hey thanks for joining us this is my
friend Jerry and he comes in with some
skin lesions we're gonna evaluate we're
gonna be able to get a biopsy of this
things growing on your nose that
sometimes you can scratch off yeah but
this one on your ear how long has it
been growing at least a year okay when
we do things last had it looked at and
had it frozen it's been about a year had
it frozen seemed to respond to getting
frozen but for a short time
something grew back yeah so in my
estimation and I showed the picture to
dr. Dwayne we agree it looks like a type
of cancer called squamous cell carcinoma
skin cancer not the bad type of skin
cancer like malignant melanoma the
spreads everywhere it doesn't look like
that but should be operated further
we'll refer you to dr. crowler who's
done work on some of our patients and is
that actually on a video doing a
procedure not to it like he would
probably do for this so we'll
communicate with them and find out about
getting me set up with them as far as
lesion on the nose we don't know for
sure we're going to shave it off and
send it off and get some pathology back
do you mind if I put in the description
in the video the results okay now help
people this is okay and we'll tell you
first important okay all right you ready
okay just hold still because this is bad
I'll just stay out of province bad I
don't know how you're holding that still
I think at this point it might start to
be getting a little less painful a
little more tolerable not that bad hmm
well we are using some buffer in the
medicine so it's not as stinky tiny tiny
needle I inject slowly because it hurts
less if you inject slowly some people
have this idea that the priority is get
the anesthetic and as quick as they can
so it'll start numbing and you've
probably done this before that hurts
when they do that I had that done to me
once so you've got to be white area on
the tip of your nose from the medicine
that's in it called epinephrine which we
used to know yeah yeah yeah because it
pushes the blood out and closes the
blood vessels a little bit let me switch
hands on this now this is the worst part
of this that's right worst part of this
is you can completely see what I'm doing
we'll worry that close
slips kind of hold the nose steady with
the forceps
the crab
I will have to have you close your eyes
for this part cuz I don't want this that
it dries whatever it touches okay let's
see how it's coming here you can
actually open your eyes and we're going
to have you in order to get some that
powder off actually close your eye while
I have you turn onto your right side so
this is just going to kind of flake off
onto the paper or not you kind of yeah
you already got the X rays go ahead and
sit up sideways or sideways move
sideways and sit up let me flick some of
that spot a blood off
so the idea of this is so that you don't
have to have band-aid that you're just
going to keep bleeding into right and
it'll flake off as a scab would we have
some discharge instructions for taking
care of it after you get out hey guys
thanks so much for watching I wanted to
let you know that Jerry will be back in
the next video for getting that lesion
completely removed I spoke with the
surgeon
I spoke with Jerry and the agreement was
that we would actually do a shave biopsy
in our office we'll explain it in the
future video so be sure to watch that I
do need to thank Lindsay antwine booboo
Kitty and Petra Rosenberg thank you so
much for those patrons and if you want
to be on patreon please do click on the
link to be able to participate on these
videos and also to get something behind
the scenes footage until next time dr.
Marc Vaughn telling you to stay in good
health