I was writing this as data for a doctor, to help keep me from dying.
Then I realized that it might be ready to share.
If you don't know this already, I have pain that can mimic any symptom of a focal seizure,including having my brain be essentially wiped clean as can be, making any reading, writing, or other existing I do pointless. So: What do I tell a doctor, to hope I get properly treated?
My seizure level events can destroy my awareness and sense of self, and leave me feeling like a sandblasted brain in a jar, including a loss of all awareness. They never lead to a loss of consciousness, but, there’s another issue in my body that occurs as well.
My hips are really twisted together, so much so, that I expect vasovagal symptoms to happen occasionally. (After all, they happen. Why look for another explanation, until this one doesn’t serve?) I assume, when my hips are in a bad spasm, they could occlude the major veins returning blood to my heart, leading to underfill, leading to a spike in blood pressure (to keep blood in the cranium) – temporary POTS. Occasionally, I have had my hips spasm, such that, along with the seizure-like symptoms, I was experiencing uncontrolled clonic activity, with intermittent loss of consciousness. The way these events usually end, is, my awareness returns enough that I know what’s happening, and I leap to my feet, literally. This forces me to utilize all of my leg muscles in a particular fashion, and always – every single time! – restores normal, continued, consciousness, as I end the inner-hip muscle spasm, by seizing (ahem) them with my outer hip muscles. Two takeaways: if you watched me, you’d think I could have had a tonic clonic seizure; AND, all of the symptoms are explained better my minor dislocations, neurological pain, and a body’s desire to unconsciously undo minor dislocations, so that’s officially “a thing,” now.
I know that pregabalin, which helps gaba, also helps these seizure like events. I know that alcohol, which helps gaba in small doses, helps these seizure like events, and remember, before you tell me “you drink too much alcohol, Mr. Palmer,” you’re talking to the equivalent of a seizure patient who started drinking because the seizures were killing him, and he didn’t know to go to a doctor for anti-seizure meds. Now I’m going to a doctor, and, I’m trying to stop alcohol, but, remember: my problem is not an addiction to alcohol, nor is it “substance use disorder,” what it is, is uncontrolled pain, that alcohol helps. Get rid of the pain, the alcohol use goes away, because damn, I know my body needs a break. I just need to be alive, when it finally gets its break, to prevent that break from being eternal.
I believe anti-seizure meds are the best solution to uncontrolled neurological pain, resulting in seizure-like symptoms, because, duh, “seizure medication, seizure symptoms, one might help the other, and it should be studied.” But no one has studied it yet. I’m your patient-0. Because I’m your patient-0, I’m weird about wanting to live. I’m in pain that would kill people, because sometimes, death would be better than what I go through, and remember: it’s what I go through EVERY WAKING HOUR. This isn’t a “mental health” issue, me being suicidal sometimes, it’s uncontrolled pain. And the events might as well be a seizure, for all the disruption it causes to my life, so I deserve pain relief the same way a seizure patient deserves relief. I don’t need a psych consult.
ANYWAY: today, I want to live; that’s a massive change in outlook. If you’ve never been suicidal, you simply can’t comprehend what a difference it is, to want to see tomorrow, next week, next month, next year. Two things coincided with that. First: since the most common gaba-affecting medication was an “anti-anxiety” medication (Xanax, and its more famous cousin, Valium), and, since I had Buspar, an anti-anxiety med they give because benzos feel too good, I felt I’d try that. Buspar affects two pathways with its effects: pain, and mood. My two worst symptoms are excruciating neurological pain, blowing my brain up like a seizure, and, constant mood crashes. Taking 60mg starting on Buspar (I was dying – you don’t bring a bucket to a fire, you bring a hose) coincided with a reduction in perceived suffering. The Buspar probably helped; it should have helped, somewhat. But I fear that the real help was, I’ve finally “unwound” all the joints that were causing my most extreme pain. Again, I’m sure I’d have gotten some help with Buspar, but, I can’t prove I did, and the pain is too extreme for half-measures. As a “hail mary” attempt at something that might work, it was the best hail mary since discovering I had low testosterone, and I plugged a real, physical, deficiency.
What I really wish had happened was, I got an EEG, triggered my pain, and we watched what happened. Maybe we can’t do that – maybe most people can trigger an EEG if they really try hard! But my 2-day EEG is scheduled such that I’m literally afraid I’ll be well, before the start of day 1. With proof that I have “enough of a seizure” that I’m allowed to try a tiny dose of Xanax, I would know how a fast acting benzo might save the life of someone like me. Maybe it wouldn’t help. But here’s something to consider.
I think a lot of people are “like me,” insofar as they might have neurological pain. I know neurological pain can present as a bad mood, or, it can aggravate a bad mood, and break your boundaries, so, now, you’re thinking of hitting someone you love, and you might be appalled by that image, but, it might pop up. Why? Well, first, neurological pain says “do something! It’s urgent!” and that makes you antsy, you see? You look for what’s wrong, and that’s why you might think “I want to slap them… just once!” because you’re so, so, frustrated, and the neurological pain turns it from something you’d say in exasperation, into something you can picture doing.
So: depressed people might be in neurological pain, and don’t ask my opinion on ECT, given that we’re likely blasting the brains of people in extreme pain with electricity, rather than maybe giving them a medication that alleviates their pain!
Ahem. But my control of my anger means I know if my brain presents an image of hitting someone, and it’s not BDSM play (sorry, kids, that’s an “ask your parents”), it’s just the pain speaking. It’s not me. It’s not that I’m evil. But not everyone knows it’s pain. Someone, in anger management right now, is in tears, because they’re doing the work, they’re doing it all, they even started spiritual practices they don’t believe in, just in case they helped, but the images, those horrible images, they keep coming back. Fun fact: if you try *not* to see yourself hitting someone you love, you’re more likely to see it, as a result of neurological pain. It’s like, you have to keep checking, “am I seeing me with a child and a belt?” and, your brain flashes the image, like it was saying “that’s right boss! I remember what not to show you! Oh… right! You don’t want to see this!” I’m making the exchange more humorous, but, honest to goodness, from the inside of my own brain, I see it happen. If you attain peace, that it’s just the pain talking, then… look.
You can’t “attain peace” to make the images go away. If you try to do that, you’re still thinking of the images. You need real peace, real guilt-free, “I’m not a terrible person if my brain burps a bad idea into my head. I don’t care who says otherwise, because: it’s always okay to be me, when being ‘me’ doesn’t hurt anyone.” That kind of peace, and you don’t see the images as often. They’re no longer important to you, and if they flash up, you’ll distract yourself, is all, until the pain goes away, just like a headache.
Depression, and anger/rage. Pain can cause lack of sleep, which can bring on hypomania. Pain can also cause the emotional state known as “ecstasy” – you are in an ecstatic state, like a native American who had leather straps hanging them by their skin, so they were in hella pain for hours, and, in self-defense, the brain detaches from ordinary reality. It’s not like the party drug, m’kay? You can get really weird. Me, I’m like a vision of a good pope, who wants to bless any who request it, to share food with the hungry, drink with the thirsty, comfort for the afflicted, you know the drill. A perfect Catholic boy’s image of heroic holiness. But I’ll SAY it, see? And I’ll smile beatifically at you if you agree that love is so much better than hate or indifference, it’s so REWARDING. Note the lack of danger to self, or others. I’m just a harmless weirdo, but, my behavior is clearly “aberrant” which is to say, civilly liable to be jailed and drugged away. Yay, America, home of the free.
Hypomania, or, ecstasy that’s misidentified, can be diagnosed as “mania.” What does mania mean? It means you’re permanently bipolar, no one can ever say otherwise. Seriously, check DSM-5. It’s not supposed to be used, to condemn you as a crazy bipolar (expletive_deleted), of course; it’s supposed to mean “it’s okay, you can get mood stabilizers, because you had one manic episode, so I can diagnose them in good conscience. You don’t have to take them, but a lot of people like you love the meds, so maybe give them a fair try?” We now have bipolar disorder, flawlessly mimicked by neurological pain.
Finally, if you haven’t had good, refreshing sleep, you can have hallucinations, that have nothing to do with an organic brain disorder, but, you might be tagged “schizophrenic,” and, if you were accosted, by cops, because you were annoying people, (as hallucinating people do…), you might have resisted their investigation, making you a violent crazy person, forever more. Maybe the merciful judge will shed a tear, and order another 90 day dose of dumbsville for you.
Anyone NOT having nightmares, there’s the door – I kid, but, if this isn’t nightmare fuel for you, what *is*? Now: think about this. Valium was amazingly popular, and addictive, and, overprescribed, but: so too was “vibrator therapy,” to get a “hysterical” woman to have orgasms. Orgasms improve life, hence, women wanted more. So what was Valium?
Was Valium an orgasm, in a sad woman’s life, and it made her feel so, so nice, that she naturally wanted more? If so, that’s a worrisome sign of addiction potential. Or… or did Valium alleviate a lot of neurological pain, and, also feel good? I don’t know. My brain goes aphasic, so I can’t read and write for very long, my brain craps out too quickly, then has a seizure-like event so I forget all my just-acquired knowledge, so I can’t research the literature. Ironic I might need “Valium” (or a drug in its class) to learn about Valium. Because I want to present the idea that Valium might have been a miracle, for the right women, but we didn’t know the difference between being a stressed mom who nearly strangles the kids, figuratively, and someone with a severe neurological pain disorder who needs to learn “it’s just the pain talking, the children aren’t being evil demons, and I’m not a bad person because of brain burps.” And also needs pain relief desperately.
I’m sure the reason I’m in pain is, I have a syndrome I’ve invented, Twisted Body Syndrome, or TBS, and, I say that causes the neurological pain, automatically. I can explain it, and I hope my explanation tests out as correct, so, yes, we need research. Still, my goal is, if you’re twisted up, and ask for pain meds (which may be benzos!), we need to remember that drug laws are to preserve and protect human lives, not deny lifesaving pain relief to suffering patients.
And we need to take another look at properly prescribed benzos. Maybe they won’t work! But damn, I know that’s why I won’t get a prescription – no proven seizure. And just a few tablets of Xanax would tell me a lot about TBS and my pain, and, damn it all, I’m going to live, so it’s not as big a deal for me, but other people are dying, and need to know! Maybe only really awful anti-seizure meds will alleviate neuro pain, okay, maybe it’ll be something far less pleasant than benzos. Regardless, I sure would have liked to have known this, 16 years ago, when I had 16 years of unspeakable agony ahead of me.
“Awful meds” become awfully nice when they give you a life worth surviving for. Trust me, I know the difference between a life worth surviving for, and one that, well, isn’t. Survival is so much work, and if all you have is unending pain… why work so hard? Especially when the pain makes surviving so hard? Those are real, cold, hard, thoughts people like me have, as we contemplate the suicide plan, so, I’m really talking about a need for literal, lifesaving, pain relief.
Today, no one cares, yet; we’re not even trying to help people like me. That has to change. Anything else should be unthinkable. Neurological pain must be identified, and treated; there are few civil rights issues that rise to this level of importance or higher. We need to end “Stand Your Ground,” laws, obviously, because it eliminates a person’s “right to stay alive” in the face of someone else who can claim they were terrified of the corpse, before they made it a corpse. Still there are more people in severe neurological pain than will be killed by bigots. So, again: ending Stand Your Ground ends an unconstitutional abomination, but, I don’t think it’ll save as many lives as proper identification and treatment of neurological pain.