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Discussion Starter · #1 ·
Has anyone been to a ped derm before?<br>
We have taken J to a derm, but the closest ped derm is two hours away.<br>
I did not get anything out of the regular derm appt that I did not know already, so I was really not sure if I would be wasting time going to another.
 

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Well, I can tell you our experience. I've been saying it was a wasted 7 hours of my life.<br><br>
We're an hour away, and there are only 2 ped derms in the city. We had to wait several months for the appointment. I got more out of the nurse who took the patient history. (She was willing to have a brief conversation about allergies.) They barely looked at his skin. Said it was eczema. I got a 10 minute lecture on what eczema is, was told to bathe and moisturize my son, and if one product didn't work, try another. We got a prescription for 2 steroid ointments - one for his body and a gentler one for his face. We tried it the other night, and went back to our old steroid 'script. (The ointment got everywhere and didn't seem to make any difference.)<br><br>
That's the short of it. NOT helpful AT ALL. A waste of time and money.<br><br><br>
I could write a thesis on what I've read about eczema and allergies. The 10 minute lecture was insulting. ("Some people react to one thing, and others react to other things.") They (both docs in the room) did not have a conversation with me or talk about allergies. They gave me a referral to the allergist (down the hall from the ped derm). I was told if I didn't hear from the scheduler in 3 weeks, to give a call. We were notified this week that our allergy consult is in Nov., after DS turns one. (The local allergist won't take him until after he's one, but apparently the pediatric allergist can't get him in before that, anyway.)<br><br>
Your experience may be different, but don't hold your breath. We are just more determined than ever to figure it out through careful diet journaling and observation. I am also considering asking our family doc for allergy testing (at least a blood test?).<br><br>
Best wishes!
 

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Discussion Starter · #3 ·
Thanks for being so candid <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/smile.gif" style="border:0px solid;" title="smile"><br>
See that has been my experience too with a regular derm. I already know all of that and was so hoping there was something, anything else that I may have missed along the way. Guess not <img alt="" class="inlineimg" src="http://www.mothering.com/discussions/images/smilies/greensad.gif" style="border:0px solid;" title="greensad"> I know *what* to do, I just can't narrow the triggers beyond the food he tested positive to. He has never gone into remission for more than a day.<br>
Thanks again <img alt="" class="inlineimg" src="/img/vbsmilies/smilies/tiphat.gif" style="border:0px solid;" title="Tiphat">:
 

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I came back because I remembered some other things the Ped. Derm told me, some of which goes against what I had read/heard elsewhere.<br><br>
1. I should be bathing DS every day to remove allergens. OK on allergen removal, probably a good idea. However, I think overbathing can strip natural skin oils. We do try to bathe or shower DS if he has been outside during the day, or in the case of the other evening, at our friends' house with a dog. (Even though he was sleeping when we got home at 10pm, I showered with him. He basically slept in my arms in the shower.)<br><br>
2. Use soap every other day to remove bacteria. We use soap about once a week or less because I think it is drying. It wasn't clear to me if the dr was concerned about bacteria causing a secondary infection in the eczema areas, or if he was thinking that the bacteria were contributing to/causing the eczema. We don't follow this recommendation.<br><br>
3. Some of the drugs they prescribe for eczema aren't recommended for under 1 year (or under 2 years). I think they aren't even approved for eczema in children, and I believe that even if DS were 2, it would be an off label use. Dr didn't give specific drugs when he told me this.<br><br>
4. Dr said he has prescribed oral steroids for eczema only once in the 3 years he's been practicing in our city. (I should have asked what reaction caused him to not prescribe steroids again, but I wasn't a fast thinker.) We have a script for oral steroids from our family dr, but we haven't given them to DS.<br><br>
5. I was asked what I used for moisturizer. We've tried several lotions and used a vegetable oil after each bath. I was that vegetable oils aren't pure - that there may be other things added during manufacturing and we wouldn't know what he was reacting to if he was reacting to the oil.* SO, we should be using Eucerin. When I pointed out that Eucerin has many ingredients. He agreed, but said that those ingredients had been approved by the FDA and must meet manufacturing specifications for each batch. I'm not sure that is true.<br><br>
6. She (the other derm who came in to lecture me on eczema) did give some advice about lotion. That we should be using a cream that is thick, like the original Eucerin. This we have done, and although DS wiggles through the application, it does keep his skin softer.<br><br>
* He may have something here. I wanted to ask him if he's read the MDC thread on olive oil impurities. AND, I recently read somewhere on MDC that the Vit. E used to preserve safflower oil is soy-based. The chiropractor who tested us for allergies said that DS has a soy based allergy, so there may be something to the oil bothering his skin. And I was convinced that safflower oil was better than mineral oil.
 
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