Usually he don`t give dermatix to patient... Because is too pricy and out of 100 only got one patient with keloid... Is not cost effective.. He give as per request or after 1 month come back turn keloid.. Share with doctor too late.. He day very rare to happen.. Don`t néed to change.. Can`t really remember which patient he given to... Don`t want be the one putting in the request.. Ask refer to others.. Itchy and pain.. Very skedim patient encounter 