Warning: Not for weak stomachs (Mom, I think you'll be ok)
Yesterday was my turn to go to the clinic, La Fuente (The Fountain), a missionary-run organization owned by American doctors. It was a pretty slow day; only two patients had come in during our two hours there. As we were packing up and getting ready to leave, a seventy-something year-old patient came in with a half-dollar sized ulcer on his upper right leg. The doctors thought that the lesion could have been caused by a flesh-eating strand of tuberculosis (rather than the more common strand that affects the respiratory system). "Do you want to check it out?" Dr. Allen, the head doctor, asked me and two other students. Of course, we accepted, and followed the doctor into the exam room.
The ulcer looked something like this:
http://boneandspine.com/wp-content/uploads/2008/02/sinus_leg1.jpg (again, NOT for weak stomachs...trust me). The doctor examined the 2 cm-deep ulcer, and stuck his finger around the borders. As soon as he did this, pus came spewing out into the ulcer. At this point, I started seeing black specs, and got really uncomfortably hot. I had to excuse myself because I knew that if I didn't sit down, I'd hit the floor right then and there.
I was so upset that I had gotten light-headed. I have seen at least 10 surgeries at Ruby, and I was fine through all of them. Hell, I've seen a heart bumping up and down in an open chest-- what was up with me now? After more self-talk like this, I worked myself up to going back to see the patient with the two other students, but only after I had gotten a cold glass of filtered water.
Here's the kicker:
When I walked back to the exam room I stood right behind Victoria and Danny, the two other students. I saw that the doctor was cleaning out the pus that came from the surrounding skin. He filled a syringe with saline solution and stuck it about a centimeter below the skin around the border of the ulcer, washing away the pus. He did this several times, and on about the fourth time, he pushed the saline in the wound with a little too much pressure-- the fluid and the contents of the wound splashed all over Victoria, Danny, and the nurse. The doctor quickly apologized, then kept on working. I immediately tapped Victoria on the shoulder, saying, "Did that get on you?!" She looked at me with a wide-eyed, freaked-out face and nodded her head. I looked down at the glass of water in my hand, and immeditaly poured it out in the sink.
The doctor finished with the patient, telling him that the results of the biopsy would take about three weeks, and then subsequent follow-up treatment would take about two months. I felt so bad for this man-- this thing growing in his leg was nasty (and nearly unheard of in the United States).
After the patient was dismissed, Victoria, Danny, and I nearly sprinted to the sink, scrubbing frivolously over every inch of exposed skin. The walk back to the hotel was interesting...it was full of, "Oh my god, what if that was TB?" and, "The water at the hotel better be hot, cause I'm taking a 30-minute shower," and "Holy [cow], I can't believe that happened." Lucky for us, the water at the hotel was hot, and I think we all took 45-minute showers just to be safe (Danny was joking that he probably washed off six layers of skin).
Needless to say, it is day two, and each of us is fine. None of us had open wounds, and we all took extreme precaution after the incident (more than the doctor!). We saw something at the clinic that we wouldn't have ever gotten to see shadowing in the United States. It was truly a memorable experience. So, I've concluded that the only thing that's going to grow from the accident is a good story....let's hope.