:00:20. > :00:22.of every day. The pain is there all the time. Without pain relief and
:00:22. > :00:27.the medication, I'm a wreck. painkillers aren't always the
:00:27. > :00:30.answer. I was taking a concoction of tablets. And I thought, not one of
:00:30. > :00:33.these tablets treats me. Tonight, we ask, with painkiller
:00:33. > :00:37.prescriptions on the rise in Wales, why are we taking so many? How do
:00:37. > :00:41.you say to someone who's sitting opposite you in pain, no, I'm not
:00:41. > :00:47.going to prescribe for you? where can it end? It breaks my heart
:00:47. > :00:50.to admit it. I'm an addict. And why isn't more being done to heal Wales
:00:50. > :01:00.in pain? It's catastrophic for individuals. But it's catastrophic
:01:00. > :01:20.
:01:20. > :01:26.for the NHS. Trying to put plasters were in Turkey. In better times.
:01:26. > :01:33.When Terry was in good health and he was normal. His mind was better
:01:33. > :01:40.then. They were happier days. Seems like a long, long time ago. He was
:01:40. > :01:44.at least 17 stone by there. Still good looking. COUGHING.
:01:44. > :01:48.Still good looking, yeah. 42-year-old Terry Williams lives
:01:48. > :01:52.with his wife Christine in Pontypridd. The pain that torments
:01:52. > :02:02.him began after an operation to remove a benign tumour. It caused
:02:02. > :02:03.
:02:03. > :02:13.nerve damage in his back. After three months in hospital, they'd
:02:13. > :02:17.
:02:17. > :02:27.sent me home. I'd lost all my stomach, large intestines. I weren't
:02:27. > :02:28.
:02:28. > :02:33.able to speak, eat or drink. I had a bag on my neck catching saliva. The
:02:33. > :02:37.trachy... An open wound on back from the MSRA, which they couldn't stitch
:02:37. > :02:41.up. The consequence of all this is another problem. He has become
:02:41. > :02:48.addicted to painkillers, prescribed by his doctors. Before, I'd never
:02:48. > :02:52.take pain killer. If I had a headache, I'd take the dog for a
:02:52. > :02:57.walk. A bit of fresh air. The only time I drank was at weddings,
:02:57. > :03:07.funerals, parties. That was it. I was one of those squeaky clean boys.
:03:07. > :03:13.Worked. Going from that to not having a life of any quality. And it
:03:13. > :03:18.was all leading down because of these pain killers.
:03:18. > :03:28.In Wales, one in three of us suffer with pain. One in eight are like
:03:28. > :03:28.
:03:28. > :03:37.Terry, in chronic pain. It dominates and destroys lives.
:03:37. > :03:42.It's Tuesday night, around midnight. Got a pounding headache. I can't
:03:42. > :03:47.actually take any more painkillers. I've had my dose.
:03:47. > :03:51.Trish suffers from chronic pain 24 hours a day. She's keeping a video
:03:51. > :04:01.diary to show the effect this has on her life. It wasn't always like
:04:01. > :04:06.
:04:06. > :04:10.this. And she can still remember happier times. Look, that's me. On a
:04:10. > :04:13.motorbike. That's a fire blade. It's a super sports bike. Before the
:04:13. > :04:17.pain, she was a Health and Safety Executive for a large corporation.
:04:17. > :04:23.My symptoms, I suppose, really started to show in Christmas 2010. I
:04:23. > :04:29.couldn't walk on my feet. It was just one big blister and swollen.
:04:29. > :04:33.The toes has almost fused together. I've actually asked to have my feet
:04:33. > :04:37.amputated to remove this pain. Trish is living with an incurable
:04:37. > :04:45.condition. What she wants now is more support to help her manage the
:04:45. > :04:48.pain. Aside from the human toll, pain costs the Welsh economy. The
:04:48. > :04:51.latest figures show more than a quarter of a million working days
:04:51. > :04:57.are lost on average every year. people in Waleshave chronic
:04:58. > :05:02.non-malignant pain than they do diabetes. -- in Wales have. Dr Ann
:05:02. > :05:06.Taylor is one of Britain's leading experts on pain management. You're
:05:06. > :05:10.twice as likely to die if you have chronic pain than for any other
:05:10. > :05:16.condition. But it doesn't have the resources and recognition things
:05:16. > :05:19.like cardiac diseases, hypertension, respiratory conditions have. If you
:05:19. > :05:26.don't intervene early enough in the acute pain phase, you're going to
:05:26. > :05:30.end up with complex chronic pain that you're not able to cure.
:05:30. > :05:36.Pain can be controlled in other ways. Hannah Spacey is proof of
:05:36. > :05:43.that. She used to be bedridden. Now she's in training to climb Africa's
:05:43. > :05:46.highest mountain. If someone had said to me four or five years ago...
:05:47. > :05:52.Hannah Spacey, you're going to be doing a sports science degree and
:05:52. > :05:57.climbing Kilimanjaro, I'd say, you're cowing crackers you are.
:05:57. > :06:03.She has fibromyalgia, a chronic pain condition. She also suffered from ME
:06:03. > :06:10.or chronic fatigue syndrome. I used to wear wrist supports with steel
:06:10. > :06:16.bars in. Because my hands were so bad. And my muscles. And because the
:06:17. > :06:26.pain was so severe and acute. I'd spend 20 hours in bed. And I'd be
:06:26. > :06:30.sleeping for 20 hours a day. I'd wake up to go to the toilet and to
:06:30. > :06:35.eat and go back to bed. When I started taking my medication, it was
:06:36. > :06:40.just general painkillers. You take like co-codamal and ibuprofen. And
:06:40. > :06:45.they wouldn't work. Then it would be try Tramadol. And something else and
:06:45. > :06:50.something else. The pain wasn't getting any better. So they tried
:06:50. > :06:58.tablets for nerve pain. In fact, she was taking up to 22
:06:58. > :07:04.pills a day. At times, you'd think I'm going bonkers. I'm going mad. I
:07:04. > :07:09.was on a concoction of pills. None of them are treating me. So why am I
:07:09. > :07:12.taking them? It was a combination of intensive
:07:12. > :07:15.counselling and physiotherapy that helped her manage her pain and
:07:15. > :07:21.reduce her medication. Experts in Wales believe we're prescribing too
:07:21. > :07:25.many painkillers. I think, if you look at the volume of prescriptions
:07:25. > :07:30.overall, you have to question whether this is too high. You also
:07:30. > :07:36.have to question, are they effective? Prescriptions for pain
:07:36. > :07:42.relief have risen nearly 20% in just five years. It cost the Welsh NHS
:07:42. > :07:45.nearly �50 million last year. But many see that GPs don't have much
:07:45. > :07:50.choice, but to keep handing out painkillers. Baroness Professor
:07:50. > :07:57.Ilora Finlay was a GP. She helped set up one of the first pain
:07:57. > :08:01.management programmes in Wales. How do you say to someone who is
:08:01. > :08:07.sitting opposite you in pain, no, I'm not going to prescribe for you?
:08:07. > :08:11.They have to get the patients out through the door. I know what it's
:08:11. > :08:14.like to have a waiting room full of people and the pressures. But I also
:08:14. > :08:17.know that, when I was a GP, I didn't understand about chronic pain
:08:17. > :08:23.management. And there aren't very many chronic pain services around
:08:23. > :08:25.for patients. The BMA accepts that GPs are under
:08:25. > :08:29.pressure to prescribe pain killers, because they're often short of time
:08:29. > :08:33.with their patients. There's been a 50% rise in consultations in the
:08:33. > :08:37.last 15 years. Prescribing painkillers might be one way of
:08:37. > :08:46.clearing busy waiting rooms. But in Wales, prescription drugs are free.
:08:46. > :08:50.So is this another reason why the numbers are going up? If you can get
:08:50. > :08:54.it for free, rather than having to pay for it over the counter, you
:08:55. > :09:00.will. One of the problems, I think, is you can get more if you get it on
:09:00. > :09:06.prescription. And some of them, you become tolerant. But you also can
:09:06. > :09:13.become dependent on them. And that can become a physical dependence.
:09:13. > :09:16.Then, when you try to stop them, you get withdrawal, or a rebound.
:09:16. > :09:23.Terry was prescribed a morphine-based medicine. But the
:09:23. > :09:29.pain was so bad, he started abusing it. What I was using in a month in
:09:29. > :09:35.the beginning, I was using in just over three to four days. Maximum.
:09:35. > :09:41.All on prescription. I couldn't go without oral morphine for two hours.
:09:41. > :09:45.Sometimes not that long. Take it once and, ten minutes later, have to
:09:45. > :09:50.take it again. Even though she'd say, you've just taken it. No, I
:09:50. > :09:56.haven't. This is the same one. His addiction led to erratic
:09:57. > :10:04.behaviour. A danger to himself and others. I'd just go for quiet ride
:10:04. > :10:11.in car. And then, somebody would cut me up. Before laugh it off, and say,
:10:11. > :10:15.oh... They do it then, I'd chase them. He's just a different person.
:10:15. > :10:24.Somebody I just didn't know. A stranger. I'd never thought
:10:24. > :10:29.something like this. This medication he was on for so long could have
:10:29. > :10:39.such a bad effect on his moods and change him completely. I even went
:10:39. > :10:40.
:10:40. > :10:44.to a shop, local shops. Never done anything like this before. I put
:10:44. > :10:48.extra painkillers in my pocket and tried to walk out of shop. I got
:10:48. > :10:57.arrested for it. Now I've got a police record saying shoplifting for
:10:57. > :11:03.painkillers. I'm not classed as a junkie. But I see myself as one.
:11:03. > :11:06.Life revolved around painkillers for Hannah from Treharris. Until she
:11:06. > :11:14.came here to this pain and fatigue management centre at Bronllys near
:11:14. > :11:17.Brecon. I started coming off my medication at Bronllys. It's great,
:11:17. > :11:20.because you get to sit with the nurse and run through your
:11:20. > :11:25.medication. And you also find out what your medication is actually
:11:25. > :11:35.for. Which is interesting. And you think, oh, really! That's what it
:11:35. > :11:37.
:11:37. > :11:40.actually does! Hi! You're still looking well!
:11:40. > :11:45.Hannah exemplifies what we want for people coming off the programme
:11:45. > :11:50.here. It wasn't easy. She didn't have an easy ride. I don't think of
:11:50. > :11:57.myself as ill. I feel pain, but I don't think about it. I don't bother
:11:57. > :12:04.with it. Bronllys is the only residential centre for pain
:12:04. > :12:09.management in Wales. It was set up 20 years ago. It costs health boards
:12:09. > :12:14.�5,500 a patient for a three week programme. Pain and fatigue may not
:12:14. > :12:19.necessarily kill somebody. But it can certainly end their lives. And
:12:19. > :12:23.that's the real issue is to try and get that life back. Get them back
:12:24. > :12:27.doing the things they value in life. A programme here consists of a
:12:27. > :12:30.package of treatments. It includes physiotherapy and counselling to
:12:30. > :12:35.help those taking part to manage their pain. And so they don't have
:12:35. > :12:43.to rely solely on their medication. Seven years ago, Ian injured his
:12:43. > :12:48.spine playing sport. After a week at Bronllys, things are looking up.
:12:48. > :12:54.Before he came here, he relied on pills and his crutch.
:12:54. > :13:00.The lovely crutch. That's where it's been. I haven't touched it since we
:13:00. > :13:06.got the poles out. And that's where it's staying. I'll take it home with
:13:06. > :13:11.me. And I'll probably burn it if I can. He hopes his treatment here
:13:11. > :13:17.means he can get his life back to the way it was before the accident.
:13:17. > :13:21.The main goal I've got. Basically getting on to bike rides with my son
:13:21. > :13:30.again. It's something I've always wanted to do at the weekends. That's
:13:30. > :13:39.the main goal, really. And then, become a family again. Ian is
:13:39. > :13:43.already making progress. Before it was like this. The whole shoulder,
:13:43. > :13:52.and weight and way of walking. In that kind of what I call the Herr
:13:52. > :13:57.Flick style of walking. LAUGHTER. It's being able to stand up again. I
:13:57. > :14:01.think it's making me feel a hell of a lot better just by doing that.
:14:01. > :14:06.Hannah says the Bronllys approach has been key to getting her back on
:14:06. > :14:09.her feet. Although reducing her medication has been difficult.
:14:09. > :14:15.don't think, when you first turned up, that you were quite ready to
:14:15. > :14:19.give it up. You still had a belief in it? Definitely. That was one of
:14:19. > :14:24.the best decisions I made. Because all the other symptoms, you get
:14:24. > :14:27.it... It's not worth taking tablets in my instance. Bronllys tracked a
:14:27. > :14:31.group of patients after they left the programme to see how effective
:14:31. > :14:35.it had been. They found their use of opiate painkillers reduced by 25%.
:14:35. > :14:41.Levels of depression halved as well. But although the treatment often
:14:41. > :14:44.works, Bronllys still has empty beds. If someone wants to come and
:14:44. > :14:47.see us and take part in the residential programme, then they
:14:47. > :14:56.have to go through a variety of funding panels. And, at the moment,
:14:56. > :14:59.often those funding panels are turning people down. And saying, for
:14:59. > :15:05.various reasons, they're not willing to pay for people to come up to see
:15:05. > :15:08.us. As a result, we have places going begging.
:15:08. > :15:11.A consultant who specialises in pain relief is Mark Turtle. He treats
:15:11. > :15:14.patients at hospitals in Carmarthenshire as well as Bronllys.
:15:14. > :15:17.He's frustrated that the funding process is preventing more people
:15:17. > :15:21.being referred to the programme. Every person who comes in through
:15:21. > :15:24.the door, I know exactly what they want, but can't supply it. Not only
:15:25. > :15:30.am I impotent as supplying what they want. But there's an added
:15:30. > :15:36.challenge. Because here's a facility which I feel will benefit them. And
:15:36. > :15:39.I can't offer them that. He belives the Bronllys approach is better than
:15:39. > :15:45.the one he often has to use for patients. He wants all health boards
:15:45. > :15:49.to adopt it. I'm ending up by doing injections on people where I don't
:15:49. > :15:53.believe that is really the best way of managing them. Having said that,
:15:53. > :16:01.I have people on the waiting list who have to wait for a procedure for
:16:01. > :16:06.two years. Two years, if you are in chronic pain, it's a long time.
:16:06. > :16:09.That's a lifetime, isn't it? It is, but I suggest the whole thing is
:16:09. > :16:19.wrong because these people have problem they're going to be living
:16:19. > :16:23.
:16:23. > :16:27.with their whole life. So relying on strategy which makes them better for
:16:27. > :16:33.a short period time, is the wrong strategy. Is that what we doing in
:16:33. > :16:37.Wales at the moment? Yes, we are. Health boards say they offer a range
:16:37. > :16:41.services in their own areas. They should follow a set of directives
:16:41. > :16:44.for pain management. Five years ago, Dr Taylor helped write those
:16:44. > :16:54.directives for the Welsh government. They were intended to offer a new
:16:54. > :16:56.
:16:56. > :16:59.approach. We in Wales led the way, when we had the chronic pain
:16:59. > :17:02.directives where we got an agreement from the government to say, yes,
:17:02. > :17:07.it's a chronic condition in its own right and deserves its own
:17:07. > :17:10.documentation. The directives set targets to get patients the right
:17:10. > :17:13.services at the right time from the right person and in the right place.
:17:13. > :17:16.The then Health Minister Edwina Hart demanded 100% compliance from all
:17:16. > :17:19.health boards. A key directive was to help GPs provide a better service
:17:19. > :17:24.for patients in chronic pain. There's some really good local
:17:24. > :17:27.examples where it's worked exceedingly well. For example, in
:17:27. > :17:32.Brecon the psychologists, the physio and others will go out and work with
:17:32. > :17:35.the GPs to enhance their skills locally. Swansea has a good
:17:35. > :17:41.community-based service run by a GP with special interest and there's
:17:41. > :17:44.some isolated good practice in North Wales as well. But on the whole?On
:17:44. > :17:51.the whole it's not throughout and I think GPs still struggle with
:17:51. > :17:54.managing chronic pain patients so they'll refer them on.
:17:54. > :18:02.Recording her video diary, Trish has had another sleepless night. She
:18:02. > :18:07.says she's in constant pain. I don't know what to do with myself at the
:18:07. > :18:17.moment. I haven't actually got strength to get up to go and get
:18:17. > :18:20.painkillers. Following a year of appointments with various
:18:20. > :18:23.specialists, Trish was refered to a pain clinic at the University
:18:23. > :18:30.Hospital of Wales. It's like a pharmacy in here, it's a whole
:18:30. > :18:33.chemist as far as I'm concerned. I had an illness of chronic pain,
:18:33. > :18:38.something they couldn't identify, which made it hard for them, which I
:18:38. > :18:46.appreciate. Trish says she at her first appointment she was simply
:18:46. > :18:53.given a new painkiller and told to come back in four months. But that
:18:53. > :18:56.appointment was cancelled. You get excited to have an appointment only
:18:56. > :19:02.to fall flat on your face because they've cancelled the next one, and
:19:02. > :19:06.the next one, and the next one. Eventually Trish did get to the
:19:06. > :19:11.clinic 11 months later. Now she's waiting for another appointment, and
:19:11. > :19:15.in the meantime, she's still taking painkillers. We asked Cardiff and
:19:15. > :19:18.Vale Health Board about the cancelled appointments. They said
:19:18. > :19:26.they couldn't comment on individual cases and asked her to contact them
:19:26. > :19:29.directly to discuss her concerns. In Wales, patients are meant to be seen
:19:30. > :19:34.at pain clinics within 26 weeks, but that target's not being met in some
:19:34. > :19:36.areas. We've discovered the latest figures which show that of those
:19:36. > :19:46.treated in March, one in three patients had waited longer. That's
:19:46. > :19:47.
:19:47. > :19:51.not good enough, according to Professor Ilora Finlay. We know that
:19:51. > :19:54.if you deal with acute pain well and quickly enough, the chance of them
:19:54. > :19:59.developing chronic pain is less. This was one of the key aims of the
:19:59. > :20:09.directives sent to our health boards five years ago. Professor Finlay
:20:09. > :20:10.
:20:10. > :20:13.wants pain management to be a priority for the NHS in Wales.
:20:13. > :20:16.need to have somebody whose a champion, somebody who is going to
:20:16. > :20:20.provide the leadership who is going to say, yes, let's fight this
:20:20. > :20:23.corner, this cause, and get that set up. There has been a bit of a vocal
:20:23. > :20:26.voice in some trusts in some areas in Wales, areas that have pain
:20:26. > :20:36.management programmes, but it's patchy and there really hasn't been
:20:36. > :20:36.
:20:36. > :20:39.at a national level leadership over chronic pain.
:20:39. > :20:41.Assembly member William Powell is asking the Health Minister to
:20:41. > :20:44.intervene and investigate whether Welsh health boards really are doing
:20:45. > :20:48.enough for people in chronic pain What we need now is an urgent review
:20:48. > :20:50.of the 2008 study and to check actually what is happening on the
:20:50. > :20:54.ground, because the message coming from clinicians and patients I've
:20:54. > :20:57.spoken to is that things are not moving in the right direction and we
:20:57. > :21:07.need to turn that around. We need an urgent review of the 2008 study. We
:21:07. > :21:08.
:21:08. > :21:13.need to check what is happening on the ground. Things have not been
:21:13. > :21:16.living in the right direction and we need to turn that around. We're
:21:16. > :21:21.looking for action from the government on this under the new
:21:21. > :21:24.minister and we'll keep a close eye on it and pressure up. In the area
:21:24. > :21:32.where Terry lives there is no pain management programme or psychologist
:21:32. > :21:37.available. But he was referred to a pain clinic at the Royal Glamorgan
:21:37. > :21:40.Hospital in Llantrisant. He hoped they would find a solution. They
:21:41. > :21:46.knew what was causing it but whether they could treat anything for it
:21:46. > :21:56.they weren't sure. I said, I'll try anything. I tried acupuncture in the
:21:56. > :22:01.
:22:01. > :22:09.beginning. I tried Botox, which my wife was jealous over. It was easing
:22:09. > :22:19.the pain but it wasn't getting down to the right spots. We tried
:22:19. > :22:26.
:22:26. > :22:29.everything we could think of. They said, might settle down in time, see
:22:29. > :22:39.how it goes, get back to us if you get more problems. I have been
:22:39. > :22:43.
:22:43. > :22:47.crying out for help for years. We don't know who to speak to. You need
:22:48. > :22:51.a referral, then you'd have a referral and "not our department".
:22:51. > :23:01.In pain and with an addiction, Terry has felt overwhelmed at times.
:23:01. > :23:10.
:23:10. > :23:14.either going to kill myself or somebody. I said to the doctor,
:23:14. > :23:17.we'vegot to do something. It was way out of control. Because I've wanted
:23:17. > :23:20.to drive that car into brick wall numerous times and it's all down to
:23:20. > :23:27.prescription medication. It's controlled my life so much nothing
:23:27. > :23:31.else mattered. All Terry has ever wanted is to ease the pain, but he's
:23:31. > :23:41.ended up addicted to his medication. Now he has to find help with that
:23:41. > :23:43.
:23:43. > :23:50.too. If you were on street drugs, there is help out there.
:23:50. > :23:56.Prescriptions, not so many places do it. Even though still addiction,
:23:56. > :23:59.it's a lot harder to get help with it because it's on prescription.
:23:59. > :24:02.Terry is now getting treatment at a drug rehabilitation clinic in Cwm
:24:02. > :24:10.Taf run by Dr Sakhuja, who is Chair of Addictions for the Royal College
:24:10. > :24:20.of Psychiatrists in Wales. He feels that pain serve -- sufferers should
:24:20. > :24:25.
:24:25. > :24:27.not end up in rehabilitation. matter of raising awareness amongst
:24:27. > :24:30.all clinicials when they are starting to look at prescribing long
:24:30. > :24:36.term opioids and being aware of the issues with potential addiction much
:24:36. > :24:39.earlier on and getting the pain teams involved much earlier on.
:24:39. > :24:49.even though Terry is now getting help with his addiction, the pain
:24:49. > :24:50.
:24:50. > :24:53.goes on and he wants it to stop. Even though I got over addiction
:24:53. > :24:57.part still on painkillers and I'm having to take other medication to
:24:57. > :24:59.stop the cravings. Terry's local health board, Cwm
:24:59. > :25:05.Taff, say they won't discuss individual cases but they will
:25:05. > :25:08.investigate the issues he has raised in this programme. They tell us they
:25:08. > :25:11.are about to roll out a community based service that will lead Wales
:25:11. > :25:13.in its approach to pain management. The chronic pain management
:25:13. > :25:23.directives were introduced to help people like Terry suffering with
:25:23. > :25:24.
:25:24. > :25:27.chronic pain. Two years ago health boards audited their own performance
:25:27. > :25:31.on pain services, and four out of seven said they were fully
:25:31. > :25:36.compliant. But Mark Turtle, President of the Welsh Pain Society,
:25:36. > :25:46.says the assessment criteria was flawed. There were a series of
:25:46. > :25:48.
:25:48. > :25:51.questions, and each health board had five different boxes for compliance.
:25:51. > :25:54.If in your particular health board you had instituted a small scale
:25:54. > :25:57.pilot scheme for example, for community services, you could tick
:25:57. > :26:07.that box compliant 100%. That would not have given any genuine idea of
:26:07. > :26:13.
:26:13. > :26:22.about what was given in that health board. My view on it would be that
:26:22. > :26:25.the audit is flawed because of its methodology. It would have been
:26:25. > :26:27.impossible for that audit to give A genuine representation of spread of
:26:27. > :26:36.services throughout Principality. asked the Welsh government about Mr
:26:36. > :26:39.Turtle's concerns. A spokesman said many audits take the form of self
:26:39. > :26:42.referral in the first instance and another had been done by a health
:26:42. > :26:51.agency which showed steady progress. But what does the doctor who helped
:26:51. > :26:54.write the directives think of the health board's performance?
:26:54. > :26:56.message to the Health Minister would be, it's becoming more and more
:26:56. > :26:59.catastrophic, catastrophic for individuals and catastrophic for the
:26:59. > :27:02.NHS, because no-one is taking a steer on this, really, and without
:27:02. > :27:05.that steer, patients are going to continue to suffer and use huge
:27:05. > :27:15.amounts of healthcare resources and that's money we can ill afford to
:27:15. > :27:17.
:27:17. > :27:20.spend putting plasters on big holes. Health Minister Mark Drakeford
:27:20. > :27:22.declined to be interviewed for this programme, but in a statement said
:27:22. > :27:24.health boards have been encouraged to establish robust community pain
:27:24. > :27:27.services and he recently commissioned a new audit to
:27:27. > :27:31.establish what progress they've made in the last two years. For Trish,
:27:31. > :27:41.the suffering goes on. She's still waiting for her next appointment at
:27:41. > :27:41.
:27:41. > :27:46.the pain clinic. But Hannah's conquering her pain. Next it is
:27:46. > :27:56.Kilimanjaro. Life's great now, life's brilliant. I'm doing what I
:27:56. > :28:12.
:28:12. > :28:15.love. When I look aback at the last six years, I think, that was
:28:15. > :28:18.dreadful for anyone to go through. Specialists in this area want
:28:18. > :28:21.services to improve faster in Wales for the sake of hundreds of
:28:21. > :28:24.thousands of patients in chronic pain. It is an iceberg and the
:28:24. > :28:27.problem is we can't avoid it any longer because the side effects of
:28:27. > :28:34.chronic pain and the cost to society of people not functioning are too
:28:34. > :28:44.great. Terry's struggle with pain goes on. He is back on the waiting
:28:44. > :28:44.
:28:44. > :28:47.list for the pain clinic, 15 months after asking for more help. He is
:28:47. > :28:50.still hooked on painkillers and he wonders if life will ever be normal
:28:50. > :28:55.again. I'll just burst out crying sometimes because its changed my
:28:55. > :28:58.life so much I don't want to live. I've gone through so much and we're