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Marc Engfield

Marc Engfield

Dr. Marc Engfield is an Ottawa-based internal-medicine physician (MD, FRCP) specializing in chronic pain management, acupuncture, and integrative medicine.

Aug 29, 2026

52:57
Um, I'm gonna have to hand this off to Mark for any further details.
53:02
It, you know, it's, uh, it, it's a fiendish, fiendish question, um, because chronic pain has so many variables that affect it.
53:13
So you know, we use the one to 10 score, but anybody who interacts with the one to 10 score in a meaningful way, if you start asking it to yourself because you have chronic pain, or you start asking it to your patients because you're somebody who looks after them, y- these scores are all over the place, and they o- often become more of a barometer of personal stress.
53:34
And so, um, the line between, you know, what is the pain in my body and what is the suffering in my mind is really blurry.
53:44
And, um, so you know, how to, how to, you know, how to move the needle or even what needle to move exactly.
53:52
Um, so in the therapeutic context, you know, the, the way that Sean and I used the game was, uh, as part of a 12-week workshop where I was testing some of these out-of-the-box kind of things, um, to, to do on chronic pain, some extra, um, some, some education, some understanding a- about the new neuroscience that tells us how pain i- the perception of pain is really being formed in the brain, um, instead of just what we thought for, for decades, which was, you know, it's just a bad nerve.
54:25
You just have to, to get the nerve to s- to stop, and then everything will be fine.

8 MINS LATER

62:33
Marco, do you, do you see anything different from what I just said?

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