hey guys thanks for joining us
I got my friend Eric Eric been a patient
for a long time long time long time he
has this thing on his arm that's been
here
not as long fortunately in that used to
just be like a mole but then what
happened well I caught it on something
that started believes you can see a
little scab over the front of it but
it's just all that I've got a little bit
larger and started looking at all and
then what got my attention was I don't
know if we can see this campus with the
camera but there's a little area over
here they had some color to it it looked
like it was something different from
just a little scab from where i got
traumatized here and that's that's over
in this area when I looked at under
magnification it made me want to just
get rid of mean it's it's annoying and
got caught on things going to bleed that
it's enough reason to get rid of it
I'm not terribly suspicious for being a
type of skin cancer but we just want to
make sure why we're getting rid of it so
we do a biopsy shave biopsy we have a
lot of videos of this procedure is a
very rather minor procedure we have a
clean already so i'm going to numb you
up okay and I'm sorry that it hurts to
get shot
although we use a tiny tiny needle we're
injecting lidocaine with epinephrine the
light of kingdoms it up
epinephrine helps to limit bleeding we
also put in some sodium bicarbonate that
the buffers the the acidity of the lion
king
okay i'm going to put on sterile gloves
i can bend this blade to any radius I
want almost so i can get the lesion
removed mostly and then grab it that way
doesn't get away from me trying to get
under it
so they're gonna be awful to watch but
I'm interested
you're watching it quite a bit right now
just put it away
ok now we need to use our wounds heal we
use a lot of it and then you tell me
when you're ready to go and I'm going to
put my finger on it really quick
ready on this one's reading then go
quickly and stop and we hold this for
about a minute
actually you can take me a minute by
looking at the time signature on the see
ya on the camera there so give me one
minute talk about what we're going to do
on your or on your scalp their hips and
lesions here so some precancerous
lesions you can feel their kind of
crusty crusty do they hurt at all
no that's bad ok so you had those before
yeah this is a big fourth time you've
done that you make sure i'm looking at
him right there
I can see that one above your eye pretty
plainly these are actinic keratosis it's
a precancerous skin lesion what happens
is the skin produces a lot of keratin
keratin is that protein that protects
the skin from water getting in
it's a good thing it also is in our
calluses and it's in our fingernails and
it's in our hair and we want to put that
Katniss lesion away by freezing the
keratin is produced in appropriately by
the body and we don't have controls over
at one with this precancerous process
starts so we're going to freeze it off
cause frostbite and i'll heal up with a
little blister it's been a minute so
we're going to take this off here and
see that there is no no blood coming
through
just brush off the excess
cool that's very instance gap with that
after that shave biopsy on Eric's arm
we also did some cryotherapy on his face
you can see that in the next video was
posted will be right here and if you
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next time this is dr. Vaughn telling you
to stay in good health