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Luke Bongiorno, PT: A Pain Science Informed Approach for Healthcare Professionals03 Sep 202600:49:15

In this episode, Dr. Karen Litzy speaks with Luke Bongiorno, PT, Director of NOIGroup, about what it really looks like to bring pain science into the treatment room. Karen and Luke dig into how he blends manual therapy, breath work, movement, and even music into a pain-science-informed approach and why consent, communication, and simply being human with patients matter as much as any technique. They also talk about leading a global education company, protecting a "care at the forefront" culture as the business scales, and staying grounded as a clinician wearing a dozen different hats.

What we cover in this episode:

  • Luke's path from PT school in Australia to 30 years in private practice in New York
  • How manual therapy, breath work, movement, and music combine in a pain-science-informed session
  • DIMs and SIMs: an inside look at the Protectometer (danger-in-me / safety-in-me)
  • Consent, "no-go zones," and reading a patient's comfort in the moment
  • The shift from trigger-point/dry-needling training to a pain-science lens — and how hard that shift was
  • Balancing leading a patient with empowering them
  • The Resolve Trial and how changing beliefs about pain changes outcomes
  • Staying human and vulnerable as a clinician and business owner
  • Protecting a "care at the forefront" culture while leading a global team at Noi Group
  • Luke's HOPE (Hands-on Pain Education) course and upcoming NY and San Francisco dates

Timestamps:

  • 00:31 Karen welcomes Luke Bongiorno, recording live from Gotham Production Studios
  • 03:23 Luke's background: PT school in Australia, moving to the US, landing in New York
  • 04:53 Discovering David Butler's work and the path to Noi Group
  • 06:21 Blending manual therapy, breath work, movement, and music in a session
  • 08:37 Bringing awareness back to a body part that's been "ignored" in pain
  • 09:28 Karen's own experience with touch sensitivity and neck pain
  • 10:59 Why communication and consent change everything in manual therapy
  • 11:24 Moving away from trigger-point/dry-needling explanations toward pain science
  • 12:33 How Luke decides which "tool" to use in the moment
  • 13:03 Explaining DIMs and SIMs (the Protectometer)
  • 15:05 Identifying "no-go zones" and respecting patient boundaries
  • 16:36 Consent culture: teaching in Australia vs. the US, then and now
  • 18:31 The tension between leading a patient and empowering them
  • 19:44 Being a person first — an empowerment story from a workers' comp patient
  • 22:14 Why Luke still sees patients after 30 years
  • 22:54 The power of simply listening and validating pain
  • 25:48 The Resolve Trial: how changing beliefs about pain improves outcomes
  • 27:43 Karen's own "carrying a loaf of bread" story from working with David Butler
  • 29:42 Staying human while running a business, teaching, and traveling
  • 31:16 Small grounding practices you can use between patients
  • 32:01 Advice for clinicians who feel too busy to take their own advice
  • 33:34 Vulnerability in practice — and why clinicians aren't trained for it
  • 36:58 Wearing every hat in a small practice, and learning to leave gaps in the schedule
  • 38:09 Leading Noi Group remotely and learning to trust a team
  • 39:12 Protecting a "care at the forefront" culture as a business scales
  • 41:09 Key takeaways: value your human skills, reframe your role, use music when talking isn't working
  • 44:31 Lightning round: book recommendations, favorite tool, best business advice, non-negotiable habits
  • 47:37 Where to find Luke, his HOPE course, and NY/San Francisco course dates

More About Luke:

Luke Bongiorno is the Owner and Director of the pain education company, The Neuro Orthopaedic Institute, also known as Noigroup.

At the heart of Luke's work is a simple belief: good clinical care starts with listening, understanding, and helping people make sense of their pain and injury.

Luke's physiotherapy journey began with a degree from the University of Melbourne, Australia, followed by a move into clinical practice in New York. In NYC, Luke co-founded New York Sports Medicine, a company later acquired by United Healthcare.

Still one of New York City's most prominent physical therapists, Luke's extensive experience in managing acute and chronic pain and sports injuries means he travels frequently to work with professional and Olympic athletes, as well as members of touring performing arts and dance companies. He currently serves as a consultant to the NBA League and European professional soccer teams. Luke is also affiliated with the clinical education programs of Columbia University and Touro College.

Luke takes a hands-on approach to care, combining his advanced manual therapy skills with exercise and education. He genuinely cares about helping people understand their pain, build confidence in their bodies, and achieve the best possible recovery and performance. He strongly believes that education is fundamental to optimising patient recovery and performance.

Luke has taught advanced skills courses in Manual Therapy internationally since 2004 and has been part of the Noigroup faculty since 2015. His years of clinical experience, combined with his practical and thoughtful approach to patient care, make him a highly respected clinician and educator.

Visit the Noigroup course platform to explore courses with Luke Bongiorno.

Resources from this Episode:

Jane Sponsorship Information:

Book a one-on-one demo here

Mention the code LITZY1MO for a free month

Follow Dr. Karen Litzy on Social Media:

Karen's Instagram

Karen's LinkedIn

 

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

SoundCloud

Stitcher

iHeart Radio

Jennifer Burnham-Grubbs: How Healthy People Can Stop Subsidizing the Sickness System27 Aug 202600:44:33

Dr. Karen Litzy sits down with Jennifer Burnham Grubbs, founder of Ionava, to unpack why traditional health insurance often penalizes healthy people instead of rewarding them. Jennifer draws on 21 years in the insurance industry to explain what she saw, why she built a new financial category, and how Ionava is designed to reward health-conscious behavior with greater flexibility and less friction. We discuss why healthy people often get poor value from insurance, how Ionava differs from HSAs, FSAs, and health sharing ministries, and how its wallet-based model is meant to make health financial preparedness more practical.

 

Key topics

 

  • Jennifer explains why she built Ionava after two decades as an insurance broker and consultant, including seeing denied coverage, surprise billing, and confusing utilization patterns firsthand.
  • The episode explores the idea that healthy people often subsidize the system without getting a meaningful return, even when they follow preventive care recommendations.
  • Karen and Jennifer compare traditional insurance with a "good driver discount" model, highlighting how insurance rarely rewards healthier behavior.
  • Jennifer explains why Ionava is not health insurance or an HSA, but a new financial category built around health, financial preparedness, and wellness spending.
  • The conversation covers how Ionava's wallet works, including how users can spend on qualifying health and wellness expenses, from gym memberships to supplements and cosmetic wellness categories.
  • Jennifer contrasts Ionava with HSAs and FSAs, emphasizing that Ionava is funded through the subscription and is designed to roll over rather than expire.
  • They also discuss health sharing ministries and why Ionava was built to be secular and broadly accessible rather than tied to religious attestation.
  • Jennifer explains the health score quiz, how it helps price vaults, and why Ionava currently starts with the healthiest applicants to maintain actuarial discipline.
  • The episode dives into pre-existing conditions, how current health status affects eligibility, and why some people may be asked to wait as the pool expands.
  • Karen and Jennifer unpack how Ionava avoids the network and contracted-rate limitations that shape traditional insurance, including why cash-based purchasing offers more flexibility across states and even internationally.

 

Timestamps

 

00:00 - Why healthy people feel punished by the insurance system
01:13 - Jennifer's 21 years inside insurance and what she saw
02:40 - Denials, surprise bills, and the pain points that shaped Ionava
03:30 - Why there is no "good driver discount" for health
05:01 - Why most people never get their money's worth from insurance
06:18 - Preventive care that still triggers hidden costs
07:16 - The problem with opaque medical pricing
08:38 - Why innovation often falls outside traditional coverage
09:27 - Why Jennifer first tried to fix insurance from the inside
11:43 - The limits of claims help and out-of-network gaps
13:42 - Why the private sector had to build a new answer
14:15 - What "health financial preparedness" means
15:39 - Health as physical, mental, and financial readiness
16:41 - Why people still buy insurance even when they hate it
17:12 - Ionava as an alternative or layered financial strategy
18:28 - How Ionava differs from HSAs
20:20 - Why Ionava is more like a funded debit wallet
21:46 - What counts as a qualified spend
22:10 - Why FSAs can feel like a use-it-or-lose-it trap
23:34 - Why Ionava rolls over and rewards healthy behavior
24:17 - How Ionava differs from health sharing ministries
26:36 - Why the health score exists
27:34 - How vault pricing works and why rates are locked for life
29:01 - Optional biometrics and earning more on your wallet balance
30:29 - How Ionava thinks about pre-existing conditions
31:57 - Why some applicants may be asked to come back later
33:11 - Beauty, fitness, and wellness spending inside the wallet
34:37 - The support system for new users
36:15 - Why Ionava is different from reimbursement-based models
37:37 - How insurance networks and contracted rates really work
41:04 - Why Ionava uses cash pricing worldwide
42:39 - Jennifer's weekly wellness spend: supplements
43:18 - The biggest myth healthy people believe about insurance
43:47 - Why she wants HSAs to fund Ionava vaults
44:18 - Books that shaped her thinking: The Go Giver and Give and Take
46:10 - Gardening, herbs, and staying grounded while building a company
47:18 - Where to learn more about Ionava and reserve a vault

 

More About Jennifer:

 

Jennifer (Azar) Burnham-Grubbs, is the Founder and CEO of Quantum Insurance Services and the Founder of ionava. She's spent 21 years inside the insurance industry as a fiduciary broker, managing over $100 million in insurance products for clients ranging from professional athletes and C-suite executives to everyday families. She's also the co-founder of Womxn of Wealth, a nonprofit dedicated to building women's financial acumen. After more than two decades inside the system, she launched ionava — a new financial category built for the healthy consumers the insurance system overcharges and underserves. She's a Princeton grad, based in Los Angeles

 

Resources from this Episode:

Ionava Website

Jennifer on LinkedIn

The Go Giver (book)

 

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. Pedro Teixeira: Thoughtful AI: The Honest Conversation Healthcare Isn't Having20 Aug 202600:45:00

Dr. Karen Litzy is joined by Dr. Pedro Teixeira, Vice President of AI Engineering at Prompt Health and former co-founder and CEO of Prediction Health, for a practical conversation about how AI fits into healthcare workflows. Pedro breaks down the differences among automation, AI, and agentic systems and explains why the best tools support clinicians rather than replace their judgment. This episode focuses on what clinic owners and clinicians should look for when evaluating AI tools: workflow fit, safety, latency, cost, and whether the system improves over time. If you want a grounded, non-hype conversation about AI in healthcare, this is a useful one.

Key topics

·       In this episode, Karen and Pedro compare thoughtful AI vs powerful AI and why workflow fit matters as much as model capability.

·       Pedro explains latency in practical terms, including why perceived delay matters and how feedback like loading states can make AI feel faster.

·       They unpack tokens, model size, and cost, including why input and output usage can change pricing so quickly.

·       Pedro shares how AI can work in the background across notes, codes, compliance checks, and analytics for clinic owners.

·       The conversation covers HIPAA, PHI, encryption, sandboxing, and limited tool access as essential safeguards for healthcare AI.

·       Pedro distinguishes automation, AI, and agentic systems, with examples of when rules are enough and when messy data really does call for AI.

·       They compare predictive vs generative models and explain why generating plausible text is not the same as forecasting a clinical outcome.

·       Karen and Pedro discuss how some clinics are using AI as a decision support tool, while still keeping humans in control of final decisions.

·       Pedro emphasizes that clinic owners should think in terms of systems, including what happens when AI works well and when it fails.

·       He closes with a simple evaluation question for any AI pitch: How does this system get better over time?

Timestamps

00:00 - Introduction and why Pedro Teixeira is a grounded voice on AI in healthcare
01:24 - Why thoughtful AI matters more than powerful AI
03:57 - What latency means and why perceived speed changes the user experience
05:16 - How models work with transcripts, prompts, and tokens
07:24 - What tokens are and why AI bills can rise fast
09:13 - The real cost of large models, GPUs, and background processing
11:23 - How AI can quietly support clinic analytics and business coaching
13:13 - Why healthcare AI must stay closed loop and HIPAA safe
15:13 - Automation vs AI vs agentic systems
18:59 - Predictive vs generative models explained for clinic owners
21:45 - When AI can predict patterns from clinician notes and when it cannot
24:03 - How power user clinics are using AI tools in practice
25:56 - Why AI should do what clinicians decide, not decide for them
28:37 - Designing AI around systems, workflows, and failure states
30:22 - Using SOPs and training docs to think through AI implementation
31:57 - How clinic owners should evaluate whether to bring AI into the practice
35:53 - The one question to ask any AI vendor: how does it improve over time?
37:00 - Final takeaways and encouraging clinics to experiment
38:02 - Lightning round: overhyped AI tools in healthcare
39:20 - What clinicians should understand about how AI really works
40:50 - What Pedro would do if he were not building healthcare AI
41:41 - Real world learning, messy data, and why experience matters
42:59 - Pedro's health habits and the AI built tracker on his watch
44:15 - Where to find Pedro and Prompt Health

Notable quotes

"Thoughtful AI is really taking into account where are people using it, how does it fit into their day to day?"

"The best systems are the ones where you are deciding."

"How does this system get better?"

Resources & Links:

·      Prompt Health

·      Pedro on LinkedIn

More About Dr. Pedro Teixeira:

Pedro Teixeira, MD, PhD, is Vice President of AI Engineering at Prompt Health and previously served as Co-Founder and CEO of PredictionHealth, now a Prompt Health company. With nearly two decades of experience across AI and healthcare and PhD-level training in biomedical informatics from Harvard and Vanderbilt, Pedro is one of the most grounded voices on AI in healthcare. He believes healthcare's biggest challenges are systems problems, not technology problems, and that the real promise of AI is creating leverage so clinicians can spend more time on what matters most: their patients.

Jane Sponsorship Information:

Book a one-on-one demo here

Mention the code LITZY1MO for a free month

Follow Dr. Karen Litzy on Social Media:

Karen's Instagram

Karen's LinkedIn

Subscribe to Healthy, Wealthy & Smart:

YouTube

Website

Apple Podcast

Spotify

SoundCloud

Stitcher

iHeart Radio

Hannah Kim: Front Office Bottlenecks in Physical Therapy Clinics13 Aug 202600:35:51

Dr. Karen Litzy speaks with Hannah Kim, CEO and co-founder of Pocket, about the hidden operational burden that happens before a patient ever reaches the clinic door. They break down why front office teams get stretched too thin, how insurance verification and scheduling create revenue leakage, and what it looks like when a clinic automates the full pre-arrival workflow without losing the human touch.

In this episode:

·       Karen frames the episode around the pre-arrival patient journey and why it matters for physical therapy clinics.

·       Hannah Kim explains Pocket's focus on automating intake, insurance verification, scheduling, and patient communications.

·       The biggest front office inefficiency is overload: one team is often handling phone calls, insurance verification, scheduling, onboarding, and patient greetings.

·       Insurance verification is more complex than checking a portal - clinics often need to call payers, confirm authorization requirements, and verify visit limits.

·       Manual verification can take hours and includes documentation, EMR entry, calculating patient responsibility, and explaining benefits to patients.

·       Growth exposes weak systems: workflows that work for one or two locations often break when a clinic scales.

·       Slow or incomplete pre-arrival responses can cause patients to book elsewhere, creating missed visits and revenue leakage.

·       Pocket aims to own the full process from start to finish, including extracting patient info from the EMR, verifying benefits, making calls when needed, creating documentation, and uploading it back into the EMR.

·       Beyond insurance, Pocket also supports intake, onboarding, case creation, first-visit scheduling, and automated patient communications.

·       Hannah shares that the best transformations free front office staff to spend more time with patients, reduce burnout, and support clinic growth without adding staff.

Timestamps:

(00:01) Intro to the pre-arrival patient experience
(00:52) Hannah Kim's background in healthcare and scaling Clipboard Health
(02:10) Front office inefficiencies that show up again and again
(03:20) Why insurance verification eats so much time
(04:15) EMR documentation and the scheduling "Tetris" problem
(05:53) The red flag that front office is quietly bleeding money
(07:39) What front desk time could be used for instead
(08:55) Why problems get worse as clinics scale
(09:33) Why the pre-arrival journey affects first impressions and revenue
(11:51) The biggest patient-loss window: weekends and after hours
(14:08) Why insurance verification is still so manual
(15:59) What a clearinghouse is and why it is not enough
(17:11) The cost of sloppy or incomplete verification
(18:20) How Pocket handles the full verification workflow
(21:02) Expanding beyond insurance into the entire pre-arrival journey
(23:48) What transformation looks like after automation
(26:09) How clinics get comfortable letting go of manual processes
(28:16) Why technology should reduce burnout, not replace people
(29:47) Lightning round: front office assumptions, coordination of benefits, and advice from banking
(34:30) Where to find Hannah Kim and Pocket

Key frameworks

·       Pre-arrival journey: everything that happens before the first visit

·       Full-process automation: not just clearinghouse checks, but calls, documentation, EMR updates, and patient communication

·       Coordination of benefits: verifying primary, secondary, and tertiary coverage before problems show up later

Notable quotes

·       "The pre-arrival journey is just so important. It's the first impression that patients have from your clinic."

·       "Nobody wants to be drowning in admin stuff."

·       "Technology implemented in the right way really helps a lot of clinics and really helps ease some of that burnout."

Resources & Links:

·      Hannah on LinkedIn

·      Pocket Website

·      2048 Ventures

More About Hannah:

Hannah Kim is the CEO and Co-Founder of Pocket, an AI-powered pre-arrival platform that automates patient intake, insurance verification, scheduling, and patient communications for physical therapy clinics. She devoted her entire career to healthcare - began her career in healthcare investment banking at Centerview Partners before joining Clipboard Health, an "Uber for nurses" that built a marketplace connecting healthcare facilities with nurses for on-demand staffing. As Chief of Staff, Hannah helped scale Clipboard Health from Series A to Series C, supporting the company's growth into a billion dollar company.

Jane Sponsorship Information:

Book a one-on-one demo here

Mention the code LITZY1MO for a free month

Follow Dr. Karen Litzy on Social Media:

Karen's Instagram

Karen's LinkedIn

Subscribe to Healthy, Wealthy & Smart:

YouTube

Website

Apple Podcast

Spotify

SoundCloud

Stitcher

iHeart Radio

Dr. Tom Walters: Is the Physical Therapy Profession Broken or Brimming with Opportunity?06 Aug 202600:52:25

In this episode, Dr. Karen Litzy and Dr. Tom Walters explore the current state of the physical therapy profession, weighing the challenges with the bright opportunities ahead. If you're a PT student, new graduate, or seasoned professional, this discussion offers valuable insights on navigating growth, risk-taking, and innovation.

 Key Topics Covered:

  •  The contrasting narratives about PT career prospects—debunking myths and highlighting opportunities
  • Factors influencing PT career decisions, including debt, job satisfaction, and entrepreneurial ventures
  • Strategies for students and new grads to create diverse career pathways beyond traditional settings
  • How social media has transformed PT education, branding, and income streams over the past decade
  • The importance of trust, clarity, and confidence in communication for professional success and patient care
  • The influence of industry challenges such as insurance constraints and healthcare system limitations
  • Practical advice for building a cash-based practice while managing burnout
  • The potential for social media and content creation to elevate the entire PT field
  • The role of patient education, telehealth, and hybrid models in future PT delivery

 Timestamps:

 00:00 - Introduction: Is the PT profession broken or full of opportunity?
02:21 - Dr. Walters' take on whether PT is a broken system or ripe for growth
04:35 - How social media has changed career possibilities for PTs
05:42 - Advice to students and new grads about seeking opportunities and taking risks
06:47 - Personal stories of career leaps and the importance of thinking beyond traditional roles
08:48 - Building trust and clarity through communication for confidence and success
10:45 - Overcoming fears related to further education and career shifts
11:29 - Reflecting on the time investment of education and professional growth
13:00 - How teaching and social media experience have contributed to Dr. Walters' success
15:23 - The importance of consistency and long-term effort in building a following
16:52 - The evolution of social media content from early days to now
18:38 - Opportunities outside insurance-based clinics and how to leverage clinical experience
20:28 - Guiding students in career planning and the value of entrepreneurial thinking
22:28 - Strategies for transitioning from employment to ownership through small steps
24:13 - Can PT influencers replicate a successful model? Is it achievable for most?
26:26 - Social media's impact on professional visibility and community growth
27:55 - How content creation can elevate the PT profession as a whole
29:35 - The balance between hands-on care and digital/remote PT services
31:09 - The importance of rapport and human connection in healing
32:18 - Possibility of hybrid models combining in-person and remote PT
34:01 - The potential of technology to supplement, but not replace, hands-on care
36:35 - Addressing platform technical issues during the episode
38:36 - Final thoughts on building the future of PT and embracing new opportunities
39:31 - Advice for prospective DPT students on exploring career paths early
41:35 - The importance of financial literacy and budgeting education in PT programs
43:28 - Personal stories about student debt and managing educational costs
44:11 - Trust, clarity, and confidence as pillars for PT success and patient relationships
47:09 - How authenticity and communication foster trust within and outside the PT profession
50:22 - Review of what should be emphasized in PT curricula to prepare future practitioners
52:39 - The impact of viral content and strategic content creation on career trajectory
54:59 - Is the healthcare system broken or an opportunity? Dr. Walters' nuanced view
56:41 - Navigating personality types and finding the right work environment
56:55 - Practical tips for maintaining health, wealth, and intelligence in a PT career

Final Takeaways:

  •  The PT industry is both challenged and full of opportunity—proactive, strategic, and authentic efforts can help shape its future.
  • Embracing digital tools, building trust, and diversifying skills are keys to long-term success.
  • Continuous learning, honest communication, and openness to entrepreneurship are essential for growth in today's evolving landscape.

 Thank you to Dr. Tom Walters for sharing his experience and insights. For more resources, courses, and his book, visit Rehab Science. Remember, your career trajectory depends on intentional choices, resilience, and innovative thinking—so take that leap!

More About Dr. Walters

Dr. Tom Walters is a board-certified orthopedic physical therapist who specializes in the treatment of pain and movement disorders. He is the founder of Rehab Science and has spent almost two decades teaching people about human movement, pain science, and how to effectively recover from injury.

In addition to running his own clinical practice, Tom served as a full-time undergraduate kinesiology professor for eight years, teaching human biomechanics, therapeutic exercise, and pain science. He received his Doctor of Physical Therapy degree from Chapman University and completed a residency in orthopedic manual physical therapy and a fellowship in lower quarter functional biomechanics.

Through his books, social media platforms, and the Rehab Science membership, Tom has helped millions of people better understand their bodies and take control of their recovery.

Find more of Tom's content on Instagram and YouTube @rehabscience

Resources from this Episode:

Tom's Website: Rehab Science

Tom on Instagram

Tom on YouTube

The Rehab Science Book Series

The Rehab Science Membership

 

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: Why Physical Therapists Are Bad at Marketing30 Jul 202600:14:57

In this solo episode, Dr. Karen Litzy breaks down five common myths about marketing in physical therapy and explains why visibility is essential for helping more people. She shares practical reframes around marketing, social media, niching, and word of mouth, all through the lens of educating patients and growing a practice with integrity.

Key Takeaways

  • Marketing is education at scale
  • You need systems, not more hours
  • Specific content builds trust
  • Niching improves results
  • Word of mouth is the foundation, but marketing is the amplifier

Timestamps

  • 0:00— Welcome back + today's topic: why physical therapists are bad at marketing
  • 1:57— Myth #1: Marketing feels sleazy
  • 3:47— Myth #2: "I don't have time"
  • 5:43— Reframe: you don't have a time problem, you have a systems problem
  • 6:12— Myth #3: Social media doesn't bring in real patients
  • 8:04— Myth #4: "I need to market to everyone"
  • 9:28— Reframe: own a lane and become the go-to expert
  • 9:57— Myth #5: If I'm good enough, word of mouth is enough
  • 11:52— Reframe: your work speaks better with marketing support
  • 12:21— Quick recap of all five myths
  • 13:13 — Final takeaway: marketing is visibility
  • 13:46— Closing + call to share, DM, or email Karen

If this episode resonated with you, share it with a colleague who needs to hear it.

Resources from this Episode:

karen@karenlitzy.com

Karen's Website

 

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 DeSimone: Burnout to Freedom, Building a Cash-Based Practice Without Losing Patients24 Jul 202600:37:04

In this episode, Dr. Karen Litzy talks with Dr. Karen DeSimone, physical therapist and owner of KD360 Wellness and Physical Therapy, about building a hybrid practice that combines insurance-based care with cash-based wellness services. Karen shares how she shifted from treating visits to delivering outcomes, why that change helped her reduce burnout, and how other clinic owners can apply a similar model without adding staff, locations, or more marketing spend. Why it works: outcome-focused messaging makes the value feel concrete and emotionally compelling, which helps listeners see the episode as a practical solution to a problem they already feel.

Key topics covered:

·       Why declining reimbursements pushed Karen to rethink her business model

·       The difference between treating visits and treating outcomes

·       How to introduce cash-based services without abandoning insurance

·       Why fewer patients and fewer visits can lead to better results

·       How to have confident, patient-centered conversations about pricing

·       Why the model works for solopreneurs and small clinics

·       The mindset shift needed to step off the insurance treadmill

Timestamps:

·       0:01 — Welcome to the Healthy, Wealthy, and Smart Podcast and the episode's focus on healthcare and business

·       0:29 — Karen DeSimone's background and the shift toward an outcome-based model

·       1:53 — What drove Karen to build a new model

·       2:54 — Why she stacked cash-based services on top of physical therapy

·       4:58 — How to talk to patients about cash-based care

·       6:43 — How those conversations happen in practice

·       8:09 — Why this model can work for other areas like knee pain and surgery avoidance

·       9:29 — What is included in the cash-based offering

·       11:25 — Bundling services into one package instead of adding visits

·       12:32 — Building profitable programs from existing patients

·       13:25 — Why this approach can work without more marketing

·       14:56 — Why she did not want a larger business or more locations

·       16:40 — Why clinicians should think beyond growth for growth's sake

·       18:39 — The difference between selling and serving

·       19:46 — Why it should never feel like a hard sell

·       20:27 — Building conviction and confidence through repeatable outcomes

·       21:46 — Practicing how to talk about pricing

·       23:03 — How to keep patients moving forward in a 12-week program

·       24:30 — Long-term results and patient return visits

·       25:03 — Deciding who the model is right for

·       26:42 — Why timing matters in the clinical conversation

·       28:49 — The first shift: decide

·       31:49 — Who can implement this model

·       33:51 — Lightning round: money beliefs, metrics, and burnout advice

·       36:47 — What Karen is doing to stay healthy, wealthy, and smart

·       37:30 — Where to find Karen and learn more

·       38:24 — Free starter framework for clinicians

·       39:12 — Final encouragement to share the episode

Notable takeaways:

·       "We're not treating visits, we're delivering outcomes."

·       Cash-based services can be stacked on top of physical therapy to improve results and revenue.

·       Patients often pay for faster outcomes when the value is clearly explained.

·       The first step is a decision: choose the model you want, then commit to it.

·       Confidence comes from repeatable results, not from perfect wording.

Resources & Links:

·      Clinical Architecture Website

·      KD 360 PT and Wellness

·      Instagram

·      LinkedIn

·      Free Gift: The Freedom From Back Pain Starter Framework,

More About Karen:

Karen DeSimone, PT, DPT, has practiced physical therapy for 26 years. She earned her Doctor of Physical Therapy from the MGH Institute of Health Professions, began her career at Massachusetts General Hospital, and in 2009 opened KD360 Wellness & Physical Therapy in South Yarmouth, Massachusetts, where she still practices today. A solo clinician running a hybrid cash and insurance model, she helps clients avoid surgery and heal faster using a structured, outcome-driven program.

After years inside the insurance-based model, Karen reached a hard conclusion: you can't build a successful system on a broken model. So she built her own: a defined clinical pathway with enrolled patients and predictable outcomes. That pathway became the Freedom From Back Pain Clinical Success System, the online implementation program she now teaches through her company, Clinical Architecture, helping other PT clinic owners deliver the same cash-based care inside their own practices, without adding new patients, staff, or marketing.

Her work centers on one principle: we're not treating visits, we're delivering outcomes.

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Jared Maynard: From the ICU to the Platform: What Almost Dying Taught Me About Coaching Clinicians16 Jul 202600:42:19

From Life-Threatening Illness to Powerlifting Comeback: Jared Maynard's Journey of Resilience and Reinvention

In this inspiring episode of Healthy Wealthy & Smart, Jared Maynard shares his extraordinary journey from nearly losing his life to a rare blood disease to returning to the powerlifting platform with even greater purpose. His story underscores the importance of resilience, identity, and the ongoing process of rebuilding after profound adversity.

Main topics covered:

·       Jared's experience with HLH and its impact on his physical and mental health

·       The role of physical strength in identity and recovery

·       Strategies for mental resilience and navigating uncertainty

·       Managing self-worth and detaching from outcome-driven validation

·       Building and scaling a coaching business amidst personal challenges

·       Lessons on delegation, mindset, and embracing imperfection

Timestamps:

·       (00:00) – Introduction and pandemic of adversity: Jared's journey begins

·       (01:45) – Experiencing HLH: initial symptoms and misdiagnosis

·       (06:39) – The physical and emotional toll during hospital stay

·       (09:50) – Understanding HLH and its mortality rate

·       (11:19) – Sedation, dreams, and memory blackouts during critical illness

·       (15:10) – The role of muscle mass and physical strength as life insurance

·       (18:11) – Emotional aftermath: grief, identity loss, and rebuilding

·       (20:30) – Overcoming physical atrophy and mental challenges in recovery

·       (22:19) – Transition from hospital to home and ongoing rehab

·       (24:48) – Ongoing management of diagnosis and vision loss

·       (33:49) – Powerlifting comeback and celebrating life with family

·       (34:46) – Lessons in resilience and continuing reinvention

·       (36:18) – Building a business with clarity amidst declining vision

·       (37:05) – The importance of mindset, delegation, and embracing fear

·       (43:02) – Final message: "You are not done yet"

Resources & Links:

·       Crucial Conversations by Al Switzler, Joseph Grenny, and Ron McMillan

·       Jared's Instagram

·       The Confident Sports Clinician's Checklist

More About Jared:

Jared Maynard is a Physical Therapist, strength coach, powerlifter, ClinicalAthlete provider, business owner and speaker who believes that "you're not done yet." 

In 2023, after nearly two decades of lifting and a decade of coaching, Jared was diagnosed with HLH—a rare, often fatal immune condition that landed him in the ICU on life support. His body broke down, the last treatment failed and the doctors prepared his family for the end. But his life was saved by two things: a miraculous recovery, and the muscle he built through the years spent in the gym. 

He woke up in the ICU as skin and bones – 40 pounds lighter, and unable to walk, talk or breathe on his own. Just over 1 year later, he returned to powerlifting to deadlift a lifetime PR – then did it again three months later. 

Now, despite being legally blind and navigating progressive vision loss, Jared's mission is clearer than ever: to give you the skills, support and hope to rebuild after everything falls apart. 

Through his business, Unbreakable Strength, he's the coach who helps coaches and clinicians beat decision fatigue, get out of pain, and build strength & confidence. He speaks on podcasts and stages as living proof of what's possible when you believe that "you're not done yet."

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Sturdy McKee: The Simple System Most Practice Owners Fail to Implement—And How It Frees You From the Routine09 Jul 202600:53:05

This episode explores practical strategies for practice owners who feel overwhelmed and are essential to their business. Host Dr. Karen Litzy interviews Sturdy McKee, a seasoned practice owner and coach, who shares actionable insights on creating self-sustaining clinics, effective delegation, and data-driven decision-making—so owners can step back with confidence in their operations.

Main insights include:

·       Recognizing the cost of being the bottleneck—lost growth opportunities and burnout

·       Building foundational systems like answering phones and hiring with clear criteria and standardization

·       Using the Critical Seven Metrics as a dashboard to monitor business health

·       Differentiating between leading and lagging indicators for proactive management

·       Implementing culture and core values discovery to shape team behavior and diversity

·       Effective delegation versus micromanagement: empowering staff with ownership and clarity

·       The importance of non-clinical skills, like communication and process management, for clinical success

·       How top teams customize strategies (like sports coaching) for optimal performance

·       Practical steps for owners to identify and hire high-impact team members

·       Overcoming perfectionism and control issues by recognizing the value of delegation and trust

Timestamps:

 00:00 - The importance of stepping away from your practice

02:06 - When realizing being the bottleneck is holding you back

03:40 - What a typical bottleneck looks like in daily operations

05:55 - Transitioning to working on, not just in the business

08:02 - The real cost of ignoring metrics and data

09:53 - The significance of visit rates and patient retention

11:20 - Systematizing patient care and communication

14:23 - Essential first system for scalability—answering the phone

17:15 - Building effective hiring rubrics aligned with core values

18:50 - Improving team diversity and cohesion through values

22:22 - Key systems for operational independence

24:11 - Understanding the Critical Seven Metrics

26:07 - Differentiating leading and lagging indicators

28:35 - Why units per visit is undertracked and clinical behaviors behind it

33:04 - The financial impact of small improvements in billing efficiency

37:03 - Handing ownership down through clear, ownership-based delegation

40:26 - Overcoming perfectionism and control issues in leadership

45:09 - Hiring better than yourself and creating a truly scalable practice

50:17 - Building a culture of consistent standards beyond your presence

51:16 - The one essential metric practice owners must track this week

53:18 - The impact of leadership and coaching on team performance

54:14 - Delegating critical tasks—answering the phone first

55:04 - Maintaining health, wealth, and smart habits as a business owner

56:12 - Connecting with Sturdy McKee for more guidance

Resources & Links:

·       Sturdy Coaching — Learn more about coaching services and resources

·       Sixer HQ — Referral software platform

·       Critical Seven Metrics — Download the framework

·       Free Gift: The Owner-Independence Roadmap

Connect with Sturdy McKee:

·       LinkedIn

·       Instagram

More About Sturdy:

Sturdy McKee spent over 20 years as a physical therapist and practice owner. He built San Francisco Sport and Spine Physical Therapy into six locations and 40-plus staff, then sold it. For the last decade he has coached private practice owners through his 6-Hour CEO approach, helping them stop being the bottleneck in their own business and become the leader who builds a practice that runs without them.

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Will Humphreys: Building Better Practices: Teamwork, Recruiting & Profitability02 Jul 202600:49:01

In this episode, Dr. Karen Litzy hosts Will Humphreys, a seasoned physical therapist-turned-entrepreneur, to explore practical strategies that healthcare clinicians can use to build thriving practices. From mastering recruitment to leveraging virtual assistants, Will shares actionable insights to elevate your business, improve profit margins, and strengthen team dynamics.

 

Main insights include:

·       The significance of team building and how Knicks' teamwork mirrors successful business practices

·       Differentiating purpose and profits for sustainable growth

·       Creating an ideal hire profile and utilizing job scorecards for effective recruiting

·       Leveraging relationships with PT schools and students to build a pipeline of future hires

·       The importance of systems for lead generation and hiring consistency

·       Navigating firing with integrity and fostering alignment within teams

·       How virtual assistants can offload administrative burdens and boost profitability

·       The critical role of ethical billing and a healthy relationship with money

·       Reframing profit as a driver for mission fulfillment and industry impact

·       Practical steps to start implementing change today

Timestamps:

 

00:00 - Welcome and the importance of teamwork in practice success
02:20 - Lessons from the Knicks: team energy as a business asset
03:44 - Connecting purpose, profits, and team fulfillment
05:33 - Reflecting on the struggles and breakthroughs of building a practice
09:08 - Strategies for turning around a failing business
11:45 - How to create an effective recruiting process for healthcare practices
13:09 - The importance of defining your ideal hire with a clear profile
15:13 - Utilizing job scorecards to measure candidate success early
16:40 - The difference between lead generation and hiring in practice growth
18:23 - Building relationships with PT schools and students for pipeline development
22:41 - Systematic recruiting leveraging university connections and mentorship
23:07 - Recognizing when it's time to let someone go and how to do it ethically
24:00 - How to handle firing with dignity and preserve reputation
26:25 - The mindset of stewardship and continuous alignment with team members
27:51 - Regularly evaluating if your team is a "hell yes" to stay
29:17 - Handling difficult conversations and letting go with compassion
33:00 - The role of virtual assistants in reducing administrative overload
34:44 - Offloading tasks to virtual assistants to enhance profitability and free time
36:34 - The link between ethical billing, profitability, and purpose
38:39 - Strategic reinvestment and industry impact through profitability
40:35 - The importance of aligning money, purpose, and team success
41:35 - The opportunities brought by technology and AI to practice growth
42:04 - Gratitude for physical therapists' contribution to industry and patient care
43:10 - The quickfire lightning round for practical tips

 

Resources & Links:

·       Virtual Rockstar

·       Rise, Stand and Lead

·       The Willpower Podcast

·       The E Myths Revisited by Michael Gerber

·       Jim Collins' Good to Great

·       Topgrading and Brandon Smart's Job Scorecard

Connect with Will Humphreys:

·       LinkedIn

·       Instagram

·       Virtual Rockstar Instagram

More About Will Humphreys:

Will is a passionate entrepreneur, physical therapist, and dedicated family man. With over 26 years of experience, he has built multiple businesses, including Virtual Rockstar, which helps medical entrepreneurs thrive by outsourcing non-clinical tasks. Known for his humor, inspiring leadership, and drive to transform healthcare, Will focuses on empowering others to scale their impact while staying true to their purpose. Beyond business, he cherishes his wife and four sons, seeks adventure, and finds fulfillment in helping others succeed.

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Craig Dacy: How to Pay Yourself More (Without Hurting Your Practice)25 Jun 202600:33:21

This episode explores financial management strategies tailored for physical therapy practice owners, highlighting how behavioral finance principles can lead to more sustainable and profitable practices. Dr. Stephanie Weyrauch speaks with Craig Dacy and shares actionable insights on building cash reserves, setting equitable owner compensation, and fostering a long-term profitability mindset—key considerations especially relevant in a landscape of changing reimbursement policies. 

In this episode:

·       How practice owners can implement the Profit First system to improve cash flow and profitability

·       Strategies for paying PT owners and team members competitively while maintaining business health

·       The importance of behavioral finance and habit formation in managing healthcare business finances

·       Building cash cushions to buffer the impact of delayed insurance reimbursements

·       Transitioning from solo to multi-location practice: financial and strategic shifts

·       Insights on hiring and retaining staff in a competitive employment market, including creative compensation models

·       Special considerations for insurance-based PT practices and handling delayed payments

·       The role of long-term thinking in promoting lifelong patient engagement with physical therapy

·       Craig's journey to authoring a book tailored to physical therapists on financial management

Timestamps:

00:00 - Introduction and host introduction to Craig Dacy
00:14 - Craig's background and link with Ramsey Solutions
01:05 - Transition from teaching to financial coaching, motivated by personal debt freedom
02:04 - Connecting personal finances with managing a healthcare practice
02:26 - The link between physical therapy and finance, and the need for early financial education
03:22 - Why focus on physical therapists and their unique financial challenges
03:57 - Short-term engagement models and their impact on PT practice finances
04:37 - Promoting lifelong physical therapy and long-term patient relationships
05:05 - Expanding services and revenue streams beyond injury-based care
06:01 - Overcoming scarcity mindset in insurance-reliant practices
06:35 - Owner compensation strategies and making practices more sustainable
07:18 - Implementing profit-based accounting to manage personal and business finances
08:36 - The role of budgeting and behavioral finance in practice management
09:57 - The Envelope system adapted for business accounts
10:23 - Building a practice on a lean budget and avoiding debt
11:04 - Managing delayed insurance payments and cash flow buffers
12:02 - Percentage-based budgeting and cash cushion strategies
12:47 - Tailoring Profit First principles for healthcare settings
13:31 - Different financial strategies for growing practices
14:01 - Prioritizing payroll and managing equipment expenses
14:38 - Challenges of hiring in a competitive market and offering competitive salaries
15:06 - How to determine sustainable compensation—percentages and alternative pay models
15:56 - Profit sharing and creating ownership culture for employee retention
16:50 - Boosting practice profitability through mindset shifts
17:31 - The importance of profit in business health and longevity
18:30 - Transitioning from solo to multi-location practices and financial planning
19:19 - Growth phases and financial shifts at different revenue levels
20:48 - Proactive planning to fund expansion and staffing
21:20 - Behavioral changes needed for practice profitability and culture
22:07 - How profitability benefits the team, patients, and business sustainability
23:04 - Making profit a priority by shifting financial behaviors
24:18 - Small habits for long-lasting financial health—starting with just 1% into profit
25:00 - Speaking at Web PT's Ascend conference, and the growth mindset around money
26:20 - Craig's journey to writing a book for PTs on financial systems
27:53 - Inspiration behind the book and the process of writing
29:22 - Advice to younger self: embrace authenticity and risk-taking
30:18 - Connecting with Craig and upcoming resources for practice owners
31:23 - Final tips: opening a profit account and celebrating profitability
32:05 - Closing remarks and encouragement to adopt financial habits

Resources & Links:

·       Profit First by Mike Michalowicz

·       pf4pt.com — Book landing page and pre-order info

·       Dacy Coaching — Practice financial consulting

Connect with Craig:

·       Website

·       Schedule a coaching session

·       Craig on Instagram

·       Craig on LinkedIn

·       Craig on YouTube

More About Craig Dacy:

Craig Dacy, owner of DACY Financial Coaching, has helped hundreds of small businesses, with a focus on Physical Therapists, find confidence and clarity in their finances. After spending over a decade as an educator, Craig combines his knack for small business and love for teaching to help make the overly complicated concept of business finances incredibly simple to understand. 

Craig lives in Austin, TX with his wife and 2 kids. When he's not spending time with his family, he can be found reliving "the good old days" as the lead singer and bass player for his 90s cover band, Zoodust.

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Drs. Dr. Courtney Conley & Milica McDowell: WALK, Your Life Depends on It!18 Jun 202601:07:45

Unlocking the Power of Walking: Feet, Movement, and Health.

 This episode dives deep into how something as simple as walking is a foundational pillar for health, longevity, and overall well-being. Dr. Karen Litzy welcomes expert insights from Dr. Courtney Conley and Dr. Melissa McDowell, you'll learn practical strategies to optimize foot health, rethink footwear choices, and incorporate walking into everyday life for maximum benefit.

 In this episode:

·       Why walking is considered a sixth vital sign and what it means for health assessment

·       The evidence-based optimal step range and busting myths around 10,000 steps

·       How foot strength and proper footwear influence pain, injury, and longevity

·       The biochemistry of walking and its effects on hormones, brain health, and disease prevention

·       Strategies clinicians and individuals can use to operationalize walking as a therapeutic and preventive tool

·       Challenging misconceptions about shoes, orthotics, and barefoot walking

Timestamps:

00:00 - Introduction: Rethinking walking as a vital sign and its importance
02:15 - Walking as a necessity: Beyond exercise, a core biological requirement
03:40 - The myth of 10,000 steps: Evidence-based step targets for different health outcomes
05:04 - Micro walks and ambient activity: How small moments add up
06:31 - Meeting people where they are: Tailoring step goals and activity levels
08:32 - Debunking the 10,000 steps myth and the influence of misinformation
09:56 - The impact of walking on mental health and chronic disease management
11:44 - Foot mechanics and gait: Insights into movement patterns and predicting systemic health
13:15 - The importance of foot strength and preserving foot biomechanics over time
14:32 - Foot health's relationship to fall risk and aging
16:54 - Biological impacts of walking on hormones, brain growth factors, and cognitive function
18:14 - Walking as an intervention for menopause symptoms, depression, and anxiety
19:41 - The power of specific step targets for reducing disease risk
21:01 - How walking should be integrated into chronic pain management
23:34 - The simplicity of behavior change: Making walking accessible for everyone
26:54 - Overcoming pain and fear: Starting with micro walks and building confidence
28:01 - Footwear essentials: Respectting anatomy and choosing proper shoes
30:46 - The influence of shoes on foot health, posture, and systemic health
33:33 - Identifying inappropriate footwear and the role of orthotics
35:45 - Addressing footwear for children and the importance of fit during growth
38:31 - The impact of heel-toe drop and shoe structure on gait and health
41:35 - How indoor shoes and surface changes affect foot and overall health
43:54 - Walking and longevity: Connecting foot strength, fall risk, and lifespan
46:22 - Practical tips for strengthening feet and the dark side of cushioned shoes
50:02 - Tips for clinicians to integrate foot health and walking into practice
53:38 - Business opportunities in community health, workshops, and education
56:23 - Final advice for practitioners interested in promoting walking and foot health
57:59 - The journey of publishing a health-focused book: Tips and encouragement
58:06 - The importance of passion and ongoing learning in health professions
66:35 - Resources, social media, and where to find expert guidance

Resources & Links:

·       Walk: The Surprising Science of Walking and How It Can Improve Your Health and Happiness

·       Gait Happens - Foot and gait analysis training

·       Melissa McDowell - Instagram | Website

·       Courtney Conley Website| Instagram | YouTube

More About Dr. Courtney Conley:

Dr. Courtney Conley is the founder of Gait Happens, where she pursues her passion for helping as many people as possible reclaim their foot function.

As an internationally renowned foot and gait specialist, Dr. Conley teaches both nationally and internationally. She is a chiropractic physician with a BA in Kinesiology, a BA in Human Biology, and a Doctorate in Chiropractic Medicine. Based in Lakewood, CO, Dr. Conley owns and operates Total Health Solutions clinic and Total Health Performance gym, where she leads patient care focused on restoring gait mechanics and resolving foot problems to help people move more easily and pain-free.

She is also a founding member of the Healthy Foot Alliance, an international team of practitioners dedicated to promoting the benefits of natural footwear, preventing unnecessary surgeries, and improving foot function to create a stable foundation from the ground up.

More about Dr. Milica McDowell:

Dr. Milica McDowell holds two Bachelor of Science degrees (Exercise Physiology and Health Promotion, (Montana State University), a master's degree (Physical Therapy, University of Colorado Health Sciences Center), and a Doctorate degree (Physical Therapy, Idaho State University). She served as a university faculty member in Human Performance for nearly a decade, has developed numerous medical education curricula and has been an invited speaker on many national stages, including the American Physical Therapy Association and American College of Sports Medicine's conventions. She has been an invited presenter for numerous professional organizations, and she has delivered over 300 educational lectures at state, regional, and national levels. Dr. McDowell founded Clearwater Physical Therapy, Bluebird Medical Supply Company, and co-founded Epic Fitness, 4C Sports Injury Analytics, and CrossFit Send It. In 2023, Dr. McDowell was recognized as one of the Top 50 Women Leaders in Healthcare by the Women We Admire organization. She has edited textbooks, written several university science courses, and developed professional continuing education courses that are sold in a global marketplace. One of her present interests is the responsible use of AI technologies to produce multimedia learning experiences in professional education.

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Kathryn Nicolai: Sleep Stories: Using Neuroscience & Narratives to Calm the Mind11 Jun 202600:38:51

In this episode of Healthy Wealthy & Smart, Dr. Karen Litzy welcomes Kathryn Nicolai, the creator and host of Nothing Much Happens, one of the most listened-to sleep podcasts in the world. Discover how storytelling, nervous system regulation, and mindful routines can transform your sleep quality in this engaging episode. Kathryn shares practical strategies rooted in her background in yoga, neuroscience, and storytelling to help listeners foster calm, resilience, and restful nights.

Key Topics:

·       The therapeutic power of storytelling in calming anxiety and promoting sleep

·       The neuroscience behind why safety and overstimulation block restful sleep

·       Practical tools like breathwork, joy, and routines to reset the nervous system

·       The concept of SIMS (Safety in Me) versus DIMS (Danger in Me) and how to shift balance

·       How to develop a personalized sleep ritual that feels pleasurable and sustainable

·       The importance of joy, predictability, and self-compassion in sleep hygiene

·       Mental models for reducing hypervigilance and promoting safety at night

·       Kathryn's process of creating comforting stories and building a connected universe for sleep

·       Techniques for integrating mindfulness and sensory awareness into everyday life

·       Encouragement to prioritize pleasure over perfection in self-care routines

Timestamps:

00:00 - What makes storytelling a powerful tool for sleep
00:48 - Kathryn's journey from yoga teacher to sleep storyteller
02:12 - Why safety in the nervous system is key to restful sleep
03:22 - The role of overstimulation and how modern life hampers rest
04:45 - The magic of bedtime stories and their universal calming effect
06:00 - Understanding default mode network and the glazed eye of overthinking
07:14 - The principles of SIMS and DIMS in regulating nervous system safety
08:45 - How stories foster a reparative sense of witnessing and safety
10:05 - The art of building a nurturing, interconnected storytelling universe
11:41 - Creating a sensory-rich environment that promotes calm
13:03 - Kathryn's storytelling techniques: pacing, predictability, and authenticity
14:13 - The importance of intention and personal touch in story creation
15:33 - Making routine pleasurable — integrating joy into sleep rituals
17:04 - The calming power of familiar locations and recurring characters
18:28 - The significance of predictability and control in anxious times
20:14 - The myth of perfect sleep routines and focusing on what feels good
22:24 - Front-loading the day with joy as a resilience booster
24:24 - The uplifting impact of simple pleasures — music, a kind word, a moment of delight
26:22 - Breathing techniques and other accessible practices to turn down the nervous system dial
27:34 - The accessibility and free nature of mindfulness tools
28:34 - Building habits slowly and with pleasure, not perfection
30:23 - Letting go of rigidity: sustainability in self-care
31:17 - The importance of internal permission to enjoy and relax
32:41 - The secret ordinary moments that remind us of magic
33:44 - Choosing a story setting you'd love to live in
34:19 - Debunking myths in the wellness industry around "perfect rest"
35:16 - The transformational advice to younger selves: embrace imperfect progress
36:11 - Resources, books, and ways to connect with Kathryn
37:13 - Final words: cultivating a safe, restful, joyful sleep environment

Resources & Links:

·       Nothing Much Happens – Website

·       Nothing Much Happens – Podcast

·       Nothing Much Happens - Instagram

·       On the Street Where You Live – Kathryn's upcoming book (search title for purchase info)

·       First This – Guided meditation show

·       Kathryn on YouTube

More About Kathryn Nicolai:

Kathryn Nicolai is the creator and host of Nothing Much Happens, one of the most listened-to sleep podcasts in the world, where millions of listeners use her stories to calm anxiety, fall asleep, and feel more at ease in their bodies. With over 20 years of experience as a yoga and meditation teacher, Kathryn is a trusted voice in self-care, with a focus on sleep hygiene, nervous system regulation, mindfulness, and storytelling as medicine. She draws on lived experience and practices including Vipassana meditation, gentle movement, brain training, and bibliotherapy to support people navigating stress, anxiety, depression, and more. Through her work, Kathryn helps people cultivate rest, creativity, and emotional resilience in a culture shaped by overstimulation and burnout. Her new audio book, On The Street Where You Live, also comes out in July.

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Nathan White: Collaboration Over Consolidation: Keeping Rural Healthcare Local04 Jun 202600:43:11

In this episode of Healthy Wealthy & Smart, Dr. Karen Litzy sits down with Nathan White, JD, President and CEO of Cibolo Health and a nationally recognized leader in rural healthcare transformation; to explore how independent hospitals can thrive amidst industry consolidation. They uncover actionable strategies to maintain independence while collaborating effectively to improve patient outcomes and sustain financial stability.

 

We discuss:

  • How high-value networks (HVNs) and clinically integrated networks (CINs) empower rural hospitals to negotiate better and stay independent
  • The shift from fee-for-sick to value-based care and its implications for rural providers
  • The importance of scale, data interoperability, and primary care for rural health success
  • How collaboration, ownership, and local control challenge the traditional view of hospital consolidation
  • Practical examples of rural value-based programs and metrics that matter
  • The role of AI, data, and community engagement in future healthcare models
  • Lessons in leadership mindset, policy changes, and building resilient healthcare systems

 

Key insights:

  • Independence in healthcare is best achieved through strategic interdependence, not isolation
  • Small rural hospitals need networks with ownership and governance to navigate value-based care successfully
  • Scale provides the bargaining power and data needed for rural success, but local control preserves community relevance
  • Data-driven, patient-centric approaches—like targeted metrics and AI—are the future of rural health
  • Building collaborative networks requires intentionality around ownership, governance, and shared goals

 

Timestamps:


00:00 - The challenge of maintaining hospital independence amidst industry consolidation
00:30 - Introducing Nate White and his vision for rural healthcare transformation
01:42 - How high-value networks (HVNs) and clinically integrated networks (CINs) work
02:11 - The role of CINs in payer negotiation and healthcare cost control
03:10 - The importance of scale and shared purchasing for rural hospitals
03:25 - The shift to value-based care and its relevance for rural settings
04:05 - The limitations of fee-for-sick care and the move towards prevention and health management
05:19 - Clinical integration to reduce fragmentation and unnecessary utilization
06:11 - How rural hospitals can participate in Medicare Shared Savings Program (MSSP)
06:45 - Challenges of attribution and achieving the 5,000 patient threshold for rural hospitals
07:15 - The need for larger patient pools and collaborative models for rural success
08:13 - Data and interoperability's role in managing patient care and engagement
09:16 - The double-edged sword of technology and resource limitations in rural hospitals
09:59 - The concept of "independence through interdependence" and collaboration over consolidation
11:07 - How legacy hub-and-spoke models can undermine rural healthcare access and community priorities
12:34 - The importance of local control in healthcare decision-making
14:02 - The unique opportunities and challenges of value-based care in rural settings
15:38 - Prioritizing primary care as the foundation of rural health strategies
16:17 - Practical rural value-based care programs and metrics
17:44 - The importance of improvement incentives and relevant metrics for rural hospitals
19:16 - Building care extenders and leveraging AI to improve screening and patient engagement
21:12 - The growing role of AI in healthcare, from outreach to decision-making
23:36 - The mission-driven motivation behind Cibolo's innovations in rural health
24:52 - Lessons for healthcare entrepreneurs on collaboration, governance, and control
27:23 - The significance of ownership and control in payer and network contracts
29:54 - The power of scale and collective revenue in competitive healthcare landscapes
31:39 - The operational challenges and initial hurdles in network development
33:49 - Long-term vision: transitioning to a future-ready payment and care model
36:02 - Key takeaway: scale combined with local autonomy is the recipe for rural healthcare resilience
38:37 - Policy reforms needed to foster competition and efficiency in rural healthcare
39:59 - Mindset shifts for healthcare leaders to succeed in network environments
40:35 - Advice to future healthcare leaders: Be present, opportunistic, and adaptable
41:57 - Connecting with Nate White and learning more about Cibolo Health
42:52 - Closing thoughts and encouragement to share insights with colleagues

 

Resources & Links:

More About Nate:

Nathan White is a nationally recognized leader in rural healthcare transformation, with more than 20 years of experience in healthcare operations, strategy, and system innovation. As the founder and CEO of Cibolo Health, Nathan has pioneered the High Value Network (HVN) model, which enables independent rural hospitals to collaborate, improve outcomes, and remain financially sustainable without sacrificing local governance.

Before founding Cibolo Health, Nathan served as Chief Operating Officer at Sanford Health, where he helped grow the system from $350 million to $6.5 billion in revenue, overseeing 40 hospitals nationwide. His work has been featured in Modern Healthcare and Forbes, and he is a sought-after speaker on value-based care and rural health sustainability.

Nathan's leadership was recently recognized on the 2026 TIME100 Health list, which highlights the world's most influential leaders shaping the future of healthcare. A Kansas native, Nathan is passionate about ensuring rural communities have access to high-quality, locally governed care.

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Dr. Minal Patel & Brijraj Bhuptani: The Future of Rehab: How Responsible AI Will Transform Physical Therapy Practice28 May 202600:57:40

In this episode of the Healthy Wealthy & Smart Podcast, Dr. Karen Litzy, PT, DPT, welcomes Dr. Minal Patel and Brijraj Bhuptani of Spry Therapeutics. We explore how AI is transforming clinical workflows, documentation, and patient care in physical therapy. We cut through the hype to understand what responsible AI integration really means for clinicians and practice owners.

 

Key topics

 

  • The origins of Spry and the real-world problems AI aims to solve in healthcare
  • How AI-powered documentation like Spry's Scribe tool works in practice
  • The importance of transparency, data security, and reliability in healthcare AI
  • Balancing customization and standardization with AI tools
  • The role of AI in addressing clinician burnout and administrative burden
  • Future pathways: AI's potential to standardize workflows while respecting individual practice styles
  • Practical steps for clinicians and practice owners to start exploring AI in their clinics
  • Evolving perceptions of AI's impact on human interaction and empathy in therapy

 

Timestamps

 

00:00 - Introduction to AI in clinics and why it matters
02:16 - The story behind Spry's inception and industry pain points
04:44 - How COVID accelerated the need for smarter workflows
09:11 - Overcoming practice ownership inertia toward new technology
12:06 - The role of AI-powered documentation and clinician workflows
18:15 - How Spry's AI listens and transcribes in real-time during therapy
24:09 - Protecting note integrity and avoiding homogenized documentation
27:51 - The impact of admin overload on clinician burnout and patient trust
36:17 - Building trust in AI with transparency and data access
40:48 - The future of AI: opportunities and responsibilities for practice owners
43:20 - Responsible AI and industry responsibility for ethical tech deployment
47:40 - Clarifying probabilistic AI and ensuring reliable clinical outputs
48:43 - Lightning round: quick takes on practice management and AI mindset
55:09 - How to connect with the experts and learn more about Spry

 

Resources & Links

 

More About Dr. Patel:

Dr. Minal Patel PT, DPT, OCS is a seasoned Physical Therapist with over 17 years of clinical and non-clinical expertise. She has held pivotal roles within rehab organizations including leadership and innovation for both in-person and digital services. Dr. Patel holds a Doctor of Physical Therapy from Midwestern University, and is an Orthopedic Certified Specialist.

As Director of Clinical Solutions at SPRY, Dr. Patel leads the development and implementation of innovative care strategies that bridge the gap between clinical excellence and operational efficiency. With a deep background in physical therapy and healthcare operations, Dr. Patel brings a clinician-first perspective to building solutions that streamline workflows, optimize patient outcomes, and enhance revenue cycle performance.

At SPRY, Dr. Patel works closely with product, engineering, and customer success teams to ensure the platform supports the real-world needs of outpatient therapy practices. Their work focuses on translating clinical insight into scalable technology—empowering providers to deliver high-quality care while navigating complex payer and compliance environments.

Prior to joining SPRY, Dr. Patel held leadership roles in multi-site rehab networks and has been instrumental in driving clinical innovation, EMR optimization, and value-based care initiatives. She is passionate about elevating the role of therapists in the broader healthcare ecosystem through data-driven, patient-centered tools.

More About Brijraj:

Brijraj (Vaghani) Bhuptani is co-founder and chief executive officer of SPRY Therapeutics, Inc., inventor of rehab therapy's first fully integrated, AI-powered EMR. As CEO, Brij drives company and product strategy as he leads the organization in the commercialization of rehab therapy's only AI-first software platform. Before SPRY, Brij co-founded and served as chief executive officer of Birds Eye Systems, the creator of major mass transit platform Ridlr. This enterprise was acquired by Ola, one of the world's largest ride-hailing companies, where Brij then served as chief

technology officer. Prior to Birds Eye Systems, Brij applied his engineering background to solving some of the most pressing technology concerns facing large media and wireless firms, including Qualcomm and Sears India. For more information on SPRY, visit www.sprypt.com, and follow the company on LinkedIn

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Drs. Devon Morris & Cortez Espinoza: Rizing Tide: Giving Back and Paying it Forward21 May 202600:59:22

In this episode of the Healthy Wealthy & Smart Podcast, Dr. Karen Litzy, PT, DPT welcomes Dr. Cortez Espinoza and Dr. Devin Morris. They explore the journey from their Rizing Tide scholarships and advanced training to navigating the financial realities of the PT profession. The discussion covers community building, mentorship, and strategic thinking, providing a comprehensive look at how physical therapists can shape a more equitable and impactful future.

 

Key Topics:

  • How Rising Tide Scholarship creates community and leadership opportunities for underrepresented clinicians
  • Differences between residency and fellowship – and why both are foundational for advanced clinical decision-making
  • The financial landscape of PT education, including student debt, business challenges, and alternative income streams
  • The significance of mentorship, advocacy, and policy involvement for career growth and systemic change
  • Opportunities in direct access care, policy advocacy, media, and community engagement for young clinicians
  • Practical strategies for aligning career choices with personal values, purpose, and long-term goals
  • The role of holistic treatment approaches, lifestyle medicine, and lifestyle factors in patient care and clinician wellness

 

Timestamps:

00:00 - Introduction and background of guests from Rising Tide
02:05 - How Rising Tide shaped clinical and leadership development
04:07 - The community and ongoing support beyond scholarships
09:00 - Clarifying the differences between PT residency and fellowship
10:44 - Financial realities of PT education and career paths
13:05 - Residency and fellowship decision-making strategies
18:35 - Opportunities for impact and leadership in early career stages
25:00 - Addressing the financial burden on PT students and clinicians
30:30 - Insights on balancing financial stress, private practice, and side income
43:19 - Emerging opportunities in direct access and policy advocacy
55:42 - Resources for early career PTs and the importance of defining success
56:49 - Personal advice on purpose, staying true to values, and career resilience
58:00 - How to connect with Cortez and Devin and get involved with Rising Tide

 

Resources & Links:

 

Connect with the Guests:

 

 

More About Dr. Morris:

Devon is a Board-Certified Orthopedic Clinical Specialist focused on working with high school and elite athletes in Atlanta, GA. 

After earning her DPT while playing soccer at Ithaca College, she completed her orthopedic residency at Emory University, where she trained at the Atlanta Hawks Sports Medicine Complex. 

During her residency, she contributed to research on post-ACLR jumping and landing mechanics and began her case study research on DVT detection in diverse populations. She went on to present that work at CSM and publish it in JOSPT Cases.

Alongside her clinical work, Devon serves as an Adjunct Instructor for the South College and Tufts DPT programs and teaches continuing education courses for Team Rehabilitation.

What sets Devon apart is her commitment to making research feel accessible. She translates complex orthopedic and sports PT concepts into clear, practical insights that clinicians can use right away. She is also building a community and tools for early-career therapists who are looking for guidance, support, and a sense of belonging in the field.

More About Dr. Espinoza:

Dr. Cortez Espinoza is an orthopedic physical therapist, educator, and coach focused on bridging the gap between clinical expertise and human empowerment. With advanced training in spine orthopedic care, he is passionate about leading clinicians to go beyond a purely biomechanical model to one that incorporates behavior change, education, and long-term impact. His work is driven by a mission to improve patient outcomes and the future of healthcare education.

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Dr. Lance Knaub: How to Build a Self-Managing Practice and Reclaim Your Life14 May 202600:40:39

In this episode of the Healthy Wealthy & Smart Podcast, Dr. Karen Litzy, PT, DPT welcomes Dr. Lance Knaub. They explore the journey from humble beginnings in physical therapy to building a thriving, self-managing practice. The discussion covers strategic partnerships, mindset shifts, and the creation of generational wealth, providing a comprehensive look at how practice owners can scale, create balance, and align their business with personal life goals.

 

Key Topics

  • The origin story of Breakthrough Physical Therapy and lessons in entrepreneurial resilience
  • How to recognize and navigate burnout, with practical steps to prevent it
  • The 4% Breakthrough framework: introspection, fundamentals, lifestyle, and growth strategies
  • The path from owner-operator to self-managing business, including partnership models and leadership development
  • The importance of mentorship, personal development, and strategic planning for sustainable success
  • Building a business that aligns with your life goals rather than just scaling for scale's sake
  • Practical advice on creating your life design and maintaining it amid challenges
  • The role of private equity and partnerships in business growth and wealth creation

 

Timestamps

00:00 - Introduction to Dr. Lance Knaub and his background
01:22 - Building Breakthrough PT from the ground up: early stages and lessons
03:29 - Overcoming burnout: a personal story of health and recovery
05:39 - Practical steps physical therapists can take now to handle stress
08:16 - Breakdown of The 4% Breakthrough framework: steps and timelines
09:35 - Fundamentals of building a resilient business like a pro athlete
12:16 - Strategies for breaking through plateaus and personal development
17:26 - What does a self-managing practice really look like? Pathways to independence
20:25 - Metrics and signs that your business is truly moving toward self-management
22:16 - How to approach partnerships and private equity as growth tools
23:45 - Aligning team goals with business vision for retention and growth
28:49 - Designing and holding onto the life you love amidst business success
30:36 - The importance of regular strategic review and adjusting your plan
33:16 - Practical insights into effective goal setting and weekly planning
37:01 - Why living more, not just working less, is the essence of a self-managing business
38:04 - Advice to your 20-year-old self for accelerating growth and enjoyment
39:02 - Connecting with Dr. Lance Knaub and available resources for entrepreneurs

 

Resources & Links

 

Connect with Dr. Lance Knaub

 

 

More About Dr. Knaub:

Dr. Lance Knaub, keynote speaker and best-selling author of The 4% Break-Thru and The Drive to Success Vol 2, is the founder of Denali Consulting. He helps entrepreneurs scale their businesses, avoid burnout, and build self-managing companies that become valuable assets—so they can live a life they truly love. 

He and his wife founded Breakthru Physical Therapy & Fitness and developed a fearless leadership team who took over operating the company in 2018.

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Nathan White: Collaboration Over Consolidation: Keeping Rural Healthcare Local07 May 202600:43:11

In this episode of Healthy Wealthy & Smart, Dr. Karen Litzy sits down with Nate White, JD, President and CEO of Cibolo Health and a nationally recognized leader in rural healthcare transformation; to explore how independent hospitals can thrive amidst industry consolidation. They uncover actionable strategies to maintain independence while collaborating effectively to improve patient outcomes and sustain financial stability.

We discuss:

  • How high-value networks (HVNs) and clinically integrated networks (CINs) empower rural hospitals to negotiate better and stay independent
  • The shift from fee-for-sick to value-based care and its implications for rural providers
  • The importance of scale, data interoperability, and primary care for rural health success
  • How collaboration, ownership, and local control challenge the traditional view of hospital consolidation
  • Practical examples of rural value-based programs and metrics that matter
  • The role of AI, data, and community engagement in future healthcare models
  • Lessons in leadership mindset, policy changes, and building resilient healthcare systems

Key insights:

  • Independence in healthcare is best achieved through strategic interdependence, not isolation
  • Small rural hospitals need networks with ownership and governance to navigate value-based care successfully
  • Scale provides the bargaining power and data needed for rural success, but local control preserves community relevance
  • Data-driven, patient-centric approaches—like targeted metrics and AI—are the future of rural health
  • Building collaborative networks requires intentionality around ownership, governance, and shared goals

Timestamps:

00:00 - The challenge of maintaining hospital independence amidst industry consolidation
00:30 - Introducing Nate White and his vision for rural healthcare transformation
01:42 - How high-value networks (HVNs) and clinically integrated networks (CINs) work
02:11 - The role of CINs in payer negotiation and healthcare cost control
03:10 - The importance of scale and shared purchasing for rural hospitals
03:25 - The shift to value-based care and its relevance for rural settings
04:05 - The limitations of fee-for-sick care and the move towards prevention and health management
05:19 - Clinical integration to reduce fragmentation and unnecessary utilization
06:11 - How rural hospitals can participate in Medicare Shared Savings Program (MSSP)
06:45 - Challenges of attribution and achieving the 5,000 patient threshold for rural hospitals
07:15 - The need for larger patient pools and collaborative models for rural success
08:13 - Data and interoperability's role in managing patient care and engagement
09:16 - The double-edged sword of technology and resource limitations in rural hospitals
09:59 - The concept of "independence through interdependence" and collaboration over consolidation
11:07 - How legacy hub-and-spoke models can undermine rural healthcare access and community priorities
12:34 - The importance of local control in healthcare decision-making
14:02 - The unique opportunities and challenges of value-based care in rural settings
15:38 - Prioritizing primary care as the foundation of rural health strategies
16:17 - Practical rural value-based care programs and metrics
17:44 - The importance of improvement incentives and relevant metrics for rural hospitals
19:16 - Building care extenders and leveraging AI to improve screening and patient engagement
21:12 - The growing role of AI in healthcare, from outreach to decision-making
23:36 - The mission-driven motivation behind Cibolo's innovations in rural health
24:52 - Lessons for healthcare entrepreneurs on collaboration, governance, and control
27:23 - The significance of ownership and control in payer and network contracts
29:54 - The power of scale and collective revenue in competitive healthcare landscapes
31:39 - The operational challenges and initial hurdles in network development
33:49 - Long-term vision: transitioning to a future-ready payment and care model
36:02 - Key takeaway: scale combined with local autonomy is the recipe for rural healthcare resilience
38:37 - Policy reforms needed to foster competition and efficiency in rural healthcare
39:59 - Mindset shifts for healthcare leaders to succeed in network environments
40:35 - Advice to future healthcare leaders: Be present, opportunistic, and adaptable
41:57 - Connecting with Nate White and learning more about Cibolo Health
42:52 - Closing thoughts and encouragement to share insights with colleagues

Resources & Links:

More About Nate:

Nathan White is a nationally recognized leader in rural healthcare transformation, with more than 20 years of experience in healthcare operations, strategy, and system innovation. As the founder and CEO of Cibolo Health, Nathan has pioneered the High Value Network (HVN) model, which enables independent rural hospitals to collaborate, improve outcomes, and remain financially sustainable without sacrificing local governance.

Before founding Cibolo Health, Nathan served as Chief Operating Officer at Sanford Health, where he helped grow the system from $350 million to $6.5 billion in revenue, overseeing 40 hospitals nationwide. His work has been featured in Modern Healthcare and Forbes, and he is a sought-after speaker on value-based care and rural health sustainability.

Nathan's leadership was recently recognized on the 2026 TIME100 Health list, which highlights the world's most influential leaders shaping the future of healthcare. A Kansas native, Nathan is passionate about ensuring rural communities have access to high-quality, locally governed care.

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Dr. Ashok Gupta: Rethinking Hybrid Care: Where Virtual & In-Person Meet07 May 202600:47:07

In this episode of the Healthy Wealthy & Smart Podcast, Dr. Karen Litzy, PT, DPT welcomes Ashok Gupta. They explore the evolution of telehealth and hybrid care in physical therapy, discussing innovative technologies, AI applications, and regulatory shifts that are expanding access and improving patient outcomes. This conversation provides a comprehensive look at how clinicians and practices are embracing digital transformation to deliver more effective, patient-centered care.

 

In this episode:

·      The concept of omni-channel or hybrid care modeled after consumer experiences like Walmart and Amazon

·      How telehealth is transforming access for acute and chronic patients, with real-world success stories including ICU recovery

·      The development and integration of physical AI to guide motion recognition and real-time patient assessment

·      The critical role of clinician input and feedback in building effective telehealth tech

·      Cost-effective remote therapeutic monitoring (RTM) and regulation updates supporting scalable virtual care

·      Impact of AI on clinician efficiency, documentation, and patient engagement

·      Best practices for virtual manners, camera presence, and creating a professional digital environment

·      Strategies for integrated workflows connecting telehealth platforms, EMRs, and practice management tools

·      The importance of embracing technology to stay competitive and improve patient outcomes

·      Future outlook: seamless virtual-clinic transitions and personalized care pathways

 

Timestamps:

·      (00:00) - Welcome and episode overview: Redefining patient-centered hybrid healthcare

·      (02:27) - What is omni-channel hybrid care? Patient choice in physical therapy

·      (03:21) - How remote and in-clinic options combine for optimal access

·      (04:37) - From prevention to rehab: leveraging sensors and self-management tools

·      (05:33) - Real-world success stories: ICU recovery and remote therapy impact

·      (06:56) - Broadening telehealth: software, hardware, and virtual care models

·      (07:50) - Myths about telehealth: more than just video calls

·      (08:48) - Evolving tech: from initial skepticism to AI-powered diagnostics

·      (09:44) - Developing physical AI for motion analysis and patient assessment

·      (11:06) - How remote care experiences match or surpass in-clinic outcomes

·      (12:27) - Continuous monitoring and data-driven treatment tailoring

·      (14:27) - Clinician involvement in product development and validation

·      (16:52) - Addressing small practice hurdles and advances in regulation support

·      (17:19) - The 2026 CMS updates: enabling remote patient and therapeutic monitoring

·      (19:16) - Integrating virtual care into daily practice workflows

·      (20:31) - Changing data collection and insurance reimbursement for RTM

·      (22:47) - Workflow integration: enrolling patients effortlessly within existing systems

·      (24:01) - Insurance coverage landscape for remote monitoring services

·      (25:19) - AI as an efficiency tool, not a replacement, for clinicians

·      (26:42) - Enhancing patient engagement and clinical decision-making with AI summaries

·      (29:46) - The importance of bedside manners in virtual care standards

·      (30:42) - Building trust and continuity through AI-driven session analysis

·      (32:07) - Improving clinician performance: gamification and feedback tools

·      (34:00) - Building care platforms based on actual patient and clinician needs

·      (36:33) - Overcoming fears of technology and embracing digital health

·      (39:11) - Mastering virtual manners: creating a professional, private environment

·      (41:48) - The future of healthcare: seamless hybrid models and patient choice

·      (44:45) - Final thoughts: tackling large-scale problems for greater impact

 

Resources & Links:

TheraNow:Telehealth platform for physical therapy and remote care

Diary of a CEO book

 

Connect with Dr. Gupta:

LinkedIn

TheraNow on FB

TheraNow on Instagram

TheraNow on X

TheraNow on YouTube

 

More About Dr. Gupta:

Dr. Ashok Gupta, is the founder of TheraNow, an 8-figure virtual physical therapy platform that's supported over 70,000 patients across the US since 2021. Ashok didn't start as your usual tech guy; he started as a physical therapist treating veterans at VA hospitals, traveling through small-town America, working everywhere from ICUs to homehealth. And everywhere he went, he saw the same issue: people either had to come to you or you had to go to them, and in rural areas, services were just too far away. 

Skip to 2017, Ashok and his wife (also a physical therapist) are watching TV when a commercial for virtual mental health therapy comes on. They look at each other and ask: "Why doesn't this exist for physical therapy?" Everyone said it couldn't work (the word itself is physical therapy, right?), but Ashok realized most of PT could be replicated virtually. No hospitals would pilot it, no payment model existed, then the pandemic hit, and what seemed impossible, became essential. 

These days, Ashok's working with major health systems like Providence Health, and building AI-powered clinical documentation tools that are actually adopted by clinicians.

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Hema Hargus PT, & Dr. Simon Hargus: From One Clinic to Fifty: Lessons on Leadership and Long-Term Legacy30 Apr 202601:03:41

In this episode of Healthy Wealthy & Smart, join Dr. Karen Litzy, PT, DPT as she explores the inspiring journey of a family-led physical therapy business with guests Hema Hargus, PT, CHT, OCS, and Dr. Simon Hargus, PT, DPT, MBA. This episode emphasizes how legacy, leadership, and values shape growth and community impact. Discover actionable insights around scaling with integrity, fostering a people-first culture, and advocating for the profession—all rooted in decades of experience.

Key Topics:

·       The origins of First Settlement Physical Therapy and overcoming early financial and logistical challenges

·       The importance of clarity in roles, stubbornness in quality, and trusting expertise in family business dynamics

·       Building a scalable, values-driven culture that prioritizes patient care and staff retention

·       Strategic growth at scale without sacrificing personalized care or staff well-being

·       How family background influences resilience, practicality, and leadership style in healthcare

·       The role of continuous learning, credentialing, and specialization to serve rural and underserved communities

·       Advocating for the profession through local and legislative engagement, even in small practices

·       Maintaining family cohesion and shared purpose through challenges and growth phases

·       Personal stories illustrating innovation, grit, and long-term vision in healthcare entrepreneurship

     Timestamps:

00:00 - Introduction to the family-run practice and guest backgrounds
02:06 - How First Settlement started with a single clinic and initial obstacles
03:26 - Building the practice while personally and financially committed, collateral use
04:31 - The early days of community engagement, trust-building, and local recruitment
05:43 - Lessons learned from talking shop in informal settings like Burger King
08:36 - Balancing family life, work, and shared responsibilities — overcoming stress and tension
10:13 - The influence of upbringing, practicality, and shared values on business resilience
12:36 - The significance of family legacy, reputation, and specialization in rural locations
16:44 - Credentialing, continuous learning, and keeping standards high in rural settings
21:19 - Growing up watching parents' entrepreneurial journey and their impact on Simon's career path
22:11 - The family's diversification into various roles and community involvement
24:48 - The story of Simon's mother's resilience during her PT certification exams with eye injuries
27:00 - How long-standing family values influence current leadership and practice culture
28:49 - Scaling while maintaining a people-first approach to prevent burnout and uphold quality
33:11 - Expanding with focus on training, oversight, and inherited culture of excellence
37:17 - Successful individual career paths within a family business structure
39:29 - Advocacy's role for small practices and how to get involved at every level
43:23 - Practical examples of local advocacy—signage regulations, insurance negotiations
46:46 - Challenges and changes in healthcare environment and staying true to values
50:02 - Building a community-oriented practice that fosters passion and participation
52:34 - Recommended books and influences shaping leadership and priorities
55:50 - The importance of public perception, cost savings, and professional identity
59:06 - Reflecting on proudest human moments and patient success stories
62:06 - Advice to their 20-year-old selves about learning, exploration, and embracing change
64:24 - How to connect with First Settlement and future growth plans

 

Resources:

·       fspt.org — Official website of First Settlement Physical Therapy

Connect with the Guests:

·       Hema Hargus - LinkedIn

·       Simon Hargus - LinkedIn

      More About Simon and Hema: 

 

Simon Hargus is the owner of First Settlement Physical Therapy, a family-run practice that's grown to about 50 clinics and 300 employees serving rural Ohio and West Virginia. A PT who moved from the clinic to the C‑suite, he's known for building a people‑first culture, long‑form patient care, and individualized career paths to curb burnout. He's active in advocacy, pushing for state‑level wins and a stronger political voice for PT, and he embraces practical tech like AI scribe tools where they deliver real ROI.

 

Hema Hargus, PT, CHT, OCS is co-owner of First Settlement Physical Therapy, a family-run practice that's grown to about 50 clinics and 300 employees serving rural Ohio and West Virginia since she founded it in 1999. She is originally from India and currently treats complex hand cases part time in Vienna, WV.

 

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Dr. Sherry Zhang: The Hidden Power of Genetics in Shaping Long-Term Health16 Apr 202600:39:16

In this episode, Dr. Karen Litzy hosts Dr. Sherry Zhang, an expert in obesity genomics, personalized nutrition, and longevity science. They explore how genetics and AI are transforming healthspan strategies, empowering practitioners to deliver more precise, actionable advice to their patients. Whether you're a healthcare provider or health-conscious individual, discover how to leverage DNA insights and technology to enhance longevity and quality of life.

In this episode:

·       Dr. Sherry Zhang shares her journey from classical musician in China to leading health tech innovator focused on longevity.

·       The limitations of one-size-fits-all nutrition and how genetics reveal why personalized approaches are essential.

·       How genetic insights help combat health misconceptions and promote empowerment rather than excuses.

·       The role of AI, multi-omics, and federated data models in revolutionizing health monitoring and prevention.

·       Practical ways clinicians and practice owners can incorporate genetic and digital health data into patient care today.

·       Using insights like sleep quality, grip strength, and heart rate variability as early markers of health decline.

·       The importance of a proactive, trajectory-based view of health spanning decades, not just episodes of illness.

·       Strategies to build trust in privacy-preserving AI tools and navigate data regulation challenges.

·       The future of healthspan extension: living vibrantly into your 120s and beyond.

Timestamps:

 00:00 – Welcome and Dr. Sherry Zhang's transition from musician to health tech innovator
01:19 – The limitations of traditional nutrition models revealed through genomics
01:51 – Why one-size-fits-all doesn't work—genetic variations in weight management
02:44 – How genomics can correct misconceptions and empower health choices
04:09 – The importance of genetic pride and understanding evolution's role in our health
05:16 – Avoiding genetic excuses: personal responsibility in health behavior
06:00 – Building personalized nutrition profiles with GenoPallet
08:07 – How genetic insights influence patient motivation and adherence
10:01 – The power of identity and self-perception in health behavior change
11:08 – Impact of personalized data on engagement, especially in metabolic health
12:03 – How to interpret sensitivity to substances like caffeine and alcohol
13:24 – The significance of metabolizer status—fast vs. slow—on lifestyle choices
14:32 – Defining health span practically: years lived in good health, not just disease-free
15:12 – Monitoring long-term health trajectories vs. snapshots
16:10 – The shift from reactive to proactive healthcare practices
17:10 – Integrating multi-layered omics and continuous data streams for longevity
18:22 – The role of resilience and capacity in health monitoring
20:22 – Early biomarkers for health decline and how wearable tech can help
21:51 – Implementing AI in practice: opportunities and challenges for non-data scientists
23:28 – Privacy and security: federated data models safeguarding personal health info
24:41 – The future of AI in personalized prevention and health management
28:39 – Envisioning healthcare in 20 years: living vibrantly into your 120s
30:40 – Sherry's advice for her younger self—cultural learning and lifelong growth
37:04 – Connecting with Dr. Sherry Zhang and accessing her resources

 

Resources & Links:

·       Yisharijang.com – Dr. Zhang's official website

·       The Founder Effect (Book) – her memoir exploring her journey and scientific insights

·       Genopallet – Personalized nutrition based on DNA

·       Buck Institute for Research on Aging – Leading longevity science research

·       Houseband Horizons – AI-powered health management platform

·       Federated Learning – Privacy-preserving AI technology

Connect with Dr. Sherry Zhang:

·       LinkedIn

·       Substack

·       Instagram

·       X

 

More About Dr. Zhang:

Dr. Yi Sherry Zhang is an obesity genomics scientist, health tech entrepreneur, and leader in personalized nutrition. She is the founder of GenoPalate, a U.S.-based nutrigenomics company that uses DNA insights to help individuals make more informed, personalized food choices.

With nearly two decades of experience bridging science and real-world health applications, she currently serves as Executive Director of External Strategy & Partnerships at the Buck Institute's Price Lab, where she focuses on advancing data-driven approaches to healthspan and longevity.

Dr. Zhang is also the author of the Amazon bestseller The Founder Effect and a frequent speaker at major industry conferences including HLTH and the Precision Medicine World Conference.

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Chris Kille: The Modern CEO's Secret Weapon02 Apr 202600:39:12

In this episode, Dr. Karen Litzy welcomes Chris Kille, a seasoned entrepreneur who built, scaled, and sold four companies and experienced a life-changing cardiac event caused by burnout. They discuss how entrepreneurs can redefine success, efficiently use virtual assistants, and transition from operational to strategic roles—important lessons for practice owners overwhelmed by daily operational tasks.

In this episode:

 

·       Chris shares his personal health crisis and how it reshaped his understanding of success

·       The role of virtual assistants as high-performing CEO's secret weapons

·       Practical steps to build effective VA relationships, including process mapping and playbook creation

·       The delegate, automate, eliminate framework for reclaiming time and focus

·       The psychological hurdles in delegation and how to overcome them

·       Strategies to transition from operator to owner, gaining freedom and confidence

·       Tips for healthcare practice owners feeling trapped in operational chaos, including immediate actions to delegate

·       The importance of clear goals, ownership, and setting boundaries with remote team

 

Timestamps:

 

·       00:00 – Introduction to Chris Kille and his life-changing health wake-up call

·       01:25 – The story behind Chris' burnout and cardiac event

·       02:48 – How the burnout changed Chris' view of success and business

·       04:47 – Defining lifestyle success over monetary achievement

·       05:48 – The importance of delegating to prioritize health and family

·       08:07 – Virtual assistants as strategic partners, not just cheap labor

·       09:42 – How to set clear objectives and build effective VA processes

·       13:24 – The delegate, automate, eliminate framework explained

·       15:37 – Overcoming resistance to delegation and tech automation

·       19:26 – Common psychological barriers in delegation and how to break through

·       21:32 – What differentiates elite VAs and how to find high performers

·       23:44 – The business setup: staff as a professional service, not employment

·       28:12 – Transitioning from operator to strategic owner

·       29:14 – Practical advice for healthcare entrepreneurs to start delegating today

·       31:06 – How to ensure long-term VA success and retention

·       33:31 – Lightning round: top delegation wins and entrepreneurial lessons

 

Resources & Links:

 

·       The Rise of Virtual Assistance by Chris Kille

·       EO Staff - Remote Staffing Solutions

·       Dan Martell's book on time management

·       Wise - International Money Transfer

 

Connect with Chris Kille:

·       LinkedIn

·       Instagram

·       Send a DM to Chris on LinkedIn for a free template on time studies and first task delegation

 

More About Chris:

Chris Kille is a Boston-based entrepreneur, author, and operations expert who helps business owners scale without chaos by building backend infrastructure that actually works.. He's the founder of EO Staff, a premium remote staffing company known for placing elite Virtual Assistants (VAs) into fast-growing businesses.

Chris built and sold four companies, including a payments business he scaled more than 10x in five years using just one domestic employee and four VAs. EO Staff was born from a personal turning point: after a cardiac event caused by burnout, he realized he needed help and discovered the power of remote staffing. What started as a survival decision turned into a mission to help others scale with freedom, not stress.

Since 2023, Chris has become a respected voice in the entrepreneurial space, published more than 100 times in Forbes, Entrepreneur.com, and other major media outlets. His writing and insights focus on system thinking, team leverage, and business freedom.

He's a frequent podcast guest, speaker, and Forbes Council member known for blending real-life experience with high-impact execution. His first book, The Rise of Virtual Assistants, was published in 2023, and he continues to mentor business owners on how to grow with less friction and more intention.

When he's not speaking, writing, or scaling companies, Chris is with his fiancée, Ashley, and their two dogs, Baxter and Handsome Harry, unplugging at his lake house in Maine, dreaming up what's next.

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Eric Miller: Your Practice: A Long-Term Investment, Not Just a Job26 Mar 202600:37:36

In this episode, Dr. Karen Litzy welcomes healthcare business expert Eric Miller, co-owner of Econologics Financial Advisors, to share invaluable insights on managing practice finances effectively. Whether you're a physical therapist, dentist, or other healthcare provider, discover how to align your personal and practice finances to build wealth, reduce stress, and ensure long-term success.

In this episode:

  •  How practice owners often treat their business as a job rather than a long-term investment and why this is costly
  • The importance of adopting a business owner's mindset and controlling habits
  • Recognizing red flags in financial habits and practice management
  • The "make or break" profit number and how most practice owners overlook profit as a critical expense
  • Strategies for building cash reserves, safeguarding assets, and managing cash flow during downturns
  • The significance of structuring your finances to protect against lawsuits, taxes, and inflation
  • Practical steps for re-evaluating expenses and staff productivity to optimize profitability
  • How to prevent fragile cash flow and create practices resilient to unpredictable events
  • The value of professional financial advice tailored specifically to healthcare practice nuances

Timestamps:

  • 00:00 - Introduction to financial strategies for healthcare providers
    02:21 - Why treatment like a business owner is costly
    04:29 - Red flags of practice owners stuck in job mode
    07:13 - How to start thinking like a business owner if you're new
    10:08 - Understanding and calculating your "make or break" number
    13:21 - Setting profit aside as an essential expense
    16:56 - Building cash reserves and managing downturns
    20:46 - Analyzing practice metrics for profitability
    23:56 - The importance of asset protection and insurance
    29:50 - Key tips for safeguarding assets from lawsuits and taxes
    33:20 - Indicators of true financial health in a practice
    35:36 - Resources for learning more and taking action

 More About Eric:

Eric Miller is a seasoned financial planning professional with over 20 years of experience dedicated to empowering private practice owners and associates. As Co-Owner and Chief Financial Advisor of Econologics Financial Advisors, LLC, a Registered Investment Advisor, Eric specializes in strategic financial planning, including investments, retirement, asset protection, tax strategies, debt elimination, and business transition planning. 

A Registered Financial Consultant® (RFC) and graduate of Capital University, Eric is also a prolific author and speaker and has published countless articles, videos, and

podcasts and is the bestselling author of How to Become a Financial Beast. He has presented at hundreds of events nationwide, and weekly hosts the Financial Beast Podcast

Resources from this Episode:

Website: www.econologicsfinancialadvisors.com 

Free Giveaway & CTA: 

URL: www.wealthforpracticeowners.com 

Name: Practice Expansion Checklist 

Social Media: 

YouTube - https://www.youtube.com/c/FinancialBeast 

Facebook - facebook.com/econologicsfinancial 

LinkedIn - linkedin.com/in/ericisyourbfff 

Book: How To Become a Financial Beast 

 

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Stefan Feuerstein: Delegation is Leadership: How to Stop Bottlenecking Your Team19 Mar 202600:42:04

In this episode, Dr. Karen Litzy welcomes leadership expert Stefan Feuerstein to explore how delegation is more than just task management; it is a fundamental leadership skill that promotes organizational health, growth, and sustainability. Stefan shares practical frameworks, such as the ABC delegation model, and discusses the important connection between delegation and preventing burnout, developing future leaders, and nurturing a supportive team culture.

 In this episode:

·       The misconception that doing everything oneself is faster, and how delegation shifts that paradigm

·       Stefan's personal leadership journey — missteps, realizations, and the ABC delegation framework

·       How to visualize responsibility categories: do what you want, inform, ask first

·       The importance of systematizing delegation to maintain control while empowering teams

·       Clear communication as the foundation for successful delegation and accountability

·       The connection between delegation and burnout prevention, and handling chaos effectively

·       Developing future leaders and how delegation creates career growth opportunities

·       The impact of AI on delegation and maintaining the human focus in leadership

·       Early warning signs of over-dependence on leaders and how to address them

·       Practical tips for leaders to start shifting their delegation habits this week

Timestamps:

·       00:00 - Why leaders often struggle with delegation (and how to shift that mindset)

·       01:10 - Stefan Feuerstein's background — diverse leadership experiences

·       01:35 - The evolution of Stefan's leadership philosophy and the role of delegation

·       02:58 - Recognizing when delegation becomes unsustainable

·       04:06 - Moving from control to systems and processes for effective delegation

·       05:10 - Visualizing delegation with Stefan's ABC framework

·       06:12 - Breaking down the ABC categories: do what you want, inform, ask first

·       07:37 - The power of visual and simple frameworks for clarity

·       08:36 - Challenges faced by solo practitioners (especially in healthcare) in delegation

·       09:35 - Coaching leaders to identify what to delegate and what to retain

·       10:12 - The importance of language and clear parameters in delegation

·       11:16 - How chaos in organizations can be mitigated with clarity

·       12:53 - Involving teams in defining responsibility parameters

·       14:09 - Nonprofit versus for-profit leadership principles and commonalities

·       15:39 - Adapting leadership styles to different workforce cultures

·       16:30 - Building future leaders through effective delegation

·       17:26 - Stefan's commitments to team members to foster growth

·       18:31 - Asking meaningful questions to support employee development

·       19:35 - Delegation as a burnout prevention tool

·       20:18 - The broader scope of delegation beyond task assignment

·       21:40 - Early warning signs of bottlenecks and over-dependency

·       23:59 - Strategies for employees to address managerial bottlenecks

·       25:33 - How leadership affects organizational development and succession planning

·       30:22 - The impact of AI and technology on delegation and human connection

·       33:00 - Practical steps leaders can implement today

·       36:40 - Recognizing organizational over-dependence on leadership

·       38:18 - Leadership philosophy: Power vs. people focus

·       39:17 - Advice to Stefan's 20-year-old self: listen more

·       40:18 - How to connect with Stefan and download resources

More About Stefan:

 Stefan Feuerstein was named by Oprah Winfrey to her first-ever SuperSoul 100 list of "awakened leaders" making a global impact. He has over 20 years of humanitarian and leadership experience, from serving as guardian to more than 1,000 abandoned children in Honduras to overseeing 51,000 unaccompanied migrant children as Operations Chief of the largest shelter of its kind. Today, he teaches his A-B-C Delegation method, a practical system that empowers teams, prevents burnout, and redefines how leaders scale.

Resources from this Episode:

 

ABC Delegation Website

Stefan on LinkedIn

Buy the Book Here

 

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Dr. Yosi Amram: Unlocking Spiritual Intelligence for Better Leadership05 Mar 202600:36:36

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy speaks with Dr. Yosi Amram about the often-overlooked power of spiritual intelligence in leadership. They explore how cultivating inner virtues like purpose, trust, and compassion can transform leadership styles, prevent burnout, and enhance organizational performance. Dr. Amram, a Harvard-educated engineer and spiritual leadership expert, shares a framework that combines scientific research with practical strategies, such as gratitude and purpose clarification, to foster resilience and authentic fulfillment in high-stress environments. This episode is a must-listen for leaders and professionals seeking to elevate their impact and personal growth.

 

Key Topics

 

·      Definition of spiritual intelligence and its difference from beliefs and traits

·      The relationship between emotional and spiritual intelligence

·      Research findings on the impact of spiritual intelligence on leadership and organizational success

·      Practical exercises to enhance spiritual intelligence

·      The importance of purpose, gratitude, and interconnectedness in leadership

 

Chapters

 

·      00:00 Introduction to Spiritual Intelligence

·      02:05 Defining Spiritual Intelligence

·      06:33 Measuring Spiritual Intelligence

·      10:51 Spiritual Intelligence vs. Emotional Intelligence

·      14:38 The Impact of Low Spiritual Intelligence

·      17:05 Spiritual Intelligence and Burnout Prevention

·      19:46 Practical Exercises for Boosting Spiritual Intelligence

·      27:00 Final Thoughts on Spiritual Intelligence

 

More About Dr. Amram:

 

Yosi Amram Ph.D. is a licensed clinical psychologist, a CEO leadership coach, and a best-selling and award-winning author. Previously the founder and CEO of two companies he led through successful IPOs, Yosi has coached over 100 CEOs—many of whom have built companies with thousands of employees and revenues in the billions. In addition to working with individuals, Yosi works with couples interested in passionate, conscious relationships that serve their psycho-spiritual healing and growth and expand their hearts' capacity for love. With engineering degrees from MIT, an MBA from Harvard, and a Ph.D. in Psychology from Sofia University, he is a pioneering researcher in the field of spiritual intelligence whose research has received over 1000 citations. As an Amazon best-selling author of the Nautilus Book Award Gold Medal-winning Spiritually Intelligent Leadership: How to Inspire by Being Inspired, Yosi is committed to awakening greater spiritual intelligence in himself and the world.

 

Resources from this Episode:

 

Dr. Amram's website

LinkedIn

Instagram

YouTube

Free SI Assessment

Psychology Today Blog

Buy His Book on Amazon

Dr. Amran's Nonprofit

SI Leadership

 

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Dr. Rachel Zoffness: Pain Isn't What You Think It Is26 Feb 202600:32:22

In this episode of Healthy Wealthy & Smart, Dr. Rachel Zoffness, MS, PhD, a leading pain scientist, discusses the complexities of pain, emphasizing that it is not merely a physical issue but a biopsychosocial phenomenon. She shares insights from her upcoming book, 'Tell Me Where It Hurts,' which aims to debunk myths surrounding pain and provide a comprehensive roadmap for healing. Dr. Zoffness highlights the importance of understanding the various factors that contribute to pain, including emotional and social aspects, and advocates for a multidisciplinary approach to pain management. The discussion also emphasizes the power of hope and the need for improved medical school education on pain science.

 

Takeaways

 

·      Pain is not just a physical phenomenon; it is biopsychosocial.

·      Understanding pain requires knowledge of biological, emotional, and social factors.

·      96% of medical schools lack dedicated pain education.

·      Patients with chronic pain need a roadmap for healing.

·      There is always a recipe for pain, and it can be changed.

·      Movement is a crucial ingredient in managing pain.

·      Engaging in joyful activities can reduce pain perception.

·      A multidisciplinary approach is essential for effective pain management.

·      Hope is a central theme in treating chronic pain.

·      Pain management should focus on empowering patients.

 

Chapters

 

·      00:00 Introduction to Pain Science and Its Misconceptions

·      06:03 The Biopsychosocial Model of Pain

·      11:43 Understanding the Pain Recipe

·      17:50 Transforming Medical Education and Clinical Practice

·      23:51 Hope and Empowerment in Pain Management

 

More About Dr. Zoffness:

 

Dr. Rachel Zoffness is a pain scientist, pain psychologist and thought-leader revolutionizing the way we understand and treat pain. She's an assistant clinical professor at UCSF, lectures at Stanford, and consults on the development of pain management programs around the world. She was trained at Brown, Columbia, UCSD, and Mt. Sinai Hospital, and is a Mayday Fellow. Her new book, Tell Me Where It Hurts, drops March 2026 and will be translated into more than 25 languages.

 

Resources from this Episode:

 

Dr. Zoffness Website

Dr. Zoffness in Instagram

Buy "Tell Me Where it Hurts" on Amazon

 

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Dr. Orit Hickman: When Pain Science Meets Real-World Practice19 Feb 202600:42:37

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy speaks with Dr. Orit Hickman about the evolving understanding of persistent pain and the implications for physical therapy practice. They discuss personal journeys in understanding pain, the importance of modern pain science, and the need for a supportive therapeutic environment. The conversation also covers practical steps clinicians can take to better serve patients with persistent pain, the challenges posed by healthcare systems, and the transition towards a more patient-centered model of care.

 

Takeaways

 

·     Pain management requires understanding both the physical and psychological aspects of pain.

·      Modern pain science emphasizes the importance of education in treatment.

·      Therapists must create a safe environment for patients to discuss their pain.

·      Pacing and nervous system safety are crucial in treatment plans.

·      Capacity and tolerance must be assessed to tailor treatment effectively.

·      Healthcare systems often hinder the implementation of evidence-based practices.

·      Clinicians should focus on building trust and rapport with patients.

·      Transitioning to a patient-centered model can improve outcomes.

·      Listening to patients is key to understanding their unique experiences.

·      Team collaboration and shared vision are essential for successful practice.

 

Chapters

 

·      00:00 Introduction to Persistent Pain and Evolving Science

·      03:06 Personal Journeys in Understanding Pain

·      05:53 Modern Pain Science in Clinical Practice

·      09:06 Therapeutic Environment and Patient Engagement

·      11:52 Pacing and Nervous System Safety

·      15:02 Capacity vs. Tolerance in Pain Management

·      17:49 Healthcare System Challenges in Pain Treatment

·      21:51 Transitioning to a Patient-Centered Model

·      26:37 Practical Steps for Clinicians

·      33:50 Lightning Round: Myths and Hope in Pain Care

 

More About Dr. Hickman:

Dr. Orit Hickman is a doctor of physical therapy and founder of Pain Science Physical Therapy in Burien, Washington, where she leads a clinic dedicated to evidence-based care for people with persistent pain. Drawing on 25 years of clinical experience and 16 years of business ownership, she is focused on redesigning how physical therapy is delivered so pain science can truly work in everyday practice. She mentors both new and experienced physical therapists and shares educational content through multiple social media platforms.

 

Resources from this Episode:

 

Pain Science PT Website

Pain Science PT on YouTube

Dr. Hickman on TikTok

Pain Science PT on Facebook

Pain Science PT on Instagram

Dr. Hickman on LinkedIn

Pain Science PT on LinkedIn

 

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Arielle Loupos: Breaking the Silence on Menstrual Care12 Feb 202600:31:55

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy speaks with Arielle Loupos, founder of Flower Girl, about the often-stigmatized topic of menstrual care and period products. They discuss harmful ingredients in traditional menstrual products, the importance of sustainable, non-toxic alternatives, and cycle syncing as a tool for self-awareness and empowerment. Arielle shares her journey creating Flower Girl and emphasizes the need for open conversations about menstruation to break the stigma and promote women's health.

Takeaways

  •  Menstrual care is often surrounded by misinformation and stigma.
  • Traditional period products may contain harmful chemicals and toxins.
  • Organic labeling on menstrual products can be misleading.
  • Sustainable and non-toxic alternatives are essential for women's health.
  • Cycle syncing can enhance self-awareness and optimize daily life.
  • Women should honor their menstrual cycles and allow for rest.
  • Understanding menstrual health is crucial for overall well-being.
  • Open conversations about menstruation can empower women.
  • Education about menstruation should start at a young age.
  • Women's health research needs to be prioritized and expanded.

 Chapters

  • 00:00 Breaking the Silence on Menstrual Care
  • 02:55 The Hidden Dangers in Period Products
  • 06:10 Creating a Sustainable Solution: Flower Girl Underwear
  • 08:55 Understanding Menstrual Health and Cycle Syncing
  • 11:55 Empowering Women Through Menstrual Awareness
  • 14:46 The Emotional and Societal Impact of Menstruation
  • 18:02 The Future of Women's Health Conversations

More About Arielle:

Arielle Loupos is the founder of Flower Girl, a new sustainable and non-toxic period underwear brand designed to help women feel safe, confident, and in flow with their bodies. With over a decade of experience in eCommerce and digital marketing, Arielle launched Flower Girl to challenge harmful menstrual products and create underwear women can wear on or off their period made with body-safe materials. Beyond selling underwear, Arielle's mission with the brand is to empower women to live in harmony with their cycles vs. working against it.

Resources from this Episode:

Flower Girl Website

Flower Girl on Instagram

Arielle's Instagram

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Dr. Aisha Akpabio, D.D.S: How to Blend Care, Culture & Community Revitalization04 Feb 202600:24:21

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy interviews Dr. Aisha Akpabio D.D.S., a Detroit-based dentist and entrepreneur. They discuss the challenges and triumphs of being a female healthcare provider while running a business. Dr. Akpabio shares her journey from employee to owner of her own dental practice, the importance of design in healthcare, and the significance of representation in the field. They also address the balance between delivering high-quality care and managing business aspects, as well as the importance of self-care for longevity in the profession.

 

Takeaways

 

·      It takes courage to bring people together in healthcare.

·      Transitioning from employee to entrepreneur requires a mindset shift.

·      Business education in dental school is minimal.

·      Delivering exceptional care justifies pricing.

·      Patients appreciate a personal touch over corporate practices.

·      Design can significantly impact patient experience.

·      Representation in healthcare matters for community trust.

·      Self-care is essential for longevity in the profession.

·      Balancing work and personal life is crucial.

·      Living in the moment is important for personal growth.

 

Chapters

 

·      00:00 Introduction to Female Healthcare Entrepreneurship

·      02:58 Dr. Aisha Akpabio's Journey and Practice

·      05:51 Transitioning from Dentist to Entrepreneur

·      08:41 Navigating Healthcare Pricing and Value

·      12:05 Competing with Corporate Dental Practices

·      12:57 The Importance of Design in Healthcare

·      16:49 Legacy and Representation in Dentistry

·      20:02 Self-Care and Longevity in Dentistry

 

More About Dr. Akpabio:

 Dr. Aisha Akpabio D.D.S. is a Detroit-based dentist, entrepreneur, and community advocate dedicated to smiles and systems of care. As the founder of Diamond Smiles Dentistry, she is redefining what it means to build a thriving dental practice rooted in wellness, accessibility, and neighborhood revitalization. A graduate of the Goldman Sachs 10,000 Small Business program, she leads with vision and heart, creating opportunities for growth in underserved communities while mentoring the next generation of healthcare professionals. Beyond dentistry, she is passionate about wellness, motherhood, and empowering others to build healthy, wealthy, and purpose-driven lives.

 

Resources from this Episode:

Diamond Smiles Dentistry Website

Instagram- Diamond Smiles Dentistry

Facebook - Diamond Smiles Dentistry

 

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Pete Moore: The HALO Effect: Transforming Health and Lifestyle Industries29 Jan 202600:51:03

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy interviews Pete Moore, founder of Integrity Square, discussing the evolution of the health, active lifestyle, and outdoor sector, known as Halo. They explore the shortcomings of the term 'wellness', the importance of understanding business valuations and KPIs, and the emotional readiness required for business transitions. Pete shares insights on navigating growth, preparing for exits, and the significance of knowing one's competitors and market position.

Takeaways

  • The term 'wellness' is outdated and not serving the industry.
  • Understanding your market position is crucial for business success.
  • Local libraries can be valuable resources for business research.
  • Key performance indicators (KPIs) are essential for evaluating business health.
  • Emotional readiness is as important as financial readiness for business transitions.
  • Knowing your competitors helps in strategic planning.
  • Valuations are driven by more than just revenue multipliers.
  • Founders often overlook the importance of mental preparation for exits.
  • Networking and mentorship are vital for entrepreneurial growth.
  • Continuous learning and adaptation are key to success in the Halo sector.

 Chapters

  • 00:00 Introduction to Halo and Wellness
  • 01:49 Navigating Business Growth and Exits
  • 03:22 Understanding Valuations and KPIs
  • 05:54 Emotional Readiness for Business Transitions
  • 06:56 Quickfire Insights for Entrepreneurs

More About Pete:

Pete is the Founder, Managing Partner and Chief Dream Architect at Integrity Square ("ISQ"), a leading boutique financial advisory firm focused on the $4.7T Health, Active Lifestyle, Outdoor ("HALO") sector. 

Since founding ISQ in 2010, the firm has played an active advisory role in 100+ mergers & acquisitions, private placements and advisory assignments across North America. Pete Moore and his team have also invested in passionate entrepreneurs at HigherDOSE, XTEND, and Promotion Vault. 

ISQ's media and "live education" properties include HALO Talks, the leading B2B podcast in the sector, Time To Win Again, and the HALO Academy, an Executive Education Bootcamp Series.

Prior to ISQ, Pete was Head of the Active Lifestyle & Wellness Group at Sagent Advisors (2003-2010.) Prior to 2003, Pete was co-founder of FitnessInsite, a SasS sales management platform with 1500+ clients (based in AZ.) At FitnessInsite, Pete invested his personal capital, leveraged his credit cards and learned what it takes to manage a startup.

Pete built his business and financial acumen on top of the foundation laid at three critical positions early in his career: Senior Associate at Brockway Moran & Partners, the private equity owner of Gold's Gym International, Inc;  worked as an Associate at Donaldson, Lufkin & Jenrette; and an Analyst at Chase Securities. (Now JP Morgan.) 

ISQ saw a need for a deeper & more useful level of education in the HALO sector. In response, we launched the HALO Talks podcast, with 500+ completed interviews and over 120,000 downloads. HALO Talks has become a "must listen" for anyone working or investing in the sector. 

Pete graduated from Emory University (BBA, 1994) and received his MBA from Harvard Business School (1999.) While at HBS, he co-founded IRON PLANET, the leading B2B auction site for used heavy equipment, which was sold to Ritchie Bros for $758 million.  

His hobbies include: Football, basketball, tennis, podcasting, amateur ventriloquism, pro bono DJ and fitness enthusiast.   

Notable Stats: Wingspan 76", 33 yard dash at 4.3 seconds.

Resources from this Episode:

Pete's Website

Pete on LinkedIn

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Nikesh Patel, PT: Proactive Solutions for Fall Prevention22 Jan 202600:41:10

In this episode, Dr. Karen Litzy discusses the critical issue of falls among the elderly with Nikesh Patel, PT, a physical therapist and executive director of the Alliance for Physical Therapy Quality and Innovation. They explore alarming statistics on falls, the need for proactive prevention strategies, and the SAFE Act, which aims to address fall risks and improve the quality of life for older adults. The conversation emphasizes the importance of advocacy and the role of physical therapists in preventing falls and promoting independence in aging individuals.

 

Takeaways

       Falls are the leading cause of injury-related death in people over 65.

·      Many falls are preventable, and physical therapists play a key role in prevention.

·      The healthcare system is often reactive rather than proactive regarding fall prevention.

·      The SAFE Act aims to provide fall risk assessments through physical therapy.

·      Therapists are underpaid and need to advocate for better compensation.

·      The SAFE Act could be the first legislation to include therapists in preventive care under Medicare.

·      Advocacy for the SAFE Act requires storytelling and personal experiences.

·      The economic impact of falls extends beyond healthcare costs to workforce participation.

·      Aging does not mean losing independence; proactive measures can help maintain it.

·      The importance of persistence in advocacy efforts for healthcare legislation.

 

Chapters

00:00 Understanding the Fall Crisis in America

·      09:59 Proactive Approaches to Fall Prevention

·      20:10 The SAFE Act: A Legislative Solution

·      29:56 Advocacy and the Role of Physical Therapists

·       

More About Nick:

Working at the intersection of clinical care, public policy, and prevention. Nikesh Patel is a physical therapist and the Executive Director of the Alliance for Physical Therapy Quality & Innovation, also known as APTQI.

 

APTQI represents organizations committed to improving access to high-quality physical therapy — and right now, they're championing bipartisan legislation in Congress called the Stopping Addiction and Falls for the Elderly Act, or the SAFE Act.

 

Resources from this Episode

APTQI

APTQI on LinkedIn

APTQI on Instagram

 

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Rachel Burr: Navigating the Messy Middle of Leadership15 Jan 202600:48:07

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Karen Litzy interviews Rachel Burr about leadership, transformation, and the challenges of navigating change. They discuss the importance of understanding one's core identity, the messy process of transformation, and the significance of emotional intelligence in leadership. Rachel emphasizes the need for leaders to recognize their strengths and weaknesses through feedback and self-assessment, and she offers insights into building resilience and adapting to the evolving landscape of leadership.

 

Takeaways

·      Leadership is about authenticity, not fitting a mold.

·      The messy middle of change is essential for transformation.

·      Recognizing signs of stagnation can lead to personal growth.

·      Emotional intelligence is crucial for effective leadership.

·      Feedback from peers and mentors is vital for self-awareness.

·      Leaders should focus on their strengths while addressing weaknesses.

·      Humor can be a powerful tool in leadership.

·      Continuous learning is necessary to stay relevant in leadership.

·      Understanding emotions can enhance decision-making and relationships.

·      Building a path to leadership requires self-discovery and action.

 

Chapters

·      00:00 Introduction to Leadership and Transformation

·      03:57 The Messy Middle of Change

·      09:59 Recognizing Signs of Stagnation

·      14:45 Building Emotional Intelligence

·      19:43 Assessing Leadership Strengths and Weaknesses

·      33:43 Future of Leadership Development

 

More About Rachel:

Rachel Burr is an executive coach, leadership consultant, and people expert with over 20 years of experience helping leaders and organizations unlock their full potential. She guides high-performing individuals, often promoted for their individual excellence, to develop authentic leadership by embracing their unique strengths, talents, and passions. Rachel's evidence-based approach involves honest assessments of strengths, weaknesses, and values, confronting challenges, and identifying actionable steps to achieve goals. With insight, action, and humor, she coaches executives and teams, facilitates transformative team sessions, and navigates complex change to build high-performing teams rooted in strength, alignment, and integrity. Rachel is the author of her book, Butterfly Goo: The Down and Dirty Truth of Transformation, which chronicles her transformative journey through mishaps and triumphs, mirroring her coaching approach of guiding leaders through change with insight and humor.

 

Resources from this Episode

Rachel's Website

Rachel on LinknedIn

Rachel on Instagram

Rachel on Facebook

Link to Rachel's Book

Free Gift: Playground Area Workbook Downloads from my book - "Butterfly Goo: The Down and Dirty Truth of Transformation."

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Dr. Stephanie Weyrauch: PT: The MacGyver of Healthcare?08 Jan 202600:52:38

In this episode, Dr. Karen Litzy and Dr. Stephanie Weyrauch discuss the evolving landscape of physical therapy as they look ahead to 2026. They explore the identity crisis within the profession, the shift from volume to value, the role of AI, the importance of clinician leadership, and the need for community building over social media algorithms. The conversation emphasizes the proactive nature of physical therapy and the opportunities for growth and visibility in the field.

 

Takeaways

 

·      Physical therapy is at a pivotal moment with evolving technology.

·      The profession faces an identity crisis regarding its role and value.

·      Visibility and storytelling are crucial for physical therapy practices.

·      AI can enhance patient care by taking over mundane tasks.

·      Clinicians should embrace leadership roles beyond traditional settings.

·      Building community is essential for the future of healthcare.

·      Proactive care can prevent injuries and improve quality of life.

·      Trust is the new currency in healthcare interactions.

·      Physical therapists can help patients age gracefully and actively.

·      Advocacy for the profession is vital for its future growth.

 

Chapters

 

·      00:00 Introduction to the State of Physical Therapy

·      11:22 APTA's Strategic Framework for 2030

·      14:52 Physical Therapy's Identity Crisis and Opportunities

·      26:26 Navigating the Identity Crisis in Physical Therapy

·      32:24 The Shift from Volume to Value in Healthcare

·      36:39 Embracing AI: A Tool for Enhancement, Not Replacement

·      40:41 Clinicians as Leaders: Expanding Roles Beyond Treatment

·      45:19 Building Community Over Algorithms

 

More About Dr. Weyrauch:

Stephanie Weyrauch, PT, DPT is a doctor of physical therapy with MovementX in Billings, Montana. She helps people across all ages and abilities reduce pain, increase strength, restore mobility and balance, and optimize performance.

Specialties:

-Pelvic Health PT for All Genders
-Pre/Post Pregnancy & Obstetric Rehabilitation
-Sports Injury Recovery and Prevention
-Hands-On Manual Therapy
-Post-Surgical Rehabilitation
-Balance Training & Falls Prevention
-Group or Family Sessions
-Telehealth (offered in North Dakota, Montana, Connecticut, and Minnesota)

 

Resources from this Episode:

Stephanie on Instagram

Stephanie on LinkedIn

Stephanie on Substack

Dr. Eva Norman's Healthy Wealthy & Smart episode

Dr. Rebecca Seagraves Instagram

 

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Dr. Eva Norman: How to Innovate and Diversify Your Therapy Practice11 Dec 202500:35:56

In this episode of the Healthy, Wealthy, and Smart podcast, host Dr. Karen Litzy welcomes Dr. Eva Norman, a seasoned physical therapist with over 25 years of experience. Dr. Norman shares her journey of establishing a unique physical therapy model that operates outside the traditional insurance framework. She discusses the inception of her business, Live Your Life, which provides personalized, in-home therapy services tailored to individual needs. The conversation delves into the challenges and successes of running a cash-based practice, the importance of listening to clients, and the innovative approaches Dr. Norman has implemented to transform patient care.

 

Takeaways

  • Dr. Eva Norman's practice focuses on personalized, in-home therapy services.
  • The business model operates outside traditional insurance frameworks.
  • Listening to clients' needs is crucial for business growth and patient satisfaction.
  • Dr. Norman's practice offers a wide range of services, including physical, occupational, and speech therapy.
  • The practice has expanded to include acupuncture, massage, and dietitian services.
  • Partnerships with local agencies enhance service delivery and patient care.
  • Telehealth services have been integrated to reach underserved areas.
  • The practice emphasizes the importance of a holistic approach to patient care.
  • Dr. Norman's innovative model has led to numerous patient success stories.
  • The conversation highlights the value of diversifying services in a cash-based practice.

 

Chapters

  • 00:00:00 Introduction and Guest Welcome
  • 00:00:00 Dr. Eva Norman's Background
  • 00:00:00 Inception of Live Your Life
  • 00:00:00 Challenges and Successes
  • 00:00:00 Innovative Therapy Approaches
  • 00:00:00 Expanding Services and Partnerships
  • 00:00:01 Telehealth and Holistic Care
  • 00:00:01 Patient Success Stories
  • 00:00:01 Advice for Aspiring Therapists
  • 00:00:01 Conclusion and Contact Information

 

More About Dr. Norman:

Dr. Eva Norman has been practicing physical therapy for more than 25 years. Her passion and commitment continue to be to bring the benefits of physical therapy to the residents of her community and to those in need of it in the surrounding counties.

She received her B.S. and M.S. degrees in Physical Therapy in 1996 and her Doctor of Physical Therapy degree in 2009, from Thomas Jefferson University in Philadelphia, PA. Through the years, Dr. Norman has practiced in different practice settings with patients of all ages with various diagnoses. Early on in her career she developed a strong interest in geriatric rehabilitation. To expand her skill set over the years she has taken numerous continuing education courses and also worked in the areas of neurology, orthopedics and cardiopulmonary rehabilitation. In April 2013, she became a Certified Exercise Expert for the Aging Adult.

Dr. Norman is currently licensed in Minnesota and Florida. She is an active member of the American Physical Therapy Association (APTA) since 1994. Currently, he is the APTA Federal Affairs Liaison for Florida and PT PAC Ambassador for Florida. Dr. Norman also serves on the Board of Trustees for the Foundation for Physical Therapy Research.

In September of 2009, Eva founded Live Your Life Physical Therapy, LLC in response to her passionate desire to offer to her clients, patients, and the public, services (both in home and the community) that could help them to experience health, wellness, and a more active lifestyle throughout their life spans, through the creative applications of preventative and rehabilitative physical therapy.

 

Resources from this Episode:

Live Your Life PT

Live Your Life on Instagram

Dr. Norman on LinkedIn

Live Your Life on Facebook

 

Jane Sponsorship Information:

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Amy-Lynn Taylor: Transforming Healthcare Practices with Jane App Solutions04 Dec 202500:23:54

In this episode of the Healthy, Wealthy and Smart podcast, host Dr. Karen Litzy sits down with Amy-Lynn Taylor, Jane's Customer Insights and Enablement Expert, to discuss the innovative solutions Jane offers to healthcare practitioners. Amy shares her journey from the US support team to her current role, emphasizing the importance of customer feedback in product development. The conversation covers Jane's AI scribe, community building, and upcoming features, providing listeners with insights into how Jane is transforming the healthcare industry.

 

 

Takeaways

  • Amy Lynn Taylor emphasizes the importance of customer feedback in product development.
  • Jane offers a free plan for practitioners to try AI Scribe with up to five notes a month.
  • The AI scribe has been a game-changer for many practitioners, improving their workflow.
  • Jane's community-building began organically and remains a priority.
  • The platform integrates AI to enhance user experience and streamline processes.
  • Jane's customer support is highly praised for its dedication and effectiveness.
  • Upcoming features include secure messaging and telehealth capabilities in the client app.
  • Jane websites can now be created quickly with AI, integrating seamlessly with the platform.
  • The platform's community includes Facebook groups for users and non-users to connect.
  • Jane's AI tools help clinics build their social media presence and improve SEO.

 

Chapters

  • 00:00:00 Introduction and Guest Welcome
  • 00:00:00 Amy Lynn Taylor's Journey and Role
  • 00:00:00 Jane's AI Scribe and Free Plan
  • 00:00:00 Community Building and Customer Support
  • 00:00:00 Upcoming Features and Innovations
  • 00:00:00 Conclusion and Key Takeaways

 

More About Amy-Lynn:

Amy-Lynn is part of the amazing team that helps Jane's Customer Success crew work smarter, not harder.

She is passionate about keeping the voice of the customer at the heart of everything I do. That means finding ways to turn feedback into action, streamline processes, and make life easier for the incredible people who spend their day fulfilling Jane's mission to "Help the Helpers." It's part detective work, part problem-solving, and 100% about creating a better experience for everyone.

 

Resources from this Episode:

Jane EMR

Jane on Facebook

Jane on Instagram

Jane App Community on FB

Jane App US Billing Community on FB

Amy-Lynn on LinkedIn

 

Jane Sponsorship Information:

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Dr. Sara Tariq: Advocating for Holistic Patient Care26 Nov 202500:39:15

In this episode of the Healthy, Wealthy, and Smart podcast, host Karen Litzy welcomes Dr. Sara Tariq, MD, to discuss holistic patient care. Dr. Tariq shares her journey from academia to concierge medicine, emphasizing the importance of understanding patients' social and environmental contexts. She highlights the significance of addressing the whole person, including mental health, lifestyle, and social determinants of health. The conversation also covers women's health, particularly challenges faced during perimenopause and menopause, and the need for personalized, empathetic healthcare.

Takeaways

  • Dr. Tariq emphasizes the importance of understanding patients' social and environmental contexts.
  • She transitioned from academia to concierge medicine to provide more personalized care.
  • Holistic care includes addressing mental health, lifestyle, and social determinants of health.
  • Women's health, especially during perimenopause and menopause, requires personalized attention.
  • Dr. Tariq advocates for longer patient interactions to understand their unique needs.
  • She highlights the role of social history in understanding patient health.
  • Empathy and active listening are crucial in building patient trust.
  • Dr. Tariq discusses the impact of zip code on health outcomes.
  • She encourages patients to advocate for themselves in healthcare settings.
  • The episode underscores the need for healthcare systems to support holistic patient care.

Chapters

  • 00:00:00 Introduction and Guest Welcome
  • 00:00:00 Dr. Tariq's Journey from Academia to Concierge Medicine
  • 00:00:00 Holistic Patient Care and Social Determinants
  • 00:00:00 Women's Health: Perimenopause and Menopause
  • 00:00:01 Building Trust and Empathy in Healthcare
  • 00:00:01 Advocating for Holistic Patient Care

More About Dr. Tariq:

With over two decades of experience in internal medicine Dr. Tariq is passionate about helping patients feel their best. She builds genuine connections, focuses on preventing illness, and supports managing chronic conditions with care tailored to each person. Her goal is to help every patient take charge of their health with confidence. Dr Tariq is multi-lingual and offers exceptional patient support in English, Spanish, Urdu and Hindi.

Dr. Tariq is committed to helping her patients feel their best and take charge of their health. She provides care for chronic conditions like diabetes, obesity, and high blood pressure, while also focusing on women's health, mental well-being, and weight management. Patients appreciate her warm, supportive approach and her dedication to making healthcare feel personal and approachable.

Before joining NVFP, Dr. Tariq spent over 20 years caring for patients and mentoring future doctors. At the University of Arkansas for Medical Sciences (UAMS), she held leadership roles where she taught thousands of physicians the importance of building trust and connection with their patients. Beyond her clinical work, she is also committed to sharing knowledge with the community, offering insights on public health topics through social media and local programs.

Resources from this Episode:

Dr. Tariq

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Pedro Teixeira, MD, PhD: From Startup to Scale: What Every Rehab Owner Can Learn from Tech20 Nov 202500:36:39

In this episode of the Healthy, Wealthy, and Smart podcast, host Dr. Karen Litzy welcomes Dr. Pedro Teixeira, MD, PhD, co-founder and CEO of Prediction Health. They discuss the intersection of technology and healthcare, focusing on how tech can enhance clinical care and improve healthcare performance. Dr. Teixeira shares insights from his journey developing AI tools for clinical documentation and analytics, emphasizing the importance of mission-driven work, navigating ambiguity, and the parallels between tech founders and clinicians.

 

Takeaways

 

  • Dealing with ambiguity is crucial in both tech and healthcare.
  • Tracking progress with meaningful metrics is essential.
  • Feedback from real users leads to valuable insights.
  • AI can significantly reduce clinicians' documentation time.
  • Human elements are vital in tech and healthcare systems.
  • Continuous improvement is key to success.
  • Selling outcomes is more effective than selling products.
  • Data interpretation requires context and thoughtful analysis.
  • Trying and failing is better than not trying at all.

 

Chapters

 

·     00:00:00 Introduction and Guest Introduction

·       00:00:00 Parallels Between Tech Founders and Clinicians

·       00:00:00 Mission-Driven Work and Dealing with Ambiguity

·       00:00:00 Importance of Metrics and Feedback

·       00:00:01 AI's Role in Reducing Documentation Time

·       00:00:01 Human Elements in Tech and Healthcare

·       00:00:01 Continuous Improvement and Selling Outcomes

·       00:00:02 Data Interpretation and Context

·       00:00:02 Advice on Trying and Failing

 

More About Dr. Teixeira:

Pedro Teixeira, MD, PhD, is the Co-founder and CEO of PredictionHealth, a Prompt company that is addressing one of healthcare's fundamental challenges: clinical documentation. Under his leadership since 2017, PredictionHealth developed an AI platform that delivers analytics to power better organizational performance and a documentation assistant that turns patient-provider conversations into compliant documentation so clinicians can focus more on patient care. Dr. Teixeira's expertise in biomedical informatics was honed during his time as an MD/PhD candidate at Vanderbilt University Medical Center, where he collaborated with leaders in biomedical informatics. Before this, he earned a Master's degree in Biomedical Informatics from Vanderbilt University and a Bachelor's degree in Biochemical Sciences and Computer Science from Harvard University. Driven by a mission to make it easy for clinicians to deliver the best care to every patient every time, Dr. Teixeira's work continues to bridge the gap between data science and clinical excellence.

Resources from this Episode:

Dr. Teixeira on LinkedIn

Prompt Health

 

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Liane Wood RP: The Therapist-to-CEO Mindset Shift06 Nov 202500:36:15

In this episode of the Healthy, Wealthy and Smart podcast, host Dr. Karen Litzy is joined by Liane Wood, RP, a seasoned entrepreneur and registered psychotherapist. They discuss the transition from clinician to CEO, focusing on the mindset and identity shifts required. Liane shares her journey from running insurance brokerages to becoming a psychotherapist and eventually helping others build thriving private practices. The conversation covers the importance of systems, niching, and value-based pricing, as well as overcoming perfectionism and burnout.

 

Takeaways

 

  • Transitioning from clinician to CEO requires significant mindset shifts.
  • Building systems in practice saves time, energy, money, and stress.
  • Niching helps therapists attract the right clients.
  • Value-based pricing focuses on transformation rather than time.
  • Overcoming perfectionism is crucial for business growth.
  • Delegation is key to scaling a practice.
  • Balancing working in and on the practice prevents burnout.
  • Shifting from fear to excitement can drive business vision.
  • Therapists can be both compassionate clinicians and confident business owners.
  • Successful therapists integrate strategic planning into their practice.

 

Chapters

 

·       00:00:00 Introduction and Guest Introduction

·       00:00:00 Liane's Journey from Insurance to Therapy

·       00:00:00 The Importance of Systems and Niching

·       00:00:00 Value-Based Pricing and Overcoming Perfectionism

·       00:00:01 Balancing Practice Work and Preventing Burnout

·       00:00:01 Leadership and Vision in Therapy

·       00:00:01 Conclusion and Key Takeaways

 

More About Liane:

Liane Wood is a registered psychotherapist, private practice mentor, and the host of The Build Your Private Practice Podcast. With a background as the former CEO of an insurance brokerage, Liane brings a unique blend of business strategy and clinical insight to her work. She supports mental health therapists in building profitable, sustainable private practices that align with their lives—not just their caseloads. Through her podcast and programs, Liane helps therapists step confidently into the role of business owner, with clarity, integrity, and impact.

 

Resources from this Episode:

Build Your Private Practice Website

Build Your Private Practice on Instagram

 

Jane Sponsorship Information:

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Follow Dr. Karen Litzy on Social Media:

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Dr. Nick Schmit: Exploring New Revenue Streams in Physical Therapy30 Oct 202500:39:52

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litzy welcomes Dr. Nick Schmidt, a practicing physical therapist and founder of PT Assist and the Physical Therapy Project. Dr. Schmidt shares his journey from a pre-pharmacy student to a passionate advocate for innovative revenue streams in physical therapy. The conversation delves into the importance of cash-based services, the potential of retail sales in clinics, and the creation of a supportive community for physical therapists. Dr. Schmidt emphasizes the need for sustainable business practices and the role of physical therapists as musculoskeletal experts.

 Takeaways

 

  • The transition from traditional to cash-based models can enhance revenue.
  • Retail sales in clinics offer a viable revenue stream with the right products.
  • Building a community among physical therapists fosters growth and innovation.
  • Understanding the market and patient needs is crucial for success.
  • Integrating new technologies requires careful consideration and planning.
  • Consistency and passion are key to professional growth.
  • Collaboration with other practice owners can provide valuable insights.
  • The importance of aligning new revenue streams with clinic capabilities.
  • The role of physical therapists as primary musculoskeletal care providers.
  • The value of connecting with like-minded professionals in the field.

Chapters

 

      [00:00] Introduction and Welcome

·       [02:15] Dr. Nick Schmidt's Background and Journey

·       [05:30] Exploring Cash-Based Services

·       [10:45] The Role of Retail Sales in Clinics

·       [15:20] Building the Physical Therapy Project Community

·       [20:00] Innovative Technologies and Their Implementation

·       [25:30] Challenges and Opportunities in Revenue Streams

·       [30:15] Advice for Practice Owners

·       [35:00] Closing Thoughts and Contact Information

More About Dr. Schmidt:

Nick Schmit is a practicing physical therapist and the founder of The PT Assist and The Physical Therapy Project community on Skool. Throughout his career, Nick has developed a deep passion for helping practice owners build sustainable businesses while reinforcing the role of physical therapists as the musculoskeletal experts. 

This passion led him to create The PT Assist, a platform that helps clinic owners successfully integrate retail sales into their practices. His newest venture, The Physical Therapy Project, is both a community and a resource hub for physical therapists exploring cash-based services and modalities such as dry needling, saunas, shockwave therapy, laser, retail offerings, wellness services, and more. The community provides guidance on what services are available, how they work, which might be the best fit for a clinic, and practical strategies to implement them smoothly and effectively. 

Nick grew up in central Minnesota, earned his bachelor's degree in Zoology from North Dakota State University, and went on to complete his Doctor of Physical Therapy at the University of Nebraska Medical Center in Omaha. He now lives in North Dakota with his wife and their growing family. 

Grounded by his faith and family, Nick is grateful for the many blessings in his life. His mission is to add as much value to the profession as possible and to connect with others who are boldly pursuing their dreams and passions.

 

Resources from this Episode:

Nick's email: nick@theptassist.com

The Physical Therapy Project Website

Nick on LinkedIn

 

Jane Sponsorship Information:

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David Ian Wood: How to Coax Yourself into Massive Action23 Oct 202500:33:46

In this episode, Dr. Karen Litzy welcomes back David Ian Wood to discuss the challenges entrepreneurs face, especially shiny object syndrome. They examine how to overcome distractions, the importance of understanding one's motivations, and practical strategies for staying focused. David shares insights on planning, accountability, and making tasks enjoyable to boost productivity. He also introduces his innovative app designed to help users in real-time during calls, highlighting the role of gamification in reaching business goals.

 Takeaways

  • Shiny object syndrome is prevalent among entrepreneurs.
  • Understanding your 'why' is crucial for motivation.
  • Planning involves knowing what to focus on and what to avoid.
  • Gamifying tasks can make them more enjoyable and productive.
  • Focus should be structured over different timeframes.
  • Accountability is key to maintaining focus and achieving goals.
  • The Pomodoro technique can enhance productivity.
  • Making work fun can lead to better results.
  • Reaching out to others can be a game-changer for business growth.
  • Personal development is essential for long-term success.

Chapters

  • 00:00 Introduction to Shiny Object Syndrome
  • 05:06 Understanding Your Why
  • 09:32 Planning for Focused Action
  • 19:46 Gamifying Your Tasks for Success

More About David:

A former Consulting Actuary to Fortune 100 companies – including Sony Music, Chanel, and Exxon – David left his cushy Park Avenue job 20 years ago to build  the world's largest coaching business. He became #1 on Google for "life coaching", serving an audience of 150,000 coaches, and coaching thousands of hours across 12 countries.

Alongside his clients' successes, David is no stranger to overcoming challenges himself, having overcome a full collapse of his paraglider and a fractured spine, witnessing the death of his sister at age seven, severe anxiety and depression, and a national Gong Show!  

He is the author of "Get Paid For Who You Are," with foreword by Jack Canfield. He was nominated to the exclusive Transformational Leadership Council alongside such thought leaders as Don Miguel Ruiz, John Gray, and Marianne Williamson.

David believes that the tough conversations we avoid, are our doorways to confidence, success, and love. They become the defining moments which shape our world. He coaches high performing entrepreneurs, executives and teams – and now prison inmates –  to create amazing results and deep connection. Achieve more, by focusing on less.

Resources from this Episode:

Focus.CEO

David on YouTube

Free Business Assessment

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Dr. Ravi Iyer: A Body For Life! A Mind for a Lifetime!16 Oct 202500:51:38

In this episode of the Healthy, Wealthy and Smart podcast, Dr. Iyer shares his unique journey from a small town in India to becoming a physician and educator. He discusses the importance of curiosity in understanding life, the challenges of maintaining focus in a chaotic medical environment, and strategies to combat burnout. Dr. Iyer emphasizes the significance of consciousness in medicine and the power of connection and listening in patient care. He also reflects on his impactful TEDx talk and the ongoing challenges of the attention economy.

Takeaways

·      Curiosity drives understanding of how life works.

·      Focus and attention can be developed like a muscle.

·      Burnout is linked to identity and purpose.

·      Connection is essential for effective communication.

·      Listening without judgment enhances patient care.

·      Consciousness plays a crucial role in medicine.

·      Resilience can be built through self-expression.

·      The pandemic highlighted the need for human connection.

·      Opportunities are abundant when viewed as space.

·      The best is yet to come in personal growth.

Time Stamps: 

00:00 Introduction to Dr. Iyer

06:08 The Journey of Life and Curiosity

15:03 Focus and Attention in Medicine

21:48 Navigating Burnout and Resilience

26:38 Helping Others When Life Doesn't Work

42:08 The Power of Connection and AttentionMore About Dr. Iyer:

Ravi Iyer, MD is a Harvard-trained Physician-scientist, 3x viral TEDx speaker, best-selling award winning author, inventor, entrepreneur and global educator whose 42-year career in medicine, science and leadership includes a 9-year Directorship of a Hospice caring for dying patients, and a 4-year Chairmanship of a 225-bed hospital and global recognition by Marqui's Who's Who in America and Who's Who in TOP Doctors of America. 

Sought after as a brilliant engaging educator  and transformational behavioral coach, Dr Iyer's TEDxGary talk on The Power of Intentional Focus is currently the #1 most globally viewed TEDx talk released in 2024 with over 4.28 million views. His book "The Art of Viral Speaking" that describes his journey to the TEDx stage is the winner of the 2025 International Impact Book Award in Business Marketing and Brand Excellence. Dr. Iyer is recognized as a Leadership expert and global educator. A passionate believer in the liberating power of education, he is the founder of Education Beyond Borders, a free program of educational content that goes out via Zoom to over 300 million students worldwide in the ICSE and CBSE Schools in India and 28 other countries. In the healthcare field, his workshops on Burnout Resistant Leadership; Cognitive Alignment for teams and courses on Strategies of Neuroaligned Groups are rated as transformational for enabling individuals, teams, and organizations to discover methods by which they can remain connected to their purpose with immense focus, creativity, resilience and flexibility in navigating the challenges of their enterprise and their life.

Dr Iyer is a staunch believer in the value of empowered women in pushing forward every aspect of social and enterprise accomplishment and his programs demonstrate the various ways in which men can discover their validation of themselves as enablers of feminine success.

Resources from this Episode:

Dr. Iyer's Website

Dr. Iyer on LinkedIn

Dr. Iyer on YouTube

Dr. Iyer's TedX Talk

 

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Steve Lewis: Empowering Patients Through Technology02 Oct 202500:40:23

In this episode, Dr. Karen Litzy speaks with Steve Lewis, founder of Nabu, about the importance of empowering patients through technology. Steve shares his personal journey from working with musicians to developing a health tech startup aimed at improving patient care. The conversation explores the challenges of creating a health tech product, the importance of communication in healthcare, and the future of patient advocacy. Steve emphasizes the need for comprehensive tools that help patients manage their health information and advocate effectively for themselves.

 

Takeaways

·      His daughter's health challenges inspired Steve's journey into health tech.

·      Naboo aims to provide a single source of truth for patient information.

·      Effective communication is crucial for patient care and adherence.

·      Building a health tech startup requires understanding the needs of all stakeholders.

·      Safety and compliance are paramount in developing health tech solutions.

·      Patients need tools that help them advocate for their own care.

·      The entrepreneurial journey involves collaboration and community support.

·      Technology can enhance the patient experience and improve outcomes.

·      Don't hesitate to share your ideas and seek feedback.

·      Financial literacy is essential for aspiring entrepreneurs.

 

Time Stamps: 

00:00 Introduction to Patient Empowerment

03:11 The Journey from Music to Medicine

05:55 The Birth of Nabu: A New Tool for Patients

08:42 Building a Health Tech Startup

12:01 Navigating Challenges in Health Tech

14:50 The Importance of Communication in Healthcare

17:57 Enhancing Patient Care with Technology

20:42 Safety and Compliance in Patient Care

23:49 His daughter's Experience with Nabu

26:52 The Future of Patient Advocacy

29:41 Entrepreneurial Insights and Advice

 

More About Steve:Steve Lewis is an internationally recognised healthtech founder, product leader, and patient advocate, known for building breakthrough solutions at the intersection of technology and real-world care. As Founder and CEO of Nabu.ai, Steve is on a mission to transform fragmented health information into a single, actionable source of truth for patients, families, and care teams.

With over 20 years of experience spanning creative, brand strategy, product design, digital transformation, and startup leadership, Steve's work is informed by both professional expertise and deeply personal experience. His daughter's early arrival in the NICU and complicated health journey catalysed his relentless pursuit to fix the fragmented care journey as an advocate, an insight that powers Nabu's vision for a truly comprehensive patient- and carer-led technology addressing the most critical problems in health.

Steve is rapidly emerging as a sought-after voice in digital health and innovation. He has been invited to share his authentic, "from the front lines" perspective at live events and on leading digital health podcasts. Steve's talks explore themes including AI for health equity, patient empowerment, data privacy, and the future of connected care, resonating with audiences for their candor and real-world relevance.

A passionate believer in co-design and inclusion, Steve is actively collaborating with Australia's leading healthcare providers to validate the Nabu Advocate platform and drive innovation in its core feature set. By working closely with clinicians, families, special needs communities, and expert advisory boards, Steve ensures Nabu is built to meet real-world needs and deliver meaningful impact.

Steve's story, which is rooted in resilience, empathy, and systems change resonates with audiences from hospital executives to grassroots advocates. Whether on stage, on air, or in the boardroom, he is known for challenging the status quo and inspiring others to put patient voices at the centre of healthcare transformation.

Resources from this Episode:

Nabu Website

Steve on LinkedIn

 

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Dr. Marcia A. Harris: Menopause Decoded, Breaking the Myths, Rewriting the Story25 Sep 202500:54:54

In this episode of the Healthy, Wealthy, and Smart Podcast, host Karen Litzy welcomes Dr. Marcia Harris, a pioneer in hormone restoration and a specialist in menopause care. With over 40 years of clinical experience, Dr. Harris has helped more than 10,000 midlife women reclaim their energy, sexual vitality, and quality of life. They delve into common myths and misconceptions surrounding menopause, discussing the need for personalized care rather than one-size-fits-all solutions. Dr. Harris shares her inspiring journey, which began with a personal tragedy that motivated her to ensure better maternal care. Tune in to learn about Dr. Harris's groundbreaking total transformation protocol and discover practical strategies for thriving through midlife.

Time Stamps: 

[00:01:33] OBGYN care origins and motivation.

[00:09:24] Focus on women in midlife.

[00:14:29] Hormone therapy misconceptions and changes.

[00:19:48] Bio-identical hormone therapy explained.

[00:21:41] Hormone replacement therapy discussion.

[00:29:16] Myths of menopause debunked.

[00:34:25] Hormone replacement therapy options.

[00:37:18] Hormone therapy benefits and risks.

[00:45:05] Hormones are necessary for health.

[00:50:13] Live your passion.

[00:52:36] Healthy living tips.

More About Dr. Harris:

Meet Dr. Marcia Harris-Columbia- and Cornell-trained surgeon turned hormone restoration pioneer-who has helped over 10,000 midlife women reclaim their energy, sexual vitality, and quality of life. With over 40 years of clinical experience, she's challenging outdated menopause care with her groundbreaking Total Transformation Protocol. If you're ready to ditch one-size-fits-all medicine and learn what actually works for thriving through midlife.

MD degree: Columbia University, College of Physicians and Surgeons

Internship: Harlem Hospital Center, Internal Medicine

Residency: Weill Cornell Medical Center- The New York Hospital Obstetrics/Gynecology

Attending Physician / Private Practice at New York Hospital for 35 years

Instructor, Department of Ob/Gyn, New York Hospital, for 35 years

Last 10 years: Medical Director, The Wellness Restoration Center, New York City, NY

Holistic and Integrative Medicine is dedicated to uncovering the root cause of diseases

Empowers women to take charge of their health as we take care of the "whole patient"

Focus: Menopause, Andropause (male menopause), Sexual Dysfunction, Vaginal rejuvenation, BHRT, Lifestyle changes incorporating diet, weight loss and stress reduction

Go to person for professional women to go from 'burnout' to peak potential.

She is passionate about busting the myths, countering the misconceptions, and correcting the misinformation that is prevalent about menopause in our society today

Resources from this Episode:

Dr. Harris Website

Dr. Harris on Facebook

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Lauren Schoenfeld: The Financial Strategy Wellness Entrepreneurs Actually Need11 Sep 202500:46:11

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litzy welcomes Lauren Schoenfeld, founder of Active Core Consulting, to discuss the importance of understanding finances in business. Lauren, a self-proclaimed numbers nerd, specializes in providing fractional CFO services, bookkeeping, and operational coaching for health and wellness entrepreneurs. The conversation kicks off with Lauren explaining what a fractional CFO is, using a relatable pizza analogy to illustrate the concept. Listeners will learn how to manage their finances more effectively, prioritize profit, and move away from the hustle culture as they navigate their entrepreneurial journeys. Tune in for valuable insights that can help transform your approach to business finances!

 

Time Stamps: 

[00:01:21] Fractional CFO explained.

[00:07:06] Money goals for new businesses.

[00:09:46] Delayed rent negotiations for startups.

[00:12:56] Owner's salary importance in business.

[00:18:59] Subscription audit for entrepreneurs.

[00:24:04] Ability to generate income quickly.

[00:25:52] Limiting beliefs around money.

[00:29:29] Questioning limiting beliefs.

[00:34:10] Key Performance Indicators in Business.

[00:39:13] Churn and attrition rates.

[00:42:09] Enjoying the entrepreneurial journey.

 

More About Lauren:

Lauren Schoenfeld is the founder of Active Core Consulting, a one-stop shop for entrepreneurs in the health and wellness industry who need a fractional CFO, bookkeeping, sales, or operations coach. Lauren empowers CEO's to have confidence in their finances to put them in the driver's seat of their dream company. She's a self-proclaimed numbers nerd and athlete who helps owners develop a financial plan and execute on the strategy that puts their profit first. 

 Lauren started at PricewaterhouseCoopers, where she learned the consulting framework. She then mastered the do's and don'ts of scaling a rapidly growing company from her time at WeWork. At her final corporate job, Lauren helped Equinox Fitness Clubs grow from 80 to 105 locations, enter into new international markets, and incubated nine of the most well-known wellness-focused ventures, including Equinox Hotel, Precision Run Studios, and SoulCycle On-Demand. Her final corporate project was to consolidate SoulCycle and Blink Fitness back office into the Equinox processes and systems. 

 On a personal note, Lauren suffered from burnout working in the corporate world which led to developing a chronic illness. She has grown her business while healing her body through nontraditional modalities and is on a mission to end hustle culture for entrepreneurs!

 

Resources from this Episode:

Active Core Consulting Website

Active Core Consulting on Instagram

Free Expense Calculator

 

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Dr. Michael Neal: How to Build Better Teams04 Sep 202500:31:57

In this episode of the Healthy Wealthy and Smart podcast, host Dr. Karen Litzy welcomes Dr. Michael Neal, founder and CEO of Build My Team and a practicing optometrist in Hawley, Pennsylvania. They discuss best practices in hiring, drawing inspiration from successful companies like Disney and the Four Seasons. Dr. Neal shares his personal journey of overcoming hiring challenges in his practice, providing valuable insights for practice owners and business leaders. Tune in to learn effective strategies for building a strong team and improving your hiring process.

 

Time Stamps: 

[00:02:03] Hiring challenges in healthcare practices.

[00:07:03] High-end customer service in healthcare.

[00:09:37] Hiring the right team members.

[00:15:53] Candidate-practice matching importance.

[00:19:25] Hiring process resistance and risks.

[00:20:40] Hiring challenges in healthcare.

[00:27:57] Affordable hiring solutions for practices.

[00:29:34] Advice for 20-year-old self.

 

More About Dr. Neal:

Dr. Michael Neal is the Founder & Chief Executive Officer of Build My Team. Dr. Neal is a practicing Optometrist alongside his wife, Dr. Amy Neal.  Together, they founded Lakeside Vision in picturesque Hawley, Pennsylvania. They are celebrating their 20th year of servicing Northeast Pennsylvania. 

Downtime is spent with Amy, their two boys, and two dogs. Both Drs.  Neal has recently taken up running and even runs when not being chased.

 

Resources from this Episode:

Build My Team Website

Build My team on Facebook

Build My team on LinkedIn

Dr. Neal in the Media

 

Jane Sponsorship Information:

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Linda Melone: Irresistible by Design: Nailing Your Unique Value Proposition28 Aug 202500:38:55

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litzy welcomes Linda Melone, a certified conversion copywriter and former personal trainer. They dive into the importance of having a strong, unique value proposition in the medical and fitness industries. Linda shares her diverse background, which includes a degree in nutrition, experience as a pastry chef, and her journey into copywriting. She emphasizes the need for health and fitness brands to identify their unique voice to stand out in a competitive market. Tune in to discover how to refine your brand's message and effectively connect with your audience.

Time Stamps: 

[00:01:07] Unique value proposition in fitness.

[00:05:44] Differentiating as a copywriter.

[00:08:25] Unique value proposition discovery.

[00:12:02] Unique value proposition creation.

[00:18:07] Unique value proposition examples.

[00:22:15] The danger of over-promising.

[00:24:20] Testing your unique value proposition.

[00:28:27] Strengthening Unique Value Propositions.

[00:32:09] Importance of human touch in copy.

[00:37:08] Business advice for creatives.More About Linda:

Linda Melone is the founder of The CopyWorx, host of the High-Conversion Health Marketer podcast, a seasoned copywriter, former personal trainer and email strategist with over 15 years of experience in the health, wellness, and fitness industries. 

With a proven track record including a $70k contract from a single email sequence and a 44% lift in homepage conversions, Linda's work speaks for itself. Prior to becoming a copywriter, she wrote content (articles and blogs) extensively for all the top print and online publications. She's been featured in MSN Health, TIME, Shape, Self, Men's Fitness, and HuffPost, among many others. 

Today she's laser focused on helping craft messaging for her clients that attracts their ideal customers.

Resources from this Episode:

The Copy Worx Website

Linda on LinkedIn

Linda's LinkTree

Linda's Freebies

Linda's Newsletter

Linda on YouTube

Linda on Spotify

Hot Jar

 

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Tom Swales, PT, MPT: From Pain to Performance: Understanding the Neurological Influence on Healing21 Aug 202500:47:01

In this episode of the Healthy, Wealthy, and Smart Podcast, host Dr. Karen Litzy welcomes Tom Swales, a seasoned physiotherapist and strength coach with over 20 years of experience in injury prevention, rehabilitation, and performance optimization. Tom shares his journey into physical therapy, driven by his passion for sports and a personal experience with injury that motivated him to understand the human body. He discusses the mind-body connection in movement and healing, and how it plays a crucial role in engaging clients. As the creator of the Advanced Movement Therapist certification, Tom provides valuable insights for professionals looking to enhance client outcomes and focus on peak performance. Tune in for an inspiring conversation on the intersection of movement, healing, and professional growth in physical therapy.

 

Time Stamps: 

[00:01:27] Passion for physical therapy journey.

[00:06:12] Understanding the human body.

[00:08:05] Neurological influence on movement.

[00:13:54] Nervous system's role in pain.

[00:16:46] Setting patient expectations.

[00:19:41] Mindfulness in chronic pain management.

[00:22:42] Self-assessments for progress tracking.

[00:26:30] Building resilience in chronic pain.

[00:30:12] Building resilience through small wins.

[00:34:20] Competing against yourself in workouts.

[00:36:19] Training for longevity vs. performance.

[00:40:52] Framework for effective clinical practice.

[00:45:19] Trust the process, be patient.

[00:00:00] Podcast introduction and gratitude.

 

More About Tom:

Tom Swales is a respected Physiotherapist and Strength Coach with over 20 years of experience in injury prevention, rehabilitation, and performance optimization. He created the Advanced Movement Therapist (AMT) Certification to help professionals enhance client outcomes by focusing on peak performance.

 

As the founder of COMPHYSIO+ Performance Wellness, Tom has worked with professional athletes and consults for Olympic and international sports organizations, making him an expert guest for health and performance-related podcasts.

 

Resources from this Episode:

Tom's Website

Tom on Instagram

Tom on YouTube

Tom on LinkedIn

Tom on TikTok

 

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Joseph Reinke: Navigating the New Student Loan Landscape: What You Need to Know18 Aug 202500:50:47

In this episode of the Healthy, Wealthy and Smart podcast, host Karen Litzy welcomes back financial expert Joe Reinket to discuss the latest changes in student loans. Joe, a CFA charter holder and founder of FitBux, shares valuable insights into how these changes will impact three key groups: current students, those in repayment, and graduates nearing forgiveness. The discussion provides practical information on what to expect regarding student loans. Join Karen and Joe for an informative conversation that aims to clarify the current landscape of student loans and empower listeners with knowledge.

 

Time Stamps: 

[00:01:48] Student loan changes overview.

[00:05:03] Federal vs. private student loans.

[00:10:03] Student loan funding for programs.

[00:12:10] Student loan forgiveness programs.

[00:15:49] New IBR vs Old IBR.

[00:21:32] New vs. old IBR.

[00:25:11] New Income Repayment Assistance Plan.

[00:27:10] Loan forgiveness options explained.

[00:31:27] Public service loan forgiveness changes.

[00:37:32] Student loan refinancing options.

[00:39:25] Financial planning for young professionals.

[00:43:01] Home ownership financial perspective.

[00:45:57] AI scribe for physical therapists.

 

More About Joe:

Joseph is a Chartered Financial Analyst (CFA) and founder of FitBUX which has helped over 18,000 young professionals on their journey to financial freedom. Joseph has been personally investing since he was 12 years old. In addition, he has experience in student loans, mortgages, wealth management, investment banking, valuation, stock trading, and option trading. He has been on 100s of podcast and has been invited to 100s of universities to discuss financial planning with their soon to be graduates.

He is currently an adjunct financial wellness professor at 15 universities.

Resources from this Episode:

FitBux

FitBux on YouTube

FitBux on Instagram

 

Jane Sponsorship Information:

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Jennifer Raams: Scaling with Intention: Crafting High-Performing, Resilient Teams07 Aug 202500:42:05

In this episode of the Healthy, Wealthy and Smart Podcast, host Dr. Karen Litzy welcomes business coach Jennifer Raams from Practice Freedom U. They discuss strategies for scaling therapy practices with intention, enhancing mental strength, and building high-performing organizations. Jennifer shares her insights on leadership development, team building, and strategic growth, drawing from her 20 years of experience in helping practice owners create thriving and sustainable businesses. Additionally, the episode touches on the critical topic of succession planning, providing tips on preparing a business for future transitions. Tune in for valuable advice on fostering a successful therapy practice and personal growth.

Time Stamps: 

[00:02:01] High-performance coaching journey.

[00:07:14-00:08:09] Emotional intelligence in leadership.

[00:08:55] Mental resilience in entrepreneurship.

[00:14:57] Self-care is not selfish.

[00:16:36] Importance of organizational culture.

[00:20:50] Purpose and meaning at work.

[00:25:08] Succession planning strategies for clinics.

[00:29:55] Succession planning in businesses.

[00:35:32] Finding your business why.

[00:39:14] Energy management advice.

More About Jennifer: 

Jennifer Raams, founder of Choice Consulting Hawaii and former COO of JacoRehab, brings two decades of leadership experience in healthcare and business. She played a key role in scaling a multi-clinic organization with 60 employees by building a high-performing leadership team, implementing succession planning, and fostering a culture of collaboration. Now, as a business coach with Practice Freedom U and a leadership consultant, Jennifer empowers practice owners and business leaders with the clarity, strategy, and emotional intelligence needed to drive sustainable growth and well-being, both personally and organizationally. Join Jennifer as she shares her journey of navigating leadership, change management, and the transformative power of investing in people.

Resources from this Episode:

Jennifer at Practice Freedom U Website

Jennifer on LinkedIn

Choice Consulting Hawaii

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Dr. Tyler B. Evans: Pandemics, Poverty, and Politics31 Jul 202501:05:28

In this episode of Healthy, Wealthy, and Smart, host Karen Litzy welcomes Dr. Tyler Evans, an expert in infectious diseases and public health. Dr. Evans shares his journey into the field, shaped by personal loss and trauma in his youth. He discusses the social and political drivers of pandemics, drawing connections from historical outbreaks to contemporary challenges, including COVID-19. As the CEO and co-founder of the Wellness and Equity Alliance, Dr. Evans emphasizes the importance of transforming healthcare delivery for vulnerable communities. Tune in to learn more about the intersections of public health, equity, and the impact of societal factors on disease outbreaks.

 

Time Stamps: 

[00:02:10] Childhood adversity shapes career path.

[00:07:10] Infectious diseases in global South.

[00:10:16] Resilience in medical training.

[00:12:40] Creative adaptations in healthcare.

[00:18:04] Pandemic responses through history.

[00:22:07] Government collaboration in pandemics.

[00:27:01] Health equity and pandemics.

[00:28:16] Public health response to pandemics.

[00:34:45] Syndemics and health equity.

[00:38:00] Effective leadership in public health.

[00:42:11] Innovative clinical service delivery models.

[00:44:03] Healthcare and public health systems.

[00:48:44] Public health depoliticization necessity.

[00:52:46] Rural healthcare access challenges.

[00:56:17] Effective leadership for progress.

[01:00:00] Community paramedicine as workforce solution.

[01:03:14] Pursuing dreams through unconventional paths.

 

More About Dr. Evans:

Dr. Tyler Evans is an experienced and passionate infectious diseases and public health expert who has been on the front lines of major disease outbreaks (including two Ebola outbreaks) around the globe. Outside the U.S., he has mostly worked in sub-Saharan Africa, South Asia, and the Middle East with organizations like Doctors without Borders (Medecins Sans Frontieres) and Partners in Health. He is a tireless champion for medical humanitarianism and health equity, working with special populations across the world – including migrants (specifically refugees, asylees and victims of human trafficking), the LGBTQIA+ (with a special focus on transgender populations), people experiencing homelessness, people struggling with substance use, and indigenous communities.


He was also the first Chief Medical Officer for New York City - leading the Office of Emergency Management's (OEM) COVID-19 medical response. Dr. Evans is the CEO, chief medical officer and co-founder of Wellness and Equity Alliance, a national alliance of public health clinicians and supporting operations committed to transforming health care delivery to vulnerable communities with a focus on effective COVID-19 clinical services in strategic settings, and is an adjunct associate professor at University of Southern California (USC) Keck School of Medicine, Department of Population and Public Health Sciences. He is also author of the forthcoming book Pandemics, Poverty, and Politics: Decoding the Social and Political Drivers of Pandemics from Plague to COVID-19 (Johns Hopkins Press, August, 2025).

 

Resources from this Episode:

Dr. Evans' Website

Dr. Evans on LinkedIn

Pandemics, Poverty, and Politics: Decoding the Social and Political Drivers of Pandemics from Plague to COVID-19

Jane Sponsorship Information:

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