I don’t think you’re going crazy, it is a very odd setup. The question is: who does the extras? Gingernuts is right, there aren’t enough reviews on the place to figure out who does extras, who doesn’t, how much they cost etc
Judging from previous posts about the place, “Amy” is the name of the post op lady, and she was only there short term, and now she’s back, so it seems like she’s one of the touring types. No idea. I’ll keep my eye out for further reviews. As it stands, I haven’t been back since last time I had a mediocre massage here.