I don’t really think adults need to yell when in pain and I think many don’t. I myself fell hard on a concrete floor 2 years ago, shattered my elbow and sprained my knee, needed emergency surgery to put the broken arm back together. I didn’t scream, I didn’t really make any noise. I was in the worst physical pain that I can ever remember. As a kid I remember falling off my bike hard once and crying about it for a long time, when all that really happened is I bruised my knee a little. For whatever I didn’t feel any need to do that as an adult.
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