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Tuesday, November, 24, 2009
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Victim or Victor?

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

Friday, July 31, 2009
View All of Karen Lee Richards's Posts
Have you ever thought about your relationship to chronic pain?  Are you a victim of it or a victor over it?  When you are suffering with unrelenting pain day after day, it's very easy to slip into a victim mentality.  Below are two descriptions of life with chronic pain, each given by ...
  1. Victor/Victim then there's in between...
    SavannahGirl72
    Monday, August 03, 2009 at 02:12 PM

    I applaud your turn around.  Living with FM is not easy, but it is the hand we've been dealt.  I think at this point I live between your two ends of the FM spectrum.  I have two children...both toddlers...a husband, two dogs, a mortgage and bills up the whazoo.  I'm part of a typical American family.  I don't have a lot of choices right now.  I HAVE to work full time to pay for our lifestyle and there is no way to downsize because the real estate market wouldn't compensate for the mortgage and debts incurred on our house.  There are days I feel like your #1 - Good Lord, take me now...but there are days that I'm #2 - Nothing can stop me now.  Most days I live between the two - I live day to day, treat pain when I need to, rest if the kids let me (Not so much), share chores with my husband who compensates for me (plays mommy & daddy) when my FM moves into my lower back and upper leg and I can't lift.  I know - being a typically happy person - that attitude (and LOTS of faith) can help you through most obstacles.  The only thing I will tell you is that having a tiny little pity party for yourself now and then is ok.  Life is hard with Fibromyalgia, and acknowledging that is NOT taboo.  Accept it as part of your life now, be happy every minute you can be and throw yourself into a pillow and cry when you need to.  There is a happy medium between Victim and Victor.  Find yours and whether or not your FM improves, your mental state will.  Love to you fellow FM's!

    Reply
  2. Untitled Comment
    lakeboysgirl
    Monday, August 03, 2009 at 03:31 PM

    good for you! Im a victor too. Sometimes its easier to give in to the pain but life is still worth living! Keep on fighting it!

    Reply
    re: Untitled Comment
    Wendell707
    Tuesday, August 04, 2009 at 09:21 PM

    Hello Karen, i love all your up lifting share posts i feel better just reading them. I  wish you a pain free night.

    Reply
  3. Untitled Comment
    onna
    Wednesday, August 05, 2009 at 05:42 PM

    You should be very proud of your accomplishments! A writer is something I am not very good at, but writing poetry since I became ill has opened a new door for me one TALENT I never new I had..lol

     

    thank you for this concept about pain ,  I know it will help me push through those hard days when I cant raise my arms without the pain so I can accomplish more knowing I am not the victim of my pain.

    Reply
  4. Untitled Comment
    Anonymous
    Wednesday, August 05, 2009 at 05:55 PM

    I have a poem and photograph coming out in an online magazine, that's not what's relevant to this piece by Karen. It's the short bio, where I own my status and describe myself ans a chronic pain survivor.  I had pondered a word there, in the bio, sufferer? victim? afflicted? All left a bitter taste, survivor, that's what I wanted to claim myself to be! Lol, even though I was laid up at that precise moment, recovering from a little fishing excursion  that as it turns out, was a bit much for me and I became heat exhausted.

     

    I was trying to be philosophical, even in the moment, sitting there with a wet towel on my head, completely nasueous, dizzy, while my husband hurridly loaded us up to go. This, I thought, is the reality, calling for more judious planning. While the other me, the whiny me, was in the background, No fair! The healtheir girl who loves the outdoors, heat and all, the girl who loves to fish, the girl I no longer am.

     

      There is a mind set, a chosen one I hold onto like a drowning sailor. Be calm, work around the obstacles as they present. Then just live. I tend to be occasionally overwhelmed by my pain and sleeplessness, so it's almost a mantra for me, it helps.

     

    Karen, I do enjoy your pieces, you grasp and convey so well the everyday challenges, and your research is tireless on our behalf. Do know how much it is valued and appreciated.

    Reply
    re: What we call ourselves
    nancyk
    Sunday, August 09, 2009 at 05:25 PM

    For the fun of it, I had cards printed for myself and put on patient professionelle for my vocation. You can read that two ways or more, meaning I am a professional patient since I go to so many doctors, or that I am patient about my disease and never give up trying to improve my condition. I really feel for those of you who are young, need to work, raise kids, or provide income. I am lucky that I got this badly at about 65 years (71 now) and probably had it all my life.

     

    Hang in there all of u.

    Reply
    re: re: What we call ourselves
    nancyk
    Sunday, August 09, 2009 at 05:27 PM

    P S Having a small white dog by my side 24/7 helps!

    Reply
    re: What we call ourselves
    Karen Lee Richards
    Monday, August 10, 2009 at 01:55 AM

    I love the double entendre on your cards – how clever! 

     

    I agree with you on feeling for those who are young and trying to cope with family, career, etc. while dealing with the pain.  I've had FM for 20 years, but thankfully my children were grown and on their own when it started.  It's hard to imagine how I would have made it if I'd had young children to care for.  It was hard enough just to keep working.  But I didn't have a choice as I had to support myself. 

     

    Thanks for sharing! – Karen

    Reply
  5. Victim or victor
    Anne John
    Wednesday, August 05, 2009 at 10:18 PM

    Like many Fibro people, I find myself relating to both.  I especially take heart when I hear others describe their symptoms.  Sometimes I think I am absolutely crazy in the head, until I realize others have similar challenges with pain and chronic fatigue.  I recently requested more tests.  My doctor told me I would probably live to be 100.  Please no!  I, too, have resorted to qualifying my time.  In doing so, I have become an accomplished painter.....something that could not have happened had I been busy running marathon's and such.  I also have the gift of six grandchildren.  They sometimes ask too much of me, but seem to have a sixth sense when Grammy has had enough.  So, yes I have been blessed.  Even so, I wouldn't wish fibromyalgia on my worst enemy! 

    Reply
  6. Untitled Comment
    Anonymous
    Wednesday, August 05, 2009 at 10:42 PM

    FM & I have grown up together, our relationship began at age 13 and still going strong at 43. About 5 yrs ago fibromyalgia blasted me off my feet & out of my career. Changes had to be made for survival, one change was leaving our families in the north to live in the south.

     

    Prior to moving south, I built an outstanding team of doctors, specialist and therapist. We were all on the same page; preventive & proactive. It took me years to make this happen. I was my own advocate and I took full responsibility for my health care.

     

    Now in Central Florida, it is 1980's & 90's all over again.

    Fibromyalgia isn't recognized or accepted as an illness in my area; therefore, this dibilitating Fibromyalgia isn't medically treated, properly. I'm not treated properly. I'm not a victim....I am tired! I am sick and I AM tired!!

     

     

    Finally, 2 years of searching for a doctor I was referred to U.S.F Tampa Medical Group. However, they refused me as a patient because, I don't have insurance.They treat fibromyalgia but, not the uninsured.

     

    A very sad and sobering fact, No health insurance = NO health care.

     

    Now what?

    Reply
  7. victor or vicitim
    Steve Howe
    Thursday, August 06, 2009 at 01:43 AM

    Karen I am new to your articles so I don't know if you live with pain? I have been in pain

    since 2003. I guess it's not that long some have had to live longer. I feels like it's a life

    time for me. I take a cocktail of opiates to try to take away my pain. I have nerve pain

    in my sacroiliac joints, down legs to neuropathay in both feet. I have implanted scs since

    2004. I have not sleep a full night since 2006, it's 2 or 3 hours at a time. I start to get

    real edgier after a will. Maybe I'm still a victim I get up and go as long as I can endure

    the pain then it's home to bed. When pills and scs do not cut pain and can not mentally

    endure the pain. This thing about victim or victor what is when it takes all of our

    mental capacity just to get out of bed. Are we a victim when our medication runs out

    at midnight and there is no more until eight in morning. I lay here feet hurting so bad

    you can not lay them on the bed. again I ask victim or victor?

    Reply
    re: victor or vicitim
    jerry hesch
    Monday, August 10, 2009 at 02:23 AM

    Steve,

    I was wondering if someone of your population would bring forth a comment. there is in fact an underservered population that is neither victim nor victor. No amount of will power, behavioral change etc will overcome the profound obstacle that they must face. It is not a moral failure or a failure of any kind. I recall before my past 4 surgeries how utterly imparied I was, desolate and words cannot convey. We need to lend voice literally and metaphorically to people such as yourself. You are not in the victim or victor dichotomy or the gradient of either/or or both. Yours is a seperate population and we do care about what you experience. Please continue to write. I regret my sense of incompetence at being helpful to you.

    Sincerely,

    jerry hesch

    Reply
    re: re: victor or vicitim
    nancyk
    Wednesday, August 12, 2009 at 02:12 AM

    Jerry: This is a very perceptive comment on the philosophical level. I was trying to be lighter, but the tougher problems of these chronic pain diseases can be beyond comprehension and are definitely not black and white. I have literally brought one person back from the brink of sucide. I do not care to do it again, but I am glad I was there to help at the time.  Thanks, nancy

    Reply
    re: re: re: victor or vicitim
    jerry hesch
    Wednesday, August 12, 2009 at 02:55 AM

    Thank you Nancy. Whenever I had a client whom I knew was experiencing profound chronic pain I always asked about suicidal intent. Invariably the answer was yes, re contemplation at the very least. I was gentle in my approach with the information, and did my best to be prudent and honor my Professional code of Ethics. I respectfully pause at cemeteries knowing that there are some failed chronic pain folks from the same slice of humanity as we have traversed. They need voice.

    Reply
    re: re: re: re: victor or vicitim
    nancyk
    Wednesday, August 12, 2009 at 03:48 AM

    Jerry:

     

    My mother died a horrific long-term death and I once mentioned this to my health psychologist. I have always dreaded that kind of death. Hospice is so good now though. We didn't have that then. He was the one who mentioned the Hemlock Society. I never contacted them.

     

    I would be interested in knowing more aboout what the code of ethics in this regard entails for a professional.   Thanks, nancy

    Reply
    re: re: re: re: re: victor or vicitim
    jerry hesch
    Wednesday, August 12, 2009 at 02:37 PM

    Nancy

     

    I believe that the Nursing Code of ethics would be an appropriate place to look, if not there, then perhaps the hospice nurses have a seperate one?

    jerry Hesch, MHS

    living in the public domain 

    Reply
    re: re: victor or vicitim
    howe55
    Wednesday, August 12, 2009 at 11:00 AM

    jerry hesch: I have had two member of our family who have visited the cemetery earlier

    than they need to because of pain. I very easily could have ended up there myself if

    I would have been listening to people like you. Thank god I didn't run into you earlier.

    Reply
    re: re: re: victor or vicitim
    jerry hesch
    Wednesday, August 12, 2009 at 02:34 PM

    howe55,

    I am absolutely astonshed at your misunderstanding of my post. Will provide a longer response later.

    Jerry Hesch, MHS

    Reply
    re: re: re: victor or vicitim
    nancyk
    Friday, August 14, 2009 at 01:50 AM

    Have you perhaps got my mention of the Hemlock society (suggested to me at a time when I was not in pain by someone else)  mixed up with Jerry's post? Jerry is definitely a survivor with a strong will to endure, despite severe pain.

    Reply
    re: re: re: re: victor or vicitim
    jerry hesch
    Wednesday, August 19, 2009 at 08:10 AM

    Hi Nancy,

    Thank you for your thoughtful post. I look forward to learning where the confusion came from.

    Mistakes can happen and sometimes acknowledgement does too!

    Sincerely

    jerry Hesch

    Reply
    re: re: re: victor or vicitim
    jerry hesch
    Monday, August 17, 2009 at 02:07 PM

    HOWE55 WROTE: "I very easily could have ended up there myself if I would have been listening to people like you, I didn't Thank god I didn't run into you earlier. "

     

    howe55, You have a responsibility to be a little more judicious when you read my posts.

     

    You have a profound misunderstanding of my post.  Nowhere in that post do I advocate suicide. I cannot imagine a Professional Code of Ethics that would. Please reread it, not for feeling of key words, but for meaning.

     

    Regarding a client who may be suicidal:

    It is important to ascertain where a person is in relationship to suicidal ideation. I ASK, DO YOU THINK YOU WILL ACT OUT ON THIS? I listen to more than just the verbal response. I inquire, Do you have someone you can speak with safely about this? If seeing a counselor of whatever type (there are many) I ask, Do you have good rapport? If not, I encourage an urgent referral. In worst case scenarios, urging an immediate admission to a pyschiatric facility (done through the emergency room)is mandated.

     

    However, I am not yet finished with my personal and professional responsibility.

     

    I provide my contact information and encourage them to call anytime.

     

    I take a different direction. I evaluate their medication and their understanding thereof. I encourage conversation not just with their doctor, but also pharmacists who are very knowledgeable and will take the time. Some folks do not understand the meds prescribed and  do not take them appropriately. If I believe (and I do not practice medicine) that they might be on too weak a medication, I write a thoughtful, carefully worded letter or call the physician. More than once a client was very undermedicated, too much short acting medication and not enough long acting and lousy functioning on that basis. For some I have advocated for additional testing. Several times I nailed cancer (the seriousness of the presentation was key) when they were being relatively ignored or placated by the physician. Yes, surprise surprise medicine is not infallible and neither am I. Wanna hear about may failures?

     

    I do have a client who swears that I saved her life, but I will not elaborate.

     

    KNOWLEDGE IS POWER AND MUCH MORE SO, RESPONSIBILITY.

     

    JERRY HESCH, MHS

    Reply
    re: victor or vicitim
    Karen Lee Richards
    Monday, August 10, 2009 at 04:30 AM

    Hi Steve,

    Yes, I do live with pain and have for 20 years.  For me the difference between victim and victor is whether I'm looking back or forward.  When all I thought about was what I had lost – the things I could no longer do, I was depressed and miserable.  Then I decided I just couldn't stand to live the rest of my life feeling that way, so I began to try to make the best of what I had left.  To most people, it doesn't look like I have much of a life, but I've managed to find joy in little things. 

     

    I don't mean to sound like a Pollyanna because I'm not.  I still have some really bad days when I can barely get out of bed for a few minutes at a time.  And when it really gets overwhelming, I allow myself 24 hours to have a pity party and get it out of my system.  I don't think the fact that we suffer with our pain makes us a victim – that just means we're human.  For me at least, being a victor just means that overall I refuse to give up and feel sorry for myself.

     

    Whether you are a victim or victor only you can say.  But just from what I read in your comment, you sound more like a victor to me.  You haven't given up.  You continue to try to do all you can until the pain stops you.  That's really all any of us can do. – Karen

    Reply
  8. Pain of fibromyalgia
    learnFMnow
    Thursday, August 06, 2009 at 02:43 AM

    I suppose I feel like a victim most of the time since being really ill with this for the last 6 years.  I am 45.  It has aged me tremendously and changed me drastically.  It seems all my plans center around rest periods.  The constant question in the back of my mind is always "when can I rest again"?  I crave rest like a drug addict craves a drug.  The problem is, I pay for sleep.  A night of what I believe is good sleep finds me waking up to the worst stiffness and pain for the first hour or so out of bed.  I don't even want to see anyone for the first couple hours after I am up.  The pain is with me all the time to some extent.  But mornigs are sure to be hell everyday. 

     

    I am frustrated by the lack of belief and the questioning.  Ok... now was NOT fibromyalgia around LONG before any drug companies ever created meds for it?  Then why the accusations of the drug companies creating an illness to make meds for?  Makes no sense.  How many poor souls of the past have suffered their entire lives being called hypochondriacs?  Very sad.  No, you cannot see pain.  Especially chronic pain because we have learned to LIVE with it.  Otherwise, we would not LIVE at all.  You smile, you walk, you talk, you do things that you need to do to function.  But just because we are not crying all the time, people think we cannot possibly feel as if we are dying.

     

    Does anyone fault a cancer patient for having a smile?  Do they doubt the pain?  NO...only becuase you can SEE cancer on some test.  Well, fibromyalgia can lead and progress to pain equal to that of cancer...yet we don't die from it and there is no removal method such as removal of a tumor.  No removal.  No death until natural causes or another disease.  So therefore many live each day with this curse feeling as if they are dying.  But the only other choice is to give up. 

     

    So in this way I suppose I am a victor.  I have not given up. I do what I can.  I smile and talk and walk all the while feeling as if screws are in my muscles pulling them tighter and tighter.  All the while I am feeling as if someone literally took a baseball bat and beat me.  All the while that the dark circles under my eyes are the only revelation to others that I don't feel rested.  NEVER.  NO matter how much I sleep.  Literally.  I do not have the luxury of sympathy and very little empathy save for the people I find on the internet who are exactly like me. 

    Guess what?  This disease is SOOO real.  I am a RN of 17 years and had never heard of it until I got very ill with the curse. 

    When, When, When will anyone learn that pain can be real though we are not grimacing and crying in bed all day?  Pain is not seen.  Only our reactions to pain.  I personally don't want to spend my entire life grimacing and crying.

     

    Debra RN

    Reply
    re: Pain and Surviving It
    ptlevinson
    Thursday, August 06, 2009 at 09:00 AM

    Hello Karen and Friends,

     

    I am not an FM person, but I have been dealing with chronic pain for 19 years. Finally, after my 5th layoff in 15 years, the reality that I must have been projecting my pain to my clients and employers sank in. I sought work in my field for 13 months, but I also took some training for something I can teach part-time, and filed for disability with the support of my army of doctors. I was approved 2 weeks ago, and it is a huge relief. Now maybe I can build a new chapter without the pressure and stress of a workplace that has no loyalty to workers.

     

    If we keep giving, our employers will keep taking. I did not file for short-term, which would have become long-term, disability out of a sense of loyalty to my last employer. I got laid off anyway. That decision cost me ~$52,500 in income to which I was entitled under my benefits.

    We must be our own best protectors, and I am learning from my experience that if I do not stand up for myself, it's unlikely anyone else is going to either.

     

    So, I'm redefining my life slowly. Yes, I have pain every day, but my brain still works and I can volunteer at church and other causes I care about. It's very possible to contribute to society in ways that do not involve full-time paid employment. Turning to friends, asking for help, and forging ahead to show people that I am doing what I can for myself creates a partnership that should make life livable, and possibly even enjoyable, for now.

     

    Best to All, Paul

    Reply
  9. I have been a victim
    1grnthmb
    Thursday, August 06, 2009 at 12:54 PM

    After I got sick in 1999 I struggled with the pain and stiffness that came with the multiple forms of arthritis and the neuropathy that I was diagnosed with. I tried to keep my business as a Gardener going but it became very dificult and after three years I finally gave up and applied for disability on the advice of the five doctors I was seeing. I took the attitude that I just could not do anything.

     

    It was not until last year that I started coming out of my shell. My Doctor sent me to physical therapy and it turned out to be the best thing to happen to me. It was really hard at first but after about six weeks I started noticing that my pain was much less and that my flexabilty was better. I started going to church again after being absent for 5 years and started doing volenteer work for the church and helping where ever I could. It also opened up my social life. I came out of my shell and started enjoying the company of others.

     

    It took me nine years to come to the realization that I needed something more in my life and to do something about it. I am still very limited in what I can do but I am much happier and now have friends again.

    Reply
  10. Existing vs. Living
    hurtin4curtin
    Thursday, August 06, 2009 at 05:07 PM

    Good for you Karen, but not everyone has had the talent or support that you have enjoyed through your health journey. 

     

    I was healthy and happy until cancer entered the picture.  I'm in remission; however, the list of diseases, disorders and syndromes that I have developed has gotten longer and longer since the completion of intense chemotherapy and steroid treatments.  I am in unrelenting pain. 

     

    These are simply the facts.  I lived, but now I just exist.  Labeling each other "victim" or "victor" does nothing to alleviate the pain and suffering.  In fact, I believe that it only causes more distress in those of us who are hanging on by a thread.

     

    I wish us all less pain and more joy.

    Reply
  11. Pain Complicated By Other Medical Problems
    Janelle
    Saturday, August 08, 2009 at 05:10 AM

    For most of us, chronic pain is but one part of our medical equations. One of the most depressing aspects of a long-term illness has to be the need to request accommodations from others in order to physically accomplish things we want to do - either at work, at home, or in our community. Four years ago, I was a lot more active despite my medical problems.

     

    Currently I head a committee at my church, produce flyers for various community outreach groups, manage our website, and edit the monthly newsletter. I used to do a lot more but just can't regularly get to (and sit through) three-hour meetings of various committees.

     

    I'm a retired 60 year old insulin-dependent diabetic with kidney failure, a large ventral abdominal hernia, arthritis, a paralyzed vocal cord, and heart disease who has undergone 10+ operations due a botched hysterectomy as well as breast cancer. Though my knees should have been replaced four years ago, I'm considered too great a medical risk for more surgery.

     

    Individually, my physical maladies aren't terribly devastating but taken together - especially with limited mobility - they can seem overwhelming at times.

    Reply
  12. pain
    disco queen
    Wednesday, September 16, 2009 at 10:07 AM

    How does chronic pain effect ur relationships? Do u think the people that luv u get tired of u being ill?Peaceful daysYell

    Reply
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