PORPHYRIA PAIN SCALE
       Levels of Pain
0       Pain Free
1       Very minor annoyance - occasional minor twinges.
          No medication needed.
2       Minor Annoyance - occasional strong twinges.
          No medication needed.
3       Annoying enough to be distracting.
          Mild painkillers take care of it. (Aspirin, Ibuprofen.)
4       Can be ignored if you are really involved in your work, but still
           distracting.           Mild painkillers remove pain for 3-4 hours.
5       Can't be ignored for more than 30 minutes.
          Mild painkillers ameliorate pain for 3-4 hours.
6       Can't be ignored for any length of time,
          You can still go to work and participate in social activities.
           Stronger painkillers (Codeine, narcotics) reduce pain for 3-4 hours.
7       Makes it difficult to concentrate.
           Interferes with sleep
          You can still function with effort.
          Stronger painkillers are only partially effective.
8       Physical activity severely limited.
          You can read and converse with effort.
          Nausea and dizziness set in as factors of pain.
9       Unable to speak.
          Crying out or moaning uncontrollably - near delirium.
10      Pain makes you pass out.
           Unconscious.
~Ron Kelly
HCP Porphyria Patient