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9th NLN International Conference Sept 22 - 26, 2010

Conference Registration

H.R. 4662 - Medicare Lymphedema Treatment Bill Officially Introduced

Available Now: Lymphedema Treatment Act Pin

Weight Lifting and LE: Clearing Up Misconceptions

NLN Position Papers: Risk Reduction, Treatment, Exercise, Air Travel, Training

Financial Assistance for Garments

New Books:
100 Questions and Answers About Lymphedema

Lymphedema Management: A Comprehensive Guide for Practitioners

Updated NLN Online Patient Questionnaire

Conference Schedule

Please Note: Program is Subject to Change

Thursday Sept. 23, 2010 - Plenary Sessions

8:00am to 8:30am - Opening

8:30am to 10:00am - Lymphedema

• A Study Of Breast Cancer-Related Lymphedema Knowledge, Awareness, And Care Among Kaiser Permanente Northern California Patients And Clinicians.
  -Marilyn L. Kwan, PhD
• Predictors of Lymphedema in Women Undergoing Adjuvant Chemotherapy for Breast Cancer
  -Margaret L. McNeeley, PhD
• The American Lymphedema Framework Project (ALFP) National Stakeholders Open Space Meeting: Planning and Results
  -Janice N. Cormier, MD, MPH
• ALFP Therapist Survey:Patient Characteristics and Treatment Options for Therapists Managing Lymphedema in the US
  -Joseph L. Feldman, MD , CLT-LANA
• Q&A (9:30am to 10:00am)

10:00am to 10:30am - Break

10:30am to 12:00pm - Breast Cancer-related Lymphedema

• Breast Cancer Survivors and Lymphedema Occurrence within 30 Months: Applying Five Criteria
  -Wannapa K. Mahamaneerat-Apperson, PhD
• Breast Lymphedema: Incidence, Risk Reduction, and Management
  -Lesli R. Bell, PT
• Exploring Time-Since-Surgery and Common Definitions of Lymphedema: Do Breast Cancer Survivors Meet Multiple Criteria?
  -Bob R. Stewart, EDD
• Role of Problem Solving in Coping Successfully with Lymphedema
  -Jane M. Armer, PhD, RN, FAAN
• Q&A (11:30am to 12:00pm)

12:00pm to 1:30pm - Lunch and Exhibits

1:30pm to 3:00pm - Secondary Lymphedema- Individual Presentation and Care

• Prevalence of Secondary Lymphedema in Head and Neck Cancer Patients
  -Jie Deng, PhD, RN, OCN
• Assessment of Genetic Predisposition to Secondary Lymphedema as a Potential Tool in Education for Risk Reduction and Individualizing Cancer Treatment
  -Jane M. Armer, PhD, RN, FAAN
• The Role of Exercise in the Development and/or Management of Lymphedema: Results from a Randomized, Controlled Trial
  -Sandi C. Hayes, PhD
• Making Lymphedema Care Feasible
  -Mei R. Fu, PhD, RN, MS, APRN-BC
• Q&A (2:30pm to 3:00pm)

3:00pm to 3:30pm - Break

3:30pm to 5:00pm - Pneumatic Compression

• Manual and Pneumatic Massage - Tissue Fluid and Lymph Transfer to the Non-Lymphedematous Tissues
  -Waldemar L. Olszewski, MD
• Direct Evidence of Advanced Pneumatic Compression Device Treatment Improving Lymphatic Function
  -Kristen E. Adams, PhD
• Advanced Pneumatic Therapy and Self-Care of Chronic Lymphedema of the Trunk
  -Sheila H. Ridner, RN, MSN, PhD
• Clinical Criteria for Home Use of Pneumatic Compression
  -Karen B. Ashforth, MS, OTR, CLT-LANA
• Q&A (4:30pm to 5:00pm)

Friday Sept. 24, 2010 - Instructional Sessions

8:00am to 9:45am

• [H1] Recognizing Emergencies in Lymphedema Treatment
  -Bonnie B. Lasinski, MA, PT, CI, CLT-LANA

  View Outline for H1

  This workshop will use focus on common problems faced by individuals living with lymphedema, lipedema, and combined venous and lymphatic disorders. The session format will combine case examples of "LE Emergencies" and will encourage interactive problem solving to address issues that many patients/therapists face when managing lymphedema and other related disorders. Participants are encouraged to contact the instructor by e-mail by May 1, 2010 (blasins@optonline.net) with an interesting case/problem that they would like the group to address. If appropriate and time permits, a participant may be able to present their problem to the group for their input.

  Topics to be discussed will include:

  1. Cellulitis/lymphangitis: early signs and symptoms and referral for treatment
  2. Fungal infections: early recognition and management strategies
  3. Lacerations/burns/insect bites/rashes/soft tissue injuries/sprains or other traumas: acute management and medical referral
  4. Allergic reactions to bandaging/compression garment materials: how to proceed
  5. Chronic wounds: managing compression and protecting the wounds
  6. Surgery on a limb at risk
  7. Modifying CDT for the patient who becomes SOB - when to refer - is it CHF?
  8. Acute pain and swelling in the LE limb - is it a DVT?
  9. Putting together signs, symptoms and functional abilities - the hidden diagnoses.
  10. Recognizing/reporting signs of possible cancer recurrence/metastasis
  11. MRSA (resistant staph infections) - more common then you think
• [H2] Genetics 101
  -Michael Bernas, MS
  

  View Outline for H2

  This instructional session is designed to provide a practical understanding of genetic principles and state-of-the art tools used for pinpointing genetic abnormalities with emphasis on lymphatic-related genes. We will follow (learning objectives):

  1. The steps in evaluating a patient and/or family suspected of a genetic disorder of the lymphatic system
  2. The methods of obtaining and processing of samples
  3. The methods and analysis techniques in which genotype-phenotype correlations can be established
  4. And following a brief review of current genetic research for lymphatic-related diseases, we will outline current management approaches and future directions for early detection, prevention and therapy
• [H3] Lymphedema Research: An Update and Review of Evidence-Based Studies - Selected Topics and Trends
  -Andrea L. Cheville, MD, MSCE
  -Mei Fu, PhD, RN, ACNS-BC
  -Catherine Tuppo, PT, MS, CLT-LANA

  View Outline for H3

  Busy clinicians may not have sufficient opportunity or time to stay current with recently published research studies related to lymphedema diagnosis, treatment and management. This session will present evidence based studies published since the last NLN conference in 2008. Focus of the session will pertain to papers related to lymphedema diagnosis, treatment and management. The format will incorporate a brief literature review highlighting objectives, methods, data, results, and conclusions, as well as discussion of relevance, strengths, biases and opportunities for further research. Topics will include advances in clinical assessment; medical management of lymphedema including surgical intervention and medications; clinical interventions designed to improve lymphatic function; self-care, adherence, and quality of life. Studies investigating exercise and activity related to lymphedema response will also be reviewed. Topics will be updated as new literature is published.

  Participants will:

  1. Develop an awareness of the elements of evidence based lymphedema research
  2. Gain knowledge of topics recently published in the lymphedema literature
  3. Be able to discuss pertinent lymphedema research findings with peers and patients
  4. Understand the strengths and weaknesses in the evidence based lymphedema literature
  5. Appreciate the potential impact of published studies on clinical diagnosis, treatment, and lymphedema care models
  6. Develop an understanding of lymphedema research needs moving forward
  7. Be able to utilize published findings in decision making regarding clinical assessment, treatment, and patient self care
• [H4] Primary Lymphedema in Pediatrics and Adolescents
  -Joseph L. Feldman, MD, CLT-LANA
  -Mary Kathleen Kearse, PT, CLT-LANA

  View Outline for H4

  Upon completion of this presentation, the participant will be able to:

  1. Describe the formation of the lymphatic system in utero and the pathology resulting in primary lymphedema.
  2. Demonstrate an understanding of the diagnosis and differential diagnosis in children with lymphedema.
  3. Develop effective treatment programs including proper selection for compression garments for pediatric and adolescent patients with lymphedema.
  4. Recognize unique short and long term challenges in the treatment of pediatric and adolescent patients with lymphedema.
• [H5] Truncal and Genital Lymphedema
  -Debra Macken, PT
  -Jennifer Bradt, PT

  View Outline for H5

  1. Breast Edema
  1. Evaluation
  2. Treatment
  1. MLD and other manual techniques
  2. Compression
  3. Exercise
  3. Bra basics
  4. Applying compression with padding
  5. Compression wrapping
  2. Trunk Edema
  1. Obesity and the scope of the problem
  2. Etiology of abdominal edema
  1. Abdominal procedures
  2. Gynecological procedure
  3. Obesity
  3. MLD treatment to the abdomen
  4. Exercise
  5. Compression options
  1. Simple solutions
  2. Commercially available products
  3. Home-made options
  3. Genital Edema
  1. Etiology of genital edema
  1. Metabolic edema
  2. Secondary lymphedema
  2. Rationale for treatment
  3. Skin care considerations
  4. Compression options
  1. Simple solutions
  2. Commercial available products
  3. Home-made options
  4. Discussion (Q&A)

10:15am to 12:00 noon

• [H6] Problem-Solving for the Lymphedema Therapist
  -Gwen Forbes-Kirby, PT,CLT-LANA
  -DeCourcy Squire, PT, CLT-LANA, CI-CS

  View Outline for H6

  This problem solving workshop will include overviews by the workshop leaders and discussion of cases from their own practice as well as case studies submitted in advance by participants in the workshop. There will be an opportunity for participants to share their ideas as well.

  The topics to be covered are listed below:

  1. Issues with lower extremity lymphedema
  • Distinguishing between obesity induced lymphedema and lymphedema coupled with obesity: treatment implications
  • Distinguishing between venous edema, phlebo-lymphedema, and lymphedema: treatment implications
  • Skin issues with lower extremity lymphedema
  • Lymphedema after treatment for cancer: gynecological, melanomas, etc.
  • Dealing with co-morbidities
  • Truncal edema
  • Compression choices/problem solving
  
  
  2. Upper Extremity Common Issues
  • Checklist for complications
  • Past medical history
  • Range restrictions / Soft tissue limitations
  • Strength limitations
  • Case Studies
  • Radiation neuritis/Skin changes
  • Unresolved hand swelling
  • Pre-existing shoulder pathologies-Adhesive Capsulitis
  • Breast involvement
  
  
  3. Facial edema

  Participants with questions or case studies involving lower extremity lymphedema or facial lymphedema should contact DeCourcy Squire at CLTcourses@cs.com for a case study form, which needs to be submitted by July 1, 2010.

• [H7] Unraveling the Mysteries of Insurance, Medicare, and Medicaid: What’s Covered and What Isn’t
  -Nicole Stout, MPT, CLT-LANA
  -Jeannette Zucker, DPT, CLT-LANA, CSCS

  View Outline for H7

  The guidelines for lymphedema therapy set by Centers for Medicare and Medicaid (CMS) can be complicated and difficult to decipher. Therapy visits must comply with various rules and restrictions in order minimize the incidence of denials for reimbursement. Commercial insurance carriers usually follow the regulations set by CMS, however there are some exceptions that benefit the patient. The objectives of this session are to delineate and clarify these requirements established by CMS, discuss how some other insurance companies may differ in their coverage, and present legislation that have influenced these guidelines. The goals of this instructional session are as follows:

  1. Discuss documentation at length: Evaluation and plan of care, re-evaluation, certification and recertification, re-assessment, frequency and duration of treatment, progress notes and response to therapy, establishment of goals, acceptable signatures.
  2. Describe what qualifies as skilled therapy and medically necessary.
  3. Delineate guidelines for proper billing.
  4. Discuss legislation that directly affects clinical care and what practitioners can do to contribute to political efforts.
• [H8] Intro To Evidence-Based Research: “Where Do I Begin?”
  -Jane M. Armer, PhD, RN
  -Janice N. Cormier, MD, MPH
  -Sheila H. Ridner, PhD, RN

View Outline for H8

Intro to Evidence-Based Research: "Where do I begin?"

This session will define evidence-based research and provide guidance to methods of initiating, conducting, interpreting, and applying evidence-based research. A case study will be presented on the process of conducting a quality systematic review of the literature, specifically the Oncology Nursing Society approach for Putting Evidence Into Practice (PEP) for lymphedema management

Participants will:

1. Identify categories of evidence-based research
2. Gain knowledge of methodological approaches for conducing evidence-based research
3. Be able to discuss pertinent lymphedema research findings with peers and patients
4. Understand the steps and timeline for conducting a systematic review
• [H9] Axillary Web Syndrome with and without Secondary Lymphedema (same as H14)
  -Jodi Winicour, PT
  

  View Outline for H9 (same as H14)

  1. Oncologic Therapy Mission
  2. Types of Oncologic Rehabilitation
     
     1. Preventative
     2. Restorative
     3. Supportive
     4. Palliative
  3. Axillary Web Syndrome
     
     1. Explanation and pictures of cording/AWS
     2. Characteristics of AWS
     3. Signs and symptoms
     4. Research summaries (incidence, risk factors, characteristics)
     5. Why treat AWS?
     6. Types of AWS including AWS associated with lymphedema.
        
        • Pseudo AWS
        • AWS
        • AWS w/ lymphedema
        • Phlebitic type
        • Differential Diagnoses
  4. Movement Theories and Principles
     
     1. Florence Kendall, MD
        
        • Movement theories
     2. Shirley Sahrman, PT, PhD
        
        • Movement theories
        • Micro-trauma vs. macro-trauma
        • Hypo vs. hypermobility
     3. Anecdotal experience
        
        • 3 dimensions of soft tissues
        • Space correction, tissue bending, and traction based manual techniques
        • Avoiding pain and inflammation
        • Adding movement to manual techniques
  5. Treatment of AWS - pictures and video
  6. Q & A
• [H10] Lymphedema Self-Management in Elderly and Frail Patients
  -Colin Kanar, MD
  -Mary Kathleen Kearse, PT, CLT-LANA
  -Ellen Poage, MSN, ARNP, MPH, CLT-LANA

  View Outline for H10

  In 2011, the first baby boomers reach the age of 65. By 2030, estimates suggest that this group of individuals (age 65 and older) will double in size, making up nearly 20% of the United States population. The 85 and older age group is growing at an even faster rate. It is expected that many of these elderly individuals will be at increased risk for illness and disease (including lymphedema), leading to functional limitations and disabilities. As healthcare practitioners, we must be able to recognize the general issues for this population in order to effectively evaluate and treat their lymphedema and provide the necessary tools for self-management. This session will discuss the diagnosis and differential diagnosis of various types of swelling, and those co-morbidities often present with elderly and frail patients, which may potentially impede treatment outcomes. Therapeutic evaluation and treatment interventions will be addressed with specific emphasis on individualizing the plan of care for effective carryover from clinic to home management. Case examples will be presented and discussed.

1:30pm to 3:15pm

• [H11] Lymphedema Management in Palliative Care
  -Nancy Hutchison, MD, CLT-LANA
  -Paul W. Walker, MD

  View Outline for H11

  This session will be presented by 2 physicians: A Palliative Care MD from MD Anderson Cancer Center in Houston, TX and a Cancer Rehabilitation MD, who is also a Certified Lymphedema Therapist with LANA certification, from a Rehabilitation and Cancer Center in Minneapolis, MN.

  The session will cover:

  1. Palliative Care Overview
  2. Case presentations
  3. Establishing appropriate goals of care
  4. Types of edemas that occur in advanced cancer
  5. Comorbidities that affect edema and its management
  6. Medical/surgical management strategies
  7. Common complicating factors in palliative lymphedema care: pain, wounds, debility, etc
  8. Therapy strategies: components of CDT and modifications for palliative care
  9. Psychosocial, emotional aspects
  10. Setting of treatment requiring modifications of edema care plan
• [H12] Perometry, Bioimpedence, and Other Technologies
  -Jane M. Armer, PhD, RN
  -Sheila Ridner, PhD, RN
  -Leigh C Ward, PhD, RNUTR

  View Outline for H12

  1. Review more recently developed measurement methods
  1. Perometry
  1. Indications for use
  2. Contradictions
  3. Procedures for measurement
  4. Data generated
  2. Bioelectrical Impedance
  1. Indications for use
  2. Contradictions
  3. Procedures for measurement
  4. Data generated
  3. Other Technologies (Lymphoscintigraphy, 3-D Imagining)
  1. Indications for use
  2. Contradictions
  3. Procedures for measurement
  4. Data generated
  2. Summary
  1. Comparisons among methods
  1. Advantages and disadvantages
  2. Choosing method best for your practice or research setting

  • Objectives
  1. Participants can state the implications for use of perometry and contraindications for use
  2. Participants understand implications and contraindications for use of bioelectrical impedance
  3. Participants understand implications and contraindications for use of Lymphoscintigraphy and 3-D Imagining
• [H13] Head and Neck Lymphedema (same as H18)
  -Brad Smith, CCC-SLP, CLT

  View Outline for H13

  1. Anatomy and Physiology
  1. Head and Neck- general
  2. H&N Lymphatics
  2. Head and Neck Cancer
  1. Type, Stage, Site
  2. Communication and swallowing impairments
  3. Cancer treatments
  3. Lymphedema of the Head and Neck
  1. Various presentations of head and neck lymphedema
  2. Impairments
  4. Evaluation of H&N Lymphedema
  1. Measurements
  2. Photography
  3. Hi-tech
  5. Treatment of H&N Lymphedema
  1. Seated vs Lying
  2. Specific regional techniques for the face, neck, and head
  3. Home programs vs intensive outpatient rehab
  6. Neck and Shoulder Rehab for H&N Cancer pts
  1. Mobility
  2. Strength
  3. Posture
  7. Head and Neck Compression
  1. Compression wrapping
  2. Garments
  3. Padding
  4. Kinesiotape
  8. Troubleshooting and Q&A
• [H14] Axillary Web Syndrome with and without Secondary Lymphedema (same as H9)
  -Jodi Winicour, PT

  View Outline for H14 (same as H9)

  1. Oncologic Therapy Mission
  2. Types of Oncologic Rehabilitation
     
     1. Preventative
     2. Restorative
     3. Supportive
     4. Palliative
  3. Axillary Web Syndrome
     
     1. Explanation and pictures of cording/AWS
     2. Characteristics of AWS
     3. Signs and symptoms
     4. Research summaries (incidence, risk factors, characteristics)
     5. Why treat AWS?
     6. Types of AWS including AWS associated with lymphedema.
        
        • Pseudo AWS
        • AWS
        • AWS w/ lymphedema
        • Phlebitic type
        • Differential Diagnoses
  4. Movement Theories and Principles
     
     1. Florence Kendall, MD
        
        • Movement theories
     2. Shirley Sahrman, PT, PhD
        
        • Movement theories
        • Micro-trauma vs. macro-trauma
        • Hypo vs. hypermobility
     3. Anecdotal experience
        
        • 3 dimensions of soft tissues
        • Space correction, tissue bending, and traction based manual techniques
        • Avoiding pain and inflammation
        • Adding movement to manual techniques
  5. Treatment of AWS - pictures and video
  6. Q & A
• [H15] Traditional and Non-Traditional Pharmacological Approaches
  -Paula J. Stewart, MD, CLT-LANA

View Outline for H15

The first portion of the session will emphasize traditional medical approaches to lymphedema. The very limited number of medications that have any proven efficacy in the treatment of lymphedema will be discussed. Included in the discussion will be the limited circumstances under which diuretics may be useful when treating lymphedema. The discussion will then turn to traditional medications in western medicine that can contribute to edema and thus worsen lymphedema. The medications will be presented by class and those medications which cause the most significant problems with increased swelling will be discussed.

The second half of the presentation will focus on non-traditional herbs and nutraceuticals that have been used to treat lymphedema. There will be an emphasis on American horse chestnut, selenium, benzopyrones, and a brief discussion of some of the Chinese herbs that may be useful in lymphedema treatment. Additionally, the evidence supporting the use of these herbals and contraindications or side effects that may occur from their usage will also be presented.

3:45pm to 5:30pm

• [H16] Addressing Venous-Lymphatic Dysfunction
  -Wade P. Farrow, MD, CWS, FCCWS

View Outline for H16

1. Describe the anatomy and physiology of the lymphatic and venous systems
2. Understand the pathophysiology of 'dynamic insufficiency' phlebolymphedema
3. Understand the pathophysiology of 'lymphatic insufficiency' phlebolymphedema
4. Understand the pathophysiology of contributing systemic factors to development of phlebolymphedema
5. Learn to recognize to implement proper vascular screening for lower extremity patients
6. Learn to recognize and implement proper screening / testing for patients prior to initiating treatment
7. Understand and implement proper management of patients with phlebolymphedema
8. Use modern wound care techniques in the management of patients with venous and lymphostatic ulcerations
• [H17] Pain Management in Patients with Lymphedema
  -Andrea L. Cheville, MD, MSCE
• [H18] Head and Neck Lymphedema (same as H13)
  -Brad Smith, MS, CCC-SLP, CLT

  View Outline for H18

  1. Anatomy and Physiology
  1. Head and Neck- general
  2. H&N Lymphatics
  2. Head and Neck Cancer
  1. Type, Stage, Site
  2. Communication and swallowing impairments
  3. Cancer treatments
  3. Lymphedema of the Head and Neck
  1. Various presentations of head and neck lymphedema
  2. Impairments
  4. Evaluation of H&N Lymphedema
  1. Measurements
  2. Photography
  3. Hi-tech
  5. Treatment of H&N Lymphedema
  1. Seated vs Lying
  2. Specific regional techniques for the face, neck, and head
  3. Home programs vs intensive outpatient rehab
  6. Neck and Shoulder Rehab for H&N Cancer pts
  1. Mobility
  2. Strength
  3. Posture
  7. Head and Neck Compression
  1. Compression wrapping
  2. Garments
  3. Padding
  4. Kinesiotape
  8. Troubleshooting and Q&A
• [H19] Differential Diagnosis in Complex Lymphedema Cases
  -Paula J. Stewart, MD, CLT-LANA

  View Outline for H19

  In the session, participants will be presented with several cases of complex lymphedema both primary and secondary. These cases will serve as the basis for discussion of lymphedema pathophysiology, diagnosis and management. There will be a thorough discussion of lymphedema look alikes, such as anasarca, congestive heart failure, myxedema, inflammatory arthritis, and other entities that are often confused with lymphedema. Methods distinguishing these look alikes from lymphedema will be discussed, with emphasis given to physical examination and diagnostics.
  
  The course will also examine the contraindications for treatment of lymphedema; congestive heart failure, cellulitis, DVT and active cancer. Management approaches for patients with these conditions and lymphedema will be discussed.

• [H20] Kineseotaping Elastic Sports Taping and Lymphedema
  -Jeannette Zucker, DPT, CLT-LANA, CSCS

  View Outline for H20

  This instructional session on kinesiotaping will focus on labwork. Each attendee will receive a roll of kinesiotape and have the opportunity to exercise practical applications that address lymphedema and its related conditions. Kinesiotaping can compliment conventional CDT by diminishing scar tissue, assisting with the establishment of drainage pathways, and addressing musculoskeletal impairments that contribute to the lymphatic load. The following is a general outline of the session:

  1. Introduction
  2. PowerPoint Presentation
  1. What is kinesiotape?
  2. Indications
  3. Kinesio shapes and how to use them
  1. Cutting
  2. Skin preparation
  3. Tape removal
  3. Lab Practical
  1. Head and Neck
  2. Upper Extremity
  3. Lower Extremity
  4. Trunk
  4. PowerPoint Presentation
  1. Patient education
  2. Contraindications and precautions
  3. Documentation and billing
  5. Q & A

Saturday Sept. 25, 2010 - Plenary Sessions

7:30am - 8:30am

Roundtable Sessions I (Sign-up on site Thursday and Friday)

8:30am to 10:00am - Point/Counter Point Sessions

• Risk Reduction Practices
  -Sarah McLaughlin, MD
  -Sheila H. Ridner, PhD, RN, MSN
• Low-Level Laser Therapy in the treatment of LE
  -Andrea L. Cheville, MD, MSCE
  -Jeffrey R.Bashford, MD, PhD

10:00am to 10:30am - Break and Exhibits

10:30am to 12:00pm - Treatment and Care Options

• Surgery in the Management of Lymphoedema: Is it Time to Re-Explore an Alternative Pathway?
  -Alex Munnoch, MD, MBChB, FRCSEd
• The Role of Manual Lymphatic Drainage in the Post Operative Care of Cosmetic Plastic Surgery Patients
  -Maria Sobol, BSPT, CLT-LANA
• Expanding the Use of CDT to Orthpodic Edemas
  -Julia R. Rodrick, OTR/L, CLT-LANA
• Making Self Care a Priority for Women at Risk for BC-related LE
  -Elise Radina, PhD
• Q&A (11:30am to 12:00pm)

12:00pm to 2:00pm - Luncheon

Kathryn Schmitz, PhD, Keynote Speaker

2:00pm to 3:30pm - Alternative Treatments for Lymphedema

• Acupuncture Safety in Patients with Lymphedema: A Retrospective Study
  -Carmencita C. Mercado-Poe, RN, EdD, APRN-BC
• Aqua Lymphatic Therapy (Alt) for Post Surgical Breast Cancer Lymphedema
  -Dorit Tidhar, MScPT
• Changes In Tissue Water and Indentation Resistance of Lymphadematous Limbs Accompanying Low Level Laser Therapy (LLLT)
  -Harvey N. Mayrovitz, PhD
• Early Experience with Complete Decongestive Therapy for Head and Neck Lymphedema after Cancer Treatment
  -Katherine A. Hutcheson, MS
• Q&A (3:00pm to 3:30pm)

3:30pm to 4:00pm - Break and Exhibits

4:00pm to 5:30pm - Imaging and Pathophysiology

Moderator: Michael Bernas, MS

• Non-Invasive Near-Infrared Fluorescence Imaging to Assess Lymphatic Architecture and Dynamic Function
  -John C. Rasmussen, PhD
• Assessing the Response of Lymphatic Function to MLD by Nir Fluorescence Imaging
  -I-Chih Tan, PhD
• NIR Fluorescence Lymphatic Imaging of Head and Neck LE
  -Erik A. Maus, MD
• Physiological Principles of Pneumatic Compression Therapy
  -Waldemar L. Olszewski, MD
• Q&A (5:00pm to 5:30pm)

Sunday Sept. 26, 2010 - Plenary Sessions

7:30am - 9:00am

Roundtable Sessions II (Sign-up on site Thursday and Friday)

9:00am to 10:30am - Lymphedema Complications and Solutions

• Surgical Management of Lymphoedema: 5 Years Experience of Liposuction, A Good Workout!
  -Alex Munnoch, MBChB FRCSEd
• Complications of Pelvic Lymphadenectomy
  -Emily Iker, MD
• The Management of Pediatric Primary Lymphedema: Tricks of the Trade
  -Denise M. Baylor, LMT, CLT-LANA
• The Management of Massive Localized Lymphedema: Lessons From the Trenches
  -Michelle Robles, LMT, CLT-LANA
• Q&A (10:00am to 10:30am)

10:30am to 11:15am - Lymphedema Complications and Solutions (continue)

• The Impact of Diabetes on Cardiac Lymphatic Biomarkers and the Protective Role of Exercise Training
  -Lisa D. van Hoose, PT, PhD
• Self Treatment and Innovation Strategies from the Lymphoedema Patient (Acute) Point of View
  -Helen V. Lindquist, MSC
• Q&A (11:00am to 11:15am)

11:15am to 11:45am - Review LE Legislative Bill HR 4662

-Robert Weiss, MS
-Heather Ferguson

11:45am to 12:00pm - Wrap-Up and Conference Closing

Please Note: Program is Subject to Change

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