Word: paines
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...price of a barrel of crude oil hits the $75 mark, the gas pump may not be the only place you feel the pain. About 1 million bbl. a day--roughly 5% of U.S. consumption--go toward the manufacture of plastics, detergents and other nonfuel products. Researchers are working on cheaper, eco-friendlier alternatives to oil-derived ingredients, but with the prevalence of petroleum, that's a big challenge. Here's another: Test your knowledge by checking the boxes next to the products that typically use petroleum-based ingredients. Answers are at the bottom. HOUSE PAINT...
...right, or even that simple? Pain and disability have a pernicious way of becoming true even if they start out false. My patient Eddy was in a car accident in the last several years. When he saw me soon after the accident, my examination showed he had a mild finger and knee sprain, but no bruising or swelling. All of his x-rays and MRI's were essentially normal. Eddy walked with a ridiculously fake limp and a cane, when he remembered...
...told Eddy he should get over the sprains within a few weeks and recommended anti-inflammatory medication like Advil or Aleve, some rest and then gradual resumption of work. He really didn't want to hear this and insisted he could never work with so much pain. I never actually said "I think you're acting", but he didn't come back after two more visits (with reports of worse pain at each...
...office. He now has a real limp and his knee is truly stiff. His "bad" hand is weak and uncoordinated. He has gotten good at using the cane, and now he really needs it. Eddy did not want any treatment. He just came "for documentation" of his pain and inability to work. This time I had to agree with him - Eddy is now physically disabled...
...Eddy exaggerated the pain of minor injuries in order to get out of a job he didn't like. He probably didn't think he would really become disabled by being a good plaintiff. It's the evil twin of rehabilitation - act sick-get sick - and it happens a lot. "Accentuate the negative" may be sound legal counsel, but it's the worst possible medical advice anyone could ever give. It's a pain for the doctor, and often ultimately, an even bigger pain for the patient...