Wednesday, June 15, 2016

#ISpeakForPain

My pain journey began with a bicycle wreck at the age of 10.  As children will do, I went speeding down a hill, hit some loose gravel, flipped over the handlebars, landed on my knees, and did a terrific slide along the pavement.  My knees were torn up, but I think I got about a 5.9 for style.  The girls at school all thought my knees were gross because they broke open and bled every time I bent them to go up the stairs, but the guys thought I was cool, at least for a while.  Anyway, the skin grew back over my knees, but my leg pain never went away.  My mother, who has always been an incredible advocate for me, took me to doctors, including ones at the Cincinnati Children’s Hospital, which is the number three children’s hospital in the nation, but we were always told the same things.
  •          We don’t know why her legs hurt
  •          It’s growing pains
  •         Or, my favorite, there’s nothing wrong with her, so don’t encourage her or she’ll grow up to be a hysterical female.

What that taught me was that my pain wasn’t important, so I taught myself to suffer silently, to hide behind a smiling face.  On the days that I couldn’t do that, I hid in my room, or up the crabapple tree with a book, where no one could see my tears.

As I grew up and out on my own I learned to manage my “mystery illness.”  On those occasions when it would flare up beyond my control I would seek yet another doctor.  Again, I was told such things as
  •          We can’t find anything wrong with you.  Why don’t you see a psychiatrist?
  •         Who would say, I can’t find anything wrong with you.  Go back to your doctor.
  •          And, my new favorite, you’re a woman, you’re going to hurt, get used to it.

Once again I was taught to hide my pain behind a smile, to suffer silently in public and save my tears for when I was alone.

Finally, after moving to Nashville in 1997, 24 years after my chronic pain began, I found a doctor who listened to me.  He was honest and told me he had no idea what was wrong with me, but he vowed he would find me someone who could figure it out, and he eventually did.

In 2007, after having been bedfast for nearly 16 weeks thanks to my latest flare, my primary care doctor hospitalized me for something like the twelfth (maybe it was just the seventh) time that summer so I could get a rheumatology consult, which my mother-in-law had urged me to request.  The rheumatologist asked me a few questions, poked on some pretty painful spots on my body, looked at me and said, “You have fibromyalgia.”  I sat there and thought to myself, “So…this monster DOES have a name! And if it has a name I can fight it.”  While this was running through my head the doctor silently wrote a prescription, handed it to me without a word, and turned to walk out.  I asked, “Is there anything else I can do??”  He tossed, “Find someone to talk to,” over his shoulder as he walked out the door.

I only knew one person with fibro, so I called my mother-in-law.  Shelia and I had always gotten along well, but because of fibro we became friends.  We thrilled in conversations about our weird symptoms because there was finally someone who understood, someone who just GOT it. 

Once, during one of our talks, Shelia said, “There have to be more people out there.  Why don’t you find them for us?”

I put an ad in the paper, found a meeting place, and set up everything.  No one came.  I tried it again.  No one came.  I wanted to give up, but Shelia encouraged me to give it one more try.  It worked.  We found three other people who “got” us.

That’s how Fibro Friends began, and today we have over 500 members spread over 8 groups that either already meet or are forming in Tennessee.  That’s 500 people who understand what it’s like to live with chronic pain.  We get it.

Sadly, Shelia passed away last month, the day after Mother’s Day.  In her honor, and to raise funds for awareness and research, we’ll hold the first annual Shelia’s Walk in September 2017.  We chose September because if you know Nashville then you know that we have numerous walks in May when Fibromyalgia Awareness Day is, and we don’t want to get lost among them.  But we also chose September because Shelia’s birthday was September 2nd, and it’s Chronic Pain Awareness Month. What could be more appropriate? I feel Shelia’s Walk is the least I can do for Fibro Friend number one, the least I can do to thank her for being my friend.

What I now take away from my pain journey is the importance of support and understanding.  I could not have made it this far without Shelia, without any of my Fibro Friends for that matter. 

I live with chronic pain, but I am not an addict.  I am a daughter, a sister, a mother, a friend, a volunteer, a pain advocate.  I am not seeking drugs.  I AM seeking a better quality of life.  To cope with a life filled with chronic pain we need support and understanding, not just from each other, but also from the medical community and our government.  This is where the National Pain Strategy comes in.

Studies from the Institute of Medicine (IOM) and Department of Veterans Affairs reveal that 4 in 10 American adults and 80 percent of veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom suffer from chronic pain, at a cost of more than $600 billion annually (Institute of Medicine, 2011; Lew HL, et al., Journal of Rehabilitation Research & Development, 2009). Despite this significant toll, plus the fact that pain remains the number one reason that people seek care from a health care provider, our nation continues to invest meagerly in chronic pain research (only 4 cents per patient in 2015); poorly trains and educates our health care providers on the proper assessment and management of pain; and provides minimal to no reimbursement for multidisciplinary non-pharmacologic pain management strategies – a key recommendation called for in the new CDC Guideline for Prescribing Opioids for Chronic Pain.

Implementing the objectives of the National Pain Strategy will change this! The NPS provides a clear and actionable roadmap that will generate critical population research and health services data; advance prevention and pain care strategies; address disparities in pain assessment and treatment; improve pain service delivery and reimbursement; improve health care provider education and training; and foster public education and communication strategies. Further, the NPS clearly delineates short-, medium-, and long-term deliverables, identifies key federal and non-federal stakeholders, and recommends strategies to measure impact.  

We need the National Pain Strategy.  #ISpeakForPain, and I speak for the #NationalPainStrategy. 

Why don’t you speak, too?  Take a photo of yourself holding a sign that says #ISpeakForPain and tell why you are speaking out, and then post it to social media.  If you live in Tennessee, send a letter to Senator Lamar Alexander asking that he send a letter to the Department of Health and Human Services by the end of June requesting a written implementation plan and corresponding budget from them to be submitted within 60 days of the Committee’s request.  If you live elsewhere in the United States send a letter to you legislative health aide asking them to contact Sen. Alexander about the NPS.  

Together, we can change the face of pain in the United States, but we must act now.  It's as simple as saying #ISpeakForPain.

For more information on fibromyalgia or chronic pain, check out the National Fibromyalgia & Chronic Pain Association.  You can also e-mail me at TnFibroFriends@gmail.com.



Note: This post combines an excerpt from presenation given in Memphis, Brentwood, and Knoxville, TN, to kick off the #ISpeakForPain campaign, as well as a portion of the letter sent to #SenatorLamarAlexander to request that he speak up for the National Pain Strategy.





Tuesday, June 14, 2016

Senator Alexander -- Please Request the National Pain Strategy

June 14, 2016

Senator Lamar Alexander, Chairman
U.S.Senate Committee on Health, Education, Labor, and Pensions
428 Dirksen Senate Office Building
Washington,DC 20510

Re:Implementation Plan for the National Pain Strategy

Dear Senator Alexander,

As your constituent I thank you for your longstanding leadership in addressing the substantial public health crises of chronic pain and opioid abuse, and seek the your continued support in ensuring that the newly released National Pain Strategy (NPS) is implemented in a timely and coordinated fashion. Developed by six federal agencies, along with 80 experts from the medical, scientific, patient and advocacy communities, the NPS is the federal government’s first coordinated interagency plan and roadmap to achieving a system of effective, safe, high-quality, evidence-based pain care in America.This improved system of care is critical to reducing the burden of chronic pain, as well as ameliorating the nation’s opioid abuse, overdose and addiction crisis.

Studies from the Institute of Medicine (IOM) and Department of Veterans Affairs reveal that 4 in 10 American adults and 80 percent of veterans returning from Operation Iraqi Freedom and Operation Enduring Freedom suffer from chronic pain, at a cost of more than $600 billion annually (Institute of Medicine, 2011; Lew HL, et al., Journal of Rehabilitation Research & Development, 2009). Despite this significant toll, plus the fact that pain remains the number one reason that people seek care from a health care provider, our nation continues to invest meagerly in chronic pain research (only 4 cents per patient in 2015); poorly train and educate our health care providers on the proper assessment and management of pain; and provide minimal to no reimbursement for multidisciplinary non-pharmacologic pain management strategies – a key recommendation called for in the new CDC Guideline for Prescribing Opioids for Chronic Pain.

Implementing the objectives of the National Pain Strategy willchange this! The NPS provides a clear and actionable road map that will generate critical population research and health services data; advance prevention and pain care strategies; address disparities in pain assessment and treatment; improve pain service delivery and reimbursement; improve health care provider education and training; and foster public education and communication strategies. Further, the NPS clearly delineates short-, medium-, and long-term deliverables, identifies key federal and non-federal stakeholders, and recommends strategies to measure impact.  

Millions of Americans – many of whom have bravely and honorably served their country – are counting on Congress to see the National Pain Strategy through to completion. We can’t afford to stop now.  As your constituent, I urge you, Chairman Alexander, to help transform the NPS from words on a page to meaningful change in the lives of Americans by sending a letter to the Department of Health and Human Services by the end of June requesting a written implementation plan and corresponding budget from them to be submitted within 60 days of the Committee’s request.

A copy of the National Pain Strategy can be viewed at:http://iprcc.nih.gov/docs/HHSNational_Pain_Strategy.pdf. If we can provide further information or assistance, please contact us by email at info@ConsumerPainAdvocacy.org, or contact Jan Chambers by phone at 801-200-3627.

With sincere appreciation,

Donna L. Marsh
Yvonne J. Clark





Thursday, June 9, 2016

A Day in the Life of the Hounds of Hell ... and a Couple of Crazy Ladies

Several times a day, and often once in the middle of the night, Lil Bit, the Music City Chihuahua, goes outside, stands on the porch, and barks. At nothing. Or maybe at bugs. Or maybe she's just sharing her status with the neighborhood. *bark, bark, I'm awake, bark, bark, I just ate, bark, bark, I pooted, bark, bark.*

While this is going on, Brighid, the World's Most Adorable Corgi, stands in the house and barks at me. *bark, bark, Lil Bit is barking, bark, bark, she's still barking, bark bark, she's barking some more, bark, bark.*

Then Titan, the Awful Weimaraner, goes running outside at a breakneck speed, skids to a stop in front of the gate, and gives a deep, big-dog *woof, woof.* As usual, he doesn't have a clue what's going on. He just wants to join in the festivities.

This is about the point at which Yvonne, the other Crazy Lady, loses it. "What in the ^#$#%& are those dogs barking at now???"

I have no idea. I get up and look out. I see nothing. I hear nothing. Well, nothing except for barking dogs and a stressed roommate. I get the dogs to come inside, and of course they all look at me like I should give them a treat for being good dogs and alerting me to the presence of oxygen in the air. I settle them down. I settle down the other Crazy Lady. Then I settle myself back down to what ever it was that I was doing.

And I wait for it all to begin again.

Oh, and on a side note. That's Lil Bit, the Music City CHEE-wa-wa. Gotta pronounce it right. She's not just any Chihuahua. She's a Southern one.