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This is how they present in triage. You note that they appear anxious, possibly in a bit of pain, sometimes they are very matter of fact. We've all seen em. Retained foreign object in various body cavities. Kids with beans up their noses, beads in their ear canal, men with various household products in their rectum, women with various toys gone horribly bad.
With the adults you try really hard to look concerned and serious. This is a delicate subject and boy do they watch your face for even the slightest hint of a laugh. Now I'm not talking about assaults, that can be awful. I'm talking of grown adults that really should know better. A spray can just does not belong up ones bum.
How do you handle this? How do you write the complaint on the chart? Do you send the object to pathology as you would any other material? What do you put in the discharge instructions?
This one is second-hand but from a reliable source, a woman is repeatedly seen in the ED for a recurrent colostomy infections. Someone finally gets the bright idea to culture the infection and you ask "What did they find?" Yes indeed, a mixed salad of STDs. Apparently, word got out in her neighborhood that her stoma gave good lovin.
Please say it isn't so...
People are such freaks. Sometimes I think of switching over and taking care of animals instead. But then we wouldn't have all of these hideous stories to laugh and gag at.:)
This one is second-hand but from a reliable source, a woman is repeatedly seen in the ED for a recurrent colostomy infections. Someone finally gets the bright idea to culture the infection and you ask "What did they find?" Yes indeed, a mixed salad of STDs. Apparently, word got out in her neighborhood that her stoma gave good lovin.
Please say it isn't so...
Had a psych patient who had to go to cysto to have pieces of a belt buckle removed from his member. Same guy came in with rubber bands wrapped around it; almost lost the darn thing. One came to ER with his class ring stuck on it....don't know how that happened.. .was extremely swollen and almost black. Female with a change purse in her lady parts...."oh so that's where I put that....I thought I'd lost it".... Female with a coke bottle, but the worst was a gerbil I read about in a journal...was alive...dead when found. Had a string around it's leg....string broke.....gross.....
There was so much swelling there that they actually had to use lidocaine and make a small incision on the dog to get the blood to drain. Is there anyone in this world who could have done that with a straight face? I totally believe that there are some situations that it is ok to laugh, vomit, gag whatever.
I can totally see one of our ER docs coming out of the cubical and going straight to the unit secretary and saying......"Get me the veterinary attending on call please.........."
Oh so many stories... One of my favorites is when the fellow came in with the "toy" still vibrating upon palpation. Strangely, upon retrieval of the very large "TOY" the surgeon found additional treasures recovering a small lotion bottle and a spoon. This guys rectum was a regular toy box.The fellow who lost hold of his mag light, you know the one that takes 4D batteries. Anyway, this fellow had the forsight to remove the batteries because he thought the battery acid might cause problems if they leaked. Nevermind, the problems of losing a foot long flashlight in your orifice.
This one is second-hand but from a reliable source, a woman is repeatedly seen in the ED for a recurrent colostomy infections. Someone finally gets the bright idea to culture the infection and you ask "What did they find?" Yes indeed, a mixed salad of STDs. Apparently, word got out in her neighborhood that her stoma gave good lovin.
That is so wrong.
How do people come up with these ideas???
maturner
124 Posts
Oh so many stories... One of my favorites is when the fellow came in with the "toy" still vibrating upon palpation. Strangely, upon retrieval of the very large "TOY" the surgeon found additional treasures recovering a small lotion bottle and a spoon. This guys rectum was a regular toy box.
The fellow who lost hold of his mag light, you know the one that takes 4D batteries. Anyway, this fellow had the forsight to remove the batteries because he thought the battery acid might cause problems if they leaked. Nevermind, the problems of losing a foot long flashlight in your orifice.
This one is second-hand but from a reliable source, a woman is repeatedly seen in the ED for a recurrent colostomy infections. Someone finally gets the bright idea to culture the infection and you ask "What did they find?" Yes indeed, a mixed salad of STDs. Apparently, word got out in her neighborhood that her stoma gave good lovin.