Unhooking from the Train

Neurophysiological Disorder? The multiple manifestations of the Neurophysiologic Disorder (NPD) endlessly fascinates me. With engagement of the principles that treat it, the improvement in my patients’ quality of life is consistent and frequently dramatic. The foundation of success continues to be the writing exercises. I don’t know the reasons why it is … Read More

My Feet on Fire

I began my orthopedic surgery residency in 1981. I had an unusual path into this specialty in that I had completed two years of internal medicine residency in Spokane, WA prior to moving to Hawaii. Most orthopedic residents have had one or two years of general surgical training prior to … Read More

My Battle with NPD

The concept that stress can create physical symptoms has been around for centuries. In modern times we have become enamored with technology and have lost sight of the fact that multiple different physical symptoms will be caused by changes in the body’s chemistry because each organ system responds in its … Read More

Your Hand Stuck Over the Stove

I often encounter a perplexing situation: A patient experiencing severe chronic pain on my spine intake questionnaire rates him or herself as a zero on a 10-point scale with regards to anxiety, depression, and anger. They may have even undergone multiple failed spine surgeries. Yet upon further, almost intrusive, questioning … Read More

Freed by a Pen

I was running an hour late in clinic and was trying to get through my last patient before my already abbreviated lunch. A young Spanish-speaking woman from Puerto Rico was lying on the table moaning. Her husband, who was sitting motionless across the room, could speak limited English, and there … Read More

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