Introversion Is My Public Speaking Superpower

One of the greatest misunderstandings of introverts is that we don’t like presenting in front of other people. Like shyness, fear of public speaking is another alleged trait of the introverted person.

If I’m honest with myself, some of the worst speeches I’ve endured have been by people who love the attention but don’t deliver more than the smoke and mirrors of charm and energy. However, some of the best speakers I’ve seen were from presenters who had mastered the material, made the content itself the focus, and intentionally directed their time and energy into delivery. These are usually the introverts and this is how we deliver.

*Introverted workers waste less time socializing. Think back to group work in high school. Those who wanted to work dreaded being stuck with the chatty kids who coasted by on the work of others. Group work felt like a death-sentence for me.

*Introverts spend their speaking energy wisely. Since we recharge our energy apart from others, we are more concise about what we say and how we say it.

*Introverts focus on the message. Since we’re more content with thinking before speaking, the concepts we present have the potential for deep impact on an audience. We care about our message leaving an impact more than our persona leaving an impact.

*Introverts identify with the audience. Extroverts ask “how am I doing?” Introverts ask “how are they doing?” Looking inward, introverts can empathize with how an audience feels about the presentation, not just the presenter.
Here’s where I find that my assets as an introvert bring me relief. Because I can imagine myself in the audience, I can be authentic with them. My social reserve is a strength, not a weakness. If I’m prepared well, I’ve not only crafted the message, but I’ve done some serious self care so that I don’t have to put on a mask. I can be me, and they see it.

Socrates identified three elements to public speaking: the speaker, the message, and the audience. He must have been an introvert. At our best we are aware of ourselves, the message we carry, and the audience who needs what we have.

Remove the stigma of having an inward social battery. Your light can burn longer when you monitor the current. We are the introverts who balance the flow of energy from audience to speaker, along the medium of the message. We’ve got this.

Addressing Edema and Pain in Athletes

Manual Lymphatic Drainage and Compression Bandaging (not ACE wraps) is now widely accepted as the gold standard in edema management in national and international conferences and symposia. Gone are the days of retrograde massage, pneumatic compression pumps, and ACE wraps only.

The lymphatic system is comprised of delicate vessels just below the skin. They assist the venous system in returning fluid back to the heart. When there is an overload of fluid due to an injury or surgery, the venous system has a hard time taking back and extra load, because it is a “closed loop” with the arterial vessels, (think train track around a Christmas tree). However, the lymphatic vessels are “open loop”. This open network of vessels has no work to do sending fluid out into the interstitial space, they just hang out-waiting to accept and transport fluid.

The catch is, there is no central pump in the lymphatics like the heart in the cardiovascular system. Therefore, muscle contraction is the biggest mover of lymphatic fluid but what about an athlete that has an acute injury or just had a surgery? Their muscle pump is greatly affected, so all the fluid that was sent to the injured site to protect and heal gets stuck. That’s where MLD and compression comes in. We can QUICKLY and effectively move the fluid out, decrease edema and pain and allow more motion, then progress BACK to the muscle pumping to keep the fluid out.

Manual Lymphatic Drainage is one of the few manual techniques that we can use when a client is swollen and bruised. If we try to use deep tissue, or even a light form of manual work, we collapse and bypass those delicate lymphatic vessels that can carry the excess fluid out of the space and we are just working in the fascia and or muscle, which is not where the primary concern is in acute injury.

Want to learn more? Just email me for the powerpoint.


Craniosacral and Lymphatic Connection

Cranial Circle N0: 40 “The Craniosacral Lymphatic Connection”
Lymphatics play a significant role in the circulation of cerebrospinal fluid (CSF). Bruno Chikly has known this for a long time. In his book “Silent Waves” there is a quote from the writings of A.T. Still, “your patient had better save his life and money by passing you by as a failure until you are by knowledge qualified to deal with the lymphatics.”
I took a class late last year on manual lymphatics. The system is really intriguing and I have been studying the topic ever since. It removes cellular wastes but also delivers T and B cells as part of the body’s immune system. This is just the beginning. Among other things, it plays a vital role in returning CSF to the blood stream. In viewing the delivery system of blood in the fetus it is clear, fresh, nutrient-rich blood from the placenta that enters the fetus as the umbilical arterial vessel merges with the ascending vena cava (main venous pathway) of the fetus where it then enters the heart and relies on the heart to distribute the new blood through the fetal arterial system. Importantly, the descending aorta (main arterial pathway) divides into the femoral branches where two other branches return blood to the placenta. Essentially the notion that veins return old blood to the heart and the arteries send new blood from the heart is not true. The notion that all CSF is produced by the ventricles and returns only by way of the arachnoid villae in the meningeal sinuses is also not completely true. Just as veins and arteries have dual roles I believe that craniosacral therapy (CST) and Manual Lymphatic Therapy (MLT) can as well.

Reading about new research on CSF, a large portion of CSF returns by way of pathways including the lymphatics, which contributes approximately 50 percent of that return. In the entire scheme of CST it appears that the quality and efficiency of the lymphatic system enables the efficient production and distribution of CSF by creating more room to produce more new CSF. This seems so obvious to me. We have always taught that we open up pathways of circulation with thoracic inlet diaphragm release before doing vault techniques so the increased circulation of CSF has some place to go. Why not evaluate and clear the lymphatics at the same time?? The ventricles receive arterial flow for CSF production and the lymphatics create evacuation of CSF into the veins creating re-absorption. It is a marvelous addition to the arachnoid villae emptying into the meningeal sinuses and jugular vein. It is an enhancement of flexion and extension, is it not?? Could basic structural CST have a lymphatic component as part of basic technique??

I found this quote from the writings of A.T. Still:
“The lymphatics are closely and universally connected with the spinal cord and all other nerves, long or short, universal or separate and all drink from the waters of the brain.”
Some concepts making the relationship between CST and lymphatic techniques relevant include: Arachnoid villae have been found along the exiting neural sleeves of the spine emptying into lymphatic vessels. CSF exits the head from the eyes, ears, nose and cervical nerve roots emptying into lymphatics. CSF also exits directly into the intercranial blood vessels by way of Virchow-Robin Spaces. Opening pathways of circulation in the thoracic area prior to doing CST vault techniques has been a priority for a long time. Lymphatic circulation is responsible for the re-absorption of at least 50 percent of CSF.
It is time we include the study of lymphatics and basic manual techniques to facilitate lymphatic flow as an essential part of a complete CST curriculum. Look for new class offerings this fall as the CST Alliance moves CST forward with the Craniosacral-Lymphatic Connection. Thanks for reading. Comments welcome.
Happy Day,
Don Ash

I’m excited to help Don with the manual lymphatic drainage piece of this new program! Carmen

Online International Breast Cancer Rehabilitation Summit

Register now for the Online International Breast Cancer Rehabilitation Summit! Learn from experts around the world about the leading rehabilitation treatments and interventions to enhance the recovery of breast cancer patients. For more information, check out their website:

A day pass is FREE, or you may purchase unlimited access for six months.

Enjoy!  Carmen

Learning to Love Lymphedema

img_0155-1Hi, my name is Mary Frances Kastelberg. I am 19 years old and started my journey with lymphedema 7 years ago. It all started one night in December, when I was most likely dancing in the kitchen to Billie Jean by Michael Jackson, or the new Justin Bieber song. My sister called me over and told me to stand in front of her. She told me that she thought that my right thigh looked bigger than my left. We grabbed a measuring tape from my mother’s sewing kit and sure enough, my right thigh was a whole three inches bigger than the left. I had noticed it was harder than before, but I thought that I was just gaining muscle. My mom however was worried, and the doctor’s appointments started. I started to get scared after my pediatrician did not know what was wrong.

Two doctors later, I was told it was a tumor, and twelve year old me was asking my mom if we could make a wig out of my own hair so I did not have to wear someone else’s. Two doctors, an MRI, and a CT scan after that, they decided that my leg was “definitely full of something” but that it was not cancer. I didn’t know how to feel as I sat in the sixth doctor’s office, my knobbly knees in front of me, my bare legs showing the scapes of a twelve year old who loved adventures. Did I actually want cancer? That would be better than what this doctor was saying. He told me that he thought I had a thing called lymphedema, and that there was no cure, and the list of restrictions ranged from taking hot showers all the way to making sure I no longer scraped my leg. I’d have it for the rest of my life and there was really nothing I could do.

img_5215We made an appointment with a lymphedema therapy center as soon as we could. From there, things did not look up. I was put in bandages at the end of August for intensive treatment. I hated it. I wouldn’t leave my house for a week and a half until finally my sister and mom convinced me to go to the mall with them. I’ll never forget my first time feeling like a freak in the freak show as I watched people of all ages stare as they walked past. The worst was seeing a young girl tug at her mom’s shirt and point as the bandages began to unravel, getting tangled as I scrambled to pick up the mess that was my life. I went back home and cried to my mom, I told her that I just wanted to die. She told me that we would get through this. That’s when I became angry. There was no “us”. It was me and I had to live with lymphedema alone. The therapist had stressed how hard it was that I not hurt my leg in any way, and I remember many nights being so angry and upset that I would dig my nails into my thigh, trying to break the skin. Looking back, I’m not sure why I intentionally tried to make my situation worse, I guess it was a way that I could put the pain into perspective.

A few months later, November, I got out of the shower one evening to find my foot and ankle extremely swollen. I was rushed to the ER, “Change Your Mind” by The Killers blaring into my ears as my head was pressed against the car window. After an IV, a nurse came in and told me that he was very sorry, but that the swelling was just part of my condition, and that there’s nothing they could do.

img_5427-1After a year of wearing pants, and crying with embarrassment anytime anyone asked what was wrong with my leg, my mindset began to change. I was tired of hiding and living inside myself. I began to take lymphedema as a challenge, instead of playing the helpless victim. I became frustrated with the limits that were set on me, and finally experienced a breaking point when a therapist told me that I would never be able to get my leg down past 26% larger than the left. That was all the motivation I needed to prove her wrong. I did another two weeks of intensive treatment to get my leg down to a volume difference of 16% larger. I couldn’t live in bandages however, so my leg filled up with fluid again. My relationship with my therapist got extremely tense, and I began to rely more on my MLD therapist for comfort, knowledge, and guidance. Dusty became my saving grace, she was someone who I could vent to, and who always had a positive outlook. I started to wear shorts, even tie­-dying a stocking. I realized that rather than being embarrassed, I could use my own experience with lymphedema to teach others.

Eventually I heard about Dr. Granzow through my lymphedema doctor in North Carolina. Following an evaluation in California, I created a Go Fund Me because insurance would not cover the Suction Assisted Protein Lipectomy, claiming the surgery was cosmetic. I raised $20,000 thanks to an amazing support system. December 16, 2015 I had the surgery that changed my life. The results had over a 100% reduction, breaking a record. Unfortunately, I also had a complication that had not been seen prior. Because my leg has no lymph nodes and my vessels stop at my foot, the content in my leg was almost solid, causing Dr. Granzow to be much more aggressive than usual. The surgery was a success, but because of the aggressive nature, my quadricep muscles atrophied and became as tough as concrete, limiting my range of motion in my knee to 40 degrees. (The average range of motion is 151 degrees.) I suffered from nerve pain for about 4 months, not sleeping a night through for 25 days. Physical therapy began in January, and I worked out three times a week to regain my range of motion until halfway through March.

Although my journey with lymphedema has been difficult, it has taught me so many different things, from what I hope to pursue as a career, to determination and acceptance. I now believe that I was given lymphedema for a reason, to teach and to help other people learn to love all parts of themselves.

Go With The Flow-AMTA Massage Therapy Journal

Recent contributions to increased knowledge in the lymph system.  Pass it on for someone’s good health.

Social Media Basics for Your Business

Join us August 5th at 12pm or 3pm for Social Media Basics for Your Business.

Check it out!

New Mastectomy Scar Survey Results and Applicable Clinical Information

Please share and support Denise’s cumulative work:!free-downloads-for-cancer-care-clinician/c1q2l

Time Management Toolkit

Face it, we are all in the business of busi-ness.  Make your time the most productive it can be and add to your personal and career satisfaction.

Here is one tool to try.

If you are interested in more.  I am starting a coaching group for business development and improvement for allied health professionals. The class is 1$  yep!  That’s right.  We can all share business development ideas and tips.


New Comprehensive Integrative Oncology Rehab Certification

Description of Learning Objectives:

Interpret the surgical procedure and previous or ongoing treatment of an oncology care patient and how it relates to progress in our rehab and bodywork protocols, special focus will be on types of oncological surgeries and types of reconstruction.

Obtain a working knowledge of cancer pathogenesis, tumor and disease identification.

Evaluate chemotherapy agents and their side effects and complications including chemo induced neuropathy, chemo brain, fatigue, myelosuppression

Establish treatment protocols including exercise based on ACSM guidelines with the ability of the patient to progress on their own long term; soft tissue work and other manual techniques to restore ROM, strength and thus function. Both aspects of rehab will lend to the patient feeling whole and indirectly aid in restoring mental and emotional health.

Gain the ability to properly utilize functional outcomes measures using ICF classifications, extensive assessment tools and appropriate G-codes, CPT codes and ICD-10 codes in documentation.

Discover patient education techniques related to self soft-tissue mobilization, exercise, chemotherapy side-effect compensation, and other needs of oncology care patients with significant lab time for K-taping, neural gliding, axillary web syndrome and more.

Relate the basic anatomy and physiology of the lymphatic system to that of a patient in oncology care. Understand how lymphedema may impact their functional limitations and what to do to help them reach their full rehab potential.

Understand the gold standards in lymphatic/lymphedema care in a patient that has had lymph node removal or impairment, with significant lab time.  Break out sessions specific to your goals.

Recognize the physical and psychosocial implications of cancers involving bowel, bladder, and reproductive organs, how this impacts their functional gains and how to best treat.

Round table discussion with current research on other related topics of interest submitted within 30 days of course.

Please email Carmen at for registration and hotel information. Please check your spam folder for receipt unless you have added this email as a contact.

When: August 19-21, 2016

Time: 8:30 AM-4:30 PM

Where: >Hampton Inn, Christiansburg, VA

CEs: 24

Price: $895 or online only option for $595

Thank you!