I went in for a standard steroid shot to treat my keloid which I’d gotten many times before from my regular dermatologist. On this occasion I was seen by PA Rhoyse who although had treated me a couple of times before, didn’t know who I was or my past treatment history until I reminded her. When it was time to treat my keloid, she had a cryotherapy canister in her hand. When I asked her what it was for, she said it would make the injection more “efficacious.” I asked her if there would be scabbing she said no, simply that I could remove the bandaid once I got home and to massage the area. The treatment was painful, the keloid is as large as it was prior, and the top layer of skin sloughed off when I massaged it. Im still dealing with the pain and it’s an angry red color. I was not well informed about the new treatment, received no pain management plan and no aftercare plan. I will not be seeing Rhoyse again.