Acne Vulgaris and Extracting large Whiteheads – Part 1
December 2, 2019
Dr. Lee: Just going to put a little nick there Dr. Lee: You’re tough, I already know you’re tough, because I know some of those you must feel a little bit.
Patient: Dr. Lee: So I am just going to squeeze on them Dr. Lee: Pushing against you. Dr. Lee: Good Dr. Lee: Right, if you need a break, you just tell me, ok?
Patient: Dr. Lee: How long have you been on Accutane so far? Patient: I just finished my fourth month. Dr. Lee: So it is really starting to work now.
Patient: It is, yeah Dr. Lee: You don’t have any breakouts right now, just those underneath cysts.
Patient: Yeah. Dr. Lee: That’s great. Patient: It is definitely working. Dr. Lee: Are you having any problems with it, I know it probably makes you a little bit dry, but anything else about it? Patient: Nah, it’s just the first couple of months I had that, um, back pain.
Dr. Lee: Oh yeah. Dr. Lee: are you an athlete, or do you do any, like, sports or anything.
Patient: I used to, but, uh, not any more. Dr. Lee: Well … BECAUSE OF THIS??!!
Patient: No, No. Dr. Lee: Yeah, especially if you are doing the sport actively it can make it worse, so it’s good that it’s not doing that, that you are not active right now. Dr. Lee: What kind of sport did you play?
Patient: Uh, basketball, I played it for like 12 years Dr. Lee: I should have guessed that actually Dr. Lee: You know I actually … funny thing is I actually played basketball in highschool, like on our team, you know JV team Dr. Lee: But I was a .. I went to a very small school so… Dr. Lee: You know, I could do that. Cause normally I think… I mean, look at me! In a public school I would not be doing that. And you want to hear something really embarrassing but funny? Dr. Lee: I was playing and I was starting guard for this team and the whole time — and this is how bad our team was — Dr. Lee: The whole time I could not understand why I kept getting fouled or, I couldn’t understand what was going on. Patient: They just sent you out there?
Dr. Lee: Yeah I was out there, man, I was out there. Dr. Lee: And, um, I was, that was when the Lakers were really big and they were winning the championship, Dr. Lee: and I remember, I watching once and I go “Wait a minute!” Dr. Lee: “You mean when you stop and you start again, you can’t do that?” I mean that’s like travelling.
Patient: Dr. Lee: That’s how stupid I was
Patient: Dr. Lee: Now that is sad. Hey are you laughing too, Christine? … you are. Dr. Lee: That’s how sad that I was. Ok, look these are, It’s like the one, these are doing really well. Dr. Lee: Okay,I think when I, it’s like I work on them and I go back again and they and more comes out. Dr. Lee: You’re still alright, right, you don’t mind me doing this? Ok good
Patient: Still ok. Dr. Lee: Just going to rock back and forth and kinda come back at each of them and work on them again. Dr. Lee: This one looks a little bit stubborn. Dr. Lee: When you do it yourself is it satisfying or just doing it to get rid of it? Right? You’re not looking for them, you’re just, get rid of it Patient: Yeah, pretty much, I’m just tired of looking at them.
Dr. Lee: Yeah. Dr. Lee: You gotta find a lady that likes to pop them
Patient: I know
Dr. Lee: Dr. Lee: Somebody was joking, I think, on my Twitter or something that, that should like a Tinder. You know, like a whatever the line you guys say like. Dr. Lee: Likes long walks and, and popping pimples.
Patient: Dr. Lee: Alright this is doing really well, just going to work and see how many I can get here. Almost done here. Dr. Lee: Try the other end here and see if that will help me Dr. Lee: Ok Dr. Lee: That looks much better but I’m sorry I can’t quit yet, I need to make sure I get these all. Dr. Lee: I’m sure you will be happier if I made sure we got them Dr. Lee: Just feel like there is a bottom to some of these that I’m missing. Dr. Lee: Especially this one here. Dr. Lee:That devil looks pretty good actually. Glad that this one is done. This one here Dr. Lee: That one still has some more. Dr. Lee: Good. Dr. Lee: Three more Dr. Lee: One more here. Dr. Lee: That’s good, right there. I’m like. oh, that was a bonus, the ones with the gloves(?) right there? Dr. Lee: I’m just gonna pinch your chin here, you might feel a little pinch Dr. Lee: See what’s here (Inaudible) Dr. Lee: The ones on the neck, if you just squeeze them out, that sometimes helps Make it bigger maybe I’m pushing against you so I get it (inaudible) I haven’t… you’re not… you don’t want me to quit, you’re okay, right? I’m fine, actually. I can’t even feel anything. Dr. Lee: Oh, good. Dr. Lee: Sometimes I feel like I’m starting to harass somebody — Dr. Lee: –your pimples — I’m starting to pin them down, and they’re like, “okay, I need to go home now.” Dr. Lee: But so, I actually make little nicks in the skin in the same direction as our skin tension lines Dr. Lee: Like where we would normally have a natural crease Dr. Lee: So you shouldn’t have any kind of line that is noticeable or anything Dr. Lee: Those are good! All right, that looks pretty nice. The man does not want to flinch. Tough kid. Dr. Lee: Did your parents have bad acne when they were kids? Patient: Both of them did, yeah. My dad’s was really bad. Dr. Lee: So, he was probably…y’know… Dr. Lee: I notice when parents are like that, they’re the first ones to tell the kid to go in there and start seeing a dermatologist Patient: Exactly, yeah. Dr. Lee: Y’know, they’re really concerned that their kid’s are gonna have the same thing Dr. Lee: (inaudible) We’ll try this one over here Dr. Lee: These need a little convincing. This one’s coming out now Dr. Lee: You need one of these comedone extractors. Dr. Lee: So did you know we did this beforehand or no, right? Dr. Lee: Did you just ask her if you could express one, and she just did, or…? Patient: No, she actually brought it up to me, but…. Dr. Lee: Oh, OK. Patient: You’re pretty famous on YouTube, so… (crosstalk) I’ve seen this before, yeah Dr. Lee: (crosstalk) Oh, you knew about it already? Oh, okay. Dr. Lee: Well, you’re about to be famous on YouTube. Dr. Lee: It’s better than Tinder, I guess. Dr. Lee: No, no, I know you’re not necessarily looking for anybody, but… Patient:Dr. Lee: Yeah, you know? Could be. If you were looking. Dr. Lee: Might be a way to … Patient: Searching the comments or something. Dr. Lee: Almost there. I think this is the last bit. Dr. Lee: All right. (inaudible) There we go. Dr. Lee: That one’s good. Dr. Lee: Just gonna do a pass over them one more time and we’ll be good. Dr. Lee: I’m just gonna (inaudible) this one here. One more pinch. Dr. Lee: Just a last little squeeze. Dr. Lee: Sometimes I come at it at a different angle, it pushes it out the other way.