Skin A&E Season 7 Episode 8

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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

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

00:28squeezing it very uncomfortable they'll bring relief wow and results so happy

00:36restoring confidence thank you and changing lives doesn't want to come it's like a strawberry I've

00:52got to eat my lunch after this is skin A&E this week in the clinic the team are on high alert you

01:09made me jump handling curveballs he was a big boy wasn't he he is and ready for anything oh my

01:18goodness I think that's the most I've seen with him it was like a carpet of skin tags it's a fresh

01:28start to the day I'm putting a note on to remind me to do that prescription tomorrow the team are

01:35feeling calm oh supper last night was really good I enjoyed that making a few adjustments oh no wonder it

01:45won't come on ready to welcome the first patient 78 year old Jim from Irvine in Scotland hello hello I'm

01:55here for my appointment Jim I was born in Glasgow but I've been in Irvine 36 years now I'm proud to be a

02:02Glaswegian but I don't miss the city okay Jim the doctor's ready for you down the hall on your right

02:08my wife says you tell everybody your life story and so I do happy to hear Jim's Celtic tales is dr.

02:17Dev Shah hello Jim come on in how you doing thank you very much something thanks I'm Dev nice to meet

02:28you this is Cherry hi good to see you tell us how can we help I would love you to get rid of a huge

02:35lipoma I've got in the back of my head okay I've heard it for 14 years it's a long time it's called

02:42George George George yeah because I had an uncle that had a lump in the same place honestly and he

02:49was called George so I decided to call him a lump George I mean I didn't like my uncle George but

02:55he's gave me that I think yeah fair enough he's given me okay how is it bothering you I played

03:03bands all my life it's all right when I was on stage but see as soon as I left the stage you think

03:08people's look me do you know I mean standing in queues queueing at the bar so it's really affecting

03:13you yeah can I come and have a look and we'll see whether we can sort this out for you um and then

03:20I'll take some pictures if that's all right yes and then we'll decide what we can do oh yeah

03:26he's a beauty isn't he yeah are we able to shave a bit of your hair certainly it's just a horrible

03:33thing that shouldn't be there and it's it's growing I don't know why maybe it's my brain's

03:38leaking out into it would you like to hear my poem I'd we'd love to hear your poem you'll like this

03:44go on lipoma George on my head you'll find for 14 years he's been behind I would like him remove

03:52skin A&D then I would be lipoma free Natalia Dev or Emma any one of you can solve my damn dilemma

04:01love it I absolutely love it I don't think that's ever happened before uh and it was a lovely lovely

04:09gesture probably about that big could you see that blue line going around um so I think we can treat

04:17this for you that would be brilliant I was delighted I think we can do it today is that

04:23all right yeah yeah of course it will give me my freedom back again be the way I used to be before

04:29the lump appeared uh what I was proposed to do is take it off like this yeah because if we just make

04:36a cut you'll have all this floppy skin yeah that's right no one wants no one wants any floppy skin right

04:41oh no no it is wonderful to um build up a bit of a rapport with a patient having a laugh settling

04:49them down sorry that's not me it's not you Jim it's there not again I wasn't in you and having

04:56some misfunctions of beds and things like that just settles the patient in

05:01when you're bringing together skin if they have long hair it sometimes flops over

05:10well there he is and get sutured into the scar and that will give you an infection

05:20sharp scratch coming up okay

05:26so did you sing uh yeah I've never been a great singer but it's just something you had to do

05:34and do you miss it uh I miss the money doctor sure did your wife always come to the gigs or not

05:39you're joking she says i'm rubbish

05:44nothing like a bit of support yeah I love it

05:50okay right lots of fingers on you I'm afraid

06:04it's okay for sleep you can snooze away if you start snoring we'll um roll you over

06:17there's actually wipe my tears there you're okay you will feel fiddling i'm a bit i'm a bit sad

06:27what to lose him no no really i bet you're not yeah how's it feeling by the way no pain not a thing

06:37daughter okay good

06:48right lot of squishing

06:54it was a strange feeling you could probably hear some horrible snip snip snipping

07:01is it coming all right oh yeah he's not a squeezy one seed jimmy's he's a just to take it slowly pick

07:09away at this one

07:10you okay is that sore that was i okay okay we're going to put a little bit more local anesthetic in

07:21okay yeah i thought it would just be a case of a wee cut and squeeze them out but i'm afraid it was

07:29not like that he was a big boy wasn't he he is and he's not giving up easily is he not no how are we

07:36doing there fine thank you okay jim's lipoma was slightly odd in that i could see the membrane around

07:44it and it just wouldn't leave his scalp so i had to snip around the membrane to free it up at the base

07:52and allow the lipoma to come out how are we doing pain wise i'm fine doctor sure why

08:02okay come on george we see all the way through at the moment there's light there you can do it

08:10there we go there we go there we go okay george was really tricky um but dev and i were definitely

08:24going to have our way well it was very deep i have to say was it really yeah george was just so big

08:32that we had to put more sutures than i'd anticipated there we go how's that perfect well done it's

08:41looking good you've got a little bit of a dent in your head though so you've got to be careful

08:46here we are lump free it's gone george is gone how are we doing good okay that's what it looks like

08:54from the back great thank you very much can you see it's there's a line there yeah but your hair has

09:00covered it already all right i imagine it's gone very well actually thank you do you send that

09:06away or what yeah all right we'll check it so can you take it away me no no no no let's check it

09:11first we'll have a look now oh aye there we go oh my god oh aye straight in

09:22to me i look like a chasney have you have you been had that in an indian restaurant a chasney just

09:30add some rice here and you've got yourself a dish thank you for the poem thanks nice to see you look

09:37after yourself all right take care take care well done well bye bye bye dr dev and cherry thank you very

09:45much for today i probably miss george he'll be hiding in that dent you've left in my head

09:53squeeze breathing what a honey what a lovely man cheers you up people like that coming up

10:01it's popped yeah it popped what would your song be if you were doing karaoke jolene what would you do

10:07gangster's paradise or something like that oh really buzzers when you said 50 you weren't lying

10:13i was trying not to show my surprise i think that tap stripping do you want to just turn that off

10:30that's all we need this is just a Chinese soldier just be irritating in the background wouldn't it

10:37and dr magnus doesn't want any distractions as his next patient is right on time hello hello my name

10:46is paula i've come from my apartment wonderful i love my singing i love holidays gardening swimming

10:53i want to live my life i don't want to just grow old i want to grow old disgracefully

11:00okay paula the doctor's ready for you down the hall on your left

11:04come in hello there hi come and have a seat there is it paula it is how can we help you today right

11:14i have a lump on my back it's been there for about six years and it's impacting everything i do now

11:22because of the pain it just seems to shoot through my back when i do anything what is it stopping you

11:29from from doing i like to swim i can't do that because i can't lift my arm up without the pain

11:36and i also like to sing yeah um it affects me when i breathe deeply i see so i can't hold the

11:43notes that i used to hold it'd be good for me to take a look at it today and then i can tell you

11:49what could or could not be done is that okay do you want to maybe put your cardigan up onto the hooks

11:54there okay it's on my mind every single day it never it never goes away this area here yeah that's

12:04where it is is that hurting when i'm touching it a little bit just then okay so when i was uh examining

12:10paula it was actually a lot easier to to feel it um than it was to see it

12:15so what it feels like is a fatty growth under the surface of the skin called a lipoma so in terms of

12:24removing it it's a local anesthetic procedure and you can do it i can do it for you today yeah thank

12:30you yeah thank you um so that's there's no problem for me to do it i was over the moon it would open

12:38up the rest of my life for me so it's quite a long scar there yeah i'd sooner have that than the pain

12:43every time yeah probably most cases that will improve the pain but we don't know for sure that's

12:48just the thing yeah with a bit of luck yeah touch wood okay so the first thing i'd like to do is to

12:54mark the area i wasn't completely confident whether the pain that she was experiencing was caused by the

13:02lipoma but i thought there was a very good chance that it would help if you'd like to lie onto the bed

13:08onto your front now how's that it's good for me now the next thing that i need to do is i do need

13:16to numb the area okay just a bit sharp just you know like it when you're doing sewing and you prick

13:26yourself with a needle it's no different and i want you to tell me if it's sharp or you can feel it as a

13:35sharp touch on the skin okay how's that feeling can't feel anything

13:51so you're going to feel lots of stretching and pushing okay but you mustn't feel anything painful

13:57if you do you tell me okay okay how's that for you now yeah i don't know what you're doing that's good

14:12what kind of work did you do previously then i was a chef oh are you any of this uncomfortable for you

14:19no that's okay it's all kind of coming out very nicely

14:32oh so sorry a little bit more of being sitting in that area sorry yeah don't apologize just keep

14:38telling me whenever you feel anything okay it did feel as if something was being cut and it was quite

14:46quite painful we'll just go slowly yeah so we have put lots of local anesthetic in but even still

14:52sometimes there can be a tiny area where it's not completely numb for you yeah

14:59oh wow feeling that yeah sorry not to worry just let us know and we'll keep you just let us know

15:05we'll just put more local anesthetic whatever sorry about that please don't apologize just please

15:09keep telling me okay he said to me don't apologize well i can't help it it's just me that says oh i'm

15:16sorry it's hurting i can't help it it's obviously quite deep so it's quite common that you can feel a

15:21little bit snip snip snip yeah just kind of getting it all out for you

15:26so what are you working still or are you no no retired so what's it how do you keep yourself busy

15:39like i said i do my singing what would your song be if you were doing karaoke jolene

15:43jolene oh i love that as well i couldn't do a jolene i'll be honest what would you do

15:50i could do like gangster's paradise or something like that oh really yeah i can yeah i can rap but

15:56um i wouldn't say i'm i'm very talented you're nearly done okay this is the last little bit now okay

16:13well done okay so we've got all of the lipoma out now what i do need to do is i do need to just

16:22seal off the blood vessels now i'm so so pleased i might go to swim again now yeah good swimmer yeah

16:29not bad i used to swim for the school oh nice so in paula's case the discomfort that she was

16:35experiencing was a little bit unusual because she was describing a pain when she was moving her shoulder

16:41and i think that probably the reason for that is when she was constricting the muscles and moving

16:46that was pressing on the lipoma and distorting it well good news we're all done i can't wait to sit

16:53up yeah yeah you can sit up now in a moment considering what was going through gosh actually quite good fun

17:06that should heal well for you so it is just a straight scar yep like that okay lovely yeah

17:11now did you want to have a look at it before you go yeah so please it's been sitting in there long

17:17enough i want to see it wow i couldn't believe it oh my god it's like that there you go so have a

17:26little feel of that can you feel that right it's a little bit springy press on it it look like a bit

17:32a bit of a bit like a fish a little tail on it horrible thing bye bye then thank you thank you so

17:42much yeah very well it's no problem nice to see you yeah bye-bye thank you bye-bye it impacted every

17:49minute of my life see you bye-bye bye-bye so with luck hopefully i'll be able to go back to being the

17:56normal person i was she is doing honestly more more than i'm doing yeah so busy

18:06like paula the clinic is non-stop i need a bling pack anesthetic and i forget her sounds like dr natalia's

18:17ready for her next patient 49 year old russell from burnley okay russell the doctor's ready for you

18:23down the hall on your right thank you hi welcome hello hi you must be russell

18:33how can i help you today i've got lots of skin tags under my arms both arms and when it gets

18:39somewhere it's just i set on fire if you will oh okay i had somebody moved about 10 15 years ago okay

18:46but this they've grown back we have engines how quickly do they grow back within five years all

18:52right it's probably about 15 each side okay that's a lot of skin tags okay so let's have a look at these

19:01see what's going on

19:05one arm both oh my goodness wowzers when you said 50 you weren't lying

19:10i was trying not to show my surprise like my 50 under each arm like it's definitely the most

19:17skin tags i've ever seen under someone's arms with him it was like a carpet of skin tags great news i

19:23can definitely remove these today that's brilliant when natalia said you could remove them it was just

19:28like a weight off my shoulders let's have you hop onto that couch we're going away to turkey with the

19:34heat and you sweat underneath it just it's like sticking a red hot poker under your armpits all

19:38the time when you're walking around how's that that's fine you look very relaxed all right so i'm

19:44going to just start with your anesthetic injections wow you don't feel it no because the underarm is

19:53really sensitive to needles rick seriously does that hurt you have to feel something here just little

20:00well that's it it stops i didn't even flinch because i've got a hard pain threshold i think

20:06it's rubbing tattoos so it helps all right that's been fully anesthetized i think so you have this

20:15interesting looking tattoo on your leg it's very pretty it's burning football club the middle parts

20:22it's a dress oh and then the rose at the bottom is for lancashire okay lancashire lancashire rose

20:28like shire i learned to speak english in america so this sure thing at the end is a bit confusing

20:33um yeah all these like lincoln lincoln sure okay so you love your football yeah you love it so much

20:40and you had them tattooed on your leg a fun thing for me is hearing a patient with a different accent

20:48and watching natalia trying to figure out where in the uk this person is from and the other where's

20:53where's burnley got me in manchester oh okay fine well you sound like a manchester person or is that an

21:00insult she is just not very good at recognizing accents all right tell me if you feel anything

21:08you're getting to the point of thinking i'm just gonna use a scalpel and just take them off how are

21:28you thinking of doing that were you having your wife do it i'm not just doing it myself in mirror

21:32well i've tried different methods in the past you can put string around them and tie it tight it's

21:38meant to stop them and they're meant to die and fall off but it never worked yeah i wouldn't recommend

21:43that generally i wouldn't say operate on yourself in any way or capacity at home just see a professional

21:54all right i'm done with all of them this side there's a couple little bleeding speckles because i

21:57might hyperkeep skin types can be really quick to remove if there's just one or two but if you have

22:02a lot of them like russell did uh then it can take a really long time to remove them all does this seem

22:09familiar from last time yeah the smell oh the smell yeah if you've ever burnt your skin on an iron or

22:16a flame or something it's a horrible smell but natalia just texted in a strand sorry all right half of it

22:24this is done one arm down just another 50 to go i definitely get in a pattern with the with kind of

22:41holding it with tweezers pinch and snip if you will and it's kind of like one of these meditative type

22:46processes where you're just like going through it systematically

22:49what can we call these what do you think they look like there's no sweet that's that size

22:58natalia is the only dermatologist i work with that compares everything to food i don't know why

23:05oh no but you know what you put in like oh no what you have to say like a pie

23:12the beads you put in pie you have to bake the base of a pie and you put those hard beads

23:19yeah i haven't really baked anything in my life ever but definitely not with bees i just

23:29all right i think we're done with this side okay are you ready to have a look it's a little bloody

23:35but you can see it'll be smooth once it heals i'm over the moon i'd have been happy if she'd only

23:41managed to take 50 of them off but to remove them all is just phenomenal okay so you can relax your arms now

23:49so if you want to have a seat at the edge just perch there for a moment

23:55um i quite like removing skin tags it's different from fighting with lipomas and cysts to get them out

24:00how are you feeling i'm fine thank you yes happy very happy would you like to see them yeah let's say i'm

24:06going to work let's have a look so there we go right and left just one or two yeah just one or two i

24:14think this is the most skin tags i've ever removed from someone in one go you did really well there's not

24:18too much blood see you're not a bleeder i'm stinging me my blood said you're the blood very good all

24:23right so we did it got them all done hopefully we won't see you again for about five five to five

24:27to ten years yep yep perfect thank you very much you're welcome thank you for coming in

24:32when the season starts we'll be on the burning matches celebrating with his arms in the air

24:37take care thank you it's just gonna be amazing

24:44there's a quite a few skin yeah i do think that's the most i've ever moved ever

24:47i think that's the most i've seen yeah coming up okay i'm just gonna squeeze it yep wow i can hear

24:56that oh gosh that's really really intense psoriasis it is isn't it can you prescribe like a maybe a

25:03summer holiday with baby's feet

25:13a skin a and a the team are knuckling down for the afternoon shift

25:20hello welcome look sure i'm just gonna go and get some paper towels sure yeah

25:29my name's yolanda i'm 55 and i'm from manchester okay yolanda doctor's ready for you down the hall

25:36on your left thank you seeing yolanda today is dr emma mcmullen come in hello

25:43hello hello hello hello is it you hello it is yeah you've got donna with me hello hello

25:50come in have a seat so yolanda what can we do for you well i've had eczema and psoriasis since i was

25:57seven years old okay and then i lost all the pigment on my face when i was nine wow and then it came back

26:04but because of my age the psoriasis is getting worse it's been particularly bad on my head especially

26:09and so when you were little whereabouts was the rash on your body can you remember yeah it started

26:15on my hands and my hands started peeling like this like this i've got there so it was all over my

26:19hands yeah the worst thing really is very self-conscious of the appearance of your skin

26:26it does impact the way you dress the way you feel and then it was the back of my knees okay so that's

26:33kind of in like an eczema area yeah yeah and then it started on my elbows this side of that side so

26:40that's more like psoriasis so because it's unusual for people to have both but it sounded like maybe

26:44you have had both of them so eczema and psoriasis are both conditions that cause red scaly bits on the

26:50skin they sort of tend to affect sort of opposite bits of the body so eczema attacks the flexures

26:57and psoriasis is on the extensor surfaces so if you think of either eczema's behind the knee psoriasis is

27:02on the top of the knee when i was nine i first got this and my hair fell out your hair fell out when

27:07you were nine when i was nine yeah when i started my cycle yeah first time yeah and then monthly ever

27:13since my hair always falls out time of the month it's been um i don't want to say a life sentence but

27:21it feels like that a little bit and then i lived in spain and it disappeared okay yeah in the lovely

27:26sunshine and a lovely climate yeah ultraviolet light from the sun actually suppresses the immune

27:32system in the skin and we actually use it in the form of uvb phototherapy to treat skin conditions

27:39may i have a little look at your skull yeah is that okay do you want me to hang your coat up for you

27:42be great thank you look at this i love it right away that is so cute i have a rescue cat she's my

27:50everything oh are you okay first yeah look yeah this looks oh gosh that's really really intense

27:56psoriasis it is isn't it very very thick yeah the itch is like something's eating you and biting you

28:02from inside it's so intense and do you have any active plaques anywhere else on your body at the moment

28:08on your elbows yeah my elbows can have a little look at an elbow and just clinch the diagnosis

28:13really yeah yeah okay an active plaque of psoriasis is one that is inflamed it's usually a little bit

28:20itchy whereas older plaques that have maybe started to settle just leave behind an area of discoloration

28:26they're not itchy they're not they're not scaly i can see where you know you've got richly pigmented

28:31skin and when you get inflammation it can either go pale but it can also go dark and you've got

28:36hyperpigmentation on this one but this one's a lot better oh look so you've got both you've got

28:41hyperpigmentation and hypopigmentation whereas you've lost your pigment if the dermatologist could

28:46give me some pieces of some nuggets that i don't know that would change this condition

28:52i had all of this with psoriasis all that's a common place so i've got a tiny little back there at the

28:58moment it could be a different half of my life without this condition now i've had something before

29:05with which is coconut base and i've found out that i'm intolerant to coconut that's what i was going

29:09to give you yeah so this is why i'm a phenomenon yeah we prescribe a lot of creams and ointments

29:17and things that you rub on the skin in dermatology they're not all very well tolerated some of them

29:22are really greasy some of them are really smelly and nasty to use and for most patients there's a good

29:27bit of trial and error until we get something that they like to use and that actually works for the skin

29:32i'm going to get you some of our special in-house made sec sal cap it's called so it doesn't have

29:38coconut oil in it but it has the coal tar yes and it has the salicylic acid in it in a really strong

29:45ointment wonderful that's amazing no problem amazing so tell us about your cat

29:53tell us about your cat she's called princess riley patience precious blessing

30:00yolanda's cat had a really long name but i can't quite remember it so this is my latest

30:05picture of her oh she's golden oh look at her green eyes she's a stunner it definitely had a title

30:14and a first name and a surname or something like that discovered this thing it must be a

30:19menopausal thing that i can draw i never knew i can draw so i've been drawing her and painting her

30:25that's very mindful i thought you were going to say that when women hit a certain age they start

30:31collecting casual dogs and it's called the many paws that's so funny get it many paws

30:43so i've written a little treatment plan in here can you prescribe like a maybe a summer holiday

30:48you know in germany they used to prescribe like two weeks on the beach for the

30:53right for the psoriasis patients because actually you're relaxed you're not stressed

30:57maybe you can suggest yeah unfortunately no okay but it would be a very cost effective

31:02thing i think we need to start a new political party called the let's go on holiday for skin

31:08conditions party led by dr emma thank you so much you're very welcome it's been great it's been great

31:15we'll let you get back to your cat i'm not going to try and say the name i just remember

31:20was there even a princess in there maybe there was i can't remember

31:24she'll answer to anything nice yeah yeah yeah if there's a treat involved

31:29so i've been giving some good advice and a good plan going forward take care bye bye

31:38to know that i've got something that's going to help soothe and heal my condition

31:43it's really exciting and i can't wait to see the results

31:51yolanda adores her princess but does the team have any pampered pets

31:59i have a cat called lenny and a goldfish called bob so we've got a cat called crystal

32:08i don't have any pets i'm allergic to dogs and cats i have my two cats margot and wilmer i was younger i

32:17begged my parents for some gerbils i named them chip and dale she's very um very interesting character

32:25actually i have no pets and i absolutely love animals so i did just get a puppy four tortoises

32:33seven chickens this full name is arnold botox spearings

32:40we call him arnold um and betty she's like my little shadow

32:50that's enough pause for thought for today

32:54my name is michael i'm 32 years old hello i come from romania but i've been living in

32:59in england for the last 10 years have a seat for me thank you so much i'm trained in uh romanian

33:04traditional dancing i'm trained in ukrainian dancing russian dancing a bit of polish dancing uh

33:11what else latino break dancing a bit of samba yeah it's quite a lot actually the doctor's ready for

33:18you now it's down the hall on your left seeing michael is dr adil shiraz come in hi there hi it's

33:29michael is it it is right what can we do for you why are you here today so i have five looms on my

33:33head i believe they're cysts three bigger ones two smaller ones yep and how long have they been there

33:39about 15 years maybe more okay but i think they keep growing you know okay they're getting bigger you

33:44think okay yeah the problem is when i go for haircuts sometimes actually being refused by the

33:50barbers you know dealing with the skin issue is something that it doesn't make you feel great

33:54and think greater by yourself sure not nice is it it's not pleasant can i have a look yeah of course

33:59yeah no worries okay let's get you to sit down over here on the on the bed

34:02okay i can see i can see one right away put your head slightly forward there we go that one that that

34:15is a good size one isn't it yeah so one uh or i can feed another one here yeah there's another big one

34:20here two again mobile third one big one here it's different shape that one yeah a bit more oval yeah

34:30yeah three and then okay this side here one yeah i can see that and one of both that's visible as

34:36well yeah and then five they feel soft and squidgy as i would expect cysts to do they feel fluctuant

34:44like they're full of fluid and they are mobile as well i think we can probably do all of them for

34:49you today oh thank you so much okay thank you get it all done five in one when i heard that i'll have

34:55all five removed i was like great i want to wake up tomorrow and touch my head and nothing to be

35:00there and i'll be happy let's see what we can get okay so step one is the injection yep okay this bit

35:11will sting yeah but it will go numb and you're going to need obviously five because we're doing five so

35:16we'll have to do five lots of injection okay okay right you ready this is going to sting yeah i'm

35:21sorry he's fine you okay yeah i'm fine okay look towards me now okay coming up now

35:30you made me jump i wasn't expecting that i just wanted to make sure that wilma was awake

35:50so we'll start off with the one at the back yep

35:52does that feel sharp at all no i can't feel a thing

36:05he's worried it's going to explode yeah there you go

36:09okay okay it's all coming

36:39trying to find the sack now

36:50that's squeaky yeah there it is

36:56should i try to just rotate slowly

37:03coming there we go there you go well done

37:10the contents came out nicely the sack needed a bit of persuasion but it eventually came out

37:15i'm hoping that the rest of the assists are going to be as easy

37:20coming up

37:21now the last one yeah i left the biggest cyst till the end i just wanted to end with a bang

37:26let's see if it's an easy or hard one

37:36clinic hours are drawing to a close why don't we just do this one first

37:44with the smaller one smaller one yeah but in surgery room two

37:48dr adele is on the second of five cysts on michael's head it's going to stretch the skin again

38:03it was quite fast actually you know especially with the smaller ones

38:13it's out this one's out yeah yeah wow it's like oh it's stitched up already i was like oh that was

38:18quick okay just look towards me okay any pain here now all good here dr sure thank you

38:26another one the two there oh wow yeah two small ones occasionally we'll find a couple

38:54of cysts together um in this case there's a much tinier cyst attached to the larger one

38:59good thing i saw that otherwise it would just just come back

39:03dr shaz has like this magnifying vision that he was able to see this tiny baby cyst

39:09on michael's head okay does that feel sharp there no it's all good

39:14okay okay let's just see

39:30okay

39:34i left the biggest cyst till the end i just wanted to end with a bang just put your head

39:47straight now okay now the last one yeah all right

39:54best for last let's see if it's an easy or hard one

39:58okay right does that feel sharp there no i can't feel a thing

40:10popped yeah it popped

40:13okay i'm just gonna squeeze it yeah i think it's better when you cannot see it because

40:18it doesn't make you feel maybe sick

40:25wow i can hear that

40:32is it painful a bit but it's okay i can take it still got some more yeah i can give you some

40:37more let me just get this out no i don't want you to feel any pain the doctor could see i'm

40:43getting a bit of a pain so she'll give you a bit more anesthetic and i said no it's all right i can

40:47carry on i was going to take that pain you know i just wanted out it is a big one so sometimes the

40:52anesthetic goes into the cyst right rather than in the skin so yeah but he added a bit more anesthetic

40:58and he made you feel more numb again so he was all right okay right i'm gonna see if i can get this

41:05sack out now yep wow he had to put a little pressure and kind of squeeze out get as much out as possible

41:18okay almost there yeah and like someone is just pushing onto your head with the thumbs i can feel

41:27it's trying to come out but not

41:44almost there

41:55okay is it harder hard to get out yeah it's just a bit bigger yeah

42:04there we go it took quite a bit of work getting that last sack out um i was relieved we got it

42:12all in the end i was trying to get it through a relatively small hole so it took a bit of persuasion

42:17okay good take a seat here thank you okay how was that for you yeah it's just you know it's life

42:29changing good and we got all five and they're all completely out so you'll see the sacks are complete

42:34which means that they won't come back now they're very very unlikely for them to come back yeah do you

42:38you want to have a look yes please do you want to have a feel as well i don't know about no okay i'll

42:42show them with the glove i might yeah with the glove yeah give you some gloves yeah yeah we wouldn't

42:45expect you to touch with your hands thank you right let's have a little way there so this is what comes

42:52out of it right okay but the cysts themselves look like this oh wow it's all in your head and all out of your

43:00head now honestly i'm so grateful thank you so much you're welcome you're very welcome i'm really

43:07happy and i won't look hideous with all those looms and booms in my head thank you bye bye bye

43:14yeah i can finally touch my head and nice and flat yeah

43:18the life home on my back was restricting my life now it's gone i'm really really happy

43:37i can go to the barbers now without feeling uncomfortable and i can have a short haircut

43:42i couldn't have for the past 15 years all healed and looking forward to going on holiday in a few

43:53weeks down i thank nos cherry and dr sean for ridding me of george bye bye

44:13next time on skin a and a it's a big one

44:18redefines deep massage we're just trying to get to the bottom there we go

44:26oh yeah

44:29saint claire

44:42you

45:01you

45:02You

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