Episode Transcript
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Speaker 1 (00:02):
Welcome to the LMD
Podiatry Podcast.
Trust us to get back on yourfeet.
Here's your host, Dr LaurenDeBakeroff.
Speaker 2 (00:15):
Well, hello, hello
everyone and welcome back, doc.
Always a pleasure to see you.
Speaker 3 (00:21):
Hi Jeremy.
Speaker 2 (00:23):
Yes, hi.
So we've talked about wartsbefore.
Today.
We're going to talk about Swiftand no, no, no, no, all you
Swifties out there.
We're not talking about TaylorSwift.
We're talking about the Swiftwart laser treatment that you
offer at your office.
So for those that weren't tunedin on the last episode and
(00:45):
didn't hear about it, why don'tyou start there?
Talk a little bit about whatthe Swift wart laser treatment
is and how it differs from your,I guess, kind of standard
garden variety treatments of thepast.
Speaker 3 (00:57):
So before I go into
those details, I kind of want to
talk about warts in general sothat people get a little of a
refresher.
As you know, warts are a virusof the skin and traditionally
what all dermatologists andpodiatrists alike have done
throughout the years is burn thewart in some way or form or
(01:20):
fashion.
How do we do that?
You know, we use chemicals, weuse lasers, stronger chemicals,
stronger lasers, all differenttypes of things, and it's just
cautery, basically alwaysconstantly trying to burn it
with either an acid or achemical, and then eventually
the wart tends to rise to thesurface and then it stops living
(01:44):
off your skin and then youbasically kill the work.
Um, and those in the past haveworked.
Sometimes some are painful,some are not.
I used to cut out the wartsbecause sometimes patients just
had so much pain, so I wouldjust literally numb up the skin
and core out the whole entirework it on out, it on out of
(02:04):
there, huh.
And it gets rid of it, but thensometimes it comes back and that
was starting to really annoy me.
And then I've been researchingthe Swift laser for a while, and
it's a new technology that'sbeen out there just for the past
couple of years and I've beenreading studies about it and I
(02:26):
finally got my hands on one, andit's an amazing laser and and
and it works a lot differently.
Um, so what it is?
It's a microwave laser and whatit does is it heats up to the
wart to a very high temperatureand then what happens is, over
time, the body amounts an immuneresponse to it and then, all of
(02:47):
a sudden, the wart kind of justdisappears.
Speaker 2 (02:51):
So, yes, interesting,
I'm trying to, okay.
So it heats up to a very hightemperature with this mic, with
this uh, this laser and overtime.
Can you just just dig a littlebit deeper into that, because
I'm trying to parse it out?
How does it actually do that?
Speaker 3 (03:07):
Okay, so it's a
handheld laser.
There's no downtime, I don'thave to scrape the dead skin
from the wart, I don't have tonumb you up or give you any
needles.
And then what this laser does?
I literally just apply the tipof the laser to the wart and I
(03:28):
have to pulse the wart fivetimes.
Now every setting is differentfor, like depending on the
location of the wart, how old,like if it's a child or it's an
adult.
So, based on that, you applythe number of watts.
So, like there's watt settings,like there's, they start from
two watts all the way up to 10watts, so every person can
(03:49):
tolerate a certain amount ofwattage.
Speaker 2 (03:53):
So the bigger the
body mass or the bigger the
weight, you guys should get morewattage, that kind of thing.
Speaker 3 (03:57):
Well, yeah,
essentially so.
It's not like so.
When you think of a laser, youthink of oh, a laser is going to
burn you or something.
You know what I mean.
So a lot of people think oflasers like that.
This is a completely differenttype of laser.
This is a microwave laser.
It sends a pulse deep into thetissue, deep into the skin, and
(04:21):
it penetrates so deep that thebody doesn't even know what to
do with the wart at that point.
So it obliterates the wart noneedles, no cutting, no shaving,
no acids, no chemicals.
It just heats it up.
Most people need about twotreatments, Some people need
three or four.
Each one's spaced about a monthapart.
(04:42):
And then what happens is oncethat heat, once that heat inside
the wart rises to a certaintemperature, the body reacts to
it and then your immune systemfights off the wart and then the
wart falls off.
I actually recently did it ontwo children and I was actually
impressed.
It actually went away after onetreatment.
Speaker 2 (05:06):
Like right after the
treatment, or they did the
treatment and then they cameback to see you again for a
follow-up.
Speaker 3 (05:10):
I did the laser on
them and I told them there's no
downtime, you don't have to putany medicine, you don't have to
do anything, just live your life.
And then they came back.
Four weeks later, the wart wasgone.
It was like magicallydisappeared.
Speaker 2 (05:27):
I like it Is.
It is that surprise, like thepatients that have had success
with this, is this surprisingfor them?
And how quickly, how quicklythis works and how tolerable it
is, especially those that likewhat about patients that have
had outbreaks for their wholelife?
Right, it's not just oneisolated incident, it's.
It's they've had recurringissues.
Have you had a patient likethat that has tried this and
(05:50):
they're like blown away.
Speaker 3 (05:52):
Yeah, so I have
enough.
I have a few.
I have one patient.
He has like 20 warts on hisfoot right and you do it.
I did it to him and most ofthem have gone away after one
month.
That's fantastic, it's coolstuff.
It's just remember, it's avirus and something's going on
(06:12):
in your immune system that yourbody can't seem to fight off
this virus.
Actually, there are studiesthat show that, like people who
have resistant, recalcitrantwarts, they get that vaccine,
the Gardasil.
They gave him the Gardasilvaccine and it actually helps
calm it down.
So there's like it's allrelated to the immune system.
(06:33):
And what's great about theSwift laser is that heat in the
wart.
The body starts like waking upand saying, hey, what's going on
in here?
And it just finally amounts animmune response to the wart and
the wart falls off.
Speaker 2 (06:53):
How does the SWIFT
change the?
I guess the treatmentconversation for you mentioned
kids.
You've tried it on them andmaybe, like athletes, people
that are on their feet all dayIs this something that you're
able to administer Like?
Is every patient that walks inyour door that has a wart,
whether, again, they're on thefeet all the day, whether
they're not on their feet allthe day?
Is this a treatment that'sapplicable for everyone, or is
(07:15):
it really still a case by case?
Speaker 3 (07:19):
So it's applicable
for everyone, mostly because
there's no downtime whatsoever.
All I have to do is apply thelaser to the wart and there's no
downtime.
You could walk.
You don't have to keep yourwart covered, you could just
continue on with your life.
There's absolutely no downtime.
(07:39):
The only thing that you canfeel is you feel a very hot
pinch.
When I do the laser on yourfoot, people who cannot tolerate
that hot pinch on their skin, Iwill give them a peripheral
nerve block.
I basically numb up the nervethat's going to the work, and
(07:59):
maybe then you need an injection.
But I've only had to do it oncebecause my patient was
extremely sensitive and couldn'ttolerate any pain.
So, yeah, that's all you feel.
There's no downtime, I don'thave to.
There's no creams, there's nonothing.
Speaker 2 (08:16):
Nothing.
So you go in.
You go in, you get this lasertreatment done, you walk out,
you can go back to.
If you're a high activeindividual, let's say for me,
I'm a runner, I have a ward onmy foot.
I come in, I get the laser, Iget lasered, I go home, I could
run that same day.
Speaker 3 (08:32):
I don't have to have
nothing, no downtime, I just go
right back to it, no downtimewhatsoever.
You just go on with your lifeand let the laser do the work.
Your body will kill the wart,everything's fine.
Whereas when I used to cut themout, you had downtime.
For, like, what is downtimewhen I used to cut out the warts
, especially the ones on thebottom of the feet?
I will sell patients, you know,limit how much you walk and you
(08:54):
have, you know, the.
The hole that I just created inyour foot has to close from the
inside out.
So you really just have to waitand let your body heal.
And there is downtime.
You have an open wound.
When I cut out the work, ittakes about two to three weeks
for it to close.
And I always tell my patientsthe more you walk on your foot,
the longer it's going to takefor the hole to close.
So that is, you know, when youdo stuff like that, there is a
(09:17):
lot of downtime.
This laser I just applied fivepulses to that laser to the ward
, or many warts as many as youhave, and that's it.
And then you just wait for yourbody to kill it.
And it does and it's reallycool and it's really designed
for the more difficult cases,because it it is, it's an immune
(09:38):
system issue sounds like ano-brainer to me.
Speaker 2 (09:43):
I mean you said, this
is relatively new.
Speaker 3 (09:46):
This, this technology
is around for a couple of years
but people are slowly likethere's.
There's only like three peoplein Broward County that have this
laser and I want to why do youthink that is?
Speaker 2 (10:03):
If it's something, it
seems like it's becoming the
gold standard in this kind ofthing, the golden standard.
Speaker 3 (10:07):
Yet because a
insurances don't cover it yet,
ah no, and it's out of pocket.
Right, it's out of pocket.
It's new technology that works,but unfortunately science is
speeding up and you know the,the medicare and the insurance
guidelines are not is it stillconsidered like experimental
(10:30):
treatment, I wonder.
Speaker 2 (10:31):
In my mind I'm
thinking something that's as
effective as this.
Why would it not be coveredunder insurance other than the
fact that they don't want theproblems to be cured, so they
can keep coming back and billingmore?
Speaker 3 (10:42):
Well, no, that's
another conversation for another
time.
The big pharma.
You know conversation, listen,I'm in the business of getting
patients healed and helping themfeel better, and the reason why
I acquired this laser isbecause I was sick of seeing all
those nasty warts and shavingthem, burning them, scraping
(11:06):
them, cutting them out, and Iwould sometimes I would see that
they would come back, like Iactually had a patient.
I saw her today.
I cut her wart out and it cameback like another one.
I cut it out like another wordappeared right next door to it
and I'm like, oh man.
And then she said I told herabout the laser.
(11:28):
She's like why didn't you haveit before?
And I'm like I just got thelaser in January.
I'm sorry and I finally like Ijust I got it because I want my
patients to feel better.
I want everyone to have no painin their feet.
I don't want them to have warts.
By the way, it's not onlyindicated for warts, they're
also indicated for molluscumcontagiosa.
Speaker 2 (11:55):
Say who-to
to-tang-ee-what-so what is it?
Speaker 3 (11:58):
There are all these
different.
There's a lot of skinconditions that it's indicated
for, not just warts.
There are, like, different skinconditions that usually a
dermatologist diagnoses, and Ido see those things on the feet.
There is one common diagnosisthat it works for.
It's called the intractableporocharitosis.
It's basically a callus thathas an eye in it and a lot of
(12:22):
people have no idea till today.
There's studies.
They don't know why people getthese little calluses on their
feet with a little hard core inthe center and, um, it is an
immune system related thing andI've used the laser on that as
well and it goes away and it'spretty cool yeah, there's.
Speaker 2 (12:45):
I I've had on my mind
lately about regenerative
medicine, regenerative healing,and this laser sounds like it's
just that right.
It's basically going in thereand it's stimulating the body's
natural reaction, natural immunesystem to act as a defense
against the wart, which isobviously always optimal over
any kind of invasive type ofprocedure where you're going in
(13:06):
and cutting things or burningthings, because then you're
creating additional trauma forthe body, which reacts in other
ways that are negative.
So I love these non-invasive.
I just see that in the future,as technology advances and AI
advances, there's just going tobe more and more of this for
treating all sorts of conditions, really harnessing the body's
natural ability to heal itselffrom within, and that should
(13:26):
really be the goal with any kindof treatment.
Right, how can we stimulate thebody to do what it does best?
Speaker 3 (13:33):
Yes, that's my motto
Jeremy, I mean, when it comes to
all these types of things, alot of times, when things aren't
healing, with patients and I'mlike, listen, your body's not
healing itself.
I don't know what to tell youbecause you're not listening to
what I say.
But in general unfortunately Idon't want to talk about should
(13:56):
I bring this up or not Ourbodies and our generation have a
really hard time detoxingbecause of the food.
We're not eating the rightfoods, the food is not
nutritious anymore, our soil isdevoid of nutrients and you
could look into it, but it istrue and that's why it's really
(14:16):
hard for us to fight disease anddifferent bacteria, diseases,
viruses.
And our body is an amazingthing.
It's a temple and we just haveto nourish it with the right
stuff.
I've never had a wart.
I don't walk barefoot, but I'msure anyone can get a wart
(14:36):
Anytime you walk barefoot,shared surfaces kids get it,
adults get it.
It's a skin condition.
It can happen to anyone.
They're very painful whenthey're on the bottom of the
foot.
This is a great alternative.
This is a fast, non-invasive,no downtime alternative and I
have it in my office and I can'twait to use it on whoever needs
(14:57):
it.
Speaker 2 (15:00):
Well, I for one.
I'm hoping that you don't needto try it on me, because I've
been fortunate enough to nothave.
I'm sure I've had them at somepoint, but it's not been a
recurring theme for me.
But now I know.
If something pops up, I knowwhere to go.
Thank you, I'm going to go getthe SWIFT wart laser treatment
(15:20):
over at Dr D's office.
Oh yes, all right.
So before we wrap this up here,if someone is out there
listening and they've beendealing with a stubborn wart for
months, maybe even years, whatis your message to them today?
What would you like to leavethem with?
Speaker 3 (15:39):
My message is fear
not, there is a solution to your
problem a solution to yourproblem.
Speaker 2 (15:52):
Love it.
Very cool, all right.
Is there anything else that youwanted to add to the equation
before we wrap up this beautifulformula?
Speaker 3 (15:57):
Preventative,
preventative advice.
If you don't want to even get awart in the first place, don't
walk barefoot.
Keep your feet clean and alwayshave a good sandal or flip-flop
around the pool, because that'swhere you're going to get it
from.
Speaker 2 (16:14):
Oh yes, An ounce of
prevention is worth a pound of
cure.
Never forget that.
Speaker 1 (16:21):
All right everyone.
Speaker 2 (16:22):
Thank you so much for
tuning in.
If you like this content, don'tforget to like, subscribe.
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Let us know what's on your mind.
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We thank you all for joining uson this wonderful journey and
we wish you all a pleasant day.
Be well and take care.
Speaker 1 (16:51):
Be well, take care.
Thank you for listening to theLMD Podiatry Podcast.
For more information, visitLMDPodiatrycom.
That's L-M-D-P-O-D-I-A-T-R-Ydot com or call 954-680-7133.