I Took a Walk with Bella Today – A consideration of what we can learn from other species.

posted in: Recent, Stage 4, Stage 4: Step 4

This article was written by my close friend, DR Clawson. He is a physician specializing in physical medicine and rehabilitation, with whom I have collaborated for over 30 years. He is an exceptionally thorough and thoughtful colleague and has been a fantastic resource for my patients. We began working together … Read More

Stories of Hope

posted in: Recent

Hope is healing An important aspect of healing is regaining hope and optimism. When you are trapped without any hint of a solution, the darkness you feel is impossible to put it into words. It is inevitable that you will begin to despair and remain justifiably angry. In turn, you … Read More

Anger, Tall Poppy Syndrome, and Schadenfreude (The Luigi Mangione Story)

posted in: Recent, Stage 2, Stage 2: Step 2

Dr. Doug Garland writes this post with some contributions by me. He is an orthopedic surgeon who was one of my mentors during my second year of orthopedic residency. Although I trained in Honolulu, HI, one of my rotations was at Rancho Las Amigos in Downey, Southern California. It is … Read More

CEO Shooting vs. A Healing Journey

There was a front-page story in the NY Times about the shooting of the CEO of United Healthcare. The suspect came from privilege and had a bright future. Unfortunately, he suffered from chronic LBP and did not improve with a surgical fusion of his lower back for a purported spondylolisthesis. … Read More

The Tragic Decline of Luigi Mangione: Pain, Isolation, and the Human Survival Response

posted in: Recent, Stage 2, Stage 2: Step 1

Luigi Mangione’s transformation from a promising academic star to an alleged murderer encapsulates the interplay of evolutionary instincts, physical struggles, and societal pressures. His story is cautionary, revealing the deeper mechanisms of stress and anger rooted in human survival instincts and their misalignment with modern life. The Evolutionary Roots of … Read More

The Pain of Social Isolation

Many people suffering from chronic pain are socially isolated. When you are trapped in pain you have a difficult time reaching out. Others do not necessarily want to interact with angry people. The problem becomes greatly magnified in that it has been shown that social rejection shares the same neurological … Read More

“I Wish You Well” – Not as Altruistic as it Sounds

posted in: Recent, Stage 4, Stage 4: Step 4

We do not see things as they are; we see them as we are. Anaïs Nin A fundamental concept in neuroscience and human consciousness is that our judgments and views of the world often reflect our internal state. When we judge others harshly, we are frequently projecting aspects of ourselves … Read More

 Quit Fighting Darkness and Turn on the Light

Objectives We are trained that if we can solve enough of our problems, we’ll have an “enjoyable life.” Life’s challenges never stop, and we may slowly sink into darkness, “The Abyss.” We become desperate trying to escape; especially from our RUT’s (Repetitive Unpleasant Thoughts) The most effective way to dispel … Read More

Stay Out of the Surgical Scrap Heap

posted in: Recent, Stage 5, Stage 5: Step 5

Objectives: Although there is no question about the dedication of physicians to providing excellent care, the rigors of training, the demands of practice, and the business of medicine have made it increasingly difficult to treat you – a person. A major factor is doctors are not allowed the time it … Read More

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