What Running Medicine Should Look Like for Moms + Athletes — with DR. KATE MIHEVC EDWARDS

In this episode of the Active Mom Podcast, Carrie Pagliano, PT, DPT, OCS, WCS, sits down with Dr. Kate Mihevc Edwards, PT, DPT, OCS—founder of Precision Performance Running Medicine Clinic in Atlanta, creator of the RUNsource app, and co-host of Interdisciplinary Case Miles.

Kate brings over 15 years of experience in running medicine and shares her insights on:

• Why an interdisciplinary team (PTs, physicians, coaches, dietitians, pelvic health specialists) is essential for runners
• How to know when it’s time to see a physical therapist
• Supporting postpartum athletes returning to running
• Treating professional and everyday runners with a research-driven approach
• The realities of entrepreneurship, balancing family, and branching into tech and podcasting

If you’re a runner, postpartum mom, or clinician who wants to better understand how to integrate care, find the right provider, and keep up with the latest research in sports medicine, this episode is for you.

Time Stamps

1:00 Introduction

6:15 how to work with other providers

10:01 logistics of running a podcast

18:05 underfeeding for sports

23:05 research-informed versus evidence-based

25:58 the RUNsource app

34:10 when it’s time to see a PT

38:30 unqualified running coaches

43:45 deciding to branch out

50:30 balancing kids in middle school

55:29 rapid fire questions

CONNECT WITH CARRIE

IG: https://www.instagram.com/carriepagliano/

Website: https://carriepagliano.com

CONNECT WITH REBECCA:

IG: https://www.instagram.com/katemihevcedwards/

Fast Bananas: https://www.instagram.com/fbrunsource/

Precision PT: https://www.instagram.com/precisionpt_atl/

Podcast: https://podcasts.apple.com/us/podcast/interdisciplinary-case-miles/id1837802044

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Transcript

SPEAKER_01 0:00

So eating healthy is an idea and it's a it's an idea that um everybody has that's very different. And just because you eat healthy doesn't mean you're eating enough for what you're doing.

SPEAKER_00 0:13

You're listening to the Active Mom podcast with host Dr. Carrie Pegliano. I'm a mom physical therapist and your go-to guide for staying active with public health issues in pregnancy, postpartum, perimenopause, and beyond. Whether you're a fellow mom, physical therapist, or women's health professional, join me where I'll share expert insights, real life stories, and the latest research to help you approach running, CrossFit, yoga, Pilates Kit, or whatever activity love with confidence and evidence-informed guidance. Let's start the show. All right, welcome back to the Active Mom podcast. We have a returning guest, and we had to do a little uh brainstorming on when you were on. Um, Dr. Kate Mahak, I always scrub your your middle.

SPEAKER_01 0:52

Everybody does.

SPEAKER_00 0:52

Please try. Do it for me.

SPEAKER_01 0:54

It's okay. It's Mahivik.

SPEAKER_00 0:56

Mehivic. See, I don't read it that way, and that's the problem. So Kate Mahivik Edwards, we're just gonna go with Kate. We're good. Um, she was on the podcast previously chatting about her book, Go Ahead Stop and Pee. But we we're back a couple of seasons later. Um, she's got some cool developments um with stuff that she's doing with apps and programming and a new podcast. Um, she's a PT that we're kind of bringing over to the dark side. I I feel like you're a public PT, but you're not. Might as well be. Um, but she's a running PT, so we'll we'll bring her into the the the uh the crew here. So Kate, welcome back to the podcast.

SPEAKER_01 1:34

Thank you, Carrie. I'm so happy to be here. And this, you know, this came from the female athlete conference. Yeah. We were uh we were hanging around talking. Um that and you were like, you might need to come back. And I said, Well, that's a great idea. I'd love to.

SPEAKER_00 1:46

Yeah. So so let's start talking about well, I think we'll go backwards. We'll start with the podcast. Um, because that's kind of what we got to talking about at the female athlete conference was that you had this um idea for a podcast. And podcasts, there it's one of those things that like it sounds really good until you have to pull it together. And then you realize how many moving parts there are, and you're doing it in a case study format with multiple providers kind of pulling this picture together. So tell us start with a little bit, like just a quick blurb of your background in case anybody needs to go back and listen to season one. Um, and then what made you think to to put on the headset and grab the mic? Yeah, sure. That's a good question.

SPEAKER_01 2:30

Um so I'm a running medicine physical therapist in Atlanta. I own Precision Performance Running Medicine Clinic. We have two locations. Um, I am adjunct faculty at Emory University. I've done some research. We have a paper coming out about um thoughts, beliefs, and attitudes of runners, and we're looking at um that in conjunction with how that uh the gap between what runners believe and what we do as healthcare providers, and we're trying to learn how to bridge that gap. And I have a running app, which we can talk about later called Run Source. B2 is coming out, I think, next week or the week after. Amazing. Um, but then I work on multidisciplinary teams all the time. So I helped build the Atlanta Track Club elite multidisciplinary team, and we have a sports psychologist, sports dietitian, MDs, my physical therapy team, uh coach, chiropractor, and um the uh head of performance. And we work together on a regular basis. And we talk about our athletes to work together. We think about like, okay, what could they benefit from the most? And we work together as a team all of the time. So this year we actually had 80% of our team PR, and we have had injuries uh decreasing every year, year over year, since we started this. Um, and that's why performance is better because we have less injuries. And so this kind of ecosystem that uh we've built over the last it's almost five years now, has really changed a lot about you know what we do in practice in my clinics and why I built the Run Source app, but then also why this podcast has come up. So two of the people that I've worked with on this multidisciplinary team, Dr. Sarah Riser, she is a running medicine physician out of UVA, and then Kelsey Pontia, she's a sports dietitian who lives in Boulder, Colorado. So the three of us are good friends, and um we're constantly calling each other about cases, and we've worked together a lot on cases, and um, it's not uncommon for Sarah to call me from a treatment room or Kelsey to call me while she's on a call with a person, um, or vice versa. And so we've done this for so long. Um, and we realize that most people don't get to benefit from an interdisciplinary team. Right. And it's not, it's not a common thing, and it's actually not how most people practice in healthcare either.

SPEAKER_00 4:55

Which is disturbing. We could have a whole podcast on that. Yeah. Was that anything, you know, to come up with that for this particular group? Had you participated in that previously before, or did it just kind of come out organically?

SPEAKER_01 5:09

So I've been doing it without having a name for it for years. And so you know, it's like one of those things with patient. You say, okay, well, we really need to pull in a dietitian and we really need to talk to the physician. And um, I found that with my clients, uh, there was not a lot of crossover. And so I would start calling all the people that they were working with. And in our intake form, we say, who's on your team? And I would start calling or emailing these people, and then we would um just start working together. And that's that's what we've done in Atlanta. And then because of that, um, we started to think about it for the chart club, and you know, so it just it it organically happened because it was working. And I didn't realize it was um something that people didn't do until they started saying, like, wow, you really talk to other providers?

SPEAKER_00 6:01

Are you kidding me? I've so this is where again, this is where you're gonna be an honorary pelvic PT. Is I feel like in the context that we work and you work with pelvic PTs all the time, is is we're kind of, I feel like we're the social worker because we have to pull everybody together. You need to talk to the urogynecologist, the colorectal doctor, the orthopT, the running coach. Like, I feel like we kind of have to do it anyway because we're pulling stuff together. So for us, and that's why I love the idea of the podcast, is because I'm like, I think if you're that person that you want to have that full picture, you're gonna drive for that anyway. Sometimes if you work in a hospital-based practice, just because that that's you know, the the the culture and the ethos of the facility, you get to do it. But it really has to come from that, like, I don't know, desire to have that full picture and get the whole team together. And and other disciplines are really cool people. Like it's so it's so cool. And I learned so much.

SPEAKER_01 6:56

Yes. Um that's the best part. So we just decided why don't we let other people see what we do on a regular basis? That's awesome. Um, and we all of us that are on this podcast, so Kelsey, Sarah, and I, we are commonly the person people come to last, much like yourself. Like they've been to several other providers. Right. And and they've been through the systems and the things that don't work. And so all of us here on a regular basis, oh my gosh, I wish I had met you how many years ago. And so we thought, well, maybe we can offer our knowledge on a level that people can hear these things and know what to ask their their clients and and know that there's a better way out there.

SPEAKER_00 7:39

Yep. Yeah, yeah. No, I I think that's a really interesting approach because I I think as providers we're really used to, you know, listening to like case conferences or things like that, where I think that's a little bit more normal setting. But the average person, again, they may not. I mean, I had a client yesterday, oh my gosh, she she was given one diagnosis. It was literally 180 from what it actually was. And her partner was friends with me, and he's like, just go see Carrie. And so she did, and and she's doing great. And and I was like, you know what? You just saved yourself. And she's like, What do you mean? I'm like, average of three to seven years to get to the right provider. She's like, You're kidding me. I'm like, no. Is that what the I didn't know that that was the stats? It's I with with a lot of, I mean, if you go back to a lot of things with like, um, I think it's getting better with certain things like endometriosis and things like that. Like, just to get a proper diagnosis, it can take that long. I mean, that the number of providers, I'm sure you have stats on that. Like, it can be in the teens, it could, it can be in the double digits as far as number of providers to get to somebody. And when I was asking this person, she's like, you know what the biggest thing was? She's like, You listen to me. That is that is actually shocking, but that's what I always say I do best is listen. Well, exactly. And I think that's again, I that's what I feel like it's such a good mashup when you have multiple people providers, somebody's seen a bunch of other people. Like our job as the detective is to figure out, okay, that didn't work, that didn't work. Okay, there's a gap here. It's really fun. You feel bad for them because it's taken them so long, but it's actually really fun to be like, all right, that didn't work because of this. Let's fill in the gap here. Like it's I I like it. No, I love it.

SPEAKER_01 9:22

I actually love it. I love those cases because um you get to figure it out, and then also you get to be the one that helps them get back to whatever it is they love. And and they're so happy. I know. And it's just it's really fulfilling. Like that's what why we got into this. That's why I got into this as a profession is to help people, and that sounds cliche, but it's true. And and when you take the time to listen and you take the time to connect with other healthcare providers, and you really look at the entirety of the case, you can help so many people. I know.

SPEAKER_00 9:56

Yeah, I know. It makes me sad. All right, we're gonna we're gonna talk about perky things now. Yeah. Um, so let's take this back to the logistics of a podcast with multiple people. Oh my god, it's a nightmare.

SPEAKER_01 10:09

Okay, so I had a podcast before. It was called More Than Miles, but it was Casey and I, and we worked together and it was easy. We could do it in the clinic, and we also just did it for fun and for our patients and that kind of thing. This is a different idea. Yes. Um, this is something we want to grow and get big because we want to help as many people as possible and really show the world what healthcare can be like. Right. And we want healthcare providers to be listening to this, we want coaches to be listening to this, we want athletes to be listening to this. So this is just a different animal. And um when you have three people who are so busy because two of us own our own businesses or multiple businesses, and one is a physician at a very busy clinic, but then is also flying all over the country and world to cover events and do conferences. Finding a day where the three of us can sit down could take us a month. Oh, I believe it. I believe it. We had this great idea where we might uh release every week, and then we realized it was completely impossible. Yeah, it has to be once every other week, and we have to sit down and record at least three podcasts when we sit down, because if we don't, there's no way we'll we'll get these out in the world.

SPEAKER_00 11:32

It's just too big, our schedules are too busy. Well, and that's why to bring this up is it's a demonstration of the sheer dedication you have to the task at hand because it's not for the faint of heart scheduling and and as a mom, you are uh esteemed, experienced project manager. That is the truth, yes. So I know that you have that skill set in in your toolbox, but like, yeah, this is kind of next level.

SPEAKER_01 12:02

Well, and and this is the other piece about it. So I convinced these my these women that I love to do this. Neither of them wanted to do it at first, right? And I said, we need to do this. And yes, so what happens is when you're the one that convinces everybody to do it, you're in charge. Yes, and you are they they don't have the capacity because we're busy live.

SPEAKER_00 12:24

They just need to show up, right?

SPEAKER_01 12:25

Right. So all they do is show up and have the conversation. What I do is, you know, talk to a sponsor, and um, I have to plan the cases.

SPEAKER_00 12:36

And you know, I that would be the hard part is the planning of the cases, I think, and just get making sure that you have all the details that are gonna make that make sense for other people. So when they're listening, like, oh, what about that? Or yeah, to really get people engaged, you want that meat in the story because you're you're essentially storytelling.

SPEAKER_01 12:53

That that's exactly right. And so I actually have this great idea where like I was gonna do a Google Drive and I put in everything. So I put in here's all the marketing material, ladies. I will put together all the videos from our editor, I'll put them in here, I'll tell you how to do it. This is the folder for all the cases. You get to add the cases you want to add and all the details. And like I did all of these. Here's for our YouTube channel. Do they even know where the folder is? No, they don't even not know, they do not know where the folder is. And and I hope they hear this because I love them so very much, but they don't even know where the folder is. I have sent them the folder no less than five times. I mean, I give them everything, and in the end, I just know I'm gonna be doing it.

SPEAKER_00 13:37

You just need their brains, you need their brains and their cases. Um so so you guys have had some time to record some episodes. Like, what are some of the um for you? Kind of what have been some of the aha moments where you're you're kind of just when you talk this stuff out loud, because I feel like having a chance to kind of reflect back on cases, even though it might have turned out well, you still kind of pull these little nuggets from it. Can you give us some examples just to as a little bit of a teaser so people can pop over? And of course, we're gonna link everything in the show notes. Sure, of course.

SPEAKER_01 14:11

So I think the next episode that's coming out this Friday is uh Marathon Runner Reds case, um, postpartum. So postpartum runner had had reds, um, some public floor stuff. Like it was it's a really big case, and there are a lot of moving parts. So um we this was actually what gave us the idea to start the podcast is this case, but we didn't start with it. I think it's the third one. And it was somebody that we all worked with together. And so going through that case, um I realized that we were not as cohesive working together as I thought we were initially. And um, there were a lot of signs in the beginning that we caught and that we knew what was going on, but maybe we weren't able to act on as quickly as we we should have or could have because of all the circumstances. And sometimes even looking back, maybe we did the best that we possibly could have. Um, but I think we could have tightened it up a little bit. Like if I'm looking back, I feel like this timeline could have been shorter. We could have, um, we could have pulled certain people in earlier, we could have rallied the troops and said, okay, some of these things that you're dealing with are reds, even though they don't seem like it. No, we don't need to add this other provider because it's not, it's not something we don't know. We know this is a Reds thing. Um but with a Reds case in particular, there are so many signs and symptoms that come with a Reds case that a lot of times um the uh if physicians or other people um that are involved in the case or even athletes uh don't know why they're having these symptoms, they start chasing after and going to all these other providers. So sometimes what happens is in we're lucky that we can often contain it in our group because we have so many providers with say the Atlanta Track Club. Um but if you can't contain it, all of a sudden that patient is is searching for the one answer because they can't really conceptualize that what's going on is actually the same thing we're talking about.

SPEAKER_00 16:24

So for people that can you just give us like the quick down dirty um Reds diagnosis? We've we've had people come talk on it before, but in case they haven't listened and they want to hear more, what what would um could you just give us the definition there?

SPEAKER_01 16:35

Yeah, so it's a relative energy deficiency in sport, but really what we're talking about is low energy availability. And so it's it's about making sure that our fueling is matching what we need for everyday life, plus the exercise and and things that are happening. And so, for instance, a postpartum mom, we know that they have to actually fuel more, especially if they're breastfeeding. So you have to add anywhere from 300 to 600 calories in your diet to breastfeed. Plus, we have to think about okay, is it the possibility of bone stress injury because of how the calcium is being leached from uh from your bones because of the uh breast milk that you're producing? And so reds in general is this big overarching picture of okay, what happens in every system of your body? It can impact your uh your brain function, it can impact your musculoskeletal function, it can impact your gut. So a lot of people have gut issues, but they don't necessarily relate that to a reds symptom. Or um, or they're maybe having uh they're struggling with sleep and they don't realize that struggling with sleep is also a red symptom. But then again, if they have a small child, it's also because you have right. So it's it's red's really difficult from a provider standpoint, but also from an athlete standpoint because many of the signs and symptoms are everyday signs and symptoms of being an athlete.

SPEAKER_00 17:57

Right. Yeah, no, we're actually we're we're talking to uh uh Rebecca McConville later on today. Um, she goes by I think Rebecca dietitian on uh Instagram. And um how we got to chatting was reds in pregnancy. And I think it's just one of those things that like I start to see it on, and I don't know if you see this with just like everyday moms. Um I think the word is getting out there about fueling, um, just in general and running. I far better than like, you know, 15, 12. 10 years ago. Yeah, well, even that, right? Three years ago. But it's it's interesting, like in in in running Facebook groups and things like that, you know, when people are essentially, I mean, you you can see it. They're describing like they've had some bone stress injuries, maybe they had an eating disorder in the past, things like that. Um, and when you see other people suggest diet and maybe they're pregnant or postpartum, like, oh no, no, my diet's fine. It's it's funny because there's people that are like, hey, look at this, but there's a lot of, oh no, that's good, it's totally fine. It's like I think I would have to really sit down with that individual and their individual circumstances and stressors and you know, fueling and sleep, and you know, what are their expectations? Are they overtraining? Like, I don't think I could just blow anything off and be like, yeah, no, everything's fine.

SPEAKER_01 19:16

No, and and me neither. And what's interesting about this podcast is hearing Kelsey talk about um how she manages rest because and also how Sarah talks about when she's with a client, uh, bringing up nutrition is really hard for her as a fish physician because the client doesn't necessarily want to hear that. And they're not ready to hear it because they they think that everything is fine. I eat healthy. That's the and that's what people like to tell me too, is when I ask about diet, um, I'll say, okay, so have you spoken to a dietitian? What's going on with your fueling? Um, they'll say, Oh no, I eat healthy. And so eating healthy is an idea, and it's a it's an idea that um everybody has that's very different. And just because you eat healthy doesn't mean you're eating enough for what you're doing. And I think that that is something that we definitely need to talk about and have conversations about is um oftentimes we need more fuel than we think because of the things that we're doing, because of the life that we're living as an athlete or as a mom.

SPEAKER_00 20:18

Right. But even just expectations of you know, how much somebody should be running in postpartum or how much sleep somebody should be getting, or how hard they should be working to lose that weight. I mean, I feel like there's so many, you you have to dive into almost the psychology of the expectations piece and the mindset of that individual. I mean, I I can totally see where this particular case made you be like, yes, there's so much stuff to talk about. Um, and and I think just even the average person, maybe who hasn't even ever heard of Reds before, just to kind of hear people hash out how many systems and how many of those symptoms overlap with, hey, you're a new mom and you're navigating parenthood and all these other stressors and not sleeping and and food looks weird and you know, all of this stuff. Like, I I can't even imagine how beneficial that might be for somebody to hear that and be like, oh wait.

SPEAKER_01 21:14

Well, that's what we're hoping is that it is because the more times you hear it, and and if you hear it from a context of healthcare providers, and and what we do is we talk about exactly what you just said, thinking about stress, thinking about how does that athlete feel is is very important. How do we want to approach the situation? But what do we do because it depends on that human in front of us. Right. Yeah, and and what we know we need to talk about. Right. And and how do we get them to come back into the office so we can continue to have those conversations while we're building our relationship and while we're trying to slowly give them the information they're need they need, but they may not be ready for.

SPEAKER_00 21:53

Right. Because the last thing you want to do is shut them down that they don't want to listen anymore. And and I think that's the fear line. Of times is that providers that don't understand running or things like that. Oh, they're if I say something, they're gonna shut me down and tell me I can't run anymore. And I feel like there's so much mental health value to having activity. And of course, we have all our postpartum guidelines now that say activity is good, but can we have some guidance how to navigate these little minefields and how to do it a little bit better?

SPEAKER_01 22:21

So well, and I think um it's very individual, and we know that someone who is postpartum is not going to be sleeping that seven to nine hours. They're just, they're just not. I mean, the reality and the research don't always match. And and that's part of the art of being a clinician that works with athletes and moms and postpartum is we have to understand, okay, this is what the research says. This is your life. And how can we find the middle? What can we do so that you can be successful and be happy while taking that research into consideration? It's research informed, it's not evidence-based, it's research-informed.

SPEAKER_00 23:01

Yeah, no, definitely. And and I think, you know, I mean, we we were once uh PTs that didn't have kids, and you're like, well, just sleep when the baby sleeps, and why can't you carry them on the other side? And like things that I'm really sorry I ever said sorry. Um and I think that kind of plays a role too, because you're like, all right, I I you know the headspace that they're in, and how do you gently bring them around to what's gonna be best for them and and you know, giving recommendations that are unrealistic and just playing dumb.

SPEAKER_01 23:37

Well, look, my son is 11 now, but I but he woke me up at 2 30 in the morning last night and crawled into bed and said, Mommy, he said, Mommy, I'm having growing pains. Can you help me? Oh I know, and so and so of course it's 2 30 in the morning, and I've got a lot to do today, but I'm clearly going to let him crawl into bed with me and I'm gonna rub his legs, I'm gonna, you know, rub the quads, work on the knees because that's what he wants. And I'm gonna give him a little tie-let all, and then he falls asleep, and I don't.

SPEAKER_00 24:10

But the rule the rule in our house is because my daughter has a tendency to come back in about 25-30 minutes after I've gone to sleep, and then like just show up right in my face, which for those of you that you still have little ones and you're listening to that, and you're like, Yeah, that's totally normal. How are you not okay with that? Well, eventually you get to be not okay with that and you get some sleep again. And yeah, when she asks me for things, like, God forbid, if she gets sick somewhere in that, like 45 minutes after I've gone to sleep. We've had conversations like this where I'm like, look, honey, I'm not at my best. I may tell you no. I may tell you to go back to bed. You just you just need to be patient with me. I will come around, but it's gonna take me a hot second to do that. So if I'm really mean, I'm sorry. I promise I will help you clean up your vomit if that's what's going on. It just may take me a minute. So please be patient with me. Um so yeah, that's how we do it now. Is I have a disclaimer.

SPEAKER_01 25:07

I'm not quite there yet, but I I don't know. He's and also because I only have one. Um, it I don't know. And he doesn't do it very often. So I know that. Well, he doesn't either, yeah.

SPEAKER_00 25:17

But so no, she she did for a little bit. Um, but I also, you know, I I'm enjoying my sleep now. My oldest, who's about to be 15, I can't believe I'm saying that. Um, he did not sleep the first five years of his life. So I feel like hopefully like I'm getting that back, but he also is getting it back too, because he'll sleep till like 11 on weekends. So, but he is not one that ends up in my face. It's my daughter that's like right there. I'm like freaking out. Oh, it's very scary when they get that.

SPEAKER_01 25:44

Oh, and you're in your sleep. Yeah, that's it.

SPEAKER_00 25:47

I was like, well, yeah, but it's amazing. They did it when they were little, and it's just you're just like, all right, whatever, you know. So that's right. At least we do grow out of that. All right. So uh talk to us about the app um that you are working on version two of the Ren Source app. Um, I think also I I commend you for taking on an app. I I heard it's not for the faint of heart. Um, I think that's what people get frustrated about with apps, is they they love like the accessibility and the click click on their phone to just click a button, but do not understand the back end and versions and updates and um how hard it is to put it in this, like it's so hard. Yes. So tell us first what it is, and then you can tell us about your growing pains. My growing pains, yeah.

SPEAKER_01 26:32

So the Run Source app, I created it based on this idea that not everybody has access to a multidisciplinary team. And um, we all have so much knowledge, but it's scattered. So you have this great podcast and you have this great platform. But if people don't know about you, they're never gonna get here. And it's the same thing with um, I'll use Kelsey and Sarah because they're also on it. Um, and you're on it if I didn't say that. Um, so Kelsey and Sarah, if they have never been introduced to them, they don't know that there are, you know, physicians and dietitians out there that understand runners. And so I just was in this multidisciplinary team, and then I stepped out and I realized, wow, nobody has this. Really, I mean, really, people don't have access to this because of location, maybe. So they might live in the middle of nowhere. Um, because of cost, a lot of these experts are expensive to access, um, or they just don't know they're available. So I created this place where we could all share our knowledge and put these together, and I created programs within it. So, for instance, I've created injury programs. So we've got Achilles Tininopathy, for instance. Um, but the Achilles tendinopathy injury program is uh based on, so it has, you know, strength and mobility, but it also has every week um videos from experts about uh overtraining or shoes or nutrition or maybe a meditation, um, maybe something my mindset cue from a sports psychologist. So it brings together all the pieces that we don't even get to do in our clinics, honestly, um, and information from all these experts into these programs. And um it's it's really cool. Obviously, I think it's cool. I love it because it's it's something I actually even ask my patients to use because even I'm not trying to take the place of what we do in any way, shape, or form. And I think I have to be clear about that because um we'll never take the place of actually coming in and seeing someone and individualization, right? So individualization of care. This is a general platform and it's going to give you guidance that you don't have. But if you have a physical therapist that you love and trust, you're going to follow what they're saying. But then you can use the supplemental information from this app to back it up. Like maybe you don't can't have access to a dietitian or a sports psychologist. So then you have the resources from them that this app offers. And so V1 was kind of um that let's just get this out there. Please, God, I am so done with how much work this is. And um I love my experts, but also chasing an expert for a video could take six months or a year.

SPEAKER_00 29:12

I'm sorry.

SPEAKER_01 29:13

No, you're not even you're not that one. You're not no, like you're actually fast, and you probably were like four or five months, right?

SPEAKER_00 29:20

But I was slow.

SPEAKER_01 29:22

Yeah, sorry. That's what I'm saying though, is if you want expert information, you have to have the patience to to be with those experts and wait for it. And I've done that, and so I have we have 522 videos, um, uh pieces of content in this app. But then so this version too, the difference is it finally looks good. The first version, I just was I hated the way it looked the whole time, but I just had to get past it.

SPEAKER_00 29:48

You don't know until you get it out there, and then sometimes you just need to get it out there and be like, no, I hate that.

SPEAKER_01 29:52

Yeah, and I did, I hated it, and so it doesn't, it doesn't look the way that I want it, didn't function the way for God's sakes, you couldn't search what I didn't even know. I didn't even know that we could put it out there. Yeah, so there were all these things that I learned from version one and I took feedback from and I fixed it on version two. And so now the cool thing is the technology that we have, uh, we didn't have when version one came out. And so now we have AI in the background helping to speed up search functions, helping you to so you take you do like an intake when you go into the app. Um, like if you have pain, if you don't, where is it? And all these questions that I would probably I would ask my patients. Um, so you basically do an intake with me, and then it it sends you for you videos based on the intake that you've given, and it'll suggest um maybe a program that you that you might want to go into. And then also there's a couple um AI agents that I built in that can answer questions. But the really cool part about this is what we know about AI is it's amazing, but it doesn't really work in a lot of ways. Um so my the what the agents that we built only pull from the content that I've given it and the spreadsheets that I've given it, and it says I don't know if it doesn't have a content. I like that. And it'll say where it came from. So if it pulls from a video that you created, it'll say Carrie Pagliano said this, and here's where the video is, so that you can actually hear it from the expert. And then it also has um, here's the link to the re or here's the research paper that we use to give you this answer. Oh, that's it. And so um it's it's a way to you could go out to Chat GPT and ask these running questions, but it's not a closed container. Yeah, it it doesn't, it's not expert back, it hallucinates. It hallucinates. And so ours is expert back. You can ask it questions, it'll say I don't know. And then if it if you ask it questions, it doesn't know, then I get that information and I can create a content to give you the address.

SPEAKER_00 32:00

Yeah, that's um that's a smart way, I think, to use AI. There's there's a bigger side conversation about AI in rehab. And I do think that like something like this, when you have that controlled amount of information to be able to search through a large quantity and extrapolate information, I think that's incredibly intelligent. That's super smart. But like the average person does not realize Chat GPT makes shit up. Like I've been bitten three times now, and I'm like, oh, okay. Yeah, it's it makes shit up.

SPEAKER_01 32:34

It makes so much up. And and if um the whole point of this app is that it is from the experts, so I couldn't use AI in the way that people are using AI because then it wouldn't be from experts, it would be from some random place because and and that's not what I believe. So I did spread like you should see these spreadsheets, Carrie. Fully like, oh no, I believe it. I believe my clinical reasoning spreadsheets are in this. So I took my clinical reasoning, and you can uh I named the agents. One is Catherine, which is you know me, and one is Andrew, which is my son's name. And um Catherine is you know a pain pattern specialist. So you put in where is your pain, and it will um ask you a bunch of questions. It'll say, okay, this is this is what it could possibly be, and this is why. And it'll say, This sounds like a bone stress injury. You need to see a physician. Oh, that's nice. Um, and it's because if it's a bone stress injury, you might need an MRI. And so, like it says, or hey, you've asked this question several times. Don't you think it's time to see a PT? Oh, damn. Okay. So those are the things I'm building into it because it'll give me information. But the but one of the things is um, again, which is why you know, this research paper that I'm working on and all these other things is like there's a distrust between healthcare providers and athletes. Um, and we need to bridge this gap. And that's part of what this is app is doing. And only um, I have to look up the new numbers, but in like I think last year it was 25% of athletes actually sought out healthcare providers, and then 75% looked for information online at Google or ChatGPT. And so what I'm trying to create is a place where you can actually go online or whatever in an app and get the information you need, learn from these people, understand that we're not out to get you, and then and then be told when it is appropriate to see your provider and maybe who they who those healthcare providers are because you're on the map.

SPEAKER_00 34:39

Yeah, no, I mean there's so many things I'm thinking about. Like, again, there's there's there's some Facebook groups that I'm in, and it's interesting because they have nothing, they are not running, they're like following a podcast. Yeah, yeah, no, like I'm I'm serious. Like, I think it's um um, and I love this Facebook group, so not to call it out or anything, but like the the Alley on the Run podcast group, um, love it. They're asking medical questions in there like freaking bananas, like it's crazy how many questions they ask in there. And a lot of them are pregnancy postpartum ones because there's a lot of women in there, and so you know, I'll pipe up from time to time, but the number of people that ask about Achilles issues, hip pain, this and that. And it's so interesting because lots of times um people will mention, oh, well, you know, like uh Dr. Lisa has blah blah blah, and we've had Lisa Mitro on the on the podcast before. Um, just like they'll they'll refer to other people, but then you have some people that give you like, well, I did this and it worked, and they're feeling very confident in that. I'm like, yes, but like, who are you?

SPEAKER_01 35:41

Well, actually, that's what this research paper that we're uh that's um that we're almost, I just wrote the discussion like a few weeks ago, I think. Yeah. And this is actually what the research paper is addressing is we um we looked at chat groups and research papers that looked at chat groups and online forums and uh and looked at what were the answers given about medical advice, and almost always it was wrong. So like people will say, Stretch your hamstring, they mean their quad. Or they'll say, so you know, it they'll be giving advice about and using medical terms incorrectly. And so this is part of the issue, and that's again, that's why this app is so important and these podcasts are so important because um people want to help and they use their experience to help others, but their experience is different than the person they're advising, because the person they're advising, you know, has different stresses, different life, different body, different um, different fueling, different strengths, different training program. And so just because it worked for you doesn't mean that it's going to work for the next person. And I understand that you're just trying to help, right? But that just trying to help is creating the problem, part of the problem. And I hope people don't get mad at me for saying that. But that's why we really need to lean on um our experts and things like this run source app, but don't download it until two weeks from now because it won't be version two.

SPEAKER_00 37:04

I think by the time I okay, so this is gonna go out later than two weeks from now. So if you just listen to that, it should be okay double check with Kate. Yeah. I just don't want them to see the version that's not great.

SPEAKER_01 37:16

But if it doesn't have an AI agent and it's not beautiful, then it's not B2 yet.

SPEAKER_00 37:20

If Catherine and Andrew aren't there, just wait, they'll come back. Um, it's it's funny you bring that up. There was um a paper recently on um, oh, and it's killing me that I don't remember who published it, but it was looking at uh just looking at the Instagram hashtag for diastasis recti, um, which is abdominal separation, just at Instagram. And I think they found that like, and I forget how many thousands of posts that they looked at, 60% of the posts were not based in any sort of evidence whatsoever. And and and I I feel like again, there's there's such I think crossover between what we experience in running and then what we navigate as women, because you know, it's it's it's a you know, a set group of people. Um and you know, uh with dioceses, for example, you have tons of people selling programs that just because they navigated theirs, you can too. And for 1995, and I feel like running, you have that too. It's like just because you can run fast doesn't mean you know what the hell you're talking about. Oh I'm gonna throw that one out you and and and let you talk about that for a second.

SPEAKER_01 38:27

You're hurting my soul, right?

SPEAKER_00 38:28

I know. I I I'm I'm like, let me just throw this bomb out there and let you play with it.

SPEAKER_01 38:34

No, that is actually a huge problem. So um I, you know, a lot of coaches out there, a lot of um, and boy, I don't want to make anybody mad. I really don't, but the truth is is is just because you're good at something doesn't mean you're able to teach another person or able to drive that program. And it happens all the time and running, all of the time. And there this is again where multidisciplinary team and multiple perspectives are really important because um somebody who runs fast might have a natural ability, and um, what worked for them might not work for somebody else, and a lot of times, unfortunately, running culture can be this push through, push harder, do more mindset, which again, you we have to ride that line. If you're a professional runner, right, you have to ride that line of um injury and performance. Okay, and we understand that, but you also have a lot more resources in order to do that. Um you have hopefully you have a lot more resources to do that. Not all the runners do, professional runners do. But as an everyday athlete, the things that professional runners do do not apply to you. They don't for because you don't have the same resources and accessibility and probably genetics to get you to that point. And um they're they're doing things so differently. So, yes, just because you're good at something doesn't mean you have the ability to teach.

SPEAKER_00 40:11

Yeah. And again, I feel like everything that you just said you could apply to the postpartum space is like just because they look that way in postpartum doesn't mean they did anything special. They just might have amazing genes, and that's great. Um, no, I think that's a barrier too, sometimes um for a lot of people that are actually really good in some of these spaces, is initially they don't get as much um kind of airplay, so to speak, because maybe they don't, they're not an elite runner or they don't have the paces, or maybe they don't run five days a week or something like that. Um, that somebody's not gonna pay attention to them, but they actually have the better information because that's not sexy. Somebody looks at the this is who I want to be. I they're fast. They're they're they're they they they got the back to their baby we I want to see that that's sexy, that gets the attention. And I feel like that's where we're sitting for so many things right now in society. And and me being one of those people that no, I do not run every day of the week. No, I am not fast. No, I don't lift stupid heavy, but I I I show up, right? Right. That ain't sexy.

SPEAKER_01 41:19

No, neither's what I do, okay. I mean, I can't run. I used to, so I I used to be in that category of like I ran the Boston marathon three times. I you know, 13 marathons, and then I had my heart thing, so then I couldn't run at all for years, and I'm still treating runners, and now I run a little bit, but when I'm running, it is not, it is not what it used to be. It's like yeah, you know, two miles and it's a walk run because my cardiologist, that's all they'll allow me to do. But so I often think to myself, like, okay, there are times where I do have imposter syndrome because of the world that we live in. Okay, can I do this? Because it wasn't only right. Of course I can. I have 15 years of plus of experience treating this particular um, this particular group of people. I do the research, I've seen the cases, I've got people better, and I did run a lot for long distances before. But it's just I do struggle sometimes because I do have younger uh therapists that are incredible. And you know, one's training for a marathon right now, and one runs a lot of marathons all the time. And sometimes I kind of feel like, oh, I don't really do that anymore. Should I still be doing what I do? And that's just a that's a me issue. That's a not enough issue that you got to work on, but it's true.

SPEAKER_00 42:36

Yeah, no, for sure. Um, no, and if if if uh uh Kate mentioned her heart story, if you want to hear more about that, she wrote a book all about it, so you can read that. And I think we even talked about that in uh first podcast, but it's it's racing heart. Is that the name of your yeah of your book?

SPEAKER_01 42:49

But not that there are some racing heart books out there I found out later that are a little racy.

SPEAKER_00 42:54

So rich that it's a little dragon smut. So make sure that it's racing heart of and then my name about it. There's a there's a heart on the cover, and then Kate is the author, and there's no dragons and no smut. Which is fine. Which is fine if you're into that. This is not that book. Um, yeah, so if you want to know more about that, she she goes, there's a whole book about it. You can read about that. Um, yeah, okay, so we've got the app, we've got the podcast. It I mean, I feel like you're also in your part of your career too, where um you've got head down, but it's all about getting better information out to without signing corny like society as a whole. Like, where do you feel like that turn or that inspiration really shifted? Because I mean you're you're on the back half of your career, you know, like when when does it go from that person in front of you to how do I take this and and get it to more people and and make a big Difference.

SPEAKER_01 44:01

Yeah, I think that when you have a team like I have that you're very confident in in the clinic. So again, I love my team of therapists. I think they're incredible. And um my uh precision is 10 years old this year in November. Oh happy birthday! Thanks. Um, so I feel confident that they are doing the things that they need to be doing to taking taking care of people on an individual basis. And I would see them, I would send my family to see them, I would, you know, all of that. And so because of that, I am allowed. It sounds like I have been able, I should say, not allowed, I've been able to make the space to do the bigger thing. And I've always known that it wasn't gonna be just me in a room. It was never going to be just me in a room treating a patient. And I do love that, and I still do that. Um, it's just on a smaller scale. Um, so I knew that I had to um do something more because I was frustrated with how healthcare was and how it is, and I didn't like how patients are treated and I and how disjointed everything was. And and I knew that I had the grit and the capacity and the loud voice that could change things. And that that's true. Like you can't be shy and you can't be afraid to, I mean, offend people if you want change. And um, I want change, I want better for my patients, I want better for all of our patients, I want better for our runners and our women and all of those things. And um, at some point when you're comfortable enough where you are and you have the support that you need, um, either in your clinic and also, of course, my uh my family, my son is old enough. I have now the capacity to do things on a larger scale to help the greater good.

SPEAKER_00 45:54

Yeah. No, I I feel like, you know, especially when, you know, we're lucky enough to have our practices and things like that, you do. You you want to be able to turn around and be like, all right, well, how yes, my local community has that benefit. How can I, you know, it's almost give back in in some ways, you know, because you're like you you want other people to have access to that information too. It shouldn't be, you know, just that privileged little bit. But yeah, love that.

SPEAKER_01 46:19

And you see that too, because our community, you know, they really are thriving. Um and you ask yourself, okay, well, why aren't all these other people thriving? And even when I treat elite athletes from other parts of the country that come in for races um in Atlanta, I'm always shocked at what they're doing and the care that they're receiving. And a lot of times they'll reach out to me later and say, Hey, you treated me at this race and you said this, and thank you. It made a huge difference. And um I think when I look at those situations, it's it's another way to Yeah.

SPEAKER_00 46:55

I I I mean that that's that's a you know, that could be a whole other podcast too. I mean, I I've been lucky enough to have colleagues in my career that have worked in a ton of pro sports spaces, and so I've gotten to see a little bit how the sausage is made and being pulled in here and there. Um, and it it's not always based on skill and expertise. There's a ton of politics involved and a lot of, you know, finessing because you you've got money at stake and things that you would assume that these amazing pro athletes would have um great resources. And I would dare say eight, nine times out of ten, they don't. Um, and I think that's what's hard too when you see um a lot of them sharing their experiences because you don't always know that they're getting the best care. Um, I mean, I I we we've kind of experienced that a lot watching in the pregnancy postpartum space, a lot more faces um get out there and talk about it and their participation and you hope for the best for them, but you also don't know what their circumstances are and who's surrounding them. And um, the only thing that upsets me is when they turn around and put out a postpartum app and they haven't even had their first kid yet. That's when I'm like, okay, I I get you need to feed your family, but come on here. Yeah, right.

SPEAKER_01 48:10

That's true. Well, I and that speaks to what uh how important experience is. Yeah. And you know, who we were 10, 15 years ago, 20 years ago in the beginning of PT and who we are now is very different. And our experience, um, you can't put a number on that because you can't put a number on how many people we've talked to and connected with and heard their stories and broken down the stories and looked at it clinically and and what we've learned from that and how that benefits all the other patients and all the other people that learn from us later. Yeah. It's just you you just can't.

SPEAKER_00 48:45

Yeah. No, I I again the parallels. I I feel like, especially in the movement space, running, weightlifting, pregnancy postpartum, like just women in general. I feel like there's been such a huge shift. And I mean, I do not practice at all the same way I pray I did last year, five years ago, 10, and definitely not 25 years ago, you know, um, which is really fun. I'm glad that I'm not doing the same thing. I think it would be incredibly bored. Um, but sometimes people don't realize how much has changed too. Um, and and that's all right, we'll get them caught up. It's all good. It's true.

SPEAKER_01 49:19

And actually, even the programs that I wrote initially for Run Source when I started working on it a few years ago, I rewrote them all for this version too. I mean, there's obviously some um some similarities, yeah, but um, and I made a list of all the content that we needed to film that's based on new research. Because oh my gosh, yes. Because we don't do the same thing that we used to do. And you know, even the programs um, you know, again, like hamstring tonophy, for instance, right? We know that you have to challenge it a lot more now than we did three years ago. And we have to, you know, we always knew about eccentrics, right? Um maybe not always, but for a long time we've known about it. But we also um maybe didn't use blood flow restriction training as much. And it wasn't available to the regular, yeah. And it wasn't available to the everyday person. They couldn't buy the cup at home. And so um, all of these new things that have happened, you know, over the last couple of years, yeah, I practice completely different. I practice differently this week than I did four weeks ago. I mean, just keeping up with the research, yeah.

SPEAKER_00 50:19

Yeah, some people would think that's irritating. I don't, I think it just keeps me me interested.

SPEAKER_01 50:23

Yeah, me too. It's because we have that same brain that I do, that entrepreneurial brain that is constantly like looking and wanting to do better.

SPEAKER_00 50:30

Yeah, no, definitely, definitely. All right, so you're busy. And then you mentioned your son. What grade is he in? He's in sixth grade. Okay, welcome to middle school. How's it going?

SPEAKER_01 50:43

So uh he's great. Like I um the only thing I struggle with is he has the genetic heart, the gene for the genetic heart disease. That's okay, that I do. Um, and there's they're not really supposed to play a lot of sports, but then they changed the recommendations this year that said, so when we went to see the cardiologist, my cardiologist was like, Yeah, you can let him play sports. And for 10 years, I've been told you can't let him play sports. They're like, But you have to have him followed still, and and you have to still watch him, and um, you know, we have to do the imaging to make sure. And so so this year he's playing soccer. Okay. Um, and but I bring in A D and I'm terrified the whole time on the sideline. And so it's it's uh so I'm really happy for him because he loves it and my husband loves it, and you know, it's it's great. And he even tried out for a travel team that I didn't know what it was. I again, I I because I haven't been I've been running, okay. I know a lot about running, but all these other sports, I don't really know. Oh, it gets crazy. We and I didn't know that if you tried out for a team and you made it what that meant.

SPEAKER_00 51:53

And so if you tried out sorry, I feel like we need a drink now. Like, except for we're pairing menopause, so we shouldn't do something. I don't either. We can have like an ice electrolyte drink, something.

SPEAKER_02 52:08

I can't hear my electrolyte drink.

SPEAKER_00 52:10

Me too. I got element in here.

SPEAKER_01 52:14

Um, but yeah, so I didn't know and I didn't know that he was gonna make it. And he made the team, which is amazing, but um, I didn't know that tournaments were like four games in a weekend, like all these things. I just had no idea. And so um I actually talked about this on a podcast recently, but I had a real live meltdown, like with tears, ugly tears at a tournament in the car when I realized that we had to stay.

SPEAKER_00 52:41

So, how's it going? It's great, everything's fine. Um I feel like you had like kindergarten through fifth grade smashed into like a weekend course, because that's really not fair. Right, yeah, there's a reason we are not a soccer team, a soccer family. Um, we did a brief foray into winter swim. That is also third circle of hell tinged with chlorine. Um I'm really lucky my kids like to try a bunch of different things, and but we're we're not travel people. No, and we are not nothing, not there's anything wrong with it. It's very much the culture where I live here. We are not travel people.

SPEAKER_01 53:18

Turns out I'm definitely not, and we've made some um adjustments. Adjustments, and I only go to one game a weekend. Okay, my son is the coolest, he's like a 55-year-old in an 11-year-old body. That's so sweet. He just said, you know, mom, you gotta do what's good for you. I just want to play soccer, and I know you love me. And if you can't be there, it's okay.

SPEAKER_00 53:38

Okay, well, thank you, honey. That's great. All right. Well, if you need to be filled in on any of the other sports drama, well, just text me. I got you. I still don't. We've done field hockey for I don't know, four or five years now. I still don't understand field hockey. Softball, I'm getting at. She started that in first grade. Swimming, I kind of still understand. None of my kids run. And I was like, really?

unknown 54:03

Really?

SPEAKER_01 54:04

See, and the thing is, Andy really can't run because of the G like that is like the number one, which soccer is second. There's a lot of running, yeah. But um, he can't run. And that would be the that's a I would love to go to cross-country meets, and I would that would be so fun, and he's got really good running form, but I, you know, in certain ways, but I can't encourage him.

SPEAKER_00 54:24

I'm I'm I'm secretly hopeful for my daughter. Um, she has the option to potentially do it next year. I think my son, he's got the build for it, but he has no desire to we're starting, we're we're starting with um, he's trying the the precision air rifle um club at his high school. Um I fun fact was actually captain of my college rifle team. You were? I was, yeah. That's amazing. I know. Um, we used to, it was an NRA college club, and so we used to shoot at like MIT and Army and Navy and all that. Um, and it would what was even funnier was my so when I graduated, so it was my fifth year in uh PT school, um, I got the female college athlete, academic athlete award. I was like, oh, we're counting that. This is me having come from like running and skiing and swimming. I'm like, oh no, it was the it was the rifle girl that she got female athlete. Wow, that's cool. Anyway, so he's got he's got the jeans for it. I don't know about the vision, but we'll see. But yeah, anyway, I digress. All right, at the end of every episode, we ask a couple of questions. Um, you're probably reading just tech books right now. Um, but what's a book you're reading or podcast you're listening to right now?

SPEAKER_01 55:38

Oh, um, I've been listening to a lot of different podcasts, but I do like Smartless because it is not in our genre and it gets my brain. So I'll listen to tons of uh podcasts about running, and then um on my way to work, I'll listen to like a smartless podcast. Um it just changes my brain. Yeah, and I really like that. And then in terms of books, I read um hundreds of books a year, and which is crazy. I don't know where I find the time, but some of it is some of that dragon smut.

SPEAKER_00 56:09

I'll be honest with you. I love it. I have been told that calling it dragon smut is offensive, so I apologize to anybody that is, but I don't know what else to call it. So um I actually love it. It's really funny, and I'm I can't believe I'm um announcing this on a podcast because there's a lot of people that listen to it.

SPEAKER_01 56:23

It's read it uh a little embarrassing, but I love it so much because again, it changes. I'm in such a um like logical mindset all the time, and I'm like solving cases all the time that to listen to something or read something that is out there and different. I I really, really enjoy it. So so I listen to that or read that. Um, and then I'm looking at this book over here that I'm about to start. Uh I I really want to, uh it's by a sports psychologist and it's about girls and running. Um, I think it's the price she pays. Um, um Katie wrote that. Yes. Katie wrote it. And um she's great. I met her at um athlete conference, and we've talked several times on the phone because I want her to be on the Run Source app. Yeah, no, that would be awesome. And awesome. I uh I really, really am going to read that one next because it's she I um it was sent to me. Dr. Lesco sent it to me a few weeks ago, and uh that's on my to-do list.

SPEAKER_00 57:25

I'm actually check chatting um another female athlete uh author, Maggie Mertens, we're chatting today. She did um Better, Stronger, further. Um, it took me a long time to read it because um I got very angry because a bunch of people telling women they can't do things and I would just need to take a beat. Um, next question. You too. I get that. I get that. Take beat. Uh favorite activity since becoming a mom, it doesn't necessarily have to do with your son. That's coming. Cologne time.

SPEAKER_01 57:56

That counts. Um, no, but actually, um I in relationship to my son, what I really love is our bedtime routine. He's 11, so I'm not sure how long much longer it's going to last. Yeah. Um, but every single night I put him to bed and we laugh so hard. He he he actually told me that I was childish the other day. And I said, Well, most people consider me pretty serious. He said, Well, they don't know you. And um, we were just laughing so much, and we tick like we tickle, we laugh, we tell jokes, um, we read every night. And so that's really that is my favorite.

SPEAKER_00 58:34

I like that. Yeah, hold on to that one as long as you can, for sure. For sure. Um, who's somebody in your space um that we should know about? Who are you fangirling over right now? Katie is a good question. Actually, Katie, the book is is definitely somebody. Um what's Katie's last name? I'm forgetting. Okay. I really want to walk over there and grab that book. That's okay.

SPEAKER_01 59:01

Um uh she's definitely somebody. Um uh that's probably her IB. Yeah, that's probably her IB. There's a lot there are a lot of people that come to my mind, but um, she's the one that I'm I'm focusing on right now because I want to read the steel because Tiffany Brown. That's right. She's I can't obviously I'm not gang-girling that much on anybody, but I don't know her last name. She's amazing, and I've had conversations with her and I email with her and I don't know why.

SPEAKER_00 59:31

I think it's But you know her first name, which is Katie, which is really all that matters.

SPEAKER_01 59:35

It's really that brain, you know, that perimetopausal brain.

SPEAKER_00 59:40

I think I think my my plate, my brain plate is just very dreamful. I'm not I'm not blaming perimenopause, I'm just blaming life in general.

SPEAKER_01 59:46

So I yeah, I've probably always been like this.

SPEAKER_00 59:51

All right, for you, last question. What does it mean to you to be an active mom?

SPEAKER_01 59:55

Yeah, so I um I am very active physically, even though I have the heart gene. So I actually lift weights two to three times a week. I walk every uh I walk every day and I have my one run a week with my running partner, and then um just chasing around and and playing as much as I can with my son, whether it's throwing that hacky sack, I try not to get him to do it in the house, but it does anyway. And then I end up doing it without realizing I'm breaking my own woo or um, you know, kicking the soccer ball or whatever it is, but uh trying to do all of that. I love that. I love that.

SPEAKER_00 1:00:32

All right. If you want to learn more about Kate, the name of the podcast is interdisciplinary K Smiles Podcast. Um, and then you can check her out over on Instagram in all the different places. Uh I'm gonna do, I'm gonna do this. I'm gonna do Kate Mahevik Edwards.

SPEAKER_02 1:00:49

Mehivik.

SPEAKER_00 1:00:51

Think of it Mahivik. Mahivik. Okay, you're gonna quiz me next time I see you. That's all right. I'm gonna give you another little flair. I'm like, I like the accent the other way. Uh FB Run Source, and then at precision P T underscore ATL. Um, Kate, I'm really not gonna mess this up and say it again, but we're gonna do it. I'll catch you next time. Thank you so much. I can't wait till we get to hang out again in real life. Um, that was so fun to do that at Female Athlete Conference, and um, I'm excited to give some of those episodes a listen. So thanks for joining me on the show.

SPEAKER_01 1:01:24

Yeah, thank you for having me, Carrie, and I can't wait to hang out with you either.

SPEAKER_00 1:01:28

If you're navigating pregnancy, postpartum or perimenopause, whether personally or professionally, check out all our free resources and upcoming courses at carypagliano.com. This podcast reflects the opinions of Dr. Carrie Pagliano and her guests, and it is for entertainment purposes only and should not be considered medical advice. Always consult your healthcare provider with any medical questions. If you enjoyed the episode, please take a moment to leave us a five-star review on your favorite podcast platform. And thanks for listening.