The Weaker Sex

Pain is an interesting thing.  Even more interesting is how different people react to pain.  Somewhere along the way, someone decided that pain should be considered the fifth vital sign, that we need to regularly ask our patients to "rate" their pain on the wonderful 10 point pain scale, and then treat them accordingly.

Even better is the fact that this whole "pain as the fifth vital sign" thing has been demonstrated to be useless.

But we still stick with it, so you get patients calmly, in no apparent distress, telling you their pain is 11 out of 10 (even after you tell them that 0 is no pain, 10 is the worst possible pain they can imagine).  Perhaps people just have weak imaginations.

But in all of this, I have come to one very fundamental realization: Men are wussies.

That is especially true for men from the age of about 15 to 55.  They complain and complain and complain.  Once they get older, they seem to toughen up some, but men my age whine like it is going out of style.  It is embarrassing, quite honestly.

Women, they are much tougher.  They have their fair share of wussies as well, and they can be pretty darn needy.  But on the whole, they whine a lot less than their male counterparts.  In fact, the >60 year olds are often pretty much as tough as nails.

Yep, there is no doubt in my mind.  Us men?  We are the weaker sex.

26,894 views 31 replies
Reply #1 Top
I have nothing to say about this article, but just wanted to let you know I read it and was here.
Reply #2 Top
I hate that stupid pain scale. I have trouble appropriately ranking my pain.

Like last weekend with the kidney stone, when I was at home and the pain was at its worst, I was crying and fidgeting, trying to get comfortable. When I got to the ACC and then the ER, the pain was much more bearable, but I told them 3 because if I told them like a 1, they would have blown me off, and when I was at home I was in serious pain so I wanted to be checked out.

I don't feel like doctors believe you hurt though unless you act nuts. I'm not that good an actress.

Twice I've had kidney stones misdiagnosed because doctors failed to believe or percieve how much pain I was actually in.
Reply #3 Top
Doctors never seem to get it right for anyone. It doesn't matter if you over act or under act. The result is the same. I have one ankle that currently looks like an elephant's foot umbrella stand. I broke it in 3 places and dislocated it back in 1994. I was recently sent to hospital as my foot and leg looked like a shiney red balloon. After various tests and 5 different brands of antibiotics, I still have a red shiny lower leg and ankle that is massively swollen and looks like an elephant's foot umbrella stand......
Reply #4 Top
I do find that there's wide variation in people's perception of pain. This all reminds me that I have a dental appointment next Tuesday. Probably the worst pain I've ever experienced in my life was from pulpitis - it's kind of like the final death-rattle-neuralgia that a dying tooth emits. For twelve hours, the whole side of my head over the trigeminal distribution was triggered and that was an 8/10, I figure. Keeps me going to that infernal dentist though.  
Reply #5 Top

ModMan: Greets and thanks for spending some of your precious time here.

I hate that stupid pain scale. I have trouble appropriately ranking my pain.

TW: I agree.  That is the whole problem with that pain scale.  What you rate a 3 others would rate an 8, so we are left wondering what to do.

thedtektivs: We might not get it right, but we try!

DrDonald: The pain sounds awful!  Hope all goes well with your dentist trip.

Reply #6 Top
The pain scale needs to come with examples such as

1: feeling pretty darn good, except for this minor pain in my fingernail

2: tore nail at the quick. slight bleeding

3: animal scratch

4: hit funny bone

5: large animal bite -- breaks skin

6: slam finger in door, not broken

7: second degree burns from ramen noodles

8: getting a boxer's cut above the eye / having something jammed under finger/toe nail

9: getting kicked in the balls / getting stabbed / getting shot

10: giving birth to a 15lb baby / losing a limb / explosion on inside of body

These are, of course, just approximations. I've had up through #7, after that, I used my imagination.
Reply #7 Top
I also hate that stupid rate your pain crap. I've always felt that it's dumb and not very scientific.

I reserve my whining and complaining for my blog. In person it would be a rare thing to hear me even mention my pain let alone complain about it.
Reply #8 Top
Pain varies so much from what a person can stand.

I had a friend whose shin muscle outgrew her muscle sheath. We were doing cross country running in college but she kept running even though her shins hurt. After a race she'd have all these bumps on her shin and some people tried to tell her they were mosquito bites. She kept running until she finally found a doctor who figured out she needed to have a surgery. I would have been begging off way sooner.

When we got tattoos I thought it felt like getting stabbed with a steak knife over and over and she said it didn't hurt at all.

If she ever tells me she is in pain, I pretty much insist she gets her butt to the hospital right away. I think her pain tolerance made her an amazing athlete.
Reply #9 Top
momijiki: Wow at your friend.

I agree with her about the tattoos, though. To me it felt like almost pleasant scratching. I guess that depends on where on the body you get your tattoo, too.

BlueDev: I think this is a really interesting topic. Thanks for a great article.
Reply #10 Top
My first tattoo hurt like a... well, you know what. The second one actually tickled. I think where you get it is a big part... though personal tolerance is probably also a large part of it.
Reply #11 Top
momijiki: Wow at your friend.


She is the toughest woman I know. IBy hanging out with her, 've ended up doing some stuff when I was younger that was pretty out of my league fitness-wise. She was a cross country skier and went to world juniors' and I would train with her sometimes but I was nowhere near her level. We were dropped off and camped at a log house (no water or electricty) in the Rockies in BC. We hiked everyday and then one day for fun we decided to bike into town-- 13 km down a logging road and then 30 km to town on the Trans-Canada Highway. Going to town was not to bad. It was mainly downhill. I was exhausted by the time I got back. She cooked dinner for me because she thought I was angry at her. I was too tired to have any emotion. I would have eaten roast doggie-doo I was too tired to notice. Fortunately, the food was not doggie doo and was really good. We hiked up a glacier the next week and camped and skiied for four days.

I know some people probably do this kind of physical stuff for breakfast, but I was not fit enough at the time. Who am I kidding? I'm still not fit enough. In a wierd way, it was fun. It's kind of interesting, the kind of things we get into because of friends.

We got the tattoo just above the ankle. I'm pretty bony there so no happy padding there. But I think my pain tolerance is pretty low. I've toyed with the idea of getting another tattoo but decided against it. I don't know if I could get it finished and tattoos are considered really trashy in Japan. My husband is really against the idea. Twist my rubber arm. Guess I won't be able to get one.
Reply #12 Top
The only tat I have that I can say actually hurt was the one on my chest. It was done by a biker friend of mine who owns a parlor, and he was deliberately making it hurt to f*ck with me.

I didn't give him the satisfaction though. I sat there and never flinched, winced, or showed any sign at all that it hurt. I can be pretty stubborn when I want.

He grudgingly admitted that I was a tough s.o.b. because he'd made men much bigger than myself cry doing that crap. Great friend

I always liked that one line by Patrick Swayze in Road House; "Pain don't hurt".
Reply #13 Top
He grudgingly admitted that I was a tough s.o.b. because he'd made men much bigger than myself cry doing that crap. Great friend


Do people still go back to him? I know I'd find a new artist, and would tell my friends to do the same. Ouch.
Reply #14 Top
The pain scale needs to come with examples


SHE I'm printing that and showing it to the doctor that comes around once of week to my work. IT IS PERFECT!
Reply #15 Top

He grudgingly admitted that I was a tough s.o.b. because he'd made men much bigger than myself cry doing that crap. Great friend


Do people still go back to him? I know I'd find a new artist, and would tell my friends to do the same. Ouch.


He doesn't do that to everyone, just the people he likes.

It's a guy thing.
Reply #16 Top
It doesn't have to be a 15lb baby! A first time mom will find labor pain the worse in her life...of course if her threshold level is very tolerant it could be a walk in the park!lol!


Thx for reminding us Dev, men can be wusses some times!lol!
Reply #17 Top
SHE I'm printing that and showing it to the doctor that comes around once of week to my work. IT IS PERFECT!


hehe Thanks!


He doesn't do that to everyone, just the people he likes.

It's a guy thing.


Oi. It would have to be.
Reply #18 Top
I like being tattooed and have a high tolerance to pain. My meditation practices really come into full swing because I really try to turn my mind away from the pain and simply enjoy the experience. I would rather suffer it than let someone else put up with my moaning. Having said this, my wife can see straight through me to the big softie underneath.

Reply #19 Top
Double post...
Reply #20 Top

It doesn't have to be a 15lb baby!
It's all about head size   Seriously, I think only one doc ever used the "rate  your pain" correctly by having me describe the worst pain I've ever experienced as a reference.  Some people just have never experienced serious pain.

 

 

Reply #21 Top
I said 15lbs because I wanted to make it sound really bad. I've never given birth, but I imagine it won't be pleasant no matter the size of the kid.
Reply #22 Top

Some people just have never experienced serious pain.

I totally believe that Jill.  But I would think they could at least imagine a lot of pain?  I don't know, I guess not.

Reply #23 Top

I've always hated the 1 to 10 scale.  I mean, a 10 to somebody who has never experienced severe pain may only be a 3 to somebody who has.  So, how is that an accurate way to gage pain?

At least with therapy, they rate it more like:

1- An idea that something is wrong
2- Pain is starting
3- the pain is bothersome
4- the pain is enough to start paying attention to
5- The pain is bad enough to take meds for
6- Pain bad enough that OTC meds don't get rid of it
7- pain bad enough that you need stronger meds
8- pain bad enough to stop what you are doing
9- pain bad enough that you are thinking of medical care
10- pain bad enough that you need medical care

I think that they could come up with something like that for triage, too, if they put some effort into it

Reply #24 Top
That's probably a better list than mine. Makes more sense for everyone as well.
Reply #25 Top
I know if they ask you to rate your pain in the emergency room never rate it less than 8, unless you just want to be the last one seen.

You never know to in a hour or so you might just be an 8. Cracked bones can start out a 3 and then slowly rise to agony.