Moderator EMEDPA Posted April 29, 2016 Moderator Share Posted April 29, 2016 55 yr old male seen recently with CHF exacerbation with edema to the level of the scrotum(think softball size)....Lasix "doesn't work" so he decided to take matters into his own hands....by lacerating his scrotum at home with a pocket knife to allow it to drain....needless to say, a bad idea..... Link to comment Share on other sites More sharing options...
Acebecker Posted April 29, 2016 Share Posted April 29, 2016 Woah. Double woah. Is he referring to Lasix specifically or all diuretics? Needs to explore barriers to patient compliance with Lasix with his PCP, sounds like. Link to comment Share on other sites More sharing options...
fakingpatience Posted April 29, 2016 Share Posted April 29, 2016 Link to comment Share on other sites More sharing options...
Reality Check 2 Posted April 29, 2016 Share Posted April 29, 2016 Holy Cow! That is indeed a new one on me. Ouch Ouch, Double Ouch Then the pain stimulated his heart, which can't pump and his cardiac output got worse. His outcome?............................... Link to comment Share on other sites More sharing options...
Moderator ventana Posted April 29, 2016 Moderator Share Posted April 29, 2016 reminds me of a psych call way back in college on EMS Must have waited outside for a solid 30 min with the police secured the scene. (no way I was going in with out that) walked in to find a very pleasant thin male in his 50's literally laying in a pool of blood, I was 3rd, the Crewchief started to turn blue.... When the answer to the "Where did you cut yourself" came they literally turn and fast walk/ran out the door. Leaving me alone (probably for the better at that point) Turns out this person was a psychiatric patient that had signed out AMA (sad) and decided to get rid of testicles. Then was bleeding so much sewed himself back up with a sewing needle and thread, then waited a day to call us. So very sad that the system failed so miserably. Link to comment Share on other sites More sharing options...
Boatswain2PA Posted April 29, 2016 Share Posted April 29, 2016 Job security. Patients like this just leave me thinking....job security. Link to comment Share on other sites More sharing options...
cbrsmurf Posted April 29, 2016 Share Posted April 29, 2016 I think you need to go back to school or get more HCE. Testicular drainage is first line treatment for middle extremity edema. Link to comment Share on other sites More sharing options...
Will352ns Posted April 30, 2016 Share Posted April 30, 2016 I dunno, sounds legit to me. Link to comment Share on other sites More sharing options...
sk732 Posted April 30, 2016 Share Posted April 30, 2016 I dunno, sounds legit to me. Probably was...in the pre-pre-pre-penicillin era... Link to comment Share on other sites More sharing options...
Boatswain2PA Posted April 30, 2016 Share Posted April 30, 2016 I dunno, sounds legit to me. If only his father had thought of that 56 years ago!! Link to comment Share on other sites More sharing options...
bike mike Posted April 30, 2016 Share Posted April 30, 2016 Really bad idea....everybody knows to use leeches in that situation....duh! Link to comment Share on other sites More sharing options...
loliz Posted April 30, 2016 Share Posted April 30, 2016 I had a guy seriously request a surgery consult for the same thing. Another guy asked if I could cut slits down both legs and he would stand up in the shower and "let the water come out." Brilliant. Link to comment Share on other sites More sharing options...
cop to pa Posted April 30, 2016 Share Posted April 30, 2016 He just didn't trust "big-pharma" and is using more naturopathic treatments is all... Link to comment Share on other sites More sharing options...
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