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I had a patient once—a fellow physician—who came to see me complaining of mid-back pain. When I examined him, I found I could reproduce his pain by pressing firmly on the spot he said was hurting him. He said pressing there also made the pain radiate around to his stomach, a phenomenon known as “referred pain” that meant his pain was almost certainly caused by a trigger point. I offered to inject it with a mixture of lidocaine and cortisone, a procedure that’s been shown in the medical literature to be helpful, but he declined, preferring instead to use over-the-counter pain relievers. Continue reading…
Several years ago, someone I know told me he was contemplating divorcing his wife. I wasn’t surprised. He’d been unhappy in the marriage for some time—and, in my opinion, with good reason: his wife was jealous to the point of being neurotic, often behaving in ways that were shockingly inappropriate, offensive, and stress-inducing.
In 1979, as I was about to enter seventh grade, my parents moved our family from one suburb of Chicago to another where we soon discovered anti-Semitism ran rampant. Changing schools for any boy of thirteen is traumatic enough, but finding myself persecuted verbally and physically for belonging to a particular religion made the transition so awful that by the end of the year my parents felt compelled to move our family back to the original suburb from which we’d come. 
