QUOTE (bethgreen @ Aug 30 2009, 01:04 PM)

James is entitled to his privacy and I respect that he went through something very traumatic, because he has a large scar on his chest from open heart surgery. That being said, as some folks on this board are aware, I have a Bachelor's Degree in nursing.
IMO, the surgery took place relatively recently, probably before he first auditioned for Psych. When I rewatch early Season One episodes, James looks positively unhealthy, especially compared to now. He's obviously working out now, keeping fit, whereas pre-Psych, not so much. He was too thin in Season One.
The size of the scar tells me that James had the surgery as an adult, and not as a child. Furthermore, there are shirtless pics of James from both 2002 & 2003 and he is definitely scarless. Therefore, the surgery occurred somewhere between 2003 and 2006.
As far as the scar not being that obvious, I'm sure that Psych's makeup people do their magic with James' scar when he wears an open-necked shirt.
Now comes the technical part. Pacemakers are commonly placed in a small pocket of skin on the chest, and the pacemaker is then visible afterward as a raised lump under the skin. However, there is an alternative placement that can be done for cosmetic reasons (If, for example, the person having the pacemaker placed is an actor :-). If you want further information, Google 'Retropectoral Transaxillary Placement of a Permanent Pacemaker.'
I thought y'all might appreciate some visual evidence.
Repli*Kate, 2002

Rolling Kansas, 2003

Miss Match, 2003 - Not a full-on chest view, but I included this one just because


Thanks for the information. It's good to have a nurs on the board

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I never notice the scar until now (it's probably because I always look on his amazing eyes

and usually on the show he's wearing a shirt under the shirt, so you can't see it).
You'r right - in the pilot and in the first episode (Spellingg Bee) James looking really good, but then he started to look bad and along the length most of season he seem very thin (and don't kill me, but I didn't like his look at all in this season) ,but when the second season start something about him changed and he started to look like the James that we all love so much, so maybe the surgery take plas doing the break between the two seasons. All so, I think that he started to exercise about this time.
He talks about it in here (it's the interview from the beginning of season 4 that you can find on this site as well) :
http://www.youtube.com/watch?v=5Vy_bb-qW7oWhen a fan ask him about his "downtime" he talk about his workout and that it's bring him peace.