Things ER docs learn from their patients

[giza]

If you have a giant cyst on your face that is scheduled for surgery, might as well just pop it anyway to save time. Of course, the resulting staph infection might be a bit of a problem...

If you are easily grossed out, do not watch this!

Watch on YouTube

Comments

[drzarron.livejournal.com]

Yeah.. there's brain power in action.

[shenryyr.livejournal.com]

the males in my paternal family get cysts all over, usually along the arms and chest.... I have a couple small ones on my forearm...

but I don't know of anyone who's tried to do anything like that...

s'abit nasty.

[baccala-30.livejournal.com]

That is gross but very funny. lol

[girtygrin.livejournal.com]

Wow... I was going to write up the correct way to remove something like that but its probebly just to see a doctor and not try to perform surgery on yourself.

[girtygrin.livejournal.com]

Besides I wouldnt be a qualified party to even take a stab at the correct meathod.

Just for the sake of us curious ones...

[coppercheetah.livejournal.com]

What is considered to be the correct way to remove this, other than discharging all the internal fluids and then thorough sanitation and antibiotics (to avoid said infection)?

Sure it's not some simple case of acne (whitehead, blackhead, pimple), but what changes when it gets significantly larger?

Re: Just for the sake of us curious ones...

[ionotter.livejournal.com]

I think the reason the guy got a staph infection is because the pimple was in the "facial triangle".

There's a triangle of blood vessels that go from the bridge of your nose and down along your cheekbones. There's a lot of them, and they're VERY close to the surface, and can be very easily damaged.

What happened is this guy probably ruptured one of those blood vessels and it carried some of the infected material to the other side of his face.

The other thing is that if you watch, he's got infectious materials ALL OVER his hands and face! That stuff is viciously dangerous, and he's just smearing it on his face like it was pudding or something.

Your average zit isn't that bad, but a boil like that is full of really nasty bacteria that will eagerly colonize anything they can get.

If he'd used proper surgical technique, he'd probably have been just fine. Scrubbing before with Betadine and using gloves, having someone CATCH the ejected material in some gauze, and wiping the area with disinfectant after each squeeze. Then irrigating the hole with 15% saline and keeping it covered with a drawing salve such as ichtammol.

If he'd done that, he'd probably have been fine. If he didn't rupture any blood vessels, that is.

As it was, he was lucky he didn't get meningitis.

Re: Just for the sake of us curious ones...

[girtygrin.livejournal.com]

Well thats pretty much the correct method. Puncture with a lancet to drain and fluid under pressure, use a scalpel to cut a small incision, remove any large pieces with tweezers then irrigate. Lots of antibiotics for a week or so including a topical would also be in order. I wouldn’t do that on my face myself but I've done more complex work on arm and a leg before.

Once again I can’t recommend doing any of this, its just what I’ve picked up working in health care establishments most of my professional life.

[wildw0lf.livejournal.com]

I guess that's what people get for doing it the DIY method if they really incyst upon it!