Snow Arriving

To all those excited to be coming to Les Gets/Morzine for Christmas or New Year, the snow is here….. and I here with you too!

You can book your passes directly online now if you have a handsfree card with photto I think at;
http://www.skipass-lesgets.com/catalog/

Remember take it easy in the powder, don’t want to be seeing me on the first day!

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Massage in France

Hello, to all those following my blog last season, sorry for not replying in Summer, too busy with work.

With this season soon to be upon us, I feel the need to once again to make clear the legislation for physios to work in France.  In fact you cannot work in France as a physio or massage person without; Registration with the Minister de Santé, within the Department in which you will work, French insurances and now a Member of the Ordre of Masseur et Kinésithérapeuts. 

I know and understand you are all saying, but its just massage!  The difference in France is that the “metier” profession of massage in France has been historically by physios “kinés”, that has not changed, but over the years France has seen a growth in beauty treatments, who have overlapped their  treatments into relaxing massages etc.  Unfortunately all those who claim massage are not technically legal (although the beauticians here have a diploma/insurance also). 

The fairly new Ordre of Masseurs et Kinésitherapeuts, aquivilant to the CSP are now investigating these practices throughout France and starting to formulate litigations to protect massage for the physios.  They have already been in touch with all the legal physios here to make sure we report all those illegally providing massage!

Most of you should know that even a massage could provoke other aches and pains for patients ranging from headaches, neck pain to sciatic symptoms, therefore, I don’t think we should say just a massage.

A final note to those employing illegal physios: are we legal physios no good?  Why do you find the need to employ others, I know of many physios who would be glad of either extra work in winter or like myself provide a Domicilliary service to Chalets/Apartments  or are trying to make ends meet with Cabinets within resorts, why not give us the work.  Perhaps you are too quick not to check within the legally registred systems which already exist.

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Note to Clients looking for Physio when on holiday in France

Any people reading this who may find yourself in need of a physio or masseur/eus this winter. Please for the French Registration No. of the person, if they do not have this number, they are not legally working in France and therefore, not insured to treat you (even if a fully quallified physio in Britain). Therefore, if you find you have more neck pain after a massage you have no comeback, its at your own risk.

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Companies employing physios in France

To follow on from my last post. All those British companies who are employing British physios or masseurs/eus. Remember the regulations in France are that those people should be fully registered with the Minister de Santé, with an Authorisation de Exercise, then they must be registered within their Department of choice e.g. haute savoie in Annecy, then they must have a minimum of two french insurances, one to cover the client, one to cover the physio (if they do something to be sued for). After all that you could employ the physio. It makes no difference if just massage, a British tax registered company etc etc. Of course I am always available at the above Tel. No.

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Physios wanting to work this winter in France

With the snow slowly arriving in Les Gets, just a not to all those physios, either who have jobs with British companies, working in France or who are intending to work on their own this winter. Remember, you will be working illegally, you are not covered by your CSP insurance to work in Europe(unless you are fullly registered in the country, then they will cover you for the firs 6 wks work, until you get your French etc insurances! Working through British companies as an employee is ok for other types of jobs, however, the health profession is subject to other regulations (in order to protect clients), both in France and Britain, imagine the paperwork to work in Britain.

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Wee Tip – End of Season

Finally, the pistes are closed in Les Gets and Morzine, if you are still keen, Avoriaz is open another week.

Thanks to all the clients this year, hope I have been of help and to those reading my blogs, sorry if I moan sometimes, its easier on the blog.

Hope to see some of you back in Les Gets for the summer, people often think it is cold here in summer, but it is regularly 36 degrees and we have an olympic swimming pool in Morzine, the lakes at Les Gets and Montriond if you prefer a bit colder.

This year Les Gets and Morzine are doing a special pass for people using the lakes and lifts and many other animations, for only one euro per person per day!

Of course there is the VTT and downhill bike rides open as ever, the passes are more expensive for you guys though, sorry.  Remember you can get all your bike parts fixed, fox clothes  and lots lots more at Nevada Sport, and if you are unfortunate enough to twange your collar bones etc, please give me a call. 

Until then keep up the sport and prepare for the next time.

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Wee Tip – Mobile Phones

Just remember, when you are skiing, don’t put your mobile phone in your pockets located over your ribs, I can’t tell you how many cracked rib people I have seen over the years as they fell forwards onto their phones!  Or any bulky wallets, camera’s etc I guess as all can injure you on impact, best to either put in a bag (don’t get it caught on the chairlift though when you sit down…., that’s another funny story for another day), or put in the lower pockets of your jacket/fleece.

Still loads of snow here in Les Gets and the Porte du Soleil, so if you see any bargain flights don’t hesitate to come.

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Wee Tip – Broken or Cracked Bones

Following on from my wee tip on making sure you have holiday insurance, I recently heard it is over 1000€ for a helicopter, so think about that when you are economising.

Having been woring for nearly 5 years here in a “station de ski” and after having spent nearly 13 years specialising in sports injuries, one gets a certain feel and degree of experience in diagnosing things.

Some important information for you though, I wish I had a pound (or euro) for everytime I hear someone saying, “its not broken though”! I was the same when I broke my leg, hearing the crack and everything, I wasn’t sure either if it was broken, as the pain wasn’t that bad (turned out to be tibia, fibula and ankle!) 

My point, often things are cracked, here I see alot of cracked ribs as people fall on their poles, cracked biceps tubercle’s (coracoid tuberle), these often get injured when people fall on their shoulders and many more.

I don’t claim to replace Doctor’s or x rays in any way, I usually advise after checking, if I think a possible crack or fissure, to get an x ray. However, if you are not sure, it is alot quicker and cheaper if you give me a call, at least to check.  Of course if you feel a definate crack of course straight to the Doctor’s. A last note on X rays, in fact there needs to be over 30% change in density of a bone i.e. a good crack, before you will see it on an X ray, imagine the tiny bones in finger and toes!!

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Wee Tip – Know your rights

Recently, I have heard as happens every year, there are a number of people claiming to be physios, working in the area providing massages and more scarily physio treatments. 

Some facts for your to know, firstly, you should always, as I have previously explained in my pages on the legal bits, ask if your physio is registered within the French system, when you are about to book a session, if so they will have a “feuille de soins”, receipt, with an official number, their name, address etc, similar to the Doctor’s ones.  This is firstly, to know that your physio has a certain standard of physiotherapy skills and not only a masseur(eus), beutician etc. I have picked up patients for physio after having deep massages, where they suffer neck and shoulder problems later! 

Secondly, it is extremely important when putting in a claim for your fees which can be over  100’s€ if you need a few sessions, as most Insurance companies are asking for the official paperwork, i.e. the registered number, before they will pay up.  You are of course paying for your insurance, so why not be able to claim the sometimes weightly fees back after an injury,  I recently had a couple who’s insurance company would also cover the cost of sports massage for them whilst on holiday, but only with the registration number.  I hope for more of these checks, being fully registred and having to pay all the charges throughout the year here in order to live and work in such a lovely area, it is a bit gauling to see others pocketting their gains and going.

Thirdly, is for the insurance, some people are claiming they are either Chartered Physios in Britain, or are insured masseurs in France.  Unfortunately, neither of these types of people are legally working as masseurs in France, therefore, any insurance bought by them would be nul if tried to claim.  As I previously explained in my page, legal bits, one must  be fully registered within the French system of health care as a Kinésitherapeut (Physio), before being allowed to do either physio or massage, legally,  in France.

Finally, a note to those of you who may be running Chalets/businesses/living in France, take care if you are advising your clients to use someone not registered in France, for massage or physio, as if your client tries to sue the physio/masseur, which unfortunately is something of a growth industry throughout the world, they will not, presumably be able to get any justice with the physio and you know the next door they will knock at, yours!

Finally, finally, spare a thought to those of us who are working hard all year to make ends meet, the winter for us is the time where tourists are here and we can work harder to gain  a living, so why should outsiders be allowed to take the profits from this area away and are contributing nothing to the area/system here? Support the local people please as if they go the whole area suffers.

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Wee Tip – Holiday Insurance

Again more snow in Les Gets, more than some of the higher resorts now, (guess that will be global warming too).

It never fails to amaze me how, every year I visit clients who have not taken out any holiday insurance when coming on a ski holiday!  Its not always young skint students who don’t want to fork out another £40 for insurance, but people from all walks of life.

Just to fill you in on some of the facts here.  If you hurt yourself (or someone else hurts you!), on the piste, if drastic you may need the helicopter to take you down to the bottom of the piste and an ambulance to a hospital some distance, that you have to pay right away and well over 500 euros, most Insurance companies will reimburse all, but you need to pay at the time, whilst lying there in agony.

If, hopefully, you have just a small injury, but unable to walk/ski down, you will have to pay directly the skidoo guy/doctor, usually around 100€, right away and make  sure you get a receipt for your insurance.

If, you are able to get down to the bottom of the piste, but need an ambulance to get to the Doctor’s surgery, I heard recently it cost 480€, to go what would be a 15min drive!!

At the Doctor’s you may need an X ray to determine if anything is broken,  medication, splints, crutches etc, there will be little change out of 200€ for all that.

I understand that many credit card companies offer annual holiday insurance as part of their credit cards and often this covers up to 17 days skiing.  I am sure for one week skiing you can find cheap insurance on the internet now.

So really think before you decide not to take insurance, even if it cost 100€, that would be hardly the price of a knee brace on a ski holiday!

Another option is to buy insurance when you get your ski pass, the Carte Neige, I think per day it works out at around 5€ extra and it covers the helicopter and all.

P.S. for those of you who think your E111 will cover everything, think again, the E111 is for emergency treatment, hospital, operations etc, it will not cover, helicopter’s, ambulance and Dr bills and definately not Physio, sorry.

P.P.S When skiing, remember to take your credit card, E111 and insurance card/info, you never know and remember nice underwear, I was glad I had be decent things on when I broke my let in 2004.

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