welcome to the otter Medical Group channels dr. Marc Vaughn dr. Dwayne and
Jackie super patient Jackie making a what a third appearance I am on my
mortgage demand so today we're talking about this wart on your hand or I should
it's a word we don't know who or what this is and I brought dr. Guinan because
sometimes we consult with each other will grab one or the other and bring
into a room and say hey what do you think of this and in this case we're
looking at this growth on Jackie's hands in their quarter and a few weeks a few
weeks and does it itch no it's tender it's a little tender yeah and dr. Blaine
has been looking at it it's kind of purplish it's got kind of a crust to it
I was thinking this could possibly be could possibly be a squamous cell
carcinoma and if it is we'd want to bias it with something like a shave biopsy
going kind of wide to make sure we get the whole thing or in an effort to get
it all so you don't have to go back for more but then I'll spy on right yeah I
was looking at it too and initially with the kind of roughness of it it does have
that kind of wart like texture to it but if you look very closely you can see
that there's a little base or base to it a little pink base and that's that's
what makes me a little more worried I think probably the same thing to do
would be to take a biopsy as well just so we can get a tissue diagnosis then we
know for sure that way we're not just kind of blindly freezing and then not
really knowing if it's tagged exactly okay okay so in that case we'll proceed
with the shade by it really scares me again what I the alternative I was
thinking was possibly doing cryotherapy of everything that and and we would
present both these off-chance to the patient yeah we could just do
cryotherapy with the risk of not touch me yeah
and like the stories of all had stuff removed and been diagnosed with cancer
suspects oh thank you seeing just make sure we'll just do the shape okay
don't want to later on without good go in are you feeling anything drawback
inject and that really pops it up an area we're working are you feeling it
puts the pressure probably because we're putting a lot of fluid into your hand
oh well it's an anesthetic okay which is a fluid fluid form of anesthetic rather
than gas yeah so I found that colleagues not a good choice
you don't want to go with the gas don't want to oh yeah it is numb now I'm so
the flexible shaver blade you know there is a vein right under this just thought
I'd point that out to us now so if I start shooting blood
there'll be an explanation at least the doctor's office puts a sample in the
container no I was like I'll just go like this and it will fall on the
countertop
I can do this okay so the wound seal wonderful wound seal
ready Polly let's let's get some looks at it one two three
I hold this for about a minute
do we got a third of the way through
did you know Jackie is along really yes we won't put that on the video yes thank
you dr. green for helping out with the console Thank You Jackie four lemons
were charted hey if you guys like videos like this be sure to be subscribe also
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next time all that's telling you to stay a good
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