1 00:00:00,270 --> 00:00:04,170 You don't want to spend time inside a hospital, of course you will say, but perhaps not 2 00:00:04,170 --> 00:00:07,730 you study medicine like me and you don't have a retired doctor as uncle. Him 3 00:00:07,730 --> 00:00:12,050 he knows everyone and decided to help me choose your specialization. It's not one 4 00:00:12,050 --> 00:00:15,270 morphine pill. And he doesn't let it pass for all the sets of the greatest show 5 00:00:15,270 --> 00:00:18,650 medical television in the history of surgery and advanced research, 6 00:00:18,650 --> 00:00:21,390 if my uncle's hospital practice is decidedly experimental. 7 00:00:22,270 --> 00:00:25,250 Robert is charming, come down again more. 8 00:00:25,870 --> 00:00:28,250 Really too late to sign up for jurisprudence? 9 00:00:39,210 --> 00:00:43,190 It is the largest organ in the human body, the dress that has wrapped us since 10 00:00:43,190 --> 00:00:44,550 we were born, the skin. 11 00:00:44,990 --> 00:00:46,710 Today it's dermatology's turn. 12 00:00:47,190 --> 00:00:49,910 A field where it is fundamental visual observation. 13 00:00:50,510 --> 00:00:54,030 What fascinates me about dermatology is that I can do everything in the 14 00:00:54,030 --> 00:00:57,670 study, from visits to most of therapies. I don't feel like staying in 15 00:00:57,670 --> 00:01:01,250 feet eight hours to do transplants of liver. In dermatology when operating, 16 00:01:01,250 --> 00:01:02,250 works while sitting. 17 00:01:02,480 --> 00:01:06,900 If you spot a cancerous formation you can remove it immediately, you cure the patient 18 00:01:06,900 --> 00:01:10,300 right away and we find this very rewarding. I have fun with it. 19 00:01:15,460 --> 00:01:20,500 Robert, I made an appointment for you with dermatologist, he'll check that thing 20 00:01:20,500 --> 00:01:22,920 brown and hairy who raised you on the butt. 21 00:01:27,340 --> 00:01:28,340 Thank you. 22 00:01:30,140 --> 00:01:31,140 Thank you. 23 00:01:31,830 --> 00:01:35,650 Many skin problems can be embarrassing. It was very obvious. 24 00:01:35,910 --> 00:01:37,490 Definitely ugly to look at. 25 00:01:37,790 --> 00:01:38,850 I was very scared. 26 00:01:39,070 --> 00:01:41,810 Fatidious already in adolescence and is worsened in his twenties. 27 00:01:42,030 --> 00:01:46,530 Dermatologists are very fast. Sometimes you feel like you're watching a medical exam 28 00:01:46,530 --> 00:01:47,850 with double speed slow motion. 29 00:01:48,160 --> 00:01:52,740 That's what I do 90% of the time. I look at it and the diagnosis is immediate. The 30 00:01:52,740 --> 00:01:54,580 I say you have X and the therapy is Y. 31 00:01:54,780 --> 00:01:56,620 Do what I say and you will get better. 32 00:01:56,880 --> 00:02:00,400 Or come back to see me. But as I am good, most of the time the patient 33 00:02:00,400 --> 00:02:01,400 responds to treatment. 34 00:02:01,700 --> 00:02:04,880 When we talk about dermatology we think immediately to acne. 35 00:02:05,880 --> 00:02:08,539 Virtually everyone suffers from acne sooner or later in life. 36 00:02:08,940 --> 00:02:12,440 So when he explains to a kid that everyone can have it and he responds 37 00:02:12,440 --> 00:02:16,280 but... Joe doesn't have Joe in my class 'ha and I tell him don't worry, between 38 00:02:16,280 --> 00:02:19,600 Joe will have it for a few years too. Good morning, good morning. Dermatology 39 00:02:19,600 --> 00:02:23,660 only buboes and blackheads, the doctors they see all kinds of symptoms. 40 00:02:23,940 --> 00:02:24,960 The next one is at six. 41 00:02:25,500 --> 00:02:29,880 The moment you enter mine study to burn a wart or 42 00:02:29,880 --> 00:02:33,820 a cure for acne, it could also happen that it is removed with 43 00:02:33,820 --> 00:02:37,340 a suspicious lesion or some form of cancer. 44 00:02:37,840 --> 00:02:39,520 Red, irritated, protruding. 45 00:02:40,080 --> 00:02:45,000 I had cysts everywhere. The itching it was unbearable. I had a rash 46 00:02:45,000 --> 00:02:49,100 skin over the entire chest, starting from neck and reached the waist. I had many 47 00:02:49,100 --> 00:02:53,160 blackheads and the skin was terribly fat. It started to bleed, 48 00:02:53,240 --> 00:02:54,240 then I came here. 49 00:02:54,640 --> 00:02:59,260 Sometimes the skin can have problems, sometimes he just acts like 50 00:02:59,260 --> 00:03:03,600 skin. The skin does what it thinks right, what he thinks is the answer 51 00:03:03,600 --> 00:03:07,820 better for a certain situation. It can you I also don't like it, but that's another one 52 00:03:07,820 --> 00:03:11,520 history. This is why we go to a dermatologist to be seen. 53 00:03:12,040 --> 00:03:15,980 Skin problems are not hidden. When you look in the mirror you see 54 00:03:15,980 --> 00:03:19,000 what the doctor sees, only they they know how to read the symptoms. 55 00:03:19,560 --> 00:03:23,340 The eyes are probably the most important diagnostic tool in 56 00:03:23,340 --> 00:03:27,700 dermatology, both in recognizing a specific lesion as in identifying 57 00:03:27,700 --> 00:03:29,900 ways in which injuries can appear. 58 00:03:30,860 --> 00:03:32,740 Hi, I'm Dr. Wong. 59 00:03:32,960 --> 00:03:37,100 There are those who never forget a face. I dermatologists never forget one 60 00:03:37,100 --> 00:03:42,560 injury. They recognize her immediately. Warts, rashes, eczema, moles, birthmarks. 61 00:03:42,560 --> 00:03:44,560 they know better than you who have them on. 62 00:03:45,460 --> 00:03:49,140 This comes with practice. He's coming analyzing one case after another. 63 00:03:49,780 --> 00:03:53,180 You need experience to recognize something the moment you see it. 64 00:03:54,540 --> 00:03:59,120 To be able to observe well, it is used this device, the dermatoscope. 65 00:03:59,340 --> 00:04:04,060 It uses LED, diode technology light emission, and is equipped with 66 00:04:04,060 --> 00:04:08,140 special polarizing filters for reduction of reflexes. The injuries 67 00:04:08,140 --> 00:04:12,280 magnified up to 10 times without any distortion and if it disgusts you a little 68 00:04:12,280 --> 00:04:13,380 touch, then no. 69 00:04:14,500 --> 00:04:18,320 Feeling an injury also gives us the tools to understand if it is one 70 00:04:18,320 --> 00:04:21,279 superficial lesion or a deeper problem. 71 00:04:21,950 --> 00:04:25,970 So when we examine the skin of our patients, even if they have a 72 00:04:25,970 --> 00:04:30,190 bad acne on the back, we we always check the moles too 73 00:04:30,190 --> 00:04:31,190 suspicious. 74 00:04:31,970 --> 00:04:36,590 Doctors always look for suspicious things, which in many cases are treated 75 00:04:36,590 --> 00:04:37,590 immediately. 76 00:04:38,070 --> 00:04:39,130 Do you want to talk now? 77 00:04:39,740 --> 00:04:44,420 Yes, several dermatological lesions they are eliminated immediately. It's not 78 00:04:44,420 --> 00:04:48,460 you burn them, you freeze them, you use the laser or the electricity. The end result must 79 00:04:48,460 --> 00:04:52,080 be destroy something that goes eliminated from the skin without harm 80 00:04:52,080 --> 00:04:53,360 patient with the procedure. 81 00:04:53,620 --> 00:04:57,640 This man is quite nervous. They are to apply nitrogen to his face 82 00:04:57,640 --> 00:05:02,460 liquid. It's called cryotherapy. The Cryotherapy is quite a therapy 83 00:05:02,460 --> 00:05:07,140 dermatology. It's a kind of ice dry. The lesions are frozen with 84 00:05:07,140 --> 00:05:10,540 'liquid nitrogen, one of the gases with the point lowest freezing point. 85 00:05:11,400 --> 00:05:15,880 Cryotherapy works quite well because the supply is localized and well 86 00:05:15,880 --> 00:05:20,160 controllable and even if it removes cells lives, leaves the structure of the 87 00:05:20,160 --> 00:05:21,880 dermis without deep scars. 88 00:05:23,060 --> 00:05:28,200 When I'm done, I take the tank and... The effect of nitrogen on the floor 89 00:05:28,200 --> 00:05:31,780 it amuses children a lot. My name is Per, Doctor Per. 90 00:05:32,340 --> 00:05:33,340 Leather specialist. 91 00:05:39,880 --> 00:05:44,900 Cryotherapy attacks all types of dermatological lesion. It's safe, easy. 92 00:05:45,140 --> 00:05:47,120 Warts, for example, are no longer a problem. 93 00:05:47,880 --> 00:05:50,080 Perhaps. Excuse me, is cryotherapy here? 94 00:05:50,990 --> 00:05:56,670 Ah no, this is dermatology, there crinotherapy has probably been done since 95 00:05:56,670 --> 00:06:01,590 I don't cry, uncle cryotherapy, it's done with the cold How do you know, you are not there 96 00:06:01,590 --> 00:06:06,130 never been I didn't explain myself, I am here to remove my warts Oh, the 97 00:06:06,130 --> 00:06:10,430 Warts are not a thing like that dramatic If you only knew what I'm worried about 98 00:06:10,470 --> 00:06:16,650 then this will be useful to you. Thank you 99 00:06:16,650 --> 00:06:22,730 Soon A cely skin is beautiful, but there are those who would let themselves be poisoned for 100 00:06:22,730 --> 00:06:23,730 have it. 101 00:06:29,390 --> 00:06:32,970 Robert, I made an appointment for you... My uncle hadn't stared at me there 102 00:06:32,970 --> 00:06:36,630 appointment with the dermatologist all 'sign of discretion. Say in the room 103 00:06:36,630 --> 00:06:39,930 'wait I had a hairy mole on my butts wasn't the best for mine 104 00:06:40,870 --> 00:06:43,930 But dermatologists are also important for self-esteem. 105 00:06:44,920 --> 00:06:46,420 Self-image is important. 106 00:06:46,880 --> 00:06:51,000 Many people place great emphasis on skin diseases. This is because 107 00:06:51,000 --> 00:06:54,620 they are linked to the image we have of ourselves and that we present to 108 00:06:54,620 --> 00:06:59,240 others. Many come here because of 'acne and many also because they don't want to 109 00:06:59,240 --> 00:07:03,060 no longer seeing all those wrinkles on him. They come to my office and ask me 110 00:07:03,060 --> 00:07:06,800 latest findings in dermatology. Not I would like this inflammation to me 111 00:07:06,800 --> 00:07:10,580 you get to the face. I want to be able to go out at home without having to be ashamed when 112 00:07:10,580 --> 00:07:11,580 I meet someone. 113 00:07:12,000 --> 00:07:15,980 The skin is our largest organ, fortunately he gets older. 114 00:07:18,040 --> 00:07:22,840 A treatment that intervenes in this meaning is Botox. Botox is a bacterium 115 00:07:22,840 --> 00:07:24,080 which paralyzes the muscles. 116 00:07:24,880 --> 00:07:26,840 The same one that causes botulism. 117 00:07:27,200 --> 00:07:32,580 Its cosmetic application was discovered in Vancouver by an ophthalmologist 118 00:07:32,580 --> 00:07:36,480 injected into patients with paralysis brain to stop spasms 119 00:07:37,620 --> 00:07:40,600 After the treatment he noticed wrinkles they had disappeared. 120 00:07:41,520 --> 00:07:46,160 He also did several experiments on himself itself and thus reached the conclusion 121 00:07:46,160 --> 00:07:50,240 which was an extremely effective method to eliminate wrinkles caused by 122 00:07:50,240 --> 00:07:54,960 repeated movements, such as wrinkling eyebrows, frown, 123 00:07:54,960 --> 00:07:59,300 squint, wrinkles expression, those who come when 124 00:07:59,300 --> 00:08:02,660 laughs. Botox is very effective in these cases. 125 00:08:05,080 --> 00:08:08,060 Dermatologists also know how to remove tattoos. 126 00:08:08,780 --> 00:08:11,620 they send a laser beam into the skin which dissolves the ink. 127 00:08:11,980 --> 00:08:15,960 The amplitude of the laser wave varies a depending on the color of the ink. One 128 00:08:15,960 --> 00:08:19,560 once the ink has dissolved, the body absorbs pigments naturally. 129 00:08:20,920 --> 00:08:25,300 The entire treatment takes about two minutes and you will have the impression of 130 00:08:25,300 --> 00:08:26,820 a band-aid that pulls at your skin. 131 00:08:27,420 --> 00:08:31,340 But if you're a rough tattooed biker from head to toe, what will it be? 132 00:08:33,390 --> 00:08:35,330 The tattoo does not disappear immediately. 133 00:08:35,570 --> 00:08:40,929 It takes 6 to 8 weeks. E maybe a few additional visits. But 134 00:08:40,929 --> 00:08:43,990 if your love for Jane fades, the tattoo can also fade. 135 00:08:46,110 --> 00:08:49,670 The amount of skin problems that a dermatologist examines it every day 136 00:08:49,670 --> 00:08:52,790 really vast. My leoneo al comparison seems silly. 137 00:08:53,410 --> 00:08:55,830 There are extremely serious disorders. 138 00:08:56,390 --> 00:09:00,290 The disorders reported in a volume of dermatology reach the figure 139 00:09:00,290 --> 00:09:01,990 approximately 2700. 140 00:09:10,680 --> 00:09:13,420 Why is he here? Vitiligo. 141 00:09:15,240 --> 00:09:16,240 V what? 142 00:09:16,680 --> 00:09:21,020 Vitiligo. It is a disorder of skin pigmentation. The color 143 00:09:21,020 --> 00:09:22,940 gradually and the skin becomes more clear. 144 00:09:23,320 --> 00:09:24,520 Like Michael Jackson. 145 00:09:26,300 --> 00:09:31,680 It's getting worse visibly. 146 00:09:36,360 --> 00:09:40,720 In North America alone over 6 millions of people suffer from vitiligo. 147 00:09:40,720 --> 00:09:41,720 Doctor Per talks about it. 148 00:09:42,520 --> 00:09:44,800 Vitiligo is an autoimmune disease. 149 00:09:45,100 --> 00:09:49,320 In autoimmune diseases the system immune system attacks parts of the body 150 00:09:50,160 --> 00:09:55,060 In the case of vitiligo it attacks the pigmented skin cells and loses 151 00:09:55,060 --> 00:09:56,060 pigment. 152 00:09:57,940 --> 00:10:02,660 The pigment comes from melanocytes contained in the epidermis, the layer 153 00:10:02,660 --> 00:10:03,800 superficial of the skin. 154 00:10:04,270 --> 00:10:08,210 The epidermis is our first line defensive against bacteria and one of the 155 00:10:08,210 --> 00:10:12,870 defensive strategies is regeneration mobile phone at a rate of 2 -3 million per 156 00:10:12,870 --> 00:10:16,710 day. Thanks to the fact that the the epidermis is constantly renewing, 157 00:10:16,710 --> 00:10:20,790 a microorganism manages to attack it, it doesn't last long because the cells 158 00:10:20,790 --> 00:10:22,310 they are constantly eliminated. 159 00:10:23,130 --> 00:10:28,190 It is the border line between us and there 'external and how every border is 160 00:10:29,320 --> 00:10:33,600 The immune system holds up I control the cells in transformation e 161 00:10:33,600 --> 00:10:36,620 germs and it is the cells that do it Langerhans. 162 00:10:36,900 --> 00:10:40,840 If something is introduced through the skin Langerhans cells lo 163 00:10:40,840 --> 00:10:44,500 they grab you by the neck, they run to you lymph nodes and tell him hey look at that 164 00:10:44,500 --> 00:10:48,460 what did I find. At that point i lymph nodes respond and the system 165 00:10:48,460 --> 00:10:51,200 immediately sends the defensive cells to the skin. 166 00:10:52,040 --> 00:10:56,580 The second layer of skin is called dermis. It is the most robust, consisting of 167 00:10:56,580 --> 00:11:00,880 thick and solid fiber structure collagen and elastin. It's full of vases 168 00:11:00,880 --> 00:11:04,060 blood vessels and glands. The plus layer deep is the hypodermis. 169 00:11:04,400 --> 00:11:08,600 It is mainly composed of cells fat, which absorb shock and 170 00:11:08,600 --> 00:11:09,600 regulate the temperature. 171 00:11:11,940 --> 00:11:17,440 The leather is waterproof, elastic and yes can wash. In case of small injuries it is 172 00:11:17,440 --> 00:11:19,320 also capable of healing itself. 173 00:11:19,840 --> 00:11:23,640 But the skin burns and believe me, I have some experience in the matter. 174 00:11:26,120 --> 00:11:31,220 For 10 -15 years dermatologists have preached in the desert talking about the 175 00:11:31,220 --> 00:11:35,980 danger of the sun's rays, but we we know that UVA rays like rays 176 00:11:35,980 --> 00:11:39,000 in the long term they can cause cancer. 177 00:11:41,080 --> 00:11:44,840 I spend half my life in dermatologist to tell people not 178 00:11:44,840 --> 00:11:46,900 sunbathe, you don't have to do the lamps. 179 00:11:47,260 --> 00:11:48,520 It's wrong! 180 00:11:48,860 --> 00:11:51,880 And I don't joke, except when I do I. Then it's fine. 181 00:11:52,420 --> 00:11:55,760 Dr. Perro uses a booth special for the emission of rays 182 00:11:55,760 --> 00:12:00,060 ultraviolet, thin and safe rays able to cure some diseases 183 00:12:00,060 --> 00:12:02,880 skin. The doors open from both sides. 184 00:12:03,760 --> 00:12:07,920 I use grapes for the treatment of many disorders, psoriasis, eczema, sometimes 185 00:12:07,920 --> 00:12:12,340 also vitiligo. The reason why are usually dangerous is that 186 00:12:12,340 --> 00:12:14,180 the skin's immune response. 187 00:12:14,460 --> 00:12:18,180 That's why they hurt. On the other hand, in some specific cases, such as 188 00:12:18,180 --> 00:12:22,500 psoria on eczema, these cells immune or inflamed are 189 00:12:22,760 --> 00:12:27,420 If the skin cells normally they take 28 days to regenerate and 190 00:12:27,420 --> 00:12:31,760 cells fall in case of disease they reform in about 4 days and those 191 00:12:31,760 --> 00:12:32,760 old ones don't fall off. 192 00:12:35,020 --> 00:12:39,500 The cells accumulate in one layer more and more often, they become inflamed and 193 00:12:39,500 --> 00:12:40,540 they take on this appearance. 194 00:12:42,510 --> 00:12:46,490 The intent is to administer the right one right dose of ultraviolet 195 00:12:46,490 --> 00:12:49,730 frequency and calm the process inflammatory. 196 00:12:50,190 --> 00:12:52,270 This dose does not harm the skin. 197 00:12:53,530 --> 00:12:58,230 It takes more than three sessions to week and several months. But it works. 198 00:12:59,750 --> 00:13:04,330 In the solar centers the situation is totally different. There's no security, 199 00:13:04,330 --> 00:13:07,990 you have an idea of the intensity at which you are subjected. Ultraviolets 200 00:13:07,990 --> 00:13:09,110 require control. 201 00:13:09,680 --> 00:13:13,300 I had never had so many problems of control when I was slathering myself in the sun 202 00:13:13,300 --> 00:13:14,300 like a lizard. 203 00:13:14,820 --> 00:13:17,240 Maybe my mole was the sign of a skin cancer? 204 00:13:19,680 --> 00:13:25,060 Soon, moles, until yesterday, were a sign of beauty, today they can be 205 00:13:25,060 --> 00:13:26,060 danger sign. 206 00:13:32,380 --> 00:13:36,300 Dr. Wong examined mine neo and said that it is necessary to do a 207 00:13:36,300 --> 00:13:40,550 biopsy. Not a good thing, either Goofy in the sun was one thing 208 00:13:40,550 --> 00:13:45,050 good. Uva rays can cause the melanoma, a dangerous cancer of the 209 00:13:45,890 --> 00:13:50,830 So, when we examine a mole or a another mark on the skin, the questions from 210 00:13:50,830 --> 00:13:55,710 to be done are, is it malignant or not? It's cancer or not? It has the potential to become 211 00:13:55,710 --> 00:13:58,250 malignant or to turn into something 'else? 212 00:13:58,690 --> 00:13:59,690 All right. 213 00:14:00,410 --> 00:14:04,110 A mole is formed when melanocytes they go crazy and grow too much. 214 00:14:04,750 --> 00:14:08,950 We don't know what the detonator is that makes moles explode and for it to come 215 00:14:08,950 --> 00:14:11,950 pressed and without a doubt know it there it would be useful. 216 00:14:12,430 --> 00:14:17,710 For mole screening, dermatologists they use the so-called AVCDE formula. 217 00:14:18,230 --> 00:14:22,830 A stands for asymmetry, the two halves must be symmetrical if they are not 218 00:14:22,830 --> 00:14:27,130 bad sign. B stands for edge, which doesn't it must be uneven or smudged. 219 00:14:27,750 --> 00:14:31,710 C stands for color, if it is not uniform another bad sign. 220 00:14:32,280 --> 00:14:36,440 D stands for diameter. If it's more than that of a pencil eraser, that mole must 221 00:14:36,440 --> 00:14:37,440 be removed. 222 00:14:37,800 --> 00:14:42,480 E stands for evolution. If a mole starts to grow up, it's not good at all. 223 00:14:44,180 --> 00:14:47,780 If your doctor has any concerns, takes a histological sample. 224 00:14:48,080 --> 00:14:52,820 It's an operation that requires more or less two minutes. It's an easy procedure, the 225 00:14:52,820 --> 00:14:56,620 sample is really small, but it's in able to give us a lot of useful information. 226 00:14:57,610 --> 00:15:01,770 If you have a lesion in your body, tell your doctor will do a partial biopsy. Yes 227 00:15:01,770 --> 00:15:05,270 numb the part with the anesthetic local and scrape the surface of 228 00:15:05,270 --> 00:15:06,270 neoco with a razor blade. 229 00:15:07,890 --> 00:15:11,830 But if a deep biopsy is needed, then he will have to run it with this 230 00:15:11,830 --> 00:15:12,830 tool here. 231 00:15:14,170 --> 00:15:17,850 It resembles a piercing tool sweets, except that the sweet is you. 232 00:15:18,550 --> 00:15:22,630 But don't worry, doctors have be careful not to go beyond the layer of 233 00:15:22,630 --> 00:15:26,070 hypodermis fat and non-hypodermis fat damage venous and nervous tissue. 234 00:15:28,200 --> 00:15:32,640 The area is asleep. Doctors rotate this tool until you get a 235 00:15:32,640 --> 00:15:34,780 skin sample the size of a popcorn kernel. 236 00:15:35,420 --> 00:15:38,220 To me it seemed as big as l Wyoming octave. 237 00:15:45,180 --> 00:15:47,600 This is the flaw we just have removed, Robert. 238 00:15:49,940 --> 00:15:53,540 He wants to be kind enough to keep it a moment, please? Absolutely, yes. 239 00:15:55,240 --> 00:15:56,240 Thank you. 240 00:15:57,460 --> 00:16:01,160 So, let's say the important part of the operation was done. 241 00:16:02,380 --> 00:16:05,480 Now we'll take his mole and it we will bring in pathology. 242 00:16:07,540 --> 00:16:11,040 Where we will ask the pathologist to give him a 'look. 243 00:16:11,560 --> 00:16:14,000 It might look like what I see now on your computer. 244 00:16:14,860 --> 00:16:19,060 The pathologist will cut it into strips thin and will examine it under a microscope. 245 00:16:19,060 --> 00:16:23,860 interesting. Thank you. And like this we'll be able to tell you if that's all 246 00:16:23,860 --> 00:16:24,639 place, Robert. 247 00:16:24,640 --> 00:16:26,480 Perfect, perfect. Too kind. 248 00:16:27,580 --> 00:16:28,580 Well. 249 00:16:29,200 --> 00:16:34,340 Now let's think about getting this mole safe and sound in pathology. He's right, 250 00:16:34,340 --> 00:16:36,180 you are never too hot. Ninth. 251 00:16:37,100 --> 00:16:38,100 Thank you. Nothing. 252 00:16:40,040 --> 00:16:44,560 The pathologist is the second person who will get his hands on the new suspect. In 253 00:16:44,560 --> 00:16:49,360 pathology laboratory undergoes as many as 23 different treatments, a sort of beauty 254 00:16:49,360 --> 00:16:55,240 farm for moles that are polished, shaved and dried. Then put on 255 00:16:55,240 --> 00:16:58,440 pathologist makes his report evaluating the cell behavior. 256 00:17:00,060 --> 00:17:04,800 At this point the pathologist will observe i tissue fragments, looking level 257 00:17:04,800 --> 00:17:07,440 cell phone if there is something wrong or if there is a problem. 258 00:17:09,960 --> 00:17:14,180 The pathologist looks for cells that are reproduce abnormally, or of 259 00:17:14,180 --> 00:17:17,200 abnormal, or that are simply in the wrong place. 260 00:17:17,960 --> 00:17:22,119 A clone of cells can be found abnormal with the so-called growth 261 00:17:22,119 --> 00:17:26,440 horizontal, where the cells grow in horizontal direction. It would be dangerous 262 00:17:26,440 --> 00:17:29,780 the vertical one because the cells they go deep into the skin. 263 00:17:31,620 --> 00:17:36,020 When cancer cells puncture the 'epidermis and enter the dermis, there is 264 00:17:36,020 --> 00:17:38,240 risk of them spreading to other parts of the body. 265 00:17:41,930 --> 00:17:46,070 Melanoma is the largest skin cancer dangerous, can enter the bloodstream and 266 00:17:46,070 --> 00:17:50,170 spread to internal organs, but if the doctors stop him before he reaches 267 00:17:50,170 --> 00:17:52,870 the dermis, there are 100% cases of healing. 268 00:17:54,390 --> 00:18:00,150 Melanoma must absolutely be taken into account advance, if a mole changes appearance, not 269 00:18:00,150 --> 00:18:04,570 wait, next year or the other again, the best thing is to do it 270 00:18:04,570 --> 00:18:08,850 examine, so you will know immediately if you should worry or not. 271 00:18:11,400 --> 00:18:15,480 If your skin is covered in moles irregular shape, then they will make you one 272 00:18:15,480 --> 00:18:16,480 photo. 273 00:18:16,760 --> 00:18:21,000 In this way every time the patient shows up we can do a 274 00:18:21,000 --> 00:18:25,520 with the previous photos and if we notice a we know which changes to make 275 00:18:25,520 --> 00:18:27,040 biopsy or which ones to remove. 276 00:18:27,560 --> 00:18:32,060 Luckily they don't take photos of underwear. Suspicious moles are marked for 277 00:18:32,060 --> 00:18:33,560 be able to follow its evolution. 278 00:18:34,040 --> 00:18:39,640 Mapping is basically one tool to document how 279 00:18:39,640 --> 00:18:40,640 moles evolve. 280 00:18:42,410 --> 00:18:44,950 Doctors study all the moles of the your map. 281 00:18:45,390 --> 00:18:48,390 If there are changes, now is the time of the biopsy. 282 00:18:50,710 --> 00:18:55,070 Soon, the sun can kill, at least skin cells. 283 00:19:02,450 --> 00:19:06,350 After removing the mole from my butt, Dr. Wong sent it to 284 00:19:06,350 --> 00:19:07,970 pathology to see if it is malignant. 285 00:19:09,350 --> 00:19:13,570 Doctors know that skin cancer the more dangerous is melanoma, but no 286 00:19:13,570 --> 00:19:14,570 they ignore the causes. 287 00:19:15,770 --> 00:19:20,530 We believe that the appearance of melanoma is deeply connected to the system 288 00:19:20,530 --> 00:19:24,410 immune. The immune system does part of the body's defense system 289 00:19:24,410 --> 00:19:29,190 and is designed to detect organisms invaders or cancer cells e 290 00:19:29,190 --> 00:19:33,170 destroy. Ultraviolet rays they slow down natural processes 291 00:19:33,170 --> 00:19:36,710 of the skin, therefore the cells immune systems cannot do theirs 292 00:19:39,630 --> 00:19:44,410 We highlighted that in people affected by melanoma the system 293 00:19:44,410 --> 00:19:48,410 for some reason it doesn't work like should against cancer cells. 294 00:19:49,710 --> 00:19:55,410 Dermatology is fast. The doctors they work quickly and quickly 295 00:19:55,410 --> 00:19:59,570 skin cells. Every day millions are born and die. But this 296 00:19:59,570 --> 00:20:01,910 it means skin cancer too it's fast. 297 00:20:03,720 --> 00:20:07,900 If you have moles, always have them examined get a dermatologist there 298 00:20:07,900 --> 00:20:11,940 keep an eye on my moles they seem suspicious but the doctor says so 299 00:20:11,940 --> 00:20:15,640 I'm more than happy I'm not there I check often as I should unfortunately 300 00:20:15,640 --> 00:20:18,320 boy instead he does it he also checks mine 301 00:20:18,320 --> 00:20:24,820 hey Robert 302 00:20:25,770 --> 00:20:29,650 I told you there was no reason to worry. Dr. Wong mi 303 00:20:29,650 --> 00:20:33,650 he said the biopsy is positive and the Dr. Porter agrees with you. 304 00:20:33,870 --> 00:20:38,210 Did you say positive? Yes, but the result is negative. He said positive because the 305 00:20:38,210 --> 00:20:39,570 Is the result negative? Exact. 306 00:20:40,750 --> 00:20:41,950 Is it really positive? 307 00:20:42,190 --> 00:20:43,310 Absolutely positive. 308 00:20:43,790 --> 00:20:45,810 So if it's positive, is it okay? 309 00:20:46,010 --> 00:20:47,430 Yes, a little less negative. 310 00:20:52,460 --> 00:20:57,080 Here they don't just deal with blackheads and protective factors. I'm happy with 311 00:20:57,080 --> 00:20:58,100 have clarified my problem. 312 00:20:58,380 --> 00:21:01,680 They give you an immediate answer, you they look and tell you what's what 313 00:21:01,680 --> 00:21:06,180 go. We often underestimate the importance of the skin and instead does many things for 314 00:21:06,180 --> 00:21:09,400 us. Strangely enough every time I have a visit my rash becomes 315 00:21:09,400 --> 00:21:10,400 less obvious. 316 00:21:10,820 --> 00:21:15,540 Patients now understand that they can prevent many ailments, scars 317 00:21:15,540 --> 00:21:18,320 of acne, skin cancer for exposure to the sun. 318 00:21:19,650 --> 00:21:22,290 Many have understood it, but it is still there who doesn't understand it. 319 00:21:23,050 --> 00:21:26,970 According to Dr. Per, if you want to avoid premature skin aging e 320 00:21:26,970 --> 00:21:29,790 skin cancer, there are four things you have to do. 321 00:21:30,130 --> 00:21:31,970 Number one, avoid the sun. 322 00:21:32,770 --> 00:21:34,630 Number two, avoid the sun. 323 00:21:35,270 --> 00:21:37,130 Number three, don't smoke. 324 00:21:37,430 --> 00:21:42,330 Yes, smoking ages the skin and causes cancer. And number four, the rule 325 00:21:42,330 --> 00:21:44,630 Most importantly, avoid the sun. 326 00:21:45,570 --> 00:21:47,630 Okay, Dr. Per, we get it. 327 00:21:48,170 --> 00:21:52,550 But any doctor would tell you that the sun doesn't just hurt, it does 328 00:21:52,550 --> 00:21:55,830 vitamin D on the skin and makes it clear good hormones. 329 00:21:57,090 --> 00:22:00,570 My favorite remedy to avoid damaging the skin is ketchup. 330 00:22:00,850 --> 00:22:03,230 It shouldn't be used as a tanner, it should eaten. 331 00:22:03,730 --> 00:22:08,130 Ketchup is a source of phytonutrients and according to some studies it could 332 00:22:08,130 --> 00:22:14,250 protect your skin and reduce damage from ultraviolet up to 40%. In the future 333 00:22:14,250 --> 00:22:17,330 it will be interesting to have a reseller of chips on the beach. 334 00:22:23,440 --> 00:22:27,880 I'll never see you again now that you have the results of your biopsy? No, but I never have 335 00:22:27,880 --> 00:22:29,060 I was really scared. 336 00:22:29,520 --> 00:22:30,760 It actually seemed so. 337 00:22:31,120 --> 00:22:32,580 Well, ready for the sun? 338 00:22:33,040 --> 00:22:35,040 Certain. Perfect, let's go. 339 00:22:39,280 --> 00:22:43,120 Maybe we would have exaggerated a little, but not you can never be too careful. Absolutely yes. 340 00:22:43,280 --> 00:22:47,740 Already. We're not there with this deal protected only from the sun, but from 341 00:22:47,740 --> 00:22:49,100 virus contained in the air. 342 00:22:49,690 --> 00:22:54,930 from sexually transmitted diseases, nuclear fallout, chemical waste, 343 00:22:54,930 --> 00:22:57,650 of monsters, Jedi swords, travelers...