The road less traveled
“Two roads diverged in a yellow wood…” and that’s twice in almost a year exactly that I’ve started a post off with that line. The title of the poem isn’t the road less traveled, but I’ve decided that for today, that’s the name of the post. I have not had an easy life, some of that was because of birth, but a lot of it was based on the choices I’ve made. While the poem isn’t really about how hard life can be, when I thought of today’s post Frost’s poem popped into my head. Because the road less traveled, fucking hurts.
(more…)In defense of pain management
Well this seems to be coming up a lot lately. One of the things about working in a hospital is you get to see a lot of different opinions and cases from doctors from all areas of expertise. It gives everyone a well rounded education and frankly no matter where you are in your career it’s always good to keep up with the state of the art in your field and adjacent fields. I’m in the neurosurgery department so we get to talk a lot about the brain and spinal cord, which means pain is a frequent topic.
(more…)The chronic pain conundrum
Several days ago I ran into a group of people who work with chronic pain patients. I don’t remember how the conversation got started or why we ended up discussing treatment options, probably because of the work I’m doing, but the conversation stuck with me and it isn’t for good reasons. Let’s face it pain is a pain. Frankly we need pain in our lives, but even with the best things, moderation is key. So what happens when good pain pathways go bad?
(more…)A rough landing
My joints hurt, like all of them. It feels like stabby burny pain. It’s not fun, but I’ve seen this kind of thing happen just once before in my life (here). Spoiler, it’s somehow related to stress, the last time this happened I was very stressed out and this time it’s back, but worse. It’s not a fun time for me obviously, so today is a mixed bag, both good news and bad.
(more…)And nothing was wrong with me…
Last summer I had some sort of autoimmune thing kick up. Frankly I’m not sure it was autoimmune or what the hell it was, but it hurt, left me feeling exhausted, and caused my hands, face, and elbows to form raised red spots that later peeled off (here). It was incredibly painful, made me question the minor breakouts of whatever it was that had been going on for a good ten years or so prior, and was a red flag that I was not okay. But the pandemic has been ongoing so getting attention from the VA, which is notoriously awful, had been difficult. Had been, I finally got the chance to see someone.
(more…)Surgery in a pandemic
I was planning on having surgery over the summer. I put it off because I didn’t want to go to go to the VA hospital. It’s a depressing place in the best of times, a not so friendly reminder that as a veteran we’re better off dead and the living are an afterthought. When the pandemic hit it was, and is, the last place I want to be. Yet, I can’t put it off anymore, so I’m having surgery.
(more…)Day 346: What is going on with me?
It’s going to sound like depression. I realize that as we dive into today. I don’t normally do this, but I’m rewriting this intro because I know what it sounds like. It’s not that, this is something else and it worries me. I know depression, I’m good friends with depression, this is something different so don’t tell me it’s depression, it’s not I promise. It just happens to be worse than I can ever remember right as I’m dealing with the worst flare up [of whatever I have going on] in my entire life, so it couldn’t be a coincidence … could it?
Researchers find new clues in treating chronic pain
A chemical in the brain typically associated with cognition, movement and reward-motivation behavior — among others — may also play a role in promoting chronic pain, according to new research. The chemical, dopamine, sets the stage for many important brain functions, but the mechanisms that cause it to contribute to chronic pain are less well understood.
Lunatic Laboratories 