resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
The Static Postural Pelvic Exam
I include a static postural analysis in my evaluation routine whether you are a patient in pain or an elite-sport athlete in training. In my day-to-day practice, I require patients to stand still while I "just look" at them.
Ringing in the Billing New Year
What are the new modifiers that replace modifier 59? Will they allow doctors of chiropractic to be paid for 97140, manual therapy, when done with chiropractic manipulation?
News in Brief
While indignation may be your immediate reaction to H.R. 5780, the Protecting the Integrity of Medicare Act of 2014, the American Chiropractic Association suggests the legislation is just what the chiropractic profession needs.
Helping to Create the Healthiest Generation
The imperative to create the "Healthiest Generation by 2030," envisioned by the American Public Health Association (APHA), was in full force at the APHA's 142nd Annual Meeting held in New Orleans from November 15-19, 2014.
Right Back Where We Started?
More than 25 years after Judge Susan Getzendanner issued her historic opinion in the Wilk v AMA anti-trust case, evidence suggests that despite increasing collaboration between doctors of chiropractic and their allopathic medical counterparts, when it comes to organized medicine, we may be right back where we started.
Movement Assessments: The DC's Sphygmomanometer
I think back to when I was going through chiropractic school outpatient clinic. I was embarrassed to have my family and friends come in for treatment because initial evaluations took three hours to complete.
Trouble Down Under: San Zhen Therapy for Lower Jiao Issues
In the last several columns, I have discussed many clinical options for utilizing San Zhen or Three Needle Therapy. In this installment, I will continue this trend and discuss several foundational patterns which can be found in several very common clinical presentations.
Happy New Year 2015 Gong Hoy Fat Choi
Welcome to the year of the sheep! We begin a new year guided by the sign of a quietly and creatively organized animal.
Two for One: The Cervical Distraction Test
In today's healthcare system, diagnoses and treatment plans follow a western medical model - especially if you work with attorneys or insurance companies.
Taking the Freeze Out of Adhesive Capsulitis
Adhesive capsulitis or "frozen shoulder" is a relatively common condition resulting in severe shoulder pain and global loss of glenohumeral joint range of motion. Incidence of the condition is approximately 3 percent in the general population.
Fight Colorectal Cancer With Folic Acid
CRC is the second most common cause of cancer mortality in the U.S. and Canada. Although genetic susceptibility plays a role in the etiology of CRC, dietary factors, including certain vitamins, have also been shown to influence the development of the disease in various studies.
AWB Makes a Difference in the Yucatan
We are in the sleepy town of Izamal, located about an hour from the Merida airport where our group arrived last night. Later that morning, on a bus winding through the dusty roads of the Yucatan, fourteen acupuncturists, two facilitators from AWB and two tour guides make their way to the small rustic town of Popola.
We Get Letters & Email
Rethinking Our Approach to Immunization; Coming Together for the Good of Our Patients.
The Way of Zen Performance Enhancement
Working with elite athletes and implementing various techniques to keep athletes focused and at their optimal performance for a sustained period of time includes incorporating various meditation techniques that counterbalance their sport-specific physical and mental demands, which is an important element of success throughout the years.
Age and Fertility: Why We Should Worry Less About Age and More About Overall Health
Recently, on one of the acupuncture alumni forums, the topic of age and fertility came up when a practitioner posted a question regarding a patient that was about to turn 40-years-old.
Environmental Toxins: Cause of Modern Illness, Part 2
In Part I of this article, we detailed the variety of environmental toxins assaulting our bodies. These include pesticides and herbicides; plastics; preservatives; cosmetics; gasoline additives, solvents and glues; and heavy metals.
The App Advantage: Get More for Less
You may have noticed the list of "app-exclusive" articles in the directory on the front page of the print issue and in the Table of Contents on page 4. You can't find these articles in print or even in our online archives.
The Conscious Evolution of Healing: Importance of Opening the Sensory Portals in Classical Chinese Medicine
The Chinese medical classics are not just clinical guides. They give advice; ways we can awaken more fully into conscious awareness.
Professionalism and Evidence-Based Health Care
Today's chiropractors are facing a conundrum with the Affordable Care Act and its health care reform requirements, including evidence-based practice and health technology assessment.
Chiropractic Research in Review
Occupational LBP in Primary- and High-School Teachers; Treating MVA Complications With Chiropractic Care; Neck Pain: Immediate Effects of Active Scapular Correction; Taping Benefits Stride, Step Length in Fatigued Runners.
Show Up and Show Respect
I was recently asked about my chiropractic philosophy. My answer surprised my questioner.
Three for One: The Cervical Distraction Test
Taking the time to do an exam is important, but it is time spent. The exam serves as a way to physically validate your clinical impression following a history and clinical consultation.
How to Use Online Video as a Tool to Market Your Practice
Health care practitioners, including chiropractors, should consider online videos as a key element of their Internet marketing strategy. In the next three years, videos are expected to account for nearly 70 percent of all consumer online traffic, according to Cisco.
Acupuncture and its Place in the Integrative Healthcare Practice: The Need to Move from Modality to Profession
Acupuncture and oriental medicine (AOM) has grown and flourished from its inception thousands of years ago in China. In surrounding regions of Asia, AOM developed as a response to differing cultural, pathological, health and wellness care needs.
I Felt it in My Fingers First
I'm not afraid to say it. Massage therapists make better acupuncturists. I'll tell you how I know, but first I have a question: What do a microcurrent device, a laser and a hippie massage therapist have in common?
Animal Acupuncture Gaining in Popularity
We have just finished the year of the fire hoarse and now it is time to spend some time alone, daydreaming and thinking outside the box in terms of where our profession is headed. The sheep person is well organized and creative so this should not be difficult to do.
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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