resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Art of Listening
One of the most important clinical concepts for me was voiced by the legendary physician William Osler. "Listen to your patient, he/she is telling you the diagnosis." After treating literally thousands of patients, it can become almost second nature to quickly discover clues which reveal the underlying diagnosis.
The Value of Melatonin in Breast Cancer Prevention and Adjunctive Treatment
Although melatonin (MLT) is best known for its sleep-aid properties and as a natural remedy to prevent jet lag, extensive experimental studies suggest it possesses anticancer activity through several biological mechanisms.
Specialized Pro-Resolving Mediators: 21st Century Inflammation Fighters
Specialized pro-resolving mediators, or SPMs, are a portion of the omega-3 fatty-acid spectrum that have been shown to have a powerful effect on reducing inflammation.
Day in the Life of an Advanced-Practice DC
Can you tell us a little about your background in the profession? Why did you want to become a DC? I studied at Boston University from 1968-1972 as a pre-med student majoring in biology.
The Rest of the Patient Story
I've written previously about allowing a patient to tell you their story – about taking the time to listen and engage all the aspects of their case history, the injury in question, and the related issues.
Health and Wellness Partnership
Yo San University of Traditional Chinese Medicine and The Wellness Center at the LAC + USC Historic General Hospital recently joined forces to extend care to the residents of Boyle Heights area of Los Angeles.
News in Brief
Northwestern Student Honored for Addressing Concussions Head-On; Northwestern Announces New CFO; Life U. to Provide Unique Opportunity.
F4CP Launches New Social Media Campaign
The Foundation for Chiropractic Progress has launched a new service to help member doctors: a social media campaign called "Accelerator."
Transparency is Key at ASA First Annual Meeting
On March 4th and 5th the American Society of Acupuncturists (ASA) held a successful first annual meeting in Albuquerque, New Mexico.
Constructing Our Reality: The Primary Channels and Perception, Part 1
My favorite topic of discussion within Chinese medicine is the acupuncture channel systems. First of all, each of us have them. They are part of our bodies; not something external to us. To learn about the acupuncture channels is to learn about ourselves.
Let's Streamline Your Front Desk
Your front office can be your greatest source of efficiency or a constant bottleneck. Increasing the productivity of this area without sacrificing the quality of patient interaction can be a little tricky.
Asking Patients the Right Questions
When was the last time you asked a patient a question? Maybe 30 seconds ago? But, are you asking the right questions to elicit valuable and useful information? As a healthcare provider, you've likely spent hundreds of hours learning to ask the right questions to gather critical health information from your patients.
Misconceptions & Opportunities With Medicare
As I speak around the country on how to properly document Medicare patient encounters, I get questions regarding opting out of Medicare. There are many misconceptions about opting out of Medicare, including just what it means to opt out.
An Interview with Amanda Shayle
JW: Can you share with us some of your history and how you became an acupuncturist? What did you do prior to becoming an acupuncturist? Where did you go to school?
How Many of Your Patients Have Sarcopenia?
Figure 1 demonstrates the typical appearance of sarcopenia in the paravertebral muscles. Have you considered evaluating your patients for this problem? Sarcopenia is the progressive loss of skeletal muscle mass and function that affects the older population.
NCCAOM Launches New Membership Organization
The National Certification Commission for Acupuncture and Oriental Medicine (NCCAOM) recently launched a new national membership organization, the NCCAOM Academy of Diplomates.
Designing a Fitness Plan (Part 4): Blending Pain Relief With Healthy Aging
Pain relief is still the No. 1 reason patients come to my office. However, most of my patients have other goals as well, such as: "I want to lose 10 to 20 pounds"; "I feel old and want to slow down the aging process"; "My doctor says I am becoming a diabetic and need to exercise"; or "I'm tired and want more energy."
Identify & Adjust the Apex Posterior Sacrum
Low back pain involving an apex posterior sacrum (+θX-axis misalignment) typically presents with signs of lumbosacral joint impingement or facet syndrome.
Building Relationships and Referral Networks with Allopathic Practitioners
Dr. Doug, an orthopedist of 20 years, had heard stories from patients who tried acupuncture. While he was able to address many of their complaints effectively, some appeared to gain additional benefit when their care included TCM.
An Alarming Lack of Accountability
Accountability seems to be a lost quality today. The simple act of taking responsibility and doing the right thing just doesn't happen as often as it should. Maybe it is the litigious nature of our society.
Energy: For Life and For Death
Energy is a deep topic in Traditional Chinese Medicine. Qi is understood to underlie all of existence, animated or not, and the qi of the living is studied with special attention.
Excited to Share the Science of Chiropractic: An Interview With Dr. Heidi Haavik
Dr. Heidi Haavik has become known in the circle of chiropractic researchers as not only a rising star, but also one willing to do research that can have a major impact in the scientific world and how chiropractic is perceived.
Filling the Gap: The Role of Alternative Practitioners in a Broken Health Care System
I have been asked many times what got me into alternative medicine. My answer is simple: I want to truly help and make a difference in people's health.
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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