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#video #Save My Skin S05E09 Episode 9 Engsub #drama2026 #movie2026 #hotmovie
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TVTranscript
00:00This programme examines dermatological conditions and the procedures involved with treating them.
00:05Due to their graphic nature, viewer discretion is advised.
00:13Hello, I'm Dr Emma. Come and have a wee seat.
00:17These ones at the front, they are so red.
00:21They're sore.
00:22And itchy.
00:23It then progressed so much that I was in A&E almost once a week.
00:28Oh my goodness.
00:30I'm here to get rid of the unsightly mess that's in front of my face.
00:33Every day I see people in despair and it's all because of their skin.
00:38It's been 20 years since they are just getting bigger and bigger.
00:41Some of the patients have been suffering in silence for many years.
00:45It's so cool. I don't want it.
00:48And others have tried multiple treatments and nothing has worked.
00:52And that's why they come to see me.
00:55I can't wait to have it gone. It's just going to change everything.
00:59I treat everything from the most extraordinary and extreme.
01:03Well, there's certainly a lot here, isn't there?
01:05I try not to look at it to be honest.
01:07To the common skin conditions that we see every day.
01:11Woo! That was a good one.
01:13Do you want to see this?
01:14Yeah.
01:16Oh.
01:17It is hard at the moment because resources are stretched and people aren't able to get the treatment that they
01:23need.
01:24That's it out.
01:25Oh, good riddance.
01:26And all I want to do is to help make a difference.
01:29Thank you so much.
01:31Oh, it's my pleasure.
01:32It's gone.
01:33It's gone.
01:33It's gone.
01:34That is amazing.
01:36I am so grateful.
01:37You just don't know what you've done.
01:50Good morning.
01:51Hi.
01:51Do you know what time the first patient is arriving?
01:54Uh, nine o'clock.
01:58But I spoke to that patient yesterday and, um, she really loves that cream that we especially
02:03made for her.
02:03So it's changed her life.
02:05Amazing!
02:26It's been 20 years since I have my keloids.
02:30They are very painful and they are very itchy.
02:36There's one in the middle.
02:37They are the ones that hurt when I touch.
02:44It's quite hard, like, when we're going to sleep.
02:48I can hear him scratching his chest.
02:51I'm okay.
02:53You just feel helpless.
02:56I don't think nobody should live with pain, like, 24-7.
03:02Just stop, stop.
03:04Would you mind taking this bag for me?
03:05It's just, it's hurting my keloids.
03:08I'm married to Samantha for four years now.
03:12It was a good day, wasn't it?
03:14Yes.
03:15It was a very good day.
03:16We have put off having a family now until we find out what can be done regarding this condition.
03:31I just wish they were gone.
03:34If Dr. Emma could just treat them, it would be a life-changing for me.
03:41Hi, Mauricio.
03:42Hi.
03:42How are you?
03:43Nice to meet you.
03:43I'm Dr. Emma.
03:50Come and have a seat.
03:51All right.
03:52How are you?
03:52I'm all right.
03:53Yourself?
03:54Good.
03:54So, tell me what's been happening with your skin.
03:57Well, since I was five, my family and I knew that I had keloids.
04:04So, my grandfather had keloids and my mum as well.
04:07Okay.
04:07So, they have been becoming bigger and which has been concerning me is that they are growing very quick.
04:14Painful.
04:15Yeah, they are very painful and they age a lot.
04:19I mean, five is really young to start getting keloids.
04:22Keloids are types of scars where the cells that are responsible for making the scars have kind of gone out
04:30of control.
04:31I see.
04:31And where on your body did they come?
04:33Well, I have some in my knees which came from when I fall off from a bike.
04:38But the most concerning ones that came out of spots, it was from my back.
04:44After you had acne?
04:45Yeah.
04:45I had some acne and they just grow up from there.
04:49Once I shaved my chest as I have a lot of hair.
04:52Yes.
04:52And they just grow up as well.
04:55So, tiny little injuries, that's all it's taken to trigger it all.
04:59Yeah.
04:59Okay.
05:00So, do you mind to take your top bits off and I can have a look?
05:02Yes, of course.
05:03It's fine.
05:04Just allow me a sec.
05:09They are good going keloids, aren't they?
05:11Yeah, they are.
05:13Yeah, they really are.
05:16And these ones at the front, because they are so red.
05:20They're sore.
05:21I can tell that they're the sore ones and itchy.
05:23And you can also see because the direction in which they go is almost the direction in which we expand
05:30our chest.
05:31Yes.
05:31So, whenever you made the comment about the things that you were doing at the gym, it's the strain in
05:36that area is actually the stimulus for these cells to grow.
05:39And that's why it grows in this pattern.
05:42Okay.
05:43So, I'm going to look around the back now.
05:48They're almost like little mushrooms, aren't they?
05:50Yeah, they are.
05:51Because they have a stalk and then they have a cap.
05:53And if they weren't so itchy and uncomfortable for you, they look quite splendid.
06:01They really do, these ones.
06:03That's the first person who tells me that.
06:05But they're causing you discomfort and that's not good.
06:09Mm-hm.
06:09Okey-dokey.
06:11In your case, you have something called a keloidal disease.
06:16In other words, it's not just one area that this is happening in.
06:20All of the parts of your skin are prone to this happening.
06:24And it's a genetically inherited tendency, which is why your mother had it and why your grandfather had it.
06:30And I do need to scratch my head for a little bit with you to come up with the best
06:34plan.
06:35I see.
06:35Because it's not an easy thing to actually do, so...
06:37No, it's not.
06:38I understand.
06:39And we need to do the right thing first time.
06:42Because an injury causes a keloid and if you injure a keloid to get rid of it...
06:46Exactly.
06:46...it can just make the whole thing spiral out of control.
06:50All right.
06:51So I work with a team of people at our scar clinic.
06:54Mm-hm.
06:55Some of which have devoted their entire lives just to treating keloidal disease.
06:59So we need to have our case conference and then I will...
07:03You'll come back.
07:04...have our conversation about what the plan's going to be.
07:06All right.
07:06Thank you very much.
07:19I think this looks like it here.
07:21Yeah.
07:23Warwick Street.
07:23Help me out.
07:24There we go.
07:25I'm here to get rid of the unsightly mess that's in front of my face.
07:29Good morning.
07:30I've come to see Emma.
07:31Oh, that's great.
07:32The Doctor Emma.
07:33Yeah, sure.
07:37Dad's always been a very confident chap.
07:39He was a very handsome man in his youth and he was in the RAF.
07:44And they instilled pride in his appearance.
07:49You know, it's inevitably going to make a difference to your confidence.
07:55Hello, David.
07:56Oh, hello.
07:57Good morning.
07:57Hi, nice to see you.
07:58I'm Doctor Emma.
07:59Oh, Doctor Emma.
08:00Come and have a seat.
08:02I'm going to guess you're here to see me about the nurse.
08:05I'm definitely here to see you urgently about these.
08:08Because they are growing while we look at them.
08:10And I'm really worried about them because I've lived with them for a long time,
08:13but now they're getting aggressive.
08:15The change in the last three, four years, they've got bulbous.
08:18But before that, there was always an impediment there of sorrel.
08:21For the last ten years, at least.
08:23What did it look like ten years ago?
08:26Just a spot.
08:27A little bump.
08:28I was always having spots.
08:29And then it started to get bigger and bigger and bigger.
08:31And now it's, it's, it weeps.
08:34Now, yesterday was a big build-up because I was shaving to come here
08:37and it squirted and whack.
08:39It hit the mirror.
08:41So it would go so far when you touch it to hit the mirror?
08:43It would go right across, yeah.
08:45It would go right across.
08:45It's okay if I come and have a close-up look at it.
08:48Well, that's the idea.
08:49That's why I'm here.
08:53Okay, let's have a wee peek.
08:58So what we've got is this thickened change, this phymatous change, we call it.
09:04And then your dangly bit.
09:06Yeah.
09:07We might be able to see if there's some through.
09:09I wouldn't say too close.
09:10Yeah.
09:11There we go.
09:12Yeah, we can see.
09:12I can feel that coming.
09:13Yeah.
09:13It's called sebum and it's made by the follicles.
09:17So at the bottom of those pores, there's a little tunnel that goes down and it goes into
09:21your gland.
09:22Right.
09:22And that gland makes sebum.
09:26So this is a diagnosis of something called rosacea.
09:30Yes.
09:31With rhinophyma.
09:33Right.
09:33And rosacea is a condition that causes inflammation in the skin.
09:38Yes.
09:38And it typically causes inflammation around the follicles or the sebaceous glands.
09:43Yeah, it's true too.
09:43And then in a very small number of people, it can cause rhinophyma.
09:48Yeah.
09:48So rhino meaning the nose and phyma meaning the thickening or the swelling.
09:53When it comes to trying to treat it, I would use my laser.
09:57Yep.
09:57And that will get rid of the main bulk of things.
10:00It would actually be important to try and get the rosacea under control.
10:04And we can do that with a combination of a tablet and with a cream that you put on at
10:08night time.
10:09It will stop it from coming back.
10:11Right.
10:11How does that all sound?
10:12Sounds wonderful.
10:13OK.
10:14Good.
10:14Progress.
10:15Progress.
10:17Would you like to do it today?
10:18Yes.
10:19Please.
10:19Now.
10:20Get cracking.
10:21Get the knife in.
10:27I'm sorry about this, OK?
10:29Because this is the little anaesthetic that you're going to feel.
10:31Wiggle your toes for me.
10:33Wiggle the toes.
10:33Great stuff.
10:34Well done.
10:37We're going to start now, but if you just let me know if you feel anything sharp or sore,
10:41OK?
10:41Yeah.
10:45So we're using the laser so that we can cut it nice and precisely and allow us to peel this
10:52surface layer of the skin off to get rid of all of the bulk.
10:56And you also want to try and do this with as minimal scar tissue as possible because the scar tissue
11:02will look different to the normal nose tissue.
11:08So I've just cut into this gently.
11:10So I've just cut into this gently so I'm going to try and now just squeeze out what we can
11:14see in terms of the sebum.
11:22We can see the jet.
11:23How can you?
11:25How can you?
11:25This has been a little bit like a balloon.
11:28Yeah, it has, hasn't it?
11:29Yeah.
11:29Yeah.
11:30Good spot.
11:31These are the little glands that are inside.
11:33These are the little cysts.
11:34Oh, look at that.
11:35It's a little micro cyst.
11:41So this is the larger dangly down bit that we've now removed.
11:45Mmm.
11:46But do you take the whole flap off?
11:47I've taken the whole thing away there, yeah.
11:52So the main aim really is to get rid of this big bit that was blocking his nose.
11:57And then the second aim is to try and reduce the size of the wing part of the nose.
12:07So you can see that's all a little cold.
12:11So now what we want to do is blend this down.
12:21You doing all right in there?
12:22Yeah.
12:23All right.
12:23Good.
12:30There we go.
12:31We'll just let that heal up at that side now.
12:36Can you feel that?
12:37Yeah.
12:40Good.
12:43Good.
12:44Good.
12:44Good.
12:51Now I do love stitching.
12:55I think you're very clever at it.
12:58People and clothes.
13:01Lovely-dovely.
13:03as this heals now it will start to reform the shape of his nose over the next couple of weeks
13:10how did you find all of that I found it wonderful
13:15there you go you can take a hold of this and have a little look
13:19oh that would do it's lovely it's 100% better isn't it would you like to have a look at
13:23what
13:23we took off yeah wow that was that was the big boy that's nice isn't it it's like it's like
13:30mushroom that's a little capsule so that was worth it don't squeeze it oh look at that
13:39new man wonderful it's a very proper beautician's job
13:48all right we're all done everything's done it seems brilliant absolutely brilliant she was
13:53i couldn't feel anything i just in fact i thought i was going to sleep at one time
14:05i'm really keen to hear what your thoughts were on mauricio i would probably say that mauricio is
14:11within the top five in terms of patients with very severe keloidal disease i mean this is really very
14:18challenging it's so extensive and i know that it's not possible to get rid of all of them we're just
14:24not at that part in medicine at the minute but these ones in the central chest and the lateral
14:30aspect of his shoulders are the ones that were causing him the most grief he'll get a lot of
14:35benefit from the removal of these ones and make the other ones probably a lot more manageable just
14:41in his mind and then when it comes to the chest clearly there is no way that we can actually
14:47remove
14:47any of the keloids unless we generate new skin in one way or another because there isn't enough skin
14:55to cover the keloid removal on a central chest that's right how would you approach that by far the best
15:03way of doing that is to do what we call tissue expansion this will allow us to remove the large
15:11keloid cluster and then bring the skin edges together this is really my main concern here
15:25today is the first of mauricio's operations mr gutas is going to tackle the largest of the keloids
15:32on his back and also start to prepare the chest for a future surgery the chest will be expanded
15:40using tissue expansion and mr gutas is going to insert these today i have never had any operation
15:48before this is the first time i will be going through a surgery it's hard to express in words
15:55how i'm feeling now i'm very anxious thank you
16:04tissue expansion is a pretty uncommon technique and we only really have to use it whenever there
16:12isn't enough skin to cover an area i'm gonna have to go here because the that's the only entry i
16:21have
16:21this has taken a lot of planning and i'm really excited to see what can be achieved
16:28with such cutting edge keloid surgery
16:34first we are going to remove the biggest keloids from each shoulder
16:48perfect we're going to do this 10 blades
16:58we have just removed the large cluster from mauricio's right shoulder
17:06we're just going to go ahead and make start putting the suture follow me
17:13and i'm gonna need another one of those
17:21all right let's go on the other side
17:33all right
17:40all right uh let's tie this let's go
17:44all right the second part of the operation inserting two tissue expanders on either side of the large
17:56keloid in the center of the chest
17:58right okay so we have created the pocket underneath the skin that will accommodate the tissue expander
18:09tissue expanders are essentially deflated silicone balloons and then go back in and these are going to
18:18be gradually blown up in order to stretch the surrounding skin
18:25and we're now closing the wound
18:28after the surgery today mauricio will have some radiotherapy
18:32the radiotherapy works by telling the cells that make the collagen and the scar tissue to stop multiplying
18:39and stops the keloid from coming back
18:44radiotherapy can actually carry with it a very very small risk of developing a skin cancer over
18:51the rest of mauricio's lifetime so i will be seeing mauricio back in clinic to keep a close eye on
18:59him
19:02the right shoulder is a little bit uncomfortable but i'm feeling okay yeah overall
19:32i suffer from an undiagnosed condition that causes swelling
19:37all over my body and my face my condition can be very painful it can get so itchy that i
19:44i just scratch so much that i bleed when it first started four months ago i was completely convinced
19:52that it was an allergic reaction but there were no trends in what i was doing touching wearing
20:00i've just woken up and my top lip is starting to swell it's red and it's numb i'm so tired
20:15my lip has swelled even more it's really really hot all of my face is really hot at the minute
20:27my lip starting to swell it's now gone oh this is so much bigger i'm starting to panic
20:35quite a lot about it because my cheeks are starting to swell as well um i'm struggling to breathe
20:57the condition that she has now it's debilitating
21:03she cannot do the things that she wants to be able to do as a 19 year old woman
21:11hi is it olivia hi nice to meet you i'm dr emma do you want to come with me
21:19so olivia tell me a little bit about what's been happening with your skin
21:23so i started to have red inflamed lumps all over my body about four months ago when it first started
21:30it was only on my left wrist and my left thigh it spread to my stomach my chest but it
21:36then progressed
21:37so much that i was in a and e almost once a week oh my goodness because my face would
21:42swell and i
21:43wouldn't be able to breathe and what has any doctor told you that this is i've had different
21:49forms of allergy testing um but then been told that it's not an allergy and what kind of um
21:55treatment have you been given strong amounts of steroids yeah liquid forms of antihistamine
22:01settles it for a while but doesn't really solve it when was the last time you had a flare um
22:10about
22:10a week and a half ago so there's nothing to see on the skin at all today i have pictures
22:15and videos
22:16okay good i want to have a look at those in a second and how do they make you feel
22:20whenever
22:20you're having a flare awful um i've you know spent a lot of time hidden in my bedroom um
22:29this is some of the flare-ups okay that is really bad actually and i'm not surprised it
22:36was interfering with your life because that is really extensive undoubtedly this is an articaria
22:42an articaria is essentially where something is causing white blood cells that live within the
22:49skin and in response to certain triggers they release histamine and then the histamine causes
22:54the swelling and redness and itchiness that you can see as hives and sometimes it's just spontaneous and
23:01it just happens and we have no idea why it happens has anyone ever given you a diagnosis like that
23:08before
23:09i've you know had people say oh it could be this it could be that but i've never had something
23:13so
23:13set in stone so thank you for that honestly it's a massive massive relief because it started so quickly
23:20just by itself i suspect that might just ebb away but if not then we've got a really clever injection
23:27called omelizumab that tell the white blood cells to stop releasing as much histamine and this means the
23:34disease starts to settle i think one of the things that we'll need to do then going forward is if
23:39you're able to keep a very very strong diary so that i can get an idea of how frequent the
23:44flares
23:45are then we can work out what we can we can do to intervene okay are you happy with our
23:53plan yeah thank
23:54you so much that's okay the fact that dr emma knew what it was straight away was was wonderful and
24:00so
24:01reassuring so i'm happy so come on what's happening it was good it was really good seeing you come out
24:08the door with that smile on your face it's brilliant i'm just pleased that you're getting the information
24:14and the assistance that you need now
24:28it's been four months now since mauricio's surgery and he's been coming to london every week to get
24:35these tissue expanders in his chest inflated these are inflated with medical grade salt water and only a
24:43small amount can go in each time so there isn't too much stress on the skin we are slowly putting
24:50the fluid in everything came on yeah i can feel the pressure right here that's great the expanders can
24:57each take 400 mils of salt water into each one and he's already had 200 milliliters inserted and we're
25:05nearly done on this side so he'll need another six inflation sessions before he's ready for this next surgery
25:14the process with the inflation it's not very comfortable very well done but it is something
25:22that i can take and i know it's for a good purpose as well we are halfway through which is
25:29a good news
25:30and then dr gutters will be able to remove those keloids that really annoys me
25:51Olivia is still getting these debilitating flare-ups despite starting the injections about a month ago
25:58but it will really take until 12 weeks until we know whether this drug has worked or not
26:04how's the situation now my um i think my arms are starting to swell like both arms
26:10for the minute olivia we're in the right place at the right time
26:16hi olivia hi good to see you
26:19okay so you've had one dose of the omelizumab which is the uber gold standard treatment that
26:26we have for this resistant chronic spontaneous urticaria and that was only what five weeks ago
26:32now yeah and where are we now with you i used to flare maybe two three times a week since
26:40having
26:40those injections i've flared every single day without fail okay so so you've got a flare today that we can
26:46see can i have a look at the skin is that okay yeah of course these are essentially like hives
26:53it's red
26:54and it's swollen and it sits up above the skin and then when they get get shrugged because they're very
27:01itchy they then start to coalesce and make these larger ones this is a good example because you can
27:09see how widespread it is they must be driving you mad it's almost like that feeling of just insect bites
27:15everywhere and when you know how annoying even one insect bite can be let alone the hundred that
27:20you've got when we're on the omelizumab we wouldn't say that it hasn't worked really until we get to
27:27about 12 to 16 weeks of treatment this is a drug that essentially controls the disease in the best way
27:35that we know we've just got to keep our fingers crossed that this is the one that's going to be
27:40the
27:40right thing for you as silly as it may sound i'm desperate yeah so you know even if it takes
27:47two
27:48months three months five months i don't care just just anything so it's worth it this is the early
27:53days of this new medicine and you know everything is all crossed okay poor olivia this is a difficult
28:03condition to manage generally and it's also quite a difficult condition for people to cope with
28:09because they feel very uncomfortable with it and it can be a bit scary we've now have these medicines
28:16that are very very targeted to treat it but there are always some people who just don't respond
28:23there hasn't been a massive amount of change it's still steps in the right direction that was okay
28:29wasn't it we just got to think about what's going to happen next yeah hi mateo hi baby how are
28:46you it
28:47has been a very huge change in my life i have become a father let's come to daddy okay there
28:54has been some
28:55challenges when involve me getting my baby around because he wants to explore everything i've had
29:03around 16 inflation procedures my chest it feels very big at this moment like a balloon i won't lie
29:13the process hasn't been easy at all it demands a lot of cautiousness all right gonna go to mama it's
29:21challenging but i know how bad it is to have the keloid so it'll be worth it because he'll be
29:28able to
29:29enjoy life more after the treatment thank you thank you for me it's a week until my next surgery and
29:40i'm
29:40very excited and also nervous i want to get this over with
29:54you're going first yeah yeah
30:01mauricio's really keen to get to the end of his treatment but this is not a quick fix he's already
30:07had some radiotherapy to try and stop some of these keloids from coming back but there's also
30:12a few areas that need some steroid injections and that's what i'm going to do today janice has done
30:19the surgery on the back and then you've got tissue expanders on the chest exactly makes you look like
30:25superman a little bigger i also got my baby born did it no congratulations wait that's how long it's been
30:34there wasn't a baby the last time so i'm excited to see what's been happening can i have a little
30:40look
30:40is that okay of course yes great oh yeah look at those tissue expanders gosh yeah oh wow what a
30:50big
30:51difference you can see along here is the scar line is a bit stretched and then there's certain little
30:57bits within it that are a bit um slightly thickened up and we want to stamp on top of that
31:01before it
31:01becomes anything more we scratch the steroid injections just tell those fibroblasts to kind of stop growing
31:15in quite the same way um where they've gone a little bit bumpy so that's all it's doing it's a
31:22radiotherapy that's really doing all of the job but this is just to give it an extra bit of help
31:30i didn't feel that one good
31:40but here we are number one world there yeah i've been going around with this great growth
31:45on my end of my nose and suddenly it's all disappeared and it's lovely
31:52how are you david how are you how are you good come on through there's a bit of you missing
31:58i wasn't
31:59going to show you how's this been going for you it's been going splendid but people are amazed
32:09nobody mentioned it and then when it has happened they go oh oh my god they only talk about it
32:15after
32:15the fact they can see the difference let's have a wee look at you those wee dangly bits that we
32:22took
32:22off they're good yeah yeah and then it's nice and symmetrical you've got these even at both sides the
32:31wings yeah so i'm super pleased with how things have healed one of the things that really struck me
32:36about your nose in particular was the dangly down bits were actually blocking you from breathing that's
32:43right that's the big difference i used to have to flick it back and out of the way then i
32:47could
32:47receive sleep again i know what's it like not having to do that well i don't know i sleep
32:55dr emma looks at me all over and she said it was wonderful
33:01right i've seen dr emma she said all is well pretty no trouble at all we can go home now
33:08oh i've had to thank her personally because i'm just so pleased with it but we're not going to come
33:13back have we no i don't think so no i don't think so all in all a great success
33:26so today's the day the day we've been working towards for the past seven months
33:31mauricio is having surgery on these large keloids on his central chest mauricio has gradually been
33:39getting his skin expanded and currently has 800 milliliters of liquid in his chest mr gutos is going
33:48to remove this liquid so that when it comes to the keloid removal he can use this skin to cover
33:54the defect
34:04right excellent guys we have now deflated both of the tissue expanders and on either side of that
34:10big keloid there is plenty of lax skin for us to remove most of that keloid
34:28clearly mauricio is unfortunate to suffer with so many keloids to the extent that it is unrealistic
34:37that we can ever target to remove every single one of them but the central chest cluster was the most
34:45troublesome part of his keloidal condition give me the bipolar boobs pedal
35:05that's why we had to have an expander because how would i ever close yeah
35:30i can move this flap of skin all the way past the midline if we had not done the tissue
35:37expansion
35:38process this would not have been possible
35:49cut please
35:51cut please
36:01i'm feeling fine at the moment i know that dr gutos was able to remove most of my keloids i
36:11didn't get to see
36:12them yet but i'm feeling happy
36:27hello olivia hello how are you not the best at the minute um still having constant flare-ups we are
36:34almost at the very end now of this trial of the omeluzumab are you happy to carry on
36:39with the injection i would like to go ahead obviously with the the next set of injections i think that
36:45would be probably the best solution yeah i mean i think we've got just a few more weeks to see
36:50whether
36:51it would make the cutoff of helping or not but with this condition that you have in the same way
36:57that
36:57it just very abruptly came for many people it just very abruptly goes this is not something that you're
37:06going to be living with for forever one of the positives from all of this happening is that if you
37:12would have said to me two years ago that random flare-ups all over your body are going to start
37:16happening
37:16you know for a while you're not going to know why they happen but you made it through your side
37:20and
37:21it's not forever it's great and i appreciate it they're not just light words being delivered to
37:27make you feel good they are it's the truth it's definitely helped so thank you thank you very much
37:32bye bye
37:37i think one of the most important things about a doctor patient relationship is to realize that you've
37:42got somebody on your side we can give her the knowledge about the condition we can give her
37:47likely time frames of what's going to happen just having that support and person to ask actually means
37:54a lot so you're not feeling that you're out there on your own
38:06i can't wait to show her how the treatment went and how the surgery looks nice let's go to see
38:14dr engma
38:23hi mauricio good to see you come with me your baby is gorgeous oh he's so lovely have a seat
38:35just
38:35here the last time i saw you and i was just treating some areas with a steroid yes and then
38:41you had the
38:42next surgery which was a big one it was yeah definitely how has that gone this recovery process
38:47was very easy and quicker as well i can hold my baby without any concerns i don't feel any more
38:55of
38:55those pain that i had i can't wait to see it i really can whoa whoa what a difference do
39:07you think so
39:08yes it's very noticeable unbelievable it looks like it never had any keloid here it really does
39:15it's quite remarkable i mean so this is only three weeks post the surgery and once all of the those
39:22stitches have kind of completely gone and once we've got this scale and things like that which
39:27is the normal thing to come away there is really going to be very little to see along that scar
39:33line
39:34and how do the ones on the back feel now it looks very good yes so you've got you can
39:39see the color
39:40change which is the brine from where the radiotherapy has been that will settle down i mean these ones
39:47here it's lovely and flat isn't it yeah i mean overall this just looks so much better in terms of
39:54how you can move and i can even just see the movement of your shoulders better i mean that is
40:00the point
40:00this is done for the feeling and the function as opposed to the look because it was stopping you from
40:06doing things that is the main aim of this treatment and these this looks great really good great like
40:12you can pop your top on what do you think now are you glad you've gone through all of this
40:20i knew it
40:20would be a long journey but i'm glad that i went through it and i'm also glad to have met
40:25you and
40:26dr gutus because you're like an angel in my life you helped me a lot so i'm very glad that
40:32i went for it
40:32i'm glad that you're glad yeah
40:37mauricio is one of the swedest loveliest patients and the journey that he has had to go on
40:44is intense so it's really lovely to see him here today starting to feel and see the benefits from
40:50having gone through all of this i'm feeling very happy i feel like a different man so how was it
41:01uh that was nice i think uh dr emma was very pleased to see how the treatment went it went
41:09amazing yeah
41:10exactly
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