One fun part of working in the ER is that you get a little bit of everything. This one is pretty self explanatory. I am starting to keep a library of pictures for future reference, possible teaching and pure interest of patients that I take care of. This gentleman, (who agreed to full use of his picture), had a little accident with the nail gun. He actually tried to pull it out himself before coming to the ER, which I thought took some major Cajones. I got it out for him, and irrigated out the holes that you could actually see through in his fingers.