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Dr. Peter Attia

👤 Speaker
11186 total appearances

Appearances Over Time

Podcast Appearances

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

But what was amazing was these injections allowed me to go and do rehab, which I took on like a vengeance and basically rebuilt the strength in the musculature of my back. And so within nine months, nine months of meeting you, a year of the injury, I was functional. Within two years, I could get to the point where I forgot about it for days at a time. I'll give you an example.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

But what was amazing was these injections allowed me to go and do rehab, which I took on like a vengeance and basically rebuilt the strength in the musculature of my back. And so within nine months, nine months of meeting you, a year of the injury, I was functional. Within two years, I could get to the point where I forgot about it for days at a time. I'll give you an example.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I could actually sneeze without bracing. That was something I couldn't do. For a year, I couldn't lean over the sink to brush my teeth. That's how weak I'd become. Just the moment arm of your torso leaning over, I couldn't do that. I had to fully brace and support myself to just brush my teeth. So you asked, what was the lasting impact of that?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I could actually sneeze without bracing. That was something I couldn't do. For a year, I couldn't lean over the sink to brush my teeth. That's how weak I'd become. Just the moment arm of your torso leaning over, I couldn't do that. I had to fully brace and support myself to just brush my teeth. So you asked, what was the lasting impact of that?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Well, and I've told this story many times, and of course my kids know it well. One of the lasting impacts was my absolute love for parking as far as possible from wherever I'm going. Because when I was going through this, they wanted to give me a wheelchair parking thing. And I was like, I don't want it. Just a psychological thing. I was like, I don't want it. I don't care how far I have to walk.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Well, and I've told this story many times, and of course my kids know it well. One of the lasting impacts was my absolute love for parking as far as possible from wherever I'm going. Because when I was going through this, they wanted to give me a wheelchair parking thing. And I was like, I don't want it. Just a psychological thing. I was like, I don't want it. I don't care how far I have to walk.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And so now my kids know you celebrate your legs by parking far. And in many ways, that became part of this idea, this thesis I had of the centenary in decathlon, this idea of like, what are you training for? You're training for life. Life is your sport. And that can be something as mundane as being able to walk to the grocery store if there's no spot near where you need to go.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And so now my kids know you celebrate your legs by parking far. And in many ways, that became part of this idea, this thesis I had of the centenary in decathlon, this idea of like, what are you training for? You're training for life. Life is your sport. And that can be something as mundane as being able to walk to the grocery store if there's no spot near where you need to go.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And can you push the cart to the car and all that kind of stuff? So the net net for me is it has been incredibly positive. Again, I'm incredibly grateful, Sean, to you, because again, had I not been at Stanford, had I not had that girlfriend who I won't name her to embarrass her, although I think she's still on the faculty at Stanford, by the way.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

And can you push the cart to the car and all that kind of stuff? So the net net for me is it has been incredibly positive. Again, I'm incredibly grateful, Sean, to you, because again, had I not been at Stanford, had I not had that girlfriend who I won't name her to embarrass her, although I think she's still on the faculty at Stanford, by the way.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I just think there's a lot of ways that story could have gone sideways. So I feel incredibly grateful. And the final part of the gratitude is that I would go on to Hopkins for my residency in an emergency room that serviced some of the most opioid addicted people on the planet. And based on my own experience with that, I can say I always had a sense of humility about what they were going through.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I just think there's a lot of ways that story could have gone sideways. So I feel incredibly grateful. And the final part of the gratitude is that I would go on to Hopkins for my residency in an emergency room that serviced some of the most opioid addicted people on the planet. And based on my own experience with that, I can say I always had a sense of humility about what they were going through.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I always looked at it as... Oh God, I feel your pain. That is awful. And I could have been there. Wow. But by the grace. So that's been my experience with it, which is 90% good.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

I always looked at it as... Oh God, I feel your pain. That is awful. And I could have been there. Wow. But by the grace. So that's been my experience with it, which is 90% good.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Put the fire out.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

Put the fire out.

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

So let me ask you a question, Sean. How common or uncommon is my story? Because when you meet a person like me, is there a part of you that thinks we're never going to fix this guy? Like this guy's life is over. He's on 320 milligrams of Oxy, hasn't walked in months. He's in so much pain. The lethal dose of lidocaine did nothing. Is there a part of you that thinks this is a chronic pain patient?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

So let me ask you a question, Sean. How common or uncommon is my story? Because when you meet a person like me, is there a part of you that thinks we're never going to fix this guy? Like this guy's life is over. He's on 320 milligrams of Oxy, hasn't walked in months. He's in so much pain. The lethal dose of lidocaine did nothing. Is there a part of you that thinks this is a chronic pain patient?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

This is a guy who's going to be in chronic pain the rest of his life. Or do you look at a guy like that and say, no, no, we can fix this?

The Peter Attia Drive
#345 ‒ Chronic pain: pathways, treatment, and the path to physical and psychological recovery | Sean Mackey, M.D., Ph.D.

This is a guy who's going to be in chronic pain the rest of his life. Or do you look at a guy like that and say, no, no, we can fix this?