We begin to discuss her blood pressure and her other problems. During the conversation I point out to her that we could use a black box analogy to describe how the body works. What happens in the black box is that energy is taken in transported, utilized and the energy used to drive an adaptive response to a signal given to the black box. She is told every adaptive response in nature or in a man-made machine is driven in exactly the same way. She is told that the emotional input determines which adaptive response that is driven. She is told that, if she selects the emotional input that is designed for the adaptive response to a bear stalking her, when she finds that she is responding to a neighbor spilling oil on her lawn, she will create a mismatch. This will result in an excess of fuel (blood sugar), transport (blood pressure, heart rate) and re-storage of the excess fuel (sugar to fat from cortisol). If this happens frequently the system will adapt to these conditions by keeping the blood pressure high. I tell her this adaptive response is a choice and she can choose to respond differently. At this point she show me a typed list from her therapist, who has her on Effexor, which also lists that she needs to change her response to how she sees things.

She says to me she can’t because her fear is well founded as her husband tried to kill her. She thinks it is reasonable to fear that he will try again. I point out to her that the choices in any moment come from the moment itself, and have nothing to do with another moment, past or future, unless that moment is itself brought into it. Each moment, I tell her has the potential to be different experiences, based on the perspective that you choose and the way you see it affecting you.

She still finds this a difficult concept to accept. I say to her let me show you what I mean. I use my stethoscope as a pendulum by balancint it on her finger, and touch her lightly with a Bic ballpoint pen  intending for the stethoscope pendulum to move (see intent and intent II) in a particular pattern and it does. I ask her to intend for it to cease moving and demonstrate for her the ability she has to affect the outcome of any experience with intent. I ask her also to introduce doubt, which affects her ability to affect the outcome then I ask her to relaease it, initially difficult but she is able to again changing her effect on outcome.

She breaks down crying and says that she understands. She asks me, how did I know that she would come today?  And how did I know that I would need to tell her that? I point out that it is always as it should be.

She turns around to leave and as she is leaving I say see you then to which she replies probably not, as she does not now  think she will need to return for anything as she is now able to see things differently.

Insight: When persons are able to see the true relationship that exists with everything else, they are then able to see how they could create their results and their reality.

I start out by telling her that hysterectomies are often not successful at treating chronic pelvic pain. Frequently, there is relief for a year or two, and then the patient returns with the same pain, often to be referred to another physician, sometimes a GI physician, other times a psychiatrist, many times with improvement but oftentimes without. I then tell her that before I make any judgments, I will have to evaluate her. She is obese. I have her to lay flat on her back and raise her legs some 6-8 inches from the flat position. She is tender at the insertion of the rectus muscles on the left at the pelvic brim (top of the pubic hair). She has tenderness of the paraspinal muscles on the left. I place both her hands on the equivalent muscles on my back and abdomen, moving so as to show how the muscles work together, contracting and relaxing in opposition to each other. I show her how both are contracted when bent at the waist. I show her when hers are in this position it produces the pain that she has. I am able to show her that this is where she has her pain and to duplicate it with her rolling off her back and lifting herself from the reclining position precipitates the pain. I show her how lifting the abdomen up (relaxing the abdominal wall muscles) relieves it.

I then tell her about the black box model that I use to demonstrate how the body controls its use of energy (see menorrhagia, biologic extended systems). I describe how this is driven by the emotional state. I also describe the analogy of the immune system and the gatecrasher concept (see immune system analogy). When I describe how cortisol is increased when one has an inappropriate major life threatened response to a minor non life threatening stimulus, she tells me that her weight fluctuates between 400 lb and 240 lb, her present weight, according to her level of stress.

Pelvic examination shows that there is tenderness, and when the cervix (mouth of the womb) is moved and when movement is in either direction, she feels pain then in both sides. I discuss the immune system and how a pelvic infection can reflect stress and how she sees her relationship with others, particularly her husband or partner. I offer to treat her with antibiotics, again reminding her of the immune gatecrasher analogy, and her need to change her perspective and her choices which create stress about events and results. I remind her that stress does not occur, but is rather chosen. I discuss how her choice of response creates stress (major life threatened response) and causes increased cortisol which is responsible for changing the glucose (recruited from glycogen in the liver and muscles for immediate response) into fat. This causes an increase in weight. This in turn alters the estrogen levels and affects the metabolism of sugar, with further insulin resistance. This is compatible with the multiple cysts on the ovary and the irregular cycles. She now tells me that she has been having irregular cycles. She is also able to understand why she has also become hypertensive, as this is all connected together. As we are ending the conversation, I can see the light bulb go on behind her eyes, as she finally understands.

During the course of the examination she is asked “Why does she smoke?”

Her reply is that it is because of stress. I proceed to discuss the perception of whether a glass is half-empty or half-full. I ask for her perception which she replies is that a glass is half-empty. I then point out that the half state is neutral and that in the moment of her perception it becomes what she perceives, and from that point she will experience it in that way. I point out that from this perspective stress does not occur but rather is chosen. She agrees.

I then ask her again why she smokes. Her reply this time is that she smokes because she wants to and I reply that this is exactly so. Any experience she is having, she is having because she wants to. She wants to have this experience because she chose it. In fact, she is pregnant because she wants to be. She is with her partner, because she wants to and chooses to be with him. She is on methadone because she wants to be. She will continue to have these experiences until she does not want to have them anymore. Her partner sitting in the corner smiles, and says yes in agreement, as if the conversation is not new. She exudes dissatisfaction with this perspective, though she does not become angry. She does not want to be reminded she is having this experience by choice and not by circumstance.

The insight here is that no one wants to be responsible for the outcomes they are having, if they perceive them to be negative. They would like to blame this on another source. The fact here is, however, she has chosen to respond to an external event and stimulus by incorporating a stress response and then tying the reduction of this to another stimulus or event, that of smoking. This is done rather than dealing with the consequences of the original stimulus or event.

She was asked if she had sexual intercourse regularly and replied somewhat sheepishly not often. I pointed out to her that her sheepish response probably reflected some degree of being uncomfortable with the idea of sexual relations with her boyfriend and this she would need to explore. She was also advised that progestin only contraception could be associated with a) normal menstrual flow, b) no menstrual flow, and c) constant irregular flow.

She underwent a pelvic examination which showed no evidence of any findings of inflammation present in the pelvis. She was advised that she probably fell into the c) category.

She was advised how the menstrual flow was controlled from the hypothalamus and pituitary glands in the brain acting in conjunction with the ovaries to produce different hormones, the final activity of which caused the lining of the uterus to grow, ripen and then shed when no pregnancy ensued.

She was given the black box analogy about the systems way of looking at the human or any organism. The characteristic input stimulus and output adaptive response was discussed. The energy flow in the black box part of the system was also discussed. The nervous system control in the sympathetic/parasympathetic system, in terms of its ability to increase or decrease energy flow and processing, in the black box portion was discussed.

She was told that the typical western medical approach was to modify the flow of the process in the black box by pharmaceuticals which affected different levels of the five part flow a) incorporation of energy b) transfer of energy c) utilization of energy d) and recycling of utilization products. She was told this is the equivalent of modifying a computer’s output by changing the chips or resistors on the motherboard. Certainly, the output would change, but there would be no predictability. This, essentially, is what happens, when a new drug is introduced, as it is not possible to truly know its effect on a population, until the entire population is exposed. From this perspective, there is no predictability, even in the use of her OCP’s. If she is a candidate for a stroke, she will not know until she has one or until she develops a clot, when pregnant.

The other approach in the black box analogy would be to see what changes in input would create the desired output adaptive response. To this end, she would have to look at the fact that human DNA is influenced by emotion. This has been experimentally shown. She would need to address this issue. This was of particular significance as she had “bad acne”, which seemed to be related both to her cycle and to her stress level, as she was to report.

She was amenable to these ideas and indicated a willingness to explore them further. She planned to return to the office in two to three months to evaluate how she was doing at that point.

Further questioning reveals that she had been having symptoms prior that were compatible with an irritable bowel syndrome (frequently diarrhea and constipation alternately), but that these were actually now improved. She wanted to know if these symptoms had anything to do with her pelvic infection.

I spoke with her about a different approach to viewing the human being. I spoke of applying the black box concept viewing the organism as a black box to which an input stimulus is applied and an output-adaptive response is noted. When viewed from a systems approach the internal processing in the black box is characterized by a) incorporation of energy b) transfer/transport of energy c) utilization of energy d) recycling products from the use of energy e) adaptive response. The adaptive response then could be added through the incorporation phase and back once more through the cycle any number of times.

She was made to understand that the sympathetic/parasympathetic nervous system could decrease or increase any of those four energy flows plus the adaptive response. She replied “yes, the fight or flight response”. It turns out that she was a student of psychology. I then told her that research showed that human emotion caused electrical responses in human DNA, in experiments. The emotional state produced by the “black box” operations, anger, fear, happiness, sadness would all produce differing responses in the DNA.

She said, “Ah! That explains why researchers say that making children with cancer laugh and be happy causes them to heal better. Also, it explained why one person reportedly fighting his cancer successfully with laughter.”

 I went on to say the final component is that the immune system represents the contact with everything else, and frequently there is metaphor in the way it responds regarding relationships with others. In fact experiments showed that immune function of a couple could be affected by simply having an argument that was assigned.

She responded, “That’s why in her psychology class they would say if back pain ensues you should see what you are carrying that belongs to others. If you have an infection you should see what you are letting in.”

I replied that is exactly how this should be interpreted, but that this is not the current way the medicine practiced in western society looks at this. I advise that we could treat the salpingitis one more time as it was improved, and that we could also use an antispasmodic for her irritable bowel syndrome. She advised that she was much better as she did not have pain ‘de novo’ as frequently and that it no longer hurt when she coughed. She said she was going to consider going into the meditative state to tap into the emotional energy state associated with her symptoms. She would, therefore, go with another week of antibiotics and would return for further problems.

I use this opportunity to point out that all things are related. I give her the example of looking at the body as a black box solely in terms of input that creates output. I present the idea of modifying output not by altering what is in the black box but by altering the input. I use analogies showing the computer and automobile as black boxes. I point out that medical treatments assume the black box is broken and try to change within the black box. I point out the equivalence of changing the computer chips to modify the output versus modifying the software.

I point out that it is the emotional output which acts upon the body that allows the body to change itself. At this point she says to me she has changed her life as she got rid of a husband with whom she had a bad relationship. She has lost a hundred pounds plus. She states that despite this everything from the perspective of her bleeding is getting worse. I tell her the story of the knee and self sabotage (see Knee I). She replies to me that I am telling her that it is in her head. She says to me that there has to be something causing this that can be fixed medically. I point out to her that this has been going on for well over fifteen years and all the trips to the physicians during this time have not changed anything. I point out that preceding physical change is emotional change. I point out that frequently patients come in with pelvic pain. On examination it will appear to be connected to the sex organs. Frequently these patients will have surgery and the pain will go away, only to return in a few years. Upon return the pain is usually exactly the same as before except now there are no organs to remove.

I ask her to go back into time and tell me when she started to put on weight. She tells me this was around the time of her puberty. She told me she was harassed because of her religion “Jehovah’s Witnesses” and because of her size. Her response at that time was to eat for it made her feel better. I point out this is still an issue she will have to deal with. She will have to be able to see that she is perfect. As I say this I can literally see her close down because she does not believe this. I point out that as a piece of the universe she is perfect and has perfect contact with everything else and because of that contact she can change any experience but she will have to become responsible for this. I can tell she is presently unwilling to be in this place of responsibility. I point out that I am there to support her and that there is enough medical indication to remove her uterus. But, I point out, it will not take care of the other problems and symptoms, beyond making her cease the bleeding. I point out that if she desires hysterectomy, it can be performed, but this has to be seen as a temporary respite from the other symptoms, while she learns to change her perspective in seeing her relationship with everything else.

Insight: The insight here is that some people are ready, only to assume partial responsibility for themselves, in the same situation that others are willing to take full responsibility. The degree of success to which one is able to have and experience a different reality depends on their ability to assume full responsibility.

This leads us to the perception that pain is often related to other phenomena. We speak of a model, where emotion drives the DNA as some recent studies have shown. Please see further links of DNA and consciousness. This was compatible with a mind, body and spirit connection. We can think here of the concept or perspective in mind affecting the emotion and producing a feeling. This emotional feeling drives the DNA. We, then, have a result that is a physical expression of DNA.

At this point she offers that when she considers, she has pain with intercourse primarily when she does not want to engage in intercourse, but her partner does. We discuss the possibility of the DNA expression having an effect via the immune system as specifically related to her female organs.

In this we can find an explanation that shows how her emotional relationship with her partner can affect her immune system, and be specific in the area of their physical intimacy. In this way, the pelvic infection appears to have a direct relationship to the symptoms of salpingitis (infection of the fallopian tubes), pelvic pain and dyspareunia (painful intercourse).

I discuss the fact that this model of emotion creating an effect in the particular area of the body seems to place an emotional/energetic stamp in that area of the body simultaneously. This is accessible through meditation and that she may try confirming this with meditation on her own, and as she confirms issues, address them.

Now, chronic pelvic pain associated with the female organs is typically divided into pain from conditions such as endometriosis, and  pain from pelvic infection. These are both similar, and are more apparent at the time of menses. Usually one in medicine tries to decide if the pain is related to one or the other.

In view of her lack of success, I tell her that the pain can be associated with pelvic infections, which represent the body’s inability to handle the inflammatory response that is produced. I inform her that her pain is from more than one source. Further examination reveals that there is also a component, which seems to be associated with the pattern of her large intestine. In outlining the examined area on her abdominal wall there seems to be a component of tenderness which follows this pattern. By making her tense her muscles of the abdominal wall, we can determine the level of her pain, whether it is in the muscular layer, fatty layer or below in the abdominal cavity itself. In this way, we are able to show her that there already three levels of pain associated.

I treat her by giving her antibiotics for the pelvis, antispasmodic medications for the bowel and anti-inflammatories for the abdominal wall pain. I recommend that she also consider some massage therapy, which may help to alleviate some symptoms related to muscle pain.

She returns in two weeks, and I re-assess her and she has only minimal change in her level of pain and discomfort. She is really no better. I tell her things are not always what they seem to be. I inform her that, sometimes pain is not actually about what is hurting, although it may have something to do with it, in relation to the pain. I tell her a little bit about quantum mechanics. I tell her that everything is connected to everything else, so that each thing affects all things. I tell her this is also similar to how the body works. I give her an example. There is the person who is a hard worker, who believes that hard work is rewarded. In her office, there is someone else who chooses not to be a hard worker and inevitably, the work always ends up on the desk of the hard worker. We point out, that she can project this on her boss, as being the one who is overworking her, and direct anger at him. She then, gets an ulcer. Now it will not heal, if she does not address the fact that it is her direction of her energy that creates the ulcer. The take away is, not that it is stress causing the ulcer but, rather that what is directed externally which is received internally is a confirmation that what is external is as much self. This is so, because, there is only one from the quantum mechanics perspective.

I also tell her that the immune system may be considered as the contact between the internal self… the individual and the external self…. the environment. This interface, then, reflects what is going on in this relationship between the two. Thus, any abnormality in a relationship with a spouse, family member, other persons, objects or energy may manifest itself in the way the immune system operates. I point out to her that we have found most illness to have some underlying aspect in the operation of the immune system. This happens, whether we are considering pregnancy, heart disease, auto-immune disease, infectious diseases or a metabolic disease such as diabetes.

I point out that the immune system does not function as a steady flat line but, may be considered more as a pattern which goes up and down in function depending on choices and other activity going on. I tell her that studies reveal, that if I were to assign her and a spouse or boyfriend the task of arguing about a topic, and then measure the levels of functioning of her immune system, before and after the task, she would find that the levels of her immune system function would drop some 60%  or more. The immune system function would drop if she lacked sleep, ate poorly or if there were an increase in her stress levels. The function of the nervous system in responding to the need to fight or flee, initiates a series of responses, which affect the immune system function.

I point out that all of these activities reflect choice to some degree, and so the functioning of the immune system depends, not on what it is exposed to, but to, what choices we make and whether we choose a state of stress or not. I tell her that the use of antibiotics is the equivalent of the following analogy. The immune system is like throwing a party and having policemen outside, whose job it is to prevent the ability of uninvited guests to attend the party. So long as there are policemen, there is no net inflow of uninvited guests, but if, some of the policemen are missing then there is a net inflow. If there is a fall in the number of policemen, but we are able to rev up their activity, then we can produce the effect of no net inflow of “crashers”. Thus, it does not matter who brings the uninvited guest, as long as there are policemen present, who prevent the net inflow. I point out that, what the immune function reflects is largely a matter of how personal choices are made. Thus, the responsibility for how one does, rests largely with the individual, and the use of antibiotics is only an augmentation, and does not take the responsibility away that the individual has.

I point out that things are not always what they seem to be, as the pain and discomfort experienced often has to do with other things, often in metaphor. I point out to her that one of my ex-players experienced an unusual amount of pain in his knee, preventing from participating in one of his favorite activities, which is soccer (see Knee I). He performed the task of placing his awareness into the pain in his knee and was able to have the intuition that this was related to self-sabotage. He was able to modify the degree of self-sabotage to the point where he was able to return to playing pain-free. I suggested that she do a similar exercise. She, at this point, told me that she was aware of what, in her life, was creating her pelvic pain. She told me she felt this was related the situation, that existed at home, involving her daughter and grand-daughter, and the partner with whom she was living, and his son. She implied that this was creating a large amount of emotional disturbance in her life. She told me that she also knew what she had to do.

She returns to the office, in another two weeks, after being discharged home. She tells me that she is much improved and that she took care of some of the issues, mainly those concerning her partner and his son who have now left the environment. The remaining issue is that of her daughter and granddaughter. There is disagreement, as she feels her daughter is not taking proper care of the grandchild. I inform her that she needs to either be the mother of the grandchild or to let the daughter be the mother of the grandchild. She needs, either to adopt the grandchild and terminate the parental right of the daughter, or she needs to make her daughter responsible for her child. She cannot remain in the middle. We have a conversation about this and she leaves.

She returns for a follow up visit in ten days and greets me in the hall with the statement that all of her pain and discomfort is now gone. She states that she took care of the final aspect of things and that her daughter has become responsible for the grandchild.

She has been treated with medication for the purpose of stopping pain with voiding, by affecting the muscle at the neck of the bladder. This proves unsuccessful. Additionally she has had an ultrasound and CT scan of the abdomen. None of these have provided a reason for her pain.

Because of the failure in diagnosis and treatment from a western medical perspective, we decide to investigate other approaches. We talk about chronic pain in terms of the approach of western medicine. Pain is seen, generally as arising from a particular place in the body, associated with a particular physical cause. Pain, however, is actually a perception within consciousness associated with a particular signal from the nervous system. This idea can be used to explain the fact that some women have taught themselves to experience an orgasm, while undergoing the process of childbirth.

Pain is a perception that is associated with a perceptual need to change the activity associated with the pain. It serves as a warning for the organism, about the present activity. This is the message of pain. Western medicine seeks to obliterate the sensation of pain. Consequently, when patients arrive with pain, they are assessed by ascertaining the level of intensity, and attempts are made to obliterate this level of intensity. This is usually in the form of anti-inflammatories or narcotics.

Information about the cause of pain and the activity that it is related to, which bears changing, can be extracted from consciousness. In terms of Quantum Mechanics, since consciousness is experiencing an event, pain is a feedback about the event. It is much the same as pleasure is also a feedback to consciousness about an event. To some extent, the perspective with which to see the event can be chosen. Again the evidence for this is the patient who chooses to have an orgasm with childbirth. The act of meditating on the pain, by placing the awareness into the pain is one way of extracting information, which we may perceive as intuitive. See the example the Knee I.

After this discussion she is examined and information obtained. While sitting she is observed and, here, noted to be asymmetric. Her entire right side shows a tendency for increased muscle tone. She reports that a nurse practitioner has told her that one leg is longer than the other. She has tenderness in the muscles of the back, adjacent to her spine on the right, while she is resting. While they are contracted, the muscles of her back have tenderness on both sides. But, those on her right side have more tenderness. Not surprisingly the rectus abdominus muscles in the front attaching to the pubic bone are also tender. Tenderness on the right is also greater than on the left.

She is told that while she rests, there is an unbalance in her muscular tone. She has more nervous tone on the right side than she does on the left. Her body’s further adaptation to this produces more pain. This asymmetric way in which her body is held, through the asymmetric nervous output, reflects the way her consciousness is interacting. This represents an asymmetric interaction from her consciousness. This is because, as her consciousness perceives that she is being treated within her environment, she responds by holding her body in a way reactive to that. That is to say, if she perceives threat then she holds her body in a way to be ready to respond to the threat.

Therefore, looking at this through the Quantum Mechanics framework, there is something asymmetric about the way her consciousness is approaching reality. From this framework the body’s expression is a result of the input from consciousness. This can be likened to the way in which input into software, determines the output of the hardware, the computer. This pain would be better assessed by entering into the meditative space and gleaning information from her consciousness. It can be seen that the benefits here from a psychiatric approach, may well have nothing to do with inappropriate psychology, but rather from the ability to tap directly into consciousness.

Here is a Native American female who has been trying to become pregnant for the last five years or so. She has been having irregular cycles. She has had some hormonal attempts at regulation of her menstrual cycles. She is also obese and has been treated with agents to promote more insulin activity in her blood.

We then have a conversation about the five way energy flow systems which can be used to understand Traditional Chinese Medicine supporting a) adaptation/change, b) incorporation of energy, c) internal flow of energy, d) use of energy, and e) recycling of used energy. This is much as we described in the previous discussion Weight gain and Menorrhagia. We discuss how the dysfunction in the systems is related to functional blocks in the arrangement between the nervous system, endocrine system and the emotional, mental and spiritual bodies. (Conceptually, in Quantum Mechanics terms, here we may consider the spirit to be the energetic body in connection between the individual and everything else that exists.) We discuss how the stimulation of one system affects the others. For example, the stimulation of the system portion for adaptation slows down the system portion related to incorporating energy but speeds up the system portion handling delivery of energy. We talk about how turning on the adaptive response leads to activity in humans interpreted, in the Western Medicine view, as fight or flight. Fight or flight lumps all the changes together, however. 

We talk also about the net result, on the system that incorporates energy, and how it is that this causes the storage/breakdown of energy (glucose) in the body. We discuss that repetitive turning on of the Adaptive Response, without winding down to return to balance, tends to result in a heightened responsive state.

When asked when she first put on significant weight, she replies that this began at age fifteen when she went away from home to a boarding school. She states that she was, at that time, ostracized because of her appearance and ethnicity. Her response to this was to feel bad (dysphoric) about it and that she alleviated this by eating more, which made her feel better (euphoric). She was advised that this maladaptive response led to her constantly eating more, and to gain more weight. 

Ultimately, this weight affected how her body metabolized its steroid hormones, which in turn affected her menstrual cycle. This weight also affected the way the insulin in her body and her menstrual cycles as well. Collectively these in turn contributed to her infertility. 

This was further complicated by her being Native American, which gave a different response to high volume carbohydrates. It was explained in this way. The absence in the Native American diet of carbohydrates in large quantities for the past 3,000 years or more had a tendency to create a great desire for carbohydrates. This was superimposed on the decreased ability to handle carbohydrates because of the lack of exposure. 

Incorporating this into a Quantum Mechanics framework we are able to see that consciousness is making choices about perspectives in relationships. These perspectives determine the experience of the individual consciousness. The event that determines this experience, being considered, is actually the event that takes place when she is a fifteen year old girl. The event of being ostracized created a perspective of being subject to hurt by others.  From this arose an adaptive response. The response chosen is complicated by the fact that it has no end, as for example does fighting. This response continues indefinitely until degraded and then the cycle is repeated. This perspective of seeing oneself as not being good enough, then attaching an activity to produce the opposite sensation in the body, produces a series of outcomes. These are experienced as weight gain, infertility, irregular bleeding and the other symptoms.

Different outcomes from those mentioned actually require a change in the original perspective. This perspective, of being subject to someone else’s created reality of the individual not being good enough when changed, will actually complete the unending adaptive response.

Supportive to this, is changing the conditioning that has been an overlay to this.

This conditioning is essentially the idea that the issue can be dealt with at the level of stopping eating. This usually results only in a starvation response in the body slowing metabolism down, ultimately leading to more weight gain. This conditioning can be broken by eating frequent small meals every four hours or so, honoring the natural rhythm of the body in feeding itself.

It is through a series of efforts directed at shifting perspectives, and supporting the natural body tendencies, that one can achieve change that is permanent.