Armchair Expert with Dax Shepard - Armchair Anonymous: Foreign Object in Butt II
Episode Date: January 30, 2026Dax and Monica talk to Armcherries! In today's episode, Armcherries tell us a crazy story about finding a foreign object in a patient's butt.Follow Armchair Expert on the Wondery App or where...ver you get your podcasts. Watch new content on YouTube or listen to Armchair Expert early and ad-free by joining Wondery+ in the Wondery App, Apple Podcasts, or Spotify. Start your free trial by visiting wondery.com/links/armchair-expert-with-dax-shepard/ now.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Transcript
Discussion (0)
Welcome, welcome, welcome to Armchair Anonymous.
I'm Dan Rather and I'm joined by Monica Mouse.
Hi.
Hello, Fun Mouse.
Today we have part two of quickly becoming our favorite prompt for an object in butt.
We've yet to hear one that's not fantastic.
They're so good.
And this one, there was some, there was some blood in one.
Blood.
Blood warning.
There's sadness.
Yeah, there's humiliation.
There's like a.
tenderness to one of the stories.
And then there's some hilarity, as you would expect.
There's no female president Barbies up the button this one.
Thank goodness for once.
Right.
But every other conceivable option is there.
As you'll hear, please enjoy foreign objects in But Part 2.
This podcast is brought to you by Squarespace, the all-in-one website platform designed to help
you stand out and succeed online.
When we were building the Armchair expert website, Rob actually used Squarespace.
Space to get it up and running, which was a smart choice because they've got everything you need in
one place to create something that actually looks professional. What really stands out is their
blueprint AI feature. It's like having a design assistant that helps you build a site that
doesn't look like every other cookie cutter template out there. Answer a few questions about what
you're trying to do, and it creates something that actually fits your vision. If you're someone
who offers services, whether that's coaching, consulting, creative work, whatever, Squarespace
handles all the business stuff too. Payment processing,
scheduling client management, no more juggling five different platforms just to get paid for what you
do. The whole thing is designed so you can focus on your actual work instead of wrestling with
website tech, which, let's be honest, most of us would rather avoid. So head to Squarespace.com
slash Dax for a free trial, and when you're ready to launch, use code Dax to save 10% off your
first purchase of a website or domain.
I had a more, you gotta know, I'm gonna keep on shining.
Is it connecting audio?
Can you hear us?
Give me a thumbs up if you can hear us.
And don't panic.
Everyone has problems.
Panic.
Don't panic.
Well, now you guys can probably hear me.
We can.
Now we can hear you.
You seem to be in a little person's bedroom.
My daughter's, she is five years old.
And she turned 6th, January 31st.
My birthday was yesterday, and my wife was on the second.
So happy belated birthday, Dax.
Wow.
She's a J2C.
Also, you guys are two days apart, three days apart?
Three days apart, yeah.
I find that to be very rare.
Am I the only one that thinks that?
I've never thought about that.
Couples generally are not, in my experience, anecdotally.
She is 16 years older than me.
So I think that kind of plays a part in it.
We are an age gap family.
Good for her.
Oh, my God.
You were a sweet 16.
birthday present to her, and then it just came late. Yep, that's how it worked. Also, she's a baller. Way to get a young chick. Yeah, she actually got her driver's license on the day that I was born. Oh, my God. But she's a haughty. You wouldn't know that she was that much older than me. She's beautiful. Wait, how old is she? Are she and I the same age? I am 44, so she just turned 60.
Okay, okay. Okay, tell us about the foreign object and a butt. Okay, so I went to Georgia Southern University and when I graduated, I was having a hard time finding a job. So I started working for a trucking company and my dad was not happy. He was like, I want you to be a teacher. I want you to do something that you can fall back on. So I decided to go to nursing. I went to a two-year school. I'm not going to tell you what state it is in, but there are ranges from 18 years old.
to like 50, people going back to school.
And I was so not wanting to do this in the first place.
But I get into the program and I have most of my math and science and all that stuff done.
They do clinicals, okay?
So in these clinical rotations, you start with geriatrics, then you go to med surgery, you progress.
Wait, can I ask an inappropriate question?
Yeah.
Do you start with geriatrics because they're expendable?
Like, if you fuck up, they're already at the end?
I think most of it is because it weeds out.
You're wiping so many bucks.
and you're taking out garbage and you're doing a lot of stuff that you don't necessarily do as an RN,
but you do need to know how to do it and you really should do it.
So it kind of warms you up.
But my second rotation, which is the first in a hospital, is at this low-income area.
The very first day, they have us come in at 5 o'clock in the morning.
And you don't actually technically start until 7 a.m.
But because it's the first day, you have to go through orientation.
And they're telling you about OSHA and HIPAA and all that kind of stuff.
And they're very professional and say, hey, this is a low-income area.
You're going to have some people that come in with a ear ink.
And you're going to look in it.
And it's going to be a roach.
It's going to be a spider.
Oh, my God.
That just made me so itchy.
Monica just threw her headphones out and dug in her ear.
I just felt like there was a real spider.
Look in your cup for a mouse.
Stop.
Oh.
Mines, bugs.
Snake in your butt.
Be careful.
Oh, is that where this is going to go?
No, thank God.
And they're also like, hey, you're going to get all different kinds of patients.
And it is what it is.
This is not a fancy place.
This is not going to be comfortable for you.
So we go upstairs around 6.30 in the morning.
We meet our nursing precept for the first time.
There's five of us nursing students.
And they hand you your patient for the day.
And it's your very first time.
First time in scrubs.
It's super uncomfortable.
I don't know where anything is.
Yeah, are you excited or scared?
I was panicked.
So they hand you a patient and you only get one at your first day.
They don't overwhelm you, but it is still overwhelming.
You're getting their patient history.
You're getting their medications.
You're getting all the information that you need to know about this person.
And then you go sit down and you write down their medications and what the side effects are and all this stuff.
So I'm watching all these people get their patients.
And it's like one page.
I have five pages of a medical history.
on an 83-year-old man, I start reading and I get to the final page, and it's for an object,
near the seacum all the way up there.
Wait, what's this seacum?
It's been a long time, but I think there's like five levels to your intestines.
Your first one is your sigmoid, and then it kind of goes around and around and around,
and your seacom is pretty close to your appendix.
Because I'm an older student, my brain doesn't go to, oh, this is something he swallowed.
I automatically go, this is sexual.
Church.
I get that a nurse has to deal with all this stuff.
But as a student, I'm like, no, no.
First that bad.
I knew it wasn't a joke, but I'm like, are they trying to fuck with us?
So I go to the nursing precept, and she doesn't know me.
She looks at my name tag, and she's like, Kristen, are you kidding me?
It's your first time ever.
And I was like, oh, okay.
And I'm panicking because I'm, like, trying to do this for my parents.
Oh, no.
So I go into the room for the very.
first time. He's laying down, again, 83 years old. He looks completely healthy, but he's half
asleep, and he doesn't want me in the room. And the first thing that you do as a nurse when you go
into a room is a head-to-to-to-to-testment. And the last question I ask him is, on a scale of
1 to 10, where are you at? And he goes, I have a bike handle up my ass. Why would you ask me that
question? He's pissed at me, and I was like, I'm so sorry if there's anything.
I can do to make you more comfortable.
Let me know.
And he's like, they already gave me my meds.
Because he was in so much pain, they had given him meds overnight.
So I end up going into his room over the next couple of hours.
And he warms up to me.
He's just an older man that's grumpy, but he is like a grandpa.
Anyone would be grumpy with a bike part up there as, probably, yeah.
I kind of agree with him when he said, why would you ask me that?
I didn't know what it was.
In his page of history, it just said for an object near,
seek him. And then he warms up and he basically starts telling me every time I go in the room a
little bit more about this story. So he ordered a magic bullet online. Do you know what I'm talking
about? To hold cocaine in? I'm like, what? It's a vibrator. Oh, oh, oh, yeah. It was too small for him.
So he decided to go to his bicycle, take the rubber handle off of it and put the vibrator into it.
To give it some girth? To fill it out. Right. So he takes it, puts it in the bike candle. It gets lost.
Oh, my God.
He has a bicycle because he cannot drive.
He either uses his bicycle or public transportation.
Well, the hospital was too far for the bicycle.
He was so embarrassed that he decided to wait until the battery died.
Oh.
What?
Wow.
Hold on.
Let's just comprehend his.
Hold on.
So it's going off inside.
He lost control of it.
I hope he at least had some enjoyment.
I wonder if while he's panicked.
Every now and then he's like letting in little rays of pleasure.
And how long does a battery last with a vibrator?
My last pretty long.
Me too.
But if it's going non-stop?
Maybe four hours?
I don't know.
Rob asked chat how long a magic bullet.
I'm going to take a couple weeks off and I'll get back to you guys on a real fact check.
So he had to wait until the battery died, got on public transportation.
And basically the bike handle stopped and stayed in his seat.
Sigma went and the bullet just kept traveling.
He had to have surgery and he ended up being just such a great patient that day.
I did ask him because we ended up having this kind of relationship.
I was like, why?
You know, he said my wife died 20 years ago.
A man's got to do what a man's got to do.
Okay.
By the time they came in to get him for surgery, which was around 2 p.m. that day,
the nursing precept realized that I had not been kidding and it was not appropriate
for me to have that patient.
And she was actually extremely nice to me going forward.
So the experience of working at that hospital was awesome after that.
I highly recommend not going to a low-income hospital if you don't have to you, but the people
were awesome.
Yeah.
Oh, my gosh.
It's a happy story because you made a friend.
It's unfortunate for him, but one person's foreign object is another person's great start.
You know what they say?
But that was my very first day.
Oh, wow.
It definitely broke the ice as far as dealing with patients.
Did you get home and immediately call your dad and tell him?
A hundred percent.
Yeah, of course.
Of course.
Like, okay, I did what you wanted me to do.
And look where it led me.
I'm digging in some old-timers buns to find a magic bullet.
Exactly.
There's something also incredibly sweet about that story.
I know.
That's what I'm saying.
Yeah, I could see like an Alexander Payne movie where, like, there's an old.
He starts with that.
He starts at the store asking for a little bit shy to ask for the magic bullet.
But the real story is about the friendship.
Oh, well, Kristen.
That's a great story.
Yeah, we loved it.
It's rare that these foreign objects and butt are life affirming.
Make you feel happy and tingling.
You warm fuzzies.
I was happy to get to share.
I'm a huge fan.
Monica, you being from Duluth and my stepbrother and sister actually went to school with you.
One of them graduated with you.
What?
Every time you bring up Skad or you guys talk about the five.
I played sports and so yes, they had five A's on the shirt.
Thank you.
Yeah, and that was back when it was 5A.
I don't know now that they have like six and seven.
I don't know if they're fitting all that on, but I graduated in 99.
Yes, I'm so glad you're here to affirm me.
Well, this was so fun.
So nice to meet you.
Really nice meeting you, Kristen.
Thank you guys so much.
Have a great day.
All right, bye-bye.
Take care.
Magic Bullet Vibrator runs on a single AAA battery and can last up to 4.5.
hours of continuous use.
Did I guess four?
Yeah, you said four.
Yeah.
Now you charge them.
You don't have battery.
Well, no, there are still many that you put the thing in.
The rechargeable one lasts 49 minutes to two hours.
Okay.
Less.
But what's nice about your kind is you can leave the charger cord on it.
So you can pull it out of your butt.
No, but if it's too far up there, then it's just on.
I know, but you got the cord attached.
That's what I'm saying.
Use it with the cord attached.
And then if it gets up your butt, you can pull on the cord and bring it out.
The cord comes out, but she's still up there.
She.
You were like as ghosts.
You were his dog.
I know.
I'm in a room that has a light activator, so I have to wave it on every couple of minutes.
Oh, fun.
Sure, like those bathroom lights that go off.
Yeah, you can't see me in the fort.
And I know immediately you're a Monica super fan.
There's a friend sweatshers.
Has been worn.
I love it.
It's a Chandler and Joey sweatshirt.
Doing one of their silly boy things.
And funny.
Misunderstanding one another.
What fake name are we going to go with?
You guys can pick.
Rachel.
Oh, I'll take it.
So you're Rachel.
Besides unauthorized evacuation, this is our favorite prompt.
It's a fun one.
Do you know we've unfortunately we've never had, and I doubt we ever will have, unless
Rachel is that lucky person?
We've not had someone call that they themselves had a foreign object.
I do want to hear from the horse's ass one of these times.
Me too.
I really would commend their bravery and vulnerability.
And I would treat it very respectfully.
Unless they put a presidential Barbie, then that would be tough.
I will say this is not my only story of this.
Oh, you lucky girl.
Are you in the medical profession?
I am. So I'm actually in PA school right now, but I am a surgical technologist. So I actually work on the ORN. So I'm kind of the person that they call after the mysterious item has failed to come out in the ER.
Got it. Okay. Okay. You're really boots on the ground in this situation. I'm like elbows deep, literally. Oh, my. Wow. Wow. This is very excited.
To give you a little bit of background, I am a mom and I was trying to finish my bachelor, so I was working a lot of nights and weekends, working the odd shifts.
And that kind of requires me to do a little bit more.
So I was actually helping run the front desk.
So I get a lot of the phone calls.
So this particular weekend, I have a surgeon on call and he's a new doctor.
He's maybe been out of residency for like nine months, salt the earth, one of the most humble, kind.
surgeons I've ever met. I thought maybe he was going to be super arrogant because he was new and he wanted to
prove himself. Well, also all surgeons are arrogant. We've already discovered this. Yeah, they'll admit it
to you. Yeah, they have a little bit, but I'm pretty fortunate. I work with a lot of really,
really good people and he was just the best and was so kind to all of his patients. So he's on call,
and he gives me a phone call and I answered at the front desk and he's like, hey, I have an inguinal
hernia downstairs and I just am waiting for the skin.
And I said, okay, that sounds great.
I'll get stuff ready.
And inguinal hernias are a dime a dozen.
We do them all the time.
Where is that terror?
Yeah, where was the location of that hernia?
They're mostly in men because it's in your groin area.
Oh, there goes a light.
So they're kind of in the inguinal area because men's spermatic cord actually goes through
your peritoneum.
So sometimes that hole can get bigger and things can get down in there.
So I'm kind of like regular case, no worries.
And he calls me back and I'm like, we ready to go.
Did you get the scan?
And he was like, so I think I need to change the procedure.
So I'm kind of thinking sometimes it can get down until the scrodle sack, maybe the testicle came up.
And he was like, no, no, there's something in there.
And I said something in where?
Yeah.
Yeah.
What pray tell?
He's like, there's something in them.
And I don't think they know that it's there.
Oh, no.
He was like, I'm just going to come up and I'm just going to show it to you.
Part of my job is anticipating the supplies that we need because I scrub in and I help them.
So I kind of need to know what's going on so that I can prepare.
So he comes up and he pulls up the scan and I'm looking at it.
And this guy does have an inguinal hernia, which is what he came in to complain for.
but he also has this bright white,
which usually means it's metal,
eight to nine inch thing in his abdomen.
In his abdomen, not his rectum.
Well, so my first thought was,
did this guy get stabbed with like a shift?
Because I've seen a lot of scams
where things are stuck in people's rectums.
They're usually near the bottom.
Right.
This one was kind of off to the side,
not 100% on the bottom,
but far enough that my first instinct wasn't this guy stuck this up his rectum.
And he didn't swallow it.
So I'm like, okay, what are we doing with?
So we're trying to come up with a plan because we're like, is this a pen?
Is it a butter knife?
We're not 100% sure.
A wrench?
Yeah.
I'm like, I don't know what it is.
So I'm just going to prepare for everything.
And I said, well, how did it get in there?
And he said, your colon's kind of like a vacuum.
I guess he put it in there.
and then forgot about it in order for it to travel that far up into your colon.
And I was like, how do you forget?
Unless he just accidentally sat on it.
We're clearly all thinking for us putting an enormous thing up our butt would be the first time.
So it would be very memorable.
But you might be, if you do this 20 times a month all year, I guess, yeah, you might forget.
Yeah, because actually we can kind of relate to this maybe tampon.
Campons.
You would think how on earth could you forget you have a tampon?
Exactly, but you can.
At this point, if you have a sharp thing in your abdomen, we're not dealing with your hernia.
He went down.
He consented him.
We bring this patient up to the operating room, and we kind of get started.
And I don't want to get too gross.
This is my job.
So it's not gross to me.
But we open this person up.
When you say opens him up, you dilate his asshole?
or you've cut into him?
This one, because it was so far up,
we just do an incision right down the middle.
And at this point, we don't know what it is.
So we're kinderly feeling around.
It could be a bomb like in Grayson, Avenue.
Also, isn't it crazy that you can just open up a human and like feel around for stuff?
It's so weird.
It is.
We can even like move things out to get to things.
So we're feeling around.
We kind of feel where it is.
And by some miracle, this person hasn't perforated.
their bowel by having this thing in there because usually when you move around it'll poke through.
So we gently open it and I'm holding it open and he reaches in there. He's like, oh, it's slippery.
So I give him a clamp and he pulls it out and it's a screwdriver.
A screw I was on the right track. I was feeling mechanical. A flat head or a Phillips head?
So this was a specific headed screwdriver. Honestly, I went home and I told my husband I'm trying to explain it.
He was like, oh, this is an industrial wearhead.
We couldn't see the plastic handle.
And that's why we didn't know that it was a screwdriver because that didn't show up on x-ray.
Unfortunately, this man was unhoused.
So we figured he actually might be using the screwdriver to try and get into buildings to sleep in the wintertime and didn't want anyone to take it from him.
So that was kind of our conclusion.
Oh, my God.
That's a big leap.
That's a leap, Rachel.
You guys are medical geniuses, but this is a very bad detective theory.
Because you're giving a lot of benefit of the doubt, I have to say.
Also, there's a lot of places to hide a screwdriver before we go rectal.
Did you ask?
I did not ask.
The surgeon asked, but he was on meth.
You called the right person.
Okay.
It was a thousand percent sexual because the whole addictive quality to meth is once you pair it
with sex. It's turboed. So definitely he was on meth banging his prostate. I mean, there's just
no question. But then forgot about it? Yeah. Well, because he got distracted. On meth. I mean,
that's true, too. I was trying to be like, okay, this is very specific. You can't go buy one of these
screwdrivers at the store. Where'd you get it? Oh, no. It was probably rusty, too.
Well, I mean. Did you get him a tetanish? Yeah, that's what I mean. He needs a lot.
It was so covered in other stuff.
Ew.
Wow, man, a fucking nine inch.
That's a lot of metal.
Like when you're bending over, you're feeling that, it's insane.
It didn't cut.
That's kind of why I was thinking, how did he forget about it?
Because it probably had to be in there for a week or two.
Oh, my God.
Or maybe even more in order to travel up as far as it did.
Because your colon kind of goes this way.
but then at the bottom, you have a sigmoid quorum that's literally shaped like an S.
And it was above the S.
It went through the twisties.
It was actually really impressive.
Anything's possible.
Meth'll help with all that.
I guess so.
It loosened everything up.
It's one of the few benefits.
You can ignore quite a bit of discomfort.
When he comes up to the OR, he was the nicest person ever.
He's like, oh, hey, what's up?
Thanks for helping me.
I gave him the benefit of the doubt.
So I actually had the screwdriver cleaned with the rest of the instruments and gave it to
a surgeon to give back to him.
And the surgeon was kind of like, use with caution slash if you were storing it, maybe find
a different spot.
Wow.
If you were storing it.
It's quite a theory you guys came up with.
Oh, that's great.
Well, Rachel, that was delightful.
Thank you so much.
So I need to shout out my little sister, Nicole.
She was super upset that she couldn't skip work.
And then my other siblings, Kelsey and Ben.
we kind of have a sibling chat and we all listen to armchair and I got everyone hooked
and they were like, you have to submit a story.
And then we also did a poll for which one I should tell.
An embarrassment of riches.
Oh, a whole family.
I love that.
An embarrassment of riches.
Oh, wow.
That's good.
Okay, well, shout out to the family.
Thank you so much.
I appreciate you guys.
Bye.
Bye.
Take care.
Oh, my God.
You're in scrubs.
I just walked out of it.
the OR. I'm so sorry. Wow. That's great because we were a little late. It's amazing. We've never
talked to someone straight out of the OR. What if we had a real time? That'd be exciting.
Because you knew the surgery was going to take place at a certain time and you told Emma like, it would be
ideal if we could talk at 1155. Oh. Hannah, where are you other than the hospital, obviously?
I'm in Western Massachusetts.
Western Mass. And this hospital looks nice. The bed is like wooden. Have you ever been to Western
mass. The whole place is a storybook. It is. This is the call room. This is the best I could do.
It looks like you're in a civil war hospital. I know. I don't. I know. I know.
Wood is like really bad as far as collecting germs. But this is where the doctors hang and sleep.
I mean, we don't sleep here much. There's just no time. People have definitely fornicated on that bed behind
you. Rest assured. 100%. Yeah. Also, would you agree with me? And I say this with love and
fellowship. Nurses and doctors are perverts. Absolutely. Well, yeah, you're choosing.
You seem to get inside the body and deal with you.
So also, I'm a general surgery resident.
You're so smart.
I feel jealous and scared.
I want you to operate on me someday.
Okay.
What do you want me to do?
I'll just under whatever pops up, I guess.
Okay.
Parnia, gallbladder, appendix.
I'll take it out.
Also, I wanted to say my first patient of 2026 was a rectal for worn body.
That's not this case.
No way.
It's going to be a great year.
Yeah, that's good luck.
I walk in 5 a.m.
They're like, oh, do we have a case for you?
And it's not the one you're going to tell us.
This is.
I got the wrong job.
So my co-resident will call him KD.
He was on the night shift.
He gets a console from the ED rectal foreign body.
Okay, fine.
It's like 4 a.m.
He's almost done.
And he's like, okay, I'm going to go take care of this.
So ED calls and says, I've got this patient down here.
About 50-year-old guy came into the ED with abdominal pain.
He's hemodynamically stable, but he's had a pair stuck in his rectum for eight hours.
A pair?
The pear, the fruit?
A fruit.
The pear with a stamp, you know, just a pair.
I get it.
It's a little bit calling.
Oh, my God.
Stop saying you get it.
I get it.
You've been getting all of these.
The pair is very inviting.
Think about it.
Not for butts.
Sure, because it's a little narrower at the front.
Okay.
Okay.
Okay.
Never mind.
You're disappointed.
Inserting wise, I guess.
Yeah.
Yeah.
It's nature's butt plug.
Okay.
There you go.
Okay.
Okay.
Yeah, so I'd been there eight hours and he was having abdominal pain comes into the ED.
So the ED had gone in X-ray to see kind of where the pair was to see if there's any free air.
And really quick, did the patient say, hey, it's a pair or from the X-ray in the pair shape, it was concluded it was a pair.
The patient said there is a pair.
Wow.
Sorry, I got to add one more thing.
Sorry, Monica.
Like my just grab the bridge of her nose.
I just want to hear it.
I know, I know.
You got to be really careful when you're using a pair because if you've eaten a lot of pairs,
you know when they get ripe, they get so soft.
Like, he definitely was using an unripened pair because you can just put your fingers through it on an accent.
Like, those pairs get so tender when they're ripe.
I mean, we had somebody else on earlier who had a vibrator, a magic bullet up there,
and he was respectful enough to wait till the back.
battery died before he came into the hospital. So I'm surprised that he didn't just, like,
I'm just going to wait until this disintegrates in me. He was in pain, though, right? It was the
pain. And also my first case was a vibrator this year. Oh, wow. Okay. And it had died. So,
anyway, they got an x-ray. Okay, it's in there. There's no free air, meaning unlikely that it's
perfed. CT is a lot better for looking for free air, but it wasn't indicated. He's hemodynamics
dynamically stable. So KD, he goes down to the ED. He evaluates the patient. Guy looks okay,
gets the story, goes to grab some supplies to try and get the pair out. To give the patient some
medication, they can't do full sedation in the ED. They can just kind of relax them a little bit.
And he gives it a shot. He does the Foley catheter, inserts the fully past the pair, blows it up,
tries to pull it out, but it's slipping past the pair. He tries reinforceps. These are it. I brought them.
Oh, are those the exact ones?
used? They're the exact size he used. But not the pair. Yeah. I mean, oh, the pair. Wow.
Double entendre. The pair was not ripe enough. It was like slipping off. The guy's rectum was getting
a little bit irritated. So they got another x-ray. He's still stable. X-ray still looks fine, but the
pair is still in there. So next step is KD has to call the attending surgeon. So as residents,
we have to staff consults with our attendings. And if there's someone that needs to go the
OR, we have to call them, let them know it needs to go the OR. Going to the OR, going to the OR,
for a rectiform body doesn't necessarily mean you're getting an operation. It just, you can use more
sedation. They can monitor the airway, make the patient more relaxed. Do they have a speculum for the
anus? Like, is there a way to get in there and spread the whole thing out? There are anal dilators.
It's like a speculum. I've also used an actual speculum. So we're all rolling in at like 5 a.m.
For our shift, and we hear Katie on the phone calling in this console like, hey, I've got this guy in
the ED. He's got a pair stuck in his rectum. I've done everything I can.
can't. Like, I can't get this pair out. The attending has a full day of cases. So he's like,
okay, I'll call the OR, see when they can add it on. It's not an emergent case, but it needs to be
done. So they added on after his second case, the guy gets prepped and is taken to the OR. So he goes
on his way. This is where I come into the story. So I was in the OR, drop my patient off in Pacu,
the recovery unit, and I head over to the OR board, see what's going on, see what other cases have
been added. And then one of the anesthesiologist said, hey, they need you an OR5 stat. And it's like,
oh, funny, ha, ha. That's where the pair was? And then someone comes in and I was like,
where is my intern? And then they're like, oh, he's an OR5. They've been in there for what feels like
forever. They've got to be done. So finish up what I'm doing. Still not back. So I'm going to go
check out the situation. I wasn't really prepared for what I saw when I walked in the room.
So the patient's in lethotomy position, which is when you're giving birth.
your legs are like up in the stirrups, which isn't abnormal.
Like when we're doing rectal surgeries or we're down in the pelvis, it's very common
to be in that position.
My intern, particularly stand up, he's on the side of the patient, like pushing down on
the abdomen, trying to like squeeze it out.
Yeah, like some counterpressure.
The attending's at the foot of the bed.
He is trying everything he can't.
He's so frustrated.
Like they have the anal dilators.
They have the speculum type thing.
They're trying to like get out with.
Everything's just like slipping past or they can't get to it.
If this was an episode of Gray's Anatomy, this is what they would do.
I hope I'm not spoiling the story.
But they would take a teeny tiny mouse, okay?
And then they would stick him up there.
Okay.
Because then the mouse would go eat it.
Oh, but then they'd have a fat mouse to get rid of it.
You'd have to keep the tail attached to something.
Exactly.
You have a handle on the mouse's tail so you're able to pull him back out.
But he goes up there and eats some of the pair.
Is it not a kind of good idea?
I think it's a great idea.
Thanks.
I have a different one.
I just want to throw one out there.
So now we'll have competing theories.
I think you need to screw into this pair.
Now, obviously, it's going to be very dangerous to try to get like a wine screw in.
But if you could see it directly, if it was that dilated, and you could get a wine opener in there.
You could bear into it and then pull it out.
But what if you push it further up?
Well, you'd have to be real delicate, screwing it in.
Okay.
We have the counterpressure.
We have the attending service.
at the foot of the bed. There's another resident scrubbed. The scrub tech, the circulator nurse are both
just dead inside. Everyone just wants this pair out and they cannot get it out. So I started walking
towards the end of the bed and my chief resident is in there and he's like, hey, what size are your hands?
Oh, yeah. So I hold up my hand. He holds up his hand. My hand is like half the size of his hand.
He's like, okay, you want to give it a try? Oh, boy. So I look at the attending and I was like,
I can give it a try.
He has lost all hope.
They're about to open this guy up.
He's like, sure, okay, fine, give it a try.
So I scrub in, I get my gown on, get my gloves on, and grab a big pile of loob.
I'm like this far.
And I go in the rectum.
I'm like this far.
Oh, my God, to your elbow.
So you can never got a wine screw in there, no way.
No, it was pretty far in.
So I'm in there.
I grab the pair.
I have the pair in my hand and I try and pull it out.
And I get stuck on the pelvic green.
Like my knuckle holding the pear, there's not enough.
room. I was like, there has to be enough room. Somehow, I adjust my fingers.
Oh, you're a hero. Did people cheer?
They literally cheer. Yeah. So as everyone's cheering, I realized I felt something at the tip of my fingers
when I was in there. Uh-oh. And so I go back in. Now you're just doing it for fun. Now you're showing
off. The pair was kind of tattered from all of the attempts. So I was like, it was probably just a piece of
pair that had like flown off got like pushed up and I grabbed it it's perfectly round.
I thought this is probably just a stoolball.
Sure.
Ew.
I love that.
That's cute.
So I pull it out.
It's a Clementine.
Oh, it's a fruit salad.
Oh my God.
He's just missing peaches.
He's just sticking up so many fruits up there.
I bet his ass smelled wonderful.
Ew, but when fruits turn, ugh.
Didn't tell us.
anyone about the Clementine.
Oh my God.
A Clementine.
That is wild.
Well, you must have thought I should go up for a third time.
Yeah, exactly.
You did.
You pulled out a banana.
Strawberry.
Banana.
Okay, because now you thought he was so smart with the pair because of the shape,
but not the Clementine.
That's just a circular object.
It does unravel my original argument.
Yeah.
But why didn't he use a banana?
Like, if you're going through.
Too easy.
Amateur hour.
He's like, been there, done that.
Yeah, BDDT.
Wow, fruit salad.
Do people buy you a drink after work for this kind of thing?
No.
I think they still probably owe me one.
I did get applause throughout the day.
I'm now known as Tiny Hands.
Oh.
Oh, that's great.
Can I do one honorable mention that I was not part of this case, but I wish I was.
It was a pool noodle.
Oh, my.
No.
How?
Oh. People are so creative.
So they cut the pool noodle, obviously.
Full circle.
Full circle.
Yeah, but they're three feet long.
In fact, I bet that's what happened.
He was using it and then it broke off.
He's probably holding on to the big end of it, you know.
Jesus.
Why do you understand these brains so well?
Seems all very natural and organic to me.
It's all intuitive.
Oh, wow.
This was fun.
Oh, I loved this.
Thank you.
I have to do a shout to my husband.
He was a for sure day one.
Terry. I wish I could say I was the day one, but he was day one and they got me hooked.
Oh, so you got a genius on your hands. I do. Yeah. I guess you both do. A couple of geniuses.
Lovely meeting you, Hannah. You too. Thank you so much. All right. Bye. Bye.
You're in a hospital too. Yes. Yeah. Oh, we love it. We do. This is our second person on the scene.
It's hard to get days off in respiratory season. That's for sure. Oh, my bad. I heard about the bad
Is there a bad flu? Yeah, there's a bad flu, right? What's the name of it?
Flu? Flu?
Flu? Comma bad. I think it's like a K variant, but I don't remember the name of it. It's bad. We don't like it.
What name are we going to use? I don't care. You guys can pick one for me.
I'm going to say Debbie.
It's a great choice.
What if you go, no, you got to pick another name. It's my real name. No, she goes, that's my real name.
I know it's not. Okay, so Debbie, you're in the medical profession, unless you borrowed someone's stethoscope for this.
I'm currently in the on-call room of the hospital where I work at. I'm a ERPA. This story takes place
about six years ago just before the pandemic. I used to work the night shift and the shift that I worked.
When I went off shift, I was just leaving the doctor alone, right? So as I'm going off shift,
if there's an ambulance coming in, I tended to wait to just make sure that the doctor wouldn't need help with the rest of the other patients in the department or whatever's in the truck.
So we get this patch in from the ambulance and they say, mail,
In his 50s, stab wounds, a lot of blood loss.
Vital seemed pretty good.
So that's obviously something I'm going to stay for because the other piece, right,
is I work in very rural Vermont and New Hampshire.
Stab wounds, gunshot wounds, I'm normally seeing man caught under a tractor or like cow at a car.
So that's normally what I'm seeing.
So when I heard stab wounds, I'm like, okay, like this could be really bad.
I'm going to stay and help out the dock.
As the stretcher comes in, the first odd thing is the gentleman is on the stretcher in the fetal position.
They're normally on their backs.
And I'll never forget, I've not even seen this since.
There was just blood pouring off the stretcher.
Oh, my God.
So we get him settled in the room.
For the volume of blood loss that we're seeing, it's remarkable because this guy,
his vitals look great.
He's doing okay.
He's talking to us.
Is his blood pressure low?
Blood pressure is a hair low, but he's mentating great.
He knows where he is.
He knows who he is.
He's able to tell us the story.
Thank goodness, because we're like, what the heck is going on here?
Does mentating mean he's mentally sharp?
Yeah.
Oh, that's a new word for us.
Context clues.
Did you know what mentating meant?
I mean, we figured it out, but it's a great new word.
Also sounds like menstruating, very close.
Similar.
And he was bleeding.
Okay, continue.
Yes.
So this gentleman in his 50s, his wife went out of town, was out for a couple of days.
They shouldn't do that.
Men need that external brain, unfortunately.
She's gone.
He's like, I need to explore this kink of mine that I've had.
for years that I don't want to talk about with my wife.
And being a man in the small town can't go to a sex store, obviously.
I don't know if six years ago he didn't think he could have delivered in a discreet box
or what it was.
But he was like, I'm going to use an item from home.
Looks around his house.
They own a dog.
So he finds one of those Kong toys.
Are you guys familiar with those?
Is that the can you fill with peanut butter or something?
It's like shaped like a bee fries almost, big rubber.
It's a butt plug.
Yeah, and like much wider at the base.
And then you can stuff things inside of it.
So this guy thought, okay, can't find a sex toy.
I want to try this.
And it's really smart because there's a hole in it.
So I'll be able to grab the hole and pull it back out, right?
He was thinking something's through.
Yeah, no, this is like the most thought I've ever seen into a rectal porn body.
So this is great.
So far.
He puts it in as the butt does.
It kind of suction it right up, right?
And kind of took it a little bit further up.
So he was no longer able to reach it.
Wife calls.
She's on her way home.
Oh, really?
Yes.
She sensed it.
So he's like, I've got to get this out right now.
Oh, my God.
So he gets some grill tongs.
He tries some tongs.
He tries a hand, right?
He tried like a vacuum cleaner at one point.
Oh, he's a smart guy.
Yeah.
Tries a lot of things.
Engineering, right?
He's panicking now.
And so he finds a knife.
And he says, if I hear it, I'll be able to pull it right out.
That's one step away from if I take a shock on I can blast it out.
He's so panicked.
It's also like a comedy set piece.
It's like he gets this thing in.
It goes sideways.
Now the wife calls.
It's like the stakes are building.
A knife.
A knife.
So this poor gentleman, at least did not get the knife stuck in there.
But the Kong was still quite lodged in there.
We obviously weren't able to get out.
We ended up flying him to a trauma center where he had to have all that repaired.
And he ended up with an ostomy.
What's that?
They rearrange your intestines and you have the hole on the front with the bag.
Oh, my God.
He was not.
longer able to use his rectum.
That's not called a colostomy?
Colostomy is coming out of the colon.
The ostomy is like the actual hole.
Oh, kind of like a stoma.
Yep.
So he's just stabbed himself a bunch up there.
Sure did.
And then the wife comes home and there's blood everywhere.
I like to keep these comedic, but I do have to explore how sad this is.
Like shame is so powerful.
I know.
Not only did he not want to tell his wife, now he's got a fucking colossomy bag.
I know.
He's got to tell her the whole thing.
And he's in all this damage out of fear of shame.
I know.
Just saying what you want.
I want to feel something against my prostate.
You're not a weirdo?
That's fine.
Right.
Did you guys have to pump him full of blood before you transported him?
Yeah.
So he got transfused with blood and fluids.
I don't think he ended up needing any medications to, like, keep his blood pressure
elevated.
He actually compensated really well.
That's like a huge thing I remember about is like he did great with a lot of blood loss.
Well, the adrenaline of getting caught and the trouble he was.
Was the wife at the hospital?
The wife did not come.
No, I don't know if she met him at the trauma hospital later.
Oh, I hope she was kind to him.
Me too.
I mean, she's probably dealing with a lot.
That's a lot to process.
You know, you come home and your husband.
Hey, now.
That is a lot to process.
It is a lot to process.
And he's bleeding out because he stabbed himself in the butt.
And then you feel guilty because it's like, why didn't you just tell me?
But you know why I didn't tell you.
That's horrifying.
Debbie.
Yeah, that was the first time I had ever seen that in the ER,
and it's definitely been the worst time I've ever seen it, too.
All the other stories are a little bit lighter,
but that one was a heavy hitter,
and that's the first time I ever saw that.
Now, if you had to give a ballpark to how many rectal form bodies
you've had in your career, how long have you had this job?
Seven years.
I've been in the ER.
And so in seven years, if you had a ballpark,
how many of these you've experienced?
How many would it be?
I'd say probably like three a year.
Okay.
years are 21. That's a lot. It's a lot. And she's in a rural area. Yeah, the volume's pretty low.
Wow. We learn a lot in these. People are doing this. This is not a one-off. This is a feature,
not a bug. Anywho, oh, Debbie, thank you for that. Thanks for sharing that. Yeah, yeah.
My pleasure. Yeah, thanks for having me, guys. It was so great to meet you. Yeah, you too. Truly,
from the bottom of my heart, thank you so much for what you do. Yeah. The things you're dealing with.
I know. And you just do it. You don't even. You don't even. You don't even.
even blink and...
Soldier on.
It's really,
it's really impressive.
Thank you.
Take care.
Nice meeting you.
Bye.
Another fun one in the books.
You know,
I wonder if this prompt
encourages people to do it
or scares people away from doing it.
I don't want anyone to listen to this
and try it and then they end up in the hospital.
Okay.
I don't either.
Okay.
Okay.
Okay.
All right.
I love you.
Okay.
I love you too.
Bye.
I want to tell Kristen to not buy any pairs.
Don't go out of town,
dollar whatever you do you do not go out of town or if you do take all the knives and the pairs all right love
you do you want to sing a tune or something or a theme song oh okay great we don't have a thing song for this new show so
here I go go go we're gonna ask some random questions and with the help of our cherries book and
suggestions on the flyer rhyme dish on the flyer rhyme dish
Joy.
