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I have been spiked a few times, but no real issues, albeit once my hand swelled the the size of a softball in the soft tissue around the thumb.
A fishing buddy of mine down in Florida, when I lived down there - he got a catfish spine broke off into his finger while we were in the Everglades ... he is a dentist ... his finger swelled up so much that he couldn't bend it and it started to interfere with his work, so his father who is a dentist as well, and a fisherman, runs the practice that my friend is in ... his dad sat him down and cut open his finger to remove it, stitched it up and sent him back to work. No anesthesia or anything.
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