Good days, bad days and everything in between...

So quite a lot has happened over the past month or so. All good, bad and neutral. During the middle of July and some into August, I had the opportunity to take care of a client/friend's dog, named Tango. He was a med sized Corgi, much more red than ones I have seen previously but very handsome and with quite a character/personality. He was a great dog, you could tell that he really got a lot out of everyday life as a dog, really lived each day to its' fullest. And I could take him with me, the next best thing for me as a pet sitter - any dog/animal that I can take with me in the car and go on errands, hiking, camping, to events, etc. So where I went, he went. He just loved being center of my world, he always paid attention to me. We went into this coffee shop and instead of him paying attention to the pets he was getting, he only looked up at me with a big grin on his face. When we went to the Pescadero Beach and I brought Blue with us, he and blue chased each other all over the place, and there was Tango chasing Blue down, acting like he was twice his size. I had so much fun with him and he loved to spoon and cuddle in bed. It was amusing sleeping next to a slightly overweight Corgi, who was cuddled up right alongside of you and also snored! He was in my care for almost a month, as his owner took about an extra 4 days over to be away. When she got back, I learned that something was wrong with him all of a sudden, he could barely walk the next day after she got home. I felt bad, like maybe I had walked him too much or he just got sore from all of the running around he had done at the dog park. Unfortunately when he was taken to the vet a few days later, it came back that this lymph nodes under his elbows were super swollen and then the biopsy came back and said that he had very advanced Lymphosarchoma. When I got that email, I cried for hours and then off and on throughout the day. I started emailing people who had gotten to meet him over the previous weekend. He got to meet my Gramma and neighbor and brother and family when he spent most of his time under my chair in the dining room while he took part in a dinner party for my Gramma and he was so good, inside my house of all places! It only took me half a day to bond with Tango and for me, that was very special. He was practically my dog when his owner finally returned. And it was hard to say goodbye that day but in my mind, I would see him soon. About two weeks later, right before I had planned to meet his mom and Tango in Woodside to visit with him and 'say goodbye' to him, I got a new email from his owner with a really wonderful note describing him and his life and she told me that they had put him down the day before, that he was in too much pain and there just wasn't anything worth doing. I cried all day and night and off and on for the next week or so. I'm still very sad and it took me almost a month to load the pictures from my camera onto my laptop to be able to look at pictures of him without loosing it. Here are my favorites that I took, the only pictures that I have of Tango: R.I.P. Tango




The next pet sitting job was for my friend M in San Jose. Crash is such a great dog and one of my new buddies. He is so great that halfway through our first long amount of time with each other, we bonded so well that I secretly wished he was my dog. I've never felt that strongly about that feeling with any other pet I have cared for, whether it was a friend's pet or not. The story about how we bonded is very cute: I had met him previously but it had been months so I doubt he remembered much since we didn't have a chance to play before. I came in the house to greet him and he was really shy and nervous, with his tail between his legs:( I got him to come to me with all the treats I found in the kitchen and I sat on the floor in the kitchen so he could get to know me on his terms. He walked around and sniffed me a bit, then when I saw his confidence, I started talking to him and finally he sat right down beside me and it was then that I just wrapped my arms around him and squeezed and he nearly exploded with excitement. It was so cute, I was laughing and expressing positive noises in his presence. He was suddenly so happy and just wanted to play with me and shower me with kisses, which is what I got. He snuggled together in bed, he would wake me in the morning by watching me and he has such a unique personality, it's like he was once human. He's got a big sturdy, long body with a vicious tail that likes to wag and knock things off tables as he walks by! He also reminds me of the guy in Zoolander, especially because he does the same 'pose' with his head as he whips it around to look you in the eyes. It's so incredibly funny to see! I tried to capture it below. There is also a picture that I caught of him in my front seat in the car. I had let him outside to walk around with me while I packed the car, getting ready to head home and after 5 minutes, I suddenly couldn't find him. I found him in the driver's seat, curled up, not wanting to get out and as if to say, 'where you go, I go'! He's my new fave and I can't wait to take care of him next. I will get to take him with me to the Bark in the Park Festival in San Jose on Sept 20th. Can't wait for that.





Here are a couple pics taken with Crash and Goldie. Goldie is the Collie/Aussie Shepard that I walk 3x week and she is one of my faves as well, obviously we have a special bond, as her mom calls me her 'best friend'. Crash really liked Goldie a lot and even affectionately let her play with his ball. She was running and chasing the ball and would carry it around in her mouth. And she's not even a 'ball dog' which is funny! Happy Dogs!!!:)




Two weeks ago I found out that my Aunt on my dad's side has breast cancer, and a scary type at that. It's one that is in the form of a large tumor, in her left breast, inside the milk duct! It was never a lump that she felt so when she went in for her yearly mammogram, they saw something on the films and requested she get a biopsy done. It now appears that it has been growing inside of her for 10 years. Fuck! :( So I've been in such shock and just haven't been sleeping well for a few nights on and off. I've known of several women who have gotten this disease but not actual close family members or close friends and no one that has gotten such an advanced case of it Originally when they discovered it on the film, it was thought that it had already spread to all of her lymph nodes, not just the ones in her left breast. It is just devastating! I didn't' get much done last week and was just thinking good thoughts. She had surgery last week on my brother's birthday, to remove the 22 swollen/infected lymph nodes under her left arm and to remove a good chunk of breast tissue under the left to get all the margins as well as the same amount on the right side just as backup. Don't want to have to go back in later. She stayed in the hospital for two nights and was back home on Friday. She was in a bed for a bit, with a very sore left armpit and places where the tissue was removed. At least she was on lots of nice drugs! Both cousins K and G went down to Newport Beach for that weekend when Ka got home from the hospital. Today she finally got the results back from her biopsy on the stuff that was removed and thank goddess, her excellent surgeon got all of the margins and the equal amounts on the right side so all of the tumor has been removed completely. Yay! She is in really good spirits as of right now and is thinking very positively I'm sure. :) We all feel much better about all of this now. I think G and K are still there and Gr is supposed to be up this coming weekend I believe. Now she just has to get through Chemo, having her hair fall out and radiation. Obviously this can be pretty rough too but she feels lucky to be past the part where you keep waiting on news.

Other news, include: Kineivel turned 5 on August 9th. I still remember today seeing him on that curb on the side of the road and watching C catch him and scooping him up in my arms, listening to his tiny purr. He is the purrmeister today, as his purr has different tones but I was woken yesterday by his loud, impressive purrs, as he exclaimed his excitement that it had finally cooled off weather wise and he could go back to taking naps that resemble hibernation under the fuzzy fleece horse blanket that is on my bed.


*It is now official!!! I am moving to Portland for sure, sometime around the end of January. I promised my loyal pet sitting clients that I would stay here through the holidays so that they could plan their holidays and I also have one last job beginning of Jan. I will for sure be having a great big 'Going Away' party/bash and you'll get invites in December sometime! I'm looking at housing now and I will be in Portland from October 7th until the morning of the 12th. I'm taking advantage of flying, since I can't drive that far alone and I just want to get there, instead of doing a drive that takes all day and night. I can't wait, as it is much needed and I need to look at some housing options and visit with friends/new friends. :)

Why I refuse to watch The Dog Whisperer

Some people, mostly my mom and a few friends, know how strongly I feel about the guy in the show called The Dog Whisperer. I would hope that any kind, caring animal lover who watches or has watched this show, would be intelligent enough to realize that Millans' training techniques are inhumane and very cruel. The fact that thousands of so-called animal lovers and owners watch the show and praise the techniques used on the show, makes me incredibly upset and I usually just walk away if someone brings the show up. I have tried countless times to convince people that the show is only doing harm and it's teaching people to be cruel to their animals and cause them pain as a way of getting them to listen, to become scared of their owners. And after I have explained how the techniques used on the show were wrong and people were being misinformed about proper, humane ways of fixing behaviors and training problems, they will often brush me off and go on and on talking about how wonderful Ceser Millan is. Please! Gag me with a spoon. Are you serious???

So I was very happy when I found this article today, written by American Humane, which is an amazing organization who protects the rights of animals and children and goes out of their way to educate the public about cruel and inhumane treatments. They oversee filming laws in movies and videos that use animals and children, they advocate adoption and they are the people responsible for implementing emergency animal rescue relief in times of crisis, like when Hurricane Katrina stuck New Orleans. In September 2006 they wrote this article to the National Geographic channel, asking them to cancel the show. Here is what they wrote:



'Dog Whisperer' Training Approach More Harmful Than Helpful

Denver (September 6, 2006)

The training tactics featured on Cesar Millan's “Dog Whisperer” program are inhumane, outdated and improper, according to a letter sent yesterday to the National Geographic Channel by American Humane, the oldest national organization protecting children and animals.

In the letter, American Humane, which works to raise public awareness about responsible pet ownership and reduce the euthanasia of unwanted pets, expressed dismay over the “numerous inhumane training techniques” advocated by Cesar Millan on “Dog Whisperer.”

Several instances of cruel and dangerous treatment -- promoted by Millan as acceptable training methods -- were documented by American Humane, including one in which a dog was partially asphyxiated in an episode. In this instance, the fractious dog was pinned to the ground by its neck after first being “hung” by a collar incrementally tightened by Millan. Millan’s goal -- of subduing a fractious animal -- was accomplished by partially cutting off the blood supply to its brain.

The letter requests that National Geographic stop airing the program immediately and issue a statement explaining that the tactics featured on the program are inhumane, and it encourages National Geographic to begin developing programming that sets a positive example by featuring proper, humane animal training. In its letter, American Humane said: “We believe that achieving the goal of improving the way people interact with their pets would be far more successful and beneficial for the National Geographic Channel if it ceased sending the contradictory message that violent treatment of animals is acceptable.”

“As a forerunner in the movement towards humane dog training, we find the excessively rough handling of animals on the show and inhumane training methods to be potentially harmful for the animals and the people on the show,” said the letter’s author, Bill Torgerson, DVM, MBA, who is vice president of Animal Protection Services for American Humane. “It also does a disservice to all the show’s viewers by espousing an inaccurate message about what constitutes effective training and appropriate treatment of animals.”

Torgerson noted that the safety of a woman and her German shepherd were jeopardized in one episode by the use of an electric shock collar, which forced the tormented dog to redirect its aggression at its owner, biting her arm. “Furthermore, the television audience was never told that Mr. Millan was attempting to modify the dog’s behavior by causing pain with the shock collar,” he said.

What you read above has not been blown out of proportion, rather when the show first came out, as always when something animal related comes out, I sat down to watch it in hopes that I would be learning some new methods of animal training that I could apply in my own workings with dogs in my life and in my pet sitting business. But unfortunately I was appalled! I remember tears streaming down my cheeks and getting very angry and I didn't even watch the entire show. I got up, left the room and emailed The National Geographic channel about my thoughts and something about 'how dare they show a program that tells people it is okay to be cruel to their dogs. I never heard back from them but I also never watched the show again and I believe that by not supporting the show, I am making a difference. Now I just want to spread the word about the show and try to get the show pulled. So while this article was written 2 years ago, by us bombarding the channel website with emails, it would really help I think to bring this issue back to the present and advocate the cancellation of The Dog Whisperer.

Now and again, I talk to people and when I first met Heather and her dog Gracie - who happens to be a Katrina rescue dog - she asked me my opinion of The Dog Whisperer. I frowned and carefully told her my thoughts. To my surprise, she agreed with me. She told me about the show that she had first seen and that it was a case where the dog was scared of other dogs because it had had no social interaction with other dogs as a puppy and apparently the owner couldn't take her dog anyplace where other dogs were. In the show, when nothing else worked, Millan proceeded to use force to try to 'scare' the dog into submission. I had tried to wipe my memory of that show, but as it turns out, this was actually the episode that I had watched as well, so Heather told me what happened. Millan put this dog into a little fenced area, about 4 feet in circumference so the dog was trapped there and had no way of escaping. Dogs who have been abused should never be left trapped like that. Then he let loose about 5 or 6 different dogs, I think a few were his and the dogs just started barking at the dog in the fence and circling him and this poor dog was whimpering and just got down on the ground because there was nothing else he could do. He had the shit scared out of him and he was probably scarred for life after that incident. Millan proceeded to praise the dogs that were outside of the fence, for their behavior and he praised the dog inside the cage for submitting to Millan and his technique. Then he had the owner walk the dog over to another dog, both on leashes. This poor dogs' response was to immediately get down on the ground and cower, not making eye contact or acknowledging that there was another dog in its presence. Watching that made me so extremely sad and I was just appalled at the fact that they - whoever they is - would allow such a thing to be shown on public TV. But of course, I'm blown away by a lot of things that are shown on TV, even just basic cable. But don't get me started on that tangent.

So if you want to be a part of this cause, you can email National Geographic and tell them what you think of the show and why you want the show canceled. It makes a bigger difference when lots of people get together and contact a TV channel to get their opinions heard. So if you care, please take the time to do so.

National Geographics' contact info is: http://channel.nationalgeographic.com/contact. There is a form that you fill out. If you want to contact Millan himself and tell him how you feel about what he does, go here: http://www.cesarmillaninc.com/contact/. Thank you!

Michael Phelps is my new hero!

For those of you not watching the Olympics - and if you aren't, WHY??? - you are so missing out! Our country rocks the summer olympics this year. We have done so well. But I am happy to say that because of the Olympics I have a new hero - Michael Phelps. Not just because he's just done the impossible - won 8 gold medals in one Olympics and broken 8 world records in each of his 8 events. But because he is an amazing swimmer and he swims a lot like I do, at least in freestyle, with his shoulders up out of the water and leaves a powerful wake behind him. It has been so awesome and mind blowing watching him swim LIVE on TV and win so many things - plus out two men's relay teams did amazingly well and also broke world records in both of those events. At one relay, we were half a pool's length ahead of the rest of the field. Just amazing!

Here is a list of his medals:

Men's Swimming
Competitor for Flag of the United States United States
Olympic Games
Gold 2004 Athens 100 m butterfly
Gold 2004 Athens 200 m butterfly
Gold 2004 Athens 200 m individual medley
Gold 2004 Athens 400 m individual medley
Gold 2004 Athens 4 x 200 m freestyle relay
Gold 2004 Athens 4 x 100 m medley relay
Gold 2008 Beijing 200 m freestyle
Gold 2008 Beijing 100 m butterfly
Gold 2008 Beijing 200 m butterfly
Gold 2008 Beijing 200 m individual medley
Gold 2008 Beijing 400 m individual medley
Gold 2008 Beijing 4 x 100 m freestyle relay
Gold 2008 Beijing 4 x 200 m freestyle relay
Gold 2008 Beijing 4 x 100 m medley relay
Bronze 2004 Athens 200 m freestyle
Bronze 2004 Athens 4 x 100 m freestyle relay

Here's a link to news on his 8th Gold Medal. So cool!!! http://www.iht.com/articles/2008/08/17/sports/OLYPHELPS.php?WT.mc_id=glob_mrktg_lnk1&WT.mc_ev=click

Here is a news video: http://www.youtube.com/watch?v=emzsB1b2cWw

And lastly, on this site, under Swimming, you can watch Phelps win all 8 Golds! http://www.nbcolympics.com/racefortherecord/

:)

Recent California fires

These are a collection of shots taken during the recent Calif fires. So sad how much has burned and has prevented me and others from going camping as well as canceling many different endurance rides :(

http://www.boston.com/bigpicture/2008/07/californias_continuing_fires.html

Glad they are starting to go out!

Please help America's race horses!

*I was sent this via email. Please read it over and please sign the petition to help race horses!*

America's Race Horses Need Protection

Every year, hundreds of race horses suffer career ending and even fatal injuries on race tracks across the country. The recent, high-profile deaths of Eight Belles and Barbaro put a spotlight on the high risk faced by these majestic animals, who are literally "run to death" in some cases. Take action to protect America's race horses.

Currently, only a handful of states ban the use of steroids in horse racing, but most states do not. Decisions regarding track surfaces, young horses racing while their bones are still developing, and other horse welfare concerns are made on a state-by-state basis, resulting in widely varying degrees of protection across our country.

Fortunately, Congress is considering the formation of a national commission to address these concerns and provide uniform regulation of the horse racing industry.

TAKE ACTION
Please make a brief, polite phone call to your U.S. Representative, Pete Stark, at (202) 225-5065 to urge support for a national commission to protect our race horses.

When you call, you will likely speak to a staff member who will pass your message along to your legislator. Remember to be polite and professional, and leave your name and address so it is clear that you are a constituent. You can say:

"Hello, my name is [your name] and I am calling from [your city] to ask Representative Stark to support the formation of a national commission to oversee horse racing. Thank you."

After making your call, please send a follow-up email to Congress in support of national oversight of the horse racing industry. And don't forget to tell your friends and family how they can protect horses, too.

Go online and sign the petition: https://community.hsus.org/campaign/FED_2008_horseracing/5ubuu3r07wddn5w?

Thank you for all you do for animals.

Sincerely,

Mike Markarian
Executive Vice President
The Humane Society of the United States

Pain medications and 'addiction fears'

This is an issue that hits close to home for me, as family and friends have long since continued to express fear about my pain meds or the amounts that I sometimes have to take, as being an issue later on and possibly causing me to be addicted to them. Due to this 'fear of addiction' I have met many people, including family members & friends, who are in so much pain that they should be on regular pain meds but refuse to take them because they are scared of becoming 'addicted' to their prescribed medications. Not only does this do more harm in the body, but it puts those people in great amounts of stress and ultimately makes them worse in the long run. I'm a big advocate of trying to educated the public and also ignorant medical professionals about the fact that those in pain need the meds that helps the pain and their medication access should never be taken away because of some stereotype that has been placed on pain meds. Your doctor knows what is best for you and when he/she prescribes a powerful pain relief medication, it's for a reason. As long as you take your medication as directed, as I do, you're going to be fine. This also applies to those who may have the so-called 'addictive personality' running in their family; I don't believe that this causes a higher risk for addiction to pain medications or any other medications. People who are in real pain are not trying to get 'high' from their medications, they are getting relief for their pain. Research has shown that even people who have suffered long term chronic pain, sometimes most of their lives, are able to slowly go off of their medications under the direction of their doctors and then they don't need the medication anymore because they are not in the same amount of pain when they have gotten much better. Please read the following article, which has new research about this same issue. Please don't listen to every stereotype that you hear of and rather try to think for yourself, get the facts before you judge. This article includes great information about how to prevent addiction and how medical doctors should always watch their patients closely for any signs of oncoming addictive behaviors. When asked, I explain to people that yes I'm on some very powerful pain meds, some every day and other on an as-needed basis but I also have to see my doctor once every 3 months in order to obtain new prescriptions for those medications. So my doctor is constantly monitoring my progress and we discuss everything that is going on with me at each appointment. This is so important for the pain patient. So if you are in pain and are considering asking your doctor about pain medications, don't be afraid to ask. Tell your doctor your concerns around addiction and how to prevent it. Don't ever hide those types of fears from your doctor. He/she is there to help you and to provide the care and treatments you need to get better and to be in less pain. Thank you!

Whitney :)

Chronic Pain Meds Unlikely to Cause Addiction
By MedHeadlines • May 9th, 2008 • Category: Drugs, Headlines, Medical Research, Neurology, Pain

The general population and many in the medical community alike harbor the popular opinion that using strong pain medications, including opioids, for long-term, chronic pain puts the patient at high risk of developing an addiction to the pain medications. A report presented recently at the annual meeting of the American Pain Society (APS) reveals evidence to the contrary.

pain medsSrinivasa Raja, MD, a professor of anesthesiology at Johns Hopkins University Medical School, reports that less than 3% of all patients suffering from chronic pain and who have no history of abusing drugs of any kind may eventually show signs of dependence or abuse when taking these medications pain relief. He urged the medical community to keep this very small percentage of risk in mind when establishing policies for prescribing such medications to patients who are far more likely to benefit from them than be endangered by them.

Raja also points to media attention surrounding an increase in the abuse of such medications but says these drugs are easily obtained from unregulated internet pharmacies and through theft and forgery of prescriptions, not just from within the legitimate medical establishment. While the established medical community is not the sole source of supply for these medications, Raja urges diligent communication between physician and patient, with patient screening procedures to identify addictive or potentially abusive behaviors becoming a routine part of the prescription and follow-up phases of treatment.

Raja further calls for uniformity in state and federal drug regulations and praises the teen drug awareness campaigns underway across the country as a means of preventing abuse of this type of drug. Raja says collaboration from the healthcare community, law enforcement agencies, and the pharmaceutical industry is needed to ensure people who need them will be allowed continued access to these medications, especially in the many cases where the benefits far exceed the risk of dependency.

Alternative treatments such as cognitive behavior and physical therapies should be used to supplement pain medications whenever possible, according to Raja. He says using this multi-faceted approach to pain management is much more effective than relying only on pain medications as the sole means of relief in most cases.

In his address to the APS, Raja cited past beliefs about pain that have been disproved by scientific evidence, such as that babies didn’t feel pain and therefore didn’t need anesthesia and that cancer patients should eschew the most potent and effective pain medications due to the supposed risk of addiction. These outdated beliefs have been proven wrong and he feels the fear of addiction should be abandoned as well in favor of effective treatment for pain management without the stigma of potential addiction influencing treatment options.

Source: American Pain Society

I know it's been a while - the impact of not being believed!

I know i haven't posted in a while. A lot of things have been happening in my life, mostly good but some bad too. As is life!

Currently I'm struggling to live at home, mostly because my mom has once again decided NOT to believe how much pain I suffer from every single day. H says to take her words with a grain of salt but it's still hard and it still hurts! Ever had a parent break your heart? Then you know what I'm talking about. She says my pain and other symptoms are just 'excuses'. Well they aren't and I'm not sure how much more of this crap I can take from her. I don't want to push my move to Portland but I don't know what else to do. I can't live like this. I've started avoiding my own house! How fucked up is that!?! I really thought we were getting along but because I don't live my life the way she thinks I should, with her rules and her schedule - gee, sorry mom, I have my own life! and I'm 30 years old or did you forget that!?! So I'm considering either a) finding a bunch of overnight housesitting jobs on the Peninsula, to be close to my new friend CR there and her horses that I get to ride and that is helping more than I ever thought it would. Or find housing in exchange for pet sitting, which may happen in a couple of months too. Or b) save as fast as I can, ignore my mom, which is hard to do, relish the times that she is gone and deal with it the best that I can or just not be home very often and then move to Portland as soon as I can, which right now won't be until end of this year or beginning of 2009. Need to save 1st, last and pet deposit anyway, so i figure $1500 at least and also talk to J to see if she will consider Portland instead of Seattle and be my roommate :)

On another bad note, I found out that my best friend J, who lives near Seattle has to have surgery, which she had last week, for a grapefruit sized cyst that she had on an ovary. She's okay, though she lost the right one and is just taking forever to heal. She also has Fibro plus MPS and some other issues. So she's better and I didn't need to go visit her but I was quite concerned for about two weeks.

And on top of all of that, I'm also now dealing with the upsetting reality of the memory of something that happened to me over two years ago now. I didn't tell anyone about it, which I know is dumb. We, as women, always say that if such and such ever happens to us, that we'd be able to report it or tell soemone about it right away, even if it means getting someone you thought you liked or cared about hauled off to jail. Well for some reason, I dealt with it by hiding, keeping my mouth shut out of fear and then blocking it from my memory. It ruined my relationship with the only person I've ever loved and will always love, becuase I couldn't tell him, because of a stupid fear that he wouldn't believe me (even though that fear was realistic at the time); my parents and closest friends don't even know. I see movies about it all the time and ask myself why?! It's weird when you literally block a memory. But now it's been coming back and last night I had a nightmare about it, woke up in a cold sweat, alone. Then spent all of today in tears and dealing with being super anxious. Of course, it doesn't help that I'm low on Effexxor and can't get more until Wed. I can't afford to see my therapist right now so that makes the situation almost impossible to deal with. I think I need to tell my closest friends who are girls - not that I have any guy friends anymore anyway - but I need to just get it out, have someone show me that they believe me. And then go from there! I wish this feeling on no one. But I felt that I needed to write this here, to get it out.

Here is an article I just found, regarding the impact of how it feels and how it makes pain patients or anyone feel, when someone doesn't believe you:

The Impact of Not Being Believed
Monday March 3, 2008

"I just wish someone would believe me!"

How often have you said or thought that? Disbelief or skepticism about fibromyalgia (FMS) and chronic fatigue syndrome (CFS or ME/CFS) is something most of us are all too familiar with, and if you've experienced it yourself, you don't need a study to tell you how painful it can be.

Wouldn't it be great, though, if someone would tell your doctors how detrimental it is for them to dismiss your pain? I was delighted to see a chronic pain study out of Wales that does tell them. (While this study was only on chronic pain, I don't think it's a stretch to say the findings would apply to fatigue and other "invisible" symptoms.)

Of a group of 8 people in the study, only 2 said they had no problem getting health-care workers to accept their word on pain, and those two people also had visible disabilities. Stories from the other 6 included doctors denying pain medication, shouting at them for taking more pain killers than prescribed, and even blatantly saying, "I don't believe you," and walking out.

Those actions left them with feelings that (no surprise to us!) included anger frustration, isolation, depression and thoughts of suicide.

The study concludes that doctors and other health professionals just need to believe what their patients say when it comes to pain, bringing up a definition of pain coined 40 years ago by Margo McCaffery, a chronic-pain nursing consultant: "Pain is whatever the experiencing person says it is, existing whenever the experiencing person says it does." The logic is simple, but the implications to our treatment would be profound.

The final paragraph sums up what practitioners can do to avoid all these problems:

These simple means are: active listening; being non-judgemental; accepting the pain experience as credible as recounted by patients; and thus showing to patients that the relationship is based on caring and empathy. While these may be considered mundane and accepted practice, it is vitally important not to overlook the impact they have on patients with chronic pain.