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Tough to Treat

Susan Clinton and Erica Meloe

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Welcome to Tough to Treat: A Physiotherapists’ Guide to Managing Those Complex Patients, with your hosts Erica Meloe and Susan Clinton, who discuss how they successfully treated patients that others could not. Via case history discussion, they share their physical therapy expertise from treating long standing pelvic pain to persistent neck pain. They present a holistic and integrative view on assessing and treating chronic pain. Unique movement strategies and specific patient exercise prescr ...
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Ending Physician Overwhelm

Megan Melo, Physician and Life Coach

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I'm Megan Melo, a Physician and Life Coach. In this podcast we talk about ways in which Physicians get stuck in overwhelm, burnout and analysis-paralysis, and how we can get unstuck. I'm on a mission to help Physicians take steps towards healing from perfectionism, people-pleasing and limiting beliefs so that we can lead healthier, happier lives. To learn more, find me at www.healthierforgood.com.
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show series
 
What is the difference between food allergies and food sensitivities? Join Susan as she discusses the importance of following the science and taking the guess work out of the food allergy vs. sensitivity issue and why this is important for systemic inflammation. A glance at this episode: [3:19] Dietary elimination for gut health and food intoleranc…
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As physicians, we like to believe that we are fact driven and that we operate based on evidence, science, data, and knowledge. And this is true.... to a certain extent thanks to our training. But as humans, our brains are wired for story. We are meant to connect pieces of factual information with emotional overlay, and use it to interpret events th…
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This episode presents what should be a straightforward case of a significant nerve root irritation. Unfortunately for this client, her situation was not addressed adequately and has left her in a lot of pain for over 3 months. Join us as Susan presents this client case, what went wrong, and the assessment and intervention with a rich discussion of …
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In this week's episode of the Ending Physician Overwhelm Podcast, I had the pleasure of chatting with the always wonderful Dr. Funke Afolabi-Brown. We talked about her journey with burnout, from her rigorous medical training in Nigeria, to becoming a triple board-certified Sleep Medicine Physician in the US, and ultimately founding and running her …
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In this episode, Erica speaks about prescribing specific exercises based on the difficulty level relative to the region of the body driving the patient's symptoms. NOT the pain generator. NOT the area of symptoms. If someone has knee pain, and their driver is their foot, then the exercise program is geared towards the foot, NOT the knee. SLR's and …
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At some point in our lives we've probably all felt like we've settled into a groove where everything is comfortable enough and there's nothing standing in the way of life going on like this for a while. But what if you know deep down that you want to change something about your life? It can be EXTREMELY hard to make that decision to make a change w…
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In this episode, we discuss the case of a very active woman grappling with SI (sacroiliac) joint pain. These symptoms manifest while walking and with hip external rotation. Furthermore, the episode unravels the complexities surrounding assessments, especially when individuals seek consultation for a single visit. We also delve into why and when usi…
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As physicians, we're trained to prioritize evidence above everything else, and oftentimes this comes at the cost of suppressing our intuition. But what if we allowed evidence and intuition to co-exist? In this episode of the Ending Physician Overwhelm Podcast, I sat down with Dr. Erica Bove, OBGYN and REI, to discuss how rediscovering, and learning…
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In this short episode, Susan presents a good algorithm for the examination and interventions in clients with GI dysfunction. Follow along as she discusses different nuances and considerations in the presence of pelvic and abdominal aspects of GI dysfunction. A glance at this episode: [0:01] Interventions for GI dysfunction and abdominal pain [2:03]…
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How do you deal with those days when you feel like you're unable to do or learn something? In this episode of the Ending Physician Overwhelm Podcast, we'll talk about the phenomenon of feeling "uncoachable." It's a sentiment that's often expressed by individuals who are hesitant to engage in coaching, therapy, or any form of self-improvement due to…
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This episode presents a client with a seemingly straightforward diagnosis in pelvic health of overactive bladder (OAB). The history and physical presentation tell a different story. Join Susan and Erica as they explore why often a regional approach will not help the client progress to their highest levels of function without symptoms. We discuss th…
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I am so thrilled to share this week's episode with you all, featuring my business mentor and all-round incredible human, Dr. Una! She's a pediatrician, best-selling author, speaker, and the founder of EntreMD - a business coaching program that helps doctors build profitable businesses so they can live life and practice medicine on their terms! Dr. …
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In the episode, Erica explores the strategic use of open and closed-chain exercises for upper extremity dysfunction. She discusses the distinct benefits and applications of each type of movement, shedding light on how these exercises can be tailored to meet specific needs to enhance performance. She uses an example of a tennis player who suffered f…
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In this episode of the Ending Physician Overwhelm podcast, I want to talk about the experience of being an introvert in medicine. I'll start off by saying that I personally identify as an introvert. Not in the sense that I don't like to be around other people, but rather in the sense that I draw a lot of my energy from having time to myself. I'm su…
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In our latest episode, we explore the fascinating stories of two individuals navigating the challenges of mastering the push-up despite their unique injury history. Both individuals had different pain experiences with this movement. Remember-What set them up? What kept them there? We explore why the push-up experience varied greatly between these 2…
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If you've ever experienced burnout before, you can probably relate to an analogy that you'll hear in this episode, comparing burnout to being stuck in a chokehold with no clear escape. However, as you'll also hear, there is a way out, and the other side is often better than even the best times pre-burnout! This episode features a fascinating interv…
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This episode is a short compilation of an algorithm in looking at basic outcome measures and pain in GI Dysfunction. Susan explores the basics of the history which can give great insight into the addition of more sophisticated outcome measures and pain exploration. Start with the basics and then expand! A glance at this episode: [0:01] Evaluating a…
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As physicians in the field of medicine, our work situations vary greatly. Some of us work for a big system, some of us in smaller clinics, and some of us are running the clinics ourselves. But regardless of what your situation is, I want to urge you to be your own boss, and that's what we're going to be diving into in this episode of the Ending Phy…
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Join us in episode #200 where Susan and Erica explore the potentiality of the balance system as a primary or secondary driver. With a client's history of injury or illness, there is an event that sets up their system for adaptation. Oftentimes, in regional-specific rehab, the balance system is not considered as a driver. What keeps the client in th…
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"Embrace what comes easily to you, because more often than not, that's your zone of genius, and that's what you can capitalize on!" In this episode I had the great pleasure of being joined by Dr. Johanna Moore, a dermatopathologist turned entrepreneur and coach. Here, we discuss her journey of overcoming burnout, embracing entrepreneurship as a ste…
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In this episode, we explore the profound connections between personal narratives and the origins of someone's injury. Join Erica as she delves into the stories of individuals who've experienced persistent injuries, and learn how to find clues in their narrative to help you prioritize the movement assessment and eventually find their driver(s). You …
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Do you think you're a good physician? This is a tough question for many physicians to answer, because the truth is that in our US medical system, there are so many metrics, opinions, and perspectives that feed into our own self-worth. But let me reassure you that the odds are in your favor that you are indeed a good physician. And internalizing you…
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Being a physician is tough on its own. Now add motherhood on top of that and you've got a recipe for stress and burnout in one way or another. And if you boil it all down, it stems from prescribed expectations of others for the various roles we play. As physicians, it's drilled into us throughout training to be altruistic and prioritize the care of…
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How important are past events to present movement patterns and restrictions? What about past events of herniated lateral discs or hypermobility on the current presentation of the movement system? Clients can heal with faulty movement systems that can show up as new and different presentations in the future. This podcast is from a presentation that …
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When you encounter disappointment, whether that's at work or at home, how is it that you currently cope with that feeling? Do you judge yourself for having the emotion in the first place? And if so, do you like the way this pattern is working out for you or do you want something different? In this episode of the Ending Physician Overwhelm podcast, …
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In this empowering episode, we dive deep into the realm of fear-based movement and explore strategies to help patients conquer their anxieties, helping them move towards a more confident and pain-free existence. Anxiety and fear of movement are real things and can prevail even when we are termed "fit to play", "fit to move" or "pain-free". Just bec…
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What would you say if I told you that you're just a couple of "No's" away from getting the "Yes" that you want? With this in mind, most of us would likely persist when it comes to asking for what we want/need, right? It's all a part of the art of negotiation, and my guest today, Dr. Weili Gray, is an expert in finding the path to the "Yes!" She joi…
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Discover the art of being an active listener who can pick up clues in your patient's narrative to help you find their driver quicker. This will save you lots of time in your movement assessment. Listen in as Erica discusses how to reframe your patient's story to help you maximize your time with them in the clinic. She discusses clues in their "subj…
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Well folks, we made it to episode 100! Thank you so much for joining me on this incredible journey of healing, self-discovery, and breaking free from the confines of perfectionism. Podcasting was something that I dreamt of doing for the longest time, but it took a while for me to start. I battled self-doubt, uncertainty about what the path would lo…
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Welcome to the New Year and one of the topics always discussed by Healthcare providers is burnout and imposter syndrome. Join Susan in this short podcast - Part 2 Taking back your mental fitness. Learn how to identify the voices of your inner Judge and Saboteurs, how to limit their voices, and find a pathway to your Sage Brain! A glance at this epi…
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What would you do if you were constantly getting bombarded by calls from the hospital, asking you to come in to work, even when you were thousands of miles away on vacation with your family? And how would you react if when you went to discuss this clear lack of boundaries and proper systems, your colleagues told you that "your generation just doesn…
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Welcome to the New Year and one of the topics always discussed by healthcare providers is burnout and imposter syndrome. Join Susan in this short podcast episode - Part 1 Taking back your mental fitness. Learn how to identify the voices of your inner Judge and Saboteurs, how to limit their voices, and find a pathway to your Sage Brain! A glance at …
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As women physicians, we are doctors, but that's just one of many facets of who we are. We are mothers, daughters, sisters, wives, and so much more! And all of these parts put together make us innately valuable, not just the doctor part. So in this week's episode, I really want us to lean into our value and start to internalize it so that when we en…
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Hip pain can be brutal. And more often than not-it's chronic. Not like an acute ankle sprain or even acute low back pain. People who suffer from hip pain, for whatever reason, sink into the chronic side of musculoskeletal pain. Let's face it-consideration of lateral hip pain requires a thoughtful clinical reasoning process to discover the physiolog…
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