Saturday, November 2, 2019

The Truth About Pain

The audio version of this post can be found here.

One thing that's always bothered me about how people who don't suffer from chronic illnesses talk to those of us who do is the way that the 'Don'ts' talk about pain. Specifically, learning to ignore it.
I could never truly figure out why, or at least put words to it, until one night about 5 or 6 years ago when I ended up in the emergency room.

I'd been out at my favorite dive bar, and my back had been hurting all night. Every few minutes I would run to the bathroom. I was annoyed, and sore, and had never experienced anything quite like it before- a pain that grows almost so gradually that you don't notice until it's excruciating. I remember a family member picking me up and driving me to the hospital, trying to drive as gently as possible because every single bump or jostle made me scream in pain.

I was taken back pretty quickly- at least, I think I was- everything was pretty foggy thanks to the horrible pain. I wanted someone to knock me out- anything to make it stop. Finally, they put an IV into my arm and injected me with Some sort of painkiller. Almost immediately, the pain eased- and just as quickly I was out like a light.
That instance made something crystal clear to me that I had, on some level, always known:

Pain is really fucking exhausting.

I'm talking truly, mentally and physically exhausting.

So when people talk about getting over the pain or ignoring it, I always end up wanting to yell at them. Because, while it's true that pain IS a neural response- sensory receptors in our body send a message to our brains which process the sensation which we perceive as pain- it's not a voluntary one.

Think about it this way- pain is a way that the body has developed to tell you that something is wrong. But it's not like a comprehensive system you can just override with a few simple commands. The pain response is more like the anti-theft alarm on an older model car. Whatever sets it off- be it someone kicking the bumper or actually breaking in- the ultimate response is the same: the alarm sounds. Now, there are only a few ways that the alarm stops. You can damage the car, you can temporarily disable the alarm, or you can wait for it to reset (or speed up the process yourself).

Leaving off the car alarm analogy, my point is that the body's pain response CANNOT actually be ignored- if you are in pain, it takes up some of your mental capacity. YOU may not be thinking about it constantly, but it is constantly running in the background- that response triggering those receptors over and over and over, making your brain work a bit harder. Making you use more mental energy.

I recently tried to explain the premise of this blog post to someone. "But that's not really true," he argued "Because some people can get over it." For 'proof' of his concept he cited a football player famous for getting hurt- a lot - and getting right back in the game. Comparatively, he drew my attention to another player famous for getting a relatively minor hand injury, who was out of the game for a few weeks.

There are several problems with this comparison- but it, itself, brings me to my other point: Not everyone deals with pain the same way. The wonky and wonderfully frustrating thing about the human body is that there are subtle differences in the way we experience pain- and in the level of energy it takes to process it.

In fact, the comparison between those two players highlights the very problem of disregarding that fact- one person is not 'lesser' than the other because their pain tolerance is perceived to be lower. You cannot, and should not, compare the way one person performs while in pain to the way another does.

It comes down to a technique that we learn early in our lives as a way to relate to each other: comparing our perception and experiences with those of another person in order to establish a connection with them. It's a crucial lesson for a child because it introduces the basic concept of empathy. "You are like me, so I can relate and should act accordingly- I should treat you the way I want to be treated because you are the same as me."

But the important thing to remember is that that is a very simplistic version of empathy.
The advanced version that we must use in order to form full fledged adult connections with each other which are not harmful or dismissive is this:
"You are like me, and, even though we are not the same, I will respect what you are going through without judgement by comparison."

To people who don't suffer from chronic pain: Please be mindful of how you speak to the people in your lives who do. Exercise empathy. Pain isn't voluntary, and turning it off isn't a choice. Overall, remember that telling someone who is in pain to get over it or ignore it is unhelpful. All pain is valid, and everyone is different. Stop telling us how we should deal with it.

Monday, September 16, 2019

Now With Sound!

Audio version of this post can be found HERE.

Hi everyone!

I just wanted to provide a quick update and let you all know that as of today, every post from 2019 on will include a link at the top to an audio version of that post. This is done in an effort to increase accessibility. I will also be tweaking the blog style and structure over the next few days or weeks to make it easier to read and view.

If you have any suggestions for ways that I can make things easier for you or anyone else to enjoy the blog, please do not hesitate to reach out- I'm always willing to learn!

Also, if there are any particular posts in the archives of this blog that you would like the audio version to, please shoot me a request, and I will record them for you.

Community Compatibility: We Don't All Just Get Along

Audio of this post can be found HERE.

One of the things that makes life with chronic illness difficult (at least for me) is the struggle for community. Though these things we go through are incredibly personal, it helps some of us to be a part of a group of others who know the struggle. People tend to think that just because you have the same disease, you'll all have the same mindset for dealing with said disease. This could not be further from the truth.

For example, I just recently joined a Facebook community for people who have eczema. It's a rather large group- thousands of members, actually. So far, it's been rough to be a part of it - and not just because of all of the posts which give me vivid flashbacks to growing up with severe eczema as a child, and then a teenager. Actually, what's pushing me away is the mindset of the majority of the people.

I am someone who absolutely hates unsolicited advice. I have a very negative reaction to it, because I've been subjected to an inordinate amount of it (especially regarding my health issues) for my entire life. That is why I try my hardest to never give advice unless asked (or given the okay). That's just who I am, and frankly, nothing alienates me faster from a conversation than unwanted advice - especially from people who do not know my specific situation.

This is a mindset that the majority of people in this group do not share or respect. People are bombarded with advice, from practical to absolutely ridiculous, on every single post- whether they asked for advice or not. It's, frankly, daunting.

But even if we ignore that glaring social faux pas, a big part of compatibility with a community comes down to sharing the same ideals and, to an extent, similar views.

Example: If I swear exclusively by the miracles of modern medicine to deal with my skin problems, I probably won't find a lot of connection in a group devoted to holistic health solutions for eczema.

Conversely, if I were only interested in natural remedies for my eczema, I would feel very out of place in a group which follows the progress of the newest medicines and treatments becoming available.

In either of those situations, despite the core trait that we share, we wouldn't, at the end of the day, have much to talk about.

I guess what I'm trying to say is that community is important- but a supportive community where you feel listened to and comfortable in is essential. Life is hard enough without our support systems being stressful, too.

So for me, at least, the search begins again! I hope that everyone looking for a community finds one that's an excellent fit.

Until next time, friends!

Sunday, September 15, 2019

Aaand We're Back!

Audio of this post can be found HERE

Hello everyone!

It's been about 3 years since my last entry into this blog. Frankly, and possibly ironically, I find that the times that I'm struggling the most with my chronic health issues, and therefore have the most to say, are also the times that I least want to write about it.

Regardless, if you're reading this, I want to give you a quick update on my personal health situation, and then share some news about this blog and what to expect in the weeks - and hopefully months- to come.

On a personal note, the past few years have been rough, health-wise. I've had a few surgeries, way too many trips to urgent care and hospitals, and a new diagnosis. Throughout it all, of course, the thing that remained irritatingly constant was the eczema. I tried a few new treatments for that, too! But more on all of that later! On to the big reason that I'm writing this:

Someone recently said to me that it is human nature to fear what we do not understand. But I counter that that is an incomplete idea. It is human nature to fear what we do not understand- and that is what drives us to try to understand everything. We are curious creatures- we never like to be in the dark for long. In the spirit of that, I'm revamping Scritch to be an open exchange about chronic illness. I'll still be primarily focusing on my life with the chronic illnesses I struggle with- after all, that was the foundation of this blog, and I would never dream of writing for another group of people when I have no idea what they're going through. But I hope to tweak the structure to include a little more education and exchange of ideas, highlighting different views on symptom control and bettering quality of life. I'm pretty excited about this, and, even though the idea is still new, I hope once I can iron out how to do it, it can become something great.

If you're still reading this, thank you! I hope you'll continue to visit, and join me on this very uncertain journey.