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9 Common Causes of Thyroid Imbalance and How You Can Help
How you sleep, how easily you wake up, and how much energy and stamina you have during the day are directly related to levels of the thyroid hormones.
New Medical Technologies You Need to Know
We're all familiar with how fast computers become obsolete, as well as the rapid pace of development in the field of cell phone technology. The latest smart phones are far more powerful than desktop computers were only a few years ago.
Peer Points: Always Seeking To Grow
Ellen "Kiki" Geary has spent the last decade honing her craft. As a specialist in integrative holistic care, she went straight from completing her master's degree in acupuncture and chinese herbal medicine from Bastyr University to building a successful and thriving practice in the small community of Anacortes, Washington.
A History Worth Telling
The popularity and the use of acupuncture for the treatment of animals in the United States is at its peak.
CCE Finally Takes a "Baby Step" Toward Reform
During a 16-month period from October 2010 to February 2012, I devoted four separate columns to the heavy-handed attempt by the Council on Chiropractic Education to radically change the chiropractic profession through the accreditation process.
Why Young People Need Chiropractic Now More Than Ever
According to a recent study published in BMC Musculoskeletal Disorders, "It is now widely acknowledged that neck pain (NP), mid back pain (MBP), and low back pain (LBP) (spinal pain) start early in life and that the lifetime prevalence increases rapidly during adolescence to reach adult levels at the age of 18."
A Vibrating Capsule for Constipation? Relevance to Your Chiropractic Practice
The relationship between gastrointestinal (GI) complaints and back pain is not typically written about or discussed.
Pain Underfoot: Metatarsalgia
Foot pain can interfere significantly with normal activities and severely limit participation in sports. Metatarsalgia is foot pain involving the metatarsal bones in the forefoot – the complaint of pain on the bottom of the ball of the foot.
A Chinese Medicine Story: An Interview with Mazin Al-Khafaji
Mazin Al-Khafaji's work has interested me for years. In February 2014, we invited him for the second time to speak at the Southwest Symposium in Austin, Texas.
Medical Qigong for the Heart: Part III
Part 1 and Part II of this series focused on the physical aspect of the Heart and mental emotional aspects of the Heart respectively. Now, I would like to focus on the spiritual aspect of the Heart.
Chiropractic Research in Review
Chiropractic Treatment of Lateral Epicondylitis; Cost / Benefit Analysis: Different Doses of SMT for Low Back Pain; Imaging for Occult Rib and Costal Cartilage Fractures; Treating Neck Pain: Thoracic Thrust Manipulation vs. Non-Thrust Mobilization.
News in Brief
National Chiropractic Health Month: Be Proactive; Collegiate Roundup: Academic Appointments at Parker, Logan.
A Guide for Talking to Doctors about Acupuncture and Brain Chemistry
Before I begin any discussion of how to talk about the effects of acupuncture on brain chemistry, nervous and endocrine function, it is essential to understand just what physicians most need help with.
Don't Turn a 2 Into a 10
The Wong-Baker FACES Pain Rating Scale1 is so useful because it can be used by almost anyone. Patients can use the numbers associated with the faces depicted on the scale or select the face that demonstrates their current level of pain from 0-10.
Finders Keepers: The Secret to Relationship-Based Marketing
Becoming a successful practitioner has less to do with what you learned in school, and more to do with your ability to find new patients and keep them!
MPA Media Wins 7 Publishing Awards
MPA Media, publisher of Dynamic Chiropractic and DC Practice Insights, among other titles, has been recognized for editorial and design excellence with an unprecedented seven publishing awards by the American Society of Business Publication Editors (ASBPE), the nation's largest organization for business-to-business publications.
Waking Up the Gluteus Maximus
In previous articles in this series, we expounded on the importance of the gluteus maximus (GM) in athletic performance and protecting the knee from injury. We also know there is a link between iliotibial band syndrome and GM weakness.
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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