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Importance of a

August 20th 2008 07:08
It’s been some time now since I first started this blog and changed my lifestyle dramatically. I must say, my skin is 95% better than what it was before. A number one tip for anyone wishing to get their rosacea under control is to start a journal. Record anything you eat, drink or put on your face. Also note down stress levels and weather conditions. You may be surprised how easy it may be to pinpoint certain triggers. Of course some triggers can take months to pinpoint but you may notice having better days than others. Keeping a journal is the only way you can identify what sets off your flare ups. The longer you can do this, the better, but try to aim for at least two weeks of record keeping. It is hard to remember on a daily basis especially if you’re anything like me, ie: forgetful! I noticed a huge improvement after quitting smoking and eating healthier. I think writing everything down in a journal also makes you very aware of what you put in your mouth. And since most of us like to be able to do the right thing, writing naughty things down in your book just seems, well bad.


Although I no longer keep track of everything I eat or do, I have learnt that better eating habits has made my skin a whole lot clearer. I still have the occasional “spot” come up, but quickly zap it with a cotton pad soaked in cold chamomile tea (works wonders!) The next day, it is almost gone and the itch associated with it has miraculously disappeared. My face does get red still sometimes after stress, alcohol and sitting at the computer for too long. Take away those things, and I’m back to a nice healthy pink.

Rosacea affects different people in so many different ways; there is not “one thing” out there that can cure us all. It’s up to us to try and help ourselves. There are so many products and eating plans out there to promise a cure, but really, there is no guarantee that you will be rosacea free forever.


I have tried the “The Rosacea Diet” by Brady Barrows, the rosacea disks, light laser therapy and numerous other products and skin care designed for us sufferers. Some good experiences, some bad. I will be sharing some of these past experiences on this blog. What worked for me (and for how long), and what didn’t, just to give you my own personal take on these treatments.
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Pregnancy and Roaccutane Warning

July 28th 2008 03:18
It is absolutely imperative that you DO NOT get pregnant while taking the drug roaccutane. I did and it was a very scary time for me. I got pregnant while on one form of contraception, the pill about two weeks after I had my last pill earlier this year in fact around the time I started this blog. After much stress and concern over birth defects, I called my dermatologist who originally prescribed roaccutane to me and he told me (after doing a bit more research and discussions with other dermatologists) that technically it should be safe 11 days after taking my last pill as the drugs main ingredient does leave the system fairly quickly. Well looking back on my dates we kind of figured that I had conceived possibly 10 days after my last pill. Geez, that was cutting it close and I started to panic. My doctor referred me for an ultrasound scan at the 8 week mark to see where my pregnancy was at. I was prepared for a termination although I wasn’t very happy about that and wished, hoped, prayed for a natural so I wouldn’t have to make that awful decision.

So for two weeks while waiting for the scan I did nothing but research on the net the effects of roaccutane and pregnancy and was quite horrified to find out the severity of deformities this drug can cause on a fetus. My only hope was that I got my dates wrong and that I conceived at a much later date.

Although there was plenty of information on the effects, studies and research done on pregnancy and roaccutane, I could not find any personal experiences anybody has gone through. I was more and more convinced a termination was inevitable. This drug is so powerful, you must sign a declaration in the US that you agree to a termination should you fall pregnant. In fact if you don’t sign one, you cannot receive treatment. Powerful stuff.

Well the long wait was finally over and I went to my scan a bundle of nerves. At the scan they couldn’t see anything in my uterus. There was no sign of a tubal pregnancy either, although these don’t always show up on scan apparently. I was finally diagnosed as an unsighted ectopic. My hcg levels were rather high (around 6000) with no pregnancy in sight which the doctors described as an unusual case (great!) After many blood checks on my levels, which was slowly falling but staying stagnant around the 4500 mark, it was determined I needed a methotextrate injection to move things along as they were worried about a rupture. One week after the methotextrate, my levels dropped to almost half which the doctors were pleased about. This whole thing is not over yet, I go back to the hospital in two days time for another hcg level check and will have to keep going until my levels reaches zero.

Moral of the story is DO NOT GET PREGNANT while taking roaccutane, keep an accurate track on your menstrual cycle dates to double check should anything happen and most importantly, don’t think one form of contraception is enough no matter how hard you think it takes you to get pregnant. I never conceived easy, always taking between 6 to 12 months after stopping the pill to fall pregnant. Never before I have fallen pregnant while on the pill so never thought it could happen.

At the end of it, I am relieved I am miscarrying naturally. I would have hated to make an alternate decision and am so glad and thankful I didn’t have to.
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Rosacea Subtypes

June 5th 2008 02:23
There are quite a few variations of rosacea but there are 4 main subtypes that are recognised by the National Rosacea Society. Subtypes are generally classified into these groups based on the symptoms and characteristics of each subtype. Some sufferers may only have one subtype usually starting with subtype 1, but most (as the condition worsens) will develop the characteristics of one or more of the other subtypes as well.

Rosacea Subtypes


Subtype 1: Erythematotelangiectatic Rosacea
Is the most common form and is usually seen in rosaceans as persistant redness of the face and frequent flushing. Skin is easily irritated through some common and uncommon triggers and the affected sufferer may appear to be blushing for prolong periods of time. Telangiectasia (tiny widened or broken blood vessels) may also be present particularly as the condition advances.

Subtype 2: Papulopustular Rosacea
Usually accompanied by facial redness, this subtype has the characteristics of papules (red domed bumps that resembles acne) and/or pustules (same bumps but contain pus). Telangiectasia may also be present but could be hidden underneath the papules or pustules if the condition is severe. Severe itching or burning sensations may also accompany this subtype and can be extremely uncomfortable for the rosacea sufferer. Severity can range from mild with one or two small papules (grade 1) to the more severe (grade 3) which has more numerous and severe eruptions.


Subtype 3: Phymatous Rosacea

Along with the persistent redness, this third subtype is characterized by extreme skin thickening, usually around the nose area. The build up of skin can enlarge the appearance and change the texture of the nose. This is medically known as rhinophyma (ri-no-FI-ma). This type of rosacea can lead to deformity of the nose and may interfere with breathing in the most severe cases. Middle aged to older men are usually only affected. Female rosacea sufferers do not develop this subtype with the exception of very rare cases.

Subtype 4: Ocular Rosacea
This subtype affects the eyes and can be characterised by red, bloodshot eyes, dryness (or excessive wateriness), burning or stinging sensations , light sensitivity, and foreign body sensation such as the feeling of sand or dust in the eyes. Blepharitis, conjunctivitis and styes may also form and can be quite uncomfortable and distressing. Usually eventually over half of people with rosacea will develop this form, although symptoms can be quite mild. Although vision may be a bit blurred at times, rarely does this condition do any permanent damage to eyesight.
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