Podcast appearances and mentions of karen lindsay

A promo for the latest podcast series from JKL Media, Last Best Hope for Conversation - A Babylon 5 Podcast with Jesse Jackson @JesseJacksonDFW, Lou Sytsma @LouWSytsma and Karen Lindsay @aleveria 

This week Flick dives into the Casting Department for Harry Potter and the Philosopher's Stone with Karen Lindsay-Stewart, Buffy Hall and Carolyn McLeod. They talk about everything casting from the beginning stages of finding the cast members, the challenges they face casting for a child heavy film to how the industry has changed in the past 20 years.

Karen Lindsay is a Partner in the award winning Brisbane based accounting firm Aegis Business Services. The name Aegis comes from Greek mythology. The Aegis was the shield or breastplate of Athena and Zeus, famously bearing Medusa's head. The modern concept of Aegis is a knowledgeable, supportive, guiding and protective source. This is what Aegis Business Services strives to be, a source of knowledge and support for your business so that you have more time to spend on the real business of your business. Karen also uses her industry knowledge and experience to help woman who have been able to extract themselves from domestic violence and are needing help in how to bounce back financially in the Financial Super Woman workshops.One of the key takeaways for me in the interview how the business has built a culture that enables honest communication and that allowed Karen to ask the question of Tori to consider an alternative to her current situation. The other piece is that sometimes it takes a little push for the Owner to acknowledge that they can't do this all on their own. Karen LindsayLinkedIn https://www.linkedin.com/in/karenvlindsay/Email karen@aegisbusinessservices.com.auWebsite www.aegisbusinessservices.com.auStephen Sandor CEO Inspiring BusinessInspiring Business websitewww.inspiringbusiness.net Book an Exploration Call herehttps://inspiringbusiness.net/exploration-call-booking/ The Scale to Success Systemhttps://inspiringbusiness.net/deep-dive-program/Stephen Sandor LinkedIn https://www.linkedin.com/in/stephen-sandor/

In this episode, Net Health's Daniel Folsom talks about how to use Google ads and how to boost your SEO to drive more potential clients to your business.  In this episode we discuss:  - How to use online directories to boost your SEO - The importance of online reviews  - The ins and outs of running a Google Ad - Are Facebook ads worth it?  - How to prepare to run an ad on either Google or facebook - and much more!    More about Daniel:  My Name is Daniel Folsom the account executive for the Digital Marketing Group at Net Health.  I have 20+ years’ experience in the healthcare world through sales and practice development. I live in the beautiful state of Georgia and have two kids (four-legged) Jon Jon and Oliver. I have a passion for helping private practices find ways to grow their brand and sustain a healthy level of consistent revenue through patient engagement.   Resources:  Rehab Therapy Outpatient Services 101: How to Expand into the Home or Assisted Living Facility. Free Market Scan Daniel's LinkedIn   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 Transcript: Speaker 1 (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. Speaker 2 (00:35): Hey everybody. Welcome back to the podcast. I'm your host. Karen Lindsay and today's episode is brought to you by net health. So net health has a great new webinar coming up tomorrow, April 13th at 2:00 PM. Eastern standard time with Ellen Strunk. She is a physical therapist, owner of rehab resources and consulting, and his net health guest panelists discussing rehab therapy, outpatient services. One-On-One how to expand into the home or assisted living facility. Ellen lectures nationally on the topics of pharmacology for rehab professionals, exercise and wellness for older adults, coding billing, documentation for therapy services, and the importance of functional outcomes to value based payment, head over to net health.com/litzy to sign up as a bonus. When you sign up for the webinar type, Litzy in the comments section of the registration show up to the webinar and net house. We'll buy lunch for your office. Once again, that's net health.com forward slash L I T Z Y. Speaker 2 (01:32): To sign up now on today's podcast, we are talking all about S E O for people who aren't familiar. That means search engine optimization. And my guest is Daniel Folsom. He is an account executive for the digital marketing group at net health. He has 20 plus years experience in the healthcare world through sales and practical development. He lives in the beautiful state of Georgia has two kids, four legged, John, John, and Oliver. And he has a passion for helping private practices, find ways to grow their brand and sustain a healthy level of consistent revenue through patient engagement, which is something we all want if we own our own practice. So today we talk about digital marketing. We talk about search engine optimization. What it is, is it dead? Is it alive? How can you make your website more SEO friendly? We talk about Google and Facebook ads and are they really worth the cost? Speaker 2 (02:30): And guys, this is a deep dive. This is really talking about Google ads and definitely Google ads more than Facebook ads. But boy did I learn a lot and Daniel is very generous. He is offering a free market scan, covering all online directories, which there's like, guys are so many. I had no idea all these online directories that will make a difference in where your podcast is ranked on Google. And so what the folks at net health are, is a free market scan, covering all those online directories to see if you're in there or not tedious work folks. You don't want to do this yourself. So Daniel talks about how you can get that free scan in today's podcast. So everyone enjoy, Speaker 3 (03:16): Hey Daniel, welcome to the podcast. I'm happy to have you on the show this week. Thank you very much. Happy to be here. Great. And today we're talking about, I think something that can affect every single physical therapist that has a website, every company, every individual therapist, and that is looking at SEO or search engine engine optimization. And we're also gonna touch on online ads, Facebook ads, Google ads, things like that, but let's start out with SEO. So here's the question is the title of the episode is SEO dead. Absolutely not. That's the biggest question that we have to answer today, right? How are you found online when you're found, what does that online reputation look like for your Google ads? So when I find you, what does it look like? Funny, kind of a funny story. I was working with a physical therapist group last week and we've looked at their Google listing and they actually had a picture of chilies. Speaker 3 (04:22): So what happens is, and I thought, well, Hey, if you're cracking backs in ribs, I think I want to make an appointment, right? That would be a win-win yet what Google does. If we don't actually create that directory and clean it up is they take the Google earth pictures that attached to your address and they put those images on. So if you haven't looked at it, definitely take a peek at that Google listing anyway, yes. With our SEO, try to get back to that. We want to know what you look like across these search directories. Can people find you with your address and they call you from your phone number. If they look at these directories, are these directories actually clean with reviews? Are you getting good reviews? Are you responding to the negative reviews? So all of this goes into making up that SEO. Speaker 3 (05:12): You know, I always say, if people ask me, you know, when, when should we start SEO? And, and as I mentioned, you should have started 20 years ago. And when you say looking at all these different directories how many directories are there? And can you give some examples? Because I just think, well, Google, what are the other directories? So there are 72 plus directories. And when we talk about directory management, we talk about 72 different directories. The reason we talk about 72 is those are what massage, Google analytics to make Google happy. So Google actually sends these small bots out across all of these different directories to make sure they're consistent across internet. And that affects your Google analytics. Of course. So these bots also work in tandem with Google because they want to be the next game on the net. They want to be the next big game on the street, right? So they're sending bots out to find information. So when we run what we call a business scan here at net help, we are running that business scan to look at how accurate all of these directories look for you. You will find if you've had a practice purchase, if you have gone by a different name, if you've moved locations, a lot of these directories are going to be out of line. So if anyone's using those, they're either going to go to the wrong address. They're going to see the wrong name so forth. Speaker 4 (06:37): And what, so aside from Google, what are some of these directories? Is that like Yelp or is it, is that one or no, Speaker 3 (06:46): We, we have Yelp, we have yellow pages. We have Google business, we have Facebook and using a service, you know, a service we'll actually go in and create those directories so that they're all consistent. More importantly, they go in after that and lock those directories for you, which means they can never be changed or modified unless we go in and actually change your modified those directories for you. You know, some of the other search directories, we talk about Yahoo four square city search MapQuest, local database, a few more just to add on. Speaker 4 (07:21): Yeah, that's a lot. Okay. So what you guys do is you scan all of these directories to make sure that it lines up with what your, what and where your business is, and then absolutely. And then you make it so that people can't hack into it, or can people still hack into it and kind of screw that up. Or Speaker 3 (07:45): Nope. Once these directories are locked, we actually claimed the directories. We clean up that directory management and cleaning up that directory management. We're going to make sure that we've got consistent pictures of the practice. We've got pictures of the team, maybe of the owner with a nice blurb there. So all of these directories are going to look consistent. And of course the goal here is to create a beautiful story, right? So if I search physical therapy near me, I go to your Google ad, your Google ads, beautiful with pictures and reviews and things that click on your website. It then translates the story over to your website. So it's a nice flow from the original organic search all the way to your website. Speaker 4 (08:26): When, what else goes into SEO, because I know people talk about SEO and we always just think, Oh, it's just maybe cleaning up these directories, but I know that what's on your website and maybe the backend of your website also counts for SEO. So can you talk a little bit about that? Speaker 3 (08:49): Sure. So when we talk about your website, we want to talk about keywords that drive to your website. So in using a vendor for your website, you want to make sure that you keep those keywords accurate and you also keep them fresh. For example, when microneedle and came out, we wanted to make sure that we added any of the search words for microneedling in, into those keywords to drive traffic. So we look at the meta tags, we look at the data tags, we look at the backend of what that website is there for, because again, that organic search with Google is the happiest that Google analytics, that it makes it the happiest there. So that's what we're really doing when we drive that traffic with those back keywords. You know, I think a lot of people too, when we talk about websites, miss the opportunity to blog and blogging is huge in having searchable content. You know, let's say you just came back from a wonderful conference and you learned all these cool new techniques or, or services that you can offer going in and creating a blog about that makes it searchable content. Again, we're driving that organic traffic directly over to your website. Speaker 4 (10:06): And if you can drive more organic traffic, does that bump you up in the Google search? Because everybody's like, Oh, you want to be on the first page of Google. Speaker 3 (10:15): Right. Right, right. Where do you hide a dead body, the second page of Google. Speaker 4 (10:20): Right. So how do we, how do we, so obviously adding a blog, making tree of these keywords, making sure all of these directories are up-to-date and locked in. Is there any other tips or tricks that can bump you up in the Google in the eyes of Google without having to pay for it? Cause we'll get into ads in a little, Speaker 3 (10:42): Right. You know, that Karen is a beautiful equation that deals with how old is your domain? Are you garnering reviews? Are your directories established and consistent? So there is a really long equation that goes into making that very, very happy. Of course, you know, running ads can potentially puts you on the first page. And when we talk about ads, we'll talk about what that looks like. But putting you on the first page, it's just a lot of consistency and it's a lot of work to check the right boxes as far as what SEO means and what makes Google happy for you. Okay. Speaker 4 (11:20): Right. So doing all these things that we just discussed, obviously very helpful. Right, right, right. And the more you update your website, does that help to boost it up? Speaker 3 (11:32): Absolutely pleased fresh content every month, whether it's an e-book, whether it's a newsletter, whether it's a blog post, whether you're just changing staff names, we want to keep that website fresh. You know, part of what we, we pride ourselves on at net health is every month and account manager is actually going to go with the customer. We're going to make sure that we're pushing out those blogs. We're pushing out those eBooks. We actually set up cadences for the month ahead of us just to make sure that we're tackling maybe seasonal issues as well. So let's say it's winter time, everybody's slipping and falling. How are we addressing that type of searchable content as well, pulling that organic traffic over to your site. Speaker 4 (12:17): So now let's move on to ads, right? So you've got Google ads, Facebook ads. The big question everyone wants to know is where can I get the most bang for my buck, Speaker 3 (12:30): Bang for your buck. Here's what we need to do everybody. Before we dive into ads, we need to make sure running an ad for you even makes sense. If you just take money and put it into a pay-per-click ad, it's probably not going to work. You know, one of the things that we do at net health with our customers is we do a forecasting call. That forecasting call looks at your geographic area, longitude latitude within 30 miles, because that's generally the driving distance. People are going to come to see your location. And then we type in keywords. I want to see if enough people are searching for those keywords. You know, you could put $2,000 into an ad, but if you have 20 people searching for the keywords that are relative to your services, it's probably not going to be a good return on your investment. Speaker 3 (13:17): So with that forecasting call, we look at those keywords and we also see how much they cost. You know, as we kind of spoke about earlier, those keywords could literally drive your ad budget way out of socket. I've seen people who have run ads in the past that it did make sense to run ads, but they had an ad budget of $400. When we look at that ad budget, we have to tie it into what does a conversion look like? And a conversion is when someone searches for your words goes over to your ad, clicks on that ad and fills it out. So that's somebody that converts over. Now we call that a lead. So this is someone that has engaged. They're looking for your services, they're in your target area, they're searching for your keywords. And they said, Hey, we are looking for you. Speaker 3 (14:12): Now, the other thing when we run these ads to care is which is very, very important is we need a really good call to action. And what does that call to action mean? You know, I think for everyone, this can be unique to the practice, with their call to action. It's something that's going to engage them to take the next step. You know, I have some people who use eBooks and toolkits and things that, you know, fill this out and get the free toolkit or ebook. We generally find that people generally just want the ebook. They really don't want an appointment. So when we really look at a conversion here, we really want to something unique. You know, the cool part of forecasting is we can actually look at what other ads are running, what their calls to action are. So we can really kind of create a unique structure to walk that practice through having an amazing call to action and filling out the form to have that conversion into the lead. I have to say some of the more successful physical therapy practices that are using any type of ads right now, last month, we had someone who ran a targeted ad that gave away a free 30 minute back massage. He had well over 50 participants fill out his lead form, which was huge. I didn't always, I mean, I didn't know that many people needed they're bankrupt, but obviously they do. Speaker 4 (15:36): Right. And what other call to actions have you seen that have been really successful? Like I know a lot of people will say, you know, a free, you know, 20 or 30 minutes call or, or screen or something like that. But what, what else have you seen that has really worked? Speaker 3 (15:59): Usually you want to tie it to something within your services that keeps the person engaged or will engage them. For example a physical therapist was really focused on their, their dry needling and they actually did this hot patch. It was almost a massage machine as well. So after the dry needling, you literally sat on this like hyperbaric type chamber chair and got this warm back massage. That was a part of it as well. Now that was after the third visit. So of course at that point they've got the patient engaged with it. Again, we usually find toolkits eBooks and things really aren't that effective, but something tangible that the patient can actually use or have you know, we've even had people tie them around Starbucks gift card with, we all have our Starbucks. Speaker 4 (16:56): Right, right, right. So really taking some Liberty here to be quite creative, correct? Correct. Okay. And you had mentioned something in talking about the ads about the price of keywords. Can you talk about that a little bit more? Because I know it's definitely something I don't understand. I'm sure it's a lot something, a lot of the listeners don't understand. So go ahead. Speaker 3 (17:20): Sure. So when we, when we look at the forecast, we actually look at the keywords of course, for the services that are offered there at the practice, those keywords, and what Google will tell us is, is what people were paying for those keywords. So the funny part about keywords is in certain areas, some lawyers may be bidding on those keywords as well. So we generally want to keep the costs, the cost per click below $3. If it's above dollars, we really want to see if it makes sense for our practice with their budget. And of course, what outcome they're looking for. Does it really make sense for you to run these ads? Sometimes it does. Sometimes we can have a great return conversion level. Other times we may want to look at some other keywords and other prices just to make sure that, you know, again, this is going to be affordable for the practice and we're going to bring the number of conversions that they need to make this profit. Speaker 4 (18:17): And so for example a keyword like low back pain might be worth, I'm just going to make this up here for $4. Whereas shoulder pain might be worth $3. Like, is that how that works? Speaker 3 (18:33): You got it. Yep. Yep. The biggest trend difference that you see right now is physical therapy. Of course, near me. Where, of course that's an extremely popular keyword search. I've seen it cost 58 cents in certain areas. Right now in Seattle, it's $58 for late work. Speaker 4 (18:56): Okay. So if you're running a Google ad and you have back pain in your ad, it costs $58 per day, Speaker 3 (19:06): $58 for someone to search for that in your area, click on your ad, just click on your ad. Speaker 4 (19:15): Wait. So if five people click on your ad in one day, it costs you like $300. Speaker 3 (19:24): Correct. Do you see what ads can fail for people who aren't doing proper form? Speaker 4 (19:28): I see. Yes I do. Now. Okay. Now this is making much more sense, much more sense. So you really want to know how much those keywords cost to see, like, if it's worth it or can you put in a different keyword and still get that demographic and okay. Speaker 3 (19:47): Absolutely. So some of the things and part of the service of net health that we provide is we provide weekly checks. So we actually go in and you can bid on words every week. So some of those higher dollar words for our customers, there's no guarantee that you're going to win, but if you're paying $10 for physical therapy near me and you bid three 50 on it, you win the bid. Guess what? For the week you actually get $3 and 50 cents. You save $7 for every click for that. We also go into the ad. We look at stale keywords. So if all of the keywords that we have, and you can have up to 50 plus keywords here that we're talking about in a plan we look at what words really are stale. We want to pull those words out because they're just kinda sitting there doing nothing in our, in our campaign. Speaker 3 (20:34): And then we want to put in those active words. So we want to look at what new words may have come up within the week. Also Google gives us a ad score. So if your ad is not running at a hundred percent, we want to make sure that it is running at a hundred percent. So we look at what Google tells us of why it isn't. And we go in and repair that for you. We also, every two weeks make sure that we have a call with our clients just to make sure the ads are running correctly. We're making sure that they understand the keywords because as you can envision, we're bringing the horse to water. It's up to them to teach them how to have that horse drink the water. So we really have to do a lot of sales training on, on what that conversion looks like. You know a few weeks ago we had our podcast on purpose, the profit, and you know, the big comp topic of conversation was, you know, how well trained is your, your front desk staff and answering the phone. So, you know, I really depend a lot on that when we talk about these, these ads, because of course these are hot leads, ready to schedule an appointment. What does that look like when they're actually called for that follow-up Speaker 4 (21:45): And where are these Google ads showing up? So are these the things like if I go onto a website and I see a banner ad or something, is that a Google ad? Or is it only like when you go into Google and you type in physical therapy near me and you see those ones above the fold, the T ad, is that the only place? Right? Speaker 3 (22:08): So, so, so it can be a banner ad. It can be the ladder, as you mentioned, that says, ad generally it's the ladder that says add there, it pushes it to the top, you know? And I think a lot of people get really confused with that because they think, Oh, if I run an ad, I'm going to be at the top of Google. What they don't understand is Google only a lot certain ad spaces on each page, you can have two to three at the top. You can have two to three at the bottom. And that is all based upon the number of people that you actually have in that search criteria. So you could easily pour $2,000 into an ad and be on the top of page two, which again, who's going to look for you there. So one of the things that we really dive into when we run these ads is where are you going to be on that page placement? And where are we going to be able to put you? Because of course it's very important. Speaker 4 (22:58): And in these ads, I mean, are, is, are there photos, are there videos or is it just texts? There is Speaker 3 (23:07): Absolutely. So when we talk about the Google ad, it actually is, it looks like a landing page. So when I click on physical therapy near me and I see Karen physical therapy, I'm going to click on that. It's going to take you to the landing page. Now that landing page again, as we go back to create this beautiful digital marketing story should look just like your website, which should look like your Google directory, which creates this beautiful flow over. Now, that landing page is going to have graphics on it. It could have videos on it. Of course this is where we were going to have your call to generally we ask for name, email address, phone number, and maybe some other information that you want to gather. For example, you know, tell us how we can help you. You know, when would you like to be contacted? Speaker 3 (24:00): Those types of things are important on there as well. The beautiful part of filling out that ad for us is that it actually goes into a lead database. So from that lead database, we can actually nurture that lead for our customers, with eBooks, with personal letters. I love the nurture campaigns to be very personal. You know, let's get to know who the physical therapist are there. Let's get to know who the front desk staff is. So let's send out some really good tailored, personal messages, say, Hey, thanks for clicking on our ad. We'd love to help you. This is Megan she's at the front desk. She can help with that. This is Dr. Smith. He's going to be able to help with it really puts the face and the name together, which creates again that beautiful story and a lot of familiar nurse with the ad. Yeah. Okay. All right. Well, this is so much more robust than I had originally thought. This is great. Now let's talk about Facebook ads because with this, I would think, well, if your ideal, customer's not on Facebook, obviously you're not going to be running a Facebook ad. So how effective are these Facebook ads? Speaker 2 (25:12): And on that note, we'll take a quick break and be right back, be sure to sign up for net health next webinar, which will be Tuesday, April 13th at 2:00 PM, entitled rehab therapy, outpatient services, one Oh one. How to expand into the home or assisted living facility. Their guest panelists will be Ellen Strunk, owner of rehab resources and consulting head over to net health.com/glitzy to sign up as a bonus. When you sign up for the webinar type Lindsay in the comment section or the registration show up with a webinar and net health, we'll buy lunch for your office. Once again, that's net health.com forward slash L I T Z Y Speaker 3 (25:54): Facebook ads can be really effective. You know, where we win with Facebook ads is target marketing. So with our ads that we're running they're actually going to be slow creep ads. So they're not kind of those, those strange ads over on the right that nobody hardly ever looks at. These are actually in the feed. So as you're looking at Sonia's wedding photo and Katie's baby picture, you're actually going to see the ad. Now, when we talk target marketing for Facebook, we're really talking about who you want to attract as your patient. So if you're looking to grow your 30 to 45 year old demographics within a certain zip code with Facebook, we can really, really target out who sees that ad to make sure that we're achieving your key goals are to grow the market within that targeted area. Speaker 4 (26:49): So yeah, you can really get like drill down to really your ideal patients. Speaker 3 (26:59): Absolutely, absolutely. You know, the good part about running Facebook ads is it's fairly inexpensive. I will say the rate, the return on Facebook ads, isn't near what it would be running Google ads. Big only because you've got to think with Google, we have 200,000 people searching for physical therapy near me with Facebook. We've taken that and we've really targeted down to kind of a small pocket of people that are going to be looking for that ad. Again, the Facebook ad is going to be like the Google ad. It's going to be beautiful pictures. It's going to be a nice call to action. It's going to be something that's going to engage them and want them to click on that ad to fill out that call to action form. Speaker 4 (27:41): Got it. And what are some big no-nos if you have big no-nos for, for Google ads or big no-nos for Facebook ads? Speaker 3 (27:51): You know, I think some of the big no-nos are over promising and under delivering on your ad. You know, when we talk about these ads, we really want to make sure that they don't go stale. So that's another big no-no that people don't really understand. So, and when we talk about an ad going stale, we actually talking about keeping some of those higher dollar keywords that aren't really searchable right now and taking them out if people really aren't looking for them, because as you pointed out in the example, if you've got a $58 per click and you've got 30 people or three people clicking on it, it's a stale keyword. It's still taking a lot of money from your ad dollars. So we really got, I think that's the biggest no-no here. And a lot of that is just us making sure that we're doing that for the customer. Speaker 4 (28:43): And what about Facebook ads? Any big no-nos there? Speaker 3 (28:47): You know, I think with Facebook ads, again, you just want to keep them simple. I think in this philosophy of life kiss, keep it simple. You know, with Facebook ads, a lot of our customers really want to get involved, almost tell a complete story in that Facebook ad. And you really, really want to use that ad as if I'm looking at this for two to three seconds, what am I going to get out of it? So I think a lot of people over-complicate their Facebook ads. And of course you lose your audience at that point, they should be able to in literally two seconds, scroll your ad, see your good call to action, who you are, what you're trying to accomplish and send that right over again, all of the aesthetics for either Google or Facebook should match your website. It should match your landing page. It should be that beautiful story that just carries over. Speaker 4 (29:38): Got it, got it. Well, this has been very, very informative and super helpful. Is there anything that we missed, anything that was on your list of, of talking points that we, Speaker 3 (29:53): I don't think so. You know, I think some of the things too, when people are looking at ads that I just wanted to mention here, because this is the biggest oversight I think is when we talk about running those Google ads, we talk about, of course, how much your cost per click is, how many conversions you're going to have a big number that people really overlook is what we call the impression. And the impression is people who actually went to your ad, but never filled out the ad form. And I think a lot of customers and, and, and practices overlook this number, but it's super important because this is part of your paid ads. That's pushing your brand. I've seen where I've been able to give for example, 10 leads, 10 plus leads to a particular practice, but they had 32,000 impressions. So if you could imagine 32,000 impressions of just looking at your ad or just looking at that Google directory that displays your ad, that's a huge number. So I think that's the biggest thing I just kind of wanted to touch on. When we look at running these ads, let's look at the impressions as well, because again, that's promoting your brand, Speaker 4 (31:07): Right? And like the way I look at it, and this may be completely wrong. Now that you said those well, 32,000 people looked at it, but only 10 people clicked. So do I have to change something? Is something not landing correctly? How do you, how do you interpret that? Speaker 3 (31:25): So we definitely want to, we, that's a great observation. So we definitely want to look generally their extra call to action. Was your call to action, not engaging enough. Was it not? I guess salesy that's, you know, I hate that word, but was it, was it not catchy enough that people were like, wait a minute, this is actually something that I want to look into. Speaker 4 (31:50): Got it. Okay. That makes sense. That makes sense. Cause I would think, Oh, why am I running these Google ads? Speaker 3 (31:56): Yeah. And of course we don't want to give up. Right, right. Yet the good thing is of course of the people that click on that ad, we then get to look at what that return on investment is. So of course, in physical therapy, you know, we look at, if we add five patients with 10 visits per patient, you've definitely reaped what you've paid for your ad service plus. So we definitely look at what that conversion rate is for you as well. Speaker 4 (32:27): What is this ad bringing back to us? So again, you're looking at how much you spent on the ad, how many people came in for initial eval and how many of those followed with their plan of care, whatever that plan of care may be. If it's, if you average six visits per patient, you know how much each visit costs, you can multiply that by however many patients you got from the ad. And if it made you profit great. If it didn't, I think you have to do some rejiggering there. Speaker 3 (33:00): Yep. Yep. We definitely need to either run a different campaign. We need to look at what, I guess why the wheel didn't spin properly here. One of the beautiful things of net health is that we tie certain KPIs. And if, if anyone isn't familiar key performance indicators to our ad module. So for example, Karen, if I told you, I'm going to bring you 10 patients every month and I don't meet that criteria for you, you're actually able to stop running ads with us. So we really put our feet to the fire to make sure that we're doing the right job. We're also doing what we said we were going to do in making sure that you're getting that return on investment for what you're giving us. Cause it's expensive, you know, act, I mean, add packages right now started a thousand dollars. So it's a lot of money. That's a lot of money. Are you getting that back? Speaker 4 (33:53): Absolutely. And that makes perfect sense. And now before we wrap things up, I have another question in a second, but I want people to find out where they can get more information on what you do, how they can get on board. So what is your call to action? Speaker 3 (34:12): Sure. So we're offering for anyone that's interested what we call that free business scan. So I'm going to go in for the practice. I'm going to run that free business scan. That's going to look at all of those search directories that we talked about earlier. I'm also going to look at, in that business scan, it shows how that practice compares to their competition. When we talk about reviews. So I'm offering a free business scan for anyone that is interested. I'd love to dive into that. Of course after that, I would definitely email that over. I would also love to offer a free forecasting call for any practices interested in running ads. Let's look at it, let's see if it even makes sense for you to run ads. I have to tell you, last month we walked away from three different practices where it just didn't make sense for us to run ads. So want to make sure that it's a good fit for both of us, Speaker 4 (35:03): Right? Well, that is awesome. And where can people get all of this? How can they yeah. Speaker 3 (35:09): Www.Net health.com and click on the digital marketing page. Perfect. Speaker 4 (35:16): Perfect. Well, that's great. I mean, yeah. Sign me up free. I would love that. So now last question is something that I ask everyone and knowing where you are now in your life and in your career, what advice would you give to your younger self? Speaker 3 (35:34): Oh, you know, Karen, that's such a good Speaker 4 (35:38): Question. I think it would just be slow down. Enjoy the martinis, enjoy the dog. Walks spend more time with your mom and dad. It's just literally just stopped going. And fifth years shifted down to second and learn how to live on cruise control for just a little while and be calm. Lovely advice. Thank you so, so much for coming on and talking to us about SEO and ads and for all of you PT entrepreneurs out there, head over to www.net health.com. Click on the marketing, digital marketing, digital marketing tab and get this free business scan free forecasting calling me. And that's huge for people to see, Hey, should I be, should I be running ads? Or if you are running ads, EEGs, are they working? Yikes. Well, Daniel, thank you so much. This was great. I really appreciate it. Thank you and everyone. Thanks so much for listening. Have a great week and stay healthy, wealthy and smart. Speaker 2 (36:43): Thanks to Daniel. And of course, things to net health for sponsoring today's episode again tomorrow, Tuesday, April 13th, 2:00 PM. Eastern standard time. Sign up for rehab therapy, outpatient services one Oh one. How to expand into home or assisted living facility with Ellen Strunk. And in order to do that head over to net health.com/lindsey to sign up type in Lindsay in the comment section net health, we'll buy lunch for your office once again. That's net health.com forward slash L I T Z Y. Sign up now. Speaker 1 (37:16): 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.    

Episode Summary In this episode physical therapist, biomechanist, and researcher,Dr. Amy Arundale talks about how to decrease the risk of ACL injury.  Amelia (Amy) Arundale, PT, PhD, DPT, SCS is a physical therapist and researcher.  Amy is transitioning to a new role as a physical therapist at Red Bull’s Athlete Performance Center in Thalgua, Austria. Today, Amy tells us about injury-prevention programs, communicating with different stakeholders, and helping empower athletes through education. We also get to hear about her recent publication on Basketball, Sports medicine, and rehabilitation. How does motor-learning, creative thinking, and problem-solving relate to ACL injuries? Amy tells us about implementation and compliance with injury-prevention programs, internal versus external cues as they relate to injury prevention, and the gaps in the research, all on today’s episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “We’ve got great information. We know these programs can work, but for them to work, you have to do them.” “You may be a physio, and you may have this injury-prevention knowledge, but you don’t have to be there for this to happen. It’s just as effective for you to run this program as it is for a coach or a parent to run it.” “It’s exciting to see where this next generation is going to be because I think we’re going to have some athletes that are more empowered to know more about their body.” “We need to be better at reporting our biases, looking at our subject populations, and funding and encouraging studies outside of ‘the global North.’” Giving yourself the space and kindness to recognise that you don’t know everything and make it a point to learn more is good therapy.   More about Amy:  Amelia (Amy) Arundale, PT, PhD, DPT, SCS is a physical therapist and researcher. Originally from Fairbanks, Alaska, she received her Bachelor’s Degree with honors from Haverford College. Gaining both soccer playing and coaching experience throughout college, she spent a year as the William Penn Fellow and Head of Women’s Football (soccer) at the Chigwell School, in London. Amy completed her DPT at Duke University and throughout gained experience working at multiple soccer clubs in the US and Norway. Amy applied this experience working at Balance Physical Therapy providing physical therapy for the Capitol Area Soccer Club (now North Carolina F.C. Youth) and the U23 Carolina Railhawks. In 2013, Amy moved to Newark, Delaware to pursue a PhD under Dr. Lynn Snyder-Mackler. Amy’s dissertation examined primary and secondary ACL injury prevention as well as career length and return to performance in soccer players. After a short post-doc in Linköping, Sweden in 2017, Amy joined the Brooklyn Nets as a physical therapist and biomechanist as well as The Icahn School of Medicine at Mount Sinai Health System as a visiting scientist. Currently, Amy is transitioning to a new role as a physical therapist at Red Bull’s Athlete Performance Center in Thalgua, Austria. Outside of work, Amy plays Australian Rules Football for both the New York Magpies and US National Team.  Amy has also been involved in the APTA and AASPT, including serving as Director of the APTA’s Student Assembly, a member of the APTA’s Leadership Development Committee, chair of the AASPT’s Membership Committee, and currently as a member of the AASPT Diversity and Inclusion Committee.   Suggested Keywords ACL, Injuries, Recovery, Injury-Prevention, Learning, Sports, Physiotherapy, Research, PT, Rehabilitation, Health, Therapy,   Recommended reading https://bjsm.bmj.com/content/54/21/1245     To learn more, follow Amy at: Instagram:       @squeakyedgar LinkedIn:         Amelia (Amy) Arudale Twitter:            @soccerPT11   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:    Speaker 1 (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. Speaker 2 (00:38): Hey everybody. Welcome back to the podcast. I am your host. Karen Lindsay, and today's episode is brought to you by net health net health therapy for private practices, a cloud-based all in one EMR solution for managing your practice. That's right. One piece of software that handles all of your scheduling documentation, billing and reporting needs. Plus a lot more in one super easy to use package. Right now, Neta health is offering a special deal for healthy, wealthy, and smart listeners. Complete a demo with the net health team and get $100 towards lunch for your staff. Visit net health.com/ [inaudible] to get started and get access to free resources for PTs like eBooks on demand, webinars, and business tools. Once again, that's net health.com/l I T Z Y my last name very, very easy now onto today's episode. So what we're doing with the podcast this month, and really every month going forward is we're going to have several guests that are all going to talk about one topic in various forums. Speaker 2 (01:40): This month, our topic is ACL injury and rehabilitation. And my first guest is not only an incredible physical therapist, a great researcher, but also a great friend of mine. That is Dr. Amelia, Aaron Dale, or Amy Arundale. So Amy is a physical therapist and researcher originally from Fairbanks, Alaska. She received her bachelor's degree with honors, from Haverford college, gaining both soccer, playing and coaching experience throughout college. She spent a year as the William Penn fellow and head of women's football at the Chigwell school in London. Amy completed her DPT at Duke university and throughout gained experience working at multiple soccer clubs in the U S and Norway. Amy applied this experience working at balanced physical therapy, providing physical therapy for the capital area soccer club. Now North Carolina FC youth, and the U 23 Carolina rail Hawks. In 2013, Amy moved to Newark Delaware to pursue a PhD under Dr. Speaker 2 (02:40): Lynn Snyder, Mackler Amy's dissertation examined primary and secondary ACL injury prevention, as well as career link and returned to performance in soccer players. After a short postdoc in Linkoping Sweden in 2017, Amy joined the Brooklyn nets as a physical therapist, the biomechanics as, as the Icahn school of medicine at Mount Sinai health system, as a visiting scientist, currently, Amy is transitioning to a new role as a physical therapist at red bull's athletic performance center in Austria, outside of work, Amy plays Australian rules football for both the New York magpies and us national team. She has also been involved in the AP TA in the AA S P T, which is the American Academy of sports physical therapy, including serving as director of AP TA student assembly, a member of the AP TA's leadership development committee, chair of the AASP membership committee, and currently as a member of the AASP T diversity and inclusion committee. Speaker 2 (03:37): So what do we talk about today? All about ACL's right. So we talk about injury prevention and risk mitigation programs, how they work, what the pros and cons are how collaboration is so necessary amongst all stakeholders and why exciting new research that includes motor learning principles, creative thinking, and problem solving, and are there gaps in the literature and what can we, as clinicians and as researchers do about those gaps in the research. Now, the other thing Amy has so generously done for our listeners is she is going to give away one copy of basketball, sports medicine in science. This is a book that she was involved in as an editor, and it is over 1000 pages. The book is massive, it's huge. And she's going to give a copy away to one lucky listener. So how do you win that copy? All you have to do is go to my Instagram page. My handle is at Karen Lindsey, and you will find out how to win a copy of basketball, sports, medicine, and science. Again, that's go to my Instagram page at Karen Lindsey, and we will give this book away to one lucky listener at the end of the month of February. So you have the whole month to sign up for this. So a huge thanks to Amy and everyone enjoyed today's episode. Speaker 3 (05:04): Hey, everybody, welcome back to the podcast. So this month we're going to be examining ACL injuries and ACL rehab. And my first guest this month to help take us through the ACL Mays is Dr. Amy Arundale. So Amy, welcome to the podcast. Thank you so much. We're starting up at the beginning of the year with the A's with it. I didn't even think about that. Yes. But then next month we go right to running and just skip everything else in between. That's fine. Excellent. So Amy, before we get into sort of the meat of the episode, what I would love for you to do is tell the listeners a little bit more about some of your more current research projects, things like that. So I will hand it over to you. Sure. So I'm just finishing Speaker 4 (05:58): Up as a physical therapist and biomechanics at the Brooklyn nets. So I've been working clinically with them and then doing a little bit of kind of in-house research as well. And then on the side have been working on a few different projects. The biggest one right now is starting the revisions for the knee and ACL injury prevention me Andrew prevention, clinical practice guidelines. So those were originally published in [inaudible] in 2018 and clinical practice guidelines get revised every three years. So 2021 we're due for we're due for a revision. So that's my, the biggest project I've got going right now. And a few other things working with the United States Australian rules, football league on some injury surveillance and injury prevention, particularly on the women's side. And I'm getting ready to move to Austria to begin working for red bull and I, which I'm really excited about that. Speaker 3 (07:04): Amazing, amazing. They all sound really like really great projects. And since you brought up injury prevention, let's dive into that first. So there are a lot of injury prevention programs. So can you talk a little bit about those programs in general, and then talk about really, what is what's really key for injury prevention in our athletes when it comes to those programs? Speaker 4 (07:34): Absolutely. So there's a range of different programs that have all been published on and some of them are probably a little better known than others. The FIFA 11 plus, or what's now known as just the 11 plus maybe the, one of the most notable it actually came out of a program that was called the pep program. So the 11 plus was kind of aimed at soccer players, although it has been tested in other athletes and it's considered, it's kind of a dynamic warmup. So it has some dynamic stretching and some running, some strengthening, neuromuscular control, some balance exercises within it. And most of the programs that we see that have been researched are similar kind of dynamic warmups and include a variety of different things that help athletes kind of get warmed up. So some of the other ones that have been published on include the control or knee control program coming out of Sweden at the microburst and the ACL prevention in Norwegian handball has had some great success and great literature. Speaker 4 (08:47): There's the harmony program and then the sports metrics programs a little bit different. It's actually a program that was designed to be kind of a in and of itself. So it's a three times a week, 90 minute per program, primarily plyometric based. So it's a little bit different from the other programs, but has also been successful. So we've got a number of these programs that we've seen to reduce knee and ACL injuries in particular. And most of them actually have been quite successful at reducing just injuries as a whole. But the key components that we see in particular being important for ACL and knee injuries are that these programs have a strength component. So they're building strength, particularly in the hips, the quads, the hamstrings, but also in the core. So it kind of proximal in like terms of like hip and core strengthening, being important plyometric component seems to be important. To some extent a balance component may be important, although that's kind of questionable as to like how important that is. And that's one of the things that we still need more literature on is how do these components interact and influence each other? Because we seem to know what we think is important, but how much and how those different components interact. We still don't know as much about. Speaker 3 (10:25): And when we're talking about these programs, I would imagine some of the most difficult aspects of them, especially if we're looking at a younger population. So your high school, even collegiate athletes is doing them. Yup. So can you talk a little bit about implementation and compliance with these programs and how to instill that into these players and teams? Speaker 4 (10:57): Yeah, I think, you know, we've got, like you said, we've got great information. We know these programs can work, but for them to work, you have to do them. And that implementation piece, you know, whether that be in clinical research you know, we talk about that gap between research and clinical practice. We really see that here in ACL injury prevention. And part of that also is it's not just physios in implementing where we've got a whole range of stakeholders, whether those be the athletes themselves, to coaches who are often running training sessions to parents who really have to kind of be bought in to teams and clubs as a whole. Because if you have a culture that kind of instills the importance of doing a prevention program, then it's going to kind of, it may benefit in kind of trickling down. And that's also a wider culture as well. Speaker 4 (11:58): Social media scene pro teams do it. There's all sorts of layers to this. But what I think implementation really takes is identifying with that athlete or that team what's what are barriers what's important? What do we feel is, is most important? What's not as an important, and then coming up together kind of, kind of with a collaborative strategy to overcome what are those barriers? So we know information and knowledge kind of that buy-in is important. Why the why, why are we doing this in the first place? But then there's also some of the actual practical pieces of your athlete might not want to do an exercise lying down in the grass because that grass might be wet. They're going to be wet for the rest of their training session, wet and cold for the rest of their training session. So I think it has to be a really collaborative effort. Speaker 4 (12:59): And each in each situation that solution may look a little bit different. We've got some really kind of interesting information coming out. For example, the 11 plus has now a couple of studies on breaking it apart. So taking some of the pieces, for example, taking the strengthening pieces and putting them at the end of training sessions. So coaches often complained that, you know, these injury prevention programs take too long and when you've only got the field for an hour, they don't want to give up 20 minutes of their training session to do this program. So now let's take, maybe we can take this strength piece out. I means, all right. So maybe it's 10 minutes warming up at the beginning. That's probably a little easier for a coach to swallow. Then as we're cooling down, maybe we're off the pitch where we get everybody together, we finished those strengthening components. So we're still getting the entire prevention program done with that training session, but it's split up. And so thinking creatively like that are some of the ways that I think we can do a lot better in our implementation, rather than just saying, do this, here you go. Why aren't and then coming back and saying, well, why aren't you doing it? Speaker 3 (14:18): Right, right. Oh, that's, that is really interesting that and what is, does the research show that splitting it up is still as effective? Speaker 4 (14:28): Yeah. From what we know thus far, it does seem to be as effective. I think there's some other projects that are starting to look at, can you actually do that strengthening piece at home now there's other pieces that, you know, compliance at home, remembering doing those exercises the right way that could come into play there. But as of right now, what it seems like splitting it up does seem, seem to be splitting it up. At least within a training session does seem to be as effective. Speaker 3 (14:58): Excellent. And so aside from time and constraints on like you said, wet grass, things like that, what are some other common barriers that you have seen or that the research has shown to be a barrier to doing any of these? The above mentioned prevention programs. Speaker 4 (15:21): Yeah. I think coaching education is a really big one. So whether there's a few studies in Germany that we're just looking at a coach's awareness of the 11 plus and for a program that's kind of sponsored by FIFA, you know, it's promoted as kind of this soccer warmup, you would think that coaches would be kind of aware of it. And it's, it's very quite, it's actually quite surprising how few coaches are, are aware of it. Part of that is it's not in their coaching education. So at least in soccer, as coaches move up, what kind of within the ranks and, and in higher level teams, they've got a complete licenses, just like you have to complete a license to be a physio and complete continuing education in soccer coaches do to getting that program into that coaching education, I think is a really important piece. Speaker 4 (16:18): But then there's also the piece of helping them understand, again, coming back to that, why, you know, yeah, you want your players to be available. You don't want your players injured. And that's not just a, an immediate fact, but helping them understand the long-term implications, especially of something like an ACL injury, this is not an injury. That's just going to mean you don't have this athlete for a year. This is something that's going to affect how they play long-term it's gonna affect their knee long-term it could affect their career. So this has long-term implications. Buy-In also can come from kind of some of the performance effects, the stronger, faster, more talented athlete that's that there are some of those performance effects coming potentially from performing some of these injury prevention programs or injury prevention or injury risk medic mitigation programs that can help buy in. Speaker 4 (17:22): And then if we just look at Google would cut straight to the chase, is coaches want to win oftentimes and money. If you've got more players available, we know more players available equals a more successful team. And even Holly silver is actually in some of her dissertation work looked straight at the more you do the 11 plus the more successful the NCAA division one men's team was. So there's, there's she, she actually was able to draw a connection between doing the FIFA 11 plus and winning that those are the types of things that oftentimes coaches will latch onto and say, yeah, I want to win. Or clubs will say, yeah, we want to win. We want to do that thing that makes us that, that next level that makes us better at the higher levels that keeps us earning money. Speaker 3 (18:18): Okay. Exactly. So from, from what it sounds like is to get these programs implemented is you need a lot of collaboration from everyone, from all the stakeholders, whether it be the coaches, the trainers, the physios, the players, the owners, when we're talking about big league teams and, and with our younger, our younger subset of athletes, parents, coaches, and the kids themselves. And, and I guess communicating the value of these programs depends on who you're talking to, which is why, if you're the physio communicating the program, you really have to have a different set of communication bullet points, if you will, if you will, for each person on the, within that team, because you're going to talk differently to a parent than you are to an owner of a team, or you're going to talk differently to a coach than the player or the parents. So really knowing how to, how to talk to those stakeholders is key. And I think everything you just said will kind of help people understand how to have those different conversations with different people. Speaker 4 (19:26): Yeah. And I think there's all the other piece that some of those conversations is really empowering them. So there's the education piece and helping them understand, but there's also the empowerment piece that you may be a physio and you may have this injury prevention knowledge, but you don't have to be there for this to happen. It's just as effective for you to run this program as it is for a coach or a parent to run it. And we have, there's some good data on that that coaches can run really effective injury prevention programs. And so helping them kind of take on that role and say, yeah, no, I, I feel confident in taking my players through this. I feel confident in knowing why we're doing this there. I think that's the second piece too, is that it kind of empowerment piece, and maybe it's a player, maybe it's a captain that, that needs that education or that kind of empowerment as well. Speaker 4 (20:31): I think the generation of players that's growing up now is going to be very different from the generation of players say that you and I played played with we didn't understand or really have much of this. Whereas I think there's some really, there's some kids growing up now who are growing up with some amazing knowledge. And I think also coming with it, hopefully some better strength, some more and more neuromuscular control than maybe we had coming through puberty as well. So I think it's exciting to kind of see where this next generation is going to be, because I think we're going to have some athletes that are just like that more empowered to know more about their body. Maybe have a little bit more control maybe even coming with also potentially better talent who knows, who knows? Yeah. TBD to be determined. So you mentioned a little bit about motor learning. So let's dive into that a little bit because there is new research that includes motor learning, problem solving creative thinking. So what exactly does that mean in relationship to ACL injury? Speaker 2 (21:51): No, we're going to take a quick break to hear from our sponsor and we will be right back net health therapy for private practice as a cloud-based all in one EMR solution for managing your practice. That's right. One piece of software that handles all of your scheduling documentation, billing and reporting needs. Plus lots more and one super easy to use package right now, net health is offering a special deal for healthy, wealthy, and smart listeners completed demo with the net health team and get a hundred dollars towards lunch for your staff visit net health.com/lindsey to get started and get access to free resources for PTs like eBooks on demand, webinars, and business tools. Once again, that's net health.com/l I T Z Y. Speaker 4 (22:38): Yeah. So I think it's a really exciting area. And I think we're really just kind of tipping a little bit of the iceberg. People are starting to pay attention to some of the work that's coming out. And I think it's, it is really exciting and in the kind of prevention realm what we're seeing is people kind of pointing out that the programs that we have, we know we kind of have some principles of motor learning, but the programs in injury prevention that we have haven't really paid much attention to them. So at a very basic level one of the things that has been talked about from a motor learning perspective for a while now is internal versus external cues. So we know that giving an external cube, giving an output outcome focused, Q2 and athlete is going to help them keep that motion kind of more automatic. They're not going to be thinking about like, I need my hip in line with my knee in line with my toe and foot, my knee. Can't go too far over my shoe laces. I need to sit down. Speaker 3 (23:50): That's a lot to think about. Yeah. You can't Speaker 4 (23:52): Play a sport while you're thinking about all those things. Yeah, Speaker 3 (23:55): Yeah, no, no. Speaker 4 (23:58): So when that, if that cue is external or is outcome-based suddenly that athlete's much, much more, much better able to pay attention to the soccer ball that's flying past them or getting ready to, to bat. Speaker 3 (24:13): And can you let's if you wouldn't mind, just so people have a better idea of what an internal versus an external cue is. Can you give an example of, let's say a situation we'll use soccer as the example and give an internal cue and then give an external cue so that people can differentiate. Speaker 4 (24:34): Yeah. Yeah. So maybe, maybe we'll do say we're doing like a single leg squat, similar to what I, what I just said. So an internal cue might be, I want you to keep your hip, your knee and your foot all in one straight line that external cue might be giving them a we'll say a pole that's lined up in front of them and you might not even tell them what they're, what what's going on. Maybe you've got a pole in front of a mirror, so that's poles running vertically and they're, they're they're we, we just set them up so that their foot's in front of that pole and they're doing that single leg squat. So now you've got a visual line in front of them. You're paying their, their attention is going to be on that visual line. As they're doing that single leg squat, suddenly you see that they see that like, if their hips pretty far adducted or their knees collapsing in, you've got a line you can say, focus on that line. I'm going to focus on that line. Got it. That one, it isn't their body. Other cues, maybe like giving analogies I want you to think of your body as a column or that's, that's not a brilliant one. But you know, things like that. So analogies are helpful for external cues. They're also we'll get in, I'll get into that in a, in a sec, cause they're actually another, Speaker 3 (26:10): Go get into it, get into it. Speaker 4 (26:12): So analogies also bring in another piece of motor learning, which is called implicit learning. Again, kind of having that internal picture of what emotion should like should look or what that motion should feel like is implicit learning. So you've got external and internal, external internal cues, but you've also then got kind of implicit learning. So a great example of implicit learning is when you ask, you know, a really athlete to explain what they do on the court or on the pitch. And a lot of times they can't put words to what they do. And that's, that's kind of a good example of maybe implicit learning is they've got, there's no rules set to that learning. There is no order. It's just, I've got this internal knowledge, internal picture internal kind of motor memory of what, what that is. And I just execute that. Speaker 4 (27:11): I don't think about it. And so with those, all of my attention can stay to the game. I'm not thinking about how I'm moving. I'm just, just, just kind of to the game. So pulling those back to prevention are kind of injury prevention programs have said, here's a video or here's a picture. This is good. This is bad. Or they've given kind of implicit our internal cues. So those internal cues are those, keep your knee, your hip and your foot all in one straight line where we may benefit and where we might be able to bolster. Some of those programs is by adding some of these, these motor learning pieces at the very basic level, adding external cues, maybe adding some analogies or some implicit learning. Another, another way you can facilitate implicit learning is through dual tasking. One of my favorite things reading through some of the literature is in studying implicit learning. A few authors have taken novice novice golfers, and these novice golfers have, have to go and put, and while they're putting they basically yellow letters. Speaker 4 (28:35): So you literally just be out there like trying to learn to put you, you don't. I know how to put, you may not even get any directions, but you're just out there kind of yelling some letters, because if you have to generate letters, you can't be entirely focused on that pudding. So there's that aspect actually, of having two tasks going on at once. That means not all your attention can be on one of those tasks. How does that help? How does that help the movement? Yeah, so, so that's a very good question. What it means is, as you're learning, it it's like harder, but yeah, once you get to that kind of point where you're comfortable, you're able to execute that movement. It's an automatic movement, it's unconscious, it's automatic. And when we put that in the context of sport, that means that movement is happening without the athlete thinking about it and their attention remains, remains elsewhere. Their attention can remain on the game, that's going on the ball, that's flying at them. You know, that random thing that just flew by them that wasn't the ball and wasn't part of the game, but could be that perturbation, that in another situation could be distracting enough and could lead to an injury situation. Potentially. Speaker 3 (29:58): Got it, got it. Yeah. Like I, and you and I have had this conversation before, because I have a young athlete and we're doing, trying to do incorporate some of this stuff. So one of the things we're doing is I'm having her do some unpredictability drills with clock yourself, but we're trying to do them in Spanish. So she has to say things in Spanish as she's doing them. So that she's a little do. So she's accomplishing this kind of dual tasking. And, and I will also say it's fun. It's fun for the patients, fun for the therapist. And they kind of understand while they're why they're doing those things. And then every once in a while, just like throw a ball at her and see what happens. Speaker 4 (30:42): And you put this in the context then of some of those injury prevention programs and coach buy-in. So let's put Bali's in with single leg squats, but, but you know, squats and you jump into a header. There's already a little bit of some of that in some of the programs, but the more we can get that ball, some of those technical skills involved mix them potentially in with some of the movements that we're working on, maybe that might help with some of these, this kind of adding in some of this motor learning piece. Now I say all of this, none of this has been tested yet to change any of these programs we're really doing or to kind of, we need to go back and test them. And so, you know, this is where I say this, but it is kind of hypothetical, but in thinking about it, as well as we're kind of trying to overcome some of those barriers, that 10 minutes, that we're not, maybe we're at 10 to 15 minutes where we're trying to convince a coach to do something. Speaker 4 (31:49): Coaches are going to buy in a lot more. If there's a, if they can build some skills into that or they can see the sport reflected in it, rather than it just being kind of this abstract quote unquote injury prevention program. So can we get some of this dual tasking, can we get some of this kind of real world kind of environment type demands and challenges integrated in with some of those pieces that we're trying to build from a neuromuscular standpoint, can we mix them all together and end up with a maybe potentially more beneficial outcome? Speaker 3 (32:26): Yeah. And, you know, as you're saying all of this, it's kind of opening my mind up into these programs as being these living, breathing programs that aren't set in stone and that have the ability to change and morph over time as research continues to evolve. And I think that's really exciting for these programs as well, because you don't want to have these programs be thought of as stale because then that's going to not help with your buy-in. Speaker 4 (32:55): Yep. Yeah. And that's one of the complaints that you sometimes see about some of these programs is all right, so my team's done him for a season. They've all mastered, you know, all my players have mastered this program. They're bored of it now. And the likelihood that every single one of your players has mastered every single one of those exercises is that we'll put that into question, but we'll put that one on the side, but yeah, if you're doing the exact same program, the exact same exercise, every single training session for multiple years, yeah. Your players are going to get bored of it. And so are these, some of the opportunities where we kind of help with that buy in where we make it a little bit more creative, where we help kind of with some of those implementation pieces to make it more interesting to make it more long-term and to, to really help with people wanting to do them. Speaker 3 (33:50): I think it's great. And now we're, we've spoken a little bit about research here and there. So let's talk about any gaps in the research. So, I mean, are there gaps in the research? I feel like, of course, but are these gaps something that can't be overcome? Speaker 4 (34:09): No. All of the gaps that at least dive I'm aware of, and I'm sure there are more I just finished writing a paper alongside Holly and grant the Mark. So Holly silvers and, and Gretta microburst for the journal of orthopedic research. And, and one of the things that we did was kind of go through the literature and identify some of the gaps. Speaker 3 (34:35): What were, what were they, you don't have to say all of them, just give a couple of a couple of the big ones, Speaker 4 (34:42): But one of the big ones is a lot of our literature is focused on women, which is important, but in total numbers, we still have more ACL's happening in men. So we need more research in men. A lot of our research is in soccer and handball. There's a lot of other high-risk sports at there. So there were focused kind of on team sports but there is some pretty high risk team sports, something like net ball play ball volleyball have very high ACL injury numbers, individual sports things like gymnastics and wrestling. And those are also Tufts sports to come back to they're very high impact or they're very MBA. They've got some crazy positions that you don't see. So individual sports, I think have quite lacked outside of skiing. Skiing's got a lot of attention. One of the biggest ones that I think for me is really important is we don't have good reporting of the subjects and the diversity within the research that we've done. Speaker 4 (35:51): So most of the, the research that's been done has been done in the U S some in Canada and in Scandinavia, or at least in Europe as a whole, there's been a few studies that have been in in Africa. But we even within the studies that we have in the us and Europe and Australia, we don't, none of them have reported any of the, like really the, the, the race or ethnicity of the athletes who were part of them. So those may have implications and Tracy Blake did a amazing BJSM blog that was kind of a call to action for researchers. And it's one that I'd love to echo here that we need to be better at reporting our biases looking at our, our subject populations and funding and encouraging studies outside of kind of we'll call it quote, unquote, the global North. I think that's, that's a big gap that we need to fill and we need to be more aware of. Speaker 3 (37:01): Excellent. And on that note, we are going to wrap things up, but what I would like you to do is number one, is there anything that we didn't cover or anything more that you want to add to any of the subjects we covered? Speaker 4 (37:16): Ooh, I know you always ask this question and I always have never prepared for it. Speaker 3 (37:23): Well, you know, cause I don't want to like skirt over something and then the guests at the end is like, I really wanted to say this. And she just ended the interview. Speaker 4 (37:32): Think of it probably right before I go to bed. Probably. Speaker 3 (37:36): I can't think of anything right now. Okay. Speaker 4 (37:39): Excellent. Excellent. For any readers who haven't read Dr. Tracy Blake's BJSM post definitely go check it out. We'll put the link in. Speaker 3 (37:47): Yeah. Yeah. We'll put the link into the show notes here. So you can read her blog app over at BJSM and I agree. It was it was very well written and it was a really nice call to action and or call to awareness. Yes. Yeah, yeah. Right. Maybe not call to action, but certainly a call to awareness, which is step one in the sequence of actionable moves. Definitely. So yes, she's a gym. So now before we wrap things up I'll ask the same question to you that I asked to everyone and knowing where you are now in your life and in your career, what advice would you give to yourself as a new grad? Let's say like not new grad PhD grad, but new Speaker 4 (38:36): Duke grad, new, new grad coming out of Duke PT school. I'm trying to think of what I said the last time I was on. Speaker 3 (38:46): Well, don't say it again. No, I'm just kidding. Speaker 4 (38:48): Well, yeah, that's what I'm worried about saying the same thing again. I think what I said last time, but what is my like big thing is being more gentle on myself. When I came out of PT school, I started work. I was the first new hire new grad that they'd hired. And so I was working alongside some just phenomenal clinicians, but they had the least experience, one head, like 15 years of experience. And I came out of school, unexpected myself to kind of treat and operate on the, kind of the same experience level that they did. And I it's just not possible. So I've spent a lot of time kind of beating myself up. And so it takes a lot of reminding even now that like, I still have, you know, I've graduated in 2011. So I'm coming up on 11 years of experience and it's still not a lot in a lot of ways. So being gentle on myself that I don't have to come up with, you know, everything on the spot that I don't don't necessarily have the experience to know or have seen everything or every course or development. And so being okay with that and being gentle and allowing myself to be, to, to just be where I'm at is, is I think Speaker 3 (40:08): It's wonderful advice. And just think if you thought you did know everything, I mean, how boring number one and number two, you'd never move on for sure. Speaker 4 (40:18): Yeah. Yeah. Right. So Speaker 3 (40:20): You're stuck. You'd be pretty stuck. So giving yourself the space and the kindness to say, Hey, I don't know everything. So I'm going to make it a point to learn more is just good therapy. It's just being a good PT, being a good physio, you know, otherwise you're just stuck in 2011. I mean Speaker 4 (40:41): Gotcha. Yeah. 11 wasn't bad, but I'm glad I'm not stuck there. Speaker 3 (40:45): Yeah. I mean, what a bore, right. You'd be like so boring as a PT cause you would never advance. Speaker 4 (40:51): Yeah. So your ex Speaker 3 (40:54): Excellent advice. And now where can people find you on social media and elsewhere? Speaker 4 (40:59): So I am on Twitter at, at soccer, PT 11 I'm on Instagram at squeaky Edgar. I will note that's actually more personal but follow me anywhere cause you'll get some great, great adventures. And those are my primaries social media. Speaker 3 (41:20): Excellent. And before we hop off, can you talk quickly about basketball, sports, medicine Speaker 4 (41:26): Science? Oh yeah. I forgot to talk about that in my projects. Speaker 3 (41:30): Yeah. Let's talk about this quickly. Yes. So Speaker 4 (41:34): Was honored to be a part of an editorial group that just completed. I just got a book out. It's an ASCA public, a publication on basketball, sports medicine and rehabilitation. So it's a quite the book. But I say that because it is over over 1100 pages if I remember correctly. So it's, it's a, it's a, it's a chunk of a book. But we are, I've got an extra copy of it. So one of our allowed visitors really be getting a copy. Okay. Speaker 3 (42:15): Well Amy, thank you so much for coming on. I really appreciate your time. Speaker 4 (42:19): Thank you so much for having me. It's always fun. Speaker 3 (42:21): Everyone else. Thank you for listening. Have a great couple, have a great week and stay healthy, wealthy and smart. Speaker 2 (42:28): A big thank you to Dr. Amy Erindale for coming on the podcast today. And of course a big thank you to net health. Again, they have created net health for private, for net health therapy for private practice, which is a cloud-based all in one EMR solution for managing your practice. One piece of software that handles scheduling documentation, billing reporting needs. Plus a lot more. If you want to check it out, there's a special deal for healthy, wealthy and smart listeners. Complete a demo with the net health team and get a hundred dollars toward lunch for your staff. Visit net health.com/glitzy to get started again. That's net health.com/l I T Z. Speaker 3 (43:09): Why 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.  

Karen has had an amazing life of up and downs. How can you say a life of "up and downs" is an amazing one? Well it all depends on how you look at it, and Karen is a amazing at learning from these experiences and becoming a better person because of them.

It is time to do a series wrap of Gotham. Now that the season is over and we have had time to reflect on the season and the series as a whole, it is time for you, our Undercover Agents to share. We discuss characters, actors, and storylines. My Series Wrap Thoughts: So here are are my series wrap thoughts. I heard about this series and it was billed as a GCPD centered series. I thought it would be an interesting change of pace and view on things. I came to the series and the podcast and was ready to talk. Season 1 was strong with the other characters. I enjoyed season 1 however, Fish Mooney drew the series down for me. The creators made a role for Jada and it just didn't work. It may have brought viewers to the show having her on it but, for me it didn't work. I also hated Barbara. They didn't know what to do with her and she was annoying. But overall, I really dug it. When asked to become the co-host for season 2, I jumped at the chance. Season 2 of Gotham saw the show flourish. We saw the introduction of Jerome and the cult of the Joker, the Galavan's and so much more. The season hit on all cylinders. It was powerful and made me love the series. Season 3 saw more villains rise and our heroes having to stand firm in the face of the great opposition. We saw the Court of The Owls and our buddy Hugo Strange. Again it was another strong season. Season 4 was flat out amazing. Joker, Professor Pyg, Ra's al ghoul, and Stabby Babs were all fighting to rule the city. Bruce had to take major steps in his journey to be come Batman. Jim was stretched to the breaking point. We had Lee standing up for the the people of the Narrows and Ed/Riddler becoming her love. It was probably my favorite season. Season 5 was, for the most, part very good. I really felt the effects from the fact that they were given an initial episode count and then had it extended. They handled it well, but it was a bit uneven. I felt like the penultimate episode was really the season finale and the last episode was a look ahead. I felt both could have been 2 hours long to cover what needed to happen. Over all, I was happy with the season but, truly wish they had kept Camren as Selina for the last episode. While the show moved more to more of an evolution of Bruce into Batman, the core of the show was always Jim Gordon. He had to be Gotham's defender until Batman could take it all on. We saw a growth of Jim through the series as he went from a new detective fighting the darkness to a commissioner ready to use all of the tools around him to defend and protect the city. Bruce's growth was huge. The weight and calling on his life grew and he thankfully learned much from Alfred and Jim. He still has a way to go to be that fully formed Batman but, he is on his way. The whole cast of characters grew and evolved. I was quite happy with how they were written and acted. I personally like Donal's portrayal of Harvey best out off all of the portrayals of the character. BD Wong's Hugo was wonderful. But the stand outs in my mind are Camren, Robin, Cory and Cameron. These actors had small roles before Gotham but, they grew so much during the series, it was amazing. They inhabited their characters and really shined. I cannot wait to see what they do next. Your Series Wrap Thoughts: You really made this podcast with all of your thoughts through the years. I really wish we could have had series wrap thoughts from all of you. But we did have a great group of folks leave us feedback. It was wonderful to hear what you had to say! Closing Thoughts: I want to say thank you to GSM's co-founder Darrell Darnell for allowing this podcast on the network and for allowing me to be a part. Thank you to Tim Arthur and Ryan Boyles for getting this podcast started in Season 1. Thanks to Karen Lindsay and John McGrail for joining me on the ride ever since. We are grateful to be small part of the Gotham family and the GSM group of shows. But most of all we thank YOU our Undercover Agents for being a part of the community for 5 seasons. You have faithfully left feedback, commented on blog posts and tweets, and been very active in our Facebook group. We are so thankful for you! Some of you have been with the podcast since season 1 episode 1 and some of you found us in season 5. Regardless we are so grateful to have your voices in the community. Podcasting is about connecting people with a shared passion and giving us an out let to share our thoughts. We are so glad we have you! Cougar's Comic Corner: To get you prepared for Batwoman, here are links to volumes 1-6 of Batwoman (New 52). They are a great read and worth your time! Batwoman Vol. 1: Hydrology Batwoman Vol. 2: To Drown the World Batwoman Vol. 3: World's Finest Batwoman Vol. 4: This Blood is Thick Batwoman Vol. 5: Webs Batwoman Vol. 6: The Unknowns News: OK Undercover Agents, now that we have the series wrap complete I have some news for you. As you know, this season of the podcast has been different because our Scarlet Cougar, Karen, has had health issues that have kept her away. Unfortunately they are preventing her from podcasting for the near future. This breaks her heart, and ours! I love podcasting with Karen and it has been rough this season without her voice. I missed her extensive knowledge, in depth analysis, and her personality.  John has been my co-pilot and a great co-host this season. However, he needs to put his full focus on Maid of Steel. So I had to think about things. I have been talking about us covering Batwoman this Fall. I spent the Spring reading the first several volumes of the New 52 introduction of Batwoman. The storylines are powerful and she has some great villains. I think story-wise they will have great material to work with and awesome characters. I fully intend on watching the series to see what they do. I am a bit concerned about if the CW will push the politics and agendas that, to me, draw Supergirl down. I'm afraid it will be even more heavy pushed. That gives me pause. When I podcast on things, I want to be able to come to it with passion and positivity. I just don't know if I can do that for Batwoman. All that to say, Karen and I will not be covering Batwoman on Gotham Undercover. At this point, it is unclear if other hosts on the network will pick it up and cover the show. But stay tuned to the Facebook group. We will offer you a place to discuss Gotham, Batwoman and all things Batman related there. If someone decides to cover Batwoman on GSM you will hear it there first. I will be podcasting with my buddy Wayne on season 2 of Castle Rock on our Castle Rocks Zone here on GSM. Sound Off: What were your series wrap thought? We would love to know! Be sure to join our facebook group and get updates on upcoming shows! Head over to our feedback page where you can upload an audio file, submit written feedback, or record a voice message on Speak Pipe. As much fun as for the two of us to talk about Gotham, we want your voice to be heard. So please help us in leaving audio feedback. Have you checked out the other Golden Spiral Media podcasts? Head over to www.goldenspiralmedia.com/podcasts to find other great shows! Lend A Hand: Please leave us a review and a star rating on Apple Podcasts! They help us improve the show. We appreciate your support! If you’re in the market for Gotham or Batman books, videos or other merchandise, click on this link and you’ll help support GSM Podcasts. Looking For Other Great Shows?: GSM has a great selection of podcasts about TV, Movies, and life in general. Check them out here. Catch Karen on Maid of Steel and Remaking History,Geoff on the Castle Rock Zone, and John on Maid of Steel.

The Beginning saw us jump 10 years into Gotham's future. Jim is ready to quit, but no one has stepped up to take his place. But Bruce has put on the cowl and cape. Batman is ready to defend his city with the help of his friends. The Beginning of Penguin and Riddler: [caption id="attachment_36870" align="aligncenter" width="495"] ©2019 Fox Media LLC Cr: FOX[/caption] Penguin has been in Blackgate and Riddler in Arkham for 10 years. It turns out 6 months after reunification Jim busted them and they were put away. Riddler is broken out of Arkham and given a mission, by who he thinks is the Penguin. He is to kidnap Mayor James and blow then new Wayne Tower when Bruce shows up. Meanwhile Penguin is released and is looking dapper. He has one thing in mind, revenge on Jim. Penguin kidnaps Jim and has him drive to the docks. Penguin takes him to the exact spot where Jim was told to shoot him, but didn't. Oswald wants revenge and is going to go through with it. Jim tries to reason with him and in the process finds out he is not behind Ed's escape and the theft of explosives, but it won't work. Jim jumps off the dock and swims to safety. Riddler has Mayor James at the galla, but an observant Selina spots him and works with Babs to distract him. They knock him out and free the Mayor at the same moment Jim and the GCPD arrive. They find that the Gotham display model is rigged with explosives. Riddler escapes and meets up with Penguin, but their car is attacked by Batman and they are put in custody. They manage to escape and vow to start their plans to control the city. But seeing Batman on the rooftops they decide to wait until tomorrow. The Beginning of The Joker: [caption id="attachment_36879" align="aligncenter" width="800"] ©2019 Fox Media LLC Cr: FOX[/caption] Jeremiah has been in Arkham, but he was playing possum for some of that time. He had Ecco working behind the scenes for him. She comes into Arkham as a nurse and fills him in on the events not going to plan. It is time for him to take things into his own hands. He and Ecco head to the Sirens Club to get at Barbara. He knows all about her success, but he can use her. Ecco has her captive, but Barbara Lee (played wonderfully by Jeté Laurence) is a fighter just like her parents. She attack Jeremiah, but is no match for him. That distraction is enough for her mom to take out Ecco. Ecco is bleeding out. Jeremiah says she is his Ecco no more and kills her. He takes Barbara Lee and gives a wounded Barbara a message for Jim. Jim and backup arrive an Babs tells Jim to go where it started for Jeremiah. Jim promises to save Barbara Lee and heads to Ace Chemicals. There he finds Barbara Lee suspended over one of the chemical vats. Says he is in process, not Jeremiah but he cannot decide what to be called yet. He lets go of the rope and Jim dives to catch it. Jeremiah/Joker begins to stab him, but out of the shadows batarangs knock him away. A shadowy figure scares him off. Once again Jim is saved by Batman. The Beginning of The Bat Family: [caption id="attachment_36878" align="aligncenter" width="1024"] ©2019 Fox Media LLC Cr: FOX[/caption] Bruce left Gotham and learned the ways of the world. While he was gone Jim, Alfred, Barbara and our heroes had to step up to rebuild the city. Jim is ready to step down once Wayne Tower is open and Lee stands behind him. She says maybe if he steps down someone will step up. Jim and Harper investigate a gang location and find cartons of government explosives, but they are empty. The gang members are all dead. They are distracted by a shadow and they follow it. The shadowy figure says he is not his enemy but a friend. The figure says not to touch the bodies and then escapes out a window. Harper sees the bodies are all wired to explode. Batman has saved them. Selina (the 10 years later version played by Lili Simmons) has become somewhat of a socialite, but she is still having fun being a thief. She steals a big diamond and is interrupted by Batman. She goes to the Wayne Gala ad meets Alfred. From their interaction, it seems like they have seen each other over the 10 years, but it has been a while. She asks if Bruce is there. Alfred says he is late. She called out Bruce for leaving when the town and they needed them the most. Alfred agrees. She says she wants Bruce to stop following her and asks Alfred to do relay it. However Alfred calls her out saying she is dressed to the 9's and it seems like she needs to talk to him. At the end of the episode, she is in her full Catwoman gear and he is behind her. She begs him to speak. They have a heart to heart. Things are not resolved, but they know where each other stand. It nicely sets up the Bat Cat relationship that we see play out for years to come. Closing Thoughts: While I enjoyed this episode, I felt it was rushed a bit. I feel it would have been better served as a two hour finale so that each of our characters could have been fleshed out in the 10 years later. I feel "They Did What" served as a better finale for the series. This episode felt like some what of an appendix to the series. I did enjoy it and loved seeing Barbara's success, when we all predicted her death. I loved Barbara Lee and her dynamic with Jim. It was fun to see the very talented Cameron Monaghan play a third character that was not quite The Joker, but oh so close.It was a fun ride. We will get into some of this with our series wrap up ep (that we want your feedback for), but I wanted to share a few thoughts here. Wow it has be 5 seasons and we have seen all of heroes grow as well as the villains. When the series started it was touted as a series that centered around the GCPD and Jim Gordon. It did, and Jim had to fill the shoes of Batman who had not yet risen. The series did a masterful job of showing Jim's growth and his need for Batman. Many props to Ben McKenzie for stepping up and growing into the roll. Donal Logue is a great actor and he took a character that was rich and made him lovable and strong. I will think of Donal's portrayal from now on when I think of Harvey. David has grown so much in his acting as well as stature. He owes much to and I hope he appreciates the master class in acting he got from Sean Pertwee. I though Lili did a good job of playing an older version of Camren. But Camren deserves much praise for taking a reflection of Selina and making it real. I could go on and on about each member of the cast, writers and creative team. We were very fortunate to have them bring us a great tale over these 5 seasons. I want to say thank you to GSM's co-founder Darrell Darnell for allowing this podcast on the network and for allowing me to be a part. Thank you to Tim Arthur and Ryan Boyles for getting this podcast started in Season 1. Thanks to Karen Lindsay and John McGrail for joining me on the ride ever since. We are grateful to be small part of the Gotham family and the GSM group of shows. But most of all we thank YOU our Undercover Agents for being a part of the community for 5 seasons. You have faithfully left feedback, commented on blog posts and tweets, and been very active in our Facebook group. We are so thankful for you! News: TV Line has a great article summarizing the finale with a Q&A by show runner & writer of the finale John Stephens. You can find it here. Pennyworth: on Epix starts the end of July. The story of Alfred Pennyworth, a former special-forces officer living in London and working for Bruce Wayne's father. Metropolis: will be on the DC Universe streaming service later this year or 2020. The description is as follows: Metropolis will follow Lois Lane and Lex Luthor as they investigate the world of fringe science and expose the city's dark and bizarre secrets. Airing exclusively on DC's upcoming digital service, it promises to show us a wondrous and awe-inspiring City of Tomorrow, before the emergence of Superman, and establish much of the Man of Steel's world leading up to his arrival. It is sad not post a trailer or news about next season. However as you can see from The CW promo below, Batwoman is a go for next season Sunday nights at 8 right before Supergirl. If we can get things behind the scenes work out, Gotham Undercover will cover another one of Gotham's heroes. Stay tuned to the feed and the Facebook group for details. TVLine article about the show getting picked up can be found here. Sound Off: What did you think of “The Beginning..." What was your favorite moment from this episode? Be sure to join our facebook group and get updates on upcoming shows! Head over to our feedback page where you can upload an audio file, submit written feedback, or record a voice message on Speak Pipe. As much fun as for the two of us to talk about Gotham, we want your voice to be heard. So please help us in leaving audio feedback. Have you checked out the other Golden Spiral Media podcasts? Head over to www.goldenspiralmedia.com/podcasts to find other great shows! Lend A Hand: Please leave us a review and a star rating on Apple Podcasts! They help us improve the show. We appreciate your support! If you’re in the market for Gotham or Batman books, videos or other merchandise, click on this link and you’ll help support GSM Podcasts. Looking For Other Great Shows?: GSM has a great selection of podcasts about TV, Movies, and life in general. Check them out here. Catch Karen on Maid of Steel and Remaking History,Geoff on the Castle Rock Zone, and John on Maid of Steel.

In this episode, Charles Skaggs and Karen Lindsay discuss the season premieres of Netflix's Daredevil and The CW's Supergirl and Arrow, along with a new episode of The CW's Black Lightning! Find us here: Twitter: @FandomZoneCast, @Aleveria, @CharlesSkaggsInstagram: @FandomZonePodcastFacebook: facebook.com/Fandomzonepodcastemail: FandomZoneCast@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

Charles Skaggs, Jesse Jackson and Karen Lindsay discuss “Rosa", the third episode from Doctor Who Series 11, featuring Jodie Whittaker as the Thirteenth Doctor, Vinette Robinson as Rosa Parks, and Josh Bowman as Krasko! Find us here:Twitter: @NextStopSMG, @Aleveria, @CharlesSkaggs, @JesseJacksonDFW  Instagram: @nextstopeverywherepodcast Facebook: facebook.com/NextStopEverywherePodcast Email: nextstopeverywheresmg@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

Charles Skaggs & Jesse Jackson are joined by new partner in time Karen Lindsay to discuss “The Woman Who Fell to Earth", the first episode from Doctor Who Series 11, featuring the first adventure of Jodie Whittaker as the Thirteenth Doctor, Tosin Cole as Ryan Sinclair, Mandip Gill as Yasmin “Yaz” Khan, and Bradley Walsh as Graham O’Brien! Find us here:Twitter: @NextStopSMG @CharlesSkaggs @JesseJacksonDFW @Aleveria, Facebook: Facebook.com/NextStopEverywherePodcast Instagram: Instagram.com/nextstopeverywherepodcast/ Email: NextStopEverywhereSMG@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

Charles Skaggs & Xan Sprouse are joined by special guest Karen Lindsay from The Fandom Zone Podcast to review "Dual Spires", the 2010 Twin Peaks tribute episode of the USA series Psych, featuring Twin Peaks actors Sheryl Lee, Sherilyn Fenn, Ray Wise, Dana Ashbrook, Lenny Von Dohlen, Robin Lively, and Catherine Coulson! Find us here:Twitter: @GhostwoodCast @CharlesSkaggs @Udanax19 @Aleveria Facebook: Facebook.com/GhostwoodPodcast/ Email: GhostwoodPodcast@gmail.com  

In this 75th episode, Charles Skaggs & Jesse Jackson are joined by special guest companion Karen Lindsay from The Fandom Zone Podcast to discuss "The Androids of Tara", the fourth serial from the classic Doctor Who saga "The Key to Time" in 1978, starring Tom Baker as the Fourth Doctor, Mary Tamm as the First Romana, John Leeson as the voice of K-9, and Peter Jeffrey as Count Grendel! Find us here:Twitter: @NextStopSMG, @CharlesSkaggs, @JesseJacksonDFW @Aleveria Instagram: @nextstopeverywherepodcast Facebook: Facebook.com/Nextstopeverywherepodcast Email: NextStopEverywhereSMG@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

Charles Skaggs and special guest companion Karen Lindsay from The Fandom Zone Podcast discuss "The Robots of Death", the fifth serial from Doctor Who Season 14 in 1977, starring Tom Baker as the Fourth Doctor and Louise Jameson as Leela! Find us here: Twitter: @NextStopSMG @CharlesSkaggs @JesseJacksonDFW @Aleveria Instagram: Instagram.com/nextstopeverywherepodcast/ Facebook: Facebook.com/NextStopEverywherePodcast/ Email: NextStopEverywhereSMG@gmail.com Listen and subscribe to us on Apple Podcasts and leave us a review!  

In this 50th episode, Karen Lindsay and Charles Skaggs are joined by special guest Phil Perich to discuss the current comic book television landscape, including The Walking Dead, iZombie, Lucifer, Arrow, The Flash, Supergirl, Legends of Tomorrow, Gotham, Agents of S.H.I.E.L.D., Daredevil, Jessica Jones, Luke Cage, Iron Fist, and more! Find us here:Twitter: @FandomZoneCast @CharlesSkaggs @Aleveria @Nightwingpdp Facebook: Facebook.com/FandomZonePodcast Instagram: @FandomZonePodcast Email: FandomZoneCast@gmail.com  Listen and subscribe to us in Apple Podcasts and leave us a review!

Nightwing issue #4: The Judas ContractThe fourth episode of this special Before the Bat/World’s Finest series finds Phil Perich joined by longtime Teen Titans fans Charles Skaggs, Karen Lindsay, and Jesse Jackson to discuss the classic Titans storyline The Judas Contract & Nightwing in general.Show notes:Nightwing issue #4: The Judas ContractFollow us on Twitter:  https://twitter.com/beforethebatpod  https://twitter.com/worldsfinestpod Like us on Facebook:  https://www.facebook.com/Beforethebatpodcast/  https://www.facebook.com/worldsfinestpodcast/Follow Phil Perich on Twitter:https://twitter.com/nightwingpdp Follow Charles Skaggs on Twitter: https://twitter.com/CharlesSkaggsFollow Karen Lindsay on Twitter: https://twitter.com/AleveriaFollow Jesse Jackson on Twitter: https://twitter.com/JesseJacksonDFWProduced by:http://www.southgatemediagroup.comProduction Team: Phil Perich, Rob SouthgateTales-of-the-Teen-Titans-44-1984.jpg

Karen Lindsay & Charles Skaggs discuss the series premiere of Legends of Tomorrow, the Season 2 premiere of Agent Carter, and new episodes of Supergirl, The Flash, and Arrow!   Find us here:Twitter: @FandomZoneCast @CharlesSkaggs @Aleveria Facebook: Facebook.com/FandomZonePodcast Instagram: @FandomZonePodcast Email: FandomZoneCast@gmail.com  Listen and subscribe to us in Apple Podcasts and leave us a review!  

Celebrating the 50th episode of Next Stop Everywhere, Charles Skaggs & Jesse Jackson are joined by Karen Lindsay and Ken Schaefer to discuss "The Day of the Doctor", the Doctor Who 50th Anniversary Special starring Matt Smith as the Eleventh Doctor, Jenna Coleman as Clara Oswald, David Tennant as the Tenth Doctor, and John Hurt as the War Doctor! Find us here:Twitter: @NextStopSMG, @CharlesSkaggs, @JesseJacksonDFW @Aleveria Instagram: @nextstopeverywherepodcast Facebook: Facebook.com/NextStopEverywherePodcast  Email: NextStopeverywhereSMG@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

Joining me today were: Karen Lindsay, who can be found many places online. The list is located here. Geoff Gentry, who co-hosts Gotham Undercover and blogs at GeoffGentry.org. Mark Des Cotes, who podcasts at SoloTalkMedia.com and ResourcefulDesigner.com. Fred Firestine, who blogs at HomeFitnessGeek.com.   Pause for the News: [00:01:55] Major Crimes and The Librarians Renewed […]

In their final 2015 episode, Karen Lindsay & Charles Skaggs review the fifth and sixth episodes of the Netflix series Jessica Jones! Find us here:Twitter: @FandomZoneCast @CharlesSkaggs @Aleveria Facebook: Facebook.com/FandomZonePodcast Instagram: @FandomZonePodcast Email: FandomZoneCast@gmail.com  Listen and subscribe to us in Apple Podcasts and leave us a review!

Today's episode of Stuff I Learned Yesterday is guest hosted by the Scarlet Cougar herself, Karen Lindsay! You may know Karen from our Supergirl, Sleepy Hollow, or Gotham podcasts. Over the last several weeks we've been telling you a bit about the challenges Karen and her husband, Sean, have faced this year, and we've asked you to help lend them a hand. The response from many of you has given more than just financial help to the Lindsay's. In today's episode, Karen shares from her heart all that you have done to give her hope and restore her faith in humanity. Read More... The post 378- How Karen Got Her Groove Back appeared first on Golden Spiral Media- Entertainment Podcasts, Technology Podcasts & More.

Today's episode of Stuff I Learned Yesterday is guest hosted by the Scarlet Cougar herself, Karen Lindsay! You may know Karen from our Supergirl, Sleepy Hollow, or Gotham podcasts. Over the last several weeks we've been telling you a bit about the challenges Karen and her husband, Sean, have faced this year, and we've asked you to help lend them a hand. The response from many of you has given more than just financial help to the Lindsay's. In today's episode, Karen shares from her heart all that you have done to give her hope and restore her faith in humanity. Read More... The post SILY Episode 378- How Karen Got Her Groove Back appeared first on Golden Spiral Media- Entertainment Podcasts, Technology Podcasts & More.

Karen Lindsay and Charles Skaggs review the midseason finales of The Flash, Arrow, iZombie and Agents of S.H.I.E.L.D., the third episode of Jessica Jones, and a new episode of Supergirl! Find us here:Twitter: @FandomZoneCast @CharlesSkaggs @Aleveria Facebook: Facebook.com/FandomZonePodcast Instagram: @FandomZonePodcast Email: FandomZoneCast@gmail.com  Listen and subscribe to us in Apple Podcasts and leave us a review!

Karen Lindsay and Charles Skaggs review the week's episodes of The Flash, The Walking Dead, Gotham, Supergirl, iZombie, Agents of S.H.I.E.L.D., and Arrow! Find us here:Twitter: @FandomZoneCast @CharlesSkaggs @Aleveria Facebook: Facebook.com/FandomZonePodcast Instagram: @FandomZonePodcast Email: FandomZoneCast@gmail.com  Listen and subscribe to us in Apple Podcasts and leave us a review!

Joining me today is Karen Lindsay. Karen can be heard in many, many podcasts. You can find the complete list of where you can find her online on her About Me Page.   Pause for the News: [00:01:10] Blindspot Renewed Chicago Fire and Chicago P.D. Renewed American Horror Story Renewed Murder in the First Renewed […]

Karen Lindsay & Charles Skaggs review the Season 2 premiere of Gotham, the fourth episode of Fear The Walking Dead, and the series finale of Birds of Prey from 2002! Find us here:Twitter: @FandomZoneCast @CharlesSkaggs @Aleveria Facebook: Facebook.com/FandomZonePodcast Instagram: @FandomZonePodcast Email: FandomZoneCast@gmail.com  Listen and subscribe to us in Apple Podcasts and leave us a review!

This time, Charles and Jesse are joined by special guest companion Karen Lindsay, previewing the upcoming Series Nine starring Peter Capaldi and Jenna Coleman. Learn more, subscribe, or contact us atwww.southgatemediagroup.com.  We also have a tumblr now at southgatemediagroup.tumblr.com. You can write to us at southgatemediagroup@gmail.com and let us know what you think. Be sure to rate us and review the episode. It really helps other people find us. Thanks! @NextStopSMG  @CharlesSkaggs  @JesseJacksonDFW @Aleveria  

This week we continue the listener guest host extravaganza with Karen Lindsay. Karen has been an online friend for a few years and can be heard in many, many podcasts! You can find the complete list on her About Me page.   Pause for the News: [00:01:43] Nashville’s Eric Close Not a Regular Next Season […]

Ruthie Rink and Karen Lindsay step in for Addy and Trina while they're Beyond Beyond Storybrooke and discuss "Heart of Gold"! If you're in the market for [[[Once Upon a Time]]] books, DVDs or other merchandise, click on the link and you'll help support the Podcast. Read More... The post BS04 – S4E18 – Heart of Gold appeared first on Golden Spiral Media- Entertainment Podcasts, Technology Podcasts & More.

Ruthie Rink and Karen Lindsay step in for Addy and Trina while they're Beyond Beyond Storybrooke and discuss "Heart of Gold"! If you’re in the market for [[[Once Upon a Time]]] books, DVDs or other merchandise, click on the link and you’ll help support the Podcast. Read More... The post BS04 – S4E18 – Heart of Gold appeared first on Golden Spiral Media- Entertainment Podcasts, Technology Podcasts & More.

In this introductory Episode 000 of The Fandom Zone Podcast, Karen Lindsay and Charles Skaggs discuss their previous show Dangerous Habits: The Constantine Podcast, their plans for The Fandom Zone Podcast, comic books on TV, and tease their first episode, "Out of Time"! Find us here:Twitter: @FandomZoneCast @CharlesSkaggs @Aleveria Facebook: Facebook.com/FandomZonePodcast Instagram: @FandomZonePodcast Email: FandomZoneCast@gmail.com  Listen and subscribe to us in Apple Podcasts and leave us a review!

Jesse Jackson & Charles Skaggs are joined by special guest companion Karen Lindsay to discuss "Pyramids of Mars", the third serial from Doctor Who Season 13 in 1975, featuring Tom Baker as the Fourth Doctor, Elisabeth Sladen as Sarah Jane Smith, Gabriel Woolf as Sutekh, and Bernard Archard as Marcus Scarman! Find us here:Twitter: @NextStopSMG, @CharlesSkaggs, @JesseJacksonDFW, @AleveriaInstagram: @nextstopeverywherepodcast Facebook: Facebook.com/Nextstopeverywherepodcast Email: NextStopEverywhereSMG@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

Jesse Jackson & Charles Skaggs are joined by special guest companion Karen Lindsay for this special episode, recorded on November 23, 2014, the 51st anniversary of the premiere of Doctor Who.  They cover their favorite Doctors, what got them into Doctor Who, the return of Doctor Who in 1996 and 2005, Peter Capaldi's first season as the Twelfth Doctor, and more! Find us here:Twitter: @NextStopSMG, @CharlesSkaggs, @JesseJacksonDFW, @Aleveria Instagram: @nextstopeverywherepodcast Facebook: Facebook.com/Nextstopeverywherepodcast Email: NextStopEverywhereSMG@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

This week on The Devil You Know Tony is joined by Karen Lindsay as co-host, as Joe is currently AWOL. He was last seen entering the Hallway of Infinity in Jasper's Home For The Weird And Spooky, and we haven't heard from him yet. Too bad for him, because he missed a GREAT episode of "Constantine". Some of the tightest writing we've seen, some great performances, beautiful special effects, as well as the return of a fabulous character (Papa Midnite) and the introduction of ANOTHER fabulous character, Jim Corrigan (aka: The Spectre)! Read More... The post TDYK 05-The Devil You Know Episode 05-Danse Vaudou Review appeared first on Golden Spiral Media- Entertainment Podcasts, Technology Podcasts & More.

Charles Skaggs is joined by special guest companion Karen Lindsay to discuss "Into the Dalek", the second episode of Doctor Who Series 8 from 2014, starring Peter Capaldi as the Twelfth Doctor, Jenna Coleman as Clara Oswald, Zawe Ashton as Journey Blue, and introducing Samuel Anderson as Danny Pink! Find us here:Twitter: @NextStopSMG, @CharlesSkaggs, @AleveriaInstagram: @nextstopeverywherepodcast Facebook: Facebook.com/Nextstopeverywherepodcast Email: NextStopEverywhereSMG@gmail.com Listen and subscribe to us in Apple Podcasts and leave us a review!

This week I continue the summer guest host extravaganza with Karen Lindsay. She has been an online friend for about a year and we met through TV Talk. She hosts many podcasts including The Chester’s Mill Gazette on Golden Spiral Media and The Orphan Black Podcast on The DVM Podcast Empire. She also guest hosted on […]

Season 1 Roundtable In this special season 1 roundtable edition of The Under The Dome Podcast I team up with Karen Lindsay and Doug Payton of TVTalk’s Under The Dome Show and with Troy Heinritz and Wayne Henderson from Under The Dome Radio Podcast to talk about our thoughts, feelings, and speculations regarding CBS’s groundbreaking […]

Season 1 Roundtable In this special season 1 roundtable edition of The Under The Dome Podcast I team up with Karen Lindsay and Doug Payton of TVTalk’s Under The Dome Show and with Troy Heinritz and Wayne Henderson from Under The Dome Radio Podcast to talk about our thoughts, feelings, and speculations regarding CBS’s groundbreaking first season of their hit show Under The Dome. Keeping us in line is moderator Scott Hertzog from the Sci-Fi Diner Podcast. I'd like to thank all those who have subscribed to this podcast and encourage them to join the discussion by sending in their feedback by calling 805-910-7656 or by e-mailing me at feedback@solotalkmedia.com. Where to reach the roundtable panel members: Moderator Scott Hertzog from SciFi Diner Podcast Web: scifidinerpodcast.com Twitter: @scifidiner Karen Lindsay from TVTalk Under The Dome Web: tvtalk.com Twitter: @Aleveria Doug Payton from TVTalk Under The Dome Web: “Consider This!” Podcasting Twitter: @dougpayton or @ctpodcasting Troy Heinritz from Under The Dome Radio Podcast Web: underthedomeradio.com Twitter: @Troyheinritz Wayne Henderson from Under The Dome Radio Podcast Web: MediaVoiceOvers.com Twitter: @tiwwh

With your hosts Han Lilja of Lilja's Library and Lou Sytsma. Welcome to Episode 22 of The Stephen King Podcast!   Just in time for the upcoming release of Doctor Sleep!! We set up Stephen King's sequel - 36 years in the making - with this dedicated podcast to The Shining. Get yourself ready for Doctor Sleep as we discuss the book, movie and TV miniseries versions of The Shining. (Obviously any Shining discussion will be very spoilerish.) For this podcast we bring in some special guests including King expert - writer Bev Vincent and podcaster/reviewer/blogger - Karen Lindsay.    We hope you will all enjoy this episode and as usual we want to hear from you. Good or bad, we want it all! You can leave us comments, questions, topic suggestions at: 1) FaceBook - Lilja's Library 2) Audio Message - Speak Pipe widget on the right hand of the podcast page (send voicemail) In this podcast:1) 00:58 - Lilja and Lou Intro. 2) 03:28 - The Shining SetUp - Where Stephen King Was In 1977 3) 05:51 - The Shining - The Book 5) 10:10 - The Shining - The Kubrick Movie 6) 22:22- The Shining - The ABC TV Miniseries 7) 38:59 - Doctor Sleep - Set Up the book - Nonspecific discussion but spoilerphobes  may want to skip this last section. 8) 52:22 - Signoff Intro Music - Don't Fear The Reaper - Blue Oyster Cult Outro Music - Stand By Me - Ben E. King   iTunes - The Stephen King Podcast.   RSS Feed - RSS.   Support The Show - Thank You! 

Frea, Jan, Lou, & Maximus get together after each Fringe episode in this temporarily constructed shared reality known as a podcast to discuss the Fifth & Final Season of Fringe.It is time.Time for our final FBI Preseason Podcast for Season 5.  The final season of Fringe.Joining us are special guests:Karen Lindsay from the FarScape - Scaper Chronicles & Castle - Storming The Castle PodcastJanis Keating from the FarScape - Scaper Chronicles & Castle - Storming The Castle PodcastDarrell Darnell from The Fringe Podcast'We Are Here'Intro Music: Intro - 'Lunatic Fringe' - Tom CochraneExit Music: 'Azrael The World Turns - Chris Tilton Agenda is after the break. Agenda:IntrosQuick Thoughts From EveryoneFringe and what has meant to youRoundtable - open discussion in which everyone participates Overall thoughts about the Series.Fav/least Season Arcs (Mythos / Flavor / Tone / Atmosphere)Fav/least characterFav/least episode(s)Show strengths/weaknessesFringe’s legacy - will there be one and what will it beWish list of things would like to see in Season 5?Last Thoughts - bring up thoughts not touched uponWrap-upONTO Season 5!!!!! Yay and tears!Leave us feedback here or on Twitter:Frea - @Frea_OJan - @happydayz3Lou - @olddarthMaximus - @mxpw999Jan's Fringe Recaps can be found at NiceGirlsTVFBI Inc Podcast graphics designed by Frea_O