Healthy Wealthy & Smart

On this episode of the Healthy Wealthy and Smart Podcast, Naomi Mdudu joins me on the show to discuss strategies for entrepreneurial success. Naomi Mdudu founded The Lifestyle Edit in February 2015, following a string of successful positions within the fashion industry in the UK. Her love of digital media and the lack of real-life content for women inspired her to create the UK’s first digital lifestyle glossy, which has amassed a loyal following in the UK and US in the short time since its launch. In 2016 she expanded The Lifestyle Edit business to encompass a consulting company that supports the small to medium sized female founded businesses she champions on the site. In this episode, we discuss: -How Naomi made the leap from managing a content platform to consulting small businesses -How to differentiate yourself from others in your space -Strategies for on-boarding new clients and how to manage their expectations -Why you should focus on cooperation over competition -And so much more!   Pursuing entrepreneurial ventures is more about conquering fear than taking excessive risks. Naomi has found, “The fear is more about the unknown. When you really break it down, many of us don’t have anything to lose.” She has found that challenging your mindset will help squelch most doubts saying, “I’m in a really strong and empowered position.”   Seeing your work directly contribute to your personal success and benefit others is one of the many rewards of being an entrepreneur. Naomi offers, “Every day I wake up knowing that my success boils down to me and how much I am willing to put in it. I can’t think of something more liberating than that.”   Expanding a business requires delegation of certain tasks to allow more time to focus on what actually matters. From Naomi’s experience, she states, “In order for my business to grow, I need to constantly be working in my mode of genius and delegate the rest.”   For more information on Naomi: Naomi Mdudu founded The Lifestyle Edit in February 2015, following a string of successful positions within the fashion industry in the UK. Prior to launching The Lifestyle Edit, Mdudu was the fashion editor of Metro as well as City A.M.’s Style Editor and the PR to luxury Italian label Alessandra Ferreira. Her love of digital media and the lack of real-life content for women inspired her to create the UK’s first digital lifestyle glossy, which has amassed a loyal following in the UK and US in the short time since it’s launch. Hailing from South London, Mdudu graduated with a law degree, before turning to fashion and has worked with the likes of Harper’s Bazaar, Glamour and Tatler, all before reaching her mid-twenties. In 2016 she expanded The Lifestyle Edit business to encompass a consulting company that supports the small to medium sized female founded businesses she champions on the site. She’s currently living between London and New York, as she expands The Lifestyle Edit internationally.   Resources discussed on this show: The Lifestyle Edit The Lifestyle Edit Twitter The Lifestyle Edit Instagram Naomi Mdudu Twitter Naomi Mdudu Instagram 1000 True Fans by Kevin Kelly The E Myth Revisited The 7 Habits of Highly Effective People Rising Tide Society   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   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On today’s episode of the Healthy Wealthy and Smart Podcast, I welcome Jonathan David Lewis onto the show to discuss brand survival. Jonathan David Lewis is the author of Brand vs Wild, a Forbes contributor and a brand survival expert at McKee Wallwork + Co. Jonathan’s opinions are highly sought by numerous business and marketing publications, including Forbes, Digiday, and Advertising Age, where he explores the factors of stalled growth and the principles proven to help companies traverse the dangers of the brand wilderness. In this episode, we discuss: -What survival psychology can teach us about growing a business -Why maintaining success requires continual curiosity -Brand differentiation strategies and how to find your niche audience -Brand vs Wild: how to navigate the increasingly harsh business world -And so much more!   Business challenges can create fear, but fear is a primary driver of personal and business growth. Jonathan believes, “Fear is one of those emotions that is fundamental to business and career and life.”   Survival psychology describes three different reactions to adversity: being prepared, becoming paralyzed or panicking. Interestingly, Jonathan describes, “There is very little difference psychologically between a group of survivors who have crashed landed on a mountain or became lost in the desert and a group of business people who are just trying to navigate some sort of unexpected business challenge. We go through the same psychological reaction.”   Being an industry leader breeds complacency and arrogance. Jonathan warns, “One of the biggest enemies of continual learning is success.”   The age of mass marketing is coming to an end. New businesses should seek to be hyper-relevant to a very small tribe. Jonathan reminds us, “It’s okay to be small. It’s okay to be niche.”   For more information on Jonathan: Jonathan David Lewis is the author of Brand vs Wild, a Forbes contributor and a brand survival expert at McKee Wallwork + Co.   As partner and strategy director at MW+C, Jonathan led his firm to be recognized by purveyor Advertising Age as a national leader in branding and marketing, winning the Southwest Small Agency of the Year, national B2B Campaign of the Year, and national Best Places to Work awards.   Jonathan sharpened his skills during the harsh years of the Great Recession, helping brands navigate today’s unforgiving new business paradigms. Jonathan’s opinions are highly sought by numerous business and marketing publications, including Forbes, Digiday, and Advertising Age, where he explores the factors of stalled growth and the principles proven to help companies traverse the dangers of the brand wilderness.   Resources discussed on this show: Brand vs Wild Jonathan David Lewis Twitter McKee Wallwork & Company Jonathan David Lewis Website Survival Psychology by John Leach   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   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

In this episode of the PT Side Hustle podcast I discuss: - What is an NPI number and do I need it? - What is a covered entity - What do I do when self doubt start to creep in?   Resources discusses in this episode: APTA information on the NPI Number NPPES Website Are you a Covered Entity Physio Matters Podcast   Thanks to our sponsor for this episode Freshbooks! Click here for a free 30 day trial.   Thank you for listening and supporting the PT Side Hustle Series. I appreciate it more than you know. xo Karen  

On today’s episode of the Healthy Wealthy and Smart Podcast, I had the honor of welcoming Professor Lorimer Moseley onto the show to answer audience questions regarding persistent pain. Lorimer Moseley’s interests lie in the role of the brain and mind in chronic pain. He is Professor of Clinical Neurosciences at the University of South Australia and a Senior Principal Research Fellow at Neuroscience Research Australia. In this episode, we discuss: -The Pain Revolution: creating a public discourse about persistent pain -Misconceptions surrounding the biopsychosocial model and pain -Confronting medical providers who promote negative pain beliefs -Is there merit in using placebo treatments for chronic pain? -How does Lorimer stay critical of his own scientific work? -And so much more!   Persistent pain needs to be understood not only by clinicians but the general public and policymakers. Lorimer believes, “It’s our most burdensome non-fatal condition facing our species.”   Clinicians need to understand what motivates their patients. Lorimer reminds us that, “When push comes to shove, in the raw moment, you ask a patient with persistent pain or anyone in pain, what do you want most right now? I think most of them would say pain relief.”   Medical providers hold a great deal of sway with patients. This influence can be used to validate what patients are feeling and aid the healing process. Lorimer states, “Nearly all health professionals have a natural tendency and a very slick skill set of legitimizing someone’s suffering.”   Although the biopsychosocial model differs in many ways from the biomedical model, there are many opportunities to share insights and practitioners of both frameworks should be self-critical. Lorimer advices, “It’s tempting for us to cast character judgments on those who are not like us. Actually, I think that people are trying to help their patients a lot of the time. They’re good people. I really think we need to collaborate and just keep open the possibility that we’re wrong. We have to be committed to try and prove ourselves wrong.”   For more information on Lorimer: Professor Lorimer Moseley is a clinical scientist investigating pain in humans. After posts at The University of Oxford, UK, and the University of Sydney, Lorimer was appointed Foundation Professor of Neuroscience and Chair in Physiotherapy, The Sansom Institute for Health Research at the University of South Australia. He is also Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow.   He has published over 200 papers, four books and numerous book chapters. He has given over 140 keynote or invited presentations at interdisciplinary meetings in 30 countries and has provided professional education in pain sciences to over 10,000 medical and health practitioners and public lectures to as many again. His YouTube and TEDx talks have been viewed over 200,000 times.   He consults to governmental and industry bodies in Europe and North America on pain-related issues. He was awarded the inaugural Ulf Lindblom Award for the outstanding mid-career clinical scientist working in a pain-related field by the International Association for the Study of Pain, was shortlisted for the 2011 and 2012 Australian Science Minister’s Prize for Life Sciences, and won the 2013 Marshall & Warren Award from the NHMRC, for the Best Innovative and Potentially Transformative Project. He was made Fellow of the Australian College of Physiotherapists in 2011, by original contribution, and an Honoured Member of the Australian Physiotherapy Association, their highest honour, in 2014.   Resources discussed on this show: Pain Revolution Pain Revolution Facebook Explain Pain Supercharged Body In Mind Twitter Body In Mind   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   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On this episode of the Healthy Wealthy and Smart Podcast, Jo Gibson is featured to discuss physical therapy treatment of the unstable shoulder. Jo is a Clinical Physiotherapy Specialist working at the Liverpool Upper Limb Unit at the Royal Liverpool Hospital and a Consultant in private practice. She has worked as a Shoulder Specialist since 1995 and lectures nationally and internationally about assessment and rehabilitation of the shoulder complex. Jo has co-developed Masters modules with Liverpool University for the diagnosis and treatment of upper limb pathology and has co-authored national guidelines for the management of different shoulder pathologies. She has presented original research at many National and International conferences, published in peer-reviewed journals and written several book chapters. In addition she is an Associate Editor of the British Shoulder & Elbow Journal. In this episode, we discuss: -Using patient history to classify shoulder pathology -Factors to consider when deciding whether to treat with surgery or rehabilitation -The nervous system’s role in shoulder instability -How to use language and metaphors to develop buy-in -Jo’s takeaways from the British Elbow and Shoulder Society Conference -And so much more!   Jo prioritizes learning about a patient’s history during the initial evaluation because it can serve as a roadmap for treatment. Jo has found that, “The biggest investment of my time is hearing how everything started and what the story has been from there.” Jo believes patient history to be more valuable than other evaluation method as she states, “The history tells me far more than any clinical test.”   Symptom modification can be an important psychological tool to encourage more confidence in a patients shoulder capabilities. Jo stresses, “It is very empowering for the patient because it shows them that if we make their muscles work differently they are stable.”   Jo’s treatment protocol includes a variety of functional exercises which utilize external cues to promote motor learning and neuroplasticity. Jo believes there is room for physical therapists to get creative with these treatments and that sometimes, “We kind of undermine the artistry of what we do.”   Jo has found that improving her communication skills has led directly to improved physical therapy treatment outcomes. Jo reminds us that, “This is about being human. Communication underpins everything we do… Patients are just the biggest source of information and actually they give us all of the clues and give us the language to use.”   For more information on Jo: Jo Gibson Grad.Dip.Phys MSc.(Adv.Pract) MCSP. Jo Gibson studied physiotherapy at the Salford College of Technlogy and qualified in 1987. Her physiotherapy career started in Nottingham in 1987 at Queen’s Medical Centre where an encounter with Professor Angus Wallace fuelled her interest in the shoulder. Jo moved to Liverpool in 1989 and after completing several years of rotational experience she joined forces with Professor Simon Frostick and in 1996 she became one of the first specialist Upper Limb Physiotherapists in the UK. In order to increase her subspeciality knowledge and expertise, Jo completed travel fellowships in the UK, Europe and the USA sponsored by the British Elbow and Shoulder Society and Royal Liverpool University Hospital Trust Charities Board. Since that time the Liverpool Upper Limb Unit has gained an International reputation as a centre of Excellence in Shoulder and Elbow surgery and it was here that Jo started working with Peter Brownson. Jo has a passion for education and since 1996 she has lectured nationally and internationally on rehabilitation of the shoulder and she runs her own courses all over the World. Internationally, in 2004 she was a co-founder of the International Congress of Shoulder and Elbow Therapists, a meeting which now runs tri-annually. In addition, Jo has served as Vice president and Chair of the education committee on the EUSSER board (European Society of Shoulder & Elbow Rehabilitation). Nationally, Jo has been the AHP representative on the British Elbow and Shoulder Society (BESS) Council and in addition she has served as a member of the BESS Research and Education Committees. She is an associate lecturer at the University of Liverpool and has co-developed tailor made masters modules to support physiotherapists working in or towards specialist Upper Limb appointments. Jo completed her Masters in Advanced Practice at Liverpool University in 2012 and completed her dissertation on the Biopsychosocial model cementing her belief in tailoring treatment to the individual and the importance of communication skills. She continues to be involved in upper limb research, has presented original research at many National and International conferences winning three Best Paper prizes. She has published in peer-reviewed journals and written several book chapters. Jo has also co-authored BESS Care Pathways for the British Elbow and Shoulder Society. Jo’s recognized expertise in the assessment and management of shoulder pathology has resulted in consultancy work with many elite sports teams in a variety of sports including football, rugby, cricket, gymnastics, swimming, boxing and tennis. In addition she is regularly sought out by other clinicians to help problem solve more challenging presentations. Her close working relationship with Peter Brownson has been pivotal in the opportunity to develop postoperative rehabilitation regimes facilitating early return to sport or function and has resulted in a publication of results in an elite football population.   Resources discussed on this show: Stanmore Classification Sham surgery versus labral repair or biceps tenodesis for type II SLAP lesions of the shoulder: a three-armed randomised clinical trial Derby Shoulder Jane Moser Research Noi Group Apps Noi Group Website Twitter #bess2017 British Elbow and Shoulder Society Jo Gibson 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 review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On this episode of the Healthy Wealthy & Smart podcast we continue with the PT Side Hustle series. This series is all about adding a side hustle to your physical therapy career. In this episode I discuss: - Types of side hustle (hint they don't have to be patient care related) - An easy technique to get clear on what your side hustle could be (get a pen and paper ready) - Setting SMART goals and why they is important - Making sure everyone in your life is ready for your side hustle (sometimes it is not all about you) - How to pick up at least 10 extra hours in your week.   Resources from this episode: Freshbooks Chris Winfield Entrepreneur.com Side Hustle Series with Chris Winfield Pomodoro Method Example of Theta Wave Music   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!   Thank you for embracing this new series the PT Side Hustle! Have a great week and stay Healthy Wealthy and Smart!   Xo Karen  

On this episode of the Healthy Wealthy and Smart Podcast, Dr. Andrew Murray joins me to discuss the building blocks of population health. Dr. Murray is a Sports and Exercise Medicine doctor, GP and runner who has worked in the Olympic, Paralympic and Commonwealth Games, the Ryder Cup and with various national and international squads. He currently works for the European and Challenge Tour Golf, the SportScotland Institute of Sport, and the Scottish Rugby Union. He is passionate about increasing physical activity for health and has worked for the Scottish Government as their first “physical activity champion”, and enjoys research with the University of Edinburgh in this area. In this episode, we discuss: -The role of preventative care as the foundation for population health -How much exercise is enough? -How sleep and diet contribute to optimal health -Practical tips to implement healthier lifestyle changes and ways to advocate in the community -And so much more!   Modern medicine is capable at combating many ailments however, Dr. Murray believes, “What isn’t working at the moment is preventative medicine.”   From international government relations to community outreach programs, collaboration, education and other forms of social support are needed for more individuals to achieve optimal health outcomes. Dr. Murray stresses, “Everyone’s got a role as being part of the solution.”   Physical activity has been shown to be a key prevention tool. Dr. Murray encourages everyone to at the very least start small and get moving as, “Something is better than nothing…You’re never too late, you still got time…Start today.”   Although preventative medicine is not an immediate fix for patients, Dr. Murray encourages practitioners and the broader industry to adopt a long-term perspective for better outcomes over time. Dr. Murray is a proponent of, “If we do the basics right then good health will follow.”   For more information on Dr. Murray: My background is as a Sports and Exercise Medicine doctor, GP and runner, whilst I have written a couple books, enjoy a load of speaking engagements and do a little journalism. As a runner, I have completed challenges including a 4,300km run from far north Scotland to the Sahara desert, 7 ultra-marathons on the 7 different continents in under a week, and with Donnie Campbell the first run across the mighty Namib desert and a run across East Africa. Race wise, I’ve placed first in the North Pole Marathon, the Antarctic Ice Marathon, the Gobi Challenge, the Indo Jungle Ultra, and races closer to home, whilst also competing for Scotland in various events. Work wise I have worked at the Olympic, Paralympic and Commonwealth Games, the Ryder Cup and with various national and international squads. I currently work for the European and Challenge Tour Golf, the SportScotland Institute of Sport, and the Scottish Rugby Union from the elite sport side of thing, but am passionate about increasing physical activity for health. To this end, I worked for the Scottish Government as their first “physical activity champion”, and enjoy my research with the University of Edinburgh in this area. Getting active, and staying active really is the best thing you can do for your health. Each step is a step to health. I needed a good kick up the backside from a mate to get active again after university, and urge everyone to GET ACTIVE today, and spread the word. Updates from various capers, health promotion stuff and injury advices will appear in my blog and the site content will be updated. My next big adventure is a husky riding, running extravaganza to Outer Mongolia in temperatures around -40 celsius in January 2016. Preparation and the adventure will be shared fully in my blogs.   Please take the time to check out my charities. Thanks to you all, over £150k has been raised through various runs for 3 amazing causes.   My books “Running Beyond Limits” and “Running Your Best – Some Science Medicine” are available via Amazon and the usual book stores.   For talks or inquiries, please get in touch !   Resources discussed on this show: 23 and 1/2 hours: What is the single best thing we can do for our health? Video Yann Le Meur Website Dr. Andrew Murray Twitter Dr. Andrew Murray Website   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   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

On this episode of the Healthy Wealthy and Smart Podcast, Jim Klopman joins me to talk about the integral role of balance for health and longevity. Jim is a lifelong innovator who has always been one of those people who thinks differently. He believes balance training has sharpened his ability to make new neural connections and see the possibilities and pathways that others miss. In this episode, we discuss: -The statistics of the death and injury caused by poor balance -Four ways modern life impairs our balance -The link between balance and athletic performance -Balance training for concussion patients -And so much more!   Jim believes that balance is a fundamental component of longevity; however its decline can easily be overlooked by most people. Jim has found that, “Balance is this kind of hidden system that we don’t know has gotten worse. When it gets worse, we don’t recognize it but we do see fall off in the performance of our sports.”   Jim notes, “We have more fitness, we have better physical therapy, we have better medical care. Our spaces that people walk around in since the ADA has been instituted are perfectly flat, there’s ramps everywhere, there’s no place you should be able to trip in any public space. Yet this number of accidental deaths and accidental injuries for the people over 65 have nearly doubled.” In a world where our balance system is no longer challenged on a daily basis, Jim believes individuals must work to actively include it in their exercise programming.   We gravitate to and enjoy sports and recreation which challenge our balance and yet day to day workplace activities we do are predictable. Jim believes, “The problem is that we are losing this sense of balance because of the modern world we live in.” He challenges, “We are not really meant to live in this world where there are perfectly flat floors and perfectly vertical walls.”   For more information on Jim: Jim is a lifelong innovator who has always been one of those people who thinks differently. He believes balance training has sharpened his ability to make new neural connections and see the possibilities and pathways that others miss.   Originally Jim was looking for a way to maintain his own athletic performance well into his 90s. But the Slackbow Balance Training System he developed turned out to be a key to whole body and mind fitness that was even more revolutionary than he could have imagined.   He is eager to spread his knowledge, techniques and tools far and wide to help seekers like him tune their brains to perform better in work and sports, sleep better, look younger and live longer.   Resources discussed on this show: SlackBow Website SlackBow Products SlackBow Facebook Balance is Power Email: jim@slackbow.com Phone: (435) 200-3287   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   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!  

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 review on iTunes!   Have a great week and stay Healthy Wealthy and Smart!   Xo Karen   P.S. Do you want to be a stand out podcast guest? Make sure to grab the tools from the FREE eBook on the home page! Check out my blog post on the Top 10 Podcast Episodes of 2016!