P a g e | 40 APPENDIX 1 FILM SCRIPT Act 1 A SCEPTICAL CULTURAL LENS DINUSHA Some say “This is the worst pain I’ve had in my whole life” without any real sort of physical signs of pain so it’s really tough we have a complex job in assessing that. Sometimes I could have a patient sitting there and saying that they are hurting, 10 out of 10, and they are sitting like you and I JOHN It is not clear to me why he is the way he is . . . this catastrophic pain and what he is telling himself about it . . . but there is always a little bit . . . of concern - am I being manipulated, is this really real? You don’t always know how to verify their complaints. You feel somewhat exploited. It is a very unpleasant feeling. RACHEL Sometimes we say ‘oh she came in with back pain but I don't think she's really in pain’. . . but really even if somebody is in pain and distress, it doesn't always have to be in how they present themselves . . . that doesn’t mean she is not in pain. I hate to say it . . . but I used to be one of the people that used to say, ‘Oh, well, they are probably just wanting attention.’ But I’ve changed in that matter. People are in pain, and it’s not just to get attention. ROSS Pain is so subjective and so that’s where the difficulty lies . . . I find it hard to say how someone’s pain can be judged by someone else . . . You have to show a patient you’re empathetic to him. There is a pain. Pain is real.
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