I just incised and drained the largest sebaceous cyst I've ever seen!

[Aristus]

It was HUGE!

I had to give the patient 8cc's of Xylocaine to numb up the site. When she was finally numb, one little poke with the blade, and a tidalwave of flocculent splooge spurted out. It took forever to get it all drained out.

Then I had to go in after the cyst capsule, to make sure the cyst wouldn't grow back. I yanked the whole thing out finally, and it looked like a tendon, it was so large.

Well, *dusts hands off* that's done. Packed the site and prescribed her something for when the local wears off.

Whew!

That was the most fun I've had in clinic in a couple of years!

[LividModerate]

1. Impossible

The largest one is still in the air.

[JHan]

7. lol

[Sanity Claws]

2. YouTube has videos of stuff like that.

You and your patient should have made video of that for people who like that kind of stuff.

As for me, I'll pass. That stuff freaks me out.

[MissMillie]

10. There's now a TV show on TLC

It's called "Dr. Pimple Popper"

Not just sebaceous cysts, but all kinds.

[Paladin]

31. About 20 seconds of that show was enough for me.

And it generally takes a lot to gross me out. To each their own......

[Callmecrazy]

3. Well, so much for this fettuccine I was eating...

[NCjack]

4. Please consider naming the "flocculent splooge" Devin Nunez. nt

[skylucy]

5. LOL! You sound like a doctor I had many years ago. He removed what I think he called

a "granuloma" from my arm. He was so excited. He also kept going on about how much fun it was to do stuff like this. I'm a nervous nelly type and his attitude actually helped with my nervousness. I loved that doctor. I'll bet your patients love you too! So glad to hear you had a fun day at work!

[Aristus]

6. Yeah, I try to ease their nervousness with some humor.

She asked me if I was going to use a local anesthestic for the procedure.

I told her I usually just have Tiny and Crusher come in, hold her down, and muffle her screams.

She laughed nervously until I drew up the local.

[skylucy]

12. Ha! That's hysterical!

[safeinOhio]

8. I did it myself, kind of.

Get infected fissures. Got one a few years ago so i stuck a syringe in it and drained it. Kind of hard to do when you can't see it. So I told my doc he flipped out and ask if it was painful I said hell yes. He said he was very proud of me.

[In_The_Wind]

9. Yuck

[pnwest]

14. right? serious yuck.... i'm grimacing just reading the description.

[HipChick]

16. Right..I deserver this entire bottle of wine..

[Aristus]

17. What?

You think these stories won't get me in good with the ladies?

[Leith]

25. You Will Win Over the Ones with Sebaceous Cysts

I get all icky very fast so I'm grateful for those who can do anything biological.

However, If you need any math done or a thousand foot long tape of financial transactions audited, I'm the one to call.

What percentage of people would choose which?

[Aristus]

26. I don't know.

But if there's anyone out there with sebceous cysts and difficult tax problems, then we're all set!

[blueinredohio]

11. I had a skin cancer removed a few months back

and the doctor who did it was hilarious. Made me not so nervous. I would highly recommend him.

[onlyadream]

13. My mom, a RN, stuck a needle into a huge cyst on the back of my dad's neck

The green ooze hit the ceiling. This was over 30 years ago, and it still grosses me out.

[skypilot]

32. over 30 years ago, and it still grosses me out.

The green ooze isn't still on the ceiling, is it?

[onlyadream]

35. Omg, I never looked.

[Pachamama]

15. Something must be very wrong with me....I find this fascinating and would have loved to have watched

....in fascination.....

Many won't admit it....there - I did....

[Aristus]

19. I always allow anyone who wants to observe to be in the exam room during the procedure.

As long as it's okay with the patient. I've never had a patient say 'no'. I guess an audience makes them feel more relaxed.

[LeftInTX]

22. Go to Dr. Pimple Popper's (Dr. Sandra Lee) YouTube Channel

I just watched her extract about 1/2 cup of cheese from a huge blackhead.

[LuckyCharms]

18. Flocculent splooge. I'm stealing that...

I have to go in Wednesday to get a recurring cyst "laid open". The surgeon thinks he did not get the entire core during the first 2 surgeries. I'll ask him if there is any flocculent splooge coming out.

[NNadir]

20. Centuries ago, when I had acne, I always wondered about the chemistry of "splooge."

I was a big time pimple popper. I only had one sebaceous cyst removed in my life. The guy left a big scar on my chest after telling me he'd practice on me in case he ever had to do a girl's face.

Later he misdiagnosed my mother's brain tumor as the flu.

Then when I became I chemist; I learned what "splooge" was, but regrettably my acne cleared up and I couldn't do the analysis to prove it.

Cool stuff that "splooge." Lipids are a major deal; an under appreciated class of biomolecules.

[jpak]

21. Gus the Pus Sucka

[zanana1]

23. I've had this done.

The cyst was on my back. No Xylociane, but it didn't really hurt. The problem is, it grew back! Now I have to go back and hear all the "ughs" and "oohs" again.

[Aristus]

24. Your medical provider probably didn't excise the entire cyst capsule.

Last edited Tue Jul 17, 2018, 12:32 PM - Edit history (1)

It's not always easy to do, but getting it out substantially reduces the risk of recurrence.

[TexasTowelie]

27. I already had the draining abscess on the back of my right calf about 3 months ago

after one of the cats bit me. I think that I can live without seeing anything ooze for awhile.

[fleur-de-lisa]

28. This thread is useless without pictures!

[Aristus]

29. I'm sorry, f-de-l, no pics.

[hibbing]

30. Great punk band- Flocculent Splooge

[Ligyron]

33. Fascinated by this stuff.

I've destroyed all the ones I could access but of course the one's dead center of my back I can't reach. Always wondered why they tended to grow there. I thought it was because it's a difficult to clean area but medicos tell me "not".

[becca da bakkah]

34. Ooohhh Yummy! I'm Hungry Now!

[MicaelS]

36. Thanks for posting this.

I love this stuff. Love watching Dr. Sandra Lee aka Dr. Pimple Popper. She has done some major procedures and videos them.

I also like the one where normal pimples and comedones are being expressed, set to music.

[Aristus]

37. Next time I have a good one, I'll be sure to report it here.

[flying_wahini]

38. As a former med/surg nurse I have to admit I loved doing dressing changes.

And the worst wounds were the most satisfying ones. Not because they were gross but because I found it really interesting and the patients needed someone who wasn't squeamish about it.
Only caveat was when doing burns. Never ever got used to them.

[Aristus]

39. My father was a surgical nurse!

Cool!

[Mosby]

40. I had a cyst removed about a week ago

They wouldn't do it until the infection was gone. I had to drain it every day while the antibiotics did their thing.

I think the derm may have been milking my insurance, they ordered a bunch of blood tests, culture, and biopsy.

The third visit where they actually removed it was 620 dollars.

Eta they didn't give me anything for pain, and I go back tomorrow to have the stitches removed.

[Aristus]

41. They don't sound like they're very good.

[Xolodno]

42. Well....

I think I'll skip dinner

[left-of-center2012]

43. Check out Dr. Pimple Popper on YouTube

https://www.youtube.com/user/DrSandraLee/videos

[Aristus]

44. My wife and I have started to watch the TV shows together.

Interesting, and a lot of fun.

As usual with any medical show, my wife gets irritated when I diagnose the patient before the TV doctor does.

I wish they'd get a few Physician Assistants on screen.

Royal Pains had a character who was a PA, but they ruined her character in the finale by portraying her as wanting to go to medical school to get an MD. I don't know any PA's who want that.