Dr. Natasha Trentacosta: Building a Body That Lasts - The Orthopedic Secrets to Lifelong Strength and Mobility

Mammograms, Dense Breasts, and Mobile Screening with Dr. Ryan Polselli

Beyond the Plan of Care: Building Membership Models in Physical Therapy Dr. Karen Litzy talks with Dr. Dawn Andalon, PT. DPT, MTC, CPI, co-founder of Revive PT and Pilates, about what happens after a patient is discharged and why ongoing support may be a major opportunity for physical therapists and their clients. They discuss how a hybrid model combining physical therapy, Pilates, personal training, and wellness can support patients for the long term. Dr. Andalon also shares practical insights on introducing a transition of care, building staff buy-in, setting membership prices, and creating more sustainable clinic revenue. In this episode · Why patients may lose momentum after discharge—and how ongoing support can help · Dr. Andalon's path from dance and exercise physiology to physical therapy and Pilates · How she and her husband built Revive PT and Pilates · Why physical therapists are well positioned to lead in longevity and wellness · How to make a transition of care feel like a continuation of support, not a sales pitch · The difference between memberships and packages · Ways recurring revenue can support a more sustainable practice · How to think about pricing based on labor and operating costs · How a hybrid model can work in a relatively small space · Advice for physical therapists experiencing burnout or considering a new direction Timestamps 00:00 — Why the post-discharge gap matters 01:01 — Meet Dr. Dawn Andalon and Revive PT and Pilates 02:03 — From dance and exercise physiology to physical therapy 03:14 — Building a business with a spouse 05:20 — Why physical therapists can support patients beyond the plan of care 06:22 — From burnout to a wellness-centered model 07:20 — Why PTs haven't fully embraced the longevity space 09:23 — Drawing the line between physical therapy and fitness 10:42 — Discharge versus transition of care 12:33 — Making the conversation feel like care, not a sales pitch 15:21 — Helping staff embrace a longevity-focused model 17:27 — Memberships and practice sustainability 19:22 — Membership tiers and a year-of-care option 20:54 — Memberships versus packages 22:13 — Pricing around labor and costs 24:52 — The economics that led to a different practice model 27:13 — What may change for traditional PT practices 28:14 — Hybrid models, even in smaller spaces 30:21 — Why PTs should lead the longevity movement 33:54 — Advice for a burned-out physical therapist 35:27 — The key takeaway for practice owners 36:11 — Lightning round: reformer, deadlifts, ice, business resources, and health habits 39:20 — Where to find Dr. Andalon and Revive PT and Pilates Resources from this Episode: Revive PT and Pilates Website Dr. Dawn on Instagram Dr. Dawn on YouTube Masterclass for next Live Training with Dr. Dawn Jane Sponsorship Information: Book a one-on-one demo here Front Desk @ Jane Mention the code LITZY1MO for a free month Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify Stitcher iHeart Radio

Dr. Karen Litzy talks with Reena Goodwin, founder & CEO of FACTEUR PR and host of the Grow Your Wellth podcast, about why brilliant clinicians often stay invisible and how to change that without chasing trends or burning out. They cover the difference between credibility and authority, how earned media compounds into patient trust and speaking opportunities, and why AI tools are reshaping how patients and referral partners find providers. In this episode, Karen and Rena also unpack a practical framework for positioning, proof, press, promotion, and profit, plus specific ways clinicians can adapt their websites and messaging for AI discovery. If you are a healthcare provider trying to grow your practice, this conversation is about building lasting visibility that works beyond social media. Key topics · Why many clinicians have strong expertise but weak visibility—and why the gap is often messaging, not skill · The difference between credibility and authority · Why clinicians should lead with the problem they solve, not just their job title or procedure · Rena's authority map: an inverted triangle that moves from a broad category toward a provider's unique "special sauce" · How to guide patients from educational content to a specific niche and, eventually, booking · Healthcare PR compliance considerations, including HIPAA, testimonial rules, state practice acts, and patient privacy · Why patient stories need careful handling and can be paired with studies, research, or less-specific proof points · Rena's Path to Prominence framework: positioning, proof, press, promotion, and profit · Why national media can build trust for local practices · Ways to repurpose a press feature for waiting room screens, social media, blogs, AI discovery, media kits, ads, books, and speaking opportunities · How AI is changing search and provider discovery · Why FAQs, blogs, and question-based website content can support AI discovery · Rena's CRIT prompt framework for clinicians: Context, Role, Interview, Task · Why sustainable brand building is about durable authority—not being everywhere or chasing virality · How earned media can compound into stronger referrals and credibility over time Timestamps (00:00) Why brilliant clinicians stay invisible (01:59) Credibility versus authority in healthcare (03:17) Why problems sell better than job titles (04:23) Building an authority map for your niche (07:25) Sharing patient stories while navigating compliance (11:40) The Path to Prominence framework (12:08) Positioning: claiming a category of one (14:04) Proof that supports your messaging (14:33) Why national earned media matters (15:51) Turning one press hit into 15 uses (17:41) How authority can lead to profit (18:34) Diversifying beyond your clinical time (20:10) How AI is changing patient and referral discovery (21:05) Why earned media drives AI citations (22:44) FAQs and blogs as AI-friendly content (23:22) The CRIT prompt for building an authority map with AI (25:53) What sustainable brand building looks like (28:06) Why chasing visibility can lead to burnout (29:21) How earned media compounds over time (31:51) Getting started with PR without a big social following (34:26) Dream publications and broadcast targets (35:31) Non-negotiable wellness habits (36:26) Lessons from Columbia Records: be fast and accurate (37:36) Why to stop leading with "technique" (38:27) Healthy, wealthy, and smart in real life (39:28) Where to find Rena Goodwin (40:05) Free webinar and AI discoverability tools More about Reena:

The Cortisol Cure with Dr. Erin Kinney Dr. Karen Litzy sits down with Dr. Erin Kinney, naturopathic doctor, stress physiology expert, clinic founder, and author of The Cortisol Cure, to reframe how we think about cortisol. This episode explains why cortisol is not the enemy, how the body uses it as an energy and anti-inflammatory hormone, and why burnout is often more about an overdrawn energy system than a hormone that simply needs to be "lowered."They also explore practical ways to recognize cortisol depletion, the role of hidden stressors such as nutrient deficiencies and stealth infections, and how clinicians and high achievers can make small daily "deposits" to support resilience. Key topics · Why cortisol is better understood as an energy hormone—not just a stress hormone · The "cortisol bank account" framework: sleep and rest are deposits, while daily demands are withdrawals · Why chronic stress may show up as low cortisol rather than high cortisol · How burnout can lead to wired-but-tired energy, fatigue, brain fog, anxiety, and overwhelm · How low cortisol can cause the body to compensate with adrenaline and eventually draw from sex hormones · The connection between cortisol, glucose, insulin resistance, and inflammation · Why perimenopause symptoms can overlap with burnout · Hidden internal stressors, including nutrient deficiencies, food sensitivities, Lyme disease, mold exposure, and suppressed emotions · Practical support strategies for clinicians and busy professionals · Why building a strong "relax muscle" matters just as much as developing the stress response Timestamps 00:00— Why cortisol is not the enemy 01:25— Cortisol as an energy and anti-inflammatory hormone 02:48— The problem with "manage your stress" advice 03:11— Introducing the cortisol bank account framework 04:37— Daily life as energy deposits and withdrawals 05:34— What happens when the cortisol account gets overdrawn 06:02— How low cortisol can draw from sex hormones 07:17— Why cortisol gets blamed for inflammation and glucose spikes 09:02— Why "lower cortisol" is not always the right goal 10:14— Morning cortisol testing and how to prepare 11:41— How to estimate your energy balance before symptoms appear 12:30— The cortisol debt assessment 13:44— Why clinical business owners are vulnerable to burnout 14:41— Dr. Kinney's time-blocking and recharge strategy 15:52— What an overdrawn cortisol account can look like 17:01— How low-cortisol symptoms differ between men and women 18:59— Perimenopause versus burnout 19:53— When hormone therapy helps—and when burnout may be the deeper issue 21:43— Hidden internal stressors that quietly drain energy 22:38— Lyme disease and other stealth pathogens 24:58— The energy cost of suppressed emotions 26:30— Red flags for people who always push through 28:23— Why symptoms may be the body's way of asking for attention 29:47— Practical ways to make cortisol deposits during the day 31:33— Why skipping meals can increase the stress response 32:37— Breath work, reading, and simple recovery rituals 33:37— The nervous system's "stress muscle" and "relax muscle" 35:21— Why relaxation takes practice 36:54— The core takeaway: healing happens when energy exceeds expenditure 37:35— Lightning round: recovery habits and book recommendations 39:07— Meditation, binaural beats, and daily regulation 40:23— Where to find Dr. Kinney and The Cortisol Cure Dr. Kinney's central model treats cortisol like currency: · Sleep and rest are deposits. · Work, caregiving, exercise, driving, and emotional strain are withdrawals. · Symptoms can appear when withdrawals outpace deposits. · Small recovery practices throughout the day can help restore balance. More About Dr. Kinney Dr. Erin Kinney is a naturopathic doctor, author of The Cortisol Cure, and stress physiology expert helping high-functioning men and women overcome fatigue, hormone imbalance, and burnout. She is the creator of the Cortisol Ba

Dr. Karen Litzy speaks with Dr. Osman Ahmed about how concussion care has evolved for paraathletes, why standard tools often fall short, and what the new ParaScat 6 tools aim to fix. They also discuss the Concussion in Parasport Group, the importance of athlete input in research, and why clinicians should think differently about baseline function in athletes with impairments. Key Topics · In this episode, Dr. Osman Ahmed explains what paraathletes are and why the term matters when discussing concussion care. · We discuss why paraathletes were historically left out of concussion research and how that gap reflected broader patterns in sports medicine. · Osman breaks down why standard tools like the SCAT can be difficult to apply to athletes with amputations, visual impairments, spinal cord injuries, or wheelchair use. · He shares how baseline symptoms such as blurred vision, headaches, or light sensitivity can be normal for some paraathletes and should not be assumed to indicate concussion without context. · We talk about the creation of the Concussion in Parasport Group and the first position statement that helped guide clinicians on assessment, management, and return to play. · Osman describes how the position statement used a practical color coding approach for tests: o green for appropriate o yellow for use with caution or modification o red for not appropriate · We discuss the research and clinical gaps that led to the development of ParaScat 6 tools for wheelchair users and athletes with visual impairment. · Osman shares how athlete lived experience shaped the design, testing, and refinement of the new tools in real time. · He explains why the biggest shift for clinicians is to think carefully about baselines before doing post injury concussion assessments. · Osman also previews his presentation at the Sixth World Congress of Sports Physiotherapy in Bern and encourages clinicians to engage with paraathletes humbly and proactively. Timestamps: 00:00 - Welcome back and why this concussion conversation matters 01:04 - What counts as a paraathlete 02:34 - Why paraathletes were left behind in concussion research 03:32 - Why SCAT testing often does not fit paraathletes 04:27 - How the first position statement came together during lockdown 05:19 - What changed after the position statement was published 06:53 - Why standard concussion tests can break down for amputees, wheelchair users, and visually impaired athletes 08:42 - Common clinician mistakes when applying standard tools 09:57 - How the Concussion in Parasport Group formed 11:59 - The assessment, management, and return to play domains 13:25 - The position statement's biggest contribution: awareness 14:41 - Why para sports research still struggles with funding and scale 16:34 - Introducing ParaScat 6 WC and ParaScat 6 VI 17:31 - Why athlete lived experience was built into the tool development 18:58 - Preparing the tools for wider use ahead of LA 2028 23:03 - How the tools were developed with wheelchair users and visually impaired athletes 24:56 - Why athlete partnership improves research and clinical tools 25:54 - Expanding the tools beyond the Paralympics 26:50 - The next frontier for other impairment groups in parasport 27:35 - The single biggest shift clinicians should make: think baselines 28:24 - What Osman will present at the World Congress of Sports Physiotherapy 30:01 - Why paraathletes need more clinicians and researchers involved 31:04 - How to overcome imposter syndrome in parasport work 32:28 - What Osman wishes he knew earlier in his career 33:10 - The sports medicine book that shaped his development 34:22 - Advice for physiotherapy students and early career clinicians 35:09 - What he is most looking forward to in Bern 36:03 - Staying healthy after knee surgery with strength and conditioning 36:42 - Where to find Osman Ahmed online 37:40 - Why the World Congress of Sports Physiotherapy is worth attending 38:30 - Clo