Signature Massage

December 2, 2008 by David  
Filed under Featured, Services

A therapeutic massage that is developed specifically for you, based on your needs at the time of session. Utilizes a variety of modalities, including: Reflexology, Trigger Point therapy, Shiatsu, Russian Sports massage, Structural Integration, and Acupressure. 60, 90, 120 minutes. Purchase. Schedule. See all HIM’s Services.

Models from Abroad Strike Again!

In my experience, which does not include losing thousands of dollars like other MTs around the U.S. but right up to that “point of no return,” the following email has not the scent of an Italian model, but rather that of a rat.

I have 8 unique attempts at fraud in my file - unique in their origin, but very common in their M.O. The following email is another attempt. Some key elements of this type of email fraud that I’ve found evident in every fraudulent email are:

  • Non-Domestic - best characterized by the email domain that is not .com, .net, .us, .biz, .info, .org, .gov (or other “dot” that you recognize more often), and also characterized by the broken English writing & unofficial “official” statements [like the "confidentiality" statement at the end of this email],
  • Model - the model him/herself or their agent (friend, manager, travel agent) is not necessarily a model, but is someone travelling from abroad to Nevada,
  • “U.S.” is where they are traveling to - a specific address is never stated as to where they will be staying so you can go to them to do your massage, and they most likely will agree to come to you,
  • Referral - they will mention that they got your name from someone else that knows of you, but your name will never be used in the email (unless you give it to them),
  • Introduction & Correspondence emails are different - the introduction email is a template filled in with basic information they have about the state you’re in; the city and your name remain unknown and unacknowledged by the writer (unless you give it to them).

Here’s the Email:

From: marcetocca@tiscali.it [mailto:marcetocca@tiscali.it]
Sent: Wednesday, November 05, 2008 1:04 PM
Subject: Massage Inquiry
Hello,
How are you today? My name is Mrs Marcella Fedelle, i live and work here in italy, i am 36yrs old. I have been doing massage since 1989. I do a deep relaxation massage in which the muscles relax without pain, I also do energy massage that helps people feel great when I am done. I am certified to do pregnancy massage .I have lots of happy clients here in italy , I have a client Miss Alessandra Amato A Model here in italy ,She will be coming to the U.S in three weeks time for a modeling job and she will be residing in Nevada temporarily until the neccesary arrangement for her job has been made before she leaves,she will be needing massage therapy 1hr session three times a week for one month
Miss Amato asked me to come with her to the US but i told her i would not be able to go with her to the US as i have a course i will be going for in a week time and the course will last for three months.So i promised to help her get a good practitioner in your Area.
I have been looking for a massage therapist for over two weeks till i met an old friend Mrs Jessica Claire at the Cosmetic Surgery And Beauty Conference that was held over the weekend in Milano. I spoke with her about my client and was referred to you. She gave me your referral.
Pls tell me a little more about yourself,how long have you been a massage therapist?and would you be able to provide her massage therapy?
I will also need you to get back to me with the amount you charge per session and also let me know if she can pay you via Us Certified Cashiers Check
Pls send your reply to my personal email address ( __________@yahoo.it ) because i do check it frequently.
Thank you very much and do have a nice day..
Marcella Fedelle
Via Cusani, 26
20123 Milano ,
Italy
———————————–CONFIDENTIALITY NOTICE:——————————————————The information contained in this email is privileged and confidential, and is intended only for the use of the individual or entity named above. If you are not the intended recipient, you are notified that any disclosure,copying,distribution, electronic storage or use of this communication is prohibited. If you receive this communication in error, please notify us immediately by email, attaching the original message, and delete the original message from your computer and any network to which your
Telefona e naviga senza limiti con Tiscali Voce 8 Mega a soli € 15 al mese per i primi 12 mesi. In seguito paghi € 29,90 al mese. Attiva entro il 6/11/08!
_______________________________________________________________

The idea and the M.O. is for you to agree to perform a series of massages, “costing” them $500+, usually in the thousands. You will give them a bill prior to meeting them, and they agree to send you a certified or cashier’s check. You get the check, never performing the services, and they ask you to deposit it, because… due to the mistaken travel arrangements with the agent, you’ve been overpaid through the check that has been cut and it on its way to you. They want you to deposit the check and send the difference to someone else. To incent you, you can keep a couple hundred “extra” (in addition to your bill) for your trouble.

Unfortunately, the official-looking check you deposited 30 days ago will be returned to your bank and you will owe the bank the amount of money for which the fraudulent check was written. You will have written a “good” check and mailed it to the travel agent for the thousands in difference on the “official” check, that same check will have cleared your account, and you will have never seen your “client” because they postponed their trip. You will probably never get to do your massage with them.

Ways to say no:

  1. “no.”
  2. “no, thank you.”
  3. “I’m sorry: I don’t take checks.”
  4. “I’m sorry: I don’t take checks from people I’ve just met and/or that don’t have a NV ID/DL.”

To read more about this method of email fraud, visit Wikipedia’s page that describes this and most types of fraud: Advanced Fee Fraud

To understand what the Federal Trade Commission is doing about email scams or to report an attempt, please visit their website.

HIPAA On the Horizon

Client safety and confidentiality the intent of HIPAA - improves alternative health care industry

If you’ve ever thought twice about filling out a health questionnaire that your massage or bodywork practitioner has asked you to complete, you are not alone. It is within the scope of a Practitioner to ask questions about your health in order to provide you with the best service possible – safeguarding your state of health, knowing and practicing the contraindications for you and the bodywork you are receiving, and preventing any complications in providing that service. With rising fraud crimes and use of electronic filing systems, it is a valid concern of the Client and Practitioner that information can be misplaced, mishandled, and miscommunicated.

In 2003, the healthcare industry adopted a government standard for getting and keeping your personal health information for purposes of practicing medicine and filing insurance claims. It is named HIPAA: the Health Insurance Portability and Accountability Act. HIPAA has three major purposes:

  1. To protect and enhance the rights of consumers by providing them access to their health information and controlling the inappropriate use of that information;
  2. To improve the quality of healthcare in the United States by restoring trust in the healthcare system among consumers, healthcare professionals and the multitude of organizations and individuals committed to the delivery of care; and
  3. To improve the efficiency and effectiveness of healthcare delivery by creating a national framework for health privacy protection that builds on efforts by states, health systems, individual organizations and individuals.

Bodyworkers and Clients alike will be satisfied to know that the HIPAA law in place today protects the Protected Health Information (PHI) of the Client in every aspect of the healthcare information-gathering process when insurance claims are filed with companies such as BlueCross and BlueShield.

At this time, compliance is not mandatory for Bodyworkers in the industry of Alternative Healthcare (unless the information is used in an insurance claim situation), but many Information Technology systems are developing in order to accommodate the eventual governmental requirement. If you didn’t know already, currently it is industry-standard to get a written release form from the Client in order for the Practitioner to give or receive health record information from the Client’s doctor.

Look in the near future for your practitioner to have HIPAA information and compliant forms with his or her intake form to assure you that your information is handled with the level of concern and confidentiality it deserves.

On the Record - CAM Products and the FDA (revised)

This may be something you’re interested in: the adequate protection your health through regulated consumables: now, or in the future.

Last year, I wrote an article that outlined the FDA’s attempt to regulate CAM products, including massage therapy oils/consumables, to the Nth degree, mirroring Sweden’s [Medical Products Agency’s] current regulatory process for products on the shelves in their country.

Haven’t heard any more about it?

Well, here’s a recap of the article I wrote with some ancillary information you may be interested in reading. When you’re done, read on about a new initiative to reform the FDA – and understand how you can help yourself and the country’s regulation of food and drugs.

The Complementary and Alternative Medicine (CAM) industry has boomed over the past 10 to 20 years. Thousands of CAM products and services have flooded the market, in which there is also the same demand – and it only grows. The National Center for Complementary and Alternative Medicine reports that in May 2004, 36% of Americans, aged 18 or older, used some form of CAM product or service. This number is expected to increase dramatically over the next 10 years and beyond.

There is some concern in the general public, the CAM practitioner community, the bodyworker community, and the Food and Drug Administration (FDA) about the growing popularity of Complementary and Alternative Medicine and the implications for regulation of the consumable products that are an inherent part of the delivery of the CAM service. The FDA is proposing regulation by law of the industry of CAM by regulating the CAM products that are used by practitioners in the industry.

The FDA Stance. They state that in the interest of the safety of the general public that utilizes the services and products of the CAM practitioners, they are considering restricting use of certain types of products that are produced in circumstances that are not advisable or regulated by the FDA, a governmental agency acting on behalf of the Consumer. Click here http://www.fda.gov/OHRMS/DOCKETS/98fr/06d-0480-gld0001.pdf to read their Draft Guidance and reasoning on the subject.

The CAM Practitioner Stance. Most tissue-manipulation and energy bodyworkers use only their hands (and no implements or organic products internally) and external lubricants to manipulate the tissue through the skin of the client. There are other CAM practitioners (like nutritional counselors and holistic doctors) that prescribe nutritional supplements, botanical or essential oils, and dietary aids and foods, under which the FDA would like to categorize, label, and regulate the production of these CAM products. What “CAM products” will become is: difficult to find – less available if laws regulate what can be purchased; more expensive to purchase – because of less competition and the cost to produce the product under FDA regulation; more processed, less organic – because of the proposed pharmaceutical nature and process of the production of CAM products; and, the variety of products will be greatly diminished due to the origin of the products not being approved by the FDA to be legally prescribed or sold for use in CAM practices.

The CAM Client Stance. The general public wants to know what is in the products that are being used on their skin and inside their bodies. They are becoming more aware of the old adage “You are what you eat” and how true it is in regard to what ever a person is exposed or consumes. They have a right to understand and be able to choose the products they are exposed to or consume based on the latest information possible from a consumer group that acts on their behalf. The possible regulation by the FDA may: limit the types and variety of products available to the CAM Client thereby removing a choice, raise the cost of obtaining these products due to the regulatory nature of the production of the CAM products, increase the safety of the products being used on or in the bodies of the CAM Client thereby reducing the physical response to a product that has been untested for safety and effectiveness toward the condition it is meant to address, and possibly change the face of the products that will ever be available to the CAM Client based on the recommendation of their CAM Practitioner.

Your Stance. The FDA is accepting and registering public comment for purposes of survey and public record about their proposal. You have the opportunity to register your opinion for the record, and may do so here: http://www.accessdata.fda.gov/scripts/oc/dockets/comments/COMMENTSMain.CFM?EC_DOCUMENT_ID=1451&. If you are concerned about the CAM products that are on the market today and want to voice your opinion to the FDA, you’ll need to do so by April 30th, 2007, to be “on the record.”

There is a new movement, on behalf of consumers and the public affected by the current practices of the FDA, to bring to the attention of Congress the deficits the FDA places on the newest markets of drugs and CAM products; “new science.” The American Association for Health Freedom (AAHF) is leading a campaign to reform the FDA, starting with a petition that will be delivered to Congress.

To read what the petition is about and to sign it electronically or print a copy to send to your elected Congressperson, visit the AAHF online.

You are the “one more” signature closer to changing things…


National Certification Board Unveils Employer “Center of Excellence” Program

I got the email today, probably along with many certificants who are on the NCBTMB’s e-mailing list! I’d heard from the NCBTMB rep at the IECSC expo back in July (some fun pics!) that they were going to start this program for massage businesses that employ Nationally-Certified MTs, and I was very excited!

The Center of Excellence that the NCB proposes building is a marketing tool that can put a massage business in the lime light of the NCB’s efforts to promote massage therapy businesses that employ ONLY Nationally-Certified massage therapists and bodyworkers.

The NCB is not advertising a cost for this program, at least through the media I’ve received, so I am interested to find out what cost there is/will be. After contacting them, I think the NCB will lay it on whoever’s interested enough to contact them.

There are pros and cons to this method, but I think the aim for the NCB is to encourage certification processes continue at a rate where jurisdictions rely on the NCE as a benchmark for competency while rewarding the employers and businesses that utilize these same certificants with advertising from an established authority.

No matter your opinions or experience with the NCB (and I have heard varied and sundry accounts!), the aim is to enhance the marketability of a practitioner up to this point, and with the new program, to promote businesses that utilize certified MTs to provide services from that business utilization.

I definitely think that for the new/renewal rates that the NCB charges that this is a step in Certificants and the public getting to see the real value of being NCB-certified!

For more information about these credentials, contact the NCB through their website for more information- and post what you find out so we can get the WHOLE picture as it develops!

Leave a comment about what you see the PROS and CONS to be!

Distance Education: Pro or Con?

In the field of Massage Therapy, and in Nevada to be more specific, the Nevada State Board of Massage Therapists require 12 Continuing Education (CE) hours in our field (approved by the Board) in order to remain licensed as a Massage Therapist. This coincides with the 4-year goal of the National Certification Board of Therapeutic Massage & Bodywork’s (NCBTMB) requirement of 48 CE hours for recertification. On November 16th, 2007, the NCBTMB began accepting Distance Education (DE) courses as a viable component of the professional training required to be an NCBTMB Certificant (Nationally Certified). Face-to-Face (F2F) courses have been the mainstay in the field of Massage Therapy and the frequency and availability of DE courses is steadily rising. F2F & DE courses make CE hours (credits) available to NCBTMB Certificant when the certificant completes the number of hours of training required for each course category: F2F courses offer live instruction with hands-on opportunities for training, practice, and evaluation; DE courses can be only by long distance (never interacting with the instructor, mostly internet-based) or a combination of long distance and face-to-face instruction (mostly in the testing phase of completion).
I speak from a practicing MT, educator, and MT educator’s point of view: I think in the long run that DE (Distance Education) courses do a disservice to the industry. The quality of the nature of massage therapy declines as DE courses are more and more the choice of practitioners that do not make the time to fulfill a standard of service: hands on learning.
I think making time to “be” a professional is critical in delivering the service that our clients expect from a certificant. “Hands On” is the nature of our profession. Just as we do not expect surgeons (a “hands on” profession) to learn by distance and then practice on their patients, we also cannot expect our instructors or MTs to not have hands on experience when teaching us a modality over distance or performing a massage - we expect the best and most value for our money and the credentialing agency that establishes their expertise should also. Do our clients expect us to never have practiced on a body (for taking DE courses) when we charge the rates we charge? I think one answer is they expect us to be proficient - hands on learning facilitates that key element in claiming we are practicing within our scope and have been critiqued and guided by our live instructor(s).
On the other hand, without some DE opportunities, many MTs would not otherwise be able to get the education they need to keep the credentials they need in this industry or want and have decided are the best fit for advertising and affiliating their professional image with excellence. I understand the need for convenience, inexpensive, and accessible CE opportunities.
Right now, a certificant can submit all DE credits for renewal of their NCTM or NCTMB accreditation. I believe that a percentage of DE credits of the whole 48 should be accepted as viable learning and practice tools for recertification purposes. MTs need to establish a commitment to the “best” care for our clients by integrating hands-on training in our careers. Our professional relationship with the NCB is a choice in many cases, sometimes it is a requirement of the local jurisdiction - some state licensing boards require CEs (of any approved type, DE or F2F) and the level of proficiency of their licensees is the state board’s responsibility. I think the NCB sets a standard for the industry and would hope that states and local jurisdictions would follow suit.

will the Clark County Public Hearing matter anyway?

So, since the letter from Clark County Business License was sent to massage therapy business owners in the County in February, the Public Hearing regarding the proposed Ordinance 1713-07 has been postponed twice - now, it’s scheduled for May 21st, 9am, at the Clark County Government Center on Grand Central Pkwy in Las Vegas.

The only thing I’ve seen is that steam is building on the MT (specifically, Independents) side, and I’ve seen a few interested and opinionated Establishments get involved, too.  I am really anxious to appear, speak, and see who else is appearing to fight this attempted blow of oppression on an industry that is slowly tearing itself away from being associated with prostitution in this Valley.

But:  Will this steam be productive?  Has the Commission been “advised” already as to the potential and expected turnout from business owners that received the proposterous letter suggesting that massage therapy “crime” has increased and they need a way to keep it under control?

Will they realize (or have they realized) that this poor attempt to micro-manage massage therapy business owners to take the fall for an obviously non-oppressed prostitution industry is too feeble?

Why have they continued to put off a confrontation and a business owner’s right to voice their opinions about laws that they see as serving the safety of the public [Clark County]?

I think it is because there is no value in the proposal - they are attempting to levy power that constitutionally is reserved for the massage therapy business owners to do business according to the needs of their clients in a 24-hour, transient town.

Licensing is a recording and taxing method, not a “moral” issue, for which they’ve not proven there has been unruly law-breaking going on by massage therapists.  Only unrestrained prostitution is the concern, and the fact that the crime rate has gone up only shows that Metro is performing their duty according to the current law.

Since the Nevada State Board of Massage Therapists was created and made law in 2006 (grandfathering for currently-licensed MTs until July 1, 2007), the Board has shouldered the responsibility of verifying the professional credentials and legitimacy of MTs practicing everywhere in the state of Nevada - even Clark County.  The County no longer has to prove that an MT passes a Federal background check (for civil or criminal charges or convictions) or that an MT is qualified to do the work they advertise, based on industry-established norms.

Why make us pay?  Why continue with this proposal?  Why not support the District Attorney when prosecuting solicitation endictments?

I guess they’d have to triple the size of County Jail to incarcerate the convicted prostitutes, which would have more than the “none” (cited) fiscal impact that passing this Ordinance would have on massage therapy business owners.

 

SEE OTHER MASSAGE THERAPIST’S OPINIONS AT:  http://massage.meetup.com/251

How massage can help Diabetes sufferers live better

May 10, 2008 by David  
Filed under Client Education

Diabetes and Massage

We all can appreciate how bodywork, massage particularly, can be a great way to relieve muscle tension, stress, and increase overall well-being.  But did you realize that with regular bodywork sessions, your overall state of physical health can be affected positively?  When dealing with the effects of diabetes, this method of relief can be effective and long-lasting.

Diabetes Mellitus is a group of related disorders that result in hyperglycemia, or elevated blood sugar levels.  Insulin is required to escort the highly-efficient energy source of glucose to the body’s cells where it can be utilized by the cells for energy throughout the body.  Sometimes the pancreas does not put out enough insulin to escort the glucose to the cells or the cells cannot detect the insulin carrying the glucose.  In both cases, the body has to resort to using other sources of energy if it cannot utilize or find the glucose; first, the body uses fats, then proteins, and finally, its own muscle tissue.   These sources of energy are not clean burning, like the glucose, so they leave behind toxins which are largely responsible for the complications related to diabetes.

The toxins that systematically affect the human body deposit and can create plaques and weakened areas of the arteries, called atherosclerosis, especially in the area of the kidneys (renal glands).  If the body can handle a bodywork session (determined in cooperation with a doctor), removal of toxins, edema, and getting nutrients to the cells and arteries of the body can change the physical response a diabetic patient has in everyday life over a period of time.  Tissue that the bodyworker directly affects must be healthy and resilient in order for the work to be done. 

One complication of the toxin build-up and the inefficient cell activity is peripheral neuropathy, or lack of feeling in the extremities.  Affected extremities can include broad areas of the arms, legs, or the tissue and nerves closest to the surface of the skin.  It is important that these areas are massaged or affected energetically in order to stimulate and reactivate the ability of the nerves to sense light, heat, chemical, and pressure – without the ability of the skin to sense, it or whole other areas of the body can be damaged or injured.  Pressure levels are always at the discretion of the recipient of the bodywork, so clients need to communicate with their bodyworker at all times, physically or verbally.

When getting any type of manipulation bodywork, remember:  ulcers on the skin are common in diabetes patients who have lived with the disease for 10 to 20 years or more – these are areas contraindicated for bodywork.  Also, advanced cases of spinal nerve damage, kidney failure, and infected tissue is contraindicated for physical manipulation of the body’s tissues – however, many forms of energetic work, like Reiki and Acupressure, have been effective in assisting the rebalancing of the body’s systems.

Approximately 625,000 new cases are diagnosed every year, and the causes for the disease can range from heredity to dietary habits involving high levels of carbohydrates.  Identifying the symptoms of frequent urination, excessive thirst and hunger, and depression or fatigue, weight loss, nausea, and vomiting are difficult to relate to being diagnosed with diabetes without seeing a medical doctor for blood and other tests.

For more information on diagnosing or the symptoms of diabetes, please contact the American Diabetes Association online:  http://www.diabetes.org/about-diabetes.jsp

For more information on how bodywork can assist a diabetic patient, please contact me for a free consultation.

What does LMT mean? and other bodyworker titles…

Signs of Service

 

In today’s world of massage therapy, one sometimes has great difficulty determining who to choose to be his or her massage therapist.  There is one thing that we all want as clients when it comes to receiving bodywork:  trust.  We know that the internet and the phone book are great tools for finding that therapist that will be the one to give us specialized bodywork or cater to our needs in massage therapy.  But, there are some additional “clues” that tell us which massage therapist will be the better choice.

 

Whether we are new to the area, want to start a bodywork regimen, or have been receiving bodywork for a long time, there are some benchmarks that help us make a better choice in making our dollar go further and our relationship with that potential bodyworker more meaningful and productive.  The service marks that accompany a therapist’s name will be an indication that they adhere to a strict municipal code, code of ethics and standard of practice.  Also, title will be very important in choosing the therapist that is right for us.  Here are a few descriptions of service marks that will designate a legitimate, specialized, or practicing therapist:

  Licensing Considerations 

, LMT (Licensed Massage Therapist) – or similar business-related association is required to practice in virtually every part of the United States, whether it is a State, County, or City license: it is the law, written to protect you and the massage therapist.  To practice massage outside of the training environment, all massage therapists need LMT title, even if their business is non- or not-for-profit.  Look for this title (including the license number and with which municipality it is registered) when choosing your therapist.

 A Note About Licensing:  Having a title does not necessarily mean that the therapist is qualified to operate a business.  The municipality decides, through issuing a license to a therapist, whether the therapist can conduct business within the municipality issuing the license.  License is a privilege.  Like any other type of formal permission, licensing is not permanent, unless the therapist renews it.  For your protection, make sure you use a licensed massage therapist.  Be aware of therapists who are non-compliant (expired license, certification, or membership).  If you are concerned, check with City/County/State records for licensing and association records for memberships - all available to the public online or by phone. Professional Considerations 

, NCTMB (Nationally Certified in Therapeutic Massage and Bodywork) – the most-used method of determining whether a CMT is competent is a test called the National Certification Exam (NCE).  Passing the NCE not only means that a therapist has graduated from a (minimum) 500-hour training program, but that s/he also abides by a specific and industry-centered Code of Ethics and Standard of Practice in practicing as a Nationally Certified massage therapist.  Most municipalities that license massage therapists require the therapist be a NCTMB.  Look for this title when booking your appointment in a spa or finding a private practitioner.

 

Member of [AMTA, ABMP, IMA, etc]” – Being a member in good standing of any professional organization (like the American Massage Therapy Association, the American Bodyworkers and Massage Practitioners, and the International Massage Association) is a sign that the therapist is in tune with the normal and optimal operation of their massage therapy business.  These professional organizations often regulate through audit their members to make sure they are complying with local laws and industry standards of conduct and codes of ethics.  They also provide continuing education experiences and networking events that put them in touch with today’s massage industry to optimize their professional knowledge and accountability.

 

, Title [CMT, MMP, etc] – these additional titles to a practicing massage therapist are important for us to know in which modalities the therapist specializes.  For example, if I were looking for a Cranial Sacral Therapy therapist, I would be looking for a CST (Cranial Sacral Therapist).  Not all titles are as simple to derive just by the name of the modality.    Each title represents a completion and competency level achieved, issued by the governing body that accredited the therapist with the title.  

 

  • Know that the modality you never heard of may be a ruse for what most other therapists in the industry already practice – read the description of the service/modality before you decide it is the one that provides you what you need.
  • Get the opinion of more than one therapist.  You may find that in your research that the one you “click” with is the therapist you talk to second or third in your line of questioning.  Also, visit with the therapist, when it is convenient for both of you, to establish a relationship of trust and awareness – allow the therapist to work for you by educating you about the profession and their particular part in the profession regarding their business.

 

To find out more about how to locate a qualified therapist in your area, please use these real world or virtual resources to fit your special needs:

 

NCBTMB:      (800) 296-0664           or         http://www.ncbtmb.com

AMTA:           (877) 905-2700           or         http://www.amtamassage.org

ABMP:            (800) 458-2267           or         http://www.abmp.com

IMA:               (540) 351-0800           or         http://www.imagroup.com

 

Choosing the perfect therapist may be a difficult task, but using these benchmarks will certainly ensure that you make the best choice for your bodywork needs.

 

Author:  David J Otto, LMT NCTMB

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