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Dr. Geoff Butler
Canada
Приєднався 4 лют 2016
This channel is for anyone who loves procedures and medicine in general. While this will certainly have an educational slant I hope that it will grow in numerous ways to be useful for the beginning as well as those with more clinical experience. I am a family doctor and adjunct professor with the local medical school. I have been fortunate to receive excellent teaching from plastic surgeons, general surgeons and dermatologists that has enabled me to acquire the ability to do numerous procedures. It has been my honour to learn from these great people and I hope to pass along some of what they taught me.
Removal of a Basal cancer on the neck
Front line physicians will often times not feel comfortable doing biopsies or removals of lesions on the neck but these are very possible if you respect the surrounding anatomy, progress with appropriate caution and essentially remain superficial while ensuring proper margins. I generally find total removal simpler than an actual biopsy as you aren’t cutting into a cancer or trying to suture through it after the fact. In Canada, at least where I practice, you cannot get plastics or oncology to see these lesions without a tissue diagnosis which forces you to do one or the other. If you are comfortable doing a removal you can do one procedure, achieve clear margins (as we did in this case) and then you are entirely done.
Переглядів: 44 657
Відео
Drainage of an infected cyst under the chin
Переглядів 683 тис.21 день тому
Got injured in an accident? You could be click away from a claim worth millions. You can start your claim now with Morgan & Morgan at www.forthepeople.com/DrButler without leaving your couch. Remember, it's free unless you win. Thank you to Morgan & Morgan for sponsoring this video and thereby supporting this educational platform. The key elements with this case focus mainly around the final co...
Drainage of a deep abscess on the back
Переглядів 772 тис.Місяць тому
This one was a bit atypical in its depth and in the amount of content it held. It felt quite large on palpitation but even having said that, I underestimated how much volume this held. I did see this patient the following day and he felt drastically better and things were healing nicely.
Removal of a Basal Cell Cancer on the face
Переглядів 209 тис.Місяць тому
Ideally Basal Cell Cancers and Squamous Cell Cancers should be removed using a Mohs procedure. However, at least for BCCs, sometimes just removing it, and cauterizing the base will be enough to eliminate all the neoplastic tissue. This one healed quite nicely and didn’t require any further treatments.
Drainage of an infected cyst on the jaw line
Переглядів 1,4 млн2 місяці тому
This area was clearly infected which was obvious once this lesion was opened and pus began pouring out. Thankfully the anesthesia was able to work well enough that the patient was comfortable enough to tolerate this process. These are fairly straightforward as long as specific steps are always followed.
Drainage and likely removal of an infected epidermal cyst
Переглядів 282 тис.2 місяці тому
While most infected epidermal cysts cannot be removed properly, as the infection thins out the membrane, this one was intact enough that, fortunately, we were able to remove it all. I wish that this was commonly the case but it typically isn’t. Packing overnight usually isn’t overly uncomfortable to remove. Repacking and subsequent dressing changes would be, though, and this is why we typically...
De-roofing of nasal cyst
Переглядів 1,5 млн2 місяці тому
Small epidermal cysts or large milia (which are pilosebaceous cysts) respond very well to simple de-roofing. Enough capsule is compromised that the area involutes and the cyst resolves. This healed quite well and without recurrence.
Is this a pyogenic granuloma?
Переглядів 449 тис.2 місяці тому
This was referred to me as a pyogenic granuloma, for removal, but while this shared some features with a PG, it was not quite right and didn't respond to treatments as it should have. As a result a biopsy was undertaken and this turned out to be a squamous cell cancer. These have a slightly higher metastatic rate than basal cell cancers do, so it is important to make sure that all the margins a...
Removal of epidermal cyst on the ear
Переглядів 2,5 млн2 місяці тому
There is nothing complicated about this removal so long as one progresses slowly and consistently. Here, a small elliptical incision certainly makes the overall approach a bit simpler, but a linear incision would have been reasonable as well. While the cyst capsule was irritated a little, this essentially was removed entirely intact, guaranteeing that this particular cyst will not recur. Hope y...
Removal of Epidermal Cyst on Back
Переглядів 680 тис.3 місяці тому
This was a medium sized epidermal cyst that was a bit harder to remove than I would have thought initially. As a result, it was necessary to rupture the cyst capsule, to reduce the overall size of the lesion and also to increase the spacing within which I was working in. Also, because of the tight space, the lining of the incision was nicked a few times and needed to be cleaned up at the end. M...
Removal of a Pyogenic Granuloma
Переглядів 1,7 млн3 місяці тому
This was a bit messier than normal as I didn't have any assistants present on a Sunday morning. Regardless, this was pretty straightforward and this patient was pretty stoic, which helps a lot in kids. Pyogenic granulomas aren't worrisome but they can bleed a lot and be uncomfortable. They grow very quickly and at this size, will need to be removed and sutured closed. This went pretty well but ...
Pilar Cyst Removal from Scalp
Переглядів 597 тис.4 місяці тому
This was a fairly standard removal. No real complications here but there is always something to learn!
Doing a facial repair
Переглядів 37 тис.4 місяці тому
Facial lacerations are often passed along to ER as many front line physicians aren't comfortable dealing with them. However, so long as the tissues are appropriately apposed these should heal quite nicely. Certainly if the laceration is quite jagged then plastics may need to get involved but front line physicians should be able to determine when that is the case and otherwise, repair these.
Removal of Multiloculated Cyst and Scar Tissue on the Face
Переглядів 366 тис.4 місяці тому
This was a little bit complicated in terms of approach but not so much in terms of execution. While there were certainly a few cysts located along his right cheek, the bigger issue was the intervening tissue was quite firm and scarred down. This put us in the position where we were forced to consider removing the entire area if you want the inflammation to settle down. On the face, this can be ...
Removal of a foreign body in the foot
Переглядів 2 млн5 місяців тому
Removal of a foreign body in the foot
Debridement of a diabetic toe ulcer
Переглядів 51 тис.5 місяців тому
Debridement of a diabetic toe ulcer
Drainage of an infected cyst along the jaw line
Переглядів 1,6 млн5 місяців тому
Drainage of an infected cyst along the jaw line
Modified biopsy of a squamous cell cancer on the forehead
Переглядів 246 тис.5 місяців тому
Modified biopsy of a squamous cell cancer on the forehead
Removal of an epidermal cyst on the back
Переглядів 85 тис.6 місяців тому
Removal of an epidermal cyst on the back
Drainage of an Infected Pilar Cyst
Переглядів 96 тис.6 місяців тому
Drainage of an Infected Pilar Cyst
Removal of a Squamous Cell Cancer from behind the Ear
Переглядів 4,2 млн6 місяців тому
Removal of a Squamous Cell Cancer from behind the Ear
Removal of an epidermal cyst on the upper chest
Переглядів 124 тис.6 місяців тому
Removal of an epidermal cyst on the upper chest
Drainage of an early infected cyst on the neck
Переглядів 264 тис.6 місяців тому
Drainage of an early infected cyst on the neck
Removal of infected cyst from chest
Переглядів 962 тис.7 місяців тому
Removal of infected cyst from chest
Removing a Lipoma from the Forearm
Переглядів 34 тис.7 місяців тому
Removing a Lipoma from the Forearm
Draining the infected cyst of a pregnant patient
Переглядів 2,6 млн7 місяців тому
Draining the infected cyst of a pregnant patient
Why wouldn't you shave it first?
Nearly feel his pain. Such a brave man to do this for us. Respect. Hope you have recovered.
Had one of these. It hurt soo bad, thought I broke my tailbone. And then the procedure was painful as well. I screamed bloody murder in the doctors office. But once the pressure was released, it didn't hurt as much.
Excellent skills, patience, and teaching the residents. I've learned a lot myself watching your videos. God bless you Dr B.
Before reading or seeing anything else on this video, I know this doctor is Canadian........bc of how he says,"....out" BTW, excellent stich job.
Pongale subtitulado al video para entender lo que dice
I think it is derogatory of the dr to lord it over the apprentice just to show he is all powerful!
I think it’s derrotory
Parabéns doutor 👏🏽👏🏽👏🏽👏🏽👏🏽👏🏽
Use a pan dr.
Wow that's deep
This is what I call experience wow because there is not much to work with
Your hands are in the way to much
I don’t understand why more physicians don’t use emesis basins to catch the contents of assist that’s that big, especially when they’re infected.
Good job Dr!
Столько трепа ...
So much freaking 🍮
🤩👏🏻👏🏻
He just tore him a new a****** no diddy
Western doctors love the double visits, come back for more money, sorry cough cough more work ,
I knew that wasn’t going to be fun. She’s a tough lady.
Making a short story long... 🙄
That is the worst. I had my knee drained last year. Horrible pain. Off work for a week because I had to keep it propped up.
Excelent work!
Sharper blade maybe lol
Doing a good job❤❤
Wow. This guy must have been relieved. I would hate having that on my lip. Good precision and final result.
Закрыли Тор тнос и спрашивают,вам хорошо?😂
Beautiful work
Doing a good job there❤❤❤❤❤
The patient has beautiful teeth.
Best designed signature to go with superb Dr
Doctor Butler, go back in time! Carry a black medical bag with your choice of instruments. No more having to make do wirh the clinics.
Can this cause a stroke, being that it's clotted?
Never seen one flow like a river like that. I could almost feel the relief from hear
Tradução?
Some of the best medicine I've ever experienced was having a podiatrist cut out the corner of my big toenail where it had grown in. INSTANT relief of terrible, constant pain. I think I hugged the guy.
What causes this kissing to many weird body parts! Asking for a friend!
Definitely a candidate for draining into a cup.
He must’ve been in a lot of pain with that large amount of fluid coming out
Couldn't you cover up her hair better, this stuff gets all over! It is disgusting!
how long does it take to recover from surgery, any approximations???
Why do they bleed a lot?
Maybe stopping the blood Wessel from bleeding, clearly the goof is out 😂
Maybe stopping the blood Wessel from bleeding, clearly the goof is out 😂 14:58
Eso que le sacan es pus 😢😢😮😮
Le aplicó la anestesia en la boca la señora quedó incomoda la hubiera inyectado mejor que la opción en spray .
You tapped the well Dr.!!!
The pain relief must be amazing.
Why don't these types of professions have a suction to suck out the yuck like they do at the dentist? I feel like that would help a lot