Good Outcomes: What They Don’t Teach You in PT School

Dr. Dave Harvitz, DPT, CSC1
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Are you a physical therapist frustrated with your current client outcomes? Are too many patients just not getting better? The founder of Renew Integrative Physical Therapy's residency program, Dr. Dave Harvitz,DPT, CSC1, challenges conventional care, explores root-cause, functional approaches, and highlights what it takes to create outcomes that last. The first episode of each month is a real conversations with clinicians helping patients heal while avoiding PT burnout. In an every-other-week rotation, you'll hear the Clinicians Corner & Patient Perspectives segments. In Clinicians Corner, Dr. Dave shares the behind the scenes of a successful cash-based clinic. In Patient Perspectives, Dr Dave & a real patient share their hurting to healing journey. Whether you're a new PT grad, a seasoned clinician or looking to specialize in the self-pay & cash-based space, you'll feel inspired by Dr. Dave's experience using an integrative approach to address root causes in physical therapy. You'll find clarity and conviction for yourself and a path forward for patient results that last. Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

Episodes

  1. Jul 7 ·  Video

    Ep 4 | Hidden in Plain Sight: Following the Clues of Mold & Lyme with Integrative NP Jessica Ham

    How do 20 seemingly unrelated symptoms sometimes trace back to one root cause?    Dr. Dave sits down with Jessica Ham, FNP, of Regenesis Performance in Pensacola for a Clinician's Corner deep dive on two of the most commonly missed chronic illness triggers: mold toxicity and Lyme disease.  Jessica walks through why these conditions share so many overlapping symptoms, how she tests and confirms each one and what treatment actually looks like. Jessica Ham is a Family Nurse Practitioner who completed a fellowship in anti-aging and regenerative medicine in 2017. She practices at Regenesis Performance, an integrative medicine practice in Pensacola, FL. You’ll hear: The core difference between allopathic ("what") and integrative ("why") medicineThe genetic (HLA) susceptibility behind why some people get sick from mold and others don'tInnate vs. adaptive immune system and why chronic inflammation gets missedMold testing: VCS test (vcstest.com), Herxme dust test, urine mycotoxin panels, Shoemaker biomarkersHome inspection red flags for hidden mold (AC units, plumbing leaks, water stains)How binders work (and common options: charcoal, bentonite clay, cholestyramine, food-based binders)The Herxheimer reaction and how to manage detox symptomsWhy Lyme disease is so hard to test for and treat (spirochete/cyst/biofilm forms, co-infections)A dramatic case study of a patient who got off opioids and benzodiazepines within six months of removing a hidden mold exposure.The Horowitz MSIDS questionnaire for tracking Lyme treatment progressThe cell danger response and nervous system/limbic retraining (DNRS, Gupta Program, Primal Trust, EMDR)What "dormancy" means for chronic infections and realistic recovery expectationsAdvice for clinicians curious about integrative medicine and for patients seeking a diagnosis Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/ G U E S T: https://www.regenesisperformance.com/home  https://www.facebook.com/RegenesisPerformance   https://www.instagram.com/regenesisperformance/    1:48 Her Path Into Integrative Medicine  4:25 Building The Symptom Timeline  5:15 Why Specialists Miss The Big Picture  6:25 The Mold Symptom Checklist  7:36 Mold's Perfect Storm  8:32 The Genetic Mold Susceptibility  9:40 Innate Vs. Adaptive Immunity  10:50 Testing For Mold Exposure  14:02 Diet And Toxin Clearance  15:22 Where You're Exposed Matters Most  15:42 Do Mold Types Matter  16:46 Turning Off Exposure First  16:53 Testing Your Home For Mold  20:24 Dr. Dave's Own Mold Story  21:33 How Binders Pull Out Mycotoxins  22:55 What Counts As A Binder  25:06 How Fast Do Patients Improve  25:37 Case Study: Ten Years Disabled  27:35 Off Opioids In Six Months  29:31 The Herxheimer Reaction Explained  30:36 Introducing Lyme Disease  31:09 Why Lyme Evades Treatment  31:49 How Lyme Is Actually Transmitted  32:59 The Co-Infection Problem  34:37 Migratory Pain: Lyme's Hallmark  35:28 More Lyme Symptoms To Watch  36:11 The Horowitz MSIDS Questionnaire  38:20 Antimicrobials And Biofilms  38:54 Why Some Patients Never Fully Recover  39:45 The Cell Danger Response  40:49 Retraining The Nervous System  41:18 What Is EMDR  42:14 Faith In The Healing Process  42:44 How Often She Sees Lyme Patients  44:14 What A Good Outcome Looks Like  46:47 Building Trust With Patients  48:20 Can You Ever Fully Clear Infection  49:35 Advice For Curious Clinicians  50:49 Advice For Patients Seeking Answers  51:05 Finding A Qualified Practitioner Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/ Follow Renew on social: https://www.facebook.com/ReNewPensacolaPT  https://www.instagram.com/renewintegrativept/  https://www.youtube.com/@Renew-Integrative Follow Dr. Dave on social: https://www.facebook.com/david.harvitz.9  https://www.instagram.com/dr.davedpt/  https://www.youtube.com/@drdaveharvitz

  2. Jun 30 ·  Video

    Ep 3 | PATIENT PERSPECTIVE: !!Surgery Canceled!! Gastroparesis, GERD, and Bladder Dysfunction

    "I used to sit in my house and not leave, nights and nights in a row, because I was afraid of what was gonna happen." For over a decade, patient Jen Superdock lived with a cascade of conditions that doctors struggled to connect: chronic pelvic pain, gastroparesis, GERD, Barrett's esophagus, and sudden, unexplained loss of bladder control. She tried physical therapy, pelvic floor therapy, medications, and eventually a surgically implanted bladder stimulator with underwhelming results. In this episode of Patient Perspectives, Jen sits down with Dr. Dave to share her story and how fascial counterstrain helped her reclaim her life.  In this episode: Jen's 13-year history with GERD, gastroparesis, and Barrett's esophagusThe onset of sudden bladder pain and incontinence and the silence that often surrounds itHer experience with a sacral nerve/bladder stimulator implantWhat brought her to fascial counterstrain after traditional treatment plateauedThe surprising connection between eye muscle tension and pelvic floor dysfunctionCanceling a scheduled hemorrhoid surgery after treatmentHer advice to anyone who feels like they've run out of options 1:31 Jen's background: Pensacola, military upbringing, life with Jax  2:29 The beginning: GERD, gastroparesis, Barrett's esophagus  4:33 Traditional PT, medications, and the bladder stimulator decision  5:01 The implant trial and painful recovery  5:35 Life before illness: roller derby, softball, the gym  5:49 Post-implant life: still having episodes, waiting for results  6:19 A second surgery: battery malfunction and replacement  6:40 What brought her to Renew: lower back pain after surgery  10:00 First session: pelvis adjustment, soft tissue, a reason to return  10:31 The second session — counter strain changes everything  11:10 Eye muscles and the pelvic floor: the neuroscience behind it  12:57 Layer by layer: peeling back trapped inflammation  13:17 Reclaiming her life — emotional moment  18:32 From 16 supplements to fewer than five  18:38 Treating the whole picture, not just the symptom  19:10 When PT and functional medicine work together  20:42 Finding providers willing to collaborate  20:50 The problem with medical specialization and siloed care  21:52 Final words: don't give up, be your own advocate Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/ Follow Renew on social: https://www.facebook.com/ReNewPensacolaPT  https://www.instagram.com/renewintegrativept/  https://www.youtube.com/@Renew-Integrative Follow Dr. Dave on social: https://www.facebook.com/david.harvitz.9  https://www.instagram.com/dr.davedpt/  https://www.youtube.com/@drdaveharvitz

  3. Jun 16 ·  Video

    Ep 2 | CLINICIAN’S CORNER: Is "You can't help everyone" a COP OUT?!

    “I don’t want your money if I’m not fixing you.”   In this Clinician's Corner episode, Dr. Dave breaks down the three core reasons why so many patients remain in pain despite treatment.   You’ll hear:   Why the phrase "you can't help everyone" is a clinical cop-outHow insurance reimbursement structures push clinicians toward volume over outcomesWhy pain is the last thing to happen in a pain sequence — not the firstWhat a "root cause" actually means in the chronic pain world (hint: there's usually more than one)The three systems most PTs never treat: the fascial, visceral, and autonomic nervous systemsWhy manual therapy must come before exercise — and what happens when it doesn'tHow Dr. Dave's practice built an incentive structure that actually aligns with patient outcomesWhat real mentorship looks like — and why most "residency programs" are marketing ploys 0:00 Why Chronic Pain Rates Are Abysmal 1:12 "You Can't Help Everyone" Is a Cop-Out 2:45 The System Is Built for Speed, Not Outcomes 4:30 What Physicians Actually Have in Their Toolbox 6:10 High Volume Kills Good Clinical Thinking 8:00 Manual Therapy Has to Come Before Exercise 10:15 Pain Is the Last Thing That Happens, Not the First 12:40 What a Root Cause Actually Is 15:20 The Circuit Breaker Analogy 17:45 Why PT Diagnostic Testing Is Flawed 20:00 Residency Ad — Renew Integrative PT 21:10 The Three Systems Most PTs Never Treat 24:30 Fascial Counterstrain Explained 27:15 The Autonomic Nervous System & PT 29:50 Why the Incentive Structure Kills Clinical Mastery 33:20 What Real Mentorship Looks Like 36:40 Big Box Clinics & the Mentorship Marketing Ploy 39:55 Paying PTs More When Patients Get Better 43:10 How to Actually Motivate Your Patients 45:30 The Money-Back Guarantee 47:00 Sell Disney World, Not the Flight  Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/ Follow Renew on social: https://www.facebook.com/ReNewPensacolaPT  https://www.instagram.com/renewintegrativept/  https://www.youtube.com/@Renew-Integrative Follow Dr. Dave on social: https://www.facebook.com/david.harvitz.9  https://www.instagram.com/dr.davedpt/  https://www.youtube.com/@drdaveharvitz

  4. Jun 2 ·  Video

    Ep 1 | The REAL (Broken) State of Physical Therapy: Becoming Uncaged with David Bayliff

    What keeps mainstream physical therapy from ACTUALLY healing patients? You're not imagining it. The system is broken. In this episode, Dr. Dave sits down with David Bailiff, DPT, a 30-year veteran of the profession and co-founder of the Uncaged Clinician, to talk honestly about why so many PTs are burned out, why patient outcomes are suffering, and what a different path actually looks like. David was one of the earliest mobile concierge physical therapists in the country, going all-in on a cash-based practice back in 2013 before most PTs had even heard the term. His story is a real account of discontentment, a door that opened unexpectedly, and the courage it took to walk through it. You'll hear: Why reimbursement rates have been declining while education costs have skyrocketed How the insurance model is structurally designed to prioritize function over painWhy manual therapy is the lowest-reimbursed service in the insurance modelThe "uncaged" philosophy: using the full scope of what you've been trained to do to actually change livesWhat the common denominators are among PTs who build a thriving cash-based caseload in 3–4 months vs. those who struggle for yearsWhy going directly to the consumer is often more effective than chasing physician referrals Guest:  https://uncagedclinician.com/  https://www.facebook.com/groups/uncagedcliniciangroup  https://www.instagram.com/uncagedclinician  https://www.youtube.com/@TheMobilePTLeague  00:00 – Is the Healthcare System Actually Broken? 02:15 – The PT Who Went Cash-Based Before It Was Cool 06:45 – What Happens When You Stop Asking Permission 11:30 – The Real Reason Reimbursements Keep Dropping 17:00 – Squeezed From Every Direction: The Cost of Running a Clinic 22:10 – What "Uncaged" Actually Means 28:45 – Insurance Gets You in the Gate. That's It. 34:20 – Why Your Hands Are the Lowest-Paid Tool You Have 39:50 – The Step-Up Exercise That Had Nothing to Do With the Patient 45:15 – What If We Treated People Before They Broke? 51:30 – Who Really Founded Modern Medicine (And Why) 57:00 – The PT Who Was Full in 3 Months vs. the One Still Waiting 1:02:45 – The Day Dr. Dave Got Fired and Everything Changed 1:08:00 – What It Actually Takes to Go All In Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/ Follow Renew on social: https://www.facebook.com/ReNewPensacolaPT  https://www.instagram.com/renewintegrativept/  https://www.youtube.com/@Renew-Integrative Follow Dr. Dave on social: https://www.facebook.com/david.harvitz.9  https://www.instagram.com/dr.davedpt/  https://www.youtube.com/@drdaveharvitz

  5. Trailer ·  Video

    TRAILER: Healing is Possible!

    If you're a healthcare provider or a patient that is frustrated with the status quo in our healthcare system, you aren't alone. The main reason for this frustration on both sides is the lack of good outcomes. Host Dr. Dave Harvitz has been a doctor of physical therapy for 15 years, specializing in the chronic pain cases.  In the first episode of the month, Dr. Dave talks with leading clinicians and researchers to tackle the hard questions.  Then every other week, he reveals the behind-the-scenes of what it takes to create a practice with good outcomes.  Finally, you'll hear from real patients about their health journeys and how they found themselves a good outcome.  We live in a  world where everyone claims to treat the root cause, yet the outcomes beg to differ. At Good Outcomes, you can expect honest conversations, practical insights, and no fluff.  Whether you're a provider seeking clarity or a patient searching for answers, this podcast is your guide to navigating the healthcare system with wisdom and hope. Welcome to Good Outcomes, because healing is possible!  Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/ Follow Renew on social: https://www.facebook.com/ReNewPensacolaPT  https://www.instagram.com/renewintegrativept/  https://www.youtube.com/@Renew-Integrative Follow Dr. Dave on social: https://www.facebook.com/david.harvitz.9  https://www.instagram.com/dr.davedpt/  https://www.youtube.com/@drdaveharvitz

    TRAILER: Healing is Possible!

Trailer

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About

Are you a physical therapist frustrated with your current client outcomes? Are too many patients just not getting better? The founder of Renew Integrative Physical Therapy's residency program, Dr. Dave Harvitz,DPT, CSC1, challenges conventional care, explores root-cause, functional approaches, and highlights what it takes to create outcomes that last. The first episode of each month is a real conversations with clinicians helping patients heal while avoiding PT burnout. In an every-other-week rotation, you'll hear the Clinicians Corner & Patient Perspectives segments. In Clinicians Corner, Dr. Dave shares the behind the scenes of a successful cash-based clinic. In Patient Perspectives, Dr Dave & a real patient share their hurting to healing journey. Whether you're a new PT grad, a seasoned clinician or looking to specialize in the self-pay & cash-based space, you'll feel inspired by Dr. Dave's experience using an integrative approach to address root causes in physical therapy. You'll find clarity and conviction for yourself and a path forward for patient results that last. Want more info on a residency with Renew Integrative Physical Therapy? Click here for more information: https://renewintegrativept.com/join-our-team/

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