Tag Archives for Pain Clinic

In The Not So Still Night

In the early hours of this morning – when I woke up for maybe the third time in what should have been a full night’s sleep – the strangest questions crept into my half-drowsy mind: What if the high dose of pain medication I’ve been taking since my surgery is the dose I should have taken all along? What if I’ve been looking at this all wrong? What if I kept landing in the emergency room as often as I did before was because I wasn’t prescribed the correct level of pain medication? After all, the doctors at the pain clinic had expressed a fear of not being able to manage my post-surgery pain if they prescribed a higher dose of pain medications before my surgery.

That had been the point of the nerve block – to give me more pain relief without prescribing more oral opioid pain medications. But what if my nervous system is so damaged by whatever underlying illness caused the pain to begin with that I needed more pain medication or possibly a different kind to manage my pain? Instead of feeling this high level of anxiety about taking more pain medication, shouldn’t I think about how many times in the past two years I landed in the emergency room for extra pain relief or the countless sleepless nights I had because of the pain? Shouldn’t I feel more positive that the pain specialists recognize the need for better treatment for me?

I just stopped writing and thought about those things for a moment. I haven’t landed in the emergency room since surgery, but I’m still having the sleepless nights because of pain even with the higher dose of pain medications. I still can’t travel in a vehicle without feeling pain afterward that forces me to rest to recover from what shouldn’t be an ordeal; and walking any significant distance is out of the question. Unfortunately, stopping to think raised more questions. The main ones being, what if pain medication isn’t the answer for me or what if I need an alternative method of pain management that hasn’t been tried yet? And worst of all what if I am as unusual a case as they think that doesn’t come with a straightforward cure.

So why am I awake in the wee hours of the morning ruminating over these torturous questions? Do I or don’t I need more pain medication? Should I have had this higher dose sooner? How long should I take it at this high dose? Should I focus on lowering the dose – if the higher is what I need – so significantly so soon after surgery, and if not, how much harm will extended use cause me?

How many more days and nights will I wake to find these types of questions pouring out of me in small trickles or gushing as if busting through a dam? Maybe what’s doing more harm is my inability to just allow myself to be sick and count on my body to do what it needs to do to heal itself, instead of forcing my mind to hold all my pain.

Kim Carnes – Crazy In the Night

Pathology Report: I’m Breathing a Little Easier Now

My surgeon received my final pathology report. None of the organs or tissues removed showed any signs of cancer or any other diseases that need monitoring. The mysterious growth is less mysterious now because it’s not the congenital disease initially believed and it’s not a cancer. Now, it is more clearly a cystic growth that my doctors view as incidental to leading them to discover my chronic pain condition. The chronic pain is now the mystery that requires solving.

To solve that mystery I will go to monthly appointments at the pain clinic. I will also work to taper my pain medications to a lower dose based on what my body can bear. In my last meeting with my pain specialist, we discussed trying acupuncture to see if that gives me any relief. She’s open to trying anything, as am I, which does not require another invasive procedure but may deliver some positive results.

The strangest part about all of this is that my family and friends, with whom I’ve had the opportunity to share the news, might actually be more relieved and happy than I am. I don’t mean that I’m not happy that I don’t have cancer. I mean that I’m disappointed that after two years, so many invasive procedures, including this major surgery and an ocean of pain medications, I still don’t have a final diagnosis. I’m still unable to perform the simple act of going for a walk without suffering painful consequences and I’m still stuck inside my approximately 700 square feet of space most days because of this pain. Even though I know it would have been close to miraculous for the pain to be gone so soon after surgery, I want it gone.

Just over a year ago, I decided to approach my condition as if it was something I had to live with long-term to avoid this kind of disappointment. However, if I’m being honest that wasn’t a real decision or commitment to a new way of living. I was still bargaining with the universe, even if I didn’t want to admit it. I was still desperately clinging to hope that there would be no permanence in this situation. I know this still may not be permanent, but I’m not sure it’s wise for me to grasp so firmly, to hope about what might not be if my pain mystery remains unsolved.

Instead of falling on either side of the line of what could be permanent, I’ve decided instead, to take the approach of breathing a little easier for now. I’ll continue breathing easier unless the day arrives when breathing easy hurts too.

 

Anna Nalick – Breathe (2am)

 

Successful Surgery With A Disappointing Recovery

It’s been four weeks since I had surgery. By all accounts, the surgery was a success. It was a success because they didn’t have to remove any of my bowels, especially my rectum. What they did remove was the mysterious growth that measured about 3cm x 3cm and was attached to my rectum but not growing out of it, and still has yet to be properly named. They also removed the organs the mysterious growth damaged, which were both of my fallopian tubes. In addition, there was a large cyst growing quite happily on my right ovary, which the surgeon removed without damaging my ovary. The surgeons sent everything they removed from my pelvis to pathology for testing. Since I haven’t received any calls requesting that I must urgently meet with any of my doctors, I’m assuming either they haven’t found anything too unusual or they still don’t know what the mysterious growth is.

When I’m finally healed from the surgery, I will have a vertical scar starting just below my belly button and extending down my pelvis measuring 10cm; or 3.9 inches for you non-metric converts. I’m grateful it’s that small because it would have been much larger if any of my bowels had to be removed, and I could have had an ileostomy attached to my abdomen. However, in place of those things, I will also have scars on my abdomen from the allergic reaction I had to the white, adhesive surgical bandage they placed over the steri-strips used to hold my incision wound stitches together. The allergic reaction I had caused my skin to develop large blisters around the edges of the bandage. I now have scars that show an outline of where the bandage was. I can only hope the scars will fade in time.

Apart from the allergic reaction to the surgical bandage, the big disappointment is that my pain is not gone. When I say that I’m not referring to the surgical pain, which is almost gone, I’m talking about the pain I’ve been living with for the past two years. The first signs that it was still with me came on the day they removed my epidural. Within a few hours of it being removed the old leg, hip, and back pain came back with a vengeance and my blood pressure jumped above 160. The nurses called the doctors from the Acute Pain Service to get my pain down to a level I could bear. That took a while and the whole time they were working on me all I felt was fear. Fear that what the doctors predicted prior to surgery was coming to fruition: I could have a major pain flare after surgery that could not be controlled and I might never be pain-free.

As I’m writing this my legs, right hip, and right lower back are hurting. I’ve been having this pain to varying degrees since they removed the epidural and patient controlled anesthetic (PCA) pump. To compensate for their removal and my body’s response to the surgical pain or body trauma as some doctors prefer to call it – at least I’m assuming these are the reasons – I am now taking pain medication at a dose that is just over three times higher than what I was taking before surgery. That scares me more than the pain. It scares me that before surgery, I was taking a significant dose of pain medications that didn’t always ease my pain and now this higher dose is barely doing the same.

My pain specialists are holding on to optimism. They believe that time will be my healer. They have me working on tapering the doses of my pain medications to a point where my pain is managed with the lowest doses possible. Until then I will try to live as normally as I can, which now includes accepting help from others without resisting, and monthly appointments to the pain clinic to monitor my progress.

 

OK Go – Here It Goes Again