A dermatologist is performing a procedure to remove a cluster of sebaceous cysts from a patient's chest. The patient is awake and conversing with the dermatologist throughout the procedure. The dermatologist explains what they are doing and reassures the patient that they are trying not to cause any discomfort. The patient is from Massachusetts and the dermatologist makes light conversation about the Patriots and the patient's hometown.
The dermatologist is carefully extracting the cysts, which are filled with a cheesy, soap-like substance. They explain that these cysts are common and can be inherited, and that they can be painful and unsightly. The patient is cooperative and the dermatologist is gentle and reassuring.
Throughout the procedure, the dermatologist chats with the patient about various topics, including their personal life, their family, and their interests. The patient seems to be in good spirits and is even joking with the dermatologist at times.
The procedure is ongoing, and the dermatologist is working to remove all of the cysts. They offer the patient antibiotics as a precaution and promise to follow up with them to check on their progress. The patient is grateful and seems to be feeling relieved as the procedure comes to a close.
Here are the key facts extracted from the text:
1. The procedure involves removing small, oil-filled sacs from the skin.
2. The sacs are called "oil gloves" or "cysts".
3. The procedure is relatively painless, with the patient feeling only minor discomfort.
4. The doctor uses serrated scissors to remove the sacs.
5. The sacs can be difficult to remove, but the doctor is careful not to hurt the patient.
6. The patient is from Massachusetts and is a Patriots fan.
7. The doctor has done this procedure many times before and is experienced.
8. The doctor uses antibiotics to prevent infection.
9. The patient's family members have also had similar skin issues.
10. The condition is autosomal dominant, meaning it can be passed down through generations.
11. The doctor is careful to avoid making a big incision, instead trying to remove the sacs through a small opening.
12. The patient is warned that they may need to take antibiotics to prevent infection.
13. The doctor is happy to be doing the procedure and is enthusiastic about helping the patient.
14. The patient is shown a picture of a tapeworm that came out of another patient's nose.
15. The doctor is surprised by the tapeworm incident and asks the patient to show them the picture.