Jessica Marsh, RMT

Massage Therapy for Kids

2011-08-18T22:30:00.002-04:00

How many of you got professional massages when you were kids? Probably not many of you did. I have had a number of clients over the years who are kids - as young as four years old, right up through teen years and it makes me think about the many ways in which massage is beneficial for kids of all ages.

Body Language: I encourage kids to tell me if I am using too much pressure, to tell me if they are uncomfortable and how I can change the treatment to make it better for them, to say what feels good and what doesn't feel good. This dialogue helps them develop their ability to say what they want and don't want happening to their bodies and it helps build confidence in their ability to communicate about themselves. I think it's a great skill to develop early on in life.

Stress Management: You might think that kids feel stress temporarily and then let it go. But sometimes I think kids feel stress in their bodies even more than adults do. Because for the most part, children can't put their stress in a context - they haven't had enough life experience to understand that their stress will pass. They live much more in the moment than we do and if the moment is stressful, then it's magnified in their minds. Additionally, kids are at the mercy of their parents' life decisions, and when parents' lives are stressful, the kids have no power to change it and just have to sit with the weight of their parents' stress.

How Does It Happen?
Usually the child's parent brings a book and sits in the treatment room with us during the first appointment. At the second appointment, the parent most often sits in the waiting area in the hall, and at some point when the child is comfortable with it, the parent drops the child off and returns after the appointment is over. However, any of these situations is fine with me - the parent can sit in on every session, every time - or sit in the hallway every time - whatever is most comfortable to everyone involved is what can happen. 6 and 7 year olds seem most comfortable with a 30 minute appointment and older kids like an hour long treatment, but each child is unique and has different needs and attentions spans.

"The massage made me feel like Jalapeño on The Annoying Orange Show; smooth and relaxed and like nothing could bother me, even when everyone was talking around me."
- Connor, age 8

"The massage Jessica did to me make my muscles feel bigger and stronger and make my heart beat faster."
- Kyle, age 6

"When I get a massage with Jessica I feel good"
- Anna, age 9

"I feel like I just been born."
- Johnathan, age 6

Winter Just Got Better

2011-02-02T00:29:00.000-05:00

More good news on a cold winter's day! I just bought an electric Thermophore heat pack that stretches the length of your back - it can also be applied to legs & feet. "Intense moist heat without adding water. Weighted, yet flexible to conform to body contours." Now you can be sandwiched between the full table heater and the medium sized heater while having your massage!

Happy Birthday!

2011-01-23T18:41:00.002-05:00

Happy Birthday to Yooooou!

I've been thinking about how nice it is to have a 90 minute massage rather than of a 60 minute one and I've decided to give each of you a birthday present: If you book a one hour massage on your birthday (on your actual birthday) I will treat you for an hour and a half for the same price. Because everyone should be pampered on their birthday, right?

Be healthy! Be safe!

2011-01-23T18:19:00.000-05:00

As we make our way through the more challenging months of the Maritime year, I want to make note of some winter massage therapy issues.

Sickness
If you come down with cold or flu-like symptoms in the day before your massage appointment and you believe you may be contagious, please call and reschedule your appointment. I will waive the 24 hour cancellation policy that asks you to be responsible for the appointment fee. If you come to your appointment and you are contagious, you could be passing your sickness on to me and my other clients. Additionally, if you have an infection and you have a massage therapy treatment, it could be spreading the infection within your body. Stay home, rest and drink fluids!

Dangerous roads
If you drive to your appointments and in the hours before your appointment the roads are suddenly icy or it's suddenly stormy and you don't feel safe driving, please call and reschedule. I would much rather you stay home and be safe than try to brave a dangerous situation just because you have an appointment. Again, I will not hold you responsible for the fee.

In general, if you need to reschedule an appointment, please give me as much notice as possible. Frequently I have a wait list of people who would be happy to take an appointment time you have to reschedule - I have a number of clients who live in the neighborhood and could walk to my treatment space, even in a storm. So the sooner you can let me know, the better. It's difficult for me to fill an appointment time if you call only an hour before.

Hope springs eternal!

2007-11-19T20:18:00.002-05:00

The Saturday Free Clinic provides free alternative health care for people who have little or no income and do not have extended health benefits. Follow the link for more information.

The Saturday Free Clinic

Thai Yoga Massage

2007-11-19T16:51:00.006-05:00

I use some Thai Yoga Massage techniques in my treatments. For more information about Thai Yoga Massage, click on this link:

Lotus Palm School of Thai Yoga Massage

Inspiration!

2007-04-03T17:15:00.001-04:00

World's Oldest Marathoner, 94, Leads Team of Seniors in Scotland

June 13, 2005 - Fauja Singh, a 94-year-young grandfather of 13, led a marathon relay team yesterday in the Edinburgh Marathon in Scotland, which was billed as the oldest ever marathon relay team. The five-man team named itself Sikhs in the City and had a combined age of 397 years.

Singh, the world's oldest marathoner, drew most of the attention in the field of more than 11,000 runners and was the official starter. There were 5,000 runners in the relay event. The youngest member of the Sikhs was Amrik Singh, 70, from Glasgow. The other members were Karnail Singh, 76, from Glasgow, Ajit Singh, a 74-year-old retired Larkhall maths teacher, and Gurbaksh Singh, 73, from Gravesend, in Kent.

But it was Fauja Singh who grabbed the limelight as he crossed the finish line, although the Sikhs finished 730th of the 912 teams. They completed the course in 4hr 16min 24sec. Singh is originally from the Punjab in India, but now lives in Ilford, Essex. Last year he was signed by Adidas for the 'Impossible is Nothing' advertising campaign and was featured in billboards across Europe.

Five years ago he took part in the Flora London Marathon at the age of 89 for the first time and has since completed it five times. In 2003 he set the marathon world record for over 90-year-olds, completing the Toronto Waterfront Marathon in 5 hours, 40 minutes. As well as completing the London and New York Marathons in 2004 he also returned to Toronto Waterfront to break the half marathon record for over 90-year olds.

"I am extremely honored to have been invited to start this year's Edinburgh Marathon", he said. "By running as the oldest ever marathon relay team I hope we will inspire young people to keep going and older people never to give up."

Fauja, the world's oldest marathoner, took up running at the age of 81, when he arrived in Britain from the family farm in the Punjab. "Before that, I jogged regularly, to get from place to place," he said. He said he talks with God when he runs. A vegetarian, Singh, joined forces in 2004 with People for the Ethical Treatment of Animals (PETA) to caution Asians and others about the perils they face if they clog their arteries with meat. Geoff Sims, Chief Executive, Edinburgh Marathon said: "I hope Fauja and his team will inspire people of all ages and running abilities to get out and give it a go."

Information for this story from: The Scotsman
Photograph by Ian Rutherford of The Scotsman

Internet Pedometer

2007-04-02T16:43:00.001-04:00

So now that you are all inspired, here's one of my favorite web sites.

Zoom in to any place on the globe, click on 'start recording', double-click on points along your favorite running or walking route & calculate the exact distance. No more hassling with your pedometer! No more calculations with your car! You've been waiting years for someone to invent this web site, haven't you?

Gmap pedometer

Plantar Fasciitis

2007-03-05T13:58:00.001-05:00

The 'plantar fascia' is a band of tough connective tissue that runs along the bottom of your foot, connecting your heel to your toes. It stretches when you pull your toes up toward your shin. It works like a shock-absorbing bowstring, supporting the arch of your foot. When microtearing and inflammation occur in this fascia, it is called 'Plantar Fasciitis'.

Causes:
Plantar fasciitis is caused by extra stress on the feet. This may be due to a few things: extra activity, poor training methods or surfaces, unsupportive or incorrect footwear, extra weight or underlying muscular or bimoechanical imbalance. Recent literature suggests that it is less likely to be a pure inflammatory condition but rather attributed to the degeneration of plantar tissues. Runners who overpronate (feet rolling in or flattening) are particularly at risk as the biomechanics of the foot pronating causes additional stretching of the plantar fascia.

Symptoms:

pain with weight bearing, on the bottom of the foot just in front of the heel.
pain along the inside of the foot toward the toes.
pain with the first 2-3 steps in the morning, or after sitting for long periods of time.
pain lessens after 30-45 minutes of activity, then worsens 2-3 hours with continued activity.
pain in one or both feet.
mild to severe pain, sometimes 'stabbing', sometimes 'burning'.
pain comes on slowly, no initial trauma or injury.

Treatment:

Rest until it is not painful. It can be very difficult to rest your feet, but by walking or running you are continually aggravating the injury. Rest as much as possible and stop any unnecessary activities which place stress on the fascia.
Put a plastic frozen water bottle on the floor and roll your foot (wear a sock) over it for 15 to 20 minutes four to five times a day.
Massage and gently stretch the calf muscles.
Wear supportive footwear around the house.

Halifax Runner

2006-05-21T17:05:00.005-04:00

I am a runner. I have run numerous half marathons and a couple of 10Ks. Two years ago I ran my first marathon, the Bluenose Marathon, here in Halifax. I've been in good shape and I've had injuries that sidelined me. I've felt in top form and I've fallen off the wagon (currently huffing and puffing my way back on!). I am familiar with a host of running issues, physical and psychological.

I have numerous clients who are also runners of varying distances and I find it exciting to be a part of my clients' training process, helping where I can with physical impediments - and I love hearing the stories of each person's training plans, obstacles and triumphs.

This is a photograph of me and my mother Soledad after we ran the Bluenose 5K together. She is a beginning runner and it was her first road race ever. The following day I was telling someone proudly about how well she did in the race and it occurred to me to check her time on line. It turns out my mother came fourth in her age category! I am so proud of her, I brag to everyone about how well she did - and now I am bragging to all of you.

2006-04-06T15:37:00.001-04:00

This is a photograph of cherry blossoms in Japan, taken by my brother Sebastian.

Stretching

2006-03-18T09:28:00.002-05:00

Stretching your muscles is a good way to decrease pain and aching. Here are some suggestions about getting the most from the stretches you already know:

1. The stretch should be done slowly and held for at least 30 seconds. (Watch the clock. Sometimes 30 seconds seems like forever.)

2. If you experience pain during your stretch, don't push yourself past that point. Do the stretch up to that point and then back it up into the pain free range. Hold your stretch there.

3. Keep breathing. Breathe deeply. It helps you and your muscles relax and increases the stretch.

4. Imagine the muscles and joints you're stretching. If you don't know specific anatomy, visualize the general area lengthening. Imagine the joints opening and softening.

5. If you've been given instructions about specific stretches, watch yourself in the mirror to make sure you are doing them correctly. If you are going to see the health care provider again who suggested the stretches to you, ask them to watch you stretch to make sure you are still doing them the right way.

6. Warming your muscles before stretching, either with a bath or in a shower, can increase the stretch. You can even do some neck stretches in the shower.

Some Effects of Massage Therapy

2006-03-03T09:48:00.000-05:00

The following is an exerpt from: To Touch Or Not To Touch: Rethinking The Prohibition On Touch In Psychotherapy And Counseling. Clinical, Ethical & Legal Considerations

By: Ofer Zur, Ph.D. & Nola Nordmarken, MFT - 2004

MEDICAL AND PSYCHOLOGICAL EFFECTS OF MASSAGE

Earliest recorded medical history dates from 25 centuries ago and includes references to medical treatment utilizing touch in Eastern cultures (Miller, 1997). Shamans, in many cultures, used touch as one of the healing practices used to heal mind, body and spirit. Healing practices began to evolve into the science of medicine in the middle ages. Touch healers who had long been honored by their communities gradually lost clout. They were negatively stigmatized by both, medical and religious proponents (Cohen, 1987). By the 17th century, the Christian church conceded control over the physical body and this important historical compromise established the Western split between body and mind/spirit. "In the (modern) technological view of the world, medicine is viewed as an industry and healing as a process to be adapted to the mechanical constructs of assembly-line production" (Hunter & Struve, 1998, p.48). Touch has become almost irrelevant.

Recent research done by the Touch Research Institute has demonstrated that touch triggers a cascade of chemical responses, including a decrease in urinary stress hormones (cortisol, catecholamines, norepinephrine, epinephrine), and increased serotonin and dopamine levels. The shift in these bio-chemicals has been proven to decrease depression (Field, 1998). Hence, touch is good medicine. It also enhances the immune system by increasing natural killer cells and killer cell activity, balancing the ratio of cd4 cells and cd4/cd8 cells. The immune system's cytotoxic capacity increases with touch, thus helping the body maintain its defense against pathogens (Field, 1998).

Massage therapy has been shown to reduce aversion to touch and to decrease anxiety, depression and cortisol levels in women who have been sexually or physically abused (Field, et. al., 1997). It decreases diastolic blood pressure, anxiety and cortisol (stress hormone) levels (Hernandez-Reif, et. al., 2000). One study examined the effects of massage therapy on anxiety and depression levels and on immune function. The subjects received a 45-minute massage five times weekly for a 1-month period. The findings were that: 1) anxiety, stress and cortisol levels were significantly reduced; 2) natural killer cells and natural killer cell activity increased, suggesting positive effects on the immune system (Ironson, et. al., 1996). Bulimic adolescent girls received massage therapy 2 times a week for 5 weeks. Effects included an improved body image, decreased depression and anxiety symptoms, decreased cortisol levels and increased dopamine and serotonin levels. In a study of children with ADHD, touch sensitivity, attention to sounds and off-task classroom behavior decreased and relatedness to teachers increased after massage therapy (Field, et. al., 1997). Following five 30-minute massages, children/adolescents had better sleep patterns, lower level of depression and anxiety and lower stress hormone levels (Field, et. al., 1992). Massage therapy also decreased the anxiety, depression and stress hormone levels of children diagnosed with PTSD, who survived Hurricane Andrew. In addition, their drawings reflected less depression (Field, et. al., 1996).

Massage Instruction for Couples

2006-01-28T09:31:00.001-05:00

I offer private massage therapy instruction for couples. I can teach you how to give each other a soothing, relaxing massage - or if one of you is suffering from chronic pain, I can show you massage therapy techniques to use on a regular basis that will help reduce pain.

Massage therapy instruction appointments are conducted in my regular treatment room, and the session will last one hour or ninety minutes. The fee is the same as my usual massage therapy fee.

...

Your First Massage Treatment

2006-01-23T11:12:00.003-05:00

It's important you feel comfortable and secure during your massage treatment, so I've written this detailed explanation about what to expect when you come in for your first session. This will be especially helpful for people who have never had a massage.
...............................................

When you first come in, I will ask you to fill in a health history form. In addition to helping me form a treatment plan, this information allows me to see if you have conditions that may contraindicate certain massage techniques, in which case the treatment will be modified for your safety. The information you disclose in your health history form and any notes I make about your treatments are strictly confidential and will only be released with your written consent.

We will sit and talk for a few minutes, I'll review your health history and ask you questions about your current state. I may need to do some orthopedic tests or simple muscle length tests to narrow down the cause of your symptoms. I'll explain each test, what I am testing for. The tests are only performed with your consent. If you have restricted motion in some part of your body, your shoulder or hip for example, I'll ask you to move that area of your body through a range of motion so I can observe the restriction.

Based on the intake and assessment, I'll suggest a treatment plan, including areas of your body to be treated (for example: the back, neck and legs, with focus on the neck). If you are in agreement with the treatment plan, I'll describe what clothing to remove and how to get on the table. Massage is usually done with all clothing removed, however it is possible through clothing, if that's what you are comfortable with.

I will describe how to position yourself on the treatment table. The massage table is set with a top and bottom sheet and a blanket. When I leave the room, you will disrobe and get on the table in between the two sheets and pull the top sheet (and blanket) over yourself so you are fully covered. There is a 'face cradle', a circular, padded extension on the table in which you put your face, if you are laying face down. I will knock to make sure you are ready, and when you are, I will come back in the room.

The areas of your body that are being treated are undraped one at a time. So for example, if I am treating your back I will undrape only your back and tuck the sheets in around your hips. If I move on to treat your leg, I will cover your back up again and then undrape your leg - and so on. When an area is undraped, the sheet is tucked in securely so you will not be exposed or feel exposed. When you change positions, for example - from laying face down to laying on your back - I will redrape you and secure the sheets on both sides of your body and hold the sheets slightly up in the middle, making it possible for you roll over while remaining fully covered. I will position pillows during the treatment for your comfort, under your knees and head when you are on your back, under your ankles when you are on your belly, and under your knee and head when you are on your side.

After the treatment is over, I'll remove the pillows and leave the room while you get off the table and get dressed. Some people need assistance sitting up, getting off the table or getting redressed, due to injury or disability. If this is the case, I can assist you before I leave, if you would like help. Once you are dressed, you may open the door and I will come back in if we need to discuss anything, like suggestions I may have for remedial exercise (stretches or strengthening exercises) or suggestions for frequency of possible future treatments. If you had restriction of a specific movement, I will ask you to do that movement again to observe any improvement in that range.

If you have any questions before, during or after the treatment, please feel free to ask. Communication is an essential part of an effective treatment.

I'm happy to answer any questions you may still have - you can send them to me at: marshmassage@yahoo.ca

Jessica

Wait Times for Surgery, Diagnostic Tests and Referrals in Nova Scotia

2006-01-05T23:57:00.002-05:00

I frequently see people who are on long waiting lists for surgery (knee replacement, hip replacement, cardiac or cancer surgery), diagnostic tests (bone density, MRI, CT scan) and appointments with specialists (genetic, prenatal, pediatric, cancer, metabolic). Sometimes the wait list for the service you need is shorter outside your community, in a different town or city - and you may be able to be seen sooner if you are willing to travel to a facility with a shorter wait time.
This is a very interesting Government of Nova Scotia web site that lists the different wait times for surgery, diagnostic tests and referrals to specialists, according to community.
Wait Times in Nova Scotia

Acute / Subacute / Chronic

2005-11-25T11:50:00.000-05:00

An injury is defined as either acute, subacute or chronic, depending on the stage of healing and the symptoms.

However, it's more accurate to define the stage of healing by the symptoms you see and feel, rather than a textbook definition of when a specific stage begins and ends.

For example, an acute injury is defined as the first 72 hours after an injury. But if you sprain your ankle and continue to kick a soccer ball around, your acute stage could last longer because you're irritating the tissue and prolonging the inflammation and other symptoms.

Also note that if you have an old (chronic) injury and it flares up, it is considered acute again.

ACUTE:

The acute phase of an injury is usualy defined as the first 72 hours after an injury.

An acute injury may include some or all of the following:

- Most significantly: INFLAMMATION = Redness and swelling
(However - note that with injury an to very deep or poorly vascularized areas swelling and may not be noticeable.)
- Sudden, severe pain
- The inability to bear weight (for example: not being able to step on your foot without pain.)
- Decreased mobility (for example: you suddenly can't lift your arm up as far as you used to.)
- Muscle spasm
- Extreme weakness
- Visible dislocation or break of a bone
- Red, black, blue bruising

...

SUBACUTE

Usually defined as 3 days to three weeks after an injury.

May include some of all of the following:

- Fragile scar tissue forming (Your body is regenerating and developing new tissue)
- Yellow, green and brown bruising
- Range of motion increases
- Inflammation decreases

...

CHRONIC

Usually defined as any time after three weeks.

May include some or all of the following:

- Pain with movement is dull or achy, not sharp.
- Pain at the very end of a range of movement.
- Dull ache at rest
- Bruising is gone
- Signs of inflammation are gone
- Scar tissue is maturing

...

Massage To Go

2005-07-26T18:42:00.001-04:00

In addition to individual massage appointments, I can provide on-site massage therapy services for group events or gatherings. Some examples include post-sports events, bridal showers, festivals or corporate events.

Massage sessions can be done seated or on a portable table set up in an area away from the event. Massage can be done in ten, fifteen or twenty minute sessions.

Getting The Most From Your Massage Treatment

2005-07-26T11:07:00.001-04:00

Here are some ideas to help you get the most from your massage therapy treatment - for the experienced massage clients and for the new.

1. Don't eat a large meal within one hour before your treatment.

2. Talking during your treatment is optional. Letting your mind rest can contribute to the overall experience. Talking can be relaxing - but silence can be, too.

3. Focus on deepening your breath.

4. Draw your attention to the muscles being treated, and deliberately allow them to relax.

5. If you had massage treatments from me or another Massage Therapist in the past and found a specific technique to be effective, it 's helpful if you let me know.

6. By the same token, it is also helpful to let me know what has NOT been effective or comfortable. Even if you have been having regular treatments and never mentioned it before, it's better late then never. I do not not take this kind of feedback personally; my primary concern is how best to treat you.

7. If a technique feels uncomfortable or non- therapeutic, let me know so I can adjust the treatment.

8. During deep techniques, some tenderness or pain is usually felt. However, pain should not go higher than an 8-9 on a scale of 0-10. If pain goes higher than a 9, the rest of your body may tighten due to the stress, and then the experience is no longer effective and therapeutic.

9. When referring to a pain scale of 0-10, '0' means no pain at all. '10' means excruciating pain. Each person's pain scale is their own - it's not relative. Don't worry that your '8' might be someone else's '4'.

10. If possible, plan to have thirty minutes free after your treatment, to ease yourself back into your day.

11. If you have a specific musculoskeletal condition you need treated, make a series of appointments (I can recommend a treatment plan) and stick to them. A chronic condition has taken a long period of time to settle in to your body - you should expect to spend some time re-training your muscles and joints.

12. If your treatments are more about stress reduction and preventive care for your body, consider booking your appointments either ahead of time - i.e. on the same day every month or week, or book right after each session. So often, people tell themselves they will remember to book in again, and they get busy and find themselves three months later (with aching shoulders) still trying to remember to book.

Most importantly, remember that your treatment is all about you. If you want to adjust any element of it - the technique being used, the position you are in, your draping, the music - let me know and I'll make the change. It's essential you communicate what works for you and what doesn't, because if we're both working with your best interests in mind, your treatment will be its most effective and relaxing.

Massage Therapy - Code of Ethics

2005-07-25T23:33:00.003-04:00

My professional association, The Massage Therapists' Association of Nova Scotia (MTANS) has adopted the Code of Ethics developed by the College of Massage Therapists of Ontario and all MTANS members agree to abide by this Code.

This Code expresses "the primary ethical values, obligations and goals of the profession" and defines the following principles:

- Respect for persons
- Responsible caring
- Integrity in relationships
- Responsibility to society

Terry Fox

2005-07-25T22:11:00.001-04:00

One of my greatest inspirations is Terry Fox. Every time I'm out running and struggling (or just struggling), I think of Terry and I'm inspired to go further and dig deeper. He ran one marathon distance (26 miles) a day for 143 days to raise money for cancer research. It's a stunning feat for anyone, let alone someone with an amputated leg.

Have a look at some of his journal entries from his 'Marathon of Hope':

The following text is borrowed from www.TerryFoxRun.org - a great web site if you'd like to learn more about Terry Fox, the Terry Fox Foundation and cancer research:

"Terry Fox was born in Winnipeg, Manitoba, and raised in Port Coquitlam, British Columbia, a community near Vancouver on Canada's west coast. An active teenager involved in many sports, Terry was only 18 years old when he was diagnosed with osteogenic sarcoma (bone cancer) and forced to have his right leg amputated 15 centimetres (six inches) above the knee in 1977.

While in hospital, Terry was so overcome by the suffering of other cancer patients, many of them young children, that he decided to run across Canada to raise money for cancer research.

He would call his journey the Marathon of Hope.

After 18 months and running over 5,000 kilometres (3,107 miles) to prepare, Terry started his run in St. John’s, Newfoundland on April 12, 1980 with little fanfare. Although it was difficult to garner attention in the beginning, enthusiasm soon grew, and the money collected along his route began to mount. He ran 42 kilometres (26 miles) a day through Canada's Atlantic provinces, Quebec and Ontario.

It was a journey that Canadians never forgot.

However, on September 1st, after 143 days and 5,373 kilometres (3,339 miles), Terry was forced to stop running outside of Thunder Bay, Ontario because cancer had appeared in his lungs. An entire nation was stunned and saddened. Terry passed away on June 28, 1981 at age 22.

The heroic Canadian was gone, but his legacy was just beginning.

To date, more than $360 million has been raised worldwide for cancer research in Terry's name through the annual Terry Fox Run, held across Canada and around the world."

Missed Appointments

2005-07-25T11:26:00.000-04:00

I ask that you give 24 hours notice in order to cancel an appointment. If that notice is not given, payment is expected for that appointment. This policy is spelled out in the consent form you sign when you come in for your first visit.

Sometimes people seem startled by the policy, so I thought I would take a moment to explain this issue. When you make an appointment, that time is set aside for you exclusively. When other people call for an appointment, they're turned away from your time, because you have it reserved. If you forget your appointment or decide to cancel at the last minute, that is a time I could have given to someone else.

So I am directly affected financially, and very often there is someone who needed to be seen but couldn't get booked in.

I was discussing this issue with a client last week. She was in full agreement with the policy, and she said she thinks of it like when she buys tickets to a concert or a play: if she misses the event for whatever reason, she doesn't expect her money back. She reserved the seat, so the ticket couldn't be sold to anyone else. So this is why I ask you to be responsible for the appointments you make.

It's important to note that insurance companies cannot be billed for missed appointments. This means that if Blue Cross is billed directly for your appointments, if you miss an appointment you will be sent an invoice directly.

Another note: if you don't give the requested 24 hours notice to cancel, but I am able to book someone else in to that space, you will not be billed.

Approach

2005-06-28T09:00:00.000-04:00

My approach is simple to describe: I give each of my clients the same quality of care - the same attention, respect and compassion - that I give to my family and friends.

Autumn - 2005

2005-06-27T09:07:00.000-04:00

Winter - 2005

2005-06-26T22:19:00.000-04:00