Sanctuary Massage & Bodywork

These are extraordinarily difficult times. I’m balancing my need to make a living with the needs of the community during an ongoing pandemic of a highly contagious, airborne virus, surrounded by nonexistent county and state leadership and selfish idiots who emphasize freedom without responsibility.

With continued extreme caution, I’m seeing fully vaccinated/boosted clients, with proof, whose behavior is equally careful to my own. We are fully masked at all times inside my office (I’m actually double masking).

I have a little room for a few more appointments per week with people who enthusiastically meet the above criteria.

If you’re feeling the physical and emotional trauma of this ongoing situation, willing to prove vaccination status and wear a mask, and feel bodywork could help you move forward, please reach out privately, either by sending me a PM here on Facebook or by calling or texting me at 865-406-4259. You can also check out my website: www.TinaMcMillan.com, and reach out via the Contact Me function.

May we all be healed.

Knoxville TN Massage Therapy | Tina McMillan Tina McMillan provides world-class massage therapy in Knoxville TN.

March 1, 2021

Dearest Clients:

MORE FORWARD MOVEMENT!

I got the first of my two Covid vaccinations on February 19. By April 2, I'll be considered fully vaccinated (the CDC recommends allowing two weeks past the second shot for full potency of the vaccine).

Many hurdles still exist. First, being vaccinated against Covid doesn't guarantee disease prevention; rather, it specifically helps us avoid hospitalization and death. It also appears likely that vaccinated people can still harbor and transmit the virus to the unvaccinated. And of course variants are popping up. For all these reasons, most or all of my protocols will still be in place when I reopen; however, I continue to reevaluate, following the science, and will publish those protocols before official reopening.

One thing I won't waver on, however, is requiring clients to be fully vaccinated before reentering my practice. We don't know what the future will look like--whether Covid vaccination will be an annual event, similar to a flu shot; or how future treatments and vaccine improvements will further mitigate the effects of this virus--but vaccination is THE start of a return to some kind of normal.

Because the thing is, there's more to our lives than this massage appointment. We want to visit with family and friends, spend time in a movie theater, attend a concert. But every little decision we make, every time we interact with other people, is an opportunity for this virus to propagate and spread itself, possibly resulting in death and lifelong disabilities of unvaccinated people we know and love. Each of us owes it to the rest of us to keep that from happening, any way we can.

So if I allow unvaccinated people to spend time in my office, that's an opportunity for this virus to be passed to someone, even by me. I'm 18 days away from having spent an entire year away from my primary income and career. I'm ready to move forward. But I will not allow my office to become a vector for illness, disability and grief. This is my line drawn in the sand.

As I said two weeks ago, I'm aiming for reopening around May 15. I'm hoping that will give at least a decent number of you the chance to be fully vaccinated. I always intended to reopen in stages, starting with just a few appointments a week; but since vaccinations are dramatically ramping up, I hope I'll be seeing everyone who wants to return within the first six weeks.

I encourage all of you to visit both the Knox County Health Department's and the state of Tennessee's Covid vaccination websites and get your name on their waiting lists. The Biden administration's goal is three million vaccinations a day, and we're rapidly closing in on that goal.

Right after I got my first shot, I was invited to write an essay on what the idea of the vaccine means to me. My feeling is represented by one word: freedom. I feel more free--from a thousand points of anxiety and existential dread, and from the very real fear of stupid people who willfully ignore science, putting all of us at risk--than I've felt since first hearing the words "novel coronavirus" on NPR in January, 2020. If it weren't close to spring, it would feel like that anyway, like the world is bursting forth with possibilities. It's been a long, difficult, horrific year full of painful surprises, grim milestones and radical shifts in reality. I have lost people I know and love. And we don't know where we're headed. All I know is, I see a light at the end of this tunnel for the first time. I don't know how far away it is. But I see light.

Love,
Tina

February 18, 2021

Dearest Clients:

It keeps snowing, and it's cold.

But the snow isn't sticking; the cold doesn't have the brutal sting of, say, early January; and just about every minute of every day, I can hear the birds talking in the trees.

Spring is coming, y'all.

And this morning, out of the blue, I got an appointment for my first COVID vaccine dose. For TOMORROW.

So three or four weeks from tomorrow, depending on whether my particular shot is from Pfizer or Moderna, I'll get my second dose. Two weeks after that, I'll be considered fully vaccinated.

Just yesterday, the New York Times morning newsletter was full of vaccine news, including the fact that President Biden has successfully implemented ramped-up production orders that have resulted in a full three million doses being manufactured daily. Last week, the Knox County Health Department officially unveiled its new portal in which we can register, be placed on a waiting list, and be tapped for vaccination appointments in order of registration. And now the state of Tennessee even has a registry.

Things are MOVING, people.

So I'm pleased to announce that I have a TENTATIVE reopening date: May 15.

This date coincides with the reopening of my partner's business (a boarding kennel). Between the two of us, we're racing to get work done on our respective businesses (a building and a rented office, respectively), plus our home and property, before returning to regular busy-ness. We're hoping this gives both of us, plus all of you and a majority of the kennel's clients, a chance to get vaccinated.

A couple of months ago, I re-published the prospective new safety procedures that I'd be putting in place once I reopen. If you're reading this blog as a Facebook post, you can find all my pandemic blogs at my website, www.tinamcmillan.com (follow the prompts on the home screen). As we approach reopening, please re-familiarize yourselves with the procedures so you have an idea of what to expect when my doors actually reopen. But rest assured I'll also send you a printed copy via snail mail when the reopening date is close. There will also be a new healthcare intake form that you'll need to download from my website and fill out before returning the first time.

I've been closed for almost exactly 11 months. It's been a surreal, painful experience, but also sometimes liberating. A lot of people are saying we'll "never be the same," but I'm not so sure that that's a bad thing. I'll never again take for granted the simple act of walking into a public space. I'll never forget the amazing ingenuity, kindness and compassion of homemade mask-makers, drive-by birthday parties, neighbors singing to each other safely from distanced balconies, and compliant restaurants pivoting to "take-out only," serving with a smile underneath that mask.

I don't mean to make light of our losses. This has been an unspeakable, avoidable tragedy. I have lost people I love, and I'm sure you have, too. We can wish this hadn't happened, but wishing will not make that so. I think what we're asked to do in these situations is look for the good, learn what we can, mourn our losses and move forward as different, stronger people who have grown. Not so much "everything happens for a reason," but rather, "what are the reasons THIS happened, and how can I/we learn, grow, respond and do better?"

If you haven't yet registered with the Knox County Health Department's or the State of Tennessee's vaccine registration portals, here are the links: https://covid.knoxcountytn.gov/scheduling.html and https://vaccinate.tn.gov/.

Much love,

Tina

COVID-19 Vaccination Registration Thank you for your interest in receiving a COVID-19 vaccine at one of Tennessee's County Health Departments. Additional information regarding the vaccines can be found here. Tennesseans are encouraged to discuss with their doctor if the vaccine is right for them. If you have questions regarding the....

February 2, 2021

Dearest Clients:

Once again, I'm a day late.

But today is a monumental day for an update. It's Imbolc, marking the halfway point between the winter solstice in December (the longest night of the year) and the spring equinox in March (the day of equal light and dark). By the time we get here to Imbolc, light is gaining ground on its way to its height at the summer solstice in June (the longest day of the year).

But another great thing about Imbolc--known by its more pedestrian name, "Groundhog Day"--is the fact that by this time, despite chilly or even downright frigid temperatures and possibility of snow and ice, the plants know what's coming--the sun, warmth and growth--and are preparing to meet it. A wise teacher friend of mine years ago put it best--she re-framed "Groundhog Day" as "Grounding Day," and wove a beautiful story about how, on this day, the plants are beginning to awaken from their winter slumber and put forth tender new roots into the still-frozen soil, grounding themselves once again into not only the earth, but also the future.

Having heard that story numerous times, and thinking about it as I do every year on February 2, the bravery, audacity and faith exhibited in this story never cease to amaze me. It takes some chutzpah and a lot of trust to just believe the world will change, and so to confidently put a fragile, vulnerable new part of oneself out into it--especially into the still-frigid ground.

And so it is with we humans who are emerging not only from a literal dark, cold winter, but also from almost exactly a year of isolation, fear, pain and uncertainty that has dragged on as ceaselessly as a long, dark, sunless winter feels.

This past Sunday, my 87 year-old father-in-law received the first of his two COVID-19 vaccinations. Barely two weeks ago, a new president was inaugurated who's already ramping up manufacture and distribution of this vaccine; taking steps to re-stimulate and revitalize the economy, in part, by getting more money into the hands of individuals and businesses (including mine!); and ordering a mask mandate in all federal buildings and modes of public transportation. And within the last 24 hours, the Knox County Health Department has announced the impending opening of its new vaccination appointment portal, complete with a waiting list that will allow residents to register once, then be contacted, in the order in which they registered, as soon as a shot is available for them, instead of having to play "appointment lottery" every time they announce a 500-shot clinic.

We have a lot to celebrate, people.

The light is coming.

I invite you today to sit quietly for a few minutes. Feel your tender new roots, perhaps hesitating at first, but then confidently shooting into earth, grounding you to this place and time, reminding you of new growth, new opportunities and the promise of spring's rebirth and renewal.

Even if it's cold, the ground will open up gladly to receive your new roots, insulating, protecting and supporting their growth.

Better days are ahead, lovely people. Get your shot when it's offered to you. Continue to practice good hygiene and self-care. Dare to dream of tomorrow.

Love,

Tina

1/15/2021

Dearest Clients:
I have nothing new to report since my update of January 1, except that our government was almost overthrown last week, my mother-in-law died yesterday, and I still have no appointment for a vaccination.

Inauguration in five days. Hang in there, everyone.

January 2, 2021

Dearest Clients:

Happy New Year! I'm a day late with this update. Story of my life. ;)

Today, the Knox County Health Department distributed 500 vaccinations on a first-come, first-serve basis, the first of many such clinics. Healthcare workers have been receiving vaccinations for a couple of weeks now.

My early spring timetable for reopening may have been a tad optimistic. There is a possibility, however, that as licensed healthcare professionals in Tennessee, we massage therapists might qualify for early distribution of the vaccine. I'm also in the midst of choosing a new primary care provider; the practice I have my eye on has applied to become an official vaccine distribution center. So I'm still optimistic that my turn will come sooner rather than later.

Last week, my mother in law had a stroke. She had brain surgery to remove multiple blockages and blood clots on the day after Christmas. She was in ICU for several days.

In addition to the shock, concern and fear my family is feeling, our sudden, overwhelming entry into the healthcare system made it painfully clear how important it is to wear a mask, practice distancing, keep hands sanitized and limit contact with others. Fortunately, that ICU bed was available to my mother in law. It was one of the last ones.

In hospitals around the country, and especially here in Knoxville, this latest surge of the virus has meant that not only COVID patients, but also people having heart attacks and strokes, serious injuries from car accidents, and a host of other life-threatening circumstances that occur every minute of every day have faced critical care bed shortages. Staffs are stretched to the breaking point. Supplies are scarce.

In addition to limiting the numbers of people who actually contract the coronavirus, our compassionate, rational use of masks and other tools designed to slow or stop the spread of this virus means that people like my mother in law who face sudden and critical survival challenges are afforded every opportunity to survive. A bed and a staff are there to save their life.

Mask wearing is not a limit to your freedom. It is an act of love that you perform for all the people you come in contact with. In turn, their wearing of a mask is an act of love for you. (I'm pretty sure that "love one another" is not a new concept.)

We have every reason to be optimistic in this brand new year. Change isn't going to happen overnight. But you should know from working with me that lasting, meaningful change never does.

Be well!

New Office Entry and Appointment Procedures
As Of December 19, 2020

1) Understanding Terminology

Throughout this document, I have used the phrases "until the threat of this virus has completely passed" and "until the threat of COVID-19 is completely over." Our understanding of COVID-19 is ever-evolving. The meaning of those phrases will change as this situation unfolds, especially with the implementation of a vaccine, which began this week. Since I published the first version of this document in early June, some of the procedures have been refined, and new ones have been added; we can expect this to continue as we deal with and study this novel coronavirus and the people who are affected by it. The bottom-line definition of "until this is over" is this: until it is demonstrably 100% safe for two or more people to interact, maskless, in close contact in an enclosed environment for more than 15 minutes; or until the virus has been obliterated from existence--either of which will render massage therapy completely safe to practice without the presence of extreme personal protective equipment (PPE).

2) Vaccination

I will be vaccinated the minute it is available to me. Due to the easy transmission of this virus and Knox County's current stratospheric new number of cases, which I don't see slowing down until Tennessee has a permanent, unchallenged mask mandate, I require all clients to be vaccinated before returning to my practice.

If you refuse to be vaccinated, we'll have to end our relationship until either you change your mind or the threat of this virus has completely passed.

Currently the only contraindication to receiving this vaccine is severe food or vaccine ingredient allergy (which often requires one to carry an Epi-Pen). I am unaware of any current clients who have listed "severe allergies" as a health concern; therefore, I'm expecting all of you will be viable vaccine candidates. If your doctor feels you're not, please reach out to me so I can update your health evaluation. You will not be included in the first stage of returning clients, but it's possible that you can return at a later date. Please remember that as more and more people are vaccinated, and virus transmission is mitigated, healthcare professionals will have more and more data; vaccines will be improved; and the parameters of our behavior will change and expand. Again, this is an ever-evolving situation, and I promise I will do everything I can to include you in my practice as soon as it's safe to do so.

3) New Intake Form

All clients will be required to fill out a new intake form (soon to be published on my website for you to download), which I'll need in-hand at least 24 hours before I see you the first time. I suggest you download, print and fill it out, then either photograph or scan and then text or email to me. This new intake document will create an agreement between us of complete transparency and honesty about vaccination, symptoms, exposure, travel and sanitation procedures. I reserve the right to require a document similar to the first one for all subsequent appointments instead of just a phone interview (see below).

4) New General Appointment-Making Policies

I reserve the right to agree to work with a few new clients, carefully screened individuals who can provide proof of vaccination and comply willingly with safety procedures such as mask-wearing. These few new clients I might agree to see will be carefully vetted before setting foot in my office. My services will not be available to the public at large until the threat of this virus has completely passed.
If you refuse to sign my new intake form or follow all my guidelines, we'll have to end our relationship until the threat of this virus has completely passed.

I'll confirm each of your appointments a few hours before its start time to make sure you're not having any new symptoms (since signing your intake), and to assure you that I'm not; I'll also contact you a few days after each appointment, checking on how you're doing and new health developments. I cannot guarantee that either my business will continue to stay open, or that every client will be invited in or back, based on these pre- and post-appointment interviews.

As always, last-minute illness is an "emergency" and incurs no last-minute-cancellation fee--especially true during this pandemic. Notify me IMMEDIATELY if you have suddenly have a fever, chills, cough, shortness of breath or difficulty breathing, fatigue, headache, body aches, sudden loss of taste or smell, sore throat, congestion or runny nose, chest pain, confusion, GI symptoms (nausea, vomiting or diarrhea), or bluish lips or face. I will also be required to notify the Health Department.

I'm also hoping that the fact that everyone in my practice will be vaccinated will render several of the above points moot (that is, I'm hoping none of us will actually get sick, and my practice won't have to close again).

5) Session Length/Frequency

For now, session length will be limited to 30 minutes. As the situation evolves positively, we will increase that to one hour. I'll see a maximum of four clients a week (a maximum of two per day, two days a week) with 90-120 minutes between the end of the first appointment and the start of the second for sanitizing and airing out the room. Although most of my colleagues are doing telehealth from home, I'll be working only on weekends to ensure we're alone in the building. I'm keeping in close contact with my landlord to make sure that's still the case before I finalize a schedule. I may also exercise the option of seeing a select few at my home office.

6) Entering My Office

Only one person may enter my office at a time. If you have a driver or companion, that person will be required to stay in the car.

You'll need to arrive freshly showered, in clean (contact-free) clothes, having not stopped for errands or contact with anyone on your way to my office; if you have longer hair, please tie it back before entering. Remove all jewelry and store in your car (better yet, leave it at home).

Parking will be limited to my front driveway only; entrance to my office will be limited to my outside door. (Our lobby's furniture has been removed and its door is locked, so you won't be able to park in back, enter the building from there and access my room from the hallway.)

Remain in your car and call or text me to announce your arrival and to talk about session needs (what's bothering you, goals for today, etc.). Conversation will be extremely limited for the duration of your time inside the office.

I'll come out and take your temperature with a contactless thermometer; if it's below 100.0, you can exit your vehicle. If you want to see my temperature, I'm happy to take it in front of you.

Bring only your car key in with you (leave purses, wallets, phones, etc. in locked car, out of sight).

Remove your gloves (if wearing them) in your car or outside (I'll have a contactless trash can outside my door).

I'll dispense hand sanitizer into your hands; rub it in until it's dry.

I'll require a mask, correctly worn that entirely covers both your nose and mouth, for entry (I'll be wearing mine, too--a KN95). If you're not wearing your own, I'll hand you a new, in-package disposable one to put on before you enter.

My additional PPE will include gloves (if either of us has any scratched or broken skin where we'll make contact) and goggles. My clothes will likely be changed for each session.

7) Inside My Office

Reduce your need to use my restroom by limiting liquids before your visit and using your bathroom at home right before you drive to my office. If you need to use my restroom during your visit, you'll need to wear your mask and use hand sanitizer upon exiting and re-entering my room.

I'll provide contactless a lidded trash can inside the room.

I'll try to provide a plastic, sanitizable shield (still in extremely short supply) to cover the table warmer and mattress pad.

Per CDC guidelines for soiled linens, I'll keep them in a closed container outside; wear a mask and gloves when packaging and unpackaging them; handle them carefully (no shaking) to avoid dispersing the virus; and use bleach and hot water (which I already was doing) on all linens in my home laundry. Sanitized linens will be kept, per CDC guidelines, inside the chest of drawers in my office with the drawers securely closed at all times.

I'll run a free-standing HEPA air filtration system in my office, and our HVAC system itself also now has a HEPA filter for whole-building virus filtration.

8) On The Table

Both before and after your massage, in order to keep our exposures to door k***s and other people to a minimum, I'll be staying in the room with my eyes closed and my back to you, standing on the stairway leading up into the hallway, while you undress and get on the table, and then get off the table and re-dress. I'll stand that way until you say "Ready" both times.

Since in the beginning we'll just be working for 30 minutes, you may only want to undress partially, uncovering whatever area you want me to focus on.

It can be difficult to pull a shirt off and on over your head while wearing a mask (without touching the outside of the mask), so consider wearing a button-up shirt rather than a pull-over.

You'll have the choice of being either supine (face up) or prone (face down). It's more relaxing to stay in one uninterrupted position in a shorter session, so we'll work the entire 30 minutes that way.

If you choose "supine," you'll be wearing your mask for the entire session.

If you choose "prone," you can pull your mask down a little (but not off) after getting in position on the table, being careful to keep from touching it on the outside; and I'll use a combination of face cradle covers and pillowcases (which creates a "hanging bag" to catch droplets) to take the place of your mask. When we're finished, you'll need to pull your mask back up before you start rising from the table.

There will be no face, nose, mouth or hand work, and I'll keep from "leaning in" (my face near your face or body).

Although deep inhalation and exhalation are important during massage, we'll both have to exhale less forcefully, even masked.
9) Payment and Exit

If you already own a pre-paid package of 60-minute sessions, you can either use them for your 30-minute sessions (I can do the math to convert them), receiving your same discount; or you can save those packages for when we can go back to hour-long sessions, and just pay for individual sessions or a package of 30-minute sessions for now. No existing, currently unexpired packages or gift certificates will expire until at least two years after I officially reopen (my packages usually expire a year from purchase; the state of Tennessee requires that gift certificates have at least a two-year expiration date).

I'll require all future payments be made through Venmo, a contactless, fee-free, secure service via an app on your phone. It takes seconds to set up your free Venmo account; and you can use credit/debit cards or a checking account. All packages with discounts and any payments you made to me before the pandemic began will of course be honored; the only change will be payment method. I've noticed other spa-type businesses are charging extra fees due to masks, sanitizing, etc. I find this preposterous; my fees will remain the same.

Again, I'll be following up a few days after each appointment to inquire about your health, let you know about mine, and reschedule you if it's appropriate.

10) The Final Word

These procedures will be refined (and more may be added) as we move forward and gain experience. They will continue until the threat of COVID-19 is completely over.

December 19, 2020

Dearest Clients:

First, my apologies for not updating since early June. As this pandemic has dragged on and infection rates have soared, my ability to remain focused and optimistic have withered. Mental health professionals have shared a lot of information about how our central nervous systems behave when we feel threatened over an extended period of time. I've experienced many of the symptoms they've listed--mood swings, depression, inability to focus and sleep disturbances--and I bet you have, too.

As I write this, the Pfizer vaccine is rolling out, and Moderna's version just received FDA approval. Just yesterday, my PCP's office announced via email that they're actively creating a vaccination schedule and anticipating delivery of first doses. The President-Elect and his transition team are finalizing their ambitious, science- and compassion-based COVID plan that will be implemented in a few short weeks. We have every reason to be hopeful that a return to some semblance of normal life is on its way.

So it's with cautious, growing excitement that I inform you of my active reopening plan. I don't have a firm date yet, but based on what I've seen of the vaccine rollout so far, I'm hoping for early spring.

In my June 1 update, I published a list of reopening procedures, including mask requirements, temperature checks, shortened sessions, touchless payment and a host of others. I'm now adding "vaccination"--of me and you--to that list of requirements, which appears at the end of this blog.

Because this virus and its vaccine are so new, there are questions about the vaccine's duration; whether or not we can still shed/pass the virus to others after vaccination; etc. I am closely monitoring the data. Right now, it's looking like masks, air purifying and sanitization will continue to be crucial. But the existence and widespread distribution of this vaccine is a wonderful start toward virus mitigation!

Reopening will also be "staggered," meaning small groups of you will return at different stages. Because masks and other mitigation tools will still be in place even after we're vaccinated, I pledge to provide you with the safest possible post-vaccination massage experience by continuing to distance myself from others and curtailing my activities as I return to work; and I ask that you do the same as you prepare to re-enter my office. This is important not only to curb transmission rates, but also because it makes contact tracing (should, God forbid, one of us test positive) easier to perform. I'm not asking you to completely isolate at home or be extreme; just to continue to wear a mask in public, limit your time in public indoor spaces with others, practice good hygiene and distance yourself carefully, same as (hopefully) you're doing now. If you're unwilling to similarly curtail your activities to return to massage, you will not be among the first to be invited back. Reopening interviews will commence several weeks before my doors open.

Like you, I'm utterly sick of this pandemic and all its restrictions. I understand the concept of just wanting to "get back to normal." But consider these statistics: Tennessee is now #1 in the US for new cases of COVID. Earlier this week, Knox County hit a milestone of more than 700 new cases a day; 19 people died in a two-day period. We're exhausted, lonely and frustrated, missing family and friends. Christmas is in six days.

But in addition to questions about the vaccine, we also still don't know enough about the virus to predict who among the infected will die or face lifelong neurological, cardiac, pulmonary and vascular complications. Being prudent and careful is not "cowering in fear," as some have asserted. It's demonstrating both a healthy respect for science and compassion for others. It keeps our ICU beds available and our exhausted frontline healthcare workers from burning out or dying of the virus themselves. This has lasted far, FAR longer than I ever could have dreamed, but there IS an end point, and it's becoming clearer and sharper every day.

So I'm asking for your continued patience and understanding as I remain closed, and for your willingness to make my reopening successful by practicing caution equal to mine. Yes, we do need to "get back to life." But we don't need to sacrifice our lives or healthy, unburdened futures to do it.

One of the biggest spiritual challenges of my life is to remain faithful to what I know is right and true, based on my own knowledge and experience, in the presence of bullying, pressure and ridicule, all of which I have faced as a result of being closed so long (or at all). And of course it's been excruciatingly painful for me as a "helper" to stop providing pain relief in a time of terrible pain, especially while some LMTs went back to work.

So one of the lessons this pandemic has taught me is the true value of leadership by example, of trusting and following my own wisdom. This has been a significant test of those goals, and the stakes couldn't have been higher. This has been the embodiment of "Do no harm." The work we do in the future will be better for it.

Since early April, I've belonged to a science-based COVID information Facebook group for massage professionals. The following quote by one of its admins perfectly sums up what I'm trying to communicate to you:

"You are never letting anyone down by making an ethically-rooted decision based on the best evidence available. That's called INTEGRITY."

I have taken care of you the best way I knew how this year. I hope you'll rejoin my practice when I reopen. Meanwhile, breathe deeply, stretch, get some fresh air and sunshine, and know that better days are ahead.

Much love,

Tina McMillan, LMT

PS: I pledge to update you every two weeks from now on. Please visit my website or my business page on the first and 15th of every month, beginning in January, for up-to-this-minute information.

Please extend to me the courtesy of a notification if you no longer wish to receive information from my practice.