The Primary Care PT Podcast

In this episode, I sat down with Rachelle Hartman from Providence Health in Washington where they have an integrated primary care PT program. It was great to hear from her about how effective leaders with solid relationships came together to make this happen for their patients. Their practice includes MSK/vestibular/women's health evaluation and triage, and they are also beginning to explore their role in lifestyle medicine for patients with chronic diseases. If you or someone you know would like to reach out to Rachelle, her email address is rachelle.hartman@providence.org

Trigger warning: This episode contains a postpartum story that may be difficult to listen to for some people who have experienced similar trauma. In this episode, we had a special patient guest share her postpartum story. She developed postpartum preeclampsia and acute heart failure. We discuss the benefits of a pre-discahrge PT evaluation, including testing vitals with movement, lifting and stair climbing, which may have detected key diagnostic features earlier. We also discuss the importance of attention to detail when attending to patients in the hospital setting.

Disclaimer: This podcast and anything mentioned in it is not medical advice or education, rather thought-provoking entertainment for healthcare clinicians. In this episode, Drs Seth Peterson and Jess Klain help me dive into one of Seth's case reports on a patient with "grumbling" cauda equina syndrome that was managed conservatively. We discuss the spectrum of CES and compare management strategies. Seth's Case Report: https://drive.google.com/file/d/1zOfbgWMW8q5Oqz9hPfIQnkHVeZEgglkt/view?usp=sharing Other paper mentioned: "SHADES of grey – The challenge of ‘grumbling’ cauda equina symptoms in older adults with lumbar spinal stenosis" https://www.sciencedirect.com/science/article/pii/S2468781219302620?via%3Dihub

In this clinical spotlight, I share my own personal experience with POTS/dysautonomia along with Dr. Rebekah Griffith and Dr. Jessica Klain. I share my experience of feeling brushed off and gaslit by several healthcare providers who made me believe my symptoms were caused by anxiety before comprehensively putting the pieces together. To quote Dr. Griffith "if it truly is anxiety, I have tools to be able to handle this... but don't jump to that without thoroughly ruling out other things". Individuals with dysautonomia often go years before receiving a medical diagnosis due to lack of awareness by many healthcare professionals. It our responsibility to be informed... and never to gaslight a patient.

In this first clinical spotlight episode, Dr. Jessica Klain and I discuss a case of transient global amnesia. We review the current practice guidelines for differential diagnosis and management, and discuss how our opinions differ from a paper that we reference: Sealy D, Tiller RJ, Johnson K. Transient Global Amnesia. Am Fam Physician. 2022 Jan 1;105(1):50-54. PMID: 35029951.

I will start by saying that I've never been to Hawaii (yet!), but I learned a TON in this episode about just how isolated and rural the Hawaiian islands actually are. Dr. Genevieve Correa is a PT in Molokai and she did a fantastic job educating me on how primary care PT truly solves a problem in these "healthcare deserts"... or islands! We also briefly discuss the primary motion brought forward by the HI delegation... and why it was tabled. Listen in...

In this part 2 episode with Dr. Brian Barney, we discuss our mutual interest of serving underserved communities. We discuss how socioeconomic and racial disparities influence access to care and what we can do to help solve that problem... a must listen.

I had a great opportunity to sit down with one of our primary care course attendees to hear more about his experience as a young athlete with cardiovascular pathology. As an orthopedic specialist, I wish that my training focused more on cardiovascular awareness of patients in my care. Hope this will inspire our listener to focus a bit more on intentional systems review. Stay tuned for part 2 where Brian and I discuss a shared passion of working with underserved communities.

I had a chance to sit down with Dr. Ryan Jacobsen, who is a pediatric PT clinical specialist about his perspective on the need for primary care PT in the pediatric space. We cover how you don't need to be a pediatric specialist in order to work with children in the primary care PT space! This is something near and dear to my heart as a parent of young boys and a topic we should all pay attention to!

Welcome back! Listen to hear about highlights for the fall 2023 season of The Primary Care PT Podcast!

In this episode, I sat down with Dr. Kelly Valignota, DO who is a physiatrist/sports medicine physician in a national health system. Dr. V shed light on her background, and provided valuable information about the expertise and role of physiatrists in MSK care. We talked about how physical therapists and physiatrists can work as a team to serve patients with musculoskeletal needs. Don't miss it!

NEW Primary Care PODCAST! In this episode, I sat down with Dr. Steve Goostree, a physical therapist working in the digital and hybrid healthcare space. We talked about how important it is for healthcare organizations include digital and hybrid options to improve access to care. We also talked about the employer-sponsored model and how perhaps big third party payers will be a thing of the past in the near future!

In this episode, I had the chance to discuss the importance of lifestyle factors in PT practice with Dr. Mark Shepherd, PT, DPT, OCS, FAAOMPT, who is the director of the OMPT fellowship and also DPT faculty at Bellin College. Mark provided excellent insight on the importance of addressing lifestyle factors in patients with pain and disability and also shared how Bellin is incorporating this essential topic into their curriculum. You won't want to miss this!

SUPER inspiring episode with Dr. Rekebah Griffith, owner of The ED DPT and author of the newly published book "Top of Scope: The Emergency Department Physical Therapist Practice Handbook". We talked about Dr. Griffith's experience working in the ED as a PT and also discussed some specific cases of when and when not to refer to the ED! So much good stuff here. Give her a follow on twitter @theeddpt and check out her website: https://theeddpt.com/ Link to her new book: https://a.co/d/fOt8mNW

In this episode, I got the chance to chat with Dr. Seth Peterson, who is the owner of a private practice and The Movement Brainery, a continuing education company with a primary care PT course. We discuss Seth's background and how he incorporates the primary care philosophy into his practice. Check out the Masters in Motion podcast, especially the bonus episode titled "The Woman in the Clock - Mary McMillan" from Jan 13, 2021. Take a look at the movement brainery's primary care PT course: https://themovementbrainery.thinkific.com/courses/primary-care-pt Follow him on Twitter @drsethPT