Word: paines
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...Mystery of Pain Why does the same joint problem make one person suffer terribly while another has no pain at all? There are a few clues that might solve this puzzle
...snowstorm. He's as bow-legged as a cowboy, the inside of his bones have ground each other down. Although his cartilage is all gone, there's something even more important missing in his case. He has no pain. Bob, 70, actually comes in this time because he has pulled a muscle. When I examine him, I'm careful not to go on too much about the arthritis. After a couple of weeks, he's back to normal. I've seen him for over a decade with those same knees. He's still as active as ever - plays tennis twice...
...Advil, Naprosyn, Voltaren, Celebrex with minimal help. Injections into his knees of hyaluronic acid (a component of joint fluid) and corticosteroids provided only a few weeks of relief. Physical therapy, braces, acupuncture, yoga all failed. He couldn't get out of chairs, couldn't climb stairs because of the pain. There was one thing left - a knee replacement - and it worked. But we hate to do these for patients so young (35) because we know that one way or another they're going to wear it out and the re-do situation is very difficult...
...choosing to stay awake doesn't mean a patient is free of the risks of anesthesia. "We can get in trouble with a local anesthetic," says Zapol. "We can get in trouble with a spinal anesthetic," which keeps pain signals from getting to the brain but doesn't make the patient sleepy. "We can overdose you in all of those places." Someone, whether it's an anesthesiologist, another physician or a fully trained nurse, has to be ready to deal with that possibility. "Surgeons are experts at kidneys and ureters and coronary arteries and lungs. They're skillful people," Zapol...
...think Google's decision to make the legal procedures go through the American justice system is a good thing, not because of Brazil but because of the world," said Julien Pain, director of the Internet freedom desk at Reporters Without Borders. "This way, if you make a request to Google in the U.S., the request can be supervised by American justice. This kind of procedure may seem useless in the case of Brazil, which is a democracy and respects human rights. But it's crucial when Google has to deal with repressive regimes. If a Chinese or a Syrian judge...