A Letter to those without chronic pain

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I found this on another forum and thought it may help some people.



Having chronic pain means many things change, and a lot of them are invisible. Unlike having cancer or being hurt in an accident, most people do not understand even a little about chronic pain and its effects, and of those that think they know, many are actually misinformed.

In the spirit of informing those who wish to understand ...
... These are the things that I would like you to understand about me before you judge me...

Please understand that being sick doesn't mean I'm not still a human being. I have to spend most of my day in considerable pain and exhaustion, and if you visit, sometimes I probably don't seem like much fun to be with, but I'm still me-- stuck inside this body. I still worry about school, my family, my friends, and most of the time - I'd still like to hear you talk about yours, too.

Please understand the difference between "happy" and "healthy". When you've got the flu, you probably feel miserable with it, but I've been sick for years. I can't be miserable all the time. In fact, I work hard at not being miserable. So, if you're talking to me and I sound happy, it means I'm happy. That's all. It doesn't mean that I'm not in a lot of pain, or extremely tired, or that I'm getting better, or any of those things. Please don't say, "Oh, you're sounding better!" or "But you look so healthy!¨ I am merely coping. I am sounding happy and trying to look normal. If you want to comment on that, you're welcome.

Please understand that being able to stand up for ten minutes doesn't necessarily mean that I can stand up for twenty minutes, or an hour. Just because I managed to stand up for thirty minutes yesterday doesn't mean that I can do the same today. With a lot of diseases you're either paralyzed, or you can move. With this one, it gets more confusing everyday. It can be like a yo-yo. I never know from day to day, how I am going to feel when I wake up. In most cases, I never know from minute to minute. That is one of the hardest and most frustrating components of chronic pain.

Please repeat the above paragraph substituting, "sitting", "walking", "thinking", "concentrating", "being sociable" and so on ... it applies to everything. That's what chronic pain does to you.

Please understand that chronic pain is variable. It's quite possible (for many, it's common) that one day I am able to walk to the park and back, while the next day I'll have trouble getting to the next room. Please don't attack me when I'm ill by saying, "But you did it before!" or Oh, come on, I know you can do this!" If you want me to do something, then ask if I can. In a similar vein, I may need to cancel a previous commitment at the last minute. If this happens, please do not take it personally. If you are able, please try to always remember how very lucky you are--to be physically able to do all of the things that you can do.

Please understand that "getting out and doing things" does not make me feel better, and can often make me seriously worse. You don't know what I go through or how I suffer in my own private time. Telling me that I need to exercise, or do some things to get my mind off of it¨ may frustrate me to tears, and is not correct if I was capable of doing some things any or all of the time, don't you know that I would? I am working with my doctor and I am doing what I am supposed to do. Another statement that hurts is, "You just need to push yourself more, try harder..." Obviously, chronic pain can deal with the whole body, or be localized to specific areas. Sometimes participating in a single activity for a short or a long period of time can cause more damage and physical pain than you could ever imagine. Not to mention the recovery time, which can be intense. You can't always read it on my face or in my body language. Also, chronic pain may cause secondary depression (wouldn't you get depressed and down if you were hurting constantly for months or years?), but it is not created by depression.

Please understand that if I say I have to sit down/lie down/stay in bed/or take these pills now, that probably means that I do have to do it right now - it can't be put off or forgotten just because I'm somewhere, or am right in the middle of doing something. Chronic pain does not forgive, nor does it wait for anyone.

If you want to suggest a cure to me, please don't. It's not because I don't appreciate the thought, and it's not because I don't want to get well. Lord knows that isn't true. In all likelihood, if you've heard of it or tried it, so have I. In some cases, I have been made sicker, not better. This can involve side effects or allergic reactions. It also includes failure, which in and of itself can make me feel even lower. If there were something that cured, or even helped people with my form of chronic pain, then we'd know about it. There is worldwide networking (both on and off the Internet) between people with chronic pain. If something worked, we would KNOW. It's definitely not for lack of trying. If, after reading this, you still feel the need to suggest a cure, then so be it. I may take what you said and discuss it with my doctor.

If I seem touchy, it's probably because I am. It's not how I try to be. As a matter of fact, I try very hard to be normal. I hope you will try to understand. I have been, and am still, going through a lot. Chronic pain is hard for you to understand unless you have had it. It wreaks havoc on the body and the mind. It is exhausting and exasperating. Almost all the time, I know that I am doing my best to cope with this, and live my life to the best of my ability. I ask you to bear with me, and accept me as I am. I know that you cannot literally understand my situation unless you have been in my shoes, but as much as is possible, I am asking you to try to be understanding in general.

In many ways I depend on you - people who are not sick. I need you to visit me when I am too sick to go out... Sometimes I need you help me with the shopping, cooking or cleaning. I may need you to take me to the doctor, or to the store. You are my link to the normalcy of life. You can help me to keep in touch with the parts of life that I miss and fully intend to undertake again, just as soon as I am able.

I know that I have asked a lot from you, and I do thank you for listening. It really does mean a lot.

AUTHOR UNKNOWN
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TIPS FOR DEALING WITH PEOPLE IN PAIN

1. People with chronic pain seem unreliable (we can't count on ourselves). When feeling better we promise things (and mean it); when in serious pain, we may not even show up.

2. An action or situation may result in pain several hours later, or even the next day. Delayed pain is confusing to people who have never experienced it.

3. Pain can inhibit listening and other communication skills. It's like having someone shouting at you, or trying to talk with a fire alarm going off in the room. The effect of pain on the mind can seem like attention deficit disorder. So you may have to repeat a request, or write things down for a person with chronic pain. Don't take it personally, or think that they are stupid.

4. The senses can overload while in pain. For example, noises that wouldn't normally bother you, seem too much.

5. Patience may seem short. We can't wait in a long line; can't wait for a long drawn out conversation.

6. Don't always ask "how are you" unless you are genuinely prepared to listen it just points attention inward.

7. Pain can sometimes trigger psychological disabilities (usually very temporary). When in pain, a small task, like hanging out the laundry, can seem like a huge wall, too high to climb over. An hour later the same job may be quite OK. It is sane to be depressed occasionally when you hurt.

8. Pain can come on fairly quickly and unexpectedly. Pain sometimes abates after a short rest. Chronic pain people appear to arrive and fade unpredictably to others.

9. Knowing where a refuge is, such as a couch, a bed, or comfortable chair, is as important as knowing where a bathroom is. A visit is much more enjoyable if the chronic pain person knows there is a refuge if needed. A person with chronic pain may not want to go anywhere that has no refuge (e.g.no place to sit or lie down).

10. Small acts of kindness can seem like huge acts of mercy to a person in pain. Your offer of a pillow or a cup of tea can be a really big thing to a person who is feeling temporarily helpless in the face of encroaching pain.

11. Not all pain is easy to locate or describe. Sometimes there is a body-wide feeling of discomfort, with hard to describe pains in the entire back, or in both legs, but not in one particular spot you can point to. Our vocabulary for pain is very limited, compared to the body's ability to feel varieties of discomfort.

12. We may not have a good "reason" for the pain. Medical science is still limited in its understanding of pain. Many people have pain that is not yet classified by doctors as an officially recognized "disease". That does not reduce the pain, - it only reduces our ability to give it a label, and to have you believe us.

AUTHOR UNKNOWN
 
Good luck to everyone out there that must endure the harshness of constant chronic pain. Its rough being in pain 24/7, and I wish you all the best. This letter is so spot on to my thoughts it disturbing. Who ever wrote this letter, knows pain in an intimate way.
 
This is very true. May I also add that those of us with chronic pain seem lazy because we need to sleep a lot more than the average bear. Also, we know insomnia like it's a member of our own family. Sometimes sleeping pills work, mostly though, they just make you a zombie. So when we use medical marijuana we are able to find a solution that can help us not only decrease the pain, sleep better but forget our misery for a while. Many of us don't want to be doped up on all these pain killers, nor do we wish to be labeled as drug seekers. I have seen and personally witnessed the effects of unsympathetic health care professionals put a label on you. Methadone clinics are where many of us up being brushed off to. We have to go in every day, like a heroin addict, get checked for other scheduled drugs, and god forbid we have anxiety too, we can lose our pain management (what little methadone provides) because of the psychological issues pain provides. Nothing hurts worse than someone saying"just take a Tylenol". It doesn't work like that, if it did, we wouldn't be here. Being labeled a seeker is a death sentence and means the end of the ropes.

I say this rant because I am going through some of the worst pain in my life and the doctors bluntly told me that I'm a seeker and there's no way someone can still be in pain being on opiates. Opiates don't work for everyone. Don't they get it? Do they not understand what it's like to have a bionic back, shoulder, leg, or otherwise. Or what about the constant nausea vomiting and constipation?

Finding a good pain management physician is as hard as landing on the moon, the difference is that we don't have people telling us what to do to achieve our goal of pain relief, just how to suck it up and disregard our own bodies.
 
This is very true. May I also add that those of us with chronic pain seem lazy because we need to sleep a lot more than the average bear. Also, we know insomnia like it's a member of our own family. Sometimes sleeping pills work, mostly though, they just make you a zombie. So when we use medical marijuana we are able to find a solution that can help us not only decrease the pain, sleep better but forget our misery for a while. Many of us don't want to be doped up on all these pain killers, nor do we wish to be labeled as drug seekers. I have seen and personally witnessed the effects of unsympathetic health care professionals put a label on you. Methadone clinics are where many of us up being brushed off to. We have to go in every day, like a heroin addict, get checked for other scheduled drugs, and god forbid we have anxiety too, we can lose our pain management (what little methadone provides) because of the psychological issues pain provides. Nothing hurts worse than someone saying"just take a Tylenol". It doesn't work like that, if it did, we wouldn't be here. Being labeled a seeker is a death sentence and means the end of the ropes.

I say this rant because I am going through some of the worst pain in my life and the doctors bluntly told me that I'm a seeker and there's no way someone can still be in pain being on opiates. Opiates don't work for everyone. Don't they get it? Do they not understand what it's like to have a bionic back, shoulder, leg, or otherwise. Or what about the constant nausea vomiting and constipation?

Finding a good pain management physician is as hard as landing on the moon, the difference is that we don't have people telling us what to do to achieve our goal of pain relief, just how to suck it up and disregard our own bodies.

I hate to say it, but the BEST move I made was walking away from the modern medical system and the poison they push. Guys peddling grass aren't drug dealers...doctors pushing their highly addictive harmful pills are the real dope dealers. I agree with everything you said missuniverse
 
That's a very thoughtful letter you found, 912GreenSkell. It does put into words a lot of things I think many of us have thought or felt. I know when my back went bad my life became disfunctional in many ways. Sure, I lost my job and that was easy to identify as hardship. It was the change in moods and personality that comes with severe pain that was harder to get a handle on, and hard for others around me to understand. It's one of those things that's difficult to describe or relate to unless you've been there yourself. ...
 
Well said @MediScrogs

The first few months after my injury were bad...really bad. And then years started to drift by, and it was psychological torture, as I was forced to keep working while in extreme pain and constant migranes,along with little to no sleep. The so called "light duties" that were deemed suitable by the system, were anything but, and it made my injury much worse. I battled with the insurance for 7 years before they finally said screw you, and I got nothing for my legitimate workplace injury. They can ignore doctor after doctor, can pull sentence fragments out of context, to use as ammunition against you...absolute warfare on the mind. In the end I got nothing and have struggled ever since while still having to cope with intense amounts of intense pain. Not stuff I share in public forums usually, but at this point I don't care anymore. ;)
 
I've seen this elsewhere and shared it around to a few friends and family that just don't get it. Like others have said, it's scary how accurate it is.

And I agree - the further I get into my life with pain, the less I listen to what my doctors tell me or want me to do. The two things I strongly believe in (for me, at least) are chiropractic and cannabis. The first one literally took me from a place where I was ready to eat a bullet and gave me back a life, and the second is shaping up to be the best, most effective and stable anti-anxiety and pain medicine I've ever tried.

Sometimes you just have to do what works for you, and damn what the doctors say. It's a shame that it has to be that way, but what can you do.
 
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