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The Hole Shebang

The Hole Shebang

Von: 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.2024 Hygiene & gesundes Leben
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  • Exercise as Medicine: Stroke, Recovery, Strength Training, and Healthy Aging with Dr. Ada Tang

    Exercise as Medicine: Stroke, Recovery, Strength Training, and Healthy Aging with Dr. Ada Tang
    Jun 24 2025
    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 survivorsHow power training differs from traditional strength training and why it mattersThe 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 declineThe mental health, cognitive, and social benefits of exercise programsWhy 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 UniversitySocial Media: Instagram, X (Twitter), FacebookLinkedIn: Ada TangResearch Focus: Exercise, stroke recovery, frailty prevention, and inclusive research practices Connect with The Hole Shebang Website: Blueberry Therapy Pelvic Health and PediatricsInstagram: @theholeshebangUpcoming 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!
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    43 Min.
  • Beyond the Numbers - How Retirement Planning Affects Your Mental Health & Soul with Gillian Stovel Rivers

    Beyond the Numbers - How Retirement Planning Affects Your Mental Health & Soul with Gillian Stovel Rivers
    Jun 19 2025
    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 amountsWhy the "magic number" keeps growing for younger generationsUnderstanding 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 behindStrategies for enjoying retirement while preserving wealthThe 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 sourcesWhy drawing down everything tax-free first can backfire [09:13] Beating Inflation While Living Longer Planning for 45-50 years of expenses in retirementReal return expectations: 4-5% after inflationWhy 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 impactsIdentity loss when leaving career behindThe "first 100 days" retirement strategy [14:59] Building a Retirement That Flourishes Gillian's "Five Good Adventures" 12-week programUsing love languages to design your ideal retirementCase 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 misconceptionFinding 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 CanadiansMemory care costs: up to $20,000-25,000 monthlyThe trade-off conversations every couple needs to have [23:58] Whole Life Insurance as Investment Vehicle How to create tax-sheltered growth at 6%+ annuallyBorrowing strategies for long-term care fundingWhy 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 RiversWebsite: surroundwealth.com Instagram: @gillianstovelofficial Canadian Government Resources Canada Pension Plan (CPP): canada.ca/en/services/benefits/publicpensions/cppOld Age Security (OAS): canada.ca/en/services/benefits/publicpensions/cpp/old-age-securityTax-Free Savings Account (TFSA): canada.ca/en/revenue-agency/services/tax/individuals/topics/tax-free-savings-accountRegistered 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 impactsArt 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 ...
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    40 Min.
  • Floored by the Truth: Demystifying Pelvic Health from Teens to Menopause with Dr. Sara Reardon

    Floored by the Truth: Demystifying Pelvic Health from Teens to Menopause with Dr. Sara Reardon
    Jun 12 2025
    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 healthHow to identify whether you have a hypertonic (high tension) versus hypotonic (low tension) pelvic floorThe surprising connection between stress, emotions, and pelvic floor dysfunctionWhy 90% of female orgasms occur through clitoral stimulation and what this means for sexual healthThe critical importance of pelvic health education during the teenage yearsHow childhood experiences and trauma can manifest as adult pelvic floor issuesThe 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 agingBalance between strength and relaxation is more important than just doing KegelsPainful periods, painful sex, and urinary incontinence are never normal and always treatableStress ...
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    44 Min.

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