Ricky's Riffs:

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


Pain, the Opioid Crisis, and Alternative Care

November 19th, 2018

Drug overdoses killed approximately 72,000 people in in the United States in 2017. This was an increase of 10% from 2016. The two reasons cited are (1) Americans continue to use opioids in increasing numbers, and (2) there are more powerful, deadlier, synthetic opioids available in the underground marketplace—mainly fentanyl, which is 100 times stronger than morphine.  While the latter is the primary cause of fatalities, there is a connection between the two explanations.

It is established that of those who die of opioid overdoses, 80% started their use/abuse of these drugs with a prescription for pharmaceutical painkillers: for football injuries, work injuries, post-surgical pain, dental issues. Too many medical doctors prescribe these drugs routinely.Read the rest of this entry »


Welcome to “Condition: Health News That Matters”

December 11th, 2017

For quite some time, I have been thinking about writing a book.  I believe I have a unique perspective on health and healing and that this perspective might be interesting and useful to others.  After all, I’ve been in practice for more than 30 years.  I’ve taught undergrad and graduate level coursework in the history and philosophy of science, as well as complementary and integrative medicine.  I’ve worked as a chiropractor in private practice, public health, and occupational (worker compensation) medical settings.  My experience has been broad and deep in the field of integrative health.  And I definitely have a point of view!

But the more I thought about my book, the more pause I took.  My friends have written books.  Some are established authors with reputable publishers, and are paid in advance for their work.  But most are people who—like me— want to write to express something they have been carrying within themselves; to articulate their unique perspective. Many in the latter group may spend years on the project, self-publish their work, and, at the end of this long process, have 20 or 30 of their friends and relatives buy the book.  The rest may go into storage, or be given away.  (Of course, there’s always the possibility that the book might become a great bestseller, and one might join the ranks Dr. Oz or Deepak Chopra. But there’s an even better possibility that those books will stay on the shelf.)Read the rest of this entry »


The HAG Capisco: Best Chair in the World?

August 28th, 2017

Growing up, I remember my parents sitting in front of the television set in their big faux leather Lazy Boy recliners.  They would lean back and the foot supports would rise as they sank into their chairs dreamy soft cushiness.  Usually, after about twenty minutes, they would be asleep and when they finally trudged off to bed, it would usually be with aching backs.  Another chair related “injury!”Read the rest of this entry »


Public Option: Next Step Toward Universal Health Care

April 29th, 2017

The Republicans have failed to “repeal and replace” the Affordable Care Act (ACA).  They stated this would be their first order of business upon coming into power.  Although they will surely continue their efforts, it is unlikely that they will succeed.

It is now time to move forward with real health care reform.Read the rest of this entry »


Obamacare and the Shifting of the American Mind

March 20th, 2017

The first order of business for Donald Trump and the Republican party was to “repeal and replace” the Affordable Care Act (ACA), commonly known as Obamacare.

Obamacare was the signature piece of legislation of President Obama’s eight years in office.  In terms of historical significance, it has been compared to Social Security and Medicare. It was a big leap–and a messy one.Read the rest of this entry »


Trump Excitement Disorder (TED)…or Tribal Fever

March 7th, 2017

The shock of Donald Trump’s election has left many people disoriented.  Assumptions about the nature and order of the world have been upended.

Few, but not all, on the left side of the political spectrum believed Trump could be elected.  Yet here we are, six weeks into a Trump presidency.  He has moved with lightning speed, issuing executive orders at a dizzying pace, working diligently to undo the work of President Obama.

I described some of the effects of Trump’s election in my last piece “Trump Induced Stress Disorder: A New Diagnosis for a New Era”.  In that article, I described the physical and emotional effects on the millions of people who were aghast at his electoral victory.

But the Trump supporters are now displaying their own spectrum of signs and symptoms. I label their syndrome “Trump Excitement Disorder,” or TED.Read the rest of this entry »


Trump Induced Stress Disorder (TISD): A New Diagnosis for a New Era

January 3rd, 2017

On November 9, 2016 I was in my office, getting ready to see patients. It was the morning after Donald Trump had been elected President of the United States of America.

His election sent shock waves through the country and the world.

A dark cloud seemed to hang over my patients.  Most expressed disbelief that this person—one who ran a campaign of misogyny, racism and Islamophobia, who lied with impunity and who picked as his vice presidential running mate a hard core homophobe and creationist—could possibly win.  Yet he had.

The election of Donald Trump has no parallel in modern (or perhaps in all of) United States history. I have been trying to understand it. One way I have found is to think of Trump’s ascendance as an exotic virus that has entered our national bloodstream, infecting the body politic.  I call it “Trump Induced Stress Disorder,” or TISD.Read the rest of this entry »


Interview With Michael Finney–On the Direction of Health Care, 6/4/16

July 15th, 2016

Here is a radio interview I did with Michael Finney, KGO TV (Channel 7) consumer news reporter, on the direction I see health care moving in this country. We talked, among other things, about the differences, and similarities, between Bernie and Hillary on how we get to universal coverage. I explained to Michael how the changes in the health care system over the last several years have deeply impacted providers; about how most people have no idea about the reimbursement cuts most doctors have had to take; and more. So check it out and feel free to let me know your thoughts on this subject.

 


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 »


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 »