So many abscesses in this era of MRSA are wholly unsatisfying to drain. I’ll cut into a large firm area of tender red skin looking for pus but finding instead this stringy straggly dried-out gunk. MRSA isn’t just immune to certain antibiotics, it’s meaner and more aggressive too. Anecdotally, the rise of MRSA has made draining boils a lot less fun.
One good way to give yourself a boil is by shooting up, pushing a heroin/bacteria cocktail underneath the skin. The lady I saw let this fester under her arm for about a week before finally coming in. Her boil was old school though, a soft squishy skin-colored mass the size of a scoop of lunch lady mashed potatoes.
I poked through the skin with an 11 blade and watched contentedly as greenish-brown pus erupted and oozed out like the fake lava from my middle school science day project. Now this, I thought, is the way it’s supposed to be. I miss parachute pants, the icky shuffle, and old school boils. Well, maybe not parachute pants.
November 24, 2008 at 8:18 am
My doctor told me that mine was a good one (http://strangenessofheather.blogspot.com/2005/10/ancient-diseases.html), but I promise it wasn’t because I let it fester for a week. Mine was classic enough they brought in 4 students to watch the I&D. Go figure.
November 24, 2008 at 8:56 am
Confession: when I got a very bad sunburn in 2001, the pus that came rushing out from under the burnt skin when I ruptured it was incredibly satisfying. Glad to read that some doctors feel the same way.
November 24, 2008 at 9:16 am
good grief, people. i love this blog (i totally lurk) but i’m REALLY glad i haven’t eaten yet.
November 24, 2008 at 11:16 am
I’m glad to hear you don’t really miss parachute pants.
November 24, 2008 at 12:03 pm
Yeah! I wrote about the same thing a few months back.
Do you do the “suction the pus out so you don’t have to smell the stench of it” trick? I love that one. As soon as you put knife to skin, you have an assistant there with the sucker to intercept the fountain of pus and get rid of it before the wave of stink washes over you.
November 24, 2008 at 3:27 pm
I like the mashed potato reference. Yummy.
November 24, 2008 at 4:54 pm
Hmm… It’s like mashed potatoes and gravy.
November 24, 2008 at 5:19 pm
Note to self: do not read this blog while nauseous.
November 24, 2008 at 6:33 pm
Note to self: Finish eating lunch BEFORE reading favourite medical blogs.
November 24, 2008 at 7:03 pm
Boils are fun.
Everything in medicine comes down to food if you ask a pathologist.
Oh, and what’s the icky shuffle?
November 24, 2008 at 9:47 pm
Am I the only teenage fan here? I didn’t understand much of that. So no comment.
November 24, 2008 at 9:48 pm
The big words are fun.
November 25, 2008 at 10:30 am
Fan, here are some big words for you to enjoy:
1. Esophagogastroduodenoscopy.
2. Cholecystectomy.
3. Gastrojejunostomy.
As an aside, why in the world is it called a carbuncle? Where did that funky word come from?
November 25, 2008 at 1:47 pm
Carbuncle, furuncle, boil, folliculitis, are all different names and forms of the same infection: a staph infection. That’s how I understand it.
November 25, 2008 at 3:59 pm
Carbuncle was also an old, old name for a garnet.
November 25, 2008 at 5:42 pm
Ah, ye old smack track infections, how I will miss thee!
November 25, 2008 at 10:14 pm
Dammit, I decided to wear bright orange parachute pants today, and you tell me that I’m not cool? Hmph.
November 26, 2008 at 5:03 pm
ummm… so is there anything in the least bit sexual, even {gasp} *orgasmic* in play here? just how “satisfying” is it to drain an abscess? hmmm?
(note to self, insert “abscess” as search term over at youtube)
November 28, 2008 at 8:36 am
Woke up this am with a big, swollen, infected finger (complete with swollen gland). Going to a “Doc in a Box” to have it checked out. Oooooo, i hope it gets drained with lots of “satisfying” pus. But with my luck…
November 28, 2008 at 9:54 pm
Well, I’m glad someone gets a thrill out of it…frankly I thought it was rather gross, and I’m not particularly squeamish! They’re not all “dried out and stringy”, either; the abscess I tangled with was a standard, pus-filled, nasty mess that cultured MRSA. I’m just glad I wasn’t “there” to experience the whole stench-y effect. Seeing the picture of what it looked like after he opened it up was bad enough. Eww.
November 29, 2008 at 3:58 pm
I’ve got this great visual of you with Vanilla Ice hair singing “Can’t Touch This” whilst you I&D. Might entertain your patients too, maybe need less pharmacological pain control?
December 1, 2008 at 8:42 pm
YESSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSSS
December 4, 2008 at 10:12 pm
Yum….(not)
December 6, 2008 at 12:04 am
i usually make sure to put a 3rd year med student between me and the abscess so that he/she gets most of the flying pus in their face. It makes for a good laugh
December 8, 2008 at 8:15 pm
True! Nothing better than a pus volcano, and it seems at most I only get a couple of cc’s at a time, even out of the good ones! As a side note, one of the great tragidies of my young life was being too chucky for parachute pants. You couldn’t hem the bigger size because of all the beautiful *sob* zippers!
December 9, 2008 at 2:59 pm
Best post ever.
I have always wondered why such a revolting thing is always just soooo satisfying myself!
January 12, 2009 at 4:41 pm
I’m an ER nurse…and am grossly obsessed with the classic abcess/boil. However, I prefer the analogy of a vanilla pudding pack exploding in a warm car!
March 17, 2009 at 11:28 pm
wow you all should have been there to see my abcess explode, it was literally pouring out of the hole continuously like warm nastly smelling brown water running out of a faucet, and it went for a good 5 mins or so, there was way more than a couple cc’s in there, I would say there was at least 3/4 to a whole cup of shit that came out of it, now I am really worried about it tho because now since then after I uncovered it once and a clearish/reddish/pinkish bloody plasma did the same thing and just started shooting out,it looked like a cut open artery or something, I am scared that its going to kill me any tips??? I am clearly not a doctor, and I have no money to see a doctor, what should I do to keep this from killing me???
March 18, 2009 at 11:47 am
monroe, I’m not a doctor either, but I think you should go see a doctor. Not dying is worth a payment plan.