Pastor Chalmers had reached a point where another surgery was the last thing he wanted. In this short chapter of The Bumpinator, he explains how concerns about the back of his head affected his confidence, while Dr. Sanusi Umar begins a careful scalp evaluation and makes clear that responsible care starts without guarantees.
“I actually gave up,” Pastor Chalmers says. His concern was not limited to what he saw in the mirror. As a pastor and minister in his community, he said he was “always wondering what people are thinking when they see the back of my head.” He added that the problem was affecting his life and confidence.
Why Pastor Chalmers Did Not Want Another Surgery
Pastor Chalmers described a prior surgery after which, he said, “the incision started to inflame.” For him, that experience “just added more fuel to the fire.” He did not want to try another person, and he did not want to undergo another operation.
That history matters in this chapter because it explains the hesitation Dr. Umar is meeting. The immediate task is not to rush Pastor Chalmers toward another procedure. It is to understand what is happening on his scalp and decide what a responsible next step should be.
Dr. Umar Looks Beyond the Surface
During the examination, Dr. Sanusi Umar points out extensive crusting and areas of redness. “That’s not normal. That’s inflammation,” he explains, then describes the inflammation as severe. The matching caption adds that the findings involved the scalp more broadly than a casual look might suggest.
For people searching for information about acne keloidalis nuchae, bumps on the back of the head, or bumps that keep coming back, Pastor Chalmers’s story underscores the importance of looking closely at what is actually present rather than assuming the next step. In this chapter, Dr. Umar’s focus is the evaluation itself, not a promised treatment result.
A Careful Start, Without a Guarantee
Dr. Umar is direct about the uncertainty that comes with medical care. “We do have a good track record,” he tells Pastor Chalmers, “but there’s no guarantee.” Pastor Chalmers answers, “Yes, sir.”
That exchange defines the starting point of this Bumpinator story: Pastor Chalmers has reasons to be cautious, and Dr. Umar is beginning with examination, explanation, and realistic expectations. The evaluation, clinical decisions, and Pastor Chalmers’s progress will unfold from here.
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Medical disclaimer: This content is educational and does not replace an individual medical evaluation. Individual circumstances vary, and no outcome is guaranteed.
Further Reading
- https://dru.com/retrograde-alopecia-piilif-pattern-hair-loss/
- Umar S, Tan BH, Shitabata PK. Perifollicular Inflammation and Fibrosis in Androgenetic Alopecia: Implications for Diagnosis and Treatment – A Comparative Histopathologic and Clinical Study with Normal-Appearing Scalp. Clin Cosmet Investig Dermatol. 2026;19:548520 https://doi.org/10.2147/CCID.S548520
