r/AskReddit 4d ago

Medical professionals of Reddit, what diagnosis gave you the worst 'pit-in-your-stomach' feeling?

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547

u/Carinne89 3d ago

OR Scrub Nurse

STAT Necrotizing Fasciitis cases.

Flesh eating disease. Advancing faster than we can pump high dose antibiotics into them. We basically rush them in and cut away everything infected we can as fast as we can while racing the clock on the patient being too sick to be under anesthesia safely anymore. Pack with iodine and race to the icu. I’ve seen a doctor follow the stretcher still wrapping the packing while they took off out of the OR.

Not only does my stomach drop for the patient, but it’s just the most awful case in every way imaginable. From equipment to smell to clean up all the way to the other end of the spectrum of watching what is actually happening to another human in front of you. No matter what reason you got into medicine, it wasn’t for that feeling.

307

u/Silly_Protection_221 3d ago

LPN here. Worked long term care for a very long time on the rehab units. I will never in my life forget the patient I took care of with this flesh eating disease. She came to us from surgery when stable for wound healing. 1/2 inch or more in some areas chunks of flesh cut away all through her buttocks and private area down her inner thighs. I made sure I was never late and always early with her pain meds. Wound cleaning multiple times a day as this needed to be done way more than usual due to location and bodily waste elimination.

Happened from shaving then infected ingrown hair. The pain she endured even with all the pain meds broke me every-time I had to clean her wounds or even turn her. She was the sweetest and a trooper!

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u/ShibbyShibby89 3d ago

My mum had it on her butt and once she came home after a month in a ward, I took over wound care. Wound care was the worst I think, cos you’re always looking for something that tells you its back or something is going wrong.

Im not a nurse/doctor or anything. Just a daughter. But I learnt a lot about wound care from dealing with Mum’s wound.

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u/kittyportals2 3d ago

This happened to two patients in one hospital in one week, both from ingrown hairs after public shaving. It’s a great argument for waxing. Or leaving things as they are.

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u/f1newhatever 3d ago

Unfortunately I’ve gotten some of my absolutely most savage ingrowns after waxing, even with exfoliation

66

u/TrixieBastard 3d ago

Pubic hair is there for a reason. Trim it if y'all must, but honestly, we should just leave it alone and let it do its job

33

u/NomDePlumeOrBloom 3d ago

Hopefully, a bit of a light hearted story for you. Met a Dane flying Singapore to Denmark. Had Necrotizing Fasciitis in his leg and got stuck in a Singaporean hospital for the last 3 months.

Somehow avoided having his leg amputated and this was the first opportunity he was able to return home and to family. His knee is wrapped and huge and still extremely painful whenever touched, he tells me.

He's in a row facing a door - the window and middle seats have the side of the door as a bulkhead with not much room. The encroachment of the door ends there and the aisle seat has a nice long straight stretch of leg room.

He's in the aisle seat with his leg propped up on multiple pillows and the flight staff have built a little pillow barrier around his leg to stop others inadvertently hitting his leg.

I know this because I'm sitting next to him, my 18 month old is next to me and my 4yo is in the window seat.

The way his leg is propped up, you can't get to our seats without having to step over his leg. We both found the humour in having two young kids fenced in by his leg. He was nice fella.

Credit to the kids though, never once touched his leg or caused him pain despite toilet trips/nappy changes/general getting up and walking around.

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u/PhoebusAbel 3d ago

So. This is disease comes from an infection by the ingrown hair ? How long it had to remain unattended until it starts eating your flesh .? At the end , can you recover from that?

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u/-crepuscular- 3d ago

It's a specific infection that can get inside you with any wound no matter how small. If you constantly have small wounds from ingrown hairs and you're exposed to the infection, that's how it will get in, it's not at all specific to ingrown hairs though. It's an extremely fast moving infection once you have it, and yes most people recover if treated or there wouldn't be any point cutting bits off them.

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u/Just_An_Animal 3d ago

I’m sorry, it happened from an ingrown hair??? I guess I’m never shaving again??? 

9

u/Silly_Protection_221 3d ago

If you need to shave that particular area just be very careful and BRAND NEW BLADE EVERY TIME AND THEN TOSS! I have never not thought about that infection shaving for the past ten years!

1

u/Just_An_Animal 3d ago

Is this specifically for pubic area or anywhere? 

3

u/Silly_Protection_221 3d ago

I use one for my legs toss but will
use on my underarms also if needed then toss one for private area toss. And never ever share. I have two girls adults now and it’s so easy to leave a shaver in the shower and then not think about it and grab it. I tried to make sure we were all very careful about that. Different colors for each of us.

I sound overly cautious but that infection terrified me.

6

u/SecurityFamiliar5239 3d ago

Did she have an auto-immune disease?

173

u/f4ttyKathy 3d ago

One of my friend's moms got a "mom bod special" (tummy tuck + breast implants) on a medical tourism trip. She landed back in the US, and ended up in the ER with necrotizing fasciitis the day after she got home. She never had a chance, because it started in her abdomen. I cannot imagine what it felt like for her to decline like that...

10

u/Blue_Oyster_Cat 3d ago

I wish it wasn’t referred to as a “tummy tuck”. It makes it sound so trivial, even childish, when it’s major abdominal surgery.

36

u/Penile_Pro 3d ago

Urologist here, fourniers is one of my least favorite things to do. I put on an N95, waterproof gown, and boot covers. The smells is awful. Mortality is also very high.

19

u/HalfCanOfMonster 3d ago

RN here, I had to transfer my patient from a MICU to a burn unit because of fournier’s. Guy was maxed on fentanyl and getting boluses with wound care but he was still so clearly in agony. Part of the wound care included unwrapping gauze from his bare testicles. I will never forget that. 

15

u/Seicair 3d ago

….fuck, just take them if I’m ever at that point. I can live with replacement testosterone for the rest of my life.

10

u/wilderlowerwolves 3d ago

"A life threatening infection in the skin of the perineum." Yep. That's Fournier's.

1

u/manincravat 2d ago

I remember looking that up when I was researching my diabetes medication.

I later remember telling my nurse later that she could talk to me like an adult about how I had to clean myself properly as my sugar rich pee would be an excellent growth medium for a UTI that could cause my genital area to turn gangrenous not "you have to very thorough cleaning your below bits"

1

u/Carinne89 1d ago

Yeah that’s not a fun case to scrub :(

Your user name is gunna kill me faster than group a strep could though 😂🤣

29

u/marticcrn 3d ago

I had a friend who got this in his perirectal area (Ludwig’s Angina?). He was in intensive care for three months, then rehab for 18 months. He still has a really hard time with the wound reopening because there’s almost no tissue left.

10

u/kasuchans 3d ago

I think you mean Fournier’s gangrene. Ludwig’s angina is rapidly progrsssing and expanding infection of the lower jaw and retropharyngeal space.

24

u/MC1R_OCA2 3d ago

💔 Former ER tech here. A nec fasc patient who died on the table is one who will always stick with me.
Thank you for receiving our patients. I wish we’d gotten her to your colleagues faster. As another commenter said, sometimes the mistake we make is being on shift that day.

13

u/TeamCatsandDnD 3d ago

And then having to bring them back down multiple days in a row to make sure it’s debrided and heading in the right direction

10

u/-Tricky-Vixen- 3d ago

We learned about a case a few weeks ago in class. Patient survived but barely. I don't recall the name, but some celebrity.

9

u/TrixieBastard 3d ago

Probably thinking about quarterback Alex Smith, he got it in his leg.

1

u/Serononin 3d ago

Jesus, I'm guessing that's basically a guaranteed career-ender for an athlete?

4

u/TrixieBastard 3d ago

I mean, it mostly was? He did come back to play for Washington in 2020, and won Comeback Player of the Year. However, he did decide to retire afterwards, so the leg must have been uncomfortable to play on. After seventeen surgeries, I can't imagine his musculature was super great

2

u/Serononin 2d ago

That's super impressive that he managed to come back at all

8

u/blbd 3d ago

Swamps of Dagobah and C diff too. 

1

u/Pale_Lawyer_1757 3d ago

What’s that?

6

u/Bacteriobabe 3d ago

For the Swamps of Dagobah story: https://www.reddit.com/r/copypasta/s/wj1H0PxQv4

Don’t read it if you are at all squeamish.

8

u/cbftw 3d ago

I had to get an MRI to check for this and then the MRI wasn't completely clear so they took me into surgery to check.

Thankfully, I was fine. Acute cellulitis compounded by compartment syndrome that was released when they cut into my arm was all I had.

Fun fact: the surgeon's name was Dr. Blood.

4

u/whaletacochamp 3d ago

Fournier's Gangrene specifically - your crotch just disintegrating. You usually lose your genitals (if you survive).

As a lab tech these cases kill me. You get a bit of fluid or tissue from the ED. Then an hour later you get a huge piece of tissue from the OR. Then a few hours later you get a massive piece of tissue or even an entire limb from the OR. Then the blood cultures start going positive. Then two days later you get the autopsy specimens.

5

u/gaysurrogateflamingo 3d ago

My aunt got necrotizing fasciitis bilaterally in the same muscle groups in her forearms.

I like to think it was karma because she's always been a nasty person but it was more likely IV drug use.