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Tag: Nerve Pain

Chronic Pain: Living Life When There Are Few “Better Days”

pain and suffering
I am sure glad I am so close to Jesus 🙂

“I hope you will feel better soon,” is an oft-heard line by chronic pain sufferers from well-meaning people. There’s this idea that our pain is temporary; that a cure awaits somewhere beyond the next doctor’s appointment. “A better day awaits,” people confidently say. How they could possibly know this remains unsaid, but such thinking finds its impetus in the idea that all suffering is temporary; that deliverance awaits just around the next corner.

For chronic pain sufferers, however, there are few better days outside of death on the horizon. We know there will never be a day when we “feel better,” outside of the marginal relief we receive from medications and treatments. In our minds, “it is what it is,” and no amount of good thoughts, wishful thinking, or prayer is going to change that fact.

Why, then, do the family members and friends of chronic pain sufferers ignore, marginalize, or reject this fact? If the pain sufferer can live with “it is what it is,” why can’t they? Certainly, family members and friends want the pain sufferer to feel better. I never doubt that such people are sincere or that they want what they perceive is best for me. Others have warped understandings of medical science or the specific medical conditions chronic pain sufferers face. They deify science, thinking that no medical problem is beyond treatment or cure. Doctors, of course, know better. They know that they can actually cure a handful of maladies. Most often, pain is managed and controlled. I know my doctors cannot cure me. My health problems are beyond simply taking medication or having surgery. Everything my doctors do is in the hope of giving me quality of life during what time I have left. I told my primary care doctor that I don’t expect him to cure me. I want him to do what he can to make my life better: less pain, and more mobility, or at the very least, no increased pain or debility That’s the contract we have with each other.

Many well-wishers think that if pain sufferers can, they should. If there is a treatment or procedure that “might” help, we should do it. Such people are convinced that a “miracle” awaits if the pain sufferer will just swallow this pill, eat these foods, take these supplements, have this surgery, or go through yet another treatment. They are unwilling to accept that “it is what it is.” When concerned family members and friends think (often wrongly) pain sufferers are giving in or giving up, they lecture and badger chronic pain sufferers, prodding us as a farmer with a cattle prod, to move forward through the chute of life. In their minds, giving in or giving up is always wrong, even if doing otherwise leads to more pain and suffering. I have watched numerous people — including my wife’s father — go through horrific pain and suffering, all because family members didn’t want their loved ones to give in or give up. And in the end? They died anyway.

I take a stoic approach to life. I have had a lot of trauma, tragedy, and suffering in my life. All suffering is personal. I know that what I have experienced is less than what some people have faced, but more than what others have gone through. When one of my toddler grandsons gets a boo-boo, his pain is every bit as real as Grandpa’s. The difference, of course, is that I have had almost sixty-six years of trauma, tragedy, and suffering. My lived experiences are far different from that of grandchildren or people decades younger than I am. All I know to do is to empathize with people when they are suffering, even when I know their pain is less than mine. I know that pain is a great teacher. I have had numerous steroid injections over the years. Polly always goes with me when I get juiced up. She usually remarks about my stoic mentality when the orthopedic doctor is sticking a long needle into my shoulder, hips, or hands. I always tell her that I have experienced horrible pain in my life; that the injections are uncomfortable, but nothing compared to my day-to-day pain or some of the painful procedures I’ve had in the past. I have developed mental processes that help me embrace the pain; the mental version of gritting one’s teeth and clenching one’s hands.

As I sit sideways in my recliner typing this post, my body hurts — literally — from head to toe. Herniated discs in my spine and neck, degenerative spine disease, osteoarthritis in numerous joints, muscle pain from fibromyalgia, and nerve pain in my legs and feet have left me in constant pain. I take narcotic pain medications, NSAIDs, and muscle relaxers to cope with my pain. They help, to be sure, but these drugs do not magically deliver me from pain. That has never been the goal. Pain medications and muscle relaxers, at their best, tamp down pain spikes. Certainly, I could take high enough levels of narcotics to make my pain go away, but in doing so I would sacrifice living a meaningful life. You see, “not dying” is not my grand goal. I don’t want to spend the last months and years of my life so drugged up that all I do is sleep, hoping that doing so will add a few days to my life. I choose quality over quantity, even if it means more pain than I would otherwise have.

I try to educate myself about the various diseases and debilities that I have. When I was diagnosed with gastroparesis (an incurable stomach disease) two years ago, the first thing I did was study up on the disease and its treatments. Knowledge really is power. With knowledge, I can know what to expect and how to best treat symptoms. I work in partnership with my doctors, knowing that the person who best knows my body is me. Unfortunately, family members and friends aren’t going to do this, so they often say ill-informed, ignorant, and, at times, stupid things to chronic pain sufferers. Typically, I ignore them. Other times, I ask, what treatment or drug do you suggest? Well, uh, I heard, I read on Facebook . . . You see, they don’t have any answers either. Why? In my case, there are no treatments, drugs, or surgeries that will lessen my pain and suffering in meaningful ways. And if there were, don’t you think I would investigate them and act accordingly? Or do some family members and friends think I want to be in pain; that I enjoy crippling pain, debility, vomiting, and diarrhea?

I have accepted that “it is what it is.” Unless there is a major medical breakthrough, I know that my life tomorrow and the day after will pretty much be, pain-wise, as it is today. I have embraced this fact. Are there treatments that I could have done that would offer short-term, temporary relief? Sure, but to what end? In 2021, I had a procedure done under anesthesia that used Botox to paralyze a muscle in my stomach. Did it work? Did I find relief? Sure, for three days, and then I was right back to being nauseous and vomiting. The same goes for epidurals and nerve blocks. They last for a short amount of time and are prohibitively expensive. I tried all of these procedures, but I decided, in the end, I didn’t want to deal with the false hopes and highs and lows that come from such treatments. A while back I had a night when I slept for nine hours, only waking up twice. I hopefully thought, “is this a sign of better days ahead”? Of course not. It was an anomaly. The next night I got two hours of sleep, and after that, I had on-and-off sleep for ten hours, as is typical for me.

I have accepted the fact that “better” days are not on my radar; that if I want to live, write, and enjoy what life I have, I must embrace my pain, do what I can, and try to ignore the well-meaning well-wishers. And when I can’t, I write a blog post. 🙂

Bruce Gerencser, 67, lives in rural Northwest Ohio with his wife of 46 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

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Nerve Pain: Please, Don’t Touch Me

dont touch me

Many Fibromyalgia sufferers have days where they can’t bear to have someone touch them. The other day, Polly came into my office and started to put her hand on my shoulder. I barked, DON’T! Polly knows when I say this that I am having a “please don’t touch me” day.

Most days, the nerves in my skin are quite sensitive. This sensitivity is part of the problem I have with chronic pain. I hurt everywhere, from head to toe. It has been over a decade since I have had a day where I could say, I feel pretty good today. Fibromyalgia primarily affects the muscles. I also have osteoarthritis, along with chronic low back pain. Fibromyalgia+osteoarthritis+back pain+nerve pain=unrelenting chronic pain. Fibromyalgia+osteoarthritis+back pain+nerve pain+narcotic pain medication+muscle relaxers=less unrelenting chronic pain.

garfield pain

As anyone who lives with chronic pain can tell you, pain medications do not make the pain go away. They lessen the pain spikes and provide a break in the pain cycle. When normally healthy people take narcotics to alleviate pain, they often feel a buzz from the drug. Some people become quite loopy. That’s not how it is for people who are on a long-term pain management regimen (as I have been for over fifteen years). Unless the chronic pain sufferer takes narcotics like Dr. House — by the handfuls — it is unlikely that they will feel a buzz or become loopy. They will feel a lessening of the pain, a break in the pain cycle, but otherwise, they will be as normal as normal is for them.

On “please, don’t touch me” days, the pain medications don’t work like they normally do. I am unsure as to the physical reason for this, but I know that I can double my pain medication on a “don’t touch me” day and it has little effect. I just have to tough it out, knowing that the next day will be maybe, I hope so, likely better.

This past Friday, Saturday, and Sunday, I worked in the office, took care of some remodeling projects, cleaned house, and trimmed trees and bushes. I worked far longer and harder than I should have, but since I am unwilling or unable to stop doing so, I must live with the consequences. And, boy, oh boy, do the consequences roll in like a freight train! Today, and probably several more days thereafter, I will have to contened with pervasive, unrelenting nerve pain. I am definitely in a “don’t touch me” phase of life.

Why I am telling you this? Perhaps you know someone who lives with chronic pain. If so, perhaps this post will give you a little insight into what they might be going through. Perhaps you have seen them grimace when someone touches or bumps into them. They might be having a “please, don’t touch me” day. If they are anything like me, they will endure the pain for the sake of not appearing crabby or difficult. Chronic pain sufferers want to be seen as “normal”, and often they will silently endure the pain unintentionally inflicted on them by others.

People who know me well will generally ask how I am doing before hugging me or shaking my hand. (COVID-19 has lessened such close encounters.) Some friends and family members know how to read my face. As much as I try to hide the pain, it reveals itself in my face and eyes. I normally have sparkling blue eyes, but when I am in a lot of pain, depressed, or physically having a difficult day, my eyes will turn gray. I don’t know WHY my eye color changes, I just know it does.

Bruce Gerencser, 67, lives in rural Northwest Ohio with his wife of 46 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

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Are You in Pain Today?

new pain schedule

Last Friday, my surgeon called and asked me to come see him at 1:30 pm today so we could go over the recent biopsy results of the fluid removed from the mass in my chest. In early December, I had a huge cyst that spanned from my breast/collarbone to my sternum/underarm drained and biopsied. The interventionist radiologist removed 360cc of fluid. I IMMEDIATELY felt relief — all praise be to Asclepius.

The nurse came out to the waiting area and called my name. Someone new. “Where’s MY nurse . . . dammit, I have no time to train a new one,” I thought.

Into the room, we went. I could hear my doctor talking to another patient next door. He seemed in a good mood, but then he always seemed that way.

The nurse took my blood pressure and pulse. Then she asked, “Are you in pain today?”

If there is one question that raises my hackles, it is this one. “Can’t you read my chart? See right there where it says the patient has fibromyalgia, osteoarthritis, nerve pain, and is on narcotic pain management. Pay attention.”

For a brief snarky second, I wanted to say, “Praise Jesus, I went to a Benny Hinn Miracle Meeting® on Saturday, and God healed me of everything except the cyst that is growing again in my chest.” Instead, I said, “Yes, I am always in pain.”

Then the nurse asked me another question that I despise answering, “On a scale of one to ten, what’s your pain level?”

I replied, “I hate pain charts. Pain charts are subjective, a waste of time.”

I got the “look,” you know that look that says, “Give me a fucking number so I can enter it in the proper box on your chart.”

I replied, “six.”

Hell, it could have been ten or three or twelve. By what standard am I being asked to judge the level of my pain? Such a silly way to determine pain levels and what, if any, treatment is appropriate.

The surgeon entered the room with a medical student in tow. We traded a bit of chit chat and then moved to discussing the biopsy results and his recommended course of treatment. I told him the cyst had returned and was growing larger by the day. I stood up and had him feel the cyst. I turned to the medical student — a woman — and asked her if she would like to feel the cyst. She said, “yes,” and proceeded to put her hand above my right breast. The surgeon had her feel above the left breast too so she knew what normal felt and looked like.

The surgeon told me that removing the cyst could be a difficult operation due to its proximity and depth. His suggestion was for the radiologist to drain the cyst again and then inject it with a sclerosing agent. Hopefully, this procedure will stop the fluid from accumulating again.

The surgeon asked Polly and I if we had any questions. Both of us said, “no.” He then asked Polly how she was doing and if she was scheduled to see him soon (he is the doctor who will be reversing her colectomy). Polly answered in the affirmative. The surgeon and his student left, and my regular nurse came in to talk to me about scheduling the procedure. Hopefully, I will have it done in the next fourteen days.

The surgeon? He had left the office after seeing me and quickly made his way across the street to the hospital. Waiting for him was a young girl who needed emergency surgery.

What is your opinion of pain charts? Please share your thoughts in the comment section.

Bruce Gerencser, 67, lives in rural Northwest Ohio with his wife of 46 years. He and his wife have six grown children and thirteen grandchildren. Bruce pastored Evangelical churches for twenty-five years in Ohio, Texas, and Michigan. Bruce left the ministry in 2005, and in 2008 he left Christianity. Bruce is now a humanist and an atheist.

Connect with me on social media:

Your comments are welcome and appreciated. All first-time comments are moderated. Please read the commenting rules before commenting.

You can email Bruce via the Contact Form.