Member Photos

[Jacob(smooth)]

Podiatrist

[c172]

You look slightly menacing in that picture.

Yeah. I must say I prefer my normal, vaguely and minorly annoyed self.

[pocaracas]

Fine fine. Here is a boring 2d picture of me in my dapper scrubs.

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What did you do with the horns?

[No_God]

I'm sure you've seen some nasty foot injuries, aye?

[Jacob(smooth)]

Fine fine. Here is a boring 2d picture of me in my dapper scrubs.

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What did you do with the horns?

They retract when not in use, like those flappy headlights.

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I'm sure you've seen some nasty foot injuries, aye?

Aye. And many other unpleasantnesses. Injuries are fine, it's wounds which are unpleasant.

[pocaracas]

I'm sure you've seen some nasty foot injuries, aye?

Aye. And many other unpleasantnesses. Injuries are fine, it's wounds which are unpleasant.

Does it ever get easy?
Or is it gross every single time?

[Jacob(smooth)]

Gross Is the wrong word. After a while you stop noticing the gross. Initially, infected gangrene smells rough, as many as I've seen now I get right in close because I can tell, by smell, the difference between pseudomonous and staphylococcus. When we get a referral for a patient with neglect who has 2 inch toenails, we argue over who gets to do it (we like a challenge).

What never gets easy is the ones we can't fix, especially the children, and especially the ones with degenerative conditions. The abuse victims, the 4 year old who can't walk because they were just stuck in a buggy in front of the TV. The ones where our best just isn't good enough and they have to lop off the leg. The young parents who get diagnosed with rheumatoid arthritis. That (and the endless clerking) is the unpleasant bit.

But mostly it's fun.

[pocaracas]

Gross Is the wrong word. After a while you stop noticing the gross. Initially, infected gangrene smells rough, as many as I've seen now I get right in close because I can tell, by smell, the difference between pseudomonous and staphylococcus. When we get a referral for a patient with neglect who has 2 inch toenails, we argue over who gets to do it (we like a challenge).

What never gets easy is the ones we can't fix, especially the children, and especially the ones with degenerative conditions. The abuse victims, the 4 year old who can't walk because they were just stuck in a buggy in front of the TV. The ones where our best just isn't good enough and they have to lop off the leg. The young parents who get diagnosed with rheumatoid arthritis. That (and the endless clerking) is the unpleasant bit.

But mostly it's fun.

Damn... and you only get to do feet...
I shudder to imagine what standard hospital emergency staff get to see...

[Jacob(smooth)]

Good friend of mine used to be a paramedic in London in the 70s. Pour a bottle of wine into him he gets to telling stories.

Some people have to do things which most of us can't even imagine.

The one advantage of acute care is that patients pass through your care quite quickly. I have patients I've known for 14 years. Makes it hard not to form emotional attachments.

[No_God]

Holy fuck I just noticed your shirt.

I literally just saw Megadeth in DC a few weeks ago.

BEST SHOW EVER!

How did I take this picture?