Latest / Pelvic PT Rising / The Importance of Quality Continuing Education: An Interview with Nelly Fagani

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The Importance of Quality Continuing Education: An Interview with Nelly Fagani · Pelvic PT Rising

• 0:02
  Speaker 1: In the last 10 years, our field has gone from an unknown specialty to a household name.
• 0:09
  Speaker 1: This brings unprecedented opportunities, but we need to rise up to meet them and give our patients the care that they deserve.
• 0:17
  Speaker 1: In order to help others get better, we need to be better.
• 0:23
  Speaker 1: This podcast will help you to become more confident with your patients, more successful in your practice or business and a leader in pelvic health, and we're going to have some fun along the way.
• 0:36
  Speaker 1: Join us as we rise together.
• 0:39
  Speaker 1: We're Jesse and Nicole Cozine, founders of Pelvic Sanity Physical Therapy and the creators of the Pelvic PT Huddle, and this is Pelvic PT Rising.
• 0:54
  Speaker 2: Hey guys, welcome back to another episode of the Pelvic PT Rising podcast with Jesse and Nicole Cozine.
• 0:59
  Speaker 2: Hey, nicole, hello, I'm so excited for you to be talking today on the podcast Nicole, with Nelly Fagani, the owner president of Pelvic Health Solutions and our title sponsor at PelvicCon.
• 1:11
  Speaker 1: Yes, jesse, this is so many podcasts where you have not been involved.
• 1:16
  Speaker 1: How do you feel about that?
• 1:17
  Speaker 2: Well, this is great.
• 1:18
  Speaker 2: I listen to them all while having my feet up and drinking in my time.
• 1:23
  Speaker 2: I don't know why I have been recording 350 podcasts when I'm clearly not necessary.
• 1:29
  Speaker 2: So, you're actually joined by guest host Jessica Real on this, but this is a great conversation with Nelly, and Nelly somebody who was an attendee at the first ever PelvicCon got really inspired, excited about it and wanted to be more involved and now this year is our title sponsor and really just a huge part of putting on PelvicCon are the people who are helping out along the way and sponsoring.
• 1:56
  Speaker 2: It's really huge and what she's doing with Pelvic Health Solutions is really just a shift for the way that the field has been going.
• 2:04
  Speaker 2: With some of these big companies who are no longer run by Pelvic Health providers, it's really neat to see somebody who's still treating patients and has an idea, has their finger on the pulse really, of what's practical, what people need when they come to Pelvic Health Education.
• 2:20
  Speaker 1: Yeah, I'm really excited for y'all to get to know Nelly a little bit more as well.
• 2:24
  Speaker 1: Not only is she a multi-location practice owner in Canada, she's also a lead physical therapist.
• 2:31
  Speaker 1: She's served on a bunch of different boards of the board of directors.
• 2:35
  Speaker 1: She's been on the International Continence Society board so she really has been a leader in her field in the Canadian Pelvic Health space and is running Pelvic Health Solutions now and helping all of us to get educated with Pelvic Rehab Knowledge.
• 2:50
  Speaker 1: So really excited for you to just to get to know her a lot better in this podcast.
• 2:55
  Speaker 2: Yes, she will be live in person at PelvicCon.
• 2:57
  Speaker 2: For those of you guys who are coming, that brings us to an announcement.
• 3:00
  Speaker 2: If you are coming to PelvicCon, make sure you have purchased your add-ons.
• 3:04
  Speaker 2: There are still tickets left to the clinician's owner lunch, the business owner lunch and post con, all of which are going to be amazing events.
• 3:13
  Speaker 2: As of right now, I will say Nicole, business owners lunch is running a little ahead of the clinicians lunch, you guys okay.
• 3:21
  Speaker 1: So Jessica and I just planned the most amazing clinicians lunch for y'all.
• 3:26
  Speaker 1: The title of it is staying in love with Pelvic Health.
• 3:29
  Speaker 1: What we're really going to talk about is being able to combat burnout.
• 3:34
  Speaker 1: Burnout is one of the most things that plagues our specialty and something that I feel like almost every single person, whether you realize it or not, has experienced symptoms of, and we are going to share our stories with you.
• 3:47
  Speaker 1: We're going to tell you how to combat it and to make sure you stay ahead of the game, so you can stay in love with our profession.
• 3:53
  Speaker 1: Doesn't that sound much more interesting than a business owner's lunch?
• 3:59
  Speaker 2: Well, this is a real challenge for me, nicole, because I do want so much to kick your ass.
• 4:05
  Speaker 2: Just, you will not live it down for the next 360.
• 4:10
  Speaker 2: We're going to be having conversations about other things.
• 4:12
  Speaker 2: You're going to be like should Clay be eating that?
• 4:14
  Speaker 2: And I was like do you remember how many people showed up for the business owners lunch?
• 4:18
  Speaker 1: You guys.
• 4:18
  Speaker 1: We are having a big time issue now with this because Jesse and Andrew's lunch is like a little bit ahead right now of spots available and there are limited spots available, but there are still spots available for both things.
• 4:35
  Speaker 1: So we really need you guys to get it together and go to the clinicians lunch and be done with it and let's kick Jesse and Andrew's freaking asses.
• 4:46
  Speaker 2: Guys, I don't know, I don't.
• 4:49
  Speaker 2: Honestly, I don't think it's going to be that good.
• 4:51
  Speaker 2: It's just Nicole and Jessica sitting there for an hour plus with you guys on comfy chairs in this small, intimate setting, talking about how to have a long, healthy, productive career.
• 5:03
  Speaker 2: That sounds like a yonor.
• 5:05
  Speaker 2: I'm going to be real with you, nicole.
• 5:07
  Speaker 2: I think you guys, even if you're not interested in business, if you don't have a business, I think you should just check out the business owners lunch instead.
• 5:14
  Speaker 2: Even if you don't have a business.
• 5:16
  Speaker 2: Even if you have no interest in business, it's going to be fascinating.
• 5:19
  Speaker 2: Oh my goodness, so okay you guys.
• 5:21
  Speaker 1: there is some serious waitress going on, so please sign up now, Don't miss out.
• 5:25
  Speaker 1: It really.
• 5:26
  Speaker 1: Both of them are really going to be amazing and there's a deadline.
• 5:30
  Speaker 2: Yes, the other thing right, you guys are listening to this is tomorrow.
• 5:33
  Speaker 2: The other thing that is just really cool about this it's going to be some great food and you're not going to have to venture out in some Atlanta humidity.
• 5:40
  Speaker 2: It's right there in the hotel for both of our things.
• 5:43
  Speaker 2: It's going to be really convenient, really nice and easy.
• 5:47
  Speaker 1: And we made sure that, just in case you want to go to both, there is different lunches on each one day.
• 5:52
  Speaker 2: Different lunches, vegan options all the things Vegan or vegetarian.
• 5:56
  Speaker 2: I honestly.
• 5:58
  Speaker 2: They both start with V and I'm not interested in either, so I don't check out the website.
• 6:02
  Speaker 2: I don't listen to him.
• 6:03
  Speaker 1: He's just the planner.
• 6:04
  Speaker 1: Yes, okay.
• 6:07
  Speaker 2: So guys love this conversation.
• 6:08
  Speaker 2: If you are coming, make sure you're grabbing your add-ons.
• 6:11
  Speaker 2: If you're not able to make it in person or tickets had sold out, make sure you've got about eight-ish, 10-ish days I'm not quite sure how many left to get the recording.
• 6:20
  Speaker 2: If you are not going to be there, that will give you access to all 15 talks, all the great speakers, the downloadable Pelvicon manual, the access to eligibility for CEUs All of that stuff comes with the recording.
• 6:34
  Speaker 2: So if you're coming, grab your add-ons.
• 6:35
  Speaker 2: If you're not able to make it grab your recordings, you can find those at pelviconcom slash recording.
• 6:41
  Speaker 2: So, with no further ado, here is Nicole and Jessica talking with Nellie Fagani.
• 6:50
  Speaker 1: Welcome everybody to the Pelvic PT Rising podcast.
• 6:53
  Speaker 1: We have two special guests for you all here today.
• 6:57
  Speaker 1: First off, we have Jessica Rial, co-founder of Pelvicon and owner of Southern Pelvic Health in Atlanta, Georgia, and we as the Pelvicon Committee are so excited to have Nellie Fagani here from Pelvic Health Solutions.
• 7:10
  Speaker 1: Pelvic Health Solutions is a Canadian-based company that is dedicated to continuing education of pelvic rehab providers.
• 7:17
  Speaker 1: Nellie is a Canadian physio herself and is the owner and founder of Pelvic Health Solutions, so we are very excited to have you, Nellie, on and learn a lot more about you and your company.
• 7:29
  Speaker 1: Say hi to everybody.
• 7:32
  Speaker 4: Hi everyone, I want to start off with just saying thank you for inviting me here today.
• 7:37
  Speaker 4: I had the pleasure of sponsoring and attending Pelvicon last year and it was nothing less than amazing.
• 7:43
  Speaker 4: You had a stellar lineup of dynamic speakers and it was so well-organized and I left feeling motivated and inspired, and I'm honored and excited that you asked me to be this year's Platinum Sponsor, so I'm very happy and excited, yeah awesome and you are the title sponsor, pelvicon Title title, the one, the only title, the most important one.
• 8:10
  Speaker 1: So we're we just really thank you for that and all of your support that you've shown, jessica and I, through Pelvicon and then also just being there in person, coming up here.
• 8:18
  Speaker 1: But, nellie, we have questions about who you are.
• 8:23
  Speaker 1: So for most people who might not know you, they may know Pelvic Health Solutions, they may not, but I think it's important to kind of know the founder's story and the passion that's behind the company so that if people are going to be thinking about who to take courses from, they're going to kind of know who you are.
• 8:43
  Speaker 1: So, nellie, can you just give us the rundown of how did you become a Pelvic Health Physio?
• 8:48
  Speaker 1: How does that work in Canada?
• 8:50
  Speaker 1: How long have you been practicing?
• 8:52
  Speaker 1: And, side note, nellie has how many clinics?
• 8:57
  Speaker 4: Seven in the Greater Toronto area.
• 8:58
  Speaker 1: Yeah, seven in the Greater Toronto area, which is also amazing, but yeah, just how did you get into business ownership that way?
• 9:06
  Speaker 1: And then, finally, where was Pelvic Health Solutions born?
• 9:10
  Speaker 1: And we would love to hear your story.
• 9:13
  Speaker 4: Sure.
• 9:13
  Speaker 4: So I graduated from the University of Toronto in 1996 and my brother, who is also a physiotherapist, and I opened our first clinic in 1998.
• 9:23
  Speaker 4: And it was then at our open house that the urologist in the building approached us and had just come back from the International Continence Society and was really excited about the high level of evidence there was to treating incontinence and asked us if that was something we treat.
• 9:40
  Speaker 4: And I was like never heard of it very much before.
• 9:44
  Speaker 4: But I was like, well, I guess I can teach Kegel exercise.
• 9:47
  Speaker 4: And he was like, oh, there's so much more than that.
• 9:49
  Speaker 4: And you could assess the pelvic floor and sure people are doing it properly by feedback and muscle stim, and this is like 1998.
• 9:58
  Speaker 4: Right, so it wasn't like I could Google something, Right?
• 10:01
  Speaker 4: So my brother and I went down to the basement stacks of U of T to see what is the evidence for the stuff that he's talking about.
• 10:09
  Speaker 4: And we were blown away.
• 10:10
  Speaker 4: This is going way back.
• 10:12
  Speaker 4: And so I looked into courses and when I found the courses that were being taught in Canada, I was really hesitant because the thought of dropping my pants and practicing on each other, you know, I felt very vulnerable and I was like, yeah, I didn't go into physiotherapy to be a urologist, gynecologist or anything like that, I'm a manual therapist.
• 10:33
  Speaker 4: I don't want to do that.
• 10:34
  Speaker 4: I was kind of eke out about it and my brother pretty much said you know, buddy, you got to take one for the team.
• 10:40
  Speaker 4: You know, we have the doctor that's ready to send patients to us and we haven't even opened the door.
• 10:46
  Speaker 4: So I went to my first course very hesitant and skeptical and came out very inspired and motivated and just started practicing pelvic health and was blown away at what amazing results I got and my caseload became 100% pelvic health very quickly.
• 11:05
  Speaker 4: So that's sort of how I got into the pelvic health piece and pelvic health solutions really was founded in 2009.
• 11:13
  Speaker 4: We started teaching in 2010 out of the need to develop pelvic health resources in Ontario at a time where it was really a very under-serviced health concern right.
• 11:23
  Speaker 4: So I'm proud to say that we're currently the largest private postgraduate public health training company in Canada.
• 11:30
  Speaker 4: By no stretch of the imagination that I do this by myself.
• 11:33
  Speaker 4: It truly takes a village, and I'm grateful to the PHS team that continues to provide feedback and help maintain the literature and it's sort of how we got started and the courses continue to grow.
• 11:49
  Speaker 4: During COVID it happened about a week or 10 days Like we went into shutdown here in Canada and it was prior to me teaching one of our oncology courses which I had a full course registration for and it was a more advanced course so there was no practical piece that had videos of all our labs recorded.
• 12:11
  Speaker 4: So I quickly transitioned and was a steep learning curve on Zoom and transitioned it to a live online course and the feedback was just so phenomenal that that's what we have hybrid courses.
• 12:24
  Speaker 4: For many of our classes we still have in-person classes, but, for example, our level one and level two course, like we do two days of online courses and then go into the practical with satellite labs across Canada and we're hoping to expand beyond that.
• 12:42
  Speaker 3: That is so cool, nellie.
• 12:44
  Speaker 3: I am so appreciative of you as a clinician and as an instructor because I think when we hear your story you really have done so much and I think you have so much humility and even as you were sharing I was thinking she's totally underselling all of the cool stuff that you do, because you really have done so much in our field with all of the advisory boards that you've been on and everything like that and all of that kind of goes into what makes you such a unique leader.
• 13:13
  Speaker 3: I think a public health solution, but can you talk to us a little bit more about public health solutions and kind of what makes it different and what makes it unique in who you guys are and what you offer?
• 13:28
  Speaker 4: So I guess, like many other instructors, our team stays on top of incorporating the recent research and up-to-date terminology into all our courses.
• 13:37
  Speaker 4: Our level one and two are a bi-cycle social approach to assessment and treatment for everyone.
• 13:43
  Speaker 4: So females, males, transgender, non-binary and gender diverse individuals who experience incontinence prolapse or pelvic pain.
• 13:51
  Speaker 4: So you don't need to take a separate course to get the appropriate transfer knowledge to that.
• 13:59
  Speaker 4: Yeah, the training to do that.
• 14:00
  Speaker 4: Right from the start, we incorporate a framework to include a trauma-informed approach.
• 14:05
  Speaker 4: So our level two has actually a one-day course that's integrated because inevitably when we're working with people there is a history of trauma.
• 14:14
  Speaker 4: So I feel very passionately about incorporating that framework into it.
• 14:19
  Speaker 4: Participants on these courses receive all the necessary assessment and educational handouts so they can get started.
• 14:27
  Speaker 4: You don't need to recreate the wheel.
• 14:28
  Speaker 4: You have everything to get going the next day.
• 14:32
  Speaker 3: Yeah, I feel like it's really important, like patient education, so they get them and they can immediately use it with their patients.
• 14:39
  Speaker 4: Absolutely.
• 14:40
  Speaker 3: That's big.
• 14:41
  Speaker 4: Thank you.
• 14:42
  Speaker 4: Yeah, I think I felt like that's very, very important For a lab portion.
• 14:47
  Speaker 4: We have a high ratio of lab assistance to registrants, so it's usually four to one, but not more than six to one, so all your questions can be answered, and so that high ratio is really important.
• 15:00
  Speaker 4: And what makes us different?
• 15:01
  Speaker 4: Our prices are in Canadian funds, which makes the rates very competitive and affordable.
• 15:07
  Speaker 4: So I think what a dollar of ours is like 10 cents of yours on the cities, I don't know what is it now.
• 15:14
  Speaker 4: I'm not sure.
• 15:17
  Speaker 1: It's competitive.
• 15:17
  Speaker 1: That's super awesome.
• 15:18
  Speaker 1: Now, is that something was the addition of all of those things the biopsychosocial approach, the trauma-informed approach from the get-go, the commitment to changing the terminology as the field grows and that becomes more apparent.
• 15:35
  Speaker 1: Is that something that you did gradually and has gradually improved in your courses, or is that something that always has been there because you've been super passionate about it the whole time?
• 15:45
  Speaker 1: Talk to me about, because I know that, being a creator like that of this company, it's very difficult to stay on top of all of that.
• 15:52
  Speaker 1: So where does that come from with you?
• 15:55
  Speaker 4: Yeah, so right from the get-go.
• 15:56
  Speaker 4: Of course, at the time it was all very evidence-based what the evidence was at the time, the resources we've provided right from the get-go.
• 16:05
  Speaker 4: But things are continuously changing.
• 16:08
  Speaker 4: Our terminology has changed.
• 16:10
  Speaker 4: We go to most of the conferences that we can to be able to stay on top of that, so it's continuously changing.
• 16:18
  Speaker 4: There isn't a course that we've taught, that we haven't improved, based on feedback and flow.
• 16:22
  Speaker 4: So I think it's continuing improvement.
• 16:25
  Speaker 4: Yeah.
• 16:26
  Speaker 1: And then can you give us just one example, because I know that you have served in the past on the physiotherapy committee for the International Continent Society.
• 16:34
  Speaker 1: So give us a little snippet of education on what has changed in terms of things that you've learned through the International Continent Society that now is in your courses.
• 16:44
  Speaker 1: Can you think of an example of that off the top?
• 16:47
  Speaker 1: Put me on the spot, nellie.
• 16:49
  Speaker 4: Yeah, a little bit.
• 16:50
  Speaker 4: I mean, I think that the evidence is continuing to change.
• 16:56
  Speaker 4: So we're taking a very biopsychosocial approach and it's not just the tissue.
• 17:01
  Speaker 4: Those psychosocial contributors really make a difference.
• 17:04
  Speaker 4: So that's something that we I think we've been doing, but have incorporated and bringing the evidence very much into it.
• 17:12
  Speaker 4: One of the things that Public Health Solutions is doing is we're applying for accreditation through the ICS for all our courses.
• 17:19
  Speaker 4: I haven't done it so far because my term just ended December of last year and I didn't want there to be a perceived conflict of interest with that.
• 17:27
  Speaker 4: And currently I'm on the local organizing committees because ICS is in Toronto this year, which is very exciting.
• 17:34
  Speaker 4: So we'll look that up and come Please.
• 17:37
  Speaker 4: That would be amazing.
• 17:38
  Speaker 4: It's some great plenary sessions and workshops that are there.
• 17:42
  Speaker 4: So, just staying on top of it, and one of the things that ICS, the Physiotherapy Committee, did was look at the various courses that are taught internationally, whether it's in university programs or these private postgraduate companies, and there's just so much difference between how things are taught, what is included from the get-go.
• 18:03
  Speaker 4: So I had the opportunity to see that and I'd like to think that we've done a really good job of making sure that all those components that are necessary right from the beginning, including that trauma informed approach, are integrated.
• 18:20
  Speaker 3: That's super cool.
• 18:20
  Speaker 3: Can you talk a little bit more about the accreditation by the ICS, what that kind of means to you all?
• 18:29
  Speaker 3: Why is it important?
• 18:30
  Speaker 3: Why should it matter to other rehab professionals that that's something that you all are seeking out?
• 18:38
  Speaker 4: Yeah, because there are so much differences in how everything is taught.
• 18:42
  Speaker 4: I mean, obviously it's important to have all the evidence up to date.
• 18:46
  Speaker 4: It is also really important that we all talk the same language, so that terminology, that up-to-date terminology, has to be there.
• 18:56
  Speaker 4: So saying things like hypertonic pelvic floor, overactive pelvic floor are not the up-to-date terminology.
• 19:04
  Speaker 4: We need to start talking with respected tone, increased tone, decreased tone.
• 19:08
  Speaker 4: So we need to speak the same language and make sure that we're treating people properly with the most up-to-date evidence.
• 19:18
  Speaker 4: It's very important.
• 19:20
  Speaker 1: Yeah, and that goes for our interventions as well as the way that we classify diagnoses and stuff like that.
• 19:28
  Speaker 1: I know that there's been always a huge thing about interstitial cystitis and what are we calling that versus bladder pain syndrome, versus painful bladder syndrome?
• 19:36
  Speaker 1: So I love that that is something that you guys prioritize, because I think that then people that are taking your courses can be certain that you guys are always updating it and using the most up-to-date language.
• 19:50
  Speaker 1: I think that that is really important and I think some people could say that, as that really matter, I'm just going to continue calling it hypertonic or whatever, but it does matter and if we want to be the best possible practitioners that we can for our patients, then we do need to have that level of scrutiny when we talk about our language.
• 20:09
  Speaker 1: Totally agree.
• 20:12
  Speaker 3: I think it especially matters for multidisciplinary care too, you know, because if I'm calling the pelvic floor one thing and I'm working with a physician, they may not know even what I mean by what I'm saying or what they read in my note, and then the patient's care ultimately can end up suffering, because we're not all on the same page, you know.
• 20:32
  Speaker 4: I agree.
• 20:33
  Speaker 1: So go ahead and talk to us, too, about the decision.
• 20:37
  Speaker 1: So who can take your courses?
• 20:39
  Speaker 1: Because there are a lot of different types of pelvic rehab providers and at Pelvicon we have specifically made sure to be inclusive of all people that practice pelvic rehab.
• 20:50
  Speaker 1: So if someone's an occupational therapist, if someone's a physiotherapist without a doctorate, can they all take your courses.
• 21:00
  Speaker 4: So we do have courses that don't involve the internal aspects, so non-internal approaches, whether it's during pregnancy, pelvic girdle, pain and content.
• 21:10
  Speaker 4: So really, when you look at the courses, you will see what the prerequisites are and if they include an internal portion, if it is within your scope, because that varies within every country, then you can take it.
• 21:26
  Speaker 4: So we have occupational therapists, we have naturopaths, we have doctors.
• 21:30
  Speaker 4: Take the courses nurses.
• 21:32
  Speaker 4: So that will be clearly outlined under the tab of each course.
• 21:36
  Speaker 4: Yeah, we welcome it.
• 21:37
  Speaker 4: It's excellent.
• 21:38
  Speaker 4: Everyone can bring something different to the table and we learn so much from each other all this time, right?
• 21:44
  Speaker 4: So I encourage everyone to look at the course of dance and please join.
• 21:50
  Speaker 1: That's awesome.
• 21:51
  Speaker 1: That's certainly something that is really important too, because, as our field grows, I feel like, just like you said, there are multiple different disciplines that can really have a different lens through which they look at the patient, and I'm sure that that makes your courses very good in terms of the different aspects and opinions of the participants, so I love that.
• 22:13
  Speaker 3: Now, nellie, we have at Pelvicon and in our community.
• 22:17
  Speaker 3: It's awesome because we really do have an international audience now from many different degrees.
• 22:22
  Speaker 3: But of course, we have a lot of really heavy US-based clinicians who are coming in, and you and I have talked a little bit in the past about how sometimes I think in the US people only think of their options for continuing ed as being like what is available in the US.
• 22:37
  Speaker 3: But the cool thing is that Canada is really really close to the US.
• 22:41
  Speaker 3: I actually I remember at Pelvicon last year I spoke with someone who flew from Canada and we were laughing because it was actually cheaper for them to fly to Pelvicon than it was for people who lived over on the West Coast to fly.
• 22:53
  Speaker 3: You know, like as far as people think sometimes.
• 22:56
  Speaker 3: And so a couple of questions If someone is a US-based provider, they do have the option to attend your courses you mentioned, so they could travel.
• 23:04
  Speaker 3: What about hosting?
• 23:06
  Speaker 3: What about and I say this as someone who has hosted you in the past but bringing Pelvic Health Solutions to the US and doing your courses or even your Pelvic Health series and stuff here?
• 23:17
  Speaker 3: Can you talk a little bit about that?
• 23:20
  Speaker 4: Absolutely Very, very open to that and it's just please contact us, whether it's myself or Sarah Gortz, who is really the wind beneath the wings of this company, who does all the administrative things, and we'd be happy to have satellite labs or full courses at various facilities across the US.
• 23:39
  Speaker 4: Yeah, so it would involve.
• 23:41
  Speaker 4: She would provide you with what you need with respect to the facility, you know number of beds depending on number of registrants.
• 23:48
  Speaker 4: All the supplies would get mailed to each satellite location, so any sort of consumable products like gloves or table paper, drapes, sheets, gel, all of that.
• 24:00
  Speaker 4: And it can still be a hybrid version, meaning that you can attend say it was our public paying course and you wanted to attend the virtual piece, like the online virtual piece, and then we can have lab assistants come to your location for the practical day.
• 24:19
  Speaker 4: So, yeah, that can all be arranged.
• 24:21
  Speaker 4: You know, just an email away.
• 24:24
  Speaker 3: Yeah, that's really awesome Pelvicon right.
• 24:27
  Speaker 4: Yes, come approach us.
• 24:28
  Speaker 4: Yes, yeah, I'm so excited to be there and I have two of my lead instructors I'm Jay Furgett and Amanda Holman.
• 24:34
  Speaker 4: That will be there, and you can talk to any of us with respect to how we can organize that.
• 24:40
  Speaker 1: Well, that sounds awesome.
• 24:41
  Speaker 1: I will be maybe coming to your table then as well.
• 24:44
  Speaker 1: So I have a.
• 24:46
  Speaker 1: Really I want to highlight something that I personally think is really important about public health solutions, and you and Nellie, you still treat patients correct.
• 24:56
  Speaker 4: I do.
• 24:56
  Speaker 4: I see eight to 10 hours of patients four days a week.
• 25:00
  Speaker 1: Yes, that's a lot Okay.
• 25:02
  Speaker 1: So I just really want to highlight the fact that not only are you on different boards and you've spoken to different conferences and you really make a dedicated effort to stay up to date on all of the changing things that are going on in our field, but you're also in it.
• 25:22
  Speaker 1: You're in it with patients, with us, and I think that that's something that is extremely unique when it comes to a continuing education company, that you have a physio that is actively treating in the clinic right now with us all.
• 25:37
  Speaker 1: And I think that I just wanted to make sure we highlighted that aspect, because what do you feel like sometimes?
• 25:43
  Speaker 1: Your day to day interactions with patients influences things new courses and stuff like that.
• 25:49
  Speaker 1: Can you just speak a little bit on how that day to day interaction with patients helps you to create stuff for pelvic health solutions?
• 25:57
  Speaker 4: Absolutely.
• 25:57
  Speaker 4: Being in the clinic, I think, makes a huge difference.
• 26:01
  Speaker 4: I mean, we're all playing this juggling act right, trying to find this balance, and really what fills my cup is treating patients.
• 26:08
  Speaker 4: That's my favorite piece and it's such a privilege to be able to do that, and I think it gives me a real appreciation for how practical it is to be able to apply this evidence that's in the research into that setting, which is what we all want to be able to do.
• 26:25
  Speaker 4: Yeah, that's why I continue to do that.
• 26:28
  Speaker 4: It's my favorite part, for sure.
• 26:31
  Speaker 1: Amazing.
• 26:31
  Speaker 1: That's super amazing.
• 26:32
  Speaker 1: So I just wanted to make sure that we highlighted that man, because that is something that really is unique.
• 26:37
  Speaker 1: Through that lens, you can think about what we can actually need to treat patients well, and then that I'm sure that that disseminates down into all of the courses, in addition to all of the things that you learn about.
• 26:50
  Speaker 1: So I know that we mentioned Pelvicon Again.
• 26:54
  Speaker 1: Pelvicol Solutions is super generous to be our title sponsor this year, which means that you're going to have for those of you who are attending in person you're going to have the opportunity to interact with Nelly and the two other folks that she's going to bring with her as her lead and some of her lead instructors.
• 27:10
  Speaker 1: She's going to be there all throughout the whole weekend, and so we want to make sure that you're ready to talk to 625 people.
• 27:21
  Speaker 1: Nelly, are you ready?
• 27:22
  Speaker 4: Bring it, bring it.
• 27:23
  Speaker 4: I'm so excited.
• 27:24
  Speaker 4: Everybody I like to meet every person.
• 27:27
  Speaker 4: Please come say hi, that's awesome.
• 27:31
  Speaker 3: And I just want to add so, nelly, I have to tell you you have a big name in Pelvicol and you do Don't shake your head at me, you all can't see she's shaking her head.
• 27:40
  Speaker 3: Nelly has a big name in Pelvicol and it is funny because I will say, like last year when, nelly, when you came to Pelvicon, I was like a little bit nervous because you're like this big name, you run Pelvicol Solutions, and I was like, oh my gosh, I hope she likes it.
• 27:55
  Speaker 3: And then you came to Nicole and my post-con course on toxic pain, I was like, oh my gosh, I hope she likes it.
• 28:01
  Speaker 3: And it was nervous.
• 28:01
  Speaker 3: And then once I got to know you are just such a kind, warm and humble person and that's just really amazing.
• 28:10
  Speaker 3: And so I would just say for all the participants who are coming this year, you don't have to feel nervous about coming and talking to Nelly, because she is the literal coolest.
• 28:18
  Speaker 3: We hung out at APTA their combined sections meeting this year and had a wonderful time, and Nelly is just the type of person who you will want to have a cocktail with at Pelvicon and so make sure a happy hour.
• 28:31
  Speaker 3: Y'all are toasting together because she's just the best.
• 28:34
  Speaker 3: I just am so happy that you're going to be a part of it.
• 28:37
  Speaker 3: The ceiling is wholeheartedly mutual.
• 28:40
  Speaker 4: Yeah, we have to have three cocktails, we can't stop at one.
• 28:43
  Speaker 1: Yeah, this is like we're going to leak a little information here.
• 28:48
  Speaker 1: Oh, I'm excited, not leak urine.
• 28:49
  Speaker 1: We won't leak urine, but we will leak your patient.
• 28:52
  Speaker 1: Jesse's going to be like Nicole.
• 28:55
  Speaker 1: Stop with the puns.
• 28:56
  Speaker 3: Because he's not here.
• 28:58
  Speaker 1: You felt like you have to do it.
• 28:59
  Speaker 1: We will have some specialty cocktails at Pelvicon that people can order.
• 29:06
  Speaker 1: We will.
• 29:07
  Speaker 1: That is a sneak peek into in-person conference.
• 29:10
  Speaker 1: We're excited about that.
• 29:11
  Speaker 3: So please be excited because they are fabulous, they're going to be fabulous.
• 29:18
  Speaker 1: All righty.
• 29:18
  Speaker 1: So, nelly, with all of the speaker series and the Pelvicon series that we have on the podcast, we have a lightning round and we're going to ask you four questions that we asked all of our speakers.
• 29:29
  Speaker 1: And so are you ready?
• 29:32
  Speaker 1: Go Okay, nelly, what is the most Canadian thing about you?
• 29:37
  Speaker 1: The?
• 29:38
  Speaker 4: most Canadian thing.
• 29:40
  Speaker 4: Eh so Canada is known for its multiculturalism and inclusiveness.
• 29:47
  Speaker 4: I was actually born in Iran and came to Canada when I was six, so I was in ESL classes, so yeah, that's interesting, I guess.
• 29:58
  Speaker 4: In Canada I love Beaver Tail I don't know if you guys know what Beaver Tail is which is a pastry that's sold in a variety of flavors, so I love that.
• 30:09
  Speaker 3: It's not what I was guessing Beaver Tail was.
• 30:11
  Speaker 4: I know I was like, oh yeah, it's topped with these sweet condiments and like whipped cream, banana slices, crumbled Oreo, cinnamon sugars.
• 30:22
  Speaker 4: Look, I'm drooling.
• 30:22
  Speaker 4: Yeah, so that's Canadian about me.
• 30:25
  Speaker 4: I say sorry a lot, I suppose, probably apologize more than the average person, you know, going through a door first.
• 30:34
  Speaker 4: Sorry, so someone else is late to meet me.
• 30:38
  Speaker 4: Oh sorry, you know, my food choice was better.
• 30:41
  Speaker 4: Sorry, you know really ridiculous non-precious or necessary Sorry.
• 30:48
  Speaker 1: Yeah, how funny, okay, cool, Okay.
• 30:50
  Speaker 1: So then and then, nellie, do you have pets?
• 30:53
  Speaker 4: I have no pets.
• 30:54
  Speaker 4: I have two children, young adults.
• 30:59
  Speaker 4: I suppose.
• 31:00
  Speaker 4: I have two boys.
• 31:01
  Speaker 4: How old are they?
• 31:02
  Speaker 4: So almost 22 and 19.
• 31:05
  Speaker 4: Oh, they're like young men, young men indeed.
• 31:09
  Speaker 4: Wow.
• 31:10
  Speaker 4: What are they all doing?
• 31:11
  Speaker 4: They're in university, studying, yeah, eating a lot.
• 31:18
  Speaker 3: They're probably the most pelvic health informed young men Totally.
• 31:23
  Speaker 4: Totally.
• 31:24
  Speaker 4: It was interesting.
• 31:24
  Speaker 4: A little while ago I had these new models that my younger son had seen and very lifelike and real and just regular stuff hanging around the house, right, and my older son had come home for the weekend and he had just seen a regular public model.
• 31:40
  Speaker 4: He was like I see, you still have these all around.
• 31:43
  Speaker 4: And my younger son was, oh, you should see her new ones.
• 31:47
  Speaker 4: He's like where are they?
• 31:49
  Speaker 4: He's like I think they're upstairs and they're like boom, boom, boom, boom.
• 31:52
  Speaker 4: Yeah.
• 31:54
  Speaker 1: That's actually really funny.
• 31:55
  Speaker 1: I feel like that's going to be Klai's future.
• 31:57
  Speaker 1: We're informed anatomy, everything Perfect.
• 32:02
  Speaker 1: Now, aneli, I know that you're part of a lot of conferences, you're on a lot of boards, you've spoken at a lot of different things, but in your opinion, what are you most excited about in our field of public health rehab for the future?
• 32:16
  Speaker 4: Yeah, Having started in 1998, it's really exciting to see the number of public health physiotherapy practitioners increased and this multidisciplinary team has increased and you can see that in the presence of international conferences and we're at them all right, and I'm excited about the research that's coming out that validates much of what we do.
• 32:39
  Speaker 4: And just even public awareness has boomed significantly, probably with the help of social media.
• 32:45
  Speaker 4: So I just see Just growth.
• 32:49
  Speaker 4: It's phenomenal.
• 32:50
  Speaker 1: Isn't it?
• 32:51
  Speaker 1: It's so, it's so interesting.
• 32:52
  Speaker 1: Um, you've been practicing obviously longer than I have, but I started practicing in 2006.
• 32:57
  Speaker 1: Um, I know, jessica, you were around that time as well it really has, over the last Five years or so, I would say, really skyrocketed.
• 33:06
  Speaker 1: I would love to see a like, a graph.
• 33:08
  Speaker 1: It's like kind of increasing and then like boom.
• 33:12
  Speaker 1: And I bet you, if you did a graph superimposed on that of social media, it would be when things were started to become Instagram, facebook, all.
• 33:21
  Speaker 1: I bet you that graph would be Very similar.
• 33:24
  Speaker 1: So it's been really cool, I feel like.
• 33:26
  Speaker 1: Just from a public health awareness as well, I'm excited for the future.
• 33:30
  Speaker 1: All right, last question If you weren't a physio, what would you have chosen for your career?
• 33:37
  Speaker 4: so when I went into university, I was in this, those general sciences, and my schedule was all over the place.
• 33:43
  Speaker 4: So I had some time and I started volunteering at Sickid's Hospital and they happened to put me in the physiotherapy department and, to be completely honest, I just saw a bunch of women that were working.
• 33:55
  Speaker 4: They didn't look like they were working very hard, but enjoying what they did, and at that time I was very young and I think they were nicely dressed.
• 34:03
  Speaker 4: So I was like, oh, they must make good money, so I want to do that.
• 34:06
  Speaker 4: And Then got into it and haven't really looked back at all.
• 34:11
  Speaker 4: So I can't see myself Doing anything else.
• 34:14
  Speaker 4: If I had to follow this path, I would do it the exact same way.
• 34:18
  Speaker 4: I absolutely love it.
• 34:20
  Speaker 1: That's so nice, that's so cool and, thank goodness, those people looking good.
• 34:29
  Speaker 4: I mean I was like 17, 18, I was so young, but yeah, you just don't know I had gone in.
• 34:34
  Speaker 4: I knew I wanted to get into something healthcare related and wellness.
• 34:38
  Speaker 4: I knew I didn't want to go into medicine, and so this just met all the check marks.
• 34:45
  Speaker 3: What a great profession we have.
• 34:47
  Speaker 4: How lucky are we.
• 34:49
  Speaker 1: It's the best, it's seriously the best.
• 34:51
  Speaker 1: I will die on the hill saying that it that being a physio, being a public rehab provider, is really the best ever.
• 34:57
  Speaker 1: We just get to touch of people and just in their lives in such a different way.
• 35:02
  Speaker 1: I think I, you know, I always have joke about.
• 35:05
  Speaker 1: You know, if we're in a Orthos, great, I know that we incorporate orthopedics and a lot of our and a lot of our practice.
• 35:13
  Speaker 1: But, man, like if someone's ankle sprained, that's so different than helping somebody Get back to a meaningful Relationship, sexual relationship with their significant other or whatever.
• 35:25
  Speaker 1: I just feel like there really is an impact, a different impacts that we're making With public health, and I'm sure you guys all feel the same.
• 35:33
  Speaker 1: Well, all righty Well, what a treat we had For you guys all today on the podcast.
• 35:39
  Speaker 1: Thank you so much, nelly, for coming on.
• 35:43
  Speaker 1: If you all Are coming to Pelvicon in person, make sure you stop by Pelvic Health Solutions booth.
• 35:49
  Speaker 1: She will be there.
• 35:51
  Speaker 1: You can talk to some of the lead instructors.
• 35:52
  Speaker 1: I'm just gonna be there all weekend and make sure to share cocktail or two with Nelly Fagani.
• 35:59
  Speaker 1: Thanks so much, nelly.
• 36:01
  Speaker 4: Thanks, Nelly.
• 36:05
  Speaker 2: Hey, what a great conversation and Nelly just seems like I mean.
• 36:10
  Speaker 2: I know I met her so I'm a little bit biased last year when she was at attendee at Pelvicon, but just a great human.
• 36:16
  Speaker 1: Dude, we even talked about you guys better seek her out.
• 36:19
  Speaker 1: Seek out her table.
• 36:21
  Speaker 1: And she's bringing two of her lead clinicians that are instructors at Pelvicill Solutions, and so we definitely said that we she's going to be able to raise a glass and cheers some, some specialty cocktail drinks that we have for you guys at Pelvicon.
• 36:38
  Speaker 1: So make sure that you visit her table.
• 36:40
  Speaker 1: She's going to be there the whole weekend and she's also going to be listening to all of the amazing speakers as well, so we're really excited that in a few short weeks, you can experience her in person for yourself.
• 36:53
  Speaker 2: Yes, you can check out what she's doing at Pelvic health solutionsca.
• 36:57
  Speaker 2: That is notcom, that is dot CA for Canada, I presume.
• 37:02
  Speaker 1: And then you can make sure to follow them on Instagram at Pelvic health solutions and make sure you're following all of us at Pelvicon official as well.
• 37:09
  Speaker 2: Yeah, but so grateful for Nelly for her support, for you know just what a steadfast ally she's been for Pelvicon specifically, but really just for Pelvic health in general, and one of those people who's out there pushing the field forward, and it's really great to be able to have her involved in Pelvicon and have been able to have this conversation today.
• 37:31
  Speaker 2: So hope you guys enjoyed it.
• 37:33
  Speaker 2: Again, if you are coming to Pelvicon, make sure you grab your add ons.
• 37:36
  Speaker 2: If you are not able to make it or couldn't get a ticket, make sure you get your recording.
• 37:41
  Speaker 2: There are going to be 600 plus of us.
• 37:43
  Speaker 2: Nicole taking over hotel.
• 37:45
  Speaker 2: I can't wait.
• 37:46
  Speaker 2: We're only a couple of weeks away.
• 37:47
  Speaker 2: This is insane.
• 37:49
  Speaker 2: We're getting pumped.
• 37:50
  Speaker 1: This is crunch time.
• 37:51
  Speaker 1: We're getting pumped and we're also Jessica and I are having a lot of anxiety around making sure that we can deliver the best amazing conference for you and make sure to grab your clinicians lunch folks, clinicians Lunch.
• 38:05
  Speaker 2: Nicole, you're really just sounded desperate at this point.
• 38:07
  Speaker 1: I'll be honest with you, okay, anyways, get it.
• 38:11
  Speaker 2: It is going to be pretty cool, guys.
• 38:13
  Speaker 2: I mean, if I can't honestly think of anything more important than longevity.
• 38:19
  Speaker 1: Yeah, making sure you can be a PT still.
• 38:21
  Speaker 2: It's the number of people who you know.
• 38:23
  Speaker 2: It's a long game with all of this stuff.
• 38:25
  Speaker 2: So I do think that's going to be an incredible conversation.
• 38:28
  Speaker 2: I'm going to be excited to listen to it, although I'm not buying a ticket because that might not allow it because you're not a clinician.
• 38:34
  Speaker 1: Okay, Well fine.
• 38:37
  Speaker 2: Well, I guess there's no sneaking in.
• 38:37
  Speaker 2: So, anyway, guys, make sure you've got that, make sure you've got your recordings.
• 38:43
  Speaker 2: We are so excited it is going to be a couple of weeks away.
• 38:46
  Speaker 2: We are yeah, we're burning the midnight oil to get all of those details right and we cannot wait to see so many of you guys in Atlanta.
• 38:54
  Speaker 2: So if you have any questions, please reach out, let us know.
• 38:57
  Speaker 2: As always, we want to keep this conversation going.
• 38:59
  Speaker 1: And let's continue to rise.