By Ox Drover
One of the first things I learned in nursing school was to correctly diagnose the problem before trying to fix it. I wish I had applied this lesson to my own personal life as well as I applied it to my professional life.
We were taught that when there was a perceived need, for example, when the patient was feeling short of breath, to assess why the patient might be feeling short of breath. Was the airway obstructed? If the airway was clear, then what was another likely cause of the problem? Sometimes a patient who is very anxious will feel very short of breath when they are actually getting plenty of oxygen, (as measured by a “pulse ox—”a little gismo that you clip on the patient’s finger and it tells you how much oxygen is in the patient’s blood). Or they will say “I can’t breathe!” when they really mean, “My nose is stopped up.” (If they are talking, they are breathing!)
So I was trained to look at and evaluate the situation, and only then to start to evaluate a plan. Once I had a plan, I was trained to carry that plan out, and to reassess if the plan was helping or not. Just good common sense.
Sometimes victims feel a perceived need; they feel that something is wrong with them. They are “hurting” and unhappy, but they aren’t sure what the problem is, or what is causing the pain and unhappiness. I have been in that same situation; I was hurting from my relationship with the disordered personalities around me. I had a need for love, I had a need for caring from those whom I cared about, but my need was not being met, therefore I felt “short of breath” but didn’t know what was causing my feeling of “suffocating.”
In my pain, in my lack of “oxygen,” I tried everything I could think of, almost at random, and nothing seemed to make me feel any better. I kept suffocating and like a person drowning, I flailed my arms at anything that floated by that might give me support.
I begged my abusers to help me, told them how I was suffering and suffocating, but though they told me they loved me, and I wanted to believe they loved me, their attempts to explain my pain as my own fault didn’t help me. I tried the things they suggested, but nothing worked. No matter how I tried to please them, I always failed.
The punishments they inflicted on me for my failures didn’t make me feel any better either, and I continued to spiral downward until I was critically ill. Still they didn’t seem to perceive how I suffered, or lend me any support.
One day, when I was critically ill, totally beaten down, with barely an emotional “pulse” and in more pain than I had ever imagined was possible, I realized I had not been using “common sense” to stop my downward spiral. I realized the only way I could stop the pain, stop the progression of my life’s downward spiral, was to use the good sense to diagnose the real problem before I started to fix it.
If a patient had come to me and said, “My foot hurts,” I would have looked at the foot and if I saw a thorn, I would not have said “well, let’s give you a pain killer to help your pain.” I would have removed the thorn, the obvious cause of the problem, before doing anything else. If the problem had not been so obvious, if perhaps the foot was tender, red and swollen, I might have taken a blood test to see if there was an infection. I would have asked if the patient had a thorn in there a few days ago, or if they had fallen, or dropped something on it. I would have worked my way down a list of questions that would have helped me get to the real cause of the problem. I would not have just thrown medication at them without knowing what the real problem was.
Why did I try to fix my own pain without finding out what the root cause was? How did I think the “shot gun” approach of just “shooting off in some direction” was going to help me to feel better, to get my life back on track?
Once I backed off and looked at specifics, looked at what the pain was, and what was causing the pain, and realized that as long as I did not take care of the root cause, did not remove the “thorn” from my foot, all the antibiotics in the world would not cure the problem, all the pain killers in the world would not stop the pain. The problem would continue to get worse if I did not take care of the cause of the problem and remove from my life the things (and people) who were inflicting the pain upon me, the infection that was killing me by inches.
Sometimes, the “cure” for our pain involves very extensive “surgery” to remove toxic and malignant “tumors” from ourselves, it might even involve “amputating” someone who is so dear to us we can’t imagine going through life without that person. I had to “amputate” my psychopathic son, and my enabling mother, both of which were traumatic operations for me, and for a while made me feel as if I had no legs, and couldn’t walk ever again. I have found though, like the Bible says, “If thy hand offend then, cut it off” is pretty radical but good advice, and sometimes cutting off a member of our emotional “bodies” is the only way to survive.
Surgery and medical treatment is sometimes painful, and we may want to delay “treatment” because of that potential pain, but I am here to “testify” that life without the malignant people is much, much better!
Wow Oxy, I love this! So right on. The Betrayal Bond book says that getting new and good analogies is critical for our healing, and this blog is a wonderful analogy to spur true healing. I love it. I also love this phrase:
it might even involve “amputating” someone who is so dear to us we can’t imagine going through life without that person.
That is exactly it….but get rid of that thorn!! And sometimes amputation is the ONLY way.
thank you, great, great post!
Thanks Oxy for reminding me to look for the source of the pain. The sooner you remove it, the less damage it will cause in the long run. For those of us who let the wound fester for so many years, we now have to deal with a long standing INFECTION of toxicity. Furthermore that wound has caused us to compensate in other ways to continue living with the source of the wound. Now we have so much time and energy invested in that lifestyle, that way of thinking, that we just can’t give it up so easily.
In my case I got my first wound from my parents and my immune system reacted to it. I must’ve been walking with a limp because the xP zoomed right in on the walking wounded and inserted another thorm. When I got the next wound, I didn’t even feel it because I was accustomed to that pain. My immune system took a hit, I walked even more crooked but I couldn’t figure out what was causing the disability. I tried to figure it out but all I could do was apply bandaids to try to stop the pain. I tried diet, exercise, herbs, vitamins, volunteering, praying. All of these were crutches to help me continue suffering with the wounds. Finally, I saw the thorn. When I pulled it out, I saw the original thorn – my family abuse. But now my immune system is all wound up, I’ve been walking crooked for years, I didn’t invest in a way of thinking healthy only ways of compensating for illness. I really don’t know how to think healthy.
Dear Skylar,
We have to learn new ways of coping, new ways of thinking, new ways of living, just like a person who has had a REAL amputation must learn to walk again with only one leg, or a person with only one hand has to learn to button their shirts, but if you take into consideration that the PAIN IS GONE it is much easier to go through life with “one leg” than two legs when one of them is so infected that it is literally killing the rest of you.
When I amputated my egg donor and my P-son, I felt like I had NO legs, but as the pain and infection of my soul stopped hurting me, I realized just how much better off I was, and I am learning now to not only WALK but to RUN, JUMP and PLAY and enjoy life! In many ways, better than I ever had before! Keep on working on learning to live again! It is WORTH IT!
Thanks, Ocy, for this timely article!
I have known quite awhile that the “root” of most of my problems is “not wanting to hurt others’ feelings” to my own detriment.
This week’s experiences has brought it straight home to me! I won’t repeat all the details because I lost them to cyberspace when I sought to preview it to make spelling corrections.
Instead, I will share that on Tuesday, I was in the office of a surgeon and I felt SO uncomfortable with him. Later in the day, I assessed that the instinct was due to the fact that I had been in the presence of a S/P/N. Hurrah, I could recognize one!!
Thus, began the search for another surgeon! I need one but not a personality disordered one no matter how competent his skills are (Afterall, my doctor EX was skilled in his field!)
Second, I recognized that I didn’t know how to “fire” this particular surgeon without hurting his feelings.
Longer story, but a few minutes ago, my gastroenterlogist called to check up on me and I confessed my fault of “not wanting to hurt others’ feelings to my detriment.” and what should I do?!!
He said “I think this is why we bonded on first meeting. Not wanting to hurt others’ feelings” leading to difficulties for me is my greatest fault, too!! I UNDERSTAND!”
Upshot: He found me another surgeon and I have an appointment already for next Monday in a different clinic!.
The sideline is that yesterday I shared with my gynocologist my concern and he had suggested another surgeon and got me into that surgeon for this afternoon!
Lo and behold, about an hour ago, the first surgeon called me and asked what HE did wrong. Turns out that “new” surgeon was in his SAME clinic.
Not wanting to “hurt his feelings” by telling him the truth, I just changed the subject and asked him about other matters! (Manipulation on my part? LOL! Or was it cowardice?)
Anyway, I rejoice that I honored my instincts and recognized AGAIN how trying to avoid hurting others’ feelings only brings ME upset!!
Am I healing??
Dear Lily,
I laughed at your telling about your insitincts and not wanting an N or P surgeon! I seem to find that the best “knife men” are ALL very narcissistic! LOL I used to joke with a physician friend of mine about if only Ns could become neurosurgeons or if becoming an neurosurgeon MADE YOU A HORSE’S BUTT! LOL
But, that said, I agree with you. My husband had surgery on his nose and soft palate and decided to do a “freebie” and give my husband a “nose job” (he had a very large nose) and MESSED IT UP BIG TIME. It so happened that this “hot shot” surgeon was working as an employee of a friend of ours who was a Ear Nose and Throat doctor as well, and we ended up getting him fired from his JOB as well as firing him as my husband’s surgeon. It wasn’t the bad nose job that was the worst problem but the haughty way he treated patients and how he bragged on himself all the time, treated office staff badly etc. He ended up going across town and settin gup his own practice, but I still steer patients away from him if I can.
I think you have EVERY right to pick a physician with whom you are comfortable. Now, if he was an N and you “hurt his feelings” TOO BAD, if he was not an N and really wanted to know what was wrong, TELLING HIM THE TRUTH, “your bedside manner lacked warmth” will HELP him be a better physician. So TELL THE TRUTH!!!!
And yes, my dear dear Lily, you ARE healing! You have made so much progress in the last couple of years that I feel like God has listened to my prayers for you and answered every one of them!!!! You know JUST how special you are to me, and how you are in my thoughts and prayers night and day! When the “night” of our pain was totally BLACK, you and I have held hands and “whistled” as we walked along and given each other courage to keep on going when there was no one else there but the two of us it seemed, but we both always knew that God was there with us in the dark. Keep your faith strong, Lily, and remember that “ALL things work together for Good to those that love God” and I know that you do, so I am holding you firmly in my heart! ((((hugs)))))
Timely post (again) for me to Oxy xxx I am about halfway through (I said I was a slow reader;) “children of the self absorbed” and I am finding it extremely helpful. Your post here really ties in with it for me.I really feel slowly reading through the book and going through the exercises, is helping me in dealing with the ‘root cause’, and giving me a lot to think about (outside of the immediate pain) good stuff to work through.xxx
Dear Blueskies,
Well, for what it is worth, I hope it makes you feel some better to realize that I have been putting emotional “band aids” on top of my “thorns” for 60+ years and wondering why I didn’t get better! LOL!
The reason I am so good at telling people what NOT to do is that I have tried every wrong thing to do there is! LOL (((hugs))))
I’m just having a hard time with all this, I’m my own thorn. I won’t go into my pity party again, although I would love to!! LOL. I just erased about 3 paragraphs of my pathetic crapola. I need an iron skillet attitude adjustment.
or a cast iron attitude adjustment…
Dear Oxy. your into letter to this subject was spot on as usual, marvellous. You are such a shining light, a role model for those of us still struggling to make sense of what we have allowed to happen to us for in some cases, years and years! In my case my Mum was, I think, a Narc and emotionally unstable, suffered from depression, as a small child I always felt Iit was my job to keep her happy and that if she was miserable, it was my fault.I was an absolute set up for the narcs and sociopaths in my life. Years and years of gaslighting from my ex and both my teenage daughters,{before I even KNEW about gaslighting, had me doubting my sanity! }I am learning so much from all you guys,so fast, I am trying to process it all, and deal with the feelings Ive squelched down for years and years, such as huge anger,{at myself too,} acute pain, regeret, grief, that Ive lost my girls,sadness,bargaining, all the stages of grief that Kubler -Ross describes. Oxy you are a legend, I see you as a cross between DOn Quixote on fat ass, and the British Queen{pre roman landing in britain,} Boadicea, riding her chariot, with huge spikes on the wheel axles, her shield and spear at the ready! You are also the Queen of metaphor and make everything so easy to understand.Maybe youve gone thru all of this pain to be a shining light for all of us here on LF!
Thanks again dearest Oxy, more power to your skillet wielding arm, I know its all done in Love, it shines through!!
Gem.XX