I suppose that I have been lucky in life. I haven’t had any broken bones, so far no chronic illness and never a trip to the ER. I do occasionally have some kind of issue in my wrist that is triggered by typing on my lap and some prolonged mouse usage. That stems from a time when I was a young man and holding a high pressure hose all day.

The pain goes away in a few days by modifying how I use the computer and lightening up a bit on things like typing. This last week, I have been dealing with some wrist pain. Unfortunately, it is not getting better but worse. It now feels like it is sprained and is visibly swollen.

My body is telling me that I need to stop and take a break. Unfortunately, that is about a week and a half too early. Ironically, as much as I have been fortunate, I have a lot of experience with the medical system around some of the lessor known specialties.

The science of pain management is much less developed than trauma or acute medicine. It has been a number of years now, but I believe my wife has some sort of immunodeficiency. It started with psoriasis and manifested into full body pain. That lead to incorrect diagnosis of fibromyalgia, then later lupus suspect to eventually disappearing. The complete tale is very long and not really my story to share.

What I am trying to say is that based on my experience, the medical system does not know how to treat pain. The basic approach is to keep trying pharmaceuticals until the pain goes away or you do. It seems to me that the hospital is pretty quick to offer Dilaudid of Fentanyl but root cause is lacking.

I have observed this process several times. Here is a simple workflow.

  1. Person feels pain, goes to ER
  2. ER doesn’t know what to do, sends person back home to follow up with Primary Care Physician (PCP)
  3. Person meets with PCP. PCP doesn’t know what to do and prescribes drugs and tests. Person is told ‘if this doesn’t work then follow up’
  4. Repeat steps 1-3 until PCP refers to specialist
  5. Now substitute specialist for PCP in the chain until specialist gives person back to PCP or hopefully the problem is solved.

In the end, who is managing the care? It is the patient not the doctor. If you do not advocate for yourself or you are not pushy enough then you may end up near death before the issue is addressed. You cannot abdicate your health to someone else, that is foolish.

I am not anti-doctor, nor am I claiming that this is an easy job. What I will say is that they are overburdened and dare I say a little too comfortable writing prescriptions rather than root cause analysis. What changed our lives was investigation and education into actual science. Learning about the causes of inflammation and a willingness to admit that lifestyle and not a drug deficiency was the problem. Cutting out things in our diet that were causing inflammation made those problems disappear.

This has been over ten years now. The experience has made me much more receptive to the idea that there are things broken within the medical system. Care is actually one of them. It has made me realize that there are other tools that aren’t used enough like physical therapy and nutrition. If you are over weight and eat garbage then you are suspect to these problems as well.

The experience has opened me to the idea that there are new frontiers that are not medically or politically acceptable but can be effective like the cannabinoid receptors in our body. I do believe that the legalization argument for marijuana is largely for recreation use but so what? That doesn’t mean that we should write off what is possible.

Wow… I didnt wake up seeing this go this direction this morning. I was thinking that I was going to justify waiting out the pain. I feel like I have a lot more to say but I think that would be rambling at this point.