Woman accidentally swallows knife – Again
A 30-year-old woman with a history of bulimia presented to the
emergency department after swallowing a knife. She inserted the knife
into the posterior oropharynx to demonstrate to her companions that
she no longer had a gag reflex.
When she unexpectedly laughed, the knife migrated into her esophagus,
causing chest discomfort and hematemesis. Anteroposterior chest and
abdominal radiographs revealed a knife within the distal esophagus and
proximal stomach, without evidence of pneumothorax, pneumomediastinum,
A rigid esophagogastroduodenoscopy was performed to remove the knife.
Her husband later disclosed that 4 years earlier she had swallowed a
knife that required surgical removal with exploratory laparotomy.
Consultation with a psychiatrist was recommended, and the patient was
later transferred to an inpatient psychiatric unit.
Yeah, right. She was transferred so the doctor could explain safer
ways to demonstrate not having a gag reflex.
Just like this piercings that these kids have today with all those metal
rings and stuff stuck in their body. Personally, I think they're nuts!
A few weeks ago, I was helping a friend move. Besides myself, he hired
a few young guys to help. One of the guys had nipple rings in both
nipples. He was setting down a heavy box in the moving truck, when
something sticking out of the box got stuck on his nipple ring and
literally ripped it off his body. We had to call 911 and get the
paramadics who hauled him to the hospital. Thus leaving all the work
for us elderly guys to do. All I could say was "what an idiot". I see
no point in stuff like that at all...... It's bad enough when accidents
happen, so why add to it with stupid crap stuck in a persons body (which
is neither useful or attractive).
When I encounter a person with piercings, such as a store clerk, I always
comment on the item. My comments are usually of the form: "You've got
something shiny stuck on your otherwise lovely nose," or "I don't know
whether you're aware, but someone evidently has snunk up on you and
mutilated your ear!"
I still miss the editor of one of the journals in forensic pathology
in the 80s and early 90s. He had a fixation with autoerotic death and
would make sure that at least one case presentation made it in every
"The weirder you're going to behave, the more normal you should look. It
works in reverse, too. When I see a kid with three or four rings in his
nose, I know there is absolutely nothing extraordinary about that
person." PJ O'Rourke
America is at that awkward stage. It's too late
to work within the system, but too early to shoot
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