What is Tricia’s Massage Style?

Photograph of Tricia Griffith

Tricia, Licensed Massage Therapist

If you haven’t been in to Birch Tree Wellness for a massage yet, maybe you’re wondering if my massage style is right for you. Here’s a little bit of information about how I approach each massage.

What Do You Need in a Massage?

The first thing I want to know is, what are you looking for? Are you in pain, and don’t care so much about relaxing as long as the pain stops? Are you feeling physically fine but mentally drained? I can adjust each session as needed to address what you need that day.

Massage for Pain Relief

Before we start the appointment, we’ll chat about where your pain is and how it is affecting you. I want to try to get a feel for the source of your pain before we even start the massage. I’ll find out if you want full body work, or just a focus on the pain area, as well as if you prefer deeper or lighter pressure.

Occasionally, massage is not a good idea, and I want to make sure I’m not going to hurt you more. It’s important to know if you have any disc/spinal injuries, recent acute injuries such as fractures, or surgery. I may ask you about how the pain affects your range of motion and general movement. Are there times where it’s worse or better? Do you remember any specific incident that led to the pain?

Pain Relief is Relaxing

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Each massage begins with gentle Swedish massage. These are the long, slow strokes that help calm the nervous system and relax your muscles. Starting out with lighter pressure warms your muscles up. If I just dove right in to deep pressure, you’d leave your massage hurting more than when you arrived.

I believe that even a therapeutic massage can be relaxing. This is why as I start working on your problem areas, I incorporate relaxing strokes and gentle, but firm pressure. Occasionally, a hot stone may help loosen up a tight muscle. I may stretch your arms/shoulders, neck or legs/hips. Stretches or heat can help reduce how much deep work is needed to get cranky muscles to let go.

I’m a big believer that massage doesn’t have to hurt to work. I know there’s some amount of “good hurt”, but if you’re holding your breath, it’s probably too much. Don’t hesitate to let me know if it hurts too much. For the most part, I employ gentle techniques to get your muscles to release.

Science!

photograph of a person receiving a scalp/neck massage

Among my favorites is a “positional release” technique. This gets all “science-y.” If you have a sore neck, I target a specific tight neck muscle, and slightly move your head in the direction that muscle is trying to pull it. Then, I’ll hold it there for around 30 seconds. This sends signals to the muscle telling it that it’s done it’s job and successfully moved your head… good muscle! The muscle then lets go (and stops hurting). Science! (Magic!)

In other science news, you may also notice I don’t necessarily start right where it hurts. This is because many times a muscle hurts because it’s over-stretched, meaning the muscle that does the opposite action is tight and has been pulling it out of whack (a technical term). For example, if your upper back and shoulders hurt, it’s often because your shoulders are curled forward and your pecs are tight, over stretching those back muscles and making them sad and painful.

Checking In

If we’re working on a specific problem during your massage, I may check in with you periodically. It helps to know if what I’m doing is making a difference. I may also ask you to do something, such as resist against my push, or test your range of motion.

My “default setting” for massage is generally a medium to deep pressure without beating you up. I find this to be an effective amount of pressure, and most people find it comfortable. I can always back off or press harder as needed, don’t be afraid to let me know. That being said, the type of massage where it’s all elbows and painful deep pressure is really not my style. If you want to be beat up during your massage, I’ll help you find someone who likes to work that hard on you.

Just Shut Off My Brain

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If pain is less of an issue, but mentally you’ve just had it, I can still help. Massage is an excellent way to help manage chronic stress, anxiety or depression. For those of you who just need a mental break, we’ll slow down the massage and go back to those nice, relaxing Swedish massage roots. I often incorporate Reiki or just a gentle, soothing intent into the massage.

Massage decreases stress hormones and increases positive hormones like dopamine and serotonin. By keeping the pressure around a medium to light level, and not doing anything too painful, we can give your brain a break. Sometimes, that’s all we need to reset and get going forward again.

Quiet, Please

Lastly, in generally I try to follow a “Don’t speak unless spoken to” rule during your appointment. I believe that not having to worry about carrying on a conversation improves your massage experience. Several chatty clients have tried out being quiet during their massage and commented that it seemed like the massage lasted longer. That being said, if you just need to vent for a while, that’s okay, too!

Don’t Hesitate to Ask

Feel free to email me at tricia@birchtreewellnessmassage.com or message on Facebook if you want to talk about your massage needs, or have questions about my massage style. I look forward to meeting you!

Face Masks & Massage Update

Okay. So.

I’ve been trying for like a month to put together a full newsletter for you, but then stuff keeps changing and mask mandates are confusing, the State’s rules are confusing, and life is generally confusing. So, I spent the last couple of days doing some research and here is where we’re at:

Town of Orono:

The Town of Orono’s emergency mask mandate is still *technically* in effect. They are meeting on June 3 to discuss repealing it

State of Maine:

The State of Maine has “retired” the page with the reopening checklist for massage facilities. It now refers you to a page on general guidance and say they will be following CDC recommendations.

US CDC:

The CDC has absolutely no massage industry-specific guidelines that I can find, though many pages hadn’t been updated in months. In an American Hospital Associate article, I read that the CDC still requires masks in healthcare settings.

A recently updated page, Key Things To Know, states that they are still working to understand how well the vaccine prevents you from spreading the virus, though early data show that vaccines help keep people with no symptoms from spreading COVID-19. They are still learning, including how effective the vaccines are against variants.

Massage Industry Experts:

I got probably the most useful, but still sort of nebulous information from Ruth Werner, a massage pathology expert in a blog post she wrote, What the CDC’s New Mask Recommendations Mean for Massage Therapists. It aligns with what I have been thinking the last couple of weeks.

What Does It All Mean?

For right now, I’m going to go with please keep wearing masks for your massage appointment. At the moment, you technically still need to wear masks in the building, based on Orono’s rules. Once that is repealed, it is okay for vaccinated clients to come into the office without a mask. You will still need to wear one at least when laying face up on the table.

Plan to wear a mask for at least part of your massage appointment through June, even if you are vaccinated. I will reassess at the end of the month. This could change if we have a surge or a dramatic drop in COVID cases.

Watch for updates of the various COVID-related policies on the website, bear with me as I sort all that out.

Stay tuned for a more exciting newsletter with information about new add-ons and other information!

Stay Well,
Tricia

Massage After COVID-19

This is a serious topic, friends. If you want to schedule a massage after you have had COVID-19, you absolutely HAVE to let your massage therapist know that you have had the virus. It could literally mean life or death.

Ideally, you need to let them know well before your appointment date. You need time to connect to discuss how serious your case was. It may also be necessary for you to reach out to your healthcare team for feedback. The best plan is to talk to them before you make an appointment.

Why Worry About Massage After COVID-19?

The biggest concern is the risk of blood clots associated with COVID-19. While blood clots have primarily been seen in patients hospitalized with severe cases, there are still a lot of unknowns. Autopsies of patients who have died from COVID often show severe clotting, which contributed to multiple organ failure and death. You can read an interview about COVID-19 and clotting issues written by a massage pathology eductator here.

Massage Gets the Blood Moving

One of the benefits of massage is that it improves the flow of blood through your muscles and organs. A massage stroke presses down on your muscles, stretching and warming them. Those muscles have blood vessels supplying them, and that same motion pushes the blood in the direction of the stroke.

Maybe you noticed that these strokes are often deliberately pushing blood towards your heart. Once there, it travels to the lungs for fresh oxygen, and then back through your organs and muscles again. Because of this, it is possible to dislodge a clot and send it traveling through you body to create big problems.

What Does My Massage Therapist Need to Know?

Your massage therapist will want to discuss the severity of your COVID symptoms, how long you were ill, and whether or not you were hospitalized. Even if we’re not talking about massage after COVID-19, it’s important to know if you’ve had a history of clotting issues. People with a serious history of clots will need to discuss the risks of circulatory massage with their doctor.

You may have noticed they keep asking you about your ability to exercise and increase your heart rate/respiratory rate. They’ll want to know if you’ve had any new or unusual muscle aches or pain. It’s also important to know if you have seen any unexplained marks, rashes, bumps, or other lesions on your skin. These are all screening questions to help rule out blood clots.

So please, don’t be embarrassed, don’t brush it off. Let your massage therapist know and answer their questions honestly. They are trying to keep you safe!

Massage In A Time of COVID: Week 7

Holy $#*! It’s August

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Welcome to massage in a time of COVID week 7. As it works out for most of these newsletters, I started this one has a one month update. Then, life got in the way and it’s now something more like a month and a half-ish update. Things are still going okay, everyone coming in has been fantastic about wearing masks and being patient and understanding. I range anywhere from “This is good, we got this!” to “OH MY GOD WHAT AM I DOING?!” but as Dory says “Just keep swimming!”

I’ve settled into the cleaning and disinfection routine pretty well. It takes about 20 minutes to get everything wiped down. Then, it needs to air dry for 10 minutes or so before I put linens back on the table in preparation for the next appointment. I found I have to set an alarm reminder or I might forget to put the sheets on!

A few things that have been tweaked as time progresses:

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COVID exposure reminder
  • I now have a card with a date range to give you that reminds you to contact me if you learn about exposure to COVID-19 or test positive.
  • MassageBook should automatically send you a request to update your intake form the day before your appointment. I’m double-checking that you’ve updated that instead of emailing or texting a check-in.
  • Please wait 14 days to schedule if you have traveled out of the state.
  • Please wait 14 days to schedule if you have had visitors from out of state that you haven’t been able to socially distance from.
  • There’s a written policy for COVID-19 exposure on my website.

University of Maine Students Returning to Orono:

  • If you are a regular client, but just returning to Orono for classes, please wait 2-3 weeks before scheduling a massage.
  • Regular clients employed at the university: I’ve talked to many of you about exposure risks, testing, etc. I trust you to be aware of your risks, and I believe most of you are getting tested regularly. Just let me know how things are going.

Meanwhile, I’ve opened up the schedule through October. Just keep in mind that there’s always a chance we may have to cancel your appointment if cases in Orono increase too much or (God I hope not) I get exposed.

Wash your hands, wear a mask, and stay negative, my friends.

Massage in a Time of COVID: Week 2

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This past week, I saw 15 massage clients. That may have been a few too many appointments during COVID times – because I was pretty much dead by the end of the week. Mostly because Thursday and Friday both had four appointments each. By the time you spend half an hour cleaning and resetting the room after each one, it makes for a very. long. day. Everyone was still awesome and helpful and I truly appreciate that! Most everyone remembered their masks and got their health information filled out ahead of time, which definitely makes life a little easier. 

WHAT I LEARNED THIS WEEK

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I learned that between “COVID Brain” and generally having to re-learn and change my routine, I’m still kind of scattered and forgetful. It’s equal parts hilarious and embarassing. I’ve messed up a couple of appointment lengths, ending a little too early, which of course I didn’t charge for the part I forgot. The people I messed up with were gracious and understanding.

Since I have to let the disinfectant air dry for 10 minutes, my most frequent thing is forgetting to go back in and put the sheets on the table. I *mostly* catch that before you arrive, but a couple of you had to watch me put the sheets on (insert facepalm here). I’ve started setting a reminder alarm so I’ll get them on BEFORE your appointment. 

Did you know there is an art form to disinfecting a yoga ball? You do now!  Hold it between your feet, spray and wipe one hemisphere. Rotate and repeat on the second hemisphere! Or chase it across the room, a less efficient option.

THINGS I AM CHANGING A LITTLE

INTAKE PROCESS: I now have a second laminated form that I go over with you when you arrive. I’m asking the same COVID-19 symptoms & exposure questions plus a few that are screening you for potential clotting risks. The good news is, it seems like clots are potentially less of a risk for those who have had mild to moderate cases of COVID-19, so some of my anxiety around that is lessened a little.

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HEALTH INTAKE FORM: Everyone will need to go in and review/update their intake form on MassageBook prior to each appointment. If you’re coming in weekly and we’ve been in contact, then we can do it bi-weekly. Other than that, I want to keep an ongoing track of any health changes and also make sure you’re looking at the COVID-19 policies each time. 

30 MINUTE MASSAGES: I’ve decided to stop offering 30-minute massages for the time being. It takes at least a half an hour to clean, disinfect and reset the room between appointments, and I feel like a half-hour of massage followed by 30-40 minutes of cleaning and prep just doesn’t make sense at this time. If you have a gift certificate for a 30-minute massage or study break, you can apply it towards an hour massage. If you’re truly in pain and can’t afford an hour, contact me and we’ll talk.

SCHEDULE YOUR MASSAGE TODAY!

I have opened up online booking for all existing clients (this means if you have been in within the last year) through the end of August. I encourage you to book online. It’s still the fastest way to get your appointment. Playing text/email/message tag takes forever, more so now than before.

Meanwhile, wash your hands & stay negative!

THANK YOU AGAIN!

Massage in a Time of COVID: Week 1

How The First Week Went

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This past week, I saw 8 massage appointments. It was mostly friends and a couple of people who had something like a million appointments canceled over the duration of the shutdown. (I may be exaggerating a tad). I want to THANK BIG TIME everyone who came in!

It was inspiring! People filled out the requested health forms without complaint, arrived wearing a mask, and let me check their temp with my no-touch thermometer on arrival. Some of you were so intent on being helpful, you tried hard to touch as few things as possible while you were there. You hand sanitized and kept your mask on for your massage, and I am so, so, grateful. It really helped make a stressful, scary time much more manageable.

WHAT I LEARNED THIS WEEK

I learned that yeah, for the time being, I’m going to need to leave the one hour space between appointments. It takes me 20-30 minutes to wipe everything down, let it air dry, and then get set up for the next appointment.

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I learned/realized that one of the disinfectants I bought is a cleaner AND disinfectant, so I can save a little time using that. At the end of the day, I may use the separate cleaner and disinfectant just to give everything a good scrub and then let it air out until the next day.

I also learned that having people just request appointments was a big pain in the butt. So, you can schedule online like normal now!

THINGS I AM CHANGING A LITTLE

After my first day of trying to use the new Hands Heal EHR to take the appointment notes, I realized I hated it. So, literally the only thing it was doing for me was the fancy COVID-19 screening form. Nevermind that, then.

I’ve gone in and updated the intake form on MassageBook, it does have some symptoms screening questions, and I have added some information on the waiver page reminding you of policies and risks. I will be asking everyone to update that form before every appointment, even if you’re coming in more than once a month.

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Today I’m working on a more thorough screening process for when you arrive for your appointment. I’ll be making a second laminated form to the one that I use for taking your notes that will be specific to COVID-19. There are some risk factors that are really hard to predict, particularly clotting risks. (Even if you don’t think you’ve had COVID) So, I’ll be asking you some specific questions to hopefully rule out those risks. I think I will probably also write a specific blog post about it if I can distill it down into bite-size morsels.

SCHEDULE YOUR MASSAGE TODAY!

I have opened up online booking for all existing clients. Right now the schedule is open through the first two weeks in August. I encourage you to book online. It’s honestly the fastest way to get your appointment. Playing text/email/message tag takes forever, more so now than before.

Be sure to review the COVID-19 Policies and High-Risk Client Policy before scheduling. As always, if you have any questions, feel free to contact me.

Meanwhile, wash your hands & stay negative!

THANK YOU AGAIN!

Safety Preparations

Let me preface this post with my recurring mantra… THERE ARE NO GUARANTEES. Meanwhile, I take your safety seriously, and will my best to make your massage experience as safe as possible. I just ask you do take the proper precautions on your end, so hopefully, we can all stay safe and healthy.

In the meantime, I wanted to give you a more thorough rundown of some of the stuff I’ve been doing around the office. These steps are based on a combination of guidelines from FSMTB, AMBP, the State of Maine, and other resources.


Personal Prevention

Face Coverings/PPE:

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  • Everyone needs to wear a face mask.
  • If you don’t have a mask, I have one for you.
  • I will be wearing a mask and face shield during your massage, this includes a fresh mask for each client and a sanitized face shield.
  • A fresh apron is used for each session.
  • I will wear nitrile (latex-free) gloves if one or both of us have any open cuts/scrapes, or broken skin.

Hand Sanitizer: Bottles of hand sanitizer are available upon entrance to the office, as well as in the massage room.


In the Massage Room

The Massage Table: The table has a protective cover over the padding & table warmer that can be disinfected. It makes the table a little bit slippery, but you get to keep all the comfy padding. I disinfect all the hard surfaces of the table after each appointment.

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Air Flow & Purification: The windows do not open. So, there is an air purifier in the office with HEPA filtration and UV sanitation that is in constant use throughout the day. A fan will be used to get air moving out of the office between appointments.


General Stuff

Linen Storage: The sheets and other linens are in closed storage areas.

Dirty Laundry: After each session, the laundry is placed in a closed, step-lid container.

Trash Cans: The trash cans are now all closed, step-lid cans to help contain germs.

Table Covers: The cloth table coverings have protective vinyl over them for easier cleaning & disinfecting.

Disinfecting: I use a checklist to help thoroughly clean & disinfect every area of the office between appointments.

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How I’m Doing: A dry erase board in the office has my temperature (morning and afternoon) and if I have any symptoms, as well as the number of contacts & places I’ve visited in the last 5 days. I’m also willing to use the touch-free thermometer to check my temperature on your arrival if you wish.

General Clutter: This part hurts my heart because I love all my gifts from clients and shiny doo-dads, but I have cut down on the number of things around the office that might collect dust and germs.

Self-Serve Items: The self-service baskets of mints, chocolates, and tea have been put away. The candy will still be out in small amounts for your sugar rush! Water will be available.


One more time: THERE ARE NO GUARANTEES. If you are coming in for a massage, I am trusting you to be honest with me about your health and your risks, as well as your potential exposure to COVID-19. Safety is a two-way street right now. See the COVID-19 Policies section for more details, and be sure to check out the High-Risk Clients section to make sure you’re not missing an important risk.

Thank you for your continued patience, cheerleading, and moral support!

Back to Massages: The Plan (So Far)

I’m so excited that you’re so excited to get back to getting massages! Here’s a little information to help keep things calm:

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  • I have not picked an opening date yet. Don’t worry. It’ll come to me eventually, I’m considering a lot of different things (including Maine COVID-19 data) before I start scheduling.
  • I’m going to start with those of you I had to cancel three or more times over the last few months. I know a few of you have elected to wait a little longer, and that’s fine! Please take any health risks you may have into consideration.
  • I will reach out to you to schedule. I’m not ready to open up online booking just yet. It may be a little fussy, to begin with, but once we get going, I’ll open up online booking!
  • Since I’m going to start with an hour between appointments to clean and reset, this means probably only 3-4 appointments a day, 2 on Sundays. Once I get a feel for the cleaning routine, I may be able to shorten the time between appointments again.
  • If you have pre-scheduled appointments into late July & August, chances are we will keep them. I may just need to ask you to shift the time a little to allow for cleaning.
  • Please be patient and we’ll get back to massages again soon ❤️
  • Feel free to contact me if you have any other questions!

Massage Changes in a Time of Changes

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Okay friends. We’re getting serious now, and I need you to know some things. Massage in the age of COVID-19 is not going to be the same as it was before we closed, changes are afoot. Things are going to be pretty different, and probably a pain in everyone’s butt.

But here’s the thing… I’m adjusting my mindset to think about these changes as adding to the existing culture of care at Birch Tree Wellness. This is about taking care of you. It’s about doing what I can to help you with your pain and stress, PLUS having you arrive healthy and leave healthier.

There Are No Guarantees

In lieu of a cure, vaccine, or other intervention for COVID-19, there is no way right now to reopen a massage practice without changes & protocols to protect all of us. Until that changes, there is no guarantee that that we will come away from our interactions unscathed. As I write this, COVID-19 cases in Orono & Old Town are estimated at 1-5 probable/confirmed cases.  In Bangor, 43 probable/confirmed cases. In Penobscot County, 101 confirmed, 2 deaths. We’ve been pretty lucky so far, but it’s far from over.

What I’ve Been up to Recently

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My previous newsletters/posts have been mostly about the supplies that I’ve been putting together in order to provide a safer massage experience. But let me tell you, that was just the tip of the iceberg. I’ve climbed out of my gardening cocoon and really started diving into all of the information out there.

I have taken two online continuing education courses outlining all that is entailed in creating a safer (note: not SAFE, just SAFER) massage practice. To give you an idea of what we’re working with here, here are some of the main sources I am referencing. I’ve also been reading numerous articles & books.

PPP: Protocols & Procedures in Progress

Information overload, right? Tell me about it! In a nutshell, this is what I’m doing to ensure your safety (and my own) while continuing to deliver the pain & stress relief you need. What I’m asking of all of you is to remember, I’m not doing it to be a pain in your ass.

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We’re all in this together. I love you all, and I will be beyond heartbroken if any one of you contracts COVID-19 as a result of your visit to my office. So, please… brace yourselves for a new norm for a time. It’s not forever, it’s just for now. Here are a few of the protocols I’m working to put in place:

Before Your Appointment

  • Update your online health intake form
  • Health check in 3-7 days before your appointment
  • Health check in 24-48 hours before your appointment
  • Wait in your car or outside until 5-10 minutes before your appointment

At the Office

  • Mandatory face masks worn for the entire time you’re in the office
  • Hand sanitizer will be made available for use upon arrival and any time you need it during your appointment
  • COVID-19 symptom screen upon arrival for appointment
    • If you have ANY symptoms, or your temperature is over 100.4°, we will need to reschedule your appointment
  • Signed informed consent about the risks associated with COVID-19

On My End

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  • I will be wearing a mask during your entire appointment
  • Daily self-screening. I will have a white board posted with:
    • My morning & afternoon temperature
    • If I have any COVID-19 symptoms (even if it’s *just an allergy cough)
    • How many people I have been in contact with, in the last 5-7 days
  • Protocols for what to do if I or a client have been exposed to or tested positive for COVID-19
  • Closing protocol in the event of COVID-19 exposure
  • Cleaning checklist for after every appointment

I’m pretty sure there’s more, but I think you get the idea! As the new policies are written, you’ll find them on my Policies Page. I know you’re probably freaking out about the face masks. There’s a way I can set up my face cradle so that you don’t have to wear the face mask when you’re face down. BUT you need to wear it the rest of the time. Also, yes, I will be using a touchless thermometer to check your temperature. Keep that in mind if you’re biking, walking, or running to the office.

I Repeat: We’re All In This Together

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I know this is a lot of stuff. That’s why I wanted to get it out now, while I work on my end to make it all happen. On your end, it’s mostly just being patient with me, being willing to jump through a few hoops, and being willing to keep that mask on. Be honest with me about your health and your risk of exposure to COVID-19.

I also need you to weigh the risks for yourself before you schedule. Watch the numbers of cases in our community. Think about your own health risk or the risks to those you are caring for. As I said in the beginning, there are no guarantees, we can just do the best we can to try to be safe, and maybe get a little massage in the process.

I still don’t have a firm date that I’ll begin scheduling appointments. I’ll be starting with many of you I had to cancel over the last several months. Stay tuned for more details, information, and to get an idea of what the appointment schedule will be like. Feel free to contact me if you have any questions.

Stay safe. Wash your hands. Be good.

Are Gift Certificates Really Helpful?

In uncertain times, are gift certificates really helpful?

I’ve read quite a bit online about purchasing gift certificates to help a small business stay afloat. Many of you have generously done so already, or prepaid for your next series of appointments. This is all extremely thoughtful and wonderful.

That being said, there’s something of a catch-22 to this plan. For example, If I bring in enough money in gift certificates to pay my May rent, that solves that immediate problem. However, if I can open in June and everyone who’s prepaid comes in at once, I’ve already spent that money and now have no cash flow to pay June’s expenses.

This is why, as my business has grown, I’ve worked hard to put everyone’s gift certificate and prepaid appointment money into a separate account, and I don’t take it out until you actually come in for that appointment. So, you can see how I am basically putting off the inevitable by spending your money before you come in.

Saving money from gift certificates

Additionally, there’s something of an ethical quandary. As I said, these are uncertain times. I feel pretty positive that I will eventually be able to open for business. But if I don’t? I need to be able to pay people back. Or, God forbid, my estate needs to pay you back.

So. I love you all, and if you really want to pre-pay for appointments or purchase gift certificates, I’m not going to stop you. Just keep in mind, I’m probably going to try my darnedest not to spend it until we can actually see each other again.

If you’d really like to help me stay afloat, there’s a couple of ways you can help. Schedule a Distance Reiki session! In addition, you can purchase my artwork! Watch my art website (triciagriffitharts.com) or art Facebook page (@triciagriffitharts) for artwork for sale. Stay tuned for the possibility of T-shirts and other Birch Tree Wellness items for sale.

In the meantime, stay negative, friends.