A_shy_neon_jaguar

Are the patches soft or velvety feeling, or rough and scaly? If left untreated, does the disease always progress, or is there a chance the body can fight it?

(I had some discolored numb patches for about a year, but they went away. I never did figure out what they were.)

Have you considered that a patient can have a legit physical medical issue as well as a psychiatric issue? In my experience it's so easy for doctors to start lumping every issue into the anxiety umbrella because well, most everything fits. People with chronic psychiatric issues get sick and diseased just like everyone else and doctors should be careful and compassionate enough to not take the easy diagnostic route.

Footnote: I'm sure you personally are a great doctor. I am not a doctor- just a frustrated patient. This post is not meant as an attack- it just seemed like a good place for me to say what I want to say. Thanks for listening!

Not OP, but could you explain what the purpose of the pacemaker would be in this case?
edit: Nevermind- gastric pacemaker referenced by OP below- not cardiac pacemaker.