Guest guest Posted July 30, 2008 Report Share Posted July 30, 2008 kmabba wrote: > Some of this battle is mental and not allowing the disease to define > you or limit you beyond the reasonable physical boundaries. You have > to work hard at being as well as possible just like you said and do > everything you can, using all the tools available to you like the ones > you listed. > > I am very fortunate to live in NC and therefore have 2 of the greatest > of the great legendary pioneers to work with. Your advice is the best > there is, the journal. Especially if fibro fog is a major issue for > you because you'll forget your whole life ever existed if you don't. > , I know I excised longer sentences to reply to, but it is important to know. You are so right. If you keep a journal or pain diary, you have it for the doctor, ssi, or any situation that comes along. My pain specialist demands it along with a functional assessment to protect him and myself. Drug Enforcement Agency guidelines make it hard for pain specialists to stay in business and the amount of physicians doing this is less and less. The pain diary, functional assessment, and other tools help to find out things such as times of years,days, months that we may have more pain. My pain specialist just forwarded me an article on estrogen and pain control. Just as Vitamin D, estrogen and hormones play a role in pain intensity. I had taken myself off my estrogen replacement therapy because of the scare years ago. Since I recently had heart scans and work up, my internist said I could go back on it. I am determined to make sure that I do everything I can to make my pain less. Nutrition and supplements play a huge role in this, and as you say, when you get an auto-immune disorder, along with intractable pain, it makes a ongoing attack against the body. Age, weight, and body condition effect pain. I am not young anymore and cannot overcome bouts of disease as I used to, and I seem to pick up every virus I come in contact with ! I found that fighting is more effective than withdrawing but those periods of withdrawal teach us to fight! Such a Catch 22. Each time you do something for yourself, you become empowered so these remarks are not intended to be harsh. Find out everything you can, ask questions incessantly, and when you do document something, show your doctor. Be truthful, put down what you are feeling. I look like I am not in pain unless you take my blood pressure or look in my eyes. Some medical personnel do not have this skill to assess pain patients. They look at a well dressed, make up, and someone who articulates as someone who is faking. This is not true. I do have my days I complain some and If I do, my pain level is 10 plus. Some medical personnel are so concerned with getting their feelings hurt, they do not realize the patient in pain are sometimes the ones cussing up a storm and well dressed. We have many medical personnel in this group and they know what I am talking about. Sometimes, dying patients feel the only dignity they have is the ability to dress nice and put their make up on. How many times have you seen a medical personnel say, " I don't know what their problem is " . Well, they hurt and cannot control it. That same person out of pain would be the one that would go to the end of the earth for you. So, if you have it written and well described, it is easier to understand. We have done a fun topic of describing our pain besides the old adages of burning, stabbing, gnawing etc. Descriptions of I feel like a porcupine with the needles going inside, being beat up with a base ball bat with the bruises not showing, someone put gasoline on me and set me on fire, and some more colorful ones. I one time told a physician about my pinched nerve, imagine someone placing a clothes pin on your private part and you cannot take it off,or having a knife stuck in your hip and having to sit on it about my SI injury, that's how it hurts. He was very hard to reach so I became more descriptive. He understood then. As you say, you must become your self advocate and there are many resources out there. Becoming a member of this group has helped me through my toughest times as there are people who understand and will encourage you. I am having to find another pain specialist as my insurance is not paying, so you guys keep me in your thoughts. I am going to have to call back the practice who has for my medical records and ask them if I can make an appointment. This is how hard it is to find a pain specialist in our area. I cannot see traveling three hours and paying over two hundred and fifty dollars a month instead of twelve anymore. We are self paying to get our son through college. I know there are others out there in worse situations but I know I will have to walk that line of being ever so nice but insistent on following up without offending office personnel. It is a reality that shouldn't be. It should be that the office personnel follow up, medical personnel understand pain, and that we are not overcharged. Reality bites ! Bennie Quote Link to comment Share on other sites More sharing options...
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