November 3, 2025 • 33 mins
What if your “knee problem” isn’t really a knee problem at all? We sit down with Dr. Kate Mihevc Edwards, a physical therapist and board-certified orthopedic specialist who practices running medicine, to unpack how true recovery starts when we see the runner as a whole human—body, brain, schedule, stress, and story. From overuse patterns and under-fueling to identity, grief, and fear after injury, Kate shows why collaborative care with sports dietitians, psychologists, and physicians outperforms quick fixes and one-size protocols.
Kate’s own near-fatal bout of ventricular tachycardia during half-Ironman training reshaped her perspective on healthcare. She explains why so many athletes feel dismissed, how rushed appointments miss critical details, and what changes when a clinician slows down, listens deeply, and connects dots across biomechanics, nutrition, hormones, sleep, and medications. You’ll hear a striking postpartum stress fracture case involving IVF, REDs, breastfeeding, and anti-inflammatories—an example of how detective-style intake and smart education can turn confusion into progress without shaming life choices.
We also dig into practical tools. Kate shares the Run Source app, featuring guidance from 50+ experts—PTs, MDs, dietitians, coaches, psychologists—plus interactive logic that asks the questions a seasoned clinician would. She introduces Interdisciplinary Case Miles, a new show where a physician, a dietitian, and a PT break down real cases so you can learn what to ask and how to advocate for yourself. If you’ve been stuck in the injury cycle, this conversation offers a clear path: clarify your why, fuel properly, manage load, respect your mind, and build a team that talks to each other.
If this resonated, follow the show, share it with a runner who needs a nudge, and leave a quick review—what’s the one change you’ll make in your training this week?
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Episode Transcript
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SPEAKER_00 (00:02):
Well, hello, and welcome back to the Healthy
Living Podcast.
I'm your host, Joe Grumbine, andwe have a very special guest
today.
Let's see if I get that middlename right.
We have Dr.
Kate Miavek Edwards, and she's aphysical therapist and uh
board-certified orthopedicspecialist, and she practices
(00:22):
running medicine.
And I'm just gonna leave it atthat for now because she's got
such a wealth of uh bona fideesthat I think we'll just jump
right into it.
Dr.
Kate, welcome to the show.
How are you doing today?
SPEAKER_01 (00:35):
I'm doing great.
Thanks for having me today, Joe.
I really appreciate it.
SPEAKER_00 (00:39):
It's my pleasure.
So running medicine, I uh soundsso interesting.
You know, the the theme of thispodcast is healthy living.
And so we're always looking forum, you know, different pathways
to find health.
And it's amazing the things thatare considered medicine from
(01:00):
plants to practices to exerciseto diets, foods, all of it.
So uh why don't you share withus a little bit about, you know,
what brought you here?
I like to always kind of hearour guest Genesis story.
SPEAKER_01 (01:14):
Yeah, sure.
So I do running medicine, whichis just a niche practice in
physical therapy.
And what I love about runningmedicine is that it is the place
where a lot of multidisciplinarycare occurs.
So it's not uh most runninginjuries are all over the place.
They're overuse injuries, orthey're because of stress, or
(01:36):
they're because of poor eatinghabits, or maybe it's a
biomechanical issue.
So none of these injuries canreally be solved by one person.
And so it really creates a placewhere we can work together as a
team across different medicalborders and learn from each
other so that our patients andour clients can really live a
(01:56):
healthier life.
So many of the people that I seeend up seeing a sports dietitian
or somebody to talk about likewhat they should be doing in
terms of eating to making surethat they're fueling their body
enough to do what they want forexercise.
Or I may refer to somebody for asports psychologist because
they're having a hard time.
(02:17):
Uh, if they're injured, maybethat it's so tied to their
identity of who they are as aperson and they can no longer
run.
Um, they may have to speak withsomeone.
So that's what I love aboutrunning medicine and what I do
every day.
But I started because I was arunner and triathlete myself.
And um I mean, I think that'skind of what always brings us.
(02:37):
It's life experience that bringsus to where we are.
SPEAKER_00 (02:41):
Yeah, that's what I was gonna get to is um, you
know, like you got all thesecredentials and a physical
therapist and a orthopedicspecialist and all of these
things that overlap withrunning, but not necessarily
focus on that.
And uh so you're a runner by byby nature.
SPEAKER_01 (03:04):
Yeah, so I um I didn't run in high school
because we didn't have I went tosuch a small high school that we
didn't have a team.
So I actually ran.
I ran, but we did there was noteam or a coach or anything like
that.
So it's um so I kind of had tofigure it out on my own.
But then it was in college thatI started to run like bigger
races, like half marathons.
(03:25):
And eventually after that, I dida marathon.
And my coach in college wasactually, or right after
college, was actually a physicaltherapist.
So I didn't go to college to bea physical therapist.
I went to college and studiedsports photography, actually,
and market and marketing, whichis really funny.
Um, but then I fell in love withrunning and I just couldn't let
(03:48):
it go.
And my coach let me shadow herin clinic.
And I thought, oh my God, thisis what I love.
This is what I want to do, is beable to help people through
this.
So that's how I landed it.
But then about 10 years ago, Inearly died training for a half
iron man.
And yeah, so it was reallyscary.
(04:09):
I went into ventriculartachycardia on a run.
SPEAKER_00 (04:12):
Wow.
Um, it took about your heartjust starts beating wild and the
rhythm isn't right, you're notgetting the blood flow, and
everything's all like you loseit.
Yeah.
SPEAKER_01 (04:23):
Yeah.
My heart rate, like I could Icould see my heart beating
outside of my chest.
It it was the strangest thing.
And I looked at my Garmin and itwas uh 300 beats per minute, and
then it stopped tracking.
SPEAKER_00 (04:36):
Whoa.
SPEAKER_01 (04:36):
So I thought it was broken.
I didn't actually, you know, inthat moment you look at it and
you're like, there's no way thisis possible.
SPEAKER_00 (04:42):
So I thought that fast.
Yeah.
SPEAKER_01 (04:45):
Yeah.
And so I thought it was brokenand I sat down on my front steps
and I didn't feel good.
So I knew something was wrong.
I was dizzy, I was disoriented.
But then my heart rate convertedback and I didn't do anything
immediately.
It wasn't until the next daythat I went to clinic and I told
my colleagues, and they werelike, What is wrong with you?
Why aren't you at the Yeah,yeah.
SPEAKER_00 (05:06):
Why aren't you strapped up to an EKG and
figuring out what the hell'swrong with you?
SPEAKER_01 (05:10):
But I think that this is where how I practice now
comes from.
As an athlete, um, I was blamingmyself.
I was saying, oh, you must havetrained wrong or you must have
done something.
And we have this idea that wecan just push through anything
and just right.
And we can in a lot of ways.
SPEAKER_00 (05:29):
Most of the time that's that's accurate.
Yeah.
SPEAKER_01 (05:31):
Yeah.
And so I was right.
And then so it took about 10months to diagnose what I had,
and it's a rare genetic heartdisease.
Oh, wow.
During that time, I felt like Iwas losing pieces of myself.
Um, I couldn't run, I couldn'ttrain, I couldn't be with my
friends.
My whole world was aboutrunning.
And it was a really reflectivetime for me in terms of like
(05:55):
what was important and how Iwanted to be treated as a
patient because I often feltlike I wasn't, people weren't
listening to me.
And um, I went all these testsand everything was negative.
And then there was so muchanxiety around it.
And so that process reallychanged who I was as a therapist
as well, and um changed thetrajectory of my life and and
(06:19):
how I treat it.
SPEAKER_00 (06:20):
That's pretty common with patients, you know.
Um I'm going through uh, youknow, recovering from a very
aggressive cancer, and um allthe doctors I've talked to, and
you know, I mean, I'm doing myown research and finding my own
answers, and you try to sharethat with a doctor, and most of
(06:40):
the time they're just like, Idon't know what you're even
talking about, you know, oryeah, yeah, yeah, you know, the
pat you on the head and say, youknow, you go do your thing, but
here's what we're gonna do.
Like you just get talked down toby so many, you know, doctors
and clinicians.
SPEAKER_01 (06:59):
Yes, I think that that is one of the number one
things that's wrong with oursystem, but I think it's a I
think it is a product of oursystem, our healthcare system,
because um we don't have a lotof providers don't have time.
They would spend more time, butthey don't have it because of
the system that they're in.
SPEAKER_00 (07:17):
Oh, yeah, it's a whole metric thing.
I mean, like they got a caseloadthat is probably twice what they
can really handle and they gotto get through it, you know,
it's their contract, it's theirwhatever, and gives you five
minutes with everybody prettymuch.
SPEAKER_01 (07:34):
Yeah, and and so what happens is as patients, we
get lost in translation and wefeel like we have to do the
research on our on our own, andwe feel like nobody's listening
to us and we feel lost, and thatcan create so many other issues
when we really just need tosomeone to listen to us and give
us a plan.
And if they don't know theanswer, that's okay, but they
(07:55):
have to be willing to look foran answer or maybe collaborate
with you to find it.
SPEAKER_00 (08:00):
Exactly.
And that's like old school, likeyou know, you think about the
classic country doctor, youknow, that would come over to
your house and have dinner withyour family, and you know,
they're they're like adetective, you know, they're
spending time watching whatyou're doing, listening,
smelling, hearing, seeing whatyou're eating, and then all of a
sudden, oh yeah, it looks like.
(08:22):
But today you get a littlesurvey to fill out, and it says,
Do you have you?
And the doctor doesn't know ifyou're telling the truth, and
you don't know if you're gettingthe answers right.
And maybe you didn't understandsomething.
And my God, it's just such adisconnect.
SPEAKER_01 (08:39):
Yeah.
And so that's what it's not,that is not how it is at my
clinic.
And it's on purpose, and it'sbecause of my experience, and
it's because of how I believe weshould treat our patients.
And I work outside the insurancesystem, and that so it allows me
to do that.
Unfortunate, unfortunately,that's how we have to do it in
order to provide this type ofcare.
SPEAKER_00 (09:00):
Yeah.
SPEAKER_01 (09:00):
Um, so that's what we do, and we spend a lot of
time on that.
And it's funny you said thecountry doctor, because um,
where I live, I live in this uhsmall health and wellness
community in Georgia.
Nice, right outside of Atlanta.
And um, we have all theseintramural sports and people
like you know, 30s, 40s, 50splaying.
So they're always getting hurt,always.
(09:21):
And I have a medical, like I'mlike I have a bag and I get a
message, like I'll get a calland I actually get on.
We have golf carts.
So I get on my golf cart and Idrive up to the field and I
assess the patients on field.
SPEAKER_00 (09:36):
Love it, love it, love it, love it, I love it.
You know what's funny?
This podcast is sort of creatingan or not creating, but weaving
a network of practitioners thathave that, I don't know, work
ethic or practice ethic ofconnecting with people.
And I think that it's it'swonderful that you found your
(09:57):
way here because that's I thinkwhat we need a lot more of.
SPEAKER_01 (10:01):
Yeah, me too.
And that's, I mean, that's partof why I've got all those things
in my bio and everything, isbecause I um, you know, at first
I was treating, you know, onepatient at a time and doing this
for for one patient at a time.
And then I just kept realizinghow um bad the system was and
how many people were frustratedand upset.
And so then I, you know, openeda clinic and started mentoring
(10:24):
so that there were more peoplethat could do what I was doing.
And um, and then that led me toall the other stuff, like the
research and the teaching.
And so um, I do think it's sovery important.
And um, that's why our voiceshave to be out there, and that's
why we have to do, you know,sometimes step out of the
patient room uh and do some ofit so we can help on a larger
(10:48):
scale.
SPEAKER_00 (10:49):
I think it's fantastic.
And then I suspect you probablyhave a network of practitioners
that share your your ideals oryour values about this, and and
you know, the thing is, is likethe world of practitioners and
physicians has become sospecialized.
Like it used to be you were ageneral practitioner and you
(11:12):
just kind of went in and seewhat's wrong and you kind of
knew a little bit abouteverything and you you found
your way to an answer.
But nowadays everybody's gottentheir you know their their
specialists or their specialty.
And but if you got a network ofother specialists around you, if
(11:33):
it goes outside of what you'recomfortable in being really good
at, you can hand it over tosomebody else who's really good
at that other thing.
SPEAKER_01 (11:42):
Or just, I mean, I do a lot of phone calls, right?
So I have my providers that Iwork with on a regular basis,
and they're almost every day.
I call my physician friends ormy dietitian friends or my
sports psychologist friends, andthey'll say, Hey, I've got this
case.
What do you think about it?
Is this someone you should see?
Or, you know what I mean, justto try to.
And so I I think that's theother piece that's missing in
(12:04):
medicine that's happening in inrunning medicine.
So um, is that we collaborate sovery much.
And um, I think that that iskind of bringing it back where
we we over-specialized and nowwe realize that okay, you can't
look at everybody in a vacuum.
And if someone presents with aknee injury, it's not a knee
injury, it's a human thathappened to have a hurt knee.
SPEAKER_00 (12:27):
Exactly.
And and I think that, you know,so much of Western medicine is
um symptomatic um focused.
And so you go to a doctor, yousay, I have a pain right here,
and the doctor treats your pain.
But that maybe has nothing to dowith what caused the pain.
(12:50):
And it may never address thesource of the pain or alleviate
that pain.
It just, you know, can cover itup or make it bearable, or you
know, maybe sometimes make itworse because you mask it and
you keep doing the thing that'scausing the problem.
So I think when we start lookingat it from a more holistic
approach and saying, well, youknow, why don't we try to get to
(13:12):
the bottom of this?
You know, I mean, and again, Ithink more and more people that
I'm I'm talking to on this showare looking at that, you know,
the source of the problem,source of the injury, disease,
whatever it is, and and andreally get to a healing rather
than just um a treatment.
SPEAKER_01 (13:30):
That's right.
I mean it's so often um thatbook, you know, the body keeps
the score, you know, that book.
Yeah.
I think it's a a great book andit's a great jumping point for
people who really don't get thathow you think, your mindset,
your beliefs, like what you doin your everyday life can truly
impact the pain that you'rehaving.
Oh, yeah.
And um, so understanding thatrelationship is so important and
(13:54):
then be willing, uh be willingto ask the questions so that,
and then waiting for the answersand diving through and listening
to those answers and seeing,like, okay, well, like you said,
like I feel like I'm adetective.
I always tell my patients, todayis the day for me to be a
detective.
Right.
I'm going to figure out what'sgoing on.
We're going to have a lot ofconversation, and then we will
(14:15):
figure out the treatment plan.
But first I need to understandand get into it.
And and it might feel like we'redoing a lot of talking, but if I
don't hear you, then I won'tknow how to help you because
your body and you will probablytell me what's wrong without
even realizing it.
SPEAKER_00 (14:30):
Right.
No, I I again going through thiscancer that I've I'm going
through, I've dealt with manyoncologists and from many
different places because I'm notgoing to stop till I am done.
And so I, you know, I find outone doctor in a in a 20-minute
consultation will come up with atreatment plan.
(14:53):
And I'm like, dude, it took me20 years to build this tumor.
You're going to tell me whatwe're going to do in 20 minutes.
Like, I don't know if that'sgoing to be the right way.
But it seems like rather than,and I never really felt like
most of them vested theirinterest in solving my problem.
(15:18):
Like, they have like a targetthat says, well, you fit in this
box.
Here's our standard of care thatwe offer for that.
And here's your chance ofsurvival.
Here's all the negative thingsyou're going to probably have to
deal with.
Do you agree to this?
And I'm like, no, you know, I'mnot going there just yet.
Let me keep working.
(15:39):
I'll get back to you.
And but I'm a rare breed ofpatient where I'm my own
advocate and I I have, you know,a lust for life that I'm gonna
find my answer.
It'd be great if a doctor woulddo that as well.
And finally, I found a doctorthat's doing that with me, but
it took me a long time and and anumber of miracles.
(16:02):
Most people don't have thewherewithal for that.
So for the people that stumbleinto your arena, I I would
consider them fortunate.
Um, I'd like to talk about thesepatients, you know.
Um tell me about how you knowyou're you're you're dealing
(16:23):
with this network through theuniversity, Emory University.
Is that correct?
SPEAKER_01 (16:29):
So I actually know.
So I am an adjunct adjunctfaculty at Emory.
Um so I and I went to EmorySchool of Medicine.
And then I also lecture, youknow, I lecture there sometimes.
But uh the way that it works forus is I have a private practice.
Okay.
Um, it's called precisionperformance.
It used to be precisionperformance and physical
(16:49):
therapy, but this is actuallyreally interesting.
Um, people don't really likehave this good idea about what
physical therapists do.
And I don't think that theyreally understand what people
and stretching, and that's aboutit, right?
Right.
And so I took physical therapyout of our name because I know
(17:10):
that we do we do so much moreanyway, but we do physical
therapy, but it's also lifestylemedicine types of things.
And that so people just didn'tknow what to do with us because
we didn't fit in the box.
Um so I I own precisionperformance running medicine
clinic.
We have two clinics, and then Ialso, in terms of patients, I
also consult on like cases.
(17:33):
So um throughout the country.
So if somebody has a case thatthey're they're really stuck on,
so you know, we can use theknee, for example, again, but
like a knee or like a bonestress injury or um, you know,
hip injury or back injury that'sbeen around for a really long
time and they've seen a ton ofpractitioners and they just feel
lost and they don't know what todo, and they don't they hear all
(17:56):
this conflicting advice.
So those are the people that Iwill do, I'll consult with.
So I'll do like a 15-minuteconsult with them for free, and
then we'll decide if we're agood fit.
And then if we are, we can moveforward and work together.
SPEAKER_00 (18:10):
And then I will look that you even do that.
I mean, I've paid$400 for a15-minute consultation with
somebody I never even workedwith, you know.
I was like, well, that was awaste of money, you know.
And but I mean California too,everything's so darn expensive
out here.
SPEAKER_01 (18:27):
It is well, it's also expensive here, so yeah,
yeah.
Um but yeah, so no, that's well,I just think that you have to
get to know each other a littlebit.
And 15 minutes is never enoughtime, let's be honest.
But I mean, and honestly, yeah,yeah, you have an idea of if you
guys will connect and if youfeel like you can help them.
And so I wouldn't want to workwith somebody that I didn't feel
(18:48):
like I could help.
I would like to send them tosomebody else that might be more
helpful.
Um, because again, I am aphysical therapist, I'm not an
MD or I'm not an oncologist.
So I, you know, but um I willlook through all of their
medical history, all of theirpatient visits, all their it
takes me a very long time, but Igo through everything.
Um, and then I have them, youknow, fill out a questionnaire
(19:10):
and then we meet for an hour andwe talk through things, um, I
get more ideas about what'shappening, I clear things up
that maybe I saw in the in theum notes, and then we figure out
where we're gonna go from there.
And I build out plans, whetherit's a return to run program or
strength or something else.
But even my return to runprograms like include a column
(19:30):
about mental health, like, hey,what are you doing for yourself?
Um, so there it's not liketypical in terms of um how most
people look at things and handlethings.
SPEAKER_00 (19:41):
Yeah, I noticed that um in in some of the things I
was looking at through yours,you were talking about how
mental health and physicalhealth are intertwined.
And I I I can't agree with thatmore.
You know, um, so many ailments,whatever it is, whether it's a
disease or an injury or somecombination, are at very least
exacerbated by, if not causedby, some kind of trauma, some
(20:05):
kind of mental issue.
Um, and you know, things likesleep and diet are generally
connected to your mental stateas well.
So I really am impressed thatyou're connecting this.
How do you generally addressthat?
SPEAKER_01 (20:21):
Yeah, through a lot of different ways.
First of all, we just like Isaid, uh talk through it and and
really get an understanding.
So I'd like to find out whypeople do things.
Um, when we can start there,then we can start to uncover
patterns and and figure out,like, okay, why are they doing
this?
Why are they not prioritizingtheir sleep?
Why are they eating this way?
(20:41):
You know what I mean?
So I'll often say that.
So for an in, for instance, arunner, like why most running
injuries are overuse, whichmeans they're doing too much,
too fast all the time, maybe notall the other things, right?
Right.
So I will so I'll ask someone,well, why do you feel the need?
SPEAKER_00 (20:58):
Right, right.
Why do you keep doing this thingthat's causing you pain?
SPEAKER_01 (21:02):
Right.
And sometimes just having thatconversation is a great um
starting point.
So why?
And they may not know theanswer.
So we dig into that a littlebit.
And then and then figuring outthe why behind that, and we'll
say, okay, well, maybe we couldhave a different strategy around
this.
Maybe I'm not going to take awaysomething that you love, but we
need to figure out what else youlike to do so that you don't
(21:25):
feel like you need to do thisone thing all the time that's
like putting you into so muchpain.
And so, you know what I mean?
And so, like, how do I getthere?
It's different for everybody,but it's it's a lot of really
digging in conversation,figuring out what that person
needs.
And honestly, Joe, sometimesthey just need to be heard.
(21:46):
And sometimes they um they justneed to figure out like what
everything means so that there'snot so much fear around it.
Like all the like um, I hadsomeone who has a stress
fracture recently.
I've got a lot of people thatdo, but um, this one client um
had a stress fracture, and uhthis stress stress fracture was
(22:08):
caused for a lot of reasonsovertraining, but also um they
recently had a baby and uhbeforehand they were on um IVF
drugs to um have the baby or toget pregnant, and they had
something called reds, which isuh relative uh uh energy
deficiency in sport, which meansthey're not eating enough,
(22:28):
getting enough fuel.
And so all of these thingsimpact how the bone heals.
But not many people, the personthat referred her to me was
somebody that understood this.
But before that, nobody evenconnected that the IVF drugs
could be impacting her bonehealth.
Nobody connected that, you know,breastfeeding is part of it.
So it's like it's it's trulylike you said, being a
(22:50):
detective, looking at all thepieces and then figuring out
why, and then educating thepatient or the client on what is
causing these things so thatthey can make the decisions that
they need to make.
And sometimes, you know, likeshe's gonna continue
breastfeeding.
So that's fine.
We just build her programdifferently so that we can
accommodate that.
But um, just having theknowledge is so much so
(23:12):
important.
She none of her doctors told herthat IVF drugs impact that or
that you know what I mean?
Like, and then one of them evengave her a um an in um gave her
a uh anti-inflammatory drug.
SPEAKER_00 (23:26):
Oh, geez.
SPEAKER_01 (23:26):
Something else going on, but that impacts bone
reabsorption.
And so it was just like there'sa major disconnect about what
people are doing and what'shappening in their clients or
their patient's body.
SPEAKER_00 (23:40):
Well, it's also a reflection on the drug-centered
treatment of most physicians andthe interaction between
different drugs and thecomplications that come from
these cocktails that patientended up taking.
And they might be going to threedifferent doctors, and the
patient might forget to tell onedoctor that I'm taking this out,
(24:01):
or they might not even remember,you know.
And then all of a sudden, youknow, we're taking cocktails of
things that don't belongtogether, and and you end up
with all these, you know,secondary, tertiary uh uh
problems that come out of it.
Well, listen, we are getting alittle light on time, but we're
gonna go a little long.
And I think we're I like wherewe're going.
(24:23):
Um, I wanted to talk about youruh Run Source app.
I'm not sure what that's about,but why don't you share a little
bit about that?
SPEAKER_01 (24:29):
Yeah, sure.
So I um actually right now it'sup in the Apple store getting
the final, we're doing the finaltesting before um the second
version is released, but it'sessentially a way that people
can um get the education from amultidisciplinary team, even if
they don't have the resources orthey're not in an area that has
(24:50):
people that know this.
Um, so it's just another way tohelp people.
So it's an app that has over 50running experts across the
country that are dietitians,MDs, PTs, yoga instructors, um,
meditation instructors, uh,sports psychologists, coaches,
um, running shoe specialists,and all of everybody has come
(25:11):
together on this platform andshared their knowledge about how
to stay injury free.
And also, uh, if you're alreadyinjured, I built out programs
that include the education fromall of these different uh
providers, in addition to likestrength plans, return to run
plans, and then this version,you can ask it questions uh
(25:31):
based on my clinical reasoningand you know, 15, 16 plus years
of treating, and then um a lotof the research that's available
about all of these.
So you can say, hey, I've gotpain in my butt.
Um and it'll say, Well, where isit?
And it'll ask you all thequestions that I would ask.
Right.
Um, and then it'll give you anidea of what it might be, and
(25:52):
then it'll say, These are theresources on the app that you
can use to look at it.
Sweet.
And the reason that I did thisis because I'm not trying to uh
replace healthcare providers,but only about 25% of runners
even go to a healthcareprovider.
Right.
So there's this big gap, andit's uh they're searching Google
and Chat GPT and all theseplaces and they're not giving
(26:15):
good information.
SPEAKER_00 (26:16):
FMD or something like that.
They don't ask all the rightquestions, and they get thrown
down the same rabbit hole thatthe doctors would give you.
SPEAKER_01 (26:24):
Yeah, or that you would so this is a little bit
more, it's a closed container,you can ask it questions.
Um, and you know, um, it's justlike everything else, it
probably won't be right 100% ofthe time, but it'll give you
good guidance and goodinformation from from trusted
sources.
Right.
Um, and it's really inexpensivebecause um, you know, some
(26:46):
healthcare is very expensive.
SPEAKER_00 (26:48):
I get it, I get it.
Now you've got a new podcastcoming out, or that is Al, why
don't you tell us a little bitabout that?
SPEAKER_01 (26:54):
Yeah, so it's called Interdisciplinary Case Miles,
and it's with a sports dietitianand a running medicine
physician.
And the three of us go throughdifficult cases and break them
down and tell people like whatthey should like so that if you
had, say, an injury, uh, youcould submit a case and we would
go through it and we would tellyou all the all the things that
we think should happen.
And we're all the kind ofproviders that I am.
(27:17):
So we think outside the box.
And so we'll say, okay, thisperson, this is what I would
look at.
And then the doctor will saythis is what I look at, and the
dietitian says this is what Iwould look at.
And it gives people ideas aboutquestions they can ask when they
go to providers, or if somethingisn't working, they can, you
know, they can hear this andhave other ideas about what to
do.
SPEAKER_00 (27:36):
Nice.
I think that's a that's a auseful resource.
I always like to um, you know,in a situation where we have a
practitioner um share maybe astory of a case that just was
particularly impactful.
Uh somebody came to you and youwere able to help them in a
meaningful way.
SPEAKER_01 (27:56):
Yeah, so I'm lucky that I have a lot of those.
So I'm trying to think of arecent one.
Um, okay, so I have a case thatI'm still actually working
through, but it's already going,you know, really well.
So I started working withsomebody um remotely, like as a
client, um, someone I wasconsulting with, that um running
(28:16):
is a um a really big part oftheir life.
Uh their single mom, they'restressed out.
They have um, they don't have alot of um ways to manage that
stress in their life.
And they had um a big hamstringinjury.
So she, so this person couldn'trun, couldn't bike, couldn't do
anything.
And so she's you know, feelingher friend group is there, she
(28:38):
can't go hang out with herfriends, she can't do any of
this stuff.
So she's been seeing lots ofproviders and nothing happened.
And then somebody knew me, andshe, you know, we did a consult
and then we started workingtogether.
And we've been working togetherfor just over four weeks.
And she um and I had anincredible conversation last
week, I think it was.
She's 50% better in four weeks.
(29:00):
I haven't even I haven't eventouched her.
It's just through, it's justthrough education, building out
a plan, uh, you know, giving herthe tools she needs to help
herself get better.
And um, she said, I feel likemyself again.
I'm able to engage with myfriends, I'm able to manage my
stress better, and my whole lifefeels better.
And um, that's pretty impactful.
(29:23):
When you get to do that forsomebody, it's uh like why I do
what I do.
SPEAKER_00 (29:27):
I love it.
SPEAKER_01 (29:28):
Yeah.
SPEAKER_00 (29:29):
Well, if um you could take all of this and wrap
it up into uh a central thoughtum for our listeners, what would
that look like?
SPEAKER_01 (29:38):
That would look like um be an advocate for yourself.
And just because um somebodysays something or you're with a
healthcare provider, and if ityou know, if it doesn't feel
right, it probably isn't.
Now, that's not to say you won'thear things you don't like,
because that's because that doeshappen.
But there's nothing wrong withgetting a second opinion.
(30:00):
There's nothing wrong withasking a lot of questions.
And if someone's not listeningto you and you don't feel
engaged, they're probably notthe right person for you.
SPEAKER_00 (30:10):
I couldn't agree more.
I always say everybody shouldneeds to be their own advocate
and you know treat yourself likeyou would want to take care of
your daughter or, you know,somebody that you just really
love that couldn't take care ofthemselves and you know go after
it.
You know, the you hire thesepeople, they don't hire you.
And to remember that.
(30:30):
That's beautiful.
Well, why don't you uh shareagain with all the the different
uh ways people can reach you anduh all the all the points of
contact?
SPEAKER_01 (30:41):
Sure.
So it's my name.
Uh my Instagram is KateMhivikEdwards.
Mehivik is M-I-H-E-V-C.
Um, and that's actually mywebsite as well, KateMahivik
Edwards.com.
And that has all of mybusinesses, my consulting, my
running medicine clinic, my app,my podcast, all that's in that
one place.
So you don't have to search farfor all of that.
SPEAKER_00 (31:02):
Beautiful, beautiful.
Well, Kate, I really appreciateyou coming on board.
And again, my invitation isopen.
It sounds like we could talk forhours and hours about so many
different things.
So anytime that you'reinterested in coming back and
continuing this, please feelfree to reach out.
And uh just want to say thankyou for uh sharing your time
(31:24):
with us.
SPEAKER_01 (31:24):
Yeah, thank you so much, Joe.
I really appreciate it too.
SPEAKER_00 (31:27):
Beautiful.
This has been another episode ofthe Healthy Living Podcast.
I'm your host, Joe Grumbine.
I want to thank all of ourlisteners for making the show
possible.
And we will see you next time.
Well, hello, and welcome back to the Healthy
Living Podcast.
I'm your host, Joe Grumbine, andwe have a very special guest
today.
Let's see if I get that middlename right.
We have Dr.
Kate Miavek Edwards, and she's aphysical therapist and uh
board-certified orthopedicspecialist, and she practices
(00:22):
running medicine.
And I'm just gonna leave it atthat for now because she's got
such a wealth of uh bona fideesthat I think we'll just jump
right into it.
Dr.
Kate, welcome to the show.
How are you doing today?
SPEAKER_01 (00:35):
I'm doing great.
Thanks for having me today, Joe.
I really appreciate it.
SPEAKER_00 (00:39):
It's my pleasure.
So running medicine, I uh soundsso interesting.
You know, the the theme of thispodcast is healthy living.
And so we're always looking forum, you know, different pathways
to find health.
And it's amazing the things thatare considered medicine from
(01:00):
plants to practices to exerciseto diets, foods, all of it.
So uh why don't you share withus a little bit about, you know,
what brought you here?
I like to always kind of hearour guest Genesis story.
SPEAKER_01 (01:14):
Yeah, sure.
So I do running medicine, whichis just a niche practice in
physical therapy.
And what I love about runningmedicine is that it is the place
where a lot of multidisciplinarycare occurs.
So it's not uh most runninginjuries are all over the place.
They're overuse injuries, orthey're because of stress, or
(01:36):
they're because of poor eatinghabits, or maybe it's a
biomechanical issue.
So none of these injuries canreally be solved by one person.
And so it really creates a placewhere we can work together as a
team across different medicalborders and learn from each
other so that our patients andour clients can really live a
(01:56):
healthier life.
So many of the people that I seeend up seeing a sports dietitian
or somebody to talk about likewhat they should be doing in
terms of eating to making surethat they're fueling their body
enough to do what they want forexercise.
Or I may refer to somebody for asports psychologist because
they're having a hard time.
(02:17):
Uh, if they're injured, maybethat it's so tied to their
identity of who they are as aperson and they can no longer
run.
Um, they may have to speak withsomeone.
So that's what I love aboutrunning medicine and what I do
every day.
But I started because I was arunner and triathlete myself.
And um I mean, I think that'skind of what always brings us.
(02:37):
It's life experience that bringsus to where we are.
SPEAKER_00 (02:41):
Yeah, that's what I was gonna get to is um, you
know, like you got all thesecredentials and a physical
therapist and a orthopedicspecialist and all of these
things that overlap withrunning, but not necessarily
focus on that.
And uh so you're a runner by byby nature.
SPEAKER_01 (03:04):
Yeah, so I um I didn't run in high school
because we didn't have I went tosuch a small high school that we
didn't have a team.
So I actually ran.
I ran, but we did there was noteam or a coach or anything like
that.
So it's um so I kind of had tofigure it out on my own.
But then it was in college thatI started to run like bigger
races, like half marathons.
(03:25):
And eventually after that, I dida marathon.
And my coach in college wasactually, or right after
college, was actually a physicaltherapist.
So I didn't go to college to bea physical therapist.
I went to college and studiedsports photography, actually,
and market and marketing, whichis really funny.
Um, but then I fell in love withrunning and I just couldn't let
(03:48):
it go.
And my coach let me shadow herin clinic.
And I thought, oh my God, thisis what I love.
This is what I want to do, is beable to help people through
this.
So that's how I landed it.
But then about 10 years ago, Inearly died training for a half
iron man.
And yeah, so it was reallyscary.
(04:09):
I went into ventriculartachycardia on a run.
SPEAKER_00 (04:12):
Wow.
Um, it took about your heartjust starts beating wild and the
rhythm isn't right, you're notgetting the blood flow, and
everything's all like you loseit.
Yeah.
SPEAKER_01 (04:23):
Yeah.
My heart rate, like I could Icould see my heart beating
outside of my chest.
It it was the strangest thing.
And I looked at my Garmin and itwas uh 300 beats per minute, and
then it stopped tracking.
SPEAKER_00 (04:36):
Whoa.
SPEAKER_01 (04:36):
So I thought it was broken.
I didn't actually, you know, inthat moment you look at it and
you're like, there's no way thisis possible.
SPEAKER_00 (04:42):
So I thought that fast.
Yeah.
SPEAKER_01 (04:45):
Yeah.
And so I thought it was brokenand I sat down on my front steps
and I didn't feel good.
So I knew something was wrong.
I was dizzy, I was disoriented.
But then my heart rate convertedback and I didn't do anything
immediately.
It wasn't until the next daythat I went to clinic and I told
my colleagues, and they werelike, What is wrong with you?
Why aren't you at the Yeah,yeah.
SPEAKER_00 (05:06):
Why aren't you strapped up to an EKG and
figuring out what the hell'swrong with you?
SPEAKER_01 (05:10):
But I think that this is where how I practice now
comes from.
As an athlete, um, I was blamingmyself.
I was saying, oh, you must havetrained wrong or you must have
done something.
And we have this idea that wecan just push through anything
and just right.
And we can in a lot of ways.
SPEAKER_00 (05:29):
Most of the time that's that's accurate.
Yeah.
SPEAKER_01 (05:31):
Yeah.
And so I was right.
And then so it took about 10months to diagnose what I had,
and it's a rare genetic heartdisease.
Oh, wow.
During that time, I felt like Iwas losing pieces of myself.
Um, I couldn't run, I couldn'ttrain, I couldn't be with my
friends.
My whole world was aboutrunning.
And it was a really reflectivetime for me in terms of like
(05:55):
what was important and how Iwanted to be treated as a
patient because I often feltlike I wasn't, people weren't
listening to me.
And um, I went all these testsand everything was negative.
And then there was so muchanxiety around it.
And so that process reallychanged who I was as a therapist
as well, and um changed thetrajectory of my life and and
(06:19):
how I treat it.
SPEAKER_00 (06:20):
That's pretty common with patients, you know.
Um I'm going through uh, youknow, recovering from a very
aggressive cancer, and um allthe doctors I've talked to, and
you know, I mean, I'm doing myown research and finding my own
answers, and you try to sharethat with a doctor, and most of
(06:40):
the time they're just like, Idon't know what you're even
talking about, you know, oryeah, yeah, yeah, you know, the
pat you on the head and say, youknow, you go do your thing, but
here's what we're gonna do.
Like you just get talked down toby so many, you know, doctors
and clinicians.
SPEAKER_01 (06:59):
Yes, I think that that is one of the number one
things that's wrong with oursystem, but I think it's a I
think it is a product of oursystem, our healthcare system,
because um we don't have a lotof providers don't have time.
They would spend more time, butthey don't have it because of
the system that they're in.
SPEAKER_00 (07:17):
Oh, yeah, it's a whole metric thing.
I mean, like they got a caseloadthat is probably twice what they
can really handle and they gotto get through it, you know,
it's their contract, it's theirwhatever, and gives you five
minutes with everybody prettymuch.
SPEAKER_01 (07:34):
Yeah, and and so what happens is as patients, we
get lost in translation and wefeel like we have to do the
research on our on our own, andwe feel like nobody's listening
to us and we feel lost, and thatcan create so many other issues
when we really just need tosomeone to listen to us and give
us a plan.
And if they don't know theanswer, that's okay, but they
(07:55):
have to be willing to look foran answer or maybe collaborate
with you to find it.
SPEAKER_00 (08:00):
Exactly.
And that's like old school, likeyou know, you think about the
classic country doctor, youknow, that would come over to
your house and have dinner withyour family, and you know,
they're they're like adetective, you know, they're
spending time watching whatyou're doing, listening,
smelling, hearing, seeing whatyou're eating, and then all of a
sudden, oh yeah, it looks like.
(08:22):
But today you get a littlesurvey to fill out, and it says,
Do you have you?
And the doctor doesn't know ifyou're telling the truth, and
you don't know if you're gettingthe answers right.
And maybe you didn't understandsomething.
And my God, it's just such adisconnect.
SPEAKER_01 (08:39):
Yeah.
And so that's what it's not,that is not how it is at my
clinic.
And it's on purpose, and it'sbecause of my experience, and
it's because of how I believe weshould treat our patients.
And I work outside the insurancesystem, and that so it allows me
to do that.
Unfortunate, unfortunately,that's how we have to do it in
order to provide this type ofcare.
SPEAKER_00 (09:00):
Yeah.
SPEAKER_01 (09:00):
Um, so that's what we do, and we spend a lot of
time on that.
And it's funny you said thecountry doctor, because um,
where I live, I live in this uhsmall health and wellness
community in Georgia.
Nice, right outside of Atlanta.
And um, we have all theseintramural sports and people
like you know, 30s, 40s, 50splaying.
So they're always getting hurt,always.
(09:21):
And I have a medical, like I'mlike I have a bag and I get a
message, like I'll get a calland I actually get on.
We have golf carts.
So I get on my golf cart and Idrive up to the field and I
assess the patients on field.
SPEAKER_00 (09:36):
Love it, love it, love it, love it, I love it.
You know what's funny?
This podcast is sort of creatingan or not creating, but weaving
a network of practitioners thathave that, I don't know, work
ethic or practice ethic ofconnecting with people.
And I think that it's it'swonderful that you found your
(09:57):
way here because that's I thinkwhat we need a lot more of.
SPEAKER_01 (10:01):
Yeah, me too.
And that's, I mean, that's partof why I've got all those things
in my bio and everything, isbecause I um, you know, at first
I was treating, you know, onepatient at a time and doing this
for for one patient at a time.
And then I just kept realizinghow um bad the system was and
how many people were frustratedand upset.
And so then I, you know, openeda clinic and started mentoring
(10:24):
so that there were more peoplethat could do what I was doing.
And um, and then that led me toall the other stuff, like the
research and the teaching.
And so um, I do think it's sovery important.
And um, that's why our voiceshave to be out there, and that's
why we have to do, you know,sometimes step out of the
patient room uh and do some ofit so we can help on a larger
(10:48):
scale.
SPEAKER_00 (10:49):
I think it's fantastic.
And then I suspect you probablyhave a network of practitioners
that share your your ideals oryour values about this, and and
you know, the thing is, is likethe world of practitioners and
physicians has become sospecialized.
Like it used to be you were ageneral practitioner and you
(11:12):
just kind of went in and seewhat's wrong and you kind of
knew a little bit abouteverything and you you found
your way to an answer.
But nowadays everybody's gottentheir you know their their
specialists or their specialty.
And but if you got a network ofother specialists around you, if
(11:33):
it goes outside of what you'recomfortable in being really good
at, you can hand it over tosomebody else who's really good
at that other thing.
SPEAKER_01 (11:42):
Or just, I mean, I do a lot of phone calls, right?
So I have my providers that Iwork with on a regular basis,
and they're almost every day.
I call my physician friends ormy dietitian friends or my
sports psychologist friends, andthey'll say, Hey, I've got this
case.
What do you think about it?
Is this someone you should see?
Or, you know what I mean, justto try to.
And so I I think that's theother piece that's missing in
(12:04):
medicine that's happening in inrunning medicine.
So um, is that we collaborate sovery much.
And um, I think that that iskind of bringing it back where
we we over-specialized and nowwe realize that okay, you can't
look at everybody in a vacuum.
And if someone presents with aknee injury, it's not a knee
injury, it's a human thathappened to have a hurt knee.
SPEAKER_00 (12:27):
Exactly.
And and I think that, you know,so much of Western medicine is
um symptomatic um focused.
And so you go to a doctor, yousay, I have a pain right here,
and the doctor treats your pain.
But that maybe has nothing to dowith what caused the pain.
(12:50):
And it may never address thesource of the pain or alleviate
that pain.
It just, you know, can cover itup or make it bearable, or you
know, maybe sometimes make itworse because you mask it and
you keep doing the thing that'scausing the problem.
So I think when we start lookingat it from a more holistic
approach and saying, well, youknow, why don't we try to get to
(13:12):
the bottom of this?
You know, I mean, and again, Ithink more and more people that
I'm I'm talking to on this showare looking at that, you know,
the source of the problem,source of the injury, disease,
whatever it is, and and andreally get to a healing rather
than just um a treatment.
SPEAKER_01 (13:30):
That's right.
I mean it's so often um thatbook, you know, the body keeps
the score, you know, that book.
Yeah.
I think it's a a great book andit's a great jumping point for
people who really don't get thathow you think, your mindset,
your beliefs, like what you doin your everyday life can truly
impact the pain that you'rehaving.
Oh, yeah.
And um, so understanding thatrelationship is so important and
(13:54):
then be willing, uh be willingto ask the questions so that,
and then waiting for the answersand diving through and listening
to those answers and seeing,like, okay, well, like you said,
like I feel like I'm adetective.
I always tell my patients, todayis the day for me to be a
detective.
Right.
I'm going to figure out what'sgoing on.
We're going to have a lot ofconversation, and then we will
(14:15):
figure out the treatment plan.
But first I need to understandand get into it.
And and it might feel like we'redoing a lot of talking, but if I
don't hear you, then I won'tknow how to help you because
your body and you will probablytell me what's wrong without
even realizing it.
SPEAKER_00 (14:30):
Right.
No, I I again going through thiscancer that I've I'm going
through, I've dealt with manyoncologists and from many
different places because I'm notgoing to stop till I am done.
And so I, you know, I find outone doctor in a in a 20-minute
consultation will come up with atreatment plan.
(14:53):
And I'm like, dude, it took me20 years to build this tumor.
You're going to tell me whatwe're going to do in 20 minutes.
Like, I don't know if that'sgoing to be the right way.
But it seems like rather than,and I never really felt like
most of them vested theirinterest in solving my problem.
(15:18):
Like, they have like a targetthat says, well, you fit in this
box.
Here's our standard of care thatwe offer for that.
And here's your chance ofsurvival.
Here's all the negative thingsyou're going to probably have to
deal with.
Do you agree to this?
And I'm like, no, you know, I'mnot going there just yet.
Let me keep working.
(15:39):
I'll get back to you.
And but I'm a rare breed ofpatient where I'm my own
advocate and I I have, you know,a lust for life that I'm gonna
find my answer.
It'd be great if a doctor woulddo that as well.
And finally, I found a doctorthat's doing that with me, but
it took me a long time and and anumber of miracles.
(16:02):
Most people don't have thewherewithal for that.
So for the people that stumbleinto your arena, I I would
consider them fortunate.
Um, I'd like to talk about thesepatients, you know.
Um tell me about how you knowyou're you're you're dealing
(16:23):
with this network through theuniversity, Emory University.
Is that correct?
SPEAKER_01 (16:29):
So I actually know.
So I am an adjunct adjunctfaculty at Emory.
Um so I and I went to EmorySchool of Medicine.
And then I also lecture, youknow, I lecture there sometimes.
But uh the way that it works forus is I have a private practice.
Okay.
Um, it's called precisionperformance.
It used to be precisionperformance and physical
(16:49):
therapy, but this is actuallyreally interesting.
Um, people don't really likehave this good idea about what
physical therapists do.
And I don't think that theyreally understand what people
and stretching, and that's aboutit, right?
Right.
And so I took physical therapyout of our name because I know
(17:10):
that we do we do so much moreanyway, but we do physical
therapy, but it's also lifestylemedicine types of things.
And that so people just didn'tknow what to do with us because
we didn't fit in the box.
Um so I I own precisionperformance running medicine
clinic.
We have two clinics, and then Ialso, in terms of patients, I
also consult on like cases.
(17:33):
So um throughout the country.
So if somebody has a case thatthey're they're really stuck on,
so you know, we can use theknee, for example, again, but
like a knee or like a bonestress injury or um, you know,
hip injury or back injury that'sbeen around for a really long
time and they've seen a ton ofpractitioners and they just feel
lost and they don't know what todo, and they don't they hear all
(17:56):
this conflicting advice.
So those are the people that Iwill do, I'll consult with.
So I'll do like a 15-minuteconsult with them for free, and
then we'll decide if we're agood fit.
And then if we are, we can moveforward and work together.
SPEAKER_00 (18:10):
And then I will look that you even do that.
I mean, I've paid$400 for a15-minute consultation with
somebody I never even workedwith, you know.
I was like, well, that was awaste of money, you know.
And but I mean California too,everything's so darn expensive
out here.
SPEAKER_01 (18:27):
It is well, it's also expensive here, so yeah,
yeah.
Um but yeah, so no, that's well,I just think that you have to
get to know each other a littlebit.
And 15 minutes is never enoughtime, let's be honest.
But I mean, and honestly, yeah,yeah, you have an idea of if you
guys will connect and if youfeel like you can help them.
And so I wouldn't want to workwith somebody that I didn't feel
(18:48):
like I could help.
I would like to send them tosomebody else that might be more
helpful.
Um, because again, I am aphysical therapist, I'm not an
MD or I'm not an oncologist.
So I, you know, but um I willlook through all of their
medical history, all of theirpatient visits, all their it
takes me a very long time, but Igo through everything.
Um, and then I have them, youknow, fill out a questionnaire
(19:10):
and then we meet for an hour andwe talk through things, um, I
get more ideas about what'shappening, I clear things up
that maybe I saw in the in theum notes, and then we figure out
where we're gonna go from there.
And I build out plans, whetherit's a return to run program or
strength or something else.
But even my return to runprograms like include a column
(19:30):
about mental health, like, hey,what are you doing for yourself?
Um, so there it's not liketypical in terms of um how most
people look at things and handlethings.
SPEAKER_00 (19:41):
Yeah, I noticed that um in in some of the things I
was looking at through yours,you were talking about how
mental health and physicalhealth are intertwined.
And I I I can't agree with thatmore.
You know, um, so many ailments,whatever it is, whether it's a
disease or an injury or somecombination, are at very least
exacerbated by, if not causedby, some kind of trauma, some
(20:05):
kind of mental issue.
Um, and you know, things likesleep and diet are generally
connected to your mental stateas well.
So I really am impressed thatyou're connecting this.
How do you generally addressthat?
SPEAKER_01 (20:21):
Yeah, through a lot of different ways.
First of all, we just like Isaid, uh talk through it and and
really get an understanding.
So I'd like to find out whypeople do things.
Um, when we can start there,then we can start to uncover
patterns and and figure out,like, okay, why are they doing
this?
Why are they not prioritizingtheir sleep?
Why are they eating this way?
(20:41):
You know what I mean?
So I'll often say that.
So for an in, for instance, arunner, like why most running
injuries are overuse, whichmeans they're doing too much,
too fast all the time, maybe notall the other things, right?
Right.
So I will so I'll ask someone,well, why do you feel the need?
SPEAKER_00 (20:58):
Right, right.
Why do you keep doing this thingthat's causing you pain?
SPEAKER_01 (21:02):
Right.
And sometimes just having thatconversation is a great um
starting point.
So why?
And they may not know theanswer.
So we dig into that a littlebit.
And then and then figuring outthe why behind that, and we'll
say, okay, well, maybe we couldhave a different strategy around
this.
Maybe I'm not going to take awaysomething that you love, but we
need to figure out what else youlike to do so that you don't
(21:25):
feel like you need to do thisone thing all the time that's
like putting you into so muchpain.
And so, you know what I mean?
And so, like, how do I getthere?
It's different for everybody,but it's it's a lot of really
digging in conversation,figuring out what that person
needs.
And honestly, Joe, sometimesthey just need to be heard.
(21:46):
And sometimes they um they justneed to figure out like what
everything means so that there'snot so much fear around it.
Like all the like um, I hadsomeone who has a stress
fracture recently.
I've got a lot of people thatdo, but um, this one client um
had a stress fracture, and uhthis stress stress fracture was
(22:08):
caused for a lot of reasonsovertraining, but also um they
recently had a baby and uhbeforehand they were on um IVF
drugs to um have the baby or toget pregnant, and they had
something called reds, which isuh relative uh uh energy
deficiency in sport, which meansthey're not eating enough,
(22:28):
getting enough fuel.
And so all of these thingsimpact how the bone heals.
But not many people, the personthat referred her to me was
somebody that understood this.
But before that, nobody evenconnected that the IVF drugs
could be impacting her bonehealth.
Nobody connected that, you know,breastfeeding is part of it.
So it's like it's it's trulylike you said, being a
(22:50):
detective, looking at all thepieces and then figuring out
why, and then educating thepatient or the client on what is
causing these things so thatthey can make the decisions that
they need to make.
And sometimes, you know, likeshe's gonna continue
breastfeeding.
So that's fine.
We just build her programdifferently so that we can
accommodate that.
But um, just having theknowledge is so much so
(23:12):
important.
She none of her doctors told herthat IVF drugs impact that or
that you know what I mean?
Like, and then one of them evengave her a um an in um gave her
a uh anti-inflammatory drug.
SPEAKER_00 (23:26):
Oh, geez.
SPEAKER_01 (23:26):
Something else going on, but that impacts bone
reabsorption.
And so it was just like there'sa major disconnect about what
people are doing and what'shappening in their clients or
their patient's body.
SPEAKER_00 (23:40):
Well, it's also a reflection on the drug-centered
treatment of most physicians andthe interaction between
different drugs and thecomplications that come from
these cocktails that patientended up taking.
And they might be going to threedifferent doctors, and the
patient might forget to tell onedoctor that I'm taking this out,
(24:01):
or they might not even remember,you know.
And then all of a sudden, youknow, we're taking cocktails of
things that don't belongtogether, and and you end up
with all these, you know,secondary, tertiary uh uh
problems that come out of it.
Well, listen, we are getting alittle light on time, but we're
gonna go a little long.
And I think we're I like wherewe're going.
(24:23):
Um, I wanted to talk about youruh Run Source app.
I'm not sure what that's about,but why don't you share a little
bit about that?
SPEAKER_01 (24:29):
Yeah, sure.
So I um actually right now it'sup in the Apple store getting
the final, we're doing the finaltesting before um the second
version is released, but it'sessentially a way that people
can um get the education from amultidisciplinary team, even if
they don't have the resources orthey're not in an area that has
(24:50):
people that know this.
Um, so it's just another way tohelp people.
So it's an app that has over 50running experts across the
country that are dietitians,MDs, PTs, yoga instructors, um,
meditation instructors, uh,sports psychologists, coaches,
um, running shoe specialists,and all of everybody has come
(25:11):
together on this platform andshared their knowledge about how
to stay injury free.
And also, uh, if you're alreadyinjured, I built out programs
that include the education fromall of these different uh
providers, in addition to likestrength plans, return to run
plans, and then this version,you can ask it questions uh
(25:31):
based on my clinical reasoningand you know, 15, 16 plus years
of treating, and then um a lotof the research that's available
about all of these.
So you can say, hey, I've gotpain in my butt.
Um and it'll say, Well, where isit?
And it'll ask you all thequestions that I would ask.
Right.
Um, and then it'll give you anidea of what it might be, and
(25:52):
then it'll say, These are theresources on the app that you
can use to look at it.
Sweet.
And the reason that I did thisis because I'm not trying to uh
replace healthcare providers,but only about 25% of runners
even go to a healthcareprovider.
Right.
So there's this big gap, andit's uh they're searching Google
and Chat GPT and all theseplaces and they're not giving
(26:15):
good information.
SPEAKER_00 (26:16):
FMD or something like that.
They don't ask all the rightquestions, and they get thrown
down the same rabbit hole thatthe doctors would give you.
SPEAKER_01 (26:24):
Yeah, or that you would so this is a little bit
more, it's a closed container,you can ask it questions.
Um, and you know, um, it's justlike everything else, it
probably won't be right 100% ofthe time, but it'll give you
good guidance and goodinformation from from trusted
sources.
Right.
Um, and it's really inexpensivebecause um, you know, some
(26:46):
healthcare is very expensive.
SPEAKER_00 (26:48):
I get it, I get it.
Now you've got a new podcastcoming out, or that is Al, why
don't you tell us a little bitabout that?
SPEAKER_01 (26:54):
Yeah, so it's called Interdisciplinary Case Miles,
and it's with a sports dietitianand a running medicine
physician.
And the three of us go throughdifficult cases and break them
down and tell people like whatthey should like so that if you
had, say, an injury, uh, youcould submit a case and we would
go through it and we would tellyou all the all the things that
we think should happen.
And we're all the kind ofproviders that I am.
(27:17):
So we think outside the box.
And so we'll say, okay, thisperson, this is what I would
look at.
And then the doctor will saythis is what I look at, and the
dietitian says this is what Iwould look at.
And it gives people ideas aboutquestions they can ask when they
go to providers, or if somethingisn't working, they can, you
know, they can hear this andhave other ideas about what to
do.
SPEAKER_00 (27:36):
Nice.
I think that's a that's a auseful resource.
I always like to um, you know,in a situation where we have a
practitioner um share maybe astory of a case that just was
particularly impactful.
Uh somebody came to you and youwere able to help them in a
meaningful way.
SPEAKER_01 (27:56):
Yeah, so I'm lucky that I have a lot of those.
So I'm trying to think of arecent one.
Um, okay, so I have a case thatI'm still actually working
through, but it's already going,you know, really well.
So I started working withsomebody um remotely, like as a
client, um, someone I wasconsulting with, that um running
(28:16):
is a um a really big part oftheir life.
Uh their single mom, they'restressed out.
They have um, they don't have alot of um ways to manage that
stress in their life.
And they had um a big hamstringinjury.
So she, so this person couldn'trun, couldn't bike, couldn't do
anything.
And so she's you know, feelingher friend group is there, she
(28:38):
can't go hang out with herfriends, she can't do any of
this stuff.
So she's been seeing lots ofproviders and nothing happened.
And then somebody knew me, andshe, you know, we did a consult
and then we started workingtogether.
And we've been working togetherfor just over four weeks.
And she um and I had anincredible conversation last
week, I think it was.
She's 50% better in four weeks.
(29:00):
I haven't even I haven't eventouched her.
It's just through, it's justthrough education, building out
a plan, uh, you know, giving herthe tools she needs to help
herself get better.
And um, she said, I feel likemyself again.
I'm able to engage with myfriends, I'm able to manage my
stress better, and my whole lifefeels better.
And um, that's pretty impactful.
(29:23):
When you get to do that forsomebody, it's uh like why I do
what I do.
SPEAKER_00 (29:27):
I love it.
SPEAKER_01 (29:28):
Yeah.
SPEAKER_00 (29:29):
Well, if um you could take all of this and wrap
it up into uh a central thoughtum for our listeners, what would
that look like?
SPEAKER_01 (29:38):
That would look like um be an advocate for yourself.
And just because um somebodysays something or you're with a
healthcare provider, and if ityou know, if it doesn't feel
right, it probably isn't.
Now, that's not to say you won'thear things you don't like,
because that's because that doeshappen.
But there's nothing wrong withgetting a second opinion.
(30:00):
There's nothing wrong withasking a lot of questions.
And if someone's not listeningto you and you don't feel
engaged, they're probably notthe right person for you.
SPEAKER_00 (30:10):
I couldn't agree more.
I always say everybody shouldneeds to be their own advocate
and you know treat yourself likeyou would want to take care of
your daughter or, you know,somebody that you just really
love that couldn't take care ofthemselves and you know go after
it.
You know, the you hire thesepeople, they don't hire you.
And to remember that.
(30:30):
That's beautiful.
Well, why don't you uh shareagain with all the the different
uh ways people can reach you anduh all the all the points of
contact?
SPEAKER_01 (30:41):
Sure.
So it's my name.
Uh my Instagram is KateMhivikEdwards.
Mehivik is M-I-H-E-V-C.
Um, and that's actually mywebsite as well, KateMahivik
Edwards.com.
And that has all of mybusinesses, my consulting, my
running medicine clinic, my app,my podcast, all that's in that
one place.
So you don't have to search farfor all of that.
SPEAKER_00 (31:02):
Beautiful, beautiful.
Well, Kate, I really appreciateyou coming on board.
And again, my invitation isopen.
It sounds like we could talk forhours and hours about so many
different things.
So anytime that you'reinterested in coming back and
continuing this, please feelfree to reach out.
And uh just want to say thankyou for uh sharing your time
(31:24):
with us.
SPEAKER_01 (31:24):
Yeah, thank you so much, Joe.
I really appreciate it too.
SPEAKER_00 (31:27):
Beautiful.
This has been another episode ofthe Healthy Living Podcast.
I'm your host, Joe Grumbine.
I want to thank all of ourlisteners for making the show
possible.
And we will see you next time.
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