Ricky’s Riffs: A blog about health and healing and a world that needs care.
Reflexions On Getting Covid…Again!
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.
Reflexions On Getting Covid…Again!
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!!
For me, more than anything else, Covid is a nuisance; having to cancel my day–and week–and tell patients in pain that they had to re-schedule to next week or to find another chiropractor who might be able to squeeze them in.
Covid is here to stay. It’s endemic. Mask as you will, you will not escape it. We will all get it…all of us. And most likely, multiple times. So why not just accept this reality and relax about it. I know people who have barely left their homes for years out of the terror of getting “The Vid!”
Ego and Entheogens in a World Gone Mad
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.
Covid-19: What the Left (and Right) Got Wrong
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…
On Creating Sacred Space
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…
Bufo Alvarius and the Entheogenic Revolution
“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…
Techniques of Transcendence
Who are we? Who am I? We are daughters and sons, mothers and fathers; we are our jobs, our homes, our educations, our nationalities; we are our ethnicities. We travel through life attached to these identities; composites built, brick by brick…
Michael Finney interviews Ricky about his new book “The Back Pain Relief Plan”
Ricky Fishman discusses his new book, Back Pain Relief Plan, with consumer affairs reporter Michael Finney.
COVID Diaries, Part One, Naming Our World
COVID intruded into our world last Winter, then raged through the Spring and Summer of 2020. After taking a small break in the Fall, it exploded again–predictably–on the heels of reckless Thanksgiving and Christmas travel.
So here we are, rounding the turn on our first full year of COVID.
The wreckage of the pandemic is all around us: millions out of work, thousands of small businesses shuttered, over four hundred thousand dead…
On Impermanence and Illusion
We spend so much of our lives constructing stories; narratives to make sense of our worlds. And we usually cast ourselves as the heroes, the center pieces of what are, all too often, tall tales. As I watch my boarded-up city of San Francisco slowly re-open, I know that it will not be what it was before. Like a tidal wave washing over the city, sweeping away lives and livelihoods, COVID-19 has destroyed so much. I, like millions of others, was comfortable with my illusions…
On Practice in the World of COVID-19
One of the biggest challenges for me during this pandemic has been the very real possibility that work, as I have known it, may never be the same. On March 16, complying with the orders of Mayor London Breed, I shut down my San Francisco chiropractic practice. As an essential service, I could have stayed open. But my partner and I (along with the other practitioners in my office) chose to “shelter in pace” in order to help “flatten the curve” of the coronavirus spread. I plan to re-open for business this coming Monday, May 4. We will take all of the necessary and recommended precautions: wearing masks, physically distancing our clients in the waiting room, reducing patient appointment numbers, scrubbing down…
Interview: Business Before and After COVID-19
Ricky Fishman talks to consumer reporter Michael Finney about running a chiropractic practice in the midst of the COVID-19 Pandemic.
Some Early Thoughts on a Global Pandemic
We have suddenly been thrust into a global pandemic. Seemingly overnight, our lives have changed. Many of us are on lockdown, prohibited from leaving our homes except to go to the grocery store, the pharmacy, or the doctor. We must now maintain “social distance” to prevent infection, staying at least six feet from others. There were already signs, back in December 2019, of a strange viral disease originating in the filthy live animal markets of China’s Wuhan province. Then it was seen in South Korea, and Japan. Somehow it jumped to Italy, and spread throughout Europe. All the while, from our “distant” perch–despite alarms being sounded by infectious disease and public health experts–our leaders looked on, and did nothing…
The Democratization of Health and Healing
I’d like to start a movement called “Humans for the Democratization of Health and Healing.” The movement will include many stakeholders: patient/consumers, healthcare practitioners, industry, and government. It will question the traditional relationships among all of these entities. And it will demand change from them all–including myself!…
Cannabis: Medicine of the Future?
The cultivation of cannabis is a science and an art. As medicine, it can be used for relief of pain and the enhancing of pleasure; to relax and to sleep. It can stimulate the creative mind, and the spiritual one as well. The Emerald Cup, an annual event held at the Sonoma County Fairgrounds, is the “Academy Awards” of cannabis. Named for Northern California’s “Emerald Triangle”–the center of the state’s cannabis cultivation industry—it is now in its sixteenth year. Awards are given…
The Sound of Healing
I relaxed at Philz, my local cafe, sinking into a soft leather couch, taking in a fine selection of indie rock, and enjoying some very strong coffee. As I sipped on a tall Tesora, I daydreamed about the trip I’d soon be taking to Peru. I was excited, but at the same time troubled by a pain I was feeling. I knew its source. A deep wound inflicted by someone whom I thought was a friend. He had stolen something from me, something real and material, but also something more…vital. It felt as if this “friend” had made off with a piece of my heart. But knowing this…
The War on Health Care
Our health care system is in crisis. Everyone feels it. Premiums and deductibles keep rising, provider networks are narrowing, and the bite out of the average American paycheck gets bigger and bigger. Health care has taken center stage in the run-up to the 2020 election.
The Democrat arguments swing from elimination of the private health insurance industry and Medicare-For-All to a public option to buy into the Medicare system. The Republicans have no plan, beyond destroying the ACA (Obamacare) and crying “socialism!”
In Guatemala with the Integrative Health Project
I just returned from a week in Guatemala, where I worked with the Integrative Health Project. The project was started by a few acupuncturists about six years ago. They wanted to work with the underserved, indigenous population living around Lake Atitlan, a beautiful, fertile and impoverished region in the Guatemalan highlands.
Pathologizing the Female Body: Pregnancy, Modern Medicine and Integrative Care
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...
Pain, the Opioid Crisis, and Alternative Care
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…
Interview: “A Rationale For a Single Payer Health Care System.”
Ricky Fishman, DC is interviewed by Michael Finney, consumer affairs reporter for Channel 7 Bay Area and KGO Radio, about his article “A Rationale For a Single Payer Health Care System.”
On the Opioid and Gun Violence Epidemics: Rationales in Common
We are currently in the midst of the most lethal drug epidemic in our country’s history. One of the shocking things about this crisis is that it has been going on for the past 20 years without showing any signs of letting up. In 2016, overdoses involving opioids killed more than 42,000 people. Of those deaths, 40% were from prescription opioids. (Statistics are still being finalized for 2017.) Several recent books describe the evolution of this…
A Rationale For A Single Payer Health Care System
Real change is coming to our health insurance system. This is inevitable for the simple reason that the system, as it stands, is not sustainable. Premiums and deductibles keep rising, way beyond the rate of inflation. Drug prices also rise, as do hospital and medical device costs.
In 2010 President Obama pushed through his landmark legislation, the Affordable Care Act (ACA), which enabled millions of previously uninsured people…
Welcome to “Condition: Health News That Matters”
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...
Chiropractors, Carnivals and Clowns: Seeking the Soul of My Profession
I have treated many performers: musicians, actors and dancers. They are a colorful, exciting group of men and women who choose to follow their dreams, listen to their inner voices, and dedicate their lives to the creative process. I respect and admire them. A...
From Stools to Thrones: The Chair and Its Discontents…or, How Chairs Tell Us Who We Are
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...
A World of Pain
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,...
Empathy, Patient Centered Care and Healing
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. ...
Bernie’s Big Adventure: Medicare-For-All, A Most Radical Proposition
On September 13, 2017, Bernie Sanders---the Independent Democratic Socialist---stood with fifteen Democrats and introduced the “Medicare-For-All Act”, HR 676. Bernie has been introducing varying versions of this legislation for many years; but without any...
Obamacare and the Shifting of the American Mind
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...
How the ACA is “Blowing Up” the Health Care System and Why That is a Good Thing
The American Health Care Act (AHCA) was written, presented, lobbied for and rejected within the first 60 days of Donald Trump’s presidency. For eight years, the Republicans had made “repeal and replace Obamacare” their rallying cry. Yet even with control of both the...
Public Option: Next Step Toward Universal Health Care
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...
Trump Excitement Disorder (TED)…or Tribal Fever
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...
Trump Induced Stress Disorder (TISD): A New Diagnosis for a New Era
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...
Pain and Suffering of the Digital Natives
“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;...
Incrementalism vs. Revolution in Health Care, Part 2: Is Obamacare Crashing?
The recent announcement that Aetna would be pulling out of a large number of the Affordable Care Act (ACA or Obamacare) exchanges, affirms a fundamental truth about health care and insurance in our country. Business and health care do not mix. The ultimate goal of...
Interview With Michael Finney–On the Direction of Health Care, 6/4/16
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...
Revolution or Incrementalism: The Battle Over American Health Care
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...
Music, Art and Revolution: Cuba, 2016
Havana’s Jose Marti International Airport is typical of many airports in the “developing” world—one terminal and one carousel for our bags (AND the bags of another two flights coming in right after us). After an hour of chaos, we found our last piece of luggage and...
A New Year, A New You: Some Perspectives on Integrative Health and Healing
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....
A Persian Wedding: Love and the Will to Freedom
Mehraban and Sahar were married under redwood trees in the hills overlooking the San Francisco Bay. It was a brisk evening warmed by the presence of their many friends and relatives who had gathered from near and far. When I walked into the reception hall, the dance...
Mortality and Healing: A Meditation and Tribute to a Friend
It seems to be a season of dying. It’s probably my age—almost 60—and the age of many of my friends. So it shouldn’t be a surprise that mortality is in the air. It’s not that I haven’t experienced death before. My father at 69, my old friend Sigrid at 36, my...
“Sitting is the New Smoking”: “7 on Your Side” Featuring Dr. Ricky Fishman
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...
“I Feel, Therefore It Is”: The End of Critical Thinking and the Rise of the Digital Mob
I was never a Facebook “poster.” That is, until the latest Israel-Gaza War. I watched as the tensions escalated on both sides of the conflict, sensing what was to come. First, there was the kidnapping of the three teenage settler boys in the West Bank. Immediately...
Ebola, Chronic Disease and the Road to Wellness
The Ebola epidemic is still raging through West Africa. Thousands are dead, including many health care workers who bravely fought the disease on the front lines. There is an urgent demand to develop the medicines needed to defeat Ebola. Experimental drugs are being...
A Meditation on the Middle East Conflict, Islamophobia and the Need for Global Healing
The Middle East is imploding. Israel has “mowed the lawn” in Gaza, wreaking havoc on the Palestinian population. Hamas, aggressively or defensively, has launched hundreds of rockets, their goal to terrify the Israelis. Assad has slaughtered over 100,000 Syrians. ISIS...
Prescription for Change: On the Construction of a True Integrative Health Model
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...