In my work to rehabilitate patients with life-changing injuries - often the result of a traumatic event - I have found that it is necessary to engage the whole patient. My treatment objective is to facilitate an active, internal journey to improved health.












PETER J RAPPA, MD
Rehabilitation Physician, Author and Speaker

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Life in Energy Terms

A Bounce from a bottom

November 22nd, 2009

She came into rehab wreaking of cigarette smoke, delirious on dilaudid and twitching from early alcohol withdrawals. She entered, well, angry.  It got worse as the doctors tapered down her medications and the therapists summoned her to move from her place of security, the bed, into the danger zone- a wheelchair. My response to the attorney’s question was simple…”In this state of being her prognosis is poor. Her biggest challenge is her attitude, and her behavioral state is a reflection of her state of being, or level of consciousness.” As I made rounds with the team, I wondered if this were her bottom. An auto-pedestrian collision, now unable to walk, and resistant to the path that lay ahead. I asked the team to treat her with kindness and respect, and give her an opportunity to change. A hot meal, a shower, a clean bed, a clear head  and the miracle of  “will” saw six weeks of progress where multiple fractures began to heal, and an angry, hostile, witch turn beautiful. I would like to think that her bottom had come and she was moving on up. Ready to leave the hospital, the hard work was now to come. Getting clean is easy. Staying clean is the tough part. Finding the road, and walking the road are two different things entirely.

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