that provider. So that's fun. And then we go back to what ABBY You had mentioned before we started recording about medicine, that that is considered an abort efficient, I have a really hard time with that word. But that is also used for other conditions that we see in our clinics for pain for function and things like that. And then where's our role? 24:33 Right, so does someone want to talk about these more specific on what those medications are and what they're for? So that people listening are like, Okay, well, what medications, you know, so do you want to kind of go into maybe what those medications are, what they're for and how they tie back into our profession. Because, you know, a lot of people will say, well, this isn't our lane. So we're trying to do these podcasts. so people understand it's very much within our lane. 25:03 Well, I yeah, it's just from a pharmacology standpoint, the one of the probably most popular well known drugs that's used for abortion is under the generic name of Cytotec misoprostol, and that's a drug that's not only only used for abortion, but if individual suffers a miscarriage is used to help with retained placenta and making sure that the uterus clears. What other people don't know is is also used for induction. So the same drug is used for three or four different purposes. It's also used for postpartum hemorrhage. So measle Postel, or Cytotec is a drug as pelvic health therapists we should be very familiar with. And we should be familiar with it. Not only you know, for, you know, this this topic, but it's also been a drug that's been linked with the uterus going into hyperstimulation. So actually putting someone at risk for bleeding too heavily. And all of this has a lot of implications on someone's mental health, who's suffered a miscarriage who's gone through an abortion that maybe was not safely performed, which I have had very close experience with someone who's been given misoprostol Cytotec, it didn't take well, she continued bleeding through the weekend, because she lived in a state where emergency physicians could opt out of knowing a board of medications. So as professionals, we do need to know, a board of procedures so that we can recognize when someone has been through an unsafe situation it is, it is our oath as metal as medical professionals to know those things, not to necessarily have a stance on those things that will prevent us from providing high quality and safe care. 26:52 Another one of the medications is methotrexate, and it's used to treat inflammatory bowel disease. And as public health specialists, we'd see people who have IBD, Crohn's and Colitis, who have had surgery who are in flareups who are being treated like that treated with that medication. And it is again used in in abortions. And when you're on that medication, you have to take pregnancy tests in order to still be able to get your prescription for that medication. And as a person who I myself have inflammatory bowel disease and have been on that medication before, I can tell you that you don't go on those medications lightly. It is you are counseled when you are of an age where you could possibly get pregnant, and taking those medications. And it's very serious to take them. And you also have to get to a certain stage of very serious disease in order to take that it's not the first line of defense. So if we start removing medications, or they start to be red flagged on EMRs, or org charts, and we become mandatory reporters for seeing that medication, God forbid, on someone's you know, they're when they're telling us what type of medications they're taking, that there would be an inquiry into that for for any reason is just it's it's horrifying. I mean, it's, we treat these patients and they trust us, and we want them to trust us. But as we get farther and farther down this rabbit hole of, of going after providers, pharmacists, people who help give them information to go to a different state, I just it is. Like I said before, the breadth and the depth of this decision, reverberates everywhere. And if if PTS think that they are in orthopedic clinics, that they are somehow immune from it, you're absolutely not. And for those clinics who have taken on or encourage one of their one of their therapists to take on women's health because it's now a buzz issue. It's really cool. You are now going to see that in your clinic. And you know, like Rebecca was saying before, you know any number of us who have really strong and long term relationships with patients who are pregnant who are in postpartum I have intervened and sent patients to the hospital on the phone with them because they have remnants of conception and they have a fever and someone's blowing them off and not letting them into the IDI and sending them home. And we we are seeing those patients, they have an ectopic they're, they're bleeding, is it normal, they're calling me they're not calling their OB they can't get their OB on the phone. They're texting me and saying what should I do? And they have that trust with me and what happens when they don't? And they're bleeding and they're not asking someone that question and they don't know where to go for help. And so I know I took this in a different direction and we talked about pharmacology, but I just thing that I have those patients whose lives I have saved by sending them to the emergency department, because they are sick, they have an infection, they are bleeding, they have an ectopic, it is not normal. And I don't know what happens when they no longer have that trust with us not not because we're not trustworthy, but because they're scared. 30:26 The heavy silence of all of us going 30:31 you know, it's, it's not wrong. And I think the like, it just keeps going through my head. It's just like, so what do we do? I mean, Karen, you mentioned like, it'd be great if somebody came out with a list of, of guidance for us. And I just, that just won't happen. Because there's different laws in different states, different practice acts in different states. And no one, you know, like you even if you talk to a lawyer, they're going to say, this would be the interpretation. But also, as of yet, there's no like case law, to give us any sort of any sort of guidance. So that was a lot of words to say, it's really hard. I can tell you in Illinois, like two or three weeks ago, I'd be like, like, I'm happy, I feel like Illinois is a pretty safe space. We have, we have elections for our governor this year. And I have never been so worried, so motivated to vote. And so motivated to to really make sure to talk to people about it's not just like this, this category or this category, it's like we really need to take into consideration the ramifications of what this will do, I think there was a lot of this probably won't affect me a whole lot. But I think I'm guessing I think a lot of us on this call maybe I think all of us on all of us on this call, have lived our lives with Roe v. Wade. And, as all of this is coming up, and just thinking about how it impacts so many people, and how our healthcare system is already doing not a good job of taking care of so many people, the fact that we would do this with no, no scientific, back ground, no support scientifically. Like I pulled up the ACOG statement, and, and they condemn this devastating decision. And I really, I was like, it gave me gave me goosebumps. And this was referred to in our art Association's statement. And it makes me sad that we didn't condemn it. Hope that's not too political. But I'm really sad that we didn't take a stronger stance to say, this is not good health care. And we need to do more. Again, and that's like, again, so many words, to say we're gonna have to make up our own minds, we're gonna have to know, our rules, our laws and what we're willing to do, and go through, so that we can provide the care that we know our patients deserve. And that's going to be really hard. Because, you know, if I talk to someone, and if I call Rebecca in Washington State, she's going to have something different than if I talk to Abby in New York. And you know, that so it'll be, it'll be really hard even to find that support. That support there's going to be so much support, I think, from this community, but that knowledge and that, that confidence, we have to pull together so we have to pull together with all the other providers, but also we're gonna have to sit down and figure this out to 33:59 the clarity. So it's, I think a practical step forward would be each state to get get, like, every state, come up with a thing. So pelvic health therapists in that state come up with what seems to work for them get a lovely healthcare lawyer to to work with them with it. And then we could have a clearinghouse of sorts of all of the state statements. I don't know that that needs to go through a particular organization. I I know that they're in the field of physical therapy, two thirds of PTS aren't members. And we need this information to be out there for every single person so that they know 34:44 that we'll have to be grassroots there's I don't think that there's going to be widespread Association support from anywhere. But that being said, I think it's a great idea. 34:58 What are we going to do about it? Hang on issues that are too divisive, you're absolutely right, individual entities are going to have to take this on and just put those resources out to therapists who need them need the legal support, need the need to know how and how to circumvent issues in their states. And, you know, like I said before, even how to just provide that emotional support, there's going to be needed for their, their, their patients, so, and that's okay, if the organizations that were part of are not willing to take a heavy stance, you know, even like last year, if you're not willing to take a heavy stance, on an issue where someone feels their autonomy, and their choice is being threatened, then it's okay, well, we'll take it from here. But, you know, that's, that's really where these grassroots efforts come from and abound, because there are a group of individuals who are willing to say, No, this is wrong. And I'm going to do something about this so that our future generations don't have to suffer. 36:02 Yeah, and I think, you know, we're really looking at the criminalization of health care. 36:09 That is not healthcare. 36:12 And we also know who this criminalization of healthcare is going to affect the most. And it's going to affect poor, marginalized people of color, it is not going to affect the wealthy white folks in any state, they'll be fine. So how do we, as physical therapist, deal with that? How do we, how do we get the trust of those communities who already don't trust health care, so now they're going to stay away even more, we already have the highest mortality, maternal mortality rates in the developed world, I can only imagine that will get worse because people, as we've all heard today are going to be afraid to seek health care. So where do we go from here as health care providers? I, 37:10 Karen, you're speaking something that's very near and dear to my heart, I act as if you had to take this on, I am very adamant that we can no longer choose to stay in our lane, we do not have that luxury. And I as a black female, you know, physical therapist, I don't have the luxury to ignore that because of the color of my skin, and not my doctor's degree, not my board certification and women's health, you know, not my faculty position, I when I walk into a hospital, and I either choose to give birth or have a procedure, I will be judged by none other than the color of my skin. That is what the data is telling me is that I am three times likely to have a very severe outcome. If I were to have a pregnancy that did not go as planned or or don't choose a procedure, you know, that affects the rest of my function in my health. And so given the data on this, you're absolutely right there, there is going to be very specific populations that are going to receive the most blowback from this. And as a pelvic health therapist, I had to go into the hospital to find them, because I knew that people of color and of marginalized backgrounds, were not going to find me in my clinic. And we're not going to pay necessarily private pay services to receive that care. But I needed to go where they were most likely to be and that was the hospital setting or in their home. And so, again, as a field of a very dispersed and you know, not very many of us at all, we're going to have to pivot into these areas that we were not necessarily comfortable in being if we're going to address the populations that are going to be most affected by the decisions our lawmakers are making for our bodies. 39:11 You know, there's something that I think about, often when I hear this type of conversation come up in, in sexual health and in in whenever I am speaking with one of my patients and talking about their menstruation history, and, and them not knowing how their body works from such a young age is I just wonder if we should be offering programs for young people like very young pre ministration you know, people with uteruses and their parents, and grandparents and online, online like little anonymous. Yep. nonnamous 39:51 for it's just 39:52 Yes. Yes, it's it's just, you know, Andrew Huberman talks a lot about having data Back to free content that scientific, that's factual. And I think about that a lot. And I think, to my mind, where I go with this, because I do think about the lifespan of a person, is that creating something that someone can access anonymously at any age, and then maybe creating something where it's offered at a school? You know, it's it's ministration health. And it doesn't have to be under the guise of, you know, this happened with Roe v. Wade, but this it could be menstruation, health, what is a person who menstruating what can you expect? What you know, and going through the lifespan with them, but offering them? You know, I think I think about this with my own children, as our pediatrician always asks the question of the visit, who is allowed to see under your clothes who is allowed to touch you? And it's like, you and my, I have a five year old. So it's Mom, when when when I go number two, a mom or dad when I go number two? And that's it. And you know, I think about that, and I think about how we can educate young people on a variety of things within this topic, and kind of include other stuff, too, that's normal, not normal, depending on their age. Absolutely, there 41:22 was what I was excited about in pelvic health. Before this was people like Frank to physician and his PhD students and postdocs are working on a series of research about how if we identify young girls that are starting their period, and having painful periods, treat them and educate them, then that they will not go on to have as much pelvic pain conditions and issues in the future. So we look at the early childhood events kind of thing, but also period pain. And How exciting would it be if we could get education to young girls about just how their bodies work. And to know that just because you all your aunties have horrible periods doesn't mean that you're stuck with this, just like maybe they just didn't know, let's help you out and constipation information and those basic health self care for preventative problems. So I was super excited about all that. And now it's like, oh, now we have to do it. Because in that we can do little pieces of information. So people have knowledge about their body, that's going to be a little bit of armor for them, that they're going to need and free and available in short, and you know, slide it past all the YouTube sensors. This is this is doable, but it's gonna take time money doing, but we can do it. Well, it sounds like, ladies, 42:52 we've got a lot of work to do. One other thing I wanted to touch upon. And we've said this a couple of times, but I think it's worth repeating again and again and again. And that's that expanding out to other providers. So it's expanding out, as Rebecca said, expanding out to our colleagues in acute care, meaning you can see someone right after a procedure right after birth right after a C section. And, and sadly, as we were saying, I think we they may start seeing more women, I'm not even set children under the age of 18. In these positions of force birth on a skeletally immature body. So the only place to reach these children would be maybe in that acute care setting. How what does the profession need to do in order to make that happen? And not not shy away from it, but give them the information that they need. Moving forward? 44:07 I was just gonna say that I've given birth in the hospital twice. Not at any time was I offered a physical therapist, or did a physical therapist come by and I am in New York City. I gave birth in New York City, planned Solarians because of my illnesses. And nobody came by I did get lactation nurses, any manner of people who were seeing me I was on their service. But that has been something that we needed anyway. We mean to have a pelvic health physio on the labor and delivery and on the maternity floors, who is coming by educating as to what they can start with what they can expect. When can they have an exam if they want to have one? Who is a trusted provider for them to have one. And we need to get the hospitals to expand acute care, physical therapy to labor and delivery and, and the maternity floors. As a routine, it's not something you should have to call for, it should be routine clearance for discharge the same way you have to watch the shaking baby video to get discharged. 45:27 I'm happy older than all of you. I don't have it either. But taking baby video is not something that even existed back in the day. But that makes sense. I mean, I once upon a time was a burn therapist, and I was on call at a regional Trauma Center. And you know, it's like you're needed your, your pager goes off, because that's how long ago it was. And you just came in, did your thing, went back home went back to bed. There is no reason other than lack of will, that PTS couldn't be doing that right now. 46:03 I'm now of the opinion where it's unethical to not offer physical or occupational therapy within 24 to 48 hours of someone who had no idea who did not have a planned delivery the way they expected it who has now and a massively long road to recovery. After a major abdominal surgery, I'm now of the opinion that is unethical for our medical systems to not offer that those rehabilitative services. And I've treated individuals who had a cesarean section but suffered a stillbirth. So the very thought of not providing services to someone who has any kind of procedure that's affecting, you know, their their their not only their pelvic health, but their mental function. That to me is now given the you know, these these, this recent decision on overturning Roe v Wade, is now now we're never, you know, either we're going to now pivot again as pelvic health therapists and start training our acute care colleagues, as we did with our orthopedic colleagues, as we've done with, you know, our neurology colleagues, whatever we've had to do as pelvic health therapists to bring attention to half of the population, you know, who are undergoing procedures, and they're not being informed on how to recover, we will have to start educating and kind of really grow beyond just the clinics and beyond what we can do in our community or community. But we are going to have to start educating our other colleagues in these other settings, we don't have a choice, we know too much, but we can't be everywhere. And not all of us can be in the hospital setting, we're going to have to train the individuals who are used to seeing anything that walks through the door and tell them get over to the obstetric unit. Okay, there's someone there waiting for you. 48:06 Yeah, I totally agree. I mean, when I think back I remember as a student working in acute care and how we had someone who's dedicated to the ICU, we had someone dedicated to the medical floor, we had somebody who was dedicated to the ortho floor, and most of the time they had their OCS, their, their, the one for for, for ICU care, the one for NeuroCare, or they have a specialty. And I think it is just remnants of the bygone era of it's natural, your body will heal kind of BS from the past. It's just remnants of that and it's just, we don't need the APTA to give us permission to do this, this is internal, this is I'm going into a hospital, and I'm presenting you with a program. And here is what this what you can build this visit for here's the ICD 10 code for this visit here is here is here are two people who are going to give you know, one seminar to all of your PT OTs, to you know, so that you are aware of what the possible complications and when to refer out and that kind of thing. And then here are two therapists who are acute care therapists who are going to also float to the maternity floor one of them every day, so that we can hit the we can get to these patients at that point, and that is just that's just people who present a program who have an idea, who get it in front of the board that that it is not permission from anybody else to do it. And, you know, it really it fires me up to to create a world in which you know, when you know people who are the heads of departments and chairs and you know on the boards of directors You know, being in big, big cities or small cities, when you know those people, you know, you can, your passion can fire them up. And if you can fire people up, and you can advocate for your patients and you can in that can spread, you can make that happen. And this is, you know, I feel radicalized by this, I mean, I'm burning my bra all over the place with this kind of thing. And I just feel like, if we can, if we can get to young people, and if we can get to day zero, of delivery, day one, post delivery, or post trauma, then then maybe we can make a dent, maybe we can, maybe we can try, maybe we can really make a go of this for these people. Because, like I keep feeling and saying I, we are not prepared for the volume. 50:54 If individuals are going to be forced to carry a pregnancy, that they may not want to turn because it's affecting their health, we're going to have to be prepared for this. Again, this is not an option really, for us as pelvic health therapists, because we know what's down the road, we've seen mothers who have or you know, or individuals who have suffered strokes or preeclampsia or seizures, or, you know, honestly, long term health issues because of what pregnancies have done to their body. And now if they want the choice to say, you know, I'm not ready, they don't have it anymore. So we really don't have a choice. We have to start expanding our services into these other settings, making our neurologic clinical specialists in the hospital, see people before they have a stroke before they have a seizure actually provide services that can help someone monitor their own signs and symptoms after they've had now a procedure or given birth or even had, you know, a stillbirth, unfortunately, because the doctor had to decide, well, yes, now we will perform the abortion because you know, your health is like on the cliff, I mean, we're going to be seeing these and we just have to prepare. And if it's not our organizations that are laying the foundations, we will, we'll take it from here, 52:15 we need to reach out across so many barriers, like athletic trainers, they're gonna see the young girls, they're gonna see their track stars that is not reds, it's pregnancy. And it could be a very short lived traumatic pregnancy, in girls that are just not develop. They're developed enough to get pregnant, they're not developed enough to carry a healthy baby to term. Kind of just makes me like. But Rebecca is right as we don't get to have an opinion on the right or wrongness of this, we have a problem ahead of us now, that that is happening already, as we speak, that people are going to need help. I love that we have more technology than my grandma did when she was fighting this battle. And we have YouTube and we have podcasts and we have ways to get information out. But we need to use every single one of them in our sports colleague or athletic trainer colleagues. They need to know the signs. Because they may be the ones that see it first. 53:21 Yeah. And Sarah as being the most recent new mother here. What kind of care did you get when you were in the hospital? 53:36 I was sitting here thinking about that. And I mean, I will say that the care I had while I was there, that I had an uncomplicated delivery in spite of a very large baby. And I was fortunate enough to leave the hospital without needing additional help. But I wasn't offered physio. Nobody really they're just really curious to make sure you're paying enough. And that's about it if you're the mom and my six week visit was actually telehealth and that was the last time I had contact with a health care professional regarding my own health so it is minimal even if you're a very fortunate white woman in a large metropolitan area and but I'm working now further north and with a pro bono clinic clinic and in an area where we do a lot of work with communities of color and I'm I'm like I honestly don't even know the hospitals up here yet. But I'm gonna I have so many post it notes of things that are gonna start happening and start inquiring because Rebecca like we need to get into the hospitals like if if I can Do that. And honestly, up until now, like my world and entropy was, and pre this decision was it, there's so many people out there who need help with pelvic issues in general, like we can do this forever. And we set our clinic up so that people who weren't doing well in the traditional health care system could find us and afford us. At least some people could, I realized that it wasn't in companies, encompassing everybody who could possibly need help, but we were doing trying to figure out another way. And so again, like, like, again, the offer of assistance I got was minimal. But also I didn't need much. And I was in a position where also, I knew I could, I could ask for it if I wanted it. And I could probably get it if I needed it. And I'm just thinking about, again, some of the communities I'm interacting with now, in some of my other roles and responsibilities, and I cannot wait to take a look and see, how can we get in there? How can we be on that floor? How can we? What What can we make, make happen like, because it needs to happen, these are these, this is the place where I'm scared to start seeing the stats, 56:21 wouldn't it be amazing if you can get the student clinic part of that somehow somehow and get, you know, young beyond that bias, but younger, most younger but but like the physicians the the in training the PTs and training the PAs the you know, and get like Rebecca had said, let's get let's get the team up to speed here, because there aren't enough pelvic health therapists already. And they're heavens, we need, we need to get everybody caught up. 56:58 And there's so much I was telling you that being around student health care, providing your future health care providers is really energizing and also really interesting. I mean, the ideas that come up with in the in the connections they make and and the proposals they make are just amazing. But two things that I've noticed that I think probably we run into in the real world, real world, outside school world as well, is one. The that's being able to have enough people and enough support to keep it sustainable. So you have this idea, you have the proposal, you made the proposal, how are we going to keep it going and finding the funding or the energy or the volunteers to keep it going. Things ebb and flow, you get a great proposal, you're like yes. And then I literally today was like, I wonder what's up with that one, because it was an idea for a clinic to help was basically for trans people to our tree transitioning and might not have the support that they need. And also I was reached, they come up here for women's health clinic. And I'm going to reach out to them now. Because this again, this decision changes that because it is a pro bono clinic that they would like to set this up in and before it was going to be much more more wellness. And now it could turn out to be essential health care. So that's one thing. But then the other thing is still the education, that in school, we're not taught about what everyone else can do. And I think again, figuring out a way to make sure that future physicians really know what physical therapists have to offer, especially in this space. Most people know that if their their shoulder, their rotator cuff repair, they should send them to pt. But really, we need to get in with OB GYN news, we need to get in with the pediatricians. And I don't want to say unfortunately, but in this regard, unfortunately, we're going to have to really make sure that they know what we're doing. And again, I'm already kind of trying to think like how can we make this just part of how we do health care. 59:20 So I think I'm following in your footsteps by going into education and by by being a part of our doctor of physical therapy programs. You know, I especially chose the program in Washington state not because you know, of just the the the opportunity to teach doctors or incoming doctors but it was also an opportunity to teach doctors of osteopathic medicine and occupational therapy therapists. It was you know, very intimate program and opportunity to make pelvic health or women's health or reproductive health apart of cardiopulmonary content, a part of neurology content, a part of our foundations a part of musculoskeletal and not a special elective course that we get two days of training on, I had the opportunity to literally insert our care, our specialized and unique care and every aspect of the curriculum, as it should be, because we are dealing with, you know, more or less issues that every therapist generalists or specialists should be equipped to handle. So in the wake of Roe v Wade, to me, this is an opportunity unlike any other for pelvic health therapists to really get into these educational spaces where incoming doctors are, you know, MDS or PA programs, or NP programs are our therapy practices, and start where students are most riled up and having those ideas so that they can go out and become each one of us, you know, go into hospitals and say no, to obstetric units being ignored, go into hospitals and give and services to physicians. You know, we need to create more innovators in our field and education is the way to do that. 1:01:12 I just wrote down check Indiana and Ohio, and then I wrote border clinics, because Because Illinois is a it's like a not a prohibition state. Having so many flashbacks, because Illinois, is, is currently dedicated to maintaining health care access for everyone. We have cities that are on the border. And I was thought of that when you were talking, Sarah, because you're up next to Wisconsin now. But we have we have the southern part of the state and the western part of the state. And those those border towns are going to have a higher influx than I will see in Chicago, maybe. But I would anticipate that they would, 1:01:56 you know, and again, this is where laws are murky. Every state is different. It's I mean, it's a shitshow. For lack of better way of putting it I don't think there's any other way to put it at this point. Because that's kind of what what we're dealing with because no one's prepared, period. So as we wrap things up, I'll go around to each of you. And just kind of what do you want the listeners to take away? Go ahead, Sandy, 1:02:33 this is this is frustrating and new, and we're not going to abandon you. We're gonna figure it out and be there to help. 1:02:41 I would say that our clinics are still safe, it is still a safe place for you to open up and tell us what you wouldn't tell anybody else. It's still safe with us. And we still have you as an entire person with all of your history. We are still treating you based on what you are dealing with and not. We will not be dictated by anybody else. Our care won't be mandated or dictated by anybody. Sarah, go ahead. 1:03:22 What I would say is I would echo your safe. If you need help, there is help. And I'm sorry, that that this just made it harder than it already was. And I would say to healthcare providers, please let remember, let us remember why we're doing what we're doing. And, you know, we do need to stand up, we do need to continue to provide the best care for our patients. Because to be honest, I've been thinking like, I think it's a legal question. It's a professional question. But ultimately, if we can't give the best care possible, I'm not sure I should do this. 1:04:01 Ahead, Rebecca, 1:04:02 for our health care providers, in the wake of Roe v. Wade, being overturned, wherever we are, you know, as an organization or on our stance, if we believed in the autonomy of an individual to know all of the information before making a decision, then we still believe in the autonomy of an individual to know all of the information that is best for their body. And that is the oath that's the that's the that's the promise that we've made as professionals to people that we're serving, and to the people that we're serving to those who are there listening to this. You have safe spaces with providers that you trust and we're going to continue to educate one another, our field and also you we're going to put together resources that really bring During this education to your families so that you don't have to feel like you're in the dark and you're alone. This is not something that is per individual or per person. This affects everyone. And we're dedicated to advocating for you. 1:05:18 Perfect, and on that we will wrap things up. Thank you ladies so much for a really candid and robust discussion. I feel like there are lots to do. I think we've got some, some great ideas here. And perhaps with some help and some grassroots movements, we can turn them into a reality. So thank you to Rebecca to Sarah to Abby and to Sandy, for taking the time out of your schedules because I know we're all busy to talk about this very important topic. So thank you all so so much, and everyone thanks so much for listening, have a great couple of days and stay healthy, wealthy and smart. 1:06:03 Thank you for listening and please subscribe to the podcast at podcast dot healthy, wealthy smart.com And don't forget to follow us on social media