
Marc Engfield
Dr. Marc Engfield is an Ottawa-based internal-medicine physician (MD, FRCP) specializing in chronic pain management, acupuncture, and integrative medicine.
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Aug 29, 2026
Ludology 363 Transformative
53:02
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54:25

Marc EngfieldGUEST
It, you know, it's, uh, it, it's a fiendish, fiendish question, um, because chronic pain has so many variables that affect it.

Marc EngfieldGUEST
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.

Marc EngfieldGUEST
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.

Marc EngfieldGUEST
And, um, so you know, how to, how to, you know, how to move the needle or even what needle to move exactly.

Marc EngfieldGUEST
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.

Marc EngfieldGUEST
You just have to, to get the nerve to s- to stop, and then everything will be fine.
8 MINS LATER
