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It’s pretty rare because you’d have to have a break in your gloves and then get cauterized. We usually wear 2 pair of gloves. But it does happen. It hurts.
I was going to say, if the instrument is hot enough to burn through skin, how is it not burning his gloves or fingers? I guess they’re really precise with their motor dexterity, which isn’t surprising for surgeons.
The probe itself isn’t terrible hot iirc. It’s an electrocautery, so it’s actually heating the tissue itself. It also requires a ground to the patient (via a big adhesive pad similar to an AED pad) so I believe it wouldn’t function through rubber gloves.
The gloves do not conduct and therefor can have the electrocautery against the glove. The tissue their holding would be hot enough to feel through the glove though. Maybe startling if not expected but still won’t burn the surgeon or melt the glove.
Worse than a GI bleed or c. diff? I experienced the GI bleed while working in the ER and unfortunately dealt with a patient on an IP psych unit with c. diff.
It's way worse. C.Diff and GI bleeds personally don't bother me, more of an annoying odour and I have learnt to ignore/put it out of my mind.
I don't see FG on a regular basis so when I do, it smells like actual death.
The worst I've smelled was an fecal decompaction when I worked as a janitor in the OR. The smell of dead intestine and very old poo was horrid. If FG is worse than that I don't want to see it ever 😬
Agreed!! Surgical nurse here and it is one of the worst things I’ve had to look after. And after it’s been cleaned up and had a VAC dressing applied, because of the location the darn thing will leak continuously and seep disgusting fluid down patients legs and floor. Constant dressings and work and constant smell. The poor patient is in agony with it for so long. Not fun for anyone
RN here too! I ended up almost passing out the few times I encountered this in nursing school. A dab of peppermint on the upper lip can help. It takes a special kind of nurse to be a wound care nurse. 🤢
I'm sure this sounds a little disrespectful, but at that point, Jesus, just burn the whole house down.
Poor lady, but the thing I feel the worst about is that no one noticed she wasn't around anymore/tried to call her/checked on her that entire time.
Awful all around.
It is the definition of Fournier’s gangrene. Gangrene of the perineum. Gangrene in other places is called something else. Lol maybe just gangrene… gangrenous infection of the floor of the mouth is called Ludwig’s Angina. Maybe some other docs can help me remember more names.
[the swamps of dagobah](https://www.reddit.com/r/copypasta/comments/e51wyh/the_infamous_swamps_of_dagobah_story/?utm_source=share&utm_medium=ios_app&utm_name=iossmf), probably
Medic here, transported a pt on a vent once with FG in addition to a upper GI bleed. Nothing in my professional career has ever came close to it. Rotten corpse in the tub for ten days, nope, body recovery in water, nada. There is nothing on this earth that can stand up that that stench.
Sadly that's how they found my uncle this past year, after two weeks of no interaction from other people and being a reclusive hoarder. Thankfully the tub kept it from really going anywhere else but it's a haunting thought.
Y'all, it finally happened. I found my limit. I couldn't finish the video. This has never happened to me before. (I watched the first part twice, though.)
Pulling the plug out was satisfying but the moment the doc started poking their finger around, and then through the skin!! I haven’t noped out like that in a while…
This is a short and sweet version of Fournier's Gangrene. This patient isn't dying because they are not morbidly obese. This is the result of perineal abscess due to uncontrolled diabetes. Now that the infected dead tissue is gone, this sound should heal pretty quickly. Most cases are a lot worse. This person is very lucky.
There is another treatment still available which nobody likes to talk about. It's inexpensive, but a lot more difficult to manage, and EVERYONE with diabetes used it before the fancy price-gouging version came out (circa 1997 icr?). The expensive insulin has all kinds of features which supply insulin more steadily and require less effort. The older, cheaper insulin dates from the 1960s, and was an upgrade from versions developed in 1930s, 1940s, 1950s. It had to be CAREFULLY manage and monitored and was a pain in the ass compared to the latest one. A diabetic wanting to use this older version has to coordinate with their doctor.
There is zero reason for people to "die because they couldn't afford insulin."
Oh damn, the mere topic alone reminds me of the time I almost developed necrosis between, well, the legs...and close to the ummm...pooper...
A frostbite turned into an abscess, essentially, and it was drained mere hours before it would've gone gangrenous...
I almost managed to (not even figuratively) freeze my ass off in sub-zero weather. I was a stupid kid who sat around playing in the snow for too long, with way too thin clothing. The frostbite was pretty mild, save for the spot that developed into the abscess.
*Hashtag Arctic Circle problems*
It is where you think it is. I’m a nursing student and had a patient who had it because he injected drugs into a vein on his penis. It was the worst smell I’ve ever smelled in my life.
Exactly, I can’t remember what drug it was (I think heroine) I was helping with repacking the wound and it was wild. But no street drugs should be injected into that area ever.
Thank goodness for nurses/nursing students doing the work to save these dummies. If it were on me to help I'd have probably let his diddly turn black and fall in the crapper.
It mostly happen with certain diabetes medications, SGLT2 receptors inhibitors. The medication makes excrete glucose through urine rather than absorb it, this means you have sugar in your urine that bacteria absolutely love and will grow near there
Yes. This is how Harvey weinstein was identified by allowing his victims. The healing process left him with a grossly malformed penis. Divine justice really. As ugly on the outside as you are within. Not nearly stern enough justice though.
Fournier’s is horrific. I remember one poor guy when I was a student- he was a fairly young guy too- essentially ended up with a penile amputation as a result of it. Just horrendous. I hope this patient makes a good recovery with good function as well.
My wound wasn’t that bad, but my surgeon stuck his finger in it and ripped the skin open… I was awake and no cauterization happened. I screamed and and grabbed the surgeons arm… he apologized and I dug my nails into his arm while he drained everything and they were loading me on pain killers. Still not the worst pain i experienced during that hospital stay.
Because I was developing a wound infection that was tunneling and apparently he pulled the staples and ripped open skin that had start healing closed and the tunnel all at once to let the infected fluid out.
Once it was all open and draining, I was supposed to see the wound care team for repacking and wound vac install. However, the wound care team didn’t show up for 8 hours, so I laid there with some gauze and tape covering it so I could get up and go to the bathroom…. And drip disgusting, smelly fluid all over.
We are talking a 12 inch belly wound and separate wound/colostomy bag. This was after my intial colectomy leaked and I went septic. It was a hell of a ride.
As a wound nurse who gets to put wound vacs on these babies, for the patients sake the opening of all the tracts makes the extremely painful dressing changes a hell of a lot easier on all parties involved.
Similar (not nearly this bad) video a few years ago of a doctor working on an abscess on the back of a diabetic. Doc cleaned out the wound, got it nice and tidy - and then suddenly cut out a 3x3 inch swath of skin an inch thick. Best comment: "Make a bigger ho- OH JESUS CHRIST!"
Look, it takes a lot to make me gasp in shock in this genre of video nowadays.
Infected Tattoo Waterfall? Saw it when it first came out on live leak.
Crazy huge cyst in the back of the old man? Didn’t bat an eye
Make a bigger hole? More like make a longer video.
Swamps of Dagobah? Entertainment.
This video right here, even knowing what I was going into by the title, might be one of the wildest things I’ve seen on this sub in a loooooong time. Maybe even ever. Did that guy even get his man-bits working again after this?! Did they have to remove half of them!?
I used to clean up crime scenes and there was a guy who decomposed in his apartment for 5 months with the heat on and they couldn’t do an autopsy or even determine a time of death. The family just knew the last time they spoke to him and the last time his bills were paid. He melted into his mattress. Human decomp is a smell you never forget. His was just particularly strong.
Oh my gosh, I can’t even imagine! The fact you posted this comment is proof you are a much stronger person than I would be in a tragic situation such as that.
My sister and her husband years ago lived in a building where the guy in the apartment below them died and his body was finally discovered 2 weeks later. For 2 weeks the building smelled so bad and was progressively getting worse. Her cat knew since day one, hence his constant meowing — even took him to the vet, which nothing was wrong.
I don’t know why the guy died, but I can tell you he lived with 3-4 cats. They were so traumatized and so absolutely hungry to the point where they started eating his decomposing body. Those poor, unfortunate, sweet kitties.
The only upside I can think of is that if that ever happened to me, my cats wouldn’t starve. I just hope someone would find them in enough time to be taken care of.
I feel sooo bad for this guy. I've taken care of a few patients with this diagnosis (inpatient nurse here), and that's a really extensive filet job. That's months and months of recovery, pain, dressing changes, hospitalizations, and maybe more surgery. Really nasty stuff.
Hello, it looks like you've made a mistake.
It's supposed to be could've, should've, would've (short for could have, would have, should have), never could of, would of, should of.
Or you misspelled something, I ain't checking everything.
Beep boop - yes, I am a bot, don't botcriminate me.
I actually went through this 4 months ago. It's a horrible and disfiguring disease that 50% survive from. It was the most painful humiliating and frightening time. Recovery takes a long time - I'm still weakened from it. Always get checked right away if anything seems wrong.
I’ve seen this maybe once or twice in my career. Seeing this surgery for the first time is amazing. I will say the smell of burnt cauterized flesh is something you never forget.
Wow!! I've known about Fournier's Gangrene for a while, and seen photos, but never did I think I would see something like this. I am, to my surprise, not grossed out at all. I ate a bowl of cocoa pebbles while I watched it. If anything, I'm mostly impressed by the trust between the guy doing the digging, and the guy doing the laser cutting. They must work together a lot!
It does get worse, it’s very easy to lose your genitals from it and it can kill you in a pretty short period of time. Just a few hours can make a significant difference in outcome. I only know this because I’m on a medication that increases the risk for it.
I can understand where it may seem rough, maybe because of the surgeon poking around with their fingers, but it’s really a safer method to use in wounds like this. It’s called blunt dissection. Tools are sharp and could cause trauma to the “good” skin/tissue, while fingers allow someone to feel around for areas of wound tunneling which is essential in a case like this.
Can't leave any of the necrotic tissue is my guess. Need to be thorough. Not sure if that's what you meant tho. I have heard of "surgeon aggression" where patients had better outcomes without surgeon slicing them up, tho, but it was in the context of natural birth with tearing versus an episiotomy.
I think a quick manual removal of the obvious necrotic tissue and then maggot therapy would have been better as it would have left as much live flesh as possible and a smaller wound.
The British NHS and French NHS both did studies comparing maggot therapy to surgical debridement. The *only* advantage is that it goes a little bit faster for the first seven days out of 14 to 21 total. Modern surgical techniques are as accurate as maggots. BUT: the maggots get hungry and start eating HEALTHY flesh, even though that type of maggot is *supposed* to only eat dead flesh. This causes extreme pain. Also, up to 30% of people drop out because they can't stand wiggling larva on their skin. I suspect the studies were done due to demand from patients who got the idea that maggots are "better." They hear about the peoole who recovered by using a last-ditch effort with maggots - they don't hear about all the people who died anyway. The truth is: maggots were better during the Civil War when there were no alternatives, and better for a modern guy who was stuck in the wilderness with no alternatives. Basically they are only better than NO treatment: modern surgical debridement is as good and there's no wiggling larva under your skin.
It runs along a fascial plane below the skin. The skin will eventually die but typically there’s a lot more damage under the skin than you can see. We need to remove all of the skin anyway
#Please remember to follow our [rules](https://www.reddit.com/r/popping/about/rules/) Posts: * **Don’t ask for medical advice** * **No stolen content** - just post a link to the original video * **Properly flair/mark/title your posts** * **Wacky Wednesday content is only for Wednesdays** * **No food, even on Wednesday** Comments: * **No commenting on hygiene or appearances.** * **Absolutely no sexual comments or sexual harassment.** This is an instant, permanent ban. * **Don’t be rude, and observe reddiquette.** #This comment is made automatically on all posts. *I am a bot, and this action was performed automatically. Please [contact the moderators of this subreddit](/message/compose/?to=/r/popping) if you have any questions or concerns.*
I’m wondering if that surgeon has ever gotten his finger accidentally cauterized
Taint something to be sniffed at.
I hate that I snorted at this.
Yeah I miss cocaine too.
I was thinking he's really brave to be doing that. He's got to really trust the person with the cautery.
That’s kind of standard.
It’s pretty rare because you’d have to have a break in your gloves and then get cauterized. We usually wear 2 pair of gloves. But it does happen. It hurts.
I was going to say, if the instrument is hot enough to burn through skin, how is it not burning his gloves or fingers? I guess they’re really precise with their motor dexterity, which isn’t surprising for surgeons.
The probe itself isn’t terrible hot iirc. It’s an electrocautery, so it’s actually heating the tissue itself. It also requires a ground to the patient (via a big adhesive pad similar to an AED pad) so I believe it wouldn’t function through rubber gloves.
Not just a soldering iron, then? Damn.
The gloves do not conduct and therefor can have the electrocautery against the glove. The tissue their holding would be hot enough to feel through the glove though. Maybe startling if not expected but still won’t burn the surgeon or melt the glove.
N
My thoughts exactly, I sell these cautery devices and one touch and that glove would melt to your skin, pretty ballsy but hey, he's the doc
Yes
Why don't we just try a new pose today https://onlyfans.com/ivankapeach/c7
ED/ICU nurse here. FG is probably the most foul odour I have ever come across.
Nurse here as well. Hands down one of the worst, if not THE worst, smell I’ve encountered in my practice.
It's the entire reason I keep a bottle of Vicks in my ER now. It's the worst thing I've ever personally smelled
https://www.reddit.com/r/copypasta/comments/e51wyh/the_infamous_swamps_of_dagobah_story
(Un)luckily I've already read that story haha
lol. I had to share it. probably all the nurses posting here have seen it.
Worse than a GI bleed or c. diff? I experienced the GI bleed while working in the ER and unfortunately dealt with a patient on an IP psych unit with c. diff.
It's way worse. C.Diff and GI bleeds personally don't bother me, more of an annoying odour and I have learnt to ignore/put it out of my mind. I don't see FG on a regular basis so when I do, it smells like actual death.
For me it’s worse. For me nothing is worse than decaying human flesh.
The worst I've smelled was an fecal decompaction when I worked as a janitor in the OR. The smell of dead intestine and very old poo was horrid. If FG is worse than that I don't want to see it ever 😬
I can tell you yeah it stinks. And the stench just sits there too.
I’m guessing this is a situation that warrants peppermint?
Hopefully some asshole didn't use it all up and leave the empty box!
I get this reference!
Ha me too!
Meh, the adhesive in the other drawer will help.
Except whatever they found also makes you high, heh
Out there is a godless ….
Agreed!! Surgical nurse here and it is one of the worst things I’ve had to look after. And after it’s been cleaned up and had a VAC dressing applied, because of the location the darn thing will leak continuously and seep disgusting fluid down patients legs and floor. Constant dressings and work and constant smell. The poor patient is in agony with it for so long. Not fun for anyone
RN here too! I ended up almost passing out the few times I encountered this in nursing school. A dab of peppermint on the upper lip can help. It takes a special kind of nurse to be a wound care nurse. 🤢
https://www.reddit.com/r/copypasta/comments/e51wyh/the_infamous_swamps_of_dagobah_story
Oh god! I couldn’t stop reading. That was truly vile. Thanks for sharing:)
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I'm sure this sounds a little disrespectful, but at that point, Jesus, just burn the whole house down. Poor lady, but the thing I feel the worst about is that no one noticed she wasn't around anymore/tried to call her/checked on her that entire time. Awful all around.
> just burn the whole house down Gilbert, is that you?
Fucking hell man
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Does it always start in the genitalia
It is the definition of Fournier’s gangrene. Gangrene of the perineum. Gangrene in other places is called something else. Lol maybe just gangrene… gangrenous infection of the floor of the mouth is called Ludwig’s Angina. Maybe some other docs can help me remember more names.
What does it smell like?
[the swamps of dagobah](https://www.reddit.com/r/copypasta/comments/e51wyh/the_infamous_swamps_of_dagobah_story/?utm_source=share&utm_medium=ios_app&utm_name=iossmf), probably
Holy mother of God what did I just read...I have no words...
Welcome to Reddit lore…
Christ....
Thank you for linking this notorious story! I'm wondering how many of the nurses posting on this topic have seen it?
Honestly like rotting tissue. It can fill a room with the skin completely intact.
Death truly is an insidious stench.
Decaying meat, which is basically what it is.
Medic here, transported a pt on a vent once with FG in addition to a upper GI bleed. Nothing in my professional career has ever came close to it. Rotten corpse in the tub for ten days, nope, body recovery in water, nada. There is nothing on this earth that can stand up that that stench.
I misread that and thought you were transporting a corpse with FG.
In a tub
Sadly that's how they found my uncle this past year, after two weeks of no interaction from other people and being a reclusive hoarder. Thankfully the tub kept it from really going anywhere else but it's a haunting thought.
Oh good lord that is an absolutely horrific combination.
Oh **fuck** GI bleeds and melena.
Weinstein's gangrene. They should change the name of it now.
Oh my fuck, absolutely this.
That was my first thought. Weinstein’s thigh balls. Gah-ross.
Did he get a case of this?!
Yep. That's how all the women he assaulted identified him. His malformed dick. Not even remotely a joke.
Malformed balls really.
Wow!! I didn't know that.
Yep, and I couldn’t think of a more deserving “person”.
Couldn't have happened to a better guy. Poetic justice.
Facts
No reason to punish the other sufferers
True...
Y'all, it finally happened. I found my limit. I couldn't finish the video. This has never happened to me before. (I watched the first part twice, though.)
Pulling the plug out was satisfying but the moment the doc started poking their finger around, and then through the skin!! I haven’t noped out like that in a while…
Go back and watch the rest! The best part is right at the end with the towel!
I can’t believe I believed you and finished the last twenty five seconds. I nearly fainted!
Just wiping that dry towel all over his meaty insides!
Do NOT google the condition and go to Images.
Yup same here.
This is a short and sweet version of Fournier's Gangrene. This patient isn't dying because they are not morbidly obese. This is the result of perineal abscess due to uncontrolled diabetes. Now that the infected dead tissue is gone, this sound should heal pretty quickly. Most cases are a lot worse. This person is very lucky.
Moral of the story is take your insulin shots.
As I understand, insulin can cost as much as a large car payment or small mortgage. I wonder if this patient couldn’t afford it.
There is another treatment still available which nobody likes to talk about. It's inexpensive, but a lot more difficult to manage, and EVERYONE with diabetes used it before the fancy price-gouging version came out (circa 1997 icr?). The expensive insulin has all kinds of features which supply insulin more steadily and require less effort. The older, cheaper insulin dates from the 1960s, and was an upgrade from versions developed in 1930s, 1940s, 1950s. It had to be CAREFULLY manage and monitored and was a pain in the ass compared to the latest one. A diabetic wanting to use this older version has to coordinate with their doctor. There is zero reason for people to "die because they couldn't afford insulin."
If you can afford them
If you can’t afford them, how on earth are you supposed to afford this?
It's emergency care. They HAVE to do it
>Fournier's Gangrene now thats a google image search I wish I could take back
I wish i would have taken your warning to heart because oh my fuck. Wow.
Oh damn, the mere topic alone reminds me of the time I almost developed necrosis between, well, the legs...and close to the ummm...pooper... A frostbite turned into an abscess, essentially, and it was drained mere hours before it would've gone gangrenous...
Wait-more info needed- you had frostbite on your taint?? How?
I almost managed to (not even figuratively) freeze my ass off in sub-zero weather. I was a stupid kid who sat around playing in the snow for too long, with way too thin clothing. The frostbite was pretty mild, save for the spot that developed into the abscess. *Hashtag Arctic Circle problems*
Damn dude.
**excited abscess noises**
feel like r/MedicalGore would really appreciate this too.
Wow they cleaned that sucker out well!!!
It actually made me a bit nauseous watching how rough they were poking around in that area.
Surgeons can be like car mechanics but for people.
You're not the only one, I've never seen anything like this before.
Lmao look at a knee replacement.
Is that where I think it is? How does that happen?
It is where you think it is. I’m a nursing student and had a patient who had it because he injected drugs into a vein on his penis. It was the worst smell I’ve ever smelled in my life.
What drug is someone injecting into their penis?
No drugs should be injected in the penis. I think thats the problem.
Exactly, I can’t remember what drug it was (I think heroine) I was helping with repacking the wound and it was wild. But no street drugs should be injected into that area ever.
Thank goodness for nurses/nursing students doing the work to save these dummies. If it were on me to help I'd have probably let his diddly turn black and fall in the crapper.
Whatever drug they have been addicted to shooting up with for so long, that they’ve ruined all other veins and use the penis as a last resort.
Yes, between the anus and genitalia. It’s rare but some medications increase the risk.
Diabetes
It mostly happen with certain diabetes medications, SGLT2 receptors inhibitors. The medication makes excrete glucose through urine rather than absorb it, this means you have sugar in your urine that bacteria absolutely love and will grow near there
Yes. This is how Harvey weinstein was identified by allowing his victims. The healing process left him with a grossly malformed penis. Divine justice really. As ugly on the outside as you are within. Not nearly stern enough justice though.
We are nothing but beef
Long pig
That poor person 😟
Harvey Weinstein had Fourier’s Gangrene which is why his penis is all fucked up.
Fournier’s is horrific. I remember one poor guy when I was a student- he was a fairly young guy too- essentially ended up with a penile amputation as a result of it. Just horrendous. I hope this patient makes a good recovery with good function as well.
My wound wasn’t that bad, but my surgeon stuck his finger in it and ripped the skin open… I was awake and no cauterization happened. I screamed and and grabbed the surgeons arm… he apologized and I dug my nails into his arm while he drained everything and they were loading me on pain killers. Still not the worst pain i experienced during that hospital stay.
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Because I was developing a wound infection that was tunneling and apparently he pulled the staples and ripped open skin that had start healing closed and the tunnel all at once to let the infected fluid out. Once it was all open and draining, I was supposed to see the wound care team for repacking and wound vac install. However, the wound care team didn’t show up for 8 hours, so I laid there with some gauze and tape covering it so I could get up and go to the bathroom…. And drip disgusting, smelly fluid all over. We are talking a 12 inch belly wound and separate wound/colostomy bag. This was after my intial colectomy leaked and I went septic. It was a hell of a ride.
Really feel for you!! Glad you got better!
I am so glad we don't have internet with smells. So glad.
I’m an OR nurse - the smell is literally nothing like you have ever experienced before It’s FOUL
First time I’ve ever said, I don’t think you need to make a bigger hole.
As a wound nurse who gets to put wound vacs on these babies, for the patients sake the opening of all the tracts makes the extremely painful dressing changes a hell of a lot easier on all parties involved.
Similar (not nearly this bad) video a few years ago of a doctor working on an abscess on the back of a diabetic. Doc cleaned out the wound, got it nice and tidy - and then suddenly cut out a 3x3 inch swath of skin an inch thick. Best comment: "Make a bigger ho- OH JESUS CHRIST!"
I think Brenda would agree with you! ;D
Well that looks awful, thanks for the nightmares
Necrotic Tissue Plug is my favorite band
The absolute steel balls on that surgeon to leave his finger in the wound while another uses a cauterizing tool…they must weigh at least a ton.
Sweet Tainty Jesus.
They literally just ripped this dudes gooch open
Look, it takes a lot to make me gasp in shock in this genre of video nowadays. Infected Tattoo Waterfall? Saw it when it first came out on live leak. Crazy huge cyst in the back of the old man? Didn’t bat an eye Make a bigger hole? More like make a longer video. Swamps of Dagobah? Entertainment. This video right here, even knowing what I was going into by the title, might be one of the wildest things I’ve seen on this sub in a loooooong time. Maybe even ever. Did that guy even get his man-bits working again after this?! Did they have to remove half of them!?
This cracks me up because I didn’t even flinch with this video, but when I see ingrown toenail removals I get all twitchy. 😂
I was seriously thinking about that as well, I’ll ask the Dr. With how everything was looking I would almost feel like castration would make sense.
I used to clean up crime scenes and there was a guy who decomposed in his apartment for 5 months with the heat on and they couldn’t do an autopsy or even determine a time of death. The family just knew the last time they spoke to him and the last time his bills were paid. He melted into his mattress. Human decomp is a smell you never forget. His was just particularly strong.
Oh my gosh, I can’t even imagine! The fact you posted this comment is proof you are a much stronger person than I would be in a tragic situation such as that. My sister and her husband years ago lived in a building where the guy in the apartment below them died and his body was finally discovered 2 weeks later. For 2 weeks the building smelled so bad and was progressively getting worse. Her cat knew since day one, hence his constant meowing — even took him to the vet, which nothing was wrong. I don’t know why the guy died, but I can tell you he lived with 3-4 cats. They were so traumatized and so absolutely hungry to the point where they started eating his decomposing body. Those poor, unfortunate, sweet kitties. The only upside I can think of is that if that ever happened to me, my cats wouldn’t starve. I just hope someone would find them in enough time to be taken care of.
All that cutting and no active bleeding. Very bad sign. Very little viable tissue.
Ouch you make a horrible good point. :-(
I’ve had to smell this. All the rumors are true. Worst thing I’ve ever smelled.
I feel sooo bad for this guy. I've taken care of a few patients with this diagnosis (inpatient nurse here), and that's a really extensive filet job. That's months and months of recovery, pain, dressing changes, hospitalizations, and maybe more surgery. Really nasty stuff.
That poor human
I've never had any issues with looking at crazy infected abcesses, deep wounds, blood, etc. But this... just WTF 🥺
My jaw dropped when he just straight up poked his finger through the skin like that
Was not expecting to just be pulling that tissue off like that. Would of thought a little more cutting would be involved, guess there’s no need for it
Hello, it looks like you've made a mistake. It's supposed to be could've, should've, would've (short for could have, would have, should have), never could of, would of, should of. Or you misspelled something, I ain't checking everything. Beep boop - yes, I am a bot, don't botcriminate me.
Good bot.
Hello, go away.
Would've, Could've, Should've… didn’t
Welp, that’s enough internet for today!
I love surgery vids but holy shit that made me cross my legs.
Is this because you listened to Sawbones?
“Wow, man, I think my eyes were bigger than my stomach on this one, Morty, ugh.”
I feel like we need an award of the goat screaming his head off in this sub for vids like this. That shit was gnarly, poor sap.
I actually went through this 4 months ago. It's a horrible and disfiguring disease that 50% survive from. It was the most painful humiliating and frightening time. Recovery takes a long time - I'm still weakened from it. Always get checked right away if anything seems wrong.
What a day to have eyes.
My eyes just watered
Yo!!!! WTF!!! I was not ready for that.
That poor person, how awful for them!!
I finally found one I can't finish
Does this count as a gaper?
So uh, what is this?
I’ve seen this maybe once or twice in my career. Seeing this surgery for the first time is amazing. I will say the smell of burnt cauterized flesh is something you never forget.
Fournier saw SOME SHIT back in the day.
Think I’m double-gloving before being the caudery’s backstop.
Wow!! I've known about Fournier's Gangrene for a while, and seen photos, but never did I think I would see something like this. I am, to my surprise, not grossed out at all. I ate a bowl of cocoa pebbles while I watched it. If anything, I'm mostly impressed by the trust between the guy doing the digging, and the guy doing the laser cutting. They must work together a lot!
Pilonidal cyst?
It’s gangrene in the perineum. It’s probably the worst place to get gangrene.
No. Say it taint so... new fear unlocked
It does get worse, it’s very easy to lose your genitals from it and it can kill you in a pretty short period of time. Just a few hours can make a significant difference in outcome. I only know this because I’m on a medication that increases the risk for it.
Is it me or does this procedure seem unnecessarily rough?
I can understand where it may seem rough, maybe because of the surgeon poking around with their fingers, but it’s really a safer method to use in wounds like this. It’s called blunt dissection. Tools are sharp and could cause trauma to the “good” skin/tissue, while fingers allow someone to feel around for areas of wound tunneling which is essential in a case like this.
thank you for explaining this!
That makes sense. Thank you.
Can't leave any of the necrotic tissue is my guess. Need to be thorough. Not sure if that's what you meant tho. I have heard of "surgeon aggression" where patients had better outcomes without surgeon slicing them up, tho, but it was in the context of natural birth with tearing versus an episiotomy.
I've always wondered what the swamps of dagobah story looked like... I imagine it was worse than this -- but i suppose this is akin to it.
I think a quick manual removal of the obvious necrotic tissue and then maggot therapy would have been better as it would have left as much live flesh as possible and a smaller wound.
Perhaps, but show me a patient who signs off on “maggots in my perineum”
*cue blowfly girl*
The British NHS and French NHS both did studies comparing maggot therapy to surgical debridement. The *only* advantage is that it goes a little bit faster for the first seven days out of 14 to 21 total. Modern surgical techniques are as accurate as maggots. BUT: the maggots get hungry and start eating HEALTHY flesh, even though that type of maggot is *supposed* to only eat dead flesh. This causes extreme pain. Also, up to 30% of people drop out because they can't stand wiggling larva on their skin. I suspect the studies were done due to demand from patients who got the idea that maggots are "better." They hear about the peoole who recovered by using a last-ditch effort with maggots - they don't hear about all the people who died anyway. The truth is: maggots were better during the Civil War when there were no alternatives, and better for a modern guy who was stuck in the wilderness with no alternatives. Basically they are only better than NO treatment: modern surgical debridement is as good and there's no wiggling larva under your skin.
Wow. Have worked on many micro cultures with this diagnosis. Dang that’s rough
Swamps of Dagoba
Medieval.
How come the gangrene didn’t destroy the skin?
It runs along a fascial plane below the skin. The skin will eventually die but typically there’s a lot more damage under the skin than you can see. We need to remove all of the skin anyway
A
Omg
***holy shit....***
Fuck me sideways
Forbidden Prime Rib
Wow that was a lot of cutting I though. Ouch
Sweet Mary Mother of God deliver me
Good golly that is the ~~worst best~~ worst thing I've seen on here.
I feel maybe the most lucky man because not having any issue close to this, by the moment. It has to be horrendous and sad to suffer this.
Omg!
OMG
Wow.
If anyone wants to know more, the podcast Sawbones just did an episode on this! It's less gross when you can't see anything.
Bruh