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Stricture at the pouch-anal anastomosis after restorative proctocolectomy. In thiscase, however, the pronunciation refers not to anatomy but to a popular alco-holic beverage: “I arrived at my wife’s sister’s house for supper in December[2009] with a box of Heineken beer and my 20-something nephew said,‘Oh, Heineys! the official beer of the H1N1 epidemic!’” (Philip 2010).Adding a critical layer to the story, Philip noted, “He said ‘H-one-N-one’but he was obviously referring to the pronunciation ‘Hi, knee’ and it raiseda quick laugh.” That the nephew made such a joke was possible because ofthe audience’s knowledge of the heinie pronunciation—something that thenephew took for granted, evincing at least a local diffusion of the pronun-ciation

In thiscase, however, the pronunciation refers not to anatomy but to a popular alco-holic beverage: “I arrived at my wife’s sister’s house for supper in December[2009] with a box of Heineken beer and my 20-something nephew said,‘Oh, Heineys! the official beer of the H1N1 epidemic!’” (Philip 2010).Adding a critical layer to the story, Philip noted, “He said ‘H-one-N-one’but he was obviously referring to the pronunciation ‘Hi, knee’ and it raiseda quick laugh.” That the nephew made such a joke was possible because ofthe audience’s knowledge of the heinie pronunciation—something that thenephew took for granted, evincing at least a local diffusion of the pronun-ciation.

He became convinced thattheir symptoms could be relieved by encouraging them to talkwith him about painful events from early childhood.

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