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

The Myth of Self-Esteem

Self-esteem is one of the worst concepts ever propagated. The notion implies that if I had enough of “X,” then I would have less anxiety, less frustration, and more happiness. “X” can be a material thing, an experience, a relationship–almost anything. Self-esteem must die Self-esteem is a subtle attempt at … Read More

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