114 points

For those of you who haven’t experienced crippling back pain, it is more intense than you can understand.

One time, I had to be dragged across the house on a blanket by my aging father to get to the power lift chair because I fell down trying to get out of bed.

Another time, I had a flare-up and had to lay in the bed of my truck while a friend drove me home because I couldn’t bend my leg to get in the car.

I’ve shit myself rather than try to get up and go to the bathroom because of the pain.

And yes, the insurance company tried to deny the epidural I received that probably ended up saving me from eventual suicide.

That one injection in my spine has kept the sciatica from affecting my legs and within 24 hours my life had changed.

And it took an extra 4 months because the insurance company at first denied it, then approved it, but only for a 2-day window so I couldn’t schedule the procedure, and I ended up having to go to the Board of Insurance twice.

4 months where I’d get flare-ups that made putting on pants an hour-long process. 4 months where I couldn’t visit friends because I didn’t want to risk getting stranded at their house unable to walk. 4 months where I could barely work because sitting at the computer was nearly impossible.

I hate violence, but if I’d have met one of the insurance company heads during those 4 months, I might have shot them.

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9 points
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I hurt my back doing construction. The company I sacrificed my back to wouldn’t cover the cost of my physical therapy. The pain has got me in trouble at other jobs too. I was in the lab and bent over to pick up something that fell on the ground only for my back pain to flare up again. The pain was so intense it took everything I had just to stand up again and then I could barely move. My coworkers and supervisor were very annoyed that I could barely move when there were criticals that I was working on.

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19 points

Whenever I read about the US healthcare system I wonder why it’s CEOs are not gunned down every single day.

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7 points

Well either federal government cancel their job with single player of some form or they will will keep getting gunned down. They literally radicalizing people every day and some of these people are smart and capable.

Boardrooms, not classrooms.

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5 points

Kinda hard for radicalized people to do much when they’re confined to the state their condition has them in - or they die.

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22 points

As someone with crippling migraines, I am never ever questioning how debilitating someone else’s pain is.

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5 points

I’ve experienced migraines of all severity levels since I was a teenager. I have a top 5 list of the worst migraines I’ve ever experienced. Number 3 was the one where my husband found me sitting at the kitchen table with a spoon in my hand completely out of it. When he asked me what I was doing I told him I was considering gouging my eye out. Number 2 was the three days I lost to absence seizures. I actually called out of work twice within a few hours because my autopilot is strong and my brain was gone. I almost lost my job for that one. Number one was the time literally crawled through the house on my belly for the phone and gave up in the living room before passing out. All I can remember of that one was laying there feeling my heart beat in my fucking eyelashes for what felt like ages. That was the one that made me go see a neurologist. I would never ever not believe someone’s pain experience.

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6 points

I get migraines - not as bad now, post menopause and on low dose daily HRT that seems to prevent most of them.

But absolutely the worst pain I’ve ever felt is migraine, and I’ve had unmedicated childbirth, broken bones, plenty of injuries, IUDs put in, nothing has even approached the pain level of a migraine. I used to not understand when the doctor would ask how bad it hurt on scale of 1-10 because it exists outside that scale.

Back pain I think is similar, but probably its own sort of hell because it immobilizes people.

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4 points
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That part about the pain scale is spot on. HRT and adequate anxiety and pain medication have made mine less common and intense too. I don’t know how or why though.

Imho the weirdest thing about migraines is when you’re 4 to 5 hours deep and suddenly your brain goes out in a bang. The pain subsides for a bit and you feel that weird euphoric feeling.

The third pain that can compare to that according to what I’ve heard is tooth ache. Although I’m blessed enough to never have had any issues in that department.

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8 points

I used to get those too when I was younger. I don’t envy you a bit there. I haven’t had one in over 20 years and the memory of them still frightens me.

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3 points

I’ve had exactly one migraine and at every spike of it I remembered those stories of people who shoot themselves because of pain and was sad in the moment (but happy after) that I didn’t have a gun cuz I’d have absolutely used it

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24 points
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fyi - Mangione posted in July 2023 that the chronic pain he’d had for years had been eliminated by spinal fusion surgery, which he recommended highly. He said he was finally able to sit and do other things that had been very painful, and had not taken pain meds for days. Of course maybe the pain, which he had posted about frequently for years, came back and he didn’t think to mention it. The one and only time he mentioned insurance in all his tweets was to say Blue Cross had covered his tests for Irritable Bowel Syndrome a couple years ago.

Many links in this Independent article

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5 points

I know after surgeries I’ve been elated at the seeming reduction in pain, and all I do is rave about how great it is, but then it always comes back and I’m depressed and I just stop talking about it. wouldn’t shock me if that was his case.

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2 points

Valid point, but I would think a chronic tweeter would be a lot less likely to stop talking about it.

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7 points

Pain certainly make you see things differently.

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10 points

What is this picture of? I’m not sure I get it.

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36 points
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This was an attempted correction for a L5-S1 Spondy. Basically the 5th lumbar vertebra slips anterior (forward) over the sacrum. This stretches the spinal cord, causing pain. The correction was attempted by using posterior fixation pedicle screws and rods to pull the 5th lumbar vertebra posterior (backwards) relative to the sacrum.

Based on this image, it’s hard to say - but very possible that this expensive procedure did not improve the pain the patient was experiencing. The spondy is still clearly present.

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9 points
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The vertebrae needn’t come back to its place but still give pain relief in the long term by giving it stability. It is usually accompanied by other procedures which also reduces strain on the nerve giving relief.

BTW I am a surgeon treating and operating for back pain.

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2 points

Yep, this is correct. It’s not possible to conclusively determine the outcome of this particular procedure without a pre-op x-ray and the patient’s feedback.

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1 point

can you tell if this image off-angle or are the pins not parallel?

looks excruciatingly painful

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2 points

Looking at the vertebral body endplates, I’d say this shot is off of a true lateral by some small amount. The screw placement looks OK (or at least, not glaringly bad) to me, I’d need higher resolution or an AP (anterior-to-posterior) to say for sure.

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7 points

I’m sending you my MRI. We can discuss it later this afternoon, right?

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4 points

As long as it’s lumbar or cervical spine related, sure! But I’m not a doctor, just have spent a few years designing implants for these procedures. :)

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23 points

This is Luigi Mangione’s xray, showing his back pain issue.

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1 point
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Antiwork

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