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so this patient has had a evolving inflamed epidermal cyst over the course of the last how long now um since itamp;#39;s been inflamed yeah uh about month a month e the problem she had is nobody wanted to open it up and the plastic surgery didnamp;#39;t want to see this either directly and the problem with is we canamp;#39;t remove this because itamp;#39;s infected so weamp;#39;re going to have to just see if we can get it to drain um so weamp;#39;re going to put some anesthetic in the problem with this is lidocaine works on an acid base mechanism so the anesthetic is a little bit acidic and the basic tissues usually um convert that to more of a neutral substance which is then soluble into the actual tissues when thereamp;#39;s an infection like this itamp;#39;s also acidic so the anesthetic doesnamp;#39;t work as well so weamp;#39;re going to inject some deep and see if uh itamp;#39;ll take a little bit can feel a poke here poke a little pressure now I try to get behind the