- 7 hours ago
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00:00This programme examines dermatological conditions and the procedures involved with treating them.
00:05Due to their graphic nature, viewer discretion is advised.
00:10Hi, I'm Dr. Emma.
00:12Come on up a wee seat.
00:14What does your...
00:15What does your skin feel like to you?
00:17It feels like someone's poured kind of hot boiling water over my...
00:20It looks like it's going to pop.
00:22It does, and it looks like it's...
00:25Painful, is it?
00:26Painful.
00:27Pretty special little one there, isn't it?
00:30It makes you feel disgusted.
00:32Every day I see people in despair and it's...
00:35It's all because of their skin.
00:36It's been 20 years and they are just getting bigger and bigger.
00:40Some of the patients have been suffering in silence for many years.
00:44Sookalai.
00:45I don't want it.
00:46And others have tried multiple treatments and nothing has...
00:50worked.
00:51And that's why they come to see me.
00:53Can't wait to have it gone.
00:55It's just going to change everything.
00:57I treat everything from the most...
01:00Extraordinary and extreme.
01:02Well, there's certainly a lot here, isn't there?
01:04I try...
01:05Not to look at it, to be honest.
01:06To the common skin conditions that we see every day.
01:10Woo!
01:11That was a good one.
01:12Do you want to see this?
01:13Yeah!
01:15Oh!
01:16It is hard at the moment because resources are stretched.
01:20And people aren't able to get the treatment that they need.
01:23That's it out.
01:24Oh, good rid of it.
01:25And all I want to do is to help make a difference.
01:28Thank you so much.
01:29Oh!
01:30It's my pleasure.
01:31It's gone.
01:32It's gone.
01:33It's gone.
01:34It's gone.
01:35That is amazing.
01:36I am...
01:35I am so grateful.
01:36You just don't know what you've done.
01:40You just don't know what to do.
01:45All the..
01:47istoids.
01:49That's a good one.
01:51And I'll never travel.
01:52I forget some questions.
01:54It's gone.
01:55Martinez, you became a man's myself as a man's man.
01:56Thank you, Mom.
01:59And you are all weтяbriads,
02:00CKấu?
02:05Yeah.
02:07Doctor told me it would eventually go on its own.
02:12She just got bigger and bigger.
02:14Morning!
02:15Morning!
02:16How are you guys?
02:17Yeah.
02:18Good.
02:19It's a busy day.
02:20Busy.
02:21We're ready.
02:22So we have three patients.
02:22This morning.
02:23Are you in with me today?
02:24Yeah.
02:26I'm just really hoping...
02:27...that Dr Emma can help.
02:32I used to take a look.
02:33I used to take a look.
02:37I've got a lot of pride in what I look like.
02:39Absolutely no way of avoiding from it.
02:42It's visible to everybody.
02:43It starts messing with your mental health.
02:47I live with my partner Emily and I have three children.
02:52They mean the world to me.
02:54I personally think they know what I'm going through.
02:57They do get emotional and upset about it.
03:00Shelby was a daddy's...
03:02...girl.
03:03Now she don't want to be seen with him because...
03:07...she's heard some of the nasty comments.
03:10It is quite painful for him.
03:12He gets very down.
03:14I used to socialise a lot.
03:16Especially after football.
03:17...and my weekend.
03:19Right!
03:20It's upsetting to see my children.
03:22...and get upset with the comments I get about it.
03:27Football, it's a massive passion of days.
03:32The things that he has to put up with.
03:34Week in, week out.
03:35Where people are saying such...
03:37...rude, horrible things to you.
03:39You wouldn't...
03:40You just wouldn't want it for anybody.
03:42My oldest boy, Jaden.
03:44He's...
03:45...reacted a few of the comments.
03:47Having to shout at people to shut up.
03:51I want this...
03:52...cruesome looking lump gone.
03:58Good morning.
03:59Good day to see Dr. Emma.
04:00Definitely going to take a seat.
04:03Treatment will give me...
04:04...my life back...
04:06...doing this.
04:07Doing things for my children.
04:08Big smiles.
04:09Just being loads.
04:12Hi, is it Dave?
04:13Yeah.
04:14Nice to meet you.
04:15I'm Dr. Emma.
04:16Do you want to come with me?
04:17Yeah, thank you.
04:18Come on.
04:17Come on down here.
04:20There we go.
04:21Come and have a...
04:22...seat just up on the bed.
04:23And this is Motti.
04:24Hi, how are you?
04:26Well, I can see why you...
04:27...you're here to see me today.
04:28Because it's right here on the face, isn't it?
04:30Yeah.
04:31Tell me a little bit about this...
04:32...the story of how this has come to be there.
04:34Well, it's been here for approximately five years.
04:37It happened at work, a little stone flicked up.
04:40And did the skin break or bleed or...?
04:42No, it just came up with a little red mark, which hurt for a couple of days.
04:45And it's just got bigger and bigger.
04:47Constantly.
04:48To the point where it looks like it's going to pop.
04:50It does.
04:51And it looks...
04:52Like, it's painful, is it?
04:53Erm...
04:54If I lean on it for too long.
04:55Yeah.
04:56Or if I catch it.
04:57When I turn, it's painful.
04:58And have you ever been to see a doctor about it?
05:01Quite a few times.
05:02So, every time you've gone to say, can this be removed?
05:05They just say to you, no.
05:07Basically, yeah.
05:08I'm, to be honest, quite shocked that nobody's helped you out with this.
05:11Mm-hm.
05:12Cos it's...
05:12It's such a visual thing, isn't it?
05:14Can I get in and have a look at it?
05:15Is that okay?
05:16You can indeed.
05:17Okay, so turn your wee head up for me.
05:20This is very squishy.
05:22Yeah.
05:23It's not fixed or stuck down to anything.
05:25Yeah.
05:26It's not fixed or stuck down to anything.
05:27So, it's certainly just within the skin.
05:30So, it's certainly just within the skin.
05:32It's intriguing, the story of something hitting off it.
05:37This is an epidermoid cyst.
05:42So, essentially, it's like, almost like a balloon, I say to people.
05:46And then...
05:47And then it's filled with dead skin cells.
05:50It fills up this balloon, this cyst.
05:52And just as time goes by, it just gets bigger and bigger and bigger and bigger.
05:56It's a banana.
05:57It's a denying thing that if you wanted to keep it, I would say that's fine.
06:02You can.
06:04It's delivered very quickly and I agree with you.
06:07So, should we get you through the theatre?
06:09Absolutely.
06:10Let's go.
06:11MUSIC PLAYS
06:12MUSIC PLAYS
06:17OK.
06:18Now, if you could give me the biggest smile you can possibly give...
06:22That's better.
06:23That's good.
06:24That's exactly what we want.
06:27And now, what I'm going to get you to do is lie your wee head back here.
06:32And just fling your legs up.
06:35MUSIC PLAYS
06:37Okay, so you will feel a tiny little scratch here, so I'm sorry about the wee scratch.
06:42Wiggle your toes for me, wriggly jiggly toes.
06:47Okay, I'm just going to check the area first of all, and you're just going to tell me if
06:51you can feel it.
06:52Anything sharp, or anything sore, or anything uncomfortable.
06:57Good.
06:58That's the cyst wall there, it's white.
07:02So, we're just going round a little.
07:07See if we can get it all out in one go, so there's not, although I'm, you know.
07:12Going in with these scissors, we're not actually cutting anything, we're just teasing.
07:17We're just going to check it out.
07:18They come back whenever bits of the cyst have been...
07:22left behind.
07:23Looks like it's coming out in one go.
07:26Sorry about the squeeze.
07:27I'm saying nine.
07:28That's hard.
07:32Do you want to do the final press or not?
07:37You might trim a wee bit more about it doing things.
07:42So, I think that's going to be...
07:43Because it will contract, won't it?
07:44Yeah.
07:45Mm.
07:47Yeah.
07:48Yeah.
07:49Yeah.
07:50Yeah.
07:51Yeah.
07:52Yeah.
07:52That's the last little stitch going in and then you can have a look.
07:55Wow.
07:57Okay.
07:58Okay.
07:59You've got your cheek back.
08:02You're symmetrical again.
08:03There you are now.
08:04Quite emotional.
08:05It is a bit emotional.
08:07Isn't it?
08:08Yeah.
08:09I mean, it's such a big difference.
08:10It's kind of a difference.
08:13My pleasure.
08:14I'm going to show you this thing that was inside your cheek.
08:18Right here it is.
08:19That's mad looking, isn't it?
08:20Isn't it?
08:21That's mad looking, isn't it?
08:22Isn't it?
08:22Yeah.
08:23It's a hell of a thing to have stuck in your face, isn't it?
08:25It's huge.
08:26It's really, really huge.
08:27It's really big.
08:28Very good.
08:29You want it back?
08:33Hi, Emily.
08:37Did you want to have a look at it before we put the bandage on?
08:40Yay.
08:41Do you want to come and see?
08:42Here's Emily.
08:45Come on in.
08:47So, it's a bit purple because of all of the pen and stuff like that.
08:52Just so you can see.
08:57The kids will be all blue.
09:00The kids will be all blue.
09:03Oh, we need more tissues.
09:05This is the...
09:07Splash Fruit Hat.
09:08Well, that was really emotional because this is something he's been living with.
09:12For five years and it's really taken his toll and not just him but his family.
09:18I got emotional because actually it's no longer on my face.
09:21I feel like me again.
09:22Now that the sister's gone, I feel like me again.
09:24The old Dave's now on his way back.
09:26I physically cannot...
09:27wait to get home to show my children.
09:29They're going to be over the moon.
09:32Oh, it's a bit gray.
09:33Wait basket.
09:34Oh, but my mistake...
09:35Got to bear the cookie.
09:36I will try it alright.
09:37Point 83-72.
09:38Yeah.
09:39Right.
09:41Okay.
09:42How can I get a person who's doing, they're going in trouble?
09:44Yeah.
09:45Where's the RESA2?
09:46Right!
09:47What?
09:48What?
09:49What?
09:50What?
09:52How can I get one of these?
09:55I certainly don't want to stay.
09:57It's good.
09:58What?
09:59What?
10:00I?
10:01Maureen City República.
10:01entertain two kids and take them to the park is actually very enjoyable for JC but...
10:06unfortunately I can't always do it because they never have any shade my skin is
10:11lovely and red again it's so sore in it
10:16honestly it's driving me crazy I have a condition which leads me
10:21of really itchy painful rashes all over my body I know that
10:26sun is one of the main things that trigger it it's like being allergic to the sunshine
10:31I've been diagnosed with skin lupus I was
10:36told my skin lupus wouldn't itch or scar or be painful and
10:41it's very much all three of them I was prescribed tablets
10:46when I first got diagnosed with it to help with the flare-ups but they didn't really work
10:51in the past two years it's just got worse
10:56when she holds Lexi it's you know the fingers are all over the place
11:01the layer of skins we've got the skin has got very very thin so it can scratch
11:06bleed very quickly do you mind taking her for me mum that's fine
11:11come here baby gal
11:16come here
11:20i don't really see much
11:21much of a future for me if i kind of have no treatment for this
11:35i don't really see much of a future for me
11:40i don't know
11:45hello Chelsea hi hi nice to meet you i'm dr emma
11:50do you want to come with me yeah let's go down here thank you thank you very much
11:55and have a seat just up here thank you very much
12:00so tell me what's been going on with your skin then um so I got diagnosed
12:05with skin lupus while being pregnant with my first child and I've had lots of doctor's appointments
12:10where I've kind of left not knowing anything still about it lupus is a chronic immune
12:15condition where for some reason the immune system starts attacking normal
12:20healthy cells yeah so when you were pregnant is that when the rash came up
12:25so I had my first flare-up just before I fell pregnant and I went over to Spain and I just
12:29thought it was huge
12:30rash and then I come home from Spain and then fell pregnant and then they kind of just
12:35progressed to to get worse over over the pregnancy okay and it came up on
12:40the face on the face um so my shin on the top of my legs kind of any weather
12:45I had been exposed to really strong direct sunlight okay what does your skin feel like
12:50to you my best way to explain it would be it feels like someone's poured kind of hot boiling water
12:55over my arms and then fatigue as well with it which yeah so tell me about the
13:00fatigue that's probably the biggest struggle I'd say obviously having two children as well and trying to
13:05kind of keep myself motivated yeah I mean it's hard to know what am I fatigued or is this just normal life with two young children
13:10that I kind of wake up in the morning within about an hour I'm actually knackered by lunch time I'm I'm one
13:15to have a nap okay um and do you get a weakness in your muscle
13:20and do you get a weakness in your muscles as well do you feel yeah I don't feel as strong as as what I did
13:25I've always kind of struggled with my joints and things like that that do do flare up with it quite often
13:30and what are you putting on the skin at the minute and so I've tried steroid creams
13:35and things like that they don't help now I'm just daily moisturising
13:40what kind of impact is this having on you as it impacts me massively now I've got
13:45the girls as well because I can't take them out even if I'm in the shade I still start to itch
13:50and burn and really struggle with it and knowing they can't have the best life that they
13:55could have just because I've got this skin condition kind of makes me feel really really bad
14:00well that's a shame that you're feeling like that yeah yeah anyway I do need to get in and have a look is that okay
14:05yes okay great so what I'll do is I'm going to get you to put a gown on for me is that okay
14:10okay perfect
14:15okay so the skin here is lovely and smooth
14:20where this is rough and it's also very red yeah and where it's red
14:25is the raised bit and where it's red and raised is where it starts to get the scale over life
14:30yeah and we can see quite clearly these little bits of scale and it's quite deep clearly
14:35markeded from this skin colour here to here the pink bit is
14:40the very active bit so I know that this is currently inflamed
14:45what is really most telling of all
14:50ensuring that this is related to UV is if you can see
14:55if you can see it on your back that has been protected your brow straps will definitely protect you but then
15:00the bits either side of that have been damaged
15:05from what I'm looking at on your skin
15:10and from the history that you've given me as well, I do...
15:15I do agree that this is most probably lupus in your skin.
15:20Lupus...
15:20Lupus is a very interesting but incredibly complex...
15:25Condition.
15:26So you fit into this discoid lupus erythematosus, which is typical...
15:30..very UV-related.
15:32Right, OK.
15:33And often will cause...
15:35..inflammation a bit like you have.
15:37Other types are something called subacute cutaneous lupus.
15:40They drive both with that one.
15:42OK, so that looks actually slightly different to what you have.
15:45That tends not to scar and it tends not to be quite...
15:50..as itchy and painful.
15:52Quite often this...
15:54..the skin conditioners...
15:55..itself can be managed by...
15:57..the right kind of topical agents going onto it.
16:00OK.
16:01..it has to be done in a way that you're using ones that are not going to...
16:05..be inflaming or irritating or feeling uncomfortable.
16:08Yep.
16:09Because if you're...
16:10..you're using an SPF that makes your skin feel uncomfortable...
16:12..well here's the thing...
16:13..you're not going to use the SPF.
16:14No.
16:15..so I need to get you something to protect you from the radiation.
16:20So that is the first challenge.
16:22Yep.
16:23The second challenge is to give you something to...
16:25..to put on the skin to put out the fire.
16:27Yep.
16:28OK.
16:29Because this is on fire.
16:30Yeah.
16:30I suspect that there's probably more...
16:32..an inside element of the lupus slightly as well.
16:35..with the joints and things that you've also told me.
16:38But I want to do...
16:40a whole series of blood tests.
16:41Just look at that.
16:42And also I do want to take another bite.
16:45So we have a plan.
16:49So we have a plan.
16:50Yes.
16:50Yes, we have a plan.
16:51That's good.
16:51I'm happy.
16:52A diagnosis and a plan.
16:53Yep.
16:53Oh, that's brilliant.
16:55No.
16:55OK.
16:56Good.
16:58Lupus is an incredibly
17:00complex condition and it's divided into about four different subtypes.
17:05Now, when Chelsea came to see me today, she thought that she just had a very...
17:10straightforward, simple, cutaneous lipis, but from the story she's telling...
17:15me and from what I'm seeing on her skin, it's much more serious than that.
17:20So I'm going to do a biopsy and some blood tests and then...
17:25we can get the exact correct diagnosis and start her on the treatment.
17:30But in the meantime, in order to get her skin under control and help that feel...
17:35more comfortable for her, I'm going to prescribe her some topical treatments to get going with...
17:40straight away.
17:41MUSIC
17:45MUSIC
17:50MUSIC
17:55MUSIC
17:55MUSIC
17:59He's rearranging the furniture.
18:00MUSIC
18:01Well, there were some new pieces came in, so I just wanted to put them up.
18:04MUSIC
18:05MUSIC
18:06MUSIC
18:07MUSIC
18:08MUSIC
18:09MUSIC
18:10MUSIC
18:05MUSIC
18:06MUSIC
18:10MUSIC
18:15MUSIC
18:16MUSIC
18:15MUSIC
18:31MUSIC
18:20and when
18:25I was born it was just like a very small blood blister behind me left ear.
18:30Over these last six months it's changed quite rapidly.
18:35Quite quickly it's really affecting her.
18:40Every day I help my mum clean the grass to make sure there's no dirt or grime or bacteria on it.
18:45I don't know how I'd cope without her, it would be a lot more difficult for me.
18:51Alright, all done.
19:01It's something that's grotesque.
19:04I'm keeping expectations.
19:05I'm keeping expectations low so that I don't get too upset if nothing can be done about it.
19:10I love us.
19:13I love us.
19:15Yeah, a bit now.
19:16It's there.
19:17Real.
19:18It's kicking in.
19:20Hello, is it Alex?
19:21Why do you want to come with me?
19:22We're just down here.
19:25Okay, come in and have a...
19:29Come in and have a...
19:30A seed Alex.
19:31And this is Moti, he's our nurse.
19:32Hi Moti.
19:33So tell me what you've come with today.
19:35It was started off when I was a baby, on the back of my head just behind my ear.
19:39It was like the same...
19:40You've got a blood blister about the size of your fingernail.
19:42Very small.
19:43It grew with me as I...
19:45I grew just normally.
19:46And then about six months ago, it changed quite dramatically.
19:50Okay, and then did you go and see somebody about it at that stage?
19:52Straight to the GP to find out what was...
19:55happening in case it was anything concerning or worrying, and the reception...
20:00that I got from my GP wasn't even nice.
20:02He recoiled in horror.
20:04Really?
20:05Yeah.
20:05Yeah.
20:06I've had several medical professionals actually like, ugh, and take a step back.
20:10When I show them.
20:11Really?
20:12Yeah.
20:13Yeah, that happens.
20:14That's quite surprising.
20:15And does it have...
20:15any sensation to it?
20:16Is it more painful or itchy?
20:18Yeah.
20:19It gets extremely itchy.
20:20It just drives us crazy.
20:21Okay.
20:22We'd really quite like to get in and have a look at it.
20:24Is that okay?
20:25That's fine.
20:25Yeah.
20:26I promise we won't recoil with horror.
20:29So it's right...
20:30And this side.
20:31Yeah.
20:32It's here.
20:33Oh, yes.
20:34Wow.
20:35That's a pretty special little one there, isn't it?
20:38Yeah.
20:39That's lovely.
20:40I know you don't think it's lovely, but we think it's lovely.
20:44I know.
20:45And you've always had it as a little bald patch, presumably?
20:47Yes.
20:48Yeah.
20:49What's happened?
20:50Is that there's been a little bit of a spelling mistake in the genetic code.
20:55of this part of the skin.
20:56Okay.
20:57And the part that makes up the oil glands, typically...
21:00But it can actually be all elements of the skin.
21:02It's just making more and more of it.
21:05So all of these little tiny little mini bumps are just made up of thickened components.
21:10of the skin and anything that's got a thickened kind of part to the skin.
21:15It can create this sensation of itchiness.
21:18Yeah, I get that.
21:19And you get like a leaky pus.
21:20That sometimes can come from it.
21:21Yeah.
21:22Yeah.
21:23Okay, so...
21:24So this is...
21:25Definitely something called a nevus sebaceous or a sebaceous nevus.
21:30You can decide whatever you want to call it.
21:32You can call it seb.
21:33Seb.
21:34Yeah.
21:35We're naming it now.
21:36And it's sebaceous nevus.
21:38It is a birthmark.
21:40And...
21:40They tend to grow with you.
21:42Sometimes they go through growth...
21:45That are a little bit more rapid.
21:47And that can often happen at puberty.
21:49It can happen...
21:50in pregnancies.
21:51And then sometimes it can grow because it gets irritated.
21:54So there...
21:55They're the reasons why it grows.
21:57But if it's bothering you and this is starting to have...
22:00more of an impact on you.
22:01Yeah.
22:02What you're doing.
22:03It's impacting how you're living.
22:04It's impacting how you view.
22:05yourself.
22:06Yeah.
22:07Then they can just be cut out.
22:08What do you think about what it is?
22:10And what you can do about it.
22:12I'm pleased to now understand what it is and have...
22:15them answers.
22:16Ultimately, if it could be removed, that's...
22:18that would be fantastic.
22:19That would mean...
22:20everything.
22:21Yeah.
22:22Just to have it gone.
22:23Yeah.
22:24I know you like it but I don't.
22:25Are you sure you...
22:25It feels so nice.
22:26You can have it.
22:27Yes.
22:28You can leave it.
22:30I can't change it.
22:31You can leave it.
22:32You can leave it.
22:33I'm sorry.
22:34You can leave it at me.
22:40Just get yourself comfy. Come up the bed a bit more.
22:45It's the cleanest sebaceous nevis I've ever seen.
22:47Thank you very much.
22:50Okay?
22:55Okay, so sorry about this.
23:00We scratch, okay?
23:01We scratch.
23:02Well done.
23:03Very good.
23:05I can't wait to have it gone.
23:09It's...
23:10It's just going to change everything.
23:12This is going to stick to your ear, okay?
23:14Yeah.
23:15Right, don't let me forget these rings, okay?
23:18Okay.
23:19Okay.
23:20So anything that you feel sharp, you just let me know, okay?
23:23That side feel okay?
23:25Hooray!
23:27Now I will go for the other side.
23:29And my own...
23:30There's a little shadow here.
23:33Thank you, theatre assistant.
23:35A bit sharp there?
23:38No, I'm kind of...
23:39Is the sound?
23:39You can hear it.
23:40Oh, do you know, the thing is, you can also hear it because your hair is in the way.
23:43Yeah.
23:44Do you know?
23:45Look, this is where the hair actually sits in the scalp.
23:50So they're sitting right down in this fat part, and then they'll obviously come up through the...
23:55Skin, and then it comes out as the hair shaft itself.
23:58So we're joining...
24:00We're joining these areas that have hair in them to the area on the other side with hair in them, so she can not...
24:05Have a bald patch.
24:05Yay!
24:06Yay!
24:07Yay!
24:10It looks like it's a little hairy fish coming off or something.
24:13Ha ha ha!
24:15There we go.
24:19That's...
24:20There we go.
24:21That's...
24:20Bye, Seb.
24:21Bye, Seb, indeed.
24:22Bye, Seb, indeed.
24:24Sebbe the sebaceous nevis.
24:25And I'm going to zip you up.
24:30This is where I'll feel.
24:35It's going to look a little bit tight.
24:37Yeah.
24:40Just lift on one side for you there.
24:42That's what it feels like, isn't it?
24:44Yeah.
24:46Sadly, the effects don't last.
24:49Beautiful.
24:54So done.
24:55It looks fab at your loss.
24:58It is the most painful part.
25:00Sorry.
25:01Oh.
25:06Just to give you an idea.
25:07There we go.
25:08Oh my God.
25:09It's an...
25:10The normal head.
25:11All gone.
25:13And if we zoom in, you can see...
25:15The stitches.
25:16Yeah.
25:17But essentially, instead of...
25:18This is what your scar will be, where you see that...
25:20Little tiny little line.
25:21Yeah.
25:22That's nothing.
25:23That's absolutely...
25:24Oh, that's beautiful.
25:26There you go.
25:27We're crying.
25:28Oh.
25:29Oh.
25:31Good cry?
25:32Good cry.
25:34It's awful, I hear...
25:35Thank you, Emma.
25:36Thank you, Lou.
25:37There you go.
25:39Bye.
25:41Oh, my pleasure.
25:45It's disgusting.
25:46It's disgusting.
25:50All of those stitches should have dissolved in about two weeks.
25:55And then that's the end of the treatment.
25:57That is the death of Seb.
26:00It's disgusting.
26:01Thanks.
26:02Thanks.
26:03Bye.
26:05Yeah, you took it off.
26:07Let me have a look.
26:11I've got to keep that like that.
26:13It's pressure.
26:14So it keeps this.
26:15We're scarring together and stuff.
26:16But yeah, they took it straight off.
26:17Good.
26:18How do you feel?
26:19Oh, I cry.
26:20We have to hide it every day.
26:21We have to hide it every day.
26:26Well, that was a good list today, wasn't it?
26:29Yeah, good.
26:30Where are your rings?
26:31Oh, they always leave them.
26:35Good.
26:36Good.
26:37Good.
26:38Good.
26:39Good.
26:40Good.
26:41Good.
26:42I saw Dr. Ebba about five weeks ago.
26:44She prescribed me...
26:45a gentle skin cleanser, a moisturiser, an ointment, and a cream to be used day.
26:50My cream would then go all over my...
26:55affected, inflamed, wet areas of my arms.
27:00Unfortunately I've not seen much improvement, my skin is still very...
27:05red and so I have noticed my skin is not as...
27:10dry, so I suppose that's one plus side.
27:13It's nice to know I've got someone listening and helping.
27:15I've had Chelsea's biopsy and blood results back, and as I thought...
27:20the skin is showing something called discoid lupus erythematosus, that's why...
27:25it's pink, looks slightly scarred, and is very sensitive to UV.
27:30The blood has shown that this is a systemic lupus erythematosus and...
27:35that really explains all of these joint aches and pains and also her fatigue.
27:40So I'm going to put the candles on the cake shop.
27:45I'm going to help.
27:47Hello!
27:48Happy birthday!
27:49Thank you buddy!
27:50Come on in!
27:51Happy birthday to you!
27:55Happy birthday to you!
27:56Happy birthday to you!
27:57creeping birthday to you!
27:58Happy birthday to you!
27:59Happy birthday to you!
28:00Right!
28:01Who wants the first piece?
28:00Without the cis on his face, Dave has become more...
28:05...bubblier again.
28:06I'm definitely more confident. I smile a lot more. I can look in the mirror.
28:10Amazing. It's brilliant.
28:13The biggest thing of this experience is...
28:15...I'm definitely getting my daughter back to where we were before the lump came.
28:19It's amazing.
28:20I can see them both smiling at each other.
28:25I feel like I've got my dad back.
28:27It actually feels quite good.
28:29I'm going to have to be myself.
28:30I hide away.
28:32I'm getting my life back on track.
28:34I'm making my...
28:35I'm getting my children up here again.
28:36Hey!
28:41When I see friends, they say,
28:43Oh, how come you've not got a partner yet?
28:46Sometimes I'll make up lies and say,
28:47Oh, just because I don't want one.
28:50I don't want to keep down.
28:51It's like, I do.
28:52But they've got this condition that's stopping me.
28:53How are you feeling, you know?
28:54How are you feeling?
28:55Are you nervous or anything?
28:56No, I'm not nervous at all.
28:58Hiya, Adam.
28:59Hello.
29:00Hi.
29:00Nice to meet you.
29:01I'm Dr. Emma.
29:02Come with me.
29:03Just down here.
29:05Come on in.
29:06Come and have a seat, Adam.
29:11So tell me a little bit about what's brought you to clinic today.
29:14I've got lump...
29:15On my leg there.
29:16And then I've got one on my arm and then there's like some within my chest area as well.
29:20Okay, and you call them lumps.
29:22How long have they been there?
29:24I've got them for...
29:25For about nine years, it went to the doctors.
29:28And then he says, oh, they're just...
29:30Right, it lumps, like nothing to worry about.
29:31Yeah.
29:32So I says, okay, fine.
29:33But then as the years have gone on...
29:35I've had more grown.
29:36Is this having an effect on your confidence?
29:38Is it changing things, do you think?
29:40Relationship-wise, like, I haven't had a relationship for like over six years.
29:45With obviously how many I've got now, it's not like I could just meet some...
29:50One, because I always think like, oh, what happens if they say something about these or if like the...
29:55We have to try and change that.
29:56Yeah, definitely.
29:57Right.
29:58I'm going to get you in...
30:00I'm going to get you guys.
30:01Is that okay?
30:02Yeah, because...
30:03Yeah, yeah.
30:05I'm going to get you in...
30:10Okay, let's have a look at these lumps.
30:13This one.
30:14Oh.
30:15Oh, yeah.
30:16That is a great one.
30:18It is.
30:19It is quite a big one.
30:20Yeah.
30:21And actually you've got, you know, you don't have an awful lot of fat on your body.
30:25No.
30:25You know, because you can feel like your muscle underneath that.
30:28Yeah.
30:29Very muscly.
30:30And which is why I think then that this is like bulging out that bit more.
30:34I mean.
30:35You've hardly any fat.
30:36Another one.
30:37Do you notice that I feel?
30:38Yep.
30:39You have another one here, right on the tip of the...
30:40Star.
30:41Yeah.
30:42Can I stand you up and have a look at these ones on my legs?
30:44Yeah.
30:45Hey, that one always looks like it's got a little bruise on it, doesn't it?
30:48Yeah.
30:49And then another one here.
30:50One there.
30:51And then another one here.
30:52There.
30:53And then there's the two there.
30:54Yeah.
30:55Yeah.
30:56That there.
30:57I've had that for years.
30:58If you feel there.
30:59Yep.
31:00Oh, yeah.
31:01From when I was a kid.
31:02Never, like, been to the doctor or anything about it.
31:04Oh, right, yeah.
31:05Okay.
31:06Have a wee seat.
31:07So, I mean, these are all...
31:10Lypomas.
31:11Yeah.
31:12Very straightforward.
31:13Very beautiful, I'm gonna say.
31:14Okay, yeah.
31:15Yeah.
31:15Lypomas.
31:16There is nothing horrible about them.
31:18And a Lypoma is a benign thing.
31:20Yeah.
31:21And it's made up of fat cells.
31:23And those fat cells are all...
31:25held together with a little capsule around them, which is why you can move them.
31:30Yeah.
31:31Really quite easily.
31:32They don't move anywhere else, but it's like they just sit in their own little pocket.
31:34Exactly.
31:35Yeah.
31:36The type that you get where you get multiple ones of these, often it can occur.
31:40Yeah.
31:41Within a family as well, but not all the time.
31:43And they're obviously very straightforward to...
31:45remove.
31:46So would you be quite keen to go ahead and have that done?
31:48Yeah, definitely, yeah.
31:49Great.
31:50Well, I'd be quite...
31:50I'd be quite keen to remove them.
31:51You seem quite keen, so yeah.
31:53Okay, so should we get you through...
31:55and get rid of all these little lumps?
31:56Yeah.
31:57I want to go home lump-less.
31:58I want you to go home lump-less.
32:00Come with me.
32:01I want you to go home lump-less as well.
32:02Come with me.
32:05I want you to go home lump-less.
32:10I'm just drawing on you to begin with.
32:15Adam has lots of lipomas scattered around the body and we picked out the six that were really good.
32:20Causing him the most embarrassment.
32:23They're not like raised there.
32:25I think if you don't see them it's not worth the scar, you know?
32:28And then he'd had this leaf.
32:31I think I'd probably just quite like to know what it is.
32:34Yeah.
32:35It looks like there's something in there.
32:36Have a feel, though.
32:37Well, if you want to take it out, feel free.
32:38Yeah, should we just have a look?
32:40I can see what it is.
32:42So now what I'm going to do is pop the anaesthetic.
32:45Take in all of these.
32:46You scratch.
32:47Well done.
32:50Good job.
32:52Okay.
32:53We scratch down here.
32:54Well done.
32:55That one is a stinger.
32:56Yeah.
33:00Okay.
33:01Okay.
33:02Okay.
33:03You just tell me if you feel anything sharp or sore or uncomfortable, okay?
33:05Yeah.
33:06Can you see that?
33:07You can see it wiggling around inside the lipoma.
33:10Okay.
33:11So in order to get it out, sometimes you have to tease it a little bit, so you don't
33:15see any cutting at all, but you just go around the edges off it.
33:20Nothing.
33:20Nothing's being cut, but it's just gently being eased away from the surrounding skin.
33:25And then what you do is once you've given it a little tease.
33:31Then you give it a little squeeze.
33:32Then you give it a little squeeze.
33:35Okay.
33:36So we'll grab either side of this, like this, and we just push.
33:38So just get ready.
33:40Right underneath.
33:41And we'll just tease her out this side.
33:44Oh, there she goes.
33:46We had fun of them?
33:47I feel a little bit sick.
33:48Do you feel a bit sick?
33:49A little bit sick.
33:50Exactly.
33:50That's okay.
33:51It's very normal to feel a little bit sick.
33:53Kun Sang, can you just put the...
33:55Hair bed down?
33:56Is that good?
33:57Yeah.
33:58That looks like it is too.
33:59Yeah.
34:00I'll slide off it in a minute.
34:01I'll slide off it in a minute.
34:05Woof!
34:06I felt like I was going to faint.
34:10I felt a bit like...
34:11Yeah, when you get that wave of nausea and it comes over you...
34:16But yeah, it's gone now.
34:18We just elevate the legs up, put the...
34:20back of the bed down so his head is lower than his heart and his legs.
34:24And actually you can recover.
34:25really quickly from that.
34:28It's got nothing to do with being scared.
34:30It's got nothing to do with like anything at all.
34:33You know, it's not something...
34:35that you can even perceive.
34:36It just happens and it happens to young men in theatre.
34:40for the first time.
34:41No women.
34:42Doesn't it?
34:43Always the man.
34:44Oh...
34:45This looks beautiful.
34:46Perfect.
34:51Good.
34:53Just tell me if you feel anything sharp or sore.
34:55Whilst we get on to do this wee one now.
34:57Okay?
34:58There we go.
34:59You've got love.
35:00Lovely skin haven't you?
35:03There's number two.
35:05Sorry about the squeezing.
35:09Sorry about the squeezing.
35:10There we go.
35:16That's a cute little one.
35:17That's a cute little one.
35:20There we go.
35:21We're gonna do the...
35:22There we go.
35:23We're gonna do the...
35:24There we go.
35:25We're gonna do the...
35:25There we go.
35:26Look at that.
35:27Whenever I press it here you can see it bulge out to there.
35:30See that?
35:31Uh-huh.
35:32Does that feel okay?
35:33Yeah.
35:34Feels fine.
35:35Right.
35:36Do you wanna have a squeeze?
35:37Yes.
35:38Hard.
35:39Yeah?
35:40That's it.
35:41Keep going.
35:40Keep going.
35:41Keep going.
35:42That's it.
35:43There you did it.
35:44Whee!
35:45Perfect.
35:46Oh, it's so...
35:49Oh, it's so...
35:50Smooth now.
35:53Okay, that's great.
35:54Now we're gonna move...
35:55Down to the little treasure chest at the bottom.
35:57Yeah.
35:58See what's in there.
35:59So this is some...
36:00Something very hard.
36:01But it's not the lipoma.
36:03It's not the lipoma.
36:05It's just...
36:06I mean it's a definite thing in its own entity.
36:08I'll tell you what, but it's exciting.
36:10It's quite dead.
36:15Um...
36:16It's quite big.
36:17No wonder is it a stone?
36:20It's so hard.
36:21So we'll send it off and see...
36:24See what it is.
36:26I'm over the moon that they've gone, yeah.
36:28I'm so glad.
36:30Adam was a real treasure trove of all the different...
36:35things that he brought.
36:36But such a good patient and such good nature.
36:39Yeah.
36:40It's my pleasure to be able to do this and help him.
36:42I'm so glad that I've came to see Dr Emma today.
36:45With having to go to the doctors for years and years,
36:47and them just saying,
36:48can't do anything about it.
36:49And of course...
36:50I've come to see Dr Emma.
36:51And she's took them out for me.
36:52So yeah.
36:53It was...
36:54It's been great.
36:55Hi.
36:56Hello.
36:57You alright?
36:58Yeah.
36:59Not bad.
37:00How did it go?
37:01It was good.
37:00I did nearly fine.
37:01Did you?
37:02Haha.
37:03Haha.
37:04Wow.
37:05Shall we get going?
37:06Yeah.
37:07Now they're all out, hopefully my confidence comes back up.
37:10And yeah.
37:11Just getting out there and enjoying myself.
37:12And who knows?
37:13Might end up getting into a relationship.
37:15Doors closing.
37:16Please mind the doors.
37:17Doors closing.
37:18Please mind the doors.
37:20Bye.
37:21Bye.
37:22Bye.
37:23Bye.
37:24Bye.
37:25Bye.
37:26What are you looking at?
37:27Do you remember Adam who came to see me?
37:30With all of the lipomas.
37:31Lipomas.
37:32Yeah.
37:33Well he had one that was in his lower leg.
37:35Well.
37:35We didn't think it was a lipoma.
37:36We thought it was actually a bit of gravel or a stone where he had injured himself.
37:40Yeah.
37:41Anyway, I went in, excised it and this is what it's come back and shown.
37:45This is an osteolipoma.
37:47In other words, it is a lipoma.
37:49Is that?
37:50But it's undergone bone maturation.
37:52Bone maturation?
37:53Yeah.
37:54So it's not calcification.
37:55Okay.
37:56This is not calcium deposit.
37:57This is bone.
37:58That's so crazy.
37:59Yeah.
38:00So that's...
38:00fat.
38:01And that's bone.
38:02This is here bone.
38:03This pink bit here.
38:04That's the bone.
38:05Yep.
38:05And then these white bit here is where the fat cells are.
38:08How does that happen?
38:09In this case...
38:10with the trauma that had occurred, it's undergone this transformation and become bone.
38:14It's super rare.
38:15It's so crazy.
38:16I mean, when you think of the thousands of life homers have died, I've never seen this.
38:19It's amazing, isn't it?
38:20It's amazing.
38:21So I'll give him a call and let him know that it wasn't a bit of gravel, but he was creating.
38:24Bone.
38:25A little bit of bone.
38:26A little bit of bone.
38:27A little bit of bone.
38:31Hiya, Chelsea.
38:32Hiya.
38:33Come on down.
38:35Nice to see you back.
38:36And you.
38:37Nice to be back.
38:39And have a seat.
38:40So it's been four months since I saw you last...
38:45I have.
38:46Tell me how you feel now about understanding the kind of disease that you have.
38:49But I'm the...
38:50a lot more aware of what I have and what's actually wrong and what I can do now to prevent...
38:55obviously having a massive flare up and to help with it.
38:57So it's come on loops and bounds really.
38:59It's good.
39:00And then we've added in this extra medicine as well just to try and help.
39:05deal with the inside symptoms a little bit more as well.
39:09How have you...
39:10find taking the extra tablets?
39:13They're...
39:14They're actually quite brief.
39:15efficient things.
39:16They haven't fully been started yet.
39:17But it's going to be really good to see kind of the good outcome of...
39:20the joints and things like that I'm starting to notice.
39:22In terms of your skin...
39:24How...
39:25How is it feeling just now compared to when we first met?
39:29Is there a difference?
39:30Massive difference.
39:31Yeah, because when I first met you, you were actually wincing whenever...
39:35the skin was being touched.
39:36It was horrible.
39:37Absolutely horrible.
39:38I got so fed up with it, kind of.
39:40I was at my breaking point.
39:41Yeah.
39:42Yeah, that was why we reached out to you and obviously you've helped...
39:45massively.
39:46So yeah, it's kind of taken the whole weight off my shoulders.
39:48It's been good.
39:49Well...
39:50let's have a look at the shoulders.
39:51Of course.
39:52And the arms.
39:53Of course.
39:55Oh, what a difference.
39:57Yeah, that's a massive difference.
39:59Oh, I'm...
40:00Unbelievable, Chelsea.
40:01Still a little bit red up here, but compared to what it was...
40:04Yeah.
40:05It's amazing.
40:06Yeah, I mean...
40:07It's amazing.
40:08Okay, oh my gosh, the shoulders are so...
40:10much better, aren't they?
40:11Yeah.
40:12Whoa, that's brilliant.
40:13They're all rough and bumpy.
40:14Oh, it's lovely and smooth.
40:15I know.
40:16That's the first thing I know.
40:17It's so smooth.
40:18It's so smooth.
40:19I'm going to say to just buy...
40:20what number would you give, Chelsea?
40:22I'd say at least about 85%.
40:23Yeah, I was going to say 80.
40:2480.
40:25And then the back.
40:26Oh, that's great.
40:27And do you remember before you had these really...
40:30I was going to run to the broad steps.
40:31Yeah.
40:32Whereas now, there's no red.
40:35But it is just this speckly pigmentation, which will hopefully...
40:40settle itself down.
40:41Okay.
40:45While there's no cure for Chelsea's condition, I'm really pleased to see how well the...
40:50topical treatments have done for the skin.
40:53And also now we have the correct...
40:55and exact diagnosis and understand that this is more than a skin disease and...
41:00if something is going on on the inside as well, the right medication will get those.
41:05things under control so that she can go on and live her life as best as she can.
41:10So, let's go with her and try to see her.
41:11We've grown now and give her a closer look.
41:12How far to find out?
41:13So, what does she think?
41:14Really?
41:15You do not know.
41:16We'll have a glance at the back of he's going home.
41:17I'm going home at home.
41:18I'm going home.
41:19I'm going home soon.
41:20Goodbye.
41:21Goodbye.
41:22Goodbye.
41:23Goodbye.
41:24Goodbye.
41:25Goodbye.
41:26Bye.
41:27Goodbye.
41:29Goodbye.
41:30Bye.
41:31Bye.
41:32Bye.
41:34Bye.
41:35Bye.
41:36Bye.
41:37Bye.
41:38Bye.
41:39Bye.
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