a case report from the British Medical Journal published in 1995 details the case of a twenty-nine-year-old construction worker who walked into the emergency room after landing footfirst on a fifteen-centimeter nail, which was sticking up out of the top of his construction boot, having penetrated through leather, flesh, and bones. “The smallest movement of the nail was painful [and] he was sedated with fentanyl and midazolam,” powerful opioids and sedatives. But when the nail was pulled out from below and the boot removed, it became apparent that “the nail had penetrated between the toes: the
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