Margerumalia – Pain Experts

Newsletter – August 15, 2025

I had something to say to the guy wearing this T-shirt. 

Trust me, I’m not stupid. I know better than to get all confrontational. Especially when the guy next to him looks like he eats three bowls of Steroidios for breakfast every day. Besides, I saw the pack of shirtless teens jogging past me in the park. They’ll be back soon.

I had just finished listening to the latest Serial podcast: “The Retrievals, Season 2.” It’s about women who have gone through Cesarean Sections with inadequate anesthesia. Remarkably, the message from these women is that if they say they can feel everything, that’s because THEY CAN FEEL EVERYTHING.

And you know what the problem has been? Communication. 

The good news is that nurses, doctors, surgeons, and anesthesiologists really don’t want their patients to suffer. The bad news is that they haven’t learned the language skills to understand the difference between discomfort and pain. Until now.

Through the harrowing stories of the patients and staff, we learn what they are thinking, what their expectations are, and what they’re assuming rather than understanding. With the right words, the right communication skills, the difference is revolutionary, giving everyone the basis for understanding and permission to change the process. 

My wife can tell you that I’m more than a bit squeamish about graphic imagery. And I admit to crossing my arms across my abdomen a few times while listening. But that’s empathy. That’s the experience of stories, truth or fiction.

So I had to say something to this marine. 

I approached the car and said that I saw the words on the back of his shirt and wanted to tell him that pain is an indicator. A message that something needs attention. So it’s important to listen to your body. 

I told him how my wife and I encourage one another to take our cues from pain to change what we’re doing or to take a break from what’s causing that pain. 

Both young men listened respectfully—as marines are taught to do—but I saw that quick glance they shared, so I tried to lighten the moment. 

“Age is probably a big factor when you’re 40 years older than those boys running through the park,” and we all smiled knowingly, “but there are times when you have to pay attention to that indicator and not do more damage.” They nodded and thanked me, calling me sir. “I just needed to say after reading your shirt,” I added.

Did I make any difference? I don’t know. Did the NFL listen to accounts of Traumatic Brain Injury? The jury may still be out on that question.

It’s so important to speak up. To communicate. To listen. 

Maybe you can make a difference. 

Serial episodes are available wherever podcasts are offered. Both seasons of “The Retrievals” are excellent. I recommend them. 

TTFN

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My middle grade novel, The Most Amazing Museum of Los Angeles is available through The BookBaby Bookshop at https://store.bookbaby.com/book/the-most-amazing-museum-of-los-angeles