Category: pain

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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Safe in the Mouth of Danger

In my dream, I had a vision.

An angel of the Lord led me down to the depths of the sea.

“What do you see?” the angel asked.

I said, “I see a boy, a child, in the mouth of a shark!”

“Yes,” the angel said.

“But, he is terrified!” I said.

“He will be grateful,” the angel said. “Watch.”

As I gazed upon the frightened child, a great white suddenly attacked the shark. The child began to climb out of the mouth of the shark, but he had set his leg upon its jaws and the shark bit down and took off his leg. The child, however, was able to swim away safely because the great white was devouring the shark.

“How is this possible?” I asked the angel.

“Do you not know?” the angel responded. “Have you not heard? With God, all things are possible.”

“But,” I said. “Why was the child not spared this danger in the first place?”

“You will see,” the angel said. “Come.”

A moment later, we were on dry ground.

“Was that real?” I asked. “I am disillusioned.”

“What do you see?” the angel asked.

“My leg is gone!” I proclaimed. “I was the child!”

“Yes,” the angel said.

“But,” I said. “How can I live without my leg? I lost my leg!”

“But, you did not lose you,” the angel said. “And that is precisely what would have happened had you not lost your leg. If the shark had not swallowed you whole, the great white would have attacked you from the side. You would have been devoured and destroyed. Instead, you have been spared.”

“Why?” I asked. “Why have I been spared? Why am I still here? Why must I suffer so much?”

“You suffer,” the angel said. “Indeed, you exist, to give hope. Now, go. And teach God’s children how to walk with a limp. Strengthen your brothers. Encourage your sisters. Show them how to survive A Dark & Stormy Night.”

“Yes, my lord,” I said, bowing my head in respect as the angel vanished from my sight.

When I woke up, I recorded my vision, that my brothers and my sisters may yet understand why they, too, must walk with a limp.

“Do you not know? Have you not heard?
“With God, all things are possible.”

When Demons Rule People

by Julie Anne Fidler, BB Weekly Contributor

   1 They went across the lake to the region of the Gerasenes.[a] 2 When Jesus got out of the boat, a man with an impure spirit came from the tombs to meet him. 3 This man lived in the tombs, and no one could bind him anymore, not even with a chain. 4 For he had often been chained hand and foot, but he tore the chains apart and broke the irons on his feet. No one was strong enough to subdue him. 5 Night and day among the tombs and in the hills he would cry out and cut himself with stones.

 6 When he saw Jesus from a distance, he ran and fell on his knees in front of him. 7 He shouted at the top of his voice, “What do you want with me, Jesus, Son of the Most High God? In God’s name don’t torture me!” 8 For Jesus had said to him, “Come out of this man, you impure spirit!”

 9 Then Jesus asked him, “What is your name?”

   “My name is Legion,” he replied, “for we are many.” 10 And he begged Jesus again and again not to send them out of the area.

 11 A large herd of pigs was feeding on the nearby hillside. 12 The demons begged Jesus, “Send us among the pigs; allow us to go into them.” 13 He gave them permission, and the impure spirits came out and went into the pigs. The herd, about two thousand in number, rushed down the steep bank into the lake and were drowned.

 14 Those tending the pigs ran off and reported this in the town and countryside, and the people went out to see what had happened. 15 When they came to Jesus, they saw the man who had been possessed by the legion of demons, sitting there, dressed and in his right mind; and they were afraid. 16 Those who had seen it told the people what had happened to the demon-possessed man—and told about the pigs as well. 17 Then the people began to plead with Jesus to leave their region.

 18 As Jesus was getting into the boat, the man who had been demon-possessed begged to go with him. 19 Jesus did not let him, but said, “Go home to your own people and tell them how much the Lord has done for you, and how he has had mercy on you.” 20 So the man went away and began to tell in the Decapolis[b] how much Jesus had done for him. And all the people were amazed.

– Mark 5:1-20

I have often wondered about this demon-possessed man. The image is striking – he was held captive by demons, and yet no earthly chains could hold him. His behavior sounds familiar to many of us who have lived in the grip of mental illness. Crying out? Cutting himself? I’ve been there. I’ve done that. Is this a story about mental illness before anyone could prescribe drugs to treat it?

I think the wording of this story is especially interesting – the Bible here refers to the demons as “impure spirits.” The King James Version refers to the demons as “unclean spirits.” It seems to indicate that Satan is much more than horns and a pointy tail. “Unclean” and “impure” could mean so many things.

The first time someone suggested I might be dealing with some form of demonic oppression in my life I thought they were crazy. Horror films have made us believe that people who “have demons” always kill people with their minds or cause things to catch on fire by pure will. The Bible includes some scary images of demons, but Satan does his best work by being subtle. It’s a lot harder to believe in demons if they’re not spitting blood directly in your face.

Satan uses daily life against us. He uses our professional struggles to make us think we’re unworthy of success; he uses our financial problems to make us believe we’re not as good as other people; he uses our painful pasts to make us buy the lie that we will never be able to overcome who we used to be.

Mental illness alters the way we see ourselves and the world around us. It makes everything seem dark even though there is reason to rejoice. It robs us of stability and even the ability to reason. I truly believe that mental illness is the enemy’s way of fighting against everything that Jesus really wants us to be. What could be more impure or unclean than that?

The King James Version of verse 20 uses the word “publish” instead of “tell”. The man began to publish in the Decapolis how much Jesus had done for him. I can relate to the demon-oppressed man’s pain but I can also relate to his healing. Jesus might drive all of my demons into the bodies of pigs someday, but for now He has quieted my unquiet mind with the right medications, counseling, and a support system. I rejoice in that, and I publish how much Jesus has done for me.

That’s how we can kick the devil back – by being thankful that help is available. I am thankful that Jesus Christ has quieted the stormy seas in my soul. I know that Satan wants to use mental illness against me, and knowing your opponent is half the battle.

Get grounded in the truth, draw close to God, and let Him cleanse the impure and unclean things that have kept you bound but crying out for so long.

Julie Anne Fidler is a contributing writer for Brokenbelievers.com.  She comes with a humble and understanding heart for those with a mental illness.  Her writing gift is valued greatly.  Look for her post weekly, on this blog.   She keeps a personal ministry blog at www.mymentalhealthday.blogspot.com.  Read more there.

Suicide– A Second Look

The World Health Organization estimates that approximately 1 million people die each year from suicide. What drives so many individuals to take their own lives? To those not in the grips of suicidal depression and despair, it’s difficult to understand. But a suicidal person is in so much pain that he or she can see no other option.

Suicide is a desperate attempt to escape suffering that has become unbearable. Blinded by feelings of self-loathing, hopelessness, and isolation, a suicidal person can’t see any way of finding relief except through death. But despite their desire for the pain to stop, most suicidal people are deeply conflicted about ending their own lives. They wish there was an alternative to committing suicide, but they just can’t see one. 

Suicide is not chosen; it happens
when pain exceeds
resources for coping with pain.

Because of their ambivalence about dying, suicidal individuals usually give warning signs or signals of their intentions. The best way to prevent suicide is to know and watch for these warning signs and to get involved if you spot them. If you believe that a friend or family member is suicidal, you can play a role in suicide prevention by pointing out the alternatives, showing that you care, and getting a doctor or psychologist involved.

Common Misconceptions about Suicide

FALSE: People who talk about suicide won’t really do it.
Almost everyone who commits or attempts suicide has given some clue or warning. Do not ignore suicide threats. Statements like “you’ll be sorry when I’m dead,” “I can’t see any way out,” — no matter how casually or jokingly said may indicate serious suicidal feelings.

FALSE: Anyone who tries to kill him/herself must be crazy.
Most suicidal people are not psychotic or insane. They must be upset, grief-stricken, depressed or despairing, but extreme distress and emotional pain are not necessarily signs of mental illness.

FALSE: If a person is determined to kill him/herself, nothing is going to stop him/her.
Even the most severely depressed person has mixed feelings about death, wavering until the very last moment between wanting to live and wanting to die. Most suicidal people do not want death; they want the pain to stop. The impulse to end it all, however overpowering, does not last forever.

FALSE: People who commit suicide are people who were unwilling to seek help . 
Studies of suicide victims have shown that more then half had sought medical help within six month before their deaths.

FALSE: Talking about suicide may give someone the idea.
You don’t give a suicidal person morbid ideas by talking about suicide. The opposite is true –bringing up the subject of suicide and discussing it openly is one of the most helpful things you can do.

 

Source: SAVE – Suicide Awareness Voices of Education

Excellent site: http://www.metanoia.org/suicide/

More info: http://www.helpguide.org/mental/suicide_prevention.htm