tag:blogger.com,1999:blog-9870114.post7702509466861782257..comments2024-03-10T08:41:32.400+00:00Comments on VIRTUAL GRAND ROUNDS IN DERMATOLOGY 2.0: R/O Subungual MelanomaHumane Medicine Huihttp://www.blogger.com/profile/07113291188306363130noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-9870114.post-12435406768028313752009-06-04T10:26:42.483+00:002009-06-04T10:26:42.483+00:00This is a niece posting about skin disease probl...This is a niece posting about skin disease problem.<br />Wishing you good luck.<br />www.brentwooddermatology.comAmit kumar guptahttps://www.blogger.com/profile/17241076529963057410noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-55855889554564223002009-02-16T21:23:00.000+00:002009-02-16T21:23:00.000+00:00Yes. Soaking is key. I think 20 minutes or more ...Yes. Soaking is key. I think 20 minutes or more -- may depend on the age of the patient -- old people's nails are harder. Then just careful use of the punch. No anesthesia -- so you know if you are getting close. Once one does this one or two times one gets the feel. DJE P.S. I've done this three times and and each time I was surprised I didn't traumatize the nail bed.Humane Medicine Huihttps://www.blogger.com/profile/07113291188306363130noreply@blogger.comtag:blogger.com,1999:blog-9870114.post-31402348963129648942009-02-16T19:54:00.000+00:002009-02-16T19:54:00.000+00:00Is the soaking the secret to soften the nail prior...Is the soaking the secret to soften the nail prior to using a punch. I was always a bit worried about the force I had to apply with a punch to get through a non soaked nail! The other useful technique is to use a dermatoscope but I agree this is much more convincing to a patient.Dr Ian McCollhttps://www.blogger.com/profile/01609385802531645972noreply@blogger.com