Practicing What I Have Learned… Pain Management

I have had a lot of training about managing my life with pain over the last couple years. It’s not the learning that is the issue. The issue for me is the implementation. The challenge to change. The challenge to accept.

Instead of getting up and out of bed and going straight to my laptop to start working for the day, I need to make a change. I need to wake up and… with intention, get out of bed and do some gentle movement, read the bible and make time for prayer and meditation, eat some breakfast and take my meds… and then, and only then start working. I know this. Actually practicing this is my challenge. It all sounds great, but even writing it makes me anxious. When I get up in the morning, I am already anxious. Anxious to start my day. Just this morning, I woke up and really made myself do some Qigong. But I was anxious, I couldn’t get myself to get into a calm state and after a couple of minutes I gave up. The entire time from when I woke up to when I sat at my laptop, all I could think about was what I wanted to get done this morning. How do I get to that point where the motivation to change is greater than the anxiety?

I am taking this class at Kaiser and I am reading books and I am working on my deep breathing and some (not all) of my exercises… but at the end of the day I am afraid. I am off work for six weeks and you would think I would be afraid about going back to work. It’s not so much the going back to work that scares me as much as it is the going back to life. I am afraid that this is it. I have these expectations that at the end of these six weeks I will be changed and living a quality life. My fear is that, after these six weeks,  my life will still be “just getting through the day”. I want to live my life, not just get through the day.

I realized this week that the problem is… me. I do not say those words with ease. I mean, seriously, I am not a complete idiot (most of the time). I did and do know that I have to make changes to actually see change or in my case FEEL change… but I am talking about putting in daily practice what I have learned… what I know I know… it’s some hard work. To admit that I am the only thing holding me back… well… it sucks. I might have had this epiphany before. The great thing about not having a memory most of the time… is, well, not having a memory. I realized as I decided to get organized last night with all my paperwork from my classes at Kaiser from 2010 and today – shit! I have learned this before. That kept coming up in my mind over and over again as I was going through my stuff. I am not quite sure why I was so surprised… maybe frustrated and a little irritated with myself are better words than surprised.

So! What am I going to do about it? Well…

  1. Breathe
  2. Put together my Wellness Plan (what I will do on a daily basis)
  3. Breathe
  4. Make an agreement with myself how I will implement this Wellness Plan. Let’s be realistic, it’s been so overwhelming for so long, let’s (let’s?? I mean to say I will) take this in smaller steps so I can be somewhat successful.
  5. Breathe
  6. Take the first step…

Last night I also spent time revising my blog to incorporate more information in my Tools & Resources page as well as the page I recently added, Bay Area Resources. This also reminded me how much I need to incorporate practicing the tools I have learned over the years.

I will be patient with myself. It’s not going to be easy. I love the quick wins. Now it’s time for the long-term thinking and, Lord have mercy… practicing, practicing, practicing!

I can do this (repeat. repeat. repeat.). Seriously, I can do this. I will prove it to myself. I am the only one who matters in this instance as no one else can do this for me.

Thanks for listening and appreciate any thoughts you have from your own experiences.

Stay cool!

Pain Program… Day 2

I have done it. I officially started the Level 2 Pain Program at Kaiser yesterday. It is focused a lot around the concept of amygdala retraining. I have seen programs to purchase out there in the online world, and this program is part of Kaiser’s offering. This is the only Kaiser currently offering to determine the success. So far… I hear it has been extremely successful. I am optimistic. Optimistic for the first time in a very long time.

In talking with my intake nurse, who has also been supporting me for a long time through this process… one of the major difference between the programs I have seen online and this one is that we are meeting everyday for three weeks, followed by 3 weeks of meeting 3 times a week, followed by once a week for 4+weeks. Each session is 3 hours. It’s pretty amazing when you think about it.

We started with introductions, about 15 of us including doctors, nurses, psychologist and pharmacist. Then one of the doctors read an inspirational passage about fear from a book. I must say… it was good to hear from this particular doctor as when I first started this process years ago (after being diagnosed with FMS), I saw this doctor and he was a complete ASS to me. I remember crying after leaving my appointment with him. He is a convert and now understands chronic pain and the effects much better. It’s good to know folks can change.

After the reading, we did about ten minutes of Qi Gong… all of us and then all the medical folks left and the rest of us did Feldenkrais for about 40 minutes. We did Feldenkrais the last time I went through the Level 2 program, but only for a few minutes. This was interesting, not easy for me, but I definitely see the benefit in it. With more sessions, I know I will be able to relax more. It was difficult for me to relax and get into it. I was also having a hard time paying attention to the instructor, just my mind going crazy. I need to learn how to calm my mind down better.

After Feldenkrais, we had a 45 minute group session about a concept. Yesterday was about the 3 P’s. Planning, Prioritization and Pacing. This was ran by the psychologist but about the input from the group. Group therapy with everyone in the room on the same page… we are all in pain. A room full of people who can all relate to each other’s lives.

After this, everyone went for a group walk for 15 minutes… and then ended the day going around the room with parting comments.

I am optimistic (how often do we say that word?) that I am going to come out of this process as someone who can start living a higher quality life.

I have only had one day, I will start getting ready to go back today in a bit. Getting dressed and leaving the house every day will be a challenge for me since I am usually in the house Monday through Friday. I am also thinking about work a lot, so I need to let that go. This program is all about me and about me making my life more about LIVING than just getting through the day.

I can do this.

I wish you all a great day!