Pain,Management,Ideas,From,Kid health Pain Management Ideas From A Kidney Donor

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In 2002 I donated a kidney to mybrother in an open surgery (rather than keyhole which is being used more widelynow.)  It was a bit sore for awhile afterwards (to put it mildly!) In the days, weeks, months and even years afterwards I've listened to alot of theories about pain management – put them to the test, and these aresome of the tips that I've learned that I'd like to pass on to you.Pain is allin the mind.  It is simply yourcentral nervous system transmitting electric impulses – and as with all things,the mind controls it.  So,theoretically, you shouldn’t need any painkillers or help after giving akidney… if you are a Buddhist monk. If you are an average person, who hasn’t spent several years meditatingon top of a mountain, you’re going to need all the help you can get.One of thescariest times, when I was wishing they would give me a little something totake the edge off (and I wasn’t even in any pain yet!) was when I was goingdown to surgery.  Every otheroperation I’ve had they’ve given me a pre-med, so I was already drowsy – but Isuppose because of the length of the kidney operation they didn’t want to giveme anything “unnecessary” – in other words they were saving the good stuff (andit is good stuff.)  I suppose itis a bit harsh to make someone actually get on to the operating table stonecold sober, ulp!, but then the anaesthetic made a little scratch on my hand andfinally gave me the "joy juice". All the fear went away and I wasjust left with the beauty of what I was doing, I cried big fat happy tears as Isaid to the transplant co-ordinator, "it's such a beautifulthing".  She nodded,completely unphased, and that's all I remember before they turned out thelights. PCA or EpiduralWhen youwake up you may be attached to either an epidural or a PCA (Patient ControlledAnalgesia).  The main differencebetween the two is that an epidural provides a preset dosage directly to yourspine, whereas with the PCA you choose the dosage by pressing on a button (thepatient controlled part) but if you press it too often it can switch off (notgood.)The nursestold me to get the PCA, but the anaesthetist told me to have the epidural – inher words “when it works it’s great and if it doesn’t work we can always putyou on the PCA.”  (Unfortunatelymine stopped working in the middle of the night – an experience I wouldn’t wishon anyone), but my brother had PCA and had problems getting started with that.  The advantage of an epidural is that Iwoke up one happy bunny – high as a kite – convinced that I would get up thatday – ready to run round the block.In hindsightwhichever you choose make sure you know what the procedure is if it stopsworking – and, if it does, make a lot of fuss and don’t be embarrassed todemand to see a doctor or an anaesthetist (whatever time of night it is!) Traditional PainkillersMy firstpiece of advice for pain management is that whatever you use, take control ofyour own pain management as soon as you can.  The nurses in hospital are really tight with drugs.  I was only allowed them every fourhours.  One time I actually managedto distract myself for six hours and when I asked for my pills they said I hadto wait for the next lot – another two hours.  Well I never missed them after that!When I leftthe hospital I carried on the regime. They became less effective, andeventually my stomach couldn’t take them – and throwing up when you have justdonated a kidney is incredibly painful.I went tosee a GP after the op because I just couldn’t get any sleep. She was a lot lessstingy and prescribed cocodamol, valium ("Take one in the evening with aglass of wine like me", she recommended), and hallelujah!dihydrocodeine.  What I didthen was to use the cocodamol whenever the pain got too bad in the day,effectively taking one dose a day, usually mid afternoon – and then taking justone dihyrocodeine (I was allowed two) at night – which conked me right out andI was able to get a whole eight hours sleep!  The valiumwas for whenever I needed it – even if I had a headache or period pain(fantastic for both), and it’s fabulous stuff because it doesn’t take the painaway, but it makes you not care!  Ibuprofen isworth taking for period pain – the renal doctors and nurses told me not to takeibuprofen, but my regular GP told me to ignore them because it reduces bleedingso it doesn’t just help period pain, but also the underlying cause.Drugs willonly help you so far, but sometimes it’s far enough, and if you also use themwith other pain management methods they can give, if nothing else, a goodnight’s sleep; which is often the best medicine.(They canalso give you constipation if they are morphine based – so be careful withthem).Anothertrick is the power of suggestion. I take the tablets and, as I'm waiting forthem to kick in, I tell myself “Wow I’m so stoned I’m going to pass out”. Sorather than taking the tablets and lying there thinking “Are they workingyet?  How’s the pain?” you think“wow – these are some strong drugs – I can’t stay awake” – go on give it a try,can’t hurt.The mind isreally much more powerful than the body, and by using this type of selfhypnosis, you can strive towards Buddhist monk type pain management.Oh yes, andbe kind to your stomach.  Alwaystry and take any medication with food (even if it doesn’t say it on the packet.)  I found it a very good idea to keep abiscuit tin by the bed if I had to take pills at night. Natural RemediesApparentlystem ginger is a natural painkiller and anti-inflammatory.  If you get really nice stem gingercookies they are also excellent for taking your tablets with.  Althoughit’s not strictly speaking a natural painkiller, I do highly recommend an AloeVera Colon Cleanser (despite the name!) as it is a gently laxative that helpsyour digestive system, and constipation was one of the biggest sources of painfor me post op. MeditationI wouldhighly recommend meditation to everyone. I used to do it on the Tube on my way to work and it made my journeyreally beautiful. You can do it anywhere and it really can make seeminglystressful situations much easier to handle.  It has definitely improved my life, pretty much every singleday. Focus OnThe PainWhat weperceive as pain is simply the overstimulation of your nervous system as yourbody tries to communicate to the brain “Houston – we have a problem!”  Usually your body is communicatingsomething simple “Don’t do that!” or “Don’t do that again, you idiot!” or “Thatpan is really hot!” In this case your body is trying to say “Look I know you don’twant to hear this, but somebody’s taken away a major organ here, you’ve gotextensive bruising and you’d better not move or try and get out of bed until wefigure out whether it’s safe to do that.”If you takethat simple analogy, you can imagine also that by trying to ignore the pain, ordull it with painkillers, your body responds by turning up the volume – tryingto make you listen and make sure “you do not reach for the remote control againlike that because it’s bad for your damaged muscles.”And the wayto make your body stop shouting is to listen.  Focus on the pain, and then tell yourself “Yes I know thosemuscles are bruised, thanks for telling me.”  Open up, feel the pain, accept it, acknowledge it, have alittle cry if you want, and then let go. DistractionOne of myfavourites; lots of TV, your favourite movie, tasty dinners, magazines,laughter, talking on the phone, reading a book, a nice foot rub, anything thattakes your mind off your situation.  Hot AndColdI was on aflight to LA and had hurt my back working on a film.  I had taken my painkillers (strong ones!!) but they weren’thaving any effect.  I was threehours into an eleven hour flight. In vain I went to the stewardess and asked for another pillow to try andget comfortable, she told me there weren’t any and I burst into tears. Luckily shetook pity and gave me a hot water bottle. I put it on my back and conked rightout (much to the relief of the poor guy next to me).In LA I visitedthe Beverley Hot Springs in Korea Town. I waded into a natural hot spring pooland it was heaven!  Then I wadedinto the cold pool – complete pain wipe out – I highly recommend it.  Should you ever find yourself in asituation – run yourself a cold bath – as cold as you can take it – or even acold shower on the affected area – it’s damn good and unlike painkillers youcan have as many cold baths as you like.