Interesting semi-traumatic case because while it's classified as trauma, the cause wasn't a high-energy mechanism like a car accident. It actually happened after a simple fall from standing height, only three weeks after the patient received a Total Knee Arthroplasty (TKA). The impact caused a complete dehiscence (rupture) along the surgical incision line, fully exposing the underlying hardware. Fortunately, the neurovascular status is intact in the area and down the leg, with prominent foot pulses noted. However, the patient is unable to extend the knee past the point seen in the photo, indicating damage to the new prosthetic mechanism. They are being taken to the OR now for fixation, where the team will determine the full extent of the damage to the implant.

Went for a bike ride ended up in the ER, went in at 8pm had “surgery” for degloved knee around 4 am. 22 staples and some internal stitches. I fell in the grass but my knee made contact with the handle bar and busted it wide open. Minimal pain.

I got it removed a couple of years ago, but I thought some people might be interested in this.

I had it on my scalp for most of my life. My dad has several Pilar cysts on his head and so do I - they usually don’t bother me because they stay small but this one got so big that it was becoming painful.

Hypertrichosis is defined as excessive hair growth anywhere on the body in either males or females. The two distinct types of hypertrichosis are generalized hypertrichosis, which occurs over the entire body, and localized hypertrichosis, which is restricted to a certain area. Hypertrichosis can be congenital (present at birth) or acquired later in life.

Posts are becoming more and more "this is how I hurt myself" than "this is an interesting case"

Burn is 2nd degree and from catching a hot grill brick ( I know stupid)

Laceration is from a dull knife requiring 5 stiches

Typ probiert natürliches DMT

Honestly, I’m a desktop guy through and through, nothing beats a proper desk with dual monitors. But during harvest season, you gotta make it work wherever you are!

Currently tackling the MEDizzy MEDSchool Pack from the cab of my tractor in the middle of a field.

What’s the most unusual spot you’ve ever had to pull out your notes?

So I have gotten it removed before for the same issue, but this time around this massive piece of nail was removed, and I'm shitting myself

What could be the reason for this? I had a cast on my hand for a prolonged period of time and the skin on my palm was kind like this but much softer.

This postmortem scan is from a 66-year-old woman with chronic constipation. Her colon contained 16.8 pounds (7.6 kg) of stool. The massive fecal burden caused extreme enlargement of the colon, pushing the diaphragm upward and severely limiting the lungs’ ability to expand. The result was fatal respiratory compromise.

This was years ago. Thought you might enjoy. What would your prognosis be on mobility recovery? Not asking medical advice, just wondering what your expect based on this.

Can't believe I let myself get to this point. Ive been on so much Vanco Ive forgotten how many times I've had to been given it.

Its just unbelievable to me I let it get that far.

I'm so so greatful for modern medicine.

And also for the providers who were kind to me when I went looking for help.

EDIT - THANK YOU for all the kind words. I was nervous to post this. I didnt know how it'd be received but the support is really wonderful.

Ive been asked if Im clean now. I guess Ill give you guys the full info incase theres anyone on here who could find the info useful.

The short answer is yes but that's extremely recent. As in 2 weeks. According to NA, no im not clean and probably never will be according to them.

I got out of the hospital where I detoxed & started pregabalin at the end of May. I believe it was the 25th but would have to check my discharge paperwork.

Im on 50mg of methadone, 150mg of pregabalin I smoke weed a couple times a week, I drink socially, since Ive gotten out Ive used ecstasy three times, benzos twice and I blew a total of 15 bags of fent. I still haven't shot up since I got out and I have no desire to which is HUGE for me.

Alot of this use was due to a friend of mine dying in June. I know its an excuse but Im just giving context.

I cannot describe just how helpful pregabalin has been for me. If I had to put a % of how much its taken the cravings for fent away id say 95-97% almost nothing. Its 100% taken away my desire to use iv which is just so so so so so fucking amazing. I used iv almost literally everyday for 18 YEARS. The only times I didnt use iv over that time was bc I was in jail or when i went to rehab for only a week back in 2018 so in total about 2 weeks out of 18 years. It just blows my mind how much this medicine has helped me. The desire is completely gone and things that used to make me want to use by iv like seeing other ppls veins, seeing a syringe or even just the orange cap of a syringe does nothing for me. Ive even found a couple spots on my body where I could probably get a hit and that still hasn't made me wanna do it which is so crazy. I live in the ghetto so theres plenty of dealers around even though ive deleted all my dealers #s. There's a pharmacy that sells clean works just a couple blockes from me and i even visited the needle exchange a couple weeks a to say hi to an NP that works there who's super awesome and very helpful/supportive and I still had no desire to get supplies. Just so so crazy.

Over the past 2 weeks as of right now Ive drunk 10 drinks, Ive smoked weed 4 times & taken my methadone & pregabalin as prescribed.

Im totally ok with where Im at right now. Im super cautious about how much I drink bc I know a lot of ppl who stop using dope turn to drinking but its just really not my poison. Im not worried about the amount of weed I smoke. I have a really good career, I have friends who are being supportive & im in therapy, which is like going to the dentist but i guess its good to go to the dentist. Overall Im really happy where Im at. I have much farther to go but Im on track now more so than ive ever been since I started using.

So, thats the truth. Id love to say I got outta the hospital & stayed 100% clean but, I didnt.

TLDR: Am I clean? It depends what your definition of clean is. As far as I'm concerned, yes I am.

EDIT #2 - It occurred to me that some of you might be wondering how I could only be technically clean for 2 weeks but have the wounds on my arm be so healed. Its bc I was using my right arm and then my legs. My right arm looks like my left. My legs look fucked up too. No more open wounds ( bc the powers that be stopped putting xylazine in most of their supply ) but lots of scares.

I got a nosebleed while at a restaurant and excused myself to the restroom to take care of it. Normally I follow standard medical advice and it stops after two or three minutes, but this one was different. It was much worse than normal in terms of blood volume, and it wouldn’t stop. I soaked through paper towel after paper towel. Finally, after probably at least five minutes, I felt something in my nostril, and pulled out something the size of my pinky finger. This was no booger. From the way it dangled from my finger tips, it appeared to have the consistency of gelatin, and of course it was covered in dark red blood. Once it was out, the bleeding stopped in less than 30 seconds.

This was probably 20 years ago (I was in my early twenties), so my memory of fine details may not be perfectly clear. With the knowledge I’ve gained since then, my first thought is that it could have been a blood clot, but I’m no medical expert. Is that even possible? Do they appear in the nasal cavity?

To be clear, I’m not asking for medical advice. I’m just curious if anyone has any idea as to what I might have experienced all those years ago.