As if we need another reason not to drink milk
http://www.notmilk.com/ratpoison.html
MMMMMMMMMM..................................

This is an awesome article!
http://wcco.com/health/mayo.clinic.massage.2.606777.html\
The only problem is, they have nurses doing the massage. Trust me people, nurses don't have half the training needed to be able to give a massage.

Path/Pharm class

As everyone knows by now, class was cancelled today. I learned that I'm still not ready to drive in slippery weather. Apparently, the melted ice/snow from yesterday re-froze on the bridges of Rt. 30. I realize that my sense of danger is heightened (read the April 07 posts) and I may be a little paranoid. But.... well, let's just say that the phrase "scared the {urine} out of me" is a complete truism.

So....

Today's lesson actually wasn't a lesson at all. We were to review. We can do this online. For the final exam please know the following:
The anatomy of the
Integumentary System - the layers of the skin, the glands,
Musculoskeletal System - the three different types of muscle tissue, bone types, the parts of a long bone, the parts of a synovial joint
Nervous System- the parts of a nerve cell (Jamaica Man...), brain sections, CNS vs. PNS
Endocrine (yea!) System- pancreatic hormones
Cardiovascular/Lymph Systems - the three circulations of the body, the electrical system of the heart, lymph vessels functions
Respiratory System - lungs, alveoli, internal vs. external respiration
Gastrointestinal System - gi structures and accessory organs

Please review the general manifestations of disease:
Integumentary: any abnormals, redness, cyanosis, jaundice, cold, hot, bruising, moles
Musculoskeletal: pain with palpation, or with movement, inflammation, asymmetry
Nervous: dizziness, tremors, sensory impairment, numbness, tingling, pain
Endocrine: lumps, nodules or masses of the neck, neuropathy
Cardio: pacemakers, central venous catheters, difficulty breathing, skin color (red/white/blue), bruising, chest pain, calf pain,
Lymph: limbs unequal in temperature, chronic fatigue, weight loss
Respiratory: cough, chest pain, SOB, edema
Gastro: nausea, vomiting, diarrhea, constipation, abdominal pain

Pathologies and other terms you'll want to review:
Please know the definition of the pathology and the massage considerations for that pathology.
Integumentary:hives, impetigo, lice, ringworm, shingles, moles (ABCDE - and F for "funky")
Musculoskeletal:atrophy, bursitis, contracture, fracture, kyphosis, lordosis, osteoarthritis, rheumatiod arthritis, sprain vs. strain, tendinitis, torticolis
Nervous: alzheimer's disease, conjuctivitis, CTS, concussion, nerve compression vs. nerve entrapment, para- hemi- quadriplegia, parkinson's disease, depression
Endocrine: IDDM, NIDDM
Cardio: anemia, congestive heart failure, embolism, endocarditis, hypertension, MI, pericarditis,
Lymph: AIDS, chronic fatigue syndrome, fever
Respiratory: COPD, asthma, emphysema, bronchitis, influenza
Gastro: colostomy, appendicitis, cholecystitis, constipation, GERD, obesity, ulcers

Meds:
Please know the massage modifications, or general observations that are required for the following.
Antipyretics (fever reducers - Tylenol, Ibuprofen)
Skeletal muscle relaxants (Skelaxin, Baclofen)
NSAIDs (Ibuprofen, Advil, Naproxen Sodium)
Antihypertensives (Lotensin, Tenormin, Cardizem, digoxin)
Anticoagulants/Antithrombolyitcs (Aspirin, Coumadin, Plavix)
Analgesics (Narcotics - Darvocet, Percocet, Vicodin, Morphine Non-Narcotics - Tylenol, NSAIDs)

SOAP notes
Please know what SOAP notes are, and what information goes where.
(I'm going to try to post what I use on the blog somehow.)

Remember, you already know this stuff. You've already studied it and have been tested on it. You don't need to LEARN it again, just REVIEW it. Don't waste your time on stuff you have a good handle on. Again, and say it with me, YOU ALREADY KNOW THIS STUFF. I am making myself pretty available this weekend for questions and comments (with the exception of Saturday 8a -12p). Feel free to call me or email me.

Hugs and kisses,
val.

New links I like

http://photography.nationalgeographic.com/photography/enlarge/spider-guarding-eggs_pod_image.html

http://www.blogger.com/post-create.g?blogID=2465453830272749902

http://www.nytimes.com/2007/12/05/health/research/05flu.html?ei=5065&en=21ab6eaa062ec6e9&ex=1197522000&partner=MYWAY&pagewanted=print

http://rense.com/general79/offer.htm

http://abcnews.go.com/Health/ColdFlu/wireStory?id=3952451

http://www.telegraph.co.uk/news/main.jhtml?xml=/news/2007/12/04/ncough104.xml

Comments are always welcomed.
val.

http://pos-psych.com/news/iris-marie-bloom/20071202510
This is a great post.

Mary had a little lamb, little lamb, little lamb....

This article is interesting on many levels. There is the "I told you so" factor. Plus, way at the end, note how many people have died of Avian Flu since 2003. Thousands, hundreds of thousands? Millions? Oh my....
http://news.yahoo.com/s/nm/20071128/hl_nm/virus_prevention_washing_dc

FDA link

This is a link to the FDA's recalls page.

http://www.fda.gov/opacom/7alerts.html

"Company representatives were not available for comment"

http://news.yahoo.com/s/ap/20071124/ap_on_he_me/fda_tamiflu_safety

Phantom Limb pain

We talked about phantom limb pain in pathology class. The idea of honoring the missing limb as if it where still there came up. I believe this treatment follows the same idea. Read on.
http://www.msnbc.msn.com/id/21921002/

Happy Thanksgiving

I just popped the bird into the oven. This is quite monumental for me because this marks the first time ever that I have stuck my hands into a turkey. I usually ask Jess to the job - I think it's because I tend to see it as a "butch" activity. Our ritual started at our first Thanksgiving. I wanted to impress her with my fine culinary exploits and bought a 22 pound turkey even though dinner was just for she and I. I cooked that poor bird for about 6 hours. As she was carving what turned out to be crustiest piece of poultry ever, she noticed something strange in the neck cavity. "Hey Val, what's this?" At that point she pulled out the giblet bag. "I'm pretty sure you're supposed to take this out first". I was flabbergasted. I was starting to cry tears of humiliation when she pulled the neck out of the breast cavity. All she could do is laugh. After chasing me around the house with that damned neck she dried my tears with I love you's. We then went to White Castle and gave thanks that we found each other.

From that year on it's been her job to make sure the turkey had no "innards". But this year she has decided to grow real cahones and turned me down. "Nope, you do it." Just great. Pulling the giblet bag out was not that bad. But pulling the neck out of the breast cavity.... OMG! Nothin' natural about that I'll tell ya. If I wasn't so grossed out and able to make dirty jokes at the time, this part of the blog would be much more interesting!

So what are you thankful for? I'm assuming you are thankful for your family, lovers, friends, children. For me, I'm grateful for my family. Jess is the best thing ever, ever, ever to happen to me. This lady has been through the fire with me holding my hand all the while. My children are, sorry everyone, the best kids ever procreated. So there. My thanks also go out to my employers; Karl Meyer, and Doug Holman, DC. Actually getting paid for doing things I love is a dream come true.

Two things happened this year that have humbled me and for that I am thankful. One, walking away from the should-have-been-fatal accident I had in April. Two, my mother surviving a heart attack earlier this month. Both of these occurances have made me re-evaluate my place in the Universe and I like the changes this has caused.

Hopefully you don't have to through life shattering circumstances in order to feel thankful. Look around; you are in the greatest country in the world, you are a part of the best massage school in Ohio, you have chosen a profession (or if you are like me - it chose you) that is the fastest growing in health care. Do I need to go on? Life is good.

I hope and pray that you feel all the blessings that you are due,
val.

PS: Pass the gravy!!

For your reading pleasure

This is the "tree man" I was talking about. Keep in mind, this is caused by HPV, the same virus that MAY be implicated in SOME forms of cervical cancer. Read the whole article.
http://www.telegraph.co.uk/news/main.jhtml%3Bjsessionid%3DMLYGYKBGOGQ2DQFIQMFSFGGAVCBQ0IV0?xml=/news/2007/11/12/wtree112.xml

Gastrointestinal System

Finally! We are to the poop and vomit chapter. A real life "garbage in, garbage out". Today we reviewed the gi anatomy; keeping in mind that the alimentary canal is just one large tube. We discussed the organs and the accessory organs. What does the LMT do for the patient with a colostomy bag? We discussed the three body types (and I came out of the closet as a happy endomorph!) When providing massage for the larger patient, remember your treatment area is an area of unconditional acceptance.

Symptoms of gi disease
Abd. pain is never normal
Neither is blood in the stool
Difficulty swallowing
Having a mass in the abdomen might be pretty cool if you are into chanting, incense, and all that kneeling/standing/sitting. It's a joke people!
Nausea or vomiting
oral lesions
rebound tenderness
fatigue or lethargy

Our pathologies d'jour:
Appendicitis
Cholecystitis
Cirrhosis of the Liver
Constipation
Diarrhea
Gastroesophageal Reflux Disease (GERD)
Hemorrhoids
Hepatitis
Irritable Bowel Syndrome (IBS)
Obesity
Ulcers

The worksheet is the only homework for this week.

Remember, NO SCHOOL NEXT THURSDAY OR FRIDAY NOV. 21 OR 22. You are more than welcome to come sit in the parking lot for four hours those days, but your time will not be used productively as school will be closed. So, your call.

I wish you a blessed Thanksgiving holiday. Don't forget: Thanksgiving is more than just a holiday, it's an attitude.

Hugs and mashed potatoes!
val.

More on MRSA

This article talks about how MRSA is able to be so destructive. The "Superbug" invokes the inflammatory response, then degrades the neutrophils.
http://hosted.ap.org/dynamic/stories/S/STAPH_INFECTIONS?SITE=OHCOL&SECTION=HOME&TEMPLATE=DEFAULT
Your comments are always welcomed. vj

Stuff that amuses me...

http://www.allheadlinenews.com/articles/7009072481


I have a feeling we are going to be seeing many articles like this. It's going to be trendy.

Good news/Bad news about depression:
http://news.scotsman.com/uk.cfm?id=1780072007

This is a great idea. Great if you are a part of "big Pharm". Keep in mind that companies can keep a patent on a drug for seven years. After that time, any company can start making the drug under the "generic" name. It used to be that once a patent ran out, the original company lost alot of business to whatever company could make it cheaper. Nowadays, what the original company is doing is providing a slight tweak to the original formula of the drug, making it "different" than the original, thus a new patent is issued for basically the same drug. Prevacid is a good example of that. It wasn't always a purple pill. The color change is what got the new patent. Ok, so now the new way of holding on to your patent (or at least the money owning the patent brings in) is to go OTC. Over the counter means "not prescription". Instead of loosing money to a small company that is going to be making your drug but cheaper, you just decrease the amount of the drug in the pill and make it available to the masses. Genius!
http://www.fda.gov/bbs/topics/NEWS/2007/NEW01742.html

Respiratory Pathologies

I am so proud of everyone this week. The vast majority of students did very well on a test covering alot of material. Good job people!

This week we covered the respiratory system and its pathologies. When dealing with patients suffering from respiratory disorders there are a few constants.
1. Massage is contraindicated if the patient is infectious and or has a fever.
2. Massage is contraindicated with "acute", clearance is needed with "chronic"
3. Positioning is key. A person suffering from a pathology that makes it hard to breathe is not going to do well with supine. Try something else; modified supine, seated massage, etc.
4. Always focus on the muscles of respiration: diaphragm, serratus, pec minor, SCM, scalenes.

The meds:
Antihistamines-Benedryl, diphenhydramine
Antitussives - dextramethoraphan (the DM in many cough/cold preparations)
Bronchodilators- inhalers albuterol (Proventil), Serevent, and P.O. med theophyllin (Theo-dur)
Decongestants-pseudoephedrine (Sudafed)

The pathologies:
Asthma
Bronchitis
COPD
Common Cold
Emphysema
Hay Fever
Influenza
Laryngitis
Pleurisy
Pneumonia
Sinusitis
Tuberculosis

The homework:
The case studies. I want you to write a paragraph about why you went with the answers you did. Also, I want a paragraph or two about why the other answers are wrong. Go into depth with this. Show me your reasoning.

Next week is the poop and vomit chapter. Yeah!

Call or mail me if you need me.
val.

Click on this if you remember how...

http://www.msnbc.msn.com/id/21551513/

Let me know what you think

val.

Path/Pharm Endocrine

Woo Hoo! I am sooooooo glad we are studying the endocrine system this week! There is no end to my undiluted joy with just thinking about the system that gives us those oh so interesting hormones. I feel so sorry for those of you poor things that missed class this week. You'll never get that time back, I pity you.



Your assignment for this week:

You are to create a SOAP note for a diabetic patient. Make sure you address the effects of the diabetes mellitus and the medications/side effects and how you need to modify your basic massage to accomadate this patients' needs. As for medications, it's your choice as to what your patient is taking; oral antidiabetic meds or insulin (MDI, pump, inhaler).

Just for review:

S = subjective information, this is what the patient tells you

O = objective information, this is what you observe

A = this is what you have done based on the subjective and objective info; the massage provided and the results

P= this is the plan, how often are you to see this patient? what techniques will you use next time? etc.

Don't get to bogged down on this. Give me a call or mail if you start to pull out your hair.



The glands/hormones involved in this week's lesson:

posterior pituitary/ADH

anterior pituitary/ACTH

anterior pituitary/HGH

anterior pituitary/TSH

Pineal/Melatonin

Thyroid/T3 and T4

Pancreas (Islets of Langerhans)/Glucagon

Pancreas (Islets of Langerhans)/Insulin



Medication use in Diabetes Mellitus:

Insulin and/or oral medications

Glucophage
Glucotrol
Amiryl
DiaBeta
Byetta (all are po meds but this one)

Insulin
Multiple daily doses
pump
inhaler

And our pathologies for this week:
Acromegaly
Cushing's Disease
Diabetes Insipidus
Diabetes Mellitus
Goiter
Graves' Disease
Hyperthyroidism
Hypoglycemia
Seasonal Affective Disorder

That's it. I am truly sorry and I crawl on my knees begging your forgiveness that this is all we need to know this week. With the Endocrine system being soooooooooooo interesting I know we will all be suffering a giant hole in our intellect because of this.

Next week, it's gonna be boring. Just the cardiovascular/immune system. Nothing of any consequence going on there, really.

cya,
val.

Nervous Pathologies

Okay gang. Sorry about the delay. Here's your essay assignment for the week:

A two page report regarding one of the pathologies addressed in "Additinal Resources" in the back of the chapter. Define the pathology and describe how massage would/would not be beneficial for those suffering from the pathology. Utilize the web sites listed as your main source of information.

Pathologies:
Alzheimer's Disease
Carpal Tunnel Syndrome
Conjunctivitis
Glaucoma
Concussion
Multiple Sclerosis
Nerve Compression
Nerve Entrapment
Neuropathy
Bell's Palsy
Cerebral Palsy
Paraplegia
Hemiplegia
Quadriplegia
Parkinson's Disease
Sciatica
Seizure Disorder (Epilepsy)
Stroke (CVA)
Thoracic Outlet Syndrome
Mental/Emotional disorders
Acute or generalized anxiety disorders
Dementia
Depression
Substance abuse
Neurological symptoms
Hyperesthesia
Insomnia
Vertigo

Give me a call if you need me.
val.

MSNBC article

Here's an article from MSNBC about how massage is used in the treatment of injuries. There is a good side show with the story, check it out.

http://www.msnbc.msn.com/id/19190927/

More on the MRSA situation

That which does not kill me, only serves to make me stronger.

http://www.dispatch.com/live/content/local_news/stories/2007/10/20/superbug.ART_ART_10-20-07_A1_MT881Q7.html?sid=101

National Institute of Health www.nih.gov
check it out

val

Which way is sideways?

Thank you so very much, Lorissa, for filling in for me at the last minute. You walked into what I'm sure was an unorganized mess (to you) and handled the situation with great ease. You're such a pro. Again, thank you.

As for my students, please monitor the blog for updates. As soon as I retrieve my notebook, I will post the essay and pathologies for ya. Of course you can call or email me as needed. It appears that I will be home for the weekend (doctor's orders) and I will be bored. Since I love to talk about gooey and gross things, calling and asking questions of me would lift my spirit and give me something to do.

Thank you for your good thoughts
val.

And, least we should forget...

http://www.cidrap.umn.edu/cidrap/content/influenza/avianflu/news/oct0507avian.html

I'm still waiting for this one. In fact, I'm still waiting for Monkey Pox! They promised me I would come down with deadly Monkey Pox way back in 2001! Geesh, some people...
Again, let me know what you think.
val.

More on MRSA

http://www.foxnews.com/story/0%2C2933%2C303237%2C00.html

More info on MRSA. Please note, halfway down the page is a link to the CDC's MRSA page. There is some very interesting facts there. Check it out and let me know what you think.
val.

ps. Wash your hands!

MRSA on the rise

http://www.msnbc.msn.com/id/21359317/from/RS.1

There's a fungus among us!

Check this out:

http://www.msnbc.msn.com/id/21312664/

Breathe deep!
val.

Musculoskeletal System Stuff

Excellent week in Path! The essays that were turned in regarding melanoma and other skin cancers were fantastic. I am proud of you. This week we had fun studying the musculoskeletal system. And, the books came in! Hooray!

The essay: Each student is to pick a medication from the list in Table 4-2. The student is to research and turn in a one and a half page report on which musculoskeletal diseases are treated using that medication. The paper should address the function of the particular medication and how that medication and/or disease might affect massage considerations. You may use any sources for your research but keep in mind:
1. cite your sources
2. you need at least one source that is not your text book

The pathologies: I'm including these this week because not everyone got the info from class. The path's we went over are:
Ankylosing spondylitis
Atrophy
Baker's cyst
Bunion
Bursitis
Contracture
Dislocation
Fibromyalgia
Fractures
Gout
Headaches
Herniated disk
Kyphosis
Lordosis
Muscle spasm
Muscular dystrophy
Osgood-Schlatter disease
Osteoarthritis
Osteoporosis
Plantar fasciitis
Repetitive strain injury
Rheumatoid arthritis
Scoliosis
Separation
Shin splints
Spasticity
Spondylolisthesis
Sprain
Strain
Temporomandibular joint dysfunction
Tendonitis
Torticolis
Whiplash

Also included in this week's lesson were:
Pain medications (Aspirin, Acetaminophen, NSAIDs, Narcotic Analgesics, Muscle relaxants, Corticosteroids) - handout
Terms that are not in the path book but are addressed in Tortora (handout)

Give me a call if you need clarification on anything.
val.

The incredible appendix

I was having a conversation the other day with someone I work with and the topic of the "appy" came up. We couldn't decide what, exactly, was the function of this worm-like structure located in the LLQ. Since we couldn't come to an agreement we decided to move the convo onto more important things like split ends or something. Imagine my suprise when this morning I came across this story. You're right. I wasn't exactly suprised, but more amused. Read on:

http://www.msnbc.msn.com/id/21153898/

Let me know what you think.

val.

This week's essay...

I was so impressed by the critical question papers I have seen so far. Wow! It's amazing when you stop to think about what slobs we are. But, before you run out and buy bleach and antibacterial soap, just remember, your routines are just that... yours. You and your families have been doing these things for years and most of the time you have not been ill. I suggest just a little more hand washing but for the most part I wouldn't have any qualms accepting a dinner invitation from any of you.



This week I need you to this for part of your homework:

Short essay: Students search the American Cancer Society web site for information about skin cancer. Students should write a one page report on the differences between melanoma and non melanoma skin cancers, including their characteristics, methods of detection and risk factors.

http://www.cancer.org/



Have fun. Give me a call or shoot me a mail if you get freaked out or bogged down.



val.

Brain Eating Ameobas!

We talked about ameobas this week in Path class. I said we usually don't have to worry too much about it, at least not as much as say, bacteria. Well, I stand corrected as this story will show you. Click here:

http://www.kpho.com/news14214579/detail.html

If you have probs with the link, let me know. I will email the story to you.

Path/Pharm

Your critical thinking question:

In our daily lives, we come into contact with a large number of patholgens without thinking twice. However, in a massage therapy practice, we must be careful to protect ouselves and our clients from infection. I want you to consider each step of your daily hygiene routine. How would you have to modify the routine to comply with the infection control and saftety precautions necessary in a massage therapy setting?

This should be a good page to a page and a half essay. Written or typed, it doesn't matter.
Call me if you get bogged down or run out of ideas.

val.

End of the term stuff

No way! No way it's the end of the term! Those 11 weeks have gone quickly. I know I say that about every term but this time I mean it. Yes I do!
This morning I just casually asked the med term class, "how much smarter are you today than you were on the first day of class"? Think about it. You showed up, skulls full of mush, and now you speak another language. How cool is that?
Do you remember my post right before the first class of the term? I spoke about what I was going to learn (I know, it's all about me right?). Anyway, wanna know what I learned?Well,

1. People still eat organs. I thought that with all the disease that has been connected to eating parts of animals that are usually thrown away, that real people would avoid the stuff like Mad Cow Disease. But, no. Almost every week I heard stories of how good liver and onions are. I'm suprised that I didn't hear anything about cow brains. Nope, wait, I'm wrong. I learned that brains are a yummy accompaniment to scrambled eggs. Pass the katsup please.

2. The Lima Bus system is a mess. If I were looking for a non-massage business to go into, it would be public transportation. Get the city government out of the whole thing and you would have a money maker there!

3. That young and older married women are horn dogs. Oh Tony, if only you knew the distraction you are while walking the dog without a shirt. Although I suspect you know exactly what you are doing.

4. That it's possible to drink a whole pot of coffee, buy two more cups on the way to school and drink them before break and still be able to hold your pen steady as a scalpel. You know who you are.

5. Laryngitis is no barrier to pronouncing words like "encephalopathy" and "neuroglia".

6. That working at Menard's sucks. Who knew? I thought it would be pretty cool but from what I understand they play that jingle "Save big money at Menards!" about every 8 minutes. Can anyone say Prozac?

7. I learned that it is not a good idea to stick your hand in a fruit cutting machine. Your fingers could be lopped off and become part of the jello salad. Good safety tip.

8. That adopting a baby is a good way to have a baby of your own. Also, I learned that the world is smaller than you think. You never know when the child of one of your coworkers is going to show up in your class.

9. That I wasn't crazy in thinking that when I breathe deeply, I feel better almost instantly. I also learned that if I hold myself in just the right way, I can hear the wind and the whispers of the ancestors in it. Thank you, Sensi.

See, I learned something from each and every one of you. Those tid bits of knowledge are just as important to me as what you learned this term. Sacred, even. I thank you for the privledge of being not only your teacher but your student as well.

Sending good Mojo your way,
val.

Just for the heck of it...

I hate forwards. You know what I'm talking about. Those silly, usually stupid emails that your "friends" send you. How many of us have been sent jokes by well intentioned people? Me, for one. I normally just delete 'em (sorry if any of you have sent me some...). But this one was sent to me by a friend of mine, Suzi. She never sends me anything. Never! So I opened it. And I'm glad I did. I think it needs to be shared with all of you. This is for everyone attending and staffing IOTM, from the first termers to the seniors who check my site out of shear habit (I know you do it!) I hope it copies ok.

>>>> A well-known speaker> started off his seminar by:>> holding up a $20.00> bill In the room of 200, he asked, "Who would like this> $20 bill?">> Hands started going up.>>> He said, "I am going to give this> $20 to one of you>> but first, let me> do this.>>> He proceeded to crumple up the $20 dollar bill .>>> He then asked, "Who> still wants it?">> Still the hands> were up in the air.>> Well, he> replied, "What if I do this?">> And he dropped it on the ground and started to grind it into the >floor with his shoe.>> He picked it up, now crumpled and dirty.>>> "Now, who still wants it?">>> Still the hands went into the air.>>> My friends, we have all learned a very valuable lesson.>> No matter what I did to the money, you still wanted it>> because it did not decrease in value.>>>>> It was still worth $20.>>>>> Many times in our lives,>>> we are dropped, crumpled, and ground into the dirt>> by the decisions we make and>> the circumstances that com e> our way.>> We feel as though we are worthless.>> But no matter what has> happened or what will happen, you will never lose your value.>> Dirty or clean, crumpled or finely creased,>> you are still> priceless to those who DO LOVE you.>> The worth of our lives comes not in what we do or who we know,>> but by WHO WE ARE and> WHOSE WE ARE.>> You are special> -> Don't EVER forget it."

I didn't copy the "pass this on to 7 people in 10 minutes and you will have a miracle in the morning". But, hey, try it. Let me know if it worked for ya.

Hi gang! As you know, today's MT class was cancelled due to the weather. Mother Nature sure can throw a fit, can't she? I really tried to get to work but the sheriff turned me back. We were going to go over the Musculoskeletal System and test on the Blood, Lymph, and Immune system. We will test over both of the chapters next week.
For the Musculoskeletal chapter, please know the following:

• the three types of muscle and their functions
• the body movements produced by muscle action (table 10-1), please note that many of these terms we went over in the "body structure" chapter
• fleshy vs. fibrous attachments
• bone functions
• bone types
• surface features of bones
• divisions of the skeleton, follow along with the chart that I am going to email you
• axial - skull, thorax, vertebral column
• appendicular - the extremities (please note the upper extremity and the lower extremity are set up the same: the girdle, the long bone, the two bones, wrist/ankle bones, hand/foot bones, fingers/toes
• the book says that there are 10 phalanges in the fingers. This is a typo, as there are 14 (fingers 2-5 have 3 apiece and the thumb has only 2)
• the different types of joints(articulations)
• medical word elements (under "muscular system" on page 279 the only terms you need to know are muscl/o and my/o
• Pathology
• bone disorders - closed, open, complicated, Colles fractures, Osteoporosis(please know what the name has to do with the symptoms), spinal curvatures (scoliosis - lateral curve, kyphosis - thoracic curve, lordosis - lumbar curve)
• joint disorders - rheumatoid arthritis (an autoimmune disorder), osteoarthritis (wear and tear arthritis)
• muscle disorders - muscular dystropy (Jerry's Kids)
• starting on page 287:
• ankylosis
• contracture
• hypotonia
• hemarthrosis
• phantom limb
• sprain
• strain
• arthrography
• closed reduction
• amputation
• arthrocentesis
• arthoclasia
• open reduction
• pharmacology:
• NSAIDs
• skeletal muscle relaxants
• abbreviations:
• aka, bka
• aea, bea
• DJD
• Fx
• L1,L2 and so on
• ortho
• RA
• THR

Phew! I will email all of the handouts you will be needing here in a minute. Also, expect to hear from me in the next day or two, I want to know how you are and if you have any questions. Of course you can call me if you need me before that. Or even after that.

Please complete learning activities 10-3 (skeleton dude) and 10-4 (building words), along with the worksheet I'll be sending you.

Peace and grooviness,

val.

Field Trip!

I am going to "Bodies - the expedition" on Saturday, September 8th. My children, my parents, my partner and I will be at the front door at 2pm. This will be an excellent opportunity to meet the sources of some of my craziest stories! Oh yea, and we'll get some learning done too. Here is the link:

www.bodiestheexpedition.com

Let me know if you need driving directions!

Peace,
val.

Blood, Lymph, Immune system

We had fabulous classes on Tuesday and Wednesday. Please make sure you complete your worksheet and the learning activity as assigned. Let me know if you missed any of the terms we went over in class. There will be a test on this material when we meet again.

July 10,11
Chapter 4 was a blast! Be sure to review:
1. the key terms at the begining of the chapter
2. CCTOSO - the levels of the body's organization
3. the parts of the cell (remember the goo!)
4. anatomical position (assume the position!)
5. the planes (mid, sagittal, frontal, transverse, oblique)
6. body cavities
7. abdominal quads and regions

The directional terms on pages 48-49 are very important. You will need to know these terms during the rest of your massage education (and your career - but by then they will be second nature). You will be responsible for the terms on pages 49-56. You'll notice that most of the prefixes and suffixes are review from last week. Most of the combo forms are new. Believe it or not, you've heard many of these terms before in real life. Example; you know the word cranial. It has to do with the skull. Actually it means "pertaining to the skull". How do we know this? By breaking it down. But remember, you already know this word. Don't make it harder than it has to be.
You DO NOT need to know the information under the "Pathology" heading. No wasting time here.
Under the "Diagnostic, Symptomatic, and Related Terms" heading please know the following: "Adhesions", "Febrile", "Homeostasis", "Inflammation", "Morbid", "Sepsis" (also with this term, please know that it is a noun, the adjective is "Septic"), "Suppurative" (remind me to tell you a very funny story about this term).
The only Diagnostic term you need to know this week is "Magnetic resonance imaging" or MRI as we health types call it. (page 61)
The abbreviations starting on page 64:
ant.
Dx
Lat., lat.
All quad abbreviations (RUQ, LLQ...)
MRI
post.
Sx
Tx
Feel free to complete the learning activities at the end of the chapter. Don't forget to do your worksheet. If you have any questions or concerns, let me know.
val.

Check! This! Out!

OMG(S)!! Look at this!

http://www.bodiestheexhibition.com/intro.html

This exhibit is in Columbus until October. Let's go! I feel like a 6 year old jumping up and down yelling, "Mommy, can we go? Can we?". I want everyone to take a look at this and let me know if you would like to go. We can pick a weekend (or whatever is good for everyone) and have a road trip!

Holla'!
val.

Week One, over and done...

Okay, you've gotten through your first week of Medical Terminology. Luckily for all of us not one person had their eyes bug out and no one threw up in class. Good sign if you ask me. I think this term is going to be exciting because of all the good attitudes I encountered!

Remember that we do not have class next week (July 3 and 4 - something about some holiday I think...). Use the time to study all the material we went over this week. You are starting your education in a new language and you've just learned the ABC's. Look over the rules for building and for defining medical terms. Repeat the prefixes and the suffixes over and over if you have to. Don't forget the inside front and back covers. There's good info there. If you have any problem with pronunciation, or anything else with these terms, call me. I'm here for you, that's what Karl pays me the big bucks for. LOL!

When we meet again, we will test over this material. Also, your homework will be due. The lecture will be over "Body Structure" - terms about structures, cavities, directions, actions, etc of the body.

Let me know if you need me,
val.

Medical Terminology!

School starts back up next week and boy am I excited! I love the start of a new term. There's the anticipation of meeting new people and of reacquainting with previous students; the smell of new books and unsharpened pencils; and learning new things. What? Valerie, the teacher, learns new things each term? Well, heck ya! Okay, I already know that the word "cholelithiasis" means "the abnormal condition of having gall stones", big deal. But I'm sure that I'll learn a new recipe for spaghetti sauce from someone. Or maybe someone will share the answers to yesterdays crossword puzzle. Perhaps someone will teach me biometrics or how to read palms. Whatever. We all have some knowledge that needs to be shared. I hope that I'm privileged enough to be allowed to pick the brains of my students. I'm looking forward to it!

For my new students, come prepared to learn. Have an open mind. Get ready to have fun. For the returnees, welcome back! I've missed you! All of you should bring your textbook, paper and pencil/pen for note taking. Note cards are not required for this class.

If anyone has any questions/comments for me before school, please call me or leave a message for me at the school. They will make sure I get it. Otherwise, I will see you Tuesday in Lima or Wednesday in Leipsic.

All a'flutter,
val.

I shaved my legs for this?

The above song title is one of my favorites. It's a country song (duh, I can't imagine Lil' Kim belting out this one)and like all the best country songs it sums up the the whole problem in just a few well selected words. The song tells the story of a woman getting prepared for a date. There is much excitement and nervousness. What do I wear? Should I wear flats or heels? Does this make me look fat? Much has been arranged, preplanned, and agonized over. As any girl knows, it takes time and much effort to be sufficiently readied for something this important - perhaps even life changing. Anyway, after going through all of the exhausting rituals of this potentially future altering event, the lady of the song finds that her potential lover was nothing but a dud. Here she was all nervous over something she thought she might not have any control over, and it turns out that it really was no big deal.Is that it? And I shaved my legs for this? Ha!

I can almost guarantee that is what our graduates are going to be thinking tomorrow after State Boards. They have given blood, sweat and tears for the last almost two years (or more). Most of them have bald spots from tearing out their hair, all of them have bloodshot eyes. I know of at least one that has started smoking. Heck, I've even had phone calls asking me how much Tylenol and Pepto can one human consume at one time and not die.The proficiency exams have given them pimples and frizzy hair.They have worked hard, very hard for their date with the State Medical Board tomorrow. It's gonna be cool listening to them after the last session as they exit the building. "Is that all it is?" "I got all freaked for that?" "Our proficiency exams were way tougher than that". "Val, you lied about the Tylenol and Pepto!".

And in the background I hear a country crooner crooning "...and I shaved my legs for this?"

Keeping my books open and sending all my future peers good Mojo....
val.

Path/Pharm Respiratory Notes

These notes are being provided to the Thursday Path/Pharm class in lieu of lecture. Although they are not a substitute for class/lecture hours, it is recognized that you will be spending much time in study with them. Because of this you will be receiving 3 hours of credit towards your hours total. Please notify me if there are any questions or comments.

Outline
501 Pathology
934 Pharmacology
Respiratory Pathologies

I. Anatomy and physiology of the structures of the respiratory system
A. Breathing is most easily observable vital sign
1. Holding breath – pain
2. shallow/rapid – anxiety
B. Effects of massage
1. Increases oxygenation
2. Decreased tension
3. Increased removal of wastes of metabolism
C. functions of respiratory system
1. Gas exchange (O2 intake and elimination of CO2)
2. Disruption build up of CO2 and cell death
3. Assists regulation of body’s pH (elimination CO2 – decreasing acidity)
4. Provides for sense of smell by containing olfactory receptors
5. Filters air
6. Produces sound
7. Eliminates water and heat in exhaled air
D. Mucous membranes – line resp. tract, start in nose and mouth, sinuses, throat, all the way down to smaller tubes in lungs
E. Air movement
1. Nasal cavity
2. Pharynx
a. nasopharynx
b. oropharynx
3. Larynx (voice box)
4. Trachea
a.. 16-20 incomplete rings of cartilage
b. semi rigid support to deep airway open
5. Primary bronchi (bronchus) – enter lungs
a. right is bigger, wider, straighter
b. usual location of aspirated object
6. Secondary bronchi
7. Tertiary bronchi
8. Bronchioles – subdivide 23 times
9. Alveoli
a. air sacs
b. elastic tissue
c. alveolar sac
d. surrounded by pulmonary capillaries
e. respiratory membrane – site of has exchange
f. blood from pulmonary capillaries into pulmonary veins to heart

II. Pulmonary ventilation – inspiration (inhalation) + expiration (exhalation)
A. controlled by resp. center in medulla oblongata and pons
B. can be voluntarily altered
C. mechanical process altering atmospheric air pressure
a. inspiration (active process)
1. Diaphragm contracts
2. External intercostals lift ribs
3. Alveoli fill w/air
b. exhalation (passive)
1. Diaphragm relaxes
2. Elastic recoil of alveoli pushes air out
D. Secondary muscles of respiration (accessory)
a. scalenes – lift ribs 1 and 2
b. sternocleidomastoid (SCM) lifts sternum and clavicle
c. pec. minor lifts ribs
d. Serratus posterior lifts ribs
e. abdominal muscles – push diaphragm upward
f. internal intercostals – depresses ribs

III. Specific homeostatic imbalances and the associated medications
A. Asthma – chronic, inflammatory disorder caused by airway sensitivity to various stimuli, airway obstruction
1. Triggers – allergens, emotional stress, aspirin, exercise, cold air, smoke
2. Smooth muscle spasm, excessive mucus is produced
3. Airway inflammation, edema, death of cells
4. Tx: inhaled muscle relaxants and bronchodilators
a. albuterol (Ventolin) pg 121
b. ipratropium bromide (Atrovent), w/albuterol (Combivent)
c. anhydrous theophylline (Theo-Dur) pg 119
d. meds stimulate sympathetic nervous system
5. Massage – as to tolerance
a. monitor for triggers
b. rescue inhalers within reach
c. side lying or semi reclining
d. work muscles of resp.
e. deep friction, kneading, deep gliding strokes
f. vibration and percussion to loosen mucus
B. Bronchitis – inflammation of bronchial mucosa, causes edema of bronchial tubes and production of extra mucus
1. acute – URI, productive cough, high fever (massage contra’d)
2. chronic – increased mucus, prod. Cough 3 mos of yr. for 2 successive years
a. cigarettes
b. mucous narrows airways
c. impairs cilliary action
d. increased risk of infection
e. same meds as asthma, and acetylcysteine (Mucomyst) pg. 124
i. act directly on mucus, to make it easier to eliminate
3. Massage
a. positioning
b. postural drainage – head lo0wer than rest of body
c. percussion and vibration for 5 mins
d. menthol based lubrication
e. muscles of respiration – deep friction, kneading, ischemic compression, deep gliding strokes
C. Coryza (common cold) – acute inflammation of mucous membrane of upper respiratory tract usually nose and throat caused by a virus
1. Coughing, sneezing, watery eyes, nasal congestion and discharge, sore throat, hoarseness, fever, chills
a. Decongestants pg. 125
i. pseudoephedrine (Sudafed) – side effects: nervousness, restlessness, and insomnia
b. Antihistamine
i. diphenhydramine – Benadryl pg. 181
ii. CNS depression – dizziness, lethargy
2. Massage – contra’d for 3 days after sx appear
a. as to tolerance after acute stage
b. exacerbates sx for short time but decreases recovery time

D. Influenza (Flu) – acute viral infection of resp. tract caused by a virus
1. 3 day incubation lasts 3-10 days
2. Inflamed nasal mucosa and pharynx, fever, chills, headache, muscle aches and pains
3. Massage contra’d

E. Pneumonia – inflammation of alveoli d/t infection or other pathology (aspiration)
1. Alveoli fill w/fluid and exudates
2. Most common infectious cause of death in US
a. elderly, infants, immunocomprimised, smokers
b. “old man’s friend”
c. Expectorants pg 122
i. guaifenesin (Robitussin) – thin mucus for easier coughing, also smoothes respiratory tract
ii. Often combined with codeine
d. Antiussives pg 123
i. benzonaatate (Tessalon) – suppresses non productive cough
3. Massage contra if acute
a. obtain clearance
b. percussion and vibration of rib cage
c. primary and secondary muscles
d. stretching, joint mobilizations and massage on extrems to prevent atrophy
F. Sinusitis – inflammation of paranasal sinuses
1. Infection, change in environment, structural defect of nose
2. Swelling obstructs sinus openings
3. Local tenderness, pain, headaches, fever
4. Massage contra if fever
a. general massage
b. prone position and face cradle can increase sinus congestion
c. local moist heat
d. ischemic compression to frontal and sphenoidal sinuses
e. steam inhalation

IV. Other terminology
A. COPD – chronic obstructive pulmonary disease
1. asthma, bronchitis, emphysyma
B. Cystic Fibrosis – genetic disorder, over production of secretions of exocrine glands esp. pancreas and lining f respiratory system
1. full body massage
2. postural drainage
C. Pleurisy – inflammation of plural membrane

Thursday Path/Pharm May 24

Answer the following in your own words:

(Each are worth 8.3 points)

1. What is the path of a blood cell through all three circulatory systems (systemic, pulmonary, coronary)?

2. What are the functions of the Lymphatic system?

3. The death of cardiac tissue is termed what?

4. What modifications to the massage are you going to make because your patient has a recent (less than six months) history of the pathology mentioned in #3?

5. How does massage effect blood pressure?

6.A patient with DVT would most likely be receiving what medication for this pathology?

7. How would the medication in #6 effect the massage you are about to give?

The hospice for which you do pro bono work has received a new patient. Randy, a 45 year old African American is diagnosed with AIDS, hypertension, and diabetes type II. As a member of his care team you will be providing massage therapy 3 times a week, according to the order from his Certified Nurse Practitioner. Due to Randy’s “Comfort care only” care plan all medications were discontinued accept his narcotics, his insulin, and a diuretic as needed. He exhibits symptoms of Kaposi’s sarcoma, and high blood glucose. Randy is alert and communicative, but presents with the debility of the terminally ill.

Regarding the scenario above answer the following:
8. What types of techniques will you be using with Randy?

9. Randy's last dose of morphine was 4 hours ago, how does this fact change your treatment?

10. Would you provide hydrotherapy to Randy? Why or why not?

11. Randy is unable to remember his last glucose level. What do you do?

12. Because of Randy's HIV status, what precautions do you need to take?

Reminder

When you are going to be absent, please contact ME. Whether you call, text, or leave me a message I don't care. All of you received my phone number(s) and email at the beginning of the term. Please note (and as you were told on the first day of the term), if I am not notified of your absence you will not be able to sit for the exam you missed and any work you have due that day will receive a zero. Bummer.

All you need to do is call.

val.

Coming attrations...

Muscles 301
The fun continues as we look at the Intrinsic muscles of the hand this week. Speaking of fun, did you people know that there are earthworms in your hands? Yup. I'll prove it this Monday/Tuesday.
I've received a few calls about the worksheet due this week. Numbers 1-3 are not trick questions. As you answer, watch your wrists, hands and fingers while writing. I ask such questions because I want you to be able to use the info. It's good that all of you know the origin of the Extensor Carpi Radialis. But your client/patient doesn't. I haven't had anyone come in and say, "Val, I believe my Abductor Policis Longus is causing me problems." But they do say "My hand and wrist hurts when I put down my beer"(or whatever).Plus, the boards are going to ask you questions like numbers 1-3. But never fear, that is why we are here. Keep the calls coming. I love proving to you that you knew this information the whole time.

Pathology/Pharmacology 501/934
As you could probably tell, the nervous system is my favorite system in the body. I find it amazing that we are walking around with a buit in computer and internet. It's also amazing what massage can do for this enormously complex system. Massage can promote relaxation; promote the mind/body connection; stimulate and/or soothe the nerves. How cool.
This week we will be dealing with the Endocrine system. That's right; hormones. (no dirty jokes this time, I sorta promise) I will give a gold star to whomever can tell me the "Grandma of the two systems in charge of homeostasis"....

As for me I'm gonna go have an adult beverage and some pizza while listening to my favorite '80's hair metal bands. Have a good week.
val.

For the week after Friday the 13th.

What the $%^%$#@ is wrong with everyone???
Believe it or not, I have been watching Imus in the morning for about three years on MSNBC. I'm not a fan of Don Imus, far from it, but what I like is the diversity of "talking heads" he has on the show. Right wing nuts and bleeding heart liberals; wishy-washy independents and know-it all libertarians. The fact that Imus made fun of all of them and called them names just seemed to be par for the course. Then, a few weeks ago, as I was listening, Imus and the gang were talking about the Rutgers/Tennessee basketball teams. I heard Imus spout those yucky words that I'm sure everyone is tired of hearing. It turned me around, I tell ya. I thought, wow that's unnecessary.

Unless you have been living in a hole, you pretty much know what happened. All kinds of people got upset. Imus started apologizing as if he raped the women, the media blew it up because otherwise they would have nothing to talk about over Easter weekend. Bigger than life people with manipulative histories called for boycotts and firings (first amendment rights by the way so Goddess bless ya). Next thing I know, poof, no more Imus.

What he said was just plain dumb. Stupid. And the fact he used them opens him up to ridicule. Should he be fired? I don't think so. The basketball team forgave him, after calling him foolish. Good enough for me.

I just wanted to remind everyone that all this happened right before the 60th anniversary of Jackie Robinson's jump to Major League Baseball. Mr. Robinson became the first black American to play modern baseball. I'm sure he heard all kinds of nasty words. He obviously didn't let them hold him back.

It's been 60 years, and we are still dealing with this kind of bat crap. I think what Imus said was dumb, and I think the uproar was dumb. By the way, whenever I have to provide a checkmark for "race" on any offical form I always indicate "other".
If they want specifics I write in "Utopian". I could only wish.

Muscles 301
Now that all of you are over your "Brenda Hangover" (I'm having an auditory hallucination of a groovy Diana Ross song), I trust you are ready for Val. This week we will be testing over the muscles that move the humerus. Do you remember the cuff muscles? For this week's lesson, we will be going over the muscles that move the radius and ulna. We will find lots of info in these muscles' names. Too bad we need to know a little more than just that.

Path/Pharm 501
This week we will be testing on the Intro to pharmacology. After that get ready to get grossed out while learning about Integumentary Pathologies and the pharmacuticals involved the their treatment. Yum! Remember one of my favorite sayings, the gooey-er the better!

I wish...

Reading Brenda's and Jen's blogs I'm now suffering "post envy". I have no thought of the week, no cute little sayings. I wish I did. I usually have something very humorous to say about everything. Not lately. The most profound thing I can think of is Thank You.

Today Jess took me to the crash site to look for my glasses. As if we could find anything in those weeds. We did see the tire tracks of the wrecker that pulled the POS up and out. Just some glass and mowed down pussywillows were found next to the deep gouges in the dirt marking where the truck rolled. I remember seeing papers from my muscles notebook in and around the ditch but someone must have picked those up (probably the wind). Jess walked that ditch for about a half a mile, no glasses though.

Then we went to the junkyard so I could actually see it. It felt like a blow to the chest to see the top smooshed in and the windshield all cracked. So hard to believe I walked away from it. Wow.

It's official. I now have a criminal record in Van Wert county. Because of my "failure to control" I received a 100 dollar fine. I paid it today.

I really am looking forward to seeing all of you again.
val.

Path/Pharm

Hey ya'll!
This week in Path/Pharm we are going to redo the pharm intro. Much of the material that Darren went over is stuff that I have picked up through experience and was not in the books (at least not in one spot). I love the intro to path lecture so, I'm gonna do it this Thursday. I've spoken with Darren and he's cool with it. See ya then!
val.

301 Muscles

My doctor has taken me off of work until Thursday. That means I will not be teaching Muscles 301. Brenda will be covering for me on Monday in Ottawa and on Tuesday in Lima. You are in very good hands with Brenda - she was my muscles instructor, and if she can teach me, don't you worry about a thing.

You will be covering the muscles that move the humerus. While learning the material keep in mind the concepts of:
1. If a muscle crosses a joint, it will have action at that joint.
2. If a muscle crosses two joints, it will have action at both joints.
3. If a muscle does not cross a joint, it will not have action at that joint.

Also,
1. Get as much free info from the name as you can.
2. From the free info figure where the general location is. That will help you with figuring what joint is involved.
3. Figure the action of the muscle.(consider the line of pull, muscles never push)
a. What joint?
b. Where does it cross?
c. How does it cross?
4. Learn the origin and insertion.
5. Compare the muscle to the rest of the group, including its synergists and antagonists.

You'll be learning about the rotator cuff - a very important structure. You can remember the muscles of the cuff by remembering:
Supraspinatus
Infraspinatus
teres minor (note the small "t" for minor)
Subscapularis

I'll be thinking about you on Monday and Tuesday. Let me know if you need me, the cell phone is up and running.

val.

Update on the POS

You've probably heard that I was in an accident yesterday. I'm going to be okay. I think I have a little Post traumatic syndrome or Survivor's guilt because I'm just wandering around the house totally amazed that I walked away from it. It's probably a bit inappropriate to describe my experience here but I consider all of you a part of my extended family, so sit down and listen.

It was a typical going to work kind of morning. Most people get all depressed and p.o.'d about going to work but you know me, I was in a good mood. The weather had me a little bugged, I mean, it was just 76 degrees the other day! As I entered route 30 from Lincoln Highway, I realized it has rained/snowed and the road was frozen. No problem. Ohio weather, you learn to live with it right?

The speed limit is 65 but because of conditions I was traveling at only 50. The semi trucks were going about 40. I passed one right before Middle Point. It was then that I noticed the sheriff had stopped to help someone on the other side of the road, the motorist was in the ditch. I looked for signs of trouble, willing to stop and help if I saw running or anything like that (remember the nurse in me).

At that point I felt the back end of the POS slide to left and it pulled the entire truck that way. I let off the gas and attempted to correct the situation. I turned the wheels in the opposite direction and stayed away from the brakes. That manuever was successful, too successful. It then pulled me into the right hand lane were I was unable to correct. The truck was headed for the ditch. I looked at the speedometer, it said 50. I thought "this is much too fast for this". Then I felt the truck leave the road, I was airbourne. At this point my inside voice said, "Just relax" and I became very calm. Unbelievable isn't it?

The initial crash was when the POS struck the far side of the culvert head on. Shortly after, the truck began to roll to the driver's side. I left my eyes open because I wanted to see what was happening, until I heard glass breaking. I felt my left arm fly out the window (during the second roll) and found that interesting because I hadn't had the window down before all this. Again the inside voice told me what to do, "Bring your arm back in". So I did. Shortly thereafter, I felt the weeds and stuff from the culvert on my face. The truck rolls 2 more times, me feeling like a ragdoll behind the wheel.

When the rolling stopped I was disoriented. The stearing wheel was in my pelvis and my legs were free. This is not the way it's supposed to feel when you are in a vehicle. But you see, I was upside down. The seat belt was holding me in. I looked around and noticed that the radio was still on. For some reason I found that facinating. Also, the blue travel mug that I have been looking for was wedged between the shattered windshield and the distorted dashboard.

From far away, I heard "Hello? Hello?". I answered that yes, I'm here. The Voice said I'm going to break a window to get you out then there was a rainstorm of glass everywhere. He told me to brace myself and then he undid the seat belt. I softly said a little thank you to that seat belt. It turns out that The Voice was that of Trooper Cook who happened to be behind me and witnessed the whole thing. He helped me crawl out of the back window onto the field on the other side of the ditch. I stood up and looked back at the POS. Upside down with the driver's side smooshed in and extremely close to the water in the ditch, the hatch level with the top of the ditch.

It was then that I realized, "I just walked away from that". The trooper told me, he thought he was going to find a body in the wreck and that if I wasn't wearing a seatbelt he would have.

Since I'm getting tired, I'm going to stop posting right now. Later I'll tell you all about my hospital experience. It's full of song, jokes, and special guest stars!
I can feel all the love, best wishes and prayers you are sending. I am very greatful and thankful.

Breathing and knowing peace,
val.

Phone update

The cell phone is now up and running. Now I get the wonderful job of putting in all of your phone numbers again!

Give me a call if you need me.

Peace,
val.

Back from break

Boy, am I glad to be back. This last break just seemed to, well, stink. Sometimes during the almost two weeks off between terms, I get to feeling just a little lost. I actually miss my job. How many of you can say that? I know I couldn't stand my job when I finally made that leap and signed up for massage school. I was working 40 or more hours in a nursing home that made no effort to hide that the bottom line was more important than patient care. I felt so out of place there. When I called IoTM for info, Karl and I spoke for almost an hour about the future of massage and my place in it (yet I never once felt pressure to sign up). I brought my family to the open house. As I introduced my partner Jess to Karl and Brenda they both extended their hands in friendship without even blinking. There have been times when I needed time off for recovery and was told "No problem, Val." and they meant it. Brenda has had to literally pick me up off the floor a few times. I've gotten and given more hugs in the last two years than there are stars in the sky. My questions are answered and my advice is asked for. I can safely express my feelings and concerns without worrying about keeping my position. On and on and on...

Why am I bringing all this up? At the beginning of each term, I make a point of asking each of the "newbies", "Hey, why are you here?". I'm looking for the reason why they want to be massage therapists. This time I'm noticing that the first thing out of the mouths of these babes is "I hate my job". I just smile and knowingly nod my head. Yup, I used to be there. Then I became a massage therapist. 'Nuff said.

***Alert Alert Alert Alert***
I have signed up for the Insurance/Reimbursement class on April 15th. This means that chances are high that this class will be cancelled if anyone who has also signed up changes their mind. Please note, I know who and where you are. I will come and get you to ensure that you are in those seats so this class will go on as scheduled. ***

Update on the POS: The transmission was finished today. Total cost: 732 dollars. But we found out the U Joints are bad so the POS has another appointment Monday to get those done. Estimated cost: 400 dollars. I'll be applying for Welfare after I drop it off.

Update on the cell phone: The new phone showed up at IoTM about 10 minutes after I left. I am to pick it up Monday, and it should be activated Tuesday. I'll post when it's operational. Call the school or leave a message at my house if you need me.

Peace,
val.

Phone problems

If you have been trying to get hold of me on the cell, don't. It's not working. Just call me at home and I'll eventually get the message. I will let you know when the cell is back up and running.

val.

And along comes ...

It seems like a hundred years ago, but it was only about two, that I had in my pathologies class a smart alec guy that drove me crazy. He never took notes, always answered my questions correctly, and hardly ever fell asleep in class. After having talked to him a few times one on one, I realized we had a lot in common; we turned to massage after years of searching for a good "fit" that we weren't getting at our current occupations, we understood that massage was more than just a good rub, and that we both had deliciously sick senses of humor. I was tickled pink when I heard that after licensure, he had been invited to join the IoTM staff.

It is with pleasure that I introduce to you Mr. Darren Sloan, LMT as our newest instructor!

Darren will be teaching the evening Path/Pharm classes on Thursday and Friday. Darren has teaching experience and I'm confident he will do just fine. Many will remember Darren from your admission process. Yes, he really is that nice all the time.

Just remember when you are sitting in Path class, absolutely amazed at Darren's proficiency in all the gooey diseases, he learned it from me. LOL!

val.

This term went way too fast!!

Not only was it a short term to begin with (we received an extra week of break for Christmas), but the weather was a pain in the butt. I think Mother Nature was wearing her ovaries on the outside with all the ice and snow. And don't forget the Great White Death of '07! Now, with the warmer temperatures maybe all of us will be able to get outside and get our heads cleared.

Speaking of muddled up heads - let's hear it for our graduates! After next Sunday they will be walking around like manic ferrets getting ready for the State Board Exams in June. If you happen to see them out in public (buying Tylenol or Pepto), poke 'em with a stick and see if they do anything about it. I doubt they will. Ahhh yes, I remember those days.....

Speaking of remembering - for the students who are taking Pathologies/Pharmacology in the March term: The class covers both Path and Pharm at the same time. I know your schedule says "Path 1/2 and Pharm 1/2" trust me, we will do them at the same time.

Good luck on your final exams. I'll see you in about two weeks.

val.

IoTM has lost one of our own. Jerry, the maintenance man and the one helping Karl with the Leipsic building, was the driver of the bus involved in the Atlanta accident. Jerry and his wife were very good friends of the Meyer's. Jerry and I had some pretty funny conversations when I was teaching in Leipsic and was trying to stay out of his way!

As you can imagine, our prayers are with Jerry's and Jean's family and friends. Our hopes for comfort and understanding extend to all who are affected by this tragic accident.

Breathe, and know peace...
val.

Almost forgot.

I need some serious feedback regarding Medical Terminology and Muscles 302. Let me know things like:
"I loved/hated the worksheets!"
"Why did we spend so much time talking about...."
"You need to spend more time in..."

Don't keep it limited to just the above ideas. The future students will thank you.

val.

Two weeks left!

We are getting close to the end of the term. If you have homework still out, get it in ASAP. If you have a test out - you must call me before Wednesday March 7th. Please don't earn a zero.
If you have any questions or concerns, call me.
val.

302 Muscles

To clarify the changes for muscles in the upcoming weeks:

On Wednesday 2/21/07 there is NO TEST, the only assignment due is the worksheet that was passed out on 2/7/07 (eyeballs, tongue, ect.). The lesson will be the muscles that move the tibia and fibula.

The result of missing this past week is that the review class scheduled at the end of the term will now be needed for the muscles of the intrinsic foot.

Give me a call if you need me.
val.

The Blizzard of '07!

I am another victim of the Great White Death that has left 12 inches of snow in our yards. The snow has drifted up to my Explorer's windows and Malcolm, my little Schnauzer mix, had to dig a tunnel to get to the backyard.

As you probably figured out, there is no class today. Since this term is a short one to begin with, Muscles 302 will continue as scheduled. I will be emailing the test that was scheduled to be given today. Please follow the instructions carefully. The next class we will have to "double up" in order to learn all of the assigned muscles.

If, for whatever reason, you don't receive the test by noon today let me know ASAP.

Don't let all this snow and cold bring you down. Spring is definitely on the way. How do I know? The pitchers and catchers for the Cincinnati Reds are to report to spring training this week! Yahoo!

Call me if you need me.
Stay warm,
val.

Class canceled today.

The Medical Terminology class in Lima today has been canceled. I will be getting in touch with the students to make arrangements regarding the testing that was to occur today (respiratory) and the lecture (cardiovascular). Please give me a call if you have any questions or concerns.

Snow day!

Once again, thanks to Mother Nature, there will not be class today (101 Medical Terminology). We were scheduled to test on the Digestive system today and lecture on the Respiratory system. We will now do this next Tuesday. Please change your syllabus accordingly. I have a few home projects in mind to help you "make up" your hours. If you have any questions or concerns, please give me a call (I will not be available between 12:30-2:00pm).
Be safe,
val.

Class cancelled today!

Today's class is cancelled due to slippery roads. Most of the schools in the area are delayed/cancelled so it just makes sense not to ask all of you to venture out onto roads that they are having a hard time keeping "non-skid".

Scheduled today was the Digestive system, chapter 6. This will now be next week's lesson. The Integumentary test scheduled for today will be given next week. Change your syllabus accordingly.

I will be available today for any questions or concerns by home phone or cell phone. Give me a buzz if needed.

Stay safe and have a peaceful day.

val.