Healthy Wealthy & Smart

LIVE from the Combined Sections Meeting in New Orleans, Louisiana, Jenna Kantor, SPT guest hosts and interviews Bronté Miller, SPT on how to create a student special interest group in your state. Bronté Miller is a Student Physical Therapist at Stony Brook University, Class of 2019. Last year, she led a team of students to co-found the NYPTA Student Special Interest Group (SSIG). The SSIG is an organization designed to promote PT and PTA student professional engagement, networking, and inter-school collaboration. The SSIG is currently in its first term as an organization, with Bronté as President. Bronté believes that transforming our profession starts with empowering students to grow as leaders and problem solvers through earlier engagement in the physical therapy community. In this episode, we discuss: -The role of student special interest groups in the physical therapy industry -Considerations for working with a SSIG including how to balance the time commitment with school -How to recruit the right leadership team for success -The future of the NYPTA Student Special Interest Group -And so much more! Jump starting a Student Special Interest Group in your state is both rewarding and feasible. Bronté recommends, "Have a plan from the get-go on how you're going to do this." Working with a diverse and dedicated group of people is key to achieving better results as Bronté found that, "Having such a fantastic team was absolutely essential for our SSIG to succeed." While developing a SSIG in your state can be challenging, Bronté advises, "Don't be afraid to reach out to other students because I think you'll be surprised how many want to really dive in and get involved." For more information on Bronté: Bronté Miller is a Student Physical Therapist at Stony Brook University, Class of 2019. Last year, she led a team of students to co-found the NYPTA Student Special Interest Group (SSIG). The SSIG is an organization designed to promote PT and PTA student professional engagement, networking, and inter-school collaboration. The SSIG is currently in its first term as an organization, with Bronté as President. Bronté believes that transforming our profession starts with empowering students to grow as leaders and problem solvers through earlier engagement in the physical therapy community. 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 Resources discussed on this show: Bronte Miller LinkedIn Bronte Miller Twitter Bronte Miller Facebook Student SIG Leaders Facebook Group Email: elizabeth.b.miller@stonybrook.edu 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, Marissa Fayer joins me to discuss female entrepreneurship and HERHealthEQ. Marissa Fayer is an 18-year medtech executive, entrepreneur, and philanthropist whose mission is to advance growth and prosperity for organizations and the communities in which they operate. Marissa is the President of Fayer Consulting LLC, the CEO of the non-profit HERHealthEQ, a partner at LLEX Partners, the COO of Olympian Capital, and a business owner with Arbonne International. Her expertise and vision connect organizational optimization and development with responsibility to bring about a more giving global community with health and opportunity. In this episode, we discuss: -How Marissa stepped into the world of consultancy and philanthropy -Broadening the definition of wealth to encompass more than just material goods -HERHealthEQ: Bringing medical equipment to females in need all over the world -The not-so-glamorous but important side of running a non-profit -And so much more! Before branching into new entrepreneurial pursuits, Marissa recommends, "Don't take the leap without a net." Often our own industry offers the best opportunities for new ventures, we just need to look at what needs are not being adequately met. From Marissa's experience in the medical equipment industry, "I saw that there was waste in the industry and I was trying to figure out what to do with that." Although non-profits may think of themselves as solely pursuing altruistic aim, all non-profits require fundraising. Marissa stresses, "Non-profits are businesses and the best ones actually operate as businesses... Non-profits do need money." For more information on Marissa: Marissa is an accomplished Entrepreneur, Senior Executive, Consultant, and Board Member with more than 15 years of success across the medical devices, pharmaceuticals, medical technology (MedTech), healthcare, biotech, and consumer goods industries. Leveraging extensive turnaround experience, Marissa is an invaluable asset for a company that has encountered a period of stagnant or declining revenue and is seeking guidance in order to reinvigorate and improve operational processes and redevelop business strategies to realign with corporate objectives. Her areas of expertise include M&A, fundraising, offshoring, outsourcing, Kaizen and Lean manufacturing, growth, FDA, quality management, supply chain management, budgeting, Six Sigma, R&D, and CRM. Throughout her executive career, Marissa has held leadership positions with Fayer Consulting LLC; Arbonne International LLC; Accumed; Providien Medical; and Hologic. She has been responsible for consulting with clients to transform their organizations with a focus on due diligence, pre- and post-M&A integration, operations management, production and product transfers (intra-company and internationally), strategy development, project management, program management systems, cross-cultural development, as well as business development, cost reductions, and implementing Lean practices. She has also been responsible for increasing revenue through the management of project teams for new products, as well as restructuring operational processes to reduce organizational costs. Marissa obtained her MBA (Summa Cum Laude) with a Major in General Management and a Minor in Marketing from the University of Connecticut, and she received her BS in Manufacturing Engineering from Boston University. She completed the Comprehensive Financial Modeling and Valuation Analysis Training from the Investment Banking Institute (IBI); she attained her Green Belt/Bronze Lean Manufacturing Certification, and she is a Certified Professional Coach. In addition to her executive career, Marissa is the Founder of the global not-for-profit, HERHealthEQ, where she provides medical devices and equipment to small regions in developing nations. She also serves as a Board Member with Game Changers, Young Executive Board Chairperson with Elisa Monte Dance Company, and she serves as a mentor with Wedu Mentor. Marissa is fluent in Spanish. Resources discussed on this show: Marissa Fayer Website: access the free gift: Top 10 influential Philanthropists handout Marissa Fayer Instagram Marissa Fayer Twitter Marissa Fayer Facebook Marissa Fayer LinkedIn HERHealthEQ Website Fayer Consulting Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen

LIVE from the Combined Sections Meeting in New Orleans, Louisiana, it is my pleasure to welcome Dr. Sarah Haag, Dr. Sandy Hilton and Dr. Jason Falvey back for Part 4 all about sex. Check out Part 1, Part 2 and Part 3 and enjoy another installment! In this episode, we discuss: -Biomechanical considerations for different sex positions -How to support your partner following child birth -Why sexual dysfunction may be an important predictor of future cardiovascular problems -Sexual health for the LGBTQI+ population -And so much more! Pelvic health interventions follow the same treatment principles as any other orthopedic conditions. Sandy stresses, "Strength and conditioning principles really do apply to pelvic health it's just the movement is a centimeter, it's very small but the scale is proportionally the same so if you're having problems with loading and frequency and dosage of your program, just adapt it. You don't have to stop." Sarah reaffirms this and recommends that patients, "Do what you do and should you run into issues, again graded exposure and practice I think is the best answer." When treating sexual dysfunction, it's important to consider what could be affecting patients beyond purely biomechanical ailments. For example Sarah explains that, "When someone does become ill, if you're not typically the caregiver and now there's that role shift, that's a psychosocial issue." Jason stresses the importance this can play with older adults as, "It's a very hard transition for people to transition from caregiver to lover." All physical therapists should be able to break past the stigma surrounding pelvic health issues, even if it is not their specialty. It's important to inform patients that help exists as Sarah has found that, "When it comes to sexual dysfunction and bowel and bladder dysfunction, a lot of people don't know what's normal and even when people aren't happy with the function which is really the key that they need to get help, they don't know that there is help." For more information on the guests: SARAH HAAG PT, DPT, MS, WCS CERT. MDT, RYT: Sarah graduated from Marquette University in 2002 with a Master's of Physical Therapy. Sarah has pursued an interest in treating the spine, pelvis with a specialization in women's and men's health. Over the years, Sarah has seized every opportunity available to her in order to further her understanding of the human body, and the various ways it can seem to fall apart in order to sympathetically and efficiently facilitate a return to optimal function. Sarah was awarded the Certificate of Achievement in Pelvic Physical Therapy (CAPP) from the Section on Women's Health. She went on to get her Doctorate of Physical Therapy and Masters of Science in Women's Health from Rosalind Franklin University in 2008. In 2009 she was awarded a Board Certification as a specialist in women's health (WCS). Sarah also completed a Certification in Mechanical Diagnosis Therapy from the Mckenzie Institute in 2010. Most recently, Sarah completed a 200 hour Yoga Instructor Training Program, and is now a Registered Yoga Instructor. Sarah plans to integrate yoga into her rehabilitation programs, as well as teach small, personalized classes. Sarah looks at education, and a better understanding of the latest evidence in the field of physical therapy, as the best way to help people learn about their conditions, and to help people learn to take care of themselves throughout the life span. SANDY HILTON PT, DPT, MS: Sandy graduated from Pacific University (Oregon) in 1988 with a Master of Science in Physical Therapy and a Doctor of Physical Therapy degree from Des Moines University in December 2013. She has worked in multiple settings across the US with neurologic and orthopaedic emphasis combining these with a focus in pelvic rehabilitation for pain and dysfunction since 1995. Sandy 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. JASON FALVEY PT, DPT, GCS, CEEAA: Jason is a board certified geriatric physical therapist with a strong interest in improving outcomes for both frail older adults and older adults with hospital-associated deconditioning. He has current funding from the Foundation for Physical Therapy (PODS 1 Award, 2015) and the Academy of Geriatric Physical Therapy to support his participation in ongoing research the use of a novel Progressive High Intensity Therapy (PHIT) training program on medically complex older adults after acute hospitalization. He also has funding from both the American Physical Therapy Association Health Policy and Administration Section and the Home Health Section to evaluate how physical therapists can reduce avoidable hospital readmissions. Lastly, Jason is collaborating with local long-term care providers to determine how physical functioning can be assessed and best managed to reduce rates of falls, ER visits, and hospitalization. Resources discussed on this show: Jason Falvey Twitter Sarah Haag Twitter Sandy Hilton Twitter Uchenna Ossai Twitter Meryl Alappattu Twitter Rena McDaniel Twitter A THERAPY TOOLKIT FOR TREATMENT OF URINARY INCONTINENCE 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, Rachael Norman joins me to discuss the Better patient experience. Better was designed for private pay patients to get their money back from insurance for out-of-network care. Our team and software ensure each claim is processed according to the terms of your patient's health insurance policy, and that they are paid back in a timely manner. In this episode, we discuss: -The basics for understanding out-of-network benefits -Best practices for Superbill creation -How to reduce the likelihood of claim denials -Keeping up with Modifiers, Diagnosis Codes and Conflicting Codes -And so much more! It is the clinician's responsibility to provide the information needed for their patients to receive reimbursements from their insurance companies. Rachael stresses, "Superbills are important and having all the details on them really matters. It can save everyone a lot of headaches later." Navigating the insurance world can be challenging because, "We see different requirements come up very quickly with very little notice." It is important for clinicians to keep up-to-date on insurance requirements for reimbursements; otherwise, "That could mean that someone who is owed money isn't getting it." For more information on Rachael: Rachael is creating simple products for healthcare, using her tech experience and health background. She studied Biochemistry and Biophysics at Stanford University. She has conducted medical research at the National Institute of Health; as a medical volunteer in Niger, West Africa; and is an author on multiple academic publications. Rachael has spent her career in operations at startups developing technology products that improve lives. Resources discussed on this show: Better Website Better Claims Twitter Better Claims Facebook Better Claims LinkedIn Can Apps Slay The Medical Bill Dragon? Empowered patient missing in medical claims process: Part 2 Oakland Start-Up Company Forgives Medical Debts TPOT Podcast: Making Private Pay and Out-of-Network "Better" Better for providers Email: hello@getbetter.co Superbill blog HMO/PPO blog Debt campaign 5 Tips for your Private practice A Guide to NPIs blog 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, Jenna Kantor and Katie Schmitt join me to discuss Fairytale PT. Jenna Kantor, SPT and Katie Schmitt, SPT, both physical therapy students from Columbia University, developed Fairytale PT, a movement-based musical program where children get to actively participate in shows based on popular fairytales. In this episode, we discuss: -The ambitious beginnings of Fairytale PT and the dedication of Jenna and Katie to their mission -How Fairytale PT incorporates therapeutic exercise into the choreography -Interprofessional collaboration with occupational therapy students -Jenna and Katie's vision for Fairytale PT and how you can get involved -And so much more! Physical therapy schools without performance backgrounds can still participate in Fairytale PT. Jenna stresses, "It's not about talent, it's about enthusiasm." Navigating the medical world as a pediatric patient can be scary and intimidating. Katie clarifies the challenge as, "How do we give these kids a break and how do we give these parents a little bit of a break and take them out of the beeping and the sounds and the doctors coming in and out and rushing around." In a fun environment, Fairytale PT is able to achieve therapeutic goals as Jenna states, "The movements the kids are doing are extremely healthy for them." 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 For more information on Katie: I fell in love with Physical Therapy when I realized that with it, I could breathe on my own. My background is as an actor. I have done Shakespeare in New York, film and television in Los Angeles and ran a travel web series with my husband where, for five years, we went to every state and reviewed bed and breakfasts. It was when I challenged myself to run a mile, that I realized the more I work out and listen to my body the less I need medicine. I learned what it is like to breathe without inhalers, steroids or machines. Today I am an avid cyclist and third year student at Columbia University Medical Center working on my Doctorate in Physical Therapy. There is so much about PT that I love. My clinicals have been in outpatient orthopedics at Miccass Physical Therapy in New York and Imagine Physical Therapy in South Carolina and sub-acute rehab at The New Jewish Home. I have spent time with dancers and Broadway performers, on the inpatient TBI floor at Bellevue, observing at Memorial Sloan Kettering Cancer Center and with the outpatient cardiopulmonary PT team at Columbia University Medical Center. From all my experience to my husband's story of recovery from a car accident and coma when he was a teen, I have realized that PT affects many aspects of life. My goal is to help little kids learn how to breathe, help patients fight cancer and help dancers perform to their peak. Resources discussed on this show: Jenna Kantor Website Fairytale Physical Therapy Website Jenna Kantor Facebook Jenna Kantor Twitter Jenna Kantor Instagram Jenna Kantor LinkedIn Physiotherapy Performance Perspectives Katie Schmitt LinkedIn APTA Blog on Fairytale PT The 90 Day Year 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, Nick Wolny joins me to discuss Facebook ads. Nick Wolny helps small business owners and online entrepreneurs leverage Facebook advertising, Facebook live, and content marketing to attract more clients and make more revenue. His passion for the health industry comes from a personal transformation, having lost 105 pounds and keeping it off for 14 years. Nick has been featured with SUCCESS Magazine, Yahoo!, LeadPages, the Houston Chronicle, Ramit Sethi's I Will Teach You To Be Rich, and VICE. He studied classical music at Rice University. In this episode, we discuss: -Facebook ads and what they can do for your business -How to maximize the effectiveness of a boosted post through ad manager and your subscriber list -Different ways to target and reach warm traffic, cold traffic and the look-a-like audience -How to know when it's time to outsource your advertising responsibilities -And so much more! The ubiquitous and consistent use of Facebook worldwide provides you an incredible platform to promote your content to an ideal audience. Nick reassures, "The people that need your help, that need your product, program or service, it's a very, very high probability that they are on Facebook." Nick recommends targeting ads to your current subscribers first and foremost, because he has found that, "Cold traffic is the hardest sandbox to play in." Images have historically dominated social media, but Facebook has publically stated their intention to move towards video content and even prioritize Facebook live. Nick recommends, "Whenever possible you should use video." Crafting advertising content that strikes a balance between connecting with people and promoting your product can be difficult. In Nick's experience, "The ads that do best are the ads that feel like regular posts." For more information on Nick: Nick Wolny helps small business owners and online entrepreneurs leverage Facebook advertising, Facebook live, and content marketing to attract more clients and make more revenue. His passion for the health industry comes from a personal transformation, having lost 105 pounds and keeping it off for 14 years. Nick has been featured with SUCCESS Magazine, Yahoo!, LeadPages, the Houston Chronicle, Ramit Sethi's I Will Teach You To Be Rich, and VICE. He studied classical music at Rice University. Resources discussed on this show: Nick Wolny Website Nick Wolny Facebook Nick Wolny Instagram Free Gift: The Quick Start Facebook Ad Setup Guide For Small Business Owners and Service Providers #161: (Case Study) Facebook Ads Success for Local Fitness/Yoga Studios with Nick Wolny 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 the first Healthy Wealthy and Smart LIVE on Facebook, I am joined by Julie Wiebe to discuss the pelvic floor and sports performance. Julie Wiebe, PT has over 20 years of experience in both Sports Medicine and Pelvic Health. Her passion is to return women to fitness and sport after injury and pregnancy and equip pros to do the same. She advocates for the awareness of pelvic health issues in fitness and promotes innovative solutions for women through her blog, videos and social media. She shares her evidence-based, integrative approach internationally with both professionals and women through live and online educational programs. Find out more and connect with Julie at www.juliewiebept.com or via social media twitter/FB/IG JulieWiebePT. In this episode, we discuss: -The anatomy of the pelvic floor and its vital role in biological functions -How to broach the topic of pelvic floor health with your patients -Julie's go-to biomechanical screening tests for performance and pelvic health -Enhancing breathing patterns for pain management and sports performance -And so much more! Incontinence following pregnancy has unfortunately been normalized in our society and it's up to clinicians to educate women about pelvic health and advocate for greater access. Julie stresses, "We have better solutions now for athletes than we've had in the past." One of the most important functional tasks that Julie addresses with all of her patients and clients is the act of breathing as Julie believes, "Breathing is your gateway into all these systems." Julie utilizes recruitment of core muscles and breathing techniques in her treatment interventions to promote movement fluidity. She stresses, "It has to be a team, it's all working together and it needs to move in a responsive way." For more information on Julie: Julie Wiebe, PT has over twenty years of clinical experience in both Sports Medicine and Women's Health. Following her passion to revolutionize the way women recover from pregnancy and return to high levels of fitness, she has pioneered an integrative approach to promote women's health in and through fitness. Her Diaphragm/Pelvic Floor Piston Science concepts have been successfully incorporated by rehab practitioners and fitness professionals into a variety of populations. Julie is a sought after speaker to provide continuing education courses and lectures internationally at clinics, academic institutions, professional organizations, state and national professional conferences. Julie maintains a cash-based clinical practice in Los Angeles and shares her approach to bridge the gap between rehab and fitness with pros and women worldwide through online courses and mentoring. A published author, she advocates for awareness of pelvic health in fitness on her blog and through social media (Twitter/FB/IG-JulieWiebePT) www.juliewiebept.com When not trying to change the world one pelvic floor at a time, Julie is happy to focus on her first passions: being mom to the Z's (Zoe and Zack), and wife to David. Resources discussed on this show: Julie Wiebe Website Julie Wiebe Facebook Julie Wiebe Instagram Julie Wiebe Twitter Online Courses: Grab 20% off Adult Pro Course bundles with code Healthy20 (Piston Science Bundle A and B), Sports Med Bundles A and B, and Piston Science Module One. For individuals-Pelvic Floor Piston: Foundation for Fitness. Blog Live Courses Video Blog/Previous Podcasts Media Samples 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, Nick Tumminello joins me to discuss exercise prescription. Nick Tumminello is the 2016 NSCA Personal Trainer of the Year, and the Editor-in-chief of the NSCA Personal Training Quarterly journal. He's the author of three books: Building Muscle and Performance, StrengthTraining for Fat Loss, and Your Workout PERFECTED. He's been a trainer for over 20 years, is the former strength coach for team Ground Control MMA and has trained professional athletes in field, court, combat and physique sports. In this episode, we discuss: -How to apply the 4 principles of strength and conditioning to program design -Progressive and regressive load management -Why the Socratic Method should be used when discussing training philosophies -Nick's approach to new fitness fads -And so much more! Nick has found that trainers train their clients with trendy methods and neglect to tailor a program to meet the clients' unique goals. When designing a program, Nick stresses, "The approach is determined by the goal… It's not determined by my bias as a trainer or my favorite pet exercise." A client must always be the driver of their own success, but Nick sees an important role for strength and conditioning coaches to enable their client's full potential. He believes, "A facilitator gives people what they need to achieve what they want." A solid training and rehab regime is built on adhering to these four principles: goal specificity, individuality, progressive overload and variability. Nick has found that, "If you focus your training or your rehabilitation approaches on principles and you go from principles up not methods down, your training or your rehab approach will never go out of date." Nick's experience with members of the health and fitness community has led him to believe that an open approach to communication rather than a divisive or pedagogical one will lead to more success in promoting your message. Nick advises, "Ask more questions and genuinely listen." For more information on Nick: "A bit of an outsider…" That's how Nick Tumminello describes himself in the fitness industry. He's an independent thinker who avoids falling in line with the crowd. His goal is to provide practical solutions that deliver specific results. Nick's hybrid approach to training allows him to leverage the tools, knowledge and skills of many disciplines and methods to help his clients and to educate other trainers how to deliver results. As early as his teenage years Nick knew that he wanted to be a trainer. His early influence came from his mother, growing up in a gym watching her prepare for bodybuilding competitions. She'll tell you that "Nick grew up on iron and sweat." As a way to connect Nick and his mother attended fitness events and conferences from the time he was 16 years old. Personal training is the only 'real job' nick's ever known. But, his story isn't common. Not being one to fall in line with the crowd Nick never attended college or got a degree. He graduated high school as an average student. He worked hard to accumulate a lot of on the job experience and despite his distaste for structured education Nick was very interested in learning. After being fired from his first two personal training jobs due to his independent thinking and lack of needing to 'fit in' he went off on his own to start a business. Training and fitness aren't a hobby to Nick. This is a profession that he's very passionate about. It would be easy to confuse Nick as a 'science guy' due to his ability to challenge thoughts and ideas, the way he respects the scientific process and critical thinking. However, he's most excited by the application and end results that the information he learns and the ideas he creates can produce. "Studies and research are great, but if there is no practical application there is no need" Nick's approach to many things can be described in three words… Hustle and Muscle. This is applied in training, business and intellectually for Nick. Resources discussed on this show: San Diego Pain Summit Nick Tumminello Website Amazon: Your Workout PERFECTED Amazon: Building Muscle and Performance: A Program for Size, Strength & Speed Amazon: Strength Training for Fat Loss Nick Tumminello Instagram Nick Tumminello Facebook Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Cheryl Keller Capone joins me to discuss how she navigated her experience with chronic pain. Dr. Cheryl Keller Capone is an Associate Research Professor in Center for Comparative Genomics and Bioinformatics and Department of Biochemistry and Molecular Biology at Penn State University. She is currently using genomics and DNA sequencing technologies to study blood cell development with an overall research goal of understanding gene regulation in mammals. In total, she has over 23 years of scientific research experience in several different fields, including muscle development, neuroscience, and mitochondrial DNA forensics. She is also a certified personal trainer through the National Academy of Sports Medicine, and a recreational triathlete. In this episode, we discuss: -Cheryl's long journey with chronic pain -The catalyst for Cheryl's road to recovery -Implementing the biopsychosocial model and functional movement to combat persistent pain -Empowering advice for those experiencing persistent pain -And so much more! Cheryl advises practitioners to remain humble about their ability to diagnosis and treat patients who suffer from persistent pain. From her experience, she states, "I wasn't expecting any sort of specific diagnoses. In fact, I was very frustrated by the fact that individual providers were focusing on one thing or another and trying to pin it down to one particular structural cause." After many disappointments, Dr. Keller Capone was exposed to a practitioner who effectively communicated his humility and willingness to try different treatments and she found that, "This was a very refreshing response to me." To those who are suffering from chronic pain, Cheryl recommends participating in activities you find joyful and meaningful. She found that making small improvements in these activities helped prove to herself that, "This is not permanent, changes can be made. It helped me with hope." The most empowering belief system that helped guide Cheryl was one of self-ownership, she stressed to herself, "I was going to have to own this. I was going to have to own my pain and own my recovery and be responsible." With persistent pain, it is important to remember that while the journey may have ups and downs, there are no barriers to your recovery. Cheryl advises, "There is most likely a path forward for everyone… Take ownership of your own path." For more information on Cheryl: Dr. Cheryl Keller Capone received her Ph.D. in Biochemistry and Molecular Biology from Penn State University in 1999. Her graduate research focused on muscle development and differentiation, and during this time was awarded the Paul Berg Prize in Molecular Biology, the Roberts Graduate Fellowship, and the Frederick J. Wedler Outstanding Doctoral Dissertation Award. After graduate school, she transitioned to the field of neuroscience where she studied the molecular biology of GABAA receptors in mammals, followed by a year in industry where she worked in the field of mitochondrial DNA forensics. In 2009, Cheryl returned to Penn State University, and is currently studying blood cell development with an overall research goal of understanding molecular mechanisms of gene regulation in mammals. She also has extensive experience in genomic technologies and methodologies, including DNA sequencing and data analysis. Outside of the lab, Cheryl is also a former collegiate runner, who became interested in strength training and movement following a long injury history and many years of chronic pain. This experience led to her interest in pain science as well as a certification as a personal trainer through the National Academy of Sports Medicine. When not in the lab or working with clients, Cheryl enjoys strength training, running, hiking, swimming, cycling and spending time with her husband and son in State College, PA. Resources discussed on this show: Dr. Cheryl Keller Capone Twitter Dr. Cheryl Keller Capone Instagram Dr. Cheryl Keller Capone LinkedIn Dr. Cheryl Keller Capone Facebook Dr. Cheryl Keller Capone Blog Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Fritz Boettner joins me to discuss hip replacements. Dr. Fritz Boettner is a specialist in joint-preserving arthroscopic surgery and minimally invasive total joint replacements of the knee and hip. His practice concentrates on the nonsurgical and surgical treatment of early arthritis. As part of a patient-centered individual approach, he performs arthroscopic cartilage surgery and joint preserving osteotomies, as well as minimally invasive total joint replacements and resurfacings. In this episode, we discuss: -The evolution of hip replacement surgeries -Pre-surgical considerations for anterior and posterior surgical approaches -Post-surgical restrictions on movement -Rehabilitation and pain management considerations following hip replacement -And so much more! Having the optionality of either surgical approach allows each patient to be evaluated to ensure the best outcomes. Dr. Boettner states, "Having different types of approaches at our availability allows you to select which would be best for the patient." Pain and functional management following hip replacement surgery is the same for either approach with the goal being that, "Everything is geared towards early discharge." Dr. Boettner stresses that physical therapy providers be mindful of their interventions and avoid adverse outcomes with unnecessary exertion. He reminds, "If you don't do anything with the hip, patients will be fine after hip replacement." For more information on Dr. Boettner: Dr. Fritz Boettner is a specialist in joint-preserving arthroscopic surgery and minimally invasive total joint replacements of the knee and hip. His practice concentrates on the nonsurgical and surgical treatment of early arthritis. As part of a patient-centered individual approach, he performs arthroscopic cartilage surgery and joint preserving osteotomies, as well as minimally invasive total joint replacements and resurfacings. "Minimal invasive surgery reduces surgical trauma, resulting in advantages for early rehabilitation," he says. "In addition, patients love their cosmetically appealing incision." Born in Germany, Dr. Boettner studied at the top international centers for his specialty, completing fellowships in four sub-areas, as well as additional training in pelvic osteotomies and open hip dislocation with surgeons in Germany, Switzerland and the United States. He has authored an orthopedic textbook, as well as numerous scientific publications. Resources discussed on this show: Dr. Boettner Website HSS Website Dr. Boettner twitter Dr. Boettner Facebook Thanks for listening and subscribing to the podcast! Make sure to connect with me on twitter, instagram and facebook to stay updated on all of the latest! Show your support for the show by leaving a rating and review on iTunes! Have a great week and stay Healthy Wealthy and Smart! Xo Karen