A 32-year-old male presents with cold insensitivity involving his hands.
Just a thought: wouldn't it be a great deterrent for smokers to depict an otherwise healthy and strong man in his late thirties with one of his hands and/or legs amputated? Or perhaps BOTH hands amputated and a legend saying something like: "Finally, he had no choice but to quit smoking!", or "Finally, smoking forced him to quit his hands!"If I knew where to send this...
Excellent case and write-up, but I have a syntactical comment. I'm old (71) and in the "olden days" I never used or saw in print what strikes me as an awkward, inelegant and unnecessarily bulky construction which I see used almost universally nowadays: "the bilateral." Us old timers had an alternative that was just as accurate and unambiguous, while being simple, straight forward and, well, elegant, which I still use to this day: "both." Sorry to sound nit-picky and pedantic, but it's meant just as a suggestion.
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