My mom would have ripped it off and told me go outside and play.

@michaelgreco7597

Жыл бұрын

People can’t figure out how to cope or take care of their own problems anymore, that’s what ERs exist for. Poor coping skills

@Bellathemaltipoo

10 ай бұрын

o

I’ve been watching your videos for years. I really appreciate what you do. Such a wonderful doctors / medical stuff.

@lmellick

2 жыл бұрын

Thank you very much, Omar!

@shoptest1340

2 жыл бұрын

I Agree Very Much bita

@arenodding9347

2 жыл бұрын

Qmartyhrýyyýyyyyyyy vvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvfvvvvvvvvvvvvvvvvvvvvvvvvvvvffffffvvvvvvvvvvvvv bgvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvvbbbbbbbbbbbggggggggģgģģbbbbbbbbbbbbbbbbbgbbgbgbgbbggggģģtþttttttttttttþtttttþttttþtttttttttt5ttttttsssssssssqwwerfhhnikĺlkknbc Vvhjkjgvdfbhjjjkj and 79yards have all njkkkjjjmjjjjjjjjjjjjnjhhhhhhjjjjjjjjjjjjb 7 from &jujjuuujjjjjjg

4th year student and man I love these videos! So much practical clinical information for the ED and even family med clinic. Keep em coming.

@lmellick

2 жыл бұрын

I will, thank you!

When I was a kid, my Dad was the doctor...lol! He would have gone for the wire cutters first thing while lecturing me on the importance of not putting washers on my finger! Actually it wasn't a washer but rather a grommet! I thought it was pretty! :)

1:25 The Kid : Crying Subtitles : [Music]

@RageKKh

2 жыл бұрын

😂😂🤣

My mom would have gotten oil and slid that thing off even if my bone snapped just to avoid going to the hospital and paying “unnecessary” medical bills

My husband would have a bunch of tools at home to solve the problem right away 😂 Good to see the little patient is well! 😁

My mom would have put some Dawn on it and got it off.

Why wasn't cutting it the first option?

@hornisthorn

2 жыл бұрын

I'm about to comment this

What a great little bot. He wanted to see what was going on and he handle the pain beautifully. That's gonna be one terrific man.

He did great! As a mother of three boys, my spidey sense tells me that this little fella isn’t done with manipulating small objects into unfortunate places.

@Danny-be1ex

2 жыл бұрын

God when I was five the power went out one time and my mom said she walked into the living room and saw a key in the electrical outlet. I swear, kids. I hope mine aren’t gonna do that but you know lol

@weirdfroglukinthing9131

2 жыл бұрын

He isn't I know him personally

Brave little guy. When our son was two, he chewed up an eraser, and shoved all the little pieces into his ears. It took four adults to hold him down to get it out. Not a fun day.

The ER is overkill for this issue imo. I would have gone to the garage or tool kit in my truck and gotten some snips and lubricant and this would have been over on a few minutes. Parents need stay calm and then adapt, improvise, and overcome.

@junbh2

2 жыл бұрын

It's possible they tried for a while at home but couldn't find anything that was working and the finger started to swell a bit or something.

@texastrustedoralsurgeon6830

2 жыл бұрын

You are correct, a pair of wire snips to start cutting the plastic towards the finger then the last little bit, go down the other side if necessary, done. Versed and a trip to the ER unnecessary. Probably a $8,000 bill came home with this family.

@KellyeR1970

2 жыл бұрын

@@texastrustedoralsurgeon6830 yeah my kids aren't going to the ER unless we got broken bones ,cuts that need stitching or something I can't treat at home that needs immediate help. I definitely would have fixed this at home.

Dr.Larry, sir you are a boon to the medical community. I am glad to have found you channel.

@lmellick

2 жыл бұрын

Thank you so much! Your encouragement is much appreciated.

My parents would have made me cut my own finger off or go to bed without dinner.

@lindamulhall1055

2 жыл бұрын

Thanks for that! You made me laugh right when I needed it most.🤣🤣🤣

This happened to me as a child, but the fire department was able to do it ASAP lol

@hvl8069

2 жыл бұрын

Rui

@saedsaed3209

2 жыл бұрын

بكاملها متكامل٨ صحيحه ميكانيكا يمين بحب حاجات حاولوا بكاملها ميكانيك ثخث

@saedsaed3209

2 жыл бұрын

🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣🤣

@maliahlewis7426

2 жыл бұрын

Lmao 🤣 🤣

Those digital blocks are painful. That boy did a wonderful job. Gotta love Irwin tools. Cut through plastic. Saw through metal.

@fiferjordan

2 жыл бұрын

They gave him intranasal Versed at the start of the video. It’ll dramatically ease his anxiety and awareness, and depending on the dose, may prevent him from remembering the procedure. But to your point, it’s certainly true that Versed doesn’t have any pain-relieving properties.

Well, I didn't think about doing that with a kaleidoscope when I was a kid! Lol

It doesn’t help that a baby is screaming in the background, this poor kid is already nervous

@e60Theooooo

2 жыл бұрын

Yea lol

Found this channel, get videos and explaining. Is this the same physician who worked Med Center ED late 80's early 90's ??

@lmellick

2 жыл бұрын

Yes, it's the same one.

@johnharbaugh9471

2 жыл бұрын

@@lmellick I am one of the old medics from Marion Co. / 1st Consolidated Fire District who remember, you. Charlie, Robert, Hanna and so many of the other nurses and physicians from the ED. I have been working metro Columbus FD for last 31 years. Thank you for the reply, I will look forward to following your channel.

@lmellick

2 жыл бұрын

@@johnharbaugh9471 It is so cool to make contact with colleagues from the past. Thanks for asking the question!

Did you see how hard it was with the cutters the parents couldn’t have cut that shit with scissors

I think the needle really hurt most from the whole procedure.

Thank you Dr. Mellick for these awesome videos. I'm a pediatric nurse practitioner and have taken away so much from your content. All the best!

@lmellick

2 жыл бұрын

You are very welcome. That is great to hear!!

How awesome to see you do the procedure, Dr Mellick! I have a very similar sense of humor and would have asked to keep that for the baby book! I still have the various coins adding up to $0.57 that both my boys swallowed as toddlers. Hey, if I have to "find it"...I'm KEEPING it! hahahaha

@lmellick

2 жыл бұрын

Hah! If not for current blackmail, an object lesson for their children when they grow up.

@dorthygay9152

2 жыл бұрын

@@lmellick p pl 9 oooooooo 9 o 9 poo 9oooooooooo9

Wow, what an amazing little dude!

Did it really take a visit to the ER to figure out that you need to use a $6 cutters from harbor freight to cut a piece of plastic off of The kids finger? 🤦🏻 People these days

@1974bubbie

2 жыл бұрын

Thought the same thing

@kelseybogle9302

2 жыл бұрын

@@1974bubbie sometimes people are human and don't always know what to do and would rather be safe than sorry. Stop being a cyber bull. Classic case of cyber bullying. Just stop it we have enough to deal with in this world. We don't need more people like you with your stupid judgements

@muhdooluhahblungata491

2 жыл бұрын

Look at you studious smart men...ohhhh ahhhhh

@Muonium1

Жыл бұрын

No father in the picture = this unnecessary $700 visit to the ER.

@Imm_Maddix

Жыл бұрын

There could be vascular damage it’s better to be safe than sorry. Medically speaking; she could’ve caused a devolving of the finger if she tried to just pull it off. I’ve met nurses with all the knowledge in the world freak the fuck out when their kid becomes sick or injured MALE OR FEMALE. This kids visit to the ER has nothing to do with family dynamics. Also, what the fuck do you care what she pays for an ER bill?!

Reminds me of when I got two CDs stuck on my finger. It was hard to get off.

💗😊💕The same thing happened to my little guy when he was a toddler….I was so surprised that this toy from a birthday party goody bag got stuck on his finger….the ER doctor was able to break apart the kaleidoscope, into many pieces with a pair of pliers. We are so lucky that he didn’t need any needles.💕😊💗

@lmellick

2 жыл бұрын

Thanks for sharing!!

Why didn't they use a cast saw? It would have cut the plastic without harming the finger and they wouldn't have had to inject into the finger which probably swelled it up more.

@Sogandy4711

2 жыл бұрын

Because... emergency room. Whatever it takes to hike that bill up real quick.

He’s so lucky he didn’t lose a finger

This saw tool for removing cast isn't working on plastic?

This should have been a stop at the fire station. Would have been cheaper

I like how your always so calm! Cool way of getting it off!

@lmellick

2 жыл бұрын

Thanks!

@rishiking2146

2 жыл бұрын

The kid be like: Wtf?

Thousand dollar hospital visit for something that could have been taken care of at home , no medication, no needle . Saw the finger off.

@karolyneemlindosvideoskaro4847

2 жыл бұрын

Ele estava sem circulação no dedo, em casa podia piorar a situação

Good job young man

I remember as a child in UK having plaster casts for bilteral talipes (I am myelomeningeocele) and was terrified of the noise that the saw made when the casts were being changed or removed! Reassurances that I was not having my leg ampuated were to no avail!

My mom would have cut it off me herself lol. Tbh I'm 21 now and probably would too; or use something slick like soap

@brittanyfulcher7436

2 жыл бұрын

right its plastic puttin dat baby threw dat poor thang

@rishiking2146

2 жыл бұрын

Knife?

These are the times you just go to the mechanic down the street and get it done for free.

@karolyneemlindosvideoskaro4847

2 жыл бұрын

Ele ficou sem circulação no dedo, seria perigoso piorar a situação

Why not just use the side cutters without sedation and a block?

@lmellick

2 жыл бұрын

That would work for sure in some children and probably an older child. We usually ask the parents about the anxiety level of their child. If they have any concern we usually do intranasal versed.

@mph5896

2 жыл бұрын

@@lmellick Gochya. Versed in my area, hospital considers it a moderate sedation. We get to do all the monitoring/paperwork to go along with that. Its not the end of the world.

why don't use oil

like Kathy Keller said cold water and maybe cut into it??

He is so brave👍👍👍

He was so brave bless his heart

bro….i can’t believe she took em to the ER for that

Something tellsme he isnt going to be the big money earner in the family

@andresapikian

5 ай бұрын

HAHAHAHAHAHA

Was it nasal midazolam spray

Good job, all, and MOM, for keeping the little dude calm to allow the docs to do their 'deconstruction' work. Good thing to get him there quickly, before damage was done. :) Also, I was wondering, could the swelling (and obstruction by the 'ring' of the item) prevented good perfusion of the local numbing injection?

@lmellick

2 жыл бұрын

If the metacarpal block had worked, it should have gotten the digital nerves proximally. Metacarpal blocks are not as effective as my favorite the tumescent digital block. Good question, though.

@AnnieNYC1

2 жыл бұрын

@@lmellick Thank you for the answer!

The worst part of this is that even with insurance, this is probably still going to be a 5K bill for the parents.

@kristymay9435

2 жыл бұрын

So it should be. Wasting doctors time and an ED bed.

@keith5824

2 жыл бұрын

Yup and they probably waited 3hrs in the lobby since they mentioned it’s stuck for 3hrs

Floss rope? Try to tie it firm/short from the end of the finger to the hand. It often helps.

Why don’t they cut it by themselves? It’s just a piece of plastic

@yourmisery870

2 жыл бұрын

true but they might cut his hand :/

@W0rldSix

2 жыл бұрын

@@yourmisery870 can’t they just rip it off with pure strength? It’s just plastic right?

@Kari2025

2 жыл бұрын

Im guessing because it probably made his finger swell up, which makes it much harder to cut off without possibly cutting him.

@psycho-delicpyromaniac9595

2 жыл бұрын

@@W0rldSix that not only would hurt like hell but could possible even dislodge/ break his finger if done even slightly wrong or by the wrong person

Does anyone else hear the screaming baby in the background?

@josephbennett3482

2 жыл бұрын

Well it probably was an emergency room and in emergency rooms you can hear absolutely everything , there's no way to block out noise from other patients.

Doctors are amazing they saved my life twice but seriously with stuff like this construction workers should be on standby I could of got that off without all of that fuss in seconds

@lmellick

5 ай бұрын

Absolutely true!

在台灣阿嬤都用沙拉油搓一搓就掉下來了

What a little man!!!

Is he okay?

Omg why do kids still do this even tho am a kid

Khabby please make things simple for them

I was watching the championship ring removal just wanted to add in that the string technique works much better if you use an ice pack and keep the hand above the head for 5 to 10 mins first :-) Oh and using the cast openers (cast/splint cracker I dont know what you call then there but they look a little like scissors to open a cast that has been cut down one side) is easier than pliers etc as the tip is already flat and can use more controlled force to open a ring And for removing anything that is plastic if you can put a thin metal guard between skin and the item if you heat scalpel or a needle you can melt the plastic instead of cutting it which reduces the pressure on the finger and also helps prevent accidental pinching or skin tearing as it's much easier to control (I had an autistic foster child for 8 years so we had many many incidences of fingers where they weren't meant to be as well as items in orifices they disnt belong in etc) 😊 love watching your videos and your bedside manner is impeccable!

@murphy3265

2 жыл бұрын

This comment needs to be pinned

Larry looks like he raided my tools for this job.

Brave little boy!

Good job dr

Just apply some oil it will come out

legit, my mum would have got the hand saw and started sawing away at the plastic.... I didn't know what he had on his finger so I googled it lmao! I didn't have many toys as a kid lol.

My finger was stuck in a Record player my mom had to cut it with scissors and I kept running away because i was nervous

He’s so cute 🥰

Did anyone hear the baby screaming in the background?

@dawnblozen7734

2 жыл бұрын

Poor baby

My child stuck red hots candies up her nose and we thought she had a nosebleed until we figured it out! She's told her story about her experience probably a million times! 😂😂😂😂😂

@lmellick

2 жыл бұрын

Our kids truly keep life interesting.

@malikaqib8554

2 жыл бұрын

Fhjthhhththththhfhththhhhhthhhhhhhhhhhhhhhggghhhhhthhhhhhhthhhhhththghfhthhhhhg

I wish if i was one of Dr. Larry's students

Didn’t have to go to the hospital for that Anyone could’ve done that

@prinessarreona2656

2 жыл бұрын

Maybe the mom did not know how to do that did you think of that hum 🤔

Cold water will help the finger to stop swelling. The boy with the class ring you worked on. Why not try cold water or ice to reduce swelling?

@brendasweeney2806

Жыл бұрын

People these days don't know these things to try. They just panic.what did we do without ER's. But then again it does depend on the child and what the accident was.

You’re telling me they cut that thing off with some side cutters you can get in your tool box at home? Wth

@weirdfroglukinthing9131

2 жыл бұрын

They were on vacation! So calm down

We have to put kaleidoscope in eye to see that

I thought the thing never came off the little bo

Kids do the darnest things huh?

@Talaldood

2 жыл бұрын

Hah

my parents would of cut it off themselves not spend money to do something they could do for less

@lmellick

2 жыл бұрын

The parents tried, but didn't have the right tools.

@rishiking2146

2 жыл бұрын

@@lmellick knife?

Plz don't stick your fingers in thing's

Same tool used in your ring removal video? (Much better than the dental floss method, if I recall correctly?)

@lmellick

2 жыл бұрын

Yes, exactly

You’d think they just cut through it

@e60Theooooo

2 жыл бұрын

iKR it's just I csnt5

@Sophiebear.

2 жыл бұрын

If they were to cut it off it would probably do more harm than good, it would be very difficult and they probably wouldn’t even have a tool to cut thru thick plastic like that

@Joe_Mama.also_YTHandlessuckass

2 жыл бұрын

They could hurt more or even cut the child since it's literally wire cutters and thick plastic

A good pair of wire cutters would have done the trick. Would have saved her $1000+ dollars LOL.

Nasal Burst ?

Would you have done IV sedation if you know knew there would be the potential of pain involvement vs the nasal versed? Just curious or would you appreciate this as a great overall outcome? Definitely enjoyed this video! Thanks for sharing!

@lmellick

2 жыл бұрын

Medicine is often not a pretty as we would like. We try very hard to minimize pain. However, even the IV lines placed for procedural sedation can cause pain especially if multiple attempts are required. If our digital block (metacarpal block) helped with a sprayed pain dampening vapocoolant along with the nasal Versed had worked, we would have caused minimal discomfort.

@mysterymusicartist

2 жыл бұрын

@@lmellick thanks so much for your reply! Keep up the great work and sharing with us a glimpse of your world and its advancements!

@adriangalindo8342

2 жыл бұрын

I’ve used nasal versed before for various procedures like IV placement, PICC line placement, and Incision and Drainage. It does work pretty well but you really have to administer it correctly or else it doesn’t really work

@mysterymusicartist

2 жыл бұрын

@@adriangalindo8342 thanks for that feedback! Very informative!

@lmellick

2 жыл бұрын

@@adriangalindo8342 Agree!

Awesome❤. Good job sir.

@danielabdulla9205

2 жыл бұрын

In my opinion, pulling out some of these plastic like stuffs are harder as their friction may cause more problem, if possible cutting them is safer.

@lmellick

2 жыл бұрын

True, I agree.

Very well done, but a trip to any fire station and a fire firefighter would of had that off in a few seconds for free. Plus the child would have probably gotten to see the trucks too.

@catubub

2 жыл бұрын

That’s smart, and it would of been free lol.

@theccrew57

2 жыл бұрын

Lol best idea ever free seeing fire trucks free getting toy off finger

Dental floss wrap to tighten skin

this happend to me when i was a kid in kindergarden right before school

One night I got a CD stuck around my finger. It was there for about eight hours, I spent the entire night trying to figure out how to get it to come off. Fortunately, that morning I was able to get it off without having to seek emergency assistance.

Can IN ketamine be used in place of the Midazolam?

@lmellick

2 жыл бұрын

Yes, I like Versed IN, but if the child is hyped up and anxious it sometimes barely touches them. Also, if the nurse doesn't push hard on the atomizer it just leaks out as fluid and not mist. When that happens, it seems less effective. I may start using IN ketamine more.

Stick, Sting and a Burn! Brave young boy

Wire cutters putting in work lately.

Wow you are amazing 😯😯😯😯😯:-)

Never mind the kid, what is happening in that other room 😅

Wire cutters to the rescue! Sometimes the simplest answer to the problem is the correct one. You keep finding the correct ones. Over and over again.

@lmellick

2 жыл бұрын

Thanks, preparation and planning ahead helps!

@oneseeker2

2 жыл бұрын

Maybe if mom had called the fire Department Ha!

@keith5824

2 жыл бұрын

@@oneseeker2 yeah I was thinking the same. And it would definitely cost less and without the forever waiting in the lobby 😂

That would actually be good for a baby book haha

I feel di bad for him he's crying so bad when he got the needel in his finger

The child could have been given an initial anesthesia by breathing in order to relax... Then an anesthetic injection is given to the finger I don't know why the rush 😬

Have you ever tried to block the child’s view of the injury (or the work being done to the area) with some sort of drape? Maybe this would further reduce anxiety in some patients? Just a thought… absolutely not a criticism :)

@lmellick

2 жыл бұрын

You are correct and good suggestion. When possible we will turn so we block their view, but that wasn't done for this patient.

Did u guys try to remove it by using warm water ?? Or by using oil ??

Poor baby

Sir would 'nt it easier if you put some soap(shampoo) foam on to the stuck side ?!

@lmellick

2 жыл бұрын

Actually, part of the video not included was my spraying a special oil for taking off stuck rings. The finger was too edematous for it to work. Thanks for your suggestion, though.

@kazhankamal8340

2 жыл бұрын

@@lmellick thanks sir i got your point ✨

I hear another toy recall happening, good job Doc🤗.

@lmellick

2 жыл бұрын

Thanks!