Pain, The Gift That Nobody Wants is a book written by an orthopedic hand surgeon, Paul Brand. Through his work in India with lepers he discovered that the reason why they had such severe hand, facial, and foot deformities was that the bacteria resided in sensory nerves and destroyed protective … Read More
My surgical decision-making dramatically changed over the last five years of my practice. In spite of watching so many successes of people healing from chronic pain without surgery, I still had a surgical mindset and was always looking for a surgical lesion that I could “fix”. In the first edition … Read More
The Swerve, by Steven Greenblatt is a historical account of a papal scribe’s discovery in the 1400’s of a poem, The Nature of Things. Lucretius had written it almost 1000 years earlier. He makes a case that it was the discovery of this poem that ushered the human race out of … Read More
Our medical and political system has failed. Employers have abused workers as long as there have been employers and workers. The intent of worker’s comp’s no-fault system was to both provide excellent medical care as well as improve worker safety. Although workplace safety has dramatically improved since the early 1900’s, … Read More
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
Almost every patient of mine who is in chronic pain is also experiencing much adversity in the rest of his or her life. Chronic pain rips through every aspect of your life and there is no apparent escape. The stories I hear each day are mind-boggling. They include abuse, murder, … Read More
Crystal is a woman from the southern part of Washington. When I first met her, she was over 70 years-old and lived on her own. She had severe spinal stenosis in her lumbar vertebrae at multiple levels. Stenosis is a condition where bone and ligaments grow around the spinal canal … Read More
It has become clear that if a given patient engages in the principles outlined in this book, he or she has a high chance of experiencing a dramatic decrease in pain and improved quality of life at some point in time. The richness of this new life often exceeds anything … Read More
Mental Health Every injured worker should have access to some level of mental health support. I work with a veteran pain psychologist who is wonderful. 90% of her practice is caring for my patients. If she feels it is necessary, she will refer a patient to one of several psychiatrists … Read More
Abraham Maslow Abraham Maslow (1908-1970) was a brilliant professor of psychology. He founded a branch of psychology known as “Humanistic Psychology,” which focuses more on psychological virtues or excellences rather than on psychological disorders. Maslow is best known for his conceptualization of “man’s hierarchy of needs.” This hierarchy is … Read More