Skin A&E Season 7 Episode 5

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Transcript

00:00skin A&E is back in business and our team of top dermatologists are back in Birmingham here

00:13we go here we go ready to tackle the nation's lumps and lesions no jobs too big maybe a slightly

00:22bigger part yeah no treatment too messy I do have a habit of poking it and squeezing it very

00:30uncomfortable they'll bring relief Wow and results restoring confidence thank you and changing lives

00:48doesn't want to come it's like a strawberry I've got eat my lunch after this is skin A&E this week in

01:06the clinic all right there are myths what have you tried over the last 15 years the brown slime inside

01:14of banana skin okay Marvel's oh you know when a magician has the flags yes and minor miracles

01:25congratulations oh there we go good morning the team are in busy day ahead and it's all systems go

01:42right oh I'm cold I was just gonna put the heater on for a couple of minutes warming up just in time

01:48for the first patient my name is Adrian I am 50 51 now live in Bournemouth down on South Coast have a seat

01:58I'll let you know when you're ready for love we got a dog last year she's a one-year-old

02:04cockapoo which has been a big impact on my life lost 20 kilos and some in the past year just from

02:11walking the dog okay Adrian the button is ready for you now it's down the hall on your left ready and

02:19waiting to see Adrian is dr. Emma McMullen

02:24hi how are you come on in and have a seat thank you I'm dr. Emma this is Donna hi yeah hi yeah so Adrian what can we do for you I've got a lump on the back of my neck I had it there for 20 odd years long time yeah yeah absolutely and as it's been growing the whole time yeah it's getting bigger and bigger

02:31started off really small and it grew would it be okay if I had a little look at it yeah yeah let's go for it get some gloves that's on the back of your neck yeah oh yeah just just poking out from your collar there

02:43all right okay it's quite mobile

02:46the skin over the top of it is not so it's a fair old size isn't it yeah yeah it was quite symmetrical which would put your mind of assist sometimes lipomas are a little bit more

03:16asymmetrical it was pretty huge in terms of cyst sizes particularly in in that region does it cause

03:25you any pain or no discomfort on a day-to-day no I don't tend to feel it it's just now I've lost a bit

03:32of weight recently and it's just yeah it's just stopping collars actually closing yeah it's a fit it's

03:39adding to your collar size and then your shirts too big yeah yeah exactly how much weight have you lost

03:44uh 20 odd kilos in the past 18 months or so what's that like three stone oh I don't know in old money

03:50yeah oh I only know old money I still haven't got into kilos that's a lot I'll try not to look in stone

03:55because it's more frightening than kilos all right well I think it's going to be tricky okay but I think

04:01we could give it a go that'd be great if we could yeah so what we have to do is we'll have to obviously

04:07make quite a sizable cut in the skin I think because it's going to be it feels really quite stuck in the

04:11whole sort of middle segment off it and and then we have to sort of shell it out and try and get

04:18it out whole that's a little perturbed saying that it may be a bit tricky as it wasn't moving under the

04:24skin very much but to be actually told yes they could hopefully take it out was absolutely great

04:30so this is a bit of a beast isn't it it's a big one in the hope that it's going to get a squirt

04:37usually there's like a little punctum in the middle which is the hair follicle that

04:43it's arisen from but I can't really determine that I wonder if it's that bit there never been

04:50any discharge from it yeah I might just remove a smaller lips like that because I like to remove a

04:57little bit of the extra skin I still did an ellipse you know if it's central hopefully that's going

05:02to be roughly where the punctum is and so if I remove the punctum then hopefully the cyst doesn't

05:07come back no scars about that big yeah okay yeah no worries I don't see it so yeah be hidden by your

05:15shirt collar hidden by your shirt collar that you'll be able to fasten absolutely right I'm gonna start

05:21this is a bit stingy okay I got Adrian to set up for this procedure because if he lay on his tummy

05:31that would have put pressure on the cyst which would make it more likely to pop on me but it also would

05:36have made all the skin wrinkle up and it would just have been a bit of an uneven surface to work on

05:40all right Adrian does this feel sharp anywhere no no no you think not yet not yet more drumroll

05:56well it definitely is a cyst not lipoma so almost as soon as I cut into the skin and I could see that

06:06sort of silvery shiny cyst wall there it is and that is a good thing because lipomas in that area

06:16often get like stuck down to the muscle underneath I've gone through the wall so this is probably going

06:22to give us the right treat all right shall we yeah Donna loves it when they burst so I just thought

06:31Donna's got to get first squeeze on this one a little bit of me inside thinking oh come on baby

06:39come to mama oh come back into the light we bet that's it whisk oh you beauty are you okay we're not

06:54pressing too hard no no not at all oh gosh it's like you know that mac and cheese yeah oh don't

07:01eat oh no it doesn't look like that right beautiful I didn't really know how it was going to come out

07:12whether it was just going to be one of those splurters or over it would come out in one solid ball

07:17coming up watching your face it is amazing just made a lovely home for it doesn't want to leave

07:27designed it wanted to stay we've literally been pulling stuff out of this for 10 minutes oh this

07:34is a gift that keeps on giving it's a packed day at the clinic in surgery room 2 dr emma is treating 51

07:55year old Adrian's large nexus just wonder if we do not lift the capsule up oh oh wow oh that did not

08:11disappoint it's nice for the pathologist if we can keep it a bit intact it is a really good size

08:24I was really surprised by the sheer volume of contents of Adrian's cyst I think the capsule wall is

08:40there it's like it's quite shocked that it got to this size and actually not caused him any symptoms

08:46oh gosh oh oh oh this is a gift that keeps on giving having four hands back there trying to extract it

08:57I was having to push back to counter out there pushing on my neck it was hard battle for for the

09:02pair of them yeah what's the best about that I knew this was going to be a corker and that's the best part

09:28of my job you know that bit alone would have been impressive yeah we thought we've like we've

09:36literally been pulling stuff out of this for 10 minutes and then there's another whole massive bit

09:44that yeah you know when a magician has the flags yes and just keep coming out yeah and yeah it's like

09:50that right Donna have a bit of a poke around in there wow holy moly right if you can sort of lift

10:00your head up straight for me yeah so we're going to put some stitches in underneath there's quite a

10:05deep space there it went down about three four centimeters which you wouldn't think you had that

10:10space on the back of your neck no no so when we have a big sort of void like that left under we will

10:16put stitches in underneath to sort of close that space down and bring everything together so if

10:21it bled into it it can't expand and form a hematoma so because this is the back of your neck you're gonna

10:27have to be really careful with what you do yeah for the next few weeks really okay all right yeah

10:33all right so you've got three stitches in there lovely together lovely yeah in fact shall I take a

10:40photograph of it oh yeah that'd be good and one from the side there's probably a tiny bit swollen

10:49because of the local anesthetic yeah yeah but oh wow yeah that's better isn't it a lot better

10:58totally flat yeah put my hand at the back of my neck and actually not feel it it's weird it's gonna

11:06take a little bit of getting used to but be good collars done up soon so are you ready for the the big

11:12reveal yeah okay oh there's bits of it that's a bit weird yeah oh it's like bits of fat on a bit of steak it was

11:26oh pop that in a pot so we can send it off and just get it double checked my pathologist maybe a

11:33slightly bigger pot yeah after 20 years living with that lump back there it's weird to be without

11:50you go buy some yeah absolutely thank you this meet you and we could help thank you all right see

11:58you later thank you thank you yeah the new neck oh that's a great start to the day I know I think

12:10there's about three times more stuff came out than what I was yeah expecting flowered out

12:15blooming marvelous and a bit of rain isn't about to stop play here hello hello there hi I'm Sue lovely

12:27I'll check you in here Sue I'm Sue I'm 55 and I'm a personal estate agent wonderful have a seat for me

12:35I'll let you know when the doctor's ready for you okay I think with house moves inevitably they're

12:40prompted by a life event to be involved in that journey I really enjoy it okay Sue the doctor's

12:48ready for you now it's down the hall and on your right thank you no problem Sue's appointment is with

12:54Dr Natalia Spearings hello welcome come on through hi come on in you see Sue I am yeah nice to meet you

13:05I'm Natalia nice to meet you welcome welcome and this is Duta she'll be assisting me today hi hi right so how can I help you today

13:10um I've got a lump on my right shoulder okay so I first noticed it about seven years ago okay um but over the last couple of years it seems to have grown slowly growing yeah does it hurt is it

13:24it's uncomfortable more than anything yeah against the backs of chairs and you know in the car when I'm driving it sometimes bothers me okay and started off about

13:34walnut size and it's now about tangerine size all right yeah let's have let's have a look at this

13:40so can you see it through your clothing we will look at that yes I'm beginning to feel quite conscious of it

13:49particularly when I'm on holiday or you know during warmer months when you're wearing sort of thinner clothing or strappy tops

13:54okay so it's right where your bra strap kind of pushes on it yeah

13:59yeah this is probably a lipoma I think you might have realized that yeah yeah

14:03it's so unfortunate it's right above your top do you mean yeah okay um right we'll have a seat for a second

14:10so we can definitely remove this for you today great yay um do you have any questions no I'm

14:19looking forward to having it removed there's such a build up to this point and yeah to hear those words

14:26it was lovely so just rest your arms by your side

14:30it's really important to mark up the edges of lipoma because when you put anesthetic in the whole area can

14:37become swollen and then you won't be able to feel where the where the margins are

14:41so by marking it in the beginning I know roughly how far I have to go to get that whole lesion out

14:48all right so I'm just you're gonna feel a sharp scratch and a sting if you want to move your arms around

14:55move your head you just tell us okay you can move in whatever way you want

14:59and you're gonna feel a sharp scratch now ready and sharp good well done and now a sting

15:05it shouldn't last forever anything sharp now

15:11stingy a little a little bit I mean I don't like them does anybody like needles but um I've gone

15:21through childbirth so I think once you've experienced that anything else just pales into insignificance

15:27so I'm gonna get started now if you feel any pain you have to tell me okay okay

15:33how are you doing Sue yeah I'm good thank you

15:41just trying to stay relaxed

15:45are they quite common yeah well in our world yeah we see we see them all the time

16:03how's it looking looks good we're just unsticking it so it's sort of contained is it yeah yeah I think

16:14this is one ball I wanted to make sure you couldn't see the scar if she was wearing a strappy top or

16:20something in her back but I have to think about where I am on the body and what will give the best

16:25aesthetic outcome what do we think the size of it will be tangerine tangerine so maybe a tangerine

16:34or a clementine those are smaller right than tangerines are clementines smaller I have no idea

16:40clementines are smaller than tangerine I don't know I don't know because in the market you get a lot

16:48easy peelers now what are they are they tangerine or clementines easy peeling orange I won't be buying

16:56any easy peelers anytime soon I'm just amusing so what do you do for a living I'm a personal estate

17:07agent oh I watch all those real estate shows like um million dollar listing and things like that do you

17:15do you watch those I haven't watched that one but um most property programs I watch right now I'm

17:22watching um Meredith for Australia that's my favorite show of all time like it's such an epic

17:30show you get sucked in and then it's like you can't stop watching it you need to know what happens

17:36I'd say Natalia has an obsession with reality tv um she watches all of it all of the dating ones in

17:44particular I mean what's your everyone what's your favorite reality show do you have one I like

17:51documentaries well that's boring are we nearly there no no it's still really stuck down

18:01oh that sounds squishy yeah I could just feel her um pressure I suppose on on the um the lipoma

18:12and a little bit of tugging it's a couple little fascia bits sticking it down still

18:19so you just made a lovely home for it doesn't want to leave exactly design it wanted to stay

18:28I find that it's easier to remove lipomas in someone older who has more skin laxity

18:34the skin's very tight or the person's very skinny then there's not much room there for me to get in

18:40to that area you don't want to let go of it because if I let go of it then I'll lose the base of it

18:46oh it's hanging on for dear life this one

18:53just my luck yeah it's like I don't want to go stop

18:58we never leave anything behind

19:03there we go there it is congratulations

19:15what was that

19:16good girl

19:17all right

19:20all right I'm just putting the top suit on and then you can we're done

19:24thank you

19:24I'm so glad it's gone and Natalia's managed to get rid of it

19:30so the suturing makes it look a bit rolled it looks weird now but it's fine it's always should look

19:40hoping to go on holiday soon so to be able to be on the beach or wear strappy tops without

19:55thinking about it she's lovely oh thank you so much it's really changed the profile of my shoulder

20:06they now match would you like to see your lipoma yes let's have a look at this horror

20:10oh sorry oh

20:13smaller than I thought and she was probably right it was more sort of clementine size rather than

20:23tangerine thank you so much welcome lovely to meet you thanks for coming in you too good good good enjoy

20:30to have it taken away it's yeah massive relief

20:34that was the most straightforward lipoma we've ever had

20:39Natalia said this it's not going to come back so that's great

20:43that was a lovely little lipoma I think I think we preserved that lipoma yeah that would be good

20:49that was a gift

20:49coming up

20:55I have this horrible wart which has developed over about a 15 year period

20:59you've got a small one there so which are the ones that bobby is that one there yeah and then this

21:05little cluster here even if they take a few off and just make it more bearable

21:10there's no time for a mid-afternoon slump at skin A&E

21:25lovely please have a seat for me I'll let you know when I'm ready for you

21:31the next patient is 63 year old Thelma from Sussex

21:35I started photography in 2006 at first I liked taking portraits but now I'm more into still life

21:44I sort of do quite macabre still life with first skulls and candles and things like that

21:52okay Bama the doctor's ready for you down the hall on your right

21:57nothing thank you

21:58Thelma's here to see Dr. Magnus Lynch

22:01hello Thelma

22:03hello

22:04hi there hi I'm Dr. Magnus

22:06nice to meet you

22:06have a seat

22:06Thelma

22:07yes

22:07this is Angela

22:08nice to meet you

22:09yeah nice to meet you so tell us how we can help you today

22:13well since my 50s I've suddenly gotten these things under my breast area

22:17yeah

22:17they're like moles or skin tags I'm not quite sure what they are actually

22:21I have had about three or four of them taken frozen off by a doctor

22:27okay yeah

22:27but they are so annoying when I sweat

22:30yeah

22:30say I go on for a long walk they get so red and sore

22:34the itching is unbearable

22:37you can't scratch them because you know that you make them bleed or make them worse

22:41and it'll take longer to heal

22:42maybe if we get you to change into a gown would you be okay with that

22:45and we have a little look at the area so Angela will just give you a gown

22:48yeah

22:48wearing a bra is a nightmare when it gets like that

22:52even if they take a few off

22:54and just make it more bearable and you know more comfortable

22:57so which are the ones that bother you

22:59that one there

23:00yeah

23:00and then this little cluster here

23:03that cluster yeah

23:04and then the little cluster

23:05oh yeah

23:06that side there

23:07yeah

23:07what they are they're called seborrheic keratitis

23:09so they are completely harmless skin growths

23:11but as you found they can be quite annoying

23:14I can remove some of them for you

23:16yeah

23:16okay

23:17seborrheic keratitis are growths that arise from the surface layer of the skin

23:23slowly down here

23:24it's a tendency that you have

23:26and if you have that tendency then generally you will slowly develop more over time

23:30okay let's just start doing some injecting

23:34all right

23:34this is just a bit slightly uncomfortable

23:36so just be patient with me sorry

23:38the injection was a little bit stingy in certain areas but otherwise it was okay

23:45it's not as bad as a dentist honestly

23:47I used to be a dental nurse

23:48oh did you

23:48are you still working or what do you do now

23:50oh no I'm retired now

23:52it is pretty busy when you're retired

23:54have a weekend away with the girls

23:57and we love going on long walks

23:59I mean like 10k walks

24:01so it would be a relief not to have this problem while we're away with my friends

24:07so that should all be nice and nice

24:09you should not feel anything painful during these procedures

24:13no

24:14okay

24:14if you do obviously I want you to tell me immediately

24:17yeah I will do yeah

24:18there we go that's the first one Angela

24:31so if we can put that into the pot

24:32right abdomen

24:33right abdomen

24:35yeah

24:35didn't feel a thing

24:37the separate curatoses are easy to remove

24:40and you can either scrape them off using a tool called a curette

24:44or you can lightly burn the surface and wipe them off

24:48and that's better for the flatter smaller ones

24:50seems satisfying that knowing they're going

24:53yeah

24:53yeah that's good

24:54quite satisfying to remove them as well

24:57because we just sort of almost like buzz the surface of them

25:01and just wipe them off and it's

25:03you want to be a new woman

25:04yeah

25:05another little cluster

25:09we'll do this little cluster here

25:10yeah and that's the cluster on the ribs again

25:13yeah

25:13oh I felt that one

25:14all okay

25:17yeah okay

25:18maybe just a little bit more sensitive area on that previous

25:21yeah

25:22like I say that's where it hurts and itches the most

25:25maybe you've got a little nerve

25:27maybe you've got a little nerve just underneath there

25:29yeah

25:29who knows

25:30perfect

25:32okay

25:33it's just looking good

25:34that's it

25:37lovely

25:38it's almost like you've kind of fallen over

25:40and just gently grazed the surface of the skin

25:42that's the level

25:43yeah

25:43that's the level of injury

25:44I did like to be in a nurse years ago

25:47but it was nice being a patient

25:49yeah

25:49I enjoy being a patient

25:51and knowing what the result will be

25:53yeah that's fantastic

25:55fabulous

25:55yeah

25:56yeah no worries

25:56yeah

25:57if you lie yourself back

25:58Angela's just going to put some dressings on to the area

26:00put some dressings on for you

26:01just because they can

26:02they can sometimes bleed a little bit

26:04a little bit sore

26:05so get them covered up for you

26:06yeah

26:07such a relief

26:09I quite enjoyed the procedure actually

26:11it was good fun

26:12so it all went really well

26:17moved quite a few of them for you

26:20it's just so nice to have it taken away

26:24so you can feel more confident

26:26and not so you know uncomfortable

26:30lovely

26:31thank you so much

26:33bye bye then

26:33thank you

26:34thank you

26:35bye bye

26:36thank you

26:37bye

26:37I'm so pleased

26:39so happy

26:40and will make my life

26:42so much more comfortable as well

26:43lovely woman

26:48yeah she was really nice patient

26:49yeah

26:50Thelma's loving life in retirement

26:56but what are the team's plans

26:58once they down their instruments

27:00I'm dreading retirement

27:02to be honest

27:03I really want to go on as long as I can

27:05to go back to Portugal

27:07I want to retire an Indian

27:09that's the plan

27:10be ladies at lunch

27:12everybody says oh but you'll never be bored

27:15but I think I might be

27:16travel a little bit more

27:18help in the community

27:20I do love a good tour around a city and a castle

27:24grow maybe a couple of vegetables, herbs, that type of thing

27:27I'm counting down the years to retirement to be fair

27:30because I want to travel

27:32you know I'd like to be somewhere by the coast

27:35and I think it'd have to be a hot country too

27:38my aim in life is to have a really posh dinner

27:42in my swimming trunks

27:44that's it

27:44interesting huh

27:48luckily none of them are retiring anytime soon

27:51hello

27:52my name is Donna

27:54I'm 45 years old

27:56I live just outside Glasgow

27:57and I'm a clerical assistant

27:59have a seat for me Donna

28:01I'll let you know when you're ready

28:02perfect

28:03every Monday I'm at the aerobics

28:06at my local pool

28:07we have so much fun

28:08and you really feel as if you're doing something as well

28:11it's a workout

28:12okay Donna

28:13the doctor's ready for you

28:14down the hall

28:15on your right

28:16perfect thank you

28:17seeing Donna today

28:19is Dr Dev Shah

28:21Donna

28:23hi

28:24come on in

28:24how are you

28:25I'm good thank you

28:26nice to meet you

28:27Donna hi

28:28nice to meet you

28:29lovely to see you

28:29come and have a seat

28:30thank you

28:31tell us

28:32how can we help Donna

28:33I have had a lump on my arm

28:37since pregnancy

28:3811 years ago

28:39it started

28:40somewhat smaller

28:42it's got a bit

28:43a bit bigger

28:45I started losing weight

28:46and I just feel like

28:47it's becoming more visible

28:49and people are

28:50talking about it

28:51a lot more

28:52I get quite embarrassed

28:54about it when people

28:54point it out

28:55it's something that just

28:57makes me a bit self-conscious

28:58and I think

28:59the less self-conscious

29:00things we have

29:01the better

29:02and what do you do

29:04for a living

29:05I work for the local council

29:06you've got a very calming voice

29:07I'm sure you calm people down

29:09I try

29:09and what sort of other hobbies

29:12do you have

29:13I like aqua aerobics

29:14okay

29:15I've started walking

29:15around the track

29:16my daughter runs ahead

29:17but I'm hoping to get back

29:19into the gym

29:19it's more of a

29:20self-conscious thing

29:22the older I'm getting

29:24the more aware of it

29:25I'm getting

29:26okay good

29:27I'll come up

29:28and have a closer look

29:29I just don't want to have

29:31a kind of

29:32thinner arm

29:32and then you can see

29:34the lump more

29:35it's just under there

29:37isn't it

29:37have you had a scan

29:38of him

29:39yeah I've got the

29:40scan results

29:40with Matthew

29:41and it was

29:42a lipoma

29:43wasn't it

29:43yeah

29:43it's really important

29:45if you can have a scan

29:47because it will give you

29:49an idea of what

29:50is in that lump

29:51and also if things

29:53are fluid filled

29:54or if they're full of

29:55vessels

29:55it would be dangerous

29:56to operate on it

29:58so I think we can

29:59sort this out for you

30:00today

30:01okay

30:01I will draw on you

30:03and then I'll show you

30:04what sort of scar

30:04we can get

30:06for this sort of

30:07lipoma

30:08is that alright

30:09yeah

30:10brilliant

30:10I feel

30:12very excited

30:13about it being removed

30:15but also

30:15I feel

30:16a tinge of

30:18it was a kind of

30:20lump

30:20to remember

30:21the pregnancy

30:22of my daughter

30:23so I am hoping

30:24to give you a scar

30:26like that really

30:27because I'll have

30:28the stitches

30:29to kind of still be

30:30like a mark

30:32to kind of remember

30:33that time

30:33because it was

30:34a lovely time

30:34I love being pregnant

30:35with her

30:35so on the count of

30:37three you'll feel

30:37a sharp scratch

30:39okay

30:39one two three

30:40okay

30:41how's that feeling

30:42good

30:43coping

30:43yes

30:44good

30:44so where do you

30:46do the aqua aerobics

30:47at the local

30:49swimming baths

30:50okay

30:50I've been doing that

30:51since I was pregnant

30:53actually

30:53oh nice

30:54since pregnancy

30:55changes your body

30:57doesn't it

30:57it really does

30:58those kids

30:58she's worth it

31:00yeah absolutely

31:00Donna had a lovely

31:02calming

31:03Scottish accent

31:04that chilled

31:07Cherry and myself

31:08out

31:08and we were just

31:10very in a zen

31:11moment with her

31:12just let me know

31:17if you feel any

31:18sharpness or pain

31:19all right

31:20yeah

31:20how are you feeling

31:32watching

31:33supply or something

31:34fine

31:35you okay

31:36yeah

31:37the bizarre thing

31:46is the fact

31:47that you don't

31:47feel it

31:48watching it on

31:49myself

31:50it just felt

31:51as if it was

31:51happening to

31:52someone else

31:53because you don't

31:53really feel it

31:54it just felt

31:55as if

31:55somebody was

31:56tugging at my arm

31:57trying to get it

31:57out

31:58how's that feeling

32:06are you all right

32:08are you all right

32:13yeah

32:13I'm watching your face

32:16which is amazing

32:17Donna's lipoma

32:32hat

32:32looked really easy

32:34nice and relaxed

32:37lovely calming voice

32:38we'll all go home

32:39and have a cup of tea

32:40but

32:41it was really tethered

32:43just need a bit of grip

32:46in the end

32:48we were quite stressed

32:49because it just wasn't

32:50coming out

32:51as

32:52as I was expecting it to

32:54we don't want to leave

32:57any behind

32:58if we

32:59it is

32:59hiding around corners

33:02it's a workout for you

33:07it is a bit

33:09who needs the gym

33:11it did feel as if

33:12Dr Dev was having

33:14a bit of problem

33:15you could tell

33:16it would just be

33:16he's breathing

33:17there we are

33:19that's him

33:22a bit

33:24there's some under there

33:29wow

33:31oh there he was

33:34I could just feel him

33:35there

33:36perfect

33:38that was awesome

33:38you really did watch

33:40everything didn't you

33:40yeah

33:41that was the fact

33:42that I was looking

33:42forward to

33:43it was a great feeling

33:46to watch

33:47I didn't feel

33:48screamish

33:49or anything like that

33:50there we go

33:53that was satisfying

33:55for us as well

33:56there we go

33:56over time

33:58I've realised

33:58that patients

33:59who are going to

34:00faint

34:01or get queasy

34:02over surgery

34:03know that

34:04they will not

34:05want to watch

34:06patients who are

34:07quite gung-ho

34:08and want to watch

34:09everything

34:09and they're usually

34:10always fine

34:11how are you feeling

34:15I've done a great job

34:16it's been brilliant

34:17thank you

34:18great

34:18I'm really glad

34:19do you want to have a look

34:20at what we took out

34:21can I take a picture

34:22a bit more detail

34:23yes of course you can

34:24my husband will want to see

34:27here we go

34:28you don't want to smile

34:30with it

34:30no we will then

34:31no no okay

34:32there we go

34:34the concept of doing

34:38selfies with your

34:39skin excision

34:40or with your lipoma

34:41seems to be becoming

34:43more popular nowadays

34:44it's very odd

34:45perfect thank you

34:48very much

34:49okay excellent

34:50I think this year

34:51all together

34:52with the removal

34:53of my lump

34:53the weight loss

34:54I think just focusing

34:55on myself

34:56is really actually

34:58doing me

34:58a whole world of good

35:00take care

35:00lovely to meet you

35:02the whole experience

35:03was really really amazing

35:05thank you so much

35:06coming up

35:12wow

35:13it's amazing

35:1415 years

35:15of steaks

35:16and bananas

35:17it's been a successful

35:30day at the clinic

35:31and the team are ready

35:32to kick back

35:33what are you up to

35:34over the weekend

35:34Ches?

35:35I am pining

35:36for my grandson

35:38oh

35:38I haven't had a cuddle

35:40for oh a week now

35:43I need my fix

35:45yeah

35:45but before they head off

35:47there's one more patient

35:49pulling into port

35:50my name is Richard

35:52I'm 66 years old

35:54I'm from Southampton

35:55wonderful

35:56have a seat for me

35:57I'll let you know

35:58when I'm ready for you

35:58I spent 13 years

36:01at sea

36:02in the Royal Navy

36:03and the last 30 years

36:05I've been working

36:06with tugboats

36:07one of my hobbies

36:09is craft work

36:10I like building ships

36:12but today

36:13Richard is hoping

36:15Dr. Adil Shiraz

36:16will get him ship shape

36:18hello

36:20hello

36:21come here

36:22come through

36:23right

36:26it's Richard

36:26is it?

36:27yes

36:27hi Richard

36:28I'm Dr. Shiraz

36:29this is Vilma

36:29nice to meet you

36:30right

36:31why are you here today?

36:33well I have this horrible

36:34wart

36:35which has developed

36:36over about a 15 year period

36:38this sort of

36:39harm my confidence

36:41you know

36:42I've got small grandchildren

36:43you want to hold their hand

36:45and you know

36:46they're very curious

36:47oh what's that

36:48and

36:48it's ugly

36:50people

36:51you can see them flinch

36:53when they see it

36:54no one wants to hold your hand

36:57really

36:57I don't even know

36:58if it's infectious

36:59um

37:00got another small one there

37:02but

37:02yeah

37:03it's

37:04got bigger over time

37:05what have you tried

37:07over the last 15 years?

37:08I tried all the um

37:09various lotions creams

37:11tried filing it

37:12duct tape

37:13yeah

37:14I think the most unusual one

37:16it was a nurse who suggested it

37:18was um

37:19the brown

37:20slime inside

37:21and a banana skin

37:23okay

37:23she did say it with a smile

37:25but she did say

37:26yes my friend did it

37:27and it worked

37:28and the other one

37:29with the steak

37:29rubber steak

37:30and then bury it in the ground

37:31I said well

37:32how's that gonna fix it

37:33you know

37:33I've not heard of that one before

37:35so what is that

37:36rubber steak

37:37why this town apparently

37:38okay

37:38a cooked steak

37:39or a raw steak

37:40a raw one

37:41okay

37:41rubbing

37:43a steak

37:44on the wart

37:45and then infecting the steak

37:47and then burying it

37:48just seems like

37:49a complete waste

37:50of a good steak

37:51fine

37:51okay

37:52shall we have a closer look

37:53and then see

37:54if there's anything

37:54we can do today about it

37:56okay

37:56right

37:57um

37:57what I would like you to do

37:58is come across here

37:59take a seat

38:00it feels like it's quite deep

38:04I'm gonna close look

38:05with this light first

38:06is it painful

38:07it's irritated me

38:09on the odd occasion

38:10do a lot of work

38:11with um

38:12modelling and things

38:13so uh

38:14dexterity gets affected

38:16very slyly

38:17what type of modelling

38:18is it

38:19um

38:20wooden ships

38:21yep

38:22so it's pretty well

38:24circumscribed

38:25it most likely

38:26is a viral wart

38:27you can have calluses

38:29and corns

38:29that look

38:30can look somewhat similar

38:31you said there was

38:31another one to one there

38:32looks very very similar

38:37all right

38:39Richard had a viral wart

38:42these are caused by

38:43viruses known as

38:45the human papillomavirus

38:46they are very common

38:47it's the same virus

38:49that causes verrucas

38:50on the feet

38:50um

38:51and they can affect

38:52any part of the body

38:53viral warts as you say

38:54if you're holding hands

38:56they're infectious

38:56you can spread them

38:58and you have probably

38:58already spread that

38:59from there

39:00to there

39:01yeah

39:01so that's

39:02that you've transferred

39:02them

39:03the best option

39:04would be

39:04to have something done

39:05and we should be able

39:06to do that for you

39:07today

39:07I was expecting

39:09the one to be done

39:10to have another one done

39:12very much a bonus

39:13so just rest both hands

39:15like this

39:16now

39:17I'm going to give you

39:18an injection first here

39:19okay

39:20okay

39:21okay

39:21right you ready

39:22yeah

39:23it's going to sting

39:24fine

39:27good

39:28that's one

39:29the second one

39:31coming up on this side

39:32I was expecting them

39:34to be far more painful

39:36but they weren't

39:37it's just a little sting

39:38that was all

39:38it's like I got a stiff

39:42pair of gloves on

39:43the best way to remove

39:46Richard's warts

39:47is essentially to use

39:49a curette

39:49there's a blunt side

39:51and there's a sharp side

39:52this essentially will

39:54cut the wart out

39:56and only remove the wart

39:57rather than removing

39:58healthy tissue

39:59anything sharp?

40:02not sharp

40:02no

40:03nothing very much

40:05okay so that's

40:23all gone for you now

40:25I thought surely

40:28even though he got

40:29anaesthetic

40:30he might feel something

40:32but I felt nothing

40:33I didn't even know

40:34he was cutting into it

40:35at all

40:35thank you

40:37my partner wanted to

40:38paint a sad face on it

40:40and I will just

40:45stop the bleeding

40:46the plan is to use

40:48electrical hyphurcation

40:50which is essentially

40:50electric cautery

40:51any pain?

40:54no

40:54this helps stop the bleeding

40:57but it also helps

40:58to get rid of any

40:59cells that may be

41:02lingering around

41:02that I've missed

41:03with my surgical instrument

41:05pop this hand on top of here

41:06good just stay there

41:27for a second

41:27we'll put some

41:29ointment on

41:30and get it dressed

41:30and then you're done

41:31all gone

41:33wow

41:34that's amazing

41:3615 years

41:37of steaks

41:38and bananas

41:38I'll feel a lot

41:44more confident

41:45so I won't even

41:45be thinking about it

41:46anymore

41:47I'm not going to

41:48keep hiding my hand

41:49every time I do

41:50something

41:51bring it on

41:52how does it feel now?

41:58fantastic

41:58right

41:59do you want to

41:59have a look at

42:00your wart?

42:01so this was the

42:02bigger one here

42:03so you've got

42:05the top layer

42:06of skin there

42:06and then

42:07the wart

42:08the virus

42:08will be in here

42:09wow

42:10that's why

42:11you often find

42:12it difficult

42:12to get rid of

42:13because what

42:14you're trying

42:14to get rid of

42:15is a dead skin

42:15and you never

42:16actually penetrate

42:17deep enough

42:18to get to the wart

42:19but even the

42:20small one's bigger

42:21than I

42:21than I thought

42:22it would be

42:23that you can

42:24see here

42:24oh thanks

42:27so much

42:28for doing that

42:28one as well

42:29you're welcome

42:29I mean

42:30it wouldn't have

42:30been much

42:31at that point

42:31you would have

42:31just spread it

42:32to the other

42:32side

42:32so

42:33I can't wait

42:36to take my

42:36granddaughter

42:37to bind her

42:37hand

42:38and then lead

42:39her to the

42:39ice cream van

42:40when we go down

42:41to the seaside

42:42next time

42:43and not even

42:45think about it

42:46well Richard

42:47lovely seeing you

42:48lovely seeing you

42:48take care

42:49thank you very much

42:50thank you

42:51there you go

42:52bye

42:54bye

42:55bye

42:56when somebody

42:58says to me

42:59come on

43:00waltz and all

43:01I'll say

43:02we are not

43:03going to get

43:03him from me

43:04I'm really

43:15looking forward

43:16to a holiday

43:17to Italy

43:18later in the year

43:19and not have

43:20to worry

43:20about how I look

43:22now my walks

43:28are much more

43:28pleasurable

43:28and comfortable

43:29thank you so

43:30much

43:31a friend told me

43:49I could be a

43:50hand model

43:51but I do draw

43:51the line at

43:52nail varnish

43:53next time

43:57on skin

43:57AME

43:58you having

43:59fun in there

44:00trying to turn

44:01you inside out

44:02now

44:02oh

44:03looks like a

44:05turnip

44:05there's a

44:05brain in there

44:06isn't there

44:07well we've not

44:07gone that far

44:08still will be a

44:09mystery when you

44:10leave

44:10this is one of the

44:11pomos that just

44:12keeps on giving

44:12seriously it's like

44:13not stopping

44:14come on

44:14little friend

44:15you

44:29you

44:32you

44:33you

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