Ricky's Riffs:

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


On Heroes and History: Normandy, 2023

July 11th, 2023

Growing up in the 1960’s, one generation removed, World War II deeply informed my sense of both past and present. My father and almost all the men of his generation had signed up or were drafted. It was just the thing to do, whether it was to go and fight Nazis or because they realized the neighborhood corner was empty so they might as well go off to where their buddies were. They were spread out from England to France to Burma to New Guinea. Some guarded prisoners, some worked on intelligence, some were on aircraft carriers, and some stormed the beaches of northern France on D-Day.Read the rest of this entry »


Reflexions On Getting Covid…Again!

June 1st, 2023

A few sniffles and a light cough were the first signs. And the fact that my wife had tested positive the day before, as did her friend who sat with us at my show last Friday. With a full day of patients, it was time to test. Ah…the double blue lines; the mark of  Covid! Round two!!Read the rest of this entry »


Ego and Entheogens in a World Gone Mad

April 11th, 2023

The world has gone mad. The cloud of nuclear Armageddon hangs over us all as war rages on in Ukraine; systemic oppression, locally and globally, can no longer be hidden or denied. Hate, fear and anger have metastasized through our social and political bodies.

It is ego run amok, as politicians the world over vie for power; egos doing anything they can to insure their own survival, operating under the illusion of solidity and permanence, careening toward destruction, willing to take the rest of us along for their deadly ride.

The world cries out for healing; for medicines that can help to lift the veil that has clouded our vision, to reveal our true natures, our energetic connection with all beings, with the cosmos itself; to remind us that what happens anywhere effects what happens everywhere.Read the rest of this entry »


Altwork: The Best Work Station in the World? Yes…and No. A Review

September 25th, 2022

The most common complaint I hear in my office is back pain; sometimes accompanied by numbness, burning, or tinging sensations that radiate down their arms and/or legs.

While I tell my patients that the first goal of treatment is to eliminate their pain, I also let them know that it is equally important to identify the cause(s) of the pain. With that understanding, we can make lifestyle modifications to both facilitate the healing process and prevent the symptoms from returning.

My practice demographics

Because I practice in San Francisco, it is not surprising that the majority of my patients work in front of computer screens.

Sitting 8-10 hours (or more!) each day seated at a computer creates a great deal of muscle and joint tension which, over time, can lead to back pain. And these problems have been exacerbated during the pandemic because so many people are working remotely–hunched over their laptops, at kitchen tables, in bed, or on soft living room couches.

So my first recommendation is, stand up! Don’t spend more than 45 consecutive minutes in a seated position. Set your phone timer as a reminder. Get a glass of water, walk around the block (or the room), but do whatever it takes to get you out of your seat. Even better: Get a sit/stand desk, and a high quality ergonomic chair. Moving between seated and standing positions throughout the day will help to prevent the build-up of muscle tension that can lead to pain. It also has the added benefit of helping concentration.Read the rest of this entry »


Covid-19: What the Left (and Right) Got Wrong

July 28th, 2022

Do we ever say we were wrong?

Or have we become so polarized, so isolated in our social media bubbles, that we will maintain the “righteousness” of our positions–bolstered by reams of “evidence,”–forever.

We on the left like to believe that we have sole access to the truth; that it is only the “other side” that wanders in the desert of “alternative facts.” Of course, the other side feels exactly the same way.

But sometimes, the other side is the right side.

And Covid-19 is one of those places. In a variety of ways, “we” were wrong.Read the rest of this entry »


On Creating Sacred Space

April 12th, 2022

We all sense the “feeling” of a space when we enter it. We might feel comforted, or irritated, sedated or energized. Whether it’s a friends living room, a doctor’s office, or a mountain landscape, every space generates a different reaction.

Solidity and emptiness: a paradox

Although the world appears to be solid, modern physics has revealed that it is essentially, and mostly, in fact, empty space. At the subatomic level, the atoms that comprise matter, are both particle and wave, solid as well as vibrational.

As human beings, moving through space and time, we are also both material and energetic. We perceive the material world with our senses: touch, smell, sight, sound, and taste. Our perception of the energetic realm is more subtle and mysterious, often unconscious, but just as real as the material realm.Read the rest of this entry »


Bufo Alvarius and the Entheogenic Revolution

March 4th, 2022

“Relax and take three deep breaths,” my guide instructs. Then, bringing the pipe to my lips: “Now take in little bits of smoke…sips. When your lungs are full, just hold.”

Within seconds of that hold, the room and I dissolve into a vision.

On Entheogenic Medicine

5-MeO-DMT is a powerful psychedelic medicine. Derived from glandular secretions of the Sonoran-desert toad, Bufo Alvarius, it is in the category of psychedelics now called “entheogens.” These are substances, that, when ingested, produce non-ordinary states of consciousness. They can invoke a spiritual experience that many people report as a oneness with the universe, or communion with God.Read the rest of this entry »