Ep 93 – A Failure to Communicate About a Failure of the Liver: “I Have a Client Who . . .” Pathology Conversations with Ruth Werner

Computer graphic of a liver that is glitchy and distorted

A client didn’t share an important piece of information—and the therapist didn’t ask. The result: a serious situation that massage could have made much worse. In this episode, we talk about a surprising relationship between bariatric surgery and liver failure—and about the need to ask open-ended, inviting questions that will help us get a clear and full understanding of our clients’ health challenges.

Resources:

Centers for Disease Control and Prevention. “Chronic Liver Disease and Cirrhosis.” Last modified March 1, 2021. www.cdc.gov/nchs/fastats/liver-disease.htm.

Eilenberg, M., Langer et al. “Significant Liver-Related Morbidity After Bariatric Surgery and Its Reversal—A Case Series.” Obesity Surgery 28, no. 3: 812–19. https://doi.org/10.1007/s11695-017-2925-x.

Keleidari, B. et al. “Hepatic Failure After Bariatric Surgery: A Systematic Review.” Hepatitis Monthly 19, no. 1. https://doi.org/10.5812/hepatmon.86078.

Novak, Kristine. “Is Bariatric Surgery the Best Treatment for NAFLD?” April 23, 2019. https://journalsblog.gastro.org/is-bariatric-surgery-the-best-treatment-for-nafld.

Werner, Ruth. “Demystifying Obesity: Looking Beyond the Scale, Part 1.” Massage & Bodywork magazine (July/August 2018): 40. www.massageandbodyworkdigital.com/i/992435-july-august-2018/42.

Werner, Ruth and Lisa Santoro. “Demystifying Obesity: Looking Beyond the Scale, Part 2.” Massage & Bodywork magazine (September/October 2018): 42. www.massageandbodyworkdigital.com/i/1013756-september-october-2018/44.

Author Images: 
Ruth Werner, author of A Massage Therapist's Guide to Pathology
Ruth Werner's logo
Author Bio: 

Ruth Werner is a former massage therapist, a writer, and an NCBTMB-approved continuing education provider. She wrote A Massage Therapist's Guide to Pathology, now in its seventh edition, which is used in massage schools worldwide. Werner is also a long-time Massage & Bodywork columnist, most notably of the Pathology Perspectives column. Werner is also ABMP's partner on Pocket Pathology, a web-based app and quick reference program that puts key information for nearly 200 common pathologies at your fingertips. Werner’s books are available at www.booksofdiscovery.com. And more information about her is available at www.ruthwerner.com

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About Anatomy Trains:  

Anatomy Trains is a global leader in online anatomy education and also provides in-classroom certification programs for structural integration in the US, Canada, Australia, Europe, Japan, and China, as well as fresh-tissue cadaver dissection labs and weekend courses. The work of Anatomy Trains originated with founder Tom Myers, who mapped the human body into 13 myofascial meridians in his original book, currently in its fourth edition and translated into 12 languages. The principles of Anatomy Trains are used by osteopaths, physical therapists, bodyworkers, massage therapists, personal trainers, yoga, Pilates, Gyrotonics, and other body-minded manual therapists and movement professionals. Anatomy Trains inspires these practitioners to work with holistic anatomy in treating system-wide patterns to provide improved client outcomes in terms of structure and function.  

Website: anatomytrains.com  

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About Coaching The Body:

Coaching The Body™ is a highly unique approach to therapeutic bodywork that integrates traditional Thai massage techniques, trigger point therapy, and modern neuroscience as a means of efficiently treating pain and restoring normal motion across joints. Manual therapists and movement professionals all over the world have used the Coaching The Body™ approach to relieve pain, unravel complex conditions, and grow their practices. Coaching The Body™ offers both in-person and online training, including a full CTB certification program consisting of 7 body area courses, an apprenticeship program, and a growing online course catalog.  

Website: coachingthebody.com  

Email: admissions@thaibodywork.com  

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