Gerry welcome back I'm sorry you had to come back but yeah you're right you're
in good hands if you come back the lesion on the side of your face we did
in an earlier video that people can go back to watch it they want it you like
the way throw that in that little direction there to keep the channel yeah
this is the YouTube channel after all you guys are watching the the Legion
came back showing nodular and superficial basal cell carcinoma type of
skin cancer we we do need to get rid of all of it it wasn't completely clear in
the margins so I spoke with dr. trainer the surgeon we originally were going to
send you to and he said well first of all he's the
one who said we had to have a biopsy in order for him to treat you and then he
said any remaining basal cell the way to get rid of that is real simple you use
an instrument called a curette and you scrape on it fairly firm and you take
off everything comes off easily with the curette because the current really only
takes off cancerous tissue not healthy tissue
very good then you cauterize it then you do it again then you cauterize it dudas
and you do these three passes just right after another in succession this is the
instrument it's called a dermal curette and it's it's not super sharp so it's
not going to cut into normal tissue but it does scrape away the dead tissue will
use that most surgeons will use electric cautery well electric current thing that
you see a little a little bit of the current passing through a little arc and
it smells like burning flesh we don't use that here we have one that's called
chemical cautery of silver nitrate we still have to keep an eye on it even
after doing this treatment for it because it can come back after any
treatment but this is a very effective simple relatively inexpensive treatment
i say thank you to all the viewers for the past videos oh you saw what they
were the kind of kid in the comments they were awesome okay so do keep
commenting to jerry yeah yeah they're really perfect strangers said the nicest
things encouraging words and my keys okay good yeah it's
kind of cool to do it isn't it yeah this is the part where we put it out let me
get the the wrench the big crescent wrench sweet anywhere here's the shot
and get this entire area ready sorry you've been through this
once before so putting in some anaesthetic in a kinky 1% with a little
bit of buffer and I'm going to numb up quite a broad area here I don't want to
go too much in the air because I am using epinephrine but we do want to get
all the area that the curette takes off so we'll do a rather large area and the
way this curette works is only the stuff that's supposed to come off does you
still feel it no all right I'll tell you what it was really strange when I left
here last time because my ear was oh yeah it is a strange thing so this is to
keep the blood from blocking the ear because it will bleed down into yeah
that's going through yeah the difference talking to limit the bleeding here we go
Keir Tosh so it's a scraping
and normal skin doesn't come off but there is a feeling that the operator can
feel that being me when it's going over the cancerous tissue you can feel it
come off so I'm going all the way to the edges that we can you feel it yeah you
can feel that roughness and scratching us it was a way as you get it off so
that tells you where the cancer is and where it isn't
pretty cool and still scratching them they can tell it good as smooth when you
give
all right so we will it's saying like our name greater black shade there's a
figure we didn't go that far now this is where the screaming starts I'm pushing
kind of hard the reason I push hard is push all the blood out because Connery
doesn't work well in a wet environment
all right so that's one and then we go through again with the ket and start
scraping again like why don't you just do it with one I'm scraping why don't we
do with one squeaking a please to blow I actually don't know the reason that the
standard is to do several to go back and do it three times I my assumption is
that somewhere in the studies somebody found that it's more effective to do it
three times than to do it one time but I actually haven't gone through that part
of literature myself I've just gone through textbooks and say this is the
standard way of doing it
and what's interesting is that a curette is not taking off some of the area where
we did the colorization
that is so cool that you read the comments I think you're the first person
to say something like that no I my daughter actually just showed
you all the nice things they're saying all right let's get that pushing really
hard on you here yeah you can feel it there
and so you thought the size within a pencil erasers in there it's even
smaller that it's just three millimeter very small that's why I have to do it a
bunch to eat the whole area because it is really small
see if I can empty it out here into the
and instead now I'm using the same one yeah
same patient same same lesion same tool we're disposable cell throw it away
after
sounds like we're getting a lot right here
it's not bleeding heavily of course we have epinephrine in place to help keep
it completing on we're going to do the cautery again
yeah I'm glad it's not bleeding off
pretty much right on the surface it is it's very superficial partial thickness
as I call alright number three
yep same place hey if you enjoy this go ahead and make comments to Jerry because
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Jerry myself telling you to stay in good health