Category: frustration

What’s Your Pain Number?

If you have fibromyalgia, suffer from migraines, or have some other chronic pain illness, I think you can develop a skewed view of pain. Then when you go to the doctor because of some new or acute pain, and they ask “What’s your pain level on a scale of 1 to 10?”, I wonder if the answer is the same as it would be from someone who is otherwise healthy. I think that it may not be. I think when you deal with chronic pain what level of pain you consider tolerable – because there is no choice but to tolerate it – is much different than the person who is accustomed to living with a zero pain level.

It used to frustrate me when doctors would ask what my pain level was because I had no frame of reference for what was a 3 and what was a 9, or anything in between. Finally, several years ago, a pain specialist gave me a pain chart that I found very helpful in that it provides a description of each number on the pain scale. (I had to chuckle that they include “0 – No Pain” on the chart because I have no idea what that is like and wondered what the point of including this on the pain scale, except maybe to torment those of us who can never honestly say we are at 0.)

Anyway, I thought I would share this pain scale here, for those of you who have never had a doctor who was kind enough to give you a somewhat objective frame of reference. (I say somewhat objective because, as I said above, I think chronic pain can skew your view of what is tolerable pain.)

  1. Minimal = Pain is hardly noticeable.
  2. Mild = Feel a low level of pain; aware of pain only when paying attention to it.
  3. Uncomfortable = Pain is troubling but can be ignored most of the time.
  4. Moderate = Constantly aware of the pain but can continue normal activities.
  5. Distracting = Pain is barely tolerable; some activities limited by the pain.
  6. Distressing = Pain preoccupies thinking; must give up many activities due to pain.
  7. Unmanageable = Constant pain that interferes with almost all activities; often must take time off work; nothing seems to help.
  8. Intense = Severe pain makes it hard to concentrate on anything but the pain; conversations difficult.
  9. Severe = Can concentrate on nothing but the pain; can do almost nothing; can barely talk.
  10. Immobilizing = Pain is excruciating; unable to move except to seek immediate help for pain in emergency room, etc.; bedridden.

I recently experienced a pain in my side and abdomen that was different than and in a different place than any pain I have ever felt before. After talking to an advice nurse on the phone, I went to urgent care because she said I needed to be seen right away. She was concerned that it might be appendicitis or gall stones.

Once at urgent care, the doctor asked me the million dollar question, “What’s your level of pain on a scale of 1 to 10, with 10 being the worst pain you’ve ever felt?” I really wish I’d had my handy pain scale with me. If I compared the pain I was in that day to the worst pain I’ve ever experienced (which happens to be a 10 on the above scale), it really wasn’t that bad. I think I told him it was a 3 or 4. But based on the above scale it was more like 6 or 7.

It turned out I don’t have appendicitis, though they still haven’t figured out what is wrong. But as I thought about my experience with this urgent care doctor, a guy who didn’t know me at all, I wonder how seriously he took my complaint of pain since it was only at a level of 3 or 4. I wonder if someone else coming into urgent care whose “worst pain ever” was only a 5 on this scale would have answered his query much differently.

Reducing pain to a number doesn’t seem that helpful to me. Does a subjective number that is skewed by the patient’s prior pain experience really help a doctor with a diagnosis? I don’t know that it does. So I think I’m going to print off this pain scale on a small piece of paper that I can easily carry in my purse so that the next time I’m asked that question, I can pull it out and have an objective description of my pain for the doctor.

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Dealing with Arguers

“Make every effort to live in peace with everyone and to be holy”

Hebrews 12:14, TNIV

 

For me personally, someone in my face can be nasty and irritating.  It seems I can never say enough.  I simply don’t get any sense of having “convinced” them of my position or views.  I maintain composure (I try, anyway) and then ignite when its all over.

Inevitably, I start playing the whole ugly argument over and over.  Often, if I feel quite vulnerable, I will enlist my dear wife’s availability.  She comes to my side, where I find the support I wanted.

Intense arguments can derail me from so much.  Going to scripture in this frame of mind does me no good at all.  When I’m in this place, prayer becomes unplugged (kind of like my exercise “treadmill.”)  I sit in my chair and simmer, and occasionally boil over.

What do I need most?

  • Humility
  • Gentleness, and sensitivity
  • Kindness  
  • Pre-planning, or pre-alignment of my heart
  • A sense of humor
  • Renunciation of my “rights” and privileges

 

A lot of things could be added to my quick list, that would be helpful.  Making cookies, or doing new chores also sort out things.  If the issue is more mountain than molehill, find your way to an elder or a pastor.  But whatever you do, it’s best to keep moving.  So much is working to solidify you in one place.  It’s like walking through wet cement! (It’s best not to linger too long, in one place.)

Know this though.  Being in an argument or conflict is not sin.  They may disturb us, but we don’t necessarily have to sin.  Jesus had some whoppers in His day.  He walked into these conflagrations without a diminishing of peace or joy.  He walked out of them the same way.  He can teach us, by showing us how He did it.

Just one more thing (I’m trying hard to write a essay here.)  You don’t hear or read it very often–but, we all are models and examples to someone else.  Our children, neighbors, friends, the bank teller and our gym instructor.  Not that everyone knows of our issue, our frustration.  But that our lives are filled with a “joyous humility.”  I think what hurts me most is that I fear my witness or testimony has been damaged by my words and actions.

God is God of my everything.  He knows what happened.  He knows me, and knows them.  The sin does not impede His vision of you.  When he was on earth, he was never disturbed by any confict.  Today, he is the same.  Disputing with someone else– no problem.  He doesn’t get loose and cut you down in embarassment.  Brilliantly and lovingly, He absorbs all that concerns you.  He is more gentle than you know and kinder than any man, or woman. 

Tourette Syndrome: Know The Basics

“Dropping F Bombs”

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Tourette’s disorder, or Tourette syndrome

(TS) as it is frequently called, is a neurologic syndrome. The essential feature of Tourette’s are multiple tics that are sudden, rapid, recurrent, non-rhythmic, stereotypical, purposeless movements or vocalizations.

 
 What are the symptoms of Tourette syndrome?
 
  • Both multiple motor and one or more vocal tics are present at some time during the illness, although not necessarily simultaneously
  • Occurrence many times a day nearly every day or intermittently throughout a span of more than one year
  • Significant impairment or marked distress in social, occupational, or other important areas of functioning.
  • Onset before the age of 18.

 Symptoms can disappear for weeks or months at a time and severity waxes and wanes.

  

What are the first tics that may be characteristic of Tourette’s syndrome?

Usually, the facial tic, such as rapid blinking of the eyes or twitches of the mouth, may be the first indication a parent has that their child may have Tourette’s syndrome. Involuntary sounds, such as throat clearing and sniffing, or tics of the limbs may be an initial sign in other children.

  

Are any other symptoms associated with Tourette’s syndrome?

Approximately 50 percent of patients meet criteria for attention deficit hyperactivity disorder (ADHD) and this may be the more impairing problem. Approximately one-third of patients meet criteria for obsessive-compulsive disorder (OCD) or have other forms of anxiety. Learning disabilities are common as well as developmental stuttering. Social discomfort, self-consciousness and depressed mood frequently occur, especially as children reach adolescence.

 

Yelling and irrational

What causes these symptoms?

Although the cause has not been definitely established, there is considerable evidence that Tourette’s syndrome arises from abnormal metabolism of dopamine, a neurotransmitter. Other neurotransmitters may be involved.

 

Can Tourette’s syndrome be inherited?

Genetic studies indicate that Tourette’s syndrome is inherited as an autosomal dominant gene but different family members may have dissimilar symptoms. A parent has a 50 percent chance of passing the gene to one of his or her children. The range of symptomatology varies from multiple severe tics to very minor tics with varying degrees of attention deficit-disorder and OCD.

  

Are boys or girls more likely to have Tourette’s syndrome?

The sex of the child can influence the expression of the Tourette’s syndrome gene. Girls with the gene have a 70 percent chance of displaying symptoms, boys with the gene have a 99 percent chance of displaying symptoms. Ratios of boys with Tourette’s syndrome to girls with Tourette’s syndrome are 3:1. 

  

How is Tourette’s syndrome diagnosed?

No blood analysis, x-ray or other medical test exists to identify Tourette’s syndrome. Diagnosis is made by observing the signs or symptoms as described above. A doctor may wish to use a CAT scan, EEG, or other tests to rule out other ailments that could be confused with TS. Some medications cause tics, so it is important to inform the professional doing the assessment of any prescribed, over-the-counter, or street drugs to which the patient may have been exposed.

  

What are the benefits of seeking early treatment of Tourette syndrome symptoms?

When a child’s behavior is viewed as disruptive, frightening, or bizarre by peers, family, teachers, or friends, it provokes ridicule and rejection. Teachers and other children can feel threatened and exclude the child from activities or interpersonal relationships. A child’s socialization difficulties will increase as he reaches adolescence. Therefore, it is very important for the child’s self-esteem and emotional well-being that treatment be sought as early as possible.

  

What treatments are available for Tourette syndrome?

Not everyone is disabled by his or her symptoms, so medication may not be necessary. When symptoms interfere with functioning, medication can effectively improve attention span, decrease impulsivity, hyperactivity, tics, and obsessive-compulsive symptomatology. Relaxation techniques and behavior therapy may also be useful for tics, ADD symptoms, and OCD symptoms. 

  

How does Tourette syndrome affect the education of a child or adolescent with Tourette syndrome?

Tourette syndrome alone does not affect the IQ of a child. Many children who have Tourette syndrome, however, also have learning disabilities or attention deficits. Frequently, therefore, special education may be needed for a child with Tourette syndrome. Teachers should be given factual information about the disorder and, if learning difficulties appear, the child should be referred to the school system for assessment of other learning problems.

  

What is the course of Tourette syndrome?

Some people with Tourette syndrome show a marked improvement in their late teens or early twenties. However, tics as well as ADD and OCD behavior, may wax and wane over the course of the life span.   

  

Reviewed by Charles T. Gordon, III, M.D., 2003

 

For more help go to: http://www.nami.org/   and  http://www.tsa-usa.org/

 

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