This doctor is fantastic. He is an asset to Auburn. So good with his patients and appears to be able to perform any procedure. I really enjoy watching his videos.
Dear doctor, you are phenomenal! I've gotten to love and enjoy all your programming. You are funny, friendly and ever so good at your job...all of these qualities offered through the best possible bedside manner. thank you!👍 and by the way, I am the person who has complimented for your video with the good and funny lady Penny!
Thank you, doctor! And please bear with me, though I may succumb to redundancy. But I still return and return to your video with Penny! I love that humorous lady!
Hey doc, You can use just two small strips of paper tape to keep her hair separated and out of the way. Just tape it do before you place your sterile drape. The paper medical tape comes away easy even in hair.
Willow Moon, hello friend! Who knows why these shortages happen? I wrote earlier about a shortage of Heparin 5000u a few years back. That was aggravating since we used it in all of our vascular cases. I remember a shortage of Marcaine w/epi, too. I was never given an answer for the shortages. Sometimes it's due to a bad batch.
Great video... impressive that you were able to remove it entirely even though it ruptured. Glad she didn't feel any pain, but I'm sure the lack of epi makes you appreciate it more when you have it, huh? Gail is hot! =)
Gail is the kind of patient that makes your whole day worth while! She's so kind, good sense of humor, not frightened, I worked in a Dental Office for years most patients arae VER?Y frighened, they always sent me into the room to chit chat with the frightened patients,, i could usualy have then laughing at least a bit, I also took a "persona touch" class on areas that are reasshrnf 5i a frightened patient,, between arm and elbow, aa light rub, even patting, is soothing even for the frightned patients. Gail is aa fresh face in the middle o a lon day that makes everyone feel better,, Yay for Gail@ (Oh - lol good job Dr. too)!! :)
ER loves to shave... I actually try not depending on where. Such as the scalp, when it’s women, I totally understand so I do my best to honor their request. However I’m probably the only one!!! Seeing it’s so much easier to shave, cut, remove, and stitch without hair! But this was a great job! Can’t help that hair is gonna get in those stitches!!! It’s bound to happen in those circumstances But I honestly never really thought about the difference in blood, without epi.. and it is a difference.
Catch aGlimpseOfZion, we stopped shaving around 6-7 years ago. We tended to follow AORN standards. We were told that a study by AORN found that shaving could actually increase the chance of infection. Nicks left openings other than the incision. We started clipping instead. This didn't cut flush to the skin, left about 1/8 inch of hair. Then we brought up the issue of loose hair in the OR after clipping. So our policy was changed and the clipper prep was done in preop. Some surgeons never shaved and there was no difference in infection rates. Say for an inguinal hernia, the hair was coated with chloraprep. I agree with these pilar cysts, I certainly wouldn't want a bald spot. Now if it's a tumor or anyuesim, you can clip me bald!
c coop c coop I couldn’t agree more! God forbid if it was something like a tumor or aneurism then yes I’ll take the bald spot as well. Rather have that, then the latter. But I do agree... I’ve always thought about the fact that hair growing back in a place such as where a Pilar cyst has just been removed and causing an ingrown hair... as simple and or silly as that sounds. I’m not sure I would want an ingrown hair in an already healing and tender area, when ingrown hairs can become a problem themselves... in fact I’ve seen some things in the ER that I couldn’t believe started with an ingrown hair follicle. So I guess maybe that stayed with me!!!! And they hurt!!! Depending where and how bad. So I completely agree. In fact I should’ve been more clear they’ve began using clippers when necessary in my place of employment. So it’s not completely shaved. I should have been more clear But I agree 100%.
Catch aGlimpseOfZion, I remember one surgeon that never shaved and he said he had seen some that would itch badly when the hair started growing. One popped the suture from scratching, so he said that's why he stopped. You of all people know what's underneath fingernails, too!
Catch aGlimpseOfZion OMG I ended up in the ED after an ingrown hair worsened (I thought it was going ok, but I was too focused on the step kids and school holidays, and didn't check it properly till they went back to school) and I ended up having to have a surgical debridement, which left a shallow cavity in my groin. The doc didn't put enough lignocaine into the area (he wouldn't even start till I had IV access! He'd just come off a surgical rotation and thought IV access was required for sub cut lignocaine, so he was very conservative with his doses!) and by God it hurt something fierce! I wish he'd just put me on the list to have it done under anaesthesia the next day, which he said he was going to do, but then decided to be "nice" and try to debrided it in the ED. Never again!!! So like you I've seen ingrown hairs turn into nasty things, and I've even been in the receiving end of one..... Not much fun 😁
It’s weird they are apparently more prevalent in women and often genetic, my mother gets them often and I have had 3 , two removed my doctor, the 3rd I was pregnant and they wouldn’t remove because they didn’t want to introduce anything “unnecessary” into my system 😒, that one however really bothered me it was painful and I found it was like it was pressing on something that was giving me headaches daily. Lol so I went home grabbed a scalpel from my livestock first aid kit and cut it out myself used my Kelly forceps to pull the sac out and called it a day 😅 it healed up fine never came back, I have another one now that I asked the doctor to cut out when I was there for something on my neck and they asked if there was anything else to address but they didn’t feel the grape sized bump was worth removing and now it’s getting painful so I might just do the same and hope for the best 😅. I get tired running back and forth to doctors especially when this could have just been removed.
Didn’t know there was still a shortage. I work in the ER. So I guess I’m not used to thinking about that. We have it for when necessary... but it definitely does impact the amount of blood.
Drug shortages are a fact of life. Sometimes its true, like a hurricane , sometimes its just Pharma just wanting to increase the base cost of a common drug for more profits. You cant tell.
I can not open up video. UTube places a question at the top right of the page when you hit the arrow to begin.”Do you want to play this video?” I have no way that I can cancel or hit the circled X (to cancel) All pimple videos appear to be this way.
Oh this is a good one and I like the less ummm dramatic? Not meant offensively. But it’s already so interesting I don’t need the hype. Just the facts lol. Thanks
You are so nice to your patients, just lots of blood. I think she needs a shower before going to get something to eat. I think the face and head naturally bleeds alot.
This is not to critize the great work.A real good job!But I think this man shows the first symptoms of parkinson disease,cause his hands are often doing involuntary,illogical movements.If I am mistaken,I beg your pardon.
Un trabajo sucio, a quien se le ocurre hacer una incisión y dar puntos sin antes haber separado bien el pelo 👎 Y no le vendría bien algo para cortar la sangre
This doctor is fantastic. He is an asset to Auburn. So good with his patients and appears to be able to perform any procedure. I really enjoy watching his videos.
Beautiful job Dr Vaughan! Very interesting to watch (as usual). Loved the lighthearted banter too. Sending best wishes from Wales 😀
I love a doctor with a sense of humor.
I worked in emergency rooms for 15 years and learned how to use the surrounding hair to braid head wounds closed. It was great for kids.
Oh that's clever!
Love how careful you are,only criticism is camera I got nausea,but great job as always you are brilliant with all you're patients, xxxx
I love you guys! You always e explain to your patients and therefore , Us as well!! Another great video.
Like this doc. Great bedside manner. Retired medical professional. We need to see more docs like him......
Love love love the channel and friendly staff.
Gail is so sweet! Loved this video :)
I adore you, your patients, and your videos! Awesome job. You are hilarious!!!
I love when the patients are excited.
Absolutely adore Gail!! Her sense of humor was awesome 😊
yes, more of these please
Great job doctor ! I enjoyed it
Dear doctor, you are phenomenal! I've gotten to love and enjoy all your programming. You are funny, friendly and ever so good at your job...all of these qualities offered through the best possible bedside manner. thank you!👍
and by the way, I am the person who has complimented for your video with the good and funny lady Penny!
Wow, thank you!
Waited all day for this. Nice work! Thank you!
Hay Doc, you did a great job!!😉😀
You did have the best patient ever!
She was just great 👸👌🏆
That was so cool Doc nice job!!
I love this medical group. I wished I wasn’t so far away
Great job Docter sir.
Great work Dr mark have a awesome weekend with your wife and kids :)
And if ever I need this type of service, I will certainly come to you! cheers!
Thank you, doctor! And please bear with me, though I may succumb to redundancy. But I still return and return to your video with Penny! I love that humorous lady!
Hey doc, You can use just two small strips of paper tape to keep her hair separated and out of the way. Just tape it do before you place your sterile drape. The paper medical tape comes away easy even in hair.
Beth Cox. Good advice.....
Love your technique and professionalism. Watch out Dr Lee. Why the lido/epi shortage?
Willow Moon, hello friend! Who knows why these shortages happen? I wrote earlier about a shortage of Heparin 5000u a few years back. That was aggravating since we used it in all of our vascular cases. I remember a shortage of Marcaine w/epi, too. I was never given an answer for the shortages. Sometimes it's due to a bad batch.
Willow Moon, this was a perfect extraction!
I LOVE your kind and gentle nature with people. This one cracked me up "can you grow some more stuff?" LMAO
awesome job!
Great video... impressive that you were able to remove it entirely even though it ruptured. Glad she didn't feel any pain, but I'm sure the lack of epi makes you appreciate it more when you have it, huh?
Gail is hot! =)
Finally someone that doesnt wait 20 years for removal ❤
What can you use for someone that is allergic to lidocaine?
Nice cyst. Nice patient. What more can you ask for? :)
Would love to come shadow you when covid ends!!! Don't forget to thank the cyst for its role in making this video!
Can it be cauterized to slow the bleeding?
Gail is the kind of patient that makes your whole day worth while! She's so kind, good sense of humor, not frightened, I worked in a Dental Office for years most patients arae VER?Y frighened, they always sent me into the room to chit chat with the frightened patients,, i could usualy have then laughing at least a bit, I also took a "persona touch" class on areas that are reasshrnf 5i a frightened patient,, between arm and elbow, aa light rub, even patting, is soothing even for the frightned patients. Gail is aa fresh face in the middle o a lon day that makes everyone feel better,, Yay for Gail@ (Oh - lol good job Dr. too)!! :)
I have not ever seen Dr. Lee cut their hair either, h EER Dr. an Dr. John Filmore I) Do trin hair around it....
@@honestyistruth8518 dr. Lee ist ein Hautarzt, und der hier ist ein Dorfarzt, der alles macht, aber nichts richtig.
Wish you would change your gauze wipes more often, are you saving $ by not using gauze
Wonderful person.
DR YOU DID V WELL GETTING CYST OUT ! YOUR BED SIDE MANNER BRILLIANT ENGAGING PATIENT ALL THE TIME WATCHING VIDEO IN THE EMERALD ISLE !!
"There's good and bad to anesthetic..." Translation: "Whoops."
Should use a comb a hair clip and clean the area with clean gauze.
This one is a beauty
Why is there a shortage of epinephrine?
I wish you would use fresh gauze more often.
should you have use Kelly’s .nice job you do a good and careing
Good job as always Dr Vaughan!xxx
ER loves to shave... I actually try not depending on where. Such as the scalp, when it’s women, I totally understand so I do my best to honor their request. However I’m probably the only one!!! Seeing it’s so much easier to shave, cut, remove, and stitch without hair!
But this was a great job!
Can’t help that hair is gonna get in those stitches!!! It’s bound to happen in those circumstances
But I honestly never really thought about the difference in blood, without epi.. and it is a difference.
Catch aGlimpseOfZion, we stopped shaving around 6-7 years ago. We tended to follow AORN standards. We were told that a study by AORN found that shaving could actually increase the chance of infection. Nicks left openings other than the incision. We started clipping instead. This didn't cut flush to the skin, left about 1/8 inch of hair. Then we brought up the issue of loose hair in the OR after clipping. So our policy was changed and the clipper prep was done in preop. Some surgeons never shaved and there was no difference in infection rates. Say for an inguinal hernia, the hair was coated with chloraprep. I agree with these pilar cysts, I certainly wouldn't want a bald spot. Now if it's a tumor or anyuesim, you can clip me bald!
c coop c coop I couldn’t agree more! God forbid if it was something like a tumor or aneurism then yes I’ll take the bald spot as well.
Rather have that, then the latter.
But I do agree... I’ve always thought about the fact that hair growing back in a place such as where a Pilar cyst has just been removed and causing an ingrown hair... as simple and or silly as that sounds. I’m not sure I would want an ingrown hair in an already healing and tender area, when ingrown hairs can become a problem themselves... in fact I’ve seen some things in the ER that I couldn’t believe started with an ingrown hair follicle. So I guess maybe that stayed with me!!!! And they hurt!!! Depending where and how bad.
So I completely agree.
In fact I should’ve been more clear they’ve began using clippers when necessary in my place of employment. So it’s not completely shaved. I should have been more clear
But I agree 100%.
Catch aGlimpseOfZion, I remember one surgeon that never shaved and he said he had seen some that would itch badly when the hair started growing. One popped the suture from scratching, so he said that's why he stopped. You of all people know what's underneath fingernails, too!
Catch aGlimpseOfZion OMG I ended up in the ED after an ingrown hair worsened (I thought it was going ok, but I was too focused on the step kids and school holidays, and didn't check it properly till they went back to school) and I ended up having to have a surgical debridement, which left a shallow cavity in my groin. The doc didn't put enough lignocaine into the area (he wouldn't even start till I had IV access! He'd just come off a surgical rotation and thought IV access was required for sub cut lignocaine, so he was very conservative with his doses!) and by God it hurt something fierce! I wish he'd just put me on the list to have it done under anaesthesia the next day, which he said he was going to do, but then decided to be "nice" and try to debrided it in the ED. Never again!!! So like you I've seen ingrown hairs turn into nasty things, and I've even been in the receiving end of one..... Not much fun 😁
Wormwood bush, you never know. It can be the most seemingly minor thing.
Can you typically get theses removed at an urgent care?
I’ve had 12 Pilar cysts remove at various times in my life. They were all on my scalp.
It’s weird they are apparently more prevalent in women and often genetic, my mother gets them often and I have had 3 , two removed my doctor, the 3rd I was pregnant and they wouldn’t remove because they didn’t want to introduce anything “unnecessary” into my system 😒, that one however really bothered me it was painful and I found it was like it was pressing on something that was giving me headaches daily. Lol so I went home grabbed a scalpel from my livestock first aid kit and cut it out myself used my Kelly forceps to pull the sac out and called it a day 😅 it healed up fine never came back, I have another one now that I asked the doctor to cut out when I was there for something on my neck and they asked if there was anything else to address but they didn’t feel the grape sized bump was worth removing and now it’s getting painful so I might just do the same and hope for the best 😅. I get tired running back and forth to doctors especially when this could have just been removed.
I had one of those a couple of years ago on my forehead . . . at first I thought it was a large pimple
what does it mean that it ruptured?
Benign cyst? Do u take enough tissue around site to test ?
She's pretty. Do pilar cysts usually bleed this much?
Great job! Look out Dr. Lee! Why is there a lido/epi shortage?
A few years ago it was because they couldn't keep up with demand..this time I'm not sure.
Didn’t know there was still a shortage. I work in the ER. So I guess I’m not used to thinking about that. We have it for when necessary...
but it definitely does impact the amount of blood.
I’m a pharmacy employee, drug shortages have been horrible this year. A huge plant in PR where the hurricane hit was destroyed.
Drug shortages are a fact of life. Sometimes its true, like a hurricane , sometimes its just Pharma just wanting to increase the base cost of a common drug for more profits. You cant tell.
I remember a few years back there was a shortage of Heparin 5000u. We used that dosage in all of our vascular cases.
Great video as always, Doctor.
what about those little punches that make holes?
Thought i could handle it. BUT I CAN'T! Guess it comes with age. Life is precious.
Awesome video!
Love your bedside manner. I guess watching right now was a bad idea. I doing a final paper. 😁 Don't those kind of cyst only stink when infected?
chris Andrews no an epidermoid or pilar cyst can smell just 'cause the contents stagnate, even without infection.
That's right, take it out, take it all out, Doc, ❤🙌💯
Só acho que deveria limpar o local retirando os cabelos
Btw, Gail is definitely beauty goals. She has a cyst removal done and throws up her hair over it and looks fantastic. lol That's how you do it!
I can not open up video. UTube places a question at the top right of the page when you hit the arrow to begin.”Do you want to play this video?” I have no way that I can cancel or hit the circled X (to cancel) All pimple videos appear to be this way.
Why don't u cauterize the bleeding blood vessels?
I don't have cautery in the office.
Wish you had used more than one gauze ...
xxxFF7xxxGIRLxxx , why?
Why didn't he shave or cut some of the hair from around the incision
Many people that aren't in the Medical field do not know that your head bleeds alot.
Omg I woulda popped that as soon as I felt it! Poor lady
Makes one want to have a Pilar cyst to to have it removed!
Teniendo un ayudante, podría ir limpiando la zona de sangre para trabajar más higiénicamente, o cauterizar,,,
do not scalp lacerations just plain bleed more because it is so close to bone
Imposible ver la extracción con las ltras.....
Hey! Popaholics watch you as well! Thanks Gail! ❤️
Awesome! Thank you!
Oh this is a good one and I like the less ummm dramatic? Not meant offensively. But it’s already so interesting I don’t need the hype. Just the facts lol. Thanks
Why not shave spot 1st?
Wow
Why no Epi?
There is a national shortage.
Great patient. Bet you wish they were all like her.
I have never had a cyst. I have had some pretty mean zits. I thought a cyst was like a giant pimple. I watch the pimple popper too.
Hair clips to hold the hair back this is a messy procedure.
She said now im reallllly wet lol.
Why don't they shave the hair anymore?
Poor Gail, her poor hair!! Lol
I'm getting 4 removed tomorrow. Eek.
The whole “wet” dialogue thing made me feel more uncomfortable than the huge cyst from her head.
Lool
The damn va tells me im fine wont remove the big cyst in my scalp. I have to find another doc
They are just lazy. They probably would half ass it and it would grow back in a few months, like what happened to me.
I don’t know if I would trust him over Dr. Pipple Popper?
No need to compare
You are so nice to your patients, just lots of blood. I think she needs a shower before going to get something to eat. I think the face and head naturally bleeds alot.
He wants to hit that lol
I see a pic of jesus in the blood at 8:40
"Now I'm really wet"-Gail
Why can't you just pull that out it ain't attached to anything is it?
This is not to critize the great work.A real good job!But I think this man shows the first symptoms of parkinson disease,cause his hands are often doing involuntary,illogical movements.If I am mistaken,I beg your pardon.
Ya me te
yersontirado025@gmail.com
He acts like he scared.
Un trabajo sucio, a quien se le ocurre hacer una incisión y dar puntos sin antes haber separado bien el pelo 👎
Y no le vendría bien algo para cortar la sangre
2018? hehe
I'm not really pleased.😮
Can’t watch this one. It’s not too gory or anything, but it’s a trigger. The knife and skin make me want to do it again.
Well done for knowing your triggers. Stay safe x
Ns
Pop goes the cysts
What’s with the big production. Squeeze it already.
Slow