Day 329: Red Hands!!

The past couple of days, my hands have been super lobster red. Just the top, not the palms, and they aren't any itchier than usual, but they're so bright! I don't like it! >:-(

Hate This Cortizone-10 Commercial!

I am so tired of seeing this commercial every time I watch TV. Cortizone-10 will NOT heal eczema! Cortizone-10 has hydrocortisone (also known as a topical steroid) in it and will only temporarily suppress the symptoms of eczema. And, as most people reading this already know, should NOT be used long-term! It will cause topical steroid addiction and worsening eczema.

Day 314: The Stagnant Phase

I updated my layout so check it out if you're seeing this through an RSS reader! :)

I haven't been posting very much because there isn't much to say, which is a good thing. I'm currently in a stagnate phase - my skin doesn't look perfect or completely normal but it's livable. On the ITSAN group, Kelly P described the stagnant phase like this:

Stagnation is definitely part of TSW. What I seemed to experience later on was that my eczema was "cured" but I was left with months of Steroid Damaged Skin (dry, flaky, saggy, pink itchy--but no eczema). I describe this as one's skin being free of addiction to steroids, but not free of the long term damage that the skin takes time to heal from.  Everyday though in SMALL steps your skin will continue to improve: returning moisture, smoothness, flexibility, proper color, itch free, tightening sags, etc. This is a long process from start to finish, but you will get healed all the way. Hang in there!

There have been improvements - the thing is, it happens so slowly that I don't notice it unless I sit down and think about it. I talked to Leslie from Pink Like a Beacon about my current skin condition and that allowed me to notice all the things that have gotten better.

I have two settings - "okay" and "flare." 

"Okay" right now is not 100% normal perfect skin, but it is okay. It's livable and doesn't distract me from my life. This is about 90% of the time so I'll talk about that first.

• Skin Color: During this time, my skin is not bright scary red like it has been in the past. The red skin is either gone (face, stomach, legs), very light pink (arms, neck, chest), or a deeper pink (wrist & top of hands). My palms are completely clear.

• Itch: The itch is so much better during my "okay" time. It's not constant and it's much easier to ignore most of the time. I don't have that uncontrollable need to scratch. Generally I don't notice or can ignore it. When I start to focus on my skin and think about it too much, though, I start noticing more little itches all over. Even then, it is not like the intense deep itch from earlier in TSW and I can either take my mind off those little itches or sooth it by just rubbing the skin a little without using nails. 

• Dryness: My skin is not as dry or tight. I don't need Vaseline to turn my neck anymore! I can open and close my hands without pain from tight skin. I am currently using Vaseline mixed with palm oil (1:1) or Neemaura Hand & Body Lotion that Joey found. I use one of these in the morning and before bed/after a shower. Sometimes if I get fidgety or anxious, I scratch my hands out of habit even if they weren't itchy in the first place. When this happens, I try to catch myself and use some lotion to distract myself. Other than this, I don't need to use anything - the skin isn't painfully tight anymore. The texture is still on the drier side in most places but it's not so bad. My palms are super soft and completely normal. The skin on my palms is actually softer than I can ever remember having!

• Flakiness: My skin is still on the drier side but nothing like before. It used to be visibly flaking - often in big flakes - but now I only have that issue on my wrists, tops of hands, and a little around my mouth and my hairline. The rest of my skin is either mostly normal texture (stomach and legs) or ashy/powdery. I started using a body brush in the morning before getting dressed. I don't know if it helps with the lymph like people claim, but it gets rid of all that powdery dead skin. I think it might also help with the itch a little because (1) it's a good, non-damaging way to scratch all over and (2) I think dead skin lingering on the skin makes me itchy. 

I would NOT recommend trying a body brush if your skin is raw in any way. That would hurt!

• Long Baths: No baths at all! I haven't taken a bath in at least a month. Even before that, baths had gotten sporadic and shorter since the start of 2013 (month 9ish). I shower, of course, but like a normal person! 

• Rawness/Ooze: I don't have any raw spots, tiny blisters, peeling skin, or oozing. I had some issues with the skin behind my ears and my earlobes up until Decemberish, but haven't had any issues since.

• Swelling: No swollen eyes since October. I think my swollen fingers are starting to shrink, too. I never had swelling in my legs/feet (that I noticed). My lymph nodes are going down/mostly gone. There was one in particular in my neck that I have been "monitoring" since October and now I can barely find it.

• Nerves: I haven't experienced nerve zaps very often in the past few months, just a couple times here and there. It's more annoying that anything else.

• Elephant Skin: The rolls of "elephant skin" are gone, just a little bit around my wrists. Since I scratch my wrists and hands the most, this makes sense. Also my skin isn't lichenified anymore.

• Sleep: My sleeping pattern is totally normal (or would be, if I didn't let myself stay up too late). I don't have up-all-night scratchfests during "okay" days.

"Flares" only last a day or two and they are significantly better than what I experienced earlier in TSW. These flares are more subtle and don't knock me on my butt like before. There's really only two things that happen: redness and itching.

• Skin Color: The skin becomes redder. The light pink & deeper pink areas become a brighter, angrier red. The skin that's normal colored becomes a light pink. 

• Itch: The itch increases. It goes from "can mostly ignore" to "really REALLY intense and needs scratched ASAP." Even though itching during a flare is much worse than my "okay" days, it's still much better than earlier in TSW. I can usually (though not always!) control the scratching and just rub or tickle the skin instead of tearing at it with my nails or something scratchy.

• Sleep: I haven't had many itchy nights during my flares. Last month, I just had 2 and so far only 1 this month. And even these are more manageable, since a quick shower is usually all I need to break the cycle.

So that's where I'm at right now! Not so bad, could be a little better, someday will be better! I am definitely ready for some sun - actually went to a tanning bed yesterday for a couple minutes. I know it's not as good as the sun, but seeing as how it's 35* and cloudy here, it's better than nothing! My skin was warm to the touch after and a teensy bit pink after tanning but a few hours later, it was back to its "okay" state.

If you are going through TSW, how's it going today? Have you seen any improvements or is it still early on for you?

Two other things:

- Check out The Hyperpersonal if you are interested in medical/health things. She is my good friend and writes about her interesting medical issues. 

- I also wanted to mention this article from Dermatology Times, although you've probably seen it if you are in the ITSAN forum. It's a great article, though, and definitely a good resource if you're dealing with a skeptical doctor. Topical corticosteroid addiction may be to blame when 'rash' defies treatment by Paula Moyer.

Day 289: Look Ma, No Rash! (photos)

A few months back, I visited my GP for the first time since starting TSW. You can read about it here, but in a nutshell she said I either have really bad eczema and possibly ringworm on my abdomen. I still make the o_O face whenever I think about that because what I had looked nothing like ringworm. Ringworm has...you know...a ring.

Courtesy of WebMD

What I had did NOT look like that at all. The derm said it was eczema and even took a biopsy to "prove" it to me. It came back as spongiotic dermatitis which is typical for Red Skin Syndrome patients. It's just another word for eczema/atopic dermatitis. Another word for "you have a rash, I don't know why, but it's not contagious."

I was four months in when I saw these doctors and since then, I've watched the rash on my stomach/side slowly shrink and lighten up to an almost normal skin tone (which for me is ghostly white). The other day while getting dressed, I noticed it was barely visible! Before and current pictures after the jump...!

Day 274: What's Luck Got To Do Got To Do With It?

If my skin were a baby, it would be born now. Nine months seems significant and for some reason, seems like it should hold some kind of finality for this journey. All I have been doing is watching every cell of my skin reddened then flake off, again and again and again, for the past nine months...but it's not done yet. It's no longer the ONLY thing on my mind, but it's certainly the #1 thing on my mind and I am sure I have wasted countless hours thinking about it, reading about it, trying to do something about it, itching from it, and hurting from it.

If you are starting TSW, there is one thing I can say for sure: you will put a time frame on it no matter how many times you are told, "Don't put a time frame on it." You will think you will probably be one of the lucky six month healers. You will think that by doing X, Y, or Z, you will be able to speed it up. You will think that it could not possibly take that long because nothing takes that long nowadays. You will think that if a whole person can get created and built in nine months, your new skin couldn't possibly take that long.

You might not ever verbalize this, you might say you agree that it's impossible to know how long this will take and that you know you're in for the long haul...but deep deep deep down inside, in your heart of heart, secret of secret, you will hope to be lucky. 

I hoped to be lucky. I still hope to be lucky. And at the same time: I am lucky. After years and years of thinking I was just one of the unlucky broken ones, cursed for no rhyme or reason with horrible incurable eczema, I found out that I'm not broken. A little poisoned and worse for the wear, maybe, but nothing that some time (a lot of time) won't (eventually) heal. I'm lucky because my health and skin problems stemmed from something that can be changed. I can be fixed. This is not life long. This is not incurable. This is not permanently scaring. This is not fatal.

This isn't to trivialize the hell we go through, all the miserable hours spent itching and crying. There is something to be said for the anger and desperation and mental exhaustion and emotional breakdowns that we go through again and again while healing from topical steroid damage. When you're at your lowest of lows, it's hard to hang onto the prize at the end of this race. When you think you've hit rock bottom only to fall another hundred feet, it's awfully hard to imagine that you're lucky. You don't feel very lucky. You feel miserable and you wonder if it's ever going to end. Guess what? It will. It will end and that's what makes you lucky.

I'm lucky.

There's a reason why people tell you to not put a time frame on it. It takes as long as it takes. It's done when it's done. And there's not much you can do about that. I thought I would be done at six months, too. I thought I would be lucky and yet...here I am. This is not meant to discourage anyone - it gets better the longer you are off topical steroids. Month 6 is better than month 3 and month 9 is better than month 6.

You'll have a better handle on what makes you feel better, you'll have (mostly) accepted that whatever happens will happen, and you'll have (mostly) stopped fighting the process. You'll probably have seen visible progress so you know that even if you flare again or even if you flare regularly, you know the process -- flare then calmer, again and again. But even though it's better, it's not done. Pink is better than red but pink is not the color I'm supposed to be. Dry is better than itchy but dry is not the way my skin is supposed to be. Waking up once or twice a night to scratch is better than being unable to sleep at all but sleeping with no problem is the way it should be. Itchy sometimes is better than itchy all the time but... Better is not done. Healing is not healed.

And so you hope to be lucky. Everyone hopes to be lucky. But you are lucky. You know what the problem is, how to fix it, that it can be fixed.

Whenever I wander onto an eczema website or forum or blog, I am struck by the despair I feel from every one of those posts. I know that probably sounds over dramatic to people without skin issues - after all, it's just skin. It's just cosmetic. To those people, I would say spend twenty minutes reading anything by a chronic eczema patient. It's not cosmetic. It's not superficial. There's pain and itch and cracked skin and rashes and more itching but beyond those physical symptoms...

Eczema becomes you. It's the face you show the show the world, the hand you shake with, the arms you hug with. When you're covered in ugly rashes, you are ugly. You worry about what every new person thinks when they see you, you don't let people get very close because they'll see just how flaky and dry you are, you avoid holding hands or giving high fives, you try to be invisible because all you are is ugly. It consumes you. You waste time and money and tears visiting numerous doctors and dermatologists and allergists, only to be told three things: one, that you have incurable chronic eczema that will never get any better; two, you must control it with topical steroids; and three, you must be doing X-Y-Z if it gets worse.

X-Y-Z are the things that every magazine article about eczema will advise you to change. You take too many hot showers, you don't eat healthy enough, you aren't taking your vitamins, you need to moisturize every two hours, you have the wrong shampoo, you live in the wrong climate, you go outside when it's cold, you go outside when it's hot, you have carpets, you have pets, you must be allergic to something, you get too stressed, you use the wrong soap, you wash dishes without wearing gloves, you swim without rinsing off the chlorine, you use makeup with too many chemicals, on and on. X-Y-Z are all things you have been doing since you became one of the unlucky ones but doctors can offer no better advice than Cosmo for your $170 visit fee.

How could you not feel despair? Hundreds of people that are told day in and day out by supposed experts that they will never get better...but also that it's their own fault. Told they will never get better...but here's a list of things they should be doing if they want to be better.

All the while, they are being treated by the cause of the eczema. They are smearing on the poison that causes the pain, looking despairingly for a cure that will not be found in a pharmacy.

I know it's not my fault. I know I will get better. This makes me lucky.

We don't know how long topical steroid withdrawal will take. It gets exhausting and painful. It's a long night with no sign of morning in sight and yet you hold on, maybe just by a thread, to the hope of dawn. Try not to give too much weight to what month it is or pin hope to a certain date. At the end of the day, the only way out is through. There are no road signs and sometimes the road isn't paved. We know there's a light at the end of the tunnel, even though we don't how far the exit is.

It takes as long as it takes. It's done when it's done.

Day 258: Food and TSW (Just My Opinions)

Here is what I think about topical steroid withdrawal and diet:

1. If you are allergic to something, don't eat it.
2. If something makes you feel bad, don't eat it.
3. Vegetables are great. Eat a lot.
4. Fruits are good. Eat some.
5. If your food doesn't go bad, it's probably bad for you.
6. Yes, we all agree that the Standard American Diet is bad.
7. Yes, you should eat more real food in general. 
8. No, I don't think my diet has a thing to do with my flares. I have tried really hard to find a connection and you know what? I can't. 
9. If you can find a connection and eliminating that item makes you feel better, then go ahead and do it. That doesn't mean everyone else should do the same.
10. No, I don't think diet can "cure" topical steroid withdrawal.
11. Yes, I think it can help true eczema if your eczema is caused by food allergy/sensitive. 

Disclaimer: Obviously, these are just my opinions and you probably have other opinions. Personally, I don't care what anyone eats. I am just tired of reading all the theories on diet and topical steroid withdrawal. It seems like every question or conversation has "Eliminate this, that, and the other! Don't eat nightshades! Drink raw milk! Nothing spicy! No, wait, don't drink milk, be vegan! Actually, eat lots of organic beef! You know what, just don't eat anything - only drink water!!"

Day 249: Slowly But Surely

RSS Left Palm, a set on Flickr.

There hasn't been really too much to post about lately. I feel like I've mostly got this thing under control - knock on wood! Some days I feel a lot of pain/soreness but it's mostly doable and I haven't needed to take pain medication very often. Mostly I'm just tired of this (especially the shedding!!) and I'm ready to have normal skin!

I have been taking photos throughout this whole thing and I am going to slowly work on getting them uploaded and organized into Flickr. Here is my left hand palm starting September to today. These are just pictures from my phone but I know I have more on my camera so I am going to probably add those later today. I tried my best to take photos in similar light.

I'm surprised to see how much better my palm has gotten! I knew it did but I didn't realize how much! My hands have always been a wreck, covered in (what I thought was) eczema since I was a kid. I now know that at the beginning it was probably eczema (aka "rash caused by something but we don't know what so here's some topical steroids") but somewhere around my late teens/early twenties, it turned into topical steroid addiction. I had stopped responding to halobetasol, which is one of the strongest topical steroids, and the doctors weren't offering anything except more topical steroids.

These photos don't really show it but also the sides of my index and middle finger had the rashiness. I know that a lot of RSSers have normal palms and the fact that I didn't had me really worried I was barking up the wrong tree. But since my hands are truly ground zero and have been marinated in topical steroids of varying strengths on a regular for years and years, I should not be surprised.

Via Flickr:
Left palm - healing from topical steroid induced eczema (Red Skin Syndrome).

Visit ITSAN.org for more information on topical steroid addiction and withdrawal, side effects of long-term topical steroid use.