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The Columbia College Board of Trustees has unanimously selected Dr. Scott Dalrymple to serve as the 17th president of Columbia College.
"This is the most exciting time that I have ever had at Columbia College," said Dale Simons, trustee of the college and a Christian College alumna. "We made history today. It was the most transparent and thoughtful process that I have ever experienced, and we're going to be so proud of our new president."
A well-attended public introduction for the faculty, staff, students, alumni and community members to meet President Dalrymple was held Wednesday, Jan. 22, in Launer Auditorium
Dalrymple grew up in in a small town in the western part of upstate New York.
"I came from hard-working people, but that hard work didn't necessarily get you anywhere," said Dalrymple. "The way I made it out was through education. To say that I take it seriously and hold it sacred is a great understatement. It has changed my life so profoundly … I just can't convey it to you."
Because of that, Dalrymple said, he wants to help champion those who need someone to champion them. That's something he believes he will be able to do at Columbia College.
Dalrymple said he takes serving all of the college's constituents seriously. It is noble to serve students, from the freshman straight out of high school to the military servicemember to the working parent, he said. After working in traditional liberal arts and sciences colleges and spending the past four years as a dean at Excelsior College, an online-only institution in Albany, N.Y., Dalrymple said he wants to do everything in his power to ensure that the main campus and the adult-serving operations thrive. In fact, it's one of the reasons he applied for the job.
"The primary appeal of Columbia College is the fact that it's the best of both worlds as far as I'm concerned," Dalrymple said. "It has the traditional world, which I frankly miss. I miss being in a room of 19- and 20-year-olds, some of whom will actually listen to me. At the same time, I don't know as I'd be interested in just a traditional institution, because I wouldn't be leveraging the things I've learned at Excelsior."
When asked by a student what he would like to accomplish in his first two years as president, Dalrymple said he wants Columbia College to be part of a solution in the country. With so many different parts to it, the college understands higher education and can do more than just recognizing that there is a problem, he said. It can help the country actualize change.
"It's difficult for me to stand up here and tell you what's great about Columbia College," he said about how he might make the college stand out in the community. "It's not that I have no answers; I've thought deeply about it. But I think the better answer is to say that I think that's exactly the question that we need to sit down and figure out ourselves."
In his personal life, Dalrymple enjoys reading, writing, sports and science fiction. He has a Ph.D., a master's degree and a bachelor's degree in English. For his postgraduate degrees, he specialized in Mark Twain, Shakespeare and turn-of the-century American novels. His doctorate dissertation was titled "Capital Fictions: The Business Novel in America, 1880 – 1910." Dalrymple also holds a master's degree in business administration.
Though he was mainly a professor of business administration, his favorite course he taught was fiction writing. As dean of Excelsior College, Dalrymple encouraged the creation of English courses on zombies, and later, a course about vampires.
"If you think about zombies, there's a literature component to it, there's an epidemiological component to it with how diseases spread, there's a lot of sociology content in what happens in a huge natural disaster like zombies chasing you, and you can really get into some fascinating and deep discussions about things," he said. "Plus you get to watch 'The Walking Dead.'"
He also writes science fiction of his own. In 2010, he received "Realms of Fantasy" magazine's Readers Choice Award for "Queen of the Kanguellas." The short fiction piece is set in mythical Africa and features sorcery and a tribe of fabled Kanguellas, which are led by an immortal warrior queen. He co-authored "Time Mastery," a book on leadership published by the American Management Association in 2005. He also has published other works of fiction in "Fantasy and Science Fiction" magazine. Read the magazine's interview with Dalrymple about those stories.
Activities outside literature and the college include watching sports, specifically the Buffalo Bills, and playing video games.
Dalrymple's wife Dr. Tina Dalrymple has her Ph.D. in nursing with an emphasis in rural populations. She is a tenured professor at Hartwick College and a nurse practitioner in a school-based health clinic. Between the two of them, they have five grown children. Because their children are all out of the nest, Dalrymple and his wife are looking forward to immersing themselves completely in Columbia College, from faculty/student volleyball games to attending college events.
Dalrymple said the proper role of the president is to cheerlead. He will read anything a faculty member writes. He will brag about our sports teams. He will encourage students, staff, faculty and everyone to go for greater.
"Tina and I both are looking for a place to just pour ourselves into," he said during the faculty forum. "You're going to see us at your students' recitals and games. If you invite me to your class, I'll come. We like that stuff. That's why we're here."

subset: commoncrawl


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In my fantasy world I live in a beautiful house on the beach. I love the ocean air - always have - and while I have lived in many places where the ocean was within sight of our place, it was not directly on the beach. In my fantasy I wake up in the morning to be greeted by the warm sun streaming through the large windows and swaying lush green palm trees dancing in the gentle warm breeze.
The ocean is not blue it is turquoise and emerald and the sands are pure virgin white. On the weekends we have picnics and barbecues on the beach with the children building huge sand castles and the adults laughing enjoying the carefree atmosphere.
In the evenings Tom and I sit on the patio to enjoy the sun dip into the horizon leaving a burst of red in the skies. The house itself is elegant and has the feeling of ocean everywhere, where the interiors are done up in sea and sand colors in blues and whites. Just like the ocean there is a lot of open space with the transition from one room to the other with as few walls and doors as possible. In my fantasy world I would probably be able to afford James Radin to do the interiors in one of his designs!
If I was asked where on the globe my fantasy house and beach is, I would probably say the Maldives or the Caribbean. I've never been to either of the places but from what I have seen I imagine it would the perfect place that fits into my fantasy world. They've got the lush green palm trees, the piercing turquoise seas and the white beaches - and they've got the food I crave for in both my worlds.
I have been smitten by the Caribbean cuisine, in particular, so I would probably decide to move there! It includes all my favorites, seafood, chicken and steak, all prepared with the flavorful and colorful ingredients of the islands. Popular dishes include coconut shrimp, jerk chicken pasta, chicken kabobs, ribs with guava BBQ sauce and Key Lime Pie.
Caribbean cuisine is like a cultural kaleidescope, each turn brings on a new flavorful dish, which represents the plentiful bounty of the islands' lush tropical vegetation, combined with the one or more diverse groups of people that have lived there. The cuisine is influenced by the Spanish, British, French, and Dutch settlers, as well as Africans, Indians and Chinese, so you see why I call it a kaleidescope!
My own dish for this session of Caribbean Cooking for the Monthly Mingle is of a dish I really love to prepare in the summer when the grill is out! The jerk style of cooking is native to Jamaica, where meats like beef, goat or chicken are dry-rubbed with a spice mixture called Jamaican jerk spice. The jerk seasoning usually contains allspice and scotch bonnet peppers as the main spices and cloves, cinnamon, nutmeg, thyme and garlic as additional flavors. The meat is typically barbecued over charcoal, which gives it that famous "burnt" look.
In my version I put the jerk spice mixture together myself and marinated the chicken breasts in the marinade overnight. As currently in my part of the world it is freezing and the grill has been stored away for the winter, I decided to pan fry the chicken - something I would not do in my fantasy world as I would always have the grill out! The chicken turned out simply fantastic and had all the moistness and gorgeous aromas of the spice seasoning. I used the marinade to make a thick sauce and served it with a side of roasted sweet potatoes, corn and bacon (recipe below).
The meal was more than delicious it was pure ecstasy and truly satisfying. The mixture of all the spices was powerful and by no means overkill - on the contrary they all were in perfect harmony. It's a fairly easy dish to whip up and for the incredible flavor we got, worth making the spice mixture from scratch.
Extended Deadline
Judging by the amount of entries I have gotten to date I am thinking that this mingle is a bit challenging for some, so I am extending the deadline to Friday 13th! I also made an effort to look through a few cooking sites to see what they had on offer for Caribbean cuisine. Here are the lists:
I hope that these recipe lists give you a few ideas to cook up some great Caribbean food and bring it over to the beach party for a great mingle. Right now the party food is looking good but we could use a lot more! Don't forget each entry has a chance to win Cynthia's first cookbook - My Caribbean Cookbook!
Recipe: Jamaican Jerk Chicken
Printable version of recipe here.4 chicken breasts, fat trimmed
60 ml + 2 tablespoons olive oil
65 ml soy sauce
170 ml white vinegar
115 ml orange juice
Juice of 1 lime
2 teaspoons salt
1 teaspoon freshly cracked pepper
1 medium sized onion, chopped
1 Scotch bonnet pepper, finely chopped (I used a normal red chili)
1 tablespoon dried thyme
1 1/2 teaspoon ground sage
3/4 teaspoon ground nutmeg
3/4 teaspoon ground cinnamon
2 cloves garlic, chopped
1 tablespoon ground allspice
1 1/2 teaspoon cayenne pepper
3 spring onions, finely chopped
Salt and freshly ground black pepper, to season
- In a large bowl combine thyme, allspice, black pepper, cinnamon, sage, cayenne pepper, salt, nutmeg, garlic powder and sugar.
- Using a wire whisk, slowly add 60 ml olive oil, soy sauce, vinegar, orange
juice along with the lime juice.
- Add the scotch bonnet pepper, onion and the green onions then mix well. Pour some of the marinade into a separate bowl, cover and refrigerate.
- Place the chicken breasts into the remaining marinade, cover and marinate for at least 1 hour, preferably overnight.
- Heat 2 tablespoons olive oil in a skillet on high. Remove the breasts from the marinade and cook on each side until dark brown, lower the heat and continue cooking until the chicken fully cooked. While you are cooking, baste the chicken with marinade. Season to taste.
- Heat the left over marinade and simmer until thickened and serve on the side for dipping.
Note: This recipe is not as hot as you would find in Jamaica. It is my variation of the traditional dish created for kitchens around the world.
Tip: If you want it more spicy hot, you may want to double up the quantity of the dry spices for a more authentic flavor.
Recipe: Roasted Sweet Potato with Corn and Bacon
Printable version of recipe here.2 large sweet potatoes
1 medium onion, chopped
150g bacon cubes
200g sweet corn kernels
Olive oil
Small bunch of mint leaves, chopped
Salt and pepper
- Scrub potatoes well. Dry and brush with oil. Transfer the potatoes to a baking sheet and cook at 200 degrees C. for 45 - 60 minutes until done. Remove from oven, peel and cut into cubes and set aside.
- Fry the bacon in a skillet along with the onions until the bacon is nice and crispy and the onions are translucent.
- Add the corn kernels and heat through, then add the sweet potato cubes and toss to incorporate the ingredients, making sure not to mash the potatoes.
- Sprinkle with mint leaves and transfer to a serving bowl.
Serving tips: Enjoy with Jamaican Jerk Chicken.
I Just love the flavor of both dishes. The intense, sharp and hot flavors of the chicken pair so well with the slight sweetness of the sweet potato and corn side. I was surprised that Soeren really dug into this. I did make his chicken slightly milder in flavor but it still had a good bit of heat. Although this tastes just incredible off the grill I was extremely pleased with the results in the pan.
I also would like to thank all those who have sent their entries for your feedback on the new Monthly Mingle Form. Glad you are finding this process easier and more comfortable. It gives me too a better overview without loosing any of the entries to the spam folder. Should anyone have any trouble using the form please do not hesitate to contact me.
You might like these exotic chicken flavors from WFLH:
South African Chicken Biryani | Chicken Tikka Masala | Spicy Arabian Chicken |
Caribbean Flavors From around the blogs:
- Caribbean Chickpea & Sweet Potato Casserole - Greedy Gourmet
- Grilled Sweet & Spicy Shrimp - Crabby Cook
- Arroz con Leche (Rice Pudding) - Coffee et Vanilla
Daily Tiffin Reading Tip:
Stress Busters for Children written by Manisha
All photographs and written content on What's For Lunch, Honey? © 2006-2009 Meeta Khurana unless otherwise indicated. | All rights reserved | Please Ask First


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Good morning.
Our early headlines:
-- Blizzard Pounds Great Plains, Northeast May See White Christmas.
-- Kim Jong Un's Ascension Is 'Being Cemented For Him'.
-- 'Yes' Means 'No' Today For House Vote On Payroll Tax Cut Plan
-- Home Construction Rose In November; 2011 Still A Weak Year.
Other top stories:
-- "Philippines Floods: 'We Were Praying God Should Stop The Rise Of The Water.' " ( The Guardian)
-- "Dawn Raid In Tahrir Square" As Clashes Continue In Cairo. ( Al-Jazeera English)
-- "Syria Vows To Execute 'Terrorists' After Worst Day Of Violence."( The Christian Science Monitor)
-- Gingrich, Romney Tied In Latest ABC News/Washington Post Poll. ( ABC News)
Copyright 2020 NPR. To see more, visit https://www.npr.org.


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I am considering buying a Dell XPS 15 laptop. The laptop has a Nvidia 420m card which should work with Linux but I keep reading that the Nvidia Optimus technology isn't supported on Linux. I am not really interested in switching from Nvidia to Intel to save power but need to know that the Nvidia card will in fact work if I installed Ubuntu.
If anyone has experience using a Nvidia card with Optimus technology or even better the exact laptop in question (Dell XPS 15 with 1GB NVIDIA® GeForce® GT 420M) it would be great.
A major problem holding people back from adopting Linux is this sort of hardware issue. I am a long term Ubuntu user and supporter who can't afford to make a mistake with a purchase like this. I don't want to spend £500+ to find I have no graphics acceleration because Windows 7 is not an option.


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Choose from a wide range of interesting investment options and funds to suit your personal goals and investment approach. Our advisers are always happy to help and discuss the various investment options on offer to identify which meet your needs best.
For more detailed information on investment funds, please refer to the prospectus, and for certificates to the relevant security details. However, this information is not a substitute for professional advice from an adviser. The only binding basis for investing in Deka Investment Funds are the relevant Key Investor Information, the relevant sales prospectus' and the German-language reports available from your Sparkasse, Landesbank or DekaBank Deutsche Girozentrale, 60625 Frankfurt and at www.deka.de.


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Rolex Yellow Gold Diamond & Leopard 'Daytona' (116598)
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Read MoreLinks last updated: Jun 9, 2024
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Barry Bonds tested positive for a form of greenies... six months ago. The NY Daily News broke the story, but you can expect it to get blowout coverage within sports media.
The interesting twist ("interesting" being relative) is that Bonds blames a teammate – though I'm not quite sure why Bonds would be taking a teammate's pills if he didn't know what was in them.
The more interesting twist is that the positive amphetamines test triggered six months of regular testing, which Bonds presumably passed without problem – which sort of undercuts the power of the story.
It's hard to get too worked up over MLB players taking amphetamines, considering that they were baseball's biggest, most widespread PED epidemic long before steroids ever made the scene.
Before they were banned last season, I guesstimated that 90 percent of players used some form of greenies over the last half-century. Notice how you rarely hear cootish old-timers ripping current players.
That's probably because the "Back in my day..." scolds are probably still too busy drinking 18 cups of coffee a day trying to recreate the daily high of their own amphetamine abuse.
Latest NFL Draft Declarations: And around the glory positions we go!
RB: Adrian Peterson! Poster guy for why college players should be allowed to declare for the NFL draft without age limitation. After his freshman year, he would have been a first-round pick. I still say he's the best RB on the board and a Top 10 pick.
QB: JaMarcus Russell! Rising buzz means he will likely battle Brady Quinn for position as first QB taken, though it'll be hard to overcome Quinn's "Notre Dame" mystique. Oh, wait: I mean "white" mystique. Nevertheless, Russell seems like a Top 10 lock.
WR: Dwayne Jarrett! You can keep Calvin Johnson, as amazing as he is. For my money, Jarrett was the best WR in college football – not just last year, but possibly of the last decade. Another guy who should be a Top 10 pick.
NFL Coaching Carousel: Coughlin returning to Giants. I don't think there's a piece of news that could depress Giants fans more. However, there is a bright side: One more year of getting his ass handed to him by power teams might convince Charlie Weis what the rest of us know: He'll never win the national title at Notre Dame, so he might as well go to the Giants. (More: Is Mike Martz the hottest coaching candidate? The Dolphins interviewed him, and the Raiders reportedly like him too.)
CBB Parity Watch: Georgia Tech stuns Duke. OK, this isn't about parity as much as it is about reaffirming that this Duke team was completely overrated to start the season. Now 0-2 in the ACC, Duke has been exposed. (But how about my boy, Jon Scheyer? Keep gunning, kid! This is the best-case scenario for me: Scheyer gets his, but Duke gets beat.)
But here's a good "Parity Watch" entry:
NBA: The frenzy over Chris Webber is amusing. For $20 million? Keep him the hell away from my team. For, say, free? Come on over! The Knicks want him. KG wants to play with him (who doesn't KG want to play with?) And it looks like his hometown Pistons are going to get him.
(Meanwhile, the Sixers lost without him, which isn't much of a difference from the results they got with him. They lost to the Knicks, which is amusing for other reasons. The Sixers are doing it right: Hurtling closer and closer to the league's bottom -- and a lock for either of the draft prizes, Greg Oden or Kevin Durant.)
NBA Line of the Night: Dwight Howard's 30 points and 25 rebounds in a Magic win over the Warriors. Yeesh: Let's fit this monster for an All-Star jersey.
Tiki to NBC? NFL Hall-of-fame-whore Tiki Barber is rumored to be headed to NBC, where he'll undoubtedly be used to spice up "Football Night in
Tags to Pro Football
StubHub has ultimate sale: Online ticket re-seller StubHub, which built its business on the back of sports ticket sales (uh, don't call it "scalping"), was sold to eBay for $310 million. In 2007, I really do have to make me one of those ol' online start-ups.
I want to thank everyone who jumped on the Webbies bandwagon and nominated this blog for "Best Sports Blog." I really appreciated it, and – as I said before – what makes the blog particularly fun to do (and, hopefully, to read) is the participation by you.
Finally, here comes an interesting test: I'm headed down to
What it means practically is that I'll probably have shorter posts, tomorrow and/or later today, but hopefully a few more posts during the day. I don't know how to actually EDIT the posts via Blackberry, only how to post them to the site. So any glaring errors – oh and there usually are quite a few – will be up there for all to see. Apologies in advance, but I'm looking forward to the experiment.


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Amelia Sunglasses
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Part Number : 0514039-10 | Alternate P/N : 051403910 |
Item Name : Panel Trim | Manufacturer : Textron Inc |
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A few VO Mixte frame prototypes have arrived. As with most prototypes there are a few small problems, fork bend, missing cable guides, etc, but overall they look great.
- Around $700 including fork
- Lugged, double butted, chrome molly, frame.
- 50cm, 54cm, 57cm sizes
- 700c wheels
- Extra long reach brakes
- 38mm max tires
- Were shooting for Jan 2010 delivery.


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- Updated On:
- December 17, 2021
5 bedroom detached house with 2 rms bq
Location: Akin Adesola street VI,
Price: 15m
The details provided on this page is as provided by obi obi . Please do your due diligence of verifying the details by completing a site inspection of the actual property listed before making any payment to an agent or property owner. Additionally, always verify all necessary legal documents and ensure the person you are going to make payment to is the actual owner or have the power of attorney to sell, rent or lease the property you are interested in. Please note that Propertylishub.com shall not be held liable for the actions of any agent or property owner for any listings on our website.


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Wichita, KS
United States
Howdy from Ohio!
Welcome !
Earthling, this may be the last but certainly, it´s not the least welcome message to IUOMA you are going to receive. I'm a celestial mail artist living in a heavenly uncharted corner of the faraway universe called "Republik van Patland". I would love to be the other end if you wish to trade mail art with a celestial mail artist. If that is the case at the time your envelope should read as follows:
The Celestial Scribe
Terrene Embassy
Republik van Patland
Caixa Postal 461
I look forward to seeing a piece of yours in my terrene mailbox. I´ll do my homework after receiving your artwork. This is nothing less than a celestial promise. I'm Patricio, Celestial Scribe & Republik van Patland Official Envelope Provider.


text:
Friday, December 12, 2008
The World's Most Cheerful Hanging
Friday, December 12, 2008
Ah, what a difference a horizon line can make - and how unfortunate that this one is about 3 inches below the dangling feet.
Thanks to Mar C., Wreckin' on over in Barcelona, Spain!
84 comments | Post a Comment
I think I'm missing the cultural reference that would explain why the birthday girl is getting a cake with such brightly colored sneakers (suspended, at that), but I actually think the hearts and flowers are cute.
Word verification: surnmen - if you find this in place of "surname" on your cake decoration request form, run away, because you know NOTHING will be spelled correctly on the final cake... - December 12, 2008 at 9:41 AM
What's the old joke about a long walk with a short jump rope?
Seriously though I think they might have been going for the effect of the jump rope laying on the ground. But it does conjure a number of other images. Poor Alexia...we hardly knew ye. - December 12, 2008 at 9:42 AM
I see it more like a jumping rope than the floor. That way the lines on each side make more sens.
- December 12, 2008 at 9:46 AM
- c3 said...
Are you sure it's not someone jumping rope?
- December 12, 2008 at 9:47 AM
- UnitOfForce said...
No one at the bakery looked at that and thought "Oh... Maybe not..." ? Did they think that kids just wouldn't "get it"?
- December 12, 2008 at 9:48 AM
Yay!...A cake for a hanging....didn't think those existed. Do you suppose that they make them for electric chair or lethal injection executions too?
- December 12, 2008 at 9:49 AM
Adolescent angst gone unchecked. And on her birthday, too. Sad. At least she went with a lovely, turned-out second position ballet stance.
- December 12, 2008 at 9:53 AM
OK, here's 2 guesses--first one is jump rope. The second one is what we used to call (politically incorrectly, I'm sure) Chinese jumping rope. It was essentially a really long elastic band, which wrapped around the back of two players' ankles, knees, etc. depending on the skill level, while a third person did the jumping. Other than that, the rest of the cake is absolutely delightful, right down to the untied hi-tops!!
- December 12, 2008 at 10:03 AM
I'm thinking that's supposed to be a jump rope...but how could you be sure.
- December 12, 2008 at 10:18 AM
- Becky said...
I know it's been said, but I'm thinkin' jump rope too!
- December 12, 2008 at 10:25 AM
- Jor said...
Am I the only one who thinks that's a Ramona Quimby cake? Do they even HAVE Ramona in Spain?
Anyway, yeah, the framing - that's what it looks like to me, anyway - is really, really unfortunate. Which stinks, because the rest of the cake is really cute otherwise. - December 12, 2008 at 10:27 AM
- Unknown said...
Hmmmm...I thought maybe a jumprope championship congratulations?
Amy B - December 12, 2008 at 10:28 AM
- Unknown said...
laughed out loud....hilarious.
Hey, cakemakers who live in states with capital punishment should think about rolling out a new line of cakes. Maybe they can even get the state to pay for the cakes. - December 12, 2008 at 10:35 AM
Best cake wreck ever!!
- December 12, 2008 at 10:36 AM
I don't know, I think this cake is pretty awesome. I don't think I would have even gone to the "hanging" scenario had you not pointed it out. At least everything's spelled correctly!
- December 12, 2008 at 10:41 AM
Cute cake . . . but if you didn't know that Alexia loves to jump rope you might think, "What the!"
- December 12, 2008 at 10:51 AM
- Allison Holmes said...
OK that is a tad disturbing!! Poor Alexia... nice know'n ya pobrecita
- December 12, 2008 at 10:53 AM
I wonder why Alexia hung herself? It clearly wasn't due to cankles.
- December 12, 2008 at 10:59 AM
- Errick said...
It's a birthday cake (thus the "Feliz Cumpleanos"), and even if it was supposed to be jump rope, then the "rope" should look like a rope, and not a black line.
- December 12, 2008 at 11:01 AM
- Unknown said...
I thought it was a jumprope as well.
- December 12, 2008 at 11:08 AM
- wavecloud said...
Are you sure this cake was for a birthday and not a funeral? I still have no idea what they were going for!
- December 12, 2008 at 11:18 AM
- E.A.D. said...
Maybe it IS Ramona! Didn't she wear sneakers that looked a bit like those?
Personally, I see someone who probably took "defying gravity" a bit too seriously, and is now stuck in midair because they jumped just a bit too high on the bed, thus causing their torso to go right through the ceiling. - December 12, 2008 at 11:28 AM
- Liz T. said...
Definitely jump rope! Although they should have made the rope thicker.
Otherwise, I think it's a pretty cute cake. And a clever idea, too. Hell, anything other than princesses would get a thumbs up from me. - December 12, 2008 at 11:37 AM
- Meg said...
Wow I'm slow... I never in a million years would have guessed jump rope if not for the intelligent people in the comments section! I'm usually pretty good at figuring out what the actual idea was supposed to be... maybe I need a vacation...
- December 12, 2008 at 11:45 AM
I'd wear those shoes.
- December 12, 2008 at 11:46 AM
Since she's wearing basketball shoes, my first thought was that she just performed a successful slam dunk, and is celebrating by hanging on the hoop/rim for a few seconds.
But jumprope works, too. - December 12, 2008 at 11:59 AM
At least both shoes are on the feet. If one was dropped on the floor, then that would really make minds wonder.
- December 12, 2008 at 12:19 PM
- Suzanne Dargie said...
At first I thought they spelled "Feliz Compleanos" wrong by spelling it with a "u", but I checked and found out both will work. ALSO, an interesting fact is that you can say " Compleanos Feliz" as well. But we don't say "Birthday Happy" in English. But you know what? That's about all the Spanish I know!
Also, I originally thought it was a congratulations cake for someone who just learned how to tie their shoelaces! - December 12, 2008 at 12:29 PM
- Hyena Overlord said...
The shoes are cute. I don't understand the lines though.
wvotd mutstriz. Don't forget, dogs with dry skin need to mutstriz. - December 12, 2008 at 12:41 PM
- Carrie P said...
It's like one of those face/vases images. If I think about it really hard, I can see the girl in mid jump as she's jumping rope, but then it reverts spontaneously back to the "hanging" cake.
It's an adorable cake, too, other than that one flaw. - December 12, 2008 at 12:42 PM
Actually, it IS a cultural reference from a TV show (originally mexican, I think) that has that EXACT picture as its symbol. The bad taste is not the baker's, in this case. :)
- December 12, 2008 at 12:51 PM
- Eve said...
I think this one is actually pretty cute... a bit sloppy if professionally done, but still cute. She's jump-roping, isn't she?
- December 12, 2008 at 12:55 PM
- The Tildy Spot said...
Looks like a kid jumping rope to me too.
- December 12, 2008 at 12:58 PM
- HorribleLicensePlates said...
It does look a bit like a hanging, but I could see jump rope too. Still, hilarious!
- December 12, 2008 at 12:59 PM
Jump rope? Nah. Our girl looks like she's laid out on a narrow slab. With her shoes untied, too, poor dear.
- December 12, 2008 at 1:01 PM
- The Queen of Fifty Cents said...
I think this cake is jumping for joy over being included on this blog!
- December 12, 2008 at 1:09 PM
- Unknown said...
It says "Happy Birthday" in Spanish. Maybe the birthday girl is great at jumping rope, but the cake makes her look like she's great at ending her life.
Word Verification: Froqua. What the froqua is up with these cakes?! - December 12, 2008 at 1:09 PM
It would be a perfectly lovely cake without the black lines.
- December 12, 2008 at 1:30 PM
i really like the multicolored, unlaced shoes. Reminds me of my daughter, although she isn't a giant, nor has she been hanged lately...
- December 12, 2008 at 1:56 PM
- Sarianna said...
Oh, I'm definitely seeing jump-rope theme here. With the kid actually jumping *over* the rope in the image--naturally she'd be airborne at that point, the activity is supposed to be jumping after all. I was very confused to see this on CW to begin with.
- December 12, 2008 at 2:17 PM
- Pearl said...
oh my gosh - how depressing
- December 12, 2008 at 2:17 PM
- Nakia said...
I'm amazed at all the comments so far who have said jump rope. That never even crossed my mind. If it is a jump rope, it's a stiff wire "rope" that has no elasticity and is squared off on the bottom. If it were to be a jump rope wouldn't it have more of a U shape?
word verification: imyxin. Imyxin up my own cake. - December 12, 2008 at 2:22 PM
- Caroline said...
I can see why she hung herself: by the hideous scaly texture of those skinny chicken legs, I'd say she's got shingles.
- December 12, 2008 at 2:27 PM
Um- there's a.. uhhh something coming out from between the legs.
- December 12, 2008 at 2:31 PM
- Kris N said...
I saw this completely as a jump roping cake. I don't see anything wrong with it. I actually can't even figure out how you would get a hanging out of this, because why would the string hang down that low like that? It wouldn't make sense at all. And if that's not the string, than why does it go all the way up on both sides.
I love this blog, but this time around, I totally disagree. - December 12, 2008 at 2:36 PM
I love Ramona! But like all the others I see a jump rope here. No wreck.
- December 12, 2008 at 2:43 PM
- Ruth said...
Is the wearer of the sneakers maybe lying on a beach towel?
- December 12, 2008 at 3:06 PM
- loisgroat said...
Are the people on team "It's a jump rope" nuts? What is it made out of? A wire that is bent to right angles at the bottom? Jump ropes are NOT square!
WV:asiess. That is all I'm saying. - December 12, 2008 at 3:56 PM
wvotd: fugable. (really!!)
This sad, birthday/jump rope/hanging cake is fugable. - December 12, 2008 at 4:27 PM
- *mary* said...
Sorry but I don't see the jump rope thing here. WHY would a jump rope be square on the end??? To me it looks like she was on a diving board or sidewalk- or any other square-ended surface. (But why would she be swimming with shoes? who knows?)
But then, who JUMPS with their feet straight out and heels together? - December 12, 2008 at 4:37 PM
- Lindsay said...
i can see the jump rope theme, now that it has been pointed out--and if it's supposed to be a jump rope, then the execution is totally a wreck. the rope looks too skinny and squared for her to be actively be jumping over it. plus, her shoes are untied. and if Alexia were an intelligent girl, she'd know that jumping rope with untied shoes is TOTALLY unsafe. :)
and then, yes--i can see the "hanging." i first saw a door in the background with feet dangling in mid-air. which leads me to believe Alexia was hiding in her closet when the deed was done...
unfortunate piping from the decorator's end. i would have gone with a classic red/white striped rope to make it more obvious, but that might have been a little hard for the decorator...but even a bright color like the shoes would have been great.
=] - December 12, 2008 at 5:13 PM
- Nakia said...
Also when jumping the feet are together and pointed forward with knees bent. Those feet look like they are standing.. or hanging. To those who can't get the "hanging" reference, imagine instead of a rope that it's more an outline, the sides being walls and the bottom being the ground. Anyhoo, no matter how much I look at it I can't see a "rope" there. Especially a wire thin black square rope that is thinner than the girl's shoelaces.
- December 12, 2008 at 5:23 PM
Of course it is a jump rope...but come on..you can't see that it is a poor excuse for one!
- December 12, 2008 at 5:29 PM
- Jo in NZ said...
It may be a jump rope cake...but that still doesn't explain the false teeth around the edge.
?? - December 12, 2008 at 5:33 PM
A Floricienta cake in Cake Wrecks!
Hoo boy, and I thought that I would only be able to make fun at the show itself!
This has made my day in so many levels. - December 12, 2008 at 5:44 PM
I'm going to have to vote against the jump rope idea; one in midswing would definitely not be of the rectangular persuasion. Maybe it's a doorway and Alexia is in the middle of doing a chin-up. From the looks of her legs, I'd say she's pretty fit.
Word verification: doscide, the act of killing a female deer. See also buckcide, the act of killing a male deer, as illustrated in the wildfire cake. - December 12, 2008 at 6:22 PM
I saw this completely as a jump roping cake. I don't see anything wrong with it. I actually can't even figure out how you would get a hanging out of this, because why would the string hang down that low like that? It wouldn't make sense at all. And if that's not the string, than why does it go all the way up on both sides.
I love this blog, but this time around, I totally disagree.
How does jump rope make any more sense than hanging?
Whatever the straight black lines are, they don't look like any jump rope I've ever seen - which have been brightly coloured thick rope that don't exactly make right angles while you're jumping...
If it is supposed to be a jump rope, then considering how cute the rest of the cake is, the rope itself is definitively a wreck.
The hanging comes from the fact that the straight line down the bottom could be the floor, therefore the feet are dangling above the floor...therefore hanging...the straight lines on the side could be anything, wall, door etc. - December 12, 2008 at 7:11 PM
OMG! Have the dreaded CCCs reached... Spain? Or maybe those are just scalloped edges on a regular round cake. Still. Made me wonder! :)
- December 12, 2008 at 8:04 PM
It's not a wreck... it is such a cute jump rope cake. Ropes go flat like that if they drag on the ground. I like it. I really like how the shoes ar euntied as well.
- December 12, 2008 at 8:41 PM
- andie said...
It's an Argentinian TV show. Here is the logo. I still don't really understand the rectangle in the background, but the dangling feet are spot-on.
Word verification: Chilater. I'm going to work hard now so I can chilater. - December 12, 2008 at 11:02 PM
- Lori said...
Is it possible that there is a line across the top too, making that a black frame?
- December 13, 2008 at 3:29 AM
- Lisa said...
I don't get how this one is a wreck. All I see is the jump rope. Yes, it could be a little less squared off and a little thicker, but it does look like a jump rope. I can't see it as a girl being hung, it just doesn't make sense.
- December 13, 2008 at 6:44 AM
Hi all,
This is the first time I've looked at comments and I think it's time for a review.
"A Wreck is not necessarily a poorly-made cake; it's simply one I find funny, for any of a number of reasons."
You see if you look at the splayed feet and you don't notice the black "jump rope" you could see it as dangling feet. Get it? And see, a hanging cake would be funny, right? Haha...
Okay so if you have to explain a joke, it's no longer funny.
But CLEARLY it's a jump rope!
yeah, I know...
It doesn't even LOOK like a hanging!
Yeah but see if you turn your head...
It's cute!!! NOT A WRECK!!!
Okay. Yup. You're right. Maybe we should just take it down. - December 13, 2008 at 7:20 AM
Pro tip to prospective parents: 'Alexia' sounds like a nice name for a girl, but it is, in fact, the condition of being unable to read following brain damage.
- December 13, 2008 at 10:55 AM
- Tatersmama said...
Okay, the first thing I saw was a swing.. because of the taut ropes. You know.. with the name Alexia where the seat would be. Then I looked again and wondered why?? Then I looked again and just gave up.
- December 13, 2008 at 3:23 PM
- Jen said...
My head went to jump rope first, too. But I couldn't resist searching a bit after someone mentioned a show called "Floricienta". I found this image for a DVD that clearly shows the lines we are all debating as more like a trapeze, and they do in fact hang somewhat below the sneakers.
I still think that the execution of this particular cake, however, keeps it in the realm of the wreck.
verification - "reducks"? Really? - December 13, 2008 at 4:08 PM
- Ben Ostrowsky said...
It's the edge of the bed. She's lying down and relaxing.
- December 13, 2008 at 6:20 PM
The dance teacher in me can't help it; I have to correct the person who said the girl's feet are in second position. She's in first position. (In second the feet would be much further apart).
Sorry, carry on! - December 13, 2008 at 10:48 PM
- writtenwyrdd said...
No, that line's a jump rope! She's in the air, jumpin' the rope!
- December 13, 2008 at 10:50 PM
I think the person is supposed to be jumping rope - but a hanging was the first thought I had when looking at it.
- December 14, 2008 at 5:07 AM
- Lucila R D said...
It's from an Argentinian show, the logo was like that, hee-hee, the sneakers are almost characters! ohhh, it wouldn't be flor without her lucky sneakers, and silver nut, and rabbit leg, and an infinity of lucky charms!!
yes, I'M A FAN OF THE SHOW so what?
I would have love thar cake 5 years ago, when the the show what emited for the first time *u*
yeah... kind of random... - December 14, 2008 at 12:05 PM
- Kris N said...
I actually have before seen a jump rope solid black, very shinny, and only about a fourth of an inch in diameter, if that. If I hadn't given it away some years ago, I would take a picture and show you. It's possible.
Also, a jump rope when it hits the ground and is sliding before it lifts off does become rather flat on the bottom. (Am I the only one who has jump roped in a while?)
However, as the last image linked shows, this cake is dead on to the logo. The only thing missing is the straight-up 90 degree angle edges with the carry-over lines, but since the edge of the cake is there, we shall just imagine that part. - December 15, 2008 at 1:49 PM
- Leslie said...
Are we sure the feet on this cake aren't jumping rope? That would explain the line being so far from the feet. PLUS... it IS for a kids bday party! So.... that could be it. (:
Leslie - December 15, 2008 at 5:06 PM
- bbssgg said...
Wow. Looks JUST LIKE the logo for a TV show. What a wreck, that looks like it is supposed to look! Or is it a wreck because the reference isn't American?
Also, Alexia =/= a form of brain damage. - December 16, 2008 at 8:52 AM
- Silvia said...
Floricienta!! O_O
- December 18, 2008 at 4:01 AM
I bet she hung herself because she was named after a kind of brain damage (wiki Alexia).
- December 29, 2008 at 7:03 PM
- Unknown said...
Yeah, "alexia" is the complete inability to read, as opposed to dyslexia, which is a difficulty while reading. Perhaps "Alexa" or "Alexis" would have been better name choices... :-) What's next? Aphasia Smith? Euthanasia McGovern? :-)
- January 7, 2009 at 11:54 AM
- Matt Maddox said...
I believe that this picture is from either a Spanish cartoon character of a little girl and her adventures, or of a show of the same nature. I saw it in Argentina, but it was not something that I paid great attention to, and so my memory of the precise particulars has faded.
- February 5, 2009 at 12:14 AM
Isn't 'alexia' what they call it when you can't read because you have brain damage?
- February 23, 2009 at 1:57 PM
- Steffox said...
So I've seen this before, on a John*Foos (shoe brand, they are like Chuck Taylors) t-shirt, so I think it's one of their things, and as far as I know it's still SUPER popular in Argentina and probably elsewhere as well.
It SHOULD have a horizon line though!
they did a good colouring job though. - February 28, 2009 at 2:16 PM
Oh god >_> this cake has the symbol of floribella...
Floribella is a sopa opera for kids that was broadcasted in many coutries with different verions
ugh it sucks - March 12, 2009 at 4:20 PM
Actually, that's the logo for a very popular argentinian children's tv show called Floricienta. See? http://www.zonadvd.com/imagenes/noticias/2007_06_sav/floricienta3_frontal.jpg
I know I'm a little late for the party, but I've just found this blog and am know addicted to it. - April 8, 2009 at 12:26 AM
- DR said...
That's actually the logo of a children's soap opera popular in latin and south european countries. In Portugal and Brasil it's called Floribella and in other countries I'm not sure if it's katchorra. This is not a wreck. Actually is not that badly done. the logo: http://inet.sitepac.pt/FloribelaLogo.jpg
- April 8, 2009 at 8:23 PM
just in case you guys didnt know, the dangling feet with the sneakers is a logo for a Portuguese/Brazilian tv show for kids, its called Floribella
heres a link to a picture
http://www.foroswebgratis.com/imagenes_foros/7/7/6/8/7/474242floribella-1-711777%5B1%5D.jpg - October 18, 2009 at 11:34 PM
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text:
Monday, April 28, 2008
Fournier's Gangrene
It has been a while since I've seen a case like this one. An 83 year old diabetic male presented over the weekend with perianal pain, fevers, and a leukocytosis to 28,000. The surgeon on call performed an incisional drainage of a large abscess at bedside and intially he seemed to do well. WBC came down to 15 and fever curve improved. However, when I saw him this morning he seemed somnolent and his white count had bumped to 20k. Exam revealed several ominous pathonogmonic findings including a wide area of bruising and ecchymosis involving most of the gluteal skin, crepitus, and some skin changes over the base of the scrotum. I spoke to the surgeon from the weekend and apparently all these findings were new.
Fournier's Gangrene is a specific form of necrotizing fasciitis that afflicts the perineum. Classically, it involves the penis and scrotum and is usually described in textbooks as a "urological emergency". Jean Fournier was the eponymous French scientist who first described the disease in 1883. Nowadays, general surgeons get involved in more complicated Fournier's because often the underlying cause is related to a perianal/ischiorectal abscess gone wild. The tissue planes in the perineum and groin are all connected and the aggressive agents of destruction in necrotizing infections tend to spread along these planes unabated.
This is not a diagnosis you want. Not unless you're someone who would look forward to the idea of having your penis skinned as primary treatment. Because that's what often ensues. These patients all need to be in the OR as soon as you suspect it. The fundamentals of the surgery are quite simple: wide, extensive debridement of all non-viable or infected skin, fat, fascia, and muscle. The patient is usually left with large, gruesome wounds that can be very difficult to care for post-operatively.
My poor guy had one of the more extensive cases of Fournier's I've seen. Basically, the entire ischiorectal fossa (horseshoe abscess) was full of pus, deep to the necrotic skin and fat. Furthermore, the infectious process extended down into the scrotum and the right testicle was non-viable. Literally pounds of flesh were debrided and an orchiectomy was performed. I also had to excise most of the skin covering the scrotum and penis. Just a hideous, awful surgery. Finally, we turned him over so I could do a loop sigmoid colostomy to divert fecal contents away from the raw, exposed wound. It's going to be a long haul to get him through it all. Tomorrow I take him back for a second look, further debridement, lavage, etc.....
50 comments:
- HMS said...
and mortality rate is nearly 80% when presented with septicemia.... no easy days for a surgeon and his patient.
- April 29, 2008 at 12:48 AM
- rlbates said...
I saw a few of these as a resident. Happily, none in private practice. Not fun for anyone.
- May 1, 2008 at 10:36 AM
- Jeffrey Parks MD FACS said...
Ramona... I actually have a plastic surgeon involved.... any ideas on wound coverage.... STSG versus flaps...
- May 1, 2008 at 11:54 AM
- rlbates said...
Buckeye, it would depend ultimately on how much skin is missing and which deep layers. Also, on how loose the old guy's skin is. He might get lucky and be able to have a primary closure (think "lift"). That is always better than two wounds in a diabetic.
- May 1, 2008 at 8:05 PM
Wow, I'm so sorry for that patient.
- May 2, 2008 at 3:36 PM
- Sid Schwab said...
I only recall one case in my practice. Diabetic. I did the initial debridement and colostomy and sent him to where they had a hyperbaric chamber. (I admit it: I don't know for sure whether it works or not, but it's a good way to turf. On the other hand, they've advertised their service, including for necrotizing fasciitis. Funny thing is, whenever I've called them, they don't seem all that thrilled.) For whatever reason, he made it eventually came back for some final grafting (plastic surgeon) and colostomy closure.
- May 2, 2008 at 7:14 PM
- Devorrah said...
I've started crossing my eyes when I check your blog for updates so I won't have to see that photo again! I feel so bad for the guy.
- May 3, 2008 at 10:10 AM
What was this patient's outcome?
- May 3, 2008 at 11:34 PM
- Jeffrey Parks MD FACS said...
Patient on the floor, eating everything in sight. Possibly might get skin grafted next week.
- May 5, 2008 at 7:54 PM
we thought he's diabetic....
- May 5, 2008 at 9:47 PM
- Jeffrey Parks MD FACS said...
He is. Diabetics are able to "eat everything in sight" just like you and me. You put him on a 2200 kcal ADA diet and watch him clean his plates. Diabetes isn't a disease that puts one on a starvation diet. As long as blood sugars are appropriately monitored and controlled with a combination of dietary measures and insulin, there isn't a problem.... - May 6, 2008 at 5:53 AM
oh i see; thanks for the clarification. my parents are both diabetic and i am likely to become one in far future. they have been on this silly dietary restriction for a great portion of their lives; that makes dinning in that much less interesting and dinning out almost an impossibility. the flip side is that they haven't suffered much from complications for the past 2 decades. great blog here, doc.
- May 6, 2008 at 10:29 AM
My very first patient on the first floor i've worked on had Fournier's. Approximately 80 year old male; our wound team was doing water pic treatments daily. I remember very vividly that all of the tissue had been cut away from his testicle; i'd never seen an exposed organ in a semi-private hospital room before. Very painful for the patient, and unpleasant all around.
- May 10, 2008 at 11:38 AM
my husband had fournier's back in december he is only 28, but admittedly overweight. he only had a single debridement and was treated via a hyperbaric chamber as well. unfortunately he continues to have problems with his surgery site now that it has "healed" he ahs had a single abcess fill and split open his surgery site on the scar line and now has recurrent "bursts" in which only large blood clots come out they have have done colonoscopies and found nothing and in two weeks will be putting a scope into his urethra to see if there are any fistulas reseeding his problems. I hope all goes better for your patient, we were never told to expect any of this....
- June 7, 2008 at 9:35 AM
My husband is in Maryland Shock Trauma right now with Fournier's. The pic in this article does him no justice. His genital area was easily the size of a cantaloupe. He was initially dx with a UTI. After 2 days of treatment the swelling and fever worsened and he was sent to the local hosp who almost immediately sent him to Shock Trauma. He had emer surgery in which they removed 400cc of infected fluid. He also lost his left testicle and the doctor initially said there was a 99% chance of losing the right and of getting a colostomy. That was Thursday night (6/12/08). They were supposed to go right back into surgery Friday morning to remove more necrotic tissue and do the colostomy. The doctor checked it Fri am and felt that it was clean enough to wait until Monday. They are also letting him eat something today, not sure what so I'm guessing the colostomy is not going to happen. I assisted the nurse in changing the dressing and packing yesterday so I knew what I was getting into when he comes home. The wound is all around his penis, both above and below. He has lost all of the scrotum and there is also a wound area on his right buttocks. He had necrotizing fasciitis in 1999 and has continued to have small recurrences of that when he has an injury of some kind to the same area (in that case his left buttocks). I wonder how much that has to do with this new problem.
- June 15, 2008 at 12:05 PM
My father is at the hospital at the moment getting treated for this it is so hard to see him crying from the pain. Does anyone know how long the healing process is ?
- June 17, 2008 at 4:26 PM
My mother also has been in ICU for almost 2 weeks now in critical condition with FG. I also would like to know if anyone has any idea of how long the healing process is. She had emergency surgery day 1, and 3 depriedments since. They just took her off the vent a day ago, She is just 60 years old.
- July 18, 2008 at 11:45 PM
- Jeffrey Parks MD FACS said...
It can take months for the wounds to heal...depending on the extent of non-viable tissue that was intially debrided.
- July 25, 2008 at 3:21 PM
My dad is in the hospital right now. He's not a diabetic, not obese, however he is an alcoholic. How does alcoholism cause this awful infection to occur?
- September 15, 2008 at 10:36 AM
Totally unrelated to this particular post, but I was wondering if you'd be my gynecologist.
Damn. - October 2, 2008 at 11:40 PM
My 46 year old husband has it right now (had his birthday in the hospital). He went to his general surgeon to have what was a recurring abscess drained; he drained that in his office, but sent him to the hospital that day. They put him on antibiotics overnight, with no thought to operate. (Later, the doctor indicated that these were 2 seperate infections) However, they operated the next morning, removing most of his scrotal bag; his penis is unaffected. He was in the hospital for 10 days until United Health Care said he couldn't stay anymore. They offered "extended care" at another facitily or Home care. (At first, UHC denied this treatment because the "wound was not severe enough!!) We went to the Extended care facility, and knew immediatly he would not be getting the care he needed. He is now at home. We give him Flagyl 250 mg pill every 6 hours and administer IV ampicillin sulbactum every 6 hours (we are just starting day 2) We keep the wounds covered but wet with Hydrogel packing,changing it once a day. He is able to have a bowel movement without endagering the area, but he was afraid to each much for the first week. The doctors have indicated a 2 step surgery, with possible plastic surgery for the second step. Any suggestions I might pass onto our doctor?
- October 4, 2008 at 6:03 PM
- Jeffrey Parks MD FACS said...
Sounds like the plan for your husband is appropriate. Wish I had a magic formula for you. This problem takes time and patience. Good luck. - October 5, 2008 at 7:24 PM
- HMS said...
notanursewife -
sorry to hear what you and your husband are going through; hang in there! - October 5, 2008 at 8:54 PM
i am 55 years old in september
I went to the er did emergency surgery for fournirs gangrene of the soctrum and rectal, 3 surgery all together, i am now recoperating
at home with a visting nurse.
healing is slow, but healing good
our question is
what happen to the exposed testicle
does it sink in and new tissue grows over to cover it or whould i need a skin graftingas the nurse says my dr. say it should heal by itself in time any comment? - October 30, 2008 at 11:46 AM
My 51 y/o uncle recently had emergency surgery for Fournier's Gangrene. The debridement was quite aggressive. Tissue was taken from the abdomen, genital area, as well as the buttocks. In your experience, how long is the hospital stay for an advanced case of FG? Is it 2-3 months, or more? (I realize that all cases are different but I just wanted to know what your experience of the timeline has been.) He's out of the ICU and seems to be making steady progress.
- January 7, 2009 at 1:20 AM
My husband had fournier gangrene in2006. He was wonderful through it all. We learned to "pack" the wound area with Morphine and lydocaine the gauze was soaked in. WHAT a release from pain for him. I packed his wound area AND made sure his buttock was given a lotion to keep from irritation. He developed a fistula and passed away in May. He was a wonderful fighter. He also got colon rectal cancer. BOTH and his courage was an insperation for all the kids and myself. We were told he would never heal. He didn't.
- January 12, 2009 at 1:35 PM
yesterday i oerated a case of forniers gangrene dr prakash delhi
- February 27, 2009 at 8:39 PM
- Unknown said...
My dad (84)is in the hospital now with Fournier's. It is a little complicated but he had been admitted a week earlier for hallucinations, fever, and high WBC. His abdomen was very distended and they inserted a rectal tube for decompression and left it there for "fecal management". A week later to the day they tell us he has a serious wound on the scrotum, and he now has a huge gaping wound from his scrotum to anus after surgery to open & clean the infection.Is FG hard to see before it gets to this point? Just wondering.
- February 28, 2009 at 9:40 AM
my husband is a diabetic and had gotten Fournier's Gangrene as a result from an infection on his perinium. The gangrene was on his scrotum and one of his testicles. He had gone sepsis by the time we got to the er. They did emergency surgery. He had to have a colostomy and a skin graft. After about 2 months, he is doing much better and we are taking better care of his diabetes and making sure this does not happen again.
- April 14, 2009 at 5:26 PM
i am still recoveing from fourniers gangrene, from sept of 2008 my wound are almost hearled except i am still draining after 6 months and i had a fistaula plug put in 3 weeks ago to stop the drainage i had from my absess in step
my urogist plans to do more surgery on my srotum in spet if the drainage still draining unless
i decide to have it done earlier
this will be 8th surgery since sept of 08
as anyone else have a drainage after 6 months and any comments
tim - April 17, 2009 at 2:39 PM
Is the gangrene contagious can it be contracted from using toilet facilities from an infected individual.
- April 29, 2009 at 3:51 PM
- HMS said...
Fournier gangrene, or any gangrene, is not contagious by touch. Universal precautions (washing hands, wearing protection gears and so forth) are often indicated for the patient's sake and for your sake.
- April 30, 2009 at 9:58 AM
That is in deed the scariest thing ive ever seen. Can this dude still ejaculate??? God, help him.
- May 3, 2009 at 10:31 PM
I had fourniers gangrene back in september of 08 of the strotum and
abcess of the butt. it took over 6 weeks to heal and has not stoped
draining yet
i am going in on thursday for
a strotum explority surgery,
with strotumpltsy due too i', still
dripping from the incession on the bottom of the strotum.last week the
testicle has droped down from the
pouch the surgeon made and now is
in my strotum where it was originally not sure if this can cause a problem or not
also have a fistolcmpy done at the dame time 2nd time
any with an suggestion etc. - July 3, 2009 at 11:14 PM
- dr. porwal sanjay said...
i have experience of many such cases. i am preparing a list. i do wound excision,plan antibiotics iv,daily dressings with hydrogen peroxide and povidone iodine 5%;secondary closure is done later on. i have record of only 1 mortality,that too within a day.
- September 8, 2009 at 9:02 AM
caelp me about this Fournier's gangrene? im doing a case study about. a requirement in my course, nursing. :) anybody who would want to help can send me messages thru my mail. thanks! firstname.lastname@example.com
- September 8, 2009 at 11:19 AM
My Grandmother had Fourniers Gangrene. When she was taken to the hospital, they flew her to Cox's Hospital on Springfield Mo. After repeated surgeries, respatory failure followed by all of her other systems shutting down, she passed away. One of the nurses in the ICU said that it was the worst case she had ever seen. The doctors did everything possible including the hyperbaric treatments. She was 71 years old.
- October 10, 2009 at 2:00 AM
that is sofa king disgusting.
- August 21, 2010 at 9:20 AM
I'm 36 and this is very scary!
I have not been diagnosed yet, but the symthoms are just what I find on he Internet. I'm at the hospital recovering from a pyeloplasty, ureter surgery, and since yesterday I have this black wounds growing up in my scrotum.
My doctor didn't give importance to it, I'm waiting to talk to him today.
Sigh.. - October 9, 2010 at 7:28 PM
My brother was 28 years old when he was diagnosed with this disease. It was caused from kidney stones and scar tissue blocking and trapping urine in the urethra. After an eight hour surgery and two month hospital stay he came home. He was given a 20% chance to survive.
During the surgery the doctor had to remove his urethra, bladder and scrotum. He had to have a new bladder built out some of his large intestine. To this day he has to cath himself to urinate. - November 5, 2010 at 9:26 PM
- Unknown said...
My name is brian laird and I would like to tell you my story. In january of 2007 I started to have pain on my butt.Went to the doctor and was told nothing was wrong. I am a diabetic and my blood sugars were getting very hard to control and I had a fever. gave me keflex and dismissed me. Two days later my tasticles were the size of grapefruits and I was in agony. Still went to work and worked a 16 hour shift at work. When I was done I could hardly breathe my heart was racing I couldn't stop shaking. I went home on the subway(in Boston) I collapsed before I could get home. Yhey called an ambulance. the emts showed up and started to freak out. My temp was 105.2, my blood pressure was 60 over 4o and my heartrate was 220. They rushed me to Mass General hospital.They took one look at my scrotum and rushed me to cat scan. They did blood work and tolg me I had sepsis and was in septic shock. The doctors came back with two surgeons and told me I was going up for sugery in 15 minutes. The last thing I remember was signing the consent for the anasthesiologist and eas told it was going to be a four hour surgery. I was told I was in surgery for 9 hours and that my blood pressure bottomed out twice. I was the put in amediclly induced coma for 38 days. I also woke up with colostomy. Luckily I kept my scrotum and my penis. It took a year and a half for it to heal.I then got my clostomy reversed. Please, if you are a diabetic, if you have any pain in that area, GO TO THE ER!!!!! thank you drs. Mennici,Johnsen(TAKK), and Hurst.
- June 30, 2011 at 11:11 AM
Well, I think I'm very lucky after reading the comments.
I had FG in September 2008 on vacation in Quebec City. Woke up one morning in shock with sores around my rectum and testicles. Wife got me to ER and was told that I needed surgery immediately. Debridment, colostomy, debridment, debridment, debridment (4 surgeries total) placed in a burn unit to prevent infection and given massive intravenous antibiotics.
Day 8, back in surgery to apply VAC dressing on complete wound.
Day 14, was flown back to Ottawa by insurance company and transfered to the General Hospital in Ottawa.
For the next 3 months, VAC changes every 2 days and antibiotic intrevenous every 6 hours. After 3 months, everything was cured.
I was on pain killers only for the first 10 days and although the VAC dressing was awkward, I was able to walk around the hospital.
Today I'm completely OK, no plastic surgery, colostomy has been reversed and I'm fine.
What did the trick (I think) was the quick action by the Doctors in Quebec and the incredible performance of the VAC dressing. What a great tool to help in replacing the skin that was removed during debridment.
BTW, I am not diabetic and in relatively good shape. - October 19, 2011 at 3:43 PM
- Unknown said...
My brother is in Souix City Iowa right now and I've been told he's got this. e's a 54 male. He was being seen by his PA on tuesday the guy squeezed the absess on his rectum and told him to come back on friday and they would lance it. The pain was so bad he went to the ER on thursday night. Thank God they knew what he had and took him into surgery right away. He's been debrided again and he's lost a testilce. I'm very sad for my brother but so praying he'll live. He is on a ventilator and doesn't really know anything that has happened. But he's due to go for more debriding today. It is so hard being so far away, I'm in Az. They say he will be in intensive care for a week and then he will be in the hospital for another month as it stands right now. Thank you for any comments or encouragement.
- January 7, 2012 at 10:54 AM
- Pyemae said...
I was diagnosed with Fourniers Gangrene recently and would like to share my experience.
I have Crohns Disease and the treatment for this made me immuno-suppressed and thus susceptible to infection. I developed an abscess in the perineum in early Aug 2011. Basically I had swelling around my urethra but I didn't know what it was.
I went to my Gastroentorologist (GE) Consultant thinking it was a flare up of my Crohns. He sent me for an 'inspection under anasthetic' in Sept, which was completed by a Colorectal Surgeon. He put me on a steroid enema to help reduce the swelling. The GE started me on a course of Infliximab. All these drugs did nothing to reduce the swelling, which by Dec had increased and I was taking 3 difene/day for the pain and in bed by 8pm every night. I just thought life was hard holding down a job and raising a baby and toddler. I never considered the fact that my Doctors had all misdiagnosed my condition. They were treating my Crohns with immunosuppressant drugs, instead of antibiotics for a simple abscess.
Anyway, a few days after Christmas the pain escalated and I went to A&E. They finally diagnosed a swelling of the urethra and said I had some bruising under my scrotum, asking if I had an impact there recently, which I didn't. The packed me off with an antibiotic and painkillers. Another lost opportunity to recognise the seriousness of my condition.
2 days later I was back in A&E because my scrotum had swollen to the size of a coconut, gone black and hard and was really painful. They did a CT Scan, blood tests etc and diagnosed Fourniers Gangrene. I was rushed to a larger hospital in Dublin by ambulance and was operated on that night.
In all I was in theatre 7 times in 2 weeks for debridements, wound dressing changes and skin graft. I had my scrotum removed, testicles remained intact and i didnt need a colostomy. I spent 30 days in hospital and I spent another 6 weeks recovering at home. The skin graft over my testicles is very slow to grow. I am not that keen on the idea of a skin flap where they take skin from your thigh and fashion a new scrotum! My balls sit very high as they recede during the healing process. Maybe in time they will sit lower.
My situation could have been a lot worse as I know the mortality rate is high, however this could have all been avoided if I had been treated correctly in the first place. Otherwise, I'm a very healthy 37 y.o. Olympian and I had an underlying condition which led the doctors off on the wrong diagnosis path.
So my suggestion to you is, don't accept the perceived wisdom of your doctor, get a second or third opinion, and if you have what looks like unexplained bruising, get it looked at immediately. Hours matter when this disease sets in. - March 12, 2012 at 11:16 AM
- AUTHOR KRISTINE CHENEY said...
I need help for my husband. He has suffered from the aftermath of Fournier Gangrene since 2004 and our lives have been Hell ever since. We have no health insurance and no ability to help him. He's has 5 surgeries and is in need of more debridement because he still has at least 2 abcess outbreaks a year (and is going through it again right now), which is agonizing torment for him. Are there any foundations or facilities that offer financial assistance for treatments to restore his life back to him? We are in Phoenix, Arizona. I appreciate any suggestions. God bless you.
Kristine Cheney
email@example.com - March 21, 2012 at 12:58 PM
Working on yet another Fournier's case at a university hospital. These actually if treated super aggressively do fairly well. It's a month long road of course, and loads of skin grafts, debridements, and the like, but I've had 3 patients go home and this is the 4th I'm working on. From an ICU nurse's perspective let us do the intensive dressing changes, we're really good at it! : )
- April 7, 2012 at 6:26 PM
My manfriend went to the Dr. on Thursday, May 17, 2012 because he had developed a boil that with hot compresses was not going away. The Dr. lanced it. Manfriend had to go back on Friday to have it checked and was driven in an ambulance to the hospital. They were getting ready to take him to surgery by the time I got to the hospital. After surgery, the surgeon told me he had F. G. and that he may lose a testicle and perhaps his penis. So far he has not lost his privates but has had 3 debridements and is facing skin grafts tomorrow.
- May 25, 2012 at 8:13 PM
Just heard my uncle was taken to the hospital with a flesh eating bacteria in his genitals. I couldn't get a lot of information but upon researching online, found this blog/post.
My uncle is morbidly obese (in the 550's or more) and has Type II Diabetes. He's had his testicles become the size of grapefruits previously but he got better on his own.
However, recently, he was very ill, dizzy and had to be taken to ER where they did surgery. They told him if he had waited 1 more day, he'd be dead. I stumbled upon Fournier's Gangrene when I googled flesh eating bacteria of the genitals.
I was scared silly when I heard this. He signed a DNR form if he goes downhill - he is only 55 but is tired of....well, everything. :( - August 13, 2012 at 10:05 PM
I am a 54 year old male with well-managed diabetes and my health is generally quite good. I spent two days in bed feeling very tired and very dry. I kept drinking fluids and sleeping but after two days went to hospital (Elliot Lake, Ontario) Dec. 23/12. The physician indicated my temperature was up and it was clear I was fighting an infection of some type however after much palpating, etc. could not find the source. He recommended I return home and continue with fluids and sleep but to return immediately if new symptom occurs. The next morning I noted swelling and some pain in my scrotum, however no colour changes. I returned to the hospital on Dec. 24 and was prescribed penicillin and an OTC pain killer. The next morning I noted significantly increased swelling (larger than a grapefruit), colour had changed to black and blue with blood oozing out and blood in urine. I reasoned that I had only had two servings of penicillin by this point and it needed more time. Things didn't improve on the 26th and I called an ambulance on the 27th. When the emergency room doctor saw the scrotum and penis he ordered immediate surgery. The surgery was conducted and the surgeon must have done an excellent job removing bad tissue, etc. I required one more surgery after about 8 days in ICU to remove any remaining bad tissue and was home two days later with home care. Seven weeks later, my testicles have both ascended (about three weeks ago) and the wound appears to be healing without skin graft. This is far beyond the expectation of my surgeon and if the wound seals on its own then I'll count myself extremely lucky and the beneficiary of excellent surgery and follow-up. Does anyone know if it is likely the testicles will descend again?
- February 17, 2013 at 11:19 PM
Further to my above comments from Elliot Lake, I was able to return to full-time employment on March 4 (and that's only because my HR Department held me back two weeks.) I was work-ready after 7 weeks and got there after 9. Skin graft consultations were cancelled as the wound is almost fully healed. I attribute my success to my surgeon, ICU and Home nurses. My Doctor ascribes much to my attitude. My surgeon is very confident the testicles will descend once the healing is completed so end result will be a smaller scrotum with everything else working fine.
- March 22, 2013 at 12:56 PM


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Thousands gathered under gray skies in Washington, D.C., on Wednesday to mark the 50th anniversary of the 1963 March on Washington.
They gathered in the exact same spot where the Rev. Dr. Martin Luther King Jr. delivered his "I Have a Dream" speech, and many of the same themes — equality, dignity, unity — echoed through the crowd.
President Obama was joined by the King family and former Presidents Bill Clinton and Jimmy Carter on the steps of the Lincoln Memorial.
At 3 p.m. ET., they rang a bell that once hung in the 16th Street Baptist Church in Birmingham, Ala., before the church was bombed weeks after the March on Washington. Today, the bell was a symbol of what the civil rights movement accomplished and the bloody price many paid for the fight.
Obama delivered a nuanced assessment of where King's dream is today.
"To dismiss the magnitude of this progress — to suggest, as some sometimes do, that little has changed — that dishonors the courage and the sacrifice of those who paid the price to march in those years," Obama said. "Medgar Evers, James Chaney, Andrew Goodman, Michael Schwerner, Martin Luther King Jr. — they did not die in vain. Their victory was great.
"But we would dishonor those heroes as well to suggest that the work of this nation is somehow complete. The arc of the moral universe may bend towards justice, but it doesn't bend on its own. To secure the gains this country has made requires constant vigilance, not complacency. Whether by challenging those who erect new barriers to the vote, or ensuring that the scales of justice work equally for all, and the criminal justice system is not simply a pipeline from underfunded schools to overcrowded jails, it requires vigilance."
President Clinton, like Obama, said today we are at a crossroads.
The choice from 50 years ago, said Clinton, remains the same today: "cooperate and thrive or fight with each other and fall behind."
Clinton said that Americans today owe a tremendous debt to "those people who came here 50 years ago." Millions of us, said Clinton, have lived the dream King talked about.
The question, said Clinton, is how we will repay that debt?
"Martin Luther King did not live and die to hear us complain," said Clinton. "It is time to stop complaining and put our shoulders against the stubborn gates holding the American people back."
Obama added:
"The March on Washington teaches us that we are not trapped by the mistakes of history; that we are masters of our fate. But it also teaches us that the promise of this nation will only be kept when we work together. We'll have to reignite the embers of empathy and fellow feeling, the coalition of conscience that found expression in this place 50 years ago.
"And I believe that spirit is there, that truth force inside each of us. I see it when a white mother recognizes her own daughter in the face of a poor black child. I see it when the black youth thinks of his own grandfather in the dignified steps of an elderly white man. It's there when the native-born recognizing that striving spirit of the new immigrant; when the interracial couple connects the pain of a gay couple who are discriminated against and understands it as their own.
"That's where courage comes from — when we turn not from each other, or on each other, but towards one another, and we find that we do not walk alone. That's where courage comes from."
We live blogged the event. Keep reading for a play-by-play.
Update at 3:34 p.m. ET. The Dream Of Every American:
In a speech that ran around 30 minutes, President Obama delivered a nuanced analysis of the progress of the Rev. Martin Luther King's dream.
"To dismiss the magnitude of this progress, to suggest little has changed dishonors" the sacrifice of those who paid the price to march, Obama said. But to say that everything is OK, also dishonors that legacy.
Obama opened his speech by reminding the crowd of the history of the march. It wasn't just about ending oppression, Obama said, it was also about jobs.
He quoted MLK, saying what good is it for a man to be able to sit at a lunch counter, if he can't afford to pay the meal.
"It is along this second dimension — economic opportunity — that the dream has most fallen short," Obama said.
As Obama said, in his speech 50 years ago, King described the "the dream of every American." He described the promise that was made 200 years earlier by the country's founders: "We hold these truths to be self-evident, that all men are created equal, that they are endowed by their Creator with certain unalienable Rights, that among these are Life, Liberty and the pursuit of Happiness."
The pursuit of happiness, said Obama, "requires the dignity of work."
"We now have a choice. We can continue down our current path" of growing income inequality or "we can have the courage to change."
Update at 2:59 p.m. ET. 'Let Freedom Ring':
At about 3 p.m. ET, Bernice King, King's daughter, said that today, "we are going to let freedom ring."
The King family walked up to a bell saved after theBirmingham Baptist Church was bombed in 1963 and rang it. Across the country, churches joined in, ringing their bells in order to remember King.
Update at 2:41 p.m. ET. 'The Choice Remains':
The choice from 50 years ago, said President Bill Clinton, remains the same today: "cooperate and thrive or fight with each other and fall behind."
Clinton said that Americans today owe a tremendous debt to "those people who came here 50 years ago." Millions of us, said Clinton, have lived the dream King talked about.
The question, said Clinton, is how will we repay that debt?
"Martin Luther King did not live and die to hear us complain," said Clinton. "It is time to stop complaining and put our shoulders against the stubborn gates holding the American people back."
Update at 2:32 p.m. ET. Greatest Leader:
Dr. King is "the greatest leader my native state, and perhaps my native country has ever produced," former President Carter said.
He said that King's dream is still not complete. He said "we all know" how Dr. King would feel at some voter ID laws, and at the Supreme Court ruling striking a key provision of the Voting Rights Act. "We all know" what Dr. King would think about the incredible unemployment rate, and incarceration rate of blacks.
"There's a tremendous agenda before us," Carter said. "I'm thankful to Martin Luther King Jr. that his dream is still alive."
Update at 2:24 p.m. ET. Long Way To Go:
Rep. John Lewis, the Democratic congressman from Georgia, is now at the podium. Remember, Lewis was at 23, the youngest speaker at the March on Washington, 50 years ago.
"We have come a long way in 50 years, but we have a long way to go before we can fulfill King's dream," Lewis said.
He said we've made progress: "The signs that said white and black are gone... but there are still invisible signs," Lewis said. "The scars and stains of racism remain."
NYPD's Stop and Frisk program and the injustice in the case of Trayvon Martin are some examples.
"We must never, ever give up," Lewis said.
Update at 2:16 p.m. ET. Presidents Arrive:
President Obama, along with first lady Michelle Obama and his predecessors, Presidents Bill Clinton and Jimmy Carter walked down the steps of the Lincoln Memorial and took their seats on stage.
As NPR's Craig Windham told our Newscast unit, it's an overcast day in Washington, but that did not stop thousands from gathering at the National Mall. Many told him, that they came to Washington, today, because they wanted to be part of history and because the struggle for civil rights is not over.
Update at 2:11 p.m. ET. Recommit To The Love:
Television mogul Oprah Winfrey reminded everyone that Martin Luther King Jr. "challenged us to see how we are more alike than we are different."
That's why as the bells toll at 3 p.m. ET., "we must recommit to the love that abides and connects each of us, and let freedom ring."
Copyright 2021 NPR. To see more, visit https://www.npr.org.