chronic pain

Mental and Physical Pain – Mental Wellness

/ Robin / 2 Comments

Last week I was feeling down, frustrated and I suppose a little angry. As in all of life, not one thing is contributing to these feelings. I know a major one is that my dog is sick. She’s in pain and, I can’t do anything more for her. Our veterinarian is short-staffed, so they’ve closed the urgent half of the clinic. A month ago, I made an appointment for her and it’s finally arrived. Its been agony watching something that has been consuming her and is growing worse every day. We don’t know what’s wrong, but we can see the results. She’s tearing her skin off. She itches so badly that she passes the pain from earlier scratching and digs deeper, trying to stop the itching. Next month, she’ll see a dog dermatologist. Thankfully I made this appointment with her regular vet. I’m hoping that they will give her something for the pain, reduce the itching, and help her heal. I don’t see any infection, but I’m not a vet. 

This is Bailey.

I think I know how she feels. In the past, sometimes my skin itched so badly I couldn’t resist the urge to itch it. I’ve woken up the night with blood on my fingers. The despair and anxiety that come with that are immense. (No, I don’t have OCD.)

Those horrible emotions appear in various places in life. When my Fibromyalgia flares up and my Rheumatoid Arthritis and Osteoarthritis flare simultaneously, they invoke those same horrible feelings in my soul. I want to withdraw and lay in my bed until I feel better. But, sadly, that’s the worst thing I can do. (One of our cats just went to the bathroom, and I think I’m going to die. Be right back.) I’ve been learning about Fibromyalgia, and one of the first and most important things I MUST do is be active. Physical activity is one of the major and only things it seems that I can do to help me, hopefully, have less pain. 

Pain, this is what I want to mention today. Mental and emotional pain can easily be as crippling as physical pain. I might believe I just can’t get out of bed, but I must. I must move around and not stop. Not doing so can let the anguish take hold and cripple me further. 

I’m also learning that Fybromyalgia causes something referred to as “brain fog.” Let me just say that I have strategies that I’m trying to use to fight my already beat-up brain from Bipolar Disorder and ADHD. (Thanks brain.) The treatments for those two things are in direct conflict, so we had to choose one to address with medication, the other I try to work within other ways. I’ve chosen my Bipolar because adding a stimulant for ADHD would make the mania so much worse. I’m already so manic that I easily drive my family bonkers; I just don’t need more stimulation. And I’m aware now, that Fibromyalgia also makes things messier.

So, where does that leave me? I’m not exactly sure. So far, it seems that brain fog is a mysterious thing. None of my doctors have offered me a solution or even a way to cope with it. I don’t hold this against them. This illness is very debilitating and, like Bipolar, it is lifelong and I must find ways that work for me to cope. Cope. I hope I can thrive, not simply cope. 

I want you to know these things about me because life sometimes sucks for each of us. I can’t possibly understand your frustrations anymore than you can understand mine. Pain, mental and physical is unique to us all. We know that already.

However, let me assure you that I am not alone and, neither are you. As people, as humans, we all struggle with unique things every day. This, as you can imagine, makes the advice that we can give each other very hit and miss, and it misses more than it hits. Why? Because we are as unique as our illnesses or combination of illnesses are. 

They say that our uniqueness makes us special; I believe this is true. We each grow with our individual strengths and weaknesses and these things make us special, unique and wonderful. I choose to believe that these thing are true.

Saying that we’re special always makes me feel a bit frustrated. When I’m feeling crushed beneath the weight of life I don’t feel special. I do feel unique in that sometimes I think that no one understands, and no one can help me. 

Do you ever experience these things? I’d bet all my money that you do. Okay, I have no money, so that’s not a real bet, but I think you understand. We may have illness(es), and sometimes they make us feel crazy. At least, sometimes I do. But, thankfully, I’m not crazy. And honestly, what does being crazy mean?

I can say that I understand depression, anxiety, frustration, anger, physical and mental pain, and the struggle to think straight or think at all. Those things I can promise I know about. You’re not alone in your struggles. 

You are not alone. Not ever. We all feel crazy sometimes. 

Be well, 

Robin

  • Savvy and her mom, Bailey. Unconditional love.

Bipolar –March is Off and Running

/ Robin / Leave a comment
Make 2020 YOURS!

The third month of the new year is officially here, and I’m finding that the year seems to have found a rhythm it feels stable and ready to stroll through the coming months all on its own. We’ll need to talk that over a bit, do some discussing and have some disagreements, I think. I mean, when I talk about the year having a rhythm of its own, I’m really talking about the crazy-busy schedule that I’ve got. Bonkers. That’s what it is. Bonkers! I’m already in Occupational Therapy (OT) for my new thumb joint as a result of Osteoporosis (OA). Tomorrow (Monday) I start Physical Therapy (PT) for my chronic back and knee pain. While I’m excited and hopeful that this time I may actually find relief from the pain and become stronger and able to do things that I’ve never been able to do before, I’m also afraid. Pain is not my friend. I’ve had Pain physical pain for so long… the thought of more simply and easily releases my pent up tears and I can’t stop them. Once they’ve shown my fears I can usually face that fear and move forward. That’s what happens with PT. When I’m at home and I have the pain at night when I’m alone… I feel so desperate.

It throws me back to my struggles inside the arms of depression. You know the feeling? When it holds you tight and it feels like you just can’t get it to let you go? My fear of pain is sort of like that. (I have other physical pain issues but they are not necessary to go into for this post.)

I know that meditation can help me deal with the pain. I have a lot of knowledge about the mechanics of how to deal with pain. But, can I sit still long enough and focus long enough to put my experience to work? The answer is a big, fat, honest, NO. And that’s all on me.

My wish for you today is simple, seize the day with both hands, both arms, wrap your legs around it and bite it if you have to, but don’t let it get away from you before you give it a good wack and try to make the ball go in the direction you want it to go in. It might not go right off, maybe not even today, but wack it anyway.

These years get out ahead of us getting away and we end up just tag along like we have nothing to say about it. Well, we do. You do. Seize your day, seize every single day. Start today.

To help get you started to check out this video from my Every Day Playlist. The lyrics are below this post if you’d like to check them out.

Stand strong. Madness is unbecoming on you.

A Million Dreams

By Benj Pasek and Justin Paul

I close my eyes and I can see
The world that’s waiting up for me
That I call my own
Through the dark, through the door
Through where no one’s been before
But it feels like home

They can say, they can say it all sounds crazy
They can say, they can say I’ve lost my mind
I don’t care, I don’t care, so call me crazy
We can live in a world that we design

‘Cause every night I lie in bed
The brightest colors fill my head
A million dreams are keeping me awake
I think of what the world could be
A vision of the one I see
A million dreams is all it’s gonna take
A million dreams for the world we’re gonna make

There’s a house we can build
Every room inside is filled
With things from far away
The special things I compile
Each one there to make you smile
On a rainy day

They can…

Source: LyricFind

Bipolar – A Wee Comment On Oxycodone and Other Such Things

/ Robin / 1 Comment

Over the last several years doctors have willingly given, even insisted that I let them prescribe Oxycodone for chronic pain. (20mg 3x daily)

It is a completely and commonly known fact that this narcotic is ineffective against chronic pain.

I’m home from my joint replacement surgery. I dislike pain. I have a post-prescription for 5mg of Oxycodone. Surgery was at 12:15 this afternoon. I have just taken two.

I’m a question asker. I ask questions all day and all night. I drive even my lizard, fish, cats and Bailey bonkers with them. Yes, and my family too. So what’s my big question?

QUESTION: If you have fire burning behind your eyes causing the mania and the rage to merge and melt into the endless void of despair… why haven’t you just stopped the pain? Surely with all the meds you take you could have done this so easily. Only 5mg? What’s going on? I thought you were suffering like me.

ANSWER: I didn’t plan the question and I haven’t planned the reply. My answer is simple: I believe there is great purpose for my life. I’m not afraid to be seen, accept when I am, because I’m human. I’m not afraid to teach or lead by example even when it is painful, accept when I am, because I’m human. I’m not afraid to shout down wrong and stand for good and the righteous, accept when I am, because I’m human.

Do you see? My life is and will always be what I make of it. This is the way of things whether Bipolar or not. We are human. We make choices.

Knowing that benzodiazepines and narcotics are black-box meds (THE WILL LIKELY KILL YOU IF TAKEN TOGETHER) I have always chosen not to take them together.

My answer is simple, if a bit wobbly. I’m going to keep going and learning and growing and I’d love it if you came along too. I’d love to get to know you and hear your story.

No, I’m not a doctor or counselor and I have no medical training nor do I claim to be able to heal anyone. But, we all have our unique stories. They’re OUR stories and our stories can’t do quite a lot of things for us.

Time for me to say goodnight friend. If you have a few minutes and would like to say hello you can reach me at: robin.paterson.redux@gmail.com

Be well, Robin

Opioid Dependence and Mental Illness

/ Robin / Leave a comment

Pile of pills

I’m not an addict. I’m not! I’m mentally ill. I have Bipolar Disorder. I also suffer from chronic pain in my lower back.

My primary care doctor (PC… PCD? Uhh… let’s go with MD) had been prescribing me oxycodone for the server and persistent (chronic) pain that I’ve had for years. After being active and doing something super strenuous like gardening for 15 minutes I think I’m dying. I’m exaggerating of course, but when I work as hard as Atlas does while holding up the world my eyes leak, I whimper and sit down. Sometimes I end up laying on the floor. The floor is such a very bad idea. If I straighten my legs my whimpering becomes desperate and I realize I’m crying. If I forget myself and straighten my legs I’m done. I can’t move. The pain paralyzes me.

I’m NOT an addict.

When I can think again, I try to find my phone. If I can’t find it right away I feel the panic rising and it triggers thoughts and emotions I thought I’d had under control.

This last time I thought I was managing my mania and depression (mixed state, rapid cycling) pretty well. I haven’t bought piles and piles of books on ducks or Oprah or how to be an astronaut. Honestly, I really haven’t. But please, don’t ask me what I’m thinking about. Also, I’ve been able to get out of bed AND wake-up in the morning and even go for walks. My depression skips through the dandelions with the mania comingling into a mixed state, which is always confusing.

I’m not an addict.

After many months of giving me a legal way to get my the Oxycodone I take for pain legally, and for free. The label on the bottle says I’m to take the little unassuming pills three times a day. They are 20 mg. Currently, I’ve convinced the assistant fellow at the pain clinic to reduce my Oxycodone to 20 mg twice a day.

I’m not an addict.

I’m mentally ill. I have Bipolar Disorder, ADHD, chronic pain, and other stuff.

I was referred to a pain chronic clinic… ah… chronic pain clinic, where my Oxycodone prescription was reissued. A five-minute verbal probe, that’s what it took for the doctor to determine whether or not I needed the narcotic. We didn’t talk about Bipolar Disorder or any potential interactions the Oxycodone might have with drugs that are meant to manage my wild emotions or tame my fantastic panic attacks. I’m not certain she has any record of my current medications. She asked questions, and I quickly tailored my answers to fit what I thought she was waiting to hear. She made a few notes on a paper as small as her palm. I wondered if she was actually making notes that she could refer to later. She thought for a few seconds and then wrote the prescription. I sighed in relief.

I’m not an addict.

A while later, like over a year or maybe two, I’m still taking the narcotic. The clinic has new owners and staff. They no longer asked me questions. Sometimes they required a urine test. Then, they stopped asking me anything at all. We spent my appointment chatting. I started asking if we could please try to figure out what was causing the pain and try to deal with it by correcting the problem. I wanted the pain to stop.

They didn’t listen. They wrote the prescription without hesitation.

I’m telling you, I’m not an addict.

My mental health drug dispenser began paying attention after I updated her about my drugs and included Oxycodone in the list. She stopped talking about whether or not my meds were working to stabilize my moods and started talking about “Black box” warnings.

She had my attention. I started to panic.

At the time I had over five medical people prescribing medications. They didn’t know what the other office prescribed me. They relied on me to tell them the truth. I didn’t have to tell anyone I was taking Oxycodone. That got me thinking.

I’m not an addict.

Later…

I’m still asking the medical folks to figure out the cause of my chronic lower back pain. I’m still not getting results. I’m getting way too much Oxycodone every bloody month.

Because I can, I’ve been researching my of collages of illnesses, disorders, and psychological malfunctions.

Ah ha! Black box warning. Do NOT take anti-anxiety medication (benzine’s) – death may result.

Oxycodone 20 mg

I recently saw Dr. T, my very superior knee surgeon. He saw the condition of my spine when he was looking at the x-rays of my hips. He was making certain that my persistent knee pain, post second replacement, wasn’t being caused by anything running amock in my hips. He was eliminating any possible cause of my knee pain before he even considering using surgery to further correct the inept effort Dr. B made the initial knee replacement. Dr. B successfully replaced my knee, but that’s where the project ended.

It sucked. My leg from the knee down, well, it kind of turned the wrong way.

Dr. T corrected the first replacement. He tried to minimize the damage his surgery could do while trying not to blow up my entire joint… okay, the joint that was already gone.

Dr. T showed me the x-rays he’d just had taken and explained where and why he left Dr. B’s “efforts,” while replacing the replacement. A month ago we tried a shot to relieve the pain and keep from having to have surgery again.

Nope. I’ve had no relief from the pain. In fact, my brain was overjoyed and thought that my knee was doing awesome. Holy cow! I should NOT have knelt down like that! Looks like surgery is probably what our next conversation will be about. I’ll need to be on pain medication again…. I intend to be off Oxycodine ASAP. I would really like to have some kind of painkiller to take after surgery – assuming I have it. Always be prepared! Sigh…

I’m not an addict.

After my constant complaining about my back pain that happens every time, I do regular human type activities involving the lower back. I’ve finally had x-rays of my back taken. Holy heck. Next stop is at a spine doctor.

The online personal information provided by my medical organization includes this: Opioid Dependence.

My chronic pain clinic instructs me to continue taking the Oxycodone. I haven’t been able to identify any specific relief from the pain in a long time. I have never felt any “fun” results from taking it. It has never made me feel sleepy.

I have found that taking Oxycodone at bedtime with the medication I take for Restless Legs Syndrome (RLS) helps me to get to sleep and not wake up in agony caused by the RLS.

Am I an addict?

“Taking opioids over a long period of time produces dependence, such that when people stop taking the drug, they have physical and psychological symptoms of withdrawal (such as muscle cramping, diarrhea, and anxiety). Dependence is not the same thing as addiction; although everyone who takes opioids for an extended period will become dependent, only a small percentage also experience the compulsive, continuing need for the drug that characterizes addiction.”*

I’m mentally ill. In my opinion taking any medication, especially one that alters my brain chemistry (opioids do this), should be thought about and discussed with other medical personnel who are also responsible for my continued living – and to live my best life.

Am I an addict?

No.

I have Opioid Dependence.

Dependence. I can live with that, but look, let’s get rid of that too. Okay?

{I have Bipolar Disorder. I’m a little manic now. I’m using it to write and post while I can. So, for now, I will post often because tomorrow, I may be depressed and unable to say what’s on my mind. I may not have anything on my mind.}

* https://ghr.nlm.nih.gov/condition/opioid-addiction

Bipolar – I Think You Should Take Fewer Pills

/ Robin / Leave a comment

I’m going to notify my counselor that I must be rid of my med provider as soon as it can be arranged. I’ve told Arthur, my counselor, that I don’t feel that Jamie (med provider) is working in my best interest. My next appointment with her she started right off by confronting me about what I’d told Arthur. I confessed thit it was true.

It got me no where.

She says that I’m on too many pills and she doesn’t want to add anymore. Apparently, this is her rational for not giving me medication that might actually have helped me.

I’ve been practically begging for something for my anxiety that only get’ s increasingly more consuming with each passing day

This whole school year has been like a nightmare.

She doesn’t want to give me more pills? Bull!! It is not her choice to decide whether what other doctors prescribe me for illnesses she knows even less about than I do.

She has repeatedly used this as an excuse not to give me something that could prevented me from my brake down. I have high cholesterol, my thyroid is out of whack, I have chronic horrible lower back pain, I have FM, RA, OA, a facial tick (probably stress related), PTSD, and have recently been diagnosed with IBS-d. It’s a crap load of stuff, but they have all been dealt with by someone more intelligent than she is.

I’ve asked each and every visit for something to help with the burning anxiety. She refuses. She gives me fewer chill pills.

Does she think I like taking a handful of pills twice a day? Moron.

I’ve finally had a breakdown. I blame her. In December I confessed I’d been having thoughts of harming myself. I’d hidden that for years, but at that point it was too much, and I confessed it.

She did nothing.

If I can’t trust my med provider to guard my mental wellbeing, than who will? There aren’t many options here.

I’ve started to shake, Twitter, and twitch again. I’m graduating today. My anxiety that mixes like a charm with my mania and depression making my constant mixed state even more confusing and painful. It’s too much to handle anymore.

I’m firing her. She truly doesn’t have my best interests in mind. I don’t need one of my medical professionals contributing to my madness. That’s just sick.