Not so much a leap as a slight stumble really….

Pain Clinic …. Day Three.

Getting to know my fellow chronic pain sufferers…. only eight of us.  Noticed on Monday that they all seem extremely more social than I feel at the moment.

Uncle Frank
Works for pest control company, and ‘did in me lower back’ at work about a year ago.  Has a weathered outdoorsy appearance and likes to go camping, boating, fishing and can tell within five minutes of meeting him that he calls a spade a spade.  Wouldn’t want to get on the wrong side of him.  Uncle Frank  is hard working, hard drinking, no nonsense sort of guy.  Talks too loud and doesn’t let anyone get a word in edgewise, smokes a lot, tells politically incorrect dirty jokes but would probably give you the shirt of his back if you needed it.  Uncle Frank thinks I’m smart cos I know some big words and medical terms.

Tracey Shoulders
Worked for massive hardware conglomerate and damaged her shoulder on the job in 2006.  Has had two corrective surgeries on it but couldn’t tell you what they did to it or why.  Obvious from day one that she didn’t want to be here.  Has awful posture, schoolgirlish sense of humour and frequently argumentative with trainers and instructors.  Complains a lot about everything and avoids participating fully.  Tracey Shoulders pities me cos I’ve had my back pain for so long.

Brent Neck
Early twenties, worked at an abattoir hacking animals to pieces and hefting heavy carcasses about all day (gross).  Had some sort of gate fall on him at work about 8 months ago and never got better.  Brent is more at home in front of his X-box than at a gym.  Waddles when he walks and giggles when he laughs.   Brent Neck has nothing in common with me at all and is probably a little frightened of outspoken and intelligent women.


Alan Everything

Pom via years in NZ, about 65, used to work in hospitality, has had a lot of health problems from kidney issues to prostate cancer to gall stones.  Battling with morphine addiction and chronic back pain issues.  Is a total gentleman and has little patience for Uncle Franks dirty joke’s which he says are ‘inappropriate for mixed company’.  Kind man, vociferously proclaims his love and respect for his wife…. daily.   Alan Everything seeks out my company as being more congenial and mature than Uncle Frank and Brent Neck.

Absent Peter
About 70something. Has done the pain clinic program before and is repeating it thought I don’t know why.  He disappears all the time and holds up the group by being late for every session.  Doesn’t go to hydro, doesn’t do floor exercises,  manages hardly anything in the gym and half the time appears to be sleeping through the lessons and lectures???  Has back pain and also on morphine.   Absent Peter probably hasn’t even noticed I’m on the course… he seems mostly ambivalent or oblivious and kinda off with the pixies.

Anal Retentive Robyn
Mother hen of the group – bakes cakes and slices to bring in for morning tea.  Laminated our exercise programs for us.  Has different matching gym outfits every day, and is always perfectly coiffed and made up.  Several abdominal surgeries left her with residual pain issues.  Dependent on morphine too.  One of 15 children to alcoholic parents who gave away/sold their children for grog back in the 60s.  Grew up with loving family on the Gold Coast and only met her bio family 10 years ago.    Anal Retentive Robyn sees a kindred OCD-like spirit in me and we get along quite well.

and then there’s me….  (I’m probably not the best person to write an objective observation…. but if I did it would go something like: )  Dry sarcastic and humourless.  Has had residual incapacity of spinal function since Aug 1991.  Uses too many big words and is prone to thinking she’s smarter than the people around her.  Has little or no tolerance for fools and has a tendency to judge people rather too quickly.   :S

It’s a leap year so I’m allowed to propose to a man today….
wonder if my husband might object though….

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Snake oil anyone?

There’s something very very wrong with me…. other than the obvious that is.  Yesterday then psych at the Pain Clinic had a go at trying to help me with the traffic phobia/PSTD resultant from my recent accident.  The technique is called EMDR (Eye Movement Desensitization and Reprocessing) and from what I understand it is a process/treatment intended to help you reprocess traumatic events into your logical memory somehow and allow you to no longer respond to them emotively or physiologically.  Sounded pretty good in theory, but the psych I’ve been seeing had ruled it out for me as she ‘felt that someone of my personality was unlikely to respond to EMDR’… whatever that means.

So I spent an hour with the Pain Clinic psych and she had me concentrate on each of my car accidents several times over while having me watch her move her hand rapidly left to right in front of my eyes.  Firstly I had to ‘play them through in my mind’ and ‘access the memory’, then again to try recall further details, and again to try to recall and relive the feelings, emotions and even physical sensations of those accidents.  Apparently most people experience very distressing reactions to this…. but not me.

I could remember all the accidents perfectly, and recalled tiny details I’d forgotten, but when asked to convey what I felt throughout the process, I was calm, articulate and perfectly rational.  I didn’t have any reaction to ‘reliving’ the accidents and certainly no emotional distress or physiological responses.  The psych seemed sort of disappointed that I didn’t react like I was supposed to.

During one of the replaying efforts of my second accident, I even caught myself smiling as I remembered that my Dad had arrived before the ambulance and found me laying on the road, badly winded and not in a good way… and I was swearing like a trooper about the complete ineptitude of the prick that had run into us.  But my Dad for the first time ever didn’t reprimand his daughter for using foul language – Dad liked his daughters to conduct themselves like dignified young ladies – which caused me to smile a little wryly at the recollection of his being rather more understanding and rather less remonstrative than normal.

Judging by the psych’s reaction – that isn’t supposed to happen.  She seems to think that I’ve developed some sort of defensive dis-associative tendency that doesn’t allow me to access the emotions and physical reactions that the accidents should cause.  Shrug….  Personally I think that maybe I’m just ordinarily too pragmatic and grounded to be freaking out in her safe little office and am therefore recalling the episodes factually rather than emotionally.

Who knows?  Either way it didn’t work… and I’ve still been unable to drive and having issues with traffic.
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The best laid plans of mice and men are ‘aft gang a-glay’

Pain Management Clinic – Day One
Get up stupid early, feeling dopey
No time for heat packs or stretching.
Cabbie to Pain Clinic drives like a maniac.
Have obviously forgotten how bad taxi drivers are.
Arrive on time but get lost in Hospital labyrinth and end up late.
Go through tedious admissions procedure.
Get assessed by Physio team
Describe my 4 MVAs and 16 yrs of chronic pain issues.
Get assessed by clinical/medical team
Describe my 4 MVAs and 16 yrs of chronic pain issues.
Get assessed Psych team.
Describe my 4 MVAs and 16 yrs of chronic pain issues.
Need some heat packs but chug some extra analgesics instead.
Do the horrid introductions of people I don’t care about

“Hi My name is Frank/Doris/Brad and I’m here for (insert generic pain related condition here) and I am  hoping the program will help me achieve (insert generic optimistic blather here).”
 
Blah Blah Blah… nodded off in there somewhere.
Quickly become aware that I’m the veteran in our little group.
Describe my 4 MVAs and 16 yrs of chronic pain issues…. AGAIN!
Am greeted with some ‘Shit maybe I’m not so bad after all’ looks
And a couple ‘Fuck I hope I don’t end up like her’ expressions.
Attend lecture on the physiology of pain.
Discussion on types of pain ensues.
Discover I have some symptoms that I’ve been overlooking.
Heat packs = still zero ; Analgesics = now 6
Individually tailored stretching and exercise regimes given out.
Finish up nearly 30 mins late.
Call taxi to take me home again
Cabbie nearly RUNS UP THE ARSE OF A UTE ON THE EXPRESSWAY!!
No shit.  😐
Borys loses the plot entirely…. tears, babbling, panic and anxiety.
Abuse is hurled at Cabbie until he pulls over.
Borys gets out and tries to compose herself. 
Spend remained of journey thinking I may be better off driving myself even though I am experiencing severe traffic phobia and am half stoned on a veritable cocktail of various medications most of the time.
Get home exhausted and anxious
Finally get much needed heat pack at 17:30….
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SNAFU

I feel like I don’t have the vocab to express how distressed i have been.  It’s like I am sitting in a corner and struggling to hold it together.  And I find it extremely difficult to tell the people around me what’s going on in my head, in my body.  It’s almost like I don’t trust them enough to let them in and see this messy me.

I honestly feel like i don’t want to be here.. in my skin.. in pain… in this life.  I don’t want to be this person.   i hate it.  I’ve been in some pain for the last 16 years and since this last accident I am now I’m in so much pain I can’t handle it.  I’m going to the pain clinic tomorrow.   This will be the third time at one of these ‘adjustment to injury’ programs.

They’re going to spend three weeks trying to convince me that this is just my life now and i have to get used to it.  The prospect of which is exhausting because I’ve done this once before and it takes years… literally years and I don’t know if I can do it again.
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