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Thursday, December, 03, 2009
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Helping Others Understand Your Pain

Karen Lee Richards
Karen Lee Richards
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Co-Founder of the National Fibromyalgia Assn.

Karen Lee Richards’ career as a writer and patient advocate grew...

Karen Lee Richards

Wednesday, April 08, 2009
View All of Karen Lee Richards's Posts
Do you find it difficult to explain to family, friends or co-workers what it's like to live with chronic pain?  Do others ever accuse you of being a hypochondriac, lazy or weak?  Do they question your need for opioid medications?  If so, you're not alone.  Every week I hear from p...
  1. Untitled Comment
    Lene Andersen
    Wednesday, April 08, 2009 at 07:53 PM

    Absolutely brilliant post!  I'll be linking to this on a regualr basis from my perch over at MyRACentral - it's incredibly helpful.

     

    This week, I was on the same path as you - I've just posted Better Living Through Chemistry (pardon the self-promotion) about the big drugs and why we take them.  Sure, I'm addicted - in much the same way someone with diabetes is addicted to insulin.  Big meds help me live my life.  Love the clothespin suggestion.

    Reply
    re: Untitled Comment
    Karen Lee Richards
    Wednesday, April 08, 2009 at 08:51 PM

    Thanks, Lene!  I appreciate your kind words.  And thank you for sharing your new post.  I could sooooo relate!  I'm sure I'll be linking to your post often, too.  I love your comparison to a diabetic being "addicted" to insulin.

     

    Speaking of the addiction/dependence issue, I don't know if you saw the article I did a few months ago – Opioids: Addiction vs. Dependence – but that's one I refer people to frequently because unfortunately, it seems to be a never-ending issue. 

     

    Thanks for sharing!


    Reply
  2. fibromagia
    missy
    Thursday, April 09, 2009 at 09:45 AM

    thank you for posting this so family members can read i have  a few family members that dont know how hard i suffer from day to day, they always tell me take a walk you will feel better or loose weight that will help you , im fusterated with them not understanding me so i will show them this posts thank you

    Reply
    Fibro and losing weight
    abbeyrode
    Friday, April 10, 2009 at 09:47 AM

    Losing weight doesn't always help.  My sister has lost about 50 lbs and I lost 155 lbs (bariatric surgery) and the big weight losses have not improved fibro symptoms.

    Reply
  3. research
    abbeyrode
    Thursday, April 09, 2009 at 10:14 AM

    Are there any medical groups that are reseaching fibromyalgia that would be interested in investigating the "familial/genetic" link regarding fibro?   My mother had it, I have it as well as both of my offspring and my two grandchildren. One of my two sisters is disabled with it, as is one of her two offspring and todate appears that one of two young offspring suffer with it also.   I learned this last week that another maternal cousin has been diagnosed with it.  I have about 10 cousins in all that we know of so far that have fibro...one also has lupus.  We would be a good case to investigate in regards to a genetic/familial connection

    DM

    Reply
    re: research
    Karen Lee Richards
    Friday, April 10, 2009 at 01:48 AM

    I'm sorry to hear that so many in your family have FM, it it does sound like yours would be an excellent family to study.

     

    I'm not aware of any genetic FM studies that are currently recruiting, but there may be some out there.  Since the greatest percentage of research is being done by the NIH, one of the best places to check for research and clinical trials on fibromyalgia is the National Institutes of Health's NIAMS research site.  Here's a link: NIAMS Research Overview

     

    Another good source is the National Fibromyalgia Association's research section.  They also have quite an extensive list of current clinical trials.  Here's that link:  NFA Research

     

    Even if there are no current genetic trials, keep checking back because new studies are being added all the time.

    Reply
  4. Liquid opiod based medications
    abbeyrode
    Thursday, April 09, 2009 at 10:20 AM

    I have suffered with fibro and DDD for years.  I also had a gastric bypas 2 years ago.  Since the bariatric sugery I have fought and fought for pain meds that could help.  After taking massive doses of oral Norco and still no relief, I sat back and took a second look.  I did some research and found that Norco/Vicodin/Percocet need gastric juices to break them down in the stomach in order for the body to absorb them.

     

    It was then that I realized that due to bariatric surgery, I no longer have a normal supply of gastric juices that are needed.  I tried taking Norco with an acidic beverage but that did not help.  Finally I presented to my PCP the option of going to liquid hydrocodone medication.  I am now receiving much better relief on the liquid, have reduced dosage from 20mg hydrocodone to 7.5mg hydrocodone 4 x's a day.

     

    If you have any gastric impairment, you may want to consider this method.

    D. Marker

    Reply
  5. My son My Hero Thank You
    Andrea Hutchinson
    Thursday, April 09, 2009 at 02:06 PM

    My son is 16 and has been in chronic pain for 6 years...The decision to medicate him is so tough...We had a healing for 95 glorious days....The pain came back intensely and suddenly.......I can't make it go away again and was feeling horrible.....You're letter made me realize that we just have to keep fighting and use medications until someone finds the cure......There is a cure because we had a healing of 95 days.....

    Reply
  6. Untitled Comment
    dockside
    Thursday, April 09, 2009 at 11:59 PM

    Dear Karen,

    Thank you so much for writing these letters.  I am one of those chronic pain sufferers that feels the isolation of family and friends, not understanding my situation or what they can do to help, is almost worse than the pain 24/7.

     

    Your letters are timely for me.  I have spent about 3 weeks working on a letter to my adult children and other family.  Even though, I have analyzed and re-analyzed my wording, I had just decided not to send my letter for fear of further alienating them.  Your words are so similar but without the personal inflections which seems to always backfire.  I shared my letter with my dear friends on the Grind, asking for there advice about sending it.  They thought it was a good letter and that I should send it.  Take a look at it if you want.  It is in the March Daily Grind.  A couple of them asked to show it to their family members and it helped them, so I am glad that I shared it but I know my children would interpret it differently.

     

    I have sent them your sharepost address, asking them to read the chronic pain letter and if they have more questions, that they could make a comment.  I hope they read it and I hope you don't mind that I said they could ask you questions.

     

    I thank you so much for all that you do for us people in pain.

     

    Deborah

    Reply
    re: Untitled Comment
    Karen Lee Richards
    Friday, April 10, 2009 at 12:51 AM

    Hi Deborah,

     

    I'm so glad you liked the letters.  I hope they help your family understand a little better what you are going through.  I don't mind at all that you told them they could ask me questions.  I'd be happy to do whatever I can to help them and you. 

     

    I read your letter in The Grind and think you did an excellent job of explaining how you feel while making it very clear how much you love your family.  I can understand, though, your concerns about how they would take it.  On the one hand, part of it may hurt their feelings a little, but it might also open up a good conversation.  On the other hand, is it possible they would get angry and withdraw from you further?  You might try applying my rule of thumb to it – Don't ask questions you don't really want to know the answers to.  Are you prepared to handle any possible scenario that may develop as a result of sending the letter?

     

    Ultimately, of course, only you can make that decision.  You know your family and have a better idea than anyone else of how they would receive it.  Since you've already sent them the link to my letter, it might be best to see how they respond to that.  If they seem really open and interested, you could think about sending yours.

     

    The one suggestion I would make, if you do decide to send it, is to make each letter personal to one person rather than sending the same letter to the whole family.  Most of the letter would be the same for all, but just change the very personal parts and speak to each person about your relationship with them.  That way they don't feel as if they're being scolded in front of the rest of the family.  You could note at the end that you are sending a personal letter to other family members as well so they're aware they're not the only ones getting a letter. 

     

    It sounds like you have a lovely family who obviously loves you and doesn't want to see you in pain.  I hope they'll soon be able to understand how much their support and encouragement would mean to you. 

     

    Karen

    Reply
    Thank you
    dockside
    Monday, April 13, 2009 at 11:37 AM

    Dear Karen,

    Thank you for taking the time to write such a thoughtful response to me.  I know it takes a lot of time to have analyzed my letter to my family and I appreciate your caring very much.

     

    Over the last 3 weeks or so, since I wrote the letter to my family, I slowly came to realize many of your suggestions and did decide to not send the letter in case it was received as hurtful to anyone and further alienate anyone.  I love them all so much and miss the "normal" communication we had prior to the onset of my severe nerve pain (chronic pain) three years ago.

     

    This letter of mine was a good learning process for how I can better myself in how I communicate with my loved ones.  Unfortunately, it may be too little to late.  I feel that because of my family dynamics that it is easier for most of them to ignore my situation which is what has happened with my forwarding your link to your letter about chronic pain.  I only sent it to my mother and daughter so far, about a week ago.  Neither of them have written or talked to me about this.  I saw my mother yesterday who said she saw that I sent her the email but would read it when she has time to concentrate on it.  My daughter lives across the country so I haven't seen her and she has not called me or responded to my phone messages, even yesterday on Easter. 

     

    So, I do thank you for your input and I will simply have to carry on alone.

    Best regards,

    Deborah (dockside)

    Reply
    re: Thank you
    dockside
    Monday, April 20, 2009 at 10:03 AM

    Dear Karen,

    I wanted you to know that your letter did help my son understand better.  He sent me a short, very supportive and loving response. 

     

    I guess my other family members still struggle with themselves and what to do about me.  It is so simple really.  A simple few words would make a world of difference to me. 

     

    Such as, I am trying to understand what it is like for you Deb.  If I can do anything to help, please let me know and I will try to keep in touch more often.

     

    Simple but too much of a commitment it seems.

     

    Thank again for writing these letters.  It has helped me.

    Deb (dockside)

     

    Reply
    re: Thank you
    Karen Lee Richards
    Tuesday, April 21, 2009 at 06:58 AM

    I'm so glad to hear about your son's response, Deb!  Hopefully your other family members will soon follow his lead.  Thanks for telling me.  If there's anything else I can do, please let me know.

     

    Karen 

    Reply
  7. Thank you for the open letter
    sandyld
    Friday, April 10, 2009 at 01:15 AM

    Thank you so much for this open letter about fibromyalgia. I am in the middle of an exacurbation period. My pain is bad. To top it off an old back injury started acting up. My son had the audacity to tell me to my face that I was a hyperchondriac. My husband is no better he tells me get up and get out you will feel better. Nothing I say or do makes any difference to them. They simply don't care to find out about my condition. I printed your letter, I can only hope they will read it and believe it. I really doubt it though. My uncle passed away last week and I am envying him the peace he has. My husband asked my sister today if I died what would people remember about me. Before she could answer he said "that she lays in the bed all the time" To her credit she said she was remembering the funny things that happen to us when we go out together. April 7, 2009 I was married to this man that promised to love me and take care of me for 34 years. I have always taken care of him when he had or has one of his cluster headaches. You can't prove that either, yet I researched with one of the ER Dr's I worked with until he finally found the Diamond Headac he Clinic in Chicago. He helped us tremendously. Well my husband just walked by and asked what I was doing, when I told him, he got mad, said he knew about living with pain, he was living with it right now, and no he wasn't going to read it. I don't know if I can take this much longer. He is undermining me with my whole family. If it wasn't for my three precious grandchildren I believe I could just end it now.

    Reply
  8. This is Fantastic!!
    Valerie
    Tuesday, April 21, 2009 at 12:09 AM

    Hi,

    I just want to say this is so great,I have shared this with outhers to help them and to my family to explain me, my pain and Fibromyalgia.

     

    Thank You Karen Lee Richards !!! Bless you !!

    Valerie

    Reply
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