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How to deal with extreme physical pain

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Re: How to deal with extreme physical pain

#241
post #5

I was diagnosed with fibromyalgia ~15 years ago. Since then, having started an immunosuppressive for something else and it seemed to help with the pain- now the doctors think it is psoriatic arthritis. I am in constant, mild pain. Some days it is nearly, but not quite debilitating. Some people think I am making it up, exaggerating, or that it is all in my head. There is no certain test for either condition- in partic…

Try turning off your cell phone/wifi router at night and see if you wake up feeling better.

Re: How to deal with extreme physical pain

#242
I've been in extreme, and I mean absolutely extreme, acute pain before. More than once. The first time was a very severe injury. I took painkillers for a couple of days then stopped. It would wax and wane, multiple times a day, I would be crying without a single thought going through my head. Then I realized, pain is designed to provoke a response from danger, I know there's no danger, so pain is just a feeling. That's all it is, like the wind blowing in your face. Just a feeling.

That helped. I had a big pain tolerance after that for many years. That isnt a good thing because you tend to ignore things that hurt. I had a few equally painful experienced that I managed to be fine through.

This mindset that helped me doesn't work for chronic pain though. It does, at first, but after a while you just get worn down. When you've had a pain somewhere or other for a decade, even a mild one, it wears on you. At any point in time something hurts for me. Mostly the result of those injuries I suffered a long time ago. It isn't debilitating. But it is always there. Some days are worse than others.

Re: How to deal with extreme physical pain

#243

A few years ago, my partner ran out of critical insulin pump supplies and I appealed to the internet for help. Eventually, Scott drove quite a way to our apartment to give her (a complete stranger) what she needed (and more!) He's a stand-up grade A really nice guy, and I genuinely wish him the best. I wish that I had more expertise to help with this issue, as the only thing that comes to mind is I've had good result…

Is is normal in the US? I live in what one might consider a third world country, know quite a few insulin-dependent diabetics, and this story is appalling to me. I've never heard of any diabetic running out of their medication and having to ask the internet for help. Just call the local equivalent of 911 and they'll sort it out. Jesus.

Americans have developed a survival strategy of turning horror stories into heartwarming tales.

"Homeless person turns to crowdfunding to get themselves a home!"

Americans: Aww how cute!

Rest of the world: What the actual fuck?

"Family turns to internet for insulin supplies because they can't afford them, man drives 1000 miles to give them some."

Americans: Amazing heroism!

Rest of the world: How the hell does a diabetic not get their life-saving medicine?

"96 year old woman flies 200 miles to queue for 6 hours to vote!"

Americans: Wonderful determination!

Rest of the world: Why couldn't she vote where she already was?

Re: How to deal with extreme physical pain

#244
You brain somehow get used to the pain when it meticulously destroy your body for no reason, no danger, no signal everyday. I have ankylosing spondylitis.

Lasg time I heavily cut my finger while cooking, didnt feel a thing. Didnt feel anything on my first tattoo - the tattoo artist was quite surprised.

Now I feel a bit better with some anti IL17 medicine.

And yet some day the pain comes back with new, untold and unreasonable levels of pain and you can't explain that to most people. The scale has changed and most of you will never feel that - or just once in a while. But not enough, not everyday with this consistency that shreds through your mental ability to take it and to shatter your life.

I would trade a night of torture against my health back.

And then the doctor with all his knowledge says that no - no other painkillers for AS ! Just nsaids !

Please donate for autoimmune disorders, they are awful

Re: How to deal with extreme physical pain

#245
post #155

A few years ago I fell and broke my elbow. It was a mess and had to have emergency surgery to put it all back together. After surgery I'm sent home with a "ball" around my neck that is a reservoir for some pain meds that are being fed into my body via a catheter that was threaded into a vein in my neck. So I am sitting on my recliner a few hours after the surgery , awake but groggy. Anesthesiologist calls me on my ce…

I have a different story of pain medication gone awry. My wife had surgery and there was a hydromporphone pump where she could press a button. The button was then blocked for eight minutes. She didn't understand the system. Then I realized that it had two different beeps, one if the pump delivered a bolus and the different one if the pump was blocked. My wife and I we are both Deaf so we just didn't know. I requested…

Slightly funny story similar to yours: we were having our 2nd kid and my wife was given no2 gas as a painkiller. I got to be in charge of the dial that controlled the no2/oxygen mix. We started at, like, 40% no2 but then she said she was in pain so I dialled it up to 60%. She was still in pain after half an hour so I increased to 80%. 30 mins later she was in a lot of pain and I noted you could actually set it to 100% no2, but didn't understand how she'd get any oxygen at that setting. I should probably have figured it out at that point, but was pretty sleep-deprived. I asked a nurse why the no2 wasn't working and she said "why, you're almost on 80% oxygen now!"

Re: How to deal with extreme physical pain

#246

I have a chronic condition that causes pain. One of the things I've learned, in as much as I can, is I don't tell anyone. I'd rather be rude than explain I'm in pain. Not because I don't appreciate sympathy. Not because I'm ashamed. It's because I don't want your advice on how to make the pain go away or to deal with it. I'm tired of advice. I've got too much advice. I try things, I research issues. I talk to doctors…

Too bad for those of us who weren't gonna say that stuff and just end up wondering forever why you were rude.

Re: How to deal with extreme physical pain

#247

I have a chronic condition that causes pain. One of the things I've learned, in as much as I can, is I don't tell anyone. I'd rather be rude than explain I'm in pain. Not because I don't appreciate sympathy. Not because I'm ashamed. It's because I don't want your advice on how to make the pain go away or to deal with it. I'm tired of advice. I've got too much advice. I try things, I research issues. I talk to doctors…

What I found was that people cannot relate to individuals with chronic pain or illness.

If the person talks about it most will interpret that as complaining or having negative view on life.

It’s quite hard for me to watch as my loved ones get rejected by people in their environment if they sometimes mention their pain.

My advice is always to just not talk about it. I feel like most people today just don’t have the capacity to be emphatic, instead they give advice and get hurt when the advice isn’t accepted, accusing you of being negative and not accepting “help”.

Re: How to deal with extreme physical pain

#248

Earlier quoted context omitted.

Most online support groups for medical conditions are terrible. I know a few principles that are constructive, but I don't know how to get traction with starting a community where people genuinely talk about useful information in a genuinely supportive fashion that's not invasive. I'm agreeing with you, if that isn't apparent. This is a topic near and dear to my heart and I keep trying to figure it out and ...failing…

I think /r/cfs is a relatively good model and works fairly well and its counterpart forum phoenixrising also has similar qualities. They both have both been going through some growing pains of late with all the covid patients developing the condition but the rules and moderation is working well so far. /r/covidlonghaulers on the other hand is busy working out how to exclude various people and becoming pretty hostile…

Thank you.

I have a form of cystic fibrosis, so a chronic fatigue group is unlikely to serve me well. Though I've "joined" and will keep my eye out for good ideas.

Many years ago, I joined an email list for parents of people with CF (yes, I also have a child with CF) and when I joined it was mostly prayer requests: "My child is facing X surgery. Please pray for us." and then outpourings of sympathy because people were so paralyzed with fear (because CF is really deadly and doctors can't fix it).

Under my influence as just a member, things gradually morphed into something more like "My child is facing X surgery. Have you or your loved one with CF had this surgery? Any pros or cons I should be aware of? What were your experiences?" and it was vastly better.

I managed to get this group to follow the principle that if you reply, you should tell your story and add new info and absolutely not get mired in the usual internet forum pattern of everyone arguing either for or against X. So if you had ten replies, you had about eight or so different personal stories and you could glean new and useful information of some sort from most of the replies without people competing over some sort of nonsense.

But the fact that I was the driving force behind that change helped make it really problematic for me to participate at all. Old timers who wanted to be the center of attention were jealous of me. I didn't want to be the center of attention and didn't yet know how to really successfully pull that off and being the person who had orchestrated those changes also made it very problematic that I had an explicit goal to not become some local "celebrity" and have everything revolve around me.

So I have firsthand experience with what works well for a health discussion group, I just don't know how to attract people to a health discussion group or how to position one from the get go as "We are here to talk in this way about health stuff rather than the usual BS for how online support groups usually work."

Most online support groups, whether health-related or not, are environments where it's really hard to talk about what actually works for fear of "blaming the victim" because, inevitably, some of the people with the worst problems are people who are their own worst enemy and it's never acceptable to in any way suggest or even imply that "maybe you should try not doing X." And that piece is something I don't have a solution for.

Health groups suffer the additional burden that pretty much everyone there is cranky and short tempered and feels awful. It's a pot constantly on the verge of boiling over at the slightest excuse and it's really hard to manage that element of it in a way that is fair and humane for all parties.

Plus there is inevitably a few people who are largely housebound and are trying to get their ego needs and social needs and so forth met through being "important" in some way to the group and these people inevitably need everyone to defer to their wisdom and agree with their ideas and they are often talented at gaining allies and so forth and the entire discussion ends up really revolving around this social nonsense and not really being about discussing health topics.

I set up a site called r/HealthWorks ages ago. I've tried repeatedly to figure out what to do with it and I remain stymied and that may never change because the truth is that I have spent nearly two decades getting healthier while the world calls me a liar and a teller of tales and accuses me of being mentally deranged, so there is no place it's really acceptable for me to talk about health stuff.

I've spent a lot of years trying to not end up like Semmelweis, who -- unlike me -- was an actual physician with actual studies to back up his crazy claim that doctors should sterilize their hands before delivering babies. Nonetheless, he ended up committed to an insane asylum where he was basically beaten to death in short order.

https://en.wikipedia.org/wiki/Ignaz_Semmelweis

I'm a former military wife and homemaker and had an entry level job with Aflac for a few years. The world is vastly less willing to listen to me than it was to Semmelweis to the point where I have been told that it is my fault people attack in me forums in violation of the supposed rules and I am the problem and I have been banned from more than one forum for the crime of just trying to talk about my life and trying to find some means to discuss health topics because my life literally depends upon my ability to seek out good information.

Hacker News has been the least worst place for that and even here I have had people attack me and tell me I deserve to be attacked for talking about "my cockamamie ideas" and that sort of thing. So it's not like it's some kind of safe zone for me, it's just a place that tolerates my presence to some degree and I can occasionally talk a little bit about health stuff, but it's really not adequate to my needs and the burden of this whole thing has taken a tremendous psychological toll on me.

I have a lot of baggage over the whole thing and I often feel like I am losing my marbles and that only makes me all the more unable to find some means to engage effectively in discussion of health topics.

So I don't have a solution, but I'm actually a talented moderator and I actually know a lot about fostering good discussion on health topics, I just have no means whatsoever to establish a group of people anywhere on planet earth who actually want to talk with the likes of me about health topics.

Most people have made it abundantly in-your-face super clear that if they must choose between slow, torturous death or being polite to me, they would much prefer slow, torturous death and I left all the CF lists I was on years and years ago.

I know exactly one person with CF who sometimes talks with me (edit: Other than my son, obviously). She hunted me down after I disappeared from all the lists because her number was up and she didn't want to die. As far as I know, she is still alive, though I haven't heard from her recently and she's now past the age of 40 -- which is quite old for classical CF -- so it's possible she's passed on and I'm just never going to be notified by anyone if/when she does die. ¯\_(ツ)_/¯

Re: How to deal with extreme physical pain

#249
post #25

"A healthy man wants a thousand things, a sick man only wants one". There are so many forms of illness where this is true. I've never experienced anything nearly as persistent and painful as frozen shoulder. The worst thing I've experienced was probably Sciatica as a teen. It was particularly frustrating since the pain was intermittent and invisible to others. Through fairly substantial lifestyle changes, I haven't h…

Someone I know is dealing with sciatica now and it's not going well, do you have any insights on what helped you?

Not the OP, but I also had sciatica as a teen. In my case, it was caused by a chair whose seat was not level; it tilted slightly to the side. It went on for a year or two, I think. Eventually I realized what the cause was, got rid of the chair, and the pain gradually got better until it went away completely.

Re: How to deal with extreme physical pain

#250
post #90

I started getting cluster headaches a couple of years ago. The level of pain that they inflict completely changed my pain scale. I started doing something that I read in a fiction book series (The Dresden Files) - basically a little visualization that helps me compartmentalize the pain. It helps a ton, though the fact that the attacks are relatively short probably help in that regard as it takes a lot of concentratio…

What's the visualization? I'm always curious about how other clusterheads cope.

I "push my consciousness" into the pain-free side, essentially detaching the painful side of my head and picturing it not being a part of me, just a floating irritant nearby.

It works pretty well for the easy ones, and helps a little for the bad ones if I catch it while I can still concentrate.

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