- 2 months ago
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TVTranscript
00:01The Skin A&E Clinic is back.
00:04Morning.
00:06But this time, they've relocated north.
00:09Ah, you're here for my appointment.
00:11And everything's bigger.
00:12My God, that's huge.
00:14Wow.
00:15Whew, you want to get rid of that.
00:17Whoa.
00:18Our team of top dermatologists
00:20have moved into a new purpose-built clinic.
00:23Doors opening.
00:25The doctor's ready for you now.
00:28They're tackling more conditions.
00:30Gosh, you've got so many.
00:32Helping scores of patients.
00:34That's like toothpaste.
00:36Is it?
00:37It's coming.
00:38Put years of bad skin behind them.
00:41Wow, you are a magic man.
00:44Wow.
00:45It's amazing.
00:46Can't believe that was inside my head.
00:48Restoring confidence.
00:50He's gone.
00:51And transforming lives.
00:53Oh, thank you so much.
00:54Oh, it's all right.
00:56Oh.
00:57This is Skin A&E.
01:05This week, the team are still finding their feet in the clinic.
01:09Ah.
01:10But not everything is going to plan.
01:13OK, that's really hard.
01:15Yeah.
01:16He's going to really press your face into the pillow.
01:18Hello.
01:19He was trying not to suffocate me.
01:22I kind of laughed at the moment.
01:24Oh, my God.
01:25I can see that.
01:26Steve, if you don't want to see it, don't look.
01:35It's an early start, as always, for the Skin A&E team.
01:39Hello.
01:40Hello.
01:41Cup of char for you.
01:42Oh.
01:43With Dr Natalia and Nurse Duta eager to get going.
01:48It's going to be a busy one.
01:50So...
01:52First through the door is 69-year-old security officer, Pauline.
01:56Good morning.
01:57I'm here for my appointment.
02:00My role as security officer,
02:02the job entails walking around the site,
02:05making sure nobody's got in through the fences,
02:08and I do night shifts.
02:12During my long shifts at night,
02:14I do have my box sets of crime movies.
02:18True crime stories are very helpful in keeping me alert,
02:23otherwise I just end up falling asleep.
02:29Hello.
02:30Hello.
02:31Hello.
02:32Welcome.
02:33Thank you very much.
02:34Seat.
02:35I'm Natalia.
02:36Yes.
02:37How can I help you today?
02:38I've been diagnosed with a lipoma,
02:40and I'd like it removed.
02:42All right.
02:43How long has it been there?
02:44Oh, about four years.
02:46It's like a small tennis ball.
02:48It's a small tennis ball.
02:50Oh, yes.
02:51That's a little bit uncomfortable.
02:52It always makes me feel not self-conscious,
02:56but I know it's there.
02:58It's my husband that notices it.
03:01He jokingly calls it my third boob,
03:04which I don't think is very funny.
03:06Well, I think we're going to need to have a look at it.
03:09Mm-hm.
03:10So why don't we get you to stand?
03:12Okay.
03:13A lipoma occurs when one fat cell grows bigger than it should,
03:18and it sits in the skin in a capsule of what we call
03:21fibrous tissue, which holds it together in the skin.
03:24All right.
03:25So do you mind lifting your glass a little bit for me?
03:28Yeah, it hangs down a little bit.
03:32Mm-hm.
03:33It doesn't hurt when I do this.
03:34No.
03:35And you had some scans, is that right?
03:38I had scans and an MRI.
03:40And an MRI.
03:41Okay.
03:42Have a seat.
03:43I was really thrilled that she'd had all these scans done.
03:46I definitely felt kind of a defined lesion there,
03:49and it felt like a normal lipoma,
03:51so I was quite happy with that.
03:52I think this can definitely be removed today.
03:54Oh, good.
03:55It's going to give you quite a long scar,
03:57because it's quite big.
03:59That's all right.
04:00So what I'm going to do is inject some anesthetic
04:02to numb the whole area.
04:03Yeah.
04:04And hopefully it'll come out as one nice, beautiful...
04:07Lovely.
04:08A little bigger than a tennis ball ball.
04:09Beautiful.
04:10Beautiful.
04:11Probably like, I think it's like a mango size.
04:13Yeah.
04:14Because you can really feel the edges of it.
04:15Do you have any questions?
04:16No, nothing.
04:18It'll be strange not having it there for the first couple of weeks.
04:21I'm just happy to be having it actually sorted out.
04:27Sorry.
04:28Bit of pokey and prodding.
04:29That's all right.
04:35I kind of lost the lipoma.
04:36I need you to stand up again, sorry.
04:38If you can swing your legs around and stand up for me.
04:42So when Pauline laid down on the couch,
04:44her tummy kind of went to the side,
04:46so I lost where the lipoma was.
04:48I couldn't feel it anymore.
04:50Okay, have it light on again and I'm gonna feel it again.
04:52See if I can still feel it.
04:53And I need to be able to feel it before I cut into the skin.
04:57So that was a bit disconcerting.
05:01You know, I'm gonna just get my colleague to pop in
05:03and have her have a feel of this as well.
05:05I just want someone to confirm that I'm in the right area.
05:07Right.
05:08Okay, bear with me one second.
05:09I'll be right back.
05:11I wanted a second opinion about where the lipoma was sitting
05:14when she was lying down, so I went to get Dr. Emma.
05:17Come in.
05:19Hi.
05:20Hello.
05:21Hello.
05:22Hey.
05:23How are you doing?
05:24Yes.
05:25Right, so question.
05:26I have a 69 year old lady who's come in with a lipoma on her right abdomen.
05:29I can feel the edges of it, I think, when she's standing.
05:32But when she lies down it like goes, like I can't feel it.
05:35But I don't want to make an incision here and have it be over here.
05:38I got, yeah, obviously.
05:39Shall I come and have a feel?
05:40Yeah, yeah, if you can have a feel of you.
05:41I was definitely concerned I was in the wrong place,
05:43but I definitely wanted to know if that's where I was.
05:50Feel it there, can't you?
05:51Coming up.
05:52I was thinking you have got an absolute task on your hands.
05:56But I did see smoke.
05:57I was like, ah!
05:58There's a true team spirit here at Skin A&E.
06:19OK, I'll fix the bag.
06:21Perfect, thank you.
06:23And today, Dr Natalia's in need of assistance.
06:27This is my colleague, Dr Emma.
06:29Hello.
06:30Locating 69-year-old Pauline's abdominal lipoma.
06:35I got Dr Emma in for a second opinion.
06:37I wanted another person to confirm whereabouts it was in her tummy.
06:45Well, you can definitely feel it there, can't you?
06:48When I felt the size of it, I just thought,
06:50you have got an absolute task on your hands.
06:53But if anybody can do it, Natalia can.
06:57I think if I was aiming for...
06:59It shifts a little.
07:00It shifts a little.
07:01So that's what it's like when it's standing up.
07:02But I think it's like gone down and sort of lateral.
07:05So I'd maybe go in a little bit lower down.
07:09That's exactly where I've gone as well.
07:10All right, awesome.
07:11OK.
07:12See you later.
07:13Enjoy.
07:14Bye.
07:15Bye-bye.
07:16OK.
07:17Let's go for it.
07:18OK.
07:19She's like, just do it.
07:21So we're just going to start with the anaesthetic.
07:24Ready?
07:25Yeah.
07:26A little sharp scratch coming now.
07:27Yeah, look away.
07:28Very good.
07:30I don't like needles.
07:31No.
07:32I'm not a great lover of needles.
07:35But, you know, once the initial one is done,
07:38it's all right because it starts going numb then.
07:41And you don't feel any more.
07:43Comfortable?
07:44Yes, fine.
07:45OK.
07:46Very good.
07:47Ready?
07:48Yeah.
07:49Yeah?
08:05OK.
08:06I mean, I think I see the lipomer.
08:08Oh.
08:09Is it quite deep?
08:10Yeah.
08:11Get the shovel down.
08:12Get the shovel out.
08:13Exactly.
08:14I haven't found the edge of it yet.
08:17I'm trying to just feel for it.
08:21When I'd gotten my hand in there,
08:22I couldn't feel the edge of the lipoma,
08:23and I have to keep going.
08:24That meant it was going to be a bit bigger
08:26than I had anticipated.
08:28It did concern me a little bit.
08:30Do-do-do.
08:32Don't look.
08:34Don't look.
08:35I can't have a fainting patient.
08:36Oh, don't worry.
08:37I won't faint.
08:38No.
08:39No fainting.
08:41Quite eye-opening, actually.
08:43The question is, do I have to make this bigger to be able to get this thing out?
08:46You'll have to tell me if you feel any pain.
08:48Don't feel anything.
08:49It's lovely.
08:50You know what I mean.
08:51It's an internal massage.
08:53Yeah.
08:55I feel like I have my hand in your abdomen, but I guess it is.
09:00It extends quite far into this side.
09:03I can hear a lot of sort of sucking, squelching noises.
09:13If I could pick a sound it sounded like I would think it's like a mop being wrung out in a bucket.
09:21OK.
09:22We're getting it.
09:24It's hanging out.
09:25See?
09:26Literally.
09:27Oh, hello.
09:29It's just now about getting the whole thing to just come out properly.
09:34I'm just thinking, should I just make the incision a little bit bigger?
09:38Because it's all the way here.
09:40But I can't see that far.
09:41Of course.
09:42I had to make Pauline's incision a little bit longer so I could reach the edge of the lipoma to make sure I'd gotten it all out to reduce the risk of it coming back.
09:50Well, that's giving me a better view.
10:06Yeah?
10:09Is that there?
10:10It's there.
10:11Because she was certainly having a problem getting it away from the sides.
10:25It's like 50% coming out.
10:28See? Look. Look at that.
10:29Oh, my goodness.
10:31Yes.
10:32It was a bit gruesome looking at it.
10:37Wow.
10:38Whoa.
10:40My God, that's huge.
10:48Oh, my God, it's still coming out.
10:50I clearly did loosen it up with my hands, though, didn't I?
10:52Whoa.
10:53Good Lord.
10:55I usually don't feel sick.
10:56I feel a bit sick now.
10:59And we are going to wait as well for you.
11:00Oh, thank you.
11:02Okay, well, that's done.
11:03Lovely.
11:05I can't stop looking at that.
11:08That is enormous.
11:09Yeah.
11:11So I'm just going to clean and I'm going to suture it.
11:15And then we'll be done.
11:16Lovely.
11:18At least my husband won't be able to call it my third boob anymore.
11:22So I'm quite pleased about that, both that it's been removed and that he won't get the chance to wind me up.
11:29And when you're ready and you feel okay, you can stand up.
11:31Yep.
11:32Have you look in the mirror.
11:34Oh, good grief.
11:36I've got a flat stomach-ish.
11:40That's good.
11:41I'm very impressed with that.
11:42Good.
11:43Thank you very much.
11:44You're welcome.
11:45No problem.
11:46Pauline's lipoma.
11:47It looked like a small organ.
11:48So I was really excited to have it weighed.
11:51Okay, ready?
11:53Let's throw this greasy...
11:58335!
12:00Yay!
12:01I win!
12:02Pauline's lipoma weighed 335 grams, which is the heaviest lipoma ever removed in skin A&E history.
12:08And it beats Dr. Dev's lipoma, which was 317 grams.
12:12Not that I'm competitive in any way.
12:15Okay, fantastic.
12:16How do you feel?
12:17Fine.
12:18Great.
12:19Glad it's gone.
12:20Yeah, you can see it.
12:21That's not there.
12:22Yeah.
12:23Now that the lump has been removed, I think that I can actually move on and have a happy, healthy life.
12:31All right, Pauline, lovely to meet you.
12:32Thanks for coming today.
12:33You too.
12:34Yes, thank you very much.
12:35Enjoy your new abdomen.
12:37I'll try.
12:38Nice journey home.
12:39Dr. Natalia, I know you had a bit of a fight to get the lipoma out, but got there in the end and I'm 100% happy.
12:47Thank you very much.
12:50God, did you get it in one piece?
12:51Yeah.
12:52I'll have to high five you.
12:54High five, guys.
12:55That is amazing.
12:57While Natalia gets a well-earned cuppa, the next patient with an appointment is 23-year-old Lucy.
13:05I'm a single mom to a wonderful little boy.
13:09He's two.
13:10Have a seat for me, Lucy.
13:11I'll let you know when we're ready for you.
13:13He's so funny and he's absolutely obsessed with monster trucks.
13:17But he's my world.
13:19Lucy's booked in to see Dr. Adil Shiraz.
13:28Hello.
13:29Hi.
13:30Hello.
13:31Come through.
13:33Take a seat.
13:34Hey.
13:35Right.
13:36I'm Dr. Shiraz.
13:37You look nervous.
13:38Yes.
13:39Right.
13:40What can I do for you, Lucy?
13:41So I've had a problem with a lot of verrucas on my foot since I was 10.
13:46Okay.
13:47So I've had them for 13 years now.
13:49Right.
13:50I've got one on this foot, only one, but this one is absolutely riddled with them.
13:53Okay.
13:54Where do you think you've picked them up from?
13:56My friend.
13:57I had a sleepover when I was 10 and she had them and I got them off her.
14:02Oh.
14:03Big regret.
14:04I feel like people think I'm a dirty person or something because I've got all of these
14:11verrucas on my foot.
14:12I want them gone.
14:13I can't have another decade of this.
14:18What have you had done in the past?
14:19So I've had three different sets of chirotherapy.
14:22Yep.
14:23That hasn't worked.
14:24Okay.
14:25The last time I had it done, I ended up with a big, big blood blister.
14:27Okay.
14:28Which then went a bit septic, so I had to go have that treated in hospital.
14:32And where that one verruca was, there's now four.
14:35Okay.
14:36I've tried every over-the-counter product, everything you could possibly get, I've tried
14:40it.
14:41Verrucas are very infectious.
14:43They are caused by the human papillomavirus, which is a very common virus.
14:47Verrucas are notoriously difficult and stubborn to get rid of, so I'm not surprised that Lucy's
14:52methods didn't work.
14:54How do they affect you, generally, day to day?
14:56They're quite painful to walk on.
14:58I feel really gross.
14:59I'm aware of the texture of them on my foot.
15:02It's just really embarrassing, to be honest.
15:05Okay.
15:06Now, what I want to do, first of all, is have a look at them.
15:09Yeah.
15:10And then we can decide what we want to do.
15:11What do you do for work?
15:12I'm about to start a new job tomorrow, actually, as a Disney princess on the weekend today.
15:19I really need them gone.
15:20No-one wants to see my gross feet.
15:22Especially if you're wearing glass slippers, okay?
15:25Let's come round here.
15:27Okay, take a seat.
15:28Take your shoes off, yeah, and then we're just going to pop some gloves on.
15:31It just feels very much like a last resort for me.
15:36I'd like to be able to take my little boy swimming, as he's a real water baby, and not
15:40have to worry about anyone seeing my foot or making sure I've, you know, covered them
15:45so as not to spread them to anyone else.
15:47It would just be really nice to be free of them.
15:50So you relax, straighten your legs.
15:56Right, let's just have a look at the big ones on this side, isn't it?
15:59Yeah, this is the bad bit.
16:01Okay.
16:14Right, good.
16:15Okay, that's fine.
16:16So you see all the little black dots?
16:19Yeah.
16:20Those are usually blood vessels.
16:22Yeah.
16:23And that's a sign that this water is all active.
16:25Okay.
16:28That's disgusting.
16:31Alright, now, what can we do?
16:33Cut it out!
16:34I will anaesthetise these to give you an aesthetic injection, and then we will essentially use a
16:40blade and get them off.
16:41The only downside to that is a couple of things.
16:44Number one, the injections are painful, because it's on your foot and it stings.
16:49Number two, with warts, they are very, very stubborn.
16:53There's always a chance they might come back.
16:55Yeah.
16:56You will have scars, but they should heal.
16:58Better than what was there, so I don't mind the scars.
17:01Okay, alright.
17:02Let's start off with this one first.
17:03I'm excited!
17:05It was amazing when he said he could get rid of them today, because previously I've kind
17:10of had, well, we'll try this, but it might not work, because you've had them so long.
17:14It was a good feeling to know that I'm going to be free from them.
17:19So, are you okay for me to start injecting?
17:22I can do a little massage just to help you.
17:24Is it going to really, really hurt?
17:26The soles of your feet have a lot of nerve endings, and they're designed to be very sensitive.
17:30Okay.
17:31As long as you don't kick me, I'm fine, alright?
17:33Okay.
17:34Okay, you ready?
17:35Okay.
17:36Keep deep breaths, deep breaths, deep breaths, deep breaths.
17:40Keep breathing.
17:47I hear that's really hurt.
17:50Yeah, that's painful.
17:51I know.
17:52Sorry.
17:53No, no, you're fine.
17:54Injections on the sole of the feet are very painful, but if Lucy wants me to remove these
17:59warts, we will have to continue giving her further anaesthetic.
18:03Coming up, make sure you breathe.
18:10If you stop breathing, can you tell us?
18:12Oh, you come back to torture me.
18:16At Skin A&E, the team's been busy working up an appetite.
18:32I'm starving, are you?
18:34Yes.
18:35Are you ready for a bit of lunch?
18:37I'm thirsty as well.
18:39But for Dr Dev and Cherry, their hunger pangs will have to wait a bit longer.
18:44I'm Sharon, I'm from London, and I'm 58.
18:49I have a number of hobbies.
18:52I love handbags, I love shoes, I have roller skates, and my most recent hobby is crystals,
19:02and it isn't a cheap hobby to have.
19:05Hello.
19:06Hello.
19:07Come on in.
19:08Hello.
19:09Is it Sharon?
19:10It is.
19:11Hi, welcome.
19:12Hello, Sharon.
19:13How are you doing?
19:14Welcome.
19:15I'm Dev, nice to meet you.
19:16Shall I take your coat?
19:17Oh, thank you.
19:18And shall I take your hat?
19:19Yes.
19:20That'd be great.
19:21Yeah.
19:22I'll take the hat.
19:23Yeah, I'll put it over here.
19:24Okay.
19:25Will it?
19:26Yeah.
19:27What, because he thinks I'm going to nick it?
19:28No, no.
19:29Well, I might not give it back.
19:30I'm just warning you.
19:31I'll leave it there.
19:32All right?
19:33Yeah.
19:34Come and have a seat.
19:36And tell me how we can help today.
19:37I've got a cyst at the back of my head.
19:40It's at the bottom of my skull.
19:44It's uncomfortable to lie on if I'm leaning on the sofa lying in the bath.
19:49Okay.
19:50Because it's quite hard.
19:51I've been there many years.
19:53Okay.
19:54I didn't realise how big it was until I cut my locks.
19:58One of my cousins pointed out that I had a lump at the back of my head.
20:03I decided to look and then I realised what it looked like.
20:08I'm always aware of the bump being there.
20:12To conceal it, you know, any form of headwear, just so that people who are behind me are not
20:19going to be able to see it, so that I don't feel uncomfortable.
20:23I feel ashamed about it.
20:27It's the fact that that is there and it's not normal.
20:32Okay.
20:33That's tough.
20:34Yeah.
20:35Yeah.
20:36I would love for it to go and not have that fear or that worry about how people see me.
20:45I'd be so happy.
20:47So, can we have a little look?
20:49Sure.
20:50Next time we'll take some pictures.
20:51We'll decide what we're going to do and whether we can do anything.
20:53All right?
20:54Yeah.
20:55Let's spin you around.
21:00Is that sore?
21:01No.
21:02Can I do that?
21:03No.
21:04Okay.
21:05Can I take a picture?
21:07Yep.
21:08Sharon's lump was very soft and very big.
21:14To the fact that it hadn't caused her much in the way of pain, I felt this was more likely to be a lipoma than a cyst.
21:21Have you ever had it scanned or nothing?
21:23No.
21:24Okay.
21:25So it could just be a fatty lump.
21:26It's something called a lipoma.
21:27If it's a fatty lump, we can take it out.
21:29It won't come back.
21:30If it's a cyst, it's very soft.
21:33It's possibly unlikely to come out in a very nice sort of ball, which means that if that happens and it bursts, there is a risk that it will grow back.
21:42Okay.
21:43I just want to let you know.
21:44Mm-hmm.
21:45So we're going to shave the yellow area.
21:48I'm going to put injections all the way around here and your scar should be that blue line.
21:54Mm-hmm.
21:55And you will then see sort of blue stitches going across like this and they will stain for about two to three weeks.
22:01Okay.
22:02Do you want to ask me any questions?
22:04No, I'm quite excited that it's going to go.
22:06Good.
22:07Okay.
22:08Let's get you onto the couch.
22:11When Dr. Dev said that he would be able to form that procedure, I felt so happy.
22:18Finally, this would give me a new confidence boost, for sure.
22:24Make sure you breathe.
22:25If you stop breathing, can you tell us?
22:27Because there's other paperwork we need to fill in.
22:29All right?
22:30Yeah.
22:31Okay, we're just going to take a bit of this off, okay?
22:38You okay there?
22:39All done.
22:40Okay.
22:43Just marking the area, okay?
22:45Mm-hmm.
22:50All right.
22:51Mm.
22:52Okey-dokey.
22:53This is the local, honey.
22:55Sharp scratch coming up.
22:56Well done.
22:57This is going to be the worst.
22:58How's that feeling?
22:59All right.
23:00All right.
23:01Well, you're all right, aren't you?
23:02Sharon was very good with the injections and didn't feel much in terms of pain.
23:08Could be our technique.
23:09Now, are you ready there?
23:10I'm ready.
23:11Good.
23:12Let us know if you feel anything sharp, all right?
23:13Okay.
23:14We're off.
23:15Okay.
23:16Here we go.
23:17Here we go.
23:18Here we go.
23:20Here we go.
23:21Here we go.
23:22Here we go.
23:23Here we go.
23:24Here we go.
23:25Here we go.
23:26Horrible sounds of snip, snip, snipping, Sharon.
23:27Are you okay there?
23:28Well done.
23:29Mm-hmm.
23:30Here we go.
23:49Horrible sounds of snip, snip, snipping, Sharon.
23:51Well done.
23:52Are you okay there?
23:53Mm-hmm.
23:54There we go.
23:55Here we go.
23:56So he feels it's a fatty lump.
23:57As soon as I removed the ellipse of skin, I could see the fat and the yellow sheen of the lipoma poking out at me.
24:14You okay there?
24:15I'm good.
24:16Okay.
24:17Now you're going to feel some squishing.
24:18I'm sorry.
24:19He's going to really press your face into the pillow.
24:21Sorry.
24:22Okay.
24:23A lot of squishing, darling.
24:24You okay there?
24:25Mm-hmm.
24:26Funny sensations now.
24:27And you can often hear funny things, too.
24:29It just sounded really weird.
24:33There was a bit of pushing and tugging.
24:38And he was trying not to suffocate me by pushing my face in the pillow.
24:45But it's just how it was.
24:46Sorry.
24:47A bit more pressure.
24:49Quite tethered down there.
24:52You still breathe?
24:53Mm-hmm.
24:54Well done.
24:55Okay.
24:56And I come round the other side.
24:59Is that sore?
25:01No.
25:02Can you still breathe?
25:05Mm-hmm.
25:06Well done.
25:14OK.
25:15And I come round the other side.
25:26Is that sore?
25:28No, it just sounds like you're sore.
25:30There we go.
25:31Is it out?
25:32Yeah.
25:33It is, yeah.
25:34Oh, good.
25:35Oh, well done.
25:36That was nice.
25:37He doesn't hang around.
25:39Yeah, well.
25:40And he's had his Weetabix today.
25:44I think Dr Dev did have a good workout today.
25:47He seemed very fit and able to apply the right pressure that was needed.
25:55Good news, the scar's not as big as we expected.
25:58Oh, great.
25:59Despite this being tethered, it was a bit smaller than I was expecting.
26:04It came out relatively easily.
26:08That's lovely, Chemi.
26:10Though I was happy to leave her with that smaller scar.
26:12So that's what your profile looks like now.
26:15Mm-hmm.
26:16OK, so no lumpy.
26:17Yeah.
26:18OK.
26:19And then that's what your scar looks like.
26:21Oh, wow.
26:22I can't really see it.
26:23Brilliant.
26:25Amazing.
26:26All right?
26:27Yeah.
26:28That's great.
26:29I was so happy with what I saw.
26:31I think he did a very good job.
26:33And I'm grateful for that.
26:35Thank you so much.
26:36My pleasure.
26:38Nice to see you.
26:39Can you talk to yourself?
26:40I will.
26:41Thank you very much.
26:42All right, take care.
26:43Well done, darling.
26:44Now that the lipoma's removed, it will just give me the confidence to have my hair naturally
26:49how it is now and not hide behind headwear.
26:54That's what I'm really happy with now.
26:57Bye-bye, then.
26:58Bye-bye.
26:59Bye-bye.
27:00Bye-bye.
27:01Bye-bye.
27:02Nice?
27:03Nice.
27:08Every one of our resident dermatologists loves their job with a passion.
27:13But one grateful patient wants to know...
27:16I'm just wondering if there's anything you would have done if you hadn't been a dermatologist.
27:21Oh, God.
27:22That's a really hard question.
27:24I would love to be a physicist looking at space, because it's fascinating.
27:31Maybe be a beautician or something in cosmetics, because I quite like being practical.
27:37So doing nails, doing eyelashes.
27:40Yeah, maybe something like that.
27:41Professional athlete of any type.
27:44That would be my preferred choice.
27:46I think it's all I've always wanted to do, so I can't think of any other profession that I'd rather do.
27:54And right now, Dr. Adil is eager to get started on some persistent Verrucas.
28:00But part-time Disney princess Lucy has been experiencing a whole new world of pain with the local anaesthetic injections.
28:09It was a really, really harsh, like, stabbing pain, and then it would gradually spread throughout your foot.
28:16And then it would sting.
28:18I didn't expect that.
28:21You come back to torture me, distract me, talk to me about my boy.
28:30So tell me, do you sing to him?
28:33Yeah, I don't think he particularly likes it.
28:36Really?
28:37When I'm practising Elsa, he always goes to me,
28:40Mama, stop, let it go!
28:42Oh!
28:46OK.
28:47Massage.
28:48Tapping, tapping.
28:49Do you know what? It does actually help a bit.
28:50I'm so glad to show that my massage does work.
28:52It does work, yeah, there you go.
28:54Thanks.
28:55Now I'm just going to test the areas before I start anything.
28:59Any sharp bits?
29:00No.
29:01Good.
29:02That's all done now.
29:03Oh, thank the Lord!
29:07So you're going to smell burning.
29:09What?
29:10Yeah.
29:11Why?
29:12Which is normal, because we're going to use an electrical device to partly burn them,
29:16and then, Surg, you can take them off.
29:22Right.
29:31I couldn't really see what they were doing, but I did see smoke.
29:38I was like, ah!
29:42But I didn't feel any of that, so it was OK.
29:47Using the hyphricator, which is an electrical device,
29:50burns the top layer of skin and makes it softer and easier to remove the verruca.
29:56What does this do?
29:58Just sort of scraping it off.
30:00OK.
30:21Pain tool?
30:22No.
30:23Oh, I see blood!
30:30OK.
30:31I'm trying to come up here now.
30:32Look.
30:33OK.
30:34I'm trying to come up here now.
30:35OK.
30:36You're doing really well.
30:39You're doing really well.
30:41OK.
30:42OK.
30:43OK, so this side's done now.
30:44Oh, God.
30:45You've got that one now.
30:46It's up to you.
30:47I want it done.
30:48All right.
30:49Oh, I'm terrified.
30:51Oh, I'm terrified.
30:52I'm going to grip the bed.
30:53OK.
30:54I'm going to grip the bed.
30:55OK.
30:56OK, let's go for it.
30:57OK.
30:58OK.
30:59OK, right, coming up.
31:00Now.
31:01Oh!
31:02Oh!
31:03Oh!
31:04Oh!
31:05Oh!
31:06Oh!
31:07Oh!
31:08Oh!
31:09OK, so this side's done now.
31:11Oh, God.
31:12So you've got that one now.
31:14It's up to you.
31:15I want it done.
31:16All right.
31:17Oh, I'm terrified.
31:19I'm going to grip the bed.
31:22OK, let's go for it.
31:24OK, right, coming up.
31:26Now.
31:27Oh!
31:28Well done.
31:29Well done.
31:30I just need to...
31:31I did it!
31:32Yay!
31:33Yay!
31:34Well done.
31:35I'm watching this.
31:36Wow!
31:37Eh!
31:38Good, that's it.
31:39That's all done.
31:40Wow!
31:41Yeah!
31:42Yeah!
31:43Yeah, that's it.
31:45I'm watching this.
31:49Wow!
31:54Good, that's it.
31:59That's all done.
32:02Wow!
32:03Yeah.
32:04Yeah.
32:06Finally, Farouk three.
32:09It was great to see the last one going
32:11and just that feeling of celebration, really.
32:14It's like, yes, it's gone.
32:17Whoa!
32:19It's just great knowing that I can now hopefully show my foot
32:23and not be embarrassed about it.
32:26Right. That was painful for you, wasn't it?
32:29Yes.
32:30Hopefully it's worth it. You happy? Yeah.
32:33They're gone? Yes, finally.
32:36You can wear your glass slippers.
32:38I can.
32:39Good luck with your job.
32:40Thank you so much.
32:41Take care. You're welcome.
32:42Bye.
32:43I can't feel my foot.
32:46Bye, guys.
32:48It was amazing knowing that they're now gone.
32:51I'm going to be able to take my little boy swimming.
32:54I'm going to be able to share shoes with the other princesses with my new job.
32:58It's just going to be amazing to not have to hide them all the time.
33:03Were you kicked before?
33:07Almost.
33:08I've almost been kicked.
33:09Now I always sit slightly away from the angle of the foot.
33:15Coming up...
33:17Oh, my God, I can see that.
33:19Oh, Steve, if you don't want to see it, don't look.
33:21I was absolutely shocked.
33:23I was expecting something about the size of a pea and I got the size of an eyeball.
33:27Ah, yes, of course. Can I take a name?
33:41At Skin A&E, the team are always keen to give out advice.
33:45Right, do you want some cream for your hands?
33:48Even to each other.
33:50There we go.
33:52Put it on your forearms as well.
33:55Forget your forearms.
33:57But that's exactly why the next patient has come to the clinic.
34:02Hello.
34:03Hello.
34:04Hello, I'm here for my appointment.
34:06My name is Steve.
34:07I'm 52.
34:08I'm a kitchen designer from Cornwall.
34:10I first got into kitchen design about 15 years ago and it's something I'm quite passionate about.
34:16I love my job.
34:17I love the people I work with and I love seeing the finished product after one of my designs goes out.
34:23Someone who also loves seeing the results of her work is Dr. Emma McMullen.
34:31Hello, is it Steve?
34:32Hello, yes it is.
34:33Hello, Donna.
34:34Come on in.
34:35Hello, Donna.
34:36Hi, Steve.
34:37How are you doing?
34:38Can you have a seat?
34:40So, Steve, what can we do for you today?
34:42I've got this, well, a couple of lumps on my face that I was hoping that you'd manage to take a look at.
34:50Yeah, sure.
34:51How long have those been there for?
34:53They started growing about 10 years ago, quite small, but they grew quite rapidly.
35:00And they've been this sort of size for about the last six, seven, eight years.
35:04So, I can see quite a prominent one there, but there's another one.
35:07There's a big one there and there's also one there as well.
35:12I've been to see the doctor countless times in the last seven or eight years,
35:18each time being told there's nothing that could be done.
35:21So, I decided to see if I could have it removed privately and was shocked with the cost.
35:30What's your job?
35:31I'm a kitchen designer.
35:32Client fierce, same CEO.
35:33Yeah, very much so.
35:34Deal with clients.
35:35On a daily basis, yeah.
35:37Okay.
35:38Whenever I meet people, be it in my job or my social life, you can always see their eyes always drop down to it.
35:44Drop down to it.
35:45Yeah.
35:46So, you know, they're looking at it again.
35:47Yeah.
35:48My work colleagues call my lump little Steve, which at first it was quite funny.
35:55But the more it happens, the more it does knock me down a little bit.
36:01What would it mean to you to get rid of it?
36:03It would mean the world.
36:04Yeah.
36:05It really would.
36:06Okay.
36:07Sorry.
36:08There you go.
36:09No, no, Steve, honestly, things like this right on your face, it's going to have a massive impact on you.
36:21Yeah.
36:22It's really heartbreaking when you see patients getting upset when they're explaining to you the impact it's having on their everyday lives.
36:29And it just, it's what really drives you to want to help people.
36:33So let's have a little look.
36:40Okay.
36:41So there's this one that's trying to make a brick for it.
36:45And the skin's got really stretched over that.
36:47Yeah.
36:48The skin's gone really thin over it, hasn't it?
36:49So I think we need to remove that bit of skin if we can.
36:52And then this one will make a narrow incision and then remove all of that.
36:58The lumps on Steve's face just felt like simple cysts, basically like a little balloon of skin cells filled with gunk.
37:05Really superficial, really simple to remove.
37:09So I think we need to remove that baggy skin there, but we need to take it up to there.
37:16I'm sure you're happy to swap.
37:18Absolutely.
37:19This lump for a scar, but then you can make up really cool stories about what that scar came from.
37:23So, have you got any questions about the procedure?
37:26No.
37:27No.
37:28Get it done.
37:29Yeah.
37:30Can we do it yesterday?
37:31After waiting so long and having so many put downs and push backs, to have it done is incredible.
37:40So, I'm going to put your local anaesthetic in.
37:43Yeah.
37:44It's not very nice having an injection in your face, but it goes numb really, really quickly.
37:47Yeah.
37:48OK.
37:51OK.
37:52So, sorry about this.
37:53It is a bit stingy.
37:55But...
37:57Yeah.
37:58This was a really painful area to have a local anaesthetic because the face and your hands have loads of nerve endings.
38:04And so, it really stings.
38:07OK, that's the worst bit.
38:09Right.
38:13So, Steve, when you're not fitting kitchens in Cornwall, what do you like to do?
38:18I play a soprano cornet in a brass band.
38:22Oh, the sun plays a cornet.
38:24Oh, wow.
38:25Yeah.
38:26Where I position myself in the band, I always have the audience to my right-hand side.
38:31So, that is the first thing that they see.
38:33And it feels as if they're looking at the lump rather than looking at me playing the music or listening to my music.
38:40So, to have this removed is like a dream come true.
38:44Right.
38:45We are ready to go, but I'm just going to check that the area is numb.
38:47Yeah.
38:48All right.
38:49So, does that feel sharp at all?
38:50No, I can't feel that at all.
38:51No.
38:52It's really thin, so...
38:53Yeah.
38:54Oh, look.
38:55Look.
38:56That's the cyst coming.
38:57Trying to get out already.
38:58Yeah.
38:59This is going to be lovely.
39:00We hope.
39:01I don't know.
39:02Right.
39:03That's just...
39:04Never.
39:05Well, that's bigger than it looked.
39:06Well, yeah, no, it goes right up to here.
39:07Yeah.
39:08It goes right up to here.
39:09Yeah.
39:10Oh, I don't know if I swear.
39:11It's so tempting to just go, come on.
39:12I don't know if I swear.
39:13It's so tempting to just go, come on.
39:14I don't know if I swear.
39:15Oh, my goodness.
39:16Oh, my goodness.
39:17Oh, my goodness.
39:18Oh, my goodness.
39:19Oh, my God, I can see that.
39:20I don't know if I swear.
39:22It's so tempting to just go, come on.
39:35Oh, my goodness.
39:36Oh, my goodness.
39:37Oh, my goodness.
39:38just go come on oh my goodness oh my god I can see if you don't want to see it don't look
39:46that's one of them oh my word it's like an eyeball yeah it is so the first cyst when that started to
39:56come out I was absolutely shocked I was expecting something about the size of a pea and I got the
40:01size of an eyeball oh oh I just put a little tear on that one oh we got an oozy one I just
40:26sort of anything that squirts up a wall or oozes out
40:31you're doing really well considering what I'm waving next to you in your eyesight
40:42there we go fantastic it's twins it's twins you've been just waiting for say that haven't you
40:50there we go let's see just check there's nothing underneath that all looks nice
40:59unclean you're right there yeah fantastic you know we'll get you some stitches in
41:03I can't wait for you to see it that's amazing yes I'm just going to pop some little sutures underneath
41:08because Steve's cysts were so close together we were able to remove them just through one incision
41:14which just gives them one scar and this would give them the best cosmetic result
41:18Steve do you want to have a little look at it in the mirror before we dress it because I think
41:22you're gonna be a bit surprised come on be take it easy because you've been lying flat for a while
41:27and you've had local after hearing how long this had been upsetting Steve for I just couldn't wait
41:33to show him the end result and see his face
41:35oh my god oh wow
41:43you look straight on you can't even see
41:48you can't can you oh
41:50oh thank you so much
41:58oh it's all right Steve oh seriously oh yeah come on come on yeah here's tissue oh
42:07here you go oh thank you that was so easy you know it's emotional now I know right have a little
42:14seat on the bed there so Donna puts your dressing on okay that's that honestly that's amazing it just
42:22came off so nicely it was they did yeah they did Steve did get really emotional it's an
42:30amazing feeling to see somebody react like that and I have to say did make my eyes leak
42:35I'll let you go thank you so much another cuddle please thank you honestly thank you very much
42:42absolute pleasure and you as well thank you thank you so much oh you're welcome thank you bye-bye
42:53that was fabulous end of the day wasn't it that's a so brilliant one to do yeah the way the first one
43:00just popped out he's like I can see that funny
43:17my stitches came out after a week and every time I look in the mirror I see a happy and confident
43:23person so dr. Emma you've changed my life literally and I just want to say a huge huge thank you
43:30it's made a huge difference to my confidence I'm looking forward to the summer now and it's uplifted
43:51my spirit so thank you so much
43:53I'm going to Lake Garda in Italy so it's going to be nice to go out to get myself a new swimsuit and not
44:07look down and see this lump next time on skin A&E that's a lot of warts oh it's all coming out it's erupted
44:18it's like a volcano people comment what's that on your head i'll say it's my gorilla's nipple
44:25oh there we go beautiful
44:31dr. Goodwin will stop at nothing to breathe new life into an understaffed underfunded and
44:36underappreciated hospital all five seasons of new amsterdam streaming now on five next car pound cops
44:48so
44:53you
44:55you
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