Access to Care: An ACPA Survey

Photo by Owen Michael Grech on Unsplash This week I took the American Chronic Pain Association (ACPA) Chronic Pain Access and Care Experiences Survey. The ACPA is using the survey to collect data from chronic pain patients to better understand their realities of accessing care, patient-clinician relationships, pain-related stigma, treatment barriers, and the unintended consequences of healthcare policies affecting pain management.  The survey is intended for educational and … More Access to Care: An ACPA Survey

Connective Tissue and the Pineapple De-Back-le

“Daddy, daddy, I want pineapple, please?” My three-year-old daughter has recently become obsessed with Costco’s fresh pineapple spears soaked in coconut juice. I’m a proud papa when pineapple is the preferred snack, so I gladly grab a new jar from the cabinet and twist the lid to try and open it. Nothing. So, I grasp again and put my whole forearm … More Connective Tissue and the Pineapple De-Back-le

Biologics Part 1: Pre-Gaming with Specialists and NSAIDs

Photo by José Boj on Unsplash Step 1: The Specialist Carousel  How many medical specialists does it take to treat a chronic pain patient? Long before obtaining an autoimmune diagnosis and investigating biologics, I pre-gamed with an extensive group of specialists. After a hip injury in 2002 sent me to physical therapy, it started a specialist carousel that lasted the next 22 years before I received a diagnosis of axial spondyloarthritis (AS). Although I can’t remember them all, I saw approximately seven to eight massage therapists, ranging from deep tissue to myofascial to craniosacral, six to seven physical therapists, three … More Biologics Part 1: Pre-Gaming with Specialists and NSAIDs

Dysautonomia and the Stress Test

Photo by Ty Tomlinson on Unsplash  As I lie on my back on an exam table, electrocardiogram wires entangled across my wrists and ankles, I scan the room of my new rheumatologist for clues to his methods. This is the second specialist I have seen in over a year after receiving a diagnosis for a second joint disease, coupling my hypermobile Ehlers Danlos Syndrome (hEDS) with a fresh Spondyloarthritis (SpA).  On the walls hang the standard doctoral certificates, artwork of joints describing how they function, and an unorthodox shadowbox with an aged and … More Dysautonomia and the Stress Test