[Applause] you wake up early in the morning on a
you wake up early in the morning on a
you wake up early in the morning on a cold day like today and you step outside
cold day like today and you step outside
cold day like today and you step outside of your house
of your house
of your house and take a deep breath you can feel cold
and take a deep breath you can feel cold
and take a deep breath you can feel cold air breeze through your nose and fill
air breeze through your nose and fill
air breeze through your nose and fill your lungs
your lungs
your lungs you can literally smell winter
you can literally smell winter
you can literally smell winter sensations like smell haze sound touch
sensations like smell haze sound touch
sensations like smell haze sound touch these things we all know that it’s there
these things we all know that it’s there
these things we all know that it’s there but it’s something we can’t see and it’s
but it’s something we can’t see and it’s
but it’s something we can’t see and it’s something we cannot share with any other
something we cannot share with any other
something we cannot share with any other people because these senses can be
people because these senses can be
people because these senses can be affected or modified by each individual
affected or modified by each individual
affected or modified by each individual it could be modified through so many
it could be modified through so many
it could be modified through so many things like our emotions expectations
things like our emotions expectations
things like our emotions expectations environment or our previous experience
environment or our previous experience
environment or our previous experience so even if I taste or I eat the exact
so even if I taste or I eat the exact
so even if I taste or I eat the exact same food as you the taste you may sense
same food as you the taste you may sense
same food as you the taste you may sense and the taste I sense may be completely
and the taste I sense may be completely
and the taste I sense may be completely different some may feel
different some may feel
different some may feel some may find this extremely spicy and
some may find this extremely spicy and
some may find this extremely spicy and don’t want to eat and some may be able
don’t want to eat and some may be able
don’t want to eat and some may be able to eat this in a breeze even with the
to eat this in a breeze even with the
to eat this in a breeze even with the exact same stimulation our
exact same stimulation our
exact same stimulation our interpretation and our reaction it’s
interpretation and our reaction it’s
interpretation and our reaction it’s very different the reason why I’m
very different the reason why I’m
very different the reason why I’m telling this to you today is because I
telling this to you today is because I
telling this to you today is because I deal with one of these sensations every
deal with one of these sensations every
deal with one of these sensations every day that is pain fortunately I’m not the
day that is pain fortunately I’m not the
day that is pain fortunately I’m not the one who’s experiencing pain but I’m a
one who’s experiencing pain but I’m a
one who’s experiencing pain but I’m a dentist
dentist
dentist and by saying that I don’t mean on
and by saying that I don’t mean on
and by saying that I don’t mean on hurting my patient drilling and pulling
hurting my patient drilling and pulling
hurting my patient drilling and pulling their teeth okay I specialize in a field
their teeth okay I specialize in a field
their teeth okay I specialize in a field called or facial pain and I know not
called or facial pain and I know not
called or facial pain and I know not many of you have heard this specialty
many of you have heard this specialty
many of you have heard this specialty before because there aren’t many of us
before because there aren’t many of us
before because there aren’t many of us here in Japan but simply put I’m a pain
here in Japan but simply put I’m a pain
here in Japan but simply put I’m a pain specialist that happens in somewhere
specialist that happens in somewhere
specialist that happens in somewhere around here like your teeth gum mouth
around here like your teeth gum mouth
around here like your teeth gum mouth jaw tongue now I’d like to ask one
jaw tongue now I’d like to ask one
jaw tongue now I’d like to ask one question for maybe two who in here
question for maybe two who in here
question for maybe two who in here please raise your hand please raise your
please raise your hand please raise your
please raise your hand please raise your hand if you like visiting your dentist
hand if you like visiting your dentist
hand if you like visiting your dentist and with some laughter and just maybe
and with some laughter and just maybe
and with some laughter and just maybe one alright so who in here likes
one alright so who in here likes
one alright so who in here likes experiencing pain of any color see
experiencing pain of any color see
experiencing pain of any color see that’s why I’m not the most popular guy
that’s why I’m not the most popular guy
that’s why I’m not the most popular guy on earth but did you know that this
on earth but did you know that this
on earth but did you know that this sensation of pain is something that we
sensation of pain is something that we
sensation of pain is something that we hate to have but it’s something we must
hate to have but it’s something we must
hate to have but it’s something we must have in order to live a normal life a
person without pain it may sound like a
person without pain it may sound like a superhero but that’s not true because
superhero but that’s not true because
superhero but that’s not true because pain is what tells us if we’re body is
pain is what tells us if we’re body is
pain is what tells us if we’re body is in danger or at sea and also pain is
in danger or at sea and also pain is
in danger or at sea and also pain is what teaches us how much our body can
what teaches us how much our body can
what teaches us how much our body can tolerate so it won’t break in pieces
tolerate so it won’t break in pieces
tolerate so it won’t break in pieces let’s say you drink a cup of coffee
let’s say you drink a cup of coffee
let’s say you drink a cup of coffee if you don’t have pain you can’t tell if
if you don’t have pain you can’t tell if
if you don’t have pain you can’t tell if the coffee is too hot for you or not
even without sensation of pain if you
even without sensation of pain if you drink a boiling cup of tea or coffee it
drink a boiling cup of tea or coffee it
drink a boiling cup of tea or coffee it will still burn your mouth this
will still burn your mouth this
will still burn your mouth this sensation of pain that is there to
sensation of pain that is there to
sensation of pain that is there to protect us is called somatic pain and
protect us is called somatic pain and
protect us is called somatic pain and other than that there are two other
other than that there are two other
other than that there are two other conditions of pain psychological pain
conditions of pain psychological pain
conditions of pain psychological pain and your Pathak pain there are three
and your Pathak pain there are three
and your Pathak pain there are three different types of pain and these pain
different types of pain and these pain
different types of pain and these pain may sometimes coexist somatic pain
may sometimes coexist somatic pain
may sometimes coexist somatic pain psychological pain and neuropathic pain
psychological pain and neuropathic pain
psychological pain and neuropathic pain and if you put them all together it may
and if you put them all together it may
and if you put them all together it may sometimes be quite chaotic but
sometimes be quite chaotic but
sometimes be quite chaotic but fortunately that’s not always the case
fortunately that’s not always the case
fortunately that’s not always the case well psychological pain is type of pain
well psychological pain is type of pain
well psychological pain is type of pain when you go to a doctor complaining
when you go to a doctor complaining
when you go to a doctor complaining about pain and dr. a dentists they find
about pain and dr. a dentists they find
about pain and dr. a dentists they find nothing wrong with your body they will
nothing wrong with your body they will
nothing wrong with your body they will start to think it might be coming from
start to think it might be coming from
start to think it might be coming from their head oh you have exam next week
their head oh you have exam next week
their head oh you have exam next week that’s why you’re stressed oh you’re not
that’s why you’re stressed oh you’re not
that’s why you’re stressed oh you’re not doing well with your husband maybe take
doing well with your husband maybe take
doing well with your husband maybe take some time away from him take a short
some time away from him take a short
some time away from him take a short trip with your friend and you may feel
trip with your friend and you may feel
trip with your friend and you may feel fine and that’s what doctors may
fine and that’s what doctors may
fine and that’s what doctors may actually tell you however there is
actually tell you however there is
actually tell you however there is another type of pain which is called
another type of pain which is called
another type of pain which is called neuropathic pain and this is type of
neuropathic pain and this is type of
neuropathic pain and this is type of pain which I deal with in my normal
pain which I deal with in my normal
pain which I deal with in my normal practice the problem with neuropathic
practice the problem with neuropathic
practice the problem with neuropathic pain is that it may be completely fine
pain is that it may be completely fine
pain is that it may be completely fine on surface but this pain is generated
on surface but this pain is generated
on surface but this pain is generated due to a dysfunction of nerves or it’s
due to a dysfunction of nerves or it’s
due to a dysfunction of nerves or it’s networks
networks
networks normally when there’s a certain amount
normally when there’s a certain amount
normally when there’s a certain amount of stimulation to your body if it’s too
of stimulation to your body if it’s too
of stimulation to your body if it’s too much for your body can tolerate then
much for your body can tolerate then
much for your body can tolerate then this is translated into an electrical
this is translated into an electrical
this is translated into an electrical signal and this signal is transferred to
signal and this signal is transferred to
signal and this signal is transferred to a brain through a fiber call nerves and
a brain through a fiber call nerves and
a brain through a fiber call nerves and when this signal reaches certain part of
when this signal reaches certain part of
when this signal reaches certain part of your brain then it is recognized as pain
your brain then it is recognized as pain
your brain then it is recognized as pain person with neuropathic pain because of
person with neuropathic pain because of
person with neuropathic pain because of the dysfunction a regular sensation
the dysfunction a regular sensation
the dysfunction a regular sensation which shouldn’t be painful like a normal
which shouldn’t be painful like a normal
which shouldn’t be painful like a normal touch or your own body temperature may
touch or your own body temperature may
touch or your own body temperature may feel like you’re being stabbed by a
feel like you’re being stabbed by a
feel like you’re being stabbed by a sharp needle or feels like a burning
sharp needle or feels like a burning
sharp needle or feels like a burning sensation in fact there is a condition
sensation in fact there is a condition
sensation in fact there is a condition called burning mouth syndrome which a
called burning mouth syndrome which a
called burning mouth syndrome which a patient feels a continuous burning
patient feels a continuous burning
patient feels a continuous burning sensation out their mouth and they wait
sensation out their mouth and they wait
sensation out their mouth and they wait and they go to a dentist or a doctor and
and they go to a dentist or a doctor and
and they go to a dentist or a doctor and have it examined and they are told
have it examined and they are told
have it examined and they are told you’re completely fine it is challenging
you’re completely fine it is challenging
you’re completely fine it is challenging for both US doctors and also for
for both US doctors and also for
for both US doctors and also for patients because for us we have to treat
patients because for us we have to treat
patients because for us we have to treat something we cannot see because as I
something we cannot see because as I
something we cannot see because as I said this sensation of pain is invisible
said this sensation of pain is invisible
said this sensation of pain is invisible and it can be modified and interpreted
and it can be modified and interpreted
and it can be modified and interpreted differently in each individual’s so if
differently in each individual’s so if
differently in each individual’s so if we can’t rely on our eyes then we have
we can’t rely on our eyes then we have
we can’t rely on our eyes then we have to rely on what patients tell us and
to rely on what patients tell us and
to rely on what patients tell us and that’s why because of sometimes
that’s why because of sometimes
that’s why because of sometimes stereotypes or misunderstanding may lead
stereotypes or misunderstanding may lead
stereotypes or misunderstanding may lead the doctor or dentist to say oh it’s
the doctor or dentist to say oh it’s
the doctor or dentist to say oh it’s coming from your head although it really
coming from your head although it really
coming from your head although it really is coming from the dysfunction of nurse
is coming from the dysfunction of nurse
is coming from the dysfunction of nurse for patients it’s hard because this pain
for patients it’s hard because this pain
for patients it’s hard because this pain they are feeling it is real it really
they are feeling it is real it really
they are feeling it is real it really exists but the doctors don’t understand
exists but the doctors don’t understand
exists but the doctors don’t understand and not only don’t they understand they
and not only don’t they understand they
and not only don’t they understand they start to think or say that is coming
start to think or say that is coming
start to think or say that is coming from your head they start to fear that
from your head they start to fear that
from your head they start to fear that this pain may be something bad something
this pain may be something bad something
this pain may be something bad something life-threatening
life-threatening
life-threatening underneath the cessation of pain they
underneath the cessation of pain they
underneath the cessation of pain they get anxious and they get depressed
get anxious and they get depressed
get anxious and they get depressed because there is no sign of hope of
because there is no sign of hope of
because there is no sign of hope of improvement in fact there is a survey
improvement in fact there is a survey
improvement in fact there is a survey done back in 1999 sorry back in 1999
where which it was it’s a bit old and
where which it was it’s a bit old and hope there is there’ll be an update on
hope there is there’ll be an update on
hope there is there’ll be an update on it soon but a patient with a neuropathic
it soon but a patient with a neuropathic
it soon but a patient with a neuropathic pain or or facial pain related disorders
they see more than five different
they see more than five different doctors it takes more than four years
doctors it takes more than four years
doctors it takes more than four years until they finally get a proper
until they finally get a proper
until they finally get a proper diagnosis and proper treatment it’s easy
diagnosis and proper treatment it’s easy
diagnosis and proper treatment it’s easy if a patient pain patient complains
if a patient pain patient complains
if a patient pain patient complains about pain and an x-ray shows this a
about pain and an x-ray shows this a
about pain and an x-ray shows this a fracture a broken bone it can be more
fracture a broken bone it can be more
fracture a broken bone it can be more obvious but we have to keep in mind that
obvious but we have to keep in mind that
obvious but we have to keep in mind that we are only looking at a broken bone and
we are only looking at a broken bone and
we are only looking at a broken bone and not the sensation of pain the patient is
not the sensation of pain the patient is
not the sensation of pain the patient is experiencing so that’s why I can get
experiencing so that’s why I can get
experiencing so that’s why I can get really challenging for them for us
really challenging for them for us
really challenging for them for us doctors if an x-ray shows this but the
doctors if an x-ray shows this but the
doctors if an x-ray shows this but the patient complains about pain oh it looks
patient complains about pain oh it looks
patient complains about pain oh it looks completely fine you’re all good but the
completely fine you’re all good but the
completely fine you’re all good but the patient still feels pain
pain nurse although there’s a scientific
pain nurse although there’s a scientific and more specific definition of pain use
and more specific definition of pain use
and more specific definition of pain use today this is a definition of pain
today this is a definition of pain
today this is a definition of pain created by a pain nurse her name was
created by a pain nurse her name was
created by a pain nurse her name was McCaffrey and she said pink is whatever
McCaffrey and she said pink is whatever
McCaffrey and she said pink is whatever the experiencing person sees it is
the experiencing person sees it is
the experiencing person sees it is existing whenever he or she says it does
existing whenever he or she says it does
existing whenever he or she says it does although this was defined almost 50
although this was defined almost 50
although this was defined almost 50 years ago almost half a century ago I
years ago almost half a century ago I
years ago almost half a century ago I think it expresses the essence of pain
think it expresses the essence of pain
think it expresses the essence of pain very well that it can’t be seen it can’t
very well that it can’t be seen it can’t
very well that it can’t be seen it can’t be measured so when a patient complains
be measured so when a patient complains
be measured so when a patient complains about pain you can’t ignore it it can’t
about pain you can’t ignore it it can’t
about pain you can’t ignore it it can’t neglect it you have to trust the word
neglect it you have to trust the word
neglect it you have to trust the word and seek for an answer whether it is
and seek for an answer whether it is
and seek for an answer whether it is somatic psychological or neuropathic I’d
somatic psychological or neuropathic I’d
somatic psychological or neuropathic I’d like to continue to quote another
like to continue to quote another
like to continue to quote another individual her name is Helen Keller she
individual her name is Helen Keller she
individual her name is Helen Keller she was challenged with vision and hearing
was challenged with vision and hearing
was challenged with vision and hearing and this is what she said the best and
and this is what she said the best and
and this is what she said the best and most beautiful things in the world
most beautiful things in the world
most beautiful things in the world cannot be seen or even touched they must
cannot be seen or even touched they must
cannot be seen or even touched they must be felt with the heart these things we
be felt with the heart these things we
be felt with the heart these things we tend to focus only on what we can see
tend to focus only on what we can see
tend to focus only on what we can see and not the things we can’t see like
and not the things we can’t see like
and not the things we can’t see like feelings or sensations I hope someday
feelings or sensations I hope someday
feelings or sensations I hope someday someone will invent a device that can
someone will invent a device that can
someone will invent a device that can measure pain so everyone can agree on
measure pain so everyone can agree on
measure pain so everyone can agree on the presence and the amount of pain
the presence and the amount of pain
the presence and the amount of pain which a patient is suffering from I
which a patient is suffering from I
which a patient is suffering from I encourage more researchers to explore
encourage more researchers to explore
encourage more researchers to explore about the sensation of pain if you can
about the sensation of pain if you can
about the sensation of pain if you can invent such device maybe there’ll be
invent such device maybe there’ll be
invent such device maybe there’ll be another Nobel Prize winner from this
another Nobel Prize winner from this
another Nobel Prize winner from this University
Payne it is something we can’t see just
Payne it is something we can’t see just like smell or taste so if you see anyone
like smell or taste so if you see anyone
like smell or taste so if you see anyone who is suffering from pain no matter how
who is suffering from pain no matter how
who is suffering from pain no matter how they seem don’t forget to offer them a
they seem don’t forget to offer them a
they seem don’t forget to offer them a helping hand and to my colleagues what a
helping hand and to my colleagues what a
helping hand and to my colleagues what a patient complains about pain or some
patient complains about pain or some
patient complains about pain or some thing wrong with their body
thing wrong with their body
thing wrong with their body please don’t neglect their complaint
please don’t neglect their complaint
please don’t neglect their complaint because to them it is as real as it can
because to them it is as real as it can
because to them it is as real as it can be even if you can’t see thank you very
be even if you can’t see thank you very
be even if you can’t see thank you very much
much
much [Applause]
”
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