I did a genital exam (to include palpation of the perineum) and a DRE on a 65 year old man with a hat that said, "certified grandpa" today.
The presenting problem was that he had a piece of a penicl stuck in his urethra. This was causing him to have pain with urnination, frequency, and discolored urine...also hematuria.
When we asked him why he had a pencil stuck in his urethra he said, "Because I wanted to pound." When asked what that meant he said, "You know...." and made a fist and moved it back and forth in front of his genital area.
👍
Evidently he'd done this before, and the pencil hadn't broken. This time he wasn't so lucky.
The external palpation of his perineum revealed a hard substance in the prostatic urethra. The DRE revealed similar findings...
This gives a whole new spin to the statement, "Don't put that pencil in your mouth...you have no clue where it's been!"
😛
I also did a followup on a pregnant 19 year old with a stone who was married to Kevin Federline. He asked if I wanted to buy an 8 ball during the visit.
Kevin also got my sister pregnant. He's good.
In additional news: DES MOINES HAS A POPEYE'S FRIED CHICKEN NOW!
That figures...after I leave they open the BEST fried chicken joint on the planet in the city. I had to have Greg Hahn bring me back some from Council Bluffs the one time he went..and it was even good COLD.
I'm going to go to Des Moines and get Chicken soon...maybe now.....