When helping patients accept their 'imperfections' is the best cure

Sometimes medication and surgery simply don't get to the heart of a patient's problem, says this GP

Brian was in a lot of pain, I could see it. But his lumbar MRI showed only modest changes.

Two back surgeons said they couldn’t help him. Physical therapy, chiropractic and osteopathy didn’t help or made him worse.

Duloxetine helped only a little. After one day of a higher dose, he felt “loopy” and stopped it completely.