I have learned to accept the silence. When I first started in my practice of medicine, I found myself talking a lot. I would imagine most of it was nerves. The anxious excitement of having come so far and worked so hard to become a practicing physician. The worry about saying the right thing in the exam room. The fear of not doing what needed to be done for that ...

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I am an interventional pain physician. I spend most of my days doing spine injections with a fair amount of kyphoplasties and spinal cord stimulators thrown in as well. It seems to me that these are minor procedures that shouldn’t evoke anxiety in patients, but they do. Patients get nervous. They get anxious. I am also a singer. I had the privilege of being classically trained through my college years. Like ...

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Good pain physicians are dying. Recently, Dr. Todd Graham was shot dead in a parking lot over refusing to prescribe opioids to a man’s wife. Physicians who care deeply and try to do the right thing are being murdered for not prescribing opioids. I prescribe very few opioids in my chronic pain practice. I do so in a judicious and safe manner for my patients. I have excellent training, and I ...

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