Objectives When your nervous system is inflamed and hyper-reactive, lesser levels of stress cause your body to go into flight or fight. In contrast, you are able to more easily deal with challenges if you feel safe and calm. Four categories of factors influence your baseline physiological state of safety … Read More
About three years ago, my staff noticed that our surgical patients who participated in The DOC Journey principles were doing much better. The outcomes were more consistent, and we were seeing fewer failures. The postoperative pain was more easily controlled. Patients were moving forward quickly with rehab while re-entering a … Read More
Essentially every person that has experienced deep healing has learned to process anger and nurture joy. It is much more than an intellectual exercise and deeper than “acceptance.” You don’t have to like the person or situation that harmed you. You must “let go” and move on. Anxiety is the … Read More
Lesson Objectives There is deep basic science research that has revealed the nature of chronic pain and this understanding will allow you to discover your version of a solution. The essence of the problem is sustained exposure to threat and the core of the solution lies in finding safety. Create … Read More
I have felt that it is important to pick out heroes to emulate. One person that I have greatly admired is an orthopedic surgeon, Paul Brand. He is the co-author of his autobiography, Pain, the Gift that Nobody Wants. (1) I knew him personally and he was as gracious a … Read More
The DOC process evolved from my own, mostly futile, attempts to both figure out how I fell off a cliff into the Abyss of pain within a matter of 10 minutes and then how to get back out. I tried everything, talked to anyone, had medical workups, and eventually gave … Read More
This story is from a woman, who I met at our first Omega workshop in 2013. I was holding the workshop with Dr. Fred Luskin, who is a Stanford psychologist and author of Forgive for Good and also my wife, Babs Yohai, who is a professional dancer and taught rhythm to the … Read More
Objectives: Adequate sleep is a necessary requirement for healing. Insomnia is a cause of chronic pain, and it is not the other way around. It is almost always possible to experience a consistently good night’s sleep using a combination of approaches. Do not undergo any major invasive interventions until you … Read More
Fixing the problems with the worker’s comp system is critical. However, the system is unwieldy and we are not going to change it anytime soon. We know extremely well what needs to happen to enable a worker to move smoothly through the system. One of my physiatrist colleagues felt so … Read More
Understanding the importance of sleep and its effect on the perception of pain was my initial insight into the neurological nature of chronic pain. Incorporating adequate sleep into my treatment of pain was my first step in the evolution of the DOC Project. I felt I had a whole new … Read More