Rob - as someone with 20 years experience as a massage therapist up until the interosseus membrane in my wrist tore away from its companion piece the ulna - which is why I need your gnome, JB I will tell you that massage therapists experience a great many confusing things in their dark little cells and spontaneous eruptions of giggling are low on the list of things that are likely to trouble us.    From Wordnik.com.  [Cheeseburger Gothic » Deadline milestone. The firing up of the Gaggia.] Reference