Another scalp with Three Pilar Cysts

I’ll give you the measurements later, sweetie. Patient: OK It’s too much trouble to do all three of them like that. I am going to ask you to do one more thing.. because I gotta put a sterile drape under your pillow, so lift your head up for a moment and then you can lean back again. Ok, perfect. Save this one if we need it. Oh yeah We’ll need it. So these are kind of fun for us. ’cause they really pop out entirely and that’s why, actually, we put them on our social media page. Because people like to watch that. Patient: Oh great. I don’t see the blade holder here You shouldn’t feel anything other than us touching you. She’s got 3 little Pilar cysts here that bug her. I tend to see that the ones that stay here for longer are the ones… …like the ones can get bigger are the ones that are high on top of the head … …because they don’t get in your way when you are trying to sleep. I would imagine if you had a big one lower, it would drive you really nutty… …that you’d have to have it taken care of sooner. We really try to preserve as much hair as we can. ‘Cause we women do not like it if we have our hair gone. So, it makes it a little challenging for us, but we don’t mind that. I’d rather have hair, personally. So I’m going to push against you for a second I’m not trying to push your head forward, okay, I’m just going to push it…(inaudible)… to see if I can squeeze it out without… having to do much more. Whew! I hope I don’t give you a headache for that. Put that away, if you don’t mind. Let’s see if I can pull it off her. (inaudible) push out some of the contents of it, just to (inaudible)… Can you do me a favor, actually? Can you stop that for just a moment, turn off (cuts off) Do you know what the last procedure is? Assistant: Um, earlobe repair? But it’s just one ear. Oh, oh yeah, it’s that one we saw yesterday. Okay. That should be pretty straightforward. You okay? Patient: Oh, I’m fine. Are you in the medical field at all? Patient: No. You’re not interested in any? You wouldn’t be interested in it potentially? Patient: Who me? Yeah, you seem to be fine with this. Like it doesn’t bother you. That’s why I was wondering. Patient: Well, at one time I was thinking of going into nursing…. Patient: …but it’s just, with my husband’s schedule, it was… it was too hard. Aww, you’re making sacrifices for him. For everybody. That’s nice. Maybe someday. Now you got kids. And it makes things, everything, a little more difficult. Patient: Now that they’re older it’s a little easier, so… That is true. Dr. Lee: But now you got to shuttle them to all these activities! Patient: That’s true, that’s true!
Dr. Lee: Wait ’til that happens. That all happens too. Dr. Lee: And then…
Patient: I feel like a yo-yo some days. Oh gosh, yes. It’s very… that’s actually a whole ‘nother thing. And then you have, like, then it gets harder, then they need help with homework, and… Patient: Right So it changes. Patient: It’s amazing the amount of homework they give them now. Yes, that’s right. Do you guys live in Upland? Patient: We’re actually in (NO AUDIO TO PROTECT PATIENT’S PRIVACY). Oh, okay, yes. It’s, you know, that place is really growing. Patient: It is, it is. That’s nice. Do you like living there? Patient: I do. We’ve been there for about 10 years now. Oh wow! You were kind of there at the beginning! Patient: Yeah. That’s out, fantastic. Okay, one down. Let’s clean that up a little bit. Like, take out that piece of gauze there. And we’ll move over to the next one. See the next one here. Take this away from us. Okay, I’ll do the top one. Here. Let’s see if we can do this one nice and pop it out easy. You okay like that? Patient: I’m sure. Yeah, I’m fine. Okay. That first one one, we had to… we broke it a little bit.. This one’s superficial. Looks like they’re really… …got a little bit of it… Its just, they’re really satisfying. You know, maybe I sound sick. But they’re really satisfying to get out whole. …’cause then you know you got it, too.
Patient: Yeah. But this one’s pretty superficial actually. I might be able to… Come back over here. Let’s see if I can tease this out. Breaking it too much… Great! We’re doing great, okay? Good, there’s number two, Let’s just put a little stitch there. Right? Okay. You might wanna move that number two, so you know what order they’re in. Since we’re gonna probably send them in. Just to be sure. All cleared up? Looks like we are. Good. Let’s put a stitch right there. So about…I think I realized that ten days was gonna be on the holiday. So we’re gonna say more like 12 days or so before you remove the stitch. I think that works out to be Monday.
Patient: Okay. And it shouldn’t be a long appointment. Shouldn’t take us long. And the last one is a really small one, girl, so… You might wanna keep that little hook in the end, you know, our little skin-hooker instrument. ‘Cause you might wanna just make sure the hairs are pulled out from under the stitch. Assistant: Okay.
Dr. Lee: Okay [INAUDIBLE] just to help minimize the chance of any hair trapped there. You’re okay, right? Patient: I’m fine. Okay, I just need to make sure with this one in particular because gonna (inaudible) make sure we’re in the right spot. Scissor there. Thank you. I see it under there. Okay, let me see if I can pop this one out. I’m pushing on you again, so resist me. I’m not pushing your head off the chair.
Patient: Okay. Can you dab the top here, thank you. That one came out nice! And it rolled onto my hand here. I caught it! Yeah! You’ve had…that’s the second roller. Did I…did I come over there? Did I follow it?
Assistant: Yeah.
There it goes. Okay, one little stitch here. That was a cute one. Didn’t think that one was going to be impressive… …but actually it was the smallest and the most impressive. Patient: It’s like a little pearl. [LAUGHS] It was, it was like a little pearl you made. There, they’re very clean and white. I don’t know if you’re interested in seeing the video right away, but you can, if you’d like to. They’re very interesting to see. Patient: Okay. Yeah, you wanted to be a nurse, so you can handle this stuff. You should go back and see the other woman that had this done. Patient: Oh really? Hers were, like, like I said, they were like, one was like a gnocchi, like the size of that. One was a pretty big mozzarella ball, I’d say, or a large grape…
Patient: Yeah, well she had three (fades out)

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