Prolo Hawaii

In Memory of Jeff Patterson, MD

2Jeff Patterson, MD (Medical Director of the Hackett Hemwall Foundation and the Past President / President Elect  for Physicians for Social Responsibility) my mentor, adviser, friend and prolotherapy colleague....  died suddenly from a Heart Attack on  January 23, 2014 in New York City. He has touched so many people around the world with his teaching, leadership and humanitarian work.  I and the Prolotherapy Community are so shocked and saddened by this news.   

Jeffrey J. Patterson, DO, was born on June 13, 1946 in Iowa,  He died suddenly on January 24, 2014 while on vacation in NYC.  Jeff was a kind and caring man that worked tirelessly to try to make the world a better place for all of us.  Since the birth of his granddaughter, Kira, 2 years ago, he realized even more the importance of working toward slowing Climate Change, abolishing nuclear weapons and power, and promoting world peace.

He was devoted to his family and group of close friends.  Jeff was always there with a hug, a smile, and an ear.  He never tired of playing with his daughter and her friends while they grew up and served as a positive father figure to children who lacked fathers of their own.  For the past 2 years he was passionate about spending time with his granddaughter, Kira.  Her smiles and kind nature have been shaped by his love.

Jeff was a true family doctor.  Many patients will miss his kind, caring manner, his extensive knowledge and his skills in providing their medical care.  Dr. Patterson was, at the time of his death, Professor Emeritus at the University of Wisconsin, Department of Family Medicine.  His affiliation with UW began in 1973 as a family practice resident and continued on as faculty member, Professor, and recently Emeritus Professor.  He maintained a busy medical practice until his death.

Many organizations benefited from Jeff’s hard work and determination to try to make this a better world for all of us.  First and foremost he was dedicated to Physicians for Social Responsibility, an organization of 30,000 doctors across the US.  In 1983 Jeff was a founding member of PSR Wisconsin, in which he has been active since.  Jeff has served on the board of trustees of the national PSR organization for decades, including serving as president for two terms. He traveled extensively, lecturing on the effects of radiation on humans, including to the former USSR after the Chernobyl disaster, and Japan after the Fukushima disaster, in addition to other countries around the world. He has worked tirelessly to try to lessen the affects of Climate Change and to abolish nuclear weapons and nuclear power.   (   In conjunction with his work at UW and PSR, Jeff annually taught a class, Physician Activism, for medical students.  He wanted young doctors to know how influential they could be in the world – and how to go about using their influence in a positive way, to again, make the world a better place.

Another organization that was important to Jeff was the Hackett Hemwall Foundation, HHF. Jeff was the president of the Board of HHF for over 20 years.  Jeff, and his partner Mary Doherty,  worked together with the HHF volunteers to provide medical care in underdeveloped countries.  Each year Jeff and Mary would organize medical trips, taking up to 150 HHF volunteer physicians and assistants to Honduras where they would provide medical care to 4,000 to 5,000 patients each year.   The HHF is known as a teaching organization that teaches the skill of prolotherapy – a therapy in which Jeff was world-renowned.  Jeff, along with his HHF colleagues, taught physicians from more than 28 countries how to do prolotherapy, a treatment for chronic pain.  During the time that Jeff was president of the HHF, the foundation trips grew to include phlebology, which treated ulcers and the treatment of venous disease, ENT surgery and dental care.  Jeff also engaged the UW Schools of Engineering and Physical Therapy in the Honduras trips, students and faculty would also volunteer their services in Honduras.  (

Words used to describe Jeffrey Jon Patterson, DO by his family, friends, colleagues, and patients are:  compassionate, brilliant, generous, committed, kind, caring.  One of his colleagues wrote about Jeff saying he was a man of true integrity, that core quality forming the foundation of a great person, so rare in our society.  We were all privileged and blessed to have known him, to experience his greatness firsthand.  He will be remembered as a genuine role model in life, the kind we can aspire to be.

Jeffrey J. Patterson, DO, grew up in Mediapolis, Iowa.  He graduated from Grinnell College, and  Kirksville College of Osteopathic Medicine; he completed his internship in Detroit and his Family Medicine residency at the University of Wisconsin.  He spent his entire professional career at the University of Wisconsin – Madison, School of Medicine and Public Health, teaching, mentoring, caring for thousands of patients and being the Family Doctor that he knew he wanted to be from the time he was a young boy, following in his father’s and uncle’s footsteps.

Jeff is survived by his loving life partner, Mary Doherty, his daughter, Becca Patterson, her husband David Francis, and his granddaughter Kira Francis, whom he truly cherished.  He is further survived by his brother, Michael Patterson, PhD, his wife Janice, of Plantation, FL; along with 2 nephews, grandnieces and grandnephews. Mary’s sons, Daniel Machotka of Black Earth, WI and Bryan Machotka of Belleville, WI, and Becca’s mother and his close friend, Pat Patterson, also survive him.  He was preceded in death by his parents, Dr. H. M. Patterson and Vivenne Patterson, of Mediapolis, Iowa.

A Celebration of Jeff’s Life will be held at The First Unitarian Society, 900 University Bay Drive, Madison, WI on Sunday, February 23, 2014, from 1:00 to 4:00 pm.

In lieu of flowers or other expressions of sympathy, donations will be appreciated to Physicians for Social Responsibility at (mailing address: PSR Wisconsin, 2712 Marshall Court  Suite 2, Madison, WI  53705) or to Hackett Hemwall Foundation at (mailing address: Hackett Hemwall Foundation, c/o Treasurer Julie Olson, 4606 Shore Acres Road, Monona, WI  53716).

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Nov 05 2010 Returned from an amazing conference in Italy that was held in Ferrara, Italy October 8-10, 2010

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Returned from an amazing conference  in Italy that was held in  Ferrara, Italy October 8-10, 2010,  the 2nd international  Neural Prolotherapy Workshop.  The importance of this  conference is reflected by the large number   of countries  that were represented, with  27 doctors enrolled that  came from Australia, USA, Mexico, New Zealand, Korea, Spain, Canada, Germany, India and Italy. The speaker, Dr. John Lyftogt presented the results of his research and taught the members the way he treats patients. I participated as one of his instructors.    Neural Prolotherapy  is a new therapeutic approach to chronic neuropathic pain, which until now has always  been very difficult to treat with limited treatment options.    Neuropathic pain is described as a debilitating pain that renders patients unable to walk, work, sleep and enjoy life. The other clinical features of neuropathic pain are hyperalgesia,  allodynia and dysesthesia. Other important signs of neurogenic inflammation are the expansion of nerves and a degree of swelling and to a much lesser degree, heat and  redness. Basically, neuropathic pain is due to  neurogenic inflammation.  The neurogenic inflammation is caused by the depletion  or abnormal release of neuropeptides accumulated in the unmyelinated C fibers and A delta myelinated fibers in response to neuronal injury of these peptidergic sensory nerves.  The abnormal regeneration of peptidergic sensory nerves results in neurogenic inflammation and chronic or neuropathic pain.  Dr. John Lyftogt  and his instructors showed that subcutaneous near  nerve injections of dextrose can cause a instant analgesia   with a reduction of neurogenic inflammation and improvement of neuropathic pain.

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Dec 06 2010 I will again assist as clinical instructor for Dr Lyftogt's Neural Prolotherapy Workshop

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I will again  assist as clinical instructor for  Dr Lyftogt's Neural Prolotherapy Workshop  in Los Angeles Califorina, May, 6-8, 2011. Dr. SmigelAttending Dr John Lyftogt's Neural Prolotherapy workshops, in New Zealand last year and in Italy this year, has been one of the most rewarding and exciting experience, in my quest to find the cure for Chronic Pain.  As a physiatrist and prolotherapist, I have been successful in treating musculoskeletal pain, but neuropathic pain has been  frustrating as very few treatment options are available - with no cure.     

I went to New Zealand last year for his first ever  International  Neural Prolotherapy workshop that he and his wife Maria organized themselves. There were only 12 medical doctors that attended.  We were  all blown away by his  work  and impressed  by the immediate relief of pain we witnessed when he treated  his  own patients.   Impressed but still skeptical,  I returned home and tried it on my own patients and have  been amazed with the results, leading to pain relief in almost all musculoskeletal and neuropathic cases.  I was excited to tell many of my colleagues about Dr Lygtoft's technique.     

I was invited to  attend his second workshop held in Italy, to assist  as one of his clinical instructors, attended by 27  doctors from around the world.  There, I was able to  understand more deeply  the pathophysiology of neurogenic inflammation and of the anatomy of  peptidergic sensory C-fibers and how it applies to the basic  principles of how neural prolotherapy with near nerve injections of dextrose can relieve pain instantly.     

I feel honored and blessed to be one of the pioneers in spreading the word about neural prolotherapy.  The whole paradigm of pain  has changed for me and I have discovered, thanks to Dr Lyftogt, a minimally invasive treatment, that if done correctly,  can  relieve pain  without the  expensive and ill effects of many medications used for  pain.

I am also  currently involved in exciting research, studying the potential analgesic  effects of dextrose on nerve roots,  via epidural approach.

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I am returning from the AAOM Annual Workshop that was held in Denver, Colorado August 5 and 6, 2011.  I lectured on “Neural Prolotherapy in the Clinical Setting” It was well accepted by the attendees, and many volunteered to get NPT treatment during the Treatment Workshop.  They were amazed at the instant relief of their pain, as well as the improved motion of the joints after the treatment.  I am happy to continue to spread the word about this mind-blowing treatment!

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Aug 15 2011 July 30, 2011 I am returning from a 5 week European Family Holiday Vacation and had a marvelous time!

Dr. Smigel Europe

We left Hawaii June 22nd and flew into Barcelona and rented a car immediately.  After a one amazing week on  the road through Catalonia and Basque provinces of Spain and Southern France, we spent a few days in Barcelona then left for a   12 day Mediterrean Cruise,visiting places in Italy, France, Monte Carlo, Greece and Turkey, ending in Venice.

It was great cruising with many of our friends.  While on the ship, I treated many staff and friends with NPT for their chronic pain.   After the cruise, we visited a very dear friend and fellow prolotherapist, Steve Cavallino, and enjoyed his hospitality at  his beach villa in Ferrara.

We also round de voued with our friends, the Crawfords there and then and travelled overland thru the Dolomites and Italian Alps, towards Germany. We spent time in Frankfurt and Berlin.

I managed to fly to Dublin for a day for a prolo clinic that Pat and Niall McDonagh organized.  We flew to Chicago for a very quick and fun Family reunion yesterday.

Again, I treated family members with prolotherapy.

This has been a great and wonderful and memorable holiday!

In a way, it  also became a working vacation,  treating patients with prolotherapy. It is so gratifying to be able to help people with their pain and to help spread the word about Neural Prolotherapy.

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