I have some out there friends. I don't believe it was loose.
I have another friend that tore his arm from its socket and ripped the cartilage from his shoulder. The only thing that kept his arm attached to his body was skin and muscle. He slammed his shoulder into a tree stump with all his body weight that caused the injury.
He calmly sat up, while his arm just hung there motionless..... he started punching the arm for its immobility. Didn't even say ouch.
Another friend I had as a kid had rebar go through his foot. He didn't even say ouch and walked home with the hole in his foot.
I've never run in circles where the guys were soft when it comes to pain. I don't believe I could do any of the above without voicing such displeasure with a barrage of cursing. However, I could deal with it after the initial outburst.
I've had a hook go through my foot, a large piece of glass embedded in my hand (would have gone through if not for striking bone), carpet tack ripping a chunk out of my knee and other things. I always let out not so nice words, but.. do not become incapacitated by the pain.
For me its pretty much, let out some obscenities, if its leaking...... cover it, duct tape it and move on.
Oddly, stubbing my toe will incapacitate me... go figure. lol