As an occupational therapist (OT), I am used to having to explain that occupational therapy does not mean I give people “work therapy” or help them find a better job. Readers of my articles know that occupational therapy is a uniquely diversified allied health profession that rehabilitates people of all ages, and in all areas of functional activity. Our training varies by our schools but overall, OT is more than just physical rehabilitation, we have roots in psychiatry and our education is strong in neurosciences. We are human skills specialists who address “occupations” that fall into these areas:

  • ADLs. Activities of Daily Living – fundamental tasks of self-care

  • IADLs. - Activities to support ADLs within the home and co...

February 2, 2020

We all love choices and health insurance plans are no exception. Most insured get their plans through their  or their spouse’s employer with two popular types of insurance plans being HMO and PPO. The HMO plans are least expensive and have many exclusions (no massage, chiropractic, or other holistic healthcare treatments). HMOs limit subscribers to an approved list of in-network providers while PPOs allow you to choose any “credentialed” provider (meaning, they must be pre-approved to bill for their services). Additionally, PPOs don’t require a PCP referral to a specialist (but still required for skilled therapies).

PPO plans offer greater flexibility and many cover things such as chiropractic, acupuncture and massage – all worth...

Let’s face it, most of us are “plugged-in” daily and some of us are plugged-in for most of our waking day because of work, news on tap from our smart phones, and social connectivity. We wake up to a cell phone alarm, check texts and emails as we get ready for work, even taking our device into the bathroom to listen to podcasts or music.

We drive to work listening to podcasts or satellite radio, get to the office and log-in to our computers while operating our cell phones on the side. We go to meetings where we have our phones either on the table or on our lap for discretely checking texts and emails while looking interested in the speaker. We check in with our spouses, elderly parents, nannies, teenagers, etc. throughout the day...

In my lifetime, I have known people who came down with a condition that was hard to understand or treat effectively, and I have joined their ranks more than once. In the absence of answers, we are told, “you will have to live with it and take medications to manage the symptoms as best you can.”  It takes a certain type of person to respond to that advice with defiance and resolve to find a solution or an advocate. As a clinician and strong patient’s advocate, I say, “don’t give up or give in!”

There are many ways to solve a problem and in my opinion, functional medicine is the most logical approach to wellness because it does not address the problem with pharmacology as the first approach. Functional medicine recognizes that a pe...

November 11, 2019

If you have a child with an IEP, gets headaches, or gets tired after reading, reports distorted pages or floating letters, you owe it to him/her to read this article and investigate a non-medical solution. Chances are, your child is more capable than she or he performs due to symptoms of a sensory processing disorder not widely known by pediatricians, optometrists, opthalmologists, and a host of other clinical professions. Yet, this condition is easily remedied by accommodating the color distortion by the brain’s visual processing center.


In 1983, Helen Irlen, an educator, clinical therapist and psychologist saw a processing link between behavioral issues, ADHD, atypical dyslexia, and poor academic performers in general. S...

As the days get shorter and the ground gets covered in ice patches, thousands of seniors end up in the ER. According to the CDC, senior falls are serious and costly:

  • One of five falls causes a serious injury such as broken bones or a head injury

  • Each year, 3 million older people are treated in emergency departments for fall injuries.

  • Over 800,000 patients a year are hospitalized because of a fall injury, most often because of a head injury or hip fracture.

  • Each year at least 300,000 older people are hospitalized for hip fractures.

  • More than 95% of hip fractures are caused by falling, usually by falling sideways.

  • Falls are the most common cause of traumatic brain injuries (TBI).

  • In 2015, the total...

Every fall in early October, private insurance companies “open” their virtual doors to new subscribers until mid-December. They ramp up their advertising to convince trusting seniors that their company has something better to offer them than classic Medicare.

For insurance brokers, this is the annual rush for clients and commissions that will sustain them for the rest of the year. For some brokers, this is shark feeding time as they visualize the mass of confused seniors as an ocean predator sees a shoal of fish.

It’s not like Medicare makes it easy for seniors to understand all the types of plans to choose from because if you choose the wrong one, you’re stuck and a government agency like CMS (Centers for Medicare and Medicaid S...

Not so long ago, we walked upright. Our eyes scanned our surroundings as we made our way through our environment and our reflexes and observational skills were sharp. Recently however,  we have adopted a new posture and way of interacting with others – not so much in person, but through our devices. Add up the hours spent in our office jobs, driving, reading, playing video games, even cleaning and preparing meals, you will realize that we spend most of our waking day in a head down position.

The terms “text neck” and ‘tech neck” are familiar and we can all agree, it is not our best look. It is responsible for cervical kyphosis (neck hump) and the repercussions of spending hours in the head-forward and chin-down position can resul...

Not so long ago, people knew the phone numbers, addresses, birthdates, and anniversaries of family and friends. Kids used to spend plenty of time just daydreaming, inventing, painting. People wrote songs and poetry with pen on paper. Parents did not have to limit “screen time” or force kids to play outside as if they were being punished. In contrast, today’s kids spend more time indoors watching videos, playing video games, “Googling” on the computer, or smart phones. Most play dates and sleepovers can include screen time even when “camping” at RV resorts where Wi-Fi is as much of a must-have next to utilities and sewage hook-ups.

Technology has made information readily available to most people on the planet, and has advanced man...

Following a concussion – including from whiplash, there is a long list of symptoms which are identified as “Post-Concussion Syndrome” (PCS). Among those symptoms, changes in cognitive functioning is the longest lingering effect.

Most post-concussion patients complain of mental fog, poor recall, word-finding difficulty, and inability to focus on their work and other tasks. Some of my patients report missing their freeway exits, driving past their intended destination, and perseverating on a task (i.e. washing the same area repetitively without realizing it). This is not the typical “auto pilot” mode, it can be dangerous and can become a job retention issue.

The problem with undiagnosed PCS is that since it is not recognized, it go...

Please reload

5775 Soundview Drive, Suite A-103

Gig Harbor  WA  98335

Phone: 253-514-6842     Fax: 253-514-6863