She bit a chunk out of her tit…

No, I am not exaggerating with the title. My patient from last night bit a chunk out of her own tit…

I write about several different aspects of my life. Stories about the wife and I. Stories about being a mom. Stories about being in recovery or being gay…but I truly enjoy telling stories about interesting encounters in the ER.

So I am in the fast track yesterday. The nurse patient ratio is 4:1 and these patients are supposed to be “in and out”. That is never the case but it is what it is. Anyways, I see on the tracking board that I am going to get an ambulance into room 24 from the local jail. I don’t mind prisoners; never had. They are sometimes nicer and more interesting than the majority of people I come in contact with. Who gives a flying fuck that they broke the law; they still need health care. Unless they are child molesters.; then they can rot.

So the EMS crew bring in the prisoner on stretcher with 2 correctional officers in tow. I see the face of my new patient and I instantly recognize her. She is a frequent flyer in our ER. She is 5″6 and about 220 lbs. She is only 25 years old and has spent the majority of her 20’s in jail. She is a true psych patient if ive ever seen one. Her story?? She likes to self harm by putting anything in her body that she can get her hands on.

One time she was in there because she stripped lead paint off her cell and shoved it into her vaginal canal. Another time she managed to get her hands on a screw and 3 bolts and swallowed them down like Sunday brunch. She is definitely determined.

So instantly I am intrigued to find out what she has hidden away in her cavities today!

This time was a real treat though.

She is placed in maximum watch in the jail. This means she has to be observed by staff every 15 minutes and is isolated from everyone. She is not allowed to have any utensils of any kind within reach. However, this does not stop this young female from self harm.

I begin my assessment the second I lay eyes on her. First thing I notice is that she has blood seeping though the chest portion of her jump suit. A significant about of blood I might add. She is holding pressure on her chest and has a grimacing look that indicated she was in significant pain.

I walk into the room and introduce myself even though she already knows my name. I ask her, “What happened this time??” Her response was, “I bit my boob.”

Now from the amount of blood on her clothes I was curious to see how bad could someone bite their own breast tissue. I have the male CO leave the room and I ask her to to open her suit to expose her breast. With her one uncuffed hand she begins to undress. She pulls out her size F cup breast and lifts it up to show me her wound.

This was no simple bite. Her teeth had sawed into several layers of breast tissue. There was a golf ball sized chunk missing from her tit. The site was oozing with blood. I also notice a smaller bite on her left breast that was clearly infected as well.

Holy fuck.

I see some pretty interesting stuff on a daily basis at my job but this was my first human bite wound. The NP comes in the room to take a look. She is just as shocked as I was. Anytime pressure was applied to the top portion of her boob, blood seeped out soaking chuck after chuck. There were only 2 options. Surgery or suture.

I have never seen sutures placed on breast tissue until yesterday. It took 10 sutures to close the gaping hole. The NP did a really good job I must add. The whole time this is going on, the inmate is completely unphased. She is simply speaking about this incident as if she’s talking about the upcoming Super Bowl. It was quite remarkable.

This girl found a way to hurt herself that no one can take away from her.

Her teeth.

Its not like the CO’s can remove her teeth from her face and say its for her own good. I wonder if she found a sense of accomplishment after devouring her own tit. Don’t get too excited. She didnt actually swallow the bite, she spit it out. I asked.

Damn.

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