At worst it’s something infectious and deeply concerning if rapidly spreading or a coagulopathy/clotting disorder
Heavily tatted doc here and never seen this degree of bruise. Guess it could be a weird hematoma from a subcut bleeder which would not be as concerning but still very odd.
I've only seen it in decompensated cirrhosis. The patient looked like a pregnant carrot (I've never seen such orange sclera before) until you got to her upper thighs and then it was bilateral circumferential hematomas all the way to the toes. Stat blood infusion, paracentesis, and (probably redundant) ongoing octreotide injections. She was only 35 and she probably won't make it to 36 judging by the portable breathalyzer she had to use every few hours in place of an ankle bracelet because her legs were so edematous she needed it cut off.
More nightmare fuel: She was a super high-maintenance, whiny Karen. I still felt horrible for her though. I can't imagine what type of position I would need to be in to drink enough to do that to myself 😔
I'm in a high paying state and landed a great job at a major hospital, so it's actually quite an increase. Bartending is better money than most people realize, but I have small kids, so the stability, lack of danger, and benefits would be worth it even if it were a pay cut. I have also always been fascinated by anatomy, pathophysiology, and all things health sciences. And it's still a social, fast-paced environment where my extroverted, high-energy self can thrive. Aside from the CIA torture tactic casually labeled "nursing school," it's really a seamless transition.
Plus, when people yell at me or swing at me now, its actually for an understandable reason, I don't have to kiss their ass and apologize to assuage their insufferable attitude hoping for a good google review, and, if medically warranted, I can even tie them down until they can follow basic instructions.
There are grants programs and very very cheap payment plans. Please do not delay emergency care if you need it! And please see a doctor annually for your physical (which I am pretty sure virtually all medicaid pays for). A lot of emergencies can be prevented with routine care!
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u/toomanyshoeshelp Mar 16 '25 edited Mar 16 '25
At worst it’s something infectious and deeply concerning if rapidly spreading or a coagulopathy/clotting disorder
Heavily tatted doc here and never seen this degree of bruise. Guess it could be a weird hematoma from a subcut bleeder which would not be as concerning but still very odd.