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Wait, what? I can feel you about the difference in guitar texture, if anything it seems that may have been the intent. Sonic Nurse feels more minimalist yet musical of all the Sonic Youth albums. As far as a conceptual album, I don't see where you can't see it. The band often described the concept of that album, which was an attempt to merge their two distinct styles, the more chaotic, noisy, feedback oriented "music" with the more structured, harmonic, musical chord-based tunes. Perhaps you weren't blessed to see some of the stageshows from that first Nurse tour, but they were epic. THAT was the concept, what vehicles that music could be for improvisation, and in that explorative process live on stage find that syncretic blend between improvised chaos and structured music.
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I'll just touch on each point in a few separated sentences. I'm not trying to diss Sonic Nurse in any way; some albums take a few listens to register with me. Maybe I haven't given it enough spins. From my initial listen, it didn't strike me as a concept driven album, rather it felt like a handful of good songs.
Unfortunately I have not seen any footage or anything of the sort from that era of touring.
Also, anyone who has a favorite Sonic Youth album should have that album at least in their top ten.