This post has been a long time coming, so I firstly want everyone to know that this wasn't a spur of the moment decision.
The forum games have been an emotionally chaotic and stressful point for me for the past few years.
It took me longer than it should have to realize and accept that the forums were a toxic environment for me.
This is not in regards to anyone in particular, this is specifically about the environment- and my mental needs.
I will no longer be participating in the currently running forum games.
I want to thank you all for the fun I've had over the last 12+ years.
I have met and had the pleasure of interacting with some amazing people.
I am honored to say that I have made some friends.
My characters are not dead as of this moment. They have simply gone on. If the GM decides to kill them off at some point, it is at their discretion. I ask out of respect for one another as writers and creators that no one play my characters or assume their behavior. Just let them go.
I know how connected we all are to our writing and character creation. With that being said, if anyone needs a closure scene, or a moment to say goodbye, please let me know through email, facebook, or text.
you can get pain pills without a prescription. +1 (302) 393-5477
It can be beneficial when, for example, your knee sustains a blow and tissues need care and protection. However, sometimes, inflammation can persist longer than necessary, causing more harm than benefit.
Pain Management: Treating Mind and Body
Scheman stresses the importance of approaching pain both physically and emotionally and addressing "people as entire human beings.” So while chronic pain medication can be effective and important for pain management for many people, it isn't the only tool available when it comes to pain treatment, and it shouldn't be the only tool that's used.
Medications. "There are a lot of medications that are prescribed for pain," says Scheman, although she notes that opioids (narcotics) and benzodiazepines may not be the best options. Those treatments "have their own problems, and there are no good studies on using opioids for long periods of time for the treatment of chronic pain."
Types of chronic pain medication used include:
NSAIDs (non-steroidal anti-inflammatory drugs), including ibuprofen, naproxen, and aspirin
Antidepressants, which can improve sleep and alleviate pain
Anti-seizure medications, which can be effective in treating pain related to nerve damage or injury
Steroids, like dexamethasone and prednisone, to alleviate inflammation and pain
Therapy. Therapy can be aimed at both the mind and the body. Says Scheman, "I try to look at any of these therapies as not being purely physical or purely psychological — we are always a mixture of both of those things."
Physical therapy is a very important part of any pain management program. Pain can be worsened by exercise that isn't done correctly (or interpreted incorrectly as pain rather than overuse), and a physical therapist can tailor the right exercise regimen for you. Proper exercise slowly builds your tolerance and reduces your pain — you won’t end up overdoing it and giving up because it hurts.
Cognitive-behavioral therapy allows people to "learn and have a better understanding of what the pain is from, and what they can do about it," says Scheman. This therapy is really about understanding the role of pain in your life and what it actually means for you, add Scheman.
Non-steroidal anti-inflammatory drugs (NSAIDs) can be taken to alleviate the pain caused by inflammation.
They counteract an enzyme that contributes to inflammation. This either prevents or reduces pain.
Examples of NSAIDs include naproxen, ibuprofen, and aspirin, which are available to purchase online.
Avoid the long-term use of NSAIDs unless advised by a doctor. They increase a person's risk of stomach ulcers, which can result in severe, life-threatening bleeding.
NSAIDs may also worsen asthma symptoms, cause kidney damage, and increase the risk of having a stroke or heart attack.
Acetaminophen, such as paracetamol or Tylenol, can reduce pain without affecting the inflammation. They may be ideal for those wishing to treat just the pain while allowing the healing factor of the inflammation to run its course.
Corticosteroids, such as cortisol, are a class of steroid hormones that prevent a number of mechanisms involved in inflammation.
There are two sets of corticosteroids:
Glucocorticoids: These are prescribed for a range of conditions, including:
Creams and ointments may be prescribed for inflammation of the skin, eyes, lungs, bowels, and nose.
Mineralocorticoids: These are used to treat cerebral salt wasting, and to replace important hormones for patients with adrenal insufficiency.
The side effects of corticosteroids are more likely if taken by mouth. Taking them with inhalers or injections can reduce the risk.
Inhaled medications, such as those used long-term to treat asthma, raise the risk of developing oral thrush. Rinsing the mouth out with water after each use can help prevent oral thrush.
Glucocorticoids can also cause Cushing's syndrome, while mineralocorticoids can cause high blood pressure, low blood potassium levels, connective tissue weakness, and problems with the levels of acids and alkalis in body tissue.