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		<title>What I Learned Through My Divorce and Moving On</title>
		<link>http://ohwhatapain.wordpress.com/2014/02/17/a-finalized-divorce-and-moving-on/</link>
		<comments>http://ohwhatapain.wordpress.com/2014/02/17/a-finalized-divorce-and-moving-on/#comments</comments>
		<pubDate>Sun, 16 Feb 2014 19:37:52 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Chronic Pain]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[disability]]></category>
		<category><![CDATA[divorce]]></category>
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		<category><![CDATA[weight loss]]></category>
		<category><![CDATA[chronic pain]]></category>
		<category><![CDATA[disability and divorce]]></category>
		<category><![CDATA[disability and marriage]]></category>
		<category><![CDATA[letting go]]></category>
		<category><![CDATA[marriage]]></category>
		<category><![CDATA[moving on]]></category>
		<category><![CDATA[strength]]></category>

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		<description><![CDATA[On Monday I was released, officially, of my marriage.  I am divorced.  I have prepared myself emotionally and mentally to &#8230;<p><a href="http://ohwhatapain.wordpress.com/2014/02/17/a-finalized-divorce-and-moving-on/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=890&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<div id="attachment_421" style="width: 409px" class="wp-caption aligncenter"><a href="http://ohwhatapain.files.wordpress.com/2012/12/before.jpg"><img class="size-full wp-image-421" alt="Me- Pre-Divorce" src="http://ohwhatapain.files.wordpress.com/2012/12/before.jpg?w=529"   /></a><p class="wp-caption-text">Me- Pre-Divorce</p></div>
<div id="attachment_891" style="width: 113px" class="wp-caption aligncenter"><a href="http://ohwhatapain.files.wordpress.com/2014/02/untitled.jpg"><img class="size-full wp-image-891" alt="Me- Post-Divorce" src="http://ohwhatapain.files.wordpress.com/2014/02/untitled.jpg?w=529"   /></a><p class="wp-caption-text">Me- Post-Divorce</p></div>
<p>On Monday I was released, officially, of my marriage.  I am divorced.  I have prepared myself emotionally and mentally to say that, so I do so with some sense of acceptance and peace.  I was allowed, by the judge, to return to being me (my maiden name).  The irony of that is not lost on me.  I lost myself in my marriage and subsequent illnesses and pain.  Now, with permission, I can return to being me.</p>
<p>In June, less than two weeks after my 34<sup>th</sup> birthday, my world was turned upside down when my husband said he was leaving me.  We had had fights before and threatened separation and divorce, but never followed through on what always seemed like idle threats.  This time, however, we knew it was over.  That morning we woke up, he put his arms around me and we both lay silently in bed before the arguments started back up.  It was in that moment that I knew that this was the end.  Looking back on it, the end came long before that summer day.  Marriages don’t end because of one fight and they are usually over long before someone actually leaves.</p>
<p>If you ask his side of the story he will tell you the love simply died.  I have a very different view of the situation, one that includes dishonesty, but what good does it do to point fingers?  It will not change the outcome. I take responsibility for my part.  I was not a perfect wife.  Do I blame the chronic pain and back surgeries for my divorce?  In part, yes.  I think a marriage can withstand any number of catastrophic events, even very early on, but only a STRONG one.</p>
<p>I learned a lot from getting married and divorced.  I learned that not everyone marries for the right reasons.  I learned that love is not all you need, despite The Beatles’ claims.  I learned that you cannot give of yourself until there is no more because if you do, you will have nothing left when it ends.  The day he left, I had nothing left.</p>
<p>But, in going through the divorce I also learned that I was still me.  It was buried under 5 years of unhappiness and the constant fight to survive a disability, but, deep down, I was still there.  I learned that despite having been taken care of for two years I was still capable of taking care of myself and doing everything that needed to be done, alone.  I learned to forgive myself.  I even learned how to <i>almost</i> forgive him.  Some things are unforgivable and may well remain so for a long time, but I learned to forgive enough to have peace.  I learned not to hate, even when the inclination was to do so.</p>
<p>Most of all, I learned to follow my dreams.  I wanted to act since I was a child but never had the courage.  This summer, literally weeks after he left, I was called and given the opportunity to train for an improv group.  Since I was already studying at the school to pursue acting, I could not possibly pass up the opportunity.  Fast forward five months and I am now a member of the improv group, completed one play with the largest part I had been given at the time and am currently in rehearsal for another production with one of the lead ensemble roles.  No, it is not professional acting…yet.  But, this experience has given me the courage to pursue my dream of one day acting professionally.</p>
<p>I look at it like this:  two years ago I was in a wheelchair, 300 pounds, barely able to walk, with a husband who had to walk me to the bathroom and on more pills than I could count to manage the pain.  I was miserable.  I had no self-confidence and, it seemed, no future.  I was ready to throw in the towel, and almost did on more than one occasion.  But, I did not.  I fought my way back.  I got stronger than I ever thought possible, lost 153 pounds so far (more than 50% of my weight), found my hobbies, cut back to as few medications as possible and the self-confidence is coming back.</p>
<p>Although I do not have much respect for my ex-husband due to the circumstances of our divorce, I can say that I would not have gotten through the last couple of years without him and for that I will be ever grateful.  It may have ended the marriage, but his emotional support (in the beginning) as well as his financial support and health insurance made it possible for me to recover, go to physical therapy and start my weight loss journey.</p>
<p>The bottom line is that we all make mistakes.  I truly believed I was marrying the love of my life, my soul mate.  I realized too late that he was not right for me.  When I think about soul mates I am reminded of a quote from a movie that got me through the past several months, <i>Eat, Pray, Love</i>:</p>
<p>“He probably was [your soul mate]. Your problem is you don’t understand what that word means. People think a soul mate is your perfect fit, and that’s what everyone wants. But a true soul mate is a mirror, the person who shows you everything that’s holding you back, the person who brings you to your own attention so you can change your life. A true soul mate is probably the most important person you’ll ever meet, because they tear down your walls and smack you awake. But to live with a soul mate forever? Nah. Too painful. Soul mates, they come into your life just to reveal another layer of yourself to you, and then they leave. And thank God for it. Your problem is, you just can’t let this one go. It’s over, Groceries. [His] purpose was to shake you up, drive you out of your marriage that you needed to leave, tear apart your ego a little bit, show you your obstacles and addictions, break your heart open so new light could get in, make you so desperate and out of control that you had to transform your life.”</p>
<p>This quote was comforting to me because it meant I no longer had to feel guilty for choosing the wrong man.  I did have a soul mate that did help me in the end, even if it broke my heart.  He broke down my walls and made me desperate to change my life, so desperate that rather than talk about the things I wanted to do I finally went out and did them, all of them.  Not just acting, but all sorts of things that I have wanted to do that I hadn’t done before!  I am unrecognizable from the person I was 5 years ago, 2 years ago or 8 months ago.  I have accepted that this was simply not meant to last.</p>
<p>In the end, Alfred Lord Tennyson put it best when he said “‘tis better to have loved and lost than never to have loved at all.”  But, a funny T-shirt I saw on the boardwalk also summed it up nicely: “Tis better to have loved and lost than to be stuck with a ___”</p>
<p><a href="http://blogs.psychcentral.com/chronic-pain/files/2013/05/before.jpg"> </a></p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/890/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/890/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=890&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Dear daughter, about your future husband</title>
		<link>http://ohwhatapain.wordpress.com/2014/02/14/dear-daughter-about-your-future-husband/</link>
		<comments>http://ohwhatapain.wordpress.com/2014/02/14/dear-daughter-about-your-future-husband/#comments</comments>
		<pubDate>Fri, 14 Feb 2014 02:15:00 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[pain]]></category>

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		<description><![CDATA[Originally posted on <a href="http://jamesrusselllingerfelt.wordpress.com/2014/02/13/dear-daughter-about-your-future-husband/">love story from the male perspective</a>:<br />A Daddy’s Letter to His Little Girl (About Her Future Husband) by Dr. Kelly Flanagan Dear&#8230;<img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=894&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<div class="wpcom-reblog-snapshot"><div class="reblogger-note"><p class="reblogger-headline"><img alt='' src='http://0.gravatar.com/avatar/6f8e4bce772f41a497787dcdd81dc6e8?s=32&#038;d=identicon&#038;r=G' class='avatar avatar-32' height='32' width='32' /><a href="http://ohwhatapain.wordpress.com/author/ohwhatapain/">Tracy Rydzy, MSW, LSW</a>:</p><div class='reblogger-note-content'><blockquote><p>What a beautiful message&#8230;</p>
</blockquote></div></div><div class="reblog-post"><p class="reblog-from"><img alt='' src='http://1.gravatar.com/avatar/715be610a16528680bdda2d6b966dfdb?s=48&#038;d=identicon&#038;r=G' class='avatar avatar-48' height='48' width='48' />Originally posted on <a href="http://jamesrusselllingerfelt.wordpress.com/2014/02/13/dear-daughter-about-your-future-husband/">love story from the male perspective</a>:</p><div class="reblogged-content">



<em>A Daddy’s Letter to His Little Girl (About Her Future Husband)</em>

 by 

<a href="http://drkellyflanagan.com/2013/04/17/a-daddys-letter-to-his-little-girl-about-her-future-husband/" target="_blank">Dr. Kelly Flanagan</a>




<p>Dear Cutie-Pie,</p>
</div><p class="reblog-source"><a href="http://jamesrusselllingerfelt.wordpress.com/2014/02/13/dear-daughter-about-your-future-husband/">View original</a></p></div></div><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/894/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/894/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=894&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Having a Disability and Its Affects on Relationships</title>
		<link>http://ohwhatapain.wordpress.com/2014/01/31/886/</link>
		<comments>http://ohwhatapain.wordpress.com/2014/01/31/886/#comments</comments>
		<pubDate>Thu, 30 Jan 2014 19:54:20 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Chronic Pain]]></category>
		<category><![CDATA[disability]]></category>
		<category><![CDATA[life in general]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[psychology]]></category>
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		<category><![CDATA[Uncategorized]]></category>
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		<description><![CDATA[Having a disability, be it medical or psychological, can put a strain on relationships.  I am not just talking about &#8230;<p><a href="http://ohwhatapain.wordpress.com/2014/01/31/886/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=886&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<p>Having a disability, be it medical or psychological, can put a strain on relationships.  I am not just talking about marriages or romantic relationships.  All forms of communication and relationships can suffer when someone is going through a hard time.</p>
<p>In my case (of course it would be my case, it’s my blog), I have noticed changes in various relationships that I have with friends and family.  It can be broken down into different categories, positive and negative.  These are all actually relatively normal reactions to one person in a relationship going through a major life transition, be it significant other, sibling, child or friend.  One very important thing to remember for most of us living with pain or disability is this: I KNOW HOW I SOUND AND I WISH I DIDN’T HAVE THIS TO TALK ABOUT!</p>
<p><b>The negative: </b></p>
<p>These are the “categories” of negative changes in relationships I have noted or experienced in the past:</p>
<p>1-     <b>I hate to see you upset, so I just won’t see you.</b>  I know people this has happened to, me included.  This is not just limited to physical pain, this came into play a LOT when I went through my separation and had emotional pain.  Whether it is because I feel they do not want to spend time with me because they are tired of listening to me or whether I feel they are not supportive and are not positive, I avoid spending time with them or vice versa.</p>
<p>2-     <b>Wow that sounds bad, but listen, my situation is so much worse than yours.</b>  We are all guilty of this in life.  Sometimes you want to be heard and feel you need to top the other person’s story.  I have noticed that when someone has a really bad run of luck, some people, in an attempt to “relate,” will tell their tales of woe rather than listen.  I met a man in physical therapy who told me, “I am 70 years old, whatever you tell me, I am sure that I can top it, but right now we are talking about you. Later we can talk about me.”  I thought this was the most incredible advice I had ever heard.</p>
<p>3-     <b>I am tired of hearing you talk about your health, so I will cut you off.</b></p>
<p>4-     <b>I am tired of hearing you complain, so I won’t ask how you feel</b>.  This can lead many people to feel as if they are a burden or as if their health, pain or emotional concerns are not being heard or, worse yet, not being believed.</p>
<p><b>5-     </b><b>I can’t help you, so I won’t try anymore.  </b>Generally, when a relationship gets to this point, I find it is best to cut ties.  Although no one can really help with your pain, relationships are a two way street and if someone has decided they cannot help you the options are either you are left unsupported and you are doing all the supporting, or you just don’t have the relationship anymore.<b></b></p>
<p><b>The positive:</b></p>
<p><b>1-     </b><b>I have been through something like this, I can relate.</b></p>
<p><b>2-     </b><b>It sounds like you are having a rough time, what can I do to help?</b></p>
<p><b>3-     </b><b>Life sucks, let’s be silly and distract you.  </b>Since I believe laughter is the best medicine, these are truly the best, most positive influences in life, those that recognize the value of distracting you from your pain.<b></b></p>
<p>4-     <b>Wow, that sounds terrible, tell me about it.</b>  Although it is not necessary to complain repeatedly, sometimes it is important to feel heard, even if just for a few moments.  Just be sure that you are also doing part of the listening in the relationship to keep the two-way relationship open.</p>
<p><b>How can you resolve some of these issues?  </b></p>
<p>It helps to educate the people who have in interest in understanding you and trying to figure out how to help.  When people say, “what is it like? I don’t understand,” then I will explain to them how I feel, or refer them here where I tell the whole world what life with physical/emotional pain is like.  It’s good to keep the lines of communication open.</p>
<p>I think the most important tip I can give is to try and discern between, “I am miserable and want to complain, I could use an ear,” vs. “I could use some advice,” vs. “I am not complaining and I don’t want to be like this.”  I think that is the part a lot of people do not understand and therefore become annoyed or angry and therefore distant.</p>
<p>I am sure most living with pain or disability would tend to agree that very rarely are we talking about our issues to get pity.  We talk about it because we need an outlet, to be heard.   When it comes down to it, we really just want to be like everyone else.</p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/886/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/886/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=886&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Opiate Withdrawal (Outpatient): Slow and Steady Wins the Race</title>
		<link>http://ohwhatapain.wordpress.com/2014/01/07/opiate-withdrawal-outpatient-slow-and-steady-wins-the-race/</link>
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		<pubDate>Tue, 07 Jan 2014 03:41:37 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Chronic Pain]]></category>
		<category><![CDATA[medication]]></category>
		<category><![CDATA[narcotics]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[pain management]]></category>
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		<category><![CDATA[chronic pain]]></category>
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		<category><![CDATA[opiate withdrawal symptoms]]></category>
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		<category><![CDATA[opiates]]></category>
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		<description><![CDATA[Several months ago I made the conscious decision to cut back on the narcotics I was taking to control my &#8230;<p><a href="http://ohwhatapain.wordpress.com/2014/01/07/opiate-withdrawal-outpatient-slow-and-steady-wins-the-race/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=883&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<p>Several months ago I made the conscious decision to cut back on the narcotics I was taking to control my chronic pain.  For two and a half years I have been prescribed a variety of medications, including narcotic to control my pain.  I made this decision, on my own, for various reasons, most of them financial (being that I won’t be able to afford pain management and prescriptions following my divorce next month), but also because I realized that the medication was no longer very effective in treating my pain. When a pain management appointment a few months ago led to discussions about increased dosages and <i>very</i> strong medications, I realized that at age 34, I was heading down a slippery slope.  If my pain was not being controlled now, what would happen if my much degenerated spine were to need another surgery requiring pain medication in later years?  The answer: I would be out of options.</p>
<p>I began taking these opiates two and a half years ago following an emergency herniated disc repair, followed shortly by a three-level lumbar spinal fusion.  A year and a half after that I had a car accident that damaged my upper back and neck, followed by another car accident that damaged my mid-back and temporarily dislocated a rib.  I have spent the past 20 months doing intensive physical therapy.  I have done my part.  I lost almost 50% of my body weight and increased my strength considerably.  Physically I am in great shape and yet still struggle with chronic pain.</p>
<p>When I began to cut back I started <i>very </i>slowly.  I began by decreasing one pill a week for several weeks, then cutting back on shorter acting ones, etc.  But the side effects have been difficult to deal with because narcotics are something your body is DEPENDENT on.  I never abused my medication and took them as prescribed.  That being said, my system still became dependent on them and in decreasing the doses, it has thrown my body into a tailspin and cutting back on these medications has proven to be a very difficult undertaking.  It is a SLOW process.  I am doing this with the help of my doctors, but no amount of research could have prepared me for what I am experiencing.  I want to share my experience with you for those of you who are considering this because, although I do not regret my decision, I think it is important to be prepared for the side effects.</p>
<p>I do not discourage cutting back or stopping opiates by any means (it is a completely personal choice that should be made by you and your doctor <i>only)</i>, I just think everyone should know the unadulterated facts. Here are a few withdrawal symptoms I thought were important to share:</p>
<ol>
<li><b>Anxiety/Agitation</b>- This is one the most difficult withdrawal symptoms to deal with.  Having already had issues with anxiety, the reduction of opiates causes, at times, severe anxiety and agitation.  The reason is my body got used to having certain medications every so many hours.  When that medication doesn’t come, my body gets very anxious.  Opiates are calming and a lack of them can produce severe anxiety, especially in the morning when a nighttime dose is omitted.  I have been prescribed medication to assist with anxiety, which I use when it gets bad, but this is where coping is difficult, but a necessary evil.  It is hard to tell your body, “I know you think you need this and you are confused, but you will be okay.”  This is also why a slow taper is so vital because a sudden steep reduction can lead to blood pressure and pulse increases that can be dangerous to your health.</li>
<li><b>Automatic Behaviors</b>- For 2 ½ years I became accustomed to reaching for medication every so many hours or when I was in pain.  It became as automatic as getting a glass of water.  When I began to cut back that behavior was frustratingly difficult (and anxiety-producing) to break.  I had to trick myself by replacing opiates with Tylenol or Vitamin C or other non-narcotic options.  I also found it helpful to write a note on the bottle of pills that asked, “What is your pain level?” so I could truly judge if it was an automatic habit or if the pain warranted taking a pill.  Eventually I put the pills in a drawer so I was not seeing them and therefore had less of a reminder (temptation) to take them.  Just another way the brain/body can be tricky when it comes to chemical dependence.</li>
<li><b>Emotional Fallout</b>- As anyone on these medications knows, narcotics have a numbing effect on emotions.  This is not to say I didn’t feel emotions, but I was number.  After going through the trauma of a divorce, the numbness was, frankly, welcome.  Perhaps the most terrible side effect has been the emotional fallout due to the reduction of these medications.  The less I began taking, the more I began to feel.  I didn’t even understand where all the tears and additional emotion (on top of high emotion already) were coming from until I realized I was actually <i>feeling</i> more because I was less numb.  It has been difficult to feel such additional emotional pain, but, the upside is that it has helped me be a better actress because I have been able to access the emotion I needed for character development.  Although there is no real solution for how to remedy this, the truth is to be human you HAVE TO feel your emotions.  Being numb is not healthy.</li>
<li><b>Pain</b>- obviously the physical pain can get pretty bad sometimes without having a constant stream of pain medication, especially with additional emotional distress.  However, I realized there is less up and down like there is when constantly taking medication for breakthrough pain.  Personally I am trying to take Tylenol (allergic to NSAIDs) in limited quantities to manage pain and make it more bearable but your doctor is the best advisor on alternatives to narcotics.</li>
<li><b>Depression</b>- Opiates have a tendency, as I stated above, to induce somewhat of a euphoria, so the lack of opiates can cause depression.  This is a very common side effect when detoxing.  This is something that can be discussed with your especially if you suspect your detox will be prolonged.</li>
<li><b>Mood Swings</b>- The lack of opiates in your system, at times, can make you feel like you are going a little off your rocker.  These are <i>powerful</i> medications that significantly affect your mood.  There is a reason they are sold on the streets.  When something can affect your mood so significantly in a positive way, it is logical to assume the lack of said medication can negatively affect your mood.  It is vital to watch for signs of paranoia, hallucinations, psychosis, etc.  Again, your doctor can prescribe mood stabilizers to get you through this transition period if it is proving difficult to cope.</li>
<li><b>Stomach Issues</b>- Opiates tend to cause a slowing down of the gastrointestinal system and constipation which means a lack of these medications can cause…you guessed it, diarrhea!  It can also lead to stomach cramps and nausea.  Your doctor can prescribe medications that can ease discomfort.</li>
<li><b>Night sweats</b>- keep extra pillowcases on hand!  Even when they room temperature is 55, you can sweat through your pajamas!</li>
<li><b>Insomnia</b> - I feel like a zombie during the day and then I cannot sleep at night.  Narcotics have a sedating effect, so it is logical that a lack of them at bedtime will cause insomnia. Your doctor can prescribe a sleeping pill to help with insomnia.</li>
<li><b>Flu-like symptoms/Headaches</b>.</li>
</ol>
<p>I am still in the process of cutting back and will likely be doing this for a year.  I may never be free of my “as needed” medications due to flare-ups, however my goal is to take them as little as possible so that they may be more effective.  I am happy to say that since decreasing them (at this point by almost 1/5 or more) when I am really in pain, the medication is actually effective in treating the severe pain.</p>
<p>If anyone is considering this, I would advise talking to your physician and all doctors involved in your treatment.  They can help in supportive treatment, reducing your dosages and trying to keep you as comfortable as possible while monitoring possible complications.  There are several times  I suggested a doctor can prescribe medications to help with withdrawal symptoms, and these are all medical and personal choices, but a word to the wise, you don’t want to come off a few medications only to take five more to combat those that you are removing from your daily regimen.  The most important thing to remember is that this is uncomfortable, it does suck, but it will pass.</p>
<p>If you have ever done this, are doing it or have done it, my heart goes out to you and I congratulate you!  If not, I do not condemn the use of opiates or narcotics.  I believe that they are effective medications for pain management and that this is a purely personal preference!  Best of luck!</p>
<p><b>Resources:</b></p>
<p><a href="http://www.nlm.nih.gov/medlineplus/ency/article/000949.htm">http://www.nlm.nih.gov/medlineplus/ency/article/000949.htm</a></p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/883/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/883/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=883&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Merry Melancholy (i.e. I feel less than happy during the holidays)</title>
		<link>http://ohwhatapain.wordpress.com/2013/12/31/merry-melancholy-i-e-i-feel-less-than-happy-during-the-holidays/</link>
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		<pubDate>Tue, 31 Dec 2013 17:56:30 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Christmas]]></category>
		<category><![CDATA[christmas commercialization]]></category>
		<category><![CDATA[Chronic Pain]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[fibromyalgia]]></category>
		<category><![CDATA[gratitude]]></category>
		<category><![CDATA[holiday depression]]></category>
		<category><![CDATA[holidays]]></category>
		<category><![CDATA[life in general]]></category>
		<category><![CDATA[loneliness]]></category>
		<category><![CDATA[love]]></category>
		<category><![CDATA[Low Back Pain]]></category>
		<category><![CDATA[mental illness]]></category>
		<category><![CDATA[mood swings]]></category>
		<category><![CDATA[nerve pain]]></category>
		<category><![CDATA[new year's resolutions]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[perfection]]></category>
		<category><![CDATA[seasonal affective disorder]]></category>
		<category><![CDATA[social worker]]></category>
		<category><![CDATA[Spinal Fusion]]></category>
		<category><![CDATA[surgery]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[accomplishments]]></category>
		<category><![CDATA[alone]]></category>
		<category><![CDATA[back pain]]></category>
		<category><![CDATA[christmas]]></category>
		<category><![CDATA[chronic pain]]></category>
		<category><![CDATA[commercialization of christmas]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[grinch]]></category>
		<category><![CDATA[hope]]></category>
		<category><![CDATA[humor]]></category>
		<category><![CDATA[life transition]]></category>
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		<description><![CDATA[Maybe I am the Grinch. Maybe Scrooge had it right when he said “Bah-Humbug.”  What is it about the most &#8230;<p><a href="http://ohwhatapain.wordpress.com/2013/12/31/merry-melancholy-i-e-i-feel-less-than-happy-during-the-holidays/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=430&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<p><span style="font-style:inherit;font-weight:inherit;line-height:1.625;"><a href="http://ohwhatapain.files.wordpress.com/2012/12/photo-6-e1387504662938.jpg"><img class="aligncenter size-full wp-image-431" alt="photo (6)" src="http://ohwhatapain.files.wordpress.com/2012/12/photo-6-e1387504662938.jpg?w=529&#038;h=1569" width="529" height="1569" /></a>Maybe I am the Grinch.  Maybe Scrooge had it right when he said “Bah-Humbug.”  What is it about the most wonderful time of the year that makes it so depressing?  My home is decorated beautifully. The smells of (fake) pine and hot apple cider (scented candles) permeate the house…on the outside everything looks merry and bright.  But on the inside, I am battling a depression that is very </span><i style="font-weight:inherit;line-height:1.625;">un</i><span style="font-style:inherit;font-weight:inherit;line-height:1.625;">merry.  According to the National Institute of Health, the rates of depression and suicide skyrocket to 45% during the Christmas season.  What a merry thought!  So, why is it that the happy holidays make us so </span><i style="font-weight:inherit;line-height:1.625;">un</i><span style="font-style:inherit;font-weight:inherit;line-height:1.625;">happy?</span></p>
<p>Let’s start with <span style="text-decoration:underline;">perfection</span>.  It seems there is an even greater demand to be perfect at Christmas.  With every commercial depicting Norman Rockwell-type picturesque Christmas scenes, many of us feel the need to create the “perfect” holiday.  I don’t even have to a holiday event and it still stresses and bums me out.  As a child, I remember these amazing, festive, fun Christmas Eve parties with my whole family, not to mention a visit from Santa.  From what I remember it was…perfect.  As an adult I realize the perfect Christmases that I experienced were probably far from it.  Because I was viewing Christmas through a child’s eyes, I didn’t see that my mom was probably sweating through her Santa hat while in the kitchen trying to put together our Italian feast, my brothers and I were likely having temper tantrums over toys we didn’t want to share, the tree decorating always caused a fight and half the time the darn thing ended up being tied to the window to keep it from falling.  In effect, the notion of a perfect Christmas is something for children, as it’s a little less perfect as adults.  Yet at this time of year we hold ourselves to an unrealistic standard of perfection and when we don’t meet that, it leads to depression.</p>
<p>There is also the expectation, nay the demand, to <span style="text-decoration:underline;">be happy and merry</span>.  After all, we say Happy Holidays and Merry Christmas, right?  When you are less than jolly during the merriest time of year, it can lead to feelings of guilt and further perpetuate depression.  It’s the hap-happiest time of the year, so why am I not happy?  Having to smile when your heart hurts is very difficult.  I often feel like my unhappiness, if not well-hidden, is going to ruin everyone else’s time.  I liken it to being in a dark cave where I can see the twinkling of Christmas lights at the end of the proverbial tunnel, but I can’t seem to walk toward it.  It feels like the closer we get to the holidays, the further into the hole I go.</p>
<p>In addition to the emotional pain of depression, over the past several Christmases I have also been coping with <span style="text-decoration:underline;">physical pain</span>.  Do you know what a six-hour holiday party feels like when you are sitting on a tailbone with nerve damage?  It’s holiday hell.  I spend most of my parties shifting positions and taking pain medication, only to have to fight to stay awake after they make me want to crawl into bed.  Add to that a fibro flare which has been brought about as a result of the added stress and depression, and aching joints and bones because of the cold, well, let’s just say I don’t know how ol’ Mrs. Claus can handle the North Pole.</p>
<p>The fact that it’s another year over also means I spend a lot of time looking back over the past year.  What have I accomplished?  What could I have done differently?  What can I look forward to next year, what are my resolutions?  Anyone who has been following my blog knows that <span style="text-decoration:underline;">ruminating</span> on the year I have had is NOT going to make me feel a whole lot better.  I have had the most difficult year of my life.  Thinking about it and what next year may or may not bring doesn’t exactly put me in the Christmas spirit.</p>
<p>And how can I forget the <span style="text-decoration:underline;">commercialization of Christmas</span>. I enjoy shopping, right up until the middle of November when it seems like the stores pump evil in through the heating vents.  Everyone is hurried and harried trying to check off their lists.  Children are having meltdowns in every aisle (probably sensing their parents stress) and it seems that every year the prices of gifts gets higher and higher.  It’s no wonder it’s hard to be jolly when this time of year brings about additional financial stresses.  I love giving gifts, but this year, sadly, I am unable to afford more than my Secret Santa and a few small toys for my nieces and nephews.  That, in and of itself, makes me feel guilty.  The spirit of Christmas is not giving and getting gifts, but when you can’t afford them and you know you aren’t really getting much, it is another cold reminder that Christmas is not like it was when you were a kid.  No, Christmas as an adult carried responsibilities and a bigger price tag and if you can’t afford that, well, then the price is guilt!</p>
<p>I know I sound like the biggest Grinch in the world, but heck, even the Grinch’s heart grew.  I do really enjoy Christmas, or better said I really <i>want</i> to enjoy the holidays. I haven’t given up hope on the Christmas spirit yet.  Stay tuned to my next post for tips on how to combat holiday blues.</p>
<p>In the meantime, tell me, how are you feeling this holiday season?</p>
<p><b>Resources:</b></p>
<p><a href="http://www.psychologytoday.com/blog/wired-success/201011/why-people-get-depressed-christmas" rel="nofollow">http://www.psychologytoday.com/blog/wired-success/201011/why-people-get-depressed-christmas</a></p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/430/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/430/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=430&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Merry Melancholy Part 2 (i.e. how to combat holiday blues)</title>
		<link>http://ohwhatapain.wordpress.com/2013/12/31/merrymelancholy/</link>
		<comments>http://ohwhatapain.wordpress.com/2013/12/31/merrymelancholy/#comments</comments>
		<pubDate>Tue, 31 Dec 2013 06:01:36 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Christmas]]></category>
		<category><![CDATA[christmas commercialization]]></category>
		<category><![CDATA[Chronic Pain]]></category>
		<category><![CDATA[coping with depression]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[fibromyalgia]]></category>
		<category><![CDATA[gratitude]]></category>
		<category><![CDATA[holiday depression]]></category>
		<category><![CDATA[holidays]]></category>
		<category><![CDATA[life in general]]></category>
		<category><![CDATA[loneliness]]></category>
		<category><![CDATA[love]]></category>
		<category><![CDATA[Low Back Pain]]></category>
		<category><![CDATA[mental illness]]></category>
		<category><![CDATA[mood swings]]></category>
		<category><![CDATA[nerve pain]]></category>
		<category><![CDATA[new year's resolutions]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[perfection]]></category>
		<category><![CDATA[seasonal affective disorder]]></category>
		<category><![CDATA[social worker]]></category>
		<category><![CDATA[Spinal Fusion]]></category>
		<category><![CDATA[surgery]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[accomplishments]]></category>
		<category><![CDATA[alone]]></category>
		<category><![CDATA[back pain]]></category>
		<category><![CDATA[christmas]]></category>
		<category><![CDATA[chronic pain]]></category>
		<category><![CDATA[commercialization of christmas]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[grinch]]></category>
		<category><![CDATA[hope]]></category>
		<category><![CDATA[humor]]></category>
		<category><![CDATA[life transition]]></category>
		<category><![CDATA[new years resolutions]]></category>
		<category><![CDATA[perfection at christmas]]></category>
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		<description><![CDATA[In my last post I spoke about Merry Melancholy and why the holidays are not always so happy.  As I &#8230;<p><a href="http://ohwhatapain.wordpress.com/2013/12/31/merrymelancholy/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=436&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<p>In my last post I spoke about Merry Melancholy and why the holidays are not always so happy.  As I am suffering from both physical and emotional pain, especially during this time of year, I have put together some tips on how to put the happy back in the holidays.</p>
<p>1-     Know when to get help.</p>
<p>First, depression can feel like it will never end, but in most cases, I can tell you from a personal and professional standpoint, that it will ease up.  However, if your depression is serious and you feel as though you may harm yourself, please seek medical attention.</p>
<p>2-     Let go of perfection.</p>
<p>If you are like me and you remember perfect holidays from your childhood and you are trying to recreate them, look back on those holidays with adult eyes.  I don’t mean to look back at the negative or to tarnish wonderful memories, but look at the “perfect” Christmas for what it really was and try not to hold yourself to an impossible standard.  You are not a Kay Jewelers commercial.</p>
<p>Like I said in the earlier post, I remember Norman Rockwell Christmases as a child, but I know that behind the perfect picture I was seeing was a lot of stress.  Perhaps the “perfect” holiday only seemed perfect because I was with my family and there was enough love to cover the many imperfections.  I remember one particular Christmas, when I was about eleven, when I began to see just how hard it was for my parents to pull off these perfect festivities.  Santa always came to visit on Christmas Eve which just seemed…magical.  Even after I stopped believing, Santa’s visit was still just so fun.  I’m sure, however, that it was not as much fun for my Uncle Fran, who sadly passed away this year, who dressed up as Santa.  One year, to combat the kid’s pulling off his beard and exposing his true identity, he used glue to secure his beard.  It worked.  No one saw that Santa was actually a young Italian, but that evening I remember seeing my uncle, my mother and my aunt in the bathroom at Grandma’s house trying to unglue his beard while Uncle Fran used some pretty un-merry words as his skin was being ripped off.  It was hysterical and it just goes to show you that there is no such thing as perfection, it’s about perception.</p>
<p>3-     It’s okay not to be happy.</p>
<p>If you are not happy and merry, it’s okay.  Remember, 45% of people are not as happy as they seem during the holidays, so you are not alone.  Try not to let being down get you down. Sometimes, hyper-focusing on the fact that you are not happy when you are supposed to be can make you feel even more agitated and unhappy.  I sometimes go to parties and feel very sad.  I don’t force myself to be happy, yet sometimes, without trying, I am able to smile and enjoy myself.  The pressure to be happy only leads to more unhappiness, so let it go.  You are human and no one expects you to be jolly all the time, after all, you are not Santa Claus.</p>
<p>4-     Take care of yourself.</p>
<p>If you suffer from chronic pain, like I do, schedule a few appointments to pamper yourself.  Book a massage, get a pedicure, or just take a bath and try to ease your pain. If money is tight, like it is for most, make sure to book time off just for yourself and relax, read a book.  Take some you time and enjoy your decorations.</p>
<p>Remember to take your medications, even with the crazy scheduling and, of course, check the warnings on any medications you take to be sure that adding a few cups of eggnog are not going to make you feel worse! I know that pain doesn’t disappear during the holidays and that it can put a damper on events, and that’s okay.  It’s not your fault you are in pain and your friends and loved ones should understand if you can’t make it or stay through every event.  Although the holidays are about good will towards others, do yourself a favor and take care of YOU first.  You can’t help others if you don’t help yourself first.</p>
<p>5-     Screw New Year’s resolutions.</p>
<p>There, I said it.  Same goes for thinking back on the year.  The year was what it was and harping on what you did or didn’t do won’t change anything.  I pretend that January 1<sup>st</sup> is the same as any other day.  When I want to change something in my life, I do it when I am ready, not just because it is the first day of the year.  It is okay to think back on the year and have hopes for the future, but ruminating on either (or both) will only increase your anxiety and depression.  For auld lang syne, my dear.</p>
<p>6-     Set holiday spending limits.</p>
<p>Finally, when it comes to spending, set limits and try to stick to them.  When the over-commercialization of the holidays gets to you, try to think about the non-commercial joys in your life, like family and friends, and especially pets.  If you are Christian, take time to pray and to remember that the Christmas season is supposed to be about Christ, not Macy’s and Target.</p>
<p>The holidays can be a very difficult time of year for many people.  I have to remind myself every day that the depression will ease up.  When I feel sad, especially during the happy holidays, I try to lean on those I love the most.  I try (not always successfully) to focus on the things I love about this time of year and to be thankful for what I do have.</p>
<p>I wish you all a Merry Christmas and Happy Holidays and if you are not merry or happy, that’s okay too.</p>
<p>What do you do to battle holiday blues?</p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/436/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/436/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=436&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Holiday Depression (i.e.- I don&#8217;t feel &#8220;Merry and Bright&#8221;)</title>
		<link>http://ohwhatapain.wordpress.com/2013/12/26/holiday-depression-i-e-i-dont-feel-merry-and-bright/</link>
		<comments>http://ohwhatapain.wordpress.com/2013/12/26/holiday-depression-i-e-i-dont-feel-merry-and-bright/#comments</comments>
		<pubDate>Thu, 26 Dec 2013 01:13:40 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Christmas]]></category>
		<category><![CDATA[christmas commercialization]]></category>
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		<guid isPermaLink="false">http://ohwhatapain.wordpress.com/?p=876</guid>
		<description><![CDATA[This time of year, when everything is supposed to be “merry and bright,” can be an incredibly painful, lonely and &#8230;<p><a href="http://ohwhatapain.wordpress.com/2013/12/26/holiday-depression-i-e-i-dont-feel-merry-and-bright/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=876&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<p>This time of year, when everything is supposed to be “merry and bright,” can be an incredibly painful, lonely and depressing time of year for so many people.  This has been, by far, the most difficult year I have faced and the holidays are making that even more noticeable. I seem to have succumb to holiday depression…and according to recent statistics, I am not in the minority.  So, why is it that holiday depression or depression in general is so hard to fight?  Especially for those in chronic pain?</p>
<p>Let’s start with these white Christmases (or almost Christmases).  Weather can be a major trigger for pain flare-ups and I am sure I am not alone in the fact that the recent sub-freezing temperatures and snowstorms are making my bones and joints ache. The increased pain can easily lead to bouts of depression.  Additionally, I usually suffer from seasonal affective disorder, whereby the lack of sunlight increases the likelihood for depression.  It seems like a logical equation: Bad weather &#8211; sunlight, fresh air and natural Vitamin D + more pain = depression L.</p>
<p>The worst part about depression during the holidays is that this is the time of year where every commercial, ad and song makes you <i>believe</i> that you are <i>supposed</i> to be happy during this time of year.  The truth, however, is that the holidays only highlights the loneliness and pain of the past year for many people, myself included.  This year has brought a few good things, but in general, it has been the worst, most difficult year I have ever had to endure, including a separation and pending divorce, losing a loved one and, in general, having my entire life turned upside down.  The fact that the atmosphere suggests that I should be happy when I am so sad only makes me feel like more of a failure.</p>
<p>This depression comes on the heels of many months of doing extraordinarily well in the face of a LOT of very, very bad circumstances, which only makes it that much more difficult to cope with, being that it snuck up on me.  Depression is a scary bastard.  I have been dealing with it, on and off, since I was a teenager.  The best way I can describe it is it is like constantly battling a demon in your mind.  Even when you logically have the perspective to say “yes, I feel sad, but I recognize this is just in my mind…” there is a “voice” (I do not mean an external voice, I mean a thought pattern, this is not to be confused with hearing voices), that says “but I am going to consume your entire life and I am not done yet.”  So you go back to being sad.  Then you start to feel a little better and once again the voice again says, “Sorry, I’m not done feeling sad.”  And so you spend days, weeks, or even months fighting with yourself and trying to pull yourself out of the depression until finally the happiness can “beat” the sadness.  It is as if you cannot win until the depression has run its course.</p>
<p>Depression is BIOLOGICAL.  You can fight it.  You can help it.  You can cope.  But it <i>is</i> biological and it does take time to resolve.  It is important to remember that you and I are not alone in our holiday blues.  Truthfully, as an actress (currently rehearsing for a play in January!) I can tell you all those people in the commercials and made-for-TV movies are FAKING it anyway, they are ACTING!  Besides, they shot those movies over the summer when there was no holiday stress and the holiday loneliness hadn’t even dawned on them yet.  It will pass, despite what that depression demon tells you, even though it seems bleak now.</p>
<p>Check back later this week for a two-part article entitled “Merry Melancholy” about this topic!</p>
<p>Hang in there and I wish you all a happy, pain-free Holiday!</p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/876/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/876/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=876&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Making Friends with Your Pain</title>
		<link>http://ohwhatapain.wordpress.com/2013/12/17/making-friends-with-your-pain/</link>
		<comments>http://ohwhatapain.wordpress.com/2013/12/17/making-friends-with-your-pain/#comments</comments>
		<pubDate>Tue, 17 Dec 2013 00:51:08 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Chronic Pain]]></category>
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		<description><![CDATA[I was talking to a friend a while back and he said, “It must be difficult to live with pain.” &#8230;<p><a href="http://ohwhatapain.wordpress.com/2013/12/17/making-friends-with-your-pain/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=870&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<p>I was talking to a friend a while back and he said, “It must be difficult to live with pain.”</p>
<p>As many of you know, I have drastically changed my way of thinking and living when it comes to my perspective and how I view life.  I was quite shocked when I heard myself say, “Well, after a while you start to think of your pain like an annoying roommate.  It is always there, but eventually you learn to live with it.”  I was quite surprised at my own revelation- had I really learned that?</p>
<p>For two and a half years I FOUGHT against my pain.  It was private enemy #1.  It was a constant reminder of the fact that my body failed me.  At some point, I got tired of living like that.  I did something I never thought I could do- I made peace with my body.  Once I did that, the weight loss, which had already been going well, got even better and the pain, which is still there, seemed to lessen just a little.</p>
<p>“How do I make peace with my body?” you are probably asking.  As I think back on how I got here I realize several things:</p>
<p>1-     It didn’t happen overnight.  I still have bad days and negative days.  I have days and nights when the pain is bad and I curse my body.  That is NORMAL.  If you are always at peace with everything you are not experiencing real emotion and you are avoiding emotion, which is not healthy.  Backslides are normal, expected and perfectly healthy.</p>
<p>2-     Becoming friends with your pain starts with forgiving yourself.  “But I didn’t do anything wrong,” you say.  No you didn’t.  Now believe it.  I blamed myself for the injury, the burden, the bad moods associated with the pain.  I didn’t do anything wrong.  This injury, this life changing event was something that happened TO me.  I didn’t do anything to make it happen and I didn’t DESERVE it.  That is important.</p>
<p>3-     I found the importance in my illness.  I realized what I have learned from my pain.  I have been able to pass on my experiences and my journey to all of you and I have gotten wonderful messages from strangers saying my story has helped them.  I have learned to fight.  And I have learned that I am so strong, stronger than I EVER imagined I could be.</p>
<p>4-     I got moving.  If you can move, at all, try to exercise.  Even if it is for five minutes a day and that is what you build on.  Exercise motivated me to do more and it taught me my strength.  It showed me how much more I can do.  If I look back at day 1 of physical therapy and what I do now in a week, I can (gently) pat myself on the back and say “look at you!  You did amazing!”</p>
<p>5-     I stopped looking at my pain as something that was ruining my life.  Yes, it has changed my life.  Yes, I wish it was not there.  Yes, it will likely be there for the rest of my life as I am almost at the recovery mark and I am still on medications and in significant pain, but instead of looking at the pain as destroying my life, I started looking at it as something I simply had to work around.  I can’t do certain things, that is true, but I can do others.  Like a pot hole, living with pain is like learning to drive around the pot hole.</p>
<p>I know that this is oversimplified.  I know that pain is difficult to live with and it takes a long time to make peace with it, but I know it is possible.  You are looking at someone who used to be very negative and fought AGAINST her body for years and years.  But I finally realized that it was so much easier to work <i>with</i> my body, rather than <i>against</i> it.</p>
<p>I hope that, if you haven’t already, that you can make a new friend!  Sometimes even the biggest jerks can be good acquaintances you never know what it will teach you!</p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/870/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/870/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=870&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Survivor&#8217;s Guilt, Traumatic Events and Chronic Pain</title>
		<link>http://ohwhatapain.wordpress.com/2013/11/23/survivors-guilt-traumatic-events-and-chronic-pain/</link>
		<comments>http://ohwhatapain.wordpress.com/2013/11/23/survivors-guilt-traumatic-events-and-chronic-pain/#comments</comments>
		<pubDate>Fri, 22 Nov 2013 20:58:22 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[anger]]></category>
		<category><![CDATA[anxiety]]></category>
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		<guid isPermaLink="false">http://ohwhatapain.wordpress.com/?p=867</guid>
		<description><![CDATA[Survivor&#8217;s Guilt. Wikipedia says, &#8220;Survivor, survivor&#8217;s, or survivors guilt or syndrome is a mental condition that occurs when a person perceives themselves to have done wrong by &#8230;<p><a href="http://ohwhatapain.wordpress.com/2013/11/23/survivors-guilt-traumatic-events-and-chronic-pain/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=867&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
				<content:encoded><![CDATA[<div id="post-body-8336686647851551790">
<div dir="ltr">Survivor&#8217;s Guilt. <a href="http://en.wikipedia.org/wiki/Survivor_guilt" target="_blank">Wikipedia</a> says, &#8220;<b>Survivor</b>, <b>survivor&#8217;s</b>, or <b>survivors guilt</b> or <b>syndrome</b> is a mental condition that occurs when a person perceives themselves to have done wrong by surviving a traumatic event when others did not. It may be found among survivors of combat, <a title="Natural disaster" href="http://www.blogger.com/null">natural disasters</a>, <a title="Epidemic" href="http://www.blogger.com/null">epidemics</a>, among the friends and family of those who have committed<a title="Suicide" href="http://www.blogger.com/null">suicide</a>, and in non-mortal situations such as among those whose colleagues are laid off.&#8221;</p>
<p>I think that chronic illness fighters deal with a type of survivor&#8217;s guilt, though it&#8217;s not the standard definition. I mean, we have survived a traumatic event in a way, as our illnesses frequently strip away even the vestiges of our former lives, carving us into a hollow shell of what we used to be and planned to be. The guilt, though, lies not in the fact that we have survived and others haven&#8217;t (in the sense that we lived and they died), but in the sense that we have survived and they haven&#8217;t had to learn to survive this at all. We feel guilt because we do things differently to survive, and we no longer fit in with the lockstep of &#8220;normal&#8221; expectations. I feel guilty because I am a survivor, and I do whatever I have to to make it through the day. I feel badly about myself when others around me do not have to take such drastic measures to cope with the daily, minute stressors, when they are able to sally forth into the dawn, skipping meals and losing sleep and still able to put forth energy that comes from some boundless spring. Sure, maybe it&#8217;s not as boundless as it would be if they properly tended it, but I have to concentrate all of my efforts and planning and foresight into cultivating the same trickle that they get when they carelessly wander through a day.</p>
<p>I feel guilty for surviving on my terms.</p>
<p>I feel badly about myself when I don&#8217;t have a concrete answer to hand out to people when they want to know what&#8217;s wrong with me. I can&#8217;t adequately combat the well-meant suggestions because I don&#8217;t know if it would work or why it didn&#8217;t work when I tried it, because I don&#8217;t really know what&#8217;s wrong with me.</p>
<p>What do you say when someone asks if you&#8217;re feeling better? I smile, I make something up, and I feel guilty. I survive, however I have to.</p>
<p>I take my pain pills, knowing that they&#8217;re damaging my body and not a long term solution. But what can I do? I went without for less than 24 hours and I was so sick that I could not sleep or eat, in addition to the ripping pain. Even now, I&#8217;m on my proper dosage but I&#8217;ve got this ever-increasing migraine pressing down on me. I know that a vanilla coke will go a long way towards setting me to rights, and I know that some folks would disagree, but I&#8217;m surviving.</p>
<p>What gets me the most is when I have to make the public appearances, to go out and do stuff, and people see me and think that I feel better. They have no concept of what I mean when I say that &#8220;I&#8217;m sick a lot. I&#8217;m sick right now.&#8221; They absolutely cannot fathom the levels of energy that I&#8217;m losing just by sitting in a crowded room buzzing with conversation. They don&#8217;t understand how much it takes out of me to sit in a chair and focus my attention on a stage, on the words being said. When I say I&#8217;m tired and I want to go home, it&#8217;s not because I&#8217;m bored, or a little fatigued from the day&#8217;s efforts. No, I mean that it&#8217;s probably dangerous for me to be driving but I&#8217;ll do it anyway because I have to. I mean that I&#8217;m having a hard time focusing my thoughts on conversation and it is difficult for me to focus my eyes. I mean that my body aches and my stomach is as upset as if I had a stomach virus. I mean that there is a thick, wet blanket between my senses and the world they&#8217;re supposed to be interpreting. I mean that my pain levels are spiking, and I&#8217;m likely employing breathing techniques just to keep from groaning aloud. I mean that I can feel that I am going to be punished for this in not too short a time, and I don&#8217;t want to be around people when it happens. I don&#8217;t want them to see me at my weakest; it will just alarm them. I don&#8217;t want the energy drain that comes from being around people, any people. (Except my husband, oddly enough&#8230;) I don&#8217;t want noise, I don&#8217;t want conversation&#8230; I just want the comfort of silence, my cats, my couch&#8230; familiarity. Comfort. Cool quilts against my face. A glass of water at hand, a mug of peppermint tea for my inevitably upset stomach. Dim lights for my aching head.</p>
<p>And so I try to leave before I get to that point&#8230; but I feel guilty. I feel guilty because I&#8217;m surviving, however I have to. I hate being in that place, the crash after the adrenaline-fueled outing. I&#8217;ll do what I can to avoid it. And yet, so often&#8230; I feel guilty for surviving on my terms.</p>
<p>Why? I know why.</p>
<p>It&#8217;s because I don&#8217;t believe myself.</p>
<p>I know my body. I know my pain patterns. I can tell when I&#8217;m getting sick, when the pain is spiking, when I NEED another pain killer to stymie the big spike that&#8217;s coming that kicks off a cycle of uncontrollable, fully body pain. I can tell when I need a nap. I can tell when the autoimmune side of things is flaring. Granted, there&#8217;s still a lot I <i>don&#8217;t</i> know, but there is also a lot that I&#8217;ve gotten good at pinpointing. I know when I need to eat. I know when I need to sleep. I know when I need to stop doing an activity. But all too often&#8230; I ignore myself.</p>
<p>Why?</p>
<p>Because I minimize. Ohhhh, do I minimize. I catch myself doing it when I do presentations about my abusive past. <i>It wasn&#8217;t really that bad, if you think about it. I mean, all that happened was&#8230; Did that really happen? I think I&#8217;m probably exaggerating what happened. It wasn&#8217;t that big of a deal. I need to just get over it and stop assigning so much importance to little things.</i></p>
<p>My emotions and the self-talk going on in my head tend to get all tangled up in a tangly ball of tangledness, and it gets messy up in there. One of these days soon, I want to draw up a list of &#8220;what I tell myself&#8221; and &#8220;what is, a.k.a. the reality of the situation&#8221;. Kind of like a cross-referencing chart, you know? So that when I begin to tell myself a certain thing, I can look at the chart and say, &#8220;Nuh-uh, that&#8217;s not how it REALLY is!&#8221; Then I can follow that up with the truth. I&#8217;m excited for that. I just don&#8217;t have it in me to create that right now.</p>
<p>I went to an awards ceremony for contributors to the local community because I nominated THJ as non-profit of the year, and we made the cut into the final category! We didn&#8217;t win, but we still got an award for making it into the nominees. One of our volunteers was also nominated for Volunteer of the Year, so she got an award too. It was a fun chance to dress up and meet a lot of important people, but I&#8217;m still getting over being so sick yesterday and I was drained and ready to go home by the time the mingling hour was done. By the time I left I felt pretty bad, and I am definitely being punished for my outing. But you know what? It was worth it. &#8230; I feel guilty for surviving however I must. But I must remember that working myself into the ground and possibly ending up hospitalized doesn&#8217;t do either of us any good. I&#8217;m trying to cope long-term, here&#8230; trying to survive in length. But oh, the guilt&#8230;</p>
<p>I know it&#8217;s there. I know partially <i>why</i> it&#8217;s there, even. But what I haven&#8217;t figured out yet is how to be rid of it. I think that chart would help. I need to set the Should Monster straight again. It&#8217;s been too long.</div>
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<p>Cassandra Russom is the author of the blog &#8220;Chick with a Stick: We Need to Stick Together&#8221; which can be found at <a href="http://www.brusselsproutblog.blogspot.com" rel="nofollow">http://www.brusselsproutblog.blogspot.com</a></p>
<p>*This article has been edited for length and content, the full article can be viewed at <a href="http://brusselsproutblog.blogspot.com/2013/10/survivors-guilt.html">http://brusselsproutblog.blogspot.com/2013/10/survivors-guilt.html</a></p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/867/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/867/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=867&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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		<title>Underestimating Strength and Chronic Pain (i.e. What Doesn&#8217;t Kill You&#8230;)</title>
		<link>http://ohwhatapain.wordpress.com/2013/11/10/underestimating-strength-and-chronic-pain-i-e-what-doesnt-kill-you/</link>
		<comments>http://ohwhatapain.wordpress.com/2013/11/10/underestimating-strength-and-chronic-pain-i-e-what-doesnt-kill-you/#comments</comments>
		<pubDate>Sat, 09 Nov 2013 18:51:52 +0000</pubDate>
		<dc:creator><![CDATA[Tracy Rydzy, MSW, LSW]]></dc:creator>
				<category><![CDATA[Chronic Pain]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[general]]></category>
		<category><![CDATA[life in general]]></category>
		<category><![CDATA[Low Back Pain]]></category>
		<category><![CDATA[mental health]]></category>
		<category><![CDATA[mental illness]]></category>
		<category><![CDATA[pain]]></category>
		<category><![CDATA[psychology]]></category>
		<category><![CDATA[Spinal Fusion]]></category>
		<category><![CDATA[Uncategorized]]></category>
		<category><![CDATA[weight loss]]></category>
		<category><![CDATA[back pain]]></category>
		<category><![CDATA[chronic pain]]></category>
		<category><![CDATA[coping]]></category>
		<category><![CDATA[coping with depression]]></category>
		<category><![CDATA[depression]]></category>
		<category><![CDATA[strength]]></category>
		<category><![CDATA[uncategorized]]></category>
		<category><![CDATA[underestimating]]></category>

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		<description><![CDATA[Part of my gym membership includes two personal training sessions with the handsome trainer at the gym who seemed nice…until &#8230;<p><a href="http://ohwhatapain.wordpress.com/2013/11/10/underestimating-strength-and-chronic-pain-i-e-what-doesnt-kill-you/">Continue reading &#187;</a></p><img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=857&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></description>
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<p>Part of my gym membership includes two personal training sessions with the handsome trainer at the gym who seemed nice…until he tortured me for half an hour, that is.  I recently took advantage of one of my sessions with the trainer, whom I had spoken to on several occasions while working out.  He had given me tips before and he knew about my back and pain issues before the training session, so I figured “he will go easy on me, he knows about my back issues.”</p>
<p>I was wrong. And I was glad I was wrong.</p>
<p>He did not go easy on me, not by a long shot.  As a matter of fact, after the first exercise, when I was able to catch my breath that is, we had the following brief exchange, before he started counting and I started praying for time to speed up:</p>
<p>“Don’t overestimate my strength.  Remember, I had back surgery.”</p>
<p>“I know.  I have been watching you workout for months.  I know exactly what you are capable of.  I am not overestimating your strength.  Actually, Tracy, I think you underestimate your strength.  You are capable of a lot more.  You are a <span style="text-decoration:underline;">lot</span> stronger than you think.”</p>
<p>And that one sentence spoke volumes to me.  Not just in the gym, but in life.  I took those words to heart and I really have been thinking about them.  This happened a few weeks ago and I had to process this for quite a while to be able to write about it.  This exchange and subsequent training session has changed my approach to exercise, as well as life.  When I stopped and thought about it, I realized…I am stronger than I ever realized.</p>
<p>In the past several of years my body has been through hell, and yet despite everything, my body has emerged in better shape than ever.  Yes, I live with pain.  I will always have pain, but, this body that was unable to move at 300 pounds 18 months ago is now considered “normal” weight.  This body can now move, exercise.  This body can walk, something I wasn’t altogether sure it would do after the last surgery.  My heart and my psyche have also been put through the paces over the last couple decades.  I have fought depression since long before I was old enough to comprehend what I was fighting.  I have suffered through bullying, heartbreak, divorce…but I am still here, I am still fighting and I am still smiling.</p>
<p>So, why did it take a stranger pointing this out to me at the age of 34 for me to finally see how strong I really am?  Why couldn’t I see that for myself? </p>
<p>I think there are a lot of reasons.  From a chronic pain standpoint, I believe that when you spend a long time being sick and/or in pain, you are emotionally downtrodden and no matter what you do, no matter what anyone says, you view yourself as weak, because the pain makes you feel physically weak. I also believe that chronic pain and illness also has a tendency to lead to the perception of weakness by others and therefore we begin to perceive ourselves in the same way. From a psychological standpoint, I think the years of bullying, depression and then marital problems had made me unhappy.  When you are unhappy it is very hard to feel strong because the tendency is to judge yourself for being sad, even if you are not to blame for your circumstances.  Ironically, it is when we are fighting through those most difficult of times that we ARE the strongest, we just can’t see it.</p>
<p>Regardless of the situation, everyone reading this blog is stronger than they give themselves credit for.  If you live with chronic pain and you are getting up every morning and still living, still fighting through the pain, you are stronger than you think.</p>
<p>When the trainer pointed out that I am stronger than I realize, he was referring to my physical strength…what he gave me was the insight to realize that my strength of character is what is truly strong.</p><br />  <a rel="nofollow" href="http://feeds.wordpress.com/1.0/gocomments/ohwhatapain.wordpress.com/857/"><img alt="" border="0" src="http://feeds.wordpress.com/1.0/comments/ohwhatapain.wordpress.com/857/" /></a> <img alt="" border="0" src="http://stats.wordpress.com/b.gif?host=ohwhatapain.wordpress.com&#038;blog=38559540&#038;post=857&#038;subd=ohwhatapain&#038;ref=&#038;feed=1" width="1" height="1" />]]></content:encoded>
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