martin_wisse

... and doesn't quite make it.

On page 187 (of 218), we finally get this paragraph:

At this point we need to return to a crucial caveat. In most cases of persistent pain, whatever caused the initial injury has healed. Pain is now the primary disease. But there are a number of cases where there is continual damage that triggers nociceptive fibres; chronic inflammatory diseases are good examples. It is also important to point out that not every case of back pain is our brain's overreaction. A small -- but important -- minority of cases are caused by serious conditions -- cancer, some infections, spinal fractures and the nerve-compressing cauda equina syndrome -- but these can usually be ruled out by doctors, who will be on the lookout for 'red flag' symptoms. However, in the majority of cases of persistent pain (and over 90% of cases of back pain), there is no longer any identifiable tissue damage; our brain has become hypersensitive.

In a book that otherwise dedicates a lot of time to talking about gender and racial inequalities in healthcare access, including a solid half-paragraph on how common and how painful endometriosis (a chronic inflammatory condition!) is, the bit where "well this only applies to most people..." gets breezed past is certainly causing me more feelings. And yet it's still the closest anything I've read so far actually gets to engaging with the fact that the rest of us exist, so... no get-out-of-writing-essays-free card for me here, alas.

(The Painful Truth, Monty Lyman, mostly pretty good and definitely got me to think constructively about a few things -- like the merits of classical vs contemporary Pilates for my specific usecase via discussion of knitting -- and introduced me to some more, like open-label placebos and "safe threats" and the impact of paracetamol on empathy. It's incomplete, but not disrecommended.)

A little while ago the toddler's household told me that you could turn the top of a pineapple into a whole entire pineapple plant (with the caveat that at least 60% of the time it goes mouldy). My first attempt at this had got as far as growing a whole entire root network but then suffered a Tragic Incident from which it never recovered; the second had been sat around with partially-browned but no-longer-becoming-more-browned and definitely-still-partially-green leaves for Quite Some Time. I had more or less hit the point of "... is this actually doing anything? at all?" and then upon my return from the most recent round of Adventures I rotated it in service of watering it, to discover...

... that it's growing a WHOLE NEW SET OF LEAVES. Look at it go! I am very excited!

(My understanding is that if I manage to keep it alive that long it'll take somewhere in the region of 3 years to fruit, and then in the fashion of all bromeliads will die having produced said single fruit. Happily this is about the rate at which we eat fresh pineapple...)