By Deb Matsuura

HOW IS YOUR POSTURE?

Tami Patrick, a Physical Therapy student from Andrews University spent 8 weeks with our therapists in the Kailua clinic learning and working with patients in an orthopedic outpatient setting. While with us, she gave an inservice to the staff on POSTURE. Her presentation definitely reminded us to sit properly and stand correctly as we go about our daily activities.

What is Posture?

  • Posture: a position of a person’s body when standing or sitting.

Who cares?

  • Good posture contributes to good appearance; the person with good posture projects poise, confidence, and dignity.
  • The discs between the spinal segments become less resilient and give in more readily to external forces, such as gravity and body weight. 45 degrees of cervical flexion doubles the weight your neck has to carry!
  • Muscles become less flexible and weaker.
  • In addition, poor posture can affect the position and function of your vital organs, particularly those in the abdominal region. You can imagine as you compress your organs they lose blood flow slowly but over time will give you some organ dysfunction. Constipation anyone?

Why am I like this??

  • Ligaments: We hang out on our ligaments when our muscles get tired, putting us in a “slouched” position.
  • Lifestyles usually become more sedentary. Sitting at work or school for long periods of time shortens various muscles, which results in the body being pulled into poor postural positions, and stretches and weakens other muscles, which allows the body to slump.

What is ideal posture?

  • Ideal standing plumb line posture: bisects the ear, bisects the shoulder joint, runs down the bodies of the lumbar vertebrae, bisects the greater trochanter of the femur, runs just behind the center of the knee, runs just in front of the center of the ankle.
  • In this alignment the abdominal and hip extensors and the lumbar and hip flexor muscles are in perfect opposition to one another. The former group tilting the pelvis posteriorly (to the back) and the latter tilting it anteriorly (to the the front) resulting in a neutral pelvic position. According to Kendall and Kendall, muscles are most relaxed and less contracted in the ideal posture.

Exercises
Standing:

  • Stand with back against a wall, heels about 3” from the wall and feet about 6” apart weight evenly distributed.
  • Place arms at sides, palms forward
  • Keep ankles straight and knees facing forward
  • Keep low back close to the wall
  • Straighten the upper back, lifting the chest and bringing shoulders back against the wall
  • Bring head back to touch the wall while keeping the chin tucked in
  • Pull up and in with the muscles in the lower abdomen, trying to flatten the abdomen
  • Hold for 10 seconds breathing normally
  • Relax and repeat 3 to 4 times
  • Perform 3 times a day for optimum results

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Sitting:

  • Sit in a straight back armless chair, with both feet flat on the floor and back resting against the chair
  • Place arms at your sides, palms forward
  • Straighten the upper back, lifting the chest
  • Bring shoulders back against the chair
  • Hold the head erect
  • Pull up and in with the muscles in the lower abdomen, trying to flatten the abdomen
  • Hold position for about 10 seconds, breathing normally and keeping the rest of the body relaxed
  • Relax your abdominal muscles and repeat 3 to 4 times
  • Repeat entire exercise at least 3 times a day

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Tips

  • Sit with back firmly against chair, with chair low enough so feet are on the floor with knees slightly higher than hips
  • Keep your head up and avoid leaning forward: by keeping your chair close in to the desk you can help maintain this position.
  • Sleep on a firm mattress and use a pillow under your head just big enough to maintain the normal cervical—neck—curve. Avoid use of over- sized or several pillows.
  • Exercise regularly; exercise promotes strong and flexible muscles that keep you upright in a proper postural position.
By Deb Matsuura

Performance Plus Program

At Fukuji and Lum Physical Therapy Associates, we challenge ourselves to deliver fun, happiness, and compassion in serving our patients and the community. In doing so, we strive to support those in need of a higher quality of life, as a family. For 20 years, we have served the community in need of physical therapy, but have also branched out to address another need: maintenance after physical therapy. Thus, the Performance Plus Program (PPP) was created to help patients maintain and improve upon their levels of fitness after physical therapy is completed, and no prescription is necessary. The program is also offered to community members that want to improve on their fitness levels and achieve goals they never thought possible. 

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Here is a testimonial from one of our regular PPP clients at our WORC clinic who asked to remain anonymous.

    “I was in a fitness quandary. I quit the fitness club after 5 years. I was tired of fighting for the treadmill and bikes and didn’t want to compete with the jocks for the other machines. Everyone there seemed to have his or her own fitness agenda. My hairdresser spoke of the Fukuji & Lum YWCA location. She raved about the physical therapy she received there, and had continued with an exercise program after being discharged.

    I was not in need of physical therapy, but Fukuji & Lum did offer a Performance Plus Program, primarily for PT clients interested in continuing their therapy with an exercise regimen. So, I signed up for my first 8 sessions. My goals were to improve my strength and improve my conditioning. I was told I was in poor to fair condition; so much for the fitness club routine.

    Today, 2 years later and starting my third year, I have completed 200 visits; my health profile has improved and I am able to do exercises I never thought possible. The staff teaches me the correct way to do the exercises; always offering helpful tips to improve my technique and correcting my mistakes. The staff pushes me to do more so I can continue to improve.

    My overall health has improved; my doctor is happy; I’ve lost weight; gained muscle and toned my body. I’d say that I fixed my fitness quandary.”

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That testimonial is typical of a lot of our PPP clientele. No more fighting over equipment, as everyone is scheduled at flexible times to accommodate for overcrowding. Our land-based Performance Plus Programs are offered at our Honolulu clinic located in the Kuakini Physician’s Tower and WORC location in Kaneohe, and is also open to high school students with parental consent. We have also expanded our program to include an Aquatic Therapy Performance Plus Program, located at the Kokokahi YWCA. For questions or more information about our programs, please call our Honolulu Clinic at (808)521-4922 or our WORC clinic at (808)234-5353.

By Mark Yanai

Introducing Justin

Our Northeastern Co-ops have been with our organization since July, working diligently in our clinics while supporting our therapists in treating our patients. Since being exposed to the “island-style” life, they have been going on different adventures every weekend and are really making the most of their stay here. Of the four Co-ops this fall semester, we have one more student to introduce. Let’s meet Justin and find out why he wants to become a physical therapist, because we know he’ll make a great one in the near future!

Meet Justin
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What school did you attend in high school and what’s your current college?
I went to The Morgan School in Clinton, CT. I currently go to Northeastern University in Boston, MA.

What drew you to PT?
I’ve always wanted to have a career that combined my love of sports with helping other people. PT is also a job where there is plenty of room for progression. Treatment techniques are always evolving, which gives us something to look forward to. [/two_third_last]

Why did you want to do your coop in Hawaii?
I want to travel to every part of the world and this is just the first step. I’ve been on one Caribbean cruise but that is the farthest I had been from home. Experiencing different ways of life is a great opportunity and I couldn’t pass it up. The aquatic program also drew my interest to Fukuji & Lum. I have already seen first hand the benefits of being in the pool compared to dry land.

What is the strangest thing you have eaten since arriving?
I wouldn’t call them strange, but I’ve had many poke bowls and musubis already. I’d eat a poke bowl every day if I could.

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What is on your to do list while here?
I want to learn a lot- about both physical therapy and Hawaiian culture. I also would like to spend as much time at the beach as possible and do all the best hikes the island has to offer.

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What are your outside interests?
I like to watch and play many different sports. I’m a huge Boston sports fan- Patriots, Celtics, and Red Sox all the way! I enjoy playing basketball and ultimate frisbee and recently got into triathlons. [/one_half]

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What kind of therapist do you hope to be?
I hope to be a successful and effective therapist. The dream job would be working for a professional sports team. I’m also interested in owning my own place someday. I want to provide all types of alternative treatments that may not be available at other physical therapy places. Incorporating physical therapists, athletic trainers, and nutritionists into one team-oriented area seems like the best environment for maximizing the body’s potential. 

Who is your greatest influence in your life?
Everyone we meet somehow becomes an influence in our lives, so it would be impossible to choose one. My parents have to be at the top of the list for how hard they work and how much they push me to be my best. I’ve had lots of great teachers and friends that keep me on the right track and I’m thankful for all of them.

By Mark Yanai

Introducing Leila

From Boston to Hawaii

5,027 miles. That’s how far our Northeastern University students travel from Boston to Hawaii to be a part of our ohana for the next six months. They put a pause on their school life and travel all this way, not knowing what is in store for them here in the islands. Four of them arrived for the fall semester, all with big smiles and feelings of excitement and adventure. We’ve already introduced two of them, Colby and Ashley, who work at our Kokokahi sites in Kaneohe. We have another student, Leila who works there as well and is enjoying working with patients at the pool and W.O.R.C. 

Let’s meet Leila!

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What school did you attend in high school and what’s your current college?
I attended Middlebury Union High School in Middlebury, VT. I am currently a student at Northeastern University in Boston, MA.

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What drew you to physical therapy?
Both my parents are doctors, so I have always been drawn to the medical field. I became interested in physical therapy when I started seeing physical therapists in middle school and high school due to sports injuries. The therapists were always able to help me recover so that I could get back to doing what I loved to do. I want to be able to do the same for other people. [/one_half]

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Why did you want to do your co-op in Hawaii?
I chose to come to Hawaii because I love to travel. I have always wanted to come to Hawaii and now seemed like the perfect time to go. I was also really interested in the aquatic physical therapy program at Fukuji and Lum, especially because I heard the pool was outside.

What has been your experience like so far? 

My experience here has been beyond amazing. The people of Hawaii have been so kind, welcoming and helpful. I love the island not only because it is so beautiful, but also because there are so many different things to do. I am never bored here! I love working at Fukuji and Lum because I am learning so much everyday in an extremely positive environment.

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What is on your to do list while here?
I have so many things I want to do while I am here. I want to hike Stairway to Heaven and the Pillboxes at sunrise, swim with dolphins and eat endless acai and pitaya bowls. It’s so hard to narrow it down because the opportunities here are endless.  I also really want to learn how to hula dance!

What’s the strangest thing that you’ve eaten since arriving?
Spam musubi and spam in general. My favorite foods I have had since coming here are acai and pitaya bowls. I’m obsessed with them![/two_third_last]

What are your outside interests? 

I absolutely love to dance. It is my favorite thing to do. I also like to hike, swim, and do yoga. I love to spend time with my friends and family as well. I am happiest when I am outside.

What kind of therapist do you hope to be?
I hope to be a caring, supportive therapist that helps patients meets their goals. I am keeping my mind open to what exactly I want to do later on in my physical therapy career, but I am currently leaning towards aquatic therapy for both adults and children.

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Who is your greatest influence in your life?
My family has been my greatest influence in my life. They have made me into the person I am today. My family is full of the most loving, supportive and kindest people I know and I aspire to be like them in everything I do.

By Mark Yanai

Introducing Ashley

Embracing Change is one of F&L’s core values that we look for in each of our employees. Every six months we get a new set of students from Northeastern University and our entire organization embraces their presence and the responsibility to care for them. This fall semester we have four new students including Colby, which I wrote about in my last blog.

Since my first Co-op blog, I’ve always used the same format when questioning the students about themselves. In trying to keep things fresh and evolving, I gave each of the Co-ops the freedom to write whatever they wanted in introducing themselves as employees of F&L. Today, we get to meet Ashley. [one_third]

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Deciding to spend my first co-op in Hawaii is probably one of the better decisions I have made. From the first time I spotted the Hawaiian site for my Co-op I knew I wanted to apply to Fukuji & Lum. However, never in a million years did I think I would actually get the honor of working with such intelligent and caring people. Being a physical therapy major, there isn’t much time to travel during the six years that I am I student. I am truly lucky to have been given the chance to be able to move to Hawaii and immerse myself in its culture for six months. [/two_third_last]

Working at Fukuji & Lum has given me opportunities that I never imagined were possible. From getting grastoned to actually taking patients through their exercise programs, I have gained so much experience that will help me become a better therapist in the future. Every day I learn something new. The people I get to work with are the best in their field, always making sure they explain things to me and that I understand, and constantly improving themselves as well.

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Having the opportunity to work not only in a clinic, but a pool and front office, also gives me a chance to learn so many different aspects of therapy. Each job that I have is different and teaches me something new.

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Working in the office has taught me a lot about the paperwork aspect of therapy. Before this experience, I never knew how complicated insurance was and I have gained a lot of respect for the people who do those jobs. Being in the pool was something that made me very excited to work here. The pool is a very unique setting for therapy and one I always found fascinating. While in the pool I have learned an alternative to land therapy and it has taught me to think out of the box when it comes to coming up with helpful exercises.

So far two months (one-third) of my Hawaiian adventure has gone by and I couldn’t be more shocked. It’s hard to believe I have already spent so long in this incredible place, at a job that makes me excited to wake up every morning. It also scares me that in a few short months I’ll be heading back to freezing cold Boston in the middle of January! At least I’ll have a nice tan… I am so thankful for this experience and can not wait to use all I learned and all I will learn at Fukuji & Lum as a physical therapist one day! [/two_third]

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By Mark Yanai

Introducing Colby

Every six months I interview and hire new Co-op students from Northeastern University to work with our organization as physical therapy students. From their first Skype interview to their last day in clinic, I feel the need to take care of these kids, making sure they are learning about the PT profession and experiencing life here in Hawaii. I always feel a sense of closeness to them and often wonder what it is that draws me so much to these students.

Last week I dropped my son off to college at the University of Washington for his freshman year. The feelings I had as a dad seeing my son leave home and off to a new school was of both elation and sadness. I felt so proud of him that he was taking on a new adventure and yet I was sad that from now on, I wouldn’t get to be a part of it, as I have been. I hope that the new people who become a part of this new chapter will take care of him.

And with those thoughts I realized what draws me so deeply to our Co-op students. While they are not my sons or daughters, the F&L family treats them as such. I feel like a parent watching them grow as students and prosper as employees, while guiding them along the way. I am grateful to be a part of their short stay with us and am happy to say that I had a hand in their learning process so they are able to get the most of out of their experience, whether it be in or outside of the clinical setting.

With that, I am happy to introduce our new student Co-ops this fall semester, starting with Colby.
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In a haiku, what school did you attend in high school and what’s your current college?

First, Lynnfield High School.

Next, I go to Northeastern

Which is in Boston. [/one_half]

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What drew you to PT?
I originally was in school for Mechanical Engineering (at Northeastern University); but after shadowing some engineers the summer before my freshman year of college, I realized I didn’t see myself as an engineer in 20 years.  My mom and dad have been in and out of Physical Therapy for as long as I can remember.  Seeing their progress through and through has inspired me to become a part of this field that can positively affect a patient’s life.

Why did you want to do your coop in Hawaii?
I grew up in a small town right outside of Boston.  If I didn’t experience living in another state outside of New England then I would be doomed to live there for the rest of my life.  Hawaii is a great opportunity to see and learn about a whole new culture.  Now that I’m here I can’t wait to move back.

What is the strangest thing you have eaten since arriving?
Lychee Seeds brah, dey broke da mout’!

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What are your outside interests?

I really enjoy hiking, body surfing, being at the beach, photography, pick-up games of basketball, football and soccer, and playing music.  I’m also involved with the musical theatre company back at school.

What is on your to do list while here?
See the other islands.  Try as many foods as I can.  Take lots of pictures.  Get better at surfing.  Take a Hula Class.  Honestly, the list keeps getting longer every week just by talking to the patients and coworkers.

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What is your spirit animal?
The majestic sea cucumber.

What kind of therapist do you hope to be?
I hope that I can be a therapist that not only provides care and therapy to the patient.   But can be a friend if they need it.  I want to foster a relationship with my patients and coworkers that makes choosing to go to work in the morning a very easy decision.  As far as what setting I’d like to work in… honestly I have no idea yet; I would love to have a chance to work at as many different settings as I can.

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Who is your greatest influence in your life?
I have many influences in my life, all equally important to me.  I can’t say one is greater than the rest because I wouldn’t be where I am today without all of them.  An important influence has been my parents though.  Being able to go home one day and fix them would be one of the most rewarding experiences.  Another influence is seeing a patient’s path to recovery from start to finish.  I’m glad and hope that I will always be able to relish and share the joy of getting a patient back to their “old selves”.  

 

By Mark Yanai

Meet Jocelyn

Pediatrics and Pool Time with Jocelyn

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Jocelyn Shiro, MSPT, PAq has been a licensed and practicing physical therapist for the past 30 years in California, Alaska, and Hawaii. Twenty­-eight of those years have been in pediatric rehab, working with clients of various ages, ranging from birth to young adulthood. She has worked in neuro-rehabilitation, public schools, birth to three early intervention and private pediatric clinic settings.

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Jocelyn has experience with aquatic physical therapy, developmental assessments, sensory integration treatment, evaluation and treatment of children with global and motor developmental delays, Down Syndrome, Cerebral Palsy, Muscular Dystrophy, Autism and Autism Spectrum Disorder, Traumatic Brain Injury, Stroke, Spina Bifida, lower extremity amputation from disease, trauma, and birth defects, Failure to Thrive, FAS, seizure disorders, Brittle Bone Disease, and orthopedic anomalies.

In August 2016, Jocelyn became a certified Pediatric Aquaticist through the Aquatic Therapy University in Minneapolis. She currently works for Fukuji and Lum as a full time aquatic physical therapist, and for the Waianae Coast Early Childhood Services Parent Child Development Center.

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Jocelyn joined us a year ago and has been busy at our Kokokahi location working daily in the pool. Her certification in Pediatric Aquatics brings us closer to providing lifelong care for our patients.

What makes you so drawn to working in pediatrics?
I have always had a soft spot for babies and children.  No matter what deficit or diagnosis they have, no matter how high or low functioning they are, they just want to have fun and feel happy.  If they are in pain or are unhappy, hugs tend to work much better than pills. They are also smaller than me, and being a rather small adult, it makes being a physical therapist much easier!

Who is your greatest influence in physical therapy?
My clients, both young and old are my greatest influences.  I am often inspired by those who are overcoming pain, suffering and disability, and I strive to be a better therapist, so that I can better help them.

What is the most interesting thing or most rewarding thing in working with children?
Children’s bodies and nervous systems tend to be more plastic or resilient, because they are young and still developing.  They tend to improve or recover relatively quickly, which makes working with them very rewarding.  I also enjoy working with parents or other caregivers, educating them and empowering them to be their child’s best advocate and “therapist”.

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You moved from Alaska to work in Hawaii. What drew you to Hawaii? 
I was tired of the cold, dark winters of Alaska and was ready for a change. I felt like I had made an impact and contribution to my small town in Alaska through teaching dance and being a PT for the hospital, public schools, and the birth to three early intervention organization.  I wanted try making a new contribution to a new community, with the same feeling of “Ohana” if I could.

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What do you see in F&L that’s so different than other PT organizations?
The owners and clinic directors treat, make investments in, and take care of their employees like family.  I am starting to really feel a part of it just after a year. I’ve worked many years in different settings, and it’s rare to find that special closeness between the different staff levels.  Everyone is important and valued, regardless of title. When people feel invested like that, the company can run more smoothly and respectfully. I truly appreciate that and feel blessed to be a part of Fukuji and Lum Ohana.

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How have you adapted to life on the islands?
Haha, I think I have adapted very quickly and comfortably.  I feel very at home here and have enjoyed getting to know a wide variety of people, both local and not local, and have involved myself in the medical, yoga, and dance communities this past year.  And my son serendipitously ended up at the University of Hawai’i Manoa, which we both love (that was NOT planned, but he says I followed him).

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By Mark Yanai

The Awesome Experience of Finding Yourself

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One of the rewards of working with physical therapy students is being able to witness their amazing growth during their time with us. At the end of their internship, students normally see the success they accomplished with their work and have the realization of a learned skill. But with the Northeastern Co-Op students, it’s often a lot more than what happens in the clinical setting. They end up discovering their identity of who they really are and want to be in life.

While the experience of being in Hawaii for six months seems like an extended vacation, it is often much more than that. There’s a saying “You never leave a place you love, you take a part of it with you, leaving a part of you behind.” I find this is true for many of the Co-Ops, but much more so with Kara, one of our 5 Co-ops this past semester. When I first posted a blog introducing her back in Febuary, she wrote about her hopes to finding out what kind of therapist she could be. Six months went by fast and I could describe her tremendous growth in my words, but it’s more clear when you hear it from her.

My Co-Op Experience: Kara

So I guess now that I’m done with my first semester back I have no more excuses to not write this blog. It’s a big undertaking, however, because I am not particularly adept at putting my feelings and experiences into coherent thoughts. My usual encounter with anyone asking me how my 6-month co-op was in Hawaii might be something like this:

“So how was Hawaii?” Internal dialogue: ‘Ohmygosh it was so great I had so much fun I learned so much Fukuji and Lum is awesome they actually care so much about the co-ops and that we are having a good/educational time and the islands were great/magical/more than I ever imagined and I made friends and swam in the ocean with cute sea creatures and almost fell off a few mountains and ohmygosh I got so fit biking to work every day but it was scary in the rain and everyone was always so concerned and supportive of everything that we did and looked out for us like family wait what was I saying? What I actually say: “uhhhh…. Awesome?!?!”

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I’m pretty sure no one wants to hear me babble on like that, but that’s pretty much still all I can do.  I cannot describe what a great experience working for Fukuji & Lum was, or how much all of my amazing coworkers mean to me. It wasn’t just 6 months of sun and fun in a tropical paradise, although there was plenty of that, I was welcomed into the F&L family as a long-lost relative. The Hawaiian concept of Ohana is now engrained in me, not by being told the definition over and over, but by being shown over and over in the kindness and love of everyone I encountered.

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The experience I gained in the different clinics will shape the type of therapist I become. Up till now, being a physical therapist was a VERY distant dream. Being back from Fukuji and Lum and taking classes this summer, this is the first time I have actually felt this dream was attainable. Working as a therapist was something I wanted to do, but honestly up till now it was something I never actually felt I was capable of doing. I continued semester after semester with the growing feeling that I wasn’t good enough, that I wasn’t smart enough. The people at Fukuji and Lum have been great mentors, and the confidence they have shown in me has in turn made me more confident. Since returning from Hawaii I find I have been able to accept the fact that no, I don’t know everything, but that’s ok, that’s what the rest of my education is for.

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I am grateful for everything I came away from Hawaii having learnt and seen. In those magical 6 months I made lifelong friends, ate strange and delicious foods (does anyone want to send me some haupia?? no??), collected a hodgepodge of the culture and language, explored, learned much about myself, and fell in love…. with the Islands! So from the bottom of my heart, Mahalo Nui Loa!

By Mark Yanai

More Than Teamwork

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Earlier this year, F&L was fortunate to have five Co-Op students join us from Northeastern University as an education requirement of their physical therapy graduate program. Our relationship with the university is now going on nine years as we’ve hosted more than 20 students for their six-month stay at our clinics. Most of the students are placed at our Windward clinics, but since we had five of them this semester, one lucky Co-op was set to join our newest clinic in Honolulu, the Kuakini Physicians Tower in the Kuakini Medical Center.

When conducting interviews for the Co-Op Program, I look for candidates who will fit in well with our value-based organization. I knew that the student selected for our Honolulu clinic would have to be someone who could handle new and different challenges than previous co-ops. It didn’t take long for me to select Amelia, a fourth year student, to be the one to join our Honolulu team and be a part of the opening of our newest clinic. I was impressed by her maturity and work ethic and knew she would fit right in. It’s not surprising that the name Amelia is derived from the Latin words for “industrious” and “striving” as she fits the bill of what we look for in each of our employees.

Amelia is now back to her studies in Boston, but took the time to be a guest blogger for us and reflect on her experience working at the Honolulu clinic.

Guest Blogger: Amelia and the Meaning of “Team-work”

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When I initially heard a week before coming to Hawaii that I would be the Co-Op joining the Honolulu clinic, I’ll admit I had a few reservations.  My worries about being the only Co-Op at the clinic and the commute without a car were soon washed away and I couldn’t be more grateful to have been a part of the Kuakini family. As cheesy as it sounds, I never fathomed how inspiring and life-changing my experience at the Honolulu clinic would be. On my first day at Fukuji & Lum, a little silver Pontiac Vibe pulled into my driveway just after noon and drove me to see Lanikai beach. This would be the first of many car rides over the Pali Highway full of conversations with Art Lum, from which I have learned a great deal and truly cherish. During that first car ride Art explained to me the values based-culture of F&L, to which I could do little more than nod my head politely in reply.

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[one_half_last]However, after reflecting on my experience it is something I more deeply understand and hope to take with me as a clinician for the rest of my life. I’ve heard many peers and friends talk about the great “team” attitude they share with their coworkers and I’ve experienced it myself at other jobs, but there is something really unique about the F & L culture that makes it so special. I’m not quite sure I can put that into words, but I do know that each person I had the pleasure of working with in Honolulu for has influenced who I will become as a clinician and as a person. [/one_half_last]

[one_half]Art, Shaw, Brittany, Mike, Michelle, Lynn, Julie, and Terrence all went out of their way to make me feel at home; from feeding me endless Hawaiian snacks to teaching me new exercises to giving me weekend tips. They were continuously patient, kind, and supportive of me, of one another, and most importantly of our patients. Each of them brought something special to the table and our bond extended beyond the doors of the clinic to weekend hikes, Filipino restaurants, and Karaoke sessions. They showed me just what the F&L culture is all about and I hope to carry that with me wherever I go. [/one_half]

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Mauka a Makai

After cruising past Lanikai beach on that first day in Honolulu, Art and I headed over the mountains. He explained to me the first Hawaiian words I learned on the island, mauka and makai, to describe the mountains and the ocean. These words stuck with me and have come to mean a lot to me. Art marveled at how lovely the mountains looked that afternoon, and I can remember admiring that after many years in Hawaii he still found a new appreciation for the beauty of his surroundings every day. The beauty of the island was everywhere in Hawaii, filling my heart with joy day after day.

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In the 6 months I spent in having some of the most beautiful experiences of my life I came to an understanding that I have taken with me back to Boston. We often think tropical islands are the most beautiful places in the world, yearning for them in daydreams and ending up unsatisfied or unhappy by our own current surroundings. But the simple realization that it is much more about attitude than it is about surroundings has made me more gracious and appreciative, and ultimately more happy. Hawaii has taught me to find beauty and happiness wherever I stand, mauka a makai. Joy can be found under streetlights and in sunsets if I open my eyes to it.

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By Mark Yanai

2016 Volunteer Recognition Dinner

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The Start of the Next Generation

A profession is defined as “a type of job that requires special education, expertise or skill.” When working in the physical therapy profession, it is more than just a job. It is as most therapists say, “their true calling”, with a strong desire to spend the rest of their lives committed to this profession. At F&L, we are so passionate and engrossed in physical therapy, that we feel the need to share our enthusiasm with PT hopefuls to strengthen and promote physical, occupational and massage therapy.

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Each year, we accept 20-30 volunteers ranging from high school to college graduate students. The program is overseen by Brad Kaya, P.T., M.S., O.C.S., who coordinates the supervision and scheduling of the applicants. Accepted students of the program will receive first hand experience at one of our four outpatient orthopedic clinics. They are trained as regular staff members and become ambassadors of the organization. Students are encouraged to foster relationships with experienced therapists so that they gain valuable knowledge in preparation for applying into a graduate PT program.

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F&L recognizes the efforts and contributions of our volunteers by hosting a special Volunteer Appreciation Dinner every summer at one of our clinics. This year’s dinner was held at our Kokokahi facility and attended by 17 students. The event included staff speakers who shared their personal journeys about how they got into the PT profession and gave helpful advice to the students interested in applying for PT school. I never tire of listening to my co-workers and their experiences about getting into physical therapy school. We often have a great turnout and I always leave the dinner with admiration for our staff members as they themselves volunteer their time to come and talk to students interested in applying for PT school.

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As therapists, we all recall volunteering somewhere to find our calling and remember the day that we realized it was to work in the physical therapy field. It feels rewarding to give back to this profession, knowing we were able to give these volunteers the opportunity to discover their true calling. We look forward to seeing this next generation of therapists in the future, possibly working with us soon.

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If you have any questions regarding the Volunteer Program, feel free to email me at [email protected].