- 5 weeks ago
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TVTranscript
00:00This programme examines dermatological conditions and the procedures involved
00:04with treating them. Due to their graphic nature, viewer discretion is advised.
00:10Hello, I'm Dr Emma.
00:12Come and have a wee seat.
00:14Ah!
00:15I mean I can see why this will have been causing you lots of problems.
00:19It does feel rather delicious.
00:22Oh does it?
00:23Yes.
00:24That looks so angry.
00:26You can see all of these broken areas.
00:28It has ruined my life.
00:30Every day I see people in despair and it's all because of their skin.
00:34It's been 20 years since they are just getting bigger and bigger.
00:38Some of the patients have been suffering in silence for many years.
00:42It's ugly. They don't want it.
00:44And others have tried multiple treatments and nothing has worked.
00:48And that's why they come to see me.
00:51I can't wait to have it gone. It's just going to change everything.
00:55I treat everything from the most extraordinary and extreme.
01:00Well there's certainly a lot here isn't there?
01:02I try not to look at it to be honest.
01:04To the common skin conditions that we see every day.
01:08Woo! That was a good one.
01:10Do you want to see this?
01:11Yeah.
01:13Oh.
01:14It is hard at the moment because resources are stretched and people aren't able to get the treatment that they need.
01:21That's it out.
01:22Oh good riddance.
01:23And all I want to do is to help make a difference.
01:26Thank you so much.
01:27Oh it's my pleasure.
01:28It's gone.
01:29It's gone.
01:30It's gone.
01:31That is amazing.
01:32I am so grateful.
01:33You just don't know what you've done.
01:43Mind the gentleman.
01:50Let's go get a coffee.
01:51Yeah definitely.
01:52Before we start.
01:53I don't have a brush so I'm having to use my, what is this called?
02:03Butterfly clip.
02:04Butterfly clip.
02:10So we have three patients this morning.
02:12Right should we go and do our notes?
02:13Yeah.
02:14Thanks.
02:15It just makes you feel ugly.
02:22Everybody sees Quasimodo and he's a hunchback.
02:26And that's what it looks like to me.
02:33That's quite a pretty cut isn't it?
02:36It does knock your confidence.
02:38You're always afraid that somebody's going to see it.
02:40But no.
02:41Look.
02:42Yeah no.
02:43I understand.
02:44It's a horrible thing to see.
02:45How you doing Matt?
02:46Yeah.
02:47Showing isn't that?
02:48The back.
02:49But even there like, it's there isn't it?
02:51Yeah.
02:52I could make a designer dress look like a sack of spuds.
02:5814 years ago I had a lump that appeared on my back and it was confirmed as a lipoma.
03:04My GP referred me to a private consultant and then have it removed.
03:11And the thought that it might have come back never entered my head.
03:15But now it's so much bigger.
03:18I do try and get her out and about to build confidence and to build self esteem.
03:25But unfortunately the lipoma has taken a lot, taken a lot of it.
03:31Hi Chrissy.
03:32Yes.
03:33Hello.
03:34Hi there.
03:35Nice to meet you.
03:36I'm Dr Emma.
03:37Hi.
03:38Nice to meet you.
03:40Hello.
03:41This is my daughter Tash.
03:42Hi Tash.
03:43Come on in.
03:44Have a seat just up on the bed.
03:45That's great.
03:46So tell me why you've come to see me today.
03:48I've got a lipoma on my back that's been there for a few years now.
03:51I've had it removed before.
03:52Okay.
03:53And it's just returned with a vengeance.
03:54Okay.
03:55And at the time, did you think it was all gone?
03:58No.
03:59He did actually say during the operation I'm not going to take any more of that.
04:03I'll leave it there.
04:04Why?
04:05He didn't say why, he just said I'm going to leave it there.
04:08I'm not going any further.
04:09Okay.
04:10Do you mind about the operation?
04:11I don't want to take any more of that.
04:12Why?
04:13He didn't say why.
04:14He just said, I'm going to leave it there.
04:16I'm not going any further.
04:17I'm going to leave it there.
04:18He didn't say why, he just said, I'm going to leave it there,
04:20I'm not going any further.
04:22OK, do you mind if I have a look at it, is that OK?
04:30Yeah, so that is one decent size of a lipoma, isn't it?
04:33Yeah.
04:35Can't even get my hands around it.
04:37That was, like, our measuring tool at one point,
04:40was, like, my hand span.
04:42Yeah.
04:42And now it's, like, it's gone over my hand span.
04:44Yeah, it's well over my hand span, actually.
04:48I mean, that measures to 18 and 15, so 18 by 15.
04:58So it's a decent size.
05:02OK, have a wee seat.
05:04So what my intention would be is to go in and then take the lipoma away.
05:10And you'll likely have a fairly long scar,
05:12cos we need to make sure we're going to get it all out for you.
05:14How do you feel about that?
05:16Yeah, it'd be great.
05:18Perfect.
05:18See you in a wee minute.
05:25Sorry about my cold hands.
05:26That's OK.
05:27It's just a bit of a shock.
05:28Yeah.
05:29They are freezing, aren't they?
05:31Apparently means you have a very warm heart.
05:37When something's been operated on before, there's two problems with it.
05:40Number one, it's got scar tissue.
05:43Scar tissue makes an operation more difficult because you're cutting through old tissue,
05:48which has really become quite tough over the years.
05:51And then number two, if it's the kind of lipoma that has recurred after previous excision,
05:56you know already it's going to be a tricky one because it's been operated on before.
06:02And I do wonder if that's broken up the lipoma, so it's growing in separate areas.
06:08OK, so I'm just going to check on the area first of all.
06:13And your only job is to tell me, do you feel anything sharp or anything at all that is uncomfortable?
06:20No.
06:21Good.
06:24This is a slippery wee sucker.
06:27Come here.
06:28Come here, please don't break.
06:29I just want to get you out beautifully.
06:32So integrated, isn't it?
06:36You've had it for a long time, you see.
06:38I know.
06:39I think this is the bit that they've left behind there.
06:43Get in there.
06:45That's it there.
06:46Ah, that's it.
06:47You want a little slight fanfare?
06:49There, da-da-da-da-da-da.
06:51That's lovely.
06:53Yeah.
06:55So that's it all out.
06:58Oh, no.
07:00Ah, there's more behind you.
07:02I'm not behind this wall.
07:03Yeah, there's a few more down this way.
07:07You think you've got it and you don't.
07:11There's just another bit of lipoma there.
07:14There's another bit just behind it.
07:16Here's this one.
07:17There's another one?
07:17Yep.
07:18Ready?
07:20And there's another one just in here.
07:22So I'm going to squeeze that one out.
07:24There we go.
07:26This is all really part of the same lipoma
07:29because it's lobulated.
07:31In other words, it's in separate areas.
07:33It's coming out as individual little pieces.
07:37Oh, sorry.
07:39Sorry.
07:39No, you're OK.
07:40I'm going to put a wee bit more anaesthetic in there.
07:42I don't want to look and see if there's more.
07:51Of the around about 700 people I've operated on for lipomas,
07:56because I'm going to say that this is in my top ten of trickiness.
08:02Partly because it's been operated on before,
08:05but partly the very nature of what it is, you know.
08:08This is a big one,
08:09but I am not leaving anything
08:11because I do not want you to have to go through all this again.
08:15But more importantly,
08:16I don't want to have to go through all this again.
08:27How are you doing, Chrissie?
08:28I can just feel a lot of pulling and a lot of pushing.
08:31It just feels very weird.
08:34We've been here for over an hour now, Chrissie,
08:36but just a wee bit longer to go.
08:39Nearly, nearly, nearly.
08:41Nearly.
08:41Nearly.
08:45So, that's it all out.
08:48We're just doing a final check.
08:50We need to just make sure it's definitely all clear.
08:55Looks like we're done, Chrissie.
08:57Yay!
08:58Thank you, Lord.
09:01Your back is flat.
09:03That's great.
09:09You want to see?
09:10Yes.
09:12Oh, wow.
09:13So, there's your flat back.
09:14Oh, look at that.
09:16I knew it would be slightly tricky to begin with,
09:21but this was probably even more tricky
09:24because when we thought we'd cleared it,
09:26I was feeling wrong, thought,
09:27there's actually more underneath.
09:29I was like, what?
09:30More?
09:32But we got it all out.
09:34Ah, she's here!
09:37Do you want to see it from the back?
09:39So, that's it.
09:40No hump.
09:41Like, I'm speechless.
09:42I haven't seen it for, like, the flat back in nine years.
09:45And you want to see the lipoma?
09:46Yes!
09:47It's a lot of lipoma.
09:49Wow.
09:49It really is.
09:50It is a lot.
09:54I'm so pleased I've had it done.
09:57Fabulous.
09:57It is like having my skin ground down with sandpaper,
10:11then nettle's put in there,
10:13then somebody's spraying it with acid.
10:15That's how it feels.
10:19The condition that I have is called Haley-Haley disease,
10:22which causes sores to appear.
10:25They kind of ulcerate.
10:27They burn and they itch.
10:29The areas of my body that my Haley-Haley mainly affects
10:31is my armpits,
10:33under my breasts,
10:34and my groin area.
10:36Craig, can you help me?
10:41The effect it's had on her ability to do day-to-day things
10:45that the rest of us take for granted.
10:47Just mind my skin.
10:48I will.
10:49You know, she can't reach up into a cupboard to get a cup out.
10:52She can't play with Poppy.
10:55All right.
10:57Good?
10:58OK.
10:59I feel like I'm not being a good mum to her
11:07because she wanted comfort one day
11:08and she wanted me to give her a cuddle
11:10and I couldn't wrap my arms round her.
11:15I have to be careful of her skin sometimes
11:19because it will rip her skin.
11:29After eight years, it's getting worse.
11:34I've tried dermatologists, home remedies.
11:38Everything that I can try has been done.
11:41Hello.
11:42My name's Daisy.
11:43I'm here to see Dr Emma.
11:46I need help.
11:47I need somebody to help me.
11:51Hello, Daisy.
11:52Hello.
11:53Nice to meet you.
11:53I'm Dr Emma.
11:54And you.
11:55Come with me.
11:59This is Mottie.
12:00He's our nurse.
12:00Hi, yes.
12:02Daisy, tell me a little bit about why you came today.
12:06I'm here today to see you for my Hayley-Hayley disease.
12:10It just came out of the blue, really.
12:12I think it was not long after I'd had my daughter.
12:14So what did you first notice?
12:17It was just my armpits.
12:18And I thought, at the time,
12:20I thought perhaps I was using my spray deodorant too much
12:23and making myself sore.
12:25Then when the smell developed,
12:27that's when something was clearly not quite right.
12:30Yeah.
12:31What do you understand about Hayley-Hayley disease?
12:34I find it confusing, if I'm honest.
12:36Yeah.
12:36It's essentially a genetic condition,
12:38and that's why your mum has it also.
12:41And you've inherited the tendency to it.
12:44And it's a little bit like a typo or a spelling mistake
12:47in the cells that make up the skin wall.
12:51And instead of them making up the skin wall in a nice, tight way,
12:56they're just not held together quite as easily.
12:59And whenever you're in areas where things are rubbing together,
13:03it causes those cells to break away more easily
13:07and make these little blisters.
13:09But they don't get a chance to stay as little blisters for very long
13:12because the top comes straight off them
13:14and makes these wounds or these little sores.
13:17And they're particularly painful.
13:19What kind of treatments have you had then
13:21to try and help get this under control?
13:23So I've got a whole pharmacy of steroid creams.
13:27I think I've got them on the highest potency level.
13:30And how often would you get the flares?
13:34Because Hayley-Hayley's is certainly one of these conditions
13:36that can be actually OK for a bit and then it flares.
13:40Yeah, and when I'm having a real bad fail,
13:44I can never lift my arm higher than, like, my shoulder
13:47because then it will cause new sores
13:49and then it rips and it stretches.
13:50Oh, gosh.
13:51So I tend generally to hold myself like a chicken.
13:54Yeah.
13:54Because it's just comfy and nothing's rubbing.
13:58Can we have a look now? Is that OK?
14:00Yeah.
14:00OK, so just looking here,
14:08you've got these individual little papules
14:10heading down away from the armpit itself
14:13and then you've got a whole plaque of them in the centre
14:17where they have all coalesced together
14:19and you can see the little...
14:22Essentially, there were blisters,
14:24but the top has already left them.
14:26You can see where the little splits are in the skin.
14:29That's a bit ouchy.
14:31OK, you can bring that down.
14:33And then the little bit on the chest.
14:35This is how my armpits would start.
14:37What happens in the armpits, there are hundreds of these
14:40and unfortunately, because the armpit's skin rubs together,
14:44it just macerates them and breaks them down
14:46and breaks them down,
14:48so you don't tend to see them in the isolated forms like they are.
14:53OK, so you know what this diagnosis is anyway.
14:58This is Haley-Haley disease.
15:00Well, at this stage of the game,
15:02it's not like we can yet fix the spelling mistake that's caused it
15:05because that's in your genes and that can't be changed.
15:08So we have to manage the symptoms that you have.
15:12Now, one of the ways to do it are the topical steroids
15:15and you've had that to the nth degree,
15:18but actually some of the emerging treatments
15:20has shown just marvellous outcomes
15:22and probably top of that list is something called naltrexone.
15:27Have you heard of this at all?
15:29No.
15:29No.
15:30So it's a tablet.
15:31You take a very low dose,
15:32but it reduces the pain, reduces the inflammation
15:34and really reduces the flares.
15:37That sounds great.
15:38OK, I'll go and get it all set up for you.
15:43It was lovely to meet Dr. Emma today.
15:45She's got such a huge amount of knowledge about Haley-Haley disease,
15:48which is a huge win for me.
15:51I'm going to be trialling the new medication
15:53for about three months,
15:55of which then I'll come back to see Dr. Emma
15:57and hopefully have good news.
15:59They're not your shoes.
16:13I was really hoping you wouldn't notice that.
16:15I forgot my juggers today,
16:16so I may have stolen some shoes from the scrub room.
16:19But no one has to know.
16:21But they're from somebody who's much smaller than you.
16:24My toes are starting to hurt at this point.
16:29When I meet new people,
16:37inevitably they ask,
16:39what is it?
16:40I tell them that I've been born with it.
16:45I have this lump on my head
16:46and there's some photos of it showing at three weeks old.
16:51I have been told by several doctors
16:54that I have a lipoma.
16:56I've noticed the lump has grown
16:58over the last three years.
17:02I am worried about the amount that it has grown.
17:05If it does come further down,
17:06it will obviously affect the eyesight.
17:10And what then?
17:12Then I look completely disfigured.
17:15If we're in a restaurant or a bar or we're out,
17:23I do notice people looking at me,
17:25looking at her
17:26and trying to work out why the lump's there
17:29and if it's a bruise or a lump
17:31because she's maybe been hit by me.
17:35It gets frustrating.
17:37It's really upsetting because he's the nicest guy.
17:40He doesn't deserve that.
17:41Hi, Vanessa.
17:52Hi, nice to meet you.
17:53I'm Dr Emma.
17:54Do you want to come with me?
17:55Oh, absolutely.
17:56Yes.
17:57Lovely bag.
17:59It's so bright.
18:02Come on, Vanessa,
18:03and come and have a seat over here.
18:05Thank you, Emma.
18:06So what have you come to see me about this lump here?
18:10Yes, exactly.
18:11You spotted it.
18:12That's the one.
18:13Tell me a little bit about it.
18:15Well, it's a big bump.
18:17It's grown.
18:18I was born with it.
18:19What did it look like in your baby photographs,
18:21for example?
18:22It looked like a pea-sized little lump.
18:26But now, the last three years,
18:28it has really grown.
18:29How old are you now?
18:30Nearly 41.
18:31Nearly 41.
18:32So I haven't had it for 41 years.
18:34What made you think I need to do something about this?
18:37Well, I'm of the age now.
18:38I think people don't look at me
18:39because I'm young and pretty.
18:41It's because I've got a big fat lump in it.
18:43You're definitely very pretty.
18:44They're looking at you for that.
18:45I wasn't fishing for a compliment.
18:47I think it's the health impact.
18:49It was a cosmetic problem.
18:51Now it gets so big,
18:52I think with age, things start sagging.
18:55Is it going to get bigger?
18:56Is it going to move further down?
18:58If it gets any worse,
18:59it will have an impact on my life.
19:01It will impede my eyesight.
19:02Yeah.
19:03And so I think it's time for it to go.
19:07So what do you think this is
19:08or what has somebody told you that it is before?
19:10I think it's a lipoma.
19:12Mm-hmm.
19:12Okay, well, I'd quite like to get in
19:14and have a little look at this.
19:15Is that okay?
19:16Mm-hmm.
19:18Do you mind to pop your glasses off for me?
19:21Lovely.
19:22I'll put this great hair behind your ears
19:25just so I can see the symmetry of this.
19:27Mm-hmm.
19:28And if I'm hurting you at all in any way,
19:31just you let me know, okay?
19:33Mm-hmm.
19:34Oh, it feels fantastic, doesn't it?
19:36Mm-hmm.
19:37Very squidgy.
19:38Mm-hmm.
19:39Okay, and if we move it,
19:41it's actually quite fixed, isn't it?
19:43And then if we move it up,
19:45it's still tethered.
19:47Mm-hmm.
19:47And pushing it down.
19:49It's also kind of quite fixed to stop moving in.
19:52Good.
19:53I mean, I think the idea of doing something about this
19:57because you want to prevent any problems in the future
20:00is a really good one
20:01because this is going to continue to get bigger
20:04by the very nature of it.
20:06But with time, you start to lose support
20:09of the rest of the skin
20:11and then everything starts to move down.
20:14So undoubtedly, this is going to start to have an impact.
20:17But it does feel rather delicious
20:19and feels different to your lipoma.
20:22Oh, does it?
20:23Yes, which it is not a lipoma.
20:25It's a nun?
20:26No.
20:28Oh, wow.
20:29This is something called a dermoid cyst.
20:32No.
20:33Have you ever...
20:34Has anyone ever said that to you?
20:38No, not at all.
20:39Yeah.
20:39Dermoid cysts are a lot less common
20:43and where we normally see them
20:45whenever they're on the face like this
20:46is actually at the lateral part of the eyebrow.
20:49So it's like a birthmark, essentially,
20:51but a birth cyst.
20:54Can I give you a hug?
20:56A hug?
20:57It's so funny.
20:58It's really overwhelming, isn't it?
21:00Gosh, I've lived with a lipoma forever
21:03and to hear something different now.
21:05Yeah.
21:05It's really quite funny.
21:07Yeah.
21:07Now, in terms of removing them,
21:11they're a little bit trickier to remove
21:14than the traditional cysts
21:16because of partly where it is,
21:19but also what tends to happen is
21:21that as they grow,
21:22they are kind of fixed
21:24to the underlying structures nearby,
21:26which is the bone, really.
21:28And approaching them needs to be done
21:30carefully and meticulously.
21:32So when we come to removing it,
21:35I normally get one of my craniofacial surgeon colleagues
21:39to do it for us
21:40because they have slightly different techniques
21:43of removing it
21:44and will be done typically whenever you're asleep,
21:47which sadly I can't do in this clinic.
21:49And you'll get lovely outcomes
21:53from the team that do do that.
21:55Fantastic.
21:56Well, let's go and get you booked in
21:58with Professor Dunaway then.
22:00A dermoid cyst is a very unusual type of a cyst
22:04and it results as an abnormal development
22:06within the foetus.
22:08It looks a bit like our other cysts
22:10in that it contains a sac,
22:11but inside the sac,
22:13it's made up of lots of mature skin organs
22:15that secrete oil or hair
22:18or in some parts of the body contain teeth.
22:23A surprising result.
22:25The expectation was just a simple lipoma removal
22:27and now we are looking at a referral to a specialist.
22:33I think I might be a little bit nervous
22:34because it's obviously much more than I expected.
22:48Dermoid cysts arise where the skulls fuse is together,
22:52around about here.
22:54And in Vanessa's case,
22:55it extends to the midline part.
22:58Now, there's a number of very important nerves in this area
23:00and they really need to be preserved.
23:04So I've referred Vanessa to my colleague,
23:06Professor David Dunaway,
23:08who's a renowned craniofacial surgeon
23:10and this is his area of specialty.
23:13May as well take a last picture.
23:16Can I take my glasses off?
23:17Yes.
23:18I've brought my lovely husband Ben with me,
23:20so he might have a new wife after this.
23:23Who knows?
23:25New-looking wife.
23:26New-looking wife.
23:27Any allergies?
23:35No.
23:36Any compartmental disease?
23:38No, she's pretty healthy.
23:40Warming?
23:41Yes.
23:42Vanessa's having a dermoid cyst removed today.
23:46It's quite large and it's very close to a nerve
23:48that provides sensation for all of the forehead.
23:52So we need to undertake it quite carefully
23:54to make sure that we don't damage it.
23:56And so we've decided to do it under general anaesthetic
23:58in an operating theatre
24:00so we can do the procedure safely.
24:07Great.
24:08OK.
24:08OK to start?
24:09Yes.
24:11Shall we just put a swab over the tube?
24:16OK, we'll start with a 15.
24:18Right, thank you.
24:21We're going to need to make an incision
24:23carefully in this skin crease
24:24to get this dermoid cyst out.
24:28So that's our plan.
24:33The nerve we're worried about
24:35runs out through a little notch
24:38in the top of the eye socket
24:40but I don't know whether it's underneath
24:42or on top of the cyst.
24:44You can never be quite sure
24:45what you're going to find.
24:46OK.
24:55And here we can see that
24:56this structure here
24:57is the supraorbital nerve.
25:00So that nerve is giving sensation
25:02to the forehead
25:03and if we can preserve it
25:05then obviously
25:05we want to do that.
25:09So we've got the retractor
25:11holding the nerve
25:12out of the way now.
25:13All right, let's just have a look.
25:24The blueness of it tells us
25:26it's a very thin-walled cyst
25:28so it may birth
25:29when we're taking out
25:30the cyst itself
25:33is quite stuck down
25:35to the lining of the bone.
25:37This is the skull
25:39and this is the edge
25:41of the eye socket.
25:45I'm going to see
25:45if I can just scrape it off.
25:48So this is a manoeuvre
25:49that's quite likely
25:51to burst the cyst.
26:00There, you can see
26:01we've got around
26:02the back of it now
26:02and if I just touch here
26:04I can see the skull
26:05just there.
26:09Coming away very nicely.
26:15Nearly there.
26:22There we go.
26:23There it is.
26:26It's all nicely out.
26:27Great.
26:29And this little nerve here
26:31that we were so worried about
26:33is nicely intact.
26:43Just cut that there for me.
26:47I think that went very well.
26:48I think there's something
26:54about removing cysts
26:55that's very satisfying
26:57particularly if they don't burst.
27:02Is it all done?
27:03I guess so.
27:05Have they done the right side?
27:07I've done the wrong side.
27:10How do I look?
27:12You look fantastic.
27:13I'm a bit sore today.
27:24My armpits
27:25are not feeling great.
27:29Not good.
27:31That's my right armpit.
27:36But I got my
27:37delivery today
27:39of medication
27:40so I'm hoping
27:41that
27:42it will help me.
27:50So these are my
27:51armpits
27:52after about
27:53four weeks
27:54of my new medication.
27:56I still have
27:56some sores
27:57but it seems
28:00to be drying out.
28:01This is my
28:03right armpit
28:05which is
28:05a lot less painful.
28:07I kind of think
28:08it looks a bit better
28:09which is good.
28:22Oh!
28:24Yes, oh, good walking.
28:26Can't be helped.
28:27I do feel guilty
28:28worrying about something
28:29so little
28:30but it's
28:31not little to me.
28:33I've got a
28:36dried up
28:37crusty
28:38growth
28:38on my foot.
28:40I don't know
28:41what it is
28:42but
28:42when people
28:43see it
28:44they go
28:44ooh
28:45it's just
28:47vile.
28:52How are you feeling?
28:54Oh,
28:55nervous.
28:56Butterflies in my tummy.
28:59Hello.
29:00Hi.
29:00Is it Sian?
29:01Yes.
29:01Nice to meet you.
29:02I'm Dr Emma.
29:03Do you want to come with me?
29:04Yes.
29:04We're both matching in pink.
29:06Oh, yeah.
29:09Come on through.
29:10Is that your daughter
29:11right there?
29:11Yes.
29:12Ah.
29:13And so you've come from Wales
29:15I can tell by that accent.
29:16Yes.
29:18Come on in.
29:20Just have a seat
29:21up on the bed there.
29:22And this is
29:23Mottie
29:23who's our nurse.
29:24Hi.
29:25So tell me
29:26what you've come to see
29:27me about today.
29:29About this growth
29:30on my foot.
29:31It's in between
29:32my big toe
29:33and the next toe long.
29:35You've got all these
29:35fingers coming off it.
29:37I just tried
29:37as fingers.
29:38Yeah.
29:39Did it start off
29:39small?
29:40Yes.
29:41And it just got bigger
29:41and bigger
29:42and then it's gone
29:43over the back
29:44of my foot
29:44a little bit underneath.
29:46Now that sounds
29:46like it might be
29:47something that's a bit painful.
29:48Yeah, it is quite painful.
29:49Yeah.
29:50And when you see it
29:51like how does it make you
29:52feel about yourself
29:53when you see it?
29:54It makes me feel
29:55it makes me feel dirty.
29:57Oh.
29:58So can you tell me
29:59a little bit about
30:00what you have done
30:02to try and get rid
30:03of this in the past?
30:05I paid to see
30:06a chiropodist
30:06and she wouldn't
30:08do anything.
30:08She said I don't
30:09like where it is.
30:10It was on your foot?
30:11What else is it going
30:12to be when you see
30:13the chiropodist?
30:15Oh.
30:16I'd rather it was
30:17on your elbow.
30:19Yeah.
30:19Obviously I've had
30:20all the different
30:20lotions and portions.
30:22Old wives tales
30:23I have tried.
30:24Somebody told me
30:25that I could sell it
30:25to somebody
30:26and if they bought
30:28it off you
30:28it would go.
30:32Much did you
30:32sell it for?
30:33A pound.
30:35Did it go?
30:36No it didn't go
30:37obviously.
30:38And deep down
30:38I knew it wasn't
30:39going to.
30:40I'm not that stupid.
30:41But it's kind of
30:42a bit of fun.
30:43Yeah, but you'll
30:44try anything
30:45at the same time.
30:46And the other one
30:47it was rubbing
30:48a piece of bacon
30:49over it, raw bacon
30:50over it
30:51and burying it
30:52in the garden.
30:53And needless to say
30:54that didn't work
30:55either.
30:56Yeah, well
30:57it's one of those
30:57things that it shows
30:58you how desperate
30:59you are to get rid
31:00of it and normal
31:01means haven't actually
31:02been helpful for you.
31:04Alright, well
31:05let's get the shoe
31:06off.
31:06Ah, I mean I can see
31:11why this will have
31:12been causing you
31:13lots of problems
31:13because situated
31:14right here
31:15that is going to be
31:17very annoying.
31:19So you said they
31:20were finger-like
31:21didn't you?
31:22Yeah.
31:22Well actually
31:23that describes it
31:24really well
31:24because we think
31:25of these as
31:25filiform and they
31:27are finger-like.
31:28This is a very
31:29very classic
31:30viral wart.
31:33Oh yeah, you got
31:34another wee one
31:35coming there
31:36haven't you?
31:37So there's the
31:38big one
31:38and then these
31:40are called
31:40satellite lesions
31:41so two of them
31:42are small
31:43and then another
31:44two are extra
31:45small so there's
31:46actually five there
31:47in total.
31:48I mean they're
31:48very very common
31:49to get.
31:50Normally you've
31:51had a little bit
31:51of trauma to the
31:52skin or the skin
31:54barrier isn't quite
31:55so good which is
31:55why loads of people
31:56get them on their
31:57feet you know
31:57swimming pools
31:58and things like
31:59that and the
32:00virus gets in
32:00and it gets into
32:02the cells that
32:03make up part of
32:04the skin and it
32:05forgets to switch
32:06off and it just
32:07makes more and
32:08more and more
32:08skin and that's
32:10why it becomes
32:11thicker and that's
32:12why you get this
32:13crust that appears
32:14on the top off.
32:16So you're going
32:17to be able to
32:17get rid of me?
32:19You're like I
32:19don't care what
32:20it is I just
32:20want to buy it
32:21off me?
32:22Maybe if I buy
32:23it off you for
32:24two pounds it
32:25might work.
32:26Most of them
32:26will just go away
32:27by themselves
32:27your own body's
32:29immune system
32:29comes in
32:30recognises it
32:31and it just
32:31goes but there
32:33are a group of
32:33people in which
32:34their immune system
32:36doesn't work in
32:37quite the same way
32:37and it just doesn't
32:38seem to get rid
32:39of these.
32:41When they're like
32:42this one of the
32:43ways that I find
32:44that actually works
32:45very nicely is to
32:47introduce your
32:49wart to your
32:51immune system.
32:51right.
32:52Now I don't mean
32:53having a formal
32:54relaxing dinner
32:55together.
32:56What I mean is
32:58is that we
32:59take a little
33:00tiny core from
33:02the centre of
33:03the wart and
33:04we lift a little
33:05bit of the wart
33:06up to just the
33:07point of where
33:08it's bleeding
33:08where your immune
33:09system is able to
33:10come in and
33:10recognise it and
33:11see it and then
33:12your immune system
33:14goes hey this is
33:15here shouldn't be
33:16here let's get
33:17rid of it and you
33:18start to see the
33:19wart regress in on
33:21itself.
33:22What do you think
33:22of us doing that?
33:26Honestly I thought
33:27I was just going to
33:28come here and it
33:28was just going to
33:29all be gone but
33:31life isn't that
33:32easy is it?
33:33If we cut it all
33:34out you've actually
33:35got a really big
33:37raw area here and
33:39that will take a
33:40long time to heal
33:42and it is very
33:43painful so it would
33:45really interfere with
33:46your life for quite
33:47a long time.
33:48If this is going to
33:49work well I'm up for
33:51trying it obviously.
33:52Right I'll meet you
33:53in the operating room
33:54okay?
33:55Okay lovely.
34:03Have you got the
34:03bacon?
34:05I'm trying to
34:06distract you so you
34:08don't get worried.
34:09I know I was
34:09thinking I don't like
34:10needles.
34:10I know you don't.
34:11I can tell that you
34:12don't.
34:16I'm just going to
34:17pop the anaesthetic
34:17take it.
34:18A wee tiny scratch.
34:21Very good.
34:23Well done indeed.
34:25There we go.
34:26All the horribly
34:26injection-y bits
34:27over with.
34:28So what we're going to do
34:35is just go into it
34:37just until it starts
34:39to bleed.
34:46There we go.
34:50Then we're going to do
34:52a baby one
34:53over here
34:55and the same thing.
35:03There we go.
35:04That's it.
35:04All done.
35:10So in about six weeks
35:11it works and it should
35:12just shrink down and down
35:14until it's all gone.
35:15OK.
35:16All right?
35:17Yep.
35:20So how did it go?
35:22Great.
35:23That's good.
35:24I'm really pleased.
35:25I just hope this works.
35:27Thanks my love.
35:30I've got some positive
35:31answers today to what it
35:33is and some positive help.
35:35So hopefully this is the
35:36beginning of the end of my
35:38warty friends.
35:39The treatment that I've had
35:50from Dr. Emma
35:51has totally exceeded
35:54my expectations.
35:56The difference in my skin
35:58is incredible.
36:00I haven't got
36:00Hayley Hayley anywhere.
36:01I haven't got any
36:05sores anymore.
36:06There's no blisters.
36:08Nothing's weeping.
36:09There's no splits or tears.
36:11My skin looks as normal
36:13as it should do.
36:14It's just nice to be able
36:16to move and to not hurt.
36:18I've got full range
36:20in my arms
36:21so I am just back
36:22to me.
36:26Ready?
36:27It's completely different
36:31to the way it was.
36:33She's just the daisy of old
36:35and that for me
36:36was all I wanted.
36:38Super, super pleased.
36:40Should we make some
36:41rice crispy cakes?
36:42Yeah.
36:45It's really nice
36:46to give mummy cuddles.
36:48I love you mummy.
36:49I love you too.
36:50Because now she's not
36:51in agony anymore
36:52and I'm really happy
36:53about that.
36:55Cheers!
36:57It's great for us.
36:59We're back as a little
37:00team again
37:00and I love it.
37:02I will always have
37:04Hayley Hayley disease
37:04but with the right
37:06medication that I now
37:07have I can keep it
37:08at bay
37:09and I can now
37:11move forward
37:11with my life.
37:13I've got my life
37:14back essentially.
37:23It's a remarkable
37:25difference.
37:25I couldn't be happy
37:27with it.
37:28It's 80% smaller
37:30than it was
37:31and I'm in
37:32significantly less pain.
37:35I've still got
37:36a little way to go
37:37but it's all
37:38going the right way
37:38now.
37:39I am looking forward
37:40to summer
37:41to be able
37:42to put flip-flops
37:43on
37:43and not be ashamed
37:45to show my foot
37:46and I'll be forever
37:47grateful for Dr. Emma.
37:49She's done
37:50a marvellous job
37:51and she's given me
37:53my life back.
38:00How long have you got
38:01left to the next patient?
38:0320 minutes.
38:04Okay, right.
38:04I'll get some notes done then.
38:06Will you buzz through
38:06to my room?
38:07Yep, we'll do.
38:07Thanks.
38:18I'm back today
38:19to see Dr. Emma.
38:20I'm hoping to see
38:21my flat forehead
38:23with a tiny,
38:24really,
38:24almost invisible scar.
38:27Hi, Vanessa.
38:28Hi, Emma.
38:28How are you?
38:29You want to come on down?
38:30Good.
38:32So you're just fresh
38:33from having this done?
38:35And David said
38:36that I can remove
38:37the bandage for you today
38:39so we can have
38:40a good look.
38:41It's sort of exciting,
38:42isn't it?
38:42It's the best part.
38:44Come on in,
38:45have a seat.
38:46Thank you, Emma.
38:46This is Motti
38:47who you didn't get
38:48to meet last time.
38:49Hi, Motti.
38:49Nice to meet you.
38:50We're dead excited
38:50to see you back
38:51because you've been
38:52to see David Dunaway
38:54and it looks,
38:55I mean,
38:56I know that you've got
38:56that bandage on
38:57but even now,
38:58I mean,
38:58what a difference.
38:59It's all flat,
39:00isn't it?
39:01What a difference.
39:02So today is the day
39:03that we can take
39:03that dressing down
39:04for you
39:05and you can finally
39:05see the new forehead.
39:07Yes, let's do it.
39:08OK.
39:13OK.
39:14Let me know
39:14if I'm holding you,
39:15OK?
39:16Mm-hmm.
39:18Looks great.
39:20I'm just going
39:21to give it
39:21a little clean-up,
39:22OK?
39:25Emma,
39:26ready for you.
39:28Whoa,
39:28that's amazing.
39:30That looks
39:31absolutely
39:32fantastic.
39:36It doesn't even
39:36look like you've
39:37had anything done
39:38other than
39:38the lumps
39:39completely gone.
39:40That is
39:41absolutely
39:42wonderful.
39:46Amazing.
39:48The scar is
39:48fantastic,
39:49isn't it?
39:50Can I see it?
39:51No.
39:52Yes,
39:53of course you can.
39:54Can I?
39:54Yeah.
39:55Oh, I don't know.
39:58Oh, there's really
39:59nothing there.
40:00It's amazing,
40:01isn't it?
40:02Wow.
40:04I have to say,
40:05that's just
40:05fantastic.
40:07It's unbelievable.
40:08Do you feel
40:10quite emotional?
40:11I do,
40:11because it's just
40:12without,
40:14like I say,
40:14this stupid thing
40:15on my face.
40:17And now it's gone.
40:19Now it's gone.
40:19It's amazing.
40:20I can't wait
40:23to show my family.
40:24I bet you can't.
40:26Absolutely brilliant.
40:28I can really see it.
40:30How tiny weenie the
40:31sky is.
40:32So tiny and weenie.
40:33Thank you, Emma.
40:34My pleasure.
40:36Well,
40:36if you're able to
40:37send me a photograph,
40:39I'd love that in a
40:39couple of months' time,
40:40just so I can see
40:41the final outcome.
40:43Is that okay?
40:43Of course I will do
40:44that.
40:44Thank you, Emma.
40:45I am extremely happy
40:48with the result.
40:49I'm extremely happy
40:50to go out there
40:51and show off my face now.
40:56Joy is probably the word
40:57and relief is the word
40:59that comes to my mind.
41:00Joy that it is gone
41:01and relief that I don't
41:02have to deal with it anymore.
41:15I am super happy
41:16and relief that I don't
41:30have to do with it anymore.
41:31I am super happy
41:32to have to do with it.
41:33I am super happy
41:34and you're telling me
41:35who knows.
41:35You are such a great
41:36thing.
41:37I am super happy
41:37and you are so happy
41:38to be with you.
41:39People need you
41:39to do with the stuff
41:40that you could
41:40make.
41:40I am super happy
41:41and I am so happy
41:42to be so happy
41:42and I am so happy
41:43and I am so happy
41:44and I am so happy
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