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

F&L’s 4th Annual Free Car Wash

This past Saturday, F&L held it’s 4th Annual Free Car Wash at the Kokokahi YWCA. Each year, F&L offers a FREE car wash as a service to our Windward community. It’s our way of saying “thank you” for supporting our organization. This year is extra special, as we celebrate twenty years of providing physical therapy to our community.

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The car wash was the perfect event for our patients to watch us sweat as we washed their dirty cars. My favorite moment happened when one of my current patients enjoyed bossing me around by pointing out spots that I missed on her car so she could return the “favor” of working hard in therapy. She was determined to make us feel the wrath of her commands even though her truck was already spotless! We all had a great laugh!

Community events like the car wash are great ways for F&L to express our company values. F&L has always placed our values at the forefront of our commitments. Nurturing relationships is perhaps our greatest value and expressing gratitude toward those that we serve can be a powerful reminder of that value. Seeing our patients arrive at the car wash allowed us to interact with them in a different setting, which often brought on smiles and laughter.

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We look forward to continuing our tradition of free car washes for many years to come. The feeling of declining to accept donations was fulfilling and continued to bring disbelief among patrons.  See you all next year with your dirty cars!

Please look for information for next year’s car wash on our website and Facebook page.

By Mark Yanai

Indian Clubs

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Indian Clubs have made it to F&L

Indian clubs are a type of exercise equipment used for developing mobility, strength and cardiovascular endurance. According to Wikipedia, Indian clubs or meels “comprise of bowling-pin shaped wooden clubs, which are swung in certain patterns as part of an exercise program.” Clubs can vary in shapes and weights depending on the type of exercise they are intended for. Wrestlers in ancient Persia and Egypt originally used these clubs as training tools. British colonists erroneously referred to them as “Indian clubs” despite their Middle Eastern origin.

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Indian clubs have been used for over a century and have made their way to F&L’s WORC site. The clubs have recently become a popular exercise tool due to a recent trend of using unorthodox exercise equipment like kettlebells, swinging maces, and sandbags.  At WORC, we use them to improve shoulder and scapular mobility. Patients go through a series of movement patterns that emphasize scapular protraction, retraction, elevation, depression, and rotation. This prepares them for other movements that require full range of motion of the upper extremities. I’ve found them to be very effective as a warm up exercise that involves all of the scapular muscles including the rotator cuff. Learning the unique movement patterns of the clubs takes patience but once mastered, they can provide a great tool for rehabilitation and exercise.

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During a recent vacation to Tucson, Arizona, my father-in-law taught me how to use a lathe (machine tool below) and I attempted my first run at creating my own clubs. It was a fun experience and am so happy to see our patients using my creation as well as my father-in-laws clubs that he made for the clinic.

 

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References:
Indian club. (2014, December 2). In Wikipedia, The Free Encyclopedia. Retrieved 22:21, March 1, 2015, from http://en.wikipedia.org/w/index.php?title=Indian_club&oldid=636282157

 

By Mark Yanai

The New Co Ops Are Here! Meet Sarah! (Part 3)

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MEET SARAH!

Sarah Agustin is our third Co-op from NEU who joined F&L this January.  She is a graduate student in the physical therapy program and will soon graduate later this year. Sarah is also our very first student who is “homegrown” right here in the islands from the Nuuanu area.

Here’s a little bit about Sarah and her perspective of what it feels like to be from Hawaii and going away to the mainland for school.

What school did you attend in high school and what’s your current college?

I was born and raised in Honolulu and graduated from Iolani School in 2008. I completed my undergraduate degree at Concordia University in Irvine, CA majoring in Athletic Training. I am currently a Post-Baccalaureate of Physical Therapy at Northeastern University.

What drew you to physical therapy?

Being in the athletic training program I had the opportunity to shadow several physical therapists and see the impact they made on athletes’ lives. Seeing the process from acute care to post op, I knew this was my niche. 

Why did you want to do your Northeastern Co-op in Hawaii?

Being from Hawaii I wanted to find a way to return to the islands to give back to the community. F&L offered a wide variety of therapy services that i could learn from which will allow me to build a better foundation.

What has your experience been like so far?

I was excited to return home after being away for a year to enjoy warm weather, ono grinds, and family and friends. I am excited to show the Co-op students what Hawaii has to offer.

What have you missed about Hawaii that you realized being away for college?

Being away for college I realized how lucky I was to live in Hawaii. I really missed the variety of foods and the Aloha spirit. I missed being able to wear my “rubbah slippahs” daily and not worry about the weather today, tomorrow or the next day.

What was the first thing that you were looking forward to eating when you came home?

Right off the plane my first stop was Nimitz BBQ for meat jun packed with a variety of Korean vegetables.  Over the next several weeks I enjoyed Grandma’s Filipino food, Poke bowls, and Helena’s Hawaiian food.

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Being the first Co-op from NEU to return to Hawaii at F&L, what are you hoping to find out about the experience?

During the first month at F&L I have witnessed a variety of skills and extensive knowledge throughout the staff.  I am hoping to gain a better understanding of each of their specialties and how I can apply it to my future career. Such as: Graston techniques, manual therapy, and aquatics.

What’s been unique about F&L from your other experience in physical therapy clinics?

F&L is unique in that they focus on creating relationships not only between their employees but also with their patients. I really value that F&L embraces change, encourages growth, and challenges me to grow in my profession.

What is on your to do list while here in the Islands?

On my bucket list is to do many different hikes but most of all tackling Kalalau on Kauai.  I also want to leave this Co-op experience with a better understanding of our profession.

What are your interests outside of school and work?

I love hiking, going to the beach, and spending quality time with my Ohana. I also love staying active and seeking new adventures.
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What kind of therapist do you hope to be?

I hope to be a therapist that has a vast understanding of various modes of physical therapy techniques. I have an interest in specializing in hand therapy and prosthetics.

Who is your greatest influence in your life?

My greatest influence is my parents who have instilled the importance of a good work ethic. They have encouraged me to set high goals and to never give up.

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By Mark Yanai

The New PT Co-Ops are here! Meet Teagan (Part 2)

MEET TEAGAN!
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Teagan Ferguson is studying to become a physical therapist and is in her 4th year at Northeastern’s Physical Therapy program. She is returning to the islands to work for F&L as part of her school’s Co-Op program. Teagan is currently working at our Kaneohe Clinic and Aquatic Pool located at the Kokokahi YWCA.

Teagan told us about being in the physical therapy field and her experience in Hawaii these past few weeks.

What school did you attend in high school and what’s your current college?
I attended Haddam Killingworth High School in Higganum CT before graduating and continuing my education at Northeastern University.

What drew you to physical therapy?
In high school I really liked engineering but knew I wanted to go into the medical field. Physical therapy was a mix between the two worlds for me and has turned out to be a pretty good fit.

Why did you want to do your Northeastern Co-Op in Hawaii?
I knew I wanted to do my co-op in Hawaii because it’s a place I’d love to return to after school. I’ve never really had a home town since I’ve moved a lot but Hawaii was where I was born. Since part of my family returned to the island it seemed like a good time to come back and see how things have changed.

What has your experience been like so far?
My experience so far has been amazing. I love that I can work in both aquatic and land therapy here and the PTs and PTAs that I’m working with are great teachers. All of the patients I’ve worked with are very friendly and I’m excited to enjoy the rest of my co-op.

What’s the strangest thing that you’ve eaten since arriving?
The strangest thing I’ve eaten here is probably a Spam Musubi. It’s one thing I’d never had before and didn’t think I’d like.

What is on your to do list while here in the islands?
Visiting my family and taking my nephew to Hanama Bay are two big things on my to do list. I also plan on exploring more of the windward side of the island and spending some time by North Shore.

What are your interests outside of school and work?
Outside of work I enjoy taking photos of nature and animals as well as playing video games. Since being here I’ve really come to enjoy kayaking as well.

What kind of therapist do you hope to be?
I would love to be an outpatient physical therapist and I’d like to do aquatic therapy at least part of the time.

Who is your greatest influence in your life?
My greatest influence is my mother as she’s always teaching us to both set big goals for ourselves and work out butts off to achieve them. She’s very supportive and let’s us make our own choices because she knows different people have different paths to being successful.

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Please give Teagana a warm Aloha when you see her at the pool or the Kaneohe clinic.
Next blog post: Meet Sarah!

By Mark Yanai

Happy New Year!

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HAPPY NEW YEAR FROM THE F&L OHANA!

As we ring in the New Year and recover from the holiday festivities, I look back at what was accomplished in 2014 in gratitude. This past year was a banner year for F&L with many blessings bestowed on our organization.

THE BIG MOVES:

– Our Nuuanu Clinic closed after 13 years of operation at the Pali Medical Arts Building and moved to two locations at Kuakini Plaza and Tower.

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– Our Kaneohe clinic closed after 15 years of operation on the corner of Kam Highway and Pua Inia St. and moved to join our Aquatic and WORC sites at the Kokokahi YWCA.

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NEW BEGINNINGS:

– In celebration of WORC’s first anniversary, we held an Open House at the Kokokahi site for the medical community in Worker’s Compensation to show them our facility and the services we offer.

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– A weekly WOD (work out of the day) at our WORC site for anyone who wants to learn new exercises, break a sweat, challenge themselves and have some fun!

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– A Caregiver Workshop at our Kailua clinic gave tips and instructions to teach families how to provide safe and careful ways to assist loved ones.

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– Our Mobile Therapy Program started in October to address a needed area of physical therapy for those who have difficulty with an outpatient clinical setting. More on this on my next blog!

VOLUNTEERS, PT STUDENTS, CO-OPS AND MORE:

– We continued our relationship with Northeastern University in Boston with our Co-Op Program with three outstanding students in Jessica, Ariel and Melissa. See our previous blogs for their experiences.

– This year we hosted more than 20 students from around the nation including Pacific University, Washington University, AT Still University, Loma Linda University, Montana University, and Northeastern University. We continue to have a strong commitment to Kapiolani Community College and their PT Assistant program as we provide clinical instruction for their students.

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– F&L hosted two NAIOMT courses this year and continued our intention to become a training site for mentorship of NAIOMT professionals.

– We are now certified providers in Graston Technique and FMS Assessments.

F&L’S HIGHER PURPOSE!

– As a Value-Based Organization, we continue to be involved in community activities such as the Arthritis Walk, School Supply and Food Drives, and Susan G. Komen Race.

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– Hope you were able to get your car cleaned at our annual FREE car wash! We appreciate the community’s support of our organization throughout the years!

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– Keep up with our monthly craziness at F&L! Check out and like our Disney-themed Physical Therapy Month on our FACEBOOK page. Click here.

– INSTAGRAM! Follow us on our new site to keep up with what’s new at F&L. Username: @fukujiandlum

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We look forward to the new year and continuing to love and serve our community in 2015!

By Deb Matsuura

HAPPY DISNEY HALLOWEEN!

Throughout the month of October, Fukuji and Lum staff members showed off their Physical Therapy Month spirit by dressing up “Disney” style each week. From Lion King Day (animal print), Monster U (college spirit), Mad Hatter Day (crazy hats) and  Tweedle Dee and Dum Day (twins), Disney Adventure Day (Disney characters). Check out our FB or IG @fukujiandlum page for more Disney Halloween photos.

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By Mark Yanai

WORC Open House

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On June 6th Fukuji & Lum held the First Annual WORC Open House at Kokokahi. The event was to celebrate our first year at the YWCA in Kaneohe. Invitees were doctors and nurse case managers whom F&L works with on a regular basis to address work related injuries.

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Food was provided by Chris Okuhara of Miso and Ale, Urban Food Distributors.

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The event allowed F&L to show off the beautiful grounds of Kokokahi and the diverse setting of the Windward Occupational Rehab Center. Attendees were able to get a taste of the functional emphasis of the clinic that specializes in work hardening, FCEs, and aquatic therapy.

 

 

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Thank you to everyone who made this event possible. And to all those who attended, we hope you had a great time!

By Mark Yanai

What’s a WORC WOD?

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It’s 6:00 am…the Kaneohe roosters are crowing, the sun still sleeping and it’s the perfect time for a workout. Your body is fully charged from a good night’s sleep and you can’t wait to get to W.O.R.C., not because you like to work but because you love W.O.R.C. (Windward Occupational Rehab Center) where every Thursday, a group of die hards meet before the crack of dawn to get in a WOD (Workout of the Day). It all started on New Year’s Eve of 2013 with a group of guys who wanted to get in one last workout before the end of the year. Since then, the group has evolved to whomever wants to show up at early in the morning and start the day with some good ‘ol sweat.

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The format of the WOD changes every week. You never know what you’ll end up doing when you walk through the door. It’s not crossfit, but a blend of functional exercises that include TRX, kettlebells, sandbags, sleds, pulleys, medicine balls, etc. The workouts are usually high intensity interval training (HIIT) with some form of competition. We always include the competitive part which usually gives everyone a little more motivation to push themselves.

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The WOD means something different for everyone but the intent isn’t to lose weight or build muscle. The intent is to find out something about yourself. How do you control your emotions when you’re pushing yourself physically? How do you feel when you compete against others and especially, yourself? How much gratification do you get when you accomplish something as a team?

If you want to be a part of the WORC WOD, all you have to do is show up – Tuesdays, 6:00 am .  That’s the hardest part. Once you do, you’ll get to experience a great group of people who come together once a week and have a lot of fun.