The World Is Not User-Friendly for Those With ME/CFS

by Tamara Staples on January 9, 2012

This world is just not user friendly for those of us with ME/CFS. I am sure the same can be said for many different illnesses or handicaps, but I can only speak about the one I live with.

I went for my first physical therapy appointment last Friday to rehab my messed-up neck and cervical spine. I walked into the office and was immediately hit by the receptionist’s perfume, followed by the bright fluorescent lights and then the music playing. Already reeling and dizzy, I was handed several pages of forms to complete that to me were much too complex. I wished they had mailed them so that I could have done them at home where it was quiet, not so brightly lit and just less sensory stimuli in general. However, like a good little girl, I went to work trying to “do my best.”

Finally I was down to one final form that I just couldn’t grok. I told the receptionist it would have to wait until I had spoken to the physical therapist.

The physical therapist soon came to get me and he was also wearing cologne. He took me to an exam room with another bright fluorescent light. Luckily this one he was able to extinguish and turn on something dimmer. He then took me through a battery of tests for range of motion, reflexes, etc. Once finished, he explained my condition to me and what we could do about it.

He performed some therapeutic maneuvers that were painful and had me do three gentle stretching-type exercises. He stated that he needed to see me twice a week for four weeks and didn’t seem to understand when I said this wouldn’t work. As I was leaving, his assistant chased me down with the form I hadn’t completed and had me finish filling it out.

Dizzy and exhausted, I clung to my husband as he led me to the car for the roller-coaster ride home.

At home I had a phone appointment that ended up lasting an hour and a half. When this was over I was done for the next 48 hours. Yep, the old push and crash that I have almost made an art form! Because I forced my way through for a few hours on Friday, I spent the entire weekend unable to function. Not a good trade-off.

Because the world is not going to change to accommodate those of us with ME/CFS, it is up to us to anticipate these obstacles so that we can prevent as many of them as possible.

From now on…

  • I will ask all new medical offices to mail me any forms so that I can complete them before my first appointment.
  • While it might be embarrassing, I will wear my sunglasses inside any office that has bright fluorescent lights.
  • I intend to purchase earplugs that I can use for times that loud music is playing or any other noise is disturbing me.
  • I have written an explanatory sheet about ME/CFS that I intend to give to my PT and will take with me to new appointments or meetings if I think I might need to educate whomever I am seeing.
  • I will remember that it is my body and my decision, so if I need to set a limit of one appointment a week, then that is what I will do.
  • I know better than to be on the phone for more than 30-45 minutes at a time and so “shame on me” for not speaking up and saying that I needed to continue the call on another day when I was more rested.

I don’t know that I can do anything about the perfume and cologne; however, if I can mitigate all the other factors, then maybe I can better tolerate that assault on my senses.

 

No, the world is not user-friendly for those of us with ME/CFS, but we must remember that we have the power to plan ahead and do things that make our own lives easier!

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Making Sense Out of the “Pain Scale”

by Tamara Staples on January 1, 2012

Does the “Pain Scale” confuse and even scare you a bit as it does me?  When I am asked by a doctor what my pain number is I freeze up.  I feel like I am in grade school taking a test and am in fear of failing.  I stammer out a number and then think, “Was that too high?  Too low?  Did I say the right thing?”  It is crazy-making!

Recently I have been tracking my pain hourly on my “Healing Companion Journal,” which really has me thinking about what the numbers on the scale mean.  I actually feel like I am doing something wrong marking the higher numbers (anything above a 4), like the pain police are going to call me out as inflating my answer even if I am in a lot of pain.  So, I set about trying to make some real sense out of the scale.

What I found was that it really is all over the map depending on the author of the scale.  I think you have to choose one that feels most comfortable to you and then stick with it.  That way your numbers will have relevancy to each other from day to day.

Here are some of the scales I encountered in my search…

This one with its sad faces could be good for children, but I found it of little help with my daily fibromyalgia and osteoarthritis pain.

At first I thought this “What Is Your Weather?” scale was going to be a good one, but once I really read through it, I realized that I would be a “Snowed-In 10” almost every day.

This one was better, but still not quite there, plus I realized that I didn’t know the true definition of the word “moderate.”  I consulted the dictionary.  Moderate:  “kept or keeping within reasonable or proper limits; not extreme, excessive, or intense: a moderate price.” I had mistakenly been calling my much higher pain moderate because I hadn’t researched the definition.

I found another one that I was unable to link to.  However, it was the one that in conjunction with these above finally provided the answer for me.  The pain scale that I am now using is:

0-1 No or very little pain

2-3 Mild pain

3-4 Discomforting

5-6 Distressing

7-8 Severe

8-9 Intense or very severe

10 Worst pain imaginable

I eliminated the word “moderate” and used “discomforting” instead.  It is defined as: “something that disturbs or deprives of ease.”  To me this signifies when tasks or life is becoming uneasy due to my pain level.

Distressing is actually where I am much of the time with my osteoarthritis.  Distressing is defined as: “great pain, anxiety, or sorrow; acute physical or mental suffering; affliction; trouble.”

I now feel like I have a pain scale that I can work with the genuinely reflects my true level of pain or discomfort.  Maybe next time the doctor asks me what my pain number is, I will be able to state it with confidence.  Or maybe I will just show them my “Healing Companion Journal” so they can see for themselves!

Update: A friend pointed out another pain scale that is really excellent.  You can find it here.  Be sure and scroll down to get the full explanation for the numbers.  Once I spend more time with it, I might have to expand my scale a bit with some more explanation.  So stay tuned! :)

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Admitting My Limits With Fibromyalgia and Chronic Fatigue Syndrome

December 30, 2011

Last night I read a question in an email by Jennifer Louden that really struck me. “In what way have I been living in the shadows in 2011?” Basically, what have I been hiding or afraid to expose about myself? My first thought was, “Nothing.” Yeah, right. So, I thought harder. And what I quickly [...]

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How to Exercise With Fibromyalgia or Chronic Fatigue Syndrome

December 11, 2011

Most of us with FMS and/or ME/CFS have been unable to maintain a regular exercise program. The problem is that with Fibromyalgia, lack of exercise can increase our pain levels while too much exercise or exercise done incorrectly can also increase our pain and fatigue. In the case of Chronic Fatigue Syndrome or ME, as [...]

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Intentional Resting; An Amazing Yet Amazingly Simple Process

December 7, 2011

Over a year ago, I read an article by Martha Beck in Oprah Magazine where she mentioned Intentional Resting. At the time I was intrigued so I visited the website of Dan Howard, the creator of Intentional Resting. However, I just couldn’t seem to grok the lesson and while I have thought about exploring it [...]

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Such Amazing Peace

November 19, 2011

Simplicity. Compassion. Joy. These are the three words that I am living by now. These three words comfort me. Simplicity as in minimalism. Not just in possessions though, but minimizing all areas of life. I always had my hands in too many pots. Too many interests. Too many things I was trying to do. It [...]

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The Powerful Effect Our Emotions Have On Our Bodies

November 4, 2011

My Fibromyalgia pain has been fairly well controlled for quite some time. I have days or times that are worse than others, but for the most part, it isn’t too bad. I have had neck and back pain with daily headaches; however, for many, many years. That pain has become increasingly worse. It is now [...]

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From Hell on Earth to Kicking @$$

October 26, 2011

I have been ill my entire life.  No kidding.  Seizures as a small child, pleurisy in grade school, IBS in junior high, severe allergies, hypoglycemia, chronic daily headaches, etc.  When I was about eighteen years old I was diagnosed with lupus and then fibromyalgia followed about fifteen years later accompanied by severe insomnia, muscle pain, [...]

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Does Chronic Illness Have You Should-ing On Yourself?

June 27, 2011

Often times when we are chronically ill and in pain our ego-self takes a beating.  Our world may be skinnied-down to the four walls of our house, or even our bedroom.  If we can get out, our energy might be consumed running errands and doing the grocery shopping with none left for social get-togethers with [...]

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Fascia and Its Role In Fibromyalgia Pain

June 20, 2011

Dr. Ginevra Liptan, founder of The Frida Center for Fibromyalgia and author of “Figuring Out Fibromyalgia,” spoke to our support group (The Portland Area Fibromyalgia – ME/CFS Group) on Saturday. The topic of the talk was “Fascia and Its Role in Fibromyalgia Pain.”  However, Dr. Liptan was kind enough to take questions from the group [...]

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