Category: chronic pain
National Pain Strategy #ISpeakForPain
- Sign the petition here and make sure to share on social media (bonus points for using tags like #ISpeakForPain!)
- Write a blog post or record a video about it and share that!
- Use the photo I’ve created below to share on Insta
Book Review: How to Live Well with Chronic Pain & Illness by Toni Bernhard
Courtesy of ToniBernhard.com |
#ChronicLife Wrap Up
A few weeks back, Britt aka the Hurt Blogger had an idea based off a conversation – to live tweet 48 hours of her #chroniclife.
Before I get into anything, I want to share a few links – you can check out Britt’s tweets here and tweets from other peeps like myself here. You can also read Britt’s wrap up here and check out others she’s linked to. You can check out the ongoing tweeting here.
Live tweeting my illness related issues was very telling. For me it opened up things I was repressing. It’s one thing to have your rheumatologist tell you that you’re banned from yoga and have to step back to water therapy, but it’s another thing to stop being in denial and realize how very right she is.
I think we spend so much of our time censoring ourselves because what we want to say isn’t popular or polite. Or, as many found during this exercise, we feel whiny when we share about our pain. We think it makes us complainers and nobody likes complainers!
One of the reasons I love my fitbit is that it shows me when pain interrupted my sleep #ChronicLife pic.twitter.com/N87D5NR1Vg
— Kirsten Schultz (@Kirstie_Schultz) February 2, 2015
Personally I learned a lot about myself. I learned that I ignore a LOT of pain in my day to day life. Obviously that’s exacerbated with my hip issues right now, but still. I was more aware of the pain because I was more focused on it. It was honestly a mindfulness exercise for me. It gave me an opportunity to check in with my body in a way I hadn’t done in a LONG time.
Dat #stillsdisease rash though #ChronicLife – at least it doesn’t itch at the moment! pic.twitter.com/gFzMQoTxA9
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
I shared a lot about my morning routine when I’m feeling okay-ish or when I don’t have a choice.
How am I gonna tame this with angry hands?!? #ChronicLife pic.twitter.com/T7TUnl8uQ6
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
Now I have to figure out what to wear, taking into account pain levels, weather (esp humidity & cold), and today’s activities #ChronicLife
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
With a real feel of 9 and snow on the way, I’ll need to dress warm but not too constrictive on my joints #ChronicLife pic.twitter.com/fLW3Ei7aFx
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
Now on to makeup, because I have a PCORI meeting to start off my day and don’t want to show off rashes #ChronicLife pic.twitter.com/dvGVHZzEhD
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
First to smooth out my psoriasis on my face and to reduce redness #ChronicLife pic.twitter.com/wEgobAbZom
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
Now since all that erases color in my face, I have to replace some and actually wear blush! #ChronicLife
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
And now I look normal! Well kinda… Haha #ChronicLife pic.twitter.com/43uW9XvNwN
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
I didn’t realize just how much energy I spend on trying to look normal. Most days it honestly doesn’t matter, but that one it did. I had a meeting to discuss applying to serve on a PCORI panel which was well timed with this experiment.
Writing this way, using a stream of consciousness, allowed me to share a lot of things I don’t normally share, like pictures of my bra… which got furiously retweeted despite the lack of boobs in said bra.
The only bra that’s going to work with my shoulder pain is more for show than support #ChronicLife pic.twitter.com/AbvPr4NhfG
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
As someone who deals with moderate depression and general anxiety disorder as well, I was able to share a lot more on those issues than I have in the past. I hope to continue to shed light on how my chronic illnesses and upbringing affect my mind.
It’s interesting just how many people can be judgmental about mental illness, even those who also suffer with it.
I also got to share what keeps me moving when I’m feeling crummy.
Aaannddd coming home to happy “omg mom is home!?!!?!” squeaks from this lot #ChronicLife pic.twitter.com/hZDmCRXg7e
— Kirsten Schultz (@Kirstie_Schultz) February 3, 2015
Only time I kneel down for a long time – playing with my buddies! This us Gus Gus, my lil bff #ChronicLife pic.twitter.com/vfimdgLvDc
— Kirsten Schultz (@Kirstie_Schultz) February 4, 2015
The piggies are having problems #cagecleaningnight #quietestwithme #ChronicLife pic.twitter.com/WwUCKmOTNW
— Kirsten Schultz (@Kirstie_Schultz) February 4, 2015
I hit all my goals today! And even ended up 700 calories under… Give or take. #chroniclife pic.twitter.com/6UPztK2YUV
— Kirsten Schultz (@Kirstie_Schultz) February 4, 2015
And thanks to my Fitbit display, everyone knows what I weigh. I oddly don’t care anymore haha.
This exercise brought up a lot more feels than I thought it would honestly. It both brought me together with others living with chronic illness, but also made me realize just how much of an individual I am. That’s not necessarily a bad thing, but interesting.
My new job has changed some of the things I’ll write about in the future, just like this experiment has. I hope to bring more research oriented information in addition to talking more about my depression, anxiety, and fears.
I want to start taking one day a week to tweet out information related to #chroniclife. Everyone hates Mondays, so maybe I’ll start there.
I would encourage you to join the #chroniclife movement and see how much you’ll learn about yourself.
Light: A Window to Pain in the Brain?
I have GOT to tell you guys about this new study seeking funding… with a little back story of course!
I grew up out in Eugene, Oregon, home of the Oregon Ducks. It’s a great place – very progressive and full of actual, real hippies. Side note: I’m actually super stoked to try going out there for my ten year reunion in a few years.
ANYWAY, one of my friends from high school works in the healthcare industry. She knows Doctor Omar Halawa at the Oregon Health and Science University, who just happens to be working on this fascinating new study focused on chronic pain, specifically fibromyalgia.
You can read the details above, but basically here’s the lowdown: fibromyalgia patients have been found to be a lot more sensitive to light than normal peeps. This study is going to utilize results from that study to see if changes in light can affect pain centers in the brain, and they’ll measure this using a fMRI (functional MRI).
This is fantastic news for anyone dealing with chronic pain, as this could have HUGE implications for us. It’s also super news for us fibro patients, because the medications used to treat fibro don’t work for everyone and can have some funky side effects. I just found out the med I’m on can be a depressant – they gave a girl with a history of anxiety and depression a depressant!!!
Sigh. At least it’s working okay for me. I digress.
My friend got me in touch with Dr. Halawa and he was kind enough to answer some of my questions on this study:
Briefly, chronic pain is a huge stigma in our medical system and society at large. If someone gets this diagnosis they’re often labeled as “weak” “narcotic seeking” “whiney”. What supports this erroneous view is that our current diagnoses aren’t able to “find pain”. For example, if you image a patient’s lower back and find nothing pathological you imply to them that the pain is “in their head”. This is harmful to the patient as they start to feel that their pain is a character flaw and often become isolated/hopeless. The reality, though, is that most chronic pain conditions are a malfunction in the neurocircuitry in the brain and spinal cord that we can’t see with conventional imaging.
Our hope with this study is that we will be able to detect this abnormal/sick nervous system using functional MRI and light.
These doctors actually get it, so I figure we need to do what we can to help them help us, right? There are 24 days left for Dr. Halawa and his colleagues to raise the $12k needed to complete this study. If you’re in the position to donate, please do so here. If you can’t, please try to share this so that others can try to help.
Diversions from pain!
Pain sucks. It really, really, REALLY sucks.
My back isn’t really feeling better, can you tell?
Anyway, I’ve had roughly 18 years experience trying to detach from pain. Sooo here are some of my favorite diversions when I feel like death! Or just what I like to do with some of my days!
Why?
Because it’s midnight and I have heartburn and am not sleeeepy!
Enjoy this horrendously long list!
- Mahjong
- Refreshing Twitter/Facebook 90 times in 5 minutes
- Playing Lego Harry Potter. Gamefly might not get it back.
- Playing Mario. But the Wii Super Mario is super hard 🙁
- Looking at silly tumblr pictures
- Dinosaur Comics
- The Adventures of T Rex from Dinosaur Comics
- A Softer World
- Adele
- Archer, South Park, Family Guy, Futurama, I like cartoons…
- Jazz music, The Decemberists, Say Hi, Crazy girls like Nicki, Ke$ha, Britney (I know 🙁 ), Katy, etc.
- Alan Rickman *Sidetrack – how did Neville Longbottom end up the hottest HP kid???*
- Star Trek: TNG
- Finding kick ass recipes
- Tabatha’s Taking Over
- Pizza
- Potatoes – wedges, jojos, fries, crisps, deliciousness
- The Rolling Stone
- Working at the best place on earth (the other one!)
- Decorating my apartment even if the BF thinks I’m silly sometimes with it
- Yoga
- Emailing awesome people LIKE YOU!
- Zebra designs
- OHMYGODYOUGUYSREDPANDAS
- Zooborns
- Reading
- Snuggles!, This minus the baby
- Movies, Netflix, on demand, recording shows
- Reeses. Eggs are my favorite. Also, they give me heartburrrrrn :'(
- Orange juice and maple donuts – best things ever invented.
- Bison dogs
- Maple cornmeal pancakes. Mmmmmmm.
- I like food. That’s why I’m chubby. I gained four pounds AGAIN. This isn’t a list anymore is it? I should stop rambling… maybe?
The Medieval Pain Scales
The art of medicine has evolved immensely in the past few decades in general. We have new treatments that give people with a number of diseases, like cancer and HIV/AIDS a chance at a life longer than a few months.
And yet, there is so much still to be redone and changed for the better… like the pain scale. Or, more specifically, the pain scale for chronic pain patients.
You may be wondering to yourself why this even matters.
Because my pain doesn’t always fall into this damn scale. My ‘little bit’ is considerably different than that of a ‘normal’ person. And my no hurt has visited me a total of maybe 5 times in my life when not getting jiggy with it (yep, too much information, but I don’t care!).
Do you really know even know what the scale above means? I sure as hell don’t.
Do doctors really even pay attention to this scale? And to our answers to it? What if I’m perpetually at a 3-4?
In doing some research, I found that those of us talking about pain scales right now are not alone in wanting this to be revamped. Back in 2002, a guy named Jack Harich with the International Pudendal Neuropathy Association developed his own pain chart. And I kind of like it. It seems to be more in tune with how I see my pain than any other I’ve found so far.
First, you try to determine if your pain is mild, moderate, or ‘holy shit I am going to die’/severe. Thankfully, Jack included descriptions so you don’t have to guess! I don’t know that I exactly agree with all the descriptions. I think you can be ‘disabled’ at any range, and I think you can live independently while being disabled. I’ve seen it in my family, and in my arthritis family.
He included descriptions of each pain level, which I agree with for the most part. I don’t know about the dental descriptions on some. But that’s because I had horrible wisdom teeth coming in and going back up for years.
I generally sit at a 5-7, jumping up to 8-9 probably a few times a week. Fun tidbit: today, I actually left work early because I was at an 8. I was 7-8 pretty much all day yesterday and ended up staying in bed most of the day.
To be honest, I don’t know that I’ve ever been at a 10. Maybe once or twice, but not that I can clearly remember.
Is this type of pain scale going to make it more difficult for patients to describe their pain with a number?
I don’t think so. I think that, along with the paperwork you’re sent for a first visit, you should be sent a copy of this pain chart. You should be keeping a general record of your pain for a month or longer before your appointment, according to the chart. Then, when you are asked what you current pain level is, you should be keeping this chart in mind.
Can you imagine how much easier it would be with a chart that is actually explained and uniform? And without those damn faces mocking your pain?
Even without this scale being implemented and explained to others, I’m going to use it to refer to in my own personal health. I may even print it out and bring it to my rheumatologist in order to better explain how I’m feeling. Because otherwise, you and I both know, those numbers don’t really mean a damn thing.
Chronic Pain and Your Friends
Okay, so we’ve all been there. Someone new comes into your life and you feel close enough to tell them about your RA. Or maybe, like some, you wear your RA on your sleeve and proudly (maybe the wrong word) let everyone know about Arthur and you.
Letter to People Without Chronic Pain
So I was perusing my RA-related Facebook pages today and found this post in one of the discussion boards. I think that it’s a pretty accurate description of how it is to try and explain RA to a ‘normal’ person.
Having chronic pain means many things change, and a lot of them are invisible. Unlike having cancer or being hurt in an accident, most people do not understand even a little about chronic pain and its effects, and of those who think they know, many are actually misinformed.
In the spirit of informing those who wish to understand, these are the things that I would like you to understand about me before you judge me….
Please understand that being sick doesn’t mean I’m not still a human being. I have to spend most of my day in considerable pain and exhaustion, and if you visit, sometimes I probably don’t seem like much fun to be with, but I’m still me–stuck inside this body. I still worry about school, family, my friends, and most of the time, I’d still like to hear you talk about yours too.
Please understand the difference between “happy” and “healthy”. When you’ve got the flu, you probably feel miserable with it, but I’ve been sick for years. I can’t be miserable all the time. In fact, I work hard at not being miserable. So, if you’re talking to me and I sound happy, it means I’m happy. That’s all. It doesn’t mean that I’m not in a lot of pain, or extremely tired, or that I’m getting better, or any of those things. Please don’t say, “Oh, you’re sounding better!” or “but you look so healthy!” I am merely coping. I am sounding happy and trying to look normal. If you want to comment on that, you’re welcome.
Please understand that being able to stand up for ten minutes doesn’t necessarily mean that I can stand up for twenty minutes, or an hour. Just because I managed to stand up for thirty minutes yesterday doesn’t mean that I can do the same today. With a lot of diseases you’re either paralyzed, or you can move. With this one, it gets more confusing every day. It can be like a yo-yo. I never know from day to day, how I am going to feel when I wake up. In most cases, I never know from minute to minute. That is one of the hardest and most frustrating components of chronic pain.
Please repeat the above paragraph substituting, “sitting”, “walking”, “thinking”, “concentrating”, “being social” and so on….it applies to everything. That’s what chronic pain does to you.
Please understand that chronic pain is variable. It’s quite possible (for many, it’s common) that one day I am able to walk to the park and back, while the next day I’ll have trouble getting to the next room. Please don’t attack me when I’m ill by saying “But you did it before!” or “Oh, come on, I know you can do this!” If you want me to do something, then ask if I can.
In a similar vein, I may need to cancel a previous commitment at the last minute. If this happens, please do not take it personally. If you are able, please try to always remember how very lucky you are–to be physically able to do all of the things that you can do.
Please understand that “getting out and doing things” does not make me feel better and can often make me seriously worse. You don’t know what I go through or how I suffer in my own private time. Telling me that I need to exercise or “do something to get my mind off of it” may frustrate me to tears and is not correct. If I was capable of doing some things any or all of the time, don’t you know that I would? I am working with my doctor and I am doing what I am supposed to do.
Another statement that hurts is, “You just need to push yourself more, try harder…” Obviously, chronic pain can deal with the whole body, or be localized to specific areas. Sometimes participating in a single activity for a short or a long period of time can cause more damage and physical pain that you could ever imagine.
Not to mention the recovery time, which can be intense. You can’t always read it on my face or in my body language. Also, chronic pain may cause secondary depression (wouldn’t you get depressed and down if you were hurting constantly for months or years?), but it is not created by depression.
Please understand that if I say I have to sit down/lie down/stay in bed/or take these pills now, that probably means I have to do it right now – it can’t be put off or forgotten just because I’m somewhere, or am right in the middle of doing something. Chronic pain does not forgive, nor does it wait for anyone.
If you want to suggest a cure to me, please don’t. It’s not because I don’t appreciate the thought and it’s not because I don’t want to get well. Lord knows that isn’t true. In all likelihood, if you’ve heard of it or tried it, so have I. In some cases, I have been made sicker, not better. This can involve side effects or allergic reactions. It also includes failure, which in and of itself can make me feel even lower.
If there were something that cured, or even helped people with my form of chronic pain, then we’d know about it. There is a worldwide network (both on and off the internet) between people with chronic pain. If something worked, we would know. It’s definitely not for lack of trying. If, after reading this, you still feel the need to suggest a cure, then so be it. I may take what you said and discuss it with my doctor.
If I seem touchy, it’s probably because I am. It’s not how I try to be. As a matter of fact, I try very hard to be normal. I hope you will try to understand. I have been, and am still, going through a lot. Chronic pain is hard for you to understand unless you have had it. It wreaks havoc on the body and the mind. It is exhausting and exasperating.
Almost all of the time, I know that I am doing my best to cope with this and live my life to the best of my ability. I ask you to bear with me, and accept me as I am. I know that you cannot literally understand my situation unless you have been in my shoes, but as much as is possible, I am asking you to try to understand in general.
In many ways, I depend on you – people who are not sick. I need you to visit me when I am too sick to go out…Sometimes I need your help with the shopping, cooking or cleaning. I may need you to take me to the doctor or to the store. You are my link to the normalcy of life. You can help me to keep in touch with the parts of life that I miss and fully intend to undertake again, just as soon as I am able.
I know that I asked a lot from you and I do thank you for listening, it really does mean a lot.
Reliance on Pain Meds
So in my last post I talked about how nice it was that my new job was so much better on my joints. I didn’t take any medicine before working last night and won’t be making that mistake again anytime soon. When I got home, not only did my knees and ankles ache, but my shins did too. It got to the point where I was trying to get comfortable in my dad’s recliner and crying alone in the family room. I did go ahead and take medicine but had to bombard my legs with pillows I stole from the family room just to get to sleep.