the same thing as you describe only i still use typical Qtips -- it gives me greater control of where I am freezing and keeps the "1mm" of normal tissue frozen to a minimum
I have heard and tried the pelvic exam swabs, but have reverted back to regular Q-tips
> From: Julia Mason
> Date: 2007/09/07 Fri AM 10:02:43 EST
> To: PedTalk
> Subject: Re: cryosurgical wart removal
> Pulling this out of the previous conversation. . .
> On Sep 7, 2007, at 7:58 AM, Ari Eisenberg wrote:
> > A prime example of
> > a doctor with "advanced training" is: cryosurgical wart removal. Is
> > everyone taught to do this in med school, or is this a skill that is
> > learned later -- I know we have made removed a large number of
> > warts in
> > our office. I know way back when before the advent of Histofreeze and
> > Varuca freeze this was the purview of the dermatologist.
> O.K., now I'm curious. In med school I learned to freeze warts with
> q-tips dipped in liquid nitrogen. I learned in the public health
> clinic, treating genital warts primarily. Now that I'm in practice,
> we still use q-tips and liquid nitrogen (although I've taught
> everyone to use the giant pelvic-exam cotton swabs for plantar warts--
> I roll the tip to make a smaller "point"). I'm happy with the
> results I get, and I don't think the materials are all that
> expensive, once we purchased the liquid nitrogen container.
> Just this past Tuesday I treated my youngest patient so far, a two
> and a half year old girl with a plantar wart. Her mother was
> skeptical that she would hold still (so why did she bring her in?),
> but by starting slow (holding the cold swab to the wart just briefly)
> and working my way up to longer time periods, I was eventually able
> to get three significant freezes (for me, that means that the
> "snowball" look/frozen area goes at least a couple of milimeters
> beyond the border of the wart itself). We'll see if it worked, but
> I'm hopeful.
> What are other people doing in their offices? Wart treatments are
> fascinating, as they seem to be quite susceptible to the placebo
> effect (witness all the magical wart treatments out there).
> Julia in Wisconsin