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Pain

We had such a wonderful relationship. I wondered whether this was it. Could this be the one that I remember years from now, that I think about when I’m feeling down, or that I go back to when I hear the phrase “the good old days”?

It was better than good for a while. You were incredible and so supremely satisfying. There was electricity, energy and a belief that this connection was something extraordinary. It gave me so much to look forward to, day in and day out, because I knew you’d be there for me.

I was dealing with a lot this summer. My family moved to North Carolina. I lost the close proximity to the friends, neighbors and nearby family I’d taken for granted for all these years.

It was harder to see you at first. But that didn’t stop the connection, from allowing me to enjoy the promising magic ride. Maybe modern technology minimized the distance, maybe it was just some perceived link, but I believed in you, in us, from so far away.

My wife has become accustomed to the annual search for this kind of closeness with you. She’s extraordinarily supportive of my emotional well-being. She knows that I need you, even if you don’t always seem to need me. She appreciates that I don’t need to try to defeat this kind of addiction.

She knows that I had a connection with you long before she came along and she doesn’t try to get in the way of that. She hasn’t tried to change me or turn my attention to other passions. She also knows that, when all is right between you and me, she and I have a better relationship because I’m a better-adjusted person who believes anything is possible.

It was such a whirlwind this time. Even when you seemed on the precipice of disappointing, you found a way to come through. You put a smile on my face as I went to bed, knowing that you’d done it again and that the sky really was the limit.

Of course, I recognized that it would never be so spectacular for all these months. I knew there’d be some nights when I might feel like pulling away, when I might think about dedicating my time, attention and passion elsewhere. I didn’t disconnect because I wanted it to work out. I pushed the warning signs away, even if I started to feel as if the separation and the potential through the middle of the summer fell short of my hopes.

Ultimately, as you know all too well, people remember the biggest moments. When these monumental days arrived, you seemed ready.

Initially, you didn’t disappoint. But, then, something happened. It was as if the nagging concerns I had through the summer came back to haunt us. You hadn’t changed at all: It’s just that I saw the weaknesses, the deficiencies and the problems that limited you.

You fought bravely to hold on, but it just wasn’t meant to be. The Red Sox and their fans, as it turns out, will continue to move forward, driven by the belief that those 108 wins will propel them all the way to the World Series.

For me, I can only look back and smile, wondering about what could have been after that spectacular start and hope that, maybe next year, the Yankees and their dedicated fans from near and far will bask in the progression from summer success to the fall classic.

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By Susan Risoli

People coping with illnesses such as osteoporosis and rheumatoid arthritis — or those who have undergone a mastectomy — may also contend with pain, disability and a swirl of emotions.

hand_health_wThe best treatment plan is a multifaceted approach, said Marco Palmieri, D.O. Palmieri is medical director of the Center for Pain Management at Stony Brook Medicine. “A pretty high percentage” of post-mastectomy patients experience pain, he said. He and his colleagues recommend a well-structured regimen that could include medications, interventional approaches, physical therapy, acupuncture, massage therapy, diet, exercise and, in some cases, treatment by a pain psychologist, Palmieri said.

Interventional approaches may include ablation and nerve blocks. “We block the nerves that supply the area of the chest wall,” Palmieri explained. For postmastectomy patients, he said, pain management specialists would choose neuropathic pain medications first, before turning to opioid drugs, in what Palmieri called “an opioid-sparing strategy.”

A pain psychologist may be called in for postmastectomy patients “who experience mood effects or have trouble coping,” Palmieri said.

Most important is to remember that postmastectomy patients need more than a cookie-cutter pain management plan, Palmieri said. “Not every patient is going to fit into the same treatment paradigm. Some things may be more appropriate for some patients than others.”

An individualized treatment plan can also aid people with rheumatoid arthritis, a disease that is “more of an inflammatory syndrome from other body structures than from a nerve,” Palmieri said. RA treatments at SBU’s Center for Pain Management could include joint injections guided by imaging (x-ray or ultrasound), nerve blocks and ablations, non-steroidal anti-inflammatory medications, “and, sometimes, anti-depressant medications,” he said. Low-impact exercise, acupuncture, physical therapy and speaking with a pain psychologist can also help, he said.

He urges patients with acute or chronic pain from arthritis or mastectomy to understand that “there are options for them. If you come to pain management, it does not mean you’re going to be placed on narcotics.”

For information on the Center for Pain Management, visit www.stonybrookmedicine.edu or call 631-689-8333.

Those who have become all-too-familiar with the effects of osteoporosis and rheumatoid arthritis, and people who have undergone mastectomy can find relief and renewed health through the regular practice of yoga, said Danielle Goldstein. Yoga helps mastectomy patients “rebuild their upper body strength and work through the scar tissue that forms as a result of the mastectomy,” said Goldstein, owner/director of Mindful Turtle Yoga and Wellness in East Setauket. After a mastectomy, the breath work that is part of doing yoga helps people “worry less, because they’re able to be in the present moment. They develop the ability to not think about the past or the future — even if it’s just for that hour-long yoga practice,” Goldstein said.

 “The practice of yoga is the effort towards steadiness of mind,” she explained. And the physical side of it “will help people feel better, so they can enjoy their life more.” To get started, consult your physician and an experienced yoga instructor who has worked with mastectomy patients, she advised.

Keep moving — that’s Goldstein’s advice for people with osteoporosis and rheumatoid arthritis. Yoga will develop strength, she said, “and in combination with diet, the physical practice could help get body fluids moving so they’re not so stuck.” For osteoporosis, yoga postures (asanas) that are weight-bearing — planks, arm balances, bent-knee poses — will maintain bone density, Goldstein pointed out, “and these asanas can be modified for any age level.” Yoga is also great as a combination approach with acupuncture, nutrition, and Western medical treatment, she added.

People being treated or recovering from illnesses can still turn to yoga, Goldstein said. “It is believed that if you can breathe, you can practice yoga,” she said. “Yoga’s for everybody.” She recommended new students get started by calling the studio, speaking to her, and being guided to the best instructor for their needs.

“A yoga practice is sustainable over the course of a lifetime,” Goldstein said. “The practice may change, it may look different, but it’s still there.” And above all, she said, “It should make you joyful and happy.”

Goldstein can be reached at the Mindful Turtle Yoga and Wellness, 631-721-1881.