This is Henrys arm after he fell off his bike, ouch. We were not sure what to do so called George L. from cranny and after i recleaned it there was no question he needed stitches. Lots of gravel in it henry was pissed. So we found a clinic at the end of the day and he got 3 internal stitches and like 15 stitches on the outside. Oh and that is his fat layer bubbling out there. All cleaned up though.