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The 3-Minute Routine That Shuts Down PAIN - my interview w Dr. Laura Porter at Duke. Your loved one may be in serious pain RIGHT NOW - and you'd never know it. The 3 am wake-ups, the agitation, the aggression everyone calls "dementia behavior"? A Duke pain scientist says a lot of it isn't behavior at all - it's untreated pain nobody has named. I sat down with Dr. Laura Porter, Professor of Psychiatry & Behavioral Sciences at Duke University and a leading expert on how families manage pain together. She's spent 20+ years studying pain in arthritis, cancer, back pain, and dementia, and what she told me changed how I think about caregiving households. Pain severity is NOT reliably tied to the damage on a scan. Two people can have identical X-rays and wildly different lives. Dr. Porter walks through gate control theory - pain signals get filtered through "gates" in the spinal cord that widen or narrow depending on tension, mood, activity, sleep, and self-talk. And it means there are FAR more levers than a pill. We also get into what nobody warns caregivers about: some of the most loving things you do may make pain worse. Taking over chores, urging them to lie down or asking "how's your pain?" fifteen times a day. Around the 18-minute mark, Dr. Porter guides a one-minute relaxation exercise live on camera. I told her I suspected it'd be the most replayed moment of the episode. BOOKMARK IT! 60 seconds, and you can do it even while waiting at a traffic light. If you're caring for someone with dementia who can't tell you what hurts, the PAINAD segment is essential. Five observable signs, free to look up, and most families have never heard of it. https://lnkd.in/ebAuu-wv