I’ve been quiet for what seems like forever, and anyone who knows me knows I use my platform to communicate and inform; even if my subject matter isn’t popular.

It’s likely obvious to my regular readers that I am going through some heavy shit. I am. Unfortunately, I am also numb to a lot of the things other people are talking about right now. Not because I lack empathy or compassion; neither is true. I am trying to work through a 747 full of trauma, and through that journey came more trauma, and more, until I reached a breaking point.

Let me be clear: I’m okay. I am on the other side. Mostly, I am angry, in a lot of pain, and trying to be strong. A lot has been going on for me, and it will come out in the pieces I am writing, just not all at once.

I am coming off of a fresh set of nerve blocks and once again, I am sorry I did it. Once I feel better, I get to begin to fight for occipital nerve blocks. My doctor has already heavily documented occipital neuralgia in my chart, but my insurance has refused to pay for these injection sites, claiming they are experimental. They aren’t. She actually told me not to fight for it. Any doctor who would say that to me clearly doesn’t know me very well. I know it’s a covered procedure. The nerve blocks they immediately agreed to pay for are actually far more expensive than the one’s they don’t want to pay for. It makes NO sense, and I’m nothing if not a fighter.

This was my third time getting supraorbital nerve blocks. These hurt like I cannot explain. There are multiple injections, and they go under and into the brow bone on both sides. Because of the dose, it’s not quick. You’ve got a needle jammed into your bone for a good 45 seconds or so. The majority of my facial structure is bone, as so observed by my doctor. For me, I then have to apply pressure because these locations bleed heavily. There are a few which go into the supratrochlear nerve, a series goes into muscles in my shoulders, and she chose to add extra starting at the top of my spine, under my hair, going 3/4’s down the spinal column where I already have arthritis and Lord only knows what else, because my doctors won’t order additional tests if an x-ray will do. If she didn’t give me the medication, she’d have to throw it out. They are paying for an entire vial of medicine, but telling her not to give me a particular set of injections. One day she mentioned, in her frustration, how she is forced to account for every drop of medication she tosses, and how it’s incredibly wasteful for them to only pay for small amounts of these medications, and then ask her to throw it out. My nerve blocks are steroid free and are supposed to last 6-12 weeks. I was asked to give it a year before I say yes and continue, or decide to stop them. I don’t know where I stand on this moving forward. It’s a lot of work suffering from chronic migraines and worse with a spine that’s badly damaged. I’m definitely not having any fun on that level. 🙄

As she was injecting my shoulders and spine, my doctor told me she could feel how tight the muscles are. Mind you, I am also on long-term muscle relaxers for a full body experience. I’m careful with them because too many, “relaxing” medications can cancel each other out. If I don’t take them, I can’t always move, and if I do take them, I don’t always feel them working. 😔 I worry they will be taken away because so many doctors are making pain patients choose between treating our pain and treating our mental health. It is wrong, and I am vehemently against any doctor who tries to pull this on anyone. Mental health IS healthcare, and if doctors ask you to choose, find another doctor. The fear-mongering in medicine has got to stop. I’m sick of it, and I know I am not alone.

Much of the time, I factor in how long I’ve suffered from migraines. It will be twenty-five years in December. That’s a long time to suffer from anything, but imagine daily migraines. I was given my diagnosis at my very first appointment, a diagnosis most people wait 1-5 years to get. I tried all the usual suspects medication-wise, and they failed me. Each time a new symptom surfaces, I hesitate to bring it up with my doctor. I asked about a medication I had never heard of and she shifted her tone and behavior immediately, because the medication in question is a narcotic abortive nasal spray. I’m glad she decided she, “Won’t be prescribing THAT,”, but I wanted to say, “What if it REALLY helps me? What if that drug is the only medication to stop my suffering?” She was so dismissive, she wouldn’t even look at me. I immediately felt less trusting, overall.

Most doctors require a reminder of the Hippocratic Oath when they make such bold refusals. “Do no harm.” They absolutely, be it intentionally or unintentionally, ARE harming their patients. I have seen things in my medical record that make me want to scream. So, many doctors are harming their patients, en masse. As is the government, which needs to get the fuck out of my health care, as well as the insurance companies. Our pain is a political business to them, nothing more. All they care about is money, and if you don’t believe me, look into how much the government paid for your Covid vaccinations. They don’t come cheap. Doctors at hospitals are on salary and insurance, along with the government, dictates what they can and cannot prescribe. That is NOT okay. Pretty soon, they will be regulating alcohol and killing off millions of dependent alcoholics. Just like with pain patients, the only people who care will be those who get left behind. And the brands who depend on the business. It could all come crashing down.

I am frustrated as hell living with multiple diagnoses of pain disorders and only having a tiny percentage being looked after. Something I take, as needed, might be causing serotonin syndrome. I have to stop taking it, and this is something that costs a fortune out-of-pocket, until I speak with my doctor, who will almost certainly run lab work to make sure I’m not in the rare danger-zone. My symptoms indicate I might be, and that’s scary as hell.

The more I deal with medical professionals, the more I am marginalized and traumatized. It’s a system that is irreparably broken. It is rife with systemic racism and people who never should have gone to medical school in the first place because they have mind-blowingly limited knowledge in their chosen field. If you can’t do a little bit of everything and truly care about your work and how you are perceived by your patients, then please go the world an epic favor by going into a different line of work. We don’t need anymore crappy doctors. You’re embarrassing the few good doctors we’ve got!

With all of this going on, I am also working on two manuscripts. I wanted to make them a Spring/Summer project to see which one would be near completion by the end of October. They both have enormous potential, but I’ve written double the word count on one, whereas the other is about seventy thousand words. If either starts to get on my nerves, I’ll work on the dark urban fantasy material, instead. Because I’ve been in such crippling pain, I have written and read a lot less this year, but I am trying to get my shit together on that. Even if it’s just to challenge myself to get two thousand words written a day, that’s reasonable. Others would say to start at a page, but I am experienced enough to know I can accomplish the higher word/page count. There will be days when I double, triple, or quadruple on this, and days when a page will be enough. Know yourself, know your limits. It’s not dissimilar to the days when I’ve walked eight miles and it takes me a week to recover. There was a time when I wouldn’t stop until after dark, but those days are long-gone. Coming to terms with that, with the loss of complete health… It’s not easy. For people to insinuate that anyone enjoys suffering is just plain sad. For them. For the warped mind who dares to go against every doctor you’ve had to struggle through, for every diagnosis you’ve fought for. There’s a special place in hell for people of that nature.

And on that cheerful note, I’m on my way for now. I’ll be back as soon as possible.

Have a good week, everyone.

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