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A morbidly obese man with a large abdominal pannus (image at right) came in exhibiting red, irritated skin around the abdomen. It looked like a routine skin infection. But what was the cause? During the exam, I lifted the pannus and a turkey sandwich fell from between his folds. The man said it was about a month old, which the smell confirmed.
An older gentleman man came in with many complications from his diabetes. I went to take off his socks and as I began to examine him, the tip of his second toe broke off into my hand like a piece of turkey bacon. It was dry gangrene.