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When you get knocked off a rock by a wave and are concerned that you might have blown out your ACL again and yet still continue to fish.
When you can't get your waders off because said knee suffered a hematoma and is the size of a softball.
When you just leave the waders on because the knee is too swollen to take them off and drive 25 miles back east to fish the last of the drop.
This is actually when I fished, of course...
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