How unfair is that?

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Julia Freeflow

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Emotions don't just live in your head they also come out in your body
I was a kid who had chronic stomach aches
Poked and prodded put on a bunch of different medications
Told that it was like lactose and I did the elimination diets
One of the number one signs of stress and anxiety in a child happens to be stomach aches
I did my post doc in pain management and these non pharmacological treatments for pain
Which a lot of people think are fluff and pseudoscience it's actually really real
But nobody ever tells us about pain

How do I take this critical information and spread it to every single person
Because if we don't have chronic pain now pain is coming for everyone
This idea of the separation between patient and doctor
I like the quote if you're actually looking for an expert ask a patient
We go do doctors who talk about structural who talk about physical
Who don't say and if they do it's usually in like a pretty dismissive way to say
Like you're just stressed out you need to relax and breathe

How do we teach doctors to talk to patients about the emotional side of pain without minimizing
What is that taboo idea between doctor and patient when it comes to chronic pain
How do we find that balance between my pain is being taken care of physically
And I'm being talked to about the mental aspect of it without wanting to blow my brains out
Or punch someone in the head
Yes right danger to self danger to others

Chronic pain patients in medicine are considered among the hardest patients to treat
A chronic pain patient is someone whose been dealing with pain for a very long time
And so far, nothing has worked
96 per cent of medical schools in the United States and in Canada have zero compulsory pain education
Of the med schools that do it is usually purely biomedical
Anatomy, physiology and chemistry
Pain is not biomedical ever
The experience of pain is this biopsychosocial phenomenon
Genetics tissue damage system dysfunction all very important for pain
And there are all these psychological factors which have so much stigma around them
Thoughts beliefs emotions coping behaviours family and support system
Isolation culture and religion and context and environment and history of trauma
Trauma is so important when it comes to pain

Medicine doesn't reimburse a lot of treatments for pain that are not pills and procedures
As you probably have already discovered
But most physicians haven't been offered pain education in medical school
All these things together create this perfect storm
The other thing that really frustrates me is that what I do is I'm a pain psychologist
Everyone always says do you treat physical pain or emotional pain
And now I just nod my head and I say yes
The fact that that's the number one question tells me no one has ever had their pain explained to them
And how unfair is that

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