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The Hole Shebang

The Hole Shebang
Author: Kristen Parise
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Brazenly and unashamedly exposing the truth about all things pelvic health including pee, poop, pain and sex and shining a light on our holes in knowledge to help empower us to be healthier, wealthier and wiser.
Kristen Parise is a Pelvic Health Physiotherapist and owner of Blueberry Therapy a multidisciplinary clinic
that specializes in the treatment of pelvic health issues. Kristen’s goal has always been to make sure her clients understand their own bodies and and they have all the tools and information they need to reach their goals. Her passion is the rehabilitation of the pelvic floor and she provides treatment for men and women and children with incontinence, chronic constipation, pelvic pain and women pre and postnatally. Kristen is an avid podcast listener and is excited to bring forward the latest research and information to The Hole Shebang audience. Kristen has a deep interest in research and evidenced based practice and continues to teach at McMaster University in Hamilton, Ontario to stay current with evolving practice trends.
Kristen Parise is a Pelvic Health Physiotherapist and owner of Blueberry Therapy a multidisciplinary clinic
that specializes in the treatment of pelvic health issues. Kristen’s goal has always been to make sure her clients understand their own bodies and and they have all the tools and information they need to reach their goals. Her passion is the rehabilitation of the pelvic floor and she provides treatment for men and women and children with incontinence, chronic constipation, pelvic pain and women pre and postnatally. Kristen is an avid podcast listener and is excited to bring forward the latest research and information to The Hole Shebang audience. Kristen has a deep interest in research and evidenced based practice and continues to teach at McMaster University in Hamilton, Ontario to stay current with evolving practice trends.
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Ready to transform your business with AI? Sign up for The Effortless Business Bootcamp starting October 2, 2025. In this episode, Kristen sits down with Callan Faulkner, founder of The Uncommon Business and AI strategist who has transformed over 1,500 businesses through artificial intelligence implementation. What You'll Learn: The difference between AI architects and AI offloaders, and why this distinction will determine your practice's future success How Blueberry Therapy became AI-powered and what that means for patient care and operational efficiency Practical AI applications for healthcare practices: from personalized patient education to automated follow-up protocols Why the next 5 years will create a clear divide between AI-fluent healthcare providers and those left behind About Callan Faulkner: Callan discovered AI in July 2023 and immediately recognized its transformative potential. After spending years helping Fortune 5000 companies move from manual Excel-based processes to automated systems, she founded The Uncommon Business to help non-technical humans harness AI's full potential. Her approach combines technical AI training with personal development, money mindset work, and strategic business thinking. Key Topics Covered: Real-world examples of AI implementation in healthcare practices The cost of staying manual in an AI-powered economy Building AI systems that enhance rather than replace human connection Tools and strategies for getting started with AI in your practice Why AI fluency is becoming as essential as clinical competence Connect with Callan: Instagram: @callanfaulkner Website: theuncommonbusiness.co AI Bootcamp: Sign up here - starts October 2, 2025 Ready to transform your practice? Visit blueberrytherapy.ca to learn how we're using AI to provide better pelvic health physiotherapy in Hamilton Ontario. Subscribe to The Hole Shebang Podcast for more conversations that challenge the status quo in healthcare and wellness. Connect with The Hole Shebang on Instagram @blueberrytherapypelvichealth
The Hole Shebang: "Impossible Parenting and the Mental Load Meltdown" with Christina Page Episode Overview Ready for some real talk about parenting? Kristen sits down with Christina Page, a registered psychotherapist who turned her own postpartum struggles into a thriving practice dedicated to supporting overwhelmed parents. From the "Hunger Games" of summer camp registration to the impossible standards of modern motherhood, Christina breaks down why parenting feels harder than ever—and what we can actually do about it. What You'll Learn Why parenting really IS harder for this generation (it's not just in your head) The truth about "impossible parenting" culture and how it's destroying our mental health Why 30% attunement is actually enough for secure attachment (yes, really) How to complete your stress cycle instead of just white-knuckling through it Practical strategies for managing parental rage without losing your mind Why community isn't nice-to-have—it's essential for survival Episode Highlights From Hospital Social Worker to Perinatal Mental Health Expert Christina's journey from general hospital social work to specializing in perinatal mental health wasn't planned—it was born from necessity. After being blindsided by her own postpartum depression and anxiety at 10 months postpartum, she realized how unprepared she was despite thinking she "knew what she was getting into." This personal experience catapulted her into specialized training and eventually launching Whole Family Psychotherapy, now a team of five therapists supporting parents through individual, couples, and group therapy. The Perfect Storm: Why Modern Parenting Is Actually Harder Christina breaks down the concrete reasons why this generation of parents is struggling more than previous ones: Dual-income households with less support than any generation in history Loss of intergenerational support systems Information overload leading to decision paralysis and reduced confidence Social media's curated perfection creating impossible standards The hyper-independence myth that tells us we should be able to do it all Decoding "Impossible Parenting" Culture Drawing from researcher Olivia Scobie's work, Christina explains the toxic values of modern parenting culture: The Investment Myth: The belief that we must sacrifice everything upfront or risk "screwing up" our kids (spoiler: 30% attunement is enough for secure attachment) The Martyrdom Complex: The dangerous narrative that the more we sacrifice, the more we love The Fear Industrial Complex: How constant surveillance and worry actually increase anxiety rather than keeping kids safe The Stress Cycle: Why Screaming in Cornfields Actually Works Christina walks us through Emily Nagoski's four-step stress cycle—triggered, activated, discharge, rest—and explains why most parents get stuck in an endless loop between the first two steps. She shares practical discharge strategies: Humming or singing (stimulates the vagus nerve) Cold exposure (face in ice water, cold showers) Movement (even just running up and down stairs) The power of a 30-40 second bear hug Yes, screaming into the void (literally) Community as Medicine: The Neighborhood Success Story Christina shares the beautiful story of how her neighborhood mom network began with one brave woman leaving a letter in another mom's mailbox saying "I really need a friend." What started as two isolated mothers has grown into a community of 70-80 families with regular gatherings, spontaneous evening visits, and genuine village-style support. Episode Chapters 00:00-03:00: Introduction and the Summer Camp "Hunger Games" 03:00-05:30: Christina's Journey from Hospital Social Work to Perinatal Mental Health 05:30-08:36: Why Modern Parenting Is Actually Harder (It's Not Just You) 08:36-11:09: The Information Overload Problem and Social Media's Impact 11:09-14:14: What Clients Are Really Coming In With (Spoiler: They're Overwhelmed) 14:14-17:14: The Importance of Support Systems and Learning to Accept Help 17:14-19:50: What Healing Actually Looks Like for Parents 19:50-22:51: Breaking Down "Impossible Parenting" Culture 22:51-25:45: The Science of Stress and How to Actually Discharge It 25:45-28:25: Building Community in an Isolated World 28:25: Final Thoughts and Resources Key Takeaways It gets better: Christina's number one message to new parents struggling in the darkness It's normal for this to suck: Permission to feel the hard parts without shame 30% attunement is enough: You don't need to be perfect 99% of the time Discharge is required: Your body needs to complete the stress cycle, not just endure it Community is medicine: Intentionally building connections isn't luxury—it's necessity Connect with Christina Website: Whole Family Psychotherapy Instagram: @wholefamilypsychotherapy Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference (May 8, 2026) Resources Mentioned Burnout by Emily Nagoski - Understanding the stress cycle Come As You Are by Emily Nagoski - Sexual health after babies Impossible Parenting by Olivia Scobie - Breaking down modern parenting culture Christina's Theme Song "Defying Gravity" from Wicked - perfectly capturing her leap-first, figure-it-out-later approach to building something meaningful. If you're a parent feeling overwhelmed, remember: you're not broken, the system is. This conversation is proof that with the right support, understanding, and community, we can navigate this beautiful, impossible journey of parenthood together.
Episode Overview What if everything you thought you knew about relationships was just... one option? Join Kristen as she sits down with Dr. Rachael Meir, a clinical psychologist who's been helping people navigate the beautiful complexity of ethical non-monogamy for over two decades. From her own journey into a polyamorous triad to the nitty-gritty of managing three people's deodorant preferences, Dr. Meir breaks down the real talk about love beyond the traditional box. This isn't your typical relationship advice—it's a deep dive into how radical honesty, intentional communication, and knowing your "why" can transform not just your love life, but how you show up in your body and the world. What You'll Learn The difference between ethical non-monogamy and cheating (spoiler: it's all about consent and communication) Why traditional monogamous couples could learn a thing or two from polyamorous communication strategies How big emotions like jealousy are actually signals worth exploring, not feelings to avoid The surprising ways relationship structures can impact your pelvic health and embodiment Why "knowing your why" is the most important conversation before opening any relationship Real talk about navigating societal judgment, family acceptance, and professional consequences Episode Highlights From Fantasy to Reality: Dr. Meir's Personal Journey Dr. Meir opens up about her 25-year relationship with her husband Aaron and how they transitioned from the swinging lifestyle to forming a closed triad with their partner Casey. She shares the raw truth about moving in together during COVID, dealing with family death, and having "book club" meetings twice a week for two years to navigate their new dynamic. Communication That Actually Works Forget "we need to talk" conversations that go nowhere. Dr. Meir breaks down structured relationship check-ins with actual agenda items, action plans, and follow-ups. She explains how this level of intentional communication could revolutionize any relationship—whether you have one partner or five. The Pelvic Floor Connection You Didn't See Coming In a fascinating twist, Kristen and Dr. Meir explore how relationship dynamics directly impact pelvic health. From the liberation of consensual choice reducing "duty sex" tension to how unprocessed emotions create physical holding patterns, this conversation bridges the gap between emotional and physical wellbeing. Navigating the "Zone of Chaos" Dr. Meir doesn't sugarcoat the challenges. She talks honestly about societal stigma, family rejection, workplace fears, and the reality of living a "double life" for many people in non-monogamous relationships. But she also shares the beauty of finding chosen family and authentic community. Medical Care in a Monogamous World From emergency contact forms with only one line to birth certificates and hospital decisions, Dr. Meir reveals the practical legal and medical challenges facing non-monogamous families and the creative solutions they've developed. Episode Chapters 00:00-10:00: Introduction and Dr. Meir's Background From clinical psychology to relationship coaching specializing in ethical non-monogamy 10:01-18:30: Defining Ethical Non-Monogamy The umbrella of options: swinging, open relationships, polyamory, and everything in between 18:31-25:45: Communication Superpowers How non-monogamous relationships demand next-level communication skills—and why monogamous couples need them too 25:46-32:20: The Practical Stuff Nobody Talks About Shared calendars, sleeping arrangements, and yes, where the deodorant lives 32:21-38:15: Dr. Meir's Triad Journey The real story of meeting Casey, moving during COVID, and building a life together 38:16-44:30: Overcoming Barriers and Stigma Dealing with family reactions, workplace concerns, and societal judgment 44:31-48:45: The Mind-Body Connection How relationship dynamics impact pelvic health, sexual empowerment, and physical embodiment 48:46-52:00: Know Your Why The essential first step for anyone considering non-monogamy 52:01-55:30: Resources and Wrapping Up Books, communities, and next steps for curious listeners Connect with Dr. Rachael Meir Website: drrachaelmeir.com Instagram: @drrachaelmeircoaching Facebook: @drrachaelmeircoaching LinkedIn: Dr. Rachael Meir Coaching YouTube: @drrachaelmeircoaching Triad Instagram: @triadandtrue Book: 50 Questions to Ask Before Opening Your Relationship (available for pre-order) Dr. Meir's Recommended Resources Essential Reading: Martha Kauppi's Polyamory: A Clinical Toolkit for Therapists and Their Clients—packed with relationship wisdom that applies to any partnership structure Communities: Search Facebook groups, local meetups, and munches for ethical non-monogamy to connect with like-minded people and learn from diverse experiences Connect with The Hole Shebang Instagram: @blueberrytherapypelvichealth Website: blueberrytherapy.ca Upcoming Events The Pleasure Principle Conference May 8th, 2026 Join us for a groundbreaking event featuring distinguished healthcare professionals exploring the intersection of health, pleasure, and wellbeing. Dr. Meir's Theme Song "Be Who You Are" by Michael Franti—because authenticity isn't just a buzzword, it's a way of life. Ready to challenge everything you thought you knew about love and relationships? This episode isn't just about non-monogamy—it's about the courage to live authentically, communicate with radical honesty, and create the relationships that actually serve you. Subscribe to The Hole Shebang Podcast for more conversations that break taboos and change lives.
Episode Overview Join Kristen Parise as she sits down with Jackie Harding, the brilliant entrepreneur behind Ovry—the Canadian company that's revolutionizing pregnancy testing one tiny strip at a time. From peeing on ketone strips to building a business that challenges Big Pregnancy Test's ridiculous markups, Jackie shares her journey of turning personal frustration into a sustainable, accessible solution that's changing how we think about reproductive health products. What You'll Learn Why that $25 pregnancy test at the pharmacy costs less than 50 cents to make (spoiler: you're being exploited) How Jackie discovered that dollar store pregnancy tests are just as accurate as the fancy ones—and why Health Canada approval means what it says The game-changing truth about strip format tests: 90% less plastic, multiple tests per box, and no electronic waste Why Jackie's blood clotting disorder led to years of anxiety-inducing pharmacy runs (and how that sparked a business idea) The surprising science behind male fertility testing and why the burden of infertility shouldn't fall only on women Jackie's ambitious vision to transform Ovry into a co-op model—because nobody should be getting rich off tampons (or pregnancy tests) Episode Highlights From Tree Planting to Test Strips: Jackie's Unconventional Path Jackie opens up about her "strange, non-traditional" journey from business school to tree planting, construction, and mill work before finding her calling in reproductive health. Her diverse background in project management turned out to be the perfect training ground for launching a medical device company. The Blood Clotting Plot Twist That Started Everything Living with factor five leiden meant Jackie couldn't take most hormonal birth control, leading to recurring pregnancy anxiety and those mortifying trips to buy overpriced tests while hoping not to run into her boyfriend's mom. Sound familiar? Jackie turned this universal experience into a business opportunity. The Ketone Strip Lightbulb Moment The brilliant "aha!" moment when Jackie realized pregnancy tests should work like ketone strips—small, simple, and accessible. She discovered that hospitals and doctors' offices were already using strip format tests, but nobody was marketing them directly to consumers who desperately needed better options. Big Pregnancy Test's Dirty Secret Jackie exposes the exploitation happening in pharmacy aisles everywhere: Clear Blue and First Response charge $25 for a single test that costs them less than 50 cents to manufacture. They're counting on vulnerable women assuming expensive equals accurate—but that's not how Health Canada approval works. The Male Fertility Revolution Learn about Ovry's at-home male fertility test that detects the SP10 protein in sperm to identify potential concentration issues. Jackie explains why this preliminary screening tool is crucial for couples who want to identify potential barriers early, without the stigma and barriers of clinical testing. Motherhood Meets Entrepreneurship The hilarious story of Jackie and her co-founder Christina both getting pregnant around the same time—including the moment Christina gave Jackie an Ovry pregnancy test to announce her pregnancy, not knowing Jackie was already secretly pregnant too. Plus, Jackie's honest take on how motherhood has made her "wildly more productive" in shorter time windows. The Co-op Dream: Reimagining Reproductive Health Jackie's long-term vision goes way beyond pregnancy tests. She's working toward transforming Ovry into a cooperative model where consumers become owners, ensuring basic reproductive health products are sold at transparent, fair prices rather than exploitative markups. Episode Chapters 00:00-05:30: Introduction and Ovry's Mission – Canadian-made reproductive health products that don't exploit women 05:31-12:45: Jackie's Origin Story – From factor five leiden to frustrated pharmacy runs to business breakthrough 12:46-18:20: The Strip Test Revolution – Why smaller, simpler, and multiple-per-box changes everything 18:21-25:15: Exposing Big Pregnancy Test – The shocking truth about markups and marketing manipulation 25:16-32:40: Male Fertility Matters Too – Breaking down the science and stigma around at-home male fertility testing 32:41-38:55: Building Sustainable Business – Manufacturing in Canada, reducing waste, and giving back 38:56-44:20: Motherhood and Entrepreneurship – Navigating babies, business growth, and retail distribution 44:21-49:30: The Co-op Vision – Reimagining how we think about essential health products 49:31-52:15: Simple Songs and Gratitude – Jackie's theme song choice and what keeps her grounded Connect with Jackie and Ovry Website: myovry.ca Instagram: @myovry TikTok: @myovry Email Jackie directly: jackie@myovry.com Where to find Ovry products: Online at myovry.ca Shoppers Drug Mart (300+ locations and growing) Universities and sexual health clinics across Canada Special Programs: Give a Strip Program: Send unused tests back for redistribution to those who need them Educational Discounts: Heavily discounted tests for nonprofits and educational institutions Free Program: Up to 200 free tests monthly for qualifying nonprofits Connect with The Hole Shebang Website: blueberrytherapy.ca Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference - May 8th, 2026 Jackie's Theme Song for Her Life and Career "Simple Song" by The Shins – A song about gratitude, appreciating everyday things, and finding sanctuary in home and loved ones. Just like Ovry's mission to simplify the complex experience of having ovaries, Jackie's chosen song reflects her commitment to making reproductive health more accessible, less wasteful, and fundamentally simpler. This episode will make you question every overpriced pregnancy test you've ever bought and inspire you to support businesses that actually give a damn about women's experiences. Plus, you'll never look at ketone strips the same way again.
Episode Overview Join Kristen Parise as she sits down with Laura Federico, an AASECT certified sex and couples therapist who co-authored The Cycle Book after discovering that virtually every client walking through her door had the same problem: nobody knew what the hell was happening in their own bodies. From secondary infertility struggles to breaking down the myths around "normal" period pain, Laura shares why understanding your hormonal cycle isn't just helpful—it's revolutionary. What You'll Learn Why pain during your period is absolutely NOT normal (and what you should do about it) How to track your cycle without relying on apps that are wrong 80% of the time The connection between trauma and losing trust in your body Why PMDD isn't just "being a moody bitch"—it's a real condition with real solutions How to recognize your body's signals and become your own health advocate The power of tracking something positive (not just the crappy stuff) Episode Highlights The Problem Every Therapist Sees Laura describes her "this can't be how this is supposed to go" moment when she realized that both she and every client in her practice were dealing with the same issue: complete ignorance about their hormonal cycles. Nobody had been taught to understand their body's signals until it was way too late—like when struggling with secondary infertility in your mid-30s. Pain Is NOT Normal One of the most powerful takeaways from this conversation: we've been conditioned to accept period pain as "normal" when it absolutely isn't. Laura breaks down the difference between a little discomfort and the kind of pain that makes you miss work or school. If you're bleeding through products or experiencing frank pain, that needs investigation—not dismissal. The Tracking Revolution (That Doesn't Involve Your Phone) Forget the apps. Laura explains why period tracking apps are only 20% accurate at predicting ovulation and how relying on them can lead to months or years of mistimed efforts for those trying to conceive. Instead, she advocates for learning to read your own body's signals—the stretchy cervical fluid, basal body temperature changes, and all the other cues your body gives you. Trauma and the Body Disconnect Laura compassionately discusses how trauma can lead to dissociation from our bodies, making it difficult to tune into physical sensations. She offers gentle ways to reconnect, starting with tracking just one positive thing for a few cycles—because we're trained to notice crisis, not pleasure. PMDD: More Than Just PMS Learn about premenstrual dysphoric disorder (PMDD) and premenstrual exacerbation (PME)—conditions that go way beyond typical PMS symptoms. Laura explains how proper cycle tracking is actually key to getting a diagnosis and finding support for these real, treatable conditions. The Power of Positive Tracking Instead of only focusing on pain and problems, Laura encourages starting with something that feels good. Track your energy levels, arousal, clarity, or anything positive—because learning to notice pleasure and positive sensations in your body is just as important as identifying problems. Episode Chapters 00:00-02:54: Introduction and Laura's Journey from Crisis to Clarity 02:54-06:02: Understanding What a "Normal" Menstrual Cycle Really Looks Like 06:02-09:02: The Power of Cycle Tracking (And Why Apps Aren't Cutting It) 09:02-12:12: PMDD, PCOS, and Other Hormonal Realities 12:12-15:07: Trauma, Dissociation, and Reconnecting with Your Body 15:07-18:07: Trusting Your Body's Wisdom (Even When Others Don't) 18:07-21:02: The Problem with Period Tracking Apps 21:02-23:53: Practical Tips for Getting Started with Body Awareness Connect with Laura Federico Website: thecyclebook.com Instagram: @thecyclebook Book: The Cycle Book: An Interactive Step-by-Step Guide to Tackling Hormones and Knowing Your Body Workshops: Follow @thecyclebook for cycle tracking workshops and PMDD-specific sessions Resources Mentioned IAPMD (International Association for Premenstrual Disorders) The Cycle Book - Available at all major booksellers The Pleasure Principle Conference - May 8, 2026 Connect with The Hole Shebang Website: blueberrytherapy.ca Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference - May 8, 2026 Laura's Theme Song "Work Bitch" by Britney Spears - because she's out there trying, really trying. Want more conversations that break taboos and change lives? Subscribe to The Hole Shebang Podcast and join us for bold discussions about the stuff that actually matters—from poop to periods to pleasure.
Episode Overview Join Kristen Parise as she sits down with Cassandra Redding and Leah, the powerhouse founders of Intimate Wellbeing, who are revolutionizing how midlife women approach sexual health and pleasure. From a shame-filled first vibrator purchase at 47 to building a thriving business that empowers women across Canada, their journey is both inspiring and educational. This conversation breaks down barriers, busts myths, and provides practical guidance on everything from lubrication to pelvic floor health. What You'll Learn The transformative power of the "hydrate, lubricate, vibrate" trifecta for sexual health Why everyone needs lube (yes, everyone!) and how to use it properly The difference between vaginal lubricant and vaginal moisturizer How 2-3 orgasms per week can optimize your pelvic floor function The importance of accessibility in sexual wellness products Why sexual health is essential with or without a partner How to overcome shame and start important conversations about pleasure Episode Highlights From Shame to Empowerment: The Birth of Intimate Wellbeing Leah shares her vulnerable story of buying her first vibrator at 47 - from driving by the store multiple times to parking far away out of embarrassment. This experience sparked the idea for creating a non-intimidating online platform for sexual wellness. What started as a "pretty website" quickly evolved into something much more meaningful when they realized women needed expert guidance, not just products. Building a Community of Experts Learn how a chance meeting with Dr. Carolyn Klein from the West Coast Center for Sex Therapy transformed their business model. From that initial connection grew a community of 40+ sexual health experts, including renowned professionals like Dr. Lori Mintz and Dr. Lori Brotto, creating a trusted resource for evidence-based sexual health information. The "Hydrate, Lubricate, Vibrate" Philosophy Discover why this simple trifecta is revolutionary for women's sexual health: Hydrate: Daily vaginal moisturizer keeps tissues supple and healthy Lubricate: Essential for comfort and pleasure, regardless of natural lubrication Vibrate: Promotes blood flow, helps with self-discovery, and maintains pelvic floor health Breaking Down Lube Myths and Shame Cass and Leah tackle the most common questions they receive: "How do I use lube?" and "Where does it go?" They address the harmful narrative of "I don't need it, I'm still wet" and explain why lube is for everyone, emphasizing that it's about enhancement, not deficiency. Accessibility and Inclusivity in Sexual Wellness Explore their commitment to making sexual wellness accessible to all, including products for people with disabilities, joint issues, and mobility challenges. From ergonomic toys to supportive pillows, they discuss how 22% of Canadians have some type of disability and deserve pleasure too. The Pelvic Floor Connection Learn why women should see a pelvic floor physiotherapist and how proper Kegel technique can transform your health. Discover the shocking statistic that women need 2-3 orgasms per week for optimal pelvic floor function and long-term health. Expanding Beyond Online: Brick and Mortar and Hospitality Hear about their exciting expansion into a physical boutique in Vernon, BC, and their upcoming venture into hospitality with intimacy kits for hotels. Plus, learn about their Healthcare Provider program that's helping clinics across Canada better serve their patients. Episode Chapters 00:00-05:34: The Birth of Intimate Wellbeing – From personal journey to business idea 05:35-10:43: Building a Community of Experts – How they curated their trusted network 10:44-16:06: The Importance of Lubrication – Breaking down myths and providing education 16:07-19:42: The Hydrate, Lubricate, Vibrate Formula – Why this trifecta matters 19:43-24:30: Accessibility in Pleasure – Making wellness inclusive for everyone 24:31-31:10: Expanding the Business – From online to brick and mortar and beyond 31:11-34:44: Final Thoughts and Empowerment – Finding your joy with or without a partner Connect with Intimate Wellbeing Website: intimatewellbeing.com Instagram: @intimate.wellbeing Location: Vernon, BC (boutique location) Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberytherapypelvichealth Upcoming Event: The Pleasure Principle Conference - May 8, 2026 Cass and Leah's Theme Song "Flowers" by Miley Cyrus – "It's about taking ownership of your own happiness... We can buy ourselves flowers. We can buy ourselves vibrators." Key Takeaways Sexual health is as important as physical and mental health Pleasure is a necessity, not a luxury Education and open conversation can transform shame into empowerment "Find your joy" - whether with or without a partner No question about sexual health is too silly to ask Everyone deserves access to pleasure and sexual wellness
Episode Overview Join Kristen Parise as she sits down with Dr. Laura Katz, a health, rehabilitation, and clinical psychologist who's revolutionizing how we understand and treat chronic pelvic pain and endometriosis. From the evolutionary biology of pain signals to groundbreaking interdisciplinary treatment approaches, Dr. Katz shares her expertise on helping women reclaim their lives from chronic pain through the power of pain science and neuroplasticity. What You'll Learn Why our pain signals haven't evolved past the "velociraptor era" and how this impacts chronic conditions The critical difference between acute and chronic pain in the nervous system How pain sensitization works and why chronic pain isn't always a sign of tissue damage The revolutionary science behind neuroplasticity and pain rewiring Why cognitive behavioral therapy is a game-changer for chronic pain management The innovative Endometriosis360 program combining psychology, physiotherapy, and nutrition Practical tools and homework assignments that create lasting change Episode Highlights Dr. Katz's Journey: From Pain Lab to Patient Care Dr. Katz describes her path from clinical psychology training in a specialized pain lab focusing on bladder pain syndrome and pelvic pain conditions to becoming a registered health psychologist. Her unique background combines traditional clinical psychology with specialized expertise in chronic health conditions, pain management, and helping patients stick to treatment plans. The Evolutionary Mismatch: Why Our Pain System is Outdated Learn why our nervous system's danger detection mechanisms, perfectly designed for escaping predators, can become problematic in modern life. Dr. Katz explains how chronic pain conditions like endometriosis involve a sensitized nervous system that sends danger signals even when there's no actual tissue damage, creating a cycle of fear and avoidance. The Science of Pain: Acute vs. Chronic Discover the critical 12-week transition point where acute pain can become chronic, and understand how the nervous system becomes "sensitized" over time. Dr. Katz breaks down complex neurobiology into understandable concepts, explaining how chronic pain involves mixed-up chemical messengers rather than ongoing tissue damage. Cognitive Behavioral Therapy: Rewiring Your Pain Response Explore how CBT helps patients examine and change their relationship with pain-related thoughts and beliefs. From "pain equals danger" to "pain is uncomfortable but not dangerous," learn how shifting these core beliefs can dramatically impact functioning and quality of life. The Endometriosis360 Revolution: Interdisciplinary Care at Its Best Get an inside look at this innovative 6-week virtual program that combines the expertise of Dr. Katz (psychology), Jill Mueller (physiotherapy), Dr. Matthew Leonardi (gynecological surgery), and Emily Arthur (nutrition). Discover how this "master class" approach addresses endometriosis from multiple angles simultaneously, leading to profound transformations in just six weeks. Beyond Pain Relief: Identity Transformation Learn about the surprising "identity crisis" many patients experience when they're no longer defined by their pain. Dr. Katz shares how successful treatment can lead to profound questions about purpose, relationships, and life goals when chronic pain no longer dominates daily existence. Episode Chapters 00:00-11:00: Introduction and Dr. Katz's Background – From pain lab research to clinical practice 11:01-24:00: Understanding Pain Science – Evolutionary biology meets modern neuroscience 24:01-32:00: The Acute to Chronic Pain Transition – When protective mechanisms go wrong 32:01-45:00: Cognitive Behavioral Therapy for Pain – Changing thoughts to change outcomes 45:01-58:00: The Endometriosis360 Program – Revolutionary interdisciplinary care 58:01-68:00: Practical Tools and Home Practice – What patients do between sessions 68:01-75:00: Success Stories and Transformations – From pain patient to empowered individual Connect with Dr. Laura Katz Endometriosis360 Program: @endometriosis360 on Instagram Private Practice: MindFit (Director of Health Psychology) Academic Role: Assistant Professor at McMaster University Clinical Work: Michael G. DeGroote Pain Clinic at McMaster University Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapyepelvichealth Dr. Katz's Theme Song for Her Life and Career "Shake It Off" by Taylor Swift – representing the resilience needed in trauma work, parenting young children, and innovating in healthcare. As Dr. Katz explains, "Part of resiliency is just being able to shake it off" whether dealing with challenging patient sessions, demanding toddlers, or healthcare system obstacles. Key Resources Mentioned Bounce Back: Ontario's online CBT program with self-guided modules Mind Over Mood: CBT book by Padesky and Greenberg Pain-specific CBT books: (Available through Dr. Katz's recommendations) Endometriosis360 Assessment: 90-minute interdisciplinary virtual assessment Endometriosis360 Group Program: 6-week evidence-based virtual program
Special Listener Offer Follow @pauzhealth on Instagram and DM "hole shebang" to receive: 3 months free of the PAUZ Health community Entry to win $50 off at the PAUZ Health marketplace Episode Overview Join Kristen Parise as she reconnects with her former McMaster University classmate, Dr. Natalie Perkins, who traded her VP role at a major telemedicine company to launch PAUZ Health, a revolutionary platform supporting women through perimenopause and menopause. From life-threatening health scares to marriage endings to career pivots, Natalie shares her raw, authentic journey of self-discovery and how it led her to create a much-needed resource for women navigating this life transition. What You'll Learn How to recognize when perimenopause is calling you to pause and reassess your life Why "it's not selfish to be happy" and how to prioritize your own well-being The three pillars of PAUZ Health: education, clinical access, and curated products Essential health recommendations for perimenopausal women (spoiler: strength training tops the list) Why vaginal estrogen should be considered as routine as face cream How to advocate for yourself in healthcare settings when providers lack menopause expertise The importance of viewing perimenopause as "a gift" rather than a burden Episode Highlights From Success to Soul-Searching: The Great Life Pivot Natalie opens up about her "big kaboom" moments - realizing she was drowning in a 20-year marriage while climbing the corporate ladder, only to discover she didn't even know if she liked cheese, let alone what brought her joy. Her candid discussion about choosing happiness over societal expectations will resonate with anyone who's ever felt lost in their own life. The Life-Threatening Wake-Up Call During an Ironman race, Natalie experienced a cardiac episode that landed her in the hospital and fundamentally changed her perspective on life's finite nature. This brush with mortality became the catalyst for her complete life transformation and the eventual founding of PAUZ Health. "Grab Life by the Ovaries": The PAUZ Philosophy Learn why Natalie chose the name PAUZ - it's all about taking that crucial pause to reflect, educate yourself about your options, and then step boldly into the next phase of your life. The conversation explores how perimenopause can be reframed as an opportunity for course correction rather than something to endure. The Healthcare Gap That Sparked a Business With her digital health background, Natalie recognized that the lack of accessible, comprehensive menopause care could be solved through virtual platforms. She breaks down the three pillars of PAUZ Health: affordable education with world experts, access to specialized clinicians, and a curated marketplace of clean, effective products. Top 5 Non-Negotiables for Perimenopausal Women Natalie shares her evidence-based recommendations: Strength training with heavy weights (8-12 rep range) Protein first - make it the first thing you eat Fiber focus for overall health benefits Hormone therapy education - both systemic and vaginal estrogen Sleep optimization - the foundation of everything else Breaking the Taboo Around Women's Health The conversation tackles the critical need for women to advocate for themselves, especially when healthcare providers lack specialized menopause training. Natalie emphasizes that women often know more about their bodies and available treatments than their doctors do. Episode Chapters 00:00-05:58: Introduction and Natalie's Journey from Exercise Physiology to Healthcare Executive 05:58-09:07: The Birth of PAUZ Health and Its Three-Pillar Mission 09:07-11:53: The Challenges of Leaving Established Careers and Choosing Personal Happiness 11:53-14:52: Embracing Perimenopause as a Gift and Opportunity for Life Reset 14:52-18:05: The Intersection of Mental and Physical Health During Life Transitions 18:05-20:55: Navigating the Gray Areas of Life Decisions 20:55-23:54: Building Confidence and the Importance of Community Support 23:54-29:43: The Genesis of PAUZ Health and Its Core Philosophy 29:43-31:12: The Entrepreneurial Journey and Maintaining Joy in Business 31:12-32:49: Finding Balance Between Business Growth and Personal Well-being 32:49-34:52: Life-Changing Impact: Feedback from PAUZ Health Community Members 34:52-36:15: The Critical Importance of Education in Women's Health 36:15-39:16: Access to Care and the Need for Self-Advocacy 39:16-40:52: Shifting Mindset: Investing in Health vs. Managing Symptoms 40:52-45:14: The Power of Movement and Expert-Guided Exercise 45:14-49:22: Top Health Recommendations for Perimenopausal Women 49:22-50:33: Simplifying Health: Prioritizing What Matters Most 50:33-52:29: Exciting Developments at PAUZ Health 52:29-53:53: Understanding Non-PFA Products and Estrogen Disruptors 53:53-56:46: Connecting with PAUZ Health and Special Listener Offer Connect with Dr. Natalie Perkins and PAUZ Health Website: pauzhealth.shop Instagram: @pauzhealth Podcast: Available through PAUZ Health platform Connect with The Hole Shebang Website: BlueberryTherapy.ca Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference Natalie's Theme Song for Her Life and Career "Everything is Everything" by Lauryn Hill - embodying fierce female energy, resilience, growth, and trusting yourself through life's journey. Key Takeaways Perimenopause is your body's alarm system telling you to pause and course correct It's not selfish to prioritize your happiness - everyone benefits when you're thriving Strength training and protein are non-negotiable for maintaining health through hormonal changes Vaginal estrogen should be considered preventive care, like face cream for your genitals You often know more about menopause than your healthcare provider - advocate for yourself Life exists in gray areas, and that's actually freeing once you accept it Small, consistent changes build confidence better than trying to overhaul everything at once "Your happiness is worth it, and the price you pay to not listen and keep squashing that inner voice - it really is your health that you're compromising." - Dr. Natalie Perkins
Episode Overview Are you tired of feeling exhausted all the time as a mom? Wondering if you'll ever feel like yourself again? This episode is your wake-up call! Join Kristen Parise as she chats with Laura Lima, a holistic nutritionist and soon-to-be mom of four, who's cracking the code on how busy moms can ditch the fatigue and reclaim their energy—without complicated meal plans or impossible routines. Laura brings real-world wisdom from the trenches of motherhood, sharing practical strategies that actually work when you're sleep-deprived, overwhelmed, and just trying to keep everyone fed (including yourself!). If you've ever eaten a protein bar for breakfast while standing in your kitchen, this conversation is for YOU. What You'll Learn The Energy-Boosting Essentials That Actually Matter: Why that water bottle needs to become your new best friend (and the simple trick to drink more) The power of protein and fat combinations that keep you satisfied for hours How to avoid the blood sugar roller coaster that's making you feel like garbage Meal Prep Hacks for Real Life: The slow cooker strategy that will save your sanity Why boiled eggs in the fridge are a game-changer Laura's "anything goes" approach to the newborn phase (because perfectionism can take a hike!) Breaking the Snack Attack Cycle: The truth about why you're craving sugar all day long How to eat three solid meals without feeling deprived The mindset shift that transforms your relationship with food Staying Consistent When Life is Chaos: Laura's morning ritual that sets the tone for success The "future self" technique that stops bad decisions in their tracks Why asking "How do I want to feel when my head hits the pillow?" changes everything Episode Highlights From Spa Days to Mom Life Laura's journey from aesthetician to holistic nutritionist wasn't planned, but when her then-boyfriend (now husband) spotted an opportunity at the Institute of Holistic Nutrition, she knew she'd found her calling. Now as a busy mom expecting her fourth baby, she's living proof that you can feel vibrant even in the thick of motherhood chaos. The Water Bottle Revolution It sounds basic, but Laura's passionate about this: always have water with you. At your nursing station, in your car, on your nightstand. "When you bring your water with you, you will automatically drink more water," she explains. It's the foundation that makes everything else work. The Almond Butter Nightstand Strategy Sometimes you need easy wins. Laura's honest about bringing a jar of almond butter and a spoon to her nightstand during the newborn phase. "That's a snack. That's just some extra booster protein that will help get me through the night." No judgment, just nourishment. The Blood Sugar Truth Bomb "When we rely on things like bars... they just make our blood sugar spike. And when it goes up, it goes down fast. And when it goes down fast, we're feeling tired, lethargic, probably mood swingy." Laura breaks down why those convenient snacks are actually working against you. The Cravings Mind Shift This is where it gets deep. Laura's approach to emotional eating isn't about willpower—it's about recognizing that "food will not actually make this better. I will not actually feel happier when I eat that food." It's a game-changing perspective that addresses the real root of cravings. Episode Chapters 00:00-02:22: Laura's Origin Story - From spa life to nutrition passion 02:22-04:05: The Energy Crisis - Why new moms don't have to suffer 04:05-08:04: The Hydration Foundation - Water as your secret weapon 08:04-11:35: Smart Snacking Strategies - Protein and fat combinations that work 11:35-16:55: Blood Sugar Mastery - Three meals, better choices, lasting energy 16:55-21:29: Meal Prep Reality Check - Slow cookers, leftovers, and homemade dressings 21:29-24:42: The Snacking Spiral - How to break free from constant grazing 24:42-28:17: Craving Control - Physical vs emotional hunger 28:17-30:54: Consistency Secrets - Morning rituals and future-self thinking 30:54-32:32: Laura's Practice - Virtual support through the New Mama Nutrition Manual 32:32-35:28: Real Life Moments - Playroom disasters and lived-in houses 35:28-35:42: Theme Song - "Happy Together" by The Turtles Laura's Top Tips for Busy Moms Always carry water - If it's with you, you'll drink it Stock boiled eggs - Perfect grab-and-go protein Make extra dinner - Leftovers are your friend Keep homemade salad dressing ready - You'll actually eat the salad Add almond butter to everything - Yogurt, smoothies, fruit Use your slow cooker - 20 minutes of prep = dinner done Ask yourself: "How do I want to feel tonight?" - Let your future self guide your choices Connect with Laura Lima Instagram: @lauraannlima - Follow for real-life mom nutrition tips, behind-the-scenes motherhood moments, and practical recipes Online Course: New Mama Nutrition Manual - Get all of Laura's strategies in one comprehensive program at newmamanation.com/courses Website: newmamanation.com Connect with The Hole Shebang Ready for more honest conversations about women's health? Follow us on Instagram: @blueberytherapypelvichealth for more episodes of The Hole Shebang and pelvic health insights Upcoming Event: The Pleasure Principle Conference returns May 8th, 2026 - Don't miss this groundbreaking event! Website: Blueberry Therapy Pelvic Health and Pediatrics Laura's Theme Song "Happy Together" by The Turtles - Because as Laura says, "As long as we're together, whatever we do, it's gonna be fun today." Family first, always. This episode is a must-listen for any mom who's tired of feeling tired. Laura's approach is refreshingly honest, beautifully practical, and proof that small changes can create massive shifts in how you feel every single day.
Episode Overview Get ready for one of the most fascinating origin stories you'll ever hear! Join Kristen Parise as she sits down with Dr. Bruce Crawford, the maverick urogynecologist who went from drumming in rock bands to revolutionizing pelvic floor health worldwide. This isn't your typical medical journey—it's the story of a surgeon who discovered that "It's a fitness problem, not a surgical problem" and completely transformed how we approach bladder control, prolapse, and pelvic health. From playing drums in successful rock bands to becoming the ONLY urogynecologist in the United States to develop a comprehensive pelvic floor fitness program, Dr. Crawford's path proves that sometimes the most unconventional routes lead to the most groundbreaking discoveries. What You'll Discover The Email That Changed Everything: How one random email in 2003 led Dr. Crawford to West Africa and completely transformed his medical philosophy The Pfilates Revolution: The fascinating EMG research behind 120 movement studies that identified the 10 most effective pelvic floor exercises Why Traditional Medicine Gets It Wrong: The eye-opening revelation that pelvic floor disorders are fitness problems being treated as surgical ones The Power of Co-Recruitment: How your glutes, inner thighs, and deep abdominals can save your pelvic floor (without you even thinking about it!) Real Results: Why 80% of clients see 50% improvement in bladder function in just 28 days Global Impact: Stories from training 7,000+ instructors worldwide, including 1,700 in Japan alone Episode Highlights From Janitor to Rock Star to Surgeon: The Most Unlikely Medical Journey Ever Dr. Crawford opens up about his unconventional path—from being an 18-year-old hospital janitor with no college plans, to touring Europe as a drummer, to acing the MCAT and attending NYU School of Medicine. His greatest childhood fear? Being bored at work. Spoiler alert: that never happened! "My greatest childhood fear was being bored in my work. Kids are scared of the boogeyman—I was afraid of being bored as an adult." The Life-Changing Email: When Destiny Calls from West Africa In 2003, Dr. Crawford opened what seemed like a routine email. Next thing he knew, he was performing life-changing fistula repairs in Niger and Rwanda. This humanitarian work became the catalyst for his revolutionary discovery that would challenge everything he thought he knew about pelvic floor treatment. "You just never know which email it's gonna be. You never know what interaction is gonna totally change the path of your life." The Great Medical Revelation: "They're Not Surgical Problems!" After years of performing successful surgeries and watching the same problems return, Dr. Crawford had a professional existential crisis. His work with women suffering from obstetric fistulas in Africa made him realize that most pelvic floor disorders aren't surgical problems—they're fitness problems that deserve fitness solutions. The Science Behind the Magic: EMG Research That Changed Everything Discover how Dr. Crawford and his team used groundbreaking video EMG synchronization technology to study 120 different movements from Pilates, yoga, and personal training routines. The result? Ten specific movements that passively engage the pelvic floor through reflex relationships with other muscle groups. "75-80% of people are glute dominant. That's their best co-recruiter. But we didn't know that before the research." Why Your Stride Length Might Predict Your Sex Life In a fascinating tangent, Dr. Crawford shares a Japanese study showing that men with longer natural stride lengths had less erectile dysfunction. The reason? Hip extension engages glutes, which are the dominant pelvic floor recruiters. Mind = blown! Breaking the Incontinence Silence: "How's Your Bladder Working?" Learn Dr. Crawford's direct, no-nonsense approach to breaking down barriers around embarrassing health topics. His secret? Unwavering eye contact, matter-of-fact delivery, and understanding that if you're uncomfortable, your patient will be too. "You need to coax it gently and with kindness. You can't feel fear and shame and embarrassment." The Fitness Revolution vs. The Medical Machine Dr. Crawford doesn't hold back about the medical industry's relationship with Big Pharma and the profit motives that keep surgical solutions at the forefront. His controversial take: we've got it completely backwards, treating exercise and nutrition as "radical therapy" instead of first-line treatment. "There might be exploitation taking place here. We put everyone on a med. If that doesn't work, we operate. And if that doesn't work, we try radical therapy like exercise and nutrition. This might be completely upside down." The Lonely Road of Medical Innovation Discover what it's like to be a pioneer in a field resistant to change, especially when that change threatens income streams. Dr. Crawford's honest reflection on choosing to "effectively put himself out of business" rather than continue the status quo. Episode Chapters 00:00-07:17: Introduction to Dr. Bruce Crawford – Meet the rock star turned revolutionary surgeon 07:17-15:39: Bruce's Unique Journey to Medicine – From drummer to janitor to medical maverick 15:39-21:32: The Importance of Movement in Pelvic Health – The science behind functional movement and pelvic floor recruitment 21:32-28:28: Breaking the Stigma of Incontinence – How to have those difficult conversations with confidence 28:28-36:29: The Role of Exercise in Health – Why fitness should be first-line treatment for almost everything 36:29-40:16: Reflections on Global Health Work – Life-changing experiences in Niger and Rwanda 40:16-End: The Future of Pelvic Floor Rehabilitation – Where Pfilates is headed and how to get involved Transformative Quotes That Will Change How You Think "It's a fitness problem, not a surgical problem." "You should be working your pelvic floor muscles all your life, just like you work your biceps." "It's never too late to work on muscles." "The answer is always to exercise." "Instead of 28 days, you need to think 90 days for prolapse—but it CAN be done." "We sell more pads for bladder control problems than for menstruating women. And we don't talk about it." Ready to Transform Your Approach to Pelvic Health? Whether you're a healthcare provider looking to offer better solutions to your patients, someone struggling with pelvic floor issues, or just fascinated by medical innovation, this episode will completely shift your perspective on what's possible with the right approach. Learn More About Pfilates: Visit Pfilates.com to explore programs for women, men, prolapse coaching, and instructor certification. Dr. Crawford's Challenge to You: Before considering surgery, give fitness a chance. Five minutes in the morning, five minutes in the evening. What do you have to lose? Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference May 8th 2026 Dr. Crawford's Theme Song for His Career "Don't Back Down" by Tom Petty – perfectly capturing his refusal to compromise on doing what's right for patients, even when it meant going against the medical establishment. Close second: "Wheels on the Bus Go Round and Round" because "it's just been a lot of repetition over and over again." Ready to have your mind blown about pelvic health? This episode proves that sometimes the most revolutionary ideas come from the most unexpected places. Dr. Crawford's journey from rock stages to operating rooms to fitness studios is proof that creative expression and medical innovation can change the world—one pelvic floor at a time.
Connect with Amber Romaniuk Website: amberapproved.ca Podcast: The No Sugarcoating Podcast (available on all podcast platforms) Social Media: @AmberRomaniuk (Instagram) Free Resources: Emotional eating quiz and workshop replay available on her website Consultations: Free consultation bookings available through her website Join the Body Brilliance Workshop Date: Tuesday, July 29th Time: 2:00-3:30 pm EST Location: Online via Zoom Investment: $47 CAD Register: Body Brilliance Workshop Can't attend live? No problem! All participants receive access to the recording. What You'll Discover in Body Brilliance: Emotional Eating & Hormonal Health (with Amber): How hormonal fluctuations disrupt hunger cues and trigger emotional eating Strategies for managing perimenopause mood swings and emotional challenges Why conventional diet methods fail during hormonal transitions Tools for addressing body image struggles and building self-worth Pelvic Health & Physical Wellness (with Kristen): Solutions for bladder issues including leaks and urgency Relief strategies for pelvic organ prolapse and pelvic pain Techniques to enhance sexual comfort and return to exercise with confidence How to properly support your pelvic floor during life's changes Episode Overview Join Kristen Parise as she reunites with emotional eating expert Amber Romaniuk for an inspiring conversation about their groundbreaking collaboration: the Body Brilliance Workshop. This dynamic duo explores the powerful connections between emotional eating, hormonal health, and pelvic floor dysfunction—areas that profoundly impact women's lives yet are often overlooked or dismissed. From the shame surrounding both food struggles and pelvic health issues to the interconnected roots of these challenges, this episode reveals why addressing both physical and emotional health together is the key to true healing. What You'll Learn How emotional eating and pelvic health issues share surprising common roots in shame and unworthiness Why hormonal changes during perimenopause require completely new approaches to health and healing The connection between people-pleasing, boundary-setting, and both food and pelvic health struggles How physical pain can drive emotional eating patterns and vice versa Why creating safe spaces for women to discuss these "taboo" topics is essential for healing What the Body Brilliance Workshop offers for women struggling with these interconnected issues Episode Highlights Breaking the Shame Cycle Around Women's Health Amber and Kristen explore how shame surrounding both emotional eating and pelvic health issues keeps women isolated and prevents them from seeking help. They emphasize that these struggles are far more common than women realize and that breaking the silence is the first step toward healing. The Mind-Body Connection: When Physical and Emotional Health Collide The hosts reveal fascinating connections between mental and physical health. When women experience pelvic pain, they often reduce activity and seek comfort in food. Similarly, hormonal fluctuations can trigger both emotional eating and pelvic floor dysfunction, showing why comprehensive approaches work better than treating symptoms in isolation. Why Perimenopause Changes Everything Amber explains how perimenopause represents a fundamental shift requiring completely new strategies. The restrictive diets and exercise routines that worked before suddenly become ineffective, demanding a more holistic approach that addresses hormonal changes, emotional patterns, and physical symptoms together. Introducing Body Brilliance: Where Pelvic Health Meets Emotional Wellness Kristen and Amber unveil their collaborative workshop that fills gaps in traditional healthcare. Body Brilliance connects the dots between cravings, hormones, emotional health, and pelvic function, providing women with comprehensive support in a safe, judgment-free environment. Episode Chapters 00:00-01:03: Welcome Back Amber - Reintroduction and collaboration excitement 01:03-03:55: Amber's Expertise - Emotional eating, hormones, and the No Sugarcoating Podcast 03:55-07:59: Creating Safe Spaces - Why shame keeps women from seeking help 07:59-09:22: The Roots of Emotional Eating - Addressing unworthiness and self-sabotage 09:22-12:57: Perimenopause Game-Changer - Why old strategies stop working 12:57-16:29: Mind-Body Connection - How physical and emotional health intertwine 16:29-20:39: Body Brilliance Workshop - Connecting cravings, hormones, and pelvic health 20:39-23:19: Pelvic Health and Emotional Well-being - The pain-comfort food cycle 23:19-26:25: Resources and Theme Songs - Where to find Amber and her perfect life soundtrack Key Takeaways Your triggers are teachers - Instead of fighting against emotional eating triggers, learn to see them as valuable information about what your body and mind need. "None of your old tricks are going to work" - Perimenopause requires a complete shift in approach, moving away from restrictive methods toward supportive, holistic strategies. "It's so easy to get in your head" - The stress-eating cycle perpetuates itself, but understanding this pattern is the first step to breaking free. Safe spaces save lives - Creating environments where women can openly discuss their struggles without shame is essential for healing and empowerment. Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference Amber's Theme Song for Her Career "Life is a Highway" by Tom Cochrane – "I'm gonna ride it (during the day, not the night, because I'm sleeping!)" – perfectly capturing her journey of helping women navigate their health challenges while prioritizing rest and self-care. This episode is brought to you by the shared mission of breaking taboos and changing lives through open, honest conversations about women's health. Knowledge is power, and talking openly about women's bodies is revolutionary.
Episode Highlights 🌟 🧬 The Science Behind Midlife Changes: Discover why vaginal tissue goes from 20+ layers to just 2 post-menopause—and what you can do about it 💡 Lubes vs. Moisturizers Decoded: Finally understand the difference between "lubes for love" and "moisturizers for maintenance" 🌱 From Clinician to Entrepreneur: How a pelvic health physio created FemSense Balm after struggling to find effective products for her clients 🔬 pH Balance Matters: Learn the exact pH range (3.5-5.0) your vulvar area needs to stay healthy and infection-free 🩺 Beyond Menopause: Why postpartum, post-cancer, and incontinence patients also need to know about vaginal moisturizers 🎵 Theme Song: "Don't Stop Believing" by Journey (because innovation in women's health never stops!) Episode Summary In this enlightening conversation, host Kristen Parise sits down with fellow pelvic health physiotherapist Angelique Montana-Breslin to dive deep into a topic that's often overlooked but desperately needed: vaginal moisturizers. From the entrepreneurial journey of creating FemmeSense Balm to the science behind vulvar health, this episode is packed with practical insights that could be life-changing for many listeners. Meet Our Guest Angelique Montano-Bresolin, PT, BSc PT, HBA Kin Registered Physiotherapist and Clinic Director at Proactive Pelvic Health Centre in Toronto Adjunct Lecturer at University of Toronto Creator of FemmeSense Balm and founder of Pelvic Health Hub Treating all genders and ages for pelvic health concerns since 2009 Angelique's journey into pelvic health began through treating low back pain, where she discovered the strong correlation between pelvic floor dysfunction and spinal issues—a discovery that changed her career trajectory forever. Key Takeaways That Will Change How You Think About Intimate Care The Lube vs. Moisturizer Revelation Lubricants: "Lubes for love" - fast-acting, short-term friction relief for sexual activity Moisturizers: "Moisturizers for maintenance" - ongoing skin support, just like face cream for your vulva The Midlife Reality Check One powerful visualization shared: pre-menopause vaginal tissue has approximately 20 layers of skin cells, while post-menopause may have only 2. This dramatic change explains why so many experience that "razor blade" sensation during intimacy. Beyond Menopause: Who Else Needs to Know This Postpartum individuals (especially those breastfeeding) Post-cancer treatment patients Anyone with urinary incontinence Those with vulvar dermatological conditions like lichen sclerosus What Makes a Good Vaginal Moisturizer? Angelique breaks down the science-backed essentials: pH Balance: 3.5-5.0 range to maintain healthy microbiome Emollient Properties: Softens and lubricates skin Occlusive Properties: Creates barrier to prevent moisture loss Humectant Properties: Draws and retains water in skin Chapter Breakdown 00:00 - Introduction to Pelvic Health and Angelique's Journey 02:58 - The Creation of FemmeSense Balm (From idea to market reality) 05:51 - Understanding Vaginal Moisturizers vs. Lubricants 09:03 - Key Considerations for Choosing a Vaginal Moisturizer 11:52 - The Importance of Moisturizers in Midlife 14:49 - Vulvar Vaginal Dryness Across Different Life Stages 18:06 - Lichen Sclerosus and Its Impact 20:47 - FemmeSense Balm: A Solution for Sensitive Skin 24:05 - Where to Find FemmeSense Balm and Closing Thoughts Resources Mentioned Where to Find FemmeSense Balm: Pelvic Health Hub (Direct from manufacturer) Amazon Well.ca (Canada) Blueberry Therapy and other select pelvic health clinics Connect with Angelique: Instagram: @proactivepelvichealth Facebook: @proactivepelvichealth Pelvic Health Hub: @pelvichealthhub Why This Episode Matters This isn't just another product discussion—it's about filling a critical gap in women's healthcare knowledge. As Angelique reveals, many people suffering from vulvar discomfort have never even heard that moisturizers exist for intimate care. For some clients, discovering this solution has been "life-changing." Whether you're approaching midlife, navigating postpartum changes, or supporting clients in your practice, this episode provides the science-backed information needed to make informed decisions about intimate skincare. Theme Song Spotlight: Angelique's choice? "Don't Stop Believing" by Journey—perfectly capturing her entrepreneurial spirit and dedication to advancing pelvic health care. Ready to transform your understanding of intimate wellness? Press play and discover why this conversation is resonating with healthcare professionals and patients alike.
Episode Overview Join Kristen Parise as she sits down with Dr. Ada Tang, a physiotherapist, professor, and researcher at McMaster University who's transforming how we think about exercise for stroke survivors and older adults. From her unexpected journey from clinical practice to groundbreaking research, Ada shares evidence-based insights on how the right exercise can be life-changing medicine for recovery, independence, and healthy aging. What You'll Learn Why aerobic exercise should be a standard part of stroke rehabilitation (just like cardiac rehab) The surprising benefits of high-intensity interval training (HIIT) for stroke survivors How power training differs from traditional strength training and why it matters The truth about what strength training should look like for older adults (hint: it's not bean bag weights) How to recognize pre-frailty and why early intervention with exercise can prevent decline The mental health, cognitive, and social benefits of exercise programs Why women are underrepresented in stroke research and what's being done about it Episode Highlights Ada's Journey: From Bedside to Bench Science Ada shares her unexpected path from planning a career in private practice to becoming a leading researcher in neurorehabilitation. Her clinical experience working with stroke survivors and older adults directly informs her research mission: proving that exercise truly is medicine for recovery and healthy aging. Exercise After Stroke: Breaking Down Barriers Learn why stroke rehabilitation should mirror cardiac rehabilitation when it comes to exercise prescription. Ada explains how her research bridges the gap between stroke care and cardiac care, showing that people with stroke face similar cardiovascular risks but don't receive the same exercise-focused interventions. HIIT for Stroke Survivors: Challenging Assumptions Discover the groundbreaking findings from Ada's multi-site study showing that stroke survivors can safely perform high-intensity interval training using recumbent steppers. With just 19 minutes of training (10 one-minute high-intensity intervals), participants achieved greater fitness gains than those doing 30 minutes of moderate exercise. Power Training: The Next Frontier Ada introduces the concept of power training for stroke recovery—combining strength with speed to better mimic the demands of daily activities. From standing up quickly to crossing the street when the light changes, power movements are essential for functional independence. Preventing Frailty: Moving Beyond Bean Bag Weights Learn how Ada's research challenges traditional assumptions about exercise for older adults. Instead of seated exercises with light weights, her studies show that older adults can safely perform complex, weight-bearing movements that challenge multiple systems simultaneously—and the results are transformative. The Social Prescription: Exercise as Community Medicine Explore the profound mental health, cognitive, and social benefits Ada has observed in her exercise programs, from improved memory and executive function to caregiver respite and community connection. Episode Chapters 00:05-05:00: Introduction and Ada's Winding Journey – From physiotherapy student to stroke rehabilitation researcher 05:01-13:00: Exercise and Stroke Recovery – Why stroke rehab should look more like cardiac rehab 13:01-16:30: Power Training for Stroke Survivors – Combining strength with speed for functional recovery 16:31-20:00: HIIT Research Breakthrough – Revolutionary findings on high-intensity exercise after stroke 20:01-25:00: Understanding Frailty and Pre-Frailty – Early intervention strategies for healthy aging 25:01-31:00: Strength Training Reimagined – Moving beyond bean bags to functional movements 31:01-35:00: The Prescription for Exercise – Frequency, progression, and getting professional guidance 35:01-39:00: Mental Health and Social Benefits – The non-physical benefits of physical activity 39:01-43:00: Research on Research – Improving women's representation in stroke studies 43:01-End: Future Directions and Final Thoughts – Ada's theme song and research vision Connect with Dr. Ada Tang Lab: MacStroke Canada at McMaster University Social Media: Instagram, X (Twitter), Facebook LinkedIn: Ada Tang Research Focus: Exercise, stroke recovery, frailty prevention, and inclusive research practices Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @theholeshebang Upcoming Event: The Pleasure Principle Conference Ada's Theme Song for Her Career "Ain't No Mountain High Enough" by Motown – perfectly capturing her belief that there's always somewhere to go and that we can tackle mountains together!
Episode Summary In this final installment of our three-part financial wellness series, Kristen and Gillian dive deep into retirement planning—but not in the way you'd expect. While we cover the essential numbers (spoiler: Canadians need $1.5-1.7 million for comfortable retirement), this conversation explores the profound connection between financial security and mental wellbeing in your golden years. From understanding why social isolation hits retirees as hard as smoking and obesity, to discovering how whole life insurance can become a tax-free investment vehicle, this episode challenges every assumption you have about what retirement really means. Gillian shares her revolutionary "Five Good Adventures" program and explains why "retirement means stopping" is one of the most dangerous misconceptions Canadians hold. Warning: This episode may cause you to completely rethink your definition of wealth. Key Takeaways That Will Change How You Think About Retirement ✨ The Magic Number Revealed: Current retirement goals for Canadians ($1.5-1.7 million) and why millennials need even more ($2-2.5 million) ✨ The Love Language Strategy: How understanding your emotional drivers can create the perfect retirement transition plan ✨ Social Isolation = Health Crisis: Research shows loneliness impacts health as severely as smoking and obesity ✨ Money ≠ Wealth: Gillian's powerful manifesto point that will shift your entire perspective on financial planning ✨ The Tax Blend Method: Smart strategies for drawing from RRSPs, TFSAs, and other accounts to minimize tax burden ✨ Whole Life Insurance Secrets: How to create a tax-sheltered investment vehicle that grows at 6%+ tax-free Chapter Breakdown [00:00] The Retirement Reality Check Current economic climate and recommended savings amounts Why the "magic number" keeps growing for younger generations Understanding the building blocks: CPP, OAS, pensions, and personal savings [03:01] The Legacy vs. Living Balance How early planning increases your chances of leaving something behind Strategies for enjoying retirement while preserving wealth The luxury conversation: when legacy planning becomes possible [06:00] Tax Strategy Masterclass The RRSP to RIF conversion at age 71 (5.28% mandatory withdrawal) Blending tax-free and taxable income sources Why drawing down everything tax-free first can backfire [09:13] Beating Inflation While Living Longer Planning for 45-50 years of expenses in retirement Real return expectations: 4-5% after inflation Why that $300,000 kitchen renovation needs to happen while you're working [12:09] The Mental Health Crisis No One Talks About Research on social isolation and health impacts Identity loss when leaving career behind The "first 100 days" retirement strategy [14:59] Building a Retirement That Flourishes Gillian's "Five Good Adventures" 12-week program Using love languages to design your ideal retirement Case study: The retired physician who found purpose in insurance consulting [17:50] Busting Dangerous Retirement Myths Why retirement isn't a "holding pattern" The all-or-nothing work misconception Finding the conversation partners you need for this transition [20:56] Planning for Long-Term Care Reality Home equity as the primary funding source for most Canadians Memory care costs: up to $20,000-25,000 monthly The trade-off conversations every couple needs to have [23:58] Whole Life Insurance as Investment Vehicle How to create tax-sheltered growth at 6%+ annually Borrowing strategies for long-term care funding Why Gillian finally got her own policy after 15 years of recommending them Resources & References Gillian's Contact Information Email: grivers@asante.com LinkedIn: Gillian Stovel Rivers Website: surroundwealth.com Instagram: @gillianstovelofficial Canadian Government Resources Canada Pension Plan (CPP): canada.ca/en/services/benefits/publicpensions/cpp Old Age Security (OAS): canada.ca/en/services/benefits/publicpensions/cpp/old-age-security Tax-Free Savings Account (TFSA): canada.ca/en/revenue-agency/services/tax/individuals/topics/tax-free-savings-account Registered Retirement Savings Plan (RRSP): canada.ca/en/revenue-agency/services/tax/individuals/topics/rrsps-related-plans Research References Social Isolation & Health: Robert Putnam & Julianne Holt-Lunstad's research on social isolation impacts Art Reference: "Precipice" by Diane Twombly (Hamilton artist) Theme Song 🎵 "Suddenly I See" by KT Tunstall - "There are moments in your life where you feel like you're digging through murkiness... then one day you wake up and it all feels clear." Why This Episode Matters If you've been putting off retirement planning because the numbers feel overwhelming, or if you're approaching retirement and feeling anxious about what comes next, this episode offers a completely different framework. Gillian doesn't just talk about money—she talks about flourishing, about creating a life of meaning and connection that happens to be financially secure. This isn't your typical retirement planning conversation. It's a masterclass in designing a life worth living, with the financial foundation to support it. Catch Up on the Series [Part 1]: Financial Wellness & Mindset Shifts [Part 2]: Investing, Growing Wealth & The Power of Compounding [Part 3]: Retirement Planning & Mental Health (this episode) Ready to transform your relationship with money and retirement planning? This episode will change everything you thought you knew about what it means to plan for your future.
Episode Overview Join Kristen Parise for a compelling conversation with Dr. Sara Reardon, pelvic floor physical therapist and author of the groundbreaking book "Floored." Dr. Reardon challenges the dangerous myths surrounding pelvic health, from the misconception that Kegels are a universal solution to the harmful narrative that pelvic floor dysfunction is just part of aging and motherhood. This episode is a rallying cry for women's health advocacy and a comprehensive guide to understanding your pelvic floor at every life stage. What You'll Learn Why balance, not strengthening or relaxing, is the key to pelvic floor health How to identify whether you have a hypertonic (high tension) versus hypotonic (low tension) pelvic floor The surprising connection between stress, emotions, and pelvic floor dysfunction Why 90% of female orgasms occur through clitoral stimulation and what this means for sexual health The critical importance of pelvic health education during the teenage years How childhood experiences and trauma can manifest as adult pelvic floor issues The integrated approach needed to treat pelvic floor dysfunction effectively Episode Highlights From Misconceptions to Empowerment Dr. Reardon reveals the three biggest misconceptions she encounters: women not knowing they have a pelvic floor, believing dysfunction is "normal," and assuming Kegels are always the answer. She emphasizes that many women actually have pelvic floor tension rather than weakness, requiring completely different treatment approaches. The Emotional Barometer Exploring the profound mind-body connection, Dr. Reardon shares how the pelvic floor serves as an "emotional barometer." She recounts powerful patient stories and her own experience during Hurricane Ida, demonstrating how stress and trauma directly impact pelvic floor function. Sexual Health Revolution Breaking down barriers around sexual education, Dr. Reardon explains the anatomy of arousal, orgasm, and why painful sex is never normal. She advocates for comprehensive sexual health education that goes far beyond "sperm meets egg" to include pleasure, function, and the pelvic floor's central role. The Teenage Years: A Critical Window Dr. Reardon makes a compelling case for pelvic health education starting in adolescence, addressing everything from painful periods (which are NOT normal) to the 40% of high school female athletes who experience urinary incontinence. She emphasizes how early education can prevent decades of silent suffering. Beyond the Pelvic Floor: An Integrated Approach Using her "layers of an onion" metaphor, Dr. Reardon explains how effective treatment must address posture, breathing, abdominal function, and emotional health alongside pelvic floor muscles. She challenges the medical system's tendency to isolate symptoms rather than treating the whole person. The Healthcare Revolution Needed Dr. Reardon calls for systematic changes in medical education and practice, advocating for screening tools, better provider training, and the integration of pelvic health into standard women's healthcare rather than treating it as a last resort. Episode Chapters 00:00-03:12: Introduction and Book Launch Celebration – Dr. Reardon returns to discuss her new book "Floored" 03:12-05:59: Breaking Down the Biggest Misconceptions – Why most women don't know they have a pelvic floor 05:59-08:57: The Balance Principle – Understanding hypertonic vs. hypotonic pelvic floors and why Kegels aren't universal 08:57-12:07: The Power of Advocacy – Why your voice is your most powerful tool in healthcare 12:07-14:54: Sexual Health Deep Dive – The pelvic floor's role in arousal, lubrication, and orgasm 14:54-17:57: The Emotional Connection – How the pelvic floor serves as an emotional barometer 17:57-20:49: Stress and Trauma Impact – Personal stories and Hurricane Ida's effect on pelvic floor tension 20:49-23:11: Integrated Treatment Approaches – Why comprehensive care includes mental health support 23:11-24:09: The Comprehensive Philosophy – Moving beyond isolated pelvic floor treatment 24:09-26:25: Teenage Years as the Critical Window – Why pelvic health education should start early 26:25-29:09: Breaking the Shame Cycle – Creating open conversations about bodies and function 29:09-31:42: The "Layers of an Onion" Approach – Understanding the pelvic floor as part of an integrated system 31:42-35:42: Resources for Healthcare Providers – Screening tools and outcome measures 35:42-40:50: The Mesh Crisis That Changed Everything – Dr. Reardon's pivotal experience with surgical complications 40:50-End: Advocacy and Action – The mission to make pelvic health standard care Key Takeaways Pelvic floor dysfunction affects women at all life stages, not just after childbirth or during aging Balance between strength and relaxation is more important than just doing Kegels Painful periods, painful sex, and urinary incontinence are never normal and always treatable Stress and emotional trauma directly impact pelvic floor function Early education during teenage years can prevent decades of dysfunction Comprehensive treatment must address the whole person, not just isolated symptoms Healthcare providers need better training and screening tools for pelvic health issues Women deserve better care and must advocate for themselves within the medical system Connect with Dr. Sara Reardon Instagram: @the.vagina.whisperer TikTok: @thevagwhisperer Website: thevaginawhisperer.com Book: "Floored: A Woman's Guide to Pelvic Floor Health at Every Age and Stage" (Available at all major bookstores) Online Platform: V-Hive membership with pelvic floor workouts and free trial available Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference Dr. Sara's Theme Song "Who Runs the World? Girls" by Beyoncé - A powerful anthem that captures her mission to advocate for women's health and the belief that women are leading the charge in demanding better healthcare.
Episode Overview Join Kristen Parise as she dives into the often-overlooked world of pediatric pelvic health with Clare Bourne, a London-based pelvic health physiotherapist and author. From bedwetting misconceptions to constipation crises, Clare shares her expertise on helping children and families navigate pelvic floor challenges while breaking down the shame and taboos that often surround these essential bodily functions. What You'll Learn Why potty training should be viewed as a developmental process, not a quick fix The surprising connection between constipation and bedwetting in children How pediatric pelvic assessments differ dramatically from adult evaluations Why education and communication are more powerful than hands-on treatment for kids The rising rates of pediatric constipation and what's really behind them How childhood pelvic issues can impact menstrual health and sexual function later in life Episode Highlights Clare's Journey: From Adult to Pediatric Pelvic Health Clare shares her unique career path as someone who's been in pelvic health for her entire career, rather than transitioning from other areas. Her journey into pediatric work was reignited by her own children's potty training experiences and her realization that many adult pelvic issues trace back to childhood patterns that were never properly addressed. The Detective Work of Pediatric Assessment Unlike adult pelvic health where physical examination is central, Clare explains how pediatric assessment is primarily about education, understanding, and "unpicking" what's happening. She describes feeling like a detective, gathering clues about bowel habits, bladder patterns, and family dynamics rather than relying on internal examinations. Bedwetting: Breaking Down the Biggest Misconceptions Clare tackles the widespread misunderstanding that once a child is potty trained, they should automatically be dry at night. She explains the hormonal maturity, bladder capacity, and sleep factors that make nighttime dryness a completely different process, emphasizing that bedwetting isn't a problem until age 7 or later. The Constipation Crisis: More Than Just Diet Moving beyond the oversimplified "eat more fiber" narrative, Clare reveals the complex factors contributing to rising pediatric constipation rates. From lack of parental support to bathroom access issues at schools, from stress impacts to inappropriate potty training pressures, she paints a comprehensive picture of this growing problem. The Mind-Body Connection in Little Bodies Clare and Kristen explore how children's pelvic health issues often arise during life transitions—new siblings, starting school, family moves—as children exert control over what they can: their eating, peeing, and pooping. This leads to a discussion about the importance of multidisciplinary care including play therapy. From Tampons to Intercourse: The Long-Term Impact In a particularly enlightening segment, Clare traces how childhood constipation and holding patterns can lead to increased pelvic floor tension, making tampon insertion painful in adolescence and potentially contributing to painful intercourse later. She emphasizes how 30 years of pelvic health history matters long before someone gives birth. Episode Chapters 00:00-02:30: Introduction to Clare and Her Pelvic Health Journey – A career-long specialist shares her path 02:30-05:17: The Connection Between Pelvic Floor and Continence – How children learn bladder and bowel control 05:17-08:25: Pediatric vs. Adult Assessment Approaches – Why education trumps examination with kids 08:25-11:23: Common Pediatric Pelvic Issues – Bedwetting, constipation, and beyond 11:23-16:41: The Importance of Education and Breaking Shame – Teaching kids proper anatomy and function 16:41-21:09: Practical First Steps for Parents – What to try before seeking professional help 21:09-24:47: Understanding the Pediatric Constipation Epidemic – Statistics and contributing factors 24:47-28:22: The Role of Stress and Family Support – How global events impact children's health 28:22-30:21: Medication Management and Treatment Approaches – Why "long enough" matters 30:21-34:32: The Unique Challenges of Pediatric Treatment – Growth, development, and family dynamics 34:32-38:13: The Connection Between Childhood Issues and Adult Health – From constipation to sexual function 38:13-End: Empowering Through Education and Resources – Making pelvic health accessible to all Key Takeaways Start monitoring your child's bowel habits regularly - knowledge is power Create an environment where talking about bodily functions is normalized and shame-free Potty training timelines vary enormously and shouldn't be rushed Many adult pelvic health issues have roots in childhood experiences Bedwetting before age 7 is completely normal Constipation management requires sustained, thorough treatment Multiple factors beyond diet contribute to pediatric constipation Sound Bites "Start with monitoring that bowel" "It's almost like a checklist, isn't it?" "The kid's not being naughty" "We need to improve perinatal care, but we also need to give them the 24 hours before" "Kids don't have shame, we create the shame for them" Connect with Clare Website: Clare-Bourne.com Instagram: @clarebournephysio Book: "Strong Foundations: Why Pelvic Health Matters" Also on: TikTok and LinkedIn Resources: Webinars, eBooks, and educational materials for all financial situations Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and Pediatrics Instagram: @blueberrytherapypelvichealth Upcoming Event: The Pleasure Principle Conference - May 8th, 2026 Clare's Theme Song "There She Goes" - A go-getter anthem that captures her approach to tackling taboo topics in pelvic health with determination and joy!
Get ready for a conversation that pulls no punches! In this episode, we dive deep with Dr. Rachel Gelman, a pelvic floor physical therapist and certified sexuality counselor who's making waves in San Francisco's sexual health scene. From painful sex to leaky laughs, Rachel breaks down everything you've wondered about but were afraid to ask. About Dr. Rachel Gelman Dr. Rachel Gelman is a Doctor of Physical Therapy and AASECT-certified sexuality counselor based in San Francisco. She's the owner and founder of Pelvic Wellness & Physical Therapy, where she specializes in treating pelvic pain, bowel, bladder, and sexual dysfunction across all gender identities. With over 15,000 clinical hours and extensive training from the University of Michigan's sexuality counseling program, Rachel is also an adjunct instructor at Samuel Merritt University and works with companies in the sex tech and femtech space. Contact Info: Website: www.pelvicwellpt.com Instagram: @pelvichealthsf Email: rachel@pelvicwellpt.com Episode Highlights 🔥 Why Rachel prescribes vibrators more than Kegels - spoiler alert: your pelvic floor might need the opposite of what you think 💡 The chocolate cake technique for rediscovering pleasure when sex has been painful 🚽 How your bathroom habits are sabotaging your sex life (and the simple $15 fix that could change everything) ⚡ The clitoris vs. penis truth bomb that explains why most sex education gets it wrong Chapter Breakdown [00:00] From Biology Student to Pelvic Health Pioneer How Rachel fought university pushback to specialize in the "taboo" field of pelvic health [05:30] Solo Sex as Self-Care Why masturbation isn't just about pleasure—it's essential healthcare [12:15] The Great Orgasm Education Gap Breaking down the clitoris-penis connection and why anatomy education is failing us [18:45] When Your Tailbone Ruins Your Sex Life The surprising connection between tailbone pain and sexual dysfunction [24:00] Breathing Your Way to Better Sex Simple techniques that calm your nervous system and unlock pleasure [29:30] Creating Your Sexual Menu Rachel's game-changing approach to moving beyond vanilla penetration scripts [35:15] The Leaky Sex Dilemma Addressing incontinence during intimacy (spoiler: it might not be what you think) [41:00] Painful Erections Aren't Normal What's happening when erections hurt and how pelvic floor dysfunction affects all genders [46:30] Sex Tech Recommendations Rachel's favorite brands and why your vibrator should look like modern art Resources Mentioned Sex Toy Brands Rachel Recommends: Unbound - Women-owned, versatile products (try the "Bender") Maude - Sleek, modern art aesthetic Mystery Vibe - Research-backed products for people with pelvic pain Tools & Techniques: Squatty Potty or toilet stool for better bowel movements Yes/No/Maybe lists for sexual communication Romance novels and audio erotica as pleasure research Child's pose and happy baby positions for pelvic floor relaxation Professional Resources: AASECT (American Association of Sexuality Educators, Counselors & Therapists) International Society for Sexual Medicine International Society for the Study of Women's Sexual Health Why You Need to Listen This isn't your typical health podcast episode. Rachel doesn't just talk about pelvic floors—she revolutionizes how we think about pleasure, pain, and the connection between our bodies and our sex lives. Whether you're dealing with painful sex, curious about pelvic health, or just want to understand your body better, this conversation will leave you with actionable insights and a completely new perspective on sexual wellness. Warning: This episode contains frank discussions about sex, anatomy, and bodily functions. Perfect for anyone ready to have real conversations about real bodies. Subscribe to The Hole Shebang wherever you get your podcasts, and don't forget to follow us for more taboo-breaking conversations about pelvic health and sexual wellness.
Summary In this enlightening follow-up conversation, host Kristen Parise welcomes back Gillian Stovel Rivers, Senior Wealth Advisor and creator of The Muscle Money Mindset®, for a deep dive into investing and wealth building strategies. Building on their previous discussion about financial wellness, Gillian breaks down complex investment concepts into digestible frameworks that anyone can understand. This episode reveals the powerful connection between personal growth and financial growth, emphasizing that investing isn't just about stocks and bonds—it's about investing in yourself and your community. Gillian shares her three-principle approach to investing: mechanics, consistency, and intensity, while highlighting the "eighth wonder of the world"—compounding—and the importance of defining what "enough" means to you. Whether you're just starting your investment journey or looking to optimize your current strategy, this conversation provides practical wisdom and actionable insights for taking control of your financial future. Key Takeaways Before approaching investments with intensity, master the mechanics and practice consistency Understanding the fundamentals of different investment vehicles (cash instruments, stocks, bonds, mutual funds) creates confidence Compounding is the "eighth wonder of the world" that allows your money to grow exponentially over time It's never too late to start investing, regardless of your age Defining "enough" helps set realistic financial goals and celebrate milestones along the way Registered savings vehicles like RRSPs and TFSAs offer significant tax advantages for Canadians The most sustainable investment plans include meaning and connection Investing in yourself and your community creates returns that extend beyond financial growth Episode Chapters 00:00 - Introduction to Growing Wealth 03:23 - The Framework: Mechanics, Consistency, Intensity 05:18 - Understanding Investment Mechanics 09:23 - Building Consistency in Your Investment Practice 11:26 - The Power of Compounding: The Eighth Wonder of the World 15:49 - It's Never Too Late to Start 16:33 - Defining "Enough" in Wealth Planning 20:37 - Registered Savings Vehicles Explained 25:28 - Strategies for Successful Investing 27:40 - Broadening Your Definition of Investing 30:05 - The Connection Between Financial and Personal Growth Featured Guest Gillian Stovel Rivers is a Senior Wealth Advisor at Assante Wealth Management with over twenty years of experience in the industry. She is also the creator of The Muscle Money Mindset®, where she coaches professional women and men to transform from "chronically overwhelmed endurance athletes" to "shot-calling performance athletes" in business and life. As a CF-L2 Coach and Certified High Flow Coach, Gillian brings a unique perspective to financial planning that integrates physical and financial wellness. Connect with Gillian: Email: grivers@assante.com LinkedIn: Gillian Stovel Rivers Instagram: @AdventureGillian and @GillianStovelOfficial Resources Mentioned Tax-Free Savings Account (TFSA) - Learn more about this powerful tax-sheltered investment vehicle Registered Retirement Savings Plan (RRSP) - Information about Canada's registered retirement savings plan CrossFit - The fitness methodology Gillian references in her investment framework Britney Spears - "Work Bitch" - Gillian's motivational theme song (explicit content) Connect with Kristen Website: Blueberry Therapy Instagram: @blueberrytherapyca Don't Miss Out! Join Kristen at The Pleasure Principle Conference - a groundbreaking event exploring the intersection of health, wellness, and sexual pleasure. Get your tickets now! The Hole Shebang is produced by Kristen Parise. The information provided in this episode is for educational purposes only and is not intended as financial advice. Always consult with a qualified financial advisor before making investment decisions.
"The art of receiving is everything. It's not another thing to do. It actually creates more easefulness in your life." — Haley Bowler Episode Summary Bestselling author Haley Bowler shares her journey from physiotherapy to becoming a channel for profound wisdom. She introduces "the art of receiving"—a practice that helps high-achieving women balance feminine and masculine energies. Through personal stories, including her near-death experience, Haley offers practical guidance on accessing "the dimension of openness" where manifestation becomes instantaneous and healing is profound. Key Insights From Physiotherapy to Psychic Channel Trained in kinesiology before discovering her psychic gifts Wrote "Unfuckwithable" through channeled wisdom The Art of Receiving Balance of receptivity with empowered action Learning to receive while giving transforms everyday experiences The Vulnerability Breakthrough Near-death experience in 2024 taught her to receive help "It was the best gift I could have ever asked for" Holistic Success Success in just one area never creates true fulfillment "We have evidence through quantum physics that shows there's no separation" Practical Tools Breathe Like You're Playing Hide and Seek: Slow, quiet breathing Lie on the Floor: Simple practice to attune to joy Radical Responsibility: The power of saying "I chose this" Thank You More Please: Shifting from extraction to reception Chapters 00:00 - Introduction to Unfuckwithable 02:40 - Haley's Journey and Background 05:33 - The Art of Receiving 15:07 - Vulnerability and Personal Growth 25:34 - Holistic Success Paradigms 29:22 - Holistic Wellness and Success 32:05 - The Dimension of Openness 38:41 - Practical Steps to Connect with Your Body 42:59 - Radical Responsibility and Self-Care 46:27 - Theme Song and Personal Connection Resources & Mentions Unfuckwithable – Haley's book Uplift Lifestyle – Haley's website The Pleasure Principle – Upcoming event Treat You Better by Rufus Du Sol – Haley's theme song Connect with Haley Website: upliftlifestyle.ca Instagram: @uplift_lifestyle Email: workwithme@upliftlifestyle.ca Connect with The Hole Shebang Host: Kristen Parise, Pelvic Health Physiotherapist Blueberry Therapy The Pleasure Principle Conference The Hole Shebang explores themes of personal empowerment, holistic wellness, and embodied wisdom.
"We have to do better for our patients." – Alex Hill Episode Summary In this enlightening conversation, Kristen Parise speaks with Alex Hill, a specialized pelvic health and oncology physiotherapist, about the critical yet often overlooked connection between cancer treatment and pelvic health. Alex shares her journey into this specialized field, the importance of lymphedema management, why exercise during cancer treatment is essential, and how healthcare providers can better serve cancer survivors through improved education and collaborative care. This episode offers valuable insights for healthcare professionals, cancer survivors, and anyone interested in comprehensive cancer care. Chapters 00:00 - Introduction to Pelvic Health and Oncology 02:18 - Alex's Journey into Pelvic Health and Oncology 05:24 - Understanding Lymphedema and Its Treatment 10:45 - The Importance of Exercise During Cancer Treatment 14:32 - Addressing Hormonal Changes and Pelvic Health 19:45 - Education and Collaboration in Oncology Rehabilitation 24:40 - Late Effects of Cancer Treatment 30:24 - Connecting with Alex Hill Alex's Path to Pelvic Health & Oncology Alex's journey into this specialized field combines professional curiosity with personal experience: Discovered pelvic health and oncology during PT school clinical rotations Minimal formal education on these specialties (only a few hours in a 3-year doctoral program) Personal history with misdiagnosis fueled her passion for patient advocacy Currently practices in both hospital and private settings through OncoPelvic PT Focused on validating patient experiences that are often dismissed "I had one orthopedic surgeon tell me that it was in my head and it ended up being an actual labral tear... I have felt not heard when I was in pain and I knew something was wrong with my body." Understanding Lymphedema: Beyond Cancer Lymphedema is one of the most common yet misunderstood side effects in cancer care: What It Is Buildup of protein-rich lymphatic fluid that doesn't resolve without treatment Different from typical swelling (like a sprained ankle) Can affect specific body areas based on lymphatic system damage Common Causes Lymph node removal during cancer surgeries Radiation therapy damage to lymphatic vessels Some cases develop from congenital lymphatic system issues Treatment Approach Complete Decongestive Therapy (gold standard treatment): Compression bandaging and garments Manual lymphatic drainage massage techniques Specific therapeutic exercises Comprehensive skincare regimen to prevent infection Access Challenges Approximately one certified lymphedema therapist per 1,000 patients who need treatment Even fewer therapists specialize in genital lymphedema Exercise During Cancer: Myth-Busting Alex passionately advocates for appropriate physical activity throughout cancer treatment: Old Misconception Cancer patients should rest and avoid physical activity Current Evidence Exercise improves treatment outcomes Helps manage treatment-related fatigue May reduce cancer recurrence rates Safe even for patients with metastatic cancer (with proper modifications) Clinical Considerations Timing matters (avoid 2 hours before/after radiation or chemotherapy) Monitor blood counts and adjust intensity accordingly Telehealth options for high-fatigue days Individualized programming based on specific needs "If we as providers under-dose exercise, we are part of the problem. We have to really look at what our patient needs who's in front of us and individualize their plan of care." Hormonal Changes & Pelvic Health Cancer treatments frequently cause significant hormonal disruptions with profound pelvic health impacts: Common Triggers Tamoxifen and other hormone therapies Chemotherapy-induced menopause Surgical removal of ovaries or testes Resulting Pelvic Health Issues Vaginal dryness and atrophy Pain with intercourse Tissue fibrosis (especially after radiation) Pelvic floor muscle dysfunction Therapeutic Approaches Dilator Therapy Medical devices in graduated sizes Maintains vaginal tissue flexibility Enables comfortable pelvic examinations Supports sexual function recovery Pelvic Floor Rehabilitation Often focuses on relaxation rather than strengthening Addresses trauma responses in the nervous system Retrains coordination and function "A lot of times we'll need to work on relaxing the pelvic floor, getting it more coordinated before we then start strengthening if we do need to do that." Understanding Radiation Fibrosis Alex provided a clear explanation of how radiation affects tissues: Radiation can be delivered externally or internally (brachytherapy) Creates a "scattering effect" that impacts surrounding tissues Results in scarring, hardening and thickening of tissue (fibrosis) Reduces tissue flexibility and elasticity Can cause pain with movement, urination, bowel movements, and sexual activity Early intervention helps minimize progression Timeline of Treatment Effects Cancer treatment effects follow distinct patterns that patients should understand: Acute Effects Occur during active treatment Often anticipated and addressed in treatment plans Long-Term Effects Continue beyond the treatment period Example: Persistent fatigue or neuropathy Late Effects Develop months or years after treatment ends Often unexpected and psychologically challenging Examples: Lymphedema (can appear up to 15-20 years post-treatment) Progressive fibrosis Cardiac or pulmonary toxicity Sexual dysfunction "It just kind of kicks you when you're down. You're out from treatment, you're done, you're maybe going to the oncologist just for your yearly checkup and then like, bam... It's still coming back for you with these other late side effects." Healthcare Provider Education & Collaboration Alex emphasizes the importance of improved education and team approaches: Current Gaps Minimal pelvic health and oncology training in most medical and rehabilitation programs Lack of automatic referral pathways for pelvic cancers (compared to breast cancer) Providers often uncomfortable discussing intimate health concerns Progress Being Made Rehab specialists now included in tumor board meetings at some hospitals Increasing integration of rehabilitation into cancer centers More evidence supporting early intervention Ideal Approach Baseline assessments at diagnosis Ongoing monitoring throughout treatment Regular follow-up to catch late effects early Collaborative care among oncology, primary care, and rehabilitation specialists "We as healthcare providers have to do better for our patients besides only focusing on, for example, like the scar tissue or the lymphedema or the shoulders." Resources & Mentions OncoPelvic PT - Alex Hill's practice and educational platform Resources for cancer survivors Blog with evidence-based information Continuing education courses for clinicians Complete Decongestive Therapy (CDT) - Gold standard treatment for lymphedema Lymphology Association of North America - Certification and information Vaginal Dilators - Medical devices for maintaining vaginal health Intimate Rose (widely recommended brand) Soul Source (silicone options) Professional Organizations: Academy of Pelvic Health Physical Therapy APTA Oncology Lymphology Association of North America Alex's Theme Song: "Get Back Up Again" from Trolls - Representing her optimistic approach to challenges Connect with Alex Hill: Website: OncoPelvic PT Social Media: @OncoPelvicPT on all platforms Monthly newsletters available for both healthcare providers and patients For more episodes of The Hole Shebang podcast with Kristen Parise, visit The Hole Shebang or subscribe wherever you get your podcasts.