IS THERE A “FREE SIZE” IN SURGICAL PRACTICE?

On top of this, comes the response to pain. The best example is the delivery of a baby; while one lady shouts loudly, another is very quiet. Some consider the pain stimulus as intense, because of psychogenic factors, while others show a calm response for the same condition. A well-known fact is the individual variation in response to medication, like nonsteroidal anti-inflammatory drugs which might be very effective for Mr. X, but not for Mr. Y. Similarly, the healing power, immunity status and even the creation of some pathology like stone formation, are not homogeneous. I noticed, in my career, patients who are good callus formers, while others are poor callus formers. Same pathology may have different clinical presentation in relation to body distribution and even the type of inflammatory response. A recognized fact is the variation in geographical distribution of disease between countries. Other factors which are related to each individual patient and should be kept in mind, include the mental and psychosocial status. It is well-known that a depressed patient has low pain threshold. Patient cooperation to the planned therapeutic regimen is also very variable. Some habits and hobbies may play a role in the success of disease treatment. Smoking, for example, can influence healing and recovery of a disease, and can increase the incidence of infection, so as alcohol consumption. The degree of body and cloth cleanliness is another vital point to be considered.