👤 Host: Dr. Nate Kadlecek, PT, DPT

Dr. Rusty Hofmann is a board-certified Interventional Radiologist and entrepreneur in the healthcare and health technology space.

He holds many positions that are as listed:

Rusty has become a friend over the years and I am excited to share this conversation with you. Please enjoy this conversation with Dr. Rusty Hofmann.

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0:01 Introduction

0:39 Who is Dr. Rusty Hoffman?

1:50 Icebreaker with Dr. Hoffman

2:40 Dr. Hoffman’s fishing story

6:43 Dr. Hoffman on his company Grand Rounds

7:44 Dr. Hoffman’s purpose for Grand Rounds

11:03 Could the same online healthcare be used for physical therapy?

12:42 Further explanation of the motivation behind Grand rounds.

16:04 What does the ideal healthcare system look like?

20:45 Further discussion into searching databases.

22:39 Dr. Hoffman explaining the startup Evidently.

23:40 Outro

Imagine a future where an algorithm can take a thorough history for patients, put them through a detailed examination and develop a plan of care with the same level of effectiveness as a human therapist or, even better. Better patient outcomes for a lower cost would be great, right?

You might think that’s far off, and you’re probably right, however, it’ll be here sooner than you think. Deep learning (a subset of machine learning) has made huge strides over the past decade and it’s only to continue it’s forward progression. (unless of course we have nuclear war or something).

Make sure to subscribe to the podcast wherever you're listening from either on Spotify, Apple podcasts, or somewhere else!

In this episode, we have Dr. Kyle Hartman, PT, DPT, DTR who is a Doctor of Physical Therapy and the Owner of Monterey Pelvic Health in California. She talks about her specialization in pelvic floor therapy, pregnancy, sexual dysfunctions, intercourse other key ideas regarding sex.

In this podcast episode:

01:15 – Dr. Hartman introduces herself and describes her profession advocating for women’s health

03:00 – Monterey Pelvic Health, the patients they work with, and the conditions Dr. Hartman usually treats

04:50 – Is it normal that women continue to have urinary incontinence for the rest of their lives after pregnancy?

08:00 – The steps to take to help somebody with either urge or stress incontinence and training the pelvic floor

10:50 – Hypertonicity in the pelvic floor and retraining the muscles effectively

13:30 – Benefit in getting the internal rectal exam to truly assess the pelvic floor

14:50 – Diaphragmatic breathing, what people feel on their pelvic floor when breathing, and mindful movement training to troubleshoot

21:00 – Dr. Hartman describes the common misconceptions about pelvic pain that she encounters from her clients

26:45 – The different types of sexual dysfunction and pain that Dr. Hartman works with

31:15 – Treatment for painful intercourse and strategies to relax the muscles

33:30 – What people see about sex in the media and how unrealistic they are

34:30 – How Dr. Hartman addresses shame and guilt around sex with her patients

38:15 – Why Dr. Hartman thinks there’s so much shame and guilt around sex: historical, religious, and media influences

41:50 – Sexual education in schools, and how there isn’t a lot of actual conversations and honesty about sex

44:30 – The pleasure gap between genders and heterosexual couples, and comparing the male and female anatomy

48:15 – Discomforts and hormonal shifts during intercourse, and the help of supplementary lubrication

51:05 – Dr. Hartman’s final message about healthcare providers who will genuinely listen to and help their patients

You can find her business at Monterey Pelvic Health in Monterey, CA.

Today we have Maggie Evans, RD. We talk about developing healthy habits, being diet agnostic, why nutrition is divisive, and what you can do to start healthy habits today.

In this podcast episode:

01:00 - Who is Maggie Evans?

03:15 - When did Maggie start to get into nutrition?

06:00 - Working in a mental hospital

12:00 - Stress eating or fasting

15:30 - Working on emotional eating

21:00 - What defines somebody who is ready or not ready to make changes for their health and nutrition?

25:00 - Why do you feel that it’s too easy to make healthy changes?

30:00 - Mourning about what your body can do

32:00 - Why is nutrition so divisive?

37:00 - Being diet agnostic

39:00 - How to view the word “diet”

42:00 - Can someone be healthy and overweight? Is overweight the right term?

47:30 - The truth about BMI

50:00 - There are no quick fixes

51:00 - A tip for people who want to start healthy habits

You can find Maggie on:

Instagram - @dietitian.maggie

Today we have Bruce Delgado who is the Mayor of Marina California, and he is on his 6th term now. We talk about urban development, taxes, blue zones, and more!

In this podcast episode:

02:20 - How did Bruce go from being a botanist to the mayor of a city?

06:20 - The push to expand to the north

07:35 - How did Bruce get into botany?

13:20 - How did Bruce find out the benefits of mixed used urban development landscape for healthier cities?

15:30 - Barriers to developing healthier cities

19:20 - Profitability of urban areas vs single family homes

20:20 - Is road maintenance and other maintenance costs for the city covered by property tax?

24:20 - How do you get out of the cycle of chasing after the money of property tax?

27:20 - Have cities be what they used to be

29:20 - Blue zones

33:20 - Paying taxes and getting the benefits from it

35:20 - Going for quantity instead of quality

37:20 - Buying local and choosing inconvenience

42:20 - Is anyone doing it right? And blue zone projects

44:20 - We have a lot of hope that each of us can do what is best

Our special guest today is Katy Castagna, President and CEO of United Way Monterey where she has served for almost 6 years. She’s been a part of the organization for nearly 17 years.  

"United Way advances the common good in communities across the world. Their focus is on education, income and health—the building blocks for a good quality of life."

What a great interview this was. I didn’t realize how impactful and forward-thinking Katy and United Way is, and, how they address upstream systemic issues AND downstream issues at the same time. That’s pretty hard to do.

We talk about the importance of early education, affordable housing, social engagement and the importance of health, and much more.

You can find out more about United Way and all of their initiatives, and ways to serve at their website.

https://www.unitedwaymcca.org/

Please enjoy this conversation with Katy Castagna.

Show notes:

02:20 - How did Katy Castagna get to her position at United Way?

09:30 - What are the challenges of bringing people together from separate organizations?

12:50 - Has Katy always been a person who looks at multiple perspectives or did she learn it over time?

15:50 - What did Katy’s earlier years look like?

24:00 - How do we give people opportunities from a multi-factorial approach?

29:00 - Actionable solutions that United Way is using to bring opportunity to children who need it

37:00 - Sustainability in a community

40:00 - When does the breaking point happen in a community where people are leaving because of expensive housing?

46:00 - Are there any initiatives now for affordable housing?

51:00 - Building walkable communities

53:00 - Opportunities you can get involved with to help your local community

Our special guest, today, is Jolie Kobrinsky. She’s a badass entrepreneur, a fitness fanatic, and is passionate about life and serving others. She is opening a new fitness facility/community with the very apt name, Elektren. 

She has had the very unique experience of both closing down her fitness business of > 10 years last year AND opening up a new business where she is now able to, even more-so, live her values through her business and serve her community.

I’m incredibly excited to share this conversation with you as we dive into her values as a person, how she has served her local community over the past two decades, and what her vision is for the future of her business. Please enjoy this conversation with Jolie Kobrinsky!

Howdy howdy my strong friends -- welcome to the Strong Society Podcast! I’m Nate Kadlecek and i’ll be your guide through this podcast.

Our focus is on developing strong bodies, minds, relationships, and communities to help solve the most pressing health and social issues threatening the world, today.

Our special guest today is John Farahmand, who is the CEO and Founder of Balance Physical Therapy and Human Performance and is a Doctor of Physical Therapy. John started his business in 2002 and has been serving his community on the Monterey Peninsula for two decades. I really appreciate John’s perspective on life and he clearly lives out his values with his family, his business, and his community.

In this conversation, we talked about, commitment, discipline, physical training, mental training, dealing with fear, learning to manage our emotions, being intentional, and what it takes to build and run a successful multi-7 figure business without burning yourself out. There’s a big emphasis on making yourself into a better person, with a growth mindset. Please enjoy this conversation with Dr. John Farahmand.

Show Notes:

1:58 - "You are what you say you are"

2:13 - What is value?

3:36 - Creating value

5:58 - What must we do as private practice owners?

6:47 - Getting better requires being able to tolerate constructive criticism

8:53 - Being clear about what you want and putting in the work

10:29 - Drill down and FOCUS

12:25 - "Riding the Bronco"

13:30 - "Have you always been cool, calm, and collected?"

15:27 - Death of a friend

18:48 - "I schedule my priorities, I don't prioritize my schedule."

26:03 - Do what you say you're going to do

31:04 - "I've already lived through failure in my mind."

33:00 - Samurai into battle

36:57 - Took 14 years to pay off student loans

41:52 - $500k lease and construction costs for building...

43:26 - Pancakes

45:14 - Be accountable to someone

50:00 - You must be able to inspire!

1:02:12 - Looking for problems and self sabotage

1:05:35 - Setting realistic goals

1:06:48 - Martial arts story

1:08:10 - Chunking and next actionable steps

1:09:32 - Stress management

1:12:00 - How to de-escalate highly stressful situations

1:14:33 - Be in control of your own physiology

1:26:49 - Be clear about what you want

1:27:46 - Date your wife/spouse

1:32:20 - If you don't like your current situation, fix it. 

Books mentioned:

Extreme Ownership by Jocko Willink and Leif Babin

Today’s special guest is Shawn Adams, founder of Monterey Signs, they have offices in Seaside and Santa Cruz and truly they are incredibly talented in sign designs from basic Vinyl designs to Large Electric Signs, to everything in between. They’ve been in business for 10+ years which is impressive as only 30% of businesses make it this far.

We get into how he got into the signage business, why signs are so important for small businesses, how failure is a great teacher, air swimmers, and much more. Please enjoy this fun conversation with Shawn Adams.