Wednesday, August 27, 2014

MANAGING PAIN


UNDERSTANDING AND MANAGING PAIN

As humans we experience pain from the day we are born until it is time for curtains.

We must always remember that like everything in life,yesterday’s pain is just a memory and that we cannot suffer from it. So why fret about pain.

Of course every individual has a different threshold for pain. It is not uncommon for sportsmen to endure severe pain even broken shoulders and hands and continue to finish the game. On the other end of the spectrum are people who cannot accept any pain at all.

As children they probably used pain as an excuse to get what they wanted and this continues into adult age.

What we need here is to understand pain and figure out how to deal with it.

Pain is caused by injury to tissues or disease of some nature. 

There are different types of pain like throbbing pain from headaches, boils and toothaches, stabbing pain can be in stomach and bowels, cutting off blood supply to a limb or an organ can cause continuous pain,  damage to skin by heat or chemicals can cause burning pain and muscle spasms and cramps can cause a continuous pain.

Pain is nothing other than a signal sent by the brain to that part of the body in trouble, thus warning us to stop whatever we are doing and give that part of the body a rest. Pain is also a warning signal allowing us to recognize the presence of disease. Pain can also be imaginary such as feeling the pain in the toe of an amputated leg.

If we understand this then we can exercise “MIND over BODY” by telling ourselve’s , well pain I am not going to remember you tomorrow.

Self confidence (or pig headedness as in my case), concentration on something that is much more important to you in your life than sitting and worrying about pain, excitement and entertainment such as a show or a gripping movie all takes our minds concentration away from the part of the body in pain. In other words we should distract the brain.

Not to forget, alcohol, painkillers, anaesthetics and acupuncture can also give short  term relief.

There are people who cannot even tolerate pain from a needle but then I have my wife who has been an insulin dependent diabetic since she was thirteen who takes four injections a day and tests her blood with needle pricks six times a day to keep the blood sugars under control.

She definitely feels the pain but it is the lesser of two evils and has no choice. When we first met she used to constantly complain about the needles and pin pricks and looked for sympathy and pity and I am confident I have talked her out of it by telling her again and again that it is only a short term sensation and then it will be forgotten. It is just the brain telling the body that there is some foreign body piercing the skin like for example a thorn from a rose bush, which we should protect the body from.

Except for the first week in hospital where the doctors administered pain killers and sedatives to give relief from non stop hiccuping, I can confidently say I have stayed away from pain killers. Once we get started on painkillers we become dependent on the drug and reach out for one at the least pain sensation.

So my friends, we in this group who suffer from pain should try and increase our pain threshold by enduring it and learning to live with it instead of running to the medicine cupboard every time. Of course if the pain is intolerable and excruciating please seek medical advice.

Remember every tablet we swallow does what it is supposed to do but also has a whole lot of side effects that we do not know about and will show up after long periods of use or should I say abuse?.

For example my wife suffered from asthma when she was young and was administered an approved drug for a long period. Research later proved that this drug was responsible for early onset of diabetes. Remember if you read my earlier note this morning  I am taking Hydrea (Hydro urea) that kills the platelets in the blood knowing pretty well that in the long term it can cause blood cancer. 

I keep pressuring my haematologist to drop the dosage, as this is similar to chemotherapy in a mild form only to find that my platelet count starts creeping up. There is no explanation for why the Platelet count goes up. It is called primary essential thrombocytosis, similar to essential hypertension which cannot be explained medically..

Now if you are wondering why this write up about pain, I am trying to respond to Gay’s post complaining about pain.

I suffer from severe back pain every night and can sleep only for may be four hours at a stretch. I am not sure if the pain is stroke releated. I get off the bed and sleep sitting up on a couch and the pain sensation is lesser. And of course I do my stretches and  hanging off monkey bars (door heads) every morning and the pain goes away. So it must be  just muscular pain.

The funny thing about this as most of you VAD sufferers would appreciate (Andrea definitely does) is that the stupid pain is felt only on one side of my back. The left side starts to burn instead. Never ever dreamt that I would have a back that would have pain on one side and burn on the other half. There seems to be no choice it is either the frying pan or the knife.


RamboAUS