Worsening Prognosis with Time Off of Work

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It is well documented in several studies that the chance of ever returning to work dramatically decreases the longer a person is off from work.  Dr. Gordon Waddell showed in the 1980’s that if a worker is off from work for a year, the chance of ever returning to work is … Read More

Two Kinds of Anger

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There are two pathways that put you into the role of a victim. “Perceived wrong” Truly victimized With the first pathway, an event occurs in which you perceive that you have been wronged.  However, it is a perception that is based on your “story” of how the events “invaded your … Read More

Anger Affecting Nerve Pain

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This story about how anger can affect the perception of pain involves one of my patients who had a complication from a revision spine fusion. Mike was a 52 year-old respiratory therapist who was very active–the man ran marathons. Years after an initial spine fusion at L5-S1 at age 30, … Read More

Breaking Stress into Its Parts

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I would like to define some terms.  Stress is a vague term.  I think that one of the most important principles that I have learned is the stress is not the problem.  It is your reaction to it that causes unpleasantness and an energy drain.  I am going to define … Read More

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