Toll free (866) 2CBETTR www.nora.cc Volume 10, No. 2 Winter 2002 Neuro-Optometric Rehabilitation Association, Internationa l Executive Board PRESIDENT Brenda Heinke Montecalvo, OD Beavercreek, OH (937) 320-0300 VICE PRESIDENT Eric T. Ikeda, OD Bellflower, CA (562) 925-6591 IMMEDIATE PAST PRESIDENT John A. Thomas, OD, MS Wheat Ridge, CO (303) 421-4465 SECRETARY Don P. Fong, OD Sacramento, CA (916) 739-6260 TREASURER Penelope S. Suter, OD Bakersfield, CA (661) 869-2010 President’s Message Advisory Council Janet Berthiaume, OTR Royal Oak, MI (248) 258-3715 Barry Kavanaugh, OD West End, NC (910) 673-3937 Selwyn Super, D. Optom., PhD Los Angeles, CA (310) 207-0012 Susan Wenberg, MA, DC Tucson, AZ (520) 326-1322 Advisory Council Emeritus John Streff, OD (704) 687-6333 Newsletter Staff EDITOR Penelope S. Suter, OD, Bakersfield, CA ASSISTANT EDITORS Robert Fox, OD, Schenectady, NY Becky Vanzant COVT, Bellflower, CA In This Issue President’s Message In Memory of William Ludlam, OD Martin Birnbaum, OD NORA Noteworthy Nominations NORA 2003 Conference NORA Skills Curriculum Passing the Word OEP and NORA meet NORA Networking Members on the Move Other Meetings Neuro-Optometric Pearl Office of the President Brenda Heinke Montecalvo, OD, FCOVD, FAAO PO Box 358 Cedarville, OH 45314 (937)320-0300, (937)766-9787 Fax (937)320-0500 EM: [email protected] Greetings to all. I wish to extend my warmest wishes for a joy-filled and bountiful new year. With close to 6 million Americans living with a disability resulting from an acquired brain injury, it is ever more critical that NORA’s message be disseminated throughout the rehabilitation community. Rehabilitation teams around the country recognize the importance for incorporating optometric rehabilitation into their programs. The demand for optometrists knowledgeable about visual rehabilitation is great and increasing daily. I am honored to continue to serve as your representative of the Neuro-Optometric Rehabilitation Association. As 2002 comes to a close I reflect on NORA’s progress in achieving our goals. 1 The NORA board continues to be committed to... 1. Improving communication with it’s members via the web page (www.nora.cc), the newsletters, and our toll free number (1-8002CBETTR). 2. Increasing attendance at the educational meeting to achieve improved understanding of neurooptometric rehabilitation. 3. Educating the public about neuro-optometric rehabilitation through the distribution of educational materials to other professionals involved in rehabilitation. 4. Increasing membership representing all disciplines involved in working with rehabilitation populations. One of NORA’s primary goals is to disseminate educational materials, knowledge, skill, and techniques of neuro-optometric rehabilitation for traumatic brain injured patients. On this front we have made multiple inroads. Many NORA members have been diligent in providing their time and financial resources for our organization. I want to thank each of you for your efforts and look forward to working with you in 2003. NORA GETS RECOGNIZED NORA was represented and recognized at the following meetings this year: College of Syntonic Optometry (CSO), American Optometric Association (AOA), and College of Optometrists in Vision PRESIDENT’S MESSAGE CONTINUED ON PAGE 5 In Memory of William M. “Bill” Ludlam, OD 1931-2002 Dr. William M. Ludlam was a charter member of NORA, a longtime NORA board member, and an optometric pioneer—both in the science lab, and in the clinic. The breadth of his contributions to optometry is staggering. This newsletter is dedicated to his memory. A scholarship fund to extend Dr. Ludlam’s work and spirit to new generations of optometrists has been established at Pacific University College of Optometry. Contributions may be sent to: Dr. William Ludlam Memorial Scholarship Fund, Pacific University College of Optometry, Attn. Steve Fletcher, 2043 College Way, Forest Grove, OR, 97116. Contributed by Christine Nelson, PhD, OTR Professor, researcher, resource, colleague, and consummate clinician. An extraordinary problem-solving mind with a heart that translated research findings to practical application that changed the lives of innumerable children and adults. From his chosen profession of optometry, with which he had melded totally, Dr. Ludlam reached out to understand and analyze the contributions of other professions. Always loyal to history, to the knowledge that had been passed on to him by his professors and mentors, Bill took seriously the responsibility of handing on clear information applied with logic and sensitivity. He was a dependable and articulate support for his profession – forging ahead with the newest ideas while assisting with any task that contributed to making a new perspective of visual function a reality. Early on, he saw the potential for using the computer to reach functional optometric objectives and designed his own innovative OptiMum program. He built an apparatus for obtaining an evoked pattern response when one was not available for more reliable testing. Always interested in languages-he readily picked up needed phrases from his patients and colleagues and used them with good accent. Dr. Ludlam continued learning from colleagues, from parents, and from the children he served. He could find a pertinent article for a colleague in the seeming disarray of paper collected in a natural order of apparent chaos that characterized his office. Out of this chaos came original and unfettered thinking about real clinical problems. The ―impossible‖ was only a new challenge to be solved. This gentle intellectual giant has left us with the responsibility to hold on to the gains that he made in understanding functional vision and to move forward with the dedication that he personified. Contributed by William Padula, OD Dr. William Ludlam, who was a board member of NORA, has passed on this year. Although he has left us in the physical sense, his efforts and personal interactions will remain with us for many years to come. Dr. Ludlam has served optometry in a multitude of ways. Not only was he directly involved in forming direction for NORA, but he was also known by many for his teaching skills as well as having achieved three diplomates in the American Academy of Optometry (Low Vision, Pediatric Vision, and Contact Lenses). In many ways, Dr. Ludlam had three professional careers. Thinking about his extraordinary accomplishments, the warm and personal contacts he made with each of us, his love of optometry, and his ability to advance knowledge, one might say that he had the ability to ―fulfill the unforgiving 2 minute with sixty seconds worth of long distance run‖ (Kipling). Although he always had the opportunity to meet and sit with optometrists to discuss issues of practice, he never missed an opportunity to spend time with students. In some ways, I think he enjoyed these times most of all. It was on more than one occasion that he would slip off with a group of students for lunch and dinner leaving his colleagues wondering where he had disappeared to. Dr. Ludlam and his wife Diana have been great supporters of NORA. They both have worked diligently to provide educational programs at our yearly meetings as well as to publish and speak about neuro-optometric rehabilitation. Dr. Ludlam served on our Board of Directors as treasurer and council for many years. In addition, together with Dr. Thomas Politzer, he established the curriculum for our clinical skill development program. Were it not for his experience in these areas to provide direction, our program would not be what it is today. Today we celebrate the life of William Ludlam, OD. He has given us the opportunity to know him and to serve as our model of both human cause and professional direction. We offer our condolences to his wife, Diana, and his daughter, Mandy. We all will miss him greatly. Other NORA members contributed thoughts and remembrances, some of which have been excerpted due to space. Bill Ludlam was one of the nicest people I ever met. A very sincere individual as nice on a professional level as on a personal level. He was one highly intelligent individual who was the greatest to engage with in brain storming. Always respecting the other individual's theories as well as the other's experiences. A real good human being. Gus Forkiotis I carry Bill Ludlam with me every day. The times shared with Bill, Diana, and their family are etched with love in my heart. I miss him so very much. I know that he's explaining anomalous correspondence to the angels in heaven, and rest assured they will get it! Daniel Gottlieb Our friendship with Bill Ludlam has been long and lasting. It began in New York during Bill's early curiosity of neurological influences on vision. After Bill and Diane married we learned of their research in monitoring their own neurological changes. The results of their research spread to students and faculty at Pacific University and internationally through NORA. We miss Bill in our Optometric family and are grateful that Diane is with us to continue their contributions to our Optometric future. Al & Lorraine Sutton How enriched we are who shared this "window of history and collegiate bonding" with William M. "Bill" Ludlam. The sum of this man's great energy and vitality, intellect and talent, passion and courage has put his indelible "brand" upon our profession. Through his multitude of scholarly and clinical contributions, he advanced the art and science of optometry (behavioral) by quantum steps. Bill Ludlam was not a man of pedestrian accomplishments; his achievements and contributions are forever etched in the annals of vision science, the symphonic halls of music, and the galleries of art and sculpture…...My mentor, my colleague, my friend - I miss you more than mere words can describe; we all miss you. John A. Thomas, a student, a friend. William (Bill) Ludlam had an illustrious career in Optometry… …It is most fitting that NORA recognized his genius and honored Bill by calling it’s educational department (on the website), Ludlam Hall. Bill, the friend, had the smallest of egos and the biggest of hearts. He loved to hear a joke and to tell one. He had a zest for life and living and he never ever complained of the great adversities he suffered throughout his life. He bore his pain silently and always shifted the focus away from himself. In our tribute to Bill, we add not only the expression of the high esteem which the scope of his work deserves, but also the warmhearted expression of our love for him. Selwyn Super Diana and Bill Ludlam NORA lost another great optometric educator and friend in 2002. In Memoriam: Martin H. Birnbaum, OD 1935-2002 Phyllis and Martin Birnbaum Contributed by Robert Sanet OD On June 19, 2002, Dr. Martin Birnbaum passed on. Marty didn’t just talk the talk, he walked the walk. He modeled for many of us what we hope and aspire to achieve as human beings. Marty was a talented, successful, humble, and compassionate professional; a devoted husband and a thoughtful and supportive father; a true, loyal, and trusted friend; he experienced and appreciated every aspect of his life. Professionally, optometry has lost an articulate and passionate champion for behavioral optometry and for the ethical treatment of all patients, especially children. Marty was a talented and prolific writer and lecturer. People who knew Marty through his lectures and writings have lost a valuable resource for his scientific writings and for his divergent, cutting edge thinking. Many of his articles, and especially his book ―Optometric Management of Nearpoint Vision Disorders‖ will remain among the seminal works in our profession. Personally, Marty quietly and very personally championed the rights of women and the homeless, and many other causes, not because it was fashionable but because it 3 was correct. Marty was a very special listener who gave undivided attention, listened with patience, and gave supportive and thought provoking responses that never failed to make you feel better for having had the interaction. Marty may have agreed or disagreed with your point of view, argued strongly and convincingly for his view, but he never made you feel like you were wrong. It was difficult, if not impossible to come away from interaction with Marty a little more stimulated and alive. Those of us who knew Marty on a more personal basis have lost something wonderful. They have lost an honest and thoughtful friend. In many ways Marty was a role model for what a true friend and mentor should be. With Marty’s passing, behavioral optometry has lost a pioneer, a champion, and a valuable resource. Many of us have lost a dear and supportive friend. The world has lost a truly gentle-man. Marty touched and enriched so many lives, yet he left us far too soon. Marty’s sincerity, morality, teaching, and friendship will be sorely missed, but he lives on through all of the lives that he has touched. Friends are people who help you be more yourself, more the person you are intended to be. —Merle Shain By this measure, Drs. Ludlam and Birnbaum were friends to many whom they never even met. NORA Noteworthy NORA Noteworthy gives you a quick look at current news within the organization. Nominations for Awards Nominations for the Advancement of Science Award and the Advancement of Neuro-Optometric Rehabilitation Award can be sent to Dr. Danny Gottlieb at 5462 Memorial Dr. Ste. 101; Stone Mountain, GA 30083. For details about these awards, please see the president’s message, p. 6. Nominations for Board Members There are positions open for two board members which may be filled at the 2003 NORA meeting in Long Beach. If you wish to nominate a NORA member to the board, please contact Brenda Montecalvo, OD at 937-320-0300. 12th Annual NORA Multidisciplinary Conference. Don’t miss the 12th annual multidisciplinary conference which is being planned at The Westin, Long Beach, CA, April 47. A pre-conference introduction to neurooptometry is scheduled for the evening of April 3rd. NORA Skills Curriculum If you would like to apply for the NORA skills curriculum, there is an application enclosed with your newsletter. If you wish to complete a skills level, the application fee is $125. Due to limited seating, those who would like to simply attend the pre-conference clinical skills classes without taking part of the curriculum process must pay the same fee of $125. For more information about the Clinical Skills Program, contact Chairperson, Dr. Selwyn Super at 310-207-0012. Selected Video Tapes Available Selected lecture video tapes are still available from the 2002 NORA conference. Contact Dr. Danny Gottlieb’s office at (404)296-6000 to order, or for more information. PSSST! Pass the word: We are a multidisciplinary organization! In an effort to grow our diversity we are actively seeking professionals from other fields to invite to our 2003 convention in Long Beach. If you know of appropriate organizations or individuals in the Southern California area -- those who are influential in their field -- please provide me with the name, address, phone, website or email, and reason why we should solicit their attendance. Susan Wenberg, DC Interdisciplinary Committee 708 N Country Club Tucson, AZ 85716 Phone (520) 326-1322, Fax (520) 3268661, [email protected] OEP and NORA Coordinate Services. The Optometric Extension Program has for decades, presented successful regional education programs for ODs practicing functional vision care. NORA and OEP are currently discussing the possibility of an agreement between NORA and OEP to use OEP regional seminars as a format for presenting vision rehabilitation education. OEP has also taken on some of the printing projects for NORA. Need Networking Information? NORA continues to provide brochures and information packets to assist members in networking with other members of the rehabilitation community. Brochures and packets are available in limited quantities at no charge to members. Materials can be obtained by calling NORA, toll free, at (866) 2CBETTR. The packets do not ordinarily contain journal articles. However, if you would like reference articles included for professional relations, please specify when making your request. Members Move On The Errol Rummel, OD, FAAO, FCOVD was just granted consulting privileges in Neuro -optometric Rehabilitation at the Health South Rehabilitation Hospital of Tinton Falls, NJ. This is his 4th hospital 4 affiliation. Rob Fox, OD was named this past year to the professional advisory committee of the Brain Injury Association of New York State (BIANYS). Janet Berthiaume OTR, CDRS along with Susan Hahn, OD presented ―Vision Rehabilitation and Driving: A collaboration of Optometry and Occupational Therapy‖ at the Association for Driver Rehabilitation Specialists (ADED) meetings. Janet has also presented a lecture at the ADED conference on ―Vision and Driver Rehabilitation and the Useful Field of View‖. The presentations demonstrated the positive effects of visual/ perceptual treatment on patient performance prior to and during driver rehabilitation. These presentations have been so well received that Janet was invited back to present at the Midwest ADED conference. Other Meetings College of Optometrists in Vision Development: The College of Optometrists in Vision Development will hold their 33rd Annual meeting in Phoenix, AZ, October 21 -25, 2003. For more information visit their website at www.covd.org. IARP Annual Conference: The International Association Of Rehabilitation Professionals is holding it’s annual meeting April 4-6, 2003 in Baltimore Maryland. For more info see www.rehabpro.org. Optometric Extension Program: The Southwest Congress of Optometry will be held January 17-19, 2003 at the Holiday Inn Riverwalk San Antonio, Texas Contact: David Mora, OD (800) 819-8999. The Kraskin Invitational Skeffington Symposium on Vision will be held January 18-20, 2003 at the Hyatt Arlington Hotel, Rosslyn, VA Contact: Jeffrey Kraskin, OD 4600 Massachusetts Ave. NW Washington DC, 20016 (202) 363-4450 [email protected]. The 65th Northwest Congress of Optometry will be held February 22-23, 2003 in Pacific University Forest Grove, OR. Contact: Eric Hussey, O.D., 25 West Nora Ave., #101 Spokane, WA 99205, (509) 326-2707, Fax (509) 3260 4 2 6 , s p a c e go g g l e @ a t t . n e t . www.drhussey.uswestdex.com. VT/Learning Related Visual Problems (VT 2) (BABO/OEP) will be held April 10-13, 2003 in Phoenix, Arizona. Contact: Theresa Krejci 110 Old Padonia Road, Cockeysville, MD 21030, (800) 447-0370, [email protected], www.BABOUSA.org. Regional Clinical Seminar (OEP) will be held April 26-27, 2003 in Palm Beach Gardens, Florida. Contact: Debra Shim, O.D., 5500 Military Trail, Suite 36, Jupiter, FL 33458, (561) 625-4380, Fax (561) 625-3920, [email protected]. The Art & Science of Optometric Care—A Behavioral Perspective (BVC) (BABO/OEP) will be held May 1-5, 2003 Grand Rapids, MI Contact: Theresa Krejci 110 Old Padonia Road Cockeysville, MD 21030, (800) 4470370. Neuro-Optometric Pearl Janet Berthiaume, OTR, CDRS (Certified Driving Rehabilitation Specialist) A common complaint of the Low Vision Driver is sensitivity to a variety of outdoor light including sun, haze, and snow. For the telescopic driver, these conditions can change every time he/she turns a corner. Driver Rehab sessions are scheduled to assess and train the patient on the road in as many glare situations as possible. Initially, telescopic training begins on the road with the patient as a passenger with progression to being the driver. This process is known as a Copilot. The complexity of road situations are graded according to the ability of the patient’s combined telescopic and driving skills. Often times glare problems aren’t identified until the patient is the driver. The problems are more apparent when driver IPDE processing is affected. Assistive devices for reducing glare may include telescopic caps, tinted contact lenses, slip-in shields, and others. PRESIDENT’S MESSAGE CONTINUED FROM PAGE 1 C a s e S t u d y MC was a 54 year old diagnosed with a sub-foveal neovascularization in 1988. The Commission for the Blind referred her to a Low Vision Specialist to evaluate her for a telescopic device. Optometric evaluation revealed: acuities OD 20/125, OS 20/160, Goldman Visual Field (horizontal) OD 110 degrees, OS 120 degrees with a large central scotoma, and color vision WNL. MC was provided with a 4x Designs for Vision telescope and basic telescopic training home program to prepare for driving. At that time, she was referred to Occupational Therapy for telescopic driver's eval and training. Driver Pre-Screen evaluation revealed problems with sign recognition and literacy, visual perceptual processing time, peripheral vision, depth perception and reaction time. On the road trainings revealed significant problems with traffic light color identification, glare, depth perception, and judgment of time and space. On cloudy days MC could identify 75% of traffic lights from 2-3 city blocks away. On days with glare, MC only identified traffic lights less than one block away. Glare was a crucial issue for MC since she was required to drive directly into the East sun to get to work. The OTR, CDRS, and the OD worked closely together to resolve the problem. A variety of devices were tried to alleviate glare including combinations of the following: light, medium, and dark red contact lenses, red, gray, and brown telescopic caps, and gray and amber slip in shields. After assessing all possible combinations of the devices, the best results were achieved by using the light red contact lens in indirect sunlight with the option of donning a red telescopic cap in direct sunlight and the amber slip in shield for more intense sun and glare. The slip-in shield was attached to the dashboard with Velcro, and the telescopic cap was placed in the cup holder. MC was then able to drive to work in direct sunlight and easily adapt for sudden changes in the weather. MC was given full daytime driving privileges. diate past president, John A. Thomas, OD, presented at the CSO annual meeting. AOA recognized NORA’s president at the delegate meeting. COVD recognized NORA at it’s annual awards luncheon. NORA EXHIBIT BOOTH NORA exhibited at the annual College of Syntonic Optometry (CSO) meeting, the annual meeting of the College of Optometrists in Vision Development (COVD), and at the annual East/West conference in Cleveland, Ohio. We distributed several hundred information packets to potential new members. We are looking forward to exhibiting at more of the major professional meetings. To further help educate professionals, parents, and patients about the benefits of neuro-optometric rehabilitation, NORA’s information packets are available for you to distribute. Packets are available upon request, please call 1-8002CBETTR to order. JOINT POLICY STATEMENT NORA was represented by Eric T. Ikeda, OD, to create an organizational consensus statement on ―Optometry’s Role in Treating Patients with Disabilities‖--along with representatives from the American Optometric Association (AOA), American Academy of Optometry (AAO), College of Optometrists in Vision Development (COVD), and Optometric Extension Program (OEP). Look for publication of this statement in 2003. 12th ANNUAL MULTIDISCIPLINARY CONFERENCE APRIL 3-8, 2003, LONG BEACH,CA. Eric T. Ikeda, OD, conference chairperson, has put together an outstanding panel of accomplished clinicians, educators, and professionals addressing rehabilitation. The keynote speaker for this year’s 5 annual conference is David G. Lavond, PhD. Dr Lavond will be speaking on ―Cognitive Associative Aspects of Cerebellar Function‖. Additional special features this year will be, ―Preparing for Depositions and Trials. What you need to know‖ by Chris Yuhl, attorney, ―MultiDisciplinary Rehabilitation‖ by Mark J. Ashley, ScD., and ―Neuropharmacology Update in the Brain Injured Population‖ by H. Richard Adams, MD. This dynamic program will provide you with 18 hours of continuing education. There will also be 8 to 12 hours of clinical skills development curriculum. Besides great education, you will want to take some time and enjoy the warm sunshine and beaches of Southern California. Dr. Ikeda has chosen the Westin Hotel, which is conveniently located near great seafood restaurants, the Aquarium of the Pacific, and shopping. If you are a NORA member you should have recently received your meeting packet. Since you will not want to miss the 12th Annual Multi-discipline Conference in Long Beach, California, mark your calendars now. AWARDS Nominations for the Advancement of Science Award and the Advancement of Neuro-Optometric Rehabilitation Award can be sent to Dr. Danny Gottlieb at 5462 Memorial Dr. Ste. 101; Stone Mountain, GA 30083. The Advancement of Science Award is presented for providing a unique and valued contribution to the science of Neuro-Optometric Rehabilitation. The Advancement of NeuroOptometric Rehabilitation Award is presented for demonstrating treatments or clinical procedures in Neuro-Optometric Rehabilitation which increase public awareness, enhance function, performance, and rehabilitation outcomes. 2003 NOMINATIONS Two positions for board members will be voted on at the business meeting in Long Beach. Anyone interested in serving on the board or nominating an active NORA member, please contact me at 937-3200300. CLINICAL SKILLS The curriculum clinical skills program continues to be refined to improve the quality of education provided at the annual meeting. Welcome to new committee members, Carl Garbus, OD and Chris Nelms, OTR. With an emphasis on achieving a high standard of neuro-optometric rehabilitation, the clinical skills program is a must for members who want to provide their patients with the best care possible. To begin the process or receive information on the program please contact Dr. Super at 310-207-0012. HELPING NORA We need each of you to help promote next year’s annual conference. One of NORA’s goals is to better educate professionals about neuro-optometric rehabilitation. A cost effective way to educate is to have more people attend our educational meetings. In order to do this, NORA needs your help. Dr. Eric Ikeda has produced a brochure for the annual meeting that you can place in your office and hand out to all interested parties. Each time a therapist, rehabilitation patient, or other professional involved in rehabilitation is in your office, hand out the brochure and invite the individual to attend the meeting. Speaking at an event related to rehabilitation? Why not invite everyone to our annual meeting? NORA would be happy to send you as many brochures as you need, simply call 866-2CBETTR for your request. MEMBERSHIP Our membership now totals 259 members thanks to the tremendous efforts of Dr. Don Fong and Dr. 6 Penelope Suter. They have worked hard to keep the membership happy this year. Dr. Suter works with NORA’s webmaster to streamline communication with our members via the web page (www.nora.cc) and maintains our toll free number (1-800-2CBETTR). NEWSLETTER Any information you have to contribute to the NORA newsletters in the form of clinical pearls, case reports, or newsworthy events should be sent to Dr. Penelope Suter at 5300 Lennox Ave. Ste. 101, Bakersfield, CA 93309. SPEAKER DEVELOPMENT Several speakers will be featured this year at the 2003 conference. These speakers will undergo an extensive panel review. Reviewed and approved speakers will be placed on the NORA speaker recommendation list. This list will be made available to professional organizations in need of speakers on optometric rehabilitation. MID-YEAR EXECUTIVE BOARD MEETING This year’s executive board meeting was held in Ft. Lauderdale in conjunction with the COVD meeting. Details about the upcoming conference were discussed along with a program for advertising the meeting to local rehabilitation communities. Besides the annual meeting, information about NORA committee structure and budget review were discussed. ORGANIZATION UNITY NORA has met with representatives of optometric organizations, COVD, OEP, CSO, and AOA, in an attempt to work closer with these optometric organizations and to speak with one voice. We have discussed shared speakers, exhibit space, and meetings with the various groups and continue to work toward building closer ties with these groups.
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