Abominations Unto Nuggan

... 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.)

Reading. Tiny bits of Solutions and Other Problems and The Painful Truth.

Listening. More Hidden Almanac.

Exploring. Chester, including Chester Zoo!

Eating. Almost all of my favourite field foods, including raspberry and lemon curd toasties, noodle pots with the addition of the prepped salad bits (spinach! red onion!), the giant lemon and sugar crepes, and flapjack. ("Almost" because the cake options CHANGED.)

Observing. The Milky Way. Something that might have been some kind of satellite or might have been some kind of shooting star. CHESTER ZOO, etc. At least one field bat.

Between one thing and another we wound up having a semi-impromptu mini-break in Chester, including a few hours at Chester Zoo.

... where we went into the bats enclosure and were transfixed for about an hour, basically from the moment we walked in until chucking-out time.

It's a big dark room, artificially crepuscular, with lots of trees (dead) for roosts, and somewhere in the vicinity of 350 bats (Seba's short-tailed and Rodrigues fruit bats). THEY WILL COME SO CLOSE TO YOU. THEY WILL COME SO CLOSE TO YOU. They were flying well within a foot of our faces. You could FEEL THE WIND FROM THEIR WINGBEATS.

And A was greatly honoured by one LANDING ON THEIR TROUSERS.

There were many other Excellent Creatures -- the Humboldt penguins in particular were very excited by the rain (so much porpoising), and the giant otters were indeed giant, and there was an enormous dragonfly, and the flamingos went from almost entirely asleep (including one baby that had not yet got the hang of the whole one-leg trick) to YELLING INCESSANTLY after being buzzed by the scarlet ibis.

Extremely good afternoon out, 13/10, would recommend.