Category Archives: Surgery

Removing Microdermal Implants, A Photographic Tutorial

A couple of years ago, I first started to see microdermal implants in my jail patients.  This is, of course, jewelry that is implanted in the skin.  These have become so popular as to be almost universal.  If you work in a jail or prison (or even if you have looked around at your local grocery store), you certainly have seen these.  Microdermal implants can be problematic in correctional settings, because they cannot be easily removed like the older bolts and rings.  Microdermal implants are imbedded in the skin, and removal requires making an incision to extract them.

But in corrections, even though it is difficult, microdermal implants often must be removed, either as a security issue or because the patient requests that they be removed.  Nowadays, these implants are so common that all correctional practitioners really should know how to deal with microdermal jewelry.  But most of us were never taught how to do this in our training!  I certainly never learned about these in my residency training.  Such a thing would have been inconceivable back then.   Cutting edge fashion in those days was long hair and grungy jeans!

So I was grateful when an opportunity for education presented itself recently.   A friend of mine asked me if I would remove two of her micro dermal implants and kindly consented to have the procedure photographed.  Todays JailMedicine post is a photographic tutorial on how to remove microdermal implants.IMG_0793 Continue reading

Hernia Repair in Corrections: Now? Later? Never?

For most medical conditions, incarcerated inmates receive care that is equal to, if not better, than what is available to the average American. I think so, anyway. Often, in fact, inmates have easier access to medical services and receive even more attention and more care than their un-incarcerated counterparts.

For some reason, though, one exception to this general rule is hernia repairs. Some correctional facilities seem to have a policy, whether official or unofficial, that they will not approve hernia repair unless they absolutely have to.

Instead, I will argue that repairing hernias early in their course is both good medical practice and also cost-effective medical policy. Bonus!

hernia alert

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