hello massage nurse today i'm going to be doing the pathologies of the lymphatic
system and the immunologic pathologies i'll be talking about hiv infection and aids
allergies chronic fatigue syndrome lymphedema and edema and systemic lupus so i'm going to remind
you again that this is just like a really short review of the pathologies from the beginning i
committed to doing the pathologies you know for the students for all students all over the world
however i'm not going deep you know into all of them i know there's things that as a matter
of fact after i watch them i said i should have mentioned this or i could have done that
but you know i'm just going with the short version just to give you guys an idea about the
pathologies for each you know uh for each system so like i said they're not perfect they're not
lengthy you know i'm trying to keep it short because videos don't do well if they're way
too long so anyway just the basics guys i'm just doing the basics for you guys
so let's start with hiv infection and aids and what the difference a is you know hiv is usually
detected when they do blood a blood test and you have the antibodies are ready for it now
you can go 10 to 15 years with a diagnosis of hiv and those people are usually still very healthy
um you know that they're doing well you don't have to make any accommodations for them
because it's aids is the result of an hiv infection so aids is already the the
you know the later stages where they start you know they're more susceptible to the cancers
the sores the infections and that's what ace is is a result of having you know impairment
to the immune system where they've had you know three or more uh you know infections already so
aids is the result of hiv you can go many years without you know having any symptoms
until you start getting later into the stages uh usually the aids is when they
have uh a blood work where it shows that that they have less than 200 uh t cells
because it attacks the t cells the t cells that mature in your thymus and um the contraindications
for that is you've got to be really careful with somebody that's already has aids
they're more susceptible to anything you're carrying so you have to be extra careful
you know like wear your mask and gloves and stay away from any open source or you know or cancers
the point is just to help them to relax it helps with the anxiety with reducing uh stress and blood
pressure so and another thing you must address is washing your linens you know most of the time all
you've got to do is just make sure you're wearing your gloves and put them in the washer and throw
you know half a cup of bleach and hot water you know and your soap read your soap instructions
you know just these are some of the precautions that you you do need to
make but like i said when it is aids already they're more susceptible to catching something
from you because they're susceptible to anything because their immune responses are so very low
so the next is allergies and that's an altered immunologic response to harmless
uh substances for somebody else but they're harmful to you because you're
hyper you know hypersensitive you may have an immediate response or a delayed response
and the most common allergies is like to pollens and to you know to moles and
food allergies and some of them are you know dangerous like to medications or um insect bites
well insect bites are not as dangerous unless you get attacked by bees and you're allergic to them
but you know uh the one that's the most dangerous the uh what's it called an anaphylaxis that's the
most dangerous one they usually carry a epipen with them and if your clan does carry an epipen
you know just in case they they have an analogy you know i don't know to peanuts or
to a medication they took you you must always ask your client where they have that epipen god
forbid you have to you know administer it or take it out of the purse or whatever for them you must
discuss these things before you know they come in because out of all the allergies that is the most
you know um the most dangerous the anaphylaxis is the most dangerous the least one is like
normal regular allergies from pollen when you go outside and two hours later your nose is stuffy or
you know dogs dander those are mild you know like i said it's just your immune system responding to
these allergens that it may not affect anybody else but with you you're hyper you know hyper
sensitive so uh be careful with the clients you know like i have my candles burning here
and i love the scent of candles but somebody with allergies might not even handle the candles or the
lotions and potions that you use so be careful with that you know that you don't have anything
that's going to trigger you know a a headache or an allergic reaction to your client and
i know i've had clients where they they feel comfortable enough and i feel okay with them
bringing their own lotions that they know that they're not allergic to that i'm okay with that
that's actually a very good idea you can suggest to your client well if you have anything at home
that you use that you're not allergic to bring it in and i'll you know you can use that so
that's another thing that you know is good for people that have severe allergies and like i said
there's everything in the spectrum from very you know extreme you know anaphylaxis was very
dangerous to very mild you know like hay fevers so it just depends like i said interview your
client make sure you find out what's going on that day the next is the chronic fatigue syndrome and
chronic fatigue syndrome is a prolonged or severe tiredness and exhaustion and fatigue
usually goes on more than six months um and they don't get any relief whether they get a good
night's sleep or if they work out or if they're if they're resting they're still always fatigued
uh there is really no known causes for this they do think that it's a res fatigue from your immune
response that you know i've seen this in a couple of clients where they had prolonged stress for
years for a couple years you know being caregivers and all of a sudden they just become you know with
exhausted fatigue and no matter what they did even just mental exertion filling out
a lengthy form for whatever reasons they had to do and that would just exhaust them so chronic
fatigue syndrome is you know accompanied you know by more than more symptoms and once they
did you know deduct all the other ones you know like say well okay it's not diabetes it's not
you know uh other symptoms then they narrow it down i think it's out of they have a combination
like of about 60 symptoms that they you know they weed out and then then it's
after six months of being extremely fatigued their immune system is taxed their adrenals are taxed so
you want to make sure and just give them probably a 3 out of a 10 on pressure because it does help
you know to reduce the depression the anxiety helps them to relax a lot of times even even a
strenuous fast massage will tire them out and you know you don't want to do that because they're
already tired for no reason so you don't want to do a very taxing massage on them so
they might feel a little bit lightheaded a little bit dizzy so you're always there to kind of
assist your client and make sure that they're comfortable again i remind you the massage is
about your client being comfortable and you know accommodating to their needs so like i said keep
it like at a three out of a ten and talk to your client that day see how they're feeling the next
one is lymphedema and edema is uh the accumulation of fluids in their system it could be you know in
between the interstitial fluid in between the tissues or it can be in the in the limbs so
let me explain to you a little bit about lymph uh the lymph the interstitial fluid and plasma
those three are the same thing however it depends where they're located that they're named different
plasma is in the bloodstream and you know it carries all the nutrients through your you know
through your uh system and it can get out when it's in the capillary beds it can
seep out into the between the tissues so now it becomes interstitial fluid
and then the lymphatic system comes in and reabsorbs it to take it back into the bloodstream
so that now once it's in the lymphatic system it becomes lymph so lymph and plasma and interstitial
fluid are the same thing just different names for its location so lymphedema it's usually
caused by damage from somebody that has gone through uh cancer or radiation and they remove
some of the lymph nodes so there's swelling in these uh areas because you know they've been
damaged due to you know to either accidents or like i mentioned you know cancer patients so
and edema is just inflammation of you know the uh in between the tissues the interstitial
fluid is probably not being reabsorbed so there's no damage though to the lymphatic system
in edema so edema is just swelling you know caused by imbalances of distribution of the body fluids
so and the uh lymphedema is damaged to the lymphatic tissue and that is usually uh
that the massage is usually done by a manual lymphatic drainage specialist
for the lymphedema for people that have had cancer and have
the lymph nodes removed so you must be certified to do the manual lymphatic uh massage uh you know
and with with edema you know there's certain even as massage therapist there's certain movements you
know like the uh the pump you know at the bottom of the foot where you just kind of pump the foot
gently that gets the you know the edema the swelling down and these are done very slow and
very rhythmic like even the manual lymphatic system when somebody you know that's trained
you know the pressure that they use on you is only like you know the pressure of of a nickel
and they send that lymph you know to drain at the lymphatic ducts the right side you know
of your head and your arm you know drains right here at the right sub i'm backwards there i know
i'm backwards so the right side of your head and your arm drains at the right you know lymphatic
duct and then the left one the rest of the body drains on the left subclavian vein so they both
drain like right here so what they do with a massage is they send it to where it drains
and it gets put back into the cardiovascular system into your you know into the blood so
then it becomes plasma and it gets circulated all over again so the manual lymphatic uh you know uh
drainage uh technique is very important to do on somebody that has the lymph edema and edema we can
we can work on those clients so just be careful um you know you you again if somebody's having
a flare up you don't you know severe edema then you might refer them because it could be kidney
failure or something else could be going on so just be careful with that and talk to your client
the next one is the systemic lupus and uh it is the most common you know autoimmune
disorder uh they don't know what causes it you know it's just your body starts attacking itself
so it is uh leads to overproduction of antibodies it can lead to other you know like reynolds
disease or it starts affecting the nervous system the lungs the liver and internal organs because
your body starts attacking itself it doesn't know the difference between your you some you know
cells that are healthy remember that our lymphatic and immunologic um you know system is to protect
yourself it builds antibodies for um for diseases you know they may last anywhere from seven days
to years that it'll recognize a dangerous cell you know so um this the the lupus you know affects the
joints they start having you know a pain in their bones their joints uh like i said the nervous
system so the massage is very beneficial to bring down the uh their stress level the anxiety
there's no known uh cure for it so they just take medication for maintenance so massage can be part
of their you know part of their maintenance you know to come in maybe once a month once
every two weeks you got to talk to you know to your client so um like i said if they're having
a flare up where they're really not feeling good that day you might want to postpone um you want to
postpone your own flare-ups and you want to keep the pain threshold between you know 3 out of a
10. so they have you know um an overproduction of red blood cells a lot of times so i mean i'm
sorry a low production of red blood cells so it may cause anemia where they might feel a little
bit lightheaded so again like in all of them you know you always want to make sure communicate with
your client find out what's going on if they feel really bad you know maybe postpone the
massage and this is only with pathologies guys you know even reading i've been doing the pathologies
videos now i've done like 10 of them and i started thinking like oh my god you know these are really
horrible but i'm here to tell you that most of the clients that i've had over my 32 years
rarely you know do they come in with something this severe and if they do you catch it in the
medical history and let me tell you your clients are excellent at educating you and telling you
you know if you don't know enough about it you know how they handle it how they're being treated
have they been released by their doctor so that's why a medical history and taking five
minutes before each massage that's my question to my client every time whether they have a pathology
or not what can i do for you today you know what can i do and then they can tell you you know today
i just feel like totally relaxing or oh today i really need for you to go work my low back
or my neck or you know so always cater you know and taper it and tailor it to your client and
that's it for the pathologies of the lymphatic system and until the next time create a great
day
you