Carol is one of my favorite patients and success stories. It is one that surprised both of us. Her turnaround occurred a while back but I wanted to make sure she was stable and ready to relate her experience. Background She is a middle-aged mother. She historically had been very … Read More
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
Few physicians have sufficient training in the nuances of occupational medicine, yet all of us have the capacity to completely remove a patient from the work force. It has been my observation that when a person is sitting at home, his or her pain usually worsens. Without the distractions of … Read More
Threat (perceived or real danger) creates a neurochemical inflammatory reaction (anxiety) And a need for control to escape the threat When you can’t solve the problem (trapped) Your body increases the stress response in an effort to regain control Now you are angry Anger = turbocharged anxiety Both are unconscious, … Read More
A few weeks ago, I sent the roundtable a short article I put together called “Ability and Motivation.” These are the two key ingredients necessary to create true change. My point was that the current state of the worker’s comp system destroys both of these attributes. The only logical choice … Read More
I was raised in a chaotic household. My mother was physically and emotionally abusive. It was confusing for me to feel like I had a mother who would do anything for her family and then, within seconds, watch her unpredictably fly into a rage lasting several days. From a young child’s … Read More
Debbie was a 45 y/o woman who I had been working with for about four years. She was diagnosed with a severe bipolar disorder at age twelve. Unsuccessful Surgeries About 10 years ago, she had a lifting injury at work and developed chronic low back pain. Over a series of … Read More
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
Anxiety is the feeling generated by your body in response to a threat. When a situation causes a feeling of anxiety, we exert some type of control to diminish it. When you lose or don’t have enough control, your body secretes more stress hormones in an effort too regain it. … Read More
Playing the victim role is a universal part of the human experience. The word ‘victim’ does not sound very pleasing. However, it may be the one most important words affecting the quality of your life. This is particularly true in the context of chronic pain. All of us are limited … Read More