More Formalin Ramblings

I have just changed my treatment regime to a more aggressive twice daily application for the treatment of warts. My current theory on resistance to treatment has also evolved. I have a feeling the secret to what warts succeed and fail is determined by viral strain. This I feel determines cell compaction and therefore the penetration of external treatments. I therefore have suggested now to patients that they do superficial fenestration with a needle (of any description) of the area regularly prior to formalin application. This is obviously to increase depth of penetration of the formalin. I have also recommended greater self-debridement with sandpaper. I will be posting my success rates at a later stage.