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Herman & Wallace Blog

An Accelerant on the Integrative Movement

Nutrition Perspectives for the Pelvic Rehab Therapist

There are moments when I pause and realize how far we’ve come in a short period of time, and then others when I’m acutely reminded how far we have yet to go.   Our destination is an integrative health care system which addresses nourishment first and early versus last, not at all, or only when all else fails.  My mission is to support the concept of nourishment first and early though sharing of “Nutrition Perspectives for the Pelvic Rehab Therapist” through the Herman & Wallace Pelvic Rehab Institute.

After each weekend I teach Nutrition Perspectives for the Pelvic Rehab Therapist, I feel affirmed that this class, this information is vital and at times life-changing for practicing clinicians.  And every time I teach, participants share that they take away much more than they expected.  It’s a course that makes accessible complex concepts to entry level participants while offering timely and cutting edge integrative instruction to the advanced clinician eager to incorporate this knowledge into their practice.  Supportive literature is woven throughout the tapestry of the course.

After the most recent live course event, a participant shared with me a letter she received from a patient in 2016 who mentions the lack of nutritional attention during her cancer treatment.  I want to share with you the essence of this letter:

“In October 2015, I was diagnosed with cancer.  The following December I started treatments of radiation and chemotherapy.  I really appreciate all the fine employees who helped me through care and treatments.  Every clinician I came across, whether a doctor, nurse, phlebotomist, radiation and chemo teams, and my PT, were all exceptional in showing care, concern and knowledge. 

However, one area I felt was lacking in was nutrition.  I was frequently offered a standard hospital-issue protein drink.  When offered, I explained that I would not take it due to it containing high fructose corn syrup (HFCS).  I asked if they knew that HFCS was like putting and accelerant on a fire?  I received a smile and a nod of head as to say they understood.

I was also offered soda pop to wash down bad tasting medicines/ liquids I was to take.  I opted to just down the medication without chasing it as I didn’t want to exacerbate my condition.  While taking chemotherapy, I was offered snacks containing HFCS and other non-nutritive so-called foods.

I was also offered limited entree choices, but there were plenty of pies, cakes, jellies, and other non-nutritive foods to choose from.  All Items I would not consider for a cancer diet or even a healthy diet.  I finally took a picture of the menu selection sheet as I thought no one would believe such a thing could happen. 

I received excellent care throughout your system with the exception of nutrition .  I would ask that you take a look at making menus with truly healthy options as well as giving patients options that do not contain ingredients that feed the cancer.”

While this letter addresses an inpatient issue at one regional health system,  it correspondingly brings into focus the irony present in the vast majority of health care settings across the nation from inpatient to outpatient settings:  there is a profound lack of clarity about what it means to be nourished, especially when we are at our most vulnerable.  

I cannot claim “Nutrition Perspectives” will solve our nation-wide problem, however, I am certainly encouraging a movement towards a collective understanding of the imperative fact that food is medicine - powerful medicine - and we must as front-line practitioners harness what this understanding can offer.  Pelvic rehab practitioners are uniquely positioned to process this information and begin immediately sharing it in clinical practice.

Like many providers, this same participant shared with me that upon receipt of this letter two years ago, she struggled to make progress with what and how to offer nutritional information - mainly because of the overwhelming nature of the subject, and also because of the conflicting and oftentimes confusing information traditionally shared with the public.  After attending Nutrition Perspectives, she said “I cannot even begin to describe how much your course has met ALL my hopes for helping clients!….I had struggled to put something together and here it all is -  so unbelievably grateful.”

And that’s what this course is all about - empowering you as you broaden your scope of knowledge in a way that teaches you not facts, but deep understanding.  Once that foundational understanding is laid, this grass-roots effort will progress like putting an accelerant on the integrative movement.  Soon we’ll see the inclusion of nourishment information as first-line practice, and the lives impacted in a positive way will continue to grow.

Please join me at the next opportunity to share in this live experience with other like-minded clinicians.  Nutrition Perspectives for the Pelvic Rehab Therapist will be coming to Denver, CO September 15 & 16, 2018!

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Upcoming Continuing Education Courses

Pediatric Incontinence and Pelvic Floor Dysfunction- Remote Course (SOLD OUT)

Apr 16, 2021 - Apr 18, 2021
Location: Replacement Remote Course

Pediatric Incontinence - Grand Rapids, MI (Rescheduled)

Apr 17, 2021 - Apr 18, 2021
Location: Mary Free Bed Rehabilitation Hospital

Pregnancy Rehabilitation - Remote Course

Apr 17, 2021 - Apr 18, 2021
Location: Replacement Remote Course

Manual Therapy for the Abdominal Wall - Remote Course

Apr 17, 2021
Location: Short Form Remote Course

Pudendal Neuralgia and Nerve Entrapment - Remote Course

Apr 17, 2021 - Apr 18, 2021
Location: Replacement Remote Course

From Challenged and Concerned to Centered and Empowered

Apr 18, 2021
Location: Short Form Remote Course

Pelvic Floor Level 2B - Houston, TX

Apr 24, 2021 - Apr 25, 2021
Location: Texas Children’s Hospital

Pelvic Floor Level 2B - Garden City, NY Satellite Course (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Metro Physical & Aquatic Therapy

Pelvic Floor Level 2A - West Norriton, PA Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Level 2B - Self-Hosted (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Self-Hosted Course

Pelvic Floor Level 2B - Kenosha, WI Satellite Course (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Aurora Health Care

Pelvic Floor Level 2A - Self-Hosted

Apr 24, 2021 - Apr 25, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - Self-Hosted (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Self-Hosted Course

Pelvic Floor Capstone - St George, UT Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Dixie State University

Pelvic Floor Capstone - Manchester, IA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Physical Therapy Solutions

Pelvic Floor Level 2B - Houston, TX Satellite Course (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Texas Children’s Hospital

Pelvic Floor Level 2A - Charlottesville, VA Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Capstone - Cranford, NJ Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy

Pelvic Floor Capstone - Alexandria, VA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Inova Physical Therapy Center

Pelvic Floor Capstone - Brooklyn, NY Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: PT of the City

Pelvic Floor Capstone - Tacoma, WA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Olympic Sports and Spine

Pelvic Floor Capstone - San Diego, CA Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: FunctionSmart Physical Therapy

Pelvic Floor Capstone - Richmond, VA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Pivot Physical Therapy

Pelvic Floor Level 2B - San Diego, CA Satellite Course

Apr 24, 2021 - Apr 25, 2021
Location: Water and Sports Physical Therapy Clinics

Peripartum Advanced Topics - Remote Course

Apr 24, 2021 - Apr 25, 2021
Location: Replacement Remote Course

Pelvic Floor Capstone - Asheville, NC Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Cornerstone Physical Therapy

Pelvic Floor Level 2A - Truckee, CA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Tahoe Forest Center for Health and Sports Performance / Alliance Therapy Partners

Pelvic Floor Capstone - Marietta, GA Satellite Location

Apr 24, 2021 - Apr 25, 2021
Location: Southern Pelvic Health

Pelvic Floor Level 2A - Jacksonville, FL Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Summit Physical Therapy

Pelvic Floor Level 2A - Hinsdale, IL Satellite Location (SOLD OUT)

Apr 24, 2021 - Apr 25, 2021
Location: Ivy Rehab Physical Therapy