Baromedical Nurses Association News

  • Annette M. Gwilliam, BSN, RN, CWON, ACHRN Baromedical Nurses Association, President
  • Volume 10 - Issue 1

The Baromedical Nurses Association (BNA) has been working hard over the last 10 years to improve as an organization and provide better benefits with membership. We were founded in 1985 to provide registered nurses working in hyperbaric medicine a formal organization. The BNA was founded with a goal to provide networking, education, research and a presence in other organizations. Our mission and vision has not changed; we are always trying to offer more for our members. 

Here are a few of our accomplishment:

  • Technology has improved over the last 10 years and so has our BNA website. We have lots of information, education and other resources for you to access. Check it out at
  • 2018 saw the initiation of HBO Nurse’s Day! We celebrated HBO nurses with an in-service, a “Proud to be a Hyperbaric Nurse” button and a video set to music celebrating HBO nurses from around the country. This year for our 2nd annual day on April 2, 2019, our theme is “HBO Nurses: The Key to Quality”! We will be presenting an online in-service for Category A CEUs free to our member. Be sure to watch the mail for a little something commemorating the day and your hard work. We will also email our members a poster to print and proudly hang in their department. In preparation for this year’s special presentation, send me a picture of yourself or your HBO team. It can be a portrait type or show you in action! Email to: This email address is being protected from spambots. You need JavaScript enabled to view it.
  • Visit our BNA table at the UHMS ASM and the chapter meetings near you. We love to support the UHMS and appreciate all they do to assist HBO nurses. See you in Puerto Rico!
  • Every year we hold an annual membership meeting which is open to all BNA members. We share what we have done and plan to do as an organization. This year it will be held at the Gulf Coast Chapter meeting in Dallas on September 6, 2019. Join us in person if you can or online to get the update of what the BNA is doing for you.
  • The BNA leadership is 100% volunteers. We have an executive board (president, VP, secretary, treasurer and director at large) as well as committees (education, by-laws, publications, safety, research, nominations, and awards). We would love to have you join the board. We are all busy working people but spending a few hours a month can make a big difference to the BNA.
  • No longer is the BNA for registered nurses only. We now have a discounted rate for LPN/ LVNs working in HBO to join the BNA. http://
  • We love to highlight HBO nurses who excel in our field. We have awarded a nurse the Diane Norkool award since 1996. In 2017 we initiated the Circle of Excellence award to honor a non-nurse that has been extraordinary in assisting HBO nurses. Now in 2019 we have started another award to recognize HBO nurses new to the field that are showing great leadership and exceptional care. Nominations are now open for these BNA annual awards. Check the website for information and nomination applications.
  • Safety is always important in hyperbarics. We have a page on the website with posted information, but recently we have added the members-only forum. There have been some great discussions and you can read the previous questions and responses. http://
  • Research is an essential element in all nursing fields. Our research committee is working hard on a new project. Watch for surveys and articles showing our results.
  • Watch for more BNA accomplishments to come and stay updated with all the latest and greatest on our website.

Also, a big thanks to the WCHM for supporting hyperbaric nursing over the years!  

CLINIC IN FOCUS: MountainView Outpatient Wound Care & Hyperbaric Center

  • Wound Care & Hyperbaric Medicine
  • Volume 10 - Issue 1

Clinic Name: MountainView Outpatient Wound Care & Hyperbaric Center

Location: 3150 N Tenaya Way, Suite 115, Las Vegas, NV 89128

Website/phone: / 702.962.7550

How long in business: 3+ years

How many chambers: 2 Perry Sigma 40 mono-chambers How many physicians/nurses/CHTs: 15

Medical director: Naz Wahab, MD

What are the most common indications treated at your clinic? Diabetic lower extremity wounds, then venous stasis ulcers. We are seeing a rapid rise in lymphedema-associated wounds.

What is the most memorable treatment success story that has come out of your clinic? Two years ago, we treated a 60-year-old gentleman for a scratch on his leg. Within two days, he had a sinus tract 18 cm deep and the depth of his wound was down to bone. He required several debridements, several cellular tissue skin substitutes, a couple of rounds of maggot therapy, and IV antibiotics—all to save his leg and its full function. Thirteen months later, we said goodbye to him. When he left us, he had full function of his leg without significant deformities. He was so delighted with our care, he referred his brother to us eight months later. Fortunately, his brother’s wound was not as serious and only required our care for a couple of months.

Do you work with a management company? If so, which one? No, we are very fortunate to be owned and operated by our hospital. We have been very successful while exceeding our budgeted revenue and patient volume, without a management company.

If you had to pick one thing to attribute your clinic’s success to, what would it be? Most outpatient wound care centers are run by general surgery and/or podiatry; ours has nurse practitioners, internal medicine, cardio-thoracic surgeons, podiatry, physical therapist and wound certified nurses. Our patients see any one of the specialists as their condition changes or warrants to ensure they get advanced care from day one.

What is one marketing recommendation that you can make to help clinics increase their patient load? Stress that people with wounds can and should reach out to a wound care center if their wounds don’t start healing within two weeks.

Is there are any additional question you’d like to answer, or any other information about your clinic you’d like to showcase? Our department was recognized for developing a wound coalition that included HCA hospitals within the Las Vegas market. Quarterly, 27-33 wound care staff & providers meet over dinner to discuss projects they are working on and best practices. We started this two years ago and the staff are very engaged. MountainView won HCA’s Innovator’s Award for developing a highly skilled work group, all for the sake of sharing ideas


  • Lorraine Fico-White, Managing Editor, WCHM Magazine
  • Volume 10 - Issue 1

WCHM celebrates its 10-year anniversary in 2019! Each issue will spotlight an archived article from the magazine’s prolific authors. This issue spotlights Gretchen Dixon’s archived article on compliance in the billing and coding section. First, however, to kick off this issue of WCHM, a brief explanation of what is in store for the magazine and its readers in 2019 and beyond is provided.

The Baromedical Nurses Association (BNA) provides updates from their website along with a summary of what they have accomplished and will do in 2019. A synopsis of the highly anticipated publication of the 14th edition of Hyperbaric Oxygen Therapy Indications is also included in this issue.

The clinic in focus section spotlights MountainView Outpatient Wound Care & Hyperbaric Center in Las Vegas, Nevada. Read about their wonderful accomplishments in this section.

Guest author and conservationist Dove Joans returns with the second part of her series “Aquatic Affair,” where she shares her unique thoughts on living life through breath and water.

Please help us celebrate our 10-year anniversary throughout 2019 by submitting an article to This email address is being protected from spambots. You need JavaScript enabled to view it. or call 561.776.6066. If you’ve ever wanted to get an article you authored published to an audience of tens of thousands of wound care and hyperbaric medicine practitioners, 2019 is the year for you to make this happen. Your article will be published and then archived for easy access into the magazine’s database.

We also invite you to join our elite group of WCHM advertisers and reach your target audience.

Do You Have the Perfect Drive? Perfecting Your Tee Off is Similar to Your Documentation Improvement

  • Gretchen Dixon CCS, CHCO, AHIMA Approved ICD-10 CM/PCS Trainer
  • Volume 10 - Issue 1
Our challenge for 2019 is to perfect your golf drive by performing a mental checklist as you stand at your tee addressing the ball.
Clinical documentation improvement is very similar to your golf drive mental checklist. Before you begin your documentation, it is important to know the reason for the patient’s encounter (standing in front of your tee) and then to identify and document all relevant information in the medical record.
The KEY SOURCE supporting a patient’s need for an encounter is your clinical documentation. Our articles continue to focus on physician clinical documentation specific details. Why? The Centers for Medicare and Medicaid (CMS), the Office of Inspector General (OIG, and other third party payers also recognize these same clinical documentation weakness, which is why you may receive letters from your CMS Medicare Administrative Contractor (MAC) or the OIG requesting overpayment investigation and monies returned. It is in your best interest to be proactive and improve the clinical documentation. Week after week performing provider/physician documentation audits, the discovery continues to find clinical information conflicting, inadequate, incomplete or vague thus not supporting medical necessity for HBO therapy. So how can your documentation support diagnosis(es) and/or procedure codes (CPT codes reporting Evaluation Management encounter, procedures) when the information is not there?
Within this article, while sharing the similarities between clinical documentation and your tee off performance, we are focusing on a similar goal of improved performance. This is manifested by helping to straighten out your drive and add value to your clinical documentation.
An instructor analyzing your golf swing can break it down motion by motion with an understanding of how much a small change can affect your swing speed, club striking position with the ball, the path of the ball and the speed at which it travels down the fairway toward the green. Our clinical documentation takes on the same methodology if we pay attention to the small details.
To begin with, the game of golf has three separate components or mini-games (the drive, the fairway shots, and the short game—putting on the green) which makes it a complex and difficult game for anyone to play whether you are an amateur or a professional. Most of us who play golf are amateurs who enjoy the challenge of every stroke. The first mini-game is the drive off a tee at each hole. This action shot sets up the rest of the strokes toward the hole until that little ball falls into the cup. Without a long drive down the fairway, your par (score) could be in jeopardy, meaning you may not make the par 4 to be on your score card for this hole. Your dream of a birdie may turn out to be a bogey (scoring 1 shot over par for a hole)—Ouch! This translates to a par 5. Yes, this does relate to your clinical documentation!
When setting your tee, you mentally go through all of the points in preparation for your perfect drive swing, and then you begin a couple of practice swings before addressing the ball. “Whack!” sounds your driver as it connects with the ball, sends it up in the air, looking great, and then it suddenly fades into a slice (ball veers to the right) off the fairway into the tall rough out of bounds. Oh no—a lost expensive ball and what is worse— lost strokes—as you mentally see your par fading away for this hole and for the game. What went wrong? How did that happen? What are my peers thinking? This could be a long hardgame.
Some days you just feel alone—anyone who has played golf knows it can happen to anyone at any time. Clinical documenters are similar to golfers because of the number of mental activities which must be accomplished simultaneously. It is these mental activities which may cause distraction from documenting thoroughly and completely. Your clinical documentation only has to provide the facts
as well as linking findings and information to the reason for the visit. Just listing a problem or medical condition does not adequately demonstrate medical necessity for the visit, especially when HPI (History of Present Illness), ROS (Review of Systems), and PE (Physical Examination) are inconclusive with limited information.
As a clinical documenter, you have to be on your game to ensure you are able to gather all of the necessary information to make a medical decision and support medical necessity of services. Many patients have complex health concerns and require close monitoring; however, without clear, concise, accurate, and factual clinical documentation, it is often difficult to determine the provider’s thought processes for treatment. This affects the patient and other healthcare providers who need to follow through with various aspects of his or her medical care.
Practice, practice, and more practice with adding specific details in your clinical documentation are necessary to ensure our outcomes are as required. A single habit took 90 days to make it a life routine, so chin up, smile on; we can make our clinical documentation meaningful for the continuity of patient care. Let’s look at the dynamics between the golfer’s swing and a provider’s clinical documentation for a visit in a medical record and discover the similarities. As you review the similarities, each item relates to the previous activity and all of the activities result in a final outcome.
  Golfer Provider Documenter


Do you have the correct club for the distance you have to drive the ball?

Are you with the right patient and have the correct medical record for this patient?


Did you tee your ball to the correct height to favor your driver? (Too high and you will not have the expected ball distance to reach down the fairway)

Do you have the appropriate date of service documents to begin gathering information during discussion with your patient?


Is your stance correct with your feet shoulder width apart? (Wide enough for stability but narrow enough to promote a full body turn)

Chief compliant or reason for the visit documented


Is your grip tight enough or too tight on the club handle to prevent rotation of the club face? (Grip was not good: left thumb was not tightly held into the palm of the right causing the club face to turn rotate slightly just before impact)

HPI—History of Present Illness
Were questions asked to obtain answers related to the reason for the visit noted in the any of the eight elements?

  • Location—body area or specificanatomy
  • Quality—related to type of pain—dull, sharp, stabbing, radiating or laceration described as jagged, straight, or sore throat as scratchy
  • Severity–measure of pain on scale of 1 to 10
  • Duration—when did the symptomsstart
  • Timing—recurring, comes and goes, etc.
  • Context—how the complaint occurred
  • Modifying Factors—What steps has the patient taken to alleviate the symptoms
  • Associated Signs and Symptoms—Usually volunteered by patient and information does not fit into any other category


How is your form? Is your head down, eyes locked on the ball? (Moved your head, took your eyes off the ball)

ROS – Review of systems related to the reason for the visit—Noting no abnormality does not necessarily provide supporting documentation for medical necessity.


Beginning your take away (back-swing), keeping your left arm straight. (Weak drive due to collapsing left arm—lost distance and accuracy. No chicken leg elbow effect. Left shoulder can turn under your chin.)

PE — Physical examination related to the reason for the visit and information in the HPI


Hit through the ball, head down (no movement) wrist remains cocked on release as the club face strikes the ball. (Drive distance could have been better if your head remained still and with your eyes focused on the ball.)

Assessment—diagnosis(es) supported by evidence documented
during the visit


Finish the swing with a full rotation of your hips with your belt buckle facing the green. (Not quite as flexible as you should be–you may need to use the practice range to warm up before a game)

Plan – decision making process linked to evidence documented
during the visit
Discussion with patient including questions and comments from
the patient
Orders documented


The ball would have went the distance if it had not faded (turned right) into the pond, the tall rough or woods. What caused the fade? This happens when we take our eye off the ball, move our head and allow the handle of our club twist.

What is in it for you? Game improved—

  • Improving accuracy of drive
  • Pars recorded with fewer bogies
  • Pars equal a better game
  • Golf score above 36 such as 40 is not bad and should bring smile with thoughts of the next game

Documentation errors or inconsistencies happen when we lack
focus on what we are doing. Correcting these inconsistencies will take patience, education, and practice to improve both.

What is in it for you? Process improved—

  • Clinical information supports medical necessity
  • Reduced questions from your coders improve code
  • Improved code selections
  • Reduced third party request for additional information and/or denials
  • Reimbursement more accurate and timely

Regardless of what we wish for, we need to continue to be proactive with clinical documentation within the EHR (Electronic Health Record) or the EMR (Electronic MedicalRecord).

Medical Necessity Has Two Tees

In the last six months of 2018, I have been involved with clients regarding a request from the Office of Inspector General for HBO services and identified overpayment. The clinical documentation review was a disaster to find the medical necessity. Here is the relationship between your golf game and your clinical documentation. The first tee is long (31⁄2 inches), representing clinical documentation by the provider believing the information will support the services provided. The second tee is shorter (2 inches), representing how the payer determines medical necessity. We all know documentation must support the clinical medical necessity of the visit; however, the meaning of the term “medical necessity” may be different between physicians/providers and Medicare or third party payers. The difference is between clinical medical necessity and billing medical necessity. As a provider, you may believe the service is medically necessary; however, the payer may not interpret the services as such. Ouch! Your drive only went 150 yards—not your usual drive of over 200 yards. Therefore, it is advised to review and understand each payer’s expectations noting the commonalities among payer’s expectations.
So what should your documentation include in each visit? Just like getting ready to tee off for your next drive, think about the relationship of where you are (beginning a visit) and how many strokes it is going to take you to get to the pin on the third hole for a par 5, 525 yard hole (What is the patient’s story?)


  • Tell a story about the patient’s reason for the visit.
  • Document all relevant elements as to the reason for the visit. Don’t assume other health care team members or external reviewers/auditors have the same level of knowledge you have.
  • Link the identified diagnosis to HPI, ROS, PE, and medical decision making process.
  • Know your payer’s medical policies and document in their terms when possible.
A simple example is trigger point injections. These are often performed and considered simple in the clinical setting, however, it is the documentation which is more complex. Therefore, this is a good demonstration regarding the amount of detailed information your payers may be looking for and, if not found, a denial may result. Trigger point injections’ indications/limitations/documentation requirements often differ between Medicare Administrative Contractor’s (MACs) Local Cover Determination policies (LCDs). This is where the emphasis in this article is to focus on patient related details thus providing a complete story of your patient’s encounter. Review your LCD for the specifics as one may be more detailed than another. However, by including the below information, your documentation will be clear, concise, and thorough to support medical necessity.

Clinical Documentation Requirements

Documenting the following items may result in a reduced risk of denial if there is a detailed history and thorough physical examination:
  • History of onset of the painful condition and its presumed cause (injury/sprain)
    • Location
    • Duration
    • Failed therapies
  • Distribution pattern of pain consistent with the reason for the visit
  • Range of motion restriction
  • Muscular deconditioning in the affected area
  • Focal tenderness of a trigger point
  • Palpable taut band of muscle in which the trigger point is located
  • Local taut response to snapping palpitation
  • Reproduction of referred pain pattern upon stimulation of trigger point
  • Conservative therapy has not provided acceptable relief, is contra-indicated or not appropriate
  • Plan/Goal:to treat the cause of the pain and not just symptoms
    • Note the reasonable likelihood the injection will significantly improve the patient’s pain and/or functionalability
  • Diagnosis must not be generalized like low back pain—may be considered non-covered
  • Be as specific as medically possible with your documentation


  • No more than three injections in a three-month period by one payer
› Another payer notes more than four injections 
per year will not be covered 
  • If the injections are performed more than three 
injections in three months, the reason for the additional injections must be evident in the medical record and available to the contractor for review. 

  • Documentation in the medical record must support the medical necessity and frequency of the trigger point injections. 

A lesson to learn from a trigger point injection documentation is to understand the value of details needed in the clinical documentation assessment of the patient regardless of the provider’s specialty of practice. The pleasant sound of your driver hitting the golf ball in the perfect spot produces a welcome “whack” as you watch your drive fly up and straight down the fairway passing the 200- yard marker on your first hole. Now the pressure is on because you have to remember exactly what you did right to accomplish this wonderful feeling. It is in the details of what we do every day. The game of golf is very precise just the way your documentation needs to read.
Pay attention to the little details for big results—a birdie (one stroke less than par for the specific hole)! As we continue to learn to code in ICD-10-CM (diagnosis coding), the little clinical details you begin to add to your clinical documentation will support a more accurate diagnosis code thus meeting medical necessity of provided services. Hope to see you on the golf course with long straight drives—your documentation tells a story filled with details; it is thorough, relevant, and easy to understand.


  1. ICD-10-CM Coding Manual, published by Optum360, October 1, 2018 through September 31, 2019.
  2. NCD Risk Assessments October 15, 2018 relating to HBO. Author Dr. Arthur Peterson published by HCCA Webinar.
  3. The New Future of Hyperbaric Medicine, Medicare Regulation with Targeted Probe and Educate, dated March 1, 2018 located in Todays Wound Care magazine
  4. Cahaba Government Bene it Administrator (GBA), LCD ID Number L30066 Surgery: Trigger Point Injections
  5. Checklist for Hyperbaric Oxygen Therapy March 28, 2018 addressing specific clinical documentation of diagnosis in the HPI and Progress Notes to include measurable signs of healing.

About the Author

GRETCHEN DIXON, Independent Revenue Cycle Compliance auditor who performs audits regarding the outpatient revenue cycle healthcare compliance arena. She has conducted compliance education and audits for outpatient departments and physician services with a focus on wound care department operations for more than fifteen years. Gretchen is a faculty member of Wound Care Education Partners, teaching on the topic of “Business of Wound Care & Hyperbaric Medicine” and conducting webinars. She holds several credentials including an MBA in healthcare management; RN with a practicing license in New York and a 23 multi-state licensure from Virginia; AHIMA approved ICD-10-CM trainer and CCS; and is a certified healthcare compliance officer. As a longtime internal healthcare auditor, she identifies issues through audits of documentation, coding, and billing practices. The outcome of each audit determines the topics of education to be provided to the staff and physicians as she proactively believes education is the key to having complete, accurate, and consistent documentation for accurate reimbursement of billed services. Contact her at This email address is being protected from spambots. You need JavaScript enabled to view it. or 615-210-7476 for more information.

Our Aquatic Affair: “Dolphin in the Womb”

  • Dove Joans
  • Volume 10 - Issue 1

Dove Joans is a creative conservationist who has been researching this evolutionary subject since 1977 through the sciences, arts, empirical evidence, and education, with a focus on protecting wildlife, oceans, and cultural heritages. The opinions expressed in this article are strictly hers based on her ongoing research.

I began the dolphin memory movement in 1977 after an epiphany from one of Dr. Roger Payne’s “Songs of the Humpback Whale,” unlocking some ancient sea memories in me, literally. Years later, I called the remembering of our shared “connectivity” by activating and accessing our ancient DNA coding “The Dolphin Memory Movement.” This article shares part of this science, empirical evidence, and discoveries.

In Part 1 of “Our Aquatic Affair,” I wrote about remembering our original language with life through breath and water. “Breath, to share, to hold, to give, and to behold as the beautiful key to our existence. And a mystery to unfold, just like Nature.”

In Part 2, we’ll be exploring the connections humans have with cetaceans from the womb to the moon, touching upon telecommunications, as well as quantum physics. Why share the connections we have with dolphins and whales? We share so we may find the help in areas of science, communications, and consciousness we have been looking for. 

To me, it’s also our lost language of love, beginning in the womb and touching upon our entire lives. It’s water evolving from the biology, chemistry, and physiology of us (described in Part 1). 

We are each an expression of water, from the beginning of time into eternity—a 0 to 1 equation. We exist, live, and thrive on a water-based planet so we all have something in common to share . . . H20. 

We also created our telecommunications, text messaging, computers, and phones to remind us of our heart- forward dynamics in creation, reflecting our connections to life and Nature itself. Much like the song’s lyrics of “Once in a lifetime,” by Talking Heads.


WCHMV10I1image02 WCHMV10I1image03


Imagine all of life’s connections begin in the womb. Science and the birthing process already says, “Yes.” Naturally, isn’t it easier to enter into the mysterious world of nonhumans (animals) and Nature through the wonder and heart of a child? A world that’s always waiting for all of us to be actively a part of it.

What do dolphins have to do with babies in the womb? Universally, the word for “dolphin” is simultaneously used with womb. The word comes from the ancient Greek word “delphys” (delphus) meaning womb. In fact, in ancient Greek, delphus means both dolphin and womb.

According to Wikipedia, all the species in the family Delphinidae are oceanic dolphins, including whales such as orca, false killer whales, and pilot whales.

The word “adelphi” means “‘of the same womb” and carries the same meaning of brotherly love, like the city name of Philadelphia. Womb is the aquatic place we share and where humans and cetaceans began.

Just like us, dolphins and whales are mammals, not fish. They also share close family bonds, complex social structures, intelligence, self- awareness, and highly developed communication systems. As humans do, they also procreate and have baby embryos in an aquatic environment. Cetaceans, though, give birth tail first, usually with helpers around to assist in the baby’s first breathe, pushing them to the water’s surface. In 2014, off the island of Maui, I had a birthing dolphin mother swim directly in front of me, showing me her tiny baby coming out of her, tail first. It was a labor that lasted over two hours in the ocean bay, with her pod surrounding and supporting her the entire time. Sound familiar to our own midwives, nurses, and families helping us during our own birthing process?

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Moon/Dream of Humanity

I believe that, “Deep within the oceans and in our subconscious lies the dream of humanity... feelings of connectiveness and being a part of something bigger than ourselves.”

What is it that really drives our needs for telecommunications, exploration, leaving a legacy, and the arts? Isn’t it the same desire for connecting into the dream of humanity? How do we embrace connectivity in our own lives? What if we were designed to enjoy the gift of life in the present? Dolphins and whales live in the present moment, as do all other animals, except humans. Why is that? In our modern day, we’re often thinking about our plans, holding onto the past, or worried about the future, so the present moment goes unrecognized. Dolphins are aware of each moment, all the time, first from the biology of being a conscious breather, where they are choosing each breath they take. They have the ability to put one side of their brain in resting/sleeping mode, while the other side is actively conscious.

Secondly, they are experiencing life from 50 million years of evolutionary development, with the emotional folds of their brains in the cerebral cortex highly convoluted, complex, and bigger than our human brains. Feelings of connectiveness is what dolphins and whales have in supersized-mode, developed over millions of years acoustically.

“With more consciousness, comes more awareness. With more awareness comes more compassion and love.”
~ Dolphingirl




Just like us, dolphins and whales have been telecommunicating, sending wireless messages over vast distances for over 40-50 million years. It’s “picture talking” in 3D (holographic communications). In comparison, we have been using this technology in digital phones and computers for 40-50 years, plus 99% of humans learned this form of picture talking very early in life as an infant, possibly even in the womb, when we are exposed to feeling sound.

For cetaceans, this form of sound communication is digital, even resembling ultrasound. Their high-pitched sound waves X-ray their environment and then bounce back to create images like holograms for dolphins and whales to sea their world. For us, this form of sound communication is analog and digital. Our brains (and thoughts) do the analog organization, and our hearts (and feelings) do the digital of transmitting and receiving.

Through the field of cardio-energetics, studies found in Paul Pearsall’s The Heart’s Code show that our heart’s magnetic field is 5,000 stronger than our brain, and that our brain and heart are in a constant exchange of 40,000 neurons of communications daily.

I believe we are using our invisible sixth sense of feeling first, then transmitting those impressions/imprints to our brain for sorting. Like the dolphins and whales, we are doing telepathic and holographic communications, yet most of the time, it’s unconsciously and on auto-pilot.

Remember “I see you” in the movie Avatar? The underlying core message is the ability to sea with thy own heart. To me, “I sea you” is really, “I feel you.” It’s the invisible realm we are first communicating with 24/7, the sound we are feeling, which then gets transmitted to our brain for interpretation (pictures), based on the attitudes and perceptions we are currently holding. Like music is in our own lives, we feel the sound, instead of think the sound. We form memories from the way we are feeling.

In our cognitive evolution, we have evolved for thousands of years through sight and touch. However, for millions of years, our dolphins and whales friends have evolved acoustically.
In our shared world, sound is the basis of all shape and form, meaning “matter” matters.

Matter is constantly changing, as well as exchanging information, just like something else we know—the oceans and us. Matter is energy, and energy never goes away, it just changes form. That’s why sound is so important in our daily lives, as well as our planet’s sustainability. It has the potential key of transforming life and connecting life, even down to cells regenerating. So why not learn from our oceanic counterparts, the sound experts in their natural environments?


Quantum Physics

Dolphins and whales communicate in heart-forward dynamics, just like Nature is doing in its mathematical designs of quantum physics. Water is amplifies this, affecting the health of our oceans and our planet every moment of every day. To find this among humanity, we would need to go back into the ancient language of the Australian Aboriginals’ Dreamtime. Dreamtime is the oldest living language that reaches across to the connectivity in all of life.

Dolphins and whales communicate in the positive. They focus on what they want, not what they don’t want, like all other animals, except humans. The human language has developed negatives over time into our modern civilizations, affecting the media we’re exposed to, our perceptions, and eventually forming our belief systems. If you talk with indigenous Hawaiian kahunas (spiritual teachers), they will reveal that their ancient native tongue had no negatives. If they had a feeling of frustration or anger, they uttered a sound, not a word, because words created sound frequencies like ripples turning into waves.

Imagine using our words as if they were action words. When you want to feel hopeful, then you need to do a positive action toward that feeling.

When you want to feel loved, then you need to do a positive action toward that feeling of love and being loved.

When you want to be happy, then you need to do a positive action, heart- forward towards happiness.



Just like us, dolphins have complex feelings.

“Nature’s biggest deception,” says former Flipper trainer and activist, Ric O’Barry, “is observed when dolphins are in captivity.”

Dolphins have a smile on their face from Nature’s design. Just like us, they have different moods and feelings throughout the day and night. In captivity, they morn for family loss, experience sadness from being separated from their family pod, develop extreme anxiety and ulcers from the constant bombardment of noises, and tragically express immense grief by committing suicide from drowning or banging their head against the cement tanks that have replaced their natural sea home. Captivity strips away everything that makes a dolphin a dolphin.

Now, more than ever, is a time for consciousness, not control, a time to return the humane back into our word “humanity.”

I also believe that through a term I’ve coined, the dolphin wave, we can reduce stress, increase learning, aid in healing, and enter back into avenues of hope and happiness for our lives, especially in the midst of adversity.

Sea is to feel the depth of the ocean in all of us.” ~ Dolphingirl

To learn more about the power of memories, our nature with Nature, the benefits of buoyancy, DNA access, and the dolphin wave, please visit .


About the Author

DOVE JOANS, aka DOLPHINGIRL, is a creative conservationist, author, speaker, and explorer with The Explorers Club in the cognitive sciences of dolphin communications since 1977.

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