Quality information for the public hosted by Antony Lo The Physio Detective and Marika Hart from Herapshere. www.womenshealthpodcast.com
Quality information for the public hosted by Antony Lo The Physio Detective and Marika Hart from Herapshere. www.womenshealthpodcast.com
045 - Dr Jane Foster - What Does It Mean To "Take Emotional Responsibility Now"?
In this interview, we talk to Dr Jane Foster, educator and creator of MYTERN - a program designed to help people change their language around emotion and regain control!
TERN = Take Emotional Responsibility Now.
As an educator, she was concerned about the false narratives that were, and still are, embedded in our culture, disrupting people's lives and even ending them. She wanted to create a simple, every day language that could be used by everyone to build new positive narratives, eradicating stigma and judgement, enabling people to regain control of their mental and emotional state. A language that could replace blame, judgement and retaliation with empathy, compassion and responsibility. The culture of having to be happy and positive all the time is unrealistic and almost impossible to maintain - especially now.
In this interview, Dr Foster talks about- her PhD project where she sent one text message per day to university students over a ten week period. She had astonishingly positive results in the test group, including increased psychological well-being, life satisfaction and purpose. They also had decreased psychological distress levels and there were several students who said that the program prevented them from committing suicide.- how MYTERN can be used in schools, homes and occupational settings.- how the program revolves around metaphors such as roads- you can be on a red (rough road) or a green (smooth road) in terms of your emotions. They are not necessarily "bad" and "good" roads- and we don't want aim for always being on those smooth roads. The red roads can help us with our resilience, as we will always come up against challenges in life. The idea is to be in control - whether we are on the red or the smooth roads.- how you can be out of control on red OR green roads. You can be on a green road and out of control - eg taking alcohol / drugs. You can also be in control on a red road - eg angry but responding in a calm way.- how being out of control in MYTERN means that you are hurting yourself, hurting someone else or hurting something else.- how the language can be simplified to - "are you on a red or green road? Are you in or out of control?"- how the analogy of the steering wheel works - YOU are in control of the car (your emotions) and how you respond. Other people can not make you feel a certain way. "YOU made me feel this way" is giving the other person all the power. and making yourself a victim.- MYTERN teaches you how to empty your glass - how little stresses build up over time and fill our glass. Minor stresses can help build health and resilience.- how people of different ages can use the MYTERN model - from young children and adolescents to adults (even corporations)- how sign language can be used to indicate when you're feeling out of control (extending the fingers, flexing the thumb across the palm)- the acronyms of PETs and TEPs. - PETs are Personal Emotional Tools that help us regain control esp when we are on red roads. A PET could be going for a walk, taking some deep breaths, patting a pet, reading a book, cooking a nice meal, dancing etc. Adults will often choose alcohol, exercise or eating chocolate - which are fine in moderation, but in excess can become a TEP.- TEPs are Triggers for Extra Precaution - ie the events/situations that cause someone to feel out of control. For example - parents are fighting, losing a computer game, bad drivers, feeling unwell or going to school/ work. Calling it a "TEP' rather than a "trigger" means that there is no judgement. It's a made up word so that there is no connotation associated with it. Understanding your own TEPs (and what PETs can help in that particular situation) gives you skills to help bring yourself back into control.- how these tools can help lay down new neural pathways and some of the changes that Jane has seen over time within groups usi
044 - Dr Sallie Sarrell - What is Endometriosis and What Is The Gold Standard Of Care For It?
Wow, this episode is a doozy!
We think EVERYONE should listen to this episode, whether you are a medical /fitness professional or general public....this information is so important.
After 23 years of misdiagnosis, Sallie embraced her struggles with endometriosis to forge a new pathway for all who suffer from the disease and its associated conditions. She is a practicing pelvic physical therapist specialising in endometriosis and subsequently occult hernia who has gone on to found The Endometriosis Summit - the largest patient and practitioner gathering for endometriosis in the United States with Dr Andrea Vidali and is a driving force behind iCareBetter, a new endometriosis education portal and video vetting system for endometriosis excisionists in North and South America. Sallie is currently weathering the USA's Covid life with her two poodles, and parents while doing telehealth to the endometriosis world.
In this interview we discuss:- what endometriosis is and how common it is (one in ten women!!). - how those lesions make their own oestrogen (and progesterone) and nerve/blood supply. - why hysterectomies don't cure endometriosis- the history of diagnosis of endometriosis and some of the theories that have existed over time - how in endometriosis, the tissue can extend as far as the lungs and pericardium. The only organ in the body that hasn't been shown to have endo is the spleen!- how birth control can modulate the period but not the disease- how you can get endo in the skin - typically iatrogenic such as being dragged by a surgical scalpel- how diagnosis is made. Typically imaging is not helpful. Gold standard = laparoscopy. - Staging of the disease is not well correlated with pain experienced- the common symptoms associated with endo - including cramps, painful periods, IBS-like symptoms, pain with deep penetration, back pain, leg pain, tailbone pain, rib pain, leaking for no reason, increased urinary frequency, issues with fertility, nose bleeds with periods, neck pain and reflux, symptoms at ovulation (bowel problems worse with periods and ovulation)- how girls/women are often taught to be warriors and put up with pain. The message is often that period pain is normal and needs to be put up with.- some of the changes that are happening around the world to educate high school girls about periods (see resources below)- that symptoms may be there early in life such as inflammatory issues in the gut, but not diagnosed until older age when having fertility issues.- how early menstruation is associated with higher risk of endometriosis- teens don't always need to rush in for surgery. Birth control can modulate symptoms in some people. It does not treat the disease.- some of the conversations to be had around providing contraceptive pills in children.- how endometriosis itself can impact ovarian reserve- the receptor site sensitivity for progesterone can be down-regulated in some women with endo. Some docs will throw more progesterone into the system, which may not do anything. So different pills need to be considered- how the type of surgery is important - ablation just burns off the top, you need excision surgery to remove the roots- the current limitations in the medical system - in terms of education of doctors and gynaecologists. - how health and fitness professionals can help women with endo - by being aware of the different symptoms that can be related to endo and screen further. How exercise can help improve mobility around the scar. Try and meet your clients where they are at and tap into the activities that they enjoy.- some of the questions that you can ask if you suspect a client has endometriosis- how every woman deserves treatment and some of the gaslighting that still goes on within the medical system- how as physiotherapists we can support our clients with endometriosis - through connecting with our clients a
043 - Inemesit Graham - What does the #BlackLivesMatter movement have to do with diastasis, body image and women's health?
In this interview, we talk to Inemesit Graham, fitness professional (and all-round incredible woman!) based in Yellowknife, Canada.
This was a fantastic conversation that touched on so many topics, including:
- her experiences moving to the UK from Nigeria and growing up in a predominantly white neighbourhood- her journey as a child having surgery for abdominal hernia and the trauma associated with that experience- how after her second child she struggled with body image issues related to her abdominal profile. She thought she was overweight and went on a weight loss journey and eventually discovered that she had diastasis recti. - her experience living with DRA and hernia and how she felt strengthening her body and learning to love it as it is was so important -how she started posting her workouts online and was told she was being negligent so she went and did qualifications to be certified as a fitness professional- how her whole life she has lived outside of other people's expectations. As a Nigerian it was expected that she study law or medicine, but she studied politics indeed and moved to Canada. - how she rarely sees people who look like her - at school, in magazines, in Canada. There was a period of time where she didn't want to be black, so she actively sought out black people to follow and listen to so that she could learn to love who she is.- covert versus overt racism and how important black representation is in the health and fitness industries as well as in tv/magazines.- how important it is to expose ourselves to different voices - how we need to be intentional in cultivating our social media feeds, so that we aren't just hearing one voice.- the importance of the Black Lives Matter movement. We have one world view and we have to listen to other people's life experiences. Ours is not the only story out there. Some people may not see racism but that does not mean it doesn't exist. How acknowledgement of other people's experience takes nothing from us, but could make the world of difference to that person.- her thoughts on the phrase "I don't see colour." She discussed how difficult it is to find makeup that suits her skin tone or to see women like her in advertisements. "When you don't see colour, people of colour become invisible in your society."- how #alllivesmatter is often posted out as a retort to #blacklivesmatter and that acknowledging that black people are 2.5x more likely to be killed by police is important. It diminishes the plight of black people to post this hashtag in a reactionary way.
If you want to learn more about Inemesit or work with her, you can find her
Email: email@example.com Facebook: www.Facebook.com/MummyFitness Twitter: www.twitter.com/inemesitg Instagram: www.instagram.com/mummy_fitness
042 - Amy Dawes - ABTA - Let's Start The Conversation About Birth Trauma
In this interview we talk to Amy Dawes, founder of the Australasian Birth Trauma Association (ABTA).ABTA is a national charity committed to reducing the instance and impact of birth-related trauma whilst supporting affected women, families and health professionals.
Amy discussed:- her birth experience and diagnosis of pelvic organ prolapse 16 months later. She talked about how this diagnosis affected her psychologically and impacted on her quality of life. She became scared of doing any movement or exercise and felt that she would make things worse.- how, with some assistance of a pelvic health physiotherapist and connecting with other women who had returned to exercise after prolapse diagnosis, Amy started to feel more confident in her body- how she connected with Elizabeth Skinner, psychologist, who mentioned the need for a birth trauma association here in Australia...and how the ABTA was formed (and a special shoutout to Christine Percy and Christine Pistone!).- the goals of the ABTA and how they support women through Peer to Peer mentoring.- that birth trauma can be physical, psychological or both. - the need for more comprehensive antenatal education, so women are aware of the potential risks associated with birth, without scaring the heck out of them. "Why didn't anyone tell me that this could happen?"- the fact that health care providers can also suffer trauma associated with supporting women in birth and that they don't always receive the help that they need. - how important it is to have care in birth that is supportive, nurturing and empowering. - how birth can trigger past trauma, which women may need psychological help for- how we can help support the ABTA and spread the word of these services to the community
The ABTA relies on donations, so if you would like to help please reach out to the ABTA via the links below. Please share this information with anyone who you think might benefit!
Website: https://www.birthtrauma.org.au/ Email: firstname.lastname@example.org Facebook: https://www.facebook.com/birthtrauma.org.au/ Twitter: @AusBirthTrauma
041 - Vicki Webber - How Does A Mother Of 4 Cope With Competitive Crossfit And Running A Gym?
In this episode we talk to Vicki Webber - CrossFit Competitor and Box owner.
Vicki shares with us - how she fell in love with CrossFit and went from being someone who never really did much lifting to being an international competitor- her pregnancy and birth experiences... and how different number four has been in comparison to the first three!- her recent postnatal experience including difficulties with bladder control and heaviness in the perineum - her experiences returning to CrossFit in the postnatal period- how she has found that changing the way that she moves (with guidance from her physiotherapist) has helped her symptoms of heaviness in the perineum.- her experience as a coach of the changes in post pregnancy information that is provided to pregnant and postnatal women - how her coaching has changed since having recent symptoms of pelvic floor dysfunction
We hope to chat to Vicko again in the future to see how she is getting on in her journey.
You can learn more about Vicki here:
https://www.steelcoastcrossfit.com/ https://www.facebook.com/vicki.webber.75 https://www.instagram.com/vwebbs2011 email@example.com
040 - Professor Peter O'Sullivan - How Has Pain Management Evolved?
In this interview, Marika and Antony talk to Professor Peter O'Sullivan.
Peter is a clinical researcher at Curtin University and specialist physiotherapist at Bodylogic Physiotherapy, Perth WA. With his team, he has published over 250 peer review articles on MSK pain and its management, His passion is empowering people disabled with pain to get back to living again.
In this interview, we discuss- how COVID-19 is resulting in more anxiety and how this is showing up in clinics- helping people in pain via Telehealth- Pete's journey as a physiotherapist and in particular his thoughts around pain and how they have evolved over the years. (He even goes back to his experiences as a child and how family shaped his responses to pain). He talks about how frustrated he was with the biomechanical model of pain in his early years and how his personality as a rule breaker probably helped him to think outside the box and develop new ideas (alongside his colleagues).- things that you can do in order to keep growing professionally and how to create positive clinical environments- the pros and cons of doing patient demonstrations in front of live audiences- the Biopsychosocial Model - how the "Bio" is really important and not to be ignored. We also discussed where manual therapy and touch can fit into it (and when it is maybe not appropriate!). - Cognitive Functional Therapy (CFT) - the model that Pete and others created and how it is not about "talking to people" and a lot is based on building relationships and trust, as well as performing behavioural experiments.- minimum requirements for physiotherapists in order to implement CFT - incl a discussion on how for some people learning CFT is relatively easy whereas for others it takes a long time or it's just not a good fit.- bottom line - patient-centred care is where we should start. All models will be criticised/critiqued and will evolve over time, but if we put the person in the middle of their journey (and put our egos aside), we'll be doing a decent job of it.
You can learn more about Pete athttps://bodylogic.physio/ firstname.lastname@example.org
Customer ReviewsSee All
I am pretty new to listening to this podcast but all of the episodes I have listened to have been top notch! Great information delivered in an easy to understand format. Thanks for a great podcast looking forward to future episodes!