1st Person: Acute Pain: Sudden Impact

First Person
Thursday, September 22nd, 2011

1st Person posts spotlight a patient’s or caregiver’s health care experience.

Dr. Jan Adams has had more than her share of painful experiences.  A retired general practitioner and mother of two who practiced “womb-to-tomb” medicine, she conducted humanitarian work around the world, notably with medical clown Patch Adams (no relation).

Dr. Jan Adams

Dr. Jan Adams

I was lifting 30 pound boxes of greeting cards all day, which would not normally have been any issue for me.  I noticed pain in my left groin. It was about a four on a scale of one to 10.  During the night, the pain went right on up to 10. I had to have emergency surgery.  The pain management was just fine. I used the tablets and started with a lot and then went down. Of course, it hurt if I moved wrong, but it was managed fine.

When I had cancer, I had pain that was probably a 20.  They gave me everything they could, but nothing really took that pain away. But I happen to have a wonderful husband. He would massage my head for five hours at a time. He would sit by me, find meditation music for me, he fed me. I wouldn’t have gotten through it without him.

Adams had an emergency colonoscopy, for which she says she was not give proper anesthesia or pain management.

Because I hadn’t been eating much, my nutrition and everything else was in the toilet. [Apparently], the blood supply to my colon was compromised. Out of the blue, I was hit with pain in the abdomen that was worse than labor. I dropped to the floor in a cold sweat. When I got to the hospital, they immediately gave me a dose of a very strong opioid and that took the pain away. That was very bad:  I’d had a colonoscopy before and it was a walk in the park.

How did I get through it all?  How do you get through delivery?  I had a lot of support.  I had the sense that I was not finished yet.  I’m cancer free now.

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