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 #2052923


Pbcrazy187
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 Well i guess i earned my self a moron award haha (graphic)

hey how has every one over here been. i noticed this forum has been pretty dead so i decided to throw up some pics of the bite i got from a great basin rattlesnake last saturday.



08/08/09  12:12am

 #2052925


Pbcrazy187
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  Message To: Pbcrazy187   In reference to Message Id: 2052923


 Well i guess i earned my self a moron award haha (graphic)







08/08/09  12:22am

 #2052934


Happyherp
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  Message To: Pbcrazy187   In reference to Message Id: 2052925


 Well i guess i earned my self a moron award haha (graphic)

so gross yet so wildly addictive to keep looking at......

are you ok now? and OMG OUCH does not even begin to cover that!



08/08/09  12:58am

 #2052965


Rebelyell83
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  Message To: Happyherp   In reference to Message Id: 2052934


 Well i guess i earned my self a moron award haha (graphic)

that had to suck,messing with a wild one,or was a captive one?



08/08/09  04:48am

 #2052985


Flherp
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  Message To: Rebelyell83   In reference to Message Id: 2052965


 Well i guess i earned my self a moron award haha (graphic)

Fasciotomy is rarely indicated for snakebite. It is an expensive procedure that does little to resolve the complications and swelling associated with venom induced swelling. It does however leave the patient with some interesting scarring. How much antivenom was administered for the bite?



08/08/09  06:42am

 #2053073


JEFF QUARLES
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  Message To: Flherp   In reference to Message Id: 2052985


 Well i guess i earned my self a moron award haha (graphic)

I am wondering why the incisions with the treatment of crofab?? He either took his time getting to the hospital or he did not fair well with the crofab. Glad you seem to be doing fine though.



08/08/09  11:12am

 #2053174


Flherp
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  Message To: JEFF QUARLES   In reference to Message Id: 2053073


 Well i guess i earned my self a moron award haha (graphic)

Even late in a bite, the intracompartmental pressures usually are not high enough to merit fasciotomy. in any case, there are a few non-invasive steps that can be taken to reduce swelling other than surgery. In general, there is usually undertreatment rather than over treatment with antivenom for snakebites and possibly an overuse of surgery to treat the injury.



08/08/09  03:37pm

 #2053269


Pbcrazy187
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  Message To: Flherp   In reference to Message Id: 2053174


 Well i guess i earned my self a moron award haha (graphic)

hey it was a wild caught snake the doctors administered 14 vials of crofab and the swelling did not go down so they did the faciotomy. it only took me 15 minutes to get to the hospital. sorry if my spelling is off im really druged up



08/08/09  08:12pm

 #2053340


Rebelyell83
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  Message To: Pbcrazy187   In reference to Message Id: 2053269


 Well i guess i earned my self a moron award haha (graphic)

hey,,just be glad you can type!!!!



08/08/09  09:45pm

 #2053517


Flherp
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  Message To: Rebelyell83   In reference to Message Id: 2053340


 Well i guess i earned my self a moron award haha (graphic)

As I posted earlier, there are less invasive methods of reducing swelling in the case of snakebite. It is not just a matter of swelling, but of actually diagnosing compartment syndrome, a fairly rare occurence in snakebite. It cannot be properly diagnosed by swelling alone, there are complications associated with this type of injury which may require surgery, but prior to surgery it should be properly diagnosed. 14 vials of CroFab is not really that much antivenom for a significant snakebite. The primary reason for the swelling is venom, it is a venom problem that is really not treated by surgery. Antivenom is needed to neutralize the venom resident in the tissues. It is not just my opinion, but has been the subject of some investigation -

http://kpssctoxicology.org/pdf/fasciotomy_for_Snakebite.pdf

There are instances in which it may be required, however, it may be over used in the case of snakebite.



08/09/09  06:57am

 #2053782


Concolor1
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  Message To: Flherp   In reference to Message Id: 2053517


 I Had a Fasciotomy 20-odd Years Ago . . .

This was from a crush injury (trauma) that accompanied a broken leg. I’m embarrassed to admit it, but the circumstances were nearly as ridiculous as getting tagged by carelessly handling a venomous snake (and I haven’t handled a hot in nearly 40 years).

It was my call on the surgery, but the key was the nurse’s aid who administered an hour or two’s worth of pressure checks to evaluate the possibility of compartmental syndrome. The pressure was rising so I elected to spend the next ten days on my back (I’d just graduated from college and was unemployed, but the State of Utah picked up the tab, fortunately). The fracture was pretty much incidental (a mild tib break), and I was walking with a brace on it within a day of my discharge.

The difference between trauma-induced and venom-induced compartmental syndrome is worth noting, however. As Flherp’s link mentions,

For compartment syndrome following trauma and related conditions, the patho-physiology appears to hinge on increased pressure. For venom-induced compartment syndrome, the central factor is likely to be direct venom effects on the tissue and not solely the resulting increase in compartment pressure . . . Proponents of fasciotomy must demonstrate improved functional outcome using appropriate research design in the study of venom-induced compartment syndrome.

I’m not unhappy with the results of my surgery; the scars at this point are barely noticeable (and being slightly chubby and in my 50’s, vanity doesn’t trouble me much these days). And my leg works just fine . . .

Sean Bush was on a new Animal Planet episode on snakebites a few weeks ago (Bring back Venom E.R. . . . Please!). He suggested if your doctor wanted to do a fasciotomy for a snakebite that you get another doctor . . . Well, Dr. Bush is far more knowledgeable than I, so I would bow to his judgment on that one . . . And if I ever stick my hand in the wrong hidey hole out here, he’d be the guy I’d want to treat it . . .

Anyway, I’ll show you my scars if you want to see ’em, but when I tell the story, you gotta promise not to laugh too loud . . .



08/09/09  04:36pm

 #2056068


Momo12191
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  Message To: Pbcrazy187   In reference to Message Id: 2052925


 Well i guess i earned my self a moron award haha (graphic)

Ouch that looks like it hurts.Its so big.I mean i would be crying if that happend. Id rather have something happen bad then that.





molly



08/13/09  10:33am

 #2058402


Dillpickle
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  Message To: Pbcrazy187   In reference to Message Id: 2052923


 Well i guess i earned my self a moron award haha (graphic)

u sure as hell earned that award



08/16/09  09:05pm

 #2058403


The roadrunner
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  Message To: Pbcrazy187   In reference to Message Id: 2052925


 Well i guess i earned my self a moron award haha (graphic)

not only an award ull probably get a big trophy 2



08/16/09  09:06pm

 #2058405


Dillpickle
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  Message To: The roadrunner   In reference to Message Id: 2058403


 Well i guess i earned my self a moron award haha (graphic)

a big shiny one



08/16/09  09:07pm

 #2061599


Pbcrazy187
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  Message To: Dillpickle   In reference to Message Id: 2058405


 Well i guess i earned my self a moron award haha (graphic)




i went in for surgery on Wednesday and they stitched me up......... kinda



08/21/09  03:38pm

 #2062792


Reptileguy123
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  Message To: Pbcrazy187   In reference to Message Id: 2061599


 Well i guess i earned my self a moron award haha (graphic)

Why did they have to open your arms up? Those are some big incisions. I see stuff about swelling....



08/24/09  10:21am

 #2062812


Concolor1
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  Message To: Reptileguy123   In reference to Message Id: 2062792


 So, Pbcrazy, In The Interest of Full Disclosure...

Were you sober when this happened, or were you part of the overwhelming statistical majority of venomous snakebite victims in your age bracket who are males who’d been imbibing when it happened?

I don’t drink anymore, but I did some really stupid things back when I did, so there’s no need to feel uncomfortable (I was sober, though, when I broke my leg as described above).

And please, don’t anyone take this as a suggestion they avoid drinking if they’re of legal age . . .

Although I suggest it’s advisable not to handle one’s hots after you’ve had a few . . .



08/24/09  11:26am

 #2064451


Pbcrazy187
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  Message To: Concolor1   In reference to Message Id: 2062812


 So, Pbcrazy, In The Interest of Full Disclosure...

Hahaha the hospital asked me the same question. yes i was completely sober. the hospital didnt believe me so they did a blood test haha.



08/27/09  11:12pm

 #2064511


Flherp
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  Message To: Pbcrazy187   In reference to Message Id: 2064451


 So, Pbcrazy, In The Interest of Full Disclosure...

Blood should be drawn anyway and labs repeated every 4-6 hours.



08/28/09  05:04am

 #2064736


Likuidslider603
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  Message To: Flherp   In reference to Message Id: 2064511


 So, Pbcrazy, In The Interest of Full Disclosure...

I am interested in what happened in order for you to get bit, if you dont mind talking about it. I mean like, what were you doing when it tagged you and what could you have done better? Were you using a hook a certain way, or not using one, etc. Just to help keep some of us safe who could avoid this happening if we know we need to improve on our method.



08/28/09  04:46pm

 #2065035


Snakeobsession
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  Message To: Likuidslider603   In reference to Message Id: 2064736


 So, Pbcrazy, In The Interest of Full Disclosure...

uhmmmm, those stitches def. do not look secure and jeez I have never seen anybodys arm like that. you are lucky!!!!



08/29/09  12:28pm

 #2065050


Concolor1
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  Message To: Snakeobsession   In reference to Message Id: 2065035


 Re: Stitches Do Not’ Look Secure . . .

That’s exactly how a fasciotomy operates (no pun intended). It’s the reason I spent ten days on my back 20 years ago (crush injury from a car, not a snake), so the wound could be left open to drain to prevent "compartmental syndrome" (You can Google that one up).

The comment about fasciotomy rarely being indicated for a snakebite is probably well taken (not being a doctor, I’ll qualify my statement, and I’m not disagreeing with you Flherp, just acknowledging my own lack of expertise). Dr. Bush was really blunt about that one on a recent new Animal Planet show (I believe it was "Uncut and Untamed"). He said if your doctor wants to do a fasciotomy, get a new doctor.

Well, he’s the expert’s expert. and I think everyone here loves him . . . I don’t own hots, but he’d be the guy I’d want if I put my hand in the wrong spot trying to pick up a geode or trilobite fossil sometime (I was gonna say arrowhead, but I believe it’s against the law to remove those from public lands).

Of course Phcrazy is kind of stuck with the situation now . . .



08/29/09  01:25pm

 #2065258


Pbcrazy187
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  Message To: Concolor1   In reference to Message Id: 2065050


 Re: Stitches Do Not’ Look Secure . . .

hey. well i got a call from a buddy who had found the rattlesnake on his property. he told me if i did not come get it he was going to kill it so i went out and grabbed it. when i got home i got him out of the bag with the snake hook. as i was putting him in the temporary cage i let my guard down and he tagged me.

the doctor said he had treated over forty snake bites and i was the second fasciotomy he ever had to do.

About the blood they did draw blood every four hours. my blood platelet lever droped to like 50 thousand or something haha i cant quite remember i was pretty druged up.

oh and just for a laugh the hospital bill came to 227,440.86 dollars. 187,000.00 of that was for anti-venom



08/29/09  08:44pm

 #2065265


Flherp
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  Message To: Pbcrazy187   In reference to Message Id: 2065258


 Re: Stitches Do Not’ Look Secure . . .

I would negotiate a lower price on the CroFab, it costs about 2000 or so a vial. If your figures are correct, they are asking well over $10,000 per vial at 14 vials total used. The surgery is not cheap either, I hope you are insured.



08/29/09  09:08pm

 #2067354


Pbcrazy187
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  Message To: Flherp   In reference to Message Id: 2065265


 Re: Stitches Do Not’ Look Secure . . .

oh ok thanks. i have never been bit before so i have no idea how much crofab costs. my dad retired from the coast guard and i am 18 so i do have some pretrty good insurance. turns out i took 18 vials of anti venom



09/03/09  10:01pm

 #2187537


Pbcrazy187
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  Message To: Pbcrazy187   In reference to Message Id: 2067354


 Re: Stitches Do Not’ Look Secure . . .

bump for Chris H



11/14/10  11:14pm

 #2204800


Kelso reptiles
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  Message To: Pbcrazy187   In reference to Message Id: 2052925


 Well i guess i earned my self a moron award haha (graphic)

man am i lucky i got bit by a sidewinder in 2010 but i only got a little injection because all i got was a lot of swealling and alot of brusing man o man am i lucky do you have any nerve damage



02/13/11  09:42pm

 #2209815


Pbcrazy187
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  Message To: Kelso reptiles   In reference to Message Id: 2204800


 Well i guess i earned my self a moron award haha (graphic)

hahaha yeah i dont know why my reaction was so bad. The doctor said it was just because the snake injected alot of venom.



03/16/11  12:22am

 #2210640


Kelso reptiles
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  Message To: Pbcrazy187   In reference to Message Id: 2209815


 Well i guess i earned my self a moron award haha (graphic)

yeah doctors dont normaly know alot about venomous snake bite so they will call someone they know that spesilizes in snake bites or they will call poisin control thats what they did for me
i almos went to loma linda to see sean bush but he said go to a nerer hospital so i went to vegas i live near the boardor of cali and nevada
hows the scaring and how long ago did it happen



03/20/11  05:39pm

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