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I should sleep ... Big day tomorrow... This time, I listened to my own advice.“This is amazing,” Heather breathed, as the trail wound its way onto the first section of palisades that overlooked the valley below the Shawangunk Ridge.“It is an awesome view,” I agreed. “In the summer there are hawks flying around over the trees, and it’s really cool to watch them ride the breeze.”Heather murmured in pleasure. “I think we may have to come here more often when I visit.”“Oh, you ain’t seen nothin’ yet,” I sang.She gave me a grin.“How’s the ankle?”Her grin straightened. “Are you really going to ask me that every five minutes?”“Pretty much.”“It’s fine, Matt. The driving was harder than the walking!”I winced at all the clutch pushing that our mountains demanded on her left foot. “I can drive home,” I joked.She giggled. “We’ll worry about that later. If it turns out we have to live here for the rest of the week until my ankle heals up, I won’t be too upset about that.”“Well, there is a little. Between ten and thirty percent of Americans suffer from it. The societal cost is over six hundred billion dollars — more than cancer and heart disease combined.”“Wow.”“The medical community is finally starting to realize that pain is the disease, not the symptom.”I nodded.“Okay, pain. It can be psychological in nature. Doesn’t mean it isn’t real. But a good pain psychologist can do a world of good with back pain, neck pain, fibromyalgia symptoms.”“Okay.”“Of course certain pharmaceutical companies downplay anything that isn’t product related. And doctors simply are not well enough trained in pain medicine. So alternative solutions have been ignored.”“Like what?”“Cognitive behavioral therapy, mindfulness-based stress reduction, avoidance of catastrophizing your pain.” She smiled, “That means focusing on the worst that can happen because of the pain — losing your job, your wife leaving, passing the condition down to your children.”“Got it.”“Neuroimaging studies prove that.
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