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#35748 09/28/2011 11:18 PM
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Dariusz Offline OP
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I would like to add cryosurgical treatment to list of procedures in my practice. Do you know if CryOmega cryosurgical device would be a good choice to start with ?


Dariusz
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I have always used Brymill.


Bert
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I also use Brymill and find it to be a great product.


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Dariusz Offline OP
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Thank you for the fast response. Seems that Brymill is much more advanced then CryOmega. Do you use 300ml or 500ml capacity ? Do you use any other extra equipment with Brymill device ?


Dariusz
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I looked on mine, and I couldn't tell. But, it looks like 500mL. But, unless you are a dermatologist and need to use it 20 times per day, you don't much liquid nitrogen anyway.

As far as parts, it should come with some. Our has a very small one with an L-shaped end and several nozzles that come in four different sizes. We generally use the very small one as you can get a lot of precision with it. The others blast away.

The only really stupid thing is they give you two clear plastic templates. They both have the same size holes. And, they are something like 2mm, 4mm, 7mm, 9mm and 11mm. Why they don't have 1 through 12 on three different ones makes no sense at all.


Bert
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Tanked cryo cost on google shopping says about $672.00. (Brymill).

I work in a rural area.

We use bulk liquid nitrogen from a local farm supply store in the village. For a tank about 3 feet tall we pay about $40.00- we get it filled when it is about to run low - maybe every 4-6 mths. This tank is supplied by the farm store- about $40.00 or so we paid long back, sits just outside my personal office so that no body else touches (for safety purposes)and I just use disposable cups and q tips. Every doctor in our town uses the same supplier and same technique and get paid the same as those sophisticated tanks.

Try calling a local farm supply company and see if they will deliver to your office and compare. You may be surprised at the cost.




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Wow! Sounds very interesting. Can you give more information on your technique?


Leslie
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Dariusz Offline OP
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Yes, that is very interesting. How do you handle liquid nitrogen ?


Dariusz
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Hi all,

I thought I was the only dinosaur left using a cotton swab and a styrofoam cup.....

Material list:

Liquid nitrogen Dewar, about 25 liter (big thermos bottle)
Ladel (usually carried by N2 supplier)
Styrofoam cup (coffee cup)
6" cotton swab
Cotton ball

The key is to wrap more cotton around the cotton swab. The cotton is wound too tightly to hold much N2. Pull some cotton off the cotton ball, and wrap it around the cotton alrady on the swab. I usually try to double the size of the cotton. This technique takes a little practice to learn.

Then put a ladelful (10 ccs or so) of N2 in a styrofoam cup. Just hold the cup normally, the outside will only get slightly cool. Dip the swab into the N2 for a few seconds, then apply yo the lesion. After 5 or 10 seconds, redip and reapply. When frozen, the lesion will be white in color.

Warts should be frozen longer, with about a 1 mm ring of frost extending into the surrounding skin. Actinic and sebaooheic keratoses need to be frozen in their entirety.

If the patient is a child, the best is yet to come. Lots of ways to have fun with the remaining N2!

Hope this helps. Gene


Gene Nallin MD solo family practice with one PA Cumberland, Md

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I've been using a product called VerucaFreeze. Not a very good deal as I think it is about 300 dollars per spray can. Have been wanting to get back into the liquid nitrogen, but I don't use it very often.


Chris
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I'm with Joseph....I buy my Liquid nitrogen from Midwest cryogenics...they are in the hog semen business. Same, reasons for using it....cheap.


Tom Young, DO
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Oh, being in the hog semen business must be very interesting!


Chris
Living the Dream in Alaska

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