The thing about pain, that I never really knew until this happened to me in my thirties, is that if you are in bad enough pain or for a long enough time (and that's in weeks, not months or years) it can give you depression. Even if your quality of life isn't otherwise impacted -- if it doesn't impede your mobility or exhaust you so that you can't go out -- even if it's "just" pain, being in pain is depressing. And the thing about both pain and depression is that independent of one another, when you are in either one of them you tend to make poor choices. You aren't able to pay full attention to the decision and depression impedes your ability to envision your future, effectively making you feel as if there are no consequences or rewards for your actions.
Now, the nice thing about being a little older and having gone through stuff like serious physical injury, particularly a brain injury, is that it's a lot easier to recognize when you've begun to make poor decisions, and put a stop to it before you make some really poor ones. You can't necessarily just tell yourself "hey stop doing that" but you can readjust your risk assessment and also stop trying to make as many.
Like, you catch yourself walking in front of a car that probably can't see you at a dangerous intersection, and for the rest of the day you make sure you don't cross against the light even if you think you could probably make it. You take the ramp instead of the stairs. You move more slowly. You don't buy anything. You walk away when you might normally pick a fight.
I'm fine -- I injured my foot last night so walking is very painful today, but the wound isn't see-a-doctor serious and I'm getting around okay. I did have to come in to the office for a meeting, which necessitates walking, catching and boarding a bus, and navigating a downtown street that's still pretty busy even at seven in the morning. And I did catch myself walking in front of a car coming out of a driveway because I wasn't watching the driveway as I normally do, because I was in pain. So, for the rest of the trip, I moved as slowly as necessary, stopped at crosswalks if I didn't have a clear walk signal (ie, no flashing red hands), and kept my eyes on the ground. In the office today I'm going to stay quiet and I've made a mental note not to speak in the meeting unless directly addressed. I might catch a cab home, though that has its own perils and the bus is arguably more safe given my muscle memory of public transit. And that's just because I made one bad call after being in pain for like, twelve hours. But I know me, so, a couple of days of caution it is.
Anyway the only real point of the post is to let people know, because nobody told me, that if you're in longterm or serious pain, a) it can materially impact your mental health, and b) you should move a little slowly and not make any serious decisions if you can avoid it.
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i know this won't be available everywhere, but especially if you live in a larger city where a lot of folks are affected by opioid use/addiction, it's a really good idea to ask local pharmacies, and even food banks if they are giving out free narcan (naloxone). this can also be found at certain behavioral health offices as well, my case manager is able to get them for me for free. narcan is a life saving medication that can temporarily halt an opioid (oxycodone, hydrocodone, heroin, fentanyl, codeine, morphine, etc.) overdose while you wait for emergency medical services to arrive.
opioid overdose is distress of the respiratory system, meaning that the person overdosing likely is struggling to, or can't breathe at all. it's very important to watch to see if the person is dealing with labored or shallow breathing.
here the official use guide:
[Image ID start: Two screenshots from the FDA's Narcan (Naloxone HCl) Quick Start Guide infographic. It reads:
"Narcan (Naloxone HCl) Nasal spray quick start guide. Opioid Overdose Response Instructions.
Use NARCAN Nasal Spray (naloxone hydrochloride) for known or suspected opioid overdose in adults and children.
Important: For use in the nose only.
Do not remove or test the NARCAN Nasal Spray until ready to use.
1.) Identify Opioid Overdose and Check for Response
Ask the person if they are okay and shout name.
Shake shoulders firmly and rub the middle of their chest.
Check for signs of Opioid Overdose:
Will not wake up or respond to your voice or touch
Breathing is very slow, irregular, or has stopped
Center part of their eye is very small, sometimes called "pinpoint pupils".
Lay the person on their back to receive a dose of NARCAN nasal spray.
2.) Give NARCAN nasal spray
Remove NARCAN nasal spray from the box.
Peel back the tab with the circle to open the NARCAN nasal spray.
Hold the NARCAN nasal spray with your thumb at the bottom of the plunger and your first and middle fingers on either side of the nozzle.
Gently insert the tip of the nozzle into either nostril.
Tilt the person's head back and provide support under the neck with your hand. Gently insert the tip of the nozzel into one nostril, until your fingers on either side of the nozzle are against the bottom of the person's nose.
Press the plunger firmly to give the dose of NARCAN nasal spray.
Remove the NARCAN Nasal Spray from the nostril after giving the dose.
3.) Call for emergency medical help, Evaluate, and Support
Get emergency medical help right away.
Move the person on their side (recovery position)
after giving NARCAN Nasal Spray
Watch the person closely.
If the person does not respond by waking up, to voice or touch, or breathing normally another dose may be given. NARCAN Nasal Spray may be dosed every 2 - 3 minutes, if available.
Repeat Step 2 using a new NARCAN Nasal Spray to give another dose in the other nostril. If additional NARCAN Nasal Sprays are available, repeat step 2 every 2 to 3 minutes until he person responds or emergency medical help is received.
For more information about NARCAN Nasal Spray go to www.narcannasalspray.com, or call 1-844-4NARCAN (1-844-462-7226)."
End image ID.]
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They tell us to reach out before we do anything permanent.
What do we do when we reach out and no one listens?
We keep reaching out, just like you did now. That takes courage and I'm glad you did.
I'm not sure what country you are in, but here are some resources:
If you're in North America, you can text or call 988 right now to get support.
You can reach out to NAMI's helpline: https://www.nami.org/support-education/nami-helpline/
You can get 24/7 support that is free and anonymous from https://mentalhealthhotline.org/ by calling or texting 866-903-3787
This world is better because you are in it. You're going to be OK.
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When things are good, my brain likes to find new problems to worry about. 😂 It’s like there always needs to be a problem to focus on…
Chibird store | Positive pin club | Instagram
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Bazelon Center (one of the few anti-institutionalization law centers that does Olmstead litigation) giving an award to a zionist politician (John Fetterman) is so fucking enraging and also really showcases how the nonprofit disability world is actually exploitative and dangerous in so many ways.
if you also feel pissed off that a "mental health law advocacy" group that supposedly cares about civil rights for disabled people is honoring a genocidal politician this Tuesday, feel free to comment on their instagram and also email
[email protected] and let them know how you feel!
Sample email script:
"I am deeply disappointed/enraged/heartbroken/etc about your choice to honor Senator John Fetterman with the 2024 Congressional Champion award. Fetterman's has publicly refused to call for a ceasefire and continues to support the ongoing genocide, frequently making racist and inflammatory public comments. As an organization that claims to value civil rights and equality for all disabled people, it is shameful that you refuse to act in solidarity with disabled Palestinians, instead choosing to award a politician who is celebrating genocide. I demand that you retract the award from Fetterman and do not honor a genocidal politician this Tuesday."
If you can, changing up the wording to make it your own would be best.
Key points for commenting/emailing:
Express your rage/sadness that they are honoring John Fetterman.
Explain that Fetterman openly supports genocide.
Demand that they retract the award.
as mad/disabled/mentally ill people, we have a responsibility to call out our community organizations when they do bullshit like this and to actively act in solidarity!
please share, comment, and email!
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