MDs are so specialized!
5-12-07 I posted a message about pain at the site of my PM, possible skin erosion, and the cardiologist's recommendation that I consider moving my 4-month-old PM under the muscle or breast tissue to eliminate the pain. A few days later I saw my primary care physician who noted I'd developed a keloid (painful overgrowth of scar tissue) at my incision. A few days later I saw a General Surgeon who recommended I wait 2-3 months to see if the pain lessens without more surgery. Today I saw a dermatologist. She shrugged her shoulder, and said "You do not have skin erosion, but you do have a keloid. Those are very painful. Do you want me to fix it right now?" I was disbelieving and incredulous. She said Caucasians (which I am) only extremely rarely develop keloids, but African Americans develop them much more often and they get even bigger. She injected 3 shots of an anti-inflammatory directly into my scar (yes, that was painful briefly) and said the severe itching and pain should begin to dissipate almost immediately and be gone within 1-2 weeks. She said if I have remaining itching or pain in a month, to return for one more treatment. It's been 2 hours since I got the injections, and already the itching is completely gone and pain is significantly better. I have 3 small, tender holes in my scar. I asked the dermatologist why none of the other MDs I've seen suggested this simple solution and she said "Because none of them are dermatologists -- I don't know anything about pacemakers and they don't know anything about skin and scars." So for all of you with keloids, go see a dermatologist! I do think I have another kind of pain too, that comes with heavy lifting activities. I plan to curtail that sort of thing for a month or two and see if I can get to pain-free. Meanwhile, I'm thrilled to have one problem solved and hopeful I'll avoid un-needed surgery as a result. As we so often urge each other on this site, keep asking questions, keep seeking second opinions, and find someone willing to solve your problems! Take care, Cathryn