Showing posts with label diagnosis. Show all posts
Showing posts with label diagnosis. Show all posts

Thursday, July 14, 2022

Story 449: Diagnosis Massage

             (In a massage room at a spa, Client is lying face-down on the table and covered with lots of blankets when Massage Therapist enters carrying a stack of forms)

Massage Therapist: Hel-whoa, you’re already disrobed and in position, OK.  (Closes the door)

Client: (Props up self on one hand while preserving modesty with the blankets) Yeah, I don’t waste any time.  Nice to meet you, by the way.

Massage Therapist: Likewise.  (Scans through the forms) So, you marked off here that you have pain in your back, arms, legs, hands, feet, and head, and you’re basically a big ol’ mess, is that correct?

Client: Well, actually it’s just sometimes I get twinges here and there, like when I run up against a wall or table or something, you know, no big deal.

Massage Therapist: So, you’re not in constant body-wide pain as this form seems to be saying?

Client: (Laughs) Good heavens, no; you think I’d be here if I was?

Massage Therapist: This is a medical spa, so yes.

Client: Oh.  Someone just gave me a gift certificate for here, and I never get massages but since this was free I was like, “Sure.”

Massage Therapist: Mm-hm.  (Uses a pen to cross out the entire page) That should be it – normally I’d step out for a few minutes to give you a chance to strip, but since that’s a moot point we’ll get started.  (Turns down the lights and turns up the ambient music) Now, please lie on your back as I start on your head and throat.

Client: (Lies on back) Oh yay, here we go!

(Massage Therapist works on Client’s scalp and neck for a few minutes, then suddenly stops)

Massage Therapist: Do you have sleep apnea?

Client: (Wakes from a semi-doze) Huh?  Sleep what? 

Massage Therapist: You stop breathing when you sleep?

Client: Ummmm, I have no idea… although I do know that I’m quite the snorer.

Massage Therapist: (Continues massage) Mm.  You might want to get a referral for a sleep study.

Client: Oh.  How do you know?

Massage Therapist: (Mysteriously, while rubbing Client’s shoulders) There are signs….

Client: Oh.  Good to know, I guess.

(Massage Therapist moves on to Client’s arms and legs, slowing down around the left elbow)

Massage Therapist: Hmmmm….

Client: What?

Massage Therapist: You ever break this arm?

Client: What?!  No!

Massage Therapist: (Placing slight pressure on the ulna closer to the elbow) You sure about that?

Client: Yes!  Well, I mean, I banged it up pretty bad once –

Massage Therapist: (Still feeling around the elbow) About three years ago?

Client: (Thinks) Maybe?  Years are starting to turn into days for me, if you know what I mean.  But I never full-out broke it, I’d’ve known about it!

Massage Therapist: Mm.  (Puts the arm under the blankets and moves on to the left leg) Yeah, it was full-out broken and it surprisingly healed basically straight, but you now have rampant arthritis there and you’ll know whenever it’s going to rain or snow for the rest of your life.

Client: (Lifts up arm to stare at it) But it feels fine!  Ish.  It does get a bit funny when the weather’s bad, now that you mention it.  (Stares closer at the elbow) Is that what that lump is?!

Massage Therapist: (Gently lowers the arm back under the blankets) Ssshhh – all will be well.  It’s just that joint replacement may be in your future, that’s all.

Client: <Whimpers>

(Massage Therapist finishes the right arm and the legs and moves on to the feet)

Massage Therapist: Hard to find shoes in your size, is it?

Client: (Lifts head slightly off the table) Yes!  Apparently, small feet don’t exist so I either have to get kids’ sizes or wear extra socks!  (Lowers head back down, then raises it again) Why do you ask?

Massage Therapist: You’re on your way to needing orthotics since your feet are all messed up.

Client: (Drops head back down) Arggghhh....

Massage Therapist: Nothing to be ashamed of – your feet just are a bit wee.

Client: I’m not ashamed, I’m annoyed!

Massage Therapist: (Focuses on the right foot) You used to play soccer, yes?

Client: (Suspiciously) Yessss...?  How – ?

Massage Therapist: You have a footballer’s foot.  Right dominant?

Client: Yesss…?  How – ?

Massage Therapist: Right wear-and-tear.  (Finishes the feet and dries off the oil with hot towels)

Client: Ooh, nice and warm.

Massage Therapist: Yep, these get off the excess gunk I just slathered all over you.  (Slightly lifts up the blankets and turns away) Flip over and stick your face in the hole, please.  (Client flips over and sticks face through the padded hole at the head of the bed; Massage Therapist works on Client’s back, focusing on the shoulders) Hmmm….

Client: Oh no, what is it now?

Massage Therapist: You have to deal with an unreasonable landlord and noisy neighbors a lot?

Client: (Tries to sit up but is stuck) How on Earth did you know that?!

Massage Therapist: (Mysteriously, rubbing the back firmly but soothingly) There are signs….

Client: Odd spot for them to be.

(After the session is completed, Massage Therapist leaves the room for Client to get dressed, returning after a few minutes with a cup of water)

Client: (Hands over a tip while accepting the water) Thanks.  (Drinks quickly)

Massage Therapist: (Pockets the tip serenely) My pleasure.  By the way, I didn’t want to bring this up while you were relaxing toward the end there, but you might want to stop procrastinating and reconcile with your parents before it’s too late.

Client: (Nearly spits out the water) OK, how could you possibly be able to tell any of that from just kneading my muscles?!

Massage Therapist: (Mysteriously) There are signs….

Client: In what?!  My pinky?!  My bicep?!  My hamstring?!  (Gasps) My hair?!

Massage Therapist: (Shifts to a casual stance) OK, full disclosure?

Client: Please.

Massage Therapist: I used to be a fortune teller at a traveling carnival.

Client: Ohhhh….

Massage Therapist: Yeah – I switched over to this because the customers complained a lot.  No one really likes hearing the full truth about themselves, you ever notice that?