Lawnmower Boy

LB is a 37 year old male, from Milton. (Author's Note: Milton should be a tip off that there is something seriously wrong with this man. Possibly involving his cousin-dad or his grandparents being the same people.) He presented with an acute laceration to his right index and middle fingers nearly severing them at the proximal interphalangeal (PIP). He had been mowing his lawn for the last time in the year and decided to clean his lawn mower with it running. He reached in, dug around a little, and then probably screamed like a little girl as the blades nearly severed his hand into 3 pieces.

One very common question to check up on with this kind of wound is how up to date their tetanus vaccination was, and that conversation went something like this:

Me: Ok LB, do you know when the last time you were vaccinated for tetanus was?
LB: Hmmm... I don't rightly know... Would they have done it when I did this 2 years ago?

At this point LB holds up his left hand, on which the 2nd and 3rd fingers have been removed at the PIP.

Me: Yes... yes they would have. Let me just check your hospital records on that...

Fast forward 5 minutes, and what does the HPI show? He had a lawn mower accident resulting in the loss of the two fingers on his left hand. Luckily for him, I believe the orthopedic surgeon was able to save these two fingers... for now. I hope nobody buys him a Cuisinart for Christmas. He just might think it's a hat.