Ganglion Cyst Drained with BIG Needle

Pushy cat, pushy cat, I've got flowers. I was trying to show them where my collar. He just put this collar on my teeth. That is not true. Are we rolling? Yes. OK, so we've got Barrow. Is there a patient? And he has a gangly insist. How long ago did you first notice this? Two weeks ago. Two weeks ago, OK. So a couple of weeks ago, he had this knot that came up on his wrist. And his wife sent him in and said, do something about this, because it's grossing me

out. So we're going to aspirate it for him. And we're going to do it with a collar on, right? OK, because I had surgery. It'll be one month ago tomorrow, as a matter of fact, OK? So I am a little jittery, but better. Does it make you feel more confident? Not a bit. All right, Gaby Jean, how about down here? Let's do this. It's hard. What? Oh, yeah. You have to try to use the spray and record. Right. But I think if anybody can do it, you can.

Thanks for having faith. I know you can do it. So there is our ganglion cyst right there. It actually feels very firm. It almost feels like it's not cystic. It almost feels like a mass. So there's always the slightest possibility that it could be something different, but I doubt it. Some 4 by 4's, please? Should have had a jammie come do this. Oh, I'd leave the camera. We could have, yeah, we go. That's going to be good. If you're ready to spray, we're going to do a little stick stinging

and a burn is what you're going to feel, Mr. Barrow. Ready? Ready. That's a little cold spray. OK, now you're going to feel a little stick, sting, and a burn. How do we do? We call it? Yep. Got that. Step one. Step two, we're going to put the big needle in. Are you nervous? I'm still like to look. Yeah, I wouldn't look at this. I'll watch the video. I'd watch the video. A little stick. Hopefully you won't feel it. I don't feel it. Uh-oh. We're not getting anything out.

That's what I was afraid of, that this was actually more solid feeling. Let's try one more time. Nothing's coming out here, my friend. Is that a bad sign? Well, it means that either this is older than you think it is, right? Or it's a solid mask, which I don't think it is. I think this is a, I definitely think this is a ganglion cyst, but I think it's been here for a while. And for some reason, it's not wanting to aspirate. Oh, here we go. We're getting some jelly out now.

It's just jelly? Yeah, it's really super thick. You see that coming out of there? It's going to be super, super thick. Yep. Yeah. So I think that at least parts of this have been here longer than you think they might have been because it takes a while for that to really solidify like that. OK. A little bit. It's good that it's not me feeling the pain right now. That would be wrong. But not bad. Nothing. Nothing that we need to inject. You more form that. We're good.

OK. So we got very little out, but it's enough to where we took the bump away. Yeah. Yeah. So we're going to go back in with a little cortisone. While this is still numb. And just give you a little bit of juice. Does that help reduce the swollen or anything? Well, yeah. What I'm hoping that it'll do is reduce the inflammation so that this is less likely to return. Research really doesn't support injecting cortisone in these. However, my experience has been people seem to be less likely to have to return

to have them aspirated again right away if I put a little bit of cortisone in there and then just make sure I work it around. And I don't know why the researchers didn't get that same result, but I did. OK. You can let go. Now put your arm out flat. There you go. Well, we got it out. Yeah. It didn't look like much. Yeah. But clearly, we've got some really thick, synovial type fluid out. And I think you're in good shape here. I think you got a good shot at this not returning right away.

Now if it does come back, well, we can try to aspirate it one more time. Usually what I'll do is aspirate them up to two times. And if they return after that, go ahead and send them over to a hand surgeon and talk about having a surgical procedure to remove it. But hopefully that won't be your case. Hopefully this will just go away. Hey, thanks for letting us record. Oh, I meant to ask you, is it OK if we video you for YouTube and all our friends on the internet?

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