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re: WTF Is Growing On My Leg?

Posted on 6/27/14 at 9:16 pm to
Posted by Paige
Vice President of the OT
Member since Oct 2010
85621 posts
Posted on 6/27/14 at 9:16 pm to
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 6/27/14 at 9:17 pm to
Close enough to have done everything I posted and have the patient thank me for the limited/lack of scar at the site and not complain about pain while I was doing it.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 6/27/14 at 9:22 pm to
quote:

A gp could remove it?

Depends what you mean by GP. There are essentially no GPs in practice anymore. If you mean Family Medicine or Internal Medicine doctors; then yes, many of them (typically more on the Family than Internal side) do procedures like this all through residency and all through their careers.

ETA- as said before, more often the pediatricians skimp on doing in-office procedures. They're typically fantastic with rashes. They're great, usually, at diagnosing derm lesions. They usually just don't cut them out.

quote:

I wouldn't want my face cut on by someone who doesn't have a lot of experience with it

No one would do it that wasn't comfortable doing it.

quote:

He explained exactly how he was cutting it out and why he was doing it that way

That's really just a personality thing that you happen to like about the guy. You cut deep enough to get everything abnormal out, you make the incision about 3-4 times as long as it is wide. Depending on how deep it is depends on how you close it. Since it's on a kid's face, he probably did a more complex closure like a couple of interrupted sub-q sutures in hopes to reduce scarring, but more so for being able to bill for a mid-level closure and get a higher reimbursement from the insurance company.
This post was edited on 6/27/14 at 9:24 pm
Posted by Paige
Vice President of the OT
Member since Oct 2010
85621 posts
Posted on 6/27/14 at 9:24 pm to
My son's scar is nearly the same size as the growth was

And it's just a little red spot. He didn't put his cream on it like he was supposed to
Posted by delta3504
Baton Rouge
Member since Mar 2009
1848 posts
Posted on 6/27/14 at 9:28 pm to
Congrats, you have the HIV.
Posted by Hopeful Doc
Member since Sep 2010
15388 posts
Posted on 6/27/14 at 9:28 pm to
In all honesty, not putting cream wouldn't have reduced the scar (if that's what that's implying. Maybe I am reading it wrong). Anytime you make a cut in the skin, you'll get a small scar.

If you were meaning that's why it progressed to the point it needed to be cut out, that's probably a combination of 1) no one ever taking medicine as prescribed because it's actually just really hard to do 2) the result of a more aggressive physician- it can be a good thing, it can be a bad thing. If you're ever uncomfortable with it, you should always voice your opinion as to whether you're concerned that the doc is too aggressive or too passive. They're almost always happy to refer to someone slightly more midline/opposite themselves.
Posted by Paige
Vice President of the OT
Member since Oct 2010
85621 posts
Posted on 6/27/14 at 9:35 pm to
He was supposed to put kelo-cote on it to help with scarring

I asked his pediatrician at his two week check up what it was. It was just a tiny red spot with a white dot in the middle. They said it was a stork bite. When he got older he started picking at it and it grew into this big dark lump. And so I took him to the dr
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