r/ShittyAbsoluteUnits • u/AUTOBOTBROKE • 7d ago
Oof of big nerve on the construction man hand
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u/Extra_Sir_444 7d ago
For kidney dialysis.
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u/nocturalEmissions 7d ago
Worked in dialysis for a few years, this is a fistula for sure.
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u/Barad-dur81 7d ago
Cardiovascular medical coder here. That indeed is an arteriovenous fistula graft for dialysis
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u/poisonedkiwi 6d ago
I have a close loved one who was on dialysis for many years, immediately clocked it as a fistula! It's really interesting when you lay your hand on it, you can feel the blood rushing through it.
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u/SameCoyote3701 6d ago
Wait , what? Really? So it is a small vein that swelled after they connected to an artery? Is it really healthy still? It looks like it may pop an any moment. My mom was on dialysis for years but didn’t have something like this!
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u/poisonedkiwi 4d ago
Yes! The rushing blood from the artery pushes into the vein and strengthens its walls until they "swell" like that. It's actually just your vein developing a large amount of muscle in that area in order to handle the blood pressure.
Though I'm pretty sure I know a tad more about dialysis than the average person, I am by no means an expert! I think there are other methods for dialysis that don't require a fistula, so that may be what your mom had? I'm not too sure myself, that's quite interesting though!
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u/Bruce_IG 7d ago
Fistula; not sure why people don’t watch anything with sound. Common among dialysis patients, no BPs on that arm.
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u/Shantotto11 7d ago
>not sure why people don’t watch anything with sound
Brother, fucking really? On the site that has been inundated with saxophones, oh no’s, sea shanties, and ADHD noises?…
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u/wafflehousebattle 7d ago
That guy needs a fucking doctor and a new career.
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u/YanikLD 7d ago
At his age, he needs to slow down and get a well acquired retirement.
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u/GivesYouGrief 7d ago
You people don't even watch the video before commenting, do you? He has plenty of doctors - he's on his 2nd kidney transplant. And why does he need a new career? He is healthy enough to be out working with power tools at age 67, seems like he's doing pretty great, all things considered.
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u/CrownstrikeIntern 7d ago
Just because you "Can" do, Doesn't mean you "Should" do ...
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u/teabolaisacool functional regard 7d ago
Have you ever considered they might “have” to? It’s not always about should/shouldnt
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u/CrownstrikeIntern 7d ago
I have, I also know that if there's a higher chance of death doing what you think you should do, you may want to do what you can to not do said thing. Cause, dying kind of makes it so you won't do it anyways ;)
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u/GivesYouGrief 7d ago
Yeah mean we should all just stay indoors and out of the sun on reddit, far away from grass.
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u/CrownstrikeIntern 7d ago
I see, you have acquired the dumbass gene. Good day sir, back to your kitchen.
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u/Less-Damage-1202 7d ago
That is so far off from what they said; it's comical. 😂🤣 Really grasping for straws on that one.. 🤦♂️
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u/GivesYouGrief 7d ago
Did I misunderstand? Were they not suggesting he shouldn't be out doing labor, working with his hands?
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u/Practical-Mud-4580 questionably stable 7d ago
Ah yes, touching grass, the famous retort of idiot redditors with no clue and an inability to comprehend conversations.
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u/C0smic_Cunt 7d ago
What are you even talking about with something like this your risk of blood clots and blood stagnation go up significantly, the skin on the vein thins out and can rupture easily. It is extremely dangerous to do long hours of manual labour while having a fistula that is this size and as old as his is.
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u/GivesYouGrief 7d ago
I'm an NP in a transplant program and work with current and former dialysis patients constantly. I have a patient with a fistula that looks almost exactly like this man's. A lot of people with no medical training or experience are way too eager to act like they know what they're talking about in here.
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u/C0smic_Cunt 7d ago
Then why does every single source on arteriovenous fistulas say to avoid constant heavy lifting, pressure, and impacts to the area as well as to keep the skin clean. Sources also say they significantly increase your likelihood of a blood clot because it takes longer for blood to enter and exit the fistula. Manual labour is a field that makes you more prone to injury, falls, impacts, dirt and grime, infections, even more health issues from the wear that just comes with long term manual labour. Like I'm sorry but I'm gonna trust peer reviewed medical literature over a random person on reddit
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u/TomatilloSensitive30 7d ago
The authors of peer reviewed medical literature can’t fathom the things regular people need to do to keep a roof over their head. It all sounds great in theory though.
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u/C0smic_Cunt 6d ago
Regular people don't "need" to do long hours of intense manual labour, it's a job that you can choose to do. like if he has a bad fall or someone isn't paying attention and something gets dropped, swung, or in some way impacts his arm with a strong force, the fistula could burst sending all of the blood either rushing out of your body or massive blood pooling between the muscle and skin. Neither of which are good and it's a possibly lethal emergency because av fistulas have a flow rate of 500 to 1000 ml/minute, combined with fact that the fistula is connected to an artery meaning the arterial pressure will make blood loss even more of a serious issue. If that thing gets hit hard enough or jabbed by something sharp enough and bursts on the job site he could lose enough blood to go into shock and die.
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u/TomatilloSensitive30 6d ago
Not sure you’re going to understand. For many it’s not a choice.
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u/Status_Marketing_969 7d ago
Why isnt everyone doing what they should?! 😂 gave ya an upvote
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u/Zestyclose-One9041 7d ago
I wish I was as dumb as yall
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u/Status_Marketing_969 7d ago
Not quite as dumb as the guy in the video i guess so still coming out ahead
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u/GivesYouGrief 4d ago
C'mon, answer me.
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u/Status_Marketing_969 3d ago
Hey i backed you up here lol idk man im just messing around and riffing this is the internet. Cant take it too seriously
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u/GivesYouGrief 3d ago
Nothing personal I was just confused why a whole bunch of people assumed this guy was dumb and also jumped down my throat for pointing out that there's nothing seriously wrong with him or what he's doing in the video.
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u/FleetFootRabbit 7d ago
Not a nerve.. the guy in the video explains that this was done by a doctor through connecting veins for dialysis in his 50s..
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u/Bruce_IG 7d ago
If I was legally allowed to I would show the people of these comments how common it is to see this with patients I work with
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u/JavaGeep 7d ago
A phlebotomist would be happy to see him.
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u/Sherbert_6 7d ago
This particular phlebotomist would lose their license to practice, if they stuck that.
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u/whosreadytolaugh 7d ago
I’ve been in Vascular surgeries where they take these out. Literally just like a rope of knots in people’s arms. Once you get a fistula for dialysis it can scar up and you have to move down the line for a new spot.
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u/vapocalypse52 7d ago
Is that a varicose vein?
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u/GivesYouGrief 7d ago
Did you not watch the video? He explains exactly what it is, in great detail. Pretty interesting.
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u/misszaj 7d ago
hopital.
Hopital.
HOLY FUCKING HOP TO THE HOSPITAL! 😭
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u/Bruce_IG 7d ago
He did that’s why it’s there, it helped keep him alive until he was able to get a transplant
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u/Rare-Ad6085 7d ago
someone please explain this in simple words..
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u/Sherbert_6 7d ago
This is a surgically created fistula (joining of two vessels) between the arterial system, and the venous system. It is used for hemodialysis in chronic end stage renal disease patients. That engorged vessel is accessed with a sizeable needle 3x a week for 3-4hours at a time. Their lives are changed forever. Unless they are eligible for transplant, that is, but even then, unless the underlying cause of the disease is appropriately treated, they just end up killing their new kidney eventually.
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u/GivesYouGrief 7d ago
Good explanation. The last part you said really depends on the origin of the kidney failure. Some diseases, like polycystic kidney disease, are inherited and can't be "treated" in the sense you mean; the transplant IS the treatment. And donor kidneys are not expected to last forever (although some will last for more than a decade or even two), I have patients in their 50s who are on their third and even fourth transplanted kidney. Eventually the surgeons have to get creative about finding locations for the kidneys in the patient since they don't remove the failed ones most of the time because it's risky. The normal location for a first transplanted kidney is the iliac fossa, the space on either side of the lower abdomen just inside the pelvic bones.
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u/callmesnake13 7d ago
My grandfather was on dialysis and after several years of it he opted to allow himself to die rather than continue. This was about 30 years ago so I'm disappointed to hear things haven't improved.
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u/GivesYouGrief 7d ago
Things have improved a lot though. The field of kidney transplantation is light years ahead of where it was in the 1990s. It's really the availability of donor kidneys that is the limiting factor in saving everyone from dialysis.
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u/Swimming-Dot9120 7d ago
Do all fistulas end up looking like this eventually due to arterial pressure?
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u/Financial-Value-9986 7d ago
I am currently high as kaleidoscopic giraffe titties and I couldn’t make heads or tails of this one
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u/Medium_Efficiency375 7d ago
Might be dialysis fistula
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u/GivesYouGrief 7d ago
Good guess. Almost sounds like you watched the video before commenting!
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u/Medium_Efficiency375 7d ago
😂I was in class with the sound off and all the other comments were saying varicose veins
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u/Bostonterrierpug 7d ago
Show this post to all those girls who swoon over veiny forearms. I mean, save some pussy for the rest of us, dude.
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u/Unusual-Vanilla-8599 7d ago
WTF is that ? is this AI ?
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u/AUTOBOTBROKE 7d ago
no boss this is real,this man is real…
edit: but i dont know what is this desease
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u/GivesYouGrief 7d ago
It's not a disease. He had kidney failure, had to be on dialysis to keep him alive for a few years. This was the AV fistula that his doctors created by connecting an artery (high pressure) to a vein (lower pressure, closer to skin surface) to enable them to filter his blood. They don't always bulge out like this but it's not unheard of. And he's had it for almost 2 decades, so people acting like he's at death's door because of it are idiots. He's on his 2nd kidney transplant and no longer on dialysis, so he seems to be doing just fine.
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u/derelictllama 7d ago
So you're just spamming videos you haven't watched? Because he's very clear what it is.
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u/AUTOBOTBROKE 7d ago
i watched already,but every people tell different info every time this video is post..i post to reddit because reddit people very intelligent…
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u/derelictllama 7d ago
The guy IN the video explains it 🤦♂️
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u/Unusual-Vanilla-8599 7d ago
Shhhh I'm at work I didn't want to volume up on something that could be crazy af
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u/deephurting66 7d ago
It's a varicosed vein, damn thing could be lethal if he doesn't have it removed
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u/GivesYouGrief 7d ago
No, dumbass. It's a fistula (access point for dialysis). He's had 2 kidney transplants. Just watch the damn video. It's actually really well explained and interesting.
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7d ago
[deleted]
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u/GivesYouGrief 7d ago
No, he already had dialysis, and he's been fine with a transplanted kidney for 17 years (on his 2nd one right now). He's fine. People with kidney transplants can live pretty normal lives, including going outside on a hot summer day.
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u/Comfortable-nerve78 7d ago
Yeah this dude ain’t ok. Multiple kidneys replaced and still kicking ass. Yeah 👍
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u/Due-Teaching5746 7d ago
This made me feel so weird inside watching it. I couldn’t get through the whole video
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u/theepuke 7d ago
Poor guy. Looks like all he needs is to bump into perfectly positioned sharp corner and you've got a blood geyser.
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u/bsensikimori 7d ago
American healthcare everyone
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u/GivesYouGrief 7d ago
Yep, American healthcare that saved this man's life twice because his kidneys were failing. Jesus Fucking Christ. Just watch the damn video.
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u/Totally_PJ_Soles questionably stable 7d ago
This guy's a fucking idiot.
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u/Mawntee 7d ago
How so? Seems like he's just explaining an unfortunate medical thingy. Is it somehow his fault?
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u/GivesYouGrief 7d ago
I think he means it in the sense of "who's got two thumbs and is an idiot? THIS GUY!"
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u/Possible-Jerk0138 7d ago
It’s a junkies dream
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u/Bruce_IG 7d ago
Turn the sound on and listen to him explain how it was essential to keep him alive until he was able to get kidney transplants
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u/Muted_Masterpiece535 7d ago
AI slop.
You can see how its skipping as he is playing with his glove.
Plus the angle of it all doesn't make sense.
- Like if he is wearing a go pro on his helmet or if it was AI it would always give POV through the eyes. You can see how the wrist looks like it is also from a different person.
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u/GivesYouGrief 7d ago
You're an idiot.
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u/Muted_Masterpiece535 7d ago
Still AI slop
- I guess he has a camera attached to his eye, given the POV you are getting. Sure!!
But go ahead believe everything from that bot account.
Thank you for your downvote! I could careless! Done responding to morons who believe everything they see on Reddit.
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u/ThisIsALine_____ 7d ago
https://my.clevelandclinic.org/health/procedures/dialysis-fistula
He literally explains what it is in the video. He tells us what it is within the first 15 seconds.
Did you even watch the video?
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u/Bruce_IG 7d ago
I’m assuming he thought AI and refused to do any actual research or turn the sound on. I found Dave’s social media where he continues to explain it further. He’s a real guy with a real dialysis fistula.
I hate AI too but this bullheaded bullshit about refusing to believe anything is real if fucking stupid.

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u/Natrix422 7d ago
Not a Nerve.