No More “SUFFERING IN PAIN” for YOU!
Posted by Xine in The Chronic Mind, The Chronic in Public on January 27th, 2010
Whether they are spoken, read, or heard, words have the power to evoke certain thoughts and emotions for the speaker, reader or listener. The truth of this is evidenced in all advertising, politics, poetry, literature and in every day interactions. Look well and listen closely for even just a day, and see for yourself how the world uses (and abuses) words to make us want to buy one product over another, join a political movement, or how the words of a poet or a writer can transport us, emotionally, to wherever they wants us to go.
Those of us with permanent injuries or illness are repeatedly exposed to, and labeled by, a certain set of words, words used primarily by our Doctors, Insurance Companies, and Lawyers, that have negative connotations and by their nature illicit negative feelings within us. We even use these same words to describe ourselves and our conditions because we believe that these words will convey to others the severity of our physical struggle.
”Pain” is the body’s great messenger, and for most of us, it does its job well. Intense pain will drive you to seek the help that can save your life, and pain lets you know when you’re not done healing and that your body needs more time to recover. In the best case scenario, you do heal and recover fully from the injury or illness within the “normal” amount of time and there is nothing more your body needs to report, so the pain messages go away. But sometimes the injury or illness is such that complete healing takes much longer than “normal”, or in some cases, never happens. Your body didn’t get the memo from the AMA about how long it had to recover from whatever injury or illness it endured and all it knows is that things aren’t right and the brain needs to hear about it, often and loudly. They call us the “Chronic Pain Sufferers”.
- “Chronic” (Adjective)…Long-Lasting and Always Present.
- “Pain” (Noun) is defined as an Unpleasant Physical Sensation… Feeling of discomfort. Emotional distress. Something troublesome.
- “Suffer” …Feel pain. Undergo something unpleasant. Have illness. Have a weakness. Appear to be less good. Be adversely affected. Allow something.
- ”Sufferer” (Noun)….YOU?!
Put those three words together, as in “Chronic Pain Sufferer”, and you get… “Long-Lasting Unpleasantness for You”.
WOW…No thanks. Don’t want it. Don’t need it. I will not have it!
Isn’t it enough to feel, intensely, the physical sensations that are “always present”? Why “allow” (suffer) the “unpleasantness” (pain) as well. You might not have the power to change the physical sensations in your body, but you can change the perception of the experience in your mind by using different words to describe them.
I choose to call myself a Chronic. I like the idea that I am “long-lasting” and “always present”. Those are the messages/words I want repeated throughout the days, and weeks, and years of my life. I want to be thought of and remembered as “long-lasting and always present”. Other meanings and extended meanings of Chronic also work for me as a source of strength. I can identify easily with the ideas of “repeatedly doing”, “constant”, “persistent”, “unremitting”, “ever-present”, “inveterate”, “incorrigible”, “seasoned”, “hardened”. Somehow all those words just make me feel vital and alive and full of mischief. If I have to listen to non-stop messages from my body, then I choose the message of Chronic!
If you’re a Chronic like me, then these physical sensations have been going on for some time now; 24/7 for five, ten, twenty years or more. Maybe so long that you’ve forgotten what it felt like to be without them. Would you really choose to associate the word “unpleasant” with that much of your day, your year, and ultimately, your life? Finding benign words to communicate the intensity of the experience to others (* when necessary), will reduce the repetition and reinforcement of “unpleasantness” and “suffering” in your life experience. Teach those closest to you to use these benign words when they talk to you, or ask you how you’re doing. When someone close to you notices that your function level is down, or maybe they can just see the effort on your face, instead of saying “Are you in pain?”, “Wow, it looks like you’re really suffering today!”, they would say “It looks like you’re really feeling it today!” and you say “Yep, really feeling it”, or “Strong sensations, huh?” and you say “Yep, strong ones”. It might not seem, at first, like these subtle changes could make a difference, but trust me, they do, not just for you, but for those nearest and dearest to you as well. In this way, you can connect with others and communicate the relevant information about your body and its level of function without bringing any “unpleasantness” or “suffering” into the moment.
2010 Resolution
Posted by Xine in The Chronic Body, The Chronic Mind on January 4th, 2010
I don’t have a conversion chart handy so I’m just guessing when I say that 4 months of “couch days” equals 2 years of regular days but that’s exactly what it feels like. Everything slows down and every activity or project takes much longer to accomplish than it did before. Having some down-time is one of the realities of being a Chronic, there are going to be the occasional “couch days”. But when the few days of down-time becomes 4 months of down-time, the FEAR sets in and you wonder “what if this is the new NORMAL?”
This is where I am right now, on the couch and wondering if this level of physical activity, or to be more precise, physical inactivity, is my new normal; days spent primarily on a couch with the long hours being punctuated by quick trips to the bathroom or kitchen that sometimes result in flares strong enough to bring me to tears. In such a state, 4 months can feel like forever and it’s not difficult, with all that time on your hands, to begin to entertain the dreaded possibility of “what if things don’t get better?” So rather than push those thoughts out of sight, I decided to entertain them fully…catering, decorations, open bar, and music…and the theme of this event was “How do I get what I need out of life with the body I have today?”
I started by assuming, without any emotional attachment or suffering, that the way I am right now is the way it’s going to be from now on, and began thinking, within that framework, about how I could design a fulfilling life for myself with the current physical limitations. It’s a very rewarding exercise (irregardless of the eventual outcome), and what you learn about yourself is amazing. You’ll find out what’s really important to you, and you’ll figure out new ways to go about getting those things/experiences as you are right now. Treating this challenge like a game, or a puzzle, is infinitely more positive than bemoaning the loss of function. Nothing makes you more depressed than remembering how easy these things used to be for you and wishing that life weren’t so unfair, so why even go there?
When you have less Physical Currency available to “purchase” activities or experiences, it’s important to spend wisely. I use the money analogy often because I think it illustrates well the phenomenon of physical limitation; The more money you have means the more things you can have and do, and likewise the more physical abilities you have means the more things you can have and do. But not having money, or physical ability, doesn’t mean that you can’t get what you need and want, it just means that you’ll need to be more selective.
Moving my body, whether through dance, or sport, has always been of great life-value and brought me joy, so finding a way to get that kind of movement into my life at a time when it’s difficult to walk 20 feet is a puzzle worth solving. My answer has been The Pool. I don’t have a pool at my home but membership at the YWCA gives me access, even if I have to hustle a ride to get there. When I’m in the water and all stretched out, I take the opportunity to move my body like I used to on land…I dance, I rollerblade, and I run like a champion sprinter all in slow underwater motion. That’s the beautiful thing about water, very little gravity, and if you use a waist flotation device, you don’t even have to exert yourself to stay afloat. Don’t be shy or embarrassed about using a floatation device, I’ve been a very strong swimmer all my life and I use one for the first half of my workout because it gives me more control over which limbs I work and to what degree. The floatation belt also allows for a very gentle traction and sometimes I start the session by just allowing the weight of my legs to stretch out my lower-back. The more time spent in the water the better I feel. Sometimes I fantasize about a home/work situation that would allow me to live in 4 feet of water…hmmm, mermaid?
Another really important element in life, for me, is the quality of my intimate relationships. These bring me the most joy and I work at crafting memories with my loved ones. When you have two very active and hard-working people in your life it’s impossible to keep up with them as they fly from one activity to the next, but it is possible to pick and choose those activities that you’re willing to “pay for”, so to speak. For example, although I was only able to celebrate New Years Eve from 6 to 8 p.m., I realized that the moon would be rising off the ocean at 7:30 the next night. So we brought our food and champagne down to the beach for dinner and had a toast to the first moon of 2010. We sang every “moon song” we could think of and the others went for a swim in the moonlit ocean. Yes, I was uncomfortable, sometimes very much so, but the memory of that time with my family was well worth the price. I can’t do as many things as I’d like to with friends and extended family, but I try to make the most out of the one’s I have.
I guess that’s my point really, making the most of what you have while you have it ‘cause, seriously, it might not be there tomorrow! The doctors aren’t optimistic but when are they ever? For me the best plan is to learn as much as I can about my anatomy and physiology, continue doing whatever physical rehab feels right, and reprioritizing my daily activities so that I keep getting the ESSENTIALS of what I call an amazing life.
Your Body is Not the Enemy
Posted by Xine in The Chronic Body on July 9th, 2009

When you’re being bombarded with intense physical sensations that a.) Hurt b.) Prevent you from moving normally, or c.) Stop you from doing the things you want to do, it’s pretty easy to view your body (the source of these uncomfortable sensations and limitations) as an enemy intent on destroying your day and ruining your life. If these physical sensations were actually coming from an outside source you would definitely call it an enemy and you’d want to make them stop what they were doing by any means possible.
I can remember a time when I felt this way about my body, and the voice in my head (as well as the words I used with others) reflected this negative relationship with my body. I would get a nerve flash or muscle spasm and think “Ow! Stop it, you evil bastard!”, or I could be heard saying things like “my back is really kicking my ass today”, or “I’m being hi-jacked by a back-attack”. I haven’t examined my old attitude too closely, but I’m thinking that it was easier to believe that an enemy (rather than my own body) was being so disruptive and destructive, and by making my injured back into this enemy, I would be giving myself something to fight against and forcing myself to fight back. It seems ridiculously obvious to me now, but being in a battle with yourself is really quite draining; no matter what the outcome is, you’re still gonna lose. Fortunately, I was gifted with a wise teacher who showed me the only way to win.
My relationship with my body changed one day, abruptly and completely, by the wise words of a masseuse I was seeing at the time. I was on his table getting ready for the massage and I casually said something about how my back was totally messing with me and how evil it was to be hurting me so badly. He corrected me fiercely, saying that my back was, in fact, one of the bravest and most courageous backs he had ever seen…that in spite of so much damage, and against all medical odds, this incredibly amazing back continued to keep me upright and walking almost everyday. He told me that I shouldn’t be cursing my back for its failure to perform the way it used to, but that I should be thanking it, profusely, every single day, for the excellent job it was doing under such difficult conditions. The sensations that I felt, he said, were merely indications that my back needed help and rest, and that I should listen to, and address those needs quickly and with gratitude for a job well done.
This revelation has made a huge difference in my life and my day to day experience with my body. From that day forward I could no longer see my back, or my body, as the enemy I once believed it to be; it was now a strong and courageous friend that worked very hard to do the things I asked it to do. The physical sensations that I had once thought of as malicious attempts to ruin my day, became cries for help from a brave wounded friend. This shift in perspective has created a much more positive and healthy relationship between my mind and my body; they are no longer engaged in adversarial and insulting communication but now speak with mutual respect and encouragement. It’s kind of like having the members of your household go from a yelling, degrading, and caustic relationship to one that is kind, caring, considerate, and supportive. It’s not hard to imagine the relief of going from one to the other, and it’s the same relief that you’ll feel when you make the shift from foe to friend in your relationship with your body. You’re all on the same team now; working and communicating in a wholesome and positive way…things are now going to work out better, faster, and with a lot more joy and gratitude.
Examine your own relationship with your body. Listen to how and what the voice in your head says about the physical sensations of the body (it would be wise to pay attention to what comes out of your mouth as well). Do you see (and talk about) your body as the devoted, courageous, and supportive friend that it is, or do you curse it as evil, malicious and vindictive?
Once you make the perspective shift and embrace your body as a friend rather than a foe, the physical sensations will still be there, they’ll still hurt, they’ll still change the way you move and limit your activities, but these sensations, these bodily messages will now be mentally answered with an “Okay, I hear you, I’m sorry this is hard for you but I appreciate whatever you can give me right now and I promise I’ll stop asking you to work as soon as I can…hang tough, we’re almost done. You’re doing great, thank you.” It’s important for you to keep your promises too. Give your body the rest, treatment, and attention it’s asking for and you will find that you have a body that is willing to make the extra effort for you when you ask for it because it knows that you’ll make the extra effort for it.
One of the unexpected and surprising side-effects of learning to be in a positive and healthy relationship with something that causes you physical discomfort is that it changes your attitude towards all uncomfortable relationships. You’ll find yourself not so quick to assume that just because a persons acting in a way that makes you uncomfortable that they’re an enemy you need to attack or defend yourself from. You begin to allow for the possibility that maybe they’re trying to function in spite of serious damage (emotional or otherwise), and that they’re doing the best they can…just like you. Being kind, caring and compassionate to your body, and ultimately to yourself, turns into kind, caring and compassionate behavior towards others. You’ll find yourself surrounded by friends rather than foes and that’s a good thing.
Chronicity…Nature or Nurture?
Posted by Xine in Chronicity...Nature or Nurture?, The Chronic Mind, The Chronic in Public on June 24th, 2009

Peggy Chun's "Eye Heart You" (eye painting)
Chronicity…Nature or Nurture? This is a question that’s been circling in my mind for quite a while now and the more I think about it, the tighter the circles get. I think it may be one of those unanswerable “chicken v. egg” questions that only serve to produce more questions.
So this post is simply meant to get you circling with me. What are the defining characteristics of a chronic, and are these qualities that we are born with, or are they learned, or maybe a combination of the two? Hopefully I won’t be alone in this quest and you will also spend some time observing, reading, and looking for clues in your world that will help to guide us in this inquiry.
While visiting the gallery of the late Peggy Chun, I read a story that was posted next to a wall of small (3”x4”) abstract watercolor paintings. My attention went initially to the paintings; they were wonderfully expressive and the colors were enchanting. But as I read the posted story of their creations, I began to weep…it was humbling, deeply moving, and inspirational. This is what I read…
“I am a watercolor artist. I was diagnosed with Amyotrophic Lateral Sclerosis (ALS) in 2002. When the ALS caused me to lose the use of my dominant hand, I began painting with my left hand in 2003. When my hands could no longer hold a brush, I painted holding a brush in my teeth in 2004. When my mouth could no longer hold a brush, I painted digitally with a computer that I could control with my eye movement in 2005 and 2006. Now, due to my inability to blink, my eyes are too dry to paint with my computer. But my creativity knows no bounds.
One of the things I miss the most, is the touch and the experience of painting; the sensual nature of the paper and the paint. So, as the next phase in my artistic evolution, I have begun ‘nose painting’ with the help of painting assistant.
I work with an assistant who does all the preparation and is fully involved in the painting process. We begin by my choosing a palette for a particular concept. My assistant sets out the paint in order of the progression of color I think will work together, usually 5 complimentary colors. All of my nose paintings are done ‘wet into wet’.
Next we choose from an assortment of ‘nose strokes’ I have already described in detail and organized on a chart. This chart eliminates the tedious work of having to spell out directions each time on my communication spell board. To begin, my assistant paints the tip of my nose with the colors I¹ve chosen as the base colors. Next, she picks up the paper and moves it parallel to my nose using the stroke I’ve chosen. We continue to use the paints and the strokes in the order I have chosen. Each time I change colors, my assistant has to wipe the paint from my nose and dry it before applying the next color.
Inevitably, while painting I begin to see images emerging that cause me to change my original plan. This is challenging because we have to work fast to keep the paper from drying. I find this to be the most exciting part about painting abstractly. I name my pieces based on what I see and feel, but take great joy in hearing what others discover in my paintings. I hope you enjoy these original nose paintings. I have never felt more challenged as an artist and am pleased to share this part of my artistic journey with you.”
From the Honolulu Star Bulletin:

Chun, 61, was diagnosed in 2002 with ALS, the disease that claimed her grandfather, mother and twin sister. In a year, Kimi Chun says, her right hand was motionless; a year after that, her left hand was stilled. For another year she could paint with her teeth, then for one more year with a computer program that read her eye movements.
The original prognosis was that she could live up to three years with ALS, but she’s rounding on five now. “It’s so important for her health and her state of mind to still do something creative,” her daughter-in-law says. “Creating is living for her.”
When Mecum began working with Chun, “I thought I was going to meet a heartbroken artist who had just lost her painter’s hand.”
Instead she found someone overjoyed to find what she could do with her left.
…Chun prepared for each loss of function, for example, preparing a special brush she could hold with her teeth in anticipation of losing control of her left hand. When it became clear she’d have to go on a ventilator to aid her breathing and would no longer be able to speak, she set about numbering all her paints so she could select colors by number, Mecum says. “She was always thinking ahead: ‘How can I keep painting?’”
In fact, Mecum says, it’s hard to think of Chun in terms of loss. “Once you really know Peggy, it’s OK, everything that’s happened. She has a bigger life than those of us who walk around. We laugh that we have to keep up with Peggy. We feel like couch potatoes around Peggy. She teaches us to live in the second.”
Are you crying yet?
We lived down the road from Peggy Chun for about a year and one day my daughter was going door to door selling these whacky “Magic Pig Wands” that I make and sell when we need a little extra financial coverage. They are diet pigs (the hang-tag reads), if you wave them over food or dessert they remove all calories. Peggy Chun saw my daughter approaching her home with a wicker-basket full of brightly colored pig heads on sticks (she was in her bed near the window), and she called out, “Get that girl in here!” She bought all the pigs that Lindsey had and told her to keep bringing more! I made a special Pig for Peggy and went over to introduce myself to the woman who was crazy about my silly pigs and wasn’t too surprised to find a 6’ tall Merpig (mermaid pig) on her front porch. When I learned of her illness and saw the way in which she was dealing with the news that her body was deteriorating…to her death, I was overwhelmed, humbled and in complete awe of her Chronicity. Whatever “problems” I had in my life or my body, seemed petty and I was ashamed to have considered them “problems”. Peggy Chun was slowly dying of ALS and yet she had no “problems”, she was brimming full of life and so consumed by her enormously voracious creative spirit there was no way ALS was going to stop her.
Where does this overwhelming passion come from? Are we all capable of finding our own passions and investing, with Peggy Chun intensity, every second of our lives to our passions?
There are others in the world who also demonstrate the ideals of Chronicity, some with illness and injury, and others without. I challenge you to look around and find your owns examples of people living a chroniclife…what characteristics do they share, what are the common denominators, are they qualities that can be learned, practiced and taught?
I too will be doing research and making a study of these questions. I will share the results as they come and ask that you do the same. Maybe together we can tap into the source of power that Peggy Chun had in spades and make it a part of our own chroniclife.
“After all, you don’t paint with your hands,
you paint with your heart.”
~Peggy Chun

Balance
Posted by Xine in Balance, The Chronic Body on May 19th, 2009

My happy place.
I was reminded today of another purpose, or lesson, that strong sensations from the body serve…They remind us to have better posture, to move smarter, maybe a little slower, and to move with awareness.
Have you ever noticed that the less you hear from your body, the more you take movement for granted? That happens to me all the time. It’s like I’m so ready not to have to “pay attention to my movements”, that I let my mind drift away from my body and into my head (because it’s so much fun there!). When there are a few days of “body-quietness”, my mind goes wild with excitement for all of the projects and pleasures that I have had to ration because of low-function days, and I tend to want to do too much, too soon. I think that this lesson of “balance” is ultimately my biggest challenge on a day to day basis; to keep a perfect balance between body-awareness and mental-drive.
Don’t get me wrong, I don’t think that this phenomenon is necessarily a bad thing, and in many ways it’s more of a blessing than a curse. It’s almost like a kind of “pain amnesia”; I have a hard time remembering what it was like to be limited, until I am, and then after a few weeks of that, I have a hard time remembering what it was like not to feel so much.
I was feeling my body today. Not in a drastic, “I-can’t-do-anything” kind of way, but just a steady stream of medium to loud reminders to “pay attention”! Days like today remind me that walking that fine line between mind/body-awareness takes constant vigilance.
Getting into the pool this afternoon was perfect. It allowed me to relax into the weightlessness of the environment and to let the water hold me up, instead of gravity pulling me down. In the water, the body can move in ways it can’t on land. It’s the most amazing feeling to bend, flex, and move my arms, legs, and body through such a huge range of motions; Motions that my body somehow always joyfully remembers. I watch the older women in their water aerobic class and I don’t feel bad that I am not doing all those fast moving jumps and kicks, with pumping arms and bouncing feet, because for me, it’s not about keeping up with the beat, or counting down from 20, it’s more like a quiet conversation with my body, and that doesn’t work so well to the beat of “Dancing Queen”.
In the water, I get to let my body go through the action of a full-stride run…in slow motion; a mindful, fully muscle-conscious motion. What a rare event that is! In what other circumstance, besides maybe zero-gravity, can you actually go through the muscle-actions of something like a full sprint in slow motion? Whether you were born with special physical limitations, or had those limitations given to you by illness or injury, I guarantee that spending a little quiet time with your body, in the water, will put you into a more intimate and loving relationship with your body.
Sometimes it’s a challenge to love a body that requires so much attention, but it’s important to treat yourself with the same kind of compassion that you would give to anyone that you loved. You deserve nothing less.
So when you’re having a high-function day with light body-messages, try to remember the lessons of the low-function, loud message days…Balance. And when you’re having a low-function day with loud messages…pretend you’re Lora Croft. (next post…Being Lora Croft)
Pain Pirates
Posted by Xine in Pain Pirates, Power of Words, Talking About It, The Chronic Mind, The Chronic in Public on May 9th, 2009
The world is full of Pain Pirates. You’ve met them, you know them, maybe you’re even related to, or live with one. Pain Pirates are those people who LOOOOVE to talk about what’s wrong with you, and more importantly, what’s wrong with them…how much it hurts, how deeply they suffer, what kinds of drugs they need to take. It’s like if they didn’t have the pain and suffering in their lives they just wouldn’t know what to talk about. Pain is their language and their relationship with the world, and they desperately want you to join them there… Because it’s lonely, and misery loves company.
Pain Pirates can be very seductive and entice you into their world with concern (quite genuine) about your pain (if they’re already aware of your situation). They want to lure you into talking about your physical situation, with all the gory details, and they will encourage you with heartfelt expressions of sympathy, and especially empathy, “I know exactly what you’re feeling; it’s so awful isn’t it? The way we suffer!” And then they will tell you, in dramatic, emotional detail, how they too, are living broken half-lives because of their illness or injury.
Getting out of this emotional hi-jacking means being prepared and arming yourself with elegantly polite phrases that will leave the Pain Pirate with nothing more to say to you…and they will learn soon enough that you are not willing to give them the emotional “booty” they were looking for. It does take practice though, especially the “elegantly polite” part. If you recognize that you’ve been living as a pain sufferer and want to be a Chronic, it’s probably similar to breaking any other bad habit, or addiction (and yes, “pain-speak” is an addiction, especially for Pain Pirates, ahrr). Let Chroniclife.org be your PA – Pain Anonymous, and steer clear of Pain Pirates like the alcoholic avoids booze.
You’ll need to have your verbal arsenal practiced and ready because Pain Pirates are everywhere, asking, quite innocently and with caring concern on their faces “How are you?”. I always say brightly, “Fine!”, “Great!” or “Couldn’t be better!” (if I know for sure I’m dealing with a Pain Pirate I don’t give the standard “And you?” in return but rather move the conversation to some other direction immediately, like…”You look lovely, did you do something different with your hair?” or “And how are your wonderful children, grandchildren, cats…(fill in whatever)” or even more generic “Isn’t it a beautiful day, the weather has been wonderful”.
Most people who ask “How are you doing?” are using this phrase as a default greeting and they’re hoping that you give them a “fine” so that they can move on to more important stuff, but the Pain Pirate will keep trying find the conversational button that will get you to engage in an intimate conversation based on your (or their) illness or injury. They won’t let you get away with a “Fine!” and their follow-up will be more specific, “Really? Your back / neck / knee / hip / cancer / ALS/ arthritis isn’t causing you pain?” The answer to this query is a little more complicated. You don’t have to lie, and in fact it’s better if you don’t; Better for them and good practice for you. In one sentence you can show them, without being offensive or condescending, how you are choosing to relate to your physical condition with a Chronic attitude. It might sound something like this, “Sure, I’m still feeling it, but I’m so grateful for the movement I have today, it’s great to be out and about, and getting to see friends like you! Everyday is a blessing!” What can they possibly say to that? It’s an expression of joyful gratitude for what is good in our lives and only a total asshole is going to try and take that away from you. Most Pain Pirates will realize that you’re not going to play the Pain-Game with them and they’ll either move to a topic that neutral or leave to find another “Pain-Sufferer” to engage.
Like I said before, be prepared and practice, practice, practice. If you do end up getting hi-jacked, don’t worry about it or feel a failure. The mere fact that you were able to recognize, and identify the interaction as a hi-jacking is a huge deal! “Pain-Sufferers” don’t even know how damaging this kind of engagement is and they participate fully, and with great eagerness in these “let’s compare our Pain and Suffering” scenarios.
Dealing with Pain Suffering Pirates successfully will make you feel really good about yourself because you will have said –OUT LOUD- why your life is great and how thankful you are for everything that you do have and are able to do. It might also have the net effect of waking up the “Pain Pirate” to the joy and freedom of a Chronic lifestyle. They will wonder how you manage to be so happy, upbeat, and grateful in your physical condition. They may even begin to ask you how you do it, and you can volunteer to be their ChronicLifeguard.
Talking About Chronicity
Posted by Xine in Pain Pirates, Power of Words, Talking About It, The Chronic in Public on May 8th, 2009
Redefining and reprogramming the internal messages between your body and your mind (and vice versa…but we’ll talk about that later), is a crucial first step to becoming a High Functioning Chronic. It’s vital that your internal dialog be one of gratitude, strength and encouragement.
Because this concept is so important, I’ll take a bit more time here and try to describe the difference between a “Pain sufferer’s” internal dialog, and a Chronic’s internal dialog. Being aware of, and consciously managing the way you mentally respond to strong signals from your body is an essential building block for successful chronicity. The mental responses need to remain factual and grounded in the physical experience rather than being emotional and linked to your “self”. The sensations are happening in your body, don’t let them happen in your thoughts too.
“Pain Sufferer” Example
Multiple Levels of Herniated Discs in Lower Back: While bending slightly from the waist to make up the bed in the morning, a sharp stabbing sensation is felt in the lower back and the thought-reaction is “OW! That hurts! It’s so painful I could cry”. The mind then answers this reaction with “your back is so bad you can’t even do something as simple as making up a bed without pain! How are you going to get anything done today with this kind of pain and why should you even try? It will just be more pain and you’ll be in tears before noon. You are worthless as a homemaker, spouse, and parent (fill in the blank)”.
Okay, that’s a gross exaggeration, but as you think about your own psychological relationship to your body’s sensations, maybe you have your own example of a time when the physical limitations/sensations created a mental conga-line of disgust and self-pity. I think you get the point. For the “Pain Sufferer”, the message of “pain!” triggers a series of negative thought-reactions that can sometimes open up some very dark doors. Suffering in pain and being unable to accomplish even simple tasks can sometimes lead to feelings of self-pity, inadequacy and self-loathing, and those feelings hurt worse than the feelings in your body.
“Chronic” Example
Multiple Levels of Herniated Discs in Lower Back: While bending slightly at the waist to make up the bed in the morning, a sharp stabbing sensation is felt in the lower back and the thought-reaction is “Whoa, strong one. This movement isn’t working for me right now” and the mind answers with “we’re working with less function this morning so it would be best to stop this action and move to something else. It’s going to be okay, I’m still standing and I’m grateful for that. I’ll come back to the bed-making later…or not.”
The Chronic realizes that physical function can fluctuate and that the accomplishment of tasks is directly related to their function level and not an indication of their value as a person. As function level increases so do activities, and just because you can’t do an activity today doesn’t mean that you can’t try again tomorrow. Chronics can distinguish and differentiate between a faltering physical functionality and personal success.
When this internal conversation becomes fluent and automatic, you will find that your external conversations will also be rooted in gratitude, strength and encouragement. You will no longer talk about how much “pain you’re suffering”, because for you it is no longer “pain”; They are simply sensations that affect your function level. You’ll be amazed how quickly the conversations will turn to subjects other than your chronicity, and this is a good thing. Just watch out for the “PAIN PIRATES”!



Imagine, for a moment, an enormous fire-breathing Dragon. Not the Asian idea of the Dragon (a benevolent guardian) but the evil, malevolent European version, like “Smaug”, J.R.R. Tolkien’s creation in The Hobbit…a vile, soulless creature concerned only with the massive wealth it steals and sleeps on…a Dragon who flies out of its cave to gather more treasure, terrorize the nearby villages, and kill anyone who crosses its path.
I used to think I was bullet proof. There wasn’t a sport I wouldn’t try or wasn’t good at.

