Farshad Farnejad, MD, MPH, FACS

09/04/2026

🚨 THAT is what an abscess can be hiding underneath the skin.

This is a significant amount of pus drained from an abscess—but what exactly is pus?

🧪 Pus is made up of:
• Dead and dying white blood cells
• Bacteria and bacterial debris
• Dead or damaged tissue
• Inflammatory fluid and proteins

In other words, pus is largely the byproduct of your immune system fighting an infection.

🩺 Why does an abscess need to be drained?

An abscess is a walled-off collection of infected material. Because of that surrounding capsule, antibiotics may have difficulty penetrating into the center of the collection.

When an abscess contains a significant amount of pus, source control—draining the infection—is often a critical part of treatment.

Drainage can:
✅ Relieve pressure and pain
✅ Remove infected material
✅ Reduce the bacterial burden
✅ Allow the surrounding tissue to heal

⚠️ Never try to squeeze or drain a deep abscess yourself. Depending on its size, location, and severity, an abscess may require professional drainage, cultures, antibiotics, or additional treatment.

What you see in this video isn’t just “pus.” It’s the visible result of your body’s battle against infection.

Follow for more real-world surgical education and patient-friendly explanations of what surgeons see every day.

09/04/2026

09/04/2026

Opening up the gallbladder on the back table after a cholecystectomy for symptoms due to gallstones

04/29/2026

This CT image shows a large scrotal inguinal hernia—a condition where abdominal contents (often bowel) push through a weakened area in the groin and can extend down into the sc***um. When hernias reach this size, they’re not just uncomfortable—they can become dangerous.

What is an inguinal hernia?
It occurs when tissue, such as intestine or fat, protrudes through a weak spot in the abdominal wall in the groin. You might notice a bulge, pressure, or pain—especially when lifting, coughing, or straining.

Risk factors include:
• Heavy lifting or chronic straining
• Chronic cough (smoking, lung disease)
• Constipation
• Obesity or rapid weight changes
• Prior abdominal surgery
• Male s*x and increasing age
• Connective tissue disorders

Why this matters:
Large hernias like the one shown here can lead to serious complications:
⚠️ Incarceration (trapped bowel)
⚠️ Strangulation (cut-off blood supply → surgical emergency)
⚠️ Progressive enlargement and loss of domain

Takeaway:
If you notice a groin bulge or discomfort, don’t ignore it. Early evaluation and treatment can prevent complications and make repair safer and easier.

04/26/2026

Stepping away from the noise and back into something real 🌿

In a world that’s constantly demanding more—more productivity, more attention, more speed—we forget that our minds were never built to run nonstop. Nature has a way of reminding us to slow down.

Time outdoors isn’t just a luxury—it’s therapy.

Whether it’s a quiet walk, a hike, or simply sitting in stillness, nature gives your mind permission to reset. Stress lowers. Clarity returns. Breathing deep feels natural again.

We spend so much of life pushing forward, but sometimes the most productive thing you can do is pause.

Move your body. Get sunlight. Listen to the wind instead of notifications.

Give your mind the break it deserves.