These were the options I had to describe my pain to the
doctor, and I had to do it by placing a simple and non-descript ‘x’ in the box
next to the word…..
And it was none of the above. And there was no option
for a ‘write in’.
I have a really hard time with the standardized pain
classification, because not only is pain so difficult to describe in the first
place, but because reducing definition possibilities to a limited few words is
so frustrating. Is this a survey, or are we talking about me? Why the doctors have to bind our pain into little sectors of
hurt, has always irked me…because checking a box doesn’t do my reason for being there any justice.
I suppose it’s an easy way for them to classify pain,
(and to avoid the endless nonsense that flows from pondering crackpots like
myself), but what if your pain doesn’t fit into their oversimplification? What
if it’s an entirely new sort of
pain….a type of agony that there are no words for? What if it’s not really pain at all but just an extreme and
unbearable irritation?
I usually ponder the question on the way to any doc when
I know that I will be asked to define my problem with a mere flick of the
wrist. I want to be sure of my answer because what if I say one thing and it
leads the doc to the wrong conclusion? Maybe my idea of stabbing is more like
a shooting feeling. How can I be sure? And isn’t throbbing a lot like aching
to begin with? But yesterday when I was presented with the question, I hadn’t
thought about it…I hadn’t prepared. So, I couldn’t answer….
So then I was asked if I was familiar with the ‘Pain
Scale’….you know, the ‘on a scale from 1
to 10, 10 being the most pain you could ever imagine…’ scale. That gets me all
flustered too. I don’t want to give the wrong answer and I usually have no
idea what level I am, other than not a ‘1’ and not a ‘10’. Besides, between 1
and 10, there are too many choices. What happens if I think I’m a 8, but I
really am a 6, but I don’t realize that until I’ve been to 9 and can compare to
the original 8…? Geez! Frankly, I wouldn’t be there in the first place if
I thought a little Advil would do the trick, so isn't just ‘bad
enough’ good enough? If I’m there, it probably hurts, and if simplification is what
they’re looking for, they can measure the pain using my categories of ‘A Little, ‘A Lot’ or ‘ Give Me Something That
Knocks Me Out.”
Usually, when I’m in the doctor’s office for some sort of
major discomfort, I always try to engage
in a preamble to avoid filling out the questionnaire at all. The poor doctor
sits there, eyes blurring over, mind thinking about the last round of golf, as
I try to describe the feeling I am
having. And as several minutes go by, and the glazed doctor finally interrupts
me, I wonder why I just didn’t play by the rules and check the bloody box. But
I can’t. It’s not fair to my body and it does not help the doctor with a
proper diagnosis. So, I sit there, using my hands and best facial expressions in
my attempt to draw an accurate picture of my situation. And even though I’ve
practiced the speech and thought long and hard about it on the drive over, I
still cannot seem to accurately describe the situation.
“Well, it’s this weird
feeling…..like a ache, with some throb to it. It’s consistently intermittent.
It’s acutely chronic. It’s hot and cold…..It’s kind of here, but sometimes
there….It just hurts!”
Hell, I am never satisfied with my descriptions. And the
doctors end up just overwhelmed and more confused than if I had just put an ‘x’
beside ‘ACHING’ and called it good.
I think it’s because pain is so individualized that we
have such a hard time generalizing it into tiny, controlled categories. And
notice that unless you’re actually feeling it at that precise moment, the
description of that feeling is as elusive as the actual feeling itself? “It
felt” is a lot harder to master than “it feels”. It’s a type of memory that
has no grip in our brains. We can remember what our mother’s kitchen smelled
like when we were kids and how joyful we were swimming in the lake that one
summer, but we can’t seem to remember details of pain. We remember it hurt,
but we can’t recall the actual agony. A lovely feature of the design, I must
say. Who’d want to walk around re-living the sensation of that dislocated
shoulder or chin laceration. And I suppose if we could remember, the world
would be a much smaller place…..and maybe the species wouldn’t have ‘thrived’
to the bursting point ….since what women in their right mind would have more
than one baby if they could remember the hell they went through while in labor
with the first one! That would be the ultimate birth control; Pangs of Pain,
or Cramps of Recollection.
I know. I’m the biggest pain: A pain in the ass.
And next time I have to go to the doctor, I’ll just bring
a thesaurus.