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Crowd Source Promotes Prostitution over a 14.7 Billion Dollar Spa Industry

Writers and Professional LMT’s take note! I recently submitted a 200 word answer to a basic question in what I thought was a delicate and discreet way. CrowdSource’s stated question was worded in a way I found suspect as a Professional for both the taxonomy and language used to phrase the question. What I wrote follows but first note the rejection I received.

We are unable to use this HIT: Your article was flagged for the following issues: Your content fails to answer the question. Your work contains unapproved source links. Source links provided no information with respect to the question. Content did not answer the question. Resources are supposed to be to the exact page you found your information, not just the homepage.

Answer Type: Opinion
What information can be obtained from massage parlor reviews?
Category: Business & Finance > Business Resources
Provide your first resource link:
Provide your second resource link: (optional)
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The Massage Industry does not recognize the term “Massage Parlor” as a legal enterprise or as an accurate depiction and representation of the massage profession. Due to the societal practice of double standards which conflate and abuse both the massage profession and the spa industry which brought in 14.7 million dollars in revenue last year according to The International Spa Association, information obtained from a ‘massage parlour review’ is suspect.
Directions: Check here ONLY if your first sentence gave the direct answer to the question. Do not check otherwise.
Additional Details:
Use of the word “parlor” is a historical nod to the Gilded Age. In the modern era, use of this term is suspect among spa industry professionals and among those professions broadly associated with the concepts of Spas in general. The International Spa Association or ISPA, represents a total of 20,183 spas around the world. Spa Finder and Conde Nast Traveller among others, provide reputable information and reviews of spas around the world from industry insiders and professionals. Spas provide a number of services in relation to wellness and broadly speaking, services related to cosmetology. These professionals are represented by a number of licensing, certifying, and educational organizations, public and private. If a consumer is seeking sexual services, they may wish to conduct quests for information in more discreet language that does not conflate and undermine industries that create global opportunity and jobs for many people around the world. Hospitality, Tourism, Cosmetology, Massage, Esthetics, Philosophy, Health, Wellness and associated fields are not the private preserves of sexual hedonists and are not open to linguistic colonization. Therefore information that utilizes this terminology will necessarily be conflicting and a source of conflict as long as it creates artificial divisions that can only be termed post modern from an industry and professional standpoint.

Choosing a Medical Esthetics Career: What you need to know

Choosing a Medical Esthetics Career: What you need to know

By Ashley M. Heidi Carter


Medical Esthetics is centered on the improvement of people’s appearance, and is more closely allied with the treatment of disease and disfigurement than traditional cosmetology. The French Society for Esthetic Medicine held its first conference in 1973 and was the first organization devoted to the discipline. Esthetic medicine is a relatively new Industry in the United States and even internationally, has only been recognized since the early 1970’s. The practice and procedures utilized by Medical Estheticians have been derived from what were formerly services provided by physicians practicing in Dermatology and Plastic Surgery. Both these fields of medicine are 20th century developments in modern science and in this way are distinct from the cultural practices and traditional conception of beauty treatments as practices of personal adornment or cosmetology.

The International Union of Societies of Aesthetic Medicine (UIME) was created to represent a variety of national interests in Esthetic Medicine. The UIME represents 27 different countries; Argentina, Brazil, Chile, Colombia, Italy, Spain, France, Morocco, Poland, Switzerland, Uruguay, Venezuela, the United States of America, Mexico, Russia, Romania, Kazajistan, Algeria, Canada, South Korea, Puerto Rico, Turkey, South Africa, China and the Ukraine. This organization holds a bi annual European conference every two years and a World Congress every four years. There are also new terms being floated in the Industry to describe Medical Estheticians such as Paramedical Esthetician. This is a shift in how the Health Care Industry is redefining the term to try and reposition not only Health Care but Science as the focus of the profession.

Job Description and Responsibilities

Typically, Medical Estheticians have a two or four year degree in a Health Science profession such as Nursing and perform their duties under the direction of physicians, dermatologists and plastic surgeons. Typical job duties involve providing pre and post-operative care, working with cancer patients who have lost their facial hair, burn patients who need to learn new makeup techniques to minimize the appearance of trauma, providing facial massages to promote dermal healing, providing laser treatments and skin exfoliation, maintaining patient records and suggesting product options patients may utilize at home. A detailed listing of topics and medical conditions that the Dermatological Nurses Association cites as common Medical Esthetics procedures includes such diverse conditions as:

  • Acne
  • Atopic dermatitis
  • Body adornment (tatoos, piercings, etc.)
  • Botox
  • Burns
  • Camouflage cosmetics
  • Certification
  • Coding
  • Contact dermatitis
  • Cosmetic dermatology
  • Cutaneous T-cell lymphoma
  • Epidermolysis bullosa
  • Evidence-based practice
  • General dermatology
  • HIV
  • Home care
  • Laser procedures
  • Occupational dermatology
  • Pain management
  • Photopheresis
  • Phototherapy
  • Psoriasis
  • Radiation therapy
  • Research
  • Skin cancer and prevention
  • Surgery
  • Urticaria
  • Wound Care

Education and Training

Given that Medical Esthetics is not a profession with a universally accepted regulatory body close attention should be given to career aspirations before choosing a program of study with any school, public or private. Ask yourself what your goals are and what you want to specialize in. The options are diverse! Keep in mind, that in an unregulated field, the kind of education you choose will determine what kind of Professional license you will acquire after graduation and that licensure will determine the course of your professional growth and development, what career paths will be available to you to specialize in and what degree of career advancement you can expect to achieve.

The term Medical Esthetician is actually misleading so be aware: it is a term that denotes a type of work and NOT a formal Profession at this time in the United States. Currently, there is NO standard education or licensing procedure to become a Medical Esthetician offered by any Medical or Cosmetology Board Nationally or at the State Level. There are no standardized core competencies that form a universally accepted education curriculum, although there are a number of organizations with various philosophies and views on education, economics and industry that offer privatized certifications and professional membership under the name Medical Aesthetics. Presently, esthetics procedures are performed by all kinds of physicians, not just dermatologists or plastic surgeons. This gap in health care delivery practice has not yet been forcefully regulated by the health care industry. As career specializations grow, the projected outlook for Medical Esthetics is very positive although the industry is fragmented.

In such a fragmented state, what is the best approach to choosing an educational path in Medical Esthetics? There are two basic approaches to this question for the prospective student to consider. The first is traditional academia and a two or four year degree in a health science discipline and then acquiring specialized certifications. The second is to take a more vocational approach, and to seek out a certification program in esthetics/cosmetology and building on this skill set by pursuing specialized certifications. Each path has value and ultimately, the choice a prospective student makes, is a matter of personal choice. It is worth pointing out the value of exploring the philosophical foundations of Aesthetics when making a decision of which path to pursue. The branch of Philosophy known as Axiology deals with two different issues. These are ethics and aesthetics. Both branches of axiology deal with questions of value and how we determine, assign and perceive value. No matter what path is chosen, after initial training is completed, there is a need for further specialization in the discipline thru certification and as with any licensed profession, the type of education chosen will determine what kind of continuing education options are both available to the student based on their educational background and what kinds of specialized training the prospective student will be qualified to pursue. For example, a prospective student with a two year LPN degree will be qualified to pursue specializations in Dermatological Nursing based on education background. A prospective student who takes the more vocational route of cosmetology centered esthetics training will not have the educational credentials necessary to pursue all of the same offerings that are open to medical professionals, depending on the quality and training of the program they choose.

Job Outlook

Some private cosmetology centered esthetics programs do train their students to deal with conditions such as Rosacea and also provide training in dermalogical peels and microdermabrasion. However, career advancement does depend on additional certifications and specializations beyond initial training, showcasing the need to fully explore educational options. The licensing requirements that result from each educational path will determine what kinds of specializations prospective students will be able to pursue after completing their education and hence will have an effect on career advancement.

The Bureau for Labor Statistics lists the median salary for estheticians at approximately $28,920 a year, or just under $14.00 dollars an hour. However, Payscale.com reported in 2013, that the median wage for Paramedical Estheticians ranged as high as $47,310. This again highlights the very different options available to prospective esthetics students based on which educational path they pursue and the specialization options available to different licensed professions.

Professional Associations with additional information

Association of Medical Aesthetic Nurses


Dermatological Nurses Association


Aesthetics International Association


American Acne and Rosacea Society


Society of Dermatology Skin Care Specialists


United Aesthetics Organization


International Spa Association













Sacred Cows in the CAM Industry



I recently had the misfortune to have a public argument over what academics call nit picking with a sacred cow of the Massage community.

This is a snippet from the middle of a discussion that began in a professional group for massage educators on Facebook, followed recommendations to contact industry authorities for more information and clarity, ricocheted back onto Facebook as if public slander and legal action were about to follow and all of this is documented both in email and on Facebook :

“Heidi – It is Judith, not Janet, and my last name is DeLany. You wrote your first email to our business email address on Sunday. We were closed Sunday and Monday so it was not handled until today. My two responses to your rather abstract emails have taken most of my day today. Before I got linked to this Facebook discussion, I spent several hours collecting and sending to you a number of supporting documents, peer reviewed articles, and a substantial chapter from one of my strongly referenced texts. Even though I do not know you, have never seen any historical document or any articles that you have written on this subject or any other, nor have you ever been in my class nor read my books or articles, I freely gave of my valuable time to support your efforts to obtain all of your information so that you did not have to purchase textbooks or subscribe to the peer-reviewed journals you so want to cite. You are collecting history on NMT, the very history that I have lived for 30 years. You do not have NMT textbooks or articles, not even the Travell books on trigger points, yet you have posted what I interpret as off-color remarks about my life work. Your comments above are disturbing, as you accuse flawed logic, yet do not disclose what you think is flawed and make broad sweeping statements that discredit me and cast my three decades of hard work, solid references, peer reviews, professional editing, and exemplary co-authors, as a comment on socialism. Your comments will not change the history of NMT, as it evolved on two continents under the hands of many, many people. You should not cite a simple website posting as an academic reference. There are many referenced sources, several of which I gave freely to you this morning. Read the books, read the articles, reframe your position. There are many historical and technique-based differences in NMT European vs NMT American version (my personal method) yet their foundations have some similarities. The textbooks and articles discuss these similarities and differences fully. Websites (which ARE opinions and marketing tools) do not contain the same content as a referenced source. There are also many other methods of NMT that are worth looking into. If you are writing about or teaching anything on this subject, I hope you spend the time to educate yourself on more than just internet websites and wiki. – Judith Delaney”
“Dear JUDITH –
  1. You are obviously not trained in Historiography and I am. Based on HISTORICAL methodology, your web sites definitions are REFLEXIVE. Based on that bit of LITERARY use of post modern discourse, it makes using your website problematic from a historiographical point of view
  2. You obviously did not note the date and time the conversation in this forum took place and failed to notice that I state I had emailed you for clarification. If you look at the sentence as I worded it, it’s obvious that I fully expect your published work to have detail that a website might very well lack. Therefore, your courtesy to me in providing me with more information is merely a professional courtesy and you have come to this forum late, misinterpreted the time line of events -again a history issues- and have accused me effectively of being ungrateful. Your moralizing will not shame me for any reason and is inappropriate.
  3. I don’t think issues about historiography revolve around you or your school alone. Consider Universal History and it’s implications and then have a second look at the upshot and rationale of the FSMTB’s MPA for starters. Again, they are codifying what in my opinion is a DISCOURSE in order to provide structure to the profession. As a trained historian, your on my home turf now and as a historian, I wont put my academic credentials onto a publication that utilizes websites with these kinds of errors and when authors such as yourself are graciously available to answer questions and willing to do so. You came to the conversation late and assumed I was attacking you. I state that I lacked information in that post and needed to contact you for clarification and yet, you call a public rant like the post above some kind of defense against me slandering you.
  • I stated up front that I did not have access to the information I needed and based on my training, I am NOT WRONG to say that your wording is reflexive. In the email I sent you, I also point this out and offer to explain why I would not be comfortable merely citing your website and if you had any questions to respond and ask me and I would be happy to explain.
  • I don’t recognize ‘sacred cows’. And no, this is not an apology. It’s my opinion about the difference between objectivity and subjectivity and if the massage profession were truly invested in creating infrastructure to support growth, there would be more discussion about the role of history to begin with. And I think we all have enough common sense to know why this NEVER gets discussed in public amongst massage professionals
  • TEACHING NMT is your home turf. What I am doing, is writing an introductory overview of the subject which is intended to provide BASIC information which therapists can use to determine if they want to pursue a more IN DEPTH study. If you note what I said, I said I did not want to read into any personal or subjective implication in your word choice and need to contact you for clarification.
  • I am not writing a full scope NMT history as you imply. Again, I am providing an overview of key terms and concepts. While I am fully capable of explaining in my brief that your website utilizes reflexivity and that for this reason, the terminology used to distinguish your views as expressed on your website are not at all common or accepted across the entire profession, I shouldn’t HAVE to make that comment in a publication to make massage industry professionals who are considered “Revered” or even more questionable, “lineage teachers” or commonly, “sacred cows”.
  • You should have enough education under your belt to know what reflexivity is in the first place, why from a research writing standpoint it’s problematic and while I am fully capable of going AROUND the issue, again, I shouldn’t have too.
While this is NOT an apology I most certainly had no intention of slandering you. I am sorry if you had that impression. However, honestly, I really should NOT have to point out what I have to someone of your stature in the professional massage community, who is a published author with research credits under your belt. Period.

Ashley M Heidi Carter BS, LMT”

Despite whining to the contrary I do not see evidence of a Massage Therapy Industry. I see a community that likes certain terminology and labels and that wants the laurels that go along with those things but does not want to do the work.
The ‘professional’ HEALTH CARE Industry and NOT the Massage Industry, CAM INDUSTRY, Spa Industry or any other single discipline made a joint and unified effort over the past 15 years to introduce more use of evidence based practices involving research. As I pointed out to others who witnessed this hilarious whining diatribe about hair splitting between two professionals with different views of what academic and research literacy entail I had to remind at least one published author of a massage text book that is considered a classic, one author of noted research papers and news writer and more than a few writers of continuing education for massage therapists of a few details that amount to facts.
Sacred Cows Take Note:
  • Regardless of when the original push for greater research uptake and applied EVP began, CULTURE happens in waves – not history. Therefore, the CULTURAL return on the investment in human capital made by these efforts will also return in waves in it’s own time. Not every wave is a damn paradigm shift but that WAS PART the upshot people oh Utopian idealist engineers of fascist infrastructure………..
  • When the younger generation like myself, who are under 40 and who happen to be degree holders need to point out the obvious, be zen like before showing your asses and illustrating the reasons why massage has the stereotype of being a field of primadonnas when you reply.
  • And while your at it note, it’s A DAMN DISAPPOINTMENT to those of us who actually had some Utopian ideals when we entered this profession to find that the sacred cows are not as educated and organized as the Library of Alexandria, there is disagreement and identity politics rife in the vaunted halls of academy and when we get a bit grumpy about the equivalent of peeling paint, of crumbling dry wall and infestations of intellectual termites in the public facade that passes for “Massage Industry Infrastructure” – don’t get cocky. Get off your high horses and remember pluralism is fragile.
  • None of you know me, my background or why I might have a reason to be cocky or humble. Anyone who has met me in person knows I am cocky online and cautious in person. I am also damn honest, and fair. Don’t expect a free ride people. Period.
  • This is not the commentary I originally planned on but since you all set the stage why should I not tip my hat to the crowd ladies and gentlemen? I leave those of you with the intelligence to recognize your unique positions with this thought and these two videos below. “We don’t need to control him. We need to unleash him.” – Troy

Silence….and Unjustified abuse of the Idea of Health and Patient Centered Care

It is my understanding that part of what ObamaCare is intended to accomplish DUE TO THE FACT that PRIVATE INDUSTRY has not already done so or created some alternative, is to create a national database of health information.

At the moment, no such system exists. I will accept the need and value of this RUMOR when I see evidence that Health Care and Health Care Administration HAS DONE IT”S JOB.

And NOT before.

Since when is the X-Files a model for Health Care Administration?

Chakra of the Week: Sahasrara



Sahasrara: The Great Sound

The Sahasrara Chakra symbolizes detachment from illusion. This Chakra is the heart of metaphysics and in Hindu religion and philosophy, it is said to be the doorway to higher realms of consciousness. Again, this information is for reference purposes only and is not intended as spiritual or religious instruction.


Suggested Aromatherapy

  • Neroli
  • Frankincense
  • Jasmine
  • Rose
  • Ylang Ylang


  • 4 drops Frankincense
  • 5 drops Neroli
  • 4 drops Lavender


Combine oils. This recipe can be worn as a personal essence or body oil prior to meditation. Re-apply as desired.


  • 1 drop lavender essential oil
  • 1 drop patchouli essential oil
  • 5 drops Frankincense oil
  • 1 ounce carrier oil


Combine essential oils. Apply a few drops to the tips of fingers, and massage into temples for an aroma-enhanced meditation. For maximum benefits, apply one drop under the nose, too.