I am part of a documentary titled “Who is Luigi Mangione?” It will air this coming Monday evening, February 17th, at 8 pm ET on HBO Max. Many of you have heard about the shooting of Brian Thompson, the CEO of United Healthcare. The shooter was Luigi Mangione, a 26-year-old … Read More
A friend of mine asked me for an opinion a couple of years ago about his back. I was giving him advice as a friend, not as a surgeon. He was having some pain and numbness down the side of his leg. It was down the distribution of his 5th … Read More
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
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
When I began my surgical practice in 1986, I was convinced that spine surgery was a definitive solution for pain, and I aggressively offered many patients surgery. I eventually learned much better ways to solve pain; usually without surgery. I never dreamed that even surgical patients could have their pain … Read More
George was a 78 year-old businessman who acted and looked about half his age. He was pleasant and talked freely about his LBP and pain down the side of his left leg, which had been a problem for about six months. It was consistently more severe with standing and walking, … Read More
Objectives Chronic mental and physical pain are complex. Isolated interventions cannot and don’t work. Surgery is often considered a “definitive solution.” For chronic symptoms, it is not. It is simply one tool. Only two factors must be considered to make a decision regarding undergoing surgery – the anatomy and the … Read More
A person’s stress level has a marked effect on both your central and peripheral nervous systems. The central nervous system (CNS) consists of your brain and spinal cord. The peripheral nervous system (PNS) includes all other nervous system tissue—the nerves exiting your spinal cord, all sensory receptors, and sensory and … Read More
One middle-aged patient sought me out in Seattle from the East Coast for a second opinion regarding his neck. He had been disabled since 2001 with chronic pain over most of his body. He had at least 10 additional symptoms of burning, aching, stabbing, and tingling that would migrate throughout … Read More
Do You Really Need Spine Surgery? Take Control with Advice from a Surgeon considers all factors affecting your perception of pain and organizes them into a treatment grid that allows you to make a good decision regarding having spine surgery. Spine surgery is out of control. I am not against … Read More