The rising tide of patient advocacy

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Today is the 4th of July, which in the United States of America is called Independence Day. I don’t know enough about the history to talk about it here, but I did spend a bit of time brainstorming the notion of ‘independence’. I was always bought up to be an ‘independent young lady’ and always valued my ability to look after myself and solve my own problems. When it comes to healing, I suspect that approach is not ideal… we need the support of others, and trying to do everything on our own can sometimes make the healing journey harder, longer, and lonelier.

Doing my ‘domino thinking‘, got me thinking about independence versus dependence, which then got me thinking about how we can and do help each other heal, which in turn got me thinking about patient advocacy…

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When I was a child and you went to the doctors, HE was usually sitting on one side of a big desk in his white coat, and you and your mother were sitting on the other side.  The doctor would say “this is what is wrong with you, and this is what you need to do to get better,” and you would have no real other option than to say “OK, thank you.”

If you left the doctor’s office feeling unsatisfied for whatever reason, you could organize a second opinion from another doctor (and hope that the first doctor didn’t find out), but not much else.  There were few medical books in the local library, and you needed a doctor’s degree to read them.  The knowledge-path was basically a dead-end that stopped at the doctor’s table.

Fast forward to more recent times.  The last doctor’s room I went into, SHE was sitting beside me, facing her computer, typing away as I talked.  She was wearing a shirt and pants and comfortable shoes.  If she’d left the room and walked through the waiting room, you’d have no real way of knowing she was a doctor.  Moreover, as she was telling me what she thought was wrong, I was able to ask questions, push back a little, perhaps (carefully) introduce the information I had gained online before I arrived.  There might be some argy-bargy-banter.  One time, not long ago, I remember suggesting to a doctor that my migraine tablets came in a nasal spray, and perhaps she could write a script for that… which she did.

In many ways, for better or worse, the hierarchy of expertise and respect for professional knowledge has been eroded.  For those of us trying to get more information, that can seem like a good thing.  For doctors who spent years at university and are now drowning in patients’ Dr Google near-death-self-diagnoses, it’s probably quite frustrating.

But even with this blurring, this ability to find out more, even get a (sort-of) second opinion online, I would suggest that a hierarchy of sorts still remains.

Most of the information that we get about what it is like to be sick still comes from the medical profession.

When I went looking for information on what migraine was, what makes it chronic, how I could reduce the pain during individual attacks, or better yet, how can I reduce the frequency of my migraines… I would suggest that 90% of sites I visited were ‘official’.  They were set up by healthcare providers, individual headache clinics and companies that sold products to help you heal.  They were efficient, information heavy, often repetitive.  I’ve got nothing against these sites – I learnt a lot on them – except perhaps, what I wanted most: convincing evidence that I could heal.

I wanted real life stories from real life people to motivate me.  I wanted some version of a new friend who would say ‘if I can heal, so can you.’  I wanted someone who said, ‘have you tried this?’ but in a non-pushy, non-judgmental way, with no need to declare Amazon-affiliations.

So, I kept looking, and there WERE a few sites (the 10%) that seemed to have a more personal aspect to them; patient survey results, case studies of former patients, forums, chat groups.  There WAS evidence of the real people I was looking for, with real lived experience, who made me feel less lonely.  The conversations, however, were often fairly focused on the downsides of being sick, were sometimes disjointed, or had advice that was cut short by wordcount limits or the writer drifting away to do other things.

Part of why I set up this blog is because I wanted to create what I felt was missing – consistent, motivational information that explained what it is like to live with an illness that came from a PATIENT.

Since I started blogging at the beginning of the year, I’ve noticed that there are other people like me out there – patients who are explaining their illness, documenting their healing journeys, advocating for others.

Call me crazy, but I can sense there is a rising tide of patient voices.

I can’t wait for a time when doctors tell their patients “this is your diagnosis, and this is what it means… but don’t just trust me… look up these sites that will tell you a little bit more about how it is.”

There’s a quote I once heard (I think it comes from John F. Kenedy): “A rising tide lifts all boats”.

Here’s hoping we ALL get a lift out of the rising voices of patient advocates!

Take care, Linda x

PS – in the spirit of a rising tide, if you live with migraine / chronic pain, or you help care for someone who does, and you want to write to inspire others to have hope, I’m totally open to guest posts – just drop me a line on the Contact page, and we’ll take it from there.

PPS – the idea of having a virtual-blog-get-together has really taken root in my heart, so I had a look at which countries were the top 6 readers of The Mindful Migraine Blog since it started in mid-January and they were; USA, Australia, India, UK, Canada and Germany (how wonderful!). Then I asked a meeting planner was there any one time that suited all those countries on Saturday the 20th of July (just after my 6-month anniversary), and there was ONE time that wasn’t great, but had nobody asleep:

So, in the name of all things communal – I’m calling it – Saturday the 20th is the Inaugural Mindful Bloggers International Zoom Occasion (IMBIZO is a Zulu word which means ‘a community gathering’ – I hope they don’t mind me borrowing it!). I’ll send out a Zoom address closer to the date and I hope that a few of you can make it and get the opportunity to say hello to each other!!

AMMENDMENT – because I’ve just discovered most of the US is earlier, not later, in their time-zones, and would have to get up at 4am to attend, I’ll do TWO meetings – this allows New Zealand to join in as well:


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31 responses to “The rising tide of patient advocacy”

  1. Our woven selves – The Mindful Migraine Avatar

    […] I’ve spoken of the “tidal” (rather than linear) nature of healing, and the “rising tide of advocacy“, both of which affirm the fluid nature of the wellness-illness spectrum I reside […]

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  2. jonicaggiano Avatar

    I love what you have said here and I also know what you mean about doctors, but I think it is good that patients have a place to learn. There is no way that doctors can work full time and keep up on everything new in medicine.

    I really enjoyed reading this post, I have suffered from migraines for years. I started taking Imitrex when it was an injectable. When I had used the few I would get per month, I just suffered.

    Since then when I was still in my early thirties, I had a water skiing accident and was told by the neurosurgeon that was called in to see me that I was lucky I was not a quadriplegic. I severely injured four disc in my upper neck. Now because of eventually having surgery after waiting for over ten years, it has been so long that I have severe chronic pain in my neck and my shoulders. I have frequent headaches now from the damage which causes baseline migraines that travel up behind my eyes.

    I am so sorry that you have been going through this for so long. I am truly blessed as the generic version of Imitrex works for me and I get nine a month. The more I write and am on the computer the more uncomfortable I become. However I am always so grateful to God that I did not break my neck. That day the doctor looked at me and said, “Your life will never be the same young lady.” He was right.

    Have you ever read the Headache book? It really helped me learn about sulfates and MSG and how they definitely cause severe migraines for many people. The thing is that MSG can be called about 20 other things unless the content is so high that the FDA makes food manufacturers call it MSG. I am guessing you have read everything out there. We can’t find our book or I would take a picture of it for you. My husband learned all the other things MSG can be called and we stay away from all those foods. I truly hope this helps. I am so sorry you have to live with this and I truly pray that you get better. Sending you many blessings and my love, Joni

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Thank you Joni; for being here, for sharing your story, and for your generous spirit! Being able to find the good in the bad is not always easy, but in this instance, I think that your take is true; you really do sound like you had a lucky escape!

      It is so good that you have been able to find a medication that helps you (but sad that it seems to be ‘rationed’ – curious – is that a reluctance to over-use or an insurance issue?). I have medications that definitely help take the edge off, but none that has completely eliminated the pain behind my right eye (every day, 24/7 for 2+ years and counting) – but I thankfully haven’t had a full-blown-bed-bound-for-days migraine for some time now.

      Thanks for the feedback on foods – it is a definite trigger for many people – I am careful with MSG (and its sneaky alternatives), have stayed away from all alcohol as a major trigger for 10+ years, and moderate my caffeine intake… not much else food wise is a trigger thankfully.

      I’m so glad that you found the blog and our little fledgling community – it’s always so powerful (and bitter-sweet) for the people who read the comments to know that they are not alone! xox

      Liked by 1 person

      1. jonicaggiano Avatar

        Oh my goodness, I am so sorry to hear that you deal with this daily. I have said a prayer for you, I am so sorry that there is not something that you can take that completely gets rid of your migraine. I can’t even imagine living with a migraine daily. Have you ever had an x-ray of your spine or an MRI where there could be pressure on your C-3 disc? I am truly sorry that you have to deal with this in your life. You are attitude is very good and you are a gracious human being. I can see that from your blog. Thank you for sharing with people about this because there are migraines suffers around the world. Yes the medication that I take is a limited prescription. It is a Vasoconstriction. It increases the blood flow to the cranial arteries. so it directly affects the areas where a migraine is located. You can get nine pills per month on most insurances. In order to get more than nine a month you have to get a special request approved which is not easy to do. I also take a Flexeril if the migraine is really bad, which is a muscle relaxer which makes me sleepy so I really don’t like to take it. However, I’m grateful to have it when I need it. Yes, alcohol, especially wine with sulfates is bad, alcohol is a real no no for most with migraines. I pray that you will be blessed with healing. ❤️🤗❤️

        Liked by 1 person

        1. The Mindful Migraine Blog Avatar

          Thank you for all your blessings (gratefully received) they give me the momentum to keep blogging, even on days when I would rather go back to bed (although I still do that sometimes!) xxx

          (PS – your medicine approach sounds different to mine (I’m Botox to relax muscles and nerves in my neck, shoulders and face, and a medicine that lowers my blood pressure to reduce the pressure around the brain). Lots of MRIs on my head over the years, but never my neck… might be something I should try – thanks for the tip!)

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  3. dgkaye Avatar

    Excellent post Linda. We have to be our own advocates when it comes to medical issues. We need to make ourselves aware and ask questions. So many just take whatever the doctor tells them. ❤

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Thank you! I lived a long time believing that doctors had my best interest at heart – and I still think that is often the case – but no one, NO ONE, has as much at stake in my healing as I do – so that means that we just have to step up a little, be brave, find a voice, and keep trying for what works for us.

      I’m so thrilled that you visited – you’re always welcome here! xx

      Liked by 1 person

      1. dgkaye Avatar

        Thanks for the warm welcome. 🙂 I’m now following your blog. And I learned a long time ago I am my own best advocate. Saved my own life once doing so. ❤

        Liked by 1 person

        1. The Mindful Migraine Blog Avatar

          How incredible – I can’t wait to learn more from you – it’s so wonderful to talk to people in different locations on their healing path, from those who are still nervous to take the plunge and back themselves, through to those such as you who recognize the value of self-advocacy! Yay you! xx

          Liked by 1 person

          1. dgkaye Avatar

            Yay us! 🙂 xx

            Liked by 1 person

            1. The Mindful Migraine Blog Avatar

              🥰

              Liked by 1 person

  4. joannerambling Avatar

    Reading this made me think of my youngest daughter ad her 8yr battle to get someone to take her abdominal pain seriously, not just say she was fat and need to lose weight, or it was all in her head, blah blah blah. She ended up having her gall bladder out she was having recurring bouts of pancreatitis but the doctors were not paying attention didn’t do the right tests or whatever.

    We need doctors who listen and arrange for testing and are willing to admit the go tit wrong in the first place if the did.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      I have a fabulous neurologist who has made all the difference in my health journey, but I have also had many doctors where were ignorant, dismissive, or even cruel, about my ‘headaches’. Many were in too much of a rush to take the time to listen properly, others were know-it-alls who didn’t want to hear from me (even though I am the one with the lived experience articulating what hurts). I’m not sure whether it is a training issue, the way the system is set up in our country, or just personalities, but I sure hope that things improve so that more patients get more “CARE” – in both senses of the word! xx

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  5. Stella Reddy Avatar

    🌞What a wonderful idea, Linda! I woud love to join you, just send me the link and I will make sure to attend.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      YAY! I was hoping you would – I have two times now (the second one is 12 hours later), because my geography was so bad I didn’t realize most of the USA would be asleep – so you can choose whichever works better. I’m going to give myself a crash course in Zoom next week and then I’ll send out an invite – can’t wait to “see” people for real – you peeps have made my life so much better and I can’t wait to say thanks! xx

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  6. Poetic Spirit Avatar

    This post was so on point. It’s everything most of us go through. Thank you.

    Liked by 2 people

    1. The Mindful Migraine Blog Avatar

      🥰Here’s hoping that our voices get amplified as we help each other become more empowered in speaking our truth! xx

      Liked by 1 person

  7. mchelsmusings Avatar

    I’ll have to see. I don’t know at this time. But I’m interested! ❤️❤️

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      UGH I know! 9-10pm is past my bedtime – but I would love to see you – because I’ve just realized half the US is 2 or 3 hours earlier not later – I’ll make a SECOND meeting for 12 hours later – 9am in Sydney (Sunday) should be about 4pm on the Saturday afternoon. Hope that helps xx

      Liked by 1 person

      1. mchelsmusings Avatar

        That would help. Thank you 😊
        ❤️❤️

        Liked by 1 person

        1. The Mindful Migraine Blog Avatar

          No problem – I have a terrible sense of geography – I really hope that we get to meet face to face, it would be soooo cool. xxx

          Liked by 1 person

  8. Sheila Avatar

    I have the call on my calendar! It will be 6am here and 4am for the USA West Coast so we may or may not be asleep still lol.

    Liked by 1 person

    1. The Mindful Migraine Blog Avatar

      Really?! That’s no good – I thought it would be two hours later… I’ll make A SECOND meeting for 12 hours later 9am in Sydney – makes it about 4 / 6pm on the Saturday afternoon – hope that helps. xx

      Liked by 1 person

      1. Sheila Avatar

        Yep. Washington DC is eastern time and as it goes west across the country it gets earlier. I was totally going to get up for it though!

        Liked by 1 person

        1. The Mindful Migraine Blog Avatar

          Oh my gosh you are amazing!!! (I just got tears in my eyes!!)… I definitely don’t want you getting up that early – a second meeting is no problem at all. xox

          Liked by 1 person

  9. CattleCapers Avatar
    CattleCapers

    Sorry to hear that you suffer from migraines.

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    1. The Mindful Migraine Blog Avatar

      Thank you – I’m getting better, and all of you coming to visit me here helps tremendously! xx

      Liked by 2 people

      1. CattleCapers Avatar
        CattleCapers

        Very glad to hear it. Sounds like a terrible thing to suffer from.

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        1. The Mindful Migraine Blog Avatar

          I’ve had it since I was 11, so on one level I’ve gotten used to it… on another level, you never do! xx

          Liked by 1 person

          1. CattleCapers Avatar
            CattleCapers

            I can imagine you had your learn to live with it to function, but my heart goes out to you.

            Liked by 1 person

            1. The Mindful Migraine Blog Avatar

              I really appreciate your empathy so much – and so will the other people who read the blog comments to get a sense of being seen and heard – you’re the best! xx

              Liked by 1 person

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