Saturday, August 27, 2011

How many Americans Suffer from Chronic Pain?

One Million?

Five Million?

Ten Million?

More?

Fifty Million?

No googling the answer now. No cheating!


In a June article on WebMD by Salynn Boyles they discuss the cost, around $600 Billion, a YEAR! And they say that is probably underestimated because it does not include the military and children.

Now we know that since the war in the gulf more soldiers are coming home with chronic pain due to the extreme nerve injuries from the IED's (and since they have been making them for many years can they stop calling them improvised already?), and every year more and more children seem to be getting diagnosed with chronic pain, so this number in my opinion, is waaay off. That would also make the 100 Million number off as well. But it does give you a good idea of the chronic pain problem in our country.

Years ago it was kind of the secret no one wanted to talk about. If you had someone in your family who suffered from chronic pain, they weren't able to work, they endured an endless chain of Drs trying to find the correct diagnosis, or were in search of the right combination of medication and/or treatment no one wanted to talk about them.

They were often labeled malingerers, layabouts, or other such things. Especially if they were unable to get correctly diagnosed. Think about some of the diseases that have only recently been accepted by many physicians as "actual diseases" with real symptoms but in actuality have been around for many, many decades as have their victims; Fibromyalgia, Complex Regional Pain Syndrome (formerly known as Reflex Sympathetic Dystrophy Syndrome), Epstein-Barr, Chronic Fatigue Syndrome, just to name a few. It wasn't too long ago that patients with these diseases were thought to be making up their symptoms.

Chronic Pain has often been called the "Invisible Disability" because so often you can't see pain. But ask any chronic pain patient if they can identify another CP patient and they will tell you absolutely!

So next time you see someone parking in the handicapped spot, that has a handicapped plate or placard but doesn't look handicapped to you, before you start thinking "He/she doesn't look handicapped to me!", think, "I hope they aren't in pain."

Take care, and be safe,

Keith

American RSDHope



Wednesday, August 17, 2011

American RSDHope launches new site!

Yeah! Finally the new site is up!

You thought it wouldn't happen!

It took longer than we thought, the previous site was so huge, thousands of pages, but the new site is up and running and looks great!


what do you think?

Been pretty hot here, in the high nineties, high humidity, combine for a heat index of around 110!

Need to be up north, just not waaaay up north again. The thought of moving is vexing, never a fun proposition but sometimes you have to do what you have to do for your health. This heat is simply too difficult. The summer months in Florida are overpowering sometimes. We think we have found the perfect place and hopefully that will be happening soon.

Ok, so check out the new site, let us know how you like it and we will get to some questions later this weekend!

Have a great week all!

Peace, Keith

Monday, August 1, 2011

Pain is Tiring

One am, up again. as usual. I know that all across the country there are chronic pain patients; sitting at their computers, mindlessly watching tv, possibly struggling through a book, or maybe staring into the fridge for the fifth time that morning. What do we all have in common?

Insomnia.

Of course if we share that word with the "normals" out there, our well-meaning friends, our loved ones, all of those who truly mean well, they will share their stories of long nights, the times they couldn't sleep, their family member who had trouble sleeping, or perhaps offer up an old family recipe for a sure-fire sleep-aid; not really understanding how diseases like CRPS and Fibromyalgia, and other types of chronic pain, impact the sleep cycle.

If any of you have ever had a Sleep Study you know how amazing the actual results are; not surprising, just amazing the actual numbers are. They tell you how many hundreds of times per hour you "come awake", how your body does not achieve REM sleep, and explain how pain patients, especially Fibro patients, are constantly awakened during the night and never achieve any real, deep, healing sleep.

You can take it a step further if you are a CRPS patient, especially if you have systemic or full-body CRPS and have severe allodynia; this means a heightened sensitivity to even the slightest touch (could be the sheets on the bed, nightgown/shorts, or even the pressure of the bed itself), vibrations, etc. And even the smallest noise can wake you up if you DO get to sleep because you are extremely sensitive to vibrations. It sounds strange to the partners of CRPS patients out there but we can sometimes feel the change in the room when someone walks in, definitely when a cat or a dog walks across the bed, a fan blowing across the bed, and every little noise outside our windows (motorcycles, trucks going by, people on the stairs or on the street, etc.), all of these things take us from the shallow sleep we might have attained back to a state of being wide awake.

Medications? yeah right. We have tried them all right? They just make us dopey so when we get woken up we can't do anything, ha ha. I think one of the worst feelings is when you are under sleep medications, finally deeply asleep, and get woken up and feel yourself being pulled to the surface of wakefullness (is that a word). Not sure how to describe that other than it feels like you are under water and being dragged to the surface. It might be because a smoke alarm goes off, your child/animal is getting sick, you hear someone yell, a crash nearby, a phone ring, knock on the door; whatever it is. You get pulled out of your sleep. Yikes, it is horrible. Then you get a headache and no chance of going back to sleep.

Normals say, ah, I am going back to bed. But once we are up, pffft, we are up. It stinks.

So, our loved ones are saying to themselves, "Should I not sleep with them? Should I sleep in a separate room so I don't disturb them? Walk on eggshells around them not to wake them? I am afraid they never get any sleep I don't want to wake them when they are sleeping!"

I can understand that thinking, I truly can.

Here is my answer, and I can only speak for myself. I don't want to sleep by myself. I need that contact, that closeness. If I need to be off by myself I can certainly move to another room but always assume I want you next to me, always!

I know that for some patients that is not the case. They prefer to sleep by themselves so it does not hurt to ask, to have that conversation. Be open with your partner about this and all things relating to your pain and disease folks. It will only help in the long run.

As to the noise issue and walking on eggshells? Again, I understand that thinking as well. Again the answer is communication. Talk with your partner. If they need quiet, find a place where that is possible, maybe you can arrange to make one room a quiet room; find an inexpensive way to add some soundproofing to some walls, rugs to the floors, etc. Make it a part of the house that is the furthest away from activities, if this is an issue. Arrange activities so when the patient needs quiet, activities are at a minimum. Or you go for a walk during that time, or you are out with friends, at a book club, or maybe volunteering while they are resting.

But, if they share with you that they are ok with some noise, even if noise bothers them, accept that answer. Sometimes we need to know there are people around. It seems strange but there it is.

Patients can also use sound machines to mask noise. I have used one for years now and it helps a great deal. The rain and waves sounds are my favorites. I also have taken to listening to Hemi-sync CD's. They have helped me a lot, in addition to my meditation. I will be talking more about these two topics next week. it is an exciting topic and there are a great many cd's out there to choose from. I have ordered some new ones I am very excited about getting.

Ok for now folks. Stay cool. Seems everyone is getting blasted with heat across the country.

Looks like the website launch is going to happen this week which is also exciting. Hope everyone enjoys the new look.

Peace, Keith

Monday, July 25, 2011

Where have you been???? - where are all the posts?

It seems in the transition all the posts are gone from the last year. Bummer.

I have been so wrapped up in getting the new website taken care of, as well as medical stuff, moving to a new city, and so many other things, that I didn't notice that the blog posts had disappeared for the last year!!! It was only after Cathy wrote me to ask why I hadn't been writing anymore. (Thanks Cathy!)

Oh well, so much amazing stuff. I will try to reconstruct it someday perhaps.

Let me catch you up.

It is July 25th. 2011.

Ok, you are caught up.

Seriously, we are FINALLY ready top unveil the new website! Yippee! Yahoo! Google! Oh sorry, got carried away.

It should be opened sometime this last week of July, 2011. We are just testing the store program to verify it works correctly. You might wonder why it took so long for this project?

Well, we originally tried to hire someone to do the job of re-writing the website. The site was originally written in MySql, database driven, stack upon stack of information. Basically meaning it was originally never intended to be as large as it turned out to be. We built a one story shack and kept on putting on additions without changing the foundation. Eventually that little shack became a skyscraper and it was leaning badly. It started crashing a lot due to hackers who found a lot of security holes. We knew we had to make some major changes.

The people we talked to looked at the size of the site and said they would not even touch it. Too big a job, too time consuming. We would have to do the majority of the work before they would get near it. I even tried a few colleges to see if they would take it on as a project. No dice.

In the end we had to bite the bullet and do it ourselves. My computer guy built the bones of a new site on weebly, setting up some of the basics for me, and then for the past six or eight months I have been re-writing a section at a time and moving it over there. We also have eliminated quite a few sections as you might have noticed (if you have been there already).

What we have attempted to do is streamline the website, make it solely about CRPS, information, education, and understanding the disease. we eliminated many of the sections that did not directly hit on CRPS itself since now there are hundreds of support websites out there that touch on these areas.

For some people the new website will be a shock, they are so used to the look of the old one. But we think they will get used to it quickly. It is far more easily navigated, information is easier to find, once you get used to the lay-out, and we believe it will be used by more medical professionals as well (especially the ones you send there), and that will help your cause a great deal, because it does look more professional.

So let us know what you think about the new website. Be kind, it took a great deal of work ;-)
It does get difficult to do such things when you are limited to working an hour here and there because of your pain, the amount of time you can sit, how much your eyes hurt that day, what your pain level is, how asleep you are, etc. You guys know what I mean since you also live through this every day.

So, enough on the new site.

What topics do you want to cover over the next couple of months? Send me an email and let's debate some.

Thanks for listening!

Peace, Keith

www.rsdhope.org

Wednesday, June 23, 2010

idle no more

Sorry for being so idle this year folks. I will be be back posting this week and get back being busy again here. We have been working on retooling the website and it has been keeping us very busy. It is getting a major overhaul and that isn't easy when you have a site with thousands of pages! Plus, because it is so busy we have been keeping it live during the overhaul so that has made it doubly hard.

But I have been neglecting this blog and that isn't good.

So updates are coming this week, June 23, 2010, promise!

Peace, keith

American RSDHope

Response to Robin - What specifically ...

Robin;

If you go through the blog it gives great detail as to the steps they took for the HBOT, it was pretty explicit I think, at least I tried to be, as to what they did each treatment. It is a fairly long and involved process and it changes every few treatments. In other words, your techs need to be able to adjust as you go along. It isn't set in stone the exact depth and so forth with CRPS patients because everyone is a little bit different. You may need to adjust a little up and down, the length of the time you need to take to achieve depth, to come back up, and of course the exact depth that works best for you.

Also, the exact depth you go to will change slightly depending on what treatment you are on. You start at one depth then that will change as you go along. That method seems to work the best. if you use the exact same depth the entire 20-40 dives, the likelihood of achieving much relief is pretty small.

What really concerned me about your comment though was your description of the therapist using, insisting, on the use of ice packs to treat the CRPS. If they KNOW you have CRPS and STILL insist on the use of ice packs, they do NOT know how to treat the disease and you need to find a new place to be treated. Not only can you do long-term damage to the protective sheaths surrounding your nerves, but you can accelerate the disease through the stages and/or cause it to spread.

Please go to our website and read the section on Physical Therapy and specifically the parts that discuss the use of ICE. PLEASE! ASAP


If you have any further questions, feel free to email me directly at our website or at rsdhope@mail.org

Peace, Keith

American RSDHope


Monday, January 4, 2010

HOW DO YOU EXPLAIN THE EVERYDAY UPS AND DOWNS OF LIVING WITH CRPS / RSDS ?

How do you explain how everyday life impacts Complex Regional Pain Syndrome to your friends, family, co-workers, loved ones? How do you explain it to those people who you see far less often like the people who handle your Workman's Comp claim or Social Security Disability determination?

How do you even go about trying to get across to your boss, if you are fortunate enough to still be able to work, that due to the changes in the barometric pressure I can't come in this week? That it makes your pain worse? If you have even been able to share with them that you deal with pain everyday (I know some people are concerned if they share that they may lose their job and/or benefits).

Do you simply say "Sir, because the weather has gotten extremely cold this last week and the barometric pressure has been going up and down like a ride at a cheap amusement park my pain has been off the charts." And then hope they don't fire you when it turns into many, many days in a row?

Or how do you explain to your friends that you can't go out with them, again, because the weather has been so cold every night? They tell you to just put on a jacket and deal with it and you try to explain, again, that a jacket doesn't really help, that the cold affects your blood vessels and it is more than the cold it is the change in pressure and once your pain starts going up it is like trying to catch a train that has left the station. But you know your words fall on deaf ears.

How do you explain to that WC or SSD representative who filmed you coming out of the place you volunteer once a week, or the restaurant you just visited with friends, or maybe a ball game you went to with your kids, that now it will take you the rest of the night and the next day to recover from an event that "normal" people take for granted; and only if you take a few extra meds and make sure to do not much of anything during that rest time?

Or that the only reason you were able to handle that event in the first place was because you took your meds in the first place and made sure to get extra rest ahead of time and still knew you were going to pay the price in extra pain by going, but that having a disability doesn't mean you have to shut yourself off from every fun and enjoyable thing in the world. It just means you have to be smart about the choices you make.

No one can know what it is like, no one can truly understand, no one can make those judgements about you, not even those people who are paid to make them and really think they understand, unless they walk in your shoes.

We have an article on our website written by a former insurance adjustor who later ended up with CRPS. He writes how crushed he felt when he looked back on the judgements he made on people by only looking at snapshots of their lives without realizing the impact his decision had on them and how until you looked at the totality of their days and weeks you could not comprehend what it was like living with this disease, or many other chronic pain diseases.

If someone has a lot of time on their hands and wants to search for it, please do.
I don't remember the link off-hand, there are so many articles on the site :-D

So how then do we help our loved ones, friends, and co-workers understand that we are more than what they see? That it takes a great deal of effort to participate in the events we do attend and that what we need most is understanding and acceptance?

One of the polls American RSDHope took asked the question, "What one thing would you like your Family to know about RSD? The pool was taken way back in 1998 but I think the answers are pretty relevant still today;

And then we asked "What one thing would you like the Public to know about RSD?"

I think you will find the answers to these questions interesting and might want to share some with your family and friends.

Also, if you haven't read the "LETTER TO FAMILIES AND FRIENDS OF RSD/CRPS PATIENTS", or passed it on to your loved ones/friends, you might want to check it out. I haven't updated it in a few years and there are a few people on the internet who have tried to copy what I have done but this is the original :) It has been downloaded and/or forwarded almost 7,000 times already and who knows how many times it has been read. So it must be fairly helpful! If you have any suggestions on how to improve it, please pass them along and I may include them in the next edition.

BTW, there is an option on all of our webpages at the top left-hand corner to "refer this page to a friend", that sends the url of the page to whichever email address you like and lets you include a short note as well.

What else can you do?

If your boss knows about the disease and you think it might help, maybe you could sit down with him and give him/her a quick tour through the website, pointing out the basics; CRPS description, definition, signs, symptoms, etc. This way they might be more understanding when you do have those bad days and offer you options such as working out of your home, taking work home during bad weeks, or offering a more ergonomic work space, etc. Perhaps sharing some brochures with your office partners would be helpful? Maybe they would allow you to set up a CRPS information table at the next health expo your company hosts?

There are always options if you are able to open a window of communications. I do realize though that sometimes you cannot share this information, that you may not feel your job would be safe if you did.

How do you improve understanding among your friends/family, besides sharing the website, friends/family letter? Again, share some brochures, maybe mail them to them or bring them by to lunch and take a quick minute to go over them. I have done that with some new friends and they were happy I did. They had no idea the disease was so involved and actually had it confused with Fibromyalgia. It also allows them to ask what they might otherwise had thought to be "stupid questions" or maybe even what they were worried might be embarrassing ones to you. This gives them a venue to do so. Let them know that they can always come to you with any question they have about the disease, a symptoms, or even if they think someone they know might have the disease.

I also try to explain to them what I have to do the day before and the day after a big event, such as going to a ballgame with them, including the extra pain I will be in by going, BUT making sure to add how I still go because I WANT to, I enjoy it and realize that there is a price to do so. That I would be in pain whether I go or not and that as long as I prepare my body before and take care of myself after, I can manage.

Look, a diabetic manages their disease and their life with their disease. Someone with arthritis does as well. If you lost a limb and were in a wheelchair because of it, you would have to make allowances as well. If you had a vision or hearing loss, you would make lifestyle adjustments.

Living with chronic pain requires adjustments to how you approach life. Unlike most other physical disabilities and diseases it usually requires constant adjustments, granted. And you may have to cancel events at the last minute, but if you manage your medications, your diet, your exercise, your mind, and your overall health you can have a real life; with friends, family, outside interests all involved and in an enjoyable way. It takes time to determine the proper balance and to get everyone on the same page but it is worth the work.

Life is too short to spend your life stuck at home. There are far too many wonderful experiences and people out there waiting for you to enjoy!

Just my two cents :)

Peace, Keith