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Insights From A Painful Journey


I have been going through a personal trial of late. I have been diagnosed with trigeminal neuralgia. This is a highly painful condition that effects the facial sensory nerves. It has been a challenge on a number of levels.

In my life I have gone through and still live with some very painful conditions. This condition has brought me to a place of the philosophy of pain. It has made me recognize something that I was never conscious of before - that is, each type of pain has its own character - almost a personality. Medical professionals have developed the pain scale (1-10). They ask questions about the nature of the pain - dull, sharp, burning. And about the duration of the pain - shocking, intermittent, constant. All of this communicates general information about the pain, but somehow it does not capture the experience.

I must say that explaining the nature of the pain of this current condition has stripped me of words to describe it. How does one describe how weird it feels to have pain that runs to the midline of your face and stops at the middle of your nose. To have extreme pain inside your left nostril, but feel absolutely normal millimeters away?

Fear not, I am not going to wax elegant about the pain of this condition, but hopefully this is adequate to help you see why trying to understand the nature and message of pain might become a past time.

In treating this condition, the neurologist placed me on an anti-seizure medication. This is supposed to calm the nerve and at least temporarily resolve the issue. This is unlike pain medication which can help with the pain, but does not address the condition. The doctor informed me of the side effects of this drug - namely drowsiness and that I might experience some effect on my thinking. I had no idea what was in store for me.

The medication did a bit more than make me drowsy. It knocked me out for hours at a time. It did impact my thinking. I felt like I was struggling up a mountain of sand to grasp at thoughts that somehow broke apart and skittered in different directions. Clearly I felt that the drug was not just "calming" the nerves, but "calming" my thoughts. Emotionally, it made me feel flat, to depressed, to absent. Functioning at all was an act of will that left me crying in despair on a daily basis.

Then I had a significant allergic reaction to the drug. I broke out in a body wide rash. I contacted my doctor who told me to stop the medication immediately.

By the middle of the next day, much of the medication had apparently left my brain. All of a sudden I had my brain back. My thoughts seemed lightening quick. I could put thoughts together without struggling. I felt that suddenly I was flying where hours before I had trudged under an unbearable weight. The change was more than striking, and that is truly what prompts this writing.

I knew how I was struggling under the medication. What being freed of it did was to give me a deep felt appreciation for how my brain (and likely most folk's brains) works. I so took for granted the facility of thinking. The ability to easily make conceptual leaps. I took for granted (except in a philosophical way) how much of my self is in my brain, and how much its processes and expression I take for granted.

Now, for at least this brief moment in time, I grasp how amazing this gift of self and thought are. Like the pain that I experience, this too is almost beyond description. I have no thought scale, no intensity or duration scales that have some communication standard that is even ball park shared. Does it make sense that my mind felt like a fresh spring breeze full of the smells of earth and growing things? Does it make any sense to say that my mind went from the sloth on a hot day to a kestrel diving through mountain air? Does it make any sense to say that my emotions felt like sludge in a pipe to a babbling brook dancing across the rocks?

Soon, when this drug reaction resolves, the doctor will want to try me on the next drug on the list. As it too will be the same category of drug, it is likely to produce the same effects. This time, I find that thought more realistically frightening than I did with the first medication. In proceeding with the treatment, I am willing to accept confining my "self" to a dim prison; consenting in the hobbling of my thoughts and emotions. I will consent to this treatment because it might cure, at least temporarily, this condition that gives me such difficultly to describe, and even more difficult to address, pain. This time I will know the cost to me, and I will hope that the medication does not steal too much of me, and that what is stolen will come back.

This experience has been more than educational. It has been a journey that has quest-like overtones.

I know that others of you have taken, or are currently on, such an unbidden journey. I have learned through previous experiences that there is something to be learned of our selves and the nature of things. This particular journey has taken me on unexpected and unknown turns which I am still struggling to understand. No other previous experience has given me the deep felt sense of appreciation for who it is that lives inside me. I hope that sharing this experience gives you an increased appreciation for what most of us takes for granted every day - the basic working of our self.


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I don't know if this is appropriate, but I would like to say (before more important issues) thank you for this....

You have composed a message that, hopefully, most will take a moment to appreciate and another to consider their blessings. So much we take for granted; seldom pausing to acknowledge the gift of health and ability to traverse our paths without crippling impediments.

Thank you.

I hope and pray that soon, very soon, there will be a source that will stop your pain without negatively impacting your other gifts.

I so enjoy your posts.

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Sorry Aunt Sam, forgot to hit "reply" to your post and it went astray - but it was meant for you.

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I echo what Aunt Sam said. Thanks for the heartfelt post.

As an aside that you may have already been considered, but acupuncture has been known to address these types of problems with no adverse side effects. I know it is isn't that big on the AMA hit parade, but I know many people who have had a lot of success at a very minimal cost.

I hope you are able to find relief without losing your voice. It is certainly a vital piece of the TPM mosaic.

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Thanks Jason. I am exploring that.

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Jason, thank you for your kind support and encouragement.

I checked out the link you left and thank you. That gave a nice explanation of what acupuncture does that relates to this type of condition. Very helpful and very welcome. Thank you! :~>

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Thanks Aunt Sam. I thought multiple times about whether to post this or not. But I figured that others may be (or have) struggled through such things (or having those close to them doing so). It is an intensely personal struggle - but health issues are. In being so personal, they also make one feel very alone in the journey.

Truly we must meet these challenges alone, but the support of friends and the shared experience of others can help ease that sense of isolation. At least I have found it so.

The other component is that because of the medication type I have been on is also used to treat bi-polar disorder, and my experience with its effects, I have a new appreciation for why people "go off their meds." I can fully understand why they would; why it is so difficult to daily chain your brain and emotions so one can "function." There has got to be a better way.

Thank you for your kind thoughts and support.

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What I'd like to add Rowan is that you have great courage. Your post proved that!

Please, let us know how you are doing (not just a platitude but sincere plea).

(I note you are in Portland. My old home town! Still have good friends there and in surrounding area. Miss the 'Saturday market' on the waterfront and great restaurants!)

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Ah, another Portland connection. The area does have its endearing aspects - and a broad social change/ social justice community(ies). It also has lots of natural and ancient medicine practitioners - not all of exceptional skill, but the good ones are really good (if you can find them:->) It also has the same struggle with the powers that be that the rest of the country and world does.

It is becoming more and more of a "big" city, and I could certainly do with less of that, but I do love living in Oregon and this area. Saturday Market is moving to upgraded digs. Kind of weird when you think of what the Market was. Ah well, change comes.

I will keep folks updated on the journey. This condition has interrupted and delayed a lot of things that I enjoy - including writing and interacting here in the TPM community.

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I'm livin' in Portland too, but about 45 minutes south. I've had acupuncture with a woman, Maggie Zadikov, I believe was here name. It was years ago. She's in NW Portland. It helped with my herniated lumbar disc.

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Thanks Gregor. I'll follow up on that.

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No other previous experience has given me the deep felt sense of appreciation for who it is that lives inside me.

Rowan, I am so glad you are back, even if for a little while. I just hope the doctors can fix this in a way that doesn’t again disclaim your inner being.

Your experience makes me think of what is taken away by torture. And pain and fragmentation like that sound like torture. Inside of me I see the connection between what we each possess as our “self” and what we have taken away from people by intentionally inflicting pain and suffering.

It makes total sense to me for you to express your reemerged self in terms of metaphors. (and to describe the pain.) I just don’t know how the medical profession interprets metaphors into actions they can take to help you.

Thank you for telling us and reminding us to appreciate what we have. I’d say I could feel your pain but like you said it is very hard to describe and maybe even unique to each. It’s just that deep down most of us seem to know where that place is. And that’s why we want the pain to stop. I truly wish you wellness and well-being.

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Thanks stratofrog. I appreciate your heartfelt sentiments. I like that framing of "disclaiming." It captures a part of the feeling. I might go so far to extend that metaphor to dysclaiming (as in impaired, abnormal, unnatural).

Please take with a grain of salt. As I said, this journey seems to have taken on meta-philosophical, meta-logical trappings in my effort to make sense of it.

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I have another friend here who has blogged about his pain. I will leave it to him to reply here.

As I get older, the aches increase greatly. Aches are different than pain.

A couple times a month I get a wake up and the pain is there.

I am a coward, methinks. I am afraid if I was going thru what you are going thru, I would dive into pain killers and never come back.

I would lose the one thing I treasure--this place. The activity. The challenge.

To say hang in there Rowan sounds toooo trite.

BUT HANG IN THERE.

You have been a great source of knowledge here.

I always look forward to reading your posts and comments.

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Been there done that. Unfortunately pain meds have other effects that make me dysfunctional in a different way. I tried taking enough pain meds to shut it down and just ended up passed out. Sucks. Though I must say that they do not mess with my "head" nearly as much as the anti-seizure meds. Those are a whole different category of screw with you.

To you, and to others here, it is quite humbling to be appreciated for my contributions. There is a tremendous collection of great minds and huge hearts here in the Olde Cafe. Sterling company in my opinion.

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Rowan, thank you for writing such an honest post and sharing your experience with us. I wish you nothing but freedom from the pain without losing your vital thoughts and expression at the same time.

If I may add a personal story to yours, although quite the opposite, I once was on progesterone-only BC pills because I was over 40 and still smoking. The doctor told me I wouldn't notice any difference between the normal progesterone-estrogen mix, but man was she wrong. I turned into an emotional basket case. I swore I was becoming manic-depressive. I sobbed without warning, ranted and raved on a regular basis, couldn't sleep at night and was basically a downright skeery b*tch 24/7.

I looked up the side effects of this particular birth control method only to find that it does indeed mess with your moods and that many women who tried it felt the same as I did. That not only came as a comfort, but it also helped me make my decision to quit the pills and have tubal ligation instead. Sorry to bring up such a personal situation but thought, like you, that it should be shared.

Again, I wish you peace, and hope as Jason does that an alternative solution such as acupuncture will work for you.

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LisB, thank you for sharing your experience. I think the docs totally underestimate the sensitive hormonal balance that we all have. Getting it "out of whack" even a little bit can have the most astounding effects.

To add to your story, I was put on a low dose "natural" estrogen for fibroids (sorry guys you probably are blushing with all of this). I took one - exactly one - dose. I started seeing flashing lights, quadruple vision, dizziness etc. I lay down and buried my head waiting for it to pass. I called the pharmacist the next morning and he said "Oh, that's not unusual. That's is why we recommend women take them immediately before bedtime and you sleep through that side effect." I told him that I didn't want to take anything that did that to my system even if I was sleeping through it.

It is amazing what gets considered "insignificant" side effects. I think the message in medicine (including natural medicine) is trust your instincts!

It is totally appropriate for you, and anyone else who wants to, to share your experience and insights, and thank you for doing so, That was part of the reason for choosing to post my story.

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Blessings upon you, dearest Rowan. My heart goes out to you. And I am deeply grateful that you shared this with us. Also deeply concerned on your behalf.

If there is someone in your area who is expert at hypnosis, you could learn self-hypnosis, which I'm sure you already know but don't know you do, and that could help you greatly with the pain. I am not in any way implying the pain is not real. But that real pain can be dissociated through trance. You need to be sure someone is indeed a skilled clinician to begin with. And skilled in hypnosis on top of that. It shouldn't take more than about 8 sessions. Maybe only 3 or 4. You'll learn some techniques for managing the pain. And that might allow you to go without medication.

Not that I want to interfere in any way with your medical care. But doctors often do not know how hugely beneficial hypnosis can be for pain. I've had success with a number of pain patients. Even though that's not my area really.

Keep us posted. And again, thanks for telling us. You'll be in our thoughts and our hearts.

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No interference at all. I hadn't thought of hypnosis because I haven't had much luck with it in the past. I'm a bit shy of hypnosis because of my background and "trust" issues - which may have impacted my lack of success with it in the past. However, I moved from some of those spaces and it could be worth a shot.

Thanks for the suggestion.

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I totally understand the trust issues. First of all, in a trance no one can tell you to do something you would not do in real life. And all hypnosis is really self-hypnosis. Check with the American Society of Clinical Hypnosis. They do workshops and only people who are trained would be endorse by them. You want someone who trains others to do hypnosis. That way you'll get someone really experienced.

Yes, absolutely, you want someone you could trust.

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Thanks for the suggestion on that TheraP. It gives me a place to start with some sense of credibility. It gives me a bit more confidence in checking out this option.

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Gamma Knife. Took me a while to remember the name of the treatment that helped a friend with her trigeminal neuralgia. Non-invasive. That's all I remember.

But, I hear you about the peculiar ride of medication side effects...and allergic reaction to medications. I've been to that non-amusement park a few times myself.

Like Roseanne Rosanna Danna would say, "I thought I was gonna die!"

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Hi flowerchild. non-amusement park is an apt characterization.

Yes, the gamma knife. It is part of SRS (stereo radiation surgery). At the time I was diagnosed with the neuralgia they also found a benign "auditory neuroma" (unrelated they say to the neuralgia and just a "coincidence") which I will be have blasted by radiation the middle of June. Believe me, I am not looking forward to a concentrated large dose radiation "surgery" either.

They told me at the time, that if medication and other medical intervention does not work, that they could do SRS on the trigeminal nerve as well. I truly am nervous about going there as that nerve runs through your brain. The thought of them blasting a significant stretch of nerve running through my brain with radiation gives me the willies. (So much for the brave face on things, but I grew up with hiding under my desk drills in case there was a nuclear attack). However, you are the second person who has told me they know someone who had relatively good outcome from the procedure. I hope it doesn't come to that, but it is good to know that there are more than hypothetical positive outcomes.

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Rowan, if your "re-awakening" gave you the ability to write like this, the treatment may have been worth it. I am so impressed with your ability to describe the indescribable. Thanks so much for your post. I agree with Jason and others that acupuncture may give you just what you need.

Take care of yourself, and let us know how you're doing.

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Thank you CVille. I was trying to describe the indescribable (or what seems so to me). I am a fool for trying to make sense of experience. While I do not believe that we call the pestilence of life to us, I labor under the belief that there is generally something to learn about ourselves (and sometimes beyond) in those experiences. Maybe that is just rationalization on my part.

The acupuncture suggestion does seem to be leading the pack, and would definitely be preferable to some of the other choices.

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I injured myself about 16 years ago when I 'augered in' during a in-line skating accident. The immediate fallout was a broken clavicle. That healed, but a lingering pain in my back persisted. I was able to sleep about 2-4 hrs. before I would wake and need another pain pill to allow me to sleep. I can remember 'moments' from that time when I would experience a brief moment of painlessness in which my mind would clear, and I would feel as if it was those painless moments, which made life worthwhile. I eventually found one of the top neurologists in the country, (@ Johns Hopkins), who correctly diagnosed the cause of my pain and referred me to another surgeon who performed the corrective neurosurgery. I think I have an idea what you're experiencing Rowan. Your solution will be less well defined than mine was. I wish you well, and recommend you savor the pain free moments, (as if I had to say it!). Those moments, taken for granted by those in good health, can seem like a miracle to those suffering chronic pain.

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Ah miguelitoh2o, indeed. I too savor that brief stretch that is relatively free form pain. Thanks for sharing that insight because it is so true. Sometimes I feel a bit guilty in those moments - torn between wanting to just savor the relief and make "use" of them to do those things that have piled up during incapacity.

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I think you’re also asking about thinking about thinking. Only second hand thoughts are available to my mind because when I’m doing it I don’t stop and say, “thanks brain, for thinking.” After reading your experience and with reflection I see it and appreciate it.

However, I don’t really know how to talk about it very well. It seems awareness is set free in our relationship between words and the world. You have made me appreciate it again very much. Whatever IT is, I want to keep at it, and I sure hope you can too.

(We need more café meta-philosophers to speak up now)

Several years ago, when I blew a disc in my back I experienced real pain. It went on and on even with morphine and steroids. The drugs made me crazy and mean. I couldn’t move for a long time. And I thought a lot about pain in that state. I never understood it or accepted it though. I rationalized everything I could imagine. This because that, etc. But nothing I could think stopped it. I came up with PAIN HAS NO MEANING. But everything else does.

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Pain bites

=(

I know someone with an open perscription for morphine
and
yeah
it's horrid

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There are those who talk about pink clouds and wonderful escape with morphine, but it is a very dark drug for me. Gives me nightmares that I would prefer to forget. Different chemistries I guess. Perhaps neither wolves nor manatees do well with that species of vegetation.

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Yeah it duzzz. I stopped taking it after 2 very long months of morbid hallucinations etc... I don't recommend it except for end of days.

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His bones are dissolving.

I can't handle it. Sadly.

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I'm so sorry.

It helped my friends at the end.

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Ahh Bwak, (wrapping you in light and love) it is the hardest thing to stand by an not be able to ease or cure. But the presence is critical. That those you love know they do not walk alone. Sometimes all we can do is to be the loving witness who holds the image of wholeness for the other, who remembers them as they see themselves and not the state to which they have come. It is a terrible burden, but a precious gift you give. Hold the love and the good times for yourself and for him.

My heart goes out to you.

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He's buy heroin when the morphine ran out. You don't understand. I have a kid. I can't handle it.

Perhaps, if I was on my own... maybe.

There is a reason I am a chicken. Now you know.

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Bwak, what a terrible place to be. You are not a "chicken!" in this. I hate making assumptions here, but are there resources in your area you can draw on? A hospice center, a 411 line that might be able to help you find whatever help would be most beneficial for you, your child, and for him?

You do not need to air this in this forum so please don't let my questions draw you over your safety zone. But just treat them as suggestions or thoughts. Curse if I have covered ground you have worn a rut in.

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I think I've said enough.

I just didn't want you to think too well of me. You are the kind of person that humbles folks like me.

If I could take all the pain in the world so that worthy and beautiful people like you and my friend didn't have to suffer. I'd hope I would. I'd want to.

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Don't do it cheekhen. Suffering is universal. Misery is optional, as Ms. Wolf so aptly demonstrates.

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miguel, i am not given to giggling, but every time i see you standing there in your shades and cow boots, i giggle. Sorry, no disrespect intended for the depth of your intellect or breadth of your heart.

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LOL. Best advice I've ever been given: "Keep smilin'!" It will make you feel better, and make the bastids wonder wot yer up to.

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Bwak, you have no idea how beautiful you are. You have brought a smile to my face and a belly laugh more than once which has brought me out of the grimness of dealing with the pain and question marks that hang over my future. I value your contribution and essence - I suspect that many here do as well. Odd from a cyber connection I know. I do not know you, or your life, or your circumstance. Most of us here are in the same shadow connection with each others lives and thoughts.

I would post this here if comments allowed it but they do not. So I gift you this song for strength and friendship. Know that we stand by you.

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The chicken is be-you-ti-ful, and makes me belly-laugh a lot too.

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Ditto-head chiming in yet again with yet another "Ditto"...

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backatchas

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And yet another ditto. Bwak can leave me howling and an hour later, I'll start laughing again. Wot?

And also.

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Heh heh heh...

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(shuffles feet)

I heard about this on NPR the other day, and wanted to look it up. It's a very fine gift. Just as good as this here bear.

(hugs bear)

This is the second precious gift you've given me. I've a little overwhelmed. You are the one wot should be getting gifts.

I must ponder this

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Dear bwak, you deserve all the kind things we say and wish for you. :)

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You make me smile :~> You still have the bear! Now manatee's can't exactly shuffle or even blush very well, but like our cousins the elephants we have a long memory - apparently this chicken does as well.

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Gods bwak, I think you RAWK and ROLL here in so many cool ways.
...You make me laugh out loud and tickle me to the moon.
...You be the most unflappable chicken in the yard.
...And I will lift the pitchfork for thee any time.

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Pack sammiches, we're going to see Congress.

=D

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Can a pitchfork fit in that leetle car of yours? Maybe I'll just follow in my station wagon, carrying long garden implements in the back.

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Can your wagon tow my travel tank?

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Of course it could, honey. Nooooo problem.

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Oh THANK YOU! As Lewis and Clarke proved, there is no water route from Oregon to D.C. I would have had to travel air freight and flying is too far from my element.

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I will race like the wind with you in tow, thereby giving you the element of air, while we drive over the ground (earth), and you stay in water, and when we get to DC we'll give 'em all hell (fire).

All four elements covered, and you safe in the water the whole time. Are we good, or wot?

You're gonna look cute holding that pitchfork, btw... ;)

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Now that will be some trip, and you have my fullest appreciation.

I have some familiarity with pitchforks from my 900 times great grandfather Poseidon.

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PB&J’s
For several days

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Can I go, too. I'll drive, but don't let me navigate. God, we'd end up in Michigan or something.

I'll bring cheezburgers!

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Hi seashell. Chip in on LisB's gas and I'll share my tank - no burgers in the tank please. I'm sure they'll fit in the car.

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I'll bring cheezburgers and 2 kinds of chips. One for the tank, the others for the cheezburgers!

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I can haz cheezburger?

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Thinking about thinking - reflecting about thinking. That is the crux of the issue to some extent.

The unique thing about this experience has been of awareness. On one hand, while I was on the drug I was aware of struggling. It was almost as if some part of me could watch this struggle in cognition and attempt to focus. The reflective part was strange - but did not seem real strange at the time. However, it was not until suddenly my mind cleared that the stark contrast between what has been and what was "normal" was so glaring that I was torn between terror and exaltation. Hence, the thinking about thinking is apt though trying to understand and communicate it has left me struggling.

I would tend to agree that in a sense the pain has no meaning (in the philosophical / intellectual sense) is quite true. For me, there is meaning around the pain or experience. On the other hand, one lesson that I learned from a previous fall into the well of pain hell is that pain does mean something. After years of being told by doctors that chronic pain was "meaningless" (it was not indicative of anything), I worked with a gifted massage therapist who taught me to listen to the pain. The pain - even chronic pain - was my body saying what was hurt and how. It was trying to protect certain parts from damage - not just screaming because they were damaged. That experience made me look very differently at pain. Somehow the "ignore it, it's meaningless" made me distrust listening to what my body does say, and not just in terms of pain. However, I fully get your meaning with "pain has no meaning."

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I didn’t at all mean to imply that pain isn’t real or that we shouldn’t pay attention to our bodies. It is often a very big signal to stop what you’re doing. It’s a primal stop sign.

Pain has no meaning to me in the sense of the awful feeling connecting to the moments in time that it takes away without the “self’s” permission.

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That is beautifully said on at least 2 points. The "primal stop sign" is a most excellent metaphor IMHO.

I also think you have captured something significant in the theft of time, and sometimes of self.

I am continually amazed by how you can distill to poignancy (across your comments and poems I have seen here at TPM). It is a gift that has ever eluded me.

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Your gifts are many Rowan.
Like focusing on the big picture and filling it in with brilliance and heart.

Thanks for saying you like my way too.
This café serves pain relief for the self.


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Stratofrog, it can indeed be a soothing balm for the rash of life.

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What I take away from the experience I recounted above, (and other more recent experiences with chronic pain), is that the pain inevitably influences one's thoughts whether one is medicated or not. Maintaining a meditative framework for one's thoughts is necessary, but the pain has a say in how, or why one frames those thoughts. That's the good news. If the pain controls my thoughts, then, I'm 'cooked'. As Lou would say, stick a fork in 'em and turn him over. He's done. In that sense, one's pain can, (hopefully), be relative, as long as we have that other framework, those fleeting moments of being pain free, to weigh against the other pain-filled reality. The nature of thought, I think, requires some duality. Some thesis and antithesis to play off each other. Our experience is like a sounding board for our minds. In that sense I appreciate your observation of the dichotomy of "terror and exultation". Our pain in a sense frames the more saccharine moments of life with a meaning that might otherwise be missed altogether or taken for granted. In the final analysis, I think Gautama was onto something with his thesis of the middle way. How that applies to chronic pain sufferers, I'll leave it for someone more qualified than myself to explain.

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You are a wise pig. I have found that there are times I have no resistance to the downward spiral of depression. There are other times I can step back from it or ride it like a wave. However, any skill in choosing is something I have not gained. I welcome the sudden event, or word, or one of my canine companions doing some totally ridiculous thing (intentionally I am sure) that takes me by surprise and makes me laugh. It can change the tide in a moment. Amazing, and I do not understand how something so seemingly small can fight back something that seems to have such oppressive force.

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It is the surprises that exult me too. There was a scene in the movie, 'Cutter's Way', (originally released as 'Cutter and Bone'), in which the character Alex, played by John Heard, a raging alcoholic, has to identify the corpse of his wife whom he loved dearly, following a fire in their home. As he is leaving the coroner's office, with Bone, (played by Jeff Bridges), Bone suggests they go get a drink. Cutter replies something to the effect of, "No thanks, mate. Tragedy, I take straight. It's the day to day stuff that drives me to drink". Funny stuff. What makes the weight of the day to day stuff bearable can especially be that goofy look on a canine's face.

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Sorry strato, I swear I hit reply, but it didn't connect my response to your comment. (or else my mouse - eye coordination is shot) Hence it floats disconnected below - after Madame Bwakfat's comment.

My apologies for screwing up the thread - again.

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No problem Rowan. Replies end up oddly ordered sometimes. When you hit "submit" it has to be taken literally.

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Chuckle... submit to the whim of the cosmic cyberspace ruled by "clouds" where messages tangle before ricocheting in sometimes the right semi-direction. What in the world have we created. I'll get really nervous when I get the message "Dave. I can't let you do that Dave."

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Rowan,
Your thoughtfulness and clarity is “a kestrel diving through mountain air” in every post I’ve seen of yours here. Most of us have or will some day suffer that unspeakable physical pain that becomes a mental torture if it is chronic, without relief. I recently went through the same experience seeking relief from years-long acute pain and the depression that comes with it as a bonus prize.

I couldn’t accept the trade-off of the mental short-circuiting that accompanied a whole regimen of new drugs my doctor kept giving me (at least five medications in two or three different classes), but I can understand why any one would try any thing for a reprieve from the pain. To some extent the drug laws in this country dissuade doctors from offering effective pain relief, though you’d think that would be the primary goal of the medical profession (a recent experience in the hospital assures me otherwise). Hope you feel better.

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Sir Don, you make me blush.

I do not have tremendous faith in the "practice" of medicine as far too many can't diagnose their way out of a paper bag and they compartmentalize to their one specialization. For example the neurosurgeon has his (in my case) part and refers me to a neurologist. Gads! They feel they have an entire pharmacopoeia to "try" so "Don't worry if this one doesn't work." While sending mind and body through a ringer than undermines any reasonable conceptualization of "health."

The issue of adequate pain relief seems to go through cycles. From refusal to treat pain adequately to being given permission to do a half way adequate job, to monitor every prescription. It's this country's insanity around "drugs" as well as an unbalanced medical system.

I am very sorry that you have had to fight this struggle. I think that all too many of us do. Believe me, I understand the depression, and the exhaustion. Pain just wears a body out.

I hope that you feel better too.

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Rowan, you so have my sympathies and here is my story (hopefully short).

Had a major bout of depression. Finally went to see a shrink type of doc. Tried the first drug he gave, but it only partially worked. Felt better, still on couch. Second drug I couldn't stay awake. Tried the next one. Thought I was having a heart attack. Called him over the weekend and he said quit taking it, come in to see him in 5 days. Problem was, once the half life of the drug wore off, I was in worse shape. Looked it up on the Internet, and sure enough, many people had same problem when suddenly stopped, although it was denied by drug company that withdrawals could be experienced. Told Doctor. He told me I was crazy, let's go to drug number 4. I said OK, went home, back on the Internet and found out that I could try every drug in that class and still only be a partial responder to the first drug. One remedy that only a few doctors were trying was to add something like Ritalin or Adderall, the ADD drugs to the regimen. Called doctor and asked about trying the combination. He yelled at me for using the Internet. Hung up, called a friend, asked how she liked her doctor, called him and made appointment. Made a list of the drug that partially worked and the ones that didn't. Went in and said I didn't expect him to solve my life problems, just get me off the couch and I would take care of the rest. He said he would be glad to. We tried the partially working drug and Ritalin. Not too great. Tried the Adderall with partially working drug and Bingo, I was off the couch feeling great.

That was 6 years ago and I'm still on the combination. It's a pain because the Adderall is a schedule something where I have to go pick up RX once a month. It's worth it. I only meet with the doc once a year for 20 minutes (and mostly we talk about his computer problems) and the rest of the time he leaves the RX in the blue chair by the door.

By the way, the drug that 'didn't' cause withdrawals had to relist the drug to admit that it causes withdrawals.

Don't doubt your body, or your pain. I can guarantee that if a drug is made, there is a forum about it somewhere on the net and people talking about what it does to them. Taking control and being assertive about my body was the best thing that could have happened for me. I even fired my dentist shortly thereafter and found one that I really like!

If it comes down to it's better to just take pain pills than the other kind, don't settle until you get them. Or whatever it is that will help. You don't have to go through the throes of 6 drugs of the same class with bad results first. Limit the baddies to 3 or something and then say enough. What's next?

I hope this doesn't come on too strong. It was just such a liberating experience, that I guess I want to share it! Take it or leave it, but know that I so wish you well and hope that you don't have to go through the awfulness again. I too enjoy your posts and selfishly would like to see more of them.

Hugs and Good Luck! PS. I'm from So. Florida and luvs our sea cows!

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Thanks for the sound advice seashell.

I had a similar round of "try this" medicines with a heart arrhythmia - ended up in the hospital. When I asked "What's causing the arrhythmia?" I was told "It didn't matter because there were lots of drugs to control it." I switched docs too.

Being a strong advocate for yourself is always a good thing. Sometimes more difficult with medical stuff because you feel so puny anyway. I try to take my life partner or a friend with me if I don't think I'm up to the battle.

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Hi Rowan,

I appreciate your presence with yourself and sharing it with us.

Just during this past week I was hit with allergies harder than I have been since I first discovered I had them over 20 years ago. I have moved from IN to CO and since then this is the first year I've had a problem. I prefer not to take medications unless I feel I absolutely must because I have a tendency to react partly from chemistry and partly because I was raised as a christian scientist so we never took meds for anything when I was growing up... not so much as an aspirin.

Moving on... the sinus pressure and the feeling of breathing in steam pushed me to try medication. The first was ineffective. The second was some 'over the counter' drug you have to sign papers for and is kept behind the pharmacists counter. I asked at the time why I had to fill out so much paperwork and were there risky side effects involved or something... the pharmacist then mentioned that people used it as an ingredient in makng methanphetamine. I cringed but was hoping it would be effective and I tried it.

It seemed to be working the sinus pressure was greatly relieved and I thought I had made the right decision. I could not sleep the first night but I assumed it was really just not feeling well etc. This is 24 hour medication you take once a day. I took it the second day and I was feeling functional and releived but once again I barely slept an hour... and then the third night as I could feel how tired my body was I thought surely I would sleep. I decided to go online and read about the medication and it stated online that one of the main complaints was sleeplessness. I made the decision then to stop taking it. But the evening was an experience in sleep deprivation. I observed the struggle in my body to sleep and felt some strange element of energy not allowing it to happen. I had to wait out the medication getting out of my system in order to sleep. In that evening I watched my mind and my thoughts get very surreal and strange and the effects of sleep deprivation on my train of thought and I observed my reflection, judgement, or usual ability to reflect and respond to my thinking was weakened. I felt somewhat thinking or presence handicapped. Something about my relationship with my thinking was impaired perhaps just from the lack of sleep.
I relate to the strangeness of the experience you described. Altered states...

I went to the pharmacist today and put a bunch of optional medications in front of her and said I need sinus relief that will not keep me awake and we went through them all and chose the one seemed best. So far so good but my sleeping pattern is messed up now and I am up in the middle of the night.

I do hope that you will be able to find treatments that will be less disturbing for you. It doesn't make sense to stay with the same family of drug if you had a whole body rash.
Thanks for the intimate sharing.

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Yes altered states can be instructive if you are intentionally aiming for them, but often lose their charm when foisted upon you without your consent.

I have sometimes wondered if the likelihood that a drug addresses the specified condition is just a "side effect" as well. It would be helpful if they looked at what things people had in common that shared certain side effects and published that. It would seem that would be very useful medical research information. For example, it might point to different processes and conditions that presented certain types of symptoms, thereby increasing the efficacy of addressing the problem.

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I want to encourage you in the strongest language to continue to write on this subject. Many people suffer pain but as you suggested and as is so amazingly true, little is written about the personal experience that is more than the list of side-effects printed on a prescription label. It encouraged me just to read your words.

I can tell from what you have written here that you are a person who above all treasures the moment of self-awareness. That moment is of course the spring from which all culture flows. It is for that reason that I would encourage you to continue to express your thoughts on this. To me this is really what pain is all about. Pain is like a cave where you are alone and you desperately want to leave and rejoin the group. The body struggles just to live and will engage in all manner of frantic attempts to do so. But the mind or self or whatever one might call it wants much more. It wants to engage the world. It wants to be part of the dialogue with everything else – the wind, the plants, the cat, music, other people. Pain says “No.” Pain says “You are alone in this cave.” The mind says “I want to leave.” It takes courage to side with the mind and keep up the struggle to rejoin the world.

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Larry, that captures the dilemma perfectly. There is the strong urge to crawl into a dark place and to try not to experience what is going on. Sometimes, it is not even a choice - which is what the anti-seizure medication did - buffered me from others and myself. But there is also the need to connect. To have that life line of others.

It is a difficult topic to write about in many ways. I am glad that I posted this piece. I debated about doing so. My hope was that some might find a connection and a vehicle, and that appears to be the case. On the other hand, I felt extremely vulnerable throwing the experience - insights or not - out to "the world." The response has been much more than I expected. Frankly, I half expected that no one would comment or share. It is not just for me that this is a vulnerable topic.

Thank you for your encouragement.

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Thank you. That was very insightful and useful post. May you heal quickly.

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May we all find healing and wholeness. I think that is the quiet struggle that many of us face - perhaps all of us at one level or another. Thank you for taking the time to read and to comment.

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Great piece, Rowan. Just to add one thing to what others have written on pain & depression. About 5 years ago, I had a series of concussions. I'd had many as a jock, but then had 3 in a row from walking on the ice - and the 3rd was a doozy. But I didn't KNOW it was a doozy.

Then I began to realize that my MIND was alterred, as surely as on any drug, but I didn't know HOW. That "I" was changed, but not being able to step outside this now broken "I." The way I figured out I wasn't "right" was at work. Doing things I KNEW I could do, like writing, because I had written examples all around me. I could write one great paragraph, look at it, and think - "There. Proof. I'm fine." Then write another good one, think, "Yeah, absolutely. You're fine." But then read the two together, and find they... didn't connect. This amazingly spooky feeling. To know you were you, but weren't the "you" you'd known. And that the problem was... "you." In meetings, I noticed I was tending to give on short tight fact-based answers - the knowledge was there, but any ability to connect points or form a path or strategy, was gone.

Disconnected. But disconnected from my own SELF. Unable to see any path, think long-term, form strategies - at work or in life. And this went on for months. It was like sailing along in the hold of a ship, with no sense of ever being above-decks, in the sun, no memory of it or experience of it, just some notes on paper describing it. Stranger to myself.

Long story short, it clicked back in place. Donno what or how. And that feeling... EXACTLY as you describe. It sounds almost selfish or cocky to take such complete joy in the workings of one's own "mind" - but truly, I was like a kid with a toboggan. I wanted to write, read, see films, walk, talk, dance - anything. Because yes, it was my mind back. But it was also very much ME coming back.

Best way I found to describe it was what it was as though I'd been living, swimming, walking underwater, never knowing for sure there was an air-world above, and then that rush as your head comes up out of the waves. BLISS. Just to have oneself back.

It's good to have you back. Do the pain for a bit more, if you have to. But then... just leave it on a shelf for a while. And come on back - full, free, yourself.

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Thanks quinn for sharing your experience. That is exactly what it is like. You know you are not functioning right, but there seems to be no way to figure out, or connect the dots to make it "normal" again.

Perhaps it is a cultural thing, but I have the strong connection to my "brain" as a holder / expresser of my self. Things that disrupt it fundamentally disrupt "me."

I am very glad that you "came back." However, your story raises a frightening specter. So many of the troops who have served (and many who continue to serve) in Iraq and Afghanistan have brain trauma. Not just those with devastating brain trauma, but concussion injuries are over the top from what I hear. The implications of this given the kind of fragmentation, "under water" existence are deep on both the personal level, but also on the social level. That is multiplied in that many are still in combat roles. The military has been reluctant (to say the least) to address this issue - and I doubt that it is being adequately addressed once they are back "home." I will have to do some research and think about this.

Thanks again.

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Very sorry to hear about your experience. I recently was put through a trial if you will on medication that was keeping me half asleep all the time and "out of it" so I can relate a little. It was liberating when I stopped taking it and returned to "normal". Like you, when I came out of it I had a heightened awareness of senses. I hope it's something you're able to resolve successfully.

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Thanks oleeb. I suspect that the experience is more common than we know. In part, because (if my doctor is any example) this supposed "side effect" is "rare" and "fleeting." That's right up there with "this will only hurt for a moment." However, it leads one to believe that something is wrong with oneself - doesn't help the sense of isolation at all. From what has been shared in this discussion it would seem that such "side effects" or symptoms are hardly "rare." Nor are they always caused by drugs. Perhaps physicians have little personal experience with the conditions that they "treat."

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Or the sense of helplessness when you aren't sure how "you" can get back to a place you feel comfortable with and in more control of.

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That is definitely it helplessness, and for me sometimes fear that what is gone is gone forever.

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Rowan,

This is absolutely heart wrenching to hear. I wish you the best.

Losing one's brain is the worst. My only limited experience was when I quit smoking and found that for about two weeks I could not do basic math and had difficulty with logic exercises- I freaked out and was about to start smoking again until I found out that this often occurred as your brain readapts to life without nicotine. Happily my functions quickly returned, had they not I would have gladly accepted poor health and a life of social ostracization in exchange for the ability to think.

Despite the difficulties, I really hope that you will continue to pour some of your energies into your excellent posts. They are always well researched and informing and I continue to learn from you. I have found that when I have suffered misfortune maintaining a productive outlet is very helpful.

BTW- If interested I can recommend an acupuncturist in Multnomah village who rescued my knee. Although you probably would like to find one who is experienced in your condition (i can ask let me know).

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Hi Saladin.

I agree that one of the things that has driven me to the edge of distraction is not having time and energy to get outside myself, to write, to express. Just getting through my commitments to my classes given the interruptions in both thinking and consciousness left little to work with. It creates another type of "trap." It does not help that I do not feel that my "muddling through" (no matter how much I am trying) meets my expectations of myself. Given the muzziness, I am not even an adequate judge of whether I am dis-serving my students. I hope not.

I am on the trail of acupuncturists who have experience with this condition. There are some possibilities, and that approach has offered relief to many (so I hear). I am open to a recommendation of someone you found skilled and helpful.

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Low level laser therapy is also known to be effective for TMG/TMJ.

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I meant trigeminal neuralgia too, not just TMD/TMJ.

Got my abbreviations konfuzed.

Cheers!

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Well NBD, we all have ADD and the world is experiencing PTSD. We live in the land of alphabet soup (ABC) IMHO so LOL and hope someone gets the drift.

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I'll drink to that distillation!

:-)

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Rowan:
I am late in responding to your thread, which I read this morning before work.
First, my encouragement that you listen to your own instincts about medication, or alternatives. You know what works for you, and what does not, based on your own experience and your own priorities.
Second, as someone who has adverse response to many drugs, I recommend that you read some of Matt Wood's books, particularly The Wisdom of Herbal Medicine.
http://www.matthewwoodherbs.com/Mattwood.html
Matt is as much scientist as herbalist and a valuable resource for those with allergies, or extreme responses of whatever nature to whatever. (Full disclosure: Matt is a cousin of my second husband, but even I don't hold that against him. It's a brilliant family of accomplished people, and Matt is one of the best of them, combining brilliance with complete commitment to helping his fellow man, or woman.)
Third, before I read a single word you wrote, you had my undivided attention and respect for selecting a manatee as your avatar. When I lived on a canal in Florida, the highlight of my day was watching a manatee family cruising gently by.
Fourth, and most important, you matter here. Yes, you write beautifully, but you also think beautifully, with clarity and compassion combined.
Whatever it takes, Rowan, for you to be at ease.

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Rowan:
Sorry. Linked to the wrong part of Matt's site. The one I partiuclarly wanted you to see is:
http://www.woodherbs.com/Indispensable.html
Read, in particular, about those herbs related to neurological problems....
Hope this helps.

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WW, thanks for adding your thoughts and suggestions. I too have an incredibly long (and growing) list of medicines to which I am allergic. It is a major issue in one area (antibiotics/ fungals / virals) though it is not confined to them. One thing I learned (though very few of my doctors will credit it) is that I am allergic to bound and compound iodines. MANY drugs are formulated with bound and compound iodines in the processing phase. While some drugs I am clearly allergic to (the one I was just taken off of for example) sometimes it is not the drug itself, but the processing. I strongly suspect that people with lots of bad drug reactions may actually have a similar problems. It took one very dogged doctor talking to scientists and production engineers at two drug companies to ferret out the truth in my case. I had a very nasty reaction to a radioactive iodine thyroid test (which was also similar to several "drug" allergies) he had seen me go through. He made "the leap" and pursued it. If you ask a pharmacist, they will likely tell you that "there are no "iodines" in this product. They don't get it that it is not an "ingredient."

I will indeed check out Matthew Wood's site and book. I once (many years ago) wanted to become an herbalist though my life took a different twist. So I firmly believe in the healing power of herbs and the natural world. Thanks for not just the link, but you vetting of him as a good source of information.

I am touched that I have something to contribute to this forum. I am very very impressed by the quality of mind, heart, and experience that has congregated at (or been drawn to or created) this nexus of cyberspace. To be encouraged by those I highly respect here - yourself included - is both humbling and rewarding.

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Rowan, I tried to post this after I wrote my piece, but ,my 'puter informs me that my log in has expired, all the while not allowing me to log out. At any rate, I;m back in and I wanted to recommend Maggie Zadikov. She's an acupunturist in NW PDX. She helped me with my herniated disc years ago with some success. If there is a God, S/He is hearing my prayers for your good health and clarity.

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Thanks so much Gregor. I'll followup and see if she's still around or has any recommendations.

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Thanks for sharing this valuable blog post.

I help manage an online support community for people affected with Trigeminal Neuralgia. If you have come across this site in search of support and kind words from others like you, stop by and say hello: http://www.livingwithtn.org

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Rowan Wolf

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Sociologist, teacher, activist and writer. I know that my name sometimes fools people into thinking I am male, but am a woman.

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