I’ve had a request to tidy up the smashed finger story. So, I smashed it in a car door Monday afternoon and it pretty much hurt a lot that evening. It throbbed all night long, waking me up a couple of times. But it really hurt the next morning. And it just kept getting worse. It was all I could think about. I was walking around holding my finger up by my chin to try and stop the blood from pooling under my fingernail. I couldn’t write. I could hardly use my hand at all. Later that evening, when I was making dinner, I accidentally touched my finger against the counter. I say “touch” because I didn’t hit it or bang it or even really tap it, I really just lightly brushed my finger against the counter. I jumped about three feet in the air, cursed wildly, and tears starting welling up in my eyes. My roommate said I needed to go see a doctor (this was also after me spending pretty much the whole day complaining about the pain). Of course, this sounded like a lot of trouble, but it also sounded like maybe it would be a good thing to at least consider. So, at this point I decided to google it. I googled “fingernail + blood”, found out this thing was called a subungual hematoma and that all the major medic sites suggested going to a doctor immediately. Well, this wasn’t the advice I wanted. So I next did what any reasonable person would do: I searched AskMetafilter. It was here that I learned that, yes, other people agree with me that this is a hugely painful condition. I also learned that if I went to the doctor, they would probably drill a hole through my fingernail to relieve the pressure of the blood pooling underneath it. This sounded fabulous. I also learned, however, that I could accomplish a similar result with a hot paper clip. Wow! Even better! So, I enlisted the help of my roommate and we heated an unbent paper clip over the flames of our gas stove and then placed it on my fingernail. I tried it at first, but I couldn’t hold it steady (I was using my left hand after all). She took over and (like a champ!) proceeded to burn a hole through my fingernail. You don’t have to press at all, the red hot tip of the paper clip burns through without pressure, but even just gently resting the paper clip on the fingernail made me want to scream it hurt so badly. It took a few tries. Eventually she got really close to going through, but I pulled back because it was starting to feel really hot. It wasn’t quite through, though, so I took a straight pin and dug through the little last bit of nail. When the blood finally started to ooze out I almost started crying; it was such a release of pressure, and the pain started going down almost immediately. It still seems to me like possibly one of the best feelings in the world. I spent that evening using the needle and some warm water to keep the blood from clotting over the hole. Every day, a little bit of blood builds up under the fingernail again, but nowhere near as much as that first day. And the hole is still there, so I’ve been using hydrogen peroxide to re-open it regularly and drain the nail. It’s always very satisfying, but nowhere near as much as that first time. And the pain of the original injury has almost completely disappeared. It still feels slightly bruised, but I think that should completely disappear in a couple of days. There is still some occasional pain from the fresh blood under the fingernail, but a little draining always sorts that right out.
My other roommate walked in while we were trying to burn the hole. She completely flipped out. She tried to tell me that I shouldn’t do that because there would be a hole in my fingernail until the nail grew out, that it could be months. I think this is the advice I would give to someone with a similar problem. If you are considering this procedure but aren’t sure because there might be a hole in your nail for a few months, don’t do it. However, if you are at the point where you would gladly remove the fingernail or possibly the entire finger if only it would stop this pain oh please isn’t there anything i can do to stop this pain wait what did you say i couldn’t hear you because this pain is SCREAMING in my head, then I would wholeheartedly recommend the heated paperclip.