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	<title>Comments for Don't Hear I Shout You! Reflections, Rants &amp; Metaphysics Along the Way</title>
	<atom:link href="http://obtuselyoblique1.wordpress.com/comments/feed/" rel="self" type="application/rss+xml" />
	<link>http://obtuselyoblique1.wordpress.com</link>
	<description>A Chronic Pain Journal: 20+ Years in Constant Pain;Triumphs and Tragedies</description>
	<lastBuildDate>Thu, 08 Oct 2009 00:28:06 +0000</lastBuildDate>
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		<title>Comment on About this blog&#8230;and blogger by Becky</title>
		<link>http://obtuselyoblique1.wordpress.com#comment-500</link>
		<dc:creator>Becky</dc:creator>
		<pubDate>Thu, 08 Oct 2009 00:28:06 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?page_id=4#comment-500</guid>
		<description>oh the cp and many cant truely know or understand how you can take so much meds and work well i have no choice i yake them so i can work but that does not mean it takes the pain away i n my limited world i have not met many in th same sit.</description>
		<content:encoded><![CDATA[<p>oh the cp and many cant truely know or understand how you can take so much meds and work well i have no choice i yake them so i can work but that does not mean it takes the pain away i n my limited world i have not met many in th same sit.</p>
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		<title>Comment on About this blog&#8230;and blogger by Ruth</title>
		<link>http://obtuselyoblique1.wordpress.com#comment-445</link>
		<dc:creator>Ruth</dc:creator>
		<pubDate>Sat, 01 Aug 2009 01:23:53 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?page_id=4#comment-445</guid>
		<description>Thanks for getting back to me so quickly - I will try that site out - Best of luck to you.</description>
		<content:encoded><![CDATA[<p>Thanks for getting back to me so quickly &#8211; I will try that site out &#8211; Best of luck to you.</p>
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		<title>Comment on About this blog&#8230;and blogger by obtuselyoblique1</title>
		<link>http://obtuselyoblique1.wordpress.com#comment-444</link>
		<dc:creator>obtuselyoblique1</dc:creator>
		<pubDate>Fri, 31 Jul 2009 23:58:34 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?page_id=4#comment-444</guid>
		<description>Hi Ruth, thanks for checking out this blog. It&#039;s pretty inactive lately so not too many will see your post. I&#039;d strongly suggest you go to healingwell.com and check out their forums, in particular the chronic pain one. Alot of very helpful (and k nowledgeable folks there).

As for what helps, besides medication, I find that I must avoid too much caffeine (really stirs up the neuropathic pain) or alcohol. Also, too much salt in my diet seems to kick it into overdrive. I know that somewhere there is a list of foods which are listed (pro/con) for people in chronic pain. Also, as your neuropathy is from previous surgery it might not &#039;follow all the rules&#039; as far as what works. Here&#039;s what I use:

**progressive relaxation exercises (also known as meditation).
**Hot baths help mine (but I&#039;ve heard of some who need ice -- it&#039;s trial and error).
**Try to keep my mind off it by being mentally busy all the time.
**Some days, I just give in to it and cacoon on the couch watching whatever&#039;s on a movie channel.

Anyway, I strongly urge you to check out &lt;a href=&quot;http://www.healingwell.com/community/&quot; rel=&quot;nofollow&quot;&gt;healingwell.com/community/&lt;/a&gt; Look for the forums and you &#039;ll see quite a list for various conditions. IMHO it&#039;s the best I&#039;ve seen and is well moderated and full of very caring and supportive moderators and members. Please check it out and good luck. &quot;OO&quot;</description>
		<content:encoded><![CDATA[<p>Hi Ruth, thanks for checking out this blog. It&#8217;s pretty inactive lately so not too many will see your post. I&#8217;d strongly suggest you go to healingwell.com and check out their forums, in particular the chronic pain one. Alot of very helpful (and k nowledgeable folks there).</p>
<p>As for what helps, besides medication, I find that I must avoid too much caffeine (really stirs up the neuropathic pain) or alcohol. Also, too much salt in my diet seems to kick it into overdrive. I know that somewhere there is a list of foods which are listed (pro/con) for people in chronic pain. Also, as your neuropathy is from previous surgery it might not &#8216;follow all the rules&#8217; as far as what works. Here&#8217;s what I use:</p>
<p>**progressive relaxation exercises (also known as meditation).<br />
**Hot baths help mine (but I&#8217;ve heard of some who need ice &#8212; it&#8217;s trial and error).<br />
**Try to keep my mind off it by being mentally busy all the time.<br />
**Some days, I just give in to it and cacoon on the couch watching whatever&#8217;s on a movie channel.</p>
<p>Anyway, I strongly urge you to check out <a href="http://www.healingwell.com/community/" rel="nofollow">healingwell.com/community/</a> Look for the forums and you &#8216;ll see quite a list for various conditions. IMHO it&#8217;s the best I&#8217;ve seen and is well moderated and full of very caring and supportive moderators and members. Please check it out and good luck. &#8220;OO&#8221;</p>
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		<title>Comment on About this blog&#8230;and blogger by Ruth</title>
		<link>http://obtuselyoblique1.wordpress.com#comment-443</link>
		<dc:creator>Ruth</dc:creator>
		<pubDate>Fri, 31 Jul 2009 18:05:49 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?page_id=4#comment-443</guid>
		<description>Hi there - wonder if anyone out there has more traditional alternative things they do besides meds? I am on Gabapentin after having several episodes of cancer and diabetes - but I was wondering if maybe other things were helpful. Like while I am going mad with pain, (the neuropathy is mostly in the leg where I had all my lymph nodes removed) would a bath help? Are there certain foods that help alleviate or prevent the pain. I hve tried drinking dandelion tea, and that helps some of the swelling, but not the pain. If anyone has any ideas or experiences, I&#039;d be really grateful.</description>
		<content:encoded><![CDATA[<p>Hi there &#8211; wonder if anyone out there has more traditional alternative things they do besides meds? I am on Gabapentin after having several episodes of cancer and diabetes &#8211; but I was wondering if maybe other things were helpful. Like while I am going mad with pain, (the neuropathy is mostly in the leg where I had all my lymph nodes removed) would a bath help? Are there certain foods that help alleviate or prevent the pain. I hve tried drinking dandelion tea, and that helps some of the swelling, but not the pain. If anyone has any ideas or experiences, I&#8217;d be really grateful.</p>
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		<title>Comment on About this blog&#8230;and blogger by obtuselyoblique1</title>
		<link>http://obtuselyoblique1.wordpress.com#comment-388</link>
		<dc:creator>obtuselyoblique1</dc:creator>
		<pubDate>Wed, 01 Jul 2009 02:13:09 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?page_id=4#comment-388</guid>
		<description>Hi Pain Chronic:

I&#039;ve not been coming here much since th C ymb*lta and a few other interventions got me through some rough territory.
I&#039;m wondering is you could elaborate/clarify for me what you been by certain drugs being anxiolyti, double-edged sword...and,not sure about &lt;em&gt;so indicate in findrxonline to be confident that this discovery is beneficial to all&lt;em&gt;&lt;/em&gt;

Would love to hear more of what your story, what experience has been and what you&#039;ve learned from the CP experience. OO 
tnx again for posting</description>
		<content:encoded><![CDATA[<p>Hi Pain Chronic:</p>
<p>I&#8217;ve not been coming here much since th C ymb*lta and a few other interventions got me through some rough territory.<br />
I&#8217;m wondering is you could elaborate/clarify for me what you been by certain drugs being anxiolyti, double-edged sword&#8230;and,not sure about <em>so indicate in findrxonline to be confident that this discovery is beneficial to all</em><em></em></p>
<p>Would love to hear more of what your story, what experience has been and what you&#8217;ve learned from the CP experience. OO<br />
tnx again for posting</p>
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		<title>Comment on About this blog&#8230;and blogger by Pain chronic</title>
		<link>http://obtuselyoblique1.wordpress.com#comment-387</link>
		<dc:creator>Pain chronic</dc:creator>
		<pubDate>Wed, 01 Jul 2009 00:22:56 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?page_id=4#comment-387</guid>
		<description>Science today has changed, I hope you used the right way, because there are medications such as vicodin, oxycodone, Lortab, etc, are anxiolytic and although much help to soothe the pain, can be double-edged weapon to control pain, so indicate in findrxonline to be confident that this discovery is beneficial to all.</description>
		<content:encoded><![CDATA[<p>Science today has changed, I hope you used the right way, because there are medications such as vicodin, oxycodone, Lortab, etc, are anxiolytic and although much help to soothe the pain, can be double-edged weapon to control pain, so indicate in findrxonline to be confident that this discovery is beneficial to all.</p>
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		<title>Comment on Background: Spinal Fusion,Pain Dx, Rx &amp; Outline of Medical history of OO by robert</title>
		<link>http://obtuselyoblique1.wordpress.com/about-2/background-spinal-fusionpain-dx-rx-outline-of-medical-history-of-oo-2/#comment-228</link>
		<dc:creator>robert</dc:creator>
		<pubDate>Thu, 25 Dec 2008 03:03:37 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?page_id=10#comment-228</guid>
		<description>Dec.24 2008 10:00PM first time on computer since my last cervical fusion last week 12/18/08 site appears inactive, since I have not participated in any forums before I will shout out and let the future unfold as a participant.I am a 53 year old disabled/retired irorworker. my fist surgery was a cervical in 1983, rampant arthritis and working at a harsh occupation for 20 years resulted in well over a dozen major surgeries. I have recently learned about microcurrent therapy as a healing alternative to a TENS UNIT  Anyone have any advice on where to purchase a reliable microcurrent machine, especially where ins. would help out</description>
		<content:encoded><![CDATA[<p>Dec.24 2008 10:00PM first time on computer since my last cervical fusion last week 12/18/08 site appears inactive, since I have not participated in any forums before I will shout out and let the future unfold as a participant.I am a 53 year old disabled/retired irorworker. my fist surgery was a cervical in 1983, rampant arthritis and working at a harsh occupation for 20 years resulted in well over a dozen major surgeries. I have recently learned about microcurrent therapy as a healing alternative to a TENS UNIT  Anyone have any advice on where to purchase a reliable microcurrent machine, especially where ins. would help out</p>
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		<title>Comment on &#8220;Life is like a beanstalk, isn&#8217;t it?&#8221; Feb1st Revisited by obtuse1</title>
		<link>http://obtuselyoblique1.wordpress.com/2008/02/23/life-is-like-a-beanstalk-isnt-it-feb1st-revisited/#comment-221</link>
		<dc:creator>obtuse1</dc:creator>
		<pubDate>Thu, 11 Dec 2008 01:08:38 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?p=38#comment-221</guid>
		<description>Hey Mikey: loved your image in the comment of the seeker. I just so loved that song, quintessential 60&#039;s transcendent undertones for this aging  hippie...:D
Appreciate your visiting my humble blog, oo</description>
		<content:encoded><![CDATA[<p>Hey Mikey: loved your image in the comment of the seeker. I just so loved that song, quintessential 60&#8217;s transcendent undertones for this aging  hippie&#8230;:D<br />
Appreciate your visiting my humble blog, oo</p>
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		<title>Comment on &#8220;Life is like a beanstalk, isn&#8217;t it?&#8221; Feb1st Revisited by Mikey</title>
		<link>http://obtuselyoblique1.wordpress.com/2008/02/23/life-is-like-a-beanstalk-isnt-it-feb1st-revisited/#comment-216</link>
		<dc:creator>Mikey</dc:creator>
		<pubDate>Tue, 09 Dec 2008 21:11:29 +0000</pubDate>
		<guid isPermaLink="false">http://donthearishoutyou.com/blog/?p=38#comment-216</guid>
		<description>Always liked the way this started and much of the rest too...
 
I imagined the holy man saying &quot;Life is like a beanstalk isn&#039;t it?&quot; to the seeker and when the seeker soon turns away (perhaps confused and disappointed) he glances back (when the musical exclamation point occurs soon after) to see the holy man looking like a large man sized beanstalk playing that piano (we hear) with his bean pod fingers...  a greenish light around him that is both his essence and a glimpse into a wider universe...  All of it radiating happiness and contentment

Yah man.  Life is like a beanstalk.  And a lot of other things too ;-D

&quot;In the ocean he findeth a drop, in a drop he beholdeth the secrets of the sea.  Split the atom&#039;s heart, and lo!  Within it thou wilt find a sun.&quot;
	(Baha&#039;u&#039;llah, The Seven Valleys, p. 12)</description>
		<content:encoded><![CDATA[<p>Always liked the way this started and much of the rest too&#8230;</p>
<p>I imagined the holy man saying &#8220;Life is like a beanstalk isn&#8217;t it?&#8221; to the seeker and when the seeker soon turns away (perhaps confused and disappointed) he glances back (when the musical exclamation point occurs soon after) to see the holy man looking like a large man sized beanstalk playing that piano (we hear) with his bean pod fingers&#8230;  a greenish light around him that is both his essence and a glimpse into a wider universe&#8230;  All of it radiating happiness and contentment</p>
<p>Yah man.  Life is like a beanstalk.  And a lot of other things too ;-D</p>
<p>&#8220;In the ocean he findeth a drop, in a drop he beholdeth the secrets of the sea.  Split the atom&#8217;s heart, and lo!  Within it thou wilt find a sun.&#8221;<br />
	(Baha&#8217;u'llah, The Seven Valleys, p. 12)</p>
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		<title>Comment on Epiphanies, Love Resurrected and the role of depression, cont&#8217;d by obtuselyoblique1</title>
		<link>http://obtuselyoblique1.wordpress.com/2008/10/07/epiphanies-love-resurrected-and-the-role-of-depression-contd/#comment-209</link>
		<dc:creator>obtuselyoblique1</dc:creator>
		<pubDate>Fri, 28 Nov 2008 18:38:02 +0000</pubDate>
		<guid isPermaLink="false">http://obtuselyoblique1.wordpress.com/?p=72#comment-209</guid>
		<description>Appreciate hearing from you. A few interesting synchronicities came to mind when I read this:

1. Pain MDs-- yes, by all means get a better one. There are 2 kinds of Pain Specialists, I&#039;ve been to both: The most common (because that&#039;s where the money is, given that people want relief, not necessarily a solution imho) are what I call Needle Specialists, they just treat the symptom not the patient and so give drugs an shots. There&#039;s a place for that, but that is a small piece of the puzzle that is chronic pain.

The second type, and the ones which enabled me to fight my way back to having a life are as you say, holistic, also called Systems or multidisciplinary approaches. I went to Temple (Phila) Pain Control Center in 1986 when they were going gangbusters. Since then, the $ seems to have shifted so they are no longer equipped with as many specialties as before.

When I had my outpatient at Temple (1986) I saw: psychiatrist, psychologist, neurologist, physical therapist, behavioral therapists, dietitian and a Social Worker. I also took the MMPI and other psych tests. What I learned after all of it enabled me to slowly set in motion a plan and protocol for living with pain -- even thriving with pain.

So...I&#039;d look around for a more holistic/behavioral pain management center, which can work with Dr Needles.

2. The &#039;addiction&#039; issue for CPP:

This topic tends to send me into a bit of a rant, but I&#039;ll try to spare you. The medical profession has become so paranoid in our litigious society that most of the time they UNDER medicate, for fear they&#039;ll be arrested for trafficing. This leads to most CPP suffering needlessly. A friend of mine is a compounding pharmacist and he told me that pain meds regimens should be tailored to the patient in terms of dosage and intervals. 

What frustrates me on this is that the medical community has at its disposal tools and protocols for differentiating drug-seeking behaviors from CPP with legitimate need for stronger meds. But fear rules out so most of us suffer as a result. I like to ask people worried about &#039;addiction&#039;, whether they feel that a diabetic who needs insulin is &#039;addicted&#039; to it. Of course not...so for those who have serious chronic pain addiction is a moot point-- call it what you want, but to be able to relieve pain and live ones life because of taking opiates all the time, well, that seems more important...anyway, sorry for the rant ....

3. Chicken or the egg

Well, looking back on my years as CPP, I now see that there is an interesting path of causality between depression &amp; CP. I found out at age 62 that I have a serious depressive personality and surrendered to it, taking Cymbalta, which is surely the cause of my recent breakthrough in terms of overall happiness (even as the symptoms worsen steadily with age-- my coping has changed significantly).

There is, imo, a causal loop (actually a &#039;negative feedback loop&#039; to be technical) between the Depression &amp; the headache (or whatever pain presents). The headache can cause depression, or worsen it, and the depression can lead to the headaches. Once in a serious headache, depression worsens, which worsens the headache, which worsens the depression....etc.

So the solution must be systemic in that etiology may not be that critical in the problem solving phase. Of course, if you have a solid dx say of bi-polar, chronic sever deprssion, or whatever, and treat for that, then if the headaches go away (or ameliorate significantly) then the next step in addressing the CP will be more apparent.

As for self-care vs supporting your husband: yes, would be nice if you didn&#039;t have to choose. However, perhaps if you frame it not as an &#039;either-or&#039; but some kind of balancing act of the 2 needs.

Lastly, yes, much to give thanks for here. The family &amp; grandchildren are constant reminders of the beauty that exists in life, and the need for Hope especially in these dark times. 

Take care,
OO</description>
		<content:encoded><![CDATA[<p>Appreciate hearing from you. A few interesting synchronicities came to mind when I read this:</p>
<p>1. Pain MDs&#8211; yes, by all means get a better one. There are 2 kinds of Pain Specialists, I&#8217;ve been to both: The most common (because that&#8217;s where the money is, given that people want relief, not necessarily a solution imho) are what I call Needle Specialists, they just treat the symptom not the patient and so give drugs an shots. There&#8217;s a place for that, but that is a small piece of the puzzle that is chronic pain.</p>
<p>The second type, and the ones which enabled me to fight my way back to having a life are as you say, holistic, also called Systems or multidisciplinary approaches. I went to Temple (Phila) Pain Control Center in 1986 when they were going gangbusters. Since then, the $ seems to have shifted so they are no longer equipped with as many specialties as before.</p>
<p>When I had my outpatient at Temple (1986) I saw: psychiatrist, psychologist, neurologist, physical therapist, behavioral therapists, dietitian and a Social Worker. I also took the MMPI and other psych tests. What I learned after all of it enabled me to slowly set in motion a plan and protocol for living with pain &#8212; even thriving with pain.</p>
<p>So&#8230;I&#8217;d look around for a more holistic/behavioral pain management center, which can work with Dr Needles.</p>
<p>2. The &#8216;addiction&#8217; issue for CPP:</p>
<p>This topic tends to send me into a bit of a rant, but I&#8217;ll try to spare you. The medical profession has become so paranoid in our litigious society that most of the time they UNDER medicate, for fear they&#8217;ll be arrested for trafficing. This leads to most CPP suffering needlessly. A friend of mine is a compounding pharmacist and he told me that pain meds regimens should be tailored to the patient in terms of dosage and intervals. </p>
<p>What frustrates me on this is that the medical community has at its disposal tools and protocols for differentiating drug-seeking behaviors from CPP with legitimate need for stronger meds. But fear rules out so most of us suffer as a result. I like to ask people worried about &#8216;addiction&#8217;, whether they feel that a diabetic who needs insulin is &#8216;addicted&#8217; to it. Of course not&#8230;so for those who have serious chronic pain addiction is a moot point&#8211; call it what you want, but to be able to relieve pain and live ones life because of taking opiates all the time, well, that seems more important&#8230;anyway, sorry for the rant &#8230;.</p>
<p>3. Chicken or the egg</p>
<p>Well, looking back on my years as CPP, I now see that there is an interesting path of causality between depression &amp; CP. I found out at age 62 that I have a serious depressive personality and surrendered to it, taking Cymbalta, which is surely the cause of my recent breakthrough in terms of overall happiness (even as the symptoms worsen steadily with age&#8211; my coping has changed significantly).</p>
<p>There is, imo, a causal loop (actually a &#8216;negative feedback loop&#8217; to be technical) between the Depression &amp; the headache (or whatever pain presents). The headache can cause depression, or worsen it, and the depression can lead to the headaches. Once in a serious headache, depression worsens, which worsens the headache, which worsens the depression&#8230;.etc.</p>
<p>So the solution must be systemic in that etiology may not be that critical in the problem solving phase. Of course, if you have a solid dx say of bi-polar, chronic sever deprssion, or whatever, and treat for that, then if the headaches go away (or ameliorate significantly) then the next step in addressing the CP will be more apparent.</p>
<p>As for self-care vs supporting your husband: yes, would be nice if you didn&#8217;t have to choose. However, perhaps if you frame it not as an &#8216;either-or&#8217; but some kind of balancing act of the 2 needs.</p>
<p>Lastly, yes, much to give thanks for here. The family &amp; grandchildren are constant reminders of the beauty that exists in life, and the need for Hope especially in these dark times. </p>
<p>Take care,<br />
OO</p>
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