Healthy Wealthy & Smart

On this week's episode of the Healthy Wealthy and Smart podcast, Michol Dalcourt joins me to discuss how to integrate health and wellness principles to achieve individual performance outcomes. Michol is an industry leading expert in human movement, the inventor of the fitness tool "ViPR" and founder of the Institute of Motion.

In this episode, we discuss:

-The Institute of Motion's principles and intervention strategies

-Why sympathetic workouts must be offset with parasympathetic workouts for longevity

-How to effectively communicate dosage, timing, and exposure for exercise programs for clients

-Has the health and wellness industry exhausted the word "functional"?

-The 4 Q training model

-And so much more!

Michol addresses the multifaceted aspects of longevity including the physical, mental, and social considerations from the cellular level to the systems level. If you are interested in the health and performance strategies discussed, visit the Institute of Motion.

If you want to discover the beauty and intricacies of the human body and apply your knowledge of anatomy to learn how to prepare tissues for performance, you can immerse yourself in the Anatomy Live Expanded course. You can sign up here for the course on June 10-12, 2016 in Boulder, Colorado!

Thank you for listening to the podcast! If you would like to support the show, be sure to leave a rating and/or a review on iTunes!

Connect with me on twitter to stay updated on all of the latest!

Have a great week and stay Healthy Wealthy and Smart!

Xo Karen

On this episode of the Healthy Wealthy & Smart podcast I am so happy to debut a new series called the Physical Therapy Side Hustle! I get so many questions from physical therapists across the country every week that I thought I would answer many of those questions right here on the podcast.

Enter the PT Side Hustle Series! This series will have 2 episodes a month dedicated to the true side hustle. I will share my ups and downs as an entrepreneur, answers lots of your questions and hear from business experts. Topics will range from shifting your mindset, systems set ups, goal setting, handling the day-to-day grind of essentially working 2 jobs, marketing, branding and much more!

I am really excited to share this series with you and I hope you enjoy it as I much as I do!

In this episode I discuss:

Why I decided to start a PT Side Hustle Business

The big mistake I made when I first started

Do you need a corporate entity for a side hustle?

What kind of malpractice insurance do you need?

How can you start to create your client list?

Resources discussed in this episode:

Is Professional Liability Insurance Worth it? This is a nice article from WebPT

Corporate Entities

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes!

Have a great week and stay Healthy Wealthy and Smart!

Xo Karen

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of welcoming Dr. Kenneth Miller onto the show to discuss patient care transitions between physical therapy settings. Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working in home care and inpatient rehab settings, as well as more than 7 years in adjunct faculty roles for the University of St Augustine, New York Institute of Technology, University of Michigan–Flint, and Touro College. He is a clinical educator at Catholic Home Care, in Farmingdale, N.Y., has developed a course on clinical pharmacology for GREAT Seminars and has several online courses for MedBridge. Dr. Miller chairs the APTA’s Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and is a manuscript reviewer for the Journal of Geriatric Physical Therapy.

In this episode, we discuss:

-The current state of information transmission between physical therapy settings

-Biomarkers used to evaluate the health status of patients

-The real risk of patient fragility and the importance of adequately overloading during treatment

-How to enhance home compliance and educate patients through technology

-And so much more!

Information sharing between healthcare settings is often not reliable. Instead practitioners should focus on ensuring they have the most salient information. From Dr. Miller’s experience, he states, “It is often difficult to get the information I need. It becomes futile sometimes to try and get that information. Some clinicians have stopped reaching out to hospitals and just try to do the best they can with what they have.”

Effective and literature supported biomarkers such as gait speed and distance are useful tools to assess risk of re-hospitalization and guide plan of care. Dr. Miller stresses to, “Get those biomarkers out there, so that way even if we can’t get all of the information, be very specific with the type of information, and we can reduce readmissions.”

With a growing demographic of home care patients, assessing patient risk level and the need for physical therapy is becoming more important. Dr. Miller notes, “Our patient case loads are going through the roof. I think we need to be able to triage our patients more appropriately for who does need care and who doesn’t and try not to make visits that are not necessary.”

One of the biggest challenges facing physical therapy exercise prescription is effectively loading patients. Dr. Miller shares that, “The only known way to combat frailty at this point is exercise and it has to be appropriately dosed.”

For more information on Dr. Miller:

Dr. Kenneth L. Miller is a physical therapist and educator with more than 20 years of experience working in home care and inpatient rehab settings, as well as more than five years in adjunct faculty roles. He is currently a clinical educator and physical therapist at Catholic Home Care, in Farmingdale, N.Y., and a consultant, for The Corridor Group. He has taught for New York Institute of Technology, University of Michigan–Flint, and Touro College.

He is the co-author of the book Providing Physical Therapy in the Home, published by the American Physical Therapy Association (APTA), as well as the author of peer-reviewed publications in Neurorehabilitation and the Journal of Geriatric Physical Therapy. He has presented at the APTA Combined Sections Meeting and NEXT Conference.

Dr. Miller chairs the APTA’s Home Health Section Practice Committee and is a member of the editorial boards of Topics in Geriatric Rehabilitation, GeriNotes, and the Journal of Novel Physiotherapy and Physical Rehabilitation.

He is the recipient of numerous honors, including three APTA Home Health Section awards: 2016 Section Contribution Award, 2015 Outstanding Effort Award, and 2010 Excellence in Home Care Award. In 2012, he received the Shining Star Award from the Long Island Health Network.

He is a Board Certified Geriatric Specialist, a TeamSTEPPS Master Trainer, an APTA Credentialed Clinical Instructor, and an APTA Certified Exercise Expert for Aging Adults.

Resources discussed on this show:

Fried et al. 2001: Frailty in older adults: evidence for a phenotype.

Dr. Kenneth Miller Twitter

Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and...

On behalf of the British Journal of Sports Medicine, I had the pleasure of speaking with Dr. Marie-Elaine Grant on taping and bracing in the athletic population LIVE from the IOC World Conference in Monaco.

Dr. Marie-Elaine Grant, is a chartered physiotherapist currently on the IOC medical commission and has monitored physiotherapy services on behalf of the IOC for the past 2 Summer Olympic games in addition to owning a clinical practice in Dublin, Ireland. Dr. Grant’s globally recognized Chartered Physiotherapist qualification has led to a career of preparing, rehabilitating and working with Olympic athletes and clinical patients.

In this episode, we discuss:

-The top 3 reasons for when to use and not use tape or a brace on your athlete

-Does the ongoing use of taping or bracing develop dependency?

-The most important considerations to uphold the integrity of taping during sport

-Is bracing or neuromuscular training more effective post-injury? And what are the validity of the outcome measures?

-And so much more!

There are many nuances to treating the high level athlete that can sometimes be more important than clinical reasoning. Dr. Grant believes, “Every elite athlete will have a very strict drill the day before and certainly in the hour leading into competition. And that drill and that discipline that they have developed that they get themselves to the starting blocks of the track that has to absolutely be something that is fully respected.”

The ultimate goal of a physiotherapist is to help the athlete return to sport without the use of taping or bracing. Dr. Grant finds, “The less dependency that athletes have on extraneous supports, the better and the more likely they are to have consistent and really good performances.”

Regardless of whether the mechanisms of taping and bracing have gained support from the research literature, “Athletes will continue to use it and they will continue to request it. Therefore, there is something in this... we have to try and understand why athletes find this beneficial even if the science is not there.” From Dr. Grant’s experience with the Olympics, she has found that the real importance is, “we need to have a much better understanding of what it is doing, how it does it and to ensure that athletes don’t develop a false dependency on it.”

For more information on Dr. Grant:

Dr. Marie-Elaine Grant (PhD, PT), Physiotherapist to the International Olympic Committee’s (IOC) Medical Commission, Games Group. Ireland’s Olympic Team Lead Physiotherapist from 1990 – 2010. A specialist member of the Irish Society of Chartered Physiotherapists.

Marie-Elaine is a physiotherapy graduate of UCD (University College Dublin). During the early phase of her career she worked in University Hospitals in Dublin before traveling to Europe and the USA to further her learning and skills. During this time she developed a keen interest in sports physiotherapy and advanced her knowledge and expertise by successfully completing post graduate courses in core sports physiotherapy skills and at the same time advancing clinical experience working with sports teams and aspiring young athletes before advancing to supporting the high performance athlete.

She was appointed to the Medical Committee of the Olympic Council of Ireland in 1990 and subsequently appointed as their lead physiotherapist. Marie-Elaine has served with the Irish Olympic Team for 5 consecutive Summer Olympic Games commencing with Barcelona 1992 through to Beijing 2008. She also served with the Irish Olympic Team for the Turin 2006 and Vancouver 2010 Winter Olympics and was appointed to 10 Irish European Youth Olympic Squads. In this role she planned, implemented strategies for provision of high quality physiotherapy services and injury prevention screening programmes for high performance and developmental athletes together with developing physiotherapy support networks with the National Governing Bodies of Olympic Sports.

Marie-Elaine was inspired by the commitment, focus and dedication of so many athletes which in turn inspired her to push the boundaries of her clinical understanding by undertaking further learning by scientific research. She was awarded a PhD in 1997, the title of her research thesis was: ‘Evaluation of the Effects of Spinal Strengthening using a Sports Medicine Exercise Approach’. She continues to participate in clinical research, has had peer reviewed publications and presents regularly at international conferences.

In 2011 Marie-Elaine was appointed to the International Olympic Committee’s (IOC) Medical Commission Games Group, as a clinical expert in sports physiotherapy, in this role she has been responsible for monitoring physiotherapy activities and facilities for participating nations at the London 2012 and Rio 2016 Summer Olympic Games and the 2014 Sochi Winter Olympic Games, and is currently...

On this episode of the Healthy Wealthy and Smart Podcast, I had the pleasure of welcoming Cynthia Toussaint onto the show to discuss her experiences as a patient managing Complex Regional Pain Syndrome. Cynthia Toussaint is the founder and spokesperson of For Grace, an organization that promotes better care and wellness for women in pain. Toussaint championed and gave key testimony at two California Senate hearings – one was dedicated to CRPS awareness, the second explored the chronic under-treatment of and gender bias toward women in pain. She will lead a 2017 conference that will convene healthcare and policy leaders to bring pain care into the 21st century. The solutions proposed at the event will mandate structural changes that respond to patient needs and gender inequalities in California. Toussaint is the author of Battle for Grace: A Memoir of Pain, Redemption and Impossible Love.

In this episode, we discuss:

-The story behind Cynthia’s long battle with Complex Regional Pain Syndrome

-How Cynthia developed independent survival solutions when medical providers would no longer help

-Why gratitude, acceptance and grieving are necessary components for the management of chronic pain

-For Grace: better care and wellness for women in pain

-And so much more!

Cynthia’s long history of battling unimaginable physical and psychological pain has taught her how to be resilient. She believes, “We don’t know what we can live with until we are there.”

Cynthia has used her past experiences as inspiration for her advocacy and has created meaningful change for CRPS patients. Based on her experience, she stresses, “Don’t ever let anybody say you can’t get something done.”

Cynthia has found that adversity can breed strength and that, “People who go through the impossible odds survive and they go on to make the world a better place.”

After exhausting her family support system and the recommendations of her medical providers were unable to help with her chronic pain, Cynthia found her greatest relief through her own strength and will. She states, “With high impact chronic pain, we have to refuse to be a victim. We have to be our own advocates. We have to be deeply involved with self management.”

For more information on Cynthia:

Cynthia Toussaint serves as Spokesperson at For Grace and has had Complex Regional Pain Syndrome for 34 years. She later developed Fibromylagia and other over-lapping, auto-immune conditions. Cynthia founded For Grace in 2002 to raise awareness about CRPS and five years later expanded the organization’s mission to include all women in pain. Before becoming ill, she was an accomplished ballerina and worked professionally as a dancer, actor and singer.

Since 1997, she has been a leading advocate for women in pain, raising awareness through local, national and worldwide media as well as public speaking. Toussaint championed and gave key testimony at two California Senate informational hearings. The first, in May 2001, was dedicated to CRPS awareness. The second took place in February 2004 and explored the chronic under treatment of and gender bias toward women in pain. Both of these efforts were the first of their kind in the nation.

In 2006, Toussaint ran for the California State Assembly to bring attention to her CRPS Education Bill that Governor Schwarzenegger vetoed after she got it to his desk in its first year. Her next bill, a seven year effort, was signed into law by Governor Jerry Brown in 2015. This Step Therapy legislation reformed an unethical prescription practice used by the health insurance industry to save money in a way that increased the suffering of California pain patients.

Toussaint was the first CRPS sufferer to be featured in the New York Times, Los Angeles Times and on the Public Broadcasting System and National Public Radio. She is a consultant for The Discovery Channel, ABC News, FOX News, the National Pain Report and PainPathways, the official magazine of the World Institute of Pain. Also, she is a guide and guest contributor for Maria Shriver’s Architects of Change website.

Her many speaking engagements include the National Institutes of Health and Capitol Hill.

She is the author of Battle for Grace: A Memoir of Pain, Redemption and Impossible Love. Also, Toussaint is experiencing her first-ever partial CRPS remission largely due to the narrative therapy of writing this book.

Toussaint continues to be a leading advocate for health care reform in California. She was instrumental in changing public opinion which sparked sweeping HMO reform legislation that was signed by Governor Gray Davis in 1999. Her focus has now shifted to creating a single-payer, universal health care plan in California that wo...