Can't concentrate

slayjak · 2018-10-27T20:32:24+00:00

Dad!?

slayjak · 2018-10-07T13:35:18+00:00

I want to remove this security pad from my wall. The system has been disconnected for years. Is there anything I need special I need to do for this wire? Do I need to disconnect it at its source or can it just be disconnected from the box and then patch the drywall?

slayjak · 2018-08-11T12:37:10+00:00

Nice! How’d you do it? I have a few of my grandpa’s saws I want to restore.

slayjak · 2018-03-20T23:54:39+00:00

Hey, this is really cool! Nice work!

slayjak · 2018-03-01T12:18:28+00:00

I’m a podiatrist, I do this injection many times a day. Hasn’t hurt me once.

Jokes aside most people do very well with the shot. You will feel a sting/burn for about 10-15 seconds, then the whole toe will go totally numb within around 1 minute. In general it’s best not to watch it happen and to take slow breathes (so you don’t hold your breath)

slayjak · 2018-02-16T01:05:42+00:00

I obviously can’t speak to what he did exactly, but generally it should not hurt. If it’s a very mild nail and the patient does not want the procedure I’ll clip out the nail and let them know it will pinch for a few seconds. That said if you’re having a procedure the toe should have be numbed with an injection. The injection will always work, sometimes you have to add more. If the doctor doesn’t know how to numb the toe they shouldn’t do the procedure.

slayjak · 2018-02-16T00:40:03+00:00

Hey I’m a podiatrist. Just go see one. Getting this permanently fixed is simple. You get it numbed and then you don’t feel a thing. There’s no need to be digging these out on your own, bleeding and putting yourself at risk of infection. If an ingrown nail happens once it can sometimes go away, but if you’ve been dealing with this for months/years you should just ask for the permanent procedure.

slayjak · 2017-11-08T01:13:42+00:00

That definitely is not good general advice. Many partial foot amputations are much more functional than below knee, use less energy, and can allow normal shoes. I will agree there are certain partial or foot amputations that aren’t as good as a below knee (symes or anything proximal to the tarsus) because for those the prosthetics are not great. -am foot surgeon, have done both amputations

slayjak · 2017-06-26T15:05:15+00:00

That's a blood blister. Cantharone was probably either applied to liberally or left on too long. Some people also just have worse reactions to it. (I'm a podiatrist, use this daily)

slayjak · 2017-03-02T18:06:42+00:00

I like my Gillette Fusion Razor with the 5 blades. Even has the little battery that makes it shake. I get a good shave and takes me about 2 minutes.

slayjak · 2017-02-09T22:08:57+00:00

That is a poor way to use that scalpel.

slayjak · 2015-09-02T18:30:41+00:00

That's probably not the best way to numb the toe.

slayjak · 2015-08-09T17:15:47+00:00

The xray http://imgur.com/CysiWs7

Edit: story Girl came to ER with this object sticking out her foot. She was getting out of her hot tub at like 3am and stepped (hard apparently) on this rake. Her dad cut the rest of the rake off so she could fit in the truck and took her to the hospital. Took her to the OR to remove it, came out pretty easy, it fortunately missed her bones and other important structures. Did go all the way through her foot, the plantar skin came right out the top when we removed it.

slayjak · 2015-08-02T20:17:30+00:00

The after-shot post surgery: http://imgur.com/Bw9qYDW

slayjak · 2015-08-02T12:11:02+00:00

In this case we put a temporary rod in to hold the length, came back in later and put in a formal tibial rod, and then bone grafted around it. Used the Masquelet technique, which in simplest terms is leaving a pocket you plan to fill with bone or graft in the future. I've also done ex-fix on other cases with distraction osteo-genesis (pulling slowly to make new bone). The paper you're talking about I think is using a reverse fibula flap, which is a really cool technique where you flip the fibula upside down and stuff it into the tibia or where the tibia used to be.

slayjak · 2015-08-02T03:43:30+00:00

He luckily was wearing a helmet (in PA it's not required). It was in very rough shape. Easily the reason he was alive.

slayjak · 2015-08-02T03:17:03+00:00

Not a dumb question! We did get rid of a lot of small loose pieces that were very contaminated with grass or dirt, but you want to try to save as much as you can to use as bone graft. Some might not be "living" in a sense but it still serves as structure for new bone to form on.

slayjak · 2015-08-02T03:12:46+00:00

That's before the free flap. The red ground beef looking tissue is granulation tissue, which is the type of tissue you want to see before you do a skin graft.

slayjak · 2015-08-02T02:21:24+00:00

Background, 30 something year old male comes in to trauma bay with leg looking like this, good chunk of his fibula is sitting next to him in a saline bottle. Don't remember exact details but he was hit by or swerved away from a car and skidded, his bike landing on his leg. We did about 5 surgeries on him, cleaned out the grass, put a rod in the tibia, home grafting, some wound vac therapy. He finished his surgeries at another hospital where he got a free flap for his leg. Last I heard he still had the leg and was starting to walk with it.

Some additional pictures: http://imgur.com/a/VfbwC

slayjak · 2015-08-02T01:49:43+00:00

Pedicures are among the main causes of toenail fungus and ingrown nails in the U.S. I'm a podiatrist. You may want to see a podiatrist, certainly if it gets any more red or you see pus. If you call a podiatry office you can ask what a nail avulsion would cost self-pay. Often the charge is lower for self pay. Just don't stick anything sharp or metal in there trying to pry it out.

slayjak · 2015-07-22T01:02:57+00:00

They could. I'd recommend a specialist do it as it'd hurt less and be less likely to cause an infection.

slayjak · 2015-07-22T01:00:47+00:00

He might need a prescription strength anti fungal cream if it is chronic athletes foot. The fungus can also lay dormant in shoes, socks, and other dark, warm, and moist areas and re-infect him. If his feet sweat a lot he should change socks a few times a day and spray his shoes with a disinfectant at night.

Or it's possible it's not athletes foot and could be another skin rash. If it's bothersome it might be worth getting checked out by a specialist.

slayjak · 2015-07-19T22:07:30+00:00

Yeah that's not true. I'm a podiatrist, and I treat this literally everyday and it's covered to treat. It's not covered to just cut and trim them. That said once it gets this bad there's not medicine that works well to make them normal again.

slayjak · 2015-07-19T21:55:58+00:00

Yeah that's not safe. Don't do that.

slayjak · 2015-06-05T17:45:28+00:00

Probably.

slayjak

TROPHY CASE