Archive for Julie Onofrio

Using magic to get massage clients – The power of boundaries

Sometimes it just seems like magic that I get massage clients.  Some would think that I am talking about the law of attraction idea but it is much more than that. I used to buy into the LOA and kept reading everything I could but you know it never really worked for me after all that.  I’ll write my next post on that but for now back to getting massage clients using magic.

I have written about the many different ways to get clients – there is the big list of marketing ideas, how to make websites, how to get clients through building a referral network and yes I have done many of them with my focus on my website.  Since the creation of websites, it has been such a big relief for me because frankly I just hate marketing and networking – yup it’s true. Websites for me are ideal being an introvert and shy – yup that’s true too.  For the most part my website is the only thing I use to get new clients.  When people are looking for massage online they are already want a massage.  Those are the clients I want mainly because I don’t have to do much to turn them into a regular client.  They already know what massage does and that they get relief from it or if they are a first time or fairly new to massage -they are at least open to massage. After all they are searching for massage.

So yes sometimes even with that my massage business is slower than I would like it to be but there is a whole other side to that.  My business is slow usually when I have something else on my mind or on those days when my heart just isn’t into doing massage.  Since the beginning of the year after having my best year ever last year massage wise I found that the main insurance company that I had been working with that also happened to pay the most out of any insurance company was reducing my allowable fees – well not just reducing but cutting them almost in half.  That meant I would have to do twice as many massages to make the same amount as last year.

In Feb, I received some distressing health news that further complicated the issues and frankly I just didn’t feel like working much doing massage.  I was exhausted from dealing with everything.  I didn’t like taking the insurance clients that I was – not because I didn’t like the people but it was just so discouraging not to get paid the same.  I couldn’t work more than I did last year with this new health issue- Don’t worry I am OK – just a hereditary high cholesterol issue that was also creating plaque in my arteries.  I have lost 15 pounds, stopped eating sugar and gluten and high fat foods, started walking more and am on my way to being healthier than ever. I reduced my cholesterol by over 50 points in about 3 months!

So back to using magic to get massage clients.  So there I was feeling like I didn’t want to do any massage, feeling frustrated with the insurance companies and thinking that I too would do an Oprah moment and think about ending my massage career at 25 years which would be at the end of this 2011.  One day last week I also tweaked my knee running to the bus and couldn’t work much that week so one afternoon I just laid down on the table and stretched and asked – What is all this telling me? What am I supposed to be doing?  What am I missing?  What do I need to change?  It became clear that with the physical challenges I just need to get even clearer about who I want to work with as a client.  My time is limited so I need to make the most out of every hour that I work. I spent about an hour and just came to know that my next steps would be to just stop taking insurance clients.  I thought also about how a few years ago I had to put my foot down and stop taking one of the insurance plans that paid the least out of them all.  That was a big decision since it seemed those people called the most.  I didn’t have any of the higher paying insurance clients calling.  It was a scary move to make.  I just finally one day said no more.  I had about a month of not being as booked as I like to be. (I usually like to do 12 sessions a week.) But soon the situation changed and I had moved all of the clients with the lower paying insurance out and all of a sudden the one’s with the higher paying insurance started arriving.  It is sort of like I had to make room for them to start calling.  I had to have faith that it was the right thing for me.  I was a little worried but I never went back on my boundary – no clients with the low paying insurance any more for me.  I did have a few moments when I thought I would have to break that but I didn’t.

So now the day I made the decision to stop taking insurance clients – before the decision my day was just one of those days right from the start.  I missed the bus running for the bus and tweaked my knee to boot.  After I got really clear about my goals and what boundaries I needed to set for myself the phone started ringing and my email box was lit up with the little red star telling me I had new mail.

Everytime in my career that I have set such boundaries, the more successful I have become.  I felt better the minute I made the decision.  I hadn’t been doing much to market myself because of my health challenges yet still the phone started ringing – OK I do have a website that is at the top of the SE for my keywords but it’s like magic – it knows when I am feeling like I can’t work so it doesn’t get me new clients.

Boundaries are so important. They are what support you in the process of building a business and throughout your personal life.  Getting clear is the process of getting to know yourself better each time.  You often don’t know how decisions will work out but you can learn first hand when you see the contrast between your choices – how does each one feel? Your feelings are what tell you when you are on track.  Keep making decisions that help you feel relief – just the slightest bit of relief will do! It doesn’t have to be a major life change.  Your boundaries are there to guide you and keep you on track for your goals and for your purpose or mission.  They will help you make difficult decisions – the one you have to make to stop seeing clients that don’t pay enough.  You might see that as being greedy or materialistic – I used to also think that.  The more I go through this though the more I see that it is just good self care.  What can you do right now to practice good self care right this minute?  What boundary do you need to set that supports the belief that you are valuable and are worth it to have as many clients as you need?

Massage Professionals in Cyberspace

I have been doing a lot of introspection on the whole dynamics that occur with online discussions in the massage profession on the many different sites – Facebook, Linkedin.com, www.massageprofessionals.com and www.bodyworkonline.com to name a few and really find many of the discussions very insightful but the online dynamics can really cause quite a stir.  I have been learning about online communications for years mainly from being online myself since 1999 with my first website www.thebodyworker.com.  I have found myself just trying to share information and get caught in the middle of some ugly comments and what are really misunderstandings or miscommunications.

One of my earlier incidences was someone who ended up calling me at my home and yelling every profanity in the book and many I have never even heard.  It all came out of me asking about his website service and how it could help MT. He answered rudely and I just asked more questions.  I also just posted what I had found out about his services which was not very much made a comment about how rude he was which lead to the phone calls.  That was before privacy domains and now my home phone is unlisted.  I have many people in my own Yahoo! discussion group become bullys and verbally abuse me and the group.  I would always try to reason with people to help them understand but quickly found out there was no reasoning and it only got me deeper in trouble with them.  I now just used the delete and ban member option.

So what makes online communication so interesting, challenging and difficult?  Part of the problem is that people of course are just reading what I am writing and don’t hear your voice with the inflections of emotions or tones so they read their own tone into things.  People also have a tendency to say different things online then they would if people were standing directly in front of them.  They feel less inhibited because there is no one standing right in front of them. It is called the The Online Disinhibition Effect. You most likely have never met in person. You don’t really know the real person you are communicating with.  You just know their online presence and don’t know much about them.    Many of the forums you can also just create a username that is not your real name or post under multiple identities which has happened on a major forum. Often you don’t even know if anyone is reading which has been one issue for me personally. There are also many who read but never post – the lurkers.  They actually probably learn more than anyone else in some ways!

It is the way of online communications.  I know I can be guilty of many of these things this being an introvert and shy but writing online has given me a way to have a voice and communicate more than I would if I were in a room of MT.  I would be the person sitting in the corner talking to no one the whole night. I’d be guarding the veggie dip bowl so I’d have something to talk about if someone came up next to me.  I’d leave early or just drop in and make an appearance and leave. So writing online has been very therapeutic for me and also part of my growth process.

Here is more of what I have been learning about communicating online.

Nothing is personal online.  If someone does not respond to something you post don’t take it personally.  It doesn’t mean anything.  People are busy.  There is a time lapse in communications so it does leave people time to think but often people just react and start typing.  When you are reading something, the feelings that you are having are your own!  Many may refrain from interacting thinking that they don’t want to be attacked.  Many discussions can seem like an attack but are not unless the person specifically says : You so and so are a bad massage therapist or whatever.  The feelings of being attacked can be from some other area in your life -either the past or present.  It can be a good opportunity to explore these issues with a supervisor or counselor. This is transference showing up again.  It is in all aspects of relationships not just the client/therapist relationship.  One of the effects of online disinhibition may be the enhancement of transference reactions meaning that when you can’t hear someone talking and don’t have face to face interactions with people the level of transference can be escalated. (More on Transference).  That means that there is just a much greater chance of being misunderstood online and that most things are not personal!

The goal is to stay safe online and to learn from others and share but not have to worry about being threatened or attacked.  Is it safer to not speak up or to speak up and risk people mis-interpreting your written words online? It is again a matter of boundaries and setting clear lines for yourself.

The best way to help increase the effectiveness of communicating online is to start meeting people offline.  How about on big Facebook MT party!

My goal for the rest of the year is to also start talking to more people in person or at least through video chat or one of the new in person video communication systems.  I also am planning on attending and organizing more local meet ups at www.meetup.com and going to a convention or two!

 

Massage Jobs – Is there an Ideal Job?

Massage jobs are a fairly new phenomenon in the massage profession.  When I started 24 years ago there were no real jobs.  There were just independent contractor positions where people could work at salons or spas mostly. (See more on independent contractors vs employees)  From what I understand now most of those positions should have really been an employee position with paid benefits. That seems to be the one thing that is most understood in this profession – whether or not you are a true employee with hourly pay and benefits like sick time, vacation pay and retirement funds.  While the creation of the many massage franchises has provided more jobs for the profession, I still cringe when I think of so many massage therapists out there working for $12 an hour when I make about $70 an hour working for myself – and yes that is after expenses.   I have my own business but I also rent a space from someone else and always have.  A phone system is included in my rent and access to a copy machine.  I have desk space in the waiting room and access to a massage room.  I pay extra and have my own website and that is about it.

In some ways I can’t understand why people want to take jobs when they pay so low but I know some people just want to go in and do a massage and leave but is any place really like that?  You still have to go in and do your best massage and provide customer service and educate clients so they will come back.  In some of the places you have to sell membership or retail items to clients.  If you don’t have any clients you don’t get paid for the most part in many places.  So there you are cleaning the bathrooms and doing laundry for free or minimum wage.  If you do take the initiative you can work to get new clients and get more repeat clients.  I go to a few mid range spas here in the area for my massage and I can say that they are not doing much to get the MT and other skin and nail care people busy.  I would say that a job in a busy clinic where you have a full schedule and are paid $35 an hour or more are rare.  But why do people take low paying jobs?  Do you have to?  Do you think there are not any other options? Is it that hard to start a business?

Starting a massage business isn’t easy but you are really left doing many of the same things to get and keep clients.  There are so many resources out there to help you start a massage business that most anyone can do it.  When I hear the many horror stories online about how people are being treated at massage jobs I just have to wonder what is going on.  It is like the many massage business owners many of who are not massage therapists figured out that massage was a lucrative business model so they are out there hiring the many massage school grads who were told that they could get $100k a year massage jobs.  Now I am not talking about those places who do hire MT and pay them well and also take the MT under their wing to teach them the ropes of running a business and being successful (See Laura Allens Therra-sage).

Why can’t MT stand up and ask for more for themselves and demand higher pay or go out there and create your own job?  I never have been a fan of jobs and the mentality that goes along with it.  People seek jobs out of what it can do for them rather than what they can do for the company or so it sometimes seems.  Find a health care provider that you respect and would go to yourself and talk to them until they create a job for you. No it isn’t easy and it might take a year or even a few and no most probably can’t afford to wait that long so I guess you have to take a low paying job.  Well there is nothing wrong with that at all.

How is it that massage employers have gotten to the point that they take so much advantage of MT? I only think of Dr. Phil’s comment about “You teach people how to treat you”.

I want to be clear hear that I am not bashing people who take jobs in massage and take low paying jobs, but I just wish more for you.  You should be making what you are worth and making a good enough living to pay the bills, save for retirement, take nice vacations, drive a reliable car, not be in debt and be happy.

I wrote the Massage Job Guide to hopefully inspire you and help you to do just that.  It requires that you make a stand for yourself – set your boundaries around the jobs you take and keep working until you get or create your Ideal Massage Job.  You are worth it!

Of course this is all just my ramblings on about massage jobs – my own opinions but I do value yours.  What are you seeing out there in the world of massage jobs?  Is there such a thing as an ideal job? What does that look like or what would it look like?

What’s next for this blog/site?

I haven’t been doing much blogging or work on this site.  I was shocked to just find that it was last Nov that I even posted something and that I hadn’t posted anything regular for awhile.  The thing with blogs is that you need to keep the content fresh for the search engines to keep coming to your site.  I have been uncertain as to what to do next with this site.  It makes me about $1000 a month in Adsense income so I don’t want to lose that but the site is done in Frontpage 2003 which is so outdated.  I don’t have time to learn new software and if the world were made of chocolate- I’d be moving it over to Site Build it! but this site is massive – over 1000 pages of content and over 500 posts here – that makes for a lot of work!  Site Build it! is so much more effective though I have to make the change sometime.  I still have tons of material to put up from my massage school notes too but massage school seems like a lifetime ago and it isn’t something that I want to spend time on right now.

My focus right now is on getting a few books together to self publish.  I have been working on my Massage Career guide which is for people who are looking to get into a career in massage. It is for sale as an Ebook but I want to get it on amazon.com and out to more people. It has sort have been my ongoing project.  I originally wrote it in I think it was 2003 when I started my first Site Build it! website – www.massagetherapycareers.com – which I sold in 2009.  I replaced that site with www.massage-career-guides.com and it took longer than I thought to get the same traffic and keyword results back to the level of that old site but it is getting there.  I made a few mistakes when rebuilding that I have course chalked up to learning.  I have thought of just moving the whole site over to that site too but not sure.  I would also like to focus more on the massage school directory with such exciting and controversial things happening in education currently in the massage profession with the Alliance for Massage Therapy Education moving forward on creating standards for massage schools.

I have also been plagued with health issues since the beginning of the year having found out that I have a type of cholesterol that likes to stick to arteries but I have been working to stay healthy and it is working.  My massage business this year has been a challenge to maintain because of this and also I am very discouraged about what is happening in the insurance billing world in WA State.  I had the best year I have ever had in my 24 years of doing massage last year mainly do to insurance billing. This year they cut their allowable fees in half meaning that to make the same amount I have to do 2x the amount of massages and at this point in my career, my body just can’t do that.  I still see my 12 clients a week or so but am making way less.  I don’t see anyone doing anything about it or not sure what we can even do about it.

So I just keep writing about it all including reviving my Insurance Billing for Massage Therapists Manual which I hope to get on amazon.com this summer.  Billing insurance has allowed me to stay in this career for this long and it has also been the biggest thorn in my side.  I do feel that it is important for every MT to learn to bill and to see what the issues are so that we can begin to join forces to be able to have a say in what goes on.  Right now the massage profession is so all over the place and divided from what I see but I might be jaded from only being on Facebook and not seeing what is really going on by going to conventions and such.  I do hope to start getting out to some to see more of what is going on.  I am also going to be doing more get togethers through Meetup.com and seeing first hand the issues people are having.  What I have already seen is that MT are struggling with physical issues as well as financial issues.  Yes it is hard to keep financially sound when dealing with physical issues – I know that first hand.  My health was one of the reasons I started this website and all of the others along with finding out I like to write!

My passion is writing and creating websites.  It is such an amazing process.  I didn’t know anything about writing and frankly I am not even really good at it.  There are many better writers than me out there in the massage profession. It is really a personal growth process and spiritual process for me – sharing my thoughts and insights.  It was and is a process to find my voice and keep clear of things that get in the way like viscous verbal assaults that often happen online because of not being able to hear people’s voices.   I get caught up in it every once in awhile still because I feel protective of the massage profession.

I also wonder about things like where is this all going – the massage profession itself.  There is so much going on right now with like creating standards, doing more research and becoming more evidence based but sometimes it seems like the fight between the Evidence people and the energy workers is separating the profession which I guess isn’t good or bad but just sad to see really for me. It is the egos vs the crystals – which one will win?  and why does someone need to win?

I always think about the late Robert Calvert and some of the discussions I had with him about licensing and legislation.  After reading his book on the History of Massage and taking some classes from him – what has happened to touch and massage in our society and world? What has happened to touch being a part of families like passing massage onto sons so they can massage their pregnant wives or people massaging each other? I sometimes think that every MT could be teaching massage to the general public and that would do more good than anything else we do.  Teach friends how to massage friends, couples how to massage each other, parents how to massage their children and teach the children to massage each other.  I used to think there could be world peace if everyone just got a massage every day.  We are getting so far away from that in some ways in the massage profession.

Ok so I have gotten way off track but that’s OK.  I just needed to start writing again to get this blog and site going while I wait and see if I should move this site over to the new Block builder system at SBI which should be coming out soon I hope!

Glossary of Massage Terms -D,E

Glossary of Massage Terms (D,E)

Deep Tendon Reflex – knee jerk reflex that occurs as a result of a strike by a rubber mallet to a tendon

Desquamation – The shedding of epithehial elements mainly the skin, in scales or small sheets: exfoliation

Direct Compression – Sustained pressure on a muscle cramp or tight muscle often using the hand, fist, forearm or knee

Dislocation – Displacement of a bony part within a joint leading to soft tissue damage, inflammation, pain and muscle spasm

Distraction – A pulling apart or separation of joint surfaces

Dysfunction – Adapative shortening of soft tissues resulting in loss of mobility

Eccentric Muscle Contraction – Lengthening of the muscle while it is contracting or resisting a work load

Efficiency – the Ratio of work output to work input.  Output divided by input and multiplied by 100 equals 100% efficiency

Electrolytes – Ionized salts in the blood, tissue fluids and cells

Empty Calories – calories obtained from food such as sugar, which are devoid of any dietary essentials like amino acids, vitamins and minerals

End-feel – the quality of feel the massage therapist experiences when passively applying pressure at the end point of the available range of motion

Endurance – The ability of a muscle to perform repeated contractions over a prolonged period of time before fatigue failure begins

Energy- The capacity for doing work

Engaging Tissue – When a sufficient amount of pressure is applied during palpation or treatment in order to move or compress the structure, then the tissue is engaged and assessment or treatment will be efficacious.

Enzymes- Complex proteins that are capable of speeding up chemical changes in other substances without being changed themselves.  Enzymes are found in digestive juices where they break down food into simpler compounds

Ergogenic Aids – Stimulants and other substance that when taken orally or by injection, increase the potential for exercise performance.  Most are illegal substances

Ergometer- A stationary bicycle used for training or for lab tests to measure work performed

Excursion- In friction, it refers to the distance of movement or glide available from the starting point in a pattern of oscillation or alternating movements with a return to the starting point.