First of all, I want to apologize for not putting up any new
blogs for a while. It has been
CRAZY at work lately, and I just moved into a new place two weeks ago. I really like my new place. It's super homey and has a fireplace. I'm in my own private cottage in the back yard. It's perfect. The weather is starting to get cold and
wet here, but I guess what goes around comes around. I had summer for Christmas after all. As winter is taking its grip on the CPT, I am still amazed at how many people get shot and stabbed on these cold, rainy days. I’ll post some of
those stories next week. What we are definitely seeing a lot more of right now is car accidents. Here's what happened to a guy last week:
This degloving injury looked more like a picture from an
anatomy textbook. Almost all of
this man’s leg muscles were exposed and could be seen very clearly. His left testicle had been torn
out of his scrotum as well. Don’t
worry, it was still alive and kicking, but had to be tucked back away into it’s
furry home and pexied into place. For those medical
people out there, his inguinal canal was completely exposed as was his
spermatic cord. It was truly an
amazing sight. You could put your finger right down into his broken pelvis through the floor of his inguinal canal.
We were able to re-approximate his skin and cover his entire
leg and groin. The skin flap was
too big though. Most of the small
blood vessels that supply the skin had been torn off, and the skin at the edges
were too far away from the feeding arteries to get enough blood to survive. I had to take him back and debride the
wound several days after his initial accident. Now he has a skin defect that is about 15x24
inches. We placed a vac dressing
on it, and will perform a split thickness skin graft using skin from his other
leg to cover the defect after his leg has a little more time to heal.
Don't worry, we were able to save the scrotum. I guess he's lucky after all, right?
All I see is a failure of the Throckmorton sign.
ReplyDeleteKeep up the amazing work, Casey.
xo,
Teddy
Definite negative Throckmorton. I hope you know that I've been teaching that over here. The specificity is only about 80% though. The clinically astute know it as the John Thomas sign here in South Africa.
DeleteMy father was diagnosed with ALS in the summer of 2013; His initial symptoms were quite noticeable. He first experienced weakness in his right arm and his speech and swallowing abilities were profoundly affected. We all did our best to seek help for this disease, no medications they prescribed worked ,we were all scared we might lose him due to his condition, as he had been his brother's caregiver a few years earlier for the same disease before he passed. doctor recommend natural treatment from multivitamincare .org for his ALS we have no choice to give a try on natural organic treatment ,this herbal cure has effectively reverse my father condition ,losing his balance which led to stumbling and falling stop after the completing the herbal supplement which include his weakness in his right arm and his speech, home remedies from multivitamincare .org is the best although their service is a little bit expensive but it worth it, they save lives.
Deletewell i can officially call myself a big ol weenie for even thinking about complaining about my skin graft now. that guy is by far both the luckiest and unluckiest sonova bitch ive ever heard of. that you can set aside the blood and guts factor and be amazed theat you can "put your finger right down into his broken pelvis through the floor of his inguinal canal." is simply amazing.
ReplyDeletei second your friend teddy's sentiments, ,keep up the amazing work Casey. Its not singing lead for hairy palmdale, but noble none-the-less.
be safe - rob
Dear Casey
ReplyDeleteI am in awe!
Are patients okay with you taking such photos of them and putting them on a blog?
ReplyDeleteI would not want pictures taken of me, especially for something like this, especially for the Internet to see, face or no face shown.
I can't believe the man was lying there so still. I can't imagine the pain.
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ReplyDeleteMy father was diagnosed with ALS in the summer of 2013; His initial symptoms were quite noticeable. He first experienced weakness in his right arm and his speech and swallowing abilities were profoundly affected. We all did our best to seek help for this disease, no medications they prescribed worked ,we were all scared we might lose him due to his condition, as he had been his brother's caregiver a few years earlier for the same disease before he passed. doctor recommend natural treatment from multivitamincare .org for his ALS we have no choice to give a try on natural organic treatment ,this herbal cure has effectively reverse my father condition ,losing his balance which led to stumbling and falling stop after the completing the herbal supplement which include his weakness in his right arm and his speech, home remedies from multivitamincare .org is the best although their service is a little bit expensive but it worth it, they save lives.
ReplyDelete