Listen to this episode on your preferred platform: Spotify | Apple Podcasts | YouTube Music

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Return to Performance: Insights from Taylor Heppner, a Sports Recovery Expert

In the world of sports and fitness, injuries are an unfortunate reality. Whether you're a professional athlete or someone who enjoys staying active, knowing how to properly recover and return to performance is crucial. Recently, we had the opportunity to speak with Taylor Hepner, a strength coach and massage therapist who specializes in helping people return to peak performance after injury.

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The Space Between PT and Strength Training

One of the most interesting aspects of Taylor's work is how she bridges the gap between physical therapy and strength and conditioning. She helps people determine whether they need formal PT or if they're ready to start training again. This unique position allows her to provide tailored guidance to everyone, ensuring they're on the right path to recovery.

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The Importance of Consistency

A key takeaway from our conversation with Taylor was the importance of consistency in recovery and performance. She emphasized that even after initial pain or issues are resolved, it's crucial to maintain progress. This approach helps prevent recurring injuries and ensures long-term health and performance.

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Avoiding the "Zero to 100" Mentality

Taylor highlighted a common misconception among people recovering from injury or starting a new fitness routine: the desire for quick results. She cautioned against the "zero to 100" mentality, stressing the importance of gradual progress. This approach not only reduces the risk of re-injury but also leads to more sustainable long-term results.

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Movement as Medicine

An interesting point Taylor made was how views on movement for recovery have evolved over time. In the past, rest was often prescribed for injuries. Now, movement is seen as medicine. Of course, this doesn't mean pushing through pain, but rather finding appropriate, pain-free movements to aid recovery.

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Working Through Pain

When it comes to pain management during recovery, Taylor has a structured approach. She asks clients to describe their pain in detail and uses a pain scale to gauge intensity. This information helps her determine the appropriate level of activity and when to modify or progress exercises.

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Finding the Right Expert

For those seeking professional help with recovery or performance, Taylor offered valuable advice on finding the right expert. She suggested looking at credentials, specialties, and experience with specific sports or activities. She also emphasized the importance of clear communication between the client and the professional.

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Conclusion

Whether you're recovering from an injury or simply looking to improve your performance, taking a gradual, consistent approach guided by knowledgeable professionals can make all the difference. Remember, your body is unique, and your path to peak performance should be tailored to your specific needs and goals.  

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Listen to some of the key moments in this week’s episode:

0:00-0:37 - Introduction of Taylor Hepner, a trainer and massage therapist who specializes in return to performance after injury

1:55-2:27 - Taylor describes her background and current role as director of performance recovery at a sports performance company

4:35-5:03 - Taylor explains how she occupies a space between physical therapy and strength/conditioning, helping people figure out if they need PT or how to start training

11:38-12:36 - Discussion of the importance of consistency and maintaining progress even after initial pain/issues are resolved

15:26-15:51 - Taylor talks about the problem of people wanting quick results and taking a "zero to 100" mentality instead of gradual progress

19:46-20:21 - They discuss how views on movement for recovery have changed over time, with movement now seen as medicine rather than rest

22:51-24:35 - Taylor explains her approach to helping clients work through pain, including having them describe the pain and using a pain scale

26:43-28:50 - Taylor gives advice on how to find a good expert for rehab, including looking at credentials and specialties

31:41-32:01 - Taylor provides her contact information for those interested in working with her

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Medicine 3.0 | Ep 14 | Ask Me Anything with Dr. Jared Pelo | AMA

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In this inaugural "Ask Me Anything" episode of the Medicine 3.0 podcast, Dr. Jared Pelo, co-founder of Bionic Health, shares valuable insights on longevity medicine, preventive healthcare, and the future of medicine. Here are the key takeaways:

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What is Medicine 3.0?

Medicine 3.0 represents a shift from reactive to proactive, personalized, and precision-oriented healthcare. It focuses on:

• Thinking about health instead of illness

• Helping people stay as healthy as possible for as long as possible

• Addressing risk factors early

• Incorporating lifestyle factors like fitness, nutrition, and sleep

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The Importance of Early Intervention

Dr. Pelo emphasizes the significance of early screening and intervention:

• Screening for genetic risks (e.g., lipoprotein(a), APOE4 for Alzheimer's)

• Establishing baseline hormone levels when young and healthy

• Addressing health issues before they become more challenging to manage

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Decade-by-Decade Health Focus

Dr. Pelo outlines health priorities for different age groups:

• 20s: Focus on safety, screening, and building healthy habits

• 30s: Address body changes, maintain muscle mass, and screen for family history risks

• 40s: Prioritize cancer screening and vascular health

• 50s and beyond: Continue all previous efforts, with a strong focus on muscle mass and metabolic health

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The Role of AI in Healthcare

Bionic Health leverages AI for:

• Clinical decision support

• Faster response times to members

• Efficient report generation

The result? Members receive personalized, in-depth care and understanding of their health situation.

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Supplements: A Balanced Approach

Dr. Pelo advises a cautious approach to supplements:

• Focus on supplements that can be tracked and measured (e.g., Omega fatty acids, Vitamin D, CoQ10)

• Understand that supplements should be one of the least important aspects of health optimization

• Be aware of potential placebo effects and marketing incentives

• Conduct personal experiments to determine effectiveness

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What Sets Bionic Health Apart

Bionic Health offers a comprehensive package including:

• One-on-one time with highly trained doctors

• Extensive testing and wearable data analysis

• Personalized action plans

• Coaching for habit change

• Guidance on medications, supplements, exercise, and nutrition

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Advice for Those Entering Healthcare Technology

Dr. Pelo offers two perspectives:

1. Practical: Find areas where healthcare systems are losing money and create solutions.

2. Idealistic: Work towards improving healthcare outcomes and working conditions for all healthcare professionals.

The Medicine 3.0 approach represents a paradigm shift in healthcare, focusing on proactive, personalized strategies to optimize health and longevity. By embracing this model, we can work towards a future where people live healthier, longer lives with reduced periods of illness.

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Listen to some of the key moments in this week’s episode:

• 0:07 - Introduction of Justin Edelman as co-host and head of product at Bionic Health

• 1:29 - Explanation of what "Medicine 3.0" means "Medicine 3.0 is is a term that's been around for actually a while but it has been popularized in the last three four years by Dr Peter AA in Texas"

• 4:45 - Dr. Pelo shares a personal story about diagnosing lung cancer in the ER, illustrating the limitations of reactive medicine

• 10:53 - Discussion on how Dr. Pelo got interested in Medicine 3.0 and his approach to continuing medical education

• 14:19 - Dr. Pelo's personal definition of longevity "What longevity looks like to me is is really what it what we talk about health span"

• 19:22 - Explanation of why younger people should care about longevity medicine

• 21:24 - Breakdown of health priorities by age decades (30s, 40s, 50s, etc.)

• 29:39 - Discussion on how AI is used at Bionic Health

• 30:50 - Address common questions about supplements "I think a big part of it is placebo effect"

• 36:14 - Explanation of what makes Bionic Health different from other services "bionic Health has everything in it that you need"

• 39:10 - Career advice for people entering healthcare technology

• 41:03 - Information on how listeners can submit questions for future episodes

Medicine 3.0 | Ep 15 | Precision Medicine and AI: Reshaping the Future of Healthcare with Dr. Adam Carewe

In this episode of Medicine 3.0, Dr. Jared Pelo sits down with Dr. Adam Carewe, a family medicine physician and informaticist, to explore the exciting intersection of technology and healthcare. Dr. Carewe shares his journey from tech-savvy medical student to healthcare informatics leader, offering valuable insights into the future of medicine.

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From Walkie-Talkies to EHRs: A Technologist's Journey

Dr. Carewe's fascination with technology began in childhood with his grandfather's cool gadgets, like brick-sized walkie-talkies. This early interest evolved through medical school and residency, where he volunteered to help transition from paper to electronic health records (EHRs). This experience marked his entry into informatics and eventually led him to Kaiser Permanente, where he became deeply involved in optimizing EHR systems for clinicians and patients.

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The Challenge of Healthcare Software

The podcast delves into why healthcare software often lags behind consumer technology in user experience. Dr. Carewe points out that early EHRs were designed primarily for billing and compliance rather than user-friendliness. However, he notes that recent developments in ambient AI are starting to make healthcare technology more invisible and user-friendly, potentially revolutionizing how doctors interact with patients and records.

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AI: Enhancing, Not Replacing, Physicians

Both doctors express optimism about AI's potential to transform healthcare. They predict that AI will enhance physicians' capabilities rather than replace them. Dr. Carewe envisions a future where primary care physicians might manage 10,000 to 20,000 patients while still providing personalized care, thanks to AI assistance.

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The Promise of Personalized Medicine

The conversation touches on the exciting possibilities of personalized medicine. Dr. Carewe discusses how genomic data could inform more precise treatment decisions, such as choosing the most effective blood pressure medication based on an individual's genetic profile. This level of personalization could significantly improve patient outcomes and reduce trial-and-error in treatment.

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Addressing Public Health Challenges

The doctors don't shy away from discussing pressing public health issues, particularly the rise in childhood obesity and type 2 diabetes. They emphasize the need for better food policies and innovative approaches to make healthy food more accessible and affordable for everyone, highlighting the complex interplay between healthcare, policy, and societal factors.

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Reimagining Healthcare Delivery

Dr. Carewe predicts a significant disruption in healthcare delivery in the coming years. He suggests that improved preventive care and personalized medicine could reduce the need for frequent hospitalizations, potentially leading to a decrease in the number of large hospitals. This shift could fundamentally change the healthcare landscape as we know it.

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Advice for Future Healthcare Innovators

The podcast concludes with valuable advice for those entering the healthcare technology field. Dr. Carewe stresses the importance of understanding both clinical needs and technological capabilities. He argues that the most successful health tech solutions will come from those who can bridge this gap, combining medical knowledge with technological expertise.

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Looking Ahead

Both doctors agree that we're on the cusp of a healthcare revolution. While challenges remain, particularly in areas like public health and healthcare economics, the potential for AI and other technologies to revolutionize patient care is immense. As Dr. Carewe puts it, we're approaching a future where we might be able to prevent diseases like heart disease entirely, fundamentally changing the focus of healthcare from treatment to prevention.

For those inspired by Dr. Carewe’s insights and wanting to follow his work:

• Connect with him on LinkedIn (but please, no product pitches!)

• Check out his Substack at rusi.com for blog posts and his NerdMDs podcast

As medicine continues to evolve at a rapid pace, staying informed about these technological advancements will be crucial for healthcare providers, patients, and anyone interested in the future of health and wellness. This episode of Medicine 3.0 offers a fascinating glimpse into that future, highlighting both the challenges we face and the immense potential of technology to improve patient care and outcomes.

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Key Takeaways

0:47 - Dr. Carewe’s background and journey into healthcare informatics

• Early fascination with technology

• Transition from medical school to informatics

7:26 - Identifying and solving problems in healthcare IT

• Observation of communication gaps in EHR usage

• Development of training programs for clinicians

13:42 - Why healthcare has struggled to achieve user-friendly software

• Initial focus on billing and compliance rather than user experience

• Regulatory constraints in healthcare software development

20:58 - Predictions about AI's impact on healthcare in the near future

• AI enhancing rather than replacing physician capabilities

• Potential for primary care physicians to manage larger patient populations

28:34 - The importance of embracing AI in medical practice

• Comparison to the adoption of smartphones in business

• Physicians who embrace AI will likely outperform those who don't

32:51 - Exciting developments in personalized medicine and genomics

• Potential for more precise medication choices based on genetic profiles

• Shift from trial-and-error medicine to data-driven decisions

37:55 - Addressing public health challenges, particularly in nutrition

• Rise of type 2 diabetes in children

• Need for changes in the food industry and public health policies

42:17 - Ideas for incentivizing healthier lifestyles through insurance models

• Potential for health insurance to reward healthy behaviors

• Comparison to life insurance models

43:51 - Where to follow Dr. Adam Carewe’s work

• LinkedIn presence

• Substack blog and NerdMDs podcast at rusi.com