Sanjay Gupta
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Podcast Appearances
And what is interesting, going back to this monotherapy sort of culture, you know, we call these drugs, you know, antidepressants or anti-epileptic drugs.
And I think as a result, doctors may just use them for those indications.
But then you come to find out, for example, with trigeminal neuralgia or tic de la rue, using nerve stabilizers can be really helpful.
Surgery can be helpful in that case as well.
But there's all these various options to basically try and address that particular nerve, the trigeminal nerve, to try and alleviate people's pain.
That is probably the worst pain.
When I ask pain doctors all over the country, what do you think causes the worst pain in a human being?
that idea of lancinating pain, lightning bolt pain in your face that seemingly comes out of nowhere, and you can't even chew on that side of your mouth, can't brush your teeth, all of that, that's the sort of pain that they're trying to address.
Yeah, I'm really glad you raised this because there's nothing that I wrote or that I think that should in any way minimize people's pain.
I think for a long time when this idea that, hey,
it's in your head, people felt like they were marginalized.
Chronic pain patients felt like they were marginalized.
But at the same time, all pain is in the brain.
These pain receptors, they're in your body.
They send a signal to the brain, and then the brain is trying to determine, is this serious?
Is this something I need to worry about?
Is this going to cause pain?
And to make that decision, not only do they take the information from those nociceptors, those pain receptors,
But they look at your overall life.
I mean, have you experienced that before?