All posts tagged: accident

Word War Won: “Being Careful” vs. “Being Mindful”

Husband offered up the topic for this edition of Word War Won (which, sadly, has not been on the radar for quite some time). To refresh your collective memory, WWW is when I delve into the meanings of words that we use and how some words are better than others for those working through chronic pain. It helps to re-frame negative thought patterns into positive ones (like the techniques used in cognitive behavioral therapy). Careful: adjective. [kare-full] The state of avoiding potential danger or mishaps. Mindful: adjective. [myend-full] To be fully aware and present in the moment. I was reading through some of my medical records when I came across a shrink’s blurb who’d made a point of noting that I am afraid of interacting with the world. To paraphrase: “She is scared to go out in crowds, and in the wintertime she thinks that if she is not careful, she will slip on ice and injure herself further.” I might as well live in bubble wrap. For the record, I have tried. Please refer to Exhibit A below. Husband framed the idea …

Thoughts on the Quell Pain Relief Device

I have now been using the Quell pain relief device for 15 days. Here are my initial thoughts: I definitely notice when I am not wearing it. Last week I was on the beach in Cape Cod with the in-laws for an afternoon, so I didn’t put it on for fear of ugly tan lines. I crashed as soon as I got back to the hotel. My pain quieted within 20 minutes when I started wearing the Quell again. While it can be tolerated on a 24-hour basis, I have been wearing the Quell only during the daytime. My pain is better when I’m flat on my back (once I take some tizanidine, anyway). I attempted to wear it one night and found the vibration, even in nighttime mode, too distracting. On the plus side, Husband could not feel the vibration on his side of the bed, so it won’t disturb any partners. For not wearing it 24-hours a day, the electrodes wear down at a rapid rate. After five days bits of the gel came off and stuck to my …

Piss Off, Pain Management Clinics

“You have exhausted all of your options.” That is what I was told yesterday when I was denied as a new patient at Massachusetts General Hospital. Western medicine has officially given me the heave-ho. Because I have a “long-standing relationship with another pain management clinic,” unless I am being referred for a specific procedure that my current doctors do not have, I am not allowed to become a patient elsewhere. It’s so strange to reach the end of the road. It’s one thing to be told that the doctors are running out of ideas; it’s another thing entirely to have someone tell you that there is literally no other procedure in existence. All the treatments they are willing to try have been attempted. Science and research have not caught up yet. This is as good as it’s going to get. What they’re willing to try. That’s the operative phrase here. Despite my decade of experience in the medical system, despite never exhibiting pill-seeking behavior, my pain management doctors refused to prescribe any kind of opioid safety net. If …

The Quell Pain Relief Device: Living Up to Its Label?

My long-awaited Quell pain relief device has finally arrived! As soon as I saw the FedEx truck rumble by, I heaved myself out of my chair and hurried to the front door, hoping to see that plain, unassuming box sitting on the front step. There it was, as I’d dreamed for months. I basically ripped it open with my teeth. I backed the Quell IndieGogo the moment I discovered it during the winter; it had already tripled its $100,000 goal. At this point my fairly useless pain clinic says I have exhausted most of my options in terms of what they can provide, unless I want to try an IV lidocaine/ketamine mix. I had the IV lidocaine infusion two weeks ago, and the aftermath was nothing short of a pain-riddled disaster. I’m grasping at straws here. Quell makes grand promises in its sleek promotional video. As PSFK said: TENS systems aren’t new in the market but Quell’s prescription-free, user-friendly and discrete approach is special. The Quell, no matter where the body pain is, could be left strapped at the calf where …

IV Lidocaine: Injecting Pain Medication Directly into Your Bloodstream

It’s been a heck of a week, friends. Friday was a trip to the pain management clinic, which — per usual — was wholeheartedly depressing. I find that I feel even worse whenever I come out of those appointments because I realize how useless they are. Pain management clinics, that is. Massachusetts as a whole is now attempting to curb prescription drug addiction. That’s great. That’s dandy. But now my clinic’s stance is that they will not prescribe opioid pain medication to anyone except for cancer patients. We’re talking even something like Tylenol 3, which my pediatrician used to prescribe to me after the First Accident. Patients who’ve (responsibly) used Percocet or Vicodin for years are now finding themselves wanting and in withdrawal. Actual pain patients are being treated as addicts. So I get my nerve medication and antidepressants, but then the big gaping black hole they don’t cover is alive and writhing and screaming in my head all day, every day. When I asked how to handle that hole, the nurse practitioner, oblivious to the fact …

Building a Shield for my Body and Mind

I am trying to better protect my body, which means trying new things in order to build a stronger shield on all fronts. My father found a powder supplement called “Arthroben,” which is generally used for those suffering from arthritis and other inflammatory conditions. For some reason the company decided that their original flavor should be green apple, so it tastes like I’m eating a Jolly Rancher (yes!) that I dropped in the sand (no!). I have also increased my Cymbalta by 20 milligrams, which I’m not thrilled about, but hey, what can you do.  Judging by my Pain Tracker instead of my shoddy memory, it’s been a fairly good week. Once I stabilize on the new dosage of Cymbalta, I will attempt to transition off the 2oo milligrams of Lyrica that I take each day. I am also strengthening my body to the best of my ability. After a week of no exercise because of being symptomatic, I am easing back into my morning swimming routine where I doggy-paddle (or I do Aqua Aerobics with the old ladies and …

Mindful Anger Management, Buddhism, and the Neck TENS Unit

More and more often, I am trying to figure out what this blog is to me. Is it just the tagline, “Using word therapy to work through chronic pain”? Is it an effort to reach out to people like myself and form a network? Is it a chronicle of my wayward pill-reducing efforts, or is it an examination of my transformation from a bitter young thing into a self-aware individual who can control her own anger? I can’t control anything. That’s the first bit of wisdom I would like to impart upon you, my dear reader(s). I’m sitting here at my desk with a neck TENS unit on (it’s pretty rad, and with it looking like a choker, I’m feeling very early ’90s). I can work the buttons on the device, but it only temporarily blocks the pain. It does not fix it. We manage. That’s why pain clinics are called “pain management.” They do not cure your pain; it is only managed. As I said in a previous entry, this current state might be the best it gets …

Names Have Power: a Discussion About Labels and Chronic Pain Patients

I have long believed in labels. If there is a name for what I am experiencing, I am better equipped to fight it. If I know what I am, I can deal with the world appropriately. Names have power. That’s what Neil Gaiman’s version of John Constantine said. He said it for different reasons and toward a different end, but the fact remains: Names have power. I have collected labels and names over the course of my life: allergic to food/has eosinophilic esophagitis/is a good student/played tennis/played the violin/writes novels/is a lawyer/is disabled/is a chronic pain patient. I define myself by what I do and what I experience. The names are like a shield. A medical ID bracelet naming my allergies makes me feel special and fragile like a unique little glass-winged butterfly, and more than that, it’s a story. I love to tell stories. A scar on my throat is a symbol that others recognize. I have been broken apart and welded back together. I have been remade. So now I face a dilemma because the …

Let’s Talk About The TENS Unit

I’m a huge advocate of clothing camouflage. Loose shirts and cardigans are great to hide a flabby stomach or that back-fat area around a tight bra strap; however, I’m wearing them to hide both a back brace and a TENS unit. (And the bra fat. Let’s be real.) Here’s me in my extremely stylish office bathroom: I usually only wear the TENS on occasions when my back pain is truly escalating and refuses to level off. This week has been particularly bad. The TENS is keeping me at a functioning level, considering I am backing off the Lyrica. The electrodes irritate my skin after more than one use, which is unfortunate, but the only cost-efficient way to use the device is to reuse the pads until the gel wears down and the pads electrocute you. Tiny shocks to be sure, but electrocutions nonetheless. Side note on the electrodes: Don’t go through the supplier from which you acquired the actual unit. My insurance company holds the very ridiculous philosophy that while they will cover the device, they will not cover the electrodes. Tufts, you silly company, …

I Make Pain Look Good.

Take a look at this person. Take a real good look. Then ask yourself: Is this person in pain? She looks fine, you think. She doesn’t have a handicap placard on her car. She doesn’t walk with a cane. She isn’t wearing a brace.  You furrow your eyebrows, and then you think: She looks totally normal.  The thing is that when this picture was taken, she was in a world of pain. She had three sort-of healed spinal fractures and a calcified nerve cluster. Even though she was smiling under the artful disguise of Microsoft Paint, she was hurting. She was wearing a back brace under that dress. She changed into flats as soon as that picture was taken. She found a place to sit down and close her eyes, trying to match her inhales and exhales to the thud-thud-thudding of her spasming muscles. She had her special dichroic glass pill case in her handbag filled with Tramadol, Nabumetone, and Vicodin. She had already calculated how long she could stand being upright and the time it would take to get back to …