Thank you for the reminder that ricotta desserts are amazing. adding some to the shopping list now...
PEOPLE ARE SO FUCKING BAD AT REASONING PROPERLY ABOUT CHRONIC PAIN. I think I've developed a fairly precise understanding of of my pain issues at this point, and I think it's significant that my chronic-as-in constant pain can be quite minimal if I'm sufficiently disciplined about exercise, posture, sleep, MCAS control (and, and, and.) Given that, I feel pretty damn sure that the exertional pain issues that *never* get much better are not going to be helped by mindfulness and CBT wishful thinking.
Many doctors simply do not think precisely enough to understand why I am right. Their train of thought seems to be something like, "longstanding pain of unclear cause despite substantial workup" -> "this patient has Chronic Pain" -> "we should try all the most evidence-based treatments for Chronic Pain". I do not have Chronic Pain. I have a grab-bag of distinct musculoskeletal problems that cause pain in particular circumstances, and those pain issues are not going to get much better until their physical causes are treated (and I finally have a few smart doctors who might eventually pull that off!)
So, yeah, while this sort of shit clearly does help some people a great deal, I wish some doctors would think *way* more carefully about whether a neuroplastic mechanism actually fits the facts of a specific case.
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regna
(no subject)
Date: 2025-05-06 06:38 am (UTC)PEOPLE ARE SO FUCKING BAD AT REASONING PROPERLY ABOUT CHRONIC PAIN. I think I've developed a fairly precise understanding of of my pain issues at this point, and I think it's significant that my chronic-as-in constant pain can be quite minimal if I'm sufficiently disciplined about exercise, posture, sleep, MCAS control (and, and, and.) Given that, I feel pretty damn sure that the exertional pain issues that *never* get much better are not going to be helped by
mindfulness and CBTwishful thinking.Many doctors simply do not think precisely enough to understand why I am right. Their train of thought seems to be something like, "longstanding pain of unclear cause despite substantial workup" -> "this patient has Chronic Pain" -> "we should try all the most evidence-based treatments for Chronic Pain". I do not have Chronic Pain. I have a grab-bag of distinct musculoskeletal problems that cause pain in particular circumstances, and those pain issues are not going to get much better until their physical causes are treated (and I finally have a few smart doctors who might eventually pull that off!)
So, yeah, while this sort of shit clearly does help some people a great deal, I wish some doctors would think *way* more carefully about whether a neuroplastic mechanism actually fits the facts of a specific case.