I mean, that’s part of pain tolerance. It isn’t just how much pain you feel, it’s how much you can take.
Chronic pain has taught me a lot about what is and isn’t bearable. Things that when they were new would leave me sobbing, I now don’t even show more than a frown and gritted teeth for on a good day.
Part of that is taking the pain, putting it in a little box cake “I will not fucking quit” and throwing that box into the depths of the mind where it can’t bother you for a while. Your body still hurts, you still know it hurts, but you keep going until you can’t, and the pain can just fuck right off.
Now, let me stub my fucking toe while doing all that and it cuts right through all of that and says “nah, dawg, you gonna feel this”. Different pain, and acute.
So, little shit like shocks and needles in muscles, and the like, you know they’re coming, and they go right in the box with the chronic, and into the oubliette of agony.
That kind of pain testing? That’s totally within mental techniques’ ability to ignore. Your pulse will still change, blood pressure too, but it’s still a distant thing that won’t reach you for a while.
But everyone is different. You can take two people with the same injury, and they’ll tolerate it differently, even if they’re siblings of the same gender.
Part of that is indeed built in, but there is always a psychological component to pain perception.
Now, please note that I’m not saying that walling pain off and ignoring it until you’ve injured yourself is a good thing, much less better than letting pain guide your actions so that it isn’t worse later. I’m just saying that the green text is realistic, and the person responding like that may not be bullshitting, they may just have worked on managing pain.
This. One of the dangerous things about chronical pain that I think might be underappreciated is that it blinds you to signals that in a healthy person would cause them to seek medical help. When doctors ask now I always caveat that I’m a poor witness of my own wellness because there have been times when I felt like I was doing fine but in fact needed surgery. I don’t know how doctors (or occupational health, or social workers, or carers) do it, there’s basically no reliable information in talking to an ill person but that’s like 90% of what you have to go on.
Back when I was a caregiver, pain assessment was a bit of a pain lol. I’d have patients with cancer, and they’d just not notice something like a sore forming because it just got drowned out by chemo, or whatever. I’d do the daily thing of asking about their pain levels, and how the hell can they answer? They’re at a constant 8 to 10 range, so it’s kinda pointless to try and rely on pain signals to find new pains that need help.
Mind you, I was doing other checks, so nothing got missed, but it could have.
And, like you said, the usual “script” for checking on pain breaks down with chronic pains. You have to really get detailed, focus on tiny changes in pain with them.
And, even knowing all that, I still have trouble communicating my own pain and issues because it’s just so overwhelming sometimes. I sometimes joke with a new doctor or nurse and tell them it would be faster to list what doesn’t hurt. Except it isn’t really a joke.
So I just keep compartmentalizing everything and try to be a good patient lol.
Yeah, I suffer from chronic pain, too, though not to the degree that you appear to. It’s kind of funny because I know I’m really tired or mentally exhausted when I start noticing all the pain I normally have, but just haven’t even noticed for hours before.
Your brain can take a hell of a lot of abuse until it can’t.
I was holding it together for nearly 3 decades before it was unable to keep up with major sleep deprivation anymore. 10-12 hours of sleep a night and a nap midday couldn’t keep me going.
I was blacking out time while driving, had barely any memory, had involuntary muscle spasms and couldn’t physically recover from injury in a reasonable time.
Once I started on CPAP I recovered by leaps and bounds, I sleep way less but am fully present in the world, like being on high dose of caffeine without taking anything.
I mean, that’s part of pain tolerance. It isn’t just how much pain you feel, it’s how much you can take.
Chronic pain has taught me a lot about what is and isn’t bearable. Things that when they were new would leave me sobbing, I now don’t even show more than a frown and gritted teeth for on a good day.
Part of that is taking the pain, putting it in a little box cake “I will not fucking quit” and throwing that box into the depths of the mind where it can’t bother you for a while. Your body still hurts, you still know it hurts, but you keep going until you can’t, and the pain can just fuck right off.
Now, let me stub my fucking toe while doing all that and it cuts right through all of that and says “nah, dawg, you gonna feel this”. Different pain, and acute.
So, little shit like shocks and needles in muscles, and the like, you know they’re coming, and they go right in the box with the chronic, and into the oubliette of agony.
That kind of pain testing? That’s totally within mental techniques’ ability to ignore. Your pulse will still change, blood pressure too, but it’s still a distant thing that won’t reach you for a while.
But everyone is different. You can take two people with the same injury, and they’ll tolerate it differently, even if they’re siblings of the same gender.
Part of that is indeed built in, but there is always a psychological component to pain perception.
Now, please note that I’m not saying that walling pain off and ignoring it until you’ve injured yourself is a good thing, much less better than letting pain guide your actions so that it isn’t worse later. I’m just saying that the green text is realistic, and the person responding like that may not be bullshitting, they may just have worked on managing pain.
This. One of the dangerous things about chronical pain that I think might be underappreciated is that it blinds you to signals that in a healthy person would cause them to seek medical help. When doctors ask now I always caveat that I’m a poor witness of my own wellness because there have been times when I felt like I was doing fine but in fact needed surgery. I don’t know how doctors (or occupational health, or social workers, or carers) do it, there’s basically no reliable information in talking to an ill person but that’s like 90% of what you have to go on.
I feel that.
Back when I was a caregiver, pain assessment was a bit of a pain lol. I’d have patients with cancer, and they’d just not notice something like a sore forming because it just got drowned out by chemo, or whatever. I’d do the daily thing of asking about their pain levels, and how the hell can they answer? They’re at a constant 8 to 10 range, so it’s kinda pointless to try and rely on pain signals to find new pains that need help.
Mind you, I was doing other checks, so nothing got missed, but it could have.
And, like you said, the usual “script” for checking on pain breaks down with chronic pains. You have to really get detailed, focus on tiny changes in pain with them.
And, even knowing all that, I still have trouble communicating my own pain and issues because it’s just so overwhelming sometimes. I sometimes joke with a new doctor or nurse and tell them it would be faster to list what doesn’t hurt. Except it isn’t really a joke.
So I just keep compartmentalizing everything and try to be a good patient lol.
Yeah, I suffer from chronic pain, too, though not to the degree that you appear to. It’s kind of funny because I know I’m really tired or mentally exhausted when I start noticing all the pain I normally have, but just haven’t even noticed for hours before.
It’s impressive what the mind can tolerate.
Your brain can take a hell of a lot of abuse until it can’t.
I was holding it together for nearly 3 decades before it was unable to keep up with major sleep deprivation anymore. 10-12 hours of sleep a night and a nap midday couldn’t keep me going.
I was blacking out time while driving, had barely any memory, had involuntary muscle spasms and couldn’t physically recover from injury in a reasonable time.
Once I started on CPAP I recovered by leaps and bounds, I sleep way less but am fully present in the world, like being on high dose of caffeine without taking anything.
Amazing word smithing. 💖
Thank you :)
Except they misspelled “Oubliette”
Like I give a shit, I knew what the fuck they meant.
Damn bro. Hope you’re better now.
As better as it gets, thank you :)
I really thought my life was over. Now I’m married, have a kid, good friends, and find ways to enjoy even the bad days.