Your most amazing wounds and gore!!!! Anyone care to share? - page 2
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... Read More
Sep 20, '02Occupation: Director of nursing in an assisted living facility Joined: Jul '01; Posts: 708; Likes: 3My 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,,,,,,,,
Sep 20, '02Occupation: Director of nursing in an assisted living facility Joined: Jul '01; Posts: 708; Likes: 3very earlier in morning,,,, guys,,,,,,
Hope you can decipher all of my typos,,,,, in previous post,,,,
Sorry,,,, going for more coffee now,,,,,,,,,,,,,,,,,,,,,
Sep 20, '02Occupation: RN Specialty: 15 year(s) of experience ; Joined: Jul '00; Posts: 639; Likes: 70gangrene on a gentleman's penis among other places. Trips in that room were short and sweet because the room just reeked.
Sep 20, '02Joined: Apr '02; Posts: 38,750; Likes: 16,271This 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.
Sep 20, '02Joined: May '02; Posts: 827; Likes: 42I am loving this!!! 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!
Sep 20, '02Occupation: PICU/NICU RN Joined: Jan '01; Posts: 19A 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??
Sep 20, '02Occupation: icu rn Joined: Jun '02; Posts: 985; Likes: 11You 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.......... Did LOTS of irrigating......and called HS to get emergency visit from exterminator !!!at midnight.....
Sep 20, '02Occupation: Clinic, HHC, Peds Joined: Jul '02; Posts: 567; Likes: 14That 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.
Sep 20, '02Joined: Jun '00; Posts: 1,017; Likes: 32Forgot about the man with a black penis, totally necrotic. Wouldn't allow surgery and the room reeked!
Sep 20, '02Joined: Aug '02; Posts: 33; Likes: 1I 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!
Sep 20, '02Occupation: Cath Lab Nurse Joined: Aug '02; Posts: 42; Likes: 12I 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 !!
Sep 20, '02Occupation: rn, home health and RDH Joined: Aug '02; Posts: 3; Likes: 1ok,ok......i love wounds, too !! my husband says i'm sick, but its not that i love gross stuff, i love anatomy and love to see how stuff heals ..but the bugs do gag me. i work home health ( LOVE IT !! can't believe i get paid to do it !! ) and one of my co-workers had a dressing change on a little lady. seems like the wound was full of maggots....my friend started crying, went all to pieces, we all were grossed out too.........anyway, i love wound vacs, too cool.........but the "best" wound i ever had was a 40 yowm, quad r/t mva.......wife did not take care of him, and when we got him he had a decub from his iliac crest to the back of his knee that you could hide a football in. the docs wanted to take his leg off ( only a small amount of tissue was holding it on ) but the wife, who never came to visit, said " NO !! That would be cruel !!" HA! Needless to say, he passed away not long after, i stiill think she should go to jail......( his was the only wound, so far, that the smell made my knees buckle when the dsg came off......) i can hold my breathe pretty good.......i have about decided to go back to school for the ET nurse thing.......just love it !
Sep 20, '02Joined: Apr '02; Posts: 4,738; Likes: 104About, hmm, two years ago, I was assisting an LPN change extensive dressings on a patient. Basically, this guy was dying from cancer from the inside out. We didn't know the exact extent of the cancer because the family did not want any furtherinvestigations, but it was amazing that this guy was still holding on.
Okay, this is especially stomach turning [warning!]
Anyway, his skin was just basically failing. It was just full of tears. We were working on his elbow, and I was holding it, while the other nurse changed the dressing. She king of pulled a white stringy thing out from an opening that she was trying to cleanse.
We both got pale. Um, I think this is a tendon, she said. I agreed. Bad, bad flashback!