I understand. And don’t feel bad. Many people are. In everyday language you probably refer to it as “being stressed out.”

If you’d like help not feeling at the mercy of a nervous system run amok, read on. I’m going to start real basic, okay? No advanced techniques here, I promise. And best of all? You have everything you need, right where you are, to do this.

The Pause and Notice

Here’s the how: Stop for even just a moment. One of the easiest ways to pause is to notice your breathing. (Personally, I like to close my eyes when I do this.) Go ahead. I’ll wait! (This kitty will save your spot so you know exactly where to come back to.)

Often, just noticing our breathing will allow it to change into something more comfortable and easy for us. (Mmm, ease…)

Notice how I said “allow it” rather than “make it”? Noticing allows it to change. We’re not making anything happen. Whew! No forcing, no cajoling. How kind and respectful of ourselves.

Want to try The Pause and Notice again? Go ahead. I’ll wait. (This kitten will save your spot this time).

There’s nothing fancy about breathing. Our bodies and the air know exactly what to do with each other: the air, so generous, so right here, and your body, so ready, always, to receive that next breath… And just by noticing we get to piggyback onto something that most of the time, if not always, we already get to take for granted.

The poet Rilke said (in his poem Let This Darkness Be a Bell Tower):

…feel how your breathing makes more space around you

I know what he means. (And my hunch is that poets, as a demographic, have highly sensitive nervous systems. I think he knew of what he spoke!)

That’s all for today. I’ll have more Care for Nervous Systems soon. For now, why not give The Pause and Notice a whirl.

I’m right here, breathing with you, making space around us, until next time–

xo
Heidi

P.S. Have you been to Heidi’s Body-Oriented Meditation Classes? The Pause is a great place to receive gentle guidance, support and company while you practice pausing and noticing. First cup of calm is on me. (Coupon code: Cupofcalm) Cheers! You are so welcome.

The post Care for Nervous Systems: Part 1. The Pause & Notice appeared first on Heidi's Table.

It’s been too long: too long since I’ve greeted you at my office and asked what it’s like being you these days… too long since I’ve worked with your body… too long since we’ve scheduled your time to come back… too long. I miss you!

As much as I wish we could work together in person, I have decided not to reopen my massage therapy practice at this time. As I said in my open letter last week, I cannot confidently conclude, based on what we know (and don’t know) about COVID-19, that I can safely do my work right now. I write this to you with sadness and grief, even while I know that it’s the right decision.

Please know that I will let you know as soon as anything changes. 

I wonder how you are, what your days are like these days. I hope you have stayed healthy and well. And let’s not forget sane! I wonder how your body is feeling, where it hurts. I wonder how you are sleeping. I wonder how your mood is, and if you’re being friendly with your dear self. I wonder what’s been hard for you, what you miss, whom you miss, where you miss being or going…

That pretty much sums up the reason for this letter to you, except for also wanting to let you know that I am doing OK. Hanging in there, like I think we all are doing our best to do. There are even some ways in which this odd time has agreed with me. It’s good to notice those things, too: 

• My scrappy, oddball little garden gives me so much joy. I love watching things grow! Also, I think composting is sexy. I love “making dirt” from food waste.
• I’m writing a book. It’s a memoir called “Home(sick)” — it’s all about my journey from homesickness, eating disorder, and suicidal depression and anxiety to health and finding a home right inside my own, now dear-to-me, body. (Does that ring a bell? Yeah. It’s my own personal version of my business’ tagline: “At home in your body, at home in the world.”)
• The online drop-in meditation class that I’ve been teaching/facilitating every weekday since March 17. I offer the class for others, but boy has it been good for me as well. Maybe you’ll pop in one of these days! I guide you in tuning in and cultivating friendliness toward your own dear self (a.k.a. “Focusing”) and then we meditate, and then we have time for questions and reflection. Boom! 45 minutes. Every weekday.
• Good, as well as sometimes quite crappy, TV (Netflix, Prime and Hulu)!  I really liked Dead to Me (irreverent, dark, funny). Last Tango in Halifax (funny, heartfelt, smart, British.) Gentefied (Latinx community in LA). An excellent and moving documentary on PBS, College Behind Bars. And, I’m embarrassed to say, but hey, I’ve had lots of open evenings, okay? Married at First Sight. That’s right. Horribly addictive. (Mr. Heidi’s Table calls it, “OPP: Other People’s Problems.”) And, oh yeah, a much better, masterfully edited show about people getting together called Dating Around. What else? Oh yes! All the cooking and baking shows. All!
• Well my dear, I’m going to sign off for now. I’d love to hear from you, how you are, what you miss, what crappy TV shows you’re addicted to… you get the idea! Write a comment here, drop me an email, and if you are an in-person client of mine, please feel free to book yourself a 15-minute check-in Zoom call. (It’s $1 — only because my booking system requires me to charge more than $0 to register it as a service).*

Be so well, wear your mask when you go out, and stay safe! I send you the warmest hug.

Heidi

*Other remote services –Bodywork & Focusing sessions– are also available. Read more.

The post A letter to my clients… appeared first on Heidi's Table.

Dear Jim and Margery,

I love you guys. Huge fan! Listen whenever I can, live, and also subscribe to your show on Stitcher so that I can hear it when I miss it live. By listening to you I get to keep my finger on the community and political pulse. Also, you make me laugh, which I’ve especially appreciated during these last few months. I was sorry to have missed the beginning segment of your show yesterday regarding Part 2 of Phase 2 reopening the state. I would have called in, or at least tried!

I am a nationally certified and Massachusetts-licensed massage therapist. (I would be remiss not to take the opportunity to emphasize that my title is “massage therapist” not, as many folks call us, “masseuse.” Also, where I work is not a “parlor.” The connotation of the word “masseuse” and “parlor” is back rooms, secrecy, under-the-table and possibly illicit interactions and transactions. That is not what massage therapists do. Language matters!) I am a massage therapist with a private practice in an office. I love my work and would like to continue doing it for decades to come. But on March 17 I temporarily closed my doors and stayed home to do my part in stopping the spread of this novel SARS-COV2 corona virus — my part to keep my clients, myself and my community safe. Which brings me to the reason I am writing:

Re: re-opening massage therapy

No matter how therapeutic and healing it is, no matter how much we love it, massage therapy is not essential. More importantly, many massage therapists believe that massage therapy is a high risk profession when it comes to transmission of COVID-19. There is too much we don’t know or understand to be able to practice safely or confidently yet.

Although Governor Baker and state officials have said that it is okay for us to reopen as of yesterday, I —and many of us— would like for this matter to be reconsidered.

According to the CDC*:

COVID-19 spreads mainly among people who are in close contact (within about 6 feet) for a prolonged period.

There are aspects of the practice of massage therapy which fundamentally violate these CDC recommendations:

• We typically spend 60-90 minutes with each client*
• Much of that time, we are in direct physical contact. Social distance is impossible.* (Measures like contactless payment and asking clients to wait in their cars rather than the waiting room are laughable precautions when we are about to touch them — skin on skin— for 60 – 90 minutes.)
• Many of our treatment rooms are small, enclosed, and poorly ventilated spaces.* (Further, massage therapists who are employees or independent contractors in a spa or other clinic or wellness establishment may not have ultimate say in where/how they practice.)

Other extremely relevant concerns include:

• We cannot screen clients who are asymptomatic.* (Up to 45% of COVID-19 infections may be asymptomatic)
• Blood clotting: COVID-19-related blood clots occur even in “asymptomatic” cases. Clots are an extreme contraindication for massage therapy. We may not know if a client comes in with a clot. Early symptoms of clot may include “sore leg muscles,” which is often a reason someone seeks out massage therapy in the first place. Movement of a clot induced by massage can be deadly.*
• Best practice guidelines for the massage therapy profession require full PPE — not just masks — but full PPE among other strict and arduous sanitation practices. Proper use of PPE requires training. Proper use of N95 mask alone requires an hour long training. There are currently no trainings for this in place for our profession. Furthermore, availability of PPE is of concern, and considering the shortage, supply MUST go to essential medical providers, which massage therapy/bodywork is not.*

Most professions in the “personal services category” (in which we massage therapists in in Massachusetts have been included for part 2 of phase 2) do not share all of these risks.*

It is worth mentioning the reason I suspect some massage therapists have been pushing for reopening: financial concern and livelihood. Massage therapy is not a lucrative profession. For many it is a month-to-month kind of livelihood. Many massage therapists, especially therapists working in establishments like spas, work as independent contractors with no benefits by their employer. Or we are self-employed (like me). As such we are not eligible for regular unemployment benefits. Pandemic Unemployment assistance, which has been a life saver financially for many of us during the last 2 months, is slated to end in July. It is understandable then, though very unfortunate, that a number of people in our profession who, concerned for their financial security, may be pushing to overlook COVID-19 red and yellow flags related to safety.

If there is anything you can do in relation to this matter, even if it is giving voice to my/our concern, I’d appreciate it.

I’d also like to get word out about a great resource for other massage therapists who are feeling uncertainty and doubt about re-opening:  The Facebook group,“Massage, Health Practitioners and COVID-19,” is filled with scientifically-based research and discussion, as well as support and community.

Lastly, if you ever wanted to do a segment related to this, I –and many in my profession– would applaud you and be very grateful for the airtime.

Experts in the field include local long-time oncology massage therapy practitioner and teacher Tracy Walton (see https://www.tracywalton.com/our-blog/) and Ruth Werner, who literally has written the textbook on pathology (now in its 7th edition) as it relates to practicing massage therapy (see http://ruthwerner.com/).

Jim and Margery, thank you for listening/reading. I appreciate your time! And please, don’t ever go off the air.

Warmly,
Heidi Fischbach

P.S. I will likely post this letter to you on my blog. More eyes!

An enormous thank you to Ellen Mossman, Beth Baron, and Francesca Genco for their research, advocacy and concise wording in the CDC quote and bullet point sections of my letter. The bulk of the starred wording(*) comes from letters they wrote to their governing bodies and representatives, and generously shared with the massage therapy community.

————–
Heidi Fischbach, LMT, Ed.M.
Do you feel at home in your body?
www.HeidisTable.com

The post An Open Letter to Jim Braude & Margery Egan of Boston Public Radio Voicing Concerns Over Re-Opening Massage Therapy During Phase 2/Part 2 in Massachusetts appeared first on Heidi's Table.