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Going On-Site With Chiropractic Care
The Foundation for Chiropractic Progress has released a position paper highlighting the financial, clinical and patient-satisfaction benefits of providing chiropractic care at on-site corporate health clinics.
Q&A With the First VA Chiropractic Residents
As you may have read previously, a major step forward for the profession occurred in July 2014 when the Department of Veterans Affairs began piloting a chiropractic residency program at five locations.
The Source-Luo Point Combination, Part 2
The Da Cheng includes symptoms for the source-luo points that indicate when to use them for treatment. Yang defines the method as the guest-host (it is one of a variety of acupuncture point combinations called guest-host).
Integrative Medicine for the Underserved: A Seat at the Table
Numerous organizations have risen to the challenge of providing care to medically-underserved populations and here we feature one such group.
Treatment of PTSD: An Opportunity for the Practice of Integrated Medicine
PTSD is widespread across America today. Not only do many of our honored men and women in uniform bring it home with them from the war zones they have been active in, but it often follows any life-threatening event people go through when their lives have been in danger.
Chinese Doctors Poke Holes in Australian Study
A recent Australian clinical trial, published in the Journal of the American Medical Association (JAMA) in 2014 by Rana Hinman, et el., evaluating the effectiveness of both needle and laser acupuncture for chronic knee pain.
An International Life: An Interview with Mary Elizabeth Wakefield
I met Mary Elizabeth Wakefield during her class last summer in Seneca Falls, New York at the Finger Lakes School of Chinese Medicine.
The Risks I Took
We all take risks when we choose this profession. For some, it is not knowing if you can make a living practicing TCM. For others, it is parental or cultural disapproval.
Desert: A Metaphor from the Study of Genetics
In most of the human lives I know about, there are stretches of time which feel stagnant, or worse. We can feel adrift, or wounded and sidelined, and these times don't seem to carry much usefulness while they are unfolding.
NCCAOM Video Contest
The NCCAOM is excited to announce the launch of the second annual video contest "Because it Works!" 2015.
Key Changes and Updates to the 7th Edition CNT Manual
Acupuncture Today recently interviewed Jennifer Brett, ND, L.Ac. regarding the updates to the CNT manaul.
Nomenclature and Classification of Lumbar Disc Pathology: Version 2.0
The Nomenclature and Classification of Lumbar Disc Pathology consensus, published in 2001 by the collaborative efforts of the North American Spine Society, the American Society of Spine Radiology and the American Society of Neuroradiology, has guided radiologists, clinicians and the public for more than a decade.
Leg-Length Inequality and Pelvic Fixation: A New Approach to the Negative Derifield (Part 3)
A patient with sacroiliac fixation and dysfunction ordinarily demonstrates a noticeable leg-length inequality when placed in the prone position on the adjusting table.
I was sitting in a Pizza Hut in Peoria, Ill., with my friend Reggie, sometime in the spring of my senior year in college, when he started doodling on his paper placemat. In those days, the company had a picture of U.S. on the mats, showing all the locations of the "Huts" in the country.
Sports Medicine 101: Surgery or No Surgery?
In the world of sports medicine, many careers are saved by surgeries that correct traumatic damage to the body. Muscle tears, ligament damage, fractures, spinal disc herniations, and joint instabilities are a few of the issues frequently addressed with surgical intervention.
The Three Heater Official
This Official, belonging to the element Fire, is responsible for maintaining and regulating the heating system of the body, mind, and spirit. It is named for its function. The trunk is divided into three "burning spaces" or "jiaos."
Meet Cheyenne: Your Future Colleague
Allow me to introduce you to Cheyenne (Chey), the daughter of some of our family's closest friends. We attend and serve at the same church together, and have known each other for many years.
Creating Relationships at Southwest Symposium
The month of May brought many interesting activities. As I have said in many previous columns this year, this profession is moving in a very exciting direction. Make sure you are getting involved. If you're not, you just might get left behind.
Marketing with a Microphone
When given an option, it stands to reason that people prefer to do business with those they know, like, and trust.
Should You Change an Athlete's Natural Running Form?
Once past the ankle, impact forces travel at about 200 mph into the knee. In addition to allowing the quad to absorb force, bending the knee (E) prevents the hip and pelvis from moving up and down too much (F), which is important for injury prevention and efficiency.
Free Yourself From the Pocketbook Practice
Let's take a journey together; there's an important lesson to be learned. Imagine a town or city just like yours.
February, 2002, Vol. 02, Issue 02
Patricia Cadolino, LMT
By Claudette Laroche, RN, LMT, NCTMB
Patricia "Patti" Cadolino is "the first" in many of her professional endeavors. Most recently, she is the first massage therapist to be employed by New York State in a full-time, salaried position (with benefits), working at The University Hospital at Stony Brook, on central Long Island.As she states, "I was in the right place at the right time with the specialized credentials that were being sought by the hospital. I've had unbelievable support from a very persistent and hard-working administration -- they truly respected my profession and work; they saw an important need for massage services in our hospital."
Patti's path to University Hospital started in 1990, when she became a New York licensed and registered massage therapist after graduating from New York College in Syosset. She channeled her high energy into running her own private practices in the Manhattan and Sayville areas. In that, according to Patti, her "true love is working with babies," she pursued her certification as an Infant Massage Instructor in 1993, with additional training in touch therapy for premature and/or medically fragile infants, in the Nurturing Touch Program at St. Luke's Hospital, Kansas City, Missouri, in 1997.
Her hospital-based training started at Columbia Presbyterian Hospital in Manhattan in 1997 where she was employed one to two days per week. She was trained to work with cancer patients, transplant recipients, and postsurgical cardiac patients.These educational experiences -- hospital based massage and certification as an infant massage therapist --were part of the right experiential mix for Patti to obtain her position at Stony Brook in October 1998.
"I've learned from the medical community, and they have learned from me how and why massage can benefit their patients. It takes a lot of creative scheduling and a wonderful clinical assistant to make it all come together in an organized and effective manner. I set high standards and work hard to meet my goals. At this point, I'm the only massage therapist in the hospital; over time I would like to expand services throughout the hospital and start a volunteer massage program for the medical and hospital staff. This is a great way to educate and ensure future patient referrals, and the staff also benefits from receiving massage."
Patti's work reads like a never-ending "to-do" list! She started the hospital's first in/outpatient massage program, and the "Nurturing Touch Program" in the Neonatal Intensive Care Unit (NICU), where Patti teaches parents one-on-one, or in a small group setting, how to give nurturing touch to their medically challenged or premature newborn. Initially, this was a "fee for service" course paid for by families, but Patti was able to eliminate this fee to parents by having the service included as part of the hospital stay.
When Patti works with the Pediatric Infectious Disease Clinic, she teaches parents and foster parents how to massage their children, infants to adolescents, who are suffering with HIV/AIDS. This also includes providing massage to the pregnant HIV moms. Parents of full-term babies and parents of children with ADHD, bulimia, cancer, and other health conditions benefit from the monthly instructional classes she teaches.
Grand-Rounds for medical doctors, nurses, and medical students is the perfect setting for Patti to lecture on the benefits and research indications of massage therapy. Medical students and cardiac patients fill her stress management classes.
Patti was also trained in research methods by Dr.Tiffany Field at the University Medical School in Miami. "I have so much respect for her; I'm convinced that without her research I wouldn't be in my job," says Patti.
Through Patti's efforts and creativity last year, a unique project, the Massage Research Project for pediatric/oncology patients at Stony Brook, received approval (she asked and received!) to piggyback with the yearly hospital fundraiser/golf outing, with proceeds going to the massage research project. She is currently awaiting formal approval to run the research.
According to Patti, "I am working with a Pediatric MD-Oncologist and a PHD/Epidemiologist. The focus of the research is to find ways to reduce pain and anxiety before cancer treatments. I feel that parents need to be empowered and have the tool of massage to help ease their children's discomforts; they can connect with their child through touch at a very difficult time. I will be instructing parents how to give a 20-30 minute massage to their child at home or in the hospital."
Patti has developed the massage protocols, needs, and budget for this project, which is expected to run for one year.
Since most of Patti's patients are referred by the medical doctors in the hospital, her massage focus is on those with varied needs and medical conditions. One of her clients, Michael Adams, states "I see Patricia about once a week. It's been a big help for me, dealing with the stress of being on dialysis three days a week."
Massage is a hospital service and is billed directly to patients as a "fee for service." There has been some insurance billing, but it is in limbo at this time. "Not many insurance companies pay for massage- so we kept the fees low for patient affordability," says Patti.
Patti is also working with the development and public relations office to write brochures for all the massage services.
Patti is actively involved in the NY State Society of Medical Massage Therapists, attested to by the fact she recently was elected president. Of course, I asked about membership requirements, and she was quick to say that "any NY licensed massage therapist may belong; this state organization was formed in 1927 and we are planning a large conference to celebrate the 75th anniversary."
Squeezed into her spare time, she was deployed to ground zero in September and October 2001 as a trained leader for AMTA's Massage Emergency Response Team (MERT). As she highlights, "this is another whole story to tell! The healing power of touch in just a 15-minute chair massage was an important piece in the Red Cross respite centers; it wasn't just healing for them but for me as well."
Thank you, Patti, for creating the extra time in your life to help those in such need.
In October, 2001, she completed a three-day preceptorship at the University of New Mexico, Albuquerque. The key ingredient for her was the guidance, "tailored to her hospital needs", that she received to enhance her skills in appropriately touching and caring for the infant in the neonatal intensive care unit. She also honed her teaching methodologies and skills for imparting information to the parents and caregivers of these infants.
Patti states: "This has been an incredibly rewarding and challenging career for me. I have to be very professional, well articulated, and persistent in integrating massage in an academic-university hospital setting. I formulated written guidelines and materials from scratch- protocols, intake forms, medical charting, etc. It has all been very positive."
Given all the roles Patti fills, I asked her how many hours a week she works, to which she responded "even though it's a Monday-Friday salaried position, I work more than 40 hours! It reflects my goal of striving to integrate massage services into the medical facility."
Somehow Patti finds the time to be an avid golfer. She enjoys skiing and ocean beaching out in Montauk, on New York's Long Island, with her family, husband Paul, a chiropractor; her stepdaughter Theresa, 21; son Kyle, 14; and daughter Alana Rae, 10. "My family is so supportive -- without them I couldn't do all that I do."
You may reach Patricia Cadolino at The University Hospital at Stony Brook: (631) 444-4592.
Click here for previous articles by Claudette Laroche, RN, LMT, NCTMB.
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