Ricky's Riffs:

Random Thoughts on Travel, Education, Health, and the World in General


Pain and Suffering of the Digital Natives

October 25th, 2016

“Digital natives” are those young women and men who have been raised from childhood on computers. We see them everywhere:  Toddlers in strollers playing with iPhones, pre-teens on iPads in restaurants, strategically distracted to allow their parents to eat in peace; Junior High and High School kids doing schoolwork on laptops in the classroom or at home, sitting or lying in bed.

For the digital native, the computer is an extension of his or her body.  By the time they enter pre-school, many can navigate apps.  Ten-year olds can program software. Adolescents live their social lives on tiny screens.  Most of the digital native’s life runs through this digital medium.

Read the rest of this entry »


A World of Pain

June 30th, 2016

In our highly medicated society, Americans consume more mind and mood altering drugs—legal, illegal and prescribed–than any other people in the world.  Cocaine, heroin, marijuana, Xanax, Ambien, Atavan, alcohol and many more: a full spectrum of pain, anti-anxiety, anti-depressant and stimulating medications.

We all know people affected by the overuse of these substances. Some of us know people who have died from them.

But why are we in so much pain?  So depressed?  Why can’t we sleep? Or focus?Read the rest of this entry »


Revolution or Incrementalism: The Battle Over American Health Care

May 14th, 2016

As a health care provider, I have followed his year’s democratic presidential race with great interest. One major policy difference between Bernie Sanders and Hillary Clinton is that Bernie is pushing for a single payer model and Hillary wants to “build” on the Affordable Care Act that was passed under President Obama.

Here are a few of my thoughts on the subject.Read the rest of this entry »


A New Year, A New You: Some Perspectives on Integrative Health and Healing

December 7th, 2015

Co-written with Allie Stark, MA, RYT

In the world of wellness, the New Year is a business opportunity. The health industry can’t help but take advantage of the many people looking for salves, supplements, and “booty busting” exercises to make you, the best new you. And while eating nutritious foods, exercising regularly, and de-cluttering your house are certainly of value, they can also be distractions; one-off actions focused on symptoms rather than deeper forces at play.

Rather than seeing our health concerns accurately–as linked to our own mind/bodies and the world around us–we often tend to look beyond ourselves for explanations and solutions. It is important for us to understand why we see the world in the ways that we do. Otherwise we will seek answers that are of limited scope and value.Read the rest of this entry »


Empathy, Patient Centered Care and Healing

September 30th, 2015

Carlos presented in the clinic, walking stiffly.  He wore a green asbestos suit and steel toed boots.  The distinctive chemical smell of the steel mill where he worked clung to him like a second skin.  Carlos is a welder. He wields a blow torch for most of his day.  Large pieces of steel hanging from gigantic chains and pulleys circle above and around him.  One by one, he maneuvers them into a position where he can begin the fiery work of melting them down and reshaping them.

There are open fires in the big, hangar-like space where Carlos works.  A toxic cloud hangs over the building, penetrating the clothing and skin of all who are exposed.  The ground shakes every 15 minutes or so from a machine in the next building as it pounds tons of molten steel into new forms.  After awhile, one doesn’t notice these little earthquakes.  They just blend in with the sounds of saws, trucks and the loud whistles that signal break time.

The work is tough but lucrative, especially for a recent arrival from Mexico.  A union job.  Seventeen dollars per hour, English not required.  But it takes a toll on the body.  One day, after three years on the job, Carlos bent over to pick up his blow torch and felt a sharp lower back pain that radiated into his right buttock.  It was enough to stop him from going on.  He reported the injury to his supervisor, who filled out a work injury report and sent Carlos to the clinic where I work to be examined and treated.  While Carlos was glad to get the medical attention, he was also thinking about missed time from work, lost pay and his family.  As there were rumors that another round of layoffs was coming, he was feeling very anxious.Read the rest of this entry »


Pathologizing the Female Body: Pregnancy, Modern Medicine and Integrative Care

April 30th, 2015

Pregnancy can be one of a woman’s most beautiful life experiences; an event many have dreamed of since girlhood. Hormones surge, creating a sense of euphoria (as well as occasional nausea). The awareness slowly arises of a real human being, her child, growing inside of her.Read the rest of this entry »


From Stools to Thrones: The Chair and Its Discontents…or, How Chairs Tell Us Who We Are

March 6th, 2015

The objects with which we surround ourselves serve multiple functions. On the one hand they may be utilitarian: dressers, chairs, and desks that support our home and work lives. At the same time, they tell us and others who we are. Does our home or office convey sophistication (elegant furniture), intelligence (books) or artiness (paintings and sculpture)? Are we practical (sparely furnished rooms) or frivolous (surrounded by knick-knacks)?

These objects can also convey status and authority. A king’s throne, for example, sits squarely in the middle of the reception hall. It is likely the most ornately carved piece of furniture in the room and is placed on a platform, denoting power and proximity to God. Or take in contrast the simple stool, without frills, designating its user as a worker focused on completing a singular task.

Both “chairs” serve a function and tell a story. Like that king and those workers, we create our worlds with purpose.Read the rest of this entry »


“Sitting is the New Smoking”: “7 on Your Side” Featuring Dr. Ricky Fishman

January 29th, 2015

The utility of sit/stand desks is finally hitting the mainstream. Here is a Channel 7 segment that was on “Seven On Your Side” with Michael Finney. I am featured:)

Feel free to make comments or get in touch with me with any questions about the revolution taking place in the field of work site ergonomics.

Click below and enjoy!
 

 


Prescription for Change: On the Construction of a True Integrative Health Model

August 22nd, 2014

In a health care environment marked by raging turf battles that pit one profession against another, positive change will require—as a start–introspection and self-criticism by providers from different disciplines.

I am trained as a chiropractor, and have practiced my craft for almost 30 years. But the dominance of the allopathic medical profession has forced me to work in isolation. Chiropractors have been excluded from hospitals, marginalized by insurance companies, and subjected to ridicule by the American Medical Associations PR wing.(1)

To survive, we have upheld a holistic philosophy and championed effective treatment. As a result, chiropractic has become the most powerful and popular of the “alternative” modalities. At the same time, the pressure to work on our own in solo practices has tended to separate us from practitioners in the other healing arts. Read the rest of this entry »


Health Care Reform: A New Way of Thinking

June 18th, 2014

Discussions about health care reform tend to focus on payment methods. Critics assert that insurance companies (in concert with pharmaceutical companies and hospitals) are the primary causes of runaway costs. While there is a relationship between payment methods and quality of care, too much time has been spent on the former part of the equation. To reform the American health care system we must begin our analysis by looking more deeply into how care is delivered. Read the rest of this entry »