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description= Posts about Personal Reflection written by These Bones Of Mine;
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ain it reminded of sociologists ann oakley s 2007 book fracture of which i discussed a little here although oakley s book is a much more personal and reflective study with its focus on the modern health perspective bourke 2014 also discusses the role and changes that medicine has gone through in the past and present approaches and treatments when considering illnesses and patients themselves of particular interest on the radio show this morning was bourke s assertion that different cultures experience pain in a myriad of ways this of course made me think of how bioarchaeologists approach the archaeological record and how we try to understand palaeopathology in relation to the individual osteobiographic context within the population and society that the person lived in together the original context of the landscape environment of the archaeology site read more about osteobiographical examples here bioarchaeology is as a field a burgeoning area of archaeological research one that ably and actively straddles the humanities and science divide with ease bioarchaeologists often complement their normal macro and micro assessment of the skeletal remains with the regular use of the latest scientific techniques and refinements including but not limited to stable isotopic and ancient dna analysis to help understand the processes implications and contexts of a pathology within a population this often includes trying to contextualise and understand traumatic or congenital pathologies that can be present in the skeletal remains of humans white folkens 2005 it must be remembered of course that only a small fraction of diseases known ever affect or actively present on bone itself waldron 2009 pain though is rarely considered when describing a pathology that is present on an archaeological bone this is partly due to the nature of the limitations of archaeology but also partly due to the existing bioarchaeological literature care to not exceed the evidence must take precedence otherwise bioarchaeologists risk inflating the boundaries between the known and the unknown pain itself is a uniquely personal feeling and it can be a difficult feeling to describe it can also be paradoxical as to know pain is to be reminded that you are alive but to know that pain means it is also a warning that life is threatened as a purely personal perspective i have recently found out something rather interesting about my own skeletal biology as readers of this blog may be aware that i have mccune albright syndrome mas and as a part of this polyostotic fibrous dysplasia mas is as far as it is currently possible to tell a fairly rare bone disease that can lead to fractures and bowing of the bones more information here and also dumetriscu collins 2008 amongst other things having broken a good number of the long bones of my body i am now acutely aware of what a fracture feels like recently however and completely unbeknownst to myself beforehand i learnt that i have been fracturing my ribs for a number of years as both x rays and a ct scan showed a fair amount of bone re modelling and faint healed fracture lines on a number of ribs why hadn t i noticed partly it was because the fractures themselves weren t that painful i am well aware that rib fractures are usually pretty painful in fact i have been aware for years that i occasionally pull the superficial or intercostal rib muscles on either side periodically and that this had always led to a good few days of unease if i slept on the affected side coughed or laughed too hard i had put this down to using the wheelchair more over an extended period of time starting from my mid adolescence following on from several major surgeries on the femora i reasoned that due to repetitive nature of the motion of wheeling in a manual wheelchair the muscles were bound to get sore and fatigued at some points a copy of the posterior to anterior x ray of my own chest although the healed rib bruises and fractures cannot clearly be seen on it the constriction of the chest wall is highlighted black arrows this can have an effect on the air intake of the lung capacity generally fractured ribs are left to heal naturally unless there has been puncturing of internal organs by the ribs themselves in which cases surgery is needed read more here i was well aware that the ribs are one of the more common areas of the body to be affected by mas along with the femora and cranial bones yet i paid little attention to what i thought was a pulled muscle dumetriscu collins 2008 waldron 2009 i could still move relatively fine afterwards and it certainly wasn t that painful so as you can imagine i was somewhat surprised to hear that i had at least four previous rib fractures that had healed which were clearly evident on the x rays and the scans taken of my chest as i saw i should state though that it is likely to have been a mix of micro hairline and full fractures on pathologically diseased bone and not traumatically induced fractures which i hear can be extremely painful as such and having heard bourke talk about how individuals cope with pain it should be taken into account by bioarchaeologists that skeletal pathology probably elicited different responses dependent on the social and cultural context of the individual this is of course important when considering the impact of a pathology present on the bones this necessarily becomes more problematic as we reach further into history and prehistory where the lack of contextual and written evidence can be missing or non existent however as archaeologist and bioarchaeologists we must also continually ask questions regardless and especially when skeletal material has already been analysed new techniques theories or methodologies are only useful once they have been applied to the existing archaeological record and are repeatedly tested against what we think we know alongside bourke on the radio 4 show was the current director of the wellcome trus t jeremy farrar who discussed his experiences as a medical doctor and the possible implications of the overuse antibiotics and norman fowler a conservative mp who oversaw the public health campaign against the spread and threat of hiv aids in the 1980 s in britain each guest on the program was well worth a listen it is safe to say that bourke s work is another book that i shall be adding to my ever increasing pile further information listen to the start the week program on which professor bourke appeared on bbc radio 4 here a review by the guardian of the history of pain from prayers to painkillers book be found here bibliography bourke j 2014 the history of pain from prayer to painkillers oxford oxford university press dumitrescu c e collins m t 2008 overview mccune albright syndrome orphanet journal of rare disease 3 12 1 12 open access oakley a 2007 fracture adventures of a broken body bristol policy press waldron t 2009 palaeopathology cambridge manuals in archaeology cambridge cambridge university press white t d folkens p 2005 the human bone manual london elsevier academic press tags history pain palaeopathology comments 3 comments categories ann oakley bioarchaeology fibrous dysplasia fracture history joanna bourke mortuary archaeology palaeopathology personal personal reflection polyostotic fibrous dysplasia public health wellcome trust x ray older entries follow enter your email address to follow this blog and receive notifications of new posts by email email address follow join 987 other subscribers blog stats 2 365 762 hits blog archive blog archive select month august 2024 1 may 2021 2 may 2020 1 march 2020 1 october 2019 1 september 2019 1 april 2019 1 march 2019 2 february 2019 1 november 2018 1 october 2018 1 august 2018 1 july 2018 1 march 2018 1 february 2018 1 january 2018 1 december 2017 1 november 2017 1 october 2017 2 september 2017 1 august 2017 1 july 2017 1 june 2017 1 february 2017 3 january 2017 2 december 2016 2 november 2016 1 october 2016 3 september 2016 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