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Cryosurgery training

Discussion in 'General Issues and Discussion Forum' started by distalphalanx, Sep 30, 2009.

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  1. distalphalanx

    distalphalanx Member


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    Hi all, i am looking to do some training in cryotherapy. I am working in private practice in greater manchester UK and need some formal training before i use liquid nitrogen. I am wondering if there is any formal training to attend that would deem me competent and safe to practice, thanks, joanna :drinks
     
  2. Tony Mason

    Tony Mason Member

    Re: cryo training

    Hi Joanna

    It all depends where you qualified.
    If you qualified with one of the recognised schools of chiropody, cryosurgery would have been part of the sylibus. but they probably run post grad CPD courses
    <if you qualified privately and gained your HPC via <grandparenting. your school should run a post grad course.

    you would need to take a course in the theory of cryosurgery. pass an exam and then pass a practical exam.

    only then would your professional indemnity insurance cover you.

    If you want more info , come back to me

    Tony Mason
     
  3. distalphalanx

    distalphalanx Member

    Re: cryo training

    Hi Tony thanks for the reply, i did qualify at Salford Universityand although we covered the treatment of VP's i have been revisiting my notes and they state that we should gain competancy through professional training. We only briefly covered this aspect and were not given any formal training, so this concerns me as i don't want to refuse to do the treatment but also have to feel safe and happy to carry out the procedure on my patients and also be acountable for my actions, and insured of course. I live in the UK and cannot seem to find any suitable training. I have contacted the Society of chiropodists and podiatrists to ask for advice via email but have not had a reply yet, and further advice would be appreciated, Joanna.
     
  4. carolethecatlover

    carolethecatlover Active Member

    Gosh, a bit worrying. I am at the end of my 2nd year of 3 year course, and I did a histofreeze on 3 beautiful plantar warts last week. I was shown once and expected to do it....I was lucky to get the warts, others in my class may never meet a plantar wart until they graduate. I really wanted to try needling, but my supervisor was keen on histofreeze. I like to think I did a neat job. I guess I will have to do a nitrogen course in the future. Carole in Australia.
     
  5. Tony Mason

    Tony Mason Member

    Re: cryo training

    The problem with cryo, is which cryogen you should use. If you are in a Hospital the chances are that the Dermarology Dept will be using Liquid Nitrogen (minus 196 degrees). and would probably be more than happy to let you sit in on a session.
    If you are in private practice Nitrious Oxide (minus 90 degrees) is a better option.
    it is much easier to cope with a gas cylinder than all the problems of having a Dewar Flask.
    Also depending on the gas used the application holding time differs.
    From a professional point of view either of these gases are preferable to aerosol cans like histofreeze etc. as one of the criteria for successfull freezing is the speed at which you freeze the tissue to produce the halo. this is greatly increased if histofreeze is used . It does have a place in cryo but posssibly not in Podiatry. the other4 point to consider is which HPV strain are you dealing with and how large is the lesion. Lots of things to consider !!!!!! Regards Tony
     
  6. medisrch

    medisrch Active Member

    As Tony Mason trained at The SMAE Instute in Maidenhead he will know that they have weekly or bi weekly crysurgery clinics and provide training via CPD for HPC registered practitioners. Thwe course is theory and then practical training.
     
  7. Tony Mason

    Tony Mason Member

    Hi medisrch (who are you ?)

    Almost correct , I was a tutor there, teaching amongst other subjects cryosurgery, but the SMAE only used nitrous oxide and as we know there are other cryogens available.
    So if Joanna wants to use liquid nitrogen other forms of training would be necessary as the application procedure is different.
    I have been living in the sun for the past seven years so I am not sure what courses are available in the UK. but like other members of e-podiatry I will try to help members and students alike .

    Tony Mason sunnypod ?
     
  8. medisrch

    medisrch Active Member

    Thanks Tony Mason. Think you might be out of touch as The SMAE Institute teach and use liquid nitrogen. CO2 is not that good and not used so much these days. However, nitrous oxide has more advantages and it is interesting to note that there they have done some interesting research showing how it helps improve the immune system to combat further infection. Interesting times.
     
  9. distalphalanx

    distalphalanx Member

    Hi Guys thatnks for your help, so i guess i should try Maidenhead then? By the way what is SMAE institute? Ive looked on the internet and found the website, is it just for further development or have i got the wrong end of the stick? Joanna :morning:
     
  10. medisrch

    medisrch Active Member

    Have to correct you Tony Mason. They use liquid litrogen too but true to say they prefer nitrous oxide. Every little helps!
     
  11. Tony Mason

    Tony Mason Member

    Now that is strange, the SMAE inform me that they consider Liquid Nitrogen
    as a volitile substance and subsequently they do not use it, or indeed store it on their premises.
    So really there would be little point in attending a course that only teaches half of the subject.
    Sorry Joanna. but as I said in the first case maybe a friendly dermatologist, or how about contacting british oxygen or whoever it is that supplies liquid nitrogen they may know of a course.

    regards

    Tony Mason
     
  12. medisrch

    medisrch Active Member

    Not so Tony. I have seen the equipment there and I do not know to whom you spoke there but they use it. The local hospital asked for a supply from them too. Much has changed over the years.
    Best wishes
     
  13. Tony Mason

    Tony Mason Member

    I will have a answer to this Smae conundrum tomorrow morning,

    However one thought for this evening. If Joanna is going to Harrogate next month. There is a good chance that one of the stands there will have cryo equipment and they will probably have some info on current training.


    It would be nice to have a definitive answer before this thread is closed.

    Tony Mason
     
  14. Hello Joanna

    Don't know of any post grad courses, but I use LN2 cryosurgery daily in my practice - mostly on VPs - and would be happy to have you spend a session through in Lytham should you think it useful

    MR
     
  15. medisrch

    medisrch Active Member

    It is some years ago since you were at Maidenhead as one of the tutors. Changes take place over the years and liquid nitrogen is available at Maidenhead. Why do you not personally speak to the principal at the school where you trained instead of going around the bush? That way you will get the definitive answer you seek. I have seen it there being used with the container stored safely in an external building. Anyone contemplating using/storing liquid nitrogen must check with their building insurers. Hope I have helped.
     
  16. medisrch

    medisrch Active Member

    It is some years ago since you were at Maidenhead as one of the tutors. Changes take place over the years and liquid nitrogen is available at Maidenhead. Why do you not personally speak to the principal at the school where you trained instead of going around the bush? That way you will get the definitive answer you seek. I have seen it there being used with the container stored safely in an external building. Anyone contemplating using/storing liquid nitrogen must check with their building insurers. Hope I have helped.
     
  17. distalphalanx

    distalphalanx Member

    Hi Mark, that would be very useful for me thankyou, if you can give me a day when you have a patient in for cryo i would be happy to come over to lytham, it's not too far away from me and would be great experience for me. I am free next monday, wednesday and thursday so far next week so that would be fantastic, thankyou very much, Joanna . :D
     
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