- A legless lizard had kind of slithered over him.
- Hey, little guy.
- The vacuuming confusion, raised force fields,
and extended, um, natural expressions.
Today we are breaking down all of the medical scenes
and sexual health mishaps from Sex Sent Me to the ER.
All right, let's dive right in.
- And she was moaning and kind of,
just sort of stretching out on the bed.
She seemed to be having this fantastic orgasm.
It was as though we were still having sex
even though we had stopped for some minutes.
- People definitely have different experiences
relating to orgasms
but this is interesting
and it was also a little bit of a concern
that it's continuing to go on and will it stop?
- I started hopping up and down
to see if that would do anything.
- Wow.
- There was nothing we could come up with
to get me to stop orgasming.
- Okay, actually that's a good idea,
like trying different things, trying to distract the mind,
trying to distract the body.
Even alcohol to kind of dull the senses, so to speak.
It's all pretty good ideas.
I would take maybe a cold shower.
- Babe, we need to get you to the ER.
- Bring her some diazepine, all right, and run those tests.
- Giving a benzodiazepine, which is basically a little bit
of a muscle relaxer and sedative
to maybe see if they can hit the receptors in the body
to calm everything down.
- Everybody stay calm.
- while they were still writing up the paperwork, I stopped.
- And this happens so often where literally you're at home,
you're dealing with your ailment that you're dealing with,
whatever it is, you wait, you delay,
you literally show up to the emergency department,
and then it stops.
But it does happen.
You know, change your scenery, change of events, time.
So we don't know exactly why.
- I was going from specialist, to specialist, to specialist
and they didn't know what to do with me
and they had me on antidepressants at the time.
- She's wearing some different types of EEG monitoring.
I notice some are stickers,
which we don't use very often anymore.
- At the end of the day, after a lot of research was done,
they finally determined that I'm bipolar
and they had to switch me
from antidepressants to bipolar meds.
- Medications have multiple different effects
and side effects and in this case, unfortunately,
this individual taking medication
had a very abnormal side effect
and now needs to be labeled
that you can have idiopathic orgasms,
where they just come spontaneously outta nowhere.
- He drops his pants,
his penis was swollen, the urethra was widened.
- The whole penis swollen.
Is the glans penis, which was the head of the penis swollen?
Is the foreskin around the penis?
Is that swollen?
So not exactly sure, but those are all
different areas that a penis could be swollen.
- A legless lizard had kind of slithered over him.
- Hey little guy.
- What's your name?
I'm Sean.
- What!
- [Nurse] So you're telling me
that the lizard went into your (trails off).
- Yeah.
- (gasps) What!
I mean is it in the bladder or where is it?
Is it stuck within the penis itself?
I have so many questions.
- The urologist, Dr. Bordett will be coming in any minute.
He's going to be explaining the cystoscopy procedure
that he's going to do.
- Yes, you wanna talk to a urologist
who will do a cystoscopy, sticking a camera
inside the urethra to go backwards
looking through the urethra, through the penis,
then look at the prostate and then go to the bladder.
Those will be your next steps.
- This procedure's gonna require you
to go under general anesthesia.
And I know how you
- (interrupts) Yes, give it to me.
- Are you sure you need the drugs, baby?
- Yes.
- General anesthesia or we'll also do a conscious sedation.
Depends on if they're really intubating him,
seeking a breathing tube in his throat,
knocking him out
- Knocked the (beep) out!
(continues) and putting him on a ventilator
versus conscious sedation,
where you still are protecting your own airway
but you're sedated,
you don't remember anything,
and you're down for about 5, 10 minutes.
- They took him to the OR pretty fast
and removed the legless lizard from his bladder.
Sean, how are you feeling?
He's doing much better, thank you.
- Excellent, well as soon as we get you rehydrated
and your kidney function returns to normal,
you'll be able to go home.
- Why is kidney function off?
In this situation, your kidney function would only be off
if it actually caused outlet obstruction
where you're not able to get any urine out
and then causing a backflow of the urine
to your kidneys, both of them, to cause injuries.
- For a few weeks,
I've had a lot of terrible pain down here.
It's just been getting worse.
And now there's this strange discharge.
- The patient describes discharge,
the abnormal fluid coming from your genital areas.
And then the thing we think about when somebody comes
to the emergency department and there's pain,
you think of an infection.
- We have to do a pelvic exam so we can take some tests,
so we can figure out what's going on.
- Okay, well do what you gotta do.
I just gotta get this fixed.
- Patient's getting flustered that the doctors suggest
that they need to do a pelvic exam
but you're coming in with pelvic pain.
You know if I came in and my arm hurt
I still gotta examine the arm, right?
- There's definitely something there.
- What?
- I'll need some more light.
What is that?
- You don't really say, "What is that?"
"What is this?"
Like being very kind of, I don't know,
concerning for the patients.
You can say, hey, I see something abnormal
that looks like it's a foreign body.
Do you accidentally put something up here?
Did you maybe forget about a tampon?
And all of these other questions you can ask
but being like "What is that?"
is really not the appropriate way to go about it.
- What the heck is that?
- Doctor, I haven't used a condom in five years,
since my vasectomy.
What the hell is going on here?
- Woooow!
The question is how long has the condom been there
and who put the condom there?
They're concerned with the foreign body being in there
and causing a significant amount of pain and discharge.
Now you worry about toxic shock syndrome.
You know, same idea of leaving a tampon in there
for a very long time.
You can cause significant amount of infection
and can become septic and you can potentially die.
- So how did this happen?
- Well, I came home
and found him this way.
- You found me?
- We see a lot of these sex related injuries
come to the emergency department,
across all emergency departments, every single day.
And it is very important that you are very clear, precise
and quick with telling us what exactly happened
so we can be quick and precise
and know exactly what to do to try to help you.
- Don't lie to me!
- At this point, there's only one option.
- We gotta cut it off.
- And obviously they're being very dramatic
in the sense of saying they're going to cut "it" off.
They're not meaning "it", they're meaning the hose
and trying to get any of the type of tubing
off of the penis.
- All right, what's the, oh doc!
You have to start warning me about these situations.
(laughs)
- So the maintenance guy probably came
because there's specific tools that they may have
that we may not have in the emergency department.
I've even had to call myself, like say the fire department
because they have specific tools on their truck
that are more useful that I could use
in the emergency department versus what we have.
Or calling the maintenance department,
they may have other tools.
So, we have to use what is at our disposal.
- And we were using the trauma shears,
the cast cutter, and nothing was working.
Do you have anything sharper?
- Ah, so they tried different things.
So the cast cutter shimmies back and forth,
but it won't hurt the skin.
Trauma shears,
you're trying to use a different type of scissors.
So they've tried multiple different things.
(saw whirs)
And now you're using a skill saw.
I probably would not use that anywhere near his genitals
because you're not precise.
You could slip, you could fall
unless you're using some other type of barrier.
- Come at me bro!
- I call for the ultrasound machine
and Nurse Ted brings it to the bed site.
There's a hematoma of the penis.
- A hematoma basically is blood underneath the tissue.
Not worrisome, it'll be reabsorbed and go away.
- But that doesn't concern me.
What I am concerned about is the hematocele.
- Is that bad?
- Yes, we have to operate immediately or else.
- There's a bunch of blood in a pocket around the testicle
and they're concerned about that.
You can have a hydrocele or spermatocele.
You can have a varicocele.
These are all different types of collections
of different types of fluids
within the scrotum itself and near the testicle.
Very interesting show.
Obviously it's a reenactment of different events
that have occurred in the emergency department,
but it does bring up important things
that could happen in sexual health
and what you need to be aware of and maybe what not to do.
And as always make sure you binge watch
this playlist right here.
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Thank you so much for watching and stay healthy my friend.