Communicating with patients outside of their session can be tricky. We want to be available, but not overwhelmed. Most importantly we want to do what is best for our patients. In this 'sode we discuss some of the challenges with communicating with patients outside of their session, how to protect your time and boundaries and make that communication as helpful as possible to our patients. Have you had a difficult communication story with a patient? Let us know by shooting Nicole a DM (@nicolecoze...
Jul 22, 2021•27 min•Ep. 134
Do you dread the question: "So, how long is this going to take?" Or "how long until I get better?" It's one of the most difficult conversations we have with patients. It can feel challenging or like the patient is questioning our expertise. We need to reframe this question and answer it in a way that builds trust and buy-in from our patients. I want all of us to be looking forward to answering this question instead of dreading it! Pelvic PT Essentials If you're interested in learning more about ...
Jul 19, 2021•42 min•Ep. 133
As pelvic PTs we have the challenge and responsibility of caring for others. In order to do that we have to be taking care of ourselves! One of the best ways to do this is breaking through the negativity bias. This is a cognitive bias where we over-focus on the negative. It's an evolutionary adaption - the more worried or negative we are, the more cautious and more likely to survive. Except it's no longer serving us in today's world. We disproportionately focus on negative actions. Some things w...
Jul 15, 2021•24 min
How can we lift each other up as pelvic PTs to create a more supportive, empowering community? It's crucial, because it's how patients are able to find they can get the help the deserve! We have a unique ability to reach patients directly and propel our field forward. We need to be working together so every single person knows about pelvic PT. In Part 1 and Part 2 of this series we talked about how so many pelvic PTs are afraid to post content for fear of the "Evidence Police." In this 'sode we ...
Jul 12, 2021•17 min•Ep. 132
Alright, Part 2 of our crusade against the "Evidence Police' and in favor of creating a more supportive, empowering online pelvic PT community. But why is the question "what's the evidence for that" so annoying? We dive into it in this 'sode, along with the right forums to have these conversations in our quixotic quest to create a better online presence for the pelvic PT field! Pelvic PT Essentials If you're interested in learning more about the Pelvic PT Essentials online continuing education c...
Jul 08, 2021•17 min•Ep. 131
Anyone else fear the "evidence police" when posting online? We've heard from hundreds of you on some recent posts - you're not alone! Many of us are afraid of educating patients because our own colleagues might demand "what's the evidence for that" on one of our patient-focused posts. So we're doing a 3-part series on this (it's that important)! First up - understanding the problem. Why does the "evidence police" have such a chilling effect on our field? And how is this holding all of us back fr...
Jul 05, 2021•28 min•Ep. 130
This 'sode was inspired by this podcast hitting 100k downloads! We're so excited about the milestone, but mostly because it means that so many of you are choosing to devote more time, effort and energy to being better. We dive back into the reason we started the Pelvic PT Rising Podcast. With so many pelvic PTs feeling overwhelmed, lacking mentorship and struggling with their confidence we need practical, positive, REAL, honest conversations! So glad this podcast can be a great resources for so ...
Jul 01, 2021•17 min
In Part 2 of this interview with Julie (if you missed Part 1, make sure to check it out!) we take a deep dive into the evolution of her business. We discuss social media - why it's such a powerful tool and why it's so badly misused by many practitioners. There's certainly a love-hate relationship with social media we explore. And we discuss her career path and the lessons it holds for younger PTs! So grateful for this time with Julie and for her inspirational example for everyone in the field. J...
Jun 28, 2021•32 min
We (finally) have a new type of job in the pelvic PT field! For years you were forced to choose between working an in-network job or starting your own cash-based practice. But now things are changing. Multi-clinician cash practices are springing up and starting to hire. In this 'sode we dive into the pros and cons of working at a cash-based practice. The summary? They can provide a lot of the benefits of starting your own business without the risk and having to deal with the business side! And a...
Jun 24, 2021•36 min•Ep. 127
How do we keep from being pelvic floor isolationists? We're so excited for this conversation with Julie Wiebe! She has such a unique perspective and has done an amazing job forcing the pelvic PT field (sometimes kicking and screaming) to recognize how important looking beyond the pelvic floor is. In this interview Julie and Nicole discuss clinical reasoning and philosophy, finding the why, looking outside the pelvic floor and practical ways to assess from an orthopedic perspective. Don't miss it...
Jun 21, 2021•47 min•Ep. 126
"Passive income" is the dream for a lot of entrepreneurs. Just make a course, put your feet up and watch the dollars roll in, right? Wrong. In this episode we give you the straight scoop behind online courses, marketing and selling them and the realization "passive income" is anything but passive. That doesn't mean you can't do an online course. But it's not a 'get rich quick' scheme!' In fact, it almost certainly won't be as financially lucrative as just seeing patients. By far. We'll talk abou...
Jun 17, 2021•37 min•Ep. 125
When can experience actually be a limiting factor? One of the limiting beliefs in our field is we have to wait for experience in order to be a great pelvic PT, We don't have to wait for experience! In fact, sometimes experience can hold us back. In this 'sode we dive into how to get the right kind of experience to make sure we're continuing to learn and grow throughout our careers. Pelvic PT Essentials If you're interested in learning more about the Pelvic PT Essentials online continuing educati...
Jun 14, 2021•33 min•Ep. 124
We're usually pretty terrible about writing our own bios. It can be intimidating or feel like bragging. In this episode we go into why writing your bio is so important and how it can tell you a lot about your Ethos. How do you talk about yourself? How do you keep your bio from being a laundry list of courses you've taken and universities you've graduated from? Patients don't care where you graduated from. What courses you've taken. What the letters are after your name. What the list of diagnoses...
Jun 10, 2021•29 min•Ep. 123
If we don't understand our limiting beliefs they can be holding us back from providing the best patient care without us even knowing! As individuals and as a profession we have a series of beliefs that may not be true. I've seen this in my own employees, in the Huddle and as I teach. A few examples? I have to get more experience to be 'good' I need more ortho experience before being a pelvic PT I need to refer out to an 'expert' immediately I need a certificate to validate my skills I'll be more...
Jun 07, 2021•31 min•Ep. 122
For nearly 70 years the world of runners looked at the 4-minute mile as an insurmountable barrier. Runners came close but could never break that barrier. Then Roger Bannister in 1954 broke the illusive "4-Minute Mile" and within a few months others shattered his world record. Why? Because he had broken through a limiting beliefs. So what are the beliefs limiting our careers or businesses? In this 'sode we go through many of the limiting beliefs we had at PelvicSanity that slowed our growth. Ther...
Jun 03, 2021•25 min•Ep. 121
What are the most common mistakes we see with complex pelvic pain patients? We work with more than 100 remote consultations and out-of-town patients every year. We start to see patterns with these patients, and wanted to share some of the biggest ones in this 'sode! The biggest takeaways we see include: Encouragement and Validation Big Picture Thinking Establishing a Timeline Treating the Pelvic Floor and Beyond Downtraining Techniques These can make a huge difference for patients - check out th...
May 31, 2021•30 min•Ep. 120
Never let anyone make you feel guilty for how you recharge! In this 'sode we discuss taking vacation as an entrepreneur. Should you unplug or is it enough to just get away? We've done a lot of work on vacations over the years. Writing the IC Solution by a pool in Cabo Getting away for planning vacations at least once a year Interviewing candidates for PelvicSanity while hiking by an alpine lake We all want balance and to feel refreshed. But we all get that in different ways! Check out the 'sode ...
May 27, 2021•24 min•Ep. 119
In Part 2 of this amazing conversation with Laurel Proulx we explore her clinical Ethos, the rise of her business, selling an online course and doing telehealth. She's had an amazing career already and is crafting her perfect situation in pelvic PT between patient care, teaching, learning and researching. She's a major advocate for pelvic physical therapy and educates patients on her Instagram feed and through her Postpartum Connect course. An amazing conversation, and we're so grateful for her ...
May 24, 2021•41 min•Ep. 118
Have you heard of the curse of expertise? It's one of the most common cognitive biases and is responsible for a lot of our trouble communicating with patients and a lot of heartache in business. In this 'sode we talk about why the curse of expertise makes it hard to communicate with our patients in the treatment room and sabotages our marketing efforts. The heart of the matter is we can't "unlearn" what we know, so it's hard to put ourselves in the shoes of our patients or potential patients. We...
May 20, 2021•35 min•Ep. 117
We dive into all the nerdy things with Dr. Laurel Proulx of Fem Unfolding; research, clinical Ethos, and more. In Part 1 we take a deep dive into Laurel's background and research. She's spent much of the last few years working on her PhD and doing extensive research into the actual mechanisms of what we're doing in pelvic PT - the actual foundations of our profession! We hear why clinical considerations need to guide research, how long research actually takes to complete, and why we DON'T need m...
May 17, 2021•47 min•Ep. 116
In this 'sode we pass on some business inspiration we found in a local San Clemente surfer. We probably watched him (in a totally non-creepy way) for about 15 minutes. He looked completely different than every other surfer out in the water. It led us to discuss what was so different and how we could apply those lessons to business. So here they are - lessons from a surfer. Business Mentoring If you'd like to get on the wait list for business mentoring for cash-based pelvic PTs, you can find info...
May 13, 2021•24 min•Ep. 115
In this 'sode, we get fired up about the state of our industry and discuss what we 1) do for patients and 2) do for insurance companies. When we really think about it, we'll be shocked by how much of our day-to-day is dictated by insurance companies and not what is best for patients. We can't serve two masters. We start with recognizing and saying out loud that insurance companies do not have our patients best interests at heart. They have their own bottom line to serve. The relationship with in...
May 10, 2021•45 min•Ep. 114
In this 'sode we go over what it really means to be an entrepreneur - to "bear risk." This should inform how we think of owning our own business, our responsibility to employees and our respect for anyone who has started their own business. Whether you are an entrepreneur, considering it, or extremely happy to NOT bear all the risk, this 'sode has something for you! Business Mentoring If you'd like to get on the wait list for business mentoring for cash-based pelvic PTs, you can find info on our...
May 06, 2021•22 min•Ep. 113
How do we think about research? This is a hugely important question, and one with a lot of misconceptions and traps for us to fall into. How do we balance "individualized treatment" with "evidence-based" care (which always involves a protocol)? How to we look at research through the lens of our own clinical experience? And how do we make that experience meaningful? These are the methods we need to be apply every single day in order to continue to improve as PTs and provide the best possible care...
May 03, 2021•39 min•Ep. 112
For those in a cash practice (or thinking about one), tough love: it's extremely rare for physicians to be onboard with cash PT. But we can't ever let this derail our own judgment! So often we start doubting ourselves because a physician - who literally knows less than nothing about pelvic PT - questions our business model. We have several physicians who have never sent us a single patient....until a family member needs help, and then we are the only place they send them. It's frustrating, wrong...
Apr 29, 2021•25 min•Ep. 111
"Pelvic PT didn't work for me." Those six words are perhaps the most heartbreaking we see online, and unfortunately we see them frequently. Patients who have educated themselves and found pelvic PT, only to come away believing it couldn't help them (and being unwilling to give another PT a try). Because we haven't yet found a patient with an IC diagnosis (or bladder pain and urinary symptoms) who COULDN'T benefit in some way from pelvic PT. In all likelihood, that's due to making one of these 5 ...
Apr 26, 2021•33 min•Ep. 110
In this 'sode we dive into how pelvic PTs actually get paid. Often one of the first questions asked at interviews is "what are the benefits you offer", but when pressed most pelvic PTs don't really even know what these are! We often think "benefits" are something 'added in' on top of our hourly wage - in fact, the opposite is true! Benefits are subtracted out of the total pot, and our hourly wage is what is left over. This is fine if we really need those benefits - but do we? Sometimes, absolute...
Apr 22, 2021•23 min•Ep. 109
In this 'sode we dive into one of the most common questions we get from patients - do I even have IC, or is it just pelvic floor dysfunction? This question often stumps us as physical therapists as well! They've had a long history of dealing with "IC"; how does this change how we treat them? What about the person who comes in with bladder pain and urinary urgency, but hasn't had an IC diagnosis? We clear up the differences between IC and pelvic floor dysfunction in this 'sode and ask the questio...
Apr 19, 2021•27 min•Ep. 108
Do you feel intimidated by taxes? Are they a source of frustration or fear, or something holding you back from starting your own business? If so, make sure to check out this 'sode! In it we dive into 5 tips that all pelvic PTs - whether you own your own business or work for someone else - need to know as we hit tax season. While they can be confusing, taxes don't have to be intimidating. This 'sode is what you need to know to demystify taxes for yourself or your business! Business Mentoring If y...
Apr 15, 2021•23 min•Ep. 107
Diving into both clinical and business considerations, Part 2 of our interview with the Reales dives into how they built their vision of how pelvic PT should be practiced. How to provide the absolute highest level of care for patients? How to build a place where people want to work? How to truly realize your vision They've done an amazing job of this at Southern Pelvic Health and have experienced almost four-fold growth in the last year (in the midst of Covid)!! If you haven't check out Part 1 -...
Apr 12, 2021•43 min•Ep. 104