HUGE DIFF b/t acute and chronic pain. I bore three kids at home w/no meds (incl one malpresentation that took 36 hours to resolve), no problem. Chronic pain - day in, day out, relentless, never ending agony - does something else to a person altogether. This guy needs to do more research; or even better, experience chronic pain for 6 months or so himself, before talking about how “it’s our response to the pain that matters”.
Compassion, kindness, empathy. Where has it gone? I was an ER nurse for 16 years, an EMT for 20 and have seen all types of pain. Some Dr's have lost any empathy, and act angry at people who are in pain and refuse to treat them, allowing them to go thru agony. Why? It is bad enough to have visible spasms, vomiting and high blood pressure but to ASK for help and have that dr be Angry at them for needing them! Train those doctors!! I pray for the day we can mind meld our pain TO the Dr for 5 min. Gone will be the subjective. Only then can ppl get proper help.
People have varying tolerances of pain. We have gone a little too far with the "pain is a choice, accept it" rhetoric. Keep pain management PATIENT CENTRIC. Pretending that treating pain is simple is actually causing tremendous harm for people in acute and chronic pain. Please keep that in mind, as it affects EVERYONE eventually.
I have interstitial cystitis. I can’t ignore this type of pain. Pain med helps but now the gov’t is going after people like me to ease their conscience about the opioid epidemic when I take my meds as prescribed. The new guidelines are taking my med away. The med that has given me back my life. I don’t want to escape life as an addict does. I want to live. And it’s very hard to participate in life when my bladder is killing me and my doctor can no longer prescribe me an effective amount of med. Does this mean I am not tough? This guy fails to talk about chronic pain so his conclusions are a bit skewed.
Hi ladies I'm hoping you see this. I believe that I have IC. I was wondering if any of you have a duel diagnosis of IC and additional conditions for example endometriosis?
@@victoriahollis3454 Yes Girl! Just had the uterus out bc of adenomyosis, a form of endo. (I hate them for this bc they should have tested me for it when I was 16 instead of putting me on the pill, valium, and sending me to therapy bc of my cramps.) I have IBS-D, after living in Mexico also during that time. I am a genetic candidate for ehlers-danlos and have the hypermobile and crowded palate features. My facial skin especially is very soft.
“Tincture of time” The problem with that is many chronic illness only progress with time. Time will not improve the pain from a lot of diseases. After major surgery you have to move and walk, take deep breaths that requires pain control. This man has never experienced the trauma of major surgery or an illness that modern medicine can’t fix
Yes! I have Fibromyalgia and I have every single symptom it causes. I was diagnosed in 09', and my Primary Physician & ai have worked diligently to get me to a place that allowed me to get out of the bed, over the past 3 years. I've changed my diet, no processed food, nor sugar. It has been a very long road. Finally, I am able to begin functioning again, even considering that I might be able to go back to worst. Now, in 19', I am being taken of off the medications that have made me able to function. I have no idea on what to do.
C.J. Reed you should look into crps and check out dr. Getsons talks on it because he believes that fibromyalgia doesn’t exist it’s just crps not as bad as it can be you should look into that because his treatments do help and it could help you with your pain.
I’ve been prescribed opioids for years, if you don’t drink or take medication that is counter indicated, including alcohol, and take the doses as Indicated you will be just fine
I don't think that he means we directly choose how much pain we feel, rather that we can choose whether or not we are willing to accept the pain vs take pain meds. I notice there is a wide variation in how much people are willing to accept pain and suffering in their lives. Those who are willing to accept and experience pain tend to overcome painful hurdles quicker and have the least chronic pain conditions. Take care!
@@pida9669 Those who are willing to accept and experience pain are not feeling as much pain as those who cannot accept and "experience" pain. Physical pain such as a stabbing feeling in your neck is different than a feeling of sadness or anger. It's relatively easy to turn around sadness or anger. It's almost impossible to dampen severe chronic physical pain without medications, especially if there are other stressors in ones life (which there always are). I can tell that you have never experienced severe chronic pain. You might be better off commenting on things that you have actual experience with. I have seen many pain doctors who have no personal experience with chronic pain. None of them get it. None of them have any idea how useless their advice is. Many of them actually think they know more about chronic pain than their chronic pain patients do. They are all sadly mistaken. Their patients suffer from their ignorance, their lack of "empathy inducing personal experience with severe chronic pain."
@@MichaelGustavsonArchitect You right that I have never experienced chronic physical pain. But I would guess based on what you've said that you have never experienced chronic emotional pain, at least in the form of chronic depression. In the same way that you cannot simply turn off chronic physical pain, you cannot turn off or easily "turn around" chronic depression. Further, chronic depression can get so intensely painful that you will do anything to escape it, even commit suicide--which I have attempted twice in the past (luckily, I'm not very good at it!). And yes, as for chronic pain, there are medications for depression (though they aren't the same kinds)--I have tried some of them for about a year, and they didn't help me much personally, so I abandoned them in favour of natural lifestyle solutions, which ended up being the solution: I consider myself permanently cured of depression. Question: after seeing so many pain specialists, have you found anything that truly works to permanently reduce your chronic pain? If you haven't found a good solution yet, why not try alternatives like dietary changes (e.g. cutting out added sugar, alternative sweeteners, salt, and MSG) for a couple months and see how it affects you? I can almost guarantee that you will experience some kind of transformation, unless your diet is already pristine of course. One of my work colleagues used to suffer from excruciating leg cramps--she said it felt like her legs were about to split open--and it was only when she stopped eating a large bag of M&M candies each week that the pain went away permanently. Food for thought... Take care.
@@pida9669 I've tried everything you have mentioned. Every time I try one of those "new methods" of treating chronic pain it ends up failing (and I waste months of my life in pain waiting for it to fail). Why does it fail? Because we have no solution to chronic pain. If we did have a solution, then everyone would be using that specific solution. We know how to fix an appendicitis so we do it the same way every time. We do not know how to fix chronic pain so we do it in hundreds of different ways. Don't claim you can cure people. Claim that you want them to pay you to unprofessionally experiment on them (swindle them). That would be more honest. You have no proof that what you are doing works. Anecdotal evidence is not evidence. Saying that someone felt better after they stopped eating M&M's is like saying that they felt better after they aged a few months. It is irrelevant statistically. One person's "reported experience" does not represent proof of anything. Study the scientific method wholeheartedly if you plan on criticizing it. In addition... rethink accusing chronic pain patients from not understanding depression. Just some food for thought.
Response to pain should equal the personal experience of the patient. Leaving a person in severe pain is inhumane. The way you become humane, is believing the patient! If you do not believe the patient, you become INHUMANE
"The way you become humane, is believing the patient! If you do not believe the patient, you become INHUMANE" -This! [boycott forced drug tests, for all reasons. Forced drug tests or "coercive" drug tests create an atmosphere of distrust between patients and doctors. This is the last thing the medical professionals need. This is the last thing that patients need.] Wake up hospital owners. Wake up policy makers.
Not medicating pain after tissue damage actually obstructs the healing process according to the science. He is so out of touch with evidenced based care, let alone the science concerning addiction, it’s causes mechanisms etc it’s unreal
TEDx, You should put a note over this video telling viewers to read the comments, because the comments tell it all about the veracity of this video. I hope this doctor is done practicing medicine. If not, then something should be done about either his practice or this video. -Those Who Actually Understand Chronic Pain
This guy is just dangerous. He's the one worried about his rating.TED has allowed independent organisers to expand the name and concept with TEDx talks, which opens the door to guys like this.
@@dondressel4802 Absolutely. A healthy kaksucker with no major injuries resulting in chronic pain passing judgement on the suffering millions. On Hydrocodone for my severe spine condition, I can work a 12-hour shift and provide for my family. W/O it, I might as well be dead because I sure would be homeless. This dude is clueless.
Yes, acute pain is very different from chronic pain especially when its intractable and changes your adrenaline and body temp. Ignoring it doesnt help, ans it will never heal so... You can't ignore it
I put up with pudendal nerve pain for nearly 15 yrs before starting opioids. Now my Dr (new and inexperienced ) wants to reduce my dosage, without a replacement. I would rather have a shorter life with relatively less pain than a longer life of misery and pain. What would you choose?
Emergency medicine deals with acute pain. Chronic pain is a different kettle of fish. My Dr sees me for 15 mins, then goes on his merry way...forgetting that I have to live with my chronic nerve pain, day in day out. If he was with me for a week, never leaving my side.....I think he would appreciate just how much I have to deal with and the roller coaster of emotions of anxiety and depression that comes with my condition. Dr's only see the acute flares of pain, not the years of suffering.
Well there's also Opioid-induced hyperalgesia of course which renders any opioid medication for chronic pain as a worrying additive to the issue rather than mitigator.
@@MrJarrodspace Hyperalgesia might add 1 point to a person's pain level. If the person's chronic pain is constantly 7 points above normal, and an opioid takes away 5 of those points, then who cares about the 1 point added by hyperalgesia (if hyperalgesia even exists).
I cant live like this what do I do I'm only 33 and stuck in pain so bad I cant even function anymore they took away my pain meds and gave me tremadol which does nothing unfortunately
The reason pain medications are number one is because you have a base of people that take a daily medication in some of these cases that’s pain medication. Then all emergency room visits involved severe pain. So there prescribed pain meds. Funny fact there’s very few ER visits that end with a emergency prescription of blood pressure medication. So is this buttered, bald, high horsed doctor calling his former patients weak and pathetic people that need to toughen up? In my country we don’t blame doctors we own our responsibility. But it’s doctors like this that have caused our doctors to start going to jail. So now we have less doctors and guess what now we have more people dying of heroine.
If chronic pain patients do not receive proper pain relief from their doctors, then they will find pain relief elsewhere. Meditate on this. You will see that if you had chronic pain and you knew there was a form of relief that your youthful doctor would not supply to you because of something they heard on the news or read in a book, you would find another way to get that relief! Why? Because the only thing that matters when you are in that much pain is to find relief. You can't accomplish anything until you have some sort of relief, so the solution to every problem is get pain relief. If your doctor does not prescribe that relief then people will go to the streets for their "medications (maybe heroine)." This is so ________ obvious!!!!! Wake up!
The kid who broke his leg was not screaming in pain because humans don't have the ability to scream for several days straight. He walked that distance not because he was "tougher" than others. He walked that distance because he HAD TO! He had no other choice. If one has no other choice, then one is forced to do these incredible things which make them appear to be different than others. Same goes for the Kiwis. If it is difficult to prescribe pain killers in NZ, then of course they will be prescribed fewer pain killers, because doctors won't want to do it (for bureaucratic reasons not for medical reasons). Just because fewer opioids are prescribed, does not mean Kiwis are a different breed when it comes to pain tolerance. I love and admire Kiwis and tough kids with broken legs, but they are normal people like all of us. This is how all humans behave when they have no other choice, that's all. I'm a little worried about this guy's patients. Is he letting them unnecessarily suffer because of his homemade ideology?
I agree with what your point in general, however it's not difficult to get pain relief in Ao/NZ, my cabinet is full of prescription and OTC stuff as I'm a chronic pain sufferer, and mostly @ $5 for 3 month supply.
I am so thankful to read the comments. It was horrible to hear how this doctor feels about people in pain. I don't think someone like this should be able to practice medicine. I wonder how many doctors feel this way.
What does this mean? Doesn't everyone "deal" with pain? There is really no choice in the matter. If you have pain than you must "deal" with it. There is no other option but suicide.
In my experience, I'd add that the more you accept and experience pain without medications or distractions, the higher your pain tolerance becomes. You can build up your pain tolerance over time. That's why marathon runners and other top athletes have a tolerance for pain that is off the charts, because of all the painful training they undergo. Take care and be well!
Opioid overdose is not at all the leading cause of preventable death. Alcohol kills TWICE as many as opioids per year. Not to mention obesity and tobacco related illness.
I wish he had the pain I feel everyday in my lower back I have ankoloid spondylitis in my L-4 L-5 The examples he gives are injuries not chronic pain It’s true there are people out there that abuse opiates But the majority of chronic pain patients do not abuse opiates I broke my ankle playing sports and never took anything for pain But now being older I have chronic pain in my back If it wasn’t for norco I’d be in severe pain everyday I do not abuse my medication and I follow my doctors orders So bottom line is let elderly chronic pain patients suffer because they need to be tough???
I know your pain. I have Psoriatic Arthritis, Ankylosing Spondylitis and have had ten orthopedic surgeries. Was misdiagnosed for years and at age 67 was correctly diagnosed, but the damage is irreversible and I live in chronic pain. Now there is a movement to stop prescribed opioids because some people who abuse them die; too damn bad! If it wasn't for opioids I would be bedridden and in agony. With them, I at least have some sort of a normal and productive life.
I get mad sometimes when I look at how I have been treated for years by the medical community. I avoided taking the vicodin I had when I had severe pain (we later learned I had a massive infection that ate my fallopian tube in half, swelled a disc in my spine and put lesions on my intestines, appendix) because I knew that something was severely wrong. I had to eat to be able to handle the Vicodin (at that time) but I couldn't even eat a piece of bread with honey on it and I would vomit for hours every time I ate. Every time I went to the ER, I was treated like an addict when I never could keep food, water, and/or medicine down... and I went to the ER 5 times in one month because I wasn't able to stop vomiting bile and dry heaving. They also put in their notes that I was most likely a suicidal person with an eating disorder since I lost 24+ lbs that month from first ER visit to last. They did blood tests, X-rays, and IVs with nausea medication and pain medication each time. Never did a CT which would have shown that I was dying because no one would do anything for me. I was in multi-organ shut down before the radiologist called me (they never call the patient, they call the doctor who calls the patient) and told me it was an emergency & I needed to get back to the hospital NOW. That they were getting a room made for me as soon as I was off the phone. I fought the use of pain meds before that. Then it hurt too much so I was on demerol (it was before they stopped using it). 3 surgeries later and 5 years later, I'm sick again with pancreatitis and I didn't go to a hospital until the 4th day when I was crying from the pain. After I healed that, I was on high fiber, low oil diet because it was caused by gallstones and gallbladder disease... and a month & a half later, I'm at another ER because I can't stop vomiting. Another CT... where the tech says it looks like a bomb exploded inside me and I have to have emergency surgery in the morning. And tada: Crohn's disease... but what was worse was that I truly couldn't seem to stop hurting from the surgery. Like I healed but everything hurts... EVERY SINGLE THING throbs while I've physically healed the surgery scars but working my 4-hour shift at the library check in counter hurt so much I would cry all the way home every day. It was like one day I lost the ability to handle simple pain... now no pain hurts like I've been set afire... but I used to work when I had a massive infection that was killing me but now I can't stand for longer than 10 minutes.
@Andi Dreyes. I was just going to suggest this. I was diagnosed with Chronic Regional Pain Syndrome after a fall down my stairs resulted in several compound fractures that became infected in the bones with MRSA. I had 8 surgeries, systemic bacterial infection & spent more than two years of my life in hospitals. It took 15 years before they finally figured out why I was still on pain after everything healed. But I was finally diagnosed correctly with CRPS. It affects everyone differently but generally speaking, it can result in chronic pain & peculiar sensations, symptoms long after the initial injury or illness has passed. I'm so sorry you're going through this. And I'm sorry that these medical professionals treated you the way they did & made you feel the way you do. Getting your pain & symptoms treated adequately and getting your quality of life back is your inherent right as a human being. Don't accept anything less. There are many different effective modalities for treating pain. A holistic approach that treats the entire body, mind & spirit and uses many different treatments is most effective. Meditation does wonders too. And there is absolutely nothing at all wrong with using pain medication when it's needed. Only you can say when that is. But don't force yourself to suffer out of someone else's ideals or their ignorance. I wish you happiness & comfort on your journey to healing. Take care of you. You matter. ♡
They said it's Fibromyalgia, at 18/18. I was able to handle pain before my last surgery and never to the same amount I was able to beforehand. I still push every TENS-unit to its limit.
I find the idea of "toughness" in characterizing a nation's response to pain management to be an ill-advised one. It is akin to telling patients that they need to "tough it up," which is shaming, blaming, and a relic of a patriarchal view a humanity. I understand, though, the speaker's surprise at seeing that countries outside of the US do not have the same issue of overprescribing very dangerous meds to treat pain. It is natural to wonder how this is possible. Perhaps, it is not just because of "toughness." In my experience, US citizens live in a society that is tough already. If anything, I would say that this toughness is a potential underlying factor in overtreating pain. Weakness is not something that is openly talked about in any culture for that matter. More importantly, the US has very powerful Pharma lobbies that exert significant influence on the government, unfortunately the FDA, and on prescribers. Pharma is probably better regulated (as it should) in NZ and therefore less aggressive. If the speaker would like to endorse the idea of "toughness," then perhaps he should call on the FDA and the government to impose stricter standards on the pharmaceutical industry's manipulation of the health care system. Instituting pain as the 5th vital sign was fallacy that worked great for opiate sales. The US is also a country in which people are often expected the be self-reliant even when in need of support by others. Every human ailment has a better prognosis when a person enjoys social support and has meaningful relationships that help manage a potentially debilitating situation. Arguably, when people overrely on meds to manage pain that means that meds have become their primary supports. Is NZ a country where people feel parts of a close knit community more than they do so in the USA? Pain has a social dimension and definitely a cultural one. People in the US are not "weaker," perhaps they more alone, more ashamed as pain constitutes personal "failure" in a competitive society, and therefore are an easier pray to those who market dangerous substances to vulnerable populations. MDs, as the gatekeepers, feeling scared, confused, potentially dissociated and unable to appropriately exercise their clinical judgement are also part of the equation. What is lacking here is not "toughness." It is rather reflection and kindness.
Pain is a choice!! Yeah this from people who have never experienced excruciating unrelenting pain. They have never been told this is the best it is going to be so live with it. Pain management doesn't take the pain away. It takes the edge off so as human can get out of bed and move around. Most chronic pain patients are excellent actresses/actors. We looked other people and smile and lie and then go home and cry alone.
Interesting talk. New Zealand also has the highest youth suicide rate in the industrialized world. Some researchers have drawn a link between the suicide rate, to the New Zealand "tough" culture of not talking about feelings / admitting to pain. I'm not saying that the United States is right in over-presciribing opioid pain medications, but I'm not sure New Zealand has it right either.
I read an amazing book called "The Bone People" which took place in NZ. Incredible writer, won many literature awards. Reminds me of the effects of this "toughness" topic culturally and personally. I think you would appreciate the book.
pls tell me where u got the info about overprescribing amazing when in reality almost no doctor will write a script for pain meds thank the CDC and the DEA for the torture and death of countless chronic pain people
Pain management. Misdiagnosed in one visit after I had pain 16 year and six doctors, she took my pills away I had a stroke, you can me addlcted to soda,
Wow. The more I listen, the more I'm astounded by this guy's inability to understand scientific thinking. How did he get through medical school? Every "proof" he describes is anecdotal. I am positive that there have been no scientific studies backing up his personal hypothesis. I'm guessing his "success" is completely dependant on the fact that he praises the "toughness" of Kiwis, and of course all the Kiwi's eat that up (except the ones who actually have real chronic pain issues). It's simply bad that he is spreading these ideas he has woven together in his head. Everyone please ignore what he is saying. He has no idea what he's talking about.
Terri Hinton I’ve been on both sides.. Lived with chronic pain for most of sixty years. The first 40, I went w/o opiates, but when I couldn’t stand any longer, had to change something. It’s the constant dripping of pain, the lack of sleep, the isolation, not knowing the source, and hopelessness combined that, at times, drives me to get an hour or two of relief. I’m blessed. I’m monitored by professionals who come and go. I’m told I’m a “model patient”. Who knows. I’d rather be a productive member of society. I’ve tried years of P.T. D.O.’s Massage/Tens/surgeries/meds/ ice/heat/hypnosis. I’ll keep fighting, and stay legal, but after a lifetime of this - I’m tired. I THANK GOD I’m not a burn patient. *An addendum: When my bp is 198/105 because of pain - Yes, I do need morphine drip if ANYONE wants me to report calmly, my history and the circumstances leading up to my visit. I wish docs would just say “we don’t know”. It would be a lot easier.
5% of a dr's income (effected by pres gainy scores) should not effect their treatment of patients! That is so incredibly unethical. Treat patient pain, forget about your 5%; and ridicule those who change their treatment for such a small relative income gain.
I know my opinion means little against that of a doctor who is supposed to be much more educated than I, but unfortunately pain sufferers are the foremost experts of their pain. A doctors Hippocratic oath is to do what they can to relieve suffering. This guy is like all the doctors I’m sure many of us have seen in the beginning of our “journey “, telling us to go exercise and take ibuprofen leaving us to suffer pain that he could not imagine. He’s probably not a bad guy, he just shouldn’t be giving talks spreading misinformation. A compassionate doctor doesn’t say, “Not today, but one day if you exercise through your intense pain long enough, (try being in chronic pain and exercising) you’ll feel better. My opinion is that he is not credible at all on the subject of pain. If you are in pain and looking for answers, please do not take this mans advice.
And people with terrible pain everyday just suffer. Give me a natural way that makes me live a manageable life. I just want the most of it to be gone so I can work and support my husband and I. I didn’t choose the girl that hit from behind going 75/80 mph. I didn’t choose the damage it did to my body. I would rather be healthy and not broken. Your talk was pretty much Kiwi’s are tough and Americans are weak. You’re arrogant like many drs I’m come across in the ER! I really don’t know what else to say. You don’t have a solution. You only see the problem you perceive. Wow! I wonder what you will be like if you get hurt and it doesn’t just go away. I hope you never have to experience it but I think without experiencing it you’ll never be a compassionate human helping another human.
Hi Suzie, It is hard to feel like people don't understand the way people like us with chronic pain live. How has your journey with pain been for you? Would you like to talk to someone about it?
He obviously dosen't live with suicidal pain, but I suppose its his view, when used in the right setting there good for pain, there is so much misinformation going about.
Kergan comments that there is a the difference between chronic pain and acute or short term pain. The problem is Dr do not recognized like they should that chronic pain is due to a disease state, or perminately damaged tissue state. It may be progressive even where it is presumed that it's just scare tissue. Opiates also treat the disability related to a disease state or "healed" injury. A person may need opiates in order to work. The amount of medication needed my be to promote the ability to work during a 8 hour day and time for personal daily functions. Maybe they have enough pain control at a lower dose when not working because pain at that time is just part of their life and something they have learned to embrace. However, no pain treatment would also be intolerable in the resting state. So chronic pain patients have complex opiate needs, and denying that medication forces that person to suffer from both pain and forces that person into increased disability. The denial of opiate pain medication is cruel and is a trap for extreme poverty, and impacts whether a person can care for themselves, their dependants, or others, in addition to not being able to work. Chronic pain patients are also mostly tolerant to the harmful side effect of opiates at even the necessary high daily doses needed to control pain. So there needs to be a separate strategy for chronic pain patients and those with acute pain.
With those 3 patients you learned nothing. The patient simply did not know how the medication would help. Had you given the patients pain meds sufficient to moderate or relieve the patient's pain the reaction to the pain meds would have been different. This is simply just another example of a con job trying to get Chronic Pain Patients to accept Chronic Pain.
I hear you. I have a bit of osteoarthiritis and intermittent pain. I am not on opiod medication but i am not against it. I support your cause but you need to organize. And you have to make enough of your voice to be heard. Like rallies, pushing fda. You have to join your forces probably with other groups. Oh US is so archaic with this..
You "learned" all about pain from 3 experiences? (6:50). That's not many experiences to prove anything about pain. Summation: you know next to nothing about pain.
To be fair, he did specify "acute" pain. As someone who has chronic pain myself, I was disappointed that the video does not offer a method of help or relief of pain. Instead it offers only speculation about individual and cultural tolerances or perceptions for pain. While the description of the video states as much, too bad I only read the title before watching, otherwise this is a video I should have skipped. My recommendation to other people with chronic pain is to skip this video.
Sounds more like the Farmer was a recovering opiate addict and didn't want to relapse or for people to know he was. As for the kid shock does a lot. (but being only an anecdote it might not even be true)
Dear Sir, Hi, I have been in pain for over 25 years and have been taking 18 mg of morphine four times a day. I think the cause is because I spent overtime in the Sarcophagus of Chernobyl's blown out reactor # 4 I made three trips to Chernobyl and received doses of radiation each time. My entire body is in much pain even though I am taking all this morphine. My weight was 155 lbs. during my first trip and am now 106 lbs. I am 80 years old, What are my chances of getting this virus? Can you help me? thx
I bet he used to work at the local hospital in my area. Ask for assistance to alleviate pain and they label you and say nothing is wrong with you even though you have a medical file thicker than a NYC phone book.
This is one of those guys that I got to wonder if he ever worked a day in his life. He sure don't look like he ever worked on construction, or crushed vertebrae broken neck or hip. Initial pain should be treated promptly.
I don't agree with this approach as fitting for more than a small group of people. I have a spinal cord injury and live in chronic pain daily. I don't think that acting "tougher" is a solution for me.
New Zealand probably has more potent, more curing naturally produced and used remedies that work! And are not illegal because they have used natural medicine maybe?
A culture of toughness? Is this for real?? How incredibly scientific... Anyone can give a Tedx talk now, this is an example of the subjective BS that many of these talks have become
No comments Mike? No Defending your idea? If you can't defend your lecture, then maybe it would be better to just remove the video entirely; so people don't continue learning the wrong stuff?
or that this is a self-selecting group of people who like to externalise their issues? -Chronic pain is a complex issue with a heavy psychosocial interface.
Stockpile unwashed opiate seeds. Be careful and ladder your dose. One dose last all day. All people don’t experience pain the same way! If they want to take our meds away, do what you have to do.
Bull shat. I hope dr that you get a very painful chronic incurable condition and are denied pain medication. Then you can practice your toughness. Lol. I'd really like to see that. It is amazing to me how people believe they should tell other people what they should and should not do.
Yes ... sort of, very low dose of things like Panadeine which is paracetamol 500mg with a little codeine 8mg, you have to provide a few details that get added to your NHI (national health information) so you can't over buy it ... But I've never had a pharmacist deny me, they just ask a few more questions to discuss and maybe offer an alternative they think might work better specific to my needs.
Suffering with pain is A CHOICE? This guy has no idea what he's talking about. He's never suffered pain. Wow. Someday he'll suffer and...he'll cause the death of many. Heart attacks, strokes, seizures from unalleviated pain. What planet is he on? The government's I think. Once we occupy Afghanistan with another war so we can "own" the poppy fields, this rhetorical propaganda will reverse. Sad that in the meantime many will die from pain that's untreated.
let him live for 20 years with that leg and them try to tell me just how good he dose with coping with pain , he know nutting of the insidious nature of chronic pain , hes full of hot air, o by the way , i have had 8 kidney stones , maybe he should have one or too and then just maybe he might understand pain a bit more,
You knew he even lost the audience when the camera cuts to their concerned faces. I’ve watched many TED talks and rarely is there a prolonged audience shot. I’ve suffered from chronic pain for over 20 years, and I can tell you this thinking is misguided at best and (more likely) downright dangerous and detrimental to his patients.
bullshit.................I'm never satisfied...I am ignored at best...verbally harrassed ..abused..and beyond hopeless...one doctor said I was abusing him...by making him listen to my crying !.....one hospital...said if I could not quit crying I'd have to leave the hospital because my groaning moaning and crying was upsetting the other patients !
HUGE DIFF b/t acute and chronic pain. I bore three kids at home w/no meds (incl one malpresentation that took 36 hours to resolve), no problem. Chronic pain - day in, day out, relentless, never ending agony - does something else to a person altogether. This guy needs to do more research; or even better, experience chronic pain for 6 months or so himself, before talking about how “it’s our response to the pain that matters”.
Pain is fairly fatal if it causes suicide
Compassion, kindness, empathy. Where has it gone? I was an ER nurse for 16 years, an EMT for 20 and have seen all types of pain. Some Dr's have lost any empathy, and act angry at people who are in pain and refuse to treat them, allowing them to go thru agony. Why? It is bad enough to have visible spasms, vomiting and high blood pressure but to ASK for help and have that dr be Angry at them for needing them! Train those doctors!! I pray for the day we can mind meld our pain TO the Dr for 5 min. Gone will be the subjective. Only then can ppl get proper help.
I think a study needs to be done on medical damage for pain sufferers - that is physician induced exacerbation lol Sincerely ER/ICU nurse.
People have varying tolerances of pain. We have gone a little too far with the "pain is a choice, accept it" rhetoric. Keep pain management PATIENT CENTRIC. Pretending that treating pain is simple is actually causing tremendous harm for people in acute and chronic pain. Please keep that in mind, as it affects EVERYONE eventually.
I have interstitial cystitis. I can’t ignore this type of pain. Pain med helps but now the gov’t is going after people like me to ease their conscience about the opioid epidemic when I take my meds as prescribed. The new guidelines are taking my med away. The med that has given me back my life. I don’t want to escape life as an addict does. I want to live. And it’s very hard to participate in life when my bladder is killing me and my doctor can no longer prescribe me an effective amount of med. Does this mean I am not tough? This guy fails to talk about chronic pain so his conclusions are a bit skewed.
I too have IC
Me too
Hi ladies I'm hoping you see this. I believe that I have IC. I was wondering if any of you have a duel diagnosis of IC and additional conditions for example endometriosis?
@@victoriahollis3454 Yes Girl! Just had the uterus out bc of adenomyosis, a form of endo. (I hate them for this bc they should have tested me for it when
I was 16 instead of putting me on the pill, valium, and sending me to therapy bc of my cramps.) I have IBS-D, after living in Mexico also during that time. I am a genetic candidate for ehlers-danlos and have the hypermobile and crowded palate features. My facial skin especially is very soft.
I have this problem too and the doctors are taking my pain meds away.
“Tincture of time” The problem with that is many chronic illness only progress with time. Time will not improve the pain from a lot of diseases. After major surgery you have to move and walk, take deep breaths that requires pain control. This man has never experienced the trauma of major surgery or an illness that modern medicine can’t fix
Meredith S. I agree
Yes! I have Fibromyalgia and I have every single symptom it causes. I was diagnosed in 09', and my Primary Physician & ai have worked diligently to get me to a place that allowed me to get out of the bed, over the past 3 years. I've changed my diet, no processed food, nor sugar. It has been a very long road. Finally, I am able to begin functioning again, even considering that I might be able to go back to worst. Now, in 19', I am being taken of off the medications that have made me able to function. I have no idea on what to do.
C.J. Reed you should look into crps and check out dr. Getsons talks on it because he believes that fibromyalgia doesn’t exist it’s just crps not as bad as it can be you should look into that because his treatments do help and it could help you with your pain.
@@MsJessbutterfly find me on fb
@@CJReed-qd8xk find me on fb
I’ve been prescribed opioids for years, if you don’t drink or take medication that is counter indicated, including alcohol, and take the doses as Indicated you will be just fine
Pain is an individual "choice"? If only I had a real choice.
I don't think that he means we directly choose how much pain we feel, rather that we can choose whether or not we are willing to accept the pain vs take pain meds. I notice there is a wide variation in how much people are willing to accept pain and suffering in their lives. Those who are willing to accept and experience pain tend to overcome painful hurdles quicker and have the least chronic pain conditions. Take care!
@@pida9669 do you know what chronic pain does to the human psyche and human body? I suggest you research that thoroughly.
@@pida9669 Those who are willing to accept and experience pain are not feeling as much pain as those who cannot accept and "experience" pain. Physical pain such as a stabbing feeling in your neck is different than a feeling of sadness or anger. It's relatively easy to turn around sadness or anger. It's almost impossible to dampen severe chronic physical pain without medications, especially if there are other stressors in ones life (which there always are).
I can tell that you have never experienced severe chronic pain. You might be better off commenting on things that you have actual experience with.
I have seen many pain doctors who have no personal experience with chronic pain. None of them get it. None of them have any idea how useless their advice is. Many of them actually think they know more about chronic pain than their chronic pain patients do. They are all sadly mistaken. Their patients suffer from their ignorance, their lack of "empathy inducing personal experience with severe chronic pain."
@@MichaelGustavsonArchitect You right that I have never experienced chronic physical pain. But I would guess based on what you've said that you have never experienced chronic emotional pain, at least in the form of chronic depression. In the same way that you cannot simply turn off chronic physical pain, you cannot turn off or easily "turn around" chronic depression. Further, chronic depression can get so intensely painful that you will do anything to escape it, even commit suicide--which I have attempted twice in the past (luckily, I'm not very good at it!). And yes, as for chronic pain, there are medications for depression (though they aren't the same kinds)--I have tried some of them for about a year, and they didn't help me much personally, so I abandoned them in favour of natural lifestyle solutions, which ended up being the solution: I consider myself permanently cured of depression.
Question: after seeing so many pain specialists, have you found anything that truly works to permanently reduce your chronic pain? If you haven't found a good solution yet, why not try alternatives like dietary changes (e.g. cutting out added sugar, alternative sweeteners, salt, and MSG) for a couple months and see how it affects you? I can almost guarantee that you will experience some kind of transformation, unless your diet is already pristine of course. One of my work colleagues used to suffer from excruciating leg cramps--she said it felt like her legs were about to split open--and it was only when she stopped eating a large bag of M&M candies each week that the pain went away permanently. Food for thought... Take care.
@@pida9669 I've tried everything you have mentioned. Every time I try one of those "new methods" of treating chronic pain it ends up failing (and I waste months of my life in pain waiting for it to fail). Why does it fail? Because we have no solution to chronic pain. If we did have a solution, then everyone would be using that specific solution. We know how to fix an appendicitis so we do it the same way every time. We do not know how to fix chronic pain so we do it in hundreds of different ways. Don't claim you can cure people. Claim that you want them to pay you to unprofessionally experiment on them (swindle them). That would be more honest. You have no proof that what you are doing works. Anecdotal evidence is not evidence. Saying that someone felt better after they stopped eating M&M's is like saying that they felt better after they aged a few months. It is irrelevant statistically. One person's "reported experience" does not represent proof of anything. Study the scientific method wholeheartedly if you plan on criticizing it.
In addition... rethink accusing chronic pain patients from not understanding depression.
Just some food for thought.
Response to pain should equal the personal experience of the patient. Leaving a person in severe pain is inhumane. The way you become humane, is believing the patient! If you do not believe the patient, you become INHUMANE
Word!
"The way you become humane, is believing the patient! If you do not believe the patient, you become INHUMANE" -This! [boycott forced drug tests, for all reasons. Forced drug tests or "coercive" drug tests create an atmosphere of distrust between patients and doctors. This is the last thing the medical professionals need. This is the last thing that patients need.] Wake up hospital owners. Wake up policy makers.
Not medicating pain after tissue damage actually obstructs the healing process according to the science.
He is so out of touch with evidenced based care, let alone the science concerning addiction, it’s causes mechanisms etc it’s unreal
please find me on fb
TEDx,
You should put a note over this video telling viewers to read the comments, because the comments tell it all about the veracity of this video. I hope this doctor is done practicing medicine. If not, then something should be done about either his practice or this video.
-Those Who Actually Understand Chronic Pain
Dangerous
ONLY those that have chronic pain !
This guy is just dangerous. He's the one worried about his rating.TED has allowed independent organisers to expand the name and concept with TEDx talks, which opens the door to guys like this.
That’s an understatement
He’s definitely out of touch
I can only hope when he gets older he has a chronic pain condition
Then maybe he’ll get it
@@dondressel4802 find me on fb
@@dondressel4802 Absolutely. A healthy kaksucker with no major injuries resulting in chronic pain passing judgement on the suffering millions. On Hydrocodone for my severe spine condition, I can work a 12-hour shift and provide for my family. W/O it, I might as well be dead because I sure would be homeless. This dude is clueless.
Yup. I watch TED but TEDx almost always seems like a bogus source of revenue for TED.
Yes, acute pain is very different from chronic pain especially when its intractable and changes your adrenaline and body temp. Ignoring it doesnt help, ans it will never heal so... You can't ignore it
but they DO IGNORE it ! (he needs to have someone take a 9 pound sledge to his pelvis , then we cantalk about PAIN)
I put up with pudendal nerve pain for nearly 15 yrs before starting opioids. Now my Dr (new and inexperienced ) wants to reduce my dosage, without a replacement. I would rather have a shorter life with relatively less pain than a longer life of misery and pain. What would you choose?
jo massey same
Emergency medicine deals with acute pain. Chronic pain is a different kettle of fish. My Dr sees me for 15 mins, then goes on his merry way...forgetting that I have to live with my chronic nerve pain, day in day out. If he was with me for a week, never leaving my side.....I think he would appreciate just how much I have to deal with and the roller coaster of emotions of anxiety and depression that comes with my condition. Dr's only see the acute flares of pain, not the years of suffering.
I hear you, have RSD, now called CRPS
Well there's also Opioid-induced hyperalgesia of course which renders any opioid medication for chronic pain as a worrying additive to the issue rather than mitigator.
@@MrJarrodspace Hyperalgesia might add 1 point to a person's pain level. If the person's chronic pain is constantly 7 points above normal, and an opioid takes away 5 of those points, then who cares about the 1 point added by hyperalgesia (if hyperalgesia even exists).
I am in pain now. Fibromyalgia and I scream
S Pol me tooo how are you?
S Pol I have bad fibromyalgia too.
I cant live like this what do I do I'm only 33 and stuck in pain so bad I cant even function anymore they took away my pain meds and gave me tremadol which does nothing unfortunately
The reason pain medications are number one is because you have a base of people that take a daily medication in some of these cases that’s pain medication. Then all emergency room visits involved severe pain. So there prescribed pain meds. Funny fact there’s very few ER visits that end with a emergency prescription of blood pressure medication. So is this buttered, bald, high horsed doctor calling his former patients weak and pathetic people that need to toughen up?
In my country we don’t blame doctors we own our responsibility. But it’s doctors like this that have caused our doctors to start going to jail. So now we have less doctors and guess what now we have more people dying of heroine.
If chronic pain patients do not receive proper pain relief from their doctors, then they will find pain relief elsewhere. Meditate on this. You will see that if you had chronic pain and you knew there was a form of relief that your youthful doctor would not supply to you because of something they heard on the news or read in a book, you would find another way to get that relief! Why? Because the only thing that matters when you are in that much pain is to find relief. You can't accomplish anything until you have some sort of relief, so the solution to every problem is get pain relief. If your doctor does not prescribe that relief then people will go to the streets for their "medications (maybe heroine)." This is so ________ obvious!!!!! Wake up!
The kid who broke his leg was not screaming in pain because humans don't have the ability to scream for several days straight. He walked that distance not because he was "tougher" than others. He walked that distance because he HAD TO! He had no other choice. If one has no other choice, then one is forced to do these incredible things which make them appear to be different than others. Same goes for the Kiwis. If it is difficult to prescribe pain killers in NZ, then of course they will be prescribed fewer pain killers, because doctors won't want to do it (for bureaucratic reasons not for medical reasons). Just because fewer opioids are prescribed, does not mean Kiwis are a different breed when it comes to pain tolerance. I love and admire Kiwis and tough kids with broken legs, but they are normal people like all of us. This is how all humans behave when they have no other choice, that's all. I'm a little worried about this guy's patients. Is he letting them unnecessarily suffer because of his homemade ideology?
I agree with what your point in general, however it's not difficult to get pain relief in Ao/NZ, my cabinet is full of prescription and OTC stuff as I'm a chronic pain sufferer, and mostly @ $5 for 3 month supply.
to not treat PAIN IS INHUMAN. A "CHOICE" NO CHOICE WE NEED DRS NOT SADISTS!
I believe it comes down to if opiates enhance your life or keep you from the life you should be living...
I am so thankful to read the comments. It was horrible to hear how this doctor feels about people in pain. I don't think someone like this should be able to practice medicine. I wonder how many doctors feel this way.
Anti inflammation medicine causes more trouble than it's worth.
People that have a high tolerance for pain deal with chronic pain
What does this mean? Doesn't everyone "deal" with pain? There is really no choice in the matter. If you have pain than you must "deal" with it. There is no other option but suicide.
In my experience, I'd add that the more you accept and experience pain without medications or distractions, the higher your pain tolerance becomes. You can build up your pain tolerance over time. That's why marathon runners and other top athletes have a tolerance for pain that is off the charts, because of all the painful training they undergo. Take care and be well!
Opioid overdose is not at all the leading cause of preventable death. Alcohol kills TWICE as many as opioids per year. Not to mention obesity and tobacco related illness.
I wish he had the pain I feel everyday in my lower back
I have ankoloid spondylitis in my L-4 L-5
The examples he gives are injuries not chronic pain
It’s true there are people out there that abuse opiates
But the majority of chronic pain patients do not abuse opiates
I broke my ankle playing sports and never took anything for pain
But now being older I have chronic pain in my back
If it wasn’t for norco I’d be in severe pain everyday
I do not abuse my medication and I follow my doctors orders
So bottom line is let elderly chronic pain patients suffer because they need to be tough???
I know your pain. I have Psoriatic Arthritis, Ankylosing Spondylitis and have had ten orthopedic surgeries. Was misdiagnosed for years and at age 67 was correctly diagnosed, but the damage is irreversible and I live in chronic pain. Now there is a movement to stop prescribed opioids because some people who abuse them die; too damn bad! If it wasn't for opioids I would be bedridden and in agony. With them, I at least have some sort of a normal and productive life.
firebearfl I hear you on the opiate issues
Thank God I’ve got a great doctor but he’s going to retire in about four years
I’m 62
I get mad sometimes when I look at how I have been treated for years by the medical community. I avoided taking the vicodin I had when I had severe pain (we later learned I had a massive infection that ate my fallopian tube in half, swelled a disc in my spine and put lesions on my intestines, appendix) because I knew that something was severely wrong. I had to eat to be able to handle the Vicodin (at that time) but I couldn't even eat a piece of bread with honey on it and I would vomit for hours every time I ate. Every time I went to the ER, I was treated like an addict when I never could keep food, water, and/or medicine down... and I went to the ER 5 times in one month because I wasn't able to stop vomiting bile and dry heaving. They also put in their notes that I was most likely a suicidal person with an eating disorder since I lost 24+ lbs that month from first ER visit to last. They did blood tests, X-rays, and IVs with nausea medication and pain medication each time. Never did a CT which would have shown that I was dying because no one would do anything for me. I was in multi-organ shut down before the radiologist called me (they never call the patient, they call the doctor who calls the patient) and told me it was an emergency & I needed to get back to the hospital NOW. That they were getting a room made for me as soon as I was off the phone. I fought the use of pain meds before that. Then it hurt too much so I was on demerol (it was before they stopped using it). 3 surgeries later and 5 years later, I'm sick again with pancreatitis and I didn't go to a hospital until the 4th day when I was crying from the pain. After I healed that, I was on high fiber, low oil diet because it was caused by gallstones and gallbladder disease... and a month & a half later, I'm at another ER because I can't stop vomiting. Another CT... where the tech says it looks like a bomb exploded inside me and I have to have emergency surgery in the morning. And tada: Crohn's disease... but what was worse was that I truly couldn't seem to stop hurting from the surgery. Like I healed but everything hurts... EVERY SINGLE THING throbs while I've physically healed the surgery scars but working my 4-hour shift at the library check in counter hurt so much I would cry all the way home every day. It was like one day I lost the ability to handle simple pain... now no pain hurts like I've been set afire... but I used to work when I had a massive infection that was killing me but now I can't stand for longer than 10 minutes.
Chronic regional pain syndrome.Get to a pain dr.
@Andi Dreyes. I was just going to suggest this. I was diagnosed with Chronic Regional Pain Syndrome after a fall down my stairs resulted in several compound fractures that became infected in the bones with MRSA. I had 8 surgeries, systemic bacterial infection & spent more than two years of my life in hospitals. It took 15 years before they finally figured out why I was still on pain after everything healed. But I was finally diagnosed correctly with CRPS. It affects everyone differently but generally speaking, it can result in chronic pain & peculiar sensations, symptoms long after the initial injury or illness has passed.
I'm so sorry you're going through this. And I'm sorry that these medical professionals treated you the way they did & made you feel the way you do. Getting your pain & symptoms treated adequately and getting your quality of life back is your inherent right as a human being. Don't accept anything less. There are many different effective modalities for treating pain. A holistic approach that treats the entire body, mind & spirit and uses many different treatments is most effective. Meditation does wonders too. And there is absolutely nothing at all wrong with using pain medication when it's needed. Only you can say when that is. But don't force yourself to suffer out of someone else's ideals or their ignorance.
I wish you happiness & comfort on your journey to healing. Take care of you.
You matter. ♡
They said it's Fibromyalgia, at 18/18. I was able to handle pain before my last surgery and never to the same amount I was able to beforehand. I still push every TENS-unit to its limit.
I find the idea of "toughness" in characterizing a nation's response to pain management to be an ill-advised one. It is akin to telling patients that they need to "tough it up," which is shaming, blaming, and a relic of a patriarchal view a humanity. I understand, though, the speaker's surprise at seeing that countries outside of the US do not have the same issue of overprescribing very dangerous meds to treat pain. It is natural to wonder how this is possible. Perhaps, it is not just because of "toughness." In my experience, US citizens live in a society that is tough already. If anything, I would say that this toughness is a potential underlying factor in overtreating pain. Weakness is not something that is openly talked about in any culture for that matter. More importantly, the US has very powerful Pharma lobbies that exert significant influence on the government, unfortunately the FDA, and on prescribers. Pharma is probably better regulated (as it should) in NZ and therefore less aggressive. If the speaker would like to endorse the idea of "toughness," then perhaps he should call on the FDA and the government to impose stricter standards on the pharmaceutical industry's manipulation of the health care system. Instituting pain as the 5th vital sign was fallacy that worked great for opiate sales. The US is also a country in which people are often expected the be self-reliant even when in need of support by others. Every human ailment has a better prognosis when a person enjoys social support and has meaningful relationships that help manage a potentially debilitating situation. Arguably, when people overrely on meds to manage pain that means that meds have become their primary supports. Is NZ a country where people feel parts of a close knit community more than they do so in the USA? Pain has a social dimension and definitely a cultural one. People in the US are not "weaker," perhaps they more alone, more ashamed as pain constitutes personal "failure" in a competitive society, and therefore are an easier pray to those who market dangerous substances to vulnerable populations. MDs, as the gatekeepers, feeling scared, confused, potentially dissociated and unable to appropriately exercise their clinical judgement are also part of the equation. What is lacking here is not "toughness." It is rather reflection and kindness.
Yes. This guy is dangerously wrong. You are correct.
Pain is a choice!! Yeah this from people who have never experienced excruciating unrelenting pain. They have never been told this is the best it is going to be so live with it. Pain management doesn't take the pain away. It takes the edge off so as human can get out of bed and move around. Most chronic pain patients are excellent actresses/actors. We looked other people and smile and lie and then go home and cry alone.
Yes
Interesting talk. New Zealand also has the highest youth suicide rate in the industrialized world. Some researchers have drawn a link between the suicide rate, to the New Zealand "tough" culture of not talking about feelings / admitting to pain. I'm not saying that the United States is right in over-presciribing opioid pain medications, but I'm not sure New Zealand has it right either.
Really??? Hummm.... Maybe why soo many people are taking opioids, masking emotional pain.
I read an amazing book called "The Bone People" which took place in NZ. Incredible writer, won many literature awards. Reminds me of the effects of this "toughness" topic culturally and personally. I think you would appreciate the book.
pls tell me where u got the info about overprescribing amazing when in reality almost no doctor will write a script for pain meds thank the CDC and the DEA for the torture and death of countless chronic pain people
Pain management. Misdiagnosed in one visit after I had pain 16 year and six doctors, she took my pills away I had a stroke, you can me addlcted to soda,
it is a fact.....the more relaxed a patient is and believes they will get pain meds...the less they actually use if they have control !
Doc your just happy not to be here(U.S)listening to your pain patients who you left to suffer.
That was really good.
Wow. The more I listen, the more I'm astounded by this guy's inability to understand scientific thinking. How did he get through medical school? Every "proof" he describes is anecdotal. I am positive that there have been no scientific studies backing up his personal hypothesis. I'm guessing his "success" is completely dependant on the fact that he praises the "toughness" of Kiwis, and of course all the Kiwi's eat that up (except the ones who actually have real chronic pain issues). It's simply bad that he is spreading these ideas he has woven together in his head. Everyone please ignore what he is saying. He has no idea what he's talking about.
This guy makes me sick. He has no idea what it is like to live with chronic pain. He's so smug.
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Terri Hinton I’ve been on both sides.. Lived with chronic pain for most of sixty years. The first 40, I went w/o opiates, but when I couldn’t stand any longer, had to change something.
It’s the constant dripping of pain, the lack of sleep, the isolation, not knowing the source, and hopelessness combined that, at times, drives me to get an hour or two of relief.
I’m blessed. I’m monitored by professionals who come and go. I’m told I’m a “model patient”. Who knows. I’d rather be a productive member of society.
I’ve tried years of P.T.
D.O.’s
Massage/Tens/surgeries/meds/ ice/heat/hypnosis.
I’ll keep fighting, and stay legal, but after a lifetime of this - I’m tired. I THANK GOD I’m not a burn patient.
*An addendum: When my bp is 198/105 because of pain - Yes, I do need morphine drip if ANYONE wants me to report calmly, my history and the circumstances leading up to my visit.
I wish docs would just say “we don’t know”.
It would be a lot easier.
5% of a dr's income (effected by pres gainy scores) should not effect their treatment of patients! That is so incredibly unethical. Treat patient pain, forget about your 5%; and ridicule those who change their treatment for such a small relative income gain.
I meditated because no one will prescribe. I can reduce my pain by 20% by meditating.
It says on the Bottle, don't drink with it, don't mix with sleeping pills. If someone chooses to do this it's not my fault!!
I know my opinion means little against that of a doctor who is supposed to be much more educated than I, but unfortunately pain sufferers are the foremost experts of their pain. A doctors Hippocratic oath is to do what they can to relieve suffering. This guy is like all the doctors I’m sure many of us have seen in the beginning of our “journey “, telling us to go exercise and take ibuprofen leaving us to suffer pain that he could not imagine. He’s probably not a bad guy, he just shouldn’t be giving talks spreading misinformation. A compassionate doctor doesn’t say, “Not today, but one day if you exercise through your intense pain long enough, (try being in chronic pain and exercising) you’ll feel better. My opinion is that he is not credible at all on the subject of pain. If you are in pain and looking for answers, please do not take this mans advice.
And people with terrible pain everyday just suffer. Give me a natural way that makes me live a manageable life. I just want the most of it to be gone so I can work and support my husband and I. I didn’t choose the girl that hit from behind going 75/80 mph. I didn’t choose the damage it did to my body. I would rather be healthy and not broken. Your talk was pretty much Kiwi’s are tough and Americans are weak. You’re arrogant like many drs I’m come across in the ER! I really don’t know what else to say. You don’t have a solution. You only see the problem you perceive. Wow! I wonder what you will be like if you get hurt and it doesn’t just go away. I hope you never have to experience it but I think without experiencing it you’ll never be a compassionate human helping another human.
Hi Suzie, It is hard to feel like people don't understand the way people like us with chronic pain live. How has your journey with pain been for you? Would you like to talk to someone about it?
He obviously dosen't live with suicidal pain, but I suppose its his view, when used in the right setting there good for pain, there is so much misinformation going about.
Kergan comments that there is a the difference between chronic pain and acute or short term pain.
The problem is Dr do not recognized like they should that chronic pain is due to a disease state, or perminately damaged tissue state. It may be progressive even where it is presumed that it's just scare tissue. Opiates also treat the disability related to a disease state or "healed" injury. A person may need opiates in order to work. The amount of medication needed my be to promote the ability to work during a 8 hour day and time for personal daily functions. Maybe they have enough pain control at a lower dose when not working because pain at that time is just part of their life and something they have learned to embrace. However, no pain treatment would also be intolerable in the resting state. So chronic pain patients have complex opiate needs, and denying that medication forces that person to suffer from both pain and forces that person into increased disability. The denial of opiate pain medication is cruel and is a trap for extreme poverty, and impacts whether a person can care for themselves, their dependants, or others, in addition to not being able to work. Chronic pain patients are also mostly tolerant to the harmful side effect of opiates at even the necessary high daily doses needed to control pain. So there needs to be a separate strategy for chronic pain patients and those with acute pain.
these people are in shock, they are not in chronic pain.
So much for immigrating to New Zealand.
With those 3 patients you learned nothing. The patient simply did not know how the medication would help. Had you given the patients pain meds sufficient to moderate or relieve the patient's pain the reaction to the pain meds would have been different.
This is simply just another example of a con job trying to get Chronic Pain Patients to accept Chronic Pain.
I hear you. I have a bit of osteoarthiritis and intermittent pain. I am not on opiod medication but i am not against it. I support your cause but you need to organize. And you have to make enough of your voice to be heard. Like rallies, pushing fda. You have to join your forces probably with other groups. Oh US is so archaic with this..
You "learned" all about pain from 3 experiences? (6:50). That's not many experiences to prove anything about pain. Summation: you know next to nothing about pain.
To be fair, he did specify "acute" pain. As someone who has chronic pain myself, I was disappointed that the video does not offer a method of help or relief of pain. Instead it offers only speculation about individual and cultural tolerances or perceptions for pain. While the description of the video states as much, too bad I only read the title before watching, otherwise this is a video I should have skipped. My recommendation to other people with chronic pain is to skip this video.
Problem is that the FDA, DEA and CDC think and act like this moron when it comes to the subject of pain, acute and/or chronic.
Sounds more like the Farmer was a recovering opiate addict and didn't want to relapse or for people to know he was.
As for the kid shock does a lot. (but being only an anecdote it might not even be true)
Dear Sir,
Hi, I have been in pain for over 25 years and have been taking 18 mg of morphine four times a day. I think the cause is because I spent overtime in the Sarcophagus of Chernobyl's blown out reactor # 4 I made three trips to Chernobyl and received doses of radiation each time. My entire body is in much pain even though I am taking all this morphine. My weight was 155 lbs. during my first trip and am now 106 lbs. I am 80 years old, What are my chances of getting this virus? Can you help me? thx
That's why many people self medicate.
I bet he used to work at the local hospital in my area. Ask for assistance to alleviate pain and they label you and say nothing is wrong with you even though you have a medical file thicker than a NYC phone book.
This talk isn't even about The Kiwi answer? In the last 5 minutes he talks about it.
This is one of those guys that I got to wonder if he ever worked a day in his life. He sure don't look like he ever worked on construction, or crushed vertebrae broken neck or hip. Initial pain should be treated promptly.
I don't agree with this approach as fitting for more than a small group of people. I have a spinal cord injury and live in chronic pain daily. I don't think that acting "tougher" is a solution for me.
Some pain has structural cause..BUT Most Pain is from TMS and needs nothing more than Knowledge of what they are doing to create their Pain.
New Zealand probably has more potent, more curing naturally produced and used remedies that work! And are not illegal because they have used natural medicine maybe?
Denying pain relief to legit patients is a crime
Excellent presentation, fun, and educational. I gave it a like. Keep up the good work, Doc.
this TALK makes pain worse !
A culture of toughness? Is this for real?? How incredibly scientific... Anyone can give a Tedx talk now, this is an example of the subjective BS that many of these talks have become
No comments Mike? No Defending your idea? If you can't defend your lecture, then maybe it would be better to just remove the video entirely; so people don't continue learning the wrong stuff?
Mike is delusional. I feel bad for his patients. To think he travels all that way to provide such bad medical care.
Hey buddy, what do you think about the fact that almost every comment here points out that you are spreading misinformation?
or that this is a self-selecting group of people who like to externalise their issues? -Chronic pain is a complex issue with a heavy psychosocial interface.
@@MrJarrodspace What does that mean?
Is this nociTRACK machine available for sale and if yes , how can I get it in Nairobi- Kenya.
Stockpile unwashed opiate seeds. Be careful and ladder your dose. One dose last all day. All people don’t experience pain the same way! If they want to take our meds away, do what you have to do.
To bad even that is hard to come by because the government tried to step in after finding out people use poppy seeds.
Bull shat. I hope dr that you get a very painful chronic incurable condition and are denied pain medication. Then you can practice your toughness. Lol. I'd really like to see that.
It is amazing to me how people believe they should tell other people what they should and should not do.
y’all can buy codeine over the counter there right?
Good question.
Yes ... sort of, very low dose of things like Panadeine which is paracetamol 500mg with a little codeine 8mg, you have to provide a few details that get added to your NHI (national health information) so you can't over buy it ... But I've never had a pharmacist deny me, they just ask a few more questions to discuss and maybe offer an alternative they think might work better specific to my needs.
Toxic megacolon is painless if I just choose not to feel it??😅😂😂😂😂😅😂🤣
Suffering with pain is A CHOICE? This guy has no idea what he's talking about. He's never suffered pain. Wow. Someday he'll suffer and...he'll cause the death of many. Heart attacks, strokes, seizures from unalleviated pain. What planet is he on? The government's I think. Once we occupy Afghanistan with another war so we can "own" the poppy fields, this rhetorical propaganda will reverse. Sad that in the meantime many will die from pain that's untreated.
let him live for 20 years with that leg and them try to tell me just how good he dose with coping with pain , he know nutting of the insidious nature of chronic pain , hes full of hot air, o by the way , i have had 8 kidney stones , maybe he should have one or too and then just maybe he might understand pain a bit more,
You knew he even lost the audience when the camera cuts to their concerned faces. I’ve watched many TED talks and rarely is there a prolonged audience shot.
I’ve suffered from chronic pain for over 20 years, and I can tell you this thinking is misguided at best and (more likely) downright dangerous and detrimental to his patients.
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UA-cam could you please delete this as funny news based on incorrect data and propaganda?
WHAT NONSENSE! THEY SIMPLY HAVEN’T BEEN EXPOSED TO IT YET.
bullshit.................I'm never satisfied...I am ignored at best...verbally harrassed ..abused..and beyond hopeless...one doctor said I was abusing him...by making him listen to my crying !.....one hospital...said if I could not quit crying I'd have to leave the hospital because my groaning moaning and crying was upsetting the other patients !
This guy is insane. I hope you’re not practicing any type of medicine.
What is wrong with you?
Zen ? you gota be kidddinggg me ,what a bunch of s--- !
H(to
bullcrap