NEJM's "A Foreign Body"

[xanthomondo]

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This seriously looked like it was photoshopped for an episode of Scrubs

...ouch

"It was a million to one shot, Doc. Million to one!"

 

[Bernoull]

This seriously looked like it was photoshopped for an episode of Scrubs

...ouch

"It was a million to one shot, Doc. Million to one!"

Is this real??? Looks like an xray from one of the "Things I learn from my Patients" I hope someone just inadvertently sat on a bottle, very unlikely i know... some people are really disturbed...😕😕

 

[rjmn]

I (a pre-med) didn't understand the brief paragraph in NEJM accompanying the picture. Does the patient have a permanent colostomy? Or is it only temporary?

 

[MilkmanAl]

I guess he just really enjoys his Modelo.

 

[turkeyjerky]

I guess he just really enjoys his Modelo.

lol, nice!

 

[MossPoh]

I'd love to see their facial expression at the exact moment they transitioned from "This is an awesome idea!" to "Woops.....This was a horrible idea".

I am also curious how many of those they had to polish off before it entered that good concept department. Someone was obviously wearing their bad idea jeans that evening. (I'm going to assume it was in the evening)

 

[Jolie South]

I'd love to see their facial expression at the exact moment they transitioned from "This is an awesome idea!" to "Woops.....This was a horrible idea".

I am also curious how many of those they had to polish off before it entered that good concept department. Someone was obviously wearing their bad idea jeans that evening. (I'm going to assume it was in the evening)

I don't know I mean starting the night off with a delicious Mexican beverage isn't such a bad idea. I think it was probably some bad weed or temporary insanity.

 

[dr zaius]

I was expecting commentary on Gawande's article, but this was definitely much more entertaining.

 

[TMP-SMX]

Wasn't the scrubs episode a light bulb?

Anyway, yeah that article was posted on the wall in our endoscopy suite. A good laugh was had by all.

 

[Forthegood]

Our chair of clinical path showed us that picture in class last week. The modelo negra is a very distinct shape, as she pointed out, and goes in easier than comes out.

 

[Smurfette]

As someone who gets called to the ER to extract such items, trust me, I think all patients will tell you it goes in easier than it comes out. :LOL: 80% will also tell you they 'fell' on it or something esle rather than admitting they were willingly putting it in.

Also, the actual stuff people come in with for rectal foreign bodies can be REALLY weird. Light bulbs, hammers (I've seen it with the hammerhead up there first), coins, all sorts of tools, etc.

 

[MossPoh]

I don't know I mean starting the night off with a delicious Mexican beverage isn't such a bad idea. I think it was probably some bad weed or temporary insanity.

Maybe laced weed. If it wasn't laced, then the odds are they'd want to preserve that bottle to make a pipe out of or would just be too lazy to try.

How you start the evening off is different than how you end the night. You don't hear of too many coyote ugly scenarios that happen after the first beer with friends. It is usually at the end after 12 when your a-hole buddies are going, 'Yea dude. Do it! Do it! Naw man, it'll be cool!". 😛

It just shows you the importance of picking a bottle with a flared base if you intend to partake in backdoor play.

 

[leodavis]

I (a pre-med) didn't understand the brief paragraph in NEJM accompanying the picture. Does the patient have a permanent colostomy? Or is it only temporary?

The bottle was extracted, and Hartmann's colostomy was performed. The patient was treated with broad-spectrum antibiotics and analgesics and underwent colorectal reanastomosis, after which the recovery was uneventful.

The surgeons did a reanastomosis, so the colostomy was reversed.

 

[Mr hawkings]

You probably haven't seen "1 man, i jar" then.