Saturday, December 3, 2011

No Scrubs? No Scar

TLC No Scrubs ~ Official Video

Rewritten Chorus:
If you ain't got no scrubs
And are an intern in dermatology,
Injecting triamcinolone juice
Pain, swelling and bruise
On my scar, poor Meaty.
If you ain't got your scrubs
You can't be practicin' on poor Meaty
Want my regular Med
She's got more cred
And injects Meaty properly.

Meaty before the most recent November injection. There had not been a lot of change in Meaty since last month. My regular dermatologist said she was trying to inject Meaty slowly a bit each month so it would not cause a side effect of lightening the skin around the scar. This sounded good.

My dermatologist introduced me to the new intern. She instructed the intern to inject Meaty with slightly more fluid than in October. Then my dermatologist left the room. The intern seemed nice enough and confident with injecting Meaty however it hurt a lot more when he did the injection. (I told him that the pain felt reminiscent of the biopsy on my thyroid when I had my fine needle aspiration.) The result was a swollen and slightly bleeding scar. :-(

I hope this pays off.


Anonymous said...

Were you trying some anti-keloid scar creams first?

Blue Butterfly said...

Hi there AG endostudent,

Yes. I tried a number of anti-keloid creams before going the injection route. First, I took naturopathic treatments after surgery including bromelain (an extract from pineapples) and vitamin C both taken orally which were supposed to assist with the healing of the scar plus calendula cream. I tried an over-the-counter silicone cream (a cheaper one). I also tried Bio-Oil and Dermatix. The Dermatix seemed to work a bit but up to a certain point. I had talked to my surgeon about the steroid injections right after the surgery while I was still in the hospital. He said he was not going to inject. When I went for a follow-up five months later and he saw that there was that my scar had keloided, he recommended the injections which he could have done himself. Instead, I chose to get my injections from a dermatologist. She said that the scar would shrink by itself but it would take time. I told her that since I was planning a wedding next year, I wished to have the steroid injections so that my scar would be flatter and smaller sooner. I started these injections four months ago and I am beginning to see great results.

Thank you for your question. Good luck with your studies!

Blue Butterfly

Anonymous said...

Thank you so much for detailed answer! I wish that some of my professors be such attentive while responding to the student questions. I have read that in the past, in order to avoid scar formation, the surgical wound was closed layer by layer; every layer had own stitches; the skin was sutured separately using very small needle. While time consuming, such technique produced very thin scars which faded in short time.
Best wishes to you and have happy New year!

Blue Butterfly said...

Wow! I never considered that it may have been attributed to the suturing or closing of the incision. I had not heard that before. I have noticed that many thyroid patients' scars healed a lot better than mine did. Knowledge is power. You may already know that dark skin is a lot more likely to keloid than White or East Asian (i.e., Chinese, Japanese, Korean). As a Black person, I was very concerned about scarring so that is why I took action prior to my surgery and Meaty (my scar) still keloided. I love questions and appreciate the time you took to ask. Happy New Year to you too.