For Marcus, the next step in care for acne keloidalis nuchae comes with both a confirmed treatment plan and family support. Before surgery at Dr. U Skin & Hair Clinic, his cousin Tabitha joins him for a conversation with Dr. Sanusi Umar. The visit turns from a warm introduction to a playful farewell to the scalp keloid the family calls “Mr. Brain.”
A Welcome That Matters to Tabitha
When Dr. U enters, Marcus introduces his cousin Tabitha. Dr. U welcomes her and asks about her trip. She describes a long flight, but says it went well. That small exchange becomes one of the most meaningful moments of the chapter for her.
Tabitha says she works for doctors herself and values physicians who are genuine. She is particularly struck that Dr. U took time to ask how she was doing, even though Marcus is the patient. “He came in and asked me how I was doing,” she recalls, adding that he did not have to do that.
For Tabitha, this welcome strengthens her confidence in the care Marcus is about to receive. She says it makes her feel that “Marcus is going to be in good hands.” Her words reflect her own impression of the encounter, rather than a prediction of a medical result.
The Treatment Plan Remains the Same
Dr. U then turns the discussion back to Marcus. He notes that it has not been long since the previous assessment and that he does not expect much to have changed. He confirms that the treatment plan remains the same and asks whether Marcus has questions.
Marcus answers that he is ready. The exchange is brief, but it establishes the point of this chapter: Marcus is at the clinic, has heard the plan confirmed and is prepared to proceed. The conversation does not show the surgery or its outcome.
Saying Goodbye to “Mr. Brain”
The mood lightens when the conversation turns to whether the scalp keloid has a name. Someone suggests “the brain,” and the nickname “Mr. Brain” becomes part of the family’s goodbye. Tabitha speaks warmly about Marcus and expresses her hope that the next step will restore his confidence.
That hope matters in a story involving visible scalp changes and bumps on the back of the head, but the chapter does not establish a completed result. It captures a decision made before treatment, not evidence that the condition has already been resolved.
When asked whether he is ready to say goodbye, Marcus replies, “Yeah, I’m ready to say goodbye.” The chapter closes on that simple declaration, with Tabitha beside him and Dr. U guiding the next step.
Watch the Chapter
The Bumpinator, Episode 6, Chapter 10 follows Marcus and Tabitha as they meet Dr. U before surgery and prepare to say goodbye to “Mr. Brain.”
Take the Next Step
Explore more stories from The Bumpinator series and speak with a qualified clinician about individual concerns, including bumps that won’t heal.
Free Consultationhttps://dru.com/akn-bumps-on-the-back-of-the-head-and-neck/
Medical Disclaimer
This article describes an individual patient’s experience and is for general informational purposes only. It is not medical advice, and no treatment outcome is promised. Consult a qualified healthcare professional for personalized evaluation and care.
Further Reading
- https://dru.com/marcus-acne-keloidalis-nuchae-say-goodbye/
- Umar, S., & Sila, C. R. (2021). Acne keloidalis nuchae: A role for low-dose radiotherapy. JAAD Case Reports, 13, 90–93. https://doi.org/10.1016/j.jdcr.2021.05.008
