Daily Archives: September 3, 2016

The Importance of Treating Chronic Pain

Reading this post, I was reminded of the day in 1987 when my first neurosurgeon reviewed my CT scan with me. It showed a badly ruptured disc in my neck. He told me to forget about it and go back to work (120 hours a week, as an intern in a tough academic program).

“What are you whining about?” he sneered. “It’s only pain.”

Two days later I was in emergency surgery. He later told me he had never seen a disc so smashed. Postop, I was given steroids, but no pain meds. Gotta be tough, no whining!

This whole “just live with it” mentality used to be a common hazing technique in the culture of doctors-in-training. At one point in my second year of residency, I was living in a molded plastic body jacket because four of my lumbar discs had degenerated. I asked my program director if I could go part-time for a few months, just to have time to go to physical therapy.

Her answer?

“You’re either on the bus, or off the bus.”

What compassion. A true role model for young physicians.

Later that year, I was working in the ER and had to call the orthopedic service resident to see a kid with a fracture. The resident on call turned out to be a woman. Very rare in those days to see a woman orthopedic resident. Even more rare to see them finish their residencies, because they were usually hazed out.

This woman appeared in a long leg cast: from her groin to her toes. Had had a bad fall skiing, badly smashed up, lots of plates and screws.

Yet her other team members that night–the intern and senior resident–were happily running up and down the stairs in the hospital, expecting the woman to keep up with them. The elevator? That’s for weenies! You’re either on the bus, or off the bus, as Ken Kesey used to say. As she sat in the cramped cinderblock cell that served as our office, writing her note in the fracture kid’s chart, she propped her own broken leg on a chair. The toes were grotesquely swollen and purple. I shuddered to think of the pain she must have been in. I asked her if she was taking anything for it. She shrugged, her face a blank mask.

Someday, I thought, if she makes it through her program (she did), it could go either way: she could either become an extremely compassionate doctor, or an extreme hardass.

But this new wave of torturers is a different breed, I think. I don’t know what it’s really about, but I wish them all a dose of kidney stones. Chronic ones. No dilaudid. After all…it’s only pain! Get used to it. Get your lazy ass off the floor and stop that moaning. Get used to it! Go back to work!

EDS Info (Ehlers-Danlos Syndrome)

The Importance of Treating Chronic Pain — Pain News Network – Dec 2015 – By Emily Ulrich, Columnist

Jane Ballantyne, MD, and Mark Sullivan, MD, wrote that reducing pain intensity – pain relief – should not be the primary goal of doctors who treat pain patients.

They suggest that patients should learn to accept their pain and move on with their lives.

This statement is nothing short of infuriating to me and I imagine to anyone who has to live with chronic pain. Many of us have already heard a doctor say, “I don’t prescribe pain medicine. Pain won’t kill you.”  

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Facing the Truth

Her blinders have been removed

She has taken her gloves off and removed her coat

She sits in stillness with peaceful knowing

Knowing from the soul

Inspired by the spirit

 

The storm came along with no warning

It whirled and twirled devastation

Leaving people shocked, hurt, stunned and dismayed

The creation of fear perpetuated

Numbness permeated and opened wounds

 

Left behind were the remnants of missing pieces

The young woman and old soul stood strong

But the powerful force of the storm threw her to unconsciousness

When she awoke it was apparent to her she was the storm

Crushed by the aftermath of viewing what she left behind

 

Deeply saddened with what she unknowingly had done

Egoically embarrassed, ashamed, and guilty

Incapable of seeing what the mirrors were telling her

Her prayers were answered one day

She ask to be shown so she could heal

 

She prayed for strength and courage

She prayed for forgiveness of self and others

She lay helpless crying for hours in her bed

She faced her naked body and viewed her own destruction

 

Overtaken by grief, hurt, sadness, disappointment

But inspired by unconditional love

 

She is a person hurt by her past

She is a human being

She is not defined by labels

She is not willing to give up

She is walking her journey one step at a time

 

Who is she?  Who is this woman with such great strength?

She is not alone

 

@amyjgamble

amygamble.com

 


Openness and Honesty in My Own Space — prior post unlocked

This is  my space, and while I was trying to be sensitive to certain parties in locking my last post, I realized after some thought that what I was really doing was allowing that person to continue to silence me. To keep me from my true feelings and to keep me quiet. I have lived with these restrictions my entire life, and will not do so any longer. That post is how I feel and I want others to know about it, so they may in turn possibly free themselves.


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