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Comment by bookofjoe | Hacker News Reader

Reminds me of the first week of my internship at Los Angeles County-University of Southern California Medical Center in July 1974. I needed to get an arterial blood gas from one of my patients — a drug addict with hepatitis and so-called "cannonball" fungal lesions in both lungs. I couldn't find the radial artery in either of his wrists, so I took the syringe and needle and moved down to his groin and tried a femoral stick. He was really obese and I couldn't feel his femoral pulse, so I tried to separate his abdominal fat pannus from his thigh with my right hand while plunging the needle into what I hoped would be his femoral triangle. The blind stick impaled my right index finger. My heart sank. I was sure I was gonna get hepatitis and/or his fungal infection, and spent the next month or so on tenterhooks waiting to wake up one day feeling sick. By some good fortune, I didn't get either of his illnesses.

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When I hear what you medical guys go through, I realize how not cut out I am for it. I wish I was, because it is very fascinating and important to all of us. But I almost got faint just picturing what you described.

Would you describe your motivation to help that man as being a factor of great empathy for his situation or cold detachment from him as a person? I'm not trying to degrade him as a person, but I'm curious how you learn to cope with the realities of certain people's bodies.

Neither. It was my job, and I did it to the best of my ability. Period.

So you just learn, or have the ability, to not think about it?

Exactly. I think it's some of each.

Courage is an acquired skill.

Happy for you.

How often do hospital employees suffer these kind of accidents ?

Inadvertent needle sticks? Every now and then. I'm not trying to avoid your question or be funny. It's one of the unavoidable risks of being a health care worker.

No worries it's just a seemingly simple context I/we forget it can backfire

I don't get it. Wasn't the needle sterile? You pricked yourself but not him, how could have you contacted anything?

Sounds like they already pricked the patient when they couldn't find a vein in the arm, maybe?

Precisely. The multiple radial artery puncture failures left needle puncture wounds.

I used the same needle for the femoral stick that I'd used for the radial artery attempts. Standard procedure then and now.

Did you tell your supervisor? (Not sure how easy it is to be open about accidents as a student)

No.

Were you allowed vein finder?

In 1974 there was no such thing.

Those things are basically useless. Especially on fat people

Call me crazy, but I felt like this story was perhaps a little too specific.

You can't please everyone!

Better to stay in the dark about what the average American experience is like! (?)

Haha reminds me of a story a psychiatrist once told about how he/she would generalize people's problems that happen to all sorts of patients and yet would routinely be accused of sharing a unique and deeply embarrassing story by their patients, who don't realize it but all face the same problems.

if it happens to all or just almost all or even just some of the patients it would still be sharing a somewhat private story from all of them, no? Being accused of sharing this (not so) unique story tells me it was even told to somebody that knew both people. I think you should refrain from that in this profession...

Psychiatrists have to tell these stories in order to train new psychiatrists. The only thing they cannot share is personally identifiable information. Sadly, so many people think they are struggling alone and their situation is completely unique, which is rarely ever the case.

Can confirm the thrust of this story. And I trained in the last 10 years in NYC. Modern healthcare is little different.

I don't care so much about the story, it was the level of detail you doled out about your patient, where it was, what year, etc.

July 1974?! That was over 45 years ago. Those medical records were discarded forever long before the year 2000. What period of time would make you comfortable?

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