March 28, 2020
In this podcast we talk to Julie Granger, a physiotherapist who you may remember from episode 20 when we talked about working with teenagers.
In this episode we talk about transitioning to Telehealth and how you can maintain your Telesanity!
There are a LOT of gems in this episode, including
- how to help patients calm down, by encouraging them to feel the emotions and sit in them for 2mins
- how to assess and provide treatment via telehealth. She encourages you to brainstorm a previous client that you couldn’t do manual therapy with and think about how that would work in an online situation.
- Consider that 70% of the clients outcome is from lifestyle, 20% genetics and 10% what we do
- Her favourite author David Hawkins (esp the book “Letting Go")
- Think about who YOU are. Don’t put your identity in your profession. Eg I am me. I practise physical therapy. I choose to have these things.
- Do as much as possible and as little as necessary
- In regards to technology, if you have a system in place and it is compliant, stick with what you know. If it can be integrated, go with it. Make sure it is sorted in terms of legal and compliance.. then just get on and treat patients…
- How to help those clients who want/ expect manual therapy from their physical therapist. Break patients into groups- those that will follow you regardless should be booked straight away. Those who are "manual therapy or die" – like trying to turn the Titanic. Start planting seeds now. Consider a complimentary 15 min chat or every few weeks touch base and share stories of how you’ve helped others through telehealth
- Establish a human connection. “How are you?” Acknowledge their goals. Consider the what and how – and ask the client where they would like to start. Julie uses progress forms for each session.
- Each new session ask: “What 3 things went well since last session?” “What are the top three hiccups to success?” and “What are the three things you want to focus on?”
- Use reflective listening. Repeat their statements with no tone. Patient will hear it and verify the truth of it. Ask what and how questions such as : what if it did get better? What would you do with your time?
- Give the client options for management and ask which one they would like to choose.
- Wrap up with reassessment, measure change/ outcomes. Ask: how do you feel?
- Create business hours for yourself: don’t offer client bookings outside of that. Do admin time if you don’t have clients, not at night. Set boundaries
- Choose an electronic scheduler that is HIPAA compliant. Calendly Acuity
- Re: billing. Be very specific when you ask insurance companies about telehealth rebate and get it in writing
To find and follow Julie, here are her socials:
And here is an ebook book written by Julie specifically for young female athletes:
And for those that don't know Julie, here is her bio:
Dr. Julie Granger, PT, DPT, SCS, WHC is a teen & women’s health and life coach, sports physical therapist, and career and business coach to physios and health professionals. She specializes in holistic treatment and coaching of active, busy women, teens and professionals.
Julie is fluent in “speaking teenager” and has a passion for helping girls and women find simple ways to fix or prevent health problems without sacrificing their whole lives to do it. She also loves helping health pros do more with less in their businesses or careers so they can spend more time living and less time working.
Dr. Granger loves sharing her passion & knowledge with others as an accomplished speaker. She is an adjunct clinical professor in the Emory University Doctor of Physical Therapy program, from where she also received her DPT degree & performed research on the holistic sports health of girl and teen athletes. She has lectured both nationally and internationally & is faculty member for the Integrative Women’s Health Institute (IWHI).
In early 2017 Julie published her first book, The Young Female Athlete’s Playbook.
As a lifelong elite swimmer & cancer survivor, Dr. Granger knows firsthand what her clients are stacked up against.
Now in an international coaching practice, she helps show women and teens that health is more than a never ending series of appointments, supplements, nutrition changes and out of the box lifestyle changes. Instead, she helps them embody the universal human truth that health begins and ends with the state of mind that we hold.
Dr. Granger swam collegiately at Duke University where she majored in child & adolescent developmental psychology. In her free time she enjoys swimming, being outdoors, drawing and painting, playing the clarinet, and traveling and adventuring with her husband, Daniel, and Labrador pup, Aspen.