Diabetic or convulsions

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banzai

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Can someone tell me if they have had a client who was diabetic and had a siszure on the table. or someone who had convulsions and they were in the middle of a massage. Can you tell me the precedure if that would happen? There is sometimes only one theripist in the office (me) and I havent had this happen but it is one of the questions on the test
petedose
life is a struggle, suffering is optionial
 


I haven't had this happen to me, but if it did, I would stop the massage, immediately, and call 911, or what ever emergency services number there is. I am lucky, I have a phone in my room with the ringer turned off, so it never rings, but should I need it, it is there.

What test are you taking?

I would think that a good health history should bring up an illness that might cause seizures. And if you find there is a chance of seizures, you have a good discussion with your client about massage, and what they want you to do, and what you feel comfortable doing. The client should indicate that they are diabetic, and you can then start the conversation as to how well regulated their blood sugar is, have they had any adverse side effects, how long since their diagnosis, when was the last time their meds were changed, what kind of meds, how often etc.
 


With a good health history, you would know whether or not seizures are an issue for a client. If they have a history of seizures, they will be able to tell you how best to handle it. Generally the main thing is to keep the person safe - so be sure there is no falling off the table! I wouldn't reach to call 911 if I had a client seizing on the table, unless it was a prolonged seizure. Most people who have them will tell you their threshold - at 3 minutes call 911, or at 5 min. call 911, etc. Rarely will one go so long that emergency care is required. For some people, this is just a fact of life, and having an ambulance show up every time would be a horrible waste of all kinds of resources, including emotional.

However, if the client has never had a seizure as far as you know, calling 911 would not be over-reacting. Still, keeping that person safe during the seizure is more important than getting an ambulance there. If the seizure is over in a minute they can decline medical intervention, but I wouldn't let them drive home if I could help it. Adults, though, get to make those decisions.

A seizure is scary to those who have not witnessed any/many - but it is not a heart attack.
 


I agree 100% with Rose of Sharon, and I have been close to someone with epilepsy. If they know they have seizures, having an ambulence show up is a major drain on many aspects of life, as she mentioned: money, emotional, time.

Find out their needs ahead of time. If they have never had a seizure before, calling 911 is okay.

Protect their head and their body. Help them not fall off the table and hit their head. Don't put anything in their mouth. You may want to look up the procedure on this, but I don't think it's recommended anymore to put things (leather belt or wallet) in a seizing person's mouth.
 


General recommendation is to turn them to the side and protect their head from hitting against anything. Nothing in the mouth - you could break their teeth.

It wouldn't be impossible to tip the table if the client had a full blown siezure although, even among epilectics, those are very rare. Most episodes are slight and minor but would be noticeable to a bodyworker.

Protect the airway -protect the head.

Most with this condition will be able to tell you they have it. Avoid stimulating essential oils and scents like Rosemary essential oil which acts directly on the central nervous system.
 


I have had epilepsy since age 12. Most of the seizures I had were grand mal (tonic-clonic) seizures - the big ones. Most were over within 3-5 minutes. Aside from bumping my head and general fatigue, I've never had any unpleasant side effects following an episode. Calling an ambulance has usually been a big waste of time and $.

All that said, the advice given above is right on. Stop the massage and focus on protecting the client from self-harm. It's rare for seizures to last beyond a few minutes. I favor keeping a silenced (cell) phone handy in case of emergencies. Don't stick stuff in the client's mouth or try to restrain them. Just keep them on the table and be a calm presence until the episode passes.

They may not have awareness of what occurred, and may be disoriented in general. Do not resume the massage. Contact someone to pick up your client, as driving right after an episode is both unsafe and (in my state, anyway) illegal. Should the client totter out the door and get into an accident, you could be held liable. Act in the best interests of your client even if they protest. This is why they should always complete the health history form and include an emergency contact number.

A client's health history will generally include seizure-related disorders. Ask about meds, frequency of episodes, triggers, etc. Personally, essential oils and other stimulants have never been contributory factors for my seizures. But there are many types of seizures which can be triggered by a wide variety of stimuli, so its best to learn whatever the client can tell you. Have them provide a contact number "just in case" even if they don't feel one coming on. Some people, like myself, may have little to no advance warning.

Follow these simple steps, keep your First Aid cert current, and you should be fine. Treat an epileptic like anyone else.
 
diabetics

Thanks everyone for the information. I never thought of putting a phone in the room with the ringer off or my cell phone. I always kept it in the front office (seems silly now)
for the testing part I'm taking the nationals for body work
thanks again
mary
life is a struggle, suffering is optionial
 


I read and focused on the diabetic part of the question, and seizures that might go along with diabetes, rather than epilepsy. I think the two are very different.

I have had clients with epilepsy, and simply ask what they would like done, if something were to happen. Although it hasn't happened to me yet *knocks on wood*

With diabetes, it is usually an indication that the person's blood sugar is too low, and out of control. I would not want to keep that person in my clinic, I would want them to seek out medical help.
 


As a diabetic, I can tell you that if the convulsions are from their diabetes then you need to seek immediate medical help. I'm also confused a little because diabetes is not usually associated with seizures. If a person's sugar levels are too low (a potentially fatal situation) they will pass out. If it is too high they can go into a coma. In both cases, call 911.

Some diabetics, particularly those on insulin will carry an injection of gluclose (there's a different name for the injection but I can't think of it now) and it should be administered if they go into hypoglycemia. If it is just that they are starting to going into hypoglycemia (they will recognize the symptoms) but are still conscience then give them food or a drink that has sugar in it, but do not try to put anything in their mouth if they are already unconscience.

Angie
 


Moogie, I agree with you, diabetes isn't usually associated with seizures, but upon a little bit of reading, apparently you can have seizures or convulsions on a rare occassion, if the person goes into hypoglycemia. I think it is rare, but I have found some articles on it with a very brief search. *shrugs*
 


Ah yes - I don't know why my brain skipped over the diabetes part of the question ....perhaps becuase we DID have a client who suffered from epilepsy in our clinic (chiropractic care decreased the severity and frequency of her seizures and her doctor prescribed treatments twice a month minimum.)

Anywho - what we were taught with diabetes is to administer sugar in an easy to digest form, ie juice like apple. And to of course call 911 immediately. But for most laypersons it is way outside their scope to give an injection so that was discouraged (first responder training and life guard cert, etc). We were told that without a blood sugar test it was difficult to tell the difference between too much and too little sugar so the standard was to give a juice type drink until help arrived.

Angela <

P.S. Yes - common sense dictates that if you are alone in the building access to a phone is a good thing to have. Mine is on silent ringer in my room with the main extension in the waiting area.
 


Just want to mention that massage can lower blood sugar levels. I know one MT that offers a chocolate kiss to every client. Most love it for a sweet, but it's a real winner for those with blood sugar worries. :)

I keep a few wax sticks full of organic honey in my traveling first aid kit. Great for onset of low blood sugar, before they go out. Doesn't take up much space, and they'll last a LONG time.
 
Diabetes

Massage will not lower blood sugars. Physiologically speaking, insulin is what allows glucose to be absorbed in cells and because people with Type 1 diabetes receive all their insulin externally, usually through injection, finding the exact amount is near impossible. Massage can put a person in a more relaxed state, but it will not lower blood sugars. If a person becomes hypoglycemic on the table, it is usually because of driver-error as they did not compensate correctly. I wear an insulin pump and I take it off when I receive massages and I usually come out a bit higher because I did remove my pump.

Sombraman
 
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  38. Golden Sunshine Spa:
    โœจClick on our Username and FOLLOW US for updates and special services ! โœ… Click Here Today๐ŸŒธSusan๐ŸŒธLuna๐ŸŒธXuka๐ŸŒธLynda๐ŸŒธBrandy Call us โ˜Ž 905 - 265 - 2158โ˜Ž๏ธ Your ultimate service awaits! โœจ
  39. SL East Spa:
    ๐Ÿ’†โ€โ™€๐Ÿ’–Tuesday ๐Ÿ’œ Ultimate destination for Asian massages๐ŸŽ‰ Two fab spots: SL Richmond Hill & SL West Oakvilleโœจ Your passport to paradise with 10 enchanting girls fr China, HK, Japan & Korea โ€” ๐Ÿ†• Aliyah, Lucy, Cindy, Yui, new Jojo, Coco, Cici, busty Amber, Kelly & Jasmine โ€” ready to pamper you๐ŸŽ๐Ÿ Ring us ๐Ÿ“ž647-695-6354 or text us ๐Ÿ“ฑ647-578-8169โœจ 160 East Beaver Cr., Unit 12, RichmondHill ๐Ÿ’ฐWhere Eastern charm meets Western comfort - your bliss awai
  40. SpringGreen.:
    Apple off your weeked with a bang๏ผ Judy is at spring green in downtown toronto Tuesday from 9am-9pm with apple and coco. apple is a very beautiful andcaring young lady๏ผkitty is super hot.๐Ÿ’‹๐Ÿ’‹647-891-0699 ask and text questions thanks๐Ÿ’‹๐Ÿ’‹
  41. wilson holistic centre:
    new girl works at ๐Ÿ’‹535 Evans Ave today ๐Ÿ’•๐Ÿ’•๐Ÿ’•โ˜Ž๏ธโ˜Ž๏ธ416-531-6969โ˜Ž๏ธโ˜Ž๏ธ
  42. Spa in Markham:
    GOLDEN FS โ€“ 8380 Kennedy Rd ๐Ÿ“ž 905-258-0777 / 416-688-6886 ๐Ÿ‡ธ๐Ÿ‡ฌ CANDY, ๐Ÿ‡ญ๐Ÿ‡บ VANESSA, ๐Ÿ‡จ๐Ÿ‡ด MEGAN (2AM), ๐Ÿ‡ป๐Ÿ‡ณ JULIE (8PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookinggoldenlove
  43. FLOWER Spa - BLUEXADO | Thornhill | VAUGHAN:
    BLUEXADO FS โ€“ #06-1102 Centre St ๐Ÿ“ž 416-357-9797 / 416-678-8668 ๐Ÿ‡ป๐Ÿ‡ณ CICI, ๐Ÿ‡ป๐Ÿ‡ณ MY LINH, ๐Ÿ‡ป๐Ÿ‡ณ AMY, ๐Ÿ‡ป๐Ÿ‡ณ SHERRY ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingbluexadolove
  44. Red Rose Spa:
    ๐ŸŒธ We have 13 hot brown girls today ๐ŸŒธ MONICA, ASHA, MALIYA, MONIKA, ANGEL, MIMI, PREETI, ANGELINA, DIYA, PAYAL PEARL, KIRAN ๐ŸŒธ 2588 Birchmount ๐ŸŒธ 2 Invergordon ๐ŸŒธ 647-702-8800 ๐ŸŒธ Please visit for a great erotic massage
  45. FLOWER Spa โ€“ PINK | Scarborough | TORONTO:
    PINK FS โ€“ 3300 McNicoll Ave ๐Ÿ“ž 416-299-5515 / 416-817-3839 ๐Ÿ‡ฎ๐Ÿ‡ท ELINA, ๐Ÿ‡ป๐Ÿ‡ณ KELLY, ๐Ÿ‡ต๐Ÿ‡ญ MADY (1PM) ๐Ÿ”Ž View Schedule: bit.ly/flowers_schedule ๐Ÿ›Ž๏ธ Booking Now: bit.ly/bookingpinklove
  46. Jennyโ€™s Spa:
    ๐ŸŽ‰๐Ÿ’JENNYโ€™S SPA๐ŸŽ‰๐Ÿ’ โœ…5170 DUNDAS STREET WESTโœ… ๐Ÿ‘ŒETOBICOKE ONTARIO M9A 1C4๐Ÿ‘Œ โ˜Ž๏ธ( 647-893-5196)โ˜Ž๏ธCall or Text โ˜Ž๏ธ( 437-888-3759)โ˜Ž๏ธCall Only (ETOBICOKE) OPEN 10am to 9pm MONDAY to SUNDAY ๐Ÿ”ฅโœ…GRAND OPENING๐Ÿ’ฏNEW GIRLS EVERYDAY๐Ÿ”ฅEXCELLENT MASSAGE + SERVICE QUEENS NOW AVAILABLE AT JENNYโ€™S SPA FOR ALL YOUR MASSAGE AND SPECIAL EXTRA NEEDS๐Ÿ”ฅ๐Ÿ’ฏ๐Ÿ˜˜๐Ÿ”ฅโค๏ธ๐Ÿ‘Œ ๐Ÿ”ฅTWO BEAUTIFUL NEW YOUNG ASIAN GIRLS EVERYDAY๐Ÿ”ฅ ๐Ÿ’ฏREAL PICTURES OF ATTENDANTS๐Ÿ’ฏ ๐Ÿ”ฅ๐Ÿ’‹Limited Time Special Promotion๐Ÿ”ฅ๐Ÿ’‹ โœ…๐Ÿ’ฆ30 Minutes Nude Mass
  47. DareDevil:
    ARIA WELLNESS ๐Ÿฌ๐ŸญADDRESS: 360 HWY 7, UNIT #6, โ™ฅ๏ธRICHMOND HILL,647-222-5683 (PHONES CALL ONLY, NO TEXT'N AVAILABLE) โ™ฅ๏ธTODAY'S Schedule!โ™ฅ๏ธ Loaded lineup with Beautiful Girls : Yoga Lucy, Killer Kelly, Adorable Eva, Magical Mia and Work out๐Ÿ‹๐Ÿšด๐Ÿ’ช Babe Amy! BUY 10 HOURS (GET 11 HOURS) **TODAY'S PICK OF THE DAY ARE ๐Ÿฌ๐ŸญLUCY AND KELLY๐Ÿฌ๐Ÿญ**
  48. Soul Relax Spa:
    โœจ Looking for a relaxing escape? โœ… Click Here Meet๐ŸŒธNina๐ŸŒธAnna๐ŸŒธAmberCall us today for the best treatment and service experience. Click on our Username and FOLLOW US for updates ! Call now โ˜Ž 289 - 298 - 5662โ˜Ž๏ธ Your ultimate relaxation awaits! โœจ
  49. AliceSpa:
    TUESDAY at ๐—”๐—Ÿ๐—œ๐—–๐—˜ ๐—ฆ๐—ฃ๐—”, 4915 Steeles Ave. E, Scarborough ๐Ÿฐ๐Ÿญ๐Ÿฒ-๐Ÿฎ๐Ÿต๐Ÿด-๐Ÿฌ๐Ÿด๐Ÿต๐Ÿด. 3 Young Beauties Today at Alice Spa. Open 10am to 9pm: CLOUDIA (10am-9pm): is Vietnamese, young, petite 5'2" & 96 Lbs, B Cup, best rim deep bbbj cim. $40 Room Fee + $80 (incl bbbj & fs). +$20 for rim/cim. Excellent open minded services. KITTY (1pm-9pm) is a new Korean girl, super busty, small body, new
  50. wonderspa:
    ๐ŸŒบWonder spa,(9421Jane st unit127)call416-5000-800โ˜Ž๏ธbest massage in vaughan,Tuesday RMT available,๐Ÿ’„sexy very young girl Mimi๏ผŒlong legs ,natural c cup,very good looking amazing massage nice body slide,really popular ๐ŸŽlong hair Lucy Q smile,very good looking ,strong to relax oil ,back walk,more experience,relief your pain,amazing ending๐Ÿ”ฅ๐ŸŒน๐ŸŒนmust try
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