Sincerely,
Pamela Curtis
"With chronic illnesses (and pain and fatigue) comes plenty of chronic guilt. We may voice the legitimacy of our limits for the rest of the world...but inside our own heads we hear so much doubt. Do I really need a 4 hour nap? Can't I stay up late and get this task done? Why should I get to claim "brain fog" when other people wouldn't need to stop? (And yes, "brain fog" sounds pretty silly to us, too, even though we live the debilitating effects.)
"Yes, we do. Yes, we need to nap - our bodies are fighting 24-7 battles against themselves. No, we can't stay up late - what little functionality we have is strongly correlated to our ability to adhere to a schedule. We 'get to claim brain fog' - our work is no good when it comes from a low-hanging cloud. We need to forgive ourselves.
"We need to BELIEVE it's ok to live within these limits. We need to allow ourselves compromises with ourselves. We need to accept we aren't going to be able to build the tower of Babel on a 4 day weekend just because "it has to get done somehow", and love ourselves anyway. We need to ask ourselves for forgiveness and give it wholeheartedly and without delay."
(Forgiving Myself - UII - Understanding Invisible Illnesses)
"Forgiveness allows the individual to move past their maladaptive behavior and focus on the upcoming examination without the burden of past acts to hinder studying. By realizing that procrastination was a transgression against the self and letting go of negative affect associated with the transgression via self-forgiveness, the student is able to constructively approach studying for the next exam."
Timothy A. Pychyl from Psychology Today's Don't Delay
An estimated 12.8 million Americans, about 6 percent of the household population aged twelve and older, use illegal drugs on a current basis (within the past thirty days). This number of "past-month" drug users has declined by almost 50 percent from the 1979 high of twenty-five million -- a decrease that represents an extraordinary change in behavior. Despite the dramatic drop, more than a third of all Americans twelve and older have tried an illicit drug. Ninety percent of those who have used illegal drugs used marijuana or hashish. Approximately a third used cocaine or took a prescription type drug for nonmedical reasons. About a fifth used LSD. Fortunately, nearly sixty million Americans who used illicit drugs during youth, as adults reject these substances.
(Substance Abuse and Mental Health Services Administration, Preliminary Estimates from the 1995 National Household Survey on Drug Abuse (Rockville, Md.: U.S. Department of Health and Human Services, 1996), emphasis mine).
In the year 2000, drug abuse cost American society an estimated $160 billion. ...Health care costs for drug abuse alone were about $15 billion.
(US Drug Enforcement Agency)
Serious, chronic pain affects at least 116 million Americans each year, many of whom are inadequately treated by the health-care system, according to a new report by the Institute of Medicine (IOM). The report offers a blueprint for addressing what it calls a "public health crisis" of pain.
The reasons for long-lasting pain are many, from cancer and multiple sclerosis to back pain and arthritis, and the chronic suffering costs the country $560 to $635 billion each year in medical bills, lost productivity and missed work." (Report: Chronic, Undertreated Pain Affects 116 Million Americans, Maia Szalavitz, June 29, 2011)
Among the important findings in the Institute of Medicine report is that chronic pain often outlasts the original illness or injury, causing changes in the nervous system that worsen over time. Doctors often cannot find an underlying cause because there isn’t one. Chronic pain becomes its own disease.
“When pain becomes chronic, when it becomes persistent even after the tissue and injury have healed, then people are suffering from chronic pain,” Dr. Mackey said. “We’re finding that there are significant changes in the central nervous system and spinal cord that cause pain to become amplified and persistent even after the injury has gone away.”
The institute emphasized the importance of prevention and early treatment, a novel concept for many doctors who try to diagnose the source of pain before treating it or advise patients to wait it out in the hope it will go away on its own.
“Having pain that is not treated is like having diabetes that’s not treated,” said Ms. Thernstrom, who suffers from spinal stenosis and a form of arthritis in the neck. “It gets worse over time.”
(Giving Chronic Pain a Medical Platform of Its Own, Tara Parker-Pope, July 18, 2011)