Your most amazing wounds and gore!!!! Anyone care to share?

Specialties Wound

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Hey, y'all! Okay, I know this could get a bit scary, so if you're not into this kind of thing, please move on! This has the potential to become VERY GRAPHIC. Disclaimer over. ;>) However, I'm figuring that if this topic could keep us entertained for HOURS on a slow night, surely some of you have some stories to share that get your eyes gleamin' as well. ;>P A PICU nurse who was floated to my unit the other day was telling us about a pediatric organ donor they had had recently. She was invited to witness the actual surgery and the 'claiming' of the organs that were being distributed to various recipients. She said that, despite the sadness and overwhelming loss she felt when the patient was declared clinically dead (she'd taken care of that little girl for weeks and had become very attached to her and her family), she could not help but be completely fascinated by witnessing the procedure. She hadn't been in surgery since nursing school, and she said she just could not get over seeing the cavity open and empty like that after the organs had been 'claimed'. This got us started on our favorite gross-out wound and cavity stories, and you know NURSES, who can freak out a burly man in a nanosecond with stories of pus, blood, flesh, and insects!!! We, I admit, were laughing our butts off and enjoying every minute of it, all the while cackling that our husbands would have fled the room fifteen minutes ago in absolute horror. Call it stress relief. So, in continuing with that conversation, I thought I'd see if y'all would like to contribute. I promise you that your stories will be recounted truthfully, down to the stickiest, smelliest detail!!! should we ever get another slow night (which, considering the trend, will be NEVER!!). Here are some of mine... mine come from nursing school, as I am a relatively new grad and have been NICU nursing since graduation. In nursing school, during our MICU rotation, I had a lovely older woman who had undergone a TAH. The surgeon had accidentally nicked her bowel, and after multiple trips to OR to attempt to repair the damage, she had developed a fistula and was leaking fecal matter into her now spacious abdominal cavity. She had this ENORMOUS abd dressing that had to be changed, and being the student-nurse-gopher that I was, it was my job, along with two other nurses in attendance, to change it! I swear, it took almost TWO hours to change this sucker. Her entire abdominal cavity was open, and when I removed the packing, I got to see EVERYTHING. I know, I'm a dork, but it was totally spectacular. This brownish, thick, melted-milkshake fluid was leaking out, and when it touched my gloved hands for the first time, it was so warm it SCARED ME! I actually jerked my hands back because I was startled! When she had been rinsed suffeciently, it was time to repack the wound. I kid you not, my entire hands were inside of her abdomen, and I felt like a surgeon! We just kept packing and packing and packing and I thought, dear God, there's no way she can hold all of this inside her! She was on one of those vacuum-seal doodads, with the sponge? I forget what they're called now... we packed the sponge in and applied this HUUUUUUUUGE op-site. Realize, I was in SCHOOL and was just totally blown away by this! I went home high on endorphins and grinning like a psychopath. Ahhhhhhhhhhh, the gore. Just something about it, you know? :>)

I'm a psych nurse...I went into nursing to work in psychiatry. I'm so grossed out but I can't quit reading! Even after 12 years, I freak at minor dressing changes.

You are damn good story tellers too!! Keep 'em coming!

My first week in nursing,,,,, at a 22 bed skilled unit,,, adminisration admitted,,, female,,,, indwelling foley,,, stoma,, and a decub on her sacrem,,,, the size of a ,,,,, well the diameter on the outside of her body,,, 9",,, round,,, (little towards oval side,),,, deep,,,, When changing her dressing,,, wound had tunneled so far,,my entire hand would dissappear inside,,,,,

Now handling the dressing change was easy,,,, She was alert,, ambulatory /c walker,,,, drug her catheter bag on floor,,, chewed and spit tobacco,, & we would catch her any change she got opening her colostomy bag,,,, and dumping it,,,, where ever,,, In her spittoon,,, that was the worst!!!!

The huge open wound,,, covering her entire backside,, didn't bother her,,, would volunteer to lean over bed while we did dressing change,,, making sure she told us 'her' way of doing it,,,, She was transfered to another facility,,,, Loved the challenge of the wound care,,, but the tobacco,,, etc,,,, OMG!

The withing same month had a close to 7' man admitted,,,, Had gangreen on heels on both feet,,, that was a challenge,,, to not breath while those dressing were changed,,,,,,

As I work asssisted living now,,, I haven't seen or dealt with wound like this in four years,,,, I do go to our skilled facility,,, checking what's happening there,,,,,

The worst for me in assisted living is someone who is admitted,,, usuallly by APS,,,, they haven't bathed in ????? and their meds are screwed up,,,, if they have taken them,,,, Give me a month with them,,,, Got a new person,,,,,,

One woman admitted,,,, went from the lobby directly to shower,,,, Even tho,,, I'm the DON I bathed her,,, washing,,,, washing,,,, & washing,,,, The smell and dirt,,, by far the worst I have ever experienced,,,,, That morning I believe I'd rather been elbow deep in an abdomanal wound,,,,,,,,

~~kitamoon

very earlier in morning,,,, guys,,,,,,

Hope you can decipher all of my typos,,,,, in previous post,,,,

Sorry,,,, going for more coffee now,,,,,,,,,,,,,,,,,,,,,

~kita

gangrene on a gentleman's member among other places. Trips in that room were short and sweet because the room just reeked.

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.

This pales in comparison, but here goes:

I am an OB nurse, so wound care is not generally a big part of the job for me. But obviously, we recover patients who have undergone episiotomy, GYN surgeries, and yes, cesarian section patients. Well, we had a 400-pounder once. BIIIIIG lady...sweetest lady. On post op day 2, She felt a "pop".....yes, you guessed it ....she dehisced. EWWWWWWWWWWW.....did i say ewww? It was all I could do to keep it together when I saw her abdomen all opened up, pouring out the foulest smelling stuff known to man....how she had been afebrile for us remains a mystery; it was obvious she has a nasty bug cooking in there....

Yea, dr opened up her whole wound....her huge pendulous abdomen stem to stern , open wide, green stinky stuff just POURING OUT ALL OVER THE BED....omg you could see her INSIDES all over from that gaping wound. It became an everyday chore to pull miles of curlex out of that gaping hole, covered in stinky green purulent discharge, clean her out and fill it up again w/more curlex. I still remember the SOUND of that discharge spilling out and filling the whole box of 4X4s we would wick there. For weeks. Healing from the inside out on a big lady takes time.

I know this is not so gross compared to some, but it convinced me I have NO place in wound/infection control care. Period. It was all I could do to hold my stomach each time we did this lady's wound care.

I am loving this!!!:p I thought I was the only Pus Queen!! Well, my story isn't as good, but here goes. Was working er got a little lady in 82 yrs old and a Christian Scientist. ( Christian Scientists do not believe in conventional medicence. When they become ill, they pray for good health.) This lady lived alone, but had a caretaker come in to assist with ADLs once a day. Her only daughter lived out of state. this lady started out witha small decubitus on her sacrum, amd she would somehow trim away at it with nail sissors9 or she got the aide to do it, we never knew) By the time her daughter came to visit and forced her to the er SHE HAD NO SKIN FROM SACRUM TO SHOULDERS!!!!!!!!! I have never seen anything like it! It was like an anatomy lesson. You could see both hips, iliac crests, each vertebrae, scapulas, etc. I don't know what happen to her ,our doc that said there was no way she could live. This lady was awake, alert, walkinf around, and was so hostile!

A few years back I took care of a young boy (6-7 yrs old) on the PICU who was accidently shot in his wrist area by his older brother. His wound and healing did not progress as they thought it would and they decided on leech therapy. Not much grosses me out, but just to attempt to take a leech out of a cup and put it on a wound left me with nightmares for months. Funny, the blood and guts don't phase me, but those little ugly bugs do! Am I a freak or what??

You guys are awesome !!!!! I don`t have anything half as interesting............One thing that did gross me out several years ago....I was in Calif. on a travel assign.Had a patient who had huge( due to ladies large size) open abdomen wound, took 4-5 rolls of kerlix to pack it, but wound was fairly clean, not a problem, just time consuming. went to do dressing change, and noted this wiggly black line from window, down to floor, up leg of bed, to patient.......Ants..........just creeped me out..........:eek: Did LOTS of irrigating......and called HS to get emergency visit from exterminator !!!at midnight.....:D

That leach story reminded me of the HH visit I did on a pt that hadn't changed his dsg in a long while. Expecting the wound to look the worst, I lifted the dsg, and Flies flew out! I was horrified at first, then realized the wound looked great! Those maggots did a great job cleaning up and leaving beautiful granulating tissue! I do miss being a wound care nurse.:)

Forgot about the man with a black member, totally necrotic. Wouldn't allow surgery and the room reeked!

I have a story of when I was a teenager working at an animal hospital part time. One hot summer, a lady called and asked if we could send someone to her home to remove the remains of her dead St. Bernard as she was unable to dig a hole big enough etc. The hospital told her that we did offer a burial (cremation) service but she would have to arrange transportation herself. Well, we didn't hear from her (for awhile). One day about two weeks later, a man came in and said he had brought a dead dog in for cremation and could we assist him to bring it in. So, me and another naive young girl went to the car with the gurney. Guess who! This dog had been left outside in the sun for two weeks until they brought it to the animal hospital. We tried to slide the dog from the tailgate of the station wagon, (remember those?) to the gurney. The gurney moved and that St. Bernard carcass hit the crowded parking lot and split-full of maggots! We had grown men turning green that day! The been there-done that veteran manager just told us to get the snow shovel and some garbege bags and clean it up!

I had a patient when I was in Nursing school that was a street person. He came into the ER with tons of maggots on his legs from knees to ankles. The surgeon wanted to take him to surgery and amputate his legs. The patient refused surgery, so the ER staff had the pleasure of removing all those maggots and applying silvadene cream to the legs. He was then sent to my floor (I was a Nurse assistant). They left all that silvadene on underneath those gause dressings for 3 days !! Guess who got to assist the nurse in peeling it all off. Man, I cannot describe it!! It smelled and it was old blood mixed with silvadene. He did get better though and walked out of that place about a month later !!!

Had a patient a long time ago that had some type of problem with his right lung. Can't remebr exactly what, but he had a hole as big as my fist in his right side. I think he kept getting pneumonia or something, so the surgeons had made that hole. His wife would pack it like two times a day. The coolest thing is that you could look in the hole and see his lund expanding.

I had a patient that got an infection in the right groin post heart cath or stent. His groin had an opening about the size of two fist. We had to pack it several times a day. He went home on antibiotic therapy for 6-8 weeks. (It was a staph infection).

I have also had my share of wounds with MRSA that smell really bad. One day I came in with a new nurse I was orienting. We went to turn our patient in the bed and I noticed htta he had a decubitus to the sacral area. Well, there was no documentation about it. He had come from a nursing home the day before. It was a very large decubitus. When we turned him, his wound gushe of green, brown and yellow smelly stuff. We cultured it and he had MRSA. Man it was nasty !! He stayed with us a long time. He eventually had visitors in the room that he talked about, but no one saw. He told me he had visitors, but that they would disappear when I came in the door. He died like a week later.

Finally, the creepiest story I could tell is that of a poor little lady from a nursing home in an outlying arrea that had sooooooo many lice, that you could stand at the doorway and see them crawling about her head. We had that Nursing home investigated ! It was truly gross. Luckily, I was not the nurse who had to treat and wash her scalp !!

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