Do you remember where you were on 12 June 2016?
Few of you may remember but I bet that most of you did not
On June 12, 2016, an armed man entered the nightclub “Bals” and killed 46 people
In the largest mass murder incident in the history of the United States by an armed person
Now, we will return to nearly a decade
What about August 29, 2005
Do you remember where you were?
Some of you nod his head there.
This was a hurricane (Katrina)
More than 1,800 people have lost their lives in the biggest natural disaster
Hit the continent of North America.
Now let’s go back a few more years and come to a 100% known accident.
Do you remember where you were on September 11, 2001?
Everyone is nodding now.
The September 11 attacks left more than 3,000 dead
In the worst terrorist attack in US history.
Do you remember how you felt?
Did you feel puzzled?
With fear?
Did you feel sick?
Do you feel weak?
The more these things are repeated, the more passionate the emotions become.
We often see news covering mass killings and natural disasters
Which lead to heavy loss of life,
And terrorist attacks
Then we change the channel to see something more pleasant.
This is the society we live in today but the impact of these shocking events
Not less dangerous to those who were not directly exposed to it
And the impact of psychological pain in our society now
Causing more trouble than before.
Do you remember where you were on 20 April 1999?
The Taliban entered the Columbine High School
Armed with hunting rifles, semi-automatic weapons and homemade explosives
They killed 12 students and one teacher
Becoming the worst incident in a high school in US history.
I remember where you were.
I had just entered the library with my close friends
To meet with others in preparation for lunch.
Minutes later, a teacher enters from the same door that we entered
He yells at everyone to get under the tables because someone has a weapon.
I remember how I felt then.
I was confused.
I was scared.
I felt sick.
I felt weak.
Minutes later I was representing the role of the dead under the table
My pool has a pool of blood.
You’ve just hit it,
I saw the death of my close friend in front of my eyes
When we were together waiting for help.
I was devastated.
I was in shock,
I felt pain.
But my understanding of that pain today
Not comparable to my understanding of pain today.
What is the first thing you think of when you think about pain?
Is it a broken arm? a headache? Or a crooked ankle?
Or maybe a gunshot?
These are things that we often imagine when we think about pain
They are well aligned with the medical definition of pain:
An annoying sensation associated with potential or potential damage to tissues
Moves through nerve fibers dedicated to the brain
Where he adjusts his conscious judgment based on many factors.
Do you notice anything missing from this definition?
Do you see any mention of the psychological content of pain?
I also do not see.
In 1996, the American Pain Society presented this text
“Pain is the fifth vital sign”
This means that if you go to the emergency room
The initial assessment of your situation will be based on five points:
Pulse rate, temperature, respiratory rate, blood pressure and pain.
As a result of cultural mobility
Who was in control of pain management.
Surveys have been conducted to determine patients’ satisfaction
And to monitor the results and the efficiency of these new applications
Is there a better way to develop these modern policies?
Of the link between the compensation of doctors and the hospital and the satisfaction of the patient?
In a recent survey conducted by the industry group to practice doctors:
Three out of ten doctors paid them bonuses
Based on patient satisfaction forms
Hospitals with higher points receive more payments than insurance companies
So naturally, managers and doctors have begun to support this new movement
In order to reduce everyone’s pain to zero.
This was the distinguishing mark
The moral dilemma has become
Do I spend this person’s narcotics to keep him happy?
Or ignore it and its time is likely to be affected by my compensation
And hospital income
Or at worst introduce myself to a patient complaining of pain
This may cause my job to be lost?
I have experience with pain.
After less than an hour of rushing out the back door
For the Columbine secondary school library, I was given a variety of medicines
To reduce and relieve pain.
I was 17 years old and had never had a beer or smoked cannabis before
No less and no more.
I had no idea what the drugs were doing.
Everything I knew at the age of 17 was a group of highly educated people
They described a number of medications to make me feel better
Which was already giving a result,
But not as intended
Now if you remember one thing of my words today, let it be:
Narcotics are more effective
In alleviating the symptoms of psychological pain
About physical pain.
I remember so much the pain I felt in her day
If I put him on the balance of pain,
My physical pain was at 3 or 4
This was almost my answer when they asked me.
But my psychological pain was certainly at No. 10.
You are in greater torment than to be absorbed.
But no one ever asked me,
No one ever spoke of him.
Acute physical pain ends relatively quickly but the complex psychological pain does not end.
My physical pain has subsided over the days,
But my mental pain remained tired
As I was lying on the hospital bed
So I continued to take prescription drugs to treat pain.
I was addicted before I knew it happened.
In a new poll by the American Association of Drugs that cause addiction
Indicates that 86% of heroin users started taking drugs after they were described as a drug treatment
In 2012 alone, more than 259 million medical tickets were prescribed for drug use
in the United States.
It is more than enough to give every American adult
A special bottle of medicine tablets.
I quickly began looking for drugs to calm my psychological pain
That was for a few months
Before I move from these drugs to alcohol, marijuana and banned drugs.
As always happens in addiction, after continuous doses for the next ten years,
I got used to medicine and lost the ability to manage my life,
The problem of psychological pain remained unresolved.
It was like pressing the pause button for psychological improvement.
I was treating my pain the only way I knew,
I was not alone.
I believe that psychological pain is what makes addiction an epidemic.
Think of someone you know who is fighting addiction.
I bet you’ll find an item
For psychological pain not diagnosed or treated by that person.
Now think of a time when you are in severe psychological pain
How desperate I was in trying to stop this pain.
Then show you a way to make you feel instantly better.
Imagine for a moment that your leg has been broken in a snowy collapse.
This injury alone represents a completely traumatic experience
But it can be cured
Through the short-term pain treatment program can be completely cured.
But now imagine the continuation of the same wound
But this time your close friend was skiing near you,
But he did not survive that snowfall.
It seems very clear to me
There must be two different treatment plans for treating pain
Apparently for the same organic wound
But this is not what happens.
Psychological pain is poisonous and pervasive and may be programmed in our society to avoid it.
We have deluded ourselves with alcohol, drugs, sex and pornography,
And even television and technology.
Most of the time we do it without feeling
Our society literally knows this pain.
Now too many people die each month
Because they are looking for solace in the only way they know.
It’s the way they program it.
Everyone feels pain, it is unavoidable.
I have a simple summary to see how we got this.
We have built a society full of psychological pain and trauma.
We have developed a health care system with him
It aims to treat physical symptoms first
Then we left the responsibility to pharmaceutical companies
Whose first goal is to profit through easily manipulated regulations
Now we are in the middle of what the former surgeon called
“The worst public health disaster” a country has ever faced
two years ago
The situation worsened as addiction was widespread
Now he is known as the “global epidemic.”
Here is a quick overview of what we have reached today.
The New York Times reported last month
Increased by 19% in 2016
Preliminary data for 2017 show that these numbers are increasing.
Now we have exceeded the number recorded for the most cases of murder that occurred before by arms,
AIDS or car accidents.
This data is terrifying to me.
Some people in our society today are still writing
“They’re a bunch of fools.”
Well I’m here to tell you
They are not.
Some of them are parents,
Brothers and sisters,
Including children, of whom they did not reach the age of adolescent.
They are people like you and me,
They try to adapt in the only way they know,
And die in the thousands each month
At an increasing rate.
Addiction is the only disease we often wait for
To reach the highest degrees of intensity until we start to search for a cure for him.
And then it is too late.
We have to start faster.
We have to intervene early.
We need to educate young people in realistic ways.
We must stop thinking that people can be rehabilitated in thirty days,
Then we must develop the possibility of long-term treatment.
We must remove the stigma of addiction
More importantly, we must reshape the broken health care system
Who accepts with difficulty
The fact that he is responsible for this global epidemic.
(Applause) (Cheers)
It took me more than ten years of addiction
And other years of recovery
To learn the difference between feeling better
And to be really better.
Because I learned to accept pain.
I had to stop looking for quick ways to improve.
I had to do the psychological effort I needed to do
No matter what it hurts me.
After several attempts at short-term treatment
I finally found a desire to do what I had to do,
And remained under constant care for 14 consecutive months
To know that.
It took me the time to live through it
At the age of 17 and at the age of 29
But I refused to continue to escape,
And it worked.
(clap)
Fortunately, there is something called “post-traumatic stress disorder”
You are watching it today in front of you on stage.
The improvement after shocks is defined as:
Positive self-change happens to people
After suffering a traumatic accident in their lives.
This means that when you can withstand extreme suffering,
This enables you to develop your personal abilities
And raises you to a better performance ratio.
But improving after trauma requires you to accept pain.
You can not escape it.
And not treated with drugs.
So I have a challenge for you.
Record the level of psychological pain you feel.
Do you have what makes you sad or hurt your heart and can not deal with it?
Have you suffered a traumatic situation and you have not been able to cure it?
If that is the case, this pain is never identified.
Call a friend, talk to a therapist or even talk about what happened to you to a stranger.
Take a small step to highlight this darkness
Because I saw what could do darkness.
I saw him in the hospital rooms
When it did not end as it was supposed to end it.
I saw him in prison with people who were born addicts
They did not have the opportunity to learn something else.
I saw him in the funerals of children
Who died even before they had the chance to live.
I saw him under the table in my high school library.
I would like to leave you all with something I wish I had learned at age 17
Whatever you are and whatever you offer him
In whatever way you present to him, you only need to know the following:
To be treated, you must feel it.
We will not solve the crisis of addiction in one night
But we will make progress when people start to know
The difference between physical and psychological pain,
They then choose a method of treatment.
In the hospital we often say: “Keep what you have to give up”
Be courageous to accept pain and become power to help others.
thank you.
(clap)
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