Things,your,Dematologist,shoul health 10 Things your Dematologist should be telling you about Surg


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Skin cancer is becoming a serious health epidemic. Millions of people around theworld are facing the exact same dilemma that is crossing your mind at this second. Is surgery the only option? What will my skin look like after surgery? What are the other possible consequences that I may have to deal with following a decision to use surgery to remove skin cancer?Let’s face it; your dermatologist is a busy person. I mean how long is your waiting period before you actually have your surgery booked? Have you ever realized that between now and the weeks or months you're waiting for your appointment, your doctor is treating other people every working hour. With So many skin cancers to treat, it is possible that your dermatologist may have not had time or forgotten to enlighten you to some very serious facts related to surgery.No-one wants to fix something only to find out that there is even more to fix afterwards. If you read through these top 10 facts your dermatologist should tell you, you will realize that surgical treatment of skin cancer is likely not to be the end of your problems.1. Having a biopsy does not remove cancer, it only takes off the top layer of your skin, and therefore skin cancer is still at large underneath the skin epidermis. That biopsy does not entirely show how deep the cancer cells go, just that there is a problem to be fixed. 2. If you have been diagnosed with a Basal cell carcinoma then realize as a fact that this type of cancer is a completed localized and you have zero (0) risks of it spreading to other parts of your body. We know that some doctors scare their patients into thinking that unless immediate surgical action is undertaken then their lives are at risk. Now, don't take my word for it, if you want, you can search anywhere on the net and information sites where you can find the same fact – BCC’s are not deadly, they can just spread to be very ugly, invasive sores and there is also a possibility to loose a nose for example. If your doctor has informed you that your BCC is deadly then that is wrong information, so ask yourself, is that ethical? Would you let the same person pull the surgical knife to your face?3. Mohs surgery uses drugs as warfain, aspirin, and nonsteroidal anti-inflammatory drugs during the surgical procedures. Although many medial procedures require the use of pain numbing anesthesia there are some risk factors to consider. For example, a common outcome following anesthetic bleeding complications further complicating things from getting back to normal. 4. In case where, there is usage of warfain, aspirin, and nonsteroidal anti-inflammatory drugs or platelet aggregation inhibitors during the procedures there is a high outcome of this event which would lead to you experiencing excessive bleeding complications.5. Skin cancer treatments in general require complete removal or death of all cancer cells. This is an all or nothing matter, every tiny trace must be taken care of. Many patients have lost their eyes and ears because their tumors were not completely removed; some people, who have had Squamous Cell Carcinoma’s, have even lost their lives. 6. Since the surgeon will remove the skin to cut out the cancer, a skin graft may be required to cover the lost skin. A skin graft is a patch of skin surgically removed from one area of the body and transplanted to another one. While the patient is awake (local anesthesia), sleepy (sedated), or deep asleep and pain-free (general anesthesia), healthy skin is taken from elsewhere on the patient's body using a dermatome (skin-cutting instrument). This is called a split-thickness skin graft, which contains the dermis with only a portion of the epidermis (top skin layer). The donor site can be taken from any area of the body - usually an area that is hidden by clothes, such as the buttock or inner thigh. This means that your body undergoes the stress of not just one surgery, but a second skin removal to cover the first. Obviously, this results in even further scarring. Removing skin cancer surgically means patients will have to cope with big ugly unwanted scars that are visible for a lifetime. Think that every time you look in the mirror for the rest of your life you will never forget the day you walked into the surgery room. 7. But Scars are not the end of the situation. It is not unusual for your surgeon to apologize after treatment and explain that: “unfortunately plastic surgery is the only option for you not to have major cosmetic defects for the rest of your life.” It is time to pull out your wallet again, undergo more stressful surgery and have you checked the price of having a plastic surgery lately? 8. For 4-8 weeks following surgery you will carry a wound caused by the surgical removal. You will be required to follow wound healing procedures at home under self supervision. Dressing must be changed every day until the wound is healed completely taking 4-8 weeks.9. Post treatment, sometimes the lesion or wounds will get infected. Surgical infections can have long term effects, once infected; you will be put on antibiotics for a week this will mean the lesion meaning your scar will not be healed. Such infection can also lead to serious blood clots formed under your skin causing a hard lump until your body absorbs it in which is around 12 months.10. Mohs surgery with some patients will have numbness in the area for six months or even up to 2 years and this is a long time. Can you imagine having a part of your face (numb without feeling) for such a prolonged period of time? This is a serious side effect that your dermatologist should discuss with you. The Mohs Surgery was invented between the 1930’s – 1940’s and the technology is only as good as the skill of the dermatologist. Mohs can be ineffective because it relies entirely on the human eye to determine the extent of the cancer. Therefore in an effort to preserve the healthy tissues too little may be removed which results in the reoccurrence of skin cancer. On the other hand, if too many healthy skin tissues are unnecessarily removed you can expect excessive scarring (leading to possible plastic surgery). It is true that Mohs surgery uses microscope analysis to determine that the cancer cells have been removed. However, note that if just one single trace of cancer remains the cells will multiply and before too long the skin cancer will be prominent again. The diagram below explains how both procedures work and what the outcomes are. There are many more reasons to Mohs surgery and other alternatives we need to ask ourselves who will bear the consequences you or your surgeon. By comprehending the two diagrams and comparing the stages you will go through, the essential factor is reaching the cancer cells so that they can stop duplicating thus spreading the lesion. Mohs has a history of success, however to reduce the side effects mentioned above, the quality of Mohs surgery rests entirely with the skill set of the surgeon.

Things,your,Dematologist,shoul

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