Chemotherapy, radiation and surgery are traditional ways to treat cancer and we’ve been taught that this is the best way to battle the disease. Dr. Veronique Desaulniers isn’t taking away any of the truths in this, but as a cancer survivor herself she wants people to know that there is a natural way of curing it. During her two-year battle Dr. Desaulniers created the 7 Essential System that guides patients and takes away a lot of the confusion from the healing process. Now retired from her clinical practice, she is busting breast cancer myths, one of which is that hormones don’t cause cancer, rather it is how much we are exposed to chemical estrogens. Find out what other breast cancer myths she has busted and learn her natural seven-step healing program.
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Sleep has an important role in our body’s functions. We spend one-third of our lives sleeping and in that time of sleep, our bodies become refreshed and re-energized. Kansas Medical Center Associate Professor Katie Siengsukon believes that poor sleep affects the immune system, tissue healing, cardiovascular health and can even be the cause of Alzheimer ’s disease. Learn why for chronic pain patients, addressing sleep issues is more important than addressing the pain issues. Better sleep means better health and lesser pain.
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Men will always have their bravado getting in the way of admitting that there’s something wrong with their body, especially if it involves their manhood. Author of Pelvic Pain: The Ultimate Cock Block Dr. Susie Gronski is saying that it’s time for this idealism to stop because male pelvic pain is real and there is no need to feel shy about it. Dr. Gronski educates her patients first about pain science to establish a comfortable level before she gets ‘down low.’ A discussion about male genitals is always awkward, but necessary so that even the patients themselves can navigate through the symptoms.
It’s great to be here with you where we talk about all things related to pain and natural pain relief. In the past on the podcast, I've talked about a niche topic, really a specialty topic that’s very important in the world of chronic pain and that’s pelvic pain. Oftentimes when we talk about pelvic pain, the first thing we think about is women’s health. That is of vital importance because there are millions of women who still are looking for help with their pelvic pain. However, there is an untold story in the world of pelvic health and that is men’s pelvic health. If you're a guy or if you are female who has a male counterpart, realize that the anatomy of the pelvic floor and the pelvis is very similar in males as it is in females except for that one or maybe three different pieces. I've gone really to the corners of the globe to find an expert who can talk to us about men’s pelvic health. I want to introduce you to Dr. Susie Gronski. She is a licensed Doctor of Physical Therapy, a board certified Pelvic Rehabilitation Practitioner.
In addition to knowing a lot about your private parts, she is also a Certified Health Coach. Simply put, she is a doctor for everything down there. Her passion is to make you feel comfortable about taboo subjects like sex and private parts. Social stigmas are not her thing. She provides real advice without the medical fluff, like a friend who knows the lowdown down there. Dr. Susie is an author of a wonderful book called Pelvic Pain: The Ultimate Cock Block and the creator of a unique Hands-On Training Program that helps men with pelvic pain become experts in treating their own pelvic pain and other problems. She is determined to make sure you know how you can get help for painful ejaculation, problems with your joystick, discomfort of pain during sex and how to control your pee. As a male, I can say they were all very important topics. All those without needing to be embarrassed, because oftentimes these could be topics that seem like they're taboo but they're often embarrassing to patients. They are real life problems that interact with your health. Whatever you want to call it, the penis, the shlong, a ding-dong, if you’ve got a problem down there, she is the person to get to know.
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Surgery and drugs are always the go-to for doctors, but with the changing times there is now a need for the conventional ways to be reconsidered. Dr. Elizabeth Dean of the University of British Columbia in Canada believes that it is time to reconfigure a physical therapist’s role on healing a patient and help them live longer and healthier lives. It is also important to learn how lifestyle medicine can help in the assessment of nutrition and exercise. Dr. Elizabeth explains why the clinical community needs to be on the same page on nutrition and illness care.
I'm so excited you're here where we can talk about natural ways to heal from chronic pain as well as chronic disease. Before we get started with the episode, just a couple of show notes. I want to thank the Hudson Valley District of the New York Physical Therapy Association for hosting me at the Burke Rehabilitation Hospital on September 28th. I gave everyone a wonderful lecture. There are about 30 people who attended for our lecture on how nutrition can influence musculoskeletal pain as well as inflammation.
If you follow me, my work and my podcast, you know that I am passionate about nutrition and how nutrition can impact the lives of yourself, your family, your friends and your patients. I'm super excited this week to have with me Dr. Elizabeth Dean, who is a professor at the University of British Columbia in Canada. She is a physiotherapist. Her scale of work focuses on bridging the ultimate knowledge translation gap between what is known about the cause and factors contributing to lifestyle-related non-communicable disease and physical therapy practice. She has a particular interest in epidemiology and information to maximize outcomes using health education and interventions such as physical activity. She conducts research in the Middle East and Asia as well as multicultural Canada and works with international teams with respect to health-focused physical therapy practice.
Currently, she is focusing on effective knowledge translation of existing and new knowledge by physical therapist to meet the priority healthcare needs of people globally in the 21st century specifically toward non-communicable diseases. She is a leader in health-based physical therapy. She has been invited to speak at over 30 countries where she has presented keynote addresses, guest lectures, workshops, symposia, consultation. Together with her colleagues, she has presented over three physical therapy global health summits and World Confederation for Physical Therapy conferences.
What I love about Dr. Dean is I actually love her research. When I first got into nutrition, I did a great paper for my doctoral dissertation and I used a lot of her research to really support the stance that I had in my personal scope of why nutrition was important for physical therapists.
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Every doctor considers every patient as a case study in and of itself, and that every patient has a different way of defining the pain they are feeling. Dr. Jarod Hall explains how group discussions among patients transform into a healing environment where a physical therapy session isn’t just another day of exercising. Learn why doctors need to create constant dialogues with patients to lessen the fear of the pain they are feeling.
Pain is multi-factorial. Addressing the complex nature of chronic pain by a skilled clinician is vitally important. The best research indicates that physical therapy informed from a biopsychosocial model of care is most effective. Within that framework, there are many treatments to choose from. The current challenge lies not only in predicting who will best respond to one approach over another, but in understanding the process that explain how or why specific therapies work.
Joining us is Dr. Jarod Hall, who is a licensed Doctor of Physical Therapy. His clinical focus is in orthopedics with an emphasis on therapeutic neuroscience education and the purposeful implementation of foundational principles of exercise in the management of both chronic pain and athletic injuries. He’s an adjunct Faculty Professor at the University of North Texas Health Science Center in their Doctorate of Physical Therapy program. He assesses and treats orthopedic injuries, pain science and manual therapy and educates on that at the university there. Additionally, he’s a blogger whose work has focused on how to succeed in the clinical environment as a new graduate physical therapist, debunking common exercise and rehab myths, manual therapy and pain science education.
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For the body to be healthy the brain needs to be healthy. Join Dr. Steven Masley as he explains why having a healthy heart is a better brain solution. Learn how your heart rate tells a lot about your brain functions and how exercise is the best way to live healthy. But having a healthy body will require proper nutrition. Discover how all these factors make for a healthier version of you.
Each day, your brain fires up all your senses, brings you pleasure as well as pain, catalogues a lifetime of memories, solves an array of problems, and connects you to the world around you. You can live with one kidney, with a transplant of heart, liver and other organs, but nothing can substitute for a healthy brain. We know that chronic pain often interferes with the brain's cognitive functions such as memory. We know that memory loss is a major concern for adults as they age. Joining us today to share how you can have a better brain is Dr. Steven Masley whose passion is to empower people to achieve optimal health through comprehensive assessments and lifestyle changes. He's a physician, nutritionist, trained chef and author. You may know him as the creator of the number one all-time health program for public television, 30 Days to a Younger Heart. Today, we'll be engaging in a conversation about perhaps our most vital organ, the brain.
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The prediction, prevention and alleviation of persistent pain are challenging tasks because the precise cause is often elusive and an individual’s experience of pain varies considerably. To reduce the suffering associated with pain in an effort to restore a more balanced state of being, this will require an approach of humility and curiosity and the examination of multiple factors that contribute to the pain experience. Those are the words of today’s guest on the podcast. Joining me today is Dr. Nicholas Karayannis. We’re discussing mindfulness of the body. He is a physiotherapist, clinical researcher, and mindfulness teacher. His research aims to improve the health status, beliefs and behaviors of people suffering from persistent pain through innovative refinement of clinical decision-making, rehabilitation, and focuses on developing a better understanding of which person respond to one type of mind, heart, body therapy over another, in addition to understanding, refining the content and delivery of meditative and movement-based forms of care in practice.
Neil Pearson
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Pediatric chronic pain is a significant problem with conservative estimates that somewhere between 20% to 35% of children and adolescents are affected by it worldwide. Pain experience in children hospitals is known to be common but is under-recognized, often under-treated, with more than 10% of children who are hospitalized showing features of chronic pain. Although the majority of children that report chronic pain will not be permanently disabled by it, pediatric chronic pain patients often require intensive psychological as well as physiological interventions. The total cost as our society in the United States is somewhere in the upwards of $20 billion, I'm sure globally that's much more.
Here to speak to us today is Dr. Laura Simons who is an expert and working really at the intersection of child psychology and chronic pain. She is an Associate Professor in the Department of Anesthesiology, Perioperative and Pain Management at Stanford University School of Medicine. In addition to an active program of research, she works in the clinic evaluating and treating children and adolescents who present with chronic pain. She has developed an exposure-based intervention for youth that have chronic pain and also integrates neuroimaging into her program of research to gain a better understanding of the ultimate psychological processes that can occur in children with chronic pain.
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Finding quality pain killer that focuses on teaching you how to move with more ease while integrating the latest pain science principles that keep your body, breath and mind calm, can be challenging to find. Many of these principles are not taught in primary medical education or integrated into clinical practice. What if I told you there are five simple steps you could integrate into your care of pain that would not only improve how you move but also improve the overall quality of your life?
Joining us today is Neil Pearson who is a physiotherapist and an adjunct professor at the University of British Columbia. He is a Founding Chair of the Canadian Physiotherapy Pain Science Division and the first physical therapist to receive the Canadian Pain Society's Excellence in Interprofessional Pain Education Award. Neil is also a yoga therapist certified with the International Association of Yoga Therapists and a Yoga Alliance certified education provider. He has created a series of videos based on the integration of pain science, the lived experience of pain and yoga principles. Neil's main focus is now expanding his ability to share what he has learned from people with pain as a physiotherapist and as a yoga teacher. He has a professional Distance Mentorship Program for practitioners, as well as developed an online Pain Education Platform and Movement Curriculum for people living with chronic pain.
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If you are the parent of a child with chronic pain, anxiety, mood or behavior challenges, you may have wondered if the struggles you and your child are facing will ever get better. Too often you may hear things from your child such as, “My stomach hurts, I got a headache today, my lower back hurts, or my neck is stiff,” or maybe you've even heard, “I just don’t feel like going to school today.” One out of every four children in the US struggles with chronic pain and those numbers are growing. Combine this with the fact that half of all mental illness occurs before the age of fourteen and anxiety is the most prevalent mental health challenge that children face, we know that kids are suffering and parents are looking for solutions.
Joining us today is Dr. Nicole Beurkens who has over twenty years of experience supporting children, young adults and families with mental health concerns. She is the Founder and Director of Horizons Developmental Resource Center in Caledonia, Michigan where she leads a team of clinicians dedicated to the evaluation and treatment of a wide range of mental health concerns including autism, ADHD, learning disabilities, anxiety, bipolar disorder, behavioral disorders, brain injury and other neurodevelopmental conditions.
Dr. Beurkens has a unique combination of having earned Doctorate in Clinical Psychology, a Master’s in Nutrition and Integrative Health and a Master’s in Special Education. She's also the best-selling author of a book called Life Will Get Better: Simple Solutions for Parents of Children with Attention, Anxiety, Mood and Behavior Challenges, which of course you can find on her website at DrBeurkens.com.
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There are approximately 45 million Americans that complain of headaches each year. That works out to about one out of every six people or about 17% of the population. More than 8 million Americans visit their doctor for complaints of headache each year. It's on the top list of the World's Health Organization as diseases to be treated. Headache disorders are among the most common disorders of the nervous system. It's been estimated almost half of the population have a headache at least once in their life, and worldwide a minority of people with a headache disorder are diagnosed appropriately by their health care provider, which means that there are many, many millions of people in the United States as well as around the world who are seeking relief and have yet to find a proper diagnosis and effective treatment.
Here to speak with us today is Dr. Trupti Gokani who is a Board Certified Neurologist and who has dedicated her life to developing a unique blend of modern medicine and Asian philosophy. She's best known for her revolutionary integrated approach to treating headache pain by focusing on healing the head and identifying the disconnect between the mind and body. When not in the clinic, Dr. Gokani dedicates her insights to help Americans understand the purpose of their pain and how to heal themselves through a deeper appreciation of the mind, body, spirit connection.
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This week on the Healing Pain Podcast, I had the privilege of interviewing Professor Lorimer Moseley. Whether you're a practitioner or a patient, you may very well be aware of his work, as he is one of the global leaders in the revolution to change the current paradigm around chronic pain. Professor Moseley is a Clinical Scientist investigating pain in humans. After posts at the University of Oxford and the University of Sydney, Lorimer was appointed Foundation Professor of Neuroscience and Chair in Physiotherapy at The Sansom Institute for Health Research at the University of South Australia. He's a Senior Principal Research Fellow at NeuRA and an NHMRC Principal Research Fellow. He has published over 280 articles and five books. He has given over 140 keynote or invited presentations at interdisciplinary meetings in 30 countries and has provided professional education in pain sciences to over 15,000 health professionals as well as lectures to the public. He consults to both government and industry bodies. He was awarded the outstanding mid-career clinical scientist working in a pain-related field by the International Association for the Study of Pain, was a runner up for the 2012 Australian Science Minister's Prize for Life Sciences and won the 2013 Marshall & Warren Award from the NHMRC for Best Innovative and Transformative Project. He was made a Fellow by the Australian College of Physiotherapist in 2011 and Honored Member of the Australian Physiotherapy Association at their highest level in 2014.
Today, we spoke about the biopsychosocial model of pain and he describes it in his words. We took a mini tour of psychologically performed physical therapy practice and how a practitioner can develop psychoeducational programs for their patients and contrasted some of the key differences between Explain Pain; CBT, which is Cognitive Behavioral Therapy and ACT, which is Acceptance and Commitment Therapy. It was a great lecture and a great talk with Dr. Moseley on the podcast. Make sure to share it out with your friends and family on social media.
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Joining us today to discuss the biopsychosocial model of care is Dr. Steven George. He's a professor and Vice-Chair of Clinical Research and Director of Musculoskeletal Research at the Duke University of Clinical Research Institute. He's a licensed physical therapist with a PhD in Rehab Science. He's also an active member of APTA, The American Pain Society and the International Association for the Study of Pain. His primary interest is to, one, improve the accuracy for predicting who's going to develop chronic pain and then two, identify non-pharmacologic treatment options that limit the development of chronic pain conditions.
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Today, I'm broadcasting the second interview I recorded live at the Physical Therapy NEXT Exposition & Conference back in June. I want to thank the APTA for arranging this great interview on what's a very important topic for the profession. Each year at the convention, the John H.P. Maley Lecture Award is presented to an APTA member who has demonstrated clinical expertise and a significant contribution to the physical therapy profession. The lecture is considered to be one of the highlights at the APTA's NEXT Conference & Exposition. This year's lecture was awarded to Dr. Tara Jo Manal. It's titled Strike While the Iron is Hot. I really love that topic.
Dr. Manal was a Founding Co-Chair of APTA's PT Now initiative, is Director of Clinical Services and Residency Training at the University of Delaware's Physical Therapy Department, as well as an associate professor at the DPT program at the University of Delaware. She is board certified in orthopedics as well as sports physical therapy. Her focus is translating the evidence and how it could be implemented into clinical practice. I spoke to Dr. Manal about the importance of standardized practice and how we can prevent the unwanted variation, which can be such a challenge when there's so much information and a variety of treatments available to us today. This is an important topic whether you're a clinician, an administrator or a patient. Settle in and take a listen and of course make sure to share it with your friends and family on social media.
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Back in June, I had the pleasure of speaking at the Physical Therapy NEXT Exposition Conference on the topic of nutrition and its implication for musculoskeletal pain. It was a lot of fun and I spoke to a sold out room of about 600 physical therapists who were excited and really impassioned about learning how they can integrate nutrition into their practice. I want to thank everyone who attended and provided such positive feedback to the APTA about my presentation and my talk. I’m forever grateful to you. As many of you have inquired via email and through my Facebook page, yes, I am a building a continue education course specifically on this topic. If you’re a physical therapist or a chiropractor or a physician or anyone else interested in learning more about how nutrition can impact and change the course of chronic pain, make sure to go the Integrative Pain Science Institute website, www.IntegrativePainScienceInstitute.com. You can sign up for the mailing list there and stay connected to all that I have going on. I have a number of courses coming out on a variety different topics related to chronic pain. You can also go to my website at DrJoeTatta.com and click on the Practitioners tab in the top Menu.
While I was at the conference, I also brought along my podcast equipment and I had the opportunity to interview two great physical therapists on really important topics. The first one, I had the pleasure of speaking with Dr. Lisa Saladin who is the Vice President of the American Physical Therapy Association. I spoke with Dr. Saladin about the societal issue of non-communicable diseases on a topic that really greatly interests me since nutrition can have such a dramatic impact on diseases such as diabetes and obesity. We covered which non-communicable diseases physical therapists can have the most opportunity to treat and change in the communities in which they live in practice, and the notion of chronic pain as a non-communicable disease and how much attention that either gets or does not get in our greater healthcare system. It was a great topic, I love talking to Dr. Saladin about this. It’s an interview I enjoyed very much. It’s great to see the physical therapy profession talking more about how we can play an active role in preventing and treating chronic disease. I want to thank Dr. Saladin for joining the podcast and of course, the APTA for setting this interview up.
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My next guest is the author of Battle for Grace: A Memoir of Pain, Redemption and Impossible Love. Cynthia Toussaint serves as a spokesperson at For Grace and has had complex regional pain syndrome or CRPS for the past 35 years which later developed into fibromyalgia and overlapping autoimmune disease. Cynthia founded For Grace in 2002 to raise awareness about CRPS and later expanded the organization's mission to include all women in pain. Before becoming ill, she was an accomplished ballerina and worked professionally as a dancer, actor, and singer. Today, she's a leading advocate for women in pain, raising awareness through local, national and worldwide media as well as public speaking. Her work has personified what it's like to be a woman who lives with pain, beyond this treatment of pain, and the gender bias toward women who suffer with chronic pain type syndromes.
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Gina Ryan is the host of the Top 50 iTunes podcast called The Anxiety Coaches Podcast. She’s also a nutritionist who, herself, struggled with stress, anxiety, and panic for over twenty years. On her own, prior to the internet, prior to all these influx of information, she was able to climb out of her own anxiety and heal herself naturally, and now teaches thousands of others how to do the same. She’s here today to help us get out of this cycle of anxiety that so often goes with chronic pain we struggle with.
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Here on the podcast today is Tricia Nelson. She lost 50 pounds by identifying and healing the underlying causes of her emotional eating. She spent 30 years researching the hidden causes of the addictive personality. She's an Emotional Eating Expert and the author of the number one bestselling book, Heal Your Hunger: 7 Simple Steps to End Emotional Eating Now. She's also the host of a popular podcast called Heal Your Hunger, which is a great name of a show. This is the Healing Pain Podcast but today, we're talking about how to heal your hunger and stop the cycle of emotional eating.
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Summer Bock is a Trained Herbalist and Master Fermentationist, here with us today on the podcast to discuss how you can rebuild your gut with fermented foods. Her mission is for everyone to have stellar health by naturally healing their digestion using herbs, ferments and of course, food. She has a background of Microbiology and Pre-Med, which has given her the perfect skill set for integrating modern research into the modern microbiome. What I love the most about Summer Bock is that she’s a true innovator. When you look at her website, when you look at her training courses, when you look at her products and programs, for both those who are looking to improve their gut health as well as practitioners looking to learn more, you'll realize that the contents she prepared is so innovative and so unique. That’s why I had to have her on the Healing Pain Podcast.
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In 2002, the American Physical Therapy Association House of Delegates adopted a resolution that stated, “Physical therapists participate in and make a unique contribution as individuals or members of the primary care team.” In recent years, there's been a growing interest in the role of physical therapist and primary care. The notion of physical therapy and primary care is not new though. In fact, the United States Army has utilized physical therapists as primary care providers since 1971. As well, Kaiser Permanente of Northern California has similarly utilized physical therapists in a primary care role and the interest continues to grow as we move forward and treat people with pain.
Here to discuss the role of physical therapy and primary care is Dr. Bill Boissonnault, who is the Executive Vice President of Professional Affairs for the American Physical Therapy Association. Recently, he was a professor at the University of Wisconsin in Madison. In his career, he has earned both a Doctorate of Health Science degree, as well as a Doctor of Physical Therapy degree. He's published numerous articles related to patient direct access and has consulted with more than 70 hospitals and clinics regarding the implementation of direct access into physical therapy practice.
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Upwards of 50% of those diagnosed with chronic pain also receive a diagnosis of depression. Along with this diagnosis, they are frequently prescribed a narcotic painkiller, for the pain of course, and an SSRI medication for the treatment of their depression. The question we ask on today's podcast: Is this a wise pharmaceutical combination, and are SSRIs effective for treating the depression that often accompanies chronic pain?
Joining us today is Dr. Kelly Brogan, who is a Manhattan-based Holistic Women's Health Psychiatrist, author of the New York Times Bestselling book, A Mind of Your Own, and co-editor of the Landmark textbook, Integrative Therapies for Depression. She's Board Certified in Psychiatry, Somatic Medicine and Integrative Holistic Medicine and specializes in a root cause resolution approach to psychiatric syndromes and symptoms.
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If you have followed this podcast and studied pain for any period of time, you know that pain has sensory, cognitive and affective components. The sensory component is of course the thing that is the most obvious. It’s what you feel on your body. It’s the aching, the burning, the sharpness, the stabbing. The cognitive components is what you think about pain, what the cause of your pain is and whether or not you believe it’s temporary or permanent, controllable or curable. The affective component consists of your feelings and emotions about pain: fear, worry, anger, anxiety, guilt. In order to eliminate chronic pain, all the components need to be addressed and treated. The ways in which people think about their pain and their feelings are connected and have a great impact on the severity of pain and your ability to completely reverse it.
Joining me on the podcast this week is Alan Gordon, who is a Psychotherapist and the Director of the Pain Psychology Center in Los Angeles. He’s also an Assistant Adjunct Professor at the University of Southern California, has authored publications on the treatment of chronic pain and has presented on the topic of pain at many conferences and trainings throughout the nation.
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At the time of this podcast recording it’s summer in the United States and no doubt many people are out enjoying all sorts of activities including sports, exercise and hopefully running around playing with kids. I know that some of those people might also be sitting it out or perhaps taking it a bit easy because they have tendon pain and despite all sorts of treatment, they have yet to find a solution. If you have any kind of tendinitis or tendinopathy in your knee, ankles, shoulder, elbow, my next guest may have the answer to solving your tendon pain once and for all. Joining me today is Dr. Ebonie Rio. She has a Master’s Degree in Physiotherapy and completed her PhD in Neuroscience where she studied in-depthly the health and pathology of tendon as well as how the central nervous system and motor control might change in individuals with tendinopathy. She’s a practicing clinician as well as a research fellow at the La Trobe Sport and Exercise Medicine Research Centre at La Trobe University in Melbourne, Australia.
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This week we are talking about how to heal autoimmune disease naturally. The incidence of autoimmune disease has tripled in the last few decades. No one knows that more than those who struggle with chronic pain. The immune system is your first line of defense against things like bacteria and viruses, things that are invading your body. In some people, something goes wrong. Autoimmunity can develop into some of the most common types of diseases that we see in today's medicine. Things such as rheumatoid arthritis, multiple sclerosis, lupus, scleroderma, and Diabetes Type I. Often, people describe autoimmune disease as your body is attacking itself. I want to take a couple of moments just to help reframe this thought so we enter this podcast today in a really mindful way.
To speak with us further today and go deeper on every level of this topic is an expert. Her name is Dr. Amy Myers. She's a Functional Medicine physician and a two-time New York bestselling author of The Autoimmune Solution and The Thyroid Connection. She's the Founder and Medical Director of Austin Ultra Health, a Functional Medicine clinic that treats patients all over the world. She has helped thousands recover from chronic illness through her dietary based program called The Myers Way.
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Alleviating pain and its associated suffering requires us to go deeper into the awareness of what we're feeling emotionally, learning how we can welcome unwanted feelings and approaching this without even trying. When you look at pain from this perspective versus one where you have to attack the pain, triumph over the pain or win the battle over pain, a whole new world of possibilities begins to open up.
Here to speak with us today is Laya Raznick who is a holistic practitioner that uses massage therapy, acupuncture and pain coaching to help patients shift their physical, emotional and mental pain. There's a shift happening from right to wrong and good and bad. This polarity of thinking can take you in the direction of pain relief and eventually to a world without pain.
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