Showing posts with label psychiatrist. Show all posts
Showing posts with label psychiatrist. Show all posts

Friday, November 9, 2007

How can you write a blog about Chronic Pain when you are in so much pain?


I was recently asked this question by my Psychiatrist. "How can you write about chronic pain when you are in so much pain yourself". Honestly, it is getting harder to keep this blog updated. In the beginning it was my hope of getting the attention of the medical profession and the politicians. The most rewarding thing is to get comments and I also receive a lot of e-mail from people in pain. I am an advocate for chronic pain through such wonderful organizations as The American Pain Foundation. Chronic pain is one of the most stigmatized diseases in the world, just like Mental Illness used to be and still is to a degree, but not as bad as in the past.

It is only in the past decade that mental illness and psychiatrists have been getting the credit they deserve. In the past people suffering from any form of mental illness were characterized as "being crazy", "retarded", "messed up in the head, sickos". In 2006 an independent study showed that 11% of women and 5% of men take antidepressants. This situation is far from perfect but thanks to scientists and research, we are finally starting to understand the complexities of the human brain and the central nervous system.

Depression and anxiety problems or panic attacks which is a form of mental illness is a problem that Chronic Pain sufferers have to deal with also, especially if you have lived with chronic pain like me, for years. The Psychiatrist I mentioned above, I believe "with all my heart", was placed in my life by GOD. I have been seeing him for 16 years. I have been in Chronic Pain for 25 years. He has treated me for depression and panic attacks for 16 years. He has watched me go from a person with constant pain levels of 3-4 to constant 10 pain levels. He has also watched me battle with back surgeries that only made the pain worse. He has watched me battle the so-called pain management specialists who only want to do their spinal injections at $2500.00 per shot then send you back to your primary care Dr. for pain medication.

Out of anger at what I have been through and compassion for the way I was having to live he made this statement to me. He said, I really have no desire to get into pain management, but I am going to start treating you for your pain. He knows that the medication he prescribes is not sufficient for my pain level but it helps. That was 5 years ago and he still prescribes all of my medication. Not only is he a good psychiatrist but he is a very knowledgeable Medical Doctor. I have nothing but gratification for him and in my life he is one of about three in the medical profession I can say that about.

Chronic Pain is a disease and finally research is starting to reveal the complexities of it. It will not be in my life time that the "he is only wanting drugs because he is an addict" stigma will be lifted. In the meantime myself and about 60-70 million others will continue to "suffer in silence".

Saturday, February 3, 2007

True "Informed Consent".

"Informed Consent" is something that you also rarely get when you go to a doctor anymore, or something that is rarely even mentioned during your appointment. First of all I do not mean to imply that all doctors are bad or unethical. There are some wonderful doctors in all fields but you do have to look for one. I have a psychiatrist that has been treating me for almost 15 years, because with Chronic Pain comes a never ending battle with depression. I do not know what I would do without him. It may be different for some or most of you but in my life, he is the only one that I hold in high esteem.

Everyone has the right to have their condition fully explained to them, and especially if you are having surgery, you have the right to have your questions answered fully and to your satisfication. In my case that rarely happens, especially because of my history with intravenous injections and especially the chymopapain injections. I recently asked two different nurses about chymopapain and they said they had never heard of it. Many surgeons think they are "little gods" and you shouldn't question them. That is exactly what I am talking about with "informed consent". You as a patient have a right to know!!