Morris Westfried MD Dermatology DrMDK

Video Transcription

Interviewer: Sometimes kids go a pediatrician, they see this little like wart like thing, uses this term Molluscum contangiosum. Is that warts? Interviewee: Yes, there are variations of warts and I have a totally different philosophy than a pediatricians. The pediatrician’s turnaround says it is going to go anyway in two years. Interviewer: Let us resolve the pediatric books, okay. Interviewee: Okay. Interviewer: Let us throw that out of the window. Now, going to you. Interviewee: My problem with that is, I get them when they have 80 to a 100. Interviewer: Let us say you got them on -- Interviewee: And they are on the islands already. Interviewer: Okay, if you have ten. Interviewee: I would scrape them off. Interviewer: And that stops the spread to the rest of the body? Interviewee: Yes, if you get rid of the ones that are there and they have little chance to spread. Interviewer: So it is a wart, okay. Interviewee: But it is very thin and it is very high up. Interviewer: Okay, so, you are saying remove them. Interviewee: Yes, people use topical agents like canteric acid to burn them off, I do not like that because it makes a big blister. People freeze them, I have problems with that, it hurts and sometimes it causes color change. I like just very gently scraping them off. I can take 10 or 20 off in seconds. The people who use topical immunomodulators, they are expensive. They are 180 bucks for 12 or more packages. Interviewer: For wart? Interviewee: Yes but you are doing it more to shot the parent off, to give them something to do. Will they work here? Interviewer: Say it is just a little area and -- Interviewee: I will scrape. Interviewer: You will still scrape it. Interviewee: Yes, if is ten or 12 – Interviewer: So we are told these pediatricians— Interviewee: Wait. Interviewer: We were told to wait in three months. Interviewee: Yes, and the problem— Interviewer: So as are textbook you know that. Interviewee: I understand that but I see the kids with 80 to 100 neuron islets already. Interviewer: Have you seen what the bad case, we do not see any of the good ones. Interviewee: I understand that so I am only seeing the real disasters already so my answer is if I got them when they had five and I took of the five, I would never see the ones with the 80 to 100. Interviewer: Okay. Interviewee: Okay, then on top of that, I get the ones that get so big that they get infected already, now I got to be careful not to touch that one cause if I even work, I am liable. Interviewer: So, in a way, it is a difficult situation doing that. Interviewee: There is a take off, you know, like I hate one there the size of a grape fruit and I can leave them off there.