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Tuesday, October 2, 2018

Pain

Stephen King, as a result of a hit and run accident, became something of an expert, on a personal and experiential level, on pain. In his fine novel, Duma Key, the main character goes through rehab from a horrible accident and points out that pain is the most powerful dictator on Earth. As I have pointed out a few times, I have issues,, big issues with chronic pain.
Pain, chronic pain, rules your life.When it strikes, and it does so almost whimsically, the rest of your life stios. Ohm you keep functioning, usuallt, but you are never fully present, Part of you, a big part, is taken by the pain. Do not give me that mind over matter nonsense. Do not tell me that you have to be string enough to ignore it. I used to say those things and I was an idiot. You can learn to tolerate pain, to work around it, but pain, when it hits, cannot be ignored or simply pushed aside, not for long. In an emergency, yes, for a very short time, then it is back with a vengeance.
Even when the pain is dormant, it rules you. You are thrilled that you don'y hurt, but you know it will be back and a part of you is wondering when that will be. A sneeze, a slight slip, a quick turn of the head and there it is. Psychologically, it preys on you. You begin thinking that the whole mess is your fault, that there is a punishment factor involved. This is a feature for those of us raised inn the remnants of the old fashioned fire and brimstone Protestantism. It takes a while to get past that one.
What can be done? Damned if I know. There are drugs that help for short periods, As we all know, they have some very nasty consequences if you do not handle them correctly, but they work. One reason I am writing this post is because of the uproar over opiate abuse. There is almost am attitude developing a moral attitude about addiction, a feeling that the addict is weak. morally, and this is wrong. Often, opiate addicts started by trying to deal with very real physical pain. Likewise, many self medicate with alcohol.
We must not make addiction a moral issue. At the same time, we need to find a way to deal with chronic pain. There may be some possibilities with marijuana and, blessedly, those are now being explored. There is also, out on the fringes of research, some evidence that tiny doses of LSD like drugs may have considerable value.
Or, maybe we just have to accept a certain level of controlled addiction. You cannot simply tell sufferers to live with it. That is not going to happen, nor should it. We are often, in these cases dealing with the elderly, the very young and potentially terminal patients and we mist never grow so Puritanical about drugs that we refuse pain relief. There will always be those who simply abuse the drugs because they like them, but that should not lead us to the denial of useful medicines to those who need them, Again, we may have to accept a certain level of controlled addiction, but I am afraid that, in our current political clinate, such reasoned response may be out of the question.
I have nothing left to say ob the matter, no magic answers, no pep talks, no sermons. All any of us can do is use our heads and ise compassion. I truly hope that no one out there suffers chronic pain, but that is a foolish wish. Many of you will and I hope that others understand. Bless all of you

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