[texas_lvn]

Had a guy that to keep track marks off his arms, would shoot up in his "penis" came to us with gangrene in numerous places. Had to peel it like a banana all the way below the scrotum. Stated he had 3 different orificale sexes before he came in to the EC for the "hurt". Cant imagine the girl. She herself must have been a coke-head!

[liebling5]

These are all my xh:

Sleep apnea, refused to use a cpap machine
Bad peridonditis with several teeth missing - hadn't been to a dentist in at least 5 years "because I know I'll need surgery, but can't afford the days off." And oh yeah, took off from work for miscellaneous reasons and therefore never stored up enough time to take off for something major
Ground his teeth at night so loudly that it often woke me up. No, not going to dentist for a bite guard, see above.
Hypertensive, stopped taking his meds, I caught him after he c/o a severe h/a. His bp was 190/110! Had the nerve to yell at me for checking up on him.
Smoker with chronic smoker's cough. If we got separated in a store, I'd just listen for a bit for the distinctive cough.
Had a belly that looked like he was ready to give birth and was proud of it!

Oh, did I say that he had full medical and dental coverage? Yep.

Self-inflicted for sure.

[fetch33]

Gosh, I've seen so many.. I'll start with the first:

A man tried to kill himself, so he shot himself in the head. He awakened to find a nasty wound to his head. He called his doctor's office, but was told it was closed for the weekend. He hung out all weekend at home with his brain exposed and called Monday for an appt. He tried hard to convince the doc he had walked into a door... doc didn't buy it, LOL. When I had him, he was just out of ICU with a drain hanging out of his head and enough skull missing that you could count his pulse with the pulsations of his brain. Amazingly, they had enough skin to cover the wound.

I took care of a mental hospital patient who had an appetite for bedsprings... he had just had 15 of them removed from his stomach. This was not his first surgery for this problem. He later died from peritonitis after he did the same thing.

Along the line of swallowing things... had a patient who swallowed a spoon and ink pen so he could get all of the 'good drugs' , assuming he'd be opened up to retrieve them. Nope, the docs fished them out with a scope, LOL. I still have the pictures!

A railroad worker was drunk at work and ... oops.. accidently put his foot under a moving rail car. I can't believe the ER nurse actually brought me the boot... that was now missing it's front half... just like the foot. Maybe she thought the state would use it for evidence?

The most recent is a child who was bored and playing with daddy's pocket knife. He cut his pinky clean off!!! The docs reattached it, but even after a week of leeching, it didnt' make it. Turns out the kid didn't go tell daddy right away, but hung out in his room for an hour or so until he could get up the nerve to show his parents what he had done. By the time he got to where I work (hours away by car), the pinky was pretty much non-viable.. but they gotta try.

[Hopefull2009]

Originally Posted by lauralassie

A Bart Simpson doll up the anus. It was the best Xray I've ever seen. You could see his hair and arms open wide , like he was yelling ' get me out of here!"

Almost got coffee through my nose! This is where HIPAA sucks..Too bad they won't allow you to upload copies of the X-ray and put it on YouTube.

Ha!

[ssouthernyankee]

I have a question about the E.Coli abcess. Is it always caused from injecting/rubbing feces into skin? Had a pt with a huge abcess in breast cultured out E.Coli. I have a hard time imagining this particular pt would have done this to herself, she wasn't a frequent flier, I spent quite a bit of time with her and she just didn't seem to be "one of those" pts.

[blondy2061h]

We had a patient who sailed through his transplant easily. When home, smoked, got some kinda funky fungal infection in his lungs, and died.