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13 episodes with Litzy
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2 episodes with Litzy
2 episodes with Litzy
2 episodes with Litzy
En este programa les tenemos preparados temas muy interesantes ¡No se lo pierdan! Pontón nos recuerda que este 17 de mayo celebramos el Día del Internet, una fecha para reflexionar sobre su impacto en nuestras vidas. Tam y Luz Ma nos cuentan sobre esas cosas que hacían por encajar y que hoy... ¡les dan risa o pena! Mercedes López, autora de “Brujas, reinas y zorras”, nos invita a reflexionar sobre el poder de las mujeres autónomas. La Dra. Julie Salomón, ginecóloga, nos guía en el mundo de la anticoncepción personalizada. Irene Moreno nos habla del deseo sexual en la era digital. Florencia Cuenca, actriz y cantante mexicana, nos comparte su experiencia como protagonista del musical “Real Women Have Curves” en Broadway. Litzy, Daniela Castro, Danka Castro y Plutarco Haza nos acompañan para hablarnos de “Cautiva por amor”, la nueva telenovela que promete emociones intensas. Esto y más aquí en Tamara con Luz.See omnystudio.com/listener for privacy information.
¿Don #AnteroUgalde MINTIÓ sobre acusaciones contra #AnaBárbara? Su hija lo DESMIENTE, #IrinaBaeva REVELA que DESCUBRIÓ INFIDELIDADES de #GabrielSoto, #CruzMartínez CELEBRA el cumpleaños de #Melenie hija de #AliciaVillarreal tras su separación. Esto y más en el programa completo #DePrimeraMano.See omnystudio.com/listener for privacy information.
En #EntreMujeres, #Litzy revela a #ÉrikaGonzález lo que fue pertenecer a un grupo musical tan exitoso como #Jeans y ser expuesta desde corta edad a la opinión pública.See omnystudio.com/listener for privacy information.
En esta primera entrega de #EntreMujeres con #ÉrikaGonzález, #Litzy revela cómo marcó su vida la etapa que vivió dentro de #Jeans. Desde cómo entró al grupo hasta su controversial salida ¿Fue por culpa de Paty?See omnystudio.com/listener for privacy information.
Noche de desconecte y descontrol con Platanito, Litzy y Poncho Cadena
Noche de desconecte y descontrol con Platanito, Litzy y Poncho Cadena
¡EXCLUSIVA! #René de #Kabah y #Litzy se DESPIDEN junto al #90sPopTour de la #ArenaCDMXSee omnystudio.com/listener for privacy information.
Paulina Goto nos cuenta de su próximo concierto. Stivi De Tivi nos trae mucho chisme. Andrea Vargas yy Adelaida Harrison nos cuentan qué le frustra y qué aportar en una relación. Nuria Diosdado nos comparte su historia. Litzy nos cuenta todos los detalles del 90´s Pop Tour Juan Carlos nos comparte cómo crear un espacio agradable. See omnystudio.com/listener for privacy information.
La talentosa actriz y cantante Litzy nos cuentan todos los detalles del 90’s Pop Tour 8 años de nostalgia y música que marcaron una generación. Arena CDMX – 21 de marzo: una celebración IMPERDIBLE. Conéctate en Tamara con Luz en MVS, de lunes a viernes, de 10:00 AM a 01:00 PM por MVS 102.5 FM.See omnystudio.com/listener for privacy information.
La historia que te contaremos esta noche es sobre una MUJER TALENTOSA, que se tuvo que enfrentar a situaciones MUY COMPLICADAS, burlas y por si fuera poco, enfermedades que estuvieron a punto de terminar con todo en su vida.
¡Litzy REACCIONA a los rumores de INFIDELIDAD por su novio! See omnystudio.com/listener for privacy information.
Litzy and Emanuel sit down with Jesse Holtsnider, Lahja Wise and Chelsea Tossing from The Cottonwood Institute, to learn about their Award Winning CAP program. Jesse and Lahja share how CAP fosters a "third space" in which they feel a sense of belonging and empowers them to make a change on the issues that they find most important.Find more about the Cottonwood Institute at www.cottonwoodinstitute.orgGeneration Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record.Follow us on the socials at @COyoungleaders and @youthonrecord.This episode was engineered by Xavier Gauthier and David LadonProduced by Ryan Conarro, David Ladon and Lauren Steavpack Recorded at Youth on RecordTheme song "New Day" was produced by Qi.
Brace yourself for the most controversial podcast out there! Video Virgins. We fearlessly tackle hot-button issues and give your our unfiltered, no holds bared discussions with just a pinch of salt. We are here to entertain and not be taken seriously. Join us on our journey through Pop Culture as we bring music videos back! Since they are no longer on tv... With Season 4, we are going back to FULL LENGTH episodes with segments such as "Do You Remember?" where we take a trip down nostalgia lane and talk about something from the past. This week: Carnival rides "TikTalk / Be For Reel" where we watch and react to some of the weeks hot TikToks and Reels. "They Did Not Just Say That!" where we dive into some of the most out of pocket lyrics in music. Got a video for us to react to? Comment down below! FOLLOW us @johneforedawn @joeistherealest and @Lavquin.com !!! Go to feat. Video Virgins | lavquin.com to find ALL of our links THERE! BUY US A DRINKIE HERE: https://ko-fi.com/videovirgins This episode's music videos are: God Is A Woman by Litzy Lopez, Whoops by Meghan Trainor, My Jesus by Woah Vicky, Hold It Against Me by Atarin18, Girls At The Bar by Lydia Sutherland ft. Ali Walker, Out Of Oklahoma by Lainey Wilson, NPO by 42 Dugg ft. Sexyy Red, Dickin Her Down by Starze Rakkz, Whiskey For The Wine by Lil Man J. First Litzy is trying to get out the hood. Then Meghan Trainor got implants. Then Woah Vicky has George Washington curls. Then all of these army guys in this Atarin18 video fucked eachother. Then Lydia and Ali are trying to be Tigerlily. Then Lainey with her colonizer corn. Then this 42 Dugg and Sexyy Red video is a you smelt it you dealt it type of video. The Starze Rakkz has his mom in his video. Lastly Lil Man J is edging his cup. Don't forget to Like and leave a review! Subscribe to our YOUTUBE - VIDEO VIRGINS and follow our Instagram @VIDEOVIRGINSPOD and our personal instagrams @JOEISTHEREALEST and @JOHNBEFOREDAWN and find us on Lavquin.com https://youtu.be/K5Rdw8Cyz8E?si=21VkkKsJ7aQRKCfo https://youtu.be/CMmjokvZmAA?si=DQBInMRcWj4QV_he https://youtu.be/zeVOIYH1X-c?si=vl20EyLI5fQcBwx3 https://youtu.be/rCrG6TzG-nw?si=0Vud-8r3CwHzlPh7 https://youtu.be/d2Zgm1T7ZOw?si=Ve9cOCO4Vwu4SoWQ https://youtu.be/1TsZH__etDA?si=qnSSbGb5MANBRMu1 https://youtu.be/HLbOWjEfxQ8?si=SFIZVvi6Bo_TYxDH https://youtu.be/P_3X7s3yo2Y?si=wFtGRV3LyW0NdJCB https://youtu.be/ZbmphTYDeTA?si=RkaN-U9VneDfapvT This Podcast is for entertainment purposes ONLY. Not to be taken seriously as we give you our unfiltered discussions. All music used and reviewed in todays episode BELONG TO ORIGINAL ARTISTS & COMPOSERS. We do NOT own any rights to the songs played nor videos reviewed. LINKS provided to said videos above. ALL RIGHTS BELONG TO ORIGINAL ARTISTS/COMPOSERS. We are an entertainment only podcast. Sponsorships: on for this episode Hey beautiful, you dont NEED makeup, but if you WANT some, head on over to revolutionbeauty.com and use discount code johnny-rl for $10 off your order!
PODCAST MARTES 04 DE JUNIO 2024 Suscríbanse al canal ➡️ https://www.youtube.com/hildaisasalas Síguenos en Instagram ➡️ https://www.instagram.com/lavandodenoche Síguenos en Twitter ➡️ https://twitter.com/lavandodenoche Escucha nuestro Podcast en Spotify ➡️ https://open.spotify.com/show/5qZvo25texwnKRqq0WaDWD © 2024 Lavando de Noche Derechos Reservados © 2024 Copyright Lavando de Noche Producción: @markogh #HildaIsaSalas #LilianaLópezGarcía #GilHuerta #ComandanteMaganda #YouTube #Facebook #FamososEnVivo #ChismeEnVivo #EspectáculosEnVivo #LavandoDeNoche #LDN #EspectáculosEnVivo #LavandoDeNoche #LDN #YouTube #Facebook #FamososEnVivo #ChismeEnVivo #EspectáculosEnVivo #LavandoDeNoche #LDN #EspectáculosEnVivo #LavandoDeNoche #LDN #LaNaciónDelChisme --- Send in a voice message: https://podcasters.spotify.com/pod/show/lavando-de-noche/message Support this podcast: https://podcasters.spotify.com/pod/show/lavando-de-noche/support
In this episode, Litzy and Emanuel chat with Kevin Lwango and Andrew Rodriguez, of Denver Human Services' Youth Empowerment Program. This program touches on how the COVID-19 pandemic and racial protests in 2020 have exacerbated challenges for youth and their families in Denver, and meeting youth where they are. This episode discusses how to provide preventative services and programs for youth. YEP can be a hub for connecting youth to empowering resources. Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record.Follow us on the socials at @COyoungleaders and @youthonrecord.This episode was engineered by Xavier Gauthier and Ryan ConarroProduced by Ryan Conarro, David Ladon, Flora Block and Lauren Steavpack Recorded at Youth on RecordTheme song "New Day" was produced by Qi.
Miércoles de #SiUnaVezDijeQueTeAmaba, Minuteto de Mundo Pixar, Una insólita llegada dede España y la visita de "Litzy" nos animaron a arrancar el día con la mejor actitud. Además un ya parateano se confesó con nosotros y nos contó como fue que le dijeron que "NO TE AMO" escucha la historia completa aquí.
In this episode, Litzy and Emanuel discuss workforce development, the cost of a 4-year university education, and the skills gap with Anderson, Jesse, and Danika with SkillsUSA. SkillsUSA empowers students to become skilled professionals, career-ready leaders and responsible community members. Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record. Follow us on the socials at @COyoungleaders and @youthonrecord. This episode was engineered by Xavier Gauthier and Ryan ConarroProduced by Ryan Conarro, David Ladon, and Lauren Steavpack Recorded at Youth on RecordTheme song "New Day" was produced by Qi.
In this episode, Litzy and Emanuel provide the space to discuss youth suicide - Colorado's leading cause of death for youth and young adults - with Voz y Corazon, a suicide prevention program of WellPower Denver. This episode welcomes Michelle Tijerina, Community Coordinator who leads Voz y Corazon, and Sonia Casillas, a youth participant in the program. Voz y Corazón focuses on empowering youth voices and hearts through art and connectedness. It is a free community-based support group for youth, focused on self-acceptance, group connection and mentorship - all supported through artistic expression.Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record. Follow us on the socials at @COyoungleaders and @youthonrecord. If you are having suicidal thoughts, please call the National Suicide Prevention Hotline at 9-8-8. This episode was engineered by Xavier Gauthier and Ryan ConarroProduced by Ryan Conarro, David Ladon, Lauren Steavpack and Flora Block Recorded at Youth on RecordTheme song "New Day" was produced by Qi.
In this episode, Litzy and Emanuel sit down with Generation Collaboration producers, Lauren Steavpack of Colorado Young Leaders and David Ladon of Youth on Record. This episode gives you a behind-the-scenes look at the people power behind the podcast, and how the ethos of the podcast is rooted in...well, generational collaboration. Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record, with support from CiviCO.Follow us on the socials at @COyoungleaders and @youthonrecordThis episode was engineered by Xavier Gauthier and Ryan ConarroProduced by Ryan Conarro, David Ladon and Lauren SteavpackRecorded at Youth on RecordTheme song "New Day" was produced by Qi.
In this episode, Litzy and Emanuel are joined by Aaron Smith from Make a Chess Move, to explore how the game of chess is more than a board game. This episode touches on the school-to-prison pipeline, whole person development, and how the game of chess provides a safe place for youth to understand their role in a just society. Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record, with support from CiviCO.Follow us on the socials at @COyoungleaders and @youthonrecordThis episode was engineered by Xavier Gauthier and Ryan ConarroProduced by Ryan Conarro and Lauren SteavpackRecorded at Youth on RecordTheme song "New Day" was produced by Qi.
In this episode, Litzy and Emanuel are joined by Ananas and Jayara from Colorado Youth Congress, to unpack how youth are leading the charge in changing systems across Colorado. This episode touches on the unique systems we are part of, the priority of mental wellness, and the importance of self-reflection in leadership. Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record, with support from CiviCO.Follow us on the socials at @COyoungleaders and @youthonrecordThis episode was engineered by Xavier Gauthier and Ryan ConarroProduced by Ryan Conarro, and Lauren SteavpackRecorded at Youth on RecordTheme song "New Day" was produced by Qi.
In this episode, Litzy and Emanuel are joined by Karen and Elisabeth from Convivir Colorado, to showcase their work around youth empowerment and changing the narrative about the immigrant experience in Denver. This episode touches on the importance of authentic mentorship, the power of storytelling, and empowering youth to be true to who they are. Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record, with support from CiviCO.Follow us on the socials at @COyoungleaders and @youthonrecordThis episode was engineered by Xavier Gauthier and Ryan ConarroProduced by David Ladon, Ryan Conarro, Flora Block, and Lauren SteavpackRecorded at Youth on RecordTheme song "New Day" was produced by Qi.
La actriz estrena la serie Pacto de Silencio, en Netflix, junto a Marimar Vega, Litzy, Chantal Andere, Kika Édgar y Camila ValeroSee omnystudio.com/listener for privacy information.
Litzy and Emanuel introduce themselves and season 2 of Generation Collaboration, a youth initiative podcast focusing on a range of social and cultural themes through an intergenerational lens to enhance the power of youth leadership.Generation Collaboration is produced in partnership with Colorado Young Leaders and Youth on Record, with support from CiviCo.This Trailer was engineered by Xavier Gauthier and Ryan ConarroProduced by Ryan Conarro and Lauren SteavpackRecorded at Youth on RecordRecorded at Youth on RecordTheme song "New Day" was produced by Qi. You can find additional music by Qi on all streaming services under the name Blvck QiFollow us on the socials at @coyoungleaders and @youthonrecord
En este episodio Litzy de @missfinanzas nos cuenta de como fue para ella haber crecido en una familiar con violencia intrafamiliar y como fue para ella ver como su mamá salió de allí y salió adelante junto con ellos. Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode Litzy Adilene Ochoa, a boxer from Vera Cruz Mexico joins the show. Combate Fighter Carlos Puente translates for me. --- Send in a voice message: https://podcasters.spotify.com/pod/show/toddatkinsshow/message
En este episodio platicamos con Litzy de sobre como manejar nuestros ingresos y gastos, desde que salimos de la universidad, entramos en pareja, nos casamos, hacemos familia, y con nuestros hijos. Learn more about your ad choices. Visit megaphone.fm/adchoices
Edgar Estrada nos cuenta todo sobre el mundo del entretenimiento; espectáculos, cultura, cine, televisión, teatro y muchas recomendaciones a tu alcance. ¡Estamos "Del Tingo al Tango"!Una producción original de Audio Centro
#Litzy compartió cómo ha sido tener que aprender a vivir con la ausencia de su padre.
Se llevó a cabo el evento #WomanOfTheYear, en donde desfilaron algunas de las mujeres más talentosas de México como: #XimenaSariñana, #AislinnDerbez, #AnaClaudiaTalancón (quien así reaccionó luego de la polémica que enfrentó por presuntamente estar pasa de copas) y #Litzy, quien así reaccionó al saber que #CarlosRivera estuvo enamorado de ella en su adolescencia.
In this episode, Creator of Practiceology, Paul Wright, talks about 7 critical mistakes that healthcare professionals can make that can hurt their bottom line and their business in general. Today, Paul talks about Perfectionist Syndrome, the implications of discretion, and doing your own PnL. What is the true role of your business? Hear about the danger of falling in love with your product, packaging an outcome-driven solution, and maintaining effective recruitment and internal systems, all on today's episode of The Healthy, Wealthy & Smart Podcast. Key Takeaways “If it's [your business] robbing you of your life, it's not what it's there for.” “Find the hungry market and satisfy that need.” “If you're not embarrassed by the first launch of your product, you've launched too late.” “To the blind man, the one-eyed man is king.” “If you haven't upset someone by midday every day, you haven't said anything really important.” “One of the single biggest and most effective things you can do in your practice is to tighten up the reporter findings conversation.” “Remove discretion at the operating level of your business.” “Once you are the only person that has that program, you can't be compared on price.” “You can't put a monetary value on family time.” “There's no such thing as quality time with your family. Family time is quantity time.” More about Paul Wright Paul Wright is a Physiotherapist and former owner of multiple allied health clinics in Australia (which he rarely visited). He is the author of the Amazon Best Seller "How to Run a One Minute Practice", founder of the Practiceology™ health business freedom program, and has helped thousands of allied health business owners across 57 countries, earn more, work less, and enjoy their lives. Suggested Keywords Healthy, Wealthy, Smart, Physiotherapy, PT, Business, Practiceology, Supply, Demand, Mistakes, Solutions, Healthcare, Entrepreneurship, Resources: Get a hard copy of "How to Run a One Minute Practice" ($4.95AUD. Use promo codes below) Promo Codes: Non-Australian Buyers: KARENOS (Get $15 OFF) Australian Buyers: KARENAUST (Get $5 OFF) Register for the next Practiceology demonstration To learn more, follow Paul at: Website: PhysioProfessor.com HealthBusinessProfits.com OneMinutePractice.com LinkedIn: Paul Wright 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: 00:02 Hey Paul, welcome to the podcast. I'm happy to have you on. 00:06 Absolute pleasure to be here. What a boss. 00:09 I know it's so we're doing a little podcast swap here which I love. I love being able to swap podcasts with other hosts where you come on mine I come on yours and we get to know each other better. So it's been really great leading up to these podcasts. And today, you are going to talk about seven critical mistakes that healthcare practitioners can make. That can really hurt their bottom line and their business in general. But before we get to that, can you tell us your story of your career and how you ended up where you are so the listeners get a better idea of who you are? 00:52 Well, I'm I was born for a young Karen. Now I'm from from a small country town. I'm obviously Australian by my accent. I live in beautiful Newcastle but an hour north of Sydney. But I grew up in a small town about seven hours northwest of Sydney in the middle of the outback. They talk about Australia next so I'm in the outback. And what does what does a young kid do as in a small country town he Bhikkhu like sport, he becomes a physical education teacher. Because that was all I thought you could do as as a kid. I love sport. So I went to Newcastle University studied my physio, field education qualification, and then didn't even know what a physio was, but I met a physiotherapist at a party. And I liked anatomy I liked physiology. I thought, gee, that sounds cool. I don't think I could be a teacher for a long time I had an entrepreneurial streak I think so I didn't know I could work for someone else for my rest of my life. So I'll get into this physio course went to Sydney Uni did my physiotherapy degree and within two years after graduating I had started my first practice I then ended up with six of them in Sydney, one in Newcastle and five in Sydney. And I think my claim to fame Karen is I as I went through this journey I didn't go to them I was fortunate that I stumbled across the E myth by Michael Gerber very early in my business career and and I'm trading at my window counter in my practice and and looking out on the road that goes past in Sydney and there's a bus keeps going past one on the side of the bus why most small businesses fail and what to do with that is on the side of the bus and I'm getting there watching the sun come up in the morning watching the sun go down like most most help business owners and this bus kept going past and I'm getting better now I wasn't good there but I'm better now that the universe was telling me something followed up with this with this he ended up getting it to a Michael Gerber seminar read the book EMF and then I created then systematize the practice and as I said eventually had six didn't go to any of them and I then sold them which is a lesson for all of you guys the major role of a business is eventually to sell it and then started teaching other health business owners how I did it how I was able to run the remotely and how how you can still be a great health professional and have a successful business and still have a great quality of life which I think most of us miss out 03:19 yeah that's a great point talking about quality of life and I think that we'll probably get into that throughout this interview so without yeah without further ado, why don't you share with us these seven critical mistakes that can reduce your profits increase your stress and really not allow you to live your life outside of your business. So let's start with number one. 03:47 Well the first one having said I've done all of these by the way so you have earned the right to 03:52 I can't I kind of I kind of assumed that so I've done 03:57 I've done all of them but the smart people learn from other people's mistakes so hopefully you'll listen to what's happening now. That Mistake number one that I identified early is failing to understand carrying the true role of your business and if you think about what what does what does your business do for you and if it's robbing you of your life it's not what it's there for the role of your business is to serve you it's your certain needs to give you more life yet when you ask most health business owners why they started this I I wanted to be my own boss or I wanted to make my own decisions or the guy was working for before was an idiot. Whatever they like to say but is this really happening now and as Gerber talked about when I first read it you're now doing the hands on work of the practitioner plus you're also doing the business stuff the marketing the recruitment in any wonder we get overwhelmed so early. And and that's why Gerber talks about it's true. I was probably better off opening a plumbing business because I couldn't do it. plumbing work I was better off opening a business that I couldn't physically do then I could list run the business and that's the whole idea of this. My brother who's a plumber would be staggered because I'm hopeless with power tools and I he's banned me from using any sort of manual labor things but the idea of the businesses to serve you and one thing I suggest you look at guys, his his work out what I call your freedom score. And your freedom score is simply how many hours per week on average? Do you spend treating patients at your practice? How many hours per week do you spend physically treating patients and if you're telling me that we've done this in seminars, 50 6070 I've heard I've had one guy doing it five hours. And they're still trying to run the business, you just, you just can't do that. So and we talk about this thing between practice ology, right is law, which is, which is as your number of team members increases, your freedom score must decrease, you can't keep adding team members to your roster, because they time suck, they have to take energy out of you, and still see all the patients, there's going to be this balance. And that was how I was able to run it. But when that being said, you have the choice of how you run your business. Now my model was to replace myself, get therapists in do the work for me. So I had freedom of time and freedom of money. But some of our clients have a Mr. X. Mr. X is the guy that runs healthcare practice, but he runs it on his own terms or her own terms. Doesn't work, school holidays, start at nine finishes at two sets his own hours or her own hours charges, what they feel it. And guys I'm thinking about that don't even have sometimes receptionist though, sometimes if the surfs up, they don't turn up at the practice, they just gave surfing. But the patients know that's the deal. If you want to see this person, that's the model. But even in that case, Karen, the business is still serving that person. It's, it's it, you're the master, but not the other way around. And I don't know if you've ever made that. But that's understand what you want your business to do for you. And make sure it does it. Otherwise it'll suck the life out. 07:17 Yeah, and I think that's why when you look at your business, whether you're just starting, you've been in it for a couple of years, you've been in it for 20 years, if you've never written down what your goals are for your life, not what your business goals are, but you know, do you want to spend, do you want to be able to watch a movie a week workout five days a week, spend dinner with friends, pick up your kids from school, drop them off, you have to write those goals down while you're looking at your business. Because that's that's how you're going to have that freedom. And that's how you're going to have your own life outside of the business. 07:58 And the natural recourse for all health business owners is typically to see more patients, regardless of what happens in their business. Regardless, they need more money, they see more patients, team member leaves, I'll see more patients. So that that's that's the recourse their natural recourse is to go back to what they know. We teach our clients sometimes that's the worst thing you can do. You need to do something exactly the opposite. And one point also to this is that this is probably one of my worst moments. You've got understand to the concept of current bank and future neck when you think about your business. Now I had a current bank business meeting. I had one of my practices earlier was inside a fitness center. So I had a physiotherapy practice inside a fitness center in Sydney. And it was a good business. It was a cash cow. But what I didn't realize at the time was it was fragile. So it was it was making me lots of money at the time. How I knew was fragile. I got a phone call from one of my clients would have been a Thursday night. He said, Paul, I've got some news for you. The owner of the gym I've heard hasn't paid rent for three months. Okay, this is a $300,000 business like I'm running here. Oh, that's the good so I ring the owner who when you will do the gym tonight what's the deal? He said it'll be sold out Don't worry about Okay, I arrived at the practice the next day cancer that patient list hard to track proceeded to put everything inside the trap that day. So by Friday, five o'clock, I've been everything inside the event saying what are you doing wrong? What are you doing? Well, I said I'm taking everything out because I don't know what's happening here. This is all a bit unstable because I went to give the owner the gym my rent check for the month and he didn't accept it. He said hold on to that for a second. Roger, you might need it. So okay, the writing's on the wall, drove off in the truck and everyone's saying Ronnie, another another gym Chad's gonna buy this place, you'll be back open on Monday. So when I open on Monday, I'll bring the truck back and I'll check everything back in then I'll be fine. But I'll tell you, I never again set foot inside that building. It shut that day and I never will went back in there. So overnight, a business goes from 300 grand to zero. What's the lesson I had a current bank business, there was nothing. I was relying on someone else's rent someone else's tenancy. If you're leasing a space in a Medical Center in a fitness center in something else, you think you've got a business you can you can sell. There's no real future banking, that you are at the mercy of your landlords. So it's not a bad way to test the market to see if there's available market. But that's not your long term gig. Because there's a problem with it, and I've suffered badly. Anyway, yeah, yeah, start number one. 10:41 Big mistake, mistake number one. So let's talk about Mistake number two. 10:46 All right, we do this all the time. We fall in love with our product. We fall in love with the idea of being a therapist, like I fell in love with the idea of being a physio, but I didn't know was there a market for that? Was there a need for more physios, I just wanted to be one. But we do that all the time, we fall in love with our product of therapy, what we got to fall in love with is, is the market, you got to fall in love with the market once, so you might have a passion for trading on that elbow pain in one arm. Gullfoss, that might be your passion. But if there's not enough one arm golfers out there, you're not going to do any good. So the market doesn't care what you want, find what the market wants. So your job is to listen to all of your patients, listen to the doctors, listen to the community, what's missing, your job is to fill the need. And if you do that, you'll be successful in business. My favorite one, hope you guys watch Shark Tank, you guys have shark tech in the States. That's shark tank with a my favorite one is the guy that turned up with the pad for guys shirts. So now that so you put up your stick to pads on the ROM so your shirt didn't get all sweaty, there was his product. The Sharks wouldn't touch it. I said I'm not really interested. And they said how many have you sold? I've been doing it for seven years now. I've sold about 500 so in seven years, and out the back the entity in there. So what are you gonna do now he said, Our, I believe in this, I'm gonna keep going I fell in love with this product, the market had already said they didn't want to move on. So find the hungry market and satisfy that need. If you do that, you will be okay. And you see that lock county if people so they open a practice in, in a country town or regionally because they might have identified there's a market for that service. So they've done well. But the part that missing is the available labor supply. Because there's two drivers of every business available market available labor, you haven't got enough labor, you're going to be staffing that thing yourself for the rest of natural life. And that happens all the time. So be very aware, don't, don't fall in love with a product, fall in love with the market, what's the desperate need in your community? solve that and you'll be halfway there. And that's that's kind of what I did in my second my next career because I I knew help business owners struggle with business and finance and marketing and other things. And it happened to marry up with something I liked and was good at. So that was a fortunate thing. But you've got to find the hungry crowd first. 13:18 Yeah, do your research. If you don't do your research first. You're in big trouble. 13:22 I had a guy come to me once and he said, Paul, I want to open seven practices on the northern suburbs of Sydney That's what he said to me in the seminar. I said oh is there is there enough market for that automatically sell so i think so he said he just he cuz he wanted to do it. Karen he wanted to open I saw Kenya available. I was a bit tired. Can you staff those seven practices? Will you find your start? I'll just advertise. There's a guy with his head in the sand. It's not funny. But I think the key thing I want to do I want to do this. Now that's okay, if that's a passion project. But if you want to generate a revenue and a business successful and you can sell it down the track if that's what you want to do, solve solve the desperate problem. Yeah, yeah, 14:14 turn it around. It's not about you. It's about you, but it's not about you all the same time, right. 14:21 If you get married up, it's great if you can find that that thing but be careful of what you do. So make sure there's a hungry market for an audit this we found out in one of our practices, there was a real market for lymphedema treatment. So massive market lymphedema and we had a guy who knew all about it the therapist and knew all about it. So we got him doing the lymphedema program. It was great. But But don't be Dora here didn't get him to train everyone else on how to do you know what happened? The guy leaves. Three years after we're still getting phone calls from people wanting lymphedema treatment and every time they rang it killed me. So Solve the desperate problem. Yes. But then protect yourself with the viable labor supply if you're doing something like that. 15:06 Yeah, absolutely. That's a great example. Okay, what's number three. So we've got failing to understand the true role of your business falling in love with your product, your product number two, what's number three, 15:18 we'll do this falling in love or falling victim to our own perfectionist syndrome. I was probably fortunate, I had some good mentors early in my career, and they'd tell me, Roddy, it's better to be 80% and out the door than 100%. And in the drawer. And it's so true, we just worry so much about putting something out there, because it's not quite perfect yet. Reed Hoffman, I think, was the founder of LinkedIn. one of the founders, he said, if you're not embarrassed by the first version of your product, you've launched too late. If you're not embarrassed by the first version of your product, you've launched too late. Meaning put your put something out there and you see if it's got traction, is it going to get some market share? Is it going to work for me? If it does, then you can then do version two, then do version three. But so many health professionals I get so caught up in making it perfect. I just want to do this, I just want to finish this, I just want to do this. And they end up not doing it. They wait that long, and they just slowly implement. Maybe it's because we're analytical thinkers, we're sometimes slow to implement, and we just, we drag the China bit. And I like this expression to, to the blind man, the one eyed man is king. But one of my mentors said to me, Roddy, you don't have to be the best in the world. You just got to be the best in their world. Say there might be a nice specialist down the road, who's who's a superstar does all the courses and is on all the all the seminars and other things and you've got your own new program. That's great. But don't let that stop you from what you're doing. Just be the best in your clients world at it. You don't have to be as good as that guy. You just have to be the best in the client's world. And, and that also, I think, Karen, sometimes maybe it comes from our universities that that we want to be anointed or we want to be awarded, or we want to wait for someone else to recognize me. Don't Don't wait to be anointed by your profession. Don't that's too slow, anoint yourself. Someone. Someone says to me, Roddy, who's the best health business mentor in the world? Well, I want to do wait for the National Association of physical therapists to make the announcement I'm not going to wait for that I am. And I think we're going to have some balls do that. But people take you at your own appraisal aren't going away in? And if not, that's your choice. But that's it again, don't wait to be annoyed because it's just too slow to do it that way. So don't fall victim to perfectionism because it's just a curse 18:12 for us. Yeah, very, very common. Especially I think I see it more in women than men. Men will often center feel like I'm just gonna do it and see what happens and women are more like, okay, it needs to be like this, it needs to be perfect. And I think sometimes our women judged more harshly than their male counterparts for things. There aren't as many women in leadership positions so you don't have that person that looks like me in those leadership positions as a point of reference, and so I think oftentimes women tend to keep putting things off because it's got to be as almost perfect before it goes out because we don't want to get judged harshly on something. And I see that consistently. Again and again. And a lot of men will just throw shit out there and it's like, yeah, this is fine. Who cares and women are like a 19:12 you got to remember littering once I was I did electric in the fitness industry years ago and in the in the personal training space. And I remember doing anatomy lecture one day to a group of trainers and I in the audience was my anatomy tutor from uni, like a superstar like this person, you everything about everything and I'm at the front talking anatomy and and it was a pivotal moment for me because I'm so self conscious about what I'm saying in front of this, this mentor. But no one asked her any questions. They all asked me the questions. I was at the front of the room. I had the clicker. I was in charge. I was the best in their world. She was the best in mind, but I was the best. There's that's it. I'll leave all of you to make the comments about Gaza girls, I can't say that sort of stuff. So knock yourself out cam 20:05 Yeah, yeah, I'm just that's just what I've seen, you know, over and over again, is, is that women tend to be a little more hesitant at putting themselves out there. And I get it, you know, as someone who has and who does put themselves out there, the criticism is harsh people can be mean, mean spirited, especially when it comes to social media can be a little toxic and, and you are judged very harshly and people say really mean things. So you have to grow a thick skin, I think if you're going to want stepping into kind of those leadership positions 20:43 that was published one of the key things, I think my management style of the business that you had to have a thick skin to work for us. I mean, maybe I was more suited to being an owner back then that I would be now I don't think I'd be as quite as sensitive as I'd need to be now. Anyway, that's if one of my mentors said to. And I love that when I say this, if you haven't upset someone by midday every day. You haven't said anything really important. What everyone's gonna agree with you You don't you don't have different doesn't have to agree with you. You just you haven't you have the right to have your opinion in this, but I think you need to do you'd have to agree with me, that's just what it is. But if everyone's agreeing with you, are you really saying anything of any importance possum? 21:24 Right, right? Very true. Very true. You don't want to surround yourself with Yes, people all the time, that's for sure. Because then you'll never move forward because you're never kind of grow and challenge yourself. Okay, let's, let's move on to number four. 21:40 Number four, ineffective, non existent. And unsupervised internal systems. You we've seen it, we've seen it, countless times someone goes to a seminar or they or they get an idea and they launch it into their practice. And, and they seem so excited about it. But the team have seen this before they've seen you come in with an idea and they've seen you launch it and they know you'll just it'll blow over. Once you get you'll see more patients and get busy so so that sometimes they do it for a while and you can see this owner because you'll say to them, do you have for example, you have a follow up system in your practice? I think we did here we look we did do something like that. Ryan, are we still doing that follow up system so that they haven't followed up and measured it. So one of the best things give you the tip, one of the single biggest and most effective things you could do in your practice is to tighten up the report of findings conversation. That's that's after I've done your history of January, your examination, and I'm saying what we're going to do to fix you that's the chiropractic wellness report the findings in their words, it's the action plan or it's our treatment plan, get get that script, right? Get that conversation, right? Write it down, sit the person next to you and write it down Mary to get you back running in that marathon in two weeks time. You need to see me three times a week for the next two weeks. I'll reassess you then and we'll get you ready for that race. How does that sound like that? Does that conversation that that currently is not done? Well in most practices? And and because I'm an analytical guy can often How do I measure that? How can I control that conversation. So I created an action plan a written plan. And, and the penny dropped for me when there is a number at the bottom. So the numbers at the bottom was how many how many sessions, how many times a week for how many weeks. So that's three times a week for two weeks, I had a number six, so that person needs at least six sessions before the next assessment. So I then made it mandatory that every patient would walk out at the front counter with that sheet that would give it to the admin person who and would verbally hand over that patient current to get married back to her run in two weeks time she's doing a marathon she's gonna do it really well. She needs to make three appointments for the next three weeks for the next two weeks and we'll get there admin to person books in in. And then I then got a spreadsheet that we created that has consults on plan. So that would be a six, the column next to it, consults booked. So you recommended six and how many were booked. Now if I if I then log into that spreadsheet and I see that my therapist has recommended six and a booking one so 616151 to one with it's a one on that on that booking column. I've either got a therapist problem or I've got an admin problem. Has the therapist not been good enough to get the confidence in the patient or is the admin under pressure and hasn't got time to book those sessions in advance. And you will know the dangers of a session by session appointment diary. It's just it's a recipe for disaster it's but that's that's an example of a system Karen you've got to put in to your business that you can then measure and stay on top. And you'll love this. So in true Polaroid style there was only one time in All of my practices where the therapist did not have to do one of those sheets written physical shit. And I get them all in a room and say guys, what's the only time that you can get away without doing one of these things? And they'd say, the person need to go and see a specialist or I ran at a time or whatever else that said, Now none of those things. The only reason I'll accept the no completion of this form is if the patient dies during the consultation and they've got a chuckle it's a chocolate gets a check. I want to talk about it now. But there's an element of truth to it. Everyone else gets one. Now that's that's the problem with most health businesses, we don't enforce our systems, we don't put them in and we don't make them mandatory. One of the keys to business success, remove discretion at the operating level of your business. Remove discretion, remove the chance for seminar I was going to give them a plan but I didn't think they needed it or the Garda see the surgeon or like, I want to look at the that report and say, Okay, what happened with Mrs. Johnson yesterday said news about Mrs. Johnson. She didn't make it through the consultation. And the therapists were Hi, can I get it ready? And then I can say, Man, I've noticed Mrs. Jones didn't get an action plan either. What's happening here is, is something that I'm wanting to do not sinking in, is there, imbalance here? And if it happens a third time we're gonna have a serious discussion. Now that's that may be used multiple that's hardcore. But 26:37 would you tolerate a therapist turning up without a shirt on? Would you tolerate that? horrifically bad breath? Would you tolerate them being late all the time? What are you going to tolerate? removed discretion? 26:53 Yeah, yeah, she just, Yep. Yep. That's a great system. Yeah. So really making sure that you've got systems in place that work for your practice, because every practice is different. And so you have to know what works for you. What are the KPIs that work for your business? 27:12 And quints of non compliance? What if you don't do it? Unfortunately, can we notice it now with with available library a bit short? Too many owners don't enforce this systems because they worried the therapists will leave so they're trapped they're trapped because they can't enforce this system. So what if they leave Well, what are they costing if they stay you know there's a cost for them to stay you're happy to where the cost make the decision. We've got a client in practice soldier now he's got an admin person just off sorry, a therapist, but just might want follow that action plan system to the letter, but he's got a labor supply issue. We know our numbers, we know what she's worth to the practice. We just made a decision to tolerate it for the moment that we could jump on if one day but it's not worth the fight because we're gonna have trouble with that off. Better Off fighting our battles in the right order. But it's a decision. It's a strategic decision. 28:07 Yeah, yeah. makes sense to me. Okay, let's move on to number five. 28:13 Number five, using your accountant to do your p&l for you. is a mistake because most accountants on average your account but assuming even give you a p&l, like most accountants, their job is to keep you out of out of jail and to make sure you pay enough tax and that's pretty weird. But what we want to know is, is a down and dirty profit loss for your practice. We want to know take out all the dodgy expenses take out the trip you took to the conference in New York take out all that. Even the year there was a conference there, but it's a bit dodgy like what take everything out of the car, all the other things that are legally claimable, but aren't really required for the business, get a down and dirty profit loss on a calendar month basis. Revenue we build, this is what we spent a know your numbers every month, and you shouldn't be able to wait for the end of the month to come to track your numbers. And one thing you must allocate Karen, you must have an owner consulting wage in there. Which is not the amount of money your accountant told you to take. It's not the dividend. It's a reflection of your consulting effort. So how you do that freedom school, so how many hours per week you're at the practice, multiply that by what it would cost to replace you, as a therapist, assistant your replacement costs, that money is not changing hands, by the way, the accountants looking after that. But this is we've got that in our p&l as a reflection of your consulting time. Because I can tell you now from having done this a long time, the only way sometimes you can get over practice to drop their consulting is to show them a down and dirty profit loss and show them that it hasn't changed or has improved if they dropped their consulting hours. Then you got it and you don't do that with your accountants p&l because it's a different spreadsheet, you got to deal with a down and dirty p&l. But because our natural recourse, Karen is to just consult more, whereas as a result of that we're not mentoring our team. We're not recruiting, we're not marketing. We're not with the kids, all these other things we're not doing. 30:17 Right? Yeah, no, that makes perfect sense. Yeah, I yeah, yeah, it's different. I mean, my accountant does do my p&l. But I also do monthly p&l is for myself. So on a month to month basis, 30:32 it can work if you're if you're doing a percentage of grossmith. But I just the problem with most therapists, we don't know their personal contribution to consulting and the overall scheme of things and we've show owners if you if you cut your hours, 20 hours a week, we can maintain your profit. Would you be happy to do that and see it because they're their natural recourse is to see more patients that just happens all the time. Sure. Anyway, can do it? He's know the numbers, the numbers will set them free. 30:58 Yeah, absolutely. Absolutely. No, I like that. And so when you're saying putting your consulting numbers in, you're talking about not just the time that you're with patients, but time that you're working on the business as well. Or just time when you're 31:14 just you're just you're face to face consulting time, because everything else is part of your profit margin. Right? Right. But the other thing is product and it's the other stuff is discretionary. You You can do your marketing when you want you can cancel a staff track you can you can you've got freedom to that, but your patient list. That's that's the one that use you're stuck in. So that's when you would change your business. Got it? Yeah. And, and most of ours, we try and get that down to zero. We try and get your owner consulting wage to zero maintaining your profit, then they have discretion. They can go to work if they want to say they're doing they're seeing patients because they want to not because they have to. Yeah, that's a differentiation. Not enough of us, Mike. 31:55 Got it. Okay, that makes sense. All right. So let's go on to number two to go six. 32:02 ineffective recruitment systems is a is a classic problem. And I know what it is we just we take it personally if they don't, if they leave we we don't get the right people always stuff this recruitment stuffs a nightmare. And I think it comes back a lot of it. As an owner, you have to make make a big decision regarding your team. Do you want to be liked? Or do you want to be respected, to be liked, or to be respected. I believe too many health business owners worry so much about being liked by their team, they can't have those difficult conversations, they don't have the respect of the team. And you're not always going to be like just accepted as an item of business. You know, there was going to be popular, you control the way ours you control the wages, you control everything in the business. It's important to be liked all the time. And if you're trying to be liked, it's going to be very difficult for you. Everyone is replaceable, except that and if they're not you want to make them replaceable. You need to think about the systems in a bit like my lymphedema God big mistake. I, I had an epiphany one night, I often have these epiphanies there. So there I am. And my admin, I had an admin superstar one of the practices and she knew everything. And she was so good everything she just did everything. And I had an I'm in there in bed one night, when I bought up right? What happens if something happens to Gina and I remember I couldn't sleep the rest of night. So I rang Gina, June at nine o'clock in the morning, I want you to come in, I've got someone to replace you at front desk, I've got my camera, you're going to show me everything. And we sat in the back room with the camera, show me how to do this show me how to do that show me and we just that we did that for a whole day. And I had all this stuff so if something happened you can watch the Gina file that someone can do. If you aren't doing that you are you are in all sorts of trouble. So recruitment systems, people are replaceable, except they're going to move on Don't take it personally. One of my mentors, we did a recruitment training program recently and one guy said, Just accept the fact that people are gonna, your business is like a train journey. People are gonna get onto certain station, get a bit down the track and then they get off the train. That's just that's what this journey is like they're not going to stay with you till the end of the line. Don't expect them to that's just just accept they will move on. And the final one and are running in the time, final one, not packaging your services, not packaging it into into an outcome driven solution. The bite write program for TMJ, the run marathon pain free program, whatever you do, we had a corrective orthopedic rehab program with exercise so name it something because once you are the only person that has that program, you can't be compared on price. If I'm bringing around the practices and you're charging 80 bucks and someone's charging 75 you're commoditizing yourself but If you're the only person with the x y Zed migraine program, because no one else has got that you can't put a price on that. So So you got to make sure you don't you have to package your services as a solution driven outcome, not just as a session by session deal. If you do that you're reducing the church have been caught up as a commodity. Now we've got time for one bonus mistake, I think. Yeah, all right. This is one bonus mistake. And too many owners do this. They, they think, well, they put a monetary value on their family time. They put a monetary value on their family time. Meaning I could finish at four o'clock in the afternoon. Or I could I could if I stay I'll make an extra $1,000 whenever I stopped but but I'll miss my daughter's concert. There's there's a so we put a monetary value if I do that, it'll cost me this. You just there's some things in life, you can't put a monetary value on. You just you can't put a monetary value on your family time. And people who told me that it's that it family time, I don't have much but I have quality time. And again, I don't want to guilt you into this stuff. But there's no such thing as quality time with your family. Family time is quantity time. things just happen. When you're around them. things just happen. I'm on. I'm on the back porch of my house. My second youngest daughter was about 17 on home a lot as I was on the on the back porch in she comes in she stands at the door. Not a crier young Jade. She's a very, very stout young lady. And she I said okay, down, and she dissolves like just the tears coming up. Right? a Cadillac for five minutes. Yeah, Caden are just a few things happening at school done. Um, right now, as you took off, yeah. I couldn't plan that. 36:59 I can't, you can't. You can't plan that. That just happens because you're around. And again, I'm not I'm not guilting you guys. Yes, you have bills to pay, they have other things to do. But the business is there to serve you. You do what you need to do to make sure your family is happy and fed and everything else but don't put a monetary value on it. Because it's it's a it's just not a fair comparison. You can't price it. It's just ridiculous to even think about it. Anyway. All right. Sorry to guilt everyone into something but that's the deal. Now I've lost you can you muted yourself. 37:40 There's a loud siren going by sighs just 37:44 could not go to Yes. 37:53 That was allowed one. Well, obviously edit this out. But I was like, I couldn't even I couldn't even It was so loud. Because it must have been like right in front of my apartment. So we'll edit that out. So annoying. That's that has not happened in a while that was allowed one. And didn't I don't even know what it was. Anyway. So we'll just sort of I'll do a little clap, and then we'll start. So this helps me for editing. But uh, you're killing me. I know, he's, I don't like it's fine by me. You know, I don't even realize he's there. But okay. So all right, so we went through seven mistakes, plus a bonus, which is great. And, you know, if you weren't taking notes, don't worry, we'll have all of these written out in the show notes to make it really easy for you and to follow along. But now, where can people find out more about you get some more resources so that they don't make all these mistakes. 38:59 best place to start, we do a monthly demonstration of practice ology. It's a webinar we do every month. And we'd basically show how our clients across 54 countries earning more, working less and enjoying their lives, even during a pandemic. So we talked about some of the principles to talk about today. And it's really a very interactive demonstration of how we do it. So if you go to my practice, ology.com forge forward slash Litzy li Ts Ed, why obviously. So my practice ology.com forward slash, let's see, you'll get the you can log in and register for the next next session. And if you want to get a copy of the book, I wrote a book how to run a woman a practice, as Karen explained at the start. It's not a it's not a big book, I didn't want to write it. It doesn't make sense to have a massive journal for how to run a woman in practice. It's got to be a woman's book, you should read that in less than an hour. Just covers a lot of the action plans and the bookings and there's great resources sample action plans you can get from the book If you just get to one minute practice.com forward slash book sales. So one minute practice.com forward slash book sales. And if you just put in the code, Karen Oh s for overseas. So if you're not Australian, which I don't imagine you will be if you're not Australian, do Karen r West. And it'll take 15 bucks off and you get it for $4.95 Australian which I think's about $1 us. That's a bit more than that. But it's not it's a pretty good deal. If you happen to be Australian, listen to it put in Karen, au, s t. So I'm going to practice.com forward slash Bob sales. Karen Oh s get it for if you're if you're outside Australia, or Karen a USD if you're Australian, and you get that for $4.95. And we'll post it out for you. And my social media platform is LinkedIn believer not I'm an old school, LinkedIn. So follow me on LinkedIn. Paul, right, Newcastle, I'd love to have a chat. And I hope you can join it for join us for a webinar and get some of those great resources from the book. And posted sorry, posters is a bit slow, I think we've covered but once you, once you buy the book, you do get the PDF of the book straightaway. And there is a second page, a link to all the resources and the action plans and all the scripts and stuff. So that's perfect. 41:16 And we will have links to all of that at podcast at healthy, wealthy, smart, calm. So one link will take you to the webinar to the books and to your LinkedIn page. And before we wrap things up, I'll ask you one last question. And it's one that I asked everyone knowing where you are now in your life and in your business and in your practice. What would What advice would you give to your younger self? 41:40 Oh, you love this one? Okay. I would probably be a podiatrist or an optometrist. You're sitting thinking, Okay, what are those things got in common? Well think about it. They've got a product arm. They've got a range of products, because I, I did what we talked about earlier, I became a physiotherapist because I wanted to be a physiotherapist. I didn't know I could be limited in what I can sell our products. So if I could go my time again. podiatry, I would, but I don't like feet. So maybe it's a problem. optometry, I'd be okay. Maybe orthodontics? I'd want a product range. That would be that would be why don't go and say all my diamonds done. Put a product range in your current business, if you can. That helps. But the idea of relying on your hands and trading time for dollars, I'd probably do differently. 42:38 Right? Well, great advice to your younger self, for sure. Thank you so much for Paul, for coming on and sharing seven mistakes that you've made and probably a lot of us who have been in business for more than a couple of years or more than a year have made and hopefully all the listeners out there you will not make those mistakes because we have covered them here. You've got them in your head. You'll sign up for the webinar and you won't make up and it'll be clear sailing. Fingers crossed. So thanks, Paul, for coming on and sharing all of that with us. I appreciate it. 43:14 Absolute pleasure, your superstar. Thanks for having me. 43:17 Thank you and everyone. Thanks for listening, have a great couple of days and stay healthy, wealthy and smart.
We continue our series on gender differences and disparities in the physical therapy profession with an interview with Dr. Karen Litzy, owner of Karen Litzy Physical Therapy in New York City, and host of the Healthy, Wealthy, and Smart podcast, and creator of the Women in Physical Therapy Summit. Dr. Litzy talks about her own winding career path, what inspired […]
In this episode you will learn strategies for how to be an effective ally for Indigenous peoples. Guest, Litzy Baeza specializes in cross-cultural intelligence, intercultural competency, and anti-racism education in Canada. Listen in to hear how Canada is working towards reconciliation and allyship with Indigenous communities. The following questions were also addressed: What are the calls to action to support indigenous communities? How can you effectively acknowledge indigenous communities? In what ways can you be an ally for indigenous communities? [Originally released via video streaming.] Together, we can make a positive impact and push the pace of progress; the world needs us. We hope you join us! Subscribe today! --- Support this podcast: https://anchor.fm/i-follow-the-leader/support
In this episode, Associate Professor and Program Director in the Physical Therapy Department at the University of Louisiana Monroe, Dr. Lisa VanHoose, talks about the provider role in cancer survivorship. Today, Lisa talks about implicit provider bias, survivorship as a concept, social determinants and healthcare access, and provider trust. How can physical therapists help lessen the overload? How do you determine whether or not you’re a trustworthy provider? Hear about the effects of cancer on co-survivors, get some advice for screening when working with cancer survivors, and learn about the disease burden on marginalised communities, all on today’s episode of The Healthy, Wealthy & Smart Podcast. Key Takeaways The definition of cancer survivor: “You become a survivor from the time of diagnosing.” “When we talk about survivorship, it really is a conversation about how well are you able to live your life.” “Cancer and its treatment is one of the top causes of bankruptcy in the US.” “Cancer and Alzheimer’s Disease are two chronic diseases where we’re seeing the caregivers die earlier than the survivor because of the caregiver burden.” “Medical access accounts for about 20% of someone’s health outcomes.” “Cancer survivors who have unmet social determinants of health are more likely to miss appointments.” “If you want to know if you’re a trustworthy provider, you should probably ask.” “You can condition yourself to have less bias, but you have to actively do it.” “100% of physical therapists are going to see someone who had cancer or has cancer.” “Everyone needs to be doing a self-assessment of where they’re at in regards to their own biases.” “African American women were dying at rates 3 to 4 times higher than those of their Caucasian peers.” “That difference in healthcare is avoidable if we would just stop and be intentional about the care and the way in which we deliver care to each other.” “We’re one decision away from someone having a different type of cancer survivorship journey.” “Although we know cancer survivors are recording these side-effects to cancer and its treatment, only about 20-30% get referred to a provider to address them.” “In our quest to provide care for others, we forget to refresh and replenish ourselves.” More about Lisa VanHoose Dr. Lisa VanHoose is an Associate Professor and Program Director in the Physical Therapy Department at the University of Louisiana Monroe. Dr. VanHoose received her PhD in Rehabilitation Science and MPH from the University of Kansas Medical Center. She completed fellowships at the University of Arkansas Medical Sciences Donald W. Reynolds Institute on Aging and the National Institute of Heart, Lung, and Blood Institute PRIDE Summer Institute with an emphasis in Cardiovascular Genetic Epidemiology. Her Bachelor of Science in Health Science and Master of Science in Physical Therapy were completed at the University of Central Arkansas. Dr. VanHoose has practiced oncologic physical therapy since 1996. She is a Board-Certified Clinical Specialist in Oncologic Physical Therapy. As a NIH, PCORI, and industry funded researcher, Dr. VanHoose investigates socioecological models of cancer related side effects with an emphasis on minority and rural cancer survivorship. She has been an advocate for movement of all persons, including the elimination of social policies and practices that are barriers to movement friendly environments. Dr. VanHoose served as the 2012-2016 President of the Academy of Oncologic Physical Therapy of the American Physical Therapy Association. She currently provides oncology rehabilitation services through the Ujima Institute, PLLC, as the owner and service provider. Suggested Keywords Physiotherapy, Research, PT, Health, Therapy, Healthcare, Cancer, Oncology, Survivorship, Rehabilitation, Mental Health, Providers, Biases, Movement, Wellness, To learn more, follow Lisa at: Website: https://www.ujimainstitute.com ULM - Lisa VanHoose Facebook: Ujima Institute Instagram: @ujima_institute Twitter: @LisaVanHoosePT @UjimaInstitute LinkedIn: Lisa VanHoose 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. This month is all about cancer survivorship. So if you missed the episode two weeks ago with Christine Carol and Jillian's Schmidt, make sure you go back and listen to that episode. Lots of great information, especially for providers on how to treat people with cancer currently, or cancer survivors. Now today's episode is brought to you by net health and tomorrow, which is Tuesday, April 20th, net health has a three-part mini webinars series bet with best-selling author, Stacy Fitzsimmons and Kelly Castillo of net health. They'll be talking about the three T's of creating revenue ownership beyond just billing beyond just the billing department, training tools and transparency. Stacy and Kelly have over 25 years of combined experience helping private practices give the best possible care while increasing their revenue head over to net health.com/litzy. To sign up as a bonus. If you put Litzy in the comment section and show up, they've arranged for net health to buy lunch for your office. Speaker 2 (01:44): Once again, that's net health.com forward slash L I T Z Y. So head over and sign up now and moving on to today's episode again, following in our theme of the month, which is cancer survivorship. I'm thrilled to have on the program, Dr. Lisa van hus. She is an assistant professor and program director in the physical therapy department at the university of Louisiana Monroe, Dr. Van who's received her PhD in rehab science and MPH from the university of Kansas medical center. She completed fellowships at the university of Arkansas medical sciences, Donald W. Reynolds Institute on aging and the national Institute of heart lung and blood Institute pride summer Institute with an emphasis in cardiovascular, genetic epidemiology, her bachelor of science in health science and master of science and physical therapy were completed at the university of central Arkansas, Dr. Van, who says practiced oncologic physical therapy since 1996. Speaker 2 (02:40): She is a board certified clinical specialist in oncologic physical therapy as an NIH, P C O R I and industry funded researcher, Dr. Van who's investigate socioecological models of cancer related side effects with an emphasis on minority and rural cancer survivorship. She has been an advocate for movement of all persons, including the elimination of social policies and practices that are barriers to movement friendly environments. She served as a 2012 to 2016, president of the Academy of oncologic physical therapy of the APGA. She currently provides oncology rehab services through the Ujima Institute PLLC as the owner and service provider. So on today's episode, what do we talk about? Well, it's all about the provider. So in today's episode, Lisa talks about implicit provider bias, survivorship as a concept social determinants of, and the healthcare and healthcare access and provider trust. So how can physical therapists help lessen the overload? How do you determine whether or not you're a trustworthy provider we'll hear about effects of cancer on coast survivors, get some advice for screening when working with cancer survivors and learn about the disease burden on marginalized communities. So there's lots to dive in. This is a long episode but it is well worth it. I highly encourage you to listen to the very end because everything is so good and you will get so much information from Dr. Van who, so I want to thank her and thank net health and thank you for listening. Speaker 3 (04:20): Hey, Lisa, welcome to the podcast. I am very happy and honored to have you on, so thank you. Thank you. Hi, everyone. Super excited to be with you today. And now all this month, we are talking about cancer survivorship. This is your research. This is your wheelhouse. This is what you teach. So let's get to it. What we're going to talk about today is provider bias in that lens of cancer survivorship. So can you tell us how that works and what that is? Yes. So I think most of us are now familiar with the term implicit bias because of all the things going on in the social environment, right? So implicit bias is basically those preferences, attitudes, stereotypes that we might have towards a person or towards a specific group of people. And so when you talk about provider bias, it's that implicit bias, but it's something that is hailed by a provider that might then potentially impact have a interact with that patient or client, and even the decision-making process for that client and the research to just that it, a lot of times occurs either subconsciously or unconsciously. And so we're not even realizing how we might be negatively impacting somebody's care. And how can that provider bias affect outcomes affect treatment and affect the survivorship of these cancer Speaker 4 (05:58): Or patients with cancer. I don't want to say cancer patients. I want to say patients, people with cancer almost, almost, almost set it wrong. Speaker 3 (06:09): No worries. So when you think about provider bias so the research should just that most of us have a bias towards people that are a bigger body size or what we call obese, right? And so if you were a PT, a nurse, a physician, and you were talking with someone that is of a larger size, and they're trying to articulate to you that maybe their knees hurt, or maybe they've got, you know, some type of discomfort provider bias might make you minimize their complaint. It might make you not do a full assessment because you're like, ah, it's just related to their weight. Or you might just go, well, you know, it's part of their lived experience because they chose to be fat. And so there are things that instead of us doing the standard care, we actually will deviate from it because of our bias. Speaker 3 (07:04): And so where we see that happen, where that has an influence on cancer survivorship is we know that every cancer survivor will have at least one physical impairment and most of the time it's fatigue, but let's say that cancer survivors, someone who identifies as as a sexual orientation, that's not heterosexual. And you as a provider, you may believe that, you know, there's a moral or religious issue with that. So then when that person's talking to you about their fatigue, as it relates to maybe their sexual activity, or maybe just how it relates to their everyday life, you may decide consciously or unconsciously to not listen. Or you may decide that, you know what, that that's, God's answer to, you know, their, their lifestyle choice. So, sorry, y'all just, somebody is having a healthcare emergency right now. Speaker 4 (08:06): That's okay. Normally it's on my end because I'm right on Broadway. So there's always a siren going off. The listeners are used to it, please continue. Speaker 3 (08:14): So I think when we think about, you know, someone's care, we're all talking about, you know, high quality care and standardized care and trying to minimize variations. But a lot of the variations we see are related to our biases. Speaker 4 (08:29): And so let's talk for a minute about, so we know outcomes may be different because of this provider bias. And, you know, we are talking about cancer survivorship, but there's a difference between you're alive. You lived, you survived and the concept of survivor ship. So can you talk a little bit about that and how again, where that bias may play a role? Speaker 3 (09:01): Yes. So the new definition for cancer survivor is that you become a survivor from the time of diagnosis. And so often we think of that as binary, right? Are you alive or not alive? When we talk about cancer survivorship, it really is this conversation about how well are you able to live your life? Right? So regardless of the cancer diagnosis are, do you have the resources that you need to live the life that you choose at the best level that you so choose? And so when we talk about survivorship, now we want to know about all of your physical wellness. We want to know about your emotional wellness. We even talk about financial wellness because one of the side effects to cancer is financial toxicity cancer and his treatment is one of the number one causes of bankruptcy in the United States. So survivorship is really about how well are you able to live your life? Speaker 4 (10:05): And I would also have to assume that within that survivorship is the environment in which you're surviving. So can you talk a little bit about that as well? Speaker 3 (10:14): Beautifully stated. So the hot topic everywhere right now is social determinants of health. And I think that is also just as true for cancer survivors. And I also want to say their caregivers because when we talk about cancer survivorship, we want to also talk about the coast survivors, right? So a lot of times we'll focus in on the cancer survivor. But the work that we did in Arkansas, a couple of years back, we went throughout the state talking with cancer survivors and caregivers. And the thing that cancer survivors told us over and over again, was I'm more concerned about my loved one. I'm more concerned about my coast survivor because everyone's focused on me as a person with cancer, but no one is thinking about the lived experience of my of my caregiver. And I was at a conference once and they were talking about how that cancer and Alzheimer's diseases, Alzheimer's disease are two chronic diseases where we're actually seeing the caregivers die earlier than the actual survivor, right. Because of the caregiver burden. And so that's a trend that people are watching in the data. So, yeah. Speaker 4 (11:29): Yeah. So it's, it's more of, it's more than just the patient, it's the caregiver and it can also be their community. Do they have access to their treatments? Do they have access to the things they need to help them survive and survive? Well, if you're living perhaps in an area that you don't have access to a lot, these things might Speaker 3 (11:54): That also be something that can cause a bias in the provider, almost definitely. So I think you have to think about all of the social determinants of health. So in the, the literature suggests that the medical access, like the healthcare access, a counselor, about 20% of someone's health outcomes. Now we do know that your ability to get to a provider of choice is important. And we also know that people typically don't want to travel more than a 20 minute drive to get to care, but there are some areas where people are driving hours. I remember when I was in Kansas practicing, I had clients that would drive three to four hours one way to see me. And so when you think about cancer survivorship, and we know one of the number one complaints is fatigue. If you're driving three to four hours to get to therapy, then the expectation is you're going to work with a therapist for an hour, hour and a half. Speaker 3 (12:58): It's just not a realistic journey. So we have to figure out a way to improve access. Most definitely. We also have to think about the fact that, that it's not just can someone access care, but can they access high quality care? So there is a time and a place for generalists. I totally love my generalist, right. Shout out to you. But then there also Toms for specialists. And so there are certain geographical areas where it would be really difficult to find a specialist in cancer, be it an oncologist, be it a PTB in an OT, be it a dentist. So we have to think about those issues when we talk about healthcare access. But then you talk about the 80% and the 80% are going to be the things like what is the environment that that person with cancer has to live in. Speaker 3 (13:50): So like I'm here in Louisiana and Louisiana has a stretch of highway that's known as the cancer corridor, right? Because we have hundreds of production, meals and industries that have a lot of waste products. And so because of that, we see this uptake in cancer prevalence, we see a different survivorship experience for those cancer survivors because they're constantly exposed to these environmental exposures. So I think, you know, that's one thing when you think about cancer, survivorship is what is the environment in which they're living right now? We're talking to everybody about, you know, physical activity, the, the APA has just launched a physical activity campaign, but then you have to think about, okay, what, what is their green space availability? Is it safe for them to be out and walking, right? Then you have to think about how are they going to fuel that movement. So are they close to grocery stores, right? Or, you know, community gardens. So I think when we think about cancer, survivorship, healthcare is one piece, but then we also have to think about all those other determinants of health as well. Speaker 4 (15:02): And it's does it not seem overwhelming? I mean, gosh, to me it sounds, seems so overwhelming. So how can as providers, let's say, as physical therapists, healthcare providers, what can we do to help lessen that? What that Speaker 3 (15:19): Overload? Yeah. So I think if we, number one, just all can agree that we have some level of implicit bias because we're all animals. So therefore we are slightly tribal in animalistic, which means that you're naturally going to have a preference towards people who look like you or people who act like you or think like you, so you have to engineer the system to combat that. And the best way to do that is with screening tools, right? So could you introduce a screening tool that asks that client about their cultural beliefs and their lived experience? Right. so then that way you can incorporate that into their care because I was pulling up some articles that looked at the lived experience of black or African-American and Hispanic or Latino X cancer survivors. And one of the things that they talk about is the fact that their provider, who is often, you know, someone who identifies as white, doesn't really ask them about their life. Speaker 3 (16:27): They might give them instructions, but doesn't ask them about the context right. In which they're supposed to implement this. And they're like, that's part of the reason why I don't follow those instructions and then they get dinged for noncompliance, right. Or, or non-adherence, and they're like, that person never asked me anything about me. So could you potentially introduce that as a screen in regards to kind of getting some information about their cultural values and beliefs, and then introduce a social determinant of health screen. So then you can find out kind of what their needs are because one of the articles I pulled up was talking about how that cancer survivors who have unmet social determinants of health are more likely to miss appointments. And so how often do we all get frustrated at that patient? That's a no show. Well, have you asked them about what's going on in their life and then help to align them or connect them with some community resources, because that might be the root of a no-show right. So I would say start off with some screening. Speaker 4 (17:37): Yeah, that's great. And you know, we had a conversation last night on clubhouse with a group of physical therapists and it was about the female athlete, but one of things that Speaker 2 (17:50): Was very clear is, are we asking the right questions? And I think that completely aligns with what you just said. So what is your food security? Like, what is your home security like, right. Do you have children? And this is another one, do you have pets? But if you have, what is your responsibility in your home life? If you have a dog, if you live alone or do you have to walk this dog? We just talked about fatigue being one of the major aspects. So what if they have to walk their dog three times a day and they have physical therapy that day? Well, which one do you think is not going to happen? Speaker 3 (18:28): Exactly great points. You know, Speaker 2 (18:31): These are all great questions to ask. So it's, we're asking questions, but are we asking the right questions? And I think that was a solid point that you just made. Speaker 3 (18:41): I love that. Are you asking the right questions and then are you living? Speaker 2 (18:47): Hmm, well, even more important because like you just said, implicit bias can make us our brains be like, blah, blah, blah, blah, blah, blah, blah. Oh, were you saying something or, or, you know, Speaker 3 (19:01): Often someone will say something, someone will tell us what they value and then, because we don't value that we'll minimize it and that might've actually been the secret sauce to them being able to achieve their healthcare goals. Speaker 2 (19:15): Yeah. Yeah. Another and again, gosh, another great question that was brought up yesterday is, well, what kind of successes are you having right now? And then, like you said, that might be it, that might be the secret sauce. So if we're not tuned in, are we going to miss it? Speaker 3 (19:33): Great points. And then I think often as providers, we tend to ask all the questions about the negatives. And especially when you add in your provider bias your implicit bias, because we've been conditioned to think so many negative things about different subgroups. So we automatically start asking them all these questions about all of these negative things that we think should be occurring in their life. So I love this concept of saying, well, what's going well, right? What are the successes? Because then it also changes the dynamic of the relationship, because then that helps you to understand what are the things that you could leverage. Right. And expand. So I, I really think, you know, the other hat I wear y'all is I'm an educator. And so when we talk about culturally responsive pedagogy, one of the core elements is are you coming into that exchange with the student from a positive lens? Speaker 3 (20:36): And I think we also have to think about that as a provider. Because anytime you interact with a human, it's an exchange of energy, and if the energy I'm putting to you as negative, that's going to impact you. So I think always kind of, you know, asking, you know, what's going on. Well also thinking the best of the person that's sitting in front of you. That's one thing that I've learned from the patients that I've been able to serve is they're like, there are some days that I just have to borrow the positivity from my providers. Right. And I think we have to recognize that that some days we are, we are that, that shining star, that good vibe for another human, but that requires us to actually believe in that other human and in their experience. So you got to see that human in front of you perfectly said, of course. And that leads me to the next topic. Is, is, are you a trustworthy provider? And how do you determine that? Because is, is trust normally determined by the person in front of you? They feel you're a trustworthy provider. If you feel you, are, are you biased towards yourself? Like, yeah, I'm awesome. Right. So can you expand on that? And on that note, we'll take a quick break to hear from our sponsor and be right back Speaker 2 (22:03): Tomorrow, April 20th, as part of net health, three part webinars series bestselling author, Stacy Fitzsimmons, and Kelly Casio of net health. We'll be talking about the three T's of creating revenue ownership beyond just the billing department, training tools and transparency, head over to net health.com/lindsey to sign up as a bonus. If you put Lindsey in the comment section in the registration page, sign up and show up net help, we'll buy lunch for your office. Once again, that's net health.com forward slash L I T Z Y. Sign up today. Speaker 3 (22:39): Oh, that's a good one. So there are two dynamics that occur in the therapeutic Alliance. There is the trust that the patient or the client, or maybe their caregiving unit, the stove's on us as providers, right? So that's the gift. And I think often as providers, we feel like we're entitled to trust and you're not, it's no different than any other relationship. It is something that someone is gifting to you, if they're dressed. And then for us as providers, we have to prove to be trustworthy and trustworthy is reliable and honest, right. And authentic. And so how do you know if you're trustworthy is that patient or client is actually the judge of that. It's not you. And so the definition of trustworthy may slightly vary for different patients, right. Because they are actually the judge and the jury in that. So if you want to know if you're a trustworthy provider you should ask, or maybe it should be part of your customer satisfaction survey, but I think, you know, when you think about provider bias or even implicit bias most of us can sense when the person that we're interacting with is not being authentic. Speaker 3 (24:03): Right? And so your bias thing can impact your ability to be, to be perceived as trustworthy as a provider or even just as a human. And so that's why it's really important for us to do the self work, to really kind of sit with ourselves, know what our triggers are. So, you know, who is it that we have these really negative perceptions of, or thoughts about, and then really questioning that. So Eckhart totally talks a lot about watching your mind. And so my challenge to providers is even in that interaction with the client or the patient in front of you, you know, always kind of paying attention to what are the voices in your head saying, you know, as you're doing that interview, listening to that client what, what is really S what else is going on? You know, like when that patient says, you know, no, I've not been able to, you know, take my blood pressure medicine, are you like, yeah, it's probably because, you know, you're doing X, Y, and Z with your money, or, you know, you're always telling a lie, but could you say to yourself, is that true? Speaker 3 (25:12): Cause Bernay Brown talks a lot about asking yourself is that the story is, you know, what's the story I'm telling myself. So could you really question that and then push back on, push back on that a little bit, cause you can condition yourself to have less bias, but you have to actively do it Speaker 4 (25:32): And it takes work and it can be uncomfortable. Yeah. Speaker 3 (25:35): It takes a lot of work, takes a lot of work. Because it's easier just to believe your own little echo chamber that you've created. Speaker 4 (25:44): My next question is what is your advice to providers when it comes to dealing with cancer survivors? Because as I spoke about in another podcast with Kristin is a hundred percent of physical therapists are going to see someone who had cancer or has cancer, the numbers are there. So what is your advice to providers when working with this population and kind of checking themselves? Quote unquote, Speaker 3 (26:15): Great question. So I'm, I'm going to say, first of all, we're going to go with your statement of ask the questions. Because I have actually seen therapists, physicians care for a client and never know that they had cancer because we didn't do a complete history. Right. and so you, you want to ask people that because the data says that one in two men will have cancer in their lifetime, one in three women. So just like you said, the odds are, is that you're going to care for someone that has had cancer or currently has cancer. So ask the question, number two is ask some details about it. So now the standard is, is most cancer survivors will have, what's known as a cancer survivorship plan that outlines the details of their tumor and also the treatment of it. And that's really beneficial to you as a provider because it'll help you be able to explain maybe some of the symptoms that they're reporting and also potentially anticipate some of the symptoms that they might have in the future. Speaker 3 (27:23): And there are things you could do to prevent that so that they have a better survivorship journey. Then number three, just listen and listen with a beginner's eye and beginner ears. Right? So be really curious about what that person is saying. Everything doesn't have to be judged because I always remind people, there are 8 billion people on the planet, so there are 8 billion ways of doing this thing. There's no rights or wrongs. And then the fourth thing is a screen, right? Because I have to recognize as a provider that I'm going to ask the questions, I'm going to do the things that are often comfortable for me because you get in this routine. And then, because this is a human sitting in front of me and everyone is diverse. I have to have some screening so that I don't miss anything. Right. Because often my pattern is based on what I like and the things that I do with the community that I'm, you know, most accustomed to. Speaker 3 (28:28): And so when I'm treating someone that might be different from me and everybody's different from me, then it's always good to have a screen that way you make sure you're not missing anything. And then I would say the last thing is ask that person what is important to them because often as providers will create a whole plan of care and never really asked people to rank or prioritize, what's really important to them. We often make judgements for people and that's not our jobs as providers, we're, we're part of their team. So those would be the things that I would say to remind people love. And then, you know, I think everyone needs to kind of be doing a self assessment of where they're at in regards to their own biases. And then just getting curious about it, be okay with talking with someone who doesn't think like you or who doesn't look like you. Speaker 4 (29:23): Yeah. Every point. Excellent. And hopefully people were taking notes on that. And now Lisa, where can people find you if they want to learn more about you and what you're up to and what you're doing. Speaker 3 (29:35): Awesome. so you can typically find me at the university of Louisiana Monroe. So I am the associate I'm associate professor and program director of the physical therapy program there. Or you can find me through Jima Institute. So the Ujima Institute is a grassroots organization that we started to primarily look at ways in which we could collectively come together to address the health and wellness of black communities. Because one of the things we didn't even talk about was health disparities as it relates to minority or marginalized communities. So when you think about black and Brown cancer survivors, when you think about cancer survivors from LGBTQ communities their disease burden is significantly different than the majority group. And even things like just their mortality rates are significantly different. That was some of the work that we did early on in Kansas city where we found that, you know, African-American women were dying at rates three to four times higher than those of their more of Caucasian peers. So yeah. Of white peers. Speaker 4 (30:47): And is that because of lack of access, was it because of lack of belief that they were ill or what, what did you, what did your findings Speaker 3 (30:59): So some of it was an access issue. So when you think about where the mammography centers located also the quality of the equipment at different sister centers varies as well. I think people often don't think about that. Then also the providers. So there's often a difference in which providers are available to which subgroups then also, and this is one thing that even, I think PTs and healthcare providers should think about in general is our typical office hours, right? So we tend to do eight to five. Well, if I'm a second or third shift worker that might not work for me, or if I work in an industry where I do a 12 hour shift that may not work for me. And those are often jobs that black and Brown community members are holding down. And so the very nature of how we deliver care often introduces some inequities. And I love that Def to my favorite definition of inequities talks about how they are avoidable, right? So that difference in healthcare is actually avoidable. If we would just stop and be intentional about the care and the way in which we deliver care to each other. Speaker 4 (32:18): Mm gosh, it's so multifactorial. But changeable Speaker 3 (32:25): Very changeable. I often say we're just one decision away. We're one decision away from someone having a different type of cancer survivorship journey because for your audience, fatigue is the thing that we often talk about, but the other things are like pain. Most cancer survivors are also experiencing a high level of anxiety. And in the United States, we're actually going the opposite direction in regards to our mental health resources, right. And cancer survivors need that support. Other things that bother them are things like neuropathy and even like itching. Like I cannot tell you how many cancer survivors are like, can you just make the itching stop? And people are like, well, who is it that big of a deal, but if I have a job and if my job is customer service and my receptionist is scratching, I'm like that impacts employment. So I'm like all of these things are, are part of the cancer journey where there are things we could do to prevent that or to attenuate it, even things like weight management, there are so many parts of this cancer sequella that we could adjust address early on. The other thing that has always been really interesting to me in the data is although we know cancer survivors are reporting these side effects to cancer and it's treatment only about 20 to 30% of them actually get referred to a provider to address them. So there are a lot of people live in a life that has less quality that really, that doesn't have to be right. And to me, that's not kind that is not con no. Speaker 4 (34:14): So you survived then what? Speaker 3 (34:19): Yes. Yeah. So, yeah. Yeah. So, and especially when we know that there are clinicians and providers out there that could be helping. Speaker 4 (34:30): Absolutely. And you know, I think don't you think that this is such an opportunity for the world of physical therapy? You know, we can be a conduit to other providers. Yeah. So, so if they, the cancer survivor is only spending 10 minutes with the doctor, but Hey, maybe they are coming to us maybe. Well, now it's like an automatic PT referral at the time of diagnosis. At least that's what the guidelines say. Am I correct in that Speaker 3 (34:59): Is the preferred guidelines. So that's kind of the pre rehab standards, right? That you get that diagnosis, you get a PT a Val, so we can get some baseline data. Speaker 4 (35:10): Right, right. Exactly. So might we also be the person to have the time to listen? And like I said, be that conduit and that super connector to people they need. So something to think about for the PT profession, you know, it's a huge opportunity for us to expand our reach, to be helpful and to make a difference in people's lives. And that's what we're supposed to be doing anyway. I totally agree. Because early Speaker 3 (35:38): On in my career I went through patient navigation certification and I remember people going, why would a PTB here? But it's a great place for us to be as a, as a rehab professional and especially as movement specialists, right? Because movement is the key to life. And so if I can help a cancer survivor, figure out the resources, they need to be able to keep their movement and function. That's a game changer in regards to health and wellness, even cancer outcomes. Some of the data even suggest in regards to mortality recurrence rate. So PT might, you know, often we talk about nurse navigation, but actually having a PTs, a navigator is not a bad idea. Speaker 4 (36:28): Absolutely. Well, I have to say, I thoroughly enjoyed this conversation, Lisa, and as always, and last question is knowing where you are now in your life and in your career, what advice would you give to your younger self, maybe that fresh face gal right out of PT school. Speaker 3 (36:47): Yeah. If I could talk to her, I would tell her to put herself first. Cause I think there is a reason why that the triple aim moved to the quadruped blame, right? To include burnout of providers because often in our quest to provide care for others, we forget that we need to refresh and replenish cash sales have. That is really, really important. We take better care of the equipment in our clinics and our hospitals that we do of our providers. Speaker 4 (37:20): And if it's, if we can't take care of ourselves, we are the most important piece of equipment. Speaker 3 (37:26): Yes we are. So we are the most important piece of equipment as it. If you wanted to talk about resources and I think also in regards to, when we think about our patient you know, client interactions, cause I often ask therapists nowadays, are you causing harm to the client that you're serving because of who you are. And maybe that's because you've not done yourself care, maybe it's due to your provider bias. Maybe it's due to, you need to re upskill in regards to your clinical skills. But I think it's always good for us to ask ourselves, are we doing somebody harm and why? Speaker 4 (38:04): Excellent. And on that we will end. So I will thank you so much for coming on, Lisa. Thank you. Speaker 3 (38:10): Thank you so much for having me. It's always a blessing to be in your space. Speaker 4 (38:15): Thank you so much mutual mutual and everyone. Thank you so much for listening. Have a great week and stay healthy. Well, the in smart, a huge thing. Speaker 2 (38:23): Thank you to Dr. Lisa van who's. And of course, to our sponsor for today's episode net health, again, sign up for their webinar, which is out tomorrow, April 20th, as part of their three-part mini webinars series, bestselling author, Stacy Fitzsimmons and Kelly Casio of net health. We'll be talking about the three T's of creating revenue ownership beyond just the billing department, training tools and transparency, head over to net health.com/lessee to sign up. And remember if you put Litzy in the registration page, sign up and show up net health. We'll buy lunch for your office once again. That's net health.com forward slash L I T. Speaker 1 (38:59): 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.
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.
In this episode, CEO of Julie Wiebe Physical Therapy, Inc., Dr. Julie Wiebe, PT, DPT, talks about running and pregnancy. Today, Julie talks about running/exercise and pregnancy, creating baselines, the research around female running form, and she busts some pregnancy myths. When can you return to running after pregnancy? What is Julie’s definition of ‘postpartum women’? She tells us about structuring exercises around their daily exercises and goals, pelvic health education, and she gives some advice to clinicians working with postpartum runners, all on today’s episode of The Healthy, Wealthy & Smart Podcast. Key Takeaways “Landing mechanics are affected by what’s happening north.” “Let’s understand what they looked like beforehand so that we have a better idea of how to help them find their way back.” “Just because you had a baby doesn’t mean you should be in pain and weak for the rest of your life.” “Listen to what’s happening, but learn to interpret it.” “If your 10 minutes is spent running and that’s your goal, you’ll do it. But if I say you’ve got to lay down on the ground and do rehab exercises that make no connection for you, you’re not going to be motivated to do that.” “Pelvic health does not mean that you have to be clinically prepared to do internal work. It just means that you’re treating the musculoskeletal of someone who happens to have a pelvis, which, last I checked, is everyone. You don’t have to be certified as a women’s health specialist, but you can get information, read books, watch videos, take courses so that you are competent in treating a woman postpartum that wants to get back to running.” “The pelvic floor is not the only gatekeeper that creates pelvic health. It is a component of multiple body systems, and we need to understand that those systems affect the way the pelvic floor acts and behaves. The pelvic floor itself needs to have attention directed at it, but when we talk about just the pelvic floor, it isolates it away from relevance to other areas of care.” “Learn to ask questions, and ask questions that make you uncomfortable. You will get more comfortable with it, and understand that what you’re trying to do is open a door of communication.” “When you read the conclusion in research, is there any other explanation that could’ve come to that same conclusion based on what you’re seeing?” “We need to start broadening our lense, and I think we’re broadening it to look at females as not just little men.” “Instead of thinking of learning as this linear thing, include and transcend. Instead of it being a linear line, let it be concentric circles.” More about Julie Wiebe Julie Wiebe, PT, DPT has over twenty-four years of clinical experience in Sports Medicine and Pelvic Health, specializing in pelvic/abdominal, pregnancy and postpartum health for fit and athletic females. Her passion is to return women to fitness and sport after injury and pregnancy, and equip pros to do the same. She has pioneered an integrative approach to promote women’s health in and through fitness. Her innovative concepts and strategies have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations (ortho/sports medicine, pelvic health, neurology, and pediatrics). A published author, Julie is a sought after speaker to provide continuing education and lectures internationally at clinics, academic institutions, conferences, and professional organizations. She provides direct care to female athletes through telehealth and her clinical practice in Los Angeles, California. Suggested Keywords Physiotherapy, Pregnancy, Research, PT, Health, Therapy, Healthcare, Education, Training, Postpartum, Running, Exercise, Pelvic Health, Conversation, Use the code: LITZY for 20% off the following courses from Dr. Wiebe: Treating and Training the Female Runner (or Any Female Athlete) Foundations + Running Bundle A Foundations + Running Bundle B Running Rehab Roundtable Live Broadcast https://www.crowdcast.io/e/runningrehab To learn more, follow Julie at: Website: https://www.juliewiebept.com Instagram: @juliewiebept Twitter: @JulieWiebePT YouTube: Julie Wiebe LinkedIn: Julie Wiebe 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: 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. Hey everybody. Welcome back to the podcast. I am your, Speaker 2 (00:39): The host, Karen Litzy and today's episode. I'm really excited to round out our month all about running injuries and running rehab with Dr. Julie Wiebe. She has over 24 years of clinical experience in sports medicine and pelvic health specializing in pelvic abdominal pregnancy and postpartum health for fit and athletic females. Her passion is to return women to fitness in sport, after injury in pregnancy and equip pros to do the same. She has pioneered an integrative approach to promote women's health in and through fitness. Her innovative concepts and strategies have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations, or at those sports medicine, pelvic health neurology, pediatrics, a published author. Julie is a sought after speaker to provide continuing education lectures internationally at clinics, academic institutions, conferences, and professional organizations. She provides direct care to female athletes to through tele-health and her clinical practice in Los Angeles, California. Speaker 2 (01:48): So Julie's amazing. And in this episode, we talk about some myths about running while pregnant and in the postpartum. And of course, the question that everyone always asks Julie is how can we return to run after pregnancy? So Julie answers that question and cause a lot of really helpful hints for practitioners to look for when evaluating postpartum women and those postpartum women, those runners can be anywhere from six weeks to six years, 16 years, 20 years after having a child. And she also encourages clinicians to think critically, to look deeper, to have a framework for evaluation, to try and, and, and get a baseline to ask your patients to film themselves while they're running or exercising so that you can understand what they look like when they're doing what they do. There's a lot of variables to post to running post-pregnancy and Julie really runs through all of them. Speaker 2 (03:01): So I want to give a big, huge thanks to Julie for coming on the podcast today and sharing all of this knowledge. And she also has a discount on the course. So she has a course on running a postpartum running. So she has a course for the listeners. So all you have to do is enter the promo code Litzy that's L I T Z Y my last name for 20% off treating and training the female runner. And just to be clear, this is for professionals, not for individuals. So this is for clinicians. So a huge thanks to Julie for that. We'll have all of the information, including links to everything in the podcast at podcast dot healthy, wealthy, smart.com. And tomorrow you can catch Julie live along with Dr. Ellie summers, Dr. Chris Johnson and Tom goom for our live round table discussion. That's tomorrow, March 30th at 2:00 PM Eastern standard time. Speaker 2 (04:10): If you can't make it still sign up because you'll still have a chance to get your question answered by the panel, and you will still get to watch the replay any time you want. And listen, this is a deal. It is $25 for four of, in my opinion, some of the best minds when it comes to running injury and rehab. So sign up today. If you're listening to this today, sign up today because you have until probably, I don't know, it starts maybe until like quarter to two tomorrow, which is March 30th to sign up for our live round table discussion. Again, that's with all four guests from this month, Ellie summers, Chris Johnson, Tom goon, and Julie Wiebe. So sign up to day. Hey, Julie, welcome back to the podcast. I think this is like your third visit to help you well, yes, thank you for sharing your platform with me again. Speaker 2 (05:11): I appreciate it. Of course. And, and this month, the month of March, we're talking all about running, running injuries, running rehab, and I know something that you're passionate about is caring for the postpartum woman that returned to running after giving birth. And, and we'll also talk a little bit about running while pregnant. Right. So I think that there are, there's a lot to cover. And so we are just going to, we're going to zoom right through this unintended since we're on zoom. But let's start first with running while pregnant. I feel like there's a lot of myths around running while pregnant. I don't know that it's understood very well by many people, including clinicians as well as the pregnant women. So I'm just going to kind of throw it over to you and let you just kind of talk about the, the running pregnant woman. Speaker 3 (06:14): Yeah. You know, and I think I think that regarding running and pregnancy, I mean, that's our focus, but really exercise and pregnancy. We still have, we are limited in our understanding of all things. Related to that I think we are started, we have information about things like cardiovascular response or, you know, some of those pieces of the puzzle. But in terms of the musculoskeletal, the neuromuscular, the response of the female host inter like how is that impacting the mom's body systems. Right. and I think that where we are struggling to have a lot of research there in part, because it's hard to find women that are willing to be participate in research. And then there's also a lot of, I, you know, we have to be protective of them. We have to protect them. And so, so it's this, you know, we want to honor that stage of life, but we also need to research it. Speaker 3 (07:13): So so I think we are struggling to, to understand all that, but we're starting to get more and more attention on it, which is awesome. As far as pregnant runners go there's only a few studies that I'm aware of that actually look at the pregnant runner and and of those one is a case study and one is on five women. So we have very limited understanding of what exactly goes on, but there were some themes. So I'll just share some themes. One is that in, in both the studies, they were, they were followed, the women were followed throughout the pregnancy changes were seen in all of the women on how they continue to run through the pregnancy meaning. And particularly the one with the five women, they all did something different, which is the variability is what we're seeing now. Speaker 3 (08:07): Everybody's bodies individually adapted differently. But the through line for them was there was a loss of pelvic and trunk rotation. So when we think about that pregnant runner, this is the way I've started describing it. The belly covers a ton of joints. Like it goes from the thorax to the pelvis. It it's basically, it takes all of these reciprocating joints and it turns it into a unit joint. Like it's one big joint, it blocks motion. So it reduces pelvic and trunk rotation. And so it limits, and then it forces them to rotate elsewhere. All of these are adaptions to help them continue to move through space appropriate for pregnancy and running. But when they go into the postpartum, they carry it with them. And that was what happened in both of these studies. They found that at six months for the woman who was the case study, and then at six weeks postpartum for the women, the five women in the other study, they held onto these, these some of these variables into the postpartum period and where that's significant is that women are given that okay by their doctor at six to eight weeks. Speaker 3 (09:19): This just like, you can just start doing your thing again. But their understanding is I got to just lose weight and get a flat belly. What our understanding needs to be is we need to understand what's changed for them. Biomechanically neuromuscularly emotionally, you know, fatigue, stress, like all of we have to understand all of those pieces and help them restore their interrelationships. Neuromuscularly biomechanically to be more like their baseline in order to prepare them for return to run. Like it's not just, okay, let's get him stronger. It's how do we help them restore that efficiency in their patterns that they lost, but no one realizes they lost it. So six years later, they show up to an orthopedic office and they have some of these running injuries, but how much of it is related to the compensations that they carried into their postpartum. So that's sort of a, an entry point into our conversation. Speaker 2 (10:17): Yeah. And that's, that is so interesting. And it makes sense that they would carry that over because our brain has is plastic and it's going to adapt. And our our sense of where we are appropriate susceptive sense is going to adapt to that. And it just doesn't end because the baby's not inside you anymore. Speaker 3 (10:40): Correct. And you're pulling it off, like in your mind, like you're still pulling off running, like you're actually running. So it, the understanding of what has changed is not understood globally. And I think like, I mean this, the running study related to the five runners that I mentioned, and that was from 2019. So this is, you know, relatively hot off the presses in terms of clinical understanding. So our job clinically is to help restore reciprocation that's really, and we understand the reciprocation is so important for all sorts of pieces of the puzzle for running. And one of those things is actually reducing ground reaction forces, getting our center of mass over that lead leg. Reciprocation is a huge piece of that. And so understanding just that, if that is all you walk away with today, understanding that you're a female that has a postpartum is postpartum, meaning they have a pregnancy in their history when you're working with them related to it, running injury. Speaker 3 (11:39): If it has a ground reaction force components like a knee or anything, you should be looking North of the border, not just foot strength, not just cadence, not like you have to look North and understand, are they actually reciprocating? Where's that reciprocation coming from? Because when you have a unit joint of the lumbar spine in the lower, the only thing that's left is like TL junction and above. So that's where they're reciprocating is way up high at the chest. And if you watch Fumo runner, that's what they're doing. They're punching the sky, it's all up, up, up, up chest high. And it's, that's the pattern that they partially developed during the pregnancy to continue running and pregnancy. There's nothing wrong with that. It co it's an appropriate compensation, but it does. If you don't restore actual reciprocation between the trunk and the pelvis, that's what you're looking for. And if the woman is in gripping her abs, cause she wants to get flat abs again, that's a UDA joint, it's a uniform engagement of the abdomen is what most women hang on to, or try to do while they're running. And that continues to keep their reciprocation high. So it's like understand what's going on North of the border for these women, versus just looking at things like landing mechanics, landing mechanics are affected by what's happening North so Speaker 2 (12:59): Well that's so, yeah, that is so interesting. And now I'm going to be, you know, in central park watching all these women to see, okay, are they just running with their, from like the thoracolumbar junction up? And then just having legs move like a cartoon character or are they actually getting excursion and rotation through the trunk? Speaker 3 (13:19): Amen. Yeah. And then we're getting into summer, right? I mean, I'm here in California, so we're gonna be able to see people's abdomens. And the thing that I, my cue for my clinician friends is what's going on with the navel. Like if their navel is staying straight, dead, straight, the whole time they're holding their abdomen. So stiffly through their run, that they aren't reciprocated. Like they can't be like, that's an indication that's a quick and dirty clinical sign that you can see that that means the reciprocation is likely coming up higher. And then it'll sort of clue you in and you'll see it. And they're, they're the ones punching high in the sky. They've got ribs flared up, like it's sort of, and that's a lot of our female runners. And it's a lot of our women that have never had children because they're holding their abdomens. Speaker 3 (14:03): Cause that's what they think they're supposed to do. And we also have studies that have shown us that stiff abdomen when they had men jump off a height actually increase their ground reaction forces. So it makes sense it's part and parcel, right? Like, you know, we just got to sort of brought in and I think that's my hope when I talk about stuff like this with my ortho and sports medicine, friends and colleagues because that's really, I'm a sports medicine, PT, I'm not a traditional pelvic health PT, but is to broaden our lens and add these ideas into our differential diagnosis. Like we need to start thinking about how these things are affecting. Some of the things we look for in sports medicine. Like we understand to look at how ground reaction forces what's happening, but we don't often this into our thought process. Like how, why is that a typical running pattern for women? It's not just because we have brought her hips and Q angles and, you know, blah, blah, blah, look North, look North with me. There's more going on for these women. And and we have some strategy pieces that we could add into our thought process to help them Speaker 2 (15:13): Yeah, amazing coming in hot, right out of the gate pair with a great tip for everyone. So thank you for that. And one one question that I want to ask, just so the listeners really understand when you talk about postpartum women, can you define what that means? Speaker 3 (15:32): I'll give you my definition. Sure. It doesn't necessarily mean that it is the definition. But I consider anyone who's ever had a baby. And, and here's what I'll say about that. I think technically it's the first year that might be kind of more of a technical thought process. And that's mainly because I started learning this backwards when my, on my patients who were 35 and 45 and 55 and 65. And they still look like me. This is million years ago. Now when I was at postpartum early postpartum, like the way that I was using my body and it was creating issues for me, they were using their bodies that same way. And they were like, well, they had grandchildren at that point. And so once we start understanding, yes, it's a normal process that women go through, but our job is to understand what they went through and help them find their way back to efficiency and effective use of their structure and their systems and their like I D I was Chris. I love that Chris Johnson talked about their ecosystems, like, you know, like looking at all of those pieces for them and understanding our job is to help them get back to their baseline, their individual baseline. Cause my torso is this, like this with this link legs. Some people have long legs short, let you know, like to understand that. So my, one of my big pushes I hope to achieve at some point is to get baselines, like, let's start getting baselines. I was women. Yeah, go. Speaker 2 (17:09): I was just gonna ask that you, you beat me to the punch. I was just going to say, so if someone is coming to me as a woman who is a runner and she had a child would say a year ago or two years ago, even how do I know what her baseline is? Speaker 3 (17:27): Correct? Well, what I do is I have them try to bring me film from prior to the injury. So these are for women that haven't had babies or like what they look like running prior to having a baby. And again, so many women have said to me, well, I leaked even before I had a baby when I ran. So then you might find stuff in their running form that might help explain that like Mabel's that go straight ahead? You know, things like that. But it does give us sort of an understanding of, is the running form that we're seeing right now, is that speaking to why they're having the injury, the, whatever it is, or is this the running form they've always had and they used to run without any difficulty. Like, you know what I mean? Like, so for me, that's how I started to create their baseline. Speaker 3 (18:15): Even if I can't see what they look like. And a lot of women will, like, when we talk about diastasis, like, you know, something like along those lines, which I might have to define for the audience, but some women will send me pictures of them in a bikini from like their early twenties. They're like, Oh my gosh, you're right. I actually had a line down the middle, but I never gave it any thought because my belly was flat. But now that my belly is not flat, you know? So it's like, that's where we can start to kind of get some comparisons for baselines. But one of my goals is to reach into the medical community, meaning the obstetricians and the midwives and the nurse practitioners. If any of you are out there is to say, let's start creating baseline. You're the first contact for some women they'll come in for a prenatal visit or something like that. Like, let's get some baselines, encourage them to take video. How will they're lifting how they're running? You know, how are they doing these things that they want to get back to afterwards so that they have a library of their own baseline? Like let's understand what they look like beforehand so that we have a better idea of how to help them find their way back. Speaker 2 (19:18): Yeah. Yeah. Great answer. Thank you. And so we've talked a little bit about this return to run after pregnancy. And I know you said that is, that's what people want to know from you. How do I go back to running after I had a baby and you know, everybody wants a protocol. If you could do this, then do this and this then do this. Right? Right. So when someone says to you, when can I start running after I had a baby, what is your answer? Speaker 3 (19:50): My answer is, and everyone hates it. It depends, but I tell them what it depends on. And so, and that's what it does get a little tricky in a situation like this, because these are some of the variables that I want to know. So my, whenever I get a question like that, my favorite is when I get it from a practitioner, what should I tell my patient who wants to get back to running? And I'm like, okay, well, my, my response to you is I actually wrote a blog like this. Like, and I always get, Hey, quick question. And I'm like, it's not a quick question. It shouldn't be a quick question. You know, did they have a vaginal delivery? Was it traumatic? Did they have forceps? Did they have a Syrian? Was it, you know, did they have bed rest? Were they on bed rest? Speaker 3 (20:29): If you're on bed rest, no, you're not gonna start running right out of the gate. You're like, you know, like there's so many variables there was it a complicated pregnancy? Was there, you know, what's been happening to them during the recovery process, have they, you know, are they having postpartum depression? You know, what's the you know, what are all these variables that they're experiencing? Where are they having postpartum depression? Or are they depressed or having baby blues, partly because they've lost their exercise program. Like what, what are all of these variables that we're looking for and what was their athletic capacity before? What is it now? Or what are their goals? Cause I like to make goal specific recommendations. So those are some of like, those are just that's scratching the surface, but I don't want to make it sound like this is an inaccessible population to work with because you don't know what all those things are. Speaker 3 (21:19): But what I usually talk to my patients about is I understand their goals and then I break them down and we start preparing for them. So my program for you needs to prepare you for what you want to do. And I need to understand the demands that you're up against. If you want to run, I need to prepare you for impact. I need to prepare you for endurance. I need to prepare you for power and possibly change of direction, depending on what you want to do. Trail runs and jump over rocks and things like that. Like I need to prepare you for what it is you're going to be up against. And part of that preparation is looking at your form, giving you great form twos, helping you build in new form, creating an interval program, getting you impact ready. Like there's, it's not just, I need you to do some curls and tell me stuff and some cables, and now you can run. Speaker 3 (22:10): And I think that that's, but that's a typical postpartum recovery program, but it isn't a prep for return to run. I need to teach you to reciprocate. I need you to strengthen into those reciprocal movement patterns. I need you to do single leg work. I need you to do single leg loaded work. I need you to do single leg impact work. You know, I gotta get you practicing some of those pieces. Then I know you're prepared. And if you're leaking or having pain or having an I give you these things we're looking for while we're doing the prep work, we're just not quite ready. We need to modify those things. Keep giving you opportunities to build capacity and strategies for the kind of work you want to do. I'm going to build that back into your system so that you're ready. And if you're, again, if you're symptomatic during all the prep work, we're just not quite ready for the actual events, but let's figure out what still needs to be tweaked and what needs work. You know what I mean? And then like, let's start with elliptical, let's start with hiking. Let's start with things that don't have impact. If we're not, if we're having symptoms with impact, like sort of really parse, what's still creating the problems so that we can troubleshoot that. And then, and then get you back into interval prep, walk, run. You know what I mean? Like it's yeah. So it's yeah. So that's running, that's more running specific. Speaker 2 (23:27): Yeah. So if you're not, it's not like, okay, the doctor gave you the all clear at six to eight weeks depending. So I'm just going to give you a walk run program. And that's what you will do. There is a lot more building because like you said you to monitor, you want to give people their program, you want to monitor their, their reaction to it, their symptoms, and then make the necessary adaptations that you need to make and use your clinical judgment. Because we know that there's not a whole lot of research around even returned to run after pregnancy. There's not a lot of research to that, correct? Speaker 3 (24:05): Yeah. We're getting, we're starting, we'll give credit where you know, we're trying, but we, yeah, we have a lot of work to do. We need to figure out there's a lot. We need to understand just basics. But, but like some of the things that I, I I'm trying to create like little things, people can remember, like prepare, then participate, monitor, and modify. Like just keep get like put those pieces together for yourself. Cause some people don't have access. That's the other thing, like if anyone out there doesn't have access for whatever reason to the practitioner, like you are, you have a lot of power by knowing what to monitor for knowing it's not normal to have pelvic pressure or leaking or pain while you're running. It's not normal. Like we want you to feel good while you're running and you know, just cause you had a baby, does it mean that you should be in pain and leak for the rest of your life? Speaker 3 (25:01): Like that's an incorrect, like I think we did. We say we're going to bust myths. Like that's a myth D please don't buy into it. So yeah, and I think I lost your question in there somehow. Did I? No, no, no, no. Boston my own head. No, not at all, but it is. It's like these, like what else? You know, and then follow the other thing I try to tell people is follow your success. If it seems to be that you're having more symptoms on the flats, but you're okay if you are going uphill, which is not unusual because it sort of helps you have a better running form automatically. Then let's walk the flats, run up the Hill. You don't like listen to what's happening, but learn how to interpret it. I think that's what I'm hoping clinicians can be, is really great interpreters of what's happening with the patient standing in front of them so that they can they can be better guides. Speaker 3 (25:54): I mean, that's really ultimately what we're doing. We're guiding people through their process because everyone's process is going to be a little bit different. It should be. And I would love for, I would w I went a hundred percent with lots of over the protocol, charge everybody 10 books now, but it doesn't exist because everyone is different everyone's path through pregnancy is different. That one study we have was so fascinating. All those women did something different to get through the pregnancy running. So, so we, we were just learning, right. We're learning about, about everybody's path through, through all this stuff. So how can we guide them? And I think monitoring modifying, progressing not gradually in a scared way, but in a smart way, like, Oh, we tried that. That was too far. All right. So backing off a little bit. Let's try this. Let's modify, modify, keep adapting. So I don't know. Now I'm going down a whole nother rabbit. Speaker 2 (26:48): No, no, no, that's it. This is all, this is all amazing. And I, and I really think the listeners will, we'll definitely come away with, you know, the, the monitor and make it adaptations and watch and listen. And also, like you said you sort of referenced Chris Johnson, sort of talking about the whole ecosystem. So again, I think it's important to when you are sitting down with this patient for the first time, you know, you have all these questions, but then your other questions are, well, how old, how old is your child? Do you have more than one? What are your responsibilities at home? Do you have a nanny? Are you a single mom? Are you working? What are your time constraints? Like, because all of that feeds into what kind of program you can give this person, because they may say, Hey, listen, I have 10 minutes a day to do some exercises. And, and what happens a lot is people think I only have 10 minutes a day. It's never going to work. Right. So how do you get around those with your clients? Speaker 3 (27:51): I usually use their exercise program is their fitness program, whatever it is, like rather than ask them to stop. I, and so, I mean, we're talking early postpartum versus someone who's maybe coming back two years later. Right? So you know, I try to integrate, my goals have always been, or my path has always been about building brain strategies, neuromuscular. So then I'm teaching them how to re-establish. Some of the, the, the, so let's talk early postpartum things get kind of funky in terms of how components of the central stability Central's control system operates. I'm working on helping them reconnect and implement it into their function. They have to take care of their kids. If you're lifting your kid, we're going to do it in a way that sort of pulls in the brain's going to use all these components to help them start, to learn, to be reintegrated into your movements, just movement going up the steps. Speaker 3 (28:50): Guess what steps is just like running. We're going to actually, if your goal is running, I'm going to make going up and down the steps with your laundry hamper or your baby as your prep for return to run. But we're going to do it super low impact. We're going to think it through. We're going to have to, like, we're going to rebuild that reciprocation through walking up and down the steps. We're going to, you know, match it to your function right now. But if you're two years out and you're, it's a different ball game, I'm going to use your running as your program. I'm going to adapt your running and keep you below your symptom threshold or make it look a whole heck of a lot like running so that you're motivated to do your, if your 10 minutes is spent running and that's your goal, you'll do it. Speaker 3 (29:32): Do you know what I mean? But if I say you got to lay down on the ground and do these rehab exercises that make no connection for you, you human, emotional, or your brain to your goal. You're not going to be motivated to do that. So I have always broken down their exercise programs, if they are CrossFitters or going to gym or whatever it is, show me three exercises that you like to do. Yoga, Pilates, whatever it is, what are three things let's implement these ideas and strategies under something that you enjoy, because I know you'll be compliant. And then they know you're listening. That therapeutic Alliance is there, like out of the gate, you want to help them get to their goals, Speaker 2 (30:11): Right? So it's, it's like, you can take things they're already doing and modify, adapt it, allow them, give them the tools they need to implement. What will help them in that exercise. And ultimately perhaps help them get back to their running or whatever it might be. Okay. Speaker 3 (30:31): Break it down, break it down and then build it back up. That's got it. That's a pretty straightforward way to do it with any athlete. It doesn't have to be running. But you got to know what they're up against. So I, if I am not familiar with something, I just say, show me, I don't know, show me what that is. And I don't know the words, I'm the first one to admit it, but I can't remember what that, can you just show me that and they'll sh and then you can break it down. Like, I think that's, to a lot of people's barriers to working with athletes is they don't feel comfortable with the sport. And then of course we have, you know, members of our community that say things like, well, do you lift, do you even run? I know. And it's like, like, it's really I don't, I don't surf and I will never, my first surfer when I moved to California, you know what I did, I looked at YouTube and I looked at, I watched, I watched videos. Speaker 3 (31:30): I looked, I tried to understand what are the physical demands of surfing, but that didn't mean I couldn't help him. You know what I mean? Like, don't get me started. So anyways, so I think that it intimidates because also like, that would mean that men couldn't work with female athletes too. Like, cause you don't have a vagina. Like that's, it's a, it's an illogical argument and it makes me mad. So anyway, surfing is I that's one of the examples that I use because I don't surf and I never will because I'm afraid of sharks. So we w w your job, our specialty physical therapist should be movement analysis. That to me is a pretty basic part of our definition. And I know that you can at least pick out efficiency. Do you know what I mean? Like, you can pick out efficiency and I use video, like crazy. Speaker 3 (32:19): Have them bring you videos of them. Weightlifting have them bring you videos of running, and then you can slow it down. Look at it, really carefully. Look at it at home before you stand in front of them, start to break it down, look online. What is a clean and jerk, and then ask them to send you a video of a clean and jerk compared them and start to pick out where it's different. There you go. You know what I mean? Like, I think that we create this barrier for clinicians to be able to participate in this kind of care if we make it unattainable because they don't actually participate in it anyway. Yeah. Speaker 2 (32:56): Listen, I could not agree more. I think that's the dumbest dumbest argument against a qualified physical therapist, seeing the person in front of them, because what if you're the only physical therapist for 50 mile radius? What are you supposed to like, sorry, pal. I'm not an Olympic lifter can help you. Speaker 3 (33:17): Yeah, it's so stupid. It's so stupid. Well, and it's really the other thing too then is it's also important to sort of highlight and carefully and kindly and respectfully say that's also how pelvic health is understood by so many. Well, it's not, that's not my department, but it's physically inside the woman standing in front of you. It's part of her department. So like, you may be the only practitioner for miles and you are the only person that understands the human body, the way you do as a physical therapist. It behooves you to start understanding some of these processes. When we start to talk about our differential diagnoses for runners is to understand what is happening, what, how might this have affected what I'm seeing clinically? And then it's not, it's not pelvic health, like in this movie way, it's pelvic health as a, it's a, it's a friend to helping you understand what's going on with these patients. Speaker 3 (34:16): So, so again, like in the same way that, you know, folks get scooted away from participating with female athletes or athleticism, we don't want to scoot them away from pelvic health because it's scary or UV, or it's not their department. Like we need to open those doors broadly and say, let's, let's skill everybody up. Let's equip everybody, the pelvic health community to understand fitness better, and the fitness community to understand pelvic health better. Like let's everybody come to the middle and not create barriers inside the community to those things. Like, let's appreciate the perspective that we each bring so that we can optimize the care for our patients who don't have resources to go down, you know, and with telemedicine creates new opportunities until unless we can't do it nationally. Right. Can we have a talk about that? Speaker 2 (35:08): Yeah. I would love to have a talk about that. Like maybe every, every licensing board across the country, again, it's so stupid because we take a national exam, but we're only licensed in anyway. Yeah. We could have, we could have a round table on that one. But you know, what you said is really important about so for the physical therapist or even other health professionals listening pelvic health, it does not mean that you have to be clinically prepared to do internal work, right? No, not necessary. And it just means that you're treating the musculoskeletal health of someone who happens to have a pelvis, which last I checked is everyone. And so, and so you should, you should be able to do that. You may not ha you don't have to be certified as a women's health specialist, but you can take get information, read books, watch videos, take courses so that you are competent in, let's say for the sake of this month, I'm runners treating a woman postpartum that wants to get back to running. Speaker 3 (36:25): Right. And there, and that's, and I think that that's partially, I mean, to just be fair, I think we all learn pelvic health in a very isolated way in PT schools. You know what I mean? So I think that there's been a huge change in the conversation in the pelvic health community over the years. And it's just starting to get out there in, in other ways. So it also behooves those of us. And again, like I find myself always serve in the middle of these worlds. Those of us who communicate it in a way that's relevant to like, let's be communicating in a way that is enticing to learn more. Like, I want those to gain those skills and and understand it in a way that is relevant. And I, and so, yeah, so we have a lot of work to do to the physical therapy educational programming to start to build it into models a little bit differently, so that it's under some of the other side a little differently too. Right. So it's just, we're all we're evolving, but it is true that it has classically been defined that way. Right. Like, right. And so I think so anyway, yeah. So I, I agree with you, there's a lot we can do there. And it's also like, can you at least talk about like, and to have some ability to do that is important, you know, so, Speaker 2 (37:45): Yeah. And, and hopefully people like yourself and maybe podcasts like this and other podcasts that are out there will really help clinicians. And non-clinicians, you know, your, your, your gal that, that just had a baby. Who's like, I, I don't know what to do. How, what do I do? Yeah. You know, I just had someone contact me today who is eight months pregnant and she's starting to have a little low back pain. And she said, you know, should I just go to the doctor or should I just go to any PT or what should I do? And and I was like, Oh, I'm so happy that she's reaching out for a physical therapist, you know? But a lot of people just don't even know that that's an option. Right. So, Speaker 3 (38:32): Yeah. Cause the messages, while you're pregnant, low back pain, you're pregnant, you know? And, and so it's really, there's a lot of education that needs to happen, but I do think you know, so much of it is around I'm trying to think of a good way to say this, centering the woman as like that, those concerns just because they're common. I hate the common. Not more, it's not, I hate that. I get it, but it's also like, it just always has been, but that doesn't mean that's how it should be, or it has to be moving forward. Like I think we're starting to get more female researchers, myself trying to do that too, to help, you know, we're trying to have females asking questions for females and to the credit of this one particular, he will never know. I should write him a note, but like I had a conversation once with a running researcher. Speaker 3 (39:28): And I was like, did you think about the fact that that lady was probably in continent? Like he had just done something at CSM and he goes, that would never have crossed my mind. And I, and he wasn't like a poopoo that couldn't possibly be a variable. He was like, it looks like you need to start doing some research. And it was, it was literally like the last nail in the coffin of me, like meeting that, like I knew I wanted to go that direction, but it was one of those, you know, those really landmarking conversations that just sort of are like, w wait, wait, wait, wait, wait, I'm point. Knowing what I'm doing, like cooking you in the right direction. Yeah. It's to say, you know, this is you, you understand it. And I think that's, you know, again, you know, we talked a little bit about clinical utility and research, like trying to ask the questions that women need to ask, you know, so we need for your eight month pregnant lady, we got to get better information to her and to people that can care for her in her local community. Speaker 2 (40:25): Yeah. And, and again, you know, we talked a little bit about this before we went on, but, you know, asking the right questions, asking questions, asking simple questions. Because as, as we've spoken about the research for even simple, for simple questions is not there. So before we went on, Julie was saying, you know, we don't know what the pelvic does when we go to sit to stand, what is it doing when we're walking? We don't, we don't know what's happening in the pelvis and the pelvic floor and, and, and articulations above and below. So how are we supposed to know with certainty what's happened when you're running or when you have impact or jumping? So I think these, like you said, these smaller questions need to be looked at and researched, and then hopefully that body of work can build up to something much more clinically. Speaker 3 (41:15): Yeah. We need to sort of, we need to build in the basics and, and, and, and we're working like there are teams working on that, like we have, and we're using computer modeling as a way that this is starting to get there because we can't the issue. And also, I really want to make something super clear before we get moving. This direction is one of the things that I'm trying to be really careful about is not just talking about the pelvic floor, but to talk about pelvic health, because the pelvic floor is not the only gatekeeper that creates pelvic health. And it is a component of multiple body systems. And we need to understand that those systems affect the way the pelvic floor acts and behaves and the pelvic floor itself, you know, needs to be, have attention directed at it. But B because when we talk about just pelvic floor, I think it isolated away from relevance to other areas of care. Speaker 3 (42:05): So I just want to be clear on that. So but we don't know what its behavior is. Cause we can't see it. We can't put a, you know, it's just, we are, but we're starting to get new ways to be able to understand it better through a technology advances. So we're getting there, right? Like, so that's been a barrier to understand this better in in the dynamic, in dynamic activity. And we are seeing computer modeling as an option to help us start to understand this a little bit better, but that modeling is usually done on like an N of one. One of my favorite studies is a computer modeling study, but it's with something, I can't remember the title now off the top of my head, but it was something like, you know computer modeling of pelvic, the pelvic floor during an impact activity and an athletic female or something like that, or for female athletes. Speaker 3 (42:52): But then it literally says in the methods section that the woman they chose wasn't athletic and I'm like, well, crap. Okay. But I mean, it gives us, it gives us new insight. We'll take it. But I would really like to see it on someone who is an athlete, because, you know, we want to understand all of those variables anyways. So, you know, we're just trying to get there, but we haven't always, we can't visualize the pelvic floor in when we're watching a runner, but we can watch it's relationships. We know it's related to the glutes. We know it's related to the pelvis and the low back and the abdomen and diaphragm, we can watch all those other relationships. And we're really good at that in ortho, in sports medicine. So there's all of these interrelationships that we can watch and understand that a little bit better and differently, but you know, there's elements of what's going on there today. I am grateful to our pelvic health community for their capacity to treat directly. Speaker 2 (43:49): Yeah, yeah, absolutely. And now, before we start to wrap things up what I'd like to ask you is for, let's say the clinicians that are listening to us right now what, what is your best advice to those clinicians who are working with, let's say female runners who are postpartum at any point postpartum, whether it be six weeks, six months, six years, what have you, Speaker 3 (44:22): Oh let's see. That's kind of a loaded question, but I think it would be to learn to ask questions like that would be my best advice, like, and ask questions that make you a little uncomfortable. You will get more comfortable with it. And understand that what you're trying to do is open a door of communication. Like create a conversation around this with your athletes. Here's what we know, which is not much, but my understanding is after you've had a baby or two, it affects your running form and you can hang on to those changes six weeks, six months, six years, whatever, wherever they are, unless we actually look at them. So I'm wondering how that as part of your medical history is affecting what you're doing, but along with that often comes problems with how you're activating your abdomen. Or you might have a public health consideration like leaking when you're running or painful sex constipation. Speaker 3 (45:24): Like there's other problems that women have that are under the public health realm. You know, and so so I'm going to ask you, so have them in your intake form, have them, you know, are you comfortable having a conversation with me about that part of your life and your experience? Cause I'm wondering how it might be affecting what we're seeing here. We understand that there's an interrelationship with learning. The research is limited, but, and if you're not comfortable talking to me, understand that, you know, it is something that I think might be a variable. And so I'm going to actually at least try to incorporate your pelvic floor and your diaphragm and some of those interrelationships into our programming. But I also have someone down the street that you can talk to a few, be more comfortable. I just want to open that door, like open the door to a conversation. Speaker 3 (46:07): Like if that, if nothing else, if they aren't comfortable, you also should be skilling up to understand these components. How do you, what should, what do you see in a typical postpartum runner start looking for navels, start looking, going to central park, whatever it is, start to pay attention to these other variables and serve to give fit, give it new. Meaning like I, cause I read a lot of running research and athletics like sports medicine research and the meaning that it's attributed that is attributed to it is often based on what we've understood in men or like a strength based model. Like, well, they're just there post your chain. Isn't strong enough. Well, my question is why, why would every freaking females post your chain the off? Let's put that. Let's start thinking about that. That's the kind of questions I want to ask. Like the why we're seeing that as our common, it's not just structure, it can't just be structured because women aren't all structured the same P S all women do not run it into your tilt. Speaker 3 (47:08): Like they don't, what do you mean? Come on. Nobody does the same thing. All of us. Like it can't be. So it's like with what we've put this meaning on it and if you're postpartum or you're pregnant, you're you have an anterior tilt. Well, we have to have research has shown us. That's not true. So it's like, and then I don't know how you can overstride and inter tilt at the same time. Like, we need to really think about that because, but we've always, that's sort of the lens. And so everything gets filtered through it to the point that we exclude, like other, like, instead of thinking, Oh, well, this can't be the explanation. Let's ask other questions. It's this becomes the definition. Does that make, am I making sense? A hundred percent. Yeah. So it's like, how do we start say, okay, that's we didn't get to the bottom of it. Speaker 3 (47:57): What other questions can we be asking? And and, and to start to look at women, not just women, men too. So it's, it's like, how can we start to ask our questions a little bit differently? How can we start to and really it's to look for the, why's not, what is, why, why in the world are we finding this with all of our female athletes? Could it be the way that we've trained them to suck their stomachs in all the time, since they were 12 and 10, you know, like how could that possibly affect an entire generation of, of participants, right. Let's start looking at this, you know, so yeah. So I love her. Yeah. I mean, we brought up Eric Miura prior, so we'll throw him a little shout out here, but I wanna, I, I heard him speak at a conference. Speaker 3 (48:45): I don't even know time has no meaning now, but and one of the things he said was I, which I love was talking about with research. When you read the conclusion and research, is, is there any other explanation that could have come to that same conclusion based on what you're seeing in the light? And I thought that's so smart because sometimes I'm like, Oh, yay. My biases, my biases, whatever affirmed. And, but I, but so he was referring to that related to the research, but I think one of the things that I keep trying to think through for myself, and I think would be a really wise way for all of us as clinicians to think about it is what are other reasons why they responded to my treatment? What are other reasons that they could be experiencing this problem that has nothing to do with what I've always understood? Speaker 3 (49:28): You know what I mean? And I am sharing my bias. Like when I look at a female runner, I'm not like, Oh, that calf looks weak. I'm like, Oh, wow. Look at their central control system. Cause that's, you know, that's my lens. So I, you know, so I want to be open to understanding all of that other stuff, but I already, I already learned all that stuff. And this piece is something that isn't being considered by a lot of permissions. And so, yeah, so again, we need to start just broadening our lens and I think we're broadening it. I hope to look at females as not just little men and the problem we have wider pelvises, estrogen, and Q angles. Like there's other things happening for us that, that are not explained by those things. You know what I mean? Speaker 2 (50:13): Absolutely. Yeah. Thank you. This was awesome. Now, where can people find more information about you, more information about your, you have a running a female running course, where can, yes. Where can, where can we find all of that? Speaker 3 (50:32): I am at Julie PT and I have discovered that you can misspell my name and still find me. So it's J U L I E w I E B E P t.com. And I have, I do have an online course that was recorded from alive lives online opportunity. So it does have that flair that feel, but it also has the questions, which I love. And, but I also have lots of free resources in terms of blogs, videos. I do a lot of podcasts and have a newsletter to let you know about when opportunities are coming up. Like this one and what's coming up for us this next week to be a part of the round table. But but yeah, and I'm on all the socials Speaker 2 (51:19): You're everywhere. Thank you so much. You're all over the place in a good way. Not in a bad way, in a good way. So thanks so much before we sign off, I'll ask you the same question I ask everyone, and I probably asked you at twice or three times already, but we'll ask again, you can keep giving the same answer I want growing and learning. So that's true, but that's true. Yeah. So what advice would you give to your younger self? You know, what I'm going to share? Speaker 3 (51:49): It's funny. I was just thinking about this before we got on, but, and this is something that I've learned during the pandemic and and it's from Aaron Nyquist just, but he was referring to the spiritual, but I'm going to relate it to our walkthrough. Learning is instead of thinking of learning as this linear thing that I learned this, and now I know this, so that's stupid. I learned I'm making it on my hand. No one can see me. I forgot it was on a podcast, but instead of it being linear, which is so much of what ends up happening in our rural this dichotomy, Oh, well, biomechanics is stupid pain. Science is everything like, instead of it becoming linear in our thoughts is to think include and transcend. And instead of it being a linear line that it'd be concentric circles. And I was like, Oh my gosh, if I could be a learner like that, always if I had started my thought processes that way, like, wow, that would have been important for me as a person growing, but as a clinician growing to like that, instead of it becoming these battles that we get between these dichotomous, like VMO and like Karen, you remember BIMA, well, remember BMO, but instead of these like dichotomous thought processes, let's see, what can we continue to include? Speaker 3 (53:05): And then how do we transcend it doesn't mean that what we used to think was horrible and versus stupid. It's like, how do we keep building on that in concentric circles versus this linear thought process? So, yeah, so that was, that was just on my mind today. Speaker 2 (53:19): What wonderful advice it's like, it's like a reverse, it's like a reverse funnel. Yeah. Yeah. It just keeps getting brought. Our perspectives should broaden our questions should really never be answered. Like we should never get to the end of that. Do you know what I mean? And I just, I, anyway, it was a really just as so much has changed and, and it's been a really challenging year for all of us. I thought it was a, and we're headed back to a new transcendent, normal that I hope will bring a lot of changes for all of us. You know, I just, it was, I, I think it's a really important perspective as clinicians to, so I thank you so much for sharing that and thank you for spending the time today and tomorrow. I know, and tomorrow is our round table with you and Ellie and Chris and, and Tom. Speaker 2 (54:08): And I was saying like, gosh, to have the four of you on like one stage is like, Holy crap. I can't even believe it. So thank you for that. And so everyone you can find out how to join us all by going to podcast dot healthy, wealthy, smart.com. I mentioned it in the beginning, in the intro as well. So Julie, thank you so much. I appreciate you and appreciate your, your knowledge and your insight. Well, thanks so much for having me again, Karen. I appreciate it. And everyone, thanks so much for listening. Have a great week and stay healthy, wealthy and stuff. Speaker 1 (54:38): Mark, 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.
Aqui tienes TODO un viaje musical; a finales de los OCHENTAS hubo muy buenas canciones y creo fue un momento cumbre para el POP en Español. Asi que aqui tienes un gran episodio Flans, Timbiriche, Luis Miguel, Aleks Syntek, Olé Olé, Fresas, Laureano Brizuela, Litzy y claro Christian Castro. Está Padrísimo !! DjFerPOP
Pinkylovers
Bienvenido (a) El profeta Daniel fue un personaje ilustre. Era un brillante ejemplo de lo que los hombres pueden llegar a ser cuando se unen con el Dios de toda sabiduría. Se nos ha dejado un breve relato de la vida de este santo hombre de Dios para ánimo de aquellos que en lo sucesivo sean llamados a soportar pruebas y tentaciones. El tema de hoy lleva por título "Un personaje ilustre " Les invitamos a escuchar y compartir este tema.
On this episode of the Healthy, Wealthy and Smart Podcast, I welcome Dr. Sarah Smith, PT, DPT to discuss how women can cultivate their core confidence. Dr. Sara Smith specializes in assisting female leaders, healers & creatives re-activate their Core Confidence. Specifically, women who wear many hats and desire to leave a legacy with less burnout and greater personal joy. In this episode, we discuss: -How women focus attention on external approval and achievements/external successes. -Why we need to be connected, aware and in tune with our pelvis. -Messages the pelvis (and body) may be giving us that we are missing -Core Confidence-what it is. why it is so important -How does reducing urgency in daily life payoff- how the mental affects the physical body. -How mental and spiritual Core Confidence and awareness of our Core can affect physical core strength. Resources: Dr. Sarah’s Facebook Dr. Sarah’s Instagram Dr. Sarah’s LinkedIN Activate Your Core Confidence Workbook Discover Your Joy Coaching Session w/ Dr. Sarah A big thank you to Net Health for sponsoring this episode! Learn more about the Redoc Patient Portal here. More Information about Dr. Smith: Dr. Sara Smith specializes in assisting female leaders, healers & creatives re-activate their Core Confidence. Specifically women who wear many hats and desire to leave a legacy with less burnout and greater personal joy. Her unique approach focuses on connecting women back to their Core which holds authenticity, choice and immediate solutions so one can thrive both personally and professionally in all life situations. This activation is vital so that women leading their families, communities and companies can stay fully present in all situations in order to Communicate & interact authentically and calmly Finally feel their private life & success matches their professional success with greater freedom, confidence, peace, focus and direction. Flow through daily tasks and commitments with more focus, ease and an organized plan Improve physical strength & major health gains Live Wild & Bright- meaning! connected to our true, authentic, soul calling She has blended her professional expertise as a Doctor of Physical Therapy- specializing in Women’s Health and Chronic Pain Management, Certified Yoga Instructor & Certified Wellness & Life Coach. With every personal & group experience Dr. Sara Smith offers, she is dedicated to the goal of assisting women of all ages to step back into their Core Confidence. Read the Full Transcript below: Speaker 1 (00:01): Hey, Sarah, welcome to the podcast. I'm happy to have you on, Speaker 2 (00:04): Thank you so much for having me, dr. Litzy. It's glad to be here. Speaker 1 (00:08): Yeah. And so obviously I'm a physical therapist as are you, you have specialized in pelvic health and women's health, and then you have also kind of made that transition for at least part of your career into coaching, mainly other women from around the world. So before we get into the meat of the interview, I would love for you to share with the audience a little bit about your sort of career trajectory. Speaker 2 (00:40): Absolutely. Yes. So it's a, it's a little professional and it's a little personal, so it's the story tends to track with a little bit of both. I also went and got my yoga certification and that was actually the first thing that I did after physical therapy, you know, from, from physical therapy. A lot of that came because you know, in our profession we have a high turnaround and burnout ratio there at times. And I was a chronic fixer and helper and I was good at what I was doing to the point where I, you know, anybody came in and I was ready to, you know, help them with their issue. And so I went to my first yoga class, really just to chill myself out, get a little bit grounded and get, get real. And then from there it really almost overnight, it, it drastically shifted the way I was showing up and treating my patients at the time. Speaker 2 (01:42): I realized that kind of less was more, I realized that it was more important for me to listen instead of coming in with a plan and, you know, my own action sheet and really meeting people where, where we were, I think I was always empathetic, but it, it really enhanced that. And on top of that, I stopped getting sick. I was averaging, you know, a sinus infection once a month and just burned out already and young because I didn't want to, you know, you didn't want to fail having that syndrome. So really yoga kind of came first and then that solidified me for a while. I kept into the physical therapy world. I've always lived in rural areas in Virginia and I was on the Eastern shore of Virginia and I'm an only child. So I do like to be the only one doing something I like to be a little special. Speaker 2 (02:40): And, and so I realized nobody in the area was doing pelvic floor work. I had in all of my internships had some sort of connection to pelvic floor and women's health work. So I, I learned about it. I kind of knew about it. I didn't know if that was something that I wanted to get into. But I knew that it was a niche in the area that I was in. And so it was when I got into pelvic floor physical therapy work that I really professionally started to see this and, and chronic pain management has always been something that I just love helping people that have been to lots of therapists, physical therapists, and in there need assistance with that. But I was just seeing this mind body connection. I was seeing how with all of these individuals, and for some reason, I just happened to be working with a lot of leaders, professionals, directors, CEOs, you know, it just was kind of happening that way. Speaker 2 (03:41): Even some like rockstars lawyers, I don't know, Olympic swimmers, all these different people and stress was also happening mentally. You know, there were things going on either in their personal life or their professional life. That just seemed to be kind of also coming into what I was noticing in their physical body. So I was learning about it personally and just my own interest. And then I also was seeing it professionally and I was seeing when I started incorporating some of the yoga, you know, some of the mindfulness based practices and stress management breathing that I was getting better results. And I just am a result junkie. You know, I'm not interested in putting a patch on something. I want somebody to come back to me six or seven or 10 years later and be like, I'm still using what you did. So there was that. Speaker 2 (04:34): And then on top of that what I got into pelvic floor therapy, my started having children and my, our, our first child who's now seven was we found out at a very young age that he had an ultra rare genetic mutation. So it was de Novo. It wasn't for my husband or myself and severe speech apraxia. So I started getting, you know, deep into the world of executive functioning and,ureally learning more and more about kind of, I always loved the nervous system, but, you know, I became even more fascinated with how to manage that,uand, and work with it. And so that, those two things kind of happening simultaneously are what brought me into, into coaching. Umnd specifically working with female leaders, hecause that, I don't know, that's just like a deep within personal mission is I feel like women are here to make a major contribution. Speaker 2 (05:42): I feel like the time, the time is ripe, the time is now. But we've learned and write in it in a great way. We've learned from a very male dominated structure,uwhich doesn't always work for women. And,uit can, it definitely works. It's not that it's, you know, not working, but there, there are some things that need to slightly shift and,uI'm just, I really want to be able to contribute to women, being able to be in these leadership roles and do it without as much burnout do it without as much self-sacrificing,ufamily sacrificing community sacrificing. Uso yeah. Speaker 1 (06:32): Awesome. Well, thanks for that. Thanks for kind of letting the listeners get a little bit deeper into kind of who you are and why you do what you do, because it all leads into our discussion today. And it's, it's really all about as you say, why we need to be connected, why we need to be aware and in tune with our pelvis. So as a physical therapist, we can all agree that yes, we need to be in tune with that area. Everyone has a pelvis, everyone has that musculature and, and the functions of but coming from, I think your unique perspective of both physical therapist and coach and looking really beyond just the pelvic floor, which we should all be doing anyway. So, so give us your take on why we need to be connected. Speaker 2 (07:25): Yeah. You know, I've seen in, in the realm of success, leadership, entrepreneurship anybody who's, who's type a you know, th there's a lot of overthinking long to do lists. There's a lot of being up in our head, you know, w where do we go next? And I say, we, because this, you know, I've, you're only a great teacher if you've been there yourself, right. And, and are still in the depths of it. And so, you know, we th there's lots, that's constantly swirling up in our head, but we also know, and, and, you know, a variety of different resource research sources have shown us this, that we can't access all of the solutions to our biggest professional, personal life challenges. If we're in constant thinking mode all day long, not to mention, you know, roughly 80% of all thoughts are habitually negative, which is not very helpful for solving problems. And so the reason that I am so drawn to what I call, you know, well, it's not just me calling it a core confidence and getting people specifically into their pelvis and back into their body is, is reducing the overthinking so that we can access again, creativity, focus, productivity, you know, improved, sleep, stress, relieving, you know, hormone responses. You know, I could, I could go on and on. Speaker 1 (09:01): Yeah. And so you brought up the, the the words, core confidence. So can you explain what, what does that mean? Because I have a feeling it may mean a couple of different things to a couple of different people, but in the work that you do in helping people become more productive, improve their leadership, improve their life, what does that, what does core confidence? Speaker 2 (09:28): Yeah. I love how you said that, you know, it means something to, there's lots of different ways to describe it in there. There really is. You know, to me, and also the, the clients that I've worked with for many, many years now, it means freedom. It means expansiveness. It means seeking joy. It means effectively, you know, being effective at what they do. Meanings means also having more energy core confidence really is being able to go within yourself and access that wellspring of inner wisdom really access your, your yes or no. And a lot of times, and this is, this is actually comes from, from those in the research field. Core confidence also is a mixture of self-efficacy of hope of optimism and resilience. External confidence. I don't think we should be talking about core confidence without also touching on external confidence and external confidence is what the majority of us learn to, to seek after. Speaker 2 (10:43): And we're constantly seeking after it. The external confidence is, you know, does dr. [inaudible] Like me, or, you know, what I should be doing right now, or, you know, these are the, the, the dreams that, that others are doing. So this marketing strategy has worked for them. This app has worked for them, let me do this, let me, you know, follow this meal plan. And so, you know, we're constantly as humans chasing others, things that have worked for them. And, and we're very often, again, not realizing we're up in our head and we're not really checking in with the, the little voice that's like, that's kind of a waste of time. Speaker 1 (11:32): Yeah, totally. I, I always find that it's so much easier to look for that external validation and get our confidence from that external validation, then what we do than what we think we are doing. Does that make sense? Solutely yeah, so I, I mean, and, and we're all human and all humans fall into that trap. So can you kind of give us an example of how you might work with someone to help develop this core confidence and help to bring in more joy and help get them a little more grounded into themselves? Are there any sort of exercises or things that you do with people that you can give this as an example? Yeah, Speaker 2 (12:15): That's a, that's a great you know, I I'd say one of the main tips that I, that is probably ended up being my, my signature Sarah move,uhas been really, you know, so listening to somebody, I really love deep listening. I mean, I think when you start listening to someone, at least for me, I don't know this is, this is, h gift that I have is I start reading between the lines. Umnd actually I'm kind of diverting for a moment. A lot of times when I work with people, I don't do it over zoom. We don't do video. Umecause when you look somebody in the eye, sometimes it's hard to be a hundred percent truthful, you know, or again, you kind of fall into the, the external competence trap. Umnd so we do it all over the phone or, you know, with the video off so that I can really deeply listen. Speaker 2 (13:09): And what I'll do is, you know, if there's a belief in there for example, I was working with somebody the other day and she shared, you know, while we were talking about her personal life. And and she was like, you know, if I kind of keep having these, these, if I close the door on this relationship, I'm probably actually going to have to do a lot of hard work on myself to pick up the pieces. And what I asked her was, well, well, is that true? That working on yourself has to be hard. Speaker 1 (13:47): And when Speaker 2 (13:47): We, I call it, like, we've got to, we've got to go. I like going down the rabbit hole with somebody of like, really being like, why, why are we fearful about this? Like, let's, let's talk about it. Let's get to the root and let's shine the light on what, what the narrative is with this overthinking piece. Once we shine the light on it, half of the work is done because we've brought in awareness. And whenever you bring in awareness works time. Speaker 1 (14:18): Absolutely. Yeah. And it's, it's, you know, that you're right. Being able to listen and listen well is a gift, but it's also something luckily that can be practiced and can be worked upon as physical therapists. I think a lot of us, a lot of us are pretty good at listening. But when you work with, like you said, that chronic pain population, you really get, I think, a lot more in tune to what the person is saying. And you also learn how to ask those questions to draw out more thoughts. Speaker 2 (14:54): Absolutely. Yes. And here's the interesting thing that I've found. Okay. and, and I, a lot of this comes from like archetypes and youngian psychology is we have different aspects of our, of our psyche and of our personalities. Right. And a lot of times what you'll find is we learn these skills, we practice these skills professionally, but when it comes to the, behind the scenes for ourselves, we're almost like different people. I had a client the other day, you know, she is a director and has, has a large, very well-known board behind her. And and she's like, you know, if the board was to be a fly on the wall and kind of experience my personal life, they they'd be like what, you're not even the same person. Because suddenly things become matters of the heart. They're no longer again, the, the head, you know, so professionally relating people through this very well yet, we're not really sometimes having that, that advisor, that best friend, that we didn't even know we needed behind the scenes to help us hash out our own stumbling blocks. And that's where I think in, in leadership and entrepreneurship and being a CEO of, you know, your business and your life and trying to be healthy, wealthy, and smart, I think that's, we need that now. Speaker 1 (16:22): And why do you think that's so hard Speaker 2 (16:24): To, Speaker 1 (16:27): To confide in others of, you know, it's, it's a lot easier to say, Oh, you know, I, I didn't have any new patients this month. So, you know, I really w what do you think, how can I help? How can I get more patients? That's easy, right. To talk about our business and, and to talk about our our professional life. But why do you think it's so hard for people to confide in others on a more personal level? Speaker 2 (16:55): Hmm. I love this question. I really love it. Of course, I'm sure it's very multifactorial. I find that I don't, you know, I don't have any research on this, but I find that if you start looking back even into it and not like massively, but you start looking back into childhood, you know, where a lot of habitual patterns are formed and thought patterns are formed. A lot of times you'll see, you'll see trends there, but, you know, one vein of research shows that about half of all CEOs, those at the top are experiencing loneliness and loneliness in the sense that, you know, there has to be a level of healthy ego and confidence, right? B core confidence or confidence in order to want to succeed. You know, all sorts of people are teaching us out there and showing us that, you know, you gotta have some grit, you gotta have some resiliency if you wanna play this game. Speaker 2 (18:01): And it is a game. And so, you know, there there's factors of like, you can't trust everyone, right. If you have team members underneath of you traditionally that's really changing, I think, but traditionally we're taught, you know, you don't mix business and personal life. You don't do that. That's a no, no. Now you'll see that changing. And that's continuing to change because you know, many psychologists are beginning to study really resiliency and entrepreneurship and, and understanding more specifically how they're tied together, because it's, th that's really just a new field of, of understanding. He can't trust people, you know, and I think many have experienced, again, maybe it was in the past or more recently you know, you do share some of those personal moments and it might come back to bite you or suddenly the, the inner critic and other thought thought in the brain comes up and says, Ooh, that was not a good idea. You're probably that is going to backfire. You know, that could make you look weak. So I think it's very multifactorial. Speaker 1 (19:16): And I guess this is kind of where having someone, you know, outside of your direct business to have as a resource and to help you as a coach I guess I would, I'm assuming that that's where coaching comes into play, because you can kind of be that person to sort of help with the personal and the professional, because I can only assume that they're closely related. Speaker 2 (19:44): Right. They are way more closely related than people realize. And your professional self that like the way you act professionally is often different than the way you act and your personal life. Like, can you, can you relate to that? Speaker 1 (20:02): Yeah, of course. Okay. Speaker 2 (20:05): And so, you know, cause I, I, yeah, same thing for me too, but I'm always interested, you know, in what, what somebody, his answer would be. Speaker 1 (20:12): Yeah, no, there's, there's no question that, that we're a little different in our personal life than in our professional life. And, you know, it's funny to say, because I was having thoughts around that yesterday. Because you know, we're all human, right? Every once in a while, like we screw something up, we say something we didn't want to say we regretted afterwards. And yet you're vilified for being a human being. You're vilified for saying something that, yeah, like maybe what you said, wasn't the best thing to say, but you take ownership over it. You say, Hey, listen. Like, yeah. I mean, I, you know, I let my emotions get the best of me, which never ever happens in my professional life. Right. Right. In my professional life never happens. And yet all of a sudden you're demoted in the eyes of so many people, but all you did was you were just a human being and you said something, or you wrote something that you later like, ah, I can't believe I did that. And because it's not a podcast, we can't go back and edit it out. So I think that there is this, this weird kind of, if you start to melt the two together, you're going to be screwed. Speaker 2 (21:33): Yeah. It's a way or another, it's a belief. Absolutely. And I think that we need guidance to blend them appropriately, you know, because the answer is not, well, you'll see this as a marketing strategy now. Right. Where it's like, okay, show the behind the scenes and show yourself and be yourself and dah, dah, dah. Well, I think that there's always a, a middle ground to all of that, that we need to be aiming for. And again, it has to feel true to you, you know, like you have to get back into a state of checking in with yourself and not checking in with the head and the thoughts of like, okay, is this an alignment for me? And so, you know, in a lot of cases when you're blood, when you're, I like drawing on the professional self, like let's say, I might say, okay, what would professional dr. Speaker 2 (22:23): Litzy do when we're talking about something personal, because that's how the, the, the two aspects of you can really start blending together and start working together as a team and be like an integrated, whole healthy, beautiful person, right. Uwho can stay true to your individual values? You know, we get to like explore what those individual values are and being true to those,uin, in order to make it work for us, I've ever really cool example of a client who,ushe's in the hospital system and I'm pretty high up. And she was offered. We had been working for, I don't know, probably three to six months or something we'd been, she had been, and we were mostly working in the personal field, you know, but of course the professional always, always blends in. And she had been offered this incredible opportunity to lead this team. Speaker 2 (23:25): This was just in addition to her goals that she already professionally had for the year. And as she sat with that, and as I sat with that with her, she realized, you know, if this had been last year, I would have said yes to that. And I'm very flattered, but the truth is, is if I say yes to that, then all that I'm doing to take care of myself so that I can show up to meet my professional goals is actually going to be derailed. And so at that moment, it wasn't in alignment for her. And what was even better about that was then she was able to go to her boss and to communicate that I call it like, you know, communicating from the core, but communicate that not from up in the head like, Oh, no, I wonder what I'm doing. I hope, you know, hope I'm not really screwing this up, communicating it with authenticity, with crowdedness, with strength, right. With empowerment. And, you know, her superior was like best decision you ever made. I really appreciate it. Really championed to her now, how awesome would that be if we could have more of that in our small businesses and in all of our workplaces and all of our organizations, Speaker 1 (24:43): I mean, that's an ideal situation when the ideal situation, but I think it's hard when you're constantly kind of seeking out success and seeking to be quote unquote the best at what you do and to get that recognition and to build your business and to make more money. So you can live the lifestyle that you want to live and provide for your family or your friends or whomever is in your, your world. But how does, how does making these decisions, like you said, these sort of more grounded decisions where, where they are emotional versus making these decisions as strictly like pros and cons, like an intellectual pro and con list, you know what I mean? So how do you, how do you coach people in that tug of war? Speaker 2 (25:41): I hope I can answer the question of how do you coach people, because sometimes you just have to see it, you know, and experience it. But you know if you look, if you talk to anyone in the financial world, the stock market is emotional emotions drive everything. That's true. Right. And you know, if we're the faster, we're aware of that, the more tapped in that, that we're going to be. And so that's actually, what's happening is a, is a lot of times where we're making these leadership decisions, we're making these personal decisions when we're in a state of emotion. And often when we're, you know, emotions are coming from thoughts, right. You know, you know, the, the, the little wheel starts going and then suddenly, you know, we have these emotions with us. A lot of times you don't even know what the sensation is in the body, because we're, again, we're kind of more of in the head. Speaker 2 (26:36): And so when you can access, and what I do is often just really helping somebody with very challenging. Like I prefer the challenging situations, you know, where it's like, okay, why do I keep getting into this relationship? Why do I keep not, you know, being able to climb the ladder? Why is it I can't get, get know fit in the self-care pieces of it. And when we get to the root of it, a lot of times it's because things are happening in an emotional realm. And we've got to be aware of that, go down the rabbit hole of the actual, like fear and worry. And why, like, why are we responding the way we're responding? Why are we doing that? And then once you get to that, then you can actually get to the clarity piece where you get the clouds and the, you know, the fog out from your face. Right. You can go, okay, pro this con this dah, dah, dah, dah. Okay. Now I've got my marching orders go. And I, I don't know about you, but I like marching orders. I like to know the next step. Speaker 1 (27:37): Yeah, absolutely. And, and I think, you know, a lot of people who are in leadership positions or who are going out to be that entrepreneur, their dreams, like you are a type a person. I think you are a lot of just pros and cons. But I do think that the emotional segment of things does have to come into play because if your pros and cons from a very sort of robotic sense is, is okay, I guess, but then how is it going to make you feel, how is it going to affect your life? Are you going to be happy with your decision? Are you doing something because you feel pressure to do it because you have to do it, quote unquote. So I think being able to tap into that core confidence in that and your core values in order to help you make decisions is important. So it's like, I don't want to be on either pole, like purely emotional, purely cerebral, but you want to have, you want to be able to kind of get in there and go down that rabbit hole, which is not easy and takes a lot of self-awareness. Speaker 2 (28:44): Yes, no, it does. And that's why it usually takes a guide. Yeah, exactly. It really does. It takes a guide and you know, again, kind of that core confidence model that was not created by me, but having self-efficacy hope, optimism and resiliency, you know, these are things with, with a lot of difficult situations that, that our, our brain just has not been able to figure out the answer to. We tend to go down on the scale of those things, right? We're not trusting ourselves efficacy. We're not feeling very hopeful about it now, fascinatingly enough, you know, those that are fixers and types day and, and, and leaders if we can't fix something, if we don't know the solution to it, we're going to avoid it Speaker 1 (29:25): Totally a hundred percent. So it was easier and it's so much easier. Speaker 2 (29:30): We are to, to help and to show up for others and to fix the things that we know we can fix. And so again, then you see an imbalance and often times it's with the most challenging things that dealing with, again, personally, or professionally that we don't want to talk about. One of my clients, the other day was sharing,uyou know, this situation just resolved, but she was like, you know, I have been sitting on this,uspace like this, this land and space for the last 10 years. And I didn't know what to do with it. Now, when we got to the root of it, it was actually extremely emotional because she's in a family owned business. And it was something that a family member prior to her set up and, you know, really loved. And so it, it, it, it was way too. She couldn't make the decision because of the emotions connected with it. Uyou know, but she was like, I've been sitting on this forever and just avoiding it because I don't know what to do. So I can think of 50,000 other things to spend my time doing. You know, you can fix the kids, you can fix your friends, you can bring it into your professional career. And then meanwhile, some of the, you know, the other aspects are, are, are missing. Speaker 1 (30:44): I know I, when I get into those, those bouts of, Oh God, I can, I like will. And it's what I'm doing right now, which is why, when you said that you could do so, so many things to avoid. I'm like redoing my bookshelves, I'm doing some shredding of papers. I'm like crazy with the home edit. And now everything's in a rainbow, you know, I've got a lot of plastic bins hanging out everywhere. That's what I do when I'm trying to like, avoid looking at deeply at other things, you know? So that's what I've been doing for the past couple of weeks is I have been like cleaning out. Like my doorman was like, are you moving? I was like, Nope, not moving. Just, just finding stuff to do around the apartment. Speaker 2 (31:30): Exactly. Just being a great, you know, leader in the liver of life. Speaker 1 (31:35): Yeah, exactly. Cause I'm like, well, you know, if you come home to a nice clean apartment, it's better for your head. You can concentrate more when, you know, I probably need to go dig a little deeper and see, why am I doing all of this? And I know it's not just from watching the home edit, although it's a nice show. I'm sure it goes a little deeper. Speaker 2 (31:56): Well, it does, you know, and I'm glad you brought that up, you know, your, your personal situation, because I think that that helps all of us so much, you know, it's always nice to know when we're not alone. Right. And but you know, one of the biggest things that I've found in doing this work for as long as I have is people say to me, yeah. You know, I just, you know, everything you do sounds really great. Like that sounds awesome. It sounds like it really be helpful for me. And like, I don't really think I will, but I don't really think I want to go there. Uand we think, again, we think it's going to be hard, right? Like I was mentioning the client, the client earlier,u Speaker 3 (32:40): I have found that, Speaker 2 (32:44): And I think this is just my personality, but it's like, we got to make this fun and we gotta make this. Or action-oriented we kinda got to get the show on the road. So it's like, you know, again, if, if we're, if we're trying to leave a legacy, if you're trying to, you know, be productive and not give up on the idea that we have, you know, have success, then we are in a state in our country and in the world where, where we, we, yes, we can all, you know, afford to sit down on the couch with the weighted blanket and the wine and the ice cream, you know, but, but I just don't believe that, that we can afford too much of that anymore. I really don't, you know, like I, I need, I really feel so strongly that like, I need everybody to be functioning at a high level and it, it can be fun. Speaker 2 (33:40): It doesn't have to be like, Oh gosh, I'm, I'm, doesn't have to be so stressful. Yeah. Or like annoying, you know what I mean? Like, nobody really wants to like, look at themselves and see their shortcomings. And it's not about that. Like anybody that's trying to tell you it's about that. Th that's probably just perfectionist behavior showing up. It's not about that. It's about like, you've got to tap into your greatness. And when I say your greatness, meaning like just our essence, like our purpose of being here on earth, like something greater than ourselves, we've got to tap into that. We've gotten away from that. You know, that, that radical act of self-love that that's not just let me go draw a bubble bath. You know, that that is radically like, you know, we're all beautiful and we're here to share something great. Speaker 2 (34:37): One of the, one of the most upsetting thing, NGS, m don't know if you've ever experienced this, but, you know, as a physical therapist, when somebody has, host a limb or their pelvic floor is not working and they're upset with, you know, they have prolapse and they're like, Ugh, Ugh, this uterus, or, you know, gosh, my arm just looks awful. Now that pains me to my soul because I'm like, Oh, you know, like, gosh, your body has done so many miraculous things. I understand. And I empathize why you feel that way, but it, it makes me sad. And one of the things that has made me sad and being, you know, an advisor and a best friend to, you know, leaders who didn't even know if they needed that. Um,e of the things that makes me sad is when somebody comes to me and they're willing to just for a second share, I don't know if I can keep doing this anymore. Speaker 2 (35:35): I've thought about just giving it all up and going back to a simpler way of life and the same sort of thing. It makes me sad. Cause it's like, no, no, no, no, no, we don't. We don't have to do that. Like, you know, you, we don't have to, we just have to find some balance, right? Like you said, we don't need to be on one extreme. We don't need to be on the other extreme. We need to be somewhere in the middle and finding that is like super, super small finite changes. It's not the giant crazy things that changes that we like to make in our lives that we, you know, we think are going to be the solution. Yeah. Speaker 1 (36:10): I, I agree a hundred percent. And I think on that note, because I could keep talking about this all day. It's sadly, I don't know if the listeners want to listen to it all day. I'll do. I think they might. But I feel like we could keep going on and on here. But that being said before we wrap things up, just a couple of other things, number one, what, what are some of the big takeaways, or if there's one in particular takeaway that you want the listeners to leave this conversation with? Speaker 4 (36:46): Wow. Speaker 2 (36:47): I wasn't prepared for that. Dr. Lindsay. There is what I would say. The big takeaway that I really hope everybody understands is that when we get out of our head a little more often and start listening to the messages of the body, start listening to the messages of within then we really activate that core confidence. We step into a more effective way of leading and living and that's available to everybody and it's time to take it. Beautiful. Speaker 1 (37:26): That's a beautiful takeaway. Now you're welcome. And then of course, the last question that I ask everyone is knowing where you are now in your life and in your career, what advice would you give to yourself right out of PT school, a newbie. Speaker 2 (37:42): Ooh. Oh, this is, this is a fun one. So when I was in PT school, I knew PT was going to be a jump jumping off point for me. Ubut I, I didn't feel confident in that. And so honestly, what I would have said to myself then is, you know, yeah, you're a little bit of a fish. Speaker 1 (38:06): Yeah. You're doing things a little bit differently Speaker 2 (38:08): And it's okay. Just own, own your worst, keeping you which I'm sure I've always been doing, you know, but, but really telling myself that and gifting that to myself, that it's okay. It all starts lining up just one step at one step at a time. Speaker 1 (38:25): Awesome. And where can people find you? So social media or what's the best way? Yeah. So the best to get in touch with you, Speaker 2 (38:36): There are just so many ways to get, to get in touch with me. Of course social media let's see Facebook and Instagram is dr. Sarah Smith official. I'm also on LinkedIn, dr. Sarah Smith. It is Sara without an H. Usually people always are putting an H on my name, which is like, Speaker 1 (38:52): Denise is a Sara without an H. So I am very well aware of it. Speaker 2 (38:56): Thank you. And then www dot dr. Sara, D R dr. Sarah smith.com awesome. And website. Speaker 1 (39:06): Perfect. And we will have all of those links up at the podcast website podcast at healthy, wealthy, smart.com under this episode. And you saw, you also have an activate core confidence workbook that dr. Sara has so generously given as a free gift. So if you go to www.dot dr. Sarah smith.com/core hyphen confidence, did I get it right? You did. Perfect. And again, that will also be in the show notes, if you want your free gift from dr. Sarah, which is very generous. Thank you very much for all of the listeners, go and grab it from the show notes. So Sarah, thanks so much. Like I said, I could talk about this forever. It'll turn into a therapy session and that's not what you're doing here. I will not take advantage of you in that way. Speaker 2 (39:57): We can, we can do it at that. Speaker 1 (40:03): Thank you so much for coming on and sharing all of your knowledge. I appreciate it. Speaker 2 (40:07): Oh, you're so welcome. Thank you for having me. Speaker 1 (40:09): Of course. And everyone listening. Thanks so much. Have a great couple of days and stay healthy, wealthy and smart. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on Apple Podcasts
2020/10/22 Chataing conversa con la actriz y escritora del libro "Ir al cielo y volver" Leonor Varela; con la actriz y cantante Litzy; y con la actriz porno Sirena 69.
We are on the precipice of a game-changing election year. Too many lives hang in the balance, too many issues on the ballot for any of us to be indifferent. In today's episode Raizel, Litzy, and resident ghost Ms. Huq discuss the ways in which they have advocated for issues at home and abroad. P.S. Please vote. Not just in this election, but in every election you can. Your voice matters. Support the show (https://www.gofundme.com/f/sssh-periods)
Raizel, Litzy and resident ghost Ms. Huq talk about the various issues on which they have taken a stand. It's beyond hashtags and wokeness, y'all. P.S. Some of us were all over Disney+ when it released #Hamilfilm, and it shows. Support the show (https://www.gofundme.com/f/sssh-periods)
En el programa de hoy abrimos la conversación con Litzy acerca de su incursión en la comedia con la película Manual para galanes. También conversamos con Lele Pons, acerca de “se te nota” su más reciente sencillo en colaboración con Guaynaa. Y en nuestro jueves de letras platicamos con Michelle Griffin, Eidtora de Penguin Random House, acerca del libro “Las tinieblas y el alba”.
When it comes to canceling someone, why do we have different standards for what actions are deemed cancel-able and what actions aren't? And how come women seem to get the short end of the stick in these scenarios? Raizel and Litzy discuss. Support the show (https://www.gofundme.com/f/sssh-periods)
Welcome back! We're kicking off Season 2 with an interview with resident Florida woman Litzy. Florida's been in the news for a few different reasons -- no mask mandates! Reopening schools in August with no social distancing guidelines! A Disneyland rollout straight out of some dystopian future -- and Litzy has some thoughts to share. Support the show (https://www.gofundme.com/f/sssh-periods)
Litzy - Habla sobre el amor - Manual para Galanes --- Support this podcast: https://anchor.fm/ari-global-show/support
It's been 365-ish days since Sssh! Periods received the phone call that would change our lives. One year since winning NPR's Student Podcast Challenge, where are we now? Raizel and Litzy, our two out-of-state correspondents, jump on this conference call to fill us in. Spoiler alert: 80% of this episode is about how Wawa and Publix could never level up to a Bronx corner store's version of a bacon egg and cheese. Support the show (https://www.gofundme.com/f/sssh-periods)
Aquí te hablaré del año que estuve encerrado sin salir a la calle mientras me curaba del acné. También de las Spice Girls y Litzy que fueron mis compañeras imaginarias, y también te contaré de la doctora dermatóloga Olga Navarrete Prida que salvó mi vida.
Episode 123 Had such a great time with Dr. Karen Litzy. She speaks my language about health and her story of healing is amazing. The journey that she goes on, finding herself and her body, is amazing. Diving into neuroscience and self is the perfect combo to finding health. She offers so many insights that I think so many of us can thoroughly connect to. Dr. Karen Litzy, PT, DPT is a licensed physical therapist, international speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit. Through her work as a physical therapist she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends. As a podcast host she has interviewed influencers in the worlds of health, medicine and entrepreneurship including Gloria Steinem, Dr. Karim Khan, JJ Virgin, and Prof Lorimer Moseley to name a few. Dr. Litzy has presented on a variety of topics including her personal journey with chronic pain, the neuroscience of pain, utilizing social media as a medial professional and technology and informatics in healthcare. Karen has been featured in magazines and websites like Redbook, Women’s Running, Martha Stewart Living, Thrive Global, Family Circle, Health.com and CafeMom. She has been a guest on several podcasts including Entrepreneur On Fire, Hack the Entrepreneur, and The Healing Pain Podcast. She lives in New York City.
No son pantalones de mezclilla, sino, pop de los noventa, letras sin sentido, un representante ojete y muchas, muchísimas, ex integrantes: hoy platicamos sobre la trayectoria musical del grupo Jeans. Presentado por: Carlos Vázquez Gutiérrez. Invitado: Alejandro Verduzco. Blog: https://carlosvazquezgutierrez.wordpress.com/ Instagram: @unoschilaquiles Twitter: @unoschilaquiles
On August 3, 2019 a gunman opened fire in an El Paso Walmart and killed 20 people. Less than 13 hours later, a separate gunman opened fire in Dayton, Ohio and killed 9 individuals outside of the Ned Peppers Bar. Instances of mass gun violence have become a recurring story in the U.S. news cycle. Producer Litzy Encarnacion has some thoughts. Support the show (https://www.gofundme.com/f/sssh-periods)
On this week’s episode of the Healthy, Wealthy and Smart Podcast, Jenna Kantor guests hosts and interviews Cameron Massumi on new graduate engagement within the American Physical Therapy Association. Cameron Massumi, SPT is the president of APTA's Student Assembly Board of Directors. In this episode, we discuss: -Cameron’s passion for new graduate engagement within APTA -Inclusion and diversity within APTA -How to engage in networking events -Ways you can get involved within your professional organization -And so much more! Resources: Cameron Massumi Twitter Outcomes Summit: Use the code LITZY for discount For more information on Cameron: My name is Cameron Massumi, and I am the President of the Student Assembly Board of Directors. I believe that APTA serves an integral role in ensuring the future of our profession through advocacy, public awareness campaigns, and the sharing of a unified vision. However, there is, unfortunately, a marked decline in membership as students graduate from PT school and become active clinicians. It is my goal to stop this from happening and hopefully bring new graduates back into the APTA. My strong background in sales and marketing as well as my leadership experiences prior to entering PT school will allow me to bring a unique skill set to the Board of Directors. I will use these skills as well as my connections to ensure membership and engagement increase so our profession can continue to grow and become stronger. My vision is that through my leadership the student assembly can help promote awareness of the profession, increase diversity, and boost member retention. As a profession we need to collaborate, innovate, and strive for excellence. APTA is the best tool to ensure the success of our profession so that we can #MoveForward, so let’s get together and create some real change. After all, we’re #BetterTogether! For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt Read the full transcript below: Jenna Kantor: 00:00 Hello, this is Jenna Kantor with healthy, wealthy and smart. I'm here with Cameron Massumi who is currently the APTA student assembly president, all those things, however you prefer to pronounce it. First of all, Cameron thank you so much for coming on. First of all, it is a joy to interview this gentleman before we go into our topic on new grads. Cameron is one of those rare bulls who has massive stamina where he ran twice to become part of the student assembly. And that alone just shows that if you've seen the movie Rudy where he never gives up on his dream, Cameron, you definitely exemplify that. So thank you for being a person with the stamina to run again. And very, very well represent students at large. Cameron Massumi: 00:49 Oh, thank you for that Jenna. I have to say that I wouldn't say it's a stamina aspect more than it's just perseverance. I think you really learn from your experiences. I did run twice the first time I was unsuccessful. But I'd say that I gained a lot of knowledge from that. You know, you learn a lot about who you are. You really take the time to do some introspection and see what are the areas that you're most passionate about and you find ways to stay motivated and stay involved. I was thankful to the previous board. The students tell me they really helped me find an area in which I could contribute. And so I was a member of the professional advocacy committee and did some work on playing national advocacy centers and then did what I could to stay involved and really kind of figuring out what I would like to work on the next time around when I applied. Jenna Kantor: 01:41 I love that. I love that. All right. Let's now jump into the new Grad stuff now. Why are we talking about new grads? Cause right now you're currently a student. I actually am a new Grad. I'm experiencing what we are going to be discussing. So why do you specifically have a passion for new grads and have some futuristic plans for that, which we will get into in a bit, but why specifically new grads? Cameron Massumi: 02:03 Sure. I think the best way to address this is looking at friends and connections that I've made. I think APTA does a phenomenal job of first of all engaging students and finding a platform for them to have their voices heard and for them to be able to network with other individuals. You know, firsthand that we can make some great lasting friendships. But what the APTA I think struggles that a little bit is retaining some of that engagement when it comes to new grads. We have no secret that we have a decline in our member basis as people transition from students to working professionals. There's a positive in that the trend is moving forward as we are retaining more and more. I think early career started years has incentivized the ability for the association to retain members. Cameron Massumi: 02:51 I think the fact that with our rebranding that we're currently going through as an association, we're finding what matters to its members and really utilizing that to make the association more applicable and more exciting for demonstrating value to members. For me as a person that's about to embark on my own career, transitioning from the role of student to professional it's how do I find a way to stay engaged and how do I find a way to contribute to not only association but my profession. One of the things that most of the feedback that I get from a lot of my friends having graduated is they feel that they're going from a space where they have an existing platform to, you know, share their views and their desires within the profession to one where they don't. So this is a passion project of mine and something that I'm really looking forward to contributing on. And I think APTA's done a commendable job in engaging student voice and looking for collaboration on this. Individually myself, I'm looking at utilizing my state chapter to help with this. But also really pulling students and seeing what we can get collaboratively and seeing where that goes. Jenna Kantor: 04:17 I love that. So regarding new grads, how do they have a voice right now? Cameron Massumi: 04:23 Ah, it's interesting question. I think that ultimately it comes down to you finding your voice. You can use social media. It's a very powerful tool. You can use open floors within APTA. We just had our house of delegates and there's plenty of opportunities for members to get involved there. You can become an active member in your delegation. You can seek leadership opportunities within your chapter, within sections, academies or even at national office. I think that there is a plethora of opportunities for people to utilize. But it ultimately, it comes down to you what level of motivation that the individual has. Jenna Kantor: 05:02 I want to dive a little bit deeper onto the negative specifically for us as new grads and anybody who's listening, not you, you're not a new graduate currently a student. But for being a new Grad, there is definitely a dropoff. There are these opportunities but a lot of it has to do with after five years of experience, doors really do open for getting to apply for some greater leadership positions. And even that when you go, well for me, I specifically experienced this in my state, there is still a level of trust, meaning distrust for me being a new face and energetic face, a creative face, not somebody who's been around to learn the ways of how that specific area wants it to run. So would you mind speaking on that? Where is there a voice for somebody who is still waiting to be trusted? Cameron Massumi: 05:53 Sure. Tough question. Thank you for that. I'd say a lot of that really just comes down to you as an a association, as a profession or as a whole what we are doing to uplift and support individuals. There was a good bit of discussion at house of delegates and at next about diversity, equity and inclusion and for our student assembly meeting at next conference we had a round table and we invited some key panelists as well as students to share their insight and experiences on the topics. And it's interesting because when it became apparent really quickly is how diversity was highlighted almost exclusively at equity and inclusion. I think that as we try to shine more light to that and looking at what equity really means and inclusion and equity, meaning truly leveling the playing field and supporting people and giving them all the tools they need to have equal opportunities. It's not just saying here go, we're really building up individuals and letting them get to a place where they can create change and they can make their mark. And inclusivity is just ensuring that we're doing that with everybody and we're bringing them to that point. Jenna Kantor: 07:29 I just want to express my appreciation for this. With the diversity, equity inclusion coming up in these conversations at this conference, at the house of delegates. It's great, although we do not have a game plan at this moment, which is very clear in this conversation. It's good that it's being brought up on the national level, not just at the state level. I definitely personally represent this being a person with a personality that is out of the norm. Now, if I went to musical theater people, I'm in the norm. My personality blends in and actually Cameron, you would stand out. So I do appreciate that it's beyond just the color of your skin. So I appreciate that the equity and inclusion is also being included in this whole picture with the actual definitions to provide the opportunity that people, so desire. Cameron Massumi: 08:23 So the quote about diversity is being asked to the party and inclusion is being asked to dance. And I think that's a pretty powerful statement if you really break it down and you know, I commend APTA for their effort in or renewed effort in ensuring that we move forward with this as a profession. But it's really interesting. You know I see a very diverse group of people that come to these conferences and in my program back at Virginia, I see a vast diversity within our student population. Inclusion is one of those ones that's a little bit harder to utilize. Because you can't really force somebody to do something. You have to elevate them and promote a way in which they can take that opportunity to really get their voice out there and heard. And, and I think that we're moving in the right direction and it's exciting times and I can't wait to see where it goes. Jenna Kantor: 09:24 Yeah, yeah, for sure. I think I really liked that you gave that definition. It was worth the wait. It was worth it. So for me, I was just at house of delegates to share a little bit and I'm new. It was my first time at house of delegates. So as a new Grad I went there and I was not voted in as a delegate, an elected delegate. But I was an alternate delegate and with that I was able to attend and sit in the gallery, which is in the very back in order to just listen and learn, which is very valuable during the breaks I am very extroverted. Jenna Kantor: 10:05 And where for you Cameron, I mean you are present so people want to talk to you. You have that. It's amazing for me. I want to meet people. So I did find regarding specifically inclusion, which is why I wanted to, I was like oh I thought of this. I'm like, oh this'll be a great one with Cameron cause this is where your passion lies. I found myself in the room, you know when you see two people bonding that, oh they know who I am so I'm going to stand on the side and wait until you know you're kind of like smiling awkwardly on the side, you know, so I can get in the conversation and maybe have some bonding time. I think maybe one time, the whole time was it actually successful with me standing on the side because people were so focused in on their individual conversations. Jenna Kantor: 10:46 So I did not get any networking at all in at house of delegates, which was a shame. And, as you are saying right now about that, inclusion is hard because you can't force anybody. I think what I experienced would be a perfect example of a very, very eager beaver wanting to meet people. Cause that's the thing. You need to meet people. You need to gain that trust and you develop those relationships. And I'm not important enough. That's what I'm assuming where they would go, oh wait, Jenna's here, let's include give eye contact, equal eye contact in the conversation where you can somehow become a part of it even as the new person. So I really like how you're bringing that up, the individual. What are ways that we as the APTA team members where we could start thinking outside of the box outside of our own world to maybe pay attention to when we are actively being exclusionary because of the own world that we live in. Cameron Massumi: 11:46 Well first I like to say I'm sorry that you were made to feel that way. The House of Delegates is definitely crazy, especially this year when we had over 70 motions to get through. So you have a shorter amount of time and always so much to really get some of those meaty discussions out of the way that can present quite a problem to be able to communicate and network, I guess. Jenna Kantor: 12:09 Oh, for sure. But these are half hour breaks. Cameron Massumi: 12:12 Well my suggestion, I mean this really goes down to what are you doing to engage in conversation. You know, I recommend that if it's something that you're passionate about to find alternative means of starting dialogue, you know, it's fine to use the tact where you're kind of standing by respectfully and waiting, but there are other times where it may be more appropriate to interrupt but to you know, find a way to segway into the conversation and say, you know, I was just standing by and I really heard you discussing this. You know, it's actually something that I'm really passionate about. Would you mind if I shared my input? Or you know, maybe ahead of time, reach out and say, Hey, I know I'm a member of your delegation or I am a constituent and this is a passion area of mine I'd love to be involved in discussing this. Cameron Massumi: 13:10 There's all sorts of different ways that you can approach individuals and it's going to vary based on your personality and the personality of who you're trying to reach out to. So that's where I'd say it took to really start and just find ways to do it. I mean, I'm a very extroverted person. I have no problem really walking up and saying, hey, you know, I would love to engage in some dialogue, but there's other people that are more timid and you just have to find different ways of doing it. I don't think that it is plausible to really expect people to just notice you at all times and be like, Hey, like I see you over there, come on in. And I don't think that that is an issue with inclusivity, more so than the fact that there's just a lot of things going on. So, it's important for people to take more active roles to get involved with things that they're passionate about. Jenna Kantor: 14:09 This is really helpful. I mean and you make a very good point here Cameron, on just like seeing the real big picture of like the barriers, even though we may be all be in the same room of just the chaos that goes on in the rooms. And this isn't just like one thing. I mean we have these annual wonderful events, CSM, NEXT, we have the national student conclave. We had these other events which are also other opportunities and then of course the local opportunities as well. So for you, what are your future plans that you want to explore with the new grads? Because I remember us talking at Graham sessions, I believe. No, Federal Advocacy Forum. We're like plugging all these places everywhere, by the way, attend all these things at the federal advocacy forum. And you were talking about your passions, some things that you might want to develop one day for new grads. Would you mind starting to go into that? Cameron Massumi: 15:04 I'm sure I don't have any true plans at this point. All I know is that I feel that the new Grad, early career professionals population is kind of a lost area. And what I mean by that is that there's no formal engagement targeting that group. And that's unfortunate in my mind. So I'd really like to see more active participation engagements available for that demographic. And currently myself, you know, I'm looking to kind of transition from the current role that I'm in and to more of one focused on my local chapter level for a little bit as I also work to you know, further my own practicing career and then really just find a final way to increase involvement and engagement with that population. So there's a good number of early career professionals that I'm friends with that live in my home state. So I would just want to collaborate with them and see what we can get off the ground going. Jenna Kantor: 16:13 I love that. And for those who don't know, Cameron’s a champ. I cannot express enough how this is somebody you do want to meet. You do want to have in your life in some capacity because of just he is a person who really speaks his truth but really from the heart and has so much love for others and seeing everybody really have the ideal professional career that they so desire. And we had a great bonding moment at federal advocacy forum talking about this and though I have most definitely put you in the hot seat, but for reasons to really help identify that there is and what you just said, there is a gap on the support that's available right now. It's not the APTA is ignoring it, they see it, but it's still there. It's one thing to see it and then figure out exactly how can action be taken. That would be exactly what people need. It's definitely been discussed. So I really appreciate and I'm honestly happy and excited for people in your area to be getting your wisdom and you even just like figuring out what you can do. That's very powerful. So just honestly, thank you for that. Cameron Massumi: 17:25 Oh, thank you Jenna. I'm just one person, you know, and I'll speak in, like you said, from the heart, and these are just my own thoughts, but I really think that that the heart of it is collaborative efforts. You know, people from various backgrounds are gonna be able to come together and really problem solve a lot. And then as far as APTA goes, I think that they do a terrific job of acknowledging areas for improvement. And they are really actively trying to pursue avenues in which they can rectify some things and improve existing methods. I don't think that they do a bad job by any means with early career professionals, but I just don't think that it's where it needs to. I don't think that where it currently is where it needs to be. But you know, everything's a learning process and as we continue to grow as a profession, things will inevitably improve. Jenna Kantor: 18:18 Oh, for sure. I was looking at things like that as opportunities. I'm like, oh look, we have more opportunities. And I think, it is really good at looking at things as opportunities and you have to look at it in a positive light. So for anybody who might be listening and being like, ah, you know, waiting for us to say something bad. Like what is it going to, how in this particular conversation right now where we're really trying to reach out and pull in the new Grad audience, like, is it gonna do us any good to sit here and bad mouth or to actually acknowledge what the APTA is doing and how they're regularly acknowledging things. So that way it gives you a rightful reason to hope and believe in an organization that has the power to make a huge difference. They have a huge audience. Jenna Kantor: 19:02 They have a huge following. Even if right now in June 2019 just for when this goes forward, and time passes, there's one third of the population. There's no denying. Even for nonmembers they have a huge, huge audience. So it is very important. Even if you don't currently believe are not currently a member which join if you're not currently a member, you cannot deny the outreach that they have. So what is very good news? You want to hear that they're talking about it. You want to hear that it's on their mind. You want to hear that they're seeing the opportunities and are trying their best to explore it to the right thing because you know, as soon as they take action on it, they got to stick with it to see if it works, you know, and get that feedback. Well Cameron, thank you so much for coming on here. Thank you for dedicating this time. You've been in meetings this whole time and I was able to fortunately schedule you here at NEXT 2019 and I could not appreciate it enough. Do you have any final words you would like to say? You're like Mic drop to people who are new Grad physical therapists or even soon to be. Cameron Massumi: 20:14 Thank you Jenna for the opportunity. I think the biggest thing is just be an advocate for the profession and for yourself in whatever capacity that is. The APTA provides a lot of platforms for you to be able to get involved, for you to be able to get your voice out there and heard, support your PAC. You know, that's how we get things done legislatively. How we improve things regulatory too. As an example from a student perspective, you know, lots of lobbying has allowed for legislation to be enacted to help with student loan forgiveness. That's massive. You know, that helps not only students, but early career professionals and we're relieving a lot of their financial burden. Stuff like that is really powerful. Don't underestimate your voice. You have much more volume, your actions and your voice speak volumes and just find a way to get involved. Jenna Kantor: I love it. Thank you so much. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
On this episode of Vox Historia, Lizty Cardenas and Jaylene Mercado discuss the history of Chachapoyas and the Ark of the Covenant.
In this episode of the Student Podcast PODCAST, you’ll hear from the 2019 NPR Podcast Challenge middle school winners from Bronx Prep Middle School! Teacher Shehtaz Huq helped a group of 8th grade girls create “Sssh! Periods,” in which they explored the taboo topic of menstruation. Listen to hear how they went about creating their first-ever podcast and ended up winning the NPR competition, beating out 5700 entries submitted from 25,000 students. Their podcast emulates an NPR-style reported story, and includes the voices of seven student podcasters: Kathaleen, Raizel, Litzy, Caroline, Ashley, Jasmin, and Kassy. Their podcast weaves in personal anecdotes with statistics on period poverty, period shame, and the pink tax. Listen to their full podcast here.
En este episodio me acompaña la más bonita; Litzy. Quien nos cuenta historias personales acerca de la fibromialgia y cómo lleva esta condición todos los días. Litzy me recuerda a mi mejor amiga, pero sobre todo, me recuerda a mí misma y mis ganas de hacer que mis días cuenten por mis actos y no por mis condiciones. Cualquier condición con la que vivas es una razón más para seguir avanzando, nade te define. Lo que realmente hace una diferencia es cómo te relacionas con dicha condición, y lo qué haces/decides todos los días. Que esta información te sirva para darte cuenta que siempre hay opciones disponibles. Que tengas una semana increíble. Actívate, esto es "YO Mujer".
LIVE from the NEXT Conference in Chicago, Jenna Kantor guests hosts and interviews the teams from the Oxford Debate which covered the question: Is Social Media Hazardous? The Pro team consisted of Karen Litzy, Jimmy McKay and Jarod Hall. The con team consisted of Ben Fung, Jodi Pfeiffer and Rich Severin. In this episode, we discuss: -How each of the debaters prepared and crafted their arguments -Bias and how to research a question openly -The importance of respectful debate on controversial subjects -And so much more! Resources: Jimmy McKay Twitter Rich Severin Twitter Ben Fung Twitter Jarod Hall Twitter Karen Litzy Twitter Outcomes Summit: Use the discount code LITZY For more information on Jimmy: Dr. Jimmy McKay, PT, DPT is the Director of Communications for Fox Rehabilitation and the host of five podcasts in the category of Science & Medicine. (PT Pintcast, NPTE Studycast, FOXcast PT, FOXcast OT & FOXcast SLP.) He got his degree in Physical Therapy from the Marymount University DPT program and a degree in Journalism and Mass Communication from St. Bonaventure University. He was the Program Director & Afternoon Drive host on the 50,000 watt Rock Radio Station, 97.9X (WBSX-FM). He has presented at State and National Conferences. Hosted the Foundation for Physical Therapy research fundraising gala from 2017-2019 and was the captain of the victorious team in the Oxford Debate at the 2019 NEXT Conference. Favorite beer: Flying Dog – Raging Bitch For more information on Rich: Dr. Rich Severin, PT, DPT is a physical therapist and ABPTS certified cardiovascular and pulmonary specialist. He completed his cardiopulmonary residency at the William S Middleton VA Medical Center/University of Wisconsin-Madison which he then followed up with an orthopedic residency at the University of Illinois at Chicago (UIC). Currently he is working on a PhD in Rehab Science at UIC with a focus in cardiovascular physiology. In addition to research, teaching and clinical practice regarding patients with cardiopulmonary diseases, Dr. Severin has a strong interest in developing clinical practice tools for risk assessments for physical therapists in a variety of practice settings. He is an active member within the APTA and serves on the social media committee and Heart Failure Clinical Practice guideline development team for the cardiopulmonary section. For more information on Karen: Dr. Karen Litzy, PT, DPT is a licensed physical therapist, speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit. Through her work as a physical therapist she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends. She has been a featured speaker at national and international events including the International Olympic Committee Injury Prevention Conference in Monaco, the Sri Lanka Sports and Exercise Medicine Conference, and various American Physical Therapy Association conferences. For more information on Jodie: Jodi Pfeiffer, PTA, practices in Alaska, where she also serves on the Alaska Chapter Board of Directors. For more information on Jarod: Jarod Hall, PT, DPT, OCS, CSCS is a physical therapist in Fort Worth, TX. His clinical focus is orthopedics with an emphasis on therapeutic neuroscience education and purposeful implementation of foundational principles of progressive exercise in the management of both chronic pain and athletic injuries. For more information on Ben: Dr. Ben Fung , PT, DPT, MBA is a Physical Therapist turned Digital Media Producer & Keynote Speaker. While his professional focus is in marketing, branding, and strategic change, his passion is in mentoring & inspiring success through a mindset of growth & connectivity for the millennial age. For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt Read the full transcript below: Jenna Kantor: 00:00 Hello, this is Jenna Kantor with Healthy, Wealthy and Smart. Super excited to be talking here because I am at the NEXT Conference in 2019 in Chicago, Illinois. And there was an awesome debate an Oxford debate and I'm with almost all the team members. So that being said, I want to just interview you guys on your process, especially because everyone here is either extremely present on social media or uses social media. So it's funny that we had these two opposing teams really fighting different arguments here where everyone pretty much is on the same page that we all use social media. It's great for business. There's no denying. So as I ask my questions, would you guys say your name because people aren't going to necessarily, well maybe for some recognize your voice and also say what team you were on, whether it was team hazardous, which was correct me, Jimmy, which was the pro argument. The pro argument was saying that social media is hazardous and then the Con team was team Blues Brothers, which I've learned from Ben Fung it would have been the star wars theme except it had already been used in the past and they needed to be original. So that being said, I want to start off with #teamhazardous. What was your individual processes with finding your arguments since each of you are very present on social media? Jimmy McKay: 01:39 Jimmy McKay team #hazardous. I think first of all, this was a very difficult argument for our opponents because, well, first of all, we didn't get to pick which sides. A lot of people think that we've vied for the sides. We were literally just asked if we wanted to do the Oxford debate and then been given a side and given a team. So I want to make that very clear. I think they did a great job. I was keeping track of all the points that I would've hit if I were on that side, I thought that was the uphill battle. Because people, when they found out we were pro social media it was like, oh, you don't like social media. But if you read the prompts for a debate very closely, it's like, is it hazardous? Jimmy McKay: 02:18 Not is it good or bad? Right? So we agreed like all the things that the con side said, we agree with it's fantastic. It should be utilized. But just like PT why do we take the NPTE for example? Because if improperly used physical therapy could be hazardous. So that's why we take a test that makes sure that we're a safe practitioner of physical therapy. So, my thought process was I went on social media and wanted to grab all the kits, right? Like emojis and gifs and videos and Beyonce doing dances because that's what people resonate with. But then focus on the things where I think it falls short. Everything falls short, right? There's no Shangri-la and social media is no different. So just focus on the issues that stood out, right. Jimmy McKay: 03:01 So all I had to do is can I just ask, what do you love about social media? Like what irks you, you know, what are things that you wish were better? And as you heard from tonight, I think in past Oxford debates, sometimes it was hard to get four or five speakers to ask questions. And I think they had to cut them off because everybody, it resonates with everybody and it's super personal, right? I mean, what was the stat? How many people, I mean minutes that people spend a day, 140, 116 minutes a day Jimmy McKay: 03:29 It's probably hard, so it's super personal for people but I think again, the argument from the other side was just is really hard. I mean, I think you guys were put in a corner. But here's the funny part. Like you defended it, I think you defended that corner pretty well. So that was my process. Karen Litzy: 03:50 Hi, Karen. Let's see, #teamhazardous and yes, this is also my podcast, so that's, yeah. Karen Litzy: 04:00 So my process was pretty easy because I had just spoken about social media and informatics at WCPT in Geneva. So I was able to use a lot of that research and a lot of that information to inform this debate. And what I wanted to stick to was, I wanted to stick to the idea of fake news, the idea of misinformation versus disinformtion because there are different and how each one of those are hazardous. And then the other point I made was that it's not individual people, it's not individual groups, it's not even an individual platform. But if put all together, all of the platforms add in misinformation and disinformation, add in people who don't know the difference between something that's factual and not. So if you put it all together, then that's pretty hazardous. But the parts in and of itself maybe aren't. And then lastly that social media is a tool we need to really learn how to use it as a profession because it's not going anywhere as the team concept. It's not going anywhere. So the best way that we can reach the people we need to reach is by using it properly and by making sure that we use it with integrity and honesty and good faith. Jodi Pfeiffer: 05:22 Hi, I'm Jodie Pfeiffer. I was for the con team blues brothers. I got to be the lead off person as well. So I really just kind of wanted to set the tone. It was a hard argument. Everybody uses it. I would like to think most people try and use it well we know this isn't always the case and it is a really useful tool for our association and for our profession. But there are times when it is not, we were trying to just, I was trying to set the stage for my other team members to give them things to work off of, give everybody a little introduction of the direction we were going. And I also tried to play off of our opponents a little bit as well because you know, really their argument that they made so well kind of proved both sides, how good it is and the hazards. So yeah, that was the direction that I went. Jarod Hall: 06:20 This is Jarod Hall. I was on the pro team #teamhazardous and I remember when I was asked to be on the Oxford debate panel, the same day I was scrolling through social media of course, and I saw Rich Severin on Facebook saying, Hey, look, I was selected to be for the Oxford debate. And I thought, man, he's super well-spoken. This dude knows his stuff. He's going to come in strong. And then like I checked my email an hour or two later and I had been asked as well and I was pretty floored. I didn't know what to say. And they're like, do you want to do this Oxford debate and what side do you want to be on? And of course I said, I'm super active on social media. It's been helpful for me to find mentors and it's really positively influenced my career. I want to be on the side that's pro social media. And they said, cool, you're on the opposite side. Jarod Hall: 07:21 And I thought to myself, oh, ouch. Okay, I need to look at this subjectively. You know, I need to, I need to step back away from the situation and look at ways that either I myself have been hazardous on social media or things that I've seen that were hard for me to deal with on social media. And, when Karen and Jimmy and I were strategizing, you know we kinda came up with a couple of different points. We wanted to 8 mile, you guys, we wanted to 8 mile the other team and kind of take the bullets out of your gun. We wanted to address the points that we knew you would address. And Karen did a really awesome job of that because we knew you guys were gonna come with such a strong argument and so much fire that we had to play a little bit of defense on the offense. Jarod Hall: 08:07 And Karen got everybody hyped up and then our strategy was maybe, go the opposite way in the middle with me and maybe bring a little bit of the emotional component the other side of emotions and have people reflect on what does it feel like to feel not good enough? What does it feel like to see everybody else's highlight reel on social media when in reality, you're doing the day in the day out, the hard grudge, the hard trudge, you're putting in so much hard work and all you see is everybody's positive stuff around you. And it can, it can be a really defeating feeling sometimes. So we wanted to emphasize, you know, a lot of the articles that have been coming out across the profession about burnout and how that could potentially be hazardous. And you know, obviously we're all in favor of the appropriate usage of social media and when done the right way. Jarod Hall: 08:55 But to take the pro side of this argument, we had to reflect on how could this really actually pose a hazard to us both personally and professionally. And, you know, I think that that's one of the things that directed our approach. And it was a hard thing to do to take the opposite side of, you know, how I position myself. But, all of my own errors on social media were really good talking points and learning points to drive home the discussion. And, you know, we just knew that the other team was going to have such a strong argument. We knew that it's really hard to ignore the fact that social media has connected us. It has allowed me to meet everybody sitting at the table with. It's allowed me to have learning opportunities and mentorship and it's allowed me to have business opportunities that I wouldn't have had otherwise. So we knew that the argument was just, it was going to be tough to beat. And, you know, I think that the crowd just resonated with everything that was said from both teams. And at the end of the day we were able to shed light from both sides on a really difficult topic and have people, you know, reflect on it and really have some critical thought. Ben Fung: 10:10 Ben Fung here. I was a part of the con team. So that was so difficult. Pro Con. So I mean like it was interesting. I had a very similar experience when they asked me to be on the Oxford Debate. They're like, hey, you know, we'd like you to captain the team. I was like, okay, great. What am I debating? Or like, then when they would actually did tell me, they're like, oh, it's about social media. I was like, okay, yes, I'll do it. And then they're like, okay, you're on the con team. And so immediately I thought like, Oh, I have your job. Like I have the team, you know, #Hazardteam, I needed to somehow slam on what much of my success had been attributed to, you know, and I was like, okay, that'll be a tough job. Ben Fung: 11:01 Right. And then what's interesting is that, you know, then they sent me the prompt and I was like, oh no, no, no, I'm against the against statement. So I'm pro social media and, you know, then the other side I can promote this. And it was actually only in retrospect that I was like, oh, it can be an uphill battle. But then I decided just personally not to think about it from that perspective, from my, you know, debating approach cause we're trying to present, you know, we're trying to present a point, more importantly, just engage the audience, you know, because, the Oxford Debate in the past, for the most part it's been really positive and entertaining. But then in some past years have gotten a little too intense I think for the audience and some afterthoughts. Ben Fung: 11:40 So I just wanted to make sure that the thumping in the background stops, but also that you know, people were engaged, entertained, you know, that generally said some critical thought. You know, like those might've come into this being maybe a con member goes over to pro and vice versa. But really, you know, it was just really, really fun. You know, as people, I was like, you know, I know all these folks, it's going to be so much fun. And you know, if we can bring even like an ounce of the kind of energy that I know we all have and put it together, that stage is just going to be vibrant. So, you know, from what I can tell, that's what happened. And, you know, I'm very pleased regardless of who won, but congrats you guys though. You guys did a great job. Rich Severin: 12:32 And this is Rich Severin, was on the con team, which is again this incredibly difficult to kind of, yeah, team blues brothers. That's a better way to go about it. Everyone's said it, you know, this was, it's a difficult topic. You know, I asked like, who were, you know, were on the other teams, you know, realizing that, you know, we're going against some of the people who have, you know, some of the largest profiles in PT, social media and Karen and Jimmy and like, they have a really tough task here. I'm interested to see how they're going to go about this. Cause it's like, I even, I was like, man, I'm kind of glad I met on that side, but I don't know if I could somehow think of a tweet quoting me and like saying, ‘PTs social media is hazardous’ or whatever. Rich Severin: 13:12 But anyway, realistically the Oxford debate, you know, it's to present a topic that's challenging, that's facing the profession and dissected and debated. And that's kind of the beauty in having fun. And I think everyone there had fun. I had a lot of fun. And it was just, it was just good. And I think, you know, the pro team, or #hazardousteam, you know, they did a really good job. It's not an easy topic to debate because again, social media is kind of a tool in a lot of the problems are kind of the human nature in a certain stance on a platform. But, you know, addressing the issues of burnout, addressing the issues that people wasting time, fake news, misinformation, you know, those were our, you know, those were all good things, but you kind of brought to light throughout that debate. Rich Severin: 14:04 And I think our group, you know, came across with obviously with a good argument, but, you know, Karen came on the short and a little bit today. But, you know, it was a great spirit's good spirited debate. It's a lot of fun. It's a great time and having these conversations about tough issues, having to kind of take some time for introspection and looking through things was enjoyable. And enjoying hearing other people kind of, you know, doing the same. You guys definitely did like, I think put a lot of time into researching and discussing topics cause it's a serious issue, you know, our younger populations growing up using social media in middle school, you know, and it will, you know, the topic I thought you guys would get into was like the bullying and esteem issues that are happening and the mental health issues, anxiety, depression, it's linked to social media, you know, and whether or not that's the cause or it's a vehicle for that outcome. Rich Severin: 15:03 So like, you know, I do agree with the safe #safesocial, right. Like you know, and it kind of led to like kind of on our side too. It’s a tool and how you use it, it's kind of really an issue and I think you guys brought a really, really good light to that issue. So yeah, I was like, it's a great spirited debate and the crowd had fun. I mean dressing up as the blues brothers in Chicago, right? I mean, so, so much fun. Jenna Kantor: 15:28 Thank you so much. Now, I just want to leave it. Not Everybody needs to answer this, but I would like if anybody would like to do a little last words in regards to this debate, whether it be some sort of wisdom on doing an Oxford debate in general or pretty much what rich started to do on when he was just last talking in regards to social media being hazardous or not so hazardous. Would anyone here like to add onto that as a little like last mic drop, which is your outlet. Rich Severin: 15:54 I think we've hashed out the debate on both sides pretty well. Which I think, again, it's the spirit of the debate is they present both sides. And that's kind of where I'm getting yeah. Is that we need to have more of these kind of conversations and discussions. And you know, to me it's almost kind of a shame that this is the only really time in our profession. Like, you know, at a high level where we have these discussions where both sides do their due diligence and say, like, legitimately argue, like, you know, and like arguing is not a bad thing. Right? Debate is not a bad thing if it's done well done amongst colleagues and friends and with mutual respect and we need to have more of that. Rich Severin: 16:39 Social media is not necessarily a bad thing, but arguments necessarily a bad thing, but it's how you go about doing it. So, you know, I would encourage the profession to have more of these outside of just the Oxford debates. Well, when it was the women's health section, they did one on dry needling a couple of years ago and that was awesome. And I'd really encourage and support that again, you know, so that's my little, I don't know if it's a mic drop or not, but we need to debate more and do it well. Karen Litzy: 17:29 Rich, I totally agree with that. And this is the thing, we were able to do that because we were in front of each other and we knew that there is no malicious intent behind it. We can hear each other. We know that we're smiling at each other, we're clapping for each other and we're kind of building each other up. And I think that's where when you have debates on social media, as Jarod attests to and Rich, sometimes those spiral into something that's really not great. And so I think to have these kinds of discussions in person with our colleagues and it's good modeling for the next generation. And it just, I think, you know, social media has a lot of great upside to it. There's no question, but there is nothing that beats in person interactions. Karen Litzy: 18:20 And I think that that's what we need more of and I do see that pendulum shifting and you do see more in-person things happening now. But I agree. I also thought it was like a lot of fun and I was really, really nervous to do it and super scared to get up on stage and do all of this. But then once it started, it was a lot of fun. Jenna Kantor: Thank you so much you guys for taking this time, especially after, literally right after the debate. It is an absolute pleasure to have each of you on here. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
On this week’s episode of the Healthy, Wealthy and Smart Podcast, I welcome Leda McDaniel on the show to share her experience with persistent pain. Leda McDaniel is a Physical Therapist in Atlanta, GA. As a physical therapy student, Leda published a book that chronicled aspects of her three-year battle with chronic knee pain and ultimately led her down a path of discovery on her way to healing with a holistic approach. In this episode, we discuss: -Leda’s experiences with Complex Regional Pain Syndrome (CRPS) and how it impacted her life -Pain neuroscience education and a holistic approach to treatment for CRPS -How Leda’s approach to patient care has shifted to a biopsychosocial framework -The importance of listening to the patient’s story and being a voice of hope -And so much more! Resources: Sapiens Moves Website Email: LedaMcDaniel1@gmail.com Painful Yarns Book Moments from a Year of Healing: A Book of Memories and Essays Leda McDaniel Facebook Sapiens Moves Instagram The Outcomes Summit: use code LITZY For more information on Leda: Leda McDaniel is a Physical Therapist in Atlanta, GA. She earned her Doctorate of Physical Therapy from Ohio University and holds a B.A. in psychology from Trinity University, in San Antonio, Texas where she also played Basketball and ran Track and Cross Country for the NCAA Division III School. As a physical therapy student, Leda published a book that chronicled aspects of her three-year battle with chronic knee pain and ultimately led her down a path of discovery on her way to healing with a holistic approach. It was this experience that motivated her to become a physical therapist in order to help others recover from chronic pain. Her book is entitled: “Moments From a Year of Healing: A Book of Memories and Essays” and can be found on Amazon: https://www.amazon.com/dp/B07CWGH7X6/ref=sr_1_1?s=digital-text&ie=UTF8&qid=1525656733&sr=1-1&keywords=moments+from+a+year+of+healing Leda’s Professional Blog: https://sapiensmoves.wordpress.com/ Read the full transcript below: Karen Litzy: 00:01 Hi Leda welcome to the podcast. I'm happy to have you on and a big congratulations to you for being a new physical therapy graduate. So welcome to the field. And you know, longtime listeners of this podcast will know that I often have people on the podcast who have struggled through persistent pain, who maybe are still having persistent pain issues and you are one of those people. So what I would love for you to do is just let the audience know who you are and tell your story and then we'll take it from there. So I will throw it over to you. Leda McDaniel: Thank you. Yeah, so I just recently graduated from physical therapy school and I’m entering my clinical practice as a physical therapist. So I'm in Atlanta, Georgia and I'll be starting residency at Emory university for Orthopedic Physical Therapy in August. Leda McDaniel: 01:03 So I'm really excited about that. A little bit about what got me into this field and interested in being a physical therapist. I had an ACL injury that I suffered in my mid twenties, tore my ACL playing soccer and then I had surgery, reconstructive surgery, to repair that ACL. And the recovery from the surgery didn't quite go as planned, so I had had a prior ACL surgery, so it kind of knew what to expect. What's this time it was not quite so good and it was a little bit different and challenging in that the physical therapist I was working with kept pushing me to strengthen my muscles and try to get my range of motion back and all those things that I was familiar with, but I knew it wasn't really responding as you might expect it would after surgery. So I had this chronic pain and inflammation that developed over the next six months to a year. Leda McDaniel: 02:04 And both my physical therapist that I was working with at the time, and then, a handful of orthopedic doctors, including the surgeon who did the surgery, they were a little bit puzzled as to what was going on because I had a repeat MRI. They couldn't find any structural issues. At the time I was really focused on that idea of well I still have pain, what is wrong structurally? And I just had this feeling that something is wrong. It didn’t feel right. It was always painful and it was always swollen and I really couldn't it over the hump to the extent that I was even limping when I was walking about a year after surgery. So I continued to try to rehab and over the next additional year and two years out of ACL surgery I had a second surgery. Leda McDaniel: 03:00 The idea that they clean out some of the scar tissue in there. It's the joint capsule is scarred up a little bit and try to get things work in a little bit better or feeling a little better after that surgery. Again, that kind of made my situation worse and I developed this mirror pain cause I knew I was hypersensitive at that point and had after that diagnosis of complex regional pain syndrome and just really severe nerve pain to the extent that not only was it painful to walk, but I really couldn't walk and I couldn't put pressure on that knee. I couldn't touch the knee without it being painful. And kind of just spiraled into it's really bad situation where I was pretty disabled. I wasn't able to work at the time. And in that time period had gone back to school for physical therapy because I'm flattered by this injury and wanting to help other people regain their health. Leda McDaniel: 03:59 I had some really excellent physical therapists along the way who really try their best to work with me even though things weren't going in an ideal direction. So, anyway, so I had to take time off school. I couldn't work. All of this really pursuing or being fixated on this idea of what structure is injured. And it really, the course of my injury and health didn't really change until my perspective or kind of switched my focus to more of a treating pain based on what were currently understanding is more of a progressive approach to chronic pain, which is pain neuroscience education where we're understanding that there are many components to pain not just structural ones and a lot of these inputs can contribute to these situations where you have this over sensitivity or hypersensitivity. Leda McDaniel: 05:05 And that's kind of the place I found myself in. So I really started to self treat based on some of those principles and try to reduce the sensitivity that built up within my nervous system. And over the course of about a year, I was able to turn things around and get back to the point where I was walking. I was back to school, working, functioning in society like I wanted to and my pain levels were significantly decreased. And gradually, gradually got to the point where I was pain free. Karen Litzy: And can you talk about what specifically you did during this time in order to treat the pain? Obviously not treat the structural issues, but to treat the pain just so the listeners have an idea of what you did. Leda McDaniel: Sure, absolutely. So it's not a quick fix approach by any means, and it's not a singular approach by any means. Leda McDaniel: 06:08 So I really had the perspective of creating as many positive inputs to my life as possible. And I was really diligent about addressing all the different components as we know, pain really has this bio, psycho social, construct. And so I really wanted to have positive inputs physically, mentally, and emotionally and socially. So physically, I was eating a really nutrient dense diet, so lots of full foods, real foods, fruits, vegetables, bone broths, collagen stocks, things like that. So really preparing foods from scratch and eating a lot of nutrient dense foods. I was meditating to decrease my sympathetic activation or over sensitivity work on the mental component. I was doing a psychological therapy at the time. So cognitive behavioral therapy to try to just that psychological component. I was using visualization to try to incorporate the lowest level input that I could to that system and really start preparing for movement in a joint that couldn't really take movement in the beginning, but trying to retrain my brain to prime it for the movements I want it to be able to do. Leda McDaniel: 07:42 So I did a lot of visualization on walking, moving my knee. When I got a little bit better, I would visualize myself doing higher level athletic activities such as running or jumping or those sorts of things. Karen Litzy: 09:44 So over the year plus time that you started incorporating all of these different kinds of inputs into your system, did you start doing everything all at once or did you sort of slowly pepper things in? Leda McDaniel: Yeah, so there was definitely kind of a gradual addition of different components. As I learned more, I was trying to incorporate different types of movement to try to make a difference. So, for example, I'd started a mindfulness based stress reduction meditation course online. That was free. Because I had found out about that and that helped quite a bit. But I gradually added other things in. And one of the things I wanted to mention as well is I was doing, it's hard to mention every single treatment I was doing cause I was really trying to address all these little pieces and I think addressing all those little things really made the difference to turn the tide. Leda McDaniel: 11:07 So one of the other important things that I was doing not overly relying on but definitely helped me get out of the most acute and serious pain so that my nervous system could reorganize was pharmacological treatment. So I was taking so medications to get me out of pain. And I think that as an adjunct treatment to the other things I was doing, it was actually really important. So you have these periods of not being in such severe pain that I had the ability to you some of these other treatments. Karen Litzy: Yeah, and I mean I don't think that there's anything wrong with pharmacological interventions, especially for people with CRPS. I mean this is really painful and I think that you're right, you kind of need the medications as a bit of a reprieve for your systems so that you can get to all this other stuff. Karen Litzy: 12:08 Now the question is, is are you now on the same medications that you were on in the sort of height of this pain process? Leda McDaniel: I am not. So I was pretty resistant to taking medication in the beginning. And I really used it for the smallest duration that I could to get me out of that really severe pain. Once I was on my way with this combination of lifestyle factors and I'd really seen the pain decrease to the extent that I could walk without being in pain, or I could touch my knee without having a severe pain reaction, I really started to taper off these medications with the guidance of the prescribing physician. Karen Litzy: Right. So I think for listeners is just important to remember that if you have pain, we're not saying do all of this other stuff and don't go a pharmacological route because sometimes that's necessary, but you have to make sure that you go that pharmacological route with your physician and that when you're ready to kind of taper down that you do that also under the guidance of your physician. Leda McDaniel: 13:31 Absolutely. That's a great point. I think also it's important to mention that, and this has been mentioned by others in the field that are doing this work, really trying to get patients to take an active role in their treatment. So just taking medication but not doing these other active components such as meditation, the prescribed loading if that's appropriate. And really addressing lifestyle factors and taking ownership of those in addition to these more passive treatments I think is really important. Karen Litzy: Yeah, and I think when you're talking about people with persistent pain issues like CRPS, you kind of, I think it's okay to have that combination of active and passive treatments. But yes, the patient has to know that they're not coming to the healthcare practitioner to be fixed, but instead they're coming to be guided and that they need to, like you said, take an active role because all of this, you know, nutrient dense diet, meditation, psychological therapy, visualization, progressive loading, exposure training. Karen Litzy: 14:49 So exposure to movement, exposure to activities that maybe you have fear avoidance behaviors around. All of this requires active work from the patient, active work from you. Right? And if you're not doing that as the patient, I think that you’re not giving yourself an advantage. Would you agree? Leda McDaniel: Yeah, absolutely. Well said, Karen. Karen Litzy: Yeah. And so let's talk about timeframe here. So obviously changing your diet. We know that diet does have a huge ramifications to overall health, the psychological training, the meditation, the gradual loading, exercise, movement, visualization. This all takes time. So people will probably be thinking how many hours a day were you working on this stuff? Leda McDaniel: Well, for better or worse, I wasn't able to work or go to school at the time. And so really regaining my health over this year period, I actually deferred a year from physical therapy school. Leda McDaniel: 16:00 I had started and completed my first semester, but then wasn't able to continue sequentially, but my program allowed me to defer a year. So for that year my fulltime job was getting back to health and I really took that seriously as a full time job. So, a majority of my time was spent trying to create these positive inputs. I was doing a lot of reading and trying to learn as much as I could about pain and physical therapy related things, because that's developed into one of my passions and I really felt like it was important to maintain this engagement in intellectual pursuits as well, so that I could have some connection and some purpose to my future, even though I wasn't actively in school at the time or actively working at the time. So really to answer your question I was working on this pretty diligently. Karen Litzy: And what was, and maybe you didn't have one, I don't know, but did you have this sort of Aha moment at any point? So from the first surgery to where you are now, can you say there was one point where you reached this crescendo and then things started to fall in place? Leda McDaniel: 17:24 Yeah. Thinking back, I think, I can't pinpoint a specific time point that I would say generally it was about the time when I was forced to take a break from school. So it was almost at the lowest point where I wasn't able to walk on my leg, wasn't able to touch my knee because a sensitivity pain had gotten so bad that it really taken me out of a normal functioning, productive life. And somewhere around that point I was researching and reading as much as I could on my own. And I really stumbled upon this pain neuroscience education approach and some of the work of Lorimer Moseley and Butler and Lowe. And this idea that the pain that I was experiencing didn't necessarily have a structural cause. And to me that was the time period when I really changed my approach from this fixation on trying to find a healthcare practitioner who would tell me what is structurally wrong and how can we fix it to an approach of my nervous system. Leda McDaniel: 18:42 My brain is just creating this maladaptive signaling, maladaptive pain response and I really need to target my nervous system sensitivity versus trying to pinpoint what is wrong structurally for me, that seems like the turning point, where I was able to really start making gains and gradually progressed back to health. Karen Litzy: Yeah. So it was kind of the light bulb went off and you said to yourself, I think there's another way. And was there any one piece of reading book article that you can say, you know something, this really helped me to understand what's going on? Leda McDaniel: 19:30 Yeah. I think as somebody who's interested in health at the time, but you didn't have a great grasp on some of the biology and physiology surrounding pain systems and the nervous system one book that really helped me understand these things and I would recommend to clinicians and patients who are wanting kind of an easy buy in to these sorts of principles is Lorimer Mosley's book painful yarns. He tell stories to communicate these principles of how pain systems work in our bodies. And really does a lovely job making these principles accessible to people who might not have the scientific background to understand because pain is complex. These systems are complex. But listening to these stories, I think it makes it really understandable. Karen Litzy: Yeah. A little bit more digestible for folks. I often tell my patients to get that book because it really is a patient forward book because of the stories and the metaphor that he uses throughout the book to make you say, Huh, okay. Karen Litzy: 20:51 I think I'm starting to understand this a little bit. Because for the average person, maybe they don't need to get too into the weeds as to the chemical reactions happening in the brain and within the body in the spinal cord and why these persistent pain issues can arise and kind of take hold in the body. But we certainly can give patients stories and metaphors to help them have a better understanding of maybe what's happening and to decrease the fear around what's happening within their bodies. And I think painful yarns does a great job at that. Karen Litzy: And all right, so you are diagnosed with CRPS you dive in, you start treating yourself. Were you still seeing a physical therapist over this year? Or were you really just at this point working on all of the components you mentioned above on your own? Leda McDaniel: 21:51 I had actually stopped seeing a physical therapist because as I was learning more, I was seeking a clinician who had some of these approaches in their toolbox. For example, the graded motor imagery. And I really unfortunately couldn't find one in my geographic area. And so I was actually doing these treatments, kind of self treating at that time, hoping that eventually I could work with a PT for some of the loading components. But knowing that at that point I just couldn't tolerate the exercise based physical therapy. Karen Litzy: Right. And now were you ambulatory at this time? Were you using an assistive device were you in a wheelchair. How were you getting around? Leda McDaniel: So after that second surgery I was using crutches for about nine or 10 months. And really non weight bearing. I couldn't put weight on my leg so I didn't go to a wheelchair. Leda McDaniel: 22:55 Partly probably out of stubbornness. But yeah, I was using an axillary crutches to get around everywhere. Karen Litzy: Okay. Well that is not easy as we've all had patients who've been on crutches for like six to eight weeks and they seem to just be completely spent. I can't even imagine for 10 months. But I mean good on you for keeping up and I'm assuming you started seeing progress, which is why you kept with all of this stuff. Right? So how long into this year and a half or a year plus did you start to see changes within your pain? Leda McDaniel: I would say probably within, it took probably three, four months of diligently committing to these practices before I really saw some noticeable change. Which was really hard. But at the same time I think is an important thing to communicate where these changes and the sensitivity that's been built up in your nervous system, it does take time. Leda McDaniel: 24:10 It does take some patience and some persistence and I would really encourage patients and clinicians alike to have this longterm perspective of if we can introduce these positive things just to kind of have trust and just kind of have faith that they're going to make a difference, that they are making a difference on some level, but that noticeable changes might take awhile to manifest. Karen Litzy: Yeah, I agree. I think it is very important when you have patients with persistent pain to be very honest with them and make sure that you're giving them some realistic timelines. Because let's face it, we're human beings and we get frustrated, right? We want things to happen sooner rather than later. Especially when you're in pain and especially if you're suffering. I mean you just can't imagine doing this for another month or week or even day for some people. But I think being honest and giving realistic feedback is very important because that also helps you to mitigate your expectations, which is important, especially when you have such a serious pain complications as CRPS. And now, how has this experience influenced the way you will now treat as a physical therapist? Leda McDaniel: 25:48 I think ultimately while there are a lot of things that I think it adds to my ability to treat patients as a clinician, maybe the first thing is to have a little bit more empathy and compassion for what these patients are going through. Having had this experience, I think I understand what the chronic pain journey and struggle looks like, but also what it feels like to be in that. And I think it helps me relate with my patients a little bit better. So that I'm not just talking at them, but I'm really able to kind of imagine what impact it's having on their life and to try to communicate accordingly and really, really develop some good therapeutic alliance with these patients. I think the other thing that it allows me to do as a clinician is kind of as we were talking about, have a little bit more patience and approach these patients in a little him more of a calm manner. Leda McDaniel: 27:01 I think in realizing that it's going to take time to see changes, but that doesn't mean that it's not worthwhile to work with these individuals on improving their function but also on improving their pain. And really promoting this expectation that recovery from pain is possible or could be possible, but that's more of a longterm goal for these individuals than some of the patients that we work with who are in an acute injury or an acute pain situation. Karen Litzy: Yeah. So it's really providing hope to the patient, allowing them to even visualize themselves pain free. Cause oftentimes if you're years into a painful experience, sometimes you can't even picture your life without it. So I think it's really important to give that hope to patients. And another thing that you had mentioned in some of the pre-podcast writing is that allowing the patients to tell their stories. Karen Litzy: 28:16 So just like today having you tell the story, it can be very powerful way for you to continue with your recovery and for others to learn from. So as clinicians, we have to allow these patients to tell their story and also noting that that story may not all come out at one visit. Leda McDaniel: Yeah, good point. I think there's just like in any physical therapy session or clinician patient relationship, depending on the personality of the patient and the clinician, there's just a natural unfolding of developing trust and developing an ability to communicate between the two people where you really can't force that story out of the patient and you really can't force that trust or rapport but I think as you're intentional about listening to your patients and understanding where they're coming from and how their injury is affecting their life, personally I think over the course of a few treatments or however long it takes to naturally work itself out, you really can develop a close alliance and improve your ability to the effect that patients' health in a positive way and garner some positive outcomes from your treatments. Karen Litzy: 29:48 Yeah. And I think the other thing that's important to mention is sometimes patients aren't ever pain free. And that's okay. Sometimes patients aren't pain free, but they're doing all the things in their life they want to do. You know, they're working towards the things they want to do. Or maybe they went from taking four pain pills a day to a half of one a day. So they may still have pain. And I think as physical therapists, it's sometimes a little difficult because we want to fix people, right? We want to make people 100% healthy, but it's okay if the patient continues to have some level of pain that they're coping and they're living the life that they want to live. So I think as new graduates, if I could give a little piece of advice to all of you guys, it's to not take on your patients outcomes as your own, but to really, like you said, have empathy, sympathy, step into their shoes and understand that hey, maybe they're not pain free, but they can do everything they want to do. And that's okay. They can live with that. Leda McDaniel: 31:00 Yeah, that's a great point. There are different markers or ways that we can see positive change in physical therapy and decreasing pain is one, but improvements in function are another one and absolutely mentioning if we can reduce medication use that can have positive implications of a person's experience and their overall health as well. So I think all of those things are great. Great things to think about. Karen Litzy: Yeah, absolutely. And now, you know, is there anything that we missed? Anything and we're going to, I'm going to get to your book in a second, but is there anything that we missed about your story? Any piece of advice that you know, maybe you would like to give to clinicians as someone who's gone through it? Leda McDaniel: 31:52 I think the first thing that comes to mind is as clinicians, sometimes faced with individuals with longer lasting pain or sometimes pain that doesn't quite match a structural issue or a clear PT diagnosis or medical diagnosis. Sometimes the inclination is to get uncomfortable and maybe distrust the patient or the cognitive dissonance that you're feeling into more of a situation. What I would really ask you as clinicians to first off, no matter what, no matter how uncomfortable this makes you or how puzzled you might be as far as what's going on, I would just ask that you really trust what your patient's telling you. Trust their story, trust their experience. And if it takes a few visits to kind of reconcile what they're communicating with, maybe what is going on, whether it's a sensitization or a longer lasting pain that's manifesting in some other way, I would really ask that you treat them as if what they're telling you is the absolute truth. Leda McDaniel: 33:19 And give that a chance to really play out before making assumptions about a malingering or a psychological primary component to what they're telling you. I think in a lot of cases that's too soon of an attribution from clinicians who are uncertain about what's going on. Karen Litzy: Excellent advice. And you know, at the end of each podcast I usually ask someone, hey, what advice would you give to yourself as a new graduate right out of PT School? But since you literally are a new graduate right out of PT School, it doesn't seem like the right question to ask. But what I will ask is this, knowing where you are now in your recovery and in your life, what advice would you give to yourself during the height of your pain experience? So if you could go back in time knowing where you are now, what advice would you give to yourself then? Leda McDaniel: Oh yeah, that is a great question. I think what I would tell myself is, and I did this a little bit, but I think I would try to encourage myself further, is to keep an open mind about what is possible for your improvements in health and for the body's ability to really heal and recover given the appropriate inputs. Karen Litzy: 35:01 Excellent advice. Thank you so much. And now if people wanted to know more about your story and dig a little bit deeper into your year of healing, they could read your book Moments from a Year of Healing a book of memoirs and essays. And where can people find that? Leda McDaniel: Yes, so my book is available online. It's available from Amazon, both in a print paperback version and also as an Ebook, supported by kindle. So they can search for the title of the book, Moments from a year of healing, a book of memories and essays or search for my name as the author. And I believe either way they should be able to access that. Karen Litzy: Awesome. And what if people have questions for you? Are they want to talk to you a little bit more? Where can they find you? Leda McDaniel: Sure. My email is LedaMcDaniel1@gmail.com and I'm happy to open conversations and really talk to patients or clinicians who are wanting additional resources or just wanting to hear more about my story. Yeah, I think that would be great. Karen Litzy: Well, thank you so much for coming on and sharing your story. And again, congratulations on being a new physical therapist. Good luck in your orthopedic residency at Emery. And I am very certain that any patient that works with you will be very lucky to have you. So thank you so much for being on the program. Everyone listening. Thanks so much. Have a great couple of days and stay healthy, wealthy, and smart. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
LIVE from Graham Sessions 2019 in Austin, Texas, Jenna Kantor guests hosts and interviews Lisa VanHoose, Monique Caruth and Kitiboni Adderley on their reflections from the conference. In this episode, we discuss: -The question that brought to light an uncomfortable conversation -How individuals with different backgrounds can have different perspectives -How the physical therapy profession can grow in their inclusion and diversity efforts -And so much more! Resources: Lisa VanHoose Twitter Monique Caruth Twitter Fyzio 4 You Website Kitiboni Adderley Twitter Handling Your Health Wellness and Rehab Website The Outcomes Summit: use the discount code LITZY For more information on Lisa: Lisa VanHoose, PhD, MPH, PT, CLT, CES, CKTP has practiced oncologic physical therapy since 1996. She serves as an Assistant Professor in the Physical Therapy Department at University of Central Arkansas. As a NIH and industry funded researcher, Dr. VanHoose investigates the effectiveness of various physical therapy interventions and socioecological models of secondary lymphedema. Dr. VanHoose served as the 2012-2016 President of the Oncology Section of the American Physical Therapy Association. For more information on Monique: Dr. Monique J. Caruth, DPT, is a three-time graduate of Howard University in Washington D.C. and has been a licensed and practicing physiotherapist in the state of Maryland for 10 years. She has worked in multiple settings such as acute hospital care, skilled nursing facilities, outpatient rehabilitation and home-health. She maintains membership with the American Physical Therapy Association, she is a member of the Public Relations Committee of the Home Health Section of the APTA and is the current Southern District Chair of the Maryland APTA Board Of Directors. For more information on Kitiboni: Kitiboni (Kiti) Adderley is the Owner & Senior Physical Therapist of Handling Your Health Wellness & Rehab. Kiti graduated from the University of the West Indies School of Physical Therapy, Jamaica, in 2000 and obtained her Doctorate of Physical Therapy from Utica College, Utica, New York, in 2017. Over the last 10 years, Kiti has been involved in an intensive study and mentorship of Oncology Rehabilitation and more specifically, Breast Cancer Rehab where her focus has been on limiting the side effects of cancer treatment including lymphedema, and improving the quality of life of cancer survivors. She has been a Certified Lymphedema Therapist since 2004. She is also a Certified Mastectomy Breast Prosthesis and Bra Fitter and Custom Compression Garment Fitter. For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly YouTube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt Read the full transcript below: Jenna Kantor: 00:00 Hello, this is Jenna Kantor with Healthy, Wealthy and Smart. And here I am at the Graham sessions in 2019 here. Where are we? We're in Austin, Texas. Yes, I'm with at least. And we're at the Driscoll. Yes. At the Driscoll. Yes. I'm here with Kiti Adderley, Monique Caruth and Lisa VanHoose. Thank you so much for being here, you guys. So I have decided I want to really talk about what went on today, what went on today in Graham sessions where we were not necessarily hurt as individuals. And I would like to really hit on this point. So actually Lisa, I'm going to start by handing the mic to you because you did go up and you spoke on a point. So I would love for you to talk about that. And then Monique, definitely please share afterwards and then I would love for you to share your insight on that as well. All right, here we go. Awesome. Lisa VanHoose: 00:52 So first of all, thank you so much for giving us this opportunity just to kind of reflect on today's activities. And so, I did ask a question this morning about the differences in the response to the opioid crisis versus the crack cocaine crisis. And I was asking one of our speakers who is quite knowledgeable in healthcare systems to get his perspective on that. And he basically said, that's not really my area. Right. And then gave a very generic answer and as I said earlier to people, I'm totally okay with you saying you don't know. But I think you also have to make sure that that person that you're speaking to knows that I still value your question and maybe even give some ideas of maybe who to talk to and this person would have had those resources. But, I guess it was quite evident to a lot of people in the room that they felt like I had been blown off. Lisa VanHoose: 01:48 So yes. So that was an interesting happenings today. Jenna Kantor: And actually bouncing off that, would you mind sharing how this has actually been a common occurrence for you? You kind of said like you've dealt with something like this before. Would you mind educating the listeners about your history and how this has happened in your past? Lisa VanHoose: I think, anytime, you know, not just within the PT profession but also just in society as general when we need to have conversations about the effects of racism. Both at a personal and systemic level, it's an uncomfortable conversation. And so I find that people try to bail out or they try to ignore the question or they blow the question off and ultimately it's just, we're not willing to have those crucial conversations and I think they almost try to minimize it. Right. Lisa VanHoose: 02:41 And I don't know if that comes from a place of, they're uncomfortable with the conversation or maybe they just feel like the conversations not worth their time. But, I can just tell you as just a African American woman in the US, this is a common occurrence. As an African American PT, I will admit it happens a lot within the profession. But I do think that there are those like you and like Karen and others that are willing to kind of move into that space because that's the only way we're going to make it better. Jenna Kantor: Thank you. Thank you for giving me that insight. Especially so because people don't see us right now, so, so they can really get a fuller picture of it. And now, Monique, would you mind sharing when you went up and spoke, how that experience was for you, what you were talking about and how you felt the issue that you are bringing up was acknowledged? Monique Caruth: 03:37 Well, as Lisa said, we're kind of used to talking and it going through one ear and out the next day and our issues not really being addressed. I think it comes from a point where a lot of Caucasians think that if you try to bring it up, they would be blamed for what was done 400 years ago, 300 years ago. So it comes from a place of guilt. They don't want to be seen as they have an advantage. And I think as blacks we had a role to play in it by saying, oh, you’re white and you’re privileged. So you had an advantage, which structurally there is an advantage. There is structural advantages as I was discussing with Lisa and Kiti last night that as an immigrant, even though I'm black, they're more benefits that I've received being here than someone who was born maybe in Washington DC or inner city Chicago or maybe even, Flint, Michigan. Monique Caruth: 04:51 I can drink clean water, I can open my tap and drink. What I don't have to worry about, you know, drinking led or anything like that. I can leave home with my windows open, my doors open and feel safe that my neighbors will be looking out for me and stuff that I can walk my neighborhood. So there are privileged even though I'm black, that some people that can afford and would I be ashamed of being in that position? No, acknowledge it. And even with an all black community, there are a lot of us, we may not have been born in a world of wealth. I wasn't, my parents sacrificed a lot to get me where I am today, but not because I have somewhat made it means that I have to ignore the other people that have struggled. Monique Caruth: 05:43 And this is a problem that I'm noticing in a lot of black communities, like when someone makes it or they become successful, Aka Ben Carson, Dr Ben Carson, we feel that if I can make it, why can't you? And because some of those people were not afforded the same privileges that you were afforded, and it's kinda not fair to make that statement that if I made it. So can you, and you can't tell people that you worked your butt off and pull yourself up by your bootstraps when you were afforded welfare stuff. Your, you know, your mom benefited from stuff. I was afforded scholarship so that I don't have to have $200,000 in debt. So I could afford to purchase a home after I graduated and all that stuff because I was not in debt. Monique Caruth: 06:47 And a lot of people do not have that luxury. So I can tell people if I can do it, you can do it too. I have to try to find ways to address their concerns and see how I can better help them to move forward and live better. And the problem within our profession is that many in leadership, even though they see themselves as making it, they don't want to have acknowledge that not everyone comes from the same place. It's not a level playing field. And they try to dismiss those by saying, Oh, if I can make it, everybody else can as well. Jenna Kantor: Thank you. Well said. Well said. Kiti. would you mind sharing in light of what everybody said, some of your thoughts on this matter? Kitiboni Adderley: 07:30 While it was interesting to watch the conversation, listen to the conversation today. I have a unique perspective in that I don't practice in the United States. I don't live in United States, but I frequently here taking part in education, but also watching the growth and development of the physical therapy profession. So I'm from The Bahamas and it's predominantly African descent population. Right? And so some of the issues that people of color in the United States deal with, we don't really deal with those in terms of that limitations and privileges. And you know, it's more of a socioeconomic for us. And once you can afford it, then you go and do. And, and I think we're pretty fortunate if we talk about while across the board that most people can afford some form of education and get it. Kitiboni Adderley: 08:30 So I'm in a unique position because I look African American, it was, I don't open my mouth. You don't know. And so I'm privy to some conversations on both sides of the role, you know, and if people are probably, so what do you think about this and how do you feel about that and how does it bother you? And you know, so while I'm not the typical African American and they see them start to take a step back and it sort of gives you the understanding that they don't truly understand that every person of color does not have the same story. And so you can approach us expecting us to have the same story. Right? Cause your three x three women of color here, one's born and bred African American ones born and bred Trinidad and transplanted United States and one's born and bred, still working in The Bahamas and the Caribbean. Kitiboni Adderley: 09:17 Good. So we all have different perspectives that we all come from different backgrounds and different experiences. But it was interesting and when Lisa asked a question and you know like, you know, people say you will, you know you need to bring it up if we don't talk about these things enough. And it's almost like, okay, you bring up the conversation. So the balls in play, it's tossed from one play at an accident and be like, Oh shit, we can handle, listen to bar this draft again. And so the conversation shuts down and you're like, but you didn't answer the question and you're like, you know, well, yeah, okay, well we'll throw the ball up in the air. And at another time, and I think this is where the frustration comes in for people of color that live in United States because you want us to have these conversations were given quote unquote, the opportunity to ask questions or have these discussions and the discussions come up and at the end of it it's like, okay, we just gave you the opportunity to discuss where do we go from here? Kitiboni Adderley: 10:14 What's done, what's the recourse, what's our next step? What's our plan of action? And when we talk about inclusion and diversity, if you're not going to take it to the next step, if you're not going to have a call to action, then what's the point? And this is why probably people of color don't come back out again because what's it's a bit, it's a bit annoying. It's like frustration because you stand there, you're waiting for a response. And I was like, oh, well, you know, this isn’t my field and I appreciate the honesty, but then let’s address this at some point we have to address this. So do we need another meeting just to address this? Do we have to have, you know, just, let's pick the topic and work on it. So like I said, it was a very unique perspective. Kitiboni Adderley: 10:57 I sort of like watching the response of the other people in the room and see how they respond to it, but the conversation needs to keep going for those of us who can tolerate it or have the patience to deal with it at this given time. And, it was a great experience. It was a good experience. Jenna Kantor: I love it. So I would have just one more question for each of you and it's what would you recommend we do as a profession, both individually and as a collective in order to grow in this manner? Monique Caruth: 11:37 Well, piggy backing off of what Kiti mentioned, I was sort of blown away too when he said that that's not his field because he's a reporter, he does documentary stuff all you was asking was one opinion you want asking for, you know, an analysis or anything. It was just an opinion and he refused to give that. And his excuse was, I don't know much about it and what was, it wasn't surprising but no one else in the crowd said well we then address her concern and immediately he was, she didn't put it in a way that made it seem or the crack epidemic was black and the opioid crisis as white. He was the one who drew it up cause I was actually praising her for how skillfully she worded it. I'm learning a lot of tack from obviously Lisa I'm not that tactful and my family tells me I need to be tactful, but it's that no one else said, okay, let's discuss it. Monique Caruth: 12:51 Really. Why, why is APTA making such a big push choose PT. Now. Versus in the 80s when the crack and the crack epidemic was destroying an entire city because DC was known for being chocolate city on the crack epidemic, wiped it out and it got judge all. Alright, it rebuilt it. But now again, it's trying to find like I went to Howard University, you know, I could walk around shore Howard and I'm like, am I in Georgetown? Because you don't recognize, you know, the people live in that. It has driven out a lot of blacks that were living in drug pocket. You know, it's now predominantly, young white lobbyist living in the area. So if we don't have the support of our colleagues, how can we address inclusion? How can we address equity if they're not willing to put themselves out there to say, Hey Lisa, I got your back. Monique Caruth: 14:05 We need to talk about this. We need to discuss it. Let's have a discussion. Your question was not answered. It wasn't even to say that it was acknowledged with a dignified response because we're spending millions of dollars under choose PT campaign. Why is it because the surgeon general is saying, oh there needs to be another alternative because Congress is trying to pass bills to lower the opioid crisis. Why? If you asking people to choose PT what makes it different? Okay. Even with the Medicaid population, the majority of people who receive Medicaid are black and brown. Are we fighting to get make that people have medicaid coverage or other stuff. Or are we fighting running down Cigna and blue cross blue shield and Humana and all those other types of insurances? Because we think the money is in these insurances. When they could dictate whatever they want, then you could provide a service and say you're providing quality service. Monique Caruth: 15:14 But if they say, oh, we're just gonna reimburse you $60 we are getting $60 and people on our income. So people complain on Twitter and on social media about, you know, insurance stuff. But if I see a medicaid patient in Maryland, I am guaranteed $89 and that person has the treatment. They’re being seen, they're getting better. It's guaranteed money. But a lot of people don't want to treat the Medicaid population because they think they're getting blacks or Hispanics. And I hear complaints like I don't really want to treat that population because we are going to have no shows and cancellations and all that stuff, which is bs. It's excuses. And we have to do better as a profession to acknowledge or biases and work on ways to help work with the population that we serve. Because let's face it, America is not going to remain white? It's gonna get mixed. We're going to have some more chocolate chips in the cookies. Okay. All right. It's going to be more than two chocolate chips in the whole cookie next time. Jenna Kantor: 16:33 Before I pass it to you, Kiti, I really like where you're going with this, Monique, and I think it's important to acknowledge why, which I didn't at the beginning. Why, why, why we're tapping on this one incident and really diving in and it's because what I learned today from my friends is that this is a common occurrence in the physical therapy industry. It's not just it and it's not just within our industry. It's what you guys deal with regularly. And if we are talking about our patients providing better patient care, we need to really, really be fully honest with where we are at. Even as they are speaking, I'm constantly asking myself, what are my things that I'm holding within me where I'm making assumptions about individuals? There's always room for growth. So please as you continue to listen to Kiti speak next, just keep letting this be an opportunity to reflect and grow. Kitiboni Adderley: 17:50 Okay, so I recognize that incident was uncomfortable. It was an uncomfortable conversation to have and it's okay to have uncomfortable conversations. As physical therapists, we have uncomfortable conversations with our patients all the time. We have uncomfortable conversations with our colleagues and we have to call them out on some mal action or when they call us out on something that need to do. And because the conversation is uncomfortable, it doesn't mean that we don't have it. We probably need to talk about it more. And so if there's anything that I want to say, I think we need to have more of these conversations and have them until they no longer become uncomfortable until we could actually sit down with, well no, I shouldn't say anybody but, but the people of influence, cause this is what it's really about. We were sitting with very influential people today and all of us there, I'm sure where people of influence and you know, this is what we need, this is what we need to use. And don't be afraid to have the conversation. As uncomfortable as it may make you feel. Why are we having this conversation? We want inclusion, we want diversity, we want a better profession. And those are the goals of the conversation. We shouldn't shy away from it. Jenna Kantor: Thank you. I'm gonna hand this over to Lisa for one last one last thing. Lisa VanHoose: 18:43 So I just want to talk about the fact that part of the conversation was this dodging right? Of a need to kind of have this very authentic and deep conversation. The other part of today's events that I'm still processing is this conversation about the need for changed to be incremental, right? Comfortable. And for those of us that are marginalized to understand that the majority feels like there has been significant change and that was communicated to me in some side conversations and I was challenged by one person that was like, well, I think you have this bias and you're not recognizing the change that has occurred and how that this is awesome that we're even in a place to have this, that we're having this conversation today. Lisa VanHoose: 19:46 You know, that you need to acknowledge that success that we've made. And so I do agree that, you know, what all work is good work and I will applaud you for what has been done today. But I also would say to people who feel that way, step back and say, okay, if the PT profession has not really changed as demographics in the last 30 years, and if you were an African American and Hispanic and Asian American, an Asian Pacific islander or someone of multiracial descent would you be okay with that? Saying that, you know what, I started applying to PT school when I was in my twenties and I'm finally maybe gonna get in my fifties and sixties. How would that feel? Right? That wasted life because you're waiting on this incremental change. And I think if we could just be empathetic and put ourselves in the other person's shoes and say, would I be okay with waiting 30 years for a change? Lisa VanHoose: 20:53 Would I be all right with that? But I often feel like when it is not your tribe that has to wait, you okay with telling somebody else to wait? Right? And so, I want to read this quote from Martin Luther King and it was from the letters from Barringham where he criticized white moderates and he said that a white moderate is someone who constantly says to you, I agree with your goal, with the goal that you seek, but I cannot agree with your methods of direct action. Who believes that he can set the time table for another man's freedom. Such a person according to King is someone who lives by a mythical concept of time and is constantly advising the Negro to wait for a more convenient season. And that's how I felt like today's conversation from some, not all was going. King also talked about the fact that that shallow understanding from people of goodwill is more frustrating than the absolute misunderstanding from people of ill will. Luke warm acceptance is much more bewildering than outright rejection. And I say that all the time because I would prefer that you be very honest with me and say, I don't really care about diversity and inclusion, but don't act like you're my ally. But then when it's time to have a hard conversation, you say, I can't do that. I'm like, choose a side, pick a side. There is no Switzerland. There is no inbetween. Jenna Kantor: 22:25 Thank you so much you guys. I'm so grateful to be having this conversation to finish it with a great Martin Luther King quote, which is absolutely incredible. I'm just full of gratitude, so thank you. I'm really looking forward to this coming out and people getting to share this joy of learning and growth that you have just shared with me right now. Lisa VanHoose: And thank you for being an ally. We really appreciate that. So we're not, I just want people to know, we're not saying that the African American or the immigrant experience is different from the Caucasian experience. I think we all have this commonality of being othered at one time or another, but yes, with being a white female LGBTQ, I think the complexities of who we are as a human, there's always going to be a time where you're an n of one or maybe of two and you get that feeling that, Ooh, am I supposed to be here? But I think what we're talking about is being empathetic and if we're going to talk about being physical therapists, being practitioners and compassionate, and we're going to provide this patient centered care, how can you tell me you're going to provide patient centered care when you can't even have a conversation with me as a colleague, right. When you can't even see me. So I just want the audience to know, that we're not coming from a place of being victims were coming from a place of really wanting to have collaborative conversations. Monique Caruth: 23:59 I like to view my colleagues as family members. There are times, as much as I love my family, my mom and my dad and my sisters and my brothers in law, there are times we will sit and have some of the most uncomfortable conversations, but at the end of it it’s out of love. It's all for us to grow as a family. And Yeah, you may not talk to the person for like a day or two, but you're like, shit, you know, that's my sister, that's my brother in law. You know, I have to love him. But you know, you try to hear their perspective, you try to make sure they hear your perspective and you come out on common ground so that the family can grow. And we don't treat this profession as a family, the ones who are marginalized are treated as step children. Monique Caruth: 24:57 And that's a bad thing because stepchildren usually revolt. And when they revolt, the ones who are comfortable with incremental change and are afraid of chasing the shiny new object. Because when I heard that comment today, I felt like the shiny new object was diversity, equity and inclusion that people were trying to avoid without saying it outright. And, someone who feels like they have been marginalized. It was like a low blow. So I, for one, appreciate people like you, Ann Wendel, Jerry Durham, Karen Litzy, and stuff. Who Have Sean Hagy and others, Dee Conetti, Sherry Teague reached out to us and say, how can we help? And you need people like that to be on your side. Martin Luther King needed white people. Okay. Rosa parks needed white people. Harriet Tubman needed white people to get where they're, even Mohammed Ali needed white people to be as successful as he is. We all need each other. If we are saying championing better together, how can you be better together if you're not willing to hear the reasons why you feel marginalized or victimized, it's not going to work. Stop turning around slogans or bumper stickers and start working on fixing the broken system that we have. That's all I'm asking for and we got to start working as a family, as uncomfortable as it may be. All right, we'll get over it and you're going to like and appreciate each other for it later on. Jenna Kantor: 26:44 Thank you guys for tuning in everyone, take care. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
On this episode of the Healthy Wealthy and Smart Podcast, Jenna Kantor guest hosts and interviews Karen Litzy on her journey to become a leader of the physical therapy profession. Karen Litzy, PT, DPT is a licensed physical therapist, speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit. In this episode, we discuss: -How Karen started her career in New York City -The importance of relationship building to grow your practice -Why you should say yes to things that align with your values -A sneak peek at the Strictly Business Mastermind -And so much more! Resources: Karen Litzy Twitter Karen Litzy Instagram Karen Litzy Facebook FOTO Outcomes Summit, use the discount code LITZY For more information on Karen: Dr. Karen Litzy, PT, DPT is a licensed physical therapist, speaker, owner of Karen Litzy Physical Therapy, host of the podcast Healthy Wealthy & Smart and creator of the Women in Physical Therapy Summit. Through her work as a physical therapist she has helped thousands of people overcome painful conditions, recover from surgery and return to their lives with family and friends. She has been a featured speaker at national and international events including the International Olympic Committee Injury Prevention Conference in Monaco, the Sri Lanka Sports and Exercise Medicine Conference, and various American Physical Therapy Association conferences. Karen has been featured in magazines and websites like Redbook, Women’s Running, Martha Stewart Living, Family Circle, Health.com and CafeMom. She has been a guest on several podcasts including Entrepreneur On Fire, Hack the Entrepreneur, and The Healing Pain Podcast. She lives in New York City. For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt Read the full transcript below: Jenna Kantor: 00:00 Hello, this is Jenna Kantor interviewing for Healthy, Wealthy and Smart. And I am here with the founder, the original Mama Jamma, Healthy, Wealthy and Smart Karen. And I am going to be a major fan girl. No apologies for this at all because I've been wanting to interview Karen for a long time because she is just one of the most inspirational people in physical therapy. And I would say honestly amongst women and physical therapy, the leadership that you take is absolutely incredible and I appreciate you agreeing to coming on. So thank you. Karen Litzy: Well thank you. And I think this is the first time I've been interviewed on my own podcast. I think so unless you count the time Bronnie Thompson was asking me questions and made me cry. But for the most part, this is definitely the first time. Jenna Kantor: 00:51 Not a meltdown in this one. Well what I'm really excited about as so anybody who is a fan of Karen lets you see all that she does. This is to really learn about her backstory and also how possible it is to get to where she is at now. So one thing we were talking about the other day, Karen, as you were saying, how you moved to New York and you knew no one, I would love for you to expand upon that and how you took those steps to knowing everyone. Karen Litzy: Well, so when I first moved to New York, I knew my roommate because we had gone to high school together and maybe two other people that we went to high school with. And what I decided to do when I first moved to New York is I couldn't find a physical therapy job that I felt like it was a good fit. Karen Litzy: 01:43 And so I ended up working at what was then called Reebok Sports Club. It's now an Equinox, but it was this sort of a country club in the city. So it was a very high end, very expensive gym. So I started working there as a personal trainer. And because of that environment, there were so many personal trainers, Pilates instructors, nutritionists, not to mention all of the people who go in and out of the gym and all the clients I was lucky enough to work with. And because of that I was able to meet hundreds and hundreds of people. And to this day, those trainers, the people who work, like a computer program there for children, there are nutritionists, pilates instructors. To this day they still refer patients to me. And that was wow, 18 years ago. So, you know, we talk about building relationships and how important that is. Karen Litzy: 02:41 And I think having that as my first job in the city and being exposed to so many different people, I felt like it really helped me build relationships and friendships at this point that have continued to blossom and grow. And I mean, I just had a patient that was looking for a strength and conditioning coach. And so I said, well, I work with one, a person who is amazing. And he was one of the first people I met at my new job 18 years ago. So it was a bit of like an unconventional path for a physical therapist and it's just cause I couldn't find my fit. I couldn't find that niche that I really wanted and maybe the clinic that I really wanted to work at and now that being said, I knew ahead of before I moved to New York that this gym existed and that it was a high end gym and that I would be exposed to a different kind of clientele. Karen Litzy: 03:36 I don't know why I looked that up to begin with, but it was because of that, that gave me the idea to go out on my own and to start seeing patients in their homes and home gyms and homes and offices because all of the personal trainers at this gym, we're seeing people outside of the gym. If they're doing that, then why can't I do that? Why can't a physical therapist do that? Why do they only have to come to a clinic in a more traditional sense of the word? So it was because of that first job that I met so many people and those relationships continue to grow other relationships and that I got the idea to do my business. Jenna Kantor: 04:28 That's incredible. So for you, now that your network has expanded over time, clearly it's like full bloom. Hello, I look at you almost like the Oprah of physical therapy here. So how do you keep in touch or maintain these relationships with all these people? Like what is your skill for that? Karen Litzy: So as far as maintaining them within New York City, it's pretty easy because we'll get together or you send a quick text. Cause most of these people are my friends and I credit working at that gym and also playing softball in central park that I was able to meet so many people. Jenna Kantor: You play softball. Hold on, pause, elaborate. Karen Litzy: So one day I was running in central park and I was like, Ooh, softball. So I went down and I was like, Hey, do you guys allow girls to play? And they were like, no. And I was like, oh, um, okay. And they said, well, what do you do? Karen Litzy: 05:16 And I said, well, I'm a pitcher. And then they asked if I was good. And I peeked my head around and looked at their pitcher. I'm like, I'm better than the one you have. And so the next week I went for my tryout and then I became their pitcher. And then the following, summer I was recruited to play in a fast pitch like windmill fastpitch league. So I played there for several years and all the guys that I played with on that softball team, are lawyers, and they have referred patients to me. And you know, you just keep in touch. And so I met my two best friends that way in the city and they refer people to me from a business standpoint, but they're also my friends, you know, and they're part of my lifeblood of being in the city. And so my best advice if you're moving to someplace where you don't know anyone is to get involved in things you like to do. Karen Litzy: 06:07 So I love playing softball. So that's what I did, you know, and I loved working out. So I decided to work in a gym as my first job. So instead of kind of pigeon holing yourself into what just physical therapy or just this, just that, like really kind of open yourself up because you never know who you're gonna meet. So in this city it's easy to keep in touch, well, I shouldn't say it's easy. It's not easy, but if it's a priority for you and your life, you make it and you make it a priority and you put in the effort. And so for me, and as you know, Jenna, you keep in touch with a lot of people. You spend your time on networking and on making those relationships. And the best way to do it is to make it a priority. Karen Litzy: 06:47 And so I may have, you know, my week is sort of chunked out so I have patient care, but then there's times where I'm like, okay, all I'm going to do is write emails and send messages to people and it's in my calendar, it's write emails and send messages to people just so that you're still in there hemisphere. Jenna Kantor: You know, it's keeping those relationships. Otherwise it becomes that long lost relationship. Even if when you hang out with them again you could just act like no time has passed. It's still something that needs to be rekindled. So it avoids that. Karen Litzy: And it's putting in the effort. Like a good friend of mine, his name is Dr. Jordan Metzl who's a physician in New York and he does free workout classes every month. And so I try and make it a point, okay, I'm going to go to one of his classes even though I can't walk for two or three days because my legs are so sore afterwards. But I make it a point because he's my friend and I want to support him and I think what he's doing is important. Jenna Kantor: 07:37 I love that. I'm sure I've probably seen pictures of you after the workout going, just finished the workout with Metzl right now. I love that. And you actually are tapping upon something that I know we are 100% agree upon is really supporting what other people are doing. Showing up for what they do is a real big part of the networking and how your life and your career has truly grown. Karen Litzy: Yeah. It's just being supportive of people that you believe in. So going to something like the CSM where there's 16-17,000 people here, like there are people that I want to make it a point that I at least say hello and that I have a conversation with, even if it's just five minutes, you know, because it's important to me and I hope it's important to them, but I know that it's important to me because I want to show up for them and I want to support them. Karen Litzy: 08:31 And so that's just what you do if you want to keep your relationships going. And as far as keeping relations with international colleagues, it could just be a quick, a quick note on Twitter or a quick email or hey, I thought about you the other day because I really want to introduce you to this person because I think you guys should at least know each other cause you're doing the same research or you know, I met a colleague in the Netherlands and he has since referred patients to me in New York and he's a physio in London, but you just keep in touch with people and you do good work. And I think that's the best way to keep your relationships going. And it doesn't have to be every day, right? It could be consistent. Karen Litzy: 09:24 It takes five minutes. A lot of times I do this when I'm on the bus cause I'm going from patient to patient. So what else am I supposed to do on the bus? You know, so that's sometime when I'd be like, okay, I'm going to make sure that I reach out to so and so in Australia or to this person in Pennsylvania or to this and that's a good time. So I'm lucky in that sense that I have like random downtime. Chunks during my week and you just, if you think about someone, just let them know. Jenna Kantor: Yeah, it takes seconds. It takes seconds. Okay. So you have your hands on many things which I love about you. So you have this podcast, which is amazing and soaring and now you also have a team working for you with this podcast. Jenna Kantor: 10:07 You have your own practice, you have the speaking course. What am I missing? You have a course coming up that's going to be helping practitioners, which is amazing. You’re the nominating committee for the private practice section? Am I missing anything? I want to make sure we tap and tap everything. Okay. So you're doing all these things now, did they all come about all at once for you to achieve it? Or did some of them overlap as you were developing them? Oh, and you're working to become a paid speaker. I mean these are a lot of fantastic things, all a hundred percent possible to achieve in a life, but for you achieving each and every one, have some of them overlapped in the process of growing? I would love to hear that journey. Karen Litzy: 10:56 Yes. And I also think that one allows for the next and allows for the next. So one event allows for the next event and for the next and for the next or one experience allows for the next. So for instance, starting the podcast many years ago, I took a couple of years off to go back to get my DPT, but starting the podcast had led to credibility and has led to visibility and in maybe some vulnerability on my part. So when people can see that you're being credible and you're being authentic and you're putting yourself out there, they're drawn to that. And so from that, I was invited to be on a proposal to CSM and then that got me public speaking a little bit. And then maybe from that someone sees you, it's like, hey, you know something, I really like this. We should try this. Karen Litzy: 11:50 And so I kept saying yes, yes, yes, yes. And to say as a piece of advice, say yes to everything until you can say no, terrible advice. I don't know. It was terrible advice. Awful. So what I started to do, cause I was saying yes, everything and it is overwhelming and you get burnt out and you start to cry and then you don't feel like you have a personal life. And I want a personal life as well. So now what I've started to do is say yes to things that align with your values. Say Yes to things that in your gut it's a hell yes. Because when you start saying yes to things that are like, I guess I should do it, it's a no, like if you're saying I guess I should do it, you don't want to be shoulding things. Karen Litzy: 12:30 It's like, yes, I want to do this. Not, yeah, I guess I should do it. And so I think having that in my mind has been able to narrow my focus a little bit more. So it sounds like I'm doing a lot, but it's all inter related. Jenna Kantor: It's connected. And I even left out that you have the annual women in PT Summit. Karen Litzy: But again, that's all connected, right? So I think it started with the podcast and then doing a little bit of speaking and then I really started to enjoy speaking more and more. And because of that I have made that a priority. And for me each year I pick a word that I like to kind of follow my year and to base decisions on and things like that. And so this year it's courage. And so one of the things that I really wanted to have the courage to do was to do more public speaking and to put out a course to help physical therapists create their own private practice and occupational therapists create their private practice. Karen Litzy: 13:27 And these for me, takes a lot of courage and planning and things like that. But if you, like I said, I sort of planned my week in little chunks. So if you can do that, you can get everything done. You just have to put your mind to it. And I also as just a FYI on how I manage my time is that I kind of use pomodoros. So a Pomodoro is a concept that's a 25 minute work block. So I'll set a timer for 25 minutes. I turn everything else off. Sometimes I'll put theta wave music on in the background or binaural beat music because that music is supposed to help increase theta wave, excitability in your brain, which is supposed to have, this is all very, you know, but it's supposed to help you be able to block out distractions and help you focus and things like that. Karen Litzy: 14:17 It's the kind of music you hear when you're at the spa. And so I will do that and block everything else out. And it's amazing how much you can get done in 25 minutes. Like so if you are full of distractions, yeah, it's going to take you forever. But if you can really focus for 25 minutes, then you can write that blog post in 25 minutes instead of screwing around for three hours. You know what I mean? And if emails come in, like I'm not the president of the United States, like it's not that important. It's just not. I think we're in a world now where everything has to happenmnow. Now, now, now, now. Whereas I mean, I can say, I mean I started my podcast in 2012 and then took a couple of years off. Karen Litzy: 15:03 It's 2019 so it's not like it's an overnight success. You know, I started speaking, the first CSM I spoke, it was in Indianapolis, which was, I don't even know how many years ago. So again, this is just been years of work and years of working on your reputation and years of working on myself in order to get to these points. Nothing is an overnight success because you're always laying foundations and groundworks that can take months or years. So I think it's really important for people to understand that. Jenna Kantor: And habits, habits are a big thing too, because I'm sure it took you a bit to even make this, this 25 minute habit. Karen Litzy: Oh my God. Yeah, because I love to be distracted. Squirrel. I'd be like, what? I love to be distracted. But it's true. So to be able to do that and calm my mind down to focus on one thing took practice, but just like we tell our patients with like practice your exercises, if you practice these methods, you become better at the methods. It's the same thing. Jenna Kantor: 16:02 Yeah. I definitely can relate with that. So now for you, what is your next, oh my gosh. I can't wait for you to listen back to this podcast in like a couple of years and be like, what is your next, cause you have, you have things coming up and maybe those will be your next you would want to discuss, but I would love for you to share that. Karen Litzy: My probably biggest next is the soonest are the quickest next, let's put it that way. The quickest next would be this course that I'm developing for physical therapists and occupational therapists called Strictly Business Mastermind. And it's to help them create their own cash PT or hybrid or if you already have a practice and you're trying to transition out into a cash based practice. Karen Litzy: 16:52 So it's really for those two groups of people. And I'm really excited about that and hopefully we'll have that solidified in the next couple of weeks and put that out there. Jenna Kantor: That's going to be incredible. And honestly to speak to the fact that we don't have a woman and physical therapist yet leading something like this and we need to, it's for anyone. You need to see somebody who you can even visually identify with. So on top of the content that you're going to be providing, which is going to be off the charts, I'm grateful that you are filling a void that needs to be filled in. Karen Litzy: And I think it's important to know that I'm not teaching this on my own because I don't have the answers to everything. I can't do everything. It's just physically impossible and mentally impossible. Karen Litzy: 17:36 Like I can't do it. So I'm lucky to have a lawyer involved. I'm lucky to have an investment advisor involved. And someone who's an expert at SEO and Michelle Collie who's an amazing colleague with like 5,000, no, not really, but like a whole bunch of clinics in the Rhode Island area because these are people who quite frankly are doing things better than I am. And so to be able to share their knowledge with people, I think it's going to be a little bit unique in that space. Because I know I can't do it on my own. And so I asked for help. Jenna Kantor: And it's okay to ask for help. And honestly, I definitely wouldn't use the Hashtag better together right now for this because it really is, as much as you are taking the lead on it, it is so good to get to work with other people and everybody benefits from it. Karen Litzy: 18:26 Of course. Of course. I just feel like that's important for people to understand that you can't do any of this alone. And that if, if you do, you'll burn out, but if you have the wherewithal to find out, well, what are your weaknesses? Like, what are you good at? What are you not so good at? What do you love? What will someone pay you for? And if you can fill that out and kind of connect the dots, then you'll know what you're good at and then what you're not good at. Just find someone else who is. Because you're doing a disservice to yourself and you're just doing a disservice to people who are spending their money and their time to learn from you. So it's all about respecting the audience. And so what I really want to do is respect the audience and give them the best user experience that they can get and meet those expectations. And I'm my harshest critic. Jenna Kantor: So I think everyone is, I think everyone is their harshest critic. Well, thank you so much for coming onto your own podcast to just share this. I love how you're just so authentic and insightful and just so true to your own story. And I think a lot of people just appreciate that about you and I definitely do. So thank you. Karen Litzy: 19:52 Thanks for having me on. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
On this episode of the Healthy Wealthy and Smart Podcast, Jenna Kantor guest hosts and interviews Phil Tygiel on bylaws within the APTA Private Practice Section. Phil Tygiel, PT, MTC, is the PPS Bylaws Committee Chair. The Bylaws Committee reviews, maintains, and updates the Section bylaws to meet the needs of the membership and the requirements specified in the guidelines set forth by APTA. In this episode, we discuss: -What information is contained within the bylaws -The process for changing a bylaw -The multiple avenues you can enact change within your professional associations -And so much more! Resources: PPS Member Bylaws Email: tygielpt@aol.com FOTO/NetHealth Outcomes Conference (use the code LITZY) For more information on Phil: Phil Tygiel, PT, MTC, is the PPS Bylaws Committee Chair. The Bylaws Committee reviews, maintains, and updates the Section bylaws to meet the needs of the membership and the requirements specified in the guidelines set forth by APTA. For more information on Jenna: Jenna Kantor (co-founder) is a bubbly and energetic girl who was born and raised in Petaluma, California. Growing up, she trained and performed ballet throughout the United States. After earning a BA in Dance and Drama at the University of California, Irvine, she worked professionally in musical theatre for 15+ years with tours, regional theatres, & overseas (www.jennakantor.com) until she found herself ready to move onto a new chapter in her life – a career in Physical Therapy. Jenna is currently in her 3rd year at Columbia University’s Physical Therapy Program. She is also a co-founder of the podcast, “Physiotherapy Performance Perspectives,” has an evidence-based monthly youtube series titled “Injury Prevention for Dancers,” is a NY SSIG Co-Founder, NYPTA Student Conclave 2017 Development Team, works with the NYPTA Greater New York Legislative Task Force and is the NYPTA Public Policy Committee Student Liaison. Jenna aspires to be a physical therapist for amateur and professional performers to help ensure long, healthy careers. To learn more, please check out her website: www.jennafkantor.wixsite.com/jkpt Read the full transcript below: Jenna Kantor: 00:00 Hello, this is Jenna Kantor. I am here with Phil Tygiel who is the head of the bylaws committee for the APTA private practice section. So first of all, thank you so much for coming on to healthy, wealthy and smart to be interviewed. So I just wanted to do this podcast for people to get a better understanding of bylaws and their value and why it can be a long process for some, for change. You were actually, before we even started, you started to talk about how there is this rule where it's like this five year rule and I would love for you to go into that. Why there's a five year rule for change. Phil Tygiel: We're actually, that's for APTA, not for the private practice section. Jenna Kantor: Oh, okay. Okay. Oh, thank you. So there we go. It's something you already clarified. Thank you. So for the private practice section, is there some sort of rule like that? Phil Tygiel: 00:51 No, you can bring up bylaw changes anytime you want to. I always discourage it. I always say my job as chair of the bylaws committee is to put the bylaws in an envelope, seal the envelope and keep it sealed for the duration of the president's term. Bylaws are great. They outline rights, privileges and responsibilities, and they are not to be taken lightly or changed lightly. And very often people will come to me and say, we need this change in the bylaw. And when I look at what they want to do, they don't have to change the bylaws to do that. Bylaws, as you mentioned, are somewhat rigid and they're supposed to be, they're not easy to change. It requires prior notice to all of the members that you intend to change the bylaws. And the reason for that is you're changing their rights and privileges. Phil Tygiel: 01:41 They have a right to know that you're changing the rights and privileges. You have to have prior notice of at least 30 days prior to the meeting. And then there's debate and it takes a two thirds majority to change any bylaw. As I said many times, the board will come to me and say, I want to change this bylaw. And I usually try to discourage it and figure if there's ways to do what they want to do without changing them is all too often people run to the bylaws and we have to change this when actually the bylaws are pretty good. They don't need change. For instance, there was one year the board, I think it was the membership committee wanted to have lowered starter dues for new members and they wanted to change the bylaws. Biggest dues are outlined. The dues structure is outlined in the bylaws. But I looked at the bylaws though the board had the right to lower the fee but not raise it. So they didn't need a bylaw change to get that starter dues change in that case and discouraged it. And we didn't go in there and change the bylaws. Jenna Kantor: 02:47 So you were saying that you guy’s meet and they have to submit it 30 days prior. So I'm wondering for the 30 days prior, like how often do you guys meet in general, so how many times would there be that opportunity for it to be heard and voted upon if it would get that far? Phil Tygiel: 03:07 Technically we have two meetings a year, one at the private practice section annual conference and I think they have one at CSM this year. I'm not even sure about that. So those are the only two times that you can change the bylaws. You do need a quorum at a meeting, which was a certain number of people have to be there. And usually the CSM of business meeting you don't have one. So pretty much the only time we tried to change the bylaws if needed is at the annual conference. As I said, the 30 days notice goes out and all of the discussion occurs at the business meeting when we vote yes. Jenna Kantor: 03:46 How long have you been in this position, first of all. And then from your experience and all the years that you've been in this position, how many bylaws have you actually changed? Phil Tygiel: 04:00 Yeah, I think I've been doing it about 20 years now. Nobody else wants it. So I keep on getting recycled and in those years I think we've probably changed, made minor changes to the bylaws about five times. Don't ask me what those changes were. I put the envelope away. Jenna Kantor: 04:23 So for you it doesn't sound like it makes much of a difference when these bylaws are changed that much because it really is set up pretty well already. Phil Tygiel: 04:33 I think they're pretty good. I mean they let members know what they're entitled to do, what the dues are going to be. If they have concerns how to raise those concerns. It tells them how often we have meetings. What prior notice we have for those meetings. It lays out the fiscal responsibilities of the board and all the board positions. So most of that doesn't have to be changed. It can stay where it is. Sometimes I've been in situations where one of the positions on the board has certain responsibilities that are assigned, like they're in charge of three committees and sometimes people want to put that in the bylaws that the vice president will be in charge of these committees. And that's usually a mistake because you'll change committee liaisonships based on the new personnel you have, you know, you're going to let new people every three years and you might have one person who's vice president who was very good on programming. So they will be liaison to the program committee. The next vice president might be much better off from communication. So they'd be the liaison to publications committee though, that type of thing. So you don't want certain things you don't want etched in stone and the bylaws, remember, if you make a mistake with the bylaws, it also takes a two thirds majority to correct that mistake. So sometimes bylaws mistakes stay in place for years and years. So again, you want to tread very lightly on changing them. Jenna Kantor: 06:11 Well, I mean you were already saying that you're only meeting two times a year, so that already is a limitation on getting that two thirds majority vote. So I can definitely see how that could be impeding on change. No, I definitely have to be honest. From my perspective, this seems like a definite area where there might be room for change and my mindset, because I'm a new Grad, so I'm thinking, oh my gosh, this sounds so stagnant. Like there is not a set way to really make big, big changes. I would love for you to speak on where my brain is going and educate me. Phil Tygiel: 06:47 Oh, actually there's a way, there's lots of ways to make big, big changes that don't require bylaws changes. For instance, let's say there was direction that you wanted the private practice section to take, you wanted them to lobby congress to do something and you wanted to make that a priority. That's not a bylaws issue. You would show up at a business meeting and say, I move that the private practice section endorse this position. Okay. Now, first of all, it does not require prior notice. It only requires a majority vote, not a two thirds vote. And those are the more important things that most of us are concerned about. Which way we're going, what do we want to accomplish? Those things are not in the bylaws. What is in the bylaws is how you can do those things. The fact that you have to have these meetings, that you have the right to speak, that you have the right to vote, that you have the right to make motions. So that's a very, very fluid process. Also remember sometimes if you have a really good idea that nobody else thought about, you can go to the board and say to the board, hey, why doesn't the section do this? Same with your state association and all that. So you can just say, let's make this happen. And that can be done with the snap of a finger. So not being able to change the bylaws does not restrict what you want to accomplish. Does that make sense to you? Jenna Kantor: 08:10 And then what you do as somebody is saying it's not in the bylaws, it doesn't allow it in the bylaws and then you can't find that it's in the bylaws. What is the professional way to handle that kind of communication with that individual that you're trying to work with? Phil Tygiel: 08:28 The first thing I usually do is ask what is it you are trying to accomplish? And I want to see if there's a way they can accomplish that without having to change the bylaws. If we find that they do need to change the bylaw to accomplish what they want to accomplish. Let's say they want to add two new people to the board of directors, that would require a bylaws change. We would then draft a motion and to change the bylaws by changing this section on the board of directors by adding two positions. The executive board would look at it and see if they approved it, which they don't have to do. Membership has priority over leadership. We should always keep in mind that the pyramid is inverted. Membership is on top president is way at the bottom. Phil Tygiel: 09:22 So the membership has the right to do what they want to. So anyway, then we would draft the bylaw in the case of APTA sections, chapters, any bylaws change that the section has, has to be in keeping with the bylaws of APTA. So we'd run it by APTA to make sure it's not in violation of anything that APTA wants to do or says you have to do. For instance, let's say we wanted a bylaw change that would prevent life members from being members of the section. I don't know why anybody would want to do that, but the APTA would look at that and say, you can't do that. That's a violation of the APTA bylaws. So we do have that higher authority anyway. If the bylaws are keeping with what the APTA will allow we would publish it to the membership and probably in Impact or maybe online saying we will be voting on this bylaw at the next meeting. Phil Tygiel: 10:31 Next meeting comes and the bylaw is moved. And someone has to say it and then there's debate and then they call for a vote. Since you need a two thirds majority with a standing vote, it's carried if it's not clear with standing vote, but it could be close, you do a roll call vote where everybody stands up and counts off. And if you don't get your two thirds, you don't get the bylaws. And it's important to remember what I said originally. The bylaw protects your rights and privileges as do Robert's rules of order. So even if there’s a fairly hefty majority that feels that their rights and privileges of being violated, they have a right to say we're not going to let you pass this. Jenna Kantor: 11:21 I like how you connected it back to the APTA because they are the Higher umbrella organization if you will, of the private practice section. And this actually can segway into what I was mixing up at the beginning of this interview. So if you wanted to make a change but it didn't go in accordance with the APTA bylaws, now this is where they have the time limit on how often? Phil Tygiel: 11:47 Yes. It got to be a nuisance of people would come in with requiring bylaws changes every year and many of them were really not necessary, but they are very time consuming to debate. So many years ago, and don't ask me how long ago it was moved and seconded and passed that it's in the bylaws that you can only have bylaws amendments every five years I think it is with the APTA and that goes through the house of delegates which is a completely different process membership doesn't vote, your delegates do. That can be bypassed. It requires a two thirds vote just to hear the bylaws if you want to do it in an off bylaw year. So it got rid of some of that cumbersome activity that really wasn't necessary. Jenna Kantor: 12:38 No, it's good. It's really good to hear your perspective and just gain a better understanding of how well put together everything already is and why it may not be the fastest for the change, but there's a big reason for that. So thank you so much Phil, for coming on to just share your knowledge. So people who are looking for change, they may not necessarily, well now they know they may not necessarily need to go to you to find out about how to change the bylaws. They are actually still a lot of opportunities to get it done elsewhere. So thank you so much. Phil Tygiel: 13:10 My pleasure. I think the main messages that the association, whether it's private practice section, or any other section, belongs to the membership and they have rights and privileges. They can make change and sometimes the change comes from a single person with a new idea and sometimes that new ideas violently objected to by people in leadership, people who have been there forever. But there is a mechanism to be heard. There is a mechanism to make change and advance and we do very well with it. Sometimes, a good idea, it takes three or four years to pass. But that's not because of the system. It's just cause it took you that long to get people to understand what you were trying to do. That's not necessarily bad. Jenna Kantor: 13:50 That's good. And I love that. I like how it really does revolve around membership because we are all in this together. And for us to just come forward with an idea, thinking, oh, I'm right, I'm right, I'm right. That's not how it works in a community at all. So thank you. Thank you so much. Phil Tygiel: 14:04 Thank you. Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!
Dr. Karen Litzy joins Dr. Tim Flynn and Dr. Jeff Moore on Pain Reframed this week! Karen is a physical therapist and host of the podcast: “Healthy, Wealthy, and Smart.” Karen has personally dealt with persistent pain and, therefore, understands how to come alongside patients empathetically and effectively. Karen tells her story of dealing with pain for around a decade. She also shares her wisdom, experience, and insights in how to create success with your patients in their pain journey. Dr. Litzy offers a “concierge” model of physical therapy where she travels to patients’ homes or offices. This allows her to dedicate a full hour of one-on-one treatment to each and every client. She’s able to have plenty of time to evaluate, treat, re-evaluate, and educate her patients. Karen’s podcast, “Healthy, Wealthy, and Smart,” provides up to date clinical information combined with business strategies from the best and brightest thought leaders in physical therapy, wellness and entrepreneurship. Save the date!! March 8-10, 2019 in Denver, Colorado, the Align Conference returns! This year’s focus is on movement and pain. LINKS: http://karenlitzy.com IG and FB: @karenlitzy Twitter: @karenlitzynyc Pain Reframed Facebook Group http://ispinstitute.com http://evidenceinmotion.com @eimteam
LIVE from the Combined Sections Meeting in New Orleans, Lousiana, Matthew Villegas organized a Q & A with Dr. Karen Litzy and Dr. Sandy Hilton about pain science. Dr. Litzy is currently the owner of Karen Litzy Physical Therapy, PLLC, a concierge physical therapy practice in New York City, where she sees clients in their home, gym or office and she is the host of the Healthy Wealthy and Smart Podcast. Dr. Sandy Hilton is a physical therapist and her clinical interest is chronic pain with a particular interest in complex pelvic pain disorders for men and women. Sandy is the co-host of Pain Science and Sensibility, a podcast on the application of research into the clinic. In this episode, we discuss: -How does psychology and culture impact someone’s pain experience -Managing expectations and celebrating small wins with patients with CRPS -Self care tips to prevent empathy burnout in physical therapy -Interprofessional collaboration to best manage persistent pain patients -And so much more! Explaining pain needs to be part of a graded education program just like any exercise program as Sandy reminds, “Everyone learns differently and pain is a uniquely individual experience.” Every small success should be celebrated and Sandy encourages patients to, “Claim those victories because when you can start doing that¸ you can start building on them.” Patients with persistent pain would benefit from assurance and motivation as Karen stresses, “If you can be the person for that patient to listen to them, to offer good solid advice, help them take control over their life versus the pain controlling their life, and being able to really get them to understand that they are not fragile and they’re not broken and they’re not damaged goods, that’ll go a long way of getting them better without putting your hands on them or loading a tissue.” Sandy believes the role of the physical therapist is, “Un-scaring someone and giving them a path to follow and sign marks along the way to be able to recognize that they are getting better and being there to walk it through with them.” For more information on Karen: Dr. Litzy is currently the owner of Karen Litzy Physical Therapy, PLLC, a concierge physical therapy practice in New York City, where she sees clients in their home, gym or office. Aside from physical therapy clients she also sees clients for wellness training, surgical packages and golf fitness evaluations. She is on the board of directors for the non-profit Physical Therapy Business Alliance and part of the PT Day of Service team. Dr. Litzy consults with physical therapy colleagues on how to start and maintain a successful out of network physical therapy practice. http://karenlitzy.com/ For more information on Sandy: Sandy graduated from Pacific University (Oregon) in 1988 with a Master of Science in Physical Therapy and a Doctor of Physical Therapy degree from Des Moines University in December 2013. She has worked in multiple settings across the US with neurologic and orthopaedic emphasis combining these with a focus in pelvic rehabilitation for pain and dysfunction since 1995. Sandy teaches Health Professionals and Community Education classes on returning to function following back and pelvic pain, has assisted with Myofascial Release education, and co-teaches Advanced Level Male Pelvic Floor Evaluation and Treatment. Sandy’s clinical interest is chronic pain with a particular interest in complex pelvic pain disorders for men and women. Sandy is the co-host of Pain Science and Sensibility, a podcast on the application of research into the clinic. For more information on Matthew: My name is Matthew Villegas. I host Capable Body Podcast (available on iTunes, Google Play, and Stitcher), which aims to bridge the gap between healthcare providers and real people with real stories. Also, the podcast features an active Facebook community that is a safe space where I share more means to connect with my guests as well as some behind-the-scenes extras. Resources discussed on this show: Matthew Villegas Website Matthew Villegas Twitter Sandy Hilton Twitter Karen Litzy Twitter World Congress on Pain Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen
En este show hablamos sobre la seguridad en las escuelas y los padres se desahogaron. Además, nos visitaron tres mujeres increíbles. Marjorie de Sousa y Litzy de "Al otro lado del Muro", y "La Mujer de Fuego", Olga Tañón habló sobre el control de armas y hasta nos cantó en "trap".
For this episode of Profiles in Leadership, Steve Anderson, PT, DPT, sat down with Karen Litzy, PT, DPT. Dr. Litzy the owner of Karen Litzy Physical Therapy, a concierge physical therapy practice in New York City. She is also the Host of Healthy Wealthy and Smart Podcast and is a Board of Director for Physical Therapy Business Alliance and PT Day of Service.
En este episodio les hacemos una reseña del concierto "90's Pop Tour" en el cual participan grupos como OV7, Calo, The Sacados, Fey, Litzy, JNS, Aleks Syntek y Eric Rubin. Recuerden que nos pueden contactar en https://twitter.com/RolaTweetCast / www.facebook.com/rolatweetcast / rolatweetcast@gmail.com Les recordamos que las canciones que van escuchando en el programa las pueden seguir en nuestra playlist de Spotify: http://open.spotify.com/user/boomsyboom/playlist/0PD3LuAJCZiXqLDAyEXrtx Para suscribirse al podcast pueden hacerlo a través este feed http://feeds.feedburner.com/Rolatweet Muchas gracias a todos por sus comentarios!
Therapy Insiders Podcast -->>Physical therapy, business and leaders
“We hark on evidence based and we hark on following data and data has shown that women are as good and in most cases better leaders than men but we are still entrenched in more traditional mindset of leadership.” In this episode, we discuss: -Why are women not thought of as leaders in the physical therapy profession? -Creative solutions for hiring the best fit for your company's culture -Enhancing the female voice through amplification -How to grow an audience with solid content and consistency -Strategies to overcome imposter syndrome and how to foster an environment for vulnerability -And so much more! Therapy Insiders Podcast is proud to be sponsored by WebPT! Have you had the deductible talk with a patient yet? Yea, chances are you have. It’s a difficult conversation to navigate. Would you like to learn how to tackle it head on and improve the persons understanding in such a way that it helps everyone? Have you had issues collecting payments from patients with high-deductibles? Obviously, there are many issues with high-deductible insurance plans. Check out this FREE webinar, Suppressing Sticker Shock by Heidi Jannenga, President of WebPT and Nancy Ham, CEO of WebPT! Heidi and Nancy address the aforementioned questions and help explain strategies to handle patients with high-deductible plans. You don’t want to miss it! Dr. Karen Litzy, PT, DPT, MS from http://podcast.healthywealthysmart.com/about-me/ Dr. Litzy is currently the owner of Karen Litzy Physical Therapy, PLLC, a concierge physical therapy practice in New York City, where she sees clients in their home, gym or office. Aside from physical therapy clients she also sees clients for wellness training, surgical packages and golf fitness evaluations. She is on the board of directors for the non-profit Physical Therapy Business Alliance and part of the PT Day of Service team. Dr. Litzy consults with physical therapy colleagues on how to start and maintain a successful out of network physical therapy practice. http://karenlitzy.com/ Physical therapy is an ever evolving practice and for me, a personal journey. That’s why I’m committed to staying at the forefront of the industry. Through continuing education and my practice, I work to enrich myself so I can impart to others the true value of physical therapy. My mission is to show people how physical therapy can improve their lives. This is what drives me to help my clients attain their own goals and for myself to build upon the work of those who have helped lead the way.
To learn more about Butterflies of Wisdom visit http://butterfliesofwisdom.weebly.com/ Be sure to FOLLOW this program https://itunes.apple.com/us/podcast/wins-women-of-wisdom/id1060801905. To find out how Win walk and about Ekso go tohttp://www.bridgingbionics.org/, or email Amanda Boxtel atamanda@bridgingbionics.org. John L is a sponsor and check him athttps://www.facebook.com/profile.php?id=100009152577407&fref=ts. On Butterflies of Wisdom today, Best-Selling Author, Win C welcomes Dr. Karen Litzy.Dr. Litzy graduated with her MS in Physical Therapy from Misericordia University in 1997 and then graduated with a Doctorate in Physical Therapy in December of 2014 from Misericordia. Dr. Litzy is currently the owner of Karen Litzy Physical Therapy, PLLC, a concierge physical therapy practice in New York City, where she sees clients in their home, gym or office. Aside from physical therapy clients she also sees clients for wellness training, surgical packages, and golf fitness evaluations. Dr. Litzy consults with physical therapy colleagues on how to start and maintain a successful out of network physical therapy practice. (http://karenlitzy.com/) Karen is the host of the weekly podcast Healthy Wealthy & Smart where she interviews thought leaders in the world of physical therapy as well as other aspects of health, wellness, and entrepreneurship. (http://podcast.healthywealthysmart.com/) To learn more about Dr. Litzy visithttp://karenlitzy.com/ To find out more about Win Kelly Charles visithttps://wincharles.wix.com/win-charles. To follow Win on Twitter go to @winkellycharles. Please send feedback to Win by email her at winwwow@gmail.com, or go tohttp://survey.libsyn.com/winwisdom and http://survey.libsyn.com/thebutterfly. To be on the show, please fill out the intake at http://bit.ly/bowintake. Butterflies of Wisdom sponsored by The Muscle Memory Group powered by Professor John. John L is a sponsor and check him at https://www.facebook.com/profile.php?id=100009152577407&fref=ts. This is a 20% off code for www.gracedbygrit.com. The code will be XOBUTTERFLIES. To learn about the magic of Siri go tohttps://www.udemy.com/writing-a-book-using-siri/?utm_campaign=email&utm_source=sendgrid.com&utm_medium=email. If you want to donate Butterflies of Wisdom, please send a PayPal donation to aspenrosearts@gmail.com. Please send a check in the mail, so 100% goes to Bridging Bionics Foundation. In the Memo section have people write: In honor of Win Charles. Send to: Bridging Bionics Foundation PO Box 3767 Basalt, CO 81621 Thank you, Win
The Rosca De Reyes is a traditional pastry bread that my family eats on El Dia de los Reyes. It's cool characteristics are described as well as the traditionally customs that come along with it.
On Win's Women of Wisdom today, Best-Selling Author, Win Kelly Charles welcomes Dr. Karen Litzy. Karen graduated with her MS in Physical Therapy from Misericordia University in 1997 and then graduated with a Doctorate in Physical Therapy in December of 2014 from Misericordia. She is currently the owner of Karen Litzy Physical Therapy, PLLC, a concierge physical therapy practice in New York City. She sees clients in their home, gym or office vs a traditional PT outpatient clinic. Aside from physical therapy clients she also sees clients for wellness training and individual softball coaching. Dr. Litzy as consults with physical therapy colleagues on how to start and maintain a successful cash based physical therapy practice. http://karenlitzy.com/. Karen is the host of the weekly podcast Healthy Wealthy & Smart where she interviews thought leaders in the world of physical therapy as well as other aspects of health and wellness. http://podcast.healthywealthysmart.com/. To learn more about Karen visit http://karenlitzy.com/. To learn more about your host and the show visit http://winswomenofwisdom.weebly.com. Be sure to FOLLOW this program https://itunes.apple.com/us/podcast/wins-women-of-wisdom/id1060801905 Thanks,
Música pop en español de los 90's.Chayanne, Lo dejaría todoLitzy, No te extrañoErnesto D'Alessio, Con el alma en un cajónLa Dosis, ParaisoElvis Crespo, Suavemente
I interviewed all these wonderful women and great moms on what it is like going from one child to multiple children. They all gave amazing advice on raising healthy and happy children without losing yourself in the process. A must listen for ALL mommies!
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