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America Dissected

Pain Points with Dr. Haider Warraich

America Dissected

Incision Media LLC

Politics, News, Society & Culture

4.64.4K Ratings

🗓️ 19 April 2022

⏱️ 48 minutes

🧾️ Download transcript

Summary

Millions of Americans live with chronic pain. But we have yet to fully contend with the impact pain has on people–and our ability to treat pain remains limited. In fact, our failure to engage with the complexity of pain is, in part, what led to the opioid crisis, which took over 100,000 lives last year. One of those people living with chronic pain is Dr. Haider Warraich, a physician who’s written a book exploring pain as a biological and sociocultural phenomenon. He joins Abdul to talk about pain–what it is, how it shapes our society, and how people and their providers need to have a better conversation about it. For a transcript of this episode, please visit crooked.com/americadissected.

Transcript

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0:00.0

COVID cases are climbing fast. Again, two new BA2 sub variants have been discovered in

0:12.8

the Northeast in the United States. President Biden signs an executive order to regulate

0:17.0

ghost guns. Just as a gunman on a Brooklyn subway reminds us how desperately we need

0:21.3

a gun-reform. This is America Dissective. I'm your host, Dr. Abdul-Elsaid.

0:32.1

Pain is both the beginning and the end of illness. Let me explain what I mean by that. Most people

0:37.5

only go to the doctor when they're feeling some sort of pain. At pain is telling them

0:41.2

something's just not right. It's in provider parlance, the quote unquote, chief complaint.

0:46.2

And no matter what a doctor does to address any underlying pathology, addressing pain

0:50.5

is for most. They can fix everything. People don't really feel like you fixed anything at

0:54.7

all. Biologically, pain is the firing of a set of neurons from part of the body experiencing

0:59.6

that pain to your central nervous system, which then registers the experience of pain

1:03.0

in your brain. We're hardwired to avoid pain, which is by definition a noxious stimulus.

1:08.8

It turns out that pain, however, well, painful it is, is an extremely effective system for

1:13.6

self-preservation. There's this extremely rare genetic disease that knocks out the body's

1:18.2

ability to feel physical pain. This congenital insensitivity to pain occurs because of a mutation

1:23.2

in a protein that's critical to the function of your pain neurons, rendering them incapable

1:27.1

of firing the pain stimulus to your brain. You might think that it'd be great never

1:31.6

to have to feel pain, but people with congenital insensitivity to pain don't usually live past

1:36.3

25. They simply don't know about the bumps and bruises and burns and cuts that you and

1:41.2

I learned to avoid and care for because, well, they're painful. The irony is that pain

1:46.4

is a lifesaver, but pain isn't simply a biological phenomenon. It's a social one,

1:51.4

too. Consider the millions of Americans who suffer unexplained chronic pain. They can't

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