Teen A teen in The Sims 3. The teen life stage is not present in The Sims , as Sims in this game do not age. Players can download custom head and body skins which can give a Sim the appearance of being a teen. The life stage is featured in The Sims FreePlay with the Teenagers update, in which pre-teens can grow up to the teen life stage by completing a certain quest. Prior to the update, Sims can only grow as far as the pre-teen life stage.
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Vesicovaginal fistula was a catastrophic complication of childbirth among 19th century American women. The first consistently successful operation for this condition was developed by Dr J Marion Sims, an Alabama surgeon who carried out a series of experimental operations on black slave women between and Numerous modern authors have attacked Sims's medical ethics, arguing that he manipulated the institution of slavery to perform ethically unacceptable human experiments on powerless, unconsenting women. This article reviews these allegations using primary historical source material and concludes that the charges that have been made against Sims are largely without merit. Sims's modern critics have discounted the enormous suffering experienced by fistula victims, have ignored the controversies that surrounded the introduction of anaesthesia into surgical practice in the middle of the 19th century, and have consistently misrepresented the historical record in their attacks on Sims.