June 2013 Issue


Fitness Article:

Maximizing Functional Capacity as we Age: Basic Strength Training isn’t good enough.
By: Dan Ritchie, PhD, CSCS

There are numerous physiological systems and processes that are in decline to one degree or another in the later stages of life that are not concerns during the early stages of life. It is important to clarify that some of these declines are innate (due to the natural aging process itself) and others are simply the accumulative effects of many years of particular lifestyle choices (e.g. physical activity and nutrition habits) and/or environmental influences. Therefore some are irreversible (or unable to be slowed/stopped), some are partially reversible and some are almost completely reversible.

To develop a sound approach to exercise for improving functional abilities it is necessary to understand function especially as it relates to mature adults. The lack of understanding, or at least appreciating, the complexity of function has been a limiting factor (in my experience and personal opinion) in creating a more robust and effective approach to training clients. While the more basic components of function such as muscle strength, cardiovascular endurance, flexibility and range of motion are important they do not complete the functional picture. If we dig a little deeper into function we get to the components of stability, muscle velocity, muscle power and recognition of differences in muscular contraction (concentric, eccentric, isometric). The next layer includes the additional components of coordination, proprioception, somatosensation, vestibular control, visual processing, and more. I did not include balance as it is multi-faceted and made up of almost all those components of function. Combine this with the complexity of human movement in three planes of motion and we can begin to see why basic strength training in one plane of motion in one isolated joint movement is not sufficient for maximizing functional outcomes.

Over the past decade there has been much more attention paid to the dramatic loss of strength and muscle mass with aging. The term sarcopenia is typically the one used to describe the loss of muscle mass beginning as early as the age of 25. Sarcopenia is characterized first by a muscle atrophy (a decrease in the size of the muscle), along with a reduction in muscle tissue "quality," caused by such factors as replacement of muscle fibers with fat, an increase in fibrosis, changes in muscle metabolism, and degeneration of the neuromuscular junction. Combined, these changes lead to progressive loss of muscle function and frailty. Before some of the early studies in strength training for those over 80 and 90 it was at one time thought this condition was simply a by product of aging. We know now from numerous research studies in the 1990s that people can get stronger and increase muscle cross sectional area at any age. However the fact that strength training works at any age has led some to an erroneous conclusion that simply strength training is the answer to maximizing functional ability later in life.

To take a look at what the research is demonstrating collectively Latham and colleagues (2004) pooled data from 62 of the best randomized control trials using progressive resistance training (strength training) as the intervention with older adult subjects. What they found was a large positive effect on muscular strength but only a small to moderate effect on functional ability. Gains in strength did not equate to equal gains in functional ability (i.e. those who got the strongest did not necessarily improve function more than others).

This may seem impossible to you. How could a significant increase in strength NOT result in an improvement in functional capacity? Likely because strength is only one component out of many that determine functional ability and therefore these other components served as a “gatekeeper” of sorts for limiting functional improvements. Keep in mind these research studies engage in basic traditional isolated strength training, typically using machines and 6-8 movements. There is no complexity to the training, typically no movement of the human body, no multi joint and multi planar movements. The research reinforces a need to break from the popular and traditional isolated strength training methods in order to maximize functional improvements. Merely improving muscle strength to combat sarcopenia independent of improvements in additional components of function will likely yield minimal results. That is unless muscle weakness is the most significant impairment such as in the oldest-old or those in nursing homes. In this case, an exclusive focus on improving muscle strength is often appropriate. However, with a more robust population and for those who have not yet experienced significant functional limitations a more comprehensive, multi-factorial approach is required.

An aging-specific multi-faceted training philosophy is necessary for maximizing “real-life” improvements with older clients. The research is clear that focusing on strength without including additional components of function will limit improvements. A sound philosophy will help to ensure that the results that are desired are the results that are achieved.

Dan Ritchie, PhD, CSCS
Owner, Trainer
Miracles Fitness

Health Article:

The Ins and Outs of Fiber
by:Libby Parker R.D.

You have to put fiber in your body to get, well, a lot of crap out of it. Here are some facts about dietary fiber, and how to get more of it in your diet.

Why is eating fiber important? An indigestible part of plants, fiber helps normalize bowel movements by bulking up your stool and binding the other foods to make passing them easier, preventing colon cancer and other diseases of the bowel by acting as a probiotic in the large intestine. Fiber helps lower cholesterol levels by binding to fats in the bloodstream and helps control your blood sugar by lowering the glycemic index of the food or meal. Fiber has been studied to aid in weight loss and help maintain a healthy weight, due to the fact that high fiber foods tend to be lower in calories, give the sensation of satiety (fullness), and alter hormone secretion and nutrient absorption in the gut (more food passed through instead of being stored as fat).

There are two basic types of fiber found in nature, soluble and insoluble. Soluble fiber dissolves in water, and is the kind of fiber that helps lower cholesterol. Insoluble fiber does not dissolve, and helps bulk up stool, for easier passing of food. Good sources of soluble fiber are vegetables, legumes (such as beans and lentils), oats, fruit, and barley. Insoluble fiber sources are whole wheat and corn bran, and vegetables (such as potato, parsnip, cauliflower, especially in the skins).

If you choose to supplement, the best fiber choices are psyllium fibers, but supplements miss out on many of the benefits of whole foods such as vitamins and minerals, and bio-availability; however, fiber supplements like the powders you add to water, can help people who are having trouble increasing fiber in their diet, or that have constipation. Also, don’t be fooled by fruit juices, just because they say 100% fruit doesn't mean they have the same fiber as the fruit, in the processing of these products most of the fiber is filtered out, basically leaving you with naturally flavored sugar-water.

The Institute of Medicine (IOM) recommends that people under 50 years old have 38g of fiber a day for men and 25g a day for women. For people over 50 years that decreases to 30g for men and 21g for women. Surprisingly, most American’s do not meet these recommendations, and it’s not at all difficult!

What does a day of recommended fiber look like for a 40 year old woman?
Breakfast: 1/2 cup cooked oatmeal with 1 cup raspberries and 1/2 cup plain yogurt = ~10g fiber
Lunch: 1/2 cup pinto beans, 2 corn tortillas, 1/4 cup cheese, 1/2 cup lettuce, 1 tomato = ~14g
Snack: medium apple with one ounce almonds = ~8g fiber
Dinner: one cup cooked whole wheat spaghetti, 1/2 cup tomato sauce, grilled chicken breast = ~9g fiber
Total: about 39 grams of fiber! That’s more than recommended, and it wasn’t hard.

If your current diet does not include much fiber, increase your intake slowly. Increasing fiber intake too quickly can lead to digestive upset, constipation, bloating, and gas.

Increasing your fiber with food you think taste great is an simple way to help you get on a healthy track.

1. Krause’s Food and Nutrition Therapy. 12th Ed. 2008. p1280.
2. Mayo Clinic. www.mayo retrieved 4/14/13.
3. Mayo Clinic. retrieved 4/14/13.
4. Slavin, J.L. Dietary Fiber and Body Weight. Nutrition. 2005. Mar;21 (3): 411-8.

About the author: Libby Parker is a Registered Dietitian and Certified NASM Personal Trainer in San Luis Obispo, CA. She runs her own private practice, “Libby’s Fit Nutrition,” involving going to client’s home or office to help with weight loss, eating disorders, and other nutritional concerns.

Libby Parker, R.D.
Registered Dietitian
NASM Personal Trainer
Spin Instructor

"Libby's Fit Nutrition"
Find us on Facebook: Libby's Fit Nutrition
Twitter: @DietitianLibby

Professional of the Month:

Tyler Joyce PT, MPT
Owner & Physical Therapist at Neurac Institute for Physical Therapy, P.A. .

 Tyler Joyce, PT, MPT, Neurac Therapist, Chief Science Officer, is the top Redcord educator in the United States, and a specialist in Neurac treatments. Tyler trained directly under Oyvind Pedersen, the renowned Norwegian Physiotherapist and Redcord expert. Tyler teaches Redcord continuing-education courses to other medical and fitness professionals. He has also presented lectures for the Medical Fitness Association. In 2010, Tyler co-founded the Neurac Institute as the U.S. headquarters for Neurac training, continuing education and research. Tyler is the Chief Science Officer for Redcord USA.

One of the first physical therapists trained in Neurac in the US. Certified to teach Neurac 1 in 2010 and only PT in US able to teach Neurac 2. Trained Dr. James Andrews staff and Athlete's Performance. As well as the Washington Capitals and Princeton University's medical staff.

Tyler’s past experience includes the following:
• Director of Rehabilitation at Providence Nursing & Rehab (Tender Touch Rehab Services)
• Physical Therapist at Princeton Orthopaedic Associates (Physical Therapist @ the Neck and Back Institute for 10 years. Introduced Redcord suspension therapy to practice and made it the first training site in the US for Redcord/Neurac trainings)
• Instructor at Activcore

Tyler’s Education:
• University of Delaware (BA in Fitness Management)
• Hanzehogeschool Groningen (BA in Physical Therapy)

About Neurac Institute for Physical Therapy, P.A.
The Neurac Institute is an accredited Redcord "Neuromuscular-Activation" center for Physical Therapy, Sports Rehab and Wellness. Owned and operated by 3 licensed Physical Therapists - Ian Kornbluth, Jamie Kornbluth and Tyler Joyce - the Neurac Institute is revolutionizing the medical-fitness industry with its "Neurac" method.

NEURAC (NEURomuscular-ACtivation) is a comprehensive treatment and fitness program on the Redcord® utilizing body-weight resistance, high levels of neuromuscular stimulation, and precise control of movements for everyday function. The Redcord suspension system has been developed and proven for over 20 years in Norway as a superior tool for physical therapy and rehabilitation, as well as for wellness, fitness and sports performance. Today, Redcord is being utilized by professionals in over 40 countries around the world for people of all ages and all conditions. Olympic and Professional Athletes are even training with Redcord on a daily basis for an ultimate program of core strengthening, athletic conditioning, and injury prevention.

It is the mission of the Neurac Institute to becoming a national leader in neuromuscular treatment and training, education and research. For more information, log onto

Workout of the Month:

FULL Power Yoga Workout -
30 min Weight Loss Yoga Routine Sean Vigue Fitness

By Sean Vigue


Sean Vigue is a certified Pilates, Yoga, Spinning, Nutrition, and Personal Training instructor (over 5000 classes taught), winner 'Best Male Workout' (Pilates for Men) by Pilates Style magazine, Master Core Specialist, TV and Film star, and professional singer/actor having appeared in over 70 opera, musical theater, and non-musical productions.


Kids Health & Fitness:

School’s Out for Summer! How to avoid hearing “Mom, I’m bored!”
… and other tips to keep kids active.

by: Alison Kreideweis, Co-Founder of Empire Tri Club

In less than a month, school will be out, kids will be home, and summer will be in full swing.

While some kids are eager to do their first cannonball or run through the sprinkler, others will find solace by escaping the summer heat in the comfort of their air-conditioned home.

Without the daily routine of school, the phrase “Mom, I’m bored!” might become the new household mantra. And while school sports teams, phys ed. programs and recess offer a daily dose of exercise, its important to find ways to keep your kids active and motivated throughout the summer months.

Healthy kids have more energy, higher self-esteem, and better brain function than their less active peers. Camp & other summer activities offer a sense of adventure and exploration, teach kids important social skills, how to be leaders and independent, create new bonds and friendships not made in school, and teach kids new skills and trades.

Here are a few tips for how to help your kids beat the summer heat:

Save it for a Rainy Day –
In the hot, summer sun, many kids will opt to stay indoors in an air-conditioned house to play video games or watch TV all day. Its understandable that a kid may not want to run around in the hot sun, but we’ve got to find ways to keep our kids active.

Instead of nixing video games, TV and indoor activities all-together, make them “Rainy Day Only” events. Your kids will have something to look forward to when outdoor activities are rained out. (Or designate select hours of the day for indoor activities, like before 10am or after dinner).

Hidden Fitness – Living healthy should be fun. Make fitness a game, not a chore, and your kids will be far more active. Play tag at the beach, build a sandcastle, splash around at the pool, or join in the neighborhood “capture the flag” game.

Build a vegetable garden together – You and your kids can stay healthy and active by planting seeds, watering and caring for your garden, and learning about the foods you eat. Not only is it rewarding to watch your food grow, but it’s way more fun to eat healthy foods when you grow them in your own backyard. Eating fresh fruits & veggies from your garden also ensures that your food is pesticide and chemical free!

Summer Teams & Sports Camps – Summer is an important time for your child’s social development. Without daily interaction with classmates, its important to engage your children in social activities like summer camps and sports teams.

One study suggests that summer camp benefits children in the following ways: “Children develop more social skills that help them make new friends. Children grow more independent and show more leadership qualities. Children become more adventurous and willing to try new things. “ (Barry A. Garst, Ph.D., Director of Research Application at American Camp Association)

Find a camp or team that offers activities your child enjoys. (Note: sports camps will also shape up your kid for team tryouts in the fall!)

Be active together: Ride bikes with your daughter. Shoot hoops with your son. Be the umpire for the summer league T-Ball game.

To be a good role model, take an active roll in their activities. Support them by being on the sidelines or coaching, and find activities that get you both on your feet.

Delicious & Nutritious - No kid wants to eat veggies when there’s burgers and cake to be had! Make healthy foods fun and delicious, not boring and bland. When planning the menu for your next summer BBQ, choose foods that your kids will want to eat, such as: homemade ice-pops, guacamole, fresh fruit smoothies & watermelon slices.

When enjoying burgers, select lean meat or skinless chicken breast! Kids love dipping things, so pick condiments like hummus and ketchup that offer fewer calories than mayo and ranch dressing.

Email /

Recipe of the Month:

Wild Rice-Dried Blueberry Stuffed Pork Tenderloin with Watercress-Apple Salad and Apple Cider Vinaigrette

(Yield: 8 Portions / Watch the Video Demo of this Recipe)

(Recipe provided by The Culinary Institute of America)


Olive oil 3 Tbsp.
Shallots, minced 3 Tbsp.
Onions, brunoise 1 cup
Celery, small dice ½ cup
Garlic, minced 1 Tbsp.
Bay leaf 1 ea.
Thyme leaves 1 tsp.
White wine ½ cup
Wild rice, cooked 1 cup
Dried blueberries 1 cup
Granny Smith apple, grated ½ cup
Tarragon, minced 1 Tbsp.

Pork tenderloin 2 ea.
Fresh oregano 1 Tbsp.
Dijon mustard 1 Tbsp.
Kosher salt 1 tsp.
Black pepper ½ tsp.

Watercress, stemmed 4 cups
Frisee, torn 2 cups
Fuji apple, julienne 1 cup
Salt and freshly ground black pepper to taste
Apple cider vinaigrette
Extra virgin olive oil ½ cup
Apple cider vinegar ¼ cup
Apple cider 3 Tbsp.
Shallot, minced 1 Tbsp.
Salt and freshly ground black pepper to taste
Balsamic glaze for garnish

1. To make the stuffing: Heat the olive oil in a large sauté pan. Add the shallots, onions, celery, garlic, bay leaf, and thyme, and cook until soft over medium-low heat, about 15 minutes; you want a deep caramelization of the vegetables.
2. Add the white wine, turning up the heat to medium and cook until the pan is near dry and the wine has almost completely cooked off.
3. Remove from heat and pour into a large bowl containing the cooked wild rice, dried, blueberries, grated Granny Smith apple, and minced tarragon. Stir well. Chill and reserve.
4. To stuff the pork tenderloin: Clean off any silver skin from the pork tenderloins and slit the pork lengthwise. Slit each side again so you are opening the tenderloins like a book.
5. Season the pork with oregano, mustard, salt, and pepper. Stuff each pork tenderloin gently with about 1 cup of the stuffing and tie like you would a roast. Season again and set aside in the refrigerator to marinate for 2 hours.
6. To cook the pork: Heat a large sauté pan over medium-high heat and add 2 tablespoons of olive oil. Sear pork on all sides to create nice color. Remove from pan with tongs and place on a rack on a sheet pan. Bake at 400°F for 10 minutes, or until the internal temperature reaches 160°F. Remove from the oven and let rest in a warm area for at least 8 minutes before slicing.
7. For the salad: While the pork is cooking, combine the ingredients for the apple cider vinaigrette. Toss the salad ingredients and dress with vinaigrette
8. Slice pork and serve slices next to a small salad. Garnish with balsamic glaze.

Watch the Chef Prepare of this Great Recipe!!! >>>

The Culinary Institute of America
The Culinary Institute of America (CIA) is a private, not-for-profit college dedicated to providing the world's best professional culinary education. Excellence, leadership, professionalism, ethics, and respect for diversity are the core values that guide our efforts. We teach our students the general knowledge and specific skills necessary to live successful lives and to grow into positions of influence and leadership in their chosen profession. (Support the Culinary Institute of America)

Campus Corner:

How can I control my food cravings?
By: Kirsi Paalanen

This is one of the top weight loss questions that I answered on Dr. Oz’s Sharecare community and I want to share with you too.

Here are my top tips to reduce your cravings:
1. Eat the right carbs. A sugar craving is simply your body asking for energy. When sugar is digested in the body it becomes glucose. Glucose is what fuels our body and cells and essential for maintaining your energy levels. Eating the right type of carbs helps your body maintain a steady flow of energy into the body and wards off blood sugar highs and lows. All carbs contain sugar but depending on their chemical structures – simple or complex – they are processed differently. Most simple carbs are highly processed, contain refined sugars and have little or no nutrients which you will find in many processed foods. Instead go for natural foods like fruit which do contain naturally occurring simple sugars but are high in fiber so it helps slow down digestion limiting the amount of sugar that flows into the cells. Try whole grains too like brown rice, quinoa, barley or even millet. Sweet vegetables can be really effective as well to ward off sugar cravings. Try carrots, sweet potatoes and beets.

2. Find balance. Eating a balanced diet coupled with a balanced lifestyle is key to being healthy, maintaining your ideal weight and reducing cravings. Our bodies sometimes trigger a craving in us when we are off balance. For example eating a diet too rich in sugar may cause a craving for meat. Foods that maintain balance and help curb your cravings are whole grains, beans, vegetables and dark leafy greens.

3. Do something you love. Often we feel a need to reach out for our favorite food when we are stressed, anxious, bored or even just sad. Instead of reaching out for the oreo or bag of chips when our emotions get the better of us do something you enjoy. Talk to a friend, go on a walk or to the gym, dance, sing or whatever makes your heart sing.

About Kirsi:
Kirsi Paalanen is the founder of My Orange Villa, whose mission is to help others achieve their best health - emotionally and physically. She helps her clients lose weight for good, reduce stress and feel more energetic. She most recently made a guest appearance for a cooking segment on a famous doctor's talk show. She is an expert member of Dr. Oz's Sharecare community of top ranking health experts. Her health coach training is from the Institute for Integrative Nutrition.

Health & Fitness Business:

How to Increase Engagement on Your Facebook Page
by: Sarah Barrett

If you have a low “engagement” metric for your Facebook page, you are missing out on a tremendous amount of value. You may even have low engagement and not even realize it!

Here’s how to measure your engagement, and then some steps to take to boost your engagement so you can start seeing the benefits it can bring you. Look on your business Facebook timeline and right below the cover photo, and you will see two numbers – your total page “likes” and right next to it, your “talking about this”.

Now do this math:
(talking about this/likes) x 100 = your engagement metric

Most social media managers will tell you the engagement metric should be at least 6% in order for your Facebook page to be minimally effective. In my experience, your engagement metric needs to be at least 10% to generate significant results, and the higher it goes the more ROI you can generate from your Facebook page. Gold’s Gym West GA’s Facebook page has an engagement of over 15% currently. (Link to their Facebook page:

If your engagement metric is low, here’s some steps you can take to increase it:
1. Post more often. Make sure you are posting once or twice a day. Even on weekends and holidays!

2. Make sure your posts are not primarily about your business. Social media is about being social, not about advertising. When you promote your services too much, you are not interesting to your audience. Your audience wants to engage with interesting pages. Don’t underestimate the value of sharing health education, nutrition tips, motivational quotes, healthy recipes, humor and fun -- you are making significant impressions on your audience when you are genuinely social.

3. Keep it short and sweet. A few words or a sentence or two is the most you need to post at a time. If you write a paragraph, people won’t read it.

4. Post photos of real people. You will be surprised how much your audience loves seeing photos of your staff and even of your members. Post happy birthday messages to your staff; post before and after pictures of consenting members; post congratulatory messages to staff and members for accomplishments.

Once you master these basic engagement rules, you can go on to the next levels of engagement strategies, which will start to generate some awesome results for you!

About Sarah Barrett
Sarah is a communications expert for business leaders. She has ghost-written articles, blogs, presentations, curriculum, health programs and an e-book for many clients including two NY Times best-selling authors, medical doctors, various business, health and fitness leaders, and internationally renowned fitness brands. Sarah blogs and writes as herself under the brand Social Media Sarah.

Contact me at or message me at to find out how I can help you bring more customers to your business through social media!

Barrett LeMieux Business Consulting
Ph: 770-906-3556

Did You Know?

How to Find the Natural Balance to Good Health and a Manageable Life.
by Rosina Valvo, LMT, HAPP, Natural Health Consultant

Everywhere you look these days there seems to be more information about how to improve your health. It seems there are a million methods of reducing stress and promoting wellness. It can be confusing and downright frustrating sometimes to figure out what diet, herb or exercise program is right for you without breaking the bank by process of elimination or taking up all of your time! By reconnecting with your own true nature and reconnecting with the nature around you you can achieve better health and a happier more manageable life.

Natural Health is about achieving balance in all the moving parts that make up your daily life, to decrease stress and promote wellness by encompassing your mind, body and spirit in everyday life. There are 12 “moving parts” or ”aspects” of health, Self-Respect & Love, Breathing, Sensing, Eating, Movement, Feeling, Thinking, Working & Playing, Communication, Sex, Finding Meaning, Transcendence. When working in conjunction with each other they move your life along like a giant wheel cruising smoothly down the highway but when one of the “spokes” is off the wheel becomes out of balance which throws another spoke off balance, and so on, and so on and sooner or later a crash and burn is bound to follow; in human terms, first you burn out with high levels of stress, overwhelm, sleep deprivation and depleted energy and then you crash with chronic pain, illness or disease, either way…not a good thing. So how many of your spokes are off balance? And how do you begin to fix them?
Here are some tips you can follow to get you started on your journey:

Tip#1-Don’t try to fix them all at once individually. This is the mistake most make and end up exhausted, overwhelmed and frustrated. Start with the one you instinctively feel needs the most help. By making improvements in just one aspect you are actually boosting all the others.
If you can’t choose one to start with try Self-Respect and Love by following these 5 Actions:
1. Develop awareness of your own processes and patterns-physically, mentally, emotionally and spiritually. Re-Connect with nature, GROUND YOURSELF and write down what you would like your life to look like.
2. Don’t blame others for situations occurring in your life instead ask “What is my part in these situations happening to me?” or “How is the way I’m behaving causing these situations to happen?”
3. Learn the lesson when things go “bad”, stop playing the victim and asking “Why me?” and start asking “What have I learned from this experience?”
4. Begin the process of creating a life you want rather than reacting to whatever comes along. Step out of your comfort zone and actively do something that feels a bit uncomfortable but is necessary if you want your life to change, If you continually hear your “inner voice” tell you to” join that group” or “start writing” then act towards those changes. Just do it, no excuses!! Be fearless!!
5. Create and Nourish you relationships with others. Let the “toxic” people go and make room for the people that fit in with your new life creation. Learn how to say “no” to things that ultimately are making you unhappy even if they seem like no big deal at the time (example-continually helping a friend or loved one in need that ends up causing more lost time, depleted energy and stress to your own life).

Tip #2-Don’t try to force yourself into an exercise, diet or any program or new way of life that you know you will have trouble sticking with. It might sound like the greatest thing since sliced bread but if you have doubts about achieving it, it’s not for you!! If something about it is appealing to you take those pieces and make it your own, baby steps.

Tip #3-Keep checking in with Tip #1. When you pick an aspect to work on remember it must encompass your mind, body and spirit. If anyone of the 3 is in disagreement about the plan it won’t flow naturally into your life, “So now that I have been participating in the new group does this action FEEL good to me?”

Lastly keep in mind that as human beings we are open dissipative structures which means we take in energy from all sources around us, organize it and then return or dissipate it to the environment around us. This flow of energy is essential to wellness. Dis-ease comes as an interference to that flow…in other words if it doesn’t feel right to your mind, body, spirit or emotional being you will emit a turbulent energy and that is what will come back at you as turbulence, interference and imbalance.

Look within not at what’s going on around you for the answers. You alone hold all the power!! Trust your instincts, ground yourself, align with nature and your core beliefs, BE what the true nature of yourself believes you can be….no pill necessary.

About Rosina:
Rosina is the owner of Natural Therapeutics LLC, located in the Kingston Professional Building, 4499 RT 27N, Suite #3, Kingston, NJand holds over 25 years experience in the holistic wellness field. She holds a Bachelor’s Degree in Natural Health and specializes in CranioSacral Therapy and Holistic Business Coaching. Please call 908-420-101 or Email Rosina @ for more info


What is telemedicine and why is it becoming more popular?

Answered by: Frank Rotella (CEO of Rofami Inc.)

In our ever changing world of healthcare, telemedicine is going to be the next big thing in medicine. Many individuals and companies are getting sqeezed by insurance providers and healthcare costs keep rising. With the new mandates in the US, things are going to get worse real fast.

What is telemedicine? According to the American Telemedicine Association, telemedicine is defined asthe following: it is the use of medical information exchanged from one site to another via electronic communications to improve a patient’s clinical health status. Telemedicine includes a growing variety of applications and services using two-way video, email, smart phones, wireless tools and other forms of telecommunications technology.

Starting out over forty years ago with demonstrations of hospitals extending care to patients in remote areas, the use of telemedicine has spread rapidly and is now becoming integrated into the ongoing operations of hospitals, specialty departments, home health agencies, private physician offices as well as consumer’s homes and workplaces.

Telemedicine is not a separate medical specialty. Products and services related to telemedicine are often part of a larger investment by health care institutions in either information technology or the delivery of clinical care. Even in the reimbursement fee structure, there is usually no distinction made between services provided on site and those provided through telemedicine and often no separate coding required for billing of remote services. ATA has historically considered telemedicine and telehealth to be interchangeable terms, encompassing a wide definition of remote healthcare. Patient consultations via video conferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education, consumer-focused wireless applications and nursing call centers, among other applications, are all considered part of telemedicine and telehealth.

While the term telehealth is sometimes used to refer to a broader definition of remote healthcare that does not always involve clinical services, ATA uses the terms in the same way one would refer to medicine or health in the common vernacular. Telemedicine is closely allied with the term health information technology (HIT). However, HIT more commonly refers to electronic medical records and related information systems while telemedicine refers to the actual delivery of remote clinical services using technology.

More and more companies are choosing to become self insured and would like to have healthier employees. The use of telemedicine services help companies reduce healthcare expenditures, especially for those illnesses that can be cared for via telemedicine. In most cases, individuals can consult with a doctor and have medications (non narcotic) prescribed to them all at a reasonable cost. All in all reducing expenditures can significantly impact a company's bottom line revenues.

If you would like more info about telemedicine services that could meet your personal or corporate needs, contact Frank Rotella at

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