Introduction Ingenious Pain tells the life story of James Dyer‚ a surgeon in eighteenth-century England who is gifted--and cursed--with the inability to feel physical or emotional pain. Beginning with his post-mortem‚ the novel traces the thirty-three years of his life‚ from his illegitimate conception on a frozen river‚ through the rise of his career from itinerant quack’s assistant to ship’s surgeon‚ and then to the court of Empress Catherine of Russia where he meets Mary‚ a mysterious woman who
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Case Study: Growing Pains What is going on? Waterway Industries began its service in 1963 from small and high quality canoe maker. Cyrus Maher who is CEO had maintained a steady growth right up until 1990. Recently he may be facing a human resources problem. Lee Carter is a relatively new employee whose high-powered sales ability has completely changed sleepy canoe company into extraordinary growth. But Maher has overheard Carter discussing a new job that would offer equity position and money‚
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Ingenious Pain by Andrew Miller takes place during The Enlightenment of the 18th century. This dramatic novel portrays James Dyer‚ the main character‚ is born in 1739 without the feeling of pain. In the eight parts of the story‚ the structure begins near the end in which an autopsy is taken place of James dyer‚ who died in 1772. The climax of the story is not of his death‚ but rather the metamorphosis of his human suffering. This change connects with Friedrich Nietzsche theory of pain. "In pain there
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’alternative medicine’ are deceptive euphemisms meant to give an impression of medical authority. Many women have pain with their periods‚ especially when they are in their teens. In most cases‚ menstrual pain does not mean a more serious problems‚ although sometimes it can be associated with endometriosis or uterine fibroids‚ non-cancerous tumors in the uterus. Menstrual pain is oftenly used synonymously with menstrual cramps‚ but the latter may also refer to menstrual uterine contractions‚ which
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Introduction Blunt chest trauma is an injury that is caused by a hard‚ direct hit or blow to the chest. The blow can be strong enough to injure multiple body parts. Blunt chest trauma often results in bruised or broken (fractured) ribs. In many cases‚ the soft tissue in the chest wall is also injured‚ and this causes pain and bruising. Internal organs‚ such as the heart and lungs‚ can become injured as well. Blunt chest trauma can lead to serious medical problems. This injury requires immediate medical
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List A: Pharmacological and complementary treatment of knee pain Knee pain is an immobilizing symptom from various of diseases and particularly important to treat in the elderly population. Knee pain accounts for 1.9 million visits to general practitioners and 1 million visits to emergency departments annually. Through history taking‚ focusing on red flags that the patients might present with‚ through physical examination‚ and understanding knee anatomy‚ physicians are able to make the diagnosis
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control pain? And how can we target these systems with treatments?” How does the brain receive pain? The brain receives pain through nociceptive stimuli which activates pain receptors on neurons called nociceptors. Nociceptors can be placed into two categories: A-delta (Aδ) fibres and C-fibres. A-delta fibres are small‚ myelinated‚ neurons that transmit signals fast and mediate sharp pain. C-fibres are smaller unmyelinated neurons that slowly transmit signals. They mediate dull‚ aching pain. Both
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Emotional and physical pain‚ according to popular belief‚ are thought to stem from two different places in the brain. However‚ the origin of both types of pain occur in the same place. With physical pain an injury occurs‚ and the damaged area triggers nerve cells to send signals of anguish to the brain. The signals received are then very rapidly processed in the automatic‚ subconscious part of the brain. The amygdala and limbic structures of the brain are in place to alert us in case of danger. If an
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719 Reports of Investigation Risk factors of inadequate pain relief during epidural analgesia for labour and delivery Ghislaine Le Coq CRNA‚* B6atrice Ducot MD‚’f Dan Benhamou MD* Purpose: To determine the causes of failure of epidural analgesia during labour and delivery. Methods: During six months‚ pregnant patients receiving epidural analgesia and delivering vaginally were studied prospectively‚ Bupivacaine 0. 125% was used for the initial bolus dose and subsequent continuous infusion
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Any pain that is experienced for more than 3 months is referred to as chronic pain. Chronic pain can either be continuous or episodic depending on the individual’s experience. According to the American Pain Society (2015) “nearly 50 million American adults have significant chronic pain or severe pain. Prevalence rate for females is 34.3% and for men it is 26.7%”. Each individual experiences chronic pain differently such as type‚ timing and location of pain. Pain may be described as dull‚ sharp‚ burning
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