The ABMP Podcast | Speaking With the Massage & Bodywork Profession

Ep 453 – EVAR Failure: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

Aug 13, 2024

In this discussion, Ruth Werner, an expert in pathology and client care, delves into a complex case involving an older client with severe leg pain following aortic surgery. She explores the critical decisions a young massage therapist must make in navigating this life-or-death scenario. The conversation covers the intricacies of iliac artery grafts, the evolution of endovascular aneurysm repair, and the essential role of patient safety. Ruth emphasizes the importance of professional boundaries and advocating for a client's health in challenging situations.

14:31

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Episode guests

Ruth Werner

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Quick takeaways

The podcast highlights the importance of therapists prioritizing client safety and advocating for medical consultation when serious health issues arise.

It emphasizes the role of structured career advancement programs in enhancing professional growth and service quality for massage therapists.

Deep dives

Streamlining Massage Therapy Practice

Massage Book offers comprehensive software designed to simplify various operational aspects of a massage therapy practice. This platform helps with scheduling, payments, and marketing, enabling therapists to dedicate more time to client care. The service also includes a promotional offer, allowing users to receive a discount after a free 30-day trial, aiding in the transition to a more efficient practice. By utilizing such tools, massage therapists can enhance their service delivery and focus on improving their clients’ well-being.

Intro

2min

Navigating Challenges in Massage Therapy: Real Client Stories

2min

Understanding Iliac Artery Grafts and EVAR Surgery

5min

A Crucial Advocacy: Navigating Patient Safety in Massage Therapy

5min

Navigating Risk in Massage Therapy: A Reflection on Client Safety

2min

A 60-ish year-old client with a history of surgery for aortic aneurysm insists—INSISTS—that his 21-year-old massage therapist work with him, in spite of his new onset severe leg pain.

What are the practitioner’s options in this literally life-or-death scenario?

This story, that looks cut-and-dried on the surface, is more complex than it appears. Plus, we get to talk about bulges in the aorta, bleeding ruptures, migrating devices, new surgical innovations, and much much more.

Listen in to find out how it all turns out.

Resources:

Pocket Pathology: https://www.abmp.com/abmp-pocket-pathology-app

Ameli, F.M. et al. (1987) ‘Etiology and management of aorto-femoral bypass graft failure’, The Journal of Cardiovascular Surgery, 28(6), pp. 695–700.

Choi, E. et al. (2021) ‘Risk Factors for Early and Late Iliac Limb Occlusions of Stent Grafts Extending to the External Iliac Artery after Endovascular Abdominal Aneurysm Repair’, Annals of Vascular Surgery, 70, pp. 401–410. Available at: https://doi.org/10.1016/j.avsg.2020.06.028.

Daye, D. and Walker, T.G. (2018) ‘Complications of endovascular aneurysm repair of the thoracic and abdominal aorta: evaluation and management’, Cardiovascular Diagnosis and Therapy, 8(Suppl 1), pp. S138–S156. Available at: https://doi.org/10.21037/cdt.2017.09.17.

Endovascular repair of complex aortic aneurysms - Mayo Clinic (no date). Available at: https://www.mayoclinic.org/medical-professionals/cardiovascular-diseases/news/endovascular-repair-of-complex-aortic-aneurysms/mac-20429867 (Accessed: 31 July 2024).

Ivancev, K. and Vogelzang, R. (2020) ‘A 35 Year History of Stent Grafting, and How EVAR Conquered the World’, European Journal of Vascular and Endovascular Surgery, 59(5), pp. 685–694. Available at: https://doi.org/10.1016/j.ejvs.2020.03.017.

Modern History of Aortic Surgery, by Hazim J. Safi, MD | McGovern Medical School (no date). Available at: https://med.uth.edu/cvs/2020/08/25/modern-history-of-aortic-surgery-by-hazim-j-safi-md/ (Accessed: 31 July 2024).

Park, K.-M. et al. (2017) ‘Long Term Outcomes of Femorofemoral Crossover Bypass Grafts’, Vascular Specialist International, 33(2), pp. 55–58. Available at: https://doi.org/10.5758/vsi.2017.33.2.55.

Sponsors:

Anatomy Trains: www.anatomytrains.com 

MassageBook: www.massagebook.com

Elements Massage: www.elementsmassage.com/abmp