Pain We Obey

“To goodness and wisdom we only make promises; pain we obey.”

-Marcel Proust

I was 32 when chronic pain changed my life. I know many people who experience worse suffering than the pain that comes with my cracked vertebra…but when it’s your pain, and you have it all the time, it feels consuming. I know what it’s like not to be present in the moment because I’m counting the minutes until I can lie down and take painkillers. I know what it’s like to plan my days around pain, to quit activities I used to enjoy, and to struggle with the simplest daily tasks.

When it became clear I was an addict with a capital A and needed to go the abstinence route, I felt so sorry for myself. My black-and-white thinking painted the future as an infinite desert of unrelieved pain and bleak depression. It felt unfair. I had to change my attitude a lot to have a chance at staying clean.

When I went to rehab for the last time (well, let’s hope it was the last time) doctors told me that overuse of meds had screwed up my pain processing system to the point that my body was creating and amplifying some of the pain. They said for every year I had used narcotic painkillers, it would take about a month clean to figure out what my true pain level was. I’d used them for eleven years. So the first year of recovery was going to suck pretty badly.

Today, I can say with gratitude that the doctors were right. Though chronic pain is still part of my life, my average pain level is far lower than before I got clean. It gets bad occasionally, but “bad” now is what was normal back then. That’s only my story, of course. I got lucky.

Living with chronic pain, like living with mental illness or being in recovery, opens us to trying things that might not have been on our agenda if life had stayed “normal.” Spiritual exploration. Meditation. Trying to find and do small things that give pleasure. Examining our ideas about what we are if we’re not our jobs or our productivity. All of you who let pain steer you into a quest for growth inspire me: how amazing that we perform, however imperfectly, this mysterious alchemy that turns pain and despair into something beautiful.

Interrupted

I’ve been feeling overwhelmed by how far my two book projects have progressed…well, the universe found a cure for that! For two weeks, I’ve been flattened by a flare-up of my old back issues. On bad days I shuffle, stagger or crawl from bed to bathroom to recliner. My creativity is blotted out by pain and worse insomnia than usual. It’s frustrating as hell not to be able to do the dishes, take out the garbage, or even pick up things I drop.

In my counseling training, I met many folks who were in the field of “somatic psychology;” that is, the study of how the mind’s issues can affect the body. It’s a growing field, full of promise. But, like people in any field, students of this one can go to extremes. It made me crazy when anything from a sneeze to a sprained ankle caused classmates to start diagnosing some kind of emotional source.

That being said, mind/body connections are real…so am I somehow the author of this flare-up? Is there more going on than “shit happens?” Did my body arrange for me to be forced to take a break, to put everything on hold, to step away from all the “what now” questions about my manuscripts? All I can do is try to engage my thoughts with honesty as I heal from this.

Whether they are related or not, my mind and body both need to know that they don’t have to break down to get a break. Fallow periods are normal for any creative person. I’m allowed to have them without a physical or mental crisis existing as a reason.

Pain 1, Me 0

Chronic pain sucks.

This week I am receiving a reminder of this. I did something to my back 8 days ago; thought it was no big deal at first but it got worse as the week went on. It’s been hurting at the level that used to be going on all the time for me.

I’m spoiled these days; often pain free with occasional flareups. I haven’t had one this bad in four years or more.

So right now I’m being reminded how much pain screws me up–and I’m getting to see how it screws up parts of myself necessary for writing.

One: Pain makes me afraid. I future trip like crazy–what if it doesn’t get better? When can I go back to my regular activities? How am I going to function when sometimes I can barely function without pain? Writing in a state of fear tends to be joyless and stripped of its usual juice.

Two: Pain makes me stupid. Even less sleep than usual, fatigue from stiff muscles; it all leaves me cloudy. Writing is slow and awkward.

Three: Pain triggers bad memories and cravings. Back pain will always be associated with the worst time of my addiction. The physical sensation triggers memories of standing in line, filling out forms, and talking to doctors in order to get more painkillers. Even though I know all that is in the past, my body isn’t sure. Writing is harder because it’s difficult to stay in the present.

Four: Pain ups my level of depression. Understandable. Limited mobility leads to boredom, which makes me more vulnerable to depressive content from my head. Writing is harder because the grayness of depression works against my creativity.

Five, and most dangerous of all: Pain makes me self-absorbed. I regress, as many in chronic pain do, to an ego state where I lose perspective and my pain becomes the center of the universe. Writing is hard because I lose touch with why I write.

I really hope this won’t last much longer. But if it does, I need to remember that the imperfect writing I can do in this state is still approximately ten thousand times better than a blank page. So what if it’s not quite up to my usual standards? That’s what editing is for.

Useful

How do I maximize my usefulness to others? How do I assess my strengths and weaknesses honestly and make good choices about how hard I should push myself at any given time? How do I repeat this assessment frequently and deal with the self-doubt that tries to make me push myself too hard out of guilt or shame? How do I resist the impulse to apologize constantly for what I am doing and the fact that it’s not enough?

I’ve written on this theme before. I’m sure I will write about it at intervals for the rest of my life. Two years ago I wrote this, in fact:

“I don’t want to live my life as a walking apology, but I also don’t want to become the kind of person who sees no need for regrets about how my condition and/or my shortcomings affect others.

Where is the line; where does a realistic assessment of my condition end and making excuses begin?

Could I be allowed to stop making promises, or even implied promises, that set me up for the inevitable apologies?

There’s no way for anyone else to assess, or even for me to assess reliably, the subjective amount of effort I’m making. So how can I, when unable to perform consistently, express that the thing, principle or person is still important?

Can I ever be good enough, do enough, love enough to have it mean something?”

Looking that up was interesting because it really made my point: This theme recurs. It recurs because the question is always relevant in a world that needs us to do our best. It’s not going to stop recurring, and I need to meet it with honesty and humility whenever it arrives.

Burning

I am rediscovering my rage toward addiction.

I anthropomorphize the general phenomenon of addiction; many of us do. Especially as we struggle with abstaining, it can be helpful. You want to resent something? Resent that. You need somewhere to direct your rage, your hatred, your frustration? Hate the thing that wants you dead; that wants us dead. Hate the thing that wants to eat your soul and replace it with its eternal craving.

It’s not that we deny our responsibility for our situation or our duty to keep fighting. But in the midst of the humility we need to seek and find, sometimes we need to rebel. So yes, I welcome the rage and the rebellion sometimes.

I recently spent time in the hospital with an addict who has been on dialysis for years and has now just had open heart surgery. Still on methadone, she has the accompanying high tolerance for pain meds. I listened to her repeated begging for more medication as the pain resisted treatment. I watched her be in the power of nurses–some kind, some not–who questioned the validity of every request.

I watched her frail body curling in on itself, like a leaf curling and withering in a flame. I could almost see addiction as the fire in which she burned.

And I hated that fire.