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Although few would now agree with the notion that children, medically speaking, are little more than small adults, the proposition that older adults are just older is still accepted. That this thinking continues to dominate clinical practice is supported by reviews of how "physiologically complex" pediatric and geriatric surgery is performed in Iowa. Most pediatric surgery has been performed at just three centers, but geriatric surgery has been performed throughout the state. Pain in Older Persons, a follow-up to and updating of Pain in the Elderly (Seattle: IASP Press, 1996), does a very good job of discussing whether pain in
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