"She was on IV antibiotics for nearly a week with daily dressing changes in the hospital before leaving against medical advice and disappearing. We left the incisions opened and packed them with gauze. The only way to get rid of the infection was to fully remove the external substance. Afterwards, her buttocks looked like she had been attacked by a bear. We took her to the operating room, and because the external substance was so integrated into the tissue within and around the fat cells, we had to make multiple large incisions on both buttocks' fat. "When she came to the ER, she had a high fever and was draining pus on both buttocks, which were red, swollen, painful, and infected. The patient said that she was injected by someone in Miami who claimed to be a nurse, and who performed the procedure in their home. I believe by 'HydroGel,' she meant some sort of silicone-based product like silicone bathroom caulk. She had had some form of 'HydroGel' (she called it that) injected in large volume, approximately 2 liters (which is a very large quantity), one into each buttock. "In 2009, there was a patient presented to the emergency room in Rhode Island. Never trust a plastic surgeon from a hardware store Jerisa Berry, Board Certified in Emergency Medicine, co-owner of Vital Care Medical Center Removing it without assistance could cause further damage." - Dr. When there is a foreign body stuck anywhere on your body, it's important to leave it stuck until you seek medical attention.
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Because I used a little epinephrine, I was able to minimize the amount of bleeding after removal. "Coaching the patient through the process so he could relax, I numbed the area and had to create a bit of a wide incision around the entry of the fish hook, and rotate and wiggle it out. Fishers rip them off after they capture fish, but there was no way I could just rip it off his scalp. They have a circular curve with a barb and gap, which causes them to do real damage on what should be fish (not humans). The difficulty with fish hooks is their rigged shape. "But once I removed it, I needed to prepare for the amount of blood that would be released. As an ER doctor, the first thing I think of is how the scalp can bleed very easily and profusely and thankfully, the hook was controlling the bleeding where it was stuck. His fish hook didn't grab any fish in Lake Michigan this day, but instead decided to grab a big piece of his scalp! He came into the ER with a big fish hook lodged in the right side of his head. "Thankfully, a patient had a sense of humor when things go wrong while fishing.
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Jerisa Berry, Board Certified in Emergency Medicine, co-owner of Vital Care Medical Center Moral of the story: Don't put anything into your body out of your reach that you can't retrieve back easily." - Dr. I had to ask him before discharge, 'Did you light the candle before sticking it up your butt or no?' He just laughed to try and console himself through the pain. Ultimately, he had to go to surgery immediately so the surgeon could carefully dilate his rectum and get the candle out. The patient had stuck it far up and had no way to retrieve it! He felt stupid. But sure enough, the X-ray showed that it was a round candle that was still in the glass container! It was one of those standard 3-4in round candles in containers that most convenience stores sell. There was nothing I could see by just examining his buttocks. "But we knew the first thing we had to do was take a look at his bottom and get an X-ray, because most X-rays will reveal foreign bodies. There's not a single shift I work where I am not asking myself, 'How in the world did they do that?' This day was no different when a male patient walked in with his wife and said, 'It's stuck! It's stuck!' The nurse and I asked him, 'What's stuck, sir?' He replied, 'I put a candle in my butthole and can't get it out!' All sorts of things were running through our minds, and we were hoping the candle was a votive kind, not the ones still with glass containers. "As an ER doctor, we see a lot all the time.