The First and Last Day of School

“It is not true that people stop pursuing dreams because they grow old.  They grow old because they stop pursuing dreams.” Gabriel Garcia Marquez “It is not true that people stop pursuing dreams because they grow old. They stop pursing dreams when they are crushed by relentless anxiety… Gabriel Garcia Marquez … Read More

“I Am Not Angry”

A few years ago, I evaluated a retired businessman for pain down the front of his right leg. It had begun about eight months earlier. The pain was moderate but frustrating. He had not experienced prior back problems and was not used to dealing with pain.  It was unclear what … Read More

Pain = Anger = Abuse

I was raised in a chaotic household. My mother was physically and emotionally abusive. It was confusing for me to feel like I had a mother who would do anything for her family and then, within seconds, watch her unpredictably fly into a rage lasting several days. From a young child’s … Read More

Problems are Opportunities

I was in clinic today and a new patient cancelled.  I had the chance to spend some extra time with Lisa, a patient that I am just beginning to get to know. We had a long discussion about the DOCC Project.  Although she was initially resistant to the DOCC Project, … Read More

A Bunch of Balloons

Much, if not most, of what the DOC project presents about creating a central nervous shift is 180 degrees different than how most of us are taught to deal with our conscious mind. One of the most important paradoxes to understand is that you cannot fix your nervous system because … Read More

Examiners from the Worker’s Perspective

From my perspective, life in the worker’s comp system for my patients has never been more difficult.  The improvement in overall numbers belies the daily struggles of my patients who are admittedly an unusual group.  Many of them have been referred to me after “failed surgery” or have been in … Read More

Arm the Worker

posted in: Arm the Worker | 0

Fixing the problems with the worker’s comp system is critical.  However, the system is unwieldy and we are not going to change it anytime soon.  We know extremely well what needs to happen to enable a worker to move smoothly through the system.  One of my physiatrist colleagues felt so … Read More

“I Understand Your Anger. Get Over It.”

I was relaxing this weekend and cleaning up stacks of papers that have been piling up over the last six months.  I ran across this letter a patient had shared with me from her prior surgeon. She had undergone a major low back surgery and came to me with unrelenting … Read More

It Really is Upside Down

I have a patient who is a muscular 43 y/o welder. He injured his back on the job about four years ago.  After undergoing a laminectomy for low back pain, his pain actually increased.  When I first saw him a couple of years ago, his complaint was unrelenting low back … Read More

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