Skin A&E Season 7 Episode 4

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Transcript

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

00:12here we go here we go ready to tackle the nation's lumps and lesions no jobs too big

00:22probably a slightly bigger pot yeah no treatment too messy I do have a habit of poking it and squeezing

00:29it very uncomfortable they'll bring relief Wow and results so happy restoring confidence thank

00:44you and changing lives doesn't want to come it's like a strawberry I've got eat my lunch after this is

00:55skin A&E this week in the clinic I was in a horror film there are shocks yikes dark twists

01:13are you okay Memphis I can feel a pulling on it's just like weirding me out a little bit and a sharp

01:18piercing you could feel a little prick yeah I've been called worse oh I could call him a lot worse than

01:25that it's always a juggle for the team with admin and prep first thing in the morning only me do my

01:40emails doing your emails that's my euphemism okay word word word oh you can't make this change

01:50because selection is locked what let's hope the treatments go better than the tech my name is

01:57Richard I'm 54 I'm from North Devon and I'm an historical reenactor hi I'm Richard lovely I will

02:05check you in Richard I'm part of the Napoleonic Association we recreate battles this is me in my

02:13main portrayal as a 95th rifle soldier think Sean Bean in sharp okay Richard the doctor's ready for

02:21you down the hall on your right thank you banishing Richard's skin condition to the history books is

02:28Dr. Dev Shah hello Richard hi come on in thank you Richard hi I'm Dev this is Jerry and I'm Jerry nice

02:38to meet you welcome to the clinic take a seat how can we help Richard well I have a fatty lump okay on my

02:48side it's been with me for actually like 20 plus years I think when I started off I first noticed it

02:54it was the size of a probably a pea yeah now it's more like a satsuma it'd be great if something could

03:00be done before it gets to the size of a grapefruit okay fair enough fair enough how does it affect you

03:06any sort of activity where you're having to bend or twist you know like digging in the garden or part of

03:11my hobby which is running around firing a musket sometimes I will I will twist and it almost feels

03:19like it's moved and almost gone between the ribs or something I do historical reenactment okay so I do

03:27Napoleonic reenactment we did we do reenactments all over the UK and and quite a lot in Europe as

03:31well during my hobby with a heavy wool uniform and quite a lot of leather straps and belts can

03:40get in the way so let's have a little look we'll take your top off as well there we go perfect

03:48so there it is can I just have a feel of course yes yeah and if you want to raise your arm up

03:58it's more pronounced when yeah when you do that yeah lipomas in general are big spongy bits of fat

04:09that have a very clear membrane like a balloon around them my aim would be probably to make a cut

04:16about that size yeah and hopefully get it out that way if it doesn't come out nicely we may have to

04:23make the the cut slightly longer so you're looking at something like that yeah okay so that's roughly

04:32what we're going to do you happy with that yeah that sounds great excellent coming back after a long

04:38sort of hot sweaty battle when the first thing you want to do is get that jacket off get your shirt off

04:44to not be conscious of the bumps sticking out that would be brilliant you'll fill a sharp scratch okay

04:50on the count of three one two three how's that I was bracing myself for something a lot worse than

04:57the reality the anticipation of a needle puncture is is worse than the reality of it

05:04I'm sorry I'm not tickling you

05:09let me know if you feel any pain

05:17you will feel a bit of pulling and pushing

05:22actually I did feel a little you don't have to be polite

05:27I did feel a little prick yeah I've been called worse

05:31oh I could call him a lot worse than that

05:36no sharpness now no good he's just fiddling we're going to start pushing in a minute

05:53he's just releasing it yeah it always felt it always felt like it was sort of movable to a degree but

06:00it's obviously within its own nice and superficial it's good I was sort of aware of devs finger sort

06:08of running around the inside quite bizarre but not not unpleasant

06:14did he have his witte bix this morning

06:21has that any paid no no you know the napoleonic thing what was the spark I like the flamboyancy of

06:31the uniforms but they I mean ridiculously colored bearing in mind you are going to be shot so why

06:37make yourself red just well yeah there's there's I mean there's a whole sort of thing red red um was

06:44the cheapest ah is that why the arm the British army of the time they went for

06:53they went for the cheap cheap the cheapest option we're permanently being educated by

06:59our patients it's wonderful to have them awake and able to chat it doesn't

07:07want to come come on he's been holding on in there for a long time there's a lot of years

07:14here we go so I would imagine he's he's you know he's probably quite at home

07:19she blows there we go

07:23is that sore it's not sore it just feels like you can feel him feels like it's pulling on something a

07:35bit further okay round but he's just tried to as you said it was a little tethered at the base and

07:41that's what he's working out there were a few occasions um during the removal where the the

07:49pulling was quite was actually quite intense good so what is it then just a collection of fat cells

07:56that's right that the the of what but we don't know why they form uh no we don't know why they

08:06form but it's certainly genetics

08:08you can sort of tell what's normal fat and what's lipoma

08:21but that's all come out quite nicely really there's nothing left in there

08:27it doesn't feel like i've been cut open nowhere near as bad as coming out of the dentist

08:31how neat is he with this oh his stitch work is okay he's part of the wi he's okay see anyone who

08:42can hand sew and do it well should should be a surgeon they should because it's so much harder

08:47to sew clothes because every little mistake it doesn't heal whereas skin heals it's really forgiving

08:54yeah i do actually have an event to go to directly um after this so i will be a good boy i will not be

09:03um firing the musket and i will not be even taking it out of its box

09:08okay so you're ready yes ready you could lift that big reveal there you go wow there it is

09:16look at that don't ever play with it it's quite a lot in it yeah oh my god

09:22that's amazing it that is amazing yeah it was it was quite deep

09:30it looks it well i mean it looks pretty gross to be fair doesn't it

09:36you're happy to see it there in the in the tray rather than in me

09:40take it easy look after yourself and it's been nice to see you yeah it's been lovely to meet you

09:48and thank you for educating us your skills are slightly more impressive than oh no

09:53that's very kind of you to dr dev and uh and cherry i just want to say just thank you so much

10:01please come and see us at an event soon and uh just thank you once again

10:07coming up this just feels like a big blob on the back of my ear in a way

10:15have you ever had a no no no no no no no no no no no no no i'm concerned that it may erupt when i

10:22actually cut into it

10:24there's no time for chit chat this morning all right all right the next patient is already in

10:43reception hi a phone appointment sunday memphis 21 year old memphis is booked in to see dr natalia

10:52spearings oh hello hi you must be memphis i am i'm natalia nice to meet you

10:59all right so tell us what we can help you with today so i've got a hypertrophic scar on the back

11:07of my ear yeah for about three years okay it's just getting in the way yeah i can imagine it looks

11:12it looks like it might get in the way is this from a piercing perhaps i think so yes it looks like

11:17a lobe a normal lobe piercing yeah so i take my earrings out one day yeah and it just what i feel

11:23is like the back of an earring and it fell into my ear and it's i don't know it just it just appeared

11:29a back sorry yeah like the butterfly clip with an earring i'd lost it and i couldn't find it anywhere

11:33that appeared a couple of days later a keloid scar is your body's reacting to having been damaged

11:40by kind of going a little bit nuts with the scarring all right let's have a look at this ear

11:46can we have you stand up and look that way for me gosh and it's through over how long to this size

11:53um about two and a half years

11:54oh

11:56the base of the actual scar was relatively small and that's really good because that involves

12:05um less tissue being cut into to remove that scar

12:09and there's something that we can definitely do for you today i numb the ear

12:13i'm going to shave it flush to the skin either i can see the back of it when we remove it or the

12:18lab will find it if it's stuck in there i just think it's really weird if it's a piercing like if

12:23there's a back of a piercing in there

12:24it's happened to me but then you've got a keloid from that no i it's just that basically i had my ears

12:32pierced and then it got infected as it got swollen it consumes the back of the ear had to have

12:38it surgery to remove oh my god my immediate thoughts was how bad was this infection i've

12:43known dutan worked with her for quite a few number of years now and i've never heard that story before

12:47this kind of story freaked me out you will have a scar on the back of your ear

12:52that's i can't see that that's fine you can't see it's fine okay come on over

12:56i was a bit nervous hoping that it can come off and a bit of excitement as well

13:02all right so sharp scratches coming now all around you ready and deep breath sharp good well done

13:10well done it's not comfortable this in the ear well done well done i inject into the back of the

13:16ear the skin on the back of the ear breathe and that can be very painful on the ear especially if

13:21you're around cartilage because there's not a lot of fat there to kind of absorb the pain

13:25all right that's it okay yeah you're gonna cry you're okay i'm all right good

13:32close your eyes you shouldn't feel anything if you feel anything at all you tell me immediately

13:43i need to get underneath that keloid because it was really sitting over the lobe so the only tool

13:58that you can actually do that with is a derma blade it's a flexible tool like this but it's quite a long

14:02sharp edge so you can just basically slide it under the keloid and and then you can remove the keloid

14:08easily like that are you all right memphis yeah by the way you have the coolest name

14:17yeah why are you named memphis uh from the movie gone in 60 seconds is that a character's name yeah

14:23i think pretty sure it's the main character you should watch it again i can't remember i watched

14:27ages ago i watched all the um final destination movies earlier in the week the what movies final

14:35destination is that a tom cruise one you're thinking of mission impossible yes i am thinking

14:41of mission impossible

14:42don't wait we're almost there i was about to say how we're doing you're good you're doing excellent

14:57the most important thing for me is to not affect the skin of your actual year

15:00when i remove a keloid i really don't want to damage the actual the normal skin there

15:07the more you traumatize the normal skin the higher risk of it recurring so i'm really careful to make

15:11sure that the normal skin stays as kind of intact as possible are you okay memphis you

15:19yeah i just i can feel i can feel like pulling on it so it's just like weirding me out a little bit

15:24okay i have it oh it's off that's so weird yeah it's off oh my god it's okay

15:38it's okay all right now i'm gonna just do the coterie thing okay ready

15:41you're gonna hear a buzzing oh pretty good oh yeah you can smell it a little bit yeah it's just

15:47like burning flesh but there wasn't a really bad smell to it oh my god you know what it's not

15:55from the the lobe you're saying oh my god i'm going through your lobe right now this keloid came

16:00from your second piercing really from where the little keloid sticking out the front oh it's not

16:05connected at all to your other one i think it started growing from below but it's directly

16:09above the hole is still there i thought the keloid was from my first lobe and after she had taken

16:16it off and realized it had come from my second piercing instead which was really weird so i tried

16:21to move all your hair out of the way and fry your hair okay i'm getting it all cut off anyway all right

16:26oh okay i'm going for a pixie cut now that that's off oh cute now i've got my hair sorted it's just

16:34amazing it's so free in a way so how do you feel great do you want to look from the front

16:42and see what your because your ears are symmetrical like look both ears that's so weird

16:47it's incredible oh good i'm genuinely like i've waited it for this for years oh good so it's so

16:54weird to say it's finally off it's finally off best bit of my job is when i remove something like a

16:59keloid scar especially from a younger person and it completely transforms their demeanor how they

17:04feel about themselves how they put their hair up how they behave so it was really rewarding to see

17:09the immediate change in her do you want to hold it yes oh it's so it's it's less red than it was on

17:19your ear because there's no blood in it oh that's so weird yes and let's turn around if you put your

17:25right where the fat is that's that and you push it down you can't feel any metal it's just hard

17:30it's going to go to the path people it's so bad that's it that's weird it was weird because i thought

17:38it was a lot smaller but when i was able to pick it up and feel it felt bigger than it actually was

17:43when it was on my ear thank you very much you're so welcome i'm so happy thank you great

17:48well best man have a safe drive home thank you see you later bye

17:52i wouldn't stop smiling over because it was so relieved to just have it off after three years

17:58it was really cool

17:59i love a keloid scar removal makes me so happy i think it's the biggest one we removed i think so

18:07isn't it great to be happy in your work and we're spreading more joy now with the next customer

18:16my name is susan i come from berkshire i'm 80 years old i've been married for 63 years and we had four

18:27sons 11 grandchildren and i've got seven great-grandchildren and one on the way okay susan

18:36the doctor's ready for you now down the hall on your left susan is seeing dr emma mcmullen

18:42come in hiya hello hello i'm darling this is dr emma hello how are you doing i'll see you over

18:51there susan what can we do for you today well i've got this lump on my head oh gosh and it's

18:59quite big now yeah oh gosh how long have you had that for well i think it must have started crying

19:04about 20 years ago and then this last few years it has gone and has it ever been painful or boozy or

19:12red no no anything come out of it no no have you ever had a no no no no no no okay the grandchildren

19:21they're always looking at it saying oh i think then it's getting bigger and bigger does it cause

19:27you any trouble sort of day to day no sometimes it's a bit itchy or sometimes when i lay on it

19:33and is there anything that sort of prompted you to well my grandson's getting married oh so um as

19:41you can see when i go out in the wind it just blows and shows right hi yeah my neighbor one day we

19:50was talking and it was quite windy and all of a sudden she went oh goodness whatever's the matter

19:55with your head it is embarrassing do you mind if i have a little look no no no no is it sore today

20:02nope nope that is a beast season

20:08i thought that must be really uncomfortable you know how did how does she sleep

20:14i was quite surprised that she'd had that for so long we can remove that no problem that should

20:19be super simple to do hopefully when i was excited i can have it removed

20:26that's it i'm just going to give you a little bit of a superhero cake the hardest bit of any procedure

20:34is getting the patient in the right position yeah we need to make you the glamorous granny the wedding

20:40great-grandmother yeah great-grandmother yeah grand i've got seven great-grandchildren

20:48oh wow one on the way yeah oh so how many grandchildren 11

20:54and that's from how many children four four sons that must have been fun when they were little yeah

21:02right what i'm gonna put your local in this does sting a little bit okay

21:10we might give you a slightly pink hair

21:12you okay yep you've had four children

21:18i am so very tough

21:19this is absolutely child's play

21:23i didn't feel a thing

21:26i think us old ones are quite tough

21:29now in the hope emma likes to get them out in a little one go

21:35and i like the squirties

21:37oh you like the squirties

21:37so in the hope

21:38she's getting her goggles

21:39i'll get my goggles on ready

21:42with emma's track record i thought maybe a little bit of eye protection might not go amiss for this one

21:48wow this is gonna be

21:50it's gonna be a good one i think

21:52is it yeah

21:54thank you

21:59does that feel okay you can't feel anything sharp

22:04no no

22:05lovely

22:05oh look at that

22:18oh

22:19it's starting to run

22:21it's okay

22:22what am i missing

22:22i've just seen the people that are outside

22:26oh yeah

22:27oh

22:28sitting there all proud like an egg

22:33it looks like

22:34is it

22:35yeah

22:35oh

22:37gently

22:38yeah

22:39oh it's been very well behaved

22:49just come out like a little pebble that

22:52yeah

22:52big pebble

22:53can you see it

22:54can you see it

22:55yeah

22:55oh my god it looks like mushroom

23:00a hairy mushroom

23:03yeah

23:03oh

23:05well putting my goggles on was like taking an umbrella out in the sunshine wasn't it

23:11i got nothing

23:13no

23:13sorry

23:14i'm always a little bit disappointed when it comes out whole

23:19but emma was happy

23:20so nothing too strenuous for a few days

23:24no

23:25okay i know it's weekend but no trampolining all right

23:28oh

23:28she told me not to go trampolining

23:32so i'll try not to

23:34okay

23:37cool

23:39right

23:39just give it a little clip i'll get rid of it

23:41thank you very much

23:42oh you're very welcome

23:43oh sorry

23:44sorry sorry

23:45all right

23:45i'll get you sat forward

23:47pop your cardia on

23:48for you

23:49get your bearings

23:51do you feel okay you don't feel dizzy or anything

23:53no no no she said no bending or doing too much i said well i'll get my husband to do the hoovering

24:00and she said yes and get everything out of the dishwasher but i shall add a little bit more on

24:06have a look at yourself in the mirror without it yes you can talk you know you can fix your hair if

24:13you want it's all walkthrough

24:14i don't like it

24:15i don't like it

24:16it's awful

24:16it's flat oh what would i do without it

24:23my grandson's getting married so i'm looking forward to go and buying a new hat

24:28lovely to meet you

24:29all the best have a safe trip

24:31and it be able to stay on my head

24:34bye bye now

24:35bye bye

24:36i'd like to say thank you very much for all what you've done for me

24:41and i'm glad it's gone

24:42and you can keep it

24:45now i know i like them squirting but i have to say it was very satisfying

24:51the way it just kind of slid out

24:54yeah it's lovely it's graceful

24:55it was very graceful yes

24:57i could do that all day every day

24:59a graceful cyst yeah

25:01ones like that

25:02coming up

25:07you could make a good suit or something

25:09with your sewing skills

25:11if i ever get bored i'll be the next step

25:12really

25:13that's what came out wow

25:21it's mid-afternoon and finally time to squeeze in a chat

25:31what are your kids up to today

25:33doing doing no maths without me

25:37the next patient has a problem with numbers too

25:41hello my name is clive i'm 11 to 12

25:45that comes from a famous tv series called where's all gummage

25:50i'm a semi-retired graphic designer from southampton

25:54clive's appointment is with dr magnus lynch

25:58come in please

26:01hello there hi hi come and have a seat

26:04thank you

26:05lovely to meet you is it clive

26:06it is

26:07sit yourself down so i'm dr magnus this is angela

26:10lovely to see you

26:11so how can we help you today

26:13this pretty obvious i would have thought

26:15yeah

26:16yeah um yeah i've been had it for about nine ten years now

26:20ten years and it's got bigger in recent years

26:23it must be having quite a big impact on you

26:24well it does to a degree

26:26i forget about it but then i get reminded when people look at me and do a double take

26:31yes and that's going to affect your confidence isn't it

26:34recently a little girl was facing backwards on the bus

26:38and she was going mum mum look at this you know that sort of bothers me

26:44how does it affect your work or your hobbies

26:46well it doesn't affect my work because i work on a computer most of the time but

26:50it does affect my hobbies i'm into amateur dramatics

26:55um and you know i'm hoping to get some extra work maybe for fun

27:00yeah but um of course anything like that you've got to have a portfolio of photos

27:04i thought of photoshopping the lump off but i thought that's no good because you turn up

27:10for an interview and you're out of luck

27:13okay it's most likely either a harmless cyst or a harmless growth of the fat cells

27:24caused a lipoma i can remove it for you today if you would like

27:27yep it'd be nice to look in the mirror and not see that

27:32i don't think anyone would really want to walk around with this lump

27:36on the head when you're ready lie yourself back onto the bed there

27:39yeah you're all right you're okay in that position

27:43i'm just going to pop some local anesthetic in there so just be patient with me i do understand

27:48it's a little bit sore

27:50see once this is in you won't be feeling anything else painful or sharp

27:56i thought it looked more like a cyst because it was a very rounded

28:01um shape but when i was touching it was a little bit more spongy

28:05um so i was thinking there's a possibility it could could also be a lipoma

28:10if someone said put a bed on i'd say yeah i i think that's a cyst

28:15there we go

28:17all okay for you yeah now if any point you do feel anything you just tell me immediately

28:25have you been in a film before yes i was in a horror film

28:29you're in a horror film i was um an extra basically driving a camper van with my supposed

28:37family yeah and uh they filmed that and then they filmed us in the van

28:43yeah with our necks pierced by a blood-sucking um a dwarf vampire basically

28:51oh it sounds brilliant

28:52but yes it's available on dvd i have to check that one out

28:56well it was all filmed around southampton where was it and uh so it was interesting from that

29:02point of view as well yeah i am not a horror fan at all i'm absolutely terrified of scary films

29:11well it's not a cyst

29:12probably looks like a lipoma yeah

29:17as soon as i took the top layer of the skin off i could see immediately that there was fat cells

29:25so it was very clear to me that it was a lipoma rather than a cyst

29:29i think i feel some drips yeah it'll be a little bit bleeding there will be there will be yeah i

29:37could be filmed for that scene again

29:39yeah being honest this would be a good time to film it but pop some gloves on for me angela and we'll

29:45just get a bit of pressure on there but it's coming out nicely actually i have to say so that's

29:51one good thing good that's coming out very nicely

29:54yeah i mean these things they do bleed i'll be honest it's just that is what they're going to do

30:03there's no yeah no you can't head away from that especially in this area yeah it's going to bleed

30:08so hopefully it won't yeah take too long that should be fine

30:12it is going to bleed so i'm going to need angela to press on that firmly for me

30:16there we go great the difference with a lipoma versus a cyst is that the lipoma does have a blood

30:24supply needs to get a little clip on it there we go yeah there you go you are expecting to see some

30:31bleeding and quite often it does take longer to deal with the bleeding than any other part of the

30:36operation you're going to hear a bit of a buzzing noise just sealing things off

30:43it's essential that all of the blood vessels are completely sealed either with cautery or with

30:49a stitch of their larger blood vessels because otherwise you can get bleeding after the operation

30:53which can be dangerous for the patient

30:54you can make a good suit or something can you yeah with your sewing skills

30:59okay so we're all done

31:12so do you want to have a look at it then oh yes yes so grab that mirror there

31:17yeah so you can see there it's all come out and that scar is kind of in your crease there

31:23yeah well done okay thank you thank you very much

31:27they did a very good job cleaned me up nice with all the blood on me and you know it's very good

31:36so everything went smoothly it we were going to send it for analysis it looked more like a lipoma

31:43which was maybe not what we were expecting um did you want to have a look at it before you go

31:48at all or what the the lesion that was removed um can do out of interest totally up yeah if you

31:53want to bring it over for you yeah there you go so that's that's it there it's quite big actually

31:59that is yeah that is it that's surprising did you want to touch it we can give you some gloves

32:03it's just a relief in a funny sort of way really a good luck with everything yep thanks bye

32:12bye then see you thank you as well thank you thank you bye bye bye bye bye something that's been

32:21there niggling me you know whenever i look in the mirror or someone looks at me and gives a double

32:27take hopefully it just looked like a wrinkle there there you go great yeah so yeah i really thought

32:35that would be a cyst yeah but you do never know um thanks to dr magnus clive's scar will be hidden

32:47in a frown line but that's not always possible luckily the skin a and e team have some top tips

32:55for helping any scar heal get your stitches removed on time make sure you avoid the sun

33:01often advise patients to put vaseline onto the scar to massage it and you need to use a fingertip a good

33:08firm fingertip so not like this like you're pointing and circular movements little and often

33:15hopefully the next patient's been taking notes he's shane who's raced here from peterborough

33:25hi my name's shane i got an appointment i've been a big formula one fan since i was a kid

33:31have a seat for me shane i'll let you know in a red thank you very much my dream would be you know

33:36go to a race but also go to the paddock maybe meet some of the drivers as well yeah i'm a big petrol

33:42head in that sense yeah okay shane the doctor will see you now down the hall on your left thank you very

33:48much shane's pit stop today is with dr abil shiraz come in hi uh nice to meet you take a seat hi

34:00there we go i'm dr shiraz nice to meet you this is wilmer hi nice to meet you right what can we do

34:07for you so i have a cyst or a lump on my right shoulder okay that's been there since 2018 it

34:15started off just like a normal skin lump yeah and i think it's been slowly getting bigger over the period

34:21of time um and also looking a bit more angrier it's been there for seven years and i think it's

34:26time for it to go you know it's been there for a very long time and uh i'm worried what other people

34:31might think about it if they see it it might go you know i've had a few things like that so yeah

34:37not fun i can't wear like certain shirts because sometimes you'll see like a little lump over there

34:42yeah i worry about dating with the lump because you know if i take my shirt off and a girl sees it and

34:48they think crikey what's what's this lump on his shoulder what have i got myself into so uh

34:53does it ever leak no and have you ever had it treated before no i've had a scan on it last year

35:00sure and that came back harmless all right if i can have a look at it yeah

35:04are you okay taking your shirt off yeah yeah

35:08yeah yeah obviously it's i mean it's pretty visible isn't it yes yes it's more annoying than

35:18anything you know is it painful no i mean crikey my mum's tried to press on it and

35:25i keep to that and no don't press on it make it bigger

35:28there's no real opening here as such or maybe it's sealed so you can see where there would have

35:34been an opening right in the center you've got little blood vessels sprouting out which is quite

35:37normal okay just because it stretches the skin just moves around okay you pop your shirt back on

35:44for a second

35:44okay so it looks like quite a typical looking cyst we should be able to get rid of that for you today

35:53brilliant all right yeah we out put some stitches in and that's it you've done that's fine you will

35:58have a little scar there which i can't avoid but it will look better than that so i would put a tattoo

36:01over it or something you know it's not a problem for me so all right good are you okay to take your

36:05shirts off yeah yeah that's all right and then if you come down lie yourself down i feel relieved

36:10and happy after all these years finally getting rid of it comfortable happy there yeah it feels like

36:16i'm in bed now i felt relaxed you know and i felt chilled and i was so reassured that i was in the right

36:22capable hands to sort the job out right now step one is anesthetic this bit stings and then it will go

36:28numb yeah that's fine um and then you shouldn't feel anything once the anesthetic's gone in no

36:32problem okay right so when we put the anesthetic in it will pressurize it slightly yeah and sometimes

36:38we get a little bit anesthetic squirting through which sort of shows that it is a cyst okay right

36:42you ready yeah coming up now i'm sorry this bit will sting

36:45you okay yeah all good yeah there we go so we can already see the contents trying to come out

36:57it essentially squirted out of the original opening at the top this confirmed that it was a cyst

37:06now i'm concerned that it may erupt when i actually cut into it coming up the longer i've left it the

37:13worst it's probably got

37:14in treatment room two dr adel is about to remove shane's enormous cyst

37:31cysts are sacks or balloons under the skin that contain dead skin and debris when i injected the

37:41anesthetic the anesthetic the increased pressure caused some of the contents to start oozing out

37:46even before i'd start cutting

37:48okay does that feel sharp here no no

37:55was there any chance it might come back or unlikely not impossible but unlikely okay

38:06okay right now

38:09so i'm just gonna stand out the way because i think might be one of those ones that pops out

38:18oh lovely

38:18okay right

38:21anything sharp

38:24no

38:24i think if we gently release the pressure there we go

38:31i know the procedure started but i didn't really feel much it was just a shock to me

38:36i was expecting a couple of quite sharp pinches but no

38:39you're gonna feel a bit of squeezing now

38:41it's been building up for a few years hasn't it

38:56yeah the longer i've left it the worst it's probably got

38:59i was very intrigued i would have loved to just have a little mirror on the wall you know

39:07just to see what was going on

39:09all right let's see if we can get the sack

39:12okay a bit of stretching

39:16shouldn't be painful

39:18all good

39:27yeah all good yeah

39:28do you have any hobbies shane

39:36yeah i love uh to watch motorsport

39:40oh yeah

39:40yes and i'm really passionate about you know formula one and all the american motorsports as well

39:45and do you actually do any of it or you enjoy watching it

39:50i wish i could do motorsport

39:51yeah

39:52um i'd love to be a racing driver

39:54doing well

40:00good

40:18the shade cyst came out relatively easily the contents came out the sack was out in its entirety

40:25um i was glad and pleased that i could get the whole thing out and it wasn't too messy in the end

40:30so just gonna put some stitches in and that's it you're done

40:33wow

40:33that's quick then

40:34yeah it came out pretty easily wasn't too different

40:37i was worried it was gonna like explode on you guys or something

40:39yeah i was just i was i was worried as well actually yeah because you know it's been there for ages i thought it was gonna go

40:45well over here bless you

40:49i didn't really feel a thing

40:51that's how we like it

40:59never had stitches before so that's something new for me as well

41:04that was my first ever experience with stitches

41:05i've got to get them taken out but that's not a problem for me no problem

41:11just removing this sorry it's alright

41:16looks weird now because normally when i look over this way i see something

41:18something now you can't see anything

41:19and now it's just not there no yes

41:21people are not going to stare at my cyst anymore and think what is that

41:25that's brilliant thank you

41:26you're welcome

41:27thank you much

41:28very happy that it's gone after all these years

41:32okay

41:32yep

41:33oh

41:37lovely job

41:38how was that for you

41:45i was surprised i was thought i was going to get like a you know a bit of a pinch you know

41:48a big old pinch but no

41:49so the cyst came out with a lot of the contents within it and there was quite a lot

41:55yeah i imagine after seven years

41:56you've got four stitches which will heal and you should just have a nice scar there

41:59would you like to see it

42:00yeah go on then yeah

42:01you sure

42:02yeah yeah yeah

42:03let's have a look

42:03i'm not too squeamish with stuff

42:05let's get some gloves in case you wanted to touch it but you don't have to

42:08i don't want to touch it now i'd rather see it

42:11i'll show it to you

42:12touching it might be a bit too far

42:14so there it is

42:15yikes

42:16so that's what came out

42:18wow

42:18and there's more than that that's just part of it

42:20so that was all contained within this sack

42:25when he showed me the cyst i was like wow

42:27that's crazy

42:29i couldn't believe that that thing had been in my shoulder for all that time

42:34thank you very much

42:36take care

42:37take care

42:37but this is a game changer for me

42:40all the best

42:40all the best thank you very much

42:42thank you

42:42it's going to change my life

42:44it's going to give myself a little bit of a confidence boost

42:47but not a little one a big confidence boost

42:49also with dating as well

42:50a nice woman wouldn't say what's this rope on your shoulder and be freaked out about it

42:54so no i'm happy

42:55that i don't have to worry about that anymore

42:57so it's gone good with us

42:58that one actually was quite straightforward

43:01yeah it was quite straightforward

43:03it's made life so much easier in this uniform

43:16running around the battlefield firing this gun

43:19they even gave me a man

43:22i've got no scars showing and no bumps

43:30thank you skin a and a

43:31it's made me feel so much more confident

43:39i had so many compliments on my hair

43:41and i would just like to thank dr latalia for making it all happen

43:45well the future's looking good with that lamp gone

43:54and i hope some new adventures now await me

43:58happy days

44:04it's a world game changer for me

44:05so yeah very pleased how it's all turned out

44:08next time on skin a and e

44:11oh that sounds squishy

44:12watching your face is amazing

44:15what have you tried over the last 15 years

44:17the brown slime inside of the banana skin

44:21we've literally been pulling stuff out of this

44:24for 10 minutes

44:25oh this is a gift that keeps on giving

44:28oh man oh this is a gift that we can't take her to the

44:42you

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