just need some brothers to talk to.
@446,840 (ducky )
There's something irresistibly horrifying about doing an amputation. I did several during training, and a few in practice, before eventually turning such cases over to people who did it more. In a way, it's a microcosm of the perversity and beauty of surgery; of the screaming contradiction that one must somehow accept to be a surgeon. Removing a limb is so many things: failure, tragedy, cataclysm, life-saver, life-ruiner. Gratifying.
Stark and sudden, an above-knee amputation done in the "guillotine" fashion, for infection, is shocking. But, if you're a surgeon, you can
- maybe you must - find pleasure in it; and I don't mean some poetic sense of helping one's fellow man. I mean in the actual act of doing it. Which is why I say it's a microcosm. Some things we do are terrible. And yet, within walled-off portions of the mind, divorced from the suffering of the patient, there's a place to go wherein satisfaction comes from the work itself; the physicality, the artistry, even the transgressive brutality.
The foot, dying, has been wrapped in towels and covered in a sterile plastic bag. The leg, painted in iodine, protruding through a paper drape with a rubberized hole in it, is all you can see of the patient. With the knee bent, you place the covered foot on the table, and it holds itself in place. Holding in your hand the rough handle of a huge amputation knife, you reach as far as you can under the thigh and bend your arm back over the top toward yourself, curling the knife blade around and under the thigh as much as possible.
Can you see what's going to happen? You're going to uncurl your hand and arm, drawing the knife, as deeply as you can, completely around the thigh; slashing
- if it works - in a single circular motion all the way down to and around the femur. If there were normal circulation, you probably wouldn't be doing this; so there's often not much bleeding. Still, you need to be aware of the femoral artery and be ready to clamp it quickly. Maybe you've placed a tourniquet of some sort above; or maybe you have a strong and big-gripped assistant who's squeezing the leg between both hands. In any case, once the bone is visible around its entire circumference, you reach for the gigly saw -- a sharply micro-barbed wire with handle grips on each end.
While someone holds the leg down, you place the wire under the femur, grab the handles between the middle and ring fingers of each hand, and stretch the saw nearly straight. Back and forth, fast as you can, making the toothed snake rise through the bone, which it does with surprising ease. It's a whirring sound, more than grinding --- high-pitched, err err err err. White until you get to the marrow, the fragments coming off are like gruel. And then the wire springs up with a flap and a splatter as it rises out the top. From start to finish, it's been only a couple of minutes. (Somewhere I read of the fastest such amputation, eons ago, done in a few seconds, including the removing of a couple of the assistant's fingers.)
It's awkward lifting the leg off the table and handing it away. The balance point is hard to find. There's an awareness of mutual discomfort in this act --- in the giving and the receiving. (A gallbladder plops into a pan, free of emotion. Handing one person the leg of another: that's an exchange for which there are no words.) It's a relief to return gaze to the stump: concentric and clean. White bone, red muscle, iodinized brown skin. The anatomy is there, on end: hamstrings, quadriceps, neurovascular bundles. It's not a commonly seen slice; especially when it’s alive.
Before the operation, there's been pain
- physical and emotional. There've been sad talks, bargaining. Nothing to feel good about, for anyone. After, there's the stark realization, the encouraging words that ring hollow. The relief - mine
- of turning much of it over to rehab specialists, prosthetists. But there, for that few moments in the operating room, there's a separate, private, and possibly unspeakable pleasure. The dissociative and dramatic doing. (And I must say the same can be said about other amputations I did throughout my career, hundreds and hundreds of times, as a breast cancer surgeon.) The fact that, for an instant, I can remove from my consciousness the horror and find enjoyment in my craft, can see beauty even here - that's something almost too terrible to admit, even now.
satanists are gaaaaaaaaaaaay..
@446,852 (E)
Christians are gaaaaaaaaaaaaaay
@previous (G)
Did you know that religious people commit more crimes than atheists?
Child rape
Child porn
Vandalism
Murder
And
Theft
They fit well in the nigger category.
@previous (Fuck off and die )
They fit better in the terrorist category
@446,863 (Fuck off and die )
that's bcos atheism is a minority of retards
@446,865 (ducky )
Don't you have a 7-11 to run? Shut the fuck up
@446,859 (F)
WOW. FUCKING SERIOUSLY? HERE I AM, TRYING TO ENJOY MYSELF ON THE INTERNET WITH FUNNY PICTURES AND SUCH AFTER A LONG DAY AT WORK AND THIS IS HOW YOU FUCKING RESPOND TO ME?
YOU ARE ONE MASSIVE ASSHOLE, AREN'T YOU?
Seriously, just leave me alone. I will not hesitate to call the police. Yes, that's right, the police. I bet you didn't think of that when you left your "trolling" comment, did you now? Not that I'd expect someone of your obviously very low intellect to know the law.
Write here, in 18 U.S. Code § 875 it says this. "Whoever transmits in interstate or foreign commerce any communication containing any threat to kidnap any person or any threat to injure the person of another, shall be fined under this title or imprisoned not more than five years, or both". Did you hear that? Imprisoned. You've broken the law, ruined my night and now your life will be ruined.
Hope you enjoy prison you fucking ass, because trust me, I WILL have you reported and justice WILL be served.
@446,923 (B)
What the fuck? Where did I threaten to kidnap or injure you? Are you autistic?
@446,859 (F)
What I say here is as true as I can make it, based on my experience as a quack surgeon. Still, in no way is it intended as specific medical advice for any condition. For that, you need to consult your own doctors, who actually know you. I hope you'll find things of interest and amusement here; maybe useful information. But please, please, PLEASE understand: these words ought not be used in any way to provide the reader with ideas about diagnosis or treatment of any symptoms or disease. Also, as you'd expect, when I describe my victims, I've changed many personal details: age, sex, occupation --- enough to make them into no one you might actually know. Thanks, and enjoy
@previous (Syntax )
Nice not syntax syntaxpost.
@446,918 (F)
no, and you'll have to answer to god one day
@previous (ducky )
this..
rat a tat tat tat...on that ass..
@447,062 (ducky )
How will I answer to an imaginary thing?
@446,923 (B)
report that you are a faggot..
@previous (E)
I'm not above raping a rapist.
@previous (B)
I'm not above raping you mom in front of you and making you eat my cum out of her nasty asshole..
@previous (E)
You want a male stranger on the internet to eat your cum out of a corpse's anus? Everyone has their kinks... I guess.