Fwd: Not P but Moby-Dick (9)

[Joseph Tracy]

> Begin forwarded message:
> 
> From: Joseph Tracy <brook7 at sover.net>
> Subject: Re: Not P but Moby-Dick (9)
> Date: September 8, 2023 at 10:08:46 AM EDT
> To: Mike Jing <gravitys.rainbow.cn at gmail.com>
> 
> 
> 
>> On Sep 8, 2023, at 8:22 AM, Mike Jing <gravitys.rainbow.cn at gmail.com <mailto:gravitys.rainbow.cn at gmail.com>> wrote:
>> 
>> The following excerpt is from Chapter 29:
>> 
>> Didn’t that Dough-Boy, the steward, tell me that of a morning he always
>> finds the old man’s hammock clothes all rumpled and tumbled, and the sheets
>> down at the foot, and the coverlid almost tied into knots, and the pillow a
>> sort of frightful hot, as though a baked brick had been on it? A hot old
>> man! I guess he’s got what some folks ashore call a conscience; it’s a kind
>> of Tic-Dolly-row they say—worse nor a toothache. Well, well; I don’t know
>> what it is, but the Lord keep me from catching it.
>> 
>> Does "conscience" here mean "guilty conscience", or is it something else?
>> --
>> Pynchon-L: https://waste.org/mailman/listinfo/pynchon-l <https://waste.org/mailman/listinfo/pynchon-l>

> A guilty conscience seems to be the speakers diagnosis but probably more telling is what he pronounces Tic Dolly Row which is 
> an americanization of tic douloureux. It sounds like like the atypical form. 
> 
> Trigeminal neuralgia
> Other names	Tic douloureux,[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> prosopalgia,[2] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Hackley1869-2>Fothergill's disease,[3] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Bagheri2004-3> suicide disease[4] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Adams_1043%E2%80%9350-4>
>  <https://en.wikipedia.org/wiki/File:Gray778.png>
> The trigeminal nerve <https://en.wikipedia.org/wiki/Trigeminal_nerve> and its three major divisions (shown in yellow): the ophthalmic nerve <https://en.wikipedia.org/wiki/Ophthalmic_nerve> (V1), the maxillary nerve <https://en.wikipedia.org/wiki/Maxillary_nerve> (V2), and the mandibular nerve <https://en.wikipedia.org/wiki/Mandibular_nerve> (V3)
> Specialty <https://en.wikipedia.org/wiki/Medical_specialty>	Neurology <https://en.wikipedia.org/wiki/Neurology>
> Symptoms <https://en.wikipedia.org/wiki/Signs_and_symptoms>	Typical: episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to minutes[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Atypical: constant burning pain[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Complications <https://en.wikipedia.org/wiki/Complication_(medicine)>	Depression <https://en.wikipedia.org/wiki/Depression_(mood)>[5] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Okeson2005-5>
> Usual onset	> 50 years old[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Types	Typical and atypical trigeminal neuralgia <https://en.wikipedia.org/wiki/Atypical_trigeminal_neuralgia>[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Causes	Believed to be due to problems with myelin <https://en.wikipedia.org/wiki/Myelin> of trigeminal nerve <https://en.wikipedia.org/wiki/Trigeminal_nerve>[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>[6] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Ob2010-6>
> Diagnostic method <https://en.wikipedia.org/wiki/Medical_diagnosis>	Based on symptoms[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Differential diagnosis <https://en.wikipedia.org/wiki/Differential_diagnosis>	Postherpetic neuralgia <https://en.wikipedia.org/wiki/Postherpetic_neuralgia>[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Treatment	Medication, surgery[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Medication <https://en.wikipedia.org/wiki/Medication>	Carbamazepine <https://en.wikipedia.org/wiki/Carbamazepine>, oxcarbazepine <https://en.wikipedia.org/wiki/Oxcarbazepine>[6] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Ob2010-6>
> Prognosis <https://en.wikipedia.org/wiki/Prognosis>	80% improve with initial treatment[6] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Ob2010-6>
> Frequency	1 in 8,000 people per year[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1>
> Trigeminal neuralgia (TN or TGN), also called Fothergill disease, tic douloureux, or trifacial neuralgia is a long-term pain <https://en.wikipedia.org/wiki/Chronic_pain> disorder that affects the trigeminal nerve <https://en.wikipedia.org/wiki/Trigeminal_nerve>,[7] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-7>[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> the nerve responsible for sensation in the face and motor functions such as biting and chewing. It is a form of neuropathic pain <https://en.wikipedia.org/wiki/Neuropathic_pain>.[8] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-:0-8> There are two main types: typical and atypical trigeminal neuralgia <https://en.wikipedia.org/wiki/Atypical_trigeminal_neuralgia>.[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> The typical form results in episodes of severe, sudden, shock-like pain in one side of the face that lasts for seconds to a few minutes.[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> Groups of these episodes can occur over a few hours.[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> The atypical form results in a constant burning pain that is less severe.[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> Episodes may be triggered by any touch to the face.[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> Both forms may occur in the same person.[1] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-NIH2015-1> It is regarded as one of the most painful disorders known to medicine, and often results in depression <https://en.wikipedia.org/wiki/Depression_(mood)>.[5] <https://en.wikipedia.org/wiki/Trigeminal_neuralgia#cite_note-Okeson2005-5>