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Pete Zicato 10-14-2013 05:16 PM

Ortho. You sounded all Mothery until the PS. That sounded painful and scary.

orthodoc 10-14-2013 05:28 PM

Quote:

Originally Posted by Pete Zicato (Post 880235)
Ortho. You sounded all Mothery until the PS. That sounded painful and scary.

It's a failing of us female docs. :o

Trephinating a hematoma scares patients, but it actually doesn't hurt at all. The trick is to hold the finger (or thumb) against a firm surface to minimize movement, hold your hand so that the patient can't see the cautery end of the trephinator (which is glowing), and tap very lightly in the center of the hematoma. It takes only one or two gentle taps and the hematoma releases. You don't touch the nail bed (that would be painful), you just go through the nail, which has no nerve endings. People get tremendous relief with it. You have to do it within 12-24 hours, though, or the hematoma starts to clot down and it doesn't help.

BigV 10-14-2013 06:10 PM

pop it.

you already have a beater with a sharp end, and you've bracketed the target perfectly. come on, it can't hurt any worse, right?

I'm just seconding orthodoc's opinion. trepanation...lol/ouch

Gravdigr 10-15-2013 04:29 PM

Quote:

Originally Posted by orthodoc (Post 880231)
*using a small cauterizing tool to relieve the pressure of a hematoma under a fingernail.

Or a rusty pocket knife with a clip point blade...

orthodoc 10-15-2013 04:59 PM

... if you want a big old infection, sure ...

Gravdigr 10-15-2013 05:04 PM

Ain't nuthin' wrong wit mah fumbs.

Germs are highly overrated.

busterb 10-16-2013 09:16 AM

1 Attachment(s)
At work, we used cutting tip cleaners to punch a hole in the nail. Just heat it up and punch Oh the joy.

footfootfoot 10-16-2013 12:28 PM

Thumbellino
 
2 Attachment(s)
Didn't trephinate the nail, I've done the paper clip thing before but the blood under the nail didn't seem to be that plentiful.

I did slit the cuticle and that bled like mad and this morning was weeping blood tinged lymph.

Someone actually asked me why I hit my thumb with a hammer. With a straight face I told them my thumb owed me money.

"How can your thumb owe you money?"

I guess someone must have hit her on the head with a hammer. Attachment 45694Attachment 45695

glatt 10-16-2013 12:30 PM

That looks remarkably better after just two days. How's it feeling compared to before?

footfootfoot 10-16-2013 01:09 PM

Much better, I'm surprised at how fast it's improving. I can bend it and touch it. I can't shuffle cards though and I've had to cancel all my hand modeling engagements.

xoxoxoBruce 10-16-2013 01:13 PM

It's trying hard to get better because it's jealous of your other hand getting all the action.

orthodoc 10-16-2013 04:15 PM

Ahhh .... hard to follow that one, Bruce. Everything is anticlimactic.

It looks fantastic, foot. For two days out, I mean. Although it's a generally fantastic-looking thumb. ;)

Gravdigr 10-16-2013 04:22 PM

Quote:

Originally Posted by footfootfoot (Post 880438)
I guess someone must have hit her on the head with a hammer.

Or, someone needs to.

BigV 10-16-2013 08:06 PM

Quote:

Originally Posted by orthodoc (Post 880478)
Ahhh .... hard to follow that one, Bruce. Everything is anteclimactic.
--snip

that's why they call it a climax, eh?

footfootfoot 10-17-2013 11:32 AM

Quote:

Originally Posted by BigV (Post 880495)
that's why they call it a climax, eh?

And then the nun fainted.


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