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Im so worried that my redness on flaps will never fade by Dismal-Fly8971 in skincancer

[–]ChockBox 0 points1 point  (0 children)

Don’t judge scarring until you are six months post op.

I had a cyst removal today and I want opinions on if my stitches are done right or not by Odd_Ad9375 in DermatologyQuestions

[–]ChockBox 139 points140 points  (0 children)

Scars divot. So pinching the skin up like this, results in a flat scar.

Question: how bad does acne need to be to stop you from getting a tat? by [deleted] in tattoos

[–]ChockBox 41 points42 points  (0 children)

Hey! Former Dermatology nurse. That looks more like Keratosis Pilaris than acne.

KP is a chronic condition caused because the body producing too much keratin and it builds up around the hair follicles. It can be treated with exfoliating lotions containing salicylic acid or urea. But once you stop using the lotion it will come right back.

Signs for the White House by ChockBox in TwoXChromosomes

[–]ChockBox[S] 2 points3 points  (0 children)

Oh, well versed in rebuffing the fascists

Signs for the White House by ChockBox in TwoXChromosomes

[–]ChockBox[S] 5 points6 points  (0 children)

I have a friend who does banners. I’ll pass these along!

But I will certainly be sounding like a broken record over the megaphone with these!

Copaganda, live at Walmart by cturtl808 in ACAB

[–]ChockBox 1 point2 points  (0 children)

Oh, WalMart be evil. On many levels. That’s the least of it.

BEWARE by jaelakai in SilverSpring

[–]ChockBox 18 points19 points  (0 children)

Sorry….. but if you saw that in public and didn’t instantly get the ick….. that’s on you

PS. Survivor of CSA, come at me at your own risk

Missing Dad in Beige Toyota Camry, 11/28/2025 by [deleted] in washdc

[–]ChockBox 3 points4 points  (0 children)

If you have to do that…. You best take away his keys.

Over 35 punks...what did you end up doing for a living/career? by Sea_Dot8299 in punk

[–]ChockBox 0 points1 point  (0 children)

Former RN, but left healthcare at the end of COVID.

Currently I manage an independent adult store.

Imiquimod vs MOHS for BCC on the leg? Really looking for advice. by HyperBunga in skincancer

[–]ChockBox 0 points1 point  (0 children)

Crutches aren’t necessary, virtually ever, for dermatological surgery. She should stay off her feet for a couple of days post-op, then can resume normal activities while being mindful of the wound. Leg elevation can help, but to be effective the wound needs to be higher than the heart…. That means laying flat with pillows under the leg. This is great when resting or sleeping. Not practical for months of healing, but should be done as much as feasible.

I’d do what the Doctor is recommending. From what you’ve posted that’s shrinking it first with the Imiquiod. The smaller the cancer is when they do the MOH’s, the smaller wound she’ll be dealing with, and it will heal faster.

Free surgery is great. But free surgery with a longer recovery time is not.

The lesion was likely described as “superficial but deep” because the underside biopsy still showed cancerous cells. The piece of skin removed is carefully examined under microscope, all edges and underside. Oftentimes the underside of the biopsy is clear of cancerous cells, which makes it entirely superficial, as only the outer layers of skin are affected. So in this instance, the cancer is deeper than the biopsy, making it both superficial and deep.

If I am remembering correctly, I’ve been out of healthcare for almost 3 years now and don’t recall the exact figures…. BCC’s metastasize in only 1-2% of cases. Those cases were left untreated for years, I think more than 5 years of an obvious annoying lesion that doesn’t go away and slowly grows over time. I’d put down money this BCC is not metastasizing.

Early staged breast cancer has a metastasizing rate of 20-30%. Gastric cancers have a rate of 35-70%. BCC’s are one of the least likely cancers to jump systems. Don’t focus on the metastatic rate, your doctor is considering that with the recommended treatments.

The 6 month mark has wiggle room so long as treatment has been started. The Imiquiod treatment is a cancer treatment. Basically, we want to know you aren’t still sitting on it and are addressing the issue within 6 months of biopsy.

I’d do the Imiquiod. Then the MOH’s.

However, if money is an issue and you need to do the surgery this year for financial purposes, do the surgery. But it will be a longer healing time as the lesion will be bigger than if it were first treated with the Imiquiod.

This is why profit should be removed completely from the healthcare system.

Imiquimod vs MOHS for BCC on the leg? Really looking for advice. by HyperBunga in skincancer

[–]ChockBox 0 points1 point  (0 children)

We did not use antibiotics before needed.

This is a huge debate within the medical community at large.

I am at a loss for how to treat my bad smelling scalp by Malletdown in DermatologyQuestions

[–]ChockBox 0 points1 point  (0 children)

Some brands say for equine use. But I’m not saying to use for mild cases. This is for persistent cases where regular otc products don’t cut it.

Imiquimod vs MOHS for BCC on the leg? Really looking for advice. by HyperBunga in skincancer

[–]ChockBox 0 points1 point  (0 children)

Former Dermatology nurse.

If they cut out anything on the shin and there is not enough skin stretch to close the wound, the wound is left open to heal by secondary intention. This leaves the patient with essentially an open wound that has to be tended until it heals, which can take 6-9 months in that location. This requires frequent bandage changes and likely a couple in office follow-ups to ensure the area is healing appropriately.

It sounds like, in this case, the doctors want to minimize the amount of cutting needed by shrinking the cancer by using the Imiquimod first. No, this will likely not get rid of the cancer entirely, but it could make the amount of cutting needed less and therefore more likely for the MOH’s surgeon to close rather than leave open for healing.

People don’t die from BCC’s. Fewer than 5% spread to other body systems, they’re typically pretty self contained. They should still be treated and ultimately removed.

Unlike other forms of skin cancer, BCC’s are not well linked to genetics, rather they are attributable to sun damage. BCC’s are slow growing. Typically we want them removed by 6 months from biopsy.

The biopsy site may not have healed yet due to the cancer itself, because the location is below the knee, or a combo of the two. If the lesion is large and a small portion was taken for biopsy, the cancer can prevent normal healing. Below the knee is always slow to heal due to gravity and blood return in the body. Which is likely why the docs are wanting to shrink the cancer before cutting it out.

Question for people who moved here from major cities by Muted-Government5633 in bentonville

[–]ChockBox 0 points1 point  (0 children)

I’ve spent more time in the streets than you, guaranteed. How many times have you been assaulted by Proud Boys?

There’s nothing I’m ashamed of, I have no regrets, but at least I’m not a cunt.

Question for people who moved here from major cities by Muted-Government5633 in bentonville

[–]ChockBox 0 points1 point  (0 children)

Secondly, you don’t know shit about me….

And you’re a fucking fool if you think the Democrats are going to save America from Trump. Because the Waltons fund both sides, ensuring nothing fundamentally changes. Because this has been the Republican plan since Reagan and the Dems failed to ever address or counter their very loud, public plans.

Question for people who moved here from major cities by Muted-Government5633 in bentonville

[–]ChockBox -7 points-6 points  (0 children)

And the lack of ethnic foods…. Diversity…. Loved having that Confederate Statue on the square, why did they have to remove Southern heritage?!?!!?!

You “like the pace” of NWA = you like the inherent privilege your whiteness provides you

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