Farts. No Pahpose anywhere in rife itser’f. When you drop fart you do not say, ‘At nine o’crock I drop fart.’ It just happen.


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The importance of living without purpose.

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Bodies become limited by illness, old age.

Ahhh, sweet non attachment. What can we do? Feel the joy not the suffering. Change perspective. It’s natural. 

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Closing decades of medical practice, saying goodbye to so many amazing patients who have populated my life becoming friends, letting go of old furniture that became friends, like movies on a screen. Not real. Only that which is Infinite is Real. 

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From Alan Watts Autobiography:

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The importance of living without purpose, page 166, quoting a Buddhist master:

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“He came to a passage where the sutra spoke of the importance of living without purpose, and true to his accent, commented: In Buddhism pahposessness is fundamental’. No Pahpose anywhere in rife itser’f. When you drop fart you do not say, ‘At nine o’crock I drop fart.’ It just happen.”

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By this time page 190, he has taught that we don’t have to struggle to be conscious this moment of the infinite self, conscious of nothing external. Just be this infinite now, we don’t have to work at it…..and by extension I don’t have to repeat “Who am I?” or say “I am.” I can if it helps, but I can leave off and BE.

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I can just BE. Effortlessly. In silence. No thoughts. Like nature, beautifully expressed. 

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Of himself he

“remembers all too much foolishness. Yet how can I forgive anyone else if I don’t forgive myself? And how can I believe that now, as I have become and matured, I am no longer a fool? If “judge not that you be not judged” means anything, it means that we must look at human affairs, including our own, as we look at nature.”

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In the scene of spring there is nothing inferior,
nothing superior;
Flowering branches grow naturally, some short, some long.

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[author unnamed]

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“Our deeds, our feelings, our thoughts, and our sensations just happen of themselves, as the rain falls and the water flows along the valley. I am neither a passive and helpless witness to whom they happen, nor an active doer and thinker who causes and controls them.  “I” is simply the idea of myself, a thought among thoughts. Taken seriously it gives the illusion of being something apart from nature, a subject reviewing objects. But if the subject is an illusion, the objects are no longer mere objects. Inside the skull and the skin as well as outside, there is simply the stream flowing along of itself. [emphasis mine] The bones flow too, and their inner texture has the same patterns as moving liquid. In nature there  are neither masters nor slaves.”

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‘In Buddhism

pahposessness is fundamental’

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purpose-lessness

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

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Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please IGNORE THE ADS BELOW. They are not from me.

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Reality. All are aiming at one center, there is only this present


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Alan Watts, a philosopher and poet,  had already published 20 books on this the Infinite Self, from the standpoint of Christianity, several Eastern religions, psychology and psychiatry. From any perspective it is like a hub with one center. This is the highest teaching of all paths. From the Prologue to his 1972 autobiography:

 

“I have realized that the past and the future are real illusions, that they exist only in the present, which is what there is and all that there is. From one point of view the present is shorter than a microsecond. From another, it embraces all eternity. But there isn’t anywhere, or any when else to be. History determines what we are only to the extent that we insist, now, that it does so. Likewise, the dream—or the nightmare—of the great tomorrow is a present fantasy which distracts us from both reality and eternity. For every sentient being is God–omnipotent, omniscient, infinite and eternal—pretending with the utmost sincerity and determination to be otherwise, to be a mere creature subject to failure, pain, death, temptation, hellfire and ultimate tragedy. One of the most intelligent, pleasant and scholarly men I know devotes himself to the creed that a noble human life is simply courage in the face of inevitable disaster and annihilation. But I won’t argue with him, anymore than I would argue with the fish for living in the sea. It’s his game, his style, his posture; and he does it very well.”

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“… I am trying to show that all are aiming, however disputatiously, at one center. This has been my way of making sense of life in terms of philosophy, psychology, and religion.”

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“My own work, though it may seem at times to be a system of ideas, is basically an attempt to describe mystical experience— not of formal divisions and supernatural beings, but of reality as seen and felt directly in a silence of words and mindings. In this I set myself the same impossible task as the poet: to say what cannot be said.… I am trying to get thinking people to be aware of the actual vibrations of life as they would listen to music.”

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“…. Do you suppose that God takes himself seriously? I know a Zen master, Joshu Sasaki, who has let it be known that the best form of meditation is to stand up with your hands on your hips and roar with laughter for 10 minutes every morning.”

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Alan Watts, In My Own Way, An Autobiography 1915-1965, published 1972.

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He is talking of the infinite self that we are, have always been and always will be. Infinite. The highest ancient teaching that predates Lord Buddha by thousands of years before written word; it then appears in the Vedas and Upanishads. Teachings of Advaita. Jnana Yoga. The highest teaching. You are the infinite Self. You are not the body or the mind, You are the witness. You are the screen on which the play of the world is occurring. The Biblical dramas and Greek tragedies especially at holiday times, family.

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We can instantly change perspective. See it all as it is. I AM. There is no world – I am all that is. I am infinite. Suffering is of the world, the body, the mind. Past and future do not exist, only this moment is real. Just BE. “I AM.”  Silence —no words, no thoughts. Focus the mind like a laser. Echoed in the bible, “Thou art That.” “I Am that I Am.” “I and my Father are one.”

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BE. Hit the beach at sunset. Take a walk in the woods or ski the mountain. Remember to BE with crystal clear consciousness, with no world obstructing the senses, BE with nothingness in silence. Pure. Self. Enjoy. Every second. Even when you work. Change perspective. Peace.

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Happy New Year!

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Dehypnotize yourself

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OM Shantih, Shantih, Shantih

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Peace, Peace, Peace

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  One Infinite

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Just Being

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Pretty cool, huh?

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~

Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please IGNORE THE ADS BELOW. They are not from me.

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Editorial from PAIN: Hijacking the endogenous opioid system


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Neuropathic pain responds poorly to opioids, often not at all, and may become worse with treatment.

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I have seen pain improve in many after tapering off.

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Then you must treat pain without opioid; it doesn’t just disappear, but it will not be as intense. This editorial explains some of the reasons opioids become a problem.

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Excerpted from an editorial in the current issue of PAIN

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[emphasis mine]

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[COT = chronic opioid therapy]

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…..This review highlights why we may see some of the more insidious problems that occur with COT, which are summarized below.

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Individuals on COT may continue to “need” opioids to replicate the functions of endogenous opioids that are no longer being released (or are in competition with the exogenous opioids). As the review by Ballantyne and Sullivan states, “a new homeostasis is reached that can only be maintained by continued drug taking”.1 Individuals on COT lose the ability to endogenously improve mood, decrease stress, and socially engage because the endogenous opioid system becomes inherently less responsive. In pain management, we know of this need for increasing opioid dose over time to maintain analgesia as opioid tolerance. But a similar physiological phenomenon likely occurs with any endogenous opioid function. Although we have mainly anecdotal reports from individuals who have been weaned off of opioids, the change in personality, social engagement, motivation, fatigue, and mood is often profound when individuals on COT successfully taper to lower doses or off opioids. These insidious side effects of COT would all be expected to inhibit individuals from maximally engaging in the patient-centric, disease management strategies that are now recommended for all chronic pain states.

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This may also explain why it is often very difficult to taper individuals on COT completely off opioids and underscores the importance of a slow, structured weaning protocol with appropriate psychological support. It may take months or years for endogenous opioid function to return to normal after cessation of opioids, or perhaps this system never returns to normal in some patients (as seems to occur in heroin addicts).5

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This paralysis of the endogenous opioid system by COT could render ineffective many other treatments that are recommended for chronic pain and that work in part via the endogenous opioid system. Many if not most nonpharmacological therapies for pain, such as exercise, acupuncture, and many other mind-body therapies are believed to work in part by engaging endogenous analgesic pathways that are partly opioid dependent.

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Opioids have acute antistress and antidepressant effects, and many of our patients with chronic pain are taking opioids chronically to medicate their co-morbid depression, despair or distress more so than to treat pain. Brain imaging studies indicate that many brain regions typically involved in pain and sensory processing are also involved in affective regulation. Patients having chronic pain who show higher degrees of psychological comorbidity or stress might therefore desire opioids because of their temporary salutary effects on these domains, rather than for their intended analgesic effects. We need to develop better cognitive-behavioral and psychosocial interventions that target the needs of the many patients with pain experiencing more harm than benefit from opioids, but still seek these drugs to reduce their affective symptoms.

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The endogenous opioid system may actually participate in the pathogenesis of some chronic pain conditions making this class of drugs particularly problematic for some patients. Many lines of evidence suggest that individuals with more centralized pain conditions such as fibromyalgia are particularly unresponsive to opioids, and the endogenous opioid system may be participating in the pathogenesis of these conditions.2,7 This has tremendous clinical implications because it means that we may actually make these patients’ pain worse by administering opioids. These same individuals may also be those at highest risk for prolonged use of opioids initially given for acute pain, both because they need higher doses for longer durations, and they are more likely to have the psychological comorbidities that drive unintended use and misuse.

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We clearly need to re-think the focus of opioid education and screening programs in light of some of these observations. After any exposure to an opioid, especially following the very common use in the United States for treating acute pain, patients can become addicted or can misuse these drugs to treat concomitant despair, depression, or pain elsewhere in the body that would not be expected to be responsive to an opioid. As we contemplate risk evaluation and mitigation strategies to curb further opioid misuse and addiction, we need to better appreciate these common alternate paths to unintended uses of opioids.

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We are not the first field to underappreciate the consequences of hijacking a critical endogenous system for one purpose, only to eventually find that there are significant consequences. Following the discovery of the endogenous corticosteroid system, Hench and others found that cortisone was an extremely effective treatment for rheumatoid arthritis, and this revolutionized our treatment of inflammatory processes. But it took several decades to fully appreciate all of the intermediate and long-term side effects of chronic corticosteroid use.4 Nearly all of these under-recognized issues were due to off target effects of exogenous corticosteroids on critical endogenous functions of these hormones. Although the short-term effects of opioids have been understood for centuries, long-term, high-dose opioids have only been advocated for a few decades. It is likely that we are now witnessing a similar clinical phenomenon, and as we increasingly appreciate the off-target effects of repurposing a critical endogenous system, the pendulum needs to rapidly swing back towards caution with prescribing a class of drugs that have a plethora of serious side effects other than addiction and death from overdose.

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

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Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

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For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please IGNORE THE ADS BELOW. They are not from me.

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CDC gets list of forbidden words: “evidence-based” & “science-based.”


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The Washington Post just now published this headline, click on it to read the article:

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“CDC gets list of forbidden words: fetus, transgender, diversity”

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The forbidden words are “vulnerable,” “entitlement,” “diversity,” “transgender,” “fetus,” “evidence-based” and “science-based.”

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In some instances, the analysts were given alternative phrases. Instead of “science-based” or “evidence-based,” the suggested phrase is “CDC bases its recommendations on science in consideration with community standards and wishes,” the person said. In other cases, no replacement words were immediately offered…..

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….The ban is related to the budget and supporting materials that are to be given to the CDC’s partners and to Congress, the analyst said.

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It likely includes many agencies across government. If you cannot talk about it, it does not exist and therefore is not funded. 

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I am closing my practice on December 23rd, 2017, in just a few days. The world is not real. It is so easy to walk away from it now. There but for the grace of the gods….the insanity.

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~

Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please IGNORE THE ADS BELOW. They are not from me.

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Donate to RSDSA to Relieve Nerve Pain


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*****HAPPY HOLIDAYS*****

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PLEASE DONATE TO RSDSA

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FOR RESEARCH INTO

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TREATMENT OF NERVE PAIN

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There is no more highly focused nonprofit organization than the RSDSA for research and treatment of neuropathic pain and that is why the link to them is always at the **top banner** of these pages describing them in detail.

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For decades, they have led the field — little thanks to NIH that gave less than half of 1% to all pain research in 2008. Why should anyone care when pain doesn’t kill you—–right?

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People die of cardiac disease or cancer. They get all the money for research and we all forget about decades of awful quality of life, career ending disability and worse. 

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Research funding raised by RSDSA is awarded for research into RSD but that almost always applies to nerve pain in general, not to just one rare condition. It is always the most difficult to treat. 

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Please remember them generously. They help so many with education, outreach, conferences among the world’s foremost researchers, and funding to move the work forward.

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~

Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please IGNORE THE ADS BELOW. They are not from me.

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To my patients & readers, thank you. Your words have been uplifting.


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Thank you

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If there be pain let it be


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If there be pain let it be.

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It is also part of the Self.

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The Self is poorna (perfect).

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Sri Ramana Maharshi, the great enlightened spiritual giant who at age 16 experienced the highest thereafter until almost 100 years of age. May we be blessed to awaken with these high teachings.

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Pain? Really?

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Imagine you are sitting on the banks of the Holy Ganges.

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Is pain and suffering the most amazing way to kick one into instant and serious spiritual study? Buddha must be right. We must use it, no matter what we do, as it leads to freedom of suffering. Ancient teachings give the method. So again, relax, deep breath.

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Imagine you are sitting on the banks of the Holy Ganges.

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The most holy, most revered, most powerful Mother of the Universe revered by sages for more than 6,000 years, the Mother of the Universe is flowing in front of you. Imagine. Breathe. In the Holy Presence, the body mind is not you. There is no time, space, and causation to clearly perceive you, the one Self, pure consciousness. You always were, as you are right now. Consciousness itself, clouded by misperceptions, obstructions that prevent us seeing the awakened being we are.

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Ramana Maharshi taught the simplest, most direct method. No need for religion, or you may choose the path of religion, but all paths lead to the Absolute. All rivers lead to the ocean.

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If there be pain let it be.

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It is also part of the Self.

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The Self is poorna (perfect).

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We are not the body, not the mind.

We are the Self. The Infinite.

Always have been.

 

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The material on this site is for informational purposes only.

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It is not legal for me to provide medical advice without an examination.

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It is not a substitute for medical advice, diagnosis or treatment provided by a qualified health care provider.

~~

Comments are welcome.

This site is not for email, not for medical questions, and not for appointments.

~~~~~

For My Home Page, click here:  Welcome to my Weblog on Pain Management!

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Please IGNORE THE ADS BELOW. They are not from me.

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